The role of self-management in burns aftercare: a qualitative research study
Some 250,000 individuals sustain burns in the UK every year with the potential of lasting impact on appearance, and psychological, social, and physical functioning [1]. For severe burns in particular, patient care presents a considerable challenge, necessitating an integrated multi-disciplinary approach and utilising a range of treatments [2]. Typically it consists of two distinct phases; the first acute phase is when the patient is hospitalised where beyond their initial survival, the key requisite is closing the wound [3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 11, 2018 Category: Cosmetic Surgery Authors: Ian Litchfield, Laura L. Jones, Naiem Moiemen, Nicole Andrews, Sheila Greenfield, Jonathan Mathers Source Type: research

Incidence of oxandrolone induced hepatic transaminitis in patients with burn injury
Oxandrolone, a synthetic derivative of testosterone, has become a standard of care treatment in patients with severe burn injury at many comprehensive burn centers. The testosterone derivative exhibits high anabolic and low androgenic effects, and has been used for its ability to counterbalance the hypermetabolism and hypercatabolism associated with severe burn injuries [1 –4]. Oxandrolone promotes skeletal muscle growth in burn patients by improving the efficiency of amino acid utilization and increasing overall muscle protein synthesis [5–7]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 10, 2018 Category: Cosmetic Surgery Authors: Brittany Kiracofe, Rebecca Coffey, Larry M. Jones, J. Kevin Bailey, Sheela Thomas, Kyle Porter, Claire V. Murphy Source Type: research

How self-inflicted injury and gender impacted the outcome following a severe burn
Self-inflicted burn injuries may occur in the context of either deliberate self-harm or attempted suicide. Intentional injuries are associated with serious physical, psychological and social challenges for the patient, their family and the community [1], and pose a significant medical problem worldwide [2]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 10, 2018 Category: Cosmetic Surgery Authors: Hannah Dobson, Stuart Lee, Carolyn Breadon, Heather Cleland, Donovan Moncur, Jayashri Kulkarni Source Type: research

Measurement of vascularity in the scar: A systematic review
Scars can lead to different degrees of functional limitations and psychological difficulties, which further affect survivors ’ quality of life [1,2]. Various treatments for scar management are currently in clinical use such as pressure therapy, silicone gel sheeting and laser treatment [3,4]. Scar assessment is essential for evaluating and comparing the effectiveness of clinical treatments among different patient groups , and is important for monitoring the progress of scar quality over time. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 10, 2018 Category: Cosmetic Surgery Authors: Huan Deng, Cecilia W.P. Li-Tsang Tags: Review Source Type: research

Inhalational injury and the larynx: A review
The incidence of reported inhalational injury amongst burns patients is wide ranging (10 –47%), reflecting the lack of consensus regarding diagnostic criteria. A 6% incidence rate has gained a degree of acceptance [1]. What is agreed is that inhalational injury represents one of the most significant factors in whether a patient survives a burns injury and the potential for short and l ong-term morbidities [2]. In paediatric burns, lethal burn area of 10% mortality is 73% total body surface area (TBSA). (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 8, 2018 Category: Cosmetic Surgery Authors: Allison Reid, Jennifer F. Ha Tags: Review Source Type: research

Missed appointments (DNAs) among the burns patient population
There is very little published literature looking at missed appointments (DNAs) amongst the burns patient population. It is known that superficial partial thickness burns which normally heal within two weeks would usually heal with little or no scarring, whereas for deep partial burns, if re-epithelisation does not occur within 14 –21 days, hypertrophic scarring may occur [1,2]. In early 2016, our department has introduced a fortnightly Burns Clinic and Burns MDT to enable the latter group of patients to be followed-up and reviewed by a senior clinician, so that early surgical treatment, scar management and psychology re...
Source: Burns : Journal of the International Society for Burn Injuries - December 7, 2018 Category: Cosmetic Surgery Authors: Ye Ru Chin, Jane Maraka, Keith Allison Tags: Letter to the Editor Source Type: research

Comparative study of conventional and topical heparin treatment in second degree burn patients for burn analgesia and wound healing
Second degree or partial thickness burns (PTB) are difficult to diagnose and treat. They are further divided into superficial partial thickness burns (SPTB) and deep partial thickness burns (DPTB) depending upon the extent of dermal involvement. SPTB and DPTB burns differ in appearance, ability to heal, and potential need for excision and skin grafting [1]. Clinical judgment remains the most reliable method for diagnosing these burns. Recently the introduction of laser Doppler imaging has improved burn care by accurate assessment of burn depth [2,3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 7, 2018 Category: Cosmetic Surgery Authors: Sobia Manzoor, Farid Ahmad Khan, Sohail Muhammad, Rehan Qayyum, Imran Muhammad, Umer Nazir, Muhammad Mustehsan Bashir Source Type: research

