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Hintergrund und Stand (inter)nationaler Forschung: Empirische Ansätze zur Bevölkerungssegmentierung gewinnen international zunehmend an Bedeutung, besonders bei der Entwicklung effektiver, patientenzentrierter Versorgungskonzepte für eine regional definierte Bevölkerung. Auch in [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Hintergrund und Stand (inter)nationaler Forschung: Auf internationaler Ebene gab es in den letzten Jahren viele Bestrebungen in Richtung einer stärker vernetzten Primärversorgung. Diese sind aber aufgrund anderer Systembedingungen häufig nicht auf Deutschland übertragbar, sodass [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Hintergrund und Stand (inter)nationaler Forschung: Neue Untersuchungs- und Behandlungsmethoden (NUB) werden oftmals mit positiven Assoziationen verbunden. Neben hohen Kosten für das Sozialversicherungssystem kann die Anwendung von NUB auch Risiken für Patienten bergen. In Deutschland liegt [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Background/research question: Even if newly approved medical devices (NMDs) may lead to better patient outcomes, sufficient evidence is often not available when first introduced into the market. However, German hospitals can use every approved technology in inpatient care, excepted those explicitly[for full text, please go to the a.m. URL], Who cares? – EbM und Transformation im Gesundheitswesen; 22. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin

Hintergrund/Fragestellung: Digitale Gesundheitsanwendungen (DiGA) bezeichnen kooperative und/oder interaktive Anwendungen von modernen Informations- und Kommunikationstechnologien zur Verbesserung der Gesundheitsversorgung und Bevölkerungsgesundheit. Diese können sowohl eigenständig[zum vollständigen Text gelangen Sie über die oben angegebene URL], Nützliche patientenrelevante Forschung; 21. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin

Simposio sobre el Margen Ibérico Atlántico (9º. 2018. Coimbra, Portugal), The evolution of a mud entrapment confined to the paleo-Guadiana incised valley was investigated and interpreted in terms of environmental changes. High-resolution seismic data and a gravity core were analyzed. Two distinct intervals were identified. The lower part of the sediment core recorded a transient increase of the gravel and sand fractions and low sedimentation rate, interpreted either as low sediment inputs to the shelf, or the prevalence of erosional processes in this area promoted by high-energy events. The upper part of the core, depicting the recent sedimentation, is dominated by fine-grained sediments and showed increasing abundances of benthic foraminiferal species influenced by river discharges. In general, sedimentological and benthic foraminiferal variations indicated environmental changes that were driven by variable sediment supplies to the shelf promoted by high-energy events, related with the regional record of floods and storms., Centro de Investigação Marinha e Ambiental, Universidade do Algarve, Portugal, Instituto Andaluz de Ciencias de la Tierra, España, GEOMAR Helmholtz-Zentrum für Ozeanforschung Kiel, Alemania, Instituto Geológico y Minero de España, España, Department of Coastal and Marine Systems Sciences, Coastal Carolina University, Estados Unidos, Department of Geosciences, University of Bremen, Alemania

Reunião do Quaternário Ibérico (9º. 2017. Algarve), Recent environmental changes associated with high-energy events and human impacts were investigated in a mud entrapment confined in the paleo-Guadiana incised valley. Those changes were recorded in a gravity core during the last 2500 years. An erosional event seems to have occurred at ca. 500 cal yr BP but it is not clear how much sediment was removed. This event was followed by an increase in river discharges until ca. 465 cal yr BP while the benthic foraminiferal faunas were dominated by species associated with shallow-water sandy sediments. Upward, sedimentological and benthic foraminiferal variations indicated environmental changes, promoted by variable sediment supplies to the shelf., Centro de Investigação Marinha e Ambiental, Universidade do Algarve, Portugal, Instituto Andaluz de Ciencias de la Tierra, Consejo Superior de Investigaciones Científicas, España, Instituto Andaluz de Ciencias de la Tierra, Universidad de Granada, España, GEOMAR Helmholtz Centre for Ocean Research Kiel, Alemania, Instituto Geológico y Minero de España, España, School of Coastal and Marine Systems Sciences, Coastal Carolina University, Estados Unidos, Department of Geosciences, University of Bremen, Alemania

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Prodeltaic depositional systems can be used as high-resolution archives, since they sensitively record environmental changes occurred during their formation. On the inner shelf off the Guadiana River, northern Gulf of Cádiz, the recent deposition is mainly driven by river discharge, which reflects both climate variability and human-induced processes in the river basin. The purpose of this study is to unravel rainfall variability and human impacts on the river basin, recorded on the Guadiana prodeltaic wedge, over the past decades. A multiproxy study including the analyses of benthic foraminiferal assemblages, grain size and geochemical element distribution (X-ray fluorescence core scanning), constrained in a chronological framework (based on radiocarbon dating and Pb-210), was performed on core GeoB19522. This core was collected in March 2015, during the RV Poseidon cruise POS482 CADISED, on the Guadiana prodeltaic wedge at 13.5 m water depth, which is an area with high sedimentation accumulation rates and consequent detailed temporal resolution. The upper part of the sediment core (from 1.6 m depth to the top) is dominated by the silt-clay fraction (77-99%), occasionally with higher percentages of sand (0.2-23 %). The element ratios and the benthic foraminiferal fauna show significant temporal variations. Some of the identified species can be regarded as successful colonizers (Textularia earlandi, Reophax arctica) and others as opportunistic species linked with river discharges and the limits of productivity (Bolivina ordinaria, Hopkinsina atlantica). These variations point to changes in the environment, promoted by periods of increase or decrease sediment supply to the shelf. info:eu-repo/semantics/publishedVersion

International audience