20,275 results match your criteria Journal of Burn Care & Research[Journal]


Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: confirmation between eye screening and comprehensive eye examination diagnoses.

Br J Ophthalmol 2019 Feb 15. Epub 2019 Feb 15.

Glaucoma Service, Wills Eye Hospital, Philadelphia, Pennsylvania, USA.

Aims: To evaluate agreement between ocular findings of a telemedicine eye screening (visit 1) with diagnoses of a comprehensive eye examination (visit 2).

Methods: A primary care practice (PCP)-based telemedicine screening programme incorporating fundus photography, intraocular pressure (IOP) and clinical information was conducted. Eligible individuals were African American, Hispanic/Latino or Asian over the age of 40; Caucasian individuals over age 65; and adults of any ethnicity over age 40 with a family history of glaucoma or diabetes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bjophthalmol-2018-313451DOI Listing
February 2019

Free tissue transfer with the free rectus abdominis flap in high-risk patients above 65 years: A retrospective cohort study.

J Plast Reconstr Aesthet Surg 2019 Jan 11. Epub 2019 Jan 11.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Hand and Plastic Surgery, University of Heidelberg, Ludwig-Guttmann-Strasse 13, 67071 Heidelberg, Germany. Electronic address:

Background: Though technically feasible, free tissue transfer carries the risk of perioperative morbidity and mortality in elderly patients. To minimize the operative treatment time and complication rates, we choose the rectus abdominis muscle (RAM) flap.

Methods: Between 2012 and 2017, 34 patients (mean age: 74±7 years, range: 65-89 years) with comorbidities underwent defect reconstruction with a free RAM flap. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjps.2019.01.005DOI Listing
January 2019

How Much Green Does It Take to Be Orange? Determining the Cost Associated with Trauma Center Readiness.

J Trauma Acute Care Surg 2019 Feb 13. Epub 2019 Feb 13.

Doctors Hospital, Augusta, Georgia.

Background: Readiness Costs are real expenses incurred by trauma centers to maintain essential infrastructure to provide emergent services on a 24/7 basis. Although the components for readiness are well described in the American College of Surgeon's Resources for Optimal Care of the Injured Patient, the cost associated with each component is not well defined. We hypothesized that meeting the requirements of the 2014 Resources for Optimal Care of the Injured Patient would result in significant costs for trauma centers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/TA.0000000000002213DOI Listing
February 2019

The Acute Inflammatory Response after Trauma is heightened by Frailty: A Prospective Evaluation of Inflammatory and Endocrine System Alterations in Frailty.

J Trauma Acute Care Surg 2019 Feb 13. Epub 2019 Feb 13.

Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, University of Arizona, College of Medicine, Tucson, Arizona.

Introduction: Frailty is a geriatric syndrome characterized by decreased physiological reserves, increased inflammation, and decreased anabolic-endocrine response. The biomarkers associated with frailty are poorly understood in trauma. The aim of this study was to analyze the association between frailty and immune: IL-1β, IL-6, IL-2Rα, TNF-α and endocrine biomarkers: Insulin-like growth factor-1(IGF-1), and growth hormone(GH) in trauma patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/TA.0000000000002229DOI Listing
February 2019

Developing a Training Program to Diversify the Biomedical Research Workforce.

Acad Med 2019 Feb 12. Epub 2019 Feb 12.

D.M. Rubio is professor of medicine, biostatistics, nursing, and clinical and translational science, associate vice provost for faculty, and co-director, Institute for Clinical Research Education, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. M.E. Hamm is assistant professor of medicine and director, Qualitative, Evaluation, and Stakeholder Engagement Research Services, Center for Research on Health Care Data Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. C.A. Mayowski is assistant professor of medicine and clinical and translational science, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. S.M. Nouraie is associate professor of pulmonary medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. A. Quarshie is professor of community health and preventive medicine, Morehouse School of Medicine, Atlanta, Georgia. T. Seto is associate professor of medicine, University of Hawaii's John A. Burns School of Medicine, and medical director, Non-Invasive Cardiology Laboratory, The Queen's Medical Center, Honolulu, Hawaii. M. Shaheen is associate professor of surgery, Charles R. Drew University of Medicine and Science, Los Angeles, California. L.E. Soto de Laurido is professor, School of Health Professions, director, Hispanics in Research Capability Endowment, and director, Research Institute for Global Health Promotion and Health Education, University of Puerto Rico - Medical Sciences Campus, San Juan, Puerto Rico. M.K. Norman is associate professor of medicine and clinical and translational science and director, IDEA Lab, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

The National Institutes of Health has made considerable investments to diversify the biomedical research workforce. Towards this goal, the authors partnered with representatives from several minority serving institutions (MSIs) to develop training for the next generation of researchers. To ensure the most effective training program, the authors conducted a needs assessment with junior and senior investigators from the partnering MSIs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/ACM.0000000000002654DOI Listing
February 2019

Protective effects of polyphenolic extracts from longan seeds promote healing of deep second-degree burn in mice.

