Sample records for kassel germany operating

  1. Analyses to help identify individuals from a historical mass grave in Kassel, Germany.

    PubMed

    v Grumbkow, Philipp; Zipp, Anna; Grosskopf, Birgit; Fueldner, Kai; Hummel, Susanne

    2012-01-01

    In 2008, the skeletal remains of more than 60 human individuals were found in a mass grave on the grounds of the University of Kassel, Germany. There was no evidence helping to identify them or throwing light on the cause of their death. Mainly due to 14C age determination and initial hints on age and sex distribution, historians hypothesized that they had been soldiers of Napoleon's army who died in an epidemic in the winter of 1813/14. To test this assumption, morphological and molecular analyses were carried out on a sample. The morphological analyses comprised an age and sex determination as well as a macro- and micro-morphological inspection for pathological deviations after the commingled bones had been assembled as individuals. The molecular investigations aimed to identify the geographic origin of the remains. For this, mitochondrial and Y-chromosomal haplotypings were carried out. The results point to a group of mainly young men, some of them suffering from systemic inflammation of the periosteum. Others revealed severe aberrations in bone microstructure. The greatest similarities revealed by Y-haplogroup and -haplotype distribution were to populations that live in what are now the Benelux countries. All aspects support the thesis that these were soldiers of the Napoleonic army.

  2. The Landgrave in Kassel and Tycho Brahe on Hven

    NASA Astrophysics Data System (ADS)

    Høg, E.

    2018-01-01

    Tycho Brahe is known as the greatest astronomer of his time and his observations had great significance for the development of science. Tycho received in 1576 the island Hven not far from Copenhagen as a gift from the Danish king Frederik II and he worked there with many collaborators during twenty years. But Tycho must share the credit for renewing astronomy with Landgrave Wilhelm IV in Kassel as has been better recognized recently. About 1566 Wilhelm achieved a better accuracy of star positions than any astronomer before. Twenty years later, an accuracy about one minute of arc was obtained in Kassel, and soon after also by Tycho Brahe. We shall follow this evolution and the mutual process of learning between Kassel and Hven - which was not without drama. %ZHamel, J., Rothenberg, E., & von Mackensen, L. 1998, AcHA, 2, 1 Høg, E. 2018, RMxAC, 50, 1

  3. The Kassel Laboratory Astrophysics Thz Spectrometrs

    NASA Astrophysics Data System (ADS)

    Chantzos, Johanna; Herberth, Doris; Kutzer, Pia; Muster, Christoph; Fuchs, Guido W.; Giesen, Thomas

    2016-06-01

    We present a brief overview of the recently established laboratory astrophysics group in Kassel/Germany with a focus on our THz technology. After an outline of our laboratory equipment and recent projects the talk will focus on our new fast spectral scan technique for molecular jet experiments. Here, a new test setup for broadband fast sweep spectrometry in the MW to submm wavelength region has been realized and can be applied to identify transient molecules in a supersonic jet. An arbitrary waveform generator (AWG) is used to generate chirped pulses with a linear frequency sweep in the MHz regime. Pulse durations are of a few microseconds. These pulses are up-converted in frequency, e.g. into the 50 GHz microwave frequency range utilizing a synthesizer, or using a synthesizer plus standard amplifier multiplier chain (AMC) to reach the 100-300 GHz region. As test, NH_3 has been measured between 18-26 GHz in a supersonic jet of 500 μ s duration. Acetonitrile (CH_3CN) was tested in the (90-110) GHz range. The spectrometer is capable of providing fast, broadband and low-noise measurements. Experiments with non-stabel molecular production conditions can greatly benefit from these advantages. The setup enables the study of Van-der-Waals-clusters, as well as carbon chain molecules and small metal-containing refractory molecules when combined with appropriate molecule sources.

  4. Operating room management and operating room productivity: the case of Germany.

    PubMed

    Berry, Maresi; Berry-Stölzle, Thomas; Schleppers, Alexander

    2008-09-01

    We examine operating room productivity on the example of hospitals in Germany with independent anesthesiology departments. Linked to anesthesiology group literature, we use the ln(Total Surgical Time/Total Anesthesiologists Salary) as a proxy for operating room productivity. We test the association between operating room productivity and different structural, organizational and management characteristics based on survey data from 87 hospitals. Our empirical analysis links improved operating room productivity to greater operating room capacity, appropriate scheduling behavior and management methods to realign interests. From this analysis, the enforcing jurisdiction and avoiding advance over-scheduling appear to be the implementable tools for improving operating room productivity.

  5. Perfect in Every Sense. Scientific Iconography on an Equation Clock by Jost Bürgi and the Self-Understanding of the Astronomers at the Kassel Court in the Late 1580s.

    PubMed

    Gaulke, Karsten

    2015-01-01

    At the center of this article is an iconographic analysis of the eight silver reliefs on the sides of a table clock made in 1591 by Jost Burgi, the court clockmaker of Landgrave Wilhelm iv of Hessen-Kassel. The reliefs present an astronomical ancestral picture gallery, running from the Patriarchs of the Old Testament to Copernicus. The author argues that the "storyboard" for this sequence of images must have been conceived down to its smallest details by the Kassel court astronomer Christoph Rothmann; indeed, many of the scenes shown, along with many particular details depicted within them, are literally described in Rothmann's never-published manuscript Observationes stellarum fixarum of 1589. The final section of the essay compares these reliefs to the images created for Tycho Brahe at his Uraniborg and Stjerneborg observatories. The author concludes that the sequence of the reliefs in Kassel, culminating in the representation of Copernicus and his world view, is a reflection of the acrimonious debate extending over many years between the heliocentrist Rothmann and the geo-heliocentrist Brahe regarding the veracity of the heliocentric world view.

  6. Climate protection in Germany`s bilateral development co-operation with the People`s Republic of China

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

    Schneider, A.

    1996-12-31

    For globally sustainable development to be achieved, three concerns are central: productive economic growth, social justice and ecological sustainability. Development co-operation supports the realisation of these three goals in partner countries by helping to alleviate poverty, promote economic growth through private-sector development and protect vital natural resources. The aim of globally sustainable development can only be achieved if industrial countries too implement necessary reforms and structural adjustments at every level. Co-operation efforts with partners must therefore be complemented by coherent policies at home. This is a matter of credibility, but also of developmental far-sightedness. Internal reforms in the industrial countriesmore » secure financial leeway for their providing foreign assistance in the longer term. Environmental and resource protection as a focal point of Germany`s development co-operation with the PRC aims to preserve vital natural resources, shape economic development in their partner countries in an ecologically sound manner and put China in a position to participate in global endeavours to protect the environment. Climate protection measures figure prominently in this area. This is justified given China`s share of global CO{sub 2} emissions and the potential for energy-saving measures and measures to increase power intensity. This potential is derived primarily from the possibility of using energy-efficient technologies, increasing the relatively low energy prices and making use of renewable sources of energy.« less

  7. CMS tier structure and operation of the experiment-specific tasks in Germany

    NASA Astrophysics Data System (ADS)

    Nowack, A.

    2008-07-01

    In Germany, several university institutes and research centres take part in the CMS experiment. Concerning the data analysis, a couple of computing centres at different Tier levels, ranging from Tier 1 to Tier 3, exists at these places. The German Tier 1 centre GridKa at the research centre at Karlsruhe serves all four LHC experiments as well as four non-LHC experiments. With respect to the CMS experiment, GridKa is mainly involved in central tasks. The Tier 2 centre in Germany consists of two sites, one at the research centre DESY at Hamburg and one at RWTH Aachen University, forming a federated Tier 2 centre. Both parts cover different aspects of a Tier 2 centre. The German Tier 3 centres are located at the research centre DESY at Hamburg, at RWTH Aachen University, and at the University of Karlsruhe. Furthermore the building of a German user analysis facility is planned. Since the CMS community in German is rather small, a good cooperation between the different sites is essential. This cooperation includes physical topics as well as technical and operational issues. All available communication channels such as email, phone, monthly video conferences, and regular personal meetings are used. For example, the distribution of data sets is coordinated globally within Germany. Also the CMS-specific services such as the data transfer tool PhEDEx or the Monte Carlo production are operated by people from different sites in order to spread the knowledge widely and increase the redundancy in terms of operators.

  8. Status quo and current trends of operating room management in Germany.

    PubMed

    Baumgart, André; Schüpfer, Guido; Welker, Andreas; Bender, Hans-Joachim; Schleppers, Alexander

    2010-04-01

    Ongoing healthcare reforms in Germany have required strenuous efforts to adapt hospital and operating room organizations to the needs of patients, new technological developments, and social and economic demands. This review addresses the major developments in German operating room management research and current practice. The introduction of the diagnosis-related group system in 2003 has changed the incentive structure of German hospitals to redesign their operating room units. The role of operating room managers has been gradually changing in hospitals in response to the change in the reimbursement system. Operating room managers are today specifically qualified and increasingly externally hired staff. They are more and more empowered with authority to plan and control operating rooms as profit centers. For measuring performance, common perioperative performance indicators are still scarcely implemented in German hospitals. In 2008, a concerted time glossary was established to enable consistent monitoring of operating room performance with generally accepted process indicators. These key performance indicators are a consistent way to make a procedure or case - and also the effectiveness of the operating room management - more transparent. In the presence of increasing financial pressure, a hospital's executives need to empower an independent operating room management function to achieve the hospital's economic goals. Operating room managers need to adopt evidence-based methods also from other scientific fields, for example management science and information technology, to further sustain operating room performance.

  9. [Surgery for benign goiter in Germany: fewer operations, changed resectional strategy, fewer complications].

    PubMed

    Dralle, H; Stang, A; Sekulla, C; Rusner, C; Lorenz, K; Machens, A

    2014-03-01

    The increase of certain operations in the wake of the introduction of the German Diagnosis-Related Groups (G-DRG) system rekindled debate on the risk-benefit profile of what is widely being perceived as a too high number of thyroidectomies for benign goiter in Germany. The numbers of thyroidectomy for benign goiter from 2005-2011 were obtained from the Federal Bureau of Statistics ("Statistisches Bundesamt"). For the purpose of the study, the following operation and procedure key (OPS) codes were selected: hemithyroidectomy (OPS code 5-061); partial thyroid resection (OPS code 5-062); total thyroidectomy (OPS code 5-063); and thyroid surgeries via sternotomy (OPS code 5-064). The rates of permanent hypoparathyroidism and vocal cord palsy were calculated based on two prospective multicenter evaluation studies conducted in 1998-2001 (PETS 1) and 2010-2013 (PETS 2) in Germany. Between 2005 and 2011, the number of thyroidectomies for benign thyroid goiter decreased by 8 %, and the age-standardized surgery rate decreased by 6 % in men (2005: 599 per 1 million; 2011: 565 per 1 million) and 11 % in women (2005: 1641 per 1 million; 2011: 1463 per 1 million). At the same time, the rates of partial and subtotal thyroidectomy decreased by 59 % in men and 64 % in women, whereas the rates of hemithyroidectomy and total thyroidectomy increased by 65 % (113 %) in men and 42 % (97 %) in women. Despite a greater proportion of thyroidectomies over time, the approximated rates for postoperative hypoparathyroidism were reduced from 2.98 to 0.83 % and for postoperative vocal cord palsy from 1.06 to 0.86 %. Irrespective of that decline, either complication was more frequent after total than after subtotal thyroidectomy. The total number of thyroid surgeries due to benign goiter has decreased substantially in Germany from 2005 through 2011. Despite changes in the resectional strategy with an increase in the total number thyroidectomies and a decrease of subtotal

  10. Theoretical Aspects of Target Classification. Lecture Series of the Electromagnetic Wave Propagation Panel and the Consultant and Exchange Programme Held in Rome, Italy on 29-30 June 1987; Neuiberg, Germany on 2-3 July 1987 and Noresund, Norway on 6-7 July 1987.

    DTIC Science & Technology

    1987-06-01

    F1116 81031 Oherpifaffenhofen Wilhelmnshohec Alice 73 Federal Republic of Gierman!, D-3500 Kassel Federal Republic of German %’ CONTENTS Page LIST OF...Report, University of Kassel, 1984 (in German ). 45. H. Shirai and L.B. Felsen, "Modified GTD for Generating Complex Resonances for Flat Strips and Disks...Thompr~son. litJ. t’himnti) Plenum Press. New York 1986. ACK14OWLEDGEMENTS This work has been financially sullpported hv the Stifting Volkswagen Werk

  11. Germany's Armed Forces in the Second World War: Manpower, Armaments, and Supply.

    ERIC Educational Resources Information Center

    Balsamo, Larry T.

    1991-01-01

    Discusses the state of Germany's armed forces in World War II. Describes Germany's progress from inferior weaponry and unprepared military at the beginning of the war to superior weapons and fighting. Stresses heavy German dependence on horse drawn supply. Credits Germany's defeat to human attrition accelerated by Hitler's operational leadership.…

  12. Barrierless association of CF2 and dissociation of C2F4 by variational transition-state theory and system-specific quantum Rice–Ramsperger–Kassel theory

    PubMed Central

    Bao, Junwei Lucas; Zhang, Xin

    2016-01-01

    Bond dissociation is a fundamental chemical reaction, and the first principles modeling of the kinetics of dissociation reactions with a monotonically increasing potential energy along the dissociation coordinate presents a challenge not only for modern electronic structure methods but also for kinetics theory. In this work, we use multifaceted variable-reaction-coordinate variational transition-state theory (VRC-VTST) to compute the high-pressure limit dissociation rate constant of tetrafluoroethylene (C2F4), in which the potential energies are computed by direct dynamics with the M08-HX exchange correlation functional. To treat the pressure dependence of the unimolecular rate constants, we use the recently developed system-specific quantum Rice–Ramsperger–Kassel theory. The calculations are carried out by direct dynamics using an exchange correlation functional validated against calculations that go beyond coupled-cluster theory with single, double, and triple excitations. Our computed dissociation rate constants agree well with the recent experimental measurements. PMID:27834727

  13. Barrierless association of CF2 and dissociation of C2F4 by variational transition-state theory and system-specific quantum Rice-Ramsperger-Kassel theory.

    PubMed

    Bao, Junwei Lucas; Zhang, Xin; Truhlar, Donald G

    2016-11-29

    Bond dissociation is a fundamental chemical reaction, and the first principles modeling of the kinetics of dissociation reactions with a monotonically increasing potential energy along the dissociation coordinate presents a challenge not only for modern electronic structure methods but also for kinetics theory. In this work, we use multifaceted variable-reaction-coordinate variational transition-state theory (VRC-VTST) to compute the high-pressure limit dissociation rate constant of tetrafluoroethylene (C 2 F 4 ), in which the potential energies are computed by direct dynamics with the M08-HX exchange correlation functional. To treat the pressure dependence of the unimolecular rate constants, we use the recently developed system-specific quantum Rice-Ramsperger-Kassel theory. The calculations are carried out by direct dynamics using an exchange correlation functional validated against calculations that go beyond coupled-cluster theory with single, double, and triple excitations. Our computed dissociation rate constants agree well with the recent experimental measurements.

  14. [Private medical education in Germany].

    PubMed

    Schwörer, Beatrix; Wissing, Frank

    2018-02-01

    Through the years, a range of privately funded medical training opportunities has been established in Germany. Only a few of them operate along the German Medical Licensure Act and thus underlie quality assurance regulations in Germany. Most of the courses are a result of German hospitals cooperating with universities from other EU countries. The content of the courses and the examinations underlie the regulations of the university's home country. This article aims to give an overview of the private medical training opportunities offered in Germany and to show differences compared to state funded German medical schools. The authors discuss the opportunities of private medical training as well as its challenges and risks. Basic principles concerning finances and quality assurance of national and international private medical training are provided. Regardless of their mode of financing, the superior goal of the training, according to the German Medical Licensure Act, should always be to enable young doctors to pursue further professional training, so that they can maintain the best possible quality in patient care, research, and medical education.

  15. Discrepancies Between Planned and Actual Operating Room Turnaround Times at a Large Rural Hospital in Germany

    PubMed Central

    Morgenegg, Regula; Heinze, Franziska; Wieferich, Katharina; Schiffer, Ralf; Stueber, Frank; Luedi, Markus M.; Doll, Dietrich

    2017-01-01

    Objectives While several factors have been shown to influence operating room (OR) turnaround times, few comparisons of planned and actual OR turnaround times have been performed. This study aimed to compare planned and actual OR turnaround times at a large rural hospital in Northern Germany. Methods This retrospective study examined the OR turnaround data of 875 elective surgery cases scheduled at the Marienhospital, Vechta, Germany, between July and October 2014. The frequency distributions of planned and actual OR turnaround times were compared and correlations between turnaround times and various factors were established, including the time of day of the procedure, patient age and the planned duration of the surgery. Results There was a significant difference between mean planned and actual OR turnaround times (0.32 versus 0.64 hours; P <0.001). In addition, significant correlations were noted between actual OR turnaround times and the time of day of the surgery, patient age, actual duration of the procedure and staffing changes affecting the surgeon or the medical specialty of the surgery (P <0.001 each). The quotient of actual/planned OR turnaround times ranged from 1.733–3.000. Conclusion Significant discrepancies between planned and actual OR turnaround times were noted during the study period. Such findings may be potentially used in future studies to establish a tool to improve OR planning, measure OR management performance and enable benchmarking. PMID:29372083

  16. Integration of Remote Sensing Data In Operational Flood Forecast In Southwest Germany

    NASA Astrophysics Data System (ADS)

    Bach, H.; Appel, F.; Schulz, W.; Merkel, U.; Ludwig, R.; Mauser, W.

    Methods to accurately assess and forecast flood discharge are mandatory to minimise the impact of hydrological hazards. However, existing rainfall-runoff models rarely accurately consider the spatial characteristics of the watershed, which is essential for a suitable and physics-based description of processes relevant for runoff formation. Spatial information with low temporal variability like elevation, slopes and land use can be mapped or extracted from remote sensing data. However, land surface param- eters of high temporal variability, like soil moisture and snow properties are hardly available and used in operational forecasts. Remote sensing methods can improve flood forecast by providing information on the actual water retention capacities in the watershed and facilitate the regionalisation of hydrological models. To prove and demonstrate this, the project 'InFerno' (Integration of remote sensing data in opera- tional water balance and flood forecast modelling) has been set up, funded by DLR (50EE0053). Within InFerno remote sensing data (optical and microwave) are thor- oughly processed to deliver spatially distributed parameters of snow properties and soil moisture. Especially during the onset of a flood this information is essential to estimate the initial conditions of the model. At the flood forecast centres of 'Baden- Württemberg' and 'Rheinland-Pfalz' (Southwest Germany) the remote sensing based maps on soil moisture and snow properties will be integrated in the continuously op- erated water balance and flood forecast model LARSIM. The concept is to transfer the developed methodology from the Neckar to the Mosel basin. The major challenges lie on the one hand in the implementation of algorithms developed for a multisensoral synergy and the creation of robust, operationally applicable remote sensing products. On the other hand, the operational flood forecast must be adapted to make full use of the new data sources. In the operational phase of the

  17. Effectiveness of structured comprehensive paediatric oral health education for parents of children less than two years of age in Germany.

    PubMed

    Strippel, H

    2010-06-01

    To examine the effectiveness of expanding and improving oral health education in a clinical setting. Controlled prospective intervention study. Structured comprehensive oral health education (SC-OHE) supported by written information. was performed by 36 clinicians in all of the 30 specialist paediatric practices in the city and the administrative district of Kassel, central Germany. Parents of all children attending the practices for health examinations. SC-OHE was tested in two intervention groups (IG), one with a mean child age of seven months and another with a mean child age of 24 months. The SC-OHE content was adapted to the respective age groups. Control group (CG) subjects were recruited in a similar region in northern Germany and received conventional oral health education only. This consisted of comparable topics but was less comprehensive than SC-OHE. The two IGs comprised 2,170 children; the two age-matched CGs 2,040. Parental knowledge, attitudes and behaviour relevant to decreasing the risk of early childhood caries (ECC) development. The outcomes were measured by questionnaires sent to the parents. The response rate was 88%. On average, control group paediatricians provided 2.1 information items at each child examination whereas the intervention group provided 3.8 items. Parental knowledge increased by 23%. Self-efficacy and attitudes remained unchanged. 41% of 7-month-olds in the CG received baby bottles with cariogenic content during daytime as opposed to 32% in the IG (p < 0.001); however, bottle use at night was unchanged. IG parents were less likely to add sugar to puréed baby food of the 7-month-olds. In 24-month-old children, the frequent consumption of cariogenic beverages in the daytime decreased slightly (CG 66%, IG 61%, p < 0.001), but five other nutritional behaviours, fluoride use and tooth brushing remained unchanged. Primary care providers can be trained to perform SC-OHE that improves parental oral health knowledge. SC-OHE provided by

  18. Epidermolysis bullosa care in Germany.

    PubMed

    Bruckner-Tuderman, Leena

    2010-04-01

    Until 2003, no structures existed in Germany for special care of patients with rare diseases, such as epidermolysis bullosa (EB). At that point, the Federal Ministry of Education and Research announced a clinical research program-networks for rare diseases. The Network Epidermolysis Bullosa (EB Network), coordinated from the Department of Dermatology, University Medical Center Freiburg, has operated since October 2003 with the goal of improving diagnostics and clinical management, elucidating disease mechanisms, and development of novel therapies for EB (www.netzwerk-eb.de). Future goals of the EB Network include securing the clinical-diagnostic and IT structures established with grant support and focusing research on molecular disease mechanisms in EB and novel biologically valid therapies. Intensive collaborations with other networks for rare genetic diseases will generate durable structures in Germany and form a basis for future international consortia. Copyright 2010 Elsevier Inc. All rights reserved.

  19. The "Carbon-Neutral University"--A Study from Germany

    ERIC Educational Resources Information Center

    Udas, Erica; Wölk, Monique; Wilmking, Martin

    2018-01-01

    Purpose: Nowadays, several higher education institutions around the world are integrating sustainability topics into their daily operations, functionality and education systems. This paper presents a case study from a pilot project implemented by the Ernst-Moritz-Arndt-Universität Greifswald (hereafter, Greifswald University), Germany on its way…

  20. The Mother Centers in Germany--Empowerment Strategies for Community Women in Germany.

    ERIC Educational Resources Information Center

    Jaeckel, Monika

    Mother Centers are a grassroots self-help movement in Germany that help stay-at-home mothers break through the isolation they experience in German society when they have children and are not available for full-time employment. There are about 300 mother center projects currently in Germany, including 40 in the former East Germany. The programs…

  1. Performance analysis and simulation of vertical gallium nitride nanowire transistors

    NASA Astrophysics Data System (ADS)

    Witzigmann, Bernd; Yu, Feng; Frank, Kristian; Strempel, Klaas; Fatahilah, Muhammad Fahlesa; Schumacher, Hans Werner; Wasisto, Hutomo Suryo; Römer, Friedhard; Waag, Andreas

    2018-06-01

    Gallium nitride (GaN) nanowire transistors are analyzed using hydrodynamic simulation. Both p-body and n-body devices are compared in terms of threshold voltage, saturation behavior and transconductance. The calculations are calibrated using experimental data. The threshold voltage can be tuned from enhancement to depletion mode with wire doping. Surface states cause a shift of threshold voltage and saturation current. The saturation current depends on the gate design, with a composite gate acting as field plate in the p-body device. He joined Bell Laboratories, Murray Hill, NJ, as a Technical Staff Member. In October 2001, he joined the Optical Access and Transport Division, Agere Systems, Alhambra, CA. In 2004, he was appointed an Assistant Professor at ETH Zurich,. Since 2008, at the University of Kassel, Kassel, Germany, and he has been a Professor the Head of the Computational Electronics and Photonics Group, and co-director of CINSaT since 2010. His research interests include computational optoelectronics, process and device design of semiconductor photonic devices, microwave components, and electromagnetics modeling for nanophotonics. Dr. Witzigmann is a senior member of the SPIE and IEEE.

  2. Safety and integrity of pipeline systems - philosophy and experience in Germany

    DOT National Transportation Integrated Search

    1997-01-01

    The design, construction and operation of gas pipeline systems in Germany are subject to the Energy Act and associated regulations. This legal structure is based on a deterministic rather than a probabilistic safety philosophy, consisting of technica...

  3. Update on Germany: Now Eastern Germany Gets a Free Press. Special Report SO 8, 1991.

    ERIC Educational Resources Information Center

    Meyn, Hermann

    Since the former East German Communist State--the German Democratic Republic (GDR)--was incorporated into the Federal Republic of Germany, the federal constitution has been valid throughout the whole of Germany, guaranteeing press freedom and ending press censorship in eastern Germany. In October 1989, the GDR had 39 daily newspapers (many…

  4. Germany: The Search for Unity.

    ERIC Educational Resources Information Center

    Blankenship, Glen, Ed.

    The 12 lessons in this collection are designed so that they may be used individually, integrated into the curriculum at appropriate places, or used as a complete unit. The lessons are entitled: (1) Impressions of Germany and Germans; (2) The Location and Population of Germany; (3) Pollution in Germany: A Complex Problems; (4) German Political…

  5. Drugs in East Germany.

    PubMed

    Dressler, J; Müller, E

    1997-09-01

    Germany was divided into two parts after World War II. The closed border and a nonconvertible currency in the Eastern part were the factors that did not allow a drug market to develop. Alcohol and medicaments were used as substitute drugs. Since Germany was reunified 5 years ago, there are now the same conditions prevailing for the procurement and sale of drugs in East Germany as there are in the Western German states. This report describes the current state of drug traffic, especially in Saxony, under the new social conditions.

  6. Reform of health care in Germany

    PubMed Central

    Hurst, Jeremy W.

    1991-01-01

    For the past 45 years Germany has had two health care systems: one in the former Federal Republic of Germany and one in the former German Democratic Republic. The system in the Federal Republic was undergoing some important reforms when German reunification took place in October 1990. Now the system in eastern Germany is undergoing a major transformation to bring it more into line with that in western Germany. PMID:10110879

  7. History of modern genetics in Germany.

    PubMed

    Hammar, Friederike

    2002-01-01

    The history of modern genetics in Germany during the 20th century is a story of missed chances. In the USA the genetic revolution opened a fascinating new field for ambitious scientists and created a rapidly growing new industry. Meanwhile Germany stood aside, combating with political and social restrictions. Promising young scientists who wanted to work in the field left Germany for the US, and big companies moved their facilities out of the country. Up until the middle of the 1990s molecular biology in Germany remained a "sleeping beauty" even though many brilliant scientists did their jobs very well. Then a somewhat funny idea changed everything: the German minister for education and science proclaimed the BioRegio contest in order to award the most powerful biotechnology region in Germany concerning academia and especially industry. Since then Germany's biotechnology industry has grown constantly and rapidly due to the foundation of a number of small biotech companies; big companies have returned their interests and their investments to Germany, paralleled by an improvement in academic research because of more funding and better support especially for younger scientists. In respect to biotechnology and molecular biology, Germany is still a developing country, but it has started to move and to take its chances in an exciting global competition.

  8. Comparison of cardiothoracic surgery training in USA and Germany.

    PubMed

    Tchantchaleishvili, Vakhtang; Mokashi, Suyog A; Rajab, Taufiek K; Bolman, R Morton; Chen, Frederick Y; Schmitto, Jan D

    2010-11-26

    Training of cardiothoracic surgeons in Europe and the United States has expanded to incorporate new operative techniques and requirements. The purpose of this study was to compare the current structure of training programs in the United States and Germany. We thoroughly reviewed the existing literature with particular focus on the curriculum, salary, board certification and quality of life for cardiothoracic trainees. The United States of America and the Federal Republic of Germany each have different cardiothoracic surgery training programs with specific strengths and weaknesses which are compared and presented in this publication. The future of cardiothoracic surgery training will become affected by technological, demographic, economic and supply factors. Given current trends in training programs, creating an efficient training system would allow trainees to compete and grow in this constantly changing environment.

  9. Hypertension in Germany.

    PubMed

    Neuhauser, Hannelore; Diederichs, Claudia; Boeing, Heiner; Felix, Stephan B; Jünger, Claus; Lorbeer, Roberto; Meisinger, Christine; Peters, Annette; Völzke, Henry; Weikert, Cornelia; Wild, Philipp; Dörr, Marcus

    2016-12-02

    Hypertension is a key risk factor. However, population data based on blood pressure measurements in Germany are scarce. Standardized blood pressure (BP) measurements and medication data from seven population-based studies conducted in Germany between 1994 and 2012 (66 845 participants, 25-74 years) were analyzed: the EPICPotsdam study (1994-1998, EPIC), the KORA-S4 Study (1999-2001) in Augsburg, and the Gutenberg Health Study (2007-2012, GHS) in Mainz/Mainz-Bingen provided data for descriptive comparisons. Time trends were analyzed based on identical study regions for the German National Health Interview and Examination Survey 1998 (BGS98) and the German Health Examination Survey for Adults (2008-11, DEGS1) as well as the Study of Health in Pomerania (SHIP) in Northeast Germany (1997-2001) and the SHIP-TREND study (2008-2012). BP data were adjusted for study-specific measurement devices based on calibration studies. After adjustment for study-specific measurement devices, mean systolic and diastolic BP values were lower and treatment proportions higher in recent (2007-2012) compared to older (1994-2001) studies. Mean BP decrease was most pronounced (systolic ≥ 10 mmHg) in the elderly (55-74 years). The regional SHIP-TREND data for Northeast Germany showed a decrease in mean systolic BP in young men aged 25 to 34 years; on a national level according to the DEGS1 data, however, no such decrease was observed for this group. New data add evidence for lower BP in Germany. However, the prevention potential remains high. Future research based on population-based data should place a special focus on blood pressure data in young men.

  10. Dental tourism from Switzerland to Germany.

    PubMed

    Gheorghe, Raluca; Zürcher, Andrea; Filippi, Andreas

    In recent years the topic of dental tourism has increasingly come into focus of dentists and patients. In the present study an attempt was made to find out, why patients from a restricted region travel to Germany for dental care. In five German dental clinics located in the border area between Switzerland and Germany, 272 women and 236 men ranging in age from 5 to 94 years, who had undergone at least one dental treatment in Germany, were questioned concerning the reasons for their visits. The interviews took place within a period of 6 months and relied on a questionnaire to collect data regarding sociodemographic features and patient behavior. In comparison to residents of Germany, patients residing in Switzerland took on considerably longer travel distances for the dental visit, in some cases more than 50km (9.7%). For patients residing in Switzerland the technical equipment of the practice was more important (p<0.001), whereas for residents of Germany the cost-effective treatment was decisive (p<0.05). Almost all patients residing in Switzerland (95.6%) confirmed that dental treatments in Germany were cheaper and that additional family members also came to Germany for dental care (65.0%).

  11. Induced Seismicity Related to Hydrothermal Operation of Geothermal Projects in Southern Germany - Observations and Future Directions

    NASA Astrophysics Data System (ADS)

    Megies, T.; Kraft, T.; Wassermann, J. M.

    2015-12-01

    Geothermal power plants in Southern Germany are operated hydrothermally and at low injection pressures in a seismically inactive region considered very low seismic hazard. For that reason, permit authorities initially enforced no monitoring requirements on the operating companies. After a series of events perceived by local residents, a scientific monitoring survey was conducted over several years, revealing several hundred induced earthquakes at one project site.We summarize results from monitoring at this site, including absolute locations in a local 3D velocity model, relocations using double-difference and master-event methods and focal mechanism determinations that show a clear association with fault structures in the reservoir which extend down into the underlying crystalline basement. To better constrain the shear wave velocity models that have a strong influence on hypocentral depth estimates, several different approaches to estimate layered vp/vs models are employed.Results from these studies have prompted permit authorities to start imposing minimal monitoring requirements. Since in some cases these geothermal projects are only separated by a few kilometers, we investigate the capabilities of an optimized network combining the monitoring resources of six neighboring well doublets in a joint network. Optimization is taking into account the -- on this local scale, urban environment -- highly heterogeneous background noise conditions and the feasibility of potential monitoring sites, removing non-viable sites before the optimization procedure. First results from the actual network realization show good detection capabilities for small microearthquakes despite the minimum instrumentational effort, demonstrating the benefits of good coordination of monitoring efforts.

  12. Hip and knee replacement in Germany and the USA: analysis of individual inpatient data from German and US hospitals for the years 2005 to 2011.

    PubMed

    Wengler, Annelene; Nimptsch, Ulrike; Mansky, Thomas

    2014-06-09

    The number of hip and knee replacement operations is rising in many industrialized countries. To evaluate the current situation in Germany, we analyzed the frequency of procedures in Germany compared to the USA, with the aid of similar case definitions and taking demographic differences into account. We used individual inpatient data from Germany (DRG statistics) and the USA (Nationwide Inpatient Sample) to study differences in the age- and sex-adjusted rates of hip and knee replacement surgery and the determinants of trends in case numbers over the years 2005 to 2011. In 2011, hip replacement surgery was performed 1.4 times as frequently in Germany as in the USA (284 vs. 204 cases per 100 000 population per year; the American figures have been adjusted to the age and sex structure of the German population). On the other hand, knee replacement surgery was performed 1.5 times as frequently in the USA as in Germany (304 [standardized] vs. 206 cases per 100,000 population per year). Over the period of observation, the rates of both procedures increased in both countries. The number of elective primary hip replacement operations in Germany grew by 11%, from 140,000 to 155 300 (from 170 to 190 per 100,000 persons); after correction for demographic changes, a 3% increase remained. At the same time, the rate of elective primary hip replacement surgery in the USA rose by 28%, from 79 to 96 per 100 000 population, with a 13% increase remaining after correction for demographic changes. There are major differences between Germany and the USA in the frequency of these operations. The observed upward trend in elective primary hip replacement operations was mostly due to demographic changes in Germany; non-demographic factors exerted a stronger influence in the USA than in Germany. With respect to primary knee replacement surgery, non-demographic factors exerted a comparably strong influence in both countries.

  13. Comparison of cardiothoracic surgery training in usa and germany

    PubMed Central

    2010-01-01

    Background Training of cardiothoracic surgeons in Europe and the United States has expanded to incorporate new operative techniques and requirements. The purpose of this study was to compare the current structure of training programs in the United States and Germany. Methods We thoroughly reviewed the existing literature with particular focus on the curriculum, salary, board certification and quality of life for cardiothoracic trainees. Results The United States of America and the Federal Republic of Germany each have different cardiothoracic surgery training programs with specific strengths and weaknesses which are compared and presented in this publication. Conclusions The future of cardiothoracic surgery training will become affected by technological, demographic, economic and supply factors. Given current trends in training programs, creating an efficient training system would allow trainees to compete and grow in this constantly changing environment. PMID:21108853

  14. Hysterectomy in Germany: a DRG-based nationwide analysis, 2005-2006.

    PubMed

    Stang, Andreas; Merrill, Ray M; Kuss, Oliver

    2011-07-01

    Hysterectomy is among the more common surgical procedures in gynecology. The aim of this study was to calculate population-wide rates of hysterectomy across Germany and to obtain information on the different modalities of hysterectomy currently performed in German hospitals. This was done on the basis of nationwide DRG statistics (DRG = diagnosis-related groups) covering the years 2005-2006. We analyzed the nationwide DRG statistics for 2005 and 2006, in which we found 305 015 hysterectomies. Based on these data we calculated hysterectomy rates for the female population. We determined the indications for each hysterectomy with an algorithm based on the ICD-10 codes, and we categorized the operations on the basis of their OPS codes (OPS = Operationen- und Prozedurenschlüssel [Classification of Operations and Procedures]). The overall rate of hysterectomy in Germany was 362 per 100 000 person-years. 55% of hysterectomies for benign diseases of the female genital tract were performed transvaginally. Bilateral ovariectomy was performed concomitantly in 23% of all hysterectomies, while 4% of all hysterectomies were subtotal. Hysterectomy rates varied considerably across federal states: the rate for benign disease was lowest in Hamburg (213.8 per 100 000 women per year) and highest in Mecklenburg-West Pomerania (361.9 per 100 000 women per year). Hysterectomy rates vary markedly from one region to another. Moreover, even though recent studies have shown that bilateral ovariectomy is harmful to women under 50 who undergo hysterectomy for benign disease, it is still performed in 4% of all hysterectomies for benign indications in Germany.

  15. Music Training in Germany.

    ERIC Educational Resources Information Center

    Tapia, Ivan, Ed.

    1994-01-01

    This special-issue volume examines music education in the two Germanies and how music has had a great influence in the culture of the nations. The presentation is a professional and objective portrayal of music training and cultivation in Germany in the last decade of the present century. The articles attempt to outline the problems and tasks that…

  16. [Fostering of health economics in Germany].

    PubMed

    Ulrich, V

    2012-05-01

    Health economics is now well established in Germany with the aim to apply economic tools to answer problems in health and health care. After a short review of the international development of health economics and the development in Germany in particular, the article looks at selected recent topics of health economic analysis in Germany (economic evaluation, industrial economics, health and education).

  17. Principles of social security and health insurance for farmers in Poland and Germany--a comparative assessment.

    PubMed

    Posturzyńska, Agnieszka; Wojtyła, Andrzej; Hans, Lucyna; Morawik, Iwona; Strzemecka, Joanna; Jabłoński, Mirosław

    2012-01-01

    As landowners occupied with agricultural production comprise a sizeable part of the populations in mid- and western European countries, it seemed reasonable to assess the organization of health care systems concerning farmers and their families in Poland and Germany. Both countries have similar geographical conditions and rural environments. It so happens that in Poland the principles of the system of agricultural insurance (KRUS) is based on the experiences of Germany and France. Basically, both in Poland and Germany, the agricultural health insurance companies provide the same insurance cover as other health insurance companies. In both countries, under certain conditions, in the case of illness, the insured farmers receive instead of sickness benefit operational assistance and home help. In spite of the similarities that characterize both administrations, many particular differences are to be noted, e.g. the farmers' social insurance in Poland is subject to only one ministry, in contrast to Germany where two ministries are responsible for farmers' social insurance. In Poland, KRUS is a monopolistic organization, whereas in Germany, nine similar independent structures fulfil the task of a health insurance company. Needless to say, many more funds are available for prevention, treatment and rehabilitation in Germany than in Poland, due to obvious differences in the overall national income.

  18. Hospital financing: calculating inpatient capital costs in Germany with a comparative view on operating costs and the English costing scheme.

    PubMed

    Vogl, Matthias

    2014-04-01

    The paper analyzes the German inpatient capital costing scheme by assessing its cost module calculation. The costing scheme represents the first separated national calculation of performance-oriented capital cost lump sums per DRG. The three steps in the costing scheme are reviewed and assessed: (1) accrual of capital costs; (2) cost-center and cost category accounting; (3) data processing for capital cost modules. The assessment of each step is based on its level of transparency and efficiency. A comparative view on operating costing and the English costing scheme is given. Advantages of the scheme are low participation hurdles, low calculation effort for G-DRG calculation participants, highly differentiated cost-center/cost category separation, and advanced patient-based resource allocation. The exclusion of relevant capital costs, nontransparent resource allocation, and unclear capital cost modules, limit the managerial relevance and transparency of the capital costing scheme. The scheme generates the technical premises for a change from dual financing by insurances (operating costs) and state (capital costs) to a single financing source. The new capital costing scheme will intensify the discussion on how to solve the current investment backlog in Germany and can assist regulators in other countries with the introduction of accurate capital costing. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  19. [Current Situation of Antibiotic Prophylaxis in Obesity and Metabolic Surgery - Data Analysis from the Study for Quality Assurance in Operative Treatment of Obesity in Germany].

    PubMed

    Stroh, C; Wilhelm, B; Weiner, R; Ludwig, K; Benedix, F; Knoll, C; Lippert, H; Manger, T; Adipositas, Kompetenznetz

    2016-02-01

    Since January 2005, the situation of metabolic and obesity surgery in Germany has been constantly evaluated by the German Bariatric Surgery Registry (GBSR). Data registration is performed using an internet online database with prospective data collection. All registered data were analysed in cooperation with the Institute of Quality Assurance at the Otto-von-Guericke University Magdeburg. Data collection includes primary and revision/redo-procedures. A main focus of the current study is the analysis of data regarding the perioperative management, in particular, administration of antibiotics. Since 2005 a significant increase of primary bariatric procedures has been reported. For evaluation of the antibiotic regimen 12 296 primary operations including 684 balloons (BIB), 2950 gastric bandings (GB), 5115 Roux-en-Y-gastric bypasses (RYGBP), 120 Scopinaro's biliopancreatic diversions (BPD), 164 duodenal switches (DS), 3125 sleeve gastrectomies (SG) and 138 other procedures were analysed. In total 77.3 % of the patients with primary procedures received perioperative antibiotics. Patients without concomitant comorbidities received antibiotics significantly less often compared to those with comorbidities. Wound infection rates were comparable for patients who underwent either gastric banding or sleeve gastrectomy. Surgery has been accepted step by step as a treatment for morbid obesity and its comorbidities in Germany during the last few years. There is only little experience in the literature regarding antibiotic therapy as well as prophylaxis in bariatric surgery. Based on the results of the current study we recommend rather the selective than the routine use of antibiotics depending on different parameters, e.g., operative time, preoperative BMI and concomitant comorbidities. Georg Thieme Verlag KG Stuttgart · New York.

  20. Update: Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Loewenthal, Nessa P.

    The Federal Republic of Germany is widely respected for its highly developed economy, rich cultural life, and significant contributions to science, mathematics, and the arts. Designed for families or individuals planning to move to or live in Germany for extended periods of time, this book provides guidance in such practical matters as entry…

  1. Overview of long-term field experiments in Germany - metadata visualization

    NASA Astrophysics Data System (ADS)

    Muqit Zoarder, Md Abdul; Heinrich, Uwe; Svoboda, Nikolai; Grosse, Meike; Hierold, Wilfried

    2017-04-01

    BonaRes ("soil as a sustainable resource for the bioeconomy") is conducting to collect data and metadata of agricultural long-term field experiments (LTFE) of Germany. It is funded by the German Federal Ministry of Education and Research (BMBF) under the umbrella of the National Research Strategy BioEconomy 2030. BonaRes consists of ten interdisciplinary research project consortia and the 'BonaRes - Centre for Soil Research'. BonaRes Data Centre is responsible for collecting all LTFE data and regarding metadata into an enterprise database upon higher level of security and visualization of the data and metadata through data portal. In the frame of the BonaRes project, we are compiling an overview of long-term field experiments in Germany that is based on a literature review, the results of the online survey and direct contacts with LTFE operators. Information about research topic, contact person, website, experiment setup and analyzed parameters are collected. Based on the collected LTFE data, an enterprise geodatabase is developed and a GIS-based web-information system about LTFE in Germany is also settled. Various aspects of the LTFE, like experiment type, land-use type, agricultural category and duration of experiment, are presented in thematic maps. This information system is dynamically linked to the database, which means changes in the data directly affect the presentation. An easy data searching option using LTFE name, -location or -operators and the dynamic layer selection ensure a user-friendly web application. Dispersion and visualization of the overlapping LTFE points on the overview map are also challenging and we make it automatized at very zoom level which is also a consistent part of this application. The application provides both, spatial location and meta-information of LTFEs, which is backed-up by an enterprise geodatabase, GIS server for hosting map services and Java script API for web application development.

  2. Germany Country Analysis Brief

    EIA Publications

    2016-01-01

    Germany was the largest energy consumer in Europe and the seventh-largest energy consumer in the world in 2015, according to BP Statistical Review of World Energy. It was also the fourth-largest economy in the world by nominal gross domestic product (GDP) after the United States, China, and Japan in 2015. Its size and location give it considerable influence over the European Union’s energy sector. However, Germany must rely on imports to meet the majority of its energy demand.

  3. 48 CFR 252.229-7002 - Customs exemptions (Germany).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... (Germany). 252.229-7002 Section 252.229-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.229-7002 Customs exemptions (Germany). As prescribed in 229.402-70(b), use the following clause: Customs Exemptions (Germany) (JUN 1997) Imported products required for the...

  4. 48 CFR 252.229-7002 - Customs exemptions (Germany).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... (Germany). 252.229-7002 Section 252.229-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.229-7002 Customs exemptions (Germany). As prescribed in 229.402-70(b), use the following clause: Customs Exemptions (Germany) (JUN 1997) Imported products required for the...

  5. 48 CFR 252.229-7002 - Customs exemptions (Germany).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... (Germany). 252.229-7002 Section 252.229-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.229-7002 Customs exemptions (Germany). As prescribed in 229.402-70(b), use the following clause: Customs Exemptions (Germany) (JUN 1997) Imported products required for the...

  6. 48 CFR 252.229-7002 - Customs exemptions (Germany).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... (Germany). 252.229-7002 Section 252.229-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.229-7002 Customs exemptions (Germany). As prescribed in 229.402-70(b), use the following clause: Customs Exemptions (Germany) (JUN 1997) Imported products required for the...

  7. 48 CFR 252.229-7002 - Customs exemptions (Germany).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (Germany). 252.229-7002 Section 252.229-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.229-7002 Customs exemptions (Germany). As prescribed in 229.402-70(b), use the following clause: Customs Exemptions (Germany) (JUN 1997) Imported products required for the...

  8. Sport in Germany. Basis-Info: Social Policy. In-Press.

    ERIC Educational Resources Information Center

    Beitz, Steffen

    This report describes sports in Germany, explaining that sport is part of Germany's culture. Popular sports are enjoyed by both the public and private sector. Germany has a well-developed club and association sector. One in three Germans belongs to a sports organization. A major feature of sport in Germany is its autonomy. Popular sports begin in…

  9. Neurosurgical Resident Training in Germany.

    PubMed

    Stienen, Martin N; Gempt, Jens; Gautschi, Oliver P; Demetriades, Andreas K; Netuka, David; Kuhlen, Dominique E; Schaller, Karl; Ringel, Florian

    2017-07-01

    Introduction  Efficient neurosurgical training is of paramount importance to provide continuing high-quality medical care to patients. In this era of law-enforced working hour restrictions, however, maintaining high-quality training can be a challenge and requires some restructuring. We evaluated the current status of resident training in Germany. Methods  An electronic survey was sent to European neurosurgical trainees between June 2014 and March 2015. The responses of German trainees were compared with those of trainees from other European countries. Logistic regression analysis was performed to assess the effect size of the relationship between a trainee being from Germany and the outcome (e.g., satisfaction, working time). Results  Of 532 responses, 95 were from German trainees (17.8%). In a multivariate analysis corrected for baseline group differences, German trainees were 29% as likely as non-German trainees to be satisfied with clinical lectures given at their teaching facility (odds ratio [OR]: 0.29; 95% confidence interval [CI]: 0.18-0.49; p  < 0.0001). The satisfaction rate with hands-on operating room exposure was 73.9% and equal to the rate in Europe (OR: 0.94; 95% CI, 0.56-1.59; p  = 0.834). German trainees were 2.3 times as likely to perform a lumbar spine intervention as the primary surgeon within the first year of training (OR: 2.27; 95% CI, 1.42-3.64; p  = 0.001). However, they were less likely to perform a cervical spine procedure within 24 months of training (OR: 0.38; 95% CI, 0.17-0.82; p  = 0.014) and less likely to perform a craniotomy within 36 months of training (OR: 0.49; 95% CI, 0.31-0.79; p  = 0.003). Only 25.6% of German trainees currently adhere to the weekly limit of 48 hours as requested from the European Working Time Directive 2003/88/EC, and in an international comparison, German trainees were twice as likely to work > 50 hours per week (OR: 2.13; 95% CI, 1.25-3.61; p  = 0.005). This working time

  10. A framework for standardized calculation of weather indices in Germany

    NASA Astrophysics Data System (ADS)

    Möller, Markus; Doms, Juliane; Gerstmann, Henning; Feike, Til

    2018-05-01

    Climate change has been recognized as a main driver in the increasing occurrence of extreme weather. Weather indices (WIs) are used to assess extreme weather conditions regarding its impact on crop yields. Designing WIs is challenging, since complex and dynamic crop-climate relationships have to be considered. As a consequence, geodata for WI calculations have to represent both the spatio-temporal dynamic of crop development and corresponding weather conditions. In this study, we introduce a WI design framework for Germany, which is based on public and open raster data of long-term spatio-temporal availability. The operational process chain enables the dynamic and automatic definition of relevant phenological phases for the main cultivated crops in Germany. Within the temporal bounds, WIs can be calculated for any year and test site in Germany in a reproducible and transparent manner. The workflow is demonstrated on the example of a simple cumulative rainfall index for the phenological phase shooting of winter wheat using 16 test sites and the period between 1994 and 2014. Compared to station-based approaches, the major advantage of our approach is the possibility to design spatial WIs based on raster data characterized by accuracy metrics. Raster data and WIs, which fulfill data quality standards, can contribute to an increased acceptance and farmers' trust in WI products for crop yield modeling or weather index-based insurances (WIIs).

  11. [Tularemia in Germany].

    PubMed

    Kohlmann, R; Geis, G; Gatermann, S G

    2014-07-01

    The bacterium Francisella tularensis is known for more than 100 years by now as the etiological agent of the disease tularemia, a zoonotic infection with a worldwide distribution in the Northern Hemisphere. The prevalence of tularemia shows a wide geographic variation, being comparably infrequent in Germany. Tularemia can present itself with multiple clinical manifestations including ulceroglandular, glandular, oropharyngeal, oculoglandular, respiratory and typhoidal forms. Due to the low prevalence and the unspecific symptomatology, a rapid diagnosis and early start of an effective therapy are rarely obtained. Thus, in this article we summarize important aspects concerning etiology, ecology and routes of transmission, recent epidemiologic situation, clinical picture, diagnostics and treatment of tularemia, focusing on the situation in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

  12. Different contexts, different effects? Work time and mental health in the United States and Germany.

    PubMed

    Kleiner, Sibyl; Schunck, Reinhard; Schömann, Klaus

    2015-03-01

    This paper takes a comparative approach to the topic of work time and health, asking whether weekly work hours matter for mental health. We hypothesize that these relationships differ within the United States and Germany, given the more regulated work time environments within Germany and the greater incentives to work long hours in the United States. We further hypothesize that German women will experience greatest penalties to long hours. We use data from the German Socioeconomic Panel and the National Longitudinal Survey of Youth to examine hours effects on mental health score at midlife. The results support our initial hypothesis. In Germany, longer work time is associated with worse mental health, while in the United States, as seen in previous research, the associations are more complex. Our results do not show greater mental health penalties for German women and suggest instead a selection effect into work hours operating by gender. © American Sociological Association 2015.

  13. [Future supply of tuberculin in Germany].

    PubMed

    Sagebiel, D; Hauer, B; Haas, W; Magdorf, K; Priwitzer, M; Loddenkemper, R

    2005-04-01

    The manufacturers of the only tuberculin available up to now in Germany for intradermal TB tests according to Mantoux, Chiron Vaccines Behring, in 2004 unexpectedly stopped the production of the tuberculin Behring GT (GT="gereinigtes Tuberkulin"-purified protein derivative tuberculin). Only residual stocks were sold during the preceding months. The stocks of GT 10 were already depleted at the beginning of 2005, while there are small supplies left of GT 100 and GT 1000. As a temporary solution, Chiron Vaccines Behring is offering to import the Italian tuberculin Biocine PPD 5 IE lyophil produced by Chiron S.r.l. in Siena. As this is not licensed for sale in Germany, it is necessary to obtain an exceptional prescription (Einzelverordnung) according to section sign 73 (3) of the Federal Law Relating to the Manufacture and Distribution of Medicine (Arzneimittelgesetz, AMG). In the long term, Chiron Vaccines Behring plan to secure the supply of tuberculin in Germany by importing, starting in the summer of 2006, the tuberculin produced by Chiron Vaccines Evans in the UK (PPD Evans). However, these plans involve changing over to a different type of tuberculin twice within a very short period of time. Another problem is the unresolved issue of bioequivalence. Besides the above-mentioned tuberculins produced by Chiron Vaccines, a further possibility would be the import of the tuberculin PPD RT23 SSI of the Statens Serums Institute (Copenhagen/Denmark), which is recommended by the World Health Organization (WHO) as the standard tuberculin and which has already been introduced in several European countries, or of other tuberculins such as Tubersol (PPD CT68), which is used in the US. Together with the Robert Koch Institute (RKI) and the Paul Ehrlich Institute (PEI), the German Central Committee against Tuberculosis (DZK) is striving to find a solution, in view of the urgent need for an uninterrupted supply of tuberculin in Germany for diagnostic purposes and contact tracing

  14. The Corporate University Landscape in Germany

    ERIC Educational Resources Information Center

    Andresen, Maike; Lichtenberger, Bianka

    2007-01-01

    Purpose: The paper seeks first to present an overview of the corporate university landscape in Germany contrasting it with the US-American corporate university market and, second, to outline the development in Germany during the last 15 years and to have a look at future trends such as learning alliances. Design/methodology/approach: The…

  15. [A report on clinical PET activities in Germany].

    PubMed

    Tashiro, M; Kubota, K; Itoh, M; Sasaki, H; Moser, E

    1999-09-01

    Clinical diagnostic procedure using positron emission tomography (PET) requires high costs. To promote clinical use of PET, sociomedical evaluation is necessary. In this paper, sociomedical situations concerning clinical use of PET in Germany is reported. Some comparisons are made between Japan and this country putting emphases on several points such as 1) number of cyclotron and PET facilities, 2) social restriction to transportation of radioisotopes, 3) activities of satellite PET facilities, and 4) clinical indications for PET studies. Number of cyclotron was larger in Japan (29) than in Germany (17), but number of PET facilities was larger in Germany (47) than in Japan (29). The reason seems that in Germany transportation and buying of radioisotopes is less restricted. Hence, more than half of PET facilities in Germany are "satellite facilities" which do not have their own cyclotrons. Radioisotope distribution seems to serve as a backbone of "satellite concept." Additionally in Germany, list of clinical indications for PET study is almost completed and now is widely in applied to most cases. To promote clinical use of PET in Japan, the German system might serve as an important socioeconomic model in Europe instead of the United States.

  16. Declining male births in Germany before and after reunification.

    PubMed

    Grech, Victor

    2013-01-01

    Male births occur 3% in excess of female births in mammals in a ratio (M/F) of 0.515. Many factors have been shown to influence this, including socioeconomic deprivation. This paper reviews live birth data for Germany over the period 1946-2009, and identifies secular trends in M/F pre- and post-reunification. The null hypothesis is that there were no differences between East and West Germany, geographically or temporally, before and after reunification. Annual data on male and female live births were obtained from the Human Mortality Database and analyzed with contingency tables. These data were available separately for East and West Germany (1950-1989). There was a significant decline in M/F in both German Republics overall and before reunification (p<0.0001). No decline was present after. Pre-reunification, West Germany had a lower overall M/F than East Germany (p=0.001). In conclusion, a declining M/F has been shown in many countries over the past decades. The two German Republics' M/F fell prior to reunification and the economic collapse of East Germany. Contracting societies that offer poor socioeconomic conditions (such as the communist former East Germany) may result in a decrease in M/F, but this is not reflected in the data, which show that M/F in West Germany prior to reunification was lower than in East Germany. This is not explicable with the contracting economies hypothesis; other and as yet unknown influences may have modified M/F trends anticipated by known variables.

  17. Applied Concept:The Military Information Operations Function within a Comprehensive and Effects-Based Approach

    DTIC Science & Technology

    2009-04-03

    Bonn, Germany 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) USJFCOM J9 Joint Concept...Bonn, Germany , The original document contains color images. 14. ABSTRACT This concept paper is based on the Multinational Information Operations...Bonn, Germany 24 25 Phone: +49 (0)228 43320-464 E-mail: peterwestenkirchner@bundeswehr.org 26 UNCLASSIFIED FOR PUBLIC RELEASE – The Military

  18. 48 CFR 252.246-7002 - Warranty of construction (Germany).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... (Germany). 252.246-7002 Section 252.246-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.246-7002 Warranty of construction (Germany). As prescribed in 246.710(4), use the following clause: Warranty of Construction (Germany) (JUN 1997) (a) In addition to any other...

  19. 48 CFR 252.246-7002 - Warranty of construction (Germany).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (Germany). 252.246-7002 Section 252.246-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.246-7002 Warranty of construction (Germany). As prescribed in 246.710(4), use the following clause: Warranty of Construction (Germany) (JUN 1997) (a) In addition to any other...

  20. 48 CFR 252.246-7002 - Warranty of construction (Germany).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... (Germany). 252.246-7002 Section 252.246-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.246-7002 Warranty of construction (Germany). As prescribed in 246.710(4), use the following clause: Warranty of Construction (Germany) (JUN 1997) (a) In addition to any other...

  1. 48 CFR 252.246-7002 - Warranty of construction (Germany).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... (Germany). 252.246-7002 Section 252.246-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.246-7002 Warranty of construction (Germany). As prescribed in 246.710(2), use the following clause: Warranty of Construction (Germany) (JUN 1997) (a) In addition to any other...

  2. 48 CFR 252.246-7002 - Warranty of construction (Germany).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... (Germany). 252.246-7002 Section 252.246-7002 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.246-7002 Warranty of construction (Germany). As prescribed in 246.710(4), use the following clause: Warranty of Construction (Germany) (JUN 1997) (a) In addition to any other...

  3. The Definition of Vocational Diplomas in Germany and France.

    ERIC Educational Resources Information Center

    Mobus, Martine; Verdier, Eric

    1997-01-01

    In both France and Germany, the government, employers' organizations, and unions all participate in defining vocational diplomas based on a national framework of procedures of elaborating and standardizing titles. Important differences between the diploma definition processes in France and Germany may be identified. In Germany, the issue is…

  4. Privacy Laws and Biobanking in Germany.

    PubMed

    Hoppe, Nils

    2016-03-01

    While the possibility of enacting a sui generis Biobank Act has been debated in Germany at great length, as of yet the country has not implemented any biobankspecific legislation. Instead, oversight is available via a network of research and privacy laws, including those of the European Union. The Nationale Kohorte, Germany's large-scale, population-based epidemiological research biobank, is funded by the Federal Ministry of Education and Research, and there are currently 108 registered bio-banks throughout Germany. The current system, including the structure and study design of the Nationale Kohorte, privileges the protection of personal information even at the cost of socially desirable research; it remains to be seen if forthcoming legislation will shift this balance. © 2016 American Society of Law, Medicine & Ethics.

  5. Report on the Audit of the Morale, Welfare, and Recreation Fund, Bad Aibling Station, West Germany

    DTIC Science & Technology

    1990-06-29

    This is our final report on the Audit of the Morale, Welfare, and Recreation Fund (the Fund), Bad Aibling Station (the Station), West Germany. The...objectives of the audit were to determine whether the financial statements presented fairly the financial condition and results of operations of the

  6. Education in Germany: A Bibliography of English Language Publications.

    ERIC Educational Resources Information Center

    Max-Planck-Institut fuer Bildungsforschung, Berlin (West Germany).

