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Refugee reception in Germany is a primarily municipal task that relies heavily on neighborhood-based volunteering. This paper asserts that there are fundamental spatial mismatches between municipal policies and neighborhood-based approaches that place additional burden on all of the stakeholders involved. Drawing from the case of Frankfurt-Rödelheim, which is a socially and ethnically mixed neighborhood in Frankfurt am Main, I show how the way the municipality accommodates refugees disregards the politically embraced work of neighborhood-based volunteers and how the ideal of neighborhood-based inclusion creates a spatial fetish that fails the living reality of the refugees. The findings are based on my ethnographic fieldwork as volunteer in a neighborhood-based welcome initiative.
The bluebottle blow fly Calliphora vicina is a common species distributed throughout Europe that can play an important role as forensic evidence in crime investigations. Developmental rates of C. vicina from distinct populations from Germany and England were compared under different temperature regimes to explore the use of growth data from different geographical regions for local case work. Wing morphometrics and molecular analysis between these populations were also studied as indicators for biological differences. One colony each of German and English C. vicina were cultured at the Institute of Legal Medicine in Frankfurt, Germany. Three different temperature regimes were applied, two constant (16°C & 25°C) and one variable (17–26°C, room temperature = RT). At seven time points (600, 850, 1200, 1450, 1800, 2050, and 2400 accumulated degree hours), larval lengths were measured; additionally, the durations of the post feeding stage and intrapuparial metamorphosis were recorded. For the morphometric and molecular study, 184 females and 133 males from each C. vicina population (Germany n = 3, England n = 4) were sampled. Right wings were measured based on 19 landmarks and analyzed using canonical variates analysis and discriminant function analysis. DNA was isolated from three legs per specimen (n = 61) using 5% chelex. A 784 bp long fragment of the mitochondrial cytochrome b gene was sequenced; sequences were aligned and phylogenetically analyzed. Similar larval growth rates of C. vicina were found from different geographic populations at different temperatures during the major part of development. Nevertheless, because minor differences were found a wider range of temperatures and sampling more time points should be analyzed to obtain more information relevant for forensic case work. Wing shape variation showed a difference between the German and English populations (P<0.0001). However, separation between the seven German and English populations at the smaller geographic scale remained ambiguous. Molecular phylogenetic analysis by maximum likelihood method could not unambiguously separate the different geographic populations at a national (Germany vs England) or local level.
The spider fauna active on the bark of trees in forests on eight sites in different regions in Germany was investigated. Trunk eclectors at about 2-4 meters height on living trees were used in different regions of Germany (SW Bavaria, Hesse, Brandenburg) between 1990 and 2003. In Hesse eclectors were also used on dead beech trees (standing and lying). In this study data, mainly from beech (Fagus sylvatica) and spruce (Picea abies), from May to October are compared – whole year samples (including winter) are only available from Hesse. A total of 334 spider species were recorded with these bark traps, i.e. about one third of the spider species known from Germany. On average, each of the eight regions yielded 140.5 (± 26.2) species, each single tree 40.5 (± 12.2) species and 502 (±452) adult spiders per season (i.e. May to Oct.). The 20 most abundant species are listed and characterised in detail. Six of the 20 species were not known to be abundant on bark, three prefer conifers and three beech/broadleaf. Even in winter (December-March) there was a remarkably high activity on the trunks. However, only a few species occur exclusively or mainly in winter. Finally, the rarity of some bark spider species is discussed and details (all known records in Germany, phenology) of four of them are presented (Clubiona leucaspis, Gongylidiellum edentatum, Kratochviliella bicapitata, Oreonetides quadridentatus). The diversity and importance of the spider fauna on bark in Central Europe is still underestimated.
New projects, services and collaborations have recently brought the infrastructural services for African Studies a big step forward. This report gives an account of new subject gateways and digitisation projects. It discusses recent European cooperation ventures in the field of librarianship. Additionally, new developments and services of the Africa Collection at Frankfurt University Library are presented, which help to address the changing needs of researchers and to handle information overload, while keeping up with the latest developments. Nevertheless, the fragmentation and compartmentalisation of the different services still hinder more integrated information services.
In Ergänzung zu früheren Veröffentlichungen (z. B. Pedersen & Weber 1993) wird eine aktualisierte Übersicht über die Brombeerflora (Rubus L. subgen. Rubus) von Niedersachsen und Bremen gegeben. Bis jetzt sind 169 Arten der Sektionen Rubus und Corylifolii in diesem Gebiet nachgewiesen. Davon gehören 117 zur Sektion Rubus und 52 zur Sektion Corylifolii. Fünf Arten der Sektion Rubus sind Gartenflüchtlinge und inzwischen völlig eingebürgert: Rubus allegheniensis, R. armeniacus, R. canadensis und R. laciniatus. Selten und zufällig eingeschleppt wurden Rubus bifrons und R. ulmifolius. Somit besteht die Brombeerflora in Niedersachsen und Bremen aus 162 einheimischen Arten, von denen 52 (= 32%) zur Sektion Corylifolii gehören.
Bu çalışmanın amacı Almanya'da yaşayan Türk çocuklarının Türkçe yazma becerilerini incelemek ve yaptıkları yazım hatalarını belirlemektir. Çalışmada nitel yöntem tercih edilmiştir. Çalışmada yer alan veriler durum çalışması ile elde edilmiştir. Verilerin analizinde ise betimsel içerik analizi kullanılmıştır. Araştırmanın evrenini Almanya’da yaşayan Türk çocukları, örneklemini ise Almanya'nın Hessen Eyaletinde Türkçe dersi alan 11-15 yaş arası rastgele seçilen 20 Türk öğrenci oluşturmaktadır. Araştırmaya katılan öğrencilerin yazılı anlatım beceri düzeylerini belirlemek için uzman görüşleri de alındıktan sonra iki ayrı konudan tercih ettikleri biri hakkında kompozisyon metinleri yazdırılmıştır. Sonuç olarak Almanya'da yaşayan Türk çocuklarının yazdıkları metinlerde ağırlıklı olarak alfabe farklılığından kaynaklanan yanlışlar, büyük-küçük yazımından kaynaklanan yanlışlar, bitişik-ayrı yazımından kaynaklanan yanlışlar ile konuşulan dilin yazı diline aktarımından kaynaklanan yanlışlar belirlenmiştir. Çalışmanın sonunda elde edilen bulgulara yönelik öneriler sunulmuştur.
In Germany, a grave labor shortage in the nursing and elderly care sectors has prompted the response of recruiting skilled nursing staff from abroad in recent years. This article analyzes these recruitment practices as forms of “migration management”: German migration policy has changed according to this paradigm to attempt utilitarian control over migration processes and mediate between labor market concerns on the one hand and isolationist, politico-cultural seclusion on the other. Based on original research through interviews and document analysis, we identify four relevant levels of analysis in researching migration management in the context of the recruitment of skilled nurses: (1) Definition of problem areas: How is migration programmatically legitimized as a solution to social problems? (2) Categorization of migration: How are migration processes classified? (3) Change in statehood: How are sites and actors of migration control being privatized and diversified? (4) Technologies: By means of which procedures, legal foundations and political instruments does migration management take place in the everyday? We believe that taking these four foci as points of departure would be beneficial for further inquiries in critical migration research.