Food Funct 2019 Feb 15. Epub 2019 Feb 15.

College of Food Science, South China Agricultural University, Guangzhou 510642, P.R. China.

The objective of this study was to evaluate the ability of a polyphenolic extract from longan seeds as a wound-healing material for deep second-degree burn wounds. The total phenol content of the extract reached 45.28 ± 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1039/c8fo02330aDOI Listing
February 2019

Sinus Wounds Management.

Adv Skin Wound Care 2018 Nov;31(11):1-4

Zheng-Ying Jiang, MD, is a Burn Surgeon and Wound Repair Consultant; Ming-Zhuo Liu, PhD, MD; Zhong-Hua Fu, MD; Xin-Cheng Liao, MD, is Burn Surgeon and Wound Repair Consultant and Assistant Professor, Medical College of Nanchang University; Guang-Hua Guo, PhD, MD, is the Director of the Wound Repair Center and Chief Physician, Department of Burns, and a Professor, Medical College of Nanchang University, and the Chairman of Wound Repair Association, and Vice Chairman of the Chinese Burn Association; all at the Center of Wound Repair, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.

With aging populations and the increased incidence of cerebrovascular disease, diabetes, and other diseases, more and more patients suffer from pressure injuries. Pressure injuries are often difficult to heal because of the presence of sinus tracts, which make it difficult to clean and change dressings. Sinus wounds are common in patients with pressure injuries, but also occur after abdominal wall incision and in patients who have experienced a physical trauma that created a wound. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/01.ASW.0000546391.73806.85DOI Listing
November 2018

Biofilm formation and antibiotic resistance in meticillin-resistant and meticillin-sensitive Staphylococcus aureus isolated from burns.

J Wound Care 2019 Feb;28(2):66-73

Professor; Oral Microbiology Laboratory, Department of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Objective:: To investigate the relationship between biofilm formation and antibiotic resistance patterns in meticillin-resistant and meticillin-sensitive Staphylococcus aureus, isolated from burns.

Methods:: In a cross-sectional study, pus/wound swab samples were obtained from burns. Presence of Staphylococcus aureus was confirmed, and biofilm formation-related icaABCDR and eta, etb genes were detected by polymerase chain reaction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12968/jowc.2019.28.2.66DOI Listing
February 2019

The role of collagenase ointment in acute burns: a systematic review and meta-analysis.

J Wound Care 2019 Feb;28(Sup2):S9-S15

Assistant Professor; Keck School of Medicine, University of Southern California, Los Angeles, US. Division of Plastic Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, US.

Objective:: A systematic review and meta-analysis was performed to summarise the state of the literature in regard to the efficacy and uses of clostridial collagenase ointment (CCO) in the burn patient.

Method:: A systematic review of articles available on PubMed, Scopus and OvidSP Medline was performed. Keywords used in the search process included burns, thermal injury, collagenase, enzymatic debridement, wound care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12968/jowc.2019.28.Sup2.S9DOI Listing
February 2019

Sufficient therapeutic effect of cryopreserved frozen adipose-derived regenerative cells on burn wounds.

Regen Ther 2019 Jun 1;10:92-103. Epub 2019 Feb 1.

Division of Research Animal Laboratory and Translational Medicine, Research and Development Center, Osaka Medical College, Osaka, Japan.

Introduction: The purpose of this study was to evaluate whether cryopreserved (frozen) adipose-derived regenerative cells (ADRCs) have a therapeutic effect on burn wound healing as well as freshly isolated (fresh) ADRCs.

Methods: Full thickness burns were created on dorsum of nude mice and burn wound was excised. The wound was covered by artificial dermis with; (i) fresh ADRCs, (ii) frozen ADRCs, and (iii) PBS (control). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.reth.2019.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360408PMC

An Uncommon Pairing of common Tumors: Case Report of Ductal Carcinoma Within Fibroadenoma.

Hawaii J Med Public Health 2019 Feb;78(2):39-43

Department of Surgery, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (AM, SS, NF, SW).