    This bibliography cites bibliographies, journals, books, essays, journal articles, and monographs on education in Germany. All publications cited are in English. The three major sections of the bibliography are education in Germany up to 1945, education in the Federal Republic of Germany, and education in the German Democratic Republic. Topics…

  7. Is Germany a model for managers?

    PubMed

    Wever, K S; Allen, C S

    1992-01-01

    Most American managers have a hard time making sense of Germany. The country has a fraction of the resources and less than one-third the population of the United States. Labor costs are substantially higher, paid vacations are at least three times as long, and strong unions are deeply involved at all levels of business, from the local plant to the corporate boardroom. Yet German companies manage to produce internationally competitive products in key manufacturing sectors, making Germany the greatest competitive threat to the United States after Japan. The seemingly paradoxical nature of the German economy typically evokes one of two diametrically opposed responses. The first is to celebrate the German economy as a "model" worth emulating--indeed, as the answer to declining U.S. competitiveness. The alternative, more skeptical response is to question Germany's staying power in a new, more competitive global economy. According to Kirsten Wever and Christopher Allen, the problem with both points of view is that they miss the forest for the trees. Observers are so preoccupied with praising--or blaming--individual components of the German economy that they fail to see the dynamic logic that ties these components together into a coherent system. In their review of recent research on the German business system, Wever and Allen argue that managers can learn an important lesson from Germany. In the global economy, competition isn't just between companies but between entire socioeconomic systems. Germany's ability to design a cohesive economic and social system that adapts continuously to changing requirements goes a long way toward explaining that country's competitive success.

  8. Poverty, health, and nutrition in Germany.

    PubMed

    Helmert, U; Mielck, A; Shea, S

    1997-01-01

    To investigate the relation between poverty and several variables describing health and nutrition behavior in East Germany and West Germany. Data are from the third National Health Survey in West Germany and the first Health Survey for the new federal states of Germany (1991/92). Both health surveys included a self-administered questionnaire ascertaining sociodemographic variables, smoking history, nutritional behavior (using a food-frequency list), physical activity, and a medical examination comprising measurements of height, weight, blood pressure, and blood sampling for serum cholesterol determination. Participants included 4958 subjects in the West Survey and 2186 subjects in the East Survey aged 25-69 years, with a respective net response rate of 69.0% and 70.2%. Poverty was defined as a household equivalence income of 62.5% or less of the median income of the general population. The lowest income group (poverty or near poverty) comprised 11.6% of East German versus 15.9% of West German males and 14.8% of East German versus 19.3% of West German females. For most but not all health and nutrition parameters, less favorable results were obtained for subjects with an equivalence income below or near poverty. The most striking poverty-related differences regarding cardiovascular disease risk factors were found for lack of regular exercise for both genders and obesity in females. No poverty-related differences were found for the prevalence of hypercholesterolemia, despite a much higher prevalence of obesity in persons with an income below the poverty line. Current nutritional behavior and changes in nutritional behavior during the last three years was strongly related to income status, with a more unhealthy status for low-income population groups in both East and West Germany. In Germany, poverty has strong effects on individual health status and nutritional behavior. Because of rising unemployment rates and reductions in social security payments for low

  9. Silencing the Singer. Antibioethics in Germany.

    PubMed

    Schöne-Seifert, B; Rippe, K P

    1991-01-01

    "Die Gedanken sind frei," in the words of the old song. But in Germany, thoughts are no longer free. Peter Singer, the "death ethicist," has become a special target for activists attempting to silence bioethical debate in Germany. In the context of the trauma inflicted by National Socialism, a profound unease over issues at the end of life is accompanied by an insistence that these issues are not to be discussed.

  10. 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,…

  11. Agricultural anaerobic digestion power plants in Ireland and Germany: policy and practice.

    PubMed

    Auer, Agathe; Vande Burgt, Nathan H; Abram, Florence; Barry, Gerald; Fenton, Owen; Markey, Bryan K; Nolan, Stephen; Richards, Karl; Bolton, Declan; De Waal, Theo; Gordon, Stephen V; O'Flaherty, Vincent; Whyte, Paul; Zintl, Annetta

    2017-02-01

    The process of anaerobic digestion (AD) is valued as a carbon-neutral energy source, while simultaneously treating organic waste, making it safer for disposal or use as a fertilizer on agricultural land. The AD process in many European nations, such as Germany, has grown from use of small, localized digesters to the operation of large-scale treatment facilities, which contribute significantly to national renewable energy quotas. However, these large AD plants are costly to run and demand intensive farming of energy crops for feedstock. Current policy in Germany has transitioned to support funding for smaller digesters, while also limiting the use of energy crops. AD within Ireland, as a new technology, is affected by ambiguous governmental policies concerning waste and energy. A clear governmental strategy supporting on-site AD processing of agricultural waste will significantly reduce Ireland's carbon footprint, improve the safety and bioavailability of agricultural waste, and provide an indigenous renewable energy source. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

  12. How safe are HEMS-programmes in Germany? A retrospective analysis.

    PubMed

    Thies, Karl-Christian; Sep, Daan; Derksen, Remon

    2006-03-01

    Recent accidents with helicopter emergency medical service (HEMS) aircraft raise the question how safe HEMS in Germany is and how accidents could be prevented. We surveyed all German HEMS-programmes and reviewed the data of the German Aviation Authority regarding accidents with HEMS. An average German HEMS-programme encounters one accident leading to at least severe damage or loss of the helicopter in 26 operating years, one accident resulting in casualties in 65 operating years and one fatal accident in 111 operating years. The major causes of accidents were obstacle strikes during landing at the scene. Flying in bad weather conditions and lack of discipline were other factors contributing to HEMS-accidents. HEMS-safety could be improved by special training programmes for pilots and HEMS-crewmembers to address the factors listed above. Safety training for doctors is recommended but we did not find support for the notion of changing the doctor's legal position of a passenger to a HEMS-crewmember.

  13. Headquarters, Special Operations Command, Africa Stuttgart, Germany (redacted)

    DTIC Science & Technology

    2016-08-09

    appropriate throughout the report and provided a copy of management officials with this report. 20130205-012589 3 II. BACKGROUND On July 15, 2010,Com15...subject in the case. Accordingly, we did not consider RDML Losey a responsible management official in this report. Reduced Performance Award – Yes...AFRICOM Special Operations Instrnction] 1400.02, DoD FMR [Financial Management Re lation not cited and AFRICOM Policy Directives on Finding 4

  14. Socioeconomic deprivation and cancer survival in Germany: an ecological analysis in 200 districts in Germany.

    PubMed

    Jansen, Lina; Eberle, Andrea; Emrich, Katharina; Gondos, Adam; Holleczek, Bernd; Kajüter, Hiltraud; Maier, Werner; Nennecke, Alice; Pritzkuleit, Ron; Brenner, Hermann

    2014-06-15

    Although socioeconomic inequalities in cancer survival have been demonstrated both within and between countries, evidence on the variation of the inequalities over time past diagnosis is sparse. Furthermore, no comprehensive analysis of socioeconomic differences in cancer survival in Germany has been conducted. Therefore, we analyzed variations in cancer survival for patients diagnosed with one of the 25 most common cancer sites in 1997-2006 in ten population-based cancer registries in Germany (covering 32 million inhabitants). Patients were assigned a socioeconomic status according to the district of residence at diagnosis. Period analysis was used to derive 3-month, 5-year and conditional 1-year and 5-year age-standardized relative survival for 2002-2006 for each deprivation quintile in Germany. Relative survival of patients living in the most deprived district was compared to survival of patients living in all other districts by model-based period analysis. For 21 of 25 cancer sites, 5-year relative survival was lower in the most deprived districts than in all other districts combined. The median relative excess risk of death over the 25 cancer sites decreased from 1.24 in the first 3 months to 1.16 in the following 9 months to 1.08 in the following 4 years. Inequalities persisted after adjustment for stage. These major regional socioeconomic inequalities indicate a potential for improving cancer care and survival in Germany. Studies on individual-level patient data with access to treatment information should be conducted to examine the reasons for these socioeconomic inequalities in cancer survival in more detail. © 2013 UICC.

  15. Germany's Persistent Balance-of-Payments Disequilibrium Revisited. German Studies Notes.

    ERIC Educational Resources Information Center

    Kindleberger, Charles P.

    This essay compares Germany's persistent financial disequilibrium with the balance of payments situation in the United States. Delivered at a Symposium on German Economic Growth and Stability, the author concentrates on Germany's balance of payments surplus and presents U.S. figures mainly as a point of comparison. The material on Germany has been…

  16. A scrutiny of the premise of the Rice-Ramsperger-Kassel-Marcus theory in isomerization reaction of an Ar7-type molecule

    NASA Astrophysics Data System (ADS)

    Takatsuka, Kazuo; Seko, Chihiro

    1996-12-01

    The validity of the physical premise of the Rice-Ramsperger-Kassel-Marcus (RRKM) theory is investigated in terms of the classical dynamics of isomerization reaction in Ar7-like molecules (clusters). The passage times of classical trajectories through the potential basins of isomers in the structural transitions are examined. In the high energy region corresponding to the so-called liquidlike phase, remarkable uniformity of the average passage times has been found. That is, the average passage time is characterized only by a basin through which a trajectory is currently passing and, hence, does not depend on the next visiting basins. This behavior is out of accord with the ordinary chemical law in that the ``reaction rates'' do not seem to depend on the height of the individual potential barriers. We ascribe this seemingly strange uniformity to the strong mixing (chaos) lying behind the rate process. That is, as soon as a classical path enters a basin, it gets involved into a chaotic zone in which many paths having different channels are entangled among each other, and effectively (in the statistical sense) loses its memory about which basin it came from and where it should visit next time. This model is verified by confirming that the populations of the lifetime of transition from one basin to others are expressed in exponential functions, which should have very similar exponents to each other in each passing-through basin. The inverse of the exponent is essentially proportional to the average passage time, and consequently brings about the uniformity. These populations set a foundation for the multichannel generalization of the RRKM theory. Two cases of the non-RRKM behaviors have been studied. One is a nonstatistical behavior in the low energy region such as the so-called coexistence phase. The other is the short-time behavior. It is well established [M. Berblinger and C. Schlier, J. Chem. Phys. 101, 4750 (1994)] that in a relatively simple and small system such

  17. Undergraduate medical education in Germany

    PubMed Central

    Chenot, Jean-François

    2009-01-01

    The purpose of this article is to give international readers an overview of the organisation, structure and curriculum, together with important advances and problems, of undergraduate medical education in Germany. Interest in medical education in Germany has been relatively low but has gained momentum with the new "Regulation of the Licensing of Doctors" which came into effect in 2003. Medical education had required substantial reform, particularly with respect to improving the links between theoretical and clinical teaching and the extension of interdisciplinary and topic-related instruction. It takes six years and three months to complete the curriculum and training is divided into three sections: basic science (2 years), clinical science (3 years) and final clinical year. While the reorganisation of graduate medical education required by the new "Regulation of the Licensing of Doctors" has stimulated multiple excellent teaching projects, there is evidence that some of the stipulated changes have not been implemented. Indeed, whether the medical schools have complied with this regulation and its overall success remains to be assessed systematically. Mandatory external accreditation and periodic reaccreditation of medical faculties need to be established in Germany. PMID:19675742

  18. [Home treatment: systematic review and implementation in Germany].

    PubMed

    Gühne, Uta; Weinmann, Stefan; Arnold, Katrin; Atav, Esra-Sultan; Becker, Thomas; Riedel-Heller, Steffi

    2011-04-01

    To report about existing evidence of effectiveness of home treatment for severely mentally ill adults and implementation in Germany. Systematic electronic and manual literature search. Compared to standard care, home treatment was equally or more efficacious with respect to general state of health and mental health. Home treatment was superior with regard to other outcomes. So far, implementation in Germany is limited. Home treatment can be seen as an effective addition to existing approaches of psychiatric care. It may be cost-effective also in Germany. Reasons for limited implementation in routine care are discussed. © Georg Thieme Verlag KG Stuttgart · New York.

  19. Implementation of Enhanced Recovery After Surgery (ERAS) Pathways in Gynecologic Oncology. A NOGGO-AGO* survey of 144 Gynecological Departments in Germany.

    PubMed

    Muallem, Mustafa Zelal; Dimitrova, Desislava; Pietzner, Klaus; Richter, Rolf; Feldheiser, Aarne; Scharfe, Irina; Schmeil, Iryna; Hösl, Teresa Maria; Mustea, Alexander; Wimberger, Pauline; Burges, Alexander; Kimmig, Rainer; Sehouli, Jalid

    2016-08-01

    To gather standardized information of current perioperative management of gynecological oncology patients and to evaluate up to what extent the Enhanced Recovery after Surgery (ERAS) elements are established in the clinical routine of gynecologic oncology units in Germany. We performed a multi-centric nationwide survey among 654 primary, secondary and maximal health care gynecological departments in Germany. A multiple-choice questionnaire based on the principles of ERAS was developed to gather information about perioperative management of two fictional cases in gynecological oncology. One hundred four units (22%) have been taken the survey. Only 49.5% of surveyed hospitals claimed to be adherent to more than 70% of ERAS elements in managing perioperative period of primary cytoreductive surgery in ovarian cancer patients. 21% of these hospitals implemented more than 80% and only 8.4% implemented more than 90%. The results in border-line tumors operations did not differ from those of ovarian cancer operations. The implementation of ERAS elements in gynecologic oncology in Germany is still not satisfying as only half of the departments will now be able to apply 70% of these principles. Therefore, we plan the second step of this survey in order to be able to build a consistent structured reporting platform between gynecological oncology units in Germany to facilitate the wide implementation and standardization of ERAS protocol. Copyright© 2016 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

  20. The Geography of Germany: Lessons for Teaching the Five Themes of Geography.

    ERIC Educational Resources Information Center

    Blankenship, Glen; Tinkler, D. William

    This activity guide contains five lessons. Lesson 1 deals with "Location of Germany on the Earth's Surface" with two activities: (1) "Germany's Location in the World"; and (2) "Germany's Location in Europe." Lesson 2 is on the "Physical and Human Characteristics of Germany" with four activities on: (1)…

  1. Successful overwintering of Aedes albopictus in Germany.

    PubMed

    Pluskota, Björn; Jöst, Artur; Augsten, Xenia; Stelzner, Lilith; Ferstl, Ina; Becker, Norbert

    2016-08-01

    The Asian tiger mosquito (Aedes albopictus) is of great concern to public health authorities due to its vector competence and rapid spread across the globe. In 2015, two large local breeding populations of Ae. albopictus were discovered in southwest Germany. In spring 2016, we were able to demonstrate the first evidence of a successful overwintering in Germany of this originally tropical mosquito species in different research projects. Particularly noteworthy is the successful hatching of diapause eggs of an Italian strain (Calabria), which overwintered successfully in the field in St. Georgen im Schwarzwald (Baden-Wuerttemberg) at 820 m above sea level. Furthermore, within the scope of a larvae monitoring, the first larvae that hatched in the field were detected on the April 09, 2016 in a rain barrel within the Heidelberg population. Our first results show that self-extinction due to an unsuccessful overwintering cannot be assumed for populations of the Asian tiger mosquito which settled in Germany in previous years. The evidence of a successful overwintering of a large number of diapause eggs and the hatching of the first larvae in field conditions opens the control year against Ae. albopictus in southwest Germany.

  2. The Role of Western Germany in West European Defense

    DTIC Science & Technology

    1966-04-08

    Ralph. Modern German History. New York: E. P. Dutton & Co., Inc., 1964. (DD175 F5) 34. German Research Association. Germany: Franz Steiner Verlag Gmb...and Rudolf , Walter. This Germany. New York: New York Graphic Society Publishers, Ltd., 1954. (DD257 L42) 39. Heidenheimer, Arnold J. The Government...202-07, 243. 47. Lauder, K. H. A Brief Review of Science and Technoloc in Western Germany. London: HIISO, 1955. (Q18 G4G7) 48. Leonhardt, Rudolf Walter

  3. Gambling experiences, problems, research and policy: gambling in Germany.

    PubMed

    Ludwig, Monika; Kräplin, Anja; Braun, Barbara; Kraus, Ludwig

    2013-09-01

    The objective of this paper is to present an overview of gambling in Germany, including historical development, legislative and economic changes as well as treatment options and their effectiveness. The available scientific literature and research reports on gambling in Germany were reviewed to obtain relevant information on history, commercialization, legislation, treatment and research agenda. Gambling in Germany is characterized by compromises between protective and economic efforts. At present, gambling is illegal in Germany, and provision is subject to the state monopoly. Mere gaming machines (specific slot machines) are not classified as gambling activity, permitting commercial providers. In recent years, implementing regulations for state gambling and gaming machines have been changed. Concerning the treatment of pathological gambling, various options exist; treatment costs have been covered by health and pension insurance since 2001. Information on the effectiveness of treatment in Germany is limited. Similarly, the number of peer-reviewed publications on gambling is small. German gambling legislation was subject to major changes in the past years. Based on the available body of research (longitudinal), studies on risk and protective factors and the aetiology of pathological gambling are needed. The effectiveness of pathological gambling treatment in Germany and the impact of gambling regulations on gambling behaviour also need to be investigated. © 2012 The Authors, Addiction © 2012 Society for the Study of Addiction.

  4. Ongoing outbreak of invasive listeriosis, Germany, 2012 to 2015.

    PubMed

    Ruppitsch, Werner; Prager, Rita; Halbedel, Sven; Hyden, Patrick; Pietzka, Ariane; Huhulescu, Steliana; Lohr, Dorothee; Schönberger, Katharina; Aichinger, Elisabeth; Hauri, Anja; Stark, Klaus; Vygen, Sabine; Tietze, Erhard; Allerberger, Franz; Wilking, Hendrik

    2015-01-01

    Listeriosis patient isolates in Germany have shown a new identical pulsed-field gel electrophoresis (PFGE) pattern since 2012 (n = 66). Almost all isolates (Listeria monocytogenes serotype 1/2a) belonged to cases living in southern Germany, indicating an outbreak with a so far unknown source. Case numbers in 2015 are high (n = 28). No outbreak cases outside Germany have been reported. Next generation sequencing revealed the unique cluster type CT1248 and confirmed the outbreak. Investigations into the source are ongoing.

  5. An Active Old Age--Senior Citizens in Germany.

    ERIC Educational Resources Information Center

    Metzler, Birgit

    1998-01-01

    Life expectancies are rising all over the world, leading to higher proportions of older adults in the population. This is especially true in Japan and Germany. In Germany today, "old" no longer means necessarily "poor and frail." Through volunteer work, lifelong learning, study tours, and participation in sports, older Germans…

  6. Germany's Emerging Multiethnic Society: Old Problems and New.

    ERIC Educational Resources Information Center

    Gedmin, Jeffrey

    1994-01-01

    Opinion polls do not indicate a growing neo-Nazism in Germany, but they do reveal substantial hostile attitudes toward Jews and significant bias against other ethnic minorities. Demographic trends suggest that Germany will have an increasingly multiracial society as well as a greater need for foreign labor in the future. (SLD)

  7. Pushing the limit: forensic nursing in Germany.

    PubMed

    Lambe, Andrea; Gage-Lindner, Nancy

    2007-01-01

    Violence remains a public health challenge and the nursing profession accepts this challenge by expanding its field. Although countries such as the United States, Great Britain, and Canada have employed forensic nurses for decades in different capacities, Germany has yet to follow their lead. This report discusses the German health care and legal systems and challenges Germany to develop an innovative, cost-efficient, and competent profession of forensic nursing.

  8. [Mosquitoes as vectors for exotic pathogens in Germany].

    PubMed

    Becker, N; Krüger, A; Kuhn, C; Plenge-Bönig, A; Thomas, S M; Schmidt-Chanasit, J; Tannich, E

    2014-05-01

    As a result of intensified globalization of international trade and of substantial travel activities, mosquito-borne exotic pathogens are becoming an increasing threat for Europe. In Germany some 50 different mosquito species are known, several of which have vector competence for pathogens. During the last few years a number of zoonotic arboviruses that are pathogenic for humans have been isolated from mosquitoes in Germany including Usutu, Sindbis and Batai viruses. In addition, filarial worms, such as Dirofilaria repens have been repeatedly detected in mosquitoes from the federal state of Brandenburg. Other pathogens, in particular West Nile virus, are expected to emerge sooner or later in Germany as the virus is already circulating in neighboring countries, e.g. France, Austria and the Czech Republic. In upcoming years the risk for arbovirus transmission might increase in Germany due to increased occurrence of new so-called "invasive" mosquito species, such as the Asian bush mosquito Ochlerotatus japonicus or the Asian tiger mosquito Aedes albopictus. These invasive species are characterized by high vector competence for a broad range of pathogens and a preference for human blood meals. For risk assessment, a number of mosquito and pathogen surveillance projects have been initiated in Germany during the last few years; however, mosquito control strategies and plans of action have to be developed and put into place to allow early and efficient action against possible vector-borne epidemics.

  9. Self-Employment in the United Kingdom and Germany.

    ERIC Educational Resources Information Center

    Meager, Nigel; And Others

    In a comparison of self-employment patterns in Germany and the United Kingdom, data from the Labour Force Survey (United Kingdom) and Mikrozensus (Germany) were analyzed to identify the personal characteristics of self-employed individuals in the two countries, the characteristics of their self-employed activity, and movement in and out of…

  10. Special Education in East Germany under Communist Domination.

    ERIC Educational Resources Information Center

    Sengstock, Wayne L.; Ruttgardt, Sieglind Ellger

    1995-01-01

    This article describes the development of special education in East Germany from the close of World War II through the cold war period, and examines the problems and challenges currently facing special education in a reunified Germany. These include a lack of infrastructure, economic needs, staffing problems, and needed curriculum changes. (DB)

  11. [Pharmacovigilance in Germany : It is about time].

    PubMed

    Douros, A; Schaefer, C; Kreutz, R; Garbe, E

    2016-06-01

    Pharmacovigilance is defined as the activities relating to the detection, assessment, and prevention of adverse drug reactions (ADRs). Although its beginnings in Germany date back more than 50 years, a stagnation in this field has been observed lately. Different tools of pharmacovigilance will be illustrated and the reasons for its stagnation in Germany will be elucidated. Spontaneous reporting systems are an important tool in pharmacovigilance and are based on reports of ADRs from treating physicians, other healthcare professionals, or patients. Due to several weaknesses of spontaneous reporting systems such as underreporting, media bias, confounding by comorbidity or comedication, and due to the limited quality of the reports, the development of electronic healthcare databases was publicly funded in recent years so that they can be used for pharmacovigilance research. In the US different electronic healthcare databases were merged in a project sponsored by public means resulting in more than 193 million individuals. In Germany the establishment of large longitudinal databases was never conceived as a public duty and has not been implemented so far. Further attempts to use administrative healthcare data for pharmacovigilance purposes are severely restricted by the Code of Social Law (Section 75, Book 10). This situation has led to a stagnation in pharmacovigilance research in Germany. Without publicly funded large longitudinal healthcare databases and an amendment of Section 75, Book 10, of the Code of Social Law, the use of healthcare data in pharmacovigilance research in Germany will remain a rarity. This could have negative effects on the medical care of the general population.

  12. [Performance of in vitro fertilization in Germany].

    PubMed

    van der Ven, Hans; Montag, Markus; van der Ven, Katrin

    2002-07-01

    In Germany the application of assisted reproductive techniques (ART) is regulated by federal legislation. Compared with the international situation the "German Embryo Protection Law" is very "restrictive" and various methods of ART are prohibited, e.g. oocyte/embryo donation, embryo cryopreservation and Preimplantation Genetic Diagnosis (PGD). Furthermore, in Germany only 1 to 3 fertilized oocytes may be cultured to embryo. All these embryos then have to be transferred into the uterus of a particular patient. Additional fertilized oocytes can only be cryopreserved in a pronuclear state. The success rate of ART has increased significantly over the past few years owing to the introduction of blastocyst cultures and the selection of 1 to 2 good quality blastocysts for embryo transfer. Furthermore, the transfer of only 1 to 2 blastocysts effectively reduces the risk of high rank multiple pregnancies. In Germany, however, the selection of only a few good quality blastocysts for transfer is prohibited by law. New laboratory techniques, e.g. pronuclear scoring and polar body biopsy screening for aneuploidy are in accordance with German law. The application of these methods provides a selection of "good quality oocytes" and seems to increase the overall success rate. Further studies are required, however. The success rate, quality and cost effectiveness of ART in Germany appears compromised when compared with many other countries. What is more, in contrast to the international situation research and development in ART in Germany has been decreasing constantly over the past few years, due to the inappropriate regulations of the German health care system and the insufficient support given to university-based centers.

  13. Lung cancer risk in male workers occupationally exposed to diesel motor emissions in Germany.

    PubMed

    Brüske-Hohlfeld, I; Möhner, M; Ahrens, W; Pohlabeln, H; Heinrich, J; Kreuzer, M; Jöckel, K H; Wichmann, H E

    1999-10-01

    Although in several epidemiological studies exposure to diesel motor emissions (DME) shows an elevated lung cancer risk, it is still controversial whether DME is a human carcinogen. In a pooled analysis of two case-control studies on lung cancer in Germany a total of 3498 male cases with histologically or cytologically ascertained lung cancer and 3541 male population controls were included. Information about lifelong occupational and smoking history was obtained by questionnaire. Drivers of lorries, buses, taxies, diesel locomotives and forklift trucks, bulldozers, graders, excavators, and tractors, were considered as exposed to DME and their cumulative exposure was estimated. All odds ratios were adjusted for smoking and asbestos exposure. The evaluation of lung cancer risk for all jobs with DME-exposure combined showed an odds ratio of OR=1.43 (95%-CI: 1.23-1.67). Most pronounced was the increase in lung cancer risk in heavy equipment operators (OR=2. 31 95%-CI: 1.44-3.70). The risk of tractor drivers increased with length of employment and reached statistical significance for exposures longer than 30 years (OR=6.81, 95%-CI: 1.17-39.51). The group of professional drivers (e.g., trucks, buses, and taxies), showed an increased risk only in West Germany (OR=1.44, 95%-CI: 1. 18-1.76), but not in East Germany (OR=0.83, 95%-CI: 0.60-1.14). DME-exposure in other traffic related jobs (e.g., diesel engine locomotive drivers, switchmen, forklift operators) was associated with an odds ratio of OR=1.53 (95%-CI: 1.04-2.24). The study provides further evidence that occupational exposure to diesel motor emissions is associated with an increased lung cancer risk. Copyright 1999 Wiley-Liss, Inc.

  14. Germany's expanding role in global health.

    PubMed

    Kickbusch, Ilona; Franz, Christian; Holzscheiter, Anna; Hunger, Iris; Jahn, Albrecht; Köhler, Carsten; Razum, Oliver; Schmidt, Jean-Olivier

    2017-08-26

    Germany has become a visible actor in global health in the past 10 years. In this Series paper, we describe how this development complements a broad change in perspective in German foreign policy. Catalysts for this shift have been strong governmental leadership, opportunities through G7 and G20 presidencies, and Germany's involvement in managing the Ebola virus disease outbreak. German global health engagement has four main characteristics that are congruent with the health agenda of the Sustainable Development Goals; it is rooted in human rights, multilateralism, the Bismarck model of social protection, and a link between development and investment on the basis of its own development trajectory after World War 2. The combination of momentum and specific characteristics makes Germany well equipped to become a leader in global health, yet the country needs to accept additional financial responsibility for global health, expand its domestic global health competencies, reduce fragmentation of global health policy making, and solve major incoherencies in its policies both nationally and internationally. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. The Great Drama: Germany and the French Revolution.

    ERIC Educational Resources Information Center

    Kurz, Gerhard

    Revolution did not spread to Germany from France at the end of the 18th century, yet the German and other European states were forced to come to terms with the principles of the French Revolution such as political and legal freedoms and national unity. Germany was affected by the French Revolution particularly by the reactions of German…

  16. INSTRUCTIONAL TELEVISION IN GERMANY.

    ERIC Educational Resources Information Center

    International Central Inst. for Youth and Educational Television, Munich (West Germany).

    DISCUSSIONS HELD AT THE BERLIN CONGRESS ON INSTRUCTIONAL AND EDUCATIONAL TELEVISION (SEPTEMBER 27-29, 1966) ARE BRIEFLY SUMMARIZED. THIS DOCUMENT ALSO LISTS RESEARCH PROJECTS IN INSTRUCTIONAL TELEVISION IN GERMANY, DESCRIBES THE BAVARIAN RADIO INSTRUCTIONAL TELEVISION PROGRAM, SUMMARIZES THE OPINIONS OF THE GERMAN PRESS ON INSTRUCTIONAL…

  17. Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony

    PubMed Central

    Martens, Eimo; Sinner, Moritz F.; Siebermair, Johannes; Raufhake, Carsten; Beckmann, Britt M.; Veith, Stefan; Düvel, Dieter; Steinbeck, Gerhard; Kääb, Stefan

    2014-01-01

    Aims Sudden cardiac death (SCD) is among the most common causes of death in western countries including Germany. Whereas risk stratification and primary prevention is still insufficient, we also lack accurate incidence estimates. Current estimates vary widely (18.6–128/100 000/year), but data on SCD incidence in Germany are missing. Depending on SCD definitions, death needs to occur between 1 and 24 h after the onset of symptoms. Methods and results In the district of Aurich (190 000 inhabitants, Lower Saxony, Germany), emergency medical service (EMS) is provided by a district government operated single carrier and two hospitals. To evaluate all EMS calls in this district from 2002 to 2009, we obtained EMS protocols, medical records, and death certificates for data analysis and adjudication of SCD. We defined SCD according to the definition of the World Health Organization, considering patients with cardiac arrest within ≤1 h after the onset of symptoms. We also required cardiopulmonary resuscitation being performed by EMS personnel. The overall mortality rate in the district of Aurich (1060/100 000/year) corresponded well with the average mortality rate in Germany (1030/100 000/year). During the observation period, we adjudicated 1212 SCD cases, equivalent to an annual rate of 151 SCD cases (81 cases/100 000/year). Rates remained remarkably stable over time, and affected a considerable number of individuals of working age (32/100 000/year). Conclusion Consistent with prior reports, the SCD incidence in a district of Germany is substantial. Despite an elaborate EMS system and advanced medical care, SCD rates remain stable and necessitate improved, individualized risk stratification. PMID:25061228

  18. Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony.

    PubMed

    Martens, Eimo; Sinner, Moritz F; Siebermair, Johannes; Raufhake, Carsten; Beckmann, Britt M; Veith, Stefan; Düvel, Dieter; Steinbeck, Gerhard; Kääb, Stefan

    2014-12-01

    Sudden cardiac death (SCD) is among the most common causes of death in western countries including Germany. Whereas risk stratification and primary prevention is still insufficient, we also lack accurate incidence estimates. Current estimates vary widely (18.6-128/100,000/year), but data on SCD incidence in Germany are missing. Depending on SCD definitions, death needs to occur between 1 and 24 h after the onset of symptoms. In the district of Aurich (190,000 inhabitants, Lower Saxony, Germany), emergency medical service (EMS) is provided by a district government operated single carrier and two hospitals. To evaluate all EMS calls in this district from 2002 to 2009, we obtained EMS protocols, medical records, and death certificates for data analysis and adjudication of SCD. We defined SCD according to the definition of the World Health Organization, considering patients with cardiac arrest within ≤1 h after the onset of symptoms. We also required cardiopulmonary resuscitation being performed by EMS personnel. The overall mortality rate in the district of Aurich (1060/100,000/year) corresponded well with the average mortality rate in Germany (1030/100,000/year). During the observation period, we adjudicated 1212 SCD cases, equivalent to an annual rate of 151 SCD cases (81 cases/100,000/year). Rates remained remarkably stable over time, and affected a considerable number of individuals of working age (32/100,000/year). Consistent with prior reports, the SCD incidence in a district of Germany is substantial. Despite an elaborate EMS system and advanced medical care, SCD rates remain stable and necessitate improved, individualized risk stratification. © The Author 2014. Published by Oxford University Press on behalf of the European Society of Cardiology.

  19. Germany knows mining

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

    NONE

    Whether it is the nuance of precision or robust rock breaking strength, German suppliers have the expertise. Germany has about 120 companies in the mining equipment industry, employing some 16,000 people. The article describes some recent developments of the following companies: DBT, Liebherr, Atlas Copco, BASF, Boart Longyear, Eickhoff, IBS, Maschinenfabrik Glueckauf, Komatsu, TAKRA, Terex O & R, Thyssen Krupp Foerdertechnik and Wirtgen. 7 photos.

  20. Concentrating Solar Power Projects in Germany | Concentrating Solar Power |

    Science.gov Websites

    ;alphabetical by project name. You can browse a project profile by clicking on the project name. Jülich Solar NREL Germany Concentrating solar power (CSP) projects in Germany are listed belowâ€"

  1. Educational Systems and Rising Inequality: Eastern Germany after Unification

    ERIC Educational Resources Information Center

    von Below, Susanne; Powell, Justin J. W.; Roberts, Lance W.

    2013-01-01

    Educational systems considerably influence educational opportunities and the resulting social inequalities. Contrasting institutional regulations of both structures and contents, the authors present a typology of educational system types in Germany to analyze their effects on social inequality in eastern Germany after unification. After 1990, the…

  2. [Insufficient Preparation of Ambulatory Physicians for Ebola Virus Disease in Germany].

    PubMed

    Brekle, Verena; Weiß, Christel; Kolobaric, Zvonimir; Schulz-Weidhaas, Claudia; Vogelmann, Roger

    2018-05-22

    Globalization and climate change increase the likelihood of a global spread of high consequence infectious diseases. We analyzed how outpatient physicians in Germany were prepared to recognize and handle potential Ebola virus-infected patients during the recent Ebola outbreak in West Africa. Outpatient physicians participated in 2 anonymous surveys (n=166 and 129, respectively) and were asked, among others, about their knowledge of Ebola virus disease, their subjective perception of their own knowledge and the practical implementation in their daily routine. This was compared to a minimum standard defined by 14 members of the German "Permanent Working Group of Competence and Treatment Centres for high consequence infectious diseases" (STAKOB). The Ebola virus-specific knowledge of participants was significantly inferior compared to the defined minimum standard. Of 8 factual questions, an average of merely 5 was answered correctly. The physicians' subjective perception of knowledge presented as 'little'. Although 56% of participants indicated that they had received standard operation procedures, 64% had not implemented them into their daily routine. Merely 22% of surveyed medical doctors participated in Ebola virus-specific education programs. Yet participation led to a significantly better subjective knowledge perception. Contrary to the official assessment that Germany is well prepared for high consequence infectious diseases, this study suggests that there are deficits in this area. Despite the abundance of information about Ebola virus disease, preparation of outpatient physicians in Germany was inadequate. Yet nearly half of the participants indicated the potential risk of occurrence as 'likely' or 'very likely'. The presented data show the different consequences to be drawn regarding potential future crises and further research. © Georg Thieme Verlag KG Stuttgart · New York.

  3. [Quality control in medical education and continuing medical education in allergology in Germany].

    PubMed

    Ring, Johannes; Rakoski, Jürgen

    2003-10-01

    ), which has been widely accepted in Germany. CME credit points are awarded in co-operation with the regional physicians' chambers ("Landesärztekammer"). Quality control in allergology has to be re-enforced and improved at all levels of medical curricula, training programmes and post-graduate education in order to achieve sustainable improvements in patient care for the large number of people in Germany suffering from allergies.

  4. Temporal development of extreme precipitation in Germany projected by EURO-CORDEX simulations

    NASA Astrophysics Data System (ADS)

    Brendel, Christoph; Deutschländer, Thomas

    2017-04-01

    A sustainable operation of transport infrastructure requires an enhanced resilience to the increasing impacts of climate change and related extreme meteorological events. To meet this challenge, the German Federal Ministry of Transport and Digital Infrastructure (BMVI) commenced a comprehensive national research program on safe and sustainable transport in Germany. A network of departmental research institutes addresses the "Adaptation of the German transport infrastructure towards climate change and extreme events". Various studies already have identified an increase in the average global precipitation for the 20th century. There is some indication that these increases are most visible in a rising frequency of precipitation extremes. However, the changes are highly variable between regions and seasons. With a further increase of atmospheric greenhouse gas concentrations in the 21st century, the likelihood of occurrence of such extreme events will continue to rise. A kernel estimator has been used in order to obtain a robust estimate of the temporal development of extreme precipitation events projected by an ensemble of EURO-CORDEX simulations. The kernel estimator measures the intensity of the poisson point process indicating temporal changes in the frequency of extreme events. Extreme precipitation events were selected using the peaks over threshold (POT) method with the 90th, 95th and 99th quantile of daily precipitation sums as thresholds. Application of this non-parametric approach with relative thresholds renders the use of a bias correction non-mandatory. In addition, in comparison to fitting an extreme value theory (EVT) distribution, the method is completely unsusceptible to outliers. First results show an overall increase of extreme precipitation events for Germany until the end of the 21st century. However, major differences between seasons, quantiles and the three different Representative Concentration Pathways (RCP 2.6, 4.5, and 8.5) have been

  5. [Continuing Medical Education in Germany - mandatory and voluntary obligations].

    PubMed

    Böthin, Elke

    2013-01-01

    After 1945 the common medical training infrastructure was broken up into two different political systems. While in the Federal Republic of Germany the structure was based on physicians' self-governance, in the German Democratic Republic medical professional structures were organised by the government. After the unification of the two German states, which took place on October 3, 1990, the centralistic structure was replaced by the system of physician self-governance. Before January 1, 2004, continuing medical education (CME) in West Germany relied on a system of voluntary obligations. In East Germany, though, professional CMEs were compulsory; they were called "obligatorische periphere Fortbildung." Based on 15 expert interviews on the topic of "CME in Germany", the different circumstances and conditions were analysed taking account of the historical background. Only selected professionals with experience in both German states (one with a federal, the other with a centralistic system), were chosen for the survey. Copyright © 2013. Published by Elsevier GmbH.

  6. Transferring climate research results to stakeholder needs in Northern Germany

    NASA Astrophysics Data System (ADS)

    Meinke, Insa

    2013-04-01

    The North German Climate Office was established in 2006 at the Institute for Coastal Research at the Helmholtz-Zentrum Geesthacht, Germany as consequence of an increased public information need regarding coastal climate change and its impacts in Northern Germany. The service is characterized by an intensive dialogue between regional climate research and stakeholders in Northern Germany. About once a week scientists of the North German climate office are invited to contribute to public dialogue events. Also, numerous direct inquiries are answered and expert interviews are conducted. From this dialogue process specific stakeholder information needs are localized and analysed to develop tailored information products. To provide easy and user specific access to research results interactive web tools are developed. One example is the North German climate atlas, an interactive web tool on possible future climate change in Northern Germany. Another interactive web tool is informing on present and future coastal protection needs in Northern Germany. Another aim of our information products is to assess and summarize the existing scientific knowledge on climate, climate change and impacts in Northern Germany. A mini IPCC-like regional assessment report has been published in 2010, which is summarizing, discussing and assessing the scientific knowledge on regional climate, climate change and impacts as well as possible adaptation strategies in the metropolitan region of Hamburg.

  7. Incidence of malignant mesothelioma in Germany 2009-2013.

    PubMed

    Lehnert, Martin; Kraywinkel, Klaus; Heinze, Evelyn; Wiethege, Thorsten; Johnen, Georg; Fiebig, Julia; Brüning, Thomas; Taeger, Dirk

    2017-02-01

    The malignant mesothelioma is a rare malignancy and mainly caused by occupational exposure to asbestos. German cancer registries are providing a national database to investigate temporal and regional patterns of mesothelioma incidence. These may be of interest for healthcare planning and for surveillance programs aiming at the formerly exposed workforce. We analyzed population-based incidence data of malignant mesothelioma by site, type, sex, age, as well as district and state of patient's residence. Age-standardized incidence rates (AIRs40+) were calculated according to the European standard population truncated to the age of 40 years and older. We present rates at national, state, and district level and trends of incidence of northern states of Germany. In total, 7,547 malignant mesotheliomas were reported to German cancer registries diagnosed between 2009 and 2013-90% located to the pleura. On average, 1,198 men and 312 women were affected each year. We estimated AIR40+ of 4.77 in 100,000 German men and 0.98 in 100,000 German women. Regional clusters were predominantly located to the seaports of West Germany. The highest regional AIR40+ was 20 per 100,000 men. Corresponding rates in northeast Germany were between 2 and 4 per 100,000 men. Regional clusters of high incidence indicate districts with former shipyards and steel industry, but predominantly in the western part of Germany. The West-to-East difference corresponds to patterns of mortality. Twenty years after banning asbestos in Germany, Bremen and Hamburg are presenting the highest mesothelioma incidence but show steadily decreasing trends.

  8. Career Development in Germany.

    ERIC Educational Resources Information Center

    Hass, Hubert

    In Germany, after elementary school, the school system splits into three branches, with students either preparing for an apprenticeship or continuing in school. A second system exists, parallel to this education system, which combines general education with basic professional training. The first key career decision point is in Grade 4, when…

  9. Prevalence of weather sensitivity in Germany and Canada

    NASA Astrophysics Data System (ADS)

    Mackensen, Sylvia; Hoeppe, Peter; Maarouf, Abdel; Tourigny, Pierre; Nowak, Dennis

    2005-01-01

    Several studies have shown that atmospheric conditions can affect well-being or disease, and that some individuals seem to be more sensitive to weather than others. Since epidemiological data on the prevalence of weather-related health effects are lacking, two representative weather sensitivity (WS) surveys were conducted independently in Germany and Canada. The objectives of this paper are: (1) to identify the prevalence of WS in Germany and Canada, (2) to describe weather-related symptoms and the corresponding weather conditions, and (3) to compare the findings in the two countries. In Germany 1,064 citizens (age >16 years) were interviewed in January 2001, and in Canada 1,506 persons (age >18 years) were interviewed in January 1994. The results showed that 19.2% of the German population thought that weather affected their health “to a strong degree,” 35.3% that weather had “some influence on their health” (sum of both = 54.5% weather sensitive), whereas the remaining 45.5% did not consider that weather had an effect on their health status. In Canada 61% of the respondents considered themselves to be sensitive to the weather. The highest prevalence of WS (high + some influence) in Germans was found in the age group older than 60 years (68%), which was almost identical in the Canadian population (69%). The highest frequencies of weather-related symptoms were reported in Germany for stormy weather (30%) and when it became colder (29%). In Canada mainly cold weather (46%), dampness (21%) and rain (20%) were considered to affect health more than other weather types. The most frequent symptoms reported in Germany were headache/migraine (61%), lethargy (47%), sleep disturbances (46%), fatigue (42%), joint pain (40%), irritation (31%), depression (27%), vertigo (26%), concentration problems (26%) and scar pain (23%). Canadian weather-sensitive persons reported colds (29%), psychological effects (28%) and painful joints, muscles or arthritis (10%). In Germany 32

  10. The Marketisation of Guidance Services in Germany, France and Britain.

    ERIC Educational Resources Information Center

    Rees, Teresa; Bartlett, Will; Watts, A. G.

    1999-01-01

    Compares developments in Britain, France, and Germany, focusing on the trends toward marketing adult career guidance services. Describes how Germany's centralized system and the quasi-market based system in France might apply in Britain. (JOW)

  11. Economic viability of stapes surgery in Germany.

    PubMed

    Savvas, E; Maurer, J

    2009-04-01

    The purpose of this study was to determine the economic viability of stapes surgery in Germany. We compared the cost of the operation to the retail value and average cost of a lifelong supply of hearing aids. Retrospective study. Tertiary referral centre. One hundred and sixty-four consecutive cases of primary stapedotomy performed on patients with otosclerosis at our institution served as the representative group for the calculation. The post-operative air-bone gap average at the frequencies 500, 1000, 2000 and 4000 Hz was less than 10 dB for 62 per cent of the patients, and less than 20 dB for 92 per cent of the patients. There was a post-operative sensorineural hearing loss in 1.2 per cent of the patients. Analysis showed that, even for an elderly patient aged 65 years with a life expectancy of 15 years, the cost of a lifelong supply of hearing aids was greater than that of a stapedotomy procedure. Based on our group of patients, the stapedotomy procedure proved to be euro 800,000 K cheaper than treatment with an averagely priced hearing aid. The economic benefit was still present when taking into account possible revision surgery in 5-10 per cent of cases, and also when, in addition to the surgery, a post-operative hearing aid was required, in for example 20 per cent of cases. Stapes surgery is economically beneficial for the individual patient as well as for the general patient cohort, irrespective of age. The stapedotomy procedure also prevents the known disadvantages of conventional hearing aids, thus improving the patient's quality of life.

  12. Estimated burden of fungal infections in Germany.

    PubMed

    Ruhnke, Markus; Groll, Andreas H; Mayser, Peter; Ullmann, Andrew J; Mendling, Werner; Hof, Herbert; Denning, David W

    2015-10-01

    In the late 1980's, the incidence of invasive fungal diseases (IFDs) in Germany was estimated with 36.000 IFDs per year. The current number of fungal infections (FI) occurring each year in Germany is still not known. In the actual analysis, data on incidence of fungal infections in various patients groups at risk for FI were calculated and mostly estimated from various (mostly national) resources. According to the very heterogenous data resources robust data or statistics could not be obtained but preliminary estimations could be made and compared with data from other areas in the world using a deterministic model that has consistently been applied in many countries by the LIFE program ( www.LIFE-worldwide.org). In 2012, of the 80.52 million population (adults 64.47 million; 41.14 million female, 39.38 million male), 20% are children (0-14 years) and 16% of population are ≥65 years old. Using local data and literature estimates of the incidence or prevalence of fungal infections, about 9.6 million (12%) people in Germany suffer from a fungal infection each year. These figures are dominated (95%) by fungal skin disease and recurrent vulvo-vaginal candidosis. In general, considerable uncertainty surrounds the total numbers because IFDs do not belong to the list of reportable infectious diseases in Germany and most patients were not hospitalised because of the IFD but a distinct underlying disease. © 2015 Blackwell Verlag GmbH.

  13. It All Began with Raiffeisen: Co-operatives as Instruments of Self-Help and Development.

    ERIC Educational Resources Information Center

    Nover, Kurt

    1986-01-01

    The rural and manufacturing co-operatives and credit co-operatives in the Federal Republic of Germany have succeeded in continuously expanding and consolidating their position within the framework of the country's market economy. As the biggest organizations of medium-size enterprises, the co-operatives have adapted to the new circumstances…

  14. Racialised Norms in Apprenticeship Systems in England and Germany

    ERIC Educational Resources Information Center

    Chadderton, Charlotte; Wischmann, Anke

    2014-01-01

    In this paper, we consider the issue of the under-representation of young people from minority ethnic/migrant backgrounds in apprenticeships in England and Germany. Whilst there are many studies on apprenticeships in England and Germany, few focus on under-representation or discrimination, even fewer on ethnic under-representation, and there are…

  15. [Pharmacological aspects of pain research in Germany].

    PubMed

    Niederberger, E; Kuner, R; Geißlinger, G

    2015-10-01

    In spite of several approved analgesics, the therapy of pain still constitutes a challenge due to the fact that the drugs do not exert sufficient efficacy or are associated with severe side effects. Therefore, the development of new and improved painkillers is still of great importance. A number of highly qualified scientists in Germany are investigating signal transduction pathways in pain, effectivity of new drugs and the so far incompletely investigated mechanisms of well-known analgesics in preclinical and clinical studies. The highlights of pharmacological pain research in Germany are summarized in this article.

  16. Liver transplantation in Germany.

    PubMed

    Tacke, Frank; Kroy, Daniela C; Barreiros, Ana Paula; Neumann, Ulf P

    2016-08-01

    Liver transplantation (LT) is a well-accepted procedure for end-stage liver disease in Germany. In 2015, 1489 patients were admitted to the waiting list (including 1308 new admissions), with the leading etiologies being fibrosis and cirrhosis (n = 349), alcoholic liver disease (n = 302), and hepatobiliary malignancies (n = 220). Organ allocation in Germany is regulated within the Eurotransplant system based on urgency as expressed by the Model for End-Stage Liver Disease score. In 2015, only 894 LTs (n = 48 from living donors) were performed at 23 German transplant centers, reflecting a shortage of organs. Several factors may contribute to the low number of organ donations. The German transplant legislation only accepts donation after brain death (not cardiac death), whereas advances in neurosurgery and a more frequently requested "palliative care" approach render fewer patients suitable as potential donors. The legislation further requires the active consent of the donor or first-degree relatives before donation. Ongoing debates within the German transplant field address the optimal management of patients with alcoholic liver cirrhosis, hepatocellular carcinoma (HCC), and cholangiocarcinoma and measures to increase living donor transplantations. As a result of irregularities at mainly 4 German transplant centers that were exposed in 2012, guiding principles updated by the German authorities have since implemented strict rules (including internal and external auditing, the 8-eyes principle, mandatory repeated testing for alcohol consumption) to prohibit any manipulations in organ allocation. In conclusion, we will summarize important aspects on the management of LT in Germany, discuss legal and organizational aspects, and highlight challenges mainly related to the relative lack of organ donations, increasing numbers of extended criteria donors, and the peculiarities of the recipient patients. Liver Transplantation 22 1136-1142 2016 AASLD. © 2016 American

  17. Secondary Education in Germany.

    ERIC Educational Resources Information Center

    Jonen, Gerdi

    This booklet provides a brief description of secondary education in Germany. The publication is part of a series that seeks to make the public aware of the education systems and traditions in all signatory states to the European Cultural Convention and to outline the essential problems these systems presently are facing. This short booklet…

  18. Germany in Europe 1963.

    ERIC Educational Resources Information Center

    Stanford Univ., CA.

    The results of the 10-week National Defense Education Act (NDEA) Third-Level Institute for Secondary School Teachers of German, conducted by Stanford University in Bad Boll, Germany, are compiled in individual reports written in both German and English by the 25 participants. Emphasizing close contact with the residents in their working and home…

  19. Structure and organisation of 47 nutrition support teams in Germany: a prospective investigation in 2000 German hospitals in 1999.

    PubMed

    Shang, E; Suchner, U; Dormann, A; Senkal, M

    2003-10-01

    Evaluation. Contrary to the Anglo-American region, very little is known in Germany on the structure and organisation of nutrition support teams (NST). Prospective investigation of the structure and organisation of German NST, using standardised interview questionnaires. Hospitals with more than 250 beds in Germany. German NST (n=47). Face-to-face interview in 1999, using a standardised questionnaire. From a total of 2000 German hospitals, NST have been established at 47 hospitals (2.3%). Most NST are affiliated to a large university hospital or an academic teaching hospital. In general, the NST are not independently operating units but are affiliated to a special discipline, and were in operation for an average of 8 y. The NST cared for a median of 65 outpatients annually. At the university hospitals in average, 477 in-patients were treated per year, at the teaching hospitals 400 and at all other hospitals 179. The work of the NST centred on enteral nutrition. A total of 47% of the physicians, 19% of the nurses and 19% of the dietitians in the NST held a nutrition-specific additional qualification. A total of 2% of the physicians, 68% of the nurses and 77% of the dietitians are exclusively responsible for the NST. More than 70% of the financing of the personnel was secured through third-party funds. In Germany, neither uniform nor comprehensive patient care by NST existed in 1999. More than 50% of all NST members do not hold a nutrition-specific additional qualification. Frequently, besides their tasks in the team, the NST staff also carries out other clinical functions. Contrary to the American NST, the German NST are not interdisciplinary operating units but are primarily financed through third-party funds of the industry.

  20. Tobacco Industry Influence on Science and Scientists in Germany

    PubMed Central

    Grüning, Thilo; Gilmore, Anna B.; McKee, Martin

    2006-01-01

    Using tobacco industry documents, we examined how and why the tobacco industry sought to influence science and scientists in Germany as a possible factor in explaining the German opposition to stricter tobacco regulation. Smoking and health research programs were organized both separately by individual tobacco companies and jointly through their German trade organization. An extensive network of scientists and scientific institutions with tobacco industry links was developed. Science was distorted in 5 ways: suppression, dilution, distraction, concealment, and manipulation. The extent of tobacco industry influence over the scientific establishment in Germany is profound. The industry introduced serious bias that probably influenced scientific and public opinion in Germany. This influence likely undermined efforts to control tobacco use. PMID:16317203

  1. Fixed-time Insemination in Pasture-based Medium-sized Dairy Operations of Northern Germany and an Attempt to Replace GnRH by hCG.

    PubMed

    Marthold, D; Detterer, J; Koenig von Borstel, U; Gauly, M; Holtz, W

    2016-02-01

    A field study was conducted aimed at (i) evaluating the practicability of a fixed-time insemination regime for medium-sized dairy operations of north-western Germany, representative for many regions of Central Europe and (ii) substituting hCG for GnRH as ovulation-inducing agent at the end of a presynch or ovsynch protocol in an attempt to reduce the incidence of premature luteal regression. Cows of two herds synchronized by presynch and two herds synchronized by ovsynch protocol were randomly allotted to three subgroups; in one group ovulation was induced by the GnRH analog buserelin, in another by hCG, whereas a third group remained untreated. The synchronized groups were fixed-time inseminated; the untreated group bred to observed oestrus. Relative to untreated herd mates, pregnancy rate in cows subjected to a presynch protocol with buserelin as ovulation-inducing agent was 74%; for hCG it was 60%. In cows subjected to an ovsynch protocol, the corresponding relative pregnancy rates reached 138% in the case of buserelin and 95% in the case of hCG. Average service interval was shortened by 1 week in the presynch and delayed by 2 weeks in the ovsynch group. It may be concluded that fixed-time insemination of cows synchronized via ovsynch protocol with buserelin as ovulation-inducing agent is practicable and may help improve efficiency and reduce the work load involved with herd management in medium-sized dairy operations. The substitution of hCG for buserelin was found to be not advisable. © 2015 Blackwell Verlag GmbH.

  2. Vector-borne diseases in cats in Germany.

    PubMed

    Bergmann, Michèle; Hartmann, Katrin

    2017-10-17

    Vector-borne diseases (VBDs) are caused by a wide range of pathogens, which are transmitted by a variety of vectors, such as ticks and fleas. As a result of climate changes, more vector-borne diseases are becoming endemic in Germany, not only in dogs, but also in cats. For some of the pathogens prevalence data still need to be investigated in Germany. However, natural infections with Bartonella, Anaplasma, haemotropic Mycoplasma and Borrelia species have already been described in German cats. Clinical relevance of these pathogens is not fully understood, and it is still unknown, why most infected cats stay asymptomatic and which predisposing factors contribute to the development of clinical signs in cats. Moreover, there is a risk of zoonotic transmission for some of the pathogens, e.  g., for some Bartonella spp. infections that are associated with cat scratch disease in humans. Due to the increasing number of VBDs in cats in Germany, preventive measures, such as the use of acaricides and insecticides, should be performed on a regular base in order to reduce the risk of these infections.

  3. Paint removal activities in Germany

    NASA Astrophysics Data System (ADS)

    Holbein, R.; Arnolds-Mayer, G.

    1993-03-01

    To replace paint removing chemicals containing chlorinated hydrocarbons several alternative paint stripping methods have been developed or are under study in Germany: high pressure water stripping; plastic media blasting; use of alcalic and acid activated softeners; CO2 pellet blasting; and laser application.

  4. Regional Climate Service in Northern Germany -The North German Climate Office

    NASA Astrophysics Data System (ADS)

    Meinke, I.; Von Storch, H.

    2012-12-01

    The North German Climate Office was established in 2006 at the Institute for Coastal Research at the Helmholtz-Zentrum Geesthacht, Germany as consequence of an increased public information need regarding coastal climate change and its impacts in Northern Germany. The service is characterized by an intensive dialogue between regional climate research and stakeholders in Northern Germany. About once a week scientists of the North German climate office are invited to contribute to public dialogue events. Also numerous direct inquiries are answered and expert interviews are conducted. From this dialogue process specific stakeholder information needs are localized and analysed to develop tailored information products. To provide easy and user specific access to research results interactive web tools are developed. One example is the North German climate atlas, an interactive web tool on possible future climate change in Northern Germany. Another interactive web tool is informing on present and future coastal protection needs in Northern Germany. Another aim of our information products is to assess and summarize the existing scientific knowledge on climate, climate change and impacts in Northern Germany. A mini IPCC-like regional assessment report has been published in 2010, which is summarizing, discussing and assessing the scientific knowledge on regional climate, climate change and impacts as well as possible adaptation strategies in the metropolitan region of Hamburg.

  5. Elimination of terrestrial rabies in Germany using oral vaccination of foxes.

    PubMed

    Müller, Thomas; Bätza, Hans-Joachim; Freuling, Conrad; Kliemt, Anke; Kliemt, Jeannette; Heuser, Rolf; Schlüter, Hartmut; Selhorst, Thomas; Vos, Adriaan; Mettenleiter, Thomas C

    2012-01-01

    Oral rabies vaccination (ORV) has become the method of choice in fox rabies control in Europe. During the past three decades fox-mediated rabies virtually disappeared from Western and Central Europe. Following Switzerland, Germany was the second European country to launch ORV field trials on its territory in 1983. This paper provides a historical overview on the emergence of fox rabies in Germany; describing the basic principles and milestones of the German rabies eradication programme and presenting results of two decades of efforts to control the disease in foxes. Also, setbacks as well as country-specific differences and particularities on Germany's long way to rabies elimination in comparison to other European countries are addressed. Since the first field trials in Germany the number of rabies cases steadily decreased from 10 484 in 1983 to three cases recorded in 2006. On February 3rd 2006 the last case of terrestrial rabies in Germany was detected in a fox near the town of Mainz, Rhineland-Palatinate. In 2008, ORV ceased after 25 years and Germany was officially declared as free from terrestrial rabies. The German rabies eradication programme did cost approximately 100 million euro of which 37 million euro were covered by the EU. For the future, efforts should focus on maintaining a rabies free status by implementing measures to prevent reintroduction of terrestrial rabies from endemic countries.

  6. Tularaemia in southwest Germany: Three cases of tick-borne transmission.

    PubMed

    Boone, I; Hassler, D; Nguyen, T; Splettstoesser, W D; Wagner-Wiening, C; Pfaff, G

    2015-07-01

    Tularaemia, caused by Francisella tularensis, is an endemic zoonosis frequently occurring in southwest Germany. Since 2005 there is an increase in the number of reported cases of tularaemia in Germany. We report on two cases of ulceroglandular tularaemia and one case of glandular tularaemia that occurred in the summer of 2012 and 2013 in two counties in the Federal State of Baden-Wuerttemberg. Bacteria were transmitted through tick bites, which to date has only rarely been reported in Germany. Inadequate treatment of the patients and an aggravation of clinical symptoms were caused by a delay between disease onset and the detection of the pathogen. Although contact to or consumption of infected hares are the most often reported transmission routes of tularaemia in Germany, tick-bites should also be taken into account. Health professionals should include Francisella tularensis in the differential diagnosis of patients with fever and/or ulcerative lymphadenopathy following a tick bite. Copyright © 2015 Elsevier GmbH. All rights reserved.

