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Numerous RCTs demonstrate that cognitive behavioral therapy (CBT) for depression is effective. However, these findings are not necessarily representative of CBT under routine care conditions. Routine care studies are not usually subjected to comparable standardizations, e.g. often therapists may not follow treatment manuals and patients are less homogeneous with regard to their diagnoses and sociodemographic variables. Results on the transferability of findings from clinical trials to routine care are sparse and point in different directions. As RCT samples are selective due to a stringent application of inclusion/exclusion criteria, comparisons between routine care and clinical trials must be based on a consistent analytic strategy. The present work demonstrates the merits of propensity score matching (PSM), which offers solutions to reduce bias by balancing two samples based on a range of pretreatment differences. The objective of this dissertation is the investigation of the transferability of findings from RCTs to routine care settings.
Avoiding aerial microfibre contamination of environmental samples is essential for reliable analyses when it comes to the detection of ubiquitous microplastics. Almost all laboratories have contamination problems which are largely unavoidable without investments in clean-air devices. Therefore, our study supplies an approach to assess background microfibre contamination of samples in the laboratory under particle-free air conditions. We tested aerial contamination of samples indoor, in a mobile laboratory, within a laboratory fume hood and on a clean bench with particles filtration during the examining process of a fish. The used clean bench reduced aerial microfibre contamination in our laboratory by 96.5%. This highlights the value of suitable clean-air devices for valid microplastic pollution data. Our results indicate, that pollution levels by microfibres have been overestimated and actual pollution levels may be many times lower. Accordingly, such clean-air devices are recommended for microplastic laboratory applications in future research work to significantly lower error rates.
Global human population growth is associated with many problems, such asrnfood and water provision, political conflicts, spread of diseases, and environmental destruction. The mitigation of these problems is mirrored in several global conventions and programs, some of which, however, are conflicting. Here, we discuss the conflicts between biodiversity conservation and disease eradication. Numerous health programs aim at eradicating pathogens, and many focus on the eradication of vectors, such as mosquitos or other parasites. As a case study, we focus on the "Pan African Tsetse and Trypanosomiasis Eradication Campaign," which aims at eradicating a pathogen (Trypanosoma) as well as its vector, the entire group of tsetse flies (Glossinidae). As the distribution of tsetse flies largely overlaps with the African hotspots of freshwater biodiversity, we argue for a strong consideration of environmental issues when applying vector control measures, especially the aerial applications of insecticides.rnFurthermore, we want to stimulate discussions on the value of speciesrnand whether full eradication of a pathogen or vector is justified at all. Finally, we call for a stronger harmonization of international conventions. Proper environmental impact assessments need to be conducted before control or eradication programs are carried out to minimize negative effects on biodiversity.
Flexibility and spatial mobility of labour are central characteristics of modern societies which contribute not only to higher overall economic growth but also to a reduction of interregional employment disparities. For these reasons, there is the political will in many countries to expand labour market areas, resulting especially in an overall increase in commuting. The picture of the various, unintended long-term consequences of commuting on individuals is, however, relatively unclear. Therefore, in recent years, the journey to work has gained high attention especially in the study of health and well-being. Empirical analyses based on longitudinal as well as European data on how commuting may affect health and well-being are nevertheless rare. The principle aim of this thesis is, thus, to address this question with regard to Germany using data from the Socio-Economic Panel. Chapter 2 empirically investigates the causal impact of commuting on absence from work due to sickness-related reasons. Whereas an exogenous change in commuting distance does not affect the number of absence days of those individuals who commute short distances to work, it increases the number of absence days of those employees who commute middle (25 " 49 kilometres) or long distances (50 kilometres and more). Moreover, our results highlight that commuting may deteriorate an individual- health. However, this effect is not sufficient to explain the observed impact of commuting on absence from work. Chapter 3 explores the relationship between commuting distance and height-adjusted weight and sheds some light on the mechanisms through which commuting might affect individual body weight. We find no evidence that commuting leads to excess weight. Compensating health behaviour of commuters, especially healthy dietary habits, could explain the non-relationship of commuting and height-adjusted weight. In Chapter 4, a multivariate probit approach is used to estimate recursive systems of equations for commuting and health-related behaviours. Controlling for potential endogeneity of commuting, the results show that long distance commutes significantly decrease the propensity to engage in health-related activities. Furthermore, unobservable individual heterogeneity can influence both the decision to commute and healthy lifestyle choices. Chapter 5 investigates the relationship between commuting and several cognitive and affective components of subjective well-being. The results suggest that commuting is related to lower levels of satisfaction with family life and leisure time which can largely be ascribed to changes in daily time use patterns, influenced by the work commute.