Fibroadenomas are common benign tumors of the female breast. In the appropriate clinical setting, they are often managed expectantly without excision. Rarely, cancer may arise within a fibroadenoma, and this diagnosis mandates prompt treatment for malignancy. Read More

View Article

Download full-text PDF

Source
February 2019

[Antibiotic treatment of infections in burn patients - a systematic review].

Handchir Mikrochir Plast Chir 2019 Feb 14. Epub 2019 Feb 14.

Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumore, BG Universitätskliniken Bergmannsheil.

Background: Due to the loss of the natural skin barrier function with reduced immune competence as a result of a plasma loss and the numerous intensive care interventions, burn patients are particularly at risk for infection.

Study Design: systematic review METHODS: A systematic review of German and English literature between 1990 and 2018 analyzes the epidemiological and diagnostic aspects as well as the therapeutic use of antibiotics in infections of burn patients in clinical trials.

Results: A total number of 53 randomized controlled clinical trials met the inclusion criteria. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/a-0802-8882
Publisher Site
http://dx.doi.org/10.1055/a-0802-8882DOI Listing
February 2019
1 Read

Summary of the 2018 Alcohol and Immunology Research Interest Group (AIRIG) meeting.

Alcohol 2018 Aug 24;77:11-18. Epub 2018 Aug 24.

Department of Surgery, Alcohol Research Program, Burn & Shock Trauma Research Institute, Loyola University Chicago Health Sciences Division, Maywood, IL, United States. Electronic address:

On January 26, 2018, the 23rd annual Alcohol and Immunology Research Interest Group (AIRIG) meeting was held at the University of Colorado Denver, Anschutz Medical Campus, Aurora, Colorado. The meeting consisted of plenary sessions with oral presentations and a poster presentation session. There were four plenary sessions that covered a wide range of topics relating to alcohol use: Alcohol and Liver Disease; Alcohol, Inflammation and Immune Response; Alcohol and Organ Injury; Heath Consequences and Alcohol Drinking. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.alcohol.2018.08.010DOI Listing

Pneumatosis intestinalis after molecular targeted therapy.

World Neurosurg 2019 Feb 11. Epub 2019 Feb 11.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Background: Pneumoperitoneum after surgical manipulation of the abdomen implies a perforation. Rare cases of non-operated cancer patients, largely with gastrointestinal or genitourinary cancers, have been noted to have radiological findings of pneumatosis intestinalis and/or pneumoperitoneum as a complication of molecular-targeted therapy (MTT) without confounding factors for perforation. We present a patient with a cranial malignancy treated with bevacizumab who subsequently manifested with pneumatosis intestinalis. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S18788750193033
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2019.01.225DOI Listing
February 2019
1 Read

Reassessing the Safety of Bicycle Helmets-Finding Vulnerability in Strength.

JAMA Otolaryngol Head Neck Surg 2019 Feb 14. Epub 2019 Feb 14.

Division of Trauma, Emergency Surgery, Critical Care, and Burns, Department of Surgery, University of Arizona, Tucson.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamaoto.2018.4184DOI Listing
February 2019

Update: Influenza Activity - United States, September 30, 2018-February 2, 2019.

MMWR Morb Mortal Wkly Rep 2019 Feb 15;68(6):125-134. Epub 2019 Feb 15.

Influenza Division, National Center for Immunization and Respiratory Diseases, CDC.

CDC collects, compiles, and analyzes data on influenza activity and viruses in the United States. During September 30, 2018-February 2, 2019,* influenza activity in the United States was low during October and November, increased in late December, and remained elevated through early February. As of February 2, 2019, this has been a low-severity influenza season (1), with a lower percentage of outpatient visits for influenza-like illness (ILI), lower rates of hospitalization, and fewer deaths attributed to pneumonia and influenza, compared with recent seasons. Read More

View Article

Download full-text PDF

Source
http://www.cdc.gov/mmwr/volumes/68/wr/mm6806a1.htm?s_cid=mm6
Publisher Site
http://dx.doi.org/10.15585/mmwr.mm6806a1DOI Listing
February 2019
1 Read

Coenzyme Q10 protects against burn-induced mitochondrial dysfunction and impaired insulin signaling in mouse skeletal muscle.

FEBS Open Bio 2019 Feb 19;9(2):348-363. Epub 2019 Jan 19.

Department of Anesthesia, Critical Care and Pain Medicine Massachusetts General Hospital Harvard Medical School Charlestown MA USA.

Mitochondrial dysfunction is associated with metabolic alterations in various disease states, including major trauma (e.g., burn injury). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/2211-5463.12580DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356165PMC
February 2019

Physiological Stress in Rescued Wild Koalas Are Influenced by Habitat Demographics, Environmental Stressors, and Clinical Intervention.

