Sample records for rates erzgebirge germany

  1. Determination of geochemical affinities of granitic rocks from the Aue-Schwarzenberg zone (Erzgebirge, Germany) by multivariate statistics (United States)

    Forster, H.-J.; Davis, J.C.


    Variscan granites of the Erzgebirge region can be effectively classified into five genetically distinct major groups by canonical analysis of geochemical variables. The same classification procedure, when applied to small plutons in the Aue-Schwarzenberg granite zone (ASGZ), shows that all ASGZ granites have compositional affinities to low-F biotite or low-F two-mica granite groups. This suggests that the ASGZ granites were emplaced during the first, late-collisional stage of silicic magmatism in the region, which occurred between about 325 and 318 Ma. The numerous biotite granite bodies in the zone are geochemically distinct from both the neighboring Kirchberg granite pluton and the spatially displaced Niederbobritzsch biotite granite massif. Instead, these bodies seem to constitute a third sub-group within the low-F biotite granite class. The ASGZ biotite granites represent three or more genetically distinct bodies, thus highlighting the enormous compositional variability within this group of granites. Least evolved samples of two-mica granites from the ASGZ apparently reflect the assimilation of low-grade metamorphic country rocks during emplacement, altering the original composition of the melts by enhancing primary Al content. The same genesis is implied for the rare "cordierite granite" facies of the Bergen massif, the type pluton for the low-F two-mica granite group in the Erzgebirge.

  2. [Suicides and Suicid Rates in Germany, Bavaria and Upper Frankonia (United States)

    Mauerer, Christian; Wolfersdorf, Manfred; Keller, Ferdinand


    The authors give an actual survey about suicides and suicide rates in Germany, Bavaria and Upper Frankonia. Their special interest are significant trends in the last years. These trends will be shown and shortly described.

  3. The flash flood event in the catchment of the river Weisseritz (eastern Erzgebirge, Saxony) from 12.-14. August 2002 - meteorological and hydrological reasons, damage assesment and disaster managment (United States)

    Goldberg, V.; Bernhofer, Ch.


    Between 12. and 14. August 2002 the region of eastern Erzgebirge (Saxony/Eastern Germany) was affected by the heaviest rainfall event recorded since beginning of the measuring period in 1883. The synoptic reason of this event was the advective precipitation due to the strong and very slowly shifting Vb-low "Ilse" combined with a noticeable topographic intensification by north-westerly winds. All stations in the catchment area of the river Weisseritz recorded new all-time records. E.g., at the meteorological station Zinnwald-Georgenfeld situated at the crest of eastern Erzgebirge a daily sum of 312 mm was measured for the 13. August. This value is close to the maximum physically possible rainfall. The intensive rainfall in the catchments of Rote Weisseritz and Wilde Weisseritz led to unexperienced heavy flash floods with large material transport and flow damages. The buffer effect of the existing dam systems was comparatively small because the reserved retaining capacity for flood protection was only about 20 percent of the total capacity. The reservoirs filled quickly due to the very high maximum inflow. So a long-time overflow of the dam system occurred with a maximum of about 300 cubic meters per second at the combined river Weisseritz through the cities of Freital and Dresden (This situation led, e.g., to the flooding of Central Railway Station in Dresden). This water flow is comparable with a medium flow rate of the river Elbe in Dresden, and it is about 300 times higher than the normal drain of the river Weisseritz in Freital! The material damages in the Weisseritz region account for several hundred millions EURO, and several causalties occurred. The damages of the University buildings in Tharandt (including one building of the Department of Meteorology) account for 15 millions EURO alone. The disaster management during the flood was not optimal. For many people, e.g. in Tharandt, there was neither an officially warning nor an organised rescue of movable goods

  4. Breastfeeding rates and duration in Germany: a Bavarian cohort study. (United States)

    Kohlhuber, Martina; Rebhan, Barbara; Schwegler, Ursula; Koletzko, Berthold; Fromme, Hermann


    Breastfeeding is the recommended feeding for all healthy infants. The aim of our study was to assess the current state of breastfeeding prevalence, duration and behaviour in Bavaria, Germany as a basis for targeting breastfeeding promotion measures. The Bavarian Breastfeeding Study is a prospective cohort study of 3822 mothers who delivered in April 2005 in Bavaria, Germany. Breastfeeding duration and determinants such as socioeconomic status, attitudes towards breastfeeding, birth mode and breastfeeding problems were assessed by questionnaires 2-6 d after birth and 2, 4, 6, and 9 months after birth. The initial breastfeeding rate was 90 %. After 4 months 61 % still breastfed (any breastfeeding). In the multivariate analyses the main influencing factor reducing breastfeeding initiation was the partner's negative attitude towards breastfeeding (OR 21.79; 95 % CI 13.46, 35.27). No initial breastfeeding was also associated with lower education, maternal grandmother's negative attitude and pre-term birth. Protective factors were primary breastfeeding experience and information on breastfeeding before birth. Breastfeeding duration breastfeeding problems (OR 7.56; 95 % CI 6.21, 9.19), smoking, lower education, partner's negative attitude and Caesarean section. Since the attitude of family members is an important influencing factor on breastfeeding rates, breastfeeding promotion should also target the partners of pregnant women and the families of newborn infants. Public health interventions such as more effective support for the management of breastfeeding problems, especially in lower social status families, should be implemented and their effectiveness should be critically evaluated.

  5. Low-level gamma spectrometry of forest and moor soils from exposed mountain regions in Saxony (Erzgebirge)

    Energy Technology Data Exchange (ETDEWEB)

    Schleich, N. [Technische Univ. Bergakademie Freiberg (Germany). Inst. of Applied Physics; Preusse, W. [Technische Univ. Bergakademie Freiberg (Germany). Inst. of Applied Physics; Degering, D. [Technische Univ. Bergakademie Freiberg (Germany). Inst. of Applied Physics; Unterricker, S. [Technische Univ. Bergakademie Freiberg (Germany). Inst. of Applied Physics


    In soils with distinct organic and mineral horizons, radionuclides (RN) can be used to understand geochemical migration processes. In the study presented here high sensitivity HPGe-detectors with active and passive shielding were employed to determine the low activity levels of various natural, cosmogenic and artificial RN. Soils of a spruce forest and a moor from exposed mountain regions in Saxony (Erzgebirge) were investigated as they provide a good example of layered soil systems with vertical transfer of chemical elements. Different soil horizons were sub-sampled as thin slices and analysed to examine the migration processes at sub-horizon level. The depth distributions of chemically different RN were studied considering the geochemical and pedological soil characteristics of the profiles. (orig.)

  6. Between reforms and birth rates: Germany, Japan, and family policy discourse. (United States)

    Seeleib-Kaiser, Martin; Toivonen, Tuukka


    This paper examines the development of employment-oriented family policy in Germany and Japan, two countries united by conservative welfare legacies and very low birthrates, through a close analysis of discourse. Why have recent reforms in Germany moved well beyond those in Japan despite remarkably similar “human capital” discourses? The relative strength of interpretative patterns—in this case, discursive patterns that successfully frame family policy reform as an economic imperative—and the role of employers are identified as critical explanatory factors. Further comparative attention is called to the role of the state as a guarantor of new family policy entitlements.

  7. Organic carbon stocks and sequestration rates of forest soils in Germany (United States)

    Grüneberg, Erik; Ziche, Daniel; Wellbrock, Nicole


    The National Forest Soil Inventory (NFSI) provides the Greenhouse Gas Reporting in Germany with a quantitative assessment of organic carbon (C) stocks and changes in forest soils. Carbon stocks of the organic layer and the mineral topsoil (30 cm) were estimated on the basis of ca. 1.800 plots sampled from 1987 to 1992 and resampled from 2006 to 2008 on a nationwide grid of 8 × 8 km. Organic layer C stock estimates were attributed to surveyed forest stands and CORINE land cover data. Mineral soil C stock estimates were linked with the distribution of dominant soil types according to the Soil Map of Germany (1 : 1 000 000) and subsequently related to the forest area. It appears that the C pool of the organic layer was largely depending on tree species and parent material, whereas the C pool of the mineral soil varied among soil groups. We identified the organic layer C pool as stable although C was significantly sequestered under coniferous forest at lowland sites. The mineral soils, however, sequestered 0.41 Mg C ha−1 yr−1. Carbon pool changes were supposed to depend on stand age and forest transformation as well as an enhanced biomass input. Carbon stock changes were clearly attributed to parent material and soil groups as sandy soils sequestered higher amounts of C, whereas clayey and calcareous soils showed small gains and in some cases even losses of soil C. We further showed that the largest part of the overall sample variance was not explained by fine-earth stock variances, rather by the C concentrations variance. The applied uncertainty analyses in this study link the variability of strata with measurement errors. In accordance to other studies for Central Europe, the results showed that the applied method enabled a reliable nationwide quantification of the soil C pool development for a certain period. PMID:24616061

  8. Direct comparison of extrapolation chamber measurements of the absorbed dose rate for beta radiation between PTB (Germany) and VNIIM (Russia)

    Energy Technology Data Exchange (ETDEWEB)

    Behrens, R. [Physikalisch-Technische Bundesanstalt (PTB), 38116 Braunschweig, (Germany); Fedina, S.; Oborin, A. [D I Mendeleyev Institute for Metrology (VNIIM), 198005 St Petersburg, (Russian Federation)


    An intercomparison of the absorbed dose rate in tissue, Dt(0.07), at radiation protection levels for beta dosimetry was performed between two national metrology institutes, the D I Mendeleyev Institute for Metrology (VNIIM) in St Petersburg (Russia) and the Physikalisch-Technische Bundesanstalt (PTB) in Braunschweig (Germany), from 2009 to 2010. For this comparison, radiation sources of both institutes were calibrated using the primary standard measuring devices (extrapolation chambers) of both institutes, i.e. no transfer instrument was used as both primary standards were directly compared. The values of the absorbed dose rates in tissue agree within 1.2% for two different {sup 90}Sr/{sup 90}Y sources, within 1.0% for one {sup 85}Kr source and within 1.5% and 4.2% for two different {sup 147}Pm sources. All these deviations are within 1 to 2 times the corresponding standard deviations. (authors)

  9. Comparable high rates of extended-spectrum-beta-lactamase-producing Escherichia coli in birds of prey from Germany and Mongolia.

    Directory of Open Access Journals (Sweden)

    Sebastian Guenther

    Full Text Available Frequent contact with human waste and liquid manure from intensive livestock breeding, and the increased loads of antibiotic-resistant bacteria that result, are believed to be responsible for the high carriage rates of ESBL-producing E. coli found in birds of prey (raptors in Central Europe. To test this hypothesis against the influence of avian migration, we initiated a comparative analysis of faecal samples from wild birds found in Saxony-Anhalt in Germany and the Gobi-Desert in Mongolia, regions of dissimilar human and livestock population characteristics and agricultural practices. We sampled a total of 281 wild birds, mostly raptors with primarily north-to-south migration routes. We determined antimicrobial resistance, focusing on ESBL production, and unravelled the phylogenetic and clonal relatedness of identified ESBL-producing E. coli isolates using multi-locus sequence typing (MLST and macrorestriction analyses. Surprisingly, the overall carriage rates (approximately 5% and the proportion of ESBL-producers among E. coli (Germany: 13.8%, Mongolia: 10.8% were similar in both regions. Whereas bla(CTX-M-1 predominated among German isolates (100%, bla(CTX-M-9 was the most prevalent in Mongolian isolates (75%. We identified sequence types (STs that are well known in human and veterinary clinical ESBL-producing E. coli (ST12, ST117, ST167, ST648 and observed clonal relatedness between a Mongolian avian ESBL-E. coli (ST167 and a clinical isolate of the same ST that originated in a hospitalised patient in Europe. Our data suggest the influence of avian migratory species in the transmission of ESBL-producing E. coli and challenge the prevailing assumption that reducing human influence alone invariably leads to lower rates of antimicrobial resistance.

  10. Comparable high rates of extended-spectrum-beta-lactamase-producing Escherichia coli in birds of prey from Germany and Mongolia. (United States)

    Guenther, Sebastian; Aschenbrenner, Katja; Stamm, Ivonne; Bethe, Astrid; Semmler, Torsten; Stubbe, Annegret; Stubbe, Michael; Batsajkhan, Nyamsuren; Glupczynski, Youri; Wieler, Lothar H; Ewers, Christa


    Frequent contact with human waste and liquid manure from intensive livestock breeding, and the increased loads of antibiotic-resistant bacteria that result, are believed to be responsible for the high carriage rates of ESBL-producing E. coli found in birds of prey (raptors) in Central Europe. To test this hypothesis against the influence of avian migration, we initiated a comparative analysis of faecal samples from wild birds found in Saxony-Anhalt in Germany and the Gobi-Desert in Mongolia, regions of dissimilar human and livestock population characteristics and agricultural practices. We sampled a total of 281 wild birds, mostly raptors with primarily north-to-south migration routes. We determined antimicrobial resistance, focusing on ESBL production, and unravelled the phylogenetic and clonal relatedness of identified ESBL-producing E. coli isolates using multi-locus sequence typing (MLST) and macrorestriction analyses. Surprisingly, the overall carriage rates (approximately 5%) and the proportion of ESBL-producers among E. coli (Germany: 13.8%, Mongolia: 10.8%) were similar in both regions. Whereas bla(CTX-M-1) predominated among German isolates (100%), bla(CTX-M-9) was the most prevalent in Mongolian isolates (75%). We identified sequence types (STs) that are well known in human and veterinary clinical ESBL-producing E. coli (ST12, ST117, ST167, ST648) and observed clonal relatedness between a Mongolian avian ESBL-E. coli (ST167) and a clinical isolate of the same ST that originated in a hospitalised patient in Europe. Our data suggest the influence of avian migratory species in the transmission of ESBL-producing E. coli and challenge the prevailing assumption that reducing human influence alone invariably leads to lower rates of antimicrobial resistance.

  11. Tectonics of an exhumation zone in the Erzgebirge, N-Bohemian Massif: constraints from microstructures and EBSD data (United States)

    Hallas, Peter; Kroner, Uwe


    The overthrusting of isothermally exhumed (U)HP units onto medium pressure gneiss complexes is a striking feature of the variscan Erzgebirge (N-Bohemian Massif). Because of a complex deformation history the exhumation mechanism of the deeply subducted rocks is controversially discussed. Here we present first results from detailed studies of the (U)HP / MP shear zone contact in the roof of the Catherine-Reitzenhain gneiss dome including field work, microscopic observation and EBSD texture analysis. Generally, the entire zone is characterized by a flat lying main foliation partly overprinting preexisting steeper inclined fabrics. The complex particle path in the shear zone is indicated by a large scatter of the x axis of the finite strain ellipsoid. In the medium-pressure units an initially NE-SW oriented stretching lineation is obliterated by a second elongation with WNW-ESE azimuth. In contrast, the (ultra)high-pressure units preserve a WSW-ENE oriented stretching lineation. Additionally, different exhumation paths are revealed by microkinematic indicators with top to the NE, (W)SW and (W)NW shearing. EBSD data from mica generally reveal plane to flattening strain with [001] point maxima near z and point maxima of [100] and [010] near x and y respectively as well as a girdle distribution of [100] and [010] in the xy plane of the finite strain ellipsoid. Textures of samples with an apparent constrictional strain geometry additionally contain a second [001] maxima deviating from the first one up to 90°. We explain this feature by stepwise deformation with different plane strain geometries rather than by a single constrictional process. Quartz shows all features of dynamic recrystallization by pervasive grain boundary migration. The texture is characterized by pronounced point [0001] maxima in y. However, in samples with multiple fabrics the finite quartz texture probably reflects incomplete overprinting of preexisting Crystal Preffered Orientations. In conclusion

  12. ICU ward design and nosocomial infection rates: a cross-sectional study in Germany. (United States)

    Stiller, A; Schröder, C; Gropmann, A; Schwab, F; Behnke, M; Geffers, C; Sunder, W; Holzhausen, J; Gastmeier, P


    There is increasing interest in the effects of hospital and ward design on multi-faceted infection control. Definitive evidence is rare and the state of knowledge about current ward design is lacking. To collect data on the current status of ward design for intensive care units (ICUs) and to analyse associations between particular design factors and nosocomial infection rates. In 2015, operational infrastructure data were collected via an online questionnaire from ICUs participating voluntarily in the German nosocomial infection surveillance system (KISS). A multi-variate analysis was subsequently undertaken with nosocomial infection rates from the KISS database from 2014 to 2015. In total, 534 ICUs submitted data about their operational infrastructure. Of these, 27.1% of beds were hosted in single-bed rooms with a median size of 18m 2 (interquartile range 15-21m 2 ), and 73.5% of all ICU beds had a hand rub dispenser nearby. The authors were able to match 266 ICUs in the multi-variate analysis. ICUs with openable windows in patient rooms were associated with lower device-associated lower respiratory tract infections [odds ratio (OR) 0.73, 95% confidence interval (CI) 0.58-0.90]. ICUs with >40% two-bed rooms were associated with lower primary bloodstream infection rates (OR 0.66, 95% CI 0.51-0.86). Only minor associations were found between design factors and ICU infection rates. Most were surrogates for other risk factors. Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  13. Disappearance rate of praziquantel-containing bait around villages and small towns in southern Bavaria, Germany. (United States)

    Janko, Christof; König, Andreas


    In recent years, the red fox (Vulpes vulpes) has increasingly occupied urban areas in central Europe. Meanwhile, prevalence of infection in foxes with the small fox tapeworm (Echinococcus multilocularis) has increased, thereby increasing the human risk of infection with the parasite, which causes alveolar echinococcosis. Baiting strategies to counteract E. multilocularis have been implemented in cities and the open countryside, but there are few data on the situation in villages and small towns (small towns and on settlement edges for 7 days after distribution. Disappearance rates were 89.2% in villages, 88.8% in small towns, and 91.8% in settlement edges. More than 75% of the bait was consistently taken within the first three nights. There were no significant differences in disappearance rates between years or among seasons (Cox proportional hazard model). The survival time of the bait in small towns (P=0.021) and villages (P=0.026) depended on the zone (zone 1, first row of houses bordering on open countryside; zone 2, second to fourth rows, zone 3; beyond the fifth row) in which bait was distributed. In villages, the probability of bait being eaten in zone 1 was 119% higher than it was in zone 3 (P=0.007). In small towns, the probability was 60% higher (P=0.006).

  14. [Poverty, public transfers and health: An analysis on self-rated health of social benefit recipients in Germany]. (United States)

    Pförtner, T-K; Schumann, N


    Prevention and reduction of poverty are key elements of social welfare policy in Germany. This study is the first analysis of self-rated health of individuals that escape poverty by benefiting form public transfers. Analyses are based on the German Socio-economic Panel (GSOEP) of 2010. Self-rated health was based on subjective assessment of general health status. Subjects were directly asked about receipt of public transfers. Income poverty was based on the equalized disposable income and is applied to a threshold of 60% of the median-based average income. We analyzed the association between self-rated health and pre- and post-transfer poverty by means of descriptive analyses and binary logistic regression. After adjusting for age, we found a significantly higher risk of poor self-rated health among those who escaped income poverty due to the receipt of social transfers compared to others (ORWomen: 1.85; 95%-CI: 1.27-2.69; ORMen: 2.57; 95%-CI: 1.63-4.05), in particular to those at risk of post-transfer poverty. These poverty-related inequalities in health were predominantly explained by nationality, occupational status, household type and long-term care within the household. This study provides first evidence that the receipt of public transfers is associated with increased risk of poor health in the light of impending income-poverty. This study adds to the current debate about the social and health implications of public transfers in the relationship between poverty and health. © Georg Thieme Verlag KG Stuttgart · New York.

  15. Comparison of air pollutant measurements in the eastern Ore Mountains between 1992 and 1998; Ergebnisse von Immissionsmessungen im oestlichen Erzgebirge zwischen 1992 und 1998

    Energy Technology Data Exchange (ETDEWEB)

    Zimmermann, F. [Technische Univ. Bergakademie Freiberg (DE). Interdisziplinaeres Oekologisches Zentrum (IOeZ); Wienhaus, O. [Technische Univ. Dresden (Germany). Inst. fuer Pflanzen- und Holzchemie


    In the period from 1992 to 1998, mixing ratios of trace gases such as SO{sub 2}, O{sub 3}, NO and NO{sub 2} were ascertained in two forest measuring stations located at different altitudes of the eastern Ore Mountains. The measures taken to reduce emissions in small and large-scale combustion plants have decreased the pollution, particularly as regards sulphur dioxide. The decline in SO{sub 2} pollution load setting in with a time lag as compared with the Saxon flatland became obvious in 1997 and yet more markedly in 1998. The annual mean values diminished from 50 {mu}g m{sup -3} in the years 1992/93 to 10 to 20 {mu}g m{sup -3} in 1998. Large-scale risks due the air pollutant sulphur dioxide are no longer to be expected for the forest ecosystems of the Ore Mountains. In contrast to this, ozone developed to the quantitatively dominating phytotoxic critical air pollutant characterised by a significant trend towards an increase as to the high-altitudinal and crest positions of the Ore Mountains (1992/93 annual means around 50 {mu}g m{sup -3}, 1997/98 approx. 70 {mu}g m{sup -3}). As for the lower and medium-altitude positions, it was not possible to determine a clear trend (annual means 50 to 60 {mu}g m{sup -3}). Despite reductions in emissions regarding the nitric oxides no trend can be identified concerning the air pollution load. The annual means of NO account for 2 {mu}g m{sup -3} and of NO{sub 2} for 10 to 15 {mu}g m{sup -3}. (orig.) [German] An zwei Waldmessstationen in verschiedenen Hoehenlagen im oestlichen Erzgebirge wurden im Zeitraum von 1992 bis 1998 Mischungsverhaeltnisse von Spurengasen wie SO{sub 2}, O{sub 3}, NO und NO{sub 2} gemessen. Die Emissionsminderungen haben insbesondere fuer Schwefeldioxid Effekte gezeigt. Der mit zeitlicher Verzoegerung gegenueber dem saechsischen Flachland einsetzende Rueckgang der SO{sub 2}-Belastung wurde 1997 und noch gravierender 1998 sichtbar. Die Jahresmittelwerte sind von ca. 50 {mu}g m{sup -3} in den Jahren 1992

  16. Order-specific fertility rates for Germany: Estimates from perinatal statistics for the period 2001-2008

    NARCIS (Netherlands)

    M. Kreyenfeld (Michaela); Scholz, R. (Rembrandt); F. Peters (Frederick); Wlosnewski, I. (Ines)


    textabstractUntil 2008, Germany's vital statistics did not include information on the biological order of each birth. This resulted in a dearth of important demographic indicators, such as the mean age at first birth and the level of childlessness. Researchers have tried to fill this gap by

  17. Universal energy ratings for Germany - (Part 2): Evolution of rating distributions according to year of building construction; Universelle Energiekennzahlen fuer Deutschland - Teil 2: Verbrauchskennzahlentwicklung nach Baualtersklassen

    Energy Technology Data Exchange (ETDEWEB)

    Greller, Martin [BRUNATA Waermemesser GmbH and Co. KG, Muenchen (Germany); Schroeder, Franz; Papert, Olaf [METRONA Waermemesser Union GmbH, Muenchen (Germany); Hundt, Volker [BRUNATA Waermemesser Hagen GmbH and Co. KG, Hamburg (Germany); Mundry, Bernhard [Brunata Waermemesser-Gesellschaft Schultheiss GmbH and Co., Huerth (Germany)


    To date, universal energy ratings for Germany contain about a quarter of a million energy consumption ratings recorded by the BRUNATA METRONA Group within the recent six year period. Data processing comprises a retro perspective review and normalisation of all energy ratings according to new, localised climate factors from the German weather service. A subset of 110.000 energy ratings concerning gas- and oil-heated buildings only - half of those built past 1977 - has been analysed statistically by creating energy rating distributions depending on construction year, focussing exclusively on unrenovated objects (according to 1995 standards) built prior to 1995 and new buildings constructed in 1995 or later. It is shown, that the median values of rating distributions from about 1900 up into the 1960ies appear relatively constant around 155 kWh/(m2a). For building construction years within this time interval 90% of todays energy ratings (5% to 95 %-percentiles) fall into the range between 100 and 260 kWh/(m2a). For construction years after the mid 1960ies the median values continuously decrease to about 85 kWh/(m2a) today. Their corresponding standard deviations decreased by a factor of two from above 50 kWh/(m2a) to about 25 kWh/(m2a). The most distinct relative decrease occurred between 1994 and 1995 when the WSVO95 was activated. This work adds a direct comparison between the recorded today energy ratings and the typical requirement levels of the various heat insulation regulations, WSVO, and Building Energy Conservation Ordinances, EnEV, concerning building construction years starting from 1977. We also present parameterization functions for the most important rating distributions that could be utilized for general model calculations and extrapoletions to picture future energy efficiency evolution. [German] Die universellen Energiekennzahlen fuer Deutschland beinhalten bis dato 1/4 Million Gebaeude-Energieverbrauchskennzahlen der BRUNATA-METRONA-Gruppe aus den

  18. Cervical cancer screening in Germany: group-specific participation rates in the state of Niedersachsen (Lower Saxony). A study with health insurance data. (United States)

    Geyer, Siegfried; Jaunzeme, Jelena; Hillemanns, Peter


    The participation rates in cervical screenings are varying over different countries. This is only partly due to the availability of organized screening programs, as the rates are also varying between countries were such programs were implemented. For Germany the level of knowledge is low, and information are outdated. In order to improve the level of knowledge, we examined whether the participation rates in cervical screenings in a large German insurance population were changing over time, and whether these changes were different with respect to age and qualification of the participating women. The analyses were based on the complete anonymised dataset of a large statutory health insurance in Lower Saxony, Germany, with case numbers between 940,827 (2006) and 1,044,797 (2011) women aged 20 years and older. Between 2006 and 2011 the overall annual participation rates were increasing from 44.8 to 47.6%. The highest rates occurred in women with the highest qualification level, thus leading to increasing social differences over time. There was a peak in the age group of 25-29 years from annually 60.3 (2006) to 60.2% (2011), and bi-annually from 77 to 77.1% with constantly decreasing rates up to the age of 60. No substantial differences occurred between a 2- and a 3-year observation period. Over time only small increases of participation rates in cervical screenings occurred. These findings may be interpreted in favor of population-based screenings within an invitation program.

  19. Weimar Germany

    DEFF Research Database (Denmark)

    Reckendrees, Alfred


    The Weimar Republic is analysed within the concept of limited and open access orders. Before World War I, Imperial Germany had developed into a mature limited access order with rule of law and open economic access but lack of competition in politics. After World War I and inflation, Weimar Germany...

  20. Plagioclase-mantled K-feldspar in the Carboniferous porphyritic microgranite of Altenberg-Frauenstein, Eastern Erzgebirge/Krusné Hory

    Directory of Open Access Journals (Sweden)

    Axel Müller


    Full Text Available The Upper Carboniferous porphyritic microgranite of Altenberg-Frauenstein, formerly known as Granitporphyr (Dalmer 1896 and here abbreviated as GP, forms a 36 km long and up to 18 km wide complex of ring dykes related to the Teplice-Altenberg caldera in the German–Czech border region of the Eastern Erzgebirge/Krusné Hory. The microgranites are characterized by the occurrence of plagioclase-mantled K-feldspar phenocrysts. The microgranite varieties representtwo main stages of intrusion evolved from acid (GP I to intermediaterocks (GP II within the intrusion. The most acid rock (GP Icum occurs as enclaves in GP I and GP II and is interpreted as a cumulate of K-feldspar and quartz phenocrysts. The porphyritic microgranites show field, textural and geochemical evidence suggesting that some of them have formed as a result of interaction between felsic and mafic magmas. Mixing features are abundant in the porphyriticquartz-feldspar-hornblende microgranite (GP II interpreted as a hybrid rock. They are less discrete in the early phase (GP I and not obvious in the acid enclaves (GP Icum. This trend seems to reflect a continuous deflation of the magma chamber from the top to the bottom. According to the definition of rapakivi granites after Haapala and Rämö (1992, the porphyritic microgranite of Altenberg-Frauenstein may be considered as rapakivi granite although ovoid alkali feldspar megacrysts typical of classical rapakivi granites are not recorded.However, due to its Carboniferous age and being the only known granitewith rapakivi texture in the German–Czech part of the Variscan belt, the microgranite of Altenberg-Frauenstein is exceptional.

  1. Weimar Germany

    DEFF Research Database (Denmark)

    Reckendrees, Alfred

    The Weimar Republic is analysed within the framework of limited and open access orders. Germany had developed into a mature limited access order before World War I, with rule of law and open economic access but only limited access to politics. After the war, Germany developed toward an open access...... order; this process was, however, not sustainable. Two interpretations are discussed, which both pose a challenge to the limited access-open access framework: (1.) Weimar Germany was the first open access order that failed; (2.) sufficiency conditions of the sustainability of open access are not yet...

  2. Estimation of background incidence rates of Guillain-Barré syndrome in Germany - a retrospective cohort study with electronic healthcare data. (United States)

    Hense, Sabrina; Schink, Tania; Kreisel, Stefan H; Marcelon, Lydie; Simondon, François; Tahden, Maike; Garbe, Edeltraut


    The Guillain-Barré syndrome (GBS) occurs after infections and as an adverse reaction to vaccines. No detailed information on incidence rates (IRs) in Germany is available. This retrospective cohort study estimated age- and sex-specific IRs of GBS in Germany in the years 2007-2009 based on electronic healthcare data from the German Pharmacoepidemiological Research Database (GePaRD). Two case definitions were applied. GBS cases had a main discharge diagnosis of GBS. GBS_PROCEDURE cases in addition had codes for relevant diagnostic procedures. Crude and standardized IRs (SIRs) with 95% confidence intervals were stratified by year, age group, sex, region and season. IR ratios (IRRs) for each stratification factor were calculated by multivariable Poisson regression. Among 13,297,678 persons, 889 (693) incident GBS (GBS_PROCEDURE) cases were identified. Overall SIRs per 100,000 person years were 2.4 (2.2-2.5) for GBS and 1.8 (1.7-2.0) for GBS_PROCEDURE. (S)IRs increased with age, peaking in the age group 70-79 years (IR GBS: 5.5 (4.7-6.5)) and were higher in males than in females (e.g., IR GBS: IRR = 1.5 (1.3-1.7)) and in February-April, as compared to the rest of the year. No regional pattern was observed. (S)IRs of GBS in Germany differed by age, sex and season and were comparable to those found in other studies. RESULTS might be used as a comparator in vaccine safety monitoring. © 2014 S. Karger AG, Basel.

  3. Composition of coexisting zircon and xenotime in rare-metal granites from the Krušné Hory/Erzgebirge Mts. (Saxothuringian Zone, Bohemian Massif) (United States)

    René, Miloš


    Zircon and xenotime, from two mineralogically and chemically contrasting granite suites occurring in the Krušné Hory/Erzgebirge Mts., display extended compositional variability with respect to abundances of Zr, Hf, REE, Y, P, Th, Ca, Al, Fe and As. According to their geochemical signatures, P-rich (S-type) and P-poor (A-type) granites could be distinguished here. Both granite suites display high Ga/Al ratios (>2.6) and according to FeOtot./(FeOtot. + MgO) ratio can be classified as ferrous granites. Consequently, the both ratios cannot be used for discrimination S- and A-type granites. Both minerals are characterized by a variety of complex zircon-xenotime textures. They are usually strong hydrated and enriched in F. Zircon from P-rich granites displays a significant enrichment in P (up 0.24 apfu P), whereas zircon from P-poor granites has lower P and higher Y (up to 0.15 apfu Y). The xenotime-type substitution is the most important mechanism of isomorphic substitution in zircon in both granite suites. Zircon from both granite suites is typically enriched in Hf, especially unaltered zircon from P-rich granites (up to 8.2 wt. % HfO2). However in altered zircons the Hf/Zr ratio is higher in the P-poor granites. The Hf-rich zircon from unaltered P-rich granite crystallised from low temperature granite melt, whereas altered zircons crystallised during post-magmatic hydrothermal alteration (greisenization). Xenotime from P-poor granites displays a considerable enrichment in HREE (up to 40 mol. % HREEPO4) compared to xenotime from P-rich granites (up to 20 mol. % HREEPO4). Xenotime compositions from P-rich granites are influenced by brabantite-type substitution, whereas for xenotime from P-poor granites the huttonite-type substitution is dominant. Unusual enrichments in HREE is significant for xenotime from P-poor granites, especially in Yb (up to 0.17 apfu Yb) and Dy (up to 0.11 apfu).

  4. Nudging Germany

    DEFF Research Database (Denmark)

    Purnhagen, Kai; Reisch, Lucia A.

    Since 2015 behavioural scientists investigate at the German chancellery how one could regulate better. This piece illustrates the background of this new strategy and possible concequences for regulation and Rechtswissenschaft in Germany. We first discuss the concept of behaviourally informed regu...


    Directory of Open Access Journals (Sweden)

    Dnyanesh Limaye


    Full Text Available The drugs we use to treat any condition – from an innocuous cough to a lifethreatening cancer – are the outcome of painstaking human clinical trials. These trials are the only way to credibly determine the safety and efficacy of drugs. In recent years there has been a clear shift in clinical trial sites from core developed countries like USA, European countries to developing countries like India, China, South American countries. This shift is related to challenges and opportunities like costs of trials, recruitment issues, and regulatory challenges in developed vs. developing countries. Developing countries and developed countries have their unique disease burden patterns based on various parameters like but not limited to age, health care facilities, health insurance, sanitary conditions, environmental issues, education, nutrition and GDP. Previous studies have reported that many of the important global diseases are not much explored in clinical trials and many published clinical trials have very less international health relevance. This study was aimed at finding the correlation between disease burdens, number of clinical trials done and trial success rates. We compared 2005-2010 Global Burden of Disease data for Germany, India and number of clinical trials from database done in the same period. Our findings indicated that there was a good correlation between the disease burden and clinical trials for Germany in 2005 and 2010. For India in 2005 there was a moderate positive correlation, 2010 data showed the improvement in India in terms of match between disease burden and clinical Trials. But careful observation of the data shows still a need for more trials on Communicable, maternal, neonatal and nutritional disorders.

  6. Seasonal and long-term variation of 210Pb concentration in air, atmospheric deposition rate and total deposition velocity in south Germany. (United States)

    Winkler, R; Rosner, G


    The activity concentration in air and atmospheric deposition rate of the long-lived radon progeny 210Pb has been investigated at Munich-Neuherberg, south Germany, from 1972 (activity concentration) and from 1981 (atmospheric flux) to 1999. For these periods, the continuous measurements yielded an average 210Pb activity concentration at ground level of 0.57 mBq m(-3) and an average total 210Pb deposition rate to ground of 180 Bq m(-2) year(-1). The average total deposition velocity, which relates the total 210Pb deposition rate to the 210Pb activity concentration was calculated to be 1.0 cm s(-1). The variation of the data with time was studied by time-series analysis and distinct seasonal patterns were identified. Maximum 210Pb activity concentrations in air are observed in the autumn and winter months (October through February) of each year. By contrast, the maximum 210Pb deposition rate is observed during summer (June-August), i.e. in the months with the highest amount of rainfall at this site. Like the 210Pb deposition rate, the total deposition velocity exhibits a seasonal pattern with maximum values in summer. Due to the long observation period of 18 years, it was possible to observe for the first time a strong positive relationship between 210Pb deposition and precipitation, especially for the months May and June and to a smaller extent for several other months. In the long-term, variations of approximately a factor of 2 were observed in the annual average 210Pb activity concentrations, the annual deposition sums and the annual average deposition velocities. Since around 1981 210Pb concentrations in air steadily decreased while 210Pb depositions increased. As a consequence of these significant trends, the time series of the total deposition velocity exhibits a trend of the data from approximately 0.7 cm s(-1) in 1981 to 1.7 cm s(-1) in 1999.

  7. Updated prevalence rates of overweight and obesity in 4- to 10-year-old children in Germany. Results from the telephone-based KiGGS Wave 1 after correction for bias in parental reports. (United States)

    Brettschneider, Anna-Kristin; Schienkiewitz, Anja; Schmidt, Steffen; Ellert, Ute; Kurth, Bärbel-Maria


    The nationwide 'German Health Interview and Examination Survey for Children and Adolescents' (KiGGS), conducted in 2003-2006, showed an increase in the prevalence rates of overweight and obesity compared to the early 1990s, indicating the need for regular monitoring. Recently, a follow-up-KiGGS Wave 1 (2009-2012)-was carried out as a telephone-based survey, providing parent-reported height and weight from 5155 children aged 4-10 years. Since parental reports lead to a bias in prevalence rates of weight status, a correction is needed. From a subsample of KiGGS Wave 1 participants, measurements for height and weight were collected in a physical examination. In order to correct prevalence rates derived from parent reports, weight status categories based on parent-reported and measured height and weight were used to estimate a correction formula according to an established procedure. The corrected prevalence rates derived from KiGGS Wave 1 for overweight, including obesity, in children aged 4-10 years in Germany showed that stagnation is reached compared to the KiGGS baseline study (2003-2006). The rates for overweight, including obesity, in Germany have levelled off. However, they still remain at a high level, indicating a need for further public health action. What is Known: • In the last decades, prevalence of overweight and obesity has risen. Now a days, the prevalence seems to be stagnating. • In Germany, prevalence estimates of overweight and obesity are only available from regional or non-representative studies. What is New: • This article gives an update for prevalence rates of overweight and obesity amongst children aged 4-10 years in Germany based on a nationwide and representative sample. • Results show that stagnation in prevalence rates for overweight in children in Germany is reached.

  8. Which hospitalisations are ambulatory care-sensitive, to what degree, and how could the rates be reduced? Results of a group consensus study in Germany. (United States)

    Sundmacher, Leonie; Fischbach, Diana; Schuettig, Wiebke; Naumann, Christoph; Augustin, Uta; Faisst, Cristina


    Much has been written lately regarding hospitalisations for ambulatory care-sensitive conditions (ACSH) and their strengths and weaknesses as a quality management indicator. The idea underlying ambulatory care-sensitive conditions (ACSC) is that effective treatment of acute conditions, good management of chronic illnesses and immunisation against infectious diseases can reduce the risk of a specified set of hospitalisations. The present paper applies group consensus methods to synthesise available evidence with expert opinion, thus identifying relevant ACSC. It contributes to the literature by evaluating the degree of preventability of ACSH and surveying the medical and systemic changes needed to increase quality for each diagnosis group. Forty physicians proportionally selected from all medical disciplines relevant to the treatment of ACSC participated in the three round Delphi survey. The setting of the study is Germany. The proposed core list is a subset of 22 ACSC diagnosis groups, covering 90% of all consented ACSH and conditions with a higher than 85% estimated degree of preventability. Of all 18.6 million German hospital cases in the year 2012, the panelists considered 5.04 million hospitalisations (27%) to be sensitive to ambulatory care, of which 3.72 (20%) were estimated to be actually preventable. If only emergencies are considered, the ACSH share reduces to less than 8%. The geographic distribution of ACSH indicates significant regional variation with particularly high rates and potential for improvement in the North Rhine region, in Thuringia, Saxony-Anhalt, northern and eastern Bavaria and the Saarland. The average degree of preventability was 75% across all diagnosis groups. By far the most often mentioned strategy for reducing ACSH was 'improving continuous care'. There are several good reasons why process indicators prevail in the assessment of ambulatory care. ACSH rates can however provide a more complete picture by adding useful information

  9. Universal energy ratings for Germany - (Part 1): Differentiated rating distributions according to energy source and energy efficiency standard; Universelle Energiekennzahlen fuer Deutschland - Teil 1: Differenzierte Kennzahlverteilungen nach Energietraeger und waermetechnischem Sanierungsstand

    Energy Technology Data Exchange (ETDEWEB)

    Schroeder, Franz; Papert, Olaf [METRONA Waermemesser Union GmbH, Muenchen (Germany); Greller, Martin [BRUNATA Waermemesser GmbH and Co. KG, Muenchen (Germany); Hundt, Volker [BRUNATA Waermemesser Hagen GmbH and Co. KG, Hamburg (Germany); Mundry, Bernhard [BRUNATA Waermemesser-Gesellschaft Schultheiss GmbH and Co., Huerth (Germany)


    Universal energy ratings for Germany represent an innovative database in which a quarter of a million energy consumption ratings for buildings recorded in past years by the BRUNATA METRONA Group are currently summarised in a standardised form. Data preparation includes (1) a retrospective review of all the meteorological corrections with the aid of new, localised climate factors from the German Weather Service, (2) a subset of 18 rating comparison groups according to three main energy sources and six levels of energy efficiency standard and (3) a continuous illustration of the rating distributions as a function of building size. The medians of the energy rating distributions range between about 80 and 175 kWh.m{sup -2}.a{sup -1}across all building sizes and comparison groups. Generally, the absolute differences between the medians of the energy rating distributions of new buildings and unrenovated, existing buildings are between 40 and 60 kWh.m{sup -2}.a{sup -1}. The relative differences for all sizes and energy sources are generally less than 30 %. If one compares renovated and unrenovated buildings directly, the relative figure drops to below 20 % for gas-heated and oil-heated and to about 25 % for buildings with district heating. On the other hand, the statistical distribution ranges of the rating distributions themselves are as wide as {+-}{sigma} = {+-}25 to {+-}55 kWh.m{sup -2}.a{sup -1} respectively. The energy rating medians for new buildings built after 1995 and using gas and oil as energy sources are above 100 kWh.m{sup -2}.a{sup -1}. They are above 80 kWh.m{sup -2}.a{sup -1}for buildings with district heating. An approach for gauging the possible renovation potential in terms of absolute energy and an extrapolation of the mean value of specific energy consumption for the country's existing rented apartments, weighted in terms of living area and based on the current climate, to approx. 120 kWh.m{sup -2}.a{sup -1} are presented. [German] Universelle

  10. Has East Germany overtaken West Germany? Recent trends in order-specific fertility. (United States)

    Goldstein, Joshua R; Kreyenfeld, Michaela


    Some 20 years after reunification, the contrast between East and West Germany offers a natural experiment for studying the degree of persistence of Communist-era family patterns, the effects of economic change, and fertility postponement. After reunification, period fertility rates plummeted in the former East Germany to record low levels. Since the mid-1990s, however, period fertility rates have been rising in East Germany, in contrast to the nearly constant rates seen in the West. By 2008, the TFR of East Germany had overtaken that of the West. We explore why fertility in East Germany is higher than in West Germany, despite unfavorable economic circumstances in the East. We address this and related questions by (a) presenting an account of the persisting East/West differences in attitudes toward and constraints on childbearing, (b) conducting an order-specific fertility analysis of recent fertility trends, and (c) projecting completed fertility for the recent East and west German cohorts. In addition to using the Human Fertility Database, perinatal statistics allow us to calculate a tempo-corrected TFR for East and West Germany.

  11. Currencies, National Images and National Identities: Public Relations for and against Currencies – Historical Experiences from Germany, the Case of the Euro and the Role of Rating Agencies

    Directory of Open Access Journals (Sweden)

    Michael Kunczik


    Full Text Available My thesis is that, in the “age of markets” in Europe the Euro is of central importance for creating (or destroying already established structures of European identity (at least in parts of Europe – with Great Britain taking a very remote position. I emphasize the theoretical aspects (Aftalion´s Psychological Theory of Exchange Rates; Simmel: Philosophie des Geldes to emphasize the importance of PR. I concentrate on historical cases – mainly German experiences – e.g. the campaign against the Rubel; the ideas of Ivy Lee; the PR-campaigns of the Nazi-government to fight inflation. The introduction of the German Mark (“die Deutsche Mark”, which became a central aspect of German national identity, and the campaign to give up this currency (“harte Währung” in order to introduce the “weak” Euro. In this context I discuss campaigns against the Euro (“only idiots want the Euro”. In the final remarks I refer to the role of rating agencies and trust in currencies and countries. It is my thesis that the analysts of the rating agencies live in a “world of literary images” and are acting in a completely irresponsible way (but even more incompetent are the politicians accepting the ratings without knowing anything about the problem of commensuration.

  12. African Journals Online: Germany

    African Journals Online (AJOL)

    El Salvador, Equatorial Guinea, Eritrea, Estonia, Ethiopia, Faeroe Islands, Falkland Islands (Malvinas), Fiji, Finland, France, France, MEtropolitan, French Guiana, French Polynesia, French Southern Territories, Gabon, Gambia, The, Georgia, Germany, Ghana, Gibraltar, Greece, Greenland, Grenada, Guam, Guatemala ...

  13. EMI in Germany

    DEFF Research Database (Denmark)

    Weiss, Felix; Schindler, Steffen


    This article discusses effectively maintained inequality considering two different examples from the Germany education system: secondary school attainment and enrolment in highly ranked universities among freshmen. In our analyses of secondary school attainment, we investigate whether considering...

  14. Germany at CERN

    CERN Multimedia


    The Eighth Exhibition of German Industry, "Germany at CERN" started this week and offers German companies the opportunity to establish professional contacts with CERN. From left to right in the foreground: Maximilian Metzger (BMBF), Bettinna Schöneseffen (BMBF), Karl-Heinz Kissler (SPL division leader), Horst Wenninger, and Hans Hoffman. Behind and to the right of Karl-Heinz Kissler is His Excellency Mr Walter Lewalter, Ambassador and permanent representative of Germany to the UN office in Geneva.

  15. Bismuth selenides from St. Andreasberg, Germany: an oxidised five-element style of mineralisation and its relation to post-Variscan vein-type deposits of central Europe (United States)

    Cabral, Alexandre Raphael; Ließmann, Wilfried; Jian, Wei; Lehmann, Bernd


    Carbonate veinlets at Roter Bär, a former underground mine in the polymetallic St. Andreasberg vein district of the Harz Mountains, Germany, host selenide minerals that are characterised as Bi-Ag-bearing clausthalite (PbSe), tiemannite (HgSe), guanajuatite (Bi2Se3) and a number of selenides of Bi, Zn, Cu, Ag and Pd. An unnamed Bi-Pb-Ag selenide species with some Hg and Cu, ideally Bi4Pb3Ag2Se10, is reported here. Specular hematite is disseminated within the clausthalite, at the marginal zones of which other selenide minerals are located. The occurrence of bohdanowiczite (AgBiSe2) and umangite (Cu3Se2) constrains the formation temperature to ≤120 °C, and the selenide-hematite assemblage (plus barite in the carbonate gangue) identifies highly oxidised conditions. Selenide assemblages of Pb, Bi, Ag, with and without Co and Ni, occur in many parts of the Variscan basement of central Europe (Harz, Erzgebirge, Schwarzwald and Bohemian Massif) and represent a high-oxidation variety of five-element (Ag-As-Bi-Co-Ni) veins.

  16. Multiculturalism in Germany

    Directory of Open Access Journals (Sweden)

    Milan Mesić


    Full Text Available The paper starts out from the recent statement by the German Chancellor Angela Merkel that multiculturalism in Germany is dead. The author draws attention to the unfavourable conditions for the development of multiculturalism in Germany. The reasons are historical, especially the experience of Nazism as well as the German social state. Namely, foreign workers in Germany, although without political rights and socially non-integrated, enjoyed a high degree of working and social rights, including high employment security. In this respect their position significantly differed from that of American workers (immigrants, which is why the struggle for civil rights was not in the foreground for German immigrants. Therefore, “the crisis of multiculturalism” appeared with the immigrants’ “second generation” (children, who have been first hit in the current times of crisis and the increasing deregulation of the labour market. They have remained socially non-integrated and without civil and political rights. It is interesting that the churches, particularly the Protestant one, lead in Germany in the efforts to begin to look at immigrants in a cultural (human sense as well, and have thus been the first to acknowledge that Germany has become a multicultural society. But this term and concept in Germany have remained sketchy, both in the theoretical and political sense. However, they have gained certain sympathy, mainly in parts of liberal-democratic circles – the Green Party leading the way – but more in a symbolic sense in countering xenophobia and cultural exclusion in German society. When multiculturalism was accused of developing “parallel society”, both the right and the left renounced it in favour of the (seemingly neutral concept of integration. The author proves that Germany has become and has remained multicultural, although not a multiculturalist country.

  17. A New Germany. (United States)

    Garland, James


    Presents a teacher's report on personal reactions and attitudes of both German students and teachers toward German reunification. Information was obtained through interviews during a week stay in Germany in March 1990. Includes many quotes expressing fear of nationalism and hope for the future, and recognizing social and economic problems Germany…

  18. Regional labor markets and aging in Germany


    Ochsen, Carsten


    This paper analyzes how the aging labor force aþects the unemployment rate at the regional level in Germany. A theoretical model of equilibrium unemployment with spatial labor market interactions is used to study the eþects of age-related changes in job creation and job destruction. Using data for 343 districts, we then examine empirically the consequences of an aging labor force for the local labor markets in Germany. We apply diþerent estimation techniques to a spatial and time dynamic pane...

  19. Germany: Europe’s China


    Paul Dobrescu; Mălina Ciocea


    The paper analyses Germany's ascent not only as Europe's most important economic power, but also as its leader. Figures show that Germany overcame the crisis; in fact the crisis legitimized its development model. Which would be Germany's main strategic choices, confirmed by the historic evolution of the recent years? First, its option for manufacturing, which allowed Germany to turn into Europe's factory. Second, the option for reform. "Agenda 2010", initiated by Gerhard Schroeder in 2003, is...

  20. Incidence of Narcolepsy in Germany. (United States)

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


    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.

  1. Germany at CERN

    CERN Multimedia


    From left to right: Maximilian Metzger, CERN's Secretary-General, Hermann Schunck, Director at the German Federal Ministry of Education and Research, and Robert Aymar, CERN's Director-General, talking to Wolfgang Holler from Butting, one of the companies at the "Germany at CERN" exhibition. Far right : Susanne-Corinna Langer-Greipl from BMBF, delegate to the CERN Finance Committee. For three days, CERN's Main Building was transformed into a showcase for German industry. Twenty-nine companies from sectors related to particle physics (electrical engineering, vacuum and low temperature technology, radiation protection, etc.) were here for the ninth "Germany at CERN" exhibition, organised by the German Federal Ministry of Education and Research (BMBF), which gave them the opportunity to meet scientists and administrators from the Laboratory. On 1 March the exhibition was visited by a German delegation headed by Dr Hermann Schunck, Director at BMBF.

  2. Economic Education in Germany

    Directory of Open Access Journals (Sweden)

    Birgit Weber


    Full Text Available It is rather difficult to describe economic education in Germany: Due to German federalism the sixteen German Länder are independent in terms of educational policy. Thus the German educational system differs slightly from Land to Land, even more heterogenous is the situation of economic education. With regard to this it is impossible to give a detailed picture of the whole, but it is useless to present the situation in only one land. This report tries to do the impossible by giving a rough overview of the situation of economic education in Germany at school as well as at university. Above all it is concerned with outlining the gap between claim and reality of economic education. A summary about the main topics of the didactic discussion can reflect contents and methods, which influence the syllabus construction.

  3. Library Consortia in Germany

    Directory of Open Access Journals (Sweden)

    Werner Reinhardt


    Full Text Available Looking at the present situation in Germany consortia show a considerable variety of organizational forms. Only in the case of the Friedrich-Althoff-Consortium in Berlin-Brandenburg a corporate body with deed of partnership does exist. In other German states consortia have been formed which are represented by an individual library (e.g. Baden-Württemberg or by a central institution such as the Bayerische Staatsbibliothek in Bavaria or the Hochschulbibliothekszentrum NRW in North Rhine-Westphalia. Rarely contracts for nationwide consortia have been signed; resulting from an initiative of a professional society, the „Gesellschaft Deutscher Chemiker“, an agreement was reached allowing for the use of the Beilstein-Crossfire-database in participating universities all over Germany.

  4. Agglomeration Externalities in Germany


    Bode, Eckhardt


    Several recent econometric investigations found externalities related to the density of economic activity to account for one fifth to one half of total regional variations in average labor productivity in the U.S. and big European countries, including Germany. The present paper shows for German NUTS 3 regions, first, that this result is not robust against a more extensive control for private returns that may be correlated with economic density. The paper presents, second, evidence of various ...

  5. Demographic studies in Germany. (United States)

    Xiao, H


    Studies on population and migration have gained growing popularity in the federal government, in universities, and among historians, economists, sociologists, and research institutions in Germany. Research institutions were expanded, and some received special funding from the Federal Society of Scientific Research for studies on demography and migration. Achievements in these subjects include monographs on the history and/or present demographic situation, book series, academic research reports, and consultative reports on contemporary population issues. Information exchanges with the rest of the world also heightened considerably. This paper focuses on major research institutions in Germany that specifically work on demography and population issues. It discusses the characteristics of their research, as well as their research subjects. These institutions include: 1) the Institute for Migration Research and Intercultural Studies at the University of Osnabruck, established after the German unification in 1991; 2) the Wiesbaden-based Federal Institute for Population Research, founded in 1973; and 3) the Institute for Population Research and Social Policy of the University of Bielefeld, founded in 1980. At present, Germany has two population research societies: the German Society for Population Research and the GDR Society for Population Research.

  6. Long-term variation (1986-1998) of post-Chernobyl 90Sr, 137Cs, 238Pu and (239,240)Pu concentrations in air, depositions to ground, resuspension factors and resuspension rates in south Germany. (United States)

    Rosner, G; Winkler, R


    Annual mean concentrations in air and annual total (wet plus dry) depositions to ground of 90Sr, 137Cs, 238Pu and (239,240)Pu decreased at Neuherberg, south Germany, in the period from July 1986 (i.e. after the end of the initial deposition phase from Chernobyl) to 1998 as follows: 90Sr from 0.77 to 0.05 microBq m(-3), and from 0.82 (1988) to 0.28 Bq m(-2) year(-1); 137Cs from 133 to 2.8 microBq m(-3), and from 116 to 3.8 Bq m(-2) year(-1); 238Pu from 0.95 to 0.063 nBq m(-3), and from 1.0 to 0.23 mBq m(-2) year(-1); (239,240)Pu from 8.1 to 0.53 nBq m(-3), and from 6.4 to 2.1 mBq m(-2) year(-1). The values for the non-caesium radionuclides are compared to the few available data from other stations. After an initial phase which is characterised for a given radionuclide by the varying ratio of the Chernobyl-derived inventory to the earlier, weapons fallout-derived inventory, the time courses of concentrations of 137Cs, 90Sr, 238Pu and (239,240)Pu in air become more or less parallel (from about 1990), despite the considerable differences in the physico-chemical properties of these elements. By contrast, the time series of radionuclide deposition rates show until about 1994 less similarity among each other and with the respective concentration series in air. From 1994, concentrations in air and depositions to ground become nearly constant, or decrease very slowly. At the end of the observation period, resuspension factors between 1.4 x 10(-10) m(-1) and 1.0 x 10(-11) m(-1) are observed for the various nuclides. The time courses of specific activities (Bq g(-1)) as well as the time courses of radionuclide ratios show characteristic differences between air and deposition. The data will be useful in predicting the post-accident behaviour of radionuclides a long time after a large-scale contamination event.

