Leitung in Zeiten von Corona: Wie in Winterthur die Alterszentrums-Leitungen und der Pandemiestab zueinanderfanden

Da kein Abstract des Artikels vorhanden ist, finden Sie hier den Beginn der Einleitung: Meine Vorstellung von Alters- und Pflegezentren ist, wie dies vermutlich bei vielen der Fall ist, weniger durch eigene und konkrete Erfahrungen geprägt als durch populärkulturelle Darstellungen, insbesondere in Film und Fernsehen. Diese Darstellungen sind meistens negativ: In Filmen und TV-Serien ist das Stereotyp des Bleak Abyss Retirement Home («Das Altersheim als trostloser Abgrund») leider nach wie vor verbreitet, und auch in der Belletristik sind Alterszentren, wenn sie denn vorkommen, tendenziell negativ konnotierte Orte. Diese gesellschaftliche Prägung spiegelt sich auch in der Sprache wider, wenn etwa der Umzug in ein Alterszentrum meist mit dem Modalverb «müssen» verbunden wird.Es steht ausser Frage, dass dieses Stereotyp heutigen Alterszentren nicht ansatzweise gerecht wird. Seine Relevanz für diesen Beitrag ist lediglich die Rolle, die es bei der Themenfindung gespielt hat: Die Leitung eines Alterszentrum ist – unter normalen Umständen – für die Verhältnisse vor Ort verantwortlich. Unabhängig von der Realität ihres Wirkens ist diese Leitung aber der medialen Darstellung ihres Tuns ausgeliefert, ohne auf sie Einfluss nehmen zu können. Beinahe zynisch wirkt hier die Verschiebung der Verhältnisse, sind es doch in der Fiktion die Bewohner*innen von Alterszentren, welche sich der Willkür der Zentrumsleitungen ausgeliefert sehen

SEA LEVEL CHANGE ALONG THE TYRRHENIAN COAST FROM EARLY HOLOCENE TO THE PRESENT

In any discussion of the evolution of a river basin, the history of sealevel change is important since river gradients and delta developments are strongly influenced by local sea level. Also, sea level provides a reference for inferring past vertical tectonic stability from the geological record. Hence it is appropriate that the discussion on the Tiber basin starts with sea level change along the Tyrrhenian coast during the Holocene. The past evidence for sea level comes from inferences of the position of the sea surface with respect to the present. Hence it is a relative measure; a function of both the changing position of the ocean surface and of the land surface or an integrated measure of changes in ocean volume, land movement and redistribution of water within the ocean basins. The observation therefore contains information on all the processes that change these surfaces: on geophysical, glaciological and oceanographic processes

Vena cava anomalies in thoracic surgery

Background: Vena cava anomalies are a rare group of anatomical variations due to an incorrect development of the superior or inferior vena cava during fetal life. They generally show no clinical relevance and the diagnosis is done due to the association with congenital heart diseases in most of cases. However, preoperative identification of these anomalies is mandatory for surgeons to proper surgical planning. If not recognized, lethal complications may occur, as already reported in literature. Case presentation: We report a case series of three different unidentified vena cava anomalies in patients undergoing lung resection. These unrecognized anomalies led to minor complications in two cases and required an accurate intraoperative evaluation in another. A careful retrospective evaluation of preoperative radiological images showed the anomalies. Conclusions: A careful evaluation of the vena cava anatomy at pre-operative imaging is mandatory for thoracic surgeons to properly plan the surgery and avoid complications

New Archaeological Evidences of Relative Sea-level Changes along the Coastlines of Apulia (Southern Italy)

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Volumetric analysis of carotid plaque components and cerebral microbleeds: a correlative study

PURPOSE: The purpose of this work was to explore the association between carotid plaque volume (total and the subcomponents) and cerebral microbleeds (CMBs). MATERIALS AND METHODS: Seventy-two consecutive (male 53; median age 64) patients were retrospectively analyzed. Carotid arteries were studied by using a 16-detector-row computed tomography scanner whereas brain was explored with a 1.5 Tesla system. CMBs were studied using a T2*-weighted gradient-recalled echo sequence. CMBs were classified as from absent (grade 1) to severe (grade 4). Component types of the carotid plaque were defined according to the following Hounsfield unit (HU) ranges: lipid less than 60 HU; fibrous tissue from 60 to 130 HU; calcification greater than 130 HU, and plaque volumes of each component were calculated. Each carotid artery was analyzed by 2 observers. RESULTS: The prevalence of CMBs was 35.3%. A statistically significant difference was observed between symptomatic (40%) and asymptomatic (11%) patients (P value = .001; OR = 6.07). Linear regression analysis demonstrated an association between the number of CMBs and the symptoms (P = .0018). Receiver operating characteristics curve analysis found an association between the carotid plaque subcomponents and CMBs (Az = .608, .621, and .615 for calcified, lipid, and mixed components, respectively), and Mann-Whitney test confirmed this association in particular for the lipid components (P value = .0267). CONCLUSIONS: Results of this study confirm the association between CMBs and symptoms and that there is an increased number of CMBs in symptomatic patients. Moreover, we found that an increased volume of the fatty component is associated with the presence and number of CMBs