Front Endocrinol (Lausanne) 2019 29;10:18. Epub 2019 Jan 29.

School of Animal and Veterinary Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia.

Koalas are rescued from the wild often with incidence of burns from bushfire, injury from animal attacks, vehicle collision, and diseases. Exposure to environmental stressors (trauma and disease) could generate physiological stress and potentially impact the outcomes of clinical management intervention and rehabilitation of rescued wild koalas. It is important to quantify the stress physiology of wild koalas upon registering into clinical care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fendo.2019.00018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361754PMC
January 2019

Study of negative pressure wound therapy as an adjunct treatment for acute burns in children (SONATA in C): protocol for a randomised controlled trial.

Trials 2019 Feb 13;20(1):130. Epub 2019 Feb 13.

Centre for Children's Burns and Trauma Research, Level 7, Children's Health Research Center, The University of Queensland, 62 Graham St., South Brisbane, QLD, 4101, Australia.

Background: Although negative pressure wound therapy (NPWT) is widely used in the management of several wound types, its efficacy as a primary therapy for acute burns has not yet been adequately investigated, with research in the paediatric population particularly lacking. There is limited evidence, however, that NPWT might benefit children with burns, amongst whom scar formation, wound progression and pain continue to present major management challenges. The purpose of this trial is to determine whether NPWT in conjunction with standard therapy accelerates healing, reduces wound progression and decreases pain more effectively than standard treatment alone. Read More

View Article

Download full-text PDF

Source
https://trialsjournal.biomedcentral.com/articles/10.1186/s13
Publisher Site
http://dx.doi.org/10.1186/s13063-019-3223-9DOI Listing
February 2019
1 Read

Improved Morphine-Loaded Hydrogels for Wound-Related Pain Relief.

Pharmaceutics 2019 Feb 12;11(2). Epub 2019 Feb 12.

Research Medicine Research Institute (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Lisboa, Portugal.

The use of morphine applied topically to painful wounds has potential advantages, such as dose reduction, fewer side effects and compound formulations, have been proposed for this purpose. Given the potential high impact of drug product quality on a patient's health, the aim of the present study was to develop two stable sterile hydrogels containing morphine hydrochloride, intended for topical application on painful wounds. Two carboxymethylcellulose sodium-based hydrogels were prepared containing 0. Read More

View Article

Download full-text PDF

Source
http://www.mdpi.com/1999-4923/11/2/76
Publisher Site
http://dx.doi.org/10.3390/pharmaceutics11020076DOI Listing
February 2019
2 Reads

[Imaging of bacteria in burn wounds treated with split-thicknessgrafts in MEEK/MESH technique: a pilot study with first experiences in clinical wound evaluation with autofluorescence].

Handchir Mikrochir Plast Chir 2019 Feb 12. Epub 2019 Feb 12.

Medizinische Hochschule Hannover, Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Replantationszentrum Niedersachsen, Schwerbrandverletztenzentrum Niedersachsen.

Background: Partial and full thickness burns require surgical treatment, such as early débridement and skin transplantation in MEEK/MESH technique or further reconstructive surgery. Infections of burns or transplanted areas limit surgical success and increase patient mortality. For split-thickness grafts in MEEK technique a superficial silk is applied as a protective on-top dressing, whereas in MESH technique fatty gauze and foam are used as standard protective covers over five to seven days. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-0584-7488DOI Listing
February 2019
1 Read

Patient injuries in pediatric otorhinolaryngology.

Int J Pediatr Otorhinolaryngol 2019 Feb 3;120:36-39. Epub 2019 Feb 3.

Department of Vascular Surgery, Turku University Hospital and University of Turku, Turku, Finland.

Objectives: Patient injuries in children can have lifelong effects on the patient and a marked impact on the whole family. The aim of this study was to identify the errors and incidents leading to patient injuries in pediatric otorhinolaryngology (ORL) by evaluating accepted patient injury claims.

Methods: The records of all accepted patient injury claims in ORL between 2001 and 2011 were searched from the nationwide Patient Insurance Centre registry. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2019.02.007DOI Listing
February 2019
1 Read

Childhood Burns Leading to Skeletal and Soft Tissue Deformities: A Case Report.

J Burn Care Res 2019 Feb 9. Epub 2019 Feb 9.

Department of Plastic Surgery, Seth GSMC and KEM Hospital, Mumbai, India.

