Germany 2050: For the first time Germany reached a balance between its sources of anthropogenic CO2 to the atmosphere and newly created anthropogenic sinks. This backcasting study presents a... Show moreGermany 2050: For the first time Germany reached a balance between its sources of anthropogenic CO2 to the atmosphere and newly created anthropogenic sinks. This backcasting study presents a fictional future in which this goal was achieved by avoiding (similar to 645 Mt CO2), reducing (similar to 50 Mt CO2) and removing (similar to 60 Mt CO2) carbon emissions. This meant substantial transformation of the energy system, increasing energy efficiency, sector coupling, and electrification, energy storage solutions including synthetic energy carriers, sector-specific solutions for industry, transport, and agriculture, as well as natural-sink enhancement and technological carbon dioxide options. All of the above was necessary to achieve a net-zero CO2 system for Germany by 2050.Plain Language Summary Here a net-zero-2050 Germany is envisioned by combining analysis from an energy-system model with insights into approaches that allow for a higher carbon circularity in the German system, and first results from assessments of national carbon dioxide removal potentials. A back-casting perspective is applied on how net-zero Germany could look like in 2050. We are looking back from 2050, and analyzing how Germany for the first time reached a balance between its sources of CO2 to the atmosphere and the anthropogenic sinks created. This would consider full decarbonization in the entire energy sector and being entirely emission-free by 2050 within three priorities identified as being the most useful strategies for achieving net-zero: (a) Avoiding- (b) Reducing- (c) Removing emissions. This work is a collaboration of interdisciplinary scientists with the Net-Zero-2050 cluster of the Helmholtz Climate Initiative HI-CAM. Show less
Morgan, R.; Cassidy, M.; DeGeus, S.W.L.; Tseng, J.; McAneny, D.; Sachs, T. 2019
IntroductionGastric cancer is decreasing nationally but remains pervasive globally. We evaluated our experience with gastric cancer at a safety-net hospital with a substantial immigrant population... Show moreIntroductionGastric cancer is decreasing nationally but remains pervasive globally. We evaluated our experience with gastric cancer at a safety-net hospital with a substantial immigrant population.MethodsDemographics, pathology, and treatment were analyzed for gastric adenocarcinoma at our institution (2004–2017). Chi-square analyses were performed for dependence of staging on demographics. Survival was evaluated with Kaplan-Meier and Cox regression analyses.ResultsWe identified 249 patients (median age 65 years). Patients were predominantly born outside the USA or Canada (74.3%), non-white (70.7%), and federally insured (71.4%), and presented with late-stage disease (52.2%). Hispanic ethnicity, Central American birthplace, Medicaid insurance, and zip code poverty > 20% were associated with late-stage presentation (all p < 0.05). Univariate analyses showed decreased survival for patients with late-stage disease, highest zip code poverty, and age ≥ 65 (all p < 0.05). On multivariate analysis, survival was negatively associated with late-stage presentation (HR 4.45, p < 0.001), age ≥ 65 (1.80, p = 0.018), and H. pylori infection (2.02, p = 0.036).ConclusionHispanic ethnicity, Central American birthplace, Medicaid insurance, and increased neighborhood poverty were associated with late-stage presentation of gastric cancer with poor outcomes. Further study of these populations may lead to screening protocols in order to increase earlier detection and improve survival. Show less