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Calota D.R.,Clinical Emergency Hospital for Plastic | Nitescu C.,Clinical Emergency Hospital for Plastic | Marinescu S.,Bagdasar Arseni Emergency Hospital | Cristescu C.,Carol Davila University of Medicine and Pharmacy | And 3 more authors.
Romanian Journal of Morphology and Embryology

Extensive burns are devastating traumatic events, with significant potential for development of complex psychosocial problems. The aim of the study was to identify and quantify these difficulties among extensive burns patients. This study was conducted at Clinical Emergency Hospital for Plastic, Reconstructive and Burns Surgery and "Bagdasar-Arseni" Emergency Hospital, in Bucharest, on 43 extensive burn patients. For each patient we developed a statistic sheet with demographic data and medical information. For data collection, subjects completed the following instruments: Hamilton Depression Scale (HAMD) and Satisfaction With Appearance Scale (SWAP). The impact variables evaluated in this study were demographic characteristic of patients, burn injury characteristics, abnormal scarring and visible scars, body image dissatisfaction and depression symptoms. Although performed on a small sample, the results of this pilot study could be a valuable starting point for future larger studies, to achieve more generalizable results on extensive burns survivor's quality of life. Source

Nitescu C.,Clinical Emergency Hospital for Plastic | Calota D.R.,Clinical Emergency Hospital for Plastic | Stancioiu T.A.,Clinical Emergency Hospital for Plastic | Marinescu S.A.,Bagdasar Arseni Emergency Hospital | And 3 more authors.
Romanian Journal of Morphology and Embryology

With the remarkable progress in the field of burns treatment, the outcome of extensive burns improved significantly. The increased likelihood of survival of a burn victim heightens concerns for potential psychological morbidity for the survivors. Hypertrophic scarring is devastating and can result in disfigurement that affects quality of life. To assess the impact of burn scars on the quality of life of the survivors, we used two scales: The WHOQOL-BREF questionnaire to evaluate the quality of life and the POSAS scale for the subjective evaluation of the post-burn scars in 26 patients who suffered extensive burns and received allotransplant. A significant correlation was observed between the WHOQOL-BREF score and POSAS scale (r=-0.93, p<0.001). In conclusion, burn scar visibility and severity did have a strong relationship with the quality of life in the survivors of a major burn who received allotransplant. Therefore, more effort must be placed into developing psychosocial interventions that help survivors to accept scars, reduce depression and build a strong supportive system. Source

Munteanu A.D.,Clinical Emergency Hospital for Plastic | Bedereag S.I.,Bagdasar Arseni Emergency Hospital | Nitescu C.,Clinical Emergency Hospital for Plastic | Florescu I.P.,Bagdasar Arseni Emergency Hospital
Romanian Journal of Morphology and Embryology

In spite of the remarkable progress science and medicine have experienced, many facts concerning healing processes and pathological scars are still unknown or incompletely explained. This paper is part of a larger study (research for a PhD thesis) concerning new approaches in the prevention and treatment of pathological post-burn scars. We present and analyze the cases of some patients who developed abnormal scars in order to understand and point out the characteristics, that different types of pathological scars have in common and how we can differentiate them. Knowing what issue to address is the key to any successful therapy. Thus, the information we obtained will help us in applying more appropriate and efficient methods of treatment and in our further research: comparing the efficiency of newer therapies to that of older ones. © 2015, Rom J Morphol Embryol. All rights reserved. Source

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