Journal of Burn Care & Research最新文献

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Monocyte Anisocytosis Changes in Patients After Major Burn Injuries. 大面积烧伤后患者单核细胞异形增殖的变化
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae088
Saeed Nazemidashtarjandi, Sinan Muldur, Matthew D Supple, Colleen M Ryan, Lael M Yonker, Murat N Karabacak, Jeremy Goverman, Martin L Yarmush, Daniel Irimia
{"title":"Monocyte Anisocytosis Changes in Patients After Major Burn Injuries.","authors":"Saeed Nazemidashtarjandi, Sinan Muldur, Matthew D Supple, Colleen M Ryan, Lael M Yonker, Murat N Karabacak, Jeremy Goverman, Martin L Yarmush, Daniel Irimia","doi":"10.1093/jbcr/irae088","DOIUrl":"10.1093/jbcr/irae088","url":null,"abstract":"<p><p>The recovery of patients after severe burns is a long and complex process. Genomic analysis of white blood cells from burn and trauma patients revealed excessive and prolonged innate immune activation in patients with complicated outcomes. However, translating this knowledge into practical biomarkers has not been possible yet. Although several biomarkers for monitoring burn patients have been proposed, their ability to accurately distinguish between inflammation stemming from initial tissue destruction, infections, and organ failure complications is limited. Here, we focused on monocytes, critical innate immune cells in the response to burn injured tissues. We measured the monocyte anisocytosis (quantified as monocyte distribution width (MDW), a recently emerged marker of sepsis) throughout the recovery of patients from the time of burn injury until the end of the hospital stay. We observed that MDW increases in patients during the first week after major burns. Among the patients with major burns who survive, MDW starts decreasing in the second week and normalizes by the end of the hospital stay. The duration of hospital stay appears to be proportional to how fast MDW decreases during the second week after the injury. We also found that MDW decreases significantly in most patients after excision and debridement surgeries but not after allo- and auto-graft surgeries. Moreover, high MDW values correlated with a higher rate of positive microbiology blood culture samples and respiratory infections. These findings underscore the importance of monitoring MDW as a potential biomarker for the risk of complications during burn patient recovery.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"138-144"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Motion-Mimicking Robotic Finger Prosthesis for Burn-induced Partial Hand Amputee: A Case Report. 为烧伤引起的部分手部截肢者设计的运动模拟机器人手指假肢:病例报告。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae194
So Young Joo, Yoon Soo Cho, Jisu Seo, Yurim Seo, Sangho Yi, Cheong Hoon Seo
{"title":"Motion-Mimicking Robotic Finger Prosthesis for Burn-induced Partial Hand Amputee: A Case Report.","authors":"So Young Joo, Yoon Soo Cho, Jisu Seo, Yurim Seo, Sangho Yi, Cheong Hoon Seo","doi":"10.1093/jbcr/irae194","DOIUrl":"10.1093/jbcr/irae194","url":null,"abstract":"<p><p>Burn injuries often result in severe hand complications, including joint contractures and nerve damage, sometimes leading to amputation. Despite early treatment, hypertrophic scarring frequently hampers hand function recovery, and the thick raised scar blocks electromyography (EMG) sensing. A promising solution involves motion-mimicking robotic finger prostheses tailored to individual patient requirements. By using the versatility of motion-capturing technology on a sound finger, a robotic finger prosthesis can mimic the movement of a sound finger simultaneously with less latency than EMG-based sensory mechanisms through hypertrophic scars. This case study evaluated the clinical efficacy of a customized three-dimensional printed robotic finger prosthesis in a 24-year-old man who sustained left second finger loss due to electrical burns. Despite undergoing reconstructive surgery, the patient struggled with manual dexterity. Following the adoption of a personalized robotic finger prosthesis with a finger motion-capturing device, significant improvements in grip strength and daily task performance were observed. This innovative approach has advantages such as customization, reduced latency time for finger movements, and affordability from low-cost manufacturing, suggesting its potential for broader adoption among burn-induced amputees.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"230-235"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utility of the Severity-of-Illness Score for Toxic Epidermal Necrolysis (SCORTEN) in Pediatric Stevens-Johnson Syndrome Patients. 中毒性表皮坏死症疾病严重程度评分 (SCORTEN) 在小儿史蒂文斯-约翰逊综合征患者中的实用性。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae140
