Search

Background: The underlying mechanisms of post-COVID syndrome (PCS) are still not fully understood. While pre-existing conditions have been described as a risk factor for severe PCS in the general population, data specific to different occupational groups in this context is lacking. This study aimed to investigate the impact of pre-existing conditions on severe post-COVID syndrome among the occupational group of healthcare and social services employees. Methods: Baseline data from a longitudinal, observational study were analysed. In February 2021, health workers who had a COVID-19 infection in 2020 were surveyed about sequelae of the infection. Factors influencing severe PCS with at least one persistent symptom categorised as severe were subjected to a multivariate logistic regression analysis. Results: Of a total of 2,053 participants, 21.5% had severe PCS. Underlying respiratory (OR 1.94; CI 1.44–2.61), cardiovascular (OR 1.35; CI 1.04–1.77) and urogenital (OR 1.79; CI 1.10–2.91) disease were risk factors for severe PCS overall. Respiratory and mental illnesses had a statistically significant impact on persistent fatigue/exhaustion, concentration/memory difficulties and shortness of breath categorised as severe. Urogenital disease was associated with severe fatigue/exhaustion. Other significant risk factors for severe PCS were female sex, smoking, physical exercise and hospitalisation due to COVID-19 infection. Conclusion: Workers in healthcare and social services with pre-existing conditions may face a higher risk of developing severe PCS. Additional analyses performed as part of the longitudinal study will show if and how this result changes over time. [ABSTRACT FROM AUTHOR]

SARS-CoV-2 serology may be helpful to retrospectively understand infection dynamics in specific settings including kindergartens. We assessed SARS-CoV-2 seroprevalence in individuals connected to kindergartens in Berlin, Germany in September 2021. Children, staff, and household members from 12 randomly selected kindergartens were interviewed on COVID-19 history and sociodemographic parameters. Blood samples were collected on filter paper. SARS-CoV-2 anti-S and anti-N antibodies were assessed using Roche Elecsys. We assessed seroprevalence and the proportion of so far unrecognized SARS-CoV-2 infections. We included 277 participants, comprising 48 (17.3%) kindergarten children, 37 (13.4%) staff, and 192 (69.3%) household members. SARS-CoV-2 antibodies were present in 65.0%, and 52.7% of all participants were vaccinated. Evidence of previous infection was observed in 16.7% of kindergarten children, 16.2% of staff, and 10.4% of household members. Undiagnosed infections were observed in 12.5%, 5.4%, and 3.6%, respectively. Preceding infections were associated with facemask neglect. In conclusion, two-thirds of our cohort were SARS-CoV-2 seroreactive in September 2021, largely as a result of vaccination in adults. Kindergarten children showed the highest proportion of non-vaccine-induced seropositivity and an increased proportion of previously unrecognized SARS-CoV-2 infection. Silent infections in pre-school children need to be considered when interpreting SARS-CoV-2 infections in the kindergarten context. [ABSTRACT FROM AUTHOR]

The occurrence of SARS-CoV-2 infections during the pandemic was mainly based on PCR testing of symptomatic patients. However, with new variants, vaccinations, and the changing of the clinical disease severity, knowledge about general immunity is elusive. For public health systems, timely knowledge of these conditions is essential, but it is particularly scarce for the pediatric population. Therefore, in this study, we wanted to investigate the spike and nucleocapsid seroprevalence in pediatric patients using routine residual blood tests collected during the pandemic. This prospective observational study was conducted over seven one-month periods. Herein, the latest four time periods (November 2021, January 2022, March 2022, and May 2022) are depicted. Each patient of a tertiary-care center in Germany was anonymized after collection of clinical diagnosis (ICD-10) and then routinely tested for the respective spike and nucleocapsid SARS-CoV-2 antibody titer. A total of 3235 blood samples from four time periods were included. Spike seroprevalence rose from 37.6% to 51.9% to 70.5% to 85.1% and nucleocapsid seroprevalence from 11.6% to 17.0% to 36.7% to 58.1% in May 2022. In detail, significant changes in seroprevalence between age groups but not between sex or diagnosis groups were found. Quantitative measures revealed rising spike and constant nucleocapsid antibody levels over the pandemic with a half-life of 102 days for spike and 45 days for nucleocapsid antibodies. Routine laboratory assessment of SARS-CoV-2 in residual blood specimens of pediatric hospitals enables monitoring of the seroprevalence and may allow inferences about general immunity in this cohort. [ABSTRACT FROM AUTHOR]

