Purpose Unrecognized contraindications pose risks for adverse drug reactions, hospitalizations or death. Clinical decision support systems (CDSS) aim to mitigate medication-related harm, particularly originating from contraindications. However, many CDSS provide limited benefit, as they focus largely on singular risk situations such as drug-drug interactions and often generate alerts of limited clinical relevance. Comprehensiv...

The forest floor (FF) plays a key role in carbon, nutrient, and water cycling. It is the biologically most active compartment of forest soils, highly responsive to environmental conditions. Yet, its response to current changes in environmental conditions and forest management is understudied. Temperate forests are among the best studied ecosystems globally, providing the necessary ecological and biogeochemical background infor...

Zusammenfassung Die Studie untersucht die Entwicklung der Grundwasserstände in Deutschland anhand von 5844 Messstellen sowie deren Reaktionsdynamik gegenüber klimatologischen Antrieben im Referenzzeitraum 1991–2020. Zusätzlich wird die Entwicklung seit 2018 im Kontext der außergewöhnlichen Dürreperiode betrachtet, um die Reaktionsfähigkeit und Vulnerabilität der Grundwassersysteme gegenüber extremen klimatischen Bedingungen zu...

Nature conservation calls for the management of reed in large stands to support the rejuvenation of reed. Traditional reed management tools at Lake Neusiedl are becoming decreasingly suitable due to insufficient freezing in winter. Therefore, prescribed burning of old Phragmites australis stands is currently being considered as a regeneration measure to promote reed regrowth and maintain invaluable habitats for specialized spe...

Hypoxia is a major environmental threat for coastal seas, including the strongly-stratified Baltic Sea in northern Europe. There, a pronounced increase in nutrient loads since the 1950s led to the development of one of the largest hypoxic areas worldwide. So far, other drives of hypoxia, like the increase in water temperatures due to global warming, have been considered minor compared to eutrophication. We show, by analyzing 1...

The Baltic Sea is one of the marine systems suffering from pronounced man-made hypoxia due to the elevated nutrient loads from land. To mitigate hypoxia expansion and to return the Baltic Sea to a good environmental state, the Baltic Sea Action Plan (BSAP), regulating the waterborne and airborne nutrient input, was adopted by all states surrounding the Baltic Sea. However, at the moment, no significant shrinking of the hypoxic...

Over the last 1,000 years, changing climate strongly influenced the ecosystem of coastal oceans such as the Baltic Sea. Sedimentary records revealed that changing temperatures could be linked to changing oxygen levels, spreading anoxic, oxygen-free areas in the Baltic Sea. However, the attribution of changing oxygen levels remains to be challenging. This work simulates a preindustrial period of 850 years, covering the Medieval...

The Baltic Sea is known as the world’s largest marine system suffering from accelerating, man-made hypoxia. Notably, despite the nutrient load reduction policy adopted in the 1980s, the oxygen conditions of the Baltic Sea’s deep waters are still worsening. This study disentangles oxygen and hydrogen sulfide sources and sinks using the results from the 3-dimensional coupled MOM-ERGOM numerical model and investigates ventilation...

The extensive clinical and genetic heterogeneity of congenital limb malformation calls for comprehensive genome-wide analysis of genetic variation. Genome sequencing (GS) has the potential to identify all genetic variants. Here we aim to determine the diagnostic potential of GS as a comprehensive one-test-for-all strategy in a cohort of undiagnosed patients with congenital limb malformations. We collected 69 cases (64 trios, 1...

Aim The configuration of the earth's landmasses influences global weather systems and spatiotemporal resource availability, thereby shaping biogeographical patterns and migratory routes of animals. Here, we aim to identify potential migratory barriers and corridors, as well as general migration strategies within the understudied Indo‐European flyway. Location Europe, Central Asia. Major taxon studied Common rosefinches. Method...

Chronic nitrogen (N) deposition is a threat to biodiversity that results from the eutrophication of ecosystems. We studied long‐term monitoring data from 28 forest sites with a total of 1,335 permanent forest floor vegetation plots from northern Fennoscandia to southern Italy to analyse temporal trends in vascular plant species cover and diversity. We found that the cover of plant species which prefer nutrient‐poor soils (olig...

Changes in climate, in combination with intensive exploitation of marine resources, have caused large‐scale reorganizations in many of the world's marine ecosystems during the past decades. The B altic S ea in N orthern E urope is one of the systems most affected. In addition to being exposed to persistent eutrophication, intensive fishing, and one of the world's fastest rates of warming in the last two decades of the 20th cen...