[Cognitive capacity in advanced age: initial results of the Berlin Aging Study].

PubMed

Lindenberger, U; Baltes, P B

1995-01-01

This study reports data on intellectual functioning in old and very old age from the Berlin Aging Study (N = 516; age range = 70-103 years; mean age = 85 years). A psychometric battery of 14 tests was used to assess five cognitive abilities: reasoning, memory, and perceptual speed from the broad fluid-mechanical as well as knowledge and fluency from the broad crystallized-pragmatic domains. Cognitive abilities had a negative linear relationship with age, with more pronounced age-based reductions in fluid-mechanical than crystallized-pragmatic abilities. At the same time, ability intercorrelations formed a highly positive manifold, and did not follow the fluid-crystallized distinction. Interindividual variability was of about equal magnitude across the entire age range studied. There was, however, no evidence for substantial sex differences. As to origins of individual differences, indicators of sensory and sensorimotor functioning were more powerful predictors of intellectual functioning than cultural-biographical variables, and the two sets of predictors were, consistent with theoretical expectations, differentially related to measures of fluid-mechanical (perceptual speed) and crystallized pragmatic (knowledge) functioning. Results, in general indicative of sizeable and general losses with age, are consistent with the view that aging-induced biological influences are a prominent source of individual differences in intellectual functioning in old and very old age. Longitudinal follow-ups are underway to examine the role of cohort effects, selective mortality, and interindividual differences in change trajectories.

Evaluation of Traffic Accident Risk in In-City Bus Drivers: The Use of Berlin Questionnaire

PubMed Central

Ekren, Pervin Korkmaz; Uysal, Funda Elmas; Başoğlu, Özen K.

2018-01-01

OBJECTIVES Traffic accidents associated with high mortality rate may produce serious problems especially in highways. Obstructive sleep apnea (OSA) has been associated with a high risk for traffic accidents due to excessive daytime sleepiness even in in-city drivers. In the present study, it was aimed to evaluate the rate of OSA symptoms and to identify risk factors associated with traffic accidents in in-city bus drivers. MATERIAL AND METHODS A self-administered questionnaire including demographic and anthropometric features, sleep and work schedules, Berlin questionnaire, Epworth sleepiness score (ESS), and history of traffic accidents was used. RESULTS The questionnaire was conducted for 1400 male bus drivers (mean age, 38.0±6.4 y, body mass index, 27.8±3.9 kg/m2). A total of 1058 (75.6%) drivers had one or more accidents while driving bus. According to the Berlin questionnaire, 176 (12.6%) drivers were found to have high OSA risk and the accident rate was 83.0% in high-risk group, whereas 74.5% of low-risk drivers had accidents (p=0.043). The drivers with a history of traffic accident were older (p=0.030), had higher ESS (p=0.019), and were more in the high-risk OSA group according to the Berlin questionnaire (p=0.015). In multivariate linear regression analysis, traffic accident was associated with only Berlin questionnaire (p=0.015). CONCLUSION The present results support that city bus drivers with high OSA risk according to Berlin questionnaire have increased accident rates. Therefore, we suggest using Berlin questionnaire for screening sleep apnea not only in highway drivers but also in in-city bus drivers. PMID:29755810

Evaluation of Traffic Accident Risk in In-City Bus Drivers: The Use of Berlin Questionnaire.

PubMed

Taşbakan, Mehmet Sezai; Ekren, Pervin Korkmaz; Uysal, Funda Elmas; Başoğlu, Özen K

2018-04-01

Traffic accidents associated with high mortality rate may produce serious problems especially in highways. Obstructive sleep apnea (OSA) has been associated with a high risk for traffic accidents due to excessive daytime sleepiness even in in-city drivers. In the present study, it was aimed to evaluate the rate of OSA symptoms and to identify risk factors associated with traffic accidents in in-city bus drivers. A self-administered questionnaire including demographic and anthropometric features, sleep and work schedules, Berlin questionnaire, Epworth sleepiness score (ESS), and history of traffic accidents was used. The questionnaire was conducted for 1400 male bus drivers (mean age, 38.0±6.4 y, body mass index, 27.8±3.9 kg/m 2 ). A total of 1058 (75.6%) drivers had one or more accidents while driving bus. According to the Berlin questionnaire, 176 (12.6%) drivers were found to have high OSA risk and the accident rate was 83.0% in high-risk group, whereas 74.5% of low-risk drivers had accidents (p=0.043). The drivers with a history of traffic accident were older (p=0.030), had higher ESS (p=0.019), and were more in the high-risk OSA group according to the Berlin questionnaire (p=0.015). In multivariate linear regression analysis, traffic accident was associated with only Berlin questionnaire (p=0.015). The present results support that city bus drivers with high OSA risk according to Berlin questionnaire have increased accident rates. Therefore, we suggest using Berlin questionnaire for screening sleep apnea not only in highway drivers but also in in-city bus drivers.

Exploring Structural Dynamics within and between Sensory and Intellectual Functioning in Old and Very Old Age: Longitudinal Evidence from the Berlin Aging Study

ERIC Educational Resources Information Center

Ghisletta, Paolo; Lindenberger, Ulman

2005-01-01

Cross-sectional and longitudinal analyses of age-heterogeneous samples have revealed correlational links between and within intellectual, sensory, and sensorimotor domains. Due to basic limitations of cross-sectional designs and a reluctance to disentangle antecedent-consequent relations in longitudinal designs, the functional significance and…

Epidemiology and outcomes of acute respiratory distress syndrome in children according to the Berlin definition: a multicenter prospective study.

PubMed

Barreira, Eliane R; Munoz, Gabriela O C; Cavalheiro, Priscilla O; Suzuki, Adriana S; Degaspare, Natalia V; Shieh, Huei H; Martines, João A D S; Ferreira, Juliana C; Lane, Christianne; Carvalho, Werther B; Gilio, Alfredo E; Precioso, Alexander R

2015-05-01

In 2012, a new acute respiratory distress syndrome definition was proposed for adult patients. It was later validated for infants and toddlers. Our objective was to evaluate the prevalence, outcomes, and risk factors associated with acute respiratory distress syndrome in children up to 15 years according to the Berlin definition. A prospective, multicenter observational study from March to September 2013. Seventy-seven PICU beds in eight centers: two private hospitals and six public academic hospitals in Brazil. All children aged 1 month to 15 years admitted to the participating PICUs in the study period. None. All children admitted to the PICUs were daily evaluated for the presence of acute respiratory distress syndrome according to the American-European Consensus Conference and Berlin definitions. Of the 562 patients included, acute respiratory distress syndrome developed in 57 patients (10%) and 58 patients (10.3%) according to the Berlin definition and the American-European Consensus Conference definition, respectively. Among patients with acute respiratory distress syndrome according to the Berlin definition, nine patients (16%) were mild, 21 (37%) were moderate, and 27 (47%) were severe. Compared with patients without acute respiratory distress syndrome, patients with acute respiratory distress syndrome had significantly higher severity scores, longer PICU and hospital length of stay, longer duration of mechanical ventilation, and higher mortality (p < 0.001). The presence of two or more comorbidities and admission for medical reasons were associated with development of acute respiratory distress syndrome. Comparisons across the three the Berlin categories showed significant differences in the number of ventilator-free days (21, 20, and 5 d, p = 0.001) and mortality for severe acute respiratory distress syndrome (41%) in comparison with mild (0) and moderate (15%) acute respiratory distress syndrome(p = 0.02). No differences in PICU or hospital stay were observed across the groups. The Berlin definition can identify a subgroup of patients with distinctly worse outcomes, as shown by the increased mortality and reduced number of ventilator-free days in pediatric patients with severe acute respiratory distress syndrome.

Eating behaviour and its association with social living conditions and weight status among adolescent girls: results of the cross-sectional Berlin School Children's Cohort study.

PubMed

Bau, Anne-Madeleine; Krull, Sarah; Ernert, Andrea; Babitsch, Birgit

2011-10-01

To capture a more holistic picture of eating behaviour by investigating the impact of the social living conditions and weight status of parents and daughters on food consumption frequency, the context of meals and daily portion sizes. Cross-sectional Berlin School Children's Cohort study. A total of sixty-nine schools in Berlin (3 400 000 inhabitants, eastern Germany) participated in the present study. A total of 1519 girls aged 11-14 years were selected. Bi- and multivariate analyses were performed to examine the impact of age, migration background, socio-economic status (SES), parental education, family situation and the weight status of parents and daughters on three different eating behaviour scores according to nutritional recommendations. For the three dependent eating behaviour variables, different patterns of influencing factors emerged. Multivariate regression (model 1) revealed that low and middle SES, two-parent migration background and older age were significant risk factors. Meal context was also significantly influenced by living with a single parent. Similar results were obtained for the daily portion size scores and maternal overweight status was the most influential. Model 2 succeeded in showing that, within the composite variable of family SES, mothers' level of education was the dominant component. SES as a whole, and especially the component of mothers' level of education and two-parent migration background, was the strongest risk factor for an unfavourable eating pattern among adolescent girls. The results clearly indicated preventive potential. Using three different measures of eating behaviour simultaneously provided an in-depth understanding of general patterns and potential risk factors.

Associations between Neighborhood Characteristics, Well-Being and Health Vary over the Life Course.

PubMed

Eibich, Peter; Krekel, Christian; Demuth, Ilja; Wagner, Gert G

2016-01-01

Neighborhood characteristics are important determinants of individual health and well-being. For example, characteristics such as noise and pollution affect health directly, while other characteristics affect health and well-being by either providing resources (e.g. social capital in the neighborhood), which individuals can use to cope with health problems, or limiting the use thereof (e.g. crime). This also suggests that there might be age differentials in the impact of these characteristics, since individuals at different stages of life might need different resources. However, there is a lack of empirical evidence on age differentials in associations between well-being, health, and neighborhood characteristics. This paper studies associations between a wide range of neighborhood characteristics with the health and well-being of residents of the greater Berlin area. In particular, we focus on differences in the effects between younger (aged 20-35) and older (aged 60+) residents. We used data from the Berlin Aging Study II (312 younger and 993 older residents of the Berlin metropolitan area in Germany). We used survey data on health and well-being, combined these with subjective perceptions of the neighborhood, and geo-referenced indicators on the neighborhood, e.g. amenities (public transport, physicians, and hospitals). The results show that access to public transportation is associated with better outcomes on all measures of health and well-being, and social support is associated with higher life satisfaction and better mental health. There are considerable differences between both age groups: while the associations between access to public transport and health and well-being are similar for both age groups, neighborhood social capital shows stronger associations for older residents. However, the difference is not always statistically significant. Having access to services is associated with better health and well-being regardless of age. Local policy makers should focus on lowering barriers to mobility in order to improve the health and well-being of the population. Since the social capital of a neighborhood is associated with better health and well-being among older residents, investments that increase social capital (e.g. community centers) might be warranted in neighborhoods with higher shares of older residents. © 2016 S. Karger AG, Basel.

Age and Time-to-Death Trajectories of Change in Indicators of Cognitive, Sensory, Physical, Health, Social, and Self-Related Functions

ERIC Educational Resources Information Center

Gerstorf, Denis; Ram, Nilam; Lindenberger, Ulman; Smith, Jacqui

2013-01-01

Mortality-related processes are known to modulate late-life change in cognitive abilities, but it is an open question whether and how precipitous declines with impending death generalize to other domains of functioning. We investigated this notion by using 13-year longitudinal data from now-deceased participants in the Berlin Aging Study (N = 439;…

Fatal accidents due to train surfing in Berlin.

PubMed

Strauch, H; Wirth, I; Geserick, G

1998-06-08

This study was undertaken for the purpose of analysing under the aspect of legal medicine, fatal accidents due to train surfing in the local transport system of Berlin (S-Bahn and underground). The period of investigation was from 1989 through 1995, with 41 train surfing accidents, among them 18 with fatal outcome. Evaluation included those 14 deaths which were forensically autopsied. It was based on autopsy records of Berlin-based university institutes (Humboldt University and Free University) as well as the Brandenburg State Institute of Legal Medicine. Also used were data obtained from the Berlin Transport Police Record. The casualties were aged between 13 and 25 years, most of them between 16 and 20. The male-female gender ratio was 13:1. Accidents occurred above all in the warmer season of the year, most of them between 20:00 h and midnight. More than 50% of all cases were affected by alcohol, but centrally acting medicaments or other addictive drugs were not noticed at all. Most of the fatal accidents occurred to users of the Berlin S-Bahn network. Older train models were the preferred surfing objects due to their structural peculiarities. Collision with close-to-track obstacles and slipping from the train proved to be the major sources of danger. An analysis of injuries revealed polytraumatisation but for one exception, with craniocerebral injuries being the most common and severest events. The longest survival time amounted to 24 h. As the psychosocial causes of high-risk behaviour of adolescents will hardly be controllable, withdrawal of technical, that is structural design possibilities appears to be the most important approach to prevention of accidents in the future. This demand is met by the new series of the Berlin S-Bahn. The model of the old series, suitable for surfing, still accounts for about 10% of the rolling stock and is to be decommissioned in 1998.

Two types of health care systems and their influence on the introduction of perinatal care: an epidemiological twin model in Berlin from 1950 to 1990.

PubMed

Arabin, B; Raum, E; Mohnhaupt, A; Schwartz, F W

1999-06-01

When perinatal medicine emerged as a new medical discipline in the 1960s, Berlin was as one of the world's leading centers. During that time, the city was separated into two parts, each fostering its own health care system. After the destruction of the Berlin Wall, it was possible to speak with the citizens of East Berlin and to access their database systems. This created the singular opportunity to objectively compare the development of perinatal care in both parts of Berlin. Rates of maternal, perinatal, and infant mortality as well as the rate of preterm deliveries were evaluated over time and between East and West Berlin. The timing of introduction of 20 specific perinatal interventions was evaluated across 18 hospitals with more than 500 deliveries (11 in West Berlin and 7 in East Berlin). Interviews were conducted with 100 gynecologists, 100 midwives, and 100 women who had recently delivered their first child from each side of the city regarding their opinions of the importance of these interventions for the quality of perinatal medicine and how they would distribute a budget to improve maternity care. Maternal, perinatal, and infant mortality decreased in both parts of Berlin until 1990 (p < 0.0001), without significant differences between East and West Berlin, though the preterm delivery rate was slightly lower in East Berlin compared with West Berlin (p < 0.06). Some new clinical techniques and treatments--such as cardiotocography, ultrasound, tocolytic therapy, and peridural anesthesia--were introduced earlier in West Berlin. In contrast, certain public health measures--such as maternal transport, screening programs for diabetes, and support of breastfeeding--were introduced much earlier in East Berlin. There were significant differences between the beliefs of gynecologists, midwives, and mothers in East and West Berlin. In general, citizens of East Berlin were more enthusiastic about technological medical advances, whereas citizens of West Berlin were more supportive of public health and alternative methods. In addition, there were significant differences between female and male physicians in their beliefs about how to improve health care, regardless of whether they resided in East or West Berlin. The results of this study may serve as a basis for reflection on how different social circumstances and health care policies can influence the improvement of maternal and child health care.

Berlin: United Again.

ERIC Educational Resources Information Center

Cogan, John J.

1990-01-01

Compares East and West Berlin before and after the fall of the Berlin Wall in November 1989. Offers divergent viewpoints on German reunification from interviews of two professors: one from East Germany, the other from West Germany. Recommends that social studies classes incorporate current events such as German reunification. (CH)

Is there a difference between the STOP-BANG and the Berlin Obstructive Sleep Apnoea Syndrome questionnaires for determining respiratory complications during the perioperative period?

PubMed

Gokay, Pervin; Tastan, Sevinc; Orhan, Mehmet Emin

2016-05-01

This study aimed to compare the efficiency of the STOP-BANG and Berlin Obstructive Sleep Apnoea Syndrome questionnaires for evaluating potential respiratory complications during the perioperative period. Questionnaires that are used to determine obstructive sleep apnoea risk are not widely used for surgical patients. Among the questionnaires that are commonly used for obstructive sleep apnoea screening, it remains unclear whether the STOP-BANG or Berlin Obstructive Sleep Apnoea Syndrome questionnaire is more effective in terms of ease of use, usage period and diagnosis of surgical patients with obstructive sleep apnoea risk. This study was designed as a descriptive and prospective study. The study included 126 patients over 18 years of age who were American Society of Anesthesiologists classification class I-II and underwent laparoscopic cholecystectomy. To determine the potential obstructive sleep apnoea syndrome risk, the STOP-BANG and Berlin questionnaires were administered. Respiratory complications were then observed during the perioperative period. During intubation and extubation, we observed statistically significant differences in difficult intubation, difficult facemask ventilation and desaturation frequency between the high- and low-risk groups for obstructive sleep apnoea syndrome, as determined by the STOP-BANG questionnaire. During extubation, statistically significant differences in coughing, breath-holding and desaturation frequency were observed between the high-risk and low-risk groups, according to the Berlin questionnaire. In the post-anaesthesia care unit, both questionnaires found statistically significant differences between the low- and high-risk groups. Obstructive sleep apnoea syndrome screening questionnaires administered during the preoperative period are useful for predicting perioperative respiratory complications. It may be most useful to administer the STOP-BANG questionnaire as the initial evaluation. Questionnaires may be used to determine the risk of obstructive sleep apnoea syndrome, which could impact the anaesthetisation of surgical patients. Questionnaires for determining the risk of obstructive sleep apnoea syndrome should be used regularly for surgical patients, and these questionnaires should be used to improve clinical protocols for anaesthesia and postanaesthesia care. © 2016 John Wiley & Sons Ltd.

The incidence of ARDS and associated mortality in severe TBI using the Berlin definition.

PubMed

Aisiku, Imoigele P; Yamal, Jose-Miguel; Doshi, Pratik; Rubin, Maria Laura; Benoit, Julia S; Hannay, Julia; Tilley, Barbara C; Gopinath, Shankar; Robertson, Claudia S

2016-02-01

The incidence of adult respiratory distress syndrome (ARDS) in severe traumatic brain injury (TBI) is poorly reported. Recently, a new definition for ARDS was proposed, the Berlin definition. The percentage of patients represented by TBI in the Berlin criteria study is limited. This study describes the incidence and associated mortality of ARDS in TBI patients. The study was an analysis of the safety of erythropoietin administration and transfusion threshold on the incidence of ARDS in severe TBI patients. Three reviewers independently assessed all patients enrolled in the study for acute lung injury/ARDS using the Berlin and the American-European Consensus Conference (AECC) definitions. A Cox proportional hazards model was used to assess the relationship between ARDS and mortality and 6-month Glasgow Outcome Scale (GOS) score. Two hundred patients were enrolled in the study. Of the patients, 21% (41 of 200) and 26% (52 of 200) developed ARDS using the AECC and Berlin definitions, respectively, with a median time of 3 days (interquartile range, 3) after injury. ARDS by either definition was associated with increased mortality (p = 0.04) but not with differences in functional outcome as measured by the GOS score at 6 months. Adjusted analysis using the Berlin criteria showed an increased mortality associated with ADS (p = 0.01). Severe TBI is associated with an incidence of ARDS ranging from 20% to 25%. The incidence is comparable between the Berlin and AECC definitions. ARDS is associated with increased mortality in severe TBI patients, but further studies are needed to validate these findings. Epidemiologic study, level II.

The Berlin Affective Word List for Children (kidBAWL): Exploring Processing of Affective Lexical Semantics in the Visual and Auditory Modalities

PubMed Central

Sylvester, Teresa; Braun, Mario; Schmidtke, David; Jacobs, Arthur M.

2016-01-01

While research on affective word processing in adults witnesses increasing interest, the present paper looks at another group of participants that have been neglected so far: pupils (age range: 6–12 years). Introducing a variant of the Berlin Affective Wordlist (BAWL) especially adapted for children of that age group, the “kidBAWL,” we examined to what extent pupils process affective lexical semantics similarly to adults. In three experiments using rating and valence decision tasks in both the visual and auditory modality, it was established that children show the two ubiquitous phenomena observed in adults with emotional word material: the asymmetric U-shaped function relating valence to arousal ratings, and the inversely U-shaped function relating response times to valence decision latencies. The results for both modalities show large structural similarities between pupil and adult data (taken from previous studies) indicating that in the present age range, the affective lexicon and the dynamic interplay between language and emotion is already well-developed. Differential effects show that younger children tend to choose less extreme ratings than older children and that rating latencies decrease with age. Overall, our study should help to develop more realistic models of word recognition and reading that include affective processes and offer a methodology for exploring the roots of pleasant literary experiences and ludic reading. PMID:27445930

Prevalence of obstructive sleep apnea in patients with chronic wounds.

PubMed

Patt, Brian T; Jarjoura, David; Lambert, Lynn; Roy, Sashwati; Gordillo, Gayle; Schlanger, Richard; Sen, Chandan K; Khayat, Rami N

2010-12-15

Chronic non-healing wounds are a major human and economic burden. Obstructive sleep apnea (OSA) is prevalent in patients with obesity, diabetes, aging, and cardiovascular disease, all of which are risk factors for chronic wounds. We hypothesized that OSA would have more prevalence in patients of a wound center than the general middle-aged population. Consecutive patients of the Ohio State University Comprehensive Wound Center (CWC) were surveyed with the Berlin and Epworth questionnaires. In the second stage of the protocol, 50 consecutive unselected CWC patients with lower extremity wounds underwent home sleep studies. In 249 patients of the CWC who underwent the survey study, OSA had been previously diagnosed in only 22%. The prevalence of high-risk status based on questionnaires for OSA was 46% (95% CI 40%, 52%). In the 50 patients who underwent home sleep studies, and using an apnea hypopnea index of 15 events per hour, the prevalence of OSA was 57% (95% CI 42%, 71%). There was no difference between the Berlin questionnaire score and weight between patients with OSA and those without. The prevalence of OSA in patients with chronic wounds exceeds the estimated prevalence of OSA in the general middle aged population. This study identifies a previously unrecognized population with high risk for OSA. Commonly used questionnaires were not sufficiently sensitive for the detection of high risk status for OSA in this patient population.

When Iron Crumbles: Berlin and the Wall. A Social Studies Unit Recommended for Grades 9-12 and Community College.

ERIC Educational Resources Information Center

Chan, Adrian; And Others

This unit, designed for use with high school and community college students, uses primary materials, literature, and interactive lesson plans to present the city of Berlin (Germany) as a case study of some of the 20th century's most significant events. In lesson 1, students take a pre-test, view a video about the Berlin Wall, and discuss the kinds…

Large measles outbreak introduced by asylum seekers and spread among the insufficiently vaccinated resident population, Berlin, October 2014 to August 2015

PubMed Central

Werber, Dirk; Hoffmann, Alexandra; Santibanez, Sabine; Mankertz, Annette; Sagebiel, Daniel

2017-01-01

The largest measles outbreak in Berlin since 2001 occurred from October 2014 to August 2015. Overall, 1,344 cases were ascertained, 86% (with available information) unvaccinated, including 146 (12%) asylum seekers. Median age was 17 years (interquartile range: 4–29 years), 26% were hospitalised and a 1-year-old child died. Measles virus genotyping uniformly revealed the variant ‘D8-Rostov-Don’ and descendants. The virus was likely introduced by and initially spread among asylum seekers before affecting Berlin’s resident population. Among Berlin residents, the highest incidence was in children aged < 2 years, yet most cases (52%) were adults. Post-exposure vaccinations in homes for asylum seekers, not always conducted, occurred later (median: 7.5 days) than the recommended 72 hours after onset of the first case and reached only half of potential contacts. Asylum seekers should not only have non-discriminatory, equitable access to vaccination, they also need to be offered measles vaccination in a timely fashion, i.e. immediately upon arrival in the receiving country. Supplementary immunisation activities targeting the resident population, particularly adults, are urgently needed in Berlin. PMID:28857043

The uptake of dental services by elderly Germans.

PubMed

Nitschke, I; Müller, F; Hopfenmüller, W

2001-12-01

The aim of the study was to assess the uptake of dental services by the old and very old population within the scope of the Berlin Aging Study (Berliner Altersstudie BASE). A multi-disciplinary structured interview was performed on 928 subjects, aged from 70 to 103 years of whom 516 persons volunteered to take part in a 14-session intensive protocol. Six representative study groups were matched for age and gender. Subjects were asked to recall the timing of their most recent dental visit. Data were validated by sending for dental records and compared with all study participants from the multi-disciplinary intake assessment. Data were related to age group, dental state, dementia and education. Reported last contact with dental services ranged from 2 weeks to 52 years (median 18 months) with a higher time lapse in the study groups aged 85 and older. Dentate subjects had seen their dentist more recently than edentate subjects. Higher education correlated with an increased dental utilisation. Subjective memory on the time lapse since the last dental appointment coincided in 13% of the subjects with available dental records (n=84), was misjudged between one and six months in 55%, and by more than six months in the remainder. Moderately or severely demented subjects who remembered their last dental appointment (n=48 of 70) showed no consistently different utilisation to healthy or mildly demented study participants. Edentate old and very old subjects show the least frequent utilisation of dental services. Data on motivation and barriers to care are needed to develop strategies to improve the use of dental services and thus promote oral health in late life.

How many years of life did the fall of the Berlin Wall add? A projection of East German life expectancy.

PubMed

Vogt, Tobias C

2013-01-01

In the two decades since reunification, East Germans have experienced a large increase in life expectancy and a convergence with the West German mortality level. This gain in life expectancy appears even more impressive if we assume a different scenario in which the Berlin Wall did not fall, and the old East Germany still existed. This analysis takes into account that East German mortality would not have remained static without reunification. Thus, it shows how many years of life expectancy were actually added by the fall of the Berlin Wall. The analysis shows the improvements for single age groups by projecting life expectancy based on mortality levels during the 1970s and 1980s using the Lee-Carter method. I use national-level data for both sexes for East Germany before reunification. I find that, without reunification, current life expectancy at birth among East Germans would be 4.0 years lower for females and 5.7 years lower for males. I also show that older East Germans were the main demographic beneficiaries of reunification. Female and male mortality improvements in the age groups above 60 contributed up to 80% to the actual gains in life expectancy. Had the Berlin Wall not fallen, East German mortality would not have remained static but improved at a far slower rate. Thus, this counterfactual approach shows for the first time how many years of life were actually gained by reunification and how much of these gains were attributable to mortality improvements among the elderly. Copyright © 2013 S. Karger AG, Basel.

Sticking out and fitting in: culture-specific predictors of 3-year-olds' autobiographical memories during joint reminiscing.

PubMed

Schröder, Lisa; Kärtner, Joscha; Keller, Heidi; Chaudhary, Nandita

2012-12-01

The present study investigates the relationship between mother-child interaction styles with 19 months and children's autobiographical memory with 3 years of age in two cultural contexts: New Delhi, India (n = 25) and Berlin, Germany (n = 33). Results demonstrate similarities as well as culture specificities. In both contexts, maternal elaborations during reminiscing were related to children's memory contributions. Over time, maternal support for toddlers' self-expression during free play at 19 months predicted their children's memory elaborations at 3 years in the Berlin context. In the Delhi context, toddlers' willingness to carry out their mothers' requests at 19 months predicted their memory elaborations at 3 years. These results suggest different motivational bases underlying children's autobiographical memory contributions during mother-child reminiscing related to different cultural orientations. Copyright © 2012 Elsevier Inc. All rights reserved.

The Berlin Wall: A Simulation for the Social Studies Classroom

ERIC Educational Resources Information Center

Russell, William B., III

2010-01-01

November 9, 2009, marked the twentieth anniversary of the opening of the Berlin Wall. The Wall, a symbol of the Cold War, separated the German people for 28 years (1961-1989), keeping those on the East side isolated. Although the construction and dismantling of the Berlin Wall is a significant part of history, the topic is little covered in the…

78 FR 41398 - City of Berlin, Berlin Water Works; Notice of Preliminary Permit Application Accepted for Filing...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-10

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 14529-000] City of Berlin, Berlin Water Works; Notice of Preliminary Permit Application Accepted for Filing and Soliciting Comments, Motions To Intervene, and Competing Applications On June 19, 2013, the City of Berlin, Berlin Water Works, filed an application for a...

Human papillomavirus vaccine uptake, knowledge and attitude among 10th grade students in Berlin, Germany, 2010

PubMed Central

Stöcker, Petra; Dehnert, Manuel; Schuster, Melanie; Wichmann, Ole; Deleré, Yvonne

2013-01-01

Purpose: Since March 2007, the Standing Committee on Vaccination (STIKO) recommends HPV vaccination for all 12–17 y-old females in Germany. In the absence of an immunization register, we aimed at assessing HPV-vaccination coverage and knowledge among students in Berlin, the largest city in Germany, to identify factors influencing HPV-vaccine uptake. Results: Between September and December 2010, 442 students completed the questionnaire (mean age 15.1; range 14–19). In total 281/442 (63.6%) students specified HPV correctly as a sexually transmitted infection. Of 238 participating girls, 161 (67.6%) provided their vaccination records. Among these, 66 (41.0%) had received the recommended three HPV-vaccine doses. Reasons for being HPV-unvaccinated were reported by 65 girls: Dissuasion from parents (40.2%), dissuasion from their physician (18.5%), and concerns about side-effects (30.8%) (multiple choices possible). The odds of being vaccinated increased with age (Odds Ratio (OR) 2.19, 95% Confidence Interval (CI) 1.16, 4.15) and decreased with negative attitude toward vaccinations (OR = 0.33, 95%CI 0.13, 0.84). Methods: Self-administered questionnaires were distributed to 10th grade school students in 14 participating schools in Berlin to assess socio-demographic characteristics, knowledge, and statements on vaccinations. Vaccination records were reviewed. Multivariable statistical methods were applied to identify independent predictors for HPV-vaccine uptake among female participants. Conclusions: HPV-vaccine uptake was low among school girls in Berlin. Both, physicians and parents were influential regarding their HPV-vaccination decision even though personal perceptions played an important role as well. School programs could be beneficial to improve knowledge related to HPV and vaccines, and to offer low-barrier access to HPV vaccination. PMID:22995838

Exercise at Different Ages and Appendicular Lean Mass and Strength in Later Life: Results From the Berlin Aging Study II.

PubMed

Eibich, Peter; Buchmann, Nikolaus; Kroh, Martin; Wagner, Gert G; Steinhagen-Thiessen, Elisabeth; Demuth, Ilja; Norman, Kristina

2016-04-01

Excessive loss of muscle mass in advanced age is a major risk factor for decreased physical ability and falls. Physical activity and exercise training are typically recommended to maintain muscle mass and prevent weakness. How exercise in different stages of life relates to muscle mass, grip strength, and risk for weakness in later life is not well understood. Baseline data on 891 participants at least 60 years old from the Berlin Aging Study II (BASE-II) were analyzed. Linear and logistic regressions of self-reported exercise in early adulthood, old age, or both on appendicular lean mass (ALM), grip strength, and a risk indicator for weakness (ALM/ body mass index cutoff) were calculated. In addition, treatment bounds are analyzed to address potential confounding using a method proposed by Oster. Analyses indicate that for men only, continuous exercise is significantly associated with higher muscle mass (SD = 0.24, p < .001), grip strength (SD = 0.18, p < .05), and lower risk for clinically relevant low muscle mass (odds ratio = 0.36, p < .01). Exercise in early adulthood alone is not significantly associated with muscle mass or strength. No significant associations were observed for women. The results of the current study underscore the importance of health programs to promote physical activity with a focus on young adults, a group known to be affected from environmentally associated decline of physical activity, and to promote the continuation of physical exercise from early adulthood into later life in general. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

A developmental study of the acquisition of Russian colour terms.

PubMed

Davies, I R; Corbett, G G; McGurk, H; MacDermid, C

1998-06-01

We report a study of the acquisition of colour terms by Russian children which had two main aims: first, to test Berlin & Kay's (1969) theory of colour universals using acquisition order as a measure of basicness; and secondly, to see if the two BLUE terms of Russian are genuinely basic. Two hundred children aged from three to six-years-old were tested on three colour-tasks--colour term listing, colour term production and colour term comprehension. To a reasonable approximation, the order of colour term acquisition was in accord with Berlin & Kay's theory, but the data are also consistent with the weaker claim that primary terms tend to be learned before derived terms. On balance the data were consistent with Russian exceptionally, having an extra term for the BLUE region. But, the two BLUE terms--goluboj 'light blue' and sinij 'dark blue'--were confused more often than other pairs of terms even by the five- to six-year-old sample.

Long-term effectiveness of a combined student-parent and a student-only smoking prevention intervention among 7th grade school children in Berlin, Germany.

PubMed

Krist, Lilian; Lotz, Fabian; Bürger, Christin; Ströbele-Benschop, Nanette; Roll, Stephanie; Rieckmann, Nina; Müller-Nordhorn, Jacqueline; Willich, Stefan N; Müller-Riemenschneider, Falk

2016-12-01

In Germany, the smoking prevalence among adolescents is among the highest in Europe. Our aim was to evaluate the long-term effectiveness of a combined student-parent and a student-only smoking prevention programme to reduce the smoking prevalence among 7th grade students in Berlin. Three-armed cluster-randomized controlled trial (RCT). Schools as cluster units were randomized into (i) student intervention, (ii) combined student-parent intervention or (iii) control group, with follow-up after 12 and 24 months. High schools and integrated secondary schools in Berlin, Germany. Seventh grade students aged 11-16 years. We included 47 schools, 161 classes and 2801 students [50.1% girls, mean age ± standard deviation (SD) = 13.0 ± 0.6 years]. The primary outcome was self-reported regular smoking (at least one cigarette per day) after 24 months (point prevalence). Further self-reported outcomes were other smoking behaviours as well as parental rules and attitudes towards smoking. Comparisons were calculated as odds ratios (OR) with 95% confidence intervals (CI). At baseline, 2.3% of the students reported that they smoked regularly. After 24 months, 7.8% and 7.0% were regular smokers in the student-only intervention and the student-parent intervention, respectively, compared with 10.1% in the control group. The OR for being a regular smoker was 0.81 (0.34-1.92) for the student-parent intervention versus control, 0.95 (CI = 0.41-2.22) for the student-only intervention versus control and 0.85 (0.38-1.89) for student-parent intervention versus student-only intervention. A combined student-parent smoking prevention intervention delivered via secondary schools in Berlin, Germany did not result in a statistically significant reduction in regular smoking compared with a control group or a student-only intervention. The student-only intervention did not result in a significant reduction in regular smoking compared with the control group. © 2016 Society for the Study of Addiction.

Sports and Exercise at Different Ages and Leukocyte Telomere Length in Later Life--Data from the Berlin Aging Study II (BASE-II).

PubMed

Saßenroth, Denise; Meyer, Antje; Salewsky, Bastian; Kroh, Martin; Norman, Kristina; Steinhagen-Thiessen, Elisabeth; Demuth, Ilja

2015-01-01

Physical activity and sports have repeatedly been reported to be associated with telomere length. We studied the association of different types of sports across different stages of life on relative leukocyte telomere length (rLTL) in advanced age.815 participants (397 men) from the Berlin Aging Study II aged over 61 years were included in the analysis. rLTL was measured by real time PCR and physical activity was determined retrospectively by questionnaire, assessing type and duration of sports in the past as well as currently. Five separate multiple linear regression models adjusted for various control variables were performed. 67.3% of participants exercised currently, whereas 19.4% performed sports only between the age of 20 and 30. rLTL was higher in subjects who stated to exercise currently (N = 456), and in subjects who engaged in endurance (N = 138) or intensive activity sports (N = 32). Current physical activity was positively associated with rLTL in the risk factor adjusted regression model (β = 0.26, p < 0.001) and practicing sports for a minimum of 10 years preceding the assessment had a significant effect on rLTL (β = 0.39, p = 0.011). The highest impact was seen for intensive activity sports (β = 0.79, p < 0.001) and physical activity since at least 42 years (β = 0.47, p = 0.001). However, physical activity only between 20 and 30 years of age did not affect rLTL in old age when compared to no sports at all (β = -0.16, p = 0.21). Physical activity is clearly associated with longer rLTL. The effect is seen with longer periods of physical activity (at least 10 years), with intensive sports activities having the greatest impact on rLTL. Our data suggest that regular physical activity for at least 10 years is necessary to achieve a sustained effect on rLTL.

Developmental Change and Intraindividual Variability: Relating Cognitive Aging to Cognitive Plasticity, Cardiovascular Lability, and Emotional Diversity

PubMed Central

Ram, Nilam; Gerstorf, Denis; Lindenberger, Ulman; Smith, Jacqui

2010-01-01

Repeated assessments obtained over years can be used to measure individuals’ developmental change, whereas repeated assessments obtained over a few weeks can be used to measure individuals’ dynamic characteristics. Using data from a burst of measurement embedded in the Berlin Aging Study (BASE: Baltes & Mayer, 1999), we illustrate and examine how long-term changes in cognitive ability are related to short-term changes in cognitive performance, cardiovascular function, and emotional experience. Our findings suggest that “better” cognitive aging over approximately13 years was associated with greater cognitive plasticity, less cardiovascular lability, and less emotional diversity over approximately 2 weeks at age 90 years. The study highlights the potential benefits of multi-time scale longitudinal designs for the study of individual function and development. PMID:21443355

Contribution of overweight and obesity to adverse pregnancy outcomes among immigrant and non-immigrant women in Berlin, Germany.

PubMed

Reiss, Katharina; Breckenkamp, Jürgen; Borde, Theda; Brenne, Silke; David, Matthias; Razum, Oliver

2015-10-01

Maternal excessive weight and smoking are associated with an increased risk of pregnancy complications and adverse pregnancy outcomes. In Germany, immigrant women have a higher prevalence of pre-pregnancy overweight/obesity compared with autochthonous women. We compared the contribution of pre-pregnancy overweight/obesity to adverse pregnancy outcomes among immigrant and autochthonous women in Berlin/Germany. Data from 2586 immigrant women (from Turkey, Lebanon, other countries of origin) and 2676 autochthonous women delivering in three maternity hospitals of Berlin within 12 months (2011/2012) was used. Cox regression models were applied to estimate the association between overweight/obesity and smoking with the outcomes large-for-gestational-age (LGA), small-for-gestational-age (SGA), preterm birth (PTB) and extreme preterm-birth (E-PTB). Population attributive fractions (PAF) were calculated to quantify the proportion of the outcomes attributable to overweight/obesity and smoking, respectively. Prevalence of overweight and obesity was 33.4% among autochthonous and 53.6% among Turkish women. Prevalence risk ratios of excessive weight were highest for LGA infants among immigrant and autochthonous women. The PAFs were -11.8% (SGA), +16.3% (LGA), +3.6% (PTB) and +16.5% (E-PTB) for the total study population. Overweight/obesity is strongly associated with an increased risk of delivering an LGA infant among both immigrant and autochthonous women. Compared with autochthonous women, the contribution of excessive weight to LGA is even higher among immigrant women, in whom PAFs of overweight/obesity even exceed those of smoking for some outcomes. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

The tephrostratigraphy of Mt. Berlin volcano, Antarctica: Integrating blue ice tephra and ice core tephra records

NASA Astrophysics Data System (ADS)

Iverson, N. A.; Dunbar, N. W.; McIntosh, W. C.; Kurbatov, A.

2016-12-01

Reconstructing volcanic activity in Antarctica is difficult because of the limited outcrop exposure. However, ice is an excellent medium for sampling tephra, allowing for a more complete eruptive record than can be found in other depositional environments. Furthermore, because of low ambient temperature, glass shards trapped in ice remain unaltered and unhydrated. Mt. Berlin is an ice covered volcano in Marie Byrd Land, Antarctica, and, because of heavy glaciation, eruptive records on the volcano itself are sparse. Here, we present the integration of two different records of Mt. Berlin volcanism: the blue ice record found at Mt. Moulton (Dunbar et al., 2008) and the ice core record from the WAIS Divide ice core. Tephra from Mt. Berlin are also found in other ice and marine core records, and these have been correlated and integrated into the combined volcanic record. The Mt. Moulton blue ice area is located 30 km from Mt. Berlin and hosts a fabulous tephra record spanning the last 500 ka. A total of 36 tephra from Mt. Berlin were sampled in stratigraphic order and nine were directly dated by 40Ar/39Ar dating method. Twenty five tephra from WAIS Divide have been analyzed and are geochemically similar to Mt. Berlin with ice core ages dating back to 70 ka. The two tephra records were integrated using their respective timescales. In locations where the Mt. Moulton record does not have precise chronology, the δ18O records from Mt. Moulton (Popp, 2008) and WAIS (WAIS, 2015) were used to integrate the stratigraphy. In total 61 tephra from both ice sections provide an excellent record of the magmatic evolution of Mt. Berlin over the past 500 ka. EMP analyses on glass shards show a gradual change in Fe and S over time. Most of the other major elements remain relatively unchanged. The trend in Fe and S could be produced by progressive tapping of a single, stratified magma chamber, but the long duration of volcanism makes this unlikely. We instead favor small batches of progressively more primitive melts being generated over time. Thirty nine of the tephra have been erupted within the past 100 ka with the majority (25) of them being erupted between 40 ka and 20 ka. The resolution in eruptive frequency is unparalleled and provides many stratigraphic markers that can be correlated throughout West Antarctica, which are useful in climate research.

Screening of Obstructive Sleep Apnea during Pregnancy: Differences in Predictive Values of Questionnaires across Trimesters

PubMed Central

Tantrakul, Visasiri; Sirijanchune, Piyaporn; Panburana, Panyu; Pengjam, Janejira; Suwansathit, Worakot; Boonsarngsuk, Viboon; Guilleminault, Christian

2015-01-01

Study Objectives: Evaluation of Berlin and Stop-Bang questionnaires in detecting obstructive sleep apnea (OSA) across trimesters of pregnancy. Methods: Pregnant women from a high-risk pregnancy clinic were recruited to complete sleep evaluations including Berlin and Stop-Bang questionnaires. Overnight testing with Watch-PAT200 for diagnosis of OSA (cutoff point of apneahypopnea index ≥ 5 events/h) was performed. Results: Seventy-two singleton pregnant women participated in the study. Enrollment consisted of 23, 24, and 25 women during first, second, and third trimesters, respectively. Of 72 pregnancies, 23 patients (31.9%) had OSA. Prevalence of OSA classified by trimesters from first to third was 30.4%, 33.33%, and 32.0%, respectively. Overall predictive values of Berlin and Stop-Bang questionnaires were fair (ROC area under curve, AUC 0.72 for Berlin, p = 0.003; 0.75 for Stop-Bang, p = 0.001). When categorized according to trimesters, predictive values substantially improved in second (AUC: 0.84 for Berlin; 0.78 for Stop-Bang) and third trimesters (AUC: 0.81 for Berlin; 0.75 for Stop-Bang), whereas performances of both questionnaires during first trimester were poorer (AUC: 0.49 for Berlin; 0.71 for Stop-Bang). Multivariate analyses show that pre-pregnancy body mass index (BMI) in first trimester, snore often in second trimester, and weight gain and pregnancy BMI in third trimester were significantly associated with OSA. Conclusions: In high-risk pregnancy, Berlin and Stop-Bang questionnaires were of limited usefulness in the first trimester. However their predictive values are acceptable as pregnancy progresses, particularly in second trimester. OSA in pregnancy seems to be a dynamic process with different predictors association during each trimester. Citation: Trantrakul V, Sirijanchune P, Panburana P, Pengjam J, Suwansathit W, Boonsarngsuk V, Guilleminault C. Screening of obstructive sleep apnea during pregnancy: differences in predictive values of questionnaires across trimesters. J Clin Sleep Med 2015;11(2):157–163. PMID:25406273

Diagnosing acute respiratory distress syndrome in resource limited settings: the Kigali modification of the Berlin definition.

PubMed

Riviello, Elisabeth D; Buregeya, Egide; Twagirumugabe, Theogene

2017-02-01

The acute respiratory distress syndrome (ARDS) was re-defined by a panel of experts in Berlin in 2012. Although the Berlin criteria improved upon the validity and reliability of the definition, it did not make diagnosis of ARDS in resource limited settings possible. Mechanical ventilation, arterial blood gas measurements, and chest radiographs are not feasible in many regions of the world. In 2014, we proposed and applied the Kigali modification of the Berlin definition in a hospital in Rwanda. This review synthesizes literature from the last 18 months relevant to the Kigali modification. In the last 18 months, the need for a universally applicable ARDS definition was reinforced by advances in supportive care that can be implemented in resource poor settings. Research demonstrating the variable impact of positive end expiratory pressure on hypoxemia, the validity of using pulse oximetry rather than arterial blood gas to categorize hypoxemia, and the accuracy of lung ultrasound support the use of the Kigali modification of the Berlin definition. Studies directly comparing the Berlin definition to the Kigali modification are needed. Ongoing clinical research on ARDS needs to include low-income countries.

[Child or career? Desire for a child in East and West Berlin].

PubMed

Rauchfuss, M; Sperfeld, A

2001-01-01

In the Federal Republic of Germany the rate of the childless women rises. While the topic of unwanted childlessness among gynecologists receives broad attention among gynecologists, the question of (temporaryly?) intended renouncement of pregnancy and birth is of little interest. For the former GDR a low age with the firstborn and a high mother rate were typically. After the "turn" serious modifications of the birth rate in East Germany happened. The available study examined 1996 motives for and against a child with 554 up-to-date wanted childless women in East- and West-Berlin (population-referred sample). In the questionnaire, besides sociodemographic data, information was raised to own childhood, partnership, occupation, satisfaction with life and for child desire motivation. Apart from the school and vocational termination conceptions on the age with the firstborn, disadvantages for a life with child and value hierarchies for partnership and family were important for the description of the dilemma of compatibility of occupation and family. Eastsocialized women consider a compatibility rather possible. Targets for vocational development and responsible parenthood for young women come into conflict. Temporal delaying of the child desire leads to an increase of intended and unwanted childlessness with various (psychosomatic) effects on obstetrics and gynecology.

[Theft with subsequent murder].

PubMed

Rothschild, M A; Schneider, V

1990-01-01

We studied 39 cases from autopsies made between 1978 and 1988 in the Institut für Rechtsmedizin der Freien Universität Berlin and the Landesinstitut für gerichtliche und soziale Medizin Berlin in which the public prosecutor's office had investigated about robbery in coincidence with killing. The average age of the victims was 75 years, the average age of the perpetrators was 21 years. One third of the victims died because of bronchopneumonia. 5 victims only showed slight injuries, the autopsy showed no definite cause of death, but we found severe signs of illness of the organs resp. of the heart. In these cases we diagnosed a "psycho-physiological cause of death". One third of the victims had a severe stenosis of the coronary system and one third showed cardiac hypertrophy of over 450 g. Head and face had been the favorite target of the perpetrators. Most localisations of crime had been the apartments of the victims and the booty often was less than DM 100,-. 75% of the perpetrators had been previously convicted. In the cases with "psycho-physiological" cause of death the court condemned the perpetrators only because of booty but never because of killing.

The Ratio of Partial Pressure Arterial Oxygen and Fraction of Inspired Oxygen 1 Day After Acute Respiratory Distress Syndrome Onset Can Predict the Outcomes of Involving Patients.

PubMed

Lai, Chih-Cheng; Sung, Mei-I; Liu, Hsiao-Hua; Chen, Chin-Ming; Chiang, Shyh-Ren; Liu, Wei-Lun; Chao, Chien-Ming; Ho, Chung-Han; Weng, Shih-Feng; Hsing, Shu-Chen; Cheng, Kuo-Chen

2016-04-01

The initial hypoxemic level of acute respiratory distress syndrome (ARDS) defined according to Berlin definition might not be the optimal predictor for prognosis. We aimed to determine the predictive validity of the stabilized ratio of partial pressure arterial oxygen and fraction of inspired oxygen (PaO2/FiO2 ratio) following standard ventilator setting in the prognosis of patients with ARDS.This prospective observational study was conducted in a single tertiary medical center in Taiwan and compared the stabilized PaO2/FiO2 ratio (Day 1) following standard ventilator settings and the PaO2/FiO2 ratio on the day patients met ARDS Berlin criteria (Day 0). Patients admitted to intensive care units and in accordance with the Berlin criteria for ARDS were collected between December 1, 2012 and May 31, 2015. Main outcome was 28-day mortality. Arterial blood gas and ventilator setting on Days 0 and 1 were obtained.A total of 238 patients met the Berlin criteria for ARDS were enrolled, and they were classified as mild (n = 50), moderate (n = 125), and severe (n = 63) ARDS, respectively. Twelve (5%) patients who originally were classified as ARDS did not continually meet the Berlin definition, and a total of 134 (56%) patients had the changes regarding the severity of ARDS from Day 0 to Day 1. The 28-day mortality rate was 49.1%, and multivariate analysis identified age, PaO2/FiO2 on Day 1, number of organ failures, and positive fluid balance within 5 days as significant risk factors of death. Moreover, the area under receiver-operating curve for mortality prediction using PaO2/FiO2 on Day 1 was significant higher than that on Day 0 (P = 0.016).PaO2/FiO2 ratio on Day 1 after applying mechanical ventilator is a better predictor of outcomes in patients with ARDS than those on Day 0.

[The Rosenthal experiment or: about the site of productive research - on move of the physiological experimental laboratory of Isidor Rosenthal (1836-1915) from the city to the country].

PubMed

Stahnisch, Frank W

2010-01-01

The disciplinary development of the new science of experimental physiology is often associated with the conditions of cultural development and increasingly technical working contexts of the Industrial Age. Following this perspective, the germ cells of 19th century institutes of experimental physiology were particularly found in the metropolises of Paris, Leipzig or Berlin. Only the major cities sat the revolutionary trends and within this general process, the scientific trends were no exceptions - the provincial research universities simply followed the central ones in their normal science endeavours. Due to this interpretation, the development of the scientific community was pre-formatted as the interplay of innovation (the city) and reception (the periphery). Isidor Rosenthal (1836-1915) was born in Labischin (District of Bromberg/Posen) in 1836 and got his medical training in Berlin. Like not many other experimental physiologists, he can be used as a historiographical testing probe, to follow the conditions of knowledge transfer from center to periphery: After his studies at the Friedrich Wilhelms University and the completion of his dissertation in 1859, Rosenthal entered the newly founded Physiological Institute in Berlin as the first Research Associate of Emil DuBois-Reymond (1818-1896). Rosenthal worked here particularly on the problem of "direct and indirect muscle irritation" in frogs. These neurophysiological investigations led to his growing scientific renown. In 1872, Rosenthal became offered a first professorship in physiology at the Friedrich Alexander University in Bavaria, as one of only few Jewish scientists (and even before Wilhelm Wundt, 1832-1920). But his life and work proved not only exceptional because of his scientific achievements, but also due to his deep rootedness in cultural life--both during his time in Berlin and in Erlangen. By applying a comparative and microhistorical approach in this article, the working conditions of this scientific migrant from Berlin are scrutinized as to the changes that took place between the city and regional university.

The Ratio of Partial Pressure Arterial Oxygen and Fraction of Inspired Oxygen 1 Day After Acute Respiratory Distress Syndrome Onset Can Predict the Outcomes of Involving Patients

PubMed Central

Lai, Chih-Cheng; Sung, Mei-I; Liu, Hsiao-Hua; Chen, Chin-Ming; Chiang, Shyh-Ren; Liu, Wei-Lun; Chao, Chien-Ming; Ho, Chung-Han; Weng, Shih-Feng; Hsing, Shu-Chen; Cheng, Kuo-Chen

2016-01-01

Abstract The initial hypoxemic level of acute respiratory distress syndrome (ARDS) defined according to Berlin definition might not be the optimal predictor for prognosis. We aimed to determine the predictive validity of the stabilized ratio of partial pressure arterial oxygen and fraction of inspired oxygen (PaO2/FiO2 ratio) following standard ventilator setting in the prognosis of patients with ARDS. This prospective observational study was conducted in a single tertiary medical center in Taiwan and compared the stabilized PaO2/FiO2 ratio (Day 1) following standard ventilator settings and the PaO2/FiO2 ratio on the day patients met ARDS Berlin criteria (Day 0). Patients admitted to intensive care units and in accordance with the Berlin criteria for ARDS were collected between December 1, 2012 and May 31, 2015. Main outcome was 28-day mortality. Arterial blood gas and ventilator setting on Days 0 and 1 were obtained. A total of 238 patients met the Berlin criteria for ARDS were enrolled, and they were classified as mild (n = 50), moderate (n = 125), and severe (n = 63) ARDS, respectively. Twelve (5%) patients who originally were classified as ARDS did not continually meet the Berlin definition, and a total of 134 (56%) patients had the changes regarding the severity of ARDS from Day 0 to Day 1. The 28-day mortality rate was 49.1%, and multivariate analysis identified age, PaO2/FiO2 on Day 1, number of organ failures, and positive fluid balance within 5 days as significant risk factors of death. Moreover, the area under receiver-operating curve for mortality prediction using PaO2/FiO2 on Day 1 was significant higher than that on Day 0 (P = 0.016). PaO2/FiO2 ratio on Day 1 after applying mechanical ventilator is a better predictor of outcomes in patients with ARDS than those on Day 0. PMID:27057912

[Etiology and occurrence of periodic eye inflammation of horses in the area of Berlin].

PubMed

Alexander, C S; Keller, H

1990-12-01

Over 130 cases of equine periodic ophthalmia (p.o.), which were treated as in-patients at the Equine Clinic of the Free University of Berlin in the last 35 years, were examined statistically in relation to the age and gender of the animals involved as well as to the development of the illness and the season in which it arose. As regards aetiology, the extraction of 71 affected Trotters was investigated. Antibodies to toxoplasmosis, leptospirosis and intestinal parasites were found only in some of the patients. Younger animals, aged between one and four years, and male animals (63.6%) were predominantly affected. The results of the examinations of faeces showed no correlation between cases of p.o. and a vermination of the horses. The examinations for antibodies to toxoplasmosis gave no indication of a participation of the toxoplasmas in the aetiology of recurrent uveitis. In contrast, the results of the examinations for antibodies to leptospirosis, of which 58.8% were positive, showed a seven to ten times higher infection than in healthy horses in Berlin. Breed analysis showed that in certain breeds of Trotters and warm-blooded horses, p.o. illnesses were frequent, supporting the hypothesis that the occurrence of p.o. is due to a hereditary, allergic reaction, triggered by various factors, in particular an infection without clinical signs.

The Berlin tradition in Chicago: Franz Alexander and the Chicago Institute for Psychoanalysis.

PubMed

Schmidt, Erika S

2010-01-01

Freud considered Franz Alexander, the first graduate of the Berlin Psychoanalytic Institute and an assistant in the Berlin Polyclinic, to be "one of our strongest hopes for the future." Alexander went on to become the first director of the Chicago Institute for Psychoanalysis in 1932 and modeled some of the Chicago Institute's mission on his Berlin experiences. He was also a researcher in psychosomatic medicine, a prolific writer about psychoanalysis and prominent in psychoanalytic organizations. As he proposed modifications in psychoanalytic technique, he became a controversial figure, especially in the elaboration of his ideas about brief therapy and the corrective emotional experience. This paper puts Alexander's achievements in historical context, draws connections between the Berlin and Chicago Institutes and suggests that, despite his quarrels with traditional psychoanalysis, Alexander's legacy may be in his attitude towards psychoanalysis, characterized by a commitment to scientific study, a willingness to experiment, and a conviction about the role of psychoanalysis within the larger culture.

Increased longitudinal contractility and diastolic function at rest in well-trained amateur Marathon runners: a speckle tracking echocardiography study

PubMed Central

2014-01-01

Background Regular physical activity reduces cardiovascular risk. There is concern that Marathon running might acutely damage the heart. It is unknown to what extent intensive physical endurance activity influences the cardiac mechanics at resting condition. Methods Eighty-four amateur marathon runners (43 women and 41 men) from Berlin-Brandenburg area who had completed at least one marathon previously underwent clinical examination and echocardiography at least 10 days before the Berlin Marathon at rest. Standard transthoracic echocardiography and 2D strain and strain rate analysis were performed. The 2D Strain and strain rate values were compared to previous published data of healthy untrained individuals. Results The average global longitudinal peak systolic strain of the left ventricle was -23 +/- 2% with peak systolic strain rate -1.39 +/- 0.21/s, early diastolic strain rate 2.0 +/- 0.40/s and late diastolic strain rate 1.21 +/- 0.31/s. These values are significantly higher compared to the previous published values of normal age-adjusted individuals. In addition, no age-related decline of longitudinal contractility in well-trained athletes was observed. Conclusions There is increased overall longitudinal myocardial contractility at rest in experienced endurance athletes compared to the published normal values in the literature indicating a preserved and even supra-normal contractility in the athletes. There is no age dependent decline of the longitudinal 2D Strain values. This underlines the beneficial effects of regular physical exercise even in advanced age. PMID:24571726

Assessment of Snoring and obstructive sleep apnoea in a Nigerian university: Association with cardiovascular risk factors

PubMed Central

Akintunde, Adeseye A.; Salawu, Afolabi A.; Opadijo, Oladimeji G.

2014-01-01

Background: Snoring remains under diagnosed in general population. It however has significant morbidity and mortality risk factors with multiple effects on the cardiovascular system. The Berlin questionnaire is a worldwide validated instrument to identify those at increased risk for obstructive sleep apnoea (OSA). Materials and Methods: In all, 206 workers of LAUTECH were invited to participate in the study. The Berlin questionnaire was used for this study. It was a cross-sectional study. Socio-demographic and clinical data were taken with a data form. Statistical Package for the Social Sciences software (SPSS 17.0) was used for statistical analysis. P < 0.05 was taken as statistically significant value. Results: The study participants consisted of 96 males (46.6%) and 110 (53.4%) females. The mean age was 45.3 ± 7.9 years. The mean body mass index was 28.5 ± 6.0 kg/m². The frequency of occurrence of snoring was 91 (44.2%) including 50 males (54.9% and 41 females (37.3 %, P <0.05). Using the Berlin score, 63 (30.6%) including 34 females (30.9%) were assessed to be at high risk for OSA. Snorers were more likely to be at higher risk of OSA compared to non snorers: odd risk was 113.8, relative risk was 3.3. Snoring was most likely to be associated with obesity, elevated blood pressure and male gender in this study. Conclusion: We concluded that snoring and high risk for sleep apnoea is common among this unselected University population and they are closely related to many conventional cardiovascular risk factors. Appropriate interventional strategies are indicated to reduce the burden of the increased morbidity and mortality associated with sleep apnoea in our population. PMID:25538364

Charge Density Engineering: A Feasibility Study

DTIC Science & Technology

2013-11-22

15. Statistical Learning Guided Design of Materials Fritz Haber Institute – Theory Group Berlin , Germany June 17th 2013 16...Technology San Diego, CA June 6th 2013 15. Statistical Learning Guided Design of Materials Fritz Haber Institute – Theory Group Berlin

Triglycerides and carotid intima-media thickness in ischemic stroke patients.

PubMed

Batluk, Jana; Leonards, Christopher O; Grittner, Ulrike; Lange, Kristin Sophie; Schreiber, Stephan J; Endres, Matthias; Ebinger, Martin

2015-11-01

Common carotid artery intima-media thickness (CCA-IMT) is an established marker for atherosclerosis. The role of triglycerides in CCA-IMT remains controversial. We sought to determine if elevated fasting and post-challenge triglycerides are associated with CCA-IMT. All acute ischemic stroke patients who participated in the Berlin "Cream & Sugar" study in the Charité Virchow and Charité Mitte Campuses between January 2009 and January 2014 and underwent carotid artery ultrasound studies were eligible for inclusion. A combined oral glucose and triglyceride tolerance test was performed 3-7 days after first ever ischemic stroke. Patients were classified according to triglyceride metabolism-namely, (1) patients reaching a maximum triglyceride levels 3 h post-challenge ("fast metabolizers," n = 37), (2) patients with increasing triglycerides 4 (medium metabolizers, n = 64), and (3) 5 h post-challenge ("slow metabolizers," n = 44; 13 missing). We included 158 patients (34% female; mean age 63 years, SD 14). Absolute non-fasting triglyceride levels were positively associated with CCA-IMT. A final multiple regression model revealed that older age, more severe strokes, and higher levels of fasting triglycerides were significantly and independently associated with higher mean CCA-IMT. Older age, higher waist-to-hip ratio, and higher levels of thyroid-stimulating hormone were independently associated with higher maximum CCA-IMT. Fasting triglycerides but not post-challenge triglycerides associate with CCA-IMT. An oral fat challenge may not add information on atherosclerotic status in ischemic stroke patients. The Berlin "Cream & Sugar" study is registered with EudraCT (2009-010356-97) and clinicaltrials.gov (NCT 01378468). Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Safe water supply without disinfection in a large city case study: Berlin.

PubMed

Grohmann, A; Petersohn, D

2000-01-01

Berlin's water supplies originate exclusively from groundwater. For sustainable water management, river water is treated by flocculation and filtration and used either for artificial groundwater recharge (rivers Spree and Havel) or for bank filtration (Nordgraben and Lake Tegel). Drinking water chlorination was abandoned in Berlin (West) in 1978, and in Berlin (East) in 1992, following German unification. Chlorine consumption for the purpose of weekly performance checks in the chlorination plants of Berlin's 11 waterworks and occasional chlorination within the pipe system following pipe burst events amounts to 2500 kg per year. Based on the annual water demand of 250 million cubic metres, this is equivalent to 0.01 mg of chlorine per litre. Microbiological monitoring at the 11 waterworks and at 383 sampling points within the pipe system shows CFU at less than 10/1 ml-1 and coliforms and E. coli invariably at 0/100 ml-1. In view of the low AOX content, a multiplication of bacteria within the pipe system can be expected to occur not at all or only to a small extent. Resource protection measures, filter backwashing and pipe system maintenance in observance of the relevant technical rules will continue to ensure that the quality of Berlin's drinking water meets stringent hygiene requirements without chlorination.

The Acute Respiratory Distress Syndrome (ARDS) in mechanically ventilated burn patients: An analysis of risk factors, clinical features, and outcomes using the Berlin ARDS definition.

PubMed

Cartotto, Robert; Li, Zeyu; Hanna, Steven; Spano, Stefania; Wood, Donna; Chung, Karen; Camacho, Fernando

2016-11-01

The Berlin definition of Acute Respiratory Distress Syndrome (ARDS) has been applied to military burns resulting from combat-related trauma, but has not been widely studied among civilian burns. This study's purpose was to use the Berlin definition to determine the incidence of ARDS, and its associated respiratory morbidity, and mortality among civilian burn patients. Retrospective study of burn patients mechanically ventilated for ≥48h at an American Burn Association-verified burn center. The Berlin criteria identified patients with mild, moderate, and severe ARDS. Logistic regression was used to identify variables predictive of moderate to severe ARDS, and mortality. The outcome measures of interest were duration of mechanical ventilation and in-hospital mortality. Values are shown as the median (Q1-Q3). We included 162 subjects [24% female, age 48 (35-60), % total body surface area (TBSA) burn 28 (19-40), % body surface area (BSA) full thickness (FT) burn 13 (0-30), and 62% with inhalation injury]. The incidence of ARDS was 43%. Patients with ARDS had larger %TBSA burns [30.5 (23.1-47.0) vs. 24.8 (17.1-35), p=0.007], larger FT burns [20.5(5.4-35.5) vs. 7 (0-22.1), p=0.001], but had no significant difference in the incidence of inhalation injury (p=0.216), compared to those without ARDS. The % FT burn predicted the development of moderate to severe ARDS [OR 1.034, 95%CI (1.013-1.055), p=0.001]. ARDS developed in the 1st week after burn in 86% of cases. Worsening severity of ARDS was associated with increased days of mechanical ventilation in survivors (p=0.001), a reduction in ventilator-free days/1st 30 days in all subjects (p=0.004), and a strong indication of increased mortality (0% in mild ARDS vs. 50% in severe ARDS, unadjusted p=0.02). Neither moderate ARDS nor severe ARDS were significant predictors of death. ARDS is common among mechanically ventilated civilian burn patients, and develops early after burn. The extent of full thickness burn predicted development of moderate to severe ARDS. Increasing severity of ARDS based upon the Berlin definition was associated with a significantly greater duration of mechanical ventilation and a trend toward higher mortality. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Prevalence of Obstructive Sleep Apnea in Patients with Chronic Wounds

PubMed Central

Patt, Brian T.; Jarjoura, David; Lambert, Lynn; Roy, Sashwati; Gordillo, Gayle; Schlanger, Richard; Sen, Chandan K.; Khayat, Rami N.

2010-01-01

Study Objectives: Chronic non-healing wounds are a major human and economic burden. Obstructive sleep apnea (OSA) is prevalent in patients with obesity, diabetes, aging, and cardiovascular disease, all of which are risk factors for chronic wounds. We hypothesized that OSA would have more prevalence in patients of a wound center than the general middle-aged population. Methods: Consecutive patients of the Ohio State University Comprehensive Wound Center (CWC) were surveyed with the Berlin and Epworth questionnaires. In the second stage of the protocol, 50 consecutive unselected CWC patients with lower extremity wounds underwent home sleep studies. Results: In 249 patients of the CWC who underwent the survey study, OSA had been previously diagnosed in only 22%. The prevalence of high-risk status based on questionnaires for OSA was 46% (95% CI 40%, 52%). In the 50 patients who underwent home sleep studies, and using an apnea hypopnea index of 15 events per hour, the prevalence of OSA was 57% (95% CI 42%, 71%). There was no difference between the Berlin questionnaire score and weight between patients with OSA and those without. Conclusions: The prevalence of OSA in patients with chronic wounds exceeds the estimated prevalence of OSA in the general middle aged population. This study identifies a previously unrecognized population with high risk for OSA. Commonly used questionnaires were not sufficiently sensitive for the detection of high risk status for OSA in this patient population. Citation: Patt BT; Jarjoura D; Lambert L; Roy S; Gordillo G; Schlanger R; Sen CK; Khayat RN. Prevalence of obstructive sleep apnea in patients with chronic wounds. J Clin Sleep Med 2010;6(6):541-544. PMID:21206743

[Health status and causes of mortality in feral cats in a delimited area of the inner city of Berlin].

PubMed

Kalz, B; Scheibe, K M; Wegner, I; Priemer, J

2000-01-01

Results of the veterinary examination of feral cats living in a delimited area of Berlin city are presented. Between 1996 and 1999 thirty nine cats were investigated, among them eleven individuals twice. All animals were positive for one or several pathologies, but only seven cats were in bad condition. Most common were periodontal and gingival diseases, followed by conjunctivitis. Five cats were positive for FIV, seven for FeLV, one tomcat for both. Twenty six cats vanished during the study period of 42 months, only one third of cats survived and remained in the study area throughout. Four cats were given to pet lovers, nine cats disappeared without trace, seven animals died in traffic accidents and six cats died of illnesses. Cats less than three years of age vanished more often than expected from their representation in the population. Dirty or large feeding places for cats constitute a source of infections. Feeding sites should be accessible to only few individuals and left-overs that may attract stray cats, rats or birds should not remain at feeding places.

Psychological distress and psychiatric disorders in primary health care patients in East and West Germany 1 year after the fall of the Berlin Wall.

PubMed

Achberger, M; Linden, M; Benkert, O

1999-04-01

The reunification of Germany confronted citizens in East and West Germany with many changes in their lives. These changes may be considered as critical life events. Especially for those in East Germany, life circumstances drastically changed, and individuals were increasingly required to adopt and develop coping capabilities. In addition to new opportunities and freedom, there was threatening uncertainty about the future. Theories of life events and stress postulate that threat events have an impact on human well-being. It was expected that there would be an increased rate of psychiatric morbidity after unification, especially in the eastern part of Germany. An international study by the WHO on psychiatric disorders in general health care was carried out in 1990, 1 year after the opening of the Berlin Wall, in both parts of Berlin and in Mainz, West Germany. This allowed for a comparison of the prevalence rates of psychiatric disorders among general health care patients in the East and West, after the euphoria immediately following unification had subsided. The prevalence rates of current ICD-10 diagnoses and of subthreshold disorders in East Berlin were similar to the rates in West Berlin and Mainz. The recognition rate of psychiatric disorders by physicians did not differ in East Berlin as compared to West Berlin and Mainz. Contrary to the prediction expected from the literature on individual negative life events, major changes in life circumstances and stressful life events on a societal level within 1 year did not have a major impact on psychological function.

Sleepiness, driving, and motor vehicle accidents: A questionnaire-based survey.

PubMed

Zwahlen, Daniel; Jackowski, Christian; Pfäffli, Matthias

2016-11-01

In Switzerland, the prevalence of an excessive daytime sleepiness (EDS) in drivers undergoing a driving capacity assessment is currently not known. In this study, private and professional drivers were evaluated by means of a paper-based questionnaire, including Epworth Sleepiness Scale, Berlin Questionnaire, and additional questions to sleepiness-related accidents, near-miss accidents, health issues, and demographic data. Of the 435 distributed questionnaires, 128 completed were returned. The response rate was 29%. The mean age of the investigated drivers was 42.5 years (20-85 years). According to the Epworth Sleepiness Scale, 9% of the participants are likely to suffer from excessive daytime sleepiness. An equal percentage has a high risk for obstructive sleep apnea syndrome based on the Berlin Questionnaire. 16% admitted an involuntary nodding off while driving a motor vehicle. This subset of the participants scored statistically significant higher on the Epworth Sleepiness Scale (p = 0.036). 8% of the participants already suffered an accident because of being sleepy while driving. An equal number experienced a sleepiness-related near-miss accident on the road. The study shows that a medical workup of excessive daytime sleepiness is highly recommended in each driver undergoing a driving capacity assessment. Routine application of easily available and time-saving assessment tools such as the Epworth Sleepiness Scale questionnaire could prevent accidents in a simple way. The applicability of the Berlin Questionnaire to screen suspected fatal sleepiness-related motor vehicle accidents is discussed. Copyright © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Risk factors for idiopathic intracranial hypertension in men: a case-control study

PubMed Central

Fraser, J. Alexander; Bruce, Beau B.; Rucker, Janet; Fraser, Lisa-Ann; Atkins, Edward J.; Newman, Nancy J.; Biousse, Valérie

2009-01-01

Objective To identify risk factors for idiopathic intracranial hypertension (IIH) in men Design Case-control study. A 96-item telephone questionnaire, answered retrospectively, with cases recalling at the age of their diagnosis and controls recalling at the age of their corresponding case's diagnosis. Setting Outpatient clinics in two US tertiary care centers Participants The characteristics of 24 men with IIH were compared to those of 48 controls matched for sex, age, race, and World Health Organization body mass index (BMI) category. Main Outcome Measures Two previously validated questionnaires: the ADAM (Androgen Deficiency in Aging Males) questionnaire for testosterone deficiency and the Berlin questionnaire for obstructive sleep apnea (OSA), embedded within the telephone questionnaire. Analysis with Mantel-Haenszel odds ratios and mixed-effects logistic regression models accounted for matching. Results Cases and controls had similar enrollment matching characteristics. Although matching was successful by BMI category, there was a small difference between BMI values of cases and controls (cases: median 31.7, controls: median 29.9; p=0.03). After adjustment by BMI value, men with IIH were significantly more likely than controls to have a positive ADAM questionnaire for testosterone deficiency (OR: 17.4, 95% CI: 5.6-54.5; p<0.001) and significantly more likely to have either a positive Berlin questionnaire for OSA or history of diagnosed OSA (OR: 4.4, 95% CI: 1.5-12.9; p=0.03). Conclusions Men with IIH are more likely than controls to have symptoms associated with testosterone deficiency and OSA. These associations suggest a possible role for sex hormones and OSA in the pathogenesis of IIH in men. PMID:19945715

Part I: Houtermans

NASA Astrophysics Data System (ADS)

Frenkel, Victor Ya.

