Scars, burns & healing最新文献_第7页

London calling Gaza: The role of international collaborations in the globalisation of postgraduate burn care education. 伦敦呼吁加沙：国际合作在研究生烧伤护理教育全球化中的作用。

Scars, burns & healing Pub Date : 2019-02-19 DOI: 10.1177/2059513119830519

Evgenia Theodorakopoulou, Ioannis Goutos, Katrina Mason, Ali M Ghanem, Simon Myers

{"title":"London calling Gaza: The role of international collaborations in the globalisation of postgraduate burn care education.","authors":"Evgenia Theodorakopoulou, Ioannis Goutos, Katrina Mason, Ali M Ghanem, Simon Myers","doi":"10.1177/2059513119830519","DOIUrl":"10.1177/2059513119830519","url":null,"abstract":"Burn injuries represent a significant epidemiological problem, with the vast majority occurring in low- to middle-income countries. These regions also represent areas where lack of socioeconomic growth and geopolitical instability pose additional barriers not only to healthcare provision but also to the acquisition of continuing professional development. Long-distance, web-based learning programmes ('tele-education') have been identified as a successful and powerful means of propagating up-to-date medical education and training in poor-resource, isolated or conflict-ridden regions. This report evaluates the role of tele-education in delivering a distance-learning Master's degree in Burn Care to a group of 11 healthcare professionals working in the occupied Palestinian territories (OPT), which was funded as part of a collaboration between Queen Mary University of London and IMET-Pal (International Medical Education Trust - Palestine). We present our experience in delivering the programme in a conflict-ridden part of the world, which includes the specific adaptations to tailor the programme to regional needs as well the unique challenges faced by students and faculty in enhancing the educational value of this unique initiative. The academic achievements of this group of healthcare professionals were found to be comparable to historical student cohorts from privileged socioeconomic backgrounds and the majority of students felt that participation in the programme contributed to a direct improvement to their daily burn care practices. The successful outcomes achieved by our students support the constantly emerging evidence that targeted, well-delivered, long-distance learning programmes can become powerful tools in combating inequalities in global healthcare and health education.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"5 ","pages":"2059513119830519"},"PeriodicalIF":0.0,"publicationDate":"2019-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2059513119830519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37008415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Successful treatment of mixed depth flame burns using enzymatic debridement with Nexobrid™ in a patient with aggressive systemic sclerosis (scleroderma). Nexobrid酶促清创术成功治疗混合深度火焰烧伤™ 在一名侵袭性系统性硬化症（硬皮病）患者中。

Scars, burns & healing Pub Date : 2019-01-14 DOI: 10.1177/2059513118821563

Neil Wickham, K Skaria Alexander, Anthony Fletcher, Ciaran O'Boyle

{"title":"Successful treatment of mixed depth flame burns using enzymatic debridement with Nexobrid™ in a patient with aggressive systemic sclerosis (scleroderma).","authors":"Neil Wickham, K Skaria Alexander, Anthony Fletcher, Ciaran O'Boyle","doi":"10.1177/2059513118821563","DOIUrl":"10.1177/2059513118821563","url":null,"abstract":"Introduction: Enzymatic debridement for mixed depth and full thickness burns is gaining recognition as an important technique available to the burns surgeon. Reductions in blood loss, the need for autologous skin grafting and the number of wounds requiring surgical excision are among the benefits of this evolving treatment modality. We present a case of successful treatment using enzymatic debridement of mixed depth flame burns in a young patient with systemic sclerosis (scleroderma).Methods: A 24-year-old man with rapidly progressive limited cutaneous systemic sclerosis suffered approximately 6% mixed depth flame burns to the right leg including areas of likely deep partial thickness burn totalling approximately 2% total body surface area (TBSA). Enzymatic debridement using Nexobrid™ was performed under spinal anaesthesia in accordance with unit protocol. Pain was well controlled and at 4 h the Nexobrid™ was removed and replaced with saline-soaked gauze initially then simple dressings. After liaison with Rheumatology, he was also started on iloprost infusions over five days. He was discharged home on day 9 and completely healed by day 31. Scarring was minimal, the skin was soft and full, and pain-free range of movement of the right knee was maintained.Discussion and conclusion: This case demonstrates the safety and effectiveness of enzymatic debridement of mixed depth burns in a patient with very compromised wound healing. Enzymatic debridement combined with iloprost infusion provided maximum preservation of viable dermis. The authors recommend that this treatment strategy is considered in similar cases.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"5 ","pages":"2059513118821563"},"PeriodicalIF":0.0,"publicationDate":"2019-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2059513118821563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36977812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Survivin and insulin-like growth factor-I: potential role in the pathogenesis of acne and post-acne scar. Survivin和胰岛素样生长因子-I：在痤疮和痤疮后疤痕发病机制中的潜在作用。

