Epigenetic differences may help to distinguish between PTSD cases and trauma-exposed controls. Here, we describe the results of the largest DNA methylation meta-analysis of PTSD to date. Ten cohorts, military and civilian, contribute blood-derived DNA methylation data from 1,896 PTSD cases and trauma-exposed controls. Four CpG sites within the aryl-hydrocarbon receptor repressor (AHRR) associate with PTSD after adjustment for multiple comparisons, with lower DNA methylation in PTSD cases relative to controls. Although AHRR methylation is known to associate with smoking, the AHRR association with PTSD is most pronounced in non-smokers, suggesting the result was independent of smoking status. Evaluation of metabolomics data reveals that AHRR methylation associated with kynurenine levels, which are lower among subjects with PTSD. This study supports epigenetic differences in those with PTSD and suggests a role for decreased kynurenine as a contributor to immune dysregulation in PTSD.
In: Smith , A K , Ratanatharathorn , A , Maihofer , A X , Naviaux , R K , Aiello , A E , Amstadter , A B , Ashley-Koch , A E , Baker , D G , Beckham , J C , Boks , M P , Bromet , E , Dennis , M , Galea , S , Garrett , M E , Geuze , E , Guffanti , G , Hauser , M A , Katrinli , S , Kilaru , V , Kessler , R C , Kimbrel , N A , Koenen , K C , Kuan , P-F , Li , K , Logue , M W , Lori , A , Luft , B J , Miller , M W , Naviaux , J C , Nugent , N R , Qin , X , Ressler , K J , Risbrough , V B , Rutten , B P F , Stein , M B , Ursano , R J , Vermetten , E , Vinkers , C H , Wang , L , Youssef , N A , Uddin , M , Nievergelt , C M , INTRuST Clinical Consortium , VA Mid-Atlantic MIRECC Workgroup & PGC PTSD Epigenetics Workgroup 2020 , ' Epigenome-wide meta-analysis of PTSD across 10 military and civilian cohorts identifies methylation changes in AHRR ' , Nature Communications , vol. 11 , no. 1 , 5965 . https://doi.org/10.1038/s41467-020-19615-x
Epigenetic differences may help to distinguish between PTSD cases and trauma-exposed controls. Here, we describe the results of the largest DNA methylation meta-analysis of PTSD to date. Ten cohorts, military and civilian, contribute blood-derived DNA methylation data from 1,896 PTSD cases and trauma-exposed controls. Four CpG sites within the aryl-hydrocarbon receptor repressor (AHRR) associate with PTSD after adjustment for multiple comparisons, with lower DNA methylation in PTSD cases relative to controls. Although AHRR methylation is known to associate with smoking, the AHRR association with PTSD is most pronounced in non-smokers, suggesting the result was independent of smoking status. Evaluation of metabolomics data reveals that AHRR methylation associated with kynurenine levels, which are lower among subjects with PTSD. This study supports epigenetic differences in those with PTSD and suggests a role for decreased kynurenine as a contributor to immune dysregulation in PTSD. PTSD has been associated with DNA methylation of specific loci in the genome, but studies have been limited by small sample sizes. Here, the authors perform a meta-analysis of DNA methylation data from 10 different cohorts and identify CpGs in AHRR that are associated with PTSD.