A female specimen of the cribellate spider species Badumna longinqua (L. Koch, 1867) was found in a 'do-it-yourself-store' in Berlin. The species is of Australian origin and has been introduced into New Zealand, Japan, Uruguay and California. This is the first record of a representative of the family Desidae from Europe. B. longinqua lives in and around houses and is apparently capable of establishing itself in Europe.
Bestätigung von Homalenotus quadridentatus (Opiliones: Sclerosomatidae) für die Fauna Deutschlands
(2013)
Homalenotus quadridentatus (Cuvier, 1795), seit langem bekannt in der Nähe der Grenze zu Deutschland, wird für das Land bestätigt. Mehrere Exemplare wurden in einem kleinen städtischen Garten in der Stadt Aachen beobachtet und gesammelt, was auf eine erhebliche Bevölkerung schließen lässt. Die Erkenntnisse werden kurz diskutiert, und allgemeine Bemerkungen über die Verteilung, Ökologie und Erhaltung der Art zur Verfügung gestellt.
In the course of a long term survey on the effects of grazing on the diversity of alpine grasslands, the false scorpion Chthonius (Ephippiochthonius) poeninus Mahnert, 1979 was recorded for the first time outside of Switzerland. The preferred habitat at the locality Alpe Einödsberg (Germany, Bavaria) differs strongly from previous findings. Our data suggest an association with Nardus grasslands (Geo montani-Nardetum), whereas earlier records originated from leaf litter, moss and mouldy trunks. Furthermore, the new records between 1540 m and 1973 m above sea level are the first from the subalpine region of the Alps (hitherto C. poeninus was known from 550 m to 1450 m). In the study region, extensive grazing seems to have a positive effect on the abundance of the species, while it is missing from intensively grazed pastures.
Cicurina japonica (Araneae: Dictynidae) - eine nach Mitteleuropa eingeschleppte Kräuselspinnenart
(2005)
Die ersten beiden Nachweise der ursprünglich ostasiatisch verbreiteten Kräuselspinnen-Art Cicurina japonica (Simon, 1886) für Europa werden vorgestellt. Die umfangreichen Funde im Areal des ehemaligen Güterbahnhofes der Deutschen Bundesbahnen (DB) in Basel erlauben ansatzweise eine ökologische Charakterisierung der Art.
The system of representative democracy is under considerable strain. Its institutions are struggling to maintain legitimacy, and its elected representatives are failing to keep their monopoly on (formal) political representation. An emerging multitude of (new) claim makers contests the authority of elected representatives as well as the functioning of the existing system of representative democracy by alleging misrepresentation. In this article, we identify a significant shortcoming in Saward’s claims-making approach; specifically, we argue that it offers little direction in addressing misrepresentation. We distinguish between claims of representation and claims of misrepresentation, and show how the latter can fulfill one, two or all three of the following functions: (1) they appeal to an enemy/antagonist (strategy), (2) identify causes of misrepresentation related to policies, politics, and polity (persuasion), and (3) claim to create a new linkage to "the people", sometimes present themselves as new representatives (reframing). To test this proposed framework, we compare claims of misrepresentation in Brazil made by civil society groups (before and during the presidential impeachment between 2014 and 2016) and in Germany (focusing on the parliamentarians of the Alternative for Germany during the first six months of mandate). Our results suggest that claims of misrepresentation are not intrinsically democratic or undemocratic, but are instead ambiguous, have different manifestations and disparate impacts on the representative system. Our article contributes to the conceptual development of the claims approach and to further understanding several critical and current challenges to representative democracy.
Cultural psychology assumes that the ecocultural conditions of a particular setting shape children’s pathways, resulting in multiple adaptive solutions to universal developmental tasks. While the adaptivity of attachment and children’s psychosocial development during the early years has been thoroughly investigated, attachment research during middle childhood continues to reflect Western ideals of family. Adhering to ideas of monotropy, most studies only focus on parental attachment figures. However, this restricted empirical perspective does not only result in a Eurocentric bias, it also neglects theoretical reflections on the growing complexity of attachment during middle childhood, thus only considering a limited selection of all individuals contributing to the children’s feeling of security, even in Western settings. To investigate the variability and adaptivity of attachment during middle childhood, this study assessed children’s attachment figures in two extreme settings of development, introducing an exhaustive network perspective on attachment during this developmental stage. Children of the Cameroonian Nseh (N = 11) and German children from Bad Nauheim (N = 11) identified and differentiated all individuals contributing to their attachment need in an exploratory and transdisciplinary approach. The socio-structural composition of children’s attachment networks follows the context-specific systems of care and concepts of interconnectedness and the ecological features of each setting, resulting in marked differences between both contexts. The functional composition, however, reflects children’s preoccupation with similar developmental challenges across settings. Same-aged peers contribute to the children’s feeling of safety in both settings, thereby deviating from previous reflections on their subordinate relevance during middle childhood. Overall, these results support the adaptiveness of children’s attachment patterns while also demonstrating universal trends across contexts. They highlight the collective nature of attachment during middle childhood that exceeds the impact of individual dyads. Thus, broad and context-sensitive research strategies become a necessary addition to attachment research in order to generate an exhaustive understanding for children’s development across cultural contexts.
Background: Only few authors have analyzed the impact of workplace conflicts and the resulting stress on the risk of developing cardiovascular disorders. The goal of this study was to analyze the association between workplace conflicts and cardiovascular disorders in patients treated by German general practitioners.
Methods: Patients with an initial documentation of a workplace conflict experience between 2005 and 2014 were identified in 699 general practitioner practices (index date). We included only those who were between the ages of 18 and 65 years, had a follow-up time of at least 180 days after the index date, and had not been diagnosed with angina pectoris, myocardial infarction, coronary heart diseases, or stroke prior to the documentation of the workplace mobbing. In total, the study population consisted of 7,374 patients who experienced conflicts and 7,374 controls for analysis. The main outcome measure was the incidence of angina pectoris, myocardial infarction, and stroke correlated with workplace conflict experiences.
Results: After a maximum of five years of follow-up, 2.9% of individuals who experienced workplace conflict were affected by cardiovascular diseases, while only 1.4% were affected in the control group (p-value <0.001). Workplace conflict was associated with a 1.63-fold increase in the risk of developing cardiovascular diseases. Finally, the impact of workplace conflict was higher for myocardial infarction (OR=2.03) than for angina pectoris (OR=1.79) and stroke (OR=1.56).
Conclusions: Overall, we found a significant association between workplace conflicts and cardiovascular disorders.
