Reinhard Schwarz received a diploma in computer science from the University of Kaiserslautern, Germany, in 1990. Since then, he is working as a research assistant at the computer science department. His research interests include debugging and monitoring of distributed systems, runtime support for objectoriented distributed programming, and distributed algorithms.veyed. The issue of observing distributed computations in a causally consistent way and the basic problems of detecting global predicates are discussed. To illustrate the major difficulties, some typical monitoring and debugging approaches are assessed, and it is demonstrated how their feasibility is severely limited by the fundamental problem to master the complexity of causal relationships.

Despite the enormous potential of analyses of ancient DNA for phylogeographic studies of past populations, the impact these analyses, most of which are performed with fossil samples from natural history museum collections, has been limited to some extent by the inefficient recovery of ancient genetic material. Here we show that the standard storage conditions and/or treatments of fossil bones in these collections can be detrimental to DNA survival. Using a quantitative paleogenetic analysis of 247 herbivore fossil bones up to 50,000 years old and originating from 60 different archeological and paleontological contexts, we demonstrate that freshly excavated and nontreated unwashed bones contain six times more DNA and yield twice as many authentic DNA sequences as bones treated with standard procedures. This effect was even more pronounced with bones from one Neolithic site, where only freshly excavated bones yielded results. Finally, we compared the DNA content in the fossil bones of one animal, a Ϸ3,200-year-old aurochs, excavated in two separate seasons 57 years apart. Whereas the washed museum-stored fossil bones did not permit any DNA amplification, all recently excavated bones yielded authentic aurochs sequences. We established that during the 57 years when the aurochs bones were stored in a collection, at least as much amplifiable DNA was lost as during the previous 3,200 years of burial. This result calls for a revision of the postexcavation treatment of fossil bones to better preserve the genetic heritage of past life forms.ancient DNA ͉ bone diagenesis ͉ conservation ͉ DNA preservation O ur knowledge of past life forms stems mainly from fossils, the only witnesses of extinct species, the phylogenetic analyses of which were boosted by the discovery that DNA is sometimes preserved in fossils (1). In fact, water-soluble DNA has been shown to persist in fossil bones for up to 130,000 years in temperate regions (2). The analysis of this ancient DNA has the potential to provide answers to archeological, paleontological, and anthropological questions, when the classical approaches of these disciplines cannot do so. During bone fossilization, however, DNA is at least partially degraded and chemically modified. Little is known about the modifications of ancient DNA that lead to its preservation. Thus, ancient DNA analysis constitutes an enormous methodological and conceptual challenge for paleogeneticists. Moreover, despite some spectacular achievements, the failure rate of paleogenetic investigations is high, because DNA preservation is rare, i.e., numerous fossil samples are analyzed, but few sequences are obtained. For example, the success rate of DNA amplification declines with increasing average temperature in the area from which the fossils originate. Whereas 78% (3) and 62% (52-71%; ref. 4) of permafrost samples were reported to be successfully amplified, samples from regions with moderate temperature amplified with a 23-67% success rate (5) and from arid hot climates with a mere 2-4% success rate (5). Tem...

Compared to conventional treatment, anthroposophic treatment of primary care patients with acute respiratory and ear symptoms had more favourable outcomes, lower antibiotic prescription rates, less adverse drug reactions, and higher patient satisfaction.

Enterobacteriaceae causing community-acquired urinary tract infections were examined in selected outpatient clinics and hospitals in Belgium, Germany and Spain using EUCAST breakpoints for susceptibility. A total of 1190 isolates were collected. Escherichia coli isolates were resistant to amoxicillin-clavulanic acid (28.1%), ciprofloxacin (23.4%) and trimethoprim-sulfamethoxazole (21.4%) compared with fosfomycin and nitrofurantoin (each, <1.5%). Ceftibuten (MIC50/90 0.25/0.5 mg/L) and ceftriaxone activity (MIC50/90 ≤0.25 mg/L) was comparable. Ceftibuten (MIC90 ≤0.25 mg/L) was also active against Proteus mirabilis and Klebsiella spp. Extended-spectrum β-lactamase phenotypes were 7.1% for E. coli, 5.6% for Klebsiella pneumoniae and 0.4% for P. mirabilis. Resistance was common among men and elderly women.

Children with acute respiratory or ear infections (RTI/OM) are often unnecessarily prescribed antibiotics. Antibiotic resistance is a major public health problem and antibiotic prescription for RTI/OM should be reduced. Anthroposophic treatment of RTI/OM includes anthroposophic medications, nonmedication therapy and if necessary also antibiotics. This secondary analysis from an observational study comprised 529 children <18 years from Europe (AT, DE, NL, and UK) or USA, whose caregivers had chosen to consult physicians offering anthroposophic (A-) or conventional (C-) treatment for RTI/OM. During the 28-day follow-up antibiotics were prescribed to 5.5% of A-patients and 25.6% of C-patients (P < 0.001); unadjusted odds ratio for nonprescription in A- versus C-patients 6.58 (95%-CI 3.45–12.56); after adjustment for demographics and morbidity 6.33 (3.17–12.64). Antibiotic prescription rates in recent observational studies with similar patients in similar settings, ranged from 31.0% to 84.1%. Compared to C-patients, A-patients also had much lower use of analgesics, somewhat quicker symptom resolution, and higher caregiver satisfaction. Adverse drug reactions were infrequent (2.3% in both groups) and not serious. Limitation was that results apply to children of caregivers who consult A-physicians. One cannot infer to what extent antibiotics might be avoided in children who usually receive C-treatment, if they were offered A-treatment.