Laurin Schöne , Jolanta Klukowska-Rötzler , Aristomenis K. Exadaktylos , Radu Olariu , Esther Vögelin , Esin Rothenfluh
{"title":"Epidemiology and characteristics of hand burns: a 12-year retrospective analysis at a University Hospital","authors":"Laurin Schöne , Jolanta Klukowska-Rötzler , Aristomenis K. Exadaktylos , Radu Olariu , Esther Vögelin , Esin Rothenfluh","doi":"10.1016/j.burnso.2025.100413","DOIUrl":"10.1016/j.burnso.2025.100413","url":null,"abstract":"<div><div>The purpose of this study was to assess epidemiological features and injury characteristics of hand burn injuries based on a retrospective data collection from 2012 to 2023 at a maximum care University Hospital. 1809 burn injuries were registered in the Emergency Department of the Hospital, including 538 chemical burns to the eye. Deducting the latter of the total number, 24 % affected the hand as an isolated burn and 37 % as a combined burn injury. 43 % of all hand burns (combined and isolated) were female and 57 % were male. The age group from 20 to 29 years was significantly most affected. 21 % of hand burns happened at work, with 80 % of them being male. The most prevalent cause was contact (24 %), at home and at work. 84 % of all hand burns were treated non operatively and did not cause high costs. In general, there has been a decrease of burn injuries worldwide, but we did not recognize a declining trend of hand burns, some of them related to work. Most patients with hand burns present with mild degrees, but particularly work-related hand burns can be more severe with long term sequelae. The study highlights the importance of prevention programs and initiatives.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100413"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491257","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":"Burden and associated factors of unintentional household burn injuries in South Asia: A systematic review","authors":"Ahmer Adnan , Salman Muhammad Soomar , Asaad Nafees , Wafa Aftab , Zafar Fatmi","doi":"10.1016/j.burnso.2025.100411","DOIUrl":"10.1016/j.burnso.2025.100411","url":null,"abstract":"<div><h3>Background</h3><div>Burn injuries account for almost 0.3 million deaths annually worldwide. Household burn injury is one of the common causes of burn injuries. This issue in South Asia is concerning and is an important epidemiological problem that needs to be explored and reported. This study aimed to estimate the current burden, types, and severity of unintentional household burn injuries and identify the associated factors of unintentional household burn injuries.</div></div><div><h3>Methods</h3><div>We reviewed all available studies (qualitative or quantitative) on unintentional household injuries in South Asia. All studies on household burn injuries from 2000 to 2020, including all the relevant published information as described in the inclusion criteria.</div></div><div><h3>Results</h3><div>The findings of the study revealed that in South Asian regions the low socio-economic status, and poor prevention and treatment policies for the burden of burn injuries are the predominant factors and that the associated risk factors play a role in unintentional burn injury incidents with lack of education and awareness effecting mainly women and children to have accidents at households suffering from burn injuries, morbidity, and mortality. No data is available for the Maldives and Bhutan.</div></div><div><h3>Conclusion</h3><div>Unintentional burn injuries cause morbidity and mortality, primarily among women and children. With the lack of financial resources and inadequate policies for burn care, prevention, and treatment in South Asian countries, it is essential to reduce the burden.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100411"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480409","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}
Satbir S.G. , Fatimah Mat Johar , Ahmad Sukari Halim , Wan Azman Wan Sulaiman
{"title":"Unmasking the silent threat: deep tissue impacts of chemical burns – a case report","authors":"Satbir S.G. , Fatimah Mat Johar , Ahmad Sukari Halim , Wan Azman Wan Sulaiman","doi":"10.1016/j.burnso.2025.100412","DOIUrl":"10.1016/j.burnso.2025.100412","url":null,"abstract":"<div><div>Chemical burns, often caused by corrosive substances like sulfuric acid, can result in severe physical and psychological harm. These injuries are challenging to manage due to difficulties in assessing burn depth and ongoing tissue damage beneath the eschar. This case report details a 21-year-old female with 9 % total body surface area full-thickness chemical burns from a battery acid assault affecting her face, chest, limbs, and eyes. Initial treatment included irrigation and pH monitoring, followed by early tangential excision, hydrosurgery, and skin allograft application. While surface eschar pH normalized after irrigation, subeschar tissue remained acidic, indicating deeper damage. The patient developed hypertrophic scarring, reflecting ongoing tissue damage beyond the visible eschar. Persistent subeschar acidity suggests that current treatment protocols may not sufficiently address the penetration of corrosive substances, leading to prolonged inflammatory processes and unfavorable scarring outcomes. This underscores the need for improved strategies to prevent prolonged inflammation and unfavorable outcomes in chemical burn management.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100412"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480411","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}