The non-turning or only superficial turning of soil is considered to be a gentle tillage method. Nevertheless, conventional ploughs are widely used in organic farming for crop production reasons. For the further development of reduced tillage, and up to no tillage, the effects of three cover crop species and their incorporation with different tillage intensities on nitrogen (N) dynamics, weed emergence and the yield of the subsequent main crop, oats, were examined in a repeated organic one-year trial. Sinapis alba, Trifolium resupinatum, Vicia sativa and bare fallow were tested and incorporated using (1) a plough (PL), (2) reduced tillage (RT), (3) mulching + drilling (MD) and (4) direct drilling (DD). V. sativa was the most promising cover crop in combination with RT, MD and DD. In Trial 1, the soil mineral N content and oat yields after the introduction of V. sativa were on a similar level as those in the PL treatments, and weeds were not yield-limiting there. In Trial 2, the biomass production of V. sativa was only about half of that of Trial 1 and did not offer sufficient weed control, but V. sativa was still successful in the RT treatments. In both trials, the yield differences were more pronounced between the cover crop treatments after RT than after PL. RT, therefore, was more dependent on an adequate cover crop species than PL. The no-till method was not only dependent on an adequate cover crop species but also on its proper biomass production for sufficient weed control. [ABSTRACT FROM AUTHOR]

Organic farming systems have become widespread in recent decades due to their popularity with consumers and their beneficial effects on the environment and biodiversity. Through the increasing number of available studies from farm surveys and comparable results from long-term field trials, the various real existing forms and intensities of agricultural management were subjected to a closer examination in this review. In this paper, the mean characteristics and the range of variation in crop productivity, crop quality and soil fertility as well as the importance and the extent of environmental impacts are comparatively analyzed. From widespread cultivation systems and forms of nutrient management from Central Europe with a focus on Germany, the following fields of influence were investigated and conclusions for the future optimal design of organic cultivation methods were listed: site, soil conditions, climate, phases of conversion and consolidation, crop rotations and farm structures, application of organic and mineral fertilizer types. [ABSTRACT FROM AUTHOR]

Background: The TRANSLATE-NAMSE project with the strengthening of the centers for rare diseases with their affiliation to the European Reference Networks was a major step towards the implementation of the German National Plan of Action for People with Rare Diseases establishing better care structures. As primary care physicians, general practitioners and pediatricians play a central role in the diagnosis of patients with rare disease, as it is usually them referring to specialists and rare disease centers. Therefore, the interface management between primary care physicians and the centers for rare diseases is of particular importance.Methods: In a mixed-method-approach an anonymous postal survey of 1,500 randomly selected primary care physicians in Germany was conducted with focus on (1) knowledge about a center for rare diseases and how it works, (2) in case of cooperation, satisfaction with the services provided by centers, and (3) expectations and needs they have with regard to the centers. In addition, in-depth telephone interviews were conducted with physicians who had already referred patients to a center.Results: In total, 248 physicians responded to the survey, and 15 primary care physicians were interviewed. We observed a wide lack of knowledge about the existence of (45.6% confirmed to know at least one center) about how to access rare disease centers (50.4% of those who know a center confirmed knowledge) and what the center specializes in. In case of cooperation the evaluation was mostly positive.Conclusion: To improve medical care, the interplay between primary care physicians and rare disease centers needs to be strengthened. (1) To improve the communication, the objectives and functioning of the rare disease centers should become more visible. (2) Other projects dealing with the analysis and improvement of interface management between centers and primary care physicians, as described in the National Plan of Action for People with Rare Diseases, need to be implemented immediately. (3) If the project is evaluated positively, the structures of TRANSLATE-NAMSE should be introduced nationwide into the German health care system to ensure comprehensive, quality-assured care for people with rare diseases with special consideration of the key role of primary care physicians-also taking into account the financial expenditures of this new care model. [ABSTRACT FROM AUTHOR]

