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Copyright of Raumforschung und Raumordnung is the property of Oekom Verlag GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The paper deals with the 3D reconstruction of bridges from Airborne Laser Scanning point clouds and cadastral footprints. The generated realistic 3D objects can be used to enhance city models. While other studies have focused on bridge decks to fill gaps in digital elevation models, this paper focuses on the decomposition of superstructures into construction elements such as pylons, cables and arches. For this purpose, the bridge type is classified, and a combination of model-based and data-based methods is used that are built on the detection of arcs, catenaries, and line segments in the point clouds. The described techniques were successfully applied to create 3D models of the Rhine bridges in the German state of North Rhine-Westphalia. [ABSTRACT FROM AUTHOR]

Copyright of Raumforschung und Raumordnung is the property of Oekom Verlag GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Collected Papers of the Law Faculty of the University of Rijeka / Zbornik Pravnog Fakulteta Sveučilišta u Rijeci is the property of Pravni fakultet Sveucilista u Rijeci and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The systematic protests by the nuncio Fabio Chigi against the peace treaties negotiated during the Congress of Westphalia (1643–1649) have long been interpreted as a papal diplomatic failure, at a time when the ideal of Christianity was definitively giving way to a Europe made up of states. This paper seeks to move away from this categorical interpretation of the phenomenon. By studying the correspondence of the nuncios stationed in Madrid, Paris, Brussels and Vienna, the aim is to analyse how the peace of Westphalia was received, and determine whether this reception differs from the protest politics pursued by Fabio Chigi in Münster. It emerges that the nunciatures had varied reactions to the negotiations and the treaties, within fragmented contexts where the peace in Germany was just one of many current events, which were dominated by ongoing conflicts. The primary characteristic of these reactions is that they result from the local activities of each nuncio. By focusing on the variety of reactions, this study offers a polycentric and interconnected understanding of papal diplomacy at the time of the Congress of Westphalia. It aims to provide a better comprehension of the ‚agency' of the apostolic nuncios in redefining the diplomatic culture of the Holy See, through their differing receptions, practices and uses of the notion of peace. [ABSTRACT FROM AUTHOR]

This paper develops policy measures for a "just transition" based on a case study conducted in Germany's Rhineland lignite mining district. Semi-structured guided interviews served as the methodological approach. Expert interviews were conducted with representatives of citizen initiatives, trade unions and the Federal State of North Rhine-Westphalia. The results reveal the need for policy measures in different areas: First, employees working for subcontractors of the lignite industry have a high risk of losing their jobs because there are virtually no support policies for them. Second, there needs to be more input by civic initiatives regarding the process of structural change. And last, land needs to be prevented from becoming a scarce resource in the Rhineland area due to current mining legislation. We use an actor-centred institutionalist framework to derive governance approaches in line with the needs of various stakeholders. [ABSTRACT FROM AUTHOR]

The 2021 flooding events in The Netherlands, Belgium and Germany have sensitized many municipalities across Europe and especially in Germany, the federal states of North Rhine-Westphalia (NRW) and Rhineland-Palatinate, having been particularly affected, have formulated more extensive requirements for the municipalities to be able to manage these drastic situations. Flood risks and heavy rainfall maps are crucial instruments in this context because they serve as a basis for identifying risks and also for selecting suitable measures to minimize them and, in 2021, in Germany, the Federal Agency for Cartography and Geodesy (BKG) made available for the first time a state-wide, cross-municipal heavy rainfall information map for the state of North Rhine-Westphalia, in which heavy rainfall and flooding risks are recognizable for every citizen. Therefore, municipalities that already had their own heavy rainfall maps had a comparative possibility of plausibility checks, while those that did not yet have their own heavy rainfall map, had the possibility to benefit from these resources. Especially in this second scenario, the municipalities and the wastewater utilities need reliable practical advice on how to classify the information from the maps regarding drainage consequences, and this paper aims to fill this void, summarizing the experience of the 80 municipalities represented in the KomNetAbwasser in dealing with heavy rainfall maps and discussing requirements for their informative value. Furthermore, measures for risk minimization and their prioritization are also proposed, focusing on risk identification, organizational tasks, action planning and implementation, analysis of the hazard maps, risk assessment and the selection of emergency measures. [ABSTRACT FROM AUTHOR]

Copyright of Revista Mexicana de Ciencias Politicas y Sociales is the property of Revista Mexicana de Ciencias Politicas y Sociales and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Raumforschung und Raumordnung is the property of Oekom Verlag GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Raumforschung und Raumordnung is the property of Oekom Verlag GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Previous research has demonstrated the negative effects of study-related stressors on the mental health of medical students. It has been found that social resources such as social identity, dual identity and social support help buffer negative mental health outcomes. Notably, social status has been found to weaken the connection between stress and depressive symptoms. Based on these findings, the present study investigates how social resources (i.e., social identity, social support, dual identity and status) mitigate the impact of study-related stressors on the mental health of medical students who carry an inordinate stress burden. Methods: The data collection was based on a questionnaire (online and paper–pencil) which was distributed to medical students in North Rhine-Westphalia, Germany. The sample (224 participants) consisted of 77.2% female and 22.8% male medical students (36.2% human medicine students (HMS) and 63.8% dental medicine students (DMS)). The questionnaire included graphical scales and standardized questionnaires. We investigated demographic data, study-related stressors (i.e. academic performance, clinical practice, faculty relations) and depressive symptoms as outcomes, and social identity, social support, dual identity and status as moderators. The analyses were performed using SPSS 25 for Windows. Results: We found significant positive associations between study-related stressors and depressive symptoms. While dual identity as well as social support by fellow students emerged as buffers in these associations, the other social resources did not. As regards status, it was found to work as a buffer only in HMS, who typically enjoy a significantly higher status than dental medical students. Conclusion: It is only social resources such as support from fellow students and dual identity, but not other resource types, that can be effective buffers against depressive symptoms associated with study-related stressors. These findings can be used to promote students' identities in relation to both fellow students and the faculty, or the university as a whole, enabling students to better cope with stress and, thus, suffer less from depressive symptoms. Furthermore, the HMS, who ascribe a relatively high status to themselves, can use their status as a buffering factor in stressful situations, in which little can be done from the outside. [ABSTRACT FROM AUTHOR]