Improving long-term patient and graft survival after liver transplantation (LT) remains a major challenge. Compared to the early phase after LT, long-term morbidity and mortality of the recipients not only depends on complications immediately related to the graft function, infections, or rejection, but also on medical factors such as de novo malignancies, metabolic disorders (e.g., new-onset diabetes, osteoporosis), psychiatric conditions (e.g., anxiety, depression), renal failure, and cardiovascular diseases. While a comprehensive post-transplant care at the LT center and the connected regional networks may improve outcome, there is currently no generally accepted standard to the post-transplant management of LT recipients in Germany. We therefore described the structure and standards of post-LT care by conducting a survey at 12 German LT centers including transplant hepatologists and surgeons. Aftercare structures and form of cost reimbursement considerably varied between LT centers across Germany. Further discussions and studies are required to define optimal structure and content of post-LT care systems, aiming at improving the long-term outcomes of LT recipients.
Dieser Beitrag beschäftigt sich mit einer kontrastiven Forschung im Bereich der Politolinguistik, speziell für das Wortfeld 'Nation'. Im ersten Teil des Beitrags wird die Besonderheit der Diskursanalyse (DA) hervorgehoben, da diese als ein methodisches Fundament für die Analyse von politischer Sprache (hier: Antrittsreden) unumgänglich erscheint. Gleichzeitig ist sie (DA) auch eine Brücke, die Sprache und Politik verbinden kann. In diesem Beitrag soll der Fokus auf die Antrittsreden der deutschen Kanzler und türkischen Premiers gelegt werden, in diesen wiederum speziell auf das Wortfeld 'Nation'. Der diskursanalytische Ansatz soll hier beweisen, dass die Verwendung dieses Terms in Bezug auf beide Sprachen kontrastiv verstanden werden muss und in unterschiedliche Rhetoriken eingebaut wurde. Zusätzlich wird eine Bewegung des Wortfelds 'Nation' offensichtlich, da Neologismen eintreten und andere Terme im Wortfeld der türkischen und deutschen Sprache sich auflösen.
Background: Europe was certified to be polio-free in 2002 by the WHO. However, wild polioviruses remain endemic in India, Pakistan, Afghanistan, and Nigeria, occasionally causing polio outbreaks, as in Tajikistan in 2010. Therefore, effective surveillance measures and vaccination campaigns remain important. To determine the poliovirus immune status of a German study population, we retrospectively evaluated the seroprevalence of neutralizing antibodies (NA) to the poliovirus types 1, 2 and 3 (PV1, 2, 3) in serum samples collected from 1,632 patients admitted the University Hospital of Frankfurt am Main, Germany, in 2001, 2005 and 2010.
Methods: Testing was done by using a standardized microneutralization assay.
Results: Level of immunity to PV1 ranged between 84.2% (95%CI: 80.3-87.5), 90.4% (88.3-92.3) and 87.5% (85.4-88.8) in 2001, 2005 and 2010. For PV2, we found 90.8% (87.5-90.6), 91.3% (89.3-93.1) and 89.8% (88.7-90.9), in the same period. Seroprevalence to PV3 was 76.6% (72.2-80.6), 69.8% (66.6-72.8) and 72.9% (67.8-77.5) in 2001 and 2005 and 2010, respectively. In 2005 and 2010 significant lower levels of immunity to PV3 in comparison to PV1 and 2 were observed. Since 2001, immunity to PV3 is gradually, but not significantly decreasing.
Conclusion: Immunity to PV3 is insufficient in our cohort. Due to increasing globalization and worldwide tourism, the danger of polio-outbreaks is not averted - even not in developed countries, such as Germany. Therefore, vaccination remains necessary.
Epigeic spiders were sampled using pitfall traps during one year in an anthropogenic open site within the city of Karlsruhe (Alter Flugplatz Karlsruhe). The area, historically used as a military parade ground and airport, is protected as a Special Area of Conservation (SAC) within the Natura 2000 network of the EU and since 2010 as a German nature reserve. We were interested in the diversity, assemblage structure and distribution of spider species within the area and investigated three different plant formations: sparse grass-dominated vegetation with frequent open sand patches (sandy turf ), closed grassland dominated by the mat-grass (Nardus stricta) and ruderal vegetation with blackberry bushes. 123 species were identified from these captures, including many specialists of xerothermic habitats and rare and endangered species like Alopecosa striatipes, Agroeca lusatica, Haplodrassus dalmatensis, Styloctetor romanus, Typhochrestus simoni and Xysticus striatipes as well as extremely rare species of unclassified red list status like Mysmenella jobi, Theonoe minutissima and Zora parallela. The three investigated habitat types were quite similar concerning α-diversity, while measures of β-diversity indicated a strong species turnover. By performing an ecological habitat analysis (using autecological data on spiders) essential differences between the three habitat types could not be discovered, especially not between mat-grass and sandy turf. However, analysing the guild structures showed that different ways of using habitat resources dominated in the different habitat types. For Nardus-grassland several species could be identified as indicator species. While many xero- and photophiles live in the open grassland, the stenotopic psammophiles of inland dunes in the region were not found. The ruderal area houses a mix of grassland- and forest species.
Nach den Arbeiten über den Landkreis Harburg von ERNST et al. (1990) und FEUERER & ERNST (1993) werden für ein weiteres Gebiet des niedersächsischen Tieflandes die Ergebnisse einer abgeschlossenen Flechtenkartierung vorgelegt. Im Bereich der Gemeinde Amt Neuhaus im Tal der Elbe wurden insgesamt 148 Flechtenarten und zwei flechtenbewohnende Pilze nachgewiesen. Der besondere Wert der im Untersuchungsraum vorhandenen Sanddünen für bodenbewohnende Flechten und des Auenwaldgebietes Rens für Epiphyten wird herausgestrichen.
