A century of apparent atmospheric transmission over Davos, Switzerland

Pyrheliometer measurements have been carried out at the Physikalisches-Meteorologisches Observatorium Davos from 1909 to present which results in the longest stationary direct irradiance record worldwide. A variety of different instruments and measurement scales were homogenized and adjusted to the World Radiometric Reference. Following the pyrheliometric ratioing technique, a time-series of apparent atmospheric transmission was calculated and analyzed for possible trends in column transparency over Davos. In order to assess the trend found in the transmission record, the long-term annual cycle in apparent atmospheric transmission was used to deseasonalize the daily transmission data. The trends of early brightening, dimming and brightening were localized and found to be small but highly significan

Dietary contribution of wild edible plants to women's diets in the buffer zone around the Lama forest, Benin - an underutilized potential

Rural populations in developing countries face food insecurity and malnutrition despite being surrounded by extraordinary biodiversity. The international community increasingly recognizes the role of agro-biodiversity and Wild Edible Plants (WEPs) in their contributions to managing risk and building resilience and sustainable food systems. Studies on real contributions of WEPs to peoples’ diets, however, are uncommon. This study assessed the contribution of WEPs to diets of women living in the buffer zone of the Lama forest in southern Benin. During the long dry season, a cross-sectional survey was carried out on 120 women, covering their knowledge and attitudes towards WEPs and two non-consecutive 24-h recalls of their WEP consumption. Contribution of WEPs to total dietary intake was low due to infrequent use and small portion sizes. The highest nutrient contributions of WEPs measured were for copper (13.9 %) and iron (4.6 %) but the majority of the women had intake values below the Estimated Average Requirements (EARs) for these elements - copper 65 % and iron 91 % Women’s dietary diversity was significantly higher among WEP consumers than non-consumers, mainly due to higher consumption of dark green leafy vegetables. WEPs were less consumed as a replacement for other foods but rather as a complement to the diet. The study population generally appreciated WEPs, while some constraints were reported regarding preparation, conservation and commercialization. Before widely promoting WEP consumption in order to exploit their dietary potential, additional investigations are needed into their nutrient composition, cultural and market value, their sustainable harvest levels and possible integration into innovative farming systems

Using a gamified monitoring app to change adolescents' snack intake : the development of the REWARD app and evaluation design

Background: As the snacking pattern of European adolescents is of great concern, effective interventions are necessary. Till now health promotion efforts in children and adolescents have had only limited success in changing adolescents' eating patterns and anthropometrics. Therefore, the present study proposes an innovative approach to influence dietary behaviors in youth based on new insights on effective behavior change strategies and attractive intervention channels to engage adolescents. This article describes the rationale, the development, and evaluation design of the 'Snack Track School' app. The aim of the app is to improve the snacking patterns of Flemish 14- to 16-year olds. Methods: The development of the app was informed by the systematic, stepwise, iterative, and collaborative principles of the Intervention Mapping protocol. A four week mHealth intervention was developed based on the dual-system model with behavioral change strategies targeting both the reflective (i.e., active learning, advance organizers, mere exposure, goal-setting, monitoring, and feedback) and automatic processes (i.e., rewards and positive reinforcement). This intervention will be evaluated via a controlled pre-post design in Flemish schools among 1400 adolescents. Discussion: When this intervention including strategies focused on both the reflective and automatic pathway proves to be effective, it will offer a new scientifically-based vision, guidelines and practical tools for public health and health promotion (i.e., incorporation of learning theories in intervention programs)

Akute Gefäßerkrankungen in der Gastroenterologie

Zusammenfassung: Vaskulär-gastroenterologische Notfälle zählen zu den häufigen Krankheitsbildern auf internistischen und chirurgischen Notfallstationen. Die klinischen Konsequenzen reichen von trivialen bis zu lebensbedrohlichen Situationen. Nur eine frühzeitige Erkennung der Symptomenkomplexe und die Anwendung der adäquaten diagnostischen Mittel führen zur korrekten Diagnosestellung mit nachfolgend - möglicherweise lebensrettender - Therapie. Um die hohen Mortalitätsraten der akuten Mesenterialischämien (50%), aortoenterischen Fisteln (30-40%), Aneurysmen viszeraler Arterien (10-100%) sowie des Budd-Chiari-Syndroms weiter senken zu können, gewinnen neue Strategien mit endovaskulärem Therapieansatz zunehmend an Bedeutung und ersetzen teilweise über viele Jahrzehnte etablierte Diagnose- und Therapiealgorithmen. Diese Übersichtsarbeit soll einen Überblick über aktuelle Diagnostik- und Therapiekonzepte häufiger vaskulär-gastroenterologischer Notfälle verschaffe

Dual-Element Isotope Analysis of Desphenylchloridazon to Investigate its Environmental Fate in a Systematic Field Study-A Long-Term Lysimeter Experiment

Desphenylchloridazon (DPC), the main metabolite of the herbicide chloridazon (CLZ), is more water soluble and persistent than CLZ and frequently detected in water bodies. When assessing DPC transformation in the environment, results can be nonconclusive if based on concentration analysis alone because estimates may be confounded by simultaneous DPC formation from CLZ. This study investigated the fate of DPC by combining concentration-based methods with compound-specific C and N stable isotope analysis (CSIA). Additionally, DPC formation and transformation processes were experimentally deconvolved in a dedicated lysimeter study considering three scenarios. First, surface application of DPC enabled studying its degradation in the absence of CLZ. Here, CSIA provided evidence of two distinct DPC transformation processes: one shows significant changes only in 13C/12C, whereas the other involves changes in both 13C/12C and 15N/14N isotope ratios. Second, surface application of CLZ mimicked a realistic field scenario, showing that during DPC formation, 13C/12C ratios of DPC were depleted in 13C relative to CLZ, while 15N/14N ratios remained constant. Finally, CLZ depth injection simulated preferential flow and demonstrated the importance of the topsoil for retaining DPC. The combination of the lysimeter study with CSIA enabled insights into DPC transformation in the field that are superior to those of studies of concentration trends

The process of prioritization of non-communicable diseases in the global health policy arena.

Although non-communicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, the global policy response has not been commensurate with their health, economic and social burden. This study examined factors facilitating and hampering the prioritization of NCDs on the United Nations (UN) health agenda. Shiffman and Smith's (Generation of political priority for global health initiatives: a framework and case study of maternal mortality. The Lancet 370: 1370-9.) political priority framework served as a structure for analysis of a review of NCD policy documents identified through the World Health Organization's (WHO) NCD Global Action Plan 2013-20, and complemented by 11 semi-structured interviews with key informants from different sectors. The results show that a cohesive policy community exists, and leaders are present, however, actor power does not extend beyond the health sector and the role of guiding institutions and civil society have only recently gained momentum. The framing of NCDs as four risk factors and four diseases does not necessarily resonate with experts from the larger policy community, but the economic argument seems to have enabled some traction to be gained. While many policy windows have occurred, their impact has been limited by the institutional constraints of the WHO. Credible indicators and effective interventions exist, but their applicability globally, especially in low- and middle-income countries, is questionable. To be effective, the NCD movement needs to expand beyond global health experts, foster civil society and develop a broader and more inclusive global governance structure. Applying the Shiffman and Smith framework for NCDs enabled different elements of how NCDs were able to get on the UN policy agenda to be disentangled. Much work has been done to frame the challenges and solutions, but implementation processes and their applicability remain challenging globally. NCD responses need to be adapted to local contexts, focus sufficiently on both prevention and management of disease, and have a stronger global governance structure