TY - JOUR A1 - Norman, Kristina A1 - Otten, Lindsey T1 - Financial impact of sarcopenia or low muscle mass - a short review JF - Clinical Nutrition N2 - Background & aims: Low muscle mass is associated with increased falls, medical complications, length of hospital stay and loss of independence. An increasing number of studies has also shown the association between sarcopenia and health care expenditure. The following narrative review summarizes the current evidence on the economic relevance of low muscle mass (MM) or sarcopenia. Methods: An extensive search of the literature in Medline identified twelve studies in English, which evaluated direct and indirect health care expenditure in patients with low muscle mass or sarcopenia (low MM and strength or mobility). Results: Three studies analysed the cost of age-related loss of MM or strength in large surveys of the general, older population. Six retrospective analyses evaluated perioperative medical costs related to low MM in primarily older patients from different medical areas. One prospective study presented hospital costs related to sarcopenia in patients with gastric cancer. Two studies presented data from general hospital patients. Despite the difference in diagnostic criteria, study population and statistical design, low MM and sarcopenia were consistently identified as predictors of increased health care expenditure in community, perioperative and general hospital settings. Conclusions: Low MM and sarcopenia are prevalent and associated with significantly higher health care costs. Considering the demographic change, which will lead to an increasing number of patients with sarcopenia, every effort should be made to identify and treat patients with sarcopenia. The use of a unified definition and diagnostic criteria would allow a better comparison of data. (C) 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved. KW - Sarcopenia KW - Low muscle mass KW - Health care expenditure KW - Costs Y1 - 2019 U6 - https://doi.org/10.1016/j.clnu.2018.09.026 SN - 0261-5614 SN - 1532-1983 VL - 38 IS - 4 SP - 1489 EP - 1495 PB - Churchill Livingstone CY - Edinburgh ER - TY - GEN A1 - Sieg, Tobias A1 - Shinko, Thomas A1 - Vogel, Kristin A1 - Mechler, Reinhard A1 - Merz, Bruno A1 - Kreibich, Heidi T1 - Integrated assessment of short-term direct and indirect economic flood impacts including uncertainty quantification T2 - Postprints der Universität Potsdam : Mathematisch-Naturwissenschaftliche Reihe N2 - Understanding and quantifying total economic impacts of flood events is essential for flood risk management and adaptation planning. Yet, detailed estimations of joint direct and indirect flood-induced economic impacts are rare. In this study an innovative modeling procedure for the joint assessment of short-term direct and indirect economic flood impacts is introduced. The procedure is applied to 19 economic sectors in eight federal states of Germany after the flood events in 2013. The assessment of the direct economic impacts is object-based and considers uncertainties associated with the hazard, the exposed objects and their vulnerability. The direct economic impacts are then coupled to a supply-side Input-Output-Model to estimate the indirect economic impacts. The procedure provides distributions of direct and indirect economic impacts which capture the associated uncertainties. The distributions of the direct economic impacts in the federal states are plausible when compared to reported values. The ratio between indirect and direct economic impacts shows that the sectors Manufacturing, Financial and Insurance activities suffered the most from indirect economic impacts. These ratios also indicate that indirect economic impacts can be almost as high as direct economic impacts. They differ strongly between the economic sectors indicating that the application of a single factor as a proxy for the indirect impacts of all economic sectors is not appropriate. T3 - Zweitveröffentlichungen der Universität Potsdam : Mathematisch-Naturwissenschaftliche Reihe - 708 KW - June 2013 KW - Damage KW - Model KW - Inoperability KW - Disasters KW - Hazards KW - Germany KW - Losses KW - Event KW - Costs Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-429119 IS - 708 ER - TY - JOUR A1 - Sieg, Tobias A1 - Schinko, Thomas A1 - Vogel, Kristin A1 - Mechler, Reinhard A1 - Merz, Bruno A1 - Kreibich, Heidi T1 - Integrated assessment of short-term direct and indirect economic flood impacts including uncertainty quantification JF - PLoS ONE N2 - Understanding and quantifying total economic impacts of flood events is essential for flood risk management and adaptation planning. Yet, detailed estimations of joint direct and indirect flood-induced economic impacts are rare. In this study an innovative modeling