Departing from research on Westphalian leases between 1600 and 1900 the paper discusses the lease market of and price determination on three Westphalian estates. While economic history approaches suppose that leases can be seen as market relations and are therefore useful indicators to measure agricultural productivity, a more anthropological perspective emphasises the social relations between lessor (here: noble estate owner) and leaseholders. The choice of an adequate perspective has significant implications for research on agricultural productivity based on rents and leases. Our results indicate that the contractual arrangement of leasehold (well defined duration, announcement, auctions) was used to achieve the highest possible leases. However, at least until the 1830s, demand for leasehold land was rather low and leaseholders could benefit from a lack of competition. Price determination of leases resulted in rents below the Ricardian rent. Therefore, we argue that important assumptions of the established price approach, which uses leases as proxies for productivity, are not met and the analysis of agricultural productivity requires additional evidence on the leaseholder's income and profit. [ABSTRACT FROM AUTHOR]

Background: The crude mortality rate and the lifetime mortality risk from prostate cancer in Germany are above international average. However age-standardised mortality and years of life lost per capita from prostate cancer are declining. This study analyses the mortality-related measures for the federal state of North Rhine-Westphalia (NRW) in Germany. Methods: Based on the cause of death statistics and data from the NRW State Cancer Registry on 45,300 deaths in the years 2007–2021, mortality rates, the lifetime mortality risk from prostate cancer, median age at death and years of life lost are presented. Additionally, the 15 most frequent causes of death of 95,013 patients diagnosed with prostate cancer are reported. Results: With a stable lifetime mortality risk from prostate cancer, age-standardised mortality and years of life lost per capita are decreasing while crude mortality and median age at death are increasing in NRW. Less than half of the patients die from their prostate cancer. Cancers of the urinary bladder and other urinary organs also occur more frequently as a cause of death than it would be expected based on the age-specific risk in the total population. Conclusions: More people in North Rhine-Westphalia are dying of prostate cancer over time due to demographic ageing alone. At the same time, the age-specific mortality risk has not increased and when patients die of prostate cancer, it is at an increasingly older age. However, there is a statistical association with deaths from cancers of the lower urinary tract in patients diagnosed with prostate cancer, which demands further evaluation. [ABSTRACT FROM AUTHOR]

Background: In the summer of 2021, heavy precipitation led to extreme flooding across Western Europe. In Germany, North Rhine-Westphalia and Rhineland-Palatinate were particularly affected. More than 180 people lost their lives, and over 700 were left injured and traumatized. In the North Rhine district alone, more than 120 practices were only able to operate to a limited extent or had to close their practices completely. The aim of this study was to assess the impact of the 2021 flood on the outpatient care in the North Rhine region. Methods: The cross-sectional study was conducted in January 2022 in practices affected by the flood in the North Rhine region. For this purpose, 210 affected practices were identified using a list of the Association of Statutory Health Insurance Physicians for North Rhine (KVNO) and via telephone and/or e-mail. These practices were forwarded a questionnaire that addressed, among other things, the local accessibility of the practices before and after the flood, possibilities of patient care in different premises and received support. Results: A total of 103 practices (49.1%) returned the completed questionnaire, of which 1/4 were general practitioners. 97% of the practices reported power failure, more than 50% water supply damage and nearly 40% the loss of patient records. 76% of the participating practices stated that they needed to close their practice at least temporarily. 30 doctors took up patient care in alternative premises. The average number of patients seen by doctors per week before the flood was 206.5. In the first week working in alternative premises, doctors saw an average of 66.2 patients (-50.3%). Especially elderly/geriatric patients and patients with disabilities were identified as particularly vulnerable in terms of access to health care after the flood. Conclusions: The flood had a significant negative impact on outpatient care. We determined not only a high number of closed practices and a large decrease in patient numbers but also differences in patient care assessment depending on the type of alternative premises. To address outpatient care disruptions after extreme weather events more effectively, appropriate measures should be implemented pre-emptively. [ABSTRACT FROM AUTHOR]

Simple Summary: Rodents threaten the one health approach in livestock farming. In the present observational case study, livestock farmers collaborated with a pest controller in a pilot project in North Rhine-Westphalia, Germany. The objective was to evaluate factors influencing rodent-prevention potential on 24 livestock farms after 1.5 years project duration. Farmers' attitudes were surveyed at the project's start in March 2019. Potential for rodent prevention was assessed by an external expert in 2020. About half of the farms showed good potential for rodent prevention. Willingness to change at the project start played a central role for rodent-prevention potential. The study underscores the necessity of better informing farmers about rodent control and prevention, emphasizing the importance of preventive measures for long-term rodent control. It also highlights the need for improved advisory services for farmers. Rodents in livestock farming constitute a threat to the one health approach. In the present observational case study, livestock farmers worked together with a pest controller within a pilot project. The aim of the study was to assess determinants associated with rodent-prevention potential. The study started in March 2019 on 24 livestock farms in a municipality in North Rhine-Westphalia/Germany. At the beginning of the project a survey on the determinants expected to be related to prevention potential was conducted. To determine the potential for rodent prevention, an expert person, who was not involved in the project before, assessed the on-site conditions of the farms after 1.5 years of project duration in 2020. The potential for rodent prevention was good for about half of the farms. There were significant differences in the willingness to make changes at the project's start between farms with a high and a low potential for rodent prevention after 1.5 years. There is a general need for action to provide farmers with more practical information on rodent control. This is aggravated by the insufficient advisory services offered to farmers. This study confirms the importance of implementing preventive measures in the control of rodents to ensure that anticoagulant rodenticides are handled responsibly to reduce the impact on non-target species. [ABSTRACT FROM AUTHOR]

