The empowerment of patients is a well-established practice in the treatment of diabetes. Measuring your own blood sugar and adjusting your medication to the self-monitored data is common practice. For patients with high blood pressure this patient empowerment is less prevalent. A medical study carried out in Valencia (Spain) by Martínez-Ibáñez et al. (2024) has tested the effects of such a self-monitoring and self-medication experiment.
The results publishes in (JAMA) gave rise to considerable attention in the profession as the empowerment of patients is one way out of the likely increasing shortage of medical professionals in aging societies. Whereas other studies found that total costs to the medical system might increase, the study in Spain provides evidence of the cost-reduction effect of such an empowerment. 24 months after the beginning of the trial. After the establishment of a “medication based on an individualized prearranged plan used in primary care” the self-administering participants achieved a significant decrease in their blood pressure that lasted until the end of the study after 2 years. The drop-outs of the study seem to follow a random pattern.
The conclusion gives support to the potential of patient empowerment in the widespread treatment of higher blood pressure beyond the regular visits of medical doctors. The monitoring of changes in lifestyle add to this to keep the costs of health care under control in aging societies. 
Schinkel Winkel
Was wäre Berlin ohne Schinkel. Die Berlinerin sagt sogar, „in jedem Winkel steht ein Schinkel“. Das trifft das historische Berlin schon recht gut. Am Charlottenburger Schloss mit seinem schönen rechteckigen Parkanlagen, ganz nah, steht das sogenannte „Schinkel Palais“, genauer heißt es das Neuer Pavillon. Wenn Könige reisen ließen sie schon mal ganz gerne eine Kopie einer schönen Architektur in ihrem Park anfertigen. Das Vorbild eines italienischen Palazzos war hinreichend eindrucksvoll, um Schinkel mit einem Nachbau zu beauftragen. Viele rechte Winkel ließ der Schinkel mauern. Die verhältnismäßig kleinen Innenräume sind heute mit zeitgenössischen Bildern ausstaffiert. Da darf der Caspar David Friedrich natürlich nicht fehlen. 200 Jahre nach Beginn des Bauens am Schinkel Pavillon lässt sich noch recht gut sozusagen in die Epoche eintauchen. In einem etwas abgelegenen Winkel vom großen Schloss lässt sich somit die Zeitreise architektonisch Fortsetzen und mit weiteren Kunstgegenständen verknüpfen. Es ergibt sich so eine „dichte Beschreibung“ der Berlin prägenden Epoche.
Jury Competition
We can enjoy a lot of competitions in the field of the arts. In each of these competitions there is a different kind of rationale about how to judge the performances of candidates. The composition and competence of the members of the jury are of particular importance. We all tend to agree on this. However, the basic aim or direction of the competition needs to be defined or even redefined from time to time. Some perceive a competition useless if for example nobody takes notice of the results or the event. A good fight or drama within the jury helps to attract attention to it even if candidates suffer at times. The Belgian Music competition „Concour de la Reine Elisabeth“ has an annual major competition of young musicians competing for the beginning of a career as soloist. All phases of the competition are up for streaming so we all can watch and form our own opinions on the many candidates. It is not just the solo performance which counts but also the team performance with orchestra and the openness to new compositions in the realm of classical music. There is no vote of the public (yet?) like in the widely followed „European song contest“ but public acclaim does not leave a jury unmoved I believe. Tough work for jurors to single out small differences of fairly high standards to even enter the competition. The success of a jury has probably another evaluation criteria which consists in the follow up of candidates 5 or 10 years after the event or the awards. The making or destroying of careers as solo performers might hinge on very small differences on a single day. One competition with several prizes awarded is an encouraging way to promote musicians or other artists.
Dietrich Gabin
In French cinema Jean Gabin is a much adored person. Equally, Marlene Dietrich had, probably an even more far reaching international career. Both were accomplished and successful actors long before the 2nd world war broke out. In the U.S both fell in love and had a long lasting romance together. Their war time activities and “engagement” in fighting Nazi-Germany were extraordinary. It meant that both took active roles to use their charisma to mobilize people and soldiers to fight for freedom.
