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 psycholog...
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]. (So...
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

Editorial Board
(Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 28, 2018 Category: Cosmetic Surgery Source Type: research

The ultra postage stamp skingraft
After devising the mesh skingraft in 1964 (Zimmer Manufacturing Co, Warsaw Indiana), we realized that the traditional meshing of autografts frequently was still insufficient for extensive burn skin defects. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 27, 2018 Category: Cosmetic Surgery Authors: J.J. Vandeput, M. Nelissen Tags: Letter to the Editor Source Type: research

“Stem cells in burn wound healing: A systematic review of the literature”
Stem cells are undifferentiated cells characterized by their capacity for self-renewal and differentiation into various cell types. The use of stem cells to regenerate damaged tissues and organs has given rise to great hopes in the treatment of a variety of conditions, for which current therapeutic options are ineffective. The use of stem cells has attracted considerable interest also in the field of wound healing, and burns in particular, as a means to promote skin regeneration. However, such stem cell therapies remain experimental. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 26, 2018 Category: Cosmetic Surgery Authors: Ali R. Ahmadi, Maria Chicco, Jinny Huang, Le Qi, James Burdick, George M. Williams, Andrew M. Cameron, Zhaoli Sun Tags: Review Source Type: research

Point-of-care endoscopic optical coherence tomography detects changes in mucosal thickness in ARDS due to smoke inhalation and burns
Smoke inhalation injury (SII) is diagnosed in 10 –35% of patients admitted into burn units. Of the patients with SII, almost 40% subsequently develop pneumonia [1,2]. Presence of SII increases mortality by 20% over that predicted by age and burn size alone, and by up to 60% when pneumonia is also present [1]. The prevalence of ARDS in mechanical ly ventilated burn patients is about 33%, with mortality varying from 11–46% depending on ARDS severity [3,4]. Despite the new Berlin definition for ARDS, which enables earlier diagnosis and interventions in ARDS [5], prompt bedside identification of SII patients at ris...
Source: Burns : Journal of the International Society for Burn Injuries - November 24, 2018 Category: Cosmetic Surgery Authors: Jae Hyek Choi, Li-Dek Chou, Teryn R. Roberts, Brendan M. Beely, Daniel S. Wendorff, Mark D. Espinoza, Kyle Sieck, Alexander T. Dixon, David Burmeister, Bryan S. Jordan, Matthew Brenner, Zhongping Chen, Corina Necsoiu, Leopoldo C. Cancio, Andriy I. Batchin Source Type: research

Hospital-acquired complications alter quality of life in adult burn survivors: Report from a burn model system
There are an estimated 486,000 people treated for burn injuries annually in the United States, leading to 40,000 hospital admissions [1]. With advances in critical care and surgical management, a patient with a burn size over 80% total body surface area (TBSA) confers a 50% survival rate, which has significantly increased over the past 50years [2,3]. However, in spite of improved survival, national data indicates that infectious and non-infectious hospital-acquired complications (HACs), persist [2]; the most common hospital-acquired infections include ventilator-associated pneumonia, catheter-acquired urinary tract infecti...
Source: Burns : Journal of the International Society for Burn Injuries - November 23, 2018 Category: Cosmetic Surgery Authors: Lyndsay Deeter, Max Seaton, Gretchen J. Carrougher, Kara McMullen, Samuel P. Mandell, Dagmar Amtmann, Nicole S. Gibran Source Type: research

Burn injury and multiple sclerosis: A retrospective case-control study
In 2016, 486,000 burn injuries occurred in the United States [1]. Over time, advances in fluid resuscitation, nutrition management, pulmonary care, wound care and infection control have led to improved survival outcomes for patients with burn injuries [2,3]. Despite these advances in critical care, the consequences of and subsequent management for burn injuries in patients with MS continues to be under investigated and poorly understood. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 23, 2018 Category: Cosmetic Surgery Authors: Matthew R. McCann, William F. Hill, Jinhui Yan, Sarah Rehou, Marc G. Jeschke Source Type: research