Nina K B Gust, Rebecca M Adams, Ashley Frei, Michelle Coughlin, Justin Klein, Elika Ridelman, Christina Shanti
{"title":"Utility of the Severity-of-Illness Score for Toxic Epidermal Necrolysis (SCORTEN) in Pediatric Stevens-Johnson Syndrome Patients.","authors":"Nina K B Gust, Rebecca M Adams, Ashley Frei, Michelle Coughlin, Justin Klein, Elika Ridelman, Christina Shanti","doi":"10.1093/jbcr/irae140","DOIUrl":"10.1093/jbcr/irae140","url":null,"abstract":"<p><p>The Severity-of-Illness Score for Toxic Epidermal Necrolysis (SCORTEN) is a system that predicts in-hospital mortality for Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis (SJS/TEN). The system is widely utilized in adults but not in pediatrics. We aim to determine the accuracy of the SCORTEN in pediatrics. A retrospective review of pediatric patients admitted to a verified pediatric burn center with SJS/TEN from 2008 to 2022 was performed. Twenty-four patients were analyzed. Ten patients had 0-1 SCORTEN risk factor, 13 had 2 risk factors, and 1 had 3 risk factors. There was no relationship between initial blood urea nitrogen, bicarbonate, glucose, or initial heart rate on the length of an intensive care unit (ICU) stay or ventilator days. Hospital length of stay and feeding tube days were positively related (P < .001) along with length of stay and maximum total body surface areas (P < .05). Hospital length of stay, ICU length of stay, and ventilator days were not statistically significant between those having 0-1 and 2 risk factors. This study suggests that the SCORTEN system is not useful for pediatrics and a different scoring system is needed, as SCORTEN overestimates mortality and does not have a relationship to outcome measures.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"132-137"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A New Surgical Concept for the Efficient Treatment of Large and Deep Burns. 有效治疗大面积深度烧伤的新手术理念。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae103
Gabriel Hundeshagen, Adriana C Panayi, Torsten Hannmann, Leonard Knoedler, Christian Tapking, Alen Palackic, Valentin Haug, Björn Bliesener, Julian Vogelpohl, Felix H Vollbach, Ulrich Kneser
{"title":"A New Surgical Concept for the Efficient Treatment of Large and Deep Burns.","authors":"Gabriel Hundeshagen, Adriana C Panayi, Torsten Hannmann, Leonard Knoedler, Christian Tapking, Alen Palackic, Valentin Haug, Björn Bliesener, Julian Vogelpohl, Felix H Vollbach, Ulrich Kneser","doi":"10.1093/jbcr/irae103","DOIUrl":"10.1093/jbcr/irae103","url":null,"abstract":"<p><p>Effective burn surgery is based on two fundamental principles: prompt excision of necrotic tissue and definitive coverage, preserving functional dermis and body contour. There is often compromise, either prioritizing the urgency of excision or opting for patient stability and optimal conditions prior to autografting. We propose a surgical concept that addresses this critical treatment gap. In 2022, we implemented a new three-phase protocol, EDM: (Excision phase, E) Immediate excision of the burn wound preserving body contour; (Dermis phase, D) definitive temporization of the wound bed, using biodegradable temporizing matrix, to prepare it for successful grafting. Upon complete dermal temporization, full autologous coverage in a single micrografting procedure is achieved (Meek phase, M). We performed a retrospective single-center cohort study to characterize the EDM protocol compared to the prior standard of care (>40% TBSA, n = 5 in EDM vs n = 10 matched controls). Primary outcomes were total surgeries required, total surgeries to achieve>90% healing, uninterrupted recovery time without surgery, and time on mechanical ventilation. The EDM group required fewer surgeries in total (5 vs 9.5; P = .01) and to achieve>90% healing (3 vs 6.5; P = .001). EDM patients experienced longer uninterrupted recovery (25 vs 13 days, P = .001). Additionally, EDM patients spent less time on mechanical ventilation (210 vs 1136 h, P = .005). The EDM protocol could improve surgical efficiency, ultimately having the potential to expedite rehabilitation for severely burned patients. The study underscores the potential of combining the fundamentals of burn surgery, with innovative surgical techniques and materials, in order to bridge the gap between excision and grafting.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"218-223"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advanced Age Worsens Respiratory Function and Pulmonary Inflammation After Burn Injury and This Correlates With Changes in the Fecal Microbiome in Mice. 高龄会使烧伤后的呼吸功能和肺部炎症恶化,这与小鼠粪便微生物群的变化有关。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae101
