Musik

Old Man Luedecke, Tender is the Night, True North Records TND 569 (Alive
The Beatles Remastered Vinyl Box.Set (Limited Edition). 16 Alben, 252 Seiten Hardvover.Book, Apple (EMI)
Schwetzinger Liederabend, Hänssler Classics 93.7819 (Naxos)

Morgenland und Abendland...

...Der islamische Mystiker und die islamische Mystikerin – der weiblichen Seite der islamischen Spiritualität ging sie mit besonderem Gespür nach – schlagen den Weg nach innen ein, und manches von dem, was viel spätere europäische Texte als individuelle Freiheit der Person zusprechen, ahnen die Texte der islamischen Mystik voraus: als pantheistische Vereinigung des Menschlichen mit dem Göttlichen, als gesellschaftlich sperriges, der politischen Religion nicht verfügbares Beharren auf einem individuellen, unvermittelten Zugang zur Wahrheit, als stammelndes Hindeuten auf das nicht mehr Sagbare...Mehr

In der Mitte ein Feuer

Mehr

Das andere Dasein...

Eva bereist die Welt...

Mehr

Die afghanische Mona Lisa

Die "afghanische Mona Lisa": Das Flüchtlingsmädchen Sharbat Gula wurde 1985 in einem Camp in Pakistan von Steve McCurry fotografiert.

Einladung zur 10. Tagung der Rhein-Main-AG Minimal Invasive Chirurgie

Einladung zur 10. Tagung der Rhein-Main-AG Minimal Invasive Chirurgie by Prof Dr Dr Ernst Hanisch

10. Tagung der Rhein-Main-AG Minimal Invasive Chirurgie

http://de.scribd.com/doc/120036394/Einladung-zur-10-Tagung-der-Rhein-Main-AG-Minimal-Invasive-Chirurgie

Empathie und Vertrauen als Grundlage jeder Arzt-Patienten-Beziehung

Die Empathie gegenüber dem Patienten steht bei Professor Ernst Hanisch immer im Vordergrund. Seit 2003 ist er ärztlicher Direktor und Chefarzt der Klinik für Allgemein-, Viszeral- und Endokrine Chirurgie in der Asklepios Klinik in Langen. "Dass ein Chirurg fachlich kompetent ist, sehe ich als Voraussetzung an. Aber mein Ziel ist es, dass sich der Patient bei uns fühlt, wie in einer guten Familie: angenommen und respektiert", erklärt Ernst Hanisch. Mehr

Büchertisch

1. Islam ist Barmherzigkeit - Grundzüge einer modernen Religion von Mouhanad Khorchide, Herder
2. Die feiernden Deutschen. 789 brauchbare Gedichte durch den Tag, durch das Jahr und durch das Leben. Hrsg. von Gert Haffmans, Haffmans
3. One Day - 10 Photograpers, Verlag Heidelberg 
4. Iran. Weltreich des Geistes. Von Zoroaster bis heute von Michael Axworthy, Verlag Klaus Wagenbach 
5. Ostkrieg. Hitler's War of Extermination in the East von Stephen G. Fritz, The University Press of Kentucky
6. Verbrannte Erde. Stalins Herrschaft der Gewalt von Jörg Baberowski, CH Beck
7. Warum Nationen scheitern von Daron Acemoglu/James Robinson, S. Fischer
8. Kapital von John Lanchester, Klett-Cotta
9. 1813. Die Völkerschlacht bei Leipzig von Gerd Fesser, Bussert&Stadeler
10. Kindheit im Krieg von Gertraud Schlesinger-Kipp, Psychosozial-Verlag
11. Jesus von Nazareth. Prolog - Die Kindheitsgeschichten von Joseph Ratzinger, Herder
12. Island von Heike Ollertz und Edgar Herbst, Mareverlag
13. Die Verlorenen. Die Soldaten in Napoleons Russlandfeldzug von Eckart Kleßmann, Aufbau
14. Die Schlacht von Elchingen - Die Befreiung von München von Thomas Schuler
15. "LG;-)". Wie wir vor lauter Kommunizieren unser Leben verpassen von Nina Pauer, S. Fischer
16. Weltmärkte und Weltkriege 1870-1945. Geschichte der Welt, Bd 5, hrsg. von Jürgen Osterhammel und Akira Irye. CH Beck
17. Elf Wege über eine Insel. Sardische Notizen. Michaela Murgia, Klaus Wagenbach Verlag
18. Napoleon und die Völkerschlacht - Entscheidung bei Leipzig, Hörbuch, Zeitbrücke Verlag
19. Das Buch des Vergessens. Warum Träume so schnell verlorengehen und Erinnerungen sich ständig verändern von Dowe Draaisma, Verlag Galiani 