Long-range weather forecasts provide predictions of atmospheric, ocean and land surface conditions that can potentially be used in land surface and hydrological models to predict the water and energy status of the land surface or in crop growth models to predict yield for water resources or agricultural planning. However, the coarse spatial and temporal resolutions of available forecast products have hindered their widespread use in such modelling applications, which usually require high-resolution input data. In this study, we applied sub-seasonal (up to 4 months) and seasonal (7 months) weather forecasts from the latest European Centre for Medium-Range Weather Forecasts (ECMWF) seasonal forecasting system (SEAS5) in a land surface modelling approach using the Community Land Model version 5.0 (CLM5). Simulations were conducted for 2017–2020 forced with sub-seasonal and seasonal weather forecasts over two different domains with contrasting climate and cropping conditions: the German state of North Rhine-Westphalia (DE-NRW) and the Australian state of Victoria (AUS-VIC). We found that, after pre-processing of the forecast products (i.e. temporal downscaling of precipitation and incoming short-wave radiation), the simulations forced with seasonal and sub-seasonal forecasts were able to provide a model output that was very close to the reference simulation results forced by reanalysis data (the mean annual crop yield showed maximum differences of 0.28 and 0.36 t ha -1 for AUS-VIC and DE-NRW respectively). Differences between seasonal and sub-seasonal experiments were insignificant. The forecast experiments were able to satisfactorily capture recorded inter-annual variations of crop yield. In addition, they also reproduced the generally higher inter-annual differences in crop yield across the AUS-VIC domain (approximately 50 % inter-annual differences in recorded yields and up to 17 % inter-annual differences in simulated yields) compared to the DE-NRW domain (approximately 15 % inter-annual differences in recorded yields and up to 5 % in simulated yields). The high- and low-yield seasons (2020 and 2018) among the 4 simulated years were clearly reproduced in the forecast simulation results. Furthermore, sub-seasonal and seasonal simulations reflected the early harvest in the drought year of 2018 in the DE-NRW domain. However, simulated inter-annual yield variability was lower in all simulations compared to the official statistics. While general soil moisture trends, such as the European drought in 2018, were captured by the seasonal experiments, we found systematic overestimations and underestimations in both the forecast and reference simulations compared to the Soil Moisture Active Passive Level-3 soil moisture product (SMAP L3) and the Soil Moisture Climate Change Initiative Combined dataset from the European Space Agency (ESA CCI). These observed biases of soil moisture and the low inter-annual differences in simulated crop yield indicate the need to improve the representation of these variables in CLM5 to increase the model sensitivity to drought stress and other crop stressors. [ABSTRACT FROM AUTHOR]

Background: By providing both assistance and support, GPs can play a central role for family caregivers. By catering to the needs of caregivers, they are capable of stabilising in-home care settings over the long term. The aim of the present study is to provide a status quo analysis of how GPs assess their options for supporting individuals providing care, as well as the focal points set by their practice, and their estimation of obstacles and challenges encountered in day-to-day practice. Method: An online questionnaire was used to survey a total of 5112 GPs in North Rhine-Westphalia between April and November 2022 (response quota: 46%). A heterogeneous random sample was obtained (58% male, 42% female; average age: 57; 50% medium-sized town/city practice, 50% rural/small town practice). To determine significant differences between two groups, a t-test was used with independent random samples. Answers to free-form questions were analysed using a subsequent coding based on a qualitative content analysis. Findings: A total of 70% of respondents have frequent contact with family caregivers. Some 79% consider GPs to be well-suited to the role of primary contact point for caregivers and coordinating care. GP-carer support relationships typically arise as a result of caregivers approaching GPs (90%). Topics frequently addressed involve a worsening of the care situation (77%) and changes in the care needed (86%); consultations in the initial phase of the care situation are less common (44%). While respondents perceive a complex constellation of needs on the part of family caregivers, differences in priorities are observable between GPs in urban and rural environments (involvement of consultant/support network versus proactive and psychosocial assistance). GPs experience a wide range of challenges in providing assistance to caregivers, including the timely organisation of appropriate relief programmes (87%), referring caregivers to suitable help services (80%) or the early identification of informal caregivers (60%). Discussion: In order to strengthen the GP role, the practice team should talk to caregivers as early as possible, and refer them to suitable help and support programmes. To achieve effective support for successful care, it is important to cater equally to the needs of the persons giving and receiving care as part of the caregiver-care receiver-GP triad. [ABSTRACT FROM AUTHOR]

Passive seismic analyses are a key technology for the exploration and monitoring of subsurface reservoirs. Searching for alternative resources in the framework of the energy transition is creating a surge for identifying as many potential sites as possible suitable for geothermal exploitation. The Lower Rhine Embayment, at the western border of North Rhine-Westphalia in Germany, is an extensional system with a very high potential for geothermal exploitation. The area experiences moderate but continuous natural seismicity. Here, we report on a passive seismic dataset recorded with 48 seismic stations centred at and around Eschweiler–Weisweiler (10.14470/MO7576467356, Finger et al., 2022). Background seismic noise levels are high at this site due to high levels of anthropogenic noise and thick unconsolidated sedimentary layers. The final station layout is a compromise between targeted network design and suitably quiet locations. We show that the network design allows for the application of state-of-the-art methods including waveform-based source location methods and ambient-noise velocity imaging methods. [ABSTRACT FROM AUTHOR]

