68 resultados para Sundvik, Lilli
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Increased demand for forest-derived biomass has resulted in changes in harvest intensities in Finland. Conventional stem-only harvest (CH) has to some extent been replaced with whole-tree harvest (WTH). The latter involves a greater removal of nutrients from the forest ecosystem, as all the above ground biomass is exported from the site. This has raised concerns that WTH could result in large changes in the nutrient dynamics of a forest stand and could eventually lower its site productivity. Little empirical data exists to support this assumption as only a limited number of studies have been conducted on the topic. A majority of these discuss the short-term effects, thus the long-term consequences remain unknown. The objective of this study was to compare differences in soil properties after CH and WTH in a fertile Norway spruce (Picea abies (L) Karst.) stand in Southern Finland. The site was clear-felled in August 2000 and spruce seedlings were planted in the following summer. Soil sampling in the form of systematic randomized sampling was carried out in May 2011. Changes in base saturation, cation exchange capacity, elemental pools (total and exchangeable) and acidity were studied in both organic and mineral horizons. The results indicate that WTH lowered effective cation exchange capacity and base saturation particularly in the humus layer. The pools of exchangeable Al and Fe were increased in the humus layer, whereas the amount of exchangeable Ca decreased in both layers. WTH also resulted in lower Ca/Al-ratios across the sampled layers. Treatment did not have a significant effect on pH, total pools of elements or on the C/N-ratio of the soil. The results suggest that although the stand possesses significant pools of nutrients at present, WTH, if continued, could have long-term effects on site productivity.
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Background There is increasing evidence that a strong primary care is a cornerstone of an efficient health care system. But Switzerland is facing a shortage of primary care physicians (PCPs). This pushed the Federal Council of Switzerland to introduce a multifaceted political programme to strengthen the position of primary care, including its academic role. The aim of this paper is to provide a comprehensive overview of the situation of academic primary care at the five Swiss universities by the end of year 2012. Results Although primary care teaching activities have a long tradition at the five Swiss universities with activities starting in the beginning of the 1980ies; the academic institutes of primary care were only established in recent years (2005 – 2009). Only one of them has an established chair. Human and financial resources vary substantially. At all universities a broad variety of courses and lectures are offered, including teaching in private primary care practices with 1331 PCPs involved. Regarding research, differences among the institutes are tremendous, mainly caused by entirely different human resources and skills. Conclusion So far, the activities of the existing institutes at the Swiss Universities are mainly focused on teaching. However, for a complete academic institutionalization as well as an increased acceptance and attractiveness, more research activities are needed. In addition to an adequate basic funding of research positions, competitive research grants have to be created to establish a specialty-specific research culture.
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ausgewählt von Erich Klibansky. Mit Anm. von Lilli Freimann
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The aim of this article is to provide guidance to family doctors on how to tutor students about effective screening and primary prevention. Family doctors know their patients and adapt national and international guidelines to their specific context, risk profile, sex and age as well as to the prevalence of the disorders under consideration. Three cases are presented to illustrate guideline use according to the level of evidence (for a 19-year-old man, a 60-year-old woman, and an 80-year-old man). A particular strength of family medicine is that doctors see their patients over the years. Thus they can progressively go through the various prevention strategies, screening, counselling and immunisation, accompanying their patients with precious advice for their health throughout their lifetime.
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QUESTIONS UNDER STUDY As the best management of subclinical hypothyroidism is controversial, we aimed to assess variations in treatment strategies depending on different Swiss regions, physician and patient characteristics. METHODS We performed a case-based survey among general practitioners (GPs) in different Swiss regions, which consisted of eight hypothetical cases presenting a female patient with subclinical hypothyroidism and nonspecific complaints differing by age, vitality status and thyroid-stimulating hormone (TSH) concentration. RESULTS A total of 262 GPs participated in the survey. There was considerable variation in the levothyroxine starting dose chosen by GPs, ranging from 25 µg to 100 µg. Across the Swiss regions, GPs in the Bern region were significantly more inclined to treat, with a higher probability of initiating treatment (60%, p = 0.01) and higher mean starting doses (45 µg, p <0.01) compared with the French-speaking region (44%, 36 µg); the Zurich region had intermediate values (52%, 39 µg). We found no association between treatment rate and other physician characteristics. GPs were more reluctant to initiate treatment in 85-year-old than in 70-year-old women (odds ratio [OR] 0.77, 95% confidence interval [CI] 0.63-0.94), and more likely to treat women with a TSH of 15 mU/l than those with a TSH of 6mU/l (OR 8.71, 95% CI 6.21-12.20). CONCLUSIONS There are strong variations in treatment strategies for elderly patients with subclinical hypothyroidism across different Swiss regions, including use of higher starting doses than the recommended 25 µg in the Swiss guidelines, which recommend a starting dose of 25 µg. These variations likely reflect the current uncertainty about the benefits of treatment, which arise from the current lack of evidence from adequately powered clinical trials.
