Sustainability in Retailing – Environmental Effects of Transport Processes, Shopping Trips and Related Consumer Behaviour

This thesis is concerned with sustainability in retailing. It begins with a literature review that provides deeper insights into relevant developments in retail research and practice with a focus on sustainability developments. Highlighting the importance of the topics CO2 and CSR, particular attention is paid to the environmental pollution caused by shopping processes in brick-and-mortar and online retail. To gain a more profound knowledge of the relevant processes and their influences, the analysis factors in the environmental effects of the transport processes of retailers, parcel services and consumers during shopping trips. It is shown that, in general, online retail causes fewer CO2 emissions, but that its advantageousness can change with respect to certain aspects such as returns, distance to stores and the transport mode used. Another important result is that the CO2 emissions are mainly caused by customer journeys to the stores, making this an important starting point to mitigate the environmental pollution caused by shopping processes in brick-and-mortar retail. Therefore, the focus also lies on consumer shopping behaviour and its environmental effects. After structuring the relevant influences on travel behaviour for shopping trips and their environmental effects, the shortcomings of quantitative approaches for analysing behavioural aspects are discussed. Considering these, a qualitative approach using narrative interviews is applied to gain a deeper understanding of the relevant drivers behind consumer travel behaviour with respect to shopping trips. In doing so, differences in behaviour regarding various life cycles are highlighted. Furthermore, different shopping types are distinguished and consumer expectations regarding the environmental commitment of retailers and policy makers evaluated. Based on the results, implications for retailers and policy makers are deduced to highlight how they can support consumers by behaving in more environmentally-friendly manner

Screening for common eye diseases in the elderly with Optos ultra-wide-field scanning laser ophthalmoscopy: a pilot study with focus on ocular toxoplasmosis

Purpose Studies on the occurrence of ocular toxoplasmosis (OT) in a general population are rare. Therefore, we conducted this pilot study to assess whether a nonmydriatic ultra-wide-field (UWF) scanning laser ophthalmoscope (SLO) is suitable for a simple, rapid screening procedure. Methods The population of this cross-sectional study was randomly recruited from a cohort of hospital-based patients in an urban geriatric hospital. Ophthalmologic evaluation was performed on 201 eyes from 101 participants through nonmydriatic UWF-SLO (Optos Daytona) and assessed for suspicious lesions and other relevant ocular findings. All images were evaluated by two independent examiners. Individuals who presented lesions with a morphological appearance suggestive of OT underwent fundoscopy and serological analysis of Toxoplasma gondii-specific antibodies. Results The mean age of the study group was 76 years, and 63 (62%) were female. Despite many health restrictions, the SLO examination was carried out easily in this geriatric population. Three participants presented findings by SLO suspicious for T. gondii-related injury. Further clinical examination and serological investigation confirmed the diagnosis, with funduscopic evaluation and positive T. gondii ELISA testing. In addition, a high rate of arterial hypertension and dyslipidemias within the cohort led to a high incidence of vascular changes and age-related fundus findings. Conclusion In our study, we confirm that UWF-SLO technology is helpful in the rapid detection of peripheral retinal injuries in elderly patients such as OT and may be used as a routine screening tool

Added value of including waves into a coupled atmosphere–ocean model system within the North Sea area

In this study, the effects of fully coupling the atmosphere, waves, and ocean compared with two-way-coupled simulations of either atmosphere and waves or atmosphere and ocean are analyzed. Two-year-long simulations (2017 and 2018) are conducted using the atmosphere–ocean–wave (AOW) coupled system consisting of the atmosphere model CCLM, the wave model WAM, and the ocean model NEMO. Furthermore, simulations with either CCLM and WAM or CCLM and NEMO are done in order to estimate the impacts of including waves or the ocean into the system. For the North Sea area, it is assessed whether the influence of the coupling of waves and ocean on the atmosphere varies throughout the year and whether the waves or the ocean have the dominant effect on the atmospheric model. It is found that the effects of adding the waves into the system already consisting of atmosphere and ocean model or adding the ocean to the system of atmosphere and wave model vary throughout the year. Which component has a dominant effect and whether the effects enhance or diminish each other depends on the season and variable considered. For the wind speed, during the storm season, adding the waves has the dominant effect on the atmosphere, whereas during summer, adding the ocean has a larger impact. In summer, the waves and the ocean have similar influences on mean sea level pressure (MSLP). However, during the winter months, they have the opposite effect. For the air temperature at 2 m height (T_2m), adding the ocean impacts the atmosphere all year around, whereas adding the waves mainly influences the atmosphere during summer. This influence, however, is not a straight feedback by the waves to the atmosphere, but the waves affect the ocean surface temperature, which then also feedbacks to the atmosphere. Therefore, in this study we identified a season where the atmosphere is affected by the interaction between the waves and the ocean. Hence, in the AOW-coupled simulation with all three components involved, processes can be represented that uncoupled models or model systems consisting of only two models cannot depict

Pengaruh Facilitated Tucking Dan Musik Terhadap Respon Nyeri Bayi Prematur Ketika Pengambilan Darah

