[Virtual staff teamwork during the pandemic - development of digital training formats for community emergency response during the coronavirus pandemic]. / Virtuelle Stabsarbeit in Zeiten der Pandemie ­ Entwicklung digitaler Übungsformate in der zivilen Gefahrenabwehr während der Coronapandemie: Erfahrungen am Beispiel des Projekts ARMIHN.

Background: In the event of emergency response to large-scale incidents, such as a mass casualty incident (MCI) or a mass casualty incident-infectious disease (MCI-ID), regular training is essential in order to have experienced emergency personnel available in the event of an incident. Due to the pandemic drills often had to be cancelled or were only possible with small groups of people. It was often not possible to simulate a large-scale emergency with actors, so that the trainees could not be offered realistic scenarios of a mass casualty or disease incident. As part of two research projects, a digital platform for conducting training was used to avoid the risk of infection between participants during the exercises, so that on-site personnel deployment could be reduced to a minimum. The goal of this work was to evaluate end-user acceptance of the digital solution approaches. Methods: Within the framework of the project "Adaptive Resilience Management in Ports" (ARMIHN), a digital exercise platform was applied and evaluated with the help of participant surveys according to the focal points "implementation", "alternative possibilities", "learning effect" and "usability". The participants used the digital platform to exchange information and to communicate. For this purpose, various collaboration tools were embedded in the platform, which enabled simultaneous exchange of information in real time. Constant video communication with in-house and external authorities/teams was also established. Results: The potential of the digital platform as an alternative to on-site exercises was confirmed by the participating end users in the ARMIHN project with 90% agreement. The increase in subjective skills and knowledge gained during a MCI-ID was also predominantly rated approvingly (up to 70%). Participants who rated the implementation of the online format as well performed were significantly more likely to state that subjectively their ability to handle a MCI-ID had improved (p = 0.016). In contrast, virtual staff teamwork in real crisis situations was viewed critically by about half of respondents. Conclusion: Overall, the evaluation results point to the high end-user acceptance of the developed concept. Even though the aim is to evaluate the system over a longer period with a larger number of participants, the studies already conducted confirm the positive experiences in the respective projects.

[Air and maritime transport during the COVID-19 pandemic in Germany: challenges for the public health service]. / Flug- und Schiffsverkehr während der COVID-19-Pandemie in Deutschland: Herausforderungen für den Öffentlichen Gesundheitsdienst.

COVID-19 has been challenging our society since January 2020. Due to global travel, the new coronavirus has rapidly spread worldwide. This article aims to provide an overview of the challenges in implementing measures in the air and maritime transport sector from the perspective of the German Public Health Service (Öffentlicher Gesundheitsdienst, ÖGD). Significant events and measures for air and maritime transport between January and August 2020 were selected. Lessons learned are discussed.During the COVID-19 pandemic, the ÖGD has been operating in a field of tension between the dynamics of scientific knowledge, political decision-making, social acceptance and consent.There are specific challenges at points of entry such as airports and seaports. These include staff shortages and the need to implement measures with a high organisational effort at very short notice such as health authority passenger checks carried out on aircraft, the establishment of test centres at points of entry and control of compliance with quarantine measures. Aggravating the situation, passenger lists, which are necessary for effective contact tracing, are often not available or incomplete. There is also a lack of digital tools for contact tracing but also, for example, the exchange of personal data within the ÖGD. Further difficulties in outbreak management arise from the cramped conditions on board ships and from the potential psychological stress on crew members and passengers, which have not yet been sufficiently considered.In view of all these challenges, it is paramount to strengthen the German Public Health Service in general and at points of entry and to intensify the exchange between the national, federal state and local levels.

[Prevention and management of COVID-19 outbreaks on merchant ships]. / Prävention und Management von COVID-19-Ausbrüchen auf Handelsschiffen: Technische, organisatorische und persönliche Schutzmaßnahmen zur Risikominimierung in einem besonderen Arbeitsumfeld.

BACKGROUND: A pandemic is a particular medical challenge for seafarers traveling without a physician on board. At the same time the global fight against the coronavirus disease 2019 (COVID-19) pandemic has to rely on resilient merchant shipping in order to maintain the flow of goods. For infection prevention and management on board, those responsible need a portfolio of protective measures that can be used on ships. RESEARCH QUESTIONS: The overview examines the question of which technical, organizational and personal protective measures can be used on a merchant ship in order to prevent or cope with COVID-19 outbreaks on board. MATERIAL AND METHODS: Guidelines, information and occupational health and safety standards from the maritime setting, but also from many other work areas, were examined in order to facilitate a variable use by those responsible (e.g. according to ship size, equipment, weather, operating status, work requirements, contact with external persons, medical problems). RESULTS: A handout was compiled that contains specific technical, organizational and personal protective measures for crews, explaining their use in a maritime context. Possible safety barriers, options to combine them and an appropriate timing are explained in a target group-oriented manner. CONCLUSION: A great variety of protective measures derived from occupational medical literature and the experience of the port medical service in Hamburg can also be implemented on the high seas. In pandemic times, merchant ships should be equipped with foresight (e.g. with rapid diagnostic tests) and those responsible should be authorized to use effective infection control measures adapted to the situation on board. Seafarers should receive priority vaccination offers regardless of their national origin.