  7. Germany, Pacifism and Peace Enforcement

    DEFF Research Database (Denmark)

    Dalgaard-Nielsen, Anja

    This book is about the transformation of Germany's security and defence policy in the time between the 1991 Gulf War and the 2003 war against Iraq. It traces and explains the reaction of Europe's biggest and potentially most powerful country to the ethnic wars of the 1990s, the emergence of large...... the 1990s. The book debates the implications of Germany's transformation for Germany's partners and neighbours, and explains why Germany said ‘yes’ to the war in Afghanistan, but ‘no’ to the Iraq War. Based on a comprehensive study of the debates of the German Bundestag and actual German policy responses...

  8. Germany: Europe’s China

    Directory of Open Access Journals (Sweden)

    Paul Dobrescu


    Full Text Available The paper analyses Germany's ascent not only as Europe's most important economic power, but also as its leader. Figures show that Germany overcame the crisis; in fact the crisis legitimized its development model. Which would be Germany's main strategic choices, confirmed by the historic evolution of the recent years? First, its option for manufacturing, which allowed Germany to turn into Europe's factory. Second, the option for reform. "Agenda 2010", initiated by Gerhard Schroeder in 2003, is a crucial moment in the country's evolution. Special attention is paid to Germany's position on the single currency. Germany's performance is that it managed to turn the euro into a kind of European Dmark. The euro now formally "obeys" German rules, agreed upon from the very beginning, and is mainly coupled to the evolution of German economy. Germany is now sitting its most important exam: the European one. Today, Germany is Europe's most powerful state, but it must become its leader, whose development model would be accepted throughout the continent. Some German economic options are strikingly similar to China's.

  9. Germany: Family diversity with low actual and desired fertility


    Jürgen Dorbritz


    Germany is a low-fertility country with a rapidly ageing population, and will remain so for the foreseeable future. There are several reasons for this trend. Germany is among the countries with the highest rates of childlessness in the world, and childlessness has become widely accepted. This is illustrated by changes in living arrangements. A broad range of living arrangements has been added to the basic model of marriage with children; namely, single living, non-marital cohabitation, lone p...

  10. Environmental Foundations in Germany

    Directory of Open Access Journals (Sweden)

    Thomas Krikser


    Full Text Available Foundations in Germany were examined in the context of environmental issues. Data from environmental foundations show that there is huge difference between private and public foundations concerning financial settings. Furthermore, environment is often not the only objective and sometimes not even processed. Our analysis shows that there are different types of foundations with regard to environmental scopes and activities. Although “attractive topics” such as biodiversity and landscape conservation seem to be more important to foundations, less visible topics such as pollution prevention remain merely a “blind spot.” Together, these findings suggest that there is only a limited potential of private foundations compared with public foundations. Nevertheless, there might be an impact on environmental awareness and local sustainability.

  11. Germany AT CERN

    CERN Multimedia


    From 1 to 2 March 2005 Administration Building Bldg 60/61 - ground and 1st floor 09:30 - 17:30 Twenty nine companies will present their latest technology at the "Germany at CERN" exhibition. German industry will exhibit products and technologies related to the field of particle physics. The main sectors represented will be: mechanical engineering, particle detectors, electrical engineering, electronics, data processing, radiation protection and vacuum and low temperature techonology. The exhibition is organised by the Federal Ministry of Education and Research (BMBF), Bonn. The exhibitors are listed below. A detailed programme will be available in due course: from your Departemental secretariat, from the reception information desk, Building 33, at the exhibition itself. A detailed list of the participating firms is already available at the following FI link: LIST OF EXHIBITORS ACCEL Instruments GmbH APRA-NORM Elekt...

  12. Germany AT CERN

    CERN Multimedia

    C. Laignel / FI-DI


    From 1 to 3 march 2005 Administration Building Bldg 60/61 - ground and 1st floor 09:30 - 17:30 Twenty nine companies will present their latest technology at the "Germany at CERN" exhibition. German industry will exhibit products and technologies related to the field of particle physics. The main sectors represented will be: mechanical engineering, particle detectors, electrical engineering, electronics, data processing, radiation protection and vacuum and low temperature techonology. The exhibition is organised by the Federal Minister of Education and Research (BMBF), Bonn. The exhibitors are listed below. A detailed programme will be available in due course: from your Departemental secretariat, from the reception information desk, Building 33, at the exhibition itself. A detailed list of the participating firms is already available at the following FI link: LIST OF EXHIBITORS ACCEL Instruments GmbH APRA-NORM Elekt...

  13. Germany at CERN

    CERN Multimedia

    C. Laignel / FI-DI


    From 1 to 3 march 2005 Administration Building Bldg 60/61 - ground and 1st floor 09:30 - 17:30 Twenty eight companies will present their latest technology at the "Germany at CERN" exhibition. German industry will exhibit products and technologies which are related to the field of particle physics. The main subjects are: mechanical engineering, particle detectors, electrical engineering, electronics, data processing, radiation protection and vacuum and low temperature techonology. The exhibition is organised by the Federal Minister of Education and Research (BMBF), Bonn. There follows: the list of exhibitors A detailed programme will be available in due course at : your Departemental secretariat, the reception information desk, Building 33, the exhibition. A detailed list of firms is available under the following FI link: LIST OF EXHIBITORS ACCEL Instruments GmbH APRA-NORM Elektromechanik GmbH BABCOCK NOELL Nucle...

  14. CAS School in Germany

    CERN Multimedia

    CERN Accelerator School

    The CERN Accelerator School (CAS), the Helmholtz Centre for Heavy Ion Research GmbH (GSI) and the Technische Universität Darmstadt (TU Darmstadt) jointly organised a course on General Accelerator Physics, at intermediate level, at TU Darmstadt from 27 September to 9 October 2009.   Participants in the CERN Accelerator School in Darmstadt, Germany. The Intermediate-level course followed established practice, with lectures on core topics in the mornings and specialised courses in the afternoons. The latter provided "hands-on" education and experience in the three selected topics: "RF Measurement Techniques", "Beam Instrumentation and Diagnostics" and "Optics Design and Correction". These proved to be highly successful, with participants choosing one course and following the topic throughout the school. Guided studies, tutorials, seminars and a poster session completed the programme. A visit to GSI and the F...

  15. Ebola Risk Perception in Germany, 2014 (United States)

    Rübsamen, Nicole; Castell, Stefanie; Horn, Johannes; Karch, André; Ott, Jördis J.; Raupach-Rosin, Heike; Zoch, Beate; Krause, Gérard


    Ebola virus disease (EVD) outbreaks have occurred during the past 5 decades, but none has affected European countries like the 2014 epidemic in West Africa. We used an online questionnaire to investigate risk perceptions in Germany during this epidemic peak. Our questionnaire covered risk perceptions, knowledge about transmission routes, media use, reactions to the outbreak, attitudes toward measures to prevent the spread of EVD and vaccination against EVD, and willingness to volunteer for aid missions. Of 974 participants, 29% indicated that they worried about EVD, 4% correctly stated virus transmission routes, and 75% incorrectly rated airborne transmission and transmission by asymptomatic patients as possible. Many indicated that if a patient were flown to Germany for treatment in a nearby hospital, they would adapt preventive behavior. Although most participants were not worried about EVD at the current stage of the epidemic, misperceptions regarding transmission were common and could trigger inappropriate behavior changes. PMID:25989020


    CERN Multimedia


    13 - 15 November 2001 Administration Building Bldg 60 - ground and 1st floor 09.00 hrs - 17.30 hrs OPENING CEREMONY 10h00 - 13 November GERMANY AT CERN Thirty-three German companies will be demonstrating their supplies and services offered for the construction of the Large Hadron Collider (LHC) and other key CERN programmes. The Industrial exhibition will be enriched with a display of objects of contemporary German art. The official German presentation is under the patronage of the Federal Minister of Education and Research (BMBF), Bonn. There follows : the list of exhibitors, the list of lectures to be given at the exhibition. A detailed programme will be available in due course at : your Divisional Secretariat, the Reception information desk, building 33, the exhibition. LIST OF EXHIBITORS Accel Instruments GmbH Representative: 1.1 Accel Instruments GmbH/CH-8754 Netsal apra-norm Elektromechanik GmbH Representative: 2.1 apra-norm s.n.c./F-67500 Haguenau Babcock Noell Nuclear GmbH Balcke-D&u...

  17. [Family forms in East Germany]. (United States)

    Gysi, J


    The author reviews family characteristics in East Germany. Although the nuclear family remains the norm, increases in second marriages, divorces, and consensual unions are noted. (SUMMARY IN ENG AND RUS)

  18. The Lincoln Image in Germany

    Directory of Open Access Journals (Sweden)

    Jörg Nagler


    Full Text Available This essay investigates the enduring fascination with the sixteenth President of the United States in Germany. In general, his legacy and its evaluation changed in relation to the determinate historical contexts, beginning with the monarchial system, extending through the Weimar Republic, the Third Reich, and now the Federal Republic of Germany. Certain social and political individuals/groups in Germany used the image and iconography of Lincoln as a projection screen to support their own political objectives. Although there were always multiple layers of Lincoln representations in Germany, the dominant images were: the national unifier, the libertarian universalist, the emancipator, the defender of moral values, the modernizer, the democrat who used the power of the democratic state, the egalitarian self-made man from humble origins, and the defender of social justice and workingmen’s rights.

  19. The Life Expectancy of People with Intellectual Disabilities in Germany (United States)

    Dieckmann, Friedrich; Giovis, Christos; Offergeld, Jana


    Background: This study presents age group-specific mortality rates and the average life expectancy of people with intellectual disabilities in Germany. Method: For two samples from Westphalia-Lippe and Baden-Wuerttemberg, person-related data for the years 2007-2009 were analysed. Age group-specific mortality rates were estimated by exponential…

  20. The effectiveness of stuttering treatments in Germany. (United States)

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


    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

  1. Arthroplasty register for Germany

    Directory of Open Access Journals (Sweden)

    Hagen, Anja


    Full Text Available Scientific background: The annual number of joint replacement operations in Germany is high. The introduction of an arthroplasty register promises an important contribution to the improvement of the quality of patient’s care. Research questions: The presented report addresses the questions on organization and functioning, benefits and cost-benefits as well as on legal, ethical and social aspects of the arthroplasty registers. Methods: A systematic literature search was conducted in September 2008 in the medical databases MEDLINE, EMBASE etc. and was complemented with a hand search. Documents describing arthroplasty registers and/or their relevance as well as papers on legal, ethical and social aspects of such registers were included in the evaluation. The most important information was extracted and analysed. Results: Data concerning 30 arthroplasty registers in 19 countries as well as one international arthroplasty register were identified. Most of the arthroplasty registers are maintained by national orthopedic societies, others by health authorities or by their cooperation. Mostly, registries are financially supported by governments and rarely by other sources.The participation of the orthopedists in the data collection process of the arthroplasty registry is voluntary in most countries. The consent of the patients is usually required. The unique patient identification is ensured in nearly all registers.Each data set consists of patient and clinic identification numbers, data on diagnosis, the performed intervention, the operation date and implanted prostheses. The use of clinical scores, patient-reported questionnaires and radiological documentation is rare. Methods for data documentation and transfer are paper form, electronic entry as well as scanning of the data using bar codes. The data are mostly being checked for their completeness and validity. Most registers offer results of the data evaluation to the treating orthopedists and

  2. From Sick Man of Europe to Economic Superstar: Germany's Resurgent Economy


    Christian Dustmann; Bernd Fitzenberger; Uta Schönberg; Alexandra Spitz-Oener


    In the late 1990s and into the early 2000s, Germany was often called "the sick man of Europe." Indeed, Germany's economic growth averaged only about 1.2 percent per year from 1998 to 2005, including a recession in 2003, and unemployment rates rose from 9.2 percent in 1998 to 11.1 percent in 2005. Today, after the Great Recession, Germany is described as an "economic superstar." In contrast to most of its European neighbors and the United States, Germany experienced almost no increase in unemp...

  3. Low prescription rate for systemic treatments in the management of severe psoriasis vulgaris and psoriatic arthritis in dermatological practices in Berlin and Brandenburg, Germany: results from a patient registry. (United States)

    Nast, A; Reytan, N; Rosumeck, S; Erdmann, R; Rzany, B


    Many treatment options are available for the management of psoriasis vulgaris. However, detailed data on prescription behaviour in Germany, especially with regard to the use of new treatment options (e.g. biologics) in private practices, are lacking. To assess the treatment choices being made in the management of psoriasis vulgaris and psoriatic arthritis in private dermatological practices. We established a patient registry that documented the treatment decisions taken during 4797 patient visits between January 2006 and September 2006 with regard to disease activity and concomitant psoriatic arthritis. Corticosteroids were the most frequently prescribed topical treatment, and methotrexate and fumaric acid esters were the most frequently prescribed systemic treatments. Biologics were prescribed in only 2% of patient visits. Systemic treatments were prescribed in only 31% of visits made by patients suffering from moderate to severe psoriasis (which was diagnosed in 48% of all patient visits) and in only 58% of visits made by patients suffering from psoriatic arthritis (which was diagnosed in 12% of all patient visits). Anti-psoriatic treatment was too often limited to topical agents. The rather small percentage of patients with moderate to severe psoriasis or psoriatic arthritis who received systemic therapy indicates that the use of systemic treatments in our sample was too restrictive. Novel therapeutic options such as biologics were rarely used in private practices. New strategies to improve the quality of care provided to patients suffering from severe psoriasis are needed.

  4. Labour Market Developments, Non-standard Employment and Low Wages in Germany

    DEFF Research Database (Denmark)

    Leschke, Janine


    In terms of basic labour market developments and outcomes Germany is faring comparatively well. Indeed, against the European trend, Germany saw employment rates increasing and unemployment decreasing during the economic crisis. But since the deregulatory Hartz reforms of the early and mid-2000s, ...

  5. Adult Education in Western Germany. (United States)

    Knoll, Joachim H.; And Others

    Here are abstracts of three books on adult education in Western Germany, where the institutions and methods of continuing education have been nearly unknown. The first, ERWACHSENENBILDUNG IN DER BUNDESREPUBLIK (ADULT EDUCATION IN THE FEDERAL REPUBLIC), 167 pages, justifies regarding adult education today as a complete changeover from its forms in…

  6. Physician assistant education in Germany

    NARCIS (Netherlands)

    C. Matthews; M. Dierks; L. Kuilman


    The first physician assistant (PA) program in Germany began in 2005. As of 2013 there are three PA programs operational, with a fourth to be inaugurated in the fall of 2013. The programs have produced approximately 100 graduates, all with a nursing background. The PA model of shifting tasks from

  7. Lise Meitner's escape from Germany (United States)

    Sime, Ruth Lewin


    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.

  8. Identity Education in Multicultural Germany. (United States)

    Luchtenberg, Sigrid


    Addresses conditions of identity education in Germany within the framework of multicultural education. Particular focus is on the interaction theory of Krappmann (1971), which provides a framework for dealing with the necessities of identity education for migrant and German students. The importance of identity education for migrant students and…

  9. Paint removal activities in Germany (United States)

    Holbein, R.; Arnolds-Mayer, G.


    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.

  10. Schooling in Germany : Structural Deficiencies

    NARCIS (Netherlands)

    Kiiver, H.


    The German educational system is battling with a range of challenges exposed by the PISA studies and other publications such as the OECD's "Education at a glance". This dissertation discusses four distinct topics, using data from the German Socio-Economic Panel Data. In Germany, the socio-economic

  11. Prices in the two Germanies

    NARCIS (Netherlands)

    Dietzenbacher, E; Wagener, HJ

    Comparative evaluations across economic systems are often hampered by the typical valuation problem, that is, market prices have a different meaning than planned prices. This paper considers prices in the two Germanies and the widely accepted hypothesis that East German prices did not reflect

  12. The changing consumer in Germany

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Grunert, Suzanne C.; Glatzer, Wolfgang


    Changes in economic, demographic, and cultural factors in West Germany during the past decades are briefly described, as well as changes in consumption patterns and the way the major marketing variables have been used and implemented. Special atte is paid to the upheavals caused by the German...

  13. Restructuring power supply in Germany; Umstrukturierung der Stromversorgung in Deutschland

    Energy Technology Data Exchange (ETDEWEB)



    According to recent calculations of the Umweltbundesamt (Federal Environmental Office), all German nuclear power plants can be decommissioned from 2017. This will result neither in supply shortages nor in higher electricity rates, and Germany's climate protection goals will not be in danger either. There will be no need to import nuclear power from other countries. (orig.)

  14. Large Early Permian eruptive complexes in northern Saxony, Germany: Volcanic facies analysis and geochemical characterization (United States)

    Hübner, Marcel; Breitkreuz, Christoph; Repstock, Alexander; Heuer, Franziska


    (Vorerzgebirgs-Senke, Nordwestsächsischer Vulkanitkomplex, Geraer Becken). Unpublished PhD thesis, TU Bergakademie Freiberg. HILDRETH, W. (1981): Gradients in silicic magma chambers: Implications for lithospheric magmatism. Journal of Geophysical Research (86), p. 10153-10192. Hoffmann, U.; Breitkreuz, C.; Breiter, K.; Sergeev, S.; Stanek, K.; Tichomirowa, M. (2013): Carboniferous-Permian volcanic evolution in Central Europe - U/Pb ages of volcanic rocks in Saxony (Germany) and northern Bohemia (Czech Republic). Int. J. Earth Sci. (Geol. Rdsch.), 102: p. 73-99. Huber, C.; Bachmann, O.; Dufek, J. (2012): Crystal-poor versus crystal-rich ignimbrites: A competition between stirring and reactivation. Geology, 2 (40), p. 115-118. Mason, B. G., Pyle, D. M. & Oppenheimer, C. (2004): The size and frequency of the largest explosive eruptions on Earth. Bull. Volcanology, 66, p. 735-748. Schneider, J.W.; Rößler, R.; Fischer, F. (2012): Rotliegend des Chemnitz-Beckens (syn. Erzgebirge-Becken). - In: Deutsche Stratigraphische Kommission (Ed.): Stratigraphie von Deutschland X. Rotliegend. Teil I: Innervariscische Becken. Schriftenreihe der Deutschen Gesellschaft für Geowissenschaften, Heft 61: pp. 530-588; Hannover. Walter, H. (2006): Das Rotliegend der Nordwestsächsischen Senke. Veröff. Museum Naturkunde, 29, p. 157-176.

  15. Measles incidence and reporting trends in Germany, 2007–2011 (United States)

    Wichmann, Ole; Rieck, Thorsten; Matysiak-Klose, Dorothea


    Abstract Objective We aimed to quantify progress towards measles elimination in Germany from 2007 to 2011 and to estimate any potential underreporting over this period. Methods We determined the annual incidence of notified cases of measles – for each year – in northern, western, eastern and southern Germany and across the whole country. We then used measles-related health insurance claims to estimate the corresponding incidence. Findings In each year between 2007 and 2011, there were 6.9–19.6 (mean: 10.8) notified cases of measles per million population. Incidence decreased with age and showed geographical variation, with highest mean incidence – 20.3 cases per million – in southern Germany. Over the study period, incidence decreased by 10% (incidence rate ratio, IRR: 0.90; 95% confidence interval, CI: 0.85–0.95) per year in western Germany but increased by 77% (IRR: 1.77; 95% CI: 1.62–1.93) per year in eastern Germany. Although the estimated incidence of measles based on insurance claims showed similar trends, these estimates were 2.0- to 4.8-fold higher than the incidence of notified cases. Comparisons between the data sets indicated that the underreporting increased with age and was generally less in years when measles incidence was high than in low-incidence years. Conclusion Germany is still far from achieving measles elimination. There is substantial regional variation in measles epidemiology and, therefore, a need for region-specific interventions. Our analysis indicates underreporting in the routine surveillance system between 2007 and 2011, especially among adults. PMID:25378728

  16. Measles incidence and reporting trends in Germany, 2007-2011. (United States)

    Takla, Anja; Wichmann, Ole; Rieck, Thorsten; Matysiak-Klose, Dorothea


    We aimed to quantify progress towards measles elimination in Germany from 2007 to 2011 and to estimate any potential underreporting over this period. We determined the annual incidence of notified cases of measles - for each year - in northern, western, eastern and southern Germany and across the whole country. We then used measles-related health insurance claims to estimate the corresponding incidence. In each year between 2007 and 2011, there were 6.9-19.6 (mean: 10.8) notified cases of measles per million population. Incidence decreased with age and showed geographical variation, with highest mean incidence - 20.3 cases per million - in southern Germany. Over the study period, incidence decreased by 10% (incidence rate ratio, IRR: 0.90; 95% confidence interval, CI: 0.85-0.95) per year in western Germany but increased by 77% (IRR: 1.77; 95% CI: 1.62-1.93) per year in eastern Germany. Although the estimated incidence of measles based on insurance claims showed similar trends, these estimates were 2.0- to 4.8-fold higher than the incidence of notified cases. Comparisons between the data sets indicated that the underreporting increased with age and was generally less in years when measles incidence was high than in low-incidence years. Germany is still far from achieving measles elimination. There is substantial regional variation in measles epidemiology and, therefore, a need for region-specific interventions. Our analysis indicates underreporting in the routine surveillance system between 2007 and 2011, especially among adults.

  17. Incidence of malignant mesothelioma in Germany 2009-2013. (United States)

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


    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.

  18. Substitution treatment for opioid addicts in Germany

    Directory of Open Access Journals (Sweden)

    Gerlach Ralf


    Full Text Available Abstract Background 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. Results 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. Conclusion In Germany, a

  19. Substitution treatment for opioid addicts in Germany (United States)

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


    Background 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. Results 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. Conclusion In Germany, a history of substitution

  20. Germany

    NARCIS (Netherlands)

    Koelman, Jos; Koelman, Jos; Huisman, J.; Kaiser, F.


    The German system of higher education is a binary system that consists of a university and a non-university sector. The institutions of higher education in these two sectors include all institutions (public and private) as defined in the higher education laws of the Länder. Each Land has its own

  1. Germany

    Directory of Open Access Journals (Sweden)

    Katja Mruck


    Full Text Available Taking into account the variety and (sub- disciplinary diversity of German qualitative research, this contribution can only offer a brief schematic overview of 1 some historical aspects and shared paradigmatic premises in qualitative social research that go beyond disciplinary boundaries, 2 of somewhat common strategies and methods of collection and analysis of qualitative data, 3 the actual state of qualitative research funding and teaching, and 4 the usage of the Internet and its resources. In closing some aspects, which seem especially worthy for further discussion, are touched upon. URN: urn:nbn:de:0114-fqs000148

  2. Employee share ownership in Germany

    DEFF Research Database (Denmark)

    Ortlieb, Renate; Matiaske, Wenzel; Fietze, Simon


    on an institutional theoretical framework, this article examines what aims firms pursue through the provision of ESO. The data originate from a survey of firms in Germany. The cluster analytic findings indicate distinctive patterns of relationships between aims and firm characteristics. Aims related to employee...... performance are most important to foreign-owned firms, financial aims are most important to non-public small and medium-sized firms and aims related to corporate image are most important to big firms and to firms that do not provide profit sharing. Aims related to employee attraction and retention are almost...

  3. The municipal waste management: a comparison between Germany and Italy. (United States)

    Protano, C; Nanni, S; Giampaoli, S; Romano Spica, V; Vitali, M


    In the European scenario Municipal Waste Management (MWM) is very heterogeneous, and many countries did not achieve yet the decoupling between economic growth and MW production. The objectives of the study were to evaluate temporal trends of MWM and economic indicators to evidence differences between Germany and Italy, and to assess the relationship between economic indicators and MW production, to highlight whenever decoupling was achieved. Time series analyses (1995-2010) of data related to MWM and income/consumption indicators were performed, and simple regression analyses were run to evaluate the relationship between economic drivers and MW production. Income/consumption indicators show a constant increment in both countries, while different trends appear for MWM. German MW production was reduced, and, over the years, the main disposal method rose from landfill towards recycling. On the contrary, Italian MW production increased, and landfilling has been always the most common method for disposal waste. Besides, the percentage of MW collected separately and packaging recovered was higher in Germany than in Italy for all the investigated period. Moreover, Germany appears to have decoupled MW production from economic growth, while Italian MW production is significant positively associated to it. Germany emerges as a virtuous country, while Italy appears as the "example not to follow". Differences could be determined by the contribution of several factors, such as educational levels, urbanization, population characteristics, employment/unemployment rates, expenditure in research and health issues, that should be studied indeed.


    Directory of Open Access Journals (Sweden)

    Peter Spathelf


    Full Text Available A brief historical overview shows the mainstream development pattern in German silviculture and outlines the adjacent role of seminatural (naturally-oriented silviculture. The rationale for seminatural silviculture is discussed with reference to its ecological and economical aspects. Elements of seminatural silviculture of the Baden-Württemberg-concept are introduced. This concept is not purely a preservation strategy, but recognizes the importance of timber production. Some aspects of selection forest, which is a special case of uneven-aged forest with a long tradition in Southwest Germany, are discussed. As there are still a lot of even-aged (pure forests in Southwest Germany, transformation strategies towards uneven-aged mixed forests are shown with the aid of some examples. Criteria and indicators for seminatural silviculture which have to be developed on a regional or local scale, can be used as a basis for establishing a certification process for Southwest German forests. Seminatural silviculture is suited as a rational and  intergrating  silvicultural     system      to     fulfill     future     requirements     on     forests     in    a    dynamically changing world.

  5. Okun’s Law and Youth Unemployment in Germany and Poland

    Directory of Open Access Journals (Sweden)

    Dunsch Sophie


    Full Text Available Unemployment rates, especially among youth, have increased in various countries of Europe over the last years. This paper examines changes in youth unemployment in Germany and Poland with Okun’s law, testing that young employees are more vulnerable to the business cycle. I estimate country specific Okun coefficients for five different age cohorts. The results show that youth in Poland is more sensitive to business cycle fluctuations than adults, while in Germany the difference between the age cohorts is not that distinctive. In addition, cohort differences in Germany are not statistically significant, while they are significant in Poland but only with regard to the two oldest age cohorts.

  6. The savings behavior of temporary and permanent migrants in Germany


    Bauer, Thomas K.; Sinning, Mathias


    This paper examines the relative savings position of migrant households in West Germany, paying particular attention to differences between temporary and permanent migrants. Utilizing household level data from the German Socio-Economic Panel (GSOEP), our findings reveal significant differences in the savings rates between foreign-born and German-born individuals. These differences disappear, however, for temporary migrants, if their remittances are taken into account. Fixed effects estimation...

  7. Congenital cytomegalovirus infection in Central Germany: an underestimated risk. (United States)

    Rütten, Hannah; Rissmann, Anke; Brett, Birgit; Costa, Serban-Dan; Doßow, Birgit; Färber, Jacqueline; Fest, Stefan; Fritzsch, Christiane; Lux, Anke; Päge, Ilona; Spillner, Claudia; Redlich, Anke


    This is the first study to determine the cytomegalovirus (CMV) seronegativity rate for women of childbearing age in Saxony-Anhalt and to determine the prevalence of clinically relevant congenital CMV (cCMV) infection in Central Germany, because there are no valid data available. The retrospective study was undertaken between January 2005 and December 2015. For the first time in Germany, the following seven data sources were used to analyze the prevalence of clinically relevant cCMV infection and the rate of CMV seronegative women of childbearing age: CMV Screening in maternity unit, University Women's Hospital, Social Paediatrics Centre (SPC), Malformation Monitoring Centre (MMC), Newborn Hearing Screening (NHS), Neonatal Intensive Care Unit (NICU), and In-house Doctor Department. Key parameters were anti-CMV IgG and IgM, CMV PCR of urine, and clinically relevant symptoms caused by CMV. Between 46 and 52% of women of childbearing age were CMV seronegative. The prevalence of clinically relevant cCMV infection was between 0.008 and 0.04%. The CMV seronegativity rate of women of childbearing age was confirmed to be in the middle range of estimated data from other sources in Germany. Data from the NICU, SPC, NHS, and MMC show the prevalence of clinically relevant cCMV infection. The risk of all cCMV infections is underestimated. Thus, the true prevalence of clinically relevant and subclinical cCMV infections is >0.04%.

  8. History of anesthesia in Germany. (United States)

    Wawersik, J


    The first ether anesthetic was administered in Germany by J.F. Heyfelder (1798-1869) at the Erlangen University Hospital on January 24, 1847. Thereafter, famous discoveries occurred in the field of pharmacology. Albert Niemann isolated cocaine from the coca shrub in 1860; Emil Fischer synthesized the first barbiturate, Veronal, in 1902; and Helmut Weese promoted the first ultra-short-acting barbiturate, hexobarbital (Evipan), in 1932. The local anesthetic effect of cocaine was reported by Koller at the Congress of the German Society for Ophthalmology on September 15, 1884, in Heidelberg. Many new techniques were tried first in German hospitals. Friedrich Trendelenburg carried out, by tracheotomy, the first operation with endotracheal intubation in 1869, and Franz Kuhn promoted and clinically practiced endotracheal intubation in Heidelberg beginning in 1900. August Bier performed the first operation under spinal anesthesia at the Kiel University Hospital on August 16, 1898. Carl Ludwig Schleich (1859-1922) standardized the methods of infiltration anesthesia by using a cocaine solution in sufficient dilution. The development of anesthesia machines was greatly influenced by Heinrich Dräger (1847-1917) and his son Bernhard Dräger (1870-1928). The Dräger Company in Lübeck built the first anesthesia machine with a carbon dioxide (CO2) absorber and circle system in 1925. Paul Sudeck and Helmut Schmidt worked with this system at the Hamburg University Hospital and reported their results in 1926. The first Dräger anesthesia machine was produced in 1902 and introduced into clinical use by Otto Roth (1863-1944) in Lübeck. Before the Second World War, three universities in Germany carried out research in the field of anesthesia: the University of Freiburg with H. Killian, the University of Hamburg with P. Sudeck and H. Schmidt, and the University of Würzburg with C.G. Gauss. Killian and Gauss established the first journals, Der Schmerz and Narkose und Anaesthesie, in

  9. Neurosurgical Resident Training in Germany. (United States)

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


    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 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, however, is less spent in the operating suite (OR: 0.26; 95% CI, 0.11-0.59; p = 0.001) and more doing administrative work (OR: 1.83; 95% CI, 1.13-2.96; p = 0.015). Conclusion Some theoretical and practical aspects of neurosurgical training are superior, but a considerable proportion of

  10. Melanoma mortality following skin cancer screening in Germany. (United States)

    Boniol, Mathieu; Autier, Philippe; Gandini, Sara


    In 2003, a skin cancer screening campaign based on total body skin examination was launched in the federal state of Schleswig-Holstein, Germany. 20% of adults aged 20 and over were screened. In 2008, a 48% decline in melanoma mortality was reported. In the same year, skin screening was extended to the rest of Germany. We evaluated whether melanoma mortality trends decreased in Germany as compared with surrounding countries where skin screening is uncommon. We also evaluated whether the initial decreasing mortality trend observed in Schleswig-Holstein was maintained with a longer follow-up. Regional and national melanoma mortality data from 1995 to 2013 were extracted from the GEKID database and the Federal Statistical Office. Mortality data for Germany and surrounding countries from 1980 to 2012 were extracted from the WHO mortality database. Age-adjusted (European Standard Population) mortality rates were computed and joinpoint analysis performed for Schleswig-Holstein, Germany and surrounding countries. In Schleswig-Holstein, melanoma mortality rates declined by 48% from 2003 to 2008, and from 2009 to 2013 returned to levels observed before screening initiation. During the 5 years of the national programme (2008-2012), melanoma mortality rates increased by 2.6% (95% CI -0.1 to 5.2) in men and 0.02% (95% CI -1.8 to 1.8) in women. No inflexion point in trends was identified after 2008 that could have suggested a decreasing melanoma mortality. Trends of cutaneous melanoma mortality in Germany from 1980 to 2012 did not differ from those observed in surrounding countries. The transient decrease mortality in Schleswig-Holstein followed by return to pre-screening levels could reflect a temporal modification in the reporting of death causes. An in-depth evaluation of the screening programme is required. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  11. Integrated solid waste management in Germany

    Energy Technology Data Exchange (ETDEWEB)



    This report covers Germany`s experience with integrated solid waste management programs. The municipal solid waste practices of four cities include practices and procedures that waste facility managers with local or state governments may consider for managing their own day-to-day operations.

  12. Crossopriza lyoni new to Germany (Araneae: Pholcidae

    Directory of Open Access Journals (Sweden)

    Bauer, Tobias


    Full Text Available The first record of Crossopriza lyoni (Blackwall, 1867 from Germany is presented. The species seems to be established at two localities in Stuttgart, Germany. Some information about the biology of the populations is given. The cosmopolitan distribution pattern and a possible route of introduction are discussed.

  13. Mental health of Turkish women in Germany

    DEFF Research Database (Denmark)

    Bromand, Z; Temur-Erman, S; Yesil, R


    The purpose of the present study was to examine the protective and risk factors of mental distress among Turkish women living in Germany.......The purpose of the present study was to examine the protective and risk factors of mental distress among Turkish women living in Germany....

  14. Bioelectromagnetics Research in West Germany: An Assessment (United States)


    UMWELTFORSCHUNG, NEUHERBERG ................... 1 3 THE MAX-PLANCX-INSTITEJT FUR FESTKORPERFORSCHUNG, STUTTGART ................... 4 4 THE UNIVERSITY...some of the key research that has beer fur Strahlen- und Umweltforschung (GFS) carried out in Germany on millimeter- in Neuherberg , just outside...Germany, as this report will attempt to show, these 2 GESELLSCHAFT FUR STRAHLEN- UND two laboratories are by far the major UMWELTFORSCHUNG, NEUHERBERG

  15. Impressions of Germany: A Personal Vignette. (United States)

    McKinnon, Mike


    Describes a student exchange program in which 8 Canadian and 80 U.S. high school students visited Germany for 3 weeks. Contends that the students came to understand and believe that a unified Europe was part of their future. Argues that studying Germany and Europe helps prepare students for life in an interdependent world. (CFR)

  16. [Quality assurance in cardiology: Germany]. (United States)

    Silber, S


    Quality assurance is a touchy subject: difficult to implement, time-demanding and expensive. The goal of quality assurance is to assist both the patients and the physicians. In addition to legal requirements, quality assurance is necessary for medical as well as economical reasons. It makes sense that the license to practice medicine does not automatically entail the right to perform all medical procedures; the development of new methods and the insights won from important scientific studies necessitates constant training. Furthermore, the decreasing allocation of funds for medical care combined with increased demand effected by new treatment methods and longer life expectancy force the development of instruments for specific and reasonable budgeting of medical expenditures. The primary goal of quality management in respect to economical regards must be the avoidance of unnecessary hospital admissions. But the patient must retain the right to choose the physician he prefers. The organization of the supervising structures in Germany is inconsistent: in 1995, a new Zentralstelle der Deutschen Arzteschaft zur Qualitätssicherung in der Medizin (German Physicians Headquarters for Quality Assurance in Medicine) was founded; it is proportionally staffed by representatives of the Bundesärztekammer (BAK, Federal Board of Physicians) and the Kassenärztliche Bundesvereinigung (KBV, Federal Commission of Panel Physicians). Furthermore, there is the Arbeitsgemeinschaft zur Förderung der Qualitätssicherung in der Medizin (Working Group for the Advancement of Quality Assurance in Medicine), in which the Bundesministerium für Gesundheit (Federal Ministry of Health) and the Kassenärztliche Vereinigung (KV, Public Health Insurance Providers) are represented. The KV is already seeing to it that stricter regulations govern physicians with private practice than those governing hospital physicians. There are three data banks existing on a voluntary basis for invasive diagnostic

  17. The visual arts influence in Nazi Germany

    Directory of Open Access Journals (Sweden)

    Bie Yanan


    Full Text Available This article will discuss the influence of visual art in Nazi Germany from two parts of visual arts, which are political photography and poster propaganda, analyzing the unique social and historical stage of Nazi Germany. And it emphasizes the ideology of the Nazis, which in Nazi Germany inflamed the political sentiment of the masses and took the visual art as their important instrument of political propaganda, while Nazi party used visual art on anti-society and war which is worth warning and criticizing for later generation.

  18. Germany; Technical Note on Banking Sector Structure


    International Monetary Fund


    This Technical Note focuses on banking sector structure in Germany. Germany’s banking system comprises three “pillars†—private commercial banks, public sector banks, and cooperative banks—distinguished by the ownership structure and business orientation. The German banking system includes a large number of institutions in both absolute and relative terms. This note describes the evolution of Germany’s three-pillar banking system. It analyzes capitalization, credit and the intermed...

  19. Routine outcome measures in Germany. (United States)

    Puschner, Bernd; Becker, Thomas; Bauer, Stephanie


    The German healthcare system offers comprehensive coverage for people with mental illness including inpatient, day hospital and outpatient services. These services are primarily financed through the statutory health and pension insurances. According to legal regulations, providers are required to base their services on current scientific evidence and to continuously assure the quality of their services. This paper gives an overview of recent initiatives to develop, evaluate and disseminate routine outcome measurement (ROM) in service settings in Germany. A large number of projects have shown outcome monitoring to be feasible, and that feedback of outcome may enhance routine care through an improved allocation of treatment resources. However, none of these initiatives have been integrated into routine care on a nationwide or trans-sectoral level, and their sustainability has been limited. This is due to various barriers in a fragmented mental health service system and to the lack of coordinated national or state-level service planning. The time is ripe for a concerted effort including policy-makers to pick up on these initiatives and move them towards wide-spread implementation in routine care accompanied by practice-oriented research including service user involvement.

  20. Gino Germani: socialismo liberal y sociologia cientifica

    National Research Council Canada - National Science Library

    Daniela Rawicz


    ... social change take place. This article posits that there is an ideological matrix in Germani linked to the European liberal socialism of his time, which puts the opposition between authoritarism and liberty as the central...

  1. Capacity credit of wind power in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Sperling, M.; Pamfensie, A.; Hartkopf, T. [TU-Darmstadt, Inst. for Renewable Energies (Germany)


    Covering the peak loads with a reliable safety margin is a task that becomes more difficult in the moment that base load power plants are exchanged by renewable energy resources. This is an issue that might affect Germany in the next years. This paper analyses the power plant mix in Germany and calculates the wind power capacity credit for different scenarios. The contribution of the wind power on covering the peak loads is discussed. (au)

  2. Measuring Income Assimilation of Migrants to Germany


    Ira N. Gang; John Landon-Lane; Myeong-Su Yun


    We measure the income assimilation of migrants to Germany employing a new measure of assimilation that uses the whole income distribution rather than selected moments. To do this we implement a discrete-state Markov chain to model the dynamics of the cross-sectional income distribution of migrants and natives in Germany. Bayesian methods allow us to fully characterize the limiting cross-sectional income distribution for migrants and natives, enabling us to compare our measures of assimilation...


    Directory of Open Access Journals (Sweden)

    Bestenigar KARA


    Full Text Available The article shortly deals with economic and commercial relations between Turkey, that keeps close regulary economic, political and cultural relationship and Germany, which is one of six founding fathers of the European Union. The subject of article has been searched within the following framework: Measurement of commercial relations between export and import between, investment relations between Germany and Turkey, mutual distribution sector.

  4. Germany: Family diversity with low actual and desired fertility

    Directory of Open Access Journals (Sweden)

    Jürgen Dorbritz


    Full Text Available Germany is a low-fertility country with a rapidly ageing population, and will remain so for the foreseeable future. There are several reasons for this trend. Germany is among the countries with the highest rates of childlessness in the world, and childlessness has become widely accepted. This is illustrated by changes in living arrangements. A broad range of living arrangements has been added to the basic model of marriage with children; namely, single living, non-marital cohabitation, lone parenthood, patchwork families and living apart together. A culture of individualism has spread in Germany which forms the basis for widespread decisions against family formation. The desired number of children has become low and family policy is considered to be a failure in terms of its influence on fertility. German family policy has had a traditional orientation centred on monetary support to families and on the promotion of the male breadwinner model. Women have been largely forced to choose between family and work, and leave the labour market when a child is born. The still prevailing concept of family policy does not help to reduce the pressure to choose between work and family life, and thus makes it easier to decide not to have children, especially for highly educated women. A change in family policy is needed which will enable couples to choose between the breadwinner-housewife and the reconciliation model. Gradually, this change is starting to take place.

  5. Dental tourism from Switzerland to Germany. (United States)

    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 (pSwitzerland (95.6%) confirmed that dental treatments in Germany were cheaper and that additional family members also came to Germany for dental care (65.0%).

  6. An erosional unconformity over whole Europe? - New insights into Late Pleistocene loess paleosol sequences from Saxony (Germany) (United States)

    Faust, Dominik; Meszner, Sascha; Kreutzer, Sebastian; Fuchs, Markus


    The Saxonian loess region is located in the transition zone between the Central German Uplands (here Erzgebirge) and the Northern European Lowland. A loess layer on average of 6 m thickness sedimented mainly during Weichselian glaciation causes a characteristically smooth landscape of gently rolling hills. Since 2008 this area is focused for paleoenvironmental research on loess paleosol sequences (Meszner et al. 2011 and Meszner et al. 2012) with the aim to establish a new, high resoluted stratigraphical stack of all units found in the Weichselian loess sequences. The authors subdivide this new standard profile in five units. Unit IV and V represent pre-Eemian and Early Weichselian sediments with intercalated Eemian soil complex. The following unit III is build of several redeposited week interstadial Cambisol-like and trunda gley soils of a period form 30/35 ka to 28 ka. Above, unit II composed of barren and pure Upper Pleniglacial loess follows and reaches a maximum thickness of 7 m (at site Gleina). It is subdivided by several tundra gley soils and shows a stratified loess facies in the lower and non-stratified loess facies in the upper part. The surface near the margin (max 2.5 m thick) of decalcified material within the Holocene/Late Pleistocene interglacial soil is classified as unit I. A conspicuous complex of a reddish-brown substrate from top of unit IV and its overlaid bright grey Gleysol as lowermost part of unit III is called Gleina Complex. Lieberoth (1963) defined it as in important interstadial soil development of younger Middle Weichselian and called it 'Gleina soil development'. New luminescence age estimations indicate a hiatus inside of this complex. Between the brown substrate (lower part), with an OLS-age estimation of app. 60 ka and the upper part (strong Gleysol), with and an age estimation of app. 30-35 ka, an unconformity spanning app. 30 ka is identified. This hiatus, roughly spanning MIS 3, could found in all investigated loess sequences

  7. Medical report from the 2006 FIFA World Cup Germany. (United States)

    Dvorak, Jiri; Junge, Astrid; Grimm, Katharina; Kirkendall, Donald


    To continue the injury surveillance of FIFA-sponsored football tournaments and report on other medical aspects of the 2006 FIFA World Cup. Prospective epidemiological injury surveillance and descriptive summary of additional medical aspects. Major international football tournament. National team players, doctors and referees at the 2006 FIFA World Cup Germany. Injury type, location and rate. 145 injuries were reported for the 64 matches of the 2006 FIFA World Cup Germany-an overall injury rate of 68.7 per 1000 match hours (95% CI 57.5 to 79.9) or 2.3 injuries per match, in comparison with 2.7 injuries per match in the 2002 FIFA World Cup (p = NS). Physical examinations before participation uncovered no hidden cardiovascular problems. Once the tournament started, no referees were unable to complete their duties. There were no positive doping tests. The injury rate for this World Cup was below that of 2002, but consistent with the overall injury rate per match since data collection began in 1998. There continues to be no evidence of systematic doping in international football.

  8. Provisions for containment venting in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Wilhelm, J.G.


    In this short paper an overlook is given of the systems developed in Germany for filtered containment venting and their implementation in nuclear power plants. More information on the development can be found in the Proceedings of the DOE/NRC Aircleaning Conferences. In Germany, 28.8 % of the electric energy is produced by 19 nuclear power reactors. No new power reactor is expected to be built at least within the next ten years, but France and Germany cooperate in the development of a future European Power Reactor (ERP). This reactor type will be fitted with a core catcher and passive cooling in order to avoid serious consequences of a hypothetical core meltdown accident so that provisions for containment venting are not required. 3 refs., 6 figs., 1 tab.

  9. Antimicrobial susceptibility and molecular epidemiology of Neisseria gonorrhoeae in Germany. (United States)

    Horn, Nicole Nari; Kresken, Michael; Körber-Irrgang, Barbara; Göttig, Stephan; Wichelhaus, Cornelia; Wichelhaus, Thomas A


    Antimicrobial drug resistance in Neisseria gonorrhoeae has become an increasing public health problem. Hence, surveillance of resistance development is of crucial importance to implement adequate treatment guidelines. Data on the spread of antibiotic resistance among gonococcal isolates in Germany, however, is scarce. In a resistance surveillance study conducted by the Paul Ehrlich Society for Chemotherapy between October 2010 and December 2011, 23 laboratories all over Germany were requested to send N. gonorrhoeae isolates to the study laboratory in Frankfurt am Main. Species verification was performed biochemically using ApiNH and with Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry (MALDI-TOF MS). Antimicrobial susceptibility testing was performed using the Etest method. For molecular epidemiological analysis, N. gonorrhoeae strains were genotyped by means of N. gonorrhoeae multi-antigen sequence typing. A total of 213 consecutive gonococcal isolates were analyzed in this nationwide study. Applying EUCAST breakpoints, high resistance rates were found for ciprofloxacin (74%) and tetracycline (41%). Penicillin non-susceptibility was detected in 80% of isolates. The rate of azithromycin resistance was 6%, while all strains were susceptible to spectinomycin, cefixime, and ceftriaxone. Molecular typing of gonococcal isolates revealed a great heterogeneity of 99 different sequence types (ST), but ST1407 predominated (n=39). This is the first comprehensive German multi-centre surveillance study on antibiotic susceptibility and molecular epidemiology of N. gonorrhoeae with implications for antibiotic choice for treatment of gonorrhoea. The World Health Organization supports the concept that an efficacious treatment of gonorrhoea results in at least 95% of infections being cured. Accordingly, as spectinomycin is not available on the German market, only the third generation cephalosporins cefixime and ceftriaxone are regarded as valuable drugs

  10. Smoking restrictions and hospitalization for acute coronary events in Germany (United States)

    Sargent, James D.; Demidenko, Eugene; Malenka, David J.; Li, Zhongze; Gohlke, Helmut


    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

  11. The DFG Viewer for Interoperability in Germany

    Directory of Open Access Journals (Sweden)

    Ralf Goebel


    Full Text Available This article deals with the DFG Viewer for Interoperability, a free and open source web-based viewer for digitised books, and assesses its relevance for interoperability in Germany. First the specific situation in Germany is described, including the important role of the Deutsche Forschungsgemeinschaft (German Research Foundation. The article then moves on to the overall concept of the viewer and its technical background. It introduces the data formats and standards used, it briefly illustrates how the viewer works and includes a few examples.

  12. Full case study report: EVG Landwege - Germany


    Muenchhausen, Susanne


    The producer-consumer-cooperative EVG Landwege e.G. (EVG: Erzeuger-Verbraucher-Gemeinschaft) is located in the city of Lübeck. It has five organic retail outlets in the south-east of the Federal State of Schleswig-Holstein, the northern Federal State of Germany. The Hanseatic City of Lübeck is the second-largest city in Schleswig-Holstein and one of the major ports of Germany. Situated on the river Trave, it was the "capital" of the Hanseatic League (‘Queen of the Hanse’) for several centurie...

  13. 40 Years MAGLEV Vehicles in Germany


    Meisinger, Reinhold; Guangwei, Shu


    On May 6th 1971 the worldwide first MAGLEV vehicle was presented by Messerschmitt-Bölkow-Blohm (MBB) in Ottobrunn near Munich, Germany. Till the year 2000 different test and application MAGLEV vehicles followed, but no commercial use in Germany. Since December 31st 2002 the Shang-hai MAGLEV Transportation System is successfully in operation, as the worldwide first and only one commercial used MAGLEV line. The paper in honour of Prof. Dr.-Ing. Eveline Gottzein for her 80th birthday contains in...

  14. Epilithic Lichen-Atmospheric Deposition Monitors of Trace Elements and Organohalogens? (United States)

    Matschullat, Jörg; Scharnweber, Tim; Garbe-Schönberg, Dieter; Walther, Annette; Wirth, Volkmar


    Epilithic lichen (Xanthoria elegans in Canada, Lecanora muralis in Germany) were gathered from 17 locations in Ontario, Canada (from Lake Ontario to James Bay) and 43 locations in Germany (from the Alps to the North Sea and from the Baltic Sea to the Erzgebirge). Sample aliquots were digested in nitric acid and trace elements were analyzed by inductively coupled plasma-mass spectrom-etry techniques. The organohalogens were determined as absorbable organic halogens (AOXs) by coulometry. Concentration ranges from Germany for trace element samples and AOXs were determined. The lichen showed high spatial resolution in their element enrichment patterns. This allowed for differentiation between natural and anthropogenic dominance in ambient air concentrations. This biomonitoring method has proven to be very sensitive, fast, and reliable. No clear relationship could be found between trace element and AOX concentrations. The AOX values may reflect individual metabolic rates of the fungal partner in lichen symbionts.

  15. Towards a national ecosystem assessment in Germany

    DEFF Research Database (Denmark)

    Albert, Christian; Neßhöver, Carsten; Schröter, Matthias


    We present options for a National Ecosystem Assessment in Germany (NEA-DE) that could inform decision-makers on the state and trends of ecosystems and ecosystem services. Characterizing a NEA-DE, we argue that its cross-sectoral, integrative approach would have the advantages of increased...

  16. Growing Up in Germany: A National Report. (United States)

    Krappmann, Lothar


    Summarizes a Federal Ministry of Youth report on the conditions under which children grow up in Germany. Notes manifold problems that children face under today's living conditions. Presents recommendations and suggestions for providing a network of measures, relationships, and institutions to support children's development and education in family,…

  17. Recollections of a jewish mathematician in Germany

    CERN Document Server


    Abraham A. Fraenkel was a world-renowned mathematician in pre–Second World War Germany, whose work on set theory was fundamental to the development of modern mathematics. A friend of Albert Einstein, he knew many of the era’s acclaimed mathematicians personally. He moved to Israel (then Palestine under the British Mandate) in the early 1930s. In his autobiography Fraenkel describes his early years growing up as an Orthodox Jew in Germany and his development as a mathematician at the beginning of the twentieth century. This memoir, originally written in German in the 1960s, has now been translated into English, with an additional chapter covering the period from 1933 until his death in 1965 written by the editor, Jiska Cohen-Mansfield. Fraenkel describes the world of mathematics in Germany in the first half of the twentieth century, its origins and development, the systems influencing it, and its demise. He also paints a unique picture of the complex struggles within the world of Orthodox Jewry in Germany....

  18. Germany and the Challenge of Mass Immigration

    Directory of Open Access Journals (Sweden)

    Zoltán Eperjesi


    Full Text Available This article gives an insight into the problematic origins of the term multiculturalism, a brief summary of integration of foreigners in Germany by presenting certain debates about incorporation, assimilation and dominant culture in order to ultimately see the critique of the model of multiculturalism.

  19. Germany restores funds to grant agencies

    CERN Multimedia

    Schiermeier, Q


    Edelgard Bulmahn, the research minister for Germany's coalition government is to make up a shortfall in the budgets of the Max Planck Society (MPS) and the Deutsche Forshungsgemeinschaft (DFG) and will add an extra five per cent to each in 1999.

  20. Policies in Dementia, comparing Germany and Denmark

    DEFF Research Database (Denmark)

    Bjerregaard, Lene Berit Skov


    In Short Germany as well as Denmark are focusing on the same issues regarding Dementia, as other European Countries are, too. The key issues in the national strategies are: timely diagnosis, self-determination for the person with dementia, unbroken “care chain”, better possibilities for the relief...

  1. Estimated burden of fungal infections in Germany. (United States)

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


    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 ( 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.

  2. Gifted Education and Talent Support in Germany (United States)

    Fischer, Christian; Müller, Kerstin


    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,…

  3. Successful overwintering of Aedes albopictus in Germany. (United States)

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


    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.

  4. Participation - Methods and application in Germany

    NARCIS (Netherlands)

    Verhagen, H.J.; Ahlhorn, F.


    The methods of participation used within coastal protection management projects in Germany are well established. The first part of this report summarizes the certain methods in a figure. The appendix comprises a list of certain projects. This report gives no detailed description and evaluation of

  5. Macroeconomic trends and reforms in Germany

    Directory of Open Access Journals (Sweden)

    Roberto Sabbatini


    Full Text Available This paper traces the main macroeconomic developments in the German economy from national unification. Its performance is compared with that of the rest of the euro area and its largest economies. The study documents as GermanyÕs modest growth in the later 1990s was due to the restrictive impact on domestic demand coming from the deep restructuring and modernization of the production system, followed by sweeping reforms after the turn of the century. Rapid productivity increases and prolonged wage moderation, especially in industry, fuelled a large and mounting current account surplus in Germany, that compares with the deficits registered in most European countries. The study retraces the recent debate on how to correct those imbalances, recalling the arguments for and against the thesis that the countries with a current payments surplus, above all Germany, must also play an active role in fostering the adjustment of the deficit countries. A possible synthesis is proposed, based on an analysis of the formation of national income and the use of resources according to the national accounts system. The implication is that Germany may contribute to the correction of imbalances within the euro area not so much by altering the wage formation mechanism as by creating incentives for domestic investment, hence fostering employment creation, in the service sectors that are currently lagging behind the extraordinary perfomance of a number of core activities in the industry.

  6. Germany forms alliance for terascale physics

    CERN Multimedia

    Feder, Toni


    "Germany's high-energy particle physicists have formed a network to increase their international visibility and competitiveness as their field gears up for the start next ear of the Large Hadron Collide (LHC) at CERN and, eventually, the International Linear Collider." (1 page)

  7. The regulation of asset valuation in Germany

    NARCIS (Netherlands)

    Detzen, D.; Hoffman, S.


    This article examines the regulatory history of asset valuation in Germany from the fifteenth century to the implementation of the European Economic Community's Fourth Directive in 1986. Aiming to explain regulatory changes by reference to preceding socio-economic and political developments, we find

  8. First Report of ‘Candidatus Liberibacter solanacearum’ Associated with Psyllid-Infested Carrots in Germany (United States)

    Carrot plants with symptoms resembling those associated with the bacterium “Candidatus Liberibacter solanacearum” were observed in commercial carrot fields in Lower Saxony, Germany in September 2014. The fields were infested with the carrot psyllid Trioza apicalis and the infection rate was about 50...