  7. Network Centric Warfare Case Study. U.S. V Corps and 3rd Infantry Division (Mechanized) During Operation Iraq Freedom Combat Operations (Mar-Apr 2003). Volume 1: Operations

    DTIC Science & Technology

    2003-11-01

    Command Historian , and the personnel from the Center for Army Lessons Learned (CALL) for their assistance in gaining access to the many documents that...after the Network Centric Warfare Case Study operations. The Center for Army Lessons Learned (CALL), the V Corps Command Historian , and other... Historian , Dr. Charles Kirkpatrick, in Heidelberg, Germany, assisted in this effort. Nu- merous documents were collected, both unclassified and classified

  8. The emigration of Germany's Jewish dermatologists in the period of National Socialism.

    PubMed

    Eppinger, S; Meurer, M; Scholz, A

    2003-09-01

    In the context of our investigation, we found information on 432 (76%) of the 569 Jewish dermatologists in Germany. There is evidence that 57 (10%) of the Jewish dermatologists were murdered in concentration camps, 61 (10.7%) died a natural death, 13 (2%) committed suicide, and 25 (4%) survived the Third Reich in Germany. After 1933, 276 (49%) Jewish dermatologists were able to leave Germany; the United States of America was the main destination and 107 (or 41%) emigrated there. A total of 34 (13%) Jewish dermatologists emigrated from Germany to Palestine and 16 to Latin America. Regarding emigration to other European countries, 20 of the Jewish dermatologists from Germany went to Great Britain (including Walter Freudenthal, 1893-1952, and Ernst Sklarz, 1894-1975), and 24 emigrated to other European countries, such as France (Rudolf Mayer, 1895-1962), Sweden (Carl Lennhoff, 1883-1963), and the Netherlands (Otto Schlein, 1895-1944).

  9. Labor, Business, and Change in Germany and the United States.

    ERIC Educational Resources Information Center

    Wever, Kirsten S., Ed.

    This book explores how two nations with widely divergent political economies, Germany and the United States (U.S.), embraced change in four contemporary settings. "Mutual Learning with Trade-Offs" (Kirsten Wever) discusses mutual learning and the distinguishing characteristics of the political economies of Germany and the U.S.…

  10. Evaluation of infrastructure, equipment and training of 28 burn units/burn centers in Germany, Austria and Switzerland.

    PubMed

    Vogt, Peter M; Busche, Marc N

    2011-03-01

    Treatment of burn patients requires special training and skills, and an adequate infrastructure. In the United States, burn center referral criteria and requirements of burn centers are defined by the American Burn Association (ABA) in the Guidelines for the Operation of Burn Centers, and in Germany, by the German Society for Burn Treatment (DGV). The European Burn centers in Austria and the German-speaking part of Switzerland share the standards in the setting of the German-speaking Association for Burn Therapy (DAV) with some modifications. The aim of this study was to evaluate the current infrastructure of burn centers in the three German-speaking countries with respect to the existing guidelines. Therefore, guidelines for burn center referral criteria and burn center requirements were compared between the USA (ABA) and Germany (DGV). In addition, a questionnaire was sent to all burn centers in Germany, Austria and the German-speaking part of Switzerland, in order to collect current information regarding the architectural and medical infrastructure, available equipment and care-providing personnel. The comparison of guidelines for the USA and Germany revealed similar burn center referral criteria for both countries. With respect to burn center requirements, both the USA and Germany have similar requirements, albeit with different focus points. In Germany, the main focus lies on the infrastructural requirements for burn centers, while in the US, the main focus lies on the requirements for medical and nursing personnel. Critical review of the responses from the burn centers of German-speaking countries revealed that the biggest infrastructural differences among centers were observed in burn units providing pediatric care, as compared to adult burn centers. In summary, the DGV guidelines for German-speaking countries reflect an overall adoption of the ABA guidelines, and the burn centers included in this study met those requirements. As a result of the positive

  11. Epidemiology in Germany-general development and personal experience.

    PubMed

    Wichmann, Heinz-Erich

    2017-08-01

    Did you ever hear about epidemiology in Germany? Starting from an epidemiological desert the discipline has grown remarkably, especially during the last 10-15 years: research institutes have been established, research funding has improved, multiple curriculae in Epidemiology and Public Health are offered. This increase has been quite steep, and now the epidemiological infrastructure is much better. Several medium-sized and even big population cohorts are ongoing, and the number and quality of publications from German epidemiologists has reached a respectable level. My own career in epidemiology started in the field of environmental health. After German reunification I concentrated for many years on environmental problems in East Germany and observed the health benefits after improvement of the situation. Later, I concentrated on population-based cohorts in newborns (GINI/LISA) and adults (KORA, German National Cohort), and on biobanking. This Essay describes the development in Germany after worldwar 2, illustrated by examples of research results and build-up of epidemiological infractructures worth mentioning.

  12. The Search for Specialists and Managers. Staff Shortage in Germany.

    ERIC Educational Resources Information Center

    Stahl, Klaus, Ed.

    1999-01-01

    Despite its high unemployment level, Germany is experiencing a shortage of specialists and managers. Germany's need for highly qualified information technology (IT) workers and engineers is particularly great. Approximately 10,000 posts for computer scientists and IT specialists remained vacant in 1998. Because of the shortage of such specialists,…

  13. Training and Further Training in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Pakleppa, Hans

    The Federal Republic of Germany uses its development aid policy to support the growth of manpower resources in developing countries by means of a broad spectrum of training and further training programs of foreign specialists. In planning these programs and arranging scholarships, Germany tries to orient itself toward the educational policy…

  14. Space Radar Image of Oberpfaffenhofen, Germany

    NASA Image and Video Library

    1999-01-27

    This is a false-color, three-frequency image of the Oberpfaffenhofen supersite, southwest of Munich in southern Germany, which shows the differences in what the three radar bands can see on the ground.

  15. 77 FR 23508 - Brass Sheet and Strip From France, Germany, Italy, and Japan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-19

    ...)] Brass Sheet and Strip From France, Germany, Italy, and Japan Determination On the basis of the record \\1... antidumping duty orders on brass sheet and strip from France, Germany, Italy, and Japan would be likely to... from France, Germany, Italy, and Japan: Investigation Nos. 731-TA-313, 314, 317, and 379 (Third Review...

  16. Jung's views of Nazi Germany: the first year and Jung's transition.

    PubMed

    Schoenl, William; Schoenl, Linda

    2016-09-01

    This article first considers Jung's response to the coming to power of the Nazis in Germany. It brings forth evidence that, besides wanting to preserve psychotherapy in Germany and maintain the international connection between the German and other communities of psychotherapists, he wanted to advance Jungian psychology - his psychology - in Germany. It also presents evidence that, although he occasionally made some anti-Semitic statements during this early period, he was not anti-Semitic in the way the Nazis were. The paper then argues that after Gustav Bally's criticisms in the Neue Zuercher Zeitung in February 1934, Jung entered into a transitional period that spring during which he became warier both of the Nazis and of making any statements that could be construed as being anti-Semitic. Schoenl and Peck (2012) have shown how Jung's views of Nazi Germany changed from 1933 to March 1936. This present article demonstrates very significant changes in Jung's views during the important early part of this period, that is from January 1933 - when Hitler became Chancellor of Germany - through to the spring of 1934. It draws on evidence from archival and other primary sources. © 2016, The Society of Analytical Psychology.

  17. Bullying Involvement of Korean Children in Germany and in Korea

    ERIC Educational Resources Information Center

    Bae, Hwa-ok

    2016-01-01

    This study compared bullying involvement of Korean or Korean-German children living in Germany with children in Korea, and examined children's perceptions of school environment associated with bullying involvement of the children. This study included 105 Korean or Korean-German children living in the Bayern State of Germany as the study sample and…

  18. Terminal Decline in Well-Being Differs between Residents in East Germany and West Germany

    ERIC Educational Resources Information Center

    Vogel, Nina; Gerstorf, Denis; Ram, Nilam; Goebel, Jan; Wagner, Gert G.

    2017-01-01

    Lifespan research has long been interested in how contexts shape individual development. Using the separation and later reunification of Germany as a kind of natural experiment we examine whether and how living and dying in the former East or West German context has differentially shaped late-life development of well-being. We apply multi-level…

  19. Innovative energy technologies and climate policy in Germany

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

    Schumacher, Katja; Sands, Ronald D.

    2006-12-01

    Due to the size and structure of its economy, Germany is one of the largest carbon emitters in the European Union. However, Germany is facing a major renewal and restructuring process in electricity generation. Within the next two decades, up to 50% of current electricity generation capacity may retire because of end-of-plant lifetime and the nuclear phase-out pact of 1998. Substantial opportunities therefore exist for deployment of advanced electricity generating technologies in both a projected baseline and in alternative carbon policy scenarios. We simulate the potential role of coal integrated gasification combined cycle (IGCC), natural gas combined cycle (NGCC), carbonmore » dioxide capture and storage (CCS), and wind power within a computable general equilibrium of Germany from the present through 2050. These advanced technologies and their role within a future German electricity system are the focus of this paper. We model the response of greenhouse gas emissions in Germany to various technology and carbon policy assumptions over the next few decades. In our baseline scenario, all of the advanced technologies except CCS provide substantial contributions to electricity generation. We also calculate the carbon price where each fossil technology, combined with CCS, becomes competitive. Constant carbon price experiments are used to characterize the model response to a carbon policy. This provides an estimate of the cost of meeting an emissions target, and the share of emissions reductions available from the electricity generation sector.« less

  20. Local modelling of land consumption in Germany with RegioClust

    NASA Astrophysics Data System (ADS)

    Hagenauer, Julian; Helbich, Marco

    2018-03-01

    Germany is experiencing extensive land consumption. This necessitates local models to understand actual and future land consumption patterns. This research examined land consumption rates on a municipality level in Germany for the period 2000-10 and predicted rates for 2010-20. For this purpose, RegioClust, an algorithm that combines hierarchical clustering and regression analysis to identify regions with similar relationships between land consumption and its drivers, was developed. The performance of RegioClust was compared against geographically weighted regression (GWR). Distinct spatially varying relationships across regions emerged, whereas population density is suggested as the central driver. Although both RegioClust and GWR predicted an increase in land consumption rates for east Germany for 2010-20, only RegioClust forecasts a decline for west Germany. In conclusion, both models predict for 2010-20 a rate of land consumption that suggests that the policy objective of reducing land consumption to 30 ha per day in 2020 will not be achieved. Policymakers are advised to take action and revise existing planning strategies to counteract this development.

  1. Heat waves in lowland Germany and their circulation-related conditions

    NASA Astrophysics Data System (ADS)

    Tomczyk, Arkadiusz M.; Sulikowska, Agnieszka

    2017-09-01

    The research study aimed at assessing multiannual variability of heat wave occurrence in the lowland part of Germany between 1966 and 2015 and determining the role of atmospheric circulation in their occurrence. The analysis was conducted with the use of two independent datasets, that is, the dataset of Germany's National Meteorological Service, Deutscher Wetterdienst, and American meteorological reanalysis database of the National Centre for Environmental Prediction/National Centre for Atmospheric Research. This article defines a hot day as a day with maximum temperature of >30 °C, and a heat wave as a sequence of at least three such days. The observed warming translated into an increase in a number of hot days and, consequently, an increase in the frequency of heat wave occurrence. In the analysed 50-year period, the smallest number of heat waves was observed between 1976 and 1985, and the largest number between 2006 and 2015 in the lowland part of Germany. The occurrence of heat waves in lowland Germany was related to anticyclonic circulation.

  2. [Surgical research in Germany. Organization, quality and international competitiveness].

    PubMed

    Menger, M D; Laschke, M W

    2012-04-01

    Surgical research in Germany is performed within surgical clinics by individual working groups or in surgical research divisions. Additionally, a few independent institutes and departments of surgical research have been established at medical faculties. The number of these institutions, however, is too small. To increase productivity in surgical research, structural changes are necessary, including additional establishment of further institutes and professorships. The quality of clinical research in surgery in Germany is critically discussed. International comparison shows that Germany has a low ranking with respect to the number of clinical studies published in leading surgical journals. However, there has been some improvement in the quality of clinical studies performed in surgical departments during the last 15 years. The establishment of the study center of the German Society of Surgery shows that excellent clinical studies with adequate numbers of patients can also be performed in Germany and can be published in leading journals. Accordingly, there is need to distribute the structures and the competence necessary to perform clinical studies in a standardized manner to all surgical departments involved in clinical research. The experimental surgical research in Germany is not adequately visible, although over the last 10 years the most relevant publications from institutions for surgical research have been placed in journals with a mean impact factor of 8. This may be due to the fact that 85% of these top publications are published in non-surgical journals. The aim for the future must therefore be to increase the impact factor and, thus, the attractiveness of surgical journals. This may be achieved by publishing the highest quality results from experimental surgical research not in non-surgical but in surgical journals.

  3. National trends and differences in morbidity among surgical approaches for radical prostatectomy in Germany.

    PubMed

    Stolzenburg, Jens Uwe; Kyriazis, Iason; Fahlenbrach, Claus; Gilfrich, Christian; Günster, Christian; Jeschke, Elke; Popken, Gralf; Weißbach, Lothar; von Zastrow, Christoph; Leicht, Hanna

    2016-11-01

    In this study, we document trends in radical prostatectomy (RP) employment in Germany during the period 2005-2012 and compare the morbidity of open (ORP), laparoscopic and robotic-assisted RP based on nationwide administrative data of Allgemeine Ortskrankenkassen (AOK) German local healthcare funds. Administrative claims data of all AOK patients subjected to RP during 2005-2012 (57,156 cases) were used to evaluate the employment of minimally invasive RP (MIRP) procedures, pelvic lymph node dissection (PLND) and nerve-sparing approaches during this period. In addition, data from the most recent three-year period of our dataset (2010-2012) were used to compare the morbidity among the different surgical approaches. Study end points comprised 30-day mortality, 30-day transfusion, 1-year reintervention and 30-day adverse events, as well as 1-year overall complications. A 20 % reduction in RP utilization from 2007 to 2012 was documented. ORP remained the predominant RP approach in Germany. MIRP approaches carried a lower risk of 30-day transfusions, 1-year reinterventions and 1-year overall complications than ORP when adjusting for confounding factors. PLND was associated with an increased risk of complications, while age in the highest quintile and the presence of comorbidities were independent risk factors for morbidity and mortality. Lack of pathological data was the main limitation of the study. RP utilization in Germany is dropping, but the use of MIRP has risen steadily during the years 2005-2012, which is expected to have a positive impact on the morbidity of the operation.

  4. The health status of Russian-speaking immigrants in Germany.

    PubMed

    Tselmin, S; Korenblum, W; Reimann, M; Bornstein, S R; Schwarz, P E H

    2007-12-01

    Germany developed today into a country of immigration, which creates an additional burden for the social security system and results in a new challenge for the healthcare. In the last 17 years more than two million "Russia Germans" have been repatriated and about two hundred thousand Jewish refugees have resettled in Germany from the former Soviet Union. Nevertheless relevant data concerning migration-related public health care are very scare. Search of PubMed and Journals extracts combined with the own researches, analysing the health status indices of the Russian-speaking immigrants in Germany. Both repatriates of German origin and Jewish refugees demonstrated higher prevalence of impaired lipid metabolism in comparison with native population. 42 % of the 503,040 HBsAg (hepatitis B s-Antigen) carriers in Germany were migrants. The Jewish refugees demonstrated the highest rates of depression and anxiety and the highest levels of awakening cortisol. On the other side German resettlers showed lower cardiovascular as well as all-cause death rates compared to the native Germans. The development of adequate health care programmes to address migratory aspects as well as the establishment of quality standards will realistically enhance the capability of responding rapidly to migrant health aspects and help to tackle inequalities in health.

  5. Acceptance, Prevalence and Indications for Robot-Assisted Laparoscopy - Results of a Survey Among Urologists in Germany, Austria and Switzerland.

    PubMed

    Imkamp, Florian; Herrmann, Thomas R W; Tolkach, Yuri; Dziuba, Sebastian; Stolzenburg, Jens U; Rassweiler, Jens; Sulser, Tullio; Zimmermann, Uwe; Merseburger, Axel S; Kuczyk, Markus A; Burchardt, Martin

    2015-01-01

    Robotic-assisted laparoscopy (RAL) is being widely accepted in the field of urology as a replacement for conventional laparoscopy (CL). Nevertheless, the process of its integration in clinical routines has been rather spontaneous. To determine the prevalence of robotic systems (RS) in urological clinics in Germany, Austria and Switzerland, the acceptance of RAL among urologists as a replacement for CL and its current use for 25 different urological indications. To elucidate the practice patterns of RAL, a survey at hospitals in Germany, Austria and Switzerland was conducted. All surgically active urology departments in Germany (303), Austria (37) and Switzerland (84) received a questionnaire with questions related to the one-year period prior to the survey. The response rate was 63%. Among the participants, 43% were universities, 45% were tertiary care centres, and 8% were secondary care hospitals. A total of 60 RS (Germany 35, Austria 8, Switzerland 17) were available, and the majority (68%) were operated under public ownership. The perception of RAL and the anticipated superiority of RAL significantly differed between robotic and non-robotic surgeons. For only two urologic indications were more than 50% of the procedures performed using RAL: pyeloplasty (58%) and transperitoneal radical prostatectomy (75%). On average, 35% of robotic surgeons and only 14% of non-robotic surgeons anticipated RAL superiority in some of the 25 indications. This survey provides a detailed insight into RAL implementation in Germany, Austria and Switzerland. RAL is currently limited to a few urological indications with a small number of high-volume robotic centres. These results might suggest that a saturation of clinics using RS has been achieved but that the existing robotic capacities are being utilized ineffectively. The possible reasons for this finding are discussed, and certain strategies to solve these problems are offered. © 2015 S. Karger AG, Basel.

  6. [Telemedicine in Germany. Status, Barriers, Perspectives].

    PubMed

    Brauns, H-J; Loos, Wolfgang

    2015-10-01

    Telemedicine as a subject has reached politics, doctors and patients, but it has still not been able to make the leap from research, development, and testing into real practice. This is generally because of the great barriers to implementation, mainly the lack of telematics infrastructure and of payment regulations in Germany. Telemedicine projects are mainly isolated applications and it has not been possible to integrate them in to nationwide regular health services. Other challenges along the path to standard care include that research-based small-medium enterprise (SME) companies usually face high barriers hindering access to this market, because it is imposible for them to finance all the required evidence-based studies to verify the medical benefits and the econimic efficiency. Additionally, a high market nontransparency is noted. However, the signs of progress are visible, e.g., the E-health initiative of the German government or recent legislative initiatives. However, long processes are observed that do not facilitate the use of telemedicine. Although some federal states, e.g., North Rhine Westphalia, Bavaria, Mecklenburg-Western Pomerania, and Saxony, show exemplary activities, there are still many white areas on the telemedicine map of Germany. The road to standard care will be long, but is not unattainable. The reasons for supporting telemedicine are still strong. The future development of telemedicine applications will contribute to sustainable and high-quality patient care in Germany.

  7. Tobacco policies in Nazi Germany: not as simple as it seems

    PubMed Central

    Bachinger, Eleonore; McKee, Martin; Gilmore, Anna

    2008-01-01

    Summary Objective Reluctance to develop effective tobacco control measures in Germany has been attributed to the anti-smoking stance taken by the Nazis, which has encouraged pro-smoking groups to equate tobacco control advocacy with totalitarianism. This paper reassesses the scale and nature of tobacco control in Germany during the Third Reich. Design Analysis of documents and reports about the situation in Germany in the 1930s and 1940s supplemented by a review of Reich legal ordinances, party newspapers, health behaviour guidelines issued by Nazi party organizations, and interviews with expert informants. Results While there was considerable opposition to smoking in Nazi Germany, there was no consistent Nazi policy to combat smoking, and what did exist built on pre-existing policies. Although extreme measures were taken in isolated localities or by overzealous party members, there was a marked ambivalence to tobacco control at the highest levels. Many policies were contradictory; measures were often not enforced, and cigarettes were actively distributed to ‘deserving’ groups. Conclusion Policies on tobacco in Nazi Germany are much more complex than is often represented by those who invoke them to condemn those seeking to reduce the burden of disease caused by smoking. PMID:18222506

  8. Ulceroglandular tularemia in a toddler in Germany after a mosquito bite.

    PubMed

    Hanke, Christof A; Otten, Joerg-Elard; Berner, Reinhard; Serr, Annerose; Splettstoesser, Wolf; von Schnakenburg, Christian

    2009-08-01

    Although tularemia is a long-known disease, its significance had diminished over the last decades in Middle Europe. However, over the past years, there is new evidence suggesting that tularemia has re-emerged in Germany. In 2007, the highest number of human cases for almost 50 years has been notified. Beside typical vectors, new ways of transmission seem to gain significance. So far, mosquito bite-transmitted tularemia has only been known from Scandinavia but not from Middle Europe. We report the first case of a 1-year-old toddler from Southwestern Germany with mosquito bite-associated ulceroglandular tularaemia. The new and interesting features of this case are the young age of the patient and the unusual transmission route. The available data suggesting changes in the epidemiology for tularemia in Germany are reviewed. This is an interesting case of infantile tularemia with a very unusual transmission route, highlighting ongoing changes in the epidemiology of tularemia in Germany.

  9. Lise Meitner's escape from Germany

    NASA Astrophysics Data System (ADS)

    Sime, Ruth Lewin

    1990-03-01

    Lise Meitner (1878-1968) achieved prominence as a nuclear physicist in Germany; although of Jewish origin, her Austrian citizenship exempted her from Nazi racial laws until the annexation of Austria in 1938 precipitated her dismissal. Forbidden to emigrate, she narrowly escaped to the Netherlands with the help of concerned friends in the international physics community.

  10. A 13 km Long Paleoseismological Trench in Western Germany

    NASA Astrophysics Data System (ADS)

    Grützner, C. H.; Reicherter, K.; Winandy, J.

    2012-04-01

    The expansion of an open pit lignite mine in this area makes it necessary to translocate one of Germany's most frequented, E-W trending highways for a length of 13 km during the next months and years. By this occasion, one of the largest faults of the Lower Rhine Embayment (LRE), the Rurrand Fault, was already cut in 2010. We applied geological mapping and surface-near geophysical techniques for investigating this possible candidate for the 1756 Düren earthquake (M>6; and considered as the strongest historical earthquake in Germany), and found clear hints for recent active faulting. The LRE in western Germany is one of the seismically most active areas in Central Europe. Earthquakes stronger than M6 have been documented by paleoseismological and archeoseismological investigations and written sources. Instrumental seismicity reached ML5.9 (Mw5.4; April 13th, 1992) in this densely populated area with alone nearby Cologne having more than one million inhabitants. Active faults trend NW-SE in a horst-graben system, parallel to the rivers Rhine and Rur. Recent studies reported that active faults in the study area are characterized by recurrence periods in the order of tens of ka. Those faults in western Germany are often not visible in the field due to relatively high erosion rates and therefore, the seismic hazard might be underestimated. The ongoing highway construction works will cut more (active) faults. We expect at least eight already mapped faults to be cut by the earth works, some of which capable of causing damaging earthquakes judging from their mere length. The construction work is a unique opportunity for paleoseismological investigations at already known, but yet unstudied faults. We hope to gather additional data for an improvement of seismic hazard estimations in Western Germany.

  11. Hydrological extremes in the media: The 2015 drought event in Germany

    NASA Astrophysics Data System (ADS)

    Zink, Matthias; Samaniego, Luis; Kumar, Rohini; Thober, Stephan; Mai, Juliane; Schäfer, David; Marx, Andreas

    2017-04-01

    The 2003 drought event had major implications on many societal sectors, including energy production, health, forestry and agriculture. The reduced availability of water accompanied by high temperatures led to substantial economic losses in Germany on the order of 1.5 Billion Euros, in agriculture alone. Furthermore, soil droughts have considerable impacts on ecosystems, forest fires and water management. In 2015, another drought event impacted Germany which had impacts on inland navigation, forest fire risk and agriculture among others. Due to this drought event, corn yield reduced by 22% compared to the preceding 5 years. This drought event was tracked by the 2014 implemented German Drought Monitor, a near real-time, online soil water monitoring platform (Zink et al., 2016). This platform uses an high resolution, operational modeling system which delivers easy to understand maps of soil drought conditions that are published on a daily basis on www.ufz.de/droughtmonitor. During the 2015 event, the German Drought Monitor was used by several regional to national newspapers as well as by television to inform the public about the recent status of soil moisture conditions. Next to publishing the drought maps, we were asked to comment the drought development and especially the severity of the ongoing drought event. On the one hand, this gave us the opportunity to inform the public about different types and the characterization of droughts. On the other hand, some journalists just tried to invoke statements such as "this is the most severe drought event ever recorded" to get a good headline. Further the secondmost pressing question of the journalists was, if the current event could be directly attributed to climate change. A clear answer to this question could not be given since the drought monitor is based on only a 65 year period of data. Depending on the media company, different depths of information and knowledge was finally transferred to the newsletter article and

  12. Changing Traditions in Germany's Public Schools. International Studies in Education Series.

    ERIC Educational Resources Information Center

    Dichanz, Horst; Zahorik, John A.

    Understanding German elementary and secondary schools requires knowledge of political, geographic, economic, and social aspects of Germany. German schools have developed in accordance with the prevailing influences of their times. People and events, throughout the past 400 years, are discussed. The legal status of education in Germany is similar…

  13. A survey of environmental needs and innovative technologies in Germany

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

    Voss, C.F.; Roberds, W.J.

    1995-05-01

    The International Technology Program (IT?), formerly the international Technology Exchange Program (ITEP), of the Department of Energy`s (DOE`s) Office of Environmental Restoration and Waste Management (EM) is responsible for promoting: (1) the import of innovative technologies to better address EM`s needs; and (2) the export of US services into foreign markets to enhance US competitiveness. Under this program: (1) the environmental restoration market in Germany was evaluated, including the description of the general types of environmental problems, the environmental regulations, and specific selected contaminated sites; and (2) potentially innovative environmental restoration technologies, either commercially available or under development in Germany,more » were identified, described and evaluated. It was found that: (1) the environmental restoration market in Germany is very large, on the order of several billion US dollars per year, with a significant portion possibly available to US businesses; and (2) a large number (54) of innovative environmental restoration technologies, which are either commercially available or under development in Germany, may have some benefit to the DOE EM program and should be considered for transfer to the US.« less

  14. Rationalizing 'folk medicine' in interwar Germany: faith, business, and science at "Dr. Madaus & Co.'.

    PubMed

    Timmermann, C

    2001-12-01

    The relationship between orthodox or mainstream medicine and heterodox or alternative practices has often been expressed in terms of dichotomies, such as science versus anti-science or rationality versus irrationality. By studying the history of a company producing herbal medicines and homoepathic remedies in Germany in the 1920s and 1930s, this paper attempts to create a more differentiated picture. 'Dr. Madaus & Co.' was founded in 1919 by the three sons of a free church minister and his wife, who practised as a non-licensed healer herself. The company not only sold medicines, it also produced journals and books promoting heterodox healing methods and contributing to ongoing health political debates, for example over compulsory vaccination programmes, human experimentation, quackery, and a general 'crisis of medicine'. Gerhard Madaus, a medical doctor and one of the three founders, published in 1938 a three-volume Textbook of Biological Healing Methods, turning folk medicine into science. The essay follows the rise of the Madaus family firm and interprets the story of 'Dr. Madaus & Co.' as an example of social rationalization, emphasizing the role of commercial operations in twentieth-century alternative medicine in Germany.

  15. Medieval orthopaedic history in Germany: Hieronymus Brunschwig and Hans von Gersdorff.

    PubMed

    Hernigou, Philippe

    2015-10-01

    Hans von Gerssdorff and Hieronymus Brunschwig, who flourished in Germany in the latter half of the fifteenth century, have both left early printed treatises on Surgery which give excellent woodcuts showing pictures of instruments, operations, and costumes, at the end of the medieval period. Hieronymus Brunschwig or Hieronymus Brunschwygk (ca. 1450 - ca. 1512), was a German surgeon (wundartzot), alchemist and botanist. He was notable for his methods of treatment of gunshot wounds. His most influential book was the Buch der Cirurgia. Gersdorff(1455-1529) was a military surgeon who gained wide experience during 40 years of campaigning and was an expert in the treatment of battlefield injuries. His work covers anatomy, surgery, leprosy, and glossaries of anatomical terms, diseases, and medications.

  16. [Breastfeeding Rates and Duration in Germany - A Systematic Review].

    PubMed

    Weissenborn, A; Abou-Dakn, M; Bergmann, R; Both, D; Gresens, R; Hahn, B; Hecker, A; Koletzko, B; Krawinkel, M; Kroll, D; Rouw, E; Scheele, M; Schwegler, U; Sievers, E; Sporleder, E; Springer, S; Vetter, K; Wöckel, A; Kersting, M

    2016-11-01

    Aim: 20 years after establishment of the National Breastfeeding Committee, the present work, based on published data on breastfeeding, is aimed at providing insight into the development of breastfeeding behaviour in Germany. Methods: To identify relevant publications, a comprehensive literature search was conducted in PubMed and Web of Science using the search terms "breast feeding" or "breastfeeding" in combination with "Germany". The publication period was limited to the period 1995-2014. Results: A total of 35 studies with data on breastfeeding for the birth cohorts of 1990-2012 were identified. Most of the data had been collected in regional or local surveys, often retrospectively. About 60% of the studies had been conducted with the primary aim of collecting data on breastfeeding or infant nutrition. Over the past 2 decades, breastfeeding rates were always relatively high at the beginning (72-97%). However, they declined significantly within the first 2 months, and by the age of 6 months, only about 50% of infants were still breastfed. Conclusion: Breastfeeding support and early assistance should be offered to a greater extent in order to achieve sustainable improvement of breastfeeding frequency and duration in Germany. Regarding the quality of data collected on breastfeeding, it seems crucial to implement standardised approaches to monitor breastfeeding in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

  17. [AIDS prevention in Germany].

    PubMed

    Pott, E

    2007-04-01

    In 1987 the national AIDS prevention campaign "Gib AIDS keine Chance" (Don't give AIDS a chance) was started in Germany. After a very difficult and controversial political debate about a probably successful response to AIDS, in the end a political decision was made in favour of the implementation of a long term "social learning strategy". Thus, since then the Bundeszentrale für gesundheitliche Aufklärung (Federal Centre for Health Education, BZgA) has been running the campaign on behalf of the Federal Ministry of Health. The result of this prevention program is a low rate of infections. In Germany there were 2600 newly diagnosed infections in 2005: 59 % in homosexual men, 16 % by heterosexual contacts, 17 % in people from high prevalence countries and 7 % in i.v. drug users. In comparison to the international situation Germany has a relatively low HIV-prevalence even nowadays. However, Germany has also been confronted with an increasing number of newly diagnosed infections in the last few years. When the prevention program was started it was very important to build new structures for a successful implementation of the campaign. That meant for instance to build up an effective infrastructure for cooperation between the governmental and the nongovernmental sector, including organising the coordinated action among the partners at the federal, regional and local levels. Likewise, international networking was of great importance. A key element, relevant for the success of the campaign was the close cooperation at the federal level between the BZgA and the Deutsche AIDS Hilfe (German AIDS Help, DAH), to combine the highreach intervention in low-prevalence populations with intensive interventions for high prevalence groups. An effective national AIDS prevention campaign must reach the whole population; inform the public about the main risks of infection, about methods of protection and about what is not infectious. Moreover groups with a higher level of risk of

  18. Prospects for Vocational Education in the United States: Lessons from Germany

    ERIC Educational Resources Information Center

    Lanford, Michael; Maruco, Tattiya; Tierney, William G.

    2015-01-01

    Germany is one of a handful of Western European nations (including Austria and the Netherlands) that maintains a highly-differentiated educational system in which secondary level students are sorted into different schools on the basis on their perceived scholastic abilities. Despite the numerous political and cultural shifts in Germany over the…

  19. Disintegration and Violence among Migrants in Germany: Turkish and Russian Youths versus German Youths

    ERIC Educational Resources Information Center

    Baier, Dirk; Pfeiffer, Christian

    2008-01-01

    Turkish and Russian immigrants are the two largest groups of immigrants in Germany, but there are some important differences regarding their legal status. Although most of the Turkish adolescents were born in Germany, few of them have German citizenship. In contrast, most of the Russian youths were born outside Germany, but they mostly possess…

  20. [Disaster Control and Civil Protection in Germany].

    PubMed

    Kippnich, Maximilian; Kowalzik, Barbara; Cermak, Rudolf; Kippnich, Uwe; Kranke, Peter; Wurmb, Thomas

    2017-09-01

    The train crash of Bad Aibling/Germany in February 2016 and the terrorist attacks of the recent years in Europe have demonstrated the urgent need to be prepared for such disastrous events. Disaster preparedness and disaster control are very important governmental duties, as are civil protection and civil defense. In Germany the responsibility for those tasks are divided between the 16 "Länder" and the Federation. While the Federation takes care of the civil protection and disaster assistance, the Länder are responsible for disaster control. The presented article focuses on these issues and gives valuable insights into the German system of disaster control and civil protection with a focus on health protection. Georg Thieme Verlag KG Stuttgart · New York.

  1. Hantavirus cardiopulmonary syndrome due to Puumala virus in Germany.

    PubMed

    Vollmar, Patrick; Lubnow, Matthias; Simon, Michaela; Müller, Thomas; Bergler, Tobias; Alois, Philipp; Thoma, Bryan R; Essbauer, Sandra

    2016-11-01

    In Germany Puumala virus (PUUV), known to cause mild forms of hemorrhagic fever with renal syndrome (HFRS), is the predominating endemic hantavirus. We herein describe an unusually severe case of a PUUV infection that occurred in summer 2015 in South Eastern Germany in a region known to be endemic for PUUV since over ten years. A 54-year-old female gardener was admitted to hospital with fever, cough and dyspnea. Within 48hours the patient developed a rapid progressive adult respiratory distress syndrome (ARDS) with circulatory failure and required ECMO (extracorporeal membrane oxygenation) treatment. Serological and molecular biological examinations of serum samples confirmed an infection with PUUV. Partial sequences of the S- and M-segment clustered to a strain previously described in South Eastern Germany. Our reported case highlights, that in rare incidents PUUV can cause hantavirus cardiopulmonary syndrome, a syndrome that is usually found after infections with New World hantaviruses, and neurological symptoms. Copyright © 2016 Elsevier B.V. All rights reserved.

  2. Survival of Patients with Oral Cavity Cancer in Germany

    PubMed Central

    Listl, Stefan; Jansen, Lina; Stenzinger, Albrecht; Freier, Kolja; Emrich, Katharina; Holleczek, Bernd; Katalinic, Alexander; Gondos, Adam; Brenner, Hermann

    2013-01-01

    The purpose of the present study was to describe the survival of patients diagnosed with oral cavity cancer in Germany. The analyses relied on data from eleven population-based cancer registries in Germany covering a population of 33 million inhabitants. Patients with a diagnosis of oral cavity cancer (ICD-10: C00-06) between 1997 and 2006 are included. Period analysis for 2002–2006 was applied to estimate five-year age-standardized relative survival, taking into account patients' sex as well as grade and tumor stage. Overall five-year relative survival for oral cavity cancer patients was 54.6%. According to tumor localization, five-year survival was 86.5% for lip cancer, 48.1% for tongue cancer and 51.7% for other regions of the oral cavity. Differences in survival were identified with respect to age, sex, tumor grade and stage. The present study is the first to provide a comprehensive overview on survival of oral cavity cancer patients in Germany. PMID:23349710

  3. The School-HE Interface in West Germany.

    ERIC Educational Resources Information Center

    Schmithals, F.

    1986-01-01

    Discusses the concerns and problems associated with the secondary school-higher education interface in West Germany. Reviews reform efforts and attempts at problem resolution with specific emphasis on physics instruction. (ML)

  4. Society and Social Justice: Problems of Political Education in West Germany.

    ERIC Educational Resources Information Center

    George, Siegfried

    1981-01-01

    Discusses social justice in West Germany within the context of the experience of Nazism, the economic disaster after World War II, and the successful development of the economy and welfare state since 1949. Refers to various textbooks and recent empirical studies on the political attitudes of students in West Germany. (Author/KC)

  5. PREFACE: Selected invited contributions from the International Conference on Magnetism (Karlsruhe, Germany, 26-31 July 2009) Selected invited contributions from the International Conference on Magnetism (Karlsruhe, Germany, 26-31 July 2009)

    NASA Astrophysics Data System (ADS)

    Goll, Gernot; Löhneysen, Hilbert v.; Loidl, Alois; Pruschke, Thomas; Richter, Manuel; Schultz, Ludwig; Sürgers, Christoph; Wosnitza, Jochen

    2010-04-01

    The International Conference on Magnetism 2009 (ICM 2009) was held in Karlsruhe, Germany, from 26 to 31 July 2009. Previous conferences in this series were organized in Edinburgh, UK (1991), Warsaw, Poland (1994), Cairns, Australia (1997), Recife, Brazil (2000), Rome, Italy (2003), and Kyoto, Japan (2006). As with previous ICM conferences, the annual Conference on Strongly Correlated Electron Systems (SCES) was integrated into ICM 2009. The topics presented at ICM 2009 were strongly correlated electron systems, quantum and classical spin systems, magnetic structures and interactions, magnetization dynamics and micromagnetics, spin-dependent transport, spin electronics, magnetic thin films, particles and nanostructures, soft and hard magnetic materials and their applications, novel materials and device applications, magnetic recording and memories, measuring techniques and instrumentation, as well as interdisciplinary topics. We are grateful to the International Advisory Committee for their help in coordinating an attractive program encompassing practically all aspects of magnetism, both experimentally and theoretically. The Program Committee comprised A Loidl, Germany (Chair), M A Continentino, Brazil, D E Dahlberg, USA, D Givord, France, G Güntherodt, Germany, H Mikeska, Germany, D Kaczorowski, Poland, Ching-Ray Chang, South Korea, I Mertig, Germany, D Vollhardt, Germany, and E F Wassermann, Germany. E F Wassermann was also head of the National Organizing Committee. His help is gratefully acknowledged. The scientific program started on Monday 27 July 2009 with opening addresses by the Conference Chairman, the Deputy Mayor of Karlsruhe, Ms M Mergen and the Chairman of the Executive Board of Forschungszentrum Karlsruhe, E Umbach. ICM 2009 was attended by the Nobel Laureates P W Anderson, A Fert and P Grünberg who gave plenary talks. A special highlight was the presentation of the Magnetism Award and Néel Medal to S S P Parkin who also presented his newest results

  6. 75 FR 3444 - Ball Bearings and Parts Thereof From Germany: Initiation of Antidumping Duty Changed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-21

    ... Thereof From Germany: Initiation of Antidumping Duty Changed-Circumstances Review AGENCY: Import... bearings and parts thereof from Germany with respect to myonic GmbH. DATES: Effective Date: January 21... Germany on May 15, 1989. See Antidumping Duty Orders: Ball Bearings, Cylindrical Roller Bearings, and...

  7. The Krümmel (Germany) Childhood Leukaemia Cluster: a review and update.

    PubMed

    Grosche, B; Kaatsch, P; Heinzow, B; Wichmann, H-E

    2017-12-01

    The debate surrounding possible adverse health effects from the civil use of nuclear power under normal operating conditions has been on-going since its introduction. It was particularly intensified by the detection of three leukaemia clusters near nuclear installations, i.e. near the reprocessing plants in Sellafield and Dounreay, UK, and near the Krümmel nuclear power plant, Germany, the last of which commenced between 1990 and 1991 and was first described in 1992; it continued until 2003, and an elevated risk up to 2005 has been reported in the literature. A number of expert commissions and working groups were set up by the governments of the German federal states of Lower Saxony and Schleswig-Holstein to investigate the possible causes of the cluster. An overview of the many risk factors that were investigated as a possible explanation of the Krümmel cluster is given here, focussing on radiation, but also including other risk factors. Further, results from related epidemiological and cytogenetic studies are described. In summary, the cause of the occurrence of the Krümmel cluster has to be considered as unknown. Further research on the causes of childhood leukaemia is needed, focussing on epigenetics and on gene-environment interaction. An update of the leukaemia incidence around the Krümmel site shows that the incidence rates are now comparable to the average rate in Germany.

  8. Epidemiology of trichinellosis in Germany, 1996-2006.

    PubMed

    Jansen, Andreas; Schöneberg, Irene; Stark, Klaus; Nöckler, Karsten

    2008-04-01

    The epidemiology of trichinellosis in Germany was investigated by analyzing national surveillance data from 1996-2006. During this period, 95 laboratory-confirmed infections and 12 outbreaks were reported. The highest mean annual incidence was found in immigrants from southeast European countries (0.3 cases/100,000 vs. 0.01 cases/100,000 in the German population) with an incidence rate ratio of 26.0 (95% confidence interval 11.6-51.8). The predominant clinical symptom was muscle pain in 79 patients (83%). Mean diagnostic delay was 49 days. Among patients with reported source of infection (85%; n = 81), the consumption of pork (mostly originating from endemic countries) represented the most frequent exposure (93%; n = 75). In addition, trichinellosis cases were associated with both indigenous (n = 1) and imported (n = 5) wild boar meat. Although domestic pigs in Germany are practically free from Trichinella spp., the parasite was found in German wild animals such as wild boars, foxes, and racoon dogs. We conclude that trichinellosis still remains a public health issue in Germany, especially among individuals with a migrational background. Immigrants from endemic countries need to be educated about the risks of consuming raw or inadequately cooked pork and wild boar products from their homeland. In addition, German healthcare providers need to be aware of trichinellosis, especially in areas with a large immigrant population.

  9. Lymphogranuloma venereum in men screened for pharyngeal and rectal infection, Germany.

    PubMed

    Haar, Karin; Dudareva-Vizule, Sandra; Wisplinghoff, Hilmar; Wisplinghoff, Fabian; Sailer, Andrea; Jansen, Klaus; Henrich, Birgit; Marcus, Ulrich

    2013-03-01

    To determine prevalence of lymphogranuloma venereum among men who have sex with men in Germany, we conducted a multicenter study during 2009-2010 and found high rates of rectal and pharyngeal infection in men positive for the causative agent, Chlamydia trachomatis. Many infections were asymptomatic. An adjusted C. trachomatis screening policy is justified in Germany.

  10. "Spiegeldorf": Nazi Appeals in Weimar Germany.

    ERIC Educational Resources Information Center

    Sprague, Gregory A.

    The paper discusses rationales for simulation gaming and describes "Spiegeldorf," a socio-historical game which simulates socioeconomic conditions in early 1930 Germany and Nazi party tactics used to gain mass support. Objectives are to identify characteristic Nazi tactics and points of political ideology, describe German social classes…

  11. West Germany: Federal Structure, Political Influence.

    ERIC Educational Resources Information Center

    Toogood, Alex

    1978-01-01

    Describes the organizational structure of the broadcasting industry in West Germany which is unique because of the federal, public, and political elements involved. Special problems that arise from this framework are discussed, including financing, programing, creative vs technical advances, concepts of production values, and political balance.…

  12. Dental hygiene education in Germany: Between economics and emotions.

    PubMed

    Offermanns, B; Petersilka, G J

    2017-08-30

    To date, there is still no IFDH approved dental hygienist (DH) education model in Germany. Nevertheless, opportunities to complete vocational DH education courses have substantially increased within the last two decades. However, the content and quality of these courses vary greatly and are difficult to survey. The purpose of this article therefore was to present an overview of the education programmes offered in Germany as of March 2017. A formal request was sent to all education establishments for details of such courses, and a systematic internet search was performed covering the DH education topic in Germany. Ten vocational education programmes were found, most of them organized by local dental chambers. One private provider offers a Bachelor Degree in Dental Hygiene on completion of a course which runs over 2 or 3 ys. Details of contents, objectives and concise ratings or comparisons of the various courses are scarce, although in principle all should meet the same quality standards. For dental hygiene students, patients and dentists, it is hard and unsatisfactory to get a clear overview of the types and the quality of DH education which can be achieved in Germany. A solution for this dilemma would appear to be essential. However, due to the peculiarities of German legislation as well as the complex sphere of vested interests, it is impossible to predict if or when the situation will change for the better. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  13. Lymphogranuloma Venereum in Men Screened for Pharyngeal and Rectal Infection, Germany

    PubMed Central

    Dudareva-Vizule, Sandra; Wisplinghoff, Hilmar; Wisplinghoff, Fabian; Sailer, Andrea; Jansen, Klaus; Henrich, Birgit; Marcus, Ulrich

    2013-01-01

    To determine prevalence of lymphogranuloma venereum among men who have sex with men in Germany, we conducted a multicenter study during 2009–2010 and found high rates of rectal and pharyngeal infection in men positive for the causative agent, Chlamydia trachomatis. Many infections were asymptomatic. An adjusted C. trachomatis screening policy is justified in Germany. PMID:23621949

  14. Vocational Training and Lifelong Learning in Australia and Germany. Australia Centre Series.

    ERIC Educational Resources Information Center

    Burke, Gerald, Ed.; Reuling, Jochen, Ed.

    This document contains 17 papers on vocational training and lifelong learning in Australia and Germany. The following papers are included: "Vocational Training and Lifelong Learning in Australia and Germany: Background" (Gerald Burke); "Vocational Training and Lifelong Learning in Australia: Observations and Conclusions from a…

  15. [Quality of health care in Germany. A six-country comparison].

    PubMed

    Sawicki, Peter T

    2005-11-15

    Sicker adults in Germany suffer many of the same issues and concerns as do sicker adults in Australia, Canada, New Zealand, the United Kingdom, and the USA. However, quality of care in sicker adults in Germany stands out from the other countries in a few key areas: 1. DISSATISFACTION WITH THE HEALTH CARE SYSTEM: Almost one in three sicker adults in Germany feels that their health care system should be completely rebuilt. This is comparable to the USA and Australia and higher than in New Zealand, Canada, and the UK. 2. STRENGTHS AND WEAKNESSES IN COORDINATION OF CARE: On the plus side, Germany is doing better than most countries to insure that needed information is available at the time of a patient''s scheduled appointment. Also, sicker adults in Germany are more likely than in other countries to have a long-term relationship with their primary care physician and receive less often conflicting informations. However, Germany stands out in the proportion of sicker adults who feel that their doctors have ordered a medical test that they thought was unnecessary because it had already been done. 3. COMPARATIVELY EASY ACCESS TO OUTPATIENT, SPECIALTY AND EMERGENCY CARE: Though substantial minorities of sicker adults in Germany struggle with access to care as compared to other countries, they find it easier to get after hours care and have the shortest waits to see a doctor, to see a specialist, to have nonemergency surgery, and to be seen in the emergency room. Along with the USA, German respondents are most satisfied with the amount of choice they have in a surgeon 4. COMMUNICATION ABOUT RISKS DURING HOSPITALIZATIONS: Hospitalized sicker adults in Germany are more likely than those in other countries to have the risks of their treatment explained to some extent prior to the procedure. However, German patients are less likely to have the risks of their treatment fully explained than those in other countries. German patients who were given new medications were more likely

  16. 78 FR 9674 - Ball Bearings and Parts Thereof From Germany: Preliminary Results of Antidumping Duty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-11

    ... Thereof From Germany: Preliminary Results of Antidumping Duty Administrative Review and Partial Rescission... antidumping duty order on ball bearings and parts thereof from Germany. The period of review (POR) is May 1... bearings and parts thereof from Germany as the conclusion of a sunset review. See Ball Bearings and Parts...

  17. Modeling the habitat suitability for the arbovirus vector Aedes albopictus (Diptera: Culicidae) in Germany.

    PubMed

    Koch, Lisa K; Cunze, Sarah; Werblow, Antje; Kochmann, Judith; Dörge, Dorian D; Mehlhorn, Heinz; Klimpel, Sven

    2016-03-01

    Climatic changes raise the risk of re-emergence of arthropod-borne virus outbreaks globally. These viruses are transmitted by arthropod vectors, often mosquitoes. Due to increasing worldwide trade and tourism, these vector species are often accidentally introduced into many countries beyond their former distribution range. Aedes albopictus, a well-known disease vector, was detected for the first time in Germany in 2007, but seems to have failed establishment until today. However, the species is known to occur in other temperate regions and a risk for establishment in Germany remains, especially in the face of predicted climate change. Thus, the goal of the study was to estimate the potential distribution of Ae. albopictus in Germany. We used ecological niche modeling in order to estimate the potential habitat suitability for this species under current and projected future climatic conditions. According to our model, there are already two areas in western and southern Germany that appear suitable for Ae. albopictus under current climatic conditions. One of these areas lies in Baden-Wuerttemberg, the other in North-Rhine Westphalia in the Ruhr region. Furthermore, projections under future climatic conditions show an increase of the modeled habitat suitability throughout Germany. Ae. albopictus is supposed to be better acclimated to colder temperatures than other tropical vectors and thus, might become, triggered by climate change, a serious threat to public health in Germany. Our modeling results can help optimizing the design of monitoring programs currently in place in Germany.

  18. Ground Systems Development and Operations: Exploration Begins Here

    NASA Technical Reports Server (NTRS)

    Hanna, Mary; Phillips, Pepper; VanNes, Timothy

    2012-01-01

    Hunger Hydraulik of Lohr, Germany has been selected as the vendor to build replacement Jacking, Leveling and Equalization cylinders for one Crawler Transporter. A site visit has been scheduled and a overview of how the Crawler Transporter fits into KSC launch operations will be presented as information. The presentation will be presented on July 11, 2012 by Pepper Phillips, the Program Manager for GSDO.

  19. [German language psychiatry journals in Germany - a quantitative analysis].

    PubMed

    Heidenreich, Uta; Baethge, Christopher

    2012-01-01

    Although English is medicine's lingua franca, practising physicians in Germany express the need for articles in German. This study aimed at surveying the number and characteristics of German-language psychiatric journals in Germany. Journals were identified by the standard handbook "Fachmedien Gesundheit" as well as by an online and library search, and divided into specialty journals and general psychiatry journals. Volume 2009 of all general psychiatry journals was analyzed regarding form and content. In 2009 74 journals addressed psychiatrists, albeit many not exclusively. Ten were general psychiatry journals publishing 391 review articles and 97 original papers. They differed with regard to focus (science, education, health politics) and formal characteristics, such as circulation (500-30  000), share of academia-affiliated authors (39-93 %), female first-authors (13-44 %), COI statements (0-98 % of articles), and international visibility. While much of German psychiatric science appears in English, there are still a substantial number of original articles published in German, and there is a diverse psychiatric journal scene in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

  20. Novel lyssavirus in Natterer's bat, Germany.

    PubMed

    Freuling, Conrad M; Beer, Martin; Conraths, Franz J; Finke, Stefan; Hoffmann, Bernd; Keller, Barbara; Kliemt, Jeannette; Mettenleiter, Thomas C; Mühlbach, Elke; Teifke, Jens P; Wohlsein, Peter; Müller, Thomas

    2011-08-01

    A virus isolated from a Natterer's bat (Myotis nattererii) in Germany was differentiated from other lyssaviruses on the basis of the reaction pattern of a panel of monoclonal antibodies. Phylogenetic analysis supported the assumption that the isolated virus, Bokeloh bat lyssavirus, may represent a new member of the genus Lyssavirus.

  1. Extemporaneous formulations in Germany - relevance for everyday clinical practice.

    PubMed

    Staubach, Petra; Salzmann, Stefan; Peveling-Oberhag, Adriane; Weyer, Veronika; Zimmer, Sebastian; Gradl, Gabriele; Lang, Berenice M

    2018-05-01

    Extemporaneous formulations broaden the spectrum of therapeutic options for topical treatment in particular and thus improve patient care. The latest amendment to the Regulation on the Operation of Pharmacies issued in 2012 brought about changes in prescribing and manufacturing practices. The aim of the present study was to assess the relevance of extemporaneous formulations in everyday clinical practice. We used data from the German Institute for Drug Use Evaluation (DAPI) to analyze the prescribing practice for compounded preparations in Germany between the fourth quarter of 2011 and the third quarter of 2014. In doing so, we determined the total cost associated with extemporaneous formulations covered by statutory health insurance funds in the outpatient setting. Approximately three out of ten prescriptions (30.54 %) by German dermatologists during the observation period were extemporaneous formulations. While dermatologists make up only 2.7 % of physicians working in the statutory health care system in Germany, they prescribe more than half of all compounded preparations (53.6 %). Each dermatologist prescribed an average of 270.4 formulations per quarter; that number was 13.5 (1.3 %) for all other medical specialties. On average, 1,983,687 extemporaneous formulations overall (1.3 % of all prescriptions) were prescribed per quarter, corresponding to a total cost of € 40,944,982 (0.55 %). Apart from finished medicinal products, extemporaneous formulations play a key role in outpatient care. Based on the principles of evidence-based and patient-oriented medicine, the quality of compounded preparations and the prescribing practice of physicians (standardized vs. individual formulations) should be further investigated to optimize the quality of these preparations. © 2018 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.

  2. 78 FR 70574 - Grain-Oriented Electrical Steel From China, Czech Republic, Germany, Japan, Korea, Poland, and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-26

    ...)] Grain-Oriented Electrical Steel From China, Czech Republic, Germany, Japan, Korea, Poland, and Russia..., Germany, Japan, Korea, Poland, and Russia of grain-oriented electrical steel, provided for in subheadings... Republic, Germany, Japan, Korea, Poland, and Russia. Accordingly, effective September 18, 2013, the...

  3. Development of neurosurgery in Germany: comparison of data collected by polls for 1997, 2003, and 2008 among providers of neurosurgical care.

    PubMed

    Steiger, Hans J; Krämer, Michael; Reulen, Hans J

    2012-01-01

    To deduce structural trends in neurosurgery in Germany by comparison of data derived from polls conducted by the Deutsche Gesellschaft für Neurochirurgie (DGNC) in 1997, 2003 and 2008. The questionnaires of the different polls probed a comparable set of issues. The data from the responding sample were extrapolated to the nationwide average or sum and compared between the different time periods. The number of identified neurosurgical departments increased from 146 to 201 during the years 1997-2008 largely as a result of the new foundation of numerous private groups. Nationwide total neurosurgical bed capacity and intensive care unit bed capacity increased modestly over the time period. The extrapolated total number of neurosurgical operations increased from 196,341 to 319,295. Although cranial and spinal neurosurgery remain the dominant subspecialties, the number of functional neurosurgical procedures and operations for pain increased more than proportionally. Outpatient procedures were established during the time period and corresponded in 2008 to a substantial proportion of the surgical volume. The total number of residents and board-certified neurosurgeons increased during the period 1997-2008 from 1513 to 1961. The proportion of residents decreased during 1997-2003 and then increased again. The number of neurosurgical operations increased in Germany proportionally to the economic growth of other service branches over the time period. Private organizations developed more than neurosurgical departments at university and other general hospitals. Work density measured as operations per physician increased during the period 1997-2008. Copyright © 2012 Elsevier Inc. All rights reserved.

  4. Germany in 'cash for PhDs' scandal

    NASA Astrophysics Data System (ADS)

    Stafford, Ned

    2009-10-01

    German prosecutors are continuing to investigate about 100 professors suspected of taking cash bribes to help students obtain doctoral degrees - a national academic scandal that research minister Annette Schavan has said could tarnish Germany's international reputation in science.

  5. [Important vector-borne infectious diseases among humans in Germany. Epidemiological aspects].

    PubMed

    Frank, C; Faber, M; Hellenbrand, W; Wilking, H; Stark, K

    2014-05-01

    Vector-borne infections pathogenic to humans play an important role in Germany. The relevant zoonotic pathogens are either endemic throughout Germany (e.g. Borrelia burgdorferi sensu latu) or only in specific regions, e.g. tick-borne encephalitis (TBE) virus and hantavirus. They cause a substantial burden of disease. Prevention and control largely rely on public advice and the application of personal protective measures (e.g. TBE virus vaccination and protection against vectors). High quality surveillance and targeted epidemiological studies are fundamental for the evaluation of temporal and spatial risks of infection and the effectiveness of preventive measures. Aside from endemic pathogens, vector-borne infections acquired abroad, mostly transmitted by mosquitoes, have to be systematically and intensively monitored as well, to assess the risk of infection for German residents traveling abroad and to adequately evaluate the risk of autochthonous transmission. Related issues, such as invasive species of mosquitoes in Germany and climate change, have to be taken into consideration. Such pathogens include West Nile, dengue and chikungunya viruses, as well as malaria parasites (Plasmodium species). The article presents an overview of the epidemiological situation of selected relevant vector-borne infections in Germany.

  6. [Basic research in ophthalmology in Germany and its international context].

    PubMed

    Schlötzer-Schrehardt, U; Cursiefen, C

    2017-09-01

    Experimental basic research provides the foundations for the elucidation of pathophysiological mechanisms of diseases and the development of novel diagnostic and therapeutic strategies for ophthalmological diseases. The objective of this contribution is to provide an overview of the international interconnection of basic research in ophthalmology in Germany. The international context of ophthalmological research conducted in Germany is presented by means of personal experiences and data published by the German Ophthalmological Society (DOG), the German Research Foundation (DFG) and the European Union (EU). Due to the lack of organized databases this article lays no claim to completeness. Basic research in ophthalmology in Germany is mainly conducted in university eye departments and is mainly related to the etiology, pathophysiology and therapy development for various ophthalmic diseases. It is primarily funded by the DFG, the Federal Ministry of Education and Research (BMBF) and the EU plays an increasingly important role. Thus, ophthalmological research is integrated into numerous European research networks and beyond that into many international interconnections and relationships. In Germany, both clinical and basic research in ophthalmology is integrated into many international networks and is only functionally viable in an international context; however, given the increasing impact of ophthalmological research in Asian countries, future strategies require a continued focus on career development, research infrastructure, working environment and international cooperation.

  7. History’s Role in Operational Design and Planning: How Germany’s Failed Invasion Provides Insight into US and Chinese Perspectives on A2AD

    DTIC Science & Technology

    2013-04-21

    Britain. Third, Rumania, Bulgaria, Hungary, and Yugoslavia began aligning with the Axis. Fourth, Germany dominated Scandinavia through an occupation of...during the air campaigns supporting the conquests of Poland, Scandinavia , and Western Europe. Likewise, the Luftwaffe never fought an adversary that

  8. The Role of Craft Industry in Germany's Social Market Economy. Social Report.

    ERIC Educational Resources Information Center

    Schroder, Karsten

    1992-01-01

    Social market economy success in the Federal Republic of Germany is due to free competition, enterprise in the business community, and employees' social security. Craft industries play a major role in Germany's market economy. The craft industry is second only to the manufacturing industry, comprising 23 percent of German firms. There are seven…

  9. Youth Organisations and Youth Service Institutions in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Verlag, Juventa

    This reference book describes the many groups and organizations in Germany that are involved in youth work. Its purpose is to facilitate the development of international contacts and to contribute to the international education of German youth. Youth work in Germany is briefly described in the book's introduction. The annotated listing is…

  10. 78 FR 73562 - Non-Oriented Electrical Steel From China, Germany, Japan, Korea, Sweden, and Taiwan; Determinations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... (Preliminary)] Non-Oriented Electrical Steel From China, Germany, Japan, Korea, Sweden, and Taiwan... industry in the United States is materially injured by reason of imports from China, Germany, Japan, Korea... Taiwan and LTFV imports of non-oriented electrical steel from China, Germany, Japan, Korea, Sweden, and...

