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Hip and knee osteoarthritis are associated with functional limitations, pain and restrictions in quality of life and the ability to work. Furthermore, with growing prevalence, osteoarthritis is increasingly causing (in)direct costs. Guidelines recommend exercise therapy and education as primary treatment strategies. Available options for treatment based on physical activity promotion and lifestyle change are often insufficiently provided and used. In addition, the quality of current exercise programmes often does not meet the changing care needs of older people with comorbidities and exercise adherence is a challenge beyond personal physiotherapy. The main objective of this study is to investigate the short- and long-term (cost-)effectiveness of the SmArt-E programme in people with hip and/or knee osteoarthritis in terms of pain and physical functioning compared to usual care.
Various sources provide information about land use history and landscape transformation. For a variety of reasons, the quality of information differs and is often discontinuous or incomplete. In this interdisciplinary study we take advantage of comprehensive archaeological data gathered by large-scale excavations that were necessary because of opencast lignite mining in Lusatia, Brandenburg, Germany. By using a GIS we integrate these archaeological findings with results from archival and literature studies, from historical maps, from landforms and soils as well as from analyses of shaded-relief maps derived from up-to-date LiDAR data. The long-term aim is to develop a palaeoenvironmental model and thus to reconstruct landscape changes caused by human activities. The focus of the study is the Peitz ironwork in SE Brandenburg, which was a large consumer of commodities for about 300 years. During the time it operated, extensive transformations are supposed to have affected the landscape in the vicinity because of wood consumption and especially charcoal production. Digital datasets about forested areas for different timespans reconstructed from historical maps were made available. In combination with dendrochronological dating of charred trees, the spatiotemporal dimension of charcoal kilns was determined. Also, sites of former bog iron ore mining could be identified. Moreover, the different sources contain further information about other forms of land uses such as agriculture, pastoralism and even viticulture. In conclusion we can highlight that the mosaic of past land use systems is different from the modern structure but that major changes in the forests have been retained.
Archaeological excavations have revealed more than thousand charcoal kiln remains (CKRs) in the prefield of
the active opencast lignite mine Jänschwalde, situated about 150 km SE of Berlin (SE Brandenburg, Germany).
The charcoal was mainly produced for the ironwork Peitz nearby, which operated from the 16th to the mid-19th
centuries. In a first approach, to estimate the dimension of the charcoal production, CKRs were mapped on
shaded-relief maps (SRMs) derived from high-resolution LiDAR data (Raab et al. 2015). Subsequently, for a selected test area, identified CKRs on the SRMs were compared with archaeologically excavated CKRs in the
field. This survey showed a considerably number of falsely detected sites. Therefore, the data was critically
re-evaluated using additional relief visualisations. Further, we extended the CKR mapping to areas which are not
archaeologically investigated. The study area, the former royal forest district Tauer, consists of two separate areas: the Tauersche Heide (c. 96 km2 area) N of Peitz and the area Jänschwalde (c. 32 km2 area) NE of Peitz. The study area is characterized by a flat topography. Different former and current anthropogenic uses (e.g., military training, solar power plant, forestry measures) have affected the study area, resulting in extensive disturbances of the terrain surface. The revised CKR abundance in the study area Jänschwalde was considerably smaller than the numbers produced by our first approach. Further, the CKR mapping revealed, that a total record of the CKRs is not possible for various reasons. Despite these limitations, a solid database can be provided for a much larger area than before. Basic statistic parameters of the CKR diameters and all comparative statistical tests were calculated using SPSS. To detect underlying spatial relationships in the CKR site distribution, we applied the Getis-Ord Gi* statistic, a method to test for local spatial autocorrelation between neighbouring sites. The test is available as part of the ArcGis 10.1 spatial statistics toolbox. The outcomes are discussed in consideration of our archaeological, archival and dendrochronological research results.
The former royal forest districts around Peitz (South Brandenburg, Germany) were used to produce charcoal for
the ironwork Peitz (1554 to 1856). More than 800 archaeologically excavated ground plans of charcoal kilns give evidence of the burning activity in the study area “Jänschwalde Heide” which is only a small part of the whole forest district. The study area in the apron of the active lignite mine Jänschwalde comprises the royal forest “Jänschwalder Heide” and the surrounding community forests. Our study approach combines archaeological research, a GIS-based approach (historical maps, airborne laser scanning (ALS) data, etc.) and archival studies.