Scars, burns & healing Pub Date : 2019-01-10 DOI: 10.1177/2059513118818031

Samar El-Tahlawi, Noha Ezzat Mohammad, Azza Mohamed El-Amir, Heba Sayed Mohamed

引用次数: 13

The development of a self-help intervention to build social confidence in people living with visible skin conditions or scars: a think-aloud study. 开发一种自助干预措施，以建立明显皮肤状况或疤痕患者的社会信心：一项大胆思考的研究。

Scars, burns & healing Pub Date : 2019-01-10 DOI: 10.1177/2059513118822954

Madeline Pasterfield, Sally-Anne Clarke, Andrew R Thompson

{"title":"The development of a self-help intervention to build social confidence in people living with visible skin conditions or scars: a think-aloud study.","authors":"Madeline Pasterfield, Sally-Anne Clarke, Andrew R Thompson","doi":"10.1177/2059513118822954","DOIUrl":"10.1177/2059513118822954","url":null,"abstract":"Introduction: People with a visible difference, such as scarring or a skin condition, can experience anxiety and intrusive reactions from others when in social situations. The use of products to conceal marks on the skin is provided in a number of different hospital services and by charities. However, there are relatively few psychosocial interventions available for these individuals.Objectives: To examine the views of skin camouflage users and practitioners on the acceptability, usability and need for a specifically developed cognitive behavioural therapy (CBT) self-help booklet.Methods: A think-aloud protocol and descriptive form of thematic analysis were used to ascertain participants' views of this novel psychosocial intervention. Nine participants took part in think-aloud interviews that were analysed using thematic analysis. Six skin camouflage users and three skin camouflage practitioners participated in the study.Results: Support for the relevance, acceptability and usability of the booklet was found from both participants who used camouflage and those who provided it. However, some participants reported that they would envisage that some people would need additional support so as to be able to use the techniques described within the booklet.Conclusions: This study represents an important step towards developing a brief self-help intervention for people with living with visible skin conditions or scars and demonstrates the importance of seeking feedback from experts by experience on theoretically informed psychological interventions for this patient group.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"5 ","pages":"2059513118822954"},"PeriodicalIF":0.0,"publicationDate":"2019-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2059513118822954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36891659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

A multimodal approach to the treatment of extensive burn scars: a modified subcision technique for intralesional delivery of corticosteroid and 5-fluorouracil in combination with several procedural laser therapies; a case report. 治疗大面积烧伤疤痕的多模式方法：一种改良的亚切口技术，用于皮质类固醇和 5-氟尿嘧啶的区域内给药，并结合几种程序性激光疗法；病例报告。

Scars, burns & healing Pub Date : 2018-12-19 eCollection Date: 2018-01-01 DOI: 10.1177/2059513118818997

Taylor Erickson, Jayla Gray, Bailey Tayebi, Rebecca Tung

{"title":"A multimodal approach to the treatment of extensive burn scars: a modified subcision technique for intralesional delivery of corticosteroid and 5-fluorouracil in combination with several procedural laser therapies; a case report.","authors":"Taylor Erickson, Jayla Gray, Bailey Tayebi, Rebecca Tung","doi":"10.1177/2059513118818997","DOIUrl":"10.1177/2059513118818997","url":null,"abstract":"Introduction: Hypertrophic scars and keloids are challenging to manage due to recurrence and often sub-optimal response to treatment. There is a lack of both definitive treatment standards and randomised controlled trials comparing therapeutic options. While a wide array of procedures has been utilised to improve traumatic burn scars, such interventions have been used with varying degrees of success. Some reported methods include intralesional injections of anti-inflammatory and anti-mitotic medications, laser-based therapy, topical therapies, cryotherapy, silicone gel sheeting, pressure therapy, radiotherapy and reconstructive surgery.Case: We report a case of extensive traumatic burn scarring on the head and neck successfully treated with a multimodal approach comprised of an infrequently used modified subcision technique to deliver alternating intralesional injections of anti-inflammatory (high-dose steroid) and anti-metabolite (5-flurouracil) concurrently with a series of laser (epilatory, vascular and fractional) treatments.Methods: Our treatment modality utilised a subcisional technique to deliver intralesional steroid and anti-metabolite medications directly into scar tissue to downregulate inflammation and inhibit collagen synthesis. Alexandrite, fractional and pulsed dye laser therapy was employed to improve skin texture, reduce dyschromia and reduce tissue burden of hypertrophic scar and keloid tissue, resulting in improved mobility and skin elasticity.Conclusion: Our case supports a combined medical and procedural, subcisional, approach to successfully treat a patient with extensive hypertrophic scarring and keloid formation with associated hair entrapment after a head and neck burn.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118818997"},"PeriodicalIF":0.0,"publicationDate":"2018-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/4c/10.1177_2059513118818997.PMC8832315.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39777108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An evaluation of the impact of a burn camp on children and young people's concerns about social situations, satisfaction with appearance and behaviour. 评估烧伤营对儿童和年轻人对社会状况的关注、对外表和行为的满意度的影响。

