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1.
Vet Parasitol ; 277: 109016, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31901738

RESUMO

Infections with the liver fluke Fasciola hepatica remain a serious problem in dairy herds causing significant production losses. In sheep, a strong relationship between F. hepatica infections and an increase in serum ketone bodies due to reduced feed intake and liver damage was demonstrated. We hypothesized that F. hepatica infections might contribute to an increase in milk ketone bodies in dairy herds. Thus, the objective of the study was to estimate the association between F. hepatica bulk tank milk (BTM) antibodies and milk production parameters (milk yield, milk protein, fat yield), somatic cell count (SCC) and the milk ketone bodies ß-hydroxybutyrate (BHB) and acetone, inferred from Fourier transform infrared (FTIR) spectrometry, via linear mixed model analysis. A further aim was to follow up the F. hepatica seroprevalence in dairy herds in the northern German region East Frisia. We collected BTM samples between October and December from 1022 herds in 2017 and 1318 herds in 2018. Overall, 33.1 % of the herds tested positive in 2017 and 37.0 % in 2018, showing decreased F. hepatica seroprevalences compared to prior seroprevalence studies in the same region in 2010, 2008 and 2006 (> 45 % positive herds). We estimated a significant negative association (P < 0.001) between herd F. hepatica infection category and average milk yield with a loss of -1.62 kg per cow per day in strongly infected herds compared to BTM ELISA negative herds. Moreover, F. hepatica infection category had a significant effect on herd average milk protein and fat yield (P < 0.001), showing a decrease of 0.06 kg for both parameters from BTM ELISA negative herds to strongly infected herds. No significant association with milk SCC was found (P = 0.664). Regarding ketone bodies, we estimated significant higher average BHB values in strongly infected herds compared to the other three infection categories in the model analysis (P = 0.002). The association between F. hepatica infection category and acetone values was not significant (P = 0.079). Besides primary ketosis, fasciolosis should be considered as differential diagnosis in dairy herds with increased BHB values.


Assuntos
Doenças dos Bovinos/epidemiologia , Doenças dos Bovinos/patologia , Fasciolíase/veterinária , Cetonas/análise , Lactação/fisiologia , Leite/química , Animais , Anticorpos Anti-Helmínticos/sangue , Bovinos , Indústria de Laticínios , Fasciola hepatica , Fasciolíase/epidemiologia , Fasciolíase/patologia , Alemanha , Estudos Soroepidemiológicos
2.
Psychiatr Prax ; 47(1): 22-28, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31910457

RESUMO

INTRODUCTION: Over the last decade, methamphetamine use has spread rapidly in Europe, leading to a significant medical shortfall in many regions. To date, there are no standardized German-language therapy programs for qualified detoxification and motivation treatment. We have developed a therapy manual ("CrystalClean") over 15 therapy modules, which was evaluated in the present pilot study with regard to feasibility and acceptability. METHODS: Observational study with systematic interviews over 3 months on 31 patients with methamphetamine dependence. RESULTS: Acceptability of most modules was rated as high by both patients and therapists. In addition, the manual was considered to be well feasible in inpatient daily routine. However, contact terminations frequently occurred when switching to outpatient treatment. CONCLUSION: Results from our study point to a high acceptance of the manual for the accompaniment of qualified detoxification and motivation treatment in patients with methamphetamine dependence. Feasibility in the clinical setting can be improved by reducing the number of modules to the 12 best evaluated and by increasing the frequency of therapies.