Die Vergangenheitsbewältigung der Erfahrung von Krieg und Diktatur im 20. Jahrhundert in Deutschland ist ein zentrales Thema auch in der jüngsten Literatur und hat Anlass für verschiedene Studien gegeben. Im vorliegenden Beitrag wird eine vergleichende Analyse der Vergangenheitsbewältigung in zeitgenössischen Romanen der deutschen Literatur angestrebt, die die Figur des Nationalsozialisten und die Schuldfrage in den Mittelpunkt stellt. In diesem Zusammenhang wird u.a. folgenden Fragen nachzugehen sein: in welcher Täter-/Opferrolle erscheinen überzeugte Nazis und andere Deutsche? Handelt es sich um authentische oder um stereotypisierte Figuren? In welcher Hinsicht werden diese Texte heute, mehr als 70 Jahre nach dem Ende des Zweiten Weltkriegs, den Lesererwartungen gerecht bzw. verändern den Blick auf die dunkle Vergangenheit? Im Vergleich von deutschen Romanen des 21. Jahrhunderts soll versucht werden, die Gemeinsamkeiten der Aufarbeitung einer problematischen Vergangenheit in literarischer Form darzulegen, die Frage nach der Schuld an den Verbrechen, die in der Zeit des Nationalsozialismus verübt wurden. Dabei spielen die Begriffe Gedächtnis und Erinnerung eine wichtige Rolle, da dieses Forschungsfeld von großer Bedeutung sowohl in der Kultur- als auch in der Literaturwissenschaft ist. Die Debatten über die historische Vergangenheit Deutschlands erfordern einen kritischen Blick auf die Theorie der Erinnerungskultur und des kollektiven Gedächtnisses. Zu hinterfragen ist, wie diese Vergangenheit von der Kriegsgeneration und den nachfolgenden Generationen wahrgenommen wird. Diese Literatur entsteht also als ein bedeutsames Medium, das die Auseinandersetzung über Aufarbeitung von Vergangenheit und Schuld ermöglicht. Aus der Perspektive von vier Romanen der deutschsprachigen zeitgenössischen Literatur wird hier versucht, verschiedene Darstellungen dieser Thematik zu präsentieren. Der vorliegende Beitrag soll Wege für künftige, vertiefende Diskussionen öffnen und Interesse für diese Literatur wecken, um die ständige Präsenz der Vergangenheit in der Gegenwart besser analysieren und verstehen zu können. Die ausgewählten Romane, die hier vorgestellt werden, sind Günter Grass, "Im Krebsgang" (2002), Uwe Timm, "Am Beispiel meines Bruders" (2001), "Spione" von Marcel Beyer (2000) und "Der Vorleser" (1995) von Bernhard Schlink.
Using representative linked employer-employee data for Germany, this paper analyzes short- and long-run differences in labor market performance of workers joining start-ups instead of incumbent firms. Applying entropy balancing and following individuals over ten years, we find huge and long-lasting drawbacks from entering a start-up in terms of wages, yearly income, and (un)employment. These disadvantages hold for all groups of workers and types of start-ups analyzed. Although our analysis of different subsequent career paths highlights important heterogeneities, it does not reveal any strategy through which workers joining start-ups can catch up with the income of similar workers entering incumbent firms.
The article discusses current transformations in the education systems worldwide. Focusing on the European Union (EU) and the Organisation for Economic Cooperation and Development (OECD) as policy actors, it argues that these transformations imply a triple economization of education policy which can be observed at all levels of the education sector. The increasing importance of these organizations in educational issues marks a transition to a "postnational constellation" also in the education field insofar as the national educational sovereignty is being at least readjusted. The economization of education policy is however not restricted to bringing education closer to the needs of the economy and to turning its services into tradable goods. Rather, it also impinges on the operative level of education. A logics of production is being implemented in the self-description of the institutions of the education system, which are no longer bureaucratically administered establishments, but are rather conceived of as managerially conducted production business in which entrepreneurial action is needed. This new governance raises the problem of democratic legitimation of political decisions which ideally combines three elements: democratic, expertocratic, and ethico-professional. The article discusses the consequences of a shift in the balance of the three components with reference to Germany.
Die Erdflechtenvegetation kalkarmer bzw. kalkfreier Standorte in Nordhessen gehört in die Klasse Ceratodonto-Polytrichetea piliferi und die Ordnung Peltigeretalia. Diese läßt sich in drei Federationen unterteilen. Das Baeomycion rosei umfaßt Pioniergesellschaften, die sich beispielsweise auf abgeplaggten Heideflächen ansiedeln. Rentierflechtenbestände innerhalb von Heiden und lichten Wäldern, die Endglieder der Flechtensukzession darstellen, sind in das Cladonion arbusculae einzuordnen. Dieser Federation gehören darüber hinaus auch intermediäre, von stiftförmigen Cladonien geprägte Sukzessionsstadien sowie Strauchflechten-dominierte Bestände einiger Standorte auf Vulkanitfelsen an. Gesellschaften des Cladonion rei werden ebenfalls von stiftförmigen Arten geprägt und sind bevorzugt auf Ruderalstandorten wie z.B. Bergbauflächen zu finden. Die meisten Erdflechtengesellschaften sind sowohl in Nordhessen wie auch in ganz Deutschland sehr selten. Es werden Angaben zur Bestandssituation der Gesellschaften sowie zu möglichen Schutzmaßnahmen gemacht.
Faunistic spider collections in the Museum für Naturkunde Berlin: The collection of Erich Hesse
(2012)
The ‘Hesse collection’ of spiders (Araneae) and harvestmen (Opiliones) in the Museum für Naturkunde Berlin is documented. Biographical notes on Erich Hesse – a former arachnid curator at the museum (1921–1940) – are provided. The ‘Hesse collection’ was actually put together by other workers, and can be broadly divided into two parts. One comes from Bielinek (= Bellinchen) on the Polish side of the Oder Valley (West Pommerania); now part of the ‘Unteres Odertal’ National Park. This Bielinek material includes notable records of Heriaeus oblongus Simon, 1918 and Gibbaranea ullrichi (Hahn, 1835). The other part of the collection comes from Colbitz-Letzlinger Heide in Saxony-Anhalt, Germany. Notable here are Pistius truncatus (Pallas, 1772) and Philodromus buchari Kubcová, 2004; the latter representing the first record of this species for Saxony-Anhalt.
In the article the state of forming of communicative competence of future lawyers in higher education of Ukraine and Germany is analyzed. There is made the comparative description of preparation of the students of law faculty with an accent on forming of communicative competence on the example of the University of modern knowledge (Ukraine) and Frankfort university is named after Goethe (Germany).
It is drawn the conclusion, that the structure of professional preparation of future lawyers is folded educational and cognitive, research constituents, and also productive practice. A main place is taken to conception of communicative preparation of the future lawyers, the essence of it consists in integration of the special courses of the special and professional disciplines, in continuous perfection of skills of the verbal and writing broadcasting, receptions of analytical mental work, that need knowledge. It is also outlined the aim of productive practice of future lawyers in Ukraine that begins from the second course: the forming of professional abilities and skills of acceptance of independent decisions; the education of necessity systematic to proceed the knowledge, to promote a legal culture and professional legal consciousness; to teach to apply knowledge in practical activity. In Germany the practice for future lawyers begins from the first course and lasts two years in legal establishments (from civil cases, court from criminal cases or office of public prosecutor, administrative and managerial establishments, advocacy). The sign line of studies is an active collaboration with the faculties of law of the foreign states. All these factors assist the forming of communicative competence of lawyers.
The complexity of atmospherical processes has always yielded a multitude of ways of knowing about the weather. What has been lacking in the historiography of meteorology so far is a way to formulate differences between forms of knowledge in a way that does not privilege modern scientific structures, but focuses instead on the epistemological category of causality. Using causality as ground of comparison for different knowledge claims, I shall argue, may enable researchers to investigate meteorological knowledge across time periods, perhaps even geographical regions, in a more symmetrical manner. This review demonstrates this approach as a means to organize a large set of historical meteorological writings from German countries between 1750 and 1850. Three distinct forms of knowledge (Semiotics, Physics, and Organics of the weather) during that time and in that region are suggested and will be described. While a bibliography with a national perspective from the 1880s was the basis for the selection of historical sources, such a setup proved awkward even to contemporaries. In addition, the bibliography came with a number of biases and shortcomings that will be critically reviewed.