The Precision Medicine and the Future of Cancer project was jointly conceived by the Innovation School at Glasgow School of Art and the Institute of Cancer Sciences at the University of Glasgow. Graduating year Product Design students from the Innovation School were presented with a challenge-based project to produce a vision of the future based on current trends that relate to Precision Medicine(PM) and Cancer treatment. This project involved working closely with scientists, clinicians, patients, industry and academic professionals from Glasgow University, staff at Queen Elizabeth University Hospital and Clinical Innovation Zone, staff at Beatson West of Scotland Cancer Centre, Patient Representatives and external design experts from Studio AndThen and GOODD design consultancy. The objective of this project was to investigate, in both analytical and speculative ways, future forms and functions of cancer treatment and care in relation to Precision Medicine, to develop future scenarios and design artefacts, services, and the experiences associated with them. One of the most significant societal shifts currently taking place within the field of PM is the transformation around what it means to be a patient and a professional working within this context. The public's role is developing beyond once-passive patients into stakeholders valued within the medical industry and healthcare sector for their participation in clinical trials, and contribution towards policy-making and decision-making committees. This new dynamic is changing the traditional patient-doctor relationship and challenging the hegemony of medical practice at an institutional level. The impetus for this shift is relentless technological acceleration and increased scientific research, in particular driven by advances in PM. This project asked students to consider what will happen in a cancer landscape ten years from now, where PM has evolved to the extent that new forms of medical practice, cancer treatment and care transform how we interact with each other, with professionals and the world around us. The brief gave students the opportunity to reflect on the underlying complexities regarding the future of health, technological acceleration, post-capitalism and human agency, to envision a future world context, develop it as an experiential exhibit, and produce the designed products, services and experiences for the people who might live and work within it. The project was divided into two sections: The first was a collaborative stage where groups of students were assigned a specific area of focus from Social, Technological, Economic, Ethical, Educational, Political, Legal, Ecological [STEEEPLE]. These groups focused on researching and exploring their specific lenses and gathering as much information and understanding while working with external experts to further their knowledge. This group stage culminated in an exhibition of the collaborative understanding of what the future could look like in 10 years from now, after exploring the possible consequences of current actions. The second stage saw students explore their individual response to the world that had been defined in the first stage. Each student had their own response to the research by iteratively creating a design outcome that was appropriate to the subject matter. This culminated in each student having created a design product/service/experience relating to the future scenario. A full report (Project Process Journal [PPJ]) is included within the repository of each student which breaks down their process of designing and the outcome they have designed. The project aims to tackle the emerging possibilities where medical professionals and design can collaborate, to create a future where forms of medical practice are more preventative and are more appropriate for an aging population now and into the future. The deposited materials are arranged as follows: Readme files - two readme files relate to stage one and stage two of the project as outlined above. Overview poster - gives a visual overview of the structure and timeline of the project. Data folders - the data folders for stage one of the project are named for the lens through which each group viewed possible futures. The data folders for stage two of the project are named for the individual students who conducted the work.
The European Union (EU) Horizon 2020 Coordination and Support Action ESMERALDA aimed at developing guidance and a flexible methodology for Mapping and Assessment of Ecosystems and their Services (MAES) to support the EU member states in the implementation of the EU Biodiversity Strategy's Target 2 Action 5. ESMERALDA's key tasks included network creation, stakeholder engagement, enhancing ecosystem services mapping and assessment methods across various spatial scales and value domains, work in case studies and support of EU member states in MAES implementation. Thus ESMERALDA aimed at integrating various project outcomes around four major strands: i) Networking, ii) Policy, iii) Research and iv) Application. The objective was to provide guidance for integrated ecosystem service mapping and assessment that can be used for sustainable decision-making in policy, business, society, practice and science at EU, national and regional levels. This article presents the overall ESMERALDA approach of integrating the above-mentioned project components and outcomes and provides an overview of how the enhanced methods were applied and how they can be used to support MAES implementation in the EU member states. Experiences with implementing such a large pan-European Coordination and Support Action in the context of EU policy are discussed and recommendations for future actions are given.
The Million Veteran Program (MVP) was established in 2011 as a national research initiative to determine how genetic variation influences the health of U.S. military veterans. We genotyped 312,571 MVP participants using a custom biobank array and linked the genetic data to laboratory and clinical phenotypes extracted from electronic health records covering a median of 10.0 years of follow-up. Among 297,626 veterans with at least 1 blood lipid measurement including 57,332 blacks and 24,743 Hispanics, we tested up to ~32 million variants for association with lipid levels and identified 118 novel genome-wide significant loci after meta-analysis with data from the Global Lipids Genetics Consortium (total N > 600,000). Through a focus on mutations predicted to result in a loss of gene function and a phenome-wide association study, we propose novel indications for pharmaceutical inhibitors targeting PCSK9 (abdominal aortic aneurysm), ANGPTL4 (type 2 diabetes), and PDE3B (triglycerides and coronary disease).
