Karisma og embede i den missionale kirke

Den missionale kirkes tre socialformer – med Troeltschs termer – kirke, sekt og mystik – må sammenholdes for at få en ret forståelse af forholdet mellem embede og karisma. I en kontekst præget af institutionalisering og privatiseret religiøsitet bliver fællesskabet (‘sekt’) den sammenbindende faktor i den missionale kirke. Paulus og Luther underbygger begge den gensidige tjeneste i Åndens kraft i dette fællesskab, hvor embede og nådegave virker sammen. For at skabe rum for dette må der imidlertid være fleksible kirkeordninger med en flerfoldig ledelse. Embedet udspringer af nemlig hele menighedens tjeneste og genkendelse af præstens nådegaver til at tjene. Gudstjenesten bliver da det sted, hvor de nådegaver og tjenester, som er nødvendige for sendelsen til verden, finder hinanden

Sea-level rise in Denmark: paleo context, recent projections and policy implications

We present the most recent Intergovernmental Panel on Climate Change Sixth Assessment Report (AR6) sea-level projections for four Danish cities (Aarhus, Copenhagen, Esbjerg and Hirtshals) under the Shared Socioeconomic Pathway (SSP) family of climate scenarios. These sea-level changes projected over the next century are up to an order of magnitude larger than those observed over the previous century. At these cities, year 2150 sea-level changes of between 29 and 55 cm are projected under the very low emissions scenario (SSP1-1.9), while changes of between 99 and 123 cm are projected under the very high emissions scenario (SSP5-8.5). These differences highlight the potentially significant impact of remaining opportunities for climate change mitigation. Due to this increase in mean sea level, the mean recurrence time between historically extreme events is expected to decrease. Under the very high emissions scenario, the historical 100-year storm flood event will become a 1- to 5-year event at most Danish harbours by 2100. There is considerable uncertainty associated with these sea-level projections, primarily driven by uncertainty in the future evolution of the Antarctic ice sheet and future sterodynamic changes in ocean volume. The AR6 characterises collapse of the West Antarctic ice sheet as a low-probability but high-impact event that could cause several metres of sea-level rise around Denmark by 2150. In climate adaptation policy, the scientific landscape is shifting fast. There has been a tremendous proliferation of diverse sea-level projections in recent years, with the most relevant planning target for Denmark increasing c. 50 cm in the past two decades. Translating sea-level rise projections into planning targets requires value judgments about acceptable sea-level risk that depend on local geography, planning timeline and climate pathway. This highlights the need for an overarching national sea-level adaptation plan to ensure municipal plans conform to risk and action standards

Treatment of progressive multiple sclerosis: what works, what does not, and what is needed.

Disease-modifying drugs have mostly failed as treatments for progressive multiple sclerosis. Management of the disease therefore solely aims to minimise symptoms and, if possible, improve function. The degree to which this approach is based on empirical data derived from studies of progressive disease or whether treatment decisions are based on what is known about relapsing-remitting disease remains unclear. Symptoms rated as important by patients with multiple sclerosis include balance and mobility impairments, weakness, reduced cardiovascular fitness, ataxia, fatigue, bladder dysfunction, spasticity, pain, cognitive deficits, depression, and pseudobulbar affect; a comprehensive literature search shows a notable paucity of studies devoted solely to these symptoms in progressive multiple sclerosis, which translates to few proven therapeutic options in the clinic. A new strategy that can be used in future rehabilitation trials is therefore needed, with the adoption of approaches that look beyond single interventions to concurrent, potentially synergistic, treatments that maximise what remains of neural plasticity in patients with progressive multiple sclerosis