This paper aims to reconstruct Middle Bronze Age (MBA; 1600–1250 BCE) land use practices in the northwestern Alpine foreland (SW Germany, Hegau). We used a multi-proxy approach including the analysis of biogeochemical proxies from colluvial deposits and buried topsoils in the surroundings of the well-documented settlement site of Anselfingen and off-site pollen data from two peat bogs. This approach allowed for in-depth insights into the MBA subsistence economy and shows that the MBA in the northwestern Alpine foreland was a period of establishing settlements with sophisticated land management and land use practices. The reconstruction of phases of colluvial deposition was based on ages from optically stimulated luminescence (OSL) and radiocarbon (AMS 14 C) dating from multi-layered colluvial deposits and supports the local archaeological record with the first phase of major colluvial deposition occurring during the MBA followed by phases of colluvial deposition during the Iron Age, the Medieval period and modern times. The on-site deposition of charred archaeobotanical remains and animal bones from archaeological features, as well as polycyclic aromatic hydrocarbons (PAHs), charcoal spectra, phytoliths, soil microstructure, urease enzymatic activity, microbial biomass carbon (C mic) and heavy metal contents from colluvial deposits, were used as proxies for on-site and near-site land use practices. The charcoal spectra indicate MBA forest management which favored the dominance of Quercus in the woodland vegetation in the surrounding area north of the settlement site. Increased levels of 5 β stanols (up to 40 %) and the occurrence of pig bones (up to 14 %) support the presence of a forest pasture mainly used for pig farming. In the surrounding area south of the settlement, an arable field with a buried MBA plow horizon (2Apb) could be verified by soil micromorphological investigations and high concentrations of grass phytoliths from leaves and stems. Agricultural practices (e.g., plowing) focussed on five staple crops (Hordeum distichon/vulgare , Triticum dicoccum , Triticum monococcum, Triticum spelta , Triticum aestivum/turgidum), while the presence of stilted pantries as storage facilities and of heat stones indicate post-harvest processing of cereal crops and other agrarian products within the settlement. In the area surrounding the settlement, increased levels of urease activity, compared to microbial biomass carbon (up to 2.1 µ g N µ g C mic-1), and input of herbivorous and omnivorous animal faeces indicate livestock husbandry on fallow land. The PAH suites and their spatial distribution support the use of fire for various purposes, e.g., for opening and maintaining the landscape, for domestic burning and for technical applications. The off-site palynological data support the observed change in on-site and near-site vegetation as well as the occurrence of related land use practices. During the Early and Middle Bronze Age, fire played a major role in shaping the landscape (peak of micro-charcoal during the MBA), and anthropogenic activities promoted Quercus -dominated forest ecosystems at the expense of natural beech forests. This indicates a broader regional human influence in the northwestern Alpine foreland at low- and mid-altitude inland sites during the Middle Bronze Age. [ABSTRACT FROM AUTHOR]

The present study combines archaeological data with archaeopedological data from colluvial deposits to infer Neolithic settlement dynamics between the Baar region, the Black Forest and the Swabian Jura. A review of the state of archaeological research and an analysis of the processes leading to the discovery of the Neolithic sites and thereby the formation of the current archaeological site distribution in these landscapes is presented. The intensity of land use in the study area is compared with other landscapes in southern Germany using site frequencies. Phases of colluvial deposition are dated using AMS 14C ages of charcoals and luminescence ages of sediments and interpreted as local proxies for a human presence. Archaeological source criticism indicates that the distribution of the Neolithic sites is probably distorted by factors such as superimposition due to erosion and weathering effects limiting the preservation conditions for Neolithic pottery. A reconstruction of Neolithic settlement dynamics is achieved by complementing the archaeological data with phases of colluviation. Evidence for a continuous land use in the Baar region throughout the Neolithic is provided and sporadic phases of land use on the Swabian Jura and in the Black Forest are identified. In the late and final Neolithic, an intensification of colluvial formation can be noticed in the low mountain ranges. Kurzfassung: In der vorliegenden Studie werden archäologische Daten mit bodenkundlichen Daten aus kolluvialen Ablagerungen verknüpft, um Phasen der Landnutzung während des Neolithikums zu ermitteln und somit neolithische Siedlungsdynamiken zwischen der Baar, dem Schwarzwald und der Schwäbischen Alb beschreiben zu können. Ausgehend von einer Auswertung der lokalen archäologischen Forschungsgeschichte und einer quellenkritischen Betrachtung des Fundstoffes erfolgt eine Evaluierung der Verbreitung der gegenwärtig bekannten neolithischen Fundstellen. Auf der Basis von Fundstellenfrequenzen wird eine überregionale Einordnung der Intensität der lokalen Siedlungsaktivität vorgenommen. Phasen der Kolluvienbildung werden durch Radiokohlenstoffdatierungen von Holzkohlen und Lumineszenzalter von Sedimenten datiert und als Hinweise auf eine Anwesenheit des Menschen interpretiert. Die quellenkritische Auswertung des Fundstoffes legt den Verdacht nahe, dass die Verbreitung der neolithischen Fundstellen im Arbeitsgebiet durch verschiedene Faktoren beeinflusst wird. Demnach wird die Zugänglichkeit neolithischer Fundstellen durch Über- und Umlagerung aufgrund von Erosion verzerrt und die Erhaltung von Keramik durch lokale Witterungsbedingungen eingeschränkt. Die Beschreibung neolithischer Siedlungsdynamiken gelingt letztlich durch die Korrelation der archäologischen und bodenkundlichen Daten. Für den gesamten Verlauf des Neolithikums lässt sich auf diese Weise eine neolithische Besiedlung der Baar aufzeigen. Im Schwarzwald und auf der Schwäbischen Alb lassen sich hingegen nur sporadische Landnutzungsphasen aufzeigen. Im Spät- und Endneolithikum lässt sich in den Mittelgebirgen eine Verstärkung der Kolluvienbildung beobachten. [ABSTRACT FROM AUTHOR]

