Sample records for burns electric

  1. Electrical burns of the abdomen

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    Rakesh Kumar Srivastava


    Full Text Available A 35-year-old male farmer came in contact with 11,000 volts high tension electric wire and sustained full thickness burn wounds over scapula, upper limb and anterior abdominal wall along with perforation of the intestine. Patient was initially managed conservatively in general surgery ward and was referred to us after 3 days with necrosis of the burned skin and muscles over the shoulder and abdomen. Patient was initially managed conservatively and then thorough debridement of the necrotic skin over the left shoulder and upper arm was done and the area was split skin grafted. Patient developed enterocutaneous fistula, which healed over a period of 8 weeks. The granulating wound over the abdomen was also skin grafted and patient was discharged after 18 days. About 4 months, after the discharge patient presented with ventral hernia. Repair of ventral hernia by synthetic mesh application and reconstruction of the abdominal wall with a free tensor fascia lata flap was done over the mesh, but the flap failed. Then after debridement two random pattern transposition skin flaps, one from the right upper and another from the left lower abdomen were transposed over the abdominal wound and donor area was skin grafted. Patient was discharged after 17 days.

  2. 'Sabbath' electric plate burn: a ritual hazard. (United States)

    Benmeir, P; Sagi, A; Rosenberg, L; Picard, E; Ben Yakar, Y


    This report describes the burns caused by an electric hot plate which is used by orthodox Jews for keeping food and liquids warm during the Sabbath (Saturday). An illustrative case is presented and the preventable aspects of this particular burn are discussed.

  3. Bilateral maculopathy following electrical burn: case report

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    Leandro Dario Faustino

    Full Text Available CONTEXT: Electrical burns are an important etiology in dealing with patients suffering from burns. In situations of extensive deep lesions of multiple organs and systems affecting young and economically active people, there is a need for expensive multidisciplinary treatment, with a high socioeconomic cost for the community. Among the permanent injuries that explain this high cost, eye injuries stand out, since they are widely disabling. Although rare, lesions of the posterior segment of the eye are associated with higher incidence of major sequelae, and thus deserve special attention for dissemination and discussion of the few cases observed.CASE REPORT: The authors report the case of a patient who suffered high-voltage electrical burns and presented bilateral maculopathy, which evolved with a need for a surgical approach to repair retinal detachment and permanent low visual acuity.CONCLUSION: This report highlights the rarity of the etiology of maculopathy and the need for campaigns for prevention not only of burns in general, but also especially of electrical burns.

  4. Burns (United States)

    ... home, work, and school. Remove electrical cords from floors and keep them out of reach. Know about and practice fire escape routes at ... Burn, thermal - close-up Airway burn Skin First degree burn ...

  5. Electric field effects on droplet burning (United States)

    Patyal, Advitya; Kyritsis, Dimitrios; Matalon, Moshe


    The effects of an externally applied electric field are studied on the burning characteristics of a spherically symmetric fuel drop including the structure, mass burning rate and extinction characteristics of the diffusion flame. A reduced three-step chemical kinetic mechanism that reflects the chemi-ionization process for general hydrocarbon fuels has been proposed to capture the production and destruction of ions inside the flame zone. Due to the imposed symmetry, the effect of the ionic wind is simply to modify the pressure field. Our study thus focuses exclusively on the effects of Ohmic heating and kinetic effects on the burning process. Two distinguished limits of weak and strong field are identified, highlighting the relative strength of the internal charge barrier compared to the externally applied field, and numerically simulated. For both limits, significantly different charged species distributions are observed. An increase in the mass burning rate is noticed with increasing field in either limit with negligible change in the flame temperature. Increasing external voltages pushes the flame away from the droplet and causes a strengthening of the flame with a reduction in the extinction Damkhöler number.

  6. Burns (United States)

    A burn is damage to your body's tissues caused by heat, chemicals, electricity, sunlight, or radiation. Scalds from hot ... and gases are the most common causes of burns. Another kind is an inhalation injury, caused by ...

  7. High-tension Electrical Burns: Report of Two Cases


    Abbas, A.D.; Dabkana, T.M.; Tahir, C.; Naaya, H.U.


    High-tension electrical burns are a rare but devastating form of injury. The objective of this case report is to bring to the fore the severity of this rare form of injury and highlight the benefits of active surgical management of such a condition. We report the cases of two patients who were managed for high-tension electrical burns and highlight the main features of their presentation and management. Both patients needed urgent resuscitation and subsequent multiple amputations and disartic...