  9. Papers presented at EuroSun'96 Congress 1996 in Freiburg, Germany

    DEFF Research Database (Denmark)

    Furbo, Simon; Heller, Alfred; Shah, Louise Jivan


    A collection of presented papers at EuroSun'96 Congress in Freiburg, Germany. Four papers are presented orally, two by poster.Verbally presented papers* Furbo Simon and Shah Jivan Louise, OPTIMUM SOLAR COLLECTOR FLUID FLOW RATES.* Holck Ole, MODELLING OF MICROCLIMATE IN COLLECTORS.* Saxhof Bjarne...

  10. Pertussis outbreak in primary and secondary schools in Ludwigslust, Germany demonstrating the role of waning immunity. (United States)

    Sin, Muna Abu; Zenke, Rosemarie; Rönckendorf, Rita; Littmann, Martina; Jorgensen, Pernille; Hellenbrand, Wiebke


    A pertussis outbreak primarily affecting school-age children in Ludwigslust, Germany, was investigated in 2006 to estimate attack rates and relative risk of pertussis according to time since last vaccination, after a complete primary course. Results suggested waning immunity beginning approximately 5 years after the last dose of pertussis vaccination. Most cases could have been prevented by earlier booster vaccination.

  11. Immigration and structural change: Evidence from post-war Germany

    National Research Council Canada - National Science Library

    Braun, Sebastian; Kvasnicka, Michael


    ...? This paper analyzes the effect of one of the largest population movements in history, the influx of millions of German expellees to West Germany after World War II, on Germany's speed of transition...

  12. Football business models: Why did Germany win the World Cup?

    DEFF Research Database (Denmark)

    Cortsen, Kenneth


    This article looks into the managerial aspects related to why and how Germany won the 2014 FIFA World Cup.......This article looks into the managerial aspects related to why and how Germany won the 2014 FIFA World Cup....

  13. Football business models: Why did Germany win the World Cup?

    DEFF Research Database (Denmark)

    Cortsen, Kenneth


    This article looks into the managerial aspects related to why and how Germany won the 2014 FIFA World Cup.......This article looks into the managerial aspects related to why and how Germany won the 2014 FIFA World Cup....

  14. [In the East and the West, depopulation in Germany]. (United States)

    Chesnais, J


    The author compares demographic trends in East and West Germany. The relative success of East Germany in increasing fertility in recent years is noted. The effect of international migration on population trends is also considered.

  15. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark

    DEFF Research Database (Denmark)

    Schreiber Pedersen, Louise; Lose, Gunnar; Høybye, Mette Terp


    the prevalence of UI and associated risk factors in Germany and Denmark by using the same methodology, definition and population MATERIAL AND METHODS: Postal survey conducted in two regions Germany and Denmark, including 8000 women aged 18+ years. UI was defined as any complaint of involuntary loss of urine......INTRODUCTION: 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...

  16. Regional differences in prediction models of lung function in Germany

    Directory of Open Access Journals (Sweden)

    Schäper Christoph


    Full Text Available Abstract Background Little is known about the influencing potential of specific characteristics on lung function in different populations. The aim of this analysis was to determine whether lung function determinants differ between subpopulations within Germany and whether prediction equations developed for one subpopulation are also adequate for another subpopulation. Methods Within three studies (KORA C, SHIP-I, ECRHS-I in different areas of Germany 4059 adults performed lung function tests. The available data consisted of forced expiratory volume in one second, forced vital capacity and peak expiratory flow rate. For each study multivariate regression models were developed to predict lung function and Bland-Altman plots were established to evaluate the agreement between predicted and measured values. Results The final regression equations for FEV1 and FVC showed adjusted r-square values between 0.65 and 0.75, and for PEF they were between 0.46 and 0.61. In all studies gender, age, height and pack-years were significant determinants, each with a similar effect size. Regarding other predictors there were some, although not statistically significant, differences between the studies. Bland-Altman plots indicated that the regression models for each individual study adequately predict medium (i.e. normal but not extremely high or low lung function values in the whole study population. Conclusions Simple models with gender, age and height explain a substantial part of lung function variance whereas further determinants add less than 5% to the total explained r-squared, at least for FEV1 and FVC. Thus, for different adult subpopulations of Germany one simple model for each lung function measures is still sufficient.

  17. [Pharmacovigilance in Germany : It is about time]. (United States)

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


    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.

  18. Is Germany a model for managers? (United States)

    Wever, K S; Allen, C S


    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.

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


    ... (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 252.229-7002 - Customs exemptions (Germany). (United States)


    ... (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...

  1. 19 CFR 159.34 - Certified quarterly rate. (United States)


    ..., Denmark, Finland, France, Germany, Hong Kong, India, Iran, Ireland, Italy, Japan, Malaysia, Mexico... following cases: (1) Proclaimed rate. If a rate has been proclaimed by the Secretary of the Treasury under...

  2. Perinatal mortality in Bavaria, Germany, after the Chernobyl reactor accident

    Energy Technology Data Exchange (ETDEWEB)

    Grosche, B. [Institute for Radiation Hygiene, Federal Office for Radiation Protection, D-85762 Oberschleissheim (Germany); Irl, C. [Institute for Radiation Hygiene, Federal Office for Radiation Protection, D-85762 Oberschleissheim (Germany); Schoetzau, A. [Institute for Radiation Hygiene, Federal Office for Radiation Protection, D-85762 Oberschleissheim (Germany); Santen, E. van [Institute for Radiation Hygiene, Federal Office for Radiation Protection, D-85762 Oberschleissheim (Germany)


    As has been shown by the authors of a paper recently published in this journal, a deviation from a long-term trend in perinatal mortality within the former Federal Republic of Germany occurred in 1987, i.e. 1 year following the Chernobyl disaster. It is the aim of this study to make a comparison between the areas of the state Bavaria, Germany, with different fallout levels as well as between the observed and expected numbers of perinatal deaths relating to these areas. The expected numbers of perinatal deaths, defined as external standard, were derived from the remainder of the former FRG. Testing an a priori formulated hypothesis revealed no differences in the temporal development of perinatal mortality between the areas with different fallout levels and subsequent exposures. Including May 1986 into the analysis revealed a significant increase during the first 3 months after the accident, which is due to an excess in May alone. Since no elevated radiation risks for the last days in utero are known, the additional Chernobyl radiation exposure is not plausible as a causative agent. Further analyses on stillbirths showed an increase in Southern Bavaria during the first 2 years following the accident. Later on, the rates were comparable to the expected values again. (orig.). With 7 figs., 5 tabs.

  3. [Tobacco control politics in Germany. Evidence, success, and barriers]. (United States)

    Mons, U; Pötschke-Langer, M


    Structural measures of tobacco prevention are effective and cost-efficient measures to reduce tobacco consumption and the related health and economic consequences. However, Germany has been very reluctant in implementing tobacco control laws for several decades. Only recently has Germany increased its efforts in tobacco control, which has resulted in a decrease of tobacco consumption and in a decrease of smoking rates, especially in youths. This paper summarizes the evidence-based measures of tobacco prevention as well as the progress of recent German tobacco control policies. Finally, the barriers of further effective tobacco control policies are discussed and illustrated with examples. For decades, politics gave in to pressure and influence of lobbyists of the strong tobacco industry, which deceived the public and politics for their economic interests and in order to establish a high social acceptance of smoking. In addition, there is the phenomenon of "denialism", which means the convinced denial of scientific findings regarding smoking and smoking prevention in opponents of tobacco control, who are not directly affiliated with the tobacco industry.

  4. [Prerequisites, skills and productivity of young academic urologists in Germany]. (United States)

    Borgmann, H; Bründl, J; Huber, J; Ruf, C; Schagdarsurgengin, U; Wullich, B; Salem, J


    To safeguard scientific and clinical progress, German urology requires properly trained junior scientists. Before initiating or continuing actions aiming at quality improvement an analysis of the status quo is necessary. To assess the conditions to pursue research, research skills and research output of junior scientists in urology in Germany. A 16-item online questionnaire was sent to 95 junior scientists in urology within the research network GeSRU Academics. Primary outcomes were the conditions to pursue research in terms of research time, research skills and sources of learning and research output as measured by peer-reviewed publications. Subpopulations were compared with respect to the number of peer-reviewed publications. Out of 78 junior scientists (82% response rate) 45% pursued research exclusively in their leisure time. Self-assessment of research skills varied from good (systematic literature search) to sufficient (grant acquisition). The main source of learning for research skills was self-study, followed by mentor, own department, courses and networks. Of the junior scientists 81% had peer-reviewed publications (median 4). The groups of junior scientists who pursued research (partially) during working hours, who had good skills and whose research skills were supported by a mentor/network had significantly more peer-reviewed publications than their counterparts. Junior scientists in urology in Germany lack protected time to pursue research and have varying research skills, which are predominantly acquired by self-study and demonstrate their first research output as peer-reviewed publications.

  5. Technical and economical aspects of wind energy applications in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Durstewitz, M.; Hoppe-Kilpper, M.; Kleinkauf, W. [Inst. fuer Solare Energieversorgungstechnik e.V., Kassel (Germany)


    The use of renewable energy for the continuously growing global population is becoming increasingly important. These forms of energy not only broaden the urgently needed resource base, but are also free from emission of CO{sub 2}, SO{sub 2}, NO{sub x} etc. The Federal German Government early recognized this and has provided more than DEM 4000 million for this purpose since 1973. Together with Japan and the USA, Germany belongs to the three leading nations in the world in R and D on the application of renewable energy. It has by far the largest and most broadly based programme in Europe. The technical and economical progress of wind power is very promising in Germany. It has scale demonstration programme `250 MW Wind`. Since 1991 another important impetus has been the sources (wind power presently 0.1728 DEM/kWh). In 1994, the rated wind power capacity was doubled to 643 MW. Electricity production in 1994 was around 1000 million kWh or 0.2 % of total German electricity production. The often discussed goal of producing one or more per cent of the German electricity by wind power seems to be attainable on a medium time scale by modern medium scale wind turbines or even large scale turbines. This is based on the promise that various nontechnical barriers will be overcome. (author)

  6. Germany's socio-economic model and the Euro crisis

    Directory of Open Access Journals (Sweden)

    Michael Dauderstädt


    Full Text Available Germany's socio-economic model, the "social market economy", was established in West Germany after World War II and extended to the unified Germany in 1990. During a prolonged recession after the adoption of the Euro in 1998, major reforms (Agenda 2010 were introduced which many consider as the key of Germany's recent success. The reforms had mixed results: employment increased but has consisted to a large extent of precarious low-wage jobs. Growth depended on export surpluses based on an internal real devaluation (low unit labour costs which make Germany vulnerable to global recessions as in 2009. Overall inequality increased substantially.

  7. Prevention among immigrants: the example of Germany

    Directory of Open Access Journals (Sweden)

    Spallek Jacob


    Full Text Available Abstract Background A large and increasing part of the European population has a history of migration. Germany, for example, is home to about 15 million people with migrant background, which amounts to 19% of its population. Migrants may have differences in their lifestyle, health beliefs and risk factors compared to the autochthonous populations. Discussion As for example studies on children's participation in routine prevention activities have shown, these differences can have a relevant impact on the access of migrants to the health care system and are likely to lower their participation in prevention programs compared to the autochthonous population. To increase the uptake of prevention programs, barriers to access must be identified and approaches to reduce them must be developed. Summary Taking the example of Germany, a need exists for prevention programs that include (migrant sensitive and specifically address (migrant specific migrants. These should be of sufficient scale, evidence-based, sustainable and evaluated at regular intervals.

  8. [Mental disorders of immigrants in Germany]. (United States)

    Schouler-Ocak, Meryam; Aichberger, M C; Penka, S; Kluge, U; Heinz, A


    Currently the majority of data regarding indicators of psychiatric morbidity of migrant and minority groups in Germany is derived from studies on help-seeking behavior, mental health service use, or data from population studies, which were not specifically aimed at including migrants. Such data are only available for certain groups, for example, population-based studies on psychiatric disorders and suicidal behavior among Turkish migrants have been conducted, while, comprehensive data on the psychiatric morbidity among major migrant groups in Germany are still rather limited. Barriers to recruiting migrants for health studies, difficulties in assessing psychiatric morbidity in multi-cultural samples, observed as feasibility problems, are among the factors that interfere with population-based studies.

  9. Female Professors in Sweden and Germany


    Schenk, Anett


    The Research Training Network “Women in European Universities” focuses on career opportunities of women in higher education in seven European countries (Austria, France, Germany, Poland, Spain, Sweden and the United Kingdom). Within the frame of this network different aspects of career perspectives of women – and also men – are investigated. In a first working step a context analysis was conducted in order to give an understanding of the different systems of higher education, their changes an...

  10. Human biomonitoring pilot study DEMOCOPHES in Germany

    DEFF Research Database (Denmark)

    Schwedler, Gerda; Seiwert, Margarete; Fiddicke, Ulrike


    Human biomonitoring (HBM) is an effective tool to assess human exposure to environmental pollutants, but comparable HBM data in Europe are lacking. In order to expedite harmonization of HBM studies on a European scale, the twin projects COPHES (Consortium to Perform Human Biomonitoring on a Europ...... exposure over time. Therefore Germany will continue to cooperate on the harmonisation of European human biomonitoring to support the chemicals regulation with the best possible exposure data to protect Europe’s people against environmental health risks....

  11. Determinants of occupational pension provision in Germany


    Dummann, Kathrin


    Demographic change causes an undersupply of financial old age benefits within the statutory pay-as-you-go pension system in Germany. Therefore, the provision of occupational as well as private pensions has to be enhanced. However, there seems to be an undersupply of occupational pension provision particularly in small and medium sized enterprises (SMEs). Using survey data of the German Socio-Economic Panel (GSOEP) and the German SAVE survey, the present paper studies econometrically the deter...

  12. Mammography screening in Germany; Mammographiescreening in Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Diekmann, S.; Diekmann, F. [Charite - Universitaetsmedizin Berlin, Institut fuer Radiologie, Berlin (Germany)


    Available data suggest that early detection of breast cancer by mammography screening can reduce mortality by about 25%. Intensified monitoring of women with a family history of breast cancer and regular general screening have recently been introduced in Germany. The screening program is expected to be fully established by 2008. Following its successful introduction (participation rates between 65 and 80%), the German screening program will be conducted and evaluated in accordance with the European guidelines. At least in the screening trials that were conducted prior to the now established screening program the quality criteria were more than fulfilled (e.g. cancer detection rate in Bremen 8.7, Wiesbaden 9.4, Weser-Ems region 8.3/1000). Additional parameters that can be taken into account for quality assurance are the overdiagnosis bias, lead time bias, length bias and selection bias. Moreover, there are some factors that are specific to the German program compared with the breast cancer screening programs already established in other countries. One of these is the intensified screening program for high-risk women (ca. 5% of all carcinomas) and as a result fewer women with an increased genetic risk of breast cancer will be represented in the general screening program. The German screening program involves only a few university centers and hospital-based physicians, which may have adverse effects on research and development as well as mammography training in the future. Therefore, the screening program should also provide for the investigation of new techniques or emerging techniques (e.g. CAD systems in screening mammography) in the future. (orig.) [German] Screening mithilfe von Mammographie als Reihenuntersuchung kann nach der derzeitigen Datenlage die Brustkrebsmortalitaet um ca. 25% senken. In Deutschland wurden in den letzten Jahren eine intensivierte Frueherkennung bei familiaerer Brustkrebsbelastung sowie ein flaechendeckendes Screening eingefuehrt. Fuer

  13. Germany's expanding role in global health. (United States)

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


    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.

  14. Propagation characteristics of thunderstorms in southern Germany

    Energy Technology Data Exchange (ETDEWEB)

    Hagen, M.; Bartenschlager, B.; Finke, U.


    The propagation of thunderstorms in southern Germany was investigated. The thunderstorms were observed by a lightning position system during the summer months of the years 1992 to 1996. On average every second day thunderstorms were observed anywhere in southern Germany. In general thunderstorms approach from westerly and south-westerly directions. The average speed is 13 m/s. No significant relation between the occurrence of thunderstorms and the large scale synoptic pattern described by the Grosswetterlagen (large scale weather pattern) was found. Thunderstorms were observed during almost all Grosswetterlagen. The reduction to 8 weather pattern based on the low-level flow in southern Germany showed that thunderstorms are likely when the flow has westerly directions (43%) or easterly directions (20%). Three distinct groups of different lightning patterns could be identified; stationary, moving thunderstorms and thunderstorm lines. The convective available potential energy (CAPE) and the wind shear were retrieved from the radio soundings from Muenchen and Stuttgart. On average CAPE was 583 J/kg for stationary, 701 J/kg for moving thunderstorms, and 876 J/kg for thunderstorm lines. The average bulk Richardson numbers are 152, 80 and 52 for stationary, moving thunderstorms and thunderstorm lines, respectively. The steering level was found to be at about 3 and 6 km m.s.l. However, it should be noted, that in most cases the soundings do not completely describe the local environment of thunderstorms, since radio soundings are only available twice a day. (orig.)

  15. Deep Geothermal Energy Production in Germany

    Directory of Open Access Journals (Sweden)

    Thorsten Agemar


    Full Text Available Germany uses its low enthalpy hydrothermal resources predominantly for balneological applications, space and district heating, but also for power production. The German Federal government supports the development of geothermal energy in terms of project funding, market incentives and credit offers, as well as a feed-in tariff for geothermal electricity. Although new projects for district heating take on average six years, geothermal energy utilisation is growing rapidly, especially in southern Germany. From 2003 to 2013, the annual production of geothermal district heating stations increased from 60 GWh to 530 GWh. In the same time, the annual power production increased from 0 GWh to 36 GWh. Currently, almost 200 geothermal facilities are in operation or under construction in Germany. A feasibility study including detailed geological site assessment is still essential when planning a new geothermal facility. As part of this assessment, a lot of geological data, hydraulic data, and subsurface temperatures can be retrieved from the geothermal information system GeotIS, which can be accessed online [1].

  16. Gifted Education and Talent Support in Germany

    Directory of Open Access Journals (Sweden)

    Christian Fischer


    Full Text Available 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, enabling the exchange of information on giftedness and the cooperation of different institutions. Talented children are also provided with access to scholarships as well as to special academies and competitions on different topics. Furthermore, educators and researches involved in the promotion of giftedness can attend conferences as well as gaining qualifications as specialists in gifted education and talent support. In addition to these nationwide, extracurricular measures, the individual federal states offer various acceleration and enrichment activities for children with high abilities at school. Overall, this leads to a diverse system of gifted education and talent support in Germany. It does, however, mean that Germany lacks a common national strategy of gifted education and talent support due to the lack of networking of the individual federal states. By exchanging ideas and information on their applied concepts of ability promotion, the federal states could benefit from each other’s expertise and experiences. Further improvement could be achieved if concepts of gifted education and talent support were to become an integral part of various discussions, such as those on inclusive education or on the results of international comparative studies (e.g., PISA, PIRLS or TIMSS.

  17. Energy R and D in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Runci, PJ


    Germany's total national (i.e., combined public and private sector) funding for R&D stood at $42 billion in 1997. The private sector accounted for nearly 62% ($24 billion) of the total, while the public sector accounted for approximately 38%. Since the late 1970s, when the public and private sectors each funded roughly half of Germany's R&D, the private sector has steadily assumed a larger and larger role as the dominant supporter of R&D activity, while overall government funding has remained essentially flat for much of the past two decades. In addition to declining relative to private R&D expenditures, public R&D expenditures in Germany declined by 4% in real terms between 1991 and 1997, to approximately $15 billion. The reduction in R&D investments in the public sector can be attributed in large part to the financial challenges associated with German reunification and related shifts in social priorities including efforts to address high unemployment and to rebuild basic infrastructure in the eastern states. R&D expenditures have also declined as a percentage of the total public budget, from a peak of 3.4% in 1985 to 2.7% in 1996. Energy R&D has been the hardest hit of all major socioeconomic areas of R&D expenditure funded by the German government. Between 1981 and 1997, public energy R&D fell from approximately $1.6 billion to $400 million--a 75% real decline. The $850 million reduction in Germany's fission R&D budget (which constituted two-thirds of government R&D investment in 1985) explains some 90% of the funding decline. Negative public perceptions regarding the safety and environmental impacts of nuclear energy have reduced nuclear power's viability as a long-term energy option for Germany. Discussions of a complete nuclear phaseout are now under way. At the same time, the German government has slashed its investments in fossil energy R&D by more than 90%. While energy efficiency and renewable energy technologies have fared relatively well in comparison

  18. Dental healthcare reforms in Germany and Japan: A comparison of statutory health insurance policy

    Directory of Open Access Journals (Sweden)

    Mayumi Nomura


    Full Text Available This article aims to compare statutory health insurance policy during the dental healthcare reforms in Germany and Japan. Germany and Japan have categorized their statutory health insurance systems. People in both countries have been provided with a wide coverage of dental treatment and prosthetics. To compare the trends of the indicators of oral healthcare systems over time, it has been suggested that the strategic allocation of dental expenditure is more important than the amount of expense. German dental healthcare policy has shifted under political and socio-economic pressures towards a cost-effective model. In contrast, Japanese healthcare reforms have focused on keeping the basic statutory health insurance scheme, whereby individuals share more of the cost of statutory health insurance. As a result, Germany has succeeded in dramatically decreasing the prevalence of dental caries among children. On comparing the dental conditions of both countries, the rate of decline in replacement of missing teeth among adults and the elderly in Germany and Japan has been interpreted as indicating the price-conscious demands of prosthetics. The difference in the decline of DMFT in 12-year-olds in Germany and Japan could be described as being due to the dental health insurance policy being shifted from treatment-oriented to preventive-oriented in Germany. These findings suggest that social health insurance provides people with equal opportunity for dental services, and healthcare reforms have improved people's oral health. A mixed coverage of social health insurance coverage for dental care should be reconsidered in Japan.

  19. International convergence of capital market interest rates.

    NARCIS (Netherlands)

    Fase, M.M.G.; Vlaar, P.J.G.


    This article investigates the extent of capital market interest rate convergence among six EU countries on the one hand, and a group of four countries with floating exchange rates - US, Germany, Japan and Switzerland - on the other. We conclude that interest rate changes within the EU have been and

  20. A representative study of hearing ability in North West Germany

    Directory of Open Access Journals (Sweden)

    I. Holube


    Full Text Available The estimated hearing ability of German citizens is based on a comprehensive study published by von Stackelberg in 1986. At that time, 26.8% of West-Germany citizens were rated as hearing impaired. Because of the analyzing procedure used, these data cannot be used for comparison purposes with more recent international studies carried out e.g. by Uimonen et al. (1999, Wilson et al. (1999, Quaranta et al. (1996, and Johansson and Arlinger (2003. Other German data are based on non-representative evaluations or on subjective assessments. Therefore, the Institute of Hearing Technology and Audiology started HÖRSTAT, a two-year research project designed to fill this gap.

  1. Fractal Fragmentation triggered by meteor impact: The Ries Crater (Germany) (United States)

    Paredes Marino, Joali; Perugini, Diego; Rossi, Stefano; Kueppers, Ulrich


    FRACTAL FRAGMENTATION TRIGGERED BY METEOR IMPACT: THE RIES CRATER (GERMANY) Joali Paredes (1), Stefano Rossi (1), Diego Perugini (1), Ulrich Kueppers (2) 1. Department of Physics and Geology, University of Perugia, Italy 2. Department of Earth and Environmental Sciences, University of Munich, Germany The Nördlinger Ries is a large circular depression in western Bavaria, Germany. The depression was caused by a meteor impact, which occurred about 14.3 million-14.5 million years ago. The original crater rim had an estimated diameter of 24 kilometers. Computer modeling of the impact event indicates that the impact or probably had diameters of about 1.5 kilometers and impacted the target area at an angle around 30 to 50 degrees from the surface in a west- southwest to east-northeast direction. The impact velocity is thought to have been about 20 km/s. The meteor impact generated extensive fragmentation of preexisting rocks. In addition, melting of these rocks also occurred. The impact melt was ejected at high speed provoking its extensive fragmentation. Quenched melt fragments are ubiquitous in the outcrops. Here we study melt fragment size distributions with the aim of understanding the style of melt fragmentation during ejection and to constrain the rheological properties of such melts. Digital images of suevite (i.e. the rock generated after deposition and diagenesis of ash and fragments produced by the meteor impact) were obtained using a high-resolution optical scanner. Successively, melt fragments were traced by image analysis and the images segmented in order to obtain binary images on which impact melt fragments are in black color, embedded on a white background. Hence, the size of fragments was determined by image analysis. Fractal fragmentation theory has been applied to fragment size distributions of melt fragments in the Ries crater. Results indicate that melt fragments follow fractal distributions indicating that fragmentation of melt generated by the

  2. Distribution of persistent organochlorine contaminants in infertile patients from Tanzania and Germany. (United States)

    Weiss, Jürgen M; Bauer, Otmar; Blüthgen, Albrecht; Ludwig, Annika K; Vollersen, Elke; Kaisi, Malise; Al-Hasani, Safaa; Diedrich, Klaus; Ludwig, Michael


    To test whether environmental pollutants could affect fertility in humans. 31 women and 16 men from Tanzania and 21 couples from Germany were included (n = 89). Pesticides and polychlorinated biphenyls were measured in serum, follicular fluid or seminal plasma by gaschromatography and related to sperm quality and pregnancy rates. Higher concentrations of DDT+DDE and dieldrin in Tanzania and higher concentrations of PCBs in Germany and in men were detected. All compounds showed higher concentrations in serum and lowest concentrations in seminal plasma. A lower pregnancy rate in German women with high serum concentrations of DDT+DDE was observed. The toxins had no impact on sperm quality. The distribution of toxins between agricultural and industrial countries is different. Seminal plasma seems to be inert against chemicals. In patients with high serum concentrations of DDT and DDE pregnancy rates were impaired.

  3. Granger Causality between Stock Market and Macroeconomic Indicators: Evidence from Germany

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    Tomáš Plíhal


    Full Text Available The aim of this paper is to investigate informational efficiency of the stock market in Germany. Granger causality between the stock market and the selected macroeconomic variables is investigated by bivariate analysis using Toda-Yamamoto (1995 approach. This study focuses on monthly data from January 1999 to September 2015, and the stock market is represented by blue chip stock market index DAX. Investigated macroeconomic indicators include industrial production, inflation, money supply, interest rate, trade balance and exchange rate. Stock market Granger-causes industrial production and interest rate, and is therefore leading indicator of these variables. Between money supply and stock prices is Granger causality in both directions. Other variables seem to be independent on development of the stock market. We do not find any violation of Efficient market hypothesis which indicates that the stock market in Germany is informational efficient.

  4. Spatial patterns of tuberculosis incidence in Cologne (Germany). (United States)

    Kistemann, Thomas; Munzinger, Annette; Dangendorf, Friederike


    In many European countries, the decline of tuberculosis notification rates levelled off in the mid 1980s. Germany has been facing only a very modest resurgence of tuberculosis (TB) in the early 1990s, but until now, the notification rate does not yet fulfil the WHO definition of a low incidence country. Mainly immigration from high incidence countries is held responsible for the delayed decline and temporary increase of TB. This paper seeks to investigate the inner-urban strength of association between tuberculosis and several potential risk factors in the city of Cologne using geographical and statistical methods within a small-area division based, GIS-supported ecological study, which never before has been conducted for a German city. Standardised annual TB incidence rates for 78 urban subdistricts between 1986 and 1997, disaggregated by age, have been analysed. Twelve independent variables representing contemporary ethnic and socioeconomic conditions are used to calculate Poisson regression models. For the entire population and for the post-war epidemic by reactivation, only marginally associated with contemporary living conditions, but contributing substantially to the current TB incidence level. This assumption is reinforced by further results of the statistical analysis (deviance of regression null models, testing for Normal distribution, time trends). It could be shown that in Cologne the HIV/AIDS epidemic is not significantly influencing the TB incidence rate of men aged 30-49 being the most AIDS-afflicted population subgroup.

  5. Medical report from the 2006 FIFA World Cup Germany (United States)

    Dvorak, Jiri; Junge, Astrid; Grimm, Katharina; Kirkendall, Donald


    Objective To continue the injury surveillance of FIFA‐sponsored football tournaments and report on other medical aspects of the 2006 FIFA World Cup. Design Prospective epidemiological injury surveillance and descriptive summary of additional medical aspects. Setting Major international football tournament. Participants National team players, doctors and referees at the 2006 FIFA World Cup Germany. Main outcome measures Injury type, location and rate. Results 145 injuries were reported for the 64 matches of the 2006 FIFA World Cup Germany—an overall injury rate of 68.7 per 1000 match hours (95% CI 57.5 to 79.9) or 2.3 injuries per match, in comparison with 2.7 injuries per match in the 2002 FIFA World Cup (p = NS). Physical examinations before participation uncovered no hidden cardiovascular problems. Once the tournament started, no referees were unable to complete their duties. There were no positive doping tests. Conclusions The injury rate for this World Cup was below that of 2002, but consistent with the overall injury rate per match since data collection began in 1998. There continues to be no evidence of systematic doping in international football. PMID:17510228

  6. Modeling nitrogen fluxes in Germany - where does the nitrogen go? (United States)

    Klement, Laura; Bach, Martin; Breuer, Lutz


    According to the latest inventory of the EU Water Framework Directive, 26.3% of German groundwater bodies are in a poor chemical state regarding nitrate. Additionally, the EU initiated infringement proceedings against Germany for not meeting the quality standards of the EU Nitrate Directive. Agriculture has been determined as the main source of nitrate pollution due to over-fertilization and regionally high density of livestock farming. The nitrogen balance surplus is commonly used as an indicator characterizing the potential of nitrate leaching into groundwater bodies and thus also serves as a foundation to introduce legislative restrictions or to monitor the success of mitigation measures. Currently, there is an ongoing discussion which measures are suitable for reducing the risk of nitrate leaching and also to what extent. However, there is still uncertainty about just how much the nitrogen surplus has to be reduced to meet the groundwater quality standards nationwide. Therefore, the aims of our study were firstly to determine the level of the nitrogen surplus that would be acceptable at the utmost and secondly whether the currently discussed target value of 30 kg N per hectare agricultural land for the soil surface nitrogen balance would be sufficient. The models MONERIS (Modeling Nutrient Emissions in River System) and MoRE (Modelling of Regionalized Emissions), the latter based on the first, are commonly used for estimating nitrogen loads into the river system in Germany at the mesoscale, as well as the effect of mitigation measures in the context of the EU directive 2008/105/EC (Environmental quality standards applicable to surface water). We used MoRE to calculate nitrate concentration for 2759 analytical units in Germany. Main factors are the surplus of the soil surface nitrogen balance, the percolation rate and an exponent representing the denitrification in the vadose zone. The modeled groundwater nitrate concentrations did not correspond to the regional

  7. The Twilight of the Public Intellectual: Germany

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    Alison M. Lewis


    Full Text Available This essay focuses on the questions of whether German unification resulted in a wholesale retreat of intellectuals from politics and engagement with social issues, as the rhetoric of failure would indicate, or whether the key debates of the period can be read instead as a sign that Germany is on the road to becoming a more 'normal' European nation. Before returning to these issuesat the end of this paper I first provide a broad historical and theoretical context for my discussion of the role of the concerned intellectual in Germany, before offering an overview of the respective functions of literary intellectuals in both German states in the post-war period. I then address a series of key debates and discussions in 1989 and the early nineteen-nineties that were responsible for changing the forms of engagement in intellectual debates in post-unification German society. I argue that the 1990s and early years of the new millennium hastened the disappearance of the writer as a universal intellectual and focused attention on the writer as an individualist and a professional. Today's youngest generation of writer in Germany is a specialist intellectual who intervenes in political and social matters from time to time but who is not expected to take a moral-ethical stance on most issues of national and international concern. S/he is one who frequently writes about personal subjects, but may also occasionally, as witnessed after September 11, turn his or her pen to topics of global concern as in terrorism and Islam. More often than not, however, writers now leave the work of commenting on political affairs to writers of the older guard and to other 'senior' specialist intellectuals.

  8. The Twilight of the Public Intellectual: Germany

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    Alison M. Lewis


    Full Text Available This essay focuses on the questions of whether German unification resulted in a wholesale retreat of intellectuals from politics and engagement with social issues, as the rhetoric of failure would indicate, or whether the key debates of the period can be read instead as a sign that Germany is on the road to becoming a more 'normal' European nation. Before returning to these issuesat the end of this paper I first provide a broad historical and theoretical context for my discussion of the role of the concerned intellectual in Germany, before offering an overview of the respective functions of literary intellectuals in both German states in the post-war period. I then address a series of key debates and discussions in 1989 and the early nineteen-nineties that were responsible for changing the forms of engagement in intellectual debates in post-unification German society. I argue that the 1990s and early years of the new millennium hastened the disappearance of the writer as a universal intellectual and focused attention on the writer as an individualist and a professional. Today's youngest generation of writer in Germany is a specialist intellectual who intervenes in political and social matters from time to time but who is not expected to take a moral-ethical stance on most issues of national and international concern. S/he is one who frequently writes about personal subjects, but may also occasionally, as witnessed after September 11, turn his or her pen to topics of global concern as in terrorism and Islam. More often than not, however, writers now leave the work of commenting on political affairs to writers of the older guard and to other 'senior' specialist intellectuals.

  9. Distance Education at Conventional Universities in Germany

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    Hans-Henning Kappel


    Full Text Available Germany’s educational system has undergone a series of transformations during the last 40 years. In recent years, marked increases in enrolment have occurred. In response, admission requirements have been relaxed and new universities have been established.Academic distance education in the former Federal Republic of Germany (West Germany was ushered in by the educational radio broadcasts around the end of the 1960s. Aside from the formation of the FernUniversität (Open University in West Germany in 1975, there were significant developments in distance education occurring at the major universities in the German Democratic Republic (East Germany. After German reunification in 1990, the new unitary state launched programs to advance the development of distance education programs at conventional universities.Germany’s campus-based universities (Präsenzuniversitäten created various entities, including central units and consortia of universities to design and market distance education programs. Hybridisation provides the necessary prerequisites for dual mode delivery, such as basic and continuing education programs, as well as for the combination of distance and campus-based education (Präsenzstudium. Hybridisation also has also opened the door for the creation of new programs.Following an initial phase in which distance education research is expected to centralize a trend towards decentralisation is likely to follow. The German Association for Distance Education (AG-F offers a viable research network in distance education. Two dual mode case studies are also be surveyed: The Master of Arts degree, offered by the University of Koblenz-Landau, with Library Science as the second major, and the University of Kaiserslautern, where basic education will continue to be captured within the domain of the Präsenzstudium or campus-based education.The area in which distance education is flourishing most is within the field of academic continuing

  10. Freshwater reservoir effect variability in Northern Germany

    DEFF Research Database (Denmark)

    Philippsen, B.; Heinemeier, J.


    The freshwater reservoir effect is a potential problem when radiocarbon dating fish bones, shells, human bones, or food crusts on pottery from sites near rivers or lakes. The reservoir age in hardwater rivers can be up to several thousand years and may be highly variable. Accurate 14C dating of f...... that can also be expected for the past. This knowledge will be applied to the dating of food crusts on pottery from the Mesolithic sites Kayhude at the Alster River and Schlamersdorf at the Trave River, both in Schleswig-Holstein, northern Germany....

  11. Economic Factors of Development of Tourism in Germany

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    Nina K. Zhigalina


    Full Text Available Germany has a negative balance for tourism. The article deals with attempts for creating the Germany’s positive image for tourists. Germans themselves travel a lot domestically, and for the first time since 2011 Germany has enjoyed a positive balance in tourism industry – tourists spent 20,4 bl. Euros inside against 15,5 bl. Euros spent outside of the country. According to YUNVTO Germany entered the list of top 10 tourist destinations.

  12. The regional myocardial infarction registry of Saxony-Anhalt (RHESA) in Germany - rational and study protocol. (United States)

    Bohley, Stefanie; Trocchi, Pietro; Robra, Bernt-Peter; Mau, Wilfried; Stang, Andreas


    In 2012 the age-standardized acute myocardial infarction (AMI) mortality rate was in the federal state Saxony-Anhalt 67 deaths per 100.000 whereas in Germany the AMI-rate was 47 deaths per 100.000. The rate in Saxony-Anhalt was therefore 43 % above the national average. Many factors may explain this above-average AMI mortality rate: First, the prevalence of cardiovascular risk factors (e.g. arterial hypertension, diabetes mellitus, smoking) in Saxony-Anhalt is the highest among all the Federal States of Germany. Second, structural health care for patients with AMI is potentially deficient (e.g. insufficient number of percutaneous coronary intervention-centers or deficits in the pre-hospital logistics of care). Third, the pre- and in-hospital process quality of health care for patients with AMI is possibly insufficient (e.g. time to reperfusion therapy). In July 2013 we established the regional myocardial infarction registry of Saxony-Anhalt (Regionales Herzinfarktregister in Sachsen-Anhalt, RHESA). RHESA is a population-based registry in the eastern part of Germany. Aims of RHESA are to calculate the AMI morbidity and mortality rates. Furthermore we study the factors that may potentially influence these rates in Saxony-Anhalt. RHESA is a population-based registry of patients with fatal or non-fatal AMI that was established in July 2013. The registry population comprises inhabitants aged 25 years or more of the city of Halle (Saale) (n = 179.000) and inhabitants of the rural district Altmark (n = 165.000) in the federal state Saxony-Anhalt, Germany. The main objectives of RHESA are to provide detailed estimates of the burden of AMI in Saxony-Anhalt which is the federal state with the highest AMI mortality rate in Germany and to investigate factors that influence morbidity and mortality rates due to AMI. Data collected in RHESA enable us to assess different levels of quality of health care of patients with AMI (structural, process and outcome). RHESA

  13. Reversing course: Germany`s response to the challenge of transboundary air pollution

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    Sprinz, D.F.; Wahl, A.


    Perhaps like no other country, Germany has radically changed its policies towards regulating air pollution in the European context. Acting originally as a dragger in the 1970s to regulate transboundary air pollutants due to pessimism about the relationship between causes and effects, Germany responded very decisively to its own damage assessment in the early 1980s. In particular the adverse effects to forests (`Waldsterben` or forest decline) led to the formulation of strict air pollution regulations in the domestic context, efforts to spread the regulatory system within the European Union, and activities within the United Nations Economic Commission for Europe to foster stronger, continent-wide emission reductions. Using three conceptual models (rational actor, domestic politics, and social learning), we show that Germany deviated strongly from the ideal policy cycle consisting of (i) domestic policy formulation, (ii) international negotiations, as well as (iii) implementation and compliance with the provisions of international environmental agreements. Both national policy-making as well as partial implementation have been well on the way towards compliance even before Germany entered international negotiations on substantive protocols. Therefore, one may conclude from this country study that push countries may use the results of their national policy processes to influence the policy of other countries. (orig.)

  14. Terminal Decline in Well-Being Differs between Residents in East Germany and West Germany (United States)

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


    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…

  15. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. (United States)

    Schreiber Pedersen, Louise; Lose, Gunnar; Høybye, Mette Terp; Elsner, Susanne; Waldmann, Annika; Rudnicki, Martin


    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 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 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.

  16. The effectiveness of a population-based skin cancer screening program: evidence from Germany. (United States)

    Kaiser, Micha; Schiller, Jörg; Schreckenberger, Christopher


    In this paper, we analyze how a nationwide population-based skin cancer screening program (SCS) implemented in Germany in 2008 has impacted the number of hospital discharges following malignant skin neoplasm diagnosis and the malignant melanoma mortality rate per 100,000 inhabitants. Our panel data, drawn from the Eurostat database, cover subregions in 22 European countries, measured at the lowest nomenclature of territorial units for statistics (NUTS) level for 2000-2013. Applying fixed effects methods, we find a significantly positive and robust effect of the German SCS on the number of patients diagnosed with malignant skin neoplasm. However, the program does not significantly influence the melanoma mortality rate. This finding conflicts with the decreased melanoma mortality rate found for the pilot SCS program in northern Germany. Our results indicate that Germany's nationwide SCS program is effective in terms of a higher diagnosis rate for malignant skin neoplasms and thus may contribute to an improvement in the early detection of skin cancer.

  17. Mental health of returnees: refugees in Germany prior to their state-sponsored repatriation

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    Elbert Thomas


    Full Text Available Abstract Background Many refugees live for years in exile. The combination of stress in the host country, together with long-term effects resulting from traumatic stress usually experienced in the home country may affect mental health. Little is known, to what extent these and other factors promote or stall the willingness to return to the country of origin. Here, we investigate, as an example, refugees who will return to their country of origin after having lived in exile in Germany for some 11 years. Objective What is the mental health status of returnees before the actual return who have been living in exile for an extended period? We also asked, what are the current living conditions in Germany and what are the motives for and reasons against a voluntary return to the country of origin? Methods Forty-seven participants of programs for assisted voluntarreturn were interviewed about their present living situation, their view regarding their home country and voluntary return. These findings were compared to a group of 53 refugees who had decided to remain in Germany (stayers. Participants were recruited by means of advertisements posted in refugee centres, language schools, at doctors' offices and in organisations involved in the management of voluntary return in Germany. The prevalence of psychiatric disorders among respondents was tested using the structured interview M.I.N.I. The Posttraumatic Stress Diagnostic Scale (PDS was used to assess PTSD in more detail and EUROHIS was applied to measure the subjective quality of life of participants. Results We found a prevalence rate of 44% psychiatric disorders in the group of returnees and a rate of 78% in the group of stayers. We also recorded substantial correlations between the living situation in Germany, disposition to return and mental health. In almost two thirds of the participants the decision to return was not voluntary but strongly influenced by immigration authorities. The most

  18. [Multi-family group therapy in Germany]. (United States)

    Born, Anja


    Multi-family therapy, common group therapy with several families per one index patient, has been gaining popularity recently. This has occasioned an exploratory study of the status of implementation and common factors in all multi-family therapy programs in Germany. In a survey conducted across Germany, all providers of multi-family therapy interventions were requested to give a detailed description of their intervention. Quantitative data were analyzed with descriptive statistics, and verbal data were summarized categorically with qualitative content analysis. Of the 25 intervention programs examined 21 are directed at emotionally disturbed children and young people and their families; mainly with disturbances in social behavior. Over 4,000 families per year are treated in multi-family therapy, and five programs were systematically evaluated. MFT is characterized by systematically oriented group therapy methods. Those surveyed traced the effect of this form of intervention back to activating problems in the group, activating resources, changing perspective, learning models, experiencing self-efficacy, and the therapeutic relationship. Systematic studies of multi-family therapy in evaluations and in random controlled study designs are recommended.

  19. Imported and indigenous BSE cases in Germany. (United States)

    Buschmann, Anne; Conraths, Franz J; Selhorst, Thomas; Schultz, Julia; Kramer, Matthias; Groschup, Martin H


    Bovine spongiform encephalopathy (BSE) is a transmissible fatal neurodegenerative disease in cattle with an average incubation time of five years. The first BSE case in an indigenous cow was detected in Germany in November 2000. This was almost eight years after the huge BSE epidemic in the United Kingdom had peaked, and several years after many EU member states had seen their first BSE case. In the 1990s, BSE had been diagnosed in six imported animals in Germany. However, after the implementation of an active surveillance programme using BSE rapid testing systems, 399 indigenous German BSE cases have been found up to the end of July 2006. The birth cohorts of 1995-1997 contribute to the vast majority of the first 250 German cases that were diagnosed between 2000 and 2003. However, the most recent German BSE cases belong primarily to the birth cohorts 1998-2000 which is indicative of a recycling of BSE infectivity at that time. Moreover, there were two BSE cases in cattle born in spring 2001, i.e. after the meat and bone meal feed ban had come into effect on 2nd December 2000. In this article, we describe the dynamics of the German BSE epidemic and compare these data with those of other countries that observed larger numbers of cases.

  20. [Children-orientated tobacco advertising in Germany]. (United States)

    Pumpe, K


    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.

  1. Status of wind energy in Germany

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    Gerdes, G.; Molly, J.P.; Rehfeldt, K. [Deutsches Windenergie-Institut, Wilhelmshaven (Germany)


    By the end of 1995 in total 3655 wind turbines (WT`s) were installed in Germany with a total capacity of 1,136 MW. In the year 1995 alone the WT installations grew by 1,070 units with 505 MW. About 40% of the 1995 installations were sold to inland states of Germany with their lower wind speed potential. This fast development occurred in parallel to continuously reduced local state and federal subsidies. The further development is based mainly on the guaranteed reimbursement due to the Electricity Feed Law. But since some time the electricity utilities fight back on all legal and political levels to get cancelled the unloved Electricity Feed Law and since two years the building construction law with the foreseen privilege for WT`s is discussed without any result. All these difficulties affect investors and credit giving banks in such a negative way, that the further annual increase in wind power installation for 1996 could be 10 to 20% less than in 1995. Many of the new commercial Megawatt WT`s have pitch control and variable rotor speed which cause better electrical power quality and lower life time loads. From statistical evaluations on technical data of WT`s a good overview of the further development is derived. 8 refs., 10 figs.

  2. Vitamin status of elderly people in Germany. (United States)

    Volkert, D; Stehle, P


    In the last decade several attempts (Nationale Verzehrsstudie, NVS; Verbundstudie Ernährungserhebung und Risikofaktoren-Analytik, VERA: Bethanien-Ernährungsstudie, BEST) have been made to assess the nutritional status of the elderly in Germany. A careful evaluation of those data describing the vitamin status clearly indicate that healthy older people are not at higher risk for vitamin deficiency compared to younger adults. The results of the NVS showed that, except for folic acid, mean intake of all vitamins exceeded 80% of the current recommendations. Only 5% of blood vitamin concentrations analyzed in a subpopulation (VERA-Study) were founded to be below the physiological range. Only the incidence of low cobalamin values increased with age, presumably due to gastrointestinal problems (atrophic gastritis). In contrast, geriatric patients showed markedly lower vitamin blood concentrations compared to healthy subjects of the same age (BEST-Study). This might be explained by physical and mental deterioration, handicaps, chronic diseases and multiple chronic drug use. Underrepresentation of very old people, lack of reliable reference values for biomarkers and uncertainties in data collection may have contributed to misinterpretations. Representative studies are needed to objectively assess the nutritional status of the elderly population in Germany.

  3. [Hospital Costs of Ambulatory Care-Sensitive Conditions in Germany]. (United States)

    Fischbach, D


    Ambulatory care-sensitive conditions (ACSC) are defined as conditions that lead to a hospital admission of which the onset could have been prevented through a more easily accessible ambulatory sector or one that provides better quality care. They are used by health-care systems as a quality indicator for the ambulatory sector. The definition for ACSC varies internationally. Sets of conditions have been defined and evaluated already in various countries, e. g., USA, England, New Zealand and Canada, but not yet for Germany. Therefore this study aims to evaluate the hospital costs of ACSC in Germany using the National Health Service's set of ACSC. In order to calculate these costs a model has been set up for the time period between 2003 and 2010. It is based on G-DRG browsers issued by the German Institute for the Hospital Remuneration System as required by German law. Within these browsers all relevant DRG-ICD combinations have been extracted. The number of cases per combination was then multiplied by their corresponding cost weights and the average effective base rates. The results were then aggregated into their corresponding ICD groups and then into their respective conditions which lead to the costs per condition and the total costs. The total number of cases and total costs were then compared to another second source. These calculations resulted in 11.7 million cases, of which 10.7% were defined as ambulatory care-sensitive. Within the analysed time period the number of ambulatory care-sensitive cases increased by 6% in total and had a 0.9% CAGR. The corresponding costs amounted to a total of EUR 37.6B and to EUR 3.3B for ACSC. 60% of the costs were caused by three of the 19 ACSC. These results validate that it is worthwhile to further investigate this quality indicator for the ambulatory sector. © Georg Thieme Verlag KG Stuttgart · New York.

  4. Frequency and trends of hospital treated pesticide poisonings in Germany 2000?2014


    Moebus, Susanne; Boedeker, Wolfgang


    Objectives: To analyze the occurrence, trends, and patterns of hospital treated pesticide poisonings in Germany Methods: Data from the German diagnoses statistics of hospital discharges are analyzed for the years 2000-2014. ICD code specific numbers of cases as well as rates per one million and case-fatality ratios are calculated. The number of fatal pesticides poisonings is compared to the official German causes-of-death statistics.Results: During 2000 and 2014 overall 2,871 pesticides po...

  5. International Implementation of Best Practices for Mitigating Insider Threat: Analyses for India and Germany (United States)


    high rate of illiteracy in the rural areas and national and regional language barriers—may not be easily educated. (Only 62.8% of adults in India are...World Fact Book Europe: Germany (2013). [CIA 2013c] Central Intelligence...Agency. The World Fact Book : India (2013). [City Mayors Foundation 2012

  6. Lower Toarcian Posidonia Shale in Southern Germany (Schwaebische Alb). Organic facies, depositional environment, and maurity

    Energy Technology Data Exchange (ETDEWEB)

    Littke, R.; Rotzal, H.; Leythaeuser, D.; Baker, D.R. (Forschungszentrum Juelich GmbH (Germany). Inst. fuer Erdoel und Organische Geochemie)


    Four cores of Lower Toarcian Posidonia Shale from the Schwaebische Alb in Southern Germany were characterized by elemental analyses (C, S, C{sub org}), Rock-Eval pyrolysis, and incident light microsocpy. These results are compared to a single core of the same stratigraphic interval in Northern Germany. Data reveal the same principal organic facies evolution within the Posidonia Shale in three of the cores, but a different evolution within the core drilled at the nothern site from the Schwaebische Alb and in Northern Germany. Differences in the consistency of anaerobic bottom water are regarded as the primary control of organic facies and are presumed to be dependent on depth of water during deposition. Accumulation rates of bulk sediment and organic carbon were low, if Posidonia Shale sedimentation lasted 2.5 million years as suggested by biostratigrahic information. These low accumulation rates contradict the existence of high rates of primary productivity as a principal cause for black shale deposition. High bioproductivity can only be assumed, of the Posidonia Shale only represents a much smaller time interval; i.e. less than 0.5 million years. The maturity level of all profiles corresponds to the onset of petroleum formation. Small differences exist between the more mature northern and central sites and the southern sites in the Schwaebische Alb. (orig.).

  7. Molecular detection of Setaria tundra (Nematoda: Filarioidea and an unidentified filarial species in mosquitoes in Germany

    Directory of Open Access Journals (Sweden)

    Czajka Christina


    Full Text Available Abstract Background Knowledge of the potential vector role of Culicidae mosquitoes in Germany is very scanty, and until recently it was generally assumed that they are not involved in the transmission of anthroponotic or zoonotic pathogens in this country. However, anticipated changes in the course of global warming and globalization may alter their status. Methods We conducted a molecular mass screening of mosquitoes for filarial parasites using mitochondrial 12S rRNA-based real-time PCR. Results No parasites causing disease in humans such as Dirofilaria spp. were detected in about 83,000 mosquitoes tested, which had been collected in 2009 and 2010 in 16 locations throughout Germany. However, minimum infection rates of up to 24 per 1000 mosquitoes were revealed, which could be attributed to mosquito infection with Setaria tundra and a yet unidentified second parasite. Setaria tundra was found to be widespread in southern Germany in various mosquito species, except Culex spp. In contrast, the unidentified filarial species was exclusively found in Culex spp. in northern Baden-Württemberg, and is likely to be a bird parasite. Conclusions Although dirofilariasis appears to be emerging and spreading in Europe, the absence of Dirofilaria spp. or other zoonotic filariae in our sample allows the conclusion that the risk of autochthonous infection in Germany is still very low. Potential vectors of S. tundra in Germany are Ochlerotatus sticticus, Oc. cantans, Aedes vexans and Anopheles claviger. Technically, the synergism between entomologists, virologists and parasitologists, combined with state-of-the-art methods allows a very efficient near-real-time monitoring of a wide spectrum of both human and veterinary pathogens, including new distribution records of parasite species and the incrimination of their potential vectors.

  8. Concerted actions for an interoperable health telematics platform in Germany. (United States)

    Sembritzki, Jürgen


    In Germany many commitments have been made to build a telematics infrastructure. The Centre for Telematics in Healthcare first published the concept for such a platform in 2001. This concept is introduced amongst others and information is given about the actions and initiatives of the last two years in Germany.

  9. An Active Old Age--Senior Citizens in Germany. (United States)

    Metzler, Birgit


    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…

  10. Educational Systems and Rising Inequality: Eastern Germany after Unification (United States)

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


    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…

  11. Higher education system in modern Germany: social-philosophical analysis


    Olga Nezhyva


    In this article the author investigates higher education system in modern Germany and shows major factors which had weighty value with assistance to development of democratic education and ways of its perfection. The author analyzes features of modern higher education in Germany and explains solving problems of higher education system in Ukraine.

  12. Germany's Emerging Multiethnic Society: Old Problems and New. (United States)

    Gedmin, Jeffrey


    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)

  13. Racialised Norms in Apprenticeship Systems in England and Germany (United States)

    Chadderton, Charlotte; Wischmann, Anke


    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…

  14. The Changing Family in the Federal Republic of Germany. (United States)

    Hohn, Charlotte; Luscher, Kurt


    Discusses recent developments in the family in West Germany. Examines family demographics; provides an overview of the main institutional forces, laws, and family policy; and refers to the organizational aspects of demography. Describes trend in Germany of shrinking household size and increasing share of one-person households. Describes statistics…

  15. Participation - Methods and Application in Germany : An overview

    NARCIS (Netherlands)

    Verhagen, H.J.; Ahlhorn, F.


    This report gives a short overview about the experiences of participation in coastal protection projects in Germany. The report gives no detailed description and evaluation of participation methods. In Germany, there exists a minor experience with participation in coastal protection projects. Much

  16. Bullying Involvement of Korean Children in Germany and in Korea (United States)

    Bae, Hwa-ok


    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…

  17. National Student Governance in Germany: The Case of fzs (United States)

    Jungblut, Jens; Weber, Regina


    This article analyzes the organizational development of freier zusammenschluss von studentInnenschaften (fzs), the national union of students in Germany from its foundation until 2010. It situates it within the variety of student organizations acting on behalf of students within the multi-level system of higher education governance in Germany.…

  18. Lower Palaeolithic hunting spears from Germany

    Energy Technology Data Exchange (ETDEWEB)

    Thieme, H. [Niedersaechsisches Landesverwaltungsamt, Hannover (Germany). Inst. fuer Denkmalpflege


    Little is known about the organic component of Lower and Middle Palaeolithic technologies, particular with respect to wooden tools. Here the author describes some wooden throwing spears about 400,000 yearsold that were discovered in 1995 at the Pleistocene site in the brown coal mine complex at Schoningen, Germany. They are thought to be the oldest complete hunting weapons so far discovered to have been used by humans. Found in association with stone tools and the butchered remains of more than ten houses, the spears strongly suggest that systematic hunting, involving foresight, planning and the use of appropriate technology, was part of the behavioural repertoire of pre-modern hominids. The use of sophisticated spears as early as the Middle Pleistocene may mean that many current theories on early human behavior and culture must be revised. 22 refs., 5 figs., 1 tabs.