Wagner

1. Meistersinger, Kubelik
2. Tristan, Karl Böhm 1966
3. Der Fliegende Holländer, Joseph Keilberth 1955
4. Parsival, Herbert Kegel, Berlin Classics
5. Lohengrin, Rudolf Kempes 1963, EMI
6. Ring des Nibelungen, Georg Soltis, Decca
7. Rheingold, Bernard Haitink, EMI
8. Walküre, Joseph Keilberth, Testament
9. Götterdämmerung, Furtwängler 1953,EMI
10. Tannhäuser, Sawallisch 1972, RAI, Opera d'Oro

Ich habe meinen Optimismus nicht aufgegeben

In Ihrem Buch „Die Kultur der Ambiguität“ beschäftigen Sie sich mit dem Teil islamischer Kulturgeschichte, der auf das sogenannte „goldene Zeitalter“ folgte und lange Zeit weitgehend unbeachtet blieb. Dort stießen Sie auf eine „andere Geschichte des Islams“ und zeigen, dass zur islamischen Tradition nicht nur der Islam des Propheten und der rechtsgeleiteten Kalifate gehört, sondern dass jahrhundertelang Toleranz und ein Nebeneinander verschiedener Meinungen und Wahrheiten vorherrschten. Wie kamen Sie darauf, sich diesem Teil der islamischen Kultur zu widmen? Mehr

Was macht guten Unterricht aus - Die Hattie-Studie

Was schadet
- Sitzenbleiben
- übermäßiges Fernsehen
- lange Sommerferien

Was nicht schadet, aber auch nicht hilft
- offener Unterricht
- jahrgangsübergreifender Unterricht
- Web-basiertes Lehren und Lernen

Was nur wenig hilft
- geringe Klassengröße
- finanzielle Ausstattung
- entdeckendes Lernen
- Hausaufgaben

Was mehr hilft
- regelmäßige Leistungsüberprüfungen
- vorschulische Fördermaßnahmen
- lehrergeleiteter Unterricht
- Zusatzangebote für starke Schüler

Was richtig hilft
- Lehrerfeedback
- problemlösender Unterricht
- fachspezifische Lehrerfortbildung
- Programme zur Leseförderung
- vertrauensvollesVerhältnis zwischen Lehrkraft und Schüler

3. Januar 2013 DIE ZEIT Nr2, Seite 55

Zwerchfelldefekt

A 76-year-old man was referred to our hospital because of hemoptysis. He had had pulmonary tuberculosis six years before his current admission, and he had had an abnormal chest radiograph during adolescence. A chest radiograph showed an opacity in the right hemithorax that was accompanied by numerous masses, each surrounded by an air crescent (Panel A). Bowel sounds were heard over the right chest, and a barium enema showed that the colon filled the right hemithorax (Panel B). Computed tomography suggested hypoplasia of the right lung and herniation of the bowel through the posterior diaphragm (Panel C). Bronchoscopic examination showed no bleeding in any of the bronchial lumina or orifices. Examination of the sputum yielded no specific pathogens or malignant cells, and the hemoptysis ceased spontaneously. Follow-up on an outpatient basis without specific therapy was planned. Since the patient's history did not include a traumatic accident, the radiographic findings were compatible with a diagnosis of congenital diaphragmatic hernia.

Porzellangallenblase

A 45-year-old woman was hospitalized with a seven-day history of fever and pain in the right upper abdomen. Ultrasonography (Panel A) showed gallstones (large arrows), including one in the cystic duct, leading to an enlargement of the gallbladder (diameter about 5 cm) and calcification of the wall (small arrows). Computed tomography (Panel B) confirmed the presence of calcification of the gallbladder wall, or porcelain gallbladder (small arrow), and gallstones (large arrow). The patient declined cholecystectomy, which is the usual treatment, and was treated with antibiotics. Two weeks later, the fever and pain had resolved. A large, solitary calcification in the right upper abdomen may indicate disease of the gallbladder, adrenal glands, kidneys, lungs, or chest wall. With respect to the diagnosis of porcelain gallbladder, ultrasonography is as sensitive as abdominal radiography and computed tomography. Patients with a calcified gallbladder have an increased risk of gallbladder cancer.

