Drohende Zahlungsunfähigkeit eines Eurolands: Was sollte die EU tun?

Auch in der Eurozone haben einige Länder aufgrund einer besonders hohen Staatsverschuldung Schwierigkeiten, zu annehmbaren Konditionen Kredite auf den internationalen Kreditmärkten zu erhalten. Dirk Meyer, Helmut-Schmidt-Universität, Hamburg, sieht die Möglichkeit einer drohenden Zahlungsunfähigkeit eines Eurolandes, die aufgrund der Währungsunion kein »privates« Ereignis sei. Die strikte Anwendung der No-bail-out-Klausel würde, seiner Meinung nach, zu dauerhaften Kostenexternalisierungen zulasten der übrigen Euromitgliedstaaten führen. Deshalb plädiert er im Rahmen einer de facto bestehenden Haftungsgemeinschaft für eine No-no-bail-out-Strategie, bei der »einmalige Hilfen mit einem Austritt des insolventen Landes aus der Eurozone« vorzusehen sei. Auch für Rolf Hasse, Fraunhofer-Zentrum für Mittel- und Osteuropa, Leipzig, machen die Dimensionen der Krise und die Zahl der betroffenen EU-Mitgliedsländer eine rigorose No-bail-out-Politik zum Konfliktfall. Die EU-Länder sollten innerhalb der Union Hilfe leisten, »aber mit Rückzahlung und Verlustausgleich«. Zusätzlich müsse diese Hilfe mit wirtschaftspolitischen Auflagen verbunden werden

Drohende Zahlungsunfähigkeit eines Eurolands: Was sollte die EU tun?

Auch in der Eurozone haben einige Länder aufgrund einer besonders hohen Staatsverschuldung Schwierigkeiten, zu annehmbaren Konditionen Kredite auf den internationalen Kreditmärkten zu erhalten. Dirk Meyer, Helmut-Schmidt-Universität, Hamburg, sieht die Möglichkeit einer drohenden Zahlungsunfähigkeit eines Eurolandes, die aufgrund der Währungsunion kein »privates« Ereignis sei. Die strikte Anwendung der No-bail-out-Klausel würde, seiner Meinung nach, zu dauerhaften Kostenexternalisierungen zulasten der übrigen Euromitgliedstaaten führen. Deshalb plädiert er im Rahmen einer de facto bestehenden Haftungsgemeinschaft für eine No-no-bail-out-Strategie, bei der »einmalige Hilfen mit einem Austritt des insolventen Landes aus der Eurozone« vorzusehen sei. Auch für Rolf Hasse, Fraunhofer-Zentrum für Mittel- und Osteuropa, Leipzig, machen die Dimensionen der Krise und die Zahl der betroffenen EU-Mitgliedsländer eine rigorose No-bail-out-Politik zum Konfliktfall. Die EU-Länder sollten innerhalb der Union Hilfe leisten, »aber mit Rückzahlung und Verlustausgleich«. Zusätzlich müsse diese Hilfe mit wirtschaftspolitischen Auflagen verbunden werden.Zahlungsunfähigkeit, Europäische Wirtschafts- und Währungsunion, Öffentliche Schulden, EU-Staaten

Biochemische und strukturelle Analyse des P-Proteins aus Synechocystis sp. PCC 6803

Das P-Protein als Komponente des Glycine Cleavage System (GCS) katalysiert die Decarboxylierung von Glycin. GCS ist Bestandteil des Aminosäurestoffwechsels aller Organismen und des photorespiratorischen C2-Zyklus in Pflanzen. In den Arbeiten dieser Dissertation wurde das Enzym aus Synechocystis sp. PCC 6803 untersucht und festgestellt, dass die Biochemie sowie der strukturelle Aufbau des cyanobakteriellen Enzyms denen pflanzlicher P-Proteine ähnelt. Die Ergebnisse dieser Dissertation ermöglichen zukünftige Struktur-Funktionsanalysen von homodimeren P-Proteinen

Electrospray sample injection for single-particle imaging with x-ray lasers

The possibility of imaging single proteins constitutes an exciting challenge for x-ray lasers. Despite encouraging results on large particles, imaging small particles has proven to be difficult for two reasons: not quite high enough pulse intensity from currently available x-ray lasers and, as we demonstrate here, contamination of the aerosolized molecules by nonvolatile contaminants in the solution. The amount of contamination on the sample depends on the initial droplet size during aerosolization. Here, we show that, with our electrospray injector, we can decrease the size of aerosol droplets and demonstrate virtually contaminant-free sample delivery of organelles, small virions, and proteins. The results presented here, together with the increased performance of next-generation x-ray lasers, constitute an important stepping stone toward the ultimate goal of protein structure determination from imaging at room temperature and high temporal resolution. © 2019 The Authors