  8. Electrical burns in sports fishing: a case report. (United States)

    Valença-Filipe, R; Egipto, P; Horta, R; Braga, J M; Costa, J; Silva, A


    Electrical burns are among the most devastating types of burns, with wide-ranging injuries. They can sometimes occur in the context of fishing, usually involving high voltages. The authors present the case of a 59-year-old-man who suffered a sports accident during a fishing competition, with the formation of an electrical arc due to proximity of the fishing rod and high voltage cables. He presented burns affecting 3% of TBSA, third degree deep burns on trunk and left hand; no signs of cardiac injury. He was admitted to our Burn Unit for monitoring, care dressing and surgical treatment; complete wound healing was achieved after 24 days. Due to its relatively small share among burns, published data on electrical injuries and fishing remain scarce, and differ in patient collectives due to infrastructural or environmental differences. The authors are not aware of published specific reports on electrical burns in sports fishing practice, like the case here presented. The authors want to alert for potential medical, social and economic consequences of this type of sports accidents that could be entirely avoidable with some preventive measures.

  9. Bone and joint changes following electrical burn: plain radiographic findings

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    Kim, Uk Jung; Lee, Eil Seong; Shim, Ya Seong; Kim, Seon Bok; Lee, Shin Ho; Jung, Hae Kyoung; Hwang, Dae Hyun; Kang, Ik Won [Hallym Univ. College of Medicine, Seoul (Korea, Republic of)


    To evaluate the plain radiographic findings of bone and joint changes following electrical burn. This study involved 19 patients with 27 bone and joints regions which had suffered electrical injury. The most common input and output sites were, respectively, the hand(7/14) and foot (6/10). Three other sites were involved. Four cases involved osteomyelitis, and in four, amputation was performed. We observed bone and joint changes, changes following osteomyelitis and changes in the amputation stump. We analyzed the difference between input and output changes, and when this was interesting, the average time of onset was assessed. In bone and joint changes following electrical burn, the most frequent radiographic finding was joint contracture(n=3D16). Other findings included osteolysis(n=3D8), articular abnormalites (n=3D6), periostitis(n=3D5), fracture(n=3D5), acro-osteolysis(n=3D2), and heterotopic bone formation(n=3D2). In cases involving osteomyelitis(n=3D4), aggravation of underlying bone changes was noted. In electrical burn, various changes were noted in bone and joints, and input injury was more severe than that of output.=20.

  10. [Electrical burns in children. 3 years of case histories]. (United States)

    Caneira, E; Serafim, Z; Duarte, R; Leal, M J


    The Burn Unit of Dona Estefânia Hospital admitted a total of 454 patients from January 1992 to January 1995, 24 of these patients suffered from electric shock. Of these 24 patients 3 suffered burns in the mouth, 15 in one or both hands and 6 multiple burns. In 19 patients the burns were up to 1%. A description is made of 5 cases, male children between the ages of 9 and 13 years, which were deemed severe. The incidents occurred outdoors with different voltages and in activities considered of ludic or experimental nature: two on the roof of a house, two with railway cables and one with an electrical cable in a port zone. The burnt areas vary between 4% and 70%, all of them 2nd and 3rd degree, with hospitalization lasting from 36 to 116 days. In addition to early and coordinated medical and rehabilitative treatment, according to individual needs, a description is also made of the cutaneous sequelae (deforming cicatrices, bridles), neurologic and psychologic sequelae, with emphasis on a patient who underwent amputation of the lower left leg and 4th and 5th ranges of the right foot. It was concluded that measures should be taken in education and legislation to prevent these accidents. Relevance is given to the need for a multidisciplinary team and specialized center for the treatment of these patients.

  11. The Usefulness of Bone Scan in Electric Burns

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    Kim, Tae Hyung; So, Yong Seon; Kweon, Ki Hyeon; Han, Sang Woong; Kim, Seok Hwan; Kim, Jong Soon; Han, Seung Soo [Hanil Hospital, Seoul (Korea, Republic of)


    Bone scan is known to be an effective tool for observing the state of soft tissues and bones of electric burn patients. It is also used for observing the progress of patients after debridement or skin graft as well as determining to amputate specific body parts. To evaluate bone scan's role in electric burn, we analyzed bone scan 37 patients with electric burn. Among the 37 patients, 8 of 37 were injured in low voltage and 29 of them in high voltage. 27 patients received the electrical input through the hand, 6 through the scalp, 2 through the shoulder, 1 through the left chest wall and 1 through the left inguinal area. Among 29 patients received high voltage, 22 patients had the electrical output through the foot, 3 through the hand, 2 through the shoulder, 1 through the buttock and 1 through the left chest wall. Bone scans revealed cellulitis in 37 patients with 47 sites, osteomyelitis in 15 patients with 15 sites and bone defects in 4 patients with 4 sites. In 4 patients with skin graft or skin flap, follow up bone scan showed improvements of bony uptake in preoperatively bony defect area and all of them were healed without complication There were 2 cases in which uptake increased in the myocardium, 1 in the liver and 6 in the kidney, however, scrum calcium level, EKG, cardiac enzyme, liver and renal function tests were normal. In conclusion, bone scans are helpful in the assessment of injury sites after electrical insult and in differential diagnosis of cellulitis and osteomyelitis. It is also useful tool of assessment after skin graft or skin flap, however, it should be further evaluated about internal organ damage.

