Diskursanalyse und Hermeneutik: ein prekäres Verhältnis

Diskursanalyse sowie Hermeneutik oder Theorie der Interpretation (von Texten oder anderen kulturellen Artefakten) stehen, glaubt man zahlreichen Aussagen Foucaults, in einem antagonistischen Ver- hältnis zueinander. Es gibt aber auch Parallelen in der Zielsetzung seiner ,Ar- chäologie des Wissens‘ und mancher Vertreter der Hermeneutik des 19. Jahr- hunderts (wie Schleiermacher und Boeckh), die diese zu einem Instrument einer allgemeinen Kulturanalyse erhoben haben. Das Bindeglied ist das, was man ,Linguistische Epistemologie‘, also Erforschung des diskurskonstituie- renden, text- und verstehensrelevanten Wissens nennen könnte. Den Zu- sammenhängen wie auch den Divergenzen zwischen Foucaultscher Dis- kursanalyse und solchen Spielarten der Hermeneutik soll in diesem Beitrag nachgegangen werden

Interpretation, Verstehen und Gebrauch von Texten: semantische und pragmatische Aspekte der Textrezeption

Der Aufsatz gibt - vor allem für ein nichtlinguistisches Publikum – eine komprimierte Zusammenfassung der wesentlichen, aus dem von Busse in seinem Buch "Textinterpretation" (1991) ausgearbeiteten Modell der explikativen Semantik und des Textverstehens abgeleiteten Erklärungsansätze für das Textverstehen und seine Abgrenzung zur Textinterpretation. Der Artikel ist mit zahlreichen anschaulichen Beispielen versehen und verdeutlicht so die Relevanz von Busses Modell für eine adäquate Erklärung und Veranschaulichung der bei der Textverarbeitung wirksamen Prozesse

Interdisziplinäre Diskursforschung: Aufgabenfelder – Zustand – Perspektiven (aus der Sicht eines Sprachwissenschaftlers)

Der Aufsatz diskutiert Aspekte der Interdisziplinarität der Diskursforschung, hier verstanden als eine Forschung im Anschluss an den Diskursbegriff und die Arbeiten von Michel Foucault. Zunächst wird anhand der von der Diskursebene berührten Bereiche Sprache, Denken/Wissen und Sozialität dargelegt, weshalb Diskursforschung in Foucaults Sinne notwendig transdisziplinär sein muss. Sodann wird anhand der Themenbereiche Genealogie (Historizität)‚ Macht, Akteure und ›textuelle Verfügbarkeit der Diskurse‹ weiterer Bedarf disziplinenüberschreitender Perspektiven auf Diskurse dargelegt. Abschließend werden Chancen, Synergien und Friktionen interdisziplinärer Diskursforschung ausgelotet

An Aggregated Stakeholder Perspective on Potential Benefits and Challenges

How can buildings be combined with agricultural production and what are the major potential benefits and challenges for the introduction of zero-acreage farming (ZFarming) in Berlin from the relevant stakeholders’ perspectives? These questions were explored through a series of interviews and stakeholder workshops held between 2011 and 2013. The aim was to identify the most suitable building-integrated farming model for the Berlin metropolitan area and to develop guidelines for the model’s successful and sustainable implementation through a stakeholder-driven approach. This paper provides an aggregated synthesis of the outcomes derived from the qualitative interviews and stakeholder workshops. As the results reveal, the stakeholders perceive potential benefits and challenges related to the issue of ZFarming in all dimensions (economic, social, environmental and political). They largely agreed on the importance of focusing on local resources, using energy- efficient production—including social and educational aspects—and developing new market structures when introducing ZFarming to the city of Berlin. The stakeholders identified urban rooftop greenhouses (RTG) as the most promising farming model for Berlin. In a joint collaboration of all stakeholders, a manual for RTG was developed within the participatory innovation process that addresses the identified problems and challenges associated with future implementation and governance of RTG in Berlin and beyond

Linezolid Concentrations in Plasma and Subcutaneous Tissue are Reduced in Obese Patients, Resulting in a Higher Risk of Underdosing in Critically Ill Patients: A Controlled Clinical Pharmacokinetic Study

