24 research outputs found

    Agrophotovoltaik – Auswirkungen auf Mikroklima und landwirtschaftliche Erträge

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    Agrophotovoltaik (APV) ermöglicht die simultane Produktion von Nahrungsmitteln und Strom auf derselben Fläche, indem die Solarmodule etwa sechs Meter über der landwirtschaftlichen Fläche montiert sind. In der vorliegenden Studie wurden die Auswirkungen von APV auf die ökologische Produktion von Kleegras und Winterweizen sowie verschiedene mikroklimatische Parameter untersucht. Infolge veränderter mikroklimatischer Bedingungen und einer Reduktion der photosynthetisch aktiven Strahlung, kam es zu einer Abnahme der landwirtschaftlichen Erträge

    Consensus care recommendations for alfapump® in cirrhotic patients with refractory or recurrent ascites.

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    BACKGROUND The alfapump® is an implantable class III medical device that pumps ascitic fluid from the peritoneal space to the urinary bladder from where it is excreted. The pump reduces or abrogates the need for repeated paracentesis in patients with recurrent or refractory ascites. AIMS To improve outcomes for alfapump® implantation and pre- and post-implant patient management in both clinical trial and real-world settings by development of consensus recommendations. METHODS The alfapump® working group consisting of hepatologists and surgeons with extensive experience in implantation of the alfapump® and patient management met on two occasions: (1) to determine the key areas where recommendations should be made; and (2) to discuss the experiences of the working group within those areas and formulate draft statements. Developed statements were submitted to the group and consensus sought on relevance and wording through a collaborative iterative approach in order to consolidate the recommendations into consensus statements. Only recommendations agreed upon unanimously were included. RESULTS Twenty-three consensus recommendations were developed in the areas of pre-implantation procedure, (three statements), surgical implant procedure (11 statements), immediate post-implant care (three statements) and long-term management (six statements). CONCLUSIONS The consensus statements are a valuable reference resource for physicians managing patients with the alfapump® and for those considering management strategies for patients with refractory ascites

    Consensus care recommendations for alfapump® in cirrhotic patients with refractory or recurrent ascites

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    BACKGROUND: The alfapump® is an implantable class III medical device that pumps ascitic fluid from the peritoneal space to the urinary bladder from where it is excreted. The pump reduces or abrogates the need for repeated paracentesis in patients with recurrent or refractory ascites. AIMS: To improve outcomes for alfapump® implantation and pre- and post-implant patient management in both clinical trial and real-world settings by development of consensus recommendations. METHODS: The alfapump® working group consisting of hepatologists and surgeons with extensive experience in implantation of the alfapump® and patient management met on two occasions: (1) to determine the key areas where recommendations should be made; and (2) to discuss the experiences of the working group within those areas and formulate draft statements. Developed statements were submitted to the group and consensus sought on relevance and wording through a collaborative iterative approach in order to consolidate the recommendations into consensus statements. Only recommendations agreed upon unanimously were included. RESULTS: Twenty-three consensus recommendations were developed in the areas of pre-implantation procedure, (three statements), surgical implant procedure (11 statements), immediate post-implant care (three statements) and long-term management (six statements). CONCLUSIONS: The consensus statements are a valuable reference resource for physicians managing patients with the alfapump® and for those considering management strategies for patients with refractory ascites

    Association of Interprofessional Discharge Planning Using an Electronic Health Record Tool With Hospital Length of Stay Among Patients with Multimorbidity: A Nonrandomized Controlled Trial

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    Whether interprofessional collaboration is effective and safe in decreasing hospital length of stay remains controversial.; To evaluate the outcomes and safety associated with an electronic interprofessional-led discharge planning tool vs standard discharge planning to safely reduce length of stay among medical inpatients with multimorbidity.; This multicenter prospective nonrandomized controlled trial used interrupted time series analysis to examine medical acute hospitalizations at 82 hospitals in Switzerland. It was conducted from February 2017 through January 2019. Data analysis was conducted from March 2021 to July 2022.; After a 12-month preintervention phase (February 2017 through January 2018), an electronic interprofessional-led discharge planning tool was implemented in February 2018 in 7 intervention hospitals in addition to standard discharge planning.; Mixed-effects segmented regression analyses were used to compare monthly changes in trends of length of stay, hospital readmission, in-hospital mortality, and facility discharge after the implementation of the tool with changes in trends among control hospitals.; There were 54 695 hospitalizations at intervention hospitals, with 27 219 in the preintervention period (median [IQR] age, 72 [59-82] years; 14 400 [52.9%] men) and 27 476 in the intervention phase (median [IQR] age, 72 [59-82] years; 14 448 [52.6%] men) and 438 791 at control hospitals, with 216 261 in the preintervention period (median [IQR] age, 74 [60-83] years; 109 770 [50.8%] men) and 222 530 in the intervention phase (median [IQR] age, 74 [60-83] years; 113 053 [50.8%] men). The mean (SD) length of stay in the preintervention phase was 7.6 (7.1) days for intervention hospitals and 7.5 (7.4) days for control hospitals. During the preintervention phase, population-averaged length of stay decreased by -0.344 hr/mo (95% CI, -0.599 to -0.090 hr/mo) in control hospitals; however, no change in trend was observed among intervention hospitals (-0.034 hr/mo; 95% CI, -0.646 to 0.714 hr/mo; difference in slopes, P = .09). Over the intervention phase (February 2018 through January 2019), length of stay remained unchanged in control hospitals (slope, -0.011 hr/mo; 95% CI, -0.281 to 0.260 hr/mo; change in slope, P = .03), but decreased steadily among intervention hospitals by -0.879 hr/mo (95% CI, -1.607 to -0.150 hr/mo; change in slope, P = .04, difference in slopes, P = .03). Safety analyses showed no change in trends of hospital readmission, in-hospital mortality, or facility discharge over the whole study time.; In this nonrandomized controlled trial, the implementation of an electronic interprofessional-led discharge planning tool was associated with a decline in length of stay without an increase in hospital readmission, in-hospital mortality, or facility discharge.; isrctn.org Identifier: ISRCTN83274049

    Can Phosphate Salts Recovered from Manure Replace Conventional Phosphate Fertilizer?