Shortly after the war then, both made a last attempt to work together in a movie production, but it could not unite the couple again. The “Deutsche Kinemathek” displays currently a page from the Diary of the “Diva” to underscore to what extent “Dietrich” was depressed about the break-up of their longer lasting love affair. Some say Gabin was the only person who quit her, all (most?) other relationships were terminated by the Diva. The junctions of biographies are hard to predict. The circumstances of the 2nd world war and internalized civic obligations to fight for freedom and democracy were wholeheartedly shared by both, but eventually they grew apart nevertheless. Tough experiences even for the much adored persons on the forefront of the stages worldwide. There seem to be many instances of repetition of the same story not only in movies, but also in real life.
Image: Deutsche Kinemathek Museum 2024-5 
Image History
The archives of the history of movies and/or television show to us the multiple ways how images capture our attention and memories. Visual narratives are an own category of our personal and collective memory. The wide range of visual experiences are a powerful way to influence. Not only the movies and stories matter, but the whole range of images associated with the cinema world. Poster collections, newspapers and today the so-called social media multiply the original images. The Deutsche Kinemathek allows a special, critical understanding of image history as Germany has been using and abusing images and movies in a very manipulating manner historically. The message is: do not take images for face value. The ways and techniques to manipulate images have been widely used and are all around us today. Whereas the mass media in previous decades have dominated the collective memories we have entered into an era with many more subcultures that evolve within their own bubble of images. An original attempt to cut 65 movies of German film history into less than 4 minutes is presented in the exhibition (Milkowski and Simbeni). It focuses on gestures and “les regards”, “Blicke”, how the actresses and actors seem to look at us. Eyes capture attention, and this as soon as we open our eyes as children. Our brain works as image recorder and our memory algorithms tend to favor image recognition while processing images continuously. We do not know much about our own image sorting algorithm or algorithms yet. Research on aging of the brain gives some hints. With declining short term memory the images stored in long term memory take the upper hand. This makes an understanding of the history of images even more important.
Deutsche Kinemathek
Just in the vicinity of the Potsdamer Platz in Berlin you’ll find the Deutsche Kinemathek, the museum movies, actors, actresses, directors and the history of cinema in Germany. There is a small specialized library in the Kinemathek that allows to dive not only into journals and books, but also video material, scenarios and accessories. Of course, you will find a lot of material on all sorts of movie stars (heroines) over more than a hundred years. The “Divas” of the industry take up a large part of the exhibition. “Marlene Dietrich” much more than “Hildegard Knef“, the former born and the latter lived for a long time in Berlin-Schöneberg (Berlin-Pretty-Hill as some locals call it nowadays). The 2 Divas probably caused the funny translation. Anyway, the hall in the Kinemathek which is exclusively devoted to Marlene Dietrich impresses with a lot of glamour and mirrors around.
For those with not only a biographical, but also life course interest in cinema cherish the public access to the library. The most impressive table there is the desk with access to the Ukrainian movies and about cinema in Ukraine. A list with QR-codes allows you to readily approach the recent developments before and during the Russian aggression on Ukraine (See image below). After all Potsdamer Platz in Berlin was a hot-spot of the cold war period in the divided Berlin. A little bit of a “Metropolis-atmosphere” can still be felt. The Kinemathek explains well what this is all about. 
Deutsch Deutscher
In English grammer we use comparative adjectives to express that something or someone has changed or undergoing change. Germany might have become more German. The second usage is to make comparisons not only between two points in time, but between two statuses or of two artefacts more generally. The statement “Deutschland wird deutscher”, therefore, intends to describe an ongoing process or the transition process from one state to the other. This statement as such does not offer any explanation or definition of the original state, nor of the second point of reference. It might just describe the dynamics or the direction of the dynamics. In this example it deals with social dynamics. Germany in the 21st century is posing more questions about its identity and future directions than some time ago. The artist Katharina Sieverding has put up this reflection as a poster on walls to provoke discussions about the way to identify and deal with German identities in the early 1990s, shortly after re-unification of the 2 parts of Germany (Image below from “Nationalgalerie für Gegenwartskunst, Hamburger Bahnhof, Berlin” 2024-5).
30 years later we are scared by a ruthless right-wing extremist and brutal movement that takes to the streets and commits crimes.