Determining SARS-CoV-2 immunity is critical to assess COVID-19 risk and the need for prevention and mitigation strategies. We measured SARS-CoV-2 Spike/Nucleocapsid seroprevalence and serum neutralizing activity against Wu01, BA.4/5 and BQ.1.1 in a convenience sample of 1,411 patients receiving medical treatment in the emergency departments of five university hospitals in North Rhine-Westphalia, Germany, in August/September 2022. 62% reported underlying medical conditions and 67.7% were vaccinated according to German COVID-19 vaccination recommendations (13.9% fully vaccinated, 54.3% one booster, 23.4% two boosters). We detected Spike-IgG in 95.6%, Nucleocapsid-IgG in 24.0%, and neutralization against Wu01, BA.4/5 and BQ.1.1 in 94.4%, 85.0%, and 73.8% of participants, respectively. Neutralization against BA.4/5 and BQ.1.1 was 5.6- and 23.4-fold lower compared to Wu01. Accuracy of S-IgG detection for determination of neutralizing activity against BQ.1.1 was reduced substantially. We explored previous vaccinations and infections as correlates of BQ.1.1 neutralization using multivariable and Bayesian network analyses. Given a rather moderate adherence to COVID-19 vaccination recommendations, this analysis highlights the need to improve vaccine-uptake to reduce the COVID-19 risk of immune evasive variants. The study was registered as clinical trial (DRKS00029414). Dewald et al. show a high Spike-IgG seroprevalence (95%) in a multicenter study with 1,411 participants. They determined a substantially reduced serum neutralization against the SARS-CoV-2 VOCs BA.4/5 and BQ.1.1. and explored predictive factors of neutralizing activity. [ABSTRACT FROM AUTHOR]

Until now, it was considered certain that the last reindeer hunters of the Ahrensburgian (tanged point groups) existed exclusively in northwestern Central Europe during the Younger Dryas Cold Period (~ Greenland Stadial 1). The excavations carried out since 2006 on the forecourt (Vorplatz) of the small Blätterhöhle in Hagen on the northern edge of the Sauerland uplands of southern Westphalia (North Rhine-Westphalia, western Germany) have now changed this view. Beneath a surprisingly extensive sequence of Mesolithic find horizons, Pleistocene sediments could be reached whose excavations yielded a Final Palaeolithic lithic ensemble of the Younger Dryas, unusual for the region and beyond. It is characterised by numerous backed lithic projectile points of high variability. Comparisons suggest a typological-technological connection with the Western European Laborian / Late Laborian. Neither in the nearer nor in the wider surroundings has a comparable lithic find ensemble been found so far. In addition, there is a lack of clear evidence for the reindeer in the fauna. Surprisingly, the vast majority of radiocarbon dates of bones and charcoals from the investigated archaeological horizon of the Final Pleistocene proved to be significantly older than expected from their stratigraphic position. This phenomenon has not yet been clarified. [ABSTRACT FROM AUTHOR]

Background: Recent studies have shown that the incidence of colorectal cancer among younger persons is rising. We investigated incidence trends and survival in the German federal state of North Rhine-Westphalia. Methods: Cancer registry data from the period 2008-2019 were classified into two age groups (15-54 and 55-99). In each age group, the standardized incidence, average annual percent change (AAPC), and relative 5-year survival (RS) were calculated and stratified according to the site, histology, size, and grade of the colorectal tumor. Results: 167 919 cases were included, with adenocarcinoma accounting for 86.4%. In 2019, the age-standardized incidence per 100 000 person-years was 13.8 and 10.3 among men and women (respectively) in the younger age group, compared with 197.9 and 126.3 in the older age group. Over the study period from 2008 to 2019, the incidence declined among older men and women (AAPC -2.6% and -2.9%) but remained nearly constant among younger men and women (-0.5% and -0.4%). The incidence of neuroendocrine, T1, and G2 tumors rose in both age groups (AAPC range: 2.3%-12.2%; 2.2%-8.3%, 6.3%-8.8%). Younger patients have a better RS, with the largest difference between age groups being found for neuroendocrine tumors (88% and 83% in younger men and women, 65% and 61% in older men and women). Conclusion: The incidence of colorectal tumors has remained constant in persons under age 55 and declined in persons aged 55 and older. Nonetheless, the incidence of neuroendocrine tumors and of small and well-differentiated tumors has risen in both age groups. The trends among younger persons and the rise in neuroendocrine tumors merit further study. [ABSTRACT FROM AUTHOR]