Assuntos
Linguagem , Metanfetamina , Transtornos Relacionados ao Uso de Opioides/reabilitação , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Europa (Continente) , Estudos de Viabilidade , Alemanha , Humanos , Motivação , Aceitação pelo Paciente de Cuidados de Saúde , Projetos Piloto , Tradução
3.
Psychiatr Prax ; 47(1): 29-34, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31910458

RESUMO

Formal thought disorders are common in people diagnosed with schizophrenia. Among them, concretism stands for deficiencies in the understanding of idiomatic expressions, metaphors and proverbs. However, little is known as to whether concretism is a correlate of the acuteness or severity of schizophrenia within patients. In this pilot study data of 28 patients was collected in the process of implementing a proverb test for screening purposes as part of an enhancement to the standard assessment of the general cognitive functioning of the patients. Our findings support the argument for such a coherence as a significant correlation between the degree of acuteness and concretism was found. However, the proverb test also correlated significantly with our standard cognitive assessment so the question as to which degree the proverb test will add further information regarding the general cognitive functioning needs to be addressed. Finally, the question as to whether there is an indication to specifically approach concretism in the treatment of patients with schizophrenia is discussed.


Assuntos
Transtornos Cognitivos , Esquizofrenia , Transtornos Cognitivos/diagnóstico , Transtornos Cognitivos/terapia , Alemanha , Humanos , Metáfora , Projetos Piloto , Esquizofrenia/diagnóstico , Esquizofrenia/terapia
4.
Psychiatr Prax ; 47(1): 35-38, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31910459

RESUMO

OBJECTIVE: Borderline Personality Disorder (BPD) appears to be the most stigmatized diagnosis among personality disorders. This study aims to assess attitudes of psychiatric nurses towards patients with BPD compared to patients with depressive disorder. METHOD: 37 psychiatric nurses were randomized to an experimental between-subject design, in form of two questionnaires with different vignettes. The vignettes examined main outcomes such as negative attitudes, social distance and emotional reactions. RESULTS: Significant moderate to large differences in terms of social distance (p = 0.033, d = -0.736) and single emotional reactions towards patients with BPD (p = 0.017, d = 0.82), e. g. "I have compassion with her" were found. CONCLUSION: Patients with BPD have a substantial need for support. Quality and standards of inpatient care of patients with a BPS disorder can only guaranteed by giving adequate information about the causes of the disorder and professional treatment of the patients. Personnel must be trained to be able to cope with the specifics of the symptoms in BPD patients.


Assuntos
Transtorno da Personalidade Borderline , Enfermagem Psiquiátrica , Estigma Social , Transtorno da Personalidade Borderline/psicologia , Feminino , Alemanha , Hospitalização , Humanos , Masculino , Apoio Social , Inquéritos e Questionários
5.
Sci Total Environ ; 699: 134302, 2020 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-31522046

RESUMO

Quantifying the catchment water balance and the characterization of its water quality changes are effective tools for establishing the response of catchments to shifting land management practices. Here we assess long-term hydrological partitioning and stream water chemistry over a 30-year period in a rural mixed land use catchment in northern Germany undergoing riparian wetlands and widespread re-colonization by beavers (Castor fiber) along the river network. We used long-term spatially distributed stream discharge, groundwater levels and surface water quality data with a simple monthly water balance model, changes in the variability in discharge measurements, and statistical analysis of spatio-temporal changes in stream water quality to assess long-term changes. Water balance estimates indicated high proportions of evapotranspiration loss (~90% of total precipitation) and relatively low groundwater recharge (<5% of total precipitation) prior to riparian rehabilitation in 2000. Increasing groundwater levels from 2000 to 2017 and the relatively linear nature of the catchment storage - discharge relationship, indicate a gradual increase in groundwater recharge (buts still <10% of total precipitation). Wetland rehabilitation, greatly enhanced by increasing beaver populations, resulted in longer water transit times in the stream network, less linear storage-discharge relationship and a loss of daily stream variability, increased DOC concentrations, isotopic evaporative enrichment downstream, and moderated stream temperatures. There was limited long-term water quality improvements from wetland rehabilitation on either nitrate or total phosphorus concentrations, with unchanged seasonal summer and winter peak concentrations for phosphorus and nitrate, respectively. This likely reflects the long-term legacy of fertilizer use on nutrient reservoirs in the catchment's soils, aquifers, and stream network. These long-term changes in hydrology and stream chemistry resulting from riparian rehabilitation and changes in agricultural management practices provide invaluable insights into catchment functioning and an evidence base for future planning in relation to long-term climatic changes.


