323 research outputs found

    A ~180,000years sedimentation history of a perialpine overdeepened glacial trough (Wehntal, N-Switzerland)

    Get PDF
    A 30m-deep drill core from a glacially overdeepened trough in Northern Switzerland recovered a ~180ka old sedimentary succession that provides new insights into the timing and nature of erosion-sedimentation processes in the Swiss lowlands. The luminescence-dated stratigraphic succession starts at the bottom of the core with laminated carbonate-rich lake sediments reflecting deposition in a proglacial lake between ~180 and 130ka ago (Marine Isotope Stage MIS 6). Anomalies in geotechnical properties and the occurrence of deformation structures suggest temporary ice contact around 140ka. Up-core, organic content increases in the lake deposits indicating a warming of climate. These sediments are overlain by a peat deposit characterised by pollen assemblages typical of the late Eemian (MIS 5e). An abrupt transition following this interglacial encompasses a likely hiatus and probably marks a sudden lowering of the water level. The peat unit is overlain by deposits of a cold unproductive lake dated to late MIS 5 and MIS 4, which do not show any direct influence from glaciers. An upper peat unit, the so-called >, previously encountered in construction pits, interrupts this cold lacustrine phase and marks more temperate climatic conditions between 60 and 45ka (MIS 3). In the upper part of the core, a succession of fluvial and alluvial deposits documents the Late Glacial and Holocene sedimentation in the basin. The sedimentary succession at Wehntal confirms that the glaciation during MIS 6 did not apparently cause the overdeepening of the valley, as the lacustrine basin fill covering most of MIS 6 is still preserved. Consequently, erosion of the basin is most likely linked to an older glaciation. This study shows that new dating techniques combined with palaeoenvironmental interpretations of sediments from such overdeepened troughs provide valuable insights into the past glacial histor

    Implementation in nursing and midwifery. A scoping review

    Get PDF
    Hintergrund: Evidenzbasiertes Wissen steht im Pflege- und Hebammenbereich zunehmend zur Verfügung, wird aber nicht automatisch in die Praxis umgesetzt. Implementationsforschung gewinnt daher immer grössere Bedeutung. Die international verfügbaren Forschungsergebnisse zu den Faktoren, die zum Gelingen einer Implementation beitragen, sind bislang noch nicht genügend aufbereitet worden. Gegenstand des Artikels: Im vorliegenden Scoping Review wird der Frage nachgegangen, welche Arbeiten zur gelungenen Vorbereitung, Durchführung und Aufrechterhaltung von Interventionen im Bereich der Pflege- und Hebammenarbeit vorliegen. Methode: In der für Scoping Reviews vorgesehenen, systematischen Vorgehensweise wurden einschlägige Datenbanken durchsucht, um Reviews und Studien zur Implementationsforschung im Bereich Pflege und Hebammenarbeit aufzufinden. Der Auswahlprozess, der zur Trefferliste führte, und die Charakteristika der eingeschlossenen Studien werden in Abbildungen und Tabellen strukturiert aufbereitet. Ergebnis: In vier Reviews und 38 Studien, die den Einschlusskriterien entsprechen, werden verschiedene Faktoren mit gelungener Implementation verbunden. Für die eingeschlossenen Studien werden folgende vier Kategorien aufgestellt: (1) Arbeitsplatzkultur mit 16 Nennungen, (2) Leitungskultur: 28 Nennungen, (3) Ressourcen: 4 Nennungen und (4) Training mit 22 Nennungen. Je nach Phase der Implementation (Vorbereitung, Durchführung oder Aufrechterhaltung) kommt ihnen eine etwas andere Bedeutung zu. Zusammenfassung: Das Review bietet eine Orientierung im Feld der Implementationsforschung und zeigt Design, Thema und Ergebnis der eingeschlossenen Studien auf. Nur wenige Studien berücksichtigen relevante Theorien und zeigen den Einfluss sowohl der Forschenden als auch der Zielgruppe auf den Implementationsprozess oder die genaue Beschreibung der Umstände, in denen die Implementation stattfindet, auf. Background: Evidence-based expertise in nursing and midwifery is growing but is not automatically turned into practice. The importance of implementation research is therefore increasing. International research results on factors facilitating implementation have not yet been sufficiently presented. Objective: This scoping review will explore the findings on successful preparation, realisation and maintenance of interventions in nursing and midwifery. Method: Based on an existing systematic approach, relevant data bases were accessed to identify original studies relating to implementation research in nursing and midwifery. The process of study selection and the characteristics of the included studies were charted. Findings: In the four reviews and 38 studies which met the inclusion criteria, various factors leading to successful implementation are identified. Based on the included studies, four facilitating factors can be pinpointed: (1) workplace culture (16 entries), (2) leadership culture (28 entries), (3) resources (4 entries), and (4) training (22 entries). Depending on the specific phase of the implementation process (preparation, realisation, or maintenance), these factors will vary in importance. Conclusion: This scoping review provides an orientation for the field of implementation research and it maps the design, themes and results of the studies included. It should be noted that few studies take into consideration the relevant theories, as well as the influence that the researchers and the target group may have on the implementation process, or provide an exact description of the setting in which the implementation takes place