  11. Interrelationships between mortality and fertility in Germany: rural and urban Prussia and modern Germany.

    PubMed

    Entorf, H; Zimmermann, K F

    1990-01-01

    "The paper investigates the interrelationship between fertility and infant mortality and its economic determinants by time-series methods for historical and modern Germany. It is studied whether the causal effects of infant mortality on fertility have to be considered as hoarding or replacement, and whether the costs of nutrition have an influence on family decision making about demographic variables. Results show that there are indications for replacement motives, and that economic factors matter." (SUMMARY IN FRE AND ITA) excerpt

  12. Mapping Music Education Research in Germany

    ERIC Educational Resources Information Center

    Gruhn, Wilfried

    2004-01-01

    This article presents a very general survey of tracks and trends in music education research in Germany and its roots in the 19th century, where the beginning of empirical music psychology can be traced back to "Tonpsychologie" and perception research of scholars such as Helmholtz, Stumpf, Wundt, and Wellek. Focus areas that are…

  13. 75 FR 81308 - Stainless Steel Sheet And Strip From Germany, Italy, Japan, Korea, Mexico, And Taiwan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ...)] Stainless Steel Sheet And Strip From Germany, Italy, Japan, Korea, Mexico, And Taiwan AGENCY: United States... and strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan. SUMMARY: The Commission hereby gives... strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan would be likely to lead to continuation or...

  14. 75 FR 59744 - Stainless Steel Sheet and Strip From Germany, Italy, Japan, Korea, Mexico, and Taiwan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ...)] Stainless Steel Sheet and Strip From Germany, Italy, Japan, Korea, Mexico, and Taiwan AGENCY: United States... duty orders on stainless steel sheet and strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan... stainless steel sheet and strip from Germany, Italy, Japan, Korea, Mexico, and Taiwan would be likely to...

  15. [Children-orientated tobacco advertising in Germany].

    PubMed

    Pumpe, K

    2002-04-01

    Since 1990 the percentage of smokers among the 12 to 17-year-olds in Germany has risen from 21 % to about 28 %. Most of them start between the age of 11 and 13. 85 % favour a certain brand by the age of 18. Despite the prohibition of tobacco commercials on radio and TV the cigarette industry has continually increased their budget for advertising aimed more and more at women and children. According to the author's knowledge, this report describes for the first time the strategies most frequently applied in Germany to incite children and teenagers to smoking. The publicity campaigns are not restricted to billboards and the printed press, but use the internet also. Indirect conditioning to a certain brand by music videos, movies and merchandising of attractive clothes and trips as well as the sponsoring of special music and sports events are also shown.The report analyses and evaluates examples of messages in printed advertisements aimed at children. With psychological skill interest in smoking is created with teenagers and a conditioning for smoking in certain situations is promoted.

  16. [The Development of First Operating Microscopes from Zeiss Jena and Oberkochen to Series Production].

    PubMed

    Gudziol, H; Gottschall, R; Luther, E

    2017-01-01

    Introduction: The history of the first operating microscopes from Zeiss is often confusing, not painstaking and partly contradictory because of the parallel development of Zeiss Jena (East Germany) and Zeiss Oberkochen (West Germany). Methods: To investigate the early beginnings of the construction of the operating microscopes documents of the Carl Zeiss Archive and the Optical Museum in Jena, the memoirs of Prof. Dr. Rosemarie Albrecht and some relevant publications were used. Results: The development of the first Jena operating microscope was initiated in 1949 by the ENT-physician Prof. Dr. Rosemarie Albrecht in the Soviet occupation zone. The first prototype was tested in the University ENT Clinic, Jena since summer of 1950. On the Leipzig Trade Fair in autumn 1952 the VEB Optik Carl Zeiss Jena presented the first operating microscope nationally and internationally. Series production began in 1953. The first operating microscope of Zeiss Oberkochen was primarily developed by technical designers (H. Littmann) as a colposcope. But in the Carl Zeiss Archive no documents could be found related to the cooperation with gynecologists. 1953 the operating microscope (OPMI 1) came into public and its series production started. From this date on, it was adopted by the otologist Prof. Dr. Horst Ludwig Wullstein to the needs of Otorhinolaryngology. Conclusion: The first Zeiss operating microscope came from Jena. The operating microscope from Zeiss Oberkochen had some advantages for the surgeons and won the competition in the future. © Georg Thieme Verlag KG Stuttgart · New York.

  17. Topographies of forensic practice in Imperial Germany.

    PubMed

    Engstrom, Eric J

    2014-01-01

    This article examines the topography and "cultural machinery" of forensic jurisdictions in Imperial Germany. It locates the sites at which boundary disputes between psychiatric and legal professionals arose and explores the strategies and practices that governed the division of expert labor between them. It argues that the over-determined paradigms of 'medicalization' and 'biologization' have lost much of their explanatory force and that historians need to refocus their attention on the institutional and administrative configuration of forensic practices in Germany. After first sketching the statutory context of those practices, the article explores how contentious jurisdictional negotiations pitted various administrative, financial, public security, and scientific interests against one another. The article also assesses the contested status of psychiatric expertise in the courtroom, as well as post-graduate forensic psychiatric training courses and joint professional organizations, which drew the two professional communities closer together and mediated their jurisdictional disputes. © 2013.

  18. [The reception of Heinz Kohut in Germany].

    PubMed

    Milch, Wolfgang

    2016-01-01

    First the discussion of Kohut's new ideas in the United States is sketched as a background. The response to these ideas was divided: on the one hand they were hailed as important innovations of psychoanalytic theory, and a circle of colleagues formed around their author; on the other hand they were violently rejected, and old friends distanced themselves from him. In Germany Kuhut's ideas were initially well received. His visits, lectures and supervisions resulted in a lively exchange and a number of friendships. When the differences between Kohutian and classical theory became evident this led increasingly to disillusionment and retreat. De-emphasizing drive and ego psychology had considerable consequences for psychoanalytic technique as well as for the analyst's Menschenbild, his relationship to the patient and his critical self-reflection. In Germany, too, a circle of colleagues emerged, following and elaborating the ideas of Kohut.

  19. Health-resource use and costs associated with fibromyalgia in France, Germany, and the United States

    PubMed Central

    Knight, Tyler; Schaefer, Caroline; Chandran, Arthi; Zlateva, Gergana; Winkelmann, Andreas; Perrot, Serge

    2013-01-01

    Background Fibromyalgia (FM) is a chronic disorder characterized by widespread, persistent pain. Prospective and retrospective studies have demonstrated substantial health-care costs associated with FM in a number of countries. This study evaluated and compared health-resource use (HRU) and associated costs related to FM in routine clinical practice across the US, France, and Germany. Methods Two separate, cross-sectional, observational studies of subjects with FM were conducted: one in the US and one in France and Germany. HRU related to prescription medication, physician office visits, diagnostic tests, and hospitalizations was abstracted from chart review; patient out-of-pocket costs and lost productivity were collected via subject self-report. Costs were assigned to HRU based on standard algorithms. Direct and indirect costs were evaluated and compared by simple linear regression. Results A total of 442 subjects (203 US, 70 France, 169 Germany) with FM were analyzed. The mean (standard deviation) age in the US, France, and Germany was 47.9 (10.9), 51.2 (9.5), and 49.2 (9.8), respectively (P = 0.085). Most subjects were female (95% US, 83% France, 80% Germany) (P < 0.001). Adjusted annual direct costs per subject for FM were significantly higher in the US ($7087) than in France ($481, P < 0.001) or Germany ($2417, P < 0.001). Adjusted mean annual indirect costs per subject for FM were lower in the US ($6431) than in France ($8718) or Germany ($10,001), but represented a significant proportion of total costs in all countries. Conclusion The significant HRU and costs associated with FM in the US, France, and Germany documented in this study highlight the substantial global economic burden of FM. Indirect costs represented a significant proportion of the total costs, particularly in Europe. Comparisons between the three countries show differences in HRU, with significantly higher direct costs in the US compared with France and Germany. PMID:23637545

  20. Operation Overlord and the Principles of War

    DTIC Science & Technology

    2002-06-06

    ring of steel began to close around the trapped Seventh Army (18:64). In a retrospective look at the command and control organization, it would be seen...Modern History. London: Octopus Publishing Group Ltd., 2001. 15. Norman, Albert, Ph.D. Operation Overlord Design and Reality. Harrisburg: The... Blue , the Men and Boys Who Flew the B-24s Over Germany 1944-45. New York: Simon & Schuster, 2002. Astor, Gerald. June 6, 1944 The Voices of D-Day

  1. [Importance of epidemiology and control of the fox tapeworm, Echinococcus multilocularis, in Germany].

    PubMed

    Daugschies, A

    1995-08-01

    A review is given on the epidemiology and control of Echinococcus multilocularis with emphasis on the particular situation in Germany. Recent studies have demonstrated a comparatively frequent general occurrence of the parasite in fox populations in Germany apart from the traditional endemic areas in the Southwest. Final conclusions concerning a putative spread of the parasite from the highly endemic areas in the Southwest of Germany to the North and the East can not be drawn to date due to a lack of data. New and traditional diagnostic tools, as well as prophylactic and therapeutic measures are discussed.

  2. Long-term follow-up of HBsAg-positive patients in Germany.

    PubMed

    Niederau, Claus; Amani, Asef; Thiel, Andreas

    2016-01-01

    Little is known about the prognosis and complications of chronic hepatitis B in countries with low disease prevalence including Germany. This retrospective/prospective study analyzes the course of 608 HBsAg-positive patients between 2002 and 2012 in Germany. The follow-up duration was 5.2±2.9 years (mean±SD) and the age of the patients was 40.4±13.8 years. Of the total cohort, 59.9% were men; 34.9% had been born in Germany, 30.4% in Turkey, and 34.7% in other countries. In 78.3% of women, diagnosis was made during pregnancy screening, which is the only reinforced screening procedure in Germany. During follow-up, 21 patients died, five had a LTX, and 20 developed a hepatocellular carcinoma. Of the total cohort, 15% developed at least one severe liver-associated complication. By multivariate analysis, prognosis was associated with high age and cirrhosis, but not with sex, HBV-DNA, alanine aminotransferase, and ethnic origin. Of the 608 patients, 211 (34.7%) had at least one antiviral therapy. Of the 178 patients who were treated with nucleot(s)ides at the last visit 88.8% had an HBV-DNA less than 20 IU/ml. Today, in Germany, hepatitis B is a disease of migrants. The present data show that mandatory screening is effective and needs to include more high-risk groups. Mortality and complications including hepatocellular carcinoma are associated primarily with cirrhosis and age, but not with HBeAg status or viral load probably because modern therapies considerably reduce viral replication in almost all patients. The prognosis is exclusively determined by the risk for hepatocellular carcinoma.

  3. [First ciguatera outbreak in Germany in 2012].

    PubMed

    Friedemann, Miriam

    2016-12-01

    In November 2012, 23 cases of ciguatera with typical combinations of gastrointestinal and neurological symptoms occurred in Germany after consumption of imported tropical fish (Lutjanus spp.). A questionnaire was used to gather information on the disease course and fish consumption. All patients suffered from pathognomonic cold allodynia. Aside from two severe courses of illness, all other cases showed symptoms of moderate intensity. During a three-year follow-up, seven patients reported prolonged paresthesia for more than one year. Two of them reported further neuropathies over almost three years. This is the first time that long-term persistence of symptoms has been documented in detail. Outbreak cases were allocated to eight clusters in seven German cities. A further cluster was prevented by the successful recall of ciguatoxic fish. Three clusters were confirmed by the detection of ciguatoxin in samples of suspicious and recalled fish. An extrapolation on the basis of ciguatoxic samples revealed twenty prevented cases of ciguatera. Further officially unknown cases should be assumed. During the outbreak investigations, inadvertently falsely labelled fish species and fishing capture areas on import and retail level documents were observed. The ascertainment of cases and the outbreak investigations proved to be difficult due to inconsistent case reports to poisons centers, local health and veterinary authorities. In Germany, many physicians are unaware of the disease pattern of ciguatera and the risks caused by tropical fish. The occurrence of further outbreaks during the following years emphasizes the increasing significance of ciguatera in Germany.

  4. Determinants of Regional Variation in Health Expenditures in Germany.

    PubMed

    Göpffarth, Dirk; Kopetsch, Thomas; Schmitz, Hendrik

    2016-07-01

    Health care expenditure in Germany shows clear regional differences. Such geographic variations are often seen as an indicator for inefficiency. With its homogeneous health care system, low co-payments and uniform prices, Germany is a particularly suited example to analyse regional variations. We use data for the year 2011 on expenditure, utilization of health services and state of health in Germany's statutory health insurance system. This data, which originate from a variety of administrative sources and cover about 90% of the population, are enriched with a wealth of socio-economic variables, data on pollutants, prices and individual preferences. State of health and demography explains 55% of the differences as measured by the standard deviation while all control variables account for a total of 72% of the differences at county level. With other measures of variation, we can account for an even greater proportion. A higher proportion of variation than usually supposed can thus be explained. Whilst this study cannot quantify inefficiencies, our results contradict the thesis that regional variations reflect inefficiency. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  5. Germany wide seasonal flood risk analysis for agricultural crops

    NASA Astrophysics Data System (ADS)

    Klaus, Stefan; Kreibich, Heidi; Kuhlmann, Bernd; Merz, Bruno; Schröter, Kai

    2016-04-01

    In recent years, large-scale flood risk analysis and mapping has gained attention. Regional to national risk assessments are needed, for example, for national risk policy developments, for large-scale disaster management planning and in the (re-)insurance industry. Despite increasing requests for comprehensive risk assessments some sectors have not received much scientific attention, one of these is the agricultural sector. In contrast to other sectors, agricultural crop losses depend strongly on the season. Also flood probability shows seasonal variation. Thus, the temporal superposition of high flood susceptibility of crops and high flood probability plays an important role for agricultural flood risk. To investigate this interrelation and provide a large-scale overview of agricultural flood risk in Germany, an agricultural crop loss model is used for crop susceptibility analyses and Germany wide seasonal flood-frequency analyses are undertaken to derive seasonal flood patterns. As a result, a Germany wide map of agricultural flood risk is shown as well as the crop type most at risk in a specific region. The risk maps may provide guidance for federal state-wide coordinated designation of retention areas.

  6. Illegal drug-related deaths in East Germany between 1995 and 2004.

    PubMed

    Zwingenberger, Sabrina; Pietsch, Jörg; Hommola, Annett; Dressler, Jan

    2010-06-15

    The retrospective analysis determines changes between the deaths caused by illegal drugs in East Germany between 1995 and 2004 with specific regard to the number and manner of deaths, common intoxicants, concomitant drug use, the age and gender of the victims as well as the places of death. The data was collected by the institutes of forensic medicine in the German federal states of Saxony, Thuringia, Brandenburg, Mecklenburg West-Pomerania, Saxony-Anhalt and the State Offices of Criminal Investigation of these federal states. A comparison of these two different sources of data is also made. 510 drug-related deaths occurred in East Germany between 1995 and 2004. This was equivalent to a death rate of 0.4 per 100,000 inhabitants and represented 3% of all drug-related deaths throughout Germany. The average age of the victims was 24 years and male accounted for 85% of all the fatalities. Opiates, especially heroin, caused the majority of deaths (55%). Comparison of the two sources revealed that approximately half of the drug-related deaths were accounted for by national statistics. The analysis reveals an increase of drug-related deaths in East Germany after reunification but no relevant difference between the five East German states. (c) 2010 Elsevier Ireland Ltd. All rights reserved.

  7. Weathering the Storm - GOCE Flight Operations in 2010

    NASA Astrophysics Data System (ADS)

    Steiger, C.; Da Costa, A.; Floberghagen, R.; Fehringer, M.; Emanuelli, P. P.

    2011-07-01

    ESA's Gravity Field and Steady-State Ocean Circulation Explorer (GOCE) was successfully launched on 17th March 2009. The mission is controlled by ESA's European Space Operations Centre (ESOC) in Darmstadt, Germany. Following completion of commissioning, routine operations started in September 2009, keeping the S/C in drag-free mode at an altitude of 259.6 km. Operations are driven by the unique aspects of the mission, in particular the very low altitude and the high complexity of GOCE's drag- free control system. Following a general introduction, the main focus is put on the special events of 2010, when science operations were interrupted for several months due to problems with the main platform computer. These anomalies presented a major challenge, requiring to operate the spacecraft "in the blind" with no status information available, and extensive modifications of the on-board software to recover the mission.

  8. First approaches to the monetary impact of environmental health disturbances in Germany.

    PubMed

    Haucke, Florian; Brückner, Ulrike

    2010-01-01

    This article aims to describe essential conditions and starting-points for the monetary evaluation of environmentally attributable diseases. Furthermore, a cost calculation within a scenario analysis is conducted for Germany. To calculate the costs of environmental health effects we chose a disease-specific perspective. The national statistics of the Federal Statistical Office and the World Health Report burden of disease estimates were used to identify the most important disease categories for Germany. Based on an extensive literature research in computerized databases and the publications of national and international institutions, available costs of illness studies for Germany as well as environmental attributable fractions (EAFs) were identified. Based on these data environmental health costs were calculated with a top-down approach. Direct and indirect environmental costs of illness add up to 15-62 billion euro(2006) per year depending on the specific scenario. From our results a tentative scheme is deduced of how the monetary environmental burden of specific diseases is composed and how it can be assigned to major environmental exposures and economic sectors which can be used in setting intervention priorities and evaluating intervention efficiency. Within this article, we were able to calculate environmental health costs for Germany based on available, easy to access data and deduce implications for environmental policy decision-making. However, there are restrictions in data quality, as the aetiology of some diseases with respect to environmental impacts is not very well documented and data has not been collected particularly for Germany.

  9. Hydrogel research in Germany: the priority programme, Intelligent Hydrogels

    NASA Astrophysics Data System (ADS)

    Wallmersperger, Thomas; Sadowski, Gabriele

    2009-03-01

    The priority programme "Intelligent Hydrogels" was established by the German Research Foundation (DFG) in 2006 in order to strengthen the hydrogel-related research in Germany. The programme is being coordinated by Gabriele Sadowski, Technische Universität Dortmund. The aim of this priority programme is to develop new methods for the synthesis and characterization of smart hydrogels and to develop new modelling strategies in order to a) prepare the hydrogels for special applications and/or b) to develop and extend their capabilities for any desired use. In this programme, 73 scientists (36 professors and 37 scientific assistants/PhD students) from all over Germany are involved, working in 23 projects.

  10. Das Deutschlandspiegelvideo (The View-of-Germany-Videos).

    ERIC Educational Resources Information Center

    Pentecost, Gislind E.

    1993-01-01

    Describes View-of-Germany-Videos, published by the Goethe Institute. The videos are authentic, entertaining, and very versatile in usefulness. In addition they are short, thus easily incorporated into a lesson plan, and free of charge, making them accessible to any educational establishment. (AB)

  11. Analysis of physical activity and acculturation among Turkish migrants in Germany and England (.).

    PubMed

    Koca, Canan; Lapa, Tennur Yerlisu

    2014-12-01

    Recent literature shows that migrant populations in Western countries are generally less physically active than their host populations. The purpose of the present study was to expand research investigating associations between physical activity (PA) and acculturation and their relationship with several socio-demographic factors among Turkish migrants in Germany and England. The sample consisted of 521 Turkish migrants. Migrant generation, length of residence, and language proficiency were used as indicators of acculturation. Acculturation was not associated with PA among migrants in Germany and England. PA of migrants was significantly associated with migrant's host country, age, sex, marital status, and education. The total PA of migrants in Germany was higher than that of migrants in England; the large majority of females in both Germany and England had low PA, whereas most males had moderate PA. Seemingly, PA in Turkish migrant populations will not necessarily increase as a result of greater acculturation to the host society.

  12. [Italian immigration into Imperial Germany up to World War I].

    PubMed

    Trincia, L

    1996-09-01

    "A rapid growth, both economic and industrial, of the German Empire during the last decade of the nineteenth century...produced a major switch in Germany's status from that of a country of emigration to a country of immigration.... The essay gives a concise description of the characteristics of Italian migration flows towards Germany, integration processes and chain migration patterns. The impact of immigration on the receiving country is...analyzed, both in terms of economic development and from a social, political and legal point of view." (SUMMARY IN ENG AND FRE) excerpt

  13. [Conjunctival melanoma : Standard operating procedures in diagnosis, treatment and follow-up care].

    PubMed

    Glossmann, Jan-Peter; Skoetz, Nicole; Starbatty, Barbara; Bischoff, Martina; Leyvraz, Serge; Westekemper, Henrike; Heindl, Ludwig M

    2018-06-01

    In cases of rare cancer entities, such as malignant melanoma of the conjunctiva, there are often no evidence-based national guidelines available. Standard operating procedures (SOP) are an alternative in these cases. The aim of this project was to develop a consensus SOP for diagnosis, treatment, and follow-up care of conjunctival melanomas between the 14 Centers of Excellence in Germany supported by German Cancer Aid. The SOP was prepared according to a defined process including timelines, flow of information, and roles. This is the first consensus SOP of the Centers of Excellence in Germany (certified by the German Cancer Aid) regarding diagnosis, treatment, and follow-up for malignant melanomas of the conjunctiva.

  14. Operation Eclipse; Appreciation and Outline Plan

    DTIC Science & Technology

    1945-04-25

    the boundaries of GERMANY . " . • g« Engineering tools, equipment, plant and stores0 specially, adapted for military purposes. Bridging material of...Control Council ( Germany ) Control Commission for Germany ’ (British Element) Supreme Hq AEF Mission (Denmark) Supreme Headquarters, Allied...Mission (Norway) U.S. Group Control Council (Austria) Control Commission for Germany (Air Division) War Office, MO 1 (SP) • ’ Control Commission for

  15. Fusarium Keratitis in Germany

    PubMed Central

    Stasch, Serena; Kaerger, Kerstin; Hamprecht, Axel; Roth, Mathias; Cornely, Oliver A.; Geerling, Gerd; Mackenzie, Colin R.; Kurzai, Oliver; von Lilienfeld-Toal, Marie

    2017-01-01

    ABSTRACT Fusarium keratitis is a destructive eye infection that is difficult to treat and results in poor outcome. In tropical and subtropical areas, the infection is relatively common and associated with trauma or chronic eye diseases. However, in recent years, an increased incidence has been reported in temperate climate regions. At the German National Reference Center, we have observed a steady increase in case numbers since 2014. Here, we present the first German case series of eye infections with Fusarium species. We identified Fusarium isolates from the eye or eye-related material from 22 patients in 2014 and 2015. Thirteen isolates belonged to the Fusarium solani species complex (FSSC), 6 isolates belonged to the Fusarium oxysporum species complex (FOSC), and three isolates belonged to the Fusarium fujikuroi species complex (FFSC). FSSC was isolated in 13 of 15 (85%) definite infections and FOSC in 3 of 4 (75%) definite contaminations. Furthermore, diagnosis from contact lens swabs or a culture of contact lens solution turned out to be highly unreliable. FSSC isolates differed from FOSC and FFSC by a distinctly higher MIC for terbinafine. Outcome was often adverse, with 10 patients requiring keratoplasty or enucleation. The use of natamycin as the most effective agent against keratitis caused by filamentous fungi was rare in Germany, possibly due to restricted availability. Keratitis caused by Fusarium spp. (usually FSSC) appears to be a relevant clinical problem in Germany, with the use of contact lenses as the predominant risk factor. Its outcome is often adverse. PMID:28747368

  16. Zur Soziolinguistik in der Bundesrepublik Deutschland (Sociolinguistics in the Federal Republic of Germany)

    ERIC Educational Resources Information Center

    Jachnow, Helmut

    1975-01-01

    Traces the history of sociolinguistic studies in West Germany from the early nineteenth century with Humboldt and reports on the state and purposes of sociolinguistic studies in present-day Federal Republic of Germany. Available from Liber Laeromedel, Box 1205, S-22105 Lund, Sweden (Text is in German.) (TL)

  17. 78 FR 52759 - Brass Sheet and Strip from Germany: Rescission of Antidumping Duty Administrative Review; 2012-2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-26

    ... Germany: Rescission of Antidumping Duty Administrative Review; 2012-2013 AGENCY: Import Administration... from Germany for the period March 1, 2012, through February 28, 2013. DATES: Effective Date: August 26... 1, 2013, the Department initiated an administrative review of brass sheet and strip from Germany...

  18. Jung's evolving views of Nazi Germany: from 1936 to the end of World War II.

    PubMed

    Schoenl, William

    2014-04-01

    This article first shows Jung's evolving views of Nazi Germany from 1936 to the beginning of World War II. In a lecture at the Tavistock Clinic, London, in October 1936, he made his strongest and most negative statements to that date about Nazi Germany. While in Berlin in September 1937 for lectures to the Jung Gesellschaft, his observations of Hitler at a military parade led him to conclude that should the catastrophe of war come it would be far more and bloodier than he had previously supposed. After the Sudetenland Crisis in Fall 1938, Jung in interviews made stronger comments on Hitler and Nazi Germany. The article shows how strongly anti-Nazi Jung's views were in relation to events during World War II such as Nazi Germany's invasion of Poland, the fall of France, the bombings of Britain, the U.S. entry into the War, and Allied troops advancing into Germany. Schoenl and Peck, 'An Answer to the Question: Was Jung, for a Time, a "Nazi Sympathizer" or Not?' (2012) demonstrated how his views of Nazi Germany changed from 1933 to March 1936. The present article shows how his views evolved from 1936 to the War's end in 1945. © 2014, The Society of Analytical Psychology.

  19. Full Life Cycle Research at the Ketzin Pilot Site, Germany - From Safe and Successful CO2 Injection Operation to Post-Injection Monitoring and Site Closure

    NASA Astrophysics Data System (ADS)

    Liebscher, A. H.

    2016-12-01

    The Ketzin pilot site near Berlin, Germany, was initiated in 2004 as the first European onshore storage project for research and development on geological CO2 storage. The operational CO2 injection period started in June 2008 and ended in August 2013 when the site entered the post-injection closure period. During these five years, a total amount of 67 kt of CO2 was safely injected into a saline aquifer (Upper Triassic sandstone) at a depth of 630 m - 650 m. In fall 2013, the first observation well was partially plugged in the reservoir section; full abandonment of this well finished in 2015 after roughly 2 years of well closure monitoring. Abandonment of the remaining 4 wells will be finished by 2017 and hand-over of liability to the competent authority is planned for end of 2017. The CO2 injected was mainly of food grade quality (purity > 99.9%). In addition, 1.5 kt of CO2 from the pilot capture facility "Schwarze Pumpe" (oxyfuel power plant CO2 with purity > 99.7%) was injected in 2011. The injection period terminated with a CO2-N2 co-injection experiment of 650 t of a 95% CO2/5% N2 mixture in summer 2013 to study the effects of impurities in the CO2 stream on the injection operation. During regular operation, the CO2 was pre-heated on-site to 40 - 45°C prior to injection to ensure a single-phase injection process and avoid any phase transition or transient states within the injection facility or the reservoir. Between March and July 2013, just prior to the CO2-N2 co-injection experiment, the injection temperature was stepwise decreased down to 10°C within a "cold-injection" experiment to study the effects of two-phase injection conditions. During injection operation, the combination of different geochemical and geophysical monitoring methods enabled detection and mapping of the spatial and temporal in-reservoir behaviour of the injected CO2 even for small quantities. After the cessation of CO2 injection, post-injection monitoring continued and two additional

  20. 77 FR 32507 - Brass Sheet and Strip From Germany: Notice of Rescission of Antidumping Duty Administrative Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-01

    ... Germany: Notice of Rescission of Antidumping Duty Administrative Review AGENCY: Import Administration... and strip from Germany for the period of review (``POR''), March 1, 2011, through February 29, 2012.\\1... brass sheet and strip from Germany: Aurubis Stolberg GmbH & Co. KG (``Aurubis''), Carl Schreiber GmbH...

  1. 76 FR 42681 - Brass Sheet and Strip From Germany: Notice of Rescission of Antidumping Duty Administrative Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-19

    ... Germany: Notice of Rescission of Antidumping Duty Administrative Review AGENCY: Import Administration... antidumping duty order on brass sheet and strip from Germany. The review covers one producer/exporter of brass sheet and strip from Germany, Wieland-Werke AG (``Wieland''). Based on a timely withdrawal of the...

  2. 76 FR 35910 - Brass Sheet and Strip From France, Germany, Italy, and Japan; Notice of Commission Determinations...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-20

    ...)] Brass Sheet and Strip From France, Germany, Italy, and Japan; Notice of Commission Determinations To..., Germany, Italy, and Japan AGENCY: United States International Trade Commission. ACTION: Notice. SUMMARY... duty orders on brass sheet and strip from France, Germany, Italy, and Japan would be likely to lead to...

  3. Substitution treatment for opioid addicts in Germany.

    PubMed

    Michels, Ingo Ilja; Stöver, Heino; Gerlach, Ralf

    2007-02-02

    After a long and controversial debate methadone maintenance treatment (MMT) was first introduced in Germany in 1987. The number of patients in MMT--first low because of strict admission criteria--increased considerably since the 1990s up to some 65,000 at the end of 2006. In Germany each general practitioner (GP), who has completed an additional training in addiction medicine, is allowed to prescribe substitution drugs to opioid dependent patients. Currently 2,700 GPs prescribe substitution drugs. Psychosocial care should be made available to all MMT patients. The results of research studies and practical experiences clearly indicate that patients benefit substantially from MMT with improvements in physical and psychological health. MMT proves successful in attaining high retention rates (65% to 85% in the first years, up to 50% after more than seven years) and plays a major role in accessing and maintaining ongoing medical treatment for HIV and hepatitis. MMT is also seen as a vital factor in the process of social re-integration and it contributes to the reduction of drug related harms such as mortality and morbidity and to the prevention of infectious diseases. Some 10% of MMT patients become drug-free in the long run. Methadone is the most commonly prescribed substitution medication in Germany, although buprenorphine is attaining rising importance. Access to MMT in rural areas is very patchy and still constitutes a problem. There are only few employment opportunities for patients participating in MMT, although regular employment is considered unanimously as a positive factor of treatment success. Substitution treatment in German prisons is heterogeneous in access and treatment modalities. Access is very patchy and the number of inmates in treatment is limited. Nevertheless, substitution treatment plays a substantial part in the health care system provided to drug users in Germany. In Germany, a history of substitution treatment spanning 20 years has meanwhile

  4. [Patient safety in education and training of healthcare professionals in Germany].

    PubMed

    Hoffmann, Barbara; Siebert, H; Euteneier, A

    2015-01-01

    In order to improve patient safety, healthcare professionals who care for patients directly or indirectly are required to possess specific knowledge and skills. Patient safety education is not or only poorly represented in education and examination regulations of healthcare professionals in Germany; therefore, it is only practiced rarely and on a voluntary basis. Meanwhile, several training curricula and concepts have been developed in the past 10 years internationally and recently in Germany, too. Based on these concepts the German Coalition for Patient Safety developed a catalogue of core competencies required for safety in patient care. This catalogue will serve as an important orientation when patient safety is to be implemented as a subject of professional education in Germany in the future. Moreover, teaching staff has to be trained and educational and training activities have to be evaluated. Patient safety education and training for (undergraduate) healthcare professional will require capital investment.

  5. The Quality of School Life in Experimental and Traditional Schools in Western Germany.

    ERIC Educational Resources Information Center

    Scheerer, Hansjorg

    Student perceptions of educational opportunities in contrasting educational settings in West Germany are explored. Two types of schools predominate in the Federal Republic of Germany. One type, the traditional, is characterized by a high degree of state control of the curriculum, teacher training, years of schooling, and number and type of…

  6. Passive surveillance of Leptospira infection in swine in Germany.

    PubMed

    Strutzberg-Minder, Katrin; Tschentscher, Astrid; Beyerbach, Martin; Homuth, Matthias; Kreienbrock, Lothar

    2018-01-01

    As no current data are available on the prevalence of leptospiral infection in swine in Germany, we analysed laboratory data from diagnostic examinations carried out on samples from swine all over Germany from January 2011 to September 2016. A total of 29,829 swine sera were tested by microscopic agglutination test (MAT) for antibodies against strains of eleven Leptospira serovars. Overall, 20.2% (6025) of the total sample collection tested positive for leptospiral infection. Seropositivity ranged between 16.3% (964) in 2011 and 30.9% (941) in 2016 (January to September only). Of all samples, 11.6% (57.3% of the positives) reacted with only one Leptospira serovar, and only 8.6% (42.7% of the positives) reacted simultaneously with two or more serovars. The most frequently detected serovar was Bratislava, which was found in 11.6% (3448) of all samples, followed by the serovars Australis in 7.3% (2185), Icterohaemorrhagiae in 4.0% (1191), Copenhageni in 4.0% (1182), Autumnalis in 3.7% (1054), Canicola in 2.0% (585), and Pomona in 1.2% (368). Modelling shows that both the year and the reason for testing at the laboratory had statistically strong effects on the test results; however, no interactions were determined between those factors. The results support the suggestion that the seropositivities found may be considered to indicate the state of leptospiral infections in the German swine population. Although data from passive surveillance are prone to selection bias, stratified analysis by initial reason for examination and analyses by model approaches may correct for biases. A prevalence of about 20% for a leptospiral infection is most probable for sows with reproductive problems in Germany, with an increasing trend. Swine in Germany are probably a reservoir host for serovar Bratislava, but in contrast to other studies not for Pomona and Tarassovi.

  7. Vocational Training in Germany: Modernisation and Responsiveness.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France).

    This volume presents a report on recent developments and current policy objectives in vocational education and training in Germany. The study is based on a conceptual and analytical framework jointly elaborated by the Organisation for Economic Cooperation and Development Secretariat and representatives of member countries. Part I is "The…

  8. Language Science and Orientalism in Imperial Germany

    ERIC Educational Resources Information Center

    Kaplan, Judith R. H.

    2012-01-01

    This dissertation addresses a significant gap in the historiography of science: the nature of the language sciences as "science." Focusing on disciplinary and intellectual developments in the context of Imperial Germany (1871-1918), the project anticipates, complicates, and helps to explain a widely recognized theoretical shift, namely,…

  9. Gifted Education and Talent Support in Germany

    ERIC Educational Resources Information Center

    Fischer, Christian; Müller, Kerstin

    2014-01-01

    While the focus in Germany was initially on disabled children only, the promotion of gifted and talented children has become increasingly important. Different organisations and institutions, ranging from parents' associations to foundations, offer a large variety of measures catering for the special demands of gifted and talented children,…

  10. Dealing with the mentally ill in the criminal justice system in Germany.

    PubMed

    Konrad, Norbert; Lau, Steffen

    2010-01-01

    Mentally disordered prisoners in Germany are subject to special legal regulations, which can be traced back to the 1933 "Dangerous Habitual Offenders and their Detention and Rehabilitation Act". There are no special diversion programs in Germany but diversion does in fact happen via legal regulations that are based on the construct of legal responsibility. Diversion refers to the removal of offenders from the criminal justice system at any stage of the procedure and court proceedings. In recent years the number of occupied beds in forensic psychiatric hospitals has continued to rise. At the same time the number of people in prisons has slightly decreased while there has been a slight increase in the number of available beds in general psychiatry. Germany experienced public and media concern about the risk posed by conditionally released mentally ill offenders and other perceived inadequacies in the criminal justice system. Therefore the way in which prisoners or forensic patients are supervised after they have been discharged was reformed in 2007 in order to assure a more efficient control of their conduct after their release from custody by means of mandatory treatment and monitoring. Special outpatient clinics were to assist discharged patients in complying with the conditions of probation and parole. However organisational structures for these specialised outpatient institutions vary within Germany because of its federal administration. This results in regional differences in conditions of treatment and probably in differences in quality as well, but surveys about the effects, efficacy or effectiveness of forensic outpatient treatment in Germany are scarce. Copyright 2010 Elsevier Ltd. All rights reserved.

  11. 75 FR 41439 - Lightweight Thermal Paper from Germany: Extension of Time Limits for the Preliminary Results of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... from Germany: Extension of Time Limits for the Preliminary Results of Antidumping Duty Administrative... paper from Germany (LTWP), covering the period November 20, 2008, to October 31, 2009. See Initiation of...'s sales were at prices less than the cost of production. See Lightweight Thermal Paper from Germany...

  12. Club drug use in Germany.

    PubMed

    Soellner, Renate

    2005-01-01

    In this paper the epidemiology of club drug use in Germany, including the use of 3,4-methylendioxy-N-methamphetamine (MDMA) known as 'ecstasy' and related substances such as speed, amphetamines, hallucinogens, and cannabis is described on the basis of five different surveys. Two of them are representative household surveys to monitor the licit and illicit drug use behavior of the German population. The third one is a longitudinal study aimed at exploring comorbidity and posited risk and protective factors in adolescents and young adults with specific emphasis on substance use-related disorders. Since ecstasy seemed to be associated with a new music culture of the '90s called "techno," two studies investigating the relationship of using ecstasy and related substances in the techno party scene are additionally presented. The question of the clinical impact of using ecstasy and related substances is raised in terms of substance use-related and mental disorders associated with the use of ecstasy. Finally, the motivation for using and stopping the use of ecstasy is addressed. It is shown that ecstasy has reached the second place (after cannabis) in illegal drug preferences of adolescents and young adults in Germany. Evidence is found that ecstasy use as well as ecstasy use-related disorders such as "abuse" and "dependence" are of a transient, "youth-limited" nature.

  13. MOBI: a marine and earth science interpretation and qualification program for out-of-school environment and natural heritage interpreters and other science communicators in Germany

    NASA Astrophysics Data System (ADS)

    Schneider, S.; Ellger, C.

    2017-12-01

    As a contribution to Germany's "Science Year 2016*17 - Seas and Oceans", a large science outreach program organized and financed by the National Ministry for Education and Research, GeoUnion, the umbrella organization of Earth science associations and institutions in Germany, has conducted a series of advance level workshops for out-of-school educators and interpreters in Germany. The workshops were organized in co-operation with geoparks, biosphere reserve areas and other environmental management institutions all over Germany. The goal was to convey various perspectives of modern marine sciences to inland venues, linking important present-day marine themes with the presentation of marine phases in the geological history of the host region. The workshops were designed for park rangers, museum educationalists and other science communicators, initiating a broader impact on target groups such as school classes, (geo-)tourists and stakeholder groups. Our approach has been to combine lectures by top-level scientists (on both ocean literacy aspects and regional geology) with discussions and an on-the-spot learning-and-presenting module based on prepared text and visual material. Beyond earth science issues we have integrated economy, ecology, social sciences as well as arts and humanities aspects. One central topic was the role of the world ocean in climate change; other themes highlighted sea level rise, the thermohaline circulation, sea-floor spreading, coral reefs, over-fishing, various marine species and the problem of plastic waste in the ocean. We had anticipated that marine issues are actually very rarely discussed in inland Germany. A structured presentation of ocean literacy elements has proved to be a new range of topical issues from earth and environmental sciences highly appreciated by the participants.

  14. [Research on migration in the Federal Republic of Germany].

    PubMed

    Hettlage, R

    1986-11-01

    The author reviews research on migration involving West Germany during the last 30 years. Following a discussion of concepts and terminology, the author outlines three phases of immigration to West Germany and cites selected works. The first phase is that of rapid economic growth from 1955 to 1972, when the flow of immigrant workers responded to production fluctuations. The second is the period from 1973 to 1979, when economic growth slackened and the socioeconomic burden of immigrants became more evident. The third covers the years since 1979, when formerly temporary migration has become permanent and integration of immigrants into society has become a primary concern. Suggestions are made for future research on the subject.

  15. Children's Perspective on Learning: An International Study in Denmark, Estonia, Germany and Sweden

    ERIC Educational Resources Information Center

    Sandberg, Anette; Broström, Stig; Johansson, Inge; Frøkjaer, Thorleif; Kieferle, Christa; Seifert, Anja; Roth, Angela; Tuul, Maire; Ugaste, Aino; Laan, Meeli

    2017-01-01

    This article explores how some children in Denmark, Estonia, Germany and Sweden describe their perspective on learning. The aim of the international study is to gain knowledge of how preschool children in Sweden, Denmark, Estonia and Germany reflect and perceive their learning in preschool and other surrounding social contexts. The results are…

  16. Blood Relatives: Language, Immigration, and Education of Ethnic Returnees in Germany and Japan

    ERIC Educational Resources Information Center

    Ortloff, Debora Hinderliter; Frey, Christopher J.

    2007-01-01

    Since 1989, large numbers of "ethnic returnees" have settled in Germany and Japan. After the fall of the Berlin Wall in 1989, 2.8 million "Aussiedler," or ethnic German returnees, came to Germany from the former Soviet Union. In Japan, immigration reform driven by low-skill labor shortages induced nearly 300,000…

  17. A short history of health technology assessment in Germany.

    PubMed

    Perleth, Matthias; Gibis, Bernhard; Göhlen, Britta

    2009-07-01

    To provide an overview of the development of health technology assessment (HTA) in Germany since the 1990s. Analysis of key documents (e.g. literature, laws, and other official documentation) and personal experiences. Health technology assessment (HTA) entered the political agenda in Germany only in the mid-1990s, basically as the result of a top-down approach toward more efficiency in health care, but with a strong impetus of an evidence-based medicine movement. Accordingly, HTA became part of several healthcare reform laws since 1997, which led to the establishment of the Federal Joint Committee (G-BA) and the Institute for Quality and Efficiency in Health Care (IQWiG) in 2004. This tandem construction aims at using evidence in decision-making processes for coverage and other decisions. These developments have led to a considerable impact of HTA in Germany. In addition, a broad spectrum of activities at universities and in other organizations, such as the German Institute for Medical Documentation and Information (DIMDI), can be observed that contribute to both teaching and research in HTA. German researchers in the field of HTA are actively involved in international projects, such as EUNetHTA, and contribute to scientific conferences and journals.

  18. Reconstruction of two colonisation pathways of Mantis religiosa (Mantodea) in Germany using four mitochondrial markers.

    PubMed

    Linn, Catherine Anne; Griebeler, Eva Maria

    2015-02-01

    Past and recent climatic changes induced shifts in species ranges. Mantis religiosa has also expanded its range across Germany within the past decades. To determine the ancestry of German M. religiosa we sequenced four mitochondrial genes (COI, COII, Cyt b, ND4) of European M. religiosa populations. We found an east, central and west European lineage of M. religiosa. These distinct lineages are consistent with genetic isolation by distance during glacial periods, and the re-colonization of northern parts of Europe by species from different refugia. Within Germany, we found haplotypes clustering to the central and west European lineage suggesting that M. religiosa immigrated from two directions into Germany. Mismatch distributions, and negative Tajima's D and Fu's Fs values indicate a current range expansion of the central and west European lineage. We hypothesise that ongoing global warming which increases the availability of thermally favourable areas in Germany for M. religiosa adds to its current range expansion. In conclusion, M. religiosa colonized Germany via two directions: west German populations descended from French populations and east German populations from Czech populations.

  19. Geochemical characteristics of peat from two raised bogs of Germany

    NASA Astrophysics Data System (ADS)

    Mezhibor, A. M.

    2016-11-01

    Peat has a wide range of applications in different spheres of human activity, and this is a reason for a comprehensive study. This research represents the results of an ICP-MS study of moss and peat samples from two raised bogs of Germany. Because of the wide use of sphagnum moss and peat, determining their geochemical characteristics is an important issue. According to the results obtained, we can resume that the moss samples from Germany are rich in Cu, As, Y, Zr, Nb, and REE. The geochemical composition of the bogs reflects the regional environmental features and anthropogenic influence.

  20. Survival of patients with gastric lymphoma in Germany and in the United States.

    PubMed

    Castro, Felipe A; Jansen, Lina; Krilaviciute, Agne; Katalinic, Alexander; Pulte, Dianne; Sirri, Eunice; Ressing, Meike; Holleczek, Bernd; Luttmann, Sabine; Brenner, Hermann

    2015-10-01

    This study aims to examine survival for gastric lymphomas and its main subtypes, mucosa-associated lymphoid tissue lymphoma (MALT), and diffuse large B-cell lymphoma (DLBCL), in Germany and in the United States. Data for patients diagnosed in 1997-2010 were used from 10 population-based German cancer registries and compared to the data from the US Surveillance, Epidemiology and End Results (SEER) 13 registries database. Patients age 15-74 diagnosed with gastric lymphomas were included in the analysis. Period analysis and modeled period analysis were used to estimate 5-year and 10-year relative survival (RS) in 2002-2010 and survival trends from 2002-2004 to 2008-2010. Overall, the database included 1534 and 2688 patients diagnosed with gastric lymphoma in 1997-2010 in Germany and in the United States, respectively. Survival was substantially higher for MALT (5-year and 10-year RS: 89.0% and 80.9% in Germany, 93.8% and 86.8% in the United States) than for DLBCL (67.5% and 59.2% in Germany, and 65.3% and 54.7% in the United States) in 2002-2010. Survival was slightly higher among female patients and decreased by age for gastric lymphomas combined and its main subtypes. A slight, nonsignificant, increase in the 5-year RS for gastric lymphomas combined was observed in Germany and the United States, with increases in 5-year RS between 2002-2004 and 2008-2010 from 77.1% to 81.0% and from 77.3% to 82.0%, respectively. Five-year RS of MALT exceeded 90% in 2008-2010 in both countries. Five-year RS of MALT meanwhile exceeds 90% in both Germany and the United States, but DLBCL has remained below 70% in both countries. © 2015 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.

  1. Global health education in Germany: an analysis of current capacity, needs and barriers.

    PubMed

    Kaffes, Ioannis; Moser, Fabian; Pham, Miriam; Oetjen, Aenne; Fehling, Maya

    2016-11-25

    In times of increasing global challenges to health, it is crucial to create a workforce capable of tackling these complex issues. Even though a lack of GHE in Germany is perceived by multiple stakeholders, no systematic analysis of the current landscape exists. The aim of this study is to provide an analysis of the global health education (GHE) capacity in Germany as well as to identify gaps, barriers and future strategies. An online search in combination with information provided by student representatives, course coordinators and lecturers was used to create an overview of the current GHE landscape in Germany. Additionally, a semi-structured questionnaire was sent to GHE educators and students engaged in global health (GH) to assess the capacity of German GHE, its barriers and suggested strategies for the future. A total of 33 GHE activities were identified at 18 German universities. Even though medical schools are the main provider of GHE (42%), out of 38 medical schools, only 13 (34%) offer any kind of GHE. Modules offered for students of other health-related professions constitute 27% of all activities. Most survey respondents (92%, n = 48) consider current GHE activities in Germany insufficient. Suggested formats were GHE as part of medical curricula (82%, n = 45) and dual degree MD/MPH or PhD programs. Most important barriers mentioned were low priority of GH at faculties and academic management levels (n = 41, 75%) as well as lack of necessary institutional structures (n = 33, 60%). Despite some innovative academic approaches, there is clearly a need for more systematic GHE in Germany. GHE educators and students can take an important role advocating for more awareness at university management level and suggesting ways to institutionalize GHE to overcome barriers. This study provides key evidence, relevant perceptions and suggestions to strengthen GHE in Germany.

  2. Sex ratios in the two Germanies: a test of the economic stress hypothesis.

    PubMed

    Catalano, Ralph A

    2003-09-01

    Literature describing temporal variation in the secondary sex ratio among humans reports an association between population stressors and declines in the odds of male birth. Explanations of this phenomenon draw on reports that stressed females spontaneously abort male more than female fetuses, and that stressed males exhibit reduced sperm motility. This work has led to the argument that population stress induced by a declining economy reduces the human sex ratio. No direct test of this hypothesis appears in the literature. Here, a test is offered based on a comparison of the sex ratio in East and West Germany for the years 1946 to 1999. The theory suggests that the East German sex ratio should be lower in 1991, when East Germany's economy collapsed, than expected from its own history and from the sex ratio in West Germany. The hypothesis is tested using time-series modelling methods. The data support the hypothesis. The sex ratio in East Germany was at its lowest in 1991. This first direct test supports the hypothesis that economic decline reduces the human sex ratio.

  3. Extraterrestrial research in the Federal Republic of Germany

    NASA Technical Reports Server (NTRS)

    1986-01-01

    This German program for basic extraterrestrial research is an essential, successful, and worldwide recognized part of the space program and has the same attributes for basic research in the Federal Republic of Germany. It covers all major scientific disciplines.

  4. Activation Energies of Fragmentations of Disaccharides by Tandem Mass Spectrometry

    NASA Astrophysics Data System (ADS)

    Kuki, Ákos; Nagy, Lajos; Szabó, Katalin E.; Antal, Borbála; Zsuga, Miklós; Kéki, Sándor

    2014-03-01

    A simple multiple collision model for collision induced dissociation (CID) in quadrupole was applied for the estimation of the activation energy (Eo) of the fragmentation processes for lithiated and trifluoroacetated disaccharides, such as maltose, cellobiose, isomaltose, gentiobiose, and trehalose. The internal energy-dependent rate constants k(Eint) were calculated using the Rice-Ramsperger-Kassel-Marcus (RRKM) or the Rice-Ramsperger-Kassel (RRK) theory. The Eo values were estimated by fitting the calculated survival yield (SY) curves to the experimental ones. The calculated Eo values of the fragmentation processes for lithiated disaccharides were in the range of 1.4-1.7 eV, and were found to increase in the order trehalose < maltose < isomaltose < cellobiose < gentiobiose.

  5. Working Women in Contemporary Germany. Roles, Attitudes, and a Handful of Success Stories.

    ERIC Educational Resources Information Center

    Stern, Susan

    1997-01-01

    In 1977, when women in West Germany (the Fedeal Republic of Germany) got the legal right to be employed outside the family against their husband's will, paragraph 1356 of the Civil Code, defining housework as the woman's duty, was abolished. Until then, heavy social pressure kept women close to home; in most cases, the choice of an outside…

  6. 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…

  7. [How do authors of systematic reviews restrict their literature searches when only studies from Germany should be included?

    PubMed

    Pieper, Dawid; Mathes, Tim; Palm, Rebecca; Hoffmann, Falk

    2016-11-01

    The use of search filters (e. g. for study types) facilitates the process of literature searching. Regional limits might be helpful depending on the research question. Regional search filters are already available for some regions, but not for Germany. Our aim is to give an overview of applied search strategies in systematic reviews (SRs) focusing on Germany. We searched Medline (via Pubmed) applying a focused search strategy to identify SRs focusing on Germany in January 2016. Study selection and data extraction were performed by two reviewers independently. The search strategies with a focus on Germany were analyzed in terms of reasonableness and completeness relying on the Peer Review of Electronic Search Strategies (PRESS) criteria. A narrative evidence synthesis was performed. In total, 36 SRs (13 written in English) were included. 78% were published in 2012 or later. The majority (89%) of SRs utilized at least two different sources for their search with databases and checking references being the most common. 17 SRs did not use any truncations, ten SRs did not restrict their search to Germany, six SRs reported to have searched for German OR Germany. Only ten articles searched for the term Germany (occasionally jointly with the term Deutschland) without any use of an adjective such as German. There is a high interest in regionally focused SRs. The identified search strategies revealed a need for improvement. It would be helpful to develop a regional search filter for Germany that is able to identify studies performed in Germany. Copyright © 2016. Published by Elsevier GmbH.

  8. Frankfurt, Germany: 1030/1090 MegaHertz Signal Analysis

    DOT National Transportation Integrated Search

    1996-07-01

    The Data Link Test Analysis System (DATAS) was used in the Frankfort, Germany : to collect data in the frequency band used by Air Traffic Control Radar : Beacon (ATCRBS), Mode Select (Mode S), and Traffic Alert and Collision : Avoidance (TCAS). Data ...

  9. Public outreach supports the entire life-cycle of the Ketzin pilot site, Germany

    NASA Astrophysics Data System (ADS)

    Martens, Sonja; Kollersberger, Tanja; Möller, Fabian; Liebscher, Axel

    2017-04-01

    Interdisciplinary research at the Ketzin pilot site in Germany contributes to the understanding of the geological CO2 storage since 2004. In addition to the research activities, public outreach has been a key element through the entire life-cycle of the project including site assessment, characterization, development as well as operation (2008-2013) and post-closure. From the very beginning of the project, the research activities were accompanied by an open dialogue with the general public including locals and interested people from all over Germany and the world. The visitor centre at the Ketzin site is run by GFZ and the most important contact point to inform about first-hand experiences from the project. Up to now, about 3,000 visitors came to the Ketzin site for guided tours and the annual open house days. In addition, project status and progress are disseminated in brochures and on the public website www.co2ketzin.de. The Ketzin project is also presented in short films, e.g. on monitoring, drilling and well closure. As the post-closure and pre-transfer phase started after the cease of CO2 injection in August 2013 and the injection facility was dismantled in December 2013, we were looking for a tool to further inform about the previous operation and site infrastructure. A virtual tour was set up for the Ketzin site which is accessible via the website. This tour includes several videos which virtually guide you on site and provide information on the (former) facilities. Public acceptance is a key issue for the Ketzin project as it is for any other CO2 storage project. For example, an open communication with the local residents helped to conduct large-scale seismic campaigns without severe restrictions. The experience from the Ketzin pilot site shows that honest communication and a diverse dissemination program is able to overcome critical public perception even for highly debated technologies.

  10. Who gets dipyrone (metamizole) in Germany? Prescribing by age, sex and region.

    PubMed

    Hoffmann, F; Meinecke, P; Freitag, M H; Glaeske, G; Schulze, J; Schmiemann, G

    2015-06-01

    Metamizole (dipyrone) is an analgesic that has been the focus of considerable controversy regarding its safety. Because of potentially life-threatening blood disorders such as agranulocytosis, it has been withdrawn in many countries but not in Germany, where prescribing even increased over recent years. We aimed to evaluate prescribing of metamizole in Germany with respect to age, sex and regional variations. Using data of a statutory health insurance, we analysed a cohort of 1·7 million persons who were insured at least 1 day in each quarter of 2009. Outcome of interest was the outpatient prescription prevalence, for example the proportion of persons receiving at least one prescription of metamizole. A total of 6·8% received metamizole with a higher prescribing prevalence in females (7·8% vs. 6·0%). The prevalence increased with age up to 26·7% in persons ≥85 years (men: 21·1%; and women: 30·4%). We found large regional variations with higher prevalences in the northern part of Germany. Most of the prescriptions were issued by general practitioners (78·9%). 58·3% were liquid oral formulations with considerable regional variations ranging between 32·3% in Mecklenburg-West Pomerania and 67·3% in North Rhine-Westphalia. Overall, liquid oral forms are much more often prescribed in the western than in the eastern part of Germany. Metamizole - a drug with a relatively narrow indication - is often prescribed in Germany with relevant differences by age, sex and region. Qualitative studies should clarify reasons for this. Further quantitative research should investigate small-area variations, indications and treatment durations. © 2015 John Wiley & Sons Ltd.

  11. Rapid flood loss estimation for large scale floods in Germany

    NASA Astrophysics Data System (ADS)

    Schröter, Kai; Kreibich, Heidi; Merz, Bruno

    2013-04-01

    Rapid evaluations of flood events are needed for efficient responses both in emergency management and financial appraisal. Beyond that, closely monitoring and documenting the formation and development of flood events and their impacts allows for an improved understanding and in depth analyses of the interplay between meteorological, hydrological, hydraulic and societal causes leading to flood damage. This contribution focuses on the development of a methodology for the rapid assessment of flood events. In the first place, the focus is on the prediction of damage to residential buildings caused by large scale floods in Germany. For this purpose an operational flood event analysis system is developed. This system has basic spatial thematic data available and supports data capturing about the current flood situation. This includes the retrieval of online gauge data and the integration of remote sensing data. Further, it provides functionalities to evaluate the current flood situation, to assess the hazard extent and intensity and to estimate the current flood impact using the flood loss estimation model FLEMOps+r. The operation of the flood event analysis system will be demonstrated for the past flood event from January 2011 with a focus on the Elbe/Saale region. On this grounds, further requirements and potential for improving the information basis as for instance by including hydrological and /or hydraulic model results as well as information from social sensors will be discussed.

  12. Young Adults' Knowledge and Understanding of Personal Finance in Germany: Interviews with Experts and Test-Takers

    ERIC Educational Resources Information Center

    Happ, Roland; Förster, Manuel; Rüspeler, Ann-Katrin; Rothweiler, Jasmin

    2018-01-01

    In recent years, the financial education of young adults has gained importance in Germany; however, very few valid test instruments to assess the knowledge and understanding of personal finance are suitable for use in Germany. In this article, we describe results of a survey in which experts in Germany in areas related to personal finance judged…

  13. Five cases of vector-borne Francisella tularensis holarctica infections in south-western Germany and genetic diversity.

    PubMed

    Borde, Johannes P; Zange, Sabine; Antwerpen, Markus H; Georgi, Enrico; von Buttlar, Heiner; Kern, Winfried V; Rieg, Siegbert

    2017-08-01

    Tularemia is a rare zoonotic disease in Germany. Francisella tularensis has been isolated previously from ticks in southern Germany underscoring the importance of ticks (Ixodes ricinus) in tularemia transmission, but there have been only few reports from this region with single cases or small case series of tick-borne transmissions of tularemia. We report five cases of non-game animal associated tularemia diagnosed from 2010 to 2016 in southwestern Germany - Baden-Wuerttemberg. Our case series and molecular typing (MLVA) results add published clinical experience to this underdiagnosed disease and consolidate previous findings regarding tick-borne transmission of tularemia and phylogenetic diversity in Germany. Copyright © 2017 Elsevier GmbH. All rights reserved.

  14. The Unequal Structure of the German Education System: Structural Reasons for Educational Failures of Turkish Youth in Germany.

    PubMed

    Fernandez-Kelly, Patricia

    The paper examines the educational experiences of Turkish youth in Germany with special references to the statistical data of Educational Report, PISA surveys. The results of the educational statistics of Germany show that more than group characteristics like social and cultural capital, structural and institutional factors (multi-track system with its selective mechanism, education policy, context of negative reception of Germany, institutional discrimination, and lack of intercultural curriculum) could have a decisive role in hampering the educational and labor market integration and social mobility of Turkish youth. This can be explained by a mix of factors: the education system which does not foster the educational progress of children from disadvantaged families; the high importance of school degrees for accessing to the vocational training system and the labor market; and direct and indirect institutional discrimination in educational area in Germany. Thus, this work suggests that the nature of the education system in Germany remains deeply "unequal," "hierarchical" and "exclusive." This study also demonstrates maintaining the marginalized position of Turkish children in Germany means that the country of origin or the immigrants' background is still a barrier to having access to education and the labor market of Germany.

  15. Pregnancy care in Germany, France and Japan: an international comparison of quality and efficiency using structural equation modelling and data envelopment analysis.