The following sections are included: * PROFESSOR FRIEDRICH HOUTERMANS: WORKS, LIFE, FATE * Introduction * Beginnings * Göttingen * Berlin * 1933 * London * Impressions of Kharkov * Kharkov: 1935-1937 * Arrests * Last Months in the USSR (From Charlotte Houtermans' Diary) * Descent into the Prisons: 1937-39 * From Desperation to Hope (Continuation of Charlotte Houtermans' Diary) * Fighting for Freedom * Descent into the Prisons: 1939-40 * The Bridge over the River Bug * On the Other Shore * Back in Berlin * The Plutonium Report * "They should Accelerate!" * Back in Kharkov * Kharkov Trace (What Happened at the Session of the Academy of Sciences) * Who are Beck and Godin? * War's End * The Age of the Earth * Friends on Houtermans * Chronology * Appendices (Compiled by the Editor) * Last Diary * Odessa 1930 * Chronological Report of my Life in Russian Prisons * Alexander Weissberg's Letter * After the War

Depression among older people in Europe: the EURODEP studies.

PubMed

Copeland, John R M; Beekman, Aartjan T F; Braam, Arjan W; Dewey, Michael E; Delespaul, Philippe; Fuhrer, Rebecca; Hooijer, Christopher; Lawlor, Brian A; Kivela, Sirkka-Liisa; Lobo, Anthony; Magnusson, Halgrimur; Mann, Anthony H; Meller, Ingeborg; Prince, Martin J; Reischies, Friedel; Roelands, Marc; Skoog, Ingmar; Turrina, Cesare; deVries, Marten W; Wilson, Kenneth C M

2004-02-01

The data from nine centres in Europe which had used the Geriatric Mental Scale (GMS) AGECAT were analysed to compare prevalence of diagnoses in subjects aged 65 years and over living in the community. Levels of depressive illness were: Iceland 8.8%, Liverpool 10.0%; Zaragoza 10.7%; Dublin 11.9%; Amsterdam 12.0%; Berlin 16.5%; London 17.3%; Verona 18.3% and Munich 23.6%. Taking all levels of depression, five high (Amsterdam, Berlin, Munich, London and Verona) and four low (Dublin, Iceland, Liverpool, Zaragoza) scoring centres were identified. Meta-analysis of all 13,808 subjects yielded a mean level of depression of 12.3% (95% CI 11.8-12.9), 14.1% for women (95% CI 13.5-14.8) and 8.6% for men (95% CI 7.9-9.3). Symptom levels varied between centres: 40% of the total study population in Amsterdam reported depressive mood against only 26% in Zaragoza. To incorporate studies from other centres using other methods for depression identification, the EURO-D scale was developed from 12 items of the GMS and validated against other scales and expert diagnosis. A two factor solution emerged, an 'affective suffering factor' and a 'motivation factor'. The EURO-D scale was applied to 14 population based surveys. Depression score tended to increase with age unlike levels of prevalence of depression. Large between centre differences were evident in levels of depression unexplained by age, gender or marital status. These data show that depressive illness defined as suitable for intervention is common among older people in Europe. Opportunities for effective treatment are almost certainly being lost. Levels of depressive symptoms vary significantly between high and low scoring centres, prompting the next phase of this study, an examination of risk factors in Europe.

Reason and Culture in Cosmopolitan Education

ERIC Educational Resources Information Center

Waks, Leonard J.

2009-01-01

In this essay, Leonard Waks reviews three recent books on cosmopolitan education: Kwame Anthony Appiah's "Cosmopolitanism: Ethics in a World of Strangers"; Neil Burtonwood's "Cultural Diversity, Liberal Pluralism, and Schools: Isaiah Berlin and Education"; and Thomas Popkewitz's "Cosmopolitanism and the Age of School Reform: Science, Education and…

STI Knowledge in Berlin Adolescents

PubMed Central

von Rosen, Antonella Juline; Müller-Riemenschneider, Falk; Damberg, Inken; Tinnemann, Peter

2018-01-01

Sexually transmitted infections (STIs) pose a significant threat to individual and public health. They disproportionately affect adolescents and young adults. In a cross-sectional study, we assessed self-rated and factual STI knowledge in a sample of 9th graders in 13 secondary schools in Berlin, Germany. Differences by age, gender, migrant background, and school type were quantified using bivariate and multivariable analyses. A total of 1177 students in 61 classes participated. The mean age was 14.6 (SD = 0.7), 47.5% were female, and 52.9% had at least one immigrant parent. Knowledge of human immunodeficiency virus (HIV) was widespread, but other STIs were less known. For example, 46.2% had never heard of chlamydia, 10.8% knew of the HPV vaccination, and only 2.2% were aware that no cure exists for HPV infection. While boys were more likely to describe their knowledge as good, there was no general gender superiority in factual knowledge. Children of immigrants and students in the least academic schools had lower knowledge overall. Our results show that despite their particular risk to contract an STI, adolescents suffer from suboptimal levels of knowledge on STIs beyond HIV. Urgent efforts needed to improve adolescent STI knowledge in order to improve the uptake of primary and secondary prevention. PMID:29320464

Frequency of exercise-induced ST-T-segment deviations and cardiac arrhythmias in recreational endurance athletes during a marathon race: results of the prospective observational Berlin Beat of Running study.

PubMed

Herm, Juliane; Töpper, Agnieszka; Wutzler, Alexander; Kunze, Claudia; Krüll, Matthias; Brechtel, Lars; Lock, Jürgen; Fiebach, Jochen B; Heuschmann, Peter U; Haverkamp, Wilhelm; Endres, Matthias; Jungehulsing, Gerhard Jan; Haeusler, Karl Georg

2017-08-03

While regular physical exercise has many health benefits, strenuous physical exercise may have a negative impact on cardiac function. The 'Berlin Beat of Running' study focused on feasibility and diagnostic value of continuous ECG monitoring in recreational endurance athletes during a marathon race. We hypothesised that cardiac arrhythmias and especially atrial fibrillation are frequently found in a cohort of recreational endurance athletes. The main secondary hypothesis was that pathological laboratory findings in these athletes are (in part) associated with cardiac arrhythmias. Prospective observational cohort study including healthy volunteers. One hundred and nine experienced marathon runners wore a portable ECG recorder during a marathon race in Berlin, Germany. Athletes underwent blood tests 2-3 days prior, directly after and 1-2 days after the race. Overall, 108 athletes (median 48 years (IQR 45-53), 24% women) completed the marathon in 249±43 min. Blinded ECG analysis revealed abnormal findings during the marathon in 18 (16.8%) athletes. Ten (9.3%) athletes had at least one episode of non-sustained ventricular tachycardia, one of whom had atrial fibrillation; eight (7.5%) individuals showed transient ST-T-segment deviations. Abnormal ECG findings were associated with advanced age (OR 1.11 per year, 95% CI 1.01 to 1.23), while sex and cardiovascular risk profile had no impact. Directly after the race, high-sensitive troponin T was elevated in 18 (16.7%) athletes and associated with ST-T-segment deviation (OR 9.9, 95% CI 1.9 to 51.5), while age, sex and cardiovascular risk profile had no impact. ECG monitoring during a marathon is feasible. Abnormal ECG findings were present in every sixth athlete. Exercise-induced transient ST-T-segment deviations were associated with elevated high-sensitive troponin T (hsTnT) values. ClinicalTrials.gov NCT01428778; Results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Frequency of exercise-induced ST-T-segment deviations and cardiac arrhythmias in recreational endurance athletes during a marathon race: results of the prospective observational Berlin Beat of Running study

PubMed Central

Herm, Juliane; Töpper, Agnieszka; Wutzler, Alexander; Kunze, Claudia; Krüll, Matthias; Brechtel, Lars; Lock, Jürgen; Fiebach, Jochen B; Heuschmann, Peter U; Haverkamp, Wilhelm; Endres, Matthias; Jungehulsing, Gerhard Jan; Haeusler, Karl Georg

2017-01-01

Objectives While regular physical exercise has many health benefits, strenuous physical exercise may have a negative impact on cardiac function. The ‘Berlin Beat of Running’ study focused on feasibility and diagnostic value of continuous ECG monitoring in recreational endurance athletes during a marathon race. We hypothesised that cardiac arrhythmias and especially atrial fibrillation are frequently found in a cohort of recreational endurance athletes. The main secondary hypothesis was that pathological laboratory findings in these athletes are (in part) associated with cardiac arrhythmias. Design Prospective observational cohort study including healthy volunteers. Setting and participants One hundred and nine experienced marathon runners wore a portable ECG recorder during a marathon race in Berlin, Germany. Athletes underwent blood tests 2–3 days prior, directly after and 1–2 days after the race. Results Overall, 108 athletes (median 48 years (IQR 45–53), 24% women) completed the marathon in 249±43 min. Blinded ECG analysis revealed abnormal findings during the marathon in 18 (16.8%) athletes. Ten (9.3%) athletes had at least one episode of non-sustained ventricular tachycardia, one of whom had atrial fibrillation; eight (7.5%) individuals showed transient ST-T-segment deviations. Abnormal ECG findings were associated with advanced age (OR 1.11 per year, 95% CI 1.01 to 1.23), while sex and cardiovascular risk profile had no impact. Directly after the race, high-sensitive troponin T was elevated in 18 (16.7%) athletes and associated with ST-T-segment deviation (OR 9.9, 95% CI 1.9 to 51.5), while age, sex and cardiovascular risk profile had no impact. Conclusions ECG monitoring during a marathon is feasible. Abnormal ECG findings were present in every sixth athlete. Exercise-induced transient ST-T-segment deviations were associated with elevated high-sensitive troponin T (hsTnT) values. Trial registration ClinicalTrials.gov NCT01428778; Results. PMID:28775185

Groundwater dating with the helium-tritium method to assess the long-term persistence of pharmaceuticals and their residues in groundwater

NASA Astrophysics Data System (ADS)

Massmann, G.; Burke, V.; Hass, U.; Dünnbier, U.

2012-04-01

The helium-tritium dating method is based on the analysis of tritium combined with its decay product, the lighter and rare 3He isotope. It was first suggested by Tolstikhin and Kamenskiy (1969) and has since been used in many groundwater studies. We applied the method to date groundwater recharged by bank filtration and former sewage irrigation onto sewage farms in Berlin, Germany, in order to assess the long-term persistence of several organic trace pollutants. In recent years, the occurrence of organic trace pollutants, such as pharmaceuticals and personal care products (PPCPs) as well as their metabolites, in the aquatic environment has been of increasing public and scientific interest (e.g. Schwarzenbach et al., 2006). In (urban) partly closed water cycles like Berlin, poorly biodegradable polar compounds may travel along the water path from wastewater via surface water to the raw water used for drinking water production (Reemtsma et al., 2006). In addition, raw or treated sewage irrigation onto sewage farms and/or agricultural land was common practice in Berlin until the 80s. Combined age dating and trace compound analysis revealed that several phenazone-type compounds (AMDOPH, AMPH, FAA and AAA) as well as a number of psychoactive compounds (meprobamate, pyrithyldione, primidone, and its metabolites phenobarbital and phenylethylmalonamide) are present in three decade old groundwater down gradient of a decommissioned sewage farm in Berlin, while a number of phenazone-type compounds (phenazone, propyphenazone, AMDOPH, AMPH) were present in decade-old bank filtrate. The results prove the long-term-persistence of the respective compounds under anoxic redox conditions, which are prevalent at the investigated sites. At the bank filtration sites, some of the compounds may regionally even be used as time markers for a certain infiltration period and reflect the surface water quality changes of the past few decades.

[Leaking: Frequency and correlates of announcements and threats of homicidal violence reported by Berlin schools between 1996 and 2007].

PubMed

Leuschner, Vincenz; Bondü, Rebecca; Allroggen, Marc; Scheithauer, Herbert

2016-01-01

Threats and announcements of homicidal violence at schools may have massive consequences like evacuations, police searches, criminal investigations, or loss of the sense of security by students, teachers, and parents. However, there is a lack of systematic studies about that phenomenon. The present article would like to contribute to closing the research gap. It presents results about the frequency and structure of threats and announcements of homicidal violence in schools in Berlin. The study is based on an official dataset from school administration reports of violent acts in Berlin schools which has been studied within the Berlin Leaking-Projekt. The sample consists of 427 threats and announcements of homicidal violence between 1996 and 2007. The study is an exceptional analysis of the phenomenon: it presents crosscutting results about frequency and characteristics of threats and the threatening students as well as results of a longitudinal analysis about the development of threats and announcements. Results show a rate of 0,3 threats and announcements per 1 000 student and year. During the observation time span a steady increase of threats and announcements – year by year, influenced by imitation effects after school shootings – has been observed.

Reactions to Receiving a Gift-Maternal Scaffolding and Cultural Learning in Berlin and Delhi.

PubMed

Kärtner, Joscha; Crafa, Daina; Chaudhary, Nandita; Keller, Heidi

2016-05-01

This study shows how Berlin (n = 35) and Delhi (n = 28) mothers scaffold a common and highly scripted social situation, namely gift giving, and enable cultural learning in 19-month-olds. Using modeling and prompting to encourage appropriate responses, mothers took culture-specific directions during scaffolding that were in line with the broader cultural model as assessed by maternal socialization goals (SGs). Whereas Berlin mothers prioritized autonomous SGs, Delhi mothers emphasized autonomous and relational SGs to similar degrees. During scaffolding, Berlin mothers focused on maximizing positive affect and acknowledging the gift, whereas Delhi mothers prompted toddlers to acknowledge the giver more often. Furthermore, there were differences in toddlers' behavior in line with these culture-specific scripts guiding gift giving. © 2016 The Authors. Child Development © 2016 Society for Research in Child Development, Inc.

Zweiwegintegration durch zweisprachige Bildung? Ergebnisse aus der Staatlichen Europa-Schule Berlin

NASA Astrophysics Data System (ADS)

Meier, Gabriela

2012-06-01

While there is no simple recipe of how to respond to the multitude of languages present in many European schools, this article presents a promising alternative to monolingual education. The focus is on Staatliche Europa-Schule Berlin (SESB), a two-way immersion (TWI) model that unites children whose mother tongue is German with children whose mother tongue is another locally spoken language in one class and teaches them together in two languages. Thus in this model, offered by 17 primary schools and 13 secondary schools in Berlin, pupils learn in two languages from and with each other. Based on a largely quantitative, quasi-experimental study with 603 students, evidence is provided that there are a number of peace-linguistic benefits that can promote two-way social integration, besides fostering personal and societal multilingualism. This suggests that TWI education as practised in Berlin could serve as an educational model for other multilingual parts of Europe.

Preconceptional factors associated with very low birthweight delivery in East and West Berlin: a case control study

PubMed Central

Grimmer, Ingrid; Bührer, Christoph; Dudenhausen, Joachim W; Stroux, Andrea; Reiher, Horst; Halle, Horst; Obladen, Michael

2002-01-01

Background Very low birthweight, i.e. a birthweight < 1500 g, is among the strongest determinants of infant mortality and childhood morbidity. To develop primary prevention approaches to VLBW birth and its sequelae, information is needed on the causes of preterm birth, their personal and social antecedents, and on conditions associated with very low birthweight. Despite the growing body of evidence linking sociodemographic variables with preterm delivery, little is known as to how this may be extrapolated to the risk of very low birthweight. Methods In 1992, two years after the German unification, we started to recruit two cohorts of very low birthweight infants and controls in East and West Berlin for a long-term neurodevelopmental study. The present analysis was undertaken to compare potential preconceptional risk factors for very low birthweight delivery in a case-control design including 166 mothers (82 East vs. 84 West Berlin) with very low birthweight delivery and 341 control mothers (166 East vs. 175 West). Results Multivariate logistic regression analysis was used to assess the effects of various dichotomous parental covariates and their interaction with living in East or West Berlin. After backward variable selection, short maternal school education, maternal unemployment, single-room apartment, smoking, previous preterm delivery, and fetal loss emerged as significant main effect variables, together with living in West Berlin as positive effect modificator for single-mother status. Conclusion Very low birthweight has been differentially associated with obstetrical history and indicators of maternal socioeconomic status in East and West Berlin. The ranking of these risk factors is under the influence of the political framework. PMID:12095425

The acceleration of the masculine in early-twentieth-century Berlin.

PubMed

Prickett, David James

2012-01-01

In early-twentieth-century Berlin, agents of speed and industrialisation, such as the railway, contributed to the seemingly unbridled velocity of urban life. Doctors and cultural critics took an ambivalent stance toward the impact of speed and technology on the human body. Critics argued that these factors, in conjunction with sexual excess and prostitution, accelerated the sexual maturation of young men, thereby endangering ‘healthy’ male sexuality. This comparison of Hans Ostwald's socio-literary study Dunkle Winkel in Berlin (1904) with Georg Buschan's sexual education primer Vom Jüngling zum Mann (1911) queries the extent to which speed shaped the understanding of ‘the masculine’ in pre-World-War-I Germany. The essay thus examines Ostwald's and Buschan's arguments and postulates that speed in the city (Berlin) can be seen as a feminised, sexualised force that determined sex in the city. According to this reading, the homosexual urban dandy resisted the accelerated modernist urban tempo, whereas the heterosexual man and hegemonic, heteronormative masculinity yielded to speed. ‘“Das Verhältnis”’ became a fleeting, momentary alternative to stable marital relationships, which in turn contributed to the general ‘crisis’ of – and in– masculinity in early-twentieth-century Berlin.

[Some impressions of child and adolescent psychiatric management in Berlin after the fall of the wall].

PubMed

Fegert, J M; Geiken, G; Lenz, K

1992-12-01

The fall of the Berlin wall caused a sudden increase in migration from East-Germany to West-Berlin. In our sample we compared 155 Berlin elementary school children to 17 children from East-Germany now living in Berlin and 25 immigrant children most oft them coming from Turkey and Poland. Although many authors expected short-term disorders of adaptation, we found a constancy of psychiatric diagnosis in the migration group. We noticed important differences particularly in the new psychosocial situation of the former East German mothers, with many single-mother-families, where the mothers now were often unemployed.

Fitness as "Social Heritage": A Study of Elementary School Pupils in Berlin

ERIC Educational Resources Information Center

Pfister, Gertrud; Reeg, Annemarie

2006-01-01

Health and fitness among children and adolescents is a subject currently receiving public attention. This article focuses on the fitness of German pupils (third and fourth grades) in five schools in Berlin with widely differing social catchment areas as well as children from differing social backgrounds. Besides an orthopaedic examination and…

Validation of the Malay version of Berlin questionaire to identify Malaysian patients for obstructive sleep apnea.

PubMed

Yunus, A; Seet, W; Mohamad Adam, B; Haniff, J

2013-01-01

To validate the Malay version of Berlin Questionnaire (BQ) as a tool to screen for patients at risk of obstructive sleep apnea (OSA) in primary care. Most patients with OSA are unrecognised and untreated. Thus, the BQ has been used as a tool to screen for patients at risk for OSA. However, this tool has not been validated in Malay version. A parallel back-to-back translation method was applied to produce the Malay version (Berlin-M). The Malay version was administered to 150 patients in a tertiary respiratory medical centre.  Concurrent validity of the Berlin-M was determined using the Apnea Hypopnea Index (AHI) as the gold standard measure.  The test-retest reliability and internal consistency of the Berlin-M were determined. Most patients were males (64.0%) and majority of them were Malays (63.3%). Based on the sleep study test, 121 (84.0%) were classified as high risk while 23 (16.0%) as low risk using the Apnea Hypopnea Index (AHI) ≥5 as the cutoff point. The test-retest reliability Kappa value showed a good range between 0.864 - 1.000. The Cronbach's alpha of BQ was 0.750 in category 1 and 0.888 in category 2. The sensitivity and specificity were 92% and 17% respectively. The BQ showed high sensitivity (92%) but low specificity (17%). Therefore, though the Berlin-M is useful as a screening tool, it is not a confirmatory diagnostic tool.

Comparing the Berlin and the ARES questionnaire to identify patients with obstructive sleep apnea in a dental setting.

PubMed

Enciso, Reyes; Clark, Glenn T

2011-01-01

The aim of this study was to compare the sensitivity and specificity of two questionnaires to identify patients with obstructive sleep apnea (OSA). Fifty-three moderate to severe OSA patients [with a respiratory disturbance index (RDI) ≥ 15] and 31 controls (RDI < 15) based on ambulatory somnographic assessment were recruited through flyers and mail at USC School of Dentistry. Each patient answered the Berlin and apnea risk evaluation system (ARES) questionnaires. The responses to the questionnaires were scored and compared for significant group differences. Moderate and severe OSA patients were predominantly male, older, had a larger neck size, and larger body mass index than controls. There were no significant differences in race or ethnicity between the two groups. In this study, subjects having a "high risk" ARES questionnaire were 7.9 times as likely to have OSA as subjects with "low or no risk" score (p = 0.0002). The ARES questionnaire had a sensitivity of 90.6%, specificity of 43.2%, a positive predictive value (PPV) of 73.8%, and negative predictive value (NPV) of 73.7% compared to 67.9%, 54.8%, 72%, and 50%, respectively, for the Berlin questionnaire using a cut point of RDI ≥ 15. In this specific patient group, not uncommon to the regular dental private practice, the ARES questionnaire performed better than the Berlin questionnaire with higher sensitivity, similar PPV, higher NPV, but lower specificity. The lower specificity could be explained in part because the ARES has been tailored to screen patients with an RDI ≥ 5, and our study included mostly mild to severe patients. In conclusion, in this specific group of subjects, the ARES questionnaire is a better choice than the Berlin questionnaire; however, the Berlin questionnaire is publicly available and the ARES screener is proprietary.

Comparing a combination of validated questionnaires and level III portable monitor with polysomnography to diagnose and exclude sleep apnea.

PubMed

Pereira, Effie J; Driver, Helen S; Stewart, Steven C; Fitzpatrick, Michael F

2013-12-15

Questionnaires have been validated as screening tools in adult populations at risk for obstructive sleep apnea (OSA). Portable monitors (PM) have gained acceptance for confirmation of OSA in some patients with a high pretest probability of the disorder. We evaluated the combined diagnostic utility of 3 validated questionnaires and a Level III PM in the diagnosis and exclusion of OSA, as compared with in-laboratory polysomnography (PSG) derived apnea hypopnea index (AHI). Consecutive patients referred to the Sleep Disorders Clinic completed 3 testing components: (1) 3 questionnaires (Berlin, STOP-Bang, and Sleep Apnea Clinical Score [SACS]); (2) Level III at-home PM (MediByte) study; and (3) Level I in-laboratory PSG. The utility of individual questionnaires, the Level III device alone, and the combination of questionnaires and the Level III device were compared with the PSG. One hundred twenty-eight patients participated in the study (84M, 44F), mean ± SD age 50 ± 12.3years, BMI 31 ± 6.6 kg/m(2). At a PSG threshold AHI = 10, the PM derived respiratory disturbance index (RDI) had a sensitivity and specificity of 79% and 86%, respectively. The sensitivity and specificity for the other screening tools were: Berlin 88%, 25%; STOP-Bang 90%, 25%; SACS 33%, 75%. The sensitivity and specificity at a PSG AHI = 15 were: PM 77%, 95%; Berlin 91%, 28%; STOP-Bang 93%, 28%; SACS 35%, 78%. Questionnaires alone, possibly given a reliance on sleepiness as a symptom, cannot reliably rule out the presence of OSA. Objective physiological measurement is critical for the diagnosis and exclusion of OSA.

A prospective study of associations among helping, health, and longevity.

PubMed

Hilbrand, Sonja; Coall, David A; Meyer, Andrea H; Gerstorf, Denis; Hertwig, Ralph

2017-08-01

How does helping behavior contribute to the health and the longevity of older helpers? From an evolutionary perspective, the ultimate cause may be rooted in ancestral parenting and grandparenting. These activities may have generalized to a neural and hormonal caregiving system that also enabled prosocial behavior beyond the family. From a psychological perspective, helping others may be associated with healthy aging, which, in turn, contributes to longevity as a proximate cause. Yet little is known about the extent to which mediating factors such as the health benefits of helping behaviors translate into enhanced longevity, particularly in regard to grandparenting. To fill this gap, we conducted mediation analyses (structural equation models) to examine whether grandparenting and supporting others in the social network contributed directly or indirectly (through better health 5-6 years later) to the longevity of older helpers. We drew on longitudinal data from the Berlin Aging Study (N = 516), in which older adults in Berlin, Germany, were interviewed at baseline (1990-1993, mean age at entry = 85 years) and continuously followed up until 2009. Results suggest that the associations of both grandparenting and supporting others with enhanced longevity are mediated by better prospective health (indirect effect). The effect of helping was not fully mediated, however-helping was also directly associated with increased longevity independently of the health indicators measured. The results were robust against effects of the helper's preexisting health status and sociodemographic characteristics of participants, their children, and grandchildren. We conclude that better prospective health contributes to the link between helping and longevity, but does not fully account for it. Other potential contributing mechanisms remain to be identified. As populations age across the globe, identifying mechanisms that foster health in old age can help to highlight potential targets for public health interventions. Copyright © 2017 Elsevier Ltd. All rights reserved.

Polypharmacy as a Risk Factor for Clinically Relevant Sarcopenia: Results From the Berlin Aging Study II.

PubMed

König, Maximilian; Spira, Dominik; Demuth, Ilja; Steinhagen-Thiessen, Elisabeth; Norman, Kristina

2017-12-12

Sarcopenia affects more than 10% of older adults. Next to age-associated physiologic changes, diseases like diabetes or inflammatory, neurological, malignant and endocrine disorders may contribute to the development of sarcopenia. Likewise, polypharmacy, i.e., multiple drug use, is common among older adults. Although the two conditions frequently co-occur, the association of polypharmacy with sarcopenia has not yet been examined. We investigated the association of polypharmacy and sarcopenia in a large cohort of community-dwelling older adults (60-84 years). Thousand five hundred and two participants from the Berlin Aging Study II were included. Polypharmacy was defined as concurrent use of 5 or more drugs (prescription and nonprescription). Body composition was assessed with dual-energy X-ray absorptiometry, and appendicular lean mass (ALM) was calculated as sum of the four limbs' lean mass. Sarcopenia was defined as low ALM-to-body mass index (BMI)-ratio using validated sex-specific cutoffs. Mean age was 68.7 ± 3.7 years, 50.7% were female. The median (interquartile range) number of drugs was 2 (1-4); 21.1% of subjects reported regular use of ≥5 drugs. Subjects with polypharmacy were more often sarcopenic according to the applied ALM/BMI-cutoffs (16.3% vs 6.9%, p < 0.001), with a higher BMI (p < 0.001) and lower ALM/BMI (p < 0.001), but no significant difference in mean ALM. Notably, polypharmacy was also associated with higher rates of reduced gait speed and exhaustion. Even after multivariable adjustment (sex, age, comorbid conditions and physical activity) polypharmacy was consistently associated with a significantly increased likelihood of sarcopenia (odds ratio = 2.24, 95% confidence interval [CI] = 1.33-3.75). Polypharmacy is associated with clinically relevant sarcopenia, as assessed by a low ALM/BMI. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Education to Thrive in a Heterogeneous and Democratic Society--A Task for Citizenship and Character Education? Results of Case Studies in Three Berlin Schools

ERIC Educational Resources Information Center

Bacia, Ewa; Ittel, Angela

2017-01-01

Purpose: The main goal of this paper is to analyze how the schools and teachers in three high schools dealt with the challenges of heterogeneity in the classroom using methods of citizenship and character education (CCE). Approach: To achieve this goal we conducted case studies in three high schools in Berlin, using multiple Methodological…

Reflections on My Career as an International Adult Educator.

ERIC Educational Resources Information Center

Cassara, Beverly Benner

This document is the personal narrative of a woman who has spent her career as an international adult educator. The narrative begins with the author's graduate studies in West Berlin in 1975, during which she researched the education and career pathways of professional women in West Berlin's universities. The remainder of the narrative is devoted…

The influence of geopolitical change on the well-being of a population: the Berlin Wall.

PubMed

Héon-Klin, V; Sieber, E; Huebner, J; Fullilove, M T

2001-03-01

Social cohesion is recognized as a fundamental condition for healthy populations, but social cohesion itself arises from political unity. The history of the Berlin Wall provides a unique opportunity to examine the effects of partition on social cohesion and, by inference, on health. This ethnographic study consisted of examination of the territory formerly occupied by the Wall, formal and informal interviews with Berlin residents, and collection of cultural documents related to the Wall. Transcripts, field notes, and documents were examined by means of a keyword-in-context analysis. The separation of Berlin into 2 parts was a traumatic experience for the city's residents. After partition, East and West Germany had divergent social, cultural, and political experiences and gradually grew apart. The demolition of the Wall--the symbol and the instrument of partition--makes possible but does not ensure the reintegration of 2 populations that were separated for 40 years. The evolution of a new common culture might be accelerated by active attempts at cultural and social exchange.

When the Girls Still Wore Headscarves: Integration and Belonging in an After-School Center in Berlin

ERIC Educational Resources Information Center

Burnside, Bruce S.

2015-01-01

This study is centered on a youth center in Berlin, Germany, that serves migrant females. It draws on the anthropology of performance and the concept of "friction" to argue for an understanding of performances of belonging, where migrant girls stage acts of inclusion through creative encounters with the forces of integration to negotiate…

Molecules at surfaces: 100 years of physical chemistry in Berlin-Dahlem.

PubMed

Ertl, Gerhard

2013-01-02

Scratching the surface: for over 100 years the interactions of molecules at surfaces have been studied at the Fritz Haber Institute of the Max Planck Society, Berlin. Nobel Laureate Gerhard Ertl looks back at some of the key developments in this time, and the people who made them. Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Mental constructs and the cognitive reconstruction of the Berlin wall.

PubMed

Tijus, C A; Santolini, A

1996-07-01

In this study of how to change people's conceptions of certain facts (i.e., the position of the Berlin Wall), a surprising psychological phenomenon was discovered. In the trial test, instead of designing a wall to enclose West Berlin, most people described and drew a short and straight wall that divided the city from north to south. Two methods were created, based on two general information-processing components involved in problem solving, to study how people might repair their misconceptions by themselves. The do-it-yourself method consisted of providing people with the task of thinking about how to build the wall and then drawing it, instead of just asking them to draw it. The distance-to-goal evaluation method consisted of asking the participants how the wall they had drawn would actually prevent passage from East Germany to West Berlin. The results showed that both methods had important effects in repairing misconceptions, but improvement in performance with the distance-to-goal method was less significant for those participants who were first provided the task of thinking about how to build the wall. These findings are consistent with the hypothesis that awareness of functional properties plays an important role in structuring and restructuring mental constructs.

"Congo" red: out of Africa?

PubMed

Steensma, D P

2001-02-01

Congo red is the essential histologic stain for demonstrating the presence of amyloidosis in fixed tissues. To the best of my knowledge, nothing has been written about why the stain is named "Congo." To understand the etymology and history of the Congo red histologic stain. Primary sources were consulted extensively, including 19th-century corporate documents, newspapers, legal briefs, patents, memoirs, and scientific papers. Sources were obtained from multiple university libraries and German corporate archives. To Europeans in 1885, the word Congo evoked exotic images of far-off central Africa known as The Dark Continent. The African Congo was also a political flashpoint during the Age of Colonialism. "Congo" red was introduced in Berlin in 1885 as the first of the economically lucrative direct textile dyes. A patent on Congo red was filed by the AGFA Corporation of Berlin 3 weeks after the conclusion of the well-publicized Berlin West Africa Conference. During these important diplomatic talks, German Chancellor Otto von Bismarck presided over a discussion of free trade issues in the Congo River basin. A challenge to AGFA's Congo red patent led to a precedent-setting decision in intellectual property law. The Congo red stain was named "Congo" for marketing purposes by a German textile dyestuff company in 1885, reflecting geopolitical current events of that time.

Quand Berlin chante en francais: Une experience de promotion linguistique (When Berlin Sings in French: An Experiment in Linguistic Promotion).

ERIC Educational Resources Information Center

Pilhion, Roger; And Others

1984-01-01

A six-month French language promotion program in West Berlin revolving around French song and including interclass competitions, a teaching seminar, recitals, conferences, film showings, and an exposition is described, and participant and observer reactions are presented. (MSE)

Being in Berlin: a large group experience in the Berlin Congress.

PubMed

Erlich, H Shmuel; Erlich-Ginor, Mira; Beland, Hermann

2009-08-01

In July 2007, the International Psychoanalytic Congress convened for the first time since the war in the former Nazi capital, Berlin. An open large group forum was held at this meeting, where attendees (Jewish, German and others) had the opportunity to explore the emotional aspects stirred up by being in Berlin. Hundreds of people participated in the event and described it as the 'heart of the Congress'. We examine several aspects of the event, including the passions stirred, the containment of the setting, and the voices present and absent.

Romanistik ohne Latein? Zu einer Empfehlung der Konferenz der Romanischen Seminare (Romance Studies without Latin? On a Recommendation from the Conference of Romance Seminars)

ERIC Educational Resources Information Center

Neumeister, Sebastian

1973-01-01

Reaction to a February 19, 1972 recommendation of the Konferenz der Romanischen Seminare der Bundesrepublik Deutschland und West-Berlins in Deutschen Romanistenverband'' (Conference of Romance Seminars of the Federal Republic of Germany and West Berlin of the German Association of Romance Philologists) to discontinue the Latin prerequisite for…

Evaluating the Performance of the Pediatric Acute Lung Injury Consensus Conference Definition of Acute Respiratory Distress Syndrome.

PubMed

Parvathaneni, Kaushik; Belani, Sanjay; Leung, Dennis; Newth, Christopher J L; Khemani, Robinder G

2017-01-01

The Pediatric Acute Lung Injury Consensus Conference has developed a pediatric-specific definition of acute respiratory distress syndrome, which is a significant departure from both the Berlin and American European Consensus Conference definitions. We sought to test the external validity and potential impact of the Pediatric Acute Lung Injury Consensus Conference definition by comparing the number of cases of acute respiratory distress syndrome and mortality rates among children admitted to a multidisciplinary PICU when classified by Pediatric Acute Lung Injury Consensus Conference, Berlin, and American European Consensus Conference criteria. Retrospective cohort study. Tertiary care, university-affiliated PICU. All patients admitted between March 2009 and April 2013 who met inclusion criteria for acute respiratory distress syndrome. None. Of 4,764 patients admitted to the ICU, 278 (5.8%) met Pediatric Acute Lung Injury Consensus Conference pediatric acute respiratory distress syndrome criteria with a mortality rate of 22.7%. One hundred forty-three (32.2% mortality) met Berlin criteria, and 134 (30.6% mortality) met American European Consensus Conference criteria. All patients who met American European Consensus Conference criteria and 141 (98.6%) patients who met Berlin criteria also met Pediatric Acute Lung Injury Consensus Conference criteria. The 137 patients who met Pediatric Acute Lung Injury Consensus Conference but not Berlin criteria had an overall mortality rate of 13.1%, but 29 had severe acute respiratory distress syndrome with 31.0% mortality. At acute respiratory distress syndrome onset, there was minimal difference in mortality between mild or moderate acute respiratory distress syndrome by both Berlin (32.4% vs 25.0%, respectively) and Pediatric Acute Lung Injury Consensus Conference (16.7% vs 18.6%, respectively) criteria, but higher mortality for severe acute respiratory distress syndrome (Berlin, 43.6%; Pediatric Acute Lung Injury Consensus Conference, 37.0%). Twenty-four hours after acute respiratory distress syndrome onset, the presence of severe acute respiratory distress syndrome (using either Berlin or Pediatric Acute Lung Injury Consensus Conference) was associated with nearly 50% mortality. Applying the Pediatric Acute Lung Injury Consensus Conference definition of acute respiratory distress syndrome has the potential to significantly increase the number of acute respiratory distress syndrome patients identified, with a lower overall mortality rate. However, severe acute respiratory distress syndrome is associated with extremely high mortality, particularly if present at 24 hours after initial diagnosis.

Space technology in Berlin. Volume 1: Ideas for the establishment of an institute for space processing technology

NASA Technical Reports Server (NTRS)

1986-01-01

The past, present, and future status of space technology in Berlin is discussed, including raw material processing, transportation, energy, and information generation and distribution. How Berlin can contribute toward further advancement in this field, individually or in collaboration with international partners is indicated.

Berlin's Adult Education Centres (Volkshochschulen) from 1945 to 1960.

ERIC Educational Resources Information Center

Rose, Karl Heinz; Korthaase, Werner

Two lectures on the development of Berlin's adult education centers after World War II are included. The lecture by Werner Korthaase begins by describing the situation prior to 1920, when Berlin was divided into independent districts, each with its own administrative authorities. It then describes the reestablishment of the local adult education…

Zinc Deficiency Is associated With Depressive Symptoms-Results From the Berlin Aging Study II.

PubMed

Jung, Alissa; Spira, Dominik; Steinhagen-Thiessen, Elisabeth; Demuth, Ilja; Norman, Kristina

2017-08-01

Zinc plays an important role for behavioral and mental function, maintaining the correct functions of intracellular signal transduction, cellular and trans-membrane transport, protein synthesis, and antioxidant system. We investigated both dietary zinc intake and plasma zinc levels and the correlation with depressive symptoms in a large sample of community-dwelling old. One thousand five hundred fourteen older people (aged 60-84 years, 772 women) from the Berlin Aging Study II were included. Zinc intake was assessed by the EPIC Food Frequency Questionnaire. Plasma zinc levels were assessed with atomic-absorption spectrophotometry. Depressive symptoms were assessed with the "Center for Epidemiological Studies Depression Scale" and the "Geriatric Depression Scale." Zinc deficiency in blood plasma was found in 18.7% of participants, and depressive symptoms in 15.7%. Participants with depressive symptoms had lower energy-adjusted zinc intake (median 11.1 vs 11.6 µmol/L; p = .048) and lower plasma zinc levels (median 12.2 vs12.3 mg/dL; p = .037). Even after adjustment for known predictors of depression, plasma zinc deficiency remained significantly associated with depressive symptoms (odds ratio: 1.490, 95% confidence interval: 1.027-2.164; p = .036). In the multiple logistic regression model stratified by sex, we found that plasma zinc deficiency was strongly associated with a higher risk for depressive symptoms in women (odds ratio: 1.739, 95% confidence interval: 1.068-2.833; p = .026). Plasma zinc deficiency was common in our old study population. An increase in dietary zinc and higher plasma zinc levels may reduce the risk of depressive symptoms. A screening for reduced dietary zinc intake or plasma zinc deficiency might be beneficial in older people at risk of depressive symptoms. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Associations Among Individuals’ Perceptions of Future Time, Individual Resources, and Subjective Well-Being in Old Age

PubMed Central

Hoppmann, Christiane A.; Infurna, Frank J.; Ram, Nilam; Gerstorf, Denis

2015-01-01

Objectives Perceptions of future time are of key interest to aging research because of their implications for subjective well-being. Interestingly, perceptions about future time are only moderately associated with age, pointing to a vast heterogeneity in future time perceptions among older adults. We examine associations between future time perceptions, age, and subjective well-being across two studies, including moderations by individual resources. Method Using data from the Berlin Aging Study (N = 516; Mage = 85 years), we link one operationalization (subjective nearness to death) and age to subjective well-being. Using Health and Retirement Study data (N = 2,596; Mage = 77 years), we examine associations of another future time perception indicator (subjective future life expectancy) and age with subjective well-being. Results Consistent across studies, perceptions of limited time left were associated with poorer subjective well-being (lower life satisfaction and positive affect; more negative affect and depressive symptoms). Importantly, individual resources moderated future time perception–subjective well-being associations with those of better health exhibiting reduced future time perception–subjective well-being associations. Discussion We discuss our findings in the context of the Model of Strength and Vulnerability Integration. PMID:26437862

An attempt to validate the modification of the American-European consensus definition of acute lung injury/acute respiratory distress syndrome by the Berlin definition in a university hospital.

PubMed

Hernu, R; Wallet, F; Thiollière, F; Martin, O; Richard, J C; Schmitt, Z; Wallon, G; Delannoy, B; Rimmelé, T; Démaret, C; Magnin, C; Vallin, H; Lepape, A; Baboi, L; Argaud, L; Piriou, V; Allaouchiche, B; Aubrun, F; Bastien, O; Lehot, J J; Ayzac, L; Guérin, C

2013-12-01

The Berlin definition for acute respiratory distress syndrome (ARDS) is a new proposal for changing the American-European consensus definition but has not been assessed prospectively as yet. In the present study, we aimed to determine (1) the prevalence and incidence of ARDS with both definitions, and (2) the initial characteristics of patients with ARDS and 28-day mortality with the Berlin definition. We performed a 6-month prospective observational study in the ten adult ICUs affiliated to the Public University Hospital in Lyon, France, from March to September 2012. Patients under invasive or noninvasive mechanical ventilation, with PaO2/FiO2 <300 mmHg regardless of the positive end-expiratory pressure (PEEP) level, and acute onset of new or increased bilateral infiltrates or opacities on chest X-ray were screened from ICU admission up to discharge. Patients with cardiogenic pulmonary edema were excluded. Patients were further classified into specific categories by using the American-European Consensus Conference and the Berlin definition criteria. The complete data set was measured at the time of inclusion. Patient outcome was measured at day 28 after inclusion. During the study period 3,504 patients were admitted and 278 fulfilled the American-European Consensus Conference criteria. Among them, 18 (6.5 %) did not comply with the Berlin criterion PEEP ≥ 5 cmH2O and 20 (7.2 %) had PaO2/FiO2 ratio ≤200 while on noninvasive ventilation. By using the Berlin definition in the remaining 240 patients (n = 42 mild, n = 123 moderate, n = 75 severe), the overall prevalence was 6.85 % and it was 1.20, 3.51, and 2.14 % for mild, moderate, and severe ARDS, respectively (P > 0.05 between the three groups). The incidence of ARDS amounted to 32 per 100,000 population per year, with values for mild, moderate, and severe ARDS of 5.6, 16.3, and 10 per 100,000 population per year, respectively (P < 0.05 between the three groups). The 28-day mortality was 35.0 %. It amounted to 30.9 % in mild, 27.9 % in moderate, and 49.3 % in severe categories (P < 0.01 between mild or moderate and severe, P = 0.70 between mild and moderate). In the Cox proportional hazard regression analysis ARDS stage was not significantly associated with patient death at day 28. The present study did not validate the Berlin definition of ARDS. Neither the stratification by severity nor the PaO2/FiO2 at study entry was independently associated with mortality.

Adherence to a Mediterranean-Style Diet and Appendicular Lean Mass in Community-Dwelling Older People: Results From the Berlin Aging Study II.

PubMed

Nikolov, Jivko; Spira, Dominik; Aleksandrova, Krasimira; Otten, Lindsey; Meyer, Antje; Demuth, Ilja; Steinhagen-Thiessen, Elisabeth; Eckardt, Rahel; Norman, Kristina

2016-10-01

Selected nutrients or food groups have often been studied with regard to long-term mortality and cardiovascular disease, whereas the relation between diet quality and appendicular lean mass (ALM) has rarely been researched. The aim of this study was to explore the association between a Mediterranean-style diet and ALM in community-dwelling older people. Cross-sectional data from the Berlin Aging Study II were available for 1,509 participants (51% women, 68.2±3.7 years). Nutrient intake was assessed using the European Prospective Investigation into Cancer and Nutrition Food Frequency Questionnaire. Adherence to a Mediterranean-style diet was evaluated with the modified Mediterranean-type diet score (mMedTypeDiet). ALM was determined by dual-energy X-ray absorptiometry and related to body mass index (ALM/BMI). A general linear regression model was carried out to assess the association between mMedTypeDiet score groups and ALM/BMI. ALM/BMI was higher in women with a higher adherence to the mMedTypeDiet (0.64±0.1 vs 0.62±0.1 and 0.61±0.1 in low and medium adherence, retrospectively, p = .004). In the risk factor-adjusted general linear regression analysis, a higher adherence to the mMedTypeDiet was associated with higher ALM/BMI in women and better ALM/fat mass ratio when compared to a medium and a low diet quality. No significant associations were seen in men. Higher adherence to a Mediterranean-style diet was associated with a positive effect on ALM/BMI in women. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

The influence of geopolitical change on the well-being of a population: the Berlin Wall.

PubMed Central

Héon-Klin, V; Sieber, E; Huebner, J; Fullilove, M T

2001-01-01

OBJECTIVES: Social cohesion is recognized as a fundamental condition for healthy populations, but social cohesion itself arises from political unity. The history of the Berlin Wall provides a unique opportunity to examine the effects of partition on social cohesion and, by inference, on health. METHODS: This ethnographic study consisted of examination of the territory formerly occupied by the Wall, formal and informal interviews with Berlin residents, and collection of cultural documents related to the Wall. Transcripts, field notes, and documents were examined by means of a keyword-in-context analysis. RESULTS: The separation of Berlin into 2 parts was a traumatic experience for the city's residents. After partition, East and West Germany had divergent social, cultural, and political experiences and gradually grew apart. CONCLUSIONS: The demolition of the Wall--the symbol and the instrument of partition--makes possible but does not ensure the reintegration of 2 populations that were separated for 40 years. The evolution of a new common culture might be accelerated by active attempts at cultural and social exchange. PMID:11236400

In the Center of the Cold War: The American Occupation of Berlin and Education Reform, 1945-1952.

ERIC Educational Resources Information Center

Wegner, Gregory

1995-01-01

Examines educational policy formation in the Education and Religion branch of postwar Berlin's Office of Military Government relating to the "gymnasium," a potent symbol of elite German schooling tradition. As shown by West Berlin's conservative 1950s schooling policies, German education traditions were so powerful that neither Hitler's…

Managing Library Staff from a Different Cultural Background--The East-West Conflict in Berlin.

ERIC Educational Resources Information Center

Lux, Claudia

This paper discusses personnel management issues that arose when the East Berlin (Germany) Municipal Library and the West Berlin America Memorial Library united in 1995 to form the Central and State Library. The first section provides historical background on the two libraries and their merger. The second section summarizes the East-West conflict…

Best Practices: Intercultural Integration of Arabic Refugees in Berlin

ERIC Educational Resources Information Center

Kyuchukov, Hristo; New, William

2017-01-01

The paper presents the work of a Berlin-based NGO (ANE) in Germany, which works with migrants and Arab refugees. The organisation has a strong record publishing a Parents Newsletter and conducting family counselling for migrants and refugees in Berlin. One of the major activities of the organisation in 2016 was an international conference with…

Smoking prevalence differs by location of residence among Ghanaians in Africa and Europe: The RODAM study

PubMed Central

Brathwaite, Rachel; Addo, Juliet; Kunst, Anton E.; Agyemang, Charles; Owusu-Dabo, Ellis; de-Graft Aikins, Ama; Beune, Erik; Meeks, Karlijn; Klipstein-Grobusch, Kerstin; Bahendeka, Silver; Mockenhaupt, Frank P.; Amoah, Stephen; Galbete, Cecilia; Schulze, Matthias B.; Danquah, Ina; Smeeth, Liam

2017-01-01

Background Although the prevalence of smoking is low in Ghana, little is known about the effect of migration on smoking. Comparing Ghanaians living in their country of origin to those living in Europe offers an opportunity to investigate smoking by location of residence and the associations between smoking behaviours and migration-related factors. Methods Data on a relatively homogenous group of Ghanaians living in London (n = 949), Amsterdam (n = 1400), Berlin (n = 543), rural Ghana (n = 973) and urban Ghana (n = 1400) from the cross-sectional RODAM (Research on Obesity & Diabetes in African Migrants) study were used. Age-standardized prevalence rates of smoking by location of residence and factors associated with smoking among Ghanaian men were estimated using prevalence ratios (PR: 95% CIs). Results Current smoking was non-existent among women in rural and urban Ghana and London but was 3.2% and 3.3% in women in Amsterdam and Berlin, respectively. Smoking prevalence was higher in men in Europe (7.8%) than in both rural and urban Ghana (4.8%): PR 1.91: 95% CI 1.27, 2.88, adjusted for age, marital status, education and employment. Factors associated with a higher prevalence of smoking among Ghanaian men included European residence, being divorced or widowed, living alone, Islam religion, infrequent attendance at religious services, assimilation (cultural orientation), and low education. Conclusion Ghanaians living in Europe are more likely to smoke than their counterparts in Ghana, suggesting convergence to European populations, although prevalence rates are still far below those in the host populations. PMID:28475620

History of Education and the Struggle for Intellectual Liberation in Post-Soviet Baltic Space after the Fall of the Berlin Wall

ERIC Educational Resources Information Center

Kestere, Iveta

2014-01-01

This study on a "new" history of education is written from the perspective of a participant in the process of discarding Soviet intellectual and physical boundaries. The fall of the Berlin Wall has, over the past two decades, become a continuous process in post-Soviet societies, when the now liberated historians of education were faced…

Cryogenic system for BERLinPro

DOE Office of Scientific and Technical Information (OSTI.GOV)

Anders, W.; Hellwig, A.; Knobloch, J.

2014-01-29

In 2010 Helmholtz-Zentrum Berlin (HZB) received funding to design and build the Berlin Energy Recovery Linac Project BERLinPro. The goal of this compact Energy recovery linac (ERL) is to develop the accelerator physics and technology required to generate and accelerate a 100-mA, 1-mm mrad emittance electron beam. The BERLinPro know-how can then be transferred to various ERL-based applications. All accelerating RF cavities including the electron source are based on superconducting technology operated at 1.8 K. A Linde L700 helium liquefier is supplying 4.5 K helium. The subatmospheric pressure of 16 mbar of the helium bath of the cavities will bemore » achieved by pumping with a set of cold compressors and warm vacuum pumps. While the L700 is already in operating, the 1.8 K system and the helium transfer system are in design phase.« less

Sleep-disordered breathing in patients with cardiovascular diseases cannot be detected by ESS, STOP-BANG, and Berlin questionnaires.

PubMed

Reuter, Hannes; Herkenrath, Simon; Treml, Marcel; Halbach, Marcel; Steven, Daniel; Frank, Konrad; Castrogiovanni, Alessandra; Kietzmann, Ilona; Baldus, Stephan; Randerath, Winfried J

2018-05-29

Sleep-disordered breathing (SDB) is highly prevalent in patients with cardiovascular diseases (CVD) and associated with poor outcome. At least 50% of heart failure (HF) patients present with SDB, equally divided in obstructive sleep apnea (OSA) and central sleep apnea (CSA). CVD patients with SDB do not always present with typical SDB symptoms. Therefore, we asked whether established questionnaires allow for the reliable detection of SDB. In this prospective cohort study, 89 CVD patients (54 male, 59 ± 15 years, BMI 30 ± 6 kg/m 2 ) in stable clinical state underwent an ambulatory polygraphy. SDB was defined as an apnea-hypopnea index (AHI) ≥ 15/h. We evaluated the Epworth Sleepiness Scale (ESS), STOP-BANG and Berlin questionnaires as well as anthropometric data and comorbidities regarding their ability to predict SDB. The ESS showed no correlation with SDB. The sensitivity of the Berlin Questionnaire to detect SDB was 73%, specificity was 42%. The STOP-BANG questionnaire showed a sensitivity of 97% while specificity was 13%. Coronary heart disease and/or history of myocardial infarction, hyperuricemia and age significantly contributed to a logistic regression model predicting presence of SDB. However, our regression model explains only 36% of the variance regarding the presence or absence of SDB. The approach to find variables, which would allow an early and reliable differentiation between patients with CVD and coexistence or absence of SDB, failed. Thus, as CVD patients show a high SDB prevalence and poor outcome, only a systematic screening based on measures of respiration-related parameters (i.e., respiratory flow, blood oxygen saturation, etc.) allows for a reliable SDB assessment.

Urban Migration and Koineization in the Development of the Berlin Urban Vernacular

ERIC Educational Resources Information Center

Ehresmann, Todd M.

2012-01-01

The development of the Berlin urban vernacular during the late Early Modern and Industrial Period has been described in the literature in two primary ways: The first describes it as the result of the wholesale adoption of an autochthonous Upper Saxon dialect by a small and mobile urban elite in Berlin, who in turn imparted this newly-acquired…

"We Learned What Democracy Really Meant": The Berlin Student Parliament and Postwar School Reform in the 1950s

ERIC Educational Resources Information Center

Puaca, Brian M.

2005-01-01

In this paper, the author highlights the Berlin Student Parliament and assesses educational innovations of the postwar era. The Berlin Student Parliament is but one example of the postwar pedagogical and curricular initiatives that sought to prepare West German pupils for their responsibilities in the new democracy. The organization believe that…

First pediatric transatlantic air ambulance transportation on a Berlin Heart EXCOR left ventricular assist device as a bridge to transplantation.

PubMed

Tissot, Cecile; Buchholz, Holger; Mitchell, Max B; da Cruz, Eduardo; Miyamoto, Shelley D; Pietra, Bill A; Charpentier, Arnaud; Ghez, Olivier

2010-03-01

Mechanical circulatory devices are indicated in patients with refractory cardiac failure as a bridge to recovery or to transplantation. Whenever required, transportation while on mechanical support is a challenge and still limited by technical restrictions or distance. We report the first pediatric case of transatlantic air transportation on a Berlin Heart EXCOR ventricular assist device (Berlin Heart, Berlin, Germany) of a 13-yr-old American female who presented in cardiogenic shock with severe systolic dysfunction while vacationing in France. Rapid hemodynamic deterioration occurred despite maximal medical treatment, and she was supported initially with extracorporeal membrane oxygenation converted to a Berlin Heart EXCOR left ventricular assist device. Long-distance air transportation of the patient was accomplished 3 wks after implantation from Marseille, France, to Denver, Colorado. No adverse hemodynamic effects were encountered during the 13.5-hr flight (8770 km). The patient did not recover sufficient cardiac function and underwent successful orthotopic heart transplantation 3 months after the initial event. Our experience suggests that long-distance air transportation of pediatric patients using the Berlin Heart EXCOR mobile unit as a bridge to recovery or transplantation is feasible and appears safe.

Is there still a role for the lung injury score in the era of the Berlin definition ARDS?

PubMed Central

2014-01-01

Background The Lung Injury Score (LIS) remains a commonly utilized measure of lung injury severity though the additive value of LIS to predict ARDS outcomes over the recent Berlin definition of ARDS, which incorporates severity, is not known. Methods We tested the association of LIS (in which scores range from 0 to 4, with higher scores indicating more severe lung injury) and its four components calculated on the day of ARDS diagnosis with ARDS morbidity and mortality in a large, multi-ICU cohort of patients with Berlin-defined ARDS. Receiver Operator Characteristic (ROC) curves were generated to compare the predictive validity of LIS for mortality to Berlin stages of severity (mild, moderate and severe). Results In 550 ARDS patients, a one-point increase in LIS was associated with 58% increased odds of in-hospital death (95% CI 14 to 219%, P = 0.006), a 7% reduction in ventilator-free days (95% CI 2 to 13%, P = 0.01), and, among patients surviving hospitalization, a 25% increase in days of mechanical ventilation (95% CI 9 to 43%, P = 0.001) and a 16% increase (95% CI 2 to 31%, P = 0.02) in the number of ICU days. However, the mean LIS was only 0.2 points higher (95% CI 0.1 to 0.3) among those who died compared to those who lived. Berlin stages of severity were highly correlated with LIS (Spearman’s rho 0.72, P < 0.0001) and were also significantly associated with ARDS mortality and similar morbidity measures. The predictive validity of LIS for mortality was similar to Berlin stages of severity with an area under the curve of 0.58 compared to 0.60, respectively (P-value 0.49). Conclusions In a large, multi-ICU cohort of patients with ARDS, both LIS and the Berlin definition severity stages were associated with increased in-hospital morbidity and mortality. However, predictive validity of both scores was marginal, and there was no additive value of LIS over Berlin. Although neither LIS nor the Berlin definition were designed to prognosticate outcomes, these findings suggest that the role of LIS in characterizing lung injury severity in the era of the Berlin definition ARDS may be limited. PMID:24533450

[Forensic age estimation in juveniles and young adults: Reducing the range of scatter in age diagnosis by combining different methods].

PubMed

Schmidt, Sven; Schramm, Danilo; Ribbecke, Sebastian; Schulz, Ronald; Wittschieber, Daniel; Olze, Andreas; Vieth, Volker; Ramsthaler, H Frank; Pfischel, Klaus; Pfeiffer, Heidi; Geserick, Gunther; Schmeling, Andreas

2016-01-01

The dramatic rise in the number of refugees entering Germany means that age estimation for juveniles and young adults whose age is unclear but relevant to legal and official procedures has become more important than ever. Until now, whether and to what extent the combination of methods recommended by the Study Group on Forensic Age Diagnostics has resulted in a reduction of the range of scatter of the summarized age diagnosis has been unclear. Hand skeletal age, third molar mineralization stage and ossification stage of the medial clavicular epiphyses were determined for 307 individuals aged between 10 and 29 at time of death on whom autopsies were performed at the Institutes of Legal Medicine in Berlin, Frankfurt am Main and Hamburg between 2001 and 2011. To measure the range of scatter, linear regression analysis was used to calculate the standard error of estimate for each of the above methods individually and in combination. It was found that combining the above methods led to a reduction in the range of scatter. Due to various limitations of the study, the statistical parameters determined cannot, however, be used for age estimation practice.

[Regional differences in the development of hospitalizations : An effect of different demographic trends?

PubMed

Nowossadeck, Enno; Prütz, Franziska

2018-03-01

Population aging and population decline in many regions of the Federal Republic of Germany are key elements of demographic change. In the regions concerned there is a rising number of older people and, simultaneously, a declining population. So far, the consequences of regional shrinkage and growth for inpatient care don't seem to have been analysed very well. This paper analyses the influence of population aging and declining/increasing population (demographic factors) as well as other, non-demographic factors on the number of hospitalizations in Germany and the Federal States since 2000.One result of the analysis is that there are major differences between the Federal States. The analysis shows, for example, an increase of hospitalizations in Berlin while in Saxony-Anhalt the number of hospitalizations declines. The increase in Berlin was the result of population aging and, to a lower extent, an increase in population. In Saxony-Anhalt the declining population resulted in a decreasing number of hospitalizations. Population aging and non-demographic factors were not able to compensate this trend.Overall, the effect of demographic factors on the number of hospitalizations remains constant over time. Short-term changes of hospitalizations are due to non-demographic factors, such as epidemiological trends, (for example trends of incidence or prevalence), or structural changes of health care service (for example patients shifting between different sectors of health care or the introduction of new reimbursement systems).

Relative Leukocyte Telomere Length, Hematological Parameters and Anemia - Data from the Berlin Aging Study II (BASE-II).

PubMed

Meyer, Antje; Salewsky, Bastian; Buchmann, Nikolaus; Steinhagen-Thiessen, Elisabeth; Demuth, Ilja

2016-01-01

The length of the chromosome ends, telomeres, is widely accepted as a biomarker of aging. However, the dynamic of the relationship between telomere length and hematopoietic parameters in the normal aging process, which is of particular interest with respect to age-related anemia, is not well understood. We have analyzed the relationship between relative leukocyte telomere length (rLTL) and several hematological parameters in the older group of the Berlin Aging Study II (BASE-II) participants. This paper also compares rLTL between both BASE-II age groups (22-37 and 60-83 years). Genomic DNA was extracted from peripheral blood leukocytes of BASE-II participants and used to determine rLTL by a quantitative PCR protocol. Standard methods were used to determine blood parameters, and the WHO criteria were used to identify anemic participants. Telomere length data were available for 444 younger participants (28.4 ± 3.1 years old; 52% women) and 1,460 older participants (68.2 ± 3.7 years old; 49.4% women). rLTL was significantly shorter in BASE-II participants of the older group (p = 3.7 × 10-12) and in women (p = 4.2 × 10-31). rLTL of older men exhibited a statistically significant, positive partial correlation with mean corpuscular hemoglobin (MCH; p = 0.012) and MCH concentration (p = 0.002). While these correlations were only observed in men, the rLTL of older women was negatively correlated with the number of thrombocytes (p = 0.015) in the same type of analysis. Among all older participants, 6% met the criteria to be categorized as 'anemic'; however, there was no association between anemia and rLTL. In the present study, we have detected isolated correlations between rLTL and hematological parameters; however, in all cases, rLTL explained only a small part of the variation of the analyzed parameters. In disagreement with some other studies showing similar data, we interpret the association between rLTL and some of the hematological parameters studied here to be at most marginal. This applies also to the role of rLTL in anemia, at least in the age group investigated here. Since BASE-II is yet another large cohort in which women have on average shorter telomeres than men, this finding will be addressed in the discussion with respect to the ongoing debate on gender differences in telomere length. © 2016 S. Karger AG, Basel.

Perceiving control: a double-edged sword in old age.

PubMed

Kunzmann, Ute; Little, Todd; Smith, Jacqui

2002-11-01

Although control beliefs are thought to be pivotal contributors to emotional well-being in old age, questions remain about the specific and long-term emotional implications of different types of control beliefs. We examined three generalized beliefs about control (personal control over desirable outcomes, personal responsibility for undesirable outcomes, perceived others' control) and their associations with emotional well-being (positive and negative affect) using cross-sectional (N = 516) and longitudinal (N = 206) samples from the Berlin Aging Study (age range = 70-103 years). Relationships between control beliefs and emotional well-being were dependent on the type of control belief and the dimension of emotional well-being considered, the sample investigated, and on whether individual differences at a given point in time or individual differences in intraindividual changes over time were examined. Despite these complexities, findings suggest that perceived control over desirable outcomes is associated with high emotional well-being, whereas perceived others' control is an emotional risk factor in old age.

Bode's Berlin Astronomisches Jahrbuch as a biographical source (German Title: Bodes Berliner Astronomisches Jahrbuch als biographische Quelle)

NASA Astrophysics Data System (ADS)

Schwemin, Friedhelm

2010-12-01

The appendices of the first 54 volumes (1776-1829) of the Berliner Astronomisches Jahrbuch (BAJ), edited by Johann Elert Bode, contain a plethora of biographically relevant notes, which are listed here, alphabetically sorted, in short versions. In parts, the listing possesses the quality of a primary source, and contains information on 771 persons. Many of them are poorly known or unknown.

A comparative analysis of psychological trauma experienced by children and young adults in two scenarios: evacuation after a natural disaster vs forced migration to escape armed conflict.

PubMed

Myles, P; Swenshon, S; Haase, K; Szeles, T; Jung, C; Jacobi, F; Rath, B

2018-05-01

Little is known about the psychological trauma experienced by children and young adults (CYAs) following displacement after natural disasters vs migration from conflict zones. In both instances, the decision to leave is usually cast by the family, and the life of CYAs is suddenly disrupted by external circumstances. An anonymous survey. The same survey instrument, provided by the National Child Traumatic Stress Network (NCTSN), was used to survey self-reported health needs among CYAs during the aftermath of Hurricane Katrina (Health Survey for Children and Adolescents After Katrina) in October 2005-February 2006 and again during the peak of refugee arrivals in Berlin between October 2015 and March 2016. A weighted index to measure cumulative exposure to traumatic stresses during migration was developed along with an unweighted psychological impact score based on the 22-item NCTS psychological impact questionnaire. Spearman's correlation coefficient (rho) was used to assess the correlation between age and the two psychological impact indices. The two-tailed t-test was used to investigate differences in trauma experienced and psychological impact by gender. Logistic regression was used to investigate differences in types of traumatic stress experienced and psychological impact among CYAs displaced because of Hurricane Katrina and those seeking asylum in Berlin. The Katrina cohort included a total of 1133 CYAs, the Berlin cohort, a total of 405 CYAs. The median age in the Katrina cohort was 6.73 years (standard deviation [SD] 5.67, range 0-24; 50.13% males) compared with 17.64 years (SD, range 0-24; 83% males) in the Berlin cohort. Comparative analyses were adjusted to age and gender and revealed significant differences between the two cohorts, both with regards to the amount of trauma experienced and the psychological impact. A statistically significant and moderate positive correlation was observed between trauma experienced and psychological impact of migration in the refugee population (rho = 0.4955, P < 0.001); the correlation was less pronounced but still significant in the Katrina cohort (rho = 0.0942, P = 0.0015). Free-text responses revealed that in addition to common concerns about health, housing and safety, refugees were also pre-occupied with language acquisition and the adaptation to a new culture. The observed differences in the experience and the consequences of trauma in displaced CYAs warrant additional investigation. It was replicated that human-made disaster seems to show more traumatising potential than natural disaster. Stakeholders need to be aware of the potential medium and long-term consequences of migration/evacuation and allocate resources accordingly. Copyright © 2018 The Royal Society for Public Health. All rights reserved.

Association of subclinical inflammation, glycated hemoglobin and risk for obstructive sleep apnea syndrome.

PubMed

D'Aurea, Carolina Vicaria Rodrigues; Cerazi, Bruno Gion de Andrade; Laurinavicius, Antonio Gabriele; Janovsky, Carolina Castro Porto Silva; Conceição, Raquel Dilguerian de Oliveira; Santos, Raul D; Bittencourt, Márcio Sommer

2017-01-01

To investigate the inter-relation between high sensitivity C-reactive protein and glycated hemoglobin in prediction of risk of obstructive sleep apnea. We included all individuals participating in a check-up program at the Preventive Medicine Center of Hospital Israelita Albert Einstein in 2014. The Berlin questionnaire for risk of obstructive sleep apnea was used, and the high sensitivity C-reactive protein and glycated hemoglobin levels were evaluated. The sample included 7,115 participants (age 43.4±9.6 years, 24.4% women). The Berlin questionnaire showed changes in 434 (6.1%) individuals. This finding was associated with high sensitivity C-reactive protein and glycated hemoglobin levels (p<0.001). However, only the association between the Berlin questionnaire result and glycated hemoglobin remained significant in the adjusted multivariate analysis, for the traditional risk factors and for an additional model, including high-density lipoprotein cholesterol and triglycerides. The glycated hemoglobin, even below the threshold for diagnosis of diabetes, is independently associated with obstructive sleep apnea syndrome, even after adjustment for obesity and C-reactive protein. These findings suggest a possible pathophysiological link between changes in insulin resistance and obstructive sleep apnea syndrome, independently from obesity or low-grade inflammation. Investigar a inter-relação entre proteína C-reativa de alta sensibilidade e hemoglobina glicada na predição do risco de apneia obstrutiva do sono. Foram incluídos todos os indivíduos participantes do programa de check-up do Centro de Medicina Preventiva Hospital Israelita Albert Einstein em 2014. Foi aplicado o questionário de Berlin sobre risco de apneia do sono, e avaliadas as dosagens de hemoglobina glicada e proteína C-reativa de alta sensibilidade. Foram incluídos 7.115 participantes (idade 43,4±9,6 anos, 24,4% mulheres). A prevalência de alteração no questionário de Berlin foi de 434 (6,1%). A alteração do questionário de Berlin associou-se positivamente aos resultados da proteína C-reativa de alta sensibilidade e da hemoglobina glicada (p<0,001). No entanto, apenas a associação entre o resultado do questionário de Berlin e a hemoglobina glicada permaneceu significativa na análise multivariada ajustada tanto para fatores de risco tradicionais quanto para um modelo adicional, que incluiu também lipoproteína de alta densidade-colesterol (HDL-c) e triglicérides. A hemoglobina glicada, mesmo em valores abaixo do critério diagnóstico para diabetes mellitus, está associada de forma independente ao risco para síndrome da apneia obstrutiva do sono, mesmo após ajuste para obesidade e proteína C-reativa. Estes achados sugerem possível ligação fisiopatológica entre alterações na resistência insulínica e a síndrome da apneia obstrutiva do sono, que independe da obesidade ou inflamação de baixo grau.

United States Air Force Agency Financial Report 2013

DTIC Science & Technology

2013-01-01

of the Berlin Airlift. Following World War II, Germany was divided into four sectors . Although Berlin was located in the Soviet controlled...eastern sector of Germany, the city was also divided into four sections. The U.S., Great Britain, and France occupied the western portion of Berlin and...the Soviets occupied the eastern portion. In June 1948, the Soviet Union blocked the Allies’ railway, road, and canal access to those sectors of

Obstetric and perinatal outcomes among immigrant and non-immigrant women in Berlin, Germany.

PubMed

David, Matthias; Borde, Theda; Brenne, Silke; Ramsauer, Babett; Henrich, Wolfgang; Breckenkamp, Jürgen; Razum, Oliver

2017-10-01

In Germany, regular immigrants and their descendants have legal and financial access to health care equal to the general citizenry. Nonetheless, some of their health outcomes are comparatively unfavorable, and that is only partially explained by their lower socioeconomic status (SES). The aim of this study was to assess whether this disparity exists also for obstetric and perinatal outcomes. We compared obstetric and perinatal outcomes between immigrant women (first or second generation) and non-immigrant women, delivering at three maternity hospitals in Berlin, Germany, 2011-2012. Multivariable logistic regression analysis was used to assess immigrant status and other possible risk factors for the baby being delivered preterm, small for gestational age (SGA), or transferred to neonatal care. The final database retained 6702 women, of whom 53.1% were first- or second-generation immigrants. First-generation Turkish immigrant women had significantly lower odds of preterm birth (OR 0.37, P < 0.001), SGA (OR 0.60, P = 0.0079), and transfer of the newborn to neonatal care (OR 0.61, P = 0.0034). Second-generation immigrant women had significantly lower odds of preterm birth (OR 0.67, P = 0.0049) or transfer of the newborn to neonatal care (OR 0.76, P = 0.0312). Moreover, women with education below university level, age 35+, or smokers had higher odds for poor outcomes. This study provides strong evidence that health disparities for obstetric and perinatal health outcomes do not exist in immigrants relative to native Germans, but exist instead in women without post-secondary-level education compared to women with such education, regardless of ethnicity or migration history.