Kristen Storey , Nicola Burns , Rachel Kerr , Maleea Holbert , Roy Kimble , Bronwyn Griffin
{"title":"Severe burns from viral TikTok challenge involving candied sugar: A case series report","authors":"Kristen Storey , Nicola Burns , Rachel Kerr , Maleea Holbert , Roy Kimble , Bronwyn Griffin","doi":"10.1016/j.burnso.2025.100410","DOIUrl":"10.1016/j.burnso.2025.100410","url":null,"abstract":"<div><div>Burn injuries rank among the top five most common non-fatal injuries within the paediatric population. Scald injuries continue to be the leading cause of burn in the children, closely followed by contact burns, particularly in the six to 16 age group. Recently, there have been increasing reports of children sustaining scald and contact burns, after attempting to replicate videos viewed on social media platforms such as TikTok and YouTube.</div><div>A recent trend of heating sugar and water in a plastic container within the microwave to make candied fruit is resulting in children and adolescents presenting with deep burns. The plastic container becomes so hot that it melts causing the hot sugar water and plastic to drip onto the child. There has been an increase in presentations to all burn centres throughout Australia resulting from this mechanism.</div></div><div><h3>Method</h3><div>A retrospective chart review was undertaken of six children presenting with toffee burns that attended the Pegg Leditschke Children’s Burns Centre at the Queensland Children’s Hospital over a period of four weeks.</div></div><div><h3>Result</h3><div>Six children presented with similar burns and were treated within the specialist burns centre. The lower limb was affected in four cases while two cases sustained burns on the hand. Skin grafts were required in two cases and four children continue to require long term scar management.</div></div><div><h3>Conclusion</h3><div>Social media plays an important role in our children’s lives however mimicking videos can result in increased risk of serious physical and psychological harm occurring. How to make candied sugar has gone viral causing numerous burns throughout Australia. While we do not want to restrict children from watching and participating with these videos, we require parents and moderators of these videos to ensure these videos are performed in a safe environment to decrease risks of injury occurring.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100410"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491259","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":"Characteristics of burn injuries in old and extremely old patients: A city-wide study","authors":"Takahiro Yamanaka, Ryo Yamamoto, Junichi Sasaki","doi":"10.1016/j.burnso.2025.100408","DOIUrl":"10.1016/j.burnso.2025.100408","url":null,"abstract":"<div><h3>Background</h3><div>The global population is aging rapidly. However, research on the characteristics of burn injuries in extremely old individuals remains limited. The current study aimed to identify the characteristics of burn injuries among elderly people by examining a city-wide burn database in Tokyo.</div></div><div><h3>Methods</h3><div>This observational study was conducted at 14 burn centers, and data from the Tokyo Burn Unit Association registry from 1999 to 2020 were used. Demographic characteristics, burn mechanisms and severity, and clinical outcomes were compared among three age groups: >80 (very old), 65–79 (old), and 18–64 years.</div></div><div><h3>Results</h3><div>In total, 11,876 patients with burn, including 1,150 aged > 80 years, 1,916 aged 65–79 years, and 8,810 aged 18–64 years, were analyzed. Older patients had a higher incidence of flame burns, burns in the closed space, and trunk, perineum, and lower extremity injuries. The older population had a greater injury severity, longer length of hospital stay, and higher in-hospital mortality rate. Similar trends were observed in the very old population.</div></div><div><h3>Conclusion</h3><div>This study elucidated the characteristics of burn injuries, which included injury mechanisms and anatomical burn sites, among elderly individuals.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100408"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084356","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}
Robyn Stoianovici , Sierra Young , Jeremiah J. Duby , Naomi Hauser , Erin Louie
{"title":"Fusarium isolates in burn-injured patients: Clinical characteristics and susceptibility patterns","authors":"Robyn Stoianovici , Sierra Young , Jeremiah J. Duby , Naomi Hauser , Erin Louie","doi":"10.1016/j.burnso.2025.100407","DOIUrl":"10.1016/j.burnso.2025.100407","url":null,"abstract":"<div><h3>Introduction/Objective</h3><div><em>Fusarium</em> species are ubiquitous in the environment and can cause opportunistic infection in burn-injured patients. The purpose of this retrospective cohort observational study is to characterize <em>Fusarium</em> susceptibilities, antifungal and surgical management, and the effect on survival in this patient population.</div></div><div><h3>Methods</h3><div>All burn ICU patients with a positive <em>Fusarium</em> culture were retrospectively identified between November 2017 to June 2023 at a regional burn center. Demographic, clinical, and microbiologic susceptibility data was collected from the electronic medication record.