Rachel H McMahan, Devin Boe, Lauren E Giesy, Kevin M Najarro, Shanawaj Khair, Travis Walrath, Daniel N Frank, Elizabeth J Kovacs
{"title":"Advanced Age Worsens Respiratory Function and Pulmonary Inflammation After Burn Injury and This Correlates With Changes in the Fecal Microbiome in Mice.","authors":"Rachel H McMahan, Devin Boe, Lauren E Giesy, Kevin M Najarro, Shanawaj Khair, Travis Walrath, Daniel N Frank, Elizabeth J Kovacs","doi":"10.1093/jbcr/irae101","DOIUrl":"10.1093/jbcr/irae101","url":null,"abstract":"<p><p>Cutaneous burn injury in the elderly is associated with poor clinical outcomes and increased pulmonary-related complications. We and others have shown that burn injury triggers a cascade of inflammatory mediators which increase gut permeability and dysbiosis of the fecal microbiota and this is more dramatic in the aged. Since crosstalk between intestinal microbes and the lung, termed the \"gut-lung axis,\" impacts immunity and homeostasis in the airway, we hypothesized that the increased intestinal dysbiosis in age and burn injury may contribute to excessive pulmonary inflammation and poor prognosis after injury. To explore this hypothesis, we used a clinically relevant murine model of burn injury in which young and aged mice are subjected to a 12% TBSA dorsal scald burn or sham injury. About 24 h after injury, lung function was assessed and lungs and feces were collected for analysis of inflammatory mediators and fecal microbial species. The results show that, when compared to younger mice, burn injury in aged mice triggers a decline in respiratory function and exacerbates pulmonary inflammation. In addition to heightened levels of the neutrophil recruiting chemokine CXCL1, aged mice displayed a profound increase in the pro-inflammatory protein, calprotectin, in the lung after burn injury. Comparison of the fecal microbiome and inflammatory markers in the lung revealed unique, age-dependent, correlation patterns between individual taxa and pulmonary inflammation. Taken together, these findings suggest that the postburn dysbiosis of the gut flora in aged mice may contribute to the changes in pulmonary inflammatory profiles.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"53-60"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Single Institution's Surgical Care Model for Pediatric Burns With ≤10% Body Surface Area Involvement. 一家医疗机构对体表面积≤10%的小儿烧伤采用的手术护理模式。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae185
Jennifer Zuccaro, David Lee, Charis Kelly, Hawwa Chakera, Evan Turner, Eduardo Gus, Joel S Fish
{"title":"A Single Institution's Surgical Care Model for Pediatric Burns With ≤10% Body Surface Area Involvement.","authors":"Jennifer Zuccaro, David Lee, Charis Kelly, Hawwa Chakera, Evan Turner, Eduardo Gus, Joel S Fish","doi":"10.1093/jbcr/irae185","DOIUrl":"10.1093/jbcr/irae185","url":null,"abstract":"<p><p>Small burn injuries are extremely prevalent in the pediatric population and continue to pose a challenge for clinicians. Despite their high incidence, a standardized algorithm for treating small burns does not currently exist, and care is often guided by clinical judgement and resource availability. The aim of this study was to explore the utility of a two-stage grafting technique, involving allograft and autograft, for treating small burns (≤10% total body surface area) in pediatric patients. A retrospective review of patients aged 0-18 years who had a small burn and underwent a two-stage grafting procedure between September 1, 2018 and September 1, 2022 was conducted. One hundred and seventy-five patients with 220 wounds met the inclusion criteria for this study. The mean time from presentation to allograft surgery was 11.4 days (SD 5.2) followed by autograft surgery approximately one week later. Most patients were discharged within 24 hours following allograft surgery (87.4%) and autograft surgery (81.1%). Mean autograft take was 97.7% (SD 11.8) with only four patients experiencing significant graft loss requiring subsequent re-grafting. These positive outcomes demonstrate that the two-stage technique can be successfully utilized for treating smaller pediatric burns. Moreover, these findings help to address the significant knowledge gap regarding the optimal approach to treating small burn wounds. Further research is warranted to learn more about aesthetic outcomes following two-stage grafting and determine how it compares to other techniques for treating small burns.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"22-27"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142347368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Characteristics and Treatment of Marjolin's Ulcer at a Major Burn Center in Northwest China: A Retrospective Review of 126 Cases. 中国西北某大型烧伤中心马若林溃疡的临床特征与治疗:126 例病例的回顾性研究。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae139
