What Does Globalization Have to Do with the Erosion of Welfare States? Sorting Out the Issues. CES Germany & Europe Working Papers, No. 07.5, 1996

Is it really true that the economic processes described as globalization are eroding West European and North Ameri­ can welfare states (WS) ? This paper is a first step in a project aimed at answering the question. Focusing on conflict­ ing arguments about the economic mechanisms which generate pressures on WS, it groups them into three answers to the title question: globalization has everything, nothing, or something to do with it. Tentatively concluding that the third answer, that domestic and international economic mechanisms do interact in specific ways to strain WS, it sets the stage for the second stage of the project. That is to analyze the political mechanisms shaping the policy re­ sponses to those strains and perhaps themselves contributing to those strains. To expore the issues to be addressed in this second step. a brief preliminary exploration of recent social policy patterns suggests that domestic political fac­ tors go a long way toward explaining them without much recourse to globalization, especially in the U.S. but also, if to a lesser extent, in Western Europe.

A parallel currency for Greece. CEPS High-level Brief, 20 May 2015

Greece and its creditors seem to be engaged in a game of chicken: both sides expect the other to yield at the last moment. The game will almost certainly end with each side deviating somewhat from its preferred course. This High-Level Brief discusses how a parallel currency could contribute to a resolution of the conflict. In the author's view, it would be the least-bad option for both sides among three possible options on the table.

Sedimentology on cores off Filchner Shelf Ice, Weddell Sea, Antarctica

Sediment sampling with box corer and gravity corer was conducted along a profile parallel to the Filchner/Rønne Ice Shelf, from 48° to 61°W. Twenty-two sampling locations were determined after evaluation of 12 and 3.5 kHz sub-bottom profiling records. The sediment retrievals show a wide diversity, varying from very well sorted pure sands in the SE of the profile to heavily glacially influenced, pebbly muds close to the foot of the Antarctic Peninsula. In the middle part of the profile mainly soft sediments of muddy to sandy muds were found which were partially influenced by glacially derived dropstones or accumulations of pebble-sized material. The striking changes of surface sediments (marine to glacial) observed along the profile led to an attempt to investigate the concurrence of marine and glacial depositional processes controlling the accumulation of these recent sediments.

Grain size composition of sediment cores from the Weddell Sea, Antarctica

Sedimentary processes in the southeastern Weddell Sea are influenced by glacial-interglacial ice-shelf dynamics and the cyclonic circulation of the Weddell Gyre, which affects all water masses down to the sea floor. Significantly increased sedimentation rates occur during glacial stages, when ice sheets advance to the shelf edge and trigger gravitational sediment transport to the deep sea. Downslope transport on the Crary Fan and off Dronning Maud and Coats Land is channelized into three huge channel systems, which originate on the eastern-, the central and the western Crary Fan. They gradually turn from a northerly direction eastward until they follow a course parallel to the continental slope. All channels show strongly asymmetric cross sections with well-developed levees on their northwestern sides, forming wedge-shaped sediment bodies. They level off very gently. Levees on the southeastern sides are small, if present at all. This characteristic morphology likely results from the process of combined turbidite-contourite deposition. Strong thermohaline currents of the Weddell Gyre entrain particles from turbidity-current suspensions, which flow down the channels, and carry them westward out of the channel where they settle on a surface gently dipping away from the channel. These sediments are intercalated with overbank deposits of high-energy and high-volume turbidity currents, which preferentially flood the left of the channels (looking downchannel) as a result of Coriolis force. In the distal setting of the easternmost channel-levee complex, where thermohaline currents are directed northeastward as a result of a recirculation of water masses from the Enderby Basin, the setting and the internal structures of a wedge-shaped sediment body indicate a contourite drift rather than a channel levee. Dating of the sediments reveals that the levees in their present form started to develop with a late Miocene cooling event, which caused an expansion of the East Antarctic Ice Sheet and an invigoration of thermohaline current activity.

Time-differentiated target temperature management after out-of-hospital cardiac arrest: a multicentre, randomised, parallel-group, assessor-blinded clinical trial (the TTH48 trial): study protocol for a randomised controlled trial

BACKGROUND The application of therapeutic hypothermia (TH) for 12 to 24 hours following out-of-hospital cardiac arrest (OHCA) has been associated with decreased mortality and improved neurological function. However, the optimal duration of cooling is not known. We aimed to investigate whether targeted temperature management (TTM) at 33 ± 1 °C for 48 hours compared to 24 hours results in a better long-term neurological outcome. METHODS The TTH48 trial is an investigator-initiated pragmatic international trial in which patients resuscitated from OHCA are randomised to TTM at 33 ± 1 °C for either 24 or 48 hours. Inclusion criteria are: age older than 17 and below 80 years; presumed cardiac origin of arrest; and Glasgow Coma Score (GCS) <8, on admission. The primary outcome is neurological outcome at 6 months using the Cerebral Performance Category score (CPC) by an assessor blinded to treatment allocation and dichotomised to good (CPC 1-2) or poor (CPC 3-5) outcome. Secondary outcomes are: 6-month mortality, incidence of infection, bleeding and organ failure and CPC at hospital discharge, at day 28 and at day 90 following OHCA. Assuming that 50 % of the patients treated for 24 hours will have a poor outcome at 6 months, a study including 350 patients (175/arm) will have 80 % power (with a significance level of 5 %) to detect an absolute 15 % difference in primary outcome between treatment groups. A safety interim analysis was performed after the inclusion of 175 patients. DISCUSSION This is the first randomised trial to investigate the effect of the duration of TTM at 33 ± 1 °C in adult OHCA patients. We anticipate that the results of this trial will add significant knowledge regarding the management of cooling procedures in OHCA patients. TRIAL REGISTRATION NCT01689077.