</div></div><div><h3>Results</h3><div>Eighteen patients with positive <em>Fusarium</em> wound cultures were included. The median age was 35 (32–41) years and 28 % were female. The average %TBSA was 55 ± 23 % and r-Baux score of 93 ± 22. The most common mechanism of injury was thermal burn (17 patients, 94 %). This cohort experienced prolonged ICU [53 (46–95) days] and hospital [57 (48– 97) days] lengths of stay. The median time from burn injury to positive <em>Fusarium</em> cultures was 18 (14–24) days. Mechanical ventilation was common (94 %) and prolonged [42 (34–55) days]. Sixty percent of isolates resulted with a minimal inhibitory concentration (MIC) ≥ 16 mcg/ml for voriconazole and 93 % isolates resulted with an MIC < 1 mcg/ml for amphotericin B. All patients underwent surgical debridement for source control. Ten of 18 patients (55 %) with <em>Fusarium-</em>positive infections survived to hospital discharge. Infection complicated by multisystem organ failure and sepsis was the most common attributable cause of death (88 %).</div></div><div><h3>Conclusion</h3><div>Patients infected with <em>Fusarium</em> were severely burned, critically ill, and exposed to prolonged mechanical ventilation and to central venous catheterization. The high mortality rate associated with <em>Fusarium</em> infection and prolonged time to antifungal susceptibility results emphasize the importance of appropriate empiric therapy.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100407"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891620","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":"Shifting dynamics of self-immolation in the capital of Iran? The rising trend among young, unmarried, less-educated men","authors":"MohammadAli Shokri , SaeedehSadat Khalili , Abdol-Hossein Vahabie , Atefeh Ghanbari Jolfaei , Amir-Abbas Keshavarz-Akhlaghi , Mostafa Dehmardei , Fatemeh Sadat Mirfazeli","doi":"10.1016/j.burnso.2025.100406","DOIUrl":"10.1016/j.burnso.2025.100406","url":null,"abstract":"<div><div>In our study, we aimed to explore the psychiatric disorders, risk factors, and predictors of self-immolation among individuals admitted to Shahid Motahari Hospital in Tehran from 2019 to 2020. This cross-sectional study examines 64 hospitalized patients who received psychiatric counseling following self-immolation incidents.</div><div>The rate of self-immolation varies significantly based on specific demographics. It is observed that in our population men had a higher rate of being unmarried (70.96 % vs 15.15 %), lower levels of education (70.96 % vs 63.63 % did not have a university degree), higher level of unemployment (54.83 % vs 30.30 %), younger age average with most men aging 15–24 (29.06 (SD = 9.33)) vs women 35–44 (35.27(SD = 10.27)) and higher prevalence of addiction (67.74 % vs 36.36 %) compared to women. On the other hand, women who attempted self-immolation mainly were married, involved in housekeeping, and tended to exhibit higher rates of depression (63.63 % vs 32.25 %) than men. Furthermore, these self-immolation incidents are often impulsive (64.1 %) and occur shortly (under an hour) after experiencing a stressor (39.1 %). Self-immolation accidents are frequently carried out using gasoline (50 %). Geographically, the majority of self-immolation cases of our study are concentrated in the central region of Iran (76.6 %), followed by the western region (15.6 %) this may be due to the proximity of these regions to our center while patients of other<!--> <!-->regions were hospitalized in their referral hospitals and were rarely transferred to the capital. To effectively address the issue of self-immolation and reduce its prevalence, it is essential to identify vulnerable populations and explore targeted preventive measures. Based on our findings, future pilot studies could investigate the feasibility of specific interventions, such as crisis hotlines to reduce impulsivity-related acts of self-immolation. Additionally, small-scale feasibility projects could explore the effectiveness of impulse control management or interpersonal skills training in high-risk populations, but further research is needed to assess their practicality and impact.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100406"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874874","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":"Comprehensive management and recovery of reproductive function after testicular necrosis from scrotal burn: A case report","authors":"Yuya Miyoshi , Takashi Hongo , Takatoshi Moriwake , Taisuke Kanno , Kohei Tsukahara , Tetsuya Yumoto , Hiromichi Naito , Atsunori Nakao","doi":"10.1016/j.burnso.2025.100404","DOIUrl":"10.1016/j.burnso.2025.100404","url":null,"abstract":"<div><div>Genital burns are uncommon injuries; however, they present significant concerns regarding reproductive function, particularly in younger populations. Despite this, the literature on the long-term follow-up of reproductive function after genital burns remains insufficient. A 20-year-old Japanese man suffered severe burns in his lower body including genital area following a motorcycle accident. Doppler ultrasonography revealed reduced blood flow to the right testis, which gradually atrophied. The patient underwent longitudinal monitoring through semen analysis, which revealed declining sperm function. Considering the adverse effects on the contralateral testis, right orchiectomy was performed six months after injury, and subsequent semen analysis showed normalization of sperm parameters. Genital burns with testicular necrosis can result in decreased testicular function, emphasizing the need for continuous monitoring through ultrasonography and semen analysis, and the potential necessity of orchiectomy.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100404"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761268","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}