In recent decades, the Arctic has been undergoing a wide range of fast environmental changes. The sea ice covering the Arctic Ocean not only reacts rapidly to these changes, but also influences and alters the physical properties of the atmospheric boundary layer and the underlying ocean on various scales. In that regard, polynyas, i.e. regions of open water and thin ice within thernclosed pack ice, play a key role as being regions of enhanced atmosphere-ice-ocean interactions and extensive new ice formation during winter. A precise long-term monitoring and increased efforts to employ long-term and high-resolution satellite data is therefore of high interest for the polar scientific community. The retrieval of thin-ice thickness (TIT) fields from thermal infrared satellite data and atmospheric reanalysis, utilizing a one-dimensional energy balance model, allows for the estimation of the heat loss to the atmosphere and hence, ice-production rates. However, an extended application of this approach is inherently connected with severe challenges that originate predominantly from the disturbing influence of clouds and necessary simplifications in the model set-up, which all need to be carefully considered and compensated for. The presented thesis addresses these challenges and demonstrates the applicability of thermal infrared TIT distributions for a long-term polynya monitoring, as well as an accurate estimation of ice production in Arctic polynyas at a relatively high spatial resolution. Being written in a cumulative style, the thesis is subdivided into three parts that show the consequent evolution and improvement of the TIT retrieval, based on two regional studies (Storfjorden and North Water (NOW) polynya) and a final large-scale, pan-Arctic study. The first study on the Storfjorden polynya, situated in the Svalbard archipelago, represents the first long-term investigation on spatial and temporal polynya characteristics that is solely based on daily TIT fields derived from MODIS thermal infrared satellite data and ECMWF ERA-Interim atmospheric reanalysis data. Typical quantities such as polynya area (POLA), the TIT distribution, frequencies of polynya events as well as the total ice production are derived and compared to previous remote sensing and modeling studies. The study includes a first basic approach that aims for a compensation of cloud-induced gaps in daily TIT composites. This coverage-correction (CC) is a mathematically simple upscaling procedure that depends solely on the daily percentage of available MODIS coverage and yields daily POLA with an error-margin of 5 to 6 %. The NOW polynya in northern Baffin Bay is the main focus region of the second study, which follows two main goals. First, a new statistics-based cloud interpolation scheme (Spatial Feature Reconstruction - SFR) as well as additional cloud-screening procedures are successfully adapted and implemented in the TIT retrieval for usage in Arctic polynya regions. For a 13-yr period, results on polynya characteristics are compared to the CC approach. Furthermore, an investigation on highly variable ice-bridge dynamics in Nares Strait is presented. Second, an analysis of decadal changes of the NOW polynya is carried out, as the additional use of a suite of passive microwave sensors leads to an extended record of 37 consecutive winter seasons, thereby enabling detailed inter-sensor comparisons. In the final study, the SFR-interpolated daily TIT composites are used to infer spatial and temporal characteristics of 17 circumpolar polynya regions in the Arctic for 2002/2003 to 2014/2015. All polynya regions combined cover an average thin-ice area of 226.6 -± 36.1 x 10-³ km-² during winter (November to March) and yield an average total wintertime accumulated ice production of about 1811 -± 293 km-³. Regional differences in derived ice production trends are noticeable. The Laptev Sea on the Siberian shelf is presented as a focus region, as frequently appearing polynyas along the fast-ice edge promote high rates of new ice production. New affirming results on a distinct relation to sea-ice area export rates and hence, the Transpolar Drift, are shown. This new high-resolution pan-Arctic data set can be further utilized and build upon in a variety of atmospheric and oceanographic applications, while still offering room for further improvements such as incorporating high-resolution atmospheric data sets and an optimized lead-detection.
Determining the exact position of a forest inventory plot—and hence the position of the sampled trees—is often hampered by a poor Global Navigation Satellite System (GNSS) signal quality beneath the forest canopy. Inaccurate geo-references hamper the performance of models that aim to retrieve useful information from spatially high remote sensing data (e.g., species classification or timber volume estimation). This restriction is even more severe on the level of individual trees. The objective of this study was to develop a post-processing strategy to improve the positional accuracy of GNSS-measured sample-plot centers and to develop a method to automatically match trees within a terrestrial sample plot to aerial detected trees. We propose a new method which uses a random forest classifier to estimate the matching probability of each terrestrial-reference and aerial detected tree pair, which gives the opportunity to assess the reliability of the results. We investigated 133 sample plots of the Third German National Forest Inventory (BWI, 2011"2012) within the German federal state of Rhineland-Palatinate. For training and objective validation, synthetic forest stands have been modeled using the Waldplaner 2.0 software. Our method has achieved an overall accuracy of 82.7% for co-registration and 89.1% for tree matching. With our method, 60% of the investigated plots could be successfully relocated. The probabilities provided by the algorithm are an objective indicator of the reliability of a specific result which could be incorporated into quantitative models to increase the performance of forest attribute estimations.