Postburn contracture is an undesirable sequel of burn injury which affects patients in many ways. A secondary deformity of the growing skeleton in case of pediatric burn patients is a challenging problem to reconstructive surgeons, and careful planning and staged correction is required for such patients. Here we discuss a case of burn injury sustained in childhood and its consequent deformities and their management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jbcr/irz012DOI Listing
February 2019

Burnout in women intensivists: a hidden epidemic?

Lancet Respir Med 2019 Feb 7. Epub 2019 Feb 7.

Division of Critical Care Medicine and Center for Health Evaluation and Outcome Sciences, St. Paul's Hospital and University of British Columbia, Vancouver, BC, Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/S2213-2600(19)30029-3DOI Listing
February 2019

Relationship between the albumin level and the anesthesia method and the effect on clinical course in patients with major burns.

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):55-59

Department of Anesthesiology and Reanimation, Health Sciences University Ankara Numune Training and Research Hospital, Ankara-Turkey.

Background: Due to a massive increase in capillary permeability during the state of shock caused by burns, albumin and intravascular fluid rapidly move to the extravascular areas. Therefore, hypoalbuminemia is seen as an early and prolonged finding in major burns. Hypoalbuminemia leads to various problems. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5505/tjtes.2018.71278DOI Listing
January 2019
1 Read

A sensitive and scalable microsatellite instability assay to diagnose constitutional mismatch repair deficiency by sequencing of peripheral blood leukocytes.

Hum Mutat 2019 Feb 10. Epub 2019 Feb 10.

Division of Human Genetics, Medical University of Innsbruck, Innsbruck, Austria.

Constitutional mismatch repair deficiency (CMMRD) is caused by germline pathogenic variants in both alleles of a mismatch repair gene. Patients have an exceptionally high risk of numerous paediatric malignancies, and benefit from surveillance and adjusted treatment. The diversity of its manifestation, and ambiguous genotyping results, particularly from PMS2, can complicate diagnosis and preclude timely patient management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/humu.23721DOI Listing
February 2019

Volume-outcome relationship on survival and cost benefits in severe burn injury: a retrospective analysis of a Japanese nationwide administrative database.

J Intensive Care 2019 30;7. Epub 2019 Jan 30.

1Trauma and Acute Critical Care Medical Center, Hospital of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510 Japan.

Background: Although it has been reported that high hospital patient volume results in survival and cost benefits for several diseases, it is uncertain whether this association is applicable in burn care.

Methods: We conducted a retrospective observational study on severe burn patients, defined by a burn index ≥ 10, using 2010-2015 data from a Japanese national administrative claim database. A generalized additive mixed-effect model (GAMM) was used to evaluate the nonlinear associations between patient volume and the outcomes (in-hospital mortality, healthcare costs per admission, and hospital-free days at 90 days). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40560-019-0363-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354429PMC
January 2019

Exploring the role of teams and technology in patients' medication decision making.

J Am Pharm Assoc (2003) 2019 Feb 5. Epub 2019 Feb 5.

Objectives: We know little about how electronic health records (EHRs) should be designed to help patients, pharmacists, and physicians participate in interprofessional shared decision making. We used a qualitative approach to understand better how patients make decisions with their health care team, how this information influences decision making about their medications, and finally, how this process can be improved through the use of EHRs.

Design: Participants from 4 regions across Canada took part in a semistructured interview and completed a brief demographic survey. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.japh.2018.12.010DOI Listing
February 2019

Emergency nurses' knowledge and understanding of their role in recognising and responding to patients with sepsis: A qualitative study.

Int Emerg Nurs 2019 Feb 4. Epub 2019 Feb 4.

School of Nursing, Midwifery and Paramedicine, University of Sunshine Coast, Sippy Downs 4558, QLD, Australia.

Aim: Sepsis is a significant and time-sensitive clinical concern for patients who present to Emergency Departments (EDs). Existing guidelines do not define nurses' roles in managing sepsis. This study explored ED nurses' experiences and perceptions around recognising and responding to patients with sepsis, and their awareness of sepsis screening and prognostic tools. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ienj.2019.01.005DOI Listing
February 2019

A review of children with severe trauma admitted to pediatric intensive care in Queensland, Australia.

PLoS One 2019 7;14(2):e0211530. Epub 2019 Feb 7.

Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.

Background: The aim of this study is to review patient characteristics, injury patterns, and outcomes of trauma cases admitted to pediatric intensive care in Children's Health Queensland, Brisbane, Queensland, Australia.

