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Background: The International Classification of Diseases-10th revision (ICD-10) surrogates of the modified frailty index (mFI) have been defined in recent research. This study aimed to investigate the prevalence of these ICD-10 surrogates and their association with hospital referral in an older population from Germany. Methods: The present sample included adults aged ≥65 years followed in German general practices between 2010 and 2021. The index date was the most recent visit date. There were 11 ICD-10 surrogates of the mFI, including a total of 52 diagnoses. These surrogates were assessed in the 12 months prior to the index date. Referral to the hospital was analyzed in the 12 months following the index date. Covariates included age and sex. Results: There were 1,406,038 patients included in the study (mean (standard deviation) age 77.0 (7.9) years; 56.2% women). The prevalence of the ICD-10 surrogates of the mFI ranged from 3.3% for a "history of transient ischemic attack or stroke without neurological deficit" to 68.1% for a "history of hypertension requiring medication". In addition, 24%, 37%, and 23% of participants had 1, 2–3, and >3 ICD-10 surrogates of the mFI, respectively. There was a positive and significant relationship between the number of ICD-10 surrogates and 12-month incident hospital referral (reference: 0 surrogate; 1 surrogate: HR = 1.37, 95% CI = 1.31–1.42; 2–3 surrogates: HR = 2.00, 95% CI = 1.93–2.08; >3 surrogates: HR = 3.32, 95% CI = 3.19–3.44). Conclusions: ICD-10 surrogates of the mFI were relatively frequent and were significantly associated with 12-month incident hospital referral in this sample of older adults from general practices in Germany. [ABSTRACT FROM AUTHOR]

The foothill areas of eastern Turkey are an arid and semiarid region with natural salinization, where calcareous alluvial saline soils (Calcaric Fluvisols) are circulated as a result of floods of the Aras River. In this study, the effects of salinity and alkalinity on soil aggregate size distribution and enzyme activities at different aggregate size were investigated. For this purpose, soil samples were collected with three replicates at saline, alkaline, saline-alkaline and non-saline–alkaline areas and passed through into different sieves (2, 1, 0.850, 0.425, 0.106 and 0.02 mm) by dry sieving method for determining aggregate weight distribution in each macro (2–0.45 mm) and micro (0.45–0.02 mm) aggregates. For determining aggregate size distribution, sieves were shaken using a horizontal shaking machine (Retsch, AS 200 basic, Haan, Germany). The soil enzymes were determined in these aggregate sizes (2–1, 1–0.850, 0.850–0.425, 0.425–0.106, 0.106–0.02 mm) for all soil types. All soils belonged to the clay loam with the carbon content in the range of 0.5–0.8%, while the percentage of exchangeable sodium for the non-saline–alkaline and alkaline–saline soils was from 3.5 to 22%, but the pH diapason from 8.3 to 8.9. Results showed that soil salinity and alkalinity decreased the weight of macro aggregates and increased the weight of micro aggregates, besides soil salinity and alkalinity decreased soil enzyme activities. But soil salinity decreased enzyme activity more than alkalinity. Furthermore, the highest urease and catalase activities were in macro aggregates (0.850–0.425 mm aggregate size) for all soil types. The reason may be that macro aggregates contain higher organic matter and organic carbon than micro aggregates. Consequently, the highest enzyme (urease and catalase) activities were detected in macro aggregates. [ABSTRACT FROM AUTHOR]

• Simulated warming caused a rapid loss of OC in mountainous grassland soils rich in OM. • SOC loss was associated with a disruption of large-macroaggregates. • Intensive grassland slightly offset OC losses and promoted SM formation. • Soil perturbation effects have to be differentiated from climate change effects. Mountainous grassland soils are considered one of the most unique biological hotspots, rich in organic carbon (OC). At the same time, they are exposed to great threats, as climate warming is more pronounced in mountainous regions than in lowland areas. In this study, we assessed the effect of simulated warming (+1K, +2K, and + 3 K) on OC stocks and soil structure in grassland soils of the Northern Limestone Alps in Germany by translocating plant-soil mesocosms from high- (1260 m a.s.l., Rendzic Phaeozem) and mid- (860 m a. s. l., Haplic Cambisol) to low-elevation (600 m a.s.l). Plant-soil mesocosms were exposed to both extensive and intensive grassland management practices. Four years after translocation, we observed a rapid decrease of topsoil SOC stocks under intensive (−1.0 t C ha yr−1) and extensive management (-2.2 t C ha yr−1), under the highest temperature increase. Intensive management with about 1 t C ha−1 yr−1 higher manure C return than extensive management (1.6 vs. 0.8 t C ha−1 yr−1 intensive and extensive, respectively) may explain the difference in SOC losses between different management treatments. Under both management practices, the loss of SOC was mainly associated with a decrease of large macroaggregates, at both management practices. In addition, different aggregate specific OC loss rates resulted in an altered distribution of OC among the aggregate size classes. Our study provides evidence that simulated climate change induced a rapid and substantial decline of SOC in mountainous, OC-rich grassland soils, which may be attributed to decreased physical OC protection within large macroaggregates. Optimized grassland management in form of increased application of organic fertilizers could only partially offset the SOC loss by improved formation of small macroaggregates. [ABSTRACT FROM AUTHOR]