Predicting wound healing rates and survival with the use of automated serial evaluations of burn wounds
The extent of burn injury is associated with a graded immune-inflammatory host response that results in physiologic derangements [1,2]. Percent total body surface area (% TBSA) burned, along with age and inhalation injury, are reported as primary determinants of mortality. Therefore, rapid wound healing after burn injury is considered essential for survival. The central role of the burn wound is evident with the adoption of various practices that promote wound healing and prevent infection, which include early excision and autografting, enteral nutrition, and topical antimicrobial therapy [3 –7]. (Source: Burns : Jou...
Source: Burns : Journal of the International Society for Burn Injuries - November 22, 2018 Category: Cosmetic Surgery Authors: Bradley A. Rittenhouse, Julie A. Rizzo, Beth A. Shields, Matthew P. Rowan, James K. Aden, Jos é Salinas, Craig A. Fenrich, Sarah K. Shingleton, Maria Serio-Melvin, David M. Burmeister, Leopoldo C. Cancio Source Type: research

Evaluation of the analgesic effects of duloxetine in burn patients: An open-label randomized controlled trial
Pain is one of nettlesome complications of burn injury. Insufficient control of the pain in burn-injured patients may result in chronic pain syndrome, paresthesia, dysesthesia and psychological disorders such as depression and post-traumatic stress disorder in long term. Despite the extensive use of analgesics such as opioids, acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) and anxiolytics, effective management of the burn pain has remained a challenging problem [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 20, 2018 Category: Cosmetic Surgery Authors: Ali Najafi, Hamid Zeinali Nejad, Naemeh Nikvarz Source Type: research

Self-inflicted burn injuries: Etiologies, risk factors and impact on institutional resources
The self-inflicted burn population presents with avoidable injuries, requiring a high level of acute and chronic care. Early psychiatric and social work involvement, while not the focus of this study, is a prudent care management tool in this setting. Targeted counseling for at-risk patients is suggested to reduce primary and recurrent self-inflicted burn injuries. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 19, 2018 Category: Cosmetic Surgery Authors: Oren P. Mushin, Mica D. Esquenazi, Shahin Ayazi, Connor Craig, Derek E. Bell Source Type: research

Call for more translational research in burn injury prevention
We read with great interest the recent article by Makhubalo et al. entitled “Acceptability and functionality of the “Kettle Strap”: an attempt to decrease kettle related burns in children” [1]. They were motivated to develop the Kettle Strap, a simple tool to prevent the kettle and its cord from being pulled, based on their previous finding that kettle scalds were a major cause of child burn injury, which were mainly caused by “pulling the dangling kettle cord” [1,2]. To date, many studies have been conducted to identify risk factors for child burn injury, but little has been reported ab...
Source: Burns : Journal of the International Society for Burn Injuries - November 13, 2018 Category: Cosmetic Surgery Authors: Masao Ichikawa, Gunsmaa Gerelmaa, Shinji Nakahara Tags: Letter to the Editor Source Type: research

E-cigarette burn injuries: Comprehensive review and management guidelines proposal
Following the invention of the modern electronic cigarettes (EC) in 2003 by Hon Lik [1] as an aid to smoking cessation, there has been a steady increase in its use in the UK (Hassan), with an estimated global market of around £1.8 billion in 2014 [2]. The EC is a battery-powered electronic device administers a dose of nicotine in a vaporised solution that is inhaled and is composed of a mouthpiece, a cartridge, a heating element, a microprocessor and a battery [3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 12, 2018 Category: Cosmetic Surgery Authors: Christopher David Jones, Weiguang Ho, Eilidh Gunn, Daniel Widdowson, Hilal Bahia Tags: Review Source Type: research

Predictors of withdrawal of life support after burn injury
According to the American Burn Association, over 480,000 patients receive hospital and emergency room treatment for burns annually [1]. It is estimated that there were 3390 fire related civilian deaths in the United States in 2016, the highest number recorded since 2008 [2]. Many of these deaths will occur in the hospital following a decision to withhold or withdraw life sustaining treatment. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 12, 2018 Category: Cosmetic Surgery Authors: Colleen N. Bartley, Kenisha Atwell, Bruce Cairns, Anthony Charles Source Type: research