  12. High-voltage electrical burns due to copper theft – Case series (United States)

    Braga, M.J.; Oliveira, I.; Egipto, P.; Silva, A.


    Summary Electrical burns are among the most devastating trauma inflicted on the human body. These burns have a higher morbidity, length of stay and a much higher risk of amputation than any other type of burn. Electrical burns affect mostly young, working males because they are more frequently the result of a work accident. However, possibly due to the worldwide economic crisis, we are experiencing a new phenomenon: the theft of high-voltage copper wiring. PMID:27857650

  13. Treatment and follow-up results of children with electrical burn who observed in burn intensive care unit

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    Çiğdem Aliosmanoğlu


    Full Text Available Electrical burns are infrequent relative to other injuries, but they are associated with high morbidity and mortality. The aim of this study was to assess management and follow-up results of pediatric patients’ who observed in intensive care unit and also review the precautions for preventing electrical burns.Materials and methods: Totally 22 patients aged under 17 years who were observed in the burn intensive care unit of Şanlıurfa Education and Research Hospital during the period between July 2009-October 2010. Cases were investigated retrospectively. The patients’ age, gender, total burn surface area, length of stay in hospital, musculo-skeletal system complication, cardiovascular system complication, kidney damage and attempts were recorded.Results: Of the 22 cases, 19 (86.3% were male and 3 (13.7% were female. The mean age of the patients was 11.5 years. In 10 (45.4% children burns were occurred in workplace and working area and 12 (54.6% were occurred in the home environment. Depth of burns were third degree in 10 (45.4% children and second degree in 12 (54.6%. The mean percentage of burn surface area was 25.9%. The mean length of stay in hospital was 17 days. Debridement and grafting were performed to 12 (54.6% cases and 10 (45.4% children were treated with dressings. No patient had increased creatinine kinase levels, oliguria, myoglobuinuria and arrhythmia. The mean hospitalization time was 17 days.Conclusion: Nearly half of patients underwent debridement plus grafting. None of our patients developed renal failure other severe system dysfunction.

  14. Electric field selective optical data storage using persistent spectral hole burning (United States)

    Bogner, U.; Beck, K.; Maier, Max


    The electric field domain is used as a storage dimension in optical data storage by persistent spectral hole burning. The memory locations in the electric field domain are addressed with the voltage applied to the sample consisting of the amorphous polymer polyvinyl-butyral doped with the dye 9-amino acridine. The information is written by burning spectral holes at different electric field strengths with a HeCd laser and read by detecting the presence or absence of holes with weak laser intensity.

  15. Correlation of renal complications with extent and progression of tissue damage in electrical burns

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    Chauhan D


    Full Text Available Electrical injuries due to high-tension voltage (>1000 volts cause destruction at the point of contact with massive necrosis of deeper structures such as muscles, vessels and nerves. Rhabdomyolysis due to massive breakdown of skeletal muscles may lead to acute renal failure secondary to myoglobinuria. The study was undertaken to observe the correlation of renal complications with extent and progression of tissue damage in high-tension voltage electrical burns. Renal biochemical parameters as predictors of acute renal failure were also studied. Thirty two patients of high tension voltage electrical burn injuries presenting during one year period 1-1-2001 to 31-12-2001 were studied. Low-tension voltage electrical injuries (< 1000 volts mimic thermal burns were excluded from the study. The electrical wound assessment and the renal biochemical parameters were done daily for the first seven days and then on alternate days for another seven days. Assessment of progression of wounds and correlation with the renal biochemical parameters was done. Patients who died following electrical burns were subjected to autopsy and histopathological examination of both kidneys. Out of the thirty-two patients, six (18.75% went into acute renal failure. Five out of these six patients died because of renal failure (mortality rate 83.33%. There was definite progression of electric burn wounds. There was no correlation between progression of electrical burn wounds and acute renal failure. Serum creatinine was found to be the most important biochemical parameter as a prognostic indicator of acute renal failure.

