ABSTRACT
We investigated trends in temperature, stratification, and hypolimnetic oxygen concentration of German lakes under climate change using observational data and hydrodynamic modelling. Observations from 46 lakes revealed that annually averaged surface temperatures increased by + 0.5 °C between 1990 and 2020 while bottom temperatures remained almost constant. Modelling of 12 lakes predicted further increases in surface temperatures by 0.3 °C/decade until the year 2099 in the most pessimistic emission scenario RCP 8.5 (RCP 4.5: + 0.18 °C/decade; RCP 2.6: + 0.04 °C/decade). Again, bottom temperatures increased much less while summer stratification extended by up to 38 days. Using a simplified oxygen model, we showed that hypolimnetic oxygen concentrations decreased by 0.7-1.9 mg L-1 in response to the extended stratification period. However, model runs assuming lower productivity (e. g. through nutrient reduction) resulted in increased oxygen concentrations even in the most pessimistic emission scenario. Our results suggest that the negative effects of climate change on the oxygen budget of lakes can be efficiently mitigated by nutrient control.
ABSTRACT
PURPOSE: Paediatric burn care is a delicate discipline which benefits from special attention. Despite being highly effective, the current standard of care for second degree burns in the largest paediatric burn center in France - exposure to infrared light - involves long hospital stays, straining economic and professional resources, especially in times of a pandemic. The present study investigated this standard of care and compared it to the use of a bacterial nanocellulose dressing. MATERIALS AND METHODS: A retrospective analysis of two groups has been performed: the control group assessed thirty consecutive children treated with the standard of care, and the intervention group assessed thirty consecutive children treated with the bacterial nanocellulose dressing. Parameters evaluated were: healed wounds, additional treatments, rate of infections, hospital length of stay, pain experience and overall satisfaction. RESULTS: The two groups did not differ significantly in terms of age and TBSA. A significant reduction in hospital length of stay (p < .001) and pain experience (p < .001) could be observed. In terms of healed wounds, additional treatments and infections, the two groups were equally matched (p > .05) with satisfactory results in both groups. Tendencies towards better results could be seen in the intervention group. CONCLUSION: The use of bacterial nanocellulose wound dressings is an important tool in the armamentarium of today's burn surgeons. Satisfying results were achieved, ameliorating burn care for children. Future studies are indicated to further support its value and assess the economic impact.