  19. Food-related life style in Germany

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Brunsø, Karen; Bisp, Søren


    life values. We call them the uninvolved, the careless, the conservative, the rational and the adventurous food consumers. The segments have only little relation to demographic variables. 3. The uninvolved food consumers stand for 21% of the population. These consumers are quite uninterested in most...... and spontaneity: They plan ver little, and are often tempted by new products - as long as they don't require a greater effort or new cooking skills. 5. The conservative food consumers stand for 18% of the population. Food is an important part of these consumers' lives. Food and food products create stability......Executive summary 1. This report is about an investigation of food-related lifestyle in Germany, based on a representative sample of 1000 households. 2. The German consumers are described by five segments, which differ in how and to which extent they use food and cooking to attain their central...

  20. Organisation of scientific research in Germany

    Directory of Open Access Journals (Sweden)

    Berezhnaya Galina


    Full Text Available This article considers the structure of research system in Germany. It describes the federal and state levels of research management. The Federal Ministry of Education and Research (BMBF bears primary responsibility for science and technology policy at the federal level. At the state level, this responsible is shared by the Ministry of Education and Science and the Ministry of Economy. The author emphasizes the role of the National Academy of Sciences “Leopoldina”, whose principal objective is to provide advisory services to German policymakers and present German science at the international level. Special attention is paid to the wide spectrum of German research agents: public and private research organizations, higher education institutions, R&D departments of industrial companies. The article stresses the research potential of universities that receive funding under the Excellence Initiative and describes the contribution of production in research and development activities, focusing on the top ten German companies in terms of R&D expenditure.

  1. Irrigation of treated wastewater in Braunschweig, Germany

    DEFF Research Database (Denmark)

    Ternes, T.A.; Bonerz, M.; Herrmann, N.


    In this study the fate of pharmaceuticals and personal care products which are irrigated on arable land with treated municipal waste-water was investigated. In Braunschweig, Germany, wastewater has been irrigated continuously for more than 45 years. In the winter time only the effluent...... of the sewage treatment plant (STP) of Braunschweig is used for irrigation, while during summer digested sludge is mixed with the effluent. In the present case study six wells and four lysimeters located in one of the irrigated agricultural fields were monitored with regard to the occurrence of 52...... pharmaceuticals and two personal care products (PPCPs; e.g. betablockers, antibiotics, antiphlogistics, carbamazepine, musk fragrances, iodinated contrast media (ICM) and estrogens). No differences in PPCP pollution of the groundwater were found due to irrigation of STP effluents with and without addition...

  2. Persistent Educational Advantage Across Three Generations: Empirical Evidence for Germany

    Directory of Open Access Journals (Sweden)

    Andrea Ziefle


    Full Text Available This article uses survey data from the German Socio-Economic Panel (GSOEP to analyze the persistence of educational attainment across three generations in Germany. I obtain evidence of a robust effect of grandparents' education on respondents' own educational attainment in West Germany, net of parental class, education, occupational status, family income, parents' relationship history, and family size. I also test whether the grandparent effect results from resource compensation or cumulative advantage and find empirical support for both mechanisms. In comparison, the intergenerational association between grandparents' and respondents' education is considerably weaker in East Germany and is also mediated completely by parental education. There are hardly any gender differences in the role of grandparents for respondents’ educational attainment, except for the fact that resource compensation is found to be exclusively relevant for women’s attainment in both West Germany and in East Germany after German reunification and the associated transition to an open educational system.

  3. Germany at CERN, from 13 to 15 November 2001

    CERN Multimedia

    Maximilien Brice


    Photo 01: Mr Maximilian Metzger, BMBF, during the inauguration of the eighth industrial exhibition Germany at CERN. Photo 02: Dr Karl-Heinz Kissler, Head of the SPL division, Mrs Bettina Schoneseiffen, German Delegate to the Finance Committe, H. E. Mr Walter Lewalter, Ambassador, Permanent representative of Germany to the United Nations Office in Geneva during the inauguration of the eighth industrial exhibition Germany at CERN. Photo 04: Mr Maximilian Metzger, BMBF; Mrs Bettina Schoneseiffen, German Delegate to the Finance Committee; Dr Karl-Heinz Kissler, Head of the SPL division, H. E. Mr Walter Lewalter, Ambassador, Permanent representative of Germany to the United Nations Office in Geneva (background); Dr Horst Wenninger, CERN and Dr Hans F. Hoffmann, Director of Technology Transfer and Scientific Computing, visiting the eighth industrial exhibition Germany at CERN.

  4. Frequency of tetrazepam prescription: estimates for Germany. (United States)

    Kuepper-Nybelen, Jutta; Thuermann, Petra; Schubert, Ingrid


    Authorisation was suspended on 1 August 2013 for tetrazepam-containing medicines. The aim of the study was to assess relevance and pattern of tetrazepam use by estimating the prevalence of prescribing and to analyse prescribing indications and duration. This information is needed to generate baseline data for further evaluation of prescribing muscle relaxants. Claims data analysis (Health Insurance Sample AOK Hesse/KV Hesse, 18.75% random sample of insurants from AOK Hesse, Germany). 267 787 insurants continuously insured or deceased in 2011. Prevalence estimates were standardised to the German population. To assess the quantity of prescribed tetrazepam, we applied defined daily dose (DDD) methodology with 125 mg of tetrazepam as 1 DDD. The prescribing indications were analysed with a matched case-control design. In 2011, 2.6% of the study population received at least one tetrazepam prescription (men, 2.1%; women, 3.0%). The mean prescribed dosage was 15 DDD and increased by age up to 43 DDD in women and 30 DDD in men ≥80 years. The most frequently documented diagnoses were low-back pain (21.3%) and cervicalgia (20.3%). It appeared that the greatest difference in prevalence between tetrazepam recipients and controls was for the diagnosis 'Other specified disorders of muscle' (ICD: M62.8). This diagnosis was five times more prevalent in tetrazepam recipients than in controls. Tetrazepam was the most widely prescribed muscle relaxant in Germany, hence physicians may seek an alternative after its market withdrawal. However, according to treatment guidelines, muscle relaxants play only a minor role and a multimodal approach should be preferred. Copyright © 2014 John Wiley & Sons, Ltd.

  5. Reflexions on Urban Gardening in Germany

    Directory of Open Access Journals (Sweden)

    Evelyn Gustedt


    Full Text Available This article reflects on traditional and contemporary gardening movements in Germany. The focus is on forms of gardening, that take place in spaces subject to land lease agreements and similar forms of tenancy or of illegal land take or squatting. The author examines various definitions taking into account the variety of practices, the development of urban gardening over time, and the respective backgrounds or values that users relate to such gardening activities. The examination of definitions led to the drawing up of a timeline of traditional and contemporary gardening movements in Germany and to the tentative approaching of this issue from a semantic perspective. The latter is due to the usage of many different terms mostly as yet undefined in a legal sense. Translation into English or, most likely, to any other language, further blurs the common understanding of the terms used. The author concludes with some considerations on these gardening movements in relation to urban sustainable developments. A presentation at the 5th Rencontres Internationals de Reims on Sustainability Studies, dedicated to Urban Agriculture – Fostering the Urban-Rural Continuum, which took place in October 2015 in Reims/France was the starting point of this article. The basis of this article is a literature review, nourished to a certain extent by observations randomly made over many years and complemented through talks with competent young colleagues. Special thanks go to Martin Sondermann, Leibniz University Hannover, who shared his research experience in various discussions with the author, as well as to Friederike Stelter, internship student at the author’s place of work, who gave highly appreciated support to the preparation of the presentation.

  6. [Child Soldiers as Refugees in Germany]. (United States)

    Zito, Dima


    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.

  7. Socioeconomic deprivation and cancer survival in Germany: an ecological analysis in 200 districts in Germany. (United States)

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


    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.

  8. Which characteristics of nursing home residents influence differences in malnutrition prevalence? An international comparison of The Netherlands, Germany and Austria. (United States)

    van Nie-Visser, Noémi C; Meijers, Judith; Schols, Jos; Lohrmann, Christa; Bartholomeyczik, Sabine; Spreeuwenberg, Marieke; Halfens, Ruud


    Prevalence rates of malnutrition vary considerably internationally, partly due to differences in measurement methodology and instruments. In the present study, the same measurement methodology and instruments were used in The Netherlands, Germany and Austria. The aim of the present study was to investigate whether resident characteristics influence possible differences in malnutrition prevalence between countries. The study followed a cross-sectional, multi-centre design that measured malnutrition in nursing home residents from The Netherlands, Germany and Austria. Resident data were gathered using a standardised questionnaire. Malnutrition was operationalised using BMI, unintentional weight loss and nutritional intake. Data were analysed using an association model. The prevalence rates of malnutrition in The Netherlands, Germany and Austria were 18·3, 20·1 and 22·5 %, respectively. The multivariate generalised estimating equation (GEE) logistic regression analysis showed that sex, age, care dependency, the mean number of diseases and some specific diseases were influencing factors for whether the resident was malnourished or not. The OR of malnutrition in the three countries declined after including the influencing factors resulting from the multivariate GEE analysis. The present study reveals that differences in the prevalence rates of malnutrition in nursing homes in The Netherlands, Germany and Austria are influenced by different resident characteristics. Since other country-related factors could also play an important role in influencing differences in the prevalence rates of malnutrition between the countries (structural and process factors of malnutrition care policy). We recommend the investigation of these factors in future studies.

  9. Learning to Be Precarious--The Transition of Young People from School into Precarious Work in Germany (United States)

    Eckelt, Marcus; Schmidt, Guido


    The integration of young adults into the labor market is a challenge for every society. Because Germany survived the current crisis quite well and youth unemployment rate is more or less stable, the German apprenticeship-system, Duale Ausbildung, became a kind of new role model in Europe. In this article Marcus Eckelt and Guido Schmidt analyze the…

  10. Ambrosia artemisiifolia (ragweed) in Germany - current presence, allergological relevance and containment procedures. (United States)

    Buters, Jeroen; Alberternst, Beate; Nawrath, Stefan; Wimmer, Maria; Traidl-Hoffmann, Claudia; Starfinger, Uwe; Behrendt, Heidrun; Schmidt-Weber, Carsten; Bergmann, Karl-Christian

    Ambrosia artemisiifolia (ragweed) is a neophyte in Europe and Germany, which originated from the United States of America. In the USA the rate of sensitization against ragweed equals that of grass pollen, and without containment the rate of allergic sensitizations against ragweed pollen will clearly increase. Currently, the most frequent sensitizations in Germany are against grass pollen, followed by sensitizations against house dust mite and birch pollen. Ragweed pollen evokes symptoms at about 10 pollen/m3, grass pollen at about 15 pollen/m3. These concentrations of ragweed pollen are only reached on limited occasions in Germany. Ragweed cross-reacts with mugwort (Artemisia vulgaris) and a correct diagnosis is only feasible with the ragweed specific allergen Amb a 1. Due to cross reactivity with mugwort, new sensitizations against ragweed pollen are not needed to evoke allergic symptoms. The neophyte encounters an already mugwort-sensitized population, extends the pollen season and may provoke new sensitizations. Ragweed sensitizations are characterized by an increased tendency to also affect the lower airways, which is less with mugwort sensitizations. Thus containment of ragweed is needed. Ragweed seeds are imported or spread by contaminated bird feed, the transport of ragweed contaminated soil (also in tyre treads) and agricultural products from infested areas. States bordering on ragweed positive areas, like Brandenburg and Bavaria, are especially at risk and invasion is already underway. Ragweed seeds survive up to 40 years in soil, and so extended timescales for eradication and observations are needed. Germany is, compared to other countries like France (Rhone-Valley), Italy (Po-Valley), Ukraine and Hungary, limited in respect to ragweed infestation. Conditions in Germany are therefore favourable for the containment of ragweed. Switzerland implemented legislation against birdseed contamination by ragweed early during the plants expansion, and obligatory

  11. [Integration and utilization of physiotherapy in hospice and palliative care : A survey on clinical practice in Germany]. (United States)

    Woitha, K; Schneider, N; Wünsch, A; Wiese, B; Fimm, S; Müller-Mundt, G


    Palliative care is an approach that improves the quality of life of patients with incurable and progressive illnesses; therefore, in these situations physiotherapy can play an important role. This study was carried out to examine the integration and utilization of physiotherapy in palliative and hospice care services in Germany. A cross-sectional survey including all palliative care units, specialized outpatient palliative care teams and hospices in Germany (n = 680) in 2013 was carried out. The response rate was 43.5 % (n = 296). Physiotherapy is predominantly applied in palliative care units (79 %) but rarely in hospices (38 %) and outpatient palliative care teams (30 %). A structured physiotherapeutic assessment is rarely carried out even on palliative care units (26 %). Positive effects of physiotherapy are especially described for symptoms, such as edema, pain, constipation and dyspnea. Despite its significant potential to relieve symptoms, physiotherapy is not systematically integrated into palliative care practice in Germany.

  12. Zero-emission power generation. Fuel cells are coming, but still facing obstacles in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Hickmann, Thorsten [Eisenhut GmbH und Co. KG, Osterode am Harz (Germany)


    For several years, low-emission energy systems have been asked for. It is all the more astonishing that an almost zero-emission method of power generation was invented more than 150 years ago but has not been successfully established yet. Fuel cells have been gaining ground since the new millennium, especially in Germany and Japan. Following the Japanese Government's decision to significantly reduce emission rates of the insular state, the economy has started to develop and refine fuel cell technology. Due to the planned nuclear phase-out, this new energy concept has started to come into focus in Germany as well. The new technology is designed for stationary and mobile applications alike and can hence provide power for domestic housing as well as for vehicles. There are, however, still supply chain deficiencies that impede a more widespread commercialisation. (orig.)

  13. [Changes in labor market participation of older employees in Germany: the perspective of labor market research]. (United States)

    Brussig, M


    For many years, Germany has been regarded in international comparisons as an example of a generous early retirement culture, resulting in a low labor market participation of older employees. Recently, however, employment rates of older employees have increased remarkably. Reasons are the demographic structure of older persons in Germany, a long-term trend of increasing female labor market participation, and reforms in labor-market policies and pension policies during the last 10 years. Despite an increasing labor market participation of older employees, traditional labor market risks for older persons partly remained, but some new risks evolved as well. Therefore, social differentiation among older employees increased.Although detailed macro descriptions exist, the causes of labor market developments cannot be fully understood with cross-sectional data alone. An important stimulus is to be expected from individual longitudinal data which reflect employment histories and labor market transitions such as employment exit and retirement.

  14. Incidence of sudden cardiac death in Germany: results from an emergency medical service registry in Lower Saxony. (United States)

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


    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.


    Directory of Open Access Journals (Sweden)

    Dobre Cornelia


    Full Text Available Overall progress recorded in contemporary society, has increased at the same time the aspirations and expectations of the population, marked by phenomena which are based on the financial policy of the Executive. Of course, for the legislature to know the financial activity carried out by the Executive Board, in each State was established a Supreme Audit Institution (SAI, whose independence is guaranteed by the Constitution, as it is in Germany, or by law, as is the case of the United Kingdom. The variety of powers of supreme audit, is the result of various economic areas, each demonstrations through specific activities and suitable approaches to organizational cultures, which gives them their distinct identities. The work is conducted under the public responsibility with an emphasis on developing and improving continuously audit methodologies to present best practices. The two supreme institutions operate according to an annual plan of action which includes financial audit or regularity and performance auditing actions, and additional Federal Court of Audit of Germany practice preventive control institutions contained in its area of activity. By tradition, the role of supreme consists of the evaluation as regards the legality and regularity of financial management and accounting, but since the 80's but it was noticeable trend internationally to audit performance or "value for money" (United Kingdom, since the latter refers to the essence of the problem and is the final attainment of the envisaged at the time of allocation of resources. The topic researched is distinguished by originality, marked being the fact that a area so important as that of external public audit is least known works, and I wish to point out the vacuum bibliographic Supreme Audit Institutions experience in the international arena and beyond. Research methodology consists in the evaluation of resources in the area, using foreign literature. For the study of the subject of

  16. Federal Republic of Germany: family planning, family policy and demographic policy. (United States)

    Zuhlke, W


    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.

  17. Environmental liability in Germany: a comparative study with Brazilian Law

    Directory of Open Access Journals (Sweden)

    Daniela Oliveira Gonçalves


    Full Text Available Seek compare the environmental liability institutes from Germany with those of Brazil, this study intends to conduct an analysis of civil liability for environmental damage in Germany. The concepts of liability and its species, subjective and objective initially are analyzed. Then the concept of civil liability for environmental damage under Brazilian law is analyzed, also discussing the concept of environmental damage. Finally it is carried out the assessment of some of the German Civil Code provisions as well as the Environmental Liability Act of Germany.

  18. Death Consciousness in Germany, China and Japan by Association Method


    Kamizono, Kohtaro


    Free association tests using the concept "death" were carried out at high schools and universities in 3 cultural areas. The results are: 1) Responses expressing feeling are less common in China. In the Asian cities feeling ‘fear’ ranks first among response words, as opposed to ‘sorrow’ in Germany. 2) Recalling words about ceremony is frequent in Germany, but not in Japan or China. 3) The cause of death, especially ‘suicide’, is frequent in Japan but less so in Germany. 4) Explanations about d...

  19. Cardiovascular effects of environmental noise: Research in Germany

    Directory of Open Access Journals (Sweden)

    Christian Maschke


    Full Text Available Research on systematic noise effects started in Germany back in the fifties with basic experimental studies on humans. As a result, noise was classified as a non-specific stressor, which could cause an ergotropic activation of the complete organism. In the light of this background research a hypothesis was proposed that long-term noise exposure could have an adverse effect on health. This hypothesis was further supported by animal studies. Since the sixties, the adverse effects of chronic road traffic noise exposure were further examined in humans with the help of epidemiological studies. More epidemiological aircraft noise studies followed in the 1970s and thereafter. The sample size was increased, relevant confounding factors were taken into account, and the exposure and health outcomes were investigated objectively and with higher quality measures. To date, more than 20 German epidemiological traffic noise studies have focused on noise-induced health effects, mainly on the cardiovascular system. In particular, the newer German noise studies demonstrate a clear association between residential exposure to traffic noise (particularly night noise and cardiovascular outcomes. Nevertheless, additional research is needed, particularly on vulnerable groups and multiple noise exposures. The epidemiological findings have still not been fully considered in German regulations, particularly for aircraft noise. The findings, however, were taken into account in national recommendations. The Federal Environment Agency recommends noise rating levels of 65 dB(A for the day and 55 dB(A for the night, as a short-term goal. In the medium term, noise rating levels of 60 / 50 (day, night should be reached and noise rating levels of 55 / 45 in the long run.


    NARCIS (Netherlands)


    In this paper, the small, but persistent interest rate differentials via-a-vis Germany which have existed in Austria, the Netherlands, and Belgium are analysed. These interest differentials may be thought of to consist of three parts: expected exchange rate movements within the band, expected

  1. Surface mining and land reclamation in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Nephew, E.A.


    Mining and land restoration methods as well as planning and regulatory procedures employed in West Germany to ameliorate environmental impacts from large-scale surface mining are described. The Rhineland coalfield in North Rhine Westphalia contains some 55 billion tons of brown-coal (or lignite), making the region one of Europe's most important energy centers. The lignite is extracted from huge, open-pit mines, resulting in large areas of disturbed land. The German reclamation approach is characterized by planning and carrying out the mining process as one continuum from early planning to final restoration of land and its succeeding use. Since the coalfield is located in a populated region with settlements dating back to Roman times, whole villages lying in the path of the mining operations sometimes have to be evacuated and relocated. Even before mining begins, detailed concepts must be worked out for the new landscape which will follow: the topography, the water drainage system, lakes and forests, and the intended land-use pattern are designed and specified in advance. Early, detailed planning makes it possible to coordinate mining and concurrent land reclamation activities. The comprehensive approach permits treating the overall problem as a whole rather than dealing with its separate aspects on a piecemeal basis.

  2. [Psychotherapeutic treatment of traumatized refugees in Germany]. (United States)

    Böttche, M; Stammel, N; Knaevelsrud, C


    Traumatic experiences resulting from war and violence can lead to a broad spectrum of psychological and somatic stress responses. The psychological strain of traumatized refugees is frequently aggravated by specific post-migration stressors. The current healthcare provision in Germany is characterized by many restrictions. The different residence permits are associated with a limited access to medical and psychotherapeutic services. In addition, there are several barriers limiting access of this group of patients to the healthcare system (e. g. low level of training of mental healthcare staff, language barriers and lack of financing for interpreters). Empirical studies have shown that traumatized refugees profit from existing trauma-focused and evidence-based interventions. Treatment is associated with particular challenges and issues (e. g. use of interpreters, migration and culture-specific as well as legal aspects). Specialized treatment centers for traumatized refugees use a multidisciplinary treatment approach, which includes psychotherapeutic, medical and social work interventions as well as assistance with the residential status and integration programs.

  3. [Treatment of traumatic brain injury in Germany]. (United States)

    Rickels, E; von Wild, K; Wenzlaff, P


    The relationship between severe, moderate and mild traumatic brain injury (TBI) as well as the course of treatment and quality management, were studied in a 1-year prospective study in regions of Hannover and Münster Germany. A total of 6,783 patients were documented at the initial examination (58.4% male, 28.1% children <16 years old) and 63.5% participated in the follow-up survey 1 year after the accident. Of these TBI patients 5,220 (73%) were admitted to hospital for clinical treatment but only 258 (<4%) received inpatient rehabilitation. The incidence of TBI was 332/100,000 inhabitants and according to the Glasgow Coma Scale (GCS) brain injury was mild in 90.9%, severe in 5.2% and moderate in 3.9%. The main cause of injury was a fall (52.5%) followed by a traffic accident (26.3%). In-hospital mortality was 1%. Only 56% of TBI patients were neurological examined and 63% were examined in hospital within the first hour after the accident. An immediate x-ray of the skull with a doubtful evidential value was made in 82%. Of the participants 35.9% were still receiving medical treatment 1 year after the accident although the majority only suffered mild TBI. An overabundance of severe socioeconomic consequences, e.g. loss of job, accommodation, family, were also found following only mild TBI.

  4. [Research funding for rare diseases in Germany]. (United States)

    Wissing, Frank; Bruckner-Tuderman, Leena


    There is high need for more research in the field of rare diseases. Not only must the causes and mechanisms of the numerous and often heterogeneous diseases be delineated, but criteria must also be defined for optimal stratification of patients for individualized therapies. In this context, research and innovative diagnostics are linked together more closely than in other fields of medicine. The early stages of disease-oriented research can be performed in individual institutions but, due to low numbers of patients, late translation and transfer into clinics requires multicentric and international collaboration. In Germany research on rare diseases takes place mostly in faculties of medicine at universities. Since the institutional financial support is very low, research grants have substantial significance. The German Research Foundation (DFG) and the Federal Ministry of Education and Research (BMBF) are the main grant agencies for national projects, but foundations and patient advocacy groups also finance research to a certain extent. The ERA-Net "E-Rare" and the programs of the EU target primarily international cross-border projects and patient trials. All of these programs need to be adapted more efficiently to the particular needs of rare disease research. For national and international research projects on rare diseases, sufficient funds are needed but also sustainable interdisciplinary platforms and centers must be established in order to share expert knowledge and to implement complex programs such as proof-of-concept studies in humans.

  5. Estimating the Number of Buildings in Germany (United States)

    Behnisch, M.; Ultsch, A.

    The debate on sustainable development has lead to the view of buildings as flows (mass, energy, money and information) or capitals. In this context buildings are considered as the largest physical, economical, social and cultural capital of a society. In Germany many institutions record different kind of data about buildings. Unfortunately there are just a few basic statistics about the amount of buildings. Collection of data is very complicated, often expensive and the handling of missing data is one of the biggest handicaps. With the exception of data about residential buildings and particularly monuments, it is an unsolved problem to determine the total number of buildings. Thus the main issue of this article is the description of an appropriate estimation procedure. This procedure relies on 12,430 communes and refers to data from the Cadaster of Real Estates and the Federal Office for Building and Regional Planning (BBR). The estimation is based on statistical data from well-known and easily accessible institutions. The number of buildings is estimated for communes with missing data. Using methods from the, so called, Urban Data Mining approach, unsuspected relationships are found in the urban data. These relationships are valuable for the estimation. The quality of the estimation is analyzed by training and test data sets. Information optimization leads to the conclusion that 20% of the communes hold 80% of all buildings. For an improvement of the estimation it is essential to refine the amount and quality of data in the larger communes.

  6. Continuous solar UV monitoring in Germany. (United States)

    Steinmetz, M


    Early in 1993, the Federal Office for Radiation Protection (BfS, Salzgitter) together with the Federal Environmental Office (UBA, Berlin) established an overall UV monitoring network for the continuous measurement of spectrally resolved UV radiation. Every 6 min the solar UV spectrum is measured by a Bentham DM 150 double monochromator system in a wavelength ranging from 290 to 450 nm. Every night, UV data are automatically transferred via modem to the reference station in Munich where they are quality controlled and then stored in a host computer. Human health assessment of the exposure is documented in 1/2 h MED (minimal erythemal dose) values. The selected sites of Zingst (1 m, 54 degrees N, Baltic Sea), Offenbach (110 m, 50 degrees N, Rhine rift valley), Schauinsland (1205 m, 48 degrees N, Black Forest) and Neuherberg (493 m, 48 degrees N, Munich) provide a good overview of the UV radiation situation in Germany and therefore an ideal supplement to more detailed biological effect research, especially of comparison measurements with biosensors under environmental conditions. Preliminary investigations have already been started.

  7. Mosquitoes (Diptera: Culicidae) of metropolitan Hamburg, Germany. (United States)

    Krüger, A; Börstler, J; Badusche, M; Lühken, R; Garms, R; Tannich, E


    In Europe, mosquito-related public health concerns are growing due to the increasing spread of invasive mosquito species and the recent emergence of mosquito-borne arboviruses. A vital backbone in the assessment of these issues is detailed knowledge of the mosquito fauna, i.e. regional mosquito inventories. It was therefore decided to intensify nationwide investigations on the occurrence and distribution of mosquitoes in Germany in order to update old records and to detect possible faunal changes. This paper is focussing on a densely populated metropolitan region, the federal state of Hamburg and its adjacent environs, taking two historical baseline inventories into consideration, spanning almost 100 years of mosquito research in Hamburg. In the period between 2010 and 2014, more than 10,000 juvenile, neonate and adult mosquito specimens were sampled and trapped at 105 sites in Hamburg and its environs, of which about 60% have been identified to species level, resulting in a total of 33 recorded species. Of these, Anopheles algeriensis, Culex modestus, Ochlerotatus caspius, Ochlerotatus nigrinus and Ochlerotatus sticticus are new to the area. The most common species in Hamburg are Culex pipiens/torrentium and Ochlerotatus annulipes/cantans. In contrast, two previously common species, Anopheles atroparvus and Ochlerotatus excrucians, were not detected. Despite substantial environmental changes due to reconstruction, urbanisation and renaturation in the Hamburg metropolitan region in recent decades, there has been remarkably little change within the mosquito fauna during the last century.

  8. Blood parasites in reptiles imported to Germany. (United States)

    Halla, Ursula; Ursula, Halla; Korbel, Rüdiger; Rüdiger, Korbel; Mutschmann, Frank; Frank, Mutschmann; Rinder, Monika; Monika, Rinder


    Though international trade is increasing, the significance of imported reptiles as carriers of pathogens with relevance to animal and human health is largely unknown. Reptiles imported to Germany were therefore investigated for blood parasites using light microscopy, and the detected parasites were morphologically characterized. Four hundred ten reptiles belonging to 17 species originating from 11 Asian, South American and African countries were included. Parasites were detected in 117 (29%) of individual reptiles and in 12 species. Haemococcidea (Haemogregarina, Hepatozoon, Schellackia) were found in 84% of snakes (Python regius, Corallus caninus), 20% of lizards (Acanthocercus atricollis, Agama agama, Kinyongia fischeri, Gekko gecko) and 50% of turtles (Pelusios castaneus). Infections with Hematozoea (Plasmodium, Sauroplasma) were detected in 14% of lizards (Acanthocercus atricollis, Agama agama, Agama mwanzae, K. fischeri, Furcifer pardalis, Xenagama batillifera, Acanthosaura capra, Physignathus cocincinus), while those with Kinetoplastea (Trypanosoma) were found in 9% of snakes (Python regius, Corallus caninus) and 25 % of lizards (K. fischeri, Acanthosaura capra, G. gecko). Nematoda including filarial larvae parasitized in 10% of lizards (Agama agama, Agama mwanzae, K. fischeri, Fu. pardalis, Physignathus cocincinus). Light microscopy mostly allowed diagnosis of the parasites' genus, while species identification was not possible because of limited morphological characteristics available for parasitic developmental stages. The investigation revealed a high percentage of imported reptiles being carriers of parasites while possible vectors and pathogenicity are largely unknown so far. The spreading of haemoparasites thus represents an incalculable risk for pet reptiles, native herpetofauna and even human beings.

  9. Food contamination by ochratoxin A in Germany. (United States)

    Frank, H K


    The results of studies reported in the literature on the occurrence of ochratoxin A in central Europe have been evaluated. Only data that were obtained from random samples were included, thus excluding those derived from samples suspected of being contaminated. Of 1100 samples of cereals (other than maize) and cereal products, 113 (10.3%) were contaminated with an average of 3.8 micrograms/kg. Of 325 samples of sausages containing porcine serum, 58 (17.8%) were contaminated, at an average of 0.15 micrograms/kg. The daily intake of ochratoxin A, calculated on the basis of information on consumption of such products, is 80 ng with cereals and 1.6 ng with sausages, corresponding to about 1 ng/kg body weight. People who consume maize products, corresponding to about 40 g maize per day, would take in a further 150 ng/day or 2 ng/kg body weight. These findings and the report that the biological half-life of ochratoxin A in Macaca mulatta is about 510 h, explain the fact that more than 50% of samples of human blood and serum tested contain ochratoxin A. As the levels of ochratoxin A in food are not subject to legal regulation in Germany, systematically collected data are not yet available.

  10. Images of America in unified Germany

    Directory of Open Access Journals (Sweden)

    S. Fröhlich


    Full Text Available The following article analyses American cultural influence on Germany - especially in the period after unification. “Wendeliteratur" as well as new cultural relations and institutions are emphasised. The role of the mass media, which have conveyed the image of the American way of life, American products and services to East German is also discussed. For a better understanding of these images the author takes a closer look at what “Americanisation" really means to European cultures. All too often cultural observers state that Europe has been exposed to a pernicious Americanism. Such attitudes, however, should caution us against a too negative image of America. Although German-American relations during the post-war period had their ups and downs, West Germans on the whole developed a positive image of America, internalising American cultural elements as part of their own identification. The East Germans, on the other hand, it will be argued, while developing an enthusiasm for America at the time of reunification, turned more and more to a very critical, rather cynical view of American culture, thus letting euphoria fade to a very rational image.

  11. Incidence of anogenital warts in Germany: a population-based cohort study

    Directory of Open Access Journals (Sweden)

    Mikolajczyk Rafael T


    Full Text Available Abstract Background Human papilloma virus (HPV types 6 and 11 account for 90 percent of anogenital warts (AGW. Assessment of a potential reduction of the incidence of AGW following introduction of HPV vaccines requires population-based incidence rates. The aim of this study was to estimate incidence rates of AGW in Germany, stratified by age, sex, and region. Additionally, the medical practitioner (gynaecologist, dermatologist, urologist etc. who made the initial diagnosis of AGW was assessed. Methods Retrospective cohort study in a population aged 10 to 79 years in a population-based healthcare insurance database. The database included more than 14 million insurance members from all over Germany during the years 2004-2006. A case of AGW was considered incident if a disease-free period of twelve months preceded the diagnosis. To assess regional variation, analyses were performed by federal state. Results The estimated incidence rate was 169.5/100,000 person-years for the German population aged 10 to 79 years. Most cases occurred in the 15 to 40 years age group. The incidence rate was higher and showed a peak at younger ages in females than in males. The highest incidence rates for both sexes were observed in the city-states Berlin, Hamburg and Bremen. In females, initial diagnosis of AGW was most frequently made by a gynaecologist (71.7%, whereas in males, AGW were most frequently diagnosed by a dermatologist (44.8% or urologist (25.1%. Conclusions Incidence of AGW in Germany is comparable with findings for other countries. As expected, most cases occurred in the younger age groups. The frequency of diagnoses of AGW differs between sexes and women and men receive treatment by doctors of different specialties.

  12. Thermoluminescence dating of a mikveh in Ichenhausen, Germany

    Energy Technology Data Exchange (ETDEWEB)

    Veronese, I. [Dipartimento di Fisica, Universita degli Studi di Milano, Via Celoria 16, I-20133 Milan (Italy); INFN, Sezione di Milano, Via Celoria 16, I-20133 Milan (Italy)], E-mail:; Goeksu, H.Y. [GSF, National Research Center for Environment and Health, Institute of Radiation Protection, Ingolstaedter Landstr. 1, D-85764 Neuherberg (Germany); Schwenk, P.; Herzig, F. [Bayerisches Landesamt fuer Denkmalpflege, Am Klosterberg 8, 86672 Thierhaupten (Germany)


    A vaulted basement found at the rabbi's residential house which was oriented according to the requirements of a mikveh has created a controversy in the architectural history of the Ichenhausen Synagogue (Germany). The rabbi's residential house is known to have been built in 1781 during the replacement of the old Synagogue that had existed since 1687. However, the architectural documents concerning the residential house did not contain any information about either the presence or the construction of the mikveh in the basement. Three bricks collected from the northern, eastern and southern walls of the vaulted basement of the rabbi's residence were dated using the thermoluminescence method to find out if the mikveh belongs to the old Synagogue or was built during the construction of the residence. The archaeological dose was assessed using multi-aliquot regenerative and additive dose techniques using quartz extracted from bricks. The age calculations were based on the assessment of annual dose rate in quartz by taking into account the possible variations of water content in bricks. The TL dates of the bricks were found to vary between 1797 {+-} 11 and 1772 {+-} 16 for dry and water saturated environments, respectively. The TL results ruled out the possibility that the walls of the mikveh belong to the former Synagogue.

  13. Smoking and Passive Smoke Exposure Among Adolescents in Germany. (United States)

    Kuntz, Benjamin; Lampert, Thomas


    Children and adolescents are the most important target group for smoking prevention and non-smoker protection measures (smoke-free legislation). In this article, we discuss trends over time and differences between social groups with regard to smoking and passive smoke exposure among adolescents in Germany. The data evaluated in this article were collected in two different study periods of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS), namely, 2003-2006 and 2009-2012. Adolescents aged 11 to 17 were asked about their smoking behavior and passive smoke exposure (6812 and 5258 respondents in the two study periods, respectively). Their social status was rated with an index based on information supplied by the adolescents' parents about their level of education, occupation, and income. The prevalence of smoking among adolescents fell in approximately six years from 20.4% to 12.0% (psmoking from 13.3% to 5.4% (psmoking declined from 35.1% to 18.8% (psmoke daily and to have regular passive exposure to smoking. The findings suggest that the measures implemented in recent years to protect adolescents from the health risks of active and passive smoking have been beneficial independently of the adolescents' social backgrounds.

  14. Sexuality, sexual behaviour and contraception in East Germany. (United States)

    Starke, K; Visser, A P


    Social factors may influence sexual health and its related behaviour. The political changes in East Germany have revealed a positive attitude towards sexuality and the use of family planning methods. A study on sexual behaviour and the use of contraceptives was undertaken recently, at the end of the old regime and the beginning of the new one. The survey was performed among 3103 male and female respondents (pupils, students and workers) of between 16 and 48 years of age. The results show a decreased number of stable partner relationships among young people, however, love and sexuality are considered to be central values. Before the age of 19 years, the majority of girls (80%) and boys (68%) had had sexual intercourse for the first time, a rate which has not changed during the last decade. There is a tendency to postpone having a first child. Modern contraception is widely accepted and used. There is a growing number of condom users, however, the pill is still the most popular method. Family planning is much more advanced than in the other countries of Eastern Europe. Sex education and counselling should sustain this situation.

  15. [Political impact of demographic change in Germany. A summary view of the causes and consequences of demographic change in Germany and Europe]. (United States)

    Birg, Herwig


    In Germany, the increase of life expectancy and the rapid decline of fertility started in the 19th century. The decline of the total fertility rate accelerated since the last decade of the 19th century when the social security system was established in the framework of the social reforms introduced by Bismarck. The process of population change is still going on. Its main demographic dimensions are demographic ageing, population decline, and the internationalisation of the population process by in-migration. The societal consequences are conflicts between the old and young generations as well as conflicts within each generation between the population groups with and without children. The economic impact of demographic change is a reduction of wealth, caused by a lower growth rate of the national product and by a reduction of the growth rate of the per capita income. Copyright 2009 S. Karger AG, Basel.

  16. Tax wedge in Croatia, Belgium, Estonia, Germany and Slovakia

    Directory of Open Access Journals (Sweden)

    Ana Gabrilo


    Full Text Available The aim of this paper is to analyse the taxation of labour income in Croatia, Belgium,Estonia, Germany and Slovakia. Having presented an outline of tax system rules, the paper shows the decomposition of the net average tax wedge for different family types and different income levels based on the OECD methodology. The results show that all observed countries apply a progressive tax schedule, apart from Germany where taxation for higher gross wages is not progressive due to a  cap on the SIC base. When it comes to a taxpayer earning an average gross wage, a Croatian single worker without children has the lowest tax burden, followed by Estonia, Slovakia, Germany and Belgium. However, as regards taxpayers earning 400% of AGW, Estonia has the smallest tax wedge, followed by Slovakia, Germany, Croatia and Belgium. Similar results are obtained by analyzing the tax wedge for couples with two children where one spouse is out of work.

  17. the 4th International Shrike Symposium, Chemnitz, Germany, August ...

    African Journals Online (AJOL)

    Book Review Advances in Shrikeology: the 4th International Shrike Symposium, Chemnitz, Germany, August 17th–18th, 2003 Biological Letters 41(2): Special Issue By Reuven Yosef, Fred E Lohrer and Pietr Tryjanowski (eds) 2004.

  18. The development of human genetics in Germany; a personal view. (United States)

    Vogel, F


    A personal account is given of the reconstruction and development of human genetics in Germany during the years following World War 2. An important stimulus was funding, as a result of the recognition of the genetic hazards of atomic radiation. Starting from 1960, human genetics institutes were progressively established throughout West Germany; comparable development was later in East Germany because of political factors. The first genetic counselling units were formed in 1972, but molecular biology only became an integral part of human genetics institutes at a relatively late stage. Close international links have characterised post-war human genetics in Germany from the outset and a tradition of close links with developing countries has also been established.

  19. Germany versus the United States: Monetary Dominance in the Eurozone

    Directory of Open Access Journals (Sweden)

    Chee-Heong Quah


    Full Text Available This study inspects if there is greater convergence with Germany amongst the Eurozone founding members and if their relations with the hegemonic economy have been more symmetrical after “euroization”. The dimensions explored are those inspired by the optimum currency areas (OCA framework. To some extent, the findings could signify if real convergence has been significantly endogenous. At the same time, to assess the relative dominance of Germany, the features against Germany are compared to those against US. In addition, the paper also appraises some aspects of economic performance to check whether economic conditions across the states have improved and converged after unification. In some convergence aspects, findings suggest remarkable convergence with Germany and across the states but also relative convergence with US. On economic performance, results indicate substantial improvements in inflation and unemployment. Amongst the founding states, Ireland has idiosyncratically shown serious divergences in a number of the convergence and performance measures.

  20. [Continuing Medical Education in Germany - mandatory and voluntary obligations]. (United States)

    Böthin, Elke


    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.

  1. Higher education system in modern Germany: social-philosophical analysis

    National Research Council Canada - National Science Library

    Olga Nezhyva


    In this article the author investigates higher education system in modern Germany and shows major factors which had weighty value with assistance to development of democratic education and ways of its perfection...

  2. Are CSR disclosures relevant for investors? Empirical evidence from Germany

    NARCIS (Netherlands)

    Verbeeten, F.H.M.; Gamerschlag, R.; Möller, K.


    Purpose – The purpose of this paper is to examine whether narrative corporate social responsibility (CSR) disclosures (the provision of textual information on companies’ environmental and social performance to external stakeholders) are associated with firm value in Germany.

  3. Springer--Germany's Most Remorselessly Criticized Publishing Giants. (United States)

    Hollstein, Milton


    Argues that the success of West Germany's publishing giant, Axel Springer Verlag, can be attributed to the technical excellence of its products and to the fact that these products reflect the mainstream of German thought. (FL)

  4. Internal migration in Germany in 1990 and 2005

    National Research Council Canada - National Science Library

    Szymańska, Daniela; Środa-Murawska, Stefania; Adamiak, Czesław; Świderska, Karolina


    The article seeks to answer the questions concerning the possibility of identifying regular patterns within internal migration in the towns and rural areas of the Federal Republic of Germany as well...

  5. Isolation of sindbis virus from a hooded crow in Germany. (United States)

    Eiden, Martin; Ziegler, Ute; Keller, Markus; Müller, Kerstin; Granzow, Harald; Jöst, Hanna; Schmidt-Chanasit, Jonas; Groschup, Martin H


    Sindbis virus (SINV) is an arbovirus that causes clinical symptoms, including arthritis, rash, and fever during acute human infections. In Europe, SINV outbreaks are largely restricted to northern Europe. Intrigued by the isolation of SINV from mosquitoes in southwestern Germany in 2009, we initiated a passive arbovirus-monitoring program in birds and analyzed a total of 685 samples. By this approach, we were able to detect a SINV in a Hooded Crow in Germany for the first time. It was possible to isolate SINV virus in cell cultures and even to visualize virus particles by electron microscopy. After the determination of the complete SINV genome sequence, the phylogenetic analysis revealed its close relationship to SINV genotype I sequences previously obtained from mosquitoes in Germany and Scandinavia. This first report on the isolation of viable SINV indicates the potential involvement of crows in an enzootic circulation of SINV in Germany and Central Europe.

  6. The Purpose of Remittances – Evidence from Germany


    Bauer, Thomas K.; Sinning, Mathias G.


    This paper examines the purpose of remittances using individual data of migrants in Germany. Particular attention is paid to migrants’ savings and transfers to family members in the home country. Our findings indicate that migrants who intend to stay in Germany only temporarily have a higher propensity to save and save larger amounts in their home country than permanent migrants. A similar picture emerges when considering migrants’ payments to family members abroad. The results of a decomposi...

  7. Gender, Transnational Networks and Remittances: Evidence from Germany


    Holst, Elke; Schäfer, Andrea; Schrooten, Mechthild


    Remittances from Germany are substantial. Cross-border transfers to family and friendship networks outside Germany are not only made by foreigners. Many naturalized migrants send money home as well. Here, we focus on international networks and gender-specific determinants of remittances from the senders' perspective, based on data from the German Socio-Economic Panel Study (SOEP) for the years 2001-2006. Our findings show, above all, that foreign women remit less money than foreign men. Using...

  8. The Prevalence of Apprenticeships in Germany and the United States


    Lazaryan, Nika; Neelakantan, Urvi; Price, David A.


    The educational systems and labor markets of Germany and the United States take different approaches to preparing young people for the workforce. One feature of Germany's workforce development model that has been of interest to policymakers in the United States is the important role played by employer-financed apprenticeships. The United States instead relies mainly on comprehensive general education, with career training largely taking place in community colleges and other postsecondary inst...

  9. The role of Germany in resolving the ukrainian crisis

    Directory of Open Access Journals (Sweden)

    Olena L. Hilchenko


    Full Text Available The article analyzes the participation of Germany in the matter of the Ukrainian crisis 2013-2015 and presents some approaches to the definition of the term «Ukrainian crisis». Reveals the reasons that lead Germany to take an active position in solving the Ukrainian question. Characterized the evolution of German-Russian relations from 90s to 2014, within which examined the St. Petersburg dialogue, «Pact of Putin-Schroeder», «Weimar triangle», «Partnership for modernization», Russian-Georgian conflict 2008. Available analysis of the new strategy of German foreign policy in 2012 «to support globalization – develop partnerships to share responsibility» and a new paradigm of German foreign policy presented in 2014 in the framework of the Munich conference on security policy. Examines the role of Germany in the European integration process of Ukraine during the Euromaidan events, the signing of the Association Agreement of Ukraine with the EU, ratification and future prospects of the enlargement of the European Union through the Eastern partnership countries. Presents the results of the public opinion of the population of Germany on this issue. Analyzes the position of the Germany government regarding the annexation of Crimea, the illegal referendum in Donetsk and Lugansk regions and the military aggression of Russian Federation against Ukraine. Presents description of the Germany role in the process of the diplomatic settlement of the military conflict in the East Ukraine in the framework of Norman four. On the example of polls are considered the public opinion of the population of Germany concerning possible ways of settlement the Ukrainian crisis. Presents the official position of the President of the Federal Republic of Germany. J. Gauck, Chancellor Merkel, Foreign Minister Frank-V. Steinmeier and Minister of Finance Schaeuble on certain issues of the Ukrainian crisis and the prolongations of sanctions against the Russian Federation

  10. [Identification and sampling of people with migration background for epidemiological studies in Germany]. (United States)

    Reiss, K; Makarova, N; Spallek, J; Zeeb, H; Razum, O


    In 2009, 19.6% of the population of Germany either had migrated themselves or were the offspring of people with migration experience. Migrants differ from the autochthonous German population in terms of health status, health awareness and health behaviour. To further investigate the health situation of migrants in Germany, epidemiological studies are needed. Such studies can employ existing databases which provide detailed information on migration status. Otherwise, onomastic or toponomastic procedures can be applied to identify people with migration background. If migrants have to be recruited into an epidemiological study, this can be done register-based (e. g., data from registration offices or telephone lists), based on residential location (random-route or random-walk procedure), via snowball sampling (e. g., through key persons) or via settings (e. g., school entry examination). An oversampling of people with migration background is not sufficient to avoid systematic bias in the sample due to non-participation. Additional measures have to be taken to increase access and raise participation rates. Personal contacting, multilingual instruments, multilingual interviewers and extensive public relations increase access and willingness to participate. Empirical evidence on 'successful' recruitment strategies for studies with migrants is still lacking in epidemiology and health sciences in Germany. The choice of the recruitment strategy as well as the measures to raise accessibility and willingness to participate depend on the available resources, the research question and the specific migrant target group. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Orthotopic Liver Transplantation in Human-Immunodeficiency-Virus-Positive Patients in Germany

    Directory of Open Access Journals (Sweden)

    E. Anadol


    Full Text Available Objectives. This summary evaluates the outcomes of orthotopic liver transplantation (OLT of HIV-positive patients in Germany. Methods. Retrospective chart analysis of HIV-positive patients, who had been liver-transplanted in Germany between July 1997 and July 2011. Results. 38 transplantations were performed in 32 patients at 9 German transplant centres. The reasons for OLT were end-stage liver disease (ESLD and/or liver failure due to hepatitis C (HCV (=19, hepatitis B (HBV (=10, multiple viral infections of the liver (=2 and Budd-Chiari-Syndrome. In July 2011 19/32 (60% of the transplanted patients were still alive with a median survival of 61 months (IQR (interquartile range: 41–86 months. 6 patients had died in the early post-transplantation period from septicaemia (=4, primary graft dysfunction (=1, and intrathoracal hemorrhage (=1. Later on 7 patients had died from septicaemia (=2, delayed graft failure (=2, recurrent HCC (=2, and renal failure (=1. Recurrent HBV infection was efficiently prevented in 11/12 patients; HCV reinfection occurred in all patients and contributed considerably to the overall mortality. Conclusions. Overall OLT is a feasible approach in HIV-infected patients with acceptable survival rates in Germany. Reinfection with HCV still remains a major clinical challenge in HIV/HCV coinfection after OLT.

  12. Simulation and Evaluation of Urban Growth for Germany Including Climate Change Mitigation and Adaptation Measures

    Directory of Open Access Journals (Sweden)

    Jana Hoymann


    Full Text Available Decision-makers in the fields of urban and regional planning in Germany face new challenges. High rates of urban sprawl need to be reduced by increased inner-urban development while settlements have to adapt to climate change and contribute to the reduction of greenhouse gas emissions at the same time. In this study, we analyze conflicts in the management of urban areas and develop integrated sustainable land use strategies for Germany. The spatial explicit land use change model Land Use Scanner is used to simulate alternative scenarios of land use change for Germany for 2030. A multi-criteria analysis is set up based on these scenarios and based on a set of indicators. They are used to measure whether the mitigation and adaptation objectives can be achieved and to uncover conflicts between these aims. The results show that the built-up and transport area development can be influenced both in terms of magnitude and spatial distribution to contribute to climate change mitigation and adaptation. Strengthening the inner-urban development is particularly effective in terms of reducing built-up and transport area development. It is possible to reduce built-up and transport area development to approximately 30 ha per day in 2030, which matches the sustainability objective of the German Federal Government for the year 2020. In the case of adaptation to climate change, the inclusion of extreme flood events in the context of spatial planning requirements may contribute to a reduction of the damage potential.

  13. Gambling experiences, problems, research and policy: gambling in Germany. (United States)

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


    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.

  14. Sport in Germany. Basis-Info: Social Policy. In-Press. (United States)

    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…

  15. Frequencies and demographic determinants of breastfeeding and DHA supplementation in a nationwide sample of mothers in Germany. (United States)

    Libuda, Lars; Stimming, Madlen; Mesch, Christina; Warschburger, Petra; Kalhoff, Hermann; Koletzko, Berthold Viktor; Kersting, Mathilde


    German guidelines recommend breast milk as ideal for infant's nutrition, supporting exclusive breastfeeding for at least 4 months. Moreover, in mothers with insufficient fish intake, DHA status may be improved by supplementation during pregnancy and lactation. However, little is known on current rates of breastfeeding and DHA supplementation in Germany. The objective of this study was to analyse frequencies and demographic determinants of breastfeeding and DHA supplementation in Germany. Data derived from a nationwide consumer survey of 986 mothers with children between 5 and 36 months of age in Germany. 78.3% reported that they ever breastfed their children, and 55.6% of the mothers exclusively breastfed for at least 4 months. Mothers who did not breastfeed were less likely to be informed by their paediatrician or midwife and were more often not informed at all; 27.8% of mothers used DHA supplements during pregnancy, 16.8% postnatal. DHA supplementation was more common in women with a high versus a low fish intake. The social status was the major determinant of breastfeeding initiation and exclusivity and also DHA supplementation. Breastfeeding initiation and duration of exclusive breastfeeding in Germany need to be improved. Professional counselling and support, with a focus on mothers from lower social classes, appears necessary to increase current rates of breastfeeding initiation, duration, and exclusiveness, but also to ensure a sufficient supply with DHA in pregnant and lactating women, particularly in women with low fish consumption.

  16. Individual Evaluation of Judges in Germany

    Directory of Open Access Journals (Sweden)

    Johannes Riedel


    Full Text Available In Germany, with the exception of the five federal supreme courts, court organization is a responsibility of the Länder (federal states. In some of the Länder, so-called employee profiles (“Anforderungsprofile“ have been established for judicial office. These lists attempt to describe criteria for certain judicial positions. They are applied in the process of promotion but also serve as an indicator for initial appointment.The European picture with respect to individual evaluation of judges is extremely diverse. In preparation for this paper, the author attempted to ascertain the situation in the Council of Europe member states. The results of this survey (to which 23 members of the CCJE have replied are listed in Appendix I.The general difficulty of professional evaluation of judges lies in the limits that have to be observed for constitutional reasons. In Germany, the overall rule of every evaluation is that there has to be a reliable factual basis. The evaluator is under a duty not to omit relevant aspects, to consider all the facts that make part of the picture, not to select arbitrarily but to try to paint a true and full picture of the person who is being evaluated. In the case of judges, it is unacceptable to comment on the core of judicial decision-making. Evaluations may be challenged in the administrative court on grounds of fact as well as on grounds of law. En Alemania, con la excepción de las cinco cortes supremas federales, la organización judicial es responsabilidad de los Länder (estados federales. En algunos de estos Länder, se han establecido los denominados perfiles de empleados (“Anforderungsprofile” para la oficina judicial. Estas listas pretenden describir los criterios para determinados cargos judiciales. Se aplican en los procesos de promoción, pero también sirven como un indicador para el nombramiento inicial.El panorama europeo respecto a la evaluación individual de los jueces es muy diverso. Preparando

  17. Quality circles in ambulatory care: state of development and future perspective in Germany. (United States)

    Gerlach, F M; Beyer, M; Römer, A


    To survey the quantitative development of quality circles (peer review groups; QC) and their moderators in ambulatory care in Germany, to describe approaches to documentation and evaluation, to establish what types of facilities and support is available and to assess opinions on the future importance of QC. Cross-sectional survey using a standardized questionnaire and supplementary telephone interviews. All 23 German regional Associations of Statutory Health Insurance Physicians (ASHIP) were surveyed. The total number of QC in ambulatory care in Germany increased rapidly from 16 in 1993 to 1633 in June 1996, with about 17% (range 1.0-52.1%) of all practicing physicians (112 158) currently involved. Throughout Germany, 2403 moderators were trained in 168 training courses by the qualifying date. Follow-up meetings were held or being planned in 20 ASHIP, with approximately 39% (23-95%) of the moderators participating. Systematic documentation of QC work was undertaken or planned in all 23 ASHIIP, and 10 ASHIP carried out comparative evaluation, with at least five others planning to start it. The ASHIP promoted the work of QC by providing organizational (22) or financial (20) support, materials (20) or mediation of resource persons (16). Eleven ASHIP received grants from drug companies. ASHIP rated the future importance of QC as increasing (18) or stable (four), but in no case as decreasing. The quantitative growth of QC in Germany is encouraging, but the extent of support and evaluation appears insufficient. Increased methodological support and facilitation, follow-up meetings on a more regular basis, improved documentation and evaluation of individual QC, and problem oriented evaluation of their impact on health care are essential for further successful development. Principles, problems and solutions discussed may be relevant for similar QI activities in other countries.

