Wege durch den Wagner-Dschungel

Rezensionen zu: Richard Wagners politische Theologie : Kunst zwischen Revolution und Religion / Peter Hofmann. - Paderborn : Verl. Ferdinand Schöningh, 2003. - 320 S., ISBN 3-506-73929-8, 39,80 Euro Richard Wagner : Ahasvers Wandlungen / Dieter Borchmeyer. - Frankfurt am Main [u.a.] : Insel Verl., 2002. - 647 S., ISBN 3-458-17135-5, 44,90 Euro

Kaiserwette(r)

Der Band "Kaiserwette(r) – Engelbert Humperdinck in seiner Zeit", geht auf eine Tagung zurück, die Ende September 2021 in Siegburg stattfand, am berufenen Ort, der Geburtsstadt des Komponisten. Sein Ziel ist es allerdings nicht, Humperdinck zu sezieren, indem man ihn sozusagen in einen ‚Guten‘ und einen ‚Schlechten‘ zerlegt, also hier weiß- und dort schwarzmalt. Die Intention ist es vielmehr auf jene differenzierenden Grautöne gerichtet, die für das historische Verständnis unabdingbare Voraussetzung sind

Digestive physiology of the plains viscacha (Lagostomus maximus): a large herbivorous hystricomorph rodent

Plains viscachas (Lagostomus maximus) are large South American, fossorial rodents susceptible to diabetic cataracts. Various aspects of their digestive physiology were studied in three different experiments with 9 male and 7 female adult animals and 6 different diets (total n of feeding trials = 35). Viscachas achieved mean retention times of 23-31h, which is of a magnitude also recorded in horses; these did not differ for solute or small particle (<2mm) markers. Secondary marker excretion peaks indicated coprophagy, and were rarer on high-protein as compared to grass hay-only diets. Mean resting metabolic rate was, at 229 kJ/kg0.75/d, lower than expected for a mammal of this size. Digestible energy requirement for maintenance was 445 kJ/kg0.75/d. At 1.6-2.7 L/d, viscachas produced more methane than expected for a hindgut fermenter of their size. On diets that included concentrate feeds, viscachas excreted glucose in their urine, corroborating reports on the susceptibility of this species for diabetes when kept on energy-dense food. Viscachas had a similar apparent digestibility of protein, lipids, and macrominerals as other rodents, rabbits, or domestic horses. This suggests that whether or not a species practices coprophagy does not have a major influence on these measures. Viscachas resemble other hindgut fermenters in their high apparent calcium digestibility. With respect to a digestibility-reducing effect of dietary fiber, viscachas differed from rabbits and guinea pigs but were similar to horses, suggesting that small body size needs not necessarily be linked to lower digestive efficiency on high-fiber diets

Delirium in hospitalized COVID-19 patients: Predictors and implications for patient outcome.

IntroductionDelirium is recognized as a severe complication of coronavirus-disease-2019 (COVID-19). COVID-19-associated delirium has been linked to worse patient outcomes and is considered to be of multifactorial origin. Here we sought to evaluate the incidence and risk factors of delirium in hospitalized COVID-19 patients, along with its impact on clinical outcome.MethodsConsecutive adult COVID-19 patients admitted to a tertiary academic referral hospital between March 1st and December 31st, 2020 were included. Potential risk factors for delirium were evaluated, including: age, gender, disease severity (as per the highest WHO grading reached during admission), laboratory parameters for infection and renal function (as per their most extreme values), and presence of comorbidities. To assess the relative strength of risk factors for predicting the occurrence of delirium, we performed a random-forest survival analysis.Results347 patients with positive COVID-19 PCR test and median age 68.2 [IQR 55.5, 80.5] years were included. Of those, 79 patients (22.8%) developed delirium, 81 (23.3%) were transferred to ICU, 58 (16.7%) died. 163 (73.8%) patients were discharged home, 13 (5.9%) to another hospital, 32 (14.5%) to nursing homes, 13 (5.9%) to rehabilitation with an overall median admission-to-discharge time of 53 [IQR 14, 195] days. The strongest predictors for the occurrence of delirium were blood urea nitrogen (minimal depth value (MD): 3.33), age (MD: 3.75), disease severity (as captured by WHO grading; MD: 3.93), leukocyte count (MD: 4.22), the presence of a neurodegenerative history (MD: 4.43), ferritin (MD: 4.46) and creatinine (MD: 4.59) levels.ConclusionThe risk of delirium in COVID-19 can be stratified based on COVID-19 disease severity and-similar to delirium associated with other respiratory infections-the factors advanced age, neurodegenerative disease history, and presence of elevated infection and renal-retention parameters. Screening for these risk factors may facilitate early identification of patients at high-risk for COVID-19-associated delirium