Development of a monitoring system for heroin-assisted substitution treatment in Switzerland

Summary: Objectives: Switzerland introduced heroin-assisted treatment as a routine treatment for drug addicts. As a result the evaluation instruments were changed from a detailed scientific project to a routine monitoring system. The process for developing this monitoring system is described. Methods: The questionnaires and assessment instruments were restyled with staff of the treatment agencies. Indicators measuring quality of treatment and measures from the future national statistic on the addiction support system were integrated into admission, course and discharge questionnaires. Currently a system for feedback to treatment agencies is being developed. Results: All 21 treatment agencies are participating in the monitoring. Assessment quality is high. Conclusions: The described monitoring should provide continuous delivery of basic relevant data on patient

Projekt Optimilch: Wirtschaftlichkeit der Vollweidestrategie – Ergebnisse 2000 bis 2010

Im Projekt Optimilch (2000–2004) wurde die produktionstechnische Umsetzbarkeit der Vollweidestrategie mit saisonaler Abkalbung für Milchwirtschaftsbetriebe im schweizerischen Mittelland aufgezeigt. Die betriebswirtschaftlichen Perspektiven der Strategie können erst in der vorliegenden Arbeit mit einer Analyse der Vollkosten-Ergebnisse dieser Milchproduktionsbetriebe über den Zeitraum von 1999–2010 Jahren beschrieben werden. Die Strategie erlaubte eine deutliche Senkung der Produktionskosten pro kg Milch, die massgeblich durch die konsequente arbeitstechnische Vereinfachung mittels saisonaler Abkalbung der Herden im Frühjahr und der damit entscheidend verbesserten Arbeitsproduktivität erreicht wurde. Bei kleiner Vergrösserung der Milchmenge lag der Arbeitsverdienst am Ende des Beobachtungszeitraums bei acht von neun Vollweidebetrieben deutlich über dem Schweizer Durchschnitt. Die Strategie stellt im Schweizer Talgebiet eine wirtschaftlich sehr interessante, sozial und ökologisch nachhaltige Alternative zu den etablierten Milchproduktionsstrategien dar

Projekt Optimilch: Wirtschaftlichkeit der Hochleistungsstrategie – Ergebnisse 2000 bis 2010

Im Projekt Optimilch (2000–2004) wurde die produktionstechnische Umsetzbarkeit der Hochleistungs- oder High-Output-Strategie für Milchwirtschaftsbetriebe im schweizerischen Mittelland aufgezeigt. Die damals als erfolgsversprechend beurteilten betriebswirtschaftlichen Perspektiven der Strategie konnten erst mit einer Analyse der Vollkosten- Ergebnisse dieser Milchproduktionsbetriebe über den Zeitraum von 1999–2011 überprüft werden. Die Strategie erlaubte in der Tat eine deutliche Senkung der Produktionskosten pro kg Milch, die massgeblich durch die stark ausgedehnte Milchmenge und der damit entscheidend verbesserten Arbeitsproduktivität erreicht wurde; die Skaleneffekte bewirkten auch eine Reduktion der fremden Strukturkosten je kg Milch. Am Ende des Beobachtungszeitraums lag der Arbeitsverdienst bei drei von sieben Hochleistungsbetrieben deutlich über dem Schweizer Durchschnitt. Diese Strategie kann im Schweizer Talgebiet wirtschaftlich interessant sein, konfrontiert die Betriebsleiterfamilien aber mit ausserordentlichen Herausforderungen

Medienwissenschaft und Kapitalismuskritik

Nachdem ›Kritik‹ während der vergangenen Jahrzehnte in vielen geistes- und kulturwissenschaftlichen Kreisen eher verschmäht wurde, erlebt sie gegenwärtig auch in der Medienwissenschaft wieder einen Aufschwung. Gerade das in Verruf geratene Projekt einer Gesellschaftskritik scheint seit der Finanzkrise von 2007 wieder an akademischer Attraktivität zu gewinnen. Dabei liegt die gedankliche Verbindung von Medienwissenschaft und Kapitalismuskritik nahe, schließt man damit doch an zwei dominante Selbstbeschreibungen der westlichen Gesellschaften an: die der Medien- oder Informationsgesellschaft einerseits und die einer kapitalistischen oder marktwirtschaftlichen Gesellschaft andererseits. Insofern scheint ein Dialog zwischen der Erforschung von Medien und der Erforschung des Kapitalismus geradezu zwingend. Das vorliegende Heft versammelt eine Reihe von Texten, die weniger konkrete Fallstudien zu einzelnen Medien und Medienpraktiken, sondern vornehmlich theoriebezogene Diskussionsbeiträge sind, welche das diskursive Feld der Medienwissenschaft und Medienforschung ausloten und auf die virulenten Fragen der Kapitalismuskritik hin befragen

