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Im Folgenden soll exemplarisch aufgezeigt werden, wie die begriffsgeschichtlich entscheidende Koppelung von Evolution und Fortschritt im Neoevolutionismus zunächst explizit verteidigt (und reformuliert) und später aufgekündigt wird und zerbricht. Es soll also einer Transformation der Geschichtssemantik 'innerhalb' des Neoevolutionismus nachgegangen werden, das heißt im Wesentlichen den Gemeinsamkeiten und Unterschieden zwischen dem ethnologischen Neoevolutionismus Whites, der den Fortschrittsbegriff wissenschaftlich retten und objektivieren will, und der Neukonfiguration des Neoevolutionismus, in der eine gleichsam evolutionistische Axiomatik zur Zurückweisung des Fortschrittsbegriffs führt, die sich vor allem bei Steward und in jüngster Zeit bei Diamond findet. Dabei ist zu berücksichtigen, dass das Deutungsmuster geschichtlicher Entwicklung von Kulturen und Gesellschaften, das der Neoevolutionismus anbietet, nicht nur in diachroner Dimension neuen Voraussetzungen angepasst wird (immerhin liegen zwischen der Formung des Neoevolutionismus bei White und Steward und dessen Aktualisierung und Popularisierung bei Diamond mehrere Dekaden), sondern auch aus dem wissenschaftlichen Spezialdiskurs in den Bereich der Populärwissenschaft übertragen wird. Begriffsgeschichtlich interessant ist hierbei also, dass sowohl die Grenze zwischen den 'Zwei Kulturen' in der Wissenschaft (und auch die interdiskursiv lange tradierte zwischen Natur und Kultur als zwei klar unterschiedenen Sphären), als auch diejenige zwischen verschiedenen Kommunikationsbereichen berührt wird. Dazu soll die Verteidigung des Fortschrittsbegriffs bei White genauer vorgestellt werden, bei der der Begriff notwendiger Bestandteil des Evolutionismus ist, um vor diesem Hintergrund die Aufkündigung der Koppelung von Evolution und Fortschritt bei Steward und im populären Evolutionismus zu skizzieren.
In diesem Beitrag werde ich versuchen, zwei auf den ersten Blick recht disparate Stränge des 'Kultur'-Diskurses miteinander in Beziehung zu setzen: den politisch-interdiskursiven Gebrauch von 'Kultur' und den begriffspolitisch interessanten Versuch populärer Evolutionsbiologen, den Kulturbegriff biologisch zu erden bzw. umzudefinieren. Beide Stränge partizipieren hierzulande nolens volens an den konnotativen Ladungen, die 'Kultur' angesammelt hat, und beide Stränge sind dabei, Gewicht und Verteilung dieser Ladungen erheblich zu verändern.
Die Begriffsgeschichte befindet sich seit einigen Jahren in der Phase einer grundlegenden Transformation, die sich vor allem in ihrer zunehmenden Internationalisierung und Interdisziplinarisierung sowie in ihrer Verbindung mit der Kultur- und Wissenschaftsgeschichte dokumentiert. Eine besondere Herausforderung bildet dabei die Erschließung der naturwissenschaftlichen Semantik. Referenzpunkte für die gegenwärtige inhaltliche und methodische Neuausrichtung bilden unter anderem die Ansätze zu einer Historischen Epistemologie (Gaston Bachelard, Ludwik Fleck) sowie Georges Canguilhems methodische Fundierung der Wissenschaftsgeschichte in der Begriffsgeschichte. In diesem Aufsatz möchte ich einige Aspekte einer interdisziplinären Begriffs- und Wissenschaftsgeschichte anhand der Analyse der Entstehungsphase des Konzepts vom 'Survival of the fittest' diskutieren. Dieses Konzept hat sich im Zeitraum der 1860er bis 1870er Jahre zu einem Deutungsmuster entwickelt, das mit eminent politischen Folgen im Spannungsfeld biologischer, philosophischer, soziologischer, ethnologischer und ökonomischer Theoriebildung sowie zwischen verschiedenen nationalen Wissenschaftskulturen zirkulierte. Ich möchte betonen, dass die von mir fokussierte wissenshistorische Konstellation nur einen kleinen Ausschnitt aus der komplexen und weit verzweigten Geschichte des Überlebensbegriffs bildet. Insbesondere seit den 1970er Jahren im Zusammenhang der ökologischen Krise und als Effekt der Diskursmacht der von Foucault entwickelten Konzepte der Biopolitik bzw. Biomacht lässt sich eine neue Konjunktur des Überlebensbegriffs ausmachen, die bis in unsere Gegenwart reicht und die überhaupt die Voraussetzung für das Bedürfnis bildet, die Bedeutungs- und Gebrauchsgeschichte des Überlebensbegriffs, oder einzelne Etappen und Knotenpunkte derselben, zu rekonstruieren.