The type specimen of Anoura geoffroyi lasiopyga (Chiroptera: Phyllostomidae)

USGS Publications Warehouse

Arroyo-Cabrales, Joaquin; Gardner, A.L.

2003-01-01

In 1868, Wilhelm Peters described Glossonycteris lasiopyga, based on a specimen provided by Henri de Saussure and collected in Mexico. The type specimen was presumed to be among those housed in the collections of the Zoologisches Museum of the Humboldt Universitat in Berlin, Germany. Our study of one of Saussure?s specimens from Mexico, discovered in the collections of the Museum d?Histoire Naturelle, Geneva, Switzerland, demonstrates that it and not one of the Berlin specimens is the holotype.

The new HMI beamline MAGS: an instrument for hard X-ray diffraction at BESSY.

PubMed

Dudzik, Esther; Feyerherm, Ralf; Diete, Wolfgang; Signorato, Riccardo; Zilkens, Christopher

2006-11-01

The Hahn-Meitner-Institute Berlin is operating the new hard X-ray diffraction beamline MAGS at the Berlin synchrotron radiation source BESSY. The beamline is intended to complement the existing neutron instrumentation at the Berlin Neutron Scattering Centre. The new beamline uses a 7 T multipole wiggler to produce photon fluxes in the 10(11)-10(12) photons s(-1) (100 mA)(-1) (0.1% bandwidth)(-1) range at energies from 4 to 30 keV at the experiment. It has active bendable optics to provide flexible horizontal and vertical focusing and to compensate the large heat load from the wiggler source. The experimental end-station consists of a six-circle Huber diffractometer which can be used with an additional (polarization) analyser and different sample environments. The beamline is intended for single-crystal diffraction and resonant magnetic scattering experiments for the study of ordering phenomena, phase transitions and materials science.

International Project on Technical and Vocational Education (UNEVOC). International Advisory Committee (First Session, Berlin, Germany, September 20-22, 1993). Final Report = Projet International pour l'Enseignement Technique et Professionnel (UNEVOC). Comite Consultatif International (Premiere Session, Berlin, Germany, 20-22 septembre 1993). Rapport Final.

ERIC Educational Resources Information Center

United Nations Educational, Scientific, and Cultural Organization, Paris (France).

The international advisory committee of the International Project on Technical and Vocational Education (UNEVOC) held its first session in Berlin in September 1993. The advisory committee's 10 members and observers from the United Nations' specialized, intergovernmental, and nongovernmental organizations discussed educational policy, links between…

Promotion of Physical Activity Using Point-of-Decision Prompts in Berlin Underground Stations

PubMed Central

Müller-Riemenschneider, Falk; Nocon, Marc; Reinhold, Thomas; Willich, Stefan N.

2010-01-01

To evaluate point-of-decision prompts in the promotion of stair use in Germany, motivational posters were placed at three underground stations in Berlin. The proportion of passengers using stairs or stairways was counted before, during installation, and two weeks after removal of posters. In total, 5,467 passersby were counted. Stair use increased significantly in women, but not in men. The present pilot study thereby shows that the use of point-of-decision prompts is also feasible in Germany and it provides some evidence of effectiveness. Methodologically rigorous studies are warranted to confirm these findings. PMID:20948947

Genetic research at a fivefold children's burial from medieval Berlin.

PubMed

Rothe, Jessica; Melisch, Claudia; Powers, Natasha; Geppert, Maria; Zander, Judith; Purps, Josephine; Spors, Birgit; Nagy, Marion

2015-03-01

Berlin originated from the two twin cities Berlin and Cölln, which both were founded at the beginning of the 13th century. However the real date of their foundation as well as the origin of the first settlers is still unknown. On the Berlin site the historic city center is still visible in the Nikolaiviertel, but the medieval origin of Cölln disappeared almost completely. In 2007 a large scale excavation, which comprised an area of about 1700m(2) of the historical center of the St. Peters church, recovers the remains of Cölln's first citizens and span a period of 500 years of medieval population. Here we present the first genetic analysis of a fivefold children's burial from excavations in Berlin. The genetic data unveiled next to ancestry and eye color data also the kinship and the gender of the five individuals. Together with the archeological context the new gained information help to shed more light on the possible reasons for this burial. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

[Early health promotion and prevention at the beginning of the 20th and 21st centuries. Data and thoughts on the 100th anniversary of the opening of the Empress Auguste Victoria House in Berlin].

PubMed

Bergmann, K E; Bergmann, R L; Richter, R; Finke, C; Dudenhausen, J W

2009-11-01

In June 1909, The Empress Auguste Victoria House in Berlin was opened. This first institute for preventive paediatrics had the objective to overcome infant mortality in Germany. This objective was attained. Since then, an unprecedented decrease of mortality in all age groups occurred as well as a doubling of life expectancy. With this "retreat of death", our concepts of health changed fundamentally, and a new spectrum of diseases emerged. This article discusses some mile stones of this change, and explains why we find more illness despite the great improvement in the field of health. The "new diseases" amenable to early prevention are presented in a table. To make disease prevention successful requires the participation of the individual. Therefore, it is important to know the demand to make a good programme effective in the population. Empirical results of a nationwide representative study on the demand by expecting and young parents for preventive consultation are presented. Anticipatory guidance of young parents is a modern approach to health promotion and disease prevention. A controlled trial shows that this approach improved knowledge, behaviour, health risk indicators, health, and development during the first two years after delivery. Future studies should focus on long term effects of early health promotion. Copyright Georg Thieme Verlag KG Stuttgart . New York.

Murder-suicide by carbon dioxide (CO2) poisoning: a family case from Berlin, Germany.

PubMed

Sautter, Julia; Gapert, René; Tsokos, Michael; Oesterhelweg, Lars

2014-03-01

This report demonstrates how carbon dioxide (CO(2)) may be a potent weapon in murder-suicide, where the death scene offers virtually no clues as to the lethal modality and the autopsy findings are nonspecific. Four bodies were discovered in an apartment in midsummer 2012 in Berlin, Germany. The bodies were those of a father (a 69-year-old business consultant), his wife (aged 26-years), and two sons (aged 3 and 6 years, respectively). The police found the wife and two sons lying in their beds and the husband in a supine position on the floor with a plastic bag over his head tied loosely around his neck with a rope. A 500 g single-use CO(2) cylinder was standing on the floor. The container was almost empty and according to the label had been sold as a CO(2)-fertilizer for aquarium plants. Two synthetic inhalation face masks and tubing were also found, which tested positive for the DNA of all four deceased family members. It is hypothesized that the husband placed an inhalation mask over the mouths and noses of his wife and children while they were sleeping. Inhalation of pure CO(2) ensured their rapid unconsciousness due to hypercapnia and severe anoxia. The rapid increase in CO(2) concentration would render a victim helpless, with no time to wake and defend themselves, or others. The proximate cause of death in all cases was attributed to CO(2) intoxication, based on the scene findings, the reconstructed sequence of events, the autopsy, and results of toxicological studies.

From municipal sewage to drinking water: fate and removal of pharmaceutical residues in the aquatic environment in urban areas.

PubMed

Heberer, Th; Reddersen, K; Mechlinski, A

2002-01-01

Recently, the occurrence and fate of pharmaceutically active compounds (PhACs) in the aquatic environment was recognized as one of the emerging issues in environmental chemistry and as a matter of public concern. Residues of PhACs have been found as contaminants in sewage, surface, and ground- and drinking water samples. Since June 2000, a new long-term monitoring program of sewage, surface, ground- and drinking water has been carried out in Berlin, Germany. Samples, collected periodically from selected sites in the Berlin area, are investigated for residues of PhACs and related contaminants. The purpose of this monitoring is to investigate these compounds over a long time period to get more reliable data on their occurrence and fate in the different aquatic compartments. Moreover, the surface water investigations allow the calculation of season-dependent contaminant loads in the Berlin waters. In the course of the monitoring program, PhACs and some other polar compounds were detected at concentrations up to the microg/L-level in all compartments of the Berlin water cycle. The monitoring is accompanied and supported by several other investigations such as laboratory column experiments and studies on bank filtration and drinking water treatment using conventional or membrane filtration techniques.

Dynamics of two-strain influenza model with cross-immunity and no quarantine class.

PubMed

Chung, K W; Lui, Roger

2016-12-01

The question about whether a periodic solution can exists for a given epidemiological model is a complicated one and has a long history (Hethcote and Levin, Applied math. ecology, biomathematics, vol 18. Springer, Berlin, pp 193-211, 1989). For influenza models, it is well known that a periodic solution can exists for a single-strain model with periodic contact rate (Aron and Schwartz, J Math Biol 110:665-679, 1984; Kuznetsov and Piccardi, J Math Biol 32:109-121, 1994), or a multiple-strain model with cross-immunity and quarantine class or age-structure (Nuño et al., Mathematical epidemiology. Lecture notes in mathematics, vol 1945. Springer, Berlin, 2008, chapter 13). In this paper, we prove the local asymptotic stability of the interior steady-state of a two-strain influenza model with sufficiently close cross-immunity and no quarantine class or age-structure. We also show that if the cross-immunity between two strains are far apart; then it is possible for the interior steady-state to lose its stability and bifurcation of periodic solutions can occur. Our results extend those obtained by Nuño et.al. (SIAM J Appl Math 65:964-982, 2005). This problem is important because understanding the reasons behind periodic outbreaks of seasonal flu is an important issue in public health.

Identification and return of a skull from Tasmania in the Berlin anatomical collection.

PubMed

Winkelmann, Andreas; Teßmann, Barbara

2018-02-01

Following a request by the Australian government, human remains of Australian origin were identified in the anatomical collection of Charité, the medical faculty of Berlin. We initiated an interdisciplinary provenance research on such remains to ensure their identity, elucidate their history, and prepare for a possible return to Australia. Here, we present results regarding a skull in the collection labeled as stemming from Tasmania. The non-invasive anthropological investigation revealed the skull to stem from a girl of about 15 years of age who most likely died of a massive otitis/petrositis with subsequent meningitis. These results match the historical findings, which started from an inscription on the frontal bone giving a first name ("Nanny"), an ancestry ("native of Kangaroo Island"), a collector ("Schayer"), and a location ("van Diemensland", i.e. Tasmania). The collector, Adolph Schayer, was a German sheep breeder and botanical/zoological collector living in north-western Tasmania from 1831 to 1843. In archival sources, a girl named Nanny Allan could be identified, who was a native of Kangaroo Island and died in Launceston/Tasmania in 1836 at the age of about 14 years. As there were no doubts that these remains stem from a Tasmanian individual, they were handed over to representatives of the Tasmanian Aboriginal Centre in July 2014.

Water and bed-sediment quality in the vicinity of Berlin Lake, Ohio, 2001

USGS Publications Warehouse

Darner, Robert A.

2002-01-01

Berlin Lake, in northeast Ohio, was created by the U.S. Army Corps of Engineers in 1943 and is used primarily for flood control for the upper reaches of the Mahoning River. The area surrounding and under the lake has been tapped for oil and natural gas production. One of the by-products of oil and gas production is concentrated salt water or brine, which might have an effect on the chemical quality of area potable-water sources. This report presents the results of a U.S. Geological Survey baseline study to collect current (2001) water and sediment-quality data and to characterize water quality in the Berlin Lake watershed. Chloride-to-bromide ratios were used to detect the presence of brine in water samples and to indicate possible adverse effects on water quality. Analyses of ground-water samples from domestic wells in the area indicate a source of chloride and bromide, but defining the source would require more data collection. Analyses of specific conductance and dissolved solids indicate that 78 percent (14 of 18) of the ground-water samples exceeded the Secondary Maximum Contaminant Level for dissolved solids in public water supplies of 500 milligrams per liter (mg/L), compared to 6 percent of samples exceeding 500 mg/L in two nearby studies. Surface water was analyzed twice, once each during low-flow and surface runoff conditions. A comparison of the 2001 data to historical chloride concentrations, accounting for seasonal changes, does not indicate an increase in chloride loads for surface water in the area of Berlin Lake. Polycyclic aromatic hydrocarbons were found in bed-sediment samples collected from the mouths of major tributaries to Berlin Lake. Polycyclic aromatic hydrocarbons are produced during the incomplete combustion of organic carbon materials such as wood and fossil fuels, and they are components of petroleum products.

Application of the Berlin definition in PROMMTT patients: the impact of resuscitation on the incidence of hypoxemia.

PubMed

Robinson, Bryce R H; Cotton, Bryan A; Pritts, Timothy A; Branson, Richard; Holcomb, John B; Muskat, Peter; Fox, Erin E; Wade, Charles E; del Junco, Deborah J; Bulger, Eileen M; Cohen, Mitchell J; Schreiber, Martin A; Myers, John G; Brasel, Karen J; Phelan, Herbert A; Alarcon, Louis H; Rahbar, Mohammad H; Callcut, Rachael A

2013-07-01

Acute lung injury following trauma resuscitation remains a concern despite recent advances. With the use of the PROMMTT study population, the risk of hypoxemia and potential modifiable risk factors are studied. Patients with survival for 24 hours or greater with at least one intensive care unit day were included in the analysis. Hypoxemia was categorized using the Berlin definition for adult respiratory distress syndrome: none (PaO₂-to-FIO₂ ratio [P/F] > 300 mm Hg), mild (P/F, 201-300 mm Hg), moderate (P/F, 101-200 mm Hg) or severe (P/F ≤ 100 mm Hg). The cohort was dichotomized into those with none or mild hypoxemia and those with moderate or severe injury. Early resuscitation was defined as that occurring 0 hour to 6 hours from arrival; late resuscitation was defined as that occurring 7 hours to 24 hours. Multivariate logistic regression models were developed controlling for age, sex, mechanisms of injury, arrival physiology, individual Abbreviated Injury Scale (AIS) scores, blood transfusions, and crystalloid administration. Of the patients 58.7% (731 of 1,245) met inclusion criteria. Hypoxemia occurred in 69% (mild, 24%; moderate, 28%; severe, 17%). Mortality was highest (24%) in the severe group. During early resuscitation (0-6 h), logistic regression revealed age (odd ratio [OR], 1.02; 95% confidence interval [CI], 1.00-1.04), chest AIS score (OR, 1.31; 95% CI, 1.10-1.57), and intravenously administered crystalloid fluids given in 500 mL increments (OR, 1.12; 95% CI, 1.01-1.25) as predictive of moderate or severe hypoxemia. During late resuscitation, age (OR, 1.02; 95% CI, 1.00-1.04), chest AIS score (OR, 1.33; 95% CI, 1.11-1.59), and crystalloids given during this period (OR, 1.05; 95% CI, 1.01-1.10) were also predictive of moderate-to-severe hypoxemia. Red blood cell, plasma, and platelet transfusions (whether received during early or late resuscitation) failed to demonstrate an increased risk of developing moderate/severe hypoxemia. Severe chest injury, increasing age, and crystalloid-based resuscitation, but not blood transfusions, were associated with increased risk of developing moderate-to-severe hypoxemia following injury.

Evidence for an unorthodox firing sequence employed by the Berlin Painter. Deciphering ancient ceramic firing conditions through high-resolution material characterization and replication

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cianchetta, I.; Trentelman, K.; Maish, J.

XANES spectroscopy was used to complement the results previously obtained with Raman spectroscopy by the same group to determine the firing conditions used in the production of a single vessel painted by the Berlin Painter in the 5th century B.C. The vessel, part of the collection of the J. Paul Getty Museum, presents a complicated layered architecture of black and red gloss, with different stratigraphies present on the interior and exterior surfaces. The study of two samples, one each from the interior and exterior surface of the vessel, was performed with the complementary analytical techniques of X-ray nano- and micro-spectroscopymore » (X-ray fluorescence spectroscopy (XRF) and full-field transmission X-ray micro-spectroscopy (FF-XANES) across the Fe K edge), and supported by a replication study. The replicates, made in a laboratory furnace providing complete control over the firing temperature and oxygen partial pressure, provided a paradigm for the comparison of the mineralogical phases observed in the ancient samples, which led to a deeper understanding of the firing conditions necessary for the production of the Berlin Painter's vessel. Our results confirm the necessity of multiple firings and painting applications to obtain the Berlin Painter's architecture and provide a further example of the multiplicity of techniques and practices employed by the potters of the Kerameikos in ancient Athens.« less

Evidence for an unorthodox firing sequence employed by the Berlin Painter. Deciphering ancient ceramic firing conditions through high-resolution material characterization and replication

DOE PAGES

Cianchetta, I.; Trentelman, K.; Maish, J.; ...

2014-12-10

XANES spectroscopy was used to complement the results previously obtained with Raman spectroscopy by the same group to determine the firing conditions used in the production of a single vessel painted by the Berlin Painter in the 5th century B.C. The vessel, part of the collection of the J. Paul Getty Museum, presents a complicated layered architecture of black and red gloss, with different stratigraphies present on the interior and exterior surfaces. The study of two samples, one each from the interior and exterior surface of the vessel, was performed with the complementary analytical techniques of X-ray nano- and micro-spectroscopymore » (X-ray fluorescence spectroscopy (XRF) and full-field transmission X-ray micro-spectroscopy (FF-XANES) across the Fe K edge), and supported by a replication study. The replicates, made in a laboratory furnace providing complete control over the firing temperature and oxygen partial pressure, provided a paradigm for the comparison of the mineralogical phases observed in the ancient samples, which led to a deeper understanding of the firing conditions necessary for the production of the Berlin Painter's vessel. Our results confirm the necessity of multiple firings and painting applications to obtain the Berlin Painter's architecture and provide a further example of the multiplicity of techniques and practices employed by the potters of the Kerameikos in ancient Athens.« less

Soviet Night Operations in World War II (Leavenworth Papers, Number 6)

DTIC Science & Technology

1982-12-01

German forces in the Crimea. The battle for the bridgehead began on 1 October, pitting six and a half German divisions against three Soviet armies...FaLd of Berlin, pp, 147-51; Chaney, Zkukov, p. 312; Sukhinin, “Combat Action,” p, 52. 49 62. Vasily Yezhakov, “The Berlin Operation,” Soviet Military...August 1980. Werth, Alexander. Russia at War, 1941-1945. New York: E. P. Dutton and co., 1964. Yezhakov, Vasily . ‘“The Berlin Operation.” Soviet

Proceedings of the 48th International Wire and Cable Symposium (48th) Held in Atlantic City, New Jersey on 15-18 November 1999

DTIC Science & Technology

1999-11-18

telecommunications and data processing installations, Berlin Offenbach: vde - verlag 4. DIN EN 187000: Specification of optical fiber cables...Berlin Offenbach : vde - verlag 5. DIN EN 188000: Specification of optical fibers, Berlin Offenbach : vde - verlag 6. IEC 60793-1: Optical fibers, Part 1...subsystem of customer premises up to a frequency of 100 MHz. The technical requirements of these balanced cabling systems are defined in the standards EN

Association of Low Lean Mass With Frailty and Physical Performance: A Comparison Between Two Operational Definitions of Sarcopenia-Data From the Berlin Aging Study II (BASE-II).

PubMed

Spira, Dominik; Buchmann, Nikolaus; Nikolov, Jivko; Demuth, Ilja; Steinhagen-Thiessen, Elisabeth; Eckardt, Rahel; Norman, Kristina

2015-06-01

For prevention and treatment of sarcopenia, defined as a decline in lean mass, reliable diagnostic criteria and cutpoints reflecting a clinically relevant threshold are indispensable. As of yet, various parameters have been proposed but no gold standard exists. The aim of this study was to compare cutpoints of appendicular lean mass related to body mass index (ALMBMI) or height (ALM/height(2)) regarding their association with self-reported physical limitations and frailty status in a sample of community-dwelling older adults. A total of 1,343 participants from the Berlin Aging Study II were included. ALM index was assessed with dual-energy X-ray absorptiometry. Limitations in physical performance were assessed via questionnaire and frailty status was defined according to the Fried criteria. In a risk factor-adjusted analysis, participants with an ALMBMI below the cutpoints had 1.4-2.8 times higher odds of difficulties in several domains of physical activity (p = .031 to p < .0001) compared with participants with normal ALMBMI. In participants with low ALM/height(2), no associations with physical limitations were found. Moreover, the odds of being prefrail/frail were statistically significant for the low ALMBMI group only (odds ratio = 2.403, 95% confidence interval: 1.671-3.454, p < .0001) and not for the low ALM/height(2) group. This study showed striking differences between the two operational criteria ALM/height(2) and ALMBMI concerning their association with physical limitations and prefrailty/frailty. The low ALMBMI cutpoints seem suitable to detect patients at risk for negative outcomes such as frailty who might benefit from interventions targeted at improving lean mass. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Education through music--the model of the Musikkindergarten Berlin.

PubMed

Uibel, Stefanie

2012-04-01

In 2005, the pianist and conductor Daniel Barenboim initiated the Musikkindergarten Berlin as the first kindergarten in which music is not only used as an occasional add-on but as the central education medium for the child every day. The skills of specially trained kindergarten teachers combined with regular visits by professional musicians of the Staatskapelle Berlin (the Berlin State Opera orchestra) form the basis of a new educational concept, in which children experience music in all its different aspects and in its unique capability as a transfer medium into all the other educational areas. In this context, the method, the aim, and the experimental ground is not only education in or with music, but through music. This paper provides information and examples about first-hand experiences over the last six years. © 2012 New York Academy of Sciences.

Ephemerides and information: Investigations on the content of Berlin calendars up to Bode's Astronomisches Jahrbuch. (German Title: Ephemeriden und Informationen: Inhaltliche Untersuchungen Berliner Kalender bis zu Bodes Astronomischem Jahrbuch)

NASA Astrophysics Data System (ADS)

Hamel, Jürgen

This contributions investigates a line of tradition which started already with the oldest calenders, i.e. to add an `educating' appendix. As a wide-spread medium, calendars were suitable for the dissemination of astrological views, the explanation of astronomical facts, of important activities for the home and the stable, for health protection, agriculture, and social connections. The calendars of the Berlin Academy, authored by Gottfried Kirch and his successors, fit well into this picture: also astrology played an important role. Kirch had added to his ephemerides of 1681 to 1692 own and other observations and contributions. This lead to a form, which superseded `normal' calenders, a form in which also Johann Elert Bode's Berliner Astronomisches Jahrbuch appeared from 1776 to 1829.

Comparison of the Berlin definition with the American European consensus definition for acute respiratory distress syndrome in burn patients.

PubMed

Bordes, Julien; Lacroix, Guillaume; Esnault, Pierre; Goutorbe, Philippe; Cotte, Jean; Dantzer, Eric; Meaudre, Eric

2014-06-01

Acute respiratory distress syndrome (ARDS) is a leading cause of mortality in burn patients. Smoke inhalation, pneumonia and inflammation process are the major causes of ARDS in burn patients. The American European Consensus Conference (AECC) definition proposed in 1994 has recently been revised by the Berlin definition. Our objective was to describe the epidemiology of ARDS comparing the Berlin definition with the AECC definition in a retrospective cohort of burn patients. We reviewed admitted burn adult patients for a two year period, and investigated patient who received mechanical ventilation for more than 48 h and in whom pneumonia was diagnosed. 40 patients were analyzed. According to the AECC definition, 11 patients met criteria for ALI (27.5%), and 29 patients for ARDS (72.5%). According to the Berlin definition, all patients met criteria for ARDS: 4 (10%) for a severe ARDS, 25 (62.5%) for a moderate ARDS, 11 (27.5%) for a mild ARDS. Inhalation injury was diagnosed in 10 patients (25%). Categorizing patients with the Berlin definition showed statistically significative difference of mortality within the three groups, but not with the AECC definition. The Berlin definition seems to be more accurate than the AECC definition to assess the severity of ARDS in term of outcome in burn patients. This definition may facilitate prompt recognition of ARDS in burn patients, and promote protective ventilation strategy to a larger number of patients. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

Steroid therapy attenuates acute phase reactant response among children on ventricular assist device support.

PubMed

Byrnes, Jonathan W; Bhutta, Adnan T; Rettiganti, Mallikarjuna Rao; Gomez, Alberto; Garcia, Xiomara; Dyamenahalli, Umesh; Johnson, Charles; Jaquiss, Robert D B; Imamura, Michiaki; Prodhan, Parthak

2015-04-01

Hyperfibrinogenemia, which can create a procoagulant milieu, is frequently observed in patients supported with the Berlin EXCOR (Berlin Heart GmbH, Berlin, Germany) ventricular assist device (VAD). We began initiating corticosteroids in patients with systemic inflammatory response syndrome (SIRS) episodes to mitigate hyperfibrinogenemia. We set forth to describe the impact of corticosteroids on the hyperfibrinogenemic state in our institutional experience. Retrospective data was collected on 44 consecutive patients implanted with the Berlin EXCOR VAD from April 15, 2005 through May 6, 2013. Pertinent information was abstracted from the electronic medical record. The reduction of C-reactive protein (CRP) and fibrinogen levels among days from corticosteroid treatment were described. Infections and insulin use were reported based on whether patients received steroids and if steroids were given for SIRS. Over the initial 44 Berlin EXCOR VAD implantations, 14 patients were treated with 21 courses of corticosteroids for SIRS episodes as identified by clinical features and rise in CRP. Treatment with corticosteroids reduced fibrinogen levels by day 2 to a statistically significant degree (p = 0.008). No difference in hyperglycemia or infections occurred among patients receiving corticosteroids for SIRS. Treatment with corticosteroids can potentially mitigate the SIRS response among children supported on the Berlin EXCOR VAD. In patients who received corticosteroids to mitigate inflammation, there was no increase in infections or hyperglycemia requiring insulin administration compared with patients who did not receive steroids. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

[Homicides in East Berlin from 1980 to 1989. Part II: results of investigations and legal consequences].

PubMed

Wirth, Ingo; Strauch, Hansjürg

2007-01-01

The second part of the study on homicides in East Berlin from 1980 to 1989 describes the solving of crimes, the usual features of offenders and the legal assessment according to East German law. Of the 139 homicides 126 crimes (= 90.6%) could be solved. Most of the offenders had a low social background and often belonged to the victim's circle of friends or family. Situational homicides and elimination crimes were the most common crimes. In the legal assessment sentences for murder were predominant.

Mutualism, resource competition and opposing movements among Turkish organizations in Amsterdam and Berlin, 1965-2000.

PubMed

Vermeulen, Floris

2013-09-01

This article seeks to understand environmental effects on associational interdependencies, be they competitive or collaborative, in a polarized organizational population. To do so, it builds on the density-dependent model and the ecology of ideologies. Especially interested in the effect of context on density-dependent processes, I compare different Turkish ideological movements in Amsterdam and Berlin. Amsterdam represents an open and supportive environment for such movements, whereas Berlin constitutes a more closed and hostile one. By analysing the founding and disbanding rates of Turkish immigrant organizations in Amsterdam and Berlin during the period 1965-2000, the article demonstrates how the increasing density of Turkish ideologies has affected interdependencies in two main ways: by heightening competition, particularly between ideologically similar organizations, and by increasing counter activities between opposing movements. It also shows that the influence of context is limited. An open environment does not significantly influence the vitality rates of ideologies or further collaboration among or between them. On the contrary, it seemingly increases competition and fragmentation because more resources and opportunities are available. More signs of collaboration and mutualism are found in Berlin's closed environment. © London School of Economics and Political Science 2013.

Associations Among Individuals' Perceptions of Future Time, Individual Resources, and Subjective Well-Being in Old Age.

PubMed

Hoppmann, Christiane A; Infurna, Frank J; Ram, Nilam; Gerstorf, Denis

2017-05-01

Perceptions of future time are of key interest to aging research because of their implications for subjective well-being. Interestingly, perceptions about future time are only moderately associated with age when looking at the second half of life, pointing to a vast heterogeneity in future time perceptions among older adults. We examine associations between future time perceptions, age, and subjective well-being across two studies, including moderations by individual resources. Using data from the Berlin Aging Study (N = 516; Mage = 85 years), we link one operationalization (subjective nearness to death) and age to subjective well-being. Using Health and Retirement Study data (N = 2,596; Mage = 77 years), we examine associations of another future time perception indicator (subjective future life expectancy) and age with subjective well-being. Consistent across studies, perceptions of limited time left were associated with poorer subjective well-being (lower life satisfaction and positive affect; more negative affect and depressive symptoms). Importantly, individual resources moderated future time perception-subjective well-being associations with those of better health exhibiting reduced future time perception-subjective well-being associations. We discuss our findings in the context of the Model of Strength and Vulnerability Integration. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Boston & Maine Railroad, Berlin Branch Bridge #143.06, Spanning Snyder ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Boston & Maine Railroad, Berlin Branch Bridge #143.06, Spanning Snyder Brook at former Boston & Maine Railroad (now Presidential Range Rail Trail), just south of U.S. Route 2, Randolph, Coos County, NH

Rheumatoid arthritis and sleep quality.

PubMed

Goes, Ana Claudia Janiszewski; Reis, Larissa Aparecida Busatto; Silva, Marilia Barreto G; Kahlow, Barbara Stadler; Skare, Thelma L

Sleep disturbances are common in rheumatoid arthritis (RA) patients and contribute to loss of life quality. To study associations of sleep quality with pain, depression and disease activity in RA. This is a transversal observational study of 112 RA patients submitted to measurement of DAS-28, Epworth scale for daily sleepiness, index of sleep quality by Pittsburg index, risk of sleep apnea by the Berlin questionnaire and degree of depression by the CES-D (Center for Epidemiologic Studies Depression scale) questionnaire. We also collected epidemiological, clinical, serological and treatment data. Only 18.5% of RA patients had sleep of good quality. In univariate analysis a bad sleep measured by Pittsburg index was associated with daily doses of prednisone (p=0.03), DAS-28 (p=0.01), CES-D (p=0.0005) and showed a tendency to be associated with Berlin sleep apnea questionnaire (p=0.06). In multivariate analysis only depression (p=0.008) and Berlin sleep apnea questionnaire (p=0.004) kept this association. Most of RA patients do not have a good sleep quality. Depression and risk of sleep apnea are independently associated with sleep impairment. Copyright © 2016 Elsevier Editora Ltda. All rights reserved.

Pharmaceutical Spending and German Reunification: Parity Comes Quickly to Berlin

PubMed Central

Katz, Eric M.

1994-01-01

As the Berlin Wall fell and the population of the Federal Republic of Germany (FRG, West Germany) swelled by 25 percent with the addition of the former German Democratic Republic (GDR, East Germany), the health care system struggled to keep pace. This article examines drug outlays by the statutory sickness funds during the first 2 years of unified operations. It shows that providing equivalent coverage quickly led to equal rates of pharmaceutical consumption nationwide, while in Berlin the former East outdistanced the West by a considerable margin. PMID:10137795

Ecology in a walled city: researching urban wildlife in post-war Berlin.

PubMed

Lachmund, Jens

2007-06-01

The division of Berlin in the aftermath of World War II and the erection of the Wall in 1961 were not only of tremendous political, social and cultural significance, but also had implications for the way in which science was undertaken in this city. For ecologists living and working in the enclosed city part of West Berlin, the lack of accessible countryside motivated them to focus their fieldwork increasingly on urban sites and, thereby, to engage themselves in one of the most significant attempts to develop an ecology of the city.

Relative Age Effects in Mathematics and Reading: Investigating the Generalizability across Students, Time and Classes

PubMed Central

Thoren, Katharina; Heinig, Elisa; Brunner, Martin

2016-01-01

A child's age in comparison to the age of her or his classmates (relative age) has been found to be an influential factor on academic achievement, particularly but not exclusively at the beginning of formal schooling. However, few studies have focused on the generalizability of relative age effects. To close this gap, the present study analyzes the generalizability across students with and without immigrant backgrounds, across three student cohorts that entered school under a changing law of school enrollment, and across classes. To this end, we capitalized on representative large-scale data sets from three student cohorts attending public schools in Berlin, the capital of Germany. We analyzed the data using a multilevel framework. Our results for the overall student sample indicate relative age effects for reading and mathematics in favor of the relatively older students in Grade 2 that become somewhat smaller in size in Grade 3. By Grade 8, relative age effects had vanished in reading and had even reversed in favor of the relatively young in mathematics. Furthermore, relative age effects were not found to be systematically different among students with and without immigrant backgrounds, student cohorts, or across classes. Taken together, these results empirically underscore the broad generalizability of the findings as found for the overall student population and replicate the pattern of findings on relative effects as identified by the majority of previous studies. PMID:27242593

Symbolic Uses of the Berlin Wall, 1961-1989.

ERIC Educational Resources Information Center

Bruner, Michael S.

1989-01-01

Examines samples from public discourse during the period 1961-1989, which reveal several different symbolic uses of the Berlin Wall. Suggests these differences reflect the never-completed struggle between the United States and the Soviet Union. (KEH)

Report on SK 6 Berlin

ERIC Educational Resources Information Center

Hill, John C.

1972-01-01

Describes special summer course attended by 18 Ontario German teachers at the Goethe Institute in West Berlin in 1971. Speech delivered on October 2, 1971, at the German sub-section of Ontario Modern Language Teachers' Association, Ottawa, Canada. (DS)

A great lack of knowledge regarding umbilical cord blood banking among pregnant women in Berlin, Germany.

PubMed

Palten, Patricia E; Dudenhausen, Joachim W

2010-11-01

we evaluated what German-speaking women in Berlin know about umbilical cord blood banking (UCBB) and whether a correlation exists between women's knowledge about UCBB and level of education. we used the anonymous questionnaire given to German-speaking women in Berlin, Germany. a total of 300 questionnaires could be evaluated. Although three quarters of our population heard of UCBB, most had no further knowledge about the method. Only about one-third of the interviewed women were informed about whether certain diseases had been treated with umbilical cord blood (UCB) by the time the survey was being conducted, whereas 50-65% did not know how to answer these questions. women in Berlin were poorly educated about the usefulness, the costs and the methods of cryopreservation. To some extent there is a correlation between women's level of education and their knowledge regarding UCB.

Sexing Berlin?

PubMed

Dahlke, Birgit

2011-01-01

Berlin has always been a literary space of extremely diverse political and cultural projections. This essay investigates why after the unification of East and West Berlin the city has been imagined as a play zone of sexual self-fulfilment by authors such as Inka Parei, Tanja Dückers, Kathrin Röggla, Judith Hermann and Julia Franck. Have such erotic adventures replaced political vision in our post-utopian decade? What is the purpose of the laboured allegorisation of the fall of the wall in Durs Grünbein's essays or in the novels of Katja Lange-Müller and Thomas Hettche? The sexification of historical and political processes recalls similar stereotypes in the East German literature of the 1980s: the metropolis as a whore in works by Heiner Müller or Wolf Biermann, but also by younger authors of the independent literary scene in Berlin like Uwe Kolbe or Frank-Wolf Matthies.

Tracking persistent pharmaceutical residues from municipal sewage to drinking water

NASA Astrophysics Data System (ADS)

Heberer, Thomas

2002-09-01

In urban areas such as Berlin (Germany) with high municipal sewage water discharges and low surface water flows there is a potential risk of drinking water contamination by polar organic compounds when groundwater recharge is used in drinking water production. Thus, some pharmaceutically active compounds (PhACs) are not eliminated completely in the municipal sewage treatment plants (STPs) and they are discharged as contaminants into the receiving waters. In terms of several monitoring studies carried out in Berlin between 1996 and 2000, PhACs such as clofibric acid, diclofenac, ibuprofen, propyphenazone, primidone and carbamazepine were detected at individual concentrations up to the μg/l-level in influent and effluent samples from STPs and in all surface water samples collected downstream from the STPs. Under recharge conditions, several compounds were also found at individual concentrations up to 7.3 μg/l in samples collected from groundwater aquifers near to contaminated water courses. A few of the PhACs were also identified at the ng/l-level in Berlin tap water samples.

Definition and epidemiology of acute respiratory distress syndrome

PubMed Central

Rezoagli, Emanuele; Fumagalli, Roberto

2017-01-01

Fifty years ago, Ashbaugh and colleagues defined for the first time the acute respiratory distress syndrome (ARDS), one among the most challenging clinical condition of the critical care medicine. The scientific community worked over the years to generate a unified definition of ARDS, which saw its revisited version in the Berlin definition, in 2014. Epidemiologic information about ARDS is limited in the era of the new Berlin definition, and wide differences are reported among countries all over the world. Despite decades of study in the field of lung injury, ARDS is still so far under-recognized, with 2 out of 5 cases missed by clinicians. Furthermore, although advances of ventilator strategies in the management of ARDS associated with outcome improvements—such as protective mechanical ventilation, lower driving pressure, higher PEEP levels and prone positioning—ARDS appears to be undertreated and mortality remains elevated up to 40%. In this review, we cover the history that led to the current worldwide accepted Berlin definition of ARDS and we summarize the recent data regarding ARDS epidemiology. PMID:28828357

The history of the library of the Astronomisches Rechen-Institut. With a catalogue of books which have arrived at Heidelberg from the library of the institute at Berlin. (German Title: Die Geschichte der Bibliothek des Astronomischen Rechen-Instituts. Mit einem Verzeichnis von Büchern, die aus der Berliner Institutsbibliothek nach Heidelberg gelangt sind.)

NASA Astrophysics Data System (ADS)

Wielen, Roland; Wielen, Ute; Hefele, Herbert; Heinrich, Inge

We describe and document the long and eventfull history of the library of the Astronomisches Rechen-Institut. This library emerged from the library of the Berlin Observatory which was founded in 1700. Since 1874 the institute had its own collection of books. In 1897 the library of the institute became an independent facility. Since 1912 the institute and its library were located at Dahlem near Berlin. During the Second World War, some parts of the library were secured at external locations. The institute itself and most of its library were evacuated in 1944 to Sermuth in Saxonia. In 1945 the institute was transferred from Sermuth to Heidelberg. We describe the reconstruction of the library in Heidelberg. We give details about the library, especially on its book collection as function of time. In Berlin, the library stock numbered about 15 000 units; in Heidelberg, there are presently about 29 000 units available. In a detailed list, we record those books which have found their way from the library in Berlin to Heidelberg. This list contains more than 800 items. Among these volumes, there are many valuable old books: the oldest from 1533, and a work by Kepler (Tabulae Rudolphinae) from 1627. For some of these, we present images of their cover and title page.

Architecture and Surface Chemistry of Compound Nanoclusters

DTIC Science & Technology

2012-07-31

Inorganic and organic chemistry in the gas phase," Molecular Dynamics Seminar, Fritz Haber Institute, Berlin, Germany, June 2010. 12. "Infrared...Patent Disclosures none Pi Honors/Awards Alexander von Humboldt Fellowship ( Fritz Haber Institute, Berlin), 2007-present American Chemical

TU Berlin Rover Family for Terrestrial Testing of Complex Planetary Mission Scenarios

NASA Astrophysics Data System (ADS)

Kryza, L.; Brieß, K.

2018-04-01

The TU Berlin has developed a family of planetary rovers for educational use and research activities. The paper will introduce these cost-effective systems, which can be used for analogue mission demonstration on Earth.

A statistical downscaling approach for roadside NO2 concentrations: Application to a WRF-Chem study for Berlin

NASA Astrophysics Data System (ADS)

Kuik, Friderike; Lauer, Axel; von Schneidemesser, Erika; Butler, Tim

2017-04-01

Many European cities continue to struggle with meeting the European air quality limits for NO2. In Berlin, Germany, most of the exceedances in NO2 recorded at monitoring sites near busy roads can be largely attributed to emissions from traffic. In order to assess the impact of changes in traffic emissions on air quality at policy relevant scales, we combine the regional atmosphere-chemistry transport model WRF-Chem at a resolution of 1kmx1km with a statistical downscaling approach. Here, we build on the recently published study evaluating the performance of a WRF-Chem setup in representing observed urban background NO2 concentrations from Kuik et al. (2016) and extend this setup by developing and testing an approach to statistically downscale simulated urban background NO2 concentrations to street level. The approach uses a multilinear regression model to relate roadside NO2 concentrations observed with the municipal monitoring network with observed NO2 concentrations at urban background sites and observed traffic counts. For this, the urban background NO2 concentrations are decomposed into a long term, a synoptic and a diurnal component using the Kolmogorov-Zurbenko filtering method. We estimate the coefficients of the regression model for five different roadside stations in Berlin representing different street types. In a next step we combine the coefficients with simulated urban background concentrations and observed traffic counts, in order to estimate roadside NO2 concentrations based on the results obtained with WRF-Chem at the five selected stations. In a third step, we extrapolate the NO2 concentrations to all major roads in Berlin. The latter is based on available data for Berlin of daily mean traffic counts, diurnal and weekly cycles of traffic as well as simulated urban background NO2 concentrations. We evaluate the NO2 concentrations estimated with this method at street level for Berlin with additional observational data from stationary measurements and mobile measurements conducted during a campaign in summer 2014. The results show that this approach allows us to estimate NO2 concentrations at roadside reasonably well. The approach can be applied when observations show a strong correlation between roadside NO2 concentrations and traffic emissions from a single type of road. The method, however, shows weaknesses for intersections where observed NO2 concentrations are influenced by traffic on several different roads. We then apply this downscaling approach to estimate the impact of different traffic emission scenarios both on urban background and street level NO2 concentrations. References Kuik, F., Lauer, A., Churkina, G., Denier van der Gon, H. A. C., Fenner, D., Mar, K. A., and Butler, T. M.: Air quality modelling in the Berlin-Brandenburg region using WRF-Chem v3.7.1: sensitivity to resolution of model grid and input data, Geosci. Model Dev., 9, 4339-4363, doi:10.5194/gmd-9-4339-2016, 2016.

["Shock" therapies in Nazi Germany. The example of Berlin psychiatry].

PubMed

Rzesnitzek, L

2014-09-01

The idea that "shock" therapies were introduced by "Nazi-Psychiatry" very early and used radically in a cruel way darkens the image of these therapies until today. A case analysis of patient files of psychiatric hospitals in Berlin is used to recapitulate the introduction of insulin coma, metrazol and electroconvulsive therapy during the National Socialism era. Contrary to the false assumption that these "shock" therapies would have been introduced and preferred by psychiatrists involved with the Nazi regime and "euthanasia", in the case of Berlin these therapies were delayed by them and seldom used.

A comparison of municipal solid waste management in Berlin and Singapore

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zhang Dongqing, E-mail: dqzhang@ntu.edu.s; Keat, Tan Soon; Gersberg, Richard M.

2010-05-15

A comparative analysis of municipal solid waste management (MSWM) in Singapore and Berlin was carried out in order to identify its current status, and highlight the prevailing conditions of MSWM. An overview of the various aspects of MSWM in these two cities is provided, with emphasis on comparing the legal, technical, and managerial aspects of MSW. Collection systems and recycling practiced with respect to the involvement of the government and the private sector, are also presented. Over last two decades, the city of Berlin has made impressive progress with respect to its waste management. The amounts of waste have declinedmore » significantly, and at the same time the proportion that could be recovered and recycled has increased. In contrast, although Singapore's recycling rate has been increasing over the past few years, rapid economic and population growth as well as change in consumption patterns in this city-state has caused waste generation to continue to increase. Landfilling of MSW plays minor role in both cities, one due to geography (Singapore) and the other due to legislative prohibition (Berlin). Consequently, both in Singapore and Berlin, waste is increasingly being used as a valuable resource and great efforts have been made for the development of incineration technology and energy recovery, as well as climate protection.« less

A comparison of municipal solid waste management in Berlin and Singapore.

PubMed

Zhang, Dongqing; Keat, Tan Soon; Gersberg, Richard M

2010-05-01

A comparative analysis of municipal solid waste management (MSWM) in Singapore and Berlin was carried out in order to identify its current status, and highlight the prevailing conditions of MSWM. An overview of the various aspects of MSWM in these two cities is provided, with emphasis on comparing the legal, technical, and managerial aspects of MSW. Collection systems and recycling practiced with respect to the involvement of the government and the private sector, are also presented. Over last two decades, the city of Berlin has made impressive progress with respect to its waste management. The amounts of waste have declined significantly, and at the same time the proportion that could be recovered and recycled has increased. In contrast, although Singapore's recycling rate has been increasing over the past few years, rapid economic and population growth as well as change in consumption patterns in this city-state has caused waste generation to continue to increase. Landfilling of MSW plays minor role in both cities, one due to geography (Singapore) and the other due to legislative prohibition (Berlin). Consequently, both in Singapore and Berlin, waste is increasingly being used as a valuable resource and great efforts have been made for the development of incineration technology and energy recovery, as well as climate protection. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

Report on the conference on 'Men, women, and medicine: a new view of the biology of sex/gender differences and aging' held in Berlin, 24-26th February 2006.

PubMed

Kampf, Antje

2006-10-26

The first world wide symposium on the topic of gender-specific medicine provided the latest research on differences in sex and/or gender in medicine and medical care. The presentations ranged beyond the topic of reproduction to encompass the entire human organism. This report critically reviews three issues that emerged during the Conference: gender mainstreaming, the concept of sex/gender differences and the issue of men's health. It suggests that the interdisciplinary concept of gender-specific medicine has to be mirrored by the integration of social and cultural studies into medical research and practice.

[Death caused by projectile guns--a retrospective analysis of 34 cases in Berlin and Hamburg].

PubMed

Lignitz, E; Koops, E; Püschel, K

1988-01-01

The autopsy material of the institutes for forensic medicine in Berlin/GDR and Hamburg was analyzed retrospectively (period from 1961 till 1987; 70,000 autopsies) for fatalities caused by "humane killers" (n = 22) and stud guns (n = 12).-Epidemiological, criminological and morphological findings: The decreased were all men aged between 18 and 75 years (mean 48 years) except one 61 year-old paraplegic women who was killed by her husband with a humane killer. The great majority of cases consisted of suicides; two accidents at work were caused by stud guns. These unusual weapons are normally used by skilled people (i.e. butchers or constructional workers respectively). The fatal wounds were situated at the head, especially the forehead, seldom at the nape of the neck or in the mouth, or sometimes in the chest when using stud guns. Combined suicides (especially together with hanging) are not unusual. Survival periods (with or without acting capacity) can range between minutes or even months (after neurosurgical intervention).-The frequency of such unusual and overall rare cases did not raise during the investigation period.

Editorial

NASA Astrophysics Data System (ADS)

Schiwietz, Gregor; Klaumünzer, Siegfried; Mahnke, Heinz-Eberhard

2007-03-01

This NIM-B issue contains the Proceedings of the 22nd International Conference on Atomic Collisions in Solids (ICACS-22) held in the main building of the Technische Universität Berlin (Strasse des 17.Juni 135, 10623 Berlin, Germany) from the 21st until the 26th of July 2006.

Berlin, Maryland - How One Small City is Using Science to Change its World

NASA Astrophysics Data System (ADS)

Allen, L.; Silbergeld, E.

2016-12-01

Small cities are uniquely challenged to mitigate environmental issues in their communities because they usually lack the financial resources and technical expertise to address them. The Town of Berlin, population 4,500, recently purchased approximately 60 acres of private property located at 9943 Old Ocean City Boulevard. The property was previously owned by Tyson Chicken, Inc. and contains a chicken processing plant which has not been in use for over 10 years. Historically the plant emitted significant odors which limited the Town's ability to diversify its economic base. The plant closure provided an opportunity to convert the property to another use, but the downturn in the economy delayed that change. The Town intends to establish recreation oriented uses on the property with the following goals in mind: Create a common ground for the people of Berlin that will unite various neighborhoods. Create synergy between ecological sustainability and community resilience Upgrade the ponds on the property to make them the design focal point Through the Thriving Earth Exchange, the Town of Berlin connected with Dr. Ellen Silbergeld to resolve the question of how to remediate the ponds. Dr. Silbergeld is trained as an environmental engineer and public health researcher, with substantial experience in environmental issues in the poultry industry. This case study will show how one small city is working with a volunteer scientist to convert a blighted piece of property into a multi-use public space for the benefit of its residents and guests.

McCandless's Response to "Soul Healing: A Model of Feminist Therapy."

ERIC Educational Resources Information Center

McCandless, J. Bardarah

1993-01-01

Responds to Patricia Berliner's "Soul Healing: A Model of Feminist Therapy." Describes Berliner's retreat-workshops for women. Concludes that "Soul Healing" is a thought-provoking article that awakens sensitivities to the problems of poor self-image with which many women struggle and introduces numerous germinal ideas about…

Battling Creaticide: An Interview with David C. Berliner

ERIC Educational Resources Information Center

Ambrose, Don

2012-01-01

This article presents an interview with David C. Berliner, a Regents' Professor in the College of Education at Arizona State University. His books include "Educational Psychology," "The Manufactured Crisis," and "The Handbook of Educational Psychology." He has served as president of the American Educational Research Association and of the…

A Density-Ratio Approach to Machine Learning

DTIC Science & Technology

2011-04-20

28/29, 10587 Berlin, Germany. buenau@cs.tu-berlin.de Taiji Suzuki The University of Tokyo 7-3-1 Hongo , Bunkyo-ku, Tokyo 113-8656, Japan. s-taiji...Computation, to appear. Least-squares Independent Component Analysis∗ Taiji Suzuki Department of Mathematical Informatics, The University of Tokyo 7-3-1 Hongo

Enlightening City Childhoods: Walter Benjamin's Berlin and Erich Kästner's Dresden

ERIC Educational Resources Information Center

Lathey, Gillian

2016-01-01

Walter Benjamin, cultural critic and philosopher, compiled "Berlin childhood around 1900" (trans. Howard Eiland, 2006) while in exile from Germany in the early 1930s, filtering impressions of a privileged childhood through a politicised adult consciousness. Erich Kästner, journalist, poet, satirist and author of the children's classic…

Auftragstaktik: The Basis for Modern Military Command?

DTIC Science & Technology

2012-12-06

Operations of the Second Army from the Opening of the Campaign to the Capitulation of Metz, comp. Captain von der Goltz (Berlin: E. S. Mittler...from the Opening of the Campaign to the Capitulation of Metz. Compiled by Captain von der Goltz . Berlin: E.S. Mittler & Son, 1873. Hoenig, Fritz. La

Ever Ready to Go: The Multiple Exiles of Leo Szilard

NASA Astrophysics Data System (ADS)

Frank, Tibor

2005-06-01

I argue that to understand the life and work of Leo Szilard (1898 1964) we have to understand, first, that he was driven by events to numerous departures, escapes, and exiles, changing his religion, his language, his country of residence, and his scientific disciplines; second, that he was a man haunted by major moral dilemmas throughout his life, burdened by a sincere and grave sense of responsibility for the fate of the world; and third, that he experienced a terrible sense of déjà vu: his excessive sensitivity and constant alertness were products of his experiences as a young student in Budapest in 1919. The mature Szilard in Berlin of 1933, and forever after, was always ready to move. I proceed as follows:After a brief introduction to his family background, youth, and education in Budapest, I discuss the impact of his army service in the Great War and of the tumultous events in Hungary in 1918 1919 on his life and psyche, forcing him to leave Budapest for Berlin in late 1919. He completed his doctoral degree under Max von Laue (1879 1960) at the University of Berlin in 1922 and his Habilitationsschrift in 1925. During the 1920s and early 1930s, he filed a number of patents, several of them jointly with Albert Einstein (1879 1955). He left Berlin in March 1933 for London where he played a leading role in the rescue operations for refugee scientists and scholars from Nazi Germany. He also carried out notable research in nuclear physics in London and Oxford before immigrating to the United States at the end of 1938. He drafted Einstein’s famous letter of August 2, 1939, to President Franklin D. Roosevelt, worked in the Manhattan Project during World War II, initiated a petition to President Harry S. Truman not to use the bomb on Japan, and immediately after the war was a leader in the scientists’ movement that resulted in civilian control of nuclear energy. In 1946 he turned to biology, in which his most significant contribution was to formulate a theory of aging. In 1956 von Laue led an effort to invite him to head a new institute for nuclear physics in West Berlin, which he ultimately declined at the end of 1959. He remained in the United States, becoming a highly visible public figure, speaking, writing, and traveling extensively, and even corresponding with Soviet Premier Nikita S.Khrushchev and President John F. Kennedy to promote the international control of nuclear weapons. In retrospect, although Szilard was a man of many missions, his life story could be read as that of a man of conscience with but a single mission, to save mankind.

Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany

PubMed Central

David, Matthias; Borde, Theda; Brenne, Silke; Henrich, Wolfgang; Breckenkamp, Jürgen; Razum, Oliver

2015-01-01

Objective The frequency of caesarean section delivery varies between countries and social groups. Among other factors, it is determined by the quality of obstetrics care. Rates of elective (planned) and emergency (in-labor) caesareans may also vary between immigrants (first generation), their offspring (second- and third-generation women), and non-immigrants because of access and language barriers. Other important points to be considered are whether caesarean section indications and the neonatal outcomes differ in babies delivered by caesarean between immigrants, their offspring, and non-immigrants. Methods A standardized interview on admission to delivery wards at three Berlin obstetric hospitals was performed in a 12-month period in 2011/2012. Questions on socio-demographic and care aspects and on migration (immigrated herself vs. second- and third-generation women vs. non-immigrant) and acculturation status were included. Data was linked with information from the expectant mothers’ antenatal records and with perinatal data routinely documented in the hospital. Regression modeling was used to adjust for age, parity and socio-economic status. Results The caesarean section rates for immigrants, second- and third-generation women, and non-immigrant women were similar. Neither indications for caesarean section delivery nor neonatal outcomes showed statistically significant differences. The only difference found was a somewhat higher rate of crash caesarean sections per 100 births among first generation immigrants compared to non-immigrants. Conclusion Unlike earlier German studies and current studies from other European countries, this study did not find an increased rate of caesarean sections among immigrants, as well as second- and third-generation women, with the possible exception of a small high-risk group. This indicates an equally high quality of perinatal care for women with and without a migration history. PMID:25985437

Pediatric acute myeloid leukemia with t(8;16)(p11;p13), a distinct clinical and biological entity: a collaborative study by the International-Berlin-Frankfurt-Münster AML-study group

PubMed Central

Coenen, Eva A.; Zwaan, C. Michel; Reinhardt, Dirk; Harrison, Christine J.; Haas, Oskar A.; de Haas, Valerie; Mihál, Vladimir; De Moerloose, Barbara; Jeison, Marta; Rubnitz, Jeffrey E.; Tomizawa, Daisuke; Johnston, Donna; Alonzo, Todd A.; Hasle, Henrik; Auvrignon, Anne; Dworzak, Michael; Pession, Andrea; van der Velden, Vincent H. J.; Swansbury, John; Wong, Kit-fai; Terui, Kiminori; Savasan, Sureyya; Winstanley, Mark; Vaitkeviciene, Goda; Zimmermann, Martin; Pieters, Rob; van den Heuvel-Eibrink, Marry M.

2013-01-01

In pediatric acute myeloid leukemia (AML), cytogenetic abnormalities are strong indicators of prognosis. Some recurrent cytogenetic abnormalities, such as t(8;16)(p11;p13), are so rare that collaborative studies are required to define their prognostic impact. We collected the clinical characteristics, morphology, and immunophenotypes of 62 pediatric AML patients with t(8;16)(p11;p13) from 18 countries participating in the International Berlin-Frankfurt-Münster (I-BFM) AML study group. We used the AML-BFM cohort diagnosed from 1995-2005 (n = 543) as a reference cohort. Median age of the pediatric t(8;16)(p11;p13) AML patients was significantly lower (1.2 years). The majority (97%) had M4-M5 French-American-British type, significantly different from the reference cohort. Erythrophagocytosis (70%), leukemia cutis (58%), and disseminated intravascular coagulation (39%) occurred frequently. Strikingly, spontaneous remissions occurred in 7 neonates with t(8;16)(p11;p13), of whom 3 remain in continuous remission. The 5-year overall survival of patients diagnosed after 1993 was 59%, similar to the reference cohort (P = .14). Gene expression profiles of t(8;16)(p11;p13) pediatric AML cases clustered close to, but distinct from, MLL-rearranged AML. Highly expressed genes included HOXA11, HOXA10, RET, PERP, and GGA2. In conclusion, pediatric t(8;16)(p11;p13) AML is a rare entity defined by a unique gene expression signature and distinct clinical features in whom spontaneous remissions occur in a subset of neonatal cases. PMID:23974201

Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany.

PubMed

David, Matthias; Borde, Theda; Brenne, Silke; Henrich, Wolfgang; Breckenkamp, Jürgen; Razum, Oliver

2015-01-01

The frequency of caesarean section delivery varies between countries and social groups. Among other factors, it is determined by the quality of obstetrics care. Rates of elective (planned) and emergency (in-labor) caesareans may also vary between immigrants (first generation), their offspring (second- and third-generation women), and non-immigrants because of access and language barriers. Other important points to be considered are whether caesarean section indications and the neonatal outcomes differ in babies delivered by caesarean between immigrants, their offspring, and non-immigrants. A standardized interview on admission to delivery wards at three Berlin obstetric hospitals was performed in a 12-month period in 2011/2012. Questions on socio-demographic and care aspects and on migration (immigrated herself vs. second- and third-generation women vs. non-immigrant) and acculturation status were included. Data was linked with information from the expectant mothers' antenatal records and with perinatal data routinely documented in the hospital. Regression modeling was used to adjust for age, parity and socio-economic status. The caesarean section rates for immigrants, second- and third-generation women, and non-immigrant women were similar. Neither indications for caesarean section delivery nor neonatal outcomes showed statistically significant differences. The only difference found was a somewhat higher rate of crash caesarean sections per 100 births among first generation immigrants compared to non-immigrants. Unlike earlier German studies and current studies from other European countries, this study did not find an increased rate of caesarean sections among immigrants, as well as second- and third-generation women, with the possible exception of a small high-risk group. This indicates an equally high quality of perinatal care for women with and without a migration history.

[Improving Structures for Healthy and Self-Determined Ageing in an Urban District].

PubMed

Heusinger, J; Kammerer, K; Wolter, B; Schuster, M

2015-09-01

Between 2007 and 2010 the Institut für Gerontologische Forschung e.V. investigated the "Primary Prevention Effects of the Märkisches Viertel Network" in the Berlin district "Märkisches Viertel". The study integrates, amongst others, various participatory methods to investigate the health promotion effects of the volunteer Märkisches Viertel Network, an organisation that brings together different local actors working to assist and encourage older people to live independent lives. Sustained active collaboration by a heterogeneous mixture of actors in a spatially defined quarter, engagement by the local housing association, and increasing acknowledgement of and participation by older residents were identified as success factors for a change in local structures. © Georg Thieme Verlag KG Stuttgart · New York.

Eliciting views on antibiotic prescribing and resistance among hospital and outpatient care physicians in Berlin, Germany: results of a qualitative study

PubMed Central

Ziegelmann, Antina; Eckmanns, Tim; Krause, Gérard

2012-01-01

Objective To better understand physicians' views on factors of influence for the prescribing of antibiotics and on antibiotic resistance in the Berlin region, Germany. Design Qualitative study with focus groups. Setting Outpatient care and hospital care practice in the Berlin region, Germany. Participants 7 General practitioners, two urologists, one paediatrician from outpatient care and eight internists, two paediatricians, two ear, nose and throat specialists and two urologists from hospital care. Results Physicians showed differential interest in topics related to antibiotic prescribing and antibiotic resistance. Outpatient care physicians were interested in topics around their own prescribing, such as being able to diagnose and prescribe precisely, and topics about patient demand and non-compliance. Hospital care physicians were interested in hygiene challenges, limited consult time and multi-resistant pathogens. Conclusions Physicians considered the development of resistance to be more in the domain of clinical treatment than that of the patient. Major challenges related to antibiotic resistance for this group of physicians are access to and clarity of treatment recommendations, implementation of hygienic measures, as well as increased outsourcing of laboratory services. Results raise questions about whether meeting physicians' expectations should be a focus when developing intervention that aims to influence antibiotic resistance in this and other areas of Germany. PMID:22307097

Eliciting views on antibiotic prescribing and resistance among hospital and outpatient care physicians in Berlin, Germany: results of a qualitative study.

PubMed

Velasco, Edward; Ziegelmann, Antina; Eckmanns, Tim; Krause, Gérard

2012-01-01

To better understand physicians' views on factors of influence for the prescribing of antibiotics and on antibiotic resistance in the Berlin region, Germany. Qualitative study with focus groups. Outpatient care and hospital care practice in the Berlin region, Germany. 7 General practitioners, two urologists, one paediatrician from outpatient care and eight internists, two paediatricians, two ear, nose and throat specialists and two urologists from hospital care. Physicians showed differential interest in topics related to antibiotic prescribing and antibiotic resistance. Outpatient care physicians were interested in topics around their own prescribing, such as being able to diagnose and prescribe precisely, and topics about patient demand and non-compliance. Hospital care physicians were interested in hygiene challenges, limited consult time and multi-resistant pathogens. Physicians considered the development of resistance to be more in the domain of clinical treatment than that of the patient. Major challenges related to antibiotic resistance for this group of physicians are access to and clarity of treatment recommendations, implementation of hygienic measures, as well as increased outsourcing of laboratory services. Results raise questions about whether meeting physicians' expectations should be a focus when developing intervention that aims to influence antibiotic resistance in this and other areas of Germany.

Berlin Kompass: Multimodal Gameful Empowerment for Foreign Language Learning

ERIC Educational Resources Information Center

Kallioniemi, Pekka; Posti, Laura-Pihkala; Hakulinen, Jaakko; Turunen, Markku; Keskinen, Tuuli; Raisamo, Roope

2015-01-01

This article presents an innovative, gameful, multimodal, and authentic learning environment for training of oral communication in a foreign language--a virtual adventure called Berlin Kompass. After a brief presentation of the pedagogical and technological backgrounds, the system is described. Central results of a series of pilots in autumn 2013…

The Influence of Strategic and Organizational Cultures on the Revolution in Military Affairs Within the U.S. Army

DTIC Science & Technology

2015-03-01

37 118 Heeresdienstvorshrift 487, Fuhrung und Gefecht der verbundenen Waffen , Berlin: Verlag Offene Worte, 1921, 1923, 1925, Part 1, 47 in The...und Gefecht der verbundenen Waffen [Army service instructions 487. Command and combat of the combined arms]. Berlin: Verlag Offene Worte, 1921, 1923

Ideologies, Policies and Practices in East Berlin before and after the Fall of the Wall.

ERIC Educational Resources Information Center

Calder, Pamela

1996-01-01

Examines changes in practices of two nurseries in East Berlin following reunification of Germany. Notes that after reunification, the extensive nursery school coverage for children under 3, and near universal coverage for children 3-6 was drastically reduced, and the ideological justification for coverage was systematically rejected. Discusses…

Germany since 1945: A Focus on Berlin.

ERIC Educational Resources Information Center

Blankenship, Glen; Smith, Lindsey

This lesson accompanies a videotape which examines some of the forces, personalities and events which shaped Berlin and the rest of Germany between 1945 and 1994. The lesson is introduced by using the videotape and uses references from the videotape for further classroom work. Worksheets for student use include "Events in Germany,…

Structured Parent Education in the Management of Childhood Atopic Dermatitis: The Berlin Model.

ERIC Educational Resources Information Center

Wenninger, Kerstin; Kehrt, Rainer; von Ruden, Ursula; Lehmann, Christine; Binder, Christiane; Wahn, Ulrich; Staab, Doris

2000-01-01

Describes the goals and content of the Berlin education program for parents and children with atopic dermatitis (AD). Program included six group sessions concerning medical, nutritional, and psychological issues. Program aimed to contribute towards a comprehensive, family-oriented management of childhood AD. Data showed the program had a positive…

40 CFR 180.1011 - Viable spores of the microorganism Bacillus thuringiensis Berliner; exemption from the...

Code of Federal Regulations, 2013 CFR

2013-07-01

... authentic strain of Bacillus thuringiensis Berliner conforming to the morphological and biochemical... million spores into each of five laboratory test mice weighing 17 grams to 23 grams. Such test shall show no evidence of infection or injury in the test animals when observed for 7 days following injection...

40 CFR 180.1011 - Viable spores of the microorganism Bacillus thuringiensis Berliner; exemption from the...

Code of Federal Regulations, 2014 CFR

2014-07-01

... authentic strain of Bacillus thuringiensis Berliner conforming to the morphological and biochemical... million spores into each of five laboratory test mice weighing 17 grams to 23 grams. Such test shall show no evidence of infection or injury in the test animals when observed for 7 days following injection...

40 CFR 180.1011 - Viable spores of the microorganism Bacillus thuringiensis Berliner; exemption from the...

Code of Federal Regulations, 2011 CFR

2011-07-01

... authentic strain of Bacillus thuringiensis Berliner conforming to the morphological and biochemical... million spores into each of five laboratory test mice weighing 17 grams to 23 grams. Such test shall show no evidence of infection or injury in the test animals when observed for 7 days following injection...

40 CFR 180.1011 - Viable spores of the microorganism Bacillus thuringiensis Berliner; exemption from the...

Code of Federal Regulations, 2012 CFR

2012-07-01

... authentic strain of Bacillus thuringiensis Berliner conforming to the morphological and biochemical... million spores into each of five laboratory test mice weighing 17 grams to 23 grams. Such test shall show no evidence of infection or injury in the test animals when observed for 7 days following injection...

DefenseLink Feature: Berlin Airlift

Science.gov Websites

Services Open House at Andrews Air Force Base FEATURE STORIES Wiesbaden Celebrates Airlift Anniversary Airlift Anniversary This year's Joint Service Open House commemorates the 60th anniversary of the Berlin Open House 2008 Joint Service Open House This year's Joint Service Open House commemorated the 60th

A Doubled Heterotopia: Shifting Spatial and Visual Symbolism in the Jewish Museum Berlin's Development

ERIC Educational Resources Information Center

Saindon, Brent Allen

2012-01-01

This essay considers the rhetoric of space in a rapidly transforming culture. Using Michel Foucault's concept of "heterotopias" to understand the rhetorical power of a building's disposition, it is argued that the Jewish Museum Berlin contains two heterotopias, one within the other. The first is Daniel Libeskind's original building…

Storefront Day Care Centers: The Radical Berlin Experiment.

ERIC Educational Resources Information Center

1973

Tired of being excluded from political activities because of lack of day care facilities, women's liberation members of the German Student Federation of Social Democrats (SDS) organized Storefront Day Care Centers early in 1968 in West Berlin. In "Storefront Day Care Centers," an authors' collective recounts the events that marked the growth of…

On the quantization of wave fields⋆

NASA Astrophysics Data System (ADS)

Rosenfeld, L.

2017-04-01

Originally published in German "Zur Quantelung der Wellenfelder" in Annalen der Physik 397, 113 (1930). Submitted for publication on March 18, 1930Translated by Donald Salisbury, Max-Planck-Institut für Wissenschaftsgeschichte, Berlin and Austin College, Sherman, TX, USA and Kurt Sundermeyer, Max-Planck-Institut für Wissenschaftsgeschichte, Berlin. DSalisbury@austincollege.edu

Occurrence of endocrine-disrupting and other wastewater compunds during water treatment with case studies from Lincoln, Nebraska and Berlin, Germany

USGS Publications Warehouse

Verstraeten, Ingrid M.; Heberer, T.; Vogel, J.R.; Speth, T.; Zuehlke, S.; Duennbier, U.

2003-01-01

Research on the fate and transport of endocrine-disrupting compounds and other organic wastewater compounds released into the environment and their potential presence in drinking water is in its infancy. Studies conducted during the last decade in Lincoln, Nebraska, and Berlin, Germany, indicate that removal of less polar compounds probably can be obtained through bank filtration, ground-water enrichment, and additional drinking-water and wastewater treatment processes. Polar compounds, such as atrazine and some metabolites, occur in drinking water obtained from contaminated surface water or ground water, but at concentrations generally lower than those occurring in wastewater and surface water. The results of the studies also suggest that concentrations of nonpolar estrogenic compounds decrease during drinking-water pretreatment processes such as bank filtration and ground-water enrichment.

Epidemiology of symptomatic drug-induced long QT syndrome and Torsade de Pointes in Germany.

PubMed

Sarganas, Giselle; Garbe, Edeltraut; Klimpel, Andreas; Hering, Rolf C; Bronder, Elisabeth; Haverkamp, Wilhelm

2014-01-01

Drug-induced long QT syndrome (diLQTS) leading to Torsade de Pointes (TdP) is a potentially lethal condition, which has led to several post-marketing drug withdrawals in the past decade. The true incidence of diLQTS/TdP is largely unknown. One explanation is under-reporting of this potentially life-threatening adverse event by physicians and other medical staff to pharmacovigilance agencies. To gain more insight into the incidence of diLQTS and TdP, the Berlin Pharmacovigilance Center (PVZ-FAKOS) has actively and prospectively identified patients who developed this particular type of drug-induced adverse event. Here, the basic characteristics of the affected patients are summarized and suspected drugs are discussed. Furthermore, an extrapolation of the Berlin incidence rates to the German Standard Population is presented. Using a Berlin-wide network of 51 collaborating hospitals (>180 clinical departments), adult patients presenting with long QT syndrome (LQTS/TdP) between 2008 and 2011 were identified by active surveillance of these hospitals. Drug exposures as well as other possible risk factors were obtained from the patient's files and in a face-to-face interview with the patient. One-hundred and seventy patients of possible LQTS/TdP were reported to the Pharmacovigilance Center of whom 58 cases were confirmed in a thorough validation process. The majority (66%) of these cases were female and 60% had developed LQTS/TdP in the outpatient setting. Thirty-five (60%) of 58 confirmed cases were assessed as drug-related based on a standardized causality assessment applying the criteria of the World Health Organization. Drugs assessed as related in more than two cases were metoclopramide, amiodarone, melperone, citalopram, and levomethadone. The age-standardized incidence of diLQTS/TdP in Berlin was estimated to be 2.5 per million per year for males and 4.0 per million per year for females. While European annual reporting rates based on spontaneous reports suggest an annual diLQTS/TdP incidence of 0.26 per million in Germany, we estimated a considerably higher incidence of diLQTS/TdP in an active surveillance approach. Further measures are warranted to better sensitize physicians against this potentially life-threatening drug-induced adverse event.

