Suchergebnisse

Lange zu leben und somit auch alt zu werden, finden viele Menschen erstrebenswert - wirklich alt und abhängig sein möchte dagegen niemand. So ist der Wunsch groß, die späte Lebensphase möglichst von Angst, Schmerz und Verlust freizuhalten. Doch welche Konsequenzen ergeben sich daraus für eine Gesellschaft, die stetig altert? Die Autorinnen und Autoren entwerfen aus Sicht der Gerontologie, der Kulturwissenschaften und der Philosophie ein Bild des Alterns, das die Realität mit all seinen Chancen und Nöten einfängt. Sie plädieren für ein Altern, das als existenzieller Bestandteil des menschlichen Lebens wahrgenommen wird - und nicht als lästiges Problem der individuellen Biografie. Nur so kann unsere Gesellschaft der Situation alternder Menschen gerecht werden.

Klugt, C. J. van der: European Monetary Union in a turbulent world economy. - S.13-20. Lamont, N.: British objctives for monetary integration in Europe. - S.23-34. Maystadt, P.: The inter-governmental conference: the state of the negociations and emerging options. - S.35-50. Poehl, K. O.: The responsibilities of the European Central Bank in the international monetary system. - S.51-61. Agnelli, G.: Will economic and monetary union strengthen European industry's competitiveness? - S.65-73. Gyohten, T.: Japans's monetary strategy towards Europe and the Ecu. - S.75-84. Dornbusch, R.: Ecu and the emerging wolrd monetary order. - S.85-94. Attali, J.: Stabilization of the exchange relations between the Ecu and the currencies of Central and Eastern Europe. - S.97-104. Hormats, R.: America and E.M.U. - S.105-119. Frenkel, J.: The potential contribution of E.M.U. to the evolving international monetary system. - S.121-133. Kopper, J.: A single European currency and the new opportunities for banking in a tripolar world. - S.1137-144. Brittan, L.: European integration and the world ecnomy. - S.145-153

In this study, we confidently evaluated the effectiveness of using infrared spectroscopy for assessing silage, and observed the results obtained with portable equipment. Several factors alter this ensiled material's composition and quality, and monitoring is necessary to create an accurate diet formulation. Analysis using near-infrared spectroscopy (NIRS) this technique is the wavelength of the near-infrared region and measuring the difference in the amount of energy emitted by the equipment and the energy reflected by the sample to the detector, be measured by different bands create a spectrum of this sample. In the nutrition of ruminants, mainly confined animals, silage is the main source of fiber used in their diet and the NIRS technique has been widely used to evaluate its chemical composition the digestibility, within other parameters. Use with benchtop equipment in the laboratory or with portable equipment offers real-time results on the farm, allows diet variability to be monitored, and assists in decision maki. However, further research into the use of this equipment to assess its accuracy and which type of equipment is best to use is recommended.

Abstract. In early April 2021 several days of harsh frost affected central Europe. This led to very severe damage in grapevine and fruit trees
in France, in regions where young leaves had already unfolded due to
unusually warm temperatures in the preceding month (March 2021). We analysed
with observations and 172 climate model simulations how human-induced
climate change affected this event over central France, where many vineyards are located. We found that, without human-caused climate change, such temperatures in April or later in spring would have been even lower by
1.2 ∘C (0.75 to 1.7 ∘C). However, climate
change also caused an earlier occurrence of bud burst that we characterized in this study by a growing degree day index value. This shift leaves young leaves exposed to more winter-like conditions with lower minimum temperatures and longer nights, an effect that overcompensates the warming effect. Extreme cold temperatures occurring after the start of the growing season such as those of April 2021 are now 2 ∘C colder
(0.5 to 3.3 ∘C) than in preindustrial conditions, according to observations. This observed intensification of growing-period frosts is attributable, at least in part, to human-caused climate change with each of the five climate model ensembles used here simulating a cooling of growing-period annual temperature minima of 0.41 ∘C (0.22 to 0.60 ∘C) since preindustrial conditions. The 2021 growing-period frost event has become 50 % more likely (10 %–110 %). Models accurately simulate the observed warming in extreme lowest spring temperatures but underestimate the observed trends in growing-period frost intensities, a fact that yet remains to be explained. Model ensembles all simulate a further intensification of yearly minimum temperatures occurring in the growing period for future decades and a significant probability increase for such events of about 30 % (20 %–40 %) in a climate with global warming of 2 ∘C.