Airborne imaging differential optical absorption spectroscopy (DOAS), ground-based stationary DOAS, and car DOAS measurements were conducted during the S5P-VAL-DE-Ruhr campaign in September 2020. The campaign area is located in the Rhine-Ruhr region of North Rhine-Westphalia, western Germany, which is a pollution hotspot in Europe comprising urban and large industrial sources. The DOAS measurements are used to validate spaceborne NO 2 tropospheric vertical column density (VCD) data products from the Sentinel-5 Precursor (S5P) TROPOspheric Monitoring Instrument (TROPOMI). Seven flights were performed with the airborne imaging DOAS instrument for measurements of atmospheric pollution (AirMAP), providing measurements that were used to create continuous maps of NO 2 in the layer below the aircraft. These flights cover many S5P ground pixels within an area of 30 km × 35 km and were accompanied by ground-based stationary measurements and three mobile car DOAS instruments. Stationary measurements were conducted by two Pandora, two Zenith-DOAS, and two MAX-DOAS instruments. Ground-based stationary and car DOAS measurements are used to evaluate the AirMAP tropospheric NO 2 VCDs and show high Pearson correlation coefficients of 0.88 and 0.89 and slopes of 0.90 ± 0.09 and 0.89 ± 0.02 for the stationary and car DOAS, respectively. Having a spatial resolution of about 100 m × 30 m, the AirMAP tropospheric NO 2 VCD data create a link between the ground-based and the TROPOMI measurements with a nadir resolution of 3.5 km × 5.5 km and are therefore well suited to validate the TROPOMI tropospheric NO 2 VCD. The observations on the 7 flight days show strong NO 2 variability, which is dependent on the three target areas, the day of the week, and the meteorological conditions. The AirMAP campaign data set is compared to the TROPOMI NO 2 operational offline (OFFL) V01.03.02 data product, the reprocessed NO 2 data using the V02.03.01 of the official level-2 processor provided by the Product Algorithm Laboratory (PAL), and several scientific TROPOMI NO 2 data products. The AirMAP and TROPOMI OFFL V01.03.02 data are highly correlated (r=0.87) but show an underestimation of the TROPOMI data with a slope of 0.38 ± 0.02 and a median relative difference of - 9 %. With the modifications in the NO 2 retrieval implemented in the PAL V02.03.01 product, the slope and median relative difference increased to 0.83 ± 0.06 and + 20 %. However, the modifications resulted in larger scatter and the correlation decreased significantly to r=0.72. The results can be improved by not applying a cloud correction for the TROPOMI data in conditions with high aerosol load and when cloud pressures are retrieved close to the surface. The influence of spatially more highly resolved a priori NO 2 vertical profiles and surface reflectivity are investigated using scientific TROPOMI tropospheric NO 2 VCD data products. The comparison of the AirMAP campaign data set to the scientific data products shows that the choice of surface reflectivity database has a minor impact on the tropospheric NO 2 VCD retrieval in the campaign region and season. In comparison, the replacement of the a priori NO 2 profile in combination with the improvements in the retrieval of the PAL V02.03.01 product regarding cloud heights can further increase the tropospheric NO 2 VCDs. This study demonstrates that the underestimation of the TROPOMI tropospheric NO 2 VCD product with respect to the validation data set has been and can be further significantly improved. [ABSTRACT FROM AUTHOR]

In July 2021 intense rainfall caused devastating floods in western Europe and 184 fatalities in the German federal states of North Rhine-Westphalia (NW) and Rhineland-Palatinate (RP), calling into question their flood forecasting, warning and response system (FFWRS). Data from an online survey (n=1315) reveal that 35 % of the respondents from NW and 29 % from RP did not receive any warning. Of those who were warned, 85 % did not expect very severe flooding and 46 % reported a lack of situational knowledge on protective behaviour. Regression analysis reveals that this knowledge is influenced not only by gender and flood experience but also by the content and the source of the warning message. The results are complemented by analyses of media reports and official warnings that show shortcomings in providing adequate recommendations to people at risk. Still, the share of people who did not report any emergency response is low and comparable to other flood events. However, the perceived effectiveness of the protective behaviour was low and mainly compromised by high water levels and the perceived level of surprise about the flood magnitude. Good situational knowledge and a higher number of previously experienced floods were linked to performing more effective loss-reducing action. Dissemination of warnings, clearer communication of the expected flood magnitude and recommendations on adequate responses to a severe flood, particularly with regard to flash and pluvial floods, are seen as major entry points for improving the FFWRS in Germany. [ABSTRACT FROM AUTHOR]

Background: During the first phase of the Coronavirus-19 disorder (COVID-19) pandemic in the spring of 2020, utilization of inpatient mental healthcare was significantly reduced. We now report on a long-term observational study of inpatient mental healthcare in a large psychiatric hospital association in North Rhine-Westphalia, Germany, covering the second and third pandemic waves of autumn and winter 2020 followed up until June 2021. Objectives: Analysis of the changes of inpatient and day patient mental healthcare utilization in an association of psychiatric hospitals during the COVID-19 pandemic from January 2020 until June 2021. Materials and methods: We used the statistics database of the association of the nine psychiatric hospitals of the Rhineland Regional Council (Landschaftsverband Rheinland, LVR). We compared the case numbers of the pandemic period with previous years and analyzed changes in the diagnostic spectrum, rates of coercion and therapeutic outcomes. We also analyzed age, gender, diagnoses and coercive measures of patients tested positive for COVID-19 during inpatient psychiatric healthcare. Results: Case rates were reduced during and after the COVID-19 pandemic episodes of 2020 and the following months of spring and summer 2021. Changes varied between diagnostic groups, and there were even increases of case numbers for acute psychotic disorders. Coercive measures increased during the pandemic, but therapeutic outcomes were maintained at the prepandemic level. Women and patients of higher ages were overrepresented among psychiatric inpatients with COVID-19. Conclusion: The COVID-19 pandemic led to over during reductions of inpatient psychiatric hospital admissions and changes of the diagnostic spectrum accompanied by increased rates of coercive measures. These effects may reflect an overall increased severity of mental disorders during the COVID-19 pandemic, deferrals of inpatient admissions or a lack of outpatient mental healthcare services utilization. To differentiate and quantitate these potential factors, further studies in the general population and in the different mental healthcare sectors are needed. In order to reduce the number of COVID-19 cases in psychiatric hospitals, vaccination of people of higher ages and with dementias seem to be the most needed strategy. [ABSTRACT FROM AUTHOR]

