Sprachcafé Erfurt. Ein Ort zum gemeinsamen (Kennen-)Lernen

Susanne Burckhardt, Benjamin Schäfer, Erstelle Zirn und Karin Lahn stellen die Entwicklung des Sprachcafés Erfurt vor und wie es ihnen gelungen ist, einen Ort zum gemeinsamen (Kennen-)Lernen zu schaffen. (DIPF/Orig.

First cross-border outbreak of foodborne botulism in the European Union associated with the consumption of commercial dried roach (Rutilus rutilus)

Botulism outbreaks due to commercial products are extremely rare in the European Union. Here we report on the first international outbreak of foodborne botulism caused by commercial salt-cured, dried roach (Rutilus rutilus). Between November and December 2016, an outbreak of six foodborne botulism type E cases from five unrelated households was documented in Germany and Spain. The outbreak involved persons of Russian and Kazakh backgrounds, all consumed unheated salt-cured, dried roach-a snack particularly favored in Easter-European countries. The implicated food batches had been distributed by an international wholesaler and were recalled from Europe-wide outlets of a supermarket chain and other independent retailers. Of interest, and very unlike to other foodborne disease outbreaks which usually involves a single strain or virus variant, different Clostridium botulinum strains and toxin variants could be identified even from a single patient's sample. Foodborne botulism is a rare but potentially life-threatening disease and almost exclusively involves home-made or artisan products and thus, outbreaks are limited to individual or few cases. As a consequence, international outbreaks are the absolute exception and this is the first one within the European Union. Additional cases were likely prevented by a broad product recall, underscoring the importance of timely public health action. Challenges and difficulties on the diagnostic and epidemiological level encountered in the outbreak are highlighted.The Consultant Laboratory for Neurotoxin-producing Clostridia (Botulism, Tetanus) was funded by the German Federal Ministry of Health and the Robert Koch Institute.S

Musiques rituelles

Il n'est pas de peuple sans rites, de même qu'il n'est pas de peuple sans musique. De tout temps et en tout lieu, l'homme a eu recours à des pratiques destinées à organiser les relations entre l'individu ou la collectivité et les cycles biologiques et astronomiques régissant l'existence. Reposant sur une cosmologie et un réseau de croyances propres à une civilisation ou à un groupe déterminé, les rites répondent aux interrogations les plus fondamentales de l'être humain sur sa condition. Quelle qu'en soit la nature - rite de passage, rite saisonnier, religieux ou ésotérique - le rite est en soi un acte symbolique, jugé efficace par ceux qui ont coutume de s'y adonner. Or cette efficacité dépend souvent de sa composante musicale, considérée comme le moteur du rite, ainsi que le démontrent les différentes contributions à ce volume

Entre femmes

Jusqu’à récemment, les musiques pratiquées par les femmes ont dans leur ensemble été moins étudiées que leur contrepartie masculine, probablement du simple fait que la majorité des chercheurs étaient des hommes. En offrant la parole à des femmes originaires de cultures très diverses, ce dossier contribuera à rétablir l’équilibre. La réunion de regards féminins sur des musiques de femmes permettra aussi de déterminer s’il existe une sensibilité et un point de vue proprement féminins sur la musique. Ce volume s’inscrit ainsi dans la perspective des gender studies, terme adopté dans le monde anglophone dans les années 1970 pour définir les études portant sur les diverses constructions socioculturelles du féminin et du masculin. Ce point de vue offre une dimension critique aux recherches, notamment à travers une analyse basée sur la nature des relations et des distinctions qui s’opèrent au nom de critères sexués

Einsatz der extrakorporalen Zirkulation (ECLS/ECMO) bei Herz- und Kreislaufversagen

In Germany, a remarkable increase regarding the usage of extracorporeal membrane oxygenation (ECMO) and extracorporeal life support (ECLS) systems has been observed in recent years with approximately 3000 ECLS/ECMO implantations annually since 2015. Despite the widespread use of ECLS/ECMO, evidence-based recommendations or guidelines are still lacking regarding indications, contraindications, limitations and management of ECMO/ECLS patients. Therefore in 2015, the German Society of Thoracic and Cardiovascular Surgery (GSTCVS) registered the multidisciplinary S3 guideline "Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure" to develop evidence-based recommendations for ECMO/ECLS systems according to the requirements of the Association of the Scientific Medical Societies in Germany (AWMF). Although the clinical application of ECMO/ECLS represents the main focus, the presented guideline also addresses structural and economic issues. Experts from 17 German, Austrian and Swiss scientific societies and a patients' organization, guided by the GSTCVS, completed the project in February 2021. In this report, we present a summary of the methodological concept and tables displaying the recommendations for each chapter of the guideline

Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure –A clinical practice Guideline Level 3

Aims Worldwide applications of extracorporeal circulation for mechanical support in cardiac and circulatory failure, which are referred to as extracorporeal life support (ECLS) or veno-arterial extracorporeal membrane oxygenation (va-ECMO), have dramatically increased over the past decade. In spite of the expanding use and the immense medical as well as socio-economic impact of this therapeutic approach, there has been a lack of interdisciplinary recommendations considering the best available evidence for ECLS treatment. Methods and Results In a multiprofessional, interdisciplinary scientific effort of all scientific societies involved in the treatment of patients with acute cardiac and circulatory failure, the first evidence- and expert consensus-based guideline (level S3) on ECLS/ECMO therapy was developed in a structured approach under regulations of the AWMF (Association of the Scientific Medical Societies in Germany) and under use of GRADE (Grading of Recommendations Assessment, Development and Evaluation) criteria. This article presents all recommendations created by the expert panel, addressing a multitude of aspects for ECLS initiation, continuation, weaning and aftercare as well as structural and personnel requirements. Conclusions This first evidence- and expert consensus-based guideline (level S3) on ECLS/ECMO therapy should be used to apply the best available care nationwide. Beyond clinical practice advice, remaining important research aspects for future scientific efforts are formulated