  16. Eradication of multidrug-resistant A. baumannii in burn wounds by antiseptic pulsed electric field. (United States)

    Golberg, Alexander; Broelsch, G Felix; Vecchio, Daniela; Khan, Saiqa; Hamblin, Michael R; Austen, William G; Sheridan, Robert L; Yarmush, Martin L


    Emerging bacterial resistance to multiple drugs is an increasing problem in burn wound management. New non-pharmacologic interventions are needed for burn wound disinfection. Here we report on a novel physical method for disinfection: antiseptic pulsed electric field (PEF) applied externally to the infected burns. In a mice model, we show that PEF can reduce the load of multidrug resistant Acinetobacter baumannii present in a full thickness burn wound by more than four orders of magnitude, as detected by bioluminescence imaging. Furthermore, using a finite element numerical model, we demonstrate that PEF provides non-thermal, homogeneous, full thickness treatment for the burn wound, thus, overcoming the limitation of treatment depth for many topical antimicrobials. These modeling tools and our in vivo results will be extremely useful for further translation of the PEF technology to the clinical setting, as they provide the essential elements for planning of electrode design and treatment protocol.

  17. [Preclinical treatment of severe burn trauma due to an electric arc on an overhead railway cable]. (United States)

    Spelten, O; Wetsch, W A; Hinkelbein, J


    Severe burns due to electrical accidents occur rarely in Germany but represent a challenge for emergency physicians and their team. Apart from extensive burns cardiac arrhythmia, neurological damage caused by electric current and osseous injury corresponding to the trauma mechanism are also common. It is important to perform a survey of the pattern of injuries and treat acute life-threatening conditions immediately in the field. Furthermore, specific conditions related to burns must be considered, e.g. fluid resuscitation, thermal management and analgesia. In addition, a correct strategy for further medical care in an appropriate hospital is essential. Exemplified by this case guidelines for the treatment of severe burns and typical pitfalls are presented.

  18. Simple flaps for reconstruction of pediatric scalp defects after electrical burn

    Institute of Scientific and Technical Information of China (English)

    Mohamed Makboul; Mohamed Abdel-Rahim


    Objective:To analyze the management of high-voltage electrical burn injury of the scalp in our hospital.Methods:This study involved 10 patients who suffered from high-voltage electrical burn injury of the scalp.Scalp reconstruction was done by different modalities according to the size and location of the defect.Results:Complete flap viability was achieved in all the cases.We had one case of gapped wound which was managed only by dressing.Widening of the scar was found in 2 cases.Conclusion:Rotation,advancement and transposition scalp flaps are used for reconstructing scalp defects caused by electrical burn.The choice of ideal flaps for reconstruction depends upon the size and site of scalp defect.

  19. Toe Tissue Transfer for Reconstruction of Damaged Digits due to Electrical Burns

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    Hyung-Do Kim


    Full Text Available Background Electrical burns are one of the most devastating types of injuries, and can becharacterized by the conduction of electric current through the deeper soft tissue such asvessels, nerves, muscles, and bones. For that reason, the extent of an electric burn is veryfrequently underestimated on initial impression.Methods From July 1999 to June 2006, we performed 15 cases of toe tissue transfer for thereconstruction of finger defects caused by electrical burns. We performed preoperative rangeof motion exercise, early excision, and coverage of the digital defect with toe tissue transfer.Results We obtained satisfactory results in both functional and aesthetic aspects in all 15cases without specific complications. Static two-point discrimination results in the transferredtoe cases ranged from 8 to 11 mm, with an average of 9.5 mm. The mean range of motionof the transferred toe was 20° to 36° in the distal interphalangeal joint, 16° to 45° in theproximal interphalangeal joint, and 15° to 35° in the metacarpophalangeal joint. All of thepatients were relatively satisfied with the function and appearance of their new digits.Conclusions The strategic management of electrical injury to the hands can be both challengingand complex. Because the optimal surgical method is free tissue transfer, maintenance ofvascular integrity among various physiological changes works as a determining factor for thepostoperative outcome following the reconstruction.