The European Union (EU) Horizon 2020 Coordination and Support Action ESMERALDA aimed at developing guidance and a flexible methodology for Mapping and Assessment of Ecosystems and their Services (MAES) to support the EU member states in the implementation of the EU Biodiversity Strategy's Target 2 Action 5. ESMERALDA's key tasks included network creation, stakeholder engagement, enhancing ecosystem services mapping and assessment methods across various spatial scales and value domains, work in case studies and support of EU member states in MAES implementation. Thus ESMERALDA aimed at integrating various project outcomes around four major strands: i) Networking, ii) Policy, iii) Research and iv) Application. The objective was to provide guidance for integrated ecosystem service mapping and assessment that can be used for sustainable decision-making in policy, business, society, practice and science at EU, national and regional levels. This article presents the overall ESMERALDA approach of integrating the above-mentioned project components and outcomes and provides an overview of how the enhanced methods were applied and how they can be used to support MAES implementation in the EU member states. Experiences with implementing such a large pan-European Coordination and Support Action in the context of EU policy are discussed and recommendations for future actions are given. ; QC 20191008
In: Butchart , S H M , Scharlemann , J P W , Evans , M I , Quader , S , Aricó , S , Arinaitwe , J , Balman , M , Bennun , L A , Bertzky , B , Besancon , C , Boucher , T M , Brooks , T M , Burfield , I J , Burgess , N D , Chan , S , Clay , R P , Crosby , M J , Davidson , N C , De Silva , N , Devenish , C , Dutson , G C L , Fernández , D F D Z , Fishpool , L D C , Fitzgerald , C , Foster , M , Heath , M F , Hockings , M , Hoffmann , M , Knox , D , Larsen , F W , Lamoreux , J F , Loucks , C , May , I , Millett , J , Molloy , D , Morling , P , Parr , M , Ricketts , T H , Seddon , N , Skolnik , B , Stuart , S N , Upgren , A & Woodley , S 2012 , ' Protecting important sites for biodiversity contributes to meeting global conservation targets ' , PLOS ONE , vol. 7 , no. 3 . https://doi.org/10.1371/journal.pone.0032529
Protected areas (PAs) are a cornerstone of conservation efforts and now cover nearly 13% of the world's land surface, with the world's governments committed to expand this to 17%. However, as biodiversity continues to decline, the effectiveness of PAs in reducing the extinction risk of species remains largely untested. We analyzed PA coverage and trends in species' extinction risk at globally significant sites for conserving birds (10,993 Important Bird Areas, IBAs) and highly threatened vertebrates and conifers (588 Alliance for Zero Extinction sites, AZEs) (referred to collectively hereafter as 'important sites'). Species occurring in important sites with greater PA coverage experienced smaller increases in extinction risk over recent decades: the increase was half as large for bird species with>50% of the IBAs at which they occur completely covered by PAs, and a third lower for birds, mammals and amphibians restricted to protected AZEs (compared with unprotected or partially protected sites). Globally, half of the important sites for biodiversity conservation remain unprotected (49% of IBAs, 51% of AZEs). While PA coverage of important sites has increased over time, the proportion of PA area covering important sites, as opposed to less important land, has declined (by 0.45–1.14% annually since 1950 for IBAs and 0.79–1.49% annually for AZEs). Thus, while appropriately located PAs may slow the rate at which species are driven towards extinction, recent PA network expansion has under-represented important sites. We conclude that better targeted expansion of PA networks would help to improve biodiversity trends.