Assuntos
Monitoramento Ambiental , Roedores , Áreas Alagadas , Agricultura , Animais , Recuperação e Remediação Ambiental , Alemanha , Água Subterrânea , Hidrologia , Nitratos , Nitrogênio , Fósforo , Rios , Solo , Água , Movimentos da Água , Qualidade da Água
6.
Sci Total Environ ; 699: 134383, 2020 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-31525545

RESUMO

The adverse effects of soil acidification are extensive and may result in hampered ecosystem functioning. Admixture of tree species with nutrient rich litter has been proposed to restore acidified forest soils and improve forest vitality, productivity and resilience. However, it is common belief that litter effects are insufficiently functional for restoration of poorly buffered sandy soils. Therefore we examined the effect of leaf litter on the forest floor, soil chemistry and soil biota in temperate forest stands along a range of sandy soil types in Belgium, the Netherlands and Germany. Specifically, we address: i) Which tree litter properties contribute most to the mitigation of soil acidification effects and ii) Do rich litter species have the potential to improve the belowground nutrient status of poorly buffered, sandy soils? Our analysis using structural equation modelling shows that litter base cation concentration is the decisive trait for the dominating soil buffering mechanism in forests that are heavily influenced by atmospheric nitrogen (N) deposition. This is in contrast with studies in which leaf litter quality is summarized by C/N ratio. We suggest that the concept of rich litter is context dependent and should consider Liebig's law of the most limiting: if N is not limiting in the ecosystem, litter C/N becomes of low importance, while base cations (calcium, magnesium, potassium) become determining. We further find that on poorly buffered soils, tree species with rich litter induce fast nutrient cycling, sustain higher earthworm biomass and keep topsoil base saturation above a threshold of 30%. Hence, rich litter can trigger a regime shift to the exchange buffer domain in sandy soils. This highlights that admixing tree species with litter rich in base cations is a promising measure to remediate soil properties on acidified sandy soils that receive, or have received, high inputs of N via deposition.


Assuntos
Fenômenos Ecológicos e Ambientais , Monitoramento Ambiental , Florestas , Animais , Bélgica , Biomassa , Alemanha , Países Baixos , Nitrogênio , Oligoquetos , Folhas de Planta , Solo/química , Árvores
7.
Gut ; 69(1): 168-176, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-30878947

RESUMO

OBJECTIVE: Hepatocellular carcinoma (HCC) is a major cause of death worldwide and its incidence is expected to increase globally. Aim of this study was to assess whether the implementation of screening policies and the improvement of treatment options translated into a real-world survival benefit in HCC patients. DESIGN: 4078 patients diagnosed with HCC between 1998 and 2016 from the Munich Cancer Registry were analysed. Tumour characteristics and outcome were analysed by time period and according to age and presence of metastases at diagnosis. Overall survival (OS) was analysed using Kaplan-Meier method and relative survival (RS) was computed for cancer-specific survival. Cox proportional hazard models were conducted to control for prognostic variables. RESULTS: While incidence of HCC remained substantially stable, tumours were diagnosed at increasingly earlier stages, although the median age at diagnosis increased. The 3 years RS in HCC improved from 19.8% in 1998-2002, 22.4% in 2003-2007, 30.6% in 2008-2012 up to 31.0% in 2013-2016. Median OS increased from 6 months in 1998-2002 to 12 months in 2008-2016. However, analysis according to the metastatic status showed that survival improved only in patients without metastases at diagnosis whereas the prognosis of patients with metastatic disease remained unchanged. CONCLUSION: These real-world data show that, in contrast to the current assumptions, the incidence of HCC did not increase in a representative German region. Earlier diagnosis, likely related to the implementation of screening programmes, translated into an increasing employment of effective therapeutic options and a clear survival benefit in patients without metastases at diagnosis, irrespective of age.