Healthcare-associated prosthetic heart valve, aortic vascular graft, and disseminated Mycobacterium chimaera infections subsequent to open heart surgery

Aims We identified 10 patients with disseminated Mycobacterium chimaera infections subsequent to open-heart surgery at three European Hospitals. Infections originated from the heater-cooler unit of the heart-lung machine. Here we describe clinical aspects and treatment course of this novel clinical entity. Methods and results Interdisciplinary care and follow-up of all patients was documented by the study team. Patients' characteristics, clinical manifestations, microbiological findings, and therapeutic measures including surgical reinterventions were reviewed and treatment outcomes are described. The 10 patients comprise a 1-year-old child and nine adults with a median age of 61 years (range 36-76 years). The median duration from cardiac surgery to diagnosis was 21 (range 5-40) months. All patients had prosthetic material-associated infections with either prosthetic valve endocarditis, aortic graft infection, myocarditis, or infection of the prosthetic material following banding of the pulmonary artery. Extracardiac manifestations preceded cardiovascular disease in some cases. Despite targeted antimicrobial therapy, M. chimaera infection required cardiosurgical reinterventions in eight patients. Six out of 10 patients experienced breakthrough infections, of which four were fatal. Three patients are in a post-treatment monitoring period. Conclusion Healthcare-associated infections due to M. chimaera occurred in patients subsequent to cardiac surgery with extracorporeal circulation and implantation of prosthetic material. Infections became clinically apparent after a time lag of months to years. Mycobacterium chimaera infections are easily missed by routine bacterial diagnostics and outcome is poor despite long-term antimycobacterial therapy, probably because biofilm formation hinders eradication of pathogen

A joint numerical study of multi-regime turbulent combustion

This article presents a joint numerical study on the Multi Regime Burner configuration. The burner design consists of three concentric inlet streams, which can be operated independently with different equivalence ratios, allowing the operation of stratified flames characterized by different combustion regimes, including premixed, non-premixed, and multi-regime flame zones. Simulations were performed on three LES solvers based on different numerical methods. Combustion kinetics were simplified by using tabulated or reduced chemistry methods. Finally, different turbulent combustion modeling strategies were employed, covering geometrical, statistical, and reactor based approaches. Due to this significant scattering of simulation parameters, a conclusion on specific combustion model performance is impossible. However, with ten numerical groups involved in the numerical simulations, a rough statistical analysis is conducted: the average and the standard deviation of the numerical simulation are computed and compared against experiments. This joint numerical study is therefore a partial illustration of the community's ability to model turbulent combustion. This exercise gives the average performance of current simulations and identifies physical phenomena not well captured today by most modeling strategies. Detailed comparisons between experimental and numerical data along radial profiles taken at different axial positions showed that the temperature field is fairly well captured up to 60 mm from the burner exit. The comparison reveals, however, significant discrepancies regarding CO mass fraction prediction. Three causes may explain this phenomenon. The first reason is the higher sensitivity of carbon monoxide to the simplification of detailed chemistry, especially when multiple combustion regimes are encountered. The second is the bias introduced by artificial thickening, which overestimates the species’ mass production rate. This behavior has been illustrated by manufacturing mean thickened turbulent flame brush from a random displacement of 1-D laminar flame solutions. The last one is the influence of the subgrid-scale flame wrinkling on the filtered chemical flame structure, which may be challenging to model.</p

A joint numerical study of multi-regime turbulent combustion

This article presents a joint numerical study on the Multi Regime Burner configuration. The burner design consists of three concentric inlet streams, which can be operated independently with different equivalence ratios, allowing the operation of stratified flames characterized by different combustion regimes, including premixed, non-premixed, and multi-regime flame zones. Simulations were performed on three LES solvers based on different numerical methods. Combustion kinetics were simplified by using tabulated or reduced chemistry methods. Finally, different turbulent combustion modeling strategies were employed, covering geometrical, statistical, and reactor based approaches. Due to this significant scattering of simulation parameters, a conclusion on specific combustion model performance is impossible. However, with ten numerical groups involved in the numerical simulations, a rough statistical analysis is conducted: the average and the standard deviation of the numerical simulation are computed and compared against experiments. This joint numerical study is therefore a partial illustration of the community's ability to model turbulent combustion. This exercise gives the average performance of current simulations and identifies physical phenomena not well captured today by most modeling strategies. Detailed comparisons between experimental and numerical data along radial profiles taken at different axial positions showed that the temperature field is fairly well captured up to 60 mm from the burner exit. The comparison reveals, however, significant discrepancies regarding CO mass fraction prediction. Three causes may explain this phenomenon. The first reason is the higher sensitivity of carbon monoxide to the simplification of detailed chemistry, especially when multiple combustion regimes are encountered. The second is the bias introduced by artificial thickening, which overestimates the species’ mass production rate. This behavior has been illustrated by manufacturing mean thickened turbulent flame brush from a random displacement of 1-D laminar flame solutions. The last one is the influence of the subgrid-scale flame wrinkling on the filtered chemical flame structure, which may be challenging to model.</p