Protected areas (PAs) are a cornerstone of conservation efforts and now cover nearly 13% of the world's land surface, with the world's governments committed to expand this to 17%. However, as biodiversity continues to decline, the effectiveness of PAs in reducing the extinction risk of species remains largely untested. We analyzed PA coverage and trends in species' extinction risk at globally significant sites for conserving birds (10,993 Important Bird Areas, IBAs) and highly threatened vertebrates and conifers (588 Alliance for Zero Extinction sites, AZEs) (referred to collectively hereafter as 'important sites'). Species occurring in important sites with greater PA coverage experienced smaller increases in extinction risk over recent decades: the increase was half as large for bird species with>50% of the IBAs at which they occur completely covered by PAs, and a third lower for birds, mammals and amphibians restricted to protected AZEs (compared with unprotected or partially protected sites). Globally, half of the important sites for biodiversity conservation remain unprotected (49% of IBAs, 51% of AZEs). While PA coverage of important sites has increased over time, the proportion of PA area covering important sites, as opposed to less important land, has declined (by 0.45-1.14% annually since 1950 for IBAs and 0.79-1.49% annually for AZEs). Thus, while appropriately located PAs may slow the rate at which species are driven towards extinction, recent PA network expansion has under-represented important sites. We conclude that better targeted expansion of PA networks would help to improve biodiversity trends.
Training is a key component of building capacity for public health surveillance and response, but has often been difficult to quantify. During fiscal 2009, the Armed Forces Health Surveillance Center, Division of Global Emerging Infections Surveillance and Response System (AFHSC-GEIS) supported 18 partner organizations in conducting 123 training initiatives in 40 countries for 3,130 U.S. military, civilian and host-country personnel. The training assisted with supporting compliance with International Health Regulations, IHR (2005). Training activities in pandemic preparedness, outbreak investigation and response, emerging infectious disease (EID) surveillance and pathogen diagnostic techniques were expanded significantly. By engaging local health and other government officials and civilian institutions, the U.S. military's role as a key stakeholder in global public health has been strengthened and has contributed to EID-related surveillance, research and capacity-building initiatives specified elsewhere in this issue. Public health and emerging infections surveillance training accomplished by AFHSC-GEIS and its Department of Defense (DoD) partners during fiscal 2009 will be tabulated and described.
In September 2000, world leaders from 187 States met for the Millennium Summit in New York to discuss "The Role of the United Nations in the wenty-first century".1 Eight time-bound and theoretically measurable Millennium Development Goals (MDGs) were agreed upon, aimed at combating poverty, hunger, disease, illiteracy, environmental degradation and discrimination against women. To guide the achievement of the MDGs more concretely, one or more targets were set for each goal. With the MDGs, Member States sought to establish within the United Nations system a framework uniting the efforts of the different entities towards a common objective.2 The United Nations Development Group (UNDG) was set to function as a coordinator and help ensure that the MDGs remain a cornerstone of the United Nations collaborative efforts The objective of the following report is to analyse efforts undertaken by the United Nations system and its partners as well as progress towards the achievement of the MDGs. The report focuses on the first MDG - poverty eradication - and the eighth - economic development - as well as the second and third goals, grouped under the topic of education. As such, the attainment of the goal, including its various objectives will be analysed in relation to the efforts of several United Nations agencies towards effecting sustainable development through poverty reduction, adequate education, financing activities, information and communication technology advancement and trade.
In September 2000, world leaders from 187 States met for the Millennium Summit in New York to discuss "The Role of the United Nations in the wenty-first century".1 Eight time-bound and theoretically measurable Millennium Development Goals (MDGs) were agreed upon, aimed at combating poverty, hunger, disease, illiteracy, environmental degradation and discrimination against women. To guide the achievement of the MDGs more concretely, one or more targets were set for each goal. With the MDGs, Member States sought to establish within the United Nations system a framework uniting the efforts of the different entities towards a common objective.2 The United Nations Development Group (UNDG) was set to function as a coordinator and help ensure that the MDGs remain a cornerstone of the United Nations collaborative efforts The objective of the following report is to analyse efforts undertaken by the United Nations system and its partners as well as progress towards the achievement of the MDGs. The report focuses on the first MDG - poverty eradication - and the eighth - economic development - as well as the second and third goals, grouped under the topic of education. As such, the attainment of the goal, including its various objectives will be analysed in relation to the efforts of several United Nations agencies towards effecting sustainable development through poverty reduction, adequate education, financing activities, information and communication technology advancement and trade.