Assuntos
Carcinoma Hepatocelular/mortalidade , Carcinoma Hepatocelular/secundário , Detecção Precoce de Câncer/mortalidade , Neoplasias Hepáticas/mortalidade , Neoplasias Hepáticas/patologia , Idoso , Idoso de 80 Anos ou mais , Carcinoma Hepatocelular/diagnóstico , Carcinoma Hepatocelular/terapia , Feminino , Alemanha/epidemiologia , Humanos , Incidência , Estimativa de Kaplan-Meier , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/terapia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Prognóstico , Modelos de Riscos Proporcionais , Taxa de Sobrevida/tendências
8.
J Water Health ; 17(6): 870-883, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31850895

RESUMO

The World Health Organization (WHO) promotes water safety plans (WSPs) - a risk-based management approach - for premise plumbing systems in buildings to prevent deterioration of drinking-water quality. Experience with the implementation of WSPs in buildings were gathered within a pilot project in Germany. The project included an evaluation of the feasibility and advantages of WSPs by all stakeholders who share responsibility in drinking-water safety. While the feasibility of the concept was demonstrated for all buildings, benefits reported by building operators varied. The more technical standards were complied with before implementing WSP, the less pronounced were the resulting improvements. In most cases, WSPs yielded an increased system knowledge and awareness for drinking-water quality issues. WSPs also led to improved operation of the premise plumbing system and provided benefits for surveillance authorities. A survey among the European Network of Drinking-Water Regulators on the existing legal framework regarding drinking-water safety in buildings exhibited that countries are aware of the need to manage risks in buildings' installations, but experience with WSP is rare. Based on the successful implementation and the positive effects of WSPs on drinking-water quality, we recommend the establishment of legal frameworks that require WSPs for priority buildings whilst accounting for differing conditions in buildings and countries.


Assuntos
Água Potável/normas , Qualidade da Água , Abastecimento de Água/normas , Alemanha , Humanos , Projetos Piloto , Medição de Risco , Gestão de Riscos
9.
Zentralbl Chir ; 144(6): 573-579, 2019 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-31842239

RESUMO

Competency-based medical education is needed in order to meet the requirements of medical care currently and in the future. The basis of this are activity-based learning objectives that are merged in competency-based catalogues. A basis for a core curriculum of undergraduate medical training is the National Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM). Already in 2013, for surgery, the competencies which medical students should have achieved after completing the practical year (PJ) in relation to surgical diseases were defined in the special part of the National Catalogue of Learning Objectives in Surgery (NKLC). In the now amended general part of the NKLC, interdisciplinary competencies were defined and consented from all surgical disciplines, that are relevant for all surgical disciplines and that all representatives from the different surgical disciplines should incorporate in their surgical training. The complete NKLC is now available for faculties, teachers and students for trial (available online: https://www.dgch.de/index.php?id=190&L=528). The guiding principle for the entire development process was to make sure that students gain all competencies they need when starting to work as a medical doctor and therefor to increase patient safety.


Assuntos
Educação de Graduação em Medicina , Faculdades de Medicina , Competência Clínica , Currículo , Alemanha , Humanos , Aprendizagem
10.
Fortschr Neurol Psychiatr ; 87(12): 703-710, 2019 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-31847032

RESUMO

With Nusinersen, a first causative treatment for 5q-associated spinal muscular atrophy (SMA) has been available in Europe since 2017. Real-world data from neuromuscular clinical centers in Germany increasingly show a therapeutic benefit of nusinersen also in adult SMA patients of both sexes: in many cases, relevant improvements in or at least a stabilization of motor functions are achieved, potentially leading to enhanced autonomy in activities of daily life and to improved quality of living. Even in patients with severe spinal deformities, intrathecal application is usually feasible and safe using imaging modalities. Regular systematic evaluation of the motor status with validated instruments is crucial for adequate monitoring of the therapeutic effects. The documentation in SMA registries enables systematic development of a database for further development of this novel treatment paradigm. Relevant aspects of this novel therapeutic principle were discussed at an experts conference in Frankfurt / Main in February 2019.