Hybrid Power: Mobility Air Forces and Foreign Policy

DTIC Science & Technology

2010-05-21

Mast Publications, 1949), 16. 111 Halvorsen, 106. 112 Ibid, 113. 113 Pamela Feltus , United States Centennial of Flight Commission, ―The Berlin...122 Feltus , http://www.centennialofflight.gov/essay/Air_Power/berlin_airlift/AP35.htm... Feltus . 39 SECTION THREE: FOREIGN POLICY, DOCTRINE & CURRENT OPERATIONS We have learned and must not forget that from now on air transport is

Local Belonging and "Geographies of Emotions": Immigrant Children's Experience of Their Neighbourhoods in Paris and Berlin

ERIC Educational Resources Information Center

den Besten, Olga

2010-01-01

This article argues that a sense of local belonging and emotional attitudes to one's neighbourhood are inherently interconnected. It explores immigrant children's emotional experiences of their neighbourhoods in Paris and Berlin through subjective maps drawn by the children. The article highlights the social and spatial nature of immigrant…

Der Humboldt-Dienst des Humboldt-Gymnasiums Berlin (The Humboldt-Dienst of the Humboldt Gymnasium in Berlin)

ERIC Educational Resources Information Center

Pegler, Klaus

1976-01-01

The Humboldt-Dienst functions as a teaching aid. Some eight times a year it tapes collections of foreign-language information broadcasts, and issues student work sheets and teachers' guides for use therewith. The materials are available at cost; an address for ordering is given. (Text is in German.) (IFS/WGA)

Standards for Quality? A Citical Appraisal of the Berlin Principles for International Rankings of Universities

ERIC Educational Resources Information Center

Hägg, Ingemund; Wedlin, Linda

2013-01-01

This article discusses the principles developed to assure the quality of international ranking practices for higher education, the so-called Berlin Principles, and the role given to them in the higher education community. While the principles are generally regarded as proper quality assurance principles, they are problematic both in their content…

International Symposium on Correlation and Polarization in Electron-Atom Collisions Held in Pasadena, California on 1-2 August 1985.

DTIC Science & Technology

1985-08-02

above within the framework of the Breit- of these resonances. Pauli Hamiltonian. The influence of electron correlation The R-matrix calculations for...Domagkstr 75,4400 Munster WEST GERMANY Dr. I. V. Hertel Freie Universitat Berlin F13 Physik, Arnimallee 14 D-1000 Berlin 33 WEST GERMANY Dr. Wolfgang

Defense.gov - Special Report - Fall of the Berlin Wall - 20th Anniversary

Science.gov Websites

barrier followed. On Nov. 9, 1989, after East Germany promised greater freedom of travel, protestors . The Iron Curtain that divided Europe for decades finally fell, ushering in a new era of freedom and Berlin visit. June 12, 1987 About This Site Freedom of Information Privacy & Security External Link

Contested Namesakes: East Berlin School Names under Communism and in Reunified Germany

ERIC Educational Resources Information Center

Plum, Catherine

2005-01-01

In this article, the author discusses how the municipal authorities eliminate the names of all schools in eastern Berlin in 1990 to formalize the spontaneous purge of school identities. She added, that the renaming of primary and secondary schools at this historical juncture provides a unique vantage point for examining what the democratic turning…

School Catchment Area Evasion: The Case of Berlin, Germany

ERIC Educational Resources Information Center

Noreisch, Kathleen

2007-01-01

This paper seeks to examine the ways in which school segregation plays out in a pure catchment area system and to what extent residential composition is directly mirrored in schools. The research examines the data for the districts in Berlin and, more specifically at the school level, for the district of Tempelhof-Schoneberg. The research is based…

The Berlin astronomer - Life and works of Johann Elert Bode (1747-1826) (German Title: Der Berliner Astronom - Leben und Werk von Johann Elert Bode (1747-1826) )

NASA Astrophysics Data System (ADS)

Schwemin, Friedhelm

Johann Elert Bode (1747-1826), long-time director of Berlin Observatory, earned his merits by editing the “Astronomisches Jahrbuch” for many years, for producing a immaculate star atlas, and for writing a series of popular books. Today, astronomers still know the “Titius-Bode law” of planetary distances, which had been publicized by him. The author traces the life of this Hamburg-born scholar. He analyzes his works and tries to determine his place in the history of astronomy. The volume comprises texts of original documents from Bode's life, a bibliography of his works, as well as numerous historical illustrations, often published here for the first time.

The Berlin International Consensus Meeting on Concussion in Sport.

PubMed

Davis, Gavin A; Ellenbogen, Richard G; Bailes, Julian; Cantu, Robert C; Johnston, Karen M; Manley, Geoffrey T; Nagahiro, Shinji; Sills, Allen; Tator, Charles H; McCrory, Paul

2018-02-01

The Fifth International Conference on Concussion in Sport was held in Berlin in October 2016. A series of 12 questions and subquestions was developed and the expert panel members were required to perform a systematic review to answer each question. Following presentation at the Berlin meeting of the systematic review, poster abstracts and audience discussion, the summary Consensus Statement was produced. Further, a series of tools for the management of sport-related concussion was developed, including the Sport Concussion Assessment Tool Fifth edition (SCAT5), the Child SCAT5, and the Concussion Recognition Tool Fifth edition. This paper elaborates on this process, the outcomes, and explores the implications for neurosurgeons in the management of sport-related concussion. Copyright © 2017 by the Congress of Neurological Surgeons.

Neuroscience and Global Learning

PubMed Central

Ruscio, Michael G.; Korey, Chris; Birck, Anette

2015-01-01

Traditional study abroad experiences take a variety of forms with most incorporating extensive cultural emersion and a focus on global learning skills. Here we ask the question: Can this type of experience co-exist with a quality scientific experience and continued progression through a typically rigorous undergraduate neuroscience curriculum? What are the potential costs and benefits of this approach? How do we increase student awareness of study abroad opportunities and inspire them to participate? We outline programs that have done this with some success and point out ways to cultivate this approach for future programs. These programs represent a variety of approaches in both their duration and role in a given curriculum. We discuss a one-week first year seminar program in Berlin, a summer study abroad course in Munich and Berlin, semester experiences and other options offered through the Danish Institute for Study Abroad in Copenhagen. Each of these experiences offers opportunities for interfacing global learning with neuroscience. PMID:26240528

Consideration of online rainfall measurement and nowcasting for RTC of the combined sewage system.

PubMed

Rouault, P; Schroeder, K; Pawlowsky-Reusing, E; Reimer, E

2008-01-01

In Berlin, Germany, the demand for enhanced protection of the environment and the growing economic pressure have led to an increased application of control concepts within the sewage system. A global control strategy to regulate the pumpage of the combined sewage system to the treatment plant was developed and evaluated in a theoretical study. The objective was to reduce CSO. In this paper an extension of the existing control algorithm by information from online rainfall measurement and radar nowcasting is described. The rainfall information is taken into account by two additive terms describing the predicted volume from rainfall runoff. On the basis of numerical simulation the potential of these two complementary forecast terms in the global control algorithm to further reduce CSO is evaluated. The investigations are based on long-time simulations that are conducted with the dynamic flow routing model InfoWorks for three subcatchments of the Berlin drainage system. The results show that at the current Berlin system a CSO reduction of only 0.8% is possible. The effect of the forecast terms is limited by operational constraints. Limits are set to both, the delivery from each individual pump station and the total pumpage to the treatment plant.

The Hematologic Definition of Monoclonal Gammopathy of Undetermined Significance in Relation to Paraproteinemic Keratopathy (An American Ophthalmological Society Thesis).

PubMed

Lisch, Walter; Wasielica-Poslednik, Joanna; Kivelä, Tero; Schlötzer-Schrehardt, Ursula; Rohrbach, Jens M; Sekundo, Walter; Pleyer, Uwe; Lisch, Christina; Desuki, Alexander; Rossmann, Heidi; Weiss, Jayne S

2016-08-01

To determine if paraproteinemic keratopathy (PPK) in the setting of monoclonal gammopathy of undetermined significance (MGUS) causes distinct patterns of corneal opacification that can be distinguished from hereditary, immunologic, or inflammatory causes. A retrospective, interventional study of patients showed distinct bilateral opacity patterns of the cornea at the eye clinics of Hanau, Mainz, Helsinki, Marburg, and Berlin between 1993 and 2015. Data on patient characteristics and clinical features on ophthalmic examination were collected, and serum protein profiles were evaluated. A literature review and analysis of all published studies of MGUS with PPK is also presented. The largest group of patients diagnosed with MGUS-induced PPK is analyzed in this study. We studied 22 eyes of 11 patients (6 male, aged 43 to 65, mean age 54; 5 female, aged 49 to 76, mean age 61) with distinct corneal opacities and visual impairment who were first suspected of having hereditary, inflammatory, or immunologic corneal entities. Subsequently, serum protein electrophoresis revealed MGUS to be the cause of the PPK. Literature review revealed 72 patients with bilateral PPK (34 male, mean age 57; 38 female, mean age 58) in 51 studies of MGUS published from 1934 to 2015 and disclosed six additional corneal opacity patterns. This thesis shows that MGUS is not always an asymptomatic disorder, in contrast to the hematologic definition, which has no hint of PPK. The MGUS-induced PPK can mimic many other diseases of the anterior layer of the eye. A new clinical classification for PPK in MGUS is proposed.

The Hematologic Definition of Monoclonal Gammopathy of Undetermined Significance in Relation to Paraproteinemic Keratopathy (An American Ophthalmological Society Thesis)

PubMed Central

Lisch, Walter; Wasielica-Poslednik, Joanna; Kivelä, Tero; Schlötzer-Schrehardt, Ursula; Rohrbach, Jens M.; Sekundo, Walter; Pleyer, Uwe; Lisch, Christina; Desuki, Alexander; Rossmann, Heidi; Weiss, Jayne S.

2016-01-01

Purpose To determine if paraproteinemic keratopathy (PPK) in the setting of monoclonal gammopathy of undetermined significance (MGUS) causes distinct patterns of corneal opacification that can be distinguished from hereditary, immunologic, or inflammatory causes. Methods A retrospective, interventional study of patients showed distinct bilateral opacity patterns of the cornea at the eye clinics of Hanau, Mainz, Helsinki, Marburg, and Berlin between 1993 and 2015. Data on patient characteristics and clinical features on ophthalmic examination were collected, and serum protein profiles were evaluated. A literature review and analysis of all published studies of MGUS with PPK is also presented. Results The largest group of patients diagnosed with MGUS-induced PPK is analyzed in this study. We studied 22 eyes of 11 patients (6 male, aged 43 to 65, mean age 54; 5 female, aged 49 to 76, mean age 61) with distinct corneal opacities and visual impairment who were first suspected of having hereditary, inflammatory, or immunologic corneal entities. Subsequently, serum protein electrophoresis revealed MGUS to be the cause of the PPK. Literature review revealed 72 patients with bilateral PPK (34 male, mean age 57; 38 female, mean age 58) in 51 studies of MGUS published from 1934 to 2015 and disclosed six additional corneal opacity patterns. Conclusions This thesis shows that MGUS is not always an asymptomatic disorder, in contrast to the hematologic definition, which has no hint of PPK. The MGUS-induced PPK can mimic many other diseases of the anterior layer of the eye. A new clinical classification for PPK in MGUS is proposed. PMID:28050052

Prevention of Homicidal Violence in Schools in Germany: The Berlin Leaking Project and the Networks against School Shootings Project (NETWASS)

ERIC Educational Resources Information Center

Leuschner, Vincenz; Bondu, Rebecca; Schroer-Hippel, Miriam; Panno, Jennifer; Neumetzler, Katharina; Fisch, Sarah; Scholl, Johanna; Scheithauer, Herbert

2011-01-01

Since 1999, Germany has experienced at least twelve serious cases of targeted school violence. This article describes two projects designed to fill the gap between universal prevention and emergency response in preventing severe forms of school violence in Germany. The Berlin Leaking Project examined the viability of preventive efforts based on…

[Urology and Sexology in Berlin 1880-1933: Original citations for the establishment of this frontier of urology - protagonists as reflected in their publications].

PubMed

Moll, Friedrich H; Fangerau, Heiner

2016-02-01

The connections between urology and sexology are often not obvious today. At the end of the 19th century both specialties developed in parallel especially in Berlin and had a fruitful relationship. Urologic journals and books were an ideal forum for publication especially for sexologists.

Passage from India: the first European Veterinary Immunology Workshop.

PubMed

Steinbach, Falko; Carter, Stuart; Charley, Bernard; Fossum, Caroline

2004-07-01

The European Veterinary Immunology Group (EVIG) was founded under the auspices of the European Federation of Immunologic Societies (EFIS) in 2001, and held its first meeting in autumn 2003 in Berlin. Here, we summarize the short history of this group, report on the workshop in Berlin and outline some future perspectives up to the next meeting scheduled for 2006 in Paris.

Return of the Pink Rabbit? A Visit to a Jewish School in Berlin.

ERIC Educational Resources Information Center

Rodden, John

1996-01-01

Describes a day in the life of teachers and students at a Jewish elementary school in Berlin, Germany. On this 1994 mid-October morning, the school is under tight security, since skinheads began defacing Jewish graves, neo-Nazis started chanting in the streets, and Palestinian radicals began attacking German Jews. Education toward faith is the…

Inverting Images of the 40s: The Berlin Wall and Collective Amnesia.

ERIC Educational Resources Information Center

Loshitzky, Yosefa

1995-01-01

Examines images of World War II invoked in two live, international music concerts (one rock, one classical) celebrating the fall of the Berlin Wall. Argues that Western television's choice of imagery represented the Wall's demise as a marker of the end of the Cold War rather than a vanishing monument of Germany's conflicted struggle with Holocaust…

Value Relativism and Perspective Taking are Two Distinct Facets of Wisdom-Related Knowledge.

PubMed

Kunzmann, Ute; Nowak, Jana; Thomas, Stefanie; Nestler, Steffen

2017-12-18

There has been mixed evidence for age differences in wisdom-related knowledge across the adult life span. This study investigated two potential moderators of the link between age and wisdom-related knowledge: the wisdom criteria and the wisdom tasks. To test these moderators, 40 younger and 40 older participants completed four wisdom tasks differing in context-richness. Independent trained raters coded the resulting think-aloud protocols in terms of value relativism, as defined in the Berlin wisdom paradigm, and perspective taking, as defined by Grossmann. The type of task did not show any main or interaction effects on the present two wisdom criteria. However, age differences in the two wisdom criteria were multidirectional: whereas perspective taking did not differ by age group, value relativism was lower in older than younger adults. In addition, value relativism, but not perspective taking, was related to measures of fluid and crystallized intelligence, whereas perspective taking, but not value relativism, was related to a measure of life investment. This study provides evidence for the idea that value relativism and perspective taking are two distinct facets of wisdom-related knowledge. Implications for future age-comparative research interested in wisdom are discussed. © The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

High-resolution spatial distribution of temperature over Berlin simulated by the mesoscale model METRAS and comparison with measured data

NASA Astrophysics Data System (ADS)

Sodoudi, Sahar; Schäfer, Kerstin; Grawe, David; Petrik, Ronny; Heinke Schlünzen, K.

2014-05-01

The world's population is projected to increase in the next decades especially in urban areas. Additionally, the living conditions are affected largely by the local urban climate. The urban climate is a complex local system which might change differently than the regional climate. Studying the spatial distribution of air temperature and urban heat island intensity is one of the major concerns in the climate change scenarios. Due to the expected higher frequency of heat waves in the future and the related heat stress, high resolution distribution of air temperature is an important key for urban planning and development. In this study the non-hydrostatic Mesoscale Transport and Fluid Model (METRAS) developed at the University of Hamburg is used to simulate the air temperature for the urban area of Berlin. The forcing data have been derived from the ECMWF reanalysis data. We have used three nested domains (resolution of 4 km, 1 km, 200 m) to simulate the temperature in Berlin. Evaluation of these mesoscale model results is challenging for urban areas, due to the sparse and heterogeneous distribution of meteorological stations and the heterogeneous land cover in urban areas. The Meteorological Institute of the Free University of Berlin organized six measurement campaigns in 2012. Measurements were taken at 31 different routes through Berlin using mobile measurement systems. In comparison with data from permanent weather stations the mobile measurements show a general overestimation of temperature and underestimation of relative humidity values. This may be the result of the different land cover types and places, where the mobile measurements and the stationary measurements were taken. The highly resolved (200 m) simulated air temperature from METRAS has been verified for three different selected summer days in 2012 with different pressure patterns over Berlin. For the model evaluation, the data from the measuring campaign and 34 permanent stations have been used. The results show that METRAS overestimated the cloud water and rain water content on the first two selected days. The air temperature on the first two days has been underestimated by the model due to the reduced incoming radiation, and the strength of the urban heat island has not been reproduced. The mean absolute error is higher during the day time and especially in the city center. The last selected day is a sunny day with light wind from the Northwest. On this day the diurnal temperature variation is well reproduced by the model, although METRAS predicts short showers for several small areas during the afternoon. The showers do not lead to a temperature decrease over the whole city. The mean absolute error is much smaller in comparison with the other days. The temperature peak and the urban heat island are well consistent with observations. The mean absolute error is smaller in the city center and larger over the green areas. The spatial distribution of simulated temperature is in a good agreement with the measurements.

[Domestic violence, parenting styles and well-being of German and Turkish juveniles].

PubMed

Uslucan, Haci-Halil

2009-01-01

This intercultural comparative study tries to identify the influences of domestic violence and parenting styles on juvenile violence and the well-being of juveniles. To this end, 304 German and 214 Turkish pupils in Berlin at the age of 13 to 16 completed a standardised questionnaire in their schools. The results show that Turkish juveniles report more harsh parenting styles than their German age-mates, but by controlling statistically the educational background of the parents, these differences disappear. Nevertheless, as a stable finding, we can hold that Turkish parents demand from their children a more cultural appropriate and disciplined behaviour. Furthermore, regarding the rates of juvenile violence, the main differences are seen in violence-legitimating attitudes and witnessing parental violence in the Turkish group. Lastly, in the relations between parenting styles and violence, there seems to be no culturally different patterns, but more differences in the intensity of disadvantaging consequences of punishing and harsh parenting on the well-being of juveniles.

Screening for obstructive sleep apnea syndrome in patients with type 2 diabetes mellitus: a prospective study on sensitivity of Berlin and STOP-Bang questionnaires.

PubMed

Westlake, Katerina; Plihalova, Andrea; Pretl, Martin; Lattova, Zuzana; Polak, Jan

2016-10-01

Obstructive sleep apnea (OSA) is highly prevalent in patients with Type 2 diabetes mellitus representing an additional risk factor for already increased cardiovascular mortality. As cardiovascular diseases are the main cause of death in this population, there is a need to identify patients with moderate to severe OSA indicated for treatment. We aimed to evaluate the performance of the Berlin, STOP, and STOP-Bang screening questionnaires in a population of patients with Type 2 diabetes mellitus. 294 consecutive patients with Type 2 diabetes mellitus filled in the questionnaires and underwent overnight home sleep monitoring using a type IV sleep monitor. Severe, moderate, and mild OSA was found in 31 (10%), 61 (21%), and 121 (41%) patients, respectively. The questionnaires showed a similar sensitivity and specificity for AHI ≥ 15: 0.69 and 0.50 for Berlin, 0.65 and 0.49 for STOP, and 0.59 and 0.68 for STOP-Bang. However, the performance of the STOP-Bang questionnaire was different in men vs. women, sensitivity being 0.74 vs. 0.29 (p < 0.05) and specificity 0.56 vs. 0.82 (p < 0.05). Even the best-performing Berlin questionnaire failed to identify 31% of patients with moderate to severe OSA as being at high risk of OSA, thus preventing them from receiving a correct diagnosis and treatment. Considering that patients with Type 2 diabetes mellitus are at high risk of cardiovascular mortality and also have a high prevalence of moderate to severe OSA, we find screening based on the questionnaires suboptimal and suggest that OSA screening should be performed using home sleep monitoring devices. Copyright © 2016 Elsevier B.V. All rights reserved.

Air quality modelling in the Berlin-Brandenburg region using WRF-Chem v3.7.1: sensitivity to resolution of model grid and input data

NASA Astrophysics Data System (ADS)

Kuik, Friderike; Lauer, Axel; Churkina, Galina; Denier van der Gon, Hugo A. C.; Fenner, Daniel; Mar, Kathleen A.; Butler, Tim M.

2016-12-01

Air pollution is the number one environmental cause of premature deaths in Europe. Despite extensive regulations, air pollution remains a challenge, especially in urban areas. For studying summertime air quality in the Berlin-Brandenburg region of Germany, the Weather Research and Forecasting Model with Chemistry (WRF-Chem) is set up and evaluated against meteorological and air quality observations from monitoring stations as well as from a field campaign conducted in 2014. The objective is to assess which resolution and level of detail in the input data is needed for simulating urban background air pollutant concentrations and their spatial distribution in the Berlin-Brandenburg area. The model setup includes three nested domains with horizontal resolutions of 15, 3 and 1 km and anthropogenic emissions from the TNO-MACC III inventory. We use RADM2 chemistry and the MADE/SORGAM aerosol scheme. Three sensitivity simulations are conducted updating input parameters to the single-layer urban canopy model based on structural data for Berlin, specifying land use classes on a sub-grid scale (mosaic option) and downscaling the original emissions to a resolution of ca. 1 km × 1 km for Berlin based on proxy data including traffic density and population density. The results show that the model simulates meteorology well, though urban 2 m temperature and urban wind speeds are biased high and nighttime mixing layer height is biased low in the base run with the settings described above. We show that the simulation of urban meteorology can be improved when specifying the input parameters to the urban model, and to a lesser extent when using the mosaic option. On average, ozone is simulated reasonably well, but maximum daily 8 h mean concentrations are underestimated, which is consistent with the results from previous modelling studies using the RADM2 chemical mechanism. Particulate matter is underestimated, which is partly due to an underestimation of secondary organic aerosols. NOx (NO + NO2) concentrations are simulated reasonably well on average, but nighttime concentrations are overestimated due to the model's underestimation of the mixing layer height, and urban daytime concentrations are underestimated. The daytime underestimation is improved when using downscaled, and thus locally higher emissions, suggesting that part of this bias is due to deficiencies in the emission input data and their resolution. The results further demonstrate that a horizontal resolution of 3 km improves the results and spatial representativeness of the model compared to a horizontal resolution of 15 km. With the input data (land use classes, emissions) at the level of detail of the base run of this study, we find that a horizontal resolution of 1 km does not improve the results compared to a resolution of 3 km. However, our results suggest that a 1 km horizontal model resolution could enable a detailed simulation of local pollution patterns in the Berlin-Brandenburg region if the urban land use classes, together with the respective input parameters to the urban canopy model, are specified with a higher level of detail and if urban emissions of higher spatial resolution are used.

Actuarial risk assessment: commentary on Berlin et al.

PubMed

Hart, Stephen D

2003-10-01

F. S. Berlin, N. W. Galbreath, B. Geary, and G. McGlone (this issue) have raised some important questions regarding the use of acturial risk assessment instruments in sex offender civil commitment proceedings, also known as sexually violent predator or SVP proceedings. Their primary point is that interpreting the findings of existing actuarial risk assessment instruments is a tricky business because it is not certain whether the extent to which probability estimates derived from group data can be applied to individual cases. I agree completely with Berlin et al. on this point, but disagree with them concerning the extent to which probability estimates--and, therefore, actuarial instruments--are legally relevant in SVP proceedings. I outline some potential problems with respect to the legal admissibility of actuarial instruments, including their legal relevance.

The self-presentation of the Halle medical professor Friedrich Hoffmann (1660-1742) mirrored by his autobiography.

PubMed

Schweikardt, Christoph

2002-12-01

The lost autobiography of the famous Halle medical professor Friedrich Hoffmann (1660-1742) was recently located in the Manuscripta borussica collection of the Berlin State Library Manuscript Department (Handschriftenabteilung der Staatsbibliothek zu Berlin). The autobiography shows new details about his life and work as well as his strategy to shape the picture of his personality for posterity.

50 years of optics research [Invited].

PubMed

Schwider, Johannes

2013-01-01

The 50-year life span of Applied Optics covers also approximately the time I have been engaged in optics. I started in 1962 [1] with the Institute for Optics and Spectroscopy, which was one of several Academy Institutes (mission statement: "theoria cum praxi," G. Leibniz) located in Berlin-Adlershof on the area of the first airfield in Berlin dating back to the beginning of the 20th century.

Great Blunders?: The Great Wall of China, the Berlin Wall, and the Proposed United States/Mexico Border Fence

ERIC Educational Resources Information Center

Langerbein, Helmut

2009-01-01

This article presents an analysis of the Great Wall of China and the Berlin Wall which reveals that both grew from unique political, historical, geographical, cultural, and economic circumstances. The purpose of this article is to provide new arguments for a debate that all too often has been waged with emotions, polemics, and misinformation. The…

25. VIEW OF McGREGOR BRIDGE (18811936), CROSSING THE MERRIMACK RIVER ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

25. VIEW OF McGREGOR BRIDGE (1881-1936), CROSSING THE MERRIMACK RIVER AT BRIDGE STREET, LOOKING SOUTHEAST. NORTH ELEVATION OF DOUBLE-DECKED, THREE-SPAN DOUGLAS PATENT PARABOLIC IRON TRUSS ERECTED BY CORRUGATED METAL COMPANY (BERLIN IRON BRIDGE COMPANY, BERLIN, CT) From 'Bridge Street Bridge', photographer and date unknown. - Notre Dame Bridge, Spanning Merrimack River on Bridge Street, Manchester, Hillsborough County, NH

[Tick infestation and tick prophylaxis in dogs in the area of Berlin/Brandenburg--results of a questionnaire study].

PubMed

Beck, Stephanie; Schein, Eberhard; Baldermann, Claudia; von Samson-Himmelstjerna, Georg; Kohn, Barbara

2013-01-01

Ticks can transmit different pathogens to humans and animals. Dogs are frequently exposed to tick infestation, which underscores the importance of tick control measures. The objective of this study was to examine the awareness of dog owners regarding tick infestation and tick prophylaxis by a questionnaire survey. During the period from March to December 2010 a total of 616 owners of 670 dogs completed the questionnaire. According to the questionnaire results, 92% of the dogs were previously infested by ticks; 31% of these showed a moderate tick infestation (1-2 ticks a month), almost one in ten dogs was infested by eight or more ticks a month. 17% of the dogs were examined for ticks by the respective owner not at all or only at irregular intervals, 61% of the dogs were examined at least once a day. A tick prophylaxis was performed in 469 dogs (71%). In 353 dogs (53%), registered pharmaceutical products with appropriate label claims were employed. Spot-on products were used most frequently (93%), followed by collars (5%) and sprays (1%).These products were not used as recommended in 56% of the dogs. For further 33% of the dogs, it was not possible to decide if the products were used correctly or not. According to the dog owner statements, tick borne diseases were diagnosed in approximately 2% of the dogs. Dog specific characters, such as coat length, size, age, and walking habits were significant factors influencing the frequency of tick infestation. In summary it can be concluded that nearly every dog in the area of Berlin/Brandenburg is infested by ticks. In the majority of cases the prophylactic and/or therapeutic measures to prevent infestation are not performed correctly.

Maternal and pregnancy-related death: causes and frequencies in an autopsy study population.

PubMed

Buschmann, Claas; Schmidbauer, Martina; Tsokos, Michael

2013-09-01

Maternal deaths during pregnancy, both from pregnancy-related or other causes, are rare in Western industrialized countries. In this study we report maternal and pregnancy-related deaths in a large autopsy population focusing on medical history, autopsy findings and histological examinations. Medico-legal autopsy files (n = 11,270) from the Institute of Legal Medicine and Forensic Sciences, University Medical Centre Charité, University of Berlin, and the State Institute of Legal and Social Medicine, Berlin, from 2005 to 2010 were reviewed. All female cases between 15 and 49 years were checked for maternal and pregnancy-related death, and deaths of pregnant women from non-natural causes were also included. Fatalities that met the chosen criteria were classified as "direct gestational death," "indirect gestational death" or "non-gestational death." 13 female fatalities (0.12 %) met the chosen criteria (median age 28 years ± 6.87 SD). Eight (61.5 %) women died in-hospital, four (30.8 %) at home, and one woman died in public. Three cases (23.1 %) were "non-gestational deaths," and one case (7.7 %) remained unclear after autopsy and additional examinations. Of the remaining nine cases, six cases (46.5 %) were "direct gestational deaths," and two cases (15.4 %) were "indirect gestational deaths." One case (7.7 %) was not to be defined as "late maternal death," but the cause of death seemed to be directly related to previous gestation ["(very) late maternal death"]. Maternal deaths during pregnancy, both from pregnancy-related or other causes, remain an uncommon event in routine forensic autopsy practice. We report on the collection and analysis of maternal and pregnancy-related deaths in a large autopsy population, with particular attention to the phenomenology of pregnancy, pathophysiological changes in different organ systems and their detection, and the forensic autopsy assessment.

Truckers drive their own assessment for obstructive sleep apnea: a collaborative approach to online self-assessment for obstructive sleep apnea.

PubMed

Smith, Ben; Phillips, Barbara A

2011-06-15

Commercial motor vehicle drivers are at an increased risk for obstructive sleep apnea (OSA). The Federal Motor Carrier Safety Administration (FMCSA) Medical Review Board has recommended that commercial motor vehicle drivers undergo testing for OSA if they have a positive Berlin Questionnaire or a BMI ≥ 30 kg/m(2). We developed an online screening tool based on the Berlin Questionnaire for anonymous use by commercial drivers to assess their risk of OSA prior to their required FMCSA physicals. We based the survey on the Berlin Sleep Questionnaire. The survey was hosted on the Truckers for a Cause Chapter of Alert Well and Keeping Energetic of the American Sleep Apnea Association (TFAC-AWAKE) organization website, and was promoted through the TFAC's XM radio, word of mouth, and trucking industry press contacts. A total of 595 individuals completed the survey. Of these, 55.9% were positive on the Berlin, 78.3% had either hypertension or obesity, 69.6% were obese, 47.6% had a BMI > 33 kg/m(2), and 20.5% reported falling asleep at stoplights. Some commercial drivers willingly assess their OSA risk anonymously online, and a majority of those who do so are obese, have positive Berlin screening questionnaires, and would be required to undergo polysomnography if recommendations made to the FMCSA became regulation. In contrast to reported behavior during actual Commercial Driver Medical Examinations physicals, some commercial drivers will report OSA symptoms if it is "safe" to do so. Sleep health professionals need expedient, non-punitive methods to keep commercial motor vehicle drivers healthy and driving and to raise drivers' awareness of the dangers of drowsy driving and unhealthy lifestyles.

Immunotoxicity and genotoxicity testing for in-flight experiments under microgravity

NASA Astrophysics Data System (ADS)

Hansen, Peter-Diedrich; Hansen, Peter-Diedrich; Unruh, Eckehardt

Life Sciences as Related to Space (F) Influence of Spaceflight Environment on Biological Systems (F44) Immunotoxicity and genotoxicity testing for In-flight experiments under microgravity Sensing approaches for ecosystem and human health Author: Peter D. Hansen Technische Universit¨t Berlin, Faculty VI - Planen, Bauen, Umwelt, a Institute for Ecological Research and Technology, Department for Ecotoxicology, Berlin, Germany Peter-diedrich.hansen@tu-berlin.de Eckehardt Unruh Technische Universit¨t Berlin, Faculty VI - Planen, Bauen, Umwelt, Institute a for Ecological Research and Technology, Department for Ecotoxicology, Berlin, Germany An immune response by mussel hemocytes is the selective reaction to particles which are identified as foreign by its immune system shown by phagocytosis. Phagocytotic activity is based on the chemotaxis and adhesion, ingestion and phagosome formation. The attachment at the surface of the hemocytes and consequently the uptake of the particles or bacteria can be directly quantified in the format of a fluorescent assay. Another relevant endpoint of phagocytosis is oxidative burst measured by luminescence. Phagocytosis-related production of ROS will be stimulated with opsonised zymosan. The hemocytes will be stored frozen at -80oC and reconstituted in-flight for the experiment. The assay system of the TRIPLELUX-B Experiment has been performed with a well-defined quantification and evaluation of the immune function phagocytosis. The indicator cells are the hemocytes of blue mussels (Mytilus edulis). The signals of the immuno cellular responses are translated into luminescence as a rapid optical reporter system. The results expected will determine whether the observed responses are caused by microgravity and/or radiation (change in permeability, endpoints in genotoxicity: DNA unwinding). The samples for genotoxicity will be processed after returning to earth. The immune system of invertebrates has not been studied so far in space. The choice of phagocytes from invertebrates is justified to study the universal validity of innate immune responses. The TRIPLELUX-B Experiment contributes to risk assessment concerning immunotoxicity under space flight conditions. The components of the phagocytosis test system for the BIOLAB are now established and the technical realization of the TRIPLELUX- B Experiment is in final progess. The components of the fully automated AEC (Advanced Experimental Containment) will be demonstrated in the poster. There will be two AECs for reference measurements at 1xg and 0xg. The AEC of the TRIPLELUX-B experiment will contribute to a real time operational monitoring for immunotoxicity testing on earth. The AEC will allow "real time monitoring" providing automated observations of immunotoxicity in coastal and inland waters.

[Preserved stegomyia and vinegared microbes: Brazil's triumph in Berlin].

PubMed

Cukierman, H L

The article investigates the circumstances leading to Brazil being awarded the first prize at the XIV International Conference on Demography and Hygiene, held in Berlin in 1907. An examination of the unpublished correspondence between Henrique da Rocha Lima and Oswaldo Cruz prior to the conference/exhibition reveals the peculiarities of a Brazilian-style event, where the outcome seems to be determined by haphazard incidents rather than by meticulously planned strategies. Their letters can also be read as a narrative celebrating individual qualities, as they attribute the victory in Berlin much more to Rocha Lima's than Oswaldo Cruz's personal merits. In light of the Raízes do Brasil, a classic by Sérgio Buarque de Holanda, this article also addresses the issue regarding the dispute between the Iberian and Anglo-Saxon worlds over the Brazilian victory.

Sleep apnea syndrome: experience of the pulmonology department in Ibn Sina Hospital, Rabat, Morocco

PubMed Central

Jniene, Asmaa; el Ftouh, Mustapha; Fihry, Mohamed Tawfiq el Fassy

2012-01-01

Introduction Sleep apnea syndrome is a highly prevalent disorder that is still underdiagnosed and undertreated and whose obstructive form is the most common. The diagnosis is suspected on clinical signs collected by interrogation and questionnaires (Berlin questionnaire and Epworth sleepiness scale), then confirmed by objective sleep study findings (polygraphy or polysomnography). It is necessary to conduct studies in each context on the characteristics and management of sleep apnea syndrome comprising the testing of reliability of the questionnaires. Methods Prospective and descriptive study of 104 patients addressed to sleep consultation at pulmononology Department of Ibn Sina Hospital, Morocco over a period of 5 years (January 2006 to December 2010), agreed to participate in the study, responded to a predetermined questionnaire, and benefited from clinical examination and paraclinical tests including a polygraphy or a polysomnography Results 59(56.7%) patients had an obstructive sleep apnea-hypopnea syndrome with a similar prevalence in both sexes. 32.2% of patients were obese and 28,8% had cardio-vascular diseases. Snoring, excessive daytime sleepiness and witnessed apnea were found in respectively 79.7%, 50.8% and 16.9%. Berlin questionnaire and Epworth sleepiness scale had an acceptable internal consistency against apnea hypopnea index with a Cronbach’s alpha coefficient respectively 0.79 and 0.78. Depending on severity, clinical impact and results of investigations, the adequate treatment has been proposed based on the 2010 recommendations for clinical practice. Conclusion This study has provided an idea about the profile and the management of patients having an obstructive sleep apnea-hypopnea syndrome and showed that both Berlin questionnaire and Epworth sleepiness scale are two simple and reliable methods in our context. A larger and further study across the country should be considered. PMID:23308333

Sleep apnea syndrome: experience of the pulmonology department in Ibn Sina Hospital, Rabat, Morocco.

PubMed

Jniene, Asmaa; el Ftouh, Mustapha; Fihry, Mohamed Tawfiq el Fassy

2012-01-01

Sleep apnea syndrome is a highly prevalent disorder that is still underdiagnosed and undertreated and whose obstructive form is the most common. The diagnosis is suspected on clinical signs collected by interrogation and questionnaires (Berlin questionnaire and Epworth sleepiness scale), then confirmed by objective sleep study findings (polygraphy or polysomnography). It is necessary to conduct studies in each context on the characteristics and management of sleep apnea syndrome comprising the testing of reliability of the questionnaires. Prospective and descriptive study of 104 patients addressed to sleep consultation at pulmononology Department of Ibn Sina Hospital, Morocco over a period of 5 years (January 2006 to December 2010), agreed to participate in the study, responded to a predetermined questionnaire, and benefited from clinical examination and paraclinical tests including a polygraphy or a polysomnography 59(56.7%) patients had an obstructive sleep apnea-hypopnea syndrome with a similar prevalence in both sexes. 32.2% of patients were obese and 28,8% had cardio-vascular diseases. Snoring, excessive daytime sleepiness and witnessed apnea were found in respectively 79.7%, 50.8% and 16.9%. Berlin questionnaire and Epworth sleepiness scale had an acceptable internal consistency against apnea hypopnea index with a Cronbach's alpha coefficient respectively 0.79 and 0.78. Depending on severity, clinical impact and results of investigations, the adequate treatment has been proposed based on the 2010 recommendations for clinical practice. This study has provided an idea about the profile and the management of patients having an obstructive sleep apnea-hypopnea syndrome and showed that both Berlin questionnaire and Epworth sleepiness scale are two simple and reliable methods in our context. A larger and further study across the country should be considered.

Association between maternal symptoms of sleep disordered breathing and fetal telomere length.

PubMed

Salihu, Hamisu M; King, Lindsey; Patel, Priyanshi; Paothong, Arnut; Pradhan, Anupam; Louis, Judette; Naik, Eknath; Marty, Phillip J; Whiteman, Valerie

2015-04-01

Our investigation aims to assess the impact of symptoms of maternal sleep-disordered breathing, specifically sleep apnea risk and daytime sleepiness, on fetal leukocyte telomere length. Pregnant women were recruited upon hospital delivery admission. Sleep exposure outcomes were measured using the Berlin Questionnaire to quantify sleep apnea and the Epworth Sleepiness Scale to measure daytime sleepiness. Participants were classified as "High Risk" or "Low Risk" for sleep apnea based on responses to the Berlin, while "Normal" or "Abnormal" daytime sleepiness was determined based on responses to the Epworth. Neonatal umbilical cord blood samples (N = 67) were collected and genomic DNA was isolated from cord blood leukocytes using Quantitative PCR. A ratio of relative telomere length was derived by telomere repeat copy number and single copy gene copy number (T/S ratio) and used to compare telomere lengths. Bootstrap and ANOVA statistical procedures were employed. On the Berlin, 68.7% of participants were classified as Low Risk while 31.3% were classified as High Risk for sleep apnea. According to the Epworth scale, 80.6% were determined to have Normal daytime sleepiness, and 19.4% were found to have Abnormal daytime sleepiness. The T/S ratio among pregnant women at High Risk for sleep apnea was significantly shorter than for those at Low Risk (P value < 0.05), and the T/S ratio among habitual snorers was significantly shorter than among non-habitual snorers (P value < 0.05). Although those with Normal Sleepiness had a longer T/S ratio than those with Abnormal Sleepiness, the difference was not statistically significant. Our results provide the first evidence demonstrating shortened telomere length among fetuses exposed to maternal symptoms of sleep disordered breathing during pregnancy, and suggest sleep disordered breathing as a possible mechanism of accelerated chromosomal aging. © 2015 Associated Professional Sleep Societies, LLC.

German Foreign and Security Policy: Determinants of German Military Engagement in Africa Since 2011

DTIC Science & Technology

2015-06-01

Ausland [Litmus test of a nation: The deployment of the Bundeswehr into foreign countries], ed. Christoph Schwegmann (Berlin: Duncker & Humblot, 2011...Ausland [Litmus test of a nation: The deployment of the Bundeswehr into foreign countries], ed. Christoph Schwegman (Berlin: Duncker & Humblot, 2011...21; Katy A. Crossley-Frolick, “Domestic Constraints, German Foreign Policy and Post -Conflict Peacebuilding,” German Politics and Society 31, no

US--Soviet Combined Operations: Can We Do It?

DTIC Science & Technology

1991-06-01

Gribkov, 3. 86 Vasili I. Chuikov, The Fall of Berlin (Moscow: October magazine, 1965, trans. Ruth Kisch, Chicago: Holt, Rinehart and Winston, 1967), 65...work appears to be required in developing specific comparisons which pit Soviet concepts against US concepts to identify the differences and...Afghanistan: The First Five Years of Soviet Occupation. Washington, D.C.: National Defense University, 1986. Chuikov, Vasili I. The Fall of Berlin. With

["Ladies and gentlemen, the zeitgeist is among us". Wednesday, 6th of May, Hotel Esplanade in Berlin].

PubMed

Lockot, Regine

2011-01-01

In this paper, the celebration of Freud's 70th birthday in Berlin is used as "time slot" to demonstrate the interconnectedness of psychoanalysis in the public sphere and its journalistic reflection. When central figures of public life had to emigrate and in some cases were even killed, this connection between institutionalised psychoanalysis and the political and cultural space was permanently destroyed.

"Eurotrain for Training." Proceedings of a European Congress on Continuing Education and Training (4th, Berlin, Germany; Warsaw, Poland; Prague, Czechoslovakia; Budapest, Hungary; Vienna, Austria, October 5-9, 1992).

ERIC Educational Resources Information Center

Wisser, Ulrike, Ed.; Grootings, Peter, Ed.

1992-01-01

A "travelling" congress was conducted in five European cities (Berlin, Warsaw, Prague, Budapest, and Vienna) to promote a mutual exchange of views between east and west. The participants stressed the growing European Community interest in current examples of cooperation with neighbors in central and eastern Europe. In addition to…

From Central Planning to Markets: 20 Years of Post-Socialist Transformation in an Eastern German County

ERIC Educational Resources Information Center

Singelmann, Joachim

2011-01-01

The Berlin Wall was one of the most visible symbols of two worlds that could not view each other. Thus, the fall of the Berlin Wall--and the fall of Communist regimes all over Eastern Europe, ultimately including the dissolution of the Soviet Union itself--removed the barrier to visibility. These events were revolutions that resulted in the end of…

Breaking Waves. IUTAM Symposium Held in Sydney, Australia on July 15-19, 1991

DTIC Science & Technology

1991-01-01

Professor Roger Grimshaw and myself, I wish to thank ONR most sincerely for their generous support towards the successful staging of this important...act under the German Copyright Law. e Springer-Verlag, Berlin Heidelberg 1992 Printed in Germany The use of general descriptive names, registered names...protective laws and regulations and therefore free for general use. Typesetting: Camera ready by authors Printing: Mercedes-Druck, Berlin; Binding

Distributed medical services within the ATM-based Berlin regional test bed

NASA Astrophysics Data System (ADS)

Thiel, Andreas; Bernarding, Johannes; Krauss, Manfred; Schulz, Sandra; Tolxdorff, Thomas

1996-05-01

The ATM-based Metropolitan Area Network (MAN) of Berlin connects two university hospitals (Benjamin Franklin University Hospital and Charite) with the computer resources of the Technical University of Berlin (TUB). Distributed new medical services have been implemented and will be evaluated within the highspeed MAN of Berlin. The network with its data transmission rates of up to 155 Mbit/s renders these medical services externally available to practicing physicians. Resource and application sharing is demonstrated by the use of two software systems. The first software system is an interactive 3D reconstruction tool (3D- Medbild), based on a client-server mechanism. This structure allows the use of high- performance computers at the TUB from the low-level workstations in the hospitals. A second software system, RAMSES, utilizes a tissue database of Magnetic Resonance Images. For the remote control of the software, the developed applications use standards such as DICOM 3.0 and features of the World Wide Web. Data security concepts are being tested and integrated for the needs of the sensitive medical data. The highspeed network is the necessary prerequisite for the clinical evaluation of data in a joint teleconference. The transmission of digitized real-time sequences such as video and ultrasound and the interactive manipulation of data are made possible by Multi Media tools.

Continued under-recognition of acute respiratory distress syndrome after the Berlin definition: what is the solution?

PubMed

Laffey, John G; Pham, Tài; Bellani, Giacomo

2017-02-01

Timely recognition of acute respiratory distress syndrome (ARDS) may allow for more prompt management and less exacerbation of lung injury. However, the absence of a diagnostic test for ARDS means that the diagnosis of ARDS requires clinician recognition in what is usually a complicated and evolving illness. We review data concerning the extent of recognition of ARDS in the era of the Berlin definition of ARDS. ARDS continues to be under-recognized - even in the era of the more recent 'Berlin' definition, and significant delay in its recognition is common. Factors contributing to under-recognition may include the complexity of ARDS biology, low specificity of the consensus (diagnostic) criteria, and concerns about reliable interpretation of the chest radiograph. Understandably, 'external' factors are also at play: ICU occupancy and higher patient to clinician ratio impair recognition of ARDS. Timely recognition of ARDS appears important, as it is associated with the use of higher PEEP, prone positioning and neuromuscular blockade which can lower mortality. Computer-aided decision tools seem diagnostically useful, and together with the integration of reliable biomarkers, may further enhance and speed recognition of this syndrome. Significant numbers of patients with ARDS are still unrecognized by clinicians in the era of the Berlin definition of ARDS, with potentially important consequences for patient management and outcome.

Water footprints of cities - indicators for sustainable consumption and production

NASA Astrophysics Data System (ADS)

Hoff, H.; Döll, P.; Fader, M.; Gerten, D.; Hauser, S.; Siebert, S.

2013-02-01

Water footprints have been proposed as sustainability indicators, relating the consumption of goods like food to the amount of water necessary for their production and the impacts of that water use in the source regions. We have further developed the existing water footprint methodology by globally resolving virtual water flows and import and source regions at 5 arc minutes spatial resolution, and by assessing local impacts of export production. Applying this method to three exemplary cities, Berlin, Delhi and Lagos, we find major differences in amounts, composition, and origin of green and blue virtual water imports, due to differences in diets, trade integration and crop water productivities in the source regions. While almost all of Delhi's and Lagos' virtual water imports are of domestic origin, Berlin on average imports from more than 4000 km distance, in particular soy (livestock feed), coffee and cocoa. While 42% of Delhi's virtual water imports are blue water based, the fractions for Berlin and Lagos are 2% and 0.5%, respectively, roughly equal to local drinking water abstractions of these cities. Some of the external source regions of Berlin's virtual water imports appear to be critically water scarce and/or food insecure. However for deriving recommendations on sustainable consumption and trade, further analysis of context-specific costs and benefits associated with export production will be required.

[Berlin Declaration on Tuberculosis: High Level Follow-Up of High Priority Countries for TB Control in the WHO-EURO Region 'Double Trouble or Double Success? Bringing Together Diseases and Programs' - a symposium report].

PubMed

Castell, S; Hauer, B; Manissero, D; Ulrichs, T; Zaleskis, R; Loddenkemper, R

2010-07-01

The global tuberculosis (TB) situation has deteriorated dramatically since the beginning of the 1990s. In 2007, the WHO identified 18 countries of the WHO European Region as 'high priority countries' and introduced a plan for these countries to improve the situation. To further promote solutions a WHO European Ministerial Forum 'All against Tuberculosis' took place in Berlin in 2007 and resulted in the 'Berlin Declaration' which was commonly endorsed. In October 2009 a meeting was organized by the German Ministry of Health under the title "Berlin Declaration on Tuberculosis: High Level Follow-Up of High Priority Countries for TB Control in the WHO-EURO Region 'Double Trouble or Double Success? Bringing together Diseases and Programs'". This article summarizes the symposium. Besides reporting on the recent epidemiological situation of the WHO-EURO Region (with partly dramatically developments) presentations on psychosocial issues, the role of the EU and the 'Global Fund to Fight AIDS, Tuberculosis and Malaria', the importance of new tools for the fight against tuberculosis and the need for further political commitment were given. Copyright Georg Thieme Verlag KG Stuttgart . New York.

Living in history and living by the cultural life script: How older Germans date their autobiographical memories.

PubMed

Bohn, Annette; Habermas, Tilmann

2016-01-01

This study examines predictions from two theories on the organisation of autobiographical memory: Cultural Life Script Theory which conceptualises the organisation of autobiographical memory by cultural schemata, and Transition Theory which proposes that people organise their memories in relation to personal events that changed the fabric of their daily lives, or in relation to negative collective public transitions, called the Living-in-History effect. Predictions from both theories were tested in forty-eight-old Germans from Berlin and Northern Germany. We tested whether the Living-in-History effect exists for both negative (the Second World War) and positive (Fall of Berlin Wall) collectively experienced events, and whether cultural life script events serve as a prominent strategy to date personal memories. Results showed a powerful, long-lasting Living-in History effect for the negative, but not the positive event. Berlin participants dated 26% of their memories in relation to the Second World War. Supporting cultural life script theory, life script events were frequently used to date personal memories. This provides evidence that people use a combination of culturally transmitted knowledge and knowledge based on personal experience to navigate through their autobiographical memories, and that experiencing war has a lasting impact on the organisation of autobiographical memories across the life span.

Culture and comorbidity in East and West berliners.

PubMed

Fechner, Mary J

2010-03-01

Following the collapse of socialism, fluctuations in cardiac mortality rates in East Germany and a West-to-East cardiac health gradient became topics of interest. Researchers suggested possible causes for these phenomena, including stress from postsocialism. I proposed that a cultural investigation of heart disease comorbid with depression could inform our understanding of the potential health effects of the postsocialist transition. I conducted ethnographic and survey research. In the study described here, I administered a depression scale (CES-D) and an ethnographically derived measure of cultural stress (Good Life Survey) to over 200 East and West Berliners with cardiovascular disease. Comparison of the groups' depression means revealed no difference. However, correlation of the Good Life Survey and the CES-D revealed unique profiles of cultural variables associated with depression in the two groups, suggesting that culture shapes depression and cardiac risk. I discuss the value of cultural studies to comorbidity research.

Evidence-based quality indicators for stroke rehabilitation.

PubMed

Grube, Maike M; Dohle, Christian; Djouchadar, Diana; Rech, Petra; Bienek, Karen; Dietz-Fricke, Ursula; Jöbges, Michael; Kohler, Martin; Missala, Isabelle; Schönherr, Bertram; Werner, Cordula; Zeytountchian, Helen; Wissel, Jörg; Heuschmann, Peter U

2012-01-01

Previous stroke performance measures consider aspects of postacute treatment, but there are only few specific quality indicators or standards for poststroke rehabilitation. The purpose of this study was to develop a set of indicators for measuring the quality of postacute stroke rehabilitation in inpatient and outpatient facilities using a standardized evidence-based approach. Quality indicators were developed between January 2009 and February 2010 by an interdisciplinary board of healthcare professionals from rehabilitation centers cooperating in the Berlin Stroke Alliance. The Berlin Stroke Alliance is a regional network of >40 providers of acute treatment, rehabilitation, and aftercare aiming to improve stroke services within Berlin and Brandenburg. The indicators were developed according to published international recommendations and predefined methodological requirements. The applied standards included a systematic literature review, a rating of published evidence, an external peer review, and the evaluation in a pilot study before implementation. Of an initial list of 33 indicators, 20 indicators were rated as being appropriate. After completion of the pilot phase, we agreed on a set of 18 indicators. The indicators measure processes (9 indicators), outcomes (5 indicators), and structures (4 indicators) in the following domains of stroke rehabilitation: completion of diagnostics; secondary prevention; cognition and affect; speech and swallowing; management of complications; sensorimotor functions and mobility; discharge status; and aftercare. Documentation of evidence-based quality indicators for stroke rehabilitation in clinical routine is feasible and can serve as a first step toward implementing standardized cross-institutional quality assurance programs for stroke rehabilitation.

Translations on Eastern Europe, Political, Sociological, and Military Affairs, Number 1422

DTIC Science & Technology

1977-07-25

Acquire Skills, General Education, Ideology (Wolf-Dietrich Keim, Peter Neubert ; EINHEIT, Jun 77).. 23 Summaries of Other Major ’EINHEIT’ Articles...in the capitalist world. The commentaries at the beginning of the issue recall the 1976 Berlin [European CP] conference ( Paul Markowski); unmask the...REVIEWED East Berlin EINHEIT in German Vol 32 No 6, Jun 77 signed to press 11 May 77 pp 643-646 [Commentary by Paul Markowski, political science

Learning at a Distance. Report on the DSE Conference (West Berlin, Germany, June 2-7, 1982) in Connection with the World Conference of ICCE (12th, Vancouver, Canada, June 8-17, 1982).

ERIC Educational Resources Information Center

German Foundation for International Development, Bonn (West Germany).

Two international meetings on distance education are summarized in this report. The first, a preparatory seminar on "Staff Development for Distance Education," was held in Berlin to give African participants an opportunity to meet prior to attending the 12th World Conference of the International Council for Correspondence Education…

Unification of Theoretical Models of Academic Self-Concept/Achievement Relations: Reunification of East and West German School Systems after the Fall of the Berlin Wall

ERIC Educational Resources Information Center

Marsh, Herbert W.; Koller, Olaf

2004-01-01

Longitudinal data (five waves) from large cohorts of 7th grade students in East Germany ("n"=2,119) and West Germany ("n"=1,928) were collected from the start of the reunification of the school systems following the fall of the Berlin Wall. Here we integrate the two major theoretical models of relations between academic…

Final Report of the Working Group Meeting C, "Standards in Vocational Training" (Berlin, Germany, February 15-16, 1996). [and] Minutes of the Working Group Meeting C, "Standards in Vocational Education and Training."

ERIC Educational Resources Information Center

German Federal Inst. for Vocational Training Affairs, Berlin (Germany).

Representatives from 13 Central and Eastern European countries, the European Centre for the Development of Vocational Training, and the Organization for Economic Cooperation and Development met for 2 days in Berlin to continue European Training Foundation (ETF) efforts to design a methodology for formulating standards in vocational training (VT)…

Tularaemia in Berlin - two independent cases in travellers returning from central Anatolia, Turkey, February 2011.

PubMed

Schubert, A; Splettstoesser, W; Bätzing-Feigenbaum, J

2011-05-05

Tularaemia, though rare, has recently been increasingly reported in Germany. Most cases are indigenous infections. This report describes two epidemiologically independent infections with Francisella tularensis subspecies holarctica detected in Berlin in February 2011 that were acquired in central Anatolia, Turkey. In Turkey, there have been repeated tularaemia outbreaks since 2000 and the disease should therefore be considered as a differential diagnosis in travellers returning from that country.

High Performance Computing and Communications Program. Hearing before the Subcommittee on Science of the Committee on Science, Space, and Technology. U.S. House of Representatives, One Hundred Third Congress, First Session (October 26, 1993).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Committee on Science, Space and Technology.

This hearing explores how the High Performance Computing and Communications Program (HPCC) relates to the technology needs of industry. Testimony and prepared statements from the following witnesses on future effects of computing and networking technologies on their companies are included: (1) F. Brett Berlin, president, Brett Berlin Associates,…

Die Verlegung der Berliner Sternwarte nach Babelsberg - ein konservativer Neubeginn.

NASA Astrophysics Data System (ADS)

Dick, W. R.

In 1913 the Berlin Observatory was moved from the center of the city to Babelsberg on the outskirts of Berlin, now part of Potsdam. The new observatory was considerably larger in size and with respect to its staff, and it had got a completely new equipment. At that time it was the most modern astronomical observatory in Germany and possibly even in Europe. However, the scientific results achieved afterward were not comparable to that of other institutions, especially in the USA. A main reason was the conservative concept for the observatory, drawn up by Wilhelm Foerster and his colleagues, and restricting the work to classical fields of astronomy. Foerster's successor Hermann Struve tried to follow rather strictly this concept as well as the traditions of his family of astronomers. This led to conflicts with his collaborators Eugen Goldstein, Erwin Finlay Freundlich and Paul Guthnick, who were interested rather in astrophysics than in the classical problems.

The first international leprosy conference, Berlin, 1897: the politics of segregation.

PubMed

Pandya, S S

2004-01-01

The present paper examines the first attempts to internationalise the problem of leprosy, a subject hitherto overlooked by historians of imperialism and disease. The last decade of the nineteenth century saw many in the civilised countries of the imperialist West gripped by a paranoia about an invasion of leprosy via germ-laden immigrants and returning expatriates who had acquired the infection in leprosy endemic colonial possessions. Such alarmists clamoured for the adoption of vigorous leper segregation policies in such colonies. But the contagiousness of leprosy did not go unquestioned by other westerners. The convocation in Berlin of the first international meeting on leprosy revealed the interplay of differing and sometimes incompatible views about the containment of leprosy by segregation. The roles of officials from several countries, as well as the roles of five protagonists (Albert Ashmead, Jules Goldschmidt, Edvard Ehlers. Armauer Hansen, and Phineas Abraham) in the shaping of the Berlin Conference are here examined.

The first international leprosy conference, Berlin, 1897: the politics of segregation.

PubMed

Pandya, Shubhada S

2003-01-01

The present paper examines the first attempts to internationalize the problem of leprosy, a subject hitherto overlooked by historians of imperialism and disease. The last decade of the nineteenth century saw many in the 'civilized countries' of the imperialist West gripped by a paranoia about an invasion of leprosy via germ-laden immigrants and returning expatriates who had acquired the infection in leprosy-endemic colonial possessions. Such alarmists clamoured for the adoption of vigorous leper segregation policies in such colonies. But the contagiousness of leprosy did not go unquestioned by other westerners. The convocation in Berlin of the first international meeting on leprosy revealed the interplay of differing and sometimes incompatible views about the containment of leprosy by segregation. The roles of officials from several countries, as well as the roles of five protagonists (Albert Ashmead, Jules Goldschmidt, Edvard Ehlers, Armauer Hansen, and Phineas Abraham) in the shaping of the Berlin Conference are here examined.

[Acute respiratory distress syndrome: a review of the Berlin definition].

PubMed

de Luis Cabezón, N; Sánchez Castro, I; Bengoetxea Uriarte, U X; Rodrigo Casanova, M P; García Peña, J M; Aguilera Celorrio, L

2014-01-01

Acute Respiratory Distress Syndrome (ARDS) is due to many causes. The absence of a universal definition up until now has led to a series of practical problems for a definitive diagnosis. The incidences of ARDS and Acute Lung Injury (ALI) vary widely in the current literature. The American-European Consensus Conference definition has been applied since its publication in 1994 and has helped to improve knowledge about ARDS. However, 18 years later, in 2011, the European Intensive Medicine Society, requested a team of international experts to meet in Berlin to review the ARDS definition. The purpose of the Berlin definition is not to use it as a prognostic tool, but to improve coherence between research and clinical practice. Copyright © 2013 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

The reminiscence bump in autobiographical memory and for public events: A comparison across different cueing methods.

PubMed

Koppel, Jonathan; Berntsen, Dorthe

2016-01-01

The reminiscence bump has been found for both autobiographical memories and memories of public events. However, there have been few comparisons of the bump across each type of event. In the current study, therefore, we compared the bump for autobiographical memories versus the bump for memories of public events. We did so between-subjects, through two cueing methods administered within-subjects, the cue word method and the important memories method. For word-cued memories, we found a similar bump from ages 5 to 19 for both types of memories. However, the bump was more pronounced for autobiographical memories. For most important memories, we found a bump from ages 20 to 29 in autobiographical memory, but little discernible age pattern for public events. Rather, specific public events (e.g., the Fall of the Berlin Wall) dominated recall, producing a chronological distribution characterised by spikes in citations according to the years these events occurred. Follow-up analyses suggested that the bump in most important autobiographical memories was a function of the cultural life script. Our findings did not yield support for any of the dominant existing accounts of the bump as underlying the bump in word-cued memories.

Using Machine learning method to estimate Air Temperature from MODIS over Berlin

NASA Astrophysics Data System (ADS)

Marzban, F.; Preusker, R.; Sodoudi, S.; Taheri, H.; Allahbakhshi, M.

2015-12-01

Land Surface Temperature (LST) is defined as the temperature of the interface between the Earth's surface and its atmosphere and thus it is a critical variable to understand land-atmosphere interactions and a key parameter in meteorological and hydrological studies, which is involved in energy fluxes. Air temperature (Tair) is one of the most important input variables in different spatially distributed hydrological, ecological models. The estimation of near surface air temperature is useful for a wide range of applications. Some applications from traffic or energy management, require Tair data in high spatial and temporal resolution at two meters height above the ground (T2m), sometimes in near-real-time. Thus, a parameterization based on boundary layer physical principles was developed that determines the air temperature from remote sensing data (MODIS). Tair is commonly obtained from synoptic measurements in weather stations. However, the derivation of near surface air temperature from the LST derived from satellite is far from straight forward. T2m is not driven directly by the sun, but indirectly by LST, thus T2m can be parameterized from the LST and other variables such as Albedo, NDVI, Water vapor and etc. Most of the previous studies have focused on estimating T2m based on simple and advanced statistical approaches, Temperature-Vegetation index and energy-balance approaches but the main objective of this research is to explore the relationships between T2m and LST in Berlin by using Artificial intelligence method with the aim of studying key variables to allow us establishing suitable techniques to obtain Tair from satellite Products and ground data. Secondly, an attempt was explored to identify an individual mix of attributes that reveals a particular pattern to better understanding variation of T2m during day and nighttime over the different area of Berlin. For this reason, a three layer Feedforward neural networks is considered with LMA algorithm. Considering the different relationships between T2m and LST for different land types enable us to improve better parameterization for determination of the best non-linear relation between LST and T2m over Berlin during day and nighttime. The results of the study will be presented and discussed.

Children's Family Drawings as Expressions of Attachment Representations Across Cultures: Possibilities and Limitations.

PubMed

Gernhardt, Ariane; Keller, Heidi; Rübeling, Hartmut

2016-07-01

The present study explored the cross-cultural appropriateness of children's family drawings as a measure for attachment quality. The sample consisted of 63 children aged 6 years from two diverse ecosocial contexts: middle-class families from Berlin, Germany (n = 32) and rural farming families from small villages around Kumbo, Cameroon (n = 31). The analysis of drawings with two classical attachment procedures, the Checklist of Drawing Signs (Kaplan & Main, 1986) and the Global Rating Scales (Fury, 1996), revealed substantial cultural differences. The results thus substantiated children's drawings as important cultural documents. Implications of the findings, however, are discussed in consideration of culture-specific conceptions of attachment relationships as indicated by cultural variations in mother's socialization goals. © 2016 The Authors. Child Development © 2016 Society for Research in Child Development, Inc.

Interactive short-term effects of equivalent temperature and air pollution on human mortality in Berlin and Lisbon.

PubMed

Burkart, Katrin; Canário, Paulo; Breitner, Susanne; Schneider, Alexandra; Scherber, Katharina; Andrade, Henrique; Alcoforado, Maria João; Endlicher, Wilfried

2013-12-01

There is substantial evidence that both temperature and air pollution are predictors of mortality. Thus far, few studies have focused on the potential interactive effects between the thermal environment and different measures of air pollution. Such interactions, however, are biologically plausible, as (extreme) temperature or increased air pollution might make individuals more susceptible to the effects of each respective predictor. This study investigated the interactive effects between equivalent temperature and air pollution (ozone and particulate matter) in Berlin (Germany) and Lisbon (Portugal) using different types of Poisson regression models. The findings suggest that interactive effects exist between air pollutants and equivalent temperature. Bivariate response surface models and generalised additive models (GAMs) including interaction terms showed an increased risk of mortality during periods of elevated equivalent temperatures and air pollution. Cold effects were mostly unaffected by air pollution. The study underscores the importance of air pollution control in mitigating heat effects. Copyright © 2013 Elsevier Ltd. All rights reserved.

[From traditional to modern hospital--from Paris to Berlin].

PubMed

Murken, Axel Hinrich

Discussions about the modernisation and reform of the Hôtel Dieu in Paris concerning the catastrophic fire of 1772 there were followed very closely in Prussia and other German countries, though for a long time this had only slight consequences for modernising developments in the hospitals of Berlin or other administrative capitals of Germany. In contrast to this, the Hôpital Lariboisière was praised as a model example in Germany soon after its completion in 1854 after the pre-revolutionary Parisian plans, was imitated in Berlin twenty years later. It must be added that in Prussia great importance was attached to stricter requirements for hygiene and ventilation than in Paris. This was clearly demonstrated barely in the construction of the pavilionhospital in Berlin-Friedrichshain (1868-1874) with an extremely decentralized layout. It was not until two generations later with the completion of the municipal hospital Westend in Charlottenburg (1904-1907), a suburb of Berlin, that a slightly modified "Lariboisière" in the Wilheminian brick Baroque style was built. Similarily the acceptance of high-rise construction was, compared with Paris, considerably delayed on the German hospital scene. Whereas in the USA and France plans had been made for high-rise hospitals from the 1920s on and realized by 1935, as with the Hôpital Beaujon in Paris (1932-1935), there were fundamental reservations about them in Germany. As a result, this conception of the structure, with an effective concentration of inpatient care in towers together with separate low-rise buildings for functions such as treatment and diagnosis, only gradually gained acceptance in Germany at the end of the 1960s. On the other hand, German architects such as Hermann Distel (1875-1946) or Ernst Kopp (1890-1962), had already, indeed before the Second World War, promoted the high-rise type for inpatient care on theoretical grounds. In addition, two hospitals providing medical care within in Berlin, Martin-Luther-Krankenhaus, (1929-1931) and in Schwäbisch-Hall (1931-1938), were built as multi-storey buildings in the 1930s. But in the hospital system, long outdated theories in medicine and hygiene that permitted blocks of low buildings to appear to be clinically better and patient-friendlier than high-rise buildings continued to be the guide in Germany. (Translation: Roger Higgins, Ph. D. Amherst, USA)

Modeling Urban Air Quality in the Berlin-Brandenburg Region: Evaluation of a WRF-Chem Setup

NASA Astrophysics Data System (ADS)

Kuik, F.; Churkina, G.; Butler, T. M.; Lauer, A.; Mar, K. A.

2015-12-01

Air pollution is the number one environmental cause of premature deaths in Europe. Despite extensive regulations, air pollution remains a challenging issue, especially in urban areas. For studying air quality in the Berlin-Brandenburg region of Germany the Weather Research and Forecasting Model with Chemistry (WRF-Chem) is set up and evaluated against meteorological and air quality observations from monitoring stations as well as from a field campaign conducted in 2014 (incl. black carbon, VOCs as well as mobile measurements of particle size distribution and particle mass). The model setup includes 3 nested domains with horizontal resolutions of 15km, 3km, and 1km, online biogenic emissions using MEGAN 2.0, and anthropogenic emissions from the TNO-MACC-II inventory. This work serves as a basis for future studies on different aspects of air pollution in the Berlin-Brandenburg region, including how heat waves affect emissions of biogenic volatile organic compounds (BVOC) from urban vegetation (summer 2006) and the impact of selected traffic measures on air quality in the Berlin-Brandenburg area (summer 2014). The model represents the meteorology as observed in the region well for both periods. An exception is the heat wave period in 2006, where the temperature simulated with 3km and 1km resolutions is biased low by around 2°C for urban built-up stations. First results of simulations with chemistry show that, on average, WRF-Chem simulates concentrations of O3 well. However, the 8 hr maxima are underestimated, and the minima are overestimated. While NOx daily means are modeled reasonably well for urban stations, they are overestimated for suburban stations. PM10 concentrations are underestimated by the model. The biases and correlation coefficients of simulated O3, NOx, and PM10 in comparison to surface observations do not show improvements for the 1km domain in comparison to the 3km domain. To improve the model performance of the 1km domain we will include an updated emission inventory (TNO-MACC-III) as well as the interpolation of the emission data from 7km to a 1km resolution.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kamps, T; Barday, R; Jankowiak, A

In preparation for a high brightness, high average current electron source for the energy-recovery linac BERLinPro an all superconducting radio-frequency photoinjector is now in operation at Helmholtz-Zentrum Berlin. The aim of this experiment is beam demonstration with a high brightness electron source able to generate sub-ps pulse length electron bunches from a superconducting (SC) cathode film made of Pb coated on the backwall of a Nb SRF cavity. This paper describes the setup of the experiment and first results from beam measurements.

International Symposium on New Trends in Photoelectrochemistry Held in Altavilla Milicia (Pa), Italy on 22-26 September 1991. Extended Abstracts

DTIC Science & Technology

1991-09-01

Exchange Between Semiconductors and Molecules (Redox Ions)" F. Willig, Fritz - Haber Institut der Max-Planck Gesellschaft, Berlin GERMANY 8.00 p.m.: Dinner...Lecture "Photoelectrochemical Catalysis by Small Semiconducting Particles" H. Gerischer, Fritz - Haber Institut der Max-Planck- Gesellschaft, Berlin, GERMANY...examples of photoelectrochemical etching procedures with elemental, II-VI and III-V compound semiconducting electrodes will be discussed. 25 FRITZ - HABER

The Bundeswehr in the 21st Century - Between Prussia’s Glory and Design

DTIC Science & Technology

2011-05-19

Berlin: 2010). 3 and later active member in the group of reformers, Carl von Clausewitz.3 This spirit found its expression in Clausewitz’s most notable...1801-1805 (Westport, Connecticut: Praeger Publishers, 1989), 101. 4 Carl von Clausewitz, On War, trans. and ed. Michael Howard and Peter Paret...für junge Offiziere (Academy for Young Officers) and the Militärische Gesellschaft (Military Society) both located in Berlin. Within three years

Bode's Astronomisches Jahrbuch as an international archive journal. (German Title: Bodes Astronomisches Jahrbuch als internationales Archivjournal)

NASA Astrophysics Data System (ADS)

Kokott, Wolfgang

The Astronomisches Jahrbuch, published from 1776 onwards by the Royal Academy of Sciences at Berlin, was to include ``a collection of the most recent observations, news, remarks and contributions''. Established by J.H. Lambert and edited for five decades by J.E. Bode, this almanac became from the start a high ranking international publication, with Bode's modest Berlin Observatory serving as a clearinghouse of information originating from virtually all European countries.

Translations on Eastern Europe, Economic and Industrial Affairs, Number 1710

DTIC Science & Technology

1977-12-30

Number of Stores To Be Increased (Gerhard Briksa; PRESSE-INFORMATIONEN, 11 Nov 77) 1 Greater Efforts Needed for Exports (Karl-Heinz Arnold...EAST GERMANY GREATER EFFORTS NEEDED FOR EXPORTS East Berlin BERLINER ZEITUNG in German 12-13 Nov 77 p 9 [Commentary by Dr Karl-Heinz Arnold...Text] This fourth quarter once again requires special efforts in order to reach the export goals for the year as well as possible and not to begin at

Water footprints of cities - indicators for sustainable consumption and production

NASA Astrophysics Data System (ADS)

Hoff, H.; Döll, P.; Fader, M.; Gerten, D.; Hauser, S.; Siebert, S.