Anführungszeichen als Symptom : zum historischen Bedeutungs- und Funktionswandel einer Zeichenform
(2013)
In diesem Beitrag möchte ich mich mit einer Zeichenform befassen, die auf den ersten Blick unscheinbar und trivial zu sein scheint: den Anführungszeichen, die man salopp auch Gänsefüßchen oder Hasenöhrchen nennt. Für die Historische Semantik und Begriffsgeschichte ist die Bedeutung dieser Zeichen längst erkannt. Wie Martin Wengeler im Anschluss an Ludwig Jäger und Dietrich Busse herausgestellt hat, handelt es sich bei der Verwendung von Anführungszeichen um eine sprachreflexive Äußerung, der insbesondere für die Analyse des politischen Sprachgebrauchs eine Anzeigerfunktion zukommt - wird doch an ihnen eine bewusste Distanzierung von bestimmten Sprachgebräuchen und Wortverwendungsweisen greifbar. Nach Wengeler lösen explizite Wortthematisierungen zumindest ansatzweise das Problem des Auffindens von Belegstellen, die das Auftauchen neuer oder den Plausibilitätsverlust älterer Bedeutungen anzeigen. Mit ihrer Analyse werden Schwellen vom okkasionellen zum usuellen Wortgebrauch sichtbar und die Erfassung des Auftretens semantischer Innovationen stärker objektivierbar. Besonders in den sprachgeschichtlichen Forschungen der Düsseldorfer Schule ist deshalb das Aufsuchen von in Form von Anführungszeichen explizit gemachten Sprachthematisierungen zu einer "zentralen 'Findungsmethode'" gemacht worden. So weit ich sehe ist diese Methode punktuell in Bezug auf die Verwendung einzelner Wörter in Anschlag gebracht worden, was sich mit dem besonderen Interesse am politischen Sprachgebrauch und insbesondere am Einsatz 'brisanter Wörter' begründen lässt. Im Unterschied dazu geht es mir im vorliegenden Beitrag nicht primär um die Analyse einzelner Verwendungen, sondern - auf einer verallgemeinernden Ebene - um die Herausarbeitung eines grundlegenden historischen Bedeutungs- und Funktionswandels des Einsatzes dieser Zeichenform. Im ersten Teil gehe ich kurz auf deren (Vor-)Geschichte ein, um mich dann im zweiten Teil zwei Feldern zuzuwenden, in denen diese Zeichen nicht nur häufig, sondern, worauf es mir ankommt, in einem epistemisch neuen Sinne eingesetzt worden sind, nämlich im Zusammenhang der Auseinandersetzung mit den Folgen der Shoah und der Entwicklung der Atomwaffen. Ausblickhaft möchte ich dann noch die Frage aufwerfen, was es mit der zu beobachtenden Generalisierung der neuen Funktionen der Anführungszeichen auf sich haben könnte.
The Future of the Noosphere
(2014)
In this article, a Koselleckian approach to the issue of time will be employed. In Koselleck's view, modernity has been characterized by a multiplicity of synchronous times, or as Helge Jordheim puts it, by "multiple temporalities". By temporality, Koselleck means something different than epochs or periodizations. More precisely, Jordheim asserts, Koselleck uses this term to reach for experiences of time, such as "progress, decadence, acceleration, or delay, the 'not yet' and the 'no longer', the 'earlier' or 'later than', the 'too early' and the 'too late', situation and the duration". Especially pertinent for this article is Koselleck's category of a horizon of expectations (Erwartungshorizont), understood as perceived prospects for the future. In both the noosphere and the Anthropocene discussion, the notion of an Age of Man seems to merge different timescales into one another, or, as stated by one of the most prominent scientists in the early debate, "The division of historical and geological time is levelled out for us". This article examines the temporality implied in the noosphere concept in order to formulate a specific question regarding the Anthropocene. The article is thus intended to contribute to the on-going examination of the Anthropocene concept by way of historicising its temporality.