Methods: Routinely recorded data collected prospectively from the Children's Health Queensland Trauma Service registry from November 2008 to October 2015 were reviewed. Demographic and clinical characteristics of trauma cases in children under 16 years of age are described, and their association with age and mortality analyzed. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211530PLOS
February 2019
3 Reads

Ensuring Sustainability for UK Burns Services: Workforce Planning for Burns Consultants.

Ann Plast Surg 2019 Mar;82(3):274-276

From the Stoke Mandeville Hospital, Aylesbury, United Kingdom.

Introduction: Workforce planning is an essential component of organizing any health service. Centralization of burns services pools expertise, although trainees can struggle to achieve adequate exposure to burns training. We aim to review current staffing levels and predict the future consultant numbers required for UK services to remain staffed with appropriately trained surgeons. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00000637-201903000-0000
Publisher Site
http://dx.doi.org/10.1097/SAP.0000000000001847DOI Listing
March 2019
2 Reads

Use of Electronic Health Record Access and Audit Logs to Identify Physician Actions Following Noninterruptive Alert Opening: Descriptive Study.

JMIR Med Inform 2019 Feb 7;7(1):e12650. Epub 2019 Feb 7.

Meyers Primary Care Institute, Worcester, MA, United States.

Background: Electronic health record (EHR) access and audit logs record behaviors of providers as they navigate the EHR. These data can be used to better understand provider responses to EHR-based clinical decision support (CDS), shedding light on whether and why CDS is effective.

Objective: This study aimed to determine the feasibility of using EHR access and audit logs to track primary care physicians' (PCPs') opening of and response to noninterruptive alerts delivered to EHR InBaskets. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2196/12650DOI Listing
February 2019

Improved understanding, detection, and management of neuropsychiatric complications: essential components to the optimal treatment of Parkinson's disease.

Int Psychogeriatr 2019 Jan;31(1):1-4

Rutgers,The State University of New Jersey,Robert Wood Johnson Medical School,Piscataway,NJ,USA.

It has been well established that Parkinson's disease (PD) is not just a movement disorder (Weintraub and Burn, 2011). Fortunately, the past two decades have seen increased attention to the neuropsychiatric aspects of the disease process. Neuropsychiatric symptoms (e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1017/S1041610219000048DOI Listing
January 2019

Development of a risk prediction model (Hangang) and comparison with clinical severity scores in burn patients.

PLoS One 2019 6;14(2):e0211075. Epub 2019 Feb 6.

Department of Surgery and Critical Care, Burn Center, Hangang Sacred Heart Hospital, Hallym University Medical Center, Youngdeungpo-gu, Seoul, Korea.

Purpose: The purpose of this study was to develop a new prediction model to reflect the risk of mortality and severity of disease and to evaluate the ability of the developed model to predict mortality among adult burn patients.

Methods: This study included 2009 patients aged more than 18 years who were admitted to the intensive care unit (ICU) within 24 hours after a burn. We divided the patients into two groups; those admitted from January 2007 to December 2013 were included in the derivation group and those admitted from January 2014 to September 2017 were included in the validation group. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211075PLOS
February 2019
2 Reads
3.234 Impact Factor

The Presence of Scarring and Associated Morbidity in the Burn Model System National Database.

Ann Plast Surg 2019 Mar;82(3 Suppl 2):S162-S168

Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, MA.

Introduction: Postburn scarring is common, but the risk factors, natural history, and consequences of such scars are still poorly understood. This study aims to describe the frequency of scar-related morbidity for up to 2 years after injury and to analyze the impact of burn scars on long-term functional, psychosocial, and reintegration outcomes.

Methods: Analysis was conducted on data collected between January 2006 and May 2014 from 960 patients (2440 anatomic burn sites) using the Burn Model System (BMS) database. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SAP.0000000000001826DOI Listing
March 2019
1 Read

Practice Site Contributions to the Overall Growth of a Burn Care Network.

Ann Plast Surg 2019 Mar;82(3 Suppl 2):S146-S147

JMS Burn and Reconstruction Center, Merit Health Central Hospital, Jackson, MS.

Beginning in 2009, The Joseph M. Still Burn Center in Augusta, Georgia began to develop additional practice sites. By 2018, 6 burn centers had been established and the practice network had been organized as the Burn and Reconstructive Centers of America. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SAP.0000000000001823DOI Listing

Augmented Renal Clearance.

Pharmacotherapy 2019 Feb 5. Epub 2019 Feb 5.

University of Kentucky, College of Pharmacy - Pharmacy Practice and Science, Lexington, Kentucky.