Was war und ist heute die Rolle der Griots im alten Afrika? Es besteht darin, über das Leben der Gemeinschaft durch die verschiedenen historischen Begebenheiten zu berichten. So begreift auch Sembene Ousmane seine Bestimmung als Filmemacher. Er soll ein "Griot der modernen Zeiten sein". Diese Rolle als Vertreter der eignen Gemeinschaft in den modernen Medien, wie z. B. dem Kino, entspricht auch Djibril Diop Mambetys Auffassung, jenes Filmemachers aus dem Senegal, der den Film als revolutionäres Vehikel begreift. Aber was wäre der afrikanische Film, fragt sich Signer, hätte man nicht Regisseure wie Idriss Ouadreogo oder die regionale Institution des FESPACO, die jährlich Preise für afrikanische Filmemacher vergibt. Dies bedeutet, dass der afrikanische Film seit der Unabhängigkeit präsenter geworden ist und versucht, selber als Vehikel realer oder fiktionaler Faktenin Afrika zu sein. So verspricht es auch der 1988 gedrehte Film Camp "Thiaroye" von Sembene Ousmane und Thierno Faty Sow, der kolonialgeschichtliche Geschehnisse in Afrika möglichst authentisch zu erzählen.
Aim: The purpose of this study was to analyze treatment compliance in osteoporotic patients treated with osteoporosis medications in Germany.
Methods: Patients included in the analysis had been diagnosed with osteoporosis with or without fractures and started anti-osteoporotic therapy (bisphosphonates, denosumab, or strontium ranelate) between 2011 and 2014 in a general (GP) or orthopedic practice (OP) setting in Germany. Data pertaining to 6,221 individuals followed in GP and 4,044 individuals followed in OP were analyzed retrospectively. The last follow-up was in December 2015. The main outcome measure was the compliance within the one-year period after the index prescription date. Compliance was measured indirectly and was based on the mean possession ratio (MPR). A multivariate logistic regression model was used to determine the association between MPR (dependent variable) and age, gender, type of practice, type of osteoporosis treatment, therapy frequency, and history of fracture (covariates).
Results: The mean age of the study group was 73.3 years, and 13.2% of subjects were men. Regarding type of practice, 60.6% of individuals were followed in GP and 39.4% in OP. Noncompliance was observed in 55.2% of the patients. Patients in the age group ≤60 years were at a higher risk of being noncompliant when compared to those in the age group of 61–70 years. Men and patients who received oral drugs were also more likely to be noncompliant than women and patients who received injectable or intravenous drugs. Finally, therapies that were given every three or six months were associated with a decrease in the risk of noncompliance when compared to weekly therapy, whereas daily and monthly treatments were associated with an increased risk.
Conclusion: Compliance is insufficient in osteoporotic patients treated with osteoporosis medications.
The German Cancer Consortium ('Deutsches Konsortium für Translationale Krebsforschung', DKTK) is a long-term cancer consortium, bringing together the German Cancer Research Center (DKFZ), Germany's largest life science research center, and the leading University Medical Center-based Comprehensive Cancer Centers (CCCs) at seven sites across Germany. DKTK was founded in 2012 following international peer review and has positioned itself since then as the leading network for translational cancer research in Germany. DKTK is long term funded by the German Ministry of Research and Education and the federal states of each DKTK partner site. DKTK acts at the interface between basic and clinical cancer research, one major focus being to generate suitable multisite cooperation structures and provide the basis for including higher numbers of patients and facilitate effective collaborative forward and reverse translational cancer research. The consortium addresses areas of high scientific and medical relevance and develops critical infrastructures, for example, for omics technologies, clinical and research big data exchange and analysis, imaging, and clinical grade drug manufacturing. Moreover, DKTK provides a very attractive environment for interdisciplinary and interinstitutional training and career development for clinician and medical scientists.
GrassVeg.DE – die neue kollaborative Vegetationsdatenbank für alle Offenlandhabitate Deutschlands
(2017)
Der Bericht stellt die neue kollaborative Vegetationsdatenbank GrassVeg.DE (EU-DE-020; http://bit.ly/2qgX208) vor, die Vegetationsaufnahmen von Grasländern und anderen nicht-aquatischen Offenlandhabitaten Deutschlands sammelt, um sie national und international für die vegetationsökologische Forschung zur Verfügung zu stellen. GrassVeg.DE trägt die Daten zum European Vegetation Archive (EVA) und künftig auch zur globalen Vegetationsdatenbank „sPlot“ bei. Datenlieferanten von GrassVeg.DE behalten volle Verfügungsgewalt über ihre Daten und werden Mitglied des GrassVeg.DE-Konsortiums. Dadurch profitieren sie durch Co-Autorenschaften und Zitate von ihren Beiträgen und erlangen zugleich die Möglichkeit, selbst Projekte zu beantragen, die GrassVeg.DE- oder EVA-Daten nutzen. Die schnell wachsende GrassVeg.DE-Datenbank umfasste im Juli 2017 3.181 Vegetationsaufnahmen aus acht deutschen Bundesländern. Perspektivisch kann GrassVeg.DE dazu beitragen, eine konsistente Neuklassifikation der Graslandvegetationstypen Deutschlands im Rahmen der Synopsis der Pflanzengesellschaften Deutschlands zu ermöglichen. Wir schließen den Beitrag mit einem Aufruf, eigene und aus der Literatur digitalisierte Vegetationsaufnahmen zu GrassVeg.DE beizutragen.
Kalihalden in Mitteleuropa sind in den letzten Jahrzehnten von zahlreichen Halophyten neu besiedelt worden. Aktuelle Daten zum Vorkommen von 35 ausgewählten Halophyten werden für 84 Kalihalden in Deutschland (Niedersachsen, Sachsen-Anhalt, Thüringen, Hessen, Baden-Württemberg) und 12 in Frankreich (Elsass) zusammengestellt und ausgewertet. Von diesen Arten kommen Spergularia media (68 Halden), Spergularia salina (62 Halden) und Hymenolobus procumbens (58 Halden) am häufigsten an Kalihalden vor. Die jüngste, spektakuläre Ausbreitung von Halophyten an Kalihalden wird am Beispiel von Hymenolobus procumbens besonders deutlich. Niedersächsische Kalihalden weisen die meisten Halophyten auf, im Vergleich zu anderen Regionen sind Apium graveolens, Atriplex pedunculata und Triglochin maritimum hier besonders häufig. In Sachsen-Anhalt wurden überdurchschnittlich oft Atriplex tatarica und Scorzonera laciniata an Kalihalden gefunden, in Thüringen Atriplex rosea und Bassia scoparia. Für Hessen ist einerseits eine späte Besiedlung der Kalihalden mit interessanten Halophyten auffällig, andererseits die hohe Stetigkeit von Hordeum jubatum. Für Baden-Württemberg konnten erstmalig Salicornia europaea ssp. brachystachya und Suaeda maritima nachgewiesen werden. An den Kalihalden im Eisass nördlich Mulhouse kommen nur wenige Halophyten vor, aber mit Chenopodium botryodes und Dittrichia graveolens zwei Arten, die in Deutschland an Kalihalden fehlen. Neu für Frankreich ist Atriplex longipes, die am Fuß einer Kalihalde bei Wittelsheim gefunden wurde. Die Bedeutung von Kalihalden für den botanischen Artenschutz ist groß, da an 90% der Kalihalden in Deutschland gefährdete Halophyten Vorkommen. 18 Kalihalden weisen sogar mehr als vier Rote-Liste-Arten auf, darunter hochgradig gefährdete Arten wie Bupleurum tenuissimum und Plantago maritima.