Yuming Luo, Mengdong Liu, Siyu Zhang, Qiying Yang, Xiaowen Gao, Juntao Han, Liang Zhu, Jun Li
{"title":"Clinical Characteristics and Treatment of Marjolin's Ulcer at a Major Burn Center in Northwest China: A Retrospective Review of 126 Cases.","authors":"Yuming Luo, Mengdong Liu, Siyu Zhang, Qiying Yang, Xiaowen Gao, Juntao Han, Liang Zhu, Jun Li","doi":"10.1093/jbcr/irae139","DOIUrl":"10.1093/jbcr/irae139","url":null,"abstract":"<p><p>Marjolin's ulcer (MU) is a rare, aggressive skin tumor. There are numerous case reports but large long-term studies are lacking, necessitating further exploration of its treatment. This study aimed to summarize and analyze the characteristics, treatment methods, and prognosis of MU. We retrospectively analyzed the clinical data of 126 patients with MU, treated between January 2013 and January 2023 at the burn center. Demographic data, clinical characteristics, treatment, and prognosis were statistically analyzed. Of the 126 included patients, 104 were followed up for 0.1-10.2 years. The most common cause of the primary injury was flame burn (50.8%). Lesions were commonly observed on the lower limbs (47.6%). The predominant histopathological type was squamous cell carcinoma (92.8%). Among the 126 patients, 35 (27.8%) presented with bone invasion, 37 (29.4%) presented with enlarged lymph nodes, and 9 (7.1%) had lymph node metastasis. Extensive local excision (83.3%) was the most common surgical procedure; the defect was repaired using skin grafting (41.9%), free flaps (37.1%), and local flaps (21.0%). Multivariate analysis revealed that bone invasion and lymph node involvement were risk factors for postoperative recurrence. Survival analysis showed that age, latency period, pathological type, and recurrence were significant risk factors for survival. Extensive local resection is necessary to eradicate tumors, and patient follow-up should be more frequent within 1 year postoperatively. As MU is preventable, it is essential to reach a quick diagnosis and avoid delayed management before the occurrence of deadly metastases.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"208-217"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Efficacy of Onion Extract on the Prevention or Treatment of Scars: A Systematic Review. 洋葱提取物对预防或治疗疤痕的功效:系统综述。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae116
Paul Won, Deborah Choe, Joshua Abu-Ghazaleh, Rendell Bernabe, T Justin Gillenwater
{"title":"The Efficacy of Onion Extract on the Prevention or Treatment of Scars: A Systematic Review.","authors":"Paul Won, Deborah Choe, Joshua Abu-Ghazaleh, Rendell Bernabe, T Justin Gillenwater","doi":"10.1093/jbcr/irae116","DOIUrl":"10.1093/jbcr/irae116","url":null,"abstract":"<p><p>Scars are common and debilitating outcomes of burn injury, with no current consensus regarding the gold standard in scar management. Noninvasive interventions such as silicone gels are popular adjuvant treatments due to ease of application. Onion extract (OE) has been proposed as a potential scar treatment modality due to its antimicrobial and anti-inflammatory properties. A systematic search of the literature was conducted using PubMed, Scopus, and Cochrane for articles published between January 2000 and December 2021. Inclusion criteria were studies (1) involved OE gel or OE treatment and (2) those assessing scar prevention or treatment outcomes. Patient and physician reported scar outcomes after treatment and adverse effects were recorded. A total of 21 articles were included in the final review. Five studies found statistically significant improvements in overall scores and individual Vancouver Scar Scale components in the OE treatment group compared to the silicone groups. Several studies found that combined treatment of OE with other topical treatment modalities such as triamcinolone or silicone gel produced significant improvements in scar symptoms. In this review, reported adverse effects were minimal, often consisting of self-resolving pruritus, irritation, and erythema. This review supports OE's potential utility in scar prevention and treatment. Most studies reported minimal adverse events with OE application and significant benefits in specific scar characteristics. Further research is needed to investigate scar outcomes after treatment with OE with larger sample sizes and a follow-up period greater than a year.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"145-153"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141419271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exoskeleton Robot Training in Two Patients with an Electrical Burn and Septic Arthritis: A Case Report.