Pankreatitis

A 78-year-old man had fever, intermittent nausea and vomiting, and increasing abdominal pain for one week. He said he did not use alcohol. On examination, he had a distended abdomen and marked epigastric tenderness. His serum amylase and lipase levels were 1485 and 1608 U per liter, respectively. A contrast-enhanced computed tomographic (CT) scan of the abdomen showed a large amount of gas that severely distorted the pancreatic parenchyma (arrow) and a distended gallbladder with a 2-cm stone in its neck (arrowhead). The patient was treated with bowel rest, fluids, and imipenem. A CT scan one week later showed increasing emphysematous changes in the pancreas, with fluid replacing the pancreatic parenchyma. A percutaneous catheter was inserted, and Escherichia coli was isolated. The patient subsequently underwent pancreatic necrosectomy and cholecystectomy and was discharged three weeks after surgery. Emphysematous pancreatitis is a severe complication of acute pancreatitis. It is diagnosed on clinical grounds and on the basis of the radiologic finding of gas in the retroperitoneum. Retroperitoneal gas in a patient who has clinical evidence of pancreatitis warrants early use of antibiotics, percutaneous drainage of the fluid collection, and (if there is no clinical response to those measures) surgical resection of the infected necrotic tissue.

Morbus Crohn

A 63-year-old woman with a history of Crohn's disease presented with abdominal pain and diarrhea, findings consistent with a flare of her disease. One week after treatment with infliximab, she returned with worsening abdominal symptoms. An abdominal radiograph (Panel A) showed colonic dilatation and intraluminal polypoid filling defects that suggested the presence of innumerable inflammatory pseudopolyps. (In contrast, "thumbprinting" due to submucosal edema has a more uniform haustral distribution.) Colonography by means of volume-rendered computed tomography with an intraluminal perspective (virtual colonoscopy) (Panel B) generated the endoscopic appearance of inflammatory pseudopolyposis. Polyposis syndromes, such as familial adenomatous polyposis, could give rise to a similar appearance on imaging, although the clinical presentation would differ from that of inflammatory pseudopolyposis. A subtotal colectomy was performed, and on gross examination, areas of denuded mucosa surrounding multifocal islands of edematous mucosa were noted.

Milz Sarkoidose

A 45-year-old woman with a history of mediastinal sarcoidosis, who had been treated with oral corticosteroids six years previously, presented with pain in the left upper quadrant of her abdomen. Computed tomography (CT) revealed heterogeneous splenomegaly with multiple hypovascular nodules (Panel A). After two years of follow-up, the patient still reported abdominal pain, and the spleen had increased in size, from 16 to 20 cm. A laparoscopic splenectomy was performed; a specimen is shown in Panel B. Pathological examination confirmed the presence of sarcoidosis in the spleen and the lymph nodes of the splenic hilum. The patient did well with no further treatment and had no sign of recurrence on thoracoabdominal CT at two years of follow-up.

Kolonkarzinom

A 74-year-old man was referred for evaluation after a positive fecal occult-blood test. He had no history of cancer and no family history of colorectal cancer. A colonoscopy was performed with the use of a magnifying videoscope, and an irregularity of the colonic wall at the transverse colon was detected (Panel A). The laterally spreading tumor became clear after a 0.2 percent indigo carmine solution was sprayed in the area (Panel B, arrows). A radiograph obtained after the administration of a double-contrast barium enema showed a flat, radiolucent area (Panel C, arrows). The patient underwent a laparoscopically assisted colectomy, and a tumor 5 cm in diameter was removed. Histologic examination showed invasion of the cancer in the submucosa, without invasion of the vessels or involvement of the lymph nodes (Panel D, hematoxylin and eosin). Follow-up after discharge was uneventful. After eight months, there has been no evidence of metastasis.

Darmblutung - Invagination

An 80-year-old woman presented with a three-day history of passage of bright red blood from the rectum. She was afebrile and had a blood pressure of 70/52 mm Hg. The white-cell count was 10,100 per cubic millimeter, and the hematocrit was 32.5 percent. An abdominal radiograph showed minimal ileus. A colonoscopy revealed blood in the colon and a round, smooth, violaceous lesion in the ascending colon that nearly obstructed the colonic lumen and that could not be passed by the colonoscope. A single computed tomographic image of the abdomen showed two views of an intussusception. In a cross-sectional view (arrowhead), traces of contrast medium in the intussusceptum (the invaginated segment of the colon) formed a high-density center, the swollen wall of the intussusceptum and mesenteric fat formed a crescentic low-density layer, and contrast medium in the intussuscipiens (the portion of the bowel into which the intussusceptum telescopes) formed the outermost, high-density layer. In a longitudinal view (arrow), the swollen bowel walls formed the thickened outer layer, and the intraluminal mesenteric fat and vessels formed a denser signal than did the intraluminal air in the loop of bowel just above it. At surgery, the terminal ileum was found to have prolapsed into the cecum and up the ascending colon.