  20. Brain hemorrhage after electrical burn injury: Case report and probable mechanism (United States)

    Axayacalt, Gutierrez Aceves Guillermo; Alejandro, Ceja Espinosa; Marcos, Rios Alanis; Inocencio, Ruiz Flores Milton; Alfredo, Herrera Gonzalez Jose


    Background: High-voltage electric injury may induce lesion in different organs. In addition to the local tissue damage, electrical injuries may lead to neurological deficits, musculoskeletal damage, and cardiovascular injury. Severe vascular damage may occur making the blood vessels involved prone to thrombosis and spontaneous rupture. Case Description: Here, we present the case of a 39-year-old male who suffered an electrical burn with high tension wire causing intracranial bleeding. He presented with an electrical burn in the parietal area (entry zone) and the left forearm (exit zone). The head tomography scan revealed an intraparenchimatous bleeding in the left parietal area. In this case, the electric way was the scalp, cranial bone, blood vessels and brain, upper limb muscle, and skin. The damage was different according to the dielectric property in each tissue. The injury was in the scalp, cerebral blood vessel, skeletal muscle, and upper limb skin. The main damage was in brain’s blood vessels because of the dielectric and geometric features that lead to bleeding, high temperature, and gas delivering. Conclusion: This is a report of a patient with an electric brain injury that can be useful to elucidate the behavior of the high voltage electrical current flow into the nervous system. PMID:27904757

  1. Treatment Experience on 5 Cases of Electrical Burns, Electrical Contact with the Depth of the Burn%5例电击伤、电接触深度烧伤治疗体会

    Institute of Scientific and Technical Information of China (English)



      目的探讨电击伤、电接触深度烧伤后的治疗方法和临床体会。方法对我科收治的5例电击伤、电接触深度烧伤患者,采取早期切削痂植皮以及皮瓣移植治疗。结果电击伤患者普遍恢复较快,没有出现感染的情况,而且创面恢复也较快。结论电击伤、电接触深度烧伤患者,采取早期切削痂植皮以及皮瓣移植减轻患者的疼痛时间,而且安全性好,有利于患者的早日康复。%Objective To investigate the electrical burns, electrical contact treatment and clinical experience in deep burns. Methods 5 cases of electrical injury in our hospital, electrical contact depth of burn patients take the early cutting eschar and flap transplantation therapy. Results The patients with electrical burns patients’ generally faster recovery, no infection, and wound recovery were faster. Conclusion Electrical burns, electrical contact depth of burn patients take the early cutting eschar and flap graft to relieve the patient's pain, and security, and is conducive to the patient's speedy recovery.

  2. Thoracic Duct Chylous Fistula Following Severe Electric Injury Combined with Sulfuric Acid Burns: A Case Report (United States)

    Chang, Fei; Cheng, Dasheng; Qian, Mingyuan; Lu, Wei; Li, Huatao; Tang, Hongtai; Xia, Zhaofan


    Patient: Male, 32 Final Diagnosis: Thoracic duct chylous fistula Symptoms: Fistula Medication: — Clinical Procedure: A boneless muscle flap transplantatio Specialty: — Objective: Rare disease Background: As patients with thoracic duct injuries often suffer from severe local soft tissue defects, integrated surgical treatment is needed to achieve damage repair and wound closure. However, thoracic duct chylous fistula is rare in burn patients, although it typically involves severe soft tissue damage in the neck or chest. Case Report: A 32-year-old male patient fell after accidentally contacting an electric current (380 V) and knocked over a barrel of sulfuric acid. The sulfuric acid continuously poured onto his left neck and chest, causing combined electrical and sulfuric acid burn injuries to his anterior and posterior torso, and various parts of his limbs (25% of his total body surface area). During treatment, chylous fistula developed in the left clavicular region, which we diagnosed as thoracic duct chylous fistula. We used diet control, intravenous nutritional support, and continuous somatostatin to reduce the chylous fistula output, and hydrophilic silver ion-containing dressings for wound coverage. A boneless muscle flap was used to seal the left clavicular cavity, and, integrated, these led to resolution of the chylous fistula. Conclusions: Patients with severe electric or chemical burns in the neck or chest may be complicated with thoracic duct injuries. Although conservative treatment can control chylous fistula, wound cavity filling using a muscle flap is an effective approach for wound healing. PMID:27725628

  3. Review of Adult Electrical Burn Injury Outcomes Worldwide: An Analysis of Low-Voltage vs High-Voltage Electrical Injury. (United States)