Background: As older adults ≥80 years are often underrepresented in previous studies, little is known about their characteristics associated with the utilization of nursing care services. Therefore, this study examined individual (predisposing, enabling, and need) predictors of nursing care utilization in the very old population of North Rhine-Westphalia (NRW) in Germany.Methods: Data from a representative cross-sectional study included 1531 community-dwelling individuals and nursing home residents aged ≥80 years. Multinomial regression was applied to investigate the factors that explain the use of outpatient care services, day care, and/or private care (odpNCU), and inpatient nursing care (inpNCU).Results: Overall, 1083 (69.9%) participants did not use nursing care services (noNCU), 339 (21.9%) used outpatient, day, and/or private care, and 127 (8.2%) used inpatient nursing care. Compared to noNCU, odpNCU was associated with a higher likelihood of being older [odds ratio (OR) = 1.06, 95% confidence interval (CI): 1.01-1.11], having no partner (OR = 0.58, 95%CI: 0.37-0.91), experiencing higher functional (basic activities of daily living, OR = 0.02, 95%CI: 0.01-0.04; instrumental activities of daily living, OR = 0.18, 95%CI: 0.11-0.30) and cognitive disabilities (OR = 0.63, 95%CI: 0.44-0.89). Compared to noNCU, nursing home residents were more likely older (OR = 1.14, 95%CI: 1.07-1.22), had lower socioeconomic status (OR = 0.98, 95%CI: 0.97-1.00), were childless (OR = 3.83, 95%CI: 1.71-8.56) and without partners (OR = 0.43, 95%CI: 0.20-0.96), socially isolated (OR = 3.94, 95%CI: 2.06-7.55), were more likely to be lonely (OR = 2.94, 95%CI: 1.58-7.89), more functionally (basic activities of daily living, OR = 0.01, 95%CI: 0.00-0.03; instrumental activities of daily living, OR = 0.04, 95%CI: 0.02-0.09) and cognitively impaired (OR = 0.48, 95%CI: 0.31-0.74), but they were less likely to experience five or more chronic conditions (OR = 0.42, 95%CI: 0.20-0.88) and less likely to be physically pre-frail (OR = 0.24, 95%CI: 0.10-0.58) and frail (OR = 0.09, 95%CI: 0.03-0.27).Conclusions: Individual need factors dominated in explaining odpNCU, suggesting that the very old population in NRW may have equitable access to these services. As social structure, region, and social resources explain inpNCU, this type of care may be inequitably accessible. [ABSTRACT FROM AUTHOR]

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The principle of Indigenous sovereignty acknowledges the liberal imperative of state authority, and yet simultaneously transforms it. Fundamental principles of sovereignty embedded in Westphalian ideas of state and nation-state are counterpoised against in other rationalities--including concepts of cultural rights, human security and more localized sovereignties. Canada's experience in laying claim to both the internal waters of the Canadian Northwest Passage, and its more recent claim to the extended continental shelf in the Arctic Ocean, are a case in point. In both of these cases Indigenous sovereignty challenges the right of the Canadian state to make such claims without the explicit permission of Inuit peoples. Yet, gaining such permission supports conventional sovereign claims much the way is conventionally associated with the Peace of Westphalia, even if history was more complicated and less immediate in its compliance with what became conflated over time with Westphalian ideals. Meanwhile, land claims treaties in Canada's Arctic along with new understandings of climate change and human security support a reassessment of sovereignty in practice, and an expansion from the Westphalian ideal to a post-Westphalian synthesis of Indigenous and state sovereignties. Can we still call such arrangements "liberal", and is decolonization consistent within a framework of liberal views of state sovereignty? The Inuit experience at the nexus of Indigenous and state sovereignty suggests we can indeed, and that Canada's evolving conception of sovereignty re-introduces tribal sovereignty as a pillar of the new, post-Westphalian order. While similar processes are under way across the Indigenous world, whether in the Far North or Global South, the experience in Arctic North America sheds important light on the evolution of sovereignty in both theory and practice as Indigenous values and conceptions are increasingly recognized and embraced by the sovereign states that emerged in their homelands through colonial state expansion. [ABSTRACT FROM AUTHOR]

Background: People aged 80 and over frequently face complex chronic conditions and health limitations, including oral health problems, which are primarily addressed by ambulatory (i.e., outpatient) healthcare. This demographic development is expected to affect the provision of care. However, few studies have investigated physicians' and dentists' views across the various medical disciplines in non-institutional settings. This study investigated how healthcare providers perceive caring for very old people, and how they feel healthcare should be designed for this patient group. Methods: A qualitative online survey comprising nine open-ended items was conducted among physicians and dentists practicing in the ambulatory healthcare sector in North Rhine-Westphalia, Germany. Apart from child and adolescent healthcare, no medical specialties were excluded. The results were analysed using Kuckartz' approach of structuring qualitative content analysis. A descriptive codebook was developed first. After coding all the material, recurring patterns between the topics were investigated and compared between two groups of participants, physicians and dentists. Results: N = 77 cases were included in the analysis, from which n = 21 originated from the field of ambulatory general practice care and internal medicine, n = 19 from specialties (e.g., neurology, urology), and n = 37 from dentistry. Caring for patients aged 80 and over was perceived as challenging because of complex health conditions and treatments such as multimorbidity and polypharmacy, and patients' cognitive and physical limitations. In characterizing good care in older age, both groups found individual care important, as well as empathetic interactions and good collaboration in networks of healthcare providers. Inadequate reimbursement and limited resources and time were the most important barriers to providing good care, while one of the most important facilitators was healthcare providers' attitude and motivation. Conclusions: Physicians' and dentists' conceptions of good healthcare are in line with the conceptualization of patient-centred care. However, the transfer in everyday care delivery is hampered by the current design of healthcare structures. Healthcare providers feel overstrained by the increasing demands placed on them. Adaptations for improvement should focus on building strong networks of cooperating health professions, especially including dental care, and local social support structures. [ABSTRACT FROM AUTHOR]