{"title":"Our initial experience with rapid enzymatic debriding agent for burn eschar: Case series from an ABA verified burn center","authors":"Cole L. Bird , Yair Saucedo , Jessica Reynolds , Dhaval Bhavsar","doi":"10.1016/j.burnso.2025.100403","DOIUrl":"10.1016/j.burnso.2025.100403","url":null,"abstract":"<div><div>We reviewed 14 consecutive patients at our ABA-verified burn center who received enzymatic debridement with anacaulase-bcdb (NexoBrid®) from January 2020 to May 2023. These patients, part of the NEXT study, had deep partial or full-thickness burns. We aimed to evaluate NexoBrid’s effect on eschar removal, wound healing, surgical needs, and scar quality.</div><div>Data included total body surface area (TBSA) burned, enzymatically treated area, amount of NexoBrid used, grafting details, time to healing, and scar characteristics. Analysis was descriptive, reporting medians, ranges, and percentages.</div><div>All 14 patients achieved ≥ 95 % eschar removal with a single NexoBrid application. Their ages ranged from 15–65 years, and mean burn size was 9.25 % TBSA. Eight patients required grafting, but these grafts covered only about 60 % of the treated area. Time to 95 % wound closure averaged 36 days. Scar assessment using the Vancouver Scar Scale showed improvement from a mean score of 3.8 at three months to 0.5 at twelve months. Despite this, four patients developed hypertrophic scars and one required intervention for a contracture.</div><div>In summary, NexoBrid facilitated rapid, consistent non-surgical eschar removal, timely wound closure, and favorable scar outcomes within one year. In nearly half of the patients, it eliminated the need for skin grafting. Among those who did require grafts, smaller graft areas were needed. These findings suggest that early eschar removal and dermal preservation contribute to improved outcomes. Further studies with larger cohorts will help confirm these results.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"10 ","pages":"Article 100403"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725407","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}
Julius Kwabena Karikari , Samuel Nana Forjuoh , Emmanuel Konadu , Ebenezer Otu Ayeboafo Ansah , Nicholas Karikari Mensah , Sulemana Baba Abdulai , Jennifer Fordjour , Lydia Oduro , Emmanuel Kweku Nakua
{"title":"Estimating the probability of survival of hospitalized burn patients at a tertiary hospital in Ghana","authors":"Julius Kwabena Karikari , Samuel Nana Forjuoh , Emmanuel Konadu , Ebenezer Otu Ayeboafo Ansah , Nicholas Karikari Mensah , Sulemana Baba Abdulai , Jennifer Fordjour , Lydia Oduro , Emmanuel Kweku Nakua","doi":"10.1016/j.burnso.2025.100402","DOIUrl":"10.1016/j.burnso.2025.100402","url":null,"abstract":"<div><div>This retrospective study estimated the survival patterns and mortality predictors among burn patients admitted to Komfo Anokye Teaching Hospital in Ghana, where burn-related mortality remains high due to challenges in providing comprehensive care. Data from 457 burn patients admitted from January 2021 to December 2023 were extracted from the Lightwave Health Information Management System. Descriptive analyses were conducted for continuous and categorical variables. Survival probabilities were estimated using Lifetable and Kaplan-Meier analyses, while Cox proportional hazard regression model was used to identify mortality predictors. Hazard ratios (HR) were used to estimate mortality risk with 95 % confidence intervals (CI) and a p-value of 0.05 to express the association between significant predictors and the treatment outcome (mortality). Data analysis was performed in Stata/SE Version 17.0. Diagnoses of Systemic Inflammatory Response Syndrome (SIRS) and inhalation injury as well as mechanical ventilation usage were associated with lower survival probabilities. Mortality risk increased with larger total body surface area (TBSA) burned (adjusted hazard ratio [aHR] = 1.05, 95 % CI: 1.04–1.06), full-thickness burns (aHR = 4.86, 95 % CI: 2.70–8.74), and inhalation injury (aHR = 1.66, 95 % CI: 1.05–2.61). Conversely, hemo-transfusion (aHR = 0.50, 95 % CI: 0.31–0.79) and surgical intervention (aHR = 0.15, 95 % CI: 0.06–0.37) were associated with improved survival. TBSA burned, full-thickness burns, and inhalation injuries significantly predicted increased mortality risk, while hemo-transfusion and surgical interventions were associated with improved survival. The findings of this study suggest that early surgical intervention significantly improved survival outcomes.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"10 ","pages":"Article 100402"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563636","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}