    PubMed

    Rump, A; Schöffski, O

    2018-07-01

    Healthcare systems in developed countries may differ in financing and organisation. Maternity services and delivery are particularly influenced by culture and habits. In this study, we compared the pregnancy care quality and efficiency of the German, French and Japanese healthcare systems. Comparative healthcare data analysis. In an international comparison based mainly on Organisation for Economic Co-operation and Development (OECD) indicators, we analysed the health resources significantly affecting pregnancy care and quantified its quality using structural equation modelling. Pregnancy care efficiency was studied using data envelopment analysis. Pregnancy output was quantified overall or separately using indicators based on perinatal, neonatal or maternal mortality. The density of obstetricians, midwives, paediatricians and the average annual doctor's consultations were positively and the caesarean delivery rate negatively associated with pregnancy outcome. In the international comparison at an aggregate level, Japan ranked first for pregnancy care quality, whereas Germany and France were positioned in the second part of the ranking. Similarly, at an aggregate level, the Japanese system showed pure technical efficiency, whereas Germany and France revealed mediocre efficiency results. Perinatal, neonatal and maternal care quality and efficiency taken separately were quite similar and mediocre in Germany and France. In Japan, there was a marked difference between a highly effective and efficient care of the unborn and newborn baby, and a rather mediocre quality and efficiency of maternal care. Germany, France, and Japan have to struggle with quality and efficiency issues that are nevertheless different: in Germany and France, disappointing pregnancy care quality does not correspond to the high health care expenditures and lead to low technical efficiency. The Japanese system shows a high variability in outcomes and technical efficiency. Maternal care quality

  16. Should commercial organ donation be legalized in Germany? An ethical discourse.

    PubMed

    Keller, F; Winkler, U; Mayer, J; Stracke, S

    2007-03-01

    We evaluated the arguments pro and con concerning kidney sales from a German perspective. At present, we see social, medical, and ethical reasons why organ selling should not be legalized in Germany. Legalization of organ selling would weaken the principle of solidarity within the German health system. Conversely, profit making will undermine the principle of social justice. Within the present social system in Germany, there is no economic pressure to sell an organ to save life, and there is no medical need to buy a kidney. Also, there exists the risk that opening the market for organ sales will de-motivate potential directed organ donors. Relatives would have more doubts about giving their consent to donate organs of their deceased. Moreover, the historical experience with the "action T4" of the Nazi regime sensitized German society for the categorical imperative set forth by Immanuel Kant (1724-1804), namely that man is not a means, but an end to himself. By selling one's kidney, the donor uses himself as a means and as an instrument for the end result of gaining money. With directed organ donation, the welfare of the recipient is the end result. The pending reform of the German health system needs a more communitarian sense, which will be eroded should organs be sold and no longer donated as gifts. Germany's special historical experience and a deeply embedded consent toward ethical values give reason for the prohibition of organ selling in Germany.

  17. Implementing the Espoo Convention in transboundary EIA between Germany and Poland

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

    Albrecht, Eike

    Poland and Germany have a long common border which leads to the necessity to cooperate and consult each other in the case of large-scale projects or infrastructure measures likely to cause negative transboundary effects on the environment. There are already binding provisions for transboundary EIA. In the area of the UN Economic Commission for Europe (UNECE), transboundary EIA is intended to be legally binding for the Member States by the Espoo Convention which was ratified by Germany 8.8.2002 and by Poland 12.6.1997. Due to corresponding directives, the same is applicable in the context of the European Union. In German legislation,more » this issue is regulated by Art. 8 of the Federal EIA Act in regard to transboundary participation of administration and by Art. 9a in respect of transboundary public participation. However, these EIA regulations on transboundary participation do not surpass a certain detail level, as they have to be applied between Germany and all neighbouring states. Therefore both countries decided to agree on more detailed provisions in particular regarding procedural questions. During the 12th German-Polish Environmental Council, Germany and Poland reached an agreement on 11.4.2006 in Neuhardenberg/Brandenburg an agreement upon the implementation of the Espoo Convention, the so called Neuhardenberg Agreement. This article assesses the agreement under consideration of already existing law and discusses major improvements and problems.« less

  18. The effectiveness of stuttering treatments in Germany.

    PubMed

    Euler, Harald A; Lange, Benjamin P; Schroeder, Sascha; Neumann, Katrin

    2014-03-01

    Persons who stutter (PWS) should be referred to the most effective treatments available, locally or regionally. A prospective comparison of the effects of the most common stuttering treatments in Germany is not available. Therefore, a retrospective evaluation by clients of stuttering treatments was carried out. The five most common German stuttering treatments (231 single treatment cases) were rated as to their perceived effectiveness, using a structured questionnaire, by 88 PWS recruited through various sources. The participants had received between 1 and 7 treatments for stuttering. Two stuttering treatments (stuttering modification, fluency shaping) showed favorable and three treatments (breathing therapy, hypnosis, unspecified logopedic treatment) showed unsatisfactory effectiveness ratings. The effectiveness ratings of stuttering modification and fluency shaping did not differ significantly. The three other treatments were equally ineffective. The differences between the effective and ineffective treatments were of large effect sizes. The typical therapy biography begins in childhood with an unspecified logopedic treatment administered extensively in single and individual sessions. Available comparisons showed intensive or interval treatments to be superior to extensive treatments, and group treatments to be superior to single client treatments. The stuttering treatment most often prescribed in Germany, namely a weekly session of individual treatment by a speech-language pathologist, usually with an assorted package of mostly unknown components, is of limited effectiveness. Better effectiveness can be expected from fluency shaping or stuttering modification approaches, preferably with an intensive time schedule and with group sessions. Readers will be able to: (a) discuss the five most prevalent stuttering treatments in Germany; (b) summarize the effectiveness of these treatments; and (c) describe structural treatment components that seem to be preferable

  19. Electronic Cigarettes-Attitudes and Use in Germany.

    PubMed

    Rüther, Tobias; Wissen, Franziska; Linhardt, Andrea; Aichert, Désirée S; Pogarell, Oliver; de Vries, Hein

    2016-05-01

    Smoking is the leading preventable cause of death and disease. Previous studies on electronic cigarette (e-cigarette) use have reported reduction and cessation of conventional cigarette smoking; however, health effects are still a matter of discussion. This cross-sectional study investigated the attitudes of adults in Germany towards using e-cigarettes instead of or in addition to cigarettes. Furthermore, it examined the extent to which e-cigarettes are used as a smoking cessation tool. In 2012, we recruited a sample of 319 participants comprising e-cigarette users (vapers, 33%), cigarette smokers (smokers, 37%) and smokers of both cigarette types (dual users, 30%). The Integrated Model for Change (I-Change Model) was used as a theoretical framework and a modified Fagerström Test of Nicotine Dependence was used to assess nicotine dependence. Data were collected by means of a questionnaire and smoking status was substantiated by measuring exhaled carbon monoxide. The vapers were more often men, were less addicted to nicotine and had a higher motivation to stop smoking than the smokers. In addition, vapers reported better health and had a lower carbon monoxide concentration than smokers. Furthermore, vapers had a more positive attitude towards e-cigarettes and higher self-efficacy in terms of abstaining from cigarettes in certain situations. This is the first study to report on the use of e-cigarettes in Germany. Our results support those of previous studies in other populations. Further research is still needed on the potential health effects of e-cigarettes and their efficacy as a smoking cessation aid. The study is the first description of attitudes and use of e-cigarettes in Germany. © The Author 2015. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  20. Mission impossible? - Government Agencies And Public Relations For Nuclear Waste Disposal In Germany

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

    Landsmann, B.; Brauer, V.

    2007-07-01

    Analyzing the opinion of European Union citizens on the management of radioactive waste a survey of 2005 shows that European citizens are almost unanimous in the need to set up a national strategy for high-level radioactive waste disposal without any delay. While 45% of respondents consider that deep underground disposal represents the most appropriate solution for long-term management of highly radioactive waste, 38% disagree. In Germany, the divergence of opinion in this respect is very distinctive and it shows that, although experts believe that selected sites represent the best solution, this information does not yet seem to have reached themore » public. The reason therefore is both the lack of interesting and comprehensible information of issues related to nuclear waste disposal and negative media reporting always coupled with the negative public opinion about atomic energy in Germany. In Germany the siting, construction, and operation of a repository for radioactive waste is a national task. The Federal Institute for Geosciences and Natural Resources (BGR) as a government agency is a praxis oriented science institution and works on all geo-scientific and geotechnical issues in the German repository projects. According to its guidance BGR feels responsible for the future generations and is acting as a neutral and anticipatory partner for ministries and public authorities as well as a partner for industry, society and scientific bodies. BGR therefore is able to accomplish an essential contribution for the creation of public confidence for radioactive waste disposal due to precise public relations strategies. Sending the following messages is BGR's communication goal: - Radioactive waste can safely be disposed of in deep geological formations; - BGR is capable to handle this duty and delivers reliable results. Thereby, the BGR is in particular interested in passing on the information about nuclear waste disposal in a current and comprehensible way as well as

  1. Education in Germany. Bulletin, 1938, No. 15

    ERIC Educational Resources Information Center

    Lindegren, Alina M.

    1939-01-01

    While educational developments in Germany have always been of interest to the people of this country, educators and laymen in the United States have shown particular interest since 1933 because of the relationship which the school system there has had to the central government and its evolving political, economic, racial, and social doctrines. The…

  2. 78 FR 15376 - Determinations: Corrosion-Resistant Carbon Steel Flat Products From Germany and Korea

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-11

    ...)] Determinations: Corrosion-Resistant Carbon Steel Flat Products From Germany and Korea On the basis of the record... revocation of the countervailing duty order on corrosion-resistant carbon steel flat products from Korea and the antidumping duty orders on corrosion-resistant carbon steel flat products from Germany and Korea...

  3. Library Research in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Koch, Hans-Albrecht

    1984-01-01

    Report on current state of research in academic and research librarianship in Federal Republic of Germany highlights projects concerning acquisition of books; work procedure investigations; personnel requirements; cost accounting; investigations of library use (user research, user education); public relations work; librarianship; and subject…

  4. [Publication performances of university clinics for anesthesiology: Germany, Austria and Switzerland from 2001 to 2010].

    PubMed

    Putzer, G; Ausserer, J; Wenzel, V; Pehböck, D; Widmann, T; Lindner, K; Hamm, P; Paal, P

    2014-04-01

    This study assessed the publication performance of university departments of anesthesiology in Austria, Germany and Switzerland. The number of publications, original articles, impact factors and citations were evaluated. A search was performed in PubMed to identify publications related to anesthesiology from 2001 to 2010. All articles from anesthesiology journals listed in the fields of anesthesia/pain therapy, critical care and emergency medicine by the "journal citation report 2013" in Thomson Reuters ISI web of knowledge were included. Articles from non-anaesthesiology journals, where the stem of the word anesthesia (anes*, anaes*, anäst*, anast*) appears in the affiliation field of PubMed, were included as well. The time periods 2001-2005 and 2006-2010 were compared. Articles were allocated to university departments in Austria, Germany and Switzerland via the affiliation field. A total of 45 university departments in Austria, Germany and Switzerland and 125,979 publications from 2,863 journals (65 anesthesiology journals, 2,798 non-anesthesiology journals) were analyzed. Of the publications 23 % could not be allocated to a given university department of anesthesiology. In the observation period the university department of anesthesiology in Berlin achieved most publications (n = 479) and impact points (1,384), whereas Vienna accumulated most original articles (n = 156). Austria had the most publications per million inhabitants in 2006-2010 (n=50) followed by Switzerland (n=49) and Germany (n=35). The number of publications during the observation period decreased in Germany (0.5 %), Austria (7 %) and Switzerland (8 %). Tables 2 and 4-8 of this article are available at Springer Link under Supplemental. The research performance varied among the university departments of anesthesiology in Germany, Austria and Switzerland whereby larger university departments, such as Berlin or Vienna published most. Publication output in Germany, Austria and

  5. Early history of operative treatment of patellar fractures.

    PubMed

    Bartoníček, Jan; Rammelt, Stefan

    2015-11-01

    The presented overview shows that the first efforts to address patellar fractures by operative treatment, although sporadic, emerged in the pre-antiseptic era. Introduction of Lister's antiseptic method in Great Britain, Germany and the USA in 1877-1882 contributed to a new, progressive trend in the treatment of fractures of the patella as well as of other bones. The authors, using Lister's antiseptic method, evaluated three basic aspects in their operations, namely healing of the surgical wound without infective complications, achievement of bony union and a good functional outcome, i.e. restoring the range of motion in the knee, even if limited in most cases. The majority of them used a longitudinal incision and fixation by a silver wire.

  6. Germany, the European Union, and the Euro: The Primacy of Politics in Treasure

    DTIC Science & Technology

    2013-09-01

    2 Brian Blackstone and Charles Forelle, “Germany, France Back Pledge to Save Euro,” The Wall Street Journal, July 27...member 114 Blackstone , “Germany, France Back Pledge to Save Euro.” 115 Liz Alderman, “Right-Wing...Pontusson, eds. Coping with Crisis: Government Reactions to the Great Recession. New York: Russell Sage Foundation, 2012. 76 Blackstone , Brian and

  7. A new neolithic circular enclosure in Central Germany

    NASA Astrophysics Data System (ADS)

    Kretzer, Olaf

    2015-08-01

    Today we know about 130 neolithic enclosures in Central Europe. About 20 of them are located in Germany. In the last years, there was a great discussion about the function of the openings: Are the openings aligned with points of the solstices? Or are the openings aligned with points of rising stars?Four years ago, a new neolithic circular enclosure was found in the northern part of Thuringia. With a diameter of about 50 meters it was not so large but it was the first evidence of a neolithic culture in Thuringia: the central part of Germany!7000 years ago, people with unknown identity built up three rings with three or four openings.With the help of various measurements we were able to determine in which directions the openings were aligned. We found a link between these directions and very interesting landmarks - an amazing connection between sky and landscape.

  8. Housing and health in Germany.

    PubMed

    Pollack, C E; von dem Knesebeck, O; Siegrist, J

    2004-03-01

    To examine the association between housing tenure and self rated health, controlling for socioeconomic measures and testing the mediating effects of physical features of the home, pollution in the local environment, and relationships with neighbours. Cross sectional panel study with people nested within households. Analyses were performed using multilevel methods. Population based sample in Germany. People aged 16 or older were interviewed in the 1999 wave of the socio-economic panel study (n = 14 055) and nested within households (n = 7381). 44.0% of the population lived in homes that they owned. In bivariate analyses, women, people who live in apartment buildings, reside near cities, live in crowded homes, have homes in need of renovation, report higher pollution, and have distant contact with neighbours are more likely to live in rented homes. In multilevel analyses, renting a home was found to be associated with poor self rated health (OR 1.48, 95% CI 1.31 to 1.68). This relation persisted after controlling for education and income and was partially mediated by the need for household renovation, the perception of air and noise pollution in the local area, and distant relationship with neighbours, all of which were significantly associated with self rated health. This study provides evidence that home ownership is significantly associated with self rated health in Germany, and this relation may be, in part, mediated by physical and social features of home and neighbourhood.

  9. Care Management in Germany and the U.S.: An Expanded Laboratory

    PubMed Central

    Pittman, Patricia M.; Arnold, Sharon B.; Schlette, Sophia

    2005-01-01

    Germany and the U.S. share a keen interest in exploring the potential of care management programs for the chronically ill. Despite obvious health system differences, in both countries there has been a proliferation of disease management models, initiated by a variety of actors, paid for in different ways, targeting different types of population groups, and encompassing a broad menu of interventions and services. Comparison of three case studies from the U.S. and four from Germany reveals greater differences among models within countries than between them. PMID:17288074

  10. Status of pre-processing of waste electrical and electronic equipment in Germany and its influence on the recovery of gold.

    PubMed

    Chancerel, Perrine; Bolland, Til; Rotter, Vera Susanne

    2011-03-01

    Waste electrical and electronic equipment (WEEE) contains gold in low but from an environmental and economic point of view relevant concentration. After collection, WEEE is pre-processed in order to generate appropriate material fractions that are sent to the subsequent end-processing stages (recovery, reuse or disposal). The goal of this research is to quantify the overall recovery rates of pre-processing technologies used in Germany for the reference year 2007. To achieve this goal, facilities operating in Germany were listed and classified according to the technology they apply. Information on their processing capacity was gathered by evaluating statistical databases. Based on a literature review of experimental results for gold recovery rates of different pre-processing technologies, the German overall recovery rate of gold at the pre-processing level was quantified depending on the characteristics of the treated WEEE. The results reveal that - depending on the equipment groups - pre-processing recovery rates of gold of 29 to 61% are achieved in Germany. Some practical recommendations to reduce the losses during pre-processing could be formulated. Defining mass-based recovery targets in the legislation does not set incentives to recover trace elements. Instead, the priorities for recycling could be defined based on other parameters like the environmental impacts of the materials. The implementation of measures to reduce the gold losses would also improve the recovery of several other non-ferrous metals like tin, nickel, and palladium.

  11. The ecological niche of Dermacentor marginatus in Germany.

    PubMed

    Walter, Melanie; Brugger, Katharina; Rubel, Franz

    2016-06-01

    The ixodid tick Dermacentor marginatus (Sulzer, 1776) is endemic throughout southern Europe in the range of 33-51 (°) N latitude. In Germany, however, D. marginatus was exclusively reported in the Rhine valley and adjacent areas. Its northern distribution limit near Giessen is located at the coordinates 8.32 (°) E/50.65 (°) N. Particularly with regard to the causative agents of rickettsioses, tularemia, and Q fever, the observed locations as well as the potential distribution of the vector D. marginatus in Germany are of special interest. Applying a dataset of 118 georeferenced tick locations, the ecological niche for D. marginatus was calculated. It is described by six climate parameters based on temperature and relative humidity and another six environmental parameters including land cover classes and altitude. The final ecological niche is determined by the frequency distributions of these 12 parameters at the tick locations. Main parameters are the mean annual temperature (frequency distribution characterized by the minimum, median, and maximum of 6.1, 9.9, and 12.2 (°)C), the mean annual relative humidity (73.7, 76.7, and 80.9 %), as well as the altitude (87, 240, 1108 m). The climate and environmental niche is used to estimate the habitat suitability of D. marginatus in Germany by applying the BIOCLIM model. Finally, the potential spatial distribution of D. marginatus was calculated and mapped by determining an optimal threshold value of the suitability index, i.e., the maximum of sensitivity and specificity (Youden index). The model performance is expressed by AUC = 0.91.

  12. Prevalence and geographical distribution of Usher syndrome in Germany.

    PubMed

    Spandau, Ulrich H M; Rohrschneider, Klaus

    2002-06-01

    To estimate the prevalence of Usher syndrome in Heidelberg and Mannheim and to map its geographical distribution in Germany. Usher syndrome patients were ascertained through the databases of the Low Vision Department at the University of Heidelberg, and of the patient support group Pro Retina. Ophthalmic and audiologic examinations and medical records were used to classify patients into one of the subtypes. The database of the University of Heidelberg contains 247 Usher syndrome patients, 63 with Usher syndrome type 1 (USH1) and 184 with Usher syndrome type 2 (USH2). The USH1:USH2 ratio in the Heidelberg database was 1:3. The Pro Retina database includes 248 Usher syndrome patients, 21 with USH1 and 227 with USH2. The total number of Usher syndrome patients was 424, with 75 USH1 and 349 USH2 patients; 71 patients were in both databases. The prevalence of Usher syndrome in Heidelberg and suburbs was calculated to be 6.2 per 100,000 inhabitants. There seems to be a homogeneous distribution in Germany for both subtypes. Knowledge of the high prevalence of Usher syndrome, with up to 5,000 patients in Germany, should lead to increased awareness and timely diagnosis by ophthalmologists and otologists. It should also ensure that these patients receive good support through hearing and vision aids.

  13. [Population-based cancer registration in Germany. Essentials and perspectives].

    PubMed

    Katalinic, A

    2004-05-01

    Although cancer registration has a long tradition in Germany, wide areas remained blank spaces on the map concerning population-based cancer registration. The situation changed completely when a federal law on cancer registration (KRG, 1995-1999) took effect. Now all federal states have established population-based cancer registries on a legal basis. In spite of the uniform model of cancer registration anchored in the KRG, 16 different models have developed in Germany. Completeness of cancer registration was constantly improved over the last several years. In addition to the Saarland cancer registry, further registries can now provide a high grade of registration for all cancer sites. Essential tasks, such as public reporting and support of cancer research, can now be better fulfilled. Even taking the great developments in cancer registration in Germany into consideration, some deficits still continue to exist. These deficits are mostly caused by heterogeneity and missing compatibility of the cancer registry laws of the federal states. After the focus of cancer registration was on developing valid registries,now the focus has to be changed to the usability of cancer registry data. These data can be used e. g. for research on etiology and evaluation of programs on early cancer detection. Scientists in the field of cancer epidemiology, public health, and cancer care are invited to use data of cancer registries for research and evaluation projects intensively.

  14. The historiography of homoeopathy in Germany.

    PubMed

    Jütte, Robert

    2004-01-01

    Homoeopathy originated in Germany. The same applies, by the way, to many other branches of alternative medicine, e.g. mesmerism, homoeopathy, hydropathy, anthroposophical medicine. This historical fact provides more than just an excuse to start with a survey of the historiography of homeopathy in German-speaking countries. The first part of the paper focuses on 19th-century attempts at a history of homoeopathy, reflecting the wish to establish a corporate identity among the adherents of the new art of healing. Early examples are books by prominent homoeopathic doctors on the origins and recent history of homoeopathy in German lands. A look at their motives will give us a notion of the response of the fringe medicine to a wide ranger of attacks of orthodox physicians and medical historians who saw progress in the field of the new "scientific" medicine only and who shared the values and ideologies of the medical establishment. The second part of the paper - which covers the period from the turn of the century to the end of World War II - examines the first attempts by professional medical historians as well as amateurs to write about the rise and fall of homeopathy in Germany. The third part is then centred on recent medical historiography on this subject.

  15. Sport in Germany. Basis-Info 3-1996.

    ERIC Educational Resources Information Center

    Beitz, Steffen

    This paper explores the importance and impact of sport in Germany from a variety of perspectives. Topics include: (1) the social function of sport; (2) popular sport, focusing on exercise and self-development rather than competition; (3) sport's role in the leisure activities of the handicapped; (4) top sport performers; (5) drugs and sport; (6)…

  16. The limits to equivalent living conditions: regional disparities in premature mortality in Germany.

    PubMed

    Plümper, Thomas; Laroze, Denise; Neumayer, Eric

    2018-01-01

    Despite the country's explicit political goal to establish equivalent living conditions across Germany, significant inequality continues to exist. We argue that premature mortality is an excellent proxy variable for testing the claim of equivalent living conditions since the root causes of premature death are socioeconomic. We analyse variation in premature mortality across Germany's 402 districts and cities in 2014. Premature mortality spatially clusters among geographically contiguous and proximate districts/cities and is higher in more urban places as well as in districts/cities located further north and in former East Germany. We demonstrate that, first, socioeconomic factors account for 62% of the cross-sectional variation in years of potential life lost and 70% of the variation in the premature mortality rate. Second, we show that these socioeconomic factors either entirely or almost fully eliminate the systematic spatial patterns that exist in premature mortality. On its own, fiscal redistribution, the centrepiece of how Germany aspires to establish its political goal, cannot generate equivalent living conditions in the absence of a comprehensive set of economic and social policies at all levels of political administration, tackling the disparities in socioeconomic factors that collectively result in highly unequal living conditions.

  17. [Regulations of sickness certification as a factor for increased health care utilization in Germany].

    PubMed

    Herrmann, Wolfram J; Haarmann, Alexander; Bærheim, Anders

    2015-01-01

    In Germany, utilization of ambulatory health care is high compared to other countries. Classical models of health care utilization cannot sufficiently explain these differences. The aim of this study was to explore relevant factors which can explain the higher health care utilization in Germany. In this article, we focus on regulations regarding sickness certification as a potential factor. An explorative qualitative study design. We conducted episodic interviews with 20 patients in Germany and 20 patients in Norway and participant observation in four primary care practices each. Additionally, we conducted a context analysis of relevant health care system related factors which emerged during the study. Qualitative data analysis was done by thematic coding in the framework of grounded theory. The need for a sickness certificate was an important reason for encounter in Germany, especially regarding minor illnesses. Sickness certification is a societal topic. GPs play a double role regarding sickness certification, both as the patients' advocate and as an expert witness for social security services. In Norway, longer periods of self-administered sickness certification and more differentiated possibilities of sickness certification have been introduced successfully. Our results point to regulations regarding sickness certification as a relevant factor for higher health care utilization in Germany. In pilot studies, the effect of extended self-certification of sickness and part-time sickness certification should be further assessed. Copyright © 2015. Published by Elsevier GmbH.

  18. Klimanavigator - Climate Navigator - Gateway to climate knowledge in Germany

    NASA Astrophysics Data System (ADS)

    Schuck-Zöller, Susanne

    2013-04-01

    Objective More than 50 German research institutions and networks are represented on www.klimanavigator.de, a common platform, where information about their work, and the latest findings from climate research and adaptation can be found. Thus Klimanavigator as a gateway to climate knowledge provides a information portal for those who have to respond to climate change. The internet portal gives an overview of the present state of research and is estimated as a decision support tool for appropriate mitigation and adaptation measures. Target Groups The portal collects the German climate research institutions to publish their scientific knowledge in a non-scientific language. Economists, policymakers, administration and the media are bound to find the names of scientific experts and institutions by an elaborated research tool. Methodology The chapter "Dossiers" is edited by the Klimanavigator-Coordinator CSC. It gathers information to a special issue looked upon from various points of view. Publications of outstanding German scientists are presented side by side, current knowledge is being synthesized, scientifically reviewed and disseminated. The latest news from climate and adaptation research is presented in an own chapter, dedicated to the press releases of the portal members. Via RSS-feed the press releases are collected from the different partner institutions. Thirdly, portraits of the member institutions, that are individually edited by themselves, draw a map of science in Germany and help to find appropriate cooperation partners. For the future further development is being planned. Common Management Klimanavigator is being managed by the partners in common. The main decisions concerning the concept and shape of the portal are made by the partners' assembly. An elected editorial committee decides about the content between the assemblies. The Climate Service Center (part of the Helmholtz-Zentrum Geesthacht) concentrates on facilitating the cooperation, and

  19. Impact of disease management programs on women with breast cancer in Germany.

    PubMed

    Jacob, Louis; Hadji, Peyman; Albert, Ute-Susann; Kalder, Matthias; Kostev, Karel

    2015-09-01

    The aim of the study was to analyze the impact of disease management programs (DMPs) on adherence in women with breast cancer (BC) in Germany. Data on 4915 BC patients [1874 DMP and 3041 standard care (SC)] who started hormone therapy between 2008 and 2013 in 234 gynecological practices in Germany were analyzed retrospectively. The primary outcome measure was the rate of discontinuation of hormone therapy within 3 years of the start of treatment. Discontinuation of therapy was defined as a period of at least 90 days without treatment. A multivariate Cox regression model was created to determine the effect of DMPs on the risk of discontinuation. Region (western vs. eastern Germany), patient age, and concomitant diagnoses (depression, osteoporosis, thrombosis, and diabetes) were included as covariates. There was a significant difference between DMPs and SC in terms of age (63 ± 12 years vs. 64 ± 12 years, p value = 0.0012) and region (79.2% of patients living in western Germany vs. 88.6%, p value < 0.0001), but not initial therapy (51.8% vs. 52%, p value = 0.8696). Depression was also more common in patients in DMPs than those in SC (26.8% vs. 17.3%, p value < 0.0001). Within 3 years of therapy initiation, 32.7% of DMP patients and 39.6% of SC patients had discontinued their treatment (p < 0.001). Women with BC who were enrolled in a DMP had a lower risk of discontinuing therapy (HR = 0.91, 95% CI: 0.85-0.98, p value = 0.0092). This risk was also slightly higher in western Germany (HR = 1.13, 95% CI: 1.02-1.24, p value = 0.0143). Involvement in DMPs has a positive impact on the adherence of BC patients.

  20. The Unequal Structure of the German Education System: Structural Reasons for Educational Failures of Turkish Youth in Germany

    PubMed Central

    Fernandez-Kelly, Patricia

    2014-01-01

    The paper examines the educational experiences of Turkish youth in Germany with special references to the statistical data of Educational Report, PISA surveys. The results of the educational statistics of Germany show that more than group characteristics like social and cultural capital, structural and institutional factors (multi-track system with its selective mechanism, education policy, context of negative reception of Germany, institutional discrimination, and lack of intercultural curriculum) could have a decisive role in hampering the educational and labor market integration and social mobility of Turkish youth. This can be explained by a mix of factors: the education system which does not foster the educational progress of children from disadvantaged families; the high importance of school degrees for accessing to the vocational training system and the labor market; and direct and indirect institutional discrimination in educational area in Germany. Thus, this work suggests that the nature of the education system in Germany remains deeply “unequal,” “hierarchical” and “exclusive.” This study also demonstrates maintaining the marginalized position of Turkish children in Germany means that the country of origin or the immigrants’ background is still a barrier to having access to education and the labor market of Germany. PMID:26719817

  1. Communication Indicators. II. 100 Years of Mass Communication in Germany. Communication and Society 4.

    ERIC Educational Resources Information Center

    Galli, Anton; Vogler, Kurt

    This report summarizes the findings of a Unesco-sponsored study designed to identify quantitative relationships between mass communication and economic growth in the Federal Republic of Germany. The first and second sections of the report outline the most important economic and social lines of development in Germany from the end of the nineteenth…

  2. A Survey of Secondary Mathematics Teacher Training Practices in West Germany and the Netherlands.

    ERIC Educational Resources Information Center

    Jansson, Lars C.

    The survey, conducted during 1979-80, focused on practices in the professional component of preservice teacher education in West Germany and the Netherlands. The report is divided into four major sections: (1) the structure of the questionnaire (included in the appendix), (2) the West Germany results, (3) the Dutch results, and (4) concluding…

  3. Demographic Changes in Germany up to 2060 - Consequences for Blood Donation.

    PubMed

    Ehling, Manfred; Pötzsch, Olga

    2010-06-01

    This paper outlines the results of a most recent model calculation regarding the structure and development of Germany's population by 2060 with the aim to provide basic demographic data for the future provision of blood components to the population. Firstly, the paper describes the assumptions on fertility, life expectancy and Germany's balance of immigration and emigration which formed the basis for the projection. The following part discusses the results, quantifies future changes in the size and age structure of Germany's population, and illustrates the effects of demographic trends which can be identified from today's point of view. The number of potential blood donors will decline in absolute and relative terms (related to the total population and the age group of 'non-donors') in the future. This holds true for both the age bracket of 18 to 68 years and the alternatively chosen age group of 17 to 70 years. Depending on the variant, the population of blood donation age will decrease by one quarter to one third until 2060.

  4. 78 FR 23220 - Lightweight Thermal Paper From Germany: Final Results of Antidumping Duty Administrative Review...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-18

    ... DEPARTMENT OF COMMERCE International Trade Administration [A-428-840] Lightweight Thermal Paper... administrative review of the antidumping duty order on lightweight thermal paper from Germany.\\1\\ The period of... entitled ``Final Results of Review.'' \\1\\ See Lightweight Thermal Paper from Germany; Preliminary Results...

  5. Was Nazi Germany on the Road to an Atomic Bomb after all?

    NASA Astrophysics Data System (ADS)

    Lustig, Harry

    2006-04-01

    The story of Germany's efforts to develop a nuclear weapon during World War II is a much written about and contentious subject. However there has been agreement on one thing: by the end of the War the Germans had not achieved and were nowhere near to building a bomb. The dispute therefore has been about why Germany did not succeed. Now, from Germany, comes a challenge to this truth, in the provocative book Hitlers Bombe by Rainer Karlsch. The bombshell in Hitler's Bombe is the assertion that German scientists developed and tested a primitive fission and fusion nuclear weapon in March 1945. Karlsch bases this claim on testimony of witnesses in 1962, previously secret Russian documents, and the results of soil tests carried out in 2004 and 2005. However the physics is very murky and it seems out of the question that Germany had enough Uranium 235 or produced any Plutonium for a bomb. Hitlers Bombe also makes other, better documented and more credible revisionist assertions. These include the claim that the Nazis did continue to try to build a bomb after 1942 and that not Werner Heisenberg, but Kurt Diebner and Walther Gerlach were then the leaders of the German Uranium project. Karlsch's book therefore deserves more attention from physicists and historians than it has received in the United States.

  6. Epizootic emergence of Usutu virus in wild and captive birds in Germany.

    PubMed

    Becker, Norbert; Jöst, Hanna; Ziegler, Ute; Eiden, Martin; Höper, Dirk; Emmerich, Petra; Fichet-Calvet, Elisabeth; Ehichioya, Deborah U; Czajka, Christina; Gabriel, Martin; Hoffmann, Bernd; Beer, Martin; Tenner-Racz, Klara; Racz, Paul; Günther, Stephan; Wink, Michael; Bosch, Stefan; Konrad, Armin; Pfeffer, Martin; Groschup, Martin H; Schmidt-Chanasit, Jonas

    2012-01-01

    This study aimed to identify the causative agent of mass mortality in wild and captive birds in southwest Germany and to gather insights into the phylogenetic relationship and spatial distribution of the pathogen. Since June 2011, 223 dead birds were collected and tested for the presence of viral pathogens. Usutu virus (USUV) RNA was detected by real-time RT-PCR in 86 birds representing 6 species. The virus was isolated in cell culture from the heart of 18 Blackbirds (Turdus merula). USUV-specific antigen was demonstrated by immunohistochemistry in brain, heart, liver, and lung of infected Blackbirds. The complete polyprotein coding sequence was obtained by deep sequencing of liver and spleen samples of a dead Blackbird from Mannheim (BH65/11-02-03). Phylogenetic analysis of the German USUV strain BH65/11-02-03 revealed a close relationship with strain Vienna that caused mass mortality among birds in Austria in 2001. Wild birds from lowland river valleys in southwest Germany were mainly affected by USUV, but also birds kept in aviaries. Our data suggest that after the initial detection of USUV in German mosquitoes in 2010, the virus spread in 2011 and caused epizootics among wild and captive birds in southwest Germany. The data also indicate an increased risk of USUV infections in humans in Germany.

  7. [Gene therapy in Germany: from past to present].

    PubMed

    Kim, Young; Schmidt-Wolf, Ingo G H

    2015-04-01

    In 1994, the first clinical gene therapy trial was performed in Germany. Since then more than 2000 clinical gene therapy trials have been performed worldwide. After 20 years, a short résumé is drawn here. © Georg Thieme Verlag KG Stuttgart · New York.

  8. Kids in Germany: Comparing Students from Different Cultures.

    ERIC Educational Resources Information Center

    Fitzhugh, William P.

    This unit of study, intended for intermediate grade students, focuses on comparing students from different cultures: Germany and the United States. The unit addresses National Social Studies Standards (NCSS) standards; presents an introduction, such as purpose/rationale; cites a recommended grade level; states objectives; provides a time…

  9. School Psychology in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Mietzel, Gerd; And Others

    1987-01-01

    Reviews origins and evaluation of the present status of school psychology in the Federal Republic of Germany, emphasizing strict separation of school tracks. Notes that system has been evolving into more flexible organizational structure in recent years. Discusses roles and functions of school psychology, administration, training, relationships…

  10. Effects of Globalisation on Higher Engineering Education in Germany--Current and Future Demands

    ERIC Educational Resources Information Center

    Morace, Christophe; May, Dominik; Terkowsky, Claudius; Reynet, Olivier

    2017-01-01

    Germany is well known around the world for the strength of its economy, its industry and for the "German model" for higher engineering education based on developing technological skills at a very high level. In this article, we firstly describe the former and present model of engineering education in Germany in a context of the…

  11. The Technology in the Programs of Life Sciences in Turkey and Sachunterricht in Germany

    ERIC Educational Resources Information Center

    Keskin, Tuba

    2017-01-01

    The purpose of this study is to compare the gains of the Life Sciences program in Turkey and the Life sciences program (Sachunterricht) used in the state of Niedersachsen in Germany. The study aiming to compare the technology-related acquisitions in Life sciences program in Turkey and Germany is a comparative education research that used…

  12. The severe hailstorm in Germany on 28 July 2013: Characteristics and meteorological conditions

    NASA Astrophysics Data System (ADS)

    Kunz, Michael; Blahak, Ulrich; Handwerker, Jan; Schmidberger, Manuel; Mohr, Susanna; Jürgen Punge, Heinz; Fluck, Elody; Mühr, Bernhard

    2015-04-01

    At the end of July 2013, a series of violent thunderstorms with large hail, severe gusts and heavy rain affected several parts of Germany. These storms were triggered by pre-frontal convergence zones that formed within unstable air masses ahead of a low pressure system named Andreas. They marked the end of a short, but intense heat wave with temperatures up to 38°C. On 28 July, two supercell thunderstorms formed in the Rhine valley upstream of the Black Forest Mountains and moved almost parallel over the Swabian Jura and Bavaria. While the northern cell was weaker, the southern cell substantially intensified in the first hours and created hailstones with diameters of up to 8 cm. The hail fell mainly over a heavily populated region between the cities of Reutlingen and Tübingen with a high concentration of exposed assets. The track of that supercell ended in the north of Czech Republic and had a length of 500 km. Approximately 80,000 buildings were severely damaged by this major hailstorm. In total, insured loss was estimated to amount around 2 bn EURO, which is even higher than that related to the June flood in Germany in the same year. In this paper we investigate the temporal evolution and the characteristics of the most damaging supercell on 28 July by combining different data from remote sensing instruments such as radar, satellite, and lightning detection systems with ground-based observations and reports from eye-witnesses and a crop insurance company. Additional simulations with the Consortium for Small Scale Modelling COSMO-DE model with different setups reveal the important role of the cold pool for the triggering of the most severe hail cell. It will be shown that a major problem for simulating the storm was its initiation, while, once triggered artificially by 'warm bubbles', its track could be simulated rather well over several hours. Moreover, the operational COSMO version has some problems to simulate the observed reflectivity structure of the

  13. Space Radar Image of Rhine River, France and Germany

    NASA Image and Video Library

    1999-04-15

    This spaceborne radar image shows a segment of the Rhine River where it forms the border between the Alsace region of northeastern France on the left and the Black Forest region of Germany on the right.

  14. Democracy in Action: 40 Years, Federal Republic of Germany. A Practical Guide for Teachers.

    ERIC Educational Resources Information Center

    Reeve, Ines; And Others

    This guide celebrates the 40th anniversary, in 1989, of the Federal Republic of Germany and is designed to provide an opportunity to review how firmly the principles of democracy have become established in the people and the government of West Germany today. Part 1 gives an overview of the West German democratic experience, covering such topics as…

  15. Welcome to the Land of the Ideas: The Goethe Institute Fellowship Tour of Germany

    ERIC Educational Resources Information Center

    Samuelson, Keith

    2007-01-01

    There are many valid reasons for participating in an educators' tour of Germany. It is a nation that has a legacy of literary and political thought that has had a profound impact on the evolution of Western civilization. Germany has offered the world artistic and scientific genius and been the source of devastating war and unprecedented genocide.…

  16. Fatal Balamuthia mandrillaris infection in a gorilla - first case of balamuthiasis in Germany.

    PubMed

    Mätz-Rensing, Kerstin; Kunze, Marius; Zöller, Martina; Roos, Christian; Kiderlen, Albrecht F; Ludwig, Carsten; Kaup, Franz-Josef

    2011-12-01

    A 12-year-old female western lowland gorilla died in a zoological garden in Germany after exhibiting general neurological signs. Balamuthia mandrillaris was identified as causative agent by indirect immunofluorescent staining of brain sections and confirmed by PCR and respective sequencing. The animal suffered from a chronic progressive necrotizing amebic meningoencephalitis. This is the first case of Balamuthia amebic encephalitis in Germany. © 2011 John Wiley & Sons A/S.

  17. 75 FR 27538 - Brass Sheet and Strip from Germany: Extension of Time Limit for the Final Results of Antidumping...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-17

    ... Germany: Extension of Time Limit for the Final Results of Antidumping Duty Administrative Review AGENCY... administrative review of the antidumping duty order on brass sheet and strip from Germany covering one respondent... Sheet and Strip From Germany: Preliminary Results of Antidumping Duty Administrative Review, 75 FR 18801...

  18. Governance and Funding of Higher Education in Germany.

    ERIC Educational Resources Information Center

    Hufner, Klaus

    2003-01-01

    Describes the complex functioning of decision making in relation to legal, administrative, planning, and financial matters in Germany, examining the current increase of privatization of higher education and the ensuring legal and financial problem, and discussing the introduction of new funding schemes based on performance indicators which augur…

  19. Factors influencing uptake of HPV vaccination among girls in Germany.

    PubMed

    Schülein, Stefanie; Taylor, Katherine J; König, Jochem; Claus, Matthias; Blettner, Maria; Klug, Stefanie J

    2016-09-20

    Adequate coverage is key to the success of human papillomavirus (HPV) vaccination programmes. There is currently no organised HPV vaccination programme in Germany. The aim of this analysis was to determine HPV vaccine uptake as well as factors associated with uptake in nine to 17 year-old girls in Germany during the first year of vaccine availability. This analysis is based on data from the Healthcare Access Panel, an established population-based household panel consisting of 55 000 representative households in Germany who were contacted between September and October 2007. A total of 4 747 households included at least one girl aged nine to 17 years. After reading a description of the HPV vaccine, these girls were asked, "Would you have yourself vaccinated against HPV?" Logistic regression analyses were performed to investigate associations between vaccination status and socio-demographic characteristics of the girls and their mothers. Of the 4 747 girls in the households who received questionnaires, 2 224 (46.9 %) participated in the study and 1 906 (40.2 %) answered the vaccination question. A total of 17.4 % of the girls were already vaccinated, 61.5 % felt positively about doing so, 4.7 % said they would not be vaccinated, and 16.3 % were not sure. The probability of a girl being vaccinated increased with each additional year of age (Odds Ratio (OR): 1.6, 95 % Confidence Interval (CI) 1.5-1.7). Among the 17 year-old girls, 38.5 % (95 % CI 32.6-44.4 %) had been vaccinated. Having a mother with high education (OR: 1.5, 95 % CI 1.0-2.3) or medium education (OR: 1.5, 95 % CI 1.1-2.1) versus basic education was a significant predictor for having been vaccinated. Similarly, medium (OR: 1.5, 95 % CI 1.0-2.4) versus low SES was significantly associated with having been vaccinated. Our analysis showed that during the first year of HPV vaccine availability in Germany, vaccination uptake was low. Countries with organised HPV vaccination programmes showed

  20. [Acceptance of post-mortem organ donation in Germany : Representative cross-sectional study].

    PubMed

    Tackmann, E; Dettmer, S

    2018-02-01

    The German post-mortem organ donation rate has dropped by one third since 2010. Furthermore, 958 patients died in 2015 in Germany while waiting for an organ. To decrease organ shortage, an amendment of the transplantation law was established in 2012. An information package including an organ donor card is sent to all German citizens via the postal service. A voluntary national transplantation register was introduced in 2016 to improve transparency in the organ donation process. The influence of several transplantation scandals starting in 2012 on organ donation rates is in question. Therefore, the objective of this article is to discuss approval and objections to post-mortem organ donation among the next of kin of potential donors and the general public in Germany. Binary logistic regression of data from the 2014 survey by the Federal Centre for Health Education on attitudes towards organ and tissue donation in Germany was conducted, aiming to identify influencing factors on the likelihood of organ donor card possession. Additionally, data of the German Organ Transplantation Foundation on post-mortem organ donations in Germany in 2014 were studied to highlight reasons for approval and objections by next of kin of potential and explanted post-mortem organ donors. Methods of documentation of the deceased's will according to data of the German Organ Transplantation Foundation were analyzed. Male gender and lack of knowledge about organ donation decrease the likelihood of having an organ donor card. Of the respondents in the survey of the Federal Centre for Health Education 71.0% would donate their own organs, whereas only one third possess an organ donor card. Health insurances and physicians are the most important providers of organ donor cards in Germany. An increase in the percentage of organ donor card possession following the amendment of the transplantation law could not be observed by 2016. Fear of organ trade and unjust organ allocation are the main reasons

  1. Recent cancer survival in Germany: an analysis of common and less common cancers.

    PubMed

    Jansen, Lina; Castro, Felipe A; Gondos, Adam; Krilaviciute, Agne; Barnes, Benjamin; Eberle, Andrea; Emrich, Katharina; Hentschel, Stefan; Holleczek, Bernd; Katalinic, Alexander; Brenner, Hermann

    2015-06-01

    The monitoring of cancer survival by population-based cancer registries is a prerequisite to evaluate the current quality of cancer care. Our study provides 1-, 5- and 10-year relative survival as well as 5-year relative survival conditional on 1-year survival estimates and recent survival trends for Germany using data from 11 population-based cancer registries, covering around one-third of the German population. Period analysis was used to estimate relative survival for 24 common and 11 less common cancer sites for the period 2007-2010. The German and the United States survival estimates were compared using the Surveillance, Epidemiology and End Results 13 database. Trends in cancer survival in Germany between 2002-2004 and 2008-2010 were described. Five-year relative survival increased in Germany from 2002-2004 to 2008-2010 for most cancer sites. Among the 24 most common cancers, largest improvements were seen for multiple myeloma (8.0% units), non-Hodgkin lymphoma (6.2% units), prostate cancer (5.2% units) and colorectal cancer (4.6% units). In 2007-2010, the survival disadvantage in Germany compared to the United States was largest for cancers of the mouth/pharynx (-11.0% units), thyroid (-6.8% units) and prostate (-7.5% units). Although survival estimates were much lower for elderly patients in both countries, differences in age patterns were observed for some cancer sites. The reported improvements in cancer survival might reflect advances in the quality of cancer care on the population level as well as increased use of screening in Germany. The survival differences across countries and the survival disadvantage in the elderly require further investigation. © 2014 UICC.

  2. Photovoltaic power generation; Proceedings of the EC Contractors' Meeting, Hamburg, West Germany, July 12, 13, 1983

    NASA Astrophysics Data System (ADS)

    Palz, W.

    Several operational examples of photovoltaic (PV) power generation systems in Europe are described. The systems include: a 300 kW power plant in Pellworm, West Germany; the Tremiti desalination plant in Tremiti, Italy; and the Kythnos PV power plant in Kythnos, Greece. Consideration is also given to a PV-powered swimming pool heating system in Chevretogne, Belgium; a rural electrification program using PV power plants in French Guyana; a solar-wind project on Terschelling Island, the Netherlands; and a PV power plant for hydrogen production and water pumping in Hoboken, Belgium. A 30-kW power station in Marchwood, England and the Nice airport survey and control system are also cited as examples of successful PV power generation systems.

  3. Germany Since Unification. Workshop Leader's Manual. An Introduction to Social Studies Instructional Resource Materials for Teaching about Germany Since Unification.

    ERIC Educational Resources Information Center

    Blankenship, Glen

    This manual is designed to offer support for the instructional resources guides on "Germany since Unification." It provides the basis for a full-day inservice training session on the use of those materials. The format can be modified to meet the needs of leaders, audiences, and time frames. Using the materials developed by teachers and…

  4. 76 FR 36901 - Brass Sheet and Strip From Germany: Extension of Time Limits for Preliminary and Final Results of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-23

    ... Germany: Extension of Time Limits for Preliminary and Final Results of Full Third Five-Year (``Sunset... a full sunset review of the antidumping duty order on brass sheet and strip from Germany. See... and Strip from Germany'' (June 7, 2011). Extension of Time Limits In accordance with section 751(c)(5...

  5. 76 FR 58299 - Brass Sheet and Strip From France, Germany, Italy, and Japan; Scheduling of a Full Five-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-20

    ...)] Brass Sheet and Strip From France, Germany, Italy, and Japan; Scheduling of a Full Five-Year Review Concerning the Antidumping Duty Order on Brass Sheet and Strip From France, Germany, Italy, and Japan AGENCY... strip from France, Germany, Italy, and Japan would be likely to lead to continuation or recurrence of...

  6. Germany As We Saw It. Third Edition, 1963.

    ERIC Educational Resources Information Center

    Stanford Univ., CA.

    Closeup studies of German life in the Stuttgart area are reported here by 79 participants of Stanford University's 1963 National Defense Education Act Second-Level Institute for Elementary and Secondary School Teachers held at Bad Boll, Germany. Elementary and secondary education, work and family life, and housing and housing developments are…

  7. Data of a willingness to pay survey for national climate change mitigation policies in Germany.

    PubMed

    Uehleke, Reinhard

    2016-06-01

    The dataset includes responses from a contingent valuation study about the national climate change mitigation policies in Germany. The online survey was carried out in the spring of 2014. It assesses the willingness to pay for an increase of the national CO2 reduction target by 10 percentage points, which closely represents Germany׳s climate change mitigation strategy. Respondents were randomly allocated to one of the following three question formats: The dichotomous choice referendum, the dissonance minimizing referendum and the two-sided payment ladder. The data can be used to investigate the influence of alternative statistical approaches on the willingness to pay measures and their comparison across question formats.

  8. Germany and the Future of Nuclear Deterrence in Europe

    DTIC Science & Technology

    1992-12-01

    OF GERMANY PRIOR TO REUNIFICATION ........................................ 10 A. INTRODUCTION .................................... 10 B . 1945-1960...Strategic Thinking and the Role of Franz Josef Strauss ..................................... 19 b . Domestic and International Opposition ............ 23 c...63 B . UNITED KINGDOM .................................. 63 1. Background of Deterrence ........................... 64 2

  9. Germany plans 60m euro physics and medicine lab

    NASA Astrophysics Data System (ADS)

    Stafford, Ned

    2017-09-01

    A new €60m medical-physics research lab is to be built in Erlangen, Germany, by the Max Planck Institute for the Science of Light (MPL) together with the Friedrich Alexander University Erlangen-Nürnberg and the University Hospital Erlangen.

  10. Federal Republic of Germany: family planning, family policy and demographic policy.

    PubMed

    Zuhlke, W

    1989-01-01

    Decades of social change in West Germany and the emergence of an ideology that stresses individualism have altered dramatically procreative behavioral patterns. At present, West Germany is characterized by a low marriage rate (6.1/1000 in 1986), declining fertility (10.3 birth/1000), rising divorce rates (20.1/1000), and increases in the proportion of single-person households (34%). The relationship between family planning, family policy, and demographic policy is unclear and changing. Family planning practice is viewed as a part of comprehensive life planning and is based on factors such as partnership or marital status, sex roles, the conflict between working in the home and having a career, consumer aspirations, and housing conditions. The Government's family policy includes the following components: child benefits, tax relief on children, tax splitting arrangements for married couples, childcare allowance, parental leave, student grants, tax deductions for domiciliary professional help and nursing assistance, and the provision of daycare. Thus, West Germany's family policy is directed more at encouraging and facilitating parenthood and family life than at a setting demographic goals. There is no evidence, however, that such measures will be successful and divergent influences of other policy areas are often more compelling. Nor is there any way to quantify the fertility-costing impact of individual family policy measures. The indistinct nature of family planning policy in West Germany mirrors political differences between the current coalition government, which maintains a traditional view of the family, and the opposition Social-Democratic and Green Parties, which question whether the equality of men and women can be achieved in the context of old family structures.

  11. [Prevalence of hearing loss in Northern and Southern Germany. German version].

    PubMed

    von Gablenz, P; Hoffmann, E; Holube, I

    2017-08-01

    The HÖRSTAT study conducted in Northwest Germany yielded hearing impairment in approximately 16% of adults according to the World Health Organization (WHO) criterion. However, the robustness of extrapolations on a national level might be questioned, as the epidemiological data were collected on a regional level. Independently from HÖRSTAT, the "Hearing in Germany" study examined adult hearing in Aalen, a town located in Southwest Germany. Both cross-sectional studies were based on stratified random samples from the general population. Pure-tone average at 0.5, 1, 2, and 4 kHz (PTA4), the prevalence of hearing impairment (WHO criterion: PTA4 in the better ear >25 dB HL), and hearing aid provision were compared. Data from the Aalen study and HÖRSTAT were pooled (n = 3105) to extrapolate the prevalence and degree of hearing impairment for the years 2015, 2020, and 2025. Both studies show very similar results for PTA4. Weighted for official population statistics, the prevalence of hearing impairment according to the WHO criterion is 16.2% among adults, affecting 11.1 million persons in Germany. Due to demographic changes, the prevalence is expected to increase in the medium term by around 1% per 5‑year period. With a similar degree of hearing loss, hearing aid provision differs from place to place. Adjusted for gender and age to the European Standard Population (ESP), the prevalence of hearing impairment observed both in HÖRSTAT and the Aalen sample is considerably lower than reported for international studies. Since the analysis refers to cross-sectional data only, possible cohort effects are not considered in the prevalence projection.

  12. Nationwide Cross-Sectional Study on Bovine Tuberculosis by Intra Vitam Testing in Germany, 2013-2014.

    PubMed

    Menge, C; Köhler, H; Moser, I; Conraths, F J; Homeier, T

    2017-08-01

    Germany was declared officially free from bovine tuberculosis (bTB) effective from 1 July 1996. After the occurrence of several Mycobacterium (M.) bovis outbreaks in north-western Germany in recent years with high intraherd prevalence at the time of detection, the reliability of abattoir surveillance as the principal component of the national bTB control programme was debated by veterinary public health officials. Rising numbers of wildlife-associated outbreaks caused by M. caprae in southern Germany eventually prompted a nationwide cross-sectional study on bTB. A total of 51 999 cattle, that is 0.41% of the national herd kept on 1.73% of German cattle farms, were tested. Despite 4 positive and 152 inconclusive single intradermal comparative cervical test results, none of the animals was confirmed as bTB-positive by a subsequent interferon-release assay or by post-mortem PCR testing. The estimated prevalence of bTB in Germany was thus calculated as 0.0% (CI 0.0000-0.0064%) affirming that Germany still qualifies as an officially tuberculosis-free (OTF) country. Occasional randomized nationwide testing can be an appropriate tool to reassure the OTF status and may also help to maintain an appropriate training level for the diagnostic procedures and for supporting sustained disease awareness among stakeholders. © 2016 Blackwell Verlag GmbH.

  13. Recent Trends in Survival of Patients With Pancreatic Cancer in Germany and the United States.

    PubMed

    Sirri, Eunice; Castro, Felipe Andres; Kieschke, Joachim; Jansen, Lina; Emrich, Katharina; Gondos, Adam; Holleczek, Bernd; Katalinic, Alexander; Urbschat, Iris; Vohmann, Claudia; Brenner, Hermann

    2016-07-01

    Survival improvement for pancreatic cancer has not been observed in the last 4 decades. We report the most up-to-date population-based relative survival (RS) estimates and recent trends in Germany and the United States. Data for patients diagnosed in 1997 to 2010 and followed up to 2010 were drawn from 12 population-based German cancer registries and the US SEER (Surveillance, Epidemiology and End Results) 13 registries database. Using period analysis, 5-year RS for 2007 to 2010 was derived. Model-based period analysis was used to assess 5-year RS time trends, 2002-2010. In total 28,977 (Germany) and 34,793 (United States) patients aged 15 to 74 years were analyzed. Five-year RS was 10.7% and 10.3% in Germany and the United States, respectively, and strongly decreased with age and tumor spread. Prognosis slightly improved from the period 2002-2004 to 2008-2010 (overall age-adjusted RS: +2.5% units in Germany and +3.4% units in the United States); improvement was particularly strong for regional stage and head and body subsites in Germany and for localized and regional stages and tail subsite in the United States. Although pancreatic cancer survival continues to be poor for advanced-stage patients, our study disclosed encouraging indications of first improvements in 5-year RS after decades of stagnation.

  14. Innovative treatment trains of bottom ash (BA) from municipal solid waste incineration (MSWI) in Germany.

    PubMed

    Holm, Olaf; Simon, Franz-Georg

    2017-01-01

    The industrial sector of bottom ash (BA) treatment from municipal solid waste incineration (MSWI) in Germany is currently changing. In order to increase the recovery rates of metals or to achieve a higher quality of mineral aggregates derived from BA, new procedures have been either implemented to existing plants or completely new treatment plants have been built recently. Three treatment trains, which are designated as entire sequences of selected processing techniques of BA, are introduced and compared. One treatment train is mainly characterized by usage of a high speed rotation accelerator whereas another is operating completely without crushing. In the third treatment train the BA is processed wet directly after incineration. The consequences for recovered metal fractions and the constitution of remaining mineral aggregates are discussed in the context of legislative and economical frameworks. Today the recycling or disposal options of mineral residues still have a high influence on the configuration and the operation mode of the treatment trains of BA despite of the high value of recovered metals. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. High probability of comorbidities in bronchial asthma in Germany.

    PubMed

    Heck, S; Al-Shobash, S; Rapp, D; Le, D D; Omlor, A; Bekhit, A; Flaig, M; Al-Kadah, B; Herian, W; Bals, R; Wagenpfeil, S; Dinh, Q T

    2017-04-21

    Clinical experience has shown that allergic and non-allergic respiratory, metabolic, mental, and cardiovascular disorders sometimes coexist with bronchial asthma. However, no study has been carried out that calculates the chance of manifestation of these disorders with bronchial asthma in Saarland and Rhineland-Palatinate, Germany. Using ICD10 diagnoses from health care institutions, the present study systematically analyzed the co-prevalence and odds ratios of comorbidities in the asthma population in Germany. The odds ratios were adjusted for age and sex for all comorbidities for patients with asthma vs. without asthma. Bronchial asthma was strongly associated with allergic and with a lesser extent to non-allergic comorbidities: OR 7.02 (95%CI:6.83-7.22) for allergic rhinitis; OR 4.98 (95%CI:4.67-5.32) allergic conjunctivitis; OR 2.41 (95%CI:2.33-2.52) atopic dermatitis; OR 2.47 (95%CI:2.16-2.82) food allergy, and OR 1.69 (95%CI:1.61-1.78) drug allergy. Interestingly, increased ORs were found for respiratory diseases: 2.06 (95%CI:1.64-2.58) vocal dysfunction; 1.83 (95%CI:1.74-1.92) pneumonia; 1.78 (95%CI:1.73-1.84) sinusitis; 1.71 (95%CI:1.65-1.78) rhinopharyngitis; 2.55 (95%CI:2.03-3.19) obstructive sleep apnea; 1.42 (95%CI:1.25-1.61) pulmonary embolism, and 3.75 (95%CI:1.64-8.53) bronchopulmonary aspergillosis. Asthmatics also suffer from psychiatric, metabolic, cardiac or other comorbidities. Myocardial infarction (OR 0.86, 95%CI:0.79-0.94) did not coexist with asthma. Based on the calculated chances of manifestation for these comorbidities, especially allergic and respiratory, to a lesser extent also metabolic, cardiovascular, and mental disorders should be taken into consideration in the diagnostic and treatment strategy of bronchial asthma. PREVALENCE OF CO-EXISTING DISEASES IN GERMANY: Patients in Germany with bronchial asthma are highly likely to suffer from co-existing diseases and their treatments should reflect this. Quoc Thai Dinh at Saarland

  16. Vocational Training in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Bednarz-Braun, Iris; And Others

    1990-01-01

    Reports on two studies about vocational training in the Federal Republic of Germany (FRG). Finds that there is no uniform system of vocational training, but there are distinct segments with different objectives and different quality. Predicts that the West German system of vocational training will experience a loss of effectiveness unless it…

  17. Cancer survival in Eastern and Western Germany after the fall of the iron curtain.

    PubMed

    Jansen, Lina; Gondos, Adam; Eberle, Andrea; Emrich, Katharina; Holleczek, Bernd; Katalinic, Alexander; Brenner, Hermann

    2012-09-01

    Prior to the German reunification, cancer survival was much lower in East than in West Germany. We compare cancer survival between Eastern and Western Germany in the early twenty-first century, i.e. the second decade after the German reunification. Using data from 11 population-based cancer registries covering a population of 33 million people, 5-year age-standardized relative survival for the time period 2002-2006 was estimated for the 25 most common cancers using model-based period analysis. In 2002-2006, 5-year relative survival was very similar for most cancers, with differences below 3% units for 20 of 25 cancer sites. Larger, statistically significant survival advantages were seen for oral cavity, oesophagus, and gallbladder cancer and skin melanoma in the West and for leukemia in the East. Our study shows that within two decades after the assimilation of political and health care systems, the former major survival gap of cancer patients in Eastern Germany has been essentially overcome. This result is encouraging as it suggests that, even though economic conditions have remained difficult in Eastern Germany, comparable health care provision may nevertheless enable comparable levels of cancer survival within a relatively short period of time.

