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Copyright of Anaesthesiologie & Intensivmedizin is the property of DGAI e.V. - Deutsche Gesellschaft fur Anasthesiologie und Intensivmedizin e.V. 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.)

In Europa sind circa 60% aller Erwachsenen übergewichtig/adipös, davon sind 23% adipös, die Prävalenz nimmt jährlich zu und damit auch die Folgekrankheiten. Adipositas ist seit dem Jahr 2000 von der Weltgesundheitsorganisation (WHO) als eine chronische Krankheit definiert. Seit 2020 ist Adipositas auch in Deutschland als Krankheit anerkannt worden. Körperliche Aktivität gehört zu den Basismaßnahmen der Therapie bei Übergewicht/Adipositas. Eine Kombination aus Ausdauer- und Krafttraining, eventuell unterstützt durch ein hoch intensives Intervall-Training wirkt sich metabolisch günstig aus. Das Körpergewicht reduziert sich insgesamt nur geringgradig durch alleinige körperliche Aktivitäten. Es kommt allerdings deutlicher zu einer Abnahme des Taillenumfangs und damit des viszeralen Fettgewebes, was die günstigen Stoffwechseleffekte durch Sport erklären könnte. In Europe, around 60% of all adults are overweight/obese, 23% of whom are obese. The prevalence is increasing every year and so are the secondary diseases. Obesity has been defined as a chronic disease by the World Health Organization (WHO) since 2000. Obesity has also been recognized as a disease in Germany since 2020. Physical activity is one of the basic therapeutic measures for overweight/obesity. A combination of endurance and strength training, possibly supported by high-intensity interval training, has a positive effect on the metabolism. Total body weight is only slightly reduced by physical activity alone, but there is a significant reduction in waist circumference and thus visceral fat tissue, which could explain the beneficial metabolic effects of exercise. [ABSTRACT FROM AUTHOR]

Copyright of Die Radiologie is the property of Springer Nature 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 Zeitschrift für Rheumatologie is the property of Springer Nature 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.)

Zusammenfassung: Systemischer Lupus erythematodes (SLE), das Antiphospholipid-Syndrom (APS) und das Sjögren-Syndrom (SS) sind heterogene Autoimmunerkrankungen. Schwere Ausprägungen sowie Therapieresistenz bzw. -unverträglichkeit gegenüber herkömmlichen Immunsuppressiva erfordern andere Behandlungsoptionen, d.h. biologische Arzneimittel und kleine Moleküle. Unser Ziel war es, evidenz- und praxisbasierte Leitlinien für die zulassungsüberschreitende Anwendung von Biologika bei SLE, APS und SS zu definieren. Die Empfehlungen wurden nach einem umfassenden Literaturreview und 2 Konsensrunden durch ein unabhängiges Expertengremium abgegeben. Das Gremium umfasste 17 Experten für Innere Medizin mit anerkannter Praxis im Bereich der Behandlung von Autoimmunerkrankungen. Die Literaturrecherche erfolgte systematisch für die Jahre von 2014 bis 2019 und wurde später durch Querverweisprüfungen und Experteninformationen bis 2021 aktualisiert. Es wurden vorläufige Empfehlungen von Arbeitsgruppen für jede Krankheit erarbeitet. Ein Revisionsmeeting mit allen Experten fand vor dem Konsensmeeting im Juni 2021 statt. Alle Experten stimmten in 2 Runden ab (stimme zu, stimme nicht zu, stimme weder zu noch widerspreche ich), und Empfehlungen mit mindestens 75% Zustimmung wurden anerkannt. Insgesamt 32 abschließende Empfehlungen (20 für die SLE-, 5 für die APS- und 7 für die SS-Behandlung) wurden von den Experten anerkannt. Diese Empfehlungen berücksichtigen die Organbeteiligung, die Ausprägung, den Schweregrad und das Ansprechen auf frühere Behandlungen. Bei diesen 3 Autoimmunkrankheiten beziehen sich die meisten Empfehlungen auf Rituximab, was auf die höhere Anzahl von Studien und der klinischen Erfahrung mit diesem biologischen Wirkstoff zurückzuführen ist. Eine sequenzielle Behandlung mit Belimumab nach Rituximab kann auch bei schweren Fällen von SLE und SS indiziert sein. Eine Zweitlinientherapie mit Baricitinib, Bortezomib, Eculizumab, Secukinumab oder Tocilizumab kann bei SLE-spezifischen Ausprägungen erwogen werden. Diese evidenz- und praxisbasierten Empfehlungen können die Behandlungsentscheidung unterstützen und letztendlich das Behandlungsergebnis bei Patienten mit SLE, APS oder SS verbessern. [ABSTRACT FROM AUTHOR]