Background: Long noncoding RNAs (lncRNAs) are non-protein coding transcripts regulating a variety of physiological and pathological functions. However, their implication in heart failure is still largely unknown. The aim of this study is to identify and characterize lncRNAs deregulated in patients affected by ischemic heart failure.
Methods: LncRNAs were profiled and validated in left ventricle biopsies of 18 patients affected by non end-stage dilated ischemic cardiomyopathy and 17 matched controls. Further validations were performed in left ventricle samples derived from explanted hearts of end-stage heart failure patients and in a mouse model of cardiac hypertrophy, obtained by transverse aortic constriction. Peripheral blood mononuclear cells of heart failure patients were also analyzed. LncRNA distribution in the heart was assessed by in situ hybridization. Function of the deregulated lncRNA was explored analyzing the expression of the neighbor mRNAs and by gene ontology analysis of the correlating coding transcripts.
Results: Fourteen lncRNAs were significantly modulated in non end-stage heart failure patients, identifying a heart failure lncRNA signature. Nine of these lncRNAs (CDKN2B-AS1/ANRIL, EGOT, H19, HOTAIR, LOC285194/TUSC7, RMRP, RNY5, SOX2-OT and SRA1) were also confirmed in end-stage failing hearts. Intriguingly, among the conserved lncRNAs, h19, rmrp and hotair were also induced in a mouse model of heart hypertrophy. CDKN2B-AS1/ANRIL, HOTAIR and LOC285194/TUSC7 showed similar modulation in peripheral blood mononuclear cells and heart tissue, suggesting a potential role as disease biomarkers. Interestingly, RMRP displayed a ubiquitous nuclear distribution, while H19 RNA was more abundant in blood vessels and was both cytoplasmic and nuclear. Gene ontology analysis of the mRNAs displaying a significant correlation in expression with heart failure lncRNAs identified numerous pathways and functions involved in heart failure progression.
Conclusions: These data strongly suggest lncRNA implication in the molecular mechanisms underpinning HF.
Background: In German breast cancer care, the S1-guidelines of the 1990s were substituted by national S3-guidelines in 2003. The application of guidelines became mandatory for certified breast cancer centers. The aim of the study was to assess guideline adherence according to time intervals and its impact on survival.
Methods: Women with primary breast cancer treated in three rural hospitals of one German geographical district were included. A cohort study design encompassed women from 1996–97 (N = 389) and from 2003–04 (N = 488). Quality indicators were defined along inpatient therapy sequences for each time interval and distinguished as guideline-adherent and guideline-divergent medical decisions. Based on all of the quality indicators, a binary overall adherence index was defined and served as a group indicator in multivariate Cox-regression models. A corrected group analysis estimated adjusted 5-year survival curves.
Results: From a total of 877 patients, 743 (85 %) and 504 (58 %) were included to assess 104 developed quality indicators and the resuming binary overall adherence index. The latter significantly increased from 13–15 % (1996–97) up to 33–35 % (2003–04). Within each time interval, no significant survival differences of guideline-adherent and -divergent treated patients were detected. Across time intervals and within the group of guideline-adherent treated patients only, survival increased but did not significantly differ between time intervals. Across time intervals and within the group of guideline-divergent treated patients only, survival increased and significantly differed between time intervals.
Conclusions: Infrastructural efforts contributed to the increase of process quality of the examined certified breast cancer center. Paradoxically, a systematic impact on 5-year survival has been observed for patients treated divergently from the guideline recommendations. This is an indicator for the appropriate application of guidelines. A maximization of guideline-based decisions instead of the ubiquitous demand of guideline adherence maximization is advocated.
Eosinophilic cholangitis is a potentially underdiagnosed etiology in indeterminate biliary stricture
(2017)
AIM: To investigate presence and extent of eosinophilic cholangitis (EC) as well as IgG4-related disease in patients with indeterminate biliary stricture (IBS).
METHODS: All patients with diagnosis of sclerosing cholangitis (SC) and histopathological samples such as biopsies or surgical specimens at University Hospital Frankfurt from 2005-2015 were included. Histopathological diagnoses as well as further clinical course were reviewed. Tissue samples of patients without definite diagnosis after complete diagnostic work-up were reviewed regarding presence of eosinophilic infiltration and IgG4 positive plasma cells. Eosinophilic infiltration was as well assessed in a control group of liver transplant donors and patients with primary sclerosing cholangitis.