Mineralisation of catch crop residues and N transfer to the subsequent crop.

Catch crops (CC) are widely used to reduce nitrogen leaching from arable cropping systems. However, the mineralisation rate of different catch crop species, and the fate of the mineralised N remain unclear. In this study, we performed an analysis, based on N mineralisation incubation experiments, to test and parameterise a simple mineralisation model (SMM), based on a first order decay, for different catch crops. For brassicas and legumes, the C:N was confirmed to be a good predictor of both, the amount and rate of mineral N release of CC residues. For grasses, the mineralisation rate could not be well predicted by the C:N, which might partly be due to a very limited dataset. The SMM was then linked with the Agricultural Production Simulator (APSIM) and used to predict the N release from CC residues of either brassicas or legumes, and its fate, including N leaching and N uptake by a subsequent spring barley (SB) crop. APSIM simulations were set up for a period of 20 years and for two sites with different temperature and soil conditions in North-West Europe, Foulum in Denmark and Kiel, Germany. Simulated N uptake by the CC was higher in Kiel compared with Foulum, with an average of 14.8 kg/ha for the crucifers and 16.8 kg/ha for the legume in Foulum, and of 33.2 kg/ha for the crucifers and 51.4 kg/ha for the legume in Kiel. CC increased yield of SB on average by 5 to 7%, due to transfer of N. This N transfer resulted in an average reduction in N leaching by 59% (brassica) and by 43% (legume) in Foulum, and by 83% (brassica) and by 43% (legume) in Kiel. N fertilisation of CC is not of any benefit in most of the 20 years of simulation.

A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts.

BACKGROUND: The project "ARMIHN" (Adaptive Resiliency Management in Port) focuses on strengthening the capability to act in a mass casualty incident (MCI) due to an outbreak of infectious diseases (MCI-ID). In addition to the current threat from the COVID-19 pandemic and associated outbreaks on cruise ships, previous MCI-ID were especially caused by pathogens such as Influenza virus or Norovirus. The first step was, to get an overview of processes and resources using the example of the Port of Hamburg, and to show the associated interaction of involved parties. This will serve as a basis for developing an operational strategy and offers the opportunity to optimize current work processes. METHODS: A selective literature research using specified key words was performed and existing MCI concepts were received from local authorities. Identified structures and processes were analyzed in a multiple step process and also brought together through discussions in workshops with involved organizations and other experts. Additionally, the distances between the nearest rescue stations and selected hospitals from the Port of Hamburg were analyzed. RESULTS: The current available concepts are proven, but an adaptation to an MCI-ID shows opportunities for a further cross-organizational development. The organizational structure of an MCI-ID in the Port of Hamburg was described, including a large number of involved organizations (n = 18). There are 17 involved fire and rescue stations and the port can be reached from these locations within 6 to 35 min. Based on their specialist expertise, 14 of the 31 listed clinics were selected. CONCLUSION: The purpose of the study was to provide an analysis of the current situation and show how involved parties would cope an MCI. A description of processes and resources at the Port of Hamburg will be used when designing a management plan for responding to an MCI-ID.

NH(4)(+) conductance in Xenopus laevis oocytes. III. Effect of NH(3).

Exposure of Xenopus laevis oocytes to NH(4)Cl caused intracellular acidification, cell membrane depolarization and the generation of an inward current. To determine the contribution of uncharged NH(3) and positively charged NH(4)(+), the NH(4)Cl-induced inward current was measured in the presence of increasing [NH(3)] at constant [NH(4)Cl] (10 mM) or increasing [NH(4)Cl] at constant [NH(3)] (0.045 mM) with pH varying in both cases. At -70 mV, the NH(4)Cl-induced current was barely detectable at pH 6.5, 0.01 mM NH(3), but increased successively at pH 7.5, 0.1 mM NH(3) and pH 8.5, 1 mM NH(3). In contrast, NH(4)Cl-associated currents were independent of changes of the [NH(4)Cl] at constant [NH(3)] and variable pH. Similar results with respect to acidification, depolarization and inward current in response to concentration and pH changes were obtained with trimethylamine HCl. Increasing concentrations of the weak acid propionate led to a reduction of the NH(4)Cl-induced current. These data suggest that NH(3) entry may induce local alkalinization that, in turn, may trigger the opening of a conductance for NH(4)(+) or trimethylamine-H(+) entry.