Federal States instead of National States

AbstractAn updated and increased compilation of georeferenced tick locations in Germany is presented here. This data collection extends the dataset published some years ago by another 1448 new tick locations, 900 locations of which were digitized from literature and 548 locations are published here for the first time. This means that a total of 3492 georeferenced tick locations is now available for Germany. The tick fauna of Germany includes two species of Argasidae in the genera Argas and Carios and 19 species of Ixodidae in the genera Dermacentor, Haemaphysalis, and Ixodes, altogether 21 tick species. In addition, three species of Ixodidae in the genera Hyalomma (each spring imported by migratory birds) and Rhipicephalus (occasionally imported by dogs returning from abroad with their owners) are included in the tick atlas. Of these, the georeferenced locations of 23 tick species are depicted in maps. The occurrence of the one remaining tick species, the recently described Ixodes inopinatus, is given at the level of the federal states. The most common and widespread tick species is Ixodes ricinus, with records in all 16 federal states. With the exception of Hamburg, Dermacentor reticulatus was also found in all federal states. The occurrence of the ixodid ticks Ixodes canisuga, Ixodes frontalis, Ixodes hexagonus and I. inopinatus were documented in at least 11 federal states each. The two mentioned argasid tick species were also documented in numerous federal states, the pigeon tick Argas reflexus in 11 and the bat tick Carios vespertilionis in seven federal states. The atlas of ticks in Germany and the underlying digital dataset in the supplement can be used to improve global tick maps or to study the effects of climate change and habitat alteration on the distribution of tick species.

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Governmental human rights focal points in federal contexts: The implementation of the Istanbul convention in Switzerland as a case study

Netherlands Quarterly of Human Rights ◽

10.1177/09240519211016947 ◽

2021 ◽

pp. 092405192110169

Author(s):

Matthieu Niederhauser

Keyword(s):

Domestic Violence ◽

Human Rights ◽

International Law ◽

International Human Rights Law ◽

Focal Points ◽

Human Rights Law ◽

International Human Rights ◽

Federal States ◽

International Human

The implementation of international human rights law in federal States is an underexplored process. Subnational entities regularly enjoy a degree of sovereignty, which raises questions such as whether they implement obligations of international law and how the federal level may ensure that implementation takes place at the subnational level. This article aims to answer these questions, using the implementation of the Convention on Preventing and Combating Violence against Women and Domestic Violence (Convention) in Switzerland as a case study. To implement the Convention at the cantonal level, federal actors decided to use networks of civil servants in charge of domestic violence issues, who act as governmental human rights focal points (GHRFPs). This article is based on original empirical data, on 25 interviews with State officials who participate in this implementation. The findings show how complex GHRFPs networks work in practice to implement the Convention and highlight the role played by numerous non-legal State actors in this process. As a result, the article argues that international human rights law implementation becomes more diversified both within and across federal States.

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Attitudes to and experience of disease management programs in primary care—an exploratory survey of general practitioners in Germany

Wiener Medizinische Wochenschrift ◽

10.1007/s10354-021-00867-1 ◽

2021 ◽

Author(s):

Julian Wangler ◽

Michael Jansky

Keyword(s):

Primary Care ◽

Disease Management ◽

Patient Care ◽

General Practitioners ◽

Linear Regression Analysis ◽

Chronically Ill ◽

Disease Management Programs ◽

Federal States ◽

Set Up ◽

Chronically Ill Patients

Summary Background Disease management programs (DMPs) were set up in Germany in 2003 to improve outpatient care of chronically ill patients. The present study looks at the attitudes and experiences of general practitioners (GPs) in relation to DMPs, how they rate them almost 20 years after their introduction and where they see a need for improvement. Methods A total of 1504 GPs in the Federal States of Rhineland Palatinate, Saarland and Hesse were surveyed between December 2019 and March 2020 using a written questionnaire. Results In total, 58% of respondents rate DMPs positively and regard them as making a useful contribution to primary care. The guarantee of regular, structured patient care and greater compliance are regarded as particularly positive aspects. It was also established that diagnostic and therapeutic knowledge was expanded through participation in DMPs. 57% essentially follow the DMP recommendations for (drug) treatment. Despite positive experiences of DMPs in patient care, the GPs surveyed mention various challenges (documentation requirements, frequent changes to the programmes, inflexibility). Univariant linear regression analysis revealed factors influencing the satisfaction with DMPs, such as improvement of compliance and clearly defined procedures in medical care. Conclusion Most of the GPs surveyed consider the combination of continuous patient care and evidence-based diagnosis and treatment to be a great advantage. To better adapt DMPs to the conditions of primary care, it makes sense to simplify the documentation requirements, to regulate cooperation with other healthcare levels more clearly and to give GPs more decision-making flexibility. Increased inclusion of GP experience in the process of developing and refining DMPs can be helpful.