[Display omitted] • Topsoil SOC stocks and soil structure recovered 26 years after topsoil removal. • Topsoil buried under the plough layer non-linearly lost 30–50% of SOC in 55 years. • Topsoil SOC recovery and stability of buried SOC was dependent on N fertilisation. Erosion of fertile topsoil means severe land degradation and yield loss. Here, we show that reformation of the fertile topsoil and crop yield increase is possible by good agricultural management within a few decades. Evidence relies on a unique long-term field experiment in NE Germany, where in 1964 the sandy soil (Luvisol) had been excavated to 52 cm and refilled with subsoil material of 52 cm thickness. Undisturbed trials served as controls, these were all combined with either no fertilisation, mineral fertilisation or a combined mineral and organic fertilisation. It took only 26 years until new topsoil had been formed. Its soil organic carbon (SOC) and total N stocks and the aggregate size distributions equalled that of the other treatments; SOC sequestration corresponded to 28 Mg SOC ha−1. The former topsoil buried below the plough layer lost 30–50 percent of its SOC during 5 decades in a non-linear manner. We conclude that our current agricultural tools can restore degraded arable land rather fast and contribute to climate change mitigation through a significant SOC sequestration as well. [ABSTRACT FROM AUTHOR]

Freshwater tufa deposits are the result of calcification associated with biofilms dominated by cyanobacteria. Recent investigations highlighted the fact that the formation of microbial calcium carbonates is mainly dependent on the saturation index, which is determined by pH, the ion activity of Ca2+ and CO32-, and the occurrence of extracellular polymeric substances (EPS) produced by microorganisms. EPS, which contain carboxyl and/or hydroxyl groups, can strongly bind cations. This may result in inhibition of CaCO3 precipitation. In contrast, the formation of templates for crystal nucleation was reported by many previous investigations. The purposes of this study were (i) to characterize the in situ distribution of EPS glycoconjugates in tufa-associated bioflims of two German hard-water creeks by employing fluorescence lectin-binding analysis (FLBA), (ii) to verify the specific lectin-binding pattern by competitive-inhibition assays, and (iii) to assess whether carbonates are associated with structural EPS domains. Three major in situ EPS domains (cyanobacterial, network-like, and cloud-like structures) were detected by FLBA in combination with laser scanning microscopy (LSM). Based on lectin specificity, the EPS glycoconjugates produced by cyanobacteria contained mainly fucose, amino sugars (N-acetyl-glucosamine and N-acetyl-galactosamine), and sialic acid. Tufa deposits were irregularly covered by network-like EPS structures, which may originate from cyanobacterial EPS secretions. Cloud-like EPS glycoconjugates were dominated by sialic acid, amino sugars, and galactose. In some cases calcium carbonate crystals were associated with cyanobacterial EPS glycoconjugates. The detection of amino sugars and calcium carbonate in close association with decaying sheath material indicated that microbially mediated processes might be important for calcium carbonate precipitation in freshwater tufa systems. [ABSTRACT FROM AUTHOR]

Using hydro-acoustic survey techniques (side-scan sonar and multibeam), high-resolution bathymetric and acoustic images (sonographs) of former marine aggregate extractions, from Tromper Wiek (Rugen Island, Baltic German Coast) were obtained. These data, together with ground-truthing (underwater video and seabed sediment samples) are used to describe the present condition of marks generated by mining, in terms of their morphology and superficial grain size distribution. Different features (pits and furrows), generated by different extraction techniques (anchor suction dredging and trailer hopper suction dredging, respectively) were detected at both of the study sites: Tromper Wiek 1 (sandy gravel seabed) and Tromper Wick East (sandy seabed). Regeneration varies, depending upon the material extracted and the mining technique applied. In general, it is rapid during the first years following the extraction, becoming almost undetectable over a longer period of time. However, the marks are still detectable after more than 10 years, since they were generated. [ABSTRACT FROM AUTHOR]

In the Wadden Sea of the southern North Sea, severe depletion of fine-grained sediments has been observed since dike construction due to increased energy levels. Of particular interest is the seasonal turnover of the fine sediment fractions. To better understand the seasonal response of muddy sediments, surface sediments, box-core sedimentary facies, and accumulation rates were investigated in a back-barrier basin of the East Frisian Wadden Sea, Germany. Measurements of accumulation rates indicate that the tidal flats are currently erosional. In summer, fine-grained sediments drape large areas of the nearshore tidal flats, whereas in winter the same tidal flats are dominated by sand. The distribution pattern of grain-size modes shows that in summer the sediment is mostly unimodal, whereas in winter the sediment is bimodal. This pattern is explained by the mixing and unmixing of different source populations in response to seasonally changing energy conditions. Size analyses of the mud fractions have revealed a general dearth of particles around 7 phi. The mud is thus composed of at least two different subpopulations: a better sorted coarse population (<7 phi) and an unsorted fine population (>7 phi). This suggests that the finer particles deposited in summer are incorporated in larger flocs and aggregates, which are hydraulically equivalent to codeposited sand particles; the flocs and aggregates subsequently are broken down and eliminated in winter. The apparent seasonal coarsening/fining is therefore regarded to be an artefact of the mechanical procedure of grain size analysis, in the course of which flocs and aggregates are broken down into their constituent particles. Box core peels confirm that most surface sediments are draped by mud in summer, whereas the sediments display wave-generated sedimentary structures in winter. [ABSTRACT FROM AUTHOR]