  18. Temperature-derived potential for the establishment of phlebotomine sandflies and visceral leishmaniasis in Germany

    Directory of Open Access Journals (Sweden)

    Dominik Fischer


    Full Text Available Climate change is expected to manifest in the shift of organisms to regions where they were not present in the past, potentially entailing previously unseen biological risks. However, studies evaluating these future trends are scarce. Here, an important group of vectors (sandflies and the pathogen transmitted (Leishmania infantum complex causing the infectious disease visceral leishmaniasis is investigated, focussing on potential establishment in Germany during the 21st century. As the most important habitat factor, temperature requirements of pathogen and vector were derived from the literature and compared with recent climate records - provided by worldclim - and climate change scenarios. Climate data from the Regional Climate Model REMO were obtained and averaged over the time periods 2011- 2040, 2041-2070 and 2071-2100. Projected temperature changes (based on the A1B and A2 scenarios were correlated with the constraints of vector and pathogen. Simulated potentially suitable habitat areas for vector and pathogen were merged to generate a temperature-derived risk map of visceral leishmaniasis. Temperature conditions seem to become suitable for the vector across large swaths of Germany. Nevertheless, temperature constraints for the pathogen may defer the establishment of the parasitic disease, particularly during the first half of the 21st century. Long-lasting epidemics of visceral leishmaniasis are therefore not expected in Germany during the next few decades, although during extremely warm years an increase in autochthonous cases of leishmaniasis may occur. The southwest (Upper Rhine Valley and west (Cologne Bight of Germany are identified as risk areas. The time of potential establishment and corresponding rise in biological risk varies between scenarios, due to differences in the predicted rate of temperature increase.

  19. [Evolution of the literature on clinical neurology in Spain, France, Italy and Germany over the period 2000-2009]. (United States)

    Inigo, Jesús; Iriarte, Jorge


    This study analyzes the productivity and visibility of Spanish publications in the area of clinical neurology in the period 2000-2009 and compared with those for Italy, France and Germany. We used the database Web of Science. The analysis (annual and in five-year) was restricted to the citable documents (original articles, reviews and proceedings papers). Bibliometric indicators used were the number of publications, citations received by publications and Hirsch's h-index. We also assessed the slope of the annual growth rate (b), the number of publications by language and the international collaboration. In the period 2000-2009 there were 46,114 publications in neurology clinic of which 6,998 were Spanish publications (h = 75), 11,629 in Italy (h = 101), French 9,745 (h = 102) and 20,143 in Germany (h = 124). The rate of increase in the total number of publications in Spain (b = 15) was lower than that observed in Italy (b = 65), Germany (b = 61) or France (b = 34). In the case of publications in English, the growth rate was higher for Spain (b = 37) than for France (b = 36) but lower than for Germany (b = 54) and Italy (b = 65). Although the total number of publications and the observed increase are lower in Spain compared to Italy, France or Germany, the Spanish publications in Clinical Neurology shows good trend indicators with regard to publications in English and international collaboration. This improvement was associated with greater visibility as showed by the five-year analysis of citations received by Spanish publications.

  20. Entanglement Rate for Gaussian Continuous Variable Beams (United States)


    for Gaussian continuous variable beams Zhi JiaoDeng1,2, Steven JMHabraken1 and FlorianMarquardt1,3 1 Institut für Theoretische Physik II, Friedrich...91058 Erlangen, Germany E-mail: Keywords: entanglement rate, entangledGaussian beams , optomechanics Abstract

  1. Teaching Advanced Trauma Life Support (ATLS): A nationwide retrospective analysis of 8202 lessons taught in Germany. (United States)

    Luedi, Markus M; Wölfl, Christoph C; Wieferich, Katharina; Dogjani, Agron; Kauf, Peter; Doll, Dietrich

    To examine whether faculty who teach the Advanced Trauma Life Support (ATLS) course would improve with experience and, correspondingly, ratings from course evaluations would increase. Retrospective analysis of student evaluations of 262 ATLS courses held between 2008 and 2012. All ATLS courses held between 2008 and 2012 nationwide in Germany. All ATLS student course evaluations covering 8202 lessons, 81 instructors, 36 course directors, and 5 coordinators. ATLS courses in Germany attained high levels of student satisfaction. Satisfaction levels increased steadily over the 5-year period studied. The entire staff influenced this finding. Teaching quality improved the most within the first 100 lessons taught. Skill stations received better evaluations than lectures, and local courses were less satisfactory than national course formats. The 2 demonstrations that open the course were the top rated events. Skill stations, including a human phantom, were highly rated; the cricothyrotomy station was top rated. The German ATLS course evaluations indicated steady improvement over the 5-year study. The level of experience of course coordinators, directors, and instructors influenced this finding. Teaching quality improved most within the first 100 lessons taught, and then reached a steady state. Skill stations received better evaluations than lectures, and local courses were less satisfactory than national course formats. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  2. [Women and smoking. A challenge for the tobacco control policy in Germany]. (United States)

    Fleitmann, S; Dohnke, B; Balke, K; Rustler, C; Sonntag, U


    In Germany, smoking rates among women have been slightly declining since 2003. However, smoking rates among young women and girls are high and are reaching the smoking rates of their male counterparts. Only about half of pregnant smokers below the age of 25 stop smoking. Women and girls with low education and low level jobs, those who are unemployed, as well as single parents have the highest smoking rates. The tobacco industry promotes smoking behavior of women and girls through marketing campaigns, thus, systematically counteracting smoking prevention activities. Within the framework of the annual conference 2008 of the Federal Drug Commissioner on the theme of "Women and Smoking", recommendations for a gender-specific tobacco control policy in Germany were developed. The main demands relate to the necessity of a targeted policy approach which takes into account the needs and life circumstances of women and girls, the development of integrated prevention programs for pregnant women, improved medical and preventive care, the involvement of women from the media and culture, from health professions and politics to promote a smoke-free culture, gender-specific research, and the improvement of tobacco control legislation. FACT (Frauen aktiv contra Tabak e.V.) actively supports the implementation of these policy recommendations.

  3. Spatial analysis of Leptospira infection in muskrats in Lower Saxony, Germany, and the association with human leptospirosis. (United States)

    Hurd, Jillian; Berke, Olaf; Poljak, Zvonimir; Runge, Martin


    Leptospirosis has been reported as an emerging zoonosis and the most widespread zoonotic disease in the world. Muskrats (Ondatra zibethicus) have been known to carry Leptospira serovars, which have been linked to Weil's disease - a serious and life threatening disease in humans. In this study, muskrats were sampled across 43 regions of Lower Saxony, Germany, during 2007 to 2009 and were tested for leptospirosis using Polymerase Chain Reaction (PCR). Circular and flexibly shaped spatial scan tests were applied and detected two leptospirosis clusters in Lower Saxony, Germany. Several predictor variables were investigated using spatial Poisson rate regression analysis; however, only maximum regional temperature was associated with the incidence rate of leptospirosis in muskrats. For every 5°C increase in temperature, the incidence rate of leptospirosis in muskrats decreased 0.97 times. The association between the smoothed muskrat leptospirosis prevalence and the rate of human leptospirosis was also investigated using a Poisson rate regression model and revealed no relationship. Although no relationship was found at the level investigated in this study, recent human leptospirosis outbreaks have been linked to muskrats, so muskrats as a risk factor for human leptospirosis should not be ruled out. Overall, leptospirosis clusters were found within the muskrat population in Lower Saxony, Germany and temperature was confirmed as a risk factor. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. 614-IJBCS-Article-Dr Ganwa Alembert

    African Journals Online (AJOL)


    in the central Erzgebirge, Saxony,. Germany. Contribution to Mineralogy and Petrology, 132: 1–20. Kwékam M, Liégeois J-P, Njonfang E, l. Affaton P, Hartmann G, Tchoua F. 2010. Nature, origin and significance of the. Fomopéa Pan-African high-K calc- alkaline plutonic complex in the Central. African fold belt (Cameroon).

  5. Characterising the reactivity of metallic iron in Fe0/As-rock/H O ...

    African Journals Online (AJOL)


    Jun 3, 2011 ... Breitenbrunn/Erzgebirge (Saxony, Germany). The material was selected on the basis of its high arsenic content (80%). A quali- tative SEM analysis showed the presence of As, Ca, F, Fe, O, S and Si (Noubactep et al., 2008). The ore material is primarily a hydrothermal vein material and arsenic occurred as ...

  6. Comparison of prostate cancer survival in Germany and the USA: can differences be attributed to differences in stage distributions? (United States)

    Winter, Alexander; Sirri, Eunice; Jansen, Lina; Wawroschek, Friedhelm; Kieschke, Joachim; Castro, Felipe A; Krilaviciute, Agne; Holleczek, Bernd; Emrich, Katharina; Waldmann, Annika; Brenner, Hermann


    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

  7. New Media for Educating Urology Residents: An Interview Study in Canada and Germany. (United States)

    Salem, Johannes; Borgmann, Hendrik; MacNeily, Andrew; Boehm, Katharina; Schmid, Marianne; Groeben, Christer; Baunacke, Martin; Huber, Johannes

    To investigate the usage and perceived usefulness of new media for educating urology residents in Canada and Germany. We designed an 11-item online survey to assess the use and perceived usefulness of new media for education. We performed a comparative analysis. The survey was distributed via e-mail to 143 Canadian and 721 German urology residents. The survey included 58 urology residents from Canada and 170 from Germany. A total of 58 residents from Canada (41% response rate) and 170 from Germany (24% response rate) responded to this survey. Residents spent 45% of their education time on new media. The Internet was used by 91% (n = 208) of the residents for professional education purposes, with a median time of 270 minutes (interquartile range [IQR]: 114-540) per month. Apps were used by 54% (n = 118) of the residents, with a median time of 101 minutes (IQR: 45-293) per month. A total of 23% (n = 47) of the residents used social media (SoMe) for education, with a median time of 90 minutes (IQR: 53-80) per month. In all, 100% (n = 228) rated the Internet, 76% (n = 173) apps, and 43% (n = 97) SoMe as being useful for professional education purposes. A total of 90% (n = 205) watched medical videos for education, and 89% (n = 203) of these videos were on surgical procedures. Canadian urology residents used more new media sources for professional education than did the Germans (58% vs. 41%, p source for personal education in urology is the Internet. Future studies and technological developments should investigate and improve new media tools to optimize education during residency. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  8. [The hospital at Hillersleben Germany, April 1945]. (United States)

    Weisskopf, Varda


    On 6th April 1945, nine days before the liberation of the Bergen Belsen Concentration Camp, about 2,500 Jewish prisoners were ordered to prepare to leave the camp on the next day. On 7th April, the prisoners left through the gates of the camp and began to walk about 10 kilometers to the train station near the city of Celle. There they were ordered to board a train that would take them to the Theresienstadt Concentration Camp. After six days of travel, the train stopped near the village of Farsleben, Germany, where it was liberated by the 743rd Tank Battalion of the 30th Infantry Division, of the U.S. 9th Army, on 13th April 1945. The 105th Medical Battalion of the same Division was the primary care provider for the survivors, who were then taken in vehicles available from the 30th Infantry Division, and organized into a convoy by the Division's Liaison Officer, Lt. Frank W. Towers, to the town of Hillersleben. A former German Air Force Base was located at Hillersleben with a small hospital that could not provide medical attention to all the survivors. On 21st April, Company C of the 95th Medical Battalion, received an order to go to Hillersleben. Colonel Dr. William W. Hurteau, the Commanding Officer of this Battalion, determined that the biggest task given to the Battalion during World War II, was establishing another hospital in the town of Hillersleben and providing additional beds in the existing hospital, which was a structure that had served as a boarding school. Furthermore, they needed to acquire hospital equipment which was obtained from German equipment and supplies that had been captured by the U.S. MiLitary. Also, they took care of obtaining food supplies from German warehouses, and meat and milk from local dairy farms. The lives of the prisoners on this train were saved by the heroism and dedicated work of those brave soldiers of the 30th Infantry Division and the 95th Medical Battalion.

  9. Investigation of the Usability of Computerized Critical Care Information Systems in Germany. (United States)

    von Dincklage, Falk; Suchodolski, Klaudiusz; Lichtner, Gregor; Friesdorf, Wolfgang; Podtschaske, Beatrice; Ragaller, Maximilian


    The term "usability" describes how effectively, efficiently, and with what level of user satisfaction an information system can be used to accomplish specific goals. Computerized critical care information systems (CCISs) with high usability increase quality of care and staff satisfaction, while reducing medication errors. Conversely, systems lacking usability can interrupt clinical workflow, facilitate errors, and increase charting time. The aim of this study was to investigate and compare usability across CCIS currently used in Germany. In this study, German intensive care unit (ICU) nurses and physicians completed a specialized, previously validated, web-based questionnaire. The questionnaire assessed CCIS usability based on three rating models: an overall rating of the systems, a model rating technical usability, and a model rating task-specific usability. We analyzed results from 535 survey participants and compared eight different CCIS commonly used in Germany. Our results showed that usability strongly differs across the compared systems. The system ICUData had the best overall rating and technical usability, followed by the platforms ICM and MetaVision. The same three systems performed best in the rating of task-specific usability without significant differences between each other. Across all systems, overall ratings were more dependent on ease-of-use aspects than on aspects of utility/functionality, and the general scope of the functions offered was rated better than how well the functions are realized. Our results suggest that manufacturers should shift some of their effort away from the development of new features and focus more on improving the ease-of-use and quality of existing features.

  10. Financial assistance for investments in wind power in Germany. Business incentives provided by the Deutsche Ausgleichsbank

    Energy Technology Data Exchange (ETDEWEB)

    Koch, M. [Deutsche Ausgleichsbank, Bonn (Germany)


    Within a generous financial framework investments in wind energy power have rapidly increased in Germany since the late 1980`s. In addition to direct subsidies or incentive stipulated by statutory provisions the DtA has encouraged investments in wind energy projects by loans at preferential interest rates with tremendous success and it will continue to do so. At present especially new ways of supporting environmental investments are being seek which have a cross-border environmental impact. The goal is to provide financial assistance both to domestic and foreign companies willing to invest in transboundary projects which may be located in East European Countries

  11. How do patients with a Turkish background evaluate their medical care in Germany? An observational study in primary care

    Directory of Open Access Journals (Sweden)

    Goetz K


    Full Text Available Katja Goetz,1 Jessica Bungartz,2 Joachim Szecsenyi,1 Jost Steinhaeuser3 1Department of General Practice and Health Services Research, University of Heidelberg, Heidelberg, Germany; 2Praxis Medizin im Zentrum, München, Germany; 3Institute of Family Medicine, University Hospital Schleswig-Holstein, Lübeck, Germany Background: Patients’ evaluation of medical care is an essential dimension of quality of care and an important aspect of the feedback cycle for health care providers. The aim of this study was to document how patients with a Turkish background evaluate primary care in Germany and determine which aspects of care are associated with language abilities.Methods: The study was based on an observational design. Patients with a Turkish background from German primary care practices completed the EUROPEP (European Project on Patient Evaluation of General Practice Care questionnaire consisting of 23 items. Seventeen primary care practices were involved with either German (n=8 or Turkish (n=9 general practitioners (GPs.Results: A convenience sample of 472 patients with a Turkish background from 17 practices participated in the study (response rate 39.9%. Practices with a German GP had a lower response rate (19.6% than those with a Turkish GP (57.5%. Items evaluated the highest were “keeping data confidential” (73.4% and “quick services for urgent health problems” (69.9%. Subgroup analysis showed lower evaluation scores from patients with good or excellent German language abilities. Patients who consulted a Turkish GP had higher evaluation scores.Conclusion: The evaluation from patients with a Turkish background living in Germany with either Turkish or German GPs showed lower scores than patients in other studies in Europe using EUROPEP. However, our results had higher evaluation scores than those of Turkish patients evaluating GPs in Turkey. Therefore, different explanation models for these findings should be explored in future studies

  12. Smoke-free laws and direct democracy initiatives on smoking bans in Germany: a systematic review and quantitative assessment. (United States)

    Kohler, Stefan; Minkner, Philipp


    Germany's 16 states regulate smoking differently within health protection principles laid down in the federal law. All state smoke-free laws in Germany have undergone at least one change since taking effect. We systematically review federal and state laws regulating smoking, as well as petitions, popular initiatives and referenda that aimed at changing statutory smoking bans. Data generated through the systematic review were correlated with state smoking rates. The protection from the dangers of secondhand smoke is the primary motive for smoking bans in Germany. The first smoke-free laws affecting smoking in pubs, restaurants and several other public places were introduced in 2007. In 2008, the Federal Constitutional Court of Germany ruled in a leading decision on the smoke-free laws of two states that some common smoking ban exemptions of the introduced smoke-free laws violate the basic right to freely exercise a profession and mandated revisions. All states but Bavaria and Saarland, whose smoking bans were more and less comprehensive than those judged by the constitutional court, respectively, needed to change the smoking ban exemptions to reconcile their smoke-free laws with the constitution. Direct democracy initiatives to change smoking bans were only successful in Bavaria in 2010, but a total of 15 initiatives by citizens' or interest groups attempted to influence non-smokers protection legislation through direct democratic procedures. Early ratification of a smoking ban in a federal state correlates with a higher reduction in the smoking rate from 2005 to 2009 (Spearman's ρ = 0.51, p = 0.04). The federal government structure and direct democratic participation in smoke-free legislation in Germany has produced a diversity of local smoking bans and exemptions.

  13. Functional approaches in translation studies in Germany Functional approaches in translation studies in Germany

    Directory of Open Access Journals (Sweden)

    Paul Kussmaul


    Full Text Available In the early phase of translation studies in Germany, contrastive linguistics played a major role. I shall briefly describe this approach so that the functional approach will become clearer by contrast. Influenced by the representatives of stylistique comparée, Vinay/Darbelnet (1968 Wolfram Wilss, for instance, in his early work (1971, 1977 makes frequent use of the notion transposition (German “Ausdrucksverschiebung“, cf. also Catford’s (1965 term shift. As a whole, of course, Wilss’ work has a much broader scope. More recently, he has investigated the role of cognition (1988 and the various factors in translator behaviour (1996. Nevertheless, transposition is still a very important and useful notion in describing the translation process. The need for transpositions arises when there is no possibility of formal one-to-one correspondence between source and target-language structures. The basic idea is that whenever there is a need for transposition, we are faced with a translation problem. In the early phase of translation studies in Germany, contrastive linguistics played a major role. I shall briefly describe this approach so that the functional approach will become clearer by contrast. Influenced by the representatives of stylistique comparée, Vinay/Darbelnet (1968 Wolfram Wilss, for instance, in his early work (1971, 1977 makes frequent use of the notion transposition (German “Ausdrucksverschiebung“, cf. also Catford’s (1965 term shift. As a whole, of course, Wilss’ work has a much broader scope. More recently, he has investigated the role of cognition (1988 and the various factors in translator behaviour (1996. Nevertheless, transposition is still a very important and useful notion in describing the translation process. The need for transpositions arises when there is no possibility of formal one-to-one correspondence between source and target-language structures. The basic idea is that whenever there is a need for

  14. Oil and Gas Emergency Policy: Germany 2012 update

    Energy Technology Data Exchange (ETDEWEB)



    Germany has very little domestic oil and natural gas production and relies heavily on imports. It has well diversified and flexible oil and natural gas supply infrastructure, which consists of crude, product and gas pipelines and crude and oil product import terminals. Natural gas is imported into Germany exclusively by cross-border pipeline. The country has no LNG infrastructure, although some German companies have booked capacities in overseas LNG terminals. Oil continues to be the main source of energy in Germany although it has declined markedly since the early 1970s. It now represents approximately 32% of Germany’s total primary energy supply (TPES). Natural gas consumption in Germany has declined 10% since 2006. Demand was 90 bcm in 2010, down from 100 bcm in 2005. According to government commissioned analysis, the total consumption of natural gas in Germany is expected to continue to decline over the long term. The share of natural gas in Germany’s TPES is currently around 22%. German oil stock levels are generally well above the required 90-days. Total oil stock levels in Germany were equivalent to 140 days net imports in April 2012. Since 1998, the German oil stockholding agency (EBV) has been solely responsible for meeting Germany's 90-day stockholding obligation. The Oil Stockholding Act stipulates that the EBV shall constantly maintain stocks of oil and petroleum products at a level equivalent to or above 90 days of net imports. There is no minimum stockholding obligation on industry, so industry held commercial stocks are held in addition to the EBV stocks. There are several legal tools available to German authorities for natural gas emergency response. These include Ordinances that can be used to restrict the sale, purchase or use of goods, both in terms of quantity and time, or permit them only for certain priority purposes, to ensure that vital energy needs are met. There are no compulsory natural gas storage requirements in Germany, and no

  15. [Physiotherapy Education in Germany: Ready for Direct Access? (United States)

    Konrad, R; Konrad, A; Geraedts, M


    Objective: The aim of this study is to investigate whether the curricula for physiotherapy education in Germany conform to standards recommended in the World Confederation for Physical Therapy (WCPT) guideline for physical therapist professional entry-level education, published by the WCPT. This Guideline specifies education standards for physical therapists that are able to act as independent practitioners, without referral from another health care professional. Methods: To assess the German curricula of physical therapist education, a list of assessment dimensions was derived from the WCPT-Guideline by means of content analysis. The content validity of this list was estimated by nine experts using Lawshe's method. The German Training and Examination Regulations for Physiotherapists (PhysTh-AprV) and all available regional curricula were studied. All documents were evaluated by 2 independent coders who rated the conformity of the documents with the assessment dimensions. Results: Based on the Lawshe procedure, the whole test content validity index of the 61 out of 67 examined assessment dimensions was 0,84. Cohen's kappa coefficient for intercoder reliability was 0,71-0,97. The German curricula showed high correlation with the WCPT Guideline on many theoretical basic subjects. Fulfillment of some of the requirements showed heterogeneous results. Autonomous practitioners largely lacked special competencies. Conclusions: None of the German educational standards meets the expectations of the WCPT Guideline in terms of direct access. Considering the deficits of the German educational standards and the release date of some of them, a continuous development of the German education does not appear to be adequate. This issue needs to be addressed in the current debate on health policy. © Georg Thieme Verlag KG Stuttgart · New York.

  16. Individual Differences in Coping with Mortality Salience in Germany vs. Poland: Cultural World View or Personal View Defense?

    Directory of Open Access Journals (Sweden)

    Wojdylo Kamila


    Full Text Available We investigated the influence of personality and culture on effects of mortality salience (MS over cultural worldview defense (CWVD. We hypothesized that CWVD reactions to MS differ between Germany and Poland because of the higher conservatism of the latter country, and that they are moderated by action vs. state orientation. In this study German (N=112 and Polish (N=72, participants were exposed either to MS or to a control condition (dental pain. Punishment ratings to trivial offences and serious social transgressions were measures of CWVD. Results showed that social transgressions in both conditions were more strongly punished in Poland than in Germany. Additionally, compared to the control condition, under MS action oriented punished serious transgressions more strongly in Germany whereas state oriented punished serious transgressions more strongly in Poland. That is, the effects of MS on CWVD are moderated by personality and culture. We interpret the opposite pattern of punishment to serious social transgressions given by action and state orientedin in Germany and Poland, respectively, according to the higher emotional autonomy of action-oriented persons in either culture.

  17. The Integrated Carbon Observation System in Germany (United States)

    Kutsch, Werner Leo


    will enable the researchers to calculate the European carbon fluxes with a resolution of 10 km. The ICOS-D Atmospheric Observational Network for Germany, when fully established, will comprise 9 atmospheric sites. In the Ocean Program, volunteer observing ships (VOS) plying regular routes in the Atlantic Ocean and the Baltic Sea will be instrumented to make autonomous observations of physical and biochemical parameters (temperature, salinity) and sea surface fugacity of CO2 (fCO2). In addition, two ocean observatories at the Cape Verde Islands and Svalbard ('Hausgarten') will be part of the long-term research infrastructure. The Terrestrial Ecosystem Program will provide continuous measurements of trace gas fluxes between ecosystems and the atmosphere. The measurements will be conducted in forests, grasslands, croplands and wetlands and will partly build on sites that have been run for a decade or more in the framework of EU-projects such as CarboEuropeIP. The Terrestrial Ecosystem Program will be designed in 5 - 6 clusters. A cluster is a group of sites at close range but under different land use. This will ensure high representativeness for climate, soils properties and regional land use criteria. The CAL will provide calibration gases for the entire network in order to minimize offsets and calibration uncertainties between the measurements at different stations. It will further provide a centralized analysis of grab samples taken within the whole ICOS RI network for additional trace gases and isotope ratios, including radiocarbon which provides an independent method to quantify regional fossil fuel emissions.

  18. Regional climate service in Southern Germany (United States)

    Schipper, Janus; Hackenbruch, Julia


    Climate change challenges science, politics, business and society at the international, national and regional level. The South German Climate Office at the Karlsruhe Institute of Technology (KIT) is a contact for the structuring and dissemination of information on climate and climate change in the South German region. It provides scientifically based and user-oriented climate information. Thereby it builds a bridge between the climate sciences and society and provides scientific information on climate change in an understandable way. The expertise of KIT, in which several institutions operate on fundamental and applied climate research, and of partner institutions is the basis for the work in the climate office. The regional focus is on the south of Germany. Thematic focuses are e.g. regional climate modeling, trends in extreme weather events such as heavy rain and hail event, and issues for energy and water management. The South German Climate Office is one of four Regional Helmholtz Climate Offices, of which each has a regional and thematic focus. The users of the Climate Office can be summarized into three categories. First, there is the general public. This category consists mainly of non-professionals. Here, special attention is on an understandable translation of climate information. Attention is paid to application-related aspects, because each individual is affected in a different way by climate change. Typical examples of this category are school groups, citizens and the media. The second category consists of experts of other disciplines. Unlike the first category they are mainly interested in the exchange of results and data. It is important to the climate office to provide support for the use of climatological results. Typical representatives of this category are ministries, state offices, and companies. In the third and final category are scientists. In addition to the climatologists, this category also holds representatives from other scientific

  19. Tobacco Industry Influence on Science and Scientists in Germany (United States)

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


    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

  20. Trends in Adult and Continuing Education in Germany

    Directory of Open Access Journals (Sweden)

    Ekkehard Nuissl


    Full Text Available This contribution summarizes the most important trends in adult education in Germany as they were elaborated in a secondary analytic research project of the DIE (Deutsches Institut für Erwachsenenbildung – German Institute for Adult Education in 2007. According to the study, participation in continuing education in Germany is increasing after long years of decrease, even though, overall, financing of adult education has been further reduced. Cooperation as well as competition between continuing education institutions has increased. Course offers have become shorter, counselling and information have more significant roles than in the past, and those employed in adult education, especially teaching staff, have a higher level of qualifications than before. Adult education policy in Germany has varying aims as a result of the federal structure of the country. Incentives for vocational and workplace training predominate however.

  1. Extent and application of ICU diaries in Germany in 2014

    DEFF Research Database (Denmark)

    Nydahl, Peter; Knueck, Dirk; Egerod, Ingrid


    , newsletters, newspapers, lectures and publications in German nursing journals. AIM: The aim of the study was to update our knowledge of the extent and application of ICU diaries in Germany in 2014. DESIGN: The study had a prospective mixed methods multicenter design. METHOD: All 152 ICUs in the two German...... of Germany had implemented diaries and three units were planning to do so. Interviews were conducted with nurses at 14 selected ICUs. Informants reported successful adaption of the diary concept to their culture, but variability in application. No units were identified where all nursing staff participated...... in keeping ICU diaries. CONCLUSION: Six years after the introduction of ICU diaries, ICU nurses in Germany are becoming familiar with the concept. Nursing shortage and bureaucratic challenges have impeded the process of implementation, but the adaption of ICU diaries to German conditions appears...

  2. [Dental education in Germany: new concepts for the dental curriculum]. (United States)

    Hugger, A; Hugger, S; Kordass, B


    In Germany, the dental curriculum is still based on dental licensing regulations ("Approbations-/Prüfungsordnung für Zahnärzte") from 1955. Essential changes of the dental licensing regulations have not been made for over 50 years-unlike the medical licensing regulations in Germany. Teaching and learning concepts have, nevertheless, changed considerably in medical and dental education over time. The present study delivers an analysis about reform initiatives in dental education in Germany and introduces examples of innovative projects. To be able to establish long-term and broad reforms in dental education, new licensing regulations for dentists are required. This should create a contemporary framework for education, which assigns resources and enables occupational profile development at specific locations. Thereby, compatibility with the medical curriculum has to be guaranteed just as required adaptations of admission and curricular capacity regulations for dentistry.

  3. Scientific Relations Between Turkey and Germany: Turkish-German Universities

    Directory of Open Access Journals (Sweden)

    Fahri Türk


    Full Text Available Turkey and Germany are two countries which have well advanced relations in the fields of politics, economy, military, education and science for many years. These relations contribute to both sides in different aspects. However, when two countries are compared with each other, Germany transfers massive amounts of science and especially technology to Turkey. The present study deals with the transferring scientific experience from Germany to Turkey within the framework of universities, especially focusing on the Turkish-German University. Following a brief history of Turkish-German relations, the importance of the republican period as well as Turkish-German universities regarding the relations between both countries will be analysed through expert opinions and empirical data.

  4. "Great Technology, Football and...": Malaysian Language Learners' Stereotypes about Germany

    Directory of Open Access Journals (Sweden)

    Larisa Nikitina


    Full Text Available This study focuses on stereotypes about Germany, its culture and people, held by learners of German in a big public university in Malaysia. It examines not only the stereotypical representations of the target language country but also assesses its favourability and salience, which has not been done previously. The findings revealed that the students' stereotypes about Germany were varied and diverse. Also, they were overwhelmingly positive. The top three salient categories of images about Germany were related to technology, famous personalities - for the most part football players and scientists - and cars. The findings also indicated that very few references had been made to German culture and to its great cultural figures. The results of the present study suggest that students could benefit from a wider and deeper exposure to German culture in the language classroom.

  5. Use of herbal medicinal products among children and adolescents in Germany (United States)


    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

  6. Use of herbal medicinal products among children and adolescents in Germany. (United States)

    Du, Yong; Wolf, Ingrid-Katharina; Zhuang, Wanli; Bodemann, Stefanie; Knöss, Werner; Knopf, Hildtraud


    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. 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. 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. 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 effectiveness and safety of specific herbal

  7. Could Immigration Prevent Population Decline? The Demographic Prospects of Germany Revisited

    Directory of Open Access Journals (Sweden)

    Hannes Weber


    Full Text Available Germany has a record of more than 40 years of below-replacement fertility and annual death surplus. Hence, it is commonly accepted that Germany’s population will decline considerably in the coming decades. Recent increases in immigration may, however, challenge the official long-term demographic projections for Germany. This paper assesses the impact of a permanent higher-than-expected level of net immigration to Germany as in the past three years on the projections for population, age structure and ethnic makeup by mid-century.The paper adds a higher immigration variant to the Federal Statistical Office’s latest Coordinated Population Projection and two variants of a (a constant or (b decreasing fertility rate among migrant women. It can be shown that with permanent net migration as high as in recent years (around 300,000 per annum, Germany’s population would not significantly decrease in the coming decades but would rather remain at 80 million until 2050. On the other hand, the sharp rise in the old-age dependency ratio is only mildly weakened by increased immigration rates. This issue is therefore probably best addressed by other (or additional means. The increase in retirees will level off after 2035 in any case. The ethnic makeup of society would be affected to a greater degree than its age composition: The share of first- and second-generation immigrants among the total population is projected to rise to about 35 percent in this scenario (and to above 40 percent if the third generation is also counted.

  8. Ecological analysis of social risk factors for Rotavirus infections in Berlin, Germany, 2007–2009

    Directory of Open Access Journals (Sweden)

    Wilking Hendrik


    Full Text Available Abstract Background Socioeconomic factors are increasingly recognised as related to health inequalities in Germany and are also identified as important contributing factors for an increased risk of acquiring infections. The aim of the present study was to describe in an ecological analysis the impact of different social factors on the risk of acquiring infectious diseases in an urban setting. The specific outcome of interest was the distribution of Rotavirus infections, which are a leading cause of acute gastroenteritis among infants and also a burden in the elderly in Germany. The results may help to generate more specific hypothesis for infectious disease transmission. Methods We analysed the spatial distribution of hospitalized patients with Rotavirus infections in Berlin, Germany. The association between the small area incidence and different socio-demographic and economic variables was investigated in order to identify spatial relations and risk factors. Our spatial analysis included 447 neighbourhood areas of similar population size in the city of Berlin. We included all laboratory-confirmed cases of patients hospitalized due to Rotavirus infections and notified between 01/01/2007 and 31/12/2009. We excluded travel-associated and nosocomial infections. A spatial Bayesian Poisson regression model was used for the statistical analysis of incidences at neighbourhood level in relation to socio-demographic variables. Results Altogether, 2,370 patients fulfilled the case definition. The disease mapping indicates a number of urban quarters to be highly affected by the disease. In the multivariable spatial regression model, two risk factors were identified for infants ( Conclusions Neighbourhoods with a high unemployment rate and high day care attendance rate appear to be particularly affected by Rotavirus in the population of Berlin. Public health promotion programs should be developed for the affected areas. Due to the ecological study

  9. The credibility of information sources in West Germany after the Chernobyl disaster

    Energy Technology Data Exchange (ETDEWEB)

    Peters, H.P. (Forschungszentrum Juelich GmbH (Germany))


    In West Germany the 'information disaster' after Chernobyl offered an opportunity to study the credibility of different information sources. A representative survey conducted in May 1987 of the West German population showed that on average the Federal Government - although heavily criticized because of its information policy and risk management - was rated most credible while the nuclear industry was judged least credible. On the whole, mean credibility ratings differed surprisingly little between sources; ratings of competence and public interest orientation varied more. These variables, interpreted as the classical credibility factors 'expertise' and 'trustworthiness', were important predictors of credibility. But beliefs and expectations recipients possess about individual sources also appear to influence credibility. (author).

  10. On the tempo and quantum of first marriages in Austria, Germany, and Switzerland

    Directory of Open Access Journals (Sweden)


    Full Text Available Period marriage rates have been falling dramatically in most industrial societies since the beginning of the 1970s. As has been shown in the literature, part of this decline is due to the postponement of marriage to later ages. However, the change in variance has been ignored so far. In the case of Austria, Germany, and Switzerland, this paper explores how much of the change in female first marriage rates can be attributed to tempo effects caused by changes in the mean age and variance, and how much of it is due to quantum effects, i.e., the proportion of women who ever marry from 1970 to 2000. In all three countries we find a significant share of the decline in first marriage rates due to tempo distortions, though on different levels.

  11. The institutional space of community initiatives for renewable energy: a comparative case study of the Netherlands, Germany and Denmark


    Oteman, M.I.; Wiering, M.A.; Helderman, J.K.


    Background Community initiatives for renewable energy are emerging across Europe but with varying numbers, success rates and strategies. A literature overview identifies structural, strategic and biophysical conditions for community success. Our analysis focuses on institutional structure, as we describe the variety between the Netherlands, Germany and Denmark, and place this within the institutional context of the policies, power structures and energy discourses of each country. Methods We c...

  12. 77 FR 73415 - Ball Bearings and Parts Thereof From France, Germany, and Italy: Final Results of Antidumping... (United States)


    ... S.A.R.L 0.00 Perkins Engines Company Limited 0.00 SNECMA 0.00 NTN-SNR 0.00 Volkswagen AG 0.00 Volkswagen Zubehor GmbH 0.00 Germany: Bayerische Motoren Werke AG 0.00 Bosch Rexroth AG 0.00 BSH Bosech und... di Villar Perosa S.p.A SNECMA 0.00 Volkswagen AG 0.00 Volkswagen Zubehor GmbH 0.00 Assessment Rates...

  13. Comparison of Bioenergy Policies in Denmark and Germany

    DEFF Research Database (Denmark)

    Schwarz, Gerald; Noe, Egon; Saggau, Volker


    Purpose – This chapter compares bioenergy policy developments in Germany and Denmark to better understand the responses of EU country policy regimes to global shocks; to examine potentially emerging new trends of productivist policy models; and to explore potential land use conflicts in the context...... of a multifunctional EU agricultural policy. Design/methodology/approach – The chapter reviews the bioenergy policy development pathways taken by Germany and Denmark, highlighting key consequences for agricultural land use and rural development. Findings from both case studies are then compared in summary tables...

  14. Comparison of the Nutrition Situation in Japan and Germany


    Naruse, Akiko; Nakanishi, Yoko; PFEUFFER,Martina


    The aim of this research is to compare nutrition in Japan and Germany. This comparison is based on actual consumption data from national nutrition surveys carried out from 1985 to 1988, namely the Japanese National Nutrition Survey (J-NNS) and German National Nutrition Survey (G-NNS). The ratio of protein, fat and carbohydrates accounting for energy intake (PFC energy ratio) is 16:26:58 in Japan and 15:43:42 in Germany. The recommended dietary allowances (RDA) of fat intake levels are 20-25% ...

  15. Increased Prevalence of Trichinella spp., Northeastern Germany, 2008 (United States)

    Pannwitz, Gunter; Balicka-Ramisz, Aleksandra; Nöckler, Karsten


    In 2008, a Trichinella spp. outbreak occurred on a small family-owned pig farm in Mecklenburg–Western Pomerania in northeastern Germany. To obtain epidemiologic information on this outbreak, we determined that after 2005 the prevalence of Trichinella spp. in wild boars has increased in this region of Germany. We discuss the potential role of the raccoon dog in the increase in Trichinella spp. prevalence in the sylvatic cycle in this region. We believe that this increase could pose a threat to pigs kept in back yard conditions, and we provide recommendations to ensure public health safety. PMID:20507743

  16. Occupational sex segregation and working time: Regional evidence from Germany

    Directory of Open Access Journals (Sweden)

    Humpert Stephan


    Full Text Available This paper provides descriptive evidence for declining occupational sex segregation on the German labor market, especially concerning the regional differences between the former East and West Germany. I use segregation measures and long-run social security data for the decade of 1992 to 2004. While segregation has declined over time, it remains higher for the eastern part of Germany. Although this finding is observable for full-time and part-time work, segregation is always lower in part-time employment.

  17. [Dementia in Germany: results of an interdisciplinary expert workshop]. (United States)

    Blödt, Susanne; Kuhlmey, Adelheid; Bartholomeyczik, Sabine; Behl, Christian; Betsch, Frederik; Brinkhaus, Benno; Frühwald, Maria; Füsgen, Ingo; Jansen, Sabine; Köppel, Claus; Krüger, Eckhard; Macher, Marilen; Michalsen, Andreas; Rapp, Michael A; Riepe, Matthias W; Schimpf, Dorothea; Teut, Michael; Warme, Britta; Warning, Albrecht; Wilkens, Johannes; Witt, Claudia M


    In the aging population of Germany the consequences of Dementia for the society and the health care sector are complex and solutions require a multidisciplinary approach. The aim of the two-day interdisciplinary expert conference was to consider dementia from different perspectives, to identify dementia-related problems and to discuss integrative solutions under consideration of complementary therapies. In different working groups the experts developed solutions and recommendations with regards to political need, health care and future research priorities. The present recommendations profited very much from the interdisciplinary participants of the conference and brought together the expertise of different fields resulting in a comprehensive picture about dementia in Germany.

  18. Low Wage Mobility in Denmark, Germany and the United States

    DEFF Research Database (Denmark)

    Deding, Mette

    In this working paper, mobility out of low wage employment in Denmark, Germany, and the United States is studied. Data used for the analysis are the Danish Longitudinal Database – a representative sample of the Danish population, and the PSID-GSOEP Equivalent File Data. Mobility is analysed...... as the transition out of low wage in 1993 and 1995 respectively, conditional on low wage in 1992. The econometric model takes selection into low wage in 1992 into account, and results clearly state the importance. At the aggregate level, mobility patterns are similar in Denmark and Germany, while mobility...

  19. Renewable energy policy and wind energy development in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Zitzer, Suzanne E. [UFZ - Umweltforschungszentrum Leipzig-Halle GmbH, Leipzig (Germany). Department Urban Ecology, Environmental Planing and Transport


    The author of the contribution under consideration reports on the renewable energy policy and wind energy development in the Federal Republic of Germany. First of all, the author describes the historical development of the renewable energy policy since the 1970ies. Then, the environmental policies of the Red-Green Coalition (till to 2005) and of the Grand Coalition (since 2005) as well as the Renewable Energy Sources Act are described. The next section of this contribution is concern to the development of wind energy in the Federal Republic of Germany under consideration of onshore wind energy and offshore wind energy.

  20. Survival of Patients with Oral Cavity Cancer in Germany


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


    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...

  1. Psychiatric disorders and urbanization in Germany

    NARCIS (Netherlands)

    Dekker, J.J.M.; Peen, J.; Koelen, J.A.; Smit, H.F.E.; Schoevers, R.A.


    Background. Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in a

  2. Psychiatric disorders and urbanization in Germany

    NARCIS (Netherlands)

    Dekker, J.J.M.; Peen, J.; Koelen, J.A.; Smit, H.F.E.; Schoevers, R.A.


    Abstract Background Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in

  3. Acceptance, Prevalence and Indications for Robot-Assisted Laparoscopy - Results of a Survey Among Urologists in Germany, Austria and Switzerland. (United States)

    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


    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.

  4. Consumption and recovery of packaging waste in Germany in 2008; Aufkommen und Verwertung von Verpackungsabfaellen in Deutschland im Jahr 2008

    Energy Technology Data Exchange (ETDEWEB)

    Schueler, Kurt [Gesellschaft fuer Verpackungsmarktforschung mbH, Mainz (Germany)


    Pursuant to EU Directive 94/62/EC on packaging and packaging waste dated 20.12.1994 in connection with Directive 2004/12/EC, EU Member States are obliged to report annually on the consumption and recovery of packaging. This report shall be prepared on the basis of the Commission's decision of 22.03.2005 on establishing mandatory table formats (2005/270/EC). The study determines the quantity of packaging (packaging consumption) for the material groups of glass, plastics, paper, aluminium, tin plate, composites, other steel, wood and other packaging materials placed on the market in Germany. In addition to the quantity of packaging used in Germany, filled exports and imports were also ascertained in order to calculate the consumption rate. The quantity of packaging waste of waste relevance in Germany was calculated on the basis of the quantity of packaging placed on the market as e.g. reusable and durable packaging will only be discarded at some point in the future. All existing data from associations, the waste disposal industry and environmental statistics were compiled and documented systematically in order to determine the recovery quantities and recovery paths. The quantities incinerated at waste incineration plants with energy recovery could only be calculated as the difference between the total quantity to be discarded and quantities actually recovered. In 2008, 16.04 million tons of packaging were consumed and became waste. Compared to the reference year 2005, packaging consumption increased by 3.7 % (minus 0.4 % compared to 2007). A total of 13.10 million tons was recovered in terms of material or energy, of which a total of 2.41 million tons outside Germany. In addition, 1.40 million tons of imported packaging waste were recovered in Germany. In 2008, 2.10 million tons were incinerated at waste incineration plants with energy recovery. (orig.)

  5. Consumption and recovery of packaging waste in Germany in 2009; Aufkommen und Verwertung von Verpackungsabfaellen in Deutschland im Jahr 2009

    Energy Technology Data Exchange (ETDEWEB)

    Schueler, Kurt [GVM Gesellschaft fuer Verpackungsmarktforschung mbH, Mainz (Germany)


    Pursuant to EU Directive 94/62/EC on packaging and packaging waste dated 20.12.1994 in connection with Directive 2004/12/EC, EU Member States are obliged to report annually on the consumption and recovery of packaging. This report shall be prepared on the basis of the Commission's decision of 22.03.2005 on establishing mandatory table formats (2005/270/EC). The study determines the quantity of packaging (packaging consumption) for the material groups of glass, plastics, paper, aluminium, tin plate, composites, other steel, wood and other packaging materials placed on the market in Germany. In addition to the quantity of packaging used in Germany, filled exports and imports were also ascertained in order to calculate the consumption rate. The quantity of packaging waste of waste relevance in Germany was calculated on the basis of the quantity of packaging placed on the market as e.g. reusable and durable packaging will only be discarded at some point in the future. All existing data from associations, the waste disposal industry and environmental statistics were compiled and documented systematically in order to determine the recovery quantities and recovery paths. The quantities incinerated at waste incineration plants with energy recovery could only be calculated as the difference between the total quantity to be discarded and quantities actually recovered. In 2008, 15.05 million tons of packaging were consumed and became waste. Compared to the reference year 2008, packaging consumption decreased by 6.2 %. A total of 12.73 million tons was recovered in terms of material or energy, of which a total of 2.45 million tons outside Germany. In addition, 1.42 million tons of imported packaging waste were recovered in Germany. In 2009, 1.55 million tons were incinerated at waste incineration plants with energy recovery.

  6. THC:CBD in Daily Practice: Available Data from UK, Germany and Spain. (United States)

    Fernández, Óscar


    From the time Sativex (THC:CBD) oromucosal spray first became available in European Union countries in 2010 for the management of treatment-resistant multiple sclerosis (MS) spasticity, data from daily practice have been collected through various projects. A retrospective registry study and a prospective safety study of THC:CBD oromucosal spray are reported. The most recent analysis of a retrospective registry established in the United Kingdom (UK), Germany and Switzerland, which collected safety data on more than 900 patients, has indicated a positive risk-benefit profile for THC:CBD oromucosal spray during long-term use. Long-term continuation rates were 68% (mean follow-up time 1 year) and the mean dose was 5.4 sprays/day. No new safety concerns were identified, and adverse events of special interest for a cannabis-based medicine were limited. The UK registry has since been closed but remains open in Germany and Switzerland. A prospective safety study undertaken in Spain involved 207 patients from 13 specialized MS centres who had been prescribed THC:CBD oromucosal spray. The findings aligned closely with the UK/German/Swiss registry data in terms of 1-year continuation rates (64.7%), mean daily dose (6.6 sprays/day) and safety profile, including no evidence of addiction, abuse or misuse. The homogeneity between these observational studies supports the interest in THC:CBD oromucosal spray for management of MS spasticity in daily practice. © 2016 S. Karger AG, Basel.

  7. Treatment of blunt thoracic aortic injury in Germany-Assessment of the TraumaRegister DGU®. (United States)

    Gombert, Alexander; Barbati, Mohammad E; Storck, Martin; Kotelis, Drosos; Keschenau, Paula; Pape, Hans-Christoph; Andruszkow, Hagen; Lefering, Rolf; Hildebrand, Frank; Greiner, Andreas; Jacobs, Michael J; Grommes, Jochen


    Using the data delivered by the German Trauma Register DGU® from 2002 till 2013, the value of different therapies of blunt thoracic aortic injury (BTAI) in Germany was analyzed. Prospectively collected data of patients suffering from BTAI were retrospectively analyzed with focus on the different treatment modalities for grade I-IV injuries. 821 patients suffering from BTAI were identified: 51.6% (424) grade I injury, 35.4% (291) grade II or III injury and 12.9% (106) grade IV injury (77.5% men [44.94 ± 20.6 years]). The main patterns of injury were high- speed accidents and falls (78.0% [n = 640], 21.8% [n = 171] respectively). Significant differences between grade I and grade II/III as well as IV injuries could be assessed for the incidence of cardiopulmonary resuscitation, a Glasgow Coma Scale score below 8 and a systolic blood pressure below 90 mmHg (p-value: injuries and cardiac arrest. Endovascular therapy became the treatment of choice for BTAI in Germany. Patients who have been treated by surgical means showed the highest survival rate, especially endovascular therapy showed a favorable low mortality rate.

  8. "Germany on Their Minds"? : : German Jewish Refugees in the United States and Relationships to Germany, 1938-1988


    Schenderlein, Anne Clara


    In the 1930s and early 1940s, approximately 90,000 Jews from Germany came to the United States as refugees fleeing the Nazis. Though these refugees were hurt by and driven from their homeland, many of them, in spite of this experience, lived with their lives and identities inextricably connected to Germany. This was not always because they wanted to engage, but often because the broader political circumstances of their lives in the United States during the Second World War and the Cold War de...

  9. Family policy in Germany: appraisal and assessment. (United States)

    Honekamp, Ivonne


    The German government spends about euro 185 billion on measures to support families. This amount is above European Union average, but still, families have become smaller and the number of childless couples has increased. This article outlines some of the 145 German policy measures to support families and their purpose. An assessment that takes into account economic theory and empirical studies shows that an increase of monetary incentives could influence the decision to bear a child only moderately. This implies that policy measures alone cannot be held responsible for the entire difference in fertility rates between countries. Cited studies based on surveys among the German and French populations reveal how different attitudes of the population may also play their role in determining the fertility rate of a country.

  10. Psychiatric disorders and urbanization in Germany


    Koelen Jurrijn; Peen Jaap; Dekker Jack; Smit Filip; Schoevers Robert


    Abstract Background Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in a nationwide German population study, controlling for other known risk factors such as gender, social class, marital status and the interaction variables of these factors with urbanization. Method...

  11. Problems of Economic Development in Reunified Germany. Retrospective Approach

    Directory of Open Access Journals (Sweden)

    Marta Gotz


    Full Text Available Does Eastern Germany differ significantly from Western part in economic terms? How have new Bundeslnder been developing over past twenty years? How fast has East been catching up with West? What could have hampered convergence? How today are German states equipped with factors determining future growth? How the new Bundeslnder performed do compared with the old ones? This paper seeks to address above mentioned questions. It offers a comprehensive review of key economic developments of two decades of reunited Germany. Particularly it examines current economic landscape; investigates convergence processes taking place since reunification and tries to identify most likely impediments hampering full catching up. Finally, it aims at assessing contemporary growth potential of German states. With respect to the starting point poor performance of East Germany back in 1990 the progress made and results achieved are impressive. Though, comparing the situation with Western part of the country significant discrepancies continue to exist. Certainly, assessment of the last twenty years of reunited Germany hinges much upon perspective taken. Two decades after Berlin Wall Fall opinions on economic consequences of reunification are more balanced, since much has been achieved, but much still needs to be done.

  12. Casting a University-Wide Net: Teaching "Sustainability in Germany" (United States)

    Ducate, Lara


    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…

  13. Environmental Education in Germany: Concepts, History, Projects, Visions. (United States)

    Tapia, Ivan, Ed.; Blochmann, Georg, Ed.


    This document presents the history of environmental education in Germany and reports on the diversions and solutions in the search for sustainable education. Five sections include: (1) "Environmental Education: Learning with All One's Senses"; (2) "Sustainability as the New Model: Knowledge of a New Quality"; (3)…

  14. The "Carbon-Neutral University"--A Study from Germany (United States)

    Udas, Erica; Wölk, Monique; Wilmking, Martin


    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…

  15. Climate Change: A "Green" Approach to Teaching Contemporary Germany (United States)

    Melin, Charlotte


    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…

  16. Development and Prospects of Academic Entrepreneurship Education in Germany (United States)

    Klandt, Heinz; Volkmann, Christine


    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…

  17. A Matter of Comparative Music Education? Community Music in Germany (United States)

    Kertz-Welzel, Alexandra


    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…

  18. Sustainable supply of biogas in Germany; Nachhaltige Biogasbereitstellung in Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Erler, Ronny [DBI - Gastechnologisches Institut gGmbH, Freiberg (Germany). Bereich Biogastechnologie; Ball, Thomas; Kiefer, Joachim [Technologiezentrum Wasser (Germany). Abt. Grundwasser und Boden; Dresen, Boris [Fraunhofer-Institut UMSICHT (Germany). Themenbereich Ressourcenmanagement; Koeppel, Wolfgang [DVGW-Forschungsstelle Karlsruhe (Germany). Gruppe Systeme und Netze


    The supply of certain substrates for biogas production is partly controversial discussed: 'Tank-or-plate' discussions, maize cultivation of the landscape and so forth. The research project 'Potential study for the sustainable production and supply of gaseous, renewable energy in Germany (Biogas Atlas)' examines the potentials of biogas production under consideration of various sustainability factors.

  19. Germany As We Saw It. Third Edition, 1963. (United States)

    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…

  20. Adult Education in Germany from the Middle Ages to 1980. (United States)

    Textor, Martin R.


    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…

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

    Energy Technology Data Exchange (ETDEWEB)

    Voss, C.F.; Roberds, W.J. [Golder Associates, Inc., Redmond, WA (United States)


    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, 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.

  2. The Decline of Industry. The Rurh Area in Germany

    NARCIS (Netherlands)

    H. van Dijk (Henk)


    textabstractThe effects of the decline of industry on urban development can particularly be felt in the former nineteenth-century industrial regions in Europe. In Germany the Ruhr Area was one of the most important industrial regions with a dominance of heavy industry (coal, steel, chemicals and

  3. Virtual Campus – Trends and Perspectives in Germany

    NARCIS (Netherlands)

    J. Wedekind; P. Zentel; K. Bett; D. Meister; U. Rinn


    textabstractIn the last few years in Germany virtual campus initiatives have been funded considerably. In our paper we will give a review of comments and recommendations of the advisory boards in higher education policy and of the various funding schemes on the level of the federal states and the

  4. Modeling the hydrological effect on local gravity at Moxa, Germany

    NARCIS (Netherlands)

    Hasan, S.; Troch, P.A.A.; Boll, J.; Kroner, C.


    A superconducting gravimeter has observed with high accuracy (to within a few nm s¿2) and high frequency (1 Hz) the temporal variations in the earth¿s gravity field near Moxa, Germany, since 1999. Hourly gravity residuals are obtained by time averaging and correcting for earth tides, polar motion,

  5. Schooling of Immigrant Children in West Germany, Sweden, England (United States)

    Willke, I.


    The focus of this article is on children of migrant workers and immigrants in the schools of West Germany, Sweden and England. One central problem, that of language, is considered both as it is dealt with in policy, i. e., in curricula, and as it is actually implemented in some programs, which are typical for the actions in these countries.…

  6. Does Distance Determine Who Attends a University in Germany? (United States)

    Spiess, C. Katharina; Wrohlich, Katharina


    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…

  7. Greywater recycling systems in Germany--results, experiences and guidelines. (United States)

    Nolde, E


    Although Germany is not considered a water-poor country, there exist regional differences in water supply and consumption. During the past 15 years, the greywater aspect has been dealt with in Germany with a greater interest and variable success. In addition to an increased environmental awareness, water costs also play an important role in increasing the demand for advanced greywater treatment plants nstalled in buildings. Under favourable conditions, the amortisation costs usually lie between 5 and 7 years. Systems that have been extensively tried and tested and have been shown to be most reliable are those employing an advanced biological treatment followed by an UV disinfection. Systems based on membrane technology are being developed and researched intensively in Germany for municipal wastewater treatment. However, so far they play no role in greywater recycling. Greywater systems operating under low energy and maintenance requirements without the use of chemicals are mostly favoured. In Germany, greywater recycling systems should be registered at the Health Office in order to guarantee that no cross-connections exist with the drinking water network and that pipes are labelled according to regulations. The hygienic requirements for recycled greywater, which is primarily used for toilet flushing, are oriented towards the EU-Guidelines for Bathing Waters. The use of recycled greywater for irrigation purposes is minor. As to the use of recycled water for laundry, the first promising investigation results are now available.