2014-01-01

Water footprints have been proposed as sustainability indicators, relating the consumption of goods like food to the amount of water necessary for their production and the impacts of that water use in the source regions. We further developed the existing water footprint methodology, by globally resolving virtual water flows from production to consumption regions for major food crops at 5 arcmin spatial resolution. We distinguished domestic and international flows, and assessed local impacts of export production. Applying this method to three exemplary cities, Berlin, Delhi and Lagos, we find major differences in amounts, composition, and origin of green and blue virtual water imports, due to differences in diets, trade integration and crop water productivities in the source regions. While almost all of Delhi's and Lagos' virtual water imports are of domestic origin, Berlin on average imports from more than 4000 km distance, in particular soy (livestock feed), coffee and cocoa. While 42% of Delhi's virtual water imports are blue water based, the fractions for Berlin and Lagos are 2 and 0.5%, respectively, roughly equal to the water volumes abstracted in these two cities for domestic water use. Some of the external source regions of Berlin's virtual water imports appear to be critically water scarce and/or food insecure. However, for deriving recommendations on sustainable consumption and trade, further analysis of context-specific costs and benefits associated with export production will be required.

[Three Jewish Germans as chief surgeons in the Berlin-Friedrichshain Hospital--a historical reminiscence].

PubMed

Franke, A; Franke, K

2005-10-01

Three jewish Germans were between 1903 and 1933 continuously in charge of a department of surgery at the oldest municipal hospital in Berlin-Friedrichshain (founded 1874). They were A. Neumann (1865-1920), Moritz Katzenstein (1872-1932) and Max Marcus (1892-1983). A. Neumann described in 1907 the so-called omentum-majus-cuff. By this a drain is wrapped up and put into a perforated ulcus pylori, which cannot be treated by another procedure. M. Katzenstein in 1900 was the first in Germany who repaired a torn off meniscus by suture with a good result (The very first was T. Annandale in Edinburgh in 1883). Aside of this procedure, important for prevention of gonarthrosis, M. K. described new methods for repairing torn ligaments of the elbow and the ankle joint. He was a close friend of Albert Einstein during his years in Berlin. Max Marcus was after the death of M. Katzenstein the youngest chief surgeon in Berlin--but only until April 1933. Then he was expelled by the Nazis, because he was a jew. In June 1933 he immigrated to Palestine and became the leading surgeon there in the later Israel. After the end of World War II he refused coming back to Germany, though F. Sauerbruch spoke about him as the "great hope for the German surgery".

Path to impact: A report from the Bill and Melinda Gates Foundation convening on maternal immunization in resource-limited settings; Berlin - January 29-30, 2015.

PubMed

Sobanjo-Ter Meulen, Ajoke; Abramson, Jon; Mason, Elizabeth; Rees, Helen; Schwalbe, Nina; Bergquist, Sharon; Klugman, Keith P

2015-11-25

Global initiatives such as the Millennium Development Goals have led to major improvements in the health of women and children, and significant reductions in childhood mortality. Worldwide, maternal mortality has decreased by 45% and under-five mortality has fallen by over 50% over the past two decades [1]. However, improvements have not been achieved evenly across all ages; since 1990, under-five mortality has declined by ∼5% annually, but the average decrease in neonatal mortality is only ∼3% per year. Against this background, the Bill and Melinda Gates Foundation (BMGF) convened a meeting in Berlin on January 29-30, 2015 of global health stakeholders, representing funders, academia, regulatory agencies, non-governmental organizations, vaccine manufacturers, and Ministries of Health from Africa and Asia. The topic of discussion was the potential of maternal immunization (MI) to achieve further improvements in under-five morbidity and mortality rates in children, and particularly neonates and young infants, through targeting infectious diseases that are not preventable by other interventions in these age groups. The meeting focused on effective and appropriately priced MI vaccines against influenza, pertussis, and tetanus, as well as against respiratory syncytial virus, and the group B Streptococcus, for which no licensed vaccines currently exist. The primary goals of the BMGF 2015 convening were to bring together the global stakeholders in vaccine development, policy and delivery together with the Maternal, Newborn and Child Health (MNCH) community, to get recognition that MI is a strategy shared between these groups and so encourage increased collaboration, and obtain alignment on the next steps toward achieving a significant health impact through implementation of a MI program. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Obesity and type 2 diabetes in sub-Saharan Africans - Is the burden in today's Africa similar to African migrants in Europe? The RODAM study.

PubMed

Agyemang, Charles; Meeks, Karlijn; Beune, Erik; Owusu-Dabo, Ellis; Mockenhaupt, Frank P; Addo, Juliet; de Graft Aikins, Ama; Bahendeka, Silver; Danquah, Ina; Schulze, Matthias B; Spranger, Joachim; Burr, Tom; Agyei-Baffour, Peter; Amoah, Stephen K; Galbete, Cecilia; Henneman, Peter; Klipstein-Grobusch, Kerstin; Nicolaou, Mary; Adeyemo, Adebowale; van Straalen, Jan; Smeeth, Liam; Stronks, Karien

2016-10-21

Rising rates of obesity and type 2 diabetes (T2D) are impending major threats to the health of African populations, but the extent to which they differ between rural and urban settings in Africa and upon migration to Europe is unknown. We assessed the burden of obesity and T2D among Ghanaians living in rural and urban Ghana and Ghanaian migrants living in different European countries. A multi-centre cross-sectional study was conducted among Ghanaian adults (n = 5659) aged 25-70 years residing in rural and urban Ghana and three European cities (Amsterdam, London and Berlin). Comparisons between groups were made using prevalence ratios (PRs) with adjustments for age and education. In rural Ghana, the prevalence of obesity was 1.3 % in men and 8.3 % in women. The prevalence was considerably higher in urban Ghana (men, 6.9 %; PR: 5.26, 95 % CI, 2.04-13.57; women, 33.9 %; PR: 4.11, 3.13-5.40) and even more so in Europe, especially in London (men, 21.4 %; PR: 15.04, 5.98-37.84; women, 54.2 %; PR: 6.63, 5.04-8.72). The prevalence of T2D was low at 3.6 % and 5.5 % in rural Ghanaian men and women, and increased in urban Ghanaians (men, 10.3 %; PR: 3.06; 1.73-5.40; women, 9.2 %; PR: 1.81, 1.25-2.64) and highest in Berlin (men, 15.3 %; PR: 4.47; 2.50-7.98; women, 10.2 %; PR: 2.21, 1.30-3.75). Impaired fasting glycaemia prevalence was comparatively higher only in Amsterdam, and in London, men compared with rural Ghana. Our study shows high risks of obesity and T2D among sub-Saharan African populations living in Europe. In Ghana, similarly high prevalence rates were seen in an urban environment, whereas in rural areas, the prevalence of obesity among women is already remarkable. Similar processes underlying the high burden of obesity and T2D following migration may also be at play in sub-Saharan Africa as a consequence of urbanisation.

Health outcomes and quality of life of residents of shared-housing arrangements compared to residents of special care units - results of the Berlin DeWeGE-study.

PubMed

Wolf-Ostermann, Karin; Worch, Andreas; Fischer, Thomas; Wulff, Ines; Gräske, Johannes

2012-11-01

To compare different health outcomes as well as quality of life (QoL) between people with dementia living in shared-housing arrangements (SHA) and special care units (SCU) in nursing homes. Often situated in large apartments in mostly urban settings, SHA are a specific German kind of small-scale living facilities for older care-dependent persons, predominantly suffering from dementia. SHA are completely disconnected from traditional nursing homes. In a longitudinal design, all new residents of SHA and SCU suffering with dementia in Berlin were surveyed for one year. They were assessed when they moved into the SHA or SCU and again 6 and 12 months later. We surveyed physical and psychological health outcomes including ADL-functioning (Barthel), neuropsychiatric symptoms of dementia (NPI) and challenging behaviour (Cohen-Mansfield agitation inventory) as well as QoL (Qualidem). Fifty-six persons (43 women, 13 men) were recruited into the longitudinal study. The average age was 82·5 years at admission, participants mostly had a moderate level of cognitive impairment (mean Mini Mental State Examination = 13·3), prevalence of neuropsychiatric symptoms was high. During the one-year follow-up, analyses show a significant decrease in cognitive abilities but also of neuropsychiatric symptoms in both groups. In SHA, QoL increases on average during the one-year study period. Both types of facilities attract slightly different populations according to our data. Comparison of SHA residents to SCU residents documented no significant beneficial effects of settings in terms of health outcomes. As no clear advantage of either SHA or SCU in nursing homes can be demonstrated for residents with dementia who move in newly, it is impossible to give a clear evidence-based recommendation and the decision for one setting or the other can be made according solely to personal preference of the resident. © 2012 Blackwell Publishing Ltd.

Urban Impact Assessment and Adaptation Strategies to Climate Change in Europe: A Case Study for Antwerp, Berlin and Almada

NASA Astrophysics Data System (ADS)

Stevens, Catherine; Thomas, Bart

2014-05-01

Climate change is driven by global processes such as the global ocean circulation and its variability over time leading to changing weather patterns on regional scales as well as changes in the severity and occurrence of extreme events such as heat waves. For example, the summer 2003 European heat wave caused up to 70.000 excess deaths over four months in Central and Western Europe. As around 75% of Europe's population resides in urban areas, it is of particular relevance to examine the impact of seasonal to decadal-scale climate variability on urban areas and their populations. This study aims at downscaling the spatially coarse resolution CMIP5 climate predictions to the local urban scale and investigating the relation between heat waves and the urban-rural temperature increment (urban heat island effect). The resulting heat stress effect is not only driven by climatic variables but also impacted by urban morphology. Moreover, the exposure varies significantly with the geographical location. All this information is coupled with relevant socio-economic datasets such as population density, age structure, etc. focussing on human health. The analyses are conducted in the framework of the NACLIM FP7 project funded by the European Commission involving local stakeholders such as the cities of Antwerp (BE), Berlin (DE) and Almada (PT) represented by different climate and urban characteristics. The end-user needs have been consolidated in a climate services plan including the production of heat risk exposure maps and the analysis of various scenarios considering e.g. the uncertainty of the global climate predictions, urban expansion over time and the impact of mitigation measures such as green roofs. The results of this study will allow urban planners and policy makers facing the challenges of climate change and develop sound strategies for the design and management of climate resilient cities.

Target Tracking Based Scene Analysis

DTIC Science & Technology

1984-08-01

1082 , pp 377-391. [21 S.T. Barnard and M.A. Fisch~ler, "Computational Stereo", Computing Surveys 14, 1082 , pp 553-572. 131 K.H. Bers, M. Bohner, and P...Braunlage/Harz. FRG, June 21 - July 2, 1082 Springer, Berlin, 1083. pp 10.1-124. [81 R.B. Cate, T.*1B. Dennis, J.T. Mallin, K.S. Nedelman, NEIL Trenchard, and...Institute on Pictorial Data Analysis, Bonas, France, August 1-12, 1082 ), Springer, Berlin, 1983. [181 G.R. Legters Jr. and T.Y. Young, "A Mathematical

The In Situ Observation of Epitaxial Diamond Thin Film Nucleation and Growth Using Emission Electron Microscopy

DTIC Science & Technology

1993-12-01

diamond carbon on diamond Measurements of CVD diamond grown directly on Mo TEM specimen grids were made through a collaboration with the Fritz Haber ...Hawaii, May 1993. 2. --- , University of Illinois at Chicago, March 1993. 3. --- , Fritz Haber Institute, Berlin, June 1993. 3.0 Appendix: 8 1 Real...University, Athens OH 45701 -2979 *Permanent address: Fritz Haber Institute, Berlin, Germany. Thin (1Onm) carbon films are found to adhere to Chemical Vapor

Berlin Reflectance Spectral Library (BRSL)

NASA Astrophysics Data System (ADS)

Henckel, D.; Arnold, G.; Kappel, D.; Moroz, L. V.; Markus, K.

2017-09-01

The Berlin Reflectance Spectral Library (BRSL) provides a collection of reflectance spectra between 0.3 and 17 µm. It was originally dedicated to support space missions to small solar system bodies. Meanwhile the library includes selections of biconical reflectance spectra for spectral data analysis of other planetary bodies as well. The library provides reference spectra of well-characterized terrestrial analogue materials and meteorites for interpretation of remote sensing reflectance spectra of planetary surfaces. We introduce the BRSL, summarize the data available, and access to use them for further relevant applications.

Changing Configurations of Adult Education in Transitional Times. Conference Proceedings of the Triennial European Research Conference of the European Society for Research on the Education of Adults (ESREA) (7th, Berlin, Germany, September 4-7, 2013)

ERIC Educational Resources Information Center

Käpplinger, Bernd, Ed.; Lichte, Nina, Ed.; Haberzeth, Erik, Ed.; Kulmus, Claudia, Ed.

2014-01-01

This book assembles over 50 papers from the 7th Triennial European Research Conference of the European Society for Research on the Education of Adults (ESREA), which was held from the 4th to the 7th of September 2013 at Humboldt-University in Berlin. The title of the conference was "Changing Configurations of Adult Education in Transitional…

Understanding Airpower: Bonfire of the Fallacies

DTIC Science & Technology

2009-03-01

Isaiah Berlin, The Hedgehog and the Fox: An Essay on Tolstoy’s View of History (New York: Mentor Books, 957), 24–25. 2. Carl H. Builder, The Masks of...University, December 2007), –3, http://www.aupress.au.af.mil/ ARI_Papers/GrayARI2.pdf. 62 0. Isaiah Berlin, The Hedgehog and the Fox, presents an...potential for disaster has always been severe for these elite troops. 54. See Richard B. Andres, “Deep Attack against Iraq,” in Thomas G. Mahnken

Crisis Stability and Long-Range Strike: A Comparative Analysis of Fighters, Bombers, and Missiles

DTIC Science & Technology

2013-01-01

1947–1949 Crisis pakistan: Seize Kashmir hawker tempests , but not brandished or employed no India: Deny pakistan control of Kashmir hawker... tempests , but not brandished or employed no war Berlin 1948–1949 Crisis uSSR: Force western powers out of west Berlin Bombers and strike aircraft...resolution to border dispute B-24, B-57, hF-24, tempest , Mystère IV, Ouragan aircraft, but none brandished or employed no war Table C.1

Marble Deterioration and Climate: Examples from the Schlossbrücke Berlin

NASA Astrophysics Data System (ADS)

Pirskawetz, S.; Siegesmund, S.; Weise, F.; Rieffel, Y.; Plagge, R.

2012-04-01

Protective structures for works of art or antique artefacts have a long architectural tradition and have been known in Germany since the 19th century. The effect of such covers on the microclimate around artworks of natural stone, and hence, their protective capability are insufficiently documented and understood. In 2007, an inter-disciplinary model project and part of a pilot study coordinated by the Berlin State Office for the Protection of Monuments was planned with the aim of developing an innovative winter covering system for marble statuaries located on the Schlossbrücke in Berlin. Such a system would need to fulfil the various requirements for structural stability, aesthetics, climate and practical use. This applied research represents the first complex scientific study of the sustainability of a winter covering system. A climate monitoring system was designed to create a dense database for the numerical prediction of the effect of protective systems, and to compare the given climate conditions to the known factors influencing the marble deterioration. Based on these findings a prototype of an innovative shelter was designed and tested. The project shows, that beside a temporary covering regular inspection and maintenance combined with regular cleaning ensures an effective and sustainable protection of marble sculptures. Such a maintenance program is the precondition for preserving the sculptures of the Schlossbrücke as a historical ensemble. Important scientific results of the project are transferable to similar objects of Carrara marble. The results throw a new light on the conventional protection of such objects and leads to a discussion on the necessity of an all-season protection.

New Berlin-Buch "reversed Nuss," endoscopic pectus carinatum repair using eight-hole stabilizers, submuscular CO2, and presternal Nuss bar compression: first results in 35 patients.

PubMed

Schaarschmidt, Klaus; Lempe-Sellin, Michael; Schlesinger, Frank; Jaeschke, Uwe; Polleichtner, Susanne

2011-04-01

Since 2001 we minimized access (2.9-4.7 cm) for universally applicable endoscopic hybrid carinatum technique with two transsternal Willital bars in 173 endoscopic hybrid (EH) patients with very satisfactory results. In 2008-2009, endoscopic Nuss bar compression with endoscopic repair of costal flaring applied a new eight-hole stabilizer, which allows the use in pectus carinatum (PC) beyond adolescence including redos and combined deformities. This prospective study of 35 "endoscopic Berlin-Buch reversed Nuss" repairs intends to establish indications for this improved technique. In February 2008 to February 2010, we used endoscopic Nuss bar compression by applying a bilateral new eight-hole stabilizer fixed to the bar without screws or wires, which allows unprecedented versatility and the use in pectus carinatum beyond adolescence. Thirty-five patients aged 17.05 ± 10.2 years (range: 11.3-33.1 years) were recorded prospectively and followed at 3 monthly intervals. We implanted a standard Nuss bar (11-14') into an endoscopically dissected submuscular presternal pocket correcting PC by sternal pressure. The bars were put under tension by traction via bilateral eight-hole stabilizers and three pericostal wire sutures on each side. Bars were removed after 2 years. All 35 "reversed Nuss" pectus carinatum repairs, including 2 redos after Ravitch, were successful, with no conversion. So far there was no local or general complication and no seroma or bar dislocation. Thirty-one patients judged their result as excellent and 4 as good. Although this is a very early experience, "reversed Nuss" is safe and effective and new technical improvements have expanded the range of applicability to older patients and suitable redos.

Implementation of the 2017 Berlin Concussion in Sport Group Consensus Statement in contact and collision sports: a joint position statement from 11 national and international sports organisations

PubMed Central

Patricios, Jon S; Hislop, Michael David; Aubry, Mark; Bloomfield, Paul; Broderick, Carolyn; Clifton, Patrick; Ellenbogen, Richard G; Falvey, Éanna Cian; Grand, Julie; Hack, Dallas; Harcourt, Peter Rex; Hughes, David; McGuirk, Nathan; Meeuwisse, Willem; Miller, Jeffrey; Parsons, John T; Richiger, Simona; Sills, Allen; Moran, Kevin B; Shute, Jenny; Raftery, Martin

2018-01-01

The 2017 Berlin Concussion in Sport Group Consensus Statement provides a global summary of best practice in concussion prevention, diagnosis and management, underpinned by systematic reviews and expert consensus. Due to their different settings and rules, individual sports need to adapt concussion guidelines according to their specific regulatory environment. At the same time, consistent application of the Berlin Consensus Statement’s themes across sporting codes is likely to facilitate superior and uniform diagnosis and management, improve concussion education and highlight collaborative research opportunities. This document summarises the approaches discussed by medical representatives from the governing bodies of 10 different contact and collision sports in Dublin, Ireland in July 2017. Those sports are: American football, Australian football, basketball, cricket, equestrian sports, football/soccer, ice hockey, rugby league, rugby union and skiing. This document had been endorsed by 11 sport governing bodies/national federations at the time of being published. PMID:29500252

Polytrauma Defined by the New Berlin Definition: A Validation Test Based on Propensity-Score Matching Approach.

PubMed

Rau, Cheng-Shyuan; Wu, Shao-Chun; Kuo, Pao-Jen; Chen, Yi-Chun; Chien, Peng-Chen; Hsieh, Hsiao-Yun; Hsieh, Ching-Hua

2017-09-11

Background: Polytrauma patients are expected to have a higher risk of mortality than that obtained by the summation of expected mortality owing to their individual injuries. This study was designed to investigate the outcome of patients with polytrauma, which was defined using the new Berlin definition, as cases with an Abbreviated Injury Scale (AIS) ≥ 3 for two or more different body regions and one or more additional variables from five physiologic parameters (hypotension [systolic blood pressure ≤ 90 mmHg], unconsciousness [Glasgow Coma Scale score ≤ 8], acidosis [base excess ≤ -6.0], coagulopathy [partial thromboplastin time ≥ 40 s or international normalized ratio ≥ 1.4], and age [≥70 years]). Methods: We retrieved detailed data on 369 polytrauma patients and 1260 non-polytrauma patients with an overall Injury Severity Score (ISS) ≥ 18 who were hospitalized between 1 January 2009 and 31 December 2015 for the treatment of all traumatic injuries, from the Trauma Registry System at a level I trauma center. Patients with burn injury or incomplete registered data were excluded. Categorical data were compared with two-sided Fisher exact or Pearson chi-square tests. The unpaired Student t -test and the Mann-Whitney U -test was used to analyze normally distributed continuous data and non-normally distributed data, respectively. Propensity-score matched cohort in a 1:1 ratio was allocated using the NCSS software with logistic regression to evaluate the effect of polytrauma on patient outcomes. Results: The polytrauma patients had a significantly higher ISS than non-polytrauma patients (median (interquartile range Q1-Q3), 29 (22-36) vs. 24 (20-25), respectively; p < 0.001). Polytrauma patients had a 1.9-fold higher odds of mortality than non-polytrauma patients (95% CI 1.38-2.49; p < 0.001). Compared to non-polytrauma patients, polytrauma patients had a substantially longer hospital length of stay (LOS). In addition, a higher proportion of polytrauma patients were admitted to the intensive care unit (ICU), spent longer LOS in the ICU, and had significantly higher total medical expenses. Among 201 selected propensity score-matched pairs of polytrauma and non-polytrauma patients who showed no significant difference in sex, age, co-morbidity, AIS ≥ 3, and Injury Severity Score (ISS), the polytrauma patients had a significantly higher mortality rate (OR 17.5, 95% CI 4.21-72.76; p < 0.001), and a higher proportion of patients admitted to the ICU (84.1% vs. 74.1%, respectively; p = 0.013) with longer stays in the ICU (10.3 days vs. 7.5 days, respectively; p = 0.003). The total medical expenses for polytrauma patients were 35.1% higher than those of non-polytrauma patients. However, there was no significant difference in the LOS between polytrauma and non-polytrauma patients (21.1 days vs. 19.8 days, respectively; p = 0.399). Conclusions: The findings of this propensity-score matching study suggest that the new Berlin definition of polytrauma is feasible and applicable for trauma patients.

Polytrauma Defined by the New Berlin Definition: A Validation Test Based on Propensity-Score Matching Approach

PubMed Central

Rau, Cheng-Shyuan; Wu, Shao-Chun; Kuo, Pao-Jen; Chen, Yi-Chun; Chien, Peng-Chen; Hsieh, Hsiao-Yun; Hsieh, Ching-Hua

2017-01-01

Background: Polytrauma patients are expected to have a higher risk of mortality than that obtained by the summation of expected mortality owing to their individual injuries. This study was designed to investigate the outcome of patients with polytrauma, which was defined using the new Berlin definition, as cases with an Abbreviated Injury Scale (AIS) ≥ 3 for two or more different body regions and one or more additional variables from five physiologic parameters (hypotension [systolic blood pressure ≤ 90 mmHg], unconsciousness [Glasgow Coma Scale score ≤ 8], acidosis [base excess ≤ −6.0], coagulopathy [partial thromboplastin time ≥ 40 s or international normalized ratio ≥ 1.4], and age [≥70 years]). Methods: We retrieved detailed data on 369 polytrauma patients and 1260 non-polytrauma patients with an overall Injury Severity Score (ISS) ≥ 18 who were hospitalized between 1 January 2009 and 31 December 2015 for the treatment of all traumatic injuries, from the Trauma Registry System at a level I trauma center. Patients with burn injury or incomplete registered data were excluded. Categorical data were compared with two-sided Fisher exact or Pearson chi-square tests. The unpaired Student t-test and the Mann–Whitney U-test was used to analyze normally distributed continuous data and non-normally distributed data, respectively. Propensity-score matched cohort in a 1:1 ratio was allocated using the NCSS software with logistic regression to evaluate the effect of polytrauma on patient outcomes. Results: The polytrauma patients had a significantly higher ISS than non-polytrauma patients (median (interquartile range Q1–Q3), 29 (22–36) vs. 24 (20–25), respectively; p < 0.001). Polytrauma patients had a 1.9-fold higher odds of mortality than non-polytrauma patients (95% CI 1.38–2.49; p < 0.001). Compared to non-polytrauma patients, polytrauma patients had a substantially longer hospital length of stay (LOS). In addition, a higher proportion of polytrauma patients were admitted to the intensive care unit (ICU), spent longer LOS in the ICU, and had significantly higher total medical expenses. Among 201 selected propensity score-matched pairs of polytrauma and non-polytrauma patients who showed no significant difference in sex, age, co-morbidity, AIS ≥ 3, and Injury Severity Score (ISS), the polytrauma patients had a significantly higher mortality rate (OR 17.5, 95% CI 4.21–72.76; p < 0.001), and a higher proportion of patients admitted to the ICU (84.1% vs. 74.1%, respectively; p = 0.013) with longer stays in the ICU (10.3 days vs. 7.5 days, respectively; p = 0.003). The total medical expenses for polytrauma patients were 35.1% higher than those of non-polytrauma patients. However, there was no significant difference in the LOS between polytrauma and non-polytrauma patients (21.1 days vs. 19.8 days, respectively; p = 0.399). Conclusions: The findings of this propensity-score matching study suggest that the new Berlin definition of polytrauma is feasible and applicable for trauma patients. PMID:28891977

Fritz Reiche and the Emergency Committee in Aid of Displaced Foreign Scholars

NASA Astrophysics Data System (ADS)

Bederson, Benjamin

2005-12-01

I discuss the family background and early life of the German theoretical physicist Fritz Reiche (1883 1969) in Berlin; his higher education at the University of Berlin under Max Planck (1858 1947); his subsequent work at the University of Breslau with Otto Lummer (1860 1925); his return to Berlin in 1911, where he completed his Habilitation thesis in 1913, married Bertha Ochs the following year, became a friend of Albert Einstein (1879 1955), and worked during and immediately after the Great War. In 1921 he was appointed as ordentlicher Professor of Theoretical Physics at the University of Breslau and worked there until he was dismissed in 1933. He spent the academic year 1934 1935 as a visiting professor at the German University in Prague and then returned to Berlin, where he remained until, with the crucial help of his friend Rudolf Ladenburg (1882 1952) and vital assistance of the Emergency Committee in Aid of Displaced Foreign Scholars, he, his wife Bertha, and their daughter Eve were able to emigrate to the United States in 1941 (their son Hans had already emigrated to England in 1939).From 1941 1946 he held appointments at the New School for Social Research in New York, the City College of New York, and Union College in Schenectady, New York, and then was appointed as an Adjunct Professor of Physics at New York University, where his contract was renewed year-by-year until his retirement in 1958.

Childhood obesity patterns and relation to middle-age sleep apnoea risk: the Bogalusa Heart Study.

PubMed

Bazzano, L A; Hu, T; Bertisch, S M; Yao, L; Harville, E W; Gustat, J; Chen, W; Webber, L S; Shu, T; Redline, S

2016-12-01

Obese adults have a higher risk of obstructive sleep apnoea (OSA); however, the relationship between childhood obesity and adult OSA risk is unclear. Objectives This study aimed to examine overweight/obesity (OW) in childhood and risk of OSA in middle age. Childhood OW status was classified as never OW, weight cycling, persistent OW and incident OW. After 35 years of follow-up, high risk for OSA was determined by a positive score in ≥2 domains on the Berlin Questionnaire with obesity removed from scoring. At initial assessment, mean (SD) age was 9.9 (2.9) years, and 23.9% were OW. Overall, 25.7% had scores indicating a high risk for OSA. Compared with participants who were never OW, those with persistent OW and incident OW were 1.36 (95%CI: 1.04-1.77) and 1.47 (1.11-1.96) times more likely to be high risk for OSA, after adjustment for multiple risk factors and adult OW status. Participants with an OW duration of 1-4 years, 5-8 years, and 8+ years were 0.96 (0.44-2.09), 1.20 (0.70-2.04) and 1.52 (1.22-1.90) times more likely to be high risk for OSA compared with those who were never OW (P for trend: 0.0002). These results suggest that childhood OW is associated with a high risk of OSA in middle age. © 2016 World Obesity Federation.

[Interculturality in the medical practice of Dr. Albert Schweitzer].

PubMed

Campos-Navarro, Roberto; Ruiz-Llanos, Adriana

2004-01-01

Albert Schweitzer (1875-1965) was a young and promising German who at age 29 decided to undertake the profession of Medical Doctor at the University of Strassburg after finishing a career in musical studies in Paris (1899) and obtaining in Berlin a doctoral degree in Philosophy and Theology. Surprisingly, Albert Schweitzer, despite his comfortable life in Europe, decided in 1913 to practice his medical career in a remote and small Equatorial African country. He devoted nearly 50 years of his life caring for the Black population at Lamaberene, where he built a hospital. In this paper, we attempt to develop some theoretical aspects related with interculturality in the medical practice of Dr. Albert Schweitzer. We begin by considering certain sociocultural variables in hospitals that give care to patients with cultural characteristics that are substantially different from those of the health care personnel who organize, administer, and execute medical functions.

N-acetyltransferase 1*10 genotype in bladder cancer patients.

PubMed

Höhne, Svetlana; Gerullis, Holger; Blaszkewicz, Meinolf; Selinski, Silvia; Hengstler, Jan G; Otto, Thomas; Golka, Klaus

2017-01-01

In a large bladder cancer study in the greater Berlin area with 425 cases and 343 controls, the haplotype N-acetyltransferase 1*10 (NAT1*10) was associated with a decreased bladder cancer risk. In a recently published meta-analysis, results of the studies were found to be inconclusive. Therefore, the aim of this study was to investigate the frequency of NAT1*10 in bladder cancer patients and controls recruited in an area without industries reported to be associated with increased bladder cancer risk. Rs1057126 (1088 T > A) and rs15561 (1095 C > A) were determined in 412 bladder cancer patients and 415 controls without a known history of malignancies. With these two single-nucleotide polymorphisms (SNP), it was possible to distinguish between NAT1*4 (wild type), NAT1*3 (1095 C > A), and NAT1*10 (1088 T > A, 1095C > A). The frequencies of the determined NAT1 haplotypes did not differ markedly between cases and controls: NAT1*4: 74%, NAT1*3: 6%, NAT1*10: 20%. Bladder cancer risk was not significantly modulated by NAT1*10/*10 (OR 1.03, 95% CI 0.71-1.48) but was higher for NAT1*3/*3 genotypes (OR 2.05, 95% CI 1.32-3.21). In contrast to the Berlin study from 2001, data in present study demonstrated that NAT1*10 haplotype was not associated with a significantly decreased bladder cancer risk. This may be due to local effects in the greater Berlin area, particularly at the time of investigation. The findings of the present study are in agreement with observations of a recently published meta-analysis which also showed no relevant impact of NAT1*10 haplotype on bladder cancer risk. The impact of the rare NAT1*3/*3 genotype was significant but this may be attributed to rarity without major practical relevance.

[Elephant herpes virus--a problem for breeding and housing of elephants].

PubMed

Burkhardt, S; Hentschke, J; Weiler, H; Ehlers, B; Ochs, A; Walter, J; Wittstatt, U; Göltenboth, R

1999-06-01

Herpesvirus infections which take a fatal turn on African elephants as well as on Asian elephants seem to occur increasingly not only in the USA but also in European stocks. The endotheliotropic herpesvirus causes a rapidly progressing and severe disease which makes any therapeutical effort unsuccessful and finally results in death of the animal, especially in young Asian elephants. As all attempts to culture the virus failed up to now, molecular biological procedures have to be used more often for diagnostical purpose together with the common methods of pathology, virology, and electronmicroscopical evaluation. This is a report on the case of 'KIBA', an eleven year old male elephant at the Zoological Garden Berlin, infected with the endotheliotropic elephants herpesvirus. 'KIBA' was born at the Zoo in Houston, Texas, and raised within his herd. Upon arriving in Berlin in November 1997 he adapted to the new premises and climate and new social circumstances without any problems. In June 1998 he already serviced three females of his new herd several times. In August 1998 he died after passing a peracute progression of the disease after residenting in Berlin for only 9 months. The dissection of the animal revealed some evidence on an agent damaging the endothelium. Major signs indicating this agent were bleedings in several serous membranes, mucosa and on the the right atrium, as well as other parts of the myocardium. Furthermore there have been ulcerations at various localisations of the whole digestive tract. Slightly basophilic intranuclear inclusion bodies have been found histologically in endothelial cells of different organ samples. An examination of altered organ-material by electronmicroscopy made some herpesvirus-like particles visible. A virological investigation first revealed evidence of giant cell formations with solitary basophilic intranuclear inclusion bodies in different cell cultures, however, without any distinct cytopathogenic effect. Supported by molecular biological procedures the infection of 'KIBA' could be verified as the elephants herpesvirus. By means of PCR and subsequent sequence analysis a DNA-sequence typical for the elephants herpesvirus could be obtained which showed an identity of 97% with the terminase sequence of the elephant herpesvirus described by American authors. The deduced amino acid-sequences were 100% identical. To the terminase of the human cytomegalovirus, the elephant sequence had an identity of 53% (similarity: 74%). Based on the cooperation of ILAT, Institute of Veterinary-Pathology/Free University Berlin, Robert-Koch-Institut Berlin, and Zoological Garden Berlin, the cause of 'KIBA's' death could be discovered immediately. Possible implications of this case especially on breeding and keeping elephants are discussed briefly.

Acute respiratory distress syndrome: the Berlin Definition.

PubMed

Ranieri, V Marco; Rubenfeld, Gordon D; Thompson, B Taylor; Ferguson, Niall D; Caldwell, Ellen; Fan, Eddy; Camporota, Luigi; Slutsky, Arthur S

2012-06-20

The acute respiratory distress syndrome (ARDS) was defined in 1994 by the American-European Consensus Conference (AECC); since then, issues regarding the reliability and validity of this definition have emerged. Using a consensus process, a panel of experts convened in 2011 (an initiative of the European Society of Intensive Care Medicine endorsed by the American Thoracic Society and the Society of Critical Care Medicine) developed the Berlin Definition, focusing on feasibility, reliability, validity, and objective evaluation of its performance. A draft definition proposed 3 mutually exclusive categories of ARDS based on degree of hypoxemia: mild (200 mm Hg < PaO2/FIO2 ≤ 300 mm Hg), moderate (100 mm Hg < PaO2/FIO2 ≤ 200 mm Hg), and severe (PaO2/FIO2 ≤ 100 mm Hg) and 4 ancillary variables for severe ARDS: radiographic severity, respiratory system compliance (≤40 mL/cm H2O), positive end-expiratory pressure (≥10 cm H2O), and corrected expired volume per minute (≥10 L/min). The draft Berlin Definition was empirically evaluated using patient-level meta-analysis of 4188 patients with ARDS from 4 multicenter clinical data sets and 269 patients with ARDS from 3 single-center data sets containing physiologic information. The 4 ancillary variables did not contribute to the predictive validity of severe ARDS for mortality and were removed from the definition. Using the Berlin Definition, stages of mild, moderate, and severe ARDS were associated with increased mortality (27%; 95% CI, 24%-30%; 32%; 95% CI, 29%-34%; and 45%; 95% CI, 42%-48%, respectively; P < .001) and increased median duration of mechanical ventilation in survivors (5 days; interquartile [IQR], 2-11; 7 days; IQR, 4-14; and 9 days; IQR, 5-17, respectively; P < .001). Compared with the AECC definition, the final Berlin Definition had better predictive validity for mortality, with an area under the receiver operating curve of 0.577 (95% CI, 0.561-0.593) vs 0.536 (95% CI, 0.520-0.553; P < .001). This updated and revised Berlin Definition for ARDS addresses a number of the limitations of the AECC definition. The approach of combining consensus discussions with empirical evaluation may serve as a model to create more accurate, evidence-based, critical illness syndrome definitions and to better inform clinical care, research, and health services planning.

[Clarity of flight information in the cockpit of the new aircraft generation].

PubMed

Stern, C; Schwartz, R; Groenhoff, S; Draeger, J; Hüttig, G; Bernhard, H

1994-08-01

Fundamental changes of cockpit design in recent years, especially the transition from analogue to digital flight information systems and the use of colour-coded displays, lead to new demands on the visual system of the pilot. Twenty experienced pilots each participated in four 15-min sessions with a simulator program in the new Airbus 340 Simulator of the Technical University of Berlin. The pilots were confronted with various flight situations and events. The simulation program was carried out with visual acuity of 1.0 or better, with acuity reduced to 0.5 and with red and green filters. The time between the display of information and the pilot's reaction was determined. The probands were classified into two groups according to their age (< or = 45 years, > or = 45 years). In both age groups a significant difference was found only with green filters. There was no difference with reduced visual acuity or with red filters, and no differences were seen between the two age groups.

[Cooperation between emergency and forensic medicine - retrospective evaluation of pre-hospital emergency measures].

PubMed

Buschmann, Claas T; Kleber, Christian; Tsokos, Michael; Püschel, Klaus; Hess, Thorsten; Kerner, Thoralf; Stuhr, Markus

2015-06-01

Emergency medical research is subject to special conditions. Emergency patients e.g. are generally considered to be non-capable of giving consent. This results in sparse emergency medical data when compared to clinical observation studies under controlled conditions. After emergency medical treatment, deceased patients are not rarely subject to forensic investigation. The cooperation between emergency and forensic medicine has not only emergency medical training potential in individual cases, but also scientific innovation potential especially with respect to the retrospective evaluation of pre-hospital emergency measures. Such partnerships (like in Berlin at the Charité - Universitätsmedizin Berlin between the Institute of Legal Medicine and the Center for Musculoskeletal Surgery or in Hamburg between the Institute for Legal Medicine at the University Hospital and the Municipal Fire Brigade with the Emergency Medical Service) are yet exceptional in Germany. © Georg Thieme Verlag Stuttgart · New York.

Phylogenetic approach to the evolution of color term systems

PubMed Central

Haynie, Hannah J.

2016-01-01

The naming of colors has long been a topic of interest in the study of human culture and cognition. Color term research has asked diverse questions about thought and communication, but no previous research has used an evolutionary framework. We show that there is broad support for the most influential theory of color term development (that most strongly represented by Berlin and Kay [Berlin B, Kay P (1969) (Univ of California Press, Berkeley, CA)]); however, we find extensive evidence for the loss (as well as gain) of color terms. We find alternative trajectories of color term evolution beyond those considered in the standard theories. These results not only refine our knowledge of how humans lexicalize the color space and how the systems change over time; they illustrate the promise of phylogenetic methods within the domain of cognitive science, and they show how language change interacts with human perception. PMID:27849594

Detecting Mental States by Machine Learning Techniques: The Berlin Brain-Computer Interface

NASA Astrophysics Data System (ADS)

Blankertz, Benjamin; Tangermann, Michael; Vidaurre, Carmen; Dickhaus, Thorsten; Sannelli, Claudia; Popescu, Florin; Fazli, Siamac; Danóczy, Márton; Curio, Gabriel; Müller, Klaus-Robert

The Berlin Brain-Computer Interface Brain-Computer Interface (BBCI) uses a machine learning approach to extract user-specific patterns from high-dimensional EEG-features optimized for revealing the user's mental state. Classical BCI applications are brain actuated tools for patients such as prostheses (see Section 4.1) or mental text entry systems ([1] and see [2-5] for an overview on BCI). In these applications, the BBCI uses natural motor skills of the users and specifically tailored pattern recognition algorithms for detecting the user's intent. But beyond rehabilitation, there is a wide range of possible applications in which BCI technology is used to monitor other mental states, often even covert ones (see also [6] in the fMRI realm). While this field is still largely unexplored, two examples from our studies are exemplified in Sections 4.3 and 4.4.

The Pedotopia Project: A Transdisciplinary Experiment in Soil Education

NASA Astrophysics Data System (ADS)

Toland, A.; Wessolek, G.

2012-04-01

In the absence of every-day interactions with the land, a hands-on, comprehensive soil education across disciplines and ages is necessary. Soil education is usually integrated into earth science and geography curricula and only rarely into social science, arts and humanities programs. Furthermore, an emphasis on measurement and modeling in conventional classroom science often neglects aesthetic, moral and other non-quantifiable values, precluding a broader cultural context in which soil education could take place. The arts play a vital role in communicating environmental issues to the greater public and represent a dynamic approach to help students discover soil complexity in new and unexpected ways. Artistic methods have recently been introduced as pedagogical tools in soil awareness-raising programs for children and youth. Painting with soil has become an interesting new approach to soil education from Kindergarten to University levels (SZLEZAK 2008). And a growing amount of literature describes artists who have undertaken different soil issues, suggesting that such artistic focus may improve wider understanding and appreciation of soil conservation issues (FELLER et al 2010, TOLAND & WESSOLEK 2010, WAGNER 2002). How can art contribute to soil science, policy and education - both with the aim of generating greater public understanding, but also by honing creative methods to confront problems such as contamination, erosion, and urban sprawl? What artistic approaches exist to protect and restore soils as well as our relationship to the land? And how can these approaches support current soil education goals? These questions were addressed in the transdisciplinary soil seminar, "Pedotopia - Re-sourcing Urban Soils" from September 2010 to September 2011 in Berlin. A cooperation between the Technical University of Berlin's Department of Soil Protection and the Berlin University of Arts' Institute for Art in Context, the project served as a teaching experiment as well as a platform for the production of new soil-oriented artworks. An exhibition of the resulting works as well as a symposium on the cultural values of soil conservation was held at the annual meeting of the German Soil Science Society (DBG) in 2011 in Berlin. In the following paper we will present the Pedotopia project as a case study in transdisciplinary soil education. We will highlight main points of the curriculum, present the results of the project and address challenges and future considerations of transdisciplinary soil education. SOURCES FELLER, LARDY and UGOLINI (2010): The Representation of Soil in the Western Art: From Genesis to Pedogenesis. In: Feller and Landa (Hrsg.) Soil and Culture. Dordrecht, Heidelberg, London and New York: Springer Science + Business Media B.V.: 3-21 SZLEZAK, E. (2009) "Soilart with the Colours of the Earth". In: Amt der NÖ LandesregierungAbteilung Landentwicklung. Stand 2009. http://www.soilart.eu/1-0-Home.htm (abgerufen am 20. Dezember 2011) TOLAND, A. & WESSOLEK, G. (2010): Merging Horizons - Soil Science and Soil Art. In: Feller and Landa (Hrsg.) Soil and Culture. Dordrecht, Heidelberg, London and New York: Springer Science + Business Media B.V.: 45-66 WAGNER, M. (2002): Erde als Material künstlerische Gestaltung. In: BUSCH, B. (2002) (Hrsg.): Erde. Schriftenreihe Forum, Bd. 11, Elemente des Naturhaushalts III. Kunst- und Ausstellungshalle der Bundesrepublik Deutschland GmbH, Köln, 246-260

Oriental Music: A Selected Discography.

ERIC Educational Resources Information Center

Brunet, Jacques, Ed.

This discography was prepared at the International Institute for Comparative Music Studies and Documentation in Berlin as a contribution to strengthening material resources useful in teaching about societies and cultures outside the United States and Western Europe. It is not an exhaustive compilation, but a selection of recordings of traditional…

Pediatric acute respiratory distress syndrome: definition, incidence, and epidemiology: proceedings from the Pediatric Acute Lung Injury Consensus Conference.

PubMed

Khemani, Robinder G; Smith, Lincoln S; Zimmerman, Jerry J; Erickson, Simon

2015-06-01

Although there are similarities in the pathophysiology of acute respiratory distress syndrome in adults and children, pediatric-specific practice patterns, comorbidities, and differences in outcome necessitate a pediatric-specific definition. We sought to create such a definition. A subgroup of pediatric acute respiratory distress syndrome investigators who drafted a pediatric-specific definition of acute respiratory distress syndrome based on consensus opinion and supported by detailed literature review tested elements of the definition with patient data from previously published investigations. International PICUs. Children enrolled in published investigations of pediatric acute respiratory distress syndrome. None. Several aspects of the proposed pediatric acute respiratory distress syndrome definition align with the Berlin Definition of acute respiratory distress syndrome in adults: timing of acute respiratory distress syndrome after a known risk factor, the potential for acute respiratory distress syndrome to coexist with left ventricular dysfunction, and the importance of identifying a group of patients at risk to develop acute respiratory distress syndrome. There are insufficient data to support any specific age for "adult" acute respiratory distress syndrome compared with "pediatric" acute respiratory distress syndrome. However, children with perinatal-related respiratory failure should be excluded from the definition of pediatric acute respiratory distress syndrome. Larger departures from the Berlin Definition surround 1) simplification of chest imaging criteria to eliminate bilateral infiltrates; 2) use of pulse oximetry-based criteria when PaO2 is unavailable; 3) inclusion of oxygenation index and oxygen saturation index instead of PaO2/FIO2 ratio with a minimum positive end-expiratory pressure level for invasively ventilated patients; 4) and specific inclusion of children with preexisting chronic lung disease or cyanotic congenital heart disease. This pediatric-specific definition for acute respiratory distress syndrome builds on the adult-based Berlin Definition, but has been modified to account for differences between adults and children with acute respiratory distress syndrome. We propose using this definition for future investigations and clinical care of children with pediatric acute respiratory distress syndrome and encourage external validation with the hope for continued iterative refinement of the definition.

Rewarding the work of individuals: a counterintuitive approach to reducing poverty and strengthening families.

PubMed

Berlin, Gordon L

2007-01-01

Gordon Berlin discusses the nation's long struggle to reduce poverty in families with children, and proposes a counterintuitive solution--rewarding the work of individuals.He notes that policymakers' difficulty in reducing family poverty since 1973 is attributable to two intertwined problems--falling wages among low-skilled workers and the striking increase in children living with a lone parent, usually the mother. As the wages of men with a high school education or less began to decline, their employment rates did likewise. The share of men who could support a family above the poverty line thus began to decline--and with it the willingness of low-income women to marry the fathers of their children. Because the U.S. social welfare system is built around the needs of poor families with children--and largely excludes single adults who are poor (and disproportionately male)--it creates disincentives to work and marry for some families, aggravating these larger trends. Berlin proposes a new policy that would partially overcome the low wages and income of poorly educated males and second earners in two-parent households by using the earned income tax credit (EITC) to supplement the earnings of all low-wage workers aged twenty-one to fifty-four who work full time--regardless of whether they have children or whether they are married. By conditioning the benefit on full-time work and by retaining the existing family-based EITC program while treating EITC payments as individual income rather than as joint income for income tax purposes, the policy would restore equity to the American social compact without distorting incentives to work, marry, and bear children. The largest benefits by far would accrue to two-parent households in which both adults can work full time. Because the policy would carry a large price tag--nearly $30 billion a year when fully implemented--Berlin says that a prudent next step would be to test this strategy rigorously in several states over several years, preferably using a random assignment design.

Vertical Windshear Below 5.5 Kilometers in the Vicinity of Berlin, Germany.

DTIC Science & Technology

1986-08-01

DIRECTORATE- L LEVITT ET AL . UNCL~ASSFE UG 66 AMSMI/TR-RD-RE-96-9 SBIAD-E951 031 F/G 4/2 N smmmmhhhhhm moommhmhhhuo im -~ L L0 MICROCOPY RESOLUTION TEST...AD-RI82 432 VERTICAL NINDSHEAR BELOW 55 KILOMETERS IN THE VICINITY 1/1 OF BERLIN GERMANY..(U) ARMY MISSILE COMMAND REDSTONE ARSENAL AL RESEARCH...ADDRESS (City, State, an ZIP Code) 7b ADDRESS (City, State, and ZIP Code) Comunder US Army Missile Coeypini ATTN4: AISMI-RO-RE Redstone Arsenal,* AL 35898

Gesellschaft fuer angewandte Mathematik und Mechanik, Annual Scientific Meeting, Technische Universitaet Berlin, Berlin, West Germany, April 8-11, 1980, Reports. Parts 1 & 2

NASA Astrophysics Data System (ADS)

1981-04-01

The main topics discussed were related to nonparametric statistics, plane and antiplane states in finite elasticity, free-boundary-variational inequalities, the numerical solution of free boundary-value problems, discrete and combinatorial optimization, mathematical modelling in fluid mechanics, a survey and comparison regarding thermodynamic theories, invariant and almost invariant subspaces in linear systems with applications to disturbance isolation, nonlinear acoustics, and methods of function theory in the case of partial differential equations, giving particular attention to elliptic problems in the plane.

BioRef: A versatile time-of-flight reflectometer for soft matter applications at Helmholtz-Zentrum Berlin

DOE Office of Scientific and Technical Information (OSTI.GOV)

Strobl, M.; Kreuzer, M.; Helmholtz-Zentrum Berlin, Hahn-Meitner-Platz 1, 14109 Berlin

2011-05-15

BioRef is a versatile novel time-of-flight reflectometer featuring a sample environment for in situ infrared spectroscopy at the reactor neutron source BER II of the Helmholtz Zentrum Berlin fuer Materialien und Energie (HZB). After two years of design and construction phase the instrument has recently undergone commissioning and is now available for specular and off-specular neutron reflectivity measurements. BioRef is especially dedicated to the investigation of soft matter systems and studies at the solid-liquid interface. Due to flexible resolution modes and variable addressable wavelength bands that allow for focusing onto a selected scattering vector range, BioRef enables a broad rangemore » of surface and interface investigations and even kinetic studies with subsecond time resolution. The instrumental settings can be tailored to the specific requirements of a wide range of applications. The performance is demonstrated by several reference measurements, and the unique option of in situ on-board infrared spectroscopy is illustrated by the example of a phase transition study in a lipid multilayer film.« less

The impact of traffic emissions on air quality in the Berlin-Brandenburg region - a case study on cycling scenarios

NASA Astrophysics Data System (ADS)

Kuik, F.; Lauer, A.; von Schneidemesser, E.; Butler, T. M.

2016-12-01

Many European cities continue to struggle with exceedances of NO2 limit values at measurement sites near roads, of which a large contribution is attributed to emissions from traffic. In this study, we explore how urban air quality can be improved with different traffic measures using the example of the Berlin-Brandenburg region. In order to simulate urban background air quality we use the Weather Research and Forecasting model with chemistry (WRF-Chem) at a horizontal resolution of 1km. We use emission input data at a horizontal resolution of 1km obtained by downscaling TNO-MACC III emissions based on local proxy data including population and traffic densities. In addition we use a statistical approach combining the simulated urban background concentrations with information on traffic densities to estimate NO2 at street level. This helps assessing whether the emission scenarios studied here can lead to significant reductions in NO2 concentrations at street level. The emission scenarios in this study represent a range of scenarios in which car traffic is replaced with bicycle traffic. Part of this study was an initial discussion phase with stakeholders, including policy makers and NGOs. The discussions have shown that the different stakeholders are interested in a scientific assessment of the impact of replacing car traffic with bicycle traffic in the Berlin-Brandenburg urban area. Local policy makers responsible for city planning and implementing traffic measures can make best use of scientific modeling results if input data and scenarios are as realistic as possible. For these reasons, the scenarios cover very idealized optimistic ("all passenger cars are replaced by bicycles") and pessimistic ("all cyclists are replaced by cars") scenarios to explore the sensitivity of simulated urban background air quality to these changes, as well as additional scenarios based on city-specific data to analyze more realistic situations. Of particular interest is how these impact street level NO2 concentrations.

Self-Esteem is Relatively Stable Late in Life: The Role of Resources in the Health, Self-Regulation, and Social Domains

PubMed Central

Wagner, Jenny; Hoppmann, Christiane; Ram, Nilam; Gerstorf, Denis

2015-01-01

A large body of research has documented changes in self-esteem across adulthood and individual-difference correlates thereof. However, little is known about whether people maintain their self-esteem until the end of life and what role key risk factors in the health, cognitive, self-regulatory, and social domains play. To examine these questions, we apply growth modeling to 13-year longitudinal data obtained from by now deceased participants of the Berlin Aging Study (BASE, N = 462; age 70 – 103, M = 86.3 yrs., SD = 8.3; 51% male). Results revealed that self-esteem, on average, does decline in very old age and close to death, but the amount of typical decline is minor. Health-related constraints and disabilities as well as lower control beliefs and higher loneliness were each associated with lower self-esteem late in life. We obtained initial evidence that some of these associations were stronger among the oldest-old participants. Our results corroborate and extend initial reports that self-esteem is, on average, fairly stable into the last years of life. We discuss possible pathways by which common and often severe late-life challenges may undermine an otherwise relatively robust self-esteem system. PMID:25546600

Cognitive Levels and Approaches Taken by Students Failing Written Examinations in Mathematics

ERIC Educational Resources Information Center

Roegner, Katherine

2013-01-01

A study was conducted at the Technical University Berlin involving students who twice failed the written examination in the first semester course Linear Algebra for Engineers in order to better understand the reasons behind their failure. The study considered student understanding in terms of Bloom's taxonomy and the ways in which students…

Robert Klopstock and Franz Kafka--the friends from Tatranské Matliare (the High Tatras).

PubMed

Mydlík, M; Derzsiová, K

2007-01-01

The paper summarises the accessible literature on the life and work of well-known American lung surgeon, Professor Dr. Med. Robert Klopstock, who was in the years 1920-1924 a friend Franz Kafka. Professor Klopstock was of Hungarian origin and he got acquainted with Franz Kafka at the end of the year 1920 in Tatranské Matliare (The High Tatras). They were both patients treated for lung tuberculosis. They became close friends and their mutual correspondence shows their real friendship. Robert Klopstock was present at Franz Kafka's death-bed on June 3, 1924 in Kierling, near Klosterneuburg, not far from Vienna. Robert Klopstock studied at Medical Faculties of the Universities in Budapest, Prague, Kiel and Berlin. After his graduation in 1933 in Berlin, he worked as a lung surgeon at various surgical clinics and departments in Budapest and Berlin. In 1936 Robert Klopstock together with his wife visited the High Tatras and Tatranské Matliare. In 1937 Robert Klopstock with his wife Gizela, a writer and a translator, who translated the first chapters of Franz Kafka's novel "Trial" into Hungarian language, went to United States of America. During his stay in U.S.A. Dr. Med. Robert Klopstock was very active as a lung surgeon and a scientist. He published 64 specialized scientific papers, mostly in American medical journals. He became Professor of Lung Surgery at Downstate Medical Centre in New York-Brooklyn. He died on June 15, 1972 in New York.

Lithium Clinics in Berlin and Dresden: a 50-Year Experience.

PubMed

Felber, Werner; Bauer, Michael; Lewitzka, Ute; Müller-Oerlinghausen, Bruno

2018-06-14

Although lithium's serendipitous discovery as a medication for depression dates back more than 200 years, the first scientific evidence that it prevents mania and depression arose only in the 1960s. However, at that time there was a lack of knowledge about how to administer and monitor lithium therapy safely and properly. The lithium clinics in Dresden and Berlin were remarkably similar in their beginnings in the late 1960s regarding patient numbers and scientific expertise without being aware of one another due to the Iron Curtain separating Germany into a western and eastern part until 1990. In what were initially lithium-care programs run independently from one another, the lithium clinics embedded in academic settings in Dresden and Berlin represent a milestone in the history of psychopharmacological treatment of affective disorders in Germany and trailblazers for today's lithium therapy. Nowadays, lithium's clinical applications are unquestioned, such as its use in strategies to prevent mood episodes and suicide, and to treat depression. The extensively documented knowledge of lithium treatment is the fruit of more than 50 years of observing disease courses and of studying side effects and influencing factors of lithium prophylaxis. Its safe and proper administration-in determining the correct indication, baseline and follow-up examinations, recommended dosages, monitoring, or the management of side effects-is well established. Subsequently, both national and international guidelines continue recommending lithium as the gold standard in treating patients with unipolar and bipolar disorders. © Georg Thieme Verlag KG Stuttgart · New York.

Sexual Health and the Internet: Cross-Sectional Study of Online Preferences Among Adolescents

PubMed Central

von Rosen, Frederik Tilmann; Tinnemann, Peter; Müller-Riemenschneider, Falk

2017-01-01

Background The Internet is widely used by adolescents for sexual health information and bears the potential to increase knowledge and positively affect behavior. Objective The objective of this study is to assess students’ preferences when looking for sexual health information online. Methods We conducted a cross-sectional survey among ninth grade students in a convenience sample of 13 secondary schools in Berlin, Germany. During a regular school period, participants were requested to rate the importance they attribute to nine aspects of sexual health websites in a paper-based questionnaire. Bivariate and multivariable analyses were used to assess awareness and preferences by gender, age, migrant background, and school type. Results Of 1190 eligible students, 1177 (98.91%) students with a mean age of 14.6 (SD 0.7) years participated, 52.52% (605/1152) were male, and 52.94% (612/1156) had at least one parent born abroad. Participant numbers were spread equally across three types of secondary schools in Berlin. Website aspects most frequently cited as important were easily comprehensible wording (88.33%, 961/1088), clear information layout (80.57%, 871/1081), and reliability of the website’s publisher (79.28%, 857/1081), whereas the visual style of a website was deemed important by the lowest number of students (35.13%, 378/1076). There was a marked gender difference in the importance students attached to website publisher reliability. Although 437/515 (84.9%) of female participants regarded this as important, only 420/566 (74.2%) of male participants did likewise (P<.001). In multivariable analyses, demographic differences were also particularly visible in the importance of publisher reliability: male participants were significantly less likely to find this aspect important (OR 0.50, 95% CI 0.37-0.69). The odds ratio for students with migrant background was 0.64 (95% CI 0.50-0.81, reference=no migrant background) and OR 2.04 (95% CI 1.03-4.03) for students in the most academic school type (reference=least academic). Conclusions Students prefer easily understandable online resources. Setting up sexual health websites according to the explicit preferences of the target audience might encourage usage, especially by those subpopulations less likely to critically assess information validity: male adolescents, children of immigrants, and the academically disadvantaged. PMID:29117927

High risk for obstructive sleep apnea in truck drivers estimated by the Berlin questionnaire: prevalence and associated factors.

PubMed

Moreno, C R C; Carvalho, F A; Lorenzi, C; Matuzaki, L S; Prezotti, S; Bighetti, P; Louzada, F M; Lorenzi-Filho, G

2004-01-01

The health issues that attract our attention when analyzing the truck driver population are the high prevalence of sedentary habits, inadequate diet, obesity, and proportion of hypertensive. All these are either considered risk factors for or a consequence of Obstructive Sleep Apnea (OSA). The objective of this study was to investigate the risk for OSA among 10,101 truck drivers and to correlate it with potentially related factors, such as serum glucose and cholesterol levels, smoking habits, alcohol and drug consumption, and self-reported physical activity. The drivers were invited to participate in the campaign "Saúde na Boléia" (Health Behind the Wheel) promoted by a Brazilian company responsible for the maintenance of approximately 360km of roads in the country. Drivers who spontaneously stopped at the campaign booths placed along the roads were invited to answer a questionnaire covering sociodemographic data such as age, alcohol, and drug consumption. All participants completed a Berlin Questionnaire and were classified as low- or high-risk subjects for OSA based on questions about snoring, tiredness during the day, and the presence of hypertension or obesity. Blood collection was accomplished at the same site by nurses and/or nursing students collaborating with the campaign for subsequent laboratory studies. Approximately 26% of the truck drivers were found to be at high-risk group for OSA. An adjusted multiple logistic model found the independent risk factors of smoking (OR=1.16; p=0.014) and drug use (OR= 1.32; p < 0.0001) were associated with high risk for OSA. The presence of self-reported occasional (OR=0.62; p<0.0001) and regular (OR=0.53; p < 0.0001) physical activity was found to be an independent factor protective of OSA. Educational programs, including ones aimed at improving one's health habits, such as engagement in physical exercise, should be considered in the development of initiatives to reduce the risk for OSA among the truck driver population.

Birth weight and special educational needs: results of a population-based study in Berlin.

PubMed

Bettge, Susanne; Oberwöhrmann, Sylke; Brockstedt, Matthias; Bührer, Christoph

2014-05-09

Preterm infants are at higher risk for developmental problems. The aim of this study is to quantify the relation between birth weight and special educational needs. We analyzed data from the pre-school examinations of 134 313 children in Berlin aged 5 to 6 who were examined between 2007 and 2011. Special educational needs were diagnosed in 8058 children (6.0%), 4943 (61%) of whom had weighed 3000 g or more at birth. The percentage of children with special educational needs rose steadily with decreasing birth weight (2250-2499 g, 9.2%; 1250-1499 g, 21.1%; less than 750 g, 35.6%). Logistic regression analysis yielded odds ratios and 99% confidence intervals for special educational needs that ranged from 1.32 [1.17-1.47] for birth weight 2750-2999 g to 12.83 [7.48-22.03] for birth weight less than 750 g. Further risk factors were male sex (1.88 [1.75-2.03]), low social status (5.96 [5.21-6.82]), an immigrant background associated with poor German language skills in the family (1.63 [1.43-1.86]), and being raised by a single parent (1.21 [1.12-1.31]). On the other hand, nursery school and/or kindergarten enrollment for at least two years before entering school (0.82 [0.73-0.91]) and an immigrant background with good German skills in the family (0.39 [0.34-0.45]) were associated with lower rates of special educational needs. The risk of special educational needs increases already with moderately decreased birth weight. The most important factor other than birth weight is the family's social status. Although children of very low birth weight have a much higher rate of special educational needs than other children, they still make up only a small percentage of all children with special educational needs.

Developmental associations between short-term variability and long-term changes: Intraindividual correlation of positive and negative affect in daily life and cognitive aging.

PubMed

Hülür, Gizem; Hoppmann, Christiane A; Ram, Nilam; Gerstorf, Denis

2015-07-01

Conceptual notions and empirical evidence suggest that the intraindividual correlation (iCorr) of positive affect (PA) and negative affect (NA) is a meaningful characteristic of affective functioning. PA and NA are typically negatively correlated within-person. Previous research has found that the iCorr of PA and NA is relatively stable over time within individuals, that it differs across individuals, and that a less negative iCorr is associated with better resilience and less vulnerability. However, little is known about how the iCorr of PA and NA relates to cognitive aging. This project examined how the association between PA and NA in everyday life is associated with long-term cognitive aging trajectories. To do so, we linked microlongitudinal data on PA and NA obtained on up to 33 occasions over 6 consecutive days with macrolongitudinal data on fluid and crystallized cognitive abilities obtained over 15 years from a subsample of Berlin Aging Study participants (N = 81, mean age at the microlongitudinal study = 81 years, range 73-98; 41% women). Over and above age, gender, education, overall levels of PA and NA, and number of health conditions, a less negative iCorr of PA and NA was associated with lower levels of cognitive ability and steeper cognitive declines, particularly for fluency and knowledge abilities. We discuss possible mechanisms for this finding and argue that a less negative iCorr of PA and NA may be indicative of deficits in emotional integration that are tied to changes in crystallized aspects of cognitive abilities. (c) 2015 APA, all rights reserved).

Clinical experiences derived from implementation of an easy to use concept for treatment of wound healing by secondary intention and guidance in selection of appropriate dressings.

PubMed

Braumann, Chris; Guenther, Nina; Menenakos, Charalambos; Muenzberg, Helga; Pirlich, Matthias; Lochs, Herbert; Mueller, Joachim M

2011-06-01

The main objective of this case-cohort-type observational study conducted at different Surgical Departments of the Charité-Universitätsmedizin in Berlin was to evaluate the sequential use concept first described by Systagenix Wound Management in 2007. Fifty-two patients with different wound healing by secondary intention were treated for 7 weeks at the Charité-Universitätsmedizin in Berlin. A multidisciplinary team worked together to reach consensus in wound assessment; in classification of infection status according to the criteria described by European Wound Management Association (EWMA); in treatment protocol and on dressings to be used to 'cover' wounds. Before dressing application, all wounds were cleaned from debris. Following the sequential use concept, wounds classified as stages 2 and 3 were dressed with SILVERCEL(®) and TIELLE(®) or TIELLE PLUS(®) to 'clean' the wounds. After 2-3 weeks, treatment was changed to PROMOGRAN PRISMA(®) and TIELLE(®) to 'close and cover' wounds, thus providing optimal wound healing. Wounds classified as non infected were dressed with PROMOGRAN PRISMA(®) and TIELLE(®) during the complete treatment period. Patients were asked to evaluate the treatment using a simplified questionnaire developed at the Charité-Universitätsmedizin in Berlin. Wounds comprised 37 surgical procedures, 8 chronic mixed ulcer, 4 pressure sores, 1 diabetic foot ulcer, 1 venous leg ulcer, and 1 mixed arterial/venous ulcer. At baseline, 12 wounds were classified as stage 3, 38 wounds as stage 2 and 2 wounds as stage 1. After 7 weeks of treatment, all patients showed a positive clinical response to the sequential use treatment. Results of wound size showed a high significant progression of wound healing expressed with a profound reduction of wound area (P in all measurements <0·001, chi-square test) and improved granulation. This study summarises the clinical experiences derived from the evaluation of the sequential use concept in the daily clinical practice of wound treatment. On the basis of the wound healing results, patients' evaluation of treatment and the clinicians' and staff experiences, this concept was implemented at different Surgical Departments of the Charité-Universitätsmedizin in Berlin. © 2011 The Authors. © 2011 Blackwell Publishing Ltd and Medicalhelplines.com Inc.

The Effect of School Inspections on School Improvement

ERIC Educational Resources Information Center

Gaertner, Holger; Wurster, Sebastian; Pant, Hans Anand

2014-01-01

This study uses a school-level longitudinal control-group design to examine how teachers and principals of inspected versus uninspected schools perceive school improvement at their schools. During the phasing in of school inspections in the states of Berlin and Brandenburg (Germany), both inspected and uninspected schools were surveyed with…

Folk Linguistics and Language Teaching Education. A Case Study in an Italian Secondary School

ERIC Educational Resources Information Center

Santipolo, Matteo

2016-01-01

This paper, after shortly introducing "Folk Linguistics" by defining its domain of competence [cf. Preston, Dennis R., ed. 1999. "Handbook of Perceptual Dialectology." Amsterdam: John Benjamins; Niedzielski, Nancy A., and Dennis R. Preston. 2003. "Folk Linguistics." Berlin: Mouton de Gruyter], attempts to draw an…

Skin care practice in German nursing homes: a German-wide cross-sectional study.

PubMed

Kottner, Jan; Rahn, Yasmin; Blume-Peytavi, Ulrike; Lahmann, Nils

2013-04-01

Due to anatomical and physiological changes in the course of aging and due to increased vulnerability, there are special skin care needs in elderly and care-dependent persons. Little is known about skin care practice in German long-term care facilities. The aim of the study was to gather epidemiological data about skin care practice in German nursing homes. In spring 2012 a German-wide cross sectional study was conducted in 47 nursing homes. Based on standardized data collection sheets. demographics and variables about methods and frequencies of skin cleansing and application of skin care products for 3 552 nursing home residents were collected and analyzed. The variables age, gender and level of care dependency was representative for the group of all German nursing home residents. More than 90% of investigated nursing home residents required skin care assistance. Washing body parts or the whole body were conducted most frequently (89.1%, 95% CI 88.0- 90.1). Skin care leave-on products were used in 91.7% (95% CI 90.7-92.6), whereas there were large variations between individuals. In total, more than 100 brands were used. Skin care practice in multimorbid care dependent persons shows large variations. How skin care products meet the special requirements of aged skin and whether they enhance the skin barrier function and prevent cuteneous skin damage is unknown. © The Authors • Journal compilation © Blackwell Verlag GmbH, Berlin.

The Sport Concussion Assessment Tool 5th Edition (SCAT5): Background and rationale.

PubMed

Echemendia, Ruben J; Meeuwisse, Willem; McCrory, Paul; Davis, Gavin A; Putukian, Margot; Leddy, John; Makdissi, Michael; Sullivan, S John; Broglio, Steven P; Raftery, Martin; Schneider, Kathryn; Kissick, James; McCrea, Michael; Dvořák, Jiří; Sills, Allen K; Aubry, Mark; Engebretsen, Lars; Loosemore, Mike; Fuller, Gordon; Kutcher, Jeffrey; Ellenbogen, Richard; Guskiewicz, Kevin; Patricios, Jon; Herring, Stanley

2017-06-01

This paper presents the Sport Concussion Assessment Tool 5th Edition (SCAT5), which is the most recent revision of a sport concussion evaluation tool for use by healthcare professionals in the acute evaluation of suspected concussion. The revision of the SCAT3 (first published in 2013) culminated in the SCAT5. The revision was based on a systematic review and synthesis of current research, public input and expert panel review as part of the 5th International Consensus Conference on Concussion in Sport held in Berlin in 2016. The SCAT5 is intended for use in those who are 13 years of age or older. The Child SCAT5 is a tool for those aged 5-12 years, which is discussed elsewhere. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

A qualitative assessment of decisions affecting contraceptive utilization and fertility intentions among HIV-positive women in Soweto, South Africa.

PubMed

Laher, Fatima; Todd, Catherine S; Stibich, Mark A; Phofa, Rebecca; Behane, Xoliswa; Mohapi, Lerato; Gray, Glenda

2009-06-01

The HIV epidemic in sub-Saharan Africa disproportionately affects women of reproductive age. The increasing provision of Highly Active Anti-Retroviral Therapy (HAART) with improved prognosis and maternal-fetal outcomes calls for an understanding of fertility planning for HIV-positive women. We describe the effect of HIV and HAART on pregnancy desires and contraceptive use among HIV-positive women in Soweto, South Africa. Focus group discussions and in-depth interviews were conducted with 42 HIV-positive women of reproductive age. Analysis was performed using ATLAS-ti (ATLAS-ti Center, Berlin). Emergent themes were impact of HIV diagnosis on pregnancy intentions; factors affecting contraceptive uptake including real and normative side effects, body image, and perceived vaginal wetness; and the mitigating influence of partnership on both pregnancy intentions and contraceptive use. Routine counseling about pregnancy desires and contraception should be offered to HIV-positive women.

Fate of para-toluenesulfonamide (p-TSA) in groundwater under anoxic conditions: modelling results from a field site in Berlin (Germany).

PubMed

Meffe, Raffaella; Kohfahl, Claus; Hamann, Enrico; Greskowiak, Janek; Massmann, Gudrun; Dünnbier, Uwe; Pekdeger, Asaf

2014-01-01

This article reports on a field modelling study to investigate the processes controlling the plume evolution of para-toluenesulfonamide (p-TSA) in anoxic groundwater in Berlin, Germany. The organic contaminant p-TSA originates from the industrial production process of plasticisers, pesticides, antiseptics and drugs and is of general environmental concern for urban water management. Previous laboratory studies revealed that p-TSA is degradable under oxic conditions, whereas it appears to behave conservatively in the absence of oxygen (O2). p-TSA is ubiquitous in the aquatic environment of Berlin and present in high concentrations (up to 38 μg L(-1)) in an anoxic aquifer downgradient of a former sewage farm, where groundwater is partly used for drinking water production. To obtain refined knowledge of p-TSA transport and degradation in an aquifer at field scale, measurements of p-TSA were carried out at 11 locations (at different depths) between 2005 and 2010. Comparison of chloride (Cl(-)) and p-TSA field data showed that p-TSA has been retarded in the same manner as Cl(-). To verify the transport behaviour under field conditions, a two-dimensional transport model was setup, applying the dual-domain mass transfer approach in the model sector corresponding to an area of high aquifer heterogeneity. The distribution of Cl(-) and p-TSA concentrations from the site was reproduced well, confirming that both compounds behave conservatively and are subjected to retardation due to back diffusion from water stagnant zones. Predictive simulations showed that without any remediation measures, the groundwater quality near the drinking water well galleries will be affected by high p-TSA loads for about a hundred years.