Scars, burns & healing Pub Date : 2018-12-10 DOI: 10.1177/2059513118816219

Laura Armstrong-James, Julia Cadogan, Heidi Williamson, Nichola Rumsey, Diana Harcourt

{"title":"An evaluation of the impact of a burn camp on children and young people's concerns about social situations, satisfaction with appearance and behaviour.","authors":"Laura Armstrong-James, Julia Cadogan, Heidi Williamson, Nichola Rumsey, Diana Harcourt","doi":"10.1177/2059513118816219","DOIUrl":"10.1177/2059513118816219","url":null,"abstract":"Introduction: This evaluation aimed to assess the impact of a burn camp on children and young people's concerns about social situations, satisfaction with appearance and behaviour.Methods: Young people completed the Perceived Stigmatisation Questionnaire (PSQ), Social Comfort Questionnaire (SCQ) and Satisfaction with Appearance Scale (SWAP) one month before camp (n=23), on the last day of camp (n=21) and at a three-month follow-up (n=13). Parents completed the Strengths and Difficulties Questionnaire (SDQ) one month before camp (n = 22) and at follow-up (n=12). Parents and young people also completed open-ended questions before camp and at the follow-up.Results: Results in this evaluation were mixed. While parents' reported scores on the SDQ were poorer after camp, young people's reported outcomes on all three measures improved at the end of camp. PSQ and SWAP scores were maintained and improved, respectively, at the follow-up. Qualitative responses were generally consistent with these scores. Significant improvements were found between the scores before camp and at the three-month follow-up for both the SWAP and PSQ. These results indicate that the burn camp may help to improve young people's satisfaction with their appearance and concerns about social situations. However, there was no comparison group and there was a significant loss of participants at follow-up.Conclusion: Burn camps may therefore offer a range of psychosocial benefits to young people with burn injuries. This was the first evaluation to demonstrate a positive impact of a burn camp on satisfaction with appearance and concerns about social situations using outcome measures validated with the burns population.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118816219"},"PeriodicalIF":0.0,"publicationDate":"2018-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2059513118816219","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36847206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Limitations to the use of bromelain-based enzymatic debridement (NexoBrid^®) for treating diabetic foot burns: a case series of disappointing results. 菠萝蛋白酶酶促清创术（NexoBrid®）治疗糖尿病足烧伤的局限性：一系列令人失望的结果。

Scars, burns & healing Pub Date : 2018-12-05 eCollection Date: 2018-01-01 DOI: 10.1177/2059513118816534

Juan Enrique Berner, Dejan Keckes, Matthew Pywell, Baljit Dheansa

{"title":"Limitations to the use of bromelain-based enzymatic debridement (NexoBrid®) for treating diabetic foot burns: a case series of disappointing results.","authors":"Juan Enrique Berner, Dejan Keckes, Matthew Pywell, Baljit Dheansa","doi":"10.1177/2059513118816534","DOIUrl":"10.1177/2059513118816534","url":null,"abstract":"Background: Bromelain-based enzymatic debridement with Nexobrid® (Mediwound) is an alternative to traditional surgical tangential excision of deep dermal and full thickness burns. Early literature suggests that Nexobrid debridement could reduce the number of operations, infection rates, inpatient stay and the necessity for skin grafting to wounds by preserving viable tissue. To our knowledge there are no previous studies reporting the use of NexoBrid for treating burns in patients with established diabetic foot disease.Case presentation: We conducted a retrospective case series and identified four patients with diabetic foot burns that were treated with Nexobrid® debridement. All of these patients developed further eschar and deepening of their wounds a few days after NexoBrid was applied, requiring further surgery and skin grafting.Conclusions: We would recommend judicious use of this new product in patients with diabetic foot wounds.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118816534"},"PeriodicalIF":0.0,"publicationDate":"2018-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/19/10.1177_2059513118816534.PMC6295758.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36805656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The evidence behind the use of platelet-rich plasma (PRP) in scar management: a literature review. 富血小板血浆（PRP）用于瘢痕治疗的证据：文献综述。