Augmented renal clearance (ARC) is a phenomenon in critically ill patients characterized by increased creatinine clearance and elimination of renally-eliminated medications. Patients with severe neurologic injury, sepsis, trauma, and burn have been consistently identified as at risk for ARC, with mean creatinine clearances ranging from 170 ml/min to over 300 ml/min. Several potential mechanisms may contribute to the occurrence of ARC including endogenous responses to increased metabolism and solute production, alterations in neurohormonal balance, and therapeutic maneuvers such as fluid resuscitation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/phar.2231DOI Listing
February 2019
1 Read

Prolonged ICU stay and its association with 1-year trauma mortality: An analysis of 19,000 American patients.

Am J Surg 2019 Jan 29. Epub 2019 Jan 29.

Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Harvard Medical School, USA.

Introduction: Prior research on patients with traumatic injury suggests high in-hospital survivability. However, little is known about their long-term outcomes, especially in the context of a prolonged ICU length-of-stay (LOS). We sought to determine the association between prolonged ICU-LOS and 1-year survival in trauma patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2019.01.025DOI Listing
January 2019

Self-immolation in Iran: Systematic Review and Meta-analysis.

Bull Emerg Trauma 2019 Jan;7(1):1-8

Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.

Objective: To perform a systematic review and meta-analysis of self-immolation epidemiology and characteristics in Iran.

Methods: This was a systematic review and meta-analysis study. PubMed, Scopus, Web of science and Science Direct were searched for English literature and SID and Magiran for Persian in the time period of 2000 to 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.29252/beat-070101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360006PMC
January 2019

Outcomes of the Use of Hyaluronic Acid-Based Wound Dressings for the Treatment of Partial-Thickness Facial Burns.

J Burn Care Res 2019 Feb 2. Epub 2019 Feb 2.

Faculty of Medicine, Department of General Surgery, Karadeniz Technical University, Trabzon, Turkey.

The purpose of this study was to assess clinical, functional and cosmetic outcomes of the use of hyaluronic acid-based wound dressings for partial-thickness facial burns. Patients with partial-thickness facial burns hospitalized at the Burn Center between April 2014 and April 2017 were evaluated. Data pertaining to demographic characteristics, etiology, and degree of burn and percentage of burn to TBSA were collected. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jbcr/irz004DOI Listing
February 2019

Emergency physician care of family members, friends, colleagues and self.

Am J Emerg Med 2019 Jan 26. Epub 2019 Jan 26.

Department of Emergency Medicine, University of Arizona, Tucson, AZ, United States of America.

Emergency Physicians are frequently called upon to treat family members, friends, colleagues, subordinates or others with whom they have a personal relationship; or they may elect to treat themselves. This may occur in the Emergency Department (ED), outside of the ED, as an informal, or "curbside" consultation, long distance by telecommunication or even at home at any hour. In surveys, the vast majority of physicians report that they have provided some level of care to family members, friends, colleagues or themselves, sometime during their professional career. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2019.01.046DOI Listing
January 2019

Transferred Emergency General Surgery Patients Are at Increased Risk of Death: A NSQIP Propensity Score Matched Analysis.

J Am Coll Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Boston, MA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA.

Background: Emergency General Surgery (EGS) encompasses high risk patients undergoing high risk procedures. Admission source, particularly interhospital transfer, is rarely accounted for in clinical performance benchmarking. Our goal was to assess the impact of transfer status on outcomes following EGS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jamcollsurg.2019.01.014DOI Listing
January 2019

Gender Disparities in Trauma Care: How Sex Determines Treatment, Behavior, and Outcome.

Anesthesiol Clin 2019 Mar 27;37(1):107-117. Epub 2018 Nov 27.

Acute Care Surgery [Trauma, Burn, Critical Care, Emergency Surgery], Department of Surgery, Trauma and Surgical Critical Care, University of Michigan Health System, University Hospital, Room 1C340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5033, USA.

Trauma data bank and other research reveal sex disparities in trauma care. Risk-taking behaviors leading to traumatic injury have been associated with sex, menstrual cycle timing, and cortisol levels. Trauma patient treatment stratified by sex reveals differences in access to services at trauma centers as well as specific treatments, such as venous thromboembolism prophylaxis and massive transfusion component ratios. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anclin.2018.09.007DOI Listing
March 2019
1 Read

Agreement between activated partial thromboplastin time and anti-Xa activity in critically ill patients receiving therapeutic unfractionated heparin.

Thromb Res 2019 Jan 7;175:53-58. Epub 2019 Jan 7.