  18. Increasing use of radical prostatectomy for locally advanced prostate cancer in the USA and Germany: a comparative population-based study.

    PubMed

    Hager, B; Kraywinkel, K; Keck, B; Katalinic, A; Meyer, M; Zeissig, S R; Scheufele, R; Wirth, M P; Huber, J

    2017-03-01

    Current guidelines do not recommend a preferred treatment modality for locally advanced prostate cancer. The aim of the study was to compare treatment patterns found in the USA and Germany and to analyze possible trends over time. We compared 'Surveillance Epidemiology and End Results' (SEER) data (USA) with reports from four German federal epidemiological cancer registries (Eastern Germany, Bavaria, Rhineland-Palatinate, Schleswig-Holstein), both from 2004 to 2012. We defined locally advanced prostate cancer as clinical stage T3 or T4. Exclusion criteria were metastatic disease and age over 79 years. We identified 9127 (USA) and 11 051 (Germany) patients with locally advanced prostate cancer. The share was 2.1% in the USA compared with 6.0% in Germany (P<0.001). In the United States, the utilization of radiotherapy (RT) and radical prostatectomy (RP) was comparably high with 42.0% (RT) and 42.8% (RP). In Germany, the major treatment option was RP with 36.7% followed by RT with 22.1%. During the study period, the use of RP increased in both countries (USA P=0.001 and Germany P=0.003), whereas RT numbers declined (USA P=0.003 and Germany P=0.002). The share of adjuvant RT (aRT) was similar in both countries (USA 21.7% vs Germany 20.7%). We found distinctive differences in treating locally advanced prostate cancer between USA and Germany, but similar trends over time. In the last decade, a growing number of patients underwent RP as a possible first step within a multimodal concept.

  19. Health care use and costs of adverse drug events emerging from outpatient treatment in Germany: a modelling approach.

    PubMed

    Stark, Renee G; John, Jürgen; Leidl, Reiner

    2011-01-13

    This study's aim was to develop a first quantification of the frequency and costs of adverse drug events (ADEs) originating in ambulatory medical practice in Germany. The frequencies and costs of ADEs were quantified for a base case, building on an existing cost-of-illness model for ADEs. The model originates from the U.S. health care system, its structure of treatment probabilities linked to ADEs was transferred to Germany. Sensitivity analyses based on values determined from a literature review were used to test the postulated results. For Germany, the base case postulated that about 2 million adults ingesting medications have will have an ADE in 2007. Health care costs related to ADEs in this base case totalled 816 million Euros, mean costs per case were 381 Euros. About 58% of costs resulted from hospitalisations, 11% from emergency department visits and 21% from long-term care. Base case estimates of frequency and costs of ADEs were lower than all estimates of the sensitivity analyses. The postulated frequency and costs of ADEs illustrate the possible size of the health problems and economic burden related to ADEs in Germany. The validity of the U.S. treatment structure used remains to be determined for Germany. The sensitivity analysis used assumptions from different studies and thus further quantified the information gap in Germany regarding ADEs. This study found costs of ADEs in the ambulatory setting in Germany to be significant. Due to data scarcity, results are only a rough indication.

  20. NATO’s 1979 Dual-Track Decision: National Interests and the Influence of Former Political Leaders of the United States of America and the Federal Republic of Germany

    DTIC Science & Technology

    2014-05-22

    reducing this burden to Department of Defense, Washington Headquarters Services , Directorate for Information Operations and Reports (0704-0188), 1215...Germany contributed fundamentally to the agreement.1 The dual-track decision led to controversial and emotional discussions in the Federal Republic...starting another war. He considered a strong western Social Democracy to be the greatest challenge to Soviet communism . His self-consciousness and

  1. Trends in alcohol-related mortality in East and West Germany, 1980-2014: age, period and cohort variations.

    PubMed

    Piontek, Daniela; Kraus, Ludwig

    2018-05-01

    Several indicators suggest that the extent and trends of alcohol-related mortality differ between East and West Germany. Regional drinking patterns and differences in health-care systems are assumed to affect the risk of dying from an alcohol-induced disease. The study addresses two questions: (1) what are the unbiased and independent age, period and cohort effects on alcohol-related mortality trends in Germany; and (2) do these trends differ between East and West Germany? Data on alcohol-related mortality for East and West Germany came from the national causes of death register for the years 1980-2014. Analyses included all deaths fully attributable to alcohol based on the International Classification of Diseases (ICD-9 and ICD-10). Gender-stratified age-period-cohort analyses were conducted using the intrinsic estimator model. Age effects showed a concave pattern with a peak at ages 55-64 years in both regions. Incidence rate ratios (IRR) in East Germany were highest in the years 1990-1994 (men and women: IRR = 1.52) and declined thereafter. In West Germany, IRR were lowest in 1980-1984 (men: IRR = 0.81, women: IRR = 0.75) and stabilized at approximately 1.10 since 1995-1999. Cohort effects showed continuously lower IRR for those born after 1955-1959 in the East and those born after 1945-1949 in the West. Patterns for males and females were comparable. The results suggest that alcohol-related mortality showed different trends in East and West Germany, which can be explained partly by different drinking patterns before and changes in the health-care system after the reunification. © 2018 Society for the Study of Addiction.

  2. Health utilities in gynecological oncology and mastology in Germany.

    PubMed

    Hildebrandt, Thomas; Thiel, Falk C; Fasching, Peter A; Graf, Christiane; Bani, Mayada R; Loehberg, Christian R; Schrauder, Michael G; Jud, Sebastian M; Hack, Carolin C; Beckmann, Matthias W; Lux, Michael P

    2014-02-01

    Cost increases in the healthcare system are leading to a need to distribute financial resources in accordance with the value of each service performed. Health-economic decision-making models can support these decisions. Due to the previous unavailability of health utilities in Germany (scored states of health as a basis for calculating quality-adjusted life-years, QALYs) for women undergoing treatment, international data are often used for such models. However, these may widely deviate from the values for a woman actually living in Germany. It is, therefore, necessary to collect and analyze health utilities in Germany. In a questionnaire survey, health utilities were collected, along with data for a healthy control group, for 580 female patients receiving treatment in the fields of mastology and gynecological oncology using a German version of the EuroQol questionnaire (EQ-5D) and a visual analogue scale (VAS). Data were also collected for the patients' medical history, tumor disease, and treatment. Significant differences with regard to quality of life were measured in relation to the individual tumor entities and in comparison to the controls. Apart from the healthy control group, patients with breast or cervical carcinoma had the best quality of life. In patients with recurrent and metastatic disease, those with breast carcinoma experienced the greatest impairment of their quality of life. According to current treatment, the most important impairment of life quality occurred in patients under radiotherapy and after surgical treatment. There are significant differences from the health utilities recorded for other countries - for example, the state of health declines much more markedly in patients with metastatic disease among American women with breast carcinoma than among German women, in whom recurrent disease and a first diagnosis of metastasis were comparable. Overall, the VAS was able to distinguish more adequately than the EQ-5D questionnaire between the

  3. Effects of globalisation on higher engineering education in Germany - current and future demands

    NASA Astrophysics Data System (ADS)

    Morace, Christophe; May, Dominik; Terkowsky, Claudius; Reynet, Olivier

    2017-03-01

    Germany is well known around the world for the strength of its economy, its industry and for the 'German model' for higher engineering education based on developing technological skills at a very high level. In this article, we firstly describe the former and present model of engineering education in Germany in a context of the globalisation of the world economy and of higher education, in order to understand how it covers the current demand for engineering resources. Secondly, we analyse the impact of globalisation from a technological perspective. To this end, we describe initiatives for innovation driven by the German federal government and engineering societies, and summarise the first impacts on engineering education and on social competence for engineers. Thirdly, we explore to what extent engineering education in Germany trains engineers in social and intercultural competency to comply with the future demands of the challenge of globalisation.

  4. [Impact of Anthropologic Psychiatry on Psychiatrie-Enquete and Psychiatric Reform in West Germany].

    PubMed

    Söhner, Felicitas; Becker, Thomas; Fangerau, Heiner

    2017-07-01

    Objectives Analysis of the perception of effects of anthropological psychiatry on the Psychiatrie-Enquete and psychiatric reform in the Federal Republic of Germany (West Germany). Methods Qualitative content analysis of expert interviews and systematic literature search. Results Literary sources and expert interviews point to the impact of the anthropologic concept on discourse on and approach to those suffering from mental illness. The attention focused on the visualisation of material-social and subjective living conditions of persons with mental illness. Reform approaches of anthropological psychiatrists were perceived as a basis for the development of social psychiatry. Academic departments of psychiatry in Frankfurt (Zutt, Kulenkampff) and Heidelberg (von Baeyer, Kisker, Häfner) were considered important centres of innovation and reform. Conclusion The thinking of phenomenological-anthropological psychiatry was understood as a facilitator of the Psychiatrie-Enquete and psychiatric reform in West Germany. © Georg Thieme Verlag KG Stuttgart · New York.

  5. Crisis, Conscience, and Choices: Weimar Germany and the Rise of Hitler. Choices for the 21st Century Education Project.

    ERIC Educational Resources Information Center

    Bakker, Don

    This unit is part of a series of curriculum materials that applies the choices approach to critical junctures in history. The focus is on Germany's defeat in World War I and conditions in Germany contributing to the rise of Nazism. Students are provided with background readings on the Weimar Republic, the reparations imposed on Germany with their…

  6. Public health impacts of excess NOx emissions from Volkswagen diesel passenger vehicles in Germany

    NASA Astrophysics Data System (ADS)

    Chossière, Guillaume P.; Malina, Robert; Ashok, Akshay; Dedoussi, Irene C.; Eastham, Sebastian D.; Speth, Raymond L.; Barrett, Steven R. H.

    2017-03-01

    In September 2015, the Volkswagen Group (VW) admitted the use of ‘defeat devices’ designed to lower emissions measured during VW vehicle testing for regulatory purposes. Globally, 11 million cars sold between 2008 and 2015 are affected, including about 2.6 million in Germany. On-road emissions tests have yielded mean on-road NOx emissions for these cars of 0.85 g km-1, over four times the applicable European limit of 0.18 g km-1. This study estimates the human health impacts and costs associated with excess emissions from VW cars driven in Germany. A distribution of on-road emissions factors is derived from existing measurements and combined with sales data and a vehicle fleet model to estimate total excess NOx emissions. These emissions are distributed on a 25 by 28 km grid covering Europe, using the German Federal Environmental Protection Agency’s (UBA) estimate of the spatial distribution of NOx emissions from passenger cars in Germany. We use the GEOS-Chem chemistry-transport model to predict the corresponding increase in population exposure to fine particulate matter and ozone in the European Union, Switzerland, and Norway, and a set of concentration-response functions to estimate mortality outcomes in terms of early deaths and of life-years lost. Integrated over the sales period (2008-2015), we estimate median mortality impacts from VW excess emissions in Germany to be 1200 premature deaths in Europe, corresponding to 13 000 life-years lost and 1.9 billion EUR in costs associated with life-years lost. Approximately 60% of mortality costs occur outside Germany. For the current fleet, we estimate that if on-road emissions for all affected VW vehicles in Germany are reduced to the applicable European emission standard by the end of 2017, this would avert 29 000 life-years lost and 4.1 billion 2015 EUR in health costs (median estimates) relative to a counterfactual case with no recall.

  7. [Microsporum canis: Current data on the prevalence of the zoophilic dermatophyte in central Germany].

    PubMed

    Uhrlaß, S; Krüger, C; Nenoff, P

    2015-11-01

    Microsporum (M.) canis, whose source of infection is mostly cats, is still considered as the most frequently occurring zoophilic dermatophyte in Germany and Europe. In distinct areas of Germany, the zoophilic dermatophyte Trichophyton (T.) anamorph of Arthroderma (A.) benhamiae also presents a frequent and emerging causative agent of dermatophytoses. Over a period of 3 years, from March 2010 to March 2013, skin samples from scalp, face, trunk, and limbs were investigated using mycological cultivation and by polymerase chain reaction (PCR) for dermatophytes. Materials originated in particular from the German Free States Saxony and Thuringia, and from the Federal State Saxony-Anhalt, but also included samples submitted from around Germany. The cultural detection of dermatophytes was performed on Sabouraud's 4% glucose agar with and without cycloheximide. For dermatophyte DNA detection, a uniplex PCR-ELISA was used. In all, 8464 samples from a total of 7680 patients were investigated. In 114 (1.5%) of 7680 patients, M. canis could be detected both by culture and/or PCR. M. canis was detected culturally in 100 samples, in 107 samples by PCR, in 91 samples both culturally and by PCR. For 12 patients, only cultural detection was done (without PCR). Also detected was tinea corporis due to M. canis in 59 patients, tinea capitis 8, tinea faciei 5, and tinea manus 2 patients. Of the patients, 45% were younger than 20 years, 42% were 20-49 years old, and 13% were 50 years or older. In comparison, T. anamorph of A. benhamiae was detectable by culture and/or PCR in 231 of 7680 patients (2.9%). M. canis was the second most common zoophilic dermatophyte. M. canis is still a frequent zoophilic dermatophyte in Germany. Since a few years ago, a rise of infections due to T. anamorph of A. benhamiae has been observed in Germany and other European countries. At least in distinct regions of Germany, this zoophilic dermatophyte, which is transferred from guinea pigs to human beings

  8. Space Research in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Preuss, Karl-Heinz, Ed.; Simen, Rolf H., Ed.

    The Federal Republic of Germany's space policy is designed to promote basic research, contribute to the development of space technology, and apply the findings in the public and private sectors. It is also aimed at enhancing the competitiveness of the West German space industry and helping countries of the Third World to solve their development…

  9. Germany's ECEC Workforce: A Difficult Path to Professionalisation

    ERIC Educational Resources Information Center

    Rauschenbach, Thomas; Riedel, Birgit

    2016-01-01

    In a European comparison, the childcare profession in Germany has taken a distinct path of development which is closely interwoven with the history of early childhood education and care (ECEC) in general. Institutional choices critical to this path are the assignment of childcare as part of social welfare, the pursuit of a maternalist tradition in…

  10. Anaplasma phagocytophilum Infection in Ixodes ricinus, Bavaria, Germany

    PubMed Central

    Gilles, Jérémie; Höhle, Michael; Fingerle, Volker; Just, Frank Thomas; Pfister, Kurt

    2008-01-01

    Anaplasma phagocytophilum DNA was detected by real-time PCR, which targeted the msp2 gene, in 2.9% of questing Ixodes ricinus ticks (adults and nymphs; n = 2,862), collected systematically from selected locations in Bavaria, Germany, in 2006. Prevalence was significantly higher in urban public parks in Munich than in natural forests. PMID:18507918

  11. [Socioeconomic Gradients in Dental Care Accessibility in Germany].

    PubMed

    Leonhardt, Konrad Alexander; Hirsch, Christian

    2017-03-17

    The aim of this study was to determine whether dental care accessibility in Germany from 2002 to 2009 was linked to socioeconomic status (SES) or household net income (HHN). Analysis was based upon a nation-wide cross-sectional survey of German adults from 18 to 79 years (mean 49.1 years; 55% females) which was conducted by the "Bertelsmann Gesundheitsmonitor" from 2002-2009. Patients in Germany visit the dentist 2.4 times per year independently of the SES. Patients with higher income paid per income group 34 € (95%- KI: 6 €-63 €) more for their denture. People from the middle class had 1.28 (95% CI: 1.02-1.22), and people from the upper class had 1.86 (95%-CI: 1.58-2.18) as much dental coinsurance coverage as people from the lower class. The ability to pay for denture and obtain dental insurance coverage rose with higher SES or HHN. The rise of additional payments for dental services leads to discrepancies in dental health care. © Georg Thieme Verlag KG Stuttgart · New York.

  12. Incidence of Narcolepsy in Germany.

    PubMed

    Oberle, Doris; Drechsel-Bäuerle, Ursula; Schmidtmann, Irene; Mayer, Geert; Keller-Stanislawski, Brigitte

    2015-10-01

    Following the 2009 pandemic, reports of an association between an AS03 adjuvanted H1N1 pandemic influenza vaccine and narcolepsy were published. Besides determining background incidence rates for narcolepsy in Germany this study aimed at investigating whether there was a change in incidence rates of narcolepsy between the pre-pandemic, pandemic, and the post-pandemic period on the population level. Retrospective epidemiological study on the incidence of narcolepsy with additional capture-recapture analysis. German sleep centers. Eligible were patients with an initial diagnosis of narcolepsy (ICD10 Code G47.4) within the period from January 1, 2007 to December 31, 2011. None; observational study. A total of 342 sleep centers were invited to participate in the study. Adequate and suitable data were provided by 233 sleep centers (68.1%). A total of 1,198 patients with an initial diagnosis of narcolepsy within the observed period were included, of whom 106 (8.8%) were children and adolescents under the age of 18 years and 1,092 (91.2%) were adults. In children and adolescents, the age-standardized adjusted incidence rate significantly increased from 0.14/100,000 person-years in the pre-pandemic period to 0.50/100,000 person-years in the post-pandemic period (incidence density ratio, IDR 3.57; 95% CI 1.94-7.00). In adults, no significant change was detectable. This increase started in spring 2009. For the years 2007-2011, valid estimates for the incidence of narcolepsy in Germany were provided. In individuals under 18, the incidence rates continuously increased from spring 2009. © 2015 Associated Professional Sleep Societies, LLC.

  13. Analyzing 20 years of Black Carbon measurements in Germany

    NASA Astrophysics Data System (ADS)

    Kutzner, R. D.; Quedenau, J.; Kuik, F.; von Schneidemesser, E.; Schmale, J.

    2016-12-01

    Black Carbon (BC) is an important short-lived climate-forcing pollutant contributing to global warming through absorption of sunlight. In addition, BC, as a component of particulate matter (PM) exerts adverse health effects. Anthropogenic emission sources of BC include residential heating, transport, and agricultural fires, and the dominant natural emission source is wildfires. Despite the adverse effects of BC, legislation that requires mandatory monitoring of BC concentrations does not currently exist in the European Union (EU). Instead, BC is only indirectly monitored as component of PM10 and PM2.5 (PM with a diameter smaller 10 µm and 2.5 µm, respectively). Before the introduction of mandatory PM10 and PM2.5 monitoring in the EU in 2005 and 2015, respectively, `black smoke' (BS), a surrogate for BC, was a required measurement in Germany from the early 1990s. The annual mean limit value was 14 µg/m3 from 1995 and 8 µg/m³ from 1998. In 2004, many measurements were stopped, with the repeal of the regulations. In most German federal states a limited number BC monitoring stations continued to operate. We present a synthesis of BC data from 213 stations across Germany covering the period between 1994 and 2014. Due to the lack of a standardized method and respective legislation, the data set is very heterogeneous relying on twelve different measurement methods including chemical, optical, and thermal-optical methods. Stations include, among others, urban background, traffic and rural. We highlight results from the year 2009, as it is the year with the largest measurement coverage based on the same measurement method, with 28 stations. Further, we calculated trends in BC concentrations for 13 stations with at least 10 years of data, for median concentrations, as well as 5th percentile (background) and 95th percentile (peak episodes). Preliminary results suggest that concentrations have generally declined, with a larger trend at traffic stations compared to urban

  14. Demographic Changes in Germany up to 2060 – Consequences for Blood Donation

    PubMed Central

    Ehling, Manfred; Pötzsch, Olga

    2010-01-01

    Summary This paper outlines the results of a most recent model calculation regarding the structure and development of Germany's population by 2060 with the aim to provide basic demographic data for the future provision of blood components to the population. Firstly, the paper describes the assumptions on fertility, life expectancy and Germany's balance of immigration and emigration which formed the basis for the projection. The following part discusses the results, quantifies future changes in the size and age structure of Germany's population, and illustrates the effects of demographic trends which can be identified from today's point of view. The number of potential blood donors will decline in absolute and relative terms (related to the total population and the age group of ‘non-donors’) in the future. This holds true for both the age bracket of 18 to 68 years and the alternatively chosen age group of 17 to 70 years. Depending on the variant, the population of blood donation age will decrease by one quarter to one third until 2060. PMID:20737016

  15. Experiences with dissection courses in human anatomy: a comparison between Germany and Ethiopia.

    PubMed

    Bekele, Assegedech; Reissig, Dieter; Löffler, Sabine; Hinz, Andreas

    2011-03-01

    Dissection courses in human anatomy are laborious, and new teaching tools have become available. Therefore, some universities intend to reduce the dissection course. Furthermore, little is known about dissection courses in African universities. The aim of this study is to compare the students' experiences with and evaluations of the dissection courses in two universities: Leipzig (Germany) and Gondar (Ethiopia). Since the Gondar Medical College was founded in cooperation with the Leipzig University in 1978, the anatomy courses in both universities follow roughly the same rules. A structured questionnaire was used to assess the dissection courses from the students' point of view. The sample of students consisted of 109 German and 124 Ethiopian first year undergraduate medical students. Most students in both countries (94% in Germany and 82% in Ethiopia) judge the dissection course to be highly relevant compared to other courses. Perceived health hazards associated with dissection of the cadaver show significant differences between Germany (14%) and Ethiopia (44%). Most students had normal feelings again at the end of the dissection course. Further similarities and differences between the courses in Germany and Ethiopia are described. Dissection courses are highly appreciated also in Africa. The high degree of affirmation of the dissection courses should be taken into consideration when discussing modifications of gross anatomy curriculum or changes in the teacher to student ratio. Copyright © 2010 Elsevier GmbH. All rights reserved.

  16. Climate Change: A "Green" Approach to Teaching Contemporary Germany

    ERIC Educational Resources Information Center

    Melin, Charlotte

    2013-01-01

    This article describes a newly designed upper division German language course, "Contemporary Germany: Food, Energy Politics," and two sampling methods of assessment for measuring parallel gains in German skills and sustainable development (SD) thinking. Second Language Acquisition (SLA) informed course design, key assignments, and…

  17. Restructuring Schools for Democracy in the Former East Germany.

    ERIC Educational Resources Information Center

    Dumas, Wayne; Dumas, Alesia; Lee, William B.

    1996-01-01

    Discusses the contentious relationship between educators within the former East Germany and their West German cohorts following reunification. The problems have stemmed from conflicting ideologies and traditions (Marxist versus Christian Democrat and Social Democrat) as well as differences concerning school organization and educational objectives.…

  18. Recruitment of Civil Engineering Students in Germany: Shortage or Overflow?

    ERIC Educational Resources Information Center

    Rothert, Heinrich

    1990-01-01

    Discussed is the recruitment and demand for civil engineering students in Germany. Described is the German engineering education system and the possibility of a joint-venture building industry between the two German states. (KR)

  19. Europe '92: Consequences of the European Unification for Cultural Federalism in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Berggreen, Ingeborg

    1990-01-01

    Discusses consequences of European unification in the Federal Republic of Germany. Focuses on the relationships between the European Community, the federal government of Germany, and the German states. Suggests that the German states are aware of their responsibility to give education and culture a European dimension. (NL)

  20. 77 FR 24221 - Corrosion-Resistant Carbon Steel Flat Products From Germany and Korea; Notice of Commission...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-23

    ...)] Corrosion-Resistant Carbon Steel Flat Products From Germany and Korea; Notice of Commission Determinations... countervailing duty order on corrosion-resistant carbon steel flat products from Korea and the antidumping duty orders on corrosion- resistant carbon steel flat products from Germany and Korea would be likely to lead...

  1. 78 FR 59059 - Grain-Oriented Electrical Steel From China, Czech Republic, Germany, Japan, Korea, Poland, and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... INTERNATIONAL TRADE COMMISSION [Investigation Nos. 701-TA-505 and 731-TA-1231-1237 (Preliminary)] Grain-Oriented Electrical Steel From China, Czech Republic, Germany, Japan, Korea, Poland, and Russia... Republic, Germany, Japan, Korea, Poland, and Russia that are alleged to be sold in the United States at...

  2. Health inequalities in Germany: do regional-level variables explain differentials in cardiovascular risk?

    PubMed Central

    Breckenkamp, Juergen; Mielck, Andreas; Razum, Oliver

    2007-01-01

    Background Socioeconomic status is a predictor not only of mortality, but also of cardiovascular risk and morbidity. An ongoing debate in the field of social inequalities and health focuses on two questions: 1) Is individual health status associated with individual income as well as with income inequality at the aggregate (e. g. regional) level? 2) If there is such an association, does it operate via a psychosocial pathway (e.g. stress) or via a "neo-materialistic" pathway (e.g. systematic under-investment in societal infrastructures)? For the first time in Germany, we here investigate the association between cardiovascular health status and income inequality at the area level, controlling for individual socio-economic status. Methods Individual-level explanatory variables (age, socio-economic status) and outcome data (body mass index, blood pressure, cholesterol level) as well as the regional-level variable (proportion of relative poverty) were taken from the baseline survey of the German Cardiovascular Prevention Study, a cross-sectional, community-based, multi-center intervention study, comprising six socio-economically diverse intervention regions, each with about 1800 participants aged 25–69 years. Multilevel modeling was used to examine the effects of individual and regional level variables. Results Regional effects are small compared to individual effects for all risk factors analyzed. Most of the total variance is explained at the individual level. Only for diastolic blood pressure in men and for cholesterol in both men and women is a statistically significant effect visible at the regional level. Conclusion Our analysis does not support the assumption that in Germany cardiovascular risk factors were to a large extent associated with income inequality at regional level. PMID:17603918

  3. Teaching the Holocaust in the Republic of Germany

    ERIC Educational Resources Information Center

    Ellis, Marsha

    2010-01-01

    The purpose of this paper is to observe the approaches used by educators to facilitate learning about the Holocaust. The examples provided in this paper are one of various approaches that are used by educators teaching in the Federal Republic of Germany. Approaches will be different from country to country, from school to school, and from educator…

  4. Right-Wing Extremist Violence among Adolescents in Germany

    ERIC Educational Resources Information Center

    Sitzer, Peter; Heitmeyer, Wilhelm

    2008-01-01

    What are the preconditions for right-wing extremist violence among German youths? For several years, the rate of this violence has been increasing in Germany, and the same can be observed for right-wing extremist orientations characterized by the coming together of ideologies of unequal worth and the acceptance of violence as a mode of action. And…

  5. Renewable Electricity Policy in Germany, 1974 to 2005

    ERIC Educational Resources Information Center

    Lauber, Volkmar; Mez, Lutz

    2006-01-01

    Of the large industrial countries, Germany is clearly leading with regard to new renewable energy sources, occupying first rank in terms of installed capacity for wind energy and second for photovoltaics. This is not because of an exceptional natural resource base but because of public policy in this area, despite the fact that this policy was…

  6. [Assessing incident cardiovascular and metabolic diseases in epidemiological cohort studies in Germany].

    PubMed

    Herrmann, Wolfram J; Weikert, Cornelia; Bergmann, Manuela; Boeing, Heiner; Katzke, Verena A; Kaaks, Rudolf; Tiller, Daniel; Greiser, Karin Halina; Heier, Margit; Meisinger, Christa; Schmidt, Carsten Oliver; Neuhauser, Hannelore; Heidemann, Christin; Jünger, Claus; Wild, Philipp S; Schramm, Sara Helena; Jöckel, Karl-Heinz; Dörr, Marcus; Pischon, Tobias

    2018-04-01

    Cardiovascular and metabolic diseases are a major cause of mortality and loss of quality of life in Germany. Research into risk factors of these diseases requires large population-based cohort studies. Complete and accurate assessment of the incidence of cardiovascular and metabolic diseases is a key element for valid interpretation of the results from such studies. Our aim was to identify population-based cohort studies with incidence of cardiovascular and metabolic diseases in Germany and to summarize their methods for assessment and classification of disease endpoints, including myocardial infarction, type 2 diabetes, stroke, heart failure, and arterial hypertension. Within the framework of a workshop, representatives of the ascertained population-based cohort studies in Germany with incidence of cardiovascular or metabolic diseases were invited to present and to systematically provide information on their methods of endpoint identification. We identified eight studies from different regions in Germany with a total of 100,571 participants, aged 18-83 years at baseline. Self-reporting by study participants is the major source for further inquiries to assess disease endpoints in these studies. Most studies use additional data sources to verify the incidence of diseases, such as documents provided by the treating physician or hospital. Our results highlight the central role of self-reporting and the efforts associated with identification and verification of disease endpoints in cohort studies. They also provide a basis for future population-based studies that aim for standardized assessment of the incidence of cardiovascular and metabolic diseases.

  7. [Pandemic without drama. Influenza vaccination and Asian flu in Germany].

    PubMed

    Witte, Wilfried

    2013-01-01

    The history of the 1957/58 Asian flu in Germany is systematically presented for the first time. The focus is on flu vaccination, which is discussed as a yardstick of the perception of the pandemic. International expertise on influenza virology was predominantly based in Anglo-Saxon countries. German microbiologists issued no clear recommendation for preventative vaccination until 1960. Instead, quinine was relied upon as the traditional medicinal prophylaxis. Antibiotics were more frequently administered. In East Germany, little fuss was made over the Asian flu. In line with the authorities' social hygiene orientation, vaccination was accepted as a matter of principle. In the Federal Republic and West Berlin, the population rejected the vaccination largely. It was seen as a scandal that many employees were on sick leave because of the flu, thus adversely affecting the economy.

  8. Maternal employment and childhood overweight in Germany.

    PubMed

    Meyer, Sophie-Charlotte

    2016-12-01

    A widespread finding among studies from the US and the UK is that maternal employment is correlated with an increased risk of child overweight, even in a causal manner, whereas studies from other countries obtain less conclusive results. As evidence for Germany is still scarce, the purpose of this study is to identify the effect of maternal employment on childhood overweight in Germany using two sets of representative micro data. We further explore potential underlying mechanisms that might explain this relationship. In order to address the selection into maternal full-time employment, we use an instrumental variable strategy exploiting the number of younger siblings in the household as an instrument. While the OLS models suggest that maternal full-time employment is related to a 5 percentage point higher probability of the child to be overweight, IV estimates indicate a 25 percentage points higher overweight probability due to maternal full-time employment. Exploring various possible pathways, we find that maternal full-time employment promotes unhealthy dietary and activity behavior which might explain the positive effect of maternal employment on child overweight to some extent. Although there are limitations to our IV approach, several sensitivity analyses confirm the robustness of our findings. Copyright © 2016 Elsevier B.V. All rights reserved.

  9. Germany-US Nuclear Theory Exchange Program for QCD Studies of Hadrons & Nuclei 'GAUSTEQ'

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

    Dudek, Jozef; Melnitchouk, Wally

    GAUSTEQ was a Germany-U.S. exchange program in nuclear theory whose purpose was to focus research efforts on QCD studies of hadrons and nuclei, centered around the current and future research programs of Jefferson Lab and the Gesellschaft fur Schwerionenforschung (GSI) in Germany. GAUSTEQ provided travel support for theoretical physicists at US institutions conducting collaborative research with physicists in Germany. GSI (with its Darmstadt and Helmholtz Institute Mainz braches) served as the German “hub” for visits of U.S. physicists, while Jefferson Lab served as the corresponding “hub” for visits of German physicists visiting U.S. institutions through the reciprocal GUSTEHP (German-US Theorymore » Exchange in Hadron Physics) program. GAUSTEQ was funded by the Office of Nuclear Physics of the U.S. Department of Energy, under Contract No.DE-SC0006758 and officially managed through Old Dominion University in Norfolk, Virginia. The program ran between 2011 and 2015.« less

  10. Cultural Reflections: Work, Politics, and Daily Life in Germany. Social Studies Grades 9-12. Update 2002.

    ERIC Educational Resources Information Center

    Blankenship, Glen; Tinkler, D. William

    This instructional package, consisting of a text and 16 transparencies, is designed for the high school classroom. The three lessons in this instructional package are: (1) "The German Worker" (six activities); (2) "Government in Germany" (seven activities); and (3) "Culture and Daily Life in Germany" (six activities).…

  11. How immigrants adapt their smoking behaviour: comparative analysis among Turkish immigrants in Germany and the Netherlands.

    PubMed

    Reiss, Katharina; Sauzet, Odile; Breckenkamp, Jürgen; Spallek, Jacob; Razum, Oliver

    2014-08-14

    Smoking behaviour among immigrants is assumed to converge to that of the host country's majority population with increasing duration of stay. We compared smoking prevalence among Turkish immigrants residing in two different countries (Germany (DE)/the Netherlands (NL)) between and within countries by time spent in Turkey and DE/NL. The German 2009 micro-census and the Dutch POLS database (national survey, 1997-2004) were analysed. An interaction variable with dichotomised length of stay (LOS) in Turkey (age: 0-17; 18+) and categorised LOS in the host country (immigration year: 1979 and earlier, 1980-1999, 2000-2009; the latter only for Germany) was generated. Age standardised smoking prevalences and sex-specific logistic regression models were calculated. 6,517 Turkish participants were identified in Germany, 2,106 in the Netherlands. Age-standardised smoking prevalences were higher among Turkish immigrants in the Netherlands compared to those in Germany: 62.3% vs. 53.1% (men/lower education); 30.6% vs. 23.0% (women/lower education). A similar trend was observed for the majority population of both countries. The chance of being a smoker was lower among Turkish men with short LOS in Turkey and middle LOS in Germany/the Netherlands compared to those with short LOS in Turkey and long LOS in Germany/the Netherlands (NL: OR = 0.57[95% CI = 0.36-0.89]; DE: OR = 0.73[95% CI = 0.56-0.95]). Contrary to that, the chance of being a smoker was higher among Turkish men with long LOS in Turkey and middle LOS in Germany/the Netherlands compared to those with long LOS in Turkey and long LOS in Germany/the Netherlands (NL: OR = 1.35[95% CI = 0.79-2.33]; DE: OR = 1.44[95% CI = 1.03-2.02]). The effects for Turkish women were similar, but smaller and often non-significant. Turkish immigrants adapt their smoking behaviour towards that of the Dutch/German majority population with increasing duration of stay. This was particularly obvious among those who left Turkey before the age of 18

  12. Blood Versus Land: The Comparative Foundations for Citizenship and Voting Rights in Germany and Sweden

    DTIC Science & Technology

    2010-03-01

    the political process. This thesis will examine how two major immigrant destination states within the European Union extend voting rights to...PAGES 77 14. SUBJECT TERMS Germany, Sweden, European Union , Voting rights, Franchise, Citizenship, Immigration, Immigrant, Migration, Nationalism 16...within the European Union extend voting rights to immigrants from outside the EU. These will be Germany and Sweden. The thesis concludes that the

  13. Professionalisation in General Adult Education in Germany--An Attempt to Cut a Path through a Jungle

    ERIC Educational Resources Information Center

    Dausien, Bettina; Schwendowius, Dorothee

    2009-01-01

    The article summarizes the findings of a study on adult learning professions in Europe (ALPINE) commissioned by DG Education and Culture. It explores the current professional and social situation of staff in non-vocational adult education in Germany. It describes the structures and organisations of general adult education in Germany and…

  14. Immigrants' initial steps in Germany and their later economic success.

    PubMed

    Kogan, Irena; Weißmann, Markus

    2013-09-01

    In line with the emerging research that acknowledges the importance of the process character of immigrants' labour market integration, this paper examines the existence of path dependencies of early employment trajectories on later labour market outcomes. Theoretically we are interested in establishing whether career trajectories provide a distinct signal, used by both employers and employees: a signal that operates apart and beyond the accumulation of host-country relevant resources, especially, host-country labour market experience or training. The analyses are performed with the help of a unique dataset comprised of recent immigrants from the former Soviet Union in Germany. Sequence analysis techniques and multivariate regressions are applied. Results show that starting in higher-status employment leaves a distinguishable imprint on immigrants' later occupational standings, even after the returns to the skills associated with early trajectories are taken into account. At the same time, initial career trajectories do not have any direct effect on wages, apart from the pay-off to relevant skills acquired while pursuing these careers. The findings are discussed in concurrence with the human capital and signalling theories. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. Searching for Telecollaboration in Secondary Geography Education in Germany

    ERIC Educational Resources Information Center

    Deutscher, Jelena

    2016-01-01

    The majority of studies on telecollaboration for educational purposes focus on language-related aspects. Therefore, a qualitative explorative research project was set up at the RuhrUniversity Bochum, Germany, dealing with telecollaboration from the perspective of a non-language discipline; it is based on the approach of transferring…

  16. Casting a University-Wide Net: Teaching "Sustainability in Germany"

    ERIC Educational Resources Information Center

    Ducate, Lara

    2016-01-01

    Due to the connection between Germany and sustainability studies, German Programs are well poised to offer a course on German history, culture, and sustainability to meet the needs of the next generation of students. Interdisciplinary humanities courses that incorporate critical thinking, problem solving, and collaborative learning will help to…

  17. The New Technology in Political Education in West Germany.

    ERIC Educational Resources Information Center

    George, Siegfried

    Debate in West Germany among technicians, economists, politicians, and educators about technological advancement and the use of computers focuses on the need to be informed about the consequences of the technological revolution. Some concerns are that computer use will lead to social isolation, a growing bureaucracy and authoritarian power…

  18. Development and Prospects of Academic Entrepreneurship Education in Germany

    ERIC Educational Resources Information Center

    Klandt, Heinz; Volkmann, Christine

    2006-01-01

    This contribution deals with the development of entrepreneurship education at university level in Germany. Starting with a definition of the concept, the article focuses on relevant issues of entrepreneurship education, such as target groups and teaching formats. With particular emphasis on empirical studies carried out by the German Association…

  19. Cultural Life in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Inter Nationes, Bonn (West Germany).

    By the nature of the subject, it is impossible to do justice to the cultural developments of more than 40 years in a brief survey. The aim of this document is to explore the diverse cultural life of West Germany complete with photographs of past and present artists, art products, and other aspects of German culture. The subject areas treated are:…

  20. 77 FR 28851 - Lightweight Thermal Paper From Germany: Notice of Amended Final Results of the 2009-2010...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-16

    ... DEPARTMENT OF COMMERCE International Trade Administration [A-428-840] Lightweight Thermal Paper... administrative review for lightweight thermal paper (LWTP) from Germany for the period from [[Page 28852... Lightweight Thermal Paper From Germany: Notice of Final Results of the 2009-2010 Antidumping Duty...

  1. 76 FR 40689 - Lightweight Thermal Paper From Germany: Extension of Time Limits for the Preliminary Results of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... DEPARTMENT OF COMMERCE International Trade Administration [A-428-840] Lightweight Thermal Paper From Germany: Extension of Time Limits for the Preliminary Results of Antidumping Duty Administrative... duty order on lightweight thermal paper from Germany (LTWP), covering the period November 1, 2009, to...

  2. 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.

  3. Homozygous familial hypercholesterolemia (HoFH) in Germany: an epidemiological survey.

    PubMed

    Walzer, S; Travers, K; Rieder, S; Erazo-Fischer, E; Matusiewicz, D

    2013-01-01

    In Europe a disease is recognized as rare if less than 1 in 2000 people suffer from the specific disease. In patients with familial homozygous hypercholesterolemia (HoFH) the accumulation of low-density lipoprotein cholesterol (LDL-C) leads to generalized atherosclerosis due to an insufficient functioning of the LDL-C receptors. Patients die early sometimes even in the mid-30s, from myocardial infarction or stroke. For the German population, insufficient epidemiological evidence exists. A systematic literature search in EMBASE and Medline was performed in conjunction with a targeted manual search for epidemiological HoFH studies. Additionally a nationwide survey was conducted in Germany in all identified apheresis- and lipid centers. The purpose of the survey was the validation of the systematic literature search results based on empirical (practice) data. In total 961 publications were found, 874 were excluded based on pre-defined exclusion criteria leaving only 87 for further review. After review of the identified abstracts (n = 87) 23 publications were identified as epidemiological studies. Only one publication was found which reported a prevalence of 1:1,000,000. The qualitative survey among 187 physicians in Germany also revealed a low prevalence: 95 HoFH patients were identified in 35 centers. The estimated frequency of homozygous familial hypercholesterolemia patients in Germany is around 95 (1:860,000) and the disease should be recognized as rare according to the definition of the European Medical Agency.

  4. Allergies in Germany -- prevalence and perception by the public.

    PubMed

    Augustin, Matthias; Franzke, Nadine; Beikert, Florian C; Stadler, Rudolf; Reusch, Michael; Schmitt, Jochen; Schäfer, Ines

    2013-06-01

    During the recent decades allergies have become more frequent all over the world. However, it is unclear how important the topic of allergies is for the general German population and how appropriately patients with allergies are treated. A telephone survey was performed on a representative random sample of n = 1,004 adults in Germany. The survey was performed by the Forsa Institute for Social Research and Statistical Analysis, Berlin, Germany, in the period from 31 January to 2 February 2012. Of the interviewees 52% responded that the topic of allergies concerned them; in 33% actually an allergy had been diagnosed by a physician. The proportion of allergies in the population correlated with the level of school education and was higher among people with a higher educational status. No differences in allergy rates were found between Eastern and Western Germany. Among allergic persons, 53% reported to be burdened by their allergy, 48% suffered from impaired performance because of their allergic symptoms. Among people suffering from pollen allergy, only 28% received sublingual immune therapy, with which 70% were satisfied. While 58% practiced self-medication, only 21% of the allergic persons were treated with anti-allergic drugs during their allergy flares. Allergic diseases are a common, often burdensome problem in the German population, but nevertheless the medical treatment of people affected is still insufficient. The proportion of patients receiving sublingual immune therapy as causal treatment is comparatively low. Active steps are needed to improve the utilization behavior of patients, e. g. to take advice of an allergy specialist. © The Authors • Journal compilation © Blackwell Verlag GmbH, Berlin.

  5. Trends in Authoritarianism: A Study of Adolescents in West Germany and the United States Since 1945.

    ERIC Educational Resources Information Center

    Lederer, Gerda

    1982-01-01

    Surveys carried out in the United States in 1966 and 1978 and in West Germany in 1945 and 1979 showed significant decreases in authoritarianism scale scores in adolescents over time. Although the degree of attitude change was greater in West Germany, American adolescents appear somewhat more authoritarian (in relation to school, family and…

  6. 77 FR 44213 - Corrosion-Resistant Carbon Steel Flat Products From Germany and the Republic of Korea...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... (``CORE'') from Germany and the Republic of Korea (``Korea'') pursuant to section 751(c) of the Tariff Act... determination and determined to conduct full sunset reviews of the AD orders on CORE from Germany and Korea as... 25141 (April 27, 2012) (``CORE Extension Notice''). DATES: Effective Date: July 27, 2012. FOR FURTHER...

  7. Psychology as science and as discipline: the case of Germany.

    PubMed

    Gundlach, Horst

    2006-01-01

    This paper examines the history of psychology in Germany. It directs attention to the salient role played by examination regulations in the development of psychology. To highlight this, the term "discipline" is employed not as a synonym of "science" but according to its original meaning, as denoting a social entity consisting of teachers, disciples, more or less canonised subject matters, examinations, and resulting changes of the social status of the examinee. In the early nineteenth century a succession of state rescripts and regulations introduced to university curricula an examination subject named psychology, thereby making psychology an obligatory subject of university lectures, and creating a discipline of psychology next to the science of psychology. The two were far from being identical. This situation, thus far neglected in historiography, profoundly influenced the further development of psychology in Germany.

  8. Incidence of intussusception in early infancy: a capture-recapture estimate for Germany.

    PubMed

    Weiß, S; Streng, A; Kries, R von; Liese, J; Wirth, S; Jenke, A C

    2011-12-01

    Rotavirus (RV) vaccination with the first generation vaccine (Rotashield) has been associated with intussusception (IS). Reliable age specific baseline incidence data for children ≤6 months of age in particular is fundamental for further post marketing monitoring of potential effects of recently introduced new RV vaccines. IS incidence was estimated by a 2-source capture-recapture calculation (CRC) based on ESPED (German Paediatric Surveillance Unit) reports and on hospital discharge records for 2006 and 2007. ESPED as well as hospital records were validated according to the Brighton Collaboration's Group definition for definite IS. Children that have been treated for IS in a hospital in one of two states of Germany (North-Rhine Westphalia and Bavaria). The annual IS incidence for infants <1 year in Germany calculated with the CRC estimate in Germany was 61.7/100 000 (95% CI: 54.5-70.1). However, the incidence appeared to vary by month of age over a range of 19.2/100 000 cases (95% CI: 12.5-30.4) in the first 3 months of life to 98.5/100 000 cases (95% CI: 80.9-120.6) during the 6 (th) to 8 (th) month. The male to female ratio for infants was 1.7:1 (95%CI: 1.6-1.8). The average incidence estimate for IS in infants (< 1 year) confirms previous estimates in Germany and Switzerland. However, age specific baseline incidence estimates for IS substantially vary during the first year of life. This has to be taken into account when analysing episodes of IS potentially associated with RV vaccination. © Georg Thieme Verlag KG Stuttgart · New York.

  9. Climate signals derived from cell anatomy of Scots pine in NE Germany.

    PubMed

    Liang, Wei; Heinrich, Ingo; Simard, Sonia; Helle, Gerhard; Liñán, Isabel Dorado; Heinken, Thilo

    2013-08-01

    Tree-ring chronologies of Pinus sylvestris L. from latitudinal and altitudinal limits of the species distribution have been widely used for climate reconstructions, but there are many sites within the temperate climate zone, as is the case in northeastern Germany, at which there is little evidence of a clear climate signal in the chronologies. In this study, we developed long chronologies of several cell structure variables (e.g., average lumen area and cell wall thickness) from P. sylvestris growing in northeastern Germany and investigated the influence of climate on ring widths and cell structure variables. We found significant correlations between cell structure variables and temperature, and between tree-ring width and relative humidity and vapor pressure, respectively, enabling the development of robust reconstructions from temperate sites that have not yet been realized. Moreover, it has been shown that it may not be necessary to detrend chronologies of cell structure variables and thus low-frequency climate signals may be retrieved from longer cell structure chronologies. The relatively extensive resource of archaeological material of P. sylvestris covering approximately the last millennium may now be useful for climate reconstructions in northeastern Germany and other sites in the temperate climate zone.

  10. 78 FR 65283 - Grain-Oriented Electrical Steel From the People's Republic of China, the Czech Republic, Germany...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-31

    ... China, the Czech Republic, Germany, Japan, the Republic of Korea, Poland, and the Russian Federation... China (PRC)); Elizabeth Eastwood at (202) 482-3874 (the Czech Republic, Germany, Poland, and the Russian... Russian Federation,'' dated September 18, 2013 (Petitions). \\2\\ See ``Petition for the Imposition of...

  11. 78 FR 68474 - Sodium Nitrite From China And Germany; Scheduling of Expedited Five-Year Reviews Concerning the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-14

    ...)] Sodium Nitrite From China And Germany; Scheduling of Expedited Five-Year Reviews Concerning the Countervailing Duty Order and Antidumping Duty Order on Sodium Nitrite From China and the Antidumping Duty Order on Sodium Nitrite From Germany AGENCY: United States International Trade Commission. ACTION: Notice...

  12. Much Ado about Something? James Bryant Conant, Harvard University, and Nazi Germany in the 1930s

    ERIC Educational Resources Information Center

    Urban, Wayne J.; Smith, Marybeth

    2015-01-01

    This paper discusses the actions of noted Harvard University president James Bryant Conant, taken in regard to the Nazi government in Germany, from the time of Conant's becoming president of Harvard University in 1933 to the time of the widespread pogrom in Germany of 9-10 November 1938, known as Kristallnacht. Conant's attitudes and actions…

  13. The Young Generation Takes Root--Foreigners in Germany II.

    ERIC Educational Resources Information Center

    Herrmann, Helga

    1998-01-01

    Although there is no single measure of the degree of integration of the children of immigrants, individual trends and indicators can be interpreted to depict the status and opportunities of young foreigners residing in Germany. Although the standard of school-leaving certificates rose, the number of young foreigners is still disproportionately…

  14. Structuralization of Doctoral Education in Germany: An Interdisciplinary Comparison

    ERIC Educational Resources Information Center

    Qin, Lin

    2017-01-01

    Taking the establishment of structured doctoral programmes in Germany as an example, this paper focuses on how knowledge production in certain academic fields reshapes their doctoral education in a widely changing policy context. Based on case studies of eight graduate schools in three research fields, namely economics, life sciences, and…

  15. Useless Eaters: Disability as Genocidal Marker in Nazi Germany.

    ERIC Educational Resources Information Center

    Mostert, Mark P.

    2002-01-01

    This article describes historical attitudes toward people with disabilities in Germany and how this context produced mass murder of people with disabilities prior to and during World War II. Key marker variables are examined, including the rise of Darwinism and eugenics. Resistance to disability as a genocidal marker is discussed. (Contains…

  16. Asbestos-Related Disorders in Germany: Background, Politics, Incidence, Diagnostics and Compensation.

    PubMed

    Baur, Xaver

    2018-01-16

    There was some limited use of asbestos at end of the 19th century in industrialized countries including Germany, but its consumption dramatically increased after World War II. The increase in use and exposure was followed by the discovery of high numbers of asbestos-related diseases with a mean latency period of about 38 years in Germany. The strong socio-political pressure from the asbestos industry, its affiliated scientists and physicians has successfully hindered regulatory measures and an asbestos ban for many years; a restrictive stance that is still being unravelled in compensation litigation. This national experience is compared with the situation in other industrialized countries and against the backdrop of the constant efforts of the WHO to eliminate asbestos-related diseases worldwide.

  17. Comparisons of Health Care Systems in the United States, Germany and Canada

    PubMed Central

    Ridic, Goran; Gleason, Suzanne; Ridic, Ognjen

    2012-01-01

    The purpose of this research paper is to compare health care systems in three highly advanced industrialized countries: The United States of America, Canada and Germany. The first part of the research paper will focus on the description of health care systems in the above-mentioned countries while the second part will analyze, evaluate and compare the three systems regarding equity and efficiency. Finally, an overview of recent changes and proposed future reforms in these countries will be provided as well. We start by providing a general description and comparison of the structure of health care systems in Canada, Germany and the United States. PMID:23678317

  18. Safeguarding and Creating Jobs Is a Sign of Social Responsibility. Changing Trade Unions and Management in Germany.

    ERIC Educational Resources Information Center

    Horstkotte, Hermann

    1998-01-01

    As in many other industrialized countries, advances in computer technology are transforming Germany's industrial society into an information and services society. Increasingly fewer jobs are available in traditional industries and in the public sector. In the 1990s, Germany's trade unions and employers' associations have experienced steady…

  19. 75 FR 2108 - Ball Bearings and Parts Thereof from France, Germany, Italy, Japan, and the United Kingdom...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-14

    ...-804, A-412-801] Ball Bearings and Parts Thereof from France, Germany, Italy, Japan, and the United Kingdom: Extension of Time Limit for Preliminary Results of Antidumping Duty Administrative Reviews AGENCY... reviews of the antidumping duty orders on ball bearings and parts thereof from France, Germany, Italy...

  20. 76 FR 2647 - Ball Bearings and Parts Thereof From France, Germany, Italy, Japan, and the United Kingdom...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-14

    ...-804, A-412-801] Ball Bearings and Parts Thereof From France, Germany, Italy, Japan, and the United Kingdom: Extension of Time Limit for Preliminary Results of Antidumping Duty Administrative Reviews AGENCY... administrative reviews of the antidumping duty orders on ball bearings and parts thereof from France, Germany...

  1. Vocational Education and Training in the Federal Republic of Germany. Report for the FORCE Programme. First Edition.

    ERIC Educational Resources Information Center

    Munch, Joachim

    This monograph examines vocational training (VT) in the Federal Republic of Germany. Section 1 presents background information/framework data on the following: Germany's political and administrative structures, population and demographic trends, economy and employment, and education system. In section 2, the historical development of VT in Germany…

  2. Survival in patients with acute myeloblastic leukemia in Germany and the United States: Major differences in survival in young adults.

    PubMed

    Pulte, Dianne; Jansen, Lina; Castro, Felipe A; Krilaviciute, Agne; Katalinic, Alexander; Barnes, Benjamin; Ressing, Meike; Holleczek, Bernd; Luttmann, Sabine; Brenner, Hermann

    2016-09-15

    Previous epidemiologic studies on AML have been limited by the rarity of the disease. Here, we present population level data on survival of patients with AML in Germany and the United States (US). Data were extracted from 11 population-based cancer registries in Germany and the Surveillance, Epidemiology, and End Results (SEER13) database in the US. Patients diagnosed with AML in 1997-2011 were included. Period analysis was used to estimate 5-year relative survival (RS) and trends in survival in the early 21st century. Overall 5-year age-adjusted RS for patients with AML in 2007-2011 was greater in Germany than in the US at 22.8% and 18.8%, respectively. Five-year RS was higher in Germany than in the US at all ages, with particularly large differences at ages 15-24 for whom 5-year RS was 64.3% in Germany and 55.0% in the US and 35-44, with 5-year RS estimates of 61.8% in Germany and 46.6% in the US. Most of the difference in 5-year RS was due to higher 1-year RS, with overall 1-year RS estimates of 47.0% in Germany and 38.5% in the US. A small increase in RS was observed between 2003-2005 and 2009-2011 in both countries, but no increase in survival was observed in either country for ages 75+. To our knowledge, this is the first detailed description of AML survival in Germany. Comparison to the US suggests that further analysis into risk factors for poor outcomes in AML in the US may be useful in improving survival. © 2016 UICC.

  3. [Child Soldiers as Refugees in Germany].

    PubMed

    Zito, Dima

    2016-12-01

    Child Soldiers as Refugees in Germany How do former child soldiers cope with their potentially traumatic experiences, and how do the living conditions as refugees influence these coping processes? A dissertation at the faculty of human and social sciences at the University of Wuppertal, based on biographical-narrative interviews with 15 young refugees from six African countries, describes the characteristics of the traumatic sequences in the countries of origin and in exile, and elaborates typical coping processes. In order to survive a situation of absolute subjection within armed groups, children develop forms of adequate adaptation to the context like regulation and detachment of emotions e.g. with the use of drugs, assimilation to an idea of "hard masculinity" etc. They become victims, witnesses and often perpetrators of extreme violence (man-made-disaster), respectively traumatic processes can be seen in all sequences. After leaving the armed groups there is no way back into the families and communities destroyed by armed conflict, so they become refugees. In Germany, they are subjected to a bureaucratic and excluding asylum system, in which decisions on all relevant areas of life (age determination, place and right of residence, form of accommodation, access to education, etc.) are imposed on them. Especially the insecure right of residence and the living conditions in refugee camps are severe risk factors, impeding stabilization. Social support, e. g. by competent professionals, access to trauma- and culture-sensitive psychotherapy, societal inclusion, but also personal resilience are essential for coping with trauma and developing new future perspectives.

  4. Arts Entrepreneurship Education in the UK and Germany: An Empirical Survey among Lecturers in Fine Art

    ERIC Educational Resources Information Center

    Thom, Marco

    2017-01-01

    Purpose: The purpose of this paper is to report on the current state of arts entrepreneurship education at higher educational institutions (HEIs) in the UK and Germany. It is based on findings from questionnaire surveys among 210 lecturers in fine art at 89 HEIs in the UK and Germany. Design/methodology/approach: This paper explores issues related…

  5. Professionalisation as development and as regulation: Adult education in Germany, the United Kingdom and India

    NASA Astrophysics Data System (ADS)

    Doyle, Lesley; Egetenmeyer, Regina; Singai, Chetan; Devi, Uma

    2016-06-01

    In this paper, the authors seek to disentangle what they see as contradictory uses of the term "professionalisation" with reference to adult educator development and training (AEDT). They set out to distinguish professionalisation from professionalism, and to identify the locus of control of AEDT in Germany, the UK and India. In these three countries, all of which have a long tradition of adult education, "professionalisation" and "professionalism" are used interchangeably to describe conflicting purposes. The authors aim to identify and critically explore the organisations and policies which control and support AEDT in their own countries using American sociologist Eliot Freidson's "third logic" model, and drawing on his juxtaposition of "professions", "the market" and "bureaucracy". Applying Freidson's models to the organisations highlights the role of bureaucracy and that where adult education is concerned, national governments, the European Union and aid organisations not only serve bureaucracy but also support the market rather than operating separately from it. While the term "professionalisation" continues to be used to mean professional development, either by adult educators and representative organisations (as in the UK) or by organisations acting on their behalf (as in Germany and India), it is also used to denote regulation and standardisation issuing from bureaucratic institutions and adult education provider organisations in the interests of the market. The authors suggest that Freidson's model provides a useful tool for adult educators in other countries to reflect on their professional position and to engage in the development of their own professional standards, both in their own interests and in the interests of those they educate.

  6. From 40 to 35 Hours: Reduction and Flexibilisation of the Working Week in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Bosch, Gerhard

    1990-01-01

    Reviews developments in the shortened work week in the Federal Republic of Germany. Discusses collective agreements and examines the methods used to implement the shorter working week at enterprise level and possible developments in the reunited Germany. (JOW)

  7. The Desirability of Medieval Germany: Some Observations on an Introductory Course

    ERIC Educational Resources Information Center

    Jillings, Lewis G.; Murdoch, Brian O.

    1975-01-01

    This paper discusses the problems and advantages of a course in Medieval Germany, including history, culture and literature along with language. Attention is given to issues and texts to be studied. (CHK)

  8. Thuringische builds large PET plant in Germany

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

    Alperowicz, N.