Milzcyste

A 45-year-old man presented with a two-month history of discomfort in the left upper quadrant. Twenty years earlier, he had been involved in a motor vehicle accident. Physical examination confirmed mild tenderness over the posterior left upper quadrant. A plain abdominal film showed a large calcified lesion (Panel A, arrow) in the left upper abdomen. Computed tomography revealed a large, well-defined, cystic mass (8 by 9 by 11 cm) with mural calcification in the spleen (Panel B). Other causes of cystic splenic masses, such as parasitic cysts, various vascular tumors, fluid collections related to pancreatitis, benign tumors of the spleen, and cystic metastases, were ruled out.

Medizinisches Rätsel

A 62-year-old man presented with an ileus, marked abdominal distention, hypotension, and oliguria. He had a 15-year history of chronic psychosis. Laboratory findings included renal dysfunction, abnormal liver-function values, and marked hyponatremia. A total of 4800 ml of fluid was aspirated with a nasogastric tube. An anteroposterior abdominal radiograph revealed a ptotic gastric fundus filled with a very large, radiopaque density (arrows). What was responsible for the findings?

Leberhämangiom

A 46-year-old woman had a one-year history of abdominal distention. Physical examination showed an upper-abdominal mass extending from the right hypochondrium to 10 cm below the umbilicus. Laboratory studies disclosed thrombocytopenia (platelet count, 127,000 per cubic millimeter), prolongation of the prothrombin time (to 14.6 seconds), and a decrease in the fibrinogen level (to 80 mg per deciliter). The peripheral-blood smear showed anisocytosis. A computed tomographic scan showed a large, low-density mass in the right lobe of the liver (arrowhead), with prominent compression of the inferior vena cava (arrow). The patient underwent a right hepatic lobectomy. The mass was a cavernous hemangioma measuring 35 by 30 by 8 cm and weighing 4900 g. Three years after surgery, the patient was doing well and had not had a recurrence. Cavernous hemangioma is the most common benign hepatic tumor. It typically occurs in women. Lesions measuring more than 4 cm in diameter are known as "giant hemangiomas" and often cause symptoms such as vague abdominal distention and pain. The constellation of giant hemangioma, thrombocytopenia, and localized consumption coagulopathy is known as the Kasabach-Merritt syndrome.

Caput medusae

A 47-year-old man with a seven-year history of compensated hepatic cirrhosis due to chronic hepatitis B infection presented for routine evaluation. Physical examination revealed a firm liver and mild splenomegaly. There were mildly tortuous veins on his abdominal wall, especially above the umbilicus. For four years, his condition remained stable, but venous dilatations gradually became more prominent around the umbilicus. These venous dilatations represent portal hypertension with backflow from the left portal vein, through the paraumbilical veins in the falciform ligament, and then to the periumbilical systemic veins in the abdominal wall. Color Doppler ultrasonography confirmed subcutaneous collateral veins on the anterior abdominal wall near the umbilicus that had originated from the dilated paraumbilical veins.

Pseudomyxoma peritoneii

A 55-year-old man presented with a five-month history of increasing abdominal girth, a weight loss of 4.5 kg (10 lb), and occasional episodes of anorexia and nausea. Physical examination revealed possible hepatosplenomegaly as well as a distended abdomen, which was soft, nontender, and dull to percussion. The results of liver-function tests were normal; a serologic test for hepatitis was negative, and the serum level of alpha-fetoprotein was normal. An abdominal plain film, an upper gastrointestinal series, and the results of a barium-enema study were also normal. A computed tomographic (CT) scan of the abdomen, however, revealed multiple, septate, low-attenuation masses throughout the peritoneal space, with scalloping of the hepatic margin (Panel A, arrows), a finding suggestive of pseudomyxoma peritonei. Exploratory laparotomy was performed, followed by right hemicolectomy and excision of large, mesenteric, septate, gelatinous masses -- the so-called jelly belly (Panel B). Pathological examination revealed a ruptured mucinous cystadenoma of the appendix with widespread pseudomyxoma peritonei. After extensive and complete cytoreduction, the patient was given intraperitoneal chemotherapy with mitomycin and fluorouracil. He has been in remission for the past four years and currently shows no clinical signs or CT evidence of a recurrence of the disease.

Martha Nussbaum: From Justice to Emotion - Six Important Issues that are Ignored by Economists

Martha Nussbaum is a distinguished philosopher. Together with Amartya Sen, she has developed the famous "Capability Approach" to economics of welfare. Today, she feels that the insights of philosophy are by-and-large ignored by economists. In this excerpt from a lecture held at Frankfurt, she lists six contributions that economists should take more seriously. Mehr

Zum neuen Jahr

"Wird's besser? Wird's schlimmer?"
fragt man alljährlich.
Seien wir ehrlich:
Leben ist immer
lebensgefährlich.

Erich Kästner