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Yasti A.C.,Burn Treatment Center | Koc O.,Ministry of Health | SEnel E.,Ankara DiSkapi Children Training and Research Hospital | Kabalak A.A.,Ankara Numune Training and Research Hospital
Ulusal Travma ve Acil Cerrahi Dergisi | Year: 2011

BACKGROUND Burns are among the preventable traumas encountered during childhood. Burn injuries are mostly classified as scalds, flame, electric, and chemical burns. However, each subject has some difference in the course of treatment related to the sub-etiologies. To reveal the importance of milk burns, scald burn patients were studied retrospectively. METHODS Demographics of the patients, burn etiologies, clinical presentations, and clinical courses were analyzed. There were 461 (60.4%) male and 303 (39.6%) female patients, with a 1.52 male to female ratio. RESULTS The mean age of the group was 3.36±2.86 years. There were no difference in burn causes between males and females. The mean burned total body surface area of patients was 16.91±12.63%. Hot milk caused larger, deeper burns than the other scalds and caused more third-degree burns (p<0.001, p<0.001, p<0.05, respectively). Milk burns also resulted in longer hospital stay (days) (p<0.001). The mortality rate was also higher in milk burns than other scalds (p<0.001). CONCLUSION Due to the more detrimental clinical course, milk burns necessitate special consideration in clinical settings. The most important factor is to be aware that burns are deeper than they appear.


Armand C.,University of Silesia | Grzegorz K.,Burn Treatment Center | Agata S.,University of Silesia | Marek K.,Burn Treatment Center | And 3 more authors.
Journal of Thermal Analysis and Calorimetry | Year: 2012

We performed studies on the influence of hyperbaric oxygen therapy on the trophic ulceration of the crus using thermal imaging and TC oximetry. Thermograms for two groups of volunteers, one suffering from trophic ulceration of the crus (11 patients aged 63.6 ± 15.2) and one healthy (6 people aged 42 ± 8), were completed before and after hyperbaric oxygenation. In addition, the oxygen tension in each patient's crus was measured. Hyperbaric oxygenation has an influence on biological as well as physiological processes that occur in the tissue. It is apparent that these processes may have an impact on the differentiation of tissue temperature. The studies showed some differences in skin temperature between research groups. A bigger differentiation of skin temperature was observed for patients who suffered from ulceration. It follows that there are statistically significant differences between the mean temperature for all chosen regions of interest obtained before (p = 0.0003) and after (p = 0.03) hyperbaric oxygen therapy. Moreover, the differences (ΔT = T meanAR01 - T meanAR04) between mean temperature characterization in chosen areas seem to be a little smaller. We observed that this difference changed from ΔT = 3.3 °C, estimated before hyperbaric oxygenation, to 2.5 °C, obtained after hyperbaric oxygenation, which may suggest improvement in the thermoregulation process. A similar situation was observed for the healthy group, but the temperature changes were smaller. The changes of the mean temperature may be correlated to some changes in wound cellular metabolism and the increase of microcirculation due to neoangiogenesis as well as the improvement of thermoregulation in the ulceration due to a rebuilding of the right cellular matrix. In addition, we observed that the mean values of oxygen pressure in the tissues (TCPO2) increased from 22 to 39 mmHg after hyperbaric oxygenation for patients with ulceration in their lower extremities. We also detected that oxygen pressure measurements and infrared imaging seem to be useful in the qualitative analysis of hyperbaric oxygenation treatment, and may offer some useful information about the hyperbaric oxygen therapy effects in trophic ulceration. © 2011 Akadémiai Kiadó, Budapest, Hungary.


Majchrzak E.,Silesian University of Technology | Dziewonski M.,Silesian University of Technology | Nowak M.,Burn Treatment Center | Kawecki M.,Burn Treatment Center | And 2 more authors.
Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) | Year: 2012

The process of burn and chronic wound treatment is arduous, costly and prolonged. The possibility of qualitative and quantitative monitoring of the healing process is very important for the optimum management. A properly made diagnosis and related medical procedures can effectively reduce the time and costs of patients' treatment. The system under design will make it easier to assess the level of tissue damage and to choose a proper management plan (surgical procedure, pharmacotherapy, oxygen hyperbaric therapy) and tracking its efficiency and effectivity. The aim of the system, in the first place, will be to record thermal images and related videos in 3D mode, which will allow for the qualitative and quantitative assessment of burn wounds and will make it easier to specify the progress of healing in the case of burn and hard-to-heal wounds. Apart from the infrared and visible band images, the system will also allow for recording and reviewing the results of other tests of the diagnosed patient (e.g. microbiological tests, histopathological examination, histochemical tests) and comparing them at subsequent treatment stages. The paper presents the system structure and the description of its components, particularly the recorder of encircling thermal images/videos. © 2012 Springer-Verlag.