It is no surprise that the Higher Administrative Court in Cologne has confirmed that the “BfV’s classification of the party AfD and of its youth organisation as a “Verdachtsfall” (subject of extended investigation to verify a suspicion) as well as the publicising of this classification to be lawful“.
It is a step ahead to become “deutscher” if we battle out such decisions in courts rather than by force on the streets, although this has failed once in German history already. The poster action by Katharina Sieverding is a reminder to monitor and deal with these topics continuously, albeit the knifes may be coming in closer than before. Being frightened is no option in order to defend democratic values. 
Killing me softly
The problem with pollution is, it is killing you softly from inside. It is almost impossible to escape air pollution as it is pervasive in cities, but also in the countryside where you do not expect it that much. This is the result of the study by Kuzma et al. (2024) published in “The Lancet Regional Health Europe”. Based on a data set of 8 million persons from Eastern Poland the effects of air pollution on myocardial infarction incidence was analysed. The use of the “European Union’s Earth Observation Programme” contributed data on air pollutants like PMs, BaP (benzo(a)pyrene), SO2 and NO2 concentrations. The multi-level data of 5 voivodeships, 101 counties, and 709 communities in Poland allows to differentiate the effects of damage to the heart tissue on cardiovascular disease. The other well-known factors are arterial hypertension, diabetes, obesity, chronic kidney disease, hyperlipidaemia, and smoking as most of us know already. The effects of BaP (benzo(a)pyrene) is shown for rural areas despite the lower observed traffic density in these areas. The killing occurs softly from within our bodies by just breathing in and out, and in and out continuously. The disease burden in these regions is observed with “recorded 63,154 hospitalizations and 5921 in-hospital deaths (9.4%) due to STEMI; and 76,543 hospitalizations and 4079 (5%) in-hospital deaths due to NSTEMI”. In short, the need to reduce air pollution further is an urgent demand that saves lives eventually.
(Image from public domain wikipedia or “do-it-yourself” here).
Attune Spheres
In Berlin it is easy to walk through the history of art to up-to-date contemporary art installations. Just walk from the Alte to the Neue and then to the Contemporary Nationalgalerie. With the installation and performance in the monumental Hamburger Bahnhof the artist Alexandra Pirici succeeds in an extraordinary way the combined impression of several art formats. I felt particularly attracted by the sound and resonance that the dancers achieved in the huge historical hall of the former train station. Embedded in a choreography that spans the whole hallway and the top of a sand dune, the ideas of „Attune“ bring in demonstrations of scientific experiments as well. We are reflecting on how structures, biological, physical or geologic processes coexist. It is another example of the intersection of biological, psychological and social phenomena. The links between science and art are more direct than what most people tend to believe. This encompassing experience catches all our senses and our mind. It is very likely that this intense experience in the museum space, which attunes our sensory perception of the artwork, sticks with us for longer than many other pieces of art. The 21st century will reveal an even more powerful language of art as it incorporates even more formats to grab our attention and imagination. The research of how patterns are formed is an important question for social scientists as well. All approaches to the subject are welcome and each one reveals our knowledge gaps despite remarkable progress. (Image: Hamburger Bahnhof, Berlin 2024-5-11, Alexandra Pirici) 
Silent Pandemic
There is a pandemic that is silently spreading across countries and continents. It only indirectly related to the Covid-19 pandemic. The medical journal “The Lancet Respiratory Health” (2024) has an editorial about the inequities of asthma as they develop over the life course. The development of asthma has pre-natal, genetic, environmental, life-style and socio-economic co-determinants. The study of respiratory disease, therefore, is a multi-factorial issue, which needs to disentangle the specific influences. Smoking as well as obesity have an impact on asthma, instantaneously or with delayed time effects of sometimes many years. Hence, it is important to take the whole life course into account, if we want to address the rising disease burden of asthma. Air pollution and heating-up of the planet are important drivers of the silent asthma pandemic across the globe. The social distribution of people working in “asthma- prone” work environments and/or living in highly polluted urban, suburban or rural areas near high frequency traffic is another latent factor causing huge costs to persons and society as a whole. Health inequity is growing over the life course. This is not easy to tackle as policy target as the onset of the disease has no single trigger, but rather a combination of influences that contribute in varying amounts to the evolution of respiratory diseases. (Image air pollution https://aqicn.org/map/germany/de/)