  8. Cost-effectiveness of human papillomavirus vaccination in Germany

    NARCIS (Netherlands)

    Damm, Oliver; Horn, Johannes; Mikolajczyk, Rafael T; Kretzschmar, Mirjam E E|info:eu-repo/dai/nl/075187981; Kaufmann, Andreas M; Deleré, Yvonne; Ultsch, Bernhard; Wichmann, Ole; Krämer, Alexander; Greiner, Wolfgang


    BACKGROUND: The aim of this study was to assess the cost-effectiveness of human papillomavirus (HPV) vaccination in addition to the current cervical cancer screening programme in Germany using a dynamic transmission model. METHODS: Based on a mathematical model simulating the transmission dynamics

  9. [Basic research in ophthalmology in Germany and its international context]. (United States)

    Schlötzer-Schrehardt, U; Cursiefen, C


    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.

  10. Albedo neutron dosimetry in Germany: regulations and performance. (United States)

    Luszik-Bhadra, M; Zimbal, A; Busch, F; Eichelberger, A; Engelhardt, J; Figel, M; Frasch, G; Günther, K; Jordan, M; Martini, E; Haninger, T; Rimpler, A; Seifert, R


    Personal neutron dosimetry has been performed in Germany using albedo dosemeters for >20 y. This paper describes the main principles, the national standards, regulations and recommendations, the quality management and the overall performance, giving some examples. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email:

  11. Community nursing in Belgium, Germany and the Netherlands.

    NARCIS (Netherlands)

    Zee, J. van der; Kramer, K.; Kerkstra, A.; Stevens, F.C.J.; Derksen, A.


    This paper contains a comparative study on community nursing in the Netherlands, Belgium and Germany, carried out in the region around Maastricht, where the borders of the three countries meet. The well-known problem of comparative studies (the incomparability of concepts and data) has been solved

  12. Structuralization of Doctoral Education in Germany: An Interdisciplinary Comparison (United States)

    Qin, Lin


    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…

  13. Coordination of EU Policy Positions in Germany and Denmark

    DEFF Research Database (Denmark)

    Jensen, Mads Christian Dagnis; Jopp, Mathias; Nedergaard, Peter


    This article examines the coordination mechanisms, in Germany and Denmark, which develop nego-tiation positions for the Council in the European Union (EU). The analysis studies these mechanisms through the lens of the ‘politics of institutional choice’ approach, which previous scholars have ap...

  14. K-12 Education in Germany: Curriculum and PISA 2015 (United States)

    Atmacasoy, Abdullah


    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…

  15. The Acceptance of the Social Market Economy in Germany (United States)

    Schlösser, Hans Jürgen; Schuhen, Michael; Schürkmann, Susanne


    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…

  16. Postcolonial debates in Germany – An Overview1

    African Journals Online (AJOL)

    still leads actions against racism today. The autobiography by Theodor Michael, born in. 1925 from a German mother and a Cameroonian father arrived in Germany in 1903, was part of this movement. The author wrote about his childhood, spent in human zoos with his father, brothers and sisters, how he survived World War ...

  17. Epigenetics Europe conference. Munich, Germany, 8-9 September 2011. (United States)

    Jeltsch, Albert


    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.

  18. The Baltic policy of Germany and current international relations

    Directory of Open Access Journals (Sweden)

    Salikov Aleksey


    Full Text Available This article analyses the Baltic policy of united Germany from the 1990s until today. The authors set out to identify the significance of German-Baltic relations and the role of the Eastern policy in Russian-German relations. The method of dynamic comparison between the political and economic narrative in intergovernmental relations makes it possible to identify distinctive features of Germany’s Baltic policy in the context of current international relations. In particular, it is noted that Germany was most active in the Baltic region in the 1990s, when the country was establishing political, economic, and cultural ties with the new independent states. In the second half of the 1990s, Germany’s foreign policy became less intense. After the accession of Lithuania, Latvia, and Estonia to the EU and NATO in 2004, certain disagreements started to arise between Germany and the Baltics. It explains the lukewarm relations between them. The Ukraine events brought about a change in Germany’s regional policy. Despite Russia remaining one of the key economic and political counteractors, Germany, being a partner of the Baltics in the EU and NATO, cannot adopt a neutral position in the conflict of interests between the Baltics and Russia.

  19. Resensies: Letters of Stone. From Nazi Germany to South Africa ...

    African Journals Online (AJOL)

    Book Title: Letters of Stone. From Nazi Germany to South Africa. Book Author: Steven Robins. Cape Town: Penguin, 2016. 314 pp. ISBN 978 1 77609 024 2. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT ·

  20. Management of shopping centers in Germany : Changes and future challenges


    Schulz, Manja


    The central point of this thesis is to find out what shopping centers in Germany have to offer their customers to stay successful in the long run. The challenge lies in constant changes of customers’ preferences and increasing e-commerce in combination with brick and mortar (B&M) shopping center complexes.

  1. Monitoring of Putative Vectors of Bluetongue Virus Serotype 8, Germany (United States)

    Hoffmann, Bernd; Bauer, Burkhard; Bauer, Christian; Bätza, Hans-Joachim; Beer, Martin; Clausen, Peter-Henning; Geier, Martin; Gethmann, Jörn M.; Kiel, Ellen; Liebisch, Gabriele; Liebisch, Arndt; Mehlhorn, Heinz; Schaub, Günter A.; Werner, Doreen


    To identify the vectors of bluetongue virus (BTV) in Germany, we monitored Culicoides spp. biting midges during April 2007–May 2008. Molecular characterization of batches of midges that tested positive for BTV suggests C. obsoletus sensu stricto as a relevant vector of bluetongue disease in central Europe. PMID:19788820

  2. Searching for Telecollaboration in Secondary Geography Education in Germany (United States)

    Deutscher, Jelena


    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…

  3. Security Analysis of the Health Care Telematics Infrastructure in Germany


    Huber, Michael;Sunyaev, Ali;Krcmar, Helmut


    Based on ISO 27001 for Information Security Management Systems, this paper introduces a newly developed security analysis approach, suitable for technical security analyses in general. This approach is used for a security analysis of several components and processes of the Health Care Telematics in Germany. Besides the results of the analysis, basics for further analysis and verification activities is given.

  4. Young People's Literature in the Federal Republic of Germany Today. (United States)

    Pribic, Rado


    Notes that major trends and characteristics of youth literature in the Federal Republic of Germany today are reflected in best selling books dealing with one of the following topics: terrorism; minorities and other outsider groups; the career world; and personal psychological conflicts intertwined with social issues. (MKM)

  5. Germany plans 60m euro physics and medicine lab (United States)

    Stafford, Ned


    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.

  6. Prevalence of weather sensitivity in Germany and Canada (United States)

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


    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

  7. [Unintentional injuries among children and adolescents in Germany. Data sources and results]. (United States)

    Varnaccia, G; Saß, A-C; Rommel, A


    Compared to adults, children and adolescents run a considerably higher risk of suffering unintentional injuries (UI). To prevent UI, detailed knowledge of the overall accident occurrence and the determinants of UI is needed. This article gives an overview of the data sources covering the occurrence of UI among children and adolescents in Germany. According to the Robert Koch Institute's German Health Interview and Examination Survey for Children and Adolescents (KiGGS), approximately 15.3 % of children and adolescents (1-17 years) in Germany suffer at least one UI within 12 months. Most accidents (60.7 %) occur at home or during leisure-time activities. In 2011, the German Statutory Accident Insurance (DGUV) registered more than 1.4 million accidents among children in day-care facilities and students in educational institutions. According to official statistics, in the same year, more than 50,000 children and adolescents were injured in traffic accidents. Moreover, the Federal Statistical Office registered 260,534 hospital admissions due to injuries and poisonings among children and adolescents. All data sources revealed age- and sex-specific differences. Boys suffer UI more frequently than girls do and they show higher injury rates in adolescence than during childhood. While UI among children mostly happen at home, road traffic and leisure-time accidents increase in occurrence during adolescence. In Germany, there are numerous initiatives dedicated to the prevention of UI in children and adolescents. The creation of target group-specific prevention measures is complicated by the fact that the methodological approaches of existing data sources differ considerably.

  8. Job satisfaction of radiologists in Germany. Status quo; Berufszufriedenheit von Radiologen in Deutschland. Aktueller Stand

    Energy Technology Data Exchange (ETDEWEB)

    Beitzel, K.I.; Grosse, C.; Reiser, M.; Ertl-Wagner, B. [Klinikum der Univ. Muenchen LMU, Grosshadern (Germany). Inst. fuer Kliniksche Radiologie; Ertl, L. [Klinikum der Univ. Muenchen LMU, Grosshadern (Germany). Inst. fuer Neuroradiologie


    Purpose: The aim of this study was to identify and evaluate the work-related satisfaction of radiologists and its influencing factors in Germany. Materials and Methods: For this purpose an invitational letter for an online opinion survey was sent to all member physicians of the Deutsche Roentgengesellschaft in 2008. 1200 questionnaires were completed (response rate 21 %) and evaluated statistically. Results: 81.7 % of radiologists declared themselves as being 'very' or 'rather satisfied'. The level of satisfaction was largely independent of age, gender, status, salary or family status. It increased over the last 5 years for 37.5 % of participants and decreased for 24.8 %. Nevertheless, 72 % of respondents indicated that they would not choose to specialize in radiology again. The main reason given was the workload. 65.6 % deemed it to be 'considerably' or 'rather too high'. Concomitantly, more than 70 % of respondents indicated that the workload had increased 'a lot' or 'rather'. Further reasons for not wanting to select the radiological profession again were 'unfavorable working hours' and 'unsatisfactory career perspectives'. Conclusion: The job satisfaction of radiologists in Germany is generally very high in spite of the perception of an extensive and frequently increasing workload. The high workload was the dominant factor against a renewed selection of the field of radiology. These data have to be interpreted in light of the current lack of residents and trained radiologists in Germany to counteract the trend toward emigration. (orig.)

  9. Antimicrobial resistance of Neisseria gonorrhoeae in Germany: low levels of cephalosporin resistance, but high azithromycin resistance. (United States)

    Buder, Susanne; Dudareva, Sandra; Jansen, Klaus; Loenenbach, Anna; Nikisins, Sergejs; Sailer, Andrea; Guhl, Eva; Kohl, Peter K; Bremer, Viviane


    The widespread antimicrobial resistance of Neisseria gonorrhoeae is a serious problem for the treatment and control of gonorrhoea. Many of the previously effective therapeutic agents are no longer viable. Because N. gonorrhoeae infections are not reportable in Germany, only limited data on disease epidemiology and antimicrobial susceptibility patterns are available. The Gonococcal Resistance Network (GORENET) is a surveillance project to monitor trends in the antimicrobial susceptibility of N. gonorrhoeae in Germany in order to guide treatment algorithms and target future prevention strategies. Between April 2014 and December 2015, data on patient-related information were collected from laboratories nationwide, and susceptibility testing was performed on 537 N. gonorrhoeae isolates forwarded from the network laboratories to the Conciliar Laboratory for gonococci. Susceptibility results for cefixime, ceftriaxone, azithromycin, ciprofloxacin and penicillin were defined according to EUCAST 4.0 standards. Percentages, medians and interquartile ranges (IQR) were calculated. Altogether, 90% of isolates were from men. The median age was 32 (IQR 25-44) years for men and 25 (IQR 22-40) years for women (p-value resistant to ceftriaxone. Furthermore, 1.9% (in 2014) and 1.4% (in 2015) of the isolates were resistant to cefixime, 11.9% and 9.8% showed resistance against azithromycin, 72.0% and 58.3% were resistant to ciprofloxacin, and 29.1% and 18.8% were resistant to penicillin. Resistance to ceftriaxone was not detected, and the percentage of isolates with resistance to cefixime was low, whereas azithromycin resistance showed high levels during the observation period. The rates of ciprofloxacin resistance and penicillin resistance were very high across Germany. Continued surveillance of antimicrobial drug susceptibilities for N. gonorrhoeae remains highly important to ensure efficient disease management.

  10. Pharmaco-economic impact of demographic change on pharmaceutical expenses in Germany and France. (United States)

    Boecking, Wolfgang; Klamar, Anna; Kitzmann, Florian; Kirch, Wilhelm


    Most European health care systems are suffering from the impact of demographic change. In short, aging of society is leading to higher costs of treatment per capita, while reproduction rates below 2.1 children per woman lead to a reduced number of younger people to provide for the necessary contributions into the health insurance system.This research paper addresses the questions what impact the demographic development will have on one particular spending area, what are pharmaceutical expenditure in two of Europe's largest health care systems, Germany and France, and what the implications are for pharmaceutical companies. The research is based on publicly available data from German and French health ministries, the OECD, and institutes which focus on projection of demographic development in those countries. In a first step, data was clustered into age groups, and average spending on pharmaceuticals was allocated to that. In the second step, these figures were extrapolated, based on the projected change in the demographic structure of the countries from 2004 until 2050. This leads to a deeper understanding of demand for pharmaceutical products in the future due to the demographic development as a single driving factor. - Pharmaceutical expenses per head (patient) will grow only slightly until 2050 (0.5% p.a. in both countries). - Demographic change alone only provides for a slowly growing market for pharmaceutical companies both in Germany and in France, but for a relevant change in the consumption mix of pharmaceutical products, based on a shift of relevance of different age groups. Despite demographic changes pharmaceutical expenses per head (patient) and the overall pharmaceutical markets will grow only slightly until 2050 in Germany as well as in France. Nevertheless, the aging of society implies different challenges for pharmaceutical companies and also for the health care system. Companies have to cope with the shift of relevance of different age groups and

  11. Depression stigma and migration - results of a survey from Germany. (United States)

    Makowski, Anna C; von dem Knesebeck, Olaf


    There are barely any studies focusing on migration in relation to mental illness stigma. We explore present attitudes regarding depression among migrants (either born in Germany or born abroad) and non-migrants in Germany, drawing upon three components of public stigma: stereotypes, emotional reactions and desire for social distance. Furthermore, differences in self-stigma of depression between the two groups are analyzed. Analyses are based on a representative telephone survey (N = 2013) in Germany. Respondents were presented with a vignette depicting either someone from Turkey or from Germany affected by depression, followed by questions on stereotypes, emotional reactions and desire for social distance. The (anticipated) self-stigma of depression was also assessed. Analyses of variance tested for differences between migrant and non-migrant respondents, stratified by migrant status in the vignette. Regarding the depression vignette depicting a non-migrant, there were only few differences between subgroups. However, when presented with a vignette describing someone from Turkey, respondents with migrant background who were foreign-born expressed greater stigmatizing attitudes, e.g. when it comes to stereotypes or desire for social distance. Furthermore, this subsample displayed higher levels of self-stigma of depression, especially regarding the ascription of own responsibility. The results underline the need to incorporate migration status/ethnicity in stigma research. Differences in attitudes as well as in (anticipated) self-stigma of depression identify foreign-born migrants in Germany as important target groups for tailored anti-stigma interventions, which need to consider diverse cultural backgrounds.

  12. The situation of space education in the unified Germany (United States)

    von Muldau, Hans H.

    Because of the unique situation of the unified Germany it is worth discussing the state of the art and the future aspects of space education in this country. Two different social and educational systems of the F.R.G. (Federal Republic of Germany) and the G.D.R. (German Democratic Republic) have to be synchronized. The increase of the population by the unification affected the space science related people. So the majorities change. At the moment the severe unemployment situation in eastern Germany hides this fact. But we have to be prepared for this in years to come. The different relation to the space science programs of the U.S.A. and Russia for the German scientist gives a chance for more international understanding and cooperation. This becomes a subject of educational approach to the international cooperation problem. The start of DARA (the German national space administration) in 1989 accompanied by dramatic concentration of space knowledge in DASA (the cooperation of the German national space industry) in the late eighties, shows that Germany has begun to concentrate its capabilities. On such a background, space education for the majority of the population becomes understandable and desirable. European commercial unification on an open market at the beginning of 1993 helps to concentrate the Germans on their historical part and task in the European market. Therefore, many solutions to establish effective space education becomes visible which were hidden behind walls of emotions and prejudices in the past. So the forecast for space education in Germany for the nineties has never been better. The only remaining problem—funding—has to be solved by unconventional ways, e.g. a foundation by the industry as in other countries.

  13. Globalization and the effects of changes in functional income distribution on aggregate demand in Germany


    Engelbert Stockhammer; Eckhard Hein; Lucas Grafl


    Germany has experienced a period of extreme nominal and real wage moderation since the mid 1990s. Contrary to the expectations of liberal economists this has failed to improve Germany's mediocre economic performance. However, Germany is now running substantial current account surpluses. One possible explanation for Germany's disappointing performance is found in Kaleckian theory, which highlights that the domestic demand effect of a decline in the wage share will typically be contractionary, ...

  14. [Young doctors wanted - but how many? : Current data on the number of aspiring specialist doctors in orthopedics and trauma surgery in Germany]. (United States)

    Münzberg, Matthias; Sotow, Barbara; Hoffmann, Reinhard; Kladny, Bernd; Perl, Mario; Stange, Richard; Mutschler, Manuel


    There is an ongoing discussion about demographic change, a possible lack of young doctors and its impact on the healthcare system in Germany. Up to now, no valid data has been available on the exact numbers of residents in orthopedics and trauma surgery. Therefore, the aim of this study was to determine the actual number of residents in Germany in 2013/2014. We generated a database with all eligible providers of postgraduate training in orthopedics and trauma surgery in Germany. All of these were asked to fill out a questionnaire about the number of trainees, their gender and year of training. We achieved an 80% response rate (1509 questionnaires). Within these institutions, 4310 residents are trained. For Germany, this means an estimated number of about 5300 residents in the year 2013/2014. Ninety percent of postgraduate training is performed within a hospital and one-third of the residents are female. Looking at the expected number of doctors who will retire within the next five years, there seems to be enough young doctors to fill the gap. However, by 2040, an increased demand for othopedic and trauma surgeons is experted. Thus, we recommend centrally analyzing and coordinating the demand of residents in orthopedics and trauma surgery in Germany.

  15. Frequency of trisomy 21 in Germany before and after the Chernobyl accident

    Energy Technology Data Exchange (ETDEWEB)

    Sperling, K.; Pelz, J.; Wegner, R.D.; Schulzke, I.; Struck, E. (Institut fuer Humangenetik, Berlin (DE))


    For Berlin (West) the rate of trisomy 21 among newborn and all prenatally diagnosed cases can be almost completely recorded, including the maternal age distribution. During the 9-year-period from 1980 to 1988 the average number of trisomy 21 per month was about 2, following a Poisson distribution. A significant increase (P < 0.01) was observed in January 1987, excatly 9 months after the Chernobyl accident. In a supraregional study based on > 30 000 prenatal diagnoses performed in 1986, no significant effect could be observed. However, the highest rates of trisomy 21 were observed in the more heavily contaminated, southern part of Germany. The majority of these fetuses were conceived during the period of greatest radioactive exposure. The data are discussed with respect to the effect of low-dose radiation around the time of conception on the induction of non-disjunction in man.

  16. Disintegration and Violence among Migrants in Germany: Turkish and Russian Youths versus German Youths (United States)

    Baier, Dirk; Pfeiffer, Christian


    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…

  17. 77 FR 23508 - Brass Sheet and Strip From France, Germany, Italy, and Japan (United States)


    ... COMMISSION Brass Sheet and Strip From France, Germany, Italy, and Japan Determination On the basis of the... revocation of the antidumping duty orders on brass sheet and strip from France, Germany, Italy, and Japan...), entitled Brass Sheet and Strip from France, Germany, Italy, and Japan: Investigation Nos. 731-TA-313, 314...

  18. 76 FR 11509 - Brass Sheet and Strip From France, Germany, Italy, and Japan (United States)


    ... COMMISSION Brass Sheet and Strip From France, Germany, Italy, and Japan AGENCY: United States International... brass sheet and strip from France, Germany, Italy, and Japan. SUMMARY: The Commission hereby gives... strip from France, Germany, Italy, and Japan would be likely to lead to continuation or recurrence of...

  19. Benefit assessment in Germany: implications for price discounts. (United States)

    Theidel, Ulrike; von der Schulenburg, J-Matthias Graf


    The AMNOG regulation, introduced in 2011 in Germany, changed the game for new drugs. Now, the industry is required to submit a dossier to the GBA (the central decision body in the German sickness fund system) to show additional benefit. After granting the magnitude of the additional benefit by the GBA, the manufacturer is entitled to negotiate the reimbursement price with the GKV-SV (National Association of Statutory Health Insurance Funds). The reimbursement price is defined as a discount on the drug price at launch. As the price or discount negotiations between the manufacturers and the GKV-SV takes place behind closed doors, the factors influencing the results of the negotiation are not known. The aim of this evaluation is to identify factors influencing the results of the AMNOG price negotiation process. The analysis was based on a dataset containing detailed information on all assessments until the end of 2015. A descriptive analysis was followed by an econometric analysis of various potential factors (benefit rating, size of target population, deviating from appropriate comparative therapy and incorporation of HRQoL-data). Until December 2015, manufacturers and the GKV-SV finalized 96 negotiations in 193 therapeutic areas, based on assessment conducted by the GBA. The GBA has granted an additional benefit to 100/193 drug innovations. Negotiated discount was significantly higher for those drugs without additional benefit (p = 0.030) and non-orphan drugs (p = 0.015). Smaller population size, no deviation from recommended appropriate comparative therapy and the incorporation of HRQoL-data were associated with a lower discount on the price at launch. However, neither a uni- nor the multivariate linear regression showed enough power to predict the final discount. Although the AMNOG regulation implemented binding and strict rules for the benefit assessment itself, the outcome of the discount negotiations are still unpredictable. Obviously, negotiation

  20. Regional Poverty and Population Response:A Comparison of Three Regions in the United States and Germany

    Directory of Open Access Journals (Sweden)

    Rosemarie Siebert


    Full Text Available In this paper, we examine poverty in three regions in the United States and Germany and discuss its causes and demographic consequences. The three regions are those with the highest rates of poverty in the two countries: the Mississippi Delta and Texas Borderland in the United States and the Northeastern Border Region in Germany. We show that standard models to explain poverty need to be placed in the historical legacies of the three regions in order to understand their current levels of poverty. While our results show many common factors for poverty in the three regions, they also point to important differences. Similarly, we identify differences among the regions in their demographic responses to poverty, in part reflecting their different historical legacies. Thus, one implication of the paper is the importance of place-based poverty-mitigation strategies for successful policy planning.

  1. Costs of back pain in Germany. (United States)

    Wenig, Christina M; Schmidt, Carsten O; Kohlmann, Thomas; Schweikert, Bernd


    With 12-month prevalence rates of more than 70%, back pain is currently one of the major health problems for German adults and entails major economic consequences. The aim of this study was to estimate back pain-related costs from a societal perspective and to determine the impact of sociodemographic variables on costs. Based on back pain-related survey data of a large German adult sample (9267 respondents, response rate 60%), costs were assessed using a prevalence-based bottom-up approach. Direct costs caused by utilisation of healthcare services, as well as indirect costs due to back pain-related production losses were considered. All prices are expressed in 2005 Euros. Average total back pain costs per patient were estimated to be 1,322 euro (95% CI [1173-1487]) per year. These costs are split between direct (46%) and indirect (54%) costs. Bivariate analysis showed considerable differences in total costs between the Von Korff back pain grades (GCPS Group I: Mean 414.4, 95% CI [333.2-506.3]; II: 783.6 [574.5-1044.4]; III: 3017.2 [2392.9-3708.6]; IV: 7115.7 [5418.5-9006.5]). Male gender, increasing age, single status, low education, unemployment, and increasing back pain grade had a significant positive impact on the cost magnitude in multivariate analysis. Despite several limitations, this study provides important information concerning the relevance of back pain as a health problem and its socioeconomic consequences. The information may be of value for decision-making and allocation of research fund resources.

  2. Psychiatric disorders and urbanization in Germany. (United States)

    Dekker, Jack; Peen, Jaap; Koelen, Jurrijn; Smit, Filip; Schoevers, Robert


    Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in a nationwide German population study, controlling for other known risk factors such as gender, social class, marital status and the interaction variables of these factors with urbanization. The Munich Composite International Diagnostic Interview (M-CIDI) was used to assess the prevalence of mental disorders (DSM-IV) in a representative sample of the German population (N = 4181, age: 18-65). The sample contains five levels of urbanization based on residence location. The epidemiological study was commissioned by the German Ministry of Research, Education and Science (BMBF) and approved by the relevant Institutional Review Board and ethics committee. Written informed consent was obtained for both surveys (core survey and Mental Health Supplement). Subjects did not get any financial compensation for their study participation. Higher levels of urbanization were linked to higher 12-month prevalence rates for almost all major psychiatric disorders (with the exception of substance abuse and psychotic disorders). The weighted prevalence percentages were highest in the most urbanized category. Alongside urbanization, female gender, lower social class and being unmarried were generally found to be associated with higher levels of psychopathology. The impact of urbanization on mental health was about equal (for almost all major psychiatric disorders) in young people and elderly people, men and women, and in married and single people. Only people from a low social class in the most urbanized settings had more somatoform disorders, and unmarried people in the most urbanized settings had more anxiety disorders. Psychiatric disorders are more prevalent among the inhabitants of more urbanized areas

  3. Psychiatric disorders and urbanization in Germany

    Directory of Open Access Journals (Sweden)

    Koelen Jurrijn


    Full Text Available Abstract Background Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in a nationwide German population study, controlling for other known risk factors such as gender, social class, marital status and the interaction variables of these factors with urbanization. Methods The Munich Composite International Diagnostic Interview (M-CIDI was used to assess the prevalence of mental disorders (DSM-IV in a representative sample of the German population (N = 4181, age: 18–65. The sample contains five levels of urbanization based on residence location. The epidemiological study was commissioned by the German Ministry of Research, Education and Science (BMBF and approved by the relevant Institutional Review Board and ethics committee. Written informed consent was obtained for both surveys (core survey and Mental Health Supplement. Subjects did not get any financial compensation for their study participation. Results Higher levels of urbanization were linked to higher 12-month prevalence rates for almost all major psychiatric disorders (with the exception of substance abuse and psychotic disorders. The weighted prevalence percentages were highest in the most urbanized category. Alongside urbanization, female gender, lower social class and being unmarried were generally found to be associated with higher levels of psychopathology. The impact of urbanization on mental health was about equal (for almost all major psychiatric disorders in young people and elderly people, men and women, and in married and single people. Only people from a low social class in the most urbanized settings had more somatoform disorders, and unmarried people in the most urbanized settings had more anxiety disorders. Conclusion Psychiatric disorders are more

  4. The Weichselian phases of the Scandinavian Ice Sheet in northeast Germany revisited (United States)

    Boese, Margot; Hardt, Jacob; Christopher, Lüthgens


    Recent progress in the dating of glacial and glaciofluvial sediments is about to considerably change the existing geochronological model of the Weichselian Brandenburg, Frankfurt, and Pomeranian phases in northeast Germany. Several studies were carried out with the aim to obtain depositional ages of glaciofluvial deposits with the Optically Stimulated Luminescence (OSL) dating method. Sediments deposited during the advance of the inland ice were dated with OSL as well as sediments that were deposited during the succeeding down wasting phase. Additionally, cosmogenic nuclide surface exposure ages of glacigenic boulders were compiled from literature, which indicate the landscape stabilization after the down wasting of the ice. These ages were recalibrated with a recent 10Be production rate. In combination, the results from both methods provide a consistent geochronological database. Our results show that the ice advance of the Weichselian Brandenburg phase took place already in late Marine Isotope Stage 3, and does not correlate to the global last glacial maximum (in terms of ice volume), which was previously assumed. This is peculiarly interesting because the Brandenburg ice marginal position is representative of the largest Weichselian ice extent in northeast Germany. The ice advance of the Brandenburg phase seems to correlate with the Klintholm advance in Denmark. The Frankfurt phase represents the succeeding down wasting phase, during which a succession of ice marginal fans was formed on the Barnim plateau in middle Brandenburg. Evidence of a single ice marginal position representative of the Frankfurt phase has so far not been found. The ice advance during the last global glacial maximum occurred during the Pomeranian phase and thus does not represent the Weichselian maximum advance in Brandenburg but the MIS 2. Key references: Hardt, J., Lüthgens, C., Hebenstreit, R., Böse, M., 2016: Geochronological (OSL) and geomorphological investigations at the presumed

  5. Participation in cancer screening among female migrants and non-migrants in Germany (United States)

    Brzoska, Patrick; Abdul-Rida, Chadi


    Abstract In many European countries, migrants utilize cancer screening less often than non-migrants. In Germany, in contrast, higher rates of utilization among migrants as compared with non-migrants have been reported. The role of demographic and socioeconomic factors potentially confounding the association between migration status and participation in screening, however, could not be studied. The present study aims to investigate the utilization of cancer screening among migrant and nonmigrant women residing in Germany, adjusting for potential confounders. We used self-reported information from women surveyed on whether they have ever participated in screening for cancer (n = 11,709). The data was collected as part of a cross-sectional representative telephone survey conducted by the Robert Koch-Institute in 2010. We distinguished between three groups of women: (1) respondents of non-German nationality, those who had immigrated to Germany after their birth or those who have two foreign-born parents (“migrants with two-sided migration background”), (2) respondents who only have one foreign-born parent (“migrant with one-sided migration background”), and (3) all others (“non-migrants”). To account for confounders, logistic regression analysis was performed. Only individuals proficient in German were included in the survey, allowing to control for a bias arising from poor language proficiency. 84.9% of nonmigrant women, 82.1% of women with a one-sided, and 70.5% of women with a two-sided migration background had utilized screening for cancer at least once in their lifetime before the survey. The adjusted odds ratios (OR) as compared with nonmigrant women were 0.99 (95% confidence interval [95% CI]: 0.77–1.27) and 0.55 (95% CI: 0.47–0.64), respectively. The study shows that migrant women with a two-sided migration background residing in Germany utilize screening for cancer less often than nonmigrant women—independently of demographic and

  6. High variability of TB, HIV, hepatitis C treatment and opioid substitution therapy among prisoners in Germany

    Directory of Open Access Journals (Sweden)

    Jana Müller


    Full Text Available Abstract Background In Germany, medical care of prisoners is completely separated from extramural health care. The extent and quality of medical care among prisoners in Germany are therefore largely unknown. We performed a secondary data analysis of pharmacy sales data for tuberculosis (TB, HIV, hepatitis C (HCV and opioid substitution treatment (OST delivered to prisons in 11 federal states (FS in Germany between 01/2012 and 03/2013. The aims of this study were to assess (i the treatment availability for the selected diseases and OST in German prisons, (ii the proportion of prisoners treated per FS and overall for TB, HIV, HCV and OST during the study period. Methods Substances unique to or typically used for the treatment of each disease were defined as marker substances with defined daily doses (DDD. For each marker substance we assessed the cumulative number of DDD, the average daily number of DDD (DDDd and average treatment prevalence per day in percent (adTP. Accordingly, the DDDd represents one person treated per day and the adTP means the proportion of prisoners treated per day. We compared the adTP of the diseases with previously measured prevalences. Results We obtained data from pharmacies supplying prisons in 11 of 16 German FS. Of the included prisons, 41% were supplied with medicines for TB, 71% for HIV and 58% for HCV and OST. Twice as many delivered marker substances for TB were indicated for the continuation phase and chemoprevention than the intensive phase. The HIV adTP ranged from 0.06% to 0.94%, HCV adTP ranged from 0.03% to 0.59% and OST adTP ranged from 0% to 7.90%. The overall adTP for the respective treatment was 0.39% for HIV, 0.12% for HCV and 2.18% for OST. Conclusions According to our findings treatment rates for TB were consistent with the expected TB prevalence, at least in Berlin. HIV treatment seems to be offered to an adequate proportion of estimated infected prisoners. In contrast, the HCV treatment prevalence

  7. Smoke-Free Laws and Direct Democracy Initiatives on Smoking Bans in Germany: A Systematic Review and Quantitative Assessment

    Directory of Open Access Journals (Sweden)

    Stefan Kohler


    Full Text Available Background: Germany’s 16 states regulate smoking differently within health protection principles laid down in the federal law. All state smoke-free laws in Germany have undergone at least one change since taking effect. Methods: We systematically review federal and state laws regulating smoking, as well as petitions, popular initiatives and referenda that aimed at changing statutory smoking bans. Data generated through the systematic review were correlated with state smoking rates. Results: The protection from the dangers of secondhand smoke is the primary motive for smoking bans in Germany. The first smoke-free laws affecting smoking in pubs, restaurants and several other public places were introduced in 2007. In 2008, the Federal Constitutional Court of Germany ruled in a leading decision on the smoke-free laws of two states that some common smoking ban exemptions of the introduced smoke-free laws violate the basic right to freely exercise a profession and mandated revisions. All states but Bavaria and Saarland, whose smoking bans were more and less comprehensive than those judged by the constitutional court, respectively, needed to change the smoking ban exemptions to reconcile their smoke-free laws with the constitution. Direct democracy initiatives to change smoking bans were only successful in Bavaria in 2010, but a total of 15 initiatives by citizens’ or interest groups attempted to influence non-smokers protection legislation through direct democratic procedures. Early ratification of a smoking ban in a federal state correlates with a higher reduction in the smoking rate from 2005 to 2009 (Spearman’s ρ = 0.51, p = 0.04. Conclusions: The federal government structure and direct democratic participation in smoke-free legislation in Germany has produced a diversity of local smoking bans and exemptions.

  8. The high cost of half-hearted breastfeeding promotion in Germany. (United States)

    Rouw, Elien; Hormann, Elizabeth; Scherbaum, Veronika


    The economic value of breastfeeding to the society at large is under researched and its importance as a preventive public health strategy is underestimated. What little research there is indicates that considerable savings would accrue from following the WHO/UNICEF advice to breastfeed exclusively for six months and continue breastfeeding along with complementary foods for two years or more. Despite relatively high breastfeeding initiation in Germany, neither exclusive breastfeeding nor breastfeeding duration come close to international recommendations. Breastfeeding is mostly regarded as a woman's personal choice and the government has been slow to engage in breastfeeding promotion, support and research. Some structures in Germany do offer support for breastfeeding women - including the growing number of Baby Friendly Hospital Initiative (BFHI) certified hospitals and a comprehensive maternity leave policy. However, the costs of breastfeeding are mostly borne by the mothers and those for breastfeeding training mostly by the individual health care workers or hospital, while the health insurance companies and society-at-large are profiting from the financial savings from exclusive and long-term breastfeeding. Factors which might improve breastfeeding rates and duration in this country include broad expansion of and financial support for both BFHI hospitals as well as training for the health care personnel who support the mother-infant dyad during the breastfeeding period.

  9. Quality of life, caregiver burden and insurance in patients with Parkinson's disease in Germany. (United States)

    Müller, T; Woitalla, D


    German health politicians claim that maintenance and thus quality of life (QoL) of patients with chronic disease do not differ between the various healthcare insurance systems in Germany. Patient organizations i.e. the Deutsche Parkinson Vereinigung for patients with Parkinson's disease (PD), physicians, patients themselves and their carers controversially discuss this opinion making by politicians. We performed a survey to analyse the relations between QoL, insurance, disability and caregiver burden in 2603 patients with PD and their carers. Insurance with private reimbursement provides a significant better self-reported patient disability and QoL according to the various employed rating instruments in patients with PD. Government employees with PD, who have additional private insurance, demand for significant shorter intervals of care giving by their carers. In general, caregiver burden did not significantly differ between patients with PD of the different healthcare insurance systems. At least in Germany, obligatory medical insurance with associated state regulation of health care is inferior to private reimbursement insurance in various domains of QoL. © 2010 The Author(s). Journal compilation © 2010 EFNS.

  10. Evaluating Geothermal Potential in Germany by Numerical Reservoir Modeling of Engineered Geothermal Systems (United States)

    Jain, Charitra; Vogt, Christian; Clauser, Christoph


    We model hypothetical Engineered Geothermal System (EGS) reservoirs by solving coupled partial differential equations governing fluid flow and heat transport. Building on EGS's strengths of inherent modularity and storage capability, it is possible to implement multiple wells in the reservoir to extend the rock volume accessible for circulating water in order to increase the heat yield. By varying parameters like flow rates and well-separations in the subsurface, this study looks at their long-term impacts on the reservoir development. This approach allows us to experiment with different placements of the engineered fractures and propose several EGS layouts for achieving optimized heat extraction. Considering the available crystalline area and accounting for the competing land uses, this study evaluates the overall EGS potential and compares it with those of other used renewables in Germany. There is enough area to support 13450 EGS plants, each with six reversed-triplets (18 wells) and an average electric power of 35.3MWe. When operated at full capacity, these systems can collectively supply 4155TWh of electric energy in one year which would be roughly six times the electric energy produced in Germany in the year 2011. Engineered Geothermal Systems make a compelling case for contributing towards national power production in a future powered by a sustainable, decentralized energy system.

  11. Brine migration test report: Asse Salt Mine, Federal Republic of Germany: Technical report

    Energy Technology Data Exchange (ETDEWEB)

    Coyle, A.J.; Eckert, J.; Kalia, H.


    This report presents a summary of Brine Migration Tests which were undertaken at the Asse mine of the Federal Republic of Germany (FRG) under a bilateral US/FRG agreement. This experiment simulates a nuclear waste repository at the 800-m (2624-ft) level of the Asse salt mine in the Federal Republic of Germany. This report describes the Asse salt mine, the test equipment, and the pretest properties of the salt in the mine and in the vicinity of the test area. Also included are selected test data (for the first 28 months of operation) on the following: brine migration rates, thermomechaical behavior of the salt (including room closure, stress reading, and thermal profiles), borehole gas pressures, and borehole gas analyses. In addition to field data, laboratory analyses of pretest salt properties are included in this report. The operational phase of these experiments was completed on October 4, 1985, with the commencement of cooldown and the start of posttest activities. 7 refs., 68 figs., 48 tabs.

  12. The 'wish to have a child', childlessness and infertility in Germany. (United States)

    Stöbel-Richter, Yve; Beutel, Manfred E; Finck, Carolyn; Brähler, Elmar


    Based on the declining birth rates in Germany, one might assume that the number of people who unintentionally are without children is growing. However, studies over recent years have documented that the number of people who deliberately have no children is growing instead. This report focuses on attitudes and motives which influence the realization of the desire to have a child. In a representative survey, 785 women and 795 men were questioned about their current wish to have a child, their ideal number of children and the motives for or against the decision to have a child. Emotional aspects are the most important motives in favour of having children, and financial restraints are most frequently cited as arguments against parenthood in German society. Thus, deciding in favour or against having children still appears to be an indicator of social disparity, due to the fact that every realized child wish underlines the differences between parents and childless individuals through the increasing financial burdens. As a large number of individuals and couples in Germany postpone realization of their desire to have a child, this may lead to a change from a voluntary to an involuntary childlessness in the individual decision process. Therefore, education about fertility as a resource should be promoted.

  13. First Real-World Insights into Belimumab Use and Outcomes in Routine Clinical Care of Systemic Lupus Erythematosus in Germany: Results from the OBSErve Germany Study. (United States)

    Schwarting, Andreas; Schroeder, Johann O; Alexander, Tobias; Schmalzing, Marc; Fiehn, Christoph; Specker, Christof; Perna, Alessandra; Cholmakow-Bodechtel, Constanze; Koscielny, Volker B; Carnarius, Heike


    OBSErve Germany was the first observational study of belimumab as add-on treatment for systemic lupus erythematosus (SLE) in routine clinical care in Germany, retrospectively collecting data from 102 SLE patients, 6 months before and after belimumab initiation. Most patients had moderate or severe SLE and several SLE manifestations. After 6 months of belimumab treatment, 78% of patients showed an improvement in overall disease activity of at least 20% in their physician's judgment and for 42% of patients the improvement was at least 50%. Similar results were observed for the most common manifestations: arthritis, fatigue, rash, alopecia, increased anti-dsDNA antibody levels, and low complement. The SLE Disease Activity Index (SLEDAI/SELENA-SLEDAI) decreased from 10.6 to 5.6 (n = 65), with other indices also showing improvement. A notable dose reduction was seen for concomitant oral corticosteroids, from 13.7 to 7.6 mg/day overall (n = 91), and from 17.5 to 8.6 mg/day in patients with a high corticosteroid dose at belimumab initiation (≥7.5 mg; n = 63). Six patients discontinued belimumab therapy within 6 months. Overall, belimumab showed promising results for SLE patients in real-world settings. After 6 months of belimumab treatment, disease activity and corticosteroid use were reduced. The discontinuation rate was low and belimumab appeared to be well tolerated. Funding GlaxoSmithKline UK.

  14. Preschool Child Care and Child Well-being in Germany

    DEFF Research Database (Denmark)

    Kaiser, Micha; Bauer, Jan M.

    Because the value of preschool child care is under intensive debate among both policymakers and society in general, this paper analyzes the relation between preschool care and the well-being of children and adolescents in Germany. It also examines differences in outcomes based on child socioecono......Because the value of preschool child care is under intensive debate among both policymakers and society in general, this paper analyzes the relation between preschool care and the well-being of children and adolescents in Germany. It also examines differences in outcomes based on child...... socioeconomic background by focusing on the heterogeneous effects for migrant children. Our findings, based on data from the German Health Interview and Examination Survey of Children and Adolescents, suggest that children who have experienced child care have a slightly lower well-being overall. For migrant...

  15. [Leucotomy in the early Federal Republic of Germany]. (United States)

    Rzesnitzek, L


    Leucotomy was introduced in 1936 in Europe as a therapy for mental illness. With the end of World War II leucotomy was also introduced in the early Federal Republic of Germany. Leucotomy was applied in cases of, for example schizophrenia, depression, obsessive-compulsive disorders or even some psychopathic disorders. The operations were carried out in neurosurgical departments outside psychiatric hospitals or patients were also transferred to those which had been established in psychiatric and neurological clinics. Based on published conference reports, retrospective case reports, dissertations as well as representative samples from medical files, the use of leucotomy in West Germany until the early 1950s is presented. It becomes obvious that the introduction of leucotomy in West German post-war psychiatry was encouraged by American psychiatry and neurosurgery.

  16. [Current Diagnostics and Treatment of FAI in Germany]. (United States)

    Lakemeier, S; Heyse, T J; Görlich, J; Timmesfeld, N; Fuchs-Winkelmann, S; Schofer, M D


    Femoroacetabular impingement (FAI) is a recently proposed mechanical concept for the development of osteoarthritis of the hip. Aim of this nationwide survey is the description of the current status of diagnostics and therapy of FAI in Germany. All orthopedic and traumatological hospitals listed in the "list of German hospitals 2006" were invited via e-mail to take part in this anonymous survey. The questionnaire was answered by 682 departments (50.5 %). 98 (14.3 %) of these departments treated FAI in 2007. In Germany, diagnostics and treatment of FAI were performed inconsistently in a small number of specialized hospitals. © Georg Thieme Verlag KG Stuttgart · New York.

  17. ILL ICT Solutions in Germany - Cooperation by Networking

    Directory of Open Access Journals (Sweden)

    Tatjana Mrowka


    Full Text Available Interlibrary loan (ILL has a long and valid tradition in Germany as many libraries suffered severely by loss of materials due to the consequences of WWII. Ever since, libraries cooperated by negotiating ILL routing mechanisms using Union Catalogues as hubs to fulfill the enormous demands of their patrons. Since these Union Catalogues have been retro-converted into machine readable formats in the past decade, it was reasonable to use these data resources for an user friendly ILL service integrated into existing Digital Library infrastructures in Germany. The automated interlibrary loan network was born. The presentation will cover technical aspects and solutions, networking of existing regional networks into one nation-wide ILL service, and last not least regulations and financial affairs.

  18. International strategies of business incubation: the USA, Germany and Russia

    Directory of Open Access Journals (Sweden)

    Evgeny Tsaplin


    Full Text Available In this paper we examine strategies of business incubation in the following countries: the USA, Germany and Russia using both a comparative theoretical analysis of different performance criteria of business incubators and interviewing experts who work directly with startup companies. We find that there are more differences than similarities between the strategies of business incubation in these countries. The USA prove to be far ahead of Germany and especially Russia in supporting start-ups. The study might impact a business practice in the way of clarifying the most significant characteristics and general trends of business incubation strategies in the countries mentioned to take them into account in the process of launching and developing startup companies in one or another country.

  19. Colombian Soldiers in Nazi Germany, 1934-1937

    Directory of Open Access Journals (Sweden)

    Luis Eduardo Bosemberg


    Full Text Available The article aims to narrate the visit the Colombian militaries paid to the Nazi Germany. It is based on the idea that this presence was not only part of the relations between the two countries but, instead, it contributed to the formation of networks in interrelated spaces. These soldiers got into the German military world which, in turn, managed to infiltrate Colombia as well. The article inquires into what the parties involved wanted, who participated, what attitudes Colombians had towards that country, if those soldiers were nazis. It is concluded that three missions were sent and they do not only visited Germany, but they were also in other countries. Their reports are full of admiration for the host country and the journey raised their criticism, which is evidenced in the constant compasions between the two countries. However, knowledge transfer did not have much effect because American influence grew and WWII broke out shortly after.

  20. Epidemiology of hepatitis A virus infections, Germany, 2007-2008. (United States)

    Faber, Mirko S; Stark, Klaus; Behnke, Susanne C; Schreier, Eckart; Frank, Christina


    Approximately 60% of hepatitis A virus infections in Germany occur in persons without a travel history to disease-endemic areas and for whom sources of infection are unknown. Recommendation of pretravel vaccination fails to prevent the remaining imported infections. Using enhanced surveillance in 2007-2008, we analyzed epidemiologic patterns of hepatitis A in Germany and appropriateness and adequacy of current immunization recommendations. Young patients with a migration background who had visited friends and family in their ancestral countries accounted for most imported cases. Phylogenetic analysis showed high diversity of sequence data and clustering of strains with similar regions of origin or patient migration backgrounds. Virologic findings are compatible with those of low-incidence countries, where virtually all infections are directly or indirectly imported from other regions. Germans with a migration background are seen as a special risk group so far insufficiently reached by pretravel vaccination advice.

  1. Results from power quality measurements in Germany - An overview

    Energy Technology Data Exchange (ETDEWEB)

    Gerdes, G.J.; Santjer, F. [German Wind Energy Inst, Wilhelmshaven (Germany)


    Grid interferences caused by wind turbines (WT) are getting a severe problem in Germany with the fast increasing number of installed turbines. The wind energy capacity was doubled annually in the past three years. The actual situation and the plannings for the next years will lead to a situation, where high wind energy penetration will exercise a big influence on the power and voltage quality of local utility networks. Measurements performed in Germany according to a national guideline show a big variety in power quality performance of WT`s, which does affect the requirements for grid connection and thus the economical situation of wind energy projects to a large extent. The results from more than 25 power quality measurements will be discussed in this paper. 5 refs., 5 figs., 1 tab.

  2. Self-assessment of competencies in dental education in Germany - a multicentred survey. (United States)

    Bitter, K; Rüttermann, S; Lippmann, M; Hahn, P; Giesler, M


    The aim was to assess the competencies of undergraduate dental students in Germany in the domains team competence, communicative competence, learning competence and scholarship. The survey was conducted at 11 dental schools that are equally distributed all over Germany. Competencies were assessed with the Freiburg Questionnaire to Assess Competencies in Medicine (FCM). A short version of the FCM was used in this study. This short form included the four domains: team competence (three items), communicative competence (eight items), learning competence (five items) and scholarship (four items). Students had to rate each item twice: first with regard to the respondent's current level of competence and second with regard to the level of competence that respondents think is required by their job. All items were rated on a five-point Likert scale (1 'very much' and 5 'not at all'). Responsible lecturers from all selected dental schools received another questionnaire to answer the questions whether the FCM domain corresponding learning objectives were taught at the respective dental school. A total of 317 undergraduate students from 11 dental schools in their last clinical year participated. The response rate varied between 48% and 92%. Cronbach's α for the FCM scales addressing the current level of competencies ranged from 0.70 to 0.89 and for the scales measuring the presumed level of competencies demanded by their job ranged from 0.72 to 0.82. The mean values of the scales for the assessment of the presumed level of competencies demanded by the job were significantly lower compared to the mean values of the scales for the current level of competencies (P communicative competence (SRM 1.18). Overall, the learning objectives that correspond to the assessed domains of competencies were taught to 19.6% completely, to 55.4% partially and to 25% not at all at the participating dental schools. The results of the present survey revealed that the participating students

  3. A chart review of management of ischemic stroke patients in Germany. (United States)

    Verpillat, Patrice; Dorey, Julie; Guilhaume-Goulant, Chantal; Dabbous, Firas; Brunet, Julie; Aballéa, Samuel


    Ischemic stroke (IS) poses physical, emotional, and economic burdens on both patients and the healthcare system in Germany. However, the management of IS is not well described, especially after hospital discharge. In this study, we aim to describe the management of IS at onset, admission, and during follow-up. German general practitioners (GPs) (n=40) extracted data on patient characteristics, hospitalizations, discharge, and ambulatory care from both GPs patient databases and hospital letters. Descriptive analyses were conducted. The sample included 185 patients with a mean age of 70 years [standard deviation (SD)=11.7]. Most patients (63%) contacted the Emergency Medical Services, while 36% contacted their GPs. The majority of patients were hospitalized within 1 h from onset, and the length of stay was on average 14 days. Half of the patients (50%) were admitted to the stroke unit, and 16% of patients received thrombolysis treatment with 2 h (SD=2.6) of time to treatment. Of the admitted patients, 32% were discharged to their homes, while the remaining patients were discharged to nursing homes (16.2%) and rehabilitation centers (47.6%). During the 12 months follow-up, 22% of patients were re-hospitalized and patients visited their GP (11.7 times), psychologist or psychiatrist (9.5 times), and neurologist (2.2 times). Death rate after stroke event was 13%. The rate of patients who received thrombolysis is lower than the optimal rate in Germany. More research is needed to determine the factors that could predict the utilization of thrombolysis treatment.

  4. GDP-Employment Decoupling and the Productivity Puzzle in Germany


    Klinger, Sabine; Weber, Enzo


    This paper investigates the productivity puzzle in Germany. We focus on the time-varying relationship between German output and employment growth, in particular their decoupling in recent years. We estimate a correlated unobserved components model that allows for both persistent and cyclical time variation in the employment impact of GDP as well as an autonomous employment component capturing other factors than real output. As one result, we measure a permanent decline in GDP impact on employ...

  5. Bioenergy in Germany. Facts and figures. Solid fuels, biofuels, biogas

    Energy Technology Data Exchange (ETDEWEB)



    The brochure under consideration gives statistical information about the bioenergy in Germany: Renewable energies (bioenergy) and solid fuels. For example, the structure of the primary energy consumption in the year 2010, the energy supply from renewables, gross electricity generation, the total sales of renewables, growth in number of installed pellet boilers, wood fuel equivalent prices by energy value or biofuels in comparison with heating oil are presented.

  6. Vegetation Database of Strict Forest Reserves in NW-Germany


    Dölle, Michaela; Schmidt, Wolfgang; Parth, Andreas


    Strict forest reserves are forests without any direct anthropogenic influence such as management activities. They have been established all over Germany as well as in many other European countries to gain a substantial, representative network of protected areas. Strict forest reserves can be used as a reference for forestry and nature conservation in order to derive modern forestry practices including the main goals of sustainability and biodiversity. Besides this they offer valuable...

  7. Retirement: Institutional Pathways and Individual Trajectories in Britain and Germany


    Anette E. Fasang


    Since the 1970s people have retired increasingly early across advanced societies. Parallel to this trend, numerous institutional early retirement pathways evolved, such as bridge unemployment and pre-retirement schemes. This article compares retirement in Britain and Germany to show how individuals progress through these institutional retirement pathways. The analysis uses longitudinal data and recent innovations in sequence analysis to capture the sequential nature of retirement as a series ...

  8. Childhood family structure and schooling outcomes: evidence for Germany


    Francesconi, Marco; Jenkins, Stephen P.; Siedler, Thomas


    We analyse the impact on schooling outcomes of growing up in a family headed by a single mother. Growing up in a non-intact family in Germany is associated with worse outcomes in models that do not control for possible correlations between common unobserved determinants of family structure and educational performance. But once endogeneity is accounted for, whether by using sibling-difference estimators or two types of instrumental variable estimator, the evidence that family structure affects...

  9. Reforming Family Taxation in Germany - Labor Supply vs. Insurance Effects


    Fehr, Hans; Kallweit, Manuel; Kindermann, Fabian


    The present paper quantifies the economic consequences of eliminating the system of income splitting in Germany. We apply a dynamic simulation model with overlapping generations where single and married agents have to decide on labor supply and homework facing income and lifespan risk. The numerical exercise computes the resulting welfare changes across households and isolates aggregate efficiency effects of a move towards either individual taxation or family splitting. Our results indicate s...

  10. Immigration and Structural Change: Evidence from Post-War Germany


    Braun, Sebastian; Kvasnicka, Michael


    Does immigration accelerate sectoral change towards high-productivity sectors? This paper uses the mass displacement of ethnic Germans from Eastern Europe to West Germany after World War II as a natural experiment to study this question. A simple two-sector model of the economy, in which moving costs prevent the marginal product of labor to be equalized across sectors, predicts that immigration boosts output per worker by expanding the high-productivity sector, but decreases output per worker...

  11. Solar technology in the Federal Republic of Germany (United States)


    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.



    Ober, Martina


    The purpose of this thesis was to find out differences in the behaviour and expectations of customers in restaurants in different countries, and how those differences affect the restaurant industry. The countries Finland and Germany were chosen to be compared with each. Respondents of both countries were asked in questionnaires about their preferences of service, complaining and tipping behaviour. In addition restaurant owners/managers were asked about their way of conducting service in their...

  13. Social role effects on gender stereotyping in Germany and Japan


    Steinmetz, Janina; Bosak, Janine; Szczesny, Sabine; Eagly, Alice


    Social role theory postulates that gender stereotypes are restrained for men and women observed in the same social role. Cultural differences in the valuation of communal attributes might moderate this effect. To examine this possibility, 288 participants (144 German, 144 Japanese) estimated the communal and agentic attributes of an average man or woman described in a male-dominated role, a female-dominated role, or without role information. We hypothesized and found that in Germany and Ja...

  14. Russian Image on the Federal Republic of Germany Screen


    Alexander Fedorov


    This article analyzed the image of Russia in the screen mirror of the Federal Republic of Germany for: determine the place and role of the image of the USSR and the Russian and Soviet / Russian characters in the movies from the beginning of the postwar German ideological confrontation to 1991 (the collapse of the Soviet Union) as compared with the trends of the modern era (1992 – present); identify political, ideological, social and cultural contexts, the main stages of development, concept...

