The Journal of burn care & rehabilitation
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J Burn Care Rehabil · May 1993
Case ReportsAnal stenosis with megarectum: an unusual complication of a perineal burn.
A case of a 3-year-old boy with anal stricture and megarectum is described. Overflow incontinence and soiling were corrected by local flaps and skin graft and were maintained by frequent dilatations after downward traction of the whole anus was performed. The options of immediate and late treatment of such burns and the colostomy procedure are discussed.
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The purposes of this study were to determine whether hardiness is a predictor of burnout and whether it can buffer the effect of stress on burnout. Thirty-one registered nurses who work in intensive care units completed the Hardiness test, the Nursing Stress scale, and the Tedium scale. Descriptive statistics, correlational statistics, t tests, analysis of variance, and hierarchical multiple regressions were used to analyze the data. ⋯ This study found hardiness to be a predictor of burnout and a buffer in the stress-burnout relationship. Furthermore, the relationship between hardiness and stress was found to be stronger than that between stress and burnout. Further study is needed to verify that hardiness is a stress mediator in nursing and to determine how to best promote hardiness in nurses.
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J Burn Care Rehabil · May 1993
Reasons for the selection of burn-scar-support suppliers by burn centers in the United States: a survey.
Several companies currently market anti-burn-scar pressure garments to burn centers. Because of the numerous available choices, decisions about the reasons for selecting a garment are often confusing to those who are responsible for ordering the supports. This study was conducted to assist in decision making about garment selection by determining the relative importance of various factors in selecting brands of anti-burn-scar supports. ⋯ Twenty-four burn centers (39%) use only one company for orders, whereas 20 (31%) use two, 9 (15%) use three, and 9 (15%) use four different suppliers. Industry responses to these findings were gathered and presented as well. The results of this survey would indicate that burn staff have viable options of pressure-garment suppliers to assist them in responding to the scar-control needs of their patients.
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J Burn Care Rehabil · May 1993
A systematic approach to flap selection for the axillary burn contracture.
Any soft-tissue deficiency about the axilla unfortunately may readily be translated into a functional limitation of the upper extremity that should be addressed in a simple yet expeditious fashion. Commonly a sequela of burn injuries, significant skin destruction in kind must be restored. ⋯ If this is the case, the efficacious application of these local muscle or fascial flaps mandates a realization that such choices are finite in number. A schema for a reasonable flap selection process has been devised based on the relative severity and anatomic location of the axillary burn scar contracture.