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    Pig farming produces more manure than can reasonably be spread onto surrounding fields, particularly in regions with high livestock densities and limited land availability. Nutrient recycling offers an attractive solution for dealing with manure excesses and is one main objective of the European commission-funded project “BioEcoSIM”. Phosphate salts (“P-Salt”) were recovered from the separated liquid manure fraction. The solid fraction was dried and carbonized to biochar. This study compared the fertilizing performance of P-Salt and conventional phosphate fertilizer and determined whether additional biochar application further increased biomass yields. The fertilizers and biochar were tested in pot experiments with spring barley and faba beans using two nutrient-poor soils. The crops were fertilized with P-Salt at three levels and biochar in two concentrations. Biomass yield was determined after six weeks. Plant and soil samples were analysed for nitrogen, phosphorus and potassium contents. The P-Salt had similar or even better effects than mineral fertilizer on growth in both crops and soils. Slow release of nutrients can prevent leaching, rendering P-Salt a particularly suitable fertilizer for light sandy soils. Biochar can enhance its fertilizing effect, but the underlying mechanisms need further investigation. These novel products are concluded to be promising candidates for efficient fertilization strategies

    Can Phosphate Salts Recovered from Manure Replace Conventional Phosphate Fertilizer?

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    Pig farming produces more manure than can reasonably be spread onto surrounding fields, particularly in regions with high livestock densities and limited land availability. Nutrient recycling offers an attractive solution for dealing with manure excesses and is one main objective of the European commission-funded project “BioEcoSIM”. Phosphate salts (“P-Salt”) were recovered from the separated liquid manure fraction. The solid fraction was dried and carbonized to biochar. This study compared the fertilizing performance of P-Salt and conventional phosphate fertilizer and determined whether additional biochar application further increased biomass yields. The fertilizers and biochar were tested in pot experiments with spring barley and faba beans using two nutrient-poor soils. The crops were fertilized with P-Salt at three levels and biochar in two concentrations. Biomass yield was determined after six weeks. Plant and soil samples were analysed for nitrogen, phosphorus and potassium contents. The P-Salt had similar or even better effects than mineral fertilizer on growth in both crops and soils. Slow release of nutrients can prevent leaching, rendering P-Salt a particularly suitable fertilizer for light sandy soils. Biochar can enhance its fertilizing effect, but the underlying mechanisms need further investigation. These novel products are concluded to be promising candidates for efficient fertilization strategies

    Phosphates recycled from semi-liquid manure and digestate are suitable alternative fertilizers for ornamentals

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    In several regions in Europe, the amounts of both manure produced by pig husbandry and biogas digestates from anaerobic digestion are too high to be sustainably applied to the surrounding fields. In these regions, nutrient surpluses are therefore often a problem. The research projects GOBi and BioEcoSIM succeeded in developing innovative recycling technologies for the recovery of phosphorus (P) from biogas digestates and manure, converting them into valuable fertilizers. This study tested the suitability of recovered phosphate salts (“P-Salts”) and dried solids as P fertilizers for sunflower, marigold and Chinese cabbage in a greenhouse experiment. Treatments included two recovered P-Salts (from manure and digestate), two dried solids (air-dried and steam-dried), a combination of salt and solid, and triple superphosphate (TSP) as reference, each at two fertilization levels. Measurements included biomass production (ornamentals separated into shoots and flowers), P concentration in the biomass and plant-available P in the growing medium. Both P-Salts had more or less the same effect as TSP on biomass production. The combination of P-Salt and air-dried solids resulted in a synergistic effect on sunflower in terms of biomass yield, P concentration and number of flowers. The P concentration was mostly higher in plants treated at the higher P fertilizer level. A fast P uptake into plants and thus high plant availability is particularly important in the horticultural sector due to the short production periods of potted plants. In general, all the tested recycled products except the air-dried solids could be adapted to the requirements of different ornamentals, met their P demand as efficiently as TSP and thus have high potential as P fertilizers. The P-Salts are more suitable for short-term and the steam-dried solids more for long-term P supply. The combination of both may ensure optimal P supply and guarantee long-term product quality

    What did you just call me? European and American ratings of the valence of Ethnophaulisms.

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    Previous work has examined the relative valence (positivity or negativity) of ethnophaulisms (ethnic slurs) targeting European immigrants to the United States. However, this relied on contemporary judgments made by American researchers. The present study examined valence judgments made by citizens from the countries examined in previous work. Citizens of 17 European nations who were fluent in English rated ethnophaulisms targeting their own group as well as ethnophaulisms targeting immigrants from England. American students rated ethnophaulisms for all 17 European nations, providing a comparison from members of the host society. Ratings made by the European judges were (a) consistent with those made by the American students and (b) internally consistent for raters’ own country and for the common target group of the English. Following discussion of relevant methodological issues, the authors examine the theoretical significance of their results
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