Assuntos
Atrofia Muscular Espinal , Oligonucleotídeos , Adulto , Feminino , Alemanha , Humanos , Masculino , Atrofia Muscular Espinal/tratamento farmacológico , Oligonucleotídeos/uso terapêutico
11.
Fortschr Neurol Psychiatr ; 87(12): 711-713, 2019 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-31847033

RESUMO

Evaluations of cases of a neurological early rehabilitation clinic carried out by the medical services of health insurances (2018) are described and analyzed. More than a quarter of the 1098 cases were evaluated. Examinations focused on hours of ventilation, unnecessary hospitalization, intensity of nursing and features of the definition of early neurological rehabilitation. Strategies to minimize are errors described.


Assuntos
Seguro Saúde , Reabilitação Neurológica , Alemanha , Hospitalização , Humanos , Reabilitação Neurológica/economia
12.
Br Dent J ; 227(11): 997-1000, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31844231

RESUMO

Joseph Goebbels, Reich Propaganda Minister of National Socialist Germany and one of the most powerful Nazi politicians, committed suicide at the end of the Second World War together with his wife, Magda, thus escaping his political responsibilities. Prior to committing suicide, the Goebbels' conspired to murder their six children, and to this end, enlisted the help of the dentist Helmut Kunz. Not until 1959, however, did Kunz stand trial on six counts of aiding and abetting in a homicide. Using extensive court records, this article examines the life of the dentist Helmut Kunz, his function in the Third Reich, and his role in the murder of the Goebbels children.


Assuntos
Clero , Propaganda , Criança , Odontólogos , Alemanha , História do Século XX , Humanos , Socialismo Nacional
14.
Mikrobiyol Bul ; 53(4): 401-407, 2019 Oct.
Artigo em Turco | MEDLINE | ID: mdl-31709937

RESUMO

Acquired Immunodeficiency syndrome (AIDS) is an important global public health issue. Increasing HIV/AIDS cases reported each year has become a serious health problem for our country. The fourth generation enzyme immunoassay (EIA) test is the first step in the laboratory diagnosis of human immunodeficiency virus (HIV) infection. When the EIA test is repeatedly reactive, antibody-based tests such as immuno blot (IB), line immunoassay (LIA), HIV 1-2 antibody differentiation immunoassay, and HIV RNA tests for the early period of infection are used as confirmatory tests. The aim of this study was to evaluate the results of three different methods for the diagnosis of HIV infection. HIV 1-2 IB and quantitative HIV-1 RNA PCR tests were performed in 199 patient samples. These samples were detected as the reactive or gray zone with HIV 1-2 Ab+Ag EIA test between 2010 and 2015 at Akdeniz University Hospital, Microbiology Laboratory. HIV 1-2 Ab+Ag determination in serum samples was performed with the EIA method (Elecsys HIV combi PT test, Roche Diagnostics, Germany). A commercial kit (INNO-LIA HIV I-II Score, Innogenetics, Belgium) was used for HIV 1-2 IB method. The presence of HIV-1 RNA was investigated by automated nucleic acid extraction and real-time PCR method (Ampliprep/COBAS Tagman HIV-1 Test, Roche Diagnostics, Germany) in plasma samples. For statistical analysis, SPSS, Mann Whitney U test was used, ROC analysis was performed and p<0.05 value was considered statistically significant. HIV 1-2 Ab+Ag EIA COI (cut-off index) median value was higher with positive HIV 1-2 IB and HIV-1 RNA results than negative HIV 1-2 IB and HIV-1 RNA results. These values were 394 (range: 11.5-2272) and 1.79 (range: 1.01-83.3) respectively and this difference was statistically significant (p< 0.001). HIV-1 RNA test results were positive in one patient with gray zone and two patients with negative HIV 1-2 IB result (viral loads were > 10.000.000, > 10.000.000 and 5.040.000 copies/ml, respectively). For the kit that we used for HIV 1-2 Ab+Ag EIA COI ratio of >16.45 had a sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of 97.6%, 98.1%, 97.6% and 98.1%, respectively for the detection of HIV infection (r= 0.994, p< 0.001). HIV 1-2 Ab+Ag EIA S/CO ratio of < 9.26 had a sensitivity, specificity, PPV and NPV of 100%, 92.5%, 91.1% and 100% (p< 0.001). HIV infection is diagnosed if HIV 1-2 Ab+Ag EIA test result is repeatedly reactive and HIV 1-2 IB test and HIV-1 RNA tests are positive. In our study, HIV 1-2 Ab+Ag EIA COI median value was 394 (range: 11.5-2272) in this group of patients (p< 0.001). HIV-1 RNA PCR test was positive in three patients with > 10.000.000, 5.040.000 and > 10.000.000 copies/ml whose EIA tests were repeatedly reactive. HIV IB test was detected as the gray zone in one of them and as negative in the remaining two (HIV EIA S/CO values were 265, 9.5 and 131.8, respectively). These patients were diagnosed as acute HIV infection with clinical and laboratory findings. In conclusion, HIV RNA should also be performed and included in the diagnostic algorithm for acute HIV infection.