Copyright of Pädiatrie & Pädologie is the property of Springer Nature 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 Herz is the property of Springer Nature 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 Zeitschrift für Herz-, Thorax- und Gefaesschirurgie is the property of Springer Nature 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 Forensische Psychiatrie, Psychologie, Kriminologie is the property of Springer Nature 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.)

Currently, few robust data are available to provide estimates of the environmental footprint and in particular the CO2 emissions of medical devices; however, existing life cycle assessments largely indicate that reusable materials have more favorable emissions and environmental footprints compared to disposable items. Thus, the challenge for every anesthesiology department is to identify items that can be used as reusable products for ecological and other reasons. A prerequisite for the use of reusable items is hygienically correct reprocessing and packaging. Here, a distinction must be made between noncritical, semicritical and critical medical devices, depending on the type of use. In addition, a distinction must be made between categories A–C, depending on the complexity of the reprocessing. In this narrative review article common reusable items used in anesthesiology are categorized and a standardized decision algorithm for reprocessing routes is proposed. Special attention is also given to the packaging of medical devices, which can contribute to the ecological footprint to a relevant extent. This article further explains the framework under which reprocessing can take place and analyzes the current state of knowledge on the life cycle assessment of reprocessing reusable devices. This requires the special commitment of clinically active anesthesiologists to include ecological aspects in the decision to use disposable or reusable items. In the medium term, comprehensible ecological key numbers should be provided on every medical device to make the ecological costs of the articles understandable in addition to the monetary costs. [ABSTRACT FROM AUTHOR]

Role allocation during the development, update and utilisation of the specialized model subsoil – Recommendation No. 4 of the working group 2.14 (DGGT) "Digitalization in geotechnical engineering" Regarding the classical workflow in civil engineering, the responsibilities between geotechnical engineers, the client and other project partners like technical planners and construction companies are clearly defined and well established. In infrastructure construction, however, it will be prospectively obligatory that the geotechnical expert delivers a specialized model subsoil in addition to the geotechnical report. As this specialized model subsoil needs to be directly interconnected with other specialized models to build up the overall BIM model, the geotechnical expert will most likely be deeper embedded in the planning and construction process over the whole project life cycle. Furthermore, due to the need of standardization in the BIM process and the need to develop a suitable model structure for all specialized models, the client will also gain further responsibilities compared to the classical planning process. As an example, the clients have to define a clear and explicit model structure for the geotechnically related specialized models, too. This leads to an expansion as well as adaption of responsibilities throughout the project handling. Within this fourth recommendation of the DGGT working group 2.14 "digitalization in geotechnical engineering" the existing organizational structures within BIM projects are described and the responsibilities are defined focusing on the development of the specialized model subsoil. [ABSTRACT FROM AUTHOR]

Copyright of HMD: Praxis der Wirtschaftsinformatik is the property of Springer Nature 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.)

Climate change and the resulting higher frequency of extreme weather events have a direct negative impact on mental health. Natural disasters are particularly associated with an increase in the prevalence of depression, anxiety and posttraumatic stress disorder. Indirect consequences of climate change, such as food shortages, economic crises, violent conflicts and forced migration, additionally represent severe psychological risk and stress factors. Climate anxiety and solastalgia, the distress induced by environmental change, are new psychological syndromes in the face of the existential threat posed by the climate crisis. Accordingly, a sustainable psychiatry must prepare for increasing and changing demands. The principles of psychiatric treatment need to focus more on prevention to reduce the overall burden on the healthcare system. Waste of resources and CO2 emissions in psychiatric treatment processes as well as infrastructure must be perceived and prevented. Psychiatric education, training and continuing education concepts should be expanded to include the topic of climate change in order to comprehensively inform and sensitize professionals, those affected and the public and to encourage climate-friendly and health-promoting behavior. More in-depth research is needed on the impact of climate change on mental health. The DGPPN becomes a sponsor and aims for climate neutrality by 2030 by committing to climate-friendly and energy-saving measures in the area of finance, in relation to the DGPPN congress as well as the DGPPN office. [ABSTRACT FROM AUTHOR]

