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Fragestellung: Zur Therapie von Pseudarthrosen oder größerer Knochendefekte werden in der Praxis häufig Periostlappenplastiken in Verbindung mit einer autologen Knochentransplantation als Revisionsoperation durchgeführt. Dies kann die Frakturheilung fördern. Ziel dieser Studie [zum vollständigen Text gelangen Sie über die oben angegebene URL]

There is a scarcity of literature written about body mapping as a method to understanding mindfulness practice, and even fewer examples of how to undertake this type of research in a tangible way. In this article, we discuss how body mapping was used as part of a qualitative study investigating working mothers' mindful practices. We present a novel approach to integrating mindfulness-based techniques with SOLOMON's body mapping method. We illustrate our experiences by 1. sharing an overview of body mapping as a method, and 2. reviewing practical issues we encountered including: a) ethical issues, b) how to approach analysis, and c) body mapping within social research. Body mapping can be a fun and expressive experience for participants of social research. It can also be a confusing and overwhelming experience for researchers and participants new to the method. Through the article, we offer some insights and assurances about how to proceed with body mapping projects, including details such as how to generate questions for body mapping sessions, and a thorough consideration of steps to consider for analysis., Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, Vol 21, No 2 (2020): Challenging Times— Qualitative Methods and Methodological Approaches to Research on Time

Summary Background Microcystic adnexal carcinoma (MAC) is a rare cutaneous malignancy characterized by aggressive local infiltration, including a high propensity for perineural invasion. Histologically it can be easily confused with benign adnexal tumors, which often leads to inappropriate initial treatment. As a consequence delayed surgical excision often requires removal of large cutaneous masses which can be followed by challenges in reconstruction. Methods We report the case of a challenging reconstruction of a large forehead defect by a modified AT flap with central Burow's triangle grafting and previous wound conditioning using hyaluronic acid after complete micrographic removal of MAC. Results A 80-year-old healthy female presented with an almost six year history of an asymptomatic slowly progressing skin mass previously biopsied and diagnosed as benign syringoma five years in advance. Deep biopsies confirmed MAC. She underwent staged surgical excision with Tubingen torte technique with removal of the frontal periostium. A skin substitute of esterified hyaluronic acid was applied for three weeks to the bone-deep 6×7 cm defect leading to good granulation tissue above the bone. Final reconstruction was achieved by an AT flap combined with full thickness skin transplantation of the central dog ear. The cosmetic outcome was satisfactory, no recurrence was observed within 18 months follow-up. Conclusions We confirm the histological difficulties in the diagnosis of this tumor entity and the large extension of MAC due to delay in diagnosis and treatment. Deep tumor removal including the periostium might be necessary to achieve tumor free margins. Fast granulation tissue above the frontal bone might be achieved by applying hyaluronic acid products. The combination an AT flap with transplantation of the adjacent Burow's triangles gives optimal skin texture and color matching and seems to be a good option to close even large defects of the front especially for supra brow defects.

The German pages of the Internet were searched for the presence of the hallucinogenic herbal drug Salvia divinorum, which is not dealt with in current addiction medicine or psychiatric text books. The investigation is part of the EU sponsored project "Psychonaut" as preparatory work for the development of an Internet-based early warning system.The first 100 websites of the search using "Salvia divinorum" were compared with the search results for "cannabis" and "LSD". The following aspects of the sites were especially analyzed: the originator, marketing of drugs, and the attitude towards drug use.Salvia was offered for sale on approximately a third of the sites (29%); cannabis and LSD were not marketed on any sites. Official websites such as those from governmental organizations or universities were seldom found when searching for "Salvia divinorum", and then only under the last hits. The percentage of institutional sites (e. g. public organizations) were 12% with Salvia, 21% with cannabis, and 38% with LSD. A drug-friendly attitude was found at 64 % of the sites with regard to Salvia, 58% for cannabis, and 24% for LSD.The drug help system must be aware of that the Internet is a source of drug-related information, and of drug trade. As this investigation shows, sites often have a drug-friendly attitude. The low availability of official information on Salvia divinorum (also outside the Internet) relative to the presence of drug-friendly or drug trading sites is an indication that new trends of drug consumption can be tracked in the Internet before they will be found in official literature.

Rockets are the only direct anthropogenic emission sources into the upper atmosphere. Gaseous rocket emissions include CO, N2, H2, H2O, and CO2, while solid rocket motors (SRM) additionally inject significant amounts of aluminum oxide (Al2O3) particles and gaseous chlorine species into the atmosphere. These emissions strongly perturb local at- mospheric trace gas and aerosol distributions. Here, the previous aircraft measurements in various rocket exhaust plumes including several large space shuttle launch vehicles are compiled. The observed changes of the lower stratospheric composition in the near field are summarized.