RESULTS: one hundred and thirty-five patients with SC were included. In 10/135 (13.5%) patients, no potential cause of IBS could be identified after complete diagnostic work-up and further clinical course. After histopathological review, a post-hoc diagnosis of EC was established in three patients resulting in a prevalence of 2.2% (3/135) of all patients with SC as well as 30% (3/10) of patients, where no cause of IBS was identified. 2/3 patients with post-hoc diagnosis of EC underwent surgical resection with suspicion for malignancy. Diagnosis of IgG4-related cholangitis was observed in 7/135 patients (5.1%), whereas 3 cases were discovered in post-hoc analysis. 6/7 cases with IgG4-related cholangitis (85.7%) presented with eosinophilic infiltration in addition to IgG4 positive plasma cells. There was no patient with eosinophilic infiltration in the control group of liver transplant donors (n = 27) and patients with primary sclerosing cholangitis (n = 14).
CONCLUSION: EC is an underdiagnosed benign etiology of SC and IBS, which has to be considered in differential diagnosis of IBS.
Very few people doubt that it is a fundamental demand of justice that members of legal-political normative orders ought to have legal rights that define their basic standing as subjects of such an order. But when it comes to the concrete understanding of such rights, debates abound. What is the nature of these rights – are they an expression of the sovereign will of individuals, or are they based on important human interests? How should these rights be justified – do they have a particular moral ground, and if so, only one or many?
Long noncoding RNAs (lncRNAs) are non-protein coding RNAs regulating gene expression. Although for some lncRNAs a relevant role in hypoxic endothelium has been shown, the regulation and function of lncRNAs is still largely unknown in the vascular physio-pathology. Taking advantage of next-generation sequencing techniques, transcriptomic changes induced by endothelial cell exposure to hypoxia were investigated. Paired-end sequencing of polyadenylated RNA derived from human umbilical vein endothelial cells (HUVECs) exposed to 1% O2 or normoxia was performed. Bioinformatics analysis identified ≈2000 differentially expressed genes, including 122 lncRNAs. Extensive validation was performed by both microarray and qPCR. Among the validated lncRNAs, H19, MIR210HG, MEG9, MALAT1 and MIR22HG were also induced in a mouse model of hindlimb ischemia. To test the functional relevance of lncRNAs in endothelial cells, knockdown of H19 expression was performed. H19 inhibition decreased HUVEC growth, inducing their accumulation in G1 phase of the cell cycle; accordingly, p21 (CDKN1A) expression was increased. Additionally, H19 knockdown also diminished HUVEC ability to form capillary like structures when plated on matrigel. In conclusion, a high-confidence signature of lncRNAs modulated by hypoxia in HUVEC was identified and a significant impact of H19 lncRNA was shown.
Measles virus (MeV) is an aerosol-borne and one of the most contagious pathogenic viruses known. Almost every MeV infection becomes clinically manifest and can lead to serious and even fatal complications, especially under conditions of malnutrition in developing countries, where still 115,000 to 160,000 patients die from measles every year. There is no specific antiviral treatment. In addition, MeV infections cause long-lasting memory B and T cell impairment, predisposing people susceptible to opportunistic infections for years. A rare, but fatal long-term consequence of measles is subacute sclerosing panencephalitis. Fifteen years ago (2001), WHO has launched a programme to eliminate measles by a worldwide vaccination strategy. This is promising, because MeV is a human-specific morbillivirus (i.e. without relevant animal reservoir), safe and potent vaccine viruses are sufficiently produced since decades for common application, and millions of vaccine doses have been used globally without any indications of safety and efficacy issues. Though the prevalence of wild-type MeV infection has decreased by >90 % in Europe, measles is still not eliminated and has even re-emerged with recurrent outbreaks in developed countries, in which effective vaccination programmes had been installed for decades. Here, we discuss the crucial factors for a worldwide elimination of MeV: (1) efficacy of current vaccines, (2) the extremely high contagiosity of MeV demanding a >95 % vaccination rate based on two doses to avoid primary vaccine failure as well as the installation of catch-up vaccination programmes to fill immunity gaps and to achieve herd immunity, (3) the implications of sporadic cases of secondary vaccine failure, (4) organisation, acceptance and drawbacks of modern vaccination campaigns, (5) waning public attention to measles, but increasing concerns from vaccine-associated adverse reactions in societies with high socio-economic standards and (6) clinical, epidemiological and virological surveillance by the use of modern laboratory diagnostics and reporting systems. By consequent implementation of carefully designed epidemiologic and prophylactic measures, it should be possible to eradicate MeV globally out of mankind, as the closely related morbillivirus of rinderpest could be successfully eliminated out of the cattle on a global scale.