Extraction of Urban Morphology Parameters from Generic European Datasets: A Case Study for Antwerp, Berlin and Almada

NASA Astrophysics Data System (ADS)

Stevens, Catherine; Thomas, Bart

2014-05-01

Climate change is driven by global processes such as the global ocean circulation and its variability over time leading to changing weather patterns on regional scales as well as changes in the severity and occurrence of extreme events such as heat waves. The response of urban societies to the evolving climate depends not only on their regional climate characteristics but also on other local factors such as the urban heat island effect. Simulation of this phenomenon with local urban climate models requires comprehensive information about the urban morphology. This study focusses on the extraction of the planar and frontal area indices from detailed 3D city models and their relationship with the European Soil Sealing Level database from the European Environment Agency. These parameters have been calculated on a 1km2 grid and compared with soil sealing values aggregated at the same spatial resolution. The optimal size of the grid is a trade-off between the level of detail and the robustness of the established relationships by reducing the scatter at small scales. Moreover, the transferability of the results to other geographical areas has been investigated. The analyses have been conducted in the framework of the NACLIM FP7 project funded by the European Commission and include the cities of Antwerp (BE), Berlin (DE) and Almada (PT) represented by different climate and urban characteristics. First results show a correlation of 70% between the planar area index and the averaged soil sealing using a linear regression model at a 1km scale. Moreover, a good correspondence has been found between the relationships for Antwerp and Berlin which is promising for urban climate modellers to reduce model complexity and analyse various climate scenarios in an effective way.

Obstetric care quality indicators and outcomes based on the degree of acculturation of immigrants-results from a cross-sectional study in Berlin.

PubMed

David, Matthias; Borde, Theda; Brenne, Silke; Ramsauer, Babett; Hinkson, Larry; Henrich, Wolfgang; Razum, Oliver; Breckenkamp, Jürgen

2018-02-01

Acculturation is a complex, multidimensional process involving the integration of the traditional norms, values, and lifestyles of a new cultural environment. It is, however, unclear what impact the degree of acculturation has on obstetric outcomes. Data collection was performed in 2011 and 2012 at three obstetric tertiary centers in Berlin, Germany. Standardized interviews (20-30 min.) were performed with support of evaluated questionnaires. The primary collected data were then linked to the perinatal data recorded at the individual clinics provided from the obstetric centers which correspond with the routinely centralized data collected for quality assurance throughout Germany. The questionnaire included questions on sociodemographic, health care, and migrant-related aspects. Migrant women and women with a migration background were assessed using the Frankfurt Acculturation Scale, a one-dimensional measurement tool to assess the degree of acculturation (15 items on language and media usage as well as integration into social networks). In summary, 7100 women were available for the survey (response rate of 89.6%) of which 3765 (53%) had a migration background. The probability of low acculturation is significantly (p < 0.001) associated with a lower level of German knowledge, a shorter period of residence, and lower education. Pregnant women with a low acculturation also had a significantly greater chance of having the first booking visit after 9 weeks of pregnancy and fewer ultrasound examinations during pregnancy. There is no significant difference depending on the degree of acculturation for the frequency of elective and emergency cesarean sections. The results of the logistic regression analyses for the examination of possible relationships between the degree of acculturation and obstetric parameters show no significant differences for prematurity, 5 min.-Apgar values > 7, arterial umbilical cord pH values > 7.00 and admissions to the neonatal unit. In Berlin, among migrant women a low degree of acculturation may have an unfavorable effect on the utilization of pregnancy care provision. However, there were no relevant differences in obstetric outcome parameters in relation to the degree of acculturation within the migrant population of Berlin.

Orchards for edible cities: cadmium and lead content in nuts, berries, pome and stone fruits harvested within the inner city neighbourhoods in Berlin, Germany.

PubMed

von Hoffen, Laura Pauline; Säumel, Ina

2014-03-01

Today's urban gardening focuses mainly on vegetable production and rarely includes fruit trees. Health effects of consuming urban crops are questioned due to high local pollution loads. Here, we determined cadmium and lead content in the edible parts of nuts, berries, pome, and stone fruits harvested from fruit trees and shrubs within inner city neighbourhoods of Berlin, Germany. We analysed how local settings at sampling sites shaped the trace metal content. We revealed significant differences in trace metal content depending on species, fruit type, local traffic, and parameters related to barriers between the sampling site and neighbouring roads. Higher overall traffic burden and proximity to roads increased whereas buildings or vegetation as barriers reduced trace metal content in the edible biomass. We demonstrate, that the consumption of non-vegetable fruits growing in inner city sites in Berlin does not pose a risk on human health as long as the fruits are thoroughly washed and it is provided that site pollutions and impacts are considered in garden concepts and guidelines. © 2013 Published by Elsevier Inc.

Aspirin: 120 years of innovation. A report from the 2017 Scientific Conference of the International Aspirin Foundation, 14 September 2017, Charité, Berlin.

PubMed

Walker, Jaqui; Hutchison, Pippa; Ge, Junbo; Zhao, Dong; Wang, Yongjun; Rothwell, Peter M; Gaziano, J Michael; Chan, Andrew; Burn, John; Chia, John; Langley, Ruth; O'Donnell, Valerie; Rocca, Bianca; Hawkey, Chris

2018-01-01

Acetylsalicylic acid was first synthesised by Dr FeIix Hoffman on 10th August 1897 and Aspirin was born. It quickly became the best-known pain killer in the world and in the 120 years since this event, aspirin has continued to attract interest, innovation and excitement. Set within the walls of the preserved ruins of Rudolf Virchow's lecture hall at Charité, within Berlin's Museum of Medical History, the International Aspirin Foundation's 28th Scientific Conference served to facilitate international, multi-disease, multidisciplinary discussion about the current understanding of aspirin's mechanisms of action and its utility in modern medicine as well as ideas for future research into its multifaceted applications to enhance global health. In addition to the delegates in Berlin, 300 medical doctors at the 19th Annual Scientific Congress of the Chinese Society of Cardiology were able to join the cardiology sessions from Taiyuan, Shangxi province via a live streaming link to and from China. This led to useful discussion and allowed a truly international perspective to the meeting.

Enacting cultural boundaries in French and German diphtheria serum research.

PubMed

Klöppel, Ulrike

2008-06-01

The experimental development of a therapeutic serum against diphtheria between 1891 and 1894 was characterized by a scientific competition that pitted Emil Behring from the Institute for Infectious Diseases in Berlin against Emile Roux and Elie Metschnikoff from the Pasteur Institute in Paris. In general, their competition can be regarded as an extension of the fundamental differences that separated the research schools of Robert Koch and Louis Pasteur. However, to characterize the competition for a diphtheria-serum as "national rivalry" fails to account adequately for the mutual adoption of experimental practices by the Berlin and Parisian protagonists, whose contributions to the development of a therapeutic serum were intertwined in complex ways. Nor can it be characterized as "cooperation," given their fierce public disputes over scientific concepts and the fact that these disputes also shaped the peculiarities of the experimental procedures in Berlin and Paris. A close analysis reveals a complex picture of the dynamic interaction between the conceptual and experimental activities of Behring, Roux, and Metschnikoff- interaction that defined as well as bridged the "French" and "Prussian" experimental systems of diphtheria-serum research.

Der Ort des Padagogischen: Eine Sammelbesprechung bildungshistorischer Lokal- und Regionalstudien (The Locus of the Pedagogical: A Review of Local and Regional Studies in Educational History).

ERIC Educational Resources Information Center

Kemnitz, Heidemarie; Tenorth, Heinz-Elmar; Horn, Klaus-Peter

1998-01-01

Discusses the range and limitations of local and regional case studies based on studies of the educational history of Berlin (Germany), Jewish school systems under National Socialism, and women's education. Examines their content-related results as well as their systematic significance for research on the history of education (DSK)

Changes in cytogenetics and molecular genetics in acute myeloid leukemia from childhood to adult age groups.

PubMed

Creutzig, Ursula; Zimmermann, Martin; Reinhardt, Dirk; Rasche, Mareike; von Neuhoff, Christine; Alpermann, Tamara; Dworzak, Michael; Perglerová, Karolína; Zemanova, Zuzana; Tchinda, Joelle; Bradtke, Jutta; Thiede, Christian; Haferlach, Claudia

2016-12-15

To obtain better insight into the biology of acute myeloid leukemia (AML) in various age groups, this study focused on the genetic changes occurring during a lifetime. This study analyzed the relation between age and genetics from birth to 100 years in 5564 patients with de novo AML diagnosed from 1998 to 2012 (1192 patients from nationwide pediatric studies [AML Berlin-Frankfurt-Münster studies 98 and 2004] and 4372 adults registered with the Munich Leukemia Laboratory). The frequencies of cytogenetic subgroups were age-dependent. Favorable subtypes (t(8;21), inv(16)/t(16;16), and t(15;17)) decreased in general from the pediatric age group (2 to < 18 years; 33%) to the oldest groups (<5% for > 70 years; P < .0001). Unfavorable cytogenetics (-7/del(7), -5/del(5q) or 5p, inv(3)/t(3;3), t(6;9), complex karyotype, 12p, 17p, and 11q23/mixed-lineage leukemia aberrations, excluding t(9;11)) were frequent (42%) in infants (<2 years), had a low frequency in children and young adults (<22%), and increased in frequency up to 36% in patients older than 85 years (P = .01). This was even more significant for complex karyotypes (P ≤ .0001), which also showed a strong increase in the absolute age-specific incidence with age. Interestingly, the frequency of 11q23 abnormalities decreased from infants to older patients. The proportion of clinically relevant molecular aberrations of CCAAT/enhancer binding protein α, nucleophosmin (NPM1), and NPM1/fms-related tyrosine kinase 3-internal tandem duplication increased with age. Altogether, with the exclusion of infants, a significant decrease in the proportion of favorable cytogenetic subtypes and an increase in unfavorable cytogenetics were observed with increasing age. These findings indicate different mechanisms for the pathogenesis of AML; these different mechanisms also suggest directions for etiological research and contribute to the more unfavorable prognosis with increasing age. Cancer 2016;122:3821-3830. © 2016 American Cancer Society. © 2016 American Cancer Society.

Limited radiographic progression and sustained reductions in MRI inflammation in patients with axial spondyloarthritis: 4-year imaging outcomes from the RAPID-axSpA phase III randomised trial.

PubMed

van der Heijde, Désirée; Baraliakos, Xenofon; Hermann, Kay-Geert A; Landewé, Robert B M; Machado, Pedro M; Maksymowych, Walter P; Davies, Owen R; de Peyrecave, Natasha; Hoepken, Bengt; Bauer, Lars; Nurminen, Tommi; Braun, Juergen

2018-05-01

To report 4-year imaging outcomes in the RAPID-axSpA (NCT01087762) study of patients with ankylosing spondylitis (AS) and non-radiographic axial spondyloarthritis (nr-axSpA), treated with certolizumab pegol (CZP). This phase III, randomised trial was placebo-controlled and double-blind to week 24, dose-blind to week 48 and open-label to week 204. Patients fulfilling the Assessment of Spondyloarthritis International Society (ASAS) axSpA criteria with active disease were stratified (AS/nr-axSpA) according to the modified New York (mNY) criteria at randomisation. Spinal radiographs were assessed using the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS). MRI inflammation used the Spondyloarthritis Research Consortium of Canada (SPARCC) score for sacroiliac joints (SIJ) and the Berlin spinal score (remission defined as SPARCC <2 and Berlin ≤2, respectively). MRI improvements from baseline (BL) to week 12 were maintained to week 204 (SPARCC BL: AS=8.5, nr-axSpA=7.5; SPARCC week 204: AS=1.3, nr-axSpA=2.4; Berlin BL: AS=7.4, nr-axSpA=4.4; Berlin week 204: AS=2.6, nr-axSpA=1.9). 66.7% of patients with AS and 69.6% of patients with nr-axSpA with BL SPARCC scores ≥2, and 65.4% of patients with AS and 57.3% of patients with nr-axSpA with BL Berlin score >2, achieved remission at week 204. Mean mSASSS change in AS from BL to week 204 was 0.98 (95% CI 0.34, 1.63); 0.67 (95% CI 0.21,1.13) from BL to week 96; and 0.31 (95% CI 0.02,0.60) from week 96 to week 204. Corresponding nr-axSpA changes were 0.06 (95% CI -0.17,0.28), -0.01 (95% CI -0.19,0.17) and 0.07 (95% CI -0.07,0.20). 4.5% of patients with nr-axSpA fulfilled the mNY criteria at week 204, while 4.3% of patients with AS no longer did so. In patients with CZP-treated axSpA, rapid decreases in spinal and SIJ MRI inflammation were maintained to week 204. Overall, 4-year spinal progression was low, with less progression during years 2-4 than 0-2. Radiographic SIJ grading changes demonstrated limited progression. NCT01087762; Post-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

A Tandetron as proton injector for the eye tumor therapy in Berlin

DOE Office of Scientific and Technical Information (OSTI.GOV)

Roehrich, J.; Damerow, T.; Hahn, W.

2012-02-15

The therapy of eye tumors with fast protons is an excellent tool giving very high local control rates. At the Helmholtz-Zentrum Berlin (HZB) almost 1800 patients were treated since 1998. A 2 MV Tandetron was installed as injector for the k = 132 HZB cyclotron. Using the standard 358 duoplasmatron ion source with direct extraction of negative hydrogen ions an extremely stable proton beam can be delivered, both on the short-term and the long-term scale. The hair-needle filaments made from thoriated tungsten wires have safe operation times of more than 1000 h.

Understanding chemical binding using the Berlin function and the reaction force

NASA Astrophysics Data System (ADS)

Chakraborty, Debajit; Cárdenas, Carlos; Echegaray, Eleonora; Toro-Labbe, Alejandro; Ayers, Paul W.

2012-06-01

We use the derivative of the electron density with respect to the reaction coordinate, interpreted through the Berlin binding function, to identify portions of the reaction path where chemical bonds are breaking and forming. The results agree with the conventional description for SN2 reactions, but they are much more general and can be used to elucidate other types of reactions also. Our analysis offers support for, and detailed information about, the use of the reaction force profile to separate the reaction coordinates into intervals, each with characteristic extents of geometry change and electronic rearrangement.

The significance of Cern

ScienceCinema

None

2017-12-09

Le Prof. V.Weisskopf, DG du Cern de 1961 à 1965, est né à Vienne, a fait ses études à Göttingen et a une carrière académique particulièrement riche. Il a travaillé à Berlin, Copenhague et Berlin et est parti aux Etats Unis pour participer au projet Manhattan et était Prof. au MTT jusqu'à 1960. Revenu en Europe, il a été DG du Cern et lui a donné l'impulsion que l'on sait.

Taking Root in Foreign Soil: Adaptation Processes of Imported Universities

ERIC Educational Resources Information Center

Graham, Terrece F.

2016-01-01

The fall of the Berlin Wall in 1989 ushered in a period of change in higher-education systems across the former Eastern bloc. Reform-minded leaders in the region sought to introduce western models and policies promoted by foreign development aid agendas. Private higher-education institutions emerged. This qualitative multiple case study examines…

Occurrence of Endocrine-Disrupting and Other Wastewater Compounds during Water Treatment with Case Studies from Lincoln, Nebraska and Berlin, Germany

EPA Science Inventory

Except for herbicides, research on the fate and transport of endocrine disrupting compounds and other organic wastewater compounds released into the environment and their potential presence in drinking water is in its infancy. Analytical methods still are being developed, evalua...

Decay of Iconic Memory Traces Is Related to Psychometric Intelligence: A Fixed-Links Modeling Approach

ERIC Educational Resources Information Center

Miller, Robert; Rammsayer, Thomas H.; Schweizer, Karl; Troche, Stefan J.

2010-01-01

Several memory processes have been examined regarding their relation to psychometric intelligence with the exception of sensory memory. This study examined the relation between decay of iconic memory traces, measured with a partial-report task, and psychometric intelligence, assessed with the Berlin Intelligence Structure test, in 111…

Novice and Expert Physical Education Teachers: They May Think and Decide Differently...But Do They Behave Differently?

ERIC Educational Resources Information Center

van der Mars, Hans; And Others

The purpose of this study was to determine whether varying levels of expertise would produce differences in selected indicators of effective teaching performance. Eighteen elementary physical education teachers were grouped based on stages of pedagogical expertise development as suggested by Berliner (1988). The three groups included…

Remote sensing of air pollution over large European cities by lidar

NASA Astrophysics Data System (ADS)

Koelsch, Hans J.; Kolenda, Juergen; Rairoux, Patrick; Stein, Bernhard; Weidauer, Dirk; Wolf, Jean-Pierre; Woeste, Ludger H.; Fritzsche, Klaus

1993-09-01

Progresses in remote sensing of the atmosphere using the Udar (Light detection and ranging) technique closely follows progresses in Laser technology. We developed a mobile DIAL (differential absorption Lidar) system, based on high repetition rate Excimerpumped dye lasers, for performing 2D and 3D-mappings of concentration of NO, N02, S02, and 03. The high sensitivity of the system has been used for numerous environmental studies and measurement campaigns, providing for the first time a direct correlation between emission and immission. Attractive results have been obtained under urban conditions, because of the presence of strong concentration gradients, and fast fluctuations due to traffic. A comparative study between Lyon, Stuttgart, Geneva and Berlin will be presented. In particular, the Berlin-campaign demonstrates the possibility of detecting unknown emitters and monitoring exportation-importation processes of atmospheric pollution. A new stationary DIAL system has been recently constructed and implemented on the top of a building in the center of the city Leipzig. It will routinely perform concentration mappings of nitrogen oxides, sulfur dioxide and ozone, giving access to long term evolution of pollution distributions.

Arthur Simons (1877-1942) and Tonic Neck Reflexes With Hemiplegic "Mitbewegungen" (Associated Reactions): Cinematography From 1916-1919.

PubMed

Holdorff, Bernd

2016-01-01

Tonic neck reflexes were investigated by Rudolf Magnus and Adriaan de Kleijn in animals and men in 1912 and eventually by Arthur Simons, a neurologist in Berlin and coworker of Hermann Oppenheim. Simons studied these reflexes in hemiplegic patients, who were mainly victims of World War I. This work became his most important contribution and remained unsurpassed for many years. The film (Filmarchiv, Bundesarchiv [Film Archive, National Archive] Berlin) with Simons as an examiner shows 11 war casualties with brain lesions that occurred between 1916 and 1919. The injuries reveal asymmetric neck reflexes with "Mitbewegungen," that is, flexion or extension on the hemiplegic side. Mitbewegungen is identical with Francis Walshe's "associated reactions" caused by neck rotation and/or by cocontraction of the nonaffected extremities, for example, by closing of the fist (Walshe). The knowledge of the neck reflexes is important in acute neurology and in rehabilitation therapy of hemiplegics for antispastic positions. Simons' investigations were conducted in the early era of increasing use of cinematography in medical studies. The film had been nearly forgotten until its rediscovery in 2010.

The evaluation of rainfall influence on combined sewer overflows characteristics: the Berlin case study.

PubMed

Sandoval, S; Torres, A; Pawlowsky-Reusing, E; Riechel, M; Caradot, N

2013-01-01

The present study aims to explore the relationship between rainfall variables and water quality/quantity characteristics of combined sewer overflows (CSOs), by the use of multivariate statistical methods and online measurements at a principal CSO outlet in Berlin (Germany). Canonical correlation results showed that the maximum and average rainfall intensities are the most influential variables to describe CSO water quantity and pollutant loads whereas the duration of the rainfall event and the rain depth seem to be the most influential variables to describe CSO pollutant concentrations. The analysis of partial least squares (PLS) regression models confirms the findings of the canonical correlation and highlights three main influences of rainfall on CSO characteristics: (i) CSO water quantity characteristics are mainly influenced by the maximal rainfall intensities, (ii) CSO pollutant concentrations were found to be mostly associated with duration of the rainfall and (iii) pollutant loads seemed to be principally influenced by dry weather duration before the rainfall event. The prediction quality of PLS models is rather low (R² < 0.6) but results can be useful to explore qualitatively the influence of rainfall on CSO characteristics.

Prevalence of Sleep Disorders and Their Impacts on Occupational Performance: A Comparison between Shift Workers and Nonshift Workers

PubMed Central

Yazdi, Zohreh; Sadeghniiat-Haghighi, Khosro; Loukzadeh, Ziba; Elmizadeh, Khadijeh; Abbasi, Mahnaz

2014-01-01

The consequences of sleep deprivation and sleepiness have been noted as the most important health problem in our modern society among shift workers. The objective of this study was to investigate the prevalence of sleep disorders and their possible effects on work performance in two groups of Iranian shift workers and nonshift workers. This study was designed as a cross-sectional study. The data were collected by PSQI, Berlin questionnaire, Epworth Sleepiness Scale, Insomnia Severity Index, and RLS Questionnaire. Occupational impact of different sleep disorders was detected by Occupational Impact of Sleep Disorder questionnaire. These questionnaires were filled in by 210 shift workers and 204 nonshift workers. There was no significant difference in the age, BMI, marital status, and years of employment in the two groups. Shift workers scored significantly higher in the OISD. The prevalence of insomnia, poor sleep quality, and daytime sleepiness was significantly higher in shift workers. Correlations between OISD scores and insomnia, sleep quality, and daytime sleepiness were significant. We concluded that sleep disorders should receive more attention as a robust indicator of work limitation. PMID:24977041

Assessment of the potential of urban organic carbon dynamics to off-set urban anthropogenic emissions

NASA Astrophysics Data System (ADS)

Gottschalk, P.; Churkina, G.; Wattenbach, M.; Cubasch, U.

2010-12-01

The impact of urban systems on current and future global carbon emissions has been a focus of several studies. Many mitigation options in terms of increasing energy efficiency are discussed. However, apart from technical mitigation potential urban systems also have a considerable biogenic potential to mitigate carbon through an optimized management of organic carbon pools of vegetation and soil. Berlin city area comprises almost 50% of areas covered with vegetation or largely covered with vegetation. This potentially offers various areas for carbon mitigation actions. To assess the mitigation potentials our first objective is to estimate how large current vegetation and soil carbon stocks of Berlin are. We use publicly available forest and soil inventories to calculate soil organic carbon of non-pervious areas and forest standing biomass carbon. This research highlights data-gaps and assigns uncertainty ranges to estimated carbon resources. The second objective is to assess the carbon mitigation potential of Berlin’s vegetation and soils using a biogeochemical simulation model. BIOME-BGC simulates carbon-, nitrogen- and water-fluxes of ecosystems mechanistically. First, its applicability for Berlin forests is tested at selected sites. A spatial application gives an estimate of current net carbon fluxes. The application of such a model allows determining the sensitivity of key ecosystem processes (e.g. carbon gains through photosynthesis, carbon losses through decomposition) towards external drivers. This information can then be used to optimise forest management in terms of carbon mitigation. Initial results of Berlin’s current carbon stocks and its spatial distribution and preliminary simulations results will be presented.

Multi-temporal surveys for microplastic particles enabled by a novel and fast application of SWIR imaging spectroscopy - Study of an urban watercourse traversing the city of Berlin, Germany.

PubMed

Schmidt, L Katharina; Bochow, Mathias; Imhof, Hannes K; Oswald, Sascha E

2018-08-01

Following the widespread assumption that a majority of ubiquitous marine microplastic particles originate from land-based sources, recent studies identify rivers as important pathways for microplastic particles (MPP) to the oceans. Yet a detailed understanding of the underlying processes and dominant sources is difficult to obtain with the existing accurate but extremely time-consuming methods available for the identification of MPP. Thus in the presented study, a novel approach applying short-wave infrared imaging spectroscopy for the quick and semi-automated identification of MPP is applied in combination with a multitemporal survey concept. Volume-reduced surface water samples were taken from transects at ten points along a major watercourse running through the South of Berlin, Germany, on six dates. After laboratory treatment, the samples were filtered onto glass fiber filters, scanned with an imaging spectrometer and analyzed by image processing. The presented method allows to count MPP, classify the plastic types and determine particle sizes. At the present stage of development particles larger than 450 μm in diameter can be identified and a visual validation showed that the results are reliable after a subsequent visual final check of certain typical error types. Therefore, the method has the potential to accelerate microplastic identification by complementing FTIR and Raman microspectroscopy. Technical advancements (e.g. new lens) will allow lower detection limits and a higher grade of automatization in the near future. The resulting microplastic concentrations in the water samples are discussed in a spatio-temporal context with respect to the influence (i) of urban areas, (ii) of effluents of three major Berlin wastewater treatment plants discharging into the canal and (iii) of precipitation events. Microplastic concentrations were higher downstream of the urban area and after precipitation. An increase in microplastic concentrations was discernible for the wastewater treatment plant located furthest upstream though not for the other two. Copyright © 2018 Elsevier Ltd. All rights reserved.

Preface: phys. stat. sol. (a) 201/5

NASA Astrophysics Data System (ADS)

Avelino Pasa, André

2004-04-01

This issue contains scientific contributions to the 4th German/Brazilian Workshop on Applied Surface Science. The workshop was held in Germany at the beautiful Castle Ringberg conference site of the Max Planck Society, located 60 km from Munich, from 21-26 September 2003. The meeting was attended by about 50 participants, with 21 invited talks and 18 contributed presentations (8 oral and 10 posters) on relevant topics of surface science.As in previous meetings (1995 in Portobello, RJ, Brazil, 1998 in Döllnsee, Berlin, Germany, and 2001 in Itapema, SC, Brazil), a significant number of important questions in surface science were covered from both the theoretical and the experimental point of view. In the field of materials science, emphasis was given to the description of the structural, physical and chemical properties of nanostructures and films of inorganic (metals, alloys and oxides) and organic (polymers and biological molecules) materials.A substantial part of the success of the meeting can be attributed to the relaxed atmosphere at the castle, near the lake Tegernsee, where excellent scientific presentations were mixed with intense discussions among both senior and younger researchers. The event also led to the development of new and ongoing collaborations between partners from Brazil and Germany.The organizers of the Workshop, Israel J. R. Baumvol (Porto Alegre, Brazil), Hajo Freund (Berlin, Germany), Wolfgang H. P. Losch (Natal, Brazil), Horst Niehus (Berlin, Germany), André A. Pasa (Florianópolis, Brazil) and Eberhard Umbach (Würzburg, Germany), are greatly indebted to the following organizations for financial support: Deutsche Forschungsgemeinschaft (DFG), Fritz-Haber-Institut Berlin (FHI), Fundação Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Universidade Federal de Santa Catarina (UFSC) and the specially created intergovernmental agreement between CAPES and DFG to promote such meetings.

Occurrence and distribution of psychoactive compounds and their metabolites in the urban water cycle of Berlin (Germany).

PubMed

Hass, Ulrike; Duennbier, Uwe; Massmann, Gudrun

2012-11-15

The occurrence and distribution of six psychoactive compounds (primidone, phenobarbital, oxazepam, diazepam, meprobamate, and pyrithyldione) and a metabolite of primidone (phenylethylmalonamide) were investigated in wastewater treatment plant (WWTP) effluents, surface water, groundwater of a bank filtration site, raw and final drinking water, and in groundwater affected by former sewage irrigation. Primidone and its metabolite phenylethylmalonamide were found to be ubiquitous in environmental water samples in Berlin. Maximum concentrations of 0.87 and 0.42 μg/L, respectively, were encountered in WWTP effluents. Both compounds are apparently not removed when passaging through the different compartments of the water cycle and concentrations are only reduced by dilution. Phenobarbital was present at nearly every stage of the Berlin water cycle with the exception of raw and final drinking water. The highest concentrations of phenobarbital (up to 0.96 μg/L) were measured in groundwater influenced by former sewage irrigation. Oxazepam was only present in WWTP effluents and surface waters (up to 0.18 μg/L), while diazepam was not detected in any matrix. Due to their withdrawal from the German market years ago, the pharmaceuticals meprobamate and pyrithyldione were only found in sewage farm groundwater (up to 0.50 and 0.04 μg/L, respectively) and, in case of meprobamate, also in decade old bank filtrate (0.03 μg/L). Our results indicate a high persistence of some of the investigated compounds in the aquatic system. As a consequence, these pollutants may potentially reach drinking water resources via bank filtration if present in WWTP effluents and/or surface waters in partly closed water cycles such as Berlin's. Copyright © 2012 Elsevier Ltd. All rights reserved.

A management-orientated comparative analysis of urban and rural anglers living in a metropolis (Berlin, Germany).

PubMed

Arlinghaus, Robert; Mehner, Thomas

2004-03-01

Increased efforts to analyze the human dimensions of anglers are necessary to improve freshwater fisheries management. This paper is a comparative analysis of urban and rural anglers living in a metropolis, based on n = 1061 anglers responding to a mail survey in the German capital of Berlin. More than two thirds of the anglers (71%) had spent most (>50%) of their effort outside the city borders of Berlin and thus were categorized as rural anglers. Compared to the rural anglers, urban anglers (>/=50% of total effort spent inside the city) were younger and less educated. Urban anglers were more avid and committed, less mobile, and more frequently fished from boats and during weekdays. Rural anglers were more experienced, fished for longer times per trip, fished more often at weekends and on holidays, were more often members of angling clubs, and more frequently caught higher valued fish species. The achievement and fish quantity aspects of the angling experience were more important for urban than for rural anglers. Concerning management options, urban anglers more frequently suggested constraining other stakeholders and reducing regulations, whereas rural anglers more often proposed improving physical access to angling sites. Future urban fishing programs should offer ease of access, connection to public transportation, moderate prices, and diverse piscivorous fish stocks. In contrast to rural fisheries, the provision of high ecological and aesthetical quality of the angling waters can be regarded as of minor importance in urban fisheries. Rural fisheries managers need to consider the needs of stakeholders living in Berlin to minimize impacts on the less degraded rural water bodies and potential user conflicts with resident anglers. Ecosystem-based management approaches should guide rural fisheries policy.

BERLinPro Booster Cavity Design, Fabrication and Test Plans

DOE Office of Scientific and Technical Information (OSTI.GOV)

Burrill, Andrew; Anders, W; Frahm, A.

2014-12-01

The bERLinPro project, a 100 mA, 50 MeV superconducting RF (SRF) Energy Recovery Linac (ERL) is under construction at Helmholtz-Zentrum Berlin for the purpose of studying the technical challenges and physics of operating a high current, c.w., 1.3 GHz ERL. This machine will utilize three unique SRF cryomodules for the injector, booster and linac module respectively. The booster cryomodule will contain three 2-cell SRF cavities, based on the original design by Cornell University, and will be equipped with twin 115 kW RF power couplers in order to provide the appropriate acceleration to the high current electron beam. This paper willmore » review the status of the fabrication of the 4 booster cavities that have been built for this project by Jefferson Laboratory and look at the challenges presented by the incorporation of fundamental power couplers capable of delivering 115 kW. The test plan for the cavities and couplers will be given along with a brief overview of the cryomodule design.« less

The Seminar for Freshmen as a Platform for Raising Student Awareness of Austrian (and German) Studies

ERIC Educational Resources Information Center

Rosellini, Jay Julian

2012-01-01

Small German programs need to reach out to first-year students in order to expand the pool of potential majors and minors and to increase program visibility on campus. This article demonstrates how an interdisciplinary Seminar for Freshmen on Vienna and Berlin can be used to introduce students to the study of the German-speaking world by comparing…

German infrared and night vision technology: from the beginning until 1945

NASA Astrophysics Data System (ADS)

Krake, M.; Rothe, H.

2010-08-01

Based on the invention of the photocell four German organizations forced the development of electrooptics in Germany: Allgemeine Electrizitaetsgesellschaft in Berlin, Zeiss in Jena, Elektroakustik in Kiel and the German Reichspost in Berlin. The outcome of this effort were: image converters with alkali and semiconductor photocathodes, infrared homing devices for anti aircraft missiles and heat bearing devices. These devices were used for instance in the German tank no. 5 Panther, the anti aircraft missiles Enzian and Schmetterling and for the coastal defense of Denmark. It is interesting to know that the infrared homing device of the sidewinder rocket is based on that of the Enzian.

The fruit flies (Diptera: Tephritidae) described by Theodor Becker from Iran and Western China revisited in the collections of the Zoological Institute, Saint-Petersburg and Museum für Naturkunde, Berlin.

PubMed

Korneyev, Severyn V; Korneyev, Valery A

2017-01-31

The type specimens of fruit flies described by Dr. Theodor Becker based on material collected in China (Xinjiang and Xizang) and Iran by Russian expeditions directed by Petr Kozlov and Mykola Zarudny are listed and figured. They are deposited in the collection of the Zoological Institute of Russian Academy of Sciences, Saint Petersburg with some duplicates in the Museum für Naturkunde, Berlin. Current concepts of the species, their morphological characters (illustrated by photographs of type specimens), current condition, and nomenclature are discussed.

Conference scene: DGVS spring conference 2009.

PubMed

Kolligs, Frank Thomas

2009-10-01

The 3rd annual DGVS Spring Conference of the German Society for Gastroenterology (Deutsche Gesellschaft für Verdauungs- und Stoffwechselkrankheiten) was held at the Seminaris Campus Hotel in Berlin, Germany, on 8-9 May, 2009. The conference was organized by Roland Schmid and Matthias Ebert from the Technical University of Munich, Germany. The central theme of the meeting was 'translational gastrointestinal oncology: towards personalized medicine and individualized therapy'. The conference covered talks on markers for diagnosis, screening and surveillance of colorectal cancer, targets for molecular therapy, response prediction in clinical oncology, development and integration of molecular imaging in gastrointestinal oncology and translational research in clinical trial design. Owing to the broad array of topics and limitations of space, this article will focus on biomarkers, response prediction and the integration of biomarkers into clinical trials. Presentations mentioned in this summary were given by Matthias Ebert (Technical University of Munich, Germany), Esmeralda Heiden (Epigenomics, Berlin, Germany), Frank Kolligs (University of Munich, Germany), Florian Lordick (University of Heidelberg, Germany), Hans Jorgen Nielsen (University of Copenhagen, Denmark), Anke Reinacher-Schick (University of Bochum, Germany), Christoph Röcken (University of Berlin, Germany), Wolff Schmiegel (University of Bochum, Germany) and Thomas Seufferlein (University of Halle, Germany).

[Psychoanalysis in the advanced vocational training of social workers, Berlin 1930-1933 (Verein Jugendheim)].

PubMed

Schröter, Michael

2005-01-01

The Verein Jugendheim in Berlin-Charlottenburg was a holding organisation of welfare institutions and of training facilities for members of the caring professions. In 1928 it founded a Soziales Institute that offered various courses for advanced vocational training. In those courses depth psychology - mainly represented by the Adlerians, least by the Jungians and increasingly by the Freudians - had a prominent place. The role of the Freudian school was supported by the fact that two staff members of the Jugendheim (Hildegard Buder-Schenck, Ursula Graf [Laessig]) started their analytic training at that time. The main teachers of psychoanalysis at the Institute were Siegfried Bernfeld, Edith Jacobson and Steffi Bornstein; notes take by a student at one of Jacobson's seminars are documented in this paper. In general, in the psychoanalytic courses there seems to have been a shift from academic teaching of theory to case oriented supervision. The presence of psychoanalysis in the training program of the Jugendheim indicates the beginning of an institutional rapprochement between pedagogy or social work and psychoanalysis in Berlin, analogous to earlier developments in Vienna. The rise of the Nazis put a stop to this promising, yet hitherto completely unknown, chapter of history.

Implementation of the 2017 Berlin Concussion in Sport Group Consensus Statement in contact and collision sports: a joint position statement from 11 national and international sports organisations.

PubMed

Patricios, Jon S; Ardern, Clare L; Hislop, Michael David; Aubry, Mark; Bloomfield, Paul; Broderick, Carolyn; Clifton, Patrick; Echemendia, Ruben J; Ellenbogen, Richard G; Falvey, Éanna Cian; Fuller, Gordon Ward; Grand, Julie; Hack, Dallas; Harcourt, Peter Rex; Hughes, David; McGuirk, Nathan; Meeuwisse, Willem; Miller, Jeffrey; Parsons, John T; Richiger, Simona; Sills, Allen; Moran, Kevin B; Shute, Jenny; Raftery, Martin

2018-05-01

The 2017 Berlin Concussion in Sport Group Consensus Statement provides a global summary of best practice in concussion prevention, diagnosis and management, underpinned by systematic reviews and expert consensus. Due to their different settings and rules, individual sports need to adapt concussion guidelines according to their specific regulatory environment. At the same time, consistent application of the Berlin Consensus Statement's themes across sporting codes is likely to facilitate superior and uniform diagnosis and management, improve concussion education and highlight collaborative research opportunities. This document summarises the approaches discussed by medical representatives from the governing bodies of 10 different contact and collision sports in Dublin, Ireland in July 2017. Those sports are: American football, Australian football, basketball, cricket, equestrian sports, football/soccer, ice hockey, rugby league, rugby union and skiing. This document had been endorsed by 11 sport governing bodies/national federations at the time of being published. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

The Experiential Teaching of Berlin--Theoretical Reflections and Best Practices from a Study Abroad Site

ERIC Educational Resources Information Center

Wagenknecht, Thomas

2011-01-01

Creating first hand experiences of urban cultures that focus on reflection and leave profound impressions on students while providing the framing for future cycles of experiential learning is a complex and difficult dynamic to navigate. The way urban manifestations of a different culture are directly experienced varies depending on the…

A Model for Modern Nonlinear Noncontiguous Operations: The War in Burma, 1943 to 1945

DTIC Science & Technology

2003-05-01

Approved by: _________________________________________ Monograph Director Robert M. Epstein, Ph.D...Professor and Director Robert H. Berlin, Ph.D. Academic Affairs, School of Advanced Military Studies _________________________________________ Director...I would like to thank Dr Robert Epstein for his guidance during the production of this monograph. My thanks also go to my Wife, Aly, for her patience

Escape Geography--Developing Middle-School Students' Sense of Place.

ERIC Educational Resources Information Center

Allen, Rodney F.; Molina, Laurie E. S.

1992-01-01

Suggests a social studies unit on escaping geography. Examines escape from dangerous places including an airliner, hotel fire, or war zone or from a social situation such as a boring speech or party. Describes historic escapes such as the Underground Railroad and the Berlin Wall. Lists learning strategies such as awareness of space and cognitive…

CHILD SURVIVORS: STOLEN CHILDHOOD-SCENIC MEMORY OF THE SHOAH IN JEWISH CHILD OR ADOLESCENT SURVIVORS OF NAZI PERSECUTION.

PubMed

Grünberg, Kurt; Markert, Friedrich

2017-06-01

Even today, there is inadequate awareness and recognition of Child Survivors whose psychic development was most seriously and lastingly marked and impaired by Nazi persecution. Based on their research the authors describe the delayed psychosocial consequences of the persecution of Child Survivors and postulate a fourth sequence of the traumatic process in old age. The authors discuss their involvement in the Child Survivors Conferences held in Berlin in 2014, and they describe micro-processes in the "scenic memory of the Shoah" related both to trauma transmission itself and to central conflicts in German-Jewish relations in post-Nazi Germany. Case vignettes illustrate the Child Survivors' scenic memory of the Shoah.

Myostatin dysfunction impairs force generation in extensor digitorum longus muscle and increases exercise-induced protein efflux from extensor digitorum longus and soleus muscles.

PubMed

Baltusnikas, Juozas; Kilikevicius, Audrius; Venckunas, Tomas; Fokin, Andrej; Bünger, Lutz; Lionikas, Arimantas; Ratkevicius, Aivaras

2015-08-01

Myostatin dysfunction promotes muscle hypertrophy, which can complicate assessment of muscle properties. We examined force generating capacity and creatine kinase (CK) efflux from skeletal muscles of young mice before they reach adult body and muscle size. Isolated soleus (SOL) and extensor digitorum longus (EDL) muscles of Berlin high (BEH) mice with dysfunctional myostatin, i.e., homozygous for inactivating myostatin mutation, and with a wild-type myostatin (BEH+/+) were studied. The muscles of BEH mice showed faster (P < 0.01) twitch and tetanus contraction times compared with BEH+/+ mice, but only EDL displayed lower (P < 0.05) specific force. SOL and EDL of age-matched but not younger BEH mice showed greater exercise-induced CK efflux compared with BEH+/+ mice. In summary, myostatin dysfunction leads to impairment in muscle force generating capacity in EDL and increases susceptibility of SOL and EDL to protein loss after exercise.

Gynecomastia in German soldiers: etiology and pathology

PubMed Central

Kuhne, Hans-Peter; Egler, Sandy; Lenz, Stefan; Lieber, André; Doll, Dietrich; Krapohl, Björn Dirk

2012-01-01

Background: We found a high incidence of patients with gynecomastia in the German Ministry of Defense Guard Battalion in Berlin. For this reason, we conducted the present study to investigate etiological and pathological aspects of this condition. Methods: Within six years, a total of 211 patients underwent surgery for gynecomastia. We compared this group of patients with a control group of healthy males without signs or symptoms of gynecomastia. The two groups were matched for median age. Results: The groups showed significant differences (p<0.05) in serum testosterone, free triiodothyronine (fT3), LH (luteinizing hormone) and prolactin levels and in body mass index (BMI). In addition, there was a highly significant correlation between left-sided gynecomastia and membership in the Guard Battalion. Conclusions: We found differences in hormone blood levels between gynecomastia patients and a control group. Moreover, gynecomastia was predominantly seen on the left side in guard soldiers. A possible explanation is the mechanical impact of the carbine against the left side of the body during rifle drills. PMID:26504687

High Resolution Stereo Camera (HRSC) on Mars Express - a decade of PR/EO activities at Freie Universität Berlin

NASA Astrophysics Data System (ADS)

Balthasar, Heike; Dumke, Alexander; van Gasselt, Stephan; Gross, Christoph; Michael, Gregory; Musiol, Stefanie; Neu, Dominik; Platz, Thomas; Rosenberg, Heike; Schreiner, Björn; Walter, Sebastian

2014-05-01

Since 2003 the High Resolution Stereo Camera (HRSC) experiment on the Mars Express mission is in orbit around Mars. First images were sent to Earth on January 14th, 2004. The goal-oriented HRSC data dissemination and the transparent representation of the associated work and results are the main aspects that contributed to the success in the public perception of the experiment. The Planetary Sciences and Remote Sensing Group at Freie Universität Berlin (FUB) offers both, an interactive web based data access, and browse/download options for HRSC press products [www.fu-berlin.de/planets]. Close collaborations with exhibitors as well as print and digital media representatives allows for regular and directed dissemination of, e.g., conventional imagery, orbital/synthetic surface epipolar images, video footage, and high-resolution displays. On a monthly basis we prepare press releases in close collaboration with the European Space Agency (ESA) and the German Aerospace Center (DLR) [http://www.geo.fu-berlin.de/en/geol/fachrichtungen/planet/press/index.html]. A release comprises panchromatic, colour, anaglyph, and perspective views of a scene taken from an HRSC image of the Martian surface. In addition, a context map and descriptive texts in English and German are provided. More sophisticated press releases include elaborate animations and simulated flights over the Martian surface, perspective views of stereo data combined with colour and high resolution, mosaics, and perspective views of data mosaics. Altogether 970 high quality PR products and 15 movies were created at FUB during the last decade and published via FUB/DLR/ESA platforms. We support educational outreach events, as well as permanent and special exhibitions. Examples for that are the yearly "Science Fair", where special programs for kids are offered, and the exhibition "Mars Mission and Vision" which is on tour until 2015 through 20 German towns, showing 3-D movies, surface models, and images of the HRSC camera experiment. Press and media appearances of group members, and talks to school classes and interested communities also contribute to the public outreach. For HRSC data dissemination we use digital platforms. Since 2007 HRSC image data can be viewed and accessed via the online interface HRSCview [http://hrscview.fu-berlin.de] which was built in cooperation with the DLR Institute for Planetary Research. Additionally HRSC ortho images (level 4) are presented in a modern MapServer setup in GIS-read format since 2013 [http://www.geo.fu-berlin.de/en/geol/fachrichtungen/planet/projects/marsexpress/level4downloads/index.html]. All of these offers ensured the accessibility of HRSC data and products to the science community as well as to the general public for the last ten years and will do so also in the future, taking advantage of modern and user-optimized applications and networks.

[In process.

PubMed

Kaasch, Michael; Kaasch, Joachim

Two of the most important life scientists in the GDR were the botanist, plant biochemist and pharmacist Kurt MOTHES (1900-1983) and the geneticist and plant breeder Hans STUBBE (1902-1989). Both started their successful careers during the period of NS dictatorship. MOTHES was a full professor of botany at the University of K6nigsberg from 1935 to 1945. After working at the Kaiser Wilhelm Institute for Plant Breeding Research in Mincheberg and at the Kaiser Wilhelm Institute for Biology in Berlin-Dahlem, STUBBE oversaw the establishment of a Kaiser Wilhelm Institute for Crop Plant Research near Vienna in 1943, which was moved to Stecklenberg in the Harz Mountains in 1945 and later to Gatersleben. While MOTHEs was being held as a Soviet prisoner of war from 1945 to 1949, STUBBE was able to set up his institute in Gatersleben in the eastern part of Germany and held influential positions at Martin Luther University in Halle (Saale) as a professor for genetics and as the founding dean of the Faculty of Agriculture. After his release from war captivity, MOTHES, with STUBBE'S support, was able to continue his research at STUBBE'S institute in Gatersleben as the head of the Department for Chemical Physiology. There MOTHES was offered espe- cially favourable conditions by East German standards which led him to turn down other job offers, like the position of professor of botany at the University of Leipzig which was vacant at the time. In addition, MOTHES was also of- fered teaching opportunities in the Faculty of Natural Sciences at the University of Halle, again thanks to STUBBE'S support. In 1951 STUBBE became a founding member and president of the German Academy of Agricultural Sciences at Berlin, and in 1954 MOTHEs became president of the German Academy of Sciences Leopoldina. Both were also influential members of the German Academy of Sciences at Berlin (later the GDR's Academy of Sciences). This article investigates how their collaboration developed into an ever-increasing competitiveness which came to a head as an embroiled dispute resulting from differences in scientific and scientific policy views. In the process a battle was fought over research resources so that, what was at first an apparently personal quarrel, affected the course of research promotion at an institutional level in the area of life sciences in the GDR. Despite several attempts at mediation, old age finally forced the adversaries to put aside their differences.

Higher Rate of Tuberculosis in Second Generation Migrants Compared to Native Residents in a Metropolitan Setting in Western Europe

PubMed Central

Marx, Florian M.; Fiebig, Lena; Hauer, Barbara; Brodhun, Bonita; Glaser-Paschke, Gisela; Haas, Walter

2015-01-01

Background In Western Europe, migrants constitute an important risk group for tuberculosis, but little is known about successive generations of migrants. We aimed to characterize migration among tuberculosis cases in Berlin and to estimate annual rates of tuberculosis in two subsequent migrant generations. We hypothesized that second generation migrants born in Germany are at higher risk of tuberculosis compared to native (non-migrant) residents. Methods A prospective cross-sectional study was conducted. All tuberculosis cases reported to health authorities in Berlin between 11/2010 and 10/2011 were eligible. Interviews were conducted using a structured questionnaire including demographic data, migration history of patients and their parents, and language use. Tuberculosis rates were estimated using 2011 census data. Results Of 314 tuberculosis cases reported, 154 (49.0%) participated. Of these, 81 (52.6%) were first-, 14 (9.1%) were second generation migrants, and 59 (38.3%) were native residents. The tuberculosis rate per 100,000 individuals was 28.3 (95CI: 24.0–32.6) in first-, 10.2 (95%CI: 6.1–16.6) in second generation migrants, and 4.6 (95%CI: 3.7–5.6) in native residents. When combining information from the standard notification variables country of birth and citizenship, the sensitivity to detect second generation migration was 28.6%. Conclusions There is a higher rate of tuberculosis among second generation migrants compared to native residents in Berlin. This may be explained by presumably frequent contact and transmission within migrant populations. Second generation migration is insufficiently captured by the surveillance variables country of birth and citizenship. Surveillance systems in Western Europe should allow for quantifying the tuberculosis burden in this important risk group. PMID:26061733

Perinatal outcomes of immigrant women of Turkish, Middle Eastern and North African origin in Berlin, Germany: a comparison of two time periods.

PubMed

Spallek, Jacob; Lehnhardt, Jessica; Reeske, Anna; Razum, Oliver; David, Matthias

2014-03-01

Publications based on data from perinatal health registries reported worse perinatal health outcomes among women of Turkish origin. The aim of this study was to compare the perinatal outcomes of women of German and Turkish origin in Berlin in two time periods and to analyze if the situation among the women of Turkish origin has improved over time. Datasets of all singleton deliveries from Berlin hospitals for the time periods 1993-1997 (n = 144,600) and 2003-2007 (n = 147,559) were used. Incidence rates resp. prevalences of perinatal health outcomes were computed for women of German and a group of immigrant women mostly of Turkish origin stratified for 'parity' and 'having a partner'. Logistic regression models were computed to test for a change in the odds for adverse perinatal outcomes over time. The chances for adverse perinatal outcomes were decreasing in the later time period for most measures. For stillbirth, preterm birth and congenital malformations, no differences between women of Turkish and German origin could be found. Differences exist in the utilization of perinatal health care and in the risk for anemia. Among women of Turkish origin, the chance for being anemic is even higher in 2003-2007 compared to 1993-1997. The perinatal health measures of women of Turkish origin have improved over time. The lower utilization rates of antenatal health care could be the expression of barriers to access the health care for pregnant women with migration background as offered in Germany. A risk group which needs a special focus by health care providers are women without a partner, irrespective of their origin.

Losing it.

PubMed

Coutu, Diane L

2004-04-01

"It's worse than I thought.... She's completely lost her mind," says Harry Beecham, the CEO of blue chip management consultancy Pierce and Company. The perplexed executive was in a hotel suite with his wife in Amsterdam, the latest stop on his regular trek to dozens of Pierce offices worldwide. In his hand was a sheaf of paper--the same message sent over and over again by his star employee and protégée Katharina Waldburg. The end of the world is coming, she warned. "Someone is going to die." Harry wouldn't have expected this sort of behavior from Katharina. After graduating with distinction from Oxford, she made a name for herself by single-handedly building Pierce's organizational behavior practice. At 27, she's poised to become the youngest partner ever elected at the firm. But Harry can't ignore the faxes in his hand. Or the stream-of-consciousness e-mails Katharina's been sending to one of the directors in Pierce's Berlin office--mostly gibberish but potentially disastrous to Katharina's reputation if they ever got out. Harry also can't dismiss reports from Roland Fuoroli, manager of the Berlin office, of a vicious verbal exchange Katharina had with him, or of an "over the top" lunch date Katharina had with one of Pierce's clients in which she was explaining the alphabet's role in the creation of the universe. Harry is planning to talk to Katharina when he gets to Berlin. What should he say? And will it be too late? Four commentators offer their advice in this fictional case study. They are Kay Redfield Jamison, a professor of psychiatry and a coauthor of Manic-Depressive Illness; David E. Meen, a former director at McKinsey & Company; Norman Pearlstine, the editor in chief at Time Incorporated; and Richard Primus, an assistant law professor at the University of Michigan.

Interobserver Reliability of the Berlin ARDS Definition and Strategies to Improve the Reliability of ARDS Diagnosis.

PubMed

Sjoding, Michael W; Hofer, Timothy P; Co, Ivan; Courey, Anthony; Cooke, Colin R; Iwashyna, Theodore J

2018-02-01

Failure to reliably diagnose ARDS may be a major driver of negative clinical trials and underrecognition and treatment in clinical practice. We sought to examine the interobserver reliability of the Berlin ARDS definition and examine strategies for improving the reliability of ARDS diagnosis. Two hundred five patients with hypoxic respiratory failure from four ICUs were reviewed independently by three clinicians, who evaluated whether patients had ARDS, the diagnostic confidence of the reviewers, whether patients met individual ARDS criteria, and the time when criteria were met. Interobserver reliability of an ARDS diagnosis was "moderate" (kappa = 0.50; 95% CI, 0.40-0.59). Sixty-seven percent of diagnostic disagreements between clinicians reviewing the same patient was explained by differences in how chest imaging studies were interpreted, with other ARDS criteria contributing less (identification of ARDS risk factor, 15%; cardiac edema/volume overload exclusion, 7%). Combining the independent reviews of three clinicians can increase reliability to "substantial" (kappa = 0.75; 95% CI, 0.68-0.80). When a clinician diagnosed ARDS with "high confidence," all other clinicians agreed with the diagnosis in 72% of reviews. There was close agreement between clinicians about the time when a patient met all ARDS criteria if ARDS developed within the first 48 hours of hospitalization (median difference, 5 hours). The reliability of the Berlin ARDS definition is moderate, driven primarily by differences in chest imaging interpretation. Combining independent reviews by multiple clinicians or improving methods to identify bilateral infiltrates on chest imaging are important strategies for improving the reliability of ARDS diagnosis. Copyright © 2017 American College of Chest Physicians. All rights reserved.

Postgraduate training for young psychiatrists--experience of the Berlin Summer School.

PubMed

Mihai, A; Ströhle, A; Maric, N; Heinz, A; Helmchen, H; Sartorius, N

2006-12-01

Growing professional exchange between Eastern and Western European countries increases the possibilities for international postgraduate training courses and by that satisfying the need for rapid and facilitation of travel and migration in the enlarged European Union increase achieving high standards. The purpose of this study was to evaluate a summer school program that trained young Eastern European psychiatrists and to assess the impact of the program on their professional development and future activities. We evaluated the training effect of the first 3 years of the Berlin Summer School with respect to (1) the participants' satisfaction with the topics, quality and originality of the presentations, and (2) long-term effects and implications for their professional career. All participants (N=43) filled out anonymously the evaluation form at the end of each summer school. An evaluation of long-term effects was carried out 2 years later with a questionnaire that was sent via e-mail to all former participants. Participants were most satisfied with practical topics such as "how to prepare a paper", "how to evaluate a paper", or "how to participate in a congress." The appreciation of the presented topics and the appreciation of courses increased in each consecutive summer school. All summer school participants reported that the course had some influence on their future career, and one fifth of the participants felt that their professional development was influenced "a lot". Although limited to 1 week of intensive training, a summer school program can have a longer lasting positive influence on the professional development of the participants. Participants felt that particularly the training of practical skills improved their research performance. Former participants founded an independent multicentric and multinational research group and supported national courses that were organized similar to the Berlin Summer School.

"A talented young man" - The short life of Friedrich Wilhelm Tönnies, 1796-1817; (German Title: "Ein talentvoller junger Mann" - Das kurze Leben des Friedrich Wilhelm Tönnies, 1796-1817)

NASA Astrophysics Data System (ADS)

Schwemin, Friedhelm

Friedrich Wilhelm Tönnies' name is hardly found in the major histories of astronomy. This is not surprising since he died before the age of twenty-one. Nevertheless, and perhaps because he knew at heart that not much time was granted to him, he left an astonishingly prolific oeuvre which indicates his rich talents. His contemporaries also testify that this son af a wealthy textile merchant had a great talent. But it is idle to speculate whether he would have become a second Bessel, or just an inconspicuous high school teacher in some remote Prussian province. He experienced a decisive career advancement by the Berlin astronomer J.E. Bode, obtained his Ph.D. already at the age of nineteen, published, among other things, about the large solar eclipse of November 19, 1816, and corresponded with several professional astronomers, before he succumbed to a pulmonary disease.

Potential reductions in ambient NO2 concentrations from meeting diesel vehicle emissions standards

NASA Astrophysics Data System (ADS)

von Schneidemesser, Erika; Kuik, Friderike; Mar, Kathleen A.; Butler, Tim

2017-11-01

Exceedances of the concentration limit value for ambient nitrogen dioxide (NO2) at roadside sites are an issue in many cities throughout Europe. This is linked to the emissions of light duty diesel vehicles which have on-road emissions that are far greater than the regulatory standards. These exceedances have substantial implications for human health and economic loss. This study explores the possible gains in ambient air quality if light duty diesel vehicles were able to meet the regulatory standards (including both emissions standards from Europe and the United States). We use two independent methods: a measurement-based and a model-based method. The city of Berlin is used as a case study. The measurement-based method used data from 16 monitoring stations throughout the city of Berlin to estimate annual average reductions in roadside NO2 of 9.0 to 23 µg m-3 and in urban background NO2 concentrations of 1.2 to 2.7 µg m-3. These ranges account for differences in fleet composition assumptions, and the stringency of the regulatory standard. The model simulations showed reductions in urban background NO2 of 2.0 µg m-3, and at the scale of the greater Berlin area of 1.6 to 2.0 µg m-3 depending on the setup of the simulation and resolution of the model. Similar results were found for other European cities. The similarities in results using the measurement- and model-based methods support our ability to draw robust conclusions that are not dependent on the assumptions behind either methodology. The results show the significant potential for NO2 reductions if regulatory standards for light duty diesel vehicles were to be met under real-world operating conditions. Such reductions could help improve air quality by reducing NO2 exceedances in urban areas, but also have broader implications for improvements in human health and other benefits.

Comets, Minor Planets and other developments: Bode's ``Astronomisches Jahrbuch'' as an international archive journal

NASA Astrophysics Data System (ADS)

Kokott, W.

Following the example of the Connaissance des tem(p)s, the Astronomisches Jahrbuch founded by the Royal Academy of Sciences at Berlin was to include ``a collection of the most recent observations, news, remarks and contributions''. Established by J. H. Lambert and for four decades edited by J. E. Bode, this publication from the start became a ranking international publication, with Bode's modest Berlin Observatory serving as a clearinghouse of informations When, in 1792, the backlog of manuscripts became a critical factor, a series of ``Supplement'' volumes was established. F. X. von Zach at Gotha, who vigorously supported this effort, founded (in 1798) the monthly Allgemeine Geographische Ephemeriden, which he (with continuing emphasis on astronomy and astronomical geography) two years later replaced by the Monatliche Correspondenz. These journals and its successors (ZfA and Corr. astr.) took the supplementary load off Bode's yearbook and served as speedier means of communication. However, the yearbook retained its original role as a central place of documentation. Only with the publication of Schumacher's Astronomische Nachrichten the center of astronomical communication did shift Practically all European astronomers of his time and age are represented in the pages of Bode's yearbook. Beside the continuous effort of precise mapping the realm of fixed stars, a very important field were the newly discovered planets Uranus, Ceres, Pallas, Juno, and Vesta; observations and orbits of these objects and the growing number of comets were an important part of the ``news and remarks'' recorded in the BAJ. The names of Schröter, Olbers, Piazzi, and Bessel may be regarded as representative for many

Images of Germany: Past and Present. A Film Collection, Series II Instructional Activities.

ERIC Educational Resources Information Center

Blankenship, Glen; Hutcheson, Gwen

This booklet offers classroom activities for use with 15 social studies-related films for teaching about Germany. The series of 25-minute films are made available by Deutsche Welle Television and Goethe House New York. Lessons in the booklet include: (1) "Germany Since 1945: A Focus on Berlin"; (2) "'I'll Get You All Out of Here!' A…

The Validation of Cloud Retrieval Algorithms Using Synthetic Datasets

NASA Astrophysics Data System (ADS)

Kokhanovsky, Alexander; Fischer, Jurgen; Linstrot, Rasmus; Meirink, Jan Fokke; Poulsen, Caroline; Preusker, Rene; Siddans, Richard; Thomas, Gareth; Arnold, Chris; Grainger, Roy; Lilli, Luca; Rozanov, Vladimir

2012-11-01

We have performed the inter-comparison study of cloud property retrievals using algorithms initially developed for AATSR (ORAC, RAL-Oxford University), AVHRR and SEVIRI (CPP, KNMI), SCIAMACHY/GOME (SACURA, University of Bremen), and MERIS (ANNA, Free University of Berlin). The accuracy of retrievals of cloud optical thickness (COT), effective radius (ER) of droplets, and cloud top height (CTH) is discussed.

Bilingual Education in a Binational School: A Study of Equal Language Maintenance through Free Alternation.

ERIC Educational Resources Information Center

Mackey, William Francis

This book describes the John F. Kennedy School in Berlin, which serves a community composed of families using German and English. It talks of the objectives and curriculum of the bilingual school, the manner of teacher selection and training, and the selection and preparation of materials. Included are appendixes which develop a typology of…

Extravascular lung water and the pulmonary vascular permeability index may improve the definition of ARDS.

PubMed

Perel, Azriel

2013-01-24

The recent Berlin definition has made some improvements in the older definition of acute respiratory distress syndrome (ARDS), although the concepts and components of the definition remained largely unchanged. In an effort to improve both predictive and face validity, the Berlin panel has examined a number of additional measures that may reflect increased pulmonary vascular permeability, including extravascular lung water. The panel concluded that although extravascular lung water has improved face validity and higher values are associated with mortality, it is infeasible to mandate on the basis of availability and the fact that it does not distinguish between hydrostatic and inflammatory pulmonary edema. However, the results of a multi-institutional study that appeared in the previous issue of Critical Care show that this latter reservation may not necessarily be true. By using extravascular lung water and the pulmonary vascular permeability index, both of which are derived from transpulmonary thermodilution, the authors could successfully differentiate between patients with ARDS and other patients in respiratory failure due to either cardiogenic edema or pleural effusion with atelectasis. This commentary discusses the merits and limitations of this study in view of the potential improvement that transpulmonary thermodilution may bring to the definition of ARDS.

Remote sensing of air pollution over large European cities by lidar

NASA Astrophysics Data System (ADS)

Koelsch, Hans J.; Kolenda, Juergen; Rairoux, Patrick; Stein, Bernhard; Weidauer, Dirk; Wolf, Jean-Pierre; Woeste, Ludger H.; Fritzsche, Klaus

1992-12-01

Progresses in remote sensing of the atmosphere using the light detection and ranging (lidar) technique closely follows progresses in laser technology. We developed a mobile differential absorption lidar (DIAL) system, based on high repetition rate excimer-pumped dye lasers, for performing 2-D and 3-D mappings of concentration of NO, NO2, SO2, and O3. The high sensitivity of the system has been used for numerous environmental studies and measurement campaigns, providing for the first time a direct correlation between emission and immission. Attractive results have been obtained under urban conditions, because of the presence of strong concentration gradients, and fast fluctuations due to traffic. A comparative study between Lyon, France; Stuttgart, Germany; Geneva, Switzerland; and Berlin, Germany; is presented. In particular, the Berlin campaign demonstrates the possibility of detecting unknown emitters and monitoring exportation-importation processes of atmospheric pollution. A new stationary DIAL system has recently been constructed and implemented on the top of a building in the center of the city of Leipzig, Germany. It will routinely perform concentration mappings of nitrogen oxides, sulfur dioxide, and ozone, giving access to long term evolution of pollution distributions.

Conference report "Stoffwechsel. Histories of metabolism", workshop organized by Mathias Grote at Technische Universität Berlin, November 28-29th, 2014.

PubMed

Grote, Mathias; Keuck, Lara

2015-06-01

Historical analyses of what metabolism has been conceived of, how concepts of metabolism were related to disciplines such as nineteenth-century nutritional physiology or twentieth-century biochemistry, and how their genealogies relate to the current developments may be helpful to understand the various, at times polemic, ways in which the boundaries between metabolism and heredity have been re-drawn. Against this background, a small number of scholars gathered in Berlin for a workshop that equally aimed at bringing new stories to the fore, and at considering seemingly known ones in a new light. Some aspects of the discussions are summarized in this paper.

[Urologists meet in Berlin. Martin Stolze (1900-1989) and the urologist convention in 1959 in East and West Berlin].

PubMed

Moll, F H; Halling, T; Fangerau, H

2013-09-01

Scientific meetings are a major part of policy in science and within the scientific community and furthermore they have a major influence on medical and lay communities. Prominent examples for this are the presidential networks and the opening speeches in which the function of science within the society is presented in a special manner. The last joint meeting of the German Society for Urology (DGU) in East and West Germany was instrumentalized by the rivalry of the two systems during the Cold War but was also a brilliant presentation of the newly established German Urology after World War II and its scientific force.

Total Artificial Heart as Rescue Therapy for Primary Graft Failure in an Infant.

PubMed

Ziegler, Luke A; Sainathan, Sandeep; Morell, Victor O; Sharma, Mahesh S

2018-04-01

An infant unable to be weaned from cardiopulmonary bypass after orthotopic heart transplantation was cannulated for extracorporeal membrane oxygenation. During the next 3 days, allograft failure and intracardiac thrombosis necessitated cardiectomy. To provide acute mechanical circulatory support, artificial atrial chambers were constructed with Gore-Tex conduits and PediMag centrifugal pumps were connected to each by Berlin Heart EXCOR cannulae. The PediMag pumps were subsequently exchanged for 10-mL Berlin Heart EXCOR pumps. After 60 days of support by total artificial heart, the patient was bridged successfully to a second heart transplant. Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

[Temporal and structural differences in the care of obese and non-obese people in nursing homes].

PubMed

Apelt, G; Ellert, S; Kuhlmey, A; Garms-Homolová, V

2012-08-01

Obesity is a common disease in Germany. Although care facilities are confronted with an increasing number of obese people, the care of them in nursing homes is barely investigated. The present study examines the amount of work using the example of the activity of dressing obese and non-obese nursing home residents and discloses with its temporal and structural differences. In five nursing homes in Berlin a fully structured observational study based on a convenience sample was conducted. 48 nurses were observed while performing the activity of dressing 70 residents aged 65 years and older. The residents' demographic data and medical diagnoses were taken from the nursing records. Information about the functional/cognitive status and pain events were collected by using the interRAI Contact Assessment. Further data regarding the nurses were obtained through face-to-face interviews. The results show a significant correlation between Body Mass Index and the required time of dressing. No correlations exist between age, qualifications and nurses' level of education and the time of dressing. Structural differences in the care of obese and non-obese residents appear by changes of, single activity sequences. The care of the obese residents is associated with increased time requirements and structurally differs from the care of the non-obese residents. This should lead to further research because it has implications for staffing in nursing homes.

Thin-Slice Measurement of Wisdom

PubMed Central

Hu, Chao S.; Ferrari, Michel; Wang, Qiandong; Woodruff, Earl

2017-01-01

Objective Measurement of Wisdom within a short period of time is vital for both the public interest (e.g., understanding a presidential election) and research (e.g., testing factors that facilitate wisdom development). A measurement of emotion associated with wisdom would be especially informative; therefore, a novel Thin-Slice measurement of wisdom was developed based on the Berlin Paradigm. For about 2 min, participants imagined the lens of a camera as the eyes of their friend/teacher whom they advised about a life dilemma. Verbal response and facial expression were both recorded by a camera: verbal responses were then rated on both the Berlin Wisdom criteria and newly developed Chinese wisdom criteria; facial expressions were analyzed by the software iMotion FACET module. Results showed acceptable inter-rater and inter-item reliability for this novel paradigm. Moreover, both wisdom ratings were not significantly correlated with Social desirability, and the Berlin wisdom rating was significantly negatively correlated with Neuroticism; feeling of surprise was significantly positively correlated with both wisdom criteria ratings. Our results provide the first evidence of this Thin-slice Wisdom Paradigm’s reliability, its immunity to social desirability, and its validity for assessing candidates’ wisdom within a short timeframe. Although still awaiting further development, this novel Paradigm contributes to an emerging Universal Wisdom Paradigm applicable across cultures. PMID:28861016

Teleconsultation in diagnostic pathology: experience from Iran and Germany with the use of two European telepathology servers.

PubMed

Mireskandari, Masoud; Kayser, Gian; Hufnagl, Peter; Schrader, Thomas; Kayser, Klaus

2004-01-01

Eighty pathology cases were sent independently to each of two telepathology servers. Cases were submitted from the Department of Pathology at the University of Kerman in Iran (40 cases) and from the Institute of Pathology in Berlin, Germany (40 cases). The telepathology servers were located in Berlin (the UICC server) and Basel in Switzerland (the iPATH server). A scoring system was developed to quantify the differences between the diagnoses of the referring pathologist and the remote expert. Preparation of the cases, as well as the submission of images, took considerably longer from Kerman than from Berlin; this was independent of the server system. The Kerman delay was mainly associated with a slower transmission rate and longer image preparation. The diagnostic gap between referrers' and experts' diagnoses was greater with the iPATH system, but not significantly so. The experts' response time was considerably shorter for the iPATH system. The results showed that telepathology is feasible for requesting pathologists working in a developing country or in an industrialized country. The key factor in the quality of the service is the work of the experts: they should be selected according to their diagnostic expertise, and their commitment to the provision of telepathology services is critical.

II: Through the Western Part of the City: Charlottenburg

NASA Astrophysics Data System (ADS)

Hoffmann, Dieter

Until 1920 the city we now call Berlin was a collection of independent towns and villages — among them Charlottenburg, which was one of the most important and was the proud sister of Berlin, Prussia’s and Germany’s capital, where the wealthy and innovative bourgeoisie lived. Werner von Siemens, Germany’s pioneer in the modern electrical industry, was a prime example of that elite. His castle-like villa was located not far from today’s Ernst-Reuter-Platz at Otto-Suhr-Allee 10-16, and important parts of his enterprise expanded into the “meadows outside of Charlottenburg” during the second half of the 19th century. It was no accident that the efforts to unite Berlin’s two colleges for trade and construction (both founded around 1800) led to the foundation of a modern Technical College in Charlottenburg in 1879, today’s Technical University of Berlin. Its magnificent main building (figure 1), which was opened in 1882 by the German Emperor, was an expression of the great self-confidence of this new institution of higher learning and of Charlottenburg’s bourgeoisie. Although large parts of the building were destroyed by bombs during World War II, you can still get an impression of its monumentality from what survived at number 135 Strasse des 17. Juni.

Current state and development of the real-time control of the Berlin sewage system.

PubMed

Schroeder, K; Pawlowsky-Reusing, E

2005-01-01

Since the 1970s, we have known about real-time control of urban drainage systems. However, global real-time control strategies still show a lack of implementation for large drainage systems of high complexity. In Berlin, Germany, a city of 3.5 million inhabitants covering an area of around 900 km2, the demand for enhanced protection of the environment and growing economic pressure have led to an increasing application of control assets and concepts within the sewage system. In the framework of the project "Integrated Sewage Management", the possibilities of a global and integrated control strategy for the Berlin system are examined. The paper is focused on the historical concept and design of the sewerage and the further improvement towards an environment-oriented system that builds the basis for today's considerations. The operational method and functionality of local regulators that have already been implemented are described. Further-more, the model-based methodology for the analysis of the system and the development of global control concepts, as well as the results of system analysis, are stated. On the basis of model simulations, it is shown that a global coordination of pump stations can lead to a reduction of sewer overflows, and consequently to an enhanced water protection.