Coastal Erosion and Flooding Threaten Low-Lying Coastal Tracts at Lipari (Aeolian Islands, Italy)

Lipari is the largest and most populated island in the Aeolian Archipelago, a UNESCO site, and a highly frequented touristic destination. As in many other insular settings, the low-lying coastal stretches in the E and NE sectors of Lipari are locally exposed to coastal erosion and flooding, enhanced by subsidence effects leading to local sea level rise. Most of these coastal sectors appear critical, being narrow and increasingly threatened by the risk of permanent inundation and beach disappearance. In this study, this setting is placed in the wider context of the decadal evolution of the main beaches, analysed through a multidisciplinary approach, which includes remote sensing techniques (aero-photogrammetry, unmanned aerial vehicle survey, and satellite data), offshore geophysical surveys (high-resolution multibeam bathymetry), and field observations. The results show a variable interaction in space and time between natural and anthropogenic factors in the long- and mid-term evolution of the studied coastal areas. Considering that part of the local economy at Lipari depends on beach tourism, proper future management is required in the view of natural risk reduction and in the light of future climate changes and related impacts

Data analysis of Permanent GPS networks in Italy and surrounding region: application of a distributed processing approach

We describe the procedures used to combine into a uniform velocity solution the observations of more than 80 continuous GPS stations operating in the central Mediterranean in the 1998-2004 time interval. We used a dis- tributed processing approach, which makes efficient use of computer resources, while producing velocity esti- mates for all stations in one common reference frame, allowing for an effective merging of all observations in- to a self-consistent network solution. We describe the CGPS data archiving and processing procedures, and pro- vide the main results in terms of position time-series and velocities for all stations observed for more than three years. We computed horizontal and vertical velocities accounting for the seasonal (annual and semi-annual) sig- nals, and considering the off-sets in the coordinate time-series caused by station equipment changes. Weighted post-fit RMS of the north, east and vertical velocity components are in the range of 1.57-2.08 mm, 1.31-3.28 mm, and 3.60-7.24 mm, respectively, which are reduced by solving for seasonal signals in the velocity estimates. The annual and semi-annual signals in the height components, with amplitudes up to 4.8 mm, are much stronger than those in the horizontal components. The mean amplitudes of annual and semi-annual signals are within 0.18-0.47 mm, 0.23-0.52 mm and 0.55-1.92 mm in the north, east and vertical components, respectively

Reply to comment by C. Morhange, C. Flaux, P. A. Pirazzoli, M. B. Carre on Holocene sea level change in Malta

The pits of Birzebbugia are located near the present-day mean sea level, and some are partially submerged. They were dated using pottery discovered in an archaeological site close to the coast, dated to the Bronze Age (Zammit, 1928; Abela, 1999). As they have been interpreted as sites for the retting of flax, during their utilization they should have remained dry and the sea could not submerge them. This is the reason why these structures are not directly related to the sea level, as suggested by Biolchi et al. (2011), so they represent an upper limit.peer-reviewe

Reply to comment by C. Morhange, C. Flaux, P. A. Pirazzoli, M. B. Carre on Holocene sea level change in Malta

The pits of Birzebbugia are located near the present-day mean sea level, and some are partially submerged. They were dated using pottery discovered in an archaeological site close to the coast, dated to the Bronze Age (Zammit, 1928; Abela, 1999). As they have been interpreted as sites for the retting of flax, during their utilization they should have remained dry and the sea could not submerge them. This is the reason why these structures are not directly related to the sea level, as suggested by Biolchi et al. (2011), so they represent an upper limit.peer-reviewe

Holocene sea level change in Malta

A multidisciplinary approach has been applied to study sea level changes along the coast of Malta using data collected from underwater archaeological remains. The elevation of archaeological markers have been compared with predicted sea level curves providing new bodies of evidence that outline the vertical tectonic behaviour of this region, allowing estimation of the relative sea level changes that occurred in this area of the Mediterranean since the Bronze Age. During the Roman Age, sea level was at −1.36 ± 0.1 m, while in the Midde Age it was at −0.56 ± 0.2 m, in agreement with previous estimations for the Mediterranean region. Data indicate that Malta was tectonically stable during the studied period. The occurrence of the present-day notch along the coasts of the island indicates recent vertical stability of the area. The lack of MIS 5.5 deposits all over the island could simply be due to high rates of erosion, as its coasts are highly exposed to storm waves, rather than tectonic movements. However, even very slight vertical movements could completely remove field evidence. The relative stability of the Maltese Islands allowed a first attempt to provide a palaeoenvironmental reconstruction of its coasts at different time windows since the Last Glacial Maximum. The results have been used to infer time and mode of mammal dispersal to the island during the Pleistocene.peer-reviewe