Treating pain in burn patients —Switch from Cartesian rationality to Hedonism
Until a few years ago confused, delirious, distressed patients were regarded as an almost “normal” feature of existence in the burn unit. Pain occurred with such a high frequency that it was considered to be a routine consequence of burn trauma; suffering was assumed as a symptom of the underlying disease which would cease when the patient’s condition improved. This viewpoint has e volved dramatically over the course of recent years since many publications have shown that pain and suffering may not be harmless phenomena at all; the presence of pain, anxiety, and delirium has been linked to several adverse events incl...
Source: Burns : Journal of the International Society for Burn Injuries - July 30, 2018 Category: Cosmetic Surgery Authors: Athina Lavrentieva Tags: Editorial Source Type: research

Epidemiologic shifts for burn injury in Ethiopia from 2001 to 2016: Implications for public health measures
Burn mortality rates are higher in Africa as compared to developed nations, with burns as small as 20% of total body surface area (TBSA) often leading to death [1 –3]. While the past 40 years have witnessed dramatic improvement in burn care in the developed world with advances being made in areas such as resuscitation, skin grafting, wound care, and improved infection control [4,5], these basic pillars of burn care remain unavailable in many low and middle income countries (LMICs) [5]. Given that worldwide, an estimated 10 million disability-adjusted life years are lost to severe burn (much of this in LMICs [6]), burn in...
Source: Burns : Journal of the International Society for Burn Injuries - July 30, 2018 Category: Cosmetic Surgery Authors: Freda L. Ready, Yohannes D. Gebremedhem, Metesabia Worku, Kajal Mehta, Mekonen Eshte, YPaul L. GoldenMerry, Fiemu E. Nwariaku, Steven E. Wolf, Herb A. Phelan Source Type: research

The lived experience and quality of life with burn scarring —The results from a large-scale online survey
Both the psychological and psychosocial effects of burn scarring have been researched over the last 20years, particularly in the USA. Indeed, there is a swathe of more recent literature that attempts to address these considerations. Research has shown that patients with hypertrophic and keloid scars suffer impairment to quality of life (QoL) similar to that of patients with chronic skin disease, where QoL is influenced by both experienced and internalised stigmatisation, in addition to physical symptoms and restricted mobility [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 30, 2018 Category: Cosmetic Surgery Authors: M.P. Brewin, S.J. Homer Source Type: research

Loss of Type A neuronal cells in the dorsal root ganglion after a non-severe full-thickness burn injury in a rodent model
Burn scars can be associated with significant loss of cutaneous sensation, paresthesia and chronic pain. Long-term systemic changes in cutaneous innervation may contribute to these symptoms and dorsal root ganglia have been implicated in the development of chronic neuropathic pain. Therefore we hypothesized that changes in cutaneous innervation after burn injury may be mediated at the level of the dorsal root ganglia. Burn group rats (n=20) were subjected to a unilateral burn injury while 12 control rats underwent sham procedure. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 30, 2018 Category: Cosmetic Surgery Authors: Vetrichevvel Palanivelu, Siaavash Maghami, Hilary J. Wallace, Dulharie Wijeratne, Fiona M. Wood, Mark W. Fear Source Type: research

Towards a clinical and empirical definition of burn scarring: A template analysis using qualitative data
Studies utilizing both qualitative and quantitative research designs across the ages and using different perspectives have demonstrated that scarring after burn injury causes challenges beyond the physical characteristics of burn scars [1 –3]. However, studies measuring the impact of interventions on burn scarring are often reported without consistent terminology and lack a conceptual definition of burn scarring [1,4–6]. This is problematic as researchers may be unaware of the conceptual underpinnings of the aspect of burn scarri ng they selected to investigate, thus resulting in poor validity or a lack of comprehensiv...
Source: Burns : Journal of the International Society for Burn Injuries - July 27, 2018 Category: Cosmetic Surgery Authors: M. Simons, P.C.C. Lim, R.M. Kimble, Z. Tyack Source Type: research

Preliminary investigations of spider silk in wounds in vivo — Implications for an innovative wound dressing
A wound is considered to be the result of ‘disruption of normal anatomic structure and function’ [1]. Chronic or non-healing wounds are open wounds that do not epithelialize and ultimately close within 3months. Another definition for a chronic wound is a wound that has not shown a 20–40% reduction in area after 2–4 weeks of optimal therapy [2]. A chronic wound has to be considered as bacterially contaminated, while on the other hand bacterial contamination of the wound results in clinical infection and delays healing if more than 105 organisms per gram of tissue are present [3]. (Source: Burns : Journal of the Inte...
Source: Burns : Journal of the International Society for Burn Injuries - July 26, 2018 Category: Cosmetic Surgery Authors: Christina Liebsch, Vesna Bucan, Bjoern Menger, Franziska K öhne, Karl-Heinz Waldmann, Desiree Vaslaitis, Peter M. Vogt, Sarah Strauss, Joern W. Kuhbier Source Type: research

What patients think is superfood in burns! (Pomegranate the great): 50 patient interview
We have often noticed pomegranates and other citrus fruits adorning our burns patients ’ bedside tables, believing them to be the most healthy diet. Ours is a tertiary care hospital and the country’s biggest and most prestigious burns care centre. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 26, 2018 Category: Cosmetic Surgery Authors: Harish Kumar Sharma, Neharika Neeraj Tags: Letter to the Editor Source Type: research

