Intensity-modulated radiotherapy for a rendu-osler-weber disease patient with recurrent severe epistaxis: a case report

We present a case of a Rendu-Osler-Weber disease patient with recurrent life threatening epistaxis demanding multiple blood transfusions despite of repetitive endoscopic laser and electrocoagulations, endovascular embolisation, septodermoplasty, and long-term intranasal dressings. As alternative treatment modalities repeatedly failed and the patient became almost permanently dependent on nasal dressing, we performed a highly conformal intensity-modulated radiotherapy of the nasal cavity; a total dose of 50 Gy in 2 Gy single fractions was applied. The therapy was very well tolerated, no acute toxicities occurred. Two weeks after the last radiation dose had been applied, the nasal dressing could be removed without problems. Endoscopical control revealed an almost avascular white mucosa without any trace of bleeding spots; previously existing hemangiomas and crusts had disappeared. After a 1-year-follow up, the patient had no significant recurrent epistaxis.

Sciatic nerve enlargement in the Klippel-Trenaunay-Weber syndrome

The case of a 35-year-old woman with Klippel-Trenaunay-Weber syndrome (KTWS) showing clinical symptoms of a peroneal nerve lesion is presented. An immense nerve enlargement along most of the sciatic, peroneal and tibial nerve was found to be due to a lipoma arising from the epi- and perineurium. Treatment consisted of extensive microsurgical neurolysis and excision of the tumor resulting in decompression of the affected nerves. Although rare, a perineural lipoma should be kept in mind in patients with KTWS showing neurological abnormalities.

Weber fractions and time-order errors for long and short durations: Implications for modeling

Using a weighted up-down procedure, in each of eight conditions 28 participants compared durations of auditory (noise bursts) or visual (LED flashes) intervals; filled or unfilled with 3-ms markers; with or without feedback. Standards (Sts) were 100 and 1000 ms, and the ISI 900 ms. Intermixedly, presentation orders were St-Comparison (Co) and Co-St. TOEs were positive for St=100-ms and negative for St=1000 ms. Weber fractions (WFs, JND/St) were lowered by feedback. For visual-filled and visual-empty, WFs were highest for St=100 ms. For auditory-filled and visual-empty, St interacted with Order: lowest WFs occurred for St-Co with St=1000 ms, but for Co-St with St=100 ms. Lowest average WFs occurred with St-Co for visual-filled, but with Co-St for visual-empty. The results refute the generalization of better discrimination with St-Co than with Co-St (”type-B effect”), and support the notion of sensation weighting: flexibly differential impact weights of the compared durations in generating the response.

Was hat Max Weber mit Kātib Čelebi zu tun? Ein Annäherungsversuch an Gottfried Hagen

This article responds to Gottfried Hagen’s extensive review (see Der Islam 2/2013) of my book Islamische Verantwortungsethik im 17. Jahrhundert. Ein weberianisches Verständnis der Handlungsvorstellungen Kātib Čelebis (1609– 1657). Whilst I benefitted greatly from some of Hagen’s critical remarks and his- torical elucidations, his review not only misstates crucial passages of my book but also largely disregards its main objective, which is to develop a systematic model for understanding Kātib Čelebi’s ethical stance. Besides reiterating cru- cial arguments ignored and rectifying central aspects misrepresented in Hagen’s review, I here ask how the more fundamental misunderstandings – exceeding differences in theoretical positions or empirical observations – between the au- thor’s intentions and the reviewer’s reception may be explained. Gottfried Hagen’s historiographical perspective on Kātib Čelebi diverges from my sociological take on the same subject matter to the extent that both perspectives are struggling to enter into dialogue. Such dialogue, however, remains highly desirable so as to complement a historical reconstruction of Kātib Čelebi’s life and times with a systematic, theoretically grounded understanding of his views.