Impact of Moisture on the Pressure Delivering Potential of Pressure Garments
This article investigated the impact of moisture content on fabric tension and thus the pressure exerting ability of pressure garments. Four different fabrics currently used in the construction of pressure garments were evaluated in seven different states of “wetness” from completely dry to completely saturated in water or artificial perspiration. Standard laboratory methods were used to measure the initial tension in fabrics and the tension after 11 cycles of extension. Pressures that would be exerted by these fabrics were calculated using the Laplace law. The results of this study showed that the tension, and therefo...
Source: Journal of Burn Care and Research - July 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research

A Novel Biodegradable Polyurethane Matrix for Auricular Cartilage Repair: An In Vitro and In Vivo Study
This study assesses such a polyurethane matrix for this indication in vivo and in vitro. To evaluate intrinsic cartilage repair, three pigs underwent auricular surgery to create excisional cartilage ± perichondrial defects, measuring 2 × 3 cm in each ear, into which acellular polyurethane matrices were implanted. Biopsies were taken at day 28 for histological assessment. Porcine chondrocytes ± perichondrocytes were cultured and seeded in vitro onto 1 × 1 cm polyurethane scaffolds. The total culture period was 42 days; confocal, histological, and immunohistochemical analyses of scaffold cultures were perform...
Source: Journal of Burn Care and Research - July 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research

Burn Ear Reconstruction Using Porous Polyethylene Implants and Tissue Expansion
Reconstruction of the external ear after a burn is particularly challenging. The nature of the injury poses many problems including excessive scar tissue, poor blood supply, and the lack of adequate and appropriate materials for a framework. The use of costochondral grafts often leads to marginal outcomes which do not justify the morbidity. Children under the age of 10 years commonly have insufficient cartilage for a graft. Medpor® (Stryker, Kalamazoo, MI) offers minimal morbidity and a very effective result. In this series, the authors describe the experience using Medpor® and scalp tissue expansion to reconstruct sever...
Source: Journal of Burn Care and Research - July 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research

A Randomized Controlled Study of Silver-Based Burns Dressing in a Pediatric Emergency Department
This study sought to determine whether silver sodium carboxymethyl cellulose (Aquacel® Ag, ConvaTec, Greensboro, NC) dressing is a superior treatment to nanocrystalline silver-coated polyethylene (Acticoat™, Smith & Nephew, London, United Kingdom) dressing in pediatric patients with partial thickness burns. The authors conducted a single-blind, randomized controlled trial in 89 patients presenting to Starship Children’s Emergency Department with uncomplicated partial-thickness burns. Patients were randomized to receive either an Acticoat™ (n = 45) or Aquacel® Ag (n = 44) dressing. Photographs of the burn before dre...
Source: Journal of Burn Care and Research - July 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research

Hot Beverage Scalds in Australian Children: Still Simmering 10 Years On
The objectives of this study are to describe the proportion, mechanism, severity, and outcomes of hot beverage scald injuries in children presenting at a major burns centre in 2013 and to compare these results with data collected at the same centre 10 years before. A cross-sectional trend analysis was performed to determine the differences in proportion, mechanism, severity, and outcomes of hot beverage scalds in 0-year to 14-year old children presenting to the Stuart Pegg Paediatric Burns Centre, Royal Children’s Hospital, Brisbane, Australia, between January 1 and December 31, 2013 and compare these data to presentatio...
Source: Journal of Burn Care and Research - July 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research