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Lilli Kovacs
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1 Brief an Ernst Jacob von Max Horkheimer; 31 Briefe zwischen Stefan Jacobwicz und Max Horkheimer, 1936-1945; 1 Brief an die American Consul Lisabon von Max Horkheimer; 23 Briefe zwischen Heinz Jacoby, Lilli Jacoby und Max Horkheimer, 1936-1943; 1 Brief von Max Horkheimer an John B. Norman, 29.06.1942; 1 Brief von Max Horkheimer an George L. Warren; 1 Brief vom Service Social d'Aide aux Emigrants Paris an Heinz Jacobi, 18.01.1940; 1 Brief von Max Horkheimer an Jaeger , 29.09.1937; 5 Brief zwischen Philip C. Jessup und Max Horkheimer, 15.10.1940-1941; 3 Briefe an die Jewish National and University Library Jerusalem von Max Horkheimer, 1943, 1949; 5 Briefe zwischen der Jewish Telegraphic Agency New York und Max Horkheimer, 1940; 2 Briefe zwischen Ernest Jones und Max Horkheimer, 29.04.1938, 11.05.1938; 14 Briefe zwischen der Journal of Criminal Psychopathology, Woodbourne und Max Horkheimer,1940-1941; 1 Brief vom Journal of Philosophy and Phenomenological Research Bufallo N.Y. an Max Horkheimer, 19.11.1940; 1 Brief an das Jüdisches Schwesternheim Stuttgart an Max Horkheimer, 29.12.1937; 1 Brief von Jean Juget an Max Horkheimer, 25.11.1935; 2 Briefe zwischen der Juilliard School of Music New York und Theodor W. Adorno, 17.07.1940, 18.07.1940; 2 Briefe zwischen Gustave S. Juliber und Max Horkheimer, 09.10.1938, 01.11.1938;
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Über die Verbreitung, Gliederung und Ausbildung des Jungtertiärs im westlichen Schleswig-Holstein war bisher nicht viel bekannt. Am besten bearbeitet sind die glazial gestauchten Schollen von Morsum/Sylt. Eine Aufzählung erbohrter Miozänvorkommen mit nicht immer überzeugender Begründung lieferte H.-L. HECK 1935. S. THIELE (1941) hat die ihm bekannten Vorkommen hauptsächlich nach faziellen und petrographischen Gesichtspunkten bearbeitet. Er erkannte richtig die Stellung der Braunkohlensande. Die angekündigte palaeontologische Bearbeitung ist nicht erschienen. Eine allgemeine Übersicht über die Entwicklung des Jungtertiärs bringen W. WOLFE und H.-L. HECK 1949. W. HINSCH lieferte wertvolle Beiträge zur Molluskenfauna und zur Gliederung des Miozäns (1952, 1955). Über neue Vorkommen von Braunkohlen-Sanden berichtete E. DITTMER(1 956), eine erste Übersicht über neue Vorkommen der Hemmoorer Stufe gab derselbe Verfasser 1957.
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Vierlandian, Behrendorfian (Lower Hemmoorian), Oxlundian (Upper Hemmoorian), Lower and Upper Reinbekian, Langenfeldian and Gramian stages could be proved by evaluation of marine molluscan faunas. The diachrone base of 'Braunkohlensande' is demonstrated by underlying Vierlandian mica clay in the E, and by Hemmoorian substages more to the W, at last the fluviatile facies is replaced completely by euhaline to brachyhaline sandy to silty sediments. Brachyhaline effects in adjacent environments make possible an approximate dating on fluviatile sedimentation. The widest extension of 'Braunkohlensand' is during upper Oxlundian, whilst slightly brachyhaline Katzheide beds, defined in this paper to be of Lower Reinbekian age, indicate a limit of 'Braunkohlensande' more to the E. Winnert-fauna was found to be a mixture of Oxlundian and Langenfeldian; the overlying lignitic sands belong to the Kaolinsand group. Upper mica clay overlying Miocene Braunkohlensande can be divided into beds of Upper Reinbekian, Langenfeldian and Gramian ages.