Due to ongoing demographic changes, the need for care is increasing in Germany. The number of outpatient care services is also rising, and with it, the number of employees in outpatient care, who are also continuously becoming older. Workplace health promotion (WHP) becomes relevant in this context, as it can reduce negative strain reactions and promote employees’ health. The aim of this study was (1) to reveal implemented WHP interventions in German outpatient care services; (2) to examine the potential challenges regarding a successful implementation of WHP measures; and (3) to illuminate further requests and needs experienced by outpatient careworkers. In qualitative field research, 30 semi-structured individual interviews were conducted with German caregivers, using the problem-centered interview method. The collected data were deductively and inductively evaluated and interpreted, using qualitative content analysis according to Mayring. Outpatient caregivers reported various WHP measures known from their workplaces, such as the provision of fruit baskets, programmes to increase physical activity, or a subsidy for a personal gym. They further reported WHP, such as back training, known from other care services. However, the respondents spoke of the challenges regarding the implementation or the use of WHP interventions in general. The most frequently named barriers were a lack of time after work and interventions that were only offered in their leisure time. In the same course, the participants still needed offers to increase physical activity, joint activities, or relaxation techniques. However, respondents highlighted that they preferred the interventions to take place during working hours. This way, they would also be more likely to take advantage of the interventions. The results of this study provide an insight into various WHP measures that already exist, or that are desirable for implementation with regard to caregivers’ needs. Subjectively perceived challenges for a successful implementation of WHP measures represent the importance of adjustments in the work organization of caregivers. It becomes clear that WHP is not yet established in the ambulant care sector, although it appears to be imperative for keeping caregivers healthy. Considering the different needs of employees, the results can provide a basis for the development of needs-based health promotion measures for caregivers.
There is a consensus that transnational soft governance has unleashed the forces of change in higher education. However, individual national HE systems are still anchored in country-specific regulatory regimes, which reflect national-historical, institutional, and cultural developments. Against this background, three crucial questions guide our study: How does the state react to transnational pressures for change? How is transnationally inspired policy change ‘digested’ by the preexisting country-specific governance structures? And to what extent have national HE systems converged on a common governance model? To address these questions, we conduct a multilevel comparative analysis of developments in Germany, France, and Italy. We first break down the concept of higher education governance into sub-dimensions and derive concrete policy indicators for three historically embedded governance ideal types. Drawing on historical institutionalism and institutional isomorphism, we explore how historical legacies and transnational communication have impacted policy pathways over the past 30 years. We graphically illustrate the policy trajectories using our ‘governance triangles’, which encompass the balance of power between multiple actors, including the state and universities, university management and the academic profession, and external stakeholders.
nzidenz und Mortalität von Gebärmutterhalskrebs (C53 nach ICD-10) müssen signifikant nach oben korrigiert werden, wenn aus der betrachteten Referenzbevölkerung die Frauen ausgeschlossen werden, deren Gebärmutter operativ entfernt wurde. Diese Arbeit stützt sich auf die Studie zur Gesundheit Erwachsener in Deutschland (DEGS1), nach der die Hysterektomie-Prävalenz in Deutschland 2011 bei über 18-jährigen Frauen bei 17,4% lag. Auf Grundlage der Altersverteilung dieser Prävalenz werden die Inzidenz- und Mortalitätsraten von Gebärmutterhalskrebs entsprechend korrigiert. Maximale Korrekturen resultieren bei 70–79-jährigen Frauen mit einer Inzidenzkorrektur von 13,6 auf 22,5, d.h. um 65,4% und einer Mortalitätskorrektur von 7,5 auf 12,4, d.h. um 65,3%. Die mögliche Prävention durch eine HPV-Impfung gewinnt damit an Relevanz.
Background: Acquired thrombotic thrombocytopenic Purpura (aTTP) is a life-threatening ultra-orphan disease with a reported annual incidence between 1.5 and 6.0 cases per million in Europe and mainly affecting otherwise young and healthy adults aged 40 years on average. The goal of this study was to assess the incidence of aTTP in Germany.
Methods: A systematic review was performed to determine the published evidence on the aTTP epidemiology in Germany. To obtain additional evidence on the proportion of aTTP cases within the national Thrombotic Microangiopathy (TMA) population a hospital-level study was performed, using a retrospective data collection approach. Diagnosis of aTTP was confirmed if ADAMTS13 level were < 10% and/or the medical records explicitly mentioned aTTP diagnosis. The aggregated hospital data were then projected to the national level using logistic regression techniques.
Results: The systematic literature search did not provide incidence estimates of aTTP in Germany. Eight centers (≈27% of the top 30 TMA hospitals) delivered data according to a predefined data collection form. On average (year 2014–2016) a total number of 172 aTTP episodes per year was projected (95% confidence interval [95%CI]: 132–212). The majority were newly diagnosed aTTP cases (n = 121; 95%CI: 105–129), and 51 were recurrent aTTP cases (95%CI: 27–84). The average annual projected incidence (year 2014–2016) of aTTP episodes was 2.10 per million inhabitants in Germany (95%CI: 1.60–2.58).
Conclusions: The determined annual incidence of newly diagnosed aTTP cases and the overall annual incidence of aTTP episodes in Germany confirm the ultra-orphan character of aTTP. An external validation against international registries (France, UK and USA) shows that our findings are quite comparable with those international incidence rates.
In diesem zweiten Teil einer Monographie der bisher bekannten Insekten (ausschließlich der Blattodea) aus Schichten des Westfalium D vom Piesberg bei Osnabrück (Niedersachsen, Deutschland) werden die Angehörigen der Neoptera beschrieben. Sie verteilen sich auf folgende Arten: Gerarus teutonicus n. sp., Osnogerarus trecwithiensis Kukalová-Peck & Brauckmann, 1992, Heterologellus? multidiffusus n. sp., Geraridae inc.sed. F7 (alle: Geraridae Scudder, 1885), Spiculum mendicum n. gen. n. sp. (Hapalopteridae Handlirsch, 1906), Narkeminopsis sowiaki n. sp. (Narkeminidae Pinto & Ornellas, 1991), Primakollaria amicorum n. gen. n. sp. (Protokollariidae Handlirsch, 1906), Caloneurodea inc. fam. F11, Controversalamiomopteroides n. gen. n. sp. (ord. et fam. inc. sed.).