Die Agrarwirtschaft aus der Sicht der HAFL, gestern, heute und morgen

Die Hochschule für Agrar-, Forst- und Lebensmittelwissenschaften (HAFL) macht anlässlich ihres 50-Jahr-Jubiläums einen Rückblick auf Entwicklungen in der Agrarwirtschaft im letzten halben Jahrhundert und einen Ausblick auf die nächsten 25 Jahre

Acceptance, Satisfaction, and Preference With Telemedicine During the COVID-19 Pandemic in 2021-2022: Survey Among Patients With Chronic Pain.

BACKGROUND The COVID-19 pandemic has forced many health care providers to make changes in their treatment, with telemedicine being expanded on a large scale. An earlier study investigated the acceptance of telephone calls but did not record satisfaction with treatment or patients' preferences. This warranted a follow-up study to investigate acceptance, satisfaction, and preferences regarding telemedicine, comprising of phone consultations, among health care recipients. OBJECTIVE The primary aim was to assess the acceptance and satisfaction of telemedicine during the subsequent months of 2021-2022, after the initial wave of the COVID-19 pandemic in Switzerland. Furthermore, we aimed to assess patients' preferences and whether these differed in patients who had already experienced telemedicine in the past, as well as correlations between acceptance and satisfaction, pain intensity, general condition, perception of telemedicine, and catastrophizing. Finally, we aimed to investigate whether more governmental restrictions were correlated with higher acceptance. METHODS An anonymous cross-sectional web-based survey was conducted between January 27, 2021, and February 4, 2022, enrolling patients undergoing outpatient pain therapy in a tertiary university clinic. We conducted a descriptive analysis of acceptance and satisfaction with telemedicine and investigated patients' preferences. Further, we conducted a descriptive and correlational analysis of the COVID-19 stringency index. Spearman correlation analysis and a chi-square test for categorical data were used with Cramer V statistic to assess effect sizes. RESULTS Our survey was completed by 60 patients. Telemedicine acceptance and satisfaction were high, with an average score of 7.6 (SD 3.3; on an 11-point Numeric Rating Scale from 0=not at all to 10=completely), and 8.8 (SD 1.8), respectively. Respondents generally preferred on-site consultations to telemedicine (n=35, 58% vs n=24, 40%). A subgroup analysis revealed that respondents who already had received phone consultation, showed a higher preference for telemedicine (n/N=21/42, 50% vs n/N=3/18, 17%; χ22 [N=60]=7.5, P=.02, Cramer V=0.354), as well as those who had been treated for more than 3 months (n/N=17/31, 55% vs n/N=7/29, 24%; χ22 [N=60]=6.5, P=.04, Cramer V=0.329). Acceptance of telemedicine showed a moderate positive correlation with satisfaction (rs{58}=0.41, P<.05), but there were no correlations between the COVID-19 stringency index and the other variables. CONCLUSIONS Despite high acceptance of and satisfaction with telemedicine, patients preferred on-site consultations. Preference for telemedicine was markedly higher in patients who had already received phone consultations or had been treated for longer than 3 months. This highlights the need to convey knowledge of eHealth services to patients and the value of building meaningful relationships with patients at the beginning of treatment. During the COVID-19 pandemic, the modality of patient care should be discussed individually

Dataset of characteristic remanent magnetization and magnetic properties of early Pliocene sediments from IODP Site U1467 (Maldives platform)

This data article describes data of magnetic stratigraphy and anisotropy of isothermal remanent magnetization (AIRM) from "Magnetic properties of early Pliocene sediments from IODP Site U1467 (Maldives platform) reveal changes in the monsoon system" [1]. Acquisition of isothermal magnetization on pilot samples and anisotropy of isothermal remanent magnetization are reported as raw data; magnetostratigraphic data are reported as characteristic magnetization (ChRM).info:eu-repo/semantics/publishedVersio