    Anthropometric and blood parameters for the prediction of NAFLD among overweight and obese adults

    Get PDF
    Backround: Non-alcoholic fatty liver disease (NAFLD) comprises non-progressive steatosis and non-alcoholic steatohepatitis (NASH), the latter of which may cause cirrhosis and hepatocellular carcinoma (HCC). As NAFLD detection is imperative for the prevention of its complications, we evaluated whether a combination of blood-based biomarkers and anthropometric parameters can be used to predict NAFLD among overweight and obese adults. Methods: 143 overweight or obese non-smokers free of diabetes (50% women, age: 35–65 years) were recruited. Anthropometric indices and routine biomarkers of metabolism and liver function were measured to predict magnetic resonance (MR) - derived NAFLD by multivariable logistic regression models. In addition, we evaluated to which degree the use of more novel biomarkers (adiponectin, leptin, resistin, C-reactive protein, TNF-α, IL-6, IL-8 and interferon-γ) could improve prediction models. Results: NAFLD was best predicted by a combination of age, sex, waist circumference, ALT, HbA1c, and HOMA-IR at an area under the receiver operating characteristic curve (AUROC) of 0.87 (95% CI: 0.81, 0.93) before and 0.85 (95% CI: 0.78, 0.91) after internal bootstrap validation. The use of additional biomarkers of inflammation and metabolism did not improve NAFLD prediction. Previously published indices predicted NAFLD at AUROCs between 0.71 and 0.82. Conclusions: The AUROC of > 0.8 obtained by our regression model suggests the feasibility of a non-invasive detection of NAFLD by anthropometry and circulating biomarkers, even though further increments in the capacity of prediction models may be needed before NAFLD indices can be applied in routine clinical practice

    Estudo comparativo da cicatrizacao de retalho cutaneo dorsal em ratos com e sem a aplicacao do laser de Erbium : YAG /

    Get PDF
    Orientador: Jurandir Marcondes Ribas FilhoDissertacao (mestrado) - Universidade Federal do Parana. Setor de Ciencias da Saude. Programa de Pos-Graduacao em Clinica Cirurgica

    Renewable Power‐to‐Gas : A Technical and Economic Evaluation of Three Demo Sites Within the STORE&GO Project

    Get PDF
    For a successful energy transition, Power-to-Gas (PtG) offers the opportunity to convert renewable electricity to substitute natural gas. This renewable synthetic natural gas (SNG) can be used for long-term storage, transport, or can be integrated into other energy sectors. Main challenges for the commercial application of PtG are to achieve a high PtG process efficiency, dynamic operation capability, and low investment and production costs. Within the STORE&GO project, three demo sites were developed, operated, and evaluated. An overall efficiency of > 75% is possible, the SNG production costs are expected to drop to less than 10 €-Cent kWh–1 in 2050
    corecore