Special Feature: The Multidisciplinary Drifting Observatory for the Study of Arctic Climate (MOSAiC).-- 42 pages, 16 figures, 3 tables, supplemental files https://doi.org/10.1525/elementa.2021.000046.-- Data accessibility statement: All data in this manuscript are publicly available from online repositories. Note that most data sets contain raw or preliminary data, while advanced versions will become available in future. The data may be found under the following references: drift track data (Figure 1, Nicolaus et al., doi:10.1594/PANGAEA.937204), observational dates (Figure 4, Nicolaus et al., doi:10.5281/zenodo.5898517), panorama photographs (Figure 5, Nicolaus et al., doi:10.1594/PANGAEA.938534), TLS data (Figure 6, Clemens-Sewall et al., doi:10.18739/A27S7HT3B), ROV radiation data (Figure 7, Nicolaus et al., doi:10.1594/PANGAEA.935688), surface albedo data on ground (Figure 8, Smith et al., broadband data under doi:10.18739/A2KK94D36 and spectral data under doi:10.18739/A2FT8DK8Z) and from the HELiX drone (Figure 8, Calmer et al., doi:10.18739/A2GH9BB0Q), on-ice RS data (Figure 10, Spreen et al., doi:10.5281/zenodo.5725870), surface images from thermal infrared and true color (Figure 11, Thielke et al, doi:10.1594/PANGAEA.934666), drift speed data from Polarstern (Figure 12, Nicolaus et al., doi:10.1594/PANGAEA.937204), deformation data from SAR (Figure 13, von Albedyll et al, doi:10.5281/zenodo.5195366), sea ice thickness and snow depth distribution (Figure 14, Hendricks et al., doi:10.5281/zenodo.5155244), sea ice physical properties (Figure 15, in Tables S2 and S3) with a sea ice core overview (Granskog et al., doi:10.5281/zenodo.4719905), snow pack properties (Figure 16, Macfarlane et al., doi:10.1594/PANGAEA.935934), and ship radar video sequence (Jäkel et al., doi:10.5446/52953) ; Year-round observations of the physical snow and ice properties and processes that govern the ice pack evolution and its interaction with the atmosphere and the ocean were conducted during the Multidisciplinary drifting Observatory for the Study of Arctic Climate (MOSAiC) expedition of the research vessel Polarstern in the Arctic Ocean from October 2019 to September 2020. This work was embedded into the interdisciplinary design of the 5 MOSAiC teams, studying the atmosphere, the sea ice, the ocean, the ecosystem, and biogeochemical processes. The overall aim of the snow and sea ice observations during MOSAiC was to characterize the physical properties of the snow and ice cover comprehensively in the central Arctic over an entire annual cycle. This objective was achieved by detailed observations of physical properties and of energy and mass balance of snow and ice. By studying snow and sea ice dynamics over nested spatial scales from centimeters to tens of kilometers, the variability across scales can be considered. On-ice observations of in situ and remote sensing properties of the different surface types over all seasons will help to improve numerical process and climate models and to establish and validate novel satellite remote sensing methods; the linkages to accompanying airborne measurements, satellite observations, and results of numerical models are discussed. We found large spatial variabilities of snow metamorphism and thermal regimes impacting sea ice growth. We conclude that the highly variable snow cover needs to be considered in more detail (in observations, remote sensing, and models) to better understand snow-related feedback processes. The ice pack revealed rapid transformations and motions along the drift in all seasons. The number of coupled ice–ocean interface processes observed in detail are expected to guide upcoming research with respect to the changing Arctic sea ice ; This work was funded by the following: – the German Federal Ministry of Education and Research (BMBF) through financing the