Scars, burns & healing Pub Date : 2018-11-18 DOI: 10.1177/2059513118808773

Osaid H Alser, Ioannis Goutos

{"title":"The evidence behind the use of platelet-rich plasma (PRP) in scar management: a literature review.","authors":"Osaid H Alser, Ioannis Goutos","doi":"10.1177/2059513118808773","DOIUrl":"10.1177/2059513118808773","url":null,"abstract":"Introduction: Autologous platelet-based concentrates represent increasingly popular adjuncts to a variety of medical, surgical and aesthetic interventions. Their beneficial potential rests on the ability to deliver a high concentration of growth factors to the target tissues. There are currently no reports in the literature appraising the evidence behind the use of platelet-rich plasma (PRP) in scar management.Methods: A detailed English literature review was conducted using PubMed Medline, Embase and Web of Science; the manuscripts were appraised and classified according to the Joanna Briggs Institute Levels of evidence. The results are presented in descending order of evidence separately for atrophic, keloid, surgical and traumatic scars.Discussion: On the basis of level 1 evidence currently available, it appears that PRP can improve the quality of atrophic acne scars treated with ablative fractional CO2 laser and decrease the duration of laser-related side effects including oedema and erythema. Regarding surgical scars, the current data suggest that PRP may improve wound healing and early scar quality; furthermore, incorporation of PRP in fat-grafting procedures undertaken in conjunction with non-ablative, fractional laser can contribute to better wound healing as well as a significant improvement in texture, colour and contour in traumatic scar resurfacing. There are no high level studies at present to support the incorporation of autologous platelet-based concentrates in the management of keloid scars.Conclusion: PRP is a promising adjunct in scar management practice. Further research with long-term follow-up is warranted to delineate the value of this modality in different subtypes of scars.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118808773"},"PeriodicalIF":0.0,"publicationDate":"2018-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2059513118808773","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36721606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 52

A systematic review of treatments for acne scarring. Part 2: Energy-based techniques. 痤疮疤痕治疗的系统综述。第2部分：基于能源的技术。

Scars, burns & healing Pub Date : 2018-08-16 DOI: 10.1177/2059513118793420

Georgios Kravvas, Firas Al-Niaimi

{"title":"A systematic review of treatments for acne scarring. Part 2: Energy-based techniques.","authors":"Georgios Kravvas, Firas Al-Niaimi","doi":"10.1177/2059513118793420","DOIUrl":"10.1177/2059513118793420","url":null,"abstract":"Introduction: Acne scarring is a very common problem, which can be extensive, and may lead to significant psychosocial morbidity. Multiple types of treatments are used to ameliorate atrophic scars with varying degrees of success. This paper provides an overview of the various energy-based modalities that are commonly employed against acne scarring.Objectives and methods: A comprehensive literature search of papers published since 2008 was performed in order to determine the efficacy and adverse reactions of commonly used energy-based treatments against post-acne scarring.Results: A total of 59 relevant articles were identified covering a multitude of different devices.Discussion: Ablative lasers seem to achieve the highest degree of efficacy, albeit this is associated with significant pain and downtime, and the risk for long-term pigmentary changes. Non-ablative fractional photothermolysis (FP) has a much safer profile but cannot achieve as good cosmetic results. The efficacies of fractional radiofrequency microneedling and radiofrequency are slightly inferior to that of FP but offer an even safer adverse profile. Little evidence is available on the remaining devices, with larger studies required in order to reach more solid conclusions.Conclusion: Multiple devices have been used with varying levels of efficacy and very different safety profiles. There is an overall lack of high-quality evidence about the effects of different interventions. Furthermore, no standardised scale is available for acne scarring, leading to variability in evaluation and interpretation of data in different studies.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118793420"},"PeriodicalIF":0.0,"publicationDate":"2018-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2059513118793420","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36851176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Sepsis 3 and the burns patient: do we need Sepsis 3.1? 脓毒症3和烧伤患者：我们需要脓毒症3.1吗？

Scars, burns & healing Pub Date : 2018-08-14 DOI: 10.1177/2059513118790658

Ascanio Tridente

引用次数: 10