Preventive medicine of von Hippel-Lindau disease-associated pancreatic neuroendocrine tumors

Pancreatic neuroendocrine tumors (PanNETs) are rare in von Hippel-Lindau disease (VHL) but cause serious morbidity and mortality. Management guidelines for VHL-PanNETs continue to be based on limited evidence, and survival data to guide surgical management are lacking. We established the European-American-Asian-VHL-PanNET-Registry to assess data for risks for metastases, survival and long-term outcomes to provide best management recommendations. Of 2330 VHL patients, 273 had a total of 484 PanNETs. Median age at diagnosis of PanNET was 35 years (range 10-75). Fifty-five (20%) patients had metastatic PanNETs. Metastatic PanNETs were significantly larger (median size 5 vs 2\u2009cm; P\u20091.5\u2009cm in diameter were operated. Ten-year survival was significantly longer in operated vs non-operated patients, in particular for PanNETs <2.8\u2009cm vs 652.8\u2009cm (94% vs 85% by 10 years; P\u2009=\u20090.020; 80% vs 50% at 10 years; P\u2009=\u20090.030). This study demonstrates that patients with PanNET approaching the cut-off diameter of 2.8\u2009cm should be operated. Mutations in exon 3, especially of codons 161/167 are at enhanced risk for metastatic PanNETs. Survival is significantly longer in operated non-metastatic VHL-PanNETs

Germany's Social Market Economy: A Blueprint for Latin American Countries?

[Introduction ...] This paper tries to answer these questions taking five steps of argumentation. Firstly, the paper briefly sketches the theoretical and empirical background of the modern liberal market economy concept. Secondly, it outlines in more detail the basic ideas of the ordoliberal social market economy concept and some modern amendments to this concept based on institutional economics’ ideas. Thirdly, the paper compares the two concepts and it uses institutional data to describe two prototypes of economies based on those concepts of the United States and Germany. Fourthly, the same databases are used to describe the institutional status quo in five Latin American countries. The fifth and last step of the argumentation discusses the limitations of a simple blueprint idea with regards to economic orders. The paper ends with conclusions on options and limits of taking the liberal or the social market economy concept as a blueprint for Latin American countries

Intergenerational impacts of maternal mortality: Qualitative findings from rural Malawi

Background: Maternal mortality, although largely preventable, remains unacceptably high in developing countries such as Malawi and creates a number of intergenerational impacts. Few studies have investigated the far-reaching impacts of maternal death beyond infant survival. This study demonstrates the short- and long-term impacts of maternal death on children, families, and the community in order to raise awareness of the true costs of maternal mortality and poor maternal health care in Neno, a rural and remote district in Malawi. Methods: Qualitative in-depth interviews were conducted to assess the impact of maternal mortality on child, family, and community well-being. We conducted 20 key informant interviews, 20 stakeholder interviews, and six sex-stratified focus group discussions in the seven health centers that cover the district. Transcripts were translated, coded, and analyzed in NVivo 10. Results: Participants noted a number of far-reaching impacts on orphaned children, their new caretakers, and extended families following a maternal death. Female relatives typically took on caregiving responsibilities for orphaned children, regardless of the accompanying financial hardship and frequent lack of familial or governmental support. Maternal death exacerbated children’s vulnerabilities to long-term health and social impacts related to nutrition, education, employment, early partnership, pregnancy, and caretaking. Impacts were particularly salient for female children who were often forced to take on the majority of the household responsibilities. Participants cited a number of barriers to accessing quality child health care or support services, and many were unaware of programming available to assist them in raising orphaned children or how to access these services. Conclusions: In order to both reduce preventable maternal mortality and diminish the impacts on children, extended families, and communities, our findings highlight the importance of financing and implementing universal access to emergency obstetric and neonatal care, and contraception, as well as social protection programs, including among remote populations