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

15. Tagung der Rhein-Main-AG Minimal Invasive Chirurgie by Prof Dr Dr Ernst Hanisch on Scribd

Hallelujah

Now, I’ve heard there was a secret chord
That David played, and it pleased the Lord
But you don’t really care for music, do you?
It goes like this, the fourth, the fifth
The minor fall, the major lift
The baffled king composing „Hallelujah“
Hallelujah …

Your faith was strong but you needed proof
You saw her bathing on the roof
Her beauty and the moonlight overthrew you
She tied you to a kitchen chair
She broke your throne, and she cut your hair
And from your lips she drew the Hallelujah

You say I took the name in vain
I don’t even know the name
But if I did, well really, what’s it to you?
There’s a blaze of light in every word
It doesn’t matter which you heard
The holy … or the broken Hallelujah

I did my best, it wasn’t much
I couldn’t feel, so I tried to touch
I’ve told the truth, I did not come to fool you
And even though it all went wrong
I’ll stand before the Lord of Song
With nothing on my tongue but Hallelujah
Hallelujah …

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Büchertisch

1. Wer einmal gestorben ist, dem tut nichts mehr weh von Marco Feingold, Otto Müller Verlag
2. Als die Zeit stillstand von Léon Werth, S. Fischer
3. Die Farbe Rot. Ursprünge und Geschichte des Kommunismus von Gerd Koenen, CH Beck
4. Zerbrochene Länder - Wie die arabische Welt aus den Fugen geriet von Scott Andersson, Suhrkamp
5. Der Dreißigjährige Krieg - Als Deutschland in Flammen stand von Christian Pantle, Propyläen
6. Alpenwelten von Stefan Hefele, Bruckmann
7. Die französische Küche von Elizabeth David, Mandelbaum
8. Zerbricht der Westen? von Heinrich August Winkler, CH Beck 
9. Die Geschichte der Welt von Ewald Frie, CH Beck
10. Johann Schär - Dorffotograf, Gondiswil 1855-1938 von Markus Schürpf, Limmat
11. Grimmelshausen: Der abenteuerliche Simplicissimus Deutsch, Reinhard Kaisers Übersetzung, Die Andere Bibliothek
12. Bonjour Tristess von Francoise Sagan, Ullstein
13. Die schönsten Märchen von Nikolaus Heidelbach, Beltz&Gelberg
14. Der Morgen der Welt von Bernd Roeck, CH BEck
15. Der Dreißigjährige Krieg von Herfried Münkler, Rowohlt
16. Enzyklopädie jüdischer Geschichte und Kultur von Dan Diner, JB Metzler
17. Vive la France von Sempé, Diogenes

MoMA: Fotografie - Von den Anfängen bis zur Gegenwart

Lerne, o Leser, von nun an die Rede gefiederter Worte

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Improving the working environment for safe surgical care

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Conversation Ground Rules

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Sectio chirurgica

Die Sectio chirurgica ist eine Online-Lehrveranstaltung, bei der renommierte und erfahrene Chirurgen charakteristische operative Eingriffe ihrer Fachdisziplin am anatomischen Präparat demonstrieren. Die Eingriffe werden außerdem von einem Anatomen moderiert. Diese Operationen werden via Internet-Stream live übertragen und können kostenlos auf der Online-Plattform www.sectio-chirurgica.de mitverfolgt werden. Durch moderne Kamera- und Präsentationstechniken ist der Zuschauer praktisch hautnah am Operationstisch mit dabei und kann mittels Live-Chat Fragen direkt in den OP stellen. Des Weiteren werden die Erläuterungen des Operateurs durch anatomische und radiologische Demonstrationen mit aktuellen technischen Mitteln eindrücklich veranschaulicht und ergänzt. Mehr

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Das Jahrhundert des Patienten

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Give a voice to the voiceless

Kamran Abbasi, The BMJ

Rudolf Virchow’s investigation of a typhus epidemic in 1848 identified a root cause: “The power of the aristocracy, propped up by the church.” Big business is today’s aristocracy, politicians and the state today’s church. In society’s pursuit of wealth and profit, it is poor people who carry the greatest burden of disease, whose deaths are most likely when fire engulfs a tower block, the levees break in New Orleans, or a Titanic sinks.

