The Journal of burn care & rehabilitation最新文献

{"title":"Mortal hot spring burns: report of two cases.","authors":"Atilla Coruh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes two children who received deep partial and full-thickness mortal immersion scald burns while visiting a hot spring. The prevention of such accidents is most important, including the education of children and family members on the potential hazards inherent at these resorts. In addition, elevated retaining walls with closed upper surfaces of the pools should be reconstructed to avoid children slipping accidentally into hot springs.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 3","pages":"288-90"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25098379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability testing of a new scar assessment tool, Matching Assessment of Scars and Photographs (MAPS).","authors":"M. Masters, M. Mcmahon, Birgit Svens","doi":"10.1097/01.BCR.0000162157.26052.66","DOIUrl":"https://doi.org/10.1097/01.BCR.0000162157.26052.66","url":null,"abstract":"A new scar-assessment tool, the Matching Assessment of Scars and Photographs (MAPS), which uses a set of reference photographs, a numeric scale, and location technique, was tested for its reliability in two stages. First, using five adults, three raters assessed 32 burns scars twice within 3 days. Subsequently, reliability was tested during a 6-month time frame, emphasizing the process of localizing test areas as scars changed and raters forgot the previous assessment. Three raters, from a pool of five, each made three assessments on 29 scars in seven subjects, on average 8 weeks apart. Inter-rater reliability was tested, using Kendall's Tau C and intraclass correlations, respectively, for stages 1 and 2. Agreement was good for border height (0.63-0.70 and 0.78), moderate to good for thickness (0.60-0.74 and 0.81), and good for color (0.55-0.71 and 0.79), whereas for surface it was fair (0.25-0.38 and 0.40). The localization technique was reliable (accuracy within 3 mm) in 93% to 96% of recordings. The MAPS tool is considered ready for clinical use.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"150 6 1","pages":"273-84"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91129093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of cytotoxicity and antimicrobial activity of Acticoat Burn Dressing for management of microbial contamination in cultured skin substitutes grafted to athymic mice.","authors":"Andrew P Supp,&nbsp;Alice N Neely,&nbsp;Dorothy M Supp,&nbsp;Glenn D Warden,&nbsp;Steven T Boyce","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cultured skin substitutes (CSS) have become a useful adjunctive treatment for closure of burn wounds, but CSS are avascular and remain susceptible to microbial destruction longer than split-thickness skin grafts. Irrigation of CSS grafted to burn wounds with a topical antimicrobial solution (TAS) has been shown to promote engraftment of CSS, but TAS usage has potential limitations. Acticoat Burn Dressing (Acticoat; Westaim Biomedical, Exeter, NH) is a silver-coated barrier dressing reported to exhibit antimicrobial activity and to reduce infection in partial-thickness and full-thickness wounds. This study evaluated the cytotoxicity of Acticoat with CSS and the efficacy of Acticoat for the management of microbial contamination in CSS grafted to full-thickness wounds in athymic mice. The cytotoxicity of Acticoat was assessed in preliminary studies after 1 week of exposure to CSS during in vitro maturation or healing on wounds in athymic mice. Histologies were analyzed and cellular viability in the CSS was determined by MTT conversion on days 0, 1, and 7 of Acticoat exposure. At 1, 2, 3, and 4 weeks after grafting, wounds were traced, and areas of healing CSS were calculated by image analysis. At 4 weeks, wound biopsies were evaluated and scored for engraftment of human cells. In a subsequent study, wounds were inoculated with strain SBI-N of Pseudomonas aeruginosa at 1 x 10(5) cfu/wound before the application of CSS or inoculated onto the surface of Acticoat. At 4 weeks, swab cultures were collected from the surface of CSS and scored for the presence of SBI-N. Statistical significance was accepted at the 95% confidence level (P <.05). The data show that exposure in vitro of CSS to Acticoat was cytotoxic within 1 day, but 1 week of exposure in vivo did not injure CSS or inhibit wound healing. Contaminated wounds treated with Acticoat healed similarly to control treatments, with comparable rates of engraftment, and detection of SBI-N on the surface of only one graft. No SBI-N was detected on CSS after inoculation onto the surface of Acticoat. These results suggest that Acticoat may be suitable as a protective dressing to reduce environmental contamination of CSS, if used in conjunction with additional antimicrobials to control organisms present in the wound.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 3","pages":"238-46"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25097816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burn injury in patients with dementia: an impetus for prevention.","authors":"Nicole E Alden,&nbsp;Angela Rabbitts,&nbsp;Roger W Yurt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Current literature has reported an increase in the rates of morbidity and mortality in elderly dementia patients who have suffered from illnesses such as pneumonia or traumatic injuries such as falls, motor vehicle collisions, and other insults. The role of dementia in elderly burn patients has not been studied in depth. To assess the extent of this problem, a retrospective, case-control study of patients with dementia who were admitted to a large urban burn center was performed. The demographics, circumstance and severity of injury, critical care use, and discharge disposition of those patients admitted with dementia were reviewed and compared with the findings of age/burn size-matched controls. The results support the premise that burn injuries in this patient population can be severe. Although not statistically significant, 22.2% of the study group patients required ventilatory support, and 75% required monitoring in the intensive care unit compared with the 15.3% and 61.6% of control patients who required ventilatory support and monitoring in the intensive care unit, respectively. Also, although not statistically significant, the mortality rate of the study group was 25%, almost double that of the control group (13.8%). No other significant differences were observed. These findings support the need for assistance and supervision with daily activity and burn prevention education for this population. As our population ages and we are faced with caring for those with dementia, further burn prevention is warranted.