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Do Left-wing Governments Decrease Wage Inequality among Civil Servants? Empirical Evidence from the German States

Public Finance Review ◽

10.1177/1091142120980349 ◽

2021 ◽

Vol 49 (1) ◽

pp. 106-135

Author(s):

Björn Kauder ◽

Manuela Krause ◽

Niklas Potrafke

Keyword(s):

Wage Inequality ◽

The United States ◽

Civil Servants ◽

Future Research ◽

State Governments ◽

Left Wing ◽

Federal States ◽

Inequality Measures ◽

Government Ideology ◽

German States

We investigate whether left-wing governments decrease wage inequality among civil servants. The data are based on the salaries of civil servants in the German states. Since a reform in 2006, German state governments are allowed to design salaries of civil servants. We employ encompassing data for pay levels and professions including judges, professors, policemen, and administrators and distinguish between levels of operating experiences. We use six wage inequality measures comparing salaries across pay levels and operating experiences. The results do not suggest that left-wing governments were more active in decreasing wage inequality among civil servants than the center or right-wing governments. Cabinet members are civil servants themselves and decide on their own salaries: government ideology is also not shown to predict the salaries of cabinet members. Because left-wing governments are perceived as taking action against income and wage inequality, future research should employ data from other federal states such as the United States to examine how government ideology influences the salaries of civil servants.

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Bark Characteristics of Scots Pine Logs

Environmental Sciences Proceedings ◽

10.3390/iecf2020-08020 ◽

2020 ◽

Vol 3 (1) ◽

pp. 66

Author(s):

Ferréol Berendt ◽

Erik Pegel ◽

Lubomir Blasko ◽

Tobias Cremer

Keyword(s):

Scots Pine ◽

Tree Species ◽

Waste Product ◽

Mean Value ◽

Bark Thickness ◽

Water Displacement ◽

Federal States ◽

Bark Damage ◽

Great Relevance ◽

High Degree

The wood of Scots pine (Pinus sylvestris L.) shows good properties as building and construction timber but also as furniture or pulp and paper, and thus, is one of the most commercially important European tree species. Scots pine are mostly harvested and processed with a high degree of mechanization. In Northeast Germany (federal states of Brandenburg and Berlin), 36% of harvested Scots pine have a diameter at breast height (DBH) between 7 and 19.9 cm. As a typical industrial wood assortment, a large proportion of the resulting small-sized logs are used in the wood industry to produce boards. Although bark is considered a by-product or waste product of the industry, no actual study has quantified the bark thickness, bark volume, bark mass and bark damage of such Scots pine logs. Therefore, the bark characteristics from 50 logs from 10 different piles were analyzed. Bark volume was quantified using the water displacement method, bark mass by weighing, bark thickness with a precision caliper and bark damage by tape measurements. The diameters of the analyzed 150 log discs were normally distributed and the mean value was 12.9 cm. The results showed average bark damages from 12.0%, which were mostly caused during the felling and processing of logs with the harvester. No significant correlation was found between double bark thickness (mean: 3.0 mm) and the diameter; whereas fresh bark volume (mean: 5.6%) and dry bark mass (mean: 3.3%) were significantly affected by the diameter. As shown for spruce by other authors, bark characteristics may change over time and therefore, should be measured regularly. Moreover, it was shown that bark parameters are site dependent. Thus, quantifying bark characteristics for economically important tree species at both the local and national scale is of great relevance. More detailed analyzes are described by Berendt et al. (2021) [1].

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Diagnostic and treatment barriers to persistent somatic symptoms in primary care – representative survey with physicians

BMC Family Practice ◽

10.1186/s12875-021-01397-w ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Marco Lehmann ◽

Nadine Janis Pohontsch ◽

Thomas Zimmermann ◽

Martin Scherer ◽

Bernd Löwe

Keyword(s):