    Shih, Jessica G; Shahrokhi, Shahriar; Jeschke, Marc G

    The aims of this article are to review low-voltage vs high-voltage electrical burn complications in adults and to identify novel areas that are not recognized to improve outcomes. An extensive literature search on electrical burn injuries was performed using OVID MEDLINE, PubMed, and EMBASE databases from 1946 to 2015. Studies relating to outcomes of electrical injury in the adult population (≥18 years of age) were included in the study. Forty-one single-institution publications with a total of 5485 electrical injury patients were identified and included in the present study. Fourty-four percent of these patients were low-voltage injuries (LVIs), 38.3% high-voltage injuries (HVIs), and 43.7% with voltage not otherwise specified. Forty-four percentage of studies did not characterize outcomes according to LHIs vs HVIs. Reported outcomes include surgical, medical, posttraumatic, and others (long-term/psychological/rehabilitative), all of which report greater incidence rates in HVI than in LVI. Only two studies report on psychological outcomes such as posttraumatic stress disorder. Mortality rates from electrical injuries are 2.6% in LVI, 5.2% in HVI, and 3.7% in not otherwise specified. Coroner's reports revealed a ratio of 2.4:1 for deaths caused by LVI compared with HVI. HVIs lead to greater morbidity and mortality than LVIs. However, the results of the coroner's reports suggest that immediate mortality from LVI may be underestimated. Furthermore, on the basis of this analysis, we conclude that the majority of studies report electrical injury outcomes; however, the majority of them do not analyze complications by low vs high voltage and often lack long-term psychological and rehabilitation outcomes after electrical injury indicating that a variety of central aspects are not being evaluated or assessed.

  4. Analysis of predictor factors of limb amputation in patients with high-voltage electrical burns

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    Guillermo García Álvarez


    Full Text Available Background: Limb amputation is considered one of the most devastating consequences of electrical injury. Any factors that correlate with the degree of muscle damage can be used to predict the necessity of limb amputation. The aim of this study was to determine the factors that can be used to predict limb amputation in high-voltage electrically injured patients. Methods: Eighty-two high-voltage electrically injured patients were admitted to the Department of Plastic and Reconstructive Surgery and Burns of National Arzobispo Loayza Hospital on a 5 year period. A retrospective analysis of the possible related risk factors between amputation and non-amputation patients was performed. Results: A total of 68 patients were enrolled for analysis. Thirteen patients underwent limb amputations. Multivariate analysis of the risk factors between amputation and non-amputation groups showed statistical significance for first 24 hour creatine kinase-isoenzyme MB (CKMB level. A serum CK-MB level above 14,955 U/L predicted high risk of limb amputation with high specificity (84% and sensitivity (77%. Only one patient with a remarkable decrease of creatine kinase (CPKt and CK-MB levels after fasciotomy avoided a major limb amputation. Conclusion: Our results suggest that CPK-MB level is an independent factor for prediction of limb amputation in patients with high-voltage electrical burns. We suggest that the addition of CPK-MB evaluation to clinical symptom screening may be a valuable method for early detection of muscle damage.

  5. Design of an Actinide Burning, Lead-Bismuth Cooled Reactor That Produces Low Cost Electricity

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    C. Davis; S. Herring; P. MacDonald; K. McCarthy; V. Shah; K. Weaver (INEEL); J. Buongiorno; R. Ballinger; K. Doyoung; M. Driscoll; P. Hejzler; M. Kazimi; N. Todreas (MIT)


    The purpose of this project is to investigate the suitability of lead-bismuth cooled fast reactors for producing low-cost electricity as well as for actinide burning. The goal is to identify and analyze the key technical issues in core neutronics, materials, thermal-hydraulics, fuels, and economics associated with the development of this reactor concept. The choice of lead-bismuth for the reactor coolant is an actinide burning fast reactor offers enhanced safety and reliability. The advantages of lead-bismuth over sodium as a coolant are related to the following material characteristics: chemical inertness with air and water; higher atomic number; lower vapor pressure at operating temperatures; and higher boiling temperature. Given the status of the field, it was agreed that the focus of this investigation in the first two years will be on the assessment of approaches to optimize core and plant arrangements in order to provide maximum safety and economic potential in this type of reactor.

  6. Assessment of electrical burn injury using structured illumination in an in-vivo electrical injury model (United States)

    Nguyen, Thu T. A.; Basiri, Ali; Shupp, J. W.; Moffatt, L. T.; Jordan, M. H.; Jeng, J. C.; Leto, E.; Ramella-Roman, J. C.


    Electrical injury is a devastating and hard to treat clinical lesion. Fully understanding the pathophysiology of electrical trauma is still a challenge for clinicians and scientists. Further elucidating the natural history of this form of tissue injury could be helpful in improving limb salvage and offering stage-appropriate therapy. Multi-spectral imaging technique is a non-invasive technology that can be used to determine optical properties of tissues in and adjacent to injury. Images at different wavelengths can provide essential information related to the pathophysiological condition of the tissue. To promote the applicability of this technique in medical diagnosis, we built a complete experimental model of electrical injury. In this model, electrical injuries were created by a reliable high-tension shock system at preset voltage or current. A thermal camera recorded the change of skin temperature during the electrical shock. Then, a high-resolution spectral imaging system based on structured illumination was used to capture images for post analysis to extrapolate optical properties of the tissue. To test accuracy, this imaging system was calibrated by using a set of epoxy phantoms with known optical properties. In this paper, the results of experiments conducted on rats and discussions on the systemic changes in tissue optical properties before and after electrical shock are presented.