Alfred-Wegener-Institut Helmholtz-Zentrum für Polar- und Meeresforschung (AWI) and the Polarstern expedition PS122 under the grant N-2014-H-060_Dethloff, – the AWI through its projects: AWI_ROV, AWI_ICE, AWI_SNOW, AWI_ECO. The AWI buoy program and ROV work were funded by the Helmholtz strategic investment Frontiers in Arctic Marine Monitoring (FRAM), – the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) through the Transregional Collaborative Research Centre TRR-172 "ArctiC Amplification: Climate Relevant Atmospheric and SurfaCe Processes, and Feedback Mechanisms (AC)3" (grant 268020496), the International Research Training Group 1904 ArcTrain (grant 221211316), the MOSAiCmicrowaveRS project (grant 420499875), the HELiPOD grant (LA 2907/11-1), and the SCASI (NI 1096/5-1 and KA 2694/7-1) and SnowCast (AR1236/1) projects, – the BMBF through the projects Diatom-ARCTIC (03F0810A), IceSense (BMBF 03F0866A and 03F0866B), MOSAiC3-IceScan (BMBF 03F0916A), NiceLABpro (BMBF 03F0867A), SSIP (01LN1701A), and SIDFExplore (03F0868A), – the German Federal Ministry for Economic Affairs and Energy through the project ArcticSense (BMWi 50EE1917A), – the US National Science Foundation (NSF) through the project PROMIS (OPP-1724467, OPP-1724540, and OPP-1724748), the buoy work (OPP-1723400), the MiSNOW (OPP-1820927), the snow transect work (OPP-1820927), the sea ice coring work (OPP-1735862), the HELiX drone operations (OPP-1805569), surface energy fluxes (OPP-1724551), Climate Active Trace Gases (OPP-1807496), and Reactive Gas Chemistry (OPP-1914781). The last 4 of these were also supported by the NOAA Physical Sciences Laboratory, – the European Union's Horizon 2020 research and innovation program projects ARICE (grant 730965) for berth fees associated with the participation of the DEARice team and INTAROS (grant 727890) supporting the drone and albedo measurements, – the US Department of Energy Atmospheric Radiation Measurement (ARM) and Atmospheric System Research (ASR) programs (DE-SC0019251, DE-SC0021341), – the National Aeronautics and Space Administration (NASA) project 80NSSC20K0658, – the European Space Agency (ESA) MOSAiC microwave radiometer (EMIRAD2, ELBARA, HUTRAD), (EMIRAD2, ELBARA, HUTRAD), CIMRex (contract 4000125503/18/NL/FF/gp) and GNSS-R (P.O. 5001025474, C.N. 4000128320/19/NL/FF/ab) GNSS-R (contracts P.O. 5001025474 and C.N. 4000128320/19/NL/FF/ab) projects, – the Canadian Space Agency FAST project (grant no. 19FACALB08), – EUMETSAT support for microwave scatterometer measurements, – the Research Council of Norway through the projects HAVOC (grant no. 280292), SIDRiFT (grant no. 287871), and CAATEX (grant no. 280531), – the Fram Centre (Tromsø, Norway), from its flagship program on Arctic Ocean through the PHOTA project, – the UKRI Natural Environment Research Council (NERC) and BMBF, who jointly funded the Changing Arctic Ocean program (project Diatom Arctic, NE/R012849/1 and 03F0810A), – the UK Natural Environment Research Council (project SSAASI-CLIM grant NE/S00257X/1), – the Agencia Estatal de Investigación AEI of Spain (grant no. PCI2019-111844-2, RTI2018-099008-B-C22), – the Swedish Research Council (VR, grant no. 2018-03859), – the Swedish Polar Research Secretariat for berth fees for MOSAiC, – the Swiss Polar Institute project SnowMOSAiC, – the Werner-Petersen-Foundation for the development of a remotely operated floating platform (grant no. FKZ 2019/610). ; Peer reviewed
Soziale Arbeit lebt als Disziplin und Profession von der ständigen Weiterentwicklung des in und mit ihr geteilten Wissens. Forschung, Theoriebildung, Lehre und Praxis bilden hierbei ein komplexes Gefüge im gesellschaftlichen Kontext. Der Band nimmt die verschiedenen Relationen in den Blick: Wo, von wem und in welcher Weise wird Wissen der Sozialen Arbeit gebildet, weiterentwickelt und geteilt? Und um welche Arten von Wissen geht es dabei?