Assuntos
Infecções por HIV , Imunoensaio , Immunoblotting , Reação em Cadeia da Polimerase , Alemanha , Infecções por HIV/diagnóstico , HIV-1 , HIV-2 , Humanos , Imunoensaio/normas , Immunoblotting/normas , Reação em Cadeia da Polimerase/normas , RNA Viral/genética , Sensibilidade e Especificidade
15.
Mikrobiyol Bul ; 53(4): 434-441, 2019 Oct.
Artigo em Turco | MEDLINE | ID: mdl-31709940

RESUMO

Identification of viral agents causing central nervous system (CNS) infections increased by the application of nucleic acid tests. In this study, the results of polymerase chain reaction (PCR) for viral agents were evaluated in cerebrospinal fluid (CSF) samples taken from patients with CNS infection. CSF samples taken from 1185 patients between 2010 and 2017 were tested for the presence of Herpes simplex virus (HSV) type 1 and 2, Varicella Zoster virus (VZV), Epstein-Barr virus (EBV), cytomegalovirus (CMV), adenovirus ve enterovirus by PCR in Dokuz Eylul University Hospital. Tests were performed according to the clinicians' orders and results were evaluated retrospectively. The number of tests performed were 1038 for HSV, 882 for adenovirus, 865 for enterovirus, 496 for VZV, 100 for EBV and 92 for CMV. Commercial tests were used for EBV, CMV (Artus QS-RGQ Kits, Qiagen, Germany) and enterovirus (GeneXpert, Cepheid, USA) while the other viruses (HSV, VZV, adenovirus) were tested by in-house real-time PCR assays. Ninety-one CSF (7.7%) samples were positive. The mean age was 13 (<1 to 76 years) while median was seven. The most frequently detected pathogens were enterovirus (63/91, 69%) and HSV-1 (14/91,15%). The number of patients positive for adenovirus, VZV, EBV and CMV were five, four, three and two, respectively. In one patient, both enterovirus (Ct: 29.5) and EBV (Ct: 38.53) were positive. The number of positive samples were increased in summer months. Enterovirus RNA positive patients (n= 60/63, 95.2%) were ≤ 18 years old while 29% were younger than one year of age. Enterovirus positive samples peaked in 2012 and 2014 and detected mainly in summer (60.3%) and autumn (20.6%) months. VZV was mostly detected in patients greater than 65 years of age. Mean Ct of the positive reactions was 31.87 ± 3.5 (22.88-40.32). The lowest and the highest Ct values were detected in HSV-1 assay. The mean Ct value of enterovirus assay (30.4; 25.7-35.9) was lower than the other pathogens' values. In the seven-year period, 7.7% of the1185 patients' CSF samples were positive for viral nucleic acids. As expected, enteroviruses were the most common pathogens in children and detected mainly in summer-autumn period. Syndromic approach in CNS infections could increase the viral pathogen detection.