Manajemen nyeri yang tidak terkontrol pada bayi akan mempengaruhi pertumbuhan dan perkembangan selanjutnya. Salah satu tindakan manajemen nyeri non-farmakologi yang aman bagi bayi prematur adalah facilitated tucking dan pemberian musik. Penelitian ini untuk mengidentifikasi pengaruh kombinasi fasilitated tucking dan musik dalam mengurangi respon nyeri dan durasi menangis bayi prematur saat pengambilan darah. Rancangan kuasi eksperimen dengan pos-ttest control group design dipilih. Sampel penelitian ini adalah 60 bayi prematur yang dirawat di rumah sakit dan dilakukan pengambilan darah. Uji hipotesis menggunakan independent t-test. Kelompok intervensi diberikan facilitated tucking dan musik ketika pengambilan darah. Pengukuran nyeri menggunakan Premature Infant Pain Profile (PIPP) dan durasi menangis diukur dalam detik. Hasil penelitian menunjukkan bahwa rata-rata skor nyeri bayi adalah 7,03 pada kelompok intervensi dan 12,4 pada kelompok kontrol. Rata-rata durasi menangis bayi pada kelompok intervensi adalah 68,5 detik dan kelompok kontrol adalah 105 detik. Uji t menunjukkan perbedaan yang bermakna skor nyeri p 0,000 (α=0,05) dan durasi menangis 0,009 (α=0,05) bayi premature antara kelompok intervensi dan kelompok kontrol. DIsimpulkan bahwa facilitated tucking dan musik telah mengurangi respon nyeri dan durasi tangisan bayi prematur ketika pengambilan darah

Needs-based off-job crafting across different life domains and contexts : Testing a novel conceptual and measurement approach

Shaping off-job life is becoming increasingly important for workers to increase and maintain their optimal functioning (i.e., feeling and performing well). Proactively shaping the job domain (referred to as job crafting) has been extensively studied, but crafting in the off-job domain has received markedly less research attention. Based on the Integrative Needs Model of Crafting, needs-based off-job crafting is defined as workers' proactive and self-initiated changes in their off-job lives, which target psychological needs satisfaction. Off-job crafting is posited as a possible means for workers to fulfill their needs and enhance well-being and performance over time. We developed a new scale to measure off-job crafting and examined its relationships to optimal functioning in different work contexts in different regions around the world (the United States, Germany, Austria, Switzerland, Finland, Japan, and the United Kingdom). Furthermore, we examined the criterion, convergent, incremental, discriminant, and structural validity evidence of the Needs-based Off-job Crafting Scale using multiple methods (longitudinal and cross-sectional survey studies, an "example generation"-task). The results showed that off-job crafting was related to optimal functioning over time, especially in the off-job domain but also in the job domain. Moreover, the novel off-job crafting scale had good convergent and discriminant validity, internal consistency, and test-retest reliability. To conclude, our series of studies in various countries show that off-job crafting can enhance optimal functioning in different life domains and support people in performing their duties sustainably. Therefore, shaping off-job life may be beneficial in an intensified and continually changing and challenging working life.Peer reviewe

Self-rated health in multimorbid older general practice patients: a cross-sectional study in Germany

Background: With increasing life expectancy the number of people affected by multimorbidity rises. Knowledge of factors associated with health-related quality of life in multimorbid people is scarce. We aimed to identify the factors that are associated with self-rated health (SRH) in aged multimorbid primary care patients. Methods: Cross-sectional study with 3, 189 multimorbid primary care patients aged from 65 to 85 years recruited in 158 general practices in 8 study centers in Germany. Information about morbidity, risk factors, resources, functional status and socio-economic data were collected in face-to-face interviews. Factors associated with SRH were identified by multivariable regression analyses. Results: Depression, somatization, pain, limitations of instrumental activities (iADL),age, distress and Body Mass Index (BMI) were inversely related with SRH. Higher levels of physical activity, income and self-efficacy expectation had a positive association with SRH. The only chronic diseases remaining in the final model were Parkinson's disease and neuropathies. The final model accounted for 35% variance of SRH. Separate analyses for men and women detected some similarities;however, gender specific variation existed for several factors. Conclusion: In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves. High income and self-efficacy expectation are independently associated with better SRH and high BMI and age with low SRH

Therapy-refractory Panton Valentine Leukocidin-positive community-acquired methicillin-sensitive Staphylococcus aureus sepsis with progressive metastatic soft tissue infection: a case report

We report a case of fulminant multiple organ failure including the Acute Respiratory Distress Syndrome (ARDS), haemodynamic, and renal failure due to community-acquired methicillin-sensitive Panton Valentine Leukocidin (PVL) positive spa-type 284 (ST121) Staphylococcus aureus septic shock. The patient's first clinical symptom was necrotizing pneumonia. Despite organism-sensitive triple antibiotic therapy with linezolid, imipenem and clindamycin from the first day of treatment, progressive abscess formation in multiple skeletal muscles was observed. As a result, repeated surgical interventions became necessary. Due to progressive soft tissue infection, the anti-microbial therapy was changed to a combination of clindamycin and daptomycin. Continued surgical and antimicrobial therapy finally led to a stabilisation of the patients' condition. The clinical course of our patient underlines the existence of a "PVL-syndrome" which is independent of in vitro Staphylococcus aureus susceptibility. The PVL-syndrome should not only be considered in patients with soft tissue or bone infection, but also in patients with pneumonia. Such a condition, which may easily be mistaken for uncomplicated pneumonia, should be treated early, aggressively and over a long period of time in order to avoid relapsing infection