Primary Care ◽

Primary Care Physicians ◽

Rating Scales ◽

Treatment Guidelines ◽

Somatic Symptoms ◽

Diagnosis And Treatment ◽

Treatment Barriers ◽

Adequate Treatment ◽

Physical Disease ◽

Federal States

Abstract Background Many patients consult their primary care physician with persistent somatic symptoms such as pain or sickness. Quite often these consultations and further diagnostic measures yield no medical explanation for the symptoms – patients and physicians are left in uncertainty. In fact, diagnostic and treatment barriers in primary care hinder timely health-care provision for patients suffering from persistent somatic symptoms (PSS). The significance of individual barriers is still unknown. We compare and quantify these barriers from the perspective of primary care physicians and identify subpopulations of primary care physicians who experience particular barriers as most severe. Methods We mailed a questionnaire to primary care physicians (PCP) in Germany and asked them which barriers they consider most important. We invited a random sample of 12,004 primary care physicians in eight federal states in Germany. Physicians provided anonymous mailed or online responses. We also mailed a postcard to announce the survey and a mail reminder. Main measures were Likert rating scales of items relating to barriers in the diagnosis and treatment of PSS in primary care. Information on demography and medical practice were also collected. Results We analyzed 1719 data sets from 1829 respondents. PCPs showed strongest agreement with statements regarding (1.) their lack of knowledge about treatment guidelines, (2.) their perceptions that patients with PSS would expect symptom relief, (3.) their concern to overlook physical disease in these patients, and (4.) their usage of psychotropic drugs with these patients. More experienced PCPs were better able to cope with the possibility of overlooking physical disease than those less experienced. Conclusions The PCPs in our survey answered that the obligation to rule out severe physical disease and the demand to relieve patients from symptoms belong to the most severe barriers for adequate treatment and diagnosis. Moreover, many physicians admitted to not knowing the appropriate treatment guidelines for these patients. Based on our results, raising awareness of guidelines and improving knowledge about the management of persistent somatic symptoms appear to be promising approaches for overcoming the barriers to diagnosis and treatment of persistent somatic symptoms in primary care. Trial registration German Clinical Trials Register (Deutschen Register Klinischer Studien, DRKS) https://www.drks.de/drks_web/setLocale_EN.do The date the study was registered: October 2nd 2017 The date the first participant was enrolled: February 9th 2018 DRKS-ID: DRKS00012942

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Development of the reproduction number from coronavirus SARS-CoV-2 case data in Germany and implications for political measures

BMC Medicine ◽

10.1186/s12916-020-01884-4 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Sahamoddin Khailaie ◽

Tanmay Mitra ◽

Arnab Bandyopadhyay ◽

Marta Schips ◽

Pietro Mascheroni ◽

...

Keyword(s):

Structural Changes ◽

Reproduction Number ◽

National Level ◽

Transmission Dynamics ◽

Federal State ◽

Parameter Estimates ◽

Time Varying ◽

Short Term ◽

Robert Koch Institute ◽

Federal States

Abstract Background SARS-CoV-2 has induced a worldwide pandemic and subsequent non-pharmaceutical interventions (NPIs) to control the spread of the virus. As in many countries, the SARS-CoV-2 pandemic in Germany has led to a consecutive roll-out of different NPIs. As these NPIs have (largely unknown) adverse effects, targeting them precisely and monitoring their effectiveness are essential. We developed a compartmental infection dynamics model with specific features of SARS-CoV-2 that allows daily estimation of a time-varying reproduction number and published this information openly since the beginning of April 2020. Here, we present the transmission dynamics in Germany over time to understand the effect of NPIs and allow adaptive forecasts of the epidemic progression. Methods We used a data-driven estimation of the evolution of the reproduction number for viral spreading in Germany as well as in all its federal states using our model. Using parameter estimates from literature and, alternatively, with parameters derived from a fit to the initial phase of COVID-19 spread in different regions of Italy, the model was optimized to fit data from the Robert Koch Institute. Results The time-varying reproduction number (Rt) in Germany decreased to <1 in early April 2020, 2–3 weeks after the implementation of NPIs. Partial release of NPIs both nationally and on federal state level correlated with moderate increases in Rt until August 2020. Implications of state-specific Rt on other states and on national level are characterized. Retrospective evaluation of the model shows excellent agreement with the data and usage of inpatient facilities well within the healthcare limit. While short-term predictions may work for a few weeks, long-term projections are complicated by unpredictable structural changes. Conclusions The estimated fraction of immunized population by August 2020 warns of a renewed outbreak upon release of measures. A low detection rate prolongs the delay reaching a low case incidence number upon release, showing the importance of an effective testing-quarantine strategy. We show that real-time monitoring of transmission dynamics is important to evaluate the extent of the outbreak, short-term projections for the burden on the healthcare system, and their response to policy changes.

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