Assuntos
Viroses do Sistema Nervoso Central , Adolescente , Adulto , Idoso , Viroses do Sistema Nervoso Central/líquido cefalorraquidiano , Viroses do Sistema Nervoso Central/epidemiologia , Viroses do Sistema Nervoso Central/virologia , Criança , Pré-Escolar , DNA Viral/genética , Alemanha/epidemiologia , Humanos , Lactente , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , Estudos Retrospectivos , Vírus/genética , Adulto Jovem
16.
Prax Kinderpsychol Kinderpsychiatr ; 68(7): 606-622, 2019 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-31711400

RESUMO

What Causes Future-Related Stress in Immigrant and German Adolescents and how do they Cope with these Stressors? In the present study, the stress perception and coping of German and immigrant adolescents with regard to future stress were compared. The 1,789 adolescents (164 immigrated, 1,625 German adolescents) at the age of fifteen completed questionnaires on the assessment of stress and coping with regard to future stress. Immigrated youth show a higher stress burden in the domain future than German adolescents. The fear of becoming unemployed was a major stressor in both groups, and both groups were also very active in tackling future-related problems. However, German youths show an even more active approach to coping with future stress and involve parents or friends more often. Migrant youth have higher levels of the coping style withdrawal, especially in emotion regulation and resignative withdrawal. The ability to reflect on the solution of future-related stressors is quite high in both groups. Worries about the increasing destruction of the environment are more important for German youth, while migrant youth care more about how they should reconcile work and family life later.


Assuntos
Adaptação Psicológica , Comportamento do Adolescente , Emigrantes e Imigrantes/psicologia , Estresse Psicológico , Adolescente , Emoções , Alemanha , Inquéritos Epidemiológicos , Humanos
17.
Pneumologie ; 73(11): 670-676, 2019 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-31715635

RESUMO

BACKGROUND: Home mechanical ventilation is dramatically evolving in Germany. Patients with non-invasive and invasive ventilation are increasingly treated at home. In-hospital treatment of these patients is also necessary either for control visits or the management of acute medical problems. However, the development of in-hospital patient care, morbidity and mortality of these patients is unknown. METHODS: All patients with long-term dependence on mechanical ventilation for more than three months requiring hospitalisation between 2006 and 2016 were analysed (data obtained from the Federal Statistical Office of Germany). RESULTS: There was an exponential increase in the number of in-patients with long-term dependence of mechanical ventilation. While 24 845 patients were treated in-hospital in 2006, 86 117 patients were treated in 2016. Correspondingly, mortality decreased from 13.2 % (2006) to 5.7 % (2016). In addition, in 2016 47 % of all patients were treated on the intensive care or high dependency care unit. Overall, patients had been severely ill, as there were plenty of medical and neurological co-morbidities. The most common diagnosis was COPD with 58 % of all cases, followed by several cardiology diagnosis. A high number of patients had an impairment of renal function (24 %), in part requiring dialysis. CONCLUSIONS: The rapid development of home mechanical ventilation substantially impacts on the development of the hospital landscape in Germany. The exponential increase of these care-intensive patients is challenging for the health care system and requires a discussion about its limits.