An accurate quantification of low viremic HCV RNA plasma samples has gained importance since the approval of direct acting antivirals and since only one single measurement predicts the necessity of a prolonged or shortened therapy. As reported previously, HCV quantification assays such as Abbott RealTime HCV and Roche COBAS AmpliPrep/COBAS TaqMan HCV version 2 (CTM v2) may vary in sensitivity and precision particularly in low-level viremia. Importantly, substantial variations were previously demonstrated between some of these assays compared to the Roche High Pure System/COBAS TaqMan assay (HPS) reference assay, which was used to establish the clinical decision points in clinical studies. In this study, the reproducibility of assay performances across several laboratories was assessed by analysing quantification results generated by six independent laboratories (3× RealTime, 3× CTM v2) in comparison with one HPS reference laboratory. The 4th WHO Standard was diluted to 100, 25 and 10 IU/ml, and aliquots were tested in triplicates in 5 independent runs by each assay in the different laboratories to assess assay precision and detection rates. In a second approach, 2 clinical samples (GT 1a & GT 1b) were diluted to 100 and 25 IU/ml and tested as described above. While the result range for WHO 100 IU/ml replicates across all laboratories was similar in this analysis, the CVs of each laboratory ranged from 19.3 to 25.6 % for RealTime laboratories and were lower than CVs of CTM v2 laboratories with a range of 26.1–47.3 %, respectively, and also in comparison with the CV of the HPS reference laboratory (34.9 %). At WHO standard dilution of 25 IU/ml, 24 replicates were quantified by RealTime compared to 8 replicates with CTM v2. Results of clinical samples again revealed a higher variation of CTM v2 results as compared to RealTime values. (CVs at 100 IU/ml: RealTime: 13.1–21.0 % and CTM v2: 15.0–32.3 %; CVs at 25 IU/ml: RealTime 17.6–34.9 % and CTM v2 28.2–54.9 %). These findings confirm the superior precision of RealTime versus CTM v2 at low-level viremia even across different laboratories including the new clinical decision point at 25 IU/ml. A highly precise monitoring of HCV viral load during therapy will remain crucial for patient management with regard to futility rules, therapy efficacy and SVR.
SAFE Newsletter : 2017, Q1
(2017)
Background: Establishing a strong link early on between preclinical coursework and the clinical context is necessary for students to be able to recognize the practical relevance of the curriculum during their preclinical anatomical courses and to transfer knowledge more easily. Our objective was to enhance the clinical relevance of a preclinical anatomy course for second-year medical students of dentistry by implementing an interdisciplinary skills training course on "Palpation of the Head and Neck Muscles" and to measure the learning outcomes.
Methods: For the curricular development of the expanded course module, Kern’s 6-step approach was applied including subjective evaluation. We used a peer-teaching format supported by an e-learning application. A randomized control study measured effects of the two components (skills training, e-module) on learning outcomes. Four learning methods were compared: (1) lecture, (2) lecture + e-module, (3) lecture + skills training, (4) lecture + skills training + e-module. An objective structured clinical examination (OSCE) was used to measure and compare learning outcomes.
Results: The two-way variance analysis demonstrated that participation in the skills training had a statistically significant effect on the OSCE results (p = 0.0007). Students who participated in the skills training did better (φ 107.4 ± 14.4 points) than students who only attended the lecture (φ 88.8 ± 26.2 points). Students who used the e-module but did not attend the skills training earned a slightly but not significantly higher average number of points (φ 91.8 ± 31.3 points) than those who only attended the lecture. The learning outcomes of the skills training were again significantly increased when the training was combined with the e-module (φ 121.8 ± 21.8 points), thus making it the ideal method for achieving the learning objectives defined in this study.