    1993-02-03

    East Germany fibers producer Thuringische Faser AG Schwarza (TFS; Rudolstadt) is entering the polyethylene terephthalate (PET) business. The company, owned by India's Dalmia Group (New Delhi), is building an 80,000-m.t./year PET granulate plant, one of the largest in Europe, for completion at the end of 1995. The product will be used to make PET bottles and film for food packaging. TFS will need to buy 70,000 m.t./year of purified terephthalic acid and 27,000 m.t./year of ethylene glycol to feed the new plant. When acquiring TFS, Dalmia's chairman, Sanjay Dalmia, pledged to invest DM150 million ($95.4 million) in the Germany firmmore » and keep 1,200 of the 3,000 workers. John Brown Deutsche Engineering (Essen) has been awarded a contract covering engineering, know-how, and turnkey supply of the complete plant, and will share of the complete plant, and will share the work with Austrian associate, Voest John Brown Industrieanlagenbau (Linz). The company, which completed against Zimmer (Frankfurt), will use its own technology. TFS, with 1992 sales of DM120 million, has capacities to produce 20,000 m.t/year of viscose staple fiber, 18,000 m.t./year of nylon-6 filament yarn, and 6,300 m.t./year of textile-grade polyester granulate, which will be converted to produce bottle-grade PET.« less

  9. Overcoming fragmentation in health care: chronic care in Austria, Germany and The Netherlands.

    PubMed

    Nolte, Ellen; Knai, Cécile; Hofmarcher, Maria; Conklin, Annalijn; Erler, Antje; Elissen, Arianne; Flamm, Maria; Fullerton, Brigit; Sönnichsen, Andreas; Vrijhoef, Hubertus J M

    2012-01-01

    The growing recognition of care fragmentation is causing many countries to explore new approaches to healthcare delivery that can bridge the boundaries between professions, providers and institutions and so better support the rising number of people with chronic health problems. This paper examines the role of the regulatory, funding and organisational context for the development and implementation of approaches to chronic care, using examples from Austria, Germany and the Netherlands. We find that the three countries have implemented a range of policies and approaches to achieve better coordination within and across the primary and secondary care interface and so better meet the needs of patients with chronic conditions. This has involved changes to the regulatory framework to support more coordinated approaches to care (Austria, Germany), coupled with financial incentives (Austria, Germany) or changes in payment systems (the Netherlands). What is common to the three countries is the comparative 'novelty' of policies and approaches aimed at fostering coordinated care; however, the evidence of their impact remains unclear. © Cambridge University Press 2012

  10. Integrating Renewable Generation into Grid Operations: Four International Experiences

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

    Weimar, Mark R.; Mylrea, Michael E.; Levin, Todd

    International experiences with power sector restructuring and the resultant impacts on bulk power grid operations and planning may provide insight into policy questions for the evolving United States power grid as resource mixes are changing in response to fuel prices, an aging generation fleet and to meet climate goals. Australia, Germany, Japan and the UK were selected to represent a range in the level and attributes of electricity industry liberalization in order to draw comparisons across a variety of regions in the United States such as California, ERCOT, the Southwest Power Pool and the Southeast Reliability Region. The study drawsmore » conclusions through a literature review of the four case study countries with regards to the changing resource mix and the electricity industry sector structure and their impact on grid operations and planning. This paper derives lessons learned and synthesizes implications for the United States based on answers to the above questions and the challenges faced by the four selected countries. Each country was examined to determine the challenges to their bulk power sector based on their changing resource mix, market structure, policies driving the changing resource mix, and policies driving restructuring. Each countries’ approach to solving those changes was examined, as well as how each country’s market structure either exacerbated or mitigated the approaches to solving the challenges to their bulk power grid operations and planning. All countries’ policies encourage renewable energy generation. One significant finding included the low- to zero-marginal cost of intermittent renewables and its potential negative impact on long-term resource adequacy. No dominant solution has emerged although a capacity market was introduced in the UK and is being contemplated in Japan. Germany has proposed the Energy Market 2.0 to encourage flexible generation investment. The grid operator in Australia proposed several approaches to

  11. Teacher Education in Italy, Germany, England, Sweden and Finland

    ERIC Educational Resources Information Center

    Ostinelli, Giorgio

    2009-01-01

    This article presents a brief analysis of teacher education in five European countries: Italy, Germany, England, Sweden and Finland. In the post-industrial world, the sense of teaching has profoundly changed, influenced by a rapidly evolving socio-economic context. The responses given by each country are different, but two tendencies emerge: on…

  12. The Division of Household Labor in Germany and Israel

    ERIC Educational Resources Information Center

    Lewin-Epstein, Noah; Stier, Haya; Braun, Michael

    2006-01-01

    We compare the patterns of household division of labor in Germany and Israel--two countries that share key elements of the corporatist welfare regime but differ in their gender regimes--and evaluate several hypotheses using data from the 2002 International Social Survey Program. Although time constraints and relative resources affect the division…

  13. Challenges dealing with depleted uranium in Germany - Reuse or disposal

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

    Moeller, Kai D.

    2007-07-01

    During enrichment large amounts of depleted Uranium are produced. In Germany every year 2.800 tons of depleted uranium are generated. In Germany depleted uranium is not classified as radioactive waste but a resource for further enrichment. Therefore since 1996 depleted Uranium is sent to ROSATOM in Russia. However it still has to be dealt with the second generation of depleted Uranium. To evaluate the alternative actions in case a solution has to be found in Germany, several studies have been initiated by the Federal Ministry of the Environment. The work that has been carried out evaluated various possibilities to dealmore » with depleted uranium. The international studies on this field and the situation in Germany have been analyzed. In case no further enrichment is planned the depleted uranium has to be stored. In the enrichment process UF{sub 6} is generated. It is an international consensus that for storage it should be converted to U{sub 3}O{sub 8}. The necessary technique is well established. If the depleted Uranium would have to be characterized as radioactive waste, a final disposal would become necessary. For the planned Konrad repository - a repository for non heat generating radioactive waste - the amount of Uranium is limited by the licensing authority. The existing license would not allow the final disposal of large amounts of depleted Uranium in the Konrad repository. The potential effect on the safety case has not been roughly analyzed. As a result it may be necessary to think about alternatives. Several possibilities for the use of depleted uranium in the industry have been identified. Studies indicate that the properties of Uranium would make it useful in some industrial fields. Nevertheless many practical and legal questions are open. One further option may be the use as shielding e.g. in casks for transport or disposal. Possible techniques for using depleted Uranium as shielding are the use of the metallic Uranium as well as the inclusion in

  14. Protest Movements and the Security Policy of the Federal Republic of Germany Since 1950.

    DTIC Science & Technology

    1983-12-01

    to rearmament. The state of mind that framed a majority of the members, however, remained one of 33 semi- abstentionism where German labor remained on...I 0D A132 201 PROTEST MOVEMENTS AND THE SECURI Y POLICY 0 THE FEDERAL REPUBLIC OF GERMANY SINCE 1950( U) NAVAL\\ POSTGRADUATE SCHOOL MONEREY CA A N...1 THESIS PROTEST MOVEMENTS AND THE SECURITY POLICY OF THE FEDERAL REPUBLIC OF GERMANY SINCE 1950 by Arthur Neil Black 0. December 1983 C-) LIJ Thesis

  15. Displeasure at Plurality and Fear of Strangers? An Empirical Study among Youth in Germany and the Netherlands

    ERIC Educational Resources Information Center

    Ziebertz, Hans-Georg; van der Tuin, Leo

    2008-01-01

    A comparison between the Netherlands and Germany concerning religious, cultural and ethnic plurality provides interesting insights. Germany has never defined itself as a multicultural society, as was historically the case in the Netherlands. The outcomes of the research are somewhat surprising. Dutch pupils--especially boys--are more negative…

  16. [Effects of pharmacy market deregulation regarding patient-centred drug care in Germany from a health economics perspecitve].

    PubMed

    Rumm, R; Böcking, W

    2013-03-01

    This article analyses the impact of a potential deregulation Germany's pharmacy market by allowing foreign ownership of pharmacies and removing the limit of the number pharmacies that can be owned by a pharmacist. Based on a mathematical model and empirical values of foreign countries, scenarios for the German market are calculated and the impact on all participants of the health care system analysed. The key outcomes are:- A deregulation would enables the creation of pharmacy chains- In all simulated scenarios the total number of pharmacies would drastically grow- The increased pharmacy density improves patient centred drug care- The competition among pharmacies increases and leads to the closure of many independently owned and operated pharmacies. © Georg Thieme Verlag KG Stuttgart · New York.

  17. HLW Return from France to Germany - 15 Years of Experience in Public Acceptance and Technical Aspects - 12149

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

    Graf, Wilhelm

    disobedience in Germany over the whole 15-year long project running time could be faced efficiently. It has to be concluded that despite of all problems the anti-nuclear activities have caused so far, all transports of vitrified HLW have always been completed successfully by adapting the commonly established safety, security and public acceptance measures to the special conditions and needs in Germany and coordinating the activities of all parties involved but at the expense of high costs for industry and government and a challenging operational complexity. Apart from an anticipatory project planning a good communication between all involved industrial parties and the French and the German government was the key to the effective management of such shipments and to minimize the radiological, economic, environmental, public and political impact. The future will show how efficiently the gained experience can be used for further return projects which are to be realized since no reprocessed waste has yet been returned from UK and neither the medium-level nor the low-level radioactive waste has been transferred from France to Germany. (author)« less

  18. Nationwide In-hospital Mortality Following Pancreatic Surgery in Germany is Higher than Anticipated.

    PubMed

    Nimptsch, Ulrike; Krautz, Christian; Weber, Georg F; Mansky, Thomas; Grützmann, Robert

    2016-12-01

    We aimed to determine the unbiased mortality rates for pancreatic surgery procedures at the national level through a comprehensive analysis of every inpatient case in Germany. Several studies have proclaimed a general improvement of perioperative outcomes following pancreatic surgery. These results are challenged by recent analyses of large US databases that found strong volume-outcome relationships, with high mortality in low-volume facilities. All inpatient cases with a pancreatic surgery procedure code in Germany from 2009 to 2013 were identified from nationwide administrative hospital data. We determined the absolute number of patients and the in-hospital death rate for crucial subcategories such as medical indications and types of surgical procedure. A total of 58,003 inpatient episodes of pancreatic surgery were identified between 2009 and 2013. Annual case numbers increased significantly, which was primarily attributed to patients aged 70 years and older. The overall in-hospital mortality rate (10.1%) did not significantly change during the study period. Major pancreatic resections were associated with mortality ranging from 7.3% (distal pancreatectomy) to 22.9% (total pancreatectomy). Postoperative interventions indicative of severe complications were documented frequently (eg, more than 6 blood transfusions in 20% of all patients and relaparotomy in 16%). Their occurrence was associated with a dramatic increase in mortality. At the national level in Germany, perioperative mortality is higher than anticipated from previous studies. The absence of a significant reduction in overall mortality challenges current health policies that aim to improve the outcomes of high-risk surgical procedures in Germany.

  19. Climate suitability for the transmission of Dirofilaria immitis and D. repens in Germany.

    PubMed

    Sassnau, R; Daugschies, A; Lendner, M; Genchi, C

    2014-09-15

    Recently concerns are increasing that dirofilarial nematodes may spread from endemic areas in southern, eastern and central Europe to countries in northern regions of Europe. The increasing number of autochthonous cases of canine Dirofilaria repens infections in Germany indicates that worms of this genus may invade new areas, and climate change may be a key factor in this scenario. Thus analysis of long term development of regional temperature is a pivotal factor in risk analysis related to transmission of these worms. Such information is important for suggestions of counteracting strategies, such as definition of periods of increased transmission risk and, consequently, time slots most suited for preventative measures. In this study, mean daily temperature data from 34 geographical clustered weather stations representing all parts of Germany were analyzed. It is concluded that the increasing trend for average daily temperatures observed in the period from 1984 to 2013 has led to climatic conditions that allow the completion of dirofilarial life cycles in large parts of Germany between May and October. Autochthonous infection with D. repens is already established in some regions and targeted diagnosis and medical prophylaxis is advisable for dogs assumedly exposed during risk of transmission periods. It appears likely that global warming will support further spread of D. repens. Furthermore for the population of dogs the spread of the more pathogenic species D. immitis in hitherto non-endemic Germany is a potential risk if mean temperatures rise to a level suitable for parasite development in the abundant vector mosquitoes during the warmer seasons. Copyright © 2014 Elsevier B.V. All rights reserved.

  20. Down Syndrome: Gestational Age-Related Neonatal Anthropometrics for Germany.

    PubMed

    Hoffmann, Paul F; Jung, Anna-Maria; Stierkorb, Eva; Monz, Dominik; Gortner, Ludwig; Rohrer, Tilman R

    2016-01-01

    Neonates with Down syndrome (DS) weigh less, are smaller and have increased first-year mortality, especially if born small for gestational age (GA). DS-specific GA-related neonatal anthropometrics for Germany are lacking. To construct reference tables and centile curves for birth weight (g), crown-heel length (cm) and head circumference (cm) by sex and GA for German DS neonates. Retrospective anthropometric data from live-born singleton DS neonates born in Germany from January 1966 to June 2010 were collected using standardized questionnaires and patient records. Reference tables were created based on means and standard deviations. The 3rd, 10th, 25th, 50th, 75th, 90th and 97th centile curves were constructed and smoothed using running medians and Cole's LMS method. Anthropometric measurements were obtained for 1,304 DS neonates [males/females: 713/591 (54.7%/45.3%)]. Reference tables and centile charts were constructed from 3,542 (males/females: 1,932/1,610) observations for GA 32-41 weeks. Compared with general-population newborns, prematurity was increased (21.1 vs. 6.3%) at GA 32-36 weeks. Term-born (GA 40 weeks) male and female DS neonates were 352.5 and 223.5 g lighter and 1.5 and 1.4 cm smaller than general-population neonates, and head circumference was also 1.4 and 1.5 cm smaller, respectively. This is the first study to report GA-related, sex-specific reference tables and centile charts of birth weight, length and head circumference for DS neonates born in Germany. Compared with the general German population, DS newborns are more frequently born prematurely, weigh less, are smaller and have a smaller head circumference at birth. © 2016 S. Karger AG, Basel.

  1. Characteristics of patients with fibromyalgia in France and Germany.

    PubMed

    Perrot, S; Winkelmann, A; Dukes, E; Xu, X; Schaefer, C; Ryan, K; Chandran, A; Sadosky, A; Zlateva, G

    2010-07-01

    Few studies have comprehensively assessed the burden associated with fibromyalgia (FM). This cross-sectional, observational study evaluates the impact of FM on patients in France and Germany. A total of 299 FM patients were recruited from 33 physician offices in France and Germany during routine visits. Patients completed a survey that included the Brief Pain Inventory-Short Form (BPI-sf), Fibromyalgia Impact Questionnaire (FIQ), EuroQol 5D (EQ-5D) and the Hospital Anxiety and Depression Scale (HADS) to describe their pain, FM and health-related quality of life (HRQOL). FM severity was defined using patients' FIQ total scores with 0 to < 39, 39 to < 59 and 59-100, representing mild, moderate and severe FM, respectively. Site staff completed case report forms using patients' medical records. Mean (standard deviation, SD) age was 54.2 (12.6); 81% of patients were women. The mean (SD) FIQ total score was 53.3 (19.6); 33% and 44% of patients reported moderate and severe FM, respectively. Most patients (91%) were receiving prescription medications for FM during the study. Patients reported a mean (SD) EQ-5D health state valuation of 0.44 (0.33) and a mean (SD) BPI-sf Pain Severity Index score of 4.9 (1.8). Forty-one percent of patients reported some level of disruption in their employment because of FM; employed patients missed a mean (SD) of 2.2 (4.6) workdays during the past 4 weeks. An increase in FM severity was significantly associated with increased pain severity, productivity loss, sleep disturbance and higher anxiety and depression (p < 0.0001). There is a substantial burden of illness including treatment limitations for FM patients in France and Germany.

  2. Prevalence, Trend and Determining Factors of Gestational Diabetes in Germany.

    PubMed

    Huy, C; Loerbroks, A; Hornemann, A; Röhrig, S; Schneider, S

    2012-04-01

    Purpose: The true prevalence of gestational diabetes in Germany is unknown. Thus, the study's purposes were to estimate the prevalence of gestational diabetes as well as to describe the temporal prevalence trend and to identify determinants. Material and Methods: We calculated prevalence estimates based on two datasets: the register-based German perinatal statistic (n = 650 232) and the maternal self-reports from the German children and youth health survey (KiGGS; n = 15 429). Differences between prevalence estimates were analysed using χ 2 and trend tests, and determinants were identified using logistic regression. Results: According to the perinatal statistic, gestational diabetes was present in 3.7 % of pregnant women in Germany in 2010. The prevalence across the years 2001 to 2006 was estimated at 1.9 % which differed significantly from the prevalence estimate derived from the KiGGS dataset for the same period of time (5.3 %; 95 % confidence interval: 4.6-6.1 %). Both datasets show an increasing trend of gestational diabetes (p < 0.001). The risk for gestational diabetes was mainly associated with age, BMI and social class of pregnant women as well as with multiple pregnancies. Conclusion: The lack of significant screening studies among representative samples hampers a sound estimation of the true prevalence of gestational diabetes in Germany. The increasing trend in gestational diabetes might continue due to the projected increase of important risk factors (e.g., maternal age, obesity). Our analyses support the current consensus recommendations regarding standardised gestational diabetes screening.

  3. The Acceptance of the Social Market Economy in Germany

    ERIC Educational Resources Information Center

    Schlösser, Hans Jürgen; Schuhen, Michael; Schürkmann, Susanne

    2017-01-01

    Germany's economic order is labelled "Social Market Economy" in order to indicate that the economic system has both an economic and a social dimension. Its purpose is to reconcile efficiency goals and social responsibility. The concept of the Social Market Economy is based on central values such as freedom or justice. Under the label…

  4. K-12 Education in Germany: Curriculum and PISA 2015

    ERIC Educational Resources Information Center

    Atmacasoy, Abdullah

    2017-01-01

    Against the backdrop of PISA 2015 results, the aim of this study is to review basic structures of German education system by exploring curriculum development process, key features of each educational level and teacher education in order to grasp how Germany has amended her poor performance after PISA 2000 and persistently improved the quality of…

  5. Comparing Empirically Historical Awareness in East and West Germany.

    ERIC Educational Resources Information Center

    Borries, Bodo von; Lehmann, Rainer H.

    A study compared the historical awareness of 2,000 East and West German children in the sixth, ninth, and twelfth grades. Because of differing school systems and the general design of the study, researchers analyzed ninth grade data. The study was conducted during the disintegration and reunification of Germany. Students from the two regions…

  6. International Workforce Development Perspectives: Germany and the United States

    ERIC Educational Resources Information Center

    Gaal, John

    2007-01-01

    Across the globe, it is no secret to people involved with career and technical education (CTE) that the German apprenticeship system is looked upon as the "gold standard" of workforce development training. In this article, the author compares the responses of subject matter experts (SMEs) in Germany and the United States, two of the…

  7. High and novel genetic diversity of Francisella tularensis in Germany and indication of environmental persistence.

    PubMed

    Schulze, C; Heuner, K; Myrtennäs, K; Karlsson, E; Jacob, D; Kutzer, P; GROßE, K; Forsman, M; Grunow, R

    2016-10-01

    In Germany tularemia is a re-emerging zoonotic disease. Therefore, we investigated wild animals and environmental water samples for the presence and phylogenetic diversity of Francisella tularensis in the poorly studied Berlin/Brandenburg region. The phylogenomic analysis of three isolates from wild animals revealed three new subclades within the phylogenetic tree of F. tularensis [B.71 from a raccoon dog (Nyctereutes procyonoides); B.74 from a red fox (Vulpes vulpes), and B.75 from a Eurasian beaver (Castor fiber albicus)]. The results from histological, PCR, and genomic investigations on the dead beaver showed that the animal suffered from a systemic infection. Indications were found that the bacteria were released from the beaver carcass into the surrounding environment. We demonstrated unexpectedly high and novel phylogenetic diversity of F. tularensis in Germany and the fact that the bacteria persist in the environment for at least one climatic season. These findings support a broader host species diversity than previously known regarding Germany. Our data further support the assumption derived from previous serological studies of an underestimated frequency of occurrence of the pathogen in the environment and in wild animals. F. tularensis was isolated from animal species not previously reported as natural hosts in Germany.

  8. [Assisted suicide in Germany: medical diagnoses and personal reasons of 117 decedents].

    PubMed

    Bruns, F; Blumenthal, S; Hohendorf, G

    2016-02-01

    In Germany both scientific and public debates on physician assisted suicide often focus on patients with unbearable suffering in terminal condition. Proponents of physician assisted suicide bring forward the argument that there are end-of-life situations where only assisted suicide can bring relief from intolerable pain, dyspnea or other symptoms. But does focusing on unbearable symptoms in terminal condition reflect the reality of assisted suicide? Our data from 117 assisted suicides in Germany indicates that the reasons for assisted suicide are more complex than the current debate in Germany suggests. We analyzed diagnoses and reasons that prompted patients to suicide with the help of the German right-to-die organization "Sterbehilfe Deutschland" (StHD) between 2010 and 2013. 118 case reports of assisted suicide published by StHD were evaluated retrospectively. Between 2010 and 2013 StHD provided assistance in 118 suicides. 71 % of the deceased were women. 67 % were aged 70 years or older. 25,6 % suffered from metastasized cancer, 20,5 % had a severe neurological disease. 23 % suffered from age-associated diseases or disability. 14,5 % of the decedents had a predominant psychiatric diagnose, 7,7 % were physically and mentally healthy. The main reasons for suicide were loss of life perspective in the face of a severe disease (29 %), fear of care dependency (23,9 %), weariness of life without any severe disease (20,5 %). Only 12,8 % named non-treatable symptoms as a reason. Loss of life perspective in the face of a severe disease, fear of long-term care and weariness of life without any severe disease rather than unbearable suffering of non-treatable symptoms seem to be the most common reasons for members of StHD to commit suicide. These empirical findings should be mentioned in future debates on assisted suicide in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

  9. The Role of the Company in Generating Skills: The Learning Effects of Work Organisation. Germany. CEDEFOP Document.

    ERIC Educational Resources Information Center

    Grunewald, Uwe; Zimmer, Gerhard; Sauter, Edgar

    This document reports the findings of a 3-year study of company strategies and the training impact of labor organization in Germany. Among the topics discussed in the theoretical overview presented in section 1 are the following: the growing importance of learning in a working environment; Germany's continuing training "system" and…

  10. Regional and temporal variations in coding of hospital diagnoses referring to upper gastrointestinal and oesophageal bleeding in Germany.

    PubMed

    Langner, Ingo; Mikolajczyk, Rafael; Garbe, Edeltraut

    2011-08-17

    Health insurance claims data are increasingly used for health services research in Germany. Hospital diagnoses in these data are coded according to the International Classification of Diseases, German modification (ICD-10-GM). Due to the historical division into West and East Germany, different coding practices might persist in both former parts. Additionally, the introduction of Diagnosis Related Groups (DRGs) in Germany in 2003/2004 might have changed the coding. The aim of this study was to investigate regional and temporal variations in coding of hospitalisation diagnoses in Germany. We analysed hospitalisation diagnoses for oesophageal bleeding (OB) and upper gastrointestinal bleeding (UGIB) from the official German Hospital Statistics provided by the Federal Statistical Office. Bleeding diagnoses were classified as "specific" (origin of bleeding provided) or "unspecific" (origin of bleeding not provided) coding. We studied regional (former East versus West Germany) differences in incidence of hospitalisations with specific or unspecific coding for OB and UGIB and temporal variations between 2000 and 2005. For each year, incidence ratios of hospitalisations for former East versus West Germany were estimated with log-linear regression models adjusting for age, gender and population density. Significant differences in specific and unspecific coding between East and West Germany and over time were found for both, OB and UGIB hospitalisation diagnoses, respectively. For example in 2002, incidence ratios of hospitalisations for East versus West Germany were 1.24 (95% CI 1.16-1.32) for specific and 0.67 (95% CI 0.60-0.74) for unspecific OB diagnoses and 1.43 (95% CI 1.36-1.51) for specific and 0.83 (95% CI 0.80-0.87) for unspecific UGIB. Regional differences nearly disappeared and time trends were less marked when using combined specific and unspecific diagnoses of OB or UGIB, respectively. During the study period, there were substantial regional and temporal

  11. 77 FR 21082 - Lightweight Thermal Paper From Germany: Notice of Final Results of the 2009-2010 Antidumping Duty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-09

    ... DEPARTMENT OF COMMERCE International Trade Administration [A-428-840] Lightweight Thermal Paper... antidumping duty order on lightweight thermal paper from Germany.\\1\\ The review covers one manufacturer... of Review'' section of this notice. \\1\\ See Lightweight Thermal Paper From Germany: Notice of...

  12. Germany's long-term-care insurance: putting a social insurance model into practice.

    PubMed

    Geraedts, M; Heller, G V; Harrington, C A

    2000-01-01

    A growing population of elderly has intensified the demand for long-term care (LTC) services. In response to the mounting need, Germany put into effect a LTC Insurance Act in 1995 that introduced mandatory public or private LTC insurance for the entire population of 82 million. The program was based on the organizational principles that define the German social insurance system. Those individuals in the public system and their employers each pay contributions equal to 0.85 percent of each employee's gross wages or salary. Ten percent of the population with the highest incomes have chosen the option of purchasing private long term care insurance. Provisions were made for uniform eligibility criteria, benefits based on level of care needs, cost containment, and quality assurance. Over the first four years of its operation, the system has proved financially sound and has expanded access to organized LTC services. The German system thus may serve as an example for other countries that are planning to initiate social LTC insurance systems in other nations.

  13. Contamination during production of heater-cooler units by Mycobacterium chimaera potential cause for invasive cardiovascular infections: results of an outbreak investigation in Germany, April 2015 to February 2016.

    PubMed

    Haller, Sebastian; Höller, Christiane; Jacobshagen, Anja; Hamouda, Osamah; Abu Sin, Muna; Monnet, Dominique L; Plachouras, Diamantis; Eckmanns, Tim

    2016-04-28

    Invasive infections with Mycobacterium chimaera were reported in patients with previous open chest surgery and exposure to contaminated heater-cooler units (HCUs). We present results of the surveillance of clinical cases and of contaminated HCUs as well as environmental investigations in Germany up until February 2016. Clinical infections occurred in five male German cases over 50 years of age (range 53-80). Cases had been exposed to HCUs from one single manufacturer during open chest surgery up to five years prior to onset of symptoms. During environmental investigations, M. chimaera was detected in samples from used HCUs from three different countries and samples from new HCUs as well as in the environment at the manufacturing site of one manufacturer in Germany. Our investigation suggests that at least some of the M. chimaera infections may have been caused by contamination of HCUs at manufacturing site. We recommend that until sustainable measures for safe use of HCUs in operation theatres are implemented, users continue to adhere to instructions for use of HCUs and Field Safety Notices issued by the manufacturer, implement local monitoring for bacterial contamination and continuously check the websites of national and European authorities for current recommendations for the safe operation of HCUs.

  14. Does Distance Determine Who Attends a University in Germany?

    ERIC Educational Resources Information Center

    Spiess, C. Katharina; Wrohlich, Katharina

    2010-01-01

    We analyze the role of distance to the nearest university in the demand for higher education in Germany. Distance could matter due to transaction costs or due to neighborhood effects. We use data from the German Socio-Economic Panel (SOEP) combined with a database on university postal codes to estimate a discrete choice model of the demand for…

  15. Germany: The Search for Unity. Guide for Workshop Leaders.

    ERIC Educational Resources Information Center

    Blankenship, Glen

    This document is designed to support teachers in the use of instructional materials related to contemporary Germany. The materials in this guide provide the basis for a one-day, 5 hour inservice session. The workshop agenda begins the guide and sets out the schedule of times for different activities and instruction. The suggested format can be…

  16. The Kolumbus-Kids Project in Germany for Gifted Children

    ERIC Educational Resources Information Center

    Wegner, Claas; Minnaert, Lea; Strehlke, Friederike

    2013-01-01

    Since 2006, the Kolumbus-Kids project in Germany has been supporting gifted learners between the ages 9 and 12. Selected children from regional schools are invited to participate in courses dealing with biological problems and phenomena at university. In order to attend these sessions, they first have to pass a special performance test and a test…

  17. Barriers for dental treatment of primary teeth in East and West Germany.

    PubMed

    Splieth, Christian H; Bünger, Bianka; Pine, Cynthia

    2009-03-01

    In many countries, restorative treatment in primary teeth is suboptimal. Thus, this study tried to detect barriers for dentists to restore primary teeth in kindergarten children (3-6 years). For a representative survey, 320 dentists (184 West, 136 East Germany) were randomly selected from the dental associations' registers and asked to answer a questionnaire on their profile, their view of the National Health System, and possible barriers for restoring primary teeth. The analysis (response rate 57.7%) showed that the parents were no barrier and the dentists felt the need of restoring primary teeth. In addition to the children's anxiety, the inadequate reimbursement for fillings were perceived as clear barrier. The comparison of West and East German dentists detected statistically significantly higher barriers in West Germany, where - in contrast to the German Democratic Republic - no structured training in paediatric dentistry was compulsory before unification. Only 35% of the East German dentists rated restorative treatment in 3- to 6-year-olds as stressful in contrast to 65% in West Germany, where especially male dentists found no time to treat children. This study reveals that dentists can also be a considerable barrier to restorative treatment in small children, especially without adequate training in dental schools.

  18. The hospital financing system of the Federal Republic of Germany.

    PubMed

    Leidl, R

    1983-10-01

    This paper deals with the present hospital financing system of the Federal Republic of Germany. The structure of the financing system is treated as well as the actual financing process, and, as far as possible, both are also quantitatively described. The first section contains a description of the structure, and is concerned with the major institutions participating in the hospital financing system:--the hospitals are described according to ownership, number of beds, specialization, personnel, regional distribution and utilization;--the health insurance system is illustrated by the two major institutions, i.e. statutory and private health insurance agencies, and its effect on hospital financing is explained;--the regulation of the hospital financing system by the federal political system is discussed;--finally, the major economic functions of the institutions involved are summarized; the interrelations of hospital care and the ambulatory sector are also mentioned. The second section contains a detailed description of the actual financing process, which can be classified according to the sections of financing:--the basic system of the German hospital financing law is introduced;--in the section on investment costs, public grants and their allocation, which are closely related to hospital planning, are discussed;--in the section on operating costs, full cost reimbursement as the basic principle, the structure of costs, the elements and the mechanism of operating cost financing, the actual prices, the financing of private patients' care and special services are described;--a short view of accounting balances, i.e. the differences between costs and financing of hospital services which result in profits or deficits, is given. A few considerations on the evaluation of the financing system conclude the paper.

  19. 76 FR 42137 - Certain Lightweight Thermal Paper From Germany; Remand Proceedings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-18

    ... INTERNATIONAL TRADE COMMISSION [Investigation No. 731-TA-1127 (Final) (Remand)] Certain Lightweight Thermal Paper From Germany; Remand Proceedings AGENCY: United States International Trade Commission. ACTION: Notice. SUMMARY: The U.S. International Trade Commission (``Commission'') hereby gives...

  20. Access to healthcare for undocumented migrants with communicable diseases in Germany: a quantitative study.

    PubMed

    Mylius, Maren; Frewer, Andreas

    2015-08-01

    Migrants without residence permits are de facto excluded from access to healthcare in Germany. There is one exception in relevant legislation: in the case of sexually transmitted infections and tuberculosis, the legislator has instructed the local Public Health Authorities to offer free and anonymous counseling, testing and, if necessary, treatment in case of apparent need. Furthermore, recommended vaccinations may be carried out free of charge. This study intends to comprehensively capture the services for undocumented migrants at Public Health Authorities in Germany. An e-mail survey of all Local Public Health Authorities (n = 384) in Germany was carried out between January and March 2011 using a standardized questionnaire. One hundred thirty-nine of 384 targeted local Health Authorities completed the questionnaire (36.2%), of which approximately a quarter (n = 34) reported interaction with 'illegal' immigrants. Twenty-give authorities (18.4%) gave the indication to carry out treatment. This outpatient treatment option is mostly limited to patients afflicted with sexually transmitted infections with the distinct exception of human immunodeficiency virus/acquired immune deficiency syndrome. The study highlights the gap between legislation and the reality of restricted access to medical services for undocumented migrants in Germany. It underlines the need of increased financial and human resources in Public Health Authorities and, overall, the simplification of national legislation to assure the right to healthcare. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  1. Labour force activity after 65: what explain recent trends in Denmark, Germany and Sweden?

    PubMed

    Larsen, Mona; Pedersen, Peder J

    2017-01-01

    In most OECD member countries labour force attachment, has increased in recent years not only in the age groups 60-64 years but also among people 65 years and older. Focus in this paper is on the trend in older workers' labour force participation in Denmark, Germany and Sweden since 2004. Main emphasis is given to people aged 65-69 years eligible for social security retirement programs from age 65. The gender aspect is included to accommodate different trends for women and men. To explain country differences in trends, the importance of changes in retirement policies of relevance for this age group and cohort relevant changes in education and health is examined and discussed. Further, country differences in the impact from education and health is examined. Results show that the largest increase in labour force participation among people aged 65-69 years has taken place in Sweden following by Germany, while the increase in Denmark is rather small. While the increase in Germany mainly seems to be a result of policy reforms, the increase in Sweden appear to be a result of a combination of policy changes and an increasing educational level. Financial incentives seem most important in Germany and only of minor importance in Denmark, where policy changes directed towards individuals above the age of 65 appear to have been too small so far to affect retirement behaviour significantly.

  2. Birth prevalence and initial treatment of Robin sequence in Germany: a prospective epidemiologic study

    PubMed Central

    2014-01-01

    Background We conducted a monthly epidemiological survey to determine the birth prevalence of Robin sequence (RS) and the use of various therapeutic approaches for it. Methods Between August 2011 and July 2012, every pediatric department in Germany was asked to report new admissions of infants with RS to the Surveillance Unit for Rare Pediatric Diseases in Germany. RS was defined as retro- or micrognathia and at least one of the following: clinically evident upper airway obstruction including recessions, snoring or hypoxemia; glossoptosis; feeding difficulties; failure to thrive; cleft palate or RS-associated syndrome. Hospitals reporting a case were asked to return an anonymized questionnaire and discharge letter. Results Of 96 cases reported, we received detailed information on 91. Of these, 82 were included; seven were duplicates and two erroneous reports. Given 662,712 live births in Germany in 2011, the birth prevalence was 12.4 per 100,000 live births. Therapeutic approaches applied included prone positioning in 50 infants, followed by functional therapy in 47. Conventional feeding plates were used in 34 infants and the preepiglottic baton plate (PEBP) in 19. Surgical therapy such as mandibular traction was applied in 2 infants, tracheotomy in 3. Conclusion Compared to other cohort studies on RS, surgical procedures were relatively rarely used as an initial therapy for RS in Germany. This may be due to differences in phenotype or an underrecognition of upper airway obstruction in these infants. PMID:24433508

  3. Prevalence of pain medication prescriptions in France, Germany, and the UK - a cross-sectional study including 4,270,142 patients.

    PubMed

    Jacob, Louis; Kostev, Karel

    2018-01-01

    The goal of the present study was to analyze the prevalence of pain medication prescriptions in general practices in France, Germany, and the UK. This study included all patients aged ≥18 years followed in 2016 in general practitioner practices in France, Germany and the UK. The primary outcome was the prevalence of patients receiving prescriptions for pain medications in France, Germany, and the UK in 2016. The following drugs were included in the analysis: anti-inflammatory and antirheumatic products, non-steroids and analgesics including opioids, antimigraine preparations, and other analgesics and antipyretics. Demographic variables included age and gender. This study included 4,270,142 patients. The prevalences of pain medication prescriptions were 57.3% in France, 29.6% in Germany, and 21.7% in the UK. Although this prevalence generally remained consistent between age groups in France (54.3%-60.3%), it increased with age in Germany (18-30 years: 23.8%; >70 years: 35.8%) and in the UK (18-30 years: 9.3%; >70 years: 43.8%). Finally, the prevalence of pain medication prescriptions was higher in women than in men in all three countries. Paracetamol was prescribed to 82.3% and 60.1% of patients receiving pain medication in France and the UK, respectively, whereas ibuprofen was prescribed to 46.5% of individuals in Germany. The prevalence of pain medication prescriptions was higher in France than in Germany and the UK. Further research is needed to gain a better understanding of the differences in the prescription patterns between these three European countries.

  4. Liberal Adult Education Adapts to the Technological Society: Case Study of West Germany's Adult Education Centers (Volkshochschulen).

    ERIC Educational Resources Information Center

    Carlson, Robert A.

    The report, based on a six-month study as a participant-observer, discusses developments now under way in West Germany's Adult Education Centers movement. The article offers a comparative approach that takes account of trends in Europe and North America. It puts these developments into a philosophical framework, noting that Germany may provide a…

  5. 77 FR 72827 - Corrosion-Resistant Carbon Steel Flat Products From Germany and the Republic of Korea: Final...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-06

    ... carbon steel flat products (``CORE'') from Germany and the Republic of Korea (``Korea'').\\1\\ We received... On January 3, 2012, the Department initiated the third sunset review of the AD orders on CORE from... respondent in either of the sunset reviews of the AD orders on CORE from Germany and Korea. As a result...

  6. The Support of the Sciences and Humanities in West Germany and the United States. German Studies Notes.

    ERIC Educational Resources Information Center

    Indiana Univ., Bloomington. Inst. of German Studies.

    The document contains the texts of three presentations from a conference on financial support of the sciences and humanities in West Germany and the United States. The first paper explains financial support of the sciences and the humanities in West Germany. Awards and uses of funds are primarily determined by the scholarly community, which also…

  7. [Culture sensitive analysis of psychosomatic complaints in migrants in Germany].

    PubMed

    Bermejo, Isaac; Nicolaus, Leonhard; Kriston, Levente; Hölzel, Lars; Härter, Martin

    2012-05-01

    To ensure an adequate health care of migrants, differentiated information on the association of cultural background and migration related factors and psychosomatic complaints are necessary. Cross-sectional questionnaire based survey regarding psychosomatic complaints of migrants from Turkey (n = 77), Italy (n = 95), and Spain (n = 67) and ethnic German resettled from the states of the former Soviet Union (n = 196). Questionnaires distributed by non-health specific counselling agencies of welfare associations. The cultural background was a relevant factor for psychosomatic complaints, showing higher complaints in Turkish and ethnic German resettled migrants, also compared to a sample of age corresponding Germans. In contrast, Spanish and Italian migrants showed a lower risk for psychosomatic complaints. Also gender, feeling unwell in Germany and fatalism showed a significant association with psychosomatic complaints. Migrants in Germany do not have per se a higher risk for psychosomatic complaints. A distinct differentiation by cultural background is necessary. © Georg Thieme Verlag KG Stuttgart · New York.

  8. Herbicide use on railway tracks for safety reasons in Germany?

    PubMed

    Schweinsberg, F; Abke, W; Rieth, K; Rohmann, U; Zullei-Seibert, N

    1999-06-30

    A short overview on the occurrence of herbicides in groundwater and drinking water located in the vicinity of railway tracks in Germany is presented. The study has been conducted using the experience of various water supply companies and includes a literature research on the subject. It has been documented that in Germany only 1% of the total area treated with pesticides was under management of the former Deutsche Bundesbahn before 1990. The specific amount applied on the railway tracks was, however, a factor of 6 higher than that used in agriculture, although it must be borne in mind that the retaining capacity of railway tracks for pesticides is much lower. The herbicides applied ranged from 2,4-D and 2,4,5-T, triazine derivatives, e.g. atrazine and urea derivatives such as diuron. Traces of almost all of the herbicides applied could be detected in samples of groundwater and drinking water in the vicinity of railway tracks. Since 1997 only glyphosate has been used.

  9. Weather Effects on Crop Diseases in Eastern Germany

    NASA Astrophysics Data System (ADS)

    Conradt, Tobias

    2017-04-01

    Since the 1970s there are several long-term monitoring programmes for plant diseases and pests in Germany. Within the framework of a national research project, some otherwise confidential databases comprising 77 111 samples from numerous sites accross Eastern Germany could be accessed and analysed. The pest data covered leaf rust (Puccinia triticina) and powdery mildew (Blumeria graminis) in winter wheat, aphids (Aphididae, four genera) on wheat and other cereal crops, late blight (Phytophthora infestans) in potatoes, and pollen beetles (Brassicogethes aeneus) on rape. These data were complemented by daily weather observations from the German Weather Service (DWD). In a first step, Pearson correlations between weather variables and pest frequencies were calculated for seasonal time periods of different start months and durations and ordered into so-called correlograms. This revealed principal weather effects on disease spread - e. g. that wind is favourable for mildew throughout the year or that rape pollen beetles like it warm, but not during wintertime. Secondly, the pest frequency samples were found to resemble gamma distributions, and a generalised linear model was fitted to describe their parameter shift depending on end-of-winter temperatures for aphids on cereals. The method clearly shows potential for systematic pest risk assessments regarding climate change.

  10. 76 FR 60871 - Ball Bearings and Parts Thereof From France, Germany, and Italy; Termination of Five-Year Reviews

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ... INTERNATIONAL TRADE COMMISSION [Investigation Nos. 731-TA-391A-393A (Third Review)] Ball Bearings and Parts Thereof From France, Germany, and Italy; Termination of Five-Year Reviews AGENCY: United... parts thereof from France, Germany, and Italy would be likely to lead to continuation or recurrence of...

  11. Epidemic profile of Shiga-toxin-producing Escherichia coli O104:H4 outbreak in Germany.

    PubMed

    Frank, Christina; Werber, Dirk; Cramer, Jakob P; Askar, Mona; Faber, Mirko; an der Heiden, Matthias; Bernard, Helen; Fruth, Angelika; Prager, Rita; Spode, Anke; Wadl, Maria; Zoufaly, Alexander; Jordan, Sabine; Kemper, Markus J; Follin, Per; Müller, Luise; King, Lisa A; Rosner, Bettina; Buchholz, Udo; Stark, Klaus; Krause, Gérard

    2011-11-10

    We describe an outbreak of gastroenteritis and the hemolytic-uremic syndrome caused by Shiga-toxin-producing Escherichia coli in Germany in May, June, and July, 2011. The consumption of sprouts was identified as the most likely vehicle of infection. We analyzed data from reports in Germany of Shiga-toxin-producing E. coli gastroenteritis and the hemolytic-uremic syndrome and clinical information on patients presenting to Hamburg University Medical Center (HUMC). An outbreak case was defined as a reported case of the hemolytic-uremic syndrome or of gastroenteritis in a patient infected by Shiga-toxin-producing E. coli, serogroup O104 or serogroup unknown, with an onset of disease during the period from May 1 through July 4, 2011, in Germany. A total of 3816 cases (including 54 deaths) were reported in Germany, 845 of which (22%) involved the hemolytic-uremic syndrome. The outbreak was centered in northern Germany and peaked around May 21 to 22. Most of the patients in whom the hemolytic-uremic syndrome developed were adults (88%; median age, 42 years), and women were overrepresented (68%). The estimated median incubation period was 8 days, with a median of 5 days from the onset of diarrhea to the development of the hemolytic-uremic syndrome. Among 59 patients prospectively followed at HUMC, the hemolytic-uremic syndrome developed in 12 (20%), with no significant differences according to sex or reported initial symptoms and signs. The outbreak strain was typed as an enteroaggregative Shiga-toxin-producing E. coli O104:H4, producing extended-spectrum beta-lactamase. In this outbreak, caused by an unusual E. coli strain, cases of the hemolytic-uremic syndrome occurred predominantly in adults, with a preponderance of cases occurring in women. The hemolytic-uremic syndrome developed in more than 20% of the identified cases.

  12. Spatial coherence of flood-rich and flood-poor periods across Germany

    NASA Astrophysics Data System (ADS)

    Merz, Bruno; Dung, Nguyen Viet; Apel, Heiko; Gerlitz, Lars; Schröter, Kai; Steirou, Eva; Vorogushyn, Sergiy

    2018-04-01

    Despite its societal relevance, the question whether fluctuations in flood occurrence or magnitude are coherent in space has hardly been addressed in quantitative terms. We investigate this question for Germany by analysing fluctuations in annual maximum series (AMS) values at 68 discharge gauges for the common time period 1932-2005. We find remarkable spatial coherence across Germany given its different flood regimes. For example, there is a tendency that flood-rich/-poor years in sub-catchments of the Rhine basin, which are dominated by winter floods, coincide with flood-rich/-poor years in the southern sub-catchments of the Danube basin, which have their dominant flood season in summer. Our findings indicate that coherence is caused rather by persistence in catchment wetness than by persistent periods of higher/lower event precipitation. Further, we propose to differentiate between event-type and non-event-type coherence. There are quite a number of hydrological years with considerable non-event-type coherence, i.e. AMS values of the 68 gauges are spread out through the year but in the same magnitude range. Years with extreme flooding tend to be of event-type and non-coherent, i.e. there is at least one precipitation event that affects many catchments to various degree. Although spatial coherence is a remarkable phenomenon, and large-scale flooding across Germany can lead to severe situations, extreme magnitudes across the whole country within one event or within one year were not observed in the investigated period.

  13. Phenotypic differences of amyotrophic lateral sclerosis (ALS) in China and Germany.

    PubMed

    Rosenbohm, Angela; Liu, Mingsheng; Nagel, Gabriele; Peter, Raphael S; Cui, Bo; Li, Xiaoguang; Kassubek, Jan; Rothenbacher, Dietrich; Lulé, Dorothée; Cui, Liying; Ludolph, Albert C

    2018-04-01

    The aim of this study is to explore phenotypical differences of amyotrophic lateral sclerosis (ALS) between two cohorts from Germany and China. Registry-based studies of ALS were conducted in South-West Germany from 2010 to 2014 and an ALS clinic in Beijing from 2013 to 2016, respectively. Demographic and clinical features of 663 German and 276 Chinese ALS patients were collected and compared. Mean age-at-onset was higher in German than in Chinese ALS patients [66.6 years (95% CI 65.7, 67.5) vs. 53.2 years (95% CI 52.0, 54.5)]. Age distribution of ALS patients peaked around 70-74 years in Germany and 50-54 years in China. Bulbar onset was more prevalent among German than among Chinese patients (35.9 vs. 22.8%). Diagnostic delay was higher in the Chinese than in the German study sample (12 vs. 5 months). Cognitive deficits were more pronounced in the Chinese cohort. Both cohorts differed in smoking habits, prevalence of diabetes and in body mass index (BMI). The apparent discrepancies between German and Chinese ALS patients (age at onset, gender distribution, bulbar forms, cognitive dysfunction, risk factors) reveal a quite different clinical phenotype in China, maybe due to socioeconomic status, environmental factors or genetic background. The observed differences in phenotype need to be pursued by further epidemiological studies on environmental and genetic risk factors.

  14. Prevalence of rosacea in the general population of Germany and Russia - The RISE study.

    PubMed

    Tan, J; Schöfer, H; Araviiskaia, E; Audibert, F; Kerrouche, N; Berg, M

    2016-03-01

    There is an unmet need for general population-based epidemiological data on rosacea based on contemporary diagnostic criteria and validated population survey methodology. To evaluate the prevalence of rosacea in the general population of Germany and Russia. General population screening was conducted in 9-10 cities per country to ensure adequate geographic representation. In Part I of this two-phase study, screening of a representative sample of the general population (every fifth person or every fifth door using a fixed-step procedure on a random route sample) was expedited with use of a questionnaire and algorithm based on current diagnostic criteria for rosacea. Of the subjects that screened positive in the initial phase, a randomly selected sample (every third subject) t`hen underwent diagnostic confirmation by a dermatologist in Part II. A total of 3052 and 3013 subjects (aged 18-65 years) were screened in Germany and Russia respectively. Rosacea prevalence was 12.3% [95%CI, 10.2-14.4] in Germany and 5.0% [95%CI, 2.8-7.2] in Russia. The profile of subjects with rosacea (75% women; mean age of 40 years; mainly skin phototype II or III, majority of subjects with sensitive facial skin) and subtype distribution were similar. Overall, 18% of subjects diagnosed with rosacea were aged 18-30 years. Over 80% were not previously diagnosed. Within the previous year, 47.5% of subjects had received no rosacea care and 23.7% had received topical and/or systemic drugs. Over one-third (35% Germany, 43% Russia) of rosacea subjects reported a moderate to severe adverse impact on quality of life. Rosacea is highly prevalent in Germany (12.3%) and Russia (5.0%). The demographic profile of rosacea subjects was similar between countries and the majority were previously undiagnosed. © 2016 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.

  15. Groundwater nitrate pollution: High-resolution approach of calculating the nitrogen balance surplus for Germany

    NASA Astrophysics Data System (ADS)

    Klement, Laura; Bach, Martin; Breuer, Lutz; Häußermann, Uwe

    2017-04-01

    The latest inventory of the EU Water Framework Directive determined that 26.3% of Germany's groundwater bodies are in a poor chemical state regarding nitrate. As of late October 2016, the European Commission has filed a lawsuit against Germany for not taking appropriate measures against high nitrate levels in water bodies and thus failing to comply with the EU Nitrate Directive. Due to over-fertilization and high-density animal production, Agriculture was identified as the main source of nitrate pollution. One way to characterize the potential impact of reactive nitrogen on water bodies is the soil surface nitrogen balance where all agricultural nitrogen inputs within an area are contrasted with the output, i.e. the harvest. The surplus nitrogen (given in kg N per ha arable land and year) can potentially leach into the groundwater and thus can be used as a risk indicator. In order to develop and advocate appropriate measures to mitigate the agricultural nitrogen surplus with spatial precision, high-resolution data for the nitrogen surplus is needed. In Germany, not all nitrogen input data is available with the required spatial resolution, especially the use of mineral fertilizers is only given statewide. Therefore, some elements of the nitrogen balance need to be estimated based on agricultural statistics. Hitherto, statistics from the Federal Statistical Office and the statistical offices of the 16 federal states of Germany were used to calculate the soil surface balance annually for the spatial resolution of the 402 districts of Germany (mean size 890 km2). In contrast, this study presents an approach to estimate the nitrogen surplus at a much higher spatial resolution by using the comprehensive Agricultural census data collected in 2010 providing data for 326000 agricultural holdings. This resulted in a nitrogen surplus map with a 5 km x 5 km grid which was subsequently used to calculate the nitrogen concentration of percolation water. This provides a

  16. Evaluation of the level of depression among medical students from Poland, Portugal and Germany.

    PubMed

    Seweryn, Mariusz; Tyrała, Kinga; Kolarczyk-Haczyk, Aleksandra; Bonk, Magdalena; Bulska, Weronika; Krysta, Krzysztof

    2015-09-01

    Depression is a serious illness affecting health, family and professional life of many people of all sectors of society. It also concerns students, regardless of their geographical location. The Beck Depression Inventory (BDI) is a proper tool to brief check of the level of depression because it has high correlation with depression. The aim of this study was to assess and compare the level of depression among medical students from Poland, Portugal and Germany. Students from different countries were asked to fill in an electronic form containing the BDI. The form was created separately for each country, using official translation of the BDI, approved by the competent psychiatric association. Google Drive software was used for the electronic form, and Stat soft Statistica v10 software for statistical analysis. There were statistically significant differences (p<0.05) in terms of average score of the BDI and of the proportion of the scores more than 10 points of medical and technology students among kinds of studies and countries. The average score of the BDI of medical students: Poland: 13.76±9.99 points; Germany: 8.49±7.64 points; Portugal: 7.37±7.67 points. The average score of the BDI of technology students: Poland: 12.42±9.66 points; Germany: 10.51±8.49 points; Portugal: 9.25±8.97 points. The proportion of the scores more than 10 points of medical students: Poland 56.32% (285/506) Germany 34.92% (154/441) Portugal 26.03% (82/315). The proportion of the scores more than 10 points of technology students: Poland 55.01% (368/669) Germany 43.82% (156/356) Portugal 37.57% (136/362). The highest depression score among medical and technology students according the BDI was found in Poland. A proper monitoring of depression is required, as well as rapid and appropriate help for those who suffer from it.

  17. Structural barriers in the context of opiate substitution treatment in Germany - a survey among physicians in primary care

    PubMed Central

    2013-01-01

    Background Opiate substitution treatment (OST) is the most widely used treatment for opioid dependence in Germany with substantial long-term benefits for the patient and for society. Due to lessened restrictive admission criteria, the number of registered OST patients in Germany has increased continuously in the recent years, whereas the number of physicians providing OST has remained constant. Previous data already indicated a deteriorating situation in the availability or quality of OST delivered and that structural barriers impede physicians in actively providing OST. The present survey among a sample of primary care physicians in Germany aimed to identify and assess potential structural barriers for the provision of health care in the context of OST. Methods An anonymous written questionnaire was sent out to a sample of 2,332 physicians across Germany providing OST. Physicians contacted were identified through databases of the Federal State Chambers of Physicians and/or of the Federal Associations of Statutory Health Insurance Physicians. Data obtained were analysed descriptively. Results The response rate was 25,5% and the majority of 596 physicians sampled viewed substantial problems in terms of the regulatory framework of OST care in the German context. Furthermore, financial remuneration, insufficient qualification, as well as inadequate interdisciplinary cooperation in the treatment of comorbidities of opiate substituted patients were regarded as problematic. The number of physicians providing OST in Germany is expected to substantially decrease in the near future. Conclusion Despite less restrictive admission criteria for OST in Germany, the legal regulation framework for OST is still a limiting factor through raising concerns on the provider and consumer side to be unable to adhere to the strict rules. To avoid future shortages in the provision of OST care on the system level in Germany, revisions to the legal framework seem to be necessary. In regards

  18. Hammer and Compass: Introducing East Germany. An Anthology with Interpretations.

    ERIC Educational Resources Information Center

    Mayer, Elizabeth M.

    This anthology introduces students of German to the life of the people of East Germany. The three-part text describes interrelated cultural and political activities which are characteristic of the republic. Part One explores basic communistic philosophy, "a new myth", particularly through commentary on Walter Ulbricht's "Universe,…

  19. Education after Auschwitz in a United Germany: A Comparative Analysis of the Teaching of the History of National Socialism in East and West Germany

    ERIC Educational Resources Information Center

    Meseth, Wolfgang

    2012-01-01

    This article explores the teaching of the history of National Socialism in East and West Germany. Against the backdrop of the dual politics of memory that existed before reunification, the article examines how the divergent value systems of the two German nations came together to produce a single national conception of "Education after…

  20. [Helgoland (Germany): hemogenetic study of an island population].

    PubMed

    Schmidt, H D; Scheil, H G; Winkelbauer, S

    2001-03-01

    24 haemogenetic markers (5 erythrocyte antigenes, 6 polymorphisms of serum proteins, 12 polymorphisms of red cell enzymes) had been studied in up to 80 individuals from the island of Helgoland (Germany). The cluster analysis separates clearly the Helgoland sample from the neighbouring populations as well as from European standard data. This special position is interpreted partly by genetic peculiarities developed in the course of time, partly as a consequence of genetic drift.

  1. Area Handbook Series: East Germany: A Country Study

    DTIC Science & Technology

    1987-07-01

    annexation of Schleswig- Holstein , then used Austria’s rejection as a pretext for war. The Seven Weeks’ War, which was won by Prus- sia, resulted in the...northern Schleswig- Holstein , and all overseas colonies; and the Allied Reparations Commission was established and charged with 24 Historical Setting...lands under foreign administration. However, the Mos- cow and Warsaw treaties, signed by West Germany in 1970, for- mally confirmed the Oder.-Neisse line

  2. Forensic psychiatric expert witnessing within the criminal justice system in Germany.

    PubMed

    Konrad, Norbert; Völlm, Birgit

    2014-01-01

    In recent years, the number of occupied beds in German forensic-psychiatric hospitals has continued to rise. Diversion refers to the removal of offenders from the criminal justice system at any stage of the procedure and court proceedings. There are no specific diversion programs in Germany but diversion does in fact happen via legal regulations that are based on the construct of legal responsibility. The assessments of responsibility as well as risk are the core tasks of forensic-psychiatric expert witnessing in Germany. Recommendations of an interdisciplinary working group serve as a guide to operationalize this forensic-psychiatric task. These recommendations list formal minimum requirements for expert reports on the question of criminal responsibility and risk assessment as well as minimum standards regarding content and in writing the report. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. [Resilient or Risk Group? Psychological Burden at Unaccompanied Refugee Minors (URM) in Germany].

    PubMed

    Rücker, Stefan; Büttner, Peter; Lambertz, Birgit; Karpinski, Norbert; Petermann, Franz

    2017-04-01

    Resilient or Risk Group? Psychological Burden at Unaccompanied Refugee Minors (URM) in Germany Unaccompanied minors (umA in German) are considered as a risk group for psychological disorders. In international studies a high prevalence for trauma, anxiety, and depression were reported. A sample of N = 52 unaccompanied minors living in Germany was questioned on symptom severity as well as stress experience with the Refugee Health Screening-15. More than each second unaccompanied minor shows clinically relevant symptom severity and stress experience. In age-specific analyses the highest stress levels were found among the youngest unaccompanied minors. Therefore, specifically adapted settings for care should be applied for this high-risk group.

  4. Progress made in the construction of giant airplanes in Germany during the war

    NASA Technical Reports Server (NTRS)

    Baumann, A

    1920-01-01

    The construction of giant airplanes was begun in Germany in August, 1914. The tables annexed here show that a large number of airplanes weighing up to 15.5 tons were constructed and tested in Germany during the War, and it is certain that no other country turned out airplanes of this weight nor in such large numbers. An examination of the tables shows that by the end of the War all the manufacturers had arrived at a well-defined type, namely an airplane of about 12 tons with four engines of 260 horsepower each. The aircraft listed here are discussed with regard to useful weight and aerodynamic qualities.

  5. Antidepressant sales and regional variations of suicide mortality in Germany.

    PubMed

    Blüml, Victor; Helbich, Marco; Mayr, Michael; Turnwald, Roland; Vyssoki, Benjamin; Lewitzka, Ute; Hartung, Sebastian; Plener, Paul L; Fegert, Jörg M; Kapusta, Nestor D

    2017-04-01

    Suicides account for over one million deaths per year worldwide with depression among the most important risk factors. Epidemiological research into the relationship between antidepressant utilization and suicide mortality has shown heterogeneous and contradictory results. Different methodological approaches and limitations could at least partially explain varying results. This is the first study assessing the association of suicide mortality and antidepressant sales across Germany using complex statistical approaches in order to control for possible confounding factors including spatial dependency of data. German suicide counts were analyzed on a district level (n = 402) utilizing ecological Poisson regressions within a hierarchical Bayesian framework. Due to significant spatial effects between adjacent districts spatial models were calculated in addition to a baseline non-spatial model. Models were adjusted for several confounders including socioeconomic variables, quality of psychosocial care, and depression prevalence. Separate analyses were performed for Eastern and Western Germany and for different classes of antidepressants (SSRIs and TCAs). Overall antidepressant sales were significantly negatively associated with suicide mortality in the non-spatial baseline model, while after adjusting for spatially structured and unstructured effects the association turned out to be insignificant. In sub-analyses, analogue results were found for SSRIs and TCAs separately. Suicide risk shows a distinct heterogeneous pattern with a pronounced relative risk in Southeast Germany. In conclusion, the results reflect the heterogeneous findings of previous studies on the association between suicide mortality and antidepressant sales and point to the complexity of this hypothesized link. Furthermore, the findings support tailored suicide preventive efforts within high risk areas. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Smoking restrictions and hospitalization for acute coronary events in Germany.