Incidence of self-inflicted burn injury in patients with Major Psychiatric Illness
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) defines a mental disorder as a syndrome with clinically significant disturbance in cognition, emotional regulation or behavior that can range from mild, moderate to severe impairment in underlying mental functioning [1]. Major psychiatric disorders include depression, schizophrenia, bipolar disorder, ADHD and autism. In the United States, 1 in 5 adults (43.8 million) experiences mental illness in any given year and 1 in 25 adults experience a serious mental illness that impairs or limits daily activities [2]. (Source: Burns : Journal of the Intern...
Source: Burns : Journal of the International Society for Burn Injuries - November 11, 2018 Category: Cosmetic Surgery Authors: Kenisha Atwell, Colleen Bartley, Bruce Cairns, Anthony Charles Source Type: research

Keloid negatively affects body image
Skin is a versatile organ endowed with intrinsic functions and physiological interactions with other organs and systems. This organ participates in the interface with the external environment, in social interactions, and interpersonal relationships [1]. Skin wound healing is a vital event for the body to restore the cutaneous integrity. This process consists of several mechanisms and complex signaling cascades, which in harmony and synchronism result in an adequate scar [2]. Perturbations of the balance between synthesis and degradation of collagen, essentially resulting in tissue accumulation, generate fibroproliferative ...
Source: Burns : Journal of the International Society for Burn Injuries - November 11, 2018 Category: Cosmetic Surgery Authors: Thamy Harumi Cardoso Motoki, Felipe Contoli Isoldi, Alfredo Gragnani Filho, Lydia Masako Ferreira Source Type: research

Effectiveness of ECMO for burn-related acute respiratory distress syndrome
Acute respiratory distress syndrome (ARDS) is a complication of burn injury that affects approximately 40% of mechanically ventilated patients [1]. Lung injury in burn trauma can be attributed to smoke inhalation, fluid resuscitation, ventilator acquired pneumonia, or inflammation secondary to the burn injury itself. Pulmonary failure is a major determinant of both morbidity and mortality in burn patients [2]. Mortality rates associated with ARDS have been reported at 40% without any additional comorbidities such as burn wounds or multi-organ failure [3,4]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 11, 2018 Category: Cosmetic Surgery Authors: R.Scott Eldredge, Yan Zhai, Amalia Cochran Source Type: research

Successful tissue expansion: A question of complication management.
We would like to compliment Abellan Lopez and colleagues on their recent article “Tissue expansion of the lower limb: Retrospective study of 141 procedures in burn sequelae”. The authors lined out the difficulties associated with lower limb tissue expansion and provided profound insights in their approach to the problem while supporting their experiences with valuable data f rom 141 cases. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2018 Category: Cosmetic Surgery Authors: Christian Smolle, Daniel Popp, Lars-Peter Kamolz Tags: Letter to the Editor Source Type: research

Tissue expansion of the lower limb: Retrospective study of 141 procedures in burn sequelae
We would like to thank the authors for their interesting and valuable comments on our recent published article: “Tissue expansion of the lower limb: Retrospective study of 141 procedures in burn sequelae” [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2018 Category: Cosmetic Surgery Authors: Abellan Lopez Maxime, Serror Kevin, Chaouat Marc, Mimoun Maurice, Boccara David Tags: Letter to the Editor Source Type: research

Editorial Board
(Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 1, 2018 Category: Cosmetic Surgery Source Type: research

Effects of obesity on burn resuscitation
Severe burns are associated with increases in vascular permeability, which leads to third spacing of fluids into tissue; this is most pronounced within the first 24 –48h after injury [1]. Quality resuscitation can have a significant impact on the patient’s subsequent management. One of the major determinants for survival of severely burned patients is appropriate fluid resuscitation during the initial phase of injury [2,3]. Having an unbalanced resuscitatio n of fluid volumes immediately after injury during the acute phase can result in significantly higher mortality and complication rates [4,5]. (Source: Burns...
Source: Burns : Journal of the International Society for Burn Injuries - October 31, 2018 Category: Cosmetic Surgery Authors: Jennifer Rosenthal, Audra Clark, Stephanie Campbell, Melanie McMahon, Brett Arnoldo, Steven E. Wolf, Herb Phelan Source Type: research