Acute respiratory distress syndrome in wartime military burns: application of the Berlin criteria.

PubMed

Belenkiy, Slava M; Buel, Allison R; Cannon, Jeremy W; Sine, Christy R; Aden, James K; Henderson, Jonathan L; Liu, Nehemiah T; Lundy, Jonathan B; Renz, Evan M; Batchinsky, Andriy I; Cancio, Leopoldo C; Chung, Kevin K

2014-03-01

Acute respiratory distress syndrome (ARDS) prevalence and related outcomes in burned military casualties from Iraq and Afghanistan have not been described previously. The objective of this article was to report ARDS prevalence and its associated in-hospital mortality in military burn patients. Demographic and physiologic data were collected retrospectively on mechanically ventilated military casualties admitted to our burn intensive care unit from January 2003 to December 2011. Patients with ARDS were identified in accordance with the new Berlin definition of ARDS. Subjects were categorized as having mild, moderate, or severe ARDS. Multivariate logistic regression identified independent risk factors for developing moderate-to-severe ARDS. The main outcome measure was the prevalence of ARDS in a cohort of patients burned as a result of recent combat operations. A total of 876 burned military casualties presented during the study period, of whom 291 (33.2%) required mechanical ventilation. Prevalence of ARDS in this cohort was 32.6%, with a crude overall mortality of 16.5%. Mortality increased significantly with ARDS severity: mild (11.1%), moderate (36.1%), and severe (43.8%) compared with no ARDS (8.7%) (p < 0.001). Predictors for the development of moderate or severe ARDS were inhalation injury (odds ratio [OR], 1.90; 95% confidence interval [CI], 1.01-3.54; p = 0.046), Injury Severity Score (ISS) (OR, 1.04; 95% CI, 1.01-1.07; p = 0.0021), pneumonia (OR, 198; 95% CI, 1.07-3.66; p = 0.03), and transfusion of fresh frozen plasma (OR, 1.32; 95% CI, 1.01-1.72; p = 0.04). Size of burn was associated with moderate or severe ARDS by univariate analysis but was not an independent predictor of ARDS by multivariate logistic regression (p > 0.05). Age, size of burn, and moderate or severe ARDS were independent predictors of mortality. In this cohort of military casualties with thermal injuries, nearly a third required mechanical ventilation; of those, nearly one third developed ARDS, and nearly one third of patients with ARDS did not survive. Moderate and severe ARDS increased the odds of death by more than fourfold and ninefold, respectively. Epidemiologic/prognostic study, level III.

Evaluation of obstructive sleep apnea in obese patients scheduled for bariactric surgery.

PubMed

Lopes Neto, José Maurício; Brandão, Leandro Ortega; Loli, Alessandra; Leite, Celso Vieira de Souza; Weber, Silke Anna Theresa

2013-04-01

To evaluate the frequency of obstructive sleep apnea (OSA) in obese patients scheduled for bariatric surgery and their identification for risk of OSA by Berlin Questionnaire (BQ) and excessive daytime sleepiness by Epworth Sleepiness Scale (ESS). Fifty nine patients were evaluated by BQ and ESS. Out of these individuals, 35 performed a full-night sleep study using a type 3 portable monitoring (PM). The questionnaire results were compared for gender and BMI. The presence and severity of OSA was correlated with gender and both questionnaires. 94.75% of the respondents presented high risk for OSA by BQ and 59.65% presented positivity by ESS. Taking into account the AHI> 5 per hour for OSA diagnosis, all of them presented OSA, average AHI of 45.31 ± 26.3 per hour and 68.6% have severe OSA (AHI>30). The male patients had a higher AHI (p<0.05). There was a positive correlation between the positivity in both questionnaires as well as the severity of OSA measured by AHI (p<0.05). The frequency and severe obstructive sleep apnea in the studied group is high. The Berlin Questionnaire and Epworth Sleepiness Scale had a positive correlation with the diagnosis of OSA in the group studied.

Recognizing ancient papyri by a combination of spectroscopic, diffractional and chromatographic analytical tools

PubMed Central

Łojewska, J.; Rabin, I.; Pawcenis, D.; Bagniuk, J.; Aksamit-Koperska, M. A.; Sitarz, M.; Missori, M.; Krutzsch, M.

2017-01-01

Ancient papyri are a written heritage of culture that flourished more than 3000 years ago in Egypt. One of the most significant collections in the world is housed in the Egyptian Museum and Papyrus Collection in Berlin, from where the samples for our investigation come. The papyrologists, curators and conservators of such collections search intensely for the analytical detail that would allow ancient papyri to be distinguished from modern fabrications, in order to detect possible forgeries, assess papyrus deterioration state, and improve the design of storage conditions and conservation methods. This has become the aim of our investigation. The samples were studied by a number of methods, including spectroscopic (FTIR, fluorescent-FS, Raman) diffractional (XRD) and chromatographic (size exclusion chromatography-SEC), selected in order to determine degradation parameters: overall oxidation of lignocellulosic material, degree of polymerization and crystallinity of cellulose. The results were correlated with those obtained from carefully selected model samples including modern papyri and paper of different composition aged at elevated temperature in humid air. The methods were classified in the order SEC > FS > FTIR > XRD, based on their effectiveness in discriminating the state of papyri degradation. However, the most trustworthy evaluation of the age of papyri samples should rely on several methods. PMID:28382971

Recognizing ancient papyri by a combination of spectroscopic, diffractional and chromatographic analytical tools.

PubMed

Łojewska, J; Rabin, I; Pawcenis, D; Bagniuk, J; Aksamit-Koperska, M A; Sitarz, M; Missori, M; Krutzsch, M

2017-04-06

Ancient papyri are a written heritage of culture that flourished more than 3000 years ago in Egypt. One of the most significant collections in the world is housed in the Egyptian Museum and Papyrus Collection in Berlin, from where the samples for our investigation come. The papyrologists, curators and conservators of such collections search intensely for the analytical detail that would allow ancient papyri to be distinguished from modern fabrications, in order to detect possible forgeries, assess papyrus deterioration state, and improve the design of storage conditions and conservation methods. This has become the aim of our investigation. The samples were studied by a number of methods, including spectroscopic (FTIR, fluorescent-FS, Raman) diffractional (XRD) and chromatographic (size exclusion chromatography-SEC), selected in order to determine degradation parameters: overall oxidation of lignocellulosic material, degree of polymerization and crystallinity of cellulose. The results were correlated with those obtained from carefully selected model samples including modern papyri and paper of different composition aged at elevated temperature in humid air. The methods were classified in the order SEC > FS > FTIR > XRD, based on their effectiveness in discriminating the state of papyri degradation. However, the most trustworthy evaluation of the age of papyri samples should rely on several methods.

["With all measures...". Appeal proceedings and political specialty disputes about orthopedics at the Berlin University and the Charité during the time of the Kaiser Empire, the Weimar Republic and national socialism].

PubMed

Philipp, Osten

2012-01-01

In 1934 the NSDAP University-Commission forced the president of the German Society of Surgery and the chairman of the German Orthopaedic Society to sign a reconciliation agreement. First of all, orthopaedists and surgeons were ordered to refrain from attacking each other in public. In the future, in the event of any complaints, they were to address the 'Reichsärzteführung' at the Ministry of the Interior. On the basis of papers and documents from the archives of the medical faculty, the East German Ministry for State Security and the former Berlin Document Centre, this article describes the history of the emerging medical specialty orthopaedics at the University of Berlin and the Charité hospital. It covers a period from 1890 through 1945 and focuses on the varying relations between political authorities, medical associations and the faculty. The main attention is given to ethical and economic disputes and to the way in which professors for orthopaedics were appointed. The two pioneers of orthopaedic surgery, Julius Wolff and Albert Hoffa had to overcome less resistance than their successors Georg Joachimsthal and Hermann Gocht. Gocht's fate changed, when the NSDAP took Power. As a protégé of the regime he represented the medical faculty during the period of political cleansing. In 1937 the appointment of the orthopaedist Lothar Kreuz as a full member of the medical faculty was no longer a university matter anymore. His appointment was negotiated entirely within the organisations of the NSDAP. Politically approved, Kreuz served as dean of the medical faculty and later was to be the last rector of the University of Berlin. For the first time, this article documents the connections between Kreuz, the paramilitary squadron of the party SS, and key political figures.

[Quincke and his oedema].

PubMed

van Gijn, Jan; Gijselhart, Joost P

2012-01-01

Heinrich Irenaeus Quincke (1842-1922), the son of a physician, was born in Frankfurt but was educated in Berlin where he also completed his medical studies in 1864. After a 'grand tour' that took him to Paris, Vienna and London, he was trained in Berlin, first in surgery and later in internal medicine, under Von Frerichs (1819-1885). In 1878, he became a professor of internal medicine in Berne; from 1883 he held the chair of medicine in Kiel, which he would hold for the next 30 years. In 1882, he published a synthesis of several observations of 'acute, circumscribed oedema of the skin'. Quincke accurately described the clinical features and distinguished the familial from the sporadic forms. He was correct in attributing the condition to increased vascular permeability, but he surmised the causal factors were neurogenic rather than humoral, according to current insights (excess of bradykinin due to external factors or hereditary deficiency of C1-esterase inhibitor). Quincke not only contributed to several other clinical observations, but also pioneered the lumbar puncture, initially not for diagnostic purposes, but to relieve headache in hydrocephalic children.

The Berlin Inventory of Gambling behavior - Screening (BIG-S): Validation using a clinical sample.

PubMed

Wejbera, Martin; Müller, Kai W; Becker, Jan; Beutel, Manfred E

2017-05-18

Published diagnostic questionnaires for gambling disorder in German are either based on DSM-III criteria or focus on aspects other than life time prevalence. This study was designed to assess the usability of the DSM-IV criteria based Berlin Inventory of Gambling Behavior Screening tool in a clinical sample and adapt it to DSM-5 criteria. In a sample of 432 patients presenting for behavioral addiction assessment at the University Medical Center Mainz, we checked the screening tool's results against clinical diagnosis and compared a subsample of n=300 clinically diagnosed gambling disorder patients with a comparison group of n=132. The BIG-S produced a sensitivity of 99.7% and a specificity of 96.2%. The instrument's unidimensionality and the diagnostic improvements of DSM-5 criteria were verified by exploratory and confirmatory factor analysis as well as receiver operating characteristic analysis. The BIG-S is a reliable and valid screening tool for gambling disorder and demonstrated its concise and comprehensible operationalization of current DSM-5 criteria in a clinical setting.

Ladislau Steiner, 1920-2013.

PubMed

Leksell, Dan; Lindquist, Christer E H

2013-09-01

The authors commemorate the life and career of Dr. Ladislau Steiner, one of the world's most highly regarded neurosurgeons, from Stockholm and Charlottesville, Virginia, who has died at age 92. They review the events of Dr. Steiner's early life, including his early training in his native Romania, his escape with his family from East Berlin, and his postgraduate training in neurosurgery at the Karolinska Institute in Stockholm. Dr. Steiner's work in the development of microsurgery and his collaboration with Lars Leksell in the development of Gamma Knife radiosurgery are described. After his retirement from Karolinska, Dr. Steiner had a second career as head of the Lars Leksell Gamma Knife Center at the University of Virginia in Charlottesville. The authors recall their own long association with Dr. Steiner and celebrate his contributions to the field of neurosurgery.

Economic Uncertainty, Parental Selection and the Criminal Activity of the "Children of the Wall." CEP Discussion Paper No. 1256

ERIC Educational Resources Information Center

Chevalier, Arnaud; Marie, Olivier

2014-01-01

We study the link between parental selection and children criminality in a new context. After the fall of the Berlin Wall, East Germany experienced an unprecedented temporary drop in fertility driven by economic uncertainty. We exploit this natural experiment to estimate that the children from these (smaller) cohorts are 40 percent more likely to…

Toward the Twenty-first Century: Air Command and Staff College Curriculum from Theory to Practice.

ERIC Educational Resources Information Center

Butler, Stephen L.

Responding to a perceived need resulting from the collapse of the Soviet Union, the dismantling of the Berlin Wall, and the end of the Cold War, the Air Command and Staff College (ACSC) at Maxwell Air Force Base (Alabama) revised its curriculum. Data for the descriptive study were gathered through interviews of the leadership of the school and…

Impact of land cover data on the simulation of urban heat island for Berlin using WRF coupled with bulk approach of Noah-LSM

NASA Astrophysics Data System (ADS)

Li, Huidong; Wolter, Michael; Wang, Xun; Sodoudi, Sahar

2017-09-01

Urban-rural difference of land cover is the key determinant of urban heat island (UHI). In order to evaluate the impact of land cover data on the simulation of UHI, a comparative study between up-to-date CORINE land cover (CLC) and Urban Atlas (UA) with fine resolution (100 and 10 m) and old US Geological Survey (USGS) data with coarse resolution (30 s) was conducted using the Weather Research and Forecasting model (WRF) coupled with bulk approach of Noah-LSM for Berlin. The comparison between old data and new data partly reveals the effect of urbanization on UHI and the historical evolution of UHI, while the comparison between different resolution data reveals the impact of resolution of land cover on the simulation of UHI. Given the high heterogeneity of urban surface and the fine-resolution land cover data, the mosaic approach was implemented in this study to calculate the sub-grid variability in land cover compositions. Results showed that the simulations using UA and CLC data perform better than that using USGS data for both air and land surface temperatures. USGS-based simulation underestimates the temperature, especially in rural areas. The longitudinal variations of both temperature and land surface temperature show good agreement with urban fraction for all the three simulations. To better study the comprehensive characteristic of UHI over Berlin, the UHI curves (UHIC) are developed for all the three simulations based on the relationship between temperature and urban fraction. CLC- and UA-based simulations show smoother UHICs than USGS-based simulation. The simulation with old USGS data obviously underestimates the extent of UHI, while the up-to-date CLC and UA data better reflect the real urbanization and simulate the spatial distribution of UHI more accurately. However, the intensity of UHI simulated by CLC and UA data is not higher than that simulated by USGS data. The simulated air temperature is not dominated by the land cover as much as the land surface temperature, as air temperature is also affected by air advection.

Mental health needs and availability of mental health care for children and adolescents with intellectual disability in Berlin.

PubMed

Soltau, B; Biedermann, J; Hennicke, K; Fydrich, T

2015-11-01

The increased risk of mental health problems in children and adolescents with intellectual disability (ID) has been reported in several studies. However, almost no research has been conducted on parents' experiences with the general mental health system. We have investigated the prevalence of emotional and behavioural problems in children with ID as well as the availability and quality of mental health care from the parents' point of view. Teachers of specialised schools for ID in Berlin were asked to complete the Teacher's Report Form (TRF) of the Child Behavior Checklist. Information was collected for 1226 children and adolescents aged 6-18 years with mild to profound ID (response 70.5%). The availability and quality of mental health care was assessed by a questionnaire given to parents who had already been seeking help for their children. A total of 330 parents completed the questionnaires (response 62.0%). In addition to univariate analysis, we conducted multiple logistic regressions regarding the psychopathology reported by teachers (TRF-syndrome scales) and difficulties concerning mental health care reported by parents for a paired sample of 308 children. Overall, 52.4% of the children and adolescents with ID had a total problem score on the TRF in the deviant range (47.1% when eliminating four items reflecting cognitive deficits). Compared with the general population normative sample of children, this is a three-time higher prevalence. The most striking problems were thought problems (schizoid and obsessive-compulsive), aggressive behaviour, attention problems and social problems. Parents whose children had more severe behavioural or emotional dysfunction reported more difficulties with the mental health system. From the parents' point of view, mental health professionals frequently did not feel responsible or were not sufficiently skilled for the treatment of children with ID. As a consequence, 96% of all parents were longing for specialised in- and outpatient services. This study confirms the findings from other studies regarding the high rate of co-occurrence of ID and mental health problems in youths. Results indicate that both are strongly requested by parents: specialised in- and outpatient services, as well as more professional general services and equitable treatment for all children, with and without ID. © 2015 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

Screening for obstructive sleep apnea syndrome in asthma patients: a prospective study based on Berlin and STOP-Bang questionnaires.

PubMed

Lu, Huan; Fu, Cuiping; Li, Wenjing; Jiang, Hong; Wu, Xiaodan; Li, Shanqun

2017-07-01

The bidirectional relationship of asthma and obstructive sleep apnea (OSA) has been confirmed in recent years. However, in the clinical practice, majority of asthma patients did not pay adequate attention to their sleep apnea condition. Berlin questionnaire (BQ) and STOP-Bang questionnaire (SBQ) are two most common OSA screening questionnaires to screen high-risk patients for OSA. This study aimed at evaluating the predictive performance of BQ and SBQ for OSA in asthma patients. Asthma outpatients of Zhongshan Hospital were enrolled into the study. All patients were asked to fill in the BQ and SBQ and clinical characteristics and asthma characteristics were recorded. Univariate and multivariate logistic regression analyses were applied to identify risk factors of OSA in asthma patients. With the gold standard of laboratory-based overnight polysomnography (PSG), the predictive performance of SBQ and BQ was evaluated and compared. The probability of OSA severity was predicted by various SBQ scores in asthma patients. A total of 123 asthma patients (average age 47.56±12.12 years; 57.72% males) were enrolled and underwent PSG diagnosis overnight at Sleep Center. Logistic regression analyses showed that rhinitis (adjusted OR =4.30; 95% CI: 1.50-12.37, P=0.007) and dyslipidemia (adjusted OR =2.75; 95% CI: 1.16-6.51, P=0.021) were associated with OSA in asthma patients after adjusting for known OSA risk factors. No asthma functional characteristic differences were found to be associated with OSA severity in the study. The prevalence of moderate-to-severe OSA (AHI ≥15) in the asthmatic population sample was 36.59% (45/123). Questionnaires predictive results showed that compared with BQ, SBQ has higher diagnostic sensitivity (84.4% vs. 60%), lower specificity (79.5% vs. 91%) lower positive predictive value (PPV): (70.4% vs. 79.4%) and higher negative predictive value (NPV) (90% vs. 80%) to detect moderate-to-severe OSA at the cut-off as AHI of 15/h. OSA probability results showed that with the increasing of the questionnaire scores, the moderate and severe OSA probability of SBQ rose significantly. SBQ is a preferable sleep questionnaire better than BQ for detecting moderate and severe OSA in asthma patients which should be validated in larger population sample.

Stability of Self-Reported Arousal to Sexual Fantasies Involving Children in a Clinical Sample of Pedophiles and Hebephiles.

PubMed

Grundmann, Dorit; Krupp, Jurian; Scherner, Gerold; Amelung, Till; Beier, Klaus M

2016-07-01

In forensic research, there is a controversial discussion concerning the changeability or stability of pedophilia. Seto (2012) conceptualized pedophilia as a sexual age orientation characterized by an early onset, correlations with sexual and romantic behavior, and stability over time. However, empirical data are sparse and are mostly based on samples of detected offenders. The present study examined self-reported arousal to sexual fantasies involving children in a clinical sample of pedo-/hebephiles. In Study 1, retrospective self-reports on the age of onset and duration of sexual interest in minors were examined. In Study 2, the stability and variability of self-reported arousal to sexual fantasies involving children were evaluated prospectively. Non-prosecuted self-identifying pedo-/hebephilic men seeking professional help were recruited within the Berlin Prevention Project Dunkelfeld. Between 2005 and 2013, 494 participants completed the intake assessment. Self-reported data were collected via questionnaire focusing on sexual arousal to fantasies during masturbation involving prepubescent and/or early pubescent minors. Subsequent assessments of sexual arousal were obtained for 121 of the participants. The average time between the first and last assessment was approximately 29 months. Spearman's correlation coefficients examined the between-group rank-order and Wilcoxon signed-rank tests examined the within-individual mean-level stability. The majority of subjects reported an early onset of their pedo-/hebephilic sexual arousal. The rank-order stability was medium to high. Over the investigated period, the majority of subjects showed no or only minimal decrease or increase of self-reported sexual arousal. These results suggested that sexual arousal to fantasies involving prepubescent and/or early pubescent children is stable. Furthermore, the results support the conceptualization of pedo-/hebephilia as a sexual age orientation in men.

Overview of Current Hot Water Propulsion Activities at Berlin University of Technology

NASA Astrophysics Data System (ADS)

Kolditz, M.; Pilz, N.; Adirim, H.; Rudloff, P.; Gorsch, M.; Kron, M.

2004-10-01

The AQUARIUS working group has been founded in 1991 on the initiative of students at the Institute of Aeronautics and Astronautics at Berlin University of Technology. It works mainly on the development, manufacturing and testing of hot water propulsion systems. Upon having launched numerous single stage rockets, a two stage hot water rocket (AQUARIUS X-PRO) was developed and launched for the first time in world history. In order to perform thrust experiments for a deeper understanding of the propulsion efficiency and the influence of varying nozzle parameters on exhaust characteristics, a dedicated hot water test facility has been built. For more than five years,ground-based take-off assistance systems for future reusable launch vehicles have been the subject of intense investigation.

The Physical Tourist. A European Study Course

NASA Astrophysics Data System (ADS)

Kortemeyer, Gerd; Westfall, Catherine

2010-03-01

We organized and led a European study course for American undergraduate university students to explore the early history of relativity and quantum theory. We were inspired by The Physical Tourist articles published in this journal on Munich, Bern, Berlin, Copenhagen, and Göttingen. We describe this adventure both for others wishing to teach such a course and for anyone wishing to walk in the footsteps of the physicists who revolutionized physics in the early decades of the twentieth century.

Lung recruitability is better estimated according to the Berlin definition of acute respiratory distress syndrome at standard 5 cm H2O rather than higher positive end-expiratory pressure: a retrospective cohort study.

PubMed

Caironi, Pietro; Carlesso, Eleonora; Cressoni, Massimo; Chiumello, Davide; Moerer, Onner; Chiurazzi, Chiara; Brioni, Matteo; Bottino, Nicola; Lazzerini, Marco; Bugedo, Guillermo; Quintel, Michael; Ranieri, V Marco; Gattinoni, Luciano

2015-04-01

The Berlin definition of acute respiratory distress syndrome has introduced three classes of severity according to PaO2/FIO2 thresholds. The level of positive end-expiratory pressure applied may greatly affect PaO2/FIO2, thereby masking acute respiratory distress syndrome severity, which should reflect the underlying lung injury (lung edema and recruitability). We hypothesized that the assessment of acute respiratory distress syndrome severity at standardized low positive end-expiratory pressure may improve the association between the underlying lung injury, as detected by CT, and PaO2/FIO2-derived severity. Retrospective analysis. Four university hospitals (Italy, Germany, and Chile). One hundred forty-eight patients with acute lung injury or acute respiratory distress syndrome according to the American-European Consensus Conference criteria. Patients underwent a three-step ventilator protocol (at clinical, 5 cm H2O, or 15 cm H2O positive end-expiratory pressure). Whole-lung CT scans were obtained at 5 and 45 cm H2O airway pressure. Nine patients did not fulfill acute respiratory distress syndrome criteria of the novel Berlin definition. Patients were then classified according to PaO2/FIO2 assessed at clinical, 5 cm H2O, or 15 cm H2O positive end-expiratory pressure. At clinical positive end-expiratory pressure (11±3 cm H2O), patients with severe acute respiratory distress syndrome had a greater lung tissue weight and recruitability than patients with mild or moderate acute respiratory distress syndrome (p<0.001). At 5 cm H2O, 54% of patients with mild acute respiratory distress syndrome at clinical positive end-expiratory pressure were reclassified to either moderate or severe acute respiratory distress syndrome. In these patients, lung recruitability and clinical positive end-expiratory pressure were higher than in patients who remained in the mild subgroup (p<0.05). When patients were classified at 5 cm H2O, but not at clinical or 15 cm H2O, lung recruitability linearly increases with acute respiratory distress syndrome severity (5% [2-12%] vs 12% [7-18%] vs 23% [12-30%], respectively, p<0.001). The potentially recruitable lung was the only CT-derived variable independently associated with ICU mortality (p=0.007). The Berlin definition of acute respiratory distress syndrome assessed at 5 cm H2O allows a better evaluation of lung recruitability and edema than at higher positive end-expiratory pressure clinically set.

Sleep-disordered Breathing in Cardiac Rehabilitation: Prevalence, Predictors, and Influence on the Six-Minute Walk Test.

PubMed

Loo, Germaine; Chua, Ai-Ping; Tay, Hung-Yong; Poh, Ruth; Tai, Bee-Choo; Lee, Chi-Hang

2016-06-01

Identification of non-traditional risk factors is an important component of cardiac rehabilitation (CR). However, the prevalence and predictors of sleep-disordered breathing (SDB) and its influence on exercise performance in patients attending CR remain poorly described. Patients enrolled in a national CR centre were eligible for a comprehensive SDB screening program. Screening questionnaires for SDB, overnight sleep study, and the 6-minute walk test (6MWT) were conducted. We recruited 332 patients (mean age 62±10 years, 62.4% male) attending CR for primary (29.2%) or secondary (70.8%) prevention, of which 209 successfully completed the overnight sleep study. Sleep-disordered breathing group patients (n=68, 32.5%) were older and had a higher body mass index (BMI) and neck and waist circumferences than the non-SDB group patients. After adjusting for neck and waist circumference, age (OR=1.06; 95% CI 1.02-1.10; p=0.001) and BMI (OR=1.19; 95% CI 1.10-1.30; p<0.001) remained independent predictors of SDB. A high risk of SDB based on the Berlin Questionnaire (43.4% versus 35.5%, p=0.277) or STOP-BANG questionnaire (63.2% versus 53.2%, p=0.170) and excessive daytime sleepiness (Epworth Sleepiness Scale >10, 23.9% versus 17.7%, p=0.297) were similar between the groups. The 6MWT scores were significantly lower in the SDB than non-SDB group (mean difference -32 m; 95% CI -57-7; p=0.013). The relationship was no longer significant after adjusting for age, sex, and waist circumference. Sleep-disordered breathing is prevalent in CR patients and is independently predicted by ageing and obesity. The association between SDB and poorer exercise performance may be explained by age, sex, and waist circumference. Copyright © 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

Developing whole mycobacteria cell vaccines for tuberculosis: Workshop proceedings, Max Planck Institute for Infection Biology, Berlin, Germany, July 9, 2014.

PubMed

2015-06-12

On July 9, 2014, Aeras and the Max Planck Institute for Infection Biology convened a workshop entitled "Whole Mycobacteria Cell Vaccines for Tuberculosis" at the Max Planck Institute for Infection Biology on the grounds of the Charité Hospital in Berlin, Germany, close to the laboratory where, in 1882, Robert Koch first identified Mycobacterium tuberculosis (Mtb) as the pathogen responsible for tuberculosis (TB). The purpose of the meeting was to discuss progress in the development of TB vaccines based on whole mycobacteria cells. Live whole cell TB vaccines discussed at this meeting were derived from Mtb itself, from Bacille Calmette-Guérin (BCG), the only licensed vaccine against TB, which was genetically modified to reduce pathogenicity and increase immunogenicity, or from commensal non-tuberculous mycobacteria. Inactivated whole cell TB and non-tuberculous mycobacterial vaccines, intended as immunotherapy or as safer immunization alternatives for HIV+ individuals, also were discussed. Workshop participants agreed that TB vaccine development is significantly hampered by imperfect animal models, unknown immune correlates of protection and the absence of a human challenge model. Although a more effective TB vaccine is needed to replace or enhance the limited effectiveness of BCG in all age groups, members of the workshop concurred that an effective vaccine would have the greatest impact on TB control when administered to adolescents and adults, and that use of whole mycobacteria cells as TB vaccine candidates merits greater support, particularly given the limited understanding of the specific Mtb antigens necessary to generate an immune response capable of preventing Mtb infection and/or disease. Copyright © 2015. Published by Elsevier Ltd.. All rights reserved.

Intracerebral hemorrhage and sleep-disordered breathing.

PubMed

Lisabeth, Lynda D; Scheer, Richard V; Li, Chengwei; Case, Erin; Chervin, Ronald D; Zahuranec, Darin B; Morgenstern, Lewis B; Garcia, Nelda M; Tower, Susan; Brown, Devin L

2018-06-01

Limited data are available on sleep-disordered breathing (SDB) following intracerebral hemorrhage (ICH). Our aim was to characterize the objective measures of post-ICH SDB and questionnaire-reported pre-ICH sleep characteristics, overall and by ethnicity. Participants with ICH who were enrolled in the population-based Brain Attack Surveillance in Corpus Christi project (2010-2016) reported their pre-ICH sleep duration and completed the Berlin Questionnaire to characterize pre-ICH risk of SDB. A subsample was screened for SDB (respiratory event index ≥10) using ApneaLink Plus portable monitoring. Ethnic differences in post-ICH SDB or questionnaire-reported pre-ICH sleep characteristics were assessed using a log binomial model or a linear regression model or a Fisher's exact test. ICH cases (n = 298) were enrolled (median age = 68 years, 67% Mexican American). Among 62 cases with complete ApneaLink data, median time to post-ICH SDB screening was 11 days (IQR: 6, 19). Post-ICH SDB prevalence was 46.8% (95% CI: 34.4-59.2), and this rate did not differ by ethnicity (p = 1.0). Berlin Questionnaires for 109 of the 298 ICH cases (36.6% (95% CI: 31.1-42.0)) suggested a high risk for pre-ICH SDB, and the median pre-ICH sleep duration was eight hours (IQR: 6, 8). After adjusting for confounders, there was no difference in ethnicity in high risk for pre-ICH SDB or pre-ICH sleep duration. Nearly half of the patients had objective confirmation of SDB after ICH, and more than one-third had questionnaire evidence of high risk for pre-ICH SDB. Opportunities to address SDB may be common both before and after ICH. Copyright © 2018 Elsevier B.V. All rights reserved.

Dobson space telescope: development of an optical payload of the next generation

NASA Astrophysics Data System (ADS)

Segert, Tom; Danziger, Björn; Gork, Daniel; Lieder, Matthias

2017-11-01

The Dobson Space Telescope (DST) is a research project of the Department of Astronautics at the TUBerlin. For Development and commercialisation there is a close cooperation with the network of the Berlin Space Industry (RIBB). Major Partner is the Astro- und Feinwerktechnik Adlershof GmbH a specialist for space structures and head of the industry consortia which built the DLR BIRD micro satellite. The aim of the project is to develop a new type of deployable telescope that can overcome the mass and volume limitations of small satellites. With the DST payload micro satellites of the 100kg class will be able to carry 50cm main mirror diameter optics (→ 1m GSD). Basis of this technology is the fact that a telescope is mainly empty space between the optical elements. To fold down the telescope during launch and to undfold it after the satellite reached its orbit can save 70% of payload volume and 50% of payload mass. Since these advantages continue along the value added chain DST is of highest priority for the next generation of commercial EO micro satellites. Since 2002 the key technologies for DST have been developed in test benches in Labs of TU-Berlin and were tested on board a ESA parabolic flight campaign in 2005. The development team at TU-Berlin currently prepares the foundation of a start-up company for further development and commercialisation of DST.

Biographer: web-based editing and rendering of SBGN compliant biochemical networks

PubMed Central

Krause, Falko; Schulz, Marvin; Ripkens, Ben; Flöttmann, Max; Krantz, Marcus; Klipp, Edda; Handorf, Thomas

2013-01-01

Motivation: The rapid accumulation of knowledge in the field of Systems Biology during the past years requires advanced, but simple-to-use, methods for the visualization of information in a structured and easily comprehensible manner. Results: We have developed biographer, a web-based renderer and editor for reaction networks, which can be integrated as a library into tools dealing with network-related information. Our software enables visualizations based on the emerging standard Systems Biology Graphical Notation. It is able to import networks encoded in various formats such as SBML, SBGN-ML and jSBGN, a custom lightweight exchange format. The core package is implemented in HTML5, CSS and JavaScript and can be used within any kind of web-based project. It features interactive graph-editing tools and automatic graph layout algorithms. In addition, we provide a standalone graph editor and a web server, which contains enhanced features like web services for the import and export of models and visualizations in different formats. Availability: The biographer tool can be used at and downloaded from the web page http://biographer.biologie.hu-berlin.de/. The different software packages, including a server-indepenent version as well as a web server for Windows and Linux based systems, are available at http://code.google.com/p/biographer/ under the open-source license LGPL. Contact: edda.klipp@biologie.hu-berlin.de or handorf@physik.hu-berlin.de PMID:23574737

Squatting and urban renewal: the interaction of squatter movements and strategies of urban restructuring in Berlin.

PubMed

Holm, Andrej; Kuhn, Armin

2011-01-01

Squatting as a housing strategy and as a tool of urban social movements accompanies the development of capitalist cities worldwide. We argue that the dynamics of squatter movements are directly connected to strategies of urban renewal in that movement conjunctures occur when urban regimes are in crisis. An analysis of the history of Berlin squatter movements, their political context and their effects on urban policies since the 1970s, clearly shows how massive mobilizations at the beginning of the 1980s and in the early 1990s developed in a context of transition in regimes of urban renewal. The crisis of Fordist city planning at the end of the 1970s provoked a movement of "rehab squatting" ('Instandbesetzung'), which contributed to the institutionalization of "cautious urban renewal" ('behutsame Stadterneuerung') in an important way. The second rupture in Berlin's urban renewal became apparent in 1989 and 1990, when the necessity of restoring whole inner-city districts constituted a new, budget-straining challenge for urban policymaking. Whilst in the 1980s the squatter movement became a central condition for and a political factor of the transition to "cautious urban renewal," in the 1990s large-scale squatting — mainly in the eastern parts of the city — is better understood as an alien element in times of neoliberal urban restructuring.

Proceedings of the Annual Meeting of the Association for Education in Journalism and Mass Communication (85th, Miami, Florida, August 5-8, 2002). Minorities and Communication Division.

ERIC Educational Resources Information Center

2002

The Minorities and Communication Division of the proceedings contains the following 7 papers: "The Race Card and Ethical Reasoning: The Importance of Race to Journalistic Decision Making" (Renita Coleman); "Jesse Owens, A Black Pearl Amidst an Ocean of Fury: A Case Study of Press Coverage on The 1936 Berlin Olympic Games"…

Theoretical Studies in Plasmas: Crossed-Field Devices and Ionospheric Plasmas

DTIC Science & Technology

2006-06-19

results with the Camassa-Holm equation, we now know how to solve the full DTPP equations. This work is being carried out in collaboration with Dr. Heinz ...consultant) "+ Dr. Heinz Steudel (Humboldt University, Berlin, Germany; consultant) PUBLICATIONS * SUBMITTED * Books/Book Chapters * Journals S1. The Time...France, June 21, 2005. "± Lattice solitons and optical networks, "Conference on Differential & Difference Equations and Applica- tions", Melbourne

Transport Properties of Thin Bismuth Films on InP (110) Surfaces by Scanning Tunneling Potentiometry

NASA Astrophysics Data System (ADS)

Feenstra, R. M.; Briner, B. G.; Chin, T. P.; Woodall, J. M.

1996-03-01

Charge transport in 20--30 Å thick Bi-films is studied by scanning tunneling potentiometry (STP) at room temperature. The Bi is deposited on cleaved InP(110) surfaces at temperatures near 140 K, yielding atomically flat films interspersed with 12 Å deep holes. The InP substrates contain conducting/insulating/conducting layers, which in cross-section are used to form contacts to the film, thus enabling lateral current densities as high as 8 × 10^6 A/cm^2 . Potential variations due to scattering of this lateral current is detected using STP, by locating the zero-crossing of current-voltage characteristics at each pixel in an image. Potential images reveal, on a coarse scale, a smooth ramp arising from the electric field due to phonon scattering in the film, from which an electron-phonon scattering length of >1000 Å is deduced. On a finer scale, potential steps 2--10 mV high are seen near surface holes and grain boundaries in the film. Detailed study of the ballistic scattering near the holes reveals a dipole shaped feature, which is identified as a residual resistivity dipole. *present address: Physics, Carnegie Mellon Univ., Pittsburgh PA 15213 **now at: Fritz-Haber-Institut, 14195 Berlin, briner@fhi-berlin.mpg.de

[Prognosis improvements in children with acute myelocytic leucemia after more intensive induction therapy (author's transl)].

PubMed

Scheer, U; Schellong, G; Riehm, H

1979-03-01

Between October 1974 and October 1978 23 children with acute myelocytic leucemia (AML) received intensive therapy in the Univ.-Kinderklinik Münster: 4 children were treated according to the ALGB-protocol consisting of 5-7 day courses of ARA-C-infusion and 3 DNR-injections. 19 patients received the West-Berlin-protocol: The first 7 the original ALL protocol, 11 the modified form of AML, which will be presented here as AML-therapy-study BFM 78. 4 of the 23 patients died with early acute cerebral bleeding. 2 patients were nonresponders. 17 children went into remission. One girl died in remission of septicemic aspergillosis. 4 children had a relapse. In November 1978 there were still 12 patients in continuous complete remission, 3 of them already without therapy. 13 of the 19 patients, who were treated with the West-Berlin-protocol went into remission. 1 had a relapse. At present there are 11 patients in continuous complete remission. The above results and those found in the literature could signify that the long term prognosis of children with AML will be improved. To coordinate efforts toward this goal a cooperative AML-therapy-study in the "Deutsche Arbeitsgemeinschaft für Leukämieforschung" (BFM-group) using the here presented therapy protocol was formed in November 1978.

Heat storage in the Hettangian aquifer in Berlin - results from a column experiment

NASA Astrophysics Data System (ADS)

Milkus, Chri(Sch)augott

2015-04-01

Aquifer Thermal Energy Storage (ATES) is a sustainable alternative for storage and seasonal availability of thermal energy. However, its impact on the subsurface flow regime is not well known. In Berlin (Germany), the Jurassic (Hettangian) sandstone aquifer with highly mineralized groundwater (TDS 27 g/L) is currently used for heat storage. The aim of this study was to examine the hydrogeochemical changes that are caused by the induced temperature shift and its effects on the hydraulic permeability of the aquifer. Column experiments were conducted, in which stainless steel columns were filled with sediment from the aquifer and flushed with native groundwater for several weeks. The initial temperature of the experiment was 20°C, comparable to the in-situ conditions within the aquifer. After reaching equilibrium between sediment and water, the temperature was increased to simulate heating of the aquifer. During the experiment, physical and chemical parameters (pH, ORP, dissolved oxygen and dissolved carbon dioxide) were measured at the outflow of the column and the effluent water was sampled. Using a Scanning Electron Microscope, the deposition of precipitated minerals and biofilm on sediment grains was analyzed. Changes in hydraulic properties of the sediment were studied by the use of tracer tests with Uranin.

Benefits arising from SEA application -- a comparative review of North West England, Noord-Holland, and Brandenburg-Berlin

DOE Office of Scientific and Technical Information (OSTI.GOV)

Fischer, T.B.

1999-03-01

This article seeks to determine the extent to which current assessment practice of transport infrastructure-related policies, plans, and programs (PPPs) results in certain benefits of strategic environmental assessment (SEA) in three European Union regions, namely, the region of North West England (UK), the provincie (administrative region) Noord-Holland (The Netherlands), and the engerer Verflechtungsraum (planning region) Brandenburg-Berlin (Germany). The number of assessments of transport infrastructure-related PPPs that potentially may be called SEA in the three regions is estimated. Benefits that should result from the application of SEA can be determined based on a review of existing academic literature. An analytical frameworkmore » is prepared, introducing evaluation criteria that are based on principles of SEA frameworks and procedures. The framework is used to analyze transport infrastructure-related PPPs at all administrative levels of decision-making in the three study regions. It is concluded that current assessment practice indeed results in certain related experience in the European Union than is frequently anticipated in the academic literature. It is observed that case studies that were reviewed on a number of previous occasions and those that are included in this analysis do not necessarily appear to be good practice cases.« less

Tradition for Development: Indigenous Structures and Folk Media in Non-Formal Education. Report and Papers from the International Seminar on The Use of Indigenous Social Structures and Traditional Media in Non-Formal Education and Development (Berlin, West Germany. November 5-12, 1980).

ERIC Educational Resources Information Center

Kidd, Ross, Ed.; Colletta, Nat, Ed.

Case studies and seminar reports are provided that were presented at an international seminar to examine field experiences in using a culture-based approach to nonformal education. Part I, containing an introductory paper and nine case studies, focuses on indigenous institutions and processes in health, family planning, agriculture, basic…

Acquaintance Rape: Applying Crime Scene Analysis to the Prediction of Sexual Recidivism.

PubMed

Lehmann, Robert J B; Goodwill, Alasdair M; Hanson, R Karl; Dahle, Klaus-Peter

2016-10-01

The aim of the current study was to enhance the assessment and predictive accuracy of risk assessments for sexual offenders by utilizing detailed crime scene analysis (CSA). CSA was conducted on a sample of 247 male acquaintance rapists from Berlin (Germany) using a nonmetric, multidimensional scaling (MDS) Behavioral Thematic Analysis (BTA) approach. The age of the offenders at the time of the index offense ranged from 14 to 64 years (M = 32.3; SD = 11.4). The BTA procedure revealed three behavioral themes of hostility, criminality, and pseudo-intimacy, consistent with previous CSA research on stranger rape. The construct validity of the three themes was demonstrated through correlational analyses with known sexual offending measures and criminal histories. The themes of hostility and pseudo-intimacy were significant predictors of sexual recidivism. In addition, the pseudo-intimacy theme led to a significant increase in the incremental validity of the Static-99 actuarial risk assessment instrument for the prediction of sexual recidivism. The results indicate the potential utility and validity of crime scene behaviors in the applied risk assessment of sexual offenders. © The Author(s) 2015.

Soil physics and chemistry at a medieval ridge and furrow site in northeastern Germany

NASA Astrophysics Data System (ADS)

Hirsch, Florian; van der Maaten-Theunissen, Marieke; van der Maaten, Ernst; Schneider, Anna; Raab, Alexandra; Raab, Thomas

2017-04-01

The usage of non-reversible ploughs, mainly during the Middle Ages and until historic times, led to the formation of ridge and furrow systems. Due to improvements of agricultural techniques, these historic agricultural sites were often abandoned and are now marginal land. The parallel ridges and furrows are usually, if not destroyed by later conventional ploughing, preserved in present-day forests. In northeastern Germany ridge and furrow systems are normally several decameters long and up to ten meters wide. The height difference between ridge top and furrow bottom is up to 50 centimeters and is expected to cause significant contrasts of soil properties and vegetation. Furthermore, due to the abandonment of sites with ridges and furrows, soils on these sites are unique archives for studies on fertilization, soil carbon dynamics and soil development. Therefore, we are characterizing soil physics (bulk density, saturated soil hydraulic conductivity, texture) and soil chemistry (soil acidity, carbon and nitrogen content) on a type location of historic ridges and furrows about 100 km northwest of Berlin.

Extraction of highly charged ions from the Berlin Electron Beam Ion Trap for interactions with a gas target

DOE Office of Scientific and Technical Information (OSTI.GOV)

Allen, F.I.; Biedermann, C.; Radtke, R.

2006-03-15

Highly charged ions are extracted from the Berlin Electron Beam Ion Trap for investigations of charge exchange with a gas target. The classical over-the-barrier model for slow highly charged ions describes this process, whereby one or more electrons are captured from the target into Rydberg states of the ion. The excited state relaxes via a radiative cascade of the electron to ground energy. The cascade spectra are characteristic of the capture state. We investigate x-ray photons emitted as a result of interactions between Ar{sup 17+} ions at energies {<=}5q keV with Ar atoms. Of particular interest is the velocity dependencemore » of the angular momentum capture state l{sub c}.« less

[Anthropology and "crisis in medicine": The pathologist M. Kuczynski-Godard (1890-1967) and the indigenous peoples of Central Asia and Peru].

PubMed

Knipper, Michael

2009-01-01

This article examines the work of the German-Peruvian physician Max Kuczynski/Máxime Kuczynski-Godard (Berlin 1890-Lima 1967) in rural areas of Central Asia (1924-26) and Peru (1938-48). The main focus of the text is on the scientific approach behind the specific interest of this pathologist in disease and health issues among native populations. Kuczynski's theoretical considerations are analyzed in the context of the wide controversies within the German medical community around a "crisis in medicine" when he was professor at Berlin University during the interwar years. Accordingly, his determination to leave the laboratory and to shift research and healthcare practice closer to rural populations proves to be the expression of profound epistemological and ethical considerations.

Theme section for 36th International Symposium for Remote Sensing of the Environment in Berlin

NASA Astrophysics Data System (ADS)

Trinder, John; Waske, Björn

2016-09-01

The International Symposium for Remote Sensing of the Environment (ISRSE) is the longest series of international conferences held on the topic of Remote Sensing, commencing in Ann Arbor, Michigan USA in 1962. While the name of the conference has changed over the years, it is regularly held approximately every 2 years and continues to be one of the leading international conferences on remote sensing. The latest of these conferences, the 36th ISRSE, was held in Berlin, Germany from 11 to 15 May 2015. All complete papers from the conference are available in the ISPRS International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences at http://www.int-arch-photogramm-remote-sens-spatial-inf-sci.net/XL-7-W3/index.html.

Collection and utilization of Japanese scientific and technological information in Europe and U.S.A. - Report on the Berlin Conference 1989 -

NASA Astrophysics Data System (ADS)

Miyakawa, Takayasu; Miwa, Makiko; Obara, Michio

The 2nd International Conference on Japanese Information in Science Technology and Commerce was held on October 23-25, 1989 at Japanisch-Deutsches Zentrum Berlin, Federal Republic of Germany. During two years since previous Conference at Warwick, England, in 1987, much progresses were made in collecting, using and evaluating Japanese scientific, technological and industrial information in Western countries. On the other hands, overseas supply of Japanese databases and information by Japanese governmental and private organizations have been improved in many aspects. There occurred presentation of papers and valuable exchange of opinions and experiences. The Conference consisted of II Sessions which covered trends and policies, various information sources, analysis and distributions, Japanese language and Kanji processings and direct connection with Japan.

'A Berlin psychiatrist with an American passport': Lothar Kalinowsky, electroconvulsive therapy and international exchange in the mid-twentieth century.

PubMed

Rzesnitzek, Lara

2015-12-01

The emigration of Lothar Kalinowsky (1899-1992) might, at first glance, seem to be a history of coincidence and twists of fate, but it is shown to be a truly entangled and intertwined history and story. The international introduction of electroconvulsive therapy was not only closely involved with the political, scientific and economic conditions during World War II, but the story of Kalinowsky's relevance to it emerges from competing stories, told differently in Europe and the USA - and by Kalinowsky himself. Tracing these stories up to the end of the 1960s reveals Kalinowsky as an influential inheritor and patron of Berlin Biological Psychiatry, rather than telling the history of an émigré innovator of international neuropsychiatric research. © The Author(s) 2015.

Magnus Hirschfeld, his biographies and the possibilities and boundaries of "biography" as "doing history.".

PubMed

Brennan, Toni; Hegarty, Peter

2009-12-01

This article considers the two major biographies of sexologist Magnus Hirschfeld, MD (1868-1935), an early campaigner for "gay rights" avant la lettre. Like him, his first biographer Charlotte Wolff (1897-1986) was a Jewish doctor who lived and worked in Weimar Republic Berlin and fled Germany when the Nazi regime came to power. When researching Hirschfeld's biography (published in English in 1986) Wolff met a librarian and gay activist, Manfred Herzer, who would eventually be a cofounder of the Gay Museum in Berlin and publish (in German, in 1992) the other major Hirschfeld biography currently available. Using, inter alia, the correspondence between Wolff and Herzer, the article aims to explore and interrogate the boundaries and possibilities of "biography" as a form of "doing history."

Openness as a buffer against cognitive decline: The Openness-Fluid-Crystallized-Intelligence (OFCI) model applied to late adulthood.

PubMed

Ziegler, Matthias; Cengia, Anja; Mussel, Patrick; Gerstorf, Denis

2015-09-01

Explaining cognitive decline in late adulthood is a major research area. Models using personality traits as possible influential variables are rare. This study tested assumptions based on an adapted version of the Openness-Fluid-Crystallized-Intelligence (OFCI) model. The OFCI model adapted to late adulthood predicts that openness is related to the decline in fluid reasoning (Gf) through environmental enrichment. Gf should be related to the development of comprehension knowledge (Gc; investment theory). It was also assumed that Gf predicts changes in openness as suggested by the environmental success hypothesis. Finally, the OFCI model proposes that openness has an indirect influence on the decline in Gc through its effect on Gf (mediation hypothesis). Using data from the Berlin Aging Study (N = 516, 70-103 years at T1), these predictions were tested using latent change score and latent growth curve models with indicators of each trait. The current findings and prior research support environmental enrichment and success, investment theory, and partially the mediation hypotheses. Based on a summary of all findings, the OFCI model for late adulthood is suggested. (c) 2015 APA, all rights reserved).

[Autonomy and informed consent in surgical care-patients' and staff perceptions].

PubMed

Schopp, Anja; Dassen, Theo; Välimäki, Maritta; Leino-Kilpi, Helena; Gasull, Maria; Lemonidou, Chryssoula; Scott, Anne P; Arndt, Marianne

2004-06-01

The aim of this study was to describe autonomy and informed consent in surgical care. The study is a part of the international BIOMED 2 project "Patients' Autonomy and Privacy in Nursing Interventions" (BIOMED2, BMH4-CT98-3555; 1998-2001) supported by the European Commission. For this study, data of patients (n = 254) and nurses (n = 205) in eleven Berlin hospitals and three hospitals outside Berlin were collected by means of a structured questionnaire. The findings of the study indicate, that information-giving was more positive than decision-making. Patients perceived they were more frequently informed about their surgery than about their care. According to the perceptions of nurses the case was reversed. The perceptions of both groups differed, since from the point of view of nurses, patients' autonomy was more frequently heeded and their consent was sought more often than from the point of view of the patients. Patients admitted as emergencies and in multi-bed rooms perceived their autonomy more negatively than those with a planned surgery or in single rooms. Elderly nurses were more frequently than younger nurses of the opinion to grant patients autonomy. Nurses with a longer working experience in nursing care perceived that patients were more frequently asked their consent. Further, nurses with a higher educational qualification and with a higher occupational status perceived decision-making more negatively. The findings of the present study give implications for clinical practice, nursing education, and for further research.

[Centrally and non-centrally designed exams in nursing: Comparisons of the final exams in 2008 to 2013 in Berlin focusing on different concepts of professional nursing education].

PubMed

Strube-Lahmann, Sandra; Vogler, Christine; Friedrich, Kai; Dassen, Theo; Kottner, Jan

2016-12-01

In Germany, nursing education ends with a final written, oral and practical exam. In the federal state of Berlin, Germany, all nursing students take centrally standardized written exams, while the practical and oral exams are developed by each individual nursing school or university and conducted without standardized protocols (non-central). Comparability might be seriously limited by this procedure. Since there is no official statistics available, the objective of this study is to compare the results of the final written, oral and practical exams of different nursing education institutions with an additional focus on different educational concepts. In a secondary data analysis, the final grades (written, oral, practical) of 4,342 nursing students in all 16 educational institutions in Berlin from 2008 to 2013 were analyzed. The mean (SD) of all written, oral and practical exams taken was 2.9 (0.7), 2.6 (1.1) and 2.2 (1.0), respectively. In each type of exam, the trend in grades was stable over the observation period. There was a statistically significant increase in the prevalence of initially failed exams from 2008 (7.9 %) to 2013 (12.0 %). In institutions following a traditional concept of education, the difference in grades between oral/practical exams on the one hand and written exams on the other ranged from 0.1 to 0.9, while in generalist (academic) institutions it ranged between -0.1 and 0.3 (-0.1 to 0). In nursing schools with a traditional approach to education, there was a big difference in grades between written and oral/practical exams. Standardization of oral and practical exams should be initiated to ensure greater comparability between different educational institutions. Copyright © 2016. Published by Elsevier GmbH.

Identification and significance of sulphonamides (p-TSA, o-TSA, BSA) in an urban water cycle (Berlin, Germany).

PubMed

Richter, Doreen; Massmann, Gudrun; Dünnbier, Uwe

2008-03-01

Because of the nature of the water cycle in Berlin, a number of persistent wastewater residues are present in the surface water and may potentially reach the groundwater via bank filtration and artificial recharge. The occurrence and behaviour of the wastewater residues para-toluenesulphonamide (p-TSA), ortho-toluenesulphonamide (o-TSA) and benzenesulphonamide (BSA) through wastewater treatment, surface water, bank filtration and drinking water treatment was studied. In addition, groundwater below a former sewage farm was investigated. All three compounds are ubiquitous in the aquatic environment of Berlin. p-TSA concentrations are much higher than those of o-TSA and BSA. p-TSA was found in high concentrations in the wastewater influent (2 to 15microg/L), in the wastewater effluent (<0.15 to 2.34microg/L) and in sewage farm groundwater (<0.05 to 20microg/L) and in lower concentrations in the surface water (<0.05 to 1.15microg/L), bank filtrate (<0.05 to 0.30microg/L) and drinking water (<0.05 to 0.54microg/L). p-TSA is considerably depleted during waste- and drinking water treatment ( approximately 90% reduction each). The concentration ranges for o-TSA and BSA in wastewater influents were 0.11 to 8microg/L and <0.05 to 0.64microg/L, respectively, while the values for wastewater effluents were 0.14 to 4microg/L for o-TSA and 0.25 to 0.49microg/L for BSA. Wastewater treatment and drinking water treatment do not reduce the concentrations of o-TSA and BSA. The behaviour of o-TSA during wastewater treatment varies largely between different wastewater treatment plants where concentrations increase, remain constant or decrease. BSA forms during treatment. The concentrations measured in surface water, sewage farm groundwater, bank filtrate and drinking water were <0.05 to 1.74microg/L for o-TSA and <0.05 to 0.53microg/L for BSA.

Pain intensity, temperament traits and social support as determinants of trauma symptoms in patients suffering from rheumatoid arthritis and low-back pain.

PubMed

Rzeszutek, Marcin; Oniszczenko, Włodzimierz; Schier, Katarzyna; Biernat-Kałuża, Edyta; Gasik, Robert

2016-04-01

The main goal of our study was to investigate the relationship between age, duration of pain, pain intensity, temperament traits as postulated by the Regulative Theory of Temperament (RTT), social support dimensions and the level of trauma symptoms, as appear in post-traumatic stress disorder (PTSD) in a sample of 300 patients suffering from chronic pain in two groups comprised of 150 patients with a clinical diagnosis of rheumatoid arthritis (RA) and 150 patients with a clinical diagnosis of low-back pain (LBP). They were analyzed together as a one group of 300 patients with chronic pain. Temperament was measured with the Formal Characteristics of Behaviour - Temperament Inventory (FCB-TI). Social support was tested with the Berlin Social Support Scales (BSSS). The Numerical Rating Scale (NRS-11) was used to measure pain intensity. The level of trauma symptoms was assessed with the Post-Traumatic Stress Disorder Factorial Version Inventory (PTSDF). The results of our study suggest that the intensity of pain, participants' age, Emotional Reactivity and Sensory Sensitivity as temperament traits, need for support, and actually received social support were related to the level of trauma symptoms. The sum of the squared semi-partial correlations showed that all six variables (age, pain intensity, Emotional Reactivity, Sensory Sensitivity, need for support and actually received support), account for 20% of the variance of general trauma symptoms level. The importance of temperament traits, social support and trauma symptoms should be taken into an account in psychotherapy accompanying pharmacotherapy for pain. © 2015 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd.

[Increased incidence of hepatocellular and intrahepatic cholangiocellular carcinoma in northeast Germany].

PubMed

Schurr, R; Stölzel, U; Schuppan, D; Schwertner, C; Steinberg, J; Scherübl, H

2006-07-28

Hepatocellular cancer (HCC) is one of the five most common cancers worldwide. In Western countries the incidence of both HCC and intrahepatic cholangiocellular cancer (iCCC) has increased quite dramatically in the last 20 years. It was the aim of this study to assess the epidemiological changes of both cancers in the Northeast of Germany. Using the data base of the Joint German Cancer Registry of the New Federal States and of Berlin, the age- and world-population-adjusted incidence of HCC and iCCC and their 5-year survival were calculated. The states of Brandenburg, Mecklenburg-Vorpommern and Saxony were chosen for this study because of the high quality of their registration base. In men the age-adjusted incidence of HCC increased from 3.6 in 1976 to 5.7 in 2002, the absolute number of newly diagnosed HCCs rising from 192 to 383 males within this period. In women the incidence was much lower. While only 30 males and 36 females were diagnosed with iCCC in 1976, in 2002 there were 64 men and 75 women with iCCC. In 1976, the corresponding age-adjusted incidence was 0.5 in men and 0.4 in women. Up to 2002 the incidence of iCCC rose to 0.8 and 0.6, respectively. The cumulative 5-year survival of HCC and iCCC was less than 10% for each. Comparison of the early period (1978-1979) with the later one (1998-1999) demonstrated a statistically significant improvement in survival for HCC. This was most likely due to earlier diagnosis and treatment of HCC. In the Northeast of Germany the incidence of both HCC and iCCC have increased markedly in the last 20 years. The recently improved survival of HCC patients most likely reflects earlier diagnosis and treatment.

"Just dreaming of them": The Berlin Project for Primary Prevention of Child Sexual Abuse by Juveniles (PPJ).

PubMed

Beier, Klaus M; Oezdemir, Umut C; Schlinzig, Eliza; Groll, Anna; Hupp, Elena; Hellenschmidt, Tobias

2016-02-01

The Berlin Project for Primary Prevention of Child Sexual Abuse by Juveniles (PPJ) offers diagnostic and therapeutic help to 12-to-18-year-old juveniles with a sexual preference for the prepubescent and/or early pubescent body of children and who apply for treatment on a voluntary basis. The project goal is to prevent primary or recurrent child sexual abuse as well as primary or recurrent use of child abuse images. Treatment aims to enable affected juveniles to obtain control over their conflictual sexual behaviors. In the present article, the origin of the PPJ; its main approach, including the conception of a media campaign; as well as results from the first year of a three-year study are presented. Further, initial characterizations of juveniles taking part in the project for the first 12 months are provided. The results confirmed that the group of 12-to-18-year-old juveniles with a sexual preference for prepubescent and/or early pubescent minors exists as a target group for primary preventive measures and that they can be assessed for their sexual preferences. Copyright © 2015 Elsevier Ltd. All rights reserved.

[Implementation of the eLearning project NESTOR. A network for students in traumatology and orthopedics].

PubMed

Back, D A; Haberstroh, N; Hoff, E; Plener, J; Haas, N P; Perka, C; Schmidmaier, G

2012-01-01

Modern internet-based information technologies offer great possibilities to create and improve teaching methods for students. The eLearning tool NESTOR (Network for Students in Traumatology and Orthopedics) presented here was designed to complement the existing clinical teaching in orthopedics and traumatology at the Charité, University Medicine Berlin. Using a learning management system, videos, podcasts, X-ray diagnosis, virtual patients, tests and further tools for learning and study information were combined. After implementation the eLearning project was evaluated by students. The NESTOR project offers various possibilities for knowledge acquisition. Students using the program voluntarily showed a high acceptance whereby 82.4% were very satisfied with the contents offered and 95.3% supported the idea of a future use of NESTOR in teaching. The blended learning approach was positively evaluated by 93.5% of the students. The project received the eLearning seal of quality of the Charité University Medicine Berlin. Using complex eLearning tools, such as the NESTOR project represents a contemporary teaching approach in the teaching of traumatology and orthopedics and should be offered in a blended learning context as they are well accepted by students.

Cognitive and social influences on early prosocial behavior in two sociocultural contexts.

PubMed

Kärtner, Joscha; Keller, Heidi; Chaudhary, Nandita

2010-07-01

In this cross-cultural study, we tested 2 main hypotheses: first, that an early self-concept along with self-other differentiation is a universal precursor of prosocial behavior in 19-month-olds, and second, that the importance attached to relational socialization goals (SGs) concerning interpersonal responsiveness (obedience, prosocial behavior) is related to toddlers' prosocial behavior. Contrary to these predictions, the results show that mirror self-recognition, as an indicator of early self-concept, was correlated with toddlers' prosociality only in the Berlin sample (N = 38) and not in the Delhi sample (N = 39). As expected, however, Delhi mothers emphasized relational SGs more strongly than did Berlin mothers. There were no cross-cultural differences in toddlers' prosociality. On an individual level, mothers' emphasis on relational SGs (obedience) was a significant predictor of toddlers' prosocial behavior. On the basis of these results, we propose that situational helping behavior based on shared intentional relations provides an alternative developmental pathway for understanding toddlers' prosocial behavior. This view differs from the often-cited view that anticipating other people as autonomous intentional agents with their own psychological states gives rise to prosocial behavior in toddlers.

Dilemmas of Brazilian Grand Strategy

DTIC Science & Technology

2010-08-01

a regional leader, and may in any case be stymied by Russian or Chinese opposition. It could also en - tail de -prioritizing one tenuous multilateral...strategic implications for the Army, the Department of De - fense, and the larger national security community. In addition to its studies, SSI...worked as a de - fense analyst in Washington, DC. Dr. Brands is the author of From Berlin to Baghdad: America’s Search for Purpose in the Post-Cold War

Naval Research Logistics Quarterly. Volume 27, Number 2.

DTIC Science & Technology

1980-06-01

research area in recent years. Van Zyl [11] provided the first major study on single-product perishable inventories, but the field only began to...Journal of Applied Mathematics 30, 483-500 (1976). [III Van Zyl, G.J.J., "Inventory Control for Perishable Commodities," Unpublished Ph.D. dissertation...Hollatz and B. Bank, "Theorie der Linearen Parametrischen Optimierung," Akademie-Verlag, Berlin (1974). [4] Polya, G. and G. Szego, "Problems and

When the times were changing

NASA Astrophysics Data System (ADS)

Klein, Max

2009-12-01

It has been 20 years since the fall of the Berlin Wall. In the wake of the upheaval, the East German society was radically remodelled. For physicists, it brought new opportunities - and fresh challenges.

Interaction of Elastic Waves with Corrosion Damage

DTIC Science & Technology

2010-08-01

Joachim Schneider -Gloetzl, Gloetzl GmbH, Rheinstetten, Germany Rainer Gloetzl, RG Research, Ettlingen, Germany...Katerina Krebber, Sascha Liehr, Mario Wendt, Aleksander Wosniok, BAM, Federal Institute for Materials, Research and Testing, Berlin, Germany

Berlin in Motion: Interprofessional teaching and learning for students in the fields of medicine, occupational therapy, physiotherapy and nursing (INTER-M-E-P-P)

PubMed Central

Bohrer, Annerose; Heinze, Cornelia; Höppner, Heidi; Behrend, Ronja; Czakert, Judith; Hitzblech, Tanja; Kaufmann, Ina; Maaz, Asja; Räbiger, Jutta; Peters, Harm

2016-01-01

Aim: The Berlin project "Interprofessional teaching and learning in medicine, occupational therapy, physiotherapy and nursing" (INTER-M-E-P-P) pursues the goal of developing and testing interprofessional courses in an exemplary manner, and then implement these into their regular study programs. Method: Under the direction of a steering committee of the participating institutions, professions and status groups, interprofessional courses were designed, carried out and evaluated. Specific to this project are the participation of students in the steering committee, and the accompanying of external supervision. The evaluation integrates the perspectives of all project participants, and combines quantitative and qualitative methods. Results: INTER-M-E-P-P established cooperative structures between the participating universities and programs. Three courses were designed, taught and evaluated in an interprofessional manner. The various curricula, organizational patterns and locations of the study paths led to a great need for resources in regard to planning and implementation. This process can be made difficult by any stereotypes or preconceptions inherent to those doing the planning; however, under external supervision, the individual professional viewpoints can still be broadened and enriched. Conclusion: A sustainable implementation of interprofessional education into the curricula of health science study programs is currently complicated by barriers such as different geographical locations and differing university regulations concerning study and testing. Implementation will require long-term support at the university as well as at political levels. PMID:27280145

Berlin in Motion: Interprofessional teaching and learning for students in the fields of medicine, occupational therapy, physiotherapy and nursing (INTER-M-E-P-P).

PubMed

Bohrer, Annerose; Heinze, Cornelia; Höppner, Heidi; Behrend, Ronja; Czakert, Judith; Hitzblech, Tanja; Kaufmann, Ina; Maaz, Asja; Räbiger, Jutta; Peters, Harm

2016-01-01

The Berlin project "Interprofessional teaching and learning in medicine, occupational therapy, physiotherapy and nursing" (INTER-M-E-P-P) pursues the goal of developing and testing interprofessional courses in an exemplary manner, and then implement these into their regular study programs. Under the direction of a steering committee of the participating institutions, professions and status groups, interprofessional courses were designed, carried out and evaluated. Specific to this project are the participation of students in the steering committee, and the accompanying of external supervision. The evaluation integrates the perspectives of all project participants, and combines quantitative and qualitative methods. INTER-M-E-P-P established cooperative structures between the participating universities and programs. Three courses were designed, taught and evaluated in an interprofessional manner. The various curricula, organizational patterns and locations of the study paths led to a great need for resources in regard to planning and implementation. This process can be made difficult by any stereotypes or preconceptions inherent to those doing the planning; however, under external supervision, the individual professional viewpoints can still be broadened and enriched. A sustainable implementation of interprofessional education into the curricula of health science study programs is currently complicated by barriers such as different geographical locations and differing university regulations concerning study and testing. Implementation will require long-term support at the university as well as at political levels.

Assessment of sleepiness, fatigue, and depression among Gulf Cooperation Council commercial airline pilots.

PubMed

Aljurf, Tareq M; Olaish, Awad H; BaHammam, Ahmed S

2018-05-01

No studies have assessed the prevalence of fatigue, depression, sleepiness, and the risk of obstructive sleep apnea (OSA) among commercial airlines pilots in the Gulf Cooperation Council (GCC). This was a quantitative cross-sectional study conducted among pilots who were on active duty and had flown during the past 6 months for one of three commercial airline companies. We included participants with age between 20 and 65 years. Data were collected using a predesigned electronic questionnaire composed of questions related to demographic information in addition to the Fatigue Severity Scale (FSS), the Berlin Questionnaire, the Epworth Sleepiness Scale (ESS), and the Hospital Anxiety and Depression Scale (HADS). The study included 328 pilots with a mean age ± standard deviation of 41.4 ± 9.7 years. Overall, 224 (68.3%) pilots had an FSS score ≥ 36 indicating severe fatigue and 221 (67.4%) reported making mistakes in the cockpit because of fatigue. One hundred and twelve (34.1%) pilots had an ESS score ≥ 10 indicating excessive daytime sleepiness and 148 (45.1%) reported falling asleep at the controls at least once without previously agreeing with their colleagues. One hundred and thirteen (34.5%) pilots had an abnormal HADS depression score (≥ 8), and 96 (29.3%) pilots were at high risk for OSA requiring further assessment. Fatigue, sleepiness, risk of OSA, and depression are prevalent among GCC commercial airline pilots. Regular assessment by aviation authorities is needed to detect and treat these medical problems.

Gerhard Ertl, Nobel Laureate for Chemistry 2007

NASA Astrophysics Data System (ADS)

Kawai, Maki

In year 2007, Nobel prize for Chemistry was awarded to Prof. Gerhard Ertl, former director of Fritz Haber Institute, Berlin. The article is to introduce the brilliant achievement of Prof. Ertl in part.

A purification and some properties of an insecticidal exotoxin from Bacillus thuringiensis Berliner

PubMed Central

Bond, R. P. M.; Boyce, C. B. C.; French, S. J.

1969-01-01

An insecticidal exotoxin from Bacillus thuringiensis var. thuringiensis (Berliner) has been purified. The efficiency of each stage of the purification has been ascertained and the yield of toxic material estimated by means of a quantitative bioassay. It is shown that the exotoxin is an adenine derivative substituted at position 9 and having a molecular weight of approximately 825. It can be dephosphorylated enzymically or chemically under conditions that define the exotoxin as a phosphomonoester. This results in loss of toxicity, both to insects and to mice. Spectroscopic and kinetic data are presented which suggest that a β-ribofuranosyl moiety may be attached to the adenine. Glucose and allomucic acid have been positively identified as hydrolysis fragments from the exotoxin. These results are discussed and compared with the results of others on similar (or possibly identical) compounds. PMID:5820635

Modern applications of high energy ion beams: From "single-event burnout" to human eye cancer treatment

NASA Astrophysics Data System (ADS)

Homeyer, H.; Mahnke, H.-E.

1996-12-01

Energetic ion beams, originally the domain of nuclear physics, become increasingly important tools in many other fields of research and development. The choice of ion species and ion energy allows an enormously wide variation of the penetration depth and of the amount of the electronic stopping power. These features are utilized to modify or damage materials and living tissues in a specific way. Materials modification with energetic ion beams is one of the central aims of research and development at the ion beam laboratory, ISL-Berlin, a center for ion-beam applications at the Hahn-Meitner-Institut Berlin. In particular, energetic protons will be used for eye cancer treatment. Selected topics such as the "single-event burnout" of high power diodes and the eye cancer therapy setup will be presented in detail.

A note on the history of the Norwegian Psychoanalytic Society from 1933 to 1945.

PubMed

Anthi, Per; Haugsgjerd, Svein

2013-08-01

The Norwegian analysts, who were trained in Berlin before 1933, were drawn into a struggle against fascism, informed by politically leftist analysts who worked at the Berlin Institute. The Norwegian group, including the analysts Wilhelm Reich and Otto Fenichel, were committed to Marxist or social democratic ideologies in order to fight down fascism and Nazism. They were a source of inspiration but also of conflict. After the war the leadership of the IPA was sceptical about the Norwegian group because of its former connections with Die Linke, as well as its relations with Wilhelm Reich. This paper in part considers the courageous efforts of Nic Waal, whom Ernest Jones used as a delegate and courier to solve problems for the IPA and who was unjustly treated after the war. Copyright © 2013 Institute of Psychoanalysis.