  15. Graptolites from glacial erratics of the Laerheide area, northern Germany


    Maletz, J?rg; Sch?ning, Heinrich


    Ordovician and Silurian glacial erratics of the Laerheide area (Lower Saxony, north-western Germany) bear well-preserved graptolites. The faunas provide important information on the origin and transport direction of the sediments preserved in a kame, representing the Drenthe stadial of the Saalian glaciation. The faunas even include species not commonly encountered in the successions of mainland Sweden, from where the erratics presumably originated. The most common graptolites are from Upper ...

  16. Analysing inequalities in Germany a structured additive distributional regression approach

    CERN Document Server

    Silbersdorff, Alexander


    This book seeks new perspectives on the growing inequalities that our societies face, putting forward Structured Additive Distributional Regression as a means of statistical analysis that circumvents the common problem of analytical reduction to simple point estimators. This new approach allows the observed discrepancy between the individuals’ realities and the abstract representation of those realities to be explicitly taken into consideration using the arithmetic mean alone. In turn, the method is applied to the question of economic inequality in Germany.

  17. Germany at CERN, from 1 to 2 March 2005

    CERN Multimedia

    Patrice Loïez


    On 1 March the exhibition was visited by a German delegation headed by Dr Hermann Schunck, Director at BMBF.From left to right: Maximilian Metzger, CERN's Secretary-General, Hermann Schunck, Director at the German Federal Ministry of Education and Research, and Robert Aymar, CERN's Director-General, talking to Wolfgang Holler from Butting, one of the companies at the "Germany at CERN" exhibition. Far right : Susanne-Corinna Langer-Greipl from BMBF, delegate to the CERN Finance Committee.

  18. Areal potential Haude-evapotranspiration for Northern Germany

    Energy Technology Data Exchange (ETDEWEB)

    Beinhauer, R.


    Daily observations of 66 stations in Northern Germany were used to calculate Haude's potential evapotranspiration. A variogram analysis tested spatial reproduction. A long range annual mean of 1951-80 of potential evapotranspiration is presented in a chart together with charts of mean evapotranspiration for oats, apples, winterwheat, beetroot, winterbarley, maize and pasture within their phenological phases emergence to maturity or end of season.

  19. Tax Morale and Fiscal Autonomy: Evidence from Germany


    Benno Torgler; Jan Werner


    Why people pay their taxes voluntarily is a key puzzle in the public finance literature. Some suggest that factors such as the level of tax morale, defined as the intrinsic motivation to pay taxes, affects compliance behaviour. While there have been numerous studies that have explored tax compliance or tax evasion, very few have explored the concept of tax morale in any detail. The basic intention of the empirical part is to analyse how fiscal autonomy affects tax morale in Germany. This also...

  20. Distribution Dynamics of Regional GDP per Employee in Unified Germany


    Vollmer, Sebastian; Holzmann, Hajo; Ketterer, Florian; Klasen, Stephan


    We investigate to what extent convergence in production levels per worker has been achieved in Germany since unification. To this end, we model the distribution of GDP per employee across German districts using two-component normal mixtures. While in the first year after unification, the two-component distributions were clearly separated and bimodal, corresponding to the East and West German districts, respectively, in the following years they started to merge showing only one mode. Still, us...

  1. Employment Effects of Payroll Taxes - An Empirical Test for Germany


    Riphahn, Regina T.; Bauer, Thomas K.


    This study tests to what degree the incidence of payroll taxes in Germany is on employment and whether in consequence payroll taxes, in particular social insurance contributions, are the culprit behind the growing unemployment problem. Using industry level data for 18 years (1977-1994) we estimate a system of five interdependent, dynamic factor demand equations. Various simulations indicate that the employment effects of payroll taxes are minimal.

  2. Charles Darwin's Reception in Germany and What Followed.

    Directory of Open Access Journals (Sweden)

    Axel Meyer


    Full Text Available 150 years ago, Heinrich Bronn provided in the first German translation of Charles Darwin's Origin of Species a rather liberal interpretation, even adding his own view of Darwin's ideas in an additional 15th chapter. Ernst Haeckel widely popularized his view of Darwinian evolution based on his reading of this translation. This was long seen - probably incorrectly - as the intellectual root of social Darwinism in Germany.

  3. Speculative Bubbles in Urban Housing Markets in Germany


    Kholodilin, Konstantin; Michelsen, Claus; Ulbricht, Dirk


    In the light of the unconventional monetary policies conducted by the majority of large central banks around the world, there is an intense debate about their potential impact on the prices of capital assets. Particularly in Germany, skepticism about the sustainability of the recent policy by the European Central Bank is widely spread and concerns about the emergence of a speculative price bubble are raised. However, studies on bubbles in house prices are scarce and provide mixed results. Mor...

  4. Survival of Patients with Oral Cavity Cancer in Germany (United States)

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


    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

  5. Alaria alata mesocercariae in raccoons (Procyon lotor) in Germany. (United States)

    Rentería-Solís, Zaida Melina; Hamedy, Ahmad; Michler, Frank-Uwe; Michler, Berit Annika; Lücker, Ernst; Stier, Norman; Wibbelt, Gudrun; Riehn, Katharina


    Alaria alata is a trematode of carnivores from Europe. The mesocercarial stage was recently identified in wild boar meat from Europe. Previous histopathologic studies showed the presence of unidentified parasitic cysts within the tongues of raccoons from northern Germany. For identification of the parasite species, tissue samples of 105 raccoons originating from a National Park in northern Germany and from Berlin metropolitan area were collected. Histological examination of cryotome sections of frozen as well as paraffin-embedded tongues were used to identify parasite cysts. These were located in the connective and adipose tissue and in close proximity to small arterioles, suggesting a hematogenous spread of the parasite. Often, cysts were surrounded with mild infiltration by inflammatory cells. Additionally, mesocercariae were isolated from defrosted tongue samples of 11 raccoons. Molecular-biology assays confirmed the parasite species as A. alata. Except for one positive raccoon from Berlin City, all other positive raccoons originated from the sylvan Müritz National park, indicating an abundance of intermediate hosts in this area. Our results show that raccoons can act as paratenic hosts for A. alata and extend the broad host range of this parasite to a species introduced into Germany.

  6. Statistical characteristics of convective wind gusts in Germany (United States)

    Mohr, Susanna; Kunz, Michael; Richter, Alexandra; Ruck, Bodo


    Due to the small-scale and non-stationary nature of the convective wind gusts usually associated with thunderstorms, there is a considerable lack of knowledge regarding their characteristics and statistics. In an effort to remedy this situation, we investigated in this study a set of 110 climate stations of the German Weather Service between 1992 and 2014 to analyze the temporal and spatial distribution, intensity, and occurrence probability of convective gusts. Similar to thunderstorm activity, the frequency of convective gusts decreases gradually from southern to northern Germany. No further spatial structures, such as a relation to orography or climate conditions, can be identified regarding their strength or likelihood. Rather, high wind speeds of above 30 m s-1 can be expected everywhere in Germany with almost similar occurrence probabilities. A comparison of the 20-year return values of convective gusts with those of turbulent gusts demonstrates that the latter have higher frequencies, especially in northern Germany. However, for higher return periods, this effect can be reversed at some stations. The values of the convective gust factors are mainly in a range between 1 and 4 but can even reach values up to 10. Besides the dependency from the averaging time period of the mean wind, the values of the gust factors additionally depend on the event duration and the storm type, respectively.

  7. Anaerobic waste digestion in Germany--status and recent developments. (United States)

    Weiland, P


    Anaerobic treatment processes are especially suited for the utilization of wet organic wastes from agriculture and industry as well as for the organic part of source-separated household wastes. Anaerobic degradation is a very cost-effective method for treating biogenic wastes because the formed biogas can be used for heat and electricity production and the digester residues can be recycled to agriculture as a secondary fertilizer. Anaerobic technology will also be used for the common treatment of wastes together with renewable energy crops in order to reduce the CO2-emissions according the Kyoto protocol. Various process types are applied in Germany which differ in material, reaction conditions and in the form of the used reactor systems. The widespread introduction of anaerobic digestion in Germany has shown that biogenic organic wastes are a valuable source for energy and nutrients. Anaerobic waste treatment is done today in approx. 850 biogas plants on small farm scale as well as on large industrial scale with the best beneficial and economic outcome. Due to some new environmental protection acts which promote the recycling of wastes and their utilization for renewable energy formation it can be expected that several hundreds new biogas plants will be built per year in Germany. In order to use the synergetic effects of a combined fermentation of wastes and energy crops new process types must be developed in order to optimize the substrate combinations and the process conditions for maximum biodegradation.

  8. Aseptic meningitis in Germany associated with echovirus type 13

    Directory of Open Access Journals (Sweden)

    Schreier Eckart


    Full Text Available Abstract Background Echoviruses are the commonest cause of aseptic meningitis. Echovirus type 13 which has not been isolated in Germany over a long period of time was the predominant enterovirus serotype associated with different local outbreaks of aseptic meningitis in Germany in 2000. Methods Virus isolation was performed from cerebrospinal fluid and stools. In order to study the genetic relationship of echovirus type 13 isolates, sequence analysis of a part of VP1 (~300 nt was carried out. Isolates from different geographic regions were compared to each other as well as to elder viruses (prototype strain from 1953, four isolates from 1965–1986. Results Overall, 55 isolates of echovirus type 13 were obtained from different parts of Germany. It was shown that the new isolated strains have a very high degree of homology on the nucleotide level (> 98% but differ significantly from the old strains (76–85%. Conclusions a Rare enterovirus serotypes can cause serious illness. b The molecular drift has also been shown for other enterovirus serotypes.

  9. Germany 2050 a greenhouse gas-neutral country. Background paper

    Energy Technology Data Exchange (ETDEWEB)

    Werner, Kathrin; Nissler, Diana (eds.)


    For several years, the German Federal Environment Agency (UBA) has been looking at the question how the climate target of a GHG-neutral Germany can be achieved. In a multi-disciplinary project launched by the agency, the first point of call was power generation because of its high emissions. It was shown in 2010 that power generation from 100 % renewable energy is possible. Even then it was understood that a renewable energy supply alone would not be enough to completely abolish greenhouse gas emissions. Other sectors of the economy would have to follow suit and undergo major changes, relying on low-GHG technology. Consequently, the study now submitted, ''Greenhouse gas-neutral Germany 2050'', includes in its research all relevant emission sources that are described in the annual National Inventory Report (NIR) on emissions and removal of greenhouse gases. Alongside complete energy supply, including heating and transport, we also look at emissions from industry, waste disposal, agriculture and forestry as well as changes in land use. We develop a target scenario. The transformations that lead to the target and related economic considerations or the selection of appropriate policy instruments, however, are not part of our study. The scenario analysis is based on the assumption that in 2050, Germany will still be an exporting industrial country with an average annual growth of 0.7 % of its gross domestic product.

  10. Consideration of family history of cancer in medical routine: a survey in the primary care setting in Germany. (United States)

    Fiederling, Jonas; Ulrich, Cornelia M; Hemminki, Kari; Haug, Ulrike


    Family history of cancer (FHC) is important in the context of cancer prevention and risk counselling, but there is a lack of information about its consideration in medical routine. We aimed to characterize how FHC is assessed and taken into account in the primary care setting in Germany. We conducted a mail survey among 285 office-based physicians in south-west Germany. We sent a questionnaire to randomly selected general practitioners, dermatologists, gastroenterologists, gynaecologists, urologists and pulmonologists, asking about collection of information on FHC and implications for preventive counselling. A total of 207 physicians returned the questionnaire (response rate 73%), of whom 71% reported asking for FHC routinely, 17% reported using a standardized tool to collect the information and 35% reported regularly updating it. Implications of a positive FHC for counselling were heterogeneous, with priority on recommendations for screening. Referral to genetic counselling was considered by 34% of physicians, mainly gastroenterologists and gynaecologists. In the primary care setting in Germany, FHC is considered an important topic, but there is a lack of standardization in collecting the information and heterogeneity on the implications for counselling. Options to improve this situation, such as the implementation of standardized tools or centralized counselling systems, are needed.

  11. P wave dispersion and QT dispersion in adult Turkish migrants with familial mediterranean fever living in Germany. (United States)

    Giese, Arnd; Ornek, Ahmet; Kurucay, Mustafa; Kara, Kaffer; Wittkowski, Helmut; Gohar, Faekah; Menge, Bjoern A; Schmidt, Wolfgang E; Zeidler, Christoph


    Familial Mediterranean Fever (FMF) is a hereditary autoinflammatory disease associated with subclinical inflammation, which includes atherosclerosis arising from endothelial inflammation, which in turn increases the risk of atrial or ventricular arrhythmias. Conduction abnormalities can be detected using the electrocardiographic (ECG) indices P and QT dispersion (Pdisp and QTdisp). Currently, it is unknown whether patients with FMF are more likely to have abnormalities of these ECG indices. Moreover, existing studies were conducted in countries with higher FMF prevalence. We therefore perform the first prospective study assessing Pdisp and QTdisp in adult FMF patients in Germany, where prevalence of FMF is low. Asymptomatic FMF patients (n=30) of Turkish ancestry living in Germany and age-matched healthy controls (n=37) were prospectively assessed using 12-lead ECG. Patients and controls were comparable in gender and body mass index, and patients had higher erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and serum amyloid A (SAA) compared to controls (ESR: 23.7±14.3 vs. 16.1±13,3 mm/1(st)h, p=0.03, CRP: 0.73±0.9 vs. 0.26±0.4 g/dl, p=0.01, SAA: 3.14±4,8 vs. 0.37±0.3 mg/dl, pGermany show a Pdisp and QTdisp comparable to healthy controls, with no increased risk of atrial or ventricular arrhythmias indicated.

  12. [Treatment of elderly with chronic pain in geriatric care and pain therapy facilities in Germany. Survey results]. (United States)

    Schuler, M; Becker, A; Lindena, G; Mattenklodt, P


    Even though there are no satisfactory data available on the prevalence of chronic pain in the elderly, it is certainly a common problem in Germany. The goal of this study is to provide information on the treatment of elderly patients with chronic pain in geriatric care and pain therapy facilities in Germany. Throughout Germany geriatric and pain clinics were asked by email about their treatment practice of patients with chronic pain. The questions related to four types of patients sharing the same chronic pain characteristics and comorbidities but differing with respect to cognitive and physical impairment. The questions were divided into the following areas: equipment, staff, patient care, documentation, and cooperation. Replies from a total of 85 institutions were evaluated. The response rates were approximately 5 % for geriatric units and 10 % for pain units. More patients with chronic pain are treated in geriatrics units than in pain therapy facilities due to larger capacities. Although all four types of patients are treated in both types of facilities, the functionally more competent patients are more common in pain therapy facilities. In geriatrics, the inverse relationship was found. Differences exist in the staff structure and qualification, frequency and refinement of individual and group therapies, assessments used, teamwork, documentation, and cooperation with outpatient care. Due to the differences between geriatric and pain management departments shown in all investigated areas, an exchange between these two cross-sectional subjects could help to improve inpatient, outpatient and intersectoral treatment of elderly patients with chronic pain.

  13. Wind energy use in Germany. Status 31.12.2011; Windenergienutzung in Deutschland. Stand 31.12.2011

    Energy Technology Data Exchange (ETDEWEB)

    Ender, C. [DEWI GmbH, Wilhelmshaven (Germany)


    One year has passed since with the disaster in Fukushima a nuclear accident has happened that, for the second time after Chernobyl, was rated level 7 according to the International Nuclear and Radiological Event Scale (INES) [1]. In response to the disaster, Germany and other industrial countries initiated a turnaround in energy policy and partly opted out of nuclear energy. Worldwide, wind energy installation figures were on the rise compared to 2010, and all in all 41,236 MW were installed in 2011. As in the previous years, the leading country is China with 18,000 MW, followed by the USA (6,810 MW) and India (3,019 MW). With new wind turbine capacity connected to the grid of 2,086 MW in 2011, Germany is in the fourth position, and when looking at the total capacity it is in the third position right after the USA and China (Tab. 1) [2]. Here in Germany meanwhile the turnaround in energy policy has been widely accepted and several federal states have issued or will issue new wind power decrees, energy concepts and development scenarios. In addition there are new priority areas for wind energy use, repowering projects and scheduled installations in the offshore area. It may take some time, however, until these measures will also have an effect on the installation figures. (orig.)

  14. The spiders (Araneae of pure pine and birch stands on restored open dump sites in Saxony and Brandenburg (Germany

    Directory of Open Access Journals (Sweden)

    Ratschker, Ulrich M.


    Full Text Available The spider communities of four restored, afforested pure stands of first generation pine, birch and birch-robinia in the postmining landscape and one natural pine forest of the Lower Lusatia (Germany: Saxony and Brandenburg were investigated. From 1997-98 a total of 6,368 spiders were caught using stemeclectors and pitfall traps. More than 50% of the specimens collected were juveniles. The remaining individuals were identified and represent 123 from 23 families. Among them are several taxa listed in the Red Data Lists of Germany (n = 16, Brandenburg (n = 13 and Saxony (n = 14. One species, Clubiona leucaspis is rare for Germany and new to Saxony. When comparing afforested stands of pine on postmining areas with natural ones the species Coelotes terrestris (Amaurobiidae was observed exclusively in the latter. The absence of this species on restored sites seems to indicate a disturbance of the soil up to almost 60 years after the end of restoration. According to pitfall trapping in three pine forests the increasing biomass of spiders indicates a high predation rate at the oldest site, whereas the highest species diversity was found on younger, rehabilitated sites.

  15. Factors influencing uptake of HPV vaccination among girls in Germany. (United States)

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


    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

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

    Directory of Open Access Journals (Sweden)

    Stefanie Schülein


    Full Text Available Abstract Background 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. Methods 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. Results 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

  17. Wind power report Germany 2014; Windenergie Report Deutschland 2014

    Energy Technology Data Exchange (ETDEWEB)

    Rohrig, Kurt (ed.)


    Record year 2014. In Germany, the expansion figures attained were so high on land and at sea that the overall new installation figure of 5,188 MW surpassed the previous maximum (from 2002) by more than 60%. With an overall capacity of 39,259 MW, for the first time, wind energy in Germany covers 9.7% of gross power consumption. On the global scale a capacity of more than 51,000 MW has been added - another record high for wind energy installations. Power mix. At 161 TWh, renewable energies in Germany covered 27.8% of gross power consumption and provided for the first time more energy than any other energy source. Coming into force of the new REA in August 2014, modified support schemes caused the expansion of biogas plants and large-scale PV installations to falter. The record expansion seen for wind energy can be interpreted as a pull-forward effect due to the tender procedures coming into force in 2017. Grid integration. Loss of production caused by feed-in management measures rose by 44% to 555 GWh as compared to 2012. Wind turbines were affected in 87% of cases but the impact on PV installations is increasing. Power generation must be more flexible and grids expanded to limit loss of production. Of the 23 expansion projects (1,887 km) in the Electricity Grid Expansion Act, just a quarter of them had been realized by the end of 2014 (463 km). In the preliminary analysis results for the 2014 grid development plan, the extent of grid upgrading and conversion was 3050 km. Offshore, the HelWin 1 grid link with a capacity of 580 MW went online. SylWin 1 and BorWin 2, with a total capacity of 1660 MW, are currently being tested in a trial. In the preliminary analysis results for the 2014 offshore grid development plan, grid connections having an overall capacity of 10.3 GW are planned. Onshore. 2014 saw a total of 44 different turbine types installed in Germany. For the first time, virtually the same number of turbines were added in the 3-4 MW class, as in the 2-3 MW

  18. Seroprevalence of Taenia saginata cysticercosis in the federal state of Lower Saxony in Germany. (United States)

    Abuseir, Sameh; Nagel-Kohl, Uschi; Probst, Dieter; Kühne, Michael; Epe, Christian; Doherr, Marcus G; Schnieder, Thomas


    Based on ELISA results from randomly selected serum samples taken from 128 cattle from different administrative and urban districts in the federal state of Lower Saxony in Germany a seroprevalence estimate of Taenia saginata cysticercosis in this area was derived. This estimate was subsequently used to calculate the sample size required in an epidemiological study to determine the actual prevalence of this infection in the cattle population (n = 2 604 767) in this federal state. The sample size was calculated as 1518 and the samples were collected according to the distribution of cattle among the 48 administrative and urban districts in Lower Saxony. The samples were tested with an evaluated antibody ELISA. The results showed a positive antibody titre rate of 8.83% from the total tested samples.

  19. Parental Involvement with College Students in Germany, Hong Kong, Korea, and the United States (United States)

    Fingerman, Karen L.; Cheng, Yen-Pi; Kim, Kyungmin; Fung, Helene H.; Han, Gyounghae; Lang, Frieder R.; Lee, Wonkyung; Wagner, Jenny


    Rates of college attendance have increased throughout the world. This study asked whether students across nations experience high involvement with parents (frequent contact and support) and how satisfied they are with parental involvement. College students from four major Western and Asian economies participated: Germany (n = 458), Hong Kong (n = 276), Korea (n = 257), and the United States (n = 310). Consistent with solidarity theory, students across nations reported frequent contact with parents and receiving several forms of social support (e.g., practical, emotional, and advice) every month. Multilevel models revealed Asian students received more frequent parental support than German or US students, but were less satisfied with that support. Students in Hong Kong resided with parents more often and gave more support to parents than students in other cultures. Discussion focuses on cultural (i.e., filial obligation) and structural (i.e., coresidence) factors explaining parental involvement. PMID:27594722

  20. Development of an Internet based geothermal information system for Germany; Aufbau eines geothermischen Informationssystems fuer Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Schulz, R.; Agemar, T.; Alten, J.A.; Kuehne, K.; Maul, A.A.; Pester, S.; Wirth, W. [Inst. fuer Geowissenschaftliche Gemeinschaftsaufgaben (GGA), Hannover (Germany)


    The Leibniz Institute for Applied Geosciences (GGA-Institut) is setting up an internet based information system on geothermal resources in close collaboration with partners. For a start, the geothermal information system will contain data about hydrogeothermal resources only. The project aims at an improvement of quality in the planning of geothermal plants and at a minimization of exploration risks. The key parameters for this purpose are production rate (Q) and temperature (T). The basis for the estimation of subsurface hydraulic properties comes from the information system on hydrocarbons. This information system provides permeability and porosity values derived from the analyses of drilling cores. The IT targets will be realised by a relational database providing all data relevant to the project. A 3D model of the ground provides the basis for visualisation and calculation of geothermal resources. As a prototype, a data-recall facility of geothermal sites in Germany is available online. (orig.)

  1. Impact of improving vehicle front design on the burden of pedestrian injuries in Germany, the United States, and India. (United States)

    Moran, Dane; Bose, Dipan; Bhalla, Kavi


    European car design regulations and New Car Assessment Program (NCAP) ratings have led to reductions in pedestrian injuries. The aim of this study was to evaluate the impact of improving vehicle front design on mortality and morbidity due to pedestrian injuries in a European country (Germany) and 2 countries (the United States and India) that do not have pedestrian-focused NCAP testing or design regulations. We used data from the International Road Traffic and Accident Database and the Global Burden of Disease project to estimate baseline pedestrian deaths and nonfatal injuries in each country in 2013. The effect of improved passenger car star ratings on probability of pedestrian injury was based on recent evaluations of pedestrian crash data from Germany. The effect of improved heavy motor vehicle (HMV) front end design on pedestrian injuries was based on estimates reported by simulation studies. We used burden of disease methods to estimate population health loss by combining the burden of morbidity and mortality in disability-adjusted life years (DALYs) lost. Extrapolating from evaluations in Germany suggests that improving front end design of cars can potentially reduce the burden of pedestrian injuries due to cars by up to 24% in the United States and 41% in India. In Germany, where cars comply with the United Nations regulation on pedestrian safety, additional improvements would have led to a 1% reduction. Similarly, improved HMV design would reduce DALYs lost by pedestrian victims hit by HMVs by 20% in each country. Overall, improved vehicle design would reduce DALYs lost to road traffic injuries (RTIs) by 0.8% in Germany, 4.1% in the United States, and 6.7% in India. Recent evaluations show a strong correlation between Euro NCAP pedestrian scores and real-life pedestrian injuries, suggesting that improved car front end design in Europe has led to substantial reductions in pedestrian injuries. Although the United States has fewer pedestrian crashes, it would

  2. [The situation of residents in ophthalmology in Germany: Results of an online survey]. (United States)

    Hos, D; Steven, P; Dietrich-Ntoukas, T


    The main purpose of the present survey was to describe the situation of residents in ophthalmology in Germany, including professional aims and plans for the future. By evaluating the current conditions, potential deficits should be identified which could lead to demand-oriented approaches for improvement. The online questionnaire was sent out per e-mail to 1100 German residents. The rate of received answers was 30.1 % (334 completed questionnaires). Of the participants 68 % were female,32 % were male (mean age 31.8 years), one third of the participants had children, 44.6 % worked at university institutions, 54.4 % at non-university institutions and 45.5 % considered themselves as well-trained. Deficits during residency training were seen in the field of neuro-ophthalmology and ophthalmic surgery. The evaluation of the residency in total revealed an overall average grade of 2.9 ("satisfactory"). Of the physicians 35.5 % reported to be actively involved in research projects and 21.9 % reported pursuing an academic career. Almost 50 % of the participant residents aimed to work in a private practice after residency and 15 % aimed to work at an university hospital. The present survey revealed representative data because of the acceptable return rate and participating residents from all different educational levels (1st to 5th year). The survey can therefore help to characterize the current situation of residents in ophthalmology in Germany and to develop demand-oriented possibilities for improvement.

  3. [Current Status of Medical Care for Nursing Home Residents in Germany - Results of an Empirical Study]. (United States)

    Kleina, T; Horn, A; Suhr, R; Schaeffer, D


    Following recent studies revealing deficits in general and specialised medical care of nursing home residents in Germany, the discussion on the quality of medical care of residents in residential care facilities has intensified in the past years. As a result, political efforts have been undertaken to facilitate improvements in this context. We collected data on the health status and medical care of 778 residents from 8 nursing homes in order to investigate the current situation regarding medical care for nursing home residents in Germany. Most of them were multimorbid, taking several prescribed medications. Our results showed that about 91% of the residents had personal contact to general practitioners or internists quarterly and only 1.3% had no such contacts within a year. The frequency of contacts to other medical specialists was comparably low. For example, within a year, only 18.9% of the residents had contact to urologists; only 16.7% had contact to ophthalmologists; only 39.6% had contact to dentists and only 10.6% of the female residents had contact to gynaecologists. Despite the fact that many of the residents showed specific medical care needs, these rates were below the utilisation rates of older population groups not living in long-term care homes. This leads to the conclusion that previous efforts to optimise medical care in nursing homes were only partially successful. Well known deficits are still remaining. Considering potential consequences for residents, further and consequent actions are required to improve the general and specialised medical care in institutionalised long-term care. © Georg Thieme Verlag KG Stuttgart · New York.

  4. [A Germany-wide survey on anaesthesia in thoracic surgery]. (United States)

    Defosse, J; Schieren, M; Böhmer, A; von Dossow, V; Loop, T; Wappler, F; Gerbershagen, M U


    This study's objective was to evaluate current thoracic anaesthesia practice in Germany and to quantify potential differences depending on the hospital's level of care. A four-part online survey containing 28 questions was mailed to all anaesthesiology department chairs (n = 777) registered with the German Society of Anaesthesiology and Intensive Care Medicine. The general response rate was 31.5 % (n = 245). High monthly volumes (>50 operations/month) of intrathoracic procedures, performed by specialized thoracic surgeons are mostly limited to hospitals of maximum care, university hospitals, and specialized thoracic clinics. In hospitals with a lower level of care, intrathoracic operations occur less frequently (1-5/month) and are commonly performed by general (69.3 %) rather than thoracic surgeons (15.4 %). Video-assisted thoracic surgeries are the most invasive intrathoracic procedures for most hospitals with a low level of care (61.5 %). Extended resections and pneumonectomies occur mainly in hospitals of maximum care and university hospitals. Thoracic anaesthesia is primarily performed by consultants or senior physicians (59.9 %). The double lumen tube (91.4 %) is the preferred method to enable one-lung ventilation (bronchial blockers: 2.7 %; missing answer: 5.9 %). A bronchoscopic confirmation of the correct placement of a double lumen tube is considered mandatory by 87.7 % of the respondents. Bronchial blockers are available in 64.7 % of all thoracic anaesthesia departments. While CPAP-valves for the deflated lung are commonly used (74.9 %), jet-ventilators are rarely accessible, especially in hospitals with a lower level of care (15.4 %). Although general algorithms for a difficult airway are widely available (87.7 %), specific recommendations for a difficult airway in thoracic anaesthesia are uncommon (4.8 %). Laryngeal mask airways (90.9 %) and videolaryngoscopy (88.8 %) are the primary adjuncts in store for a difficult

  5. Energy policies of IEA countries: Germany 2007 review

    Energy Technology Data Exchange (ETDEWEB)



    The IEA report takes an in-depth look at the energy challenges facing Germany, and through comparisons with good examples in other IEA countries, provides critiques and recommendations for policy improvements. The review guides the country towards a sustainable energy future. Few countries can have as great an impact on energy policy in Europe as Germany. Its large size and strategic location make it a critical component of the region's energy markets - as a result, sound energy policies and strong energy market design are a necessity. In these respects, Germany continues to make notable progress. The country has continued to reform its electricity and natural gas markets, set a timetable to phase out coal subsidies, is meeting key climate and environmental targets and is bringing energy, efficiency and environment to the top of the world agenda with its presidencies of both the G8 and European Union. The International Energy Agency (IEA) praises these efforts. Nevertheless, work remains to be done to further improve German energy policies and markets. The planned phase-out of nuclear power over the coming years would have major impacts on the country's energy mix, raising concerns about energy security, economic efficiency and environmental sustainability for the country and for Europe as a whole. Furthermore, though progress has been made, more needs to be done to set a truly level playing field for competition to develop in gas and electricity markets, which means effective unbundling of transport activities and a strongly empowered regulatory authority. Finally, the country's environmental policies, though helping meet ambitious goals, are expensive - and sometimes various policies work at cross-purposes. 22 figs., 27 tabs., 4 apps.

  6. Electronic Cigarettes-Attitudes and Use in Germany. (United States)

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


    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:

  7. Antidepressant sales and regional variations of suicide mortality in Germany. (United States)

    Blüml, Victor; Helbich, Marco; Mayr, Michael; Turnwald, Roland; Vyssoki, Benjamin; Lewitzka, Ute; Hartung, Sebastian; Plener, Paul L; Fegert, Jörg M; Kapusta, Nestor D


    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.

  8. Eradication of bluetongue disease in Germany by vaccination. (United States)

    Baetza, Hans-Joachim


    Bluetongue disease first broke out in Germany on 21 August 2006, almost simultaneously with the first outbreaks in Belgium and The Netherlands. More extensive tests showed that the serotype was serotype 8. Due to westerly winds the disease spread rapidly towards the East, with the result that in the year 2008 large parts of Germany were affected. The traditional methods of animal disease control were not of much help in view of the transmission of the disease by insects; the speed of the spread of the disease could only be slowed down by movement restrictions, but could not be influenced in a decisive manner. Authorised vaccines were not (yet) available. A large-scale field study based on three prototypes in bovine animals and sheep revealed that they were both effective and safe. Consequently, the Federal Ministry of Food, Agriculture and Consumer Protection issued an exceptional permission to administer these non-authorised vaccines. In May 2008, large-scale vaccination campaigns were launched (vaccination of all bovines, sheep and goats). As a consequence, the disease outbreak figures declined drastically. In 2009, the last blanket vaccinations were administered and from 2010 animal keepers were allowed to continue vaccinating their livestock on a voluntary basis. Intensive tests (serological, PCR) showed in the years 2010 and 2011 that BTV8 no longer circulated among the livestock population. Effective from 15.02.2012, Germany declared itself free from BTV8 in line with Article 8.3.3 of the OIE Animal Health Code. Copyright © 2013 Elsevier B.V. All rights reserved.

  9. Feline cowpoxvirus infections in Germany: clinical and epidemiological aspects. (United States)

    Appl, Caroline; von Bomhard, Wolf; Hanczaruk, Matthias; Meyer, Hermann; Bettenay, Sonya; Mueller, Ralf


    Clinical and epidemiological aspects of cats with cowpox in Germany from the years 2004 to 2010 are described and discussed. Questionnaires were sent to veterinarians and owners of affected cats identified with the help of a number of pathology laboratories. Of 69 mailed questionnaires, 45 veterinary and 26 owner questionnaires were returned and a total of 46 feline poxcases were evaluated. The cases were distributed all over Germany although there was an accumulation of cases in specific geographic areas. The clinical and epidemiological observations match those of other studies. The majority of cats were outdoor cats, came from a rural environment and developed clinical signs in late summer or autumn. All cats showed skin lesions which were predominantly localized on the anterior part of the body, 61% of the cats showed other clinical signs in addition to the skin lesions. Approximately half of the cats lived in a multi-pet household, but in only one case clinical signs typical for cowpox were observed in another cat of the household. In two cases a cat-to-human transmission was assumed. In addition, to evaluate the prevalence of pox virus infections in outdoor cats in areas with previous reports of such infections, 92 apparently unaffected outdoor cats were tested for orthopoxvirus antibodies using an indirect immunofluorescence assay. Sixteen (17%) of the tested serum samples were seropositive against orthopoxvirus (titre between 1:20 and 1:40).This is a higher serum prevalence than in previously published studies from Germany. A possible explanation is selection of a population of outdoor cats from regions with previous known clinical cases.

  10. Wartime nuclear weapons research in Germany and Japan. (United States)

    Grunden, Walter E; Walker, Mark; Yamnazaki, Masakatsu


    This article compares military research projects during the Second World War to develop nuclear weapons in Germany and Japan, two countries who lost the war and failed to create nuclear weapons. The performance and motivations of the scientists, as well as the institutional support given the work, is examined, explaining why, in each case, the project went as far as it did-but no further. The story is carried over into the postwar period, when the two cultures and their scientists had to deal with the buildup of nuclear weapons during the cold war and the new nuclear power industry.

  11. Regulatory risk and market reactions. Empirical evidence from Germany

    Energy Technology Data Exchange (ETDEWEB)

    Kobialka, Marek; Rammerstorfer, Margarethe [Inst. for Corporate Finance, Vienna Univ. of Economics and Business, Vienna (Austria)


    In this article we measure the effects of events on risk and return and analyze the persistence of the influencing variables on German energy companies. Therefore, we refer to event-study methods by means of the Capital Asset Pricing Model, GARCH-Modeling and Kalman filters. We find that the discussed events do not affect all companies in an equal manner. Moreover, we show that the impact on risk and returns is not persistent and does not lead to an increase in the overall systematic risk for the considered utility operators in Germany. (orig.)

  12. Meseritz-Obrawalde: a 'wild euthanasia' hospital of Nazi Germany. (United States)

    Benedict, Susan; Chelouche, Tessa


    In 1939, Hitler authorized a programme of 'euthanasia' of children and adults with physical and psychiatric disorders. Initially, gas chambers were established at six psychiatric institutions in Germany and Austria. This programme was discontinued in August 1941 but the killings continued on an individual basis. Physicians selected patients who were unable to work or who required extensive care, and ordered the nurses to administer lethal doses of sedatives. Meseritz-Obrawalde was a site for 10,000 of these killings. Using documents from the trial of one of Obrawalde's physicians, Hilde Wernicke, the era of 'wild euthanasia' is described and her rationale for participating in the killings is explored.

  13. Minimum wages as a barrier to entry: Evidence from Germany


    Bachmann, Ronald; Bauer, Thomas K.; Kröger, Hanna


    This study analyses employers' support for the introduction of industry-specific minimum wages as a cost-raising strategy in order to deter market entry. Using a unique data set consisting of 800 firms in the German service sector, we find some evidence that high-productivity employers support minimum wages. We further show that minimum wage support is higher in industries and regions with low barriers to entry. This is particularly the case in East Germany, where the perceived threat of low-...

  14. [Developments and inventions from Germany : Influence on international ophthalmology]. (United States)

    Müller, M; Pavlovic, I; Schmack, I; Ohrloff, C; Kohnen, T


    There are various developments and inventions from Germany that have influenced not only the domestic but also the international field of ophthalmology. Beginning with the invention of the ophthalmoscope by Hermann von Helmholtz in 1850, to the establishment of the "Archives of Ophthalmology" medical journal, a publication founded by Albrecht von Graefe in 1854, through to the development of the retinal chip by Eberhart Zrenner and colleagues with the first clinical data collected in 2007. The abovenamed and further developments and the German ophthalmologists behind these inventions are discussed in more detail.

  15. [Current epidemiological status of salmonellosis of humans in Germany]. (United States)

    Kühn, H; Rabsch, W; Liesegang, A


    Infections caused by Salmonella typhi and Salmonella paratyphi B have special epidemiological significance. However, the enteritis caused by Salmonella enteritidis and Salmonella typhimurium dominates. A complex typing of these serovars is the prerequisite for both, an effective surveillance of salmonellosis and the detection of occurring replacements and variations of the pathogens. The increasing occurrence of Salmonella in spices since 1993 is epidemiologically remarkable. In this connection, serotypes such as Salmonella javiana, S. rubislaw, and monophasic, KCN-positive serovars dominate. The transmission route man-man is of no special epidemiological importance at present in Germany.

  16. Mathematicians fleeing from Nazi Germany individual fates and global impact

    CERN Document Server

    Siegmund-Schultze, Reinhard


    The emigration of mathematicians from Europe during the Nazi era signaled an irrevocable and important historical shift for the international mathematics world. Mathematicians Fleeing from Nazi Germany is the first thoroughly documented account of this exodus. In this greatly expanded translation of the 1998 German edition, Reinhard Siegmund-Schultze describes the flight of more than 140 mathematicians, their reasons for leaving, the political and economic issues involved, the reception of these emigrants by various countries, and the emigrants' continuing contributions to mathematics. The inf

  17. Competition policy for health care provision in Germany. (United States)

    Kifmann, Mathias


    Since the 1990s, Germany has introduced a number of competitive elements into its public health care system. Sickness funds were given some freedom to sign selective contracts with providers. Competition between ambulatory care providers and hospitals was introduced for certain diseases and services. As competition has become more intense, the importance of competition law has increased. This paper reviews these areas of competition policy. The problems of introducing competition into a corporatist system are discussed. Based on the scientific evidence on the effects of competition, key lessons and implications for future policy are formulated. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  18. A case of pharyngeal diphtheria in Germany, June 2015. (United States)

    Berger, A; Meinel, D M; Schaffer, A; Ziegler, R; Pitteroff, J; Konrad, R; Sing, Andreas


    In June 2015, a 45-year-old man suffering from acute necrotic tonsillitis and throat phlegmon was hospitalized in Nuremberg, Germany. After emergency surgery the patient was initially treated with antibiotics. A throat swab grew a toxigenic Corynebacterium diphtheriae biovar mitis strain. The patient's vaccination status was not documented and the patient was tested serologically for anti-diphtheria antibodies showing no protective immunity. Extensive control investigations were performed by the local health department showing no likely source of his infection. No secondary cases were found and the patient completely recovered.

  19. Dioxin distribution in a tertiary sedimentary clay profile (Germany)

    Energy Technology Data Exchange (ETDEWEB)

    Schmitz, M.; Bernau, S.; Germann, K. [Technische Univ. Berlin (Germany). Inst. fuer angewandte Geowissenschaften, Abt. Oekonomische Geologie; Pernak, P. [Dr. Fechter GmbH, Umweltlabor und Ingenieurbuero, Berlin (Germany); Rotard, W. [Technische Univ. Berlin (Germany). Inst. fuer Technischen Umweltschutz, Abt. Klimachemie


    Since 1999 dioxin of possibly natural origin has repeatedly been found in kaolinitic clays of different countries. Until today it is not generally agreed how the dioxin was generated. The aim of this study is to determine the relationship between the dioxin content and the mineralogical composition of clays as well as the distribution of dioxin in different grain size fractions and its behaviour within a profile of Tertiary kaolinitic clays from Germany. The study may provide a hypothesis of dioxin formation, based on the genesis of the clays.

  20. Mineral dust in workplace air - regulations in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Dahmann, D. [Institut fuer Gefahrstoff-Forschung (IGF), Bochum (Germany)


    Mineral dust including respirable crystalline silica has been recognized as a risk to workers' health for a long time. In Germany the methods for preventing silicosis have been successful. Recently a scientific discussion about the possible carcinogenic effect of silica and cristobalite in connection with the necessity of much lower threshold limits has started. Authorities have begun to react accordingly. Especially for airborne mineral dust and its constituent crystalline silica the situation is still not yet clear. Especially in the field of mineral dust the necessity for clarification is imminent. (orig.)

  1. Buying behaviour related to heating systems in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Decker, T.; Zapilko, M. (Straubing Center of Science, Straubing (Germany), Univ. of Applied Sciences Weibenstephan- Triesdorf), e-mail:


    The decision for buying a heating system is a long-term one, as many different aspects have an influence on this choice which were analyzed in a Germany-wide, written survey. The respondents (only owners of a private house) has to answer questions about their attitude towards e.g. economic, convenience or ecological aspects related to heating systems and the respective combustibles. Using a multinomial logistic regression model the choice of the heating system is mainly explained by ecological attitudes and the estimation of different combustibles. (orig.)

  2. Reassessing the Wage Penalty for Temps in Germany

    DEFF Research Database (Denmark)

    Jahn, Elke

    As a consequence of the rapid growth of temporary agency employment in Germany, the debate on the poor working conditions of temps, specifically their remuneration, has intensified recently. Using administrative data, the paper shows that the wage gap for German temp workers is rather large and v...... change in the law set a high incentive for temporary help agencies to pay their workers according to a sectoral collective agreement. Surprisingly, the unionization of the sector could not bring the widening wage gap to a halt....

  3. Questionnaire study of sweet itch in horses in Germany


    Grimm, Tina


    Sweet itch in horses is a common disease of great economic and clinical importance. The aim of this study was to examine the influence of epidemiological- and management-related factors on the clinical signs of sweet itch in a multi equine racial, Germany-wide investigation. Furthermore, the aim was to find the best method of treatment. First, a survey was conducted using questionnaires. There was a return of 404 evaluable records. Those factors meant to have an effect on the incidence of ...

  4. Cooling tower practice in Germany: state of the art

    Energy Technology Data Exchange (ETDEWEB)

    Zerna, W.; Kraetzig, W.B.; Mungan, I.


    Development in design and construction of natural draught cooling towers that has taken place in Germany is discussed. Research has been concentrated on theory and analysis of shells, on acting forces, especially on wind effects, on buckling behavior and constructional problems. An approximate earthquake analysis allows a quick estimation of seismic response. The earthquake analysis is carried out by the response-spectrum-method. All design methods develop construction methods minimizing the imperfections and their control and correction during the erection process. It is shown how by arranging stiffening rings the buckling resistance and the lowest natural frequency of this new generation of cooling towers can be improved. 13 refs.

  5. Extreme drought events in Germany during the last 60 yrs (United States)

    Samaniego, L. E.; Kumar, R.; Zink, M.


    Droughts are among the most costly natural disasters because they heavily impact on the economy of a region as well as on its social and cultural activities. Droughts do not only occur in arid or semiarid regions but also in humid ones. The year 2007, for example, was the sunniest, hottest and driest in Germany in the last two centuries. In this case, it was too dry too early. As a result, the harvest was cut by half leading to enormous losses in the primary sector. Consumer prices of some agricultural products went up 26 percent. The purpose of this study is to identify the major agricultural and hydrological droughts in Germany since 1950 based on their severity, duration and areal extend. To achieve this goal, a 60-yr retrospective hydrological simulation of the land surface water budget over Germany was carried out with the process-based distributed hydrological model mHM. The model was forced with grided daily precipitation and temperature data at 4x4 km, and the model simulations were carried out at same spatial resolutions. Point measurement data from more than 5600 raingauges and about 1120 meteorological stations (DWD) were interpolated with EDK. Land cover change was also considered during this period. Drought indices were derived as monthly quantiles of the simulated fluxes which include root zone soil moisture and total runoff. A Gaussian kernel smoother was used to estimate these quantiles at each grid cell. A spatio-temporal cluster algorithm was used to consolidate all significant drought events. Main statistics such as magnitude, areal extend, duration, and severity were estimated only on those selected clusters. The mHM model was calibrated in major river basins giving Nash-Sutcliffe efficiencies for daily discharge simulations greater than 0.8 in the evaluation period. Plausibility tests between the simulated mHM soil moisture and land surface temperature from MODIS and regional climate model reanalysis data compared well. Results indicated that


    Directory of Open Access Journals (Sweden)

    Michael Brusch


    Full Text Available In the field of online shopping, new developments can be identified; e.g. the allowance of product returns (management of product returns and the ordering and delivery of products from an Internet retailer in the same day (same-day delivery. Our contribution provides a brief overview of these developments (i.e. major trends and of the advanced e-commerce market (in Germany. Additionally, an empirical investigation of German online shoppers will be used to describe these shoppers as a whole and to classify them into groups with similar purchasing behavior. Our paper will support the selection and addressing of proper target groups.



    Michael Brusch; Eva Stüber


    In the field of online shopping, new developments can be identified; e.g. the allowance of product returns (management of product returns) and the ordering and delivery of products from an Internet retailer in the same day (same-day delivery). Our contribution provides a brief overview of these developments (i.e. major trends) and of the advanced e-commerce market (in Germany). Additionally, an empirical investigation of German online shoppers will be used to describe these shoppers as a whol...

  8. Surface Observation Climatic Summaries for Spangdahlem AB, Germany. (United States)



  9. Coordination of EU Policy Positions in Germany and Denmark

    DEFF Research Database (Denmark)

    Jensen, Mads Christian Dagnis; Jopp, Mathias; Nedergaard, Peter


    This article examines the coordination mechanisms, in Germany and Denmark, which develop negotiation positions for the Council in the European Union (EU). The analysis studies these mechanisms through the lens of the ‘politics of institutional choice’ approach, which previous scholars have applied...... in explaining differences in the way the two member states handle EU coordination. This strengthens the argument that the traits of the EU coordination mechanisms in EU member states are a function of power relations between do-mestic actors....

  10. Policing and Islamophobia in Germany: The Role of Workplace Experience

    Directory of Open Access Journals (Sweden)

    Heidi Mescher


    Full Text Available This study starts from a recognition that the German police have a significant potential to promote integration in contemporary multiethnic Germany. It employs three measures of Islamophobic attitudes and contact quality amongst a sample of 727 German police officers, and relates these to measures of job satisfaction, political affiliation, individual responsibility, and recognition. The data reveal Islamophobia to be significantly linked to these variables. Detailed analyses indicate that the respondents’ experience of policing may produce levels of dissatisfaction that impacts upon their outgroup attitudes. The implications of this for initiatives to promote police-Muslim relations are explored.

  11. Neighbourhood socioeconomic status and cardiovascular risk factors: a multilevel analysis of nine cities in the Czech Republic and Germany

    Directory of Open Access Journals (Sweden)

    Erbel Raimund


    Full Text Available Abstract Background Previous studies have shown that deprived neighbourhoods have higher cardiovascular mortality and morbidity rates. Inequalities in the distribution of behaviour related risk factors are one possible explanation for this trend. In our study, we examined the association between cardiovascular risk factors and neighbourhood characteristics. To assess the consistency of associations the design is cross-national with data from nine industrial towns from the Czech Republic and Germany. Methods We combined datasets from two population based studies, one in Germany ('Heinz Nixdorf Recall (HNR Study', and one in the Czech Republic ('Health, Alcohol and Psychosocial Factors in Eastern Europe (HAPIEE Study'. Participation rates were 56% in the HNR and 55% in the HAPIEE study. The subsample for this particular analysis consists of 11,554 men and women from nine German and Czech towns. Census based information on social characteristics of 326 neighbourhoods were collected from local administrative authorities. We used unemployment rate and overcrowding as area-level markers of socioeconomic status (SES. The cardiovascular risk factors obesity, hypertension, smoking and physical inactivity were used as response variables. Regression models were complemented by individual-level social status (education and relevant covariates. Results Smoking, obesity and low physical activity were more common in deprived neighbourhoods in Germany, even when personal characteristics including individual education were controlled for. For hypertension associations were weak. In the Czech Republic associations were observed for smoking and physical inactivity, but not for obesity and hypertension when individual-level covariates were adjusted for. The strongest association was found for smoking in both countries: in the fully adjusted model the odds ratio for 'high unemployment rate' was 1.30 [95% CI 1.02–1.66] in the Czech Republic and 1.60 [95% CI 1.29

  12. High seroprevalence of human herpes virus 8 (HHV-8 antibodies among vertically HIV-infected pediatric patients living in Germany

    Directory of Open Access Journals (Sweden)

    C Feiterna-Sperling


    Full Text Available Background: Human herpes virus 8 (HHV-8, a gamma herpes virus, is the etiological agent for Kaposi sarcoma (KS. HIV-infected adults with advanced immunodeficiency are at risk. Prevalence data of HHV-8 infection in HIV-infected children living in non-endemic areas are limited. Serologic studies indicate low seroprevalence rates of 3–4% for healthy children living in United States and Germany [1]. Purpose of the study: The aim of the study was to determine the seroprevalence of HHV-8 antibodies among vertically HIV-infected pediatric patients in Germany and to evaluate their association with age, gender, ethnicity, and other demographic factors. Methods: In 2012, a multi-center cross-sectional study was conducted in four University Hospitals in Germany. Stored frozen serum specimens obtained from vertically HIV-infected children and adolescents were tested for antibodies against lytic and latent HHV-8 antigens. Data on patients' demographic characteristics and medical history were recorded. Results: A total of 214 HIV-infected children and adolescents (105 males, 109 females were included. The median age was 10.2 years (range 1 months–22.6 years. A high proportion of these children (62% was born in Western Europe, whereas 65% (139/214 of their mothers were born in countries outside Western Europe. The majoritiy (91% of the children had been treated with highly active antiretroviral therapy and 55.2% (116/210 had a HIV-viral load<50 copies/mL. The median CD4 cell count was 1000/L (range 3–4400. The overall seroprevalence of HHV-8 antibodies was 23.8% (51/214. Seroprevalence rates did not show significant differences between age or gender. In the group of young children aged 1 month to 35 months, 19.4% (46/31 had HHV-8 antibodies, compared to 25% (25/100 in children aged 36 months to 11 years, and 24.1% (20/83 children 12 years and older. In the study group, seroprevalence rates were significantly lower in children who were born in Western

  13. Status Survey of Bunkers 738A and 825A at Spangdahlem AB, Germany (United States)


    AB, Germany 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) SSgt Emily Arceo 5d. PROJECT NUMBER 5e... Germany . Laboratory analysis of swipe samples showed that residual removable activity did not exceed the derived concentration guideline level (DCGL) of... Germany 1. EXECUTIVE SUMMARY: At the request ofthe United States Air Force Radioisotope Committee Secretariat, the United States Air Force School of

  14. An empirical study of factors influencing total unemployment rate in comparison to youth unemployment rate in selected EU member-states




    The issue of youth unemployment rate in the heavily indebted and less developed EU countries is currently on the margins of both media interest and policy debates. This paper compares the influence of several economic variables on the total unemployment rate and the youth unemployment rate. The countries that are studied are three countries with the highest youth unemployment rate: Greece, Croatia and Spain, and three countries with the lowest youth unemployment rate: Germany, ...

  15. Ratings Revisited

    DEFF Research Database (Denmark)

    Lai, Signe Sophus


    tværs af medier og platforme, forskudt i tid og on-demand. This article focuses on audience ratings, which have functioned as the central ‘currency’ informing the media trade. It discusses changes to the production and accuracy of audience ratings at a time when established standards are being...

  16. Estimating trends in atmospheric water vapor and temperature time series over Germany (United States)

    Alshawaf, Fadwa; Balidakis, Kyriakos; Dick, Galina; Heise, Stefan; Wickert, Jens


    Ground-based GNSS (Global Navigation Satellite System) has efficiently been used since the 1990s as a meteorological observing system. Recently scientists have used GNSS time series of precipitable water vapor (PWV) for climate research. In this work, we compare the temporal trends estimated from GNSS time series with those estimated from European Center for Medium-Range Weather Forecasts (ECMWF) reanalysis (ERA-Interim) data and meteorological measurements. We aim to evaluate climate evolution in Germany by monitoring different atmospheric variables such as temperature and PWV. PWV time series were obtained by three methods: (1) estimated from ground-based GNSS observations using the method of precise point positioning, (2) inferred from ERA-Interim reanalysis data, and (3) determined based on daily in situ measurements of temperature and relative humidity. The other relevant atmospheric parameters are available from surface measurements of meteorological stations or derived from ERA-Interim. The trends are estimated using two methods: the first applies least squares to deseasonalized time series and the second uses the Theil-Sen estimator. The trends estimated at 113 GNSS sites, with 10 to 19 years temporal coverage, vary between -1.5 and 2.3 mm decade-1 with standard deviations below 0.25 mm decade-1. These results were validated by estimating the trends from ERA-Interim data over the same time windows, which show similar values. These values of the trend depend on the length and the variations of the time series. Therefore, to give a mean value of the PWV trend over Germany, we estimated the trends using ERA-Interim spanning from 1991 to 2016 (26 years) at 227 synoptic stations over Germany. The ERA-Interim data show positive PWV trends of 0.33 ± 0.06 mm decade-1 with standard errors below 0.03 mm decade-1. The increment in PWV varies between 4.5 and 6.5 % per degree Celsius rise in temperature, which is comparable to the theoretical rate of the Clausius

  17. State and development of uterine myoma embolization in Germany; Stand und Entwicklung der Uterusmyomembolisation in Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Jakobs, T.F.; Helmberger, T.K.; Reiser, M.F. [Institut fuer Klinische Radiologie, Klinikum der Universitaet Muenchen - Grosshadern (Germany)


    To evaluate the current situation and implementation of embolization of uterine leiomyomas into the treatment concept in women with symptomatic uterine leiomyomas in Germany. A questionnaire addressing the clinical background of uterine myomas, recommended treatment concepts, preclinical evaluation, technical approach and complications was sent to 164 departments of gynecology and radiology in Germany. 33 radiological departments and 19 gynecological departments submitted a completed questionnaire. Only 7 departments of radiology reported to have own experience with embolization of uterine leiomyomas, while only 2 departments of gynecology considered embolization as an alternative treatment option in patients with symptomatic leiomyomas. 18/33 radiological departments offer this treatment option but get no patient referrals. Agreement was found concerning the indications for treatment, preclinical evaluation by ultrasound and MRI, preferable location of treatable fibroids, technical approach and pain management. The embolization of uterine leiomyomas in patients with symptomatic myomas is regardless of the well documented high efficacy and low complication rate not yet an established treatment option in Germany. Interventional radiologists and gynecologists have to evaluate the indications for the embolization of uterine leiomyomas together before the procedure is advised to the patient, because it seems mandatory to add this procedure to the standard armamentarium of treatment options in uterine myomas. (orig.) [German] Ziel dieser Arbeit war es, Stand, Entwicklung und Implementierung der Embolisationstherapie von Uterusmyomen (UME) in das Behandlungskonzept von Patientinnen mit symptomatischen Uterusmyomen in Deutschland zu evaluieren. Ein Fragebogen zum Thema der Embolisation von Uterusmyomen wurde an 164 Abteilungen fuer Gynaekologie und Radiologie im gesamten Bundesgebiet versandt. Erfragt wurden Informationen zur klinischen Symptomatik, mit der sich die

  18. Status of pre-processing of waste electrical and electronic equipment in Germany and its influence on the recovery of gold. (United States)

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


    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.