Background: Linezolid is used for the treatment of soft tissue infections in critically ill patients. However, data for characterizing the pharmacokinetics (PK) and assessing whether effective concentrations are reached at the target site are lacking. We hypothesized that current dosing regimens do not lead to effective concentrations in the plasma and interstitial fluid (ISF) of subcutaneous tissue in obese patients. Methods: As a controlled clinical model, critically ill obese and non-obese patients undergoing intra-abdominal surgery received 600 mg linezolid as a single infusion. Concentrations in the plasma and microdialysate from the ISF of subcutaneous tissue were determined up to 8 h after dosing. Pharmacokinetic analysis was performed by non-compartmental methods. As a therapeutic target, we used fAUC/MIC > 80. Results: Fifteen obese (BMI: 48.7 +/- 11.2 kg/m(2)) and 15 non-obese (23.9 +/- 2.1 kg/m(2)) patients were analyzed. AUC(0-8) in ISF decreased by -1.69 mg*h/L (95% CI: -2.59 to -0.79, p = 1 mg/L in ISF and >= 2 mg/L in plasma. Conclusions: Increasing the weight led to a decrease of linezolid concentrations in the plasma and subcutaneous tissue. The current dosing regimen does not seem to produce sufficient concentrations to kill bacteria with MIC >= 2 mg/L, especially as empirical antimicrobial therapy in critically ill obese patients

Similar Piperacillin/Tazobactam Target Attainment in Obese versus Nonobese Patients despite Differences in Interstitial Tissue Fluid Pharmacokinetics

Precision dosing of piperacillin/tazobactam in obese patients is compromised by sparse information on target-site exposure. We aimed to evaluate the appropriateness of current and alternative piperacillin/tazobactam dosages in obese and nonobese patients. Based on a prospective, controlled clinical trial in 30 surgery patients (15 obese/15 nonobese; 0.5-h infusion of 4 g/0.5 g piperacillin/tazobactam), piperacillin pharmacokinetics were characterized in plasma and at target-site (interstitial fluid of subcutaneous adipose tissue) via population analysis. Thereafter, multiple 3–4-times daily piperacillin/tazobactam short-term/prolonged (recommended by EUCAST) and continuous infusions were evaluated by simulation. Adequacy of therapy was assessed by probability of pharmacokinetic/pharmacodynamic target-attainment (PTA ≥ 90%) based on time unbound piperacillin concentrations exceed the minimum inhibitory concentration (MIC) during 24 h (%fT>MIC). Lower piperacillin target-site maximum concentrations in obese versus nonobese patients were explained by the impact of lean (approximately two thirds) and fat body mass (approximately one third) on volume of distribution. Simulated steady-state concentrations were 1.43-times, 95%CI = (1.27; 1.61), higher in plasma versus target-site, supporting targets of %fT>2×MIC instead of %fT>4×MIC during continuous infusion to avoid target-site concentrations constantly below MIC. In all obesity and renally impairment/hyperfiltration stages, at MIC = 16 mg/L, adequate PTA required prolonged (thrice-daily 4 g/0.5 g over 3.0 h at %fT>MIC = 50) or continuous infusions (24 g/3 g over 24 h following loading dose at %fT>MIC = 98) of piperacillin/tazobactam

MRI assessment of changes in adipose tissue parameters after bariatric surgery

Bariatric surgery and other therapeutic options for obese patients are often evaluated by the loss of weight, reduction of comorbidities or improved quality of life. However, little is currently known about potential therapy-related changes in the adipose tissue of obese patients. The aim of this study was therefore to quantify fat fraction (FF) and T1 relaxation time by magnetic resonance imaging (MRI) after Roux-en-Y gastric bypass surgery and compare the resulting values with the preoperative ones. Corresponding MRI data were available from 23 patients (16 females and 7 males) that had undergone MRI before (M0) and one month after (M1) bariatric surgery. Patients were 22-59 years old (mean age 44.3 years) and their BMI ranged from 35.7-54.6 kg/m(2) (mean BMI 44.6 kg/m(2)) at M0. Total visceral AT volumes (VVAT-T, in L) were measured by semi-automatic segmentation of axial MRI images acquired between diaphragm and femoral heads. MRI FF and T1 relaxation times were measured in well-defined regions of visceral (VAT) and subcutaneous (SAT) adipose tissue using two custom-made analysis tools. Average BMI values were 45.4 kg/m(2) at time point M0 and 42.4 kg/m(2) at M1. Corresponding VVAT-T values were 5.94 L and 5.33 L. Intraindividual differences in both BMI and VVAT-T were highly significant (p<0.001). Average relaxation times T1 VAT were 303.7 ms at M0 and 316.9 ms at M1 (p<0.001). Corresponding T1(SAT) times were 283.2 ms and 280.7 ms (p = 0.137). Similarly, FFVAT differences (M0: 85.7%, M1: 83.4%) were significant (p <0.01) whereas FFSAT differences (M0: 86.1, M1: 85.9%) were not significant (p = 0.517). In conclusion, bariatric surgery is apparently not only related to a significant reduction in common parameters of adipose tissue distribution, here BMI and total visceral fat volume, but also significant changes in T1 relaxation time and fat fraction of visceral adipose tissue. Such quantitative MRI measures may potentially serve as independent biomarkers for longitudinal and cross-sectional measurements in obese patients