Conclusions: The "Palpation of the Head and Neck Muscles" interdisciplinary skills training course linking basic anatomical knowledge and clinical skills led to clearly improved learning outcomes for both, anatomical knowledge and clinical skills. The additional use of an e-learning tool (e-module) improved the learning effect.
Hypoxia triggers several mechanisms to adapt cells to a low oxygen environment. Mitochondria are major consumers of oxygen and a potential source of reactive oxygen species (ROS). In response to hypoxia they exchange or modify distinct subunits of the respiratory chain and adjust their metabolism, especially lowering the citric acid cycle. Intermediates of the citric acid cycle participate in regulating hypoxia inducible factors (HIF), the key mediators of adaptation to hypoxia. Here we summarize how hypoxia conditions mitochondria with consequences for ROS-production and the HIF-pathway.
Der urheberrechtlich konnotierte Begriff des Plagiats zählt zu den anerkannten Grundtatbeständen wissenschaftlichen Fehlverhaltens. Der Beitrag zeigt indes, dass das Urheberrecht und das Wissenschaftsrecht keine konzentrischen Kreise bilden, sondern unterschiedliche Zwecke mit je anderen Regelungskonzepten verfolgen. Die Übernahme urheberrechtlicher Argumentationsmuster in die Wissenschaftsethik und das Wissenschaftsrecht erschwert die Herausbildung spezifisch wissenschaftsbezogener Kriterien zur Beurteilung wissenschaftlichen Fehlverhaltens. Als Alternative entwickelt der Beitrag ein Konzept wissenschaftlicher Redlichkeit, das sich am Recht gegen unlauteren Wettbewerb orientiert. Dazu werden weitreichende teleologische und strukturelle Gemeinsamkeiten des Lauterkeitsrechts und der Regeln zu wissenschaftlichem Fehlverhalten aufgedeckt. Insbesondere verfolgen beide Materien eine funktionale Teleologie. Das Lauterkeitsrecht gewährleistet die Funktionsbedingungen des wirtschaftlichen Wettbewerbs, das Verbot wissenschaftlichen Fehlverhaltens sichert die Funktionsbedingungen und damit zugleich den Zielerreichungsgrad des offenen Wissenschaftsprozesses und des Wettbewerbs um wissenschaftliche Reputation.
This paper reexamines the current legal landscape regarding the protection of trade marks and other industrial property rights in signs on the Internet. It is based on a comparative analysis of EU and national laws, in particular, German, U.S., and U.K. law. It starts with a short restatement of the principles governing trade mark conflicts that occur within a particular jurisdiction (part 2) and proceeds to the regulation of transnational disputes (part 3). This juxtaposition yields two basic approaches. Whereas trade mark conflicts within closed legal systems are generally adjudicated according to a binary either/or logic, transnational disputes are and should indeed be solved in a way that leads to a fair coexistence of conflicting trade mark laws and rights under multiple laws. This paper explains how geolocation technologies can alleviate the implementation of the principle of fair coexistence in concrete cases.
Die Geschichte des Urheberrechts ist die Geschichte seiner Expansion. In diesem Beitrag wird die Expansionsgeschichte des Urheberrechts, in der das Urheberrechtsgesetz 1965 letztlich nur eine, wenn auch wichtige Episode darstellt, in Anlehnung an Thesen des 1944 erschienenen, wirtschaftssoziologischen Klassikers „The Great Transformation. Politische und ökonomische Ursprünge von Gesellschaften und Wirtschaftssystemen“ von Karl Polanyi gedeutet. Im Zentrum steht dabei der Gedanke, dass in einer Informationsgesellschaft, deren Wirtschaft auf Märkten und Wettbewerb beruht, alle neuen Technologien und hiermit verknüpften immateriellen Leistungsergebnisse über Ausschließlichkeitsrechte zugeordnet werden müssen, damit gewährleistet ist, dass alle relevanten In- und Outputfaktoren handelbar sind, so dass ihre jeweiligen Erzeuger marktbasierte Einkünfte erzielen können. Der Aufsatz erläutert, dass sich diese Kommodifizierungslogik in der jüngeren deutschen Urheberrechtsgeschichte nachweisen lässt. Auf die soziologische und rechtliche Relevanz der entgegengesetzten Zugangsnorm wird im Schlussteil hingewiesen.