  19. Trace elements in rock phosphates and P containing mineral and organo-mineral fertilizers sold in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Kratz, Sylvia, E-mail:; Schick, Judith; Schnug, Ewald


    68 rock phosphates and 162 P containing (organo-)mineral fertilizers sold in Germany were evaluated with regard to trace element contents. While Al, As, B, Be, Cd, Cr, Mo, Ni, Pb, Sb, Se, Tl, U, and Zn were higher in sedimentary than in igneous rock phosphates, the opposite was true for Co, Cu, Sn, Mn, Ti, Fe, and Sr. Comparing element concentrations to the currently valid legal limit values defined by the German Fertilizer Ordinance, it was found that some PK and many straight P fertilizers (superphosphate, triple superphosphate, partly acidulated rock phosphates) exceeded the limit of 50 mg Cd/kg P{sub 2}O{sub 5}. Mean values for As, Ni, Pb, and Tl remained below legal limits in almost all cases. While no legal limit has been defined for U in Germany yet, the limit of 50 mg U/kg P{sub 2}O{sub 5} for P containing fertilizers proposed by the German Commission for the Protection of Soils was clearly exceeded by mean values for all fertilizer types analyzed. A large share of the samples evaluated in this work contained essential trace elements at high concentrations, with many of them not being declared as such. Furthermore, trace elements supplied with these fertilizers at a fertilization rate leveling P uptake would exceed trace element uptake by crops. This may become most relevant for B and Fe, since many crops are sensitive to an oversupply of B, and Fe loads exceeding plant uptake may immobilize P supplies for the crops by forming Fe phosphate salts. The sample set included two products made from thermochemically treated sewage sludge ash. The products displayed very high concentrations of Fe and Mn and exceeded the legal limit for Ni, emphasizing the necessity to continue research on heavy metal removal from recycled raw materials and the development of environmentally friendly and agriculturally efficient fertilizer products. - Highlights: • Mineral fertilizers (MF) sold in Germany often exceed legal limits for Cd • MF sold in Germany contain high

  20. Coal Bed Methane Production in the Münsterland Basin, Germany - Past and Future (United States)

    Mösle, B.; Kukla, P.; Stollhofen, H.; Preuße, A.


    Growing demands on energy and high energy prices have lead to a re-evaluation of the coal bed methane (CBM) potential in Germany. For research reasons the Technical University of Aachen is holding a concession area in NW Germany, located in the Münsterland Basin. This concession covers an area of about 3460 km2. The southern part of the concession area involves one of the most developed, densely populated mining districts in Western Europe, the Ruhr Area. The Upper Carboniferous coal measures there are covered by northward thickening Cretaceous strata which not only limits the coal mining activity to the south of the basin but also represents a challenge to CBM production technology. This is currently restricted to a depth of about 1200 m. Mine gas has been successfully produced in the Ruhr Area for decades. With the successive closure of coal mines, gas production rates will decrease and consequently production of CBM will become more important. The Münsterland Basin contains a large portion of known Carboniferous coals in western Germany and the production of mine gas proofs that there is a significant resource of natural gas in place. Estimates of the amount of gas in place are at about 3 Trillion m3 in Germany's mining districts of which 2 Trillion m3 are expected to occur in the Ruhr Area alone. First exploration efforts on CBM were made by a consortium of Ruhrgas AG and Conoco-Phillips Inc. in the 1990s. Because of low production rates, relatively high exploration and production costs, and the low gas prices at that time this project was stopped. The present study investigates the reservoir quality and geometry in order to better estimate the potential gas content for a general economic benefit assessment. The structural inventory of the study area comprises NE-SW trending folds and thrusts which are crossed obliquely by faults. Potential gas accumulations may be found in anticlinal structures paired with thrusts. However, these gas accumulations will add

  1. [The demographic development in Germany : challenge and chances for urology]. (United States)

    Schneider, A W; Fichtner, J


    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.

  2. Weather Effects on Crop Diseases in Eastern Germany (United States)

    Conradt, Tobias


    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.

  3. Pharmaceutical care in community pharmacies: practice and research in Germany. (United States)

    Eickhoff, Christiane; Schulz, Martin


    To discuss the provision of pharmaceutical care in community pharmacies in Germany including community pharmacy, organization and delivery of health services, pharmacy education, community pharmacy services, research in community pharmacy, and future plans for community pharmacy services. In Germany, cognitive pharmaceutical services have been developed for more than 12 years. Several studies and programs have shown that pharmaceutical care and other pharmaceutical services are feasible in community pharmacy practice and that patients benefit from these services. In 2003, a nationwide contract was established between representatives of the community pharmacy owners and the largest German health insurance fund. In this so-called family pharmacy contract, remuneration of pharmacists for provision of pharmaceutical care services was successfully negotiated for the first time. In 2004, a trilateral integrated care contract was signed that additionally included general practitioners, combining the family pharmacy with the family physician. Within a few months, the vast majority (>17 000) of community pharmacies have registered to participate in this program. German community pharmacies are moving from the image of mainly supplying drugs toward the provision of cognitive pharmaceutical services.

  4. Prevalence of selected rickettsial infections in cats in Southern Germany. (United States)

    Bergmann, Michèle; Englert, Theresa; Stuetzer, Bianca; Hawley, Jennifer R; Lappin, Michael R; Hartmann, Katrin


    Prevalence of Anaplasma, Ehrlichia, Neorickettsia, and Wolbachia DNA in blood of 479 cats collected in different veterinary clinics in Southern Germany was determined using a previously published conventional PCR using 16S-23S intergenic spacer primers (5' CTG GGG ACT ACG GTC GCA AGA C 3' - forward; 5' CTC CAG TTT ATC ACT GGA AGT T 3' - reverse). Purified amplicons were sequenced to confirm genus and species. Associations between rickettsial infections, and feline immunodeficiency virus (FIV), as well as feline leukemia virus (FeLV) status were evaluated. Rickettsial prevalence was 0.4% (2/479; CI: 0.01-1.62%). In the two infected cats, Anaplasma phagocytophilum DNA was amplified. These cats came from different environment and had outdoor access. Both were ill with many of their problems likely related to other diseases. However, one cat had neutrophilia with left shift and the other thrombocytopenia potentially caused by their A. phagocytophilum infection. There was no significant difference in the FIV and FeLV status between A. phagocytophilum-negative and -positive cats. A. phagocytophilum can cause infection in cats in Southern Germany, and appropriate tick control is recommended. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. [Healthcare services research on pain in Germany. A survey]. (United States)

    Häuser, W; Neugebauer, E; Petzke, F


    Within the last ten years healthcare services research has developed into an independent interdisciplinary field of research. A selective search of the literature was conducted in the database Google Scholar and the database on healthcare services research in Germany ( for healthcare services research projects on pain in Germany. Healthcare services research projects were conducted by pharmaceutical companies, patient self-help organizations, scientific societies, statutory health insurance companies and university departments on acute and chronic pain. Valid data on the epidemiology, grading and treatment of chronic pain are available. There was an overuse of opioids and invasive procedures in patients with chronic low back pain, fibromyalgia syndrome and somatoform pain disorders. Databases for patients with chronic pain are currently constructed by pain societies. The fragmentation of data from health insurance companies, old age pension insurances, clinical institutions and population surveys and inconsistencies in diagnosing or encoding chronic pain impede the carrying out of significant longitudinal studies. Based on the data available, the needs of care for patients with chronic pain and the necessary care services cannot be derived. Important topics of future healthcare services research on pain are longitudinal studies on the cost efficacy and risks of inpatient and outpatient pain therapy based on routine data of health insurance companies, old age pension insurances and pain registries, longitudinal studies on "patient careers" (i.e. sequences of healthcare) and the identification of potential starting points for control of healthcare.

  6. [Accessibility and quality of rehabilitative services among migrants in Germany]. (United States)

    Brzoska, Patrick; Razum, Oliver


    Migrants comprise a large proportion of the population in Germany. As compared to non-migrants they are at a higher risk with respect tor occupational accidents, occupational diseases and early retirement due to disability. Tertiary preventive services such as rehabilitation, consequently, are of high relevance for this population group. We provide an overview of the accessibility and quality of preventive services among migrants residing in Germany using medical rehabilitation (tertiary prevention) as an example. We also present strategies which aim to improve health care for this population group. Summary of quantitative routine data analyses and of qualitative interviews with patients and health care professionals in rehabilitative care. Migrants utilize rehabilitative health care services less often than non-migrants. Those who undergo medical rehabilitation report a lower satisfaction with health care and show less favorable health outcomes than non-migrants. This, for instance, becomes evident in the occupational performance and subjective treatment outcome after rehabilitation. Socioeconomic, sociodemographic and health factors only partially explain these associations. In addition, there is evidence that migrants face various barriers which affect the accessibility and quality of health care services. Health care institutions have to provide services which are more sensitive to the heterogeneity of the population in order to reduce barriers in health care. Diversity management can contribute to this goal.

  7. Energy for the future. New solutions - made in Germany

    Energy Technology Data Exchange (ETDEWEB)



    Today we are once again in the middle of a new industrial and energy technology revolution. From a technology point of view, it is even a huge positive, as it opens up new markets for new and more energy and natural efficient solutions. Under this aspect, the paper under considerations consists of the following contributions: (a) From grassroots movement to political power; (b) Constructive experimentation; (c) Degrees for a green future (German universities offer a wide variety of courses in renewable energy); (d) Climbing the green career ladder (Diverse career opportunities in the renewable energy sector); (e) Natural power plants: Energy you can count on (German researchers successfully focus on the sun's energy); (f) Concentrated energy from the ocean (Dynamic development of wind energy in Germany); (g) Powerful waves and extraordinary treasures (German water experts are in demand all over the world); (h) Designer diesel and deep heat (Germany leads the fields in biofuels); (i) Sending the right signals (Climate protection as an opportunity for change); (k) Car today, bike tomorrow (Environmental psychologist Ellen Matthies); (l) The secret lies under the Bonnet (Hybrid technology paves the way for ''clean'' buses and trains); (m) Pioneering the ''silent'' car (Researchers put their foot on the accelerator for electromobility); (n) The school of the future (Students at RWTH Aachen University design an energy project for the classroom).

  8. Acidification reversal in low mountain range streams of Germany. (United States)

    Sucker, Carina; von Wilpert, Klaus; Puhlmann, Heike


    This study evaluates the acidification status and trends in streams of forested mountain ranges in Germany in consequence of reduced anthropogenic deposition since the mid 1980s. The analysis is based on water quality data for 86 long-term monitored streams in the Ore Mountains, the Bavarian Forest, the Fichtelgebirge, the Harz Mountains, the Spessart, the Black Forest, the Thuringian Forest, and the Rheinisches Schiefergebirge of Germany and the Vosges of France. Within the observation period, which starts for the individual streams between 1980 and 2001 and ends between 1990 and 2009, trends in chemical water quality were calculated with the Seasonal Mann Kendall Test. About 87% of the streams show significant (p < 0.05) negative trends in sulfate. The general reduction in acid deposition resulted in increased pH values (significant for 66% of the streams) and subsequently decreased base cation concentrations in the stream water (for calcium significant in 58% and magnesium 49% of the streams). Reaction products of acidification such as aluminum (significant for 50%) or manganese (significant for 69%) also decreased. Nitrate (52% with significant decrease) and chloride (38% with significant increase) have less pronounced trends and more variable spatial patterns. For the quotient of acidification, which is the ratio of the sum of base cations and the sum of acid anions, no clear trend is observed: in 44% of the monitored streams values significantly decreased and in 23% values significantly increased. A notable observation is the increasing DOC concentration, which is significant for 55% of the observed streams.

  9. [Patient experiences and patient centeredness : The website project DIPEx Germany]. (United States)

    Breuning, Martina; Lucius-Hoene, Gabriele; Burbaum, Christina; Himmel, Wolfgang; Bengel, Jürgen


    Patient centeredness is a central concept in the treatment and rehabilitation of persons with chronic illness in Germany. There are various concepts of and approaches to patient centeredness, most of them developed from the perspective of health care research and the institutions. In terms of participation requirements, there has been a lack of understanding of the patient's perspective and experiences so far. In this article, the authors assume that the collection and analysis of patient experiences can improve patient participation and provide access to the experience of living and coping with an illness, including the patient's interactions with the health care system, their participation, and their preferences for participation. Potential uses for and the limits and risks of utilizing patient experiences are discussed, using the example of the website project (DIPEx Germany). The project collects patient experiences in the form of narrative interviews. In the course of sharing their stories, the speakers become experts on their own lives and describe where and how they feel engaged in their health care and how they wish to become further engaged, thereby experiencing participation in terms of the International Classification of Functioning. The experience of rehabilitation is viewed in a comprehensive manner for those affected. It is not limited to experiences in specific institutions, but rather, the patient experience includes the context and processes, and describes how patients can find their way back to their lives after the interruption of an illness.

  10. Systematic account of animal poisonings in Germany, 2012-2015. (United States)

    McFarland, S E; Mischke, R H; Hopster-Iversen, C; von Krueger, X; Ammer, H; Potschka, H; Stürer, A; Begemann, K; Desel, H; Greiner, M


    A systematic retrospective study on animal poisonings in Germany (wildlife excluded) between January 2012 and December 2015 was conducted. Data were collected on animal exposure calls to German poison centres, poisoning cases presenting to the University of Veterinary Medicine, Hannover Small Animal and Equine Clinics, cases involving off-label use of veterinary medicinal products reported to the Federal Office of Consumer Protection and Food Safety and toxicological submissions to the Institute of Pharmacology, Toxicology, and Pharmacy, Faculty of Veterinary Medicine, Ludwig-Maximilians-University, Munich. Descriptive statistics were used to characterise animal type, exposure reason, type and substance, year/month of exposure, case severity and outcome. An evaluation of the data and data sources was also carried out. Variation in poisoning patterns was seen. However, dogs and cats were the most frequently reported species and medicinal products, pesticides and plants were consistently implicated as top causes of poisoning. Advantages and disadvantages were associated with each data source; bias was found to be an important consideration when evaluating poisoning data. This study provided useful information on animal poisonings in Germany and highlights the need for standardised approaches for the collection, evaluation and integration of poisoning data from multiple sources. British Veterinary Association.

  11. Sudetic larch in Germany - Results of provenance and progeny research

    Energy Technology Data Exchange (ETDEWEB)

    Weisgerber, H. [Forest Centre for Management Planning, Research and Ecology, Hann Muenden (Germany)


    There are only a few older sources of Sudetic larch in Germany. They distinguish themselves by outstanding growth and low susceptibility to canker. This impression was confirmed by results of provenance research. The Sudetic larch tested in comparison with numerous other provenances proved to be fast-growing, site-tolerant, to a large extent insusceptible to canker, with straight but also slightly to moderately curved stems. The Sudetic provenances behave remarkably uniformly as regards these characteristics. In addition to provenance research investigations have been going on for a long time in Germany into individual differences within the Sudetic larch populations. A report is given on the results of progeny tests from free and controlled pollination, using the example of a seed orchard consisting of 54 clones. We point also to possibilities for improving stem quality by selection steps. The results of provenance and progeny research on Sudetic larch are in the meantime being put to use to a large extent in practical forestry. The forest administrations of various federal lands recommend the use of reproductive material of Sudetic origin and from seed orchards. 20 refs, 3 figs

  12. Use of Homeopathy in Pediatric Oncology in Germany

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    Alfred Längler


    Full Text Available Homeopathy is a frequently used complementary and alternative medicine (CAM treatment. We present results comparing responses of homeopathy users (HUs and users of other forms of CAM (NHUs in pediatric oncology (PO in Germany. Differences between these two groups (usage, associated demographic characteristics, previous experience with CAM are investigated. 186 (45.2% of the 367 CAM users were exposed to homeopathy. The treatment duration amounted to a median of 601 days for HUs and 282 days for NHUs. Parents with p (127; 76.5% also used homeopathy for their child's cancer. Nonmedical practitioners played a considerably greater role as source of information than did treating physician. In the majority HUs received their prescriptions from nonmedical practitioners (56%; 29.4% of NHUs. HUs communicate more frequently with their physicians about the CAM-use (77.7% versus 65.2% and recommend CAM more often than NHUs (94% versus 85.6%. Homeopathy is the most frequently used CAM treatment in PO in Germany. HUs sustain treatment and therapies considerably longer than NHUs. Most families who had used homeopathy before their child was diagnosed with cancer also used homeopathy for the treatment of their child's cancer. Compared to other CAM treatments, patient satisfaction with homeopathy appears to be very high.

  13. The epidemiology of pertussis in Germany: past and present

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    Oppermann Hanna


    Full Text Available Abstract Background Current and past pertussis epidemiology in the two parts of Germany is compared in the context of different histories of vaccination recommendations and coverage to better understand patterns of disease transmission. Methods Available regional pertussis surveillance and vaccination coverage data, supplemented by a literature search for published surveys as well as official national hospital and mortality statistics, were analyzed in the context of respective vaccination recommendations from 1964 onwards. Results Routine childhood pertussis vaccination was recommended in the German Democratic Republic (GDR from 1964 and in former West German states (FWG from 1969, but withdrawn from 1974–1991 in FWG. Pertussis incidence declined to Conclusion The shift in pertussis morbidity to older age groups observed in FEG is similar to reports from other countries with longstanding vaccination programs and suggests that additional booster vaccination may be necessary beyond adolescence. The high proportion of fully vaccinated cases in older children in FEG suggests waning immunity 5–10 years after primary immunisation in infancy. The higher incidence of pertussis hospitalisations in infants suggests a stronger force of infection in FWG than FEG. Nationwide pertussis reporting is required for better evaluation of transmission patterns and vaccination policy in both parts of Germany.

  14. An outbreak of leptospirosis imported from Germany to Poland. (United States)

    Fiecek, Beata; Chmielewski, Tomasz; Sadkowska-Todys, Małgorzata; Czerwiński, Michał; Zalewska, Grażyna; Roguska, Urszula; Tylewska-Wierzbanowska, Stanisława


    Leptospirosis is a zoonotic disease caused by spirochetes of the Leptospiraceae family. In both humans and animals the main route of infection is indirect contact - through water or other products contaminated with urine containing spirochetes. Infection most commonly occurs through ingestion of water or food contaminated with Leptospira spp. The aim of the study was to characterize cases of leptospirosis imported to Poland from Germany in 2014 and to analyze methods that are helpful for making a diagnosis. The 10 patients examined were reported as suspected leptospirosis cases on the basis of clinical symptoms and epidemiological investigations. They originated from different regions of Poland and had been working together at a strawberry plantation in the Cloppenburg district of Lower Saxony in Germany. Blood and urine samples were tested by PCR and serum samples by serology. All ELISA positive and negative cases were examined using a reference microscopic agglutination test (MAT). In the tested group, 6 individuals (60%) were seropositive according to the ELISA, and 2 of them were confirmed by the MAT. The PCR results for the blood and urine samples were negative. Using the ELISA in the diagnosis of leptospirosis allowed the disease to be identified much faster, differentiating classes of antibodies and recognizing levels of them that are too low to be detectable by the MAT.


    Directory of Open Access Journals (Sweden)

    Eva Poppe


    Full Text Available Learning has come to the front position of the educational agenda in many countries of the world – the knowledge society, learning society, learning organization and so forth are the common terms now in the 21st century. The terms come into view in countless publications of the European Union and of many other countries in and outside the European Community. The learning society is one of the products of globalisation and knowledge, learning and education are intertwined with global capitalism. Education is considered as a servant to global capitalism, enabling trans-boundary companies to gather more effectively in the knowledge society. Learning has become to a central task in governmental education policy in many countries and it is being treated as investment – adding value to human and social capital, resulting in employability and then in work, which makes an even greater distribution to the economy, rather than being treated as a natural human process that results in the improvement of people as human beings. Profound changes are taking place as a result of globalisation that is affecting the whole of the educational institution. The objective of this contribution is to present Germany on its way to a knowledge society by examining the past and the present situation of Germany concerning mobility and furthermore mobility programs.

  16. Orthopedic workforce planning in Germany - an analysis of orthopedic accessibility.

    Directory of Open Access Journals (Sweden)

    Jan Bauer

    Full Text Available In Germany, orthopedic workforce planning relies on population-to-provider-ratios represented by the 'official degree of care provision'. However, with geographic information systems (GIS, more sophisticated measurements are available. By utilizing GIS-based technologies we analyzed the current state of demand and supply of the orthopedic workforce in Germany (orthopedic accessibility with the integrated Floating Catchment Area method. The analysis of n = 153,352,220 distances revealed significant geographical variations on national scale: 5,617,595 people (6.9% of total population lived in an area with significant low orthopedic accessibility (average z-score = -4.0, whereas 31,748,161 people (39.0% of total population lived in an area with significant high orthopedic accessibility (average z-score = 8.0. Accessibility was positively correlated with the degree of urbanization (r = 0.49; p<0.001 and the official degree of care provision (r = 0.33; p<0.001 and negatively correlated with regional social deprivation (r = -0.47; p<0.001. Despite advantages of simpler measures regarding implementation and acceptance in health policy, more sophisticated measures of accessibility have the potential to reduce costs as well as improve health care. With this study, significant geographical variations were revealed that show the need to reduce oversupply in less deprived urban areas in order to enable adequate care in more deprived rural areas.

  17. Experience with oral emergency contraception since the OTC switch in Germany. (United States)

    Kiechle, Marion; Neuenfeldt, Miriam


    In March 2015, the oral emergency contraceptives levonorgestrel (LNG) and ulipristal acetate (UPA) were released from prescription-only status in Germany. The main research question is to analyse whether the OTC status of oral emergency contraceptives has an influence on the patterns of use. All information is based on searches for public domain sources on emergency contraception. Searches were made for scientific publications, statistics, and surveys. Due to additional active ingredient properties, UPA is superior to LNG in terms of ovulation-inhibiting effect. Since the OTC switch, demand for oral emergency contraceptives has risen by almost 50%, especially at weekends when sexual encounters and thus contraceptive failures are most frequent. However, the age distribution of the users has not changed as a result of the OTC switch. Doctors still play an important role in advising on emergency contraception after the removal of the prescription-only requirement. Pregnancies despite emergency contraception are terminated in more than half of the cases. In federal states with higher rates of use of the morning-after pill, fewer terminations of pregnancy were performed. As a result of the OTC switch, more women and girls use the morning-after pill after unprotected intercourse and the time between unprotected intercourse and taking the oral emergency contraceptive decreases. This is of great advantage in terms of the mechanism of action. UPA is used more frequently than LNG. Only half of all people aged between 16 and 39 years in Germany are aware of the morning-after pill and 94% of women who had a pregnancy terminated in 2015 did not use any emergency contraception after the unprotected intercourse. In the population, there is still a great need for information and education on contraception and emergency contraception.

  18. The quality of aesthetic surgery training in plastic surgery residency: a survey among residents in Germany. (United States)

    Momeni, Arash; Goerke, Sebastian M; Bannasch, Holger; Arkudas, Andreas; Stark, G Björn


    The importance of providing high-quality exposure and training in aesthetic and reconstructive surgery during residency has come to the forefront of plastic surgery education. Adequate training in aesthetic surgery, however, has traditionally been challenging. The authors were interested in how these challenges were met abroad. A 17-item online survey was developed to assess the quality of training in aesthetic surgery in Germany. The survey had 3 distinct sections: demographic information, current state of aesthetic surgery training, and residents' opinions about the perceived quality of aesthetic surgery training. Only responses of senior residents were included in the final analysis. A total of 112 residents responded (30% response rate), of which 88 were senior plastic surgery residents. Ninety percent (n = 79) reported that a resident aesthetic surgery clinic was not part of their training experience. Eighty-eight percent (n = 77) reported that they did not have a dedicated aesthetic surgery rotation during their residency training. According to 69.3% (n = 61), no didactic training in aesthetic surgery was provided. Fifty-six percent (n = 49) of senior plastic surgery residents had performed only a maximum of 10 aesthetic surgery procedures at the time of the survey. Although only 43.2% of senior residents claimed to be interested in a predominantly aesthetic surgery practice, 90.9% (n = 80) felt that they require further training in aesthetic surgery (ie, fellowship). Deficiencies exist with respect to aesthetic surgery training among senior plastic surgery residents in Germany. Structural improvements in residency training with formal exposure and teaching in aesthetic surgery are warranted. The German Society of Plastic, Reconstructive and Aesthetic Surgeons is actively addressing deficiencies identified with the goal of improving the quality of training.

  19. Stakeholder integration and public engagement of EU and national research projects in Germany (United States)

    Ruhnau, Meike; Guo, Chenbo; Walter, Anastasia; Schneider, Nadine


    The talk addresses the feasibility and difficulties of research projects to reach out and to integrate a sufficient number of stakeholders (vgl. Carrada, 2006; Poulsen, 2007; Zikos et al. 2012; Lee & Belohlav, 2014). With "stakeholders" we understand end-users, policy makers, students for capacity building, administrators and interested general public. The design and later the implementation of stakeholder integration and public engagement strongly depend on the priority-setting and requirements of funding agencies (EU [1], DFG, BMBF and the regional ministries in Germany). They affect the size and constellation of consortia as well as the longevity and continuity of research community; on the other hand they also determine the weighting of communication, dissemination, outreach (and networking) activities within the project. For instance by public engagement of EU funded projects a share of 10% for communication and outreach activities was rated as best practices in 2014 [2]. On the national level there is no such appointment so far. In our talk we will quantify and compare activities among selected EU and nationally funded collaborative projects in Germany, address the hurdles, investigate the communication tools, examine the outreach channels and dissemination tactics, reflect the performances and the results achieved so far, with the objective to answer the following questions: - What tools/channels have been applied so far? Were they efficient and expedient? - What can be count as best practices? - Are such activities sustainable at all? The goal of this talk is to show the complexity of the stakeholder integration and public engagement in research projects, to critically assess our experiences gained in past and running projects, and to subsequently have an interactive exchange with other project professionals at EGU. [1] European Commission (2004, 2008, 2010, 2014). Communicating EU research and innovation guidance for project participants; [2] European

  20. Survey regarding the clinical practice of cardiac CT in Germany. Indications, scanning technique and reporting

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    Maurer, Marc H.; Hamm, B.; Dewey, M. [Inst. fuer Radiologie, Charite - Universitaetsmedizin Berlin (Germany)


    Purpose: to obtain an overview of the current clinical practice of cardiac computed tomography (CT) in Germany. Materials and methods: a 30-item question-naire was mailed to 149 providers of cardiac CT in Germany. The items asked about indications, scanning technique and reporting, data storage, and cost of the examination. Results: overall 45 questionnaires could be analyzed (30%). The majority of centers (76%, 34 of 45 centers) used CT scanners of the latest generation (at least 64 rows). The most common appropriate indications were exclusion of coronary artery disease (91%, 41/45), coronary anomalies (80%, 36/45), and follow-up after coronary artery bypass grafting (53%, 24/45). Each center examined on average 243 {+-} 310 patients in 2007 and the number of centers performing cardiac CT increased significantly in 2007 (p = 0.035) compared with the preceding year. Most used sublingual nitroglycerin (84%, 38/45; median of 2 sprays = 0.8 mg) and/or a beta blocker (86%, 39/44; median of 5 mg IV, median heart rate threshold: 70 beats/min). Many providers used ECG-triggered tube current modulation (65%, 29/44) and/or adjusted the tube current to the body mass index or body weight (63%, 28/44). A median slice thickness of 0.75 mm with a 0.5 mm increment and a 20 cm field-of-view was most commonly used. Source images in orthogonal planes (96%, 43/45), curved MPRs (93%, 42/45), and thin-slice MIPs (69%, 31/45) were used most frequently for interpretation. Extracardiac structures were also evaluated by 84% of the centers (38/45). The mean examination time was 16.2 min and reporting took an average of 28.8 min. (orig.)

  1. The functions of music and their relationship to music preference in India and Germany. (United States)

    Schäfer, Thomas; Tipandjan, Arun; Sedlmeier, Peter


    Is the use of music in everyday life a culturally universal phenomenon? And do the functions served by music contribute to the development of music preferences regardless of the listener's cultural background? The present study explored similarities and dissimilarities in the functions of music listening and their relationship to music preferences in two countries with different cultural backgrounds: India as an example of a collectivistic society and Germany as an example of an individualistic society. Respondents were asked to what degree their favorite music serves several functions in their life. The functions were summarized in seven main groups: background entertainment, prompt for memories, diversion, emotion regulation, self-regulation, self-reflection, and social bonding. Results indicate a strong similarity of the functions of people's favorite music for Indian and German listeners. Among the Indians, all of the seven functions were rated as meaningful; among the Germans, this was the case for all functions except emotion regulation. However, a pronounced dissimilarity was found in the predictive power of the functions of music for the strength of music preference, which was much stronger for Germans than for Indians. In India, the functions of music most predictive for music preference were diversion, self-reflection, and social bonding. In Germany, the most predictive functions were emotion regulation, diversion, self-reflection, prompt for memories, and social bonding. It is concluded that potential cultural differences hardly apply to the functional use of music in everyday life, but they do so with respect to the impact of the functions on the development of music preference. The present results are consistent with the assumption that members of a collectivistic society tend to set a higher value on their social and societal integration and their connectedness to each other than do members of individualistic societies.

  2. Why, when, and how general practitioners restore endodontically treated teeth: a representative survey in Germany. (United States)

    Naumann, Michael; Neuhaus, Klaus W; Kölpin, Manja; Seemann, Rainer


    The purpose of this study was to assess current opinions, applied techniques, and materials for the restoration of endodontically treated teeth (ETT) in a nationwide survey in Germany. Completed questionnaires from 1,648 dentists were returned (response rate 63%). In general, posts were reported to be used more frequently (51%) for indirect restorations than for direct restorations (21%). Dentists restored anterior teeth (65%) more frequently with direct restorations than posterior teeth (48%). Compared to an earlier survey, fewer dentists stated that posttreatment stabilizes the remaining tooth structure. The ferrule effect as a key success factor was held by the vast majority of dentists (88%). A trend towards adhesive techniques both for post placement and core build-up was observed. Composite resins (49%) were reported to be used twice as much as zinc phosphate cement (24%) for the luting of posts; composite resins were the core build-up material of choice (75%). Amalgam was rarely used (0.2%). Irrespective of the final restoration, fiber posts were the most popular post material (46% for telescopic crowns vs. 69% for single crowns). Adhesive composite core build-ups with and without fiber posts were the predominant treatment approach to restore ETT in Germany. There was widespread agreement with the ferrule effect as a key restorative success factor for indirect restorations. Today, it is general accepted that ferrule preparation is key. Glass-fiber posts appear to be most popular. Still different systems are used depending on type of final restoration, while the reasons to do so remain unclear.

  3. Unaccompanied refugee minors in Germany: attitudes of the general population towards a vulnerable group. (United States)

    Plener, Paul L; Groschwitz, Rebecca C; Brähler, Elmar; Sukale, Thorsten; Fegert, Jörg M


    Germany saw an increase in numbers of refugees in 2015, with nearly a third being below the age of 18. Unaccompanied refugee minors (URMs) present an especially vulnerable group. In addition to pre-flight and flight stress, the acculturation process can work as potential stressor, and we wanted to explore attitudes towards URM. We conducted a study in a representative sample (n = 2524) of the German population (ages 14 years or older) between January and March 2016. Only 22.8% of participants thought that Germany could accompany more URM. While few participants argued in support of immediate deportation of URM in general (38.6%) or of URM from the Middle East (35.3%), a majority advocated for immediate deportations of URM from the Balkan region (62%) or from Africa (51.1%). Difference in the variance regarding attitudes towards deportation was explained mostly by right-wing political attitudes as well as by islamophobic attitudes and general rejection of asylum seekers. High rates of approval were found for guaranteeing the same chances to schooling or apprenticeship for URM as to German children and for bestowing URM a right to permanent residence if they were able to complete school or apprenticeship. Education and qualification are key to integration. Studies about needs and wishes of URM consistently report a high motivation to learn the language of their new host country and attend school. At this point, hopes of URM and expectations of society meet, which underlines the importance of participation in education as key factor in integration.

  4. Maternal near-miss among women with a migrant background in Germany. (United States)

    Reime, Birgit; Janssen, Patricia A; Farris, Lily; Borde, Theda; Hellmers, Claudia; Myezwa, Hellen; Wenzlaff, Paul


    To examine the association between region of origin and severe illness bringing a mother close to death (near-miss). Retrospective cohort study. Maternity units in Lower Saxony, Germany. 441 199 mothers of singleton newborns in 2001-2007. Using chi-squared tests, bivariate and multivariable logistic regression we examined the association between maternal region of origin and near-miss outcomes with prospectively collected perinatal data up to seven days postpartum. Hysterectomy, hemorrhage, eclampsia and sepsis rates. Eclampsia was not associated with region of origin. Compared to women from Germany, women from the Middle East (OR 2.24; 95%CI 1.60-3.12) and Africa/Latin America/other countries (OR 2.17; 95%CI 1.15-4.07) had higher risks of sepsis. Women from Asia (OR 3.37; 95%CI 1.66-6.83) and from Africa/Latin America/other countries had higher risks of hysterectomy (OR 2.65; 95%CI 1.36-5.17). Compared to German women, the risk of hemorrhage was higher among women from Asia (OR 1.55; 95%CI 1.19-2.01) and lower among women from the Middle East (OR 0.66, 95%CI 0.55-0.78). Adjusting for maternal age, parity, occupation, partner status, smoking, obesity, prenatal care, chronic conditions and infertility showed no association between country of origin and risk of sepsis. Region of origin was a strong predictor for near-miss among women from the Middle East, Asia and Africa/Latin America/other countries. Confounders mostly did not explain the higher risks for maternal near-miss in these groups of origin. Clinical studies and audits are required to examine the underlying causes for these risks. © 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.

  5. Similar virus spectra and seasonality in paediatric patients with acute respiratory disease, Ghana and Germany. (United States)

    Annan, A; Ebach, F; Corman, V M; Krumkamp, R; Adu-Sarkodie, Y; Eis-Hübinger, A M; Kruppa, T; Simon, A; May, J; Evans, J; Panning, M; Drosten, C; Drexler, J F


    Epidemiological differences between tropical and temperate regions regarding viruses causing acute respiratory infection are poorly understood. This is in part because methodological differences limit the comparability of data from these two regions. Using identical molecular detection methods, we tested 1174 Ghanaian and 539 German children with acute respiratory infections sampled over 12 months for the 15 most common respiratory viruses by PCR. A total 43.2% of the Ghanaian and 56.6% of the German children tested positive for at least one respiratory virus. The pneumoviruses respiratory syncytial virus and human metapneumovirus were most frequently detected, in 13.1% and 25.1% within the Ghanaian and German children, respectively. At both study sites, pneumoviruses were more often observed at younger ages (p prevalence rate ratio (PR) 2.0, 95% CI 1.7-2.4). In contrast, non-enveloped viruses were more frequent during the Ghanaian dry season (PR 0.6, 95% CI 0.4-0.8). In Germany, enveloped viruses were also more frequently detected during the relatively colder winter season (PR 1.6, 95% CI 1.2-2.1) and non-enveloped viruses during summer (PR 0.7, 95% CI 0.5-0.9). Despite a distance of about 5000 km and a difference of 44° latitude separating Germany and Ghana, virus spectra, age associations and seasonal fluctuation showed similarities between sites. Neither respiratory viruses overall, nor environmentally stable (non-enveloped) viruses in particular were more frequent in tropical Ghana. The standardization of our sampling and laboratory testing revealed similarities in acute respiratory infection virus patterns in tropical and temperate climates. Copyright © 2015 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  6. The Terror Attacks of 9/11 and Suicides in Germany: A Time Series Analysis. (United States)

    Medenwald, Daniel


    Data on the effect of the September 11, 2001 (9/11) terror attacks on suicide rates remain inconclusive. Reportedly, even people located far from the attack site have considerable potential for personalizing the events that occurred on 9/11. Durkheim's theory states that suicides decrease during wartime; thus, a decline in suicides might have been expected after 9/11. We conducted a time series analysis of 164,136 officially recorded suicides in Germany between 1995 and 2009 using the algorithm introduced by Box and Jenkins. Compared with the average death rate, we observed no relevant change in the suicide rate of either sex after 9/11. Our estimates of an excess of suicides approached the null effect value on and within a 7-day period after 9/11, which also held when subsamples of deaths in urban or rural settings were examined. No evidence of Durkheim's theory attributable to the 9/11attacks was found in this sample.

  7. The Terror Attacks of 9/11 and Suicides in Germany (United States)

    Medenwald, Daniel


    Abstract Data on the effect of the September 11, 2001 (9/11) terror attacks on suicide rates remain inconclusive. Reportedly, even people located far from the attack site have considerable potential for personalizing the events that occurred on 9/11. Durkheim's theory states that suicides decrease during wartime; thus, a decline in suicides might have been expected after 9/11. We conducted a time series analysis of 164,136 officially recorded suicides in Germany between 1995 and 2009 using the algorithm introduced by Box and Jenkins. Compared with the average death rate, we observed no relevant change in the suicide rate of either sex after 9/11. Our estimates of an excess of suicides approached the null effect value on and within a 7-day period after 9/11, which also held when subsamples of deaths in urban or rural settings were examined. No evidence of Durkheim's theory attributable to the 9/11attacks was found in this sample. PMID:27082561

  8. Hospital quality reports in Germany: patient and physician opinion of the reported quality indicators

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    Molzahn Tanja


    Full Text Available Abstract Background Starting in 2005, Germany's health law required hospital quality reports to be published every two years by all acute care hospitals. The reports were intended to help patients and physicians make informed choices of hospitals. However, while establishing the quality indicators that form the content of the reports, the information needs of the target groups were not explicitly taken into account. Therefore, the aim of our study was to determine patient and physician opinion of the relevance of the reported quality indicators for choosing or referring to a hospital. Methods Convenience samples of 50 patients and 50 physicians were asked to rate the understandability (patients, suitability (physicians and relevance (both groups of a set of 29 quality indicators. The set was drawn from the reports (24 indicators and supplemented by five indicators commonly used in hospital quality reports. We analysed the differences in patient and physician ratings of relevance of all indicators by applying descriptive statistics, t-tests and Wilcoxon tests. Results Only three indicators were considered not understandable by the interviewed patients and unsuitable by the interviewed physicians. The patients rated 19 indicators as highly or very relevant, whereas the physicians chose 15 indicators. The most relevant indicator for the patients was "qualification of doctors", and for the physicians "volume of specified surgical procedures". Patient and physician rankings of individual indicators differed for 25 indicators. However, three groups of indicators could be differentiated, in which the relevance ratings of patients and physicians differed only within the groups. Four of the five indicators that were added to the existing set of reported indicators ranked in the first or second group ("kindness of staff", "patient satisfaction", "recommendation", and "distance to place of living". Conclusion Most of the content of Germany's hospital

  9. Testing Hypotheses in an I(2) Model with Applications to the Persistent Long Swings in the Dmk/$ Rate

    DEFF Research Database (Denmark)

    Johansen, Søren; Juselius, Katarina; Frydman, Roman

    and persistent swings in the foreign exchange market between Germany and USA. The data analyzed consist of nominal exchange rates, relative prices, US inflation rate, two long-term interest rates and two short-term interest rates over the 1975-1999 period. One important aim of the paper is to demonstrate...

  10. The role of mediating factors in the association between social deprivation and low birth weight in Germany. (United States)

    Reime, Birgit; Ratner, Pamela A; Tomaselli-Reime, Sandra N; Kelly, Ann; Schuecking, Beate A; Wenzlaff, Paul


    This study examines whether the association between social inequalities and low birth weight (LBW) (occurring in both pre- and full-term births) in Germany can be explained by several potentially confounding factors. These include maternal age, occupational status, marital status, nationality, employment status, smoking, prenatal care, psychosocial stress, obesity, short stature, short inter-pregnancy interval, chronic conditions, and several obstetrical risk factors such as pregnancy induced hypertension. We also examined how the risk for LBW varies over time within each socioeconomic group. We analyzed routinely collected perinatal data on singletons born in the federal state of Lower Saxony, Germany, in 1990, 1995, and 1999 (n = 182,444). After adjustment for all potentially confounding factors in multivariate logistic regression models, working class women, unemployed women, single mothers, and women over 39 years of age were at increased risk for pre- and full-term LBW infants. Migrant status was not related to LBW. We examined variations in the risk for LBW over time within groups, using the 1990 birth cohort as the referent group for the 1995 and 1999 birth cohorts. Compared to 1990, in 1999 women aged 19-34 years, housewives, unemployed women, women of German nationality and women with partners had higher risks for pre- and full-term LBW infants; the eldest subgroup had lower risks for LBW after adjustment for confounding factors. The factors we examined partly explain the social inequalities in LBW occurring in pre- and full-term infants. The subgroups with higher rates of LBW in 1999 compared to 1990, included women experiencing childbirth in an optimal stage of life or in a privileged social context. Public health policies in Germany should target social inequalities contributing to the aetiology of LBW and to the factors that result in increased LBW rates.

  11. [Working hour preferences of female and male residents : Developments over 4 years of postgraduate medical training in Germany]. (United States)

    Ziegler, Stine; Krause-Solberg, Lea; Scherer, Martin; van den Bussche, Hendrik


    This article addresses developments regarding working hours and working hour preferences of residents undergoing postgraduate training in Germany and analyses if, and for what reasons, full-time or part-time working models are preferred. The source of data is the KarMed study, which is based on yearly postal surveys carried out among graduates of the year 2008/2009 from seven medical faculties in Germany. The interviews took place during the entire postgraduate training period. Response rates were 48% in the first year, with subsequent rates of above 85%. For analysis, descriptive statistics and regression models were applied. There is a considerable discrepancy between the actual and the preferred working hours of residents undergoing postgraduate training. Postgraduate training is mostly linked to full-time contracts, usually with additional overtime, even though a considerable proportion of doctors prefer a part-time position. More female residents want to work part-time than male doctors. The same applies for the period after medical specialism: in particular, female doctors with children, female doctors trained in former Western Germany states, and those seeking an occupation in outpatient care request part-time contracts for their professional future. A similar trend has been increasingly observed over the years for male doctors. Despite the huge number of residents requesting part-time contracts - during postgraduate training and afterward - the reality is still far behind this model. It is apparent that measures should be taken for both genders. Those measures should facilitate the implementation of the favored working-time model.

  12. [Sex survey research in Germany and Europe : Liebesleben (LoveLives): A pilot study into the sexual experiences, attitudes and relationships of adults in Germany]. (United States)

    Matthiesen, Silja; Dekker, Arne; von Rueden, Ursula; Winkelmann, Christine; Wendt, Janine; Briken, Peer


    At the Hamburg Institute for Sex Research in Germany, a nationwide study is currently being carried out into the sexual experiences, attitudes and relationships of adults (18-75 years). The main focus of this pilot study is to test the comprehensibility and length of a data collecting instrument as well as the comparison of two data collecting methods with regard to reliability and representativeness of the results as well as of the refusal rate. To this end face-to-face interviews (n = 500) and questionnaires sent by post (n = 500) are to be compared with each other as methods. The data to be collected relates to sexuality, particularly the prevention of HIV and other sexually transmitted infections (STIs). The WHO definition of sexual health forms the basis for the study and thus connects up with the existing sex survey research in Europe and western industrial nations. Comparable surveys have been conducted over the past ten years in more than 30 European countries using a variety of methods. The focus of the study is placed upon the increase that has been observed for several years now in certain STIs. The article provides an overview of existing sex survey research in Europe. It becomes clear that the studies conducted so far are very heterogeneous with regard to chosen method, sampling techniques and the choice of content focus, so that no suitable data for cross-national comparability are currently available.

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

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, A.


    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 countries 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.

  14. Status of HTGR-related activities in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Von Lensa, W.; Kugeler, K. [Institut fuer Sicherheitsforschung und Reaktortechnik, Forschungszentrum Juelich GmbH, Juelich (Germany)


    The industrial activities towards the market introduction of High-Temperature Gas-Cooled Reactors as well as the related R and D programmes in Germany were stopped at the beginning of this decade in conjunction with the decision not to continue the commissioning of the 300 MWel demonstration reactor THTR 300 in Hamm-Uentrop. The 15 MWel test reactor AVR at the site of the research centre in Juelich was already shut down before, in the expectation of a further successful operation of the THTR 300. The HTGR-related activities in Germany are mainly oriented now to the decommissioning or safe closure of both plants and to the disposal of the irradiated fuel elements. Complementary to the commercial projects on evolutionary Light-Water Reactor Concepts, additional generic R and D is being performed in Germany with the aim to identify the fundamentals of an approach towards `catastrophy-free` innovative nuclear reactor technologies as being requested by the new German Atomic Act of 1994 even for beyond design basis accidents formerly assumed. The proven safety characteristics and principles of HTGRs form a sound start-up point for such considerations aiming to self-acting (passive) nuclear, thermal, chemical and mechanical stability of the primary circuit and an independence of the fission product barriers. Basic Technologies and safety principles originating from HTGR-related R and D are partially also relevant for the prevention and mitigation of severe accidents of other reactor types and vice versa as those scenarios are also characterised by high temperatures and highly corrosive conditions offering new application potentials e.g., for high-tech ceramic materials. The technology of coated-particles might offer significant advantages for safety and operational aspects as well as for an effective burning of plutonium and for direct disposal even beyond the HTGR frame. The use of thorium is being re-discussed as an effective tool to burn plutonium and reduce the

  15. [Diagnosis and therapy of cutaneous and mucocutaneous Leishmaniasis in Germany]. (United States)

    Boecken, Gerhard; Sunderkötter, Cord; Bogdan, Christian; Weitzel, Thomas; Fischer, Marcellus; Müller, Andreas; Löbermann, Micha; Anders, Gerlind; von Stebut, Esther; Schunk, Mirjam; Burchard, Gerd; Grobusch, Martin; Bialek, Ralf; Harms-Zwingenberger, Gundel; Fleischer, Bernhard; Pietras, Mathias; Faulde, Michael; Erkens, Kay


    The incidence of cutaneous and mucocutaneous Leishmaniasis (CL/MCL) is increasing globally, also in Germany, although the cases are imported and still low in number. The current evidence for the different therapies has many limitations due to lack of sufficient studies on the different Leishmania species with differing virulence. So far there is no international gold standard for the optimal management. The aim of the German joint working group on Leishmaniasis, formed by the societies of Tropical Medicine (DTG), Chemotherapy (PEG) and Dermatology (DDG), was to establish a guideline for the diagnosis and treatment of CL and MCL in Germany, based on evidence (Medline search yielded 400 articles) and, where lacking, on consensus of the experts. As the clinical features do not necessarily reflect the involved Leishmania species and, as different parasite species and even geographically distinct strains of the same species may require different treatments or varying dosages or durations of therapy, the guidelines suggest for Germany to identify the underlying parasite prior to treatment. Because of relevant differences in prognosis and ensuing therapy species should be identified in i) New World CL/MCL (NWCL/ MCL) to distinguish between L. mexicana-complex and subgenus Viannia, ii) in suspected infections with L. mexicana-complex to distinguish from L. amazonensis, and iii) in Old World CL (OWCL) to distinguish between L. infantum and L. major, L. tropica, or L. aethiopica. A state-of-the-art diagnostic algorithm is presented. For recommendations on localized and systemic drug treatment and physical procedures, data from the accessible literature were adjusted according to the involved parasite species and a clinical differentiation into uncomplicated or complex lesions. Systemic therapy was strictly recommended for i) complex lesions (e. g. > 3 infected lesions, infections in functionally or cosmetically critical areas such as face or hands, presence of lymphangitis

  16. [Undergraduate teaching of anaesthesiology : a nationwide survey in Germany]. (United States)

    Hoffmann, N; Breuer, G; Schüttler, J; Goetz, A E; Schmidt, G N


    In 2003 anaesthesiology was implemented as a compulsory speciality of undergraduate teaching in Germany due to the revised regulations of medical education. Besides the preexisting subject of emergency medicine an obligatory course in anaesthesiology was introduced. Thus anaesthesiology has gained considerable importance in all medical faculties. To gain insight into the current status of undergraduate medical education in the university departments of anaesthesiology a nationwide survey at all university departments in Germany was initiated. In cooperation with the German Society of Anaesthesiology and Intensive Care Medicine (DGAI) a standardized questionnaire was developed and sent to 36 departments of anaesthesiology of all German medical faculties. Questions concerned the structure of the respective curriculum, learning goals, teaching, assessment and evaluation methods as well as facultative courses. Of the 36 university departments of anaesthesiology, 35 returned the questionnaire. In 66% undergraduate education in anaesthesiology is part of the fourth or fifth year of medical training. In 91% of the faculties lectures were accompanied by teaching in small student groups. A simulator-based training is integrated either in anaesthesiology and/or in emergency medicine in 91% of the departments of anaesthesiology. In 69% of the departments contents of anaesthesia, critical care medicine, emergency medicine and pain management are an integral part of undergraduate teaching in anaesthesiology. The primary learning goals are directed towards general anaesthesia and there is less focus on topics of preoperative or postoperative care, such as preoperative risk evaluation, postoperative pain management and regional anaesthesia. Besides a multiple choice test (91%) oral (63%) and/or practical examinations (71%) are used as assessment tools. In 71% of the medical faculties the respective departments of anaesthesiology are leading and organising skills laboratories. In

  17. Quantifying the impact of human activity on temperatures in Germany (United States)

    Benz, Susanne A.; Bayer, Peter; Blum, Philipp


    Human activity directly influences ambient air, surface and groundwater temperatures. Alterations of surface cover and land use influence the ambient thermal regime causing spatial temperature anomalies, most commonly heat islands. These local temperature anomalies are primarily described within the bounds of large and densely populated urban settlements, where they form so-called urban heat islands (UHI). This study explores the anthropogenic impact not only for selected cities, but for the thermal regime on a countrywide scale, by analyzing mean annual temperature datasets in Germany in three different compartments: measured surface air temperature (SAT), measured groundwater temperature (GWT), and satellite-derived land surface temperature (LST). As a universal parameter to quantify anthropogenic heat anomalies, the anthropogenic heat intensity (AHI) is introduced. It is closely related to the urban heat island intensity, but determined for each pixel (for satellite-derived LST) or measurement point (for SAT and GWT) of a large, even global, dataset individually, regardless of land use and location. Hence, it provides the unique opportunity to a) compare the anthropogenic impact on temperatures in air, surface and subsurface, b) to find main instances of anthropogenic temperature anomalies within the study area, in this case Germany, and c) to study the impact of smaller settlements or industrial sites on temperatures. For all three analyzed temperature datasets, anthropogenic heat intensity grows with increasing nighttime lights and declines with increasing vegetation, whereas population density has only minor effects. While surface anthropogenic heat intensity cannot be linked to specific land cover types in the studied resolution (1 km × 1 km) and classification system, both air and groundwater show increased heat intensities for artificial surfaces. Overall, groundwater temperature appears most vulnerable to human activity; unlike land surface temperature

  18. Shale Gas and Oil in Germany - Resources and Environmental Impacts (United States)

    Ladage, Stefan; Blumenberg, Martin; Houben, Georg; Pfunt, Helena; Gestermann, Nicolai; Franke, Dieter; Erbacher, Jochen


    In light of the controversial debate on "unconventional" oil and gas resources and the environmental impacts of "fracking", the Federal Institute for Geosciences and Natural Resources (BGR) conducted a comprehensive resource assessment of shale gas and light tight oil in Germany and studied the potential environmental impacts of shale gas development and hydraulic fracturing from a geoscientific perspective. Here, we present our final results (BGR 2016), incorporating the majority of potential shale source rock formations in Germany. Besides shale gas, light tight oil has been assessed. According to our set of criteria - i.e. thermal maturity 0.6-1.2 %vitrinite reflectance (VR; oil) and >1.2 % VR (gas) respectively, organic carbon content > 2%, depth between 500/1000 m and 5000 m as well as a net thickness >20 m - seven potentially generative shale formations were indentified, the most important of them being the Lower Jurassic (Toarcian) Posidonia shale with both shale gas and tight oil potential. The North German basin is by far the most prolific basin. The resource assessment was carried out using a volumetric in-place approach. Variability inherent in the input parameters was accounted for using Monte-Carlo simulations. Technically recoverable resources (TRR) were estimated using recent, production-based recovery factors of North American shale plays and also employing Monte-Carlo simulations. In total, shale gas TRR range between 320 and 2030 bcm and tight oil TRR between 13 and 164 Mio. t in Germany. Tight oil potential is therefore considered minor, whereas the shale gas potential exceeds that of conventional resources by far. Furthermore an overview of numerical transport modelling approaches concerning environmental impacts of the hydraulic fracturing is given. These simulations are based on a representative lithostratigraphy model of the North-German basin, where major shale plays can be expected. Numerical hydrogeological modelling of frac fluid

  19. Drinking, Everyday Life Situations and Cultural Norms in Denmark, Finland and West Germany

    DEFF Research Database (Denmark)

    Simpura, J.; Fahrenkrug, H.; Hyttinen, M.


    A method called nonactive role-playing, originally developed in social psychology, is applied to illustrate cultural differences with respect to drinking between Denmark, Finland and West Germany. West Germany and Denmark have clearly higher levels of alcohol consumption than Finland, whereas...

  20. What progress has Germany made half way down the nuclear phase-out path?

    Energy Technology Data Exchange (ETDEWEB)

    Kraev, Kamen [NucNet, Brussels (Belgium). The Independent Global Nuclear News Agency


    The past year saw a number of anticipated developments related to Germany's policy of phasing out nuclear power by 2022. Ralf Gueldner, president of the German Atomic Forum (DAtF), spoke to NucNet about what has been accomplished and what remains to be done in Germany half way down the phaseout path.