  7. Electrical conductivity of a methane–air burning plasma under the action of weak electric fields (United States)

    Colonna, G.; Pietanza, L. D.; D’Angola, A.; Laricchiuta, A.; Di Vita, A.


    This paper focuses on the calculation of the electrical conductivity of a methane–air flame in the presence of weak electric fields, solving the Boltzmann equation for free electrons self-consistently coupled with chemical kinetics. The chemical model GRI-Mech 3.0 has been completed with chemi-ionization reactions to model ionization in the absence of fields, and a database of cross sections for electron-impact-induced processes to account for reactions and transitions activated in the flame during discharge. The dependence of plasma properties on the frequency of an oscillating field has been studied under different pressure and gas temperature conditions. Fitting expressions of the electrical conductivity as a function of gas temperature and methane consumption are provided for different operational conditions in the Ansaldo Energia burner.

  8. Formation of Ca3SiO5 prepared by electric and microwave burning

    Institute of Scientific and Technical Information of China (English)

    Kai Wang; Shizong Long; Caixia Yan


    A new method of sintering Ca3SiO5 by the combination of conventional and microwave heating methods was studied. The influence of transitional metal oxides such as Fe2O3, Cr2O3, MnO2, and V2O5 used as the additive of microwave absorption on the mi- crowave-promoted burning of Ca3SiO5 was investigated. The experimental results indicate that the new burning technique is capable of promoting the sintering of Ca3SiO5. At 1200-1300℃ in an electric furnace, Ca3SiO5 can be obtained only when the sample is heat- ed in a microwave for 110-240 s, and the free lime content is below 40wt%. Based on the experiments, Fe2O3, Cr2O3, MnO2, and V2O5 can enhance microwave sintering. Amongst them, Cr2O3 is the most effective. The characteristic of the X-ray diffraction peaks of Ca3SiO5 is similar to those of standard Ca3SiO5, but the peaks are wider.

  9. MRI findings of the brain in high-voltage electrical burn patient: case report

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    Kim, Cheung Sook; Hong, Sung Hwan; Lee, Myung Joon; Cho, Seong Whi; Lee, Eil Seong; Kang, Ik Won [Hallym University College of Medicine, Seoul (Korea, Republic of)


    We report the delayed sequelae arising in a case of electrical injury, reviewing the literature on the subject and focusing on the MRI findings of the brain. A 23-year-old male suffered burns to the left parietal scalp, both feet, and the anterior chest wall. Neurological symptoms and MRI abnormalities appeared 14 days after the insult and continued for about three months. T1-weight MR images demonstrated homogeneous hypointensity, while T2-weighted images depicted hyperintense finger-like projections. Contrast-enhanced T1-weighted images demonstrated strong band-like enhancement, indicating meningeal hyperemia. Follow-up MR imaging showed that the lesion had disappeared, indicating that the cerebral edema and meaningeal hyperemia were reversible.

  10. Feasibility Study of Supercritical Light Water Cooled Fast Reactors for Actinide Burning and Electric Power Production

    Energy Technology Data Exchange (ETDEWEB)

    Mac Donald, Philip Elsworth; Buongiorno, Jacopo; Davis, Cliff Bybee; Weaver, Kevan Dean


    The use of supercritical temperature and pressure light water as the coolant in a direct-cycle nuclear reactor offers potential for considerable plant simplification and consequent capital and O&M cost reduction compared with current light water reactor (LWR) designs. Also, given the thermodynamic conditions of the coolant at the core outlet (i.e. temperature and pressure beyond the water critical point), very high thermal efficiencies of the power conversion cycle are possible (i.e. up to 46%). Because no change of phase occurs in the core, the need for steam separators and dryers as well as for BWR-type recirculation pumps is eliminated, which, for a given reactor power, results in a substantially shorter reactor vessel than the current BWRs. Furthermore, in a direct cycle the steam generators are not needed. If a tight fuel rod lattice is adopted, it is possible to significantly reduce the neutron moderation and attain fast neutron energy spectrum conditions. In this project a supercritical water reactor concept with a simple, blanket-free, pancake-shaped core will be developed. This type of core can make use of either fertile or fertile-free fuel and retain the hard spectrum to effectively burn plutonium and minor actinides from LWR spent fuel while efficiently generating electricity.