A large body of evidence suggests that the 11+ warm-up programme is effective in preventing football-related musculoskeletal injuries. However, despite considerable efforts to promote and disseminate the programme, it is unclear as to whether team head coaches are familiar with the 11+ and how they rate its feasibility. The present study aimed to gather information on awareness and usage among German amateur level football coaches. A questionnaire was administered to 7893 individuals who were in charge of youth and adult non-professional teams. Descriptive and inferential statistics were used to analyse the obtained data. A total of 1223 coaches (16%) returned the questionnaire. There was no risk of a non-response bias (p>.05). At the time of the survey, nearly half of the participants (42.6%) knew the 11+. Among the coaches who were familiar with the programme, three of four reported applying it regularly (at least once per week). Holding a license (φ = .28, p < .0001), high competitive level (Cramer-V = .13, p = .007), and coaching a youth team (φ = .1, p = .001) were associated with usage of 11+. Feasibility and suitability of the 11+ were rated similarly by aware and unaware coaches. Although a substantial share of German amateur level coaches is familiar with the 11+, more than half of the surveyed participants did not know the programme. As the non-usage does not appear to stem from a lack of rated feasibility and suitability, existing communication strategies might need to be revised.
Limodorum abortivum (L.) Sw. (Orchidaceae) wurde 1932 auf dem Silberberg bei Natrup-Hagen (Landkreis Osnabrück) gefunden. Das Belegstück ging leider verloren, aber die Angabe stammt von dem zuverlässigen Pflanzenkenner Wilhelm Meyer (Direktor des Botanischen Gartens in Oldenburg), und das Exemplar wurde nach einer Zeitungsnotiz von Hunderten von Besuchern, darunter von zahlreichen Botanikern besichtigt. Der Silberberg ist der weitaus nördlichste Fundort dieser thermophilen Orchidee.
Mittel- und Nordeuropäische Weberknechte aus dem Senckenberg Museum Frankfurt (Arachnida: Opiliones)
(2005)
Central and North European harvestmen from the Senckenberg Museum Frankfurt (Arachnida: Opiliones). About 1100 individuals belonging to 32 opilionid species (300 series), mainly of German origin, were identified based on material provided by, and stored at, the Senckenberg Museum, Frankfurt (Main). A list of all species with habitat information is included. Comments on two remarkable species (Oligolophus hanseni, Odiellus spinosus) are given. The comments include the importance of some series as reference material from MARTENS (1978), additions to regional faunas and the expansion of the known distribution of some thermophilous species.
The genus Araeoncoides Wunderlich, 1969, containing a single species A. berolinensis Wunderlich, 1969, is revised and transferred to the genus Moebelia Dahl, 1886 (nov. syn.). The female is described for the first time. All six known records are reported. Distribution, habitat and phenology are discussed. Until now, records are known exclusively from Germany.
Die ersten Aufzeichnungen für Mecklenburg-Vorpommern, Deutschland, der Spezies Mermessus trilobatus, Parasteatoda Tabulata und Araniella inconspicua werden zur Verfügung gestellt, zusammen mit bemerkenswerten Vorkommen der seltenen Arten Ero tuberculata, Jacksonella falconeri, Philodromus histrio und Oxyopes ramosus.
Aus dem Dogger Norddeutschlands und des nordwestlichen Polens sowie aus Dogger-Geschieben werden 1 Art der Neritimorpha und 30 Arten der Caenogastropoda beschrieben. Neu sind 7 Arten. 14 Arten werden bereits beschriebenen Arten zugeordnet und 10 unter offener Nomenklatur beschrieben. Neu sind die Gattung Bicorempterus (Aporrhaidae) und die Familien Naricopsinidae, Tripartellidae und Maturifusidae. Die beschriebenen Caenogastropoden zeigen mehr Gemeinsamkeiten zu bisher aus dem Dogger Mittel- und Westeuropas bekannt gemachten Faunen als es bei den Archaeogastropoda und den Heterostropha der Fall war. Die Gleichsetzung der hier vorgestellten Arten mit aus der Literatur bekannten ist oftmals problematisch. Taxonomisch relevante Details besonders der Frühontogenese wurden bisher kaum beschrieben. Auch Fragen der innerartlichen Variation wurden nur gelegentlich angesprochen. Vatopsis antiquus n. sp. ist der älteste genauer bekannte Vertreter der Cerithiopsoidea. Pictavia und Oonia konnten als Vertreter der Ampullospiridae erkannt werden (Ausbildung des Protoconchs). Naricopsina repräsentiert eine Gruppe, die möglicherweise zu den echten Naticidae führte. Einige Gattungen der Aporrhaidae können genauer gefaßt werden. Maturifusus ist der älteste sichere Vertreter der höheren Caenogastropoda (Neomesogastropoda).
Neue Nachweise der Gerandeten Wasserspinne Dolomedes plantarius in Brandenburg (Araneae: Pisauridae)
(2009)
The great raft spider, Dolomedes plantarius (Clerck, 1757), is a rare and endangered species in Germany and other European countries. Current data on its distribution and ecology are briefly reviewed. Five new (or overlooked) localities for this spider from the Spreewald-region of Brandenburg in eastern Germany are provided, together with an updated distribution map. One record, based on the authors’ own collections, is described and figured in detail, with the egg-carrying female discovered in reeds at the edge of a fairly large body of open water. Both direct and indirect protective measures for the habitats of this species in the Spreewald-region are recommended.
Purpose: The Action Plan for Medication Safety by the German Federal Ministry of Health introduced a standardized medication plan (MP), a printable document for the patient. The practical handling needs to be tested before the nationwide implementation in Germany. Therefore, the aims of our study were 1) to develop an instrument to evaluate the usage of the standardized MP, 2) to assess if patients can locate, and 3) understand important information. Moreover, we explored patients’ opinion and suggestions regarding the standardized MP template.
Patients and methods: We conducted a cross-sectional study to evaluate the practical handling of the standardized MP. We interviewed 40 adult patients in seven community pharmacies in Germany, who took at least five medicines regularly and gave their written informed consent. The interview consisted of questions regarding finding and understanding information provided on a mock-up MP, patients’ opinion and the execution of the information on the MP by filling pill boxes. We eventually developed a new evaluation method to quantify the practical handling of the MP by rating the pill boxes filled by the patients.
