{"title":"It all began with Aristotle--the history of the treatment of burns.","authors":"M Thomsen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"Suppl ","pages":"S1-46"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14201557","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":"Mortality of burn injuries in Jordan.","authors":"S. Abu Ragheb, S. Qaryoute, H. El-Muhtaseb","doi":"10.1097/00004630-198609000-00028","DOIUrl":"https://doi.org/10.1097/00004630-198609000-00028","url":null,"abstract":"Three hundred and ninety patients who died following fire burns and scalds between 1973 and 1982 were subjected to autopsy examination at the departments of Forensic Medicine in the Ministry of Health and Jordan University Hospital. Flame burns caused 82 per cent of the deaths. Most of the burn injuries occurred at home and most of the accidents may have been avoidable. Seventy-six per cent of the patients were children and young adults (0-29 years). Suicide caused 13.5 per cent of the deaths. The most common causes of death were septicaemia and hypovolaemia.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"1 1","pages":"439-43"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90238423","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}
X. Wang, J. Davies, R. Zapata Sirvent, W. Robinson
{"title":"Chromic acid burns and acute chromium poisoning.","authors":"X. Wang, J. Davies, R. Zapata Sirvent, W. Robinson","doi":"10.1097/00004630-198609000-00021","DOIUrl":"https://doi.org/10.1097/00004630-198609000-00021","url":null,"abstract":"The problems encountered during the treatment of a patient with burns covering 40 per cent of the body surface caused by hot chromic acid and the resulting chromium poisoning are described. Anuria developed on the second day after injury and the patient died on the sixth day.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":" 72","pages":"181-4"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91410637","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":"Behavioural factors in burn mortality and length of stay in hospital.","authors":"C. Berry, T. Patterson, T. Wachtel, H. Frank","doi":"10.1097/00004630-198607000-00026","DOIUrl":"https://doi.org/10.1097/00004630-198607000-00026","url":null,"abstract":"Numerous studies have examined the effects of burn size and depth, age, concomitant injury, and illness upon burn patient mortality and duration of stay in hospital, and other studies have stressed the importance of psychosocial factors in the causation of burns. However, scant attention has been given to the effects of psychosocial factors on burn mortality and length of stay in hospital. Data on psychiatric diagnoses, substance abuse, and factors in severity of injury were abstracted from the charts of patients admitted to the San Diego Regional Burn Treatment Center. Mortality data were analysed using logistic regression. After adjusting for severity of the burn injury, statistically significant increases in mortality are associated with the diagnosis of character or personality disorder, schizophrenia, alcohol intoxication at the time of injury, and a variable indication a psychiatric diagnosis or severe undiagnosed problems. Comments on individual charts suggest that overtly self-destructive behaviour during treatment caused the increased mortality. Data on duration of stay in hospital among survivors were analysed using multiple linear regression. After adjusting for severity of injury, significantly longer stays are associated with suicidal intention, diagnosis of character or personality disorder, schizophrenia, senility and a variable indicating a psychiatric diagnosis or severe undiagnosed problems. Overtly self-destructive behaviour, treatment of psychiatric problems, and the inability of some patients to care for themselves may each contribute to the longer stay in hospital.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"23 1","pages":"409-14"},"PeriodicalIF":0.0,"publicationDate":"1986-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74304945","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":"Infected pseudo-aneurysm of the femoral artery caused by a monitoring catheter.","authors":"J. Kjartansson, J. Swedenborg, B. Nylén","doi":"10.1097/00004630-198605000-00029","DOIUrl":"https://doi.org/10.1097/00004630-198605000-00029","url":null,"abstract":"A patient suffering from severe burns developed a mycotic aneurysm in the femoral artery as a result of insertion of a monitoring catheter. Treatment with antibiotics and repeated arterial surgery failed and a below knee amputation was finally performed. The use of monitoring intraarterial catheters in burn patients is to be avoided, because of impaired immunity, wound infection and septicaemia in this type of patient which could facilitate the development of septic aneurysm. If, however, a monitoring catheter is mandatory, it should be inserted and cared for by highly experienced staff who appreciate the risks involved. A peripheral site of insertion should reduce morbidity.