Deutsche medizinische Wochenschrift
-
Dtsch. Med. Wochenschr. · Dec 2019
[Good Against Christmas Mood - Cultural Studies' Readings of a Festival].
Christmas is a celebration with a strong social radiance. It is a vehicle for political positions and debates and thus shows itself to be a controversial cosmos of significance. ⋯ But Christmas is not only unifying, it is also exclusive and creates cultural differences. The aim of the text is to look at the festival in its historical genesis and to critically illuminate Christmas as an ambivalent social phenomenon.
-
Ludwig van Beethoven's Opus 119 represents a series of "bagatelles" for piano. On closer inspection, or better listening, one can get to the thought: How should one interpret the pause that the Maestro has woven into bar 65 of the first piece?
-
Dtsch. Med. Wochenschr. · Dec 2019
Historical Article[The Discovery of the Cardiac Atrioventricular Node by Sunao Tawara and Ludwig Aschoff].
Already in 1664, the Danish anatomist and naturalist Niels Stensen proved that the heart is a muscle. But for a long time it remained unclear what triggered the heart contractions. The Dutch physiologist Willem Einthoven registered the electrical processes in the contraction of the heart muscle and thus provided the first electrophysiological basis of cardiac muscle activity. ⋯ Thus the old dispute between myogenic and neurogenic arousal of the heart was decided in favor of the myogenic excitation conduction. The atrioventricular node described by Tawara was given the eponym "Aschoff-Tawara node". Tawara's groundbreaking work on the conduction system was the basis for the discovery of the sinus node and the interpretation of the heart's electrophysiology.
-
In Germany, the group of geriatric patients is the biggest part of all decedents. That is the reason why the medical staff, who is taking care of elderly patients, needs not only curative, rehabilitative and preventive competencies but also palliative skills. ⋯ However, there is no tool for the identification of palliative needs of geriatric inpatients in emergency rooms and in other places in the hospitals. In primary care, the Supportive and Palliative Care Indicators Tool (SPICT) is available for this purpose.
-
We report the case within a 22-year-old patient, initially seen because of fatigue, weight loss and discoloration of the skin. A Hashimoto-Thyroditis had been diagnosed a few months prior to the clinical presentation. ⋯ The presented case underlines the importance of focused examinations and diagnostics when dealing with a patient with unspecific symptoms and a pre-existing autoimmune disease. This also applies to patients with a positive family history for autoimmune disorders.