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Beverwijk, Netherlands

Bakker A.,Association of Dutch Burn Centres | Van Der Heijden P.G.M.,University Utrecht | Van Son M.J.M.,University Utrecht | Van Loey N.E.E.,University Utrecht
Health Psychology | Year: 2013

Objective: This study examines traumatic stress reactions in couples that were followed prospectively for 18 months after a burn event to their child. Method: The participants included 186 mothers and 159 fathers of 198 preschool children. Parents' self-reported traumatic stress reactions were measured with the Impact of Event Scale (IES). Predictors included parental emotions and the perceived life-threatening character of the child's injury. Results: Rates for clinically significant symptoms (IES ≥ 26) decreased from 50% within the first month to 18% at 18 months postburn for mothers and from 27% to 6% for fathers. The decline in symptoms was not entirely linear. Mothers had higher scores than fathers, but the discrepancy in intrusion symptoms among couples diminished over the course of time. Early appraisal of life threat and emotions about the burn event were significant predictors. Conclusions: Both mothers and fathers are seriously affected by a burn event of their young child. Despite a general decrease over time, a subgroup of parents is at risk for chronic symptoms. The results call for the integration of prolonged parent support in family centered pediatric burn aftercare programs. © 2013 American Psychological Association. Source


Bakker A.,Association of Dutch Burn Centres
Journal of pediatric psychology | Year: 2010

OBJECTIVE: This prospective longitudinal study examines the course of posttraumatic stress symptoms (PTSS) in mothers of children with burns between 1 and 11 years after the burn event and the role of burn severity and feelings of guilt on this course. METHOD: Self-reported PTSS of 48 mothers were measured with the Impact of Event Scale. Guilt feelings were assessed during an in-depth interview 2 years after the burn event. Eleven years after the burn event, mothers marked their child's scars at the present time on a drawing. RESULTS: Over a period of 10 years, maternal PTSS decreased. Multiple regression analysis showed that the interaction between guilt and burn severity predicted the course of PTSS. CONCLUSIONS: Although PTSS substantially decreases through the years, a subset of mothers, in particular mothers who feel guilty about the burn event and whose children have more extensive permanent scarring seem at risk for longer term PTSS. Source


Marck R.E.,Red Cross | Middelkoop E.,Association of Dutch Burn Centres | Middelkoop E.,VU University Amsterdam | Breederveld R.S.,Red Cross | Breederveld R.S.,Leiden University
Journal of Burn Care and Research | Year: 2014

Platelet-rich plasma (PRP) is a fraction of blood plasma with a platelet concentration above baseline. After activation of the platelets, growth factors are released, which are involved in wound-healing processes. Application of a multitude of growth factors seems to boost the healing process. In this review the authors provide a comprehensive overview of the many different aspects of PRP; this is followed by a short outline of the evidence for a wide range of applications and finally narrowing down to a more in-depth analysis of the literature on the potential use of PRP in burn treatment. The authors performed an extensive search on PRP and the different biological, as well as practical aspects for the different applications. Furthermore, we performed a systematic search on PRP in the treatment of burn wounds. A high variety exists in PRP products, procedures, and content. This makes interpretation and comparison of the evidence difficult. PRP has been reported to have beneficial effects on wound healing in different fields of surgery and in the treatment of acute, chronic, and diabetic wounds. Literature on the use of PRP in burns is scarce. Separate growth factors have shown beneficial results in the treatment of burns. Furthermore, an animal study and several case reports showed improved burn wound-healing time after the application of PRP. A deep dermal burn could benefit from PRP through its hemostatic antimicrobial abilities and the positive effects seen in wound healing. However, burn patients have an altered physiological state and it is unknown how this may affect platelet function and quality. Furthermore, the effect of PRP on scarring has not been evaluated properly. Future research is needed to elucidate the role of PRP in the treatment of burns. Copyright © 2014 by the American Burn Association. Source


Ter Smitten M.H.,Association of Dutch Burn Centres
Burns : journal of the International Society for Burn Injuries | Year: 2011

Currently, little is known about psychiatric disorders in the period following on the first year after burn. We examined the prevalence of DSM-IV Axis I disorders in burn patients 1-4 years after burn, using a standardized structured clinical interview and comparing findings with a representative general population sample. Ninety patients admitted to five burn centres were assessed with the 12-month Composite International Diagnostic Interview. Results were compared to an age and gender matched nation based norm group. Twelve-month prevalence for any DSM-IV study disorder was 39%. Prevalence for any after burn onset disorder was 28%. Most prevailing were major depression (10%), generalized anxiety disorder (10%), and PTSD (7%). The comorbidity-proportions for PTSD and generalized anxiety disorder where the highest. Fifty-seven percent of all burn onset disorders started within 1 year after the trauma and 21% within the next year. Burn patients had significantly higher prevalence rates for DSM-IV disorders than people from the general population sample. Psychiatric morbidity among burn patients, 1-4 years after burn, is considerable and higher than what may be expected in the general population. A 2-year follow-up for anxiety and depression disorder is warranted. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved. Source


Van Gils C.A.J.,TU Eindhoven | Hofmann S.,TU Eindhoven | Boekema B.K.H.L.,Association of Dutch Burn Centres | Brandenburg R.,TU Eindhoven | And 2 more authors.
Journal of Physics D: Applied Physics | Year: 2013

A radio-frequency atmospheric pressure argon plasma jet is used for the inactivation of bacteria (Pseudomonas aeruginosa) in solutions. The source is characterized by measurements of power dissipation, gas temperature, absolute UV irradiance as well as mass spectrometry measurements of emitted ions. The plasma-induced liquid chemistry is studied by performing liquid ion chromatography and hydrogen peroxide concentration measurements on treated distilled water samples. Additionally, a quantitative estimation of an extensive liquid chemistry induced by the plasma is made by solution kinetics calculations. The role of the different active components of the plasma is evaluated based on either measurements, as mentioned above, or estimations based on published data of measurements of those components. For the experimental conditions being considered in this work, it is shown that the bactericidal effect can be solely ascribed to plasma-induced liquid chemistry, leading to the production of stable and transient chemical species. It is shown that HNO 2, ONOO- and H2O2 are present in the liquid phase in similar quantities to concentrations which are reported in the literature to cause bacterial inactivation. The importance of plasma-induced chemistry at the gas-liquid interface is illustrated and discussed in detail. © 2013 IOP Publishing Ltd. Source

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