Berechnung des Pflichtbeitrags eines niedergelassenen Arztes zum ?rztlichen Versorgungswerk bei Insolvenz

1. Wird dem Insolvenzsschuldner von den Gl?ubigern die Fortführung seiner Arztpraxis gestattet (sog. Betriebsfortführung), stellen die Pflichtbeitr?ge zur Altersversorgung sonstige Massenverbindlichkeiten dar, die gem. § 53 InsO vorweg durch den Insolvenzverwalter zu berichtigen sind. 2. Der Umstand, dass die Gl?ubigerversammlung im Rahmen der Betriebsfortführung für den fortführenden Arzt einen bestimmten monatlichen Unterhalt festgesetzt hat, bedingt keine Umqualifizierung der T?tigkeit als niedergelassener Arzt in eine Angestelltent?tigkeit. Die Pflichtbeitr?ge zur Altersversorgung sind daher nach den für Niedergelassene geltenden Satzungsbestimmungen zu berechnen, so dass nach wie vor allein der in der Praxis erzielte Gesamtumsatz und nicht der dem Arzt gew?hrte Unterhaltsbetrag als Berechnungsgrundlage für den Beitragssatz heranzuziehen ist.     

Coccidioidal peritonitis associated with continuous ambulatory peritoneal dialysis

We report the first three cases of peritonitis due to the fungus Coccidioides immitis occurring during continuous ambulatory peritoneal dialysis (CAPD). At the time of diagnosis, none of the patients had evidence of active infection outside of the peritoneal cavity. Clues suggesting the diagnosis including a previous history of pulmonary coccidioidomycosis, an excess number of eosinophils in the peritoneal fluid, and failure to respond to therapy directed against bacteria. C immitis in peritoneal fluid was more readily isolated on specific fungal culture media than on routine bacterial culture media. In no instances did potassium hydroxide (KOH) preparations of the fluid reveal fungi. Coccidioidal peritonitis during CAPD appears to be a localized form of extrapulmonary coccidioidomycosis that has a relatively benign course once the peritoneal catheter is removed.     

Vorrang des EU-Rechts im Approbationsrecht

1. Nach § 2 Abs. 1 S. 7 ZHG wird die Approbation nicht erteilt, wenn die naturwissenschaftliche Vorprüfung, die zahn?rztliche Vorprüfung oder die zahn?rztliche Prüfung nach der ZAppO endgültig nicht bestanden wurde. 2. Diese Regelung ist in Hinblick auf Art. 12 GG nicht zu beanstanden; allerdings bestehen gegen die Gültigkeit des § 2 Abs. 1 S. 7 ZHG verfassungsrechtliche Bedenken in Hinblick auf eine fehlende übergangs- bzw. Vertrauensschutzregelung.     

Keine Rundfunkgebühr für den Praxisweg

Abstrakt Fahrten eines Selbst?ndigen von seiner Wohnung zur Arbeitsstelle und zurück stellen eine „private“ Nutzung des Kraftfahrzeuges dar. In diesem Fahrzeug befindliche Zweitger?te unterfallen deshalb nicht gesondert der Rundfunkgebührenpflicht. (Leitsatz der Bearbeiterin)     

Influence of time and mode of exposure on biotransformation of naphthalene by Juvenile starry flounder (Platichthys stellatus) and rock sole (Lepidopsetta bilineata)

Juvenile starry flounder (Platichthys stellatus) and rock sole (Lepidopsetta bilineata) were force-fed 56 Ci each of 1-³H-naphthalene dissolved in salmon oil. Values for radioactivity associated with naphthalene and the metabolite fraction were determined for various tissues and body fluids. Results show that these pleuronectids extensively metabolize dietary naphthalene. The rates of decline in naphthalene concentrations (expressed as disintegrations per minute per milligram of dry tissue) were greater than the rates of decline in metabolite concentrations (dpm/mg) in liver, blood, and skin; therefore, relative proportion of metabolites to naphthalene increased with time and at 168 hr after the initiation of the naphthalene-exposure, more than half of the total radioactivity in both species of fish was associated with the metabolites.Profiles of metabolites in liver, skin, and bile were obtained using thin-layer chromatography. 1,2-Dihydro-1,2-dihydroxynaphthalene constituted 38.7 and 39.7%, respectively, of the total extracted metabolites in livers of the naphthalene-exposed rock sole and starry flounder at 24 hr, whereas the bile from both species contained primarily (>90%) conjugates. From 24 to 168 hr, a significant (P < 0.05) decrease in the proportion of the dihydrodiol derivative and a concomitant increase in the proportion of conjugates—specifically, sulfate/glucoside fraction-were observed with livers of both rock sole and starry flounder. No significant change occurred in the spectrum of biliary metabolites with time. The pattern of metabolites in skin of both species was qualitatively similar to that in liver; however, the proportion of the dihydrodiol was greater in skin than in liver at 24 hr.When naphthalene (56Ci) dissolved in salmon oil was administered to starry flounder via intraperitoneal injection, the extent of biotransformation was less than after dietary exposure. Moreover, metabolites in the livers of the fish in the injection study were predominantly (76.7% of total extracted metabolites) non-conjugates at 24 hr. Once again, from 24 to 168 hr, an increase in the proportion of the sulfate/glucoside fraction and a concomitant decrease in the proportion of the dihydrodiol was observed with liver.These studies demonstrate that the extent of biotransformation of naphthalene and the types of metabolites remaining in tissues (e.g., liver) of flatfish are greatly influenced by both the mode of exposure and the time elapsed after the exposure is initiated. It appears therefore, that different exposures (e.g., in water, food, or sediment) of pleuronectids to polycyclic aromatic hydrocarbons may result in different degrees of alteration in genetic material because of variability in accumulation of non-conjugated metabolites, some of which are implicated in covalent binding with DNA in terrestrial mammals.