Service of Intensive Care and Burn Unit, Lausanne University Hospital (CHUV) and Faculty of Biology & Medicine, University of Lausanne, Lausanne, Switzerland. Electronic address:

Background: No study supports the use of either aPTT or anti-Xa activity for heparin monitoring in critical care patients. There are no strong data on the agreement between aPTT and anti-Xa. The aims of this study were to: 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.thromres.2019.01.002DOI Listing
January 2019

Early Protocolized Versus Usual Care Rehabilitation for Pediatric Neurocritical Care Patients: A Randomized Controlled Trial.

Pediatr Crit Care Med 2019 Jan 30. Epub 2019 Jan 30.

Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, PA.

Objectives: Few feasibility, safety, and efficacy data exist regarding ICU-based rehabilitative services for children. We hypothesized that early protocolized assessment and therapy would be feasible and safe versus usual care in pediatric neurocritical care patients.

Design: Randomized controlled trial. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PCC.0000000000001881DOI Listing
January 2019
1 Read

Survival analysis and mortality predictors of hospitalized severe burn victims in a Malaysian burns intensive care unit.

Burns Trauma 2019 28;7. Epub 2019 Jan 28.

1General Surgery Department, Hospital Sultanah Aminah, Johor Bahru, Malaysia.

Background: Prognostic measures to determine burn mortality are essential in evaluating the severity of individual burn victims. This is an important process of triaging patients with high risk of mortality that may be nursed in the acute care setting. Malaysian burn research is lacking with only one publication identified which describes the epidemiology of burn victims. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s41038-018-0140-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348617PMC
January 2019
1 Read

The scourge of burn contractures: Who will bell the cat?

Burns 2019 Jan 28. Epub 2019 Jan 28.

Department of Plastic Surgery, Seth GSMC and KEM Hospital, Mumbai, 4000012, India. Electronic address:

Introduction: Majority of burn injuries occur in developing world. There have been many advances in burn care management. But this advance comes at a price of ever increasing burn sequel of scarring. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.burns.2019.01.001DOI Listing
January 2019

Burns Due to Application of Raw Garlic to the Feet as a Home Remedy for Fever.

Pediatr Emerg Care 2019 Jan 29. Epub 2019 Jan 29.

From the University of New Mexico Children's Hospital, Albuquerque, NM.

We present an illustrative case of unintentional burns to the feet of a 15-month-old child following the application of raw garlic as a home remedy for fever. We provide an overview of the historical medicinal uses of garlic as well as its unintended adverse effects. This case underscores the importance of clinicians' ability to recognize unusual presentations of injury due to culturally based practices that require care in emergency settings. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PEC.0000000000001714DOI Listing
January 2019

Burn-Induced Microglia Activation is Associated with Motor Neuron Degeneration and Muscle Wasting in Mice.

Shock 2018 Dec 6. Epub 2018 Dec 6.

Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Shriners Hospital for Children, Boston and Harvard Medical School, Boston, MA, USA.

Introduction: Burn injury (BI) leads to both systemic and neuro-inflammation and is associated with muscle wasting and weakness, which increase morbidity and mortality. Disuse atrophy is concomitantly present in BI patients. Most studies have focused on muscle with little attention to role of central nervous system (CNS) in the neuromuscular changes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SHK.0000000000001300DOI Listing
December 2018

Gap Analysis to Identify Clinical Education Needs of Aeromedical Evacuation Clinicians.

Dimens Crit Care Nurs 2019 Mar/Apr;38(2):83-89

Marla J. De Jong, PhD, RN, CCNS, Colonel (Ret), FAAN, is Chair of the Division of Acute and Chronic Care and a professor at the University of Utah, Salt Lake City, UT. Susan F. Dukes, PhD, RN, CCNS, Colonel, is commandant/assistant dean for student affairs at the Uniformed Services University, Bethesda, MD. Tiffany Losekamp, MSN, RN, CNE, CHSE, is assistant professor of Practice and coordinator of the Simulation Learning Center at Wittenberg University in Springfield, OH.

Background: The Air Force has unique challenges in ensuring clinical proficiency for en route care clinicians. These challenges pertain to existing care environments, training opportunities, and the spectrum of training needed to care for patients with polytrauma and complicated medical conditions while being transported between medical treatment facilities.

Objective: The purpose of this study was to identify the clinical education needs of students entering the United States Air Force School of Aerospace Medicine Flight Nurse (FN) or Aeromedical Evacuation Technician (AET) course and Air Force FNs and AETs assigned to active duty aeromedical evacuation units. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DCC.0000000000000349DOI Listing
February 2019
1 Read