The patriarch of experimental pancreas research is REIGNIER DE GRAAF (1641-1673). He carried out the first experiments with dogs in order to ob tain fistular secretion (1664). But only few years later, the just arisen interest in the physiology of the pancreas was severely set back by remarks of CONRAD BRUNNER. In 1682, BRUNNER expressed his belief that on the basis of experi ments he had carried out the pancreas was a vitally unimportant organ. He overlooked that after ligation of the main duct (discovered in the turkey by HOFMAN in 1641 and in a human cadaver by WIRSUNG in 1642), in the dog an accessory duct (described by SANTORINI in 1724) usually maintains an adequate flow of secretion. EBERLE in his monograph (1834) confirmed the emulsifying capacity of the pancreatic juice which had already been suggested by SYLVIUS (FRAN CISCUS DE LE BOE, 1614-1672) and he dealt with the essential enzymatic functions of the pancreatic juice such as amylolysis, lipolysis and proteolysis. Since HEIDENHAIN (1875), we know that for example trypsin (largely isolated by KUHNE in 1867) is situated in the acinar epithelial cells as zymogen in inactive form; it is thought that the action of "acid" on the glandular tissue is needed for inducing the "enzymatic activity." According to what we know now about the central role of acidosis in the activation of zymogen this topic is, of course, of topical interest."

Toxoplasmosis is a ubiquitous infection, contracted by at least a third of the population in most areas of the globe. Clinical disease arises rarely, usually unexpectedly, but sometimes with disastrous effects on the patient. Humans, pets, farm and zoo animals may contract toxoplasmosis, possibly involving any clinical laboratory in its diagnosis. Pathologists must ponder the clinical significance of a hyperplastic l. ymph node, a cyst found at autopsy, or a serologic titer. Serving as scientific physicians, pathologists are asked: How is toxoplasmosis diagnosed? 'What is the treatment for ocular toxoplasmosis, for congenital infection, or for toxoplasmosis in the immunologically compromised host? vVhy does disease develop in as diverse areas as the eye, lymph nodes and placenta? How is Toxoplasma transmitted? This review proposes to survey recent advances, providing a scientific background to diagnose and manage the clinical problems of toxoplasmosis. Reviews are available which emphasize other aspects, such as serologic pro cedures, resistance and immunity (REMINGTON, 1970), the clinical syndromes (DESMONTS, '1969; FELDMAN, 1968) and comprehensive presentations (JACOBS, 1967; FRENI{EL, '1970). Transmission and Prevalence The recent discovery of the coccidian stages of Toxoplasma in the cat intestine and the Toxoplasma oocyst excreted in cat feces, considerably broadens our understanding of Toxoplasma and its transmission (FRENKEL, DUBEY and MILLER, 1970)."

Am 20. September 1986 fand in Miinchen anHiBlich des 65. Geburtstages von Herm Professor Dr. med. Eberhard Buchbom, Direktor der Medi- zinischen Klinik Innenstadt der Ludwig-Maximilians-UniversiHit, ein akademisches Symposium statt. Freunde und Fakultatskollegen spra- chen dabei iiber Probleme, die der Gesamtthematik "Innere Medizin- Entwicklung, Anspruch, Grenzen" aus der Sicht des jeweiligen Faches oder Aufgabenbereichs zugeordnet waren. Fiir die inhaltliche und organisatorische Gestaltung waren verantwort- lich: Renate Pickardt, Jochen Eigler, Eckhard Held, Klaus Hom, Hans Jahrmarker, Riidiger Landgraf, Klaus Loeschke, Otto-Albrecht Miiller, Klaus Jiirgen Pfeifer, Dieter-Erich Pongratz, Burkhard Scherer, Wolf- gang Schramm, Karl Theisen, Eckhard Thiel, Gunther H. Thoenes, Klaus von Werder (alle Medizinische Klinik Innenstadt der Universitat). Die Beitrage werden hiermit einer breiteren Offentlichkeit zuganglich gemacht; dennoch schien es uns richtig, auch im gedruckten Text das "Personliche" zu belassen - den Teilnehmem als Erinnerung, anderen Lesem vielleicht als Weg zu nachtraglicher Teilnahme. Miinchen, im November 1986 1m Namen des Vorbereitungskreises: J. Eigler Inhaltsverz eichnis BegriiBung und Einfiihrung J. EIGLER . . . - . . . . . . - . . . . . . . . . . . . . . . . . . . . 1 . . . . . . Von der Einheit ZUI Spezialisierung H. GOERKE. . . . . . . . . . . . . . . - . . . . . . . . . . . . . . 7 . . . . . . Stellenwert der Physiologie heute K. THURAU. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 14 . . . . Morphologie und klinische Diagnostik M. EDER . . . . . - . . . . - . . . . . . . . - . . . . . . . . .. . . 25 . . . . . Innere Medizin und Psychiatrie H. HIPPIUS . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 35 . . . . . Beziehungen zwischen Dermatologie und innerer Medizin O. BRAUN-FALCO. . - . . . . . . . . . . . . . . . . . . . . . .. . . . 47 . . . Die Versorgung des chronisch Kranken in unserer Gesellschaft E. RENNER . . . . . . - . . . . . . - . . . . . . . . . . . . . .. . . 58 . . . . . "Gesichertes" Wissen - Probleme der Vermittlung H. GOTZE. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 68 . . . . .