procedure for the joint assessment of short-term direct and indirect economic flood impacts is introduced. The procedure is applied to 19 economic sectors in eight federal states of Germany after the flood events in 2013. The assessment of the direct economic impacts is object-based and considers uncertainties associated with the hazard, the exposed objects and their vulnerability. The direct economic impacts are then coupled to a supply-side Input-Output-Model to estimate the indirect economic impacts. The procedure provides distributions of direct and indirect economic impacts which capture the associated uncertainties. The distributions of the direct economic impacts in the federal states are plausible when compared to reported values. The ratio between indirect and direct economic impacts shows that the sectors Manufacturing, Financial and Insurance activities suffered the most from indirect economic impacts. These ratios also indicate that indirect economic impacts can be almost as high as direct economic impacts. They differ strongly between the economic sectors indicating that the application of a single factor as a proxy for the indirect impacts of all economic sectors is not appropriate. KW - June 2013 KW - Damage KW - Model KW - Inoperability KW - Disasters KW - Hazards KW - Germany KW - Losses KW - Event KW - Costs Y1 - 2019 U6 - https://doi.org/10.1371/journal.pone.0212932 SN - 1932-6203 VL - 14 IS - 4 PB - Public Library of Science CY - San Francisco ER - TY - JOUR A1 - Engel, Mareike Carina A1 - Jacobs, Ingo A1 - Fydrich, Thomas A1 - Ziegler, Matthias T1 - Physical and psychological burden of psychotherapists in training JF - Psychotherapeut N2 - The demanding working and training conditions of psychotherapists in training (PiA) are discussed more and more frequently from social and research perspectives. The complementary focus on job and training pressure and its consequences have received little attention so far. The nationwide survey (N = 464) contains information on essential person-related and training-related risk factors and resources. Moreover, the study provides comparisons concerning different professional categories with high psychological and social demands as well as with the training conditions of psychotherapists in 2009. The study shows the difficulties and demanding situation of financing the training. The PiAs showed significantly higher stress levels than other groups of persons and comparably low resilience combined with a high working engagement. Only a few PiAs had a healthy behavioral and perceptional work pattern. The results underline the necessity for an examination of the training and working conditions of PiAs. Accordingly, options for interventions are presented. KW - Training conditions KW - Workload KW - Stress KW - Costs KW - Questionnaires Y1 - 2015 U6 - https://doi.org/10.1007/s00278-015-0055-2 SN - 0935-6185 SN - 1432-2080 VL - 60 IS - 6 SP - 536 EP - 545 PB - Springer CY - New York ER - TY - JOUR A1 - Bouwer, Laurens M. A1 - Papyrakis, Elissaios A1 - Poussin, Jennifer A1 - Pfurtscheller, Clemens A1 - Thieken, Annegret T1 - The costing of measures for natural hazard mitigation in Europe JF - Natural hazards review N2 - The literature on the costing of mitigation measures for reducing impacts of natural hazards is rather fragmented. This paper provides a concise overview of the current state of knowledge in Europe on the costing of mitigation measures for the reduction of natural hazard risks (droughts, floods, storms and induced coastal hazards as well as alpine hazards) and identifies knowledge gaps and related research recommendations. Furthermore, it provides a taxonomy of related mitigation options, classifying them into nine categories: (1) management plans, land-use planning, and climate adaptation; (2) hazard modification; (3) infrastructure; (4) mitigation measures (stricto sensu); (5) communication in advance of events; (6) monitoring and early warning systems; (7) emergency response and evacuation; (8) financial incentives; and (9) risk transfer (including insurance). It is found that the costing of mitigation measures in European and in other countries has almost exclusively focused on estimating direct costs. A cost assessment framework that addresses a range of costs, possibly informed by multiple stakeholders, would provide more accurate estimates and could provide better guidance to decision makers. (C) 2014 American Society of Civil Engineers. KW - Natural hazards KW - Mitigation KW - Costs KW - Adaptation KW - Risk reduction KW - Floods KW - Droughts KW - Coastal hazards KW - Alpine hazards Y1 - 2014 U6 - https://doi.org/10.1061/(ASCE)NH.1527-6996.0000133 SN - 1527-6988 SN - 1527-6996 VL - 15 IS - 4 PB - American Society of Civil Engineers CY - Reston ER -