Copyright of Zeitschrift für Rheumatologie is the property of Springer Nature 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 Die Kardiologie is the property of Springer Nature 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 Die Kardiologie is the property of Springer Nature 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 Wiener Klinische Wochenschrift is the property of Springer Nature 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 Die Radiologie is the property of Springer Nature 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 Monatsschrift Kinderheilkunde is the property of Springer Nature 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.)

It has been shown that physical exercise reduced fall risk by 23–42% in community-dwelling adults aged 65+. This is particularly true for physical exercises with functional, balance and strength components. Growing evidence shows that functional training is particularly effective in reducing fall risk. Functional training is composed by exercises which reflect activities of daily life, supported by weights and other aids. [ABSTRACT FROM AUTHOR]

Copyright of Monatsschrift Kinderheilkunde is the property of Springer Nature 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.)

Use cases of the specialized model subsoil – Recommendation No. 3 of the working group 2.14 (DGGT) "Digitalization in geotechnical engineering" The third recommendation of the working group 2.14 "Digitalization in geotechnical engineering" defines relevant use‐cases for the specialized model "subsoil". Use‐cases describe differentiated special demands in the project's life‐cycle considering purpose as well as content and have to be standardized in the context of building information modeling. The use‐cases identified and exemplarily described from BMVI for infrastructural buildings have to be developed, concretized and further amended with respect to the subject area. Regarding the specialized model "subsoil", use‐cases are defined which can directly be implemented. The specialized model delivers the necessary data or a derivative out of this (geological section) for execution of the use‐cases. For practical projects, the client selects the use‐cases out of a catalogue with standardized use‐cases which become part of the Client Information Request (AIA). In this context, requirements regarding the digital deliverables with respect to different development stages have to be defined. [ABSTRACT FROM AUTHOR]

Medical data sciences receive attention as digitalization and artificial intelligence (AI) pose new challenges and opportunities in health care. Specific methods and skills derived from the data sciences have been driving essential developments in almost if not all areas of health care and medical research over many years. For example, evidence-based medicine is now a pillar of medical practice, combined with a stronger focus on reproducible and valid research and an improved understanding of scientific methods. The increased role of the data sciences in medical research and practice is reflected in the revised national competency-based learning objectives catalog for medicine (NKLM 2.0). Digitalization, research skills, evidence medicine and health promotion and prevention are integral parts of the curriculum from start to end. They relate to all subjects and topics in an interprofessional manner. This increase in relevance of the data sciences clearly calls for improved competencies in the clinico-theoretical disciplines previously combined as interdisciplinary domain 1 (Q1). Epidemiology, medical biometry and medical informatics will now contribute expertise throughout the whole course of studying medicine. These disciplines deal with digitalization, medical research competence, evidence-based medicine, and prevention. In addition, disease-related learning and many aspects of therapy, diagnostics, communication, and management benefit from cooperation with dedicated instruction in the medical data sciences by didactically trained experts. This article aims to support faculties and subject representatives during the implementation period of the NKLM 2.0 and beyond regarding data science skills. Tables provide an overview of essential learning objectives in epidemiology, biometry, and medical informatics across the different phases of the curriculum. In addition, we give recommendations for cooperation with other subject representatives. By this we wish to contribute to improving the medical curriculum based on graduate profile-oriented interdisciplinary-integrative teaching. [ABSTRACT FROM AUTHOR]

Copyright of Colo-Proctology is the property of Springer Nature 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 Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature 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.)