Results: Overall, the participants rated the MP positively. Thirty-nine (98%) participants found important information on a mock-up standardized MP. Patients were questioned to identify if they understood information on medical intake as it relates to meals. In particular, they were questioned about medicine intake "1 hour before a meal", which 98% (n=39) interpreted correctly, and "during a meal", which 100% (n=40) interpreted correctly. The less precise advice of "before a meal" was interpreted correctly by 73% (n=29), and only 15% (n=6) correctly interpreted the term "after the meal". The evaluation of the filled pill boxes resulted in the "Evaluation Tool to test the handling of the Medication Plan" (ET-MP) – a weighted scoring system.
Conclusion: The standardized MP is clearly arranged, and patients are able to find important information. The findings of this study resulted in minor but important revisions of the standardized MP template. The developed evaluation tool ET-MP may serve as an objective instrument to assess patients’ ability to transfer written information on the MP into practical handling of medicines.
Aims: Carotid intima media thickness (CIMT) predicts cardiovascular (CVD) events, but the predictive value of CIMT change is debated. We assessed the relation between CIMT change and events in individuals at high cardiovascular risk.
Methods and results: From 31 cohorts with two CIMT scans (total n = 89070) on average 3.6 years apart and clinical follow-up, subcohorts were drawn: (A) individuals with at least 3 cardiovascular risk factors without previous CVD events, (B) individuals with carotid plaques without previous CVD events, and (C) individuals with previous CVD events. Cox regression models were fit to estimate the hazard ratio (HR) of the combined endpoint (myocardial infarction, stroke or vascular death) per standard deviation (SD) of CIMT change, adjusted for CVD risk factors. These HRs were pooled across studies.
In groups A, B and C we observed 3483, 2845 and 1165 endpoint events, respectively. Average common CIMT was 0.79mm (SD 0.16mm), and annual common CIMT change was 0.01mm (SD 0.07mm), both in group A. The pooled HR per SD of annual common CIMT change (0.02 to 0.43mm) was 0.99 (95% confidence interval: 0.95–1.02) in group A, 0.98 (0.93–1.04) in group B, and 0.95 (0.89–1.04) in group C. The HR per SD of common CIMT (average of the first and the second CIMT scan, 0.09 to 0.75mm) was 1.15 (1.07–1.23) in group A, 1.13 (1.05–1.22) in group B, and 1.12 (1.05–1.20) in group C.
Conclusions: We confirm that common CIMT is associated with future CVD events in individuals at high risk. CIMT change does not relate to future event risk in high-risk individuals.
Background: With the current study, we aimed to determine the prevalence of back pain in employees of a German chemical company. We put a specific focus on disabling back pain and its association with sociodemographic, lifestyle- and work-related characteristics.
Methods: We used cross-sectional data, surveyed in health check-ups between 2011 and 2014 in Ludwigshafen am Rhein (Germany). A blood sample, physical examination and anamnesis by an occupational health physician as well as a written questionnaire were part of the check-up. A modified version of the Standardised Nordic Musculoskeletal Questionnaire was utilized to survey the back-pain specific information. Disabling back pain was defined as presence of any back pain in the past 12 months which prevented employees from carrying out their usual working tasks. We used multinomial logistic regression analysis to assess the association between (categorical) duration of disabling back pain and sociodemographic, lifestyle-, and work-related characteristics.
Results: Overall, 17,351 employees participated in the health check-up, information on 16,792 persons could be used for analyses. Participants were on average 43.7 (SD: 9.7) years old and mainly male (79.1%). Lifetime-, 12-months-, and 7-days-prevalence of any type and duration of back pain were 72.5, 66.1, and 27.1% respectively. About one third (33.5%) had suffered from an episode of disabling back pain, 16.7% 1–7 days, 10.3% 8–30 days, and 6.5% more than 30 days. Multinomial regression analysis yielded that 8–30 days or more than 30 days of disabling back pain (relative to 0 days) were more likely with older age, female gender, being married, former or current smoking, lower occupational status, higher work-related stress score, history of a spinal injury, and diagnosed dorsopathy.
Conclusions: There is a great need for action regarding multifaceted preventive measures and early interventions, especially for manual workers, older employees and women, where occupational medicine can play a decisive role.
The ‘European Alliance Against Depression’ community-based intervention approach simultaneously targets depression and suicidal behaviour by a multifaceted community based intervention and has been implemented in more than 115 regions worldwide. The two main aims of the European Union funded project “Optimizing Suicide Prevention Programmes and Their Implementation in Europe” were to optimise this approach and to evaluate its implementation and impact. This paper reports on the primary outcome of the intervention (the number of completed and attempted suicides combined as ‘suicidal acts’) and on results concerning process evaluation analysis. Interventions were implemented in four European cities in Germany, Hungary, Portugal and Ireland, with matched control sites. The intervention comprised activities with predefined minimal intensity at four levels: training of primary care providers, a public awareness campaign, training of community facilitators, support for patients and their relatives. Changes in frequency of suicidal acts with respect to a one-year baseline in the four intervention regions were compared to those in the four control regions (chi-square tests). The decrease in suicidal acts compared to baseline in the intervention regions (-58 cases, -3.26%) did not differ significantly (χ2 = 0.13; p = 0.72) from the decrease in the control regions (-18 cases, -1.40%). However, intervention effects differed between countries (χ2 = 8.59; p = 0.04), with significant effects on suicidal acts in Portugal (χ2 = 4.82; p = 0.03). The interviews and observations explored local circumstances in each site throughout the study. Hypothesised mechanisms of action for successful implementation were observed and drivers for ‘added-value’ were identified: local partnership working and ‘in-kind’ contributions; an approach which valued existing partnership strengths; and synergies operating across intervention levels. It can be assumed that significant events during the implementation phase had a certain impact on the observed outcomes. However, this impact was, of course, not proven.
General practices are rooted in the local community and considered to be particularly well-positioned for engaging in preventive and health-promoting activities. The overall aim of the scoping review is to identify priorities and gaps in research published in the past 20 years on preventive and health-promoting activities provided by general practitioners or their teams in general practices in Germany. MEDLINE and Embase databases were systematically searched in November 2020. Papers were selected in dual-review mode and extracted in single-review mode. Data analysis was finished by May 2021. In total, 530 papers were included in the synthesis. Little research has been carried out into collaboration opportunities both within the general practice team and in communities as a whole, with specialists (18%), hospitals (9%), and health insurance companies (6%) being the most frequent cooperation partners of GPs. 15%–20% of papers each dealt with ‘early detection’, ‘information provision’ and ‘cardiovascular prevention’. Secondary (53%) and tertiary prevention (43%) was more often the subject of research than primary (39%) and quaternary prevention (15%). Healthy subjects (26%) were less often studied than people with pre-existing conditions (42%) and risk factors (48%). Little information was available on preventive activities in terms of gender, young people, migration background, housing conditions or educational background. Personal counselling (15%) was the most frequently described approach to health promotion in general practices, along with printed information materials (10%). This scoping review provides information on which to base targeted interventions and future research that can contribute towards transforming general practices into promoters of health within the community.