Background Globally, critical illness results in millions of deaths every year. Although many of these deaths are potentially preventable, the basic, life-saving care of critically ill patients are often overlooked in health systems. Essential Emergency and Critical Care (EECC) has been devised as the care that should be provided to all critically ill patients in all hospitals in the world. EECC includes the effective care of low cost and low complexity for the identification and treatment of critically ill patients across all medical specialties. This study aimed to specify the content of EECC and additionally, given the surge of critical illness in the ongoing pandemic, the essential diagnosis-specific care for critically ill patients with COVID-19. Methods In a Delphi process, consensus (>90% agreement) was sought from a diverse panel of global clinical experts. The panel iteratively rated proposed treatments and actions based on previous guidelines and the WHO/ICRC's Basic Emergency Care. The output from the Delphi was adapted iteratively with specialist reviewers into a coherent and feasible package of clinical processes plus a list of hospital readiness requirements. Results The 269 experts in the Delphi panel had clinical experience in different acute medical specialties from 59 countries and from all resource settings. The agreed EECC package contains 40 clinical processes and 67 requirements, plus additions specific for COVID-19. Conclusion The study has specified the content of care that should be provided to all critically ill patients. Implementing EECC could be an effective strategy for policy makers to reduce preventable deaths worldwide.

We analyzed SARS-CoV-2 seroprevalence in a large, well-described representative Viennese cohort after an early governmental lockdown with respect to the occurrence of symptoms and household transmission. Participants of the LEAD Study, a population-based cohort study from Vienna, Austria, were invited along with their household members (April 20th to May20th 2020). Sera were analyzed using anti-SARS-CoV-2 immunoassay including a neutralization test as a confirmatory assay. A total of 12,419 individuals participated (5984 LEAD participants; 6435 household members), 163 (1.31%; 59 LEAD cohort members) of whom were SARS-CoV-2 antibody positive. The estimated number of COVID-19 cases projected from our findings by age and sex for Vienna was 21,504 (1.13%). Cumulative number of positively tested cases in Vienna until May 20th 2020 was 3020, hence 7.1 times (95% confidence interval 5.5–9.1) lower than projected. Relative risk (RR) of seropositivity by age was highest for children aged 6–9 years [RR compared to age group 20–49: 1.21 (CI 0.37–4.01)], lowest for ≥ 65 years [RR 0.47 (CI 0.21–1.03)]. Half of the positive individuals developed no or mild symptoms. In a multivariate analysis, taste and smell disturbances were most strongly related to SARS-CoV-2 positivity. Infection probability within households with one confirmed SARS-CoV-2-specific antibody-positive person was 31%. Although seroprevalence was very low (1.13%) for a central European capital city, due to an early governmental lockdown, SARS-CoV-2 infections were more prevalent than officially reported polymerase chain reaction-positive cases. Of note, seroprevalence was highest in young children. Half of SARS-CoV-2 antibody-positive subjects had no or only mild symptoms. Taste and smell disturbances were most prominent, possibly guiding clinicians in diagnosing SARS-CoV-2 infection.

Scenarios have become a key tool for supporting sustainability research on regional and global change. In this study we evaluate four regional scenario assessments: first, to explore a number of research challenges related to sustainability science and, second, to contribute to sustainability research in the specific case studies. The four case studies used commonly applied scenario approaches that are (i) a story and simulation approach with stakeholder participation in the Oum Zessar watershed, Tunisia, (ii) a participatory scenario exploration in the Rwenzori region, Uganda, (iii) a model-based prepolicy study in the Inner Niger Delta, Mali, and (iv) a model coupling-based scenario analysis in upper Thukela basin, South Africa. The scenario assessments are evaluated against a set of known challenges in sustainability science, with each challenge represented by two indicators, complemented by a survey carried out on the perception of the scenario assessments within the case study regions. The results show that all types of scenario assessments address many sustainability challenges, but that the more complex ones based on story and simulation and model coupling are the most comprehensive. The study highlights the need to investigate abrupt system changes as well as governmental and political factors as important sources of uncertainty. For an in-depth analysis of these issues, the use of qualitative approaches and an active engagement of local stakeholders are suggested. Studying ecological thresholds for the regional scale is recommended to support research on regional sustainability. The evaluation of the scenario processes and outcomes by local researchers indicates the most transparent scenario assessments as the most useful. Focused, straightforward, yet iterative scenario assessments can be very relevant by contributing information to selected sustainability problems.