With new European Union regulations and a change from synthetic production to GMO-based riboflavin manufacturing in the riboflavin producing industry, a gap in the riboflavin supply in organic monogastric nutrition emerged. This study investigates the efficacy of an organic farming compatible yeast product to ensure the riboflavin supply of male B.U.T. 6 turkey poults up to 28 days of age. The riboflavin recommendations of the NRC (1994) and GFE (1999) also seem to be outdated and have been replaced by new recommendations of the industry. To prove the efficacy of EcoVit R and to validate the recommendations of NRC and GfE, 576 one-day old male B.U.T. 6 turkeys were raised for 28 days at two locations under similar conditions. At both locations 24 pens with 12 turkeys were set up and 12 dietary treatments were created. The two amino acid concentrations HIGH (5.50 g met/kg feed-mixture) and LOW (4.90 g met/kg feed-mixture) included six riboflavin levels (HIGH.1 to HIGH.6 and LOW.1 to LOW.6), each, with decreasing riboflavin content from 7.50 mg/kg feed-mixture (HIGH.1) to 2.30 mg/kg feed-mixture (HIGH.6 and LOW.6). Individual body weights were taken at d 14 and 28 and feed consumption was recorded every week. In comparison to the LOW groups, HIGH groups showed higher feed consumption, final body weight and daily weight gain (P < 0.05). Only riboflavin groups HIGH.6 and LOW.6 exhibited typical riboflavin deficiency symptoms and had lower performance, relating to feed consumption, final body weight and daily weight gain (P < 0.05). No significant differences between the other riboflavin groups (HIGH.1 to HIGH.5 and LOW.1 to LOW.5) were found. The new riboflavin rich yeast product meets the requirements of turkey poults, without negative effects. The recommendation of 4.00 mg/kg feed of the NRC (1994) and GFE (1999) can be confirmed, under limitations of this study. [ABSTRACT FROM AUTHOR]

Level of development and attribution of the specialized model subsoil – Recommendations No. 2 of the working group 2.14 (DGGT) "Digitalization in geotechnical engineering" The second recommendation of the working group 2.14 "Digitalization in geotechnical engineering" defines the level of development with respect to the life cycle of the specialized model subsoil. Furthermore, the minimum requirements regarding the implementation of geometrical and semantical data (attribution) into the model are discussed. For consequent use of the specialized model subsoil in context with BIM it is necessary to standardize the data with respect to the model level as well as the object level by means of properties which have to be defined. These recommendations describe the essential requirements for standardized geotechnical properties which still have to be developed. Therefore, data‐related requirements for creation as well as the attribution of the specialized model subsoil are discussed. [ABSTRACT FROM AUTHOR]

Copyright of Zeitschrift für Gerontologie und Geriatrie is the property of Springer Nature 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 Gefaesschirurgie is the property of Springer Nature 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 specialized model "subsoil" – Recommendations of the working group 2.14 (DGGT) "Digitalization in geotechnical engineering" Within the first recommendations of the working group 2.14 "Digitalization in geotechnical engineering" relevant terms are defined to build‐up the basis for further recommendations. Furthermore, the discipline‐specific model "subsoil" is discussed regarding the classification in conjunction with the comprehensive model, regarding the sub‐specialized models forming the specialized model "subsoil" as well as relevant data and basis for the specialized model "subsoil". Finally, the data‐relevant structure of the specialized model "subsoil" is shortly discussed. [ABSTRACT FROM AUTHOR]

Psychotherapy supervision research, while reflecting empirical advances across the decades, also reflects unfulfilled promise. We subsequently consider why that is so, examining some of the roadblocks that seemingly have prevented supervision research from moving most fruitfully forward. It is our contention that rich seeds of supervision research advancement have long been available, cast in the form of constructive recommendations for action that, unfortunately, have generally gone unheeded and not been acted upon. In hopes of further stimulating supervision research and a re-study of those useful recommendations, we review long-lingering supervision roadblocks, remedies, and recommendations for remedy implementation. Several fundamental issues — focusing on study design, sampling, and measurement concerns — are taken up for consideration. Supervision research, because of its triadic nature, can be highly challenging, difficult to conduct, even 'messy'. But if supervision is to ever empirically advance beyond its current state, then re-visiting and acting upon some of those earlier-identified, admittedly-demanding recommendations seems sine qua non. [ABSTRACT FROM AUTHOR]

Copyright of Herz is the property of Springer Nature 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.)