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"27 1","pages":"213-5"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82314245","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":"The role of sampling in the detection of microbial contamination on cadaveric allograft skin used as a biological wound dressing.","authors":"S. May, J. F. Wainwright, F. Declement","doi":"10.1097/00004630-198605000-00023","DOIUrl":"https://doi.org/10.1097/00004630-198605000-00023","url":null,"abstract":"The availability of cryopreservation and low temperature storage techniques for cadaveric allograft skin allows it to be preserved while microbial assessments are made before its use as a temporary biological dressing on burn wounds. In a 300-donor, 5-year prospective study, we tested ten skin samples from defined areas on each donor for microbiological contamination. Although the skin from 52.3 per cent of the donors possessed some detectable residual microbial contamination after surgical body preparation and skin removal, such contamination was limited to an average of 1.4 areas per body, leaving 86 per cent of all skin obtained free from detectable contamination and suitable for use as biological wound dressings. The number of skin samples tested per donor body determined the accuracy of detection of the presence of contamination. Testing one skin sample per donor body yielded a correct skin assessment 92 per cent of the time, while testing five skin samples increased the accuracy to 96 per cent, and testing ten skin samples yielded a 99.9 per cent accuracy in detection of skin contamination. Thus, it is within the ability of a skin bank to set the limits of microbiological risk to patients receiving processed cadaveric allograft skin.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"53 1","pages":"36-48"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90567505","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":"Enzyme-linked immunosorbent assay (ELISA) and a passive haemagglutination test (PHT) for the detection of pseudomonas antibodies in burned patients.","authors":"E. Roe, R. J. Jones","doi":"10.1097/00004630-198603000-00056","DOIUrl":"https://doi.org/10.1097/00004630-198603000-00056","url":null,"abstract":"Pseudomonas antibodies were measured in serial plasma samples from patients with burns using an enzyme-linked immunosorbent assay (ELISA), passive haemagglutination test (PHT) and a passive protection test (PPT). ELISA and PHT showed that from 7 days after burning, 15 patients immunized with a 16-part polyvalent vaccine had higher titres of antibody to the 16 antigens in the vaccine than 15 unvaccinated patients. There was evidence that ELISA and PHT detected different pseudomonas antibodies in the plasma samples. When a single antigen (type 6) from the polyvalent vaccine was used in ELISA it failed to monitor antibodies in the plasma from vaccinated and unvaccinated burned patients shown by a PPT to protect mice against Pseudomonas aeruginosa serotype 6. PHT gave a closer correlation of protective antibodies against type 6 antigen than ELISA.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"34 1","pages":"252-8"},"PeriodicalIF":0.0,"publicationDate":"1986-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74406559","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}
H. Eriksen, E. Kalaja, B. A. Jensen, I. Clemmensen
{"title":"Plasma fibronectin concentrations in patients with severe burn injury.","authors":"H. Eriksen, E. Kalaja, B. A. Jensen, I. Clemmensen","doi":"10.1097/00004630-198603000-00019","DOIUrl":"https://doi.org/10.1097/00004630-198603000-00019","url":null,"abstract":"Plasma fibronectin concentrations were measured in 33 patients with major burn injury. Changes in plasma fibronectin concentration were related to the day of burn injury, surgery and to the development of sepsis. Within 24 hours of the burn injury and surgical treatment, a decrease of the plasma fibronectin concentration was observed, which returned to normal values within 72 hours. A decrease in the plasma fibronectin concentration was observed as sepsis developed, while recovery from septicaemia was associated with plasma fibronectin concentration returning to normal values.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"12 1","pages":"422-6"},"PeriodicalIF":0.0,"publicationDate":"1986-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88216782","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":"Grafting with epidermal Langerhans cell depressed cadaver split skin.","authors":"B. Alsbjörn, B. Sørensen","doi":"10.1097/00004630-198603000-00026","DOIUrl":"https://doi.org/10.1097/00004630-198603000-00026","url":null,"abstract":"Viable cadaver split skin is very useful as a temporary coverage of excised burns. However, the functional time on the patients is short (2-3 weeks) due to rejection of the tissue. By depression of the epidermal Langerhans cell by ultraviolet light B and glucocorticosteroid, a prolongation of the allograft survival can be obtained.","PeriodicalId":77684,"journal":{"name":"Burns, including thermal injury","volume":"51 1","pages":"259-63"},"PeriodicalIF":0.0,"publicationDate":"1986-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78583467","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}