Burns : journal of the International Society for Burn Injuries
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The aim was to examine guilt and embitterment in mothers and fathers of children with burns and its associations with depression and burn severity. ⋯ Parents with general guilt may suffer from symptoms of depression. An implication is that clinicians should address guilt feelings among parents in order to alleviate distress and to identify any need for further counseling.
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Children 5 and younger are at risk for sustaining serious burn injuries. The causes of burns vary depending on demographic, cultural and socioeconomic variables. At this pediatric burn center we provided medical care to children from Mexico with severe injuries. The purpose of this study was to understand the impact of demographic distribution and modifiable risk factors of burns in young children to help guide prevention. ⋯ This information will be used to develop and help modify existing prevention campaigns.
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Comparative Study
Mortality risk factors in war-related pediatric burns: A comparative study among two distinct populations.
Previously, the majority of wars were fought on remote battlefields between opposing armies due to conflicts preventing civilians from sustaining war-related burn injuries (WRBI). In recent years, WRBI has had a tremendous harmful impact on the pediatric population. This study aimed to investigate the demographics, causes, mechanisms of burns, surgical procedures, the major and minor risk factors affecting mortality, and outcomes of pediatric WRBI amidst the Syrian refugees and the Turkey neighborhood population, treated at our Burn Center. ⋯ Our analysis showed that flame/fire and blast burns were severe and fatal in more pediatric Syrian victims than the Turkey residents due to the severity of war inflicted burned wounds, the living conditions at the refugee camps, and the tent cities. Our present study is significant as our data would alert authorities to predict pediatric WRBI risk factors, burn survivals and casualties, and thus plan strategies to promote training programs for burn management of two distinct populations to reduce risk factors of burn mortality. Burnt surface area (BuSA) is a new parameter we derived to predict mortality risk factors in WRBI.
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Patient satisfaction after fractional ablation of burn scar with 2940nm wavelength Erbium-Yag laser.
Fractional laser therapy is a new treatment with potential benefit in the treatment of burn scars. We sought to determine patient satisfaction after burn scar treatment with the Erbium-Yag laser. ⋯ Burn patients treated with the Erbium-Yag laser are highly satisfied with changes in their burn scars.
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The study aimed to investigate intracortical inhibition following a burn injury, and to establish transcranial magnetic stimulation (TMS) as a useful and sensitive tool to investigate the cortical response to a burn injury. ⋯ These results demonstrate significantly shorter cSP in the burned arm in patients with upper limb burn sustained <2years ago, those with partial thickness burns, those with upper limb burns only, and those with burns of less than 10% TBSA. The results are consistent with the existing literature, which demonstrates a reduction in cSP duration in patients with a range of peripheral nerve injuries. There is a strong suggestion that cortical inhibition is altered following burn injury, and that TMS is a useful and sensitive method for investigating changes in cortical inhibition in burn patients.