Rational treatment of hydrofluoric acid burns of the fingers
With great interest we read the article published by Han et al., who presented their experience treating hydrofluoric acid (HFA) burns of the fingers [1]. They treated their patients with immediate irrigation, external application of calcium gluconate, and debridement. Furthermore, they emphasised the importance of fish-mouth fasciotomy and intravenous prostaglandin for maximising the distal circulation. Finally, they used a free sensate second toe pulp-free flap to repair the digital skin defects, which resulted in acceptable appearance and function. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 30, 2018 Category: Cosmetic Surgery Authors: Yuanhai Zhang, Jianfen Zhang, Liangfang Ni, Chunjiang Ye, Xingang Wang Tags: Letter to the Editor Source Type: research

Classification of burn injury using Raman spectroscopy and optical coherence tomography: An ex-vivo study on porcine skin
Burn injuries are a major cause of death in the United States [1]. Every year, nearly 450,000 patients receive hospital and emergency room treatment for burns, of which, approximately 3400 burn injury deaths are reported [2]. Early decision on treatments has shown to shorten stay in hospitals and reduce infection [3,4]. Accurate assessment and in-time treatment can greatly reduce morbidity and mortality due to burn injuries. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 29, 2018 Category: Cosmetic Surgery Authors: Lakshmi Priya Rangaraju, Gautam Kunapuli, Dayna Every, Oscar D. Ayala, Priya Ganapathy, Anita Mahadevan-Jansen Source Type: research

Recurrent bacteremia: A 10-year retrospective study in combat-related burn casualties
The frequent use of improvised explosive devices in recent U.S. conflicts has led to severe tissue damage and perineal burn injuries of combat casualties [1]. Advances in Tactical Combat Casualty Care including rapid evacuation of combat casualties from point of injury to Role 2 facilities (Forward Surgical Hospital) have increased survival rates. That is to say, the mortality rate of casualties who otherwise would have deemed “killed in action” has decreased suggesting a reciprocity between “killed in action” and “died of wounds” rates [2]. (Source: Burns : Journal of the International ...
Source: Burns : Journal of the International Society for Burn Injuries - October 29, 2018 Category: Cosmetic Surgery Authors: Amit Aurora, Tuan D. Le, Kevin S. Akers, Dana M. Blyth, John C. Graybill, Michael S. Clemens, Kevin K. Chung, Julie A. Rizzo Source Type: research

Trends 10 years after burn injury: A Burn Model System National Database study
Advances in burn care management and critical care have decreased mortality leading to greater emphasis in functional, social and psychological outcomes for burn survivors. Survivors often have complex multi-faceted rehabilitation issues, which result in significant short-term and long-term changes in quality of life. The World Health Organization (WHO) defines quality of life as: a state of complete physical, mental and social well-being and not just the absence of disease [1]. Burn injury outcomes have shifted from traditional measures of mortality and hospital length of stay to more specific functional and psychological...
Source: Burns : Journal of the International Society for Burn Injuries - October 29, 2018 Category: Cosmetic Surgery Authors: Theresa L. Chin, Gretchen J. Carrougher, Dagmar Amtmann, Kara McMullen, David N. Herndon, Radha Holavanahalli, Walter Meyer, Colleen M. Ryan, Joshua N. Wong, Nicole S. Gibran Source Type: research

“Consistency an issue?” – A review of UK burns service online information on burns first aid
Burn injuries can have a major impact on an individual or family ’s quality of life. The physical, emotional and potential financial burden can be overwhelming no matter how insignificant the burn may initially seem to be [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 27, 2018 Category: Cosmetic Surgery Authors: Andrew David Kilshaw, Chad Chang, Sharmila Jivan Tags: Letter to the Editor Source Type: research

