BETH MAINA AHLBERG Skaraborg Institute for Research and Development and Department of Women's and Children's Health, Uppsala University, Sweden TUOMO ALASOIN Helsinki University, Finland ANNE AYVARI HAGA-HELIA University of Applied Sciences, Porvoo, Finland AGNETA HANSSON Halmstad University College, Sweden HANS CHRISTIAN GARMANN JOHNSEN, Universty of Agder, Norway SISKO KALLIOKOSKI HAGA-HELIA University of Applied Sciences, Porvoo, Finland TARJA KANTOLA HAGA-HELIA University of Applied Sciences, Porvoo, Finland SIRPA LASSILA HAGA-HELIA University of Applied Sciences, Porvoo, Finland EDWARD LORENZ UNSA-CNRS, University of Nice, France and Bengt-Ake Lundvall University of Aalborg, Denmark HANS MANTYLA HAGA-HELIA University of Applied Sciences, Porvoo, Finland JAN-EVERT NILSSON Henrik Finsrud, Work Research Institute, Norway JARMO RITALAHTI HAGA-HELIA University of Applied Sciences, Porvoo, Finland ANU SIPILA HAGA-HELIA University of Applied Sciences, Porvoo, Finland TUOVI SOISALON-SOININEN HAGA-HELIA University of Applied Sciences, Porvoo, Finland AKE UHLIN Henrik Finsrud, Work Research Institute, Norway