  11. 我国电烧伤治疗的成就与挑战%Achievements and challenge of treatment of electric burn over the past 50 years in China

    Institute of Scientific and Technical Information of China (English)



    The electric burn is a kind of special injury, in which the injured areas are not big, but deep tissues and organs are often injured, resulting in higher rates of mortality and amputation than thermal injury. In the process of management, besides the treatment for systemic and pathologic changes, wound repair is also emphasized for restoration of function. In the past 50 years, ten thound patients with electric burn were cured in our country, including hundreds of severe electric burn patients with extensive injury. Lots of operative regimes for electric burn were developed, and the scope of experimental research was broadening. As aresult, six monographs concerning electric burns were published. However, clinical management of severe electric burn to give a satisfactory result is still difficult, therefore further indepth research is necessary, especially in the field of the use of artificial skin, vessels, nerves, muscular tendon, etc. from gene and tissue engineering to improve quality of wound repair.


    Institute of Scientific and Technical Information of China (English)

    谢卫兴; 李秀芝


    One patient with wound surface sepsis caused by secondary pyocyanic infection after extensive burns associated with visceral injuries (peptic ulcer hemorrhage, renal insufficiency and hepatic dysfunction) and generalized candidiasis albicans was cured after anti-infection treatment with proper antibiotics, removal of the infected focus, and effective anti-fungal drugs.

  13. Effect of a combined continuous and intermittent transcutaneous electrical nerve stimulation on pain perception of burn patients evaluated by visual analog scale: a pilot study (United States)

    Pérez-Ruvalcaba, Irma; Sánchez-Hernández, Viridiana; Mercado-Sesma, Arieh R


    Aim The aim of this study was to assess the effect of continuous and intermittent electrical transcutaneous nerve stimulation on the perception of pain in patients with burns of different types. Materials and methods A pilot study was conducted in 14 patients (age 30.9±7.5 years) with second- and third-degree burns of different types. The burn types included electrical, fire/flame, and chemical. All patients received continuous and intermittent electrical transcutaneous nerve stimulation sessions three times per week for 4 weeks. Each session had a duration of 30 minutes. A pair of electrodes were placed around the burn. The primary efficacy endpoint was the perception of pain assessed by a visual analog scale at baseline and at the 30th day. Results A significant reduction of pain perception was reported (8.0±1.7 vs 1.0±0.5; P=0.027) by all patients after electrical stimulation therapy. There were no reports of adverse events during the intervention period. Conclusion Electrical stimulation could be a potential nonpharmacological therapeutic option for pain management in burn patients. PMID:26719723

  14. 电灼伤的神经系统损伤%Nervous system injury of electrical burn

    Institute of Scientific and Technical Information of China (English)

    吴远; 李光勤


    因日常生活用电越来越广泛,电灼伤的发生率逐渐上升,具有较高的致死率和致残率。神经系统损伤是电灼伤常见的并发症,主要包括周围神经系统损伤、中枢神经系统损伤。周围神经系统损伤较多见,支配区出现无力、感觉异常、感觉缺失、神经痛、反射性交感神经营养不良症等;中枢神经系统损伤包括脊髓损伤和脑神经损伤,主要表现为电休克和各种神经系统后遗症。早期出现的神经系统损伤往往能被认识并加以治疗,而晚期出现的神经系统损伤常得不到重视。%With more use of electricity in daily life,the incidence rate of electrical burn is rising gradually,and electri-cal burn has higher mortality and disability.Nervous system injury is the common complication of electric burn and mainly includes the peripheral nervous system injury and central nervous system injury.The peripheral nervous system injury is more common,and it appears weakness,paresthesia,loss of sensation,neuralgia,reflex sympathetic dystrophy in control area and so on;the central nervous system injury mainly includes the brain and spinal cord injury,mainly for electrical shock and a variety of neurologic sequelae.The early emergence of nervous system injury can often be recog-nized and treated,the late emergence of nervous system injury can often be neglected.

  15. The Application of Gastrocnemius Flap in Severe Electrical Burns of the Knees%腓肠肌肌瓣在修复严重膝部电烧伤中的应用

    Institute of Scientific and Technical Information of China (English)

    朱维平; 陈国华; 赵琳


    Objective To investigate the repairing methods of severe electrical burns of the knees. Methods 10pateints with severe electrical burns of the knees were enrolled in this study. After local debridement, gastrocnemius flap and netskin graft immediately. Results The entire flap survived very well with satisfactory results. Conclusion Early debridementfollowed by gastrocnemius flap and net skin graft