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae205
Seung Yeol Lee, Cheong Hoon Seo, Yoon Soo Cho, Youngmin Kim, Youngsuh Yoon, So Young Joo
{"title":"Exoskeleton Robot Training in Two Patients with an Electrical Burn and Septic Arthritis: A Case Report.","authors":"Seung Yeol Lee, Cheong Hoon Seo, Yoon Soo Cho, Youngmin Kim, Youngsuh Yoon, So Young Joo","doi":"10.1093/jbcr/irae205","DOIUrl":"https://doi.org/10.1093/jbcr/irae205","url":null,"abstract":"<p><p>Septic arthritis (SA) are rare in patients with burns, but delayed treatment can result in irreversible joint destruction. Early diagnosis and immediate treatment are necessary to prevent joint destruction. Robot training in patients with musculoskeletal diseases and burns, can improve joint range of motion (ROM), muscle strength, and lower extremity function. The aim of this report is to present robot training utility in patient with lower extremity electrical burns and associated SA. Rebless® (H-ROBOTICS, KOREA) for ROM and strength training, can operate in passive or active modes in knee or ankle flexion and extension. Rebless® works by providing visual feedback on angles during flexion and extension training. Two participants, diagnosed with SA after burns, and unable to walk before training because of joint pain, limited ROM, and muscle weakness, underwent 30 min of robot training using Rebless® with 30 min conventional therapy, 5 days a week for 8 weeks. After training, the gait function, muscle strength, and pain scores of the participants improved without adverse effects on joint ROM. This report is the first to demonstrate that robot training has a positive effect on gait function, pain, muscle strength with no soft tissue contractures or other complications in a patient with burn injury and SA.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Evaluation of Burn Fellowship Program Websites' Presence and Content. 对烧伤研究金计划网站的存在和内容进行评估。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae079
Danielle Mayorga-Young, Jonnby LaGuardia, Callista Zaronias, Won Park, Derek Bell
{"title":"An Evaluation of Burn Fellowship Program Websites' Presence and Content.","authors":"Danielle Mayorga-Young, Jonnby LaGuardia, Callista Zaronias, Won Park, Derek Bell","doi":"10.1093/jbcr/irae079","DOIUrl":"10.1093/jbcr/irae079","url":null,"abstract":"<p><p>Fellowship program websites pertaining to various subspecialties have been evaluated according to the amount and type of content they communicate to prospective applicants. This study aimed to evaluate what information specifically burn fellowship programs communicate through their websites and to what extent, if at all. In total, 10 of the 30 unique burn fellowship programs, American Burn Association (ABA)-verified or otherwise, identified through the ABA website did not have official websites which could be readily located at the time of data collection. Thus, 20 burn fellowship program websites were included in the analysis. Burn fellowship program websites were assessed according to 23 criteria relating to recruitment, education, and social life. On average, each website contained an average of 8.5 ± 2.6 criteria (range, 2-13), with all of them listing a program contact email/phone, and 95% containing a program description. Only 35% of programs listed the faculty, and a single program advertised alumni job placement. Neither the total number of fellows, the total number of clinical faculty, nor the Accreditation Council for Graduate Medical Education accreditation status were significantly associated with the amount or type of content. Geographic region was associated with a significant difference in the amount of education-related content. Fellowship program websites are important to prospective applicants when comparing programs and deciding where to apply. These results show where burn fellowship programs can increase the amount of publicly available information that applicants tend to find helpful in order to hopefully both diversify and tailor their applicant pool to those whose goals align with the programs'.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"90-93"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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