Time series analysis of gene changes and processes after burn with human gene expression profiles
Burns, especially large area of burn injury not only give rise to damage of the local skin and deep tissue, but can cause obvious changes of the body ’s internal organs and the system function, metabolism and morphology [1,2]. Systematic researches have shown that serious burn injury not only induce immune function and metabolism disorder, at the same time can cause DNA damage, apoptosis, and a series of pathophysiological changes [3–6]. The hypermetabolic response begins on the fifth day of post-injury, while the inflammatory response starts immediately after burn and persists for up to several months [7]. (Source: Bu...
Source: Burns : Journal of the International Society for Burn Injuries - December 7, 2018 Category: Cosmetic Surgery Authors: Dan Wu, Ming Zhou, Liang Li, Xiangfeng Leng, Zheng Zhang, Ning Wang, Yanwei Sun Source Type: research

Patient satisfaction in a Spanish burn unit
Patient satisfaction has become increasingly important in recent years because it is a useful tool for assessing healthcare quality [1]. Some experts believe that patient satisfaction has major policy implications [2,3]. Regarding healthcare, research shows that the way how organisations respond to customer satisfaction issues can improve financial results including greater market share, better profitability, greater patient retention and referrals as well as a lower risk of malpractice lawsuits [4]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 6, 2018 Category: Cosmetic Surgery Authors: C. G ómez Martín, R.A. García Morato, N. de los Reyes Cortés, J.L. Fernández-Cañamaque, P. Holguín Source Type: research

Risk factors and the associated limit values for abnormal elevation of extravascular lung water in severely burned adults
Increased extravascular lung water (EVLW) correlates with pulmonary morbidity and mortality in critical illness. The extravascular lung water index (EVLWI), which reflects the degree of EVLW in an individual, increases in the fluid reabsorption stage rather than the initial resuscitation stage in severe burn cases. While many factors contribute to EVLWI variation, the risk factors contributing to its abnormal elevation in severe burns remain unclear. The aim of this study was to identify the risk factors and associated limit values for abnormal elevation of EVLWI during the fluid reabsorption stage in a cohort of severely ...
Source: Burns : Journal of the International Society for Burn Injuries - December 6, 2018 Category: Cosmetic Surgery Authors: Weiyi Wang, Xiaofeng Yu, Fengli Zuo, Shuixiu Yu, Zhenghui Luo, Jie Liu, Yuan Wang, Guoqin Zhu, Hui Lin, Ning Xu, Hui Ren, Jiaping Zhang Source Type: research

Assessment of the impact of oxandrolone on outcomes in burn injured patients
Thermal injury causes the failure of the integumentary system. The destruction of this organ system produces a remarkable and complex environment of inflammation, immune suppression and physiologic stress. This translates into a state of hypermetabolism that is proportional to the severity of the burn [1,2]. Consequently, resting energy expenditure (REE) may increase beyond 200% of normal values in these patients [3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 6, 2018 Category: Cosmetic Surgery Authors: Logan Dobbe, Cody Clapp, Eneko Larumbe-Zabala, John Griswold Source Type: research

Cross-cultural validation of the Itch Man Scale in pediatric burn survivors in a South African setting
In Sub Saharan countries it is not uncommon for children to sustain burn injuries; estimates on the annual number of children under the age of 5years who sustain burn injuries range from 300,000 to 17.5 million [1 –3]. Poor living conditions, low education level and lack of awareness of risks, may be reasons for this high prevalence of burn injuries [4–7]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 5, 2018 Category: Cosmetic Surgery Authors: Karlijn Blankers, Nick Dankerlui, Nancy van Loey, Mereille Pursad, Heinz Rode, Monique van Dijk Source Type: research

What do we lean from the “PhagoBurn” project
This study aimed to evaluate the efficacy and tolerability of PP1131 (cocktail of 12 natural lytic phages) compared with 1% sulfadiazine silver emulsion cream in patients with infected burn wounds. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 5, 2018 Category: Cosmetic Surgery Authors: Guangtao Huang, Zairong Wei, Dali Wang Tags: Letter to the Editor Source Type: research

The impact of skin allograft on inpatient outcomes in the treatment of major burns 20 –50% total body surface area — A propensity score matched analysis using the nationwide inpatient sample
This study aims to improve understanding of allograft use in 20 –50% total body surface burns by assessing current utilization and evaluating inpatient outcomes. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - December 4, 2018 Category: Cosmetic Surgery Authors: Clifford C. Sheckter, Alexander Li, Brian Pridgen, Amber W. Trickey, Yvonne Karanas, Catherine Curtin Source Type: research

Uptake of PHMB in a bacterial nanocellulose-based wound dressing: A feasible clinical procedure
In 2014, the World Health Organization (WHO) recognized the problem of increasing multidrug-resistant microbes and declared it one of the greatest threats to global health [1]. In the US 23,000 people die as a result of infections by multidrug-resistant bacteria annually [2]. Patients with a suppressed immune system, elderly patients, or patients with large wound areas such as burn victims are at particular risk of infections with multidrug-resistant bacteria. Burn victims have an especially high mortality when associated with infections and the risk of infection is elevated with a prolonged hospital stay[3]. (Source: Burn...
Source: Burns : Journal of the International Society for Burn Injuries - November 30, 2018 Category: Cosmetic Surgery Authors: Ives Bernardelli de Mattos, Judith C.J. Holzer, Alexandru-Cristian Tuca, Florian Groeber-Becker, Martin Funk, Daniel Popp, Selma Mautner, Thomas Birngruber, Lars-Peter Kamolz Source Type: research