Abstract: The Black Forest is considered to be a rather unfavorable area, having a short vegetation period, low mean annual temperatures, high precipitation, and a pronounced relief. These conditions do not favor agricultural land use and thus it is widely accepted that people only began using the land intensively during the Middle Ages. In this integrated study 17 soil profiles, two peat bogs and a database of archaeological finds were used to reconstruct past land use impacts on the environment. AMS–14C datings of charcoals, luminescence datings of colluvial deposits, archaeological finds and pollen records indicate land use already during the Neolithic. This pre‐medieval land use might be related to seasonal settlements dominated by pastoralism and the use of wood or bedrock to build settlements and infrastructure or as energy supply. There is new evidence of human activity dating back to the Bronze and Iron Age, which is a discrepancy to the absence of archaeological finds in the direct vicinity of the studied sites. With the beginning of the Middle Ages land use practices changed, most likely with the expansion and intensification of agricultural land use, which coincides with the increasing use of natural resources in the Black Forest. Hence, the main phases of colluvial deposition date to the Middle Ages and Modern Times. Increased contents of As, Cr, Cu, Pb, or Zn in medieval colluvial deposits might indicate smelting or mining, even though there are no known archeological sites pointing to such activities nearby. Whereas the pattern of colluvial deposition in the southeastern Black Forest points to distinct, but local land use in pre‐medieval times and to intensified and widespread land use since the Middle Ages, thick and multi‐layered colluvial deposits indicate intensive land use in the neighboring Baar region since the Neolithic. The different land use patterns of these two regions originate from the rather favorable conditions for agriculture in terms of soils, climate, and topography in the Baar region compared to the unfavorable conditions in the Black Forest. [ABSTRACT FROM AUTHOR]

Only 34% of all German farms apply reduced tillage (RT), while approximately 1% of the arable land is under no-tillage (NT). Statistics for organic farming are not available, but the percentages are probably even lower. The development of German organic RT and NT has been strongly driven by pioneer farmers for 40 years, and supported by field trials since the 1990s. The main motive for conversion to RT is increased soil quality, followed by reduced labor costs. NT combined with high-residue cover crops plays only a very small role. Rather, German organic farmers resort to shallow ploughing, a reduced number of ploughing operations in the rotation and/or substitution of the ploughing with non-inversion tillage. In field trials, winter wheat (Triticum aestivum L.) yields were reduced up to 67% by using RT methods compared to inversion tillage treatments due to reduced mineralization and increased weed pressure, both of which are major obstacles that impede the wider adoption of RT and NT by German organic farmers. Improvement of NT and RT (rotations, implements, timing) in organic farming is a task of both agricultural practice and science. A number of conventional farmers who have recently converted to organic farming are already familiar with RT. These farmers will act as a thriving factor to implement their experience after conversion and contribute to further innovations of RT in organic farming. [ABSTRACT FROM AUTHOR]

The impact of wood combustion on ambient aerosols was investigated in Augsburg, Germany during a winter measurement campaign of a six-week period. Special attention was paid to the high time resolution observations of wood combustion with different mass spectrometric methods. Here we present and compare the results from an Aerodyne aerosol mass spectrometer (AMS) and gas chromatographic -- mass spectrometric (GC-MS) analysed PM1 filters on an hourly basis. This includes source apportionment of the AMS derived organic matter (OM) using positive matrix factorisation (PMF) and analysis of levoglucosan as wood combustion marker, respectively. During the measurement period nitrate and OM mass are the main contributors to the defined submicron particle mass of AMS and Aethalometer with 28% and 35%, respectively. Wood combustion organic aerosol (WCOA) contributes to OM with 23% on average and 27% in the evening and night time. Conclusively, wood combustion has a strong influence on the organic matter and overall aerosol composition. Levoglucosan accounts for 14% of WCOA mass with a higher percentage in comparison to other studies. The ratio between the mass of levoglucosan and organic carbon amounts to 0.06. This study is unique in that it provides a one-hour time resolution comparison between the wood combustion results of the AMS and the GC-MS analysed filter method at a PM1 particle size range. The comparison of the concentration variation with time of the PMF WCOA factor, levoglucosan estimated by the AMS data and the levoglucosan measured by GC-MS is highly correlated (R² = 0.84), and a detailed discussion on the contributors to the wood combustion marker ion at mass-to-charge ratio 60 is given. At the end, both estimations, the WCOA factor and the levoglucosan concentration estimated by AMS data, allow to observe the variation with time of wood combustion emissions (gradient correlation with GC-MS levoglucosan of R² = 0.84). In the case of WCOA, it provides the estimated magnitude of wood combustion emission. Quantitative estimation of the levoglucosan concentration from the AMS data is problematic due to its overestimation in comparison to the levoglucosan measured by the GC-MS. [ABSTRACT FROM AUTHOR]