The 2013 German-Russian BION-M1 Joint Flight Project: Skeletal Muscle and Neuromuscular Changes in Mice Housed for 30 Days in a Biosatellite on Orbit

NASA Astrophysics Data System (ADS)

Blottner, Dieter; Shenkman, Boris; Salanova, Michele

Exposure to microgravity results in various structural, biochemical and molecular changes of the skeletal neuromuscular system. The BION Joint Flight Proposal between the Charité Berlin Center of Space Medicine (www.zwmb.de) in Berlin, and the Institute of Biomedical Problem (IMBP) in Moscow, provided an exciting opportunity for a more detailed analysis of neuromuscular changes in mice (C57/bl6) exposed to real microgravity housed for 30 days in a BION M1 biosatellite on orbit. The mice from the BION flight group (n=5) were compared to three different on-ground control groups (Flight control, BION-ground and Vivarium, each n=5 mice). We started to analyse various skeletal muscles from the hind limbs or trunk. Apart from routine structural and biochemical analysis (fiber size and type distribution, slow/fastMyHC) we test the hypothesis for the presence of a microgravity-induced sarcolemma-cytosolic protein shift of nitric oxide synthase (NOS) and partial loss in neuromuscular synapse scaffold protein (Homer) immunoexpression known to be prone to disuse in mice or humans (hind limb unloading, bed rest) as previously shown (Sandonà D et al., PLoS One, 2012, Salanova M et al., FASEB J, 2011). National Sponsors: Federal Ministry of Economics and Technology (BMWi) via the German AeroSpace Board, DLR e.V., Bonn-Oberkassel, Germany (#50WB1121); Contract RAS-IMBP/Charité Berlin # Bion-M1/2013

Evidence for an independent third Usutu virus introduction into Germany.

PubMed

Ziegler, Ute; Fast, Christine; Eiden, Martin; Bock, Sabine; Schulze, Christoph; Hoeper, Dirk; Ochs, Andreas; Schlieben, Patricia; Keller, Markus; Zielke, Dorothee E; Luehken, Renke; Cadar, Daniel; Walther, Doreen; Schmidt-Chanasit, Jonas; Groschup, Martin H

2016-08-30

Usutu virus (USUV) is an arbovirus within the genus flavivirus, which was first introduced to Southern Europe approximately twenty years ago causing epizootics among wild and captive birds. In Germany USUV was initially discovered in wild birds, mainly Common blackbirds (Turdus merula), in the Upper Rhine valley in southwest of the country in 2011 and has not spread much northwards since. Phylogenetic analyses revealed that the still ongoing USUV epidemic is caused by two different USUV strains, USUV-Germany belonging to the USUV Europe 3 lineage and USUV-Bonn belonging to the USUV Africa 3 lineage. The two strains were introduced independently. In August 2015 a new USUV strain, named USUV-Berlin, was isolated in Vero cells from two carcasses of juvenile Great grey owls (Strix nebulosa) kept in the Zoological Garden Berlin, which had suffered from a hyperacute fatal systemic infection. Both owls carried high USUV genome loads. Full-length USUV genomes sequences were determined and phylogenetic analysis demonstrated a close relationship with a Spanish mosquito-derived sequence from 2006. Immunohistochemical antigen detection in organ samples of the owls showed the typical USUV infection patterns. According to the phylogenetic analysis, USUV-Berlin belongs to the Africa 2 lineage, and can thus be distinguished from the other strains circulating in Germany. Repeated findings of different USUV strains suggest more frequent introductions into Central Europe and a higher mobility of this virus than assumed to date. Copyright © 2016 Elsevier B.V. All rights reserved.

Comparison of two treatments for the removal of selected organic micropollutants and bulk organic matter: conventional activated sludge followed by ultrafiltration versus membrane bioreactor.

PubMed

Sahar, E; Ernst, M; Godehardt, M; Hein, A; Herr, J; Kazner, C; Melin, T; Cikurel, H; Aharoni, A; Messalem, R; Brenner, A; Jekel, M

2011-01-01

The potential of membrane bioreactor (MBR) systems to remove organic micropollutants was investigated at different scales, operational conditions, and locations. The effluent quality of the MBR system was compared with that of a plant combining conventional activated sludge (CAS) followed by ultrafiltration (UF). The MBR and CAS-UF systems were operated and tested in parallel. An MBR pilot plant in Israel was operated for over a year at a mixed liquor suspended solids (MLSS) range of 2.8-10.6 g/L. The MBR achieved removal rates comparable to those of a CAS-UF plant at the Tel-Aviv wastewater treatment plant (WWTP) for macrolide antibiotics such as roxythromycin, clarithromycin, and erythromycin and slightly higher removal rates than the CAS-UF for sulfonamides. A laboratory scale MBR unit in Berlin - at an MLSS of 6-9 g/L - showed better removal rates for macrolide antibiotics, trimethoprim, and 5-tolyltriazole compared to the CAS process of the Ruhleben sewage treatment plant (STP) in Berlin when both were fed with identical quality raw wastewater. The Berlin CAS exhibited significantly better benzotriazole removal and slightly better sulfamethoxazole and 4-tolyltriazole removal than its MBR counterpart. Pilot MBR tests (MLSS of 12 g/L) in Aachen, Germany, showed that operating flux significantly affected the resulting membrane fouling rate, but the removal rates of dissolved organic matter and of bisphenol A were not affected.

Simulation and source identification of X-ray contrast media in the water cycle of Berlin.

PubMed

Knodel, J; Geissen, S-U; Broll, J; Dünnbier, U

2011-11-01

This article describes the development of a model to simulate the fate of iodinated X-ray contrast media (XRC) in the water cycle of the German capital, Berlin. It also handles data uncertainties concerning the different amounts and sources of input for XRC via source densities in single districts for the XRC usage by inhabitants, hospitals, and radiologists. As well, different degradation rates for the behavior of the adsorbable organic iodine (AOI) were investigated in single water compartments. The introduced model consists of mass balances and includes, in addition to naturally branched bodies of water, the water distribution network between waterways and wastewater treatment plants, which are coupled to natural surface waters at numerous points. Scenarios were calculated according to the data uncertainties that were statistically evaluated to identify the scenario with the highest agreement among the provided measurement data. The simulation of X-ray contrast media in the water cycle of Berlin showed that medical institutions have to be considered as point sources for congested urban areas due to their high levels of X-ray contrast media emission. The calculations identified hospitals, represented by their capacity (number of hospital beds), as the most relevant point sources, while the inhabitants served as important diffusive sources. Deployed for almost inert substances like contrast media, the model can be used for qualitative statements and, therefore, as a decision-support tool. Copyright © 2011 Elsevier Ltd. All rights reserved.

Computer-aided system for diabetes care in Berlin, G.D.R.

PubMed

Thoelke, H; Meusel, K; Ratzmann, K P

1990-01-01

In the Centre of Diabetes and Metabolic Disorders of Berlin, G.D.R., a computer-aided care system has been used since 1974, aiming at relieving physicians and medical staff from routine tasks and rendering possible epidemiological research on an unselected diabetes population of a defined area. The basis of the system is the data bank on diabetics (DB), where at present data from approximately 55,000 patients are stored. DB is used as a diabetes register of Berlin. On the basis of standardised criteria of diagnosis and therapy of diabetes mellitus in our dispensary care system, DB facilitates representative epidemiological analyses of the diabetic population, e.g. prevalence, incidence, duration of diabetes, and modes of treatment. The availability of general data on the population or the selection of specified groups of patients serves the management of the care system. Also, it supports the computer-aided recall of type II diabetics, treated either with diet alone or with diet and oral drugs. In this way, the standardised evaluation of treatment strategies in large populations of diabetics is possible on the basis of uniform metabolic criteria (blood glucose plus urinary glucose). The system consists of a main computer in the data processing unit and of personal computers in the diabetes centre which can be used either individually or as terminals to the main computer. During 14 years of experience, the computer-aided out-patient care of type II diabetics has proved efficient in a big-city area with a large population.

In vivo bone remodeling rates determination and compressive stiffness variations before, during 60 days bed rest and two years follow up: A micro-FE-analysis from HR-pQCT measurements of the berlin Bed Rest Study-2

NASA Astrophysics Data System (ADS)

Ritter, Zully; Belavy, Daniel; Baumann, Wolfgang W.; Felsenberg, Dieter

2017-03-01

Bed rest studies are used for simulation and study of physiological changes as observed in unloading/non-gravity environments. Amongst others, bone mass reduction, similar as occurring due to aging osteoporosis, combined with bio-fluids redistribution and muscle atrophy have been observed and analyzed. Advanced radiological methods of high resolution such as HR-pQCT (XtremeCT) allow 3D-visualizing in vivo bone remodeling processes occurring during absence/reduction of mechanical stimuli (0 to <1 g) as simulated by bed rest. Induced bone micro-structure (e.g. trabecular number, cortical thickness, porosity) and density variations can be quantified. However, these parameters are average values of each sample and important information regarding bone mass distribution and within bone mechanical behaviour is lost. Finite element models with hexa-elements of identical size as the HR-pQCT measurements (0.082 mm×0.082 mm×0.082 mm, ca. 7E6 elements/sample) can be used for subject-specific in vivo stiffness calculation. This technique also allows quantifying if bone microstructural changes represent a risk of mechanical bone collapse (fracture).

[Prescription drug abuse in elderly psychiatric patients].

PubMed

Wetterling, Tilman; Schneider, Barbara

2012-08-01

Due to demographic changes there will be a fraction of elderly patients with substance use disorders. However, only a few data have been published about elderly abusers of prescription drugs. Since substance abuse is frequently comorbid with psychiatric disorders, treatment in a psychiatric hospital is often needed. In this explorative study elderly people with prescription drug abuse who required psychiatric inpatient treatment should be characterized. This study was part of the gerontopsychiatry study Berlin (Gepsy-B), an investigation of the data of all older inpatients (≥ 65 years) admitted to a psychiatric hospital within a period of 3 years. Among 1266 documented admissions in 110 cases (8.7 %) (mean age: 75.7 ± 7.1 years) prescription drug abuse, mostly of benzodiazepines was diagnosed. Females showed benzodiazepine abuse more often than males. In only a small proportion of the cases the reason for admission was withdrawal of prescribed drugs. 85.5 % suffered from psychiatric comorbidity, mostly depression. As risk factors for abuse depressive symptoms (OR: 3.32) as well as concurrent nicotine (OR: 2.69) or alcohol abuse (OR: 2.14) were calculated. Psychiatric inpatient treatment was primarily not necessary because of prescription drug abuse but because of other psychopathological symptoms. © Georg Thieme Verlag KG Stuttgart · New York.

Does training improve diagnostic accuracy and inter-rater agreement in applying the Berlin radiographic definition of acute respiratory distress syndrome? A multicenter prospective study.

PubMed

Peng, Jin-Min; Qian, Chuan-Yun; Yu, Xiang-You; Zhao, Ming-Yan; Li, Shu-Sheng; Ma, Xiao-Chun; Kang, Yan; Zhou, Fa-Chun; He, Zhen-Yang; Qin, Tie-He; Yin, Yong-Jie; Jiang, Li; Hu, Zhen-Jie; Sun, Ren-Hua; Lin, Jian-Dong; Li, Tong; Wu, Da-Wei; An, You-Zhong; Ai, Yu-Hang; Zhou, Li-Hua; Cao, Xiang-Yuan; Zhang, Xi-Jing; Sun, Rong-Qing; Chen, Er-Zhen; Du, Bin

2017-01-20

Poor inter-rater reliability in chest radiograph interpretation has been reported in the context of acute respiratory distress syndrome (ARDS), although not for the Berlin definition of ARDS. We sought to examine the effect of training material on the accuracy and consistency of intensivists' chest radiograph interpretations for ARDS diagnosis. We conducted a rater agreement study in which 286 intensivists (residents 41.3%, junior attending physicians 35.3%, and senior attending physician 23.4%) independently reviewed the same 12 chest radiographs developed by the ARDS Definition Task Force ("the panel") before and after training. Radiographic diagnoses by the panel were classified into the consistent (n = 4), equivocal (n = 4), and inconsistent (n = 4) categories and were used as a reference. The 1.5-hour training course attended by all 286 intensivists included introduction of the diagnostic rationale, and a subsequent in-depth discussion to reach consensus for all 12 radiographs. Overall diagnostic accuracy, which was defined as the percentage of chest radiographs that were interpreted correctly, improved but remained poor after training (42.0 ± 14.8% before training vs. 55.3 ± 23.4% after training, p < 0.001). Diagnostic sensitivity and specificity improved after training for all diagnostic categories (p < 0.001), with the exception of specificity for the equivocal category (p = 0.883). Diagnostic accuracy was higher for the consistent category than for the inconsistent and equivocal categories (p < 0.001). Comparisons of pre-training and post-training results revealed that inter-rater agreement was poor and did not improve after training, as assessed by overall agreement (0.450 ± 0.406 vs. 0.461 ± 0.575, p = 0.792), Fleiss's kappa (0.133 ± 0.575 vs. 0.178 ± 0.710, p = 0.405), and intraclass correlation coefficient (ICC; 0.219 vs. 0.276, p = 0.470). The radiographic diagnostic accuracy and inter-rater agreement were poor when the Berlin radiographic definition was used, and were not significantly improved by the training set of chest radiographs developed by the ARDS Definition Task Force. The study was registered at ClinicalTrials.gov (registration number NCT01704066 ) on 6 October 2012.

[Professor Frantisek Por MD and Professor Robert Klopstock MD, students at Budapest and Prague Faculties of Medicine].

PubMed

Mydlík, M; Derzsiová, K

2010-11-01

Professor Frantisek Por MD and Professor Robert Klopstock MD were contemporaries, both born in 1899, one in Zvolen, the other in Dombovar, at the time of Austro-Hungarian Monarchy. Prof. Por attended the Faculty of Medicine in Budapest from 1918 to 1920, and Prof. Klopstock studied at the same place between 1917 and 1919. From 1920 until graduation on 6th February 1926, Prof. Por continued his studies at the German Faculty of Medicine, Charles University in Prague. Prof. Klopstock had to interrupt his studies in Budapest due to pulmonary tuberculosis; he received treatment at Tatranske Matliare where he befriended Franz Kafka. Later, upon Kafka's encouragement, he changed institutions and continued his studies at the German Faculty of Medicine, Charles University in Prague, where he graduated the first great go. It is very likely that, during their studies in Budapest and Prague, both professors met repeatedly, even though their life paths later separated. Following his graduation, Prof. Por practiced as an internist in Prague, later in Slovakia, and from 1945 in Kosice. In 1961, he was awarded the title of university professor of internal medicine at the Faculty of Medicine, Pavol Jozef Safarik University in Kosice, where he practiced until his death in 1980. Prof. Klopstock continued his studies in Kiel and Berlin. After his graduation in 1933, he practiced in Berlin as a surgeon and in 1938 left for USA. In 1962, he was awarded the title of university professor of pulmonary surgery in NewYork, where he died in 1972.

Tri-state research peer exchange 2010.

DOT National Transportation Integrated Search

2010-10-01

The research offices of the Vermont, Maine, and New Hampshire departments of transportation : hosted a peer exchange on October 26-28, 2010 in Berlin, Vermont. Representatives from three : other state DOTs, the Transportation Research Board (TRB), an...

[Regional Differences in the Care of Patients with Neovascular Age-Related Macular Degeneration, Based on the Non-Interventional OCEAN Study].

PubMed

Ziemssen, F; Hufenbach, U; Wiedon, A; Scheffler, M; Bertelmann, T

2016-12-01

Background: The main cause of blindness in the elderly in Germany is neovascular age-related macular degeneration (nAMD). In the non-interventional OCEAN study, data were prospectively collected on the routine clinical care of patients treated with the drug ranibizumab. Patients: As part of an interim analysis within the ongoing study (NCT02194803), stratification was performed by the 17 regions of the German associations of panel physicians and by areas of different population density. Only data were analysed for patients for whom the first treatment with ranibizumab was documented. Results: A total of 5,606 patients were documented. The present manuscript reviews 2,658 treatment-naive patients with nAMD, documented by 324 ophthalmologists. Most patients receiving an intravitreal injection were female (60 %). The average patient was aged 77.7 ± 8.2 years at study start. The great majority of patients had statutory health insurance (91 %). At baseline, fluorescein angiography (FLA) was performed for 72 % of patients, while optical coherence tomography (OCT) was carried out for 76 %. A combination of both was performed for 54 % of patients, varying regionally from 26 % (Saxony-Anhalt) to 100 % (Berlin). The average waiting time between the first examination and the first injection was 20.0 ± 18.5 days. With different statistical models (ANOVA adjusted, with/without interactions), significant effects on treatment delay were found for district type (population density), federal state and type of specialist. Conclusion: No major regional differences were observed in the demographic characteristics of the patient population. The main regional disparities in the care of nAMD patients were in the application of diagnostic methods and the waiting times between the first examination and the first drug administration. The regional variations in treatment delays could clearly influence the risk of worse functional outcome. Georg Thieme Verlag KG Stuttgart · New York.

The Measurement of Change in Longitudinal Youth Research: Continuity/Discontinuity, Stability/Instability, and Mean Differences in the Development of Individualism and Collectivism among East and West Berlin Youth between 1990 and 1992.

ERIC Educational Resources Information Center

Boehnke, Klaus

Studying the process of change becomes tricky from a methodological point of view if change has its origin in both the intrapersonal and societal spheres. This paper examines the problems which arise when discussions of change measure only changing means without considering the fact that constructs of change are continually redefined. For example,…

Analysis of the Performance of Mixed Finite Element Methods

DTIC Science & Technology

1988-11-28

with constant h is used and p is increased for accuracy. The h-p version combines the two approaches. We have studied varioius theoretical and...program PROBE IA101, developed by Noetic Tech, St. Louis [with a first release in 1985 and a second one in 19861. This program implements these versions...Vol. 606, Springer-Verlag, Berlin, 1977. A 10. B. A. Szabo, PROBE: Theoretical Manual, NOETIC Technologies, St. Louis, 1985. 4. Chronological list of

Curriculum Development for Transfer Learning in Dynamic Multiagent Settings

DTIC Science & Technology

2016-06-01

HFO) Half field offense [19] is a subtask of Robocup simulated soccer in which a team of m offensive players try to score a goal against n defensive... players while playing on one half of a soccer field. The domain poses many challenges, including a large, continuous state and action space, coordi...case study . In RoboCup-2006: Robot Soccer World Cup X, volume 4434 of Lecture Notes in Artificial Intelligence, pages 72–85. Springer Verlag, Berlin

The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5): Background and rationale.

PubMed

Davis, Gavin A; Purcell, Laura; Schneider, Kathryn J; Yeates, Keith Owen; Gioia, Gerard A; Anderson, Vicki; Ellenbogen, Richard G; Echemendia, Ruben J; Makdissi, Michael; Sills, Allen; Iverson, Grant L; Dvořák, Jiří; McCrory, Paul; Meeuwisse, Willem; Patricios, Jon; Giza, Christopher C; Kutcher, Jeffrey S

2017-06-01

This article presents the Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5). The Sport Concussion Assessment Tool was introduced in 2004, following the 2nd International Conference on Concussion in Sport in Prague, Czech Republic. Following the 4th International Consensus Conference, held in Zurich, Switzerland, in 2012, the SCAT 3rd edition (Child SCAT3) was developed for children aged between 5 and12 years. Research to date was reviewed and synthesised for the 5th International Consensus Conference on Concussion in Sport in Berlin, Germany, leading to the current revision of the test, the Child SCAT5. This article describes the development of the Child SCAT5. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Frequency of Obstructive Sleep Apnea Syndrome Among Patients with Epilepsy Attending a Tertiary Neurology Clinic

PubMed Central

Al-Abri, Mohammed; Al-Asmi, Abdullah; Al-Shukairi, Aisha; Al-Qanoobi, Arwa; Nandhagopal, Ramachandiran; Jacob, Povothoor; Gujjar, Arunodaya

2015-01-01

Objectives: Epilepsy is a common neurological disorder with a median lifetime prevalence of 14 per 1000 subjects. Sleep disorders could influence epileptic seizure. The most common sleep disorder is obstructive sleep apnea syndrome (OSAS) which occurs in 2% of adult women and 4% of adult men in the general population. The aim of this study is to estimate the frequency of OSAS among patients with epilepsy and to study the seizure characteristics among those patients with co-morbid OSAS. Methods: Patients with a confirmed diagnosis of epilepsy who attended the Sultan Qaboos University Hospital neurology clinic were recruited for the study between June 2011 and April 2012. Patients were screened for OSAS by direct interview using the validated Arabic version of the Berlin questionnaire. Patients identified as high-risk underwent polysomnography. Results: A total of 100 patients with epilepsy (55 men and 45 women) were screened for OSAS. Generalized and focal seizure was found in 67% of male and 27% of female patients. Six percent of the participants had epilepsy of undetermined type. Only 9% of the sample was found to have high risk of OSAS based on the Berlin questionnaire. No significant correlation was found between risk of OSAS, type of epilepsy, and anti-epileptic drugs. Conclusion: The risk of OSAS was marginally greater in patients with epilepsy compared to the general population with the overall prevalence of 9%. PMID:25829998

Adopting a blended learning approach to teaching evidence based medicine: a mixed methods study

PubMed Central

2013-01-01

Background Evidence Based Medicine (EBM) is a core unit delivered across many medical schools. Few studies have investigated the most effective method of teaching a course in EBM to medical students. The objective of this study was to identify whether a blended-learning approach to teaching EBM is more effective a didactic-based approach at increasing medical student competency in EBM. Methods A mixed-methods study was conducted consisting of a controlled trial and focus groups with second year graduate medical students. Students received the EBM course delivered using either a didactic approach (DID) to learning EBM or a blended-learning approach (BL). Student competency in EBM was assessed using the Berlin tool and a criterion-based assessment task, with student perceptions on the interventions assessed qualitatively. Results A total of 61 students (85.9%) participated in the study. Competency in EBM did not differ between the groups when assessed using the Berlin tool (p = 0.29). Students using the BL approach performed significantly better in one of the criterion-based assessment tasks (p = 0.01) and reported significantly higher self-perceived competence in critical appraisal skills. Qualitative analysis identified that students had a preference for the EBM course to be delivered using the BL approach. Conclusions Implementing a blended-learning approach to EBM teaching promotes greater student appreciation of EBM principles within the clinical setting. Integrating a variety of teaching modalities and approaches can increase student self-confidence and assist in bridging the gap between the theory and practice of EBM. PMID:24341502

European youth care sites serve different populations of adolescents with cannabis use disorder. Baseline and referral data from the INCANT trial.

PubMed

Phan, Olivier; Henderson, Craig E; Angelidis, Tatiana; Weil, Patricia; van Toorn, Manja; Rigter, Renske; Soria, Cecilia; Rigter, Henk

2011-07-12

MDFT (Multidimensional Family Therapy) is a family based outpatient treatment programme for adolescent problem behaviour. MDFT has been found effective in the USA in adolescent samples differing in severity and treatment delivery settings. On request of five governments (Belgium, France, Germany, the Netherlands, and Switzerland), MDFT has now been tested in the joint INCANT trial (International Cannabis Need of Treatment) for applicability in Western Europe. In each of the five countries, study participants were recruited from the local population of youth seeking or guided to treatment for, among other things, cannabis use disorder. There is little information in the literature if these populations are comparable between sites/countries or not. Therefore, we examined if the study samples enrolled in the five countries differed in baseline characteristics regarding demographics, clinical profile, and treatment delivery setting. INCANT was a multicentre phase III(b) randomized controlled trial with an open-label, parallel group design. It compared MDFT with treatment as usual (TAU) at and across sites in Berlin, Brussels, Geneva, The Hague and Paris.Participants of INCANT were adolescents of either sex, from 13 through 18 years of age, with a cannabis use disorder (dependence or abuse), and at least one parent willing to take part in the treatment. In total, 450 cases/families were randomized (concealed) into INCANT. We collected data about adolescent and family demographics (age, gender, family composition, school, work, friends, and leisure time). In addition, we gathered data about problem behaviour (substance use, alcohol and cannabis use disorders, delinquency, psychiatric co-morbidity).There were no major differences on any of these measures between the treatment conditions (MDFT and TAU) for any of the sites. However, there were cross-site differences on many variables. Most of these could be explained by variations in treatment culture, as reflected by referral policy, i.e., participants' referral source. We distinguished 'self-determined' referral (common in Brussels and Paris) and referral with some authority-related 'external' coercion (common in Geneva and The Hague). The two referral types were more equally divided in Berlin. Many cross-site baseline differences disappeared when we took referral source into account, but not all. A multisite trial has the advantage of being efficient, but it also carries risks, the most important one being lack of equivalence between local study populations. Our site populations differed in many respects. This is not a problem for analyses and interpretations if the differences somehow can be accounted for. To a major extent, this appeared possible in INCANT. The most important factor underlying the cross-site variations in baseline characteristics was referral source. Correcting for referral source made most differences disappear. Therefore, we will use referral source as a covariate accounting for site differences in future INCANT outcome analyses. ISRCTN: ISRCTN51014277. © 2011 Phan et al; licensee BioMed Central Ltd.

High resolution remote sensing for reducing uncertainties in urban forest carbon offset life cycle assessments.

PubMed

Tigges, Jan; Lakes, Tobia

2017-10-04

Urban forests reduce greenhouse gas emissions by storing and sequestering considerable amounts of carbon. However, few studies have considered the local scale of urban forests to effectively evaluate their potential long-term carbon offset. The lack of precise, consistent and up-to-date forest details is challenging for long-term prognoses. Therefore, this review aims to identify uncertainties in urban forest carbon offset assessment and discuss the extent to which such uncertainties can be reduced by recent progress in high resolution remote sensing. We do this by performing an extensive literature review and a case study combining remote sensing and life cycle assessment of urban forest carbon offset in Berlin, Germany. Recent progress in high resolution remote sensing and methods is adequate for delivering more precise details on the urban tree canopy, individual tree metrics, species, and age structures compared to conventional land use/cover class approaches. These area-wide consistent details can update life cycle inventories for more precise future prognoses. Additional improvements in classification accuracy can be achieved by a higher number of features derived from remote sensing data of increasing resolution, but first studies on this subject indicated that a smart selection of features already provides sufficient data that avoids redundancies and enables more efficient data processing. Our case study from Berlin could use remotely sensed individual tree species as consistent inventory of a life cycle assessment. However, a lack of growth, mortality and planting data forced us to make assumptions, therefore creating uncertainty in the long-term prognoses. Regarding temporal changes and reliable long-term estimates, more attention is required to detect changes of gradual growth, pruning and abrupt changes in tree planting and mortality. As such, precise long-term urban ecological monitoring using high resolution remote sensing should be intensified, especially due to increasing climate change effects. This is important for calibrating and validating recent prognoses of urban forest carbon offset, which have so far scarcely addressed longer timeframes. Additionally, higher resolution remote sensing of urban forest carbon estimates can improve upscaling approaches, which should be extended to reach a more precise global estimate for the first time. Urban forest carbon offset can be made more relevant by making more standardized assessments available for science and professional practitioners, and the increasing availability of high resolution remote sensing data and the progress in data processing allows for precisely that.

Prevalence of Risk for Obstructive Sleep Apnea Syndrome and Association With Risk Factors in Primary Care

PubMed Central

da Silva, Kenia Vieira; Rosa, Maria Luiza Garcia; Jorge, Antônio José Lagoeiro; Leite, Adson Renato; Correia, Dayse Mary Silva; Silva, Davi de Sá; Cetto, Diego Bragatto; Brum, Andreia da Paz; Netto, Pedro Silveira; Rodrigues, Gustavo Domingos

2016-01-01

Background Obstructive sleep apnea syndrome (OSAS) is a chronic, progressive disease with high morbidity and mortality. It is underdiagnosed, especially among women. Objective To study the prevalence of high risk for OSAS globally and for the Berlin Questionnaire (BQ) categories, and to evaluate the reliability of the BQ use in the population studied. Methods Observational, cross-sectional study with individuals from the Niterói Family Doctor Program, randomly selected, aged between 45 and 99 years. The visits occurred between August/2011 and December/2012. Variables associated with each BQ category and with high risk for OSAS (global) were included in logistic regression models (p < 0.05). Results Of the total (616), 403 individuals (65.4%) reported snoring. The prevalence of high risk for OSA was 42.4%, being 49.7% for category I, 10.2% for category II and 77.6% for category III. Conclusion BQ showed an acceptable reliability after excluding the questions Has anyone noticed that you stop breathing during your sleep? and Have you ever dozed off or fallen asleep while driving?. This should be tested in further studies with samples mostly comprised of women and low educational level individuals. Given the burden of OSAS-related diseases and risks, studies should be conducted to validate new tools and to adapt BQ to better screen OSAS. PMID:27142651

TULAREMIA INFECTIONS EMANATING FROM A GAME SHOP,

DTIC Science & Technology

The tularemic infection of a married couple is reported, caused by the consumption of a rabbit bought at a Berlin game shop. The epidemiological significance of such paths of infection for civic populations is pointed out. (Author)

CHARACTERIZATION OF CoRoT TARGET FIELDS WITH BERLIN EXOPLANET SEARCH TELESCOPE. II. IDENTIFICATION OF PERIODIC VARIABLE STARS IN THE LRc2 FIELD

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kabath, P.; Fruth, T.; Rauer, H.

2009-04-15

We report on photometric observations of the CoRoT LRc2 field with the new robotic Berlin Exoplanet Search Telescope II (BEST II). The telescope system was installed and commissioned at the Observatorio Cerro Armazones, Chile, in 2007. BEST II is a small aperture telescope with a wide field of view dedicated to the characterization of the stellar variability primarily in CoRoT target fields with high stellar densities. The CoRoT stellar field LRc2 was observed with BEST II up to 20 nights in 2007 July and August. From the acquired data containing about 100,000 stars, 426 new periodic variable stars were identifiedmore » and 90% of them are located within the CoRoT exoplanetary CCD segments and may be of further interest for CoRoT additional science programs.« less

Gene Therapy to Cure HIV: Where to from Here?

PubMed

Johnston, Rowena

2016-12-01

A variety of approaches are being tested to cure HIV, but with the exception of the Berlin patient case, none has been successful. The Berlin patient, positive for both HIV and acute myeloid leukemia (AML), received two stem cell transplants from a donor homozygous for the CCR5delta32 mutation. In the 8 years since his second transplant, he has remained free of both HIV and AML. This case provides strong proof-of-principle that a cure for HIV is possible and might be achieved through gene therapy. Several technological barriers must be resolved and are discussed here, including the safe delivery of the intervention throughout the body of the infected person, increased efficiency of gene editing, and avoidance of resistance to the therapy. Delivery of a gene therapy intervention to HIV-infected people around the world will also be a considerable challenge.

Predicting water suppy and actual evapotranspiration of street trees

NASA Astrophysics Data System (ADS)

Wessolek, Gerd; Heiner, Moreen; Trinks, Steffen

2017-04-01

It's well known that street trees cool air temperature in summer-time by transpiration and shading and also reduce runoff. However, it's difficult to analyse if trees have water shortage or not. This contribution focus on predicting water supply, actual evapotranspiration, and runoff by using easily available climate data (precipiation, potential evapotranspiration) and site characteristics (water retention, space, sealing degree, groundwater depth). These parameter were used as input data for Hydro-Pedotransfer-Functions (HPTFs) allowing the estimation of the annual water budget. Results give statements on water supply of trees, drought stress, and additional water demand by irrigation. Procedure also analyse, to which extent the surrounding partly sealed surfaces deliver water to the trees. Four representative street canyons of Berlin City were analysed and evaluated within in training program for M.A. students of „Urban Eco-system Science" at the Technische Universität Berlin.

Scientific Cooperation Between the German Academy of Sciences in Berlin (DAW) and Cuba in the 1960s and 1970s

NASA Astrophysics Data System (ADS)

Wendt, Helge

After the ratification of its constitution in 1959, the young Cuban Republic sought new cooperation partners in a number of different fields. One of these fields was scientific cooperation. It seems the Cubans quickly found partners in the academies of science of the USSR, Czechoslovakia and China, whereas the German Academy of Sciences in Berlin (DAW) was reluctant to engage in long-term cooperative projects. In the early 1960s, the universities of East Germany (GDR) began to send docents and scientists to Cuba where they participated in the summer schools, taught for one semester or more in one of the universities and undertook research that would be useful for their home institutions. However, the DAW carefully observed the reestablishment of Cuba's own academy of science before becoming involved in common projects with Cuban partners.

Gender, culture, and architecture in Ahmedabad and Berlin.

PubMed

Kakad, K

2000-01-01

Spatial and social processes are inextricably linked. Hence gender relations as an inherent part of social relations get built into the spatial forms of any society. Spatial segregation by sex was a mark of traditional societies. This has diminished somewhat in contemporary societies due to various factors, perhaps the most important being the entry of women into the public sphere and their participation in income-earning activities. This paper looks at traditional, modern and postmodern housing in two cities--Ahmedabad and Berlin--through the lens of gender and culture. While there have been changes in housing over time, these changes have not been in proportion with the changes in gender relations in society which, in turn, have not kept pace with the way women's needs and priorities have changed. Housing must necessarily reflect the current needs of a society, and that entails reflecting the needs of both women and men equally.

VizieR Online Data Catalog: BEST-II catalog of variables. I. Southern fields (Fruth+, 2013)

NASA Astrophysics Data System (ADS)

Fruth, T.; Cabrera, J.; Chini, R.; Csizmadia, Sz.; Dreyer, C.; Eigmuller, P.; Erikson, A.; Kabath, P.; Kirste, S.; Lemke, R.; Murphy, M.; Pasternacki, T.; Rauer, H.; Titz-Weider, R.

2014-07-01

BEST II (Berlin Exoplanet Search Telescope II) is located at the Observatorio Cerro Armazones, Chile. Since 2007, it has been operated continuously by the Institute of Planetary Research of the German Aerospace Center (DLR) in robotic mode from Berlin. The system consists of a 25cm Baker-Ritchey-Chretien telescope. The photometric data presented here were obtained with a 4k*4k Finger Lakes Instrumentation CCD (IMG-16801E1) in white light, i.e., without any photometric filter. The CCD is most sensitive at λ~650nm, and the photometric system is roughly comparable to the Johnson R-band. Three target fields, named F17, F18, and F19, were monitored intensively with BEST II in 2009 Apr 20-2009 Jul 22, 2009 Aug 19-2009 Oct 27, and 2010 Mar 24-2010 Sep 21 respectively. (2 data files).

The 5th annual European League Against Rheumatism congress in Berlin: a personal perspective

PubMed Central

2005-01-01

The 5th annual European League Against Rheumatism congress, held in Berlin, 9–12 June 2004, was attended by a record number of delegates from all continents and offered a large choice of education, state-of-the-art and original research presentations in up to 15 parallel sessions. Some of these were poorly attended, although featuring top-ranked abstracts. The poster sessions remain a problem child. They were not well attended by viewers and largely neglected by presenters, mainly because of the general structure of the meeting. Ways to improve this could be to provide lunch packages and to appoint poster session chairmen. Other changes would involve moving morning hour satellites to other slots. However, in general it was an enjoyable meeting showing important progress in various fields of rheumatology and meeting the expectations of most delegates.

Pleasantness bias in flashbulb memories: positive and negative flashbulb memories of the fall of the Berlin Wall among East and West Germans.

PubMed

Bohn, Annette; Berntsen, Dornhe

2007-04-01

Flashbulb memories for the fall of the Berlin Wall were examined among 103 East and West Germans who considered the event as either highly positive or highly negative. The participants in the positive group rated their memories higher on measures of reliving and sensory imagery, whereas their memory for facts was less accurate than that of the participants in the negative group. The participants in the negative group had higher ratings on amount of consequences but had talked less about the event and considered it less central to their personal and national identity than did the participants in the positive group. In both groups, rehearsal and the centrality of the memory to the person's identity and life story correlated positively with memory qualities. The results suggest that positive and negative emotions have different effects on the processing and long-term retention of flashbulb memories.

Reduced size liver transplantation from a donor supported by a Berlin Heart.

PubMed

Misra, M V; Smithers, C J; Krawczuk, L E; Jenkins, R L; Linden, B C; Weldon, C B; Kim, H B

2009-11-01

Patients on cardiac assist devices are often considered to be high-risk solid organ donors. We report the first case of a reduced size liver transplant performed using the left lateral segment of a pediatric donor whose cardiac function was supported by a Berlin Heart. The recipient was a 22-day-old boy with neonatal hemochromatosis who developed fulminant liver failure shortly after birth. The transplant was complicated by mild delayed graft function, which required delayed biliary reconstruction and abdominal wall closure, as well as a bile leak. However, the graft function improved quickly over the first week and the patient was discharged home with normal liver function 8 weeks after transplant. The presence of a cardiac assist device should not be considered an absolute contraindication for abdominal organ donation. Normal organ procurement procedures may require alteration due to the unusual technical obstacles that are encountered when the donor has a cardiac assist device.

Evaluation of effectiveness of combined sewer overflow control measures by operational data.

PubMed

Schroeder, K; Riechel, M; Matzinger, A; Rouault, P; Sonnenberg, H; Pawlowsky-Reusing, E; Gnirss, R

2011-01-01

The effect of combined sewer overflow (CSO) control measures should be validated during operation based on monitoring of CSO activity and subsequent comparison with (legal) requirements. However, most CSO monitoring programs have been started only recently and therefore no long-term data is available for reliable efficiency control. A method is proposed that focuses on rainfall data for evaluating the effectiveness of CSO control measures. It is applicable if a sufficient time-series of rainfall data and a limited set of data on CSO discharges are available. The method is demonstrated for four catchments of the Berlin combined sewer system. The analysis of the 2000-2007 data shows the effect of CSO control measures, such as activation of in-pipe storage capacities within the Berlin system. The catchment, where measures are fully implemented shows less than 40% of the CSO activity of those catchments, where measures have not yet or not yet completely been realised.

[From psychotherapy to psychoanalysis: Max Levy-Suhl (1876-1947)].

PubMed

Hermanns, Ludger M; Schröter, Michael; Stroeken, Harry

2014-01-01

From psychotherapy to psychoanalysis: Max Levy-Suhl (1876-1947). Levy-Suhl can be considered one of the great practising psychotherapists in early 20th century Berlin. He was active in various fields, including ophthalmology, forensic adolescent psychiatry and hypnosis. Prominent among his publications were two handbooks of psychotherapeutic methods. His attitude towards psychoanalysis shifted from initial criticism to acceptance. Ca. 1930 he experienced some kind of conversion, resulting in his training at the Berlin Institute and becoming a member of the German Psychoanalytic Society. As a Jew being forced to emigrate in 1933, Levy-Suhl turned to the Netherlands where he had a psychoanalytic children's home in Amersfoort, followed by an analyst's practice in Amsterdam. He survived the German occupation, but apparently as a broken man. After the war he committed suicide.--The paper is complemented by an appendix, containing documents and an extensive bibliography.

The blood from Auschwitz and the silence of the scholars.

PubMed

Müller-Hill, B

1999-01-01

The Kaiser Wilhelm Institute for Anthropology, Human Genetics and Eugenics in Berlin-Dahlem was the centre of scientific racism in Nazi Germany. Its bad history culminated in a research project to analyse the molecular basis of racial differences in the susceptibility to various infectious diseases such as tuberculosis. Josef Mengele, a former postdoc of the director of the institute, Otmar von Verschuer, collected blood samples and other material in Auschwitz from families and twins of Jews and Gypsies. The blood samples were analysed by Günther Hillmann in the Berlin laboratory of Nobel Prize winner Adolf Butenandt. Butenandt had just moved to Tübingen. The project was paid for by the Deutsche Forschungsgemeinschaft. Butenandt, Hillmann and von Verschuer made scientific careers in the Federal Republic. To the present day this past has not been acknowledged by the Max-Planck-Gesellschaft as part of its history.

[Solidarity in health. Report on the 2017 Poverty and Health Congress].

PubMed

Waldhauer, Julia; Amler, Marion; Böhme, Nicole; Janella, Maren; Pospiech, Stefan; Lampert, Thomas

2017-08-01

The annual congress Armut und Gesundheit (Poverty and Health), which is organized by Gesundheit Berlin-Brandenburg e. V. and takes place at the Technical University of Berlin has become one of the biggest public health events in Germany. It constitutes an exchange platform for sciences, practice, and politics. This year's congress topic was solidarity in health, aiming to emphasize the responsibility that society and its actors have to bear in order to warrant health equity. Overall, 121 activities took place, with more than 500 experts and moderators discussing a wide range of subjects and questions including regional disparities in poverty, ethics in public health, the current situation of homeless and people without insurance, time trends in health inequalities, health and healthcare of refugees and asylum seekers, and the current progress and challenges in connection with the German prevention act.

Aspects of decision support in water management--example Berlin and Potsdam (Germany) I--spatially differentiated evaluation.

PubMed

Simon, Ute; Brüggemann, Rainer; Pudenz, Stefan

2004-04-01

Decisions about sustainable development demand spatially differentiated evaluations. As an example, we demonstrate the evaluation of water management strategies in the cities of Berlin and Potsdam (Germany) with respect to their ecological effects in 14 sections of the surface water system. Two decision support systems were compared, namely PROMETHEE, which is designed to obtain a clear decision (linear ranking), and Hasse Diagram Technique (HDT), normally providing more than one favourable solution (partial order). By PROMETHEE, the spatial differentiation had unwanted effects on the result, negating the stakeholders determined weighting of indicators. Therefore, the stakeholder can barely benefit from the convenience of obtaining a clear decision (linear ranking). In contrast, the result obtained by HDT was not influenced by spatial differentiation. Furthermore, HDT provided helpful tools to analyse the evaluation result, such as the concept of antagonistic indicators to discover conflicts in the evaluation process.

Associations between skin barrier characteristics, skin conditions and health of aged nursing home residents: a multi-center prevalence and correlational study.

PubMed

Hahnel, Elisabeth; Blume-Peytavi, Ulrike; Trojahn, Carina; Kottner, Jan

2017-11-13

Geriatric patients are affected by a range of skin conditions and dermatological diseases, functional limitations and chronic diseases. Skin problems are highly prevalent in elderly populations. Aim of this study was to investigate possible associations between health, functional and cutaneous variables in aged long-term care residents. This observational, cross-sectional, descriptive prevalence study was conducted in a random sample of 10 institutional long-term care facilities in Berlin. In total, n = 223 residents were included. Demographic and functional characteristics, xerosis cutis, incontinence associated dermatitis, pressure ulcers and skin tears were assessed. Stratum corneum hydration, transepidermal water loss, skin surface pH and skin temperature were measured. Data analysis was descriptive and explorative. To explore possible bivariate associations, a correlation matrix was created. The correlation matrix was also used to detect possible collinearity in the subsequent regression analyses. Mean age (n = 223) was 83.6 years, 67.7% were female. Most residents were affected by xerosis cutis (99.1%; 95% CI: 97.7% - 100.0%). The prevalence of pressure ulcers was 9.0% (95% CI: 5.0% - 13.0%), of incontinence associated dermatitis 35.4% (95% CI: 29.9% - 42.2%) and of skin tears 6.3% (95% CI: 3.2% - 9.5%). Biophysical skin parameters were not associated with overall care dependency, but with age and skin dryness. In general, skin dryness and measured skin barrier parameters were associated between arms and legs indicating similar overall skin characteristics of the residents. Prevalence of xerosis cutis, pressure ulcers and skin tears were high, indicating the load of these adverse skin conditions in this population. Only few associations of demographic characteristics, skin barrier impairments and the occurrence of dry skin, pressure ulcers, skin tears and incontinence-associated dermatitis have been detected, that might limit the diagnostic value of skin barrier parameters in this population. Overall, the measured skin barrier parameters seem to have limited diagnostic value for the reported skin conditions except xerosis cutis. This study is registered at https://clinicaltrials.gov/ct2/show/NCT02216526 . Registration date: 8th November 2014.

Human biomonitoring: Science and policy for a healthy future, April 17-19, 2016, Berlin, Germany.

PubMed

Joas, Anke; Schwedler, Gerda; Choi, Judy; Kolossa-Gehring, Marike

2017-03-01

Following the success of the 1st International Conference on Human Biomonitoring (HBM) in Berlin in 2010, the 2nd International Conference on Human Biomonitoring took place in Berlin from April 17-19, 2016 for an exchange and updates among participants on all aspects relating to HBM. Entitled "Science and Policy for a Healthy Future", the conference brought together international experts from the scientific sector, politics, authorities, industry, non-governmental organizations (NGOs), and other involved associations. The conference took a critical look at today's chemicals that have a potential impact on human health and should be investigated as a matter of priority. It also discussed current activities and research efforts on HBM occurring worldwide, presented HBM success stories, and emphasized areas, where further research and focus are needed to improve the use of HBM for policy making. In many countries, HBM has been proven to be a useful tool and warning system to indicate problematic human exposure to pollutants and to evaluate the effectiveness of existing chemicals policy and regulations. However, important challenges remain such as exposure assessment of mixtures of chemicals, the development of analytical methods to detect new chemicals of concern (e.g., substitutes for phthalates), the identification of exposure sources, and the assessment of the impact of exposure on health. This brief report summarizes the discussions and contributions from this conference, which was jointly organized by the German Federal Environment Agency (UBA) and the German Federal Ministry for the Environment, Nature Conservation and Nuclear Safety (BMUB). Copyright © 2017.

[The Great European Georg Friedrich Nicolai: physician and pacifist. Berlin, Germany, 1874 - Santiago, Chile, 1964].

PubMed

Cabello C, Felipe

2013-04-01

Georg Friedrich Nicolai (1874-1964) was a German physician and physiologist whose pacifism during the First World War led him in 1914 to cosign with W. J. Foerster, A. Einstein and O. Bueck a "Manifesto to the Europeans" against the entry of Germany into the war and the invasion of Belgium. As a result of this appeal and his strong pacifism, Nicolai lost his positions as cardiologist to the German royal family, professor at the University of Berlin and chief of laboratory at the Charite hospital also in Berlin, and was sent as a garrison physician in Graundenz, in today's Poland. There he began to write his book, The Biology of War. It managed to avoid censorship and was published in Leipzig in 1916. He was court-martialed in Danzig in 1916 but escaped to Denmark. Nicolai was reinstated to his faculty positions by the Weimar Republic after the war but was subsequently forced to emigrate from Germany to South America by the pressure of right wing student groups who accused him of being a deserter and a traitor. From 1922 to 1932 Nicolai lived in Argentina, and from 1932 until his death in 1964, in Chile. In this later country Nicolai was professor in the University of Chile and interacted with members of the Chilean intelligentsia, including the poets Vicente Huidobro, Gonzalo Rojas and Pablo Neruda. Through his friendship with Chilean psychiatrist Agustin Tellez, Nicolai influenced the development of phenomenological psychiatric school in Chile. The Chilean novelist Fernando Alegria compared him favorably with Robert J. Oppenheimer and Linus Pauling.

An introduction to the 'Psycho-Physiological-Stress-Test' (PPST)-A standardized instrument for evaluating stress reactions.

PubMed

Neureiter, Elisabeth; Hajfani, Loreen; Ahnis, Anne; Mierke, Annett; Rose, Matthias; Danzer, Gerhard; Klapp, Burghard F

2017-01-01

Using a standardized instrument to evaluate patients' stress reactions has become more important in daily clinical routines. Different signs or symptoms of stress are often unilaterally explored: the physiological, psychological or social aspects of stress disorders are each viewed on a single dimension. However, all dimensions afflict patients who have persistent health problems due to chronic stress. Therefore, it is important to use a multidimensional approach to acquire data. The 'Psycho-Physiological-Stress-Test' (PPST) was established to achieve a comprehensive understanding of stress and was further developed at the Charité-Universitätsmedizin Berlin in collaboration with the Psychological Department of Freie Universität Berlin. The PPST includes a series of varying stress phases, embedded in two periods of rest. Physiological and psychological parameters are simultaneously measured throughout the test session. Specifically, the PPST activates the sympathetic stress axis, which is measured by heart rate, blood pressure, respiration depth and rate, electro dermal activation and muscle tension (frontalis, masseter, trapezius). Psychological data are simultaneously collected, and include performance, motivation, emotion and behavior. After conducting this diagnostic test, it is possible to identify individual stress patterns that can be discussed with the individual patient to develop and recommend (outpatient) treatment strategies. This paper introduces the PPST as a standardized way to evaluate stress reactions by presenting the results from a sample of psychosomatic inpatients (n = 139) who were treated in Charité-Universitätsmedizin Berlin, Germany. We observed that the varying testing conditions provoked adjusted changes in the different physiological parameters and psychological levels.

Middle Atmosphere Program. Handbook for MAP, Volume 17

NASA Technical Reports Server (NTRS)

Sechrist, C. F., Jr. (Editor)

1985-01-01

The Middle Atmosphere Program (MAP) handbook is divided into three parts. Part 1 consists of minutes of MAP steering committee meeting and MAP assembly. Part 2 consists of project and study group reports, such as: (1) Atmospheric Tides Middle Atmosphere Program (ATMAP), report of the Nov./Dec. 1981, and May 1982 observational campaigns; MAP/WINE experimenters meeting at Berlin, 1985; (3) MAP/WINE experimenters meeting at Loen, Norway, 1985; and (4) the penetration of ultraviolet solar radiation into the middle atmosphere. Part 3 consists of national reports.

Translations on Eastern Europe, Political, Sociological, and Military Affairs. Number 1309

DTIC Science & Technology

1976-10-19

lowered, work with the localities was shirked, no efforts were made to study and resolve with them the tasks stemming from the party’s...34 or "Centrum" department stores the highlights of their visit to the city. "Of Course Everything Is Much Better in Berlin" Food and clothing are...station restrooms, the lack of apples at times when there perhaps are bananas for once or the perpetual "second choice" of all foods for the con- sumer

Airpower as a Tool of Foreign Policy, Two Case Studies of Airpower’s Use: The Philippines in 1941 and Berlin in 1948

DTIC Science & Technology

1993-05-01

Vallance , RAF, ed., Air Power Doctrine (United Kingdom: Crown Copyright, 1990). Group Captain Vallance provides a comprehensive discussion of The...Spring 1964): 1-7. Current, Richard N. �How Stimson Meant to �Manuever� the Japanese.� The Mississippi Valley Historical Review, 11 (June 1953...War II, the Pacific War. New York: Marshall Cavendish, 1992. Collier, Richard . The Road to Pearl Harbor: 1941. New York: Atheneum, 1981

Digital imaging of autoradiographs from paintings by Georges de La Tour (1593-1652)

NASA Astrophysics Data System (ADS)

Fischer, C.-O.; Gallagher, M.; Laurenze, C.; Schmidt, Ch; Slusallek, K.

1999-11-01

The artistic work of the painter Georges de La Tour has been studied very intensively in the last few years, mainly by French and US-American art historians and natural scientists. To support the in-depth analysis of two paintings from the Kimbell Art Museum in Fort Worth, Texas, USA, two similar paintings from the Gemäldegalerie Berlin have been investigated. The method of neutron activation autoradiography has been applied using imaging plates with digital image processing.

The Cuban Missile Crisis of 1962: A Case Study of the Tailored Use of Instruments of National Power

DTIC Science & Technology

2008-01-01

Counsel 0 Sorensen the President General Maxwell CJCS Llewellyn E. U.S. Ambassador at D. Taylor Thompson Large Table 1. EXCOM Members The Foundations...Prentice Hall, 1970. 5. 12 Knappen, M. M. An Introduction to American Foreign Policy. New York: Harper, 1956. 1. 13 Jones , Howard. Crucible ofPower: A...History ofAmerican Foreign Relationsfrom 1897. Wilmington: SR Books, 2001. 233. 14 Jones 227. 15 Freedman, Lawrence. Kennedy’s Wars: Berlin, Cuba

Mobility of students, academic and administrative staff: a basis for establishing a European higher education area (Berlin communiqué 2003).

PubMed

Chantrain, Hilde

2010-01-01

This article aims to highlight the possibilities of the Intensive Programme (IP), one of the items of the Lifelong Learning Programme of the European Commission. The benefits of organizing an IP in a specific discipline-related area is illustrated by a case study of the speech-language therapy IP, which has been coordinated for 16 years by the Department of Speech-Language Therapy of the Lessius Hogeschool Antwerp, Belgium. 2010 S. Karger AG, Basel.

Specialist nectar-yeasts decline with urbanization in Berlin

NASA Astrophysics Data System (ADS)

Wehner, Jeannine; Mittelbach, Moritz; Rillig, Matthias C.; Verbruggen, Erik

2017-03-01

Nectar yeasts are common inhabitants of insect-pollinated flowers but factors determining their distribution are not well understood. We studied the influence of host identity, environmental factors related to pollution/urbanization, and the distance to a target beehive on local distribution of nectar yeasts within Robinia pseudoacacia L. and Tilia tomentosa Moench in Berlin, Germany. Nectar samples of six individuals per species were collected at seven sites in a 2 km radius from each target beehive and plated on YM-Agar to visualise the different morphotypes, which were then identified by sequencing a section of the 26S rDNA gene. Multivariate linear models were used to analyze the effects of all investigated factors on yeast occurrence per tree. Yeast distribution was mainly driven by host identity. The influence of the environmental factors (NO2, height of construction, soil sealing) strongly depended on the radius around the tree, similar to the distance of the sampled beehive. Incidence of specialist nectar-borne yeast species decreased with increasing pollution/urbanization index. Given that specialist yeast species gave way to generalist yeasts that have a reduced dependency on pollinators for between-flower dispersal, our results indicate that increased urbanization may restrict the movement of nectar-specialized yeasts, via limitations of pollinator foraging behavior.

[Statements of general practitioners on cooperation with specialists and a future health care system].

PubMed

Heintze, Christoph; Matysiak-Klose, Dorothea; Howorka, Antje; Kröhn, Thorsten; Braun, Vittoria

2004-08-15

Ideas of general practitioners (GPs) could be of value for the restructuring of the German ambulant health care system. The way managed care is seen by GPs is of particular interest. The aim of this study was to record opinions of GPs, working in Berlin, in regard to several aspects of their daily work. 14 female and 16 male GPs from Berlin participated in a qualitative survey. These 30 GPs were interviewed about their attitude toward cooperation with specialized colleagues and their opinions on a future medical care system. The interviews performed were summarized, structured and analyzed according to the qualitative content analysis by Mayring. From the GPs' point of view, ambulant cooperation is facilitated by knowing specialized colleagues, by staying in close contact to them via telephone and by being able to arrange short-term appointments with these specialists. A closer cooperation with specialists in a network as well as an advanced use of digital information systems for accessing patients' data were considered to be vital elements for a future health care system. An important reason for choosing the cooperation with specialists is to find quick comprehensive treatment strategies for patients. It may be concluded that ambulant managed care of patients could be optimized with the creation of medical networks.

[Effectiveness of aftercare treatment after release from prison: A first evaluation of the forensic therapeutic outpatient clinic for serious violent and sexual offenders in Berlin].

PubMed

Sauter, J; Voss, T; Dahle, K-P

2015-05-01

The Forensic Therapeutic Outpatient Clinic (FTA) in Berlin targets the professional aftercare treatment of classified high-risk violent and sexual offenders released from prison or forensic psychiatric hospitals. A comparison sample (n = 32) matched to the patients of the FTA (complete survey n = 32) according to similar criminal histories and diagnoses (ICD-10) was collected from offenders released from prison and forensic psychiatry at a time before the FTA was established. The focus of the study was on recidivism measured by complaints received by police departments during the follow-up period. Sexual recidivism occurred significantly later in the case of released offenders with aftercare treatment compared to those without. Moreover, for the duration of aftercare treatment the general risk of recidivism was approximately 85 % lower; however, after termination of treatment the recidivism rates of both samples converged to almost the same level. Individually adapted measures should be maintained after finishing aftercare treatment; however, because prisoners released from prison are frequently less prepared than patients from forensic psychiatric hospitals, the therapeutic work often reaches its limits in these cases. Therefore, social work should be taken into account right from the start.

The beauty and the beast: reflections about the socio-historical and subcultural context of drag queens and "Tunten" in Berlin.

PubMed

Balzer, Carsten

2004-01-01

In this article, I focus on two different faces found in Berlin's gay subculture: the Tunten and the drag queens. Both are commonly seen as "male homosexual transvestites," although many such individuals today prefer to identify themselves somewhere within a diverse transgender spectrum rather than as transvestites. Tunten and drag queens differ in their gender performativity, their self-image and their chosen role models as well as in the niches in which they have been able to establish themselves in German mainstream society. Based on ethnographic data, I argue against the widespread reductionist view that the differences between Tunten and drag queens lie primarily in style, behavior, talent and success. Nor can these differences be easily explained away as a result of subculture globalization. Instead, I show that there is a simultaneous coexistence of both a subculturally established, "traditional" local transgender culture and a more recently adopted and partly imported, new local transgender culture. The coexistence of these two urban transgender cultures also indicates the paradigm shift in German gay and youth cultures of the last decades. Thus, I will emphasize the importance of the socio-historical and subcultural processes in studying transgender cultures in Western societies.

Categorization of fetal external findings in developmental toxicology studies by the Terminology Committee of the Japanese Teratology Society.

PubMed

Izumi, Yuko; Ooshima, Yojiro; Chihara, Kazuhiro; Fujiwara, Michio; Katsumata, Yoshihiro; Shiota, Kohei

2018-05-01

Categorization of fetal external findings in common laboratory animals, intended to make the agreement at Berlin Workshop in 2014 more practical, was proposed by the Terminology Committee of the Japanese Teratology Society at the Workshop in the 55th Japanese Teratology Society Annual Meeting in 2015. In the Workshop, 73 external findings, which had been categorized as "Gray zone" anomalies but not as "Malformation" or "Variation" in the 2014 Berlin Workshop, were discussed and classified as Malformation, "Non-structural abnormality," Variation, and "Not applicable." The proposal was based on the results of a survey conducted in 2014, where 20 facilities (including pharmaceutical, chemical, and pesticide companies and contract laboratories) and 2 selected expert teratologists in Japan were asked for their opinions on the categorization of these findings. Based on the discussion, Japanese Teratology Society members have agreed that 42 out of the 73 findings can be classified as Malformations (38), Non-structural abnormalities (3), Malformations/Non-structural abnormalities (1), and Variations (0), while the remaining 31 findings were recommended to be categorized as Not applicable for fetuses. The details of the classification are shown on the website of the Japanese Teratology Society (http://www.umin.ac.jp/cadb/External.pdf). © 2018 Japanese Teratology Society.

Biomedical practices from a patient perspective. Experiences of Polish female migrants in Barcelona, Berlin and London.

PubMed

Main, Izabella

2016-08-01

This paper focuses on the diversity in patients' experience of bio-medicine and contrasts it with the normative view characteristic of health professionals. Ethnographic fieldwork among Polish migrant women in London, Barcelona and Berlin included interviews about their experiences with local healthcare and health professionals. Themes drawn from the narratives are differences between the cities in terms of communication between patients and health professionals, respect for patients' choices and dignity, attitudes to pregnancy and birth (different levels of medicalization), and paediatric care. It is argued that patients continuously negotiate among their own views and expectations based on previous experiences and knowledge from personal communication; internet forums and publications; and the offer of medical services in the countries of their settlement. Patients experience pluralism of therapeutic traditions within and outside bio-medicine. In turn, representatives of bio-medicine are rarely aware of other medical practices and beliefs and this leads to various misunderstandings. By highlighting the pluralism of medical practices in European countries and the increasing mobility of patients, this case study has useful implications for medical anthropologists and health professionals in a broader Western context, such as raising sensitivity to different communication strategies and a diversity of curing traditions and expectations.

Discipline building in Germany: women and genetics at the Berlin Institute for Heredity Research.

PubMed

Stamhuis, Ida H; Vogt, Annette B

2017-06-01

The origin and the development of scientific disciplines has been a topic of reflection for several decades. The few extensive case studies support the thesis that scientific disciplines are not monolithic structures but can be characterized by distinct social, organizational and scientific-technical practices. Nonetheless, most disciplinary histories of genetics confine themselves largely to an uncontested account of the content of the discipline or occasionally institutional factors. Little attention is paid to the large number of researchers who, by their joint efforts, ultimately shaped the discipline. We contribute to this aspect of disciplinary historiography by discussing the role of women researchers at the Institute for Heredity Research, founded in 1914 in Berlin under the directorship of Erwin Baur, and the sister of the John Innes Institute at Cambridge. This paper investigates how and why Baur built a highly successful research programme that relied on the efforts of his female staff, whose careers, notably Elisabeth Schiemann's, are also assessed in toto. These women undertook the necessary 'technoscience' and in some cases innovative work and helped increase the prestige of the institute and its director. Together they played a pivotal role in the establishment of genetics in Germany. Without them the discipline would have developed much more slowly and along a divergent path.

Architecture and Surface Chemistry of Compound Nanoclusters

DTIC Science & Technology

2012-08-01

spectroscopy of metal carbonyls and carbocations: Inorganic and organic chemistry in the gas phase," Molecular Dynamics Seminar, Fritz Haber Institute...Disclosures none Pi Honors/Awards Alexander von Humboldt Fellowship ( Fritz Haber Institute, Berlin), 2007-present American Chemical Society

Lionel Charles Renwick (Rennick) Emmett (1913-96): physician and Olympian.

PubMed

Biswas, Tamoghna; Datta, Adrija; Chandra, Shivika

2012-08-01

Lionel Charles Renwick Emmett, a physician who trained in pre-independent India as a medical student, participated in the 1936 Berlin Summer Olympics as a part of the Indian field hockey team that won the Gold Medal.

Reflected Deck Plan and Deck Plan from Pre2004 Fire and ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Reflected Deck Plan and Deck Plan from Pre-2004 Fire and Existing Condition, 2009 - Boston & Maine Railroad, Berlin Branch Bridge #148.81, Formerly spanning Moose Brook at former Boston & Maine Railroad, Gorham, Coos County, NH

Cratering statistics on asteroids: Methods and perspectives

NASA Astrophysics Data System (ADS)

Chapman, C.

2014-07-01

Crater size-frequency distributions (SFDs) on the surfaces of solid-surfaced bodies in the solar system have provided valuable insights about planetary surface processes and about impactor populations since the first spacecraft images were obtained in the 1960s. They can be used to determine relative age differences between surficial units, to obtain absolute model ages if the impactor flux and scaling laws are understood, to assess various endogenic planetary or asteroidal processes that degrade craters or resurface units, as well as assess changes in impactor populations across the solar system and/or with time. The first asteroid SFDs were measured from Galileo images of Gaspra and Ida (cf., Chapman 2002). Despite the superficial simplicity of these studies, they are fraught with many difficulties, including confusion by secondary and/or endogenic cratering and poorly understood aspects of varying target properties (including regoliths, ejecta blankets, and nearly-zero-g rubble piles), widely varying attributes of impactors, and a host of methodological problems including recognizability of degraded craters, which is affected by illumination angle and by the ''personal equations'' of analysts. Indeed, controlled studies (Robbins et al. 2014) demonstrate crater-density differences of a factor of two or more between experienced crater counters. These inherent difficulties have been especially apparent in divergent results for Vesta from different members of the Dawn Science Team (cf. Russell et al. 2013). Indeed, they have been exacerbated by misuse of a widely available tool (Craterstats: hrscview.fu- berlin.de/craterstats.html), which incorrectly computes error bars for proper interpretation of cumulative SFDs, resulting in derived model ages specified to three significant figures and interpretations of statistically insignificant kinks. They are further exacerbated, and for other small-body crater SFDs analyzed by the Berlin group, by stubbornly adopting certain assumptions about issues that should be left as open questions (e.g., the shapes of impactor SFDs are assumed to be identical throughout the solar system and throughout all epochs, the decay rate of the impactor flux in the asteroid belt is assumed to be the same as in the Earth-Moon system, and all kinks in SFDs are interpreted as ''resurfacings'' rather than due to layering of targets or due to other kinds of crater creation and degradation processes). In fact, we know that there are different mixes of comets and asteroids in different parts of the solar system, that size distributions differ in different parts of the asteroid belt, that SFDs of asteroid families evolve, that kinks in SFDs can be produced by layering (e.g., on the Moon), and that small-scale crater populations on asteroids like Itokawa and Eros are dramatically affected by processes of lesser importance to large-scale cratering (e.g., because of bouldery substrates, seismic shaking, etc.). Identification of homogeneous geological units for crater counting is particularly critical. Crater ejecta blankets, which are useful units on planetary-scale bodies, become problematic on smaller bodies where ejecta travel farther and are even ejected at greater than escape velocity resulting in thin, patchy ejecta blankets inappropriate for displaying a useful post-deposition crater population. As we anticipate studying still more cratered small-body surfaces from future spacecraft and even radar imaging of asteroids, comet nuclei, and small satellites, non-specialists and crater-counters alike should be suspicious of crater SFDs obtained through production-line application of black-box routines like Craterstats. Crater SFDs can still be a very useful tool, so long as there is rigorous, statistically robust, open-minded interpretation that takes account of the real unknowns concerning geological and interplanetary contexts.

The role of building models in the evaluation of heat-related risks

NASA Astrophysics Data System (ADS)

Buchin, Oliver; Jänicke, Britta; Meier, Fred; Scherer, Dieter; Ziegler, Felix

2016-04-01

Hazard-risk relationships in epidemiological studies are generally based on the outdoor climate, despite the fact that most of humans' lifetime is spent indoors. By coupling indoor and outdoor climates with a building model, the risk concept developed can still be based on the outdoor conditions but also includes exposure to the indoor climate. The influence of non-linear building physics and the impact of air conditioning on heat-related risks can be assessed in a plausible manner using this risk concept. For proof of concept, the proposed risk concept is compared to a traditional risk analysis. As an example, daily and city-wide mortality data of the age group 65 and older in Berlin, Germany, for the years 2001-2010 are used. Four building models with differing complexity are applied in a time-series regression analysis. This study shows that indoor hazard better explains the variability in the risk data compared to outdoor hazard, depending on the kind of building model. Simplified parameter models include the main non-linear effects and are proposed for the time-series analysis. The concept shows that the definitions of heat events, lag days, and acclimatization in a traditional hazard-risk relationship are influenced by the characteristics of the prevailing building stock.

Do immigration and acculturation have an impact on hyperemesis gravidarum? Results of a study in Berlin/Germany.

PubMed

David, Matthias; Borde, Theda; Siedentopf, Friederike

2012-06-01

How large is the number of immigrant women being treated for hyperemesis gravidarum (HG) among the in-patients in a University hospital in Germany? Does migration have an impact on the psychosocial state of HG patients? Does acculturation have an impact on psychosocial distress in HG patients? The following methods were used: retrospective evaluation of all in-patients with HG from 1/1997 to 11/2009, inquiry of a consecutively surveyed group (from 2007 to 2009) of HG in-patients with a questionnaire set: socio-demographic data, questionnaire on psychic distress (SCL-90-R) questionnaire on migration/acculturation, and comparison of German patients and patients with immigration backgrounds as well as among immigrant groups. During the 13-year study period, there were 4.5 times more immigrants treated for HG than native German patients. Compared to the age standardized resident population, the number of women with immigration backgrounds is over-proportionally high. The HG patients scored high in the SCL-90-R scale "somatization" without showing a higher level of psychic distress than the native patients. Experience of migration is an etiological cofactor for HG. The grade of acculturation does not have a significant influence on the psychic well-being of HG patients.

Probiotics: a proactive approach to health. A symposium report.

PubMed

Thomas, Linda V; Suzuki, Kaori; Zhao, Jia

2015-12-01

This report summarises talks given at the 8th International Yakult Symposium, held on 23-24 April 2015 in Berlin. Two presentations explored different aspects of probiotic intervention: the small intestine as a probiotic target and inclusion of probiotics into integrative approaches to gastroenterology. Probiotic recommendations in gastroenterology guidelines and current data on probiotic efficacy in paediatric patients were reviewed. Updates were given on probiotic and gut microbiota research in obesity and obesity-related diseases, the gut-brain axis and development of psychobiotics, and the protective effects of equol-producing strains for prostate cancer. Recent studies were presented on probiotic benefit for antibiotic-associated diarrhoea and people with HIV, as well as protection against the adverse effects of a short-term high-fat diet. Aspects of probiotic mechanisms of activity were discussed, including immunomodulatory mechanisms and metabolite effects, the anti-inflammatory properties of Faecalibacterium prausnitzii, the relationship between periodontitis, microbial production of butyrate in the oral cavity and ageing, and the pathogenic mechanisms of Campylobacter. Finally, an insight was given on a recent expert meeting, which re-examined the probiotic definition, advised on the appropriate use and scope of the term and outlined different probiotic categories and the prevalence of different mechanisms of activity.

Sleep Respiratory Disorders and Clinical Profile in Patients with Type 2 Diabetes Mellitus

PubMed Central

Fontela, Paula Caitano; Winkelmann, Eliane Roseli; Pretto, Luciana Meggiolaro; Berlezi, Evelise Moraes

2014-01-01

Introduction Sleep respiratory disorders (SRDs) are often found in patients with type 2 diabetes mellitus (T2DM). Objective The aim was to establish the prevalence of risk to develop an SRD using the Clinical Berlin Questionnaire (CBQ) and Epworth Sleepiness Scale (ESS) in patients with T2DM and verifying the correlation of anthropometric measurements and life quality (LQ) with ESS. Methods A descriptive and analytical study of a case series evaluating 208 patients with T2DM, submitted to clinical and biochemical evaluation and implementation of CBQ, ESS, and WHOQOL-bref to evaluate LQ. Results Mean age was 60.8 ± 8.8 years, and 65.4% were women. Most diabetics were overweight (36.1%), and 29.8% were class I obese. One-third had positive risk signals for a SRD, with 87.0 and 34.1% having high risk in CBQ and sleep disorders in ESS, respectively. There was a significant difference in the general LQ between the low- and high-risk groups in the CBQ. Conclusion In this scenario, it is noteworthy that the active search for sleep disorders must start from simple methods, such as application of protocols. PMID:25992154

From papyrus to the electronic tablet: a brief history of the clinical medical record with lessons for the digital age.

PubMed

Gillum, Richard F

2013-10-01

A major transition is underway in documentation of patient-related data in clinical settings with rapidly accelerating adoption of the electronic health record and electronic medical record. This article examines the history of the development of medical records in the West in order to suggest lessons applicable to the current transition. The first documented major transition in the evolution of the clinical medical record occurred in antiquity, with the development of written case history reports for didactic purposes. Benefiting from Classical and Hellenistic models earlier than physicians in the West, medieval Islamic physicians continued the development of case histories for didactic use. A forerunner of modern medical records first appeared in Paris and Berlin by the early 19th century. Development of the clinical record in America was pioneered in the 19th century in major teaching hospitals. However, a clinical medical record useful for direct patient care in hospital and ambulatory settings was not developed until the 20th century. Several lessons are drawn from the 4000-year history of the medical record that may help physicians improve patient care in the digital age. Copyright © 2013 Elsevier Inc. All rights reserved.