The Bridge: A mobile application for burn patients
Global use of the internet has become commonplace, and smart phones have paved the way for technological mobility. Incorporation of smart phone technology has the potential to positively affect health outcomes through use of health-directed mobile applications (apps), particularly for those patients living in medically underserved areas. It is understood that patients living in underserved areas such as rural communities and inner cities are found to have more chronic illnesses and shorter life expectancies than those who live in communities with higher socioeconomic levels and would, therefore, benefit from apps designed ...
Source: Burns : Journal of the International Society for Burn Injuries - October 27, 2018 Category: Cosmetic Surgery Authors: Thereasa E. Abrams, Alison A. Lloyd, Laura E. Elzey, William L. Hickerson Source Type: research

Oxandrolone protects against the development of multiorgan failure, modulates the systemic inflammatory response and promotes wound healing during burn injury
Oxandrolone is a synthetic oral non-aromatizable testosterone derivative. When compared to testosterone, this drug possesses significantly lower virilizing activity. Stimulation of protein synthesis and anabolism is viewed as the primary mode of oxandrolone ’s action. This action takes place mainly through an action on androgen receptors in the skeletal muscle. Oxandrolone is viewed as a safe therapeutic agent in pediatric patient populations, and it is clinically approved to counteract growth delays in Turner’s syndrome and several other growth-re lated conditions. (Source: Burns : Journal of the International...
Source: Burns : Journal of the International Society for Burn Injuries - October 26, 2018 Category: Cosmetic Surgery Authors: Akbar Ahmad, David N. Herndon, Csaba Szabo Source Type: research

Randomized controlled trial of the immediate and long-term effect of massage on adult postburn scar
Hypertrophic scars (HSc) occur approximately 33 –91% of the time after burn injuries, depending upon the depth of the injury, location of the injury, number of surgical procedures required, type of graft used, genetic susceptibility, and time to wound closure [1–5]. Because of the magnitude of burn injuries, burn scars are larger in surface a rea and more serious when they reach their peak than surgical scars, therefore are more likely to be associated with significant cosmetic, functional and psychosocial morbidity and reduced quality of life [6–13]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 26, 2018 Category: Cosmetic Surgery Authors: Bernadette Nedelec, Marie-Andr ée Couture, Valerie Calva, Chantal Poulin, Annick Chouinard, Danielle Shashoua, Nathalie Gauthier, José A. Correa, Ana de Oliveira, Barbara Mazer, Leo LaSalle Source Type: research

A scoping review of burn rehabilitation publications incorporating functional outcomes
The continuum of care for people who have suffered burn injuries includes acute, post-acute, and long term or survivorship care. This distribution of care over an extended time period is supported by the World Health Organization (WHO) model in that “health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” [1]. The WHO’s overarching view of health is reinforced by 61 member countries and has not been amended since its inception, supporting the view that it remains generally a ccepted. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 26, 2018 Category: Cosmetic Surgery Authors: Lynn H. Gerber, Haley Bush, Radha Holavanahalli, Peter Esselman, Jeffrey Schneider, Allen Heinemann, Steven Garfinkel, Cindy Cai Tags: Review Source Type: research

Incidence and risk factors for deep vein thrombosis among pediatric burn patients
Deep vein thrombosis (DVT) is a major cause of morbidity and mortality among hospitalized patients. It is predominantly a disease of older populations, with an annual incidence of 1 –2 per 1000 individuals in the United States. Males have a higher incidence than females in populations above the age of 45, but women have a slightly higher rate during the reproductive years [1]. However, the frequency among younger populations has been increasing and was found to be 5.3/10,000 hospital admissions in children aged 1 month–18 years in 1990–1992 [2]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 26, 2018 Category: Cosmetic Surgery Authors: Nouf Alturki, Mohamed Alkahtani, Mamoon Daghistani, Tawfeik Alyafi, Salahaldin Khairy, Mohamed Ashi, Ahmed Aljuffri Source Type: research