We present a workflow for seamless real-time navigation and 3D thermal mapping in combined indoor and outdoor environments in a global reference frame. The automated workflow and partly real-time capabilities are of special interest for inspection tasks and also for other time-critical applications. We use a hand-held integrated positioning system (IPS), which is a real-time capable visual-aided inertial navigation technology, and augment it with an additional passive thermal infrared camera and global referencing capabilities. The global reference is realized through surveyed optical markers (AprilTags). Due to the sensor data's fusion of the stereo camera and the thermal images, the resulting georeferenced 3D point cloud is enriched with thermal intensity values. A challenging calibration approach is used to geometrically calibrate and pixel-co-register the trifocal camera system. By fusing the terrestrial dataset with additional geographic information from an unmanned aerial vehicle, we gain a complete building hull point cloud and automatically reconstruct a semantic 3D model. A single-family house with surroundings in the village of Morschenich near the city of Jülich (German federal state North Rhine-Westphalia) was used as a test site to demonstrate our workflow. The presented work is a step towards automated building information modeling. [ABSTRACT FROM AUTHOR]

The very high-resolution space imagery now competes with some functions that were previously solved with aerial images. Several very high-resolution optical satellites with a ground sampling distance (GSD) of 1 m and smaller are currently active. Not all of these satellites take images worldwide. Nevertheless, it is not a problem to obtain up-to-date satellite images with a very high resolution. Mapping projects not only need to consider access and quality, but also cost-effectiveness. Of course, the economic framework conditions are decisive for the decision as to whether space images or very high-resolution satellite images should be used. With a total 21 SkySat satellites, low-cost satellites with very high resolution have changed the economic conditions. To keep costs and weights down, the Skysat satellites were not designed to offer the best direct geo-referencing performance, but this problem can be solved by automatic orientation in relation to existing orthoimages.In North Rhine-Westphalia, the cadastral maps must be checked at regular intervals to ensure that the buildings are complete. A test project examined whether this is possible with SkySat images. The geometric conditions and the image quality with the effective ground resolutions are investigated. Experiences from earlier publications could not be used. First the specific problem had to be solved, the resolution of the SkySat images was improved by lowering the satellite orbit altitude from 500 km to 450 km and by a better super resolution with 0.50 m ground sampling distance for the SkySat Collect orthoimages and in addition Planet improved their generation of Collect images. The required standard deviation of the object details of 4 m was achieved clearly as the effective ground resolution of 0.5 m if the angle of incidence is below 20°. [ABSTRACT FROM AUTHOR]

Background: In some areas of Germany, there is a shortage of specialist physicians for patients with inflammatory rheumatic diseases. Delegating certain medical care services to qualified, specialized rheumatological assistants (SRAs) might be an effective way to supplement the available capacity for specialized medical care. Methods: Patients under stable treatment for rheumatoid arthritis (RA) or psoriatic arthritis (PsA) were included in this trial, which was designed to demonstrate, in a first step, the non-inferiority of a form of care involving delegation of physicians' tasks to SRAs (team-based care), in comparison to standard care, with respect to changes in disease activity at one year. "Non-inferiority," in this context, means either superiority or else an irrelevant extent of inferiority. In a second step, in case non-inferiority could be shown, the superiority of team-based care with respect to changes in patients' health-related quality of life would be tested as well. Disease activity was measured with the Disease Activity Score 28, and health-related quality of life with the EQ-5D-5L. This was a randomized, multicenter, rater-blinded trial with two treatment arms (team-based care and standard care). The statistical analysis was performed with mixed linear models (DRKS00015526). Results: From September 2018 to June 2019, 601 patients from 14 rheumatological practices and 3 outpatient rheumatological clinics in the German states of North Rhine--Westphalia and Lower Saxony were randomized to either team-based or standard care. Team-based care was found to be non-inferior to standard care with respect to changes in disease activity (adjusted difference = -0.19; 95% confidence interval [-0.36; -0.02]; p <0.001 for non-inferiority). Superiority with respect to health-related quality of life was not demonstrated (adjusted difference = 0.02 [-0.02; 0.05], p = 0.285). Conclusion: Team-based care, with greater integration of SRAs, is just as good as standard care in important respects. Trained SRAs can effectively support rheumatologists in the care of stable patients with RA or PsA. [ABSTRACT FROM AUTHOR]

Background: Alveolar echinococcosis (AE) is a clinically serious zoonosis caused by the fox tapeworm Echinococcus multilocularis. We studied the diversity and the distribution of genotypes of E. multilocularis isolated from foxes in Brandenburg, Germany, and in comparison to a hunting ground in North Rhine-Westphalia. Methods: Echinococcus multilocularis specimens from 101 foxes, 91 derived from Brandenburg and 10 derived from North Rhine-Westphalia, were examined. To detect potential mixed infections with different genotypes of E. multilocularis, five worms per fox were analyzed. For genotyping, three mitochondrial markers, namely cytochrome c oxidase subunit 1 (Cox1), NADH dehydrogenase subunit 1 (Nad1), and ATP synthase subunit 6 (ATP6), and the nuclear microsatellite marker EmsB were used. To identify nucleotide polymorphisms, the mitochondrial markers were sequenced and the data were compared, including with published sequences from other regions. EmsB fragment length profiles were determined and confirmed by Kohonen network analysis and grouping of Sammon's nonlinear mapping with k-means clustering. The spatial distribution of genotypes was analyzed by SaTScan for the EmsB profiles found in Brandenburg. Results: With both the mitochondrial makers and the EmsB microsatellite fragment length profile analyses, mixed infections with different E. multilocularis genotypes were detected in foxes from Brandenburg and North Rhine-Westphalia. Genotyping using the mitochondrial markers showed that the examined parasite specimens belong to the European haplotype of E. multilocularis, but a detailed spatial analysis was not possible due to the limited heterogeneity of these markers in the parasite population. Four (D, E, G, and H) out of the five EmsB profiles described in Europe so far were detected in the samples from Brandenburg and North Rhine-Westphalia. The EmsB profile G was the most common. A spatial cluster of the E. multilocularis genotype with the EmsB profile G was found in northeastern Brandenburg, and a cluster of profile D was found in southern parts of this state. Conclusions: Genotyping of E. multilocularis showed that individual foxes may harbor different genotypes of the parasite. EmsB profiles allowed the identification of spatial clusters, which may help in understanding the distribution and spread of the infection in wildlife, and in relatively small endemic areas. [ABSTRACT FROM AUTHOR]