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 3","pages":"267-71"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25097822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hydrofluoric acid burns of head and neck.","authors":"A. Burd","doi":"10.1097/01.BCR.0000165935.78606.92","DOIUrl":"https://doi.org/10.1097/01.BCR.0000165935.78606.92","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"21 1","pages":"291"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90450031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Documenting changes in burn scars over time.","authors":"Reginald L Richard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 3","pages":"272"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25097820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac myocyte accumulation of calcium in burn injury: cause or effect of myocardial contractile dysfunction.","authors":"David L Maass,&nbsp;D Jean White,&nbsp;Billy Sanders,&nbsp;Jureta W Horton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Myocardial calcium accumulation and myocardial injury occur after burn trauma. However, whether altered calcium dyshomeostasis occurs as a result of myocardial injury/dysfunction or whether altered calcium handling initiates myocardial injury and contractile abnormalities remains unclear. In addition, the specific mechanisms by which burn injury promotes calcium entry into cardiac myocytes, specifically L-type channels and the sodium-calcium exchanger, remain unclear. This study addressed the hypothesis that burn trauma promotes cardiomyocyte calcium accumulation, in part, via reverse mode function of the sodium/calcium exchanger and via L-type channels. Myocardial calcium accumulation, in turn, alters performance. Burn trauma (40% TBSA and sham burn for controls) was accomplished in Sprague-Dawley rats. Burns received fluid resuscitation (lactated Ringer's at 4 ml/kg/% burn). Hearts were harvested at several time points after burn injury (2, 4, 8, 12, 24, 48, 72 hours, and 8 days after burn) and were perfused with collagenase/bovine serum albumin-containing buffer to produce enzymatic digestion. Myocytes were then resuspended in MEM buffer, loaded with 2 mug/ml Fura 2AM for 45 minutes or 2 microg of sodium-binding benzofurzan isophthalate for 2 hours at room temperature in the dark. Cells were washed to remove extracellular dye and placed on a glass slide on the stage of a Nikon inverted microscope interfaced with Grooney optics. A computer-controlled filter changer allowed alternation between 340/380 excitation wavelengths; fluorescence was measured at 510 nm. Cardiac function (Langendorff) was measured in parallel groups at each time period (n = 6-7 hearts/time point). Cardiomyocyte accumulation of sodium occurred before alterations in myocyte calcium levels, and sodium/calcium dyshomeostasis preceded cardiac contraction deficits. Interventions that altered calcium flux through L-type channels (amlodipine) or sodium/calcium exchange (amiloride) attenuated burn-related myocyte calcium accumulation and improved contractile function. Our finding that myocyte sodium loading precedes myocyte calcium accumulation suggests a role for the reverse mode function of the sodium/calcium exchanger in burn trauma.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 3","pages":"252-9"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25097817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hydrofluoric acid burns of head and neck.","authors":"Andrew Burd","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 3","pages":"291"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25098381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory care of the burn patient.","authors":"John E McCall,&nbsp;Thomas J Cahill","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 3","pages":"200-6"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25097920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burn injury in patients with dementia: an impetus for prevention.","authors":"N. Alden, A. Rabbitts, R. Yurt","doi":"10.1097/01.BCR.0000162158.82145.9A","DOIUrl":"https://doi.org/10.1097/01.BCR.0000162158.82145.9A","url":null,"abstract":"Current literature has reported an increase in the rates of morbidity and mortality in elderly dementia patients who have suffered from illnesses such as pneumonia or traumatic injuries such as falls, motor vehicle collisions, and other insults. The role of dementia in elderly burn patients has not been studied in depth. To assess the extent of this problem, a retrospective, case-control study of patients with dementia who were admitted to a large urban burn center was performed. The demographics, circumstance and severity of injury, critical care use, and discharge disposition of those patients admitted with dementia were reviewed and compared with the findings of age/burn size-matched controls. The results support the premise that burn injuries in this patient population can be severe. Although not statistically significant, 22.2% of the study group patients required ventilatory support, and 75% required monitoring in the intensive care unit compared with the 15.3% and 61.6% of control patients who required ventilatory support and monitoring in the intensive care unit, respectively. Also, although not statistically significant, the mortality rate of the study group was 25%, almost double that of the control group (13.8%). No other significant differences were observed. These findings support the need for assistance and supervision with daily activity and burn prevention education for this population. As our population ages and we are faced with caring for those with dementia, further burn prevention is warranted.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"1 1","pages":"267-71"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82798056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}