    PubMed

    Sargent, James D; Demidenko, Eugene; Malenka, David J; Li, Zhongze; Gohlke, Helmut; Hanewinkel, Reiner

    2012-03-01

    To study the effects of smoking restrictions in Germany on coronary syndromes and their associated costs. All German states implemented laws partially restricting smoking in the public and hospitality sectors between August 2007 and July 2008. We conducted a before-and-after study to examine trends for the hospitalization rate for angina pectoris and acute myocardial infarction (AMI) for an insurance cohort of 3,700,384 individuals 30 years and older. Outcome measures were hospitalization rates for coronary syndromes, and hospitalization costs. Mean age of the cohort was 56 years, and two-thirds were female. Some 2.2 and 1.1% persons were hospitalized for angina pectoris and AMI, respectively, during the study period from January 2004 through December 2008. Law implementation was associated with a 13.3% (95% confidence interval 8.2, 18.4) decline in angina pectoris and an 8.6% (5.0, 12.2) decline in AMI after 1 year. Hospitalization costs also decreased significantly for the two conditions-9.6% (2.5, 16.6) for angina pectoris and 20.1% (16.0, 24.2) for AMI at 1 year following law implementation. Assuming the law caused the observed declines, it prevented 1,880 hospitalizations and saved 7.7 million Euros in costs for this cohort during the year following law implementation. Partial smoking restrictions in Germany were followed by reductions in hospitalization for angina pectoris and AMI, declines that continued through 1 year following these laws and resulted in substantial cost savings. Strengthening the laws could further reduce morbidity and costs from acute coronary syndromes in Germany.

  7. Smoking restrictions and hospitalization for acute coronary events in Germany

    PubMed Central

    Sargent, James D.; Demidenko, Eugene; Malenka, David J.; Li, Zhongze; Gohlke, Helmut

    2013-01-01

    Aims To study the effects of smoking restrictions in Germany on coronary syndromes and their associated costs. Methods and results All German states implemented laws partially restricting smoking in the public and hospitality sectors between August 2007 and July 2008. We conducted a before-and-after study to examine trends for the hospitalization rate for angina pectoris and acute myocardial infarction (AMI) for an insurance cohort of 3,700,384 individuals 30 years and older. Outcome measures were hospitalization rates for coronary syndromes, and hospitalization costs. Mean age of the cohort was 56 years, and two-thirds were female. Some 2.2 and 1.1% persons were hospitalized for angina pectoris and AMI, respectively, during the study period from January 2004 through December 2008. Law implementation was associated with a 13.3% (95% confidence interval 8.2, 18.4) decline in angina pectoris and an 8.6% (5.0, 12.2) decline in AMI after 1 year. Hospitalization costs also decreased significantly for the two conditions—9.6% (2.5, 16.6) for angina pectoris and 20.1% (16.0, 24.2) for AMI at 1 year following law implementation. Assuming the law caused the observed declines, it prevented 1,880 hospitalizations and saved 7.7 million Euros in costs for this cohort during the year following law implementation. Conclusions Partial smoking restrictions in Germany were followed by reductions in hospitalization for angina pectoris and AMI, declines that continued through 1 year following these laws and resulted in substantial cost savings. Strengthening the laws could further reduce morbidity and costs from acute coronary syndromes in Germany. PMID:22350716

  8. 77 FR 24932 - Brass Sheet and Strip From France, Italy, Germany and Japan: Continuation of Antidumping Duty Orders

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-26

    ...-704] Brass Sheet and Strip From France, Italy, Germany and Japan: Continuation of Antidumping Duty... Japan would likely lead to continuation or recurrence of dumping, and the determinations by the... brass sheet and strip from France, Italy, Germany and Japan, pursuant to section 751(c) of the Tariff...

  9. 77 FR 2511 - Ball Bearings and Parts Thereof From France, Germany, and Italy: Extension of Time Limit for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-18

    ... Bearings and Parts Thereof From France, Germany, and Italy: Extension of Time Limit for Preliminary Results... ball bearings and parts thereof from France, Germany, Italy, Japan, and the United Kingdom for the... Administrative Reviews and Request for Revocation in Part, 76 FR 37781 (June 28, 2011).\\1\\ The preliminary...

  10. Epigenetics Europe conference. Munich, Germany, 8-9 September 2011.

    PubMed

    Jeltsch, Albert

    2011-12-01

    At the Epigenetics Europe conference in Munich, Germany, held on 8-9 September 2011, 19 speakers from different European countries were presenting novel data and concepts on molecular epigenetics. The talks were mainly focused on questions of the generation, maintenance, flexibility and erasure of DNA methylation patterns in context of other epigenetic signals like histone tail modifications and ncRNAs.

  11. Global health business: the production and performativity of statistics in Sierra Leone and Germany.

    PubMed

    Erikson, Susan L

    2012-01-01

    The global push for health statistics and electronic digital health information systems is about more than tracking health incidence and prevalence. It is also experienced on the ground as means to develop and maintain particular norms of health business, knowledge, and decision- and profit-making that are not innocent. Statistics make possible audit and accountability logics that undergird the management of health at a distance and that are increasingly necessary to the business of health. Health statistics are inextricable from their social milieus, yet as business artifacts they operate as if they are freely formed, objectively originated, and accurate. This article explicates health statistics as cultural forms and shows how they have been produced and performed in two very different countries: Sierra Leone and Germany. In both familiar and surprising ways, this article shows how statistics and their pursuit organize and discipline human behavior, constitute subject positions, and reify existing relations of power.

  12. [Attitudes towards age-related rationing of medical supply: results of a cross-national analysis in Germany and Austria].

    PubMed

    Esslinger, Adelheid Susanne; Meier, Florian; Roller-Wirnsberger, Regina E; Heppner, Hans Jürgen

    2011-07-01

    Expenditure on health-care is increasing over the last years and the demographic shift leads to more elderly patients in the health-care system. Debates about the financial situation and solution about this topic are common. Direct, as well as hidden, rationing is verified by experts. This article discusses the concept of age-dependent prioritization and rationing of health-care expenditures in a cross-national setting. With a standardised questionnaire geriatric physicians in Germany and Austria were asked about their attitude and experience with health-care expenditures in elderly patients. Dimension of medical staff, organising institution and financial resources were also evaluated. The sample was tested with t-test, Mann-Whitney-U-test and explorative factor analysis. All the data were calculated with PASW 17 Statistics(®). From 419 standardised questionnaires 288 forms (60%, Germany: 123, Austria: 165) were evaluated. Differences were shown in patient-age (Germany: 80.4 y, Austria: 71.8 y), carrying capacity (Germany: 74.8, Austria: 110.8) and in medical staff as physicians (Germany: 6.8, Austria: 12.7) and nursing (Germany: 32.2, Austria: 84.3). In infrastructural basic services and normative focusing there was only marginal discrepancy, the public/ecclesiastical organising institution was 71% in both countries. Related to the different financial systems, there was less cost pressure in taking care of elderly patients in Austria. Age-dependent rationing was approved, but there was also a clear endorsement for making resources available for elderly patients in future. The discussion about rationing of health-care expenditures will still go on and therefore the impact of ageism has to be evaluated in further studies.

  13. Climate, weather, space weather: model development in an operational context

    NASA Astrophysics Data System (ADS)

    Folini, Doris

    2018-05-01

    Aspects of operational modeling for climate, weather, and space weather forecasts are contrasted, with a particular focus on the somewhat conflicting demands of "operational stability" versus "dynamic development" of the involved models. Some common key elements are identified, indicating potential for fruitful exchange across communities. Operational model development is compelling, driven by factors that broadly fall into four categories: model skill, basic physics, advances in computer architecture, and new aspects to be covered, from costumer needs over physics to observational data. Evaluation of model skill as part of the operational chain goes beyond an automated skill score. Permanent interaction between "pure research" and "operational forecast" people is beneficial to both sides. This includes joint model development projects, although ultimate responsibility for the operational code remains with the forecast provider. The pace of model development reflects operational lead times. The points are illustrated with selected examples, many of which reflect the author's background and personal contacts, notably with the Swiss Weather Service and the Max Planck Institute for Meteorology, Hamburg, Germany. In view of current and future challenges, large collaborations covering a range of expertise are a must - within and across climate, weather, and space weather. To profit from and cope with the rapid progress of computer architectures, supercompute centers must form part of the team.

  14. Experience gained from engineering, construction, and maintenance of nuclear power plants in the Federal Republic of Germany

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

    Eckert, G.; Huempfner, P.

    From the very beginning of nuclear power engineering in the Federal Republic of Germany (FRG), the main objective was to achieve a high degree of reliability for all safety systems, the nuclear steam supply systems, and the balance of plant. Major measures of a general nature included the following: (1) provision of the same redundancy for all parts of systems related to safety or availability; (2) introduction of appropriate quality assurance programs for design, development, manufacture, erection, testing, operation, and maintenance; and (3) optimization of design, not with the aim of reducing plant costs but in order to improve operationmore » and safety. A few examples are provided of improvements that Kraftwerk Union AG, as a supplier of turnkey nuclear power plants, has incorporated in its plants over the past years.« less

  15. Social Policy and Immigrant Joblessness in Britain, Germany and Sweden

    ERIC Educational Resources Information Center

    Kesler, Christel

    2006-01-01

    I examine patterns of joblessness among immigrant men and women from 33 countries of origin now living in Britain, Germany and Sweden. Access to welfare, access to the labor market, job segregation and institutional support for women's employment define distinct policy configurations in these three destinations. Findings show that gaps in…

  16. "Who Photographs Us?" The Workers' Photography Movement in Weimar Germany.

    ERIC Educational Resources Information Center

    Ohrn, Karin B.; Hardt, Hanno

    In a discussion of the attempts of the organized workers' photography movement in Weimar Germany to redirect the use of photographs in everyday life, this paper analyzes photographs published in the "Arbeiter-Illustrierte-Zeitung," (AIZ) a large and successful picture magazine that emphasized a left-wing, humanitarian approach. The paper…

  17. Adult Education in Germany from the Middle Ages to 1980.

    ERIC Educational Resources Information Center

    Textor, Martin R.

    1986-01-01

    The history of adult education in Germany is examined, including the power of the Church during the Middle Ages, self-instruction in informal groups during the Renaissance, Lutheran influence during the Reformation, emphasis on reason and science during the Enlightenment period, industrialization, the Weimar Republic, the Third Reich, and post-war…

  18. A Matter of Comparative Music Education? Community Music in Germany

    ERIC Educational Resources Information Center

    Kertz-Welzel, Alexandra

    2009-01-01

    In German music education, the term "community music" is almost unknown. There could be various reasons for this fact such as a lack of community music activities in Germany, terminological problems concerning the German translation, or an appropriate explanation of the term "community music." This paper will discuss some of…

  19. A Model for Intercultural Training for Study Abroad in Germany

    ERIC Educational Resources Information Center

    Henze, Yvonne A.

    2007-01-01

    This article describes an intercultural workshop designed for American students from the University of Rhode Island's International Engineering Program who are going to Germany to work and to study. The activities and goals of the workshop are explained. The outcomes and findings show that participation in the pre-departure intercultural workshop…

  20. Comparison of prostate cancer survival in Germany and the USA: can differences be attributed to differences in stage distributions?

    PubMed

    Winter, Alexander; Sirri, Eunice; Jansen, Lina; Wawroschek, Friedhelm; Kieschke, Joachim; Castro, Felipe A; Krilaviciute, Agne; Holleczek, Bernd; Emrich, Katharina; Waldmann, Annika; Brenner, Hermann

    2017-04-01

    To better understand the influence of prostate-specific antigen (PSA) screening and other health system determinants on prognosis of prostate cancer, up-to-date relative survival (RS), stage distributions, and trends in survival and incidence in Germany were evaluated and compared with the United States of America (USA). Incidence and mortality rates for Germany and the USA for the period 1999-2010 were obtained from the Centre for Cancer Registry Data at the Robert Koch Institute and the USA Surveillance Epidemiology and End Results (SEER) database. For analyses on stage and survival, data from 12 population-based cancer registries in Germany and from the SEER-13 database were analysed. Patients (aged ≥ 15 years) diagnosed with prostate cancer (1997-2010) and mortality follow-up to December 2010 were included. The 5- and 10-year RS and survival trends (2002-2010) were calculated using standard and model-based period analysis. Between 1999 and 2010, prostate cancer incidence decreased in the USA but increased in Germany. Nevertheless, incidence remained higher in the USA throughout the study period (99.8 vs 76.0 per 100,000 in 2010). The proportion of localised disease significantly increased from 51.9% (1998-2000) to 69.6% (2007-2010) in Germany and from 80.5% (1998-2000) to 82.6% (2007-2010) in the USA. Mortality slightly decreased in both countries (1999-2010). Overall, 5- and 10-year RS was lower in Germany (93.3%; 90.7%) than in the USA (99.4%; 99.6%) but comparable after adjustment for stage. The same patterns were seen in age-specific analyses. Improvements seen in prostate cancer survival between 2002-2004 and 2008-2010 (5-year RS: 87.4% and 91.2%; +3.8% units) in Germany disappeared after adjustment for stage (P = 0.8). The survival increase in Germany and the survival advantage in the USA might be explained by differences in incidence and stage distributions over time and across countries. Effects of early detection or a lead-time bias due to the more

  1. Some aspects of the reform of the health care systems in Austria, Germany and Switzerland.

    PubMed

    Theurl, E

    1999-01-01

    The health care systems in Austria, Germany and Switzerland owe their institutional structure to different historical developments. While Austria and Germany voted for the Bismarck-Model of social health insurance, Switzerland adopted a voluntary system of health insurance. In all three countries, until very recently, the different challenges which the health care sector faced were met by piecemeal approaches and by stop and go policies, which, in the long run were not very successful either in containing costs or in improving efficacy and efficiency. During the 1990 more fundamental reforms in the health care systems of all three countries took place. Germany and Switzerland chose the path of deregulation of the health insurance system, which consequently strengthened the competition between the insurance companies, and, to some extent between the suppliers of medical services. While this can be seen as an essential part of the reform process for these two countries. Austria favors a state-oriented and interventionist approach in order to meet the challenges.

  2. Employed and expecting in Germany: A qualitative investigation into pregnancy-related occupational stress and coping behavior.

    PubMed

    Lojewski, Julia; Flothow, Annegret; Harth, Volker; Mache, Stefanie

    2018-01-01

    Previous studies demonstrate a higher risk for pregnant women to experience stressors within the work context and therefore suggest a higher risk for occupational stress. However, the interaction between work and pregnancy in Germany is currently an area without much active research, even though it is a common occurrence. This qualitative study explores stressors, coping behaviors and related consequences for pregnant employees in Germany. Furthermore, the study researches intervention possibilities for the purpose to prevent the target group from negative health outcomes. Thirteen semi-standardized interviews with employed pregnant women living and working in Germany were conducted. The interviews were recorded and verbatim transcribed. Data was analyzed by Mayring's structuring qualitative content analysis. Compounding the results, the interviewed women noted most frequently stressors in relation to their employer/line manager due to their pregnant condition. Even though the women showed various adaptive coping behaviors, the identified negative consequences, mainly on their emotional wellbeing. Various intervention possibilities to improve the pregnant employee's situation were mentioned. This study was able to explore broad insights into the topic of pregnant employees in Germany. Therefore, this study underlines the actuality and relevance of the topic and is able to contribute to a scientific discussion about pregnancy at the workplace.

  3. Smoking among adolescents in Muenster, Germany: increase in prevalence (1995-2000) and relation to tobacco advertising.

    PubMed

    Maziak, Wasim; Rzehak, Peter; Keil, Ulrich; Weiland, Stephan K

    2003-02-01

    Understanding patterns and trends of smoking among youths is of major importance for the assessment of the burden of smoking in the society and efforts to decrease it. The aims were to determine the prevalence and trends of smoking among adolescents in Muenster, Germany, and to assess its relation to youths' awareness of tobacco advertisement. Information on smoking habits was collected during two school-based surveys (1994/1995 and 1999/2000) of 12- to 15-year-old adolescents (3934 students in 1994/5 and 4028 students in 1999/2000) in Muenster, Germany. In addition, in 1994/1995 information about youths' awareness and appreciation of tobacco advertisement was collected. During the 5-year period, the prevalence of current smoking increased from 21.3 to 28.3%, and daily smoking increased from 10.0 to 14.2%. Among girls, daily smoking increased by 62% during this period. Almost all participants (94%) in 1994/1995 knew a tobacco brand, and appreciation of tobacco advertisement was strongly associated with the frequency of smoking. Smoking is increasing among adolescents in Germany especially among girls. These data are a cause of concern and call for efforts to reverse these trends, which should include a ban on tobacco advertisement in Germany.

  4. [Frailty in Germany: status and perspectives : Results from a workshop of the German Society for Epidemiology].

    PubMed

    Fuchs, Judith; Scheidt-Nave, Christa; Gaertner, Beate; Dapp, Ulrike; von Renteln-Kruse, Wolfgang; Saum, Kai-Uwe; Thorand, Barbara; Strobl, Ralf; Grill, Eva

    2016-12-01

    A standardized, valid and comparable operationalization and assessment of frailty in population-based studies is essential in order to describe the prevalence and determinants of frailty in the population. After an introduction to the subject the main goal of a workshop at the 9th annual meeting of the German Society for Epidemiology (DGEpi) was to present approaches and results from four different studies in Germany. The following four population-based studies were used to describe frailty in Germany: the German health interview and examination survey for adults (DEGS1), the epidemiological study on the chances of prevention, early recognition and optimized treatment of chronic diseases in the older population (ESTHER), the cooperative health research in the region Augsburg (KORA Age) study and the longitudinal urban cohort ageing study (LUCAS) in Hamburg. The four studies consistently showed that frailty is widespread in older and oldest-old persons in Germany. It is obvious that frailty represents a relevant concept in Germany even if there is currently no uniform basis for operationalization. Concepts and instruments for the collation of frailty should be included in future population-based studies in order to make a better assessment of older people's health situation and to describe the unused potential for prevention in an aging society.

  5. The opportunities for and obstacles against prevention: the example of Germany in the areas of tobacco and alcohol

    PubMed Central

    2010-01-01

    Background Recent years have seen a growing research and policy interest in prevention in many developed countries. However, the actual efforts and resources devoted to prevention appear to have lagged well behind the lip service paid to the topic. Discussion We review the evidence on the considerable existing scope for health gains from prevention as well as for greater prevention policy efforts in Germany. We also discuss the barriers to "more and better" prevention and provide modest suggestions about how some of the obstacles could be overcome. Summary In Germany, there are substantial health gains to be reaped from the implementation of evidence-based, cost-effective preventive interventions and policies. Barriers to more prevention include social, historical, political, legal and economic factors. While there is sufficient evidence to scale up prevention efforts in some public health domains in Germany, in general there is a comparative shortage of research on non-clinical preventive interventions. Some of the existing barriers in Germany are at least in principle amenable to change, provided sufficient political will exists. More research on prevention by itself is no panacea, but could help facilitate more policy action. In particular, there is an economic efficiency-based case for public funding and promotion of research on non-clinical preventive interventions, in Germany and beyond, to confront the peculiar challenges that set this research apart from its clinical counterpart. PMID:20718995

  6. High-energy laser activities at MBDA Germany

    NASA Astrophysics Data System (ADS)

    Mohring, Bernd; Dietrich, Stephan; Tassini, Leonardo; Protz, Rudolf; Geidek, Franz; Zoz, Jürgen

    2013-05-01

    At MBDA Germany a concept for a high-energy laser weapon system is investigated, which is based on existing industrial laser sources. Due to the enormous progress in the field of high-power fiber lasers, commercial industrial fiber lasers are now available delivering a nearly-diffraction limited beam quality with power levels of up to 10 kW. By using a geometric beam coupling scheme, a number of individual high-power fiber laser beams are combined together using one common beam director telescope. A total laser beam power of more than 100 kW can be achieved, which is sufficient for an operational laser weapon system. The individual beams from the different lasers are steered by servo-loops using fast tip-tilt mirrors. This principle enables the concentration of the total laser beam power at one common focal point on a distant target, also allowing fine tracking of target movements and first-order compensation of turbulence effects on laser beam propagation. The proposed beam combination concept was demonstrated by using different experimental set-ups. A number of experiments were performed successfully to investigate laser beam target interaction and target fine tracking, also at large distances and at moving targets. Content and results of these investigations are reported, which demonstrate the complete engagement sequence for a C-RAM scenario. This includes subsequent steps of target acquisition by radar and IR optics, followed by large angle coarse tracking, active fine tracking and destruction of the target by the laser system. This successful implementation of geometric beam combining is an important step for the realization of a laser weapon system in the near future.

  7. Gambling market and individual patterns of gambling in Germany.

    PubMed

    Albers, N; Hübl, L

    1997-01-01

    In this paper individual patterns of gambling in Germany are estimated for the first time. The probit technique is used to test the influence of a set of individual characteristics on the probability of participating in each of the various legal games. A sample size of 1,586 adults collected for the pool of German lotteries provides a reliable set of data. All disaggregated estimations of participation are statistically significant at least at the 5 percent level. The basic findings suggest that gambling is a widespread normal (superior) consumption good because gambling participation tends to rise with income. Moreover, no demand anomaly can be found to justify assessing gambling as a social demerit. Only the participation in gaming machines is higher for younger, unemployed and less educated adults. While a moral evaluation of gambling is beyond the scope of this paper, the legislator's preference for a highly taxed state monopoly in gambling markets is to be rejected, at least for Germany. Additional statistical findings suggest distinct consumer perceptions of the characteristics of the various games and may be used for market segmentation. The paper starts with a descriptive introduction to the German gambling market.

  8. Solar technology in the Federal Republic of Germany

    NASA Technical Reports Server (NTRS)

    1979-01-01

    A series of papers dealing with the status of solar research and development in the Federal Republic of Germany are presented at a conference in Greece with the object of promoting international cooperation in solar energy utilization. The reports focus on solar collector designs, solar systems, heat pumps, solar homes, solar cooling and refrigeration, desalination and electric power generation. Numerous examples of systems produced by German manufacturers are illustrated and described, and performance data are presented.

  9. Use of herbal medicinal products among children and adolescents in Germany

    PubMed Central

    2014-01-01

    Background Germany is a country with a high use of herbal medicinal products. Population-based data on the use of herbal medicinal products among children are lacking. The aim of this study is to investigate the prevalence, patterns and determinants of herbal medicine use among children and adolescents in Germany. Methods As data base served the German Health Interview and Examination Survey for Children and Adolescents (KiGGS), a representative population based survey conducted 2003–2006 by the Robert Koch Institute. 17,450 boys and girls aged 0–17 years provided information on drug use in the preceding seven days. Herbal medicinal products were defined according to the European and German drug laws. SPSS Complex Sample method was used to estimate prevalence rates and factors associated with herbal medicine use. Results The prevalence rate of herbal medicinal product use amounts to 5.8% (95% confidence interval 5.3-6.3%). Use of herbal medicine declines along with increasing age and shows no difference between boys and girls in younger age groups. Teenage girls are more likely to use herbal medicines than teenage boys. Two thirds of herbal medicines are used for the treatment of coughs and colds; nearly half of herbal medicines are prescribed by medical doctors. Determinants of herbal medicinal product use are younger age, residing in South Germany, having a poor health status, having no immigration background and coming from a higher social class family. Children’s and parents-related health behavior is not found to be associated with herbal medicine use after adjusting for social class. Conclusions Use of herbal medicinal products among children and adolescents between the ages of 0 and 17 years in Germany is widely spread and shows relatively higher rates compared to international data. This study provides a reference on the use of herbal medicinal products for policy-makers, health professionals and parents. Further studies are needed to investigate the

  10. Participation in Higher Education: Barriers and Opportunities for Non-Traditional Students in Higher Education in Germany and Spain

    ERIC Educational Resources Information Center

    Schömer, Frank; González-Monteagudo, José

    2013-01-01

    This paper explores participation in higher education in Germany and Spain through two case studies from the RANLHE project. There is one case in each national context (Germany and Spain) based on biographical interviews undertaken between 2008 and 2010. Social, economic and cultural dimensions are explored in order to better understand the German…

  11. 77 FR 16537 - Ball Bearings and Parts Thereof from France, Germany, and Italy: Extension of Time Limit for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... Bearings and Parts Thereof from France, Germany, and Italy: Extension of Time Limit for Preliminary Results... ball bearings and parts thereof from France, Germany, Italy, Japan, and the United Kingdom for the... Revocation in Part, 76 FR 37781 (June 28, 2011). See also Ball Bearings and Parts Thereof From Japan and the...

  12. Direkte Kontakte zu Deutschland aus und in der Ferne (Direct Contact with Germany from and at a Distance).

    ERIC Educational Resources Information Center

    Wicke, Rainer E.

    This guide is a summary of ideas for enhancing the teaching of German through direct contact with Germany or German people without traveling abroad. The following ideas are highlighted: (1) correspondence (pen pals) with students in Germany; (2) audiotape recordings as an alternative to letter writing; (3) the exchange of videotape recordings with…

  13. Variegated Squirrel Bornavirus 1 in Squirrels, Germany and the Netherlands

    PubMed Central

    Schlottau, Kore; Jenckel, Maria; van den Brand, Judith; Fast, Christine; Herden, Christiane; Höper, Dirk; Homeier-Bachmann, Timo; Thielebein, Jens; Mensing, Niels; Diender, Bert; Hoffmann, Donata; Ulrich, Rainer G.; Mettenleiter, Thomas C.; Koopmans, Marion; Tappe, Dennis; Schmidt-Chanasit, Jonas; Reusken, Chantal B.E.M.; Hoffmann, Bernd

    2017-01-01

    We screened squirrels in Germany and the Netherlands for the novel zoonotic variegated squirrel bornavirus 1 (VSBV-1). The detection of VSBV-1 in 11 squirrels indicates a considerable risk for transmission to humans handling those animals. Therefore, squirrels in contact with humans should routinely be tested for VSBV-1. PMID:28221112

  14. School-Based Staff Development in Two Federal States in Germany

    ERIC Educational Resources Information Center

    Thillmann, Katja; Bach, Anabel; Wurster, Sebastian; Thiel, Felicitas

    2015-01-01

    Purpose: In Germany up until now, there has been very little research on staff development in schools. The purpose of this paper is to comprehensively assess school-based staff development and to describe the interplay between different instruments of staff development (e.g. classroom observations, development discussions) at the school level.…

  15. Steep rise in norovirus cases and emergence of a new recombinant strain GII.P16-GII.2, Germany, winter 2016.

    PubMed

    Niendorf, S; Jacobsen, S; Faber, M; Eis-Hübinger, A M; Hofmann, J; Zimmermann, O; Höhne, M; Bock, C T

    2017-01-26

    Since early November 2016, the number of laboratory-confirmed norovirus infections reported in Germany has been increasing steeply. Here, we report the detection and genetic characterisation of an emerging norovirus recombinant, GII.P16-GII.2. This strain was frequently identified as the cause of sporadic cases as well as outbreaks in nine federal states of Germany. Our findings suggest that the emergence of GII.P16-GII.2 contributed to rising case numbers of norovirus gastroenteritis in Germany. This article is copyright of The Authors, 2017.

  16. Hepatitis E virus in wild rabbits and European brown hares in Germany.

    PubMed

    Hammerschmidt, F; Schwaiger, K; Dähnert, L; Vina-Rodriguez, A; Höper, D; Gareis, M; Groschup, M H; Eiden, M

    2017-12-01

    Recently, a change of hepatitis E from being a typical travel-associated disease to an autochthonous zoonosis in Germany was observed. An increasing number of autochthonous infections with the hepatitis E Virus (HEV) have been recognized in developed countries. Venison from wild boar is already known to be a potential source of infection, if not prepared properly by the consumer. In Germany, certain wild animals are known to be a reservoir for HEV. However, current information is missing about European brown hares (Lepus europaeus) and wild rabbits (Oryctolagus cuniculus). Thus, a total of 833 hunting-harvested animals (European brown hares n = 669; wild rabbits n = 164) were tested for the occurrence of HEV RNA and HEV antibodies. For this, liver and blood specimens were taken after hunts in six German federal states. HEV antibodies were found by ELISA in 2.2% (624/14) of European brown hares, but no HEV RNA was detectable by nested real-time RT-PCR. In contrast, a seroprevalence of 37.3% (126/47) was observed for wild rabbits, and 17.1% (164/28) of the samples were HEV RNA positive. Genomic analysis revealed that these partial sequences clustered within the rabbit clade of HEV-3 genotype. In addition, one rabbit sequence segregated into subtype 3g of HEV-3. Highest seroprevalences for hares and rabbits were detected in the federal states of Bavaria and of Schleswig-Holstein, respectively. Comparing urban, rural and insular areas, the highest seroprevalence was shown for wild rabbits in rural areas and for European brown hares on the northern island Fehmarn. This study provides evidence that European brown hares and wild rabbits from Germany can be infected with HEV. The different prevalences indicate that wild rabbits are a potential reservoir for HEV in Germany, whereas European brown hares seem to be only of minor importance for the epidemiology of HEV. © 2017 Blackwell Verlag GmbH.

  17. Political consumer behaviour among university students in Brazil and Germany: The role of contextual features and core political values.

    PubMed

    Kotzur, Patrick F; Torres, Cláudio V; Kedzior, Karina K; Boehnke, Klaus

    2017-04-01

    This study investigates the relationship between political consumerism and core political values (CPVs) among university students in Brazil (N = 414) and Germany (N = 222). Despite the prerequisite to endorse values that are compatible with political consumerism, contextual features of one's immediate environment might affect overall levels of political consumerism. Our results show that political consumerism is significantly associated with higher income in Brazil (but not in Germany). After controlling for income, political consumerism was practised more frequently in Germany than in Brazil, in urban compared with rural areas, and was not dependent on gender. The urban-rural split was stronger in Brazil than in Germany. These results confirm our hypothesis that contextual features are associated with political consumerism. Furthermore, the political value Equality positively predicted political consumerism in both countries. In contrast, Traditional Morality and support of Free Enterprise negatively predicted political consumerism, although the effect sizes of these relationships were only small. These results suggest that political consumerism among university students is widespread in Germany but not in Brazil. Interestingly, regardless of its low prevalence in Brazil, political consumerism is positively associated with the CPV of Equality among university students in both countries. © 2015 International Union of Psychological Science.

  18. Duty Rosters and Workloads of Obstetricians in Germany: Results of a Germany-wide Survey.

    PubMed

    Neimann, Johannes; Knabl, Julia; Puppe, Julian; Bayer, Christian Michael; Gass, Paul; Gabriel, Lena; Seelbach-Goebel, Birgit; Lermann, Johannes; Schott, Sarah

    2017-08-01

    Compiling a daily hospital roster which complies with existing laws and tariff regulations and meets the requirements for ongoing professional training while also taking the legal regulations on the health of employees into account makes planning the duty roster a challenge. The aim of this study was to obtain a realistic picture of existing duty roster systems and of the current workloads of obstetricians in Germany. This online survey was sent to 2770 physicians training to become obstetricians or specializing in specific areas of obstetric care. The survey consisted of an anonymized 95-item questionnaire which collected data on different types of duty roster systems and the workload of obstetricians in Germany for the period from 17.02.2015 to 16.05.2015. Out of a total of 2770 physicians who were contacted, 437 (16%) completed the questionnaire. Across all forms of care, the care provided outside normal working hours usually (75%) consisted of a combination of regular working times and on-call duty or even consisted entirely of standby duty. Level I perinatal centers were most likely 20% (n = 88) to have a shift system in place. Working a shift system was significantly more common in care facilities which had previously carried out a job analysis. The number of physicians in hospitals who are present during the night shift was higher in facilities with higher numbers of births and in facilities which offered higher levels of care. In addition to regularly working overtime and the fact that often not all the hours worked were recorded, it was notable that the systems used to compile duty rosters often did not comply with legal regulations or with collectively agreed working hours nor were they compatible with the staff planning requirements. The results of this study show that the conditions of work, the working times, and the organization of working times in obstetric departments are in need of improvement. Recording the actual times worked together with an

  19. Young People and Popular Music in East Germany: Focus on a Scene.

    ERIC Educational Resources Information Center

    Wicke, Peter

    1985-01-01

    Points out a great preference for Western-style rock music among young people (ages 14-25) in East Germany despite social, political, and cultural differences, suggesting the global nature of music as communication. (PD)

  20. [Baseline Incidence of HPV-Associated Invasive and in Situ Cancers in Germany Prior to Potential Vaccination Effects].

    PubMed

    Sophia Rudolph, Christiane Ermina; Katalinic, Alexander

    2018-06-22

    Vaccines against human papillomaviruses are covered by statutory health insurances in Germany since March 2007. A reduction of cervical and other HPV-associated cancers is expected. Incidence rates of HPV-associated cancers preceding the introduction of vaccines are unknown. These, however, are important for assessing the effects of HPV vaccines. The aim of the present study was to bridge this knowledge gap. Based on cancer registry data from seven federal states, average yearly incidence rates for cervical, anogenital, oropharyngeal cancers and cancers of the oral cavity were calculated for the period 2003 to 2007. Additionally, estimated numbers of cases give an overview on the total burden of disease caused by HPV-associated cancers in Germany. Incidence trends from 2003 to 2013 are also presented. In Germany, 11,686 cases of invasive HPV-associated cancers occurred yearly before the introduction of HPV vaccines. The most common sites are cervical cancers for women (4,387 cases) and oropharyngeal cancers for men (2,770 cases) with age-standardized incidence rates of 8.8 and 5.9 cases per 100,000 persons, respectively. The age-standardized incidence rate for in situ cervical cancers amounts to 23.5 cases per 100 000 women. Incidence trends show significant increases of invasive vulvar, penile and anorectal cancers. This work presents robust incidence data of HPV-associated cancers in Germany prior to the introduction of the HPV vaccine. Effects of HPV vaccines on the incidence of HPV-associated cancers can be estimated for Germany earliest in 2019. © Georg Thieme Verlag KG Stuttgart · New York.

  1. Outbreak and Cocirculation of Three Different Usutu Virus Strains in Eastern Germany.

    PubMed

    Sieg, Michael; Schmidt, Volker; Ziegler, Ute; Keller, Markus; Höper, Dirk; Heenemann, Kristin; Rückner, Antje; Nieper, Hermann; Muluneh, Aemero; Groschup, Martin H; Vahlenkamp, Thomas W

    2017-09-01

    Usutu virus (USUV) is a mosquito-borne flavivirus accounting for large-scale deaths in resident bird populations. In this study, we show the introduction of USUV to Eastern Germany resulting in massive death of birds, particularly blackbirds (Turdus merula). We found that three diverse USUV lineages ("Europe 3," "Africa 2," and "Africa 3-like") circulated simultaneously. Moreover, we detected USUV in Culex pipiens in a region where no dead birds were reported, strengthening the need for mosquito monitoring to uncover the spread of arboviruses. Furthermore, phylogenetic analyses revealed that mutations accumulated, in particular, in the NS3 region within short time periods. In addition, comparison of whole-genome sequences showed that diverse isolates of the cluster "Africa 3-like" are cocirculating in Germany due to independent introduction events.

  2. Immigration and the modern welfare state: the case of USA and Germany.

    PubMed

    Wenzel, U; Bos, M

    1997-10-01

    "This article presents a comparison of the inclusion of migrants into welfare programmes in the USA and in Germany. In the first part of the article a brief overview is provided of immigration categories in both countries in order to demonstrate the relevance of these administrative regulations for the opportunities of individual migrants to participate in the welfare system. In the second part we elaborate in more detail on how welfare programmes have developed as basic mechanisms to include or exclude migrants. Our findings illustrate an increasing differentiation of membership statuses parallel to the expansion of modern welfare systems. In both the USA and Germany, the territorial principle and participation in the labour market are of prime importance to the access to social rights. In both cases all migrants may profit from contributory programmes." excerpt

  3. Neurosciences and research on chemical weapons of mass destruction in Nazi Germany.

    PubMed

    Schmaltz, Florian

    2006-09-01

    As a side-product of industrial research, new chemical nerve agents (Tabun, Sarin, Soman) superior to those available to the Allied Forces were discovered in Nazi Germany. These agents were never used by Germany, even though they were produced at a large scale. This article explores the toxicological and physiological research into the mechanisms of action of these novel nerve agents, and the emergence of military research objectives in neurophysiological and neurotoxicological research. Recently declassified Allied military intelligence files document secret nerve agent research, leading to intensified research on anticholinesterase agents in the peripheral and the central nervous system. The article discusses the involvement of IG Farben scientists, educational, medical and military institutions, and of Nobel Prize laureate Richard Kuhn, director of the Kaiser Wilhelm Institute for Medical Research.

  4. Exploring the effects of drastic institutional and socio-economic changes on land system dynamics in Germany between 1883 and 2007

    PubMed Central

    Niedertscheider, Maria; Kuemmerle, Tobias; Müller, Daniel; Erb, Karl-Heinz

    2014-01-01

    Long-term studies of land system change can help providing insights into the relative importance of underlying drivers of change. Here, we analyze land system change in Germany for the period 1883–2007 to trace the effect of drastic socio-economic and institutional changes on land system dynamics. Germany is an especially interesting case study due to fundamentally changing economic and institutional conditions: the two World Wars, the separation into East and West Germany, the accession to the European Union, and Germany's reunification. We employed the Human Appropriation of Net Primary Production (HANPP) framework to comprehensively study long-term land system dynamics in the context of these events. HANPP quantifies biomass harvests and land-use-related changes in ecosystem productivity. By comparing these flows to the potential productivity of ecosystems, HANPP allows to consistently assess land cover changes as well as changes in land use intensity. Our results show that biomass harvest steadily increased while productivity losses declined from 1883 to 2007, leading to a decline in HANPP from around 75%–65% of the potential productivity. At the same time, decreasing agricultural areas allowed for forest regrowth. Overall, land system change in Germany was surprisingly gradual, indicating high resilience to the drastic socio-economic and institutional shifts that occurred during the last 125 years. We found strikingly similar land system trajectories in East and West Germany during the time of separation (1945–1989), despite the contrasting institutional settings and economic paradigms. Conversely, the German reunification sparked a fundamental and rapid shift in former East Germany's land system, leading to altered levels of production, land use intensity and land use efficiency. Gradual and continuous land use intensification, a result of industrialization and economic optimization of land use, was the dominant trend throughout the observed period

  5. Trends in survival of multiple myeloma patients in Germany and the United States in the first decade of the 21st century.

    PubMed

    Pulte, Dianne; Jansen, Lina; Castro, Felipe A; Emrich, Katharina; Katalinic, Alexander; Holleczek, Bernd; Brenner, Hermann

    2015-10-01

    Multiple myeloma is a chronic, incurable but highly treatable neoplasm. Recent population-based studies have shown improvements in survival for patients diagnosed in the early 21st century. Here, we examine trends in survival for patients diagnosed with multiple myeloma in Germany and the United States (US) between 2002 and 2010. Data were extracted from 11 population-based cancer registries in Germany and from the Surveillance, Epidemiology and End Results database in the US. Myeloma patients aged 15-74 years with diagnosis and follow-up between 1997 and 2010 from Germany and the US were included. Period analysis was employed to assess trends in 5-year relative survival in Germany and the US between 2002-04 and 2008-10. Age-adjusted 5-year relative survival increased from 47·3% to 53·8% in Germany and from 39·8% to 53·2% in the US between 2002-04 and 2008-10. There was a strong age gradient with lower survival among older patients, which persisted over time and was more pronounced in Germany than the US. Five-year relative survival estimates for patients diagnosed with multiple myeloma below 75 years of age steadily increased throughout the first decade of the 21st century and reached levels above 50% in both Germany and the US, probably reflecting the increased use of newer agents in myeloma treatment. © 2015 John Wiley & Sons Ltd.

  6. Low-dose aspirin before spinal surgery: results of a survey among neurosurgeons in Germany.

    PubMed

    Korinth, Marcus C; Gilsbach, Joachim M; Weinzierl, Martin R

    2007-03-01

    The main problem faced by the increasing numbers of patients presenting for spinal surgery are receiving concurrent medication with low-dose aspirin, leading to dysfunctional circulating platelets. The contribution of low-dose aspirin to increased peri-operative risk of bleeding and blood loss is a contentious issue with conflicting published results from different surgical groups. Data from neurosurgical spine patients is sparse, but aspirin has been identified as an important risk factor in the development of post-operative hematoma following intracranial surgery. We surveyed the opinions and working practices of the neurosurgical facilities performing spinal operations in Germany regarding patients who present for elective spinal surgery. Identical questionnaires were sent to 210 neurosurgical facilities and proffered five main questions: (1) the adherence of any policy of stopping aspirin pre-operatively, (2) the personal risk assessment for patients with spinal surgery under low-dose aspirin medication, (3) the preferred method of treatment for excessive bleeding in this context, (4) personal knowledge of hemorrhagic complications in this group of patients, and (5) the characteristics of the neurosurgical units concerned. There were 145 (69.1%) responses of which 142 (67.6%) were valid. Of the respondents, 114 (80.3%) had a (written) departmental policy for the discontinuation of pre-operative aspirin treatment, 28 (19.7%) were unaware of such a policy. The mean time suggested for discontinuation of aspirin pre-operatively was 6.9 days (range: 0-21 days), with seven respondents who perform the operations despite the ongoing aspirin medication. Ninety-four respondents (66.2%) considered that patients taking low-dose aspirin were at increased risk for excessive peri-operative hemorrhage or were indetermined (8.6%), and 73 (51.4%) reported having personal experience of such problems. Ninety-two respondents (65.5%) would use special medical therapy, preferably

  7. The invasive Asian tiger mosquito Aedes albopictus (Diptera: Culicidae) in Germany: Local reproduction and overwintering.

    PubMed

    Walther, D; Scheuch, D E; Kampen, H

    2017-02-01

    Within the framework of a German mosquito monitoring programme, the 'Mueckenatlas' (mosquito atlas) has been established as an instrument of citizen participation in mosquito mapping. In 2015, a strikingly large number of Aedes albopictus, which had not been considered established in Germany, was submitted. Three of six collection sites showed local reproduction, with demonstration of developmental stages over three months at two sites. The third populated site was checked only once in October. Developmental stages of Ae. albopictus were found again at these three sites in spring 2016, including one site in southeastern Germany where reproduction had already been documented in 2014. Although population genetic analyses performed on specimens collected at the latter locality in 2014 and 2015 did not provide proof for hibernation, the finding of developmental stages at this and two other very same sites as in the year before and at very early times in the season strongly suggest accomplished overwintering of Ae. albopictus in Germany. Obviously, the second extremely mild winter in Germany in a row and ongoing adaptation of Ae. albopictus to the temperate European climate allow the species to push northwards from endemic regions in the south. Due to the vector competence of Ae. albopictus for numerous pathogens, including dengue, chikungunya and Zika viruses, action should be taken immediately after the detection of local reproduction to eliminate the populations. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. Diverse Approaches to Implement and Monitor River Restoration: A Comparative Perspective in France and Germany

    NASA Astrophysics Data System (ADS)

    Morandi, Bertrand; Kail, Jochem; Toedter, Anne; Wolter, Christian; Piégay, Hervé

    2017-11-01

    River restoration is a main emphasis of river management in European countries. Cross-national comparisons of its implementation are still rare in scientific literature. Based on French and German national censuses, this study compares river restoration practices and monitoring by analysing 102 French and 270 German projects. This comparison aims to draw a spatial and temporal framework of restoration practices in both countries to identify potential drivers of cross-national similarities and differences. The results underline four major trends: (1) a lag of almost 15 years in river restoration implementation between France and Germany, with a consequently higher share of projects in Germany than in France, (2) substantial similarities in restored reach characteristics, short reach length, small rivers, and in "agricultural" areas, (3) good correspondences between stressors identified and restoration measures implemented. Morphological alterations were the most important highlighted stressors. River morphology enhancement, especially instream enhancements, were the most frequently implemented restoration measures. Some differences exist in specific restoration practices, as river continuity restoration were most frequently implemented in French projects, while large wood introduction or channel re-braiding were most frequently implemented in German projects, and (4) some quantitative and qualitative differences in monitoring practices and a significant lack of project monitoring, especially in Germany compared to France. These similarities and differences between Germany and France in restoration application and monitoring possibly result from a complex set of drivers that might be difficult to untangle (e.g., environmental, technical, political, cultural).

  9. Diverse Approaches to Implement and Monitor River Restoration: A Comparative Perspective in France and Germany.

    PubMed

    Morandi, Bertrand; Kail, Jochem; Toedter, Anne; Wolter, Christian; Piégay, Hervé

    2017-11-01

    River restoration is a main emphasis of river management in European countries. Cross-national comparisons of its implementation are still rare in scientific literature. Based on French and German national censuses, this study compares river restoration practices and monitoring by analysing 102 French and 270 German projects. This comparison aims to draw a spatial and temporal framework of restoration practices in both countries to identify potential drivers of cross-national similarities and differences. The results underline four major trends: (1) a lag of almost 15 years in river restoration implementation between France and Germany, with a consequently higher share of projects in Germany than in France, (2) substantial similarities in restored reach characteristics, short reach length, small rivers, and in "agricultural" areas, (3) good correspondences between stressors identified and restoration measures implemented. Morphological alterations were the most important highlighted stressors. River morphology enhancement, especially instream enhancements, were the most frequently implemented restoration measures. Some differences exist in specific restoration practices, as river continuity restoration were most frequently implemented in French projects, while large wood introduction or channel re-braiding were most frequently implemented in German projects, and (4) some quantitative and qualitative differences in monitoring practices and a significant lack of project monitoring, especially in Germany compared to France. These similarities and differences between Germany and France in restoration application and monitoring possibly result from a complex set of drivers that might be difficult to untangle (e.g., environmental, technical, political, cultural).

  10. Travels With Gates: Ukraine, Czech Republic, Netherlands, Germany - U.S.

    Science.gov Websites

    Germany, Oct. 20 to 25, to discuss security challenges with his counterparts and other senior leaders arrived here today to discuss the way ahead for the alliance with his NATO counterparts and encourage the Czech Republic's decision to send additional troops to Afghanistan as he prepares to pressure

  11. Aspects of Education for Democratic Citizenship in Post-War Germany

    ERIC Educational Resources Information Center

    Phillips, David

    2012-01-01

    Interest in post-crisis education and concomitantly in education for democracy and citizenship, manifest in a large number of recent initiatives and publications, provides an opportunity to revisit the period of occupation in Germany after the Second World War, when there was concern--at least in the Western Zones--to create an awareness of the…

  12. Prevalence of Nontuberculous Mycobacterial Pulmonary Disease, Germany, 2009–2014

    PubMed Central

    Wagner, Dirk; de Roux, Andrés; Diel, Roland; Hohmann, David; Hickstein, Lennart; Welte, Tobias; Rademacher, Jessica

    2016-01-01

    We analyzed routine statutory health insurance claim data to determine prevalence of nontuberculous mycobacterial pulmonary disease in Germany. Documented prevalence rates of this nonnotifiable disease increased from 2.3 to 3.3 cases/100,000 population from 2009 to 2014. Prevalence showed a strong association with advanced age and chronic obstructive pulmonary disease. PMID:27191473

  13. Surveillance of recent HIV infections among newly diagnosed HIV cases in Germany between 2008 and 2014.

    PubMed

    Hofmann, Alexandra; Hauser, Andrea; Zimmermann, Ruth; Santos-Hövener, Claudia; Bätzing-Feigenbaum, Jörg; Wildner, Stephan; Kücherer, Claudia; Bannert, Norbert; Hamouda, Osamah; Bremer, Viviane; Bartmeyer, Barbara

    2017-07-11

    The HIV surveillance system in Germany is based on mandatory, anonymous notification of newly diagnosed HIV cases by laboratories. Because the time between HIV infection and the diagnosis of HIV varies widely between persons, it is difficult to determine the number of cases of recent HIV infection among newly diagnosed cases of HIV. In Germany, the BED-capture-enzyme immunoassay (BED-CEIA) has been used to distinguish between recent and long-standing HIV infection. The aim of this analysis is to report the proportion of cases of recent HIV infection among newly diagnosed cases in Germany between 2008 and 2014 and to identify factors associated with recent infections. A sample of voluntary laboratories among all HIV diagnostic laboratories was recruited. Residual blood from HIV diagnostic tests was spotted on filter paper as dried serum or dried plasma spots and was sent along with the notification form of the HIV cases. The BED-CEIA test was performed. A case was defined as recent HIV infection with a BED-CEIA test result of less than 0.8 normalized optical density, with the exclusion of CDC stage C. The proportion of recent newly diagnosed HIV infections among different groups (such as transmission groups, gender or age groups) was calculated. We used logistic regression to identify factors associated with recent HIV infection and to identify subpopulations with high proportions of recent HIV infections. Approximately 10,257 newly diagnosed cases were tested for recency using the BED-CEIA. In total, 3084 (30.4%) of those were recently infected with HIV. The highest proportion of recent HIV infections was found among men who had sex with men (MSM) (35%) and persons between 18 and 25 years of age (43.0%). Logistic regression revealed that female German intravenous drug users with a recent HIV infection had a higher chance of being detected than German MSM (OR 2.27). Surveillance of recent HIV infection is a useful additional tool to monitor the HIV epidemic in

  14. Forecasting supply and demand in nursing professions: impacts of occupational flexibility and employment structure in Germany.

    PubMed

    Maier, Tobias; Afentakis, Anja

    2013-06-05

    In light of Germany's ageing society, demand for nursing professionals is expected to increase in the coming years. This will pose a challenge for policy makers to increase the supply of nursing professionals. To portray the different possible developments in the supply of nursing professionals, we projected the supply of formally trained nurses and the potential supply of persons who are able to work in a nursing profession. This potential supply of nursing professionals was calculated on the basis of empirical information on occupational mobility provided by the German Microcensus 2005 (Labour Force Survey). We also calculated how the supply of full-time equivalents (FTEs) will develop if current employment structures develop in the direction of employment behaviour in nursing professions in eastern and western Germany. We then compared these different supply scenarios with two demand projections ('status quo' and 'compression of morbidity' scenarios) from Germany's Federal Statistical Office. Our results show that, even as early as 2005, meeting demand for FTEs in nursing professions was not arithmetically possible when only persons with formal qualification in a nursing profession were taken into account on the supply side. When additional semi-skilled nursing professionals are included in the calculation, a shortage of labour in nursing professions can be expected in 2018 when the employment structure for all nursing professionals remains the same as the employment structure seen in Germany in 2005 (demand: 'status quo scenario'). Furthermore, given an employment structure as in eastern Germany, where more nursing professionals work on a full-time basis with longer working hours, a theoretical shortage of nursing professionals could be delayed until 2024. Our analysis of occupational flexibility in the nursing field indicates that additional potential supply could be generated by especially training more young people for a nursing profession as they tend to

  15. Forecasting supply and demand in nursing professions: impacts of occupational flexibility and employment structure in Germany

    PubMed Central

    2013-01-01

    Background In light of Germany's ageing society, demand for nursing professionals is expected to increase in the coming years. This will pose a challenge for policy makers to increase the supply of nursing professionals. Methodology To portray the different possible developments in the supply of nursing professionals, we projected the supply of formally trained nurses and the potential supply of persons who are able to work in a nursing profession. This potential supply of nursing professionals was calculated on the basis of empirical information on occupational mobility provided by the German Microcensus 2005 (Labour Force Survey). We also calculated how the supply of full-time equivalents (FTEs) will develop if current employment structures develop in the direction of employment behaviour in nursing professions in eastern and western Germany. We then compared these different supply scenarios with two demand projections ('status quo' and 'compression of morbidity' scenarios) from Germany's Federal Statistical Office. Results Our results show that, even as early as 2005, meeting demand for FTEs in nursing professions was not arithmetically possible when only persons with formal qualification in a nursing profession were taken into account on the supply side. When additional semi-skilled nursing professionals are included in the calculation, a shortage of labour in nursing professions can be expected in 2018 when the employment structure for all nursing professionals remains the same as the employment structure seen in Germany in 2005 (demand: 'status quo scenario'). Furthermore, given an employment structure as in eastern Germany, where more nursing professionals work on a full-time basis with longer working hours, a theoretical shortage of nursing professionals could be delayed until 2024. Conclusions Our analysis of occupational flexibility in the nursing field indicates that additional potential supply could be generated by especially training more young people

  16. Green energy products in the United Kingdom, Germany and Finland

    NASA Astrophysics Data System (ADS)

    Hast, Aira; McDermott, Liisa; Järvelä, Marja; Syri, Sanna

    2014-12-01

    In liberalized electricity markets, suppliers are offering several kinds of voluntary green electricity products marketed as environmentally friendly. This paper focuses on the development of these voluntary markets at household level in the UK, Germany and Finland. Since there are already existing renewable energy policies regulating and encouraging the use of renewable energy, it is important to consider whether voluntary products offer real additional benefits above these policies. Problems such as double counting or re-marketing hydropower produced in existing plants are identified. According to our study, the demand varies between countries: in Germany the number of green electricity customers has increased and is also higher than in the UK or Finland. Typically the average additional cost to consumer from buying green electricity product instead of standard electricity product is in the range of 0-5% in all studied countries, although the level of price premium depends on several factors like electricity consumption. Case study of Finland and literature show that the impacts of green energy are not solely environmental. Renewable energy can benefit local public policy.

  17. [The demographic development in Germany : challenge and chances for urology].

    PubMed

    Schneider, A W; Fichtner, J

    2014-08-01

    Urology is affected by the demographic development in Germany more than any other medical discipline. Despite a relatively stable total population, by the year 2040 there will be an absolute and relevant increase in urological diseases caused only by the demographic development in the population. This is particularly true for the increase in oncological treatment just in the field of the discipline of urology. Even now the current numbers for tumor development in Germany (RKI 2014) in the urological oncology segment of all tumor diseases show an increasing trend with more than 23 %. This significant increase in performance is in contrast to the age development of the specialists in this discipline. In total but especially due to the significantly over-aged specialist medical profession in urology, this leads to a substantial bottleneck of specialists in the discipline of urology. This deficiency of personnel resources in urology is aggravated by the requirements of Generation Y for a well-adjusted work-life balance and the associated feminization of the medical profession. This requires intelligent strategies for.

  18. A comparison of the workload of rural and urban primary care physicians in Germany: analysis of a questionnaire survey

    PubMed Central

    2011-01-01

    Background Many western countries are facing an existing or imminent shortage of primary care physicians especially in rural areas. In Germany, working in rural areas is often thought to be associated with more working hours, a higher number of patients and a lower income than working in urban areas. These perceptions might be key reasons for the shortage. The aim of this analysis was to explore if working time, number of treated patients per week or proportion of privately insured patients vary between rural and urban areas in Germany using two different definitions of rurality within a sample of primary care physicians including general practitioners, general internists and paediatricians. Methods This is a secondary analysis of pre-collected data raised by a questionnaire that was sent to a representative random sample of 1500 primary care physicians chosen by data of the National Association of Statutory Health Insurance Physicians from all federal states in Germany. We employed two different methods of defining rurality; firstly, level of rurality as rated by physicians themselves (urban area, small town, rural area); secondly, rurality defined according to the Organisation for Economic Co-operation and Development. Results This analysis was based upon questionnaire data from 715 physicians. Primary care physicians in single-handed practices in rural areas worked on average four hours more per week than their urban counterparts (p < 0.05). Physicians' gender, the number of patients treated per week and the type of practice (single/group handed) were significantly related to the number of working hours. Neither the proportion of privately insured patients nor the number of patients seen per week differed significantly between rural and urban areas when applying the self-rated classification of rurality. Conclusion Overall this analysis identified few differences between urban and rural primary care physician working conditions. To counter future misdistribution

  19. Children's "euthanasia" in Nazi Germany.

    PubMed

    Benedict, Susan; Shields, Linda; O'Donnell, Alison J

    2009-12-01

    Children with disabilities were killed during the Nazi era, often by nurses. Some nurses killed children, saying that they were under orders. Propaganda about the need for "racial purity" was all pervasive and influenced much of the population, including nurses. The German people accepted the "mercy" killing of children with disabilities. We describe the children's "euthanasia" program, explore the influence of propaganda, ask why it was acceptable to kill children, and provide historical context demonstrating "slippery slopes" which can lead to abrogation of ethical principles. Discussion of such history is essential as the ethical principles which were breached are still the cornerstone of nursing practice today. Only by openly discussing past wrongs can we attempt to ensure that they do not happen again. Archival documents from Germany and Israel, including trial depositions and transcripts, provided material, supplemented by secondary classic sources.

  20. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark.

    PubMed

    Schreiber Pedersen, Louise; Lose, Gunnar; Høybye, Mette Terp; Elsner, Susanne; Waldmann, Annika; Rudnicki, Martin

    2017-08-01

    Urinary incontinence (UI) is a prevalent condition that interferes with women's health-related quality of life. Prevalence rates from earlier studies are wide-ranging, due to heterogeneity in methodology, definition of UI and the populations included. We aimed to determine the prevalence of UI and associated risk factors in Germany and Denmark using the same methodology, definition and population. A postal survey was conducted in two regions in Germany and Denmark, including 8000 women aged 18+ years. UI was defined as any complaint of involuntary loss of urine. The questionnaire contained socio-demographic questions and the International Consultation on Incontinence Modular Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF). The response rate in Germany and Denmark was 46.2 and 66.6% (p < 0.001) and the prevalence rate of UI was 48.3 and 46.4% (p = 0.188), respectively. Stress urinary incontinence dominated among younger women, and urgency urinary incontinence and mixed urinary incontinence among women 80+ years in Germany and Denmark, respectively. The subgroup of women with body mass index (BMI) ≥35 had the highest prevalence of UI (67.3%). The subgroup of women with BMI <35 were more likely to have stress urinary incontinence, and the subgroup of women with BMI ≥35 were more likely to have mixed urinary incontinence. UI was significantly associated with age as with BMI, vaginal delivery, chronic obstructive pulmonary disease, and having at least one co-morbidity. Prevalence rates in the two regions in Germany and Denmark were similar, despite significantly different response rates. This difference may reflect various attitudes towards answering a questionnaire, but the response rate on questions concerning UI seemed consistent. © 2017 Nordic Federation of Societies of Obstetrics and Gynecology.