Background: Prior research has shown that around 5%–7% of patients in breast cancer centers in Germany participate in the discussion of their own case within a multidisciplinary tumor conference (MTC). The PINTU study is one of the first to research this practice. The objective is to describe (a) how patient participation in MTCs is implemented, (b) what is the role of patients, and (c) how patients experience MTCs. Methods: MTCs in six breast and gynecological cancer centers in North Rhine‐Westphalia, Germany, with and without patient participation, are studied prospectively by (non)participatory, structured observation. Breast and gynecological cancer patients completed surveys before, directly after, and 4 weeks after MTC participation. Data are analyzed descriptively. Results: Case discussions of a sample of n = 317 patients (n = 95 with MTC participation and n = 222 without) were observed. Survey data were obtained from n = 242 patients (n = 87 and n = 155). Observational data showed heterogeneity in the ways MTC participation was practiced. Among participating patients, 89% had the opportunity to express their opinion and 61% were involved in decision‐making. Whereas most patients reported positive experiences and would recommend participation, some had negative experiences and regretted participating. Conclusions: Due to a lack of recommendations, hospitals implement patient participation in MTCs in many different ways. So far, it is unknown which setting and procedures of MTC participation are beneficial for patients. However, existing evidence on communication in cancer care together with this exploratory study's findings can build the basis for developing recommendations for hospitals that invite their patients to MTCs. Clinical trial registration number: German Clinical Trials Register Nr. DRKS00012552. [ABSTRACT FROM AUTHOR]

In Brazil, agriculture has fulfilled its basic functions, being strongly linked to economic dynamics and food security. It has thus contributed to economic growth. In the European Union (EU) agriculture has played a prominent role which, after The Second World War, has unfolded in the formulation of a Common Agricultural Policy (CAP) which has been mainly based on providing food security. The study is included in this context. It aims to measure the incentives of agricultural policy for cereal production in the Western Mesoregion of Paraná and the State of Nordrhein-Westfalen from 2005 to 2017. This was accomplished through an index, which measured the proportional participation of subsidies in the Gross Value Added (GVA) of agriculture in each region. The results showed that agricultural subsidies for Germany and Nordrhein-Westfalen were on average 29% of GVA. While for Paraná and West Mesoregion the value was around 8%. The result allows us to conclude that agricultural subsidies for the German regions were about three times higher than those of the Brazilian regions, demonstrating high participation of subsidies in the producer's income. [ABSTRACT FROM AUTHOR]

This article aims to analyse the development and use of allotment gardens (AGs) and plots in Westphalia and Lippe (Germany) and Wielkopolska (Poland) to assess what functions are feasible in their current stage, thus, contributing to an ongoing discussion on the role of AGs in contemporary urban space. The analysis considered ecosystem services, green infrastructure and urban agriculture. Characteristic features of AGs were identified by means of a survey of plot-holders, in-depth interviews with representatives of allotment associations, and exploratory walks. The management and use of AGs differs in both regions in terms of accessibility, common areas, impact on the landscape and plots development. AGs in Westphalia and Lippe are accessible and developed in a way which meets needs of external users. They fit harmoniously into the surrounding landscape. However, AGs in Wielkopolska are not as accessible, prioritise internal users, and do not always blend in with their surroundings. In Westphalia and Lippe, in addition to recreational and edible plant-growing plots, there are also educational and integration ones, while in Wielkopolska main categories of plots were more numerous and varied; from recreational with a predominance of ornamental plants to fully-cultivated. However, the considerable freedom that Polish plot-holders enjoy gives rise to the gradual marginalisation of edible-plant growing. [ABSTRACT FROM AUTHOR]

Dams have many important socio-economic functions, fulfilling roles ranging from storing water to power generation, but also serving as leisure areas. Monitoring of their deformation is usually performed using time-consuming traditional terr estrial techniques, leading to a yearly monitoring cycle. To increase the monitoring cycle, new methods are needed. Persistent Scatterer Interferometry (PSI) is a well-established technique for monitoring millimeter deformation of the Earth's surface. The availability of free and open SAR data with a repeat cycle of 6 to 12 days from the Copernicus mission Sentinel-1, allows PSI to be used complementary to traditional surveying techniques. This present study investigates deformation dynamics at the Moehne gravity dam in North Rhine-Westphalia, Germany. The applicability of the PSI technique to the deformation monitoring of dams is evaluated, in relation to the necessary accuracy requirements. For this purpose, Sentinel-1 data from January 2015 to November 2020 are analyzed and the deformation estimates are assessed with in situ information. Using a precise dam model, the radial deformation of the dam could be extracted and compared to trigonometric and plumb measurements. The first results show that the movements of the Moehne dam follow a seasonal pattern, reaching a maximum radial deformation of up to 4 mm in Spring, following a decline to −4 mm in the late summer. RMSE between 1.1 mm and 1.5 mm were observed between the PSI observations and the in situ data, showing that the PSI technique achieves the necessary accuracy requirements for gravity dam monitoring from space. [ABSTRACT FROM AUTHOR]