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Chronic pain affects all aspects of human life, which raises spiritual questions that should be included within the framework of multimodal care.

We investigated the perspective of patients with chronic pain around spiritual concerns and their potential integration into care.

We conducted five focus group interviews and two small group interviews. In total, 42patients with chronic pain in outpatient or inpatient pain care at the time of the study participated. The interviews were transcribed and thematically analyzed.

Three themes emerged (1)Chronic pain permeates the entity of aperson's existence. (2)Spiritual resources are potentially supportive in living with chronic pain. (3)Patients appreciate the opportunity to engage with health care professionals in adialog that encompasses spiritual concerns. check details For participants, these concerns have considerable relevance. In many cases participants associated them with religious convictions, but not exclusively. They often related feeling that their pain experience was dismissed.

Finding strategies for effectively dealing with chronic pain represents aturning point in life. Open discussion with health care professionals that allow for spiritual issues facilitates this process.

Finding strategies for effectively dealing with chronic pain represents a turning point in life. Open discussion with health care professionals that allow for spiritual issues facilitates this process.Wearing a compression stocking over a longer period of time can lead to deep skin and soft tissue defects. This article presents a case of a circular necrosis with an exposed tendon of the tibialis anterior muscle and the Achilles tendon. The use of a peroneus brevis muscle flap led to an adequate coverage of the exposed Achilles tendon. Due to the short operating and anesthesia times, this flap is a good option for lower leg reconstruction, particularly in multimorbid patients. This case raises awareness of the importance of adequate patient training before commencing compression therapy.

Hip replacement for pertrochanteric femoral fractures (PF) is challenging due to its complexity. Studies regarding this procedures are limited, therefore this monocentric study was conducted. The null hypothesis was no effect between replacement and internal fixation according to revision and mortality.

Using an electronic database, patients who had received ahip replacement between 2007 and 2016 for aPF with aconcomitant coxarthrosis were included in the study. The comparison group consisted of 1000 osteosyntheses for the treatment of PF. With the exception of coxarthrosis, the same inclusion and exclusion criteria were defined. Surgical revision and mortality with endpoint 2years after the operation were the primary outcomes. At least 2years postoperatively, atelephone follow-up was done with living patients who underwent replacement.

Records of 90hip replacements and 15baseline characteristics were reviewed (e.g., age, sex, body mass index, preoperative blood values, ASA classification, dementia, frat coxarthrosis. Further studies are mandatory to provide the appropriate treatment for patients with this fracture pattern.

In this study, a significantly higher rate of infection and mortality was observed in patients with hip replacement for a PF and with a concomitant coxarthrosis; compared to osteosynthesis of PF without coxarthrosis. Further studies are mandatory to provide the appropriate treatment for patients with this fracture pattern.

The COVID-19 pandemic has created multiple challenges for health care, social and economic systems worldwide, but also for school and university teaching. Most learning has been shifted to online classes. So far, it is unclear whether these changes are well received within the student body.

The aim of this study was the evaluation of anewly developed online-based teaching concept for medical students studying radiology during the COVID-19 pandemic.

The concept consisted of 12online seminars of the 11-week course "Imaging Procedures", which were combined with 31prerecorded video presentations. Five weeks after the start of the summer term, we conducted an anonymous online survey, which consisted of 12questions and abox for additional comments. Furthermore, we analysed the number of requests of the presentations, the duration and the average viewing time.

In all, 110 of 213students (51.6%) completed the survey; 72.7% stated that the new teaching concept drew their interest for radiology, 78.2% agreed that it incited self-study as well as would facilitate time- and place-independent learning (95.5%). The majority indicated that the time investment for the video presentations was appropriate, but shorter video sections would simplify the learning process (70.9%) and the ideal timeframe would be 10-20 min. The majority (80.9%) agreed that the concept should be maintained in upcoming semesters.

This newly developed online-based teaching concept enjoys high acceptance rates among students. It offers advantages such as time- and location-independent learning, possibilities for self-study and should be maintained in upcoming semesters after the end of social distancing due to the COVID-19 pandemic.

This newly developed online-based teaching concept enjoys high acceptance rates among students. It offers advantages such as time- and location-independent learning, possibilities for self-study and should be maintained in upcoming semesters after the end of social distancing due to the COVID-19 pandemic.

The reconstruction of defects in the foot region is achallenge due to the anatomical peculiarities of the soft tissue covering.

This article presents the results of the reconstruction of postoperative foot defects using the free femoral periosteal flap (FFPF).

In apatient collective (n = 10) with postoperative wound healing disorders of the foot, the defect zone was covered using avascularized FFPF from the distal femoral region. The wound healing process was retrospectively analyzed.

The mean follow-up time was 20.2 ± 8.22 months (7-35months). All patients had asoft tissue defect in the foot region with amean area of 17.9 ± 3.72 cm

(12-24 cm

). On average, awound healing disorder occurred 2 weeks after the primary surgery. In the group of patients followed up the vascularized FFPF enabled astable, definitive and aesthetically pleasing reconstruction and contributed to the bony consolidation. The duration of inpatient care after defect closure was 8-10days and was significantly less than the duration of wound management prior to transplantation of the FFPF.