Photographic evaluation of different adrenaline-containing tumescent solutions on skin graft donor site bleeding: A prospective randomised trial
Autologous skin grafting remains the gold-standard and most popular form of definitive coverage for burn wounds after tangential excision [1]. Donor site bleeding, however, is an inevitable and undesired consequence of skin graft harvesting. This may be significant in patients with major burns who benefit from a large surface area of skin graft for wound coverage, and is commonly exacerbated in these situations by coagulopathy from acidosis, hypovolaemia or excessive volume expansion, hypothermia, and sepsis [2]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 25, 2018 Category: Cosmetic Surgery Authors: Christopher Wei Guang Ho, Yee Onn Kok, Si Jack Chong Source Type: research

3-D wound scanner: A novel, effective, reliable, and convenient tool for measuring scar area
The accurate evaluation of scars is important in the prevention and treatment of scars [1]. The main evaluation markers of scars include the color, depth, thickness, and regularity of the scar, the presence or absence of pain and itchiness, and the area of the scar [2]. The measurement of the scar area can accurately reflect the trends and degree of changes in contracture and hyperplasia during the formation and development of the scar and provides guidance for the prevention and treatment of scars [3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 25, 2018 Category: Cosmetic Surgery Authors: Jian Jin, Haihang Li, Zhengli Chen, Jiajuan Sheng, Tong Liu, Bing Ma, Shihui Zhu, Zhaofan Xia Source Type: research

Ephrin-A2 affects wound healing and scarring in a murine model of excisional injury
Eph receptor/Ephrin ligand interactions are important in neuronal mapping and topography in central and peripheral nerves [1]. All the Eph receptors and Ephrin ligands are expressed in normal human skin [2] and Ephrin-A ligand signaling has been shown to be important in hair follicle cycling and epidermal differentiation [3 –5]. Ephrin A2 and A5 are critical for sensory axonal growth patterning and in the development of cutaneous innervation in animal models [4–7]. In addition, keratinocytes treated with human Fc-conjugated Ephrin-A ligands have been shown to suppress the expression of important cell adhesion g...
Source: Burns : Journal of the International Society for Burn Injuries - October 25, 2018 Category: Cosmetic Surgery Authors: Dulharie Wijeratne, Jennifer Rodger, Andrew Stevenson, Hilary Wallace, Cecilia M. Pr êle, Fiona M. Wood, Mark W. Fear Source Type: research

Comparative evaluation of three methods of skin graft fixation for split thickness skin graft after release of post burn contracture of the neck
Burn is one of the most devastating conditions encountered in medicine.The pain and distress caused by a major burn injury are not limited to the immediate event. The visible physical and the invisible psychological scars are long lasting and often lead to chronic disability [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 25, 2018 Category: Cosmetic Surgery Authors: Chinmaya Chiranjibi Samal, Suvashis Dash, Karoon Agrawal, Raman Tandon Source Type: research

Sodium butyrate inhibits the production of HMGB1 and attenuates severe burn plus delayed resuscitation-induced intestine injury via the p38 signaling pathway
Prompt and adequate resuscitation has been documented to play a vital role in the outcome of severely burned patients [1]. However, in the rural areas, especially in the developing countries, the fluid resuscitation is frequently delayed due to the referral transportation and lack of burn knowledge. Inadequate or delayed fluid resuscitation leads to tissue hypoperfusion, which can result in early organ injury and failure [2]. Rapid infusion to replace loss of fluid within 2h is effective to maintain vital organ function and prevent progressive organ damage [3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 25, 2018 Category: Cosmetic Surgery Authors: Sheng Liu, Hong-Ze Chen, Zheng-Dong Xu, Fei Wang, Haoshu Fang, Ophelia Bellanfante, Xu-Lin Chen Source Type: research

The influence of age on quality of life after upper body burn
In Spain, the number of aged persons is increasing. By the year 2066, it is expected that 34.6% of the Spanish population will be over 65 years of age. Elderly people present a higher burning risk owing in part to impaired balance and decreased physical strength, lower cognitive abilities, or socioeconomic context. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 24, 2018 Category: Cosmetic Surgery Authors: Eva Santacreu, Laura Grossi Garriga, Patricia L ópez, Silvia Lebrato, Maria Lluïsa Torrent-Bertran, Juan P. Barret Source Type: research