After last week’s fire in London’s Grenfell Tower Martin McKee recalls Virchow to urge us not to ignore the political and commercial determinants of public health (doi:10.1136/bmj.j2966). Inadequate safety measures, despite warnings from residents, contributed to and probably caused 79 people to be dead or missing. This was a political failure leading to avoidable deaths and, says McKee, “it is impossible to achieve a comprehensive understanding of events such as Grenfell Tower without confronting the political determinants of health and challenging the forces that shape them.”

One solution might be to put an end to high rise living. An area might be regenerated by demolishing a “sink estate” that includes high rise buildings and replacing it with luxury apartments and low rise, affordable housing. But this would be a form of “social cleansing,” explains Anna Minton (doi:10.1136/bmj.j2981). The volume of new affordable housing is invariably too small, with a net loss of 8000 social homes in London in the past decade. Indeed, most residents “love” their tower blocks, but their experience is sullied by forces outside their control, from broken lifts to lack of security. The issue is less with the tower blocks themselves and more closely related to socioeconomic factors. “At a time of huge worry and uncertainty,” writes Minton, “threats to demolish people’s homes cannot be helping.”

Inequality and the vulnerabilities of poor people find an echo in our research section. Bochen Cao and colleagues (doi:10.1136/bmj.j2765) grouped countries by Human Development Index and examined the effect of variation in cancer death rates on longevity. Countries with the greatest resources benefited most in life expectancy as a direct result of improving cancer mortality. In an accompanying commentary (doi:10.1136/bmj.j2920), Mary Louise Tørring acknowledges the inequalities at play, and proposes priority funding for poor countries and for women, but wonders whether these new findings “might also prompt us to think more about cancer as a natural ceiling on human longevity rather than as a rising epidemic.”

A key message here, from a devastating fire in a London tower block to patchy global progress in longevity, is that health professionals have a responsibility to ensure that the weak are not silenced, ignored, or discounted. We must, in the words of McKee, with a nod to Virchow, give voice to the voiceless.
Follow BMJ Editor Fiona Godlee on Twitter @fgodlee and the BMJ @bmj_latest

Love me tender

Love me tender,
Love me sweet,
Never let me go.
You have made my life complete,
And I love you so.

Love me tender,
Love me true,
All my dreams fulfilled.
For my darlin I love you,
And I always will.

Love me tender,
Love me long,
Take me to your heart.
For it's there that I belong,
And well never part.

Love me tender,
Love me dear,
Tell me you are mine.
Ill be yours through all the years,
Till the end of time.

(when at last my dreams come true
Darling this I know
Happiness will follow you
Everywhere you go).

Red meat: another inconvenient truth

Red meat: another inconvenient truth

Fiona Godlee, The BMJ

Evidence continues to emerge linking high meat consumption with increased mortality. This week Arash Etemadi and colleagues provide further support for the association (doi:10.1136/bmj.j1957). Their population based cohort study links high intake of red and processed meat with increased deaths from all causes and from nine specific ones.

Dietary epidemiology studies are of course fraught with pitfalls. At their worst they attract ridicule for supporting every conceivable association, fuelling public confusion and fake news. This week’s study is large, with more than 7.5 million American person years of observation, and it’s well done. Although its main findings are based on a single dietary assessment, a subgroup had two assessments done on separate occasions, and these associations were if anything stronger. Importantly, death rates were lower in groups who ate a higher proportion of fish and poultry than red meat.