Heard J.P.,University of Iowa | Heard J.P.,Burn Treatment Center | Latenser B.A.,University of Iowa | Liao J.,University of Iowa
Journal of Burn Care and Research | Year: 2013

The aim of this study was to assess both burn prevention knowledge and the effectiveness of educational intervention in alleviating the current knowledge deficit in Zambian youth. In one rural Zambian district, a burn prevention program was implemented in June 2011. Children at two elementary schools completed a 10-question survey that aimed to assess knowledge regarding burn injuries. After completing the survey, children received a burn and fire safety presentation and a burn prevention coloring book. Children were reassessed in May 2012 using the same survey to determine program efficacy and knowledge retention. Burn knowledge assessments were also completed for children at other schools who did not receive the burn prevention program in 2011. Logistic regression analysis was used for statistical adjustment for confounding variables. Between June 2011 and May 2012, 2747 children from six schools were assessed for their burn knowledge, with 312 of them resurveyed after educational intervention since initial survey. Reassessed children performed significantly better on three questions after controlling for confounders. They did better on five questions but their performance on these failed to achieve statistical significance. Children performed significantly worse on one concept about first aid treatment of a burn. A majority of the children demonstrated knowledge deficit in three concepts, even after educational intervention. There is a large variation in first burn knowledge survey performance of children from different schools, with inconsistency between concepts. With half the questions, knowledge deficit did not improve with advancement in school grade. Low- and moderate-income countries (LMICs) face the largest burns burden. With the lack of adequate burn care facing LMICs, burn injury prevention is of particular importance in those countries. This study shows that burn educational intervention could be effective in reducing burn knowledge deficit; however, the residual deficit posteducation could still be large and potentially contributing to heightened burn injury incidence. Customized and integrated educational programs may be proposed regarding the epidemiological profile of burn knowledge deficit from various schools. This study represents one of the few reports on the effectiveness of a burn prevention program in an LMIC. Future epidemiological data will be needed from nearby healthcare facilities to determine whether this program decreased burn morbidity and mortality at the hospital level. Copyright © 2013 by the American Burn Association.


Silverstein P.,Paul Silverstein Burn Center | Heimbach D.,Harborview Medical Center | Meites H.,Paul Silverstein Burn Center | Latenser B.,Burn Treatment Center | And 7 more authors.
Journal of Burn Care and Research | Year: 2011

An open, parallel, randomized, comparative, multicenter study was implemented to evaluate the cost-effectiveness, performance, tolerance, and safety of a silver-containing soft silicone foam dressing (Mepilex Ag) vs silver sulfadiazine cream (control) in the treatment of partial-thickness thermal burns. Individuals aged 5 years and older with partial-thickness thermal burns (2.5-20% BSA) were randomized into two groups and treated with the trial products for 21 days or until healed, whichever occurred first. Data were obtained and analyzed on cost (direct and indirect), healing rates, pain, comfort, ease of product use, and adverse events. A total of 101 subjects were recruited. There were no significant differences in burn area profiles within the groups. The cost of dressing-related analgesia was lower in the intervention group (P = .03) as was the cost of background analgesia (P = .07). The mean total cost of treatment was $309 vs $513 in the control (P < .001). The average cost-effectiveness per treatment regime was $381 lower in the intervention product, producing an incremental cost-effectiveness ratio of $1688 in favor of the soft silicone foam dressing. Mean healing rates were 71.7 vs 60.8% at final visit, and the number of dressing changes were 2.2 vs 12.4 in the treatment and control groups, respectively. Subjects reported significantly less pain at application (P = .02) and during wear (P = .048) of the Mepilex Ag dressing in the acute stages of wound healing. Clinicians reported the intervention dressing was significantly easier to use (P = .03) and flexible (P = .04). Both treatments were well tolerated; however, the total incidence of adverse events was higher in the control group. The silver-containing soft silicone foam dressing was as effective in the treatment of patients as the standard care (silver sulfadiazine). In addition, the group of patients treated with the soft silicone foam dressing demonstrated decreased pain and lower costs associated with treatment. Copyright © 2011 by the American Burn Association.

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