Comments on “Clinical outcomes after burns in elderly patients over 70years: A 17-year retrospective analysis”
We, enthusiastically, read the paper by Dexter et al. that was published in the valuable journal of Burns [1]. The study was conducted to examine outcomes following burns in patients>70years over a period of 17years. They found that ICU admission [Odds Ratio (OR): 3.7; 95% Confidence Interval (CI): 2.1 –6.5], ventilator support [OR: 7.1; 95% CI: 4.1–12.0], and %TBSA>10% [OR: 3.1; 95% CI: 1.9 –5.0] significantly increased the odds of mortality. Undoubtedly, Dexter et al. have conducted valuable study but some methodological issues need to be taken into account. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 26, 2018 Category: Cosmetic Surgery Authors: Ahad Ashrafi-Asgarabad, Saeid Safiri Tags: Letter to the Editor Source Type: research

Tissue expansion of the lower limb: Retrospective study of 141 procedures in burn sequelae
Skin expansion is part of the therapeutic arsenal of reconstructive plastic surgery. It was introduced by Neumann in 1957 [1] and developed by Radovan in the 80s [2], and is now a widespread and accepted concept in burn sequelae treatment. It optimizes the quality of a skin re-surfacing, compared to an autologous skin graft, by using a similar color and texture of neighboring tissue [3,4]. It adds no sequelae in the donor site [5]. However, skin expansion in the lower limb is associated with a significant rate of complications [6]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 26, 2018 Category: Cosmetic Surgery Authors: Maxime Abellan Lopez, Kevin Serror, Marc Chaouat, Maurice Mimoun, David Boccara Source Type: research

ArF excimer laser debrides burns without destruction of viable tissue: A pilot study
I read with interest the recent article in Burns by Prasad et al. [1] where the authors reported the use of the ArF eximer laser to ablate burn eschars in an animal model. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 26, 2018 Category: Cosmetic Surgery Authors: T.S. Burge Tags: Letter to the Editor Source Type: research

Effects of high-voltage electrical burns and other burns on levels of serum oxidative stress and telomerase in children
Electrical burns cause significant morbidity and mortality worldwide [1]. Such injuries are less common than other burns (OBs) but are more destructive [2]. Most HVEBs occur in working adults, teenagers, and (usually older) children [1,4]. Electrical burns account for 9% of all burns [5]. An average of 1500 patients in the United States dies each year from electrical injuries [6]. Low-voltage injuries are those inflicted at 60 –1000V, usually 220 or 360V [3]. High-voltage injuries are inflicted at>1000V [2,3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 23, 2018 Category: Cosmetic Surgery Authors: Kubilay G ürünlüoğlu, Mehmet Demircan, Aytaç Taşçi, Muhammed Mehdi Üremiş, Yusuf Türköz, Harika Gözükara Bağ Source Type: research

The eraser challenge — Self-inflicted friction injuries in a school child
Recent years have witnessed increasing numbers of potentially harmful activities, promoted as “challenges” among school-age children. These activities, spread by word-of-mouth and social networks, may disseminate widely and rapidly. Children present a group especially vulnerable to new trends since they may lack understanding of the consequences of their behaviour. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 23, 2018 Category: Cosmetic Surgery Authors: J. Parnis, C.P. O ’Boyle Tags: Letter to the Editor Source Type: research

Impact of primary payer status on outcomes among patients with burn injury: A nationwide analysis
Insurance coverage has been a topic of intense debate at the political, economic, and health care levels. According to the most recent United States health census published in 2015, around 29million people are uninsured, a slight decrease from 2014 (1.3%) [1]. The increased healthcare insurance coverage is due to increases in both private and government issued health insurance policies. Most United States residents have private insurance (55.7%), followed by Medicaid (19.6%), Medicare (16.3%), direct purchase from private insurers or through an exchange (16.3%), and military insurance (4.7%) [1]. (Source: Burns : Journal o...
Source: Burns : Journal of the International Society for Burn Injuries - July 11, 2018 Category: Cosmetic Surgery Authors: Heather Peluso, Marwan S. Abougergi, Julie Caffrey Source Type: research

Estimated versus achieved maximal oxygen consumption in severely burned children maximal oxygen consumption in burned children
Severe burns affect multiple organ systems and result in a loss of muscle mass, increased cardiac work, and protein catabolism [1 –4]. We have previously shown patients also experience decreased cardiorespiratory exercise capacity for up to 2 years after burn [5]. Pharmacological treatments are sometimes used to counteract increased cardiac work. One such treatment is the administration of propranolol, a nonselective β-adre nergic receptor antagonist, which can reduce cardiac work and burn-induced hypermetabolism [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 10, 2018 Category: Cosmetic Surgery Authors: Christian Tapking, Daniel Popp, David N. Herndon, Ludwik K. Branski, Ronald P. Mlcak, Oscar E. Suman Source Type: research

Microbial cellulose dressing compared with silver sulphadiazine for the treatment of partial thickness burns: A prospective, randomised, clinical trial
Burns are either superficial or deep, and excision and skin grafting is the procedure of choice for deep injuries. However, superficial burns are usually treated conservatively using different dressings [1]. Silver sulphadiazine cream was for a long time the standard treatment for partial thickness burns [2,3]. However, it needed frequent changes of dressings, which requires time and effort, is painful for the patient, and is an expense for health care providers [1,4]. Newer products, such as silver-coated gauze, hydrocolloid, foam, and fibre dressing, have been mixed with Nano-crystalline silver to ensure a more controlle...
Source: Burns : Journal of the International Society for Burn Injuries - July 10, 2018 Category: Cosmetic Surgery Authors: Ahmed Aboelnaga, Moustafa Elmasry, Osama A. Adly, Mohamed A. Elbadawy, Ashraf H. Abbas, Islam Abdelrahman, Omar Salah, Ingrid Steinvall Source Type: research