The North American toxic fungal pathogen G3 Claviceps purpurea (Fries) Tulasne is established in the German Wadden Sea.

Three lineages (G1, G2 and G3) within the toxic invasive ergot fungus Claviceps purpurea (Fries) Tulasne are known; these should be recognized as unique species, or at least as varieties. On 2 November 2011, a very dense, well established population of G3 C. purpurea was found on the common cord-grass Spartina anglica C.E. Hubbard at two localities on the German North Sea coast in the Wadden Sea (Caciliengroden and Hooksiel). It is most likely that G3 C. purpurea has a North American origin and entered German coastal waters by floating sclerotia from Irish, British, or Benelux waters, where it was previously found. However, introduction via ships’ ballast water coming from their native or introduced ranges is also plausible. Furthermore imports of G3 sclerotia via seed mussels collected from wild subtidal banks in Irish, British and Dutch coastal waters and released into the German Wadden Sea can currently not be excluded. Risks from this highly toxic fungus for human, grazing animals and the marine environment have been identified but not yet quantified in terms of impact. A suitable monitoring programme should be implemented to detect any unwanted impacts caused by G3 C. purpurea in German salt marshes at an early phase

Germany’s first Action plan on the pathways of invasive alien species to prevent their unintentional introduction and spread

The increase in global trade and traffic networks contributes to the introduction and spread of invasive alien species, posing a threat to biodiversity. EU Regulation 1143/2014 addresses the prevention and management of invasive alien species and requires an action plan on the priority pathways of unintentional introduction and spread of invasive alien species by each member state. To this end, the first German action plan was developed for the German government in cooperation with relevant Ministries and authorities, scientists, administrative experts, stakeholder working groups and political as well as public deliberation processes. As a result, 14 priority pathways of unintentional introduction, escape or release and spread were identified, resulting in 24 targeted measures. Nineteen sectors will be involved in the implementation of these measures. Here we describe the development process and outcome of Germany’s first action plan. By this, we aim making the process public and transparent, which can facilitate a revision of the action plan required at least every six years, and trigger broader European as well as national cooperation in the future

The change of psychosocial stress factors in families with infants and toddlers during the COVID-19 pandemic. A longitudinal perspective on the CoronabaBY study from Germany

BackgroundOver nearly three years, the COVID-19 pandemic has had a lasting impact on people's lives and mental health worldwide with its far-reaching restrictions and concerns about infections and other personal consequences. Families were particularly affected and showed increased stress and psychological problems. Long-term effects cannot be ruled out. So far, data on young families are sparse. The present longitudinal analysis (n = 932) of the CoronabaBY study investigated the development of parenting stress, parental affective symptoms, and child's mental health in young families with children aged 0–3 years in Germany as well as potential influencing factors.MethodsThe observational study includes two measurement points over the course of the pandemic (baseline and follow-up). Data was collected by app using standardized questionnaires.ResultsN = 932 participants, mainly mothers (94.7%) born in Germany (93.1%) with higher education (61.3% with at least high school diploma) and a comfortable financial situation participated in the longitudinal study. Children were on average 14.7 months old at baseline (SD: 12, range: 1–39 months). While the proportion of parents who perceived the pandemic as stressful decreased significantly from baseline (60%) to follow-up (52.3%), the proportion with parenting stress increased significantly (from 40.1% to 45.4%). Both parental and child mental health problems remained constant over time, with infants crying/feeding/sleeping problems ranging above pre-pandemic comparative data. Most predictive for high parenting stress at follow-up was high parenting stress at baseline. This was also true for parental affective symptoms (depression/anxiety) and child mental health problems.ConclusionsDespite faded pandemic restrictions, parents remained burdened. Support services do not appear to have been sufficient to help families out of their stressful situation. Our results indicate a need for action regarding low-threshold services that effectively reach affected families.Trial registrationThe study was pre-registered in OSF (https://osf.io/search/?q=tksh5&page=1)

The National Early Warning Score and its subcomponents recorded within ±24 hours of emergency medical admission are poor predictors of hospital-acquired acute kidney injury

YesBackground: Hospital-acquired Acute Kidney Injury (H-AKI) is a common cause of avoidable morbidity and mortality. Aim: To determine if the patients’ vital signs data as defined by a National Early Warning Score (NEWS), can predict H-AKI following emergency admission to hospital. Methods: Analyses of emergency admissions to York hospital over 24-months with NEWS data. We report the area under the curve (AUC) for logistic regression models that used the index NEWS (model A0), plus age and sex (A1), plus subcomponents of NEWS (A2) and two-way interactions (A3). Likewise for maximum NEWS (models B0,B1,B2,B3). Results: 4.05% (1361/33608) of emergency admissions had H-AKI. Models using the index NEWS had the lower AUCs (0.59 to 0.68) than models using the maximum NEWS AUCs (0.75 to 0.77). The maximum NEWS model (B3) was more sensitivity than the index NEWS model (A0) (67.60% vs 19.84%) but identified twice as many cases as being at risk of H-AKI (9581 vs 4099) at a NEWS of 5. Conclusions: The index NEWS is a poor predictor of H-AKI. The maximum NEWS is a better predictor but seems unfeasible because it is only knowable in retrospect and is associated with a substantial increase in workload albeit with improved sensitivity.The Health Foundatio