Die RESCUE-Studie zeigt in sechs Szenarien mögliche Lösungs- und Handlungsspielräume für Wege in eine ressourcenschonende Treibhausgasneutralität in Deutschland bis 2050. Dabei werden Änderungen im Ausbau der erneuerbaren Energien, Anstrengungsniveaus zur Treibhausgasneutralität, Materialeffizienz und zu nachhaltigen Lebensstilen untersucht. Bis 2050 können die Treibhausgasemissionen um 95 Prozent bis 97 Prozent gegenüber 1990 gemindert werden. In Verbindung mit einer nachhaltigen land- und forstwirtschaftlichen Bewirtschaftung können Netto-Null-Emissionen erreicht werden. Der Primärrohstoffkonsum wird um 56 Prozent bis 70 Prozent reduziert (allerdings kommt es auch zu einer Mehrinanspruchnahme einzelner Rohstoffe). Der vorliegende Forschungsbericht gibt eine detaillierte Übersicht über das Projekt. Zur Umsetzung der beschriebenen Transformationspfade sind ein ambitioniertes und schnelles Handeln sowie internationale Kooperation notwendig.
Hand-arm vibration dose and work-related requirements for occupational disease no. 2103 – An epidemiological case-control study Background: An epidemiological case-control study of dose-effect relationships between hand-arm vibration exposure and musculoskeletal disorders of occupational disease no. 2103 (BK 2103) was carried out in order to provide evidence-based recommendations for the recognition of BK 2103. Methods: Male cases and controls were recruited and standardised personal interviews were conducted between 1 January 2010 and 30 November 2021. In addition to leisure activities and comorbidities, work histories regarding the use of hand-operated and hand-held technical tools that can induce hand-arm vibrations were recorded in detail. To quantify the individual vibration exposure, a database of industrial hygiene measurements of vibration values of over 700 technical power tools was established (vibration register). The vibration measurements recorded in the database allows quantification of the daily dose and lifetime dose of the vibration exposure. The dose-effect relationships between hand-arm vibration exposure and musculoskeletal disorders as defined by BK 2103 were quantified for the various dose models using conditional logistic regression analyses. Results: In total, 209 cases and 614 controls were recruited. Compared to controls, cases suffered more frequently from gout, arm fractures, hip osteoarthritis, knee osteoarthritis, spinal osteoarthritis and trauma injuries or inflammatory conditions of the finger, elbow and shoulder joints. After adjusting for relevant confounders, the study analyses demonstrate consistent and statistically significant dose-effect relationships between hand-arm vibration exposure and musculoskeletal disorders as defined by BK 2103. A vibration dose of Dhv = 142.331 m2/s4 x day or Dhw = 38.724 m2/s4 x day is associated with a doubling of the risk of musculoskeletal disorders of the upper extremities as defined by BK 2103. Conclusions: These dose values serve as a guide and could also be applied in an assessment of the work-related requirements for the recognition of BK 2103. Sensitivity analyses indicate that an exposure duration with a defined threshold daily dose is not suitable for guiding the recognition of BK 2103. Keywords: hand-arm vibration – musculoskeletal disorders – dose-effect relationship – epidemiology – risk-doubling dose