Academic self-concept (ASC) is comprised of individual perceptions of one- own academic ability. In a cross-sectional quasi-representative sample of 3,779 German elementary school children in grades 1 to 4, we investigated (a) the structure of ASC, (b) ASC profile formation, an aspect of differentiation that is reflected in lower correlations between domain-specific ASCs with increasing grade level, (c) the impact of (internal) dimensional comparisons of one- own ability in different school subjects for profile formation of ASC, and (d) the role played by differences in school grades between subjects for these dimensional comparisons. The nested Marsh/Shavelson model, with general ASC at the apex and math, writing, and reading ASC as specific factors nested under general ASC fitted the data at all grade levels. A first-order factor model with math, writing, reading, and general ASCs as correlated factors provided a good fit, too. ASC profile formation became apparent during the first two to three years of school. Dimensional comparisons across subjects contributed to ASC profile formation. School grades enhanced these comparisons, especially when achievement profiles were uneven. In part, findings depended on the assumed structural model of ASCs. Implications for further research are discussed with special regard to factors influencing and moderating dimensional comparisons.
Dysfunctional eating behavior is a major risk factor for developing all sorts of eating disorders. Food craving is a concept that may help to understand better why and how these and other eating disorders become chronic conditions through non homeastatically-driven mechanisms. As obesity affects people worldwide, cultural differences must be acknowledged to apply proper therapeutic strategies. In this work, we adapted the Food Craving Inventory (FCI) to the German population. We performed a factor analysis of an adaptation of the original FCI in a sample of 326 men and women. We could replicate the factor structure of the FCI on a German population.rnThe factor extraction procedure produced a factor solution that reproduces the fourfactors described in the original inventory, the FCI. Our instrument presents high internal consistency, as well as a significant correlation with measures of convergent and discriminant validity. The FCI-Deutsch (FCI-DE) is a valid instrument to assess craving for particular foods in Germany, and it could, therefore, prove useful in the clinical and research practice in the field of obesity and eating behaviors.
Earth observation (EO) is a prerequisite for sustainable land use management, and the open-data Landsat mission is at the forefront of this development. However, increasing data volumes have led to a "digital-divide", and consequently, it is key to develop methods that account for the most data-intensive processing steps, then used for the generation and provision of analysis-ready, standardized, higher-level (Level 2 and Level 3) baseline products for enhanced uptake in environmental monitoring systems. Accordingly, the overarching research task of this dissertation was to develop such a framework with a special emphasis on the yet under-researched drylands of Southern Africa. A fully automatic and memory-resident radiometric preprocessing streamline (Level 2) was implemented. The method was applied to the complete Angolan, Zambian, Zimbabwean, Botswanan, and Namibian Landsat record, amounting 58,731 images with a total data volume of nearly 15 TB. Cloud/shadow detection capabilities were improved for drylands. An integrated correction of atmospheric, topographic and bidirectional effects was implemented, based on radiative theory with corrections for multiple scatterings, and adjacency effects, as well as including a multilayered toolset for estimating aerosol optical depth over persistent dark targets or by falling back on a spatio-temporal climatology. Topographic and bidirectional effects were reduced with a semi-empirical C-correction and a global set of correction parameters, respectively. Gridding and reprojection were already included to facilitate easy and efficient further processing. The selection of phenologically similar observations is a key monitoring requirement for multi-temporal analyses, and hence, the generation of Level 3 products that realize phenological normalization on the pixel-level was pursued. As a prerequisite, coarse resolution Land Surface Phenology (LSP) was derived in a first step, then spatially refined by fusing it with a small number of Level 2 images. For this purpose, a novel data fusion technique was developed, wherein a focal filter based approach employs multi-scale and source prediction proxies. Phenologically normalized composites (Level 3) were generated by coupling the target day (i.e. the main compositing criterion) to the input LSP. The approach was demonstrated by generating peak, end and minimum of season composites, and by comparing these with static composites (fixed target day). It was shown that the phenological normalization accounts for terrain- and land cover class-induced LSP differences, and the use of Level 2 inputs enables a wide range of monitoring options, among them the detection of within state processes like forest degradation. In summary, the developed preprocessing framework is capable of generating several analysis-ready baseline EO satellite products. These datasets can be used for regional case studies, but may also be directly integrated into more operational monitoring systems " e.g. in support of the Reducing Emissions from Deforestation and Forest Degradation (REDD) incentive. In reference to IEEE copyrighted material which is used with permission in this thesis, the IEEE does not endorse any of Trier University's products or services. Internal or personal use of this material is permitted. If interested in reprinting/republishing IEEE copyrighted material for advertising or promotional purposes or for creating new collective works for resale or redistribution, please go to http://www.ieee.org/publications_standards/publications/rights/rights_link.html to learn how to obtain a License from RightsLink.