Assuntos
Cuidados Críticos , Serviços de Assistência Domiciliar , Assistência ao Paciente/tendências , Respiração Artificial , Cuidados Críticos/métodos , Cuidados Críticos/tendências , Alemanha , Serviços de Assistência Domiciliar/estatística & dados numéricos , Serviços de Assistência Domiciliar/tendências , Hospitalização , Humanos , Unidades de Terapia Intensiva , Respiração Artificial/métodos , Respiração Artificial/estatística & dados numéricos
18.
Zootaxa ; 4576(3): zootaxa.4576.3.4, 2019 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-31715749

RESUMO

Only a single known specimen of Cnemaspis timoriensis (Duméril Bibron, 1836) exists, the holotype in the Muséum National d'Histoire Naturelle in Paris, France. Purportedly collected by Charles Gaudichaud-Beaupré in the year 1818 on Timor Island in the Lesser Sunda Archipelago during the circumnavigation of the globe by the vessel L'Uranie, intensive research on Timor has failed to produce additional specimens or any similarly appointed gecko. Using a series of detailed morphological comparisons, we provide irrefutable evidence that the animal in question is not a member of Cnemaspis but of the neotropical genus Gonatodes. Furthermore, we ascertained that C. timoriensis is conspecific with G. humeralis, a widely distributed South American species. We also show that a specimen labeled with the timoriensis name in the Museum für Naturkunde, Berlin, Germany is not conspecific and not part of a type series. While the taxon name timoriensis has nomenclatural priority over the two-decades-younger name humeralis, usage would dictate that to preserve the nomenclatural stability of neotropical geckos the junior synonym should be retained. An application to the International Commission on Zoological Nomenclature to this effect is in preparation.


Assuntos
Lagartos , Animais , Austrália , Berlim , França , Alemanha , Indonésia , Ilhas , Paris
19.
Zootaxa ; 4576(3): zootaxa.4576.3.7, 2019 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-31715752

RESUMO

Culiseta ochroptera is a rare mosquito species in Germany, for which little ecological data are available. It is a species of peatlands where it occurs in a variety of habitats in different mire types. These landscape elements, strongly reduced and degraded by human use, are now often protected areas. Within the scope of a Germany-wide mosquito monitoring program, Cs. ochroptera was documented several times from 2011 to 2017, complementing historical data about its distribution and ecology. The records in northern and eastern Germany represent different types of peatlands and aquatic sites. Highest seasonal population densities were recorded in July and August, caused by the second of at least two annual generations. The morphological variants of Cs. ochroptera as described in the past were assigned to three forms (light, normal, dark), and the previously noted but neglected presence of postspiracular scales is recognized as a useful character supporting species identification.


Assuntos
Culicidae , Animais , Ecologia , Ecossistema , Alemanha , Humanos , Densidade Demográfica
20.
Zootaxa ; 4646(3): zootaxa.4646.3.10, 2019 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-31717009

RESUMO

When Walther Horn described Heptodonta hennigi from Assam in 1898, on the basis of a single female, he was completely uncertain about which genus he should classify this species in. He wrote that he could not identify the genus, but that the closest looking species he knew were Heptodonta tricondyloides Gestro, which is now placed in the genus Dilatotarsa Dokhtouroff, and Euryoda (= Prothyma Hope) lucidicollis Chaudoir. He was especially confused by the shape of the pronotum, but also by the lack of pubescens on the lateral margin of the metacoxae, which is a typical character for the genus Heptodonta Hope (see also Fowler 1912). Hence, twelve years later, Horn (1910) transferred hennigi to the Madagascan genus Physodeutera Lacordaire, which he regarded as a "group" of the genus Prothyma Hope. After more than eighty years, Wiesner (1992) placed the species in the Philippine Prothyma subgenus Symplecthyma Rivalier, but also indicated his classification as doubtful with a question mark. Cassola (2002) suggested for the first time a possible affiliation to the genus Pronyssa Bates. Just one year later, Karl Werner visited the collection Senckenberg Deutsches Entomologisches Institut in Müncheberg, Germany, and labelled the still only known specimen with the handwritten note: "Genus / Pronyssa! / Werner det'.03".


Assuntos
Besouros , Animais , Feminino , Alemanha , Masculino
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