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Microsurgical free flap reconstruction in acute burn care offers the option of reconstructing even challenging defects in a single stage procedure. Due to altered rheological and hemodynamic conditions in severely burned patients, it bears the risk of a higher complication rate compared to microsurgical reconstruction in other patients. To avoid failure, appropriate indications for free flap reconstruction should be reviewed thoroughly. Several aspects concerning timing of the procedure, individual flap choice, selection and preparation of the recipient vessels, and perioperative measures must be considered. Respecting these specific conditions, a low complication rate, comparable to those seen in microsurgical reconstruction of other traumatic limb defects, can be observed. Hence, the free flap procedure in acute burn care is a relatively safe and reliable tool in the armamentarium of acute burn surgery. In reconstructive burn care, microsurgical tissue transfer is routinely used to treat scar contractures. Due to the more robust perioperative condition of patients, even lower rates of complication are seen in microsurgical reconstruction.
Ein besonders sensibler – und von der Öffentlichkeit kaum wahrgenommener – Lebensraum befindet sich unter der Erdoberfläche. Natürliche Höhlen und künstliche Hohlräume (z.B. Bergwerksstollen) beherbergen eine Vielzahl von Tierarten, die auf für sie lebenswichtige konstante Umweltbedingungen angewiesen sind. Schon kleine Eingriffe des Menschen in diese Ökosysteme können negative Auswirkungen auf die biologische Vielfalt des subterranen Lebensraums haben, die nicht mehr rückgängig zu machen sind. Die Biospeläologie widmet sich der Erforschung des Lebens in Höhlen und der damit verbundenen ökologischen Zusammenhänge. Jedes Jahr werden für die Wissenschaft neue Arten entdeckt, was natürlich auch daran liegt, dass die Erforschung der subterranen Organismen noch an ihrem Anfang steht.
Rezension zu: Fabian Schuppert, Freedom, Recognition and Non-Domination: A Republican Theory of (Global) Justice (Dordrecht: Springer, 2014).
As the numbers of people moving internationally increased in the nineteenth and early twentieth centuries, states tried more rigorously to regulate borders and counteract the problem of fugitives crossing international borders to evade arrest. This presented a legal challenge to domestic state power that increasingly defined its sovereignty on jurisdiction within borders. It is this issue and within this important era of globalization and law formation that Bradley Miller’s book examines how British North American colonies and post-Confederation Canada reacted to the problems posed by international fugitives through ideas and practices of extradition. His work goes beyond the traditional perspective of examining extradition treaties to view the practices of extradition in action, the everyday challenges states faced, and how the key concepts of sovereignty and international law were understood in relation to extradition. ...
Published in good time for the 2014 "Karlsjahr", marking 1200 years since the emperor’s death, Johannes Fried’s latest book is intended to make specialist scholarship on Charlemagne accessible to a broad audience. Judging by the impressive sales figures, it has admirably fulfilled that purpose. That is not however to say that it is an anodyne synthesis of current research. The picture of the Frankish ruler it provides is very much the author’s own, as he himself emphasises, so there is little danger that it might be lost to sight amongst the many other biographies currently available. ...