In the accompanying commentary John Potter provides no comfort for anyone wanting to deny an inconvenient truth (doi:10.1136/bmj.j2190). “Overconsumption of meat is bad for health and for the health of our planet,” he says. It seems our ancestors ate meat at most once a week, consuming 5-10 kg a year. Modern diets in rich countries deliver more than 10 times this amount, with animal protein now providing up to a fifth of our energy requirements. The study suggests that haem iron in red meat and nitrate/nitrite in processed meat are among the culprits. But Potter says that the ill effects are likely to be caused in many different ways, including carcinogens caused by cooking, contaminants in animal feed, and reduced intake of plant based foods.

Nor is earlier death the only concern for human health, he says. A high meat economy brings with it accelerated sexual development and antibiotic resistance, together with shortages of food, and animal to human disease epidemics thrown in for good measure. As for the effects on the planet, water depletion, methane production, and pollution of air and groundwater are just the beginning. We must of course reduce the use of fossil fuels in transport, but livestock production outstrips this as a cause of climate change.

Potter outlines two possible courses of action. “As with many contemporary problems of resource overuse and maldistribution, we need to decide whether to act now to reduce human meat consumption or wait until the decay of sufficient parts of the global system tip us into much poorer planetary, societal, and human health.”

What can doctors do? We can lobby for more and better research to support clearer evidence based dietary guidelines. And we can lead by example, as our predecessors did with smoking cessation, by reducing our own red meat consumption. Your own suggestions are welcome.
Follow BMJ Editor Fiona Godlee on Twitter @fgodlee and the BMJ @bmj_latest

Die eine Klage

Wer die tiefste aller Wunden
Hat in Geist und Sinn empfunden
Bittrer Trennung Schmerz;
Wer geliebt was er verloren,
Lassen muß was er erkoren,
Das geliebte Herz.

Der versteht in Lust die Tränen
Und der Liebe ewig Sehnen
Eins in Zwei zu sein,
Eins im Anderen sich finden,
Dass der Zweiheit Grenzen schwinden
Und des Daseins Pein.

Wer so ganz in Herz und Sinnen
Konnt ein Wesen liebgewinnen
O! den tröstet's nicht
Daß für Freuden, die Verloren,
Neue werden neu geboren:
Jene sind's doch nicht.

Das geliebte, süße Leben,
Wort und Sinn und Blick,
Dieses Suchen und dies Finden,
Dieses Denken und Empfinden
Gibt kein Gott zurück.

Karoline von Günderode
Frankfurter Anthologie
FAZ Seite 16 Samstag, 23. Juli 2016 Nr 1780

Eine Gedichtlesung von Thomas Huber finden Sie unter www.faz.net/anthologie

Büchertisch

Jerry Kaplan: Artificial Intelligence. What Everyone Needs To Know. Oxford University Press, 2016

Mademoiselle chante le blues

TATME Kongress

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Graphic medicine

Graphic Medicine is an exciting new book series from Penn State Press. Curated by an editorial collective with scholarly, creative, and clinical expertise, the series is inspired by a growing awareness of the value of comics as an important resource for communicating about a range of issues broadly termed “medical.” For medical practitioners, patients, and families and caregivers dealing with illness and disability, graphic narrative enlightens complicated or difficult experiences. Mehr

La fracture

Die Würde des Menschen

Auf dem Heimwege

Recht so! Ein Zaubermärchen
Mit bekanntem Schlusse!
In seiner Hütte singet
Vergnügt der Arme.
Findet den Talisman:
Kalifenpalast!
Rosengärten,
Schwellende Polster,
Süße Musik,
Und der Sultanin Kuss!
Immer höher!
"Möchte gern Gott seyn ..."
Sitzet wieder
In seiner Hütte
Und singt nicht mehr.

Karl Immermann
Frankfurter Anthologie
FAZ Seite 18 Samstag, 7. Januar 2017 Nr 6

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

  14. Tagung der Rhein-Main-AG Minimal Invasive Chirurgie by Prof Dr Dr Ernst Hanisch on Scribd

Wo ist ER?

Genesis - Von der Erschaffung der Welt