Magnetic properties of early Pliocene sediments from IODP Site U1467 (Maldives platform) reveal changes in the monsoon system

We report a study of the magnetic stratigraphy and the anisotropy of isothermal remanent magnetization of Pliocene sediments from International Ocean Discovery Program (IODP) Site U1467 drilled in the Maldives platform (Indian Ocean) during Exp. 359. Magnetic stratigraphy gives a precise record of geomagnetic reversals of the early Pliocene from approximately 5.3 Ma to 3.1 Ma providing a detailed age model in an interval where the biostratigraphic record is scarce. We use the anisotropy of isothermal remanent magnetization (AIRM) to investigate the statistical orientation of fine magnetic particles and provide data on the strength and direction of bottom currents during the early Pliocene. The strength of bottom currents recorded by the AIRM, shows a prominent increase at the top of Chron C3n.1n (about 4.2 Ma), and the current direction (NE - SW) is consistent with that of modern instrumental measurements. Since bottom currents in the Maldives are driven by the monsoon, we speculate that the 4.2 Ma increase of bottom currents could mark the onset of the present-day setting, probably related to the coeval uplift phase of the Himalayan plateau

Cyclic anoxia and organic rich carbonate sediments within a drowned carbonate platform linked to Antarctic ice volume changes: Late Oligocene-early Miocene Maldives

This paper reports on the newly discovered occurrence of thick sequences (∼100 m) of Late Oligocene and Early Miocene (∼24.9 to ∼20 Ma) interbedded organic-rich sediments (sapropels) and pelagic (organic poor) carbonates at Sites U1466 and U1468 drilled in the Maldives archipelago during the International Ocean Discovery Program (IODP) Expedition 359. This occurrence is unusual in that this sequence is located > 1000 m above the surrounding ocean floor within an inter-atoll basin and not linked to any known global oceanic events. Total organic content reaches as high as 35% in the darker layers, while the interbedded carbonates have concentrations of less than 0.1%. Trace elements characteristic of anoxic waters, such as Mo, V, Cr, U, and Pb, correlate positively with concentrations of organic carbon. Nitrogen isotopic data show no evidence that the intervals of high total organic carbon are related to enhanced productivity driven by upwelling. Instead, high organic carbon is associated with intervals of anoxia. We propose that sea-level fluctuations linked to changes in Antarctic ice volume restricted exchange with the open ocean causing bottom waters of the inter-atoll basin to become anoxic periodically. The architecture of the platform at the end of the Oligocene, combined with the global sea-level highstand, set the stage for orbitally-driven sea-level changes producing cyclic deposition of sapropels. The proposed mechanism may serve as an analogue for other occurrences of organic carbon-rich sediments within carbonate platform settings.</p

Carbonate delta drift: a new sediment drift type

Based on high-resolution reflection seismic and core data from IODP Expedition 359 we present a new channel-related drift type attached to a carbonate platform slope, which we termed delta drift. Like a river delta, it is comprised of several stacked lobes and connected to a point source. The delta drifts were deposited at the exit of two gateways that connect the Inner Sea of the Maldives carbonate platform with the open ocean. The channels served as conduits focusing and accelerating the water flow; Entrained material was deposited at their mouth where the flows relaxed. The lobe-shaped calcareous sediment drifts must have formed under persistent water through flow. Sediment supply was relatively high and continuous, resulting in an average sedimentation rate of 17 cm ka−1. The two delta drifts occupy 342 and 384 km2, respectively; with a depositional relief of approximately 500 m. They have a sigmoidal clinoform reflection pattern with a particular convex upward bending of the foresets. In the Maldives the drift onset marks the transition from a sea-level controlled to a progressively current dominated depositional regime. This major event occurred in the Serravallian about 13 Ma ago, leading to the partial drowning of the carbonate platform and the creation of shallow seaways. The initial bank-enclosed topography resembles an “empty bucket” geometry which is rapidly filled by the drift sediments that aggrade and prograde into the basin. Thereby the depositional environment of the delta drifts changes from deep water (>500) to shallow-water conditions at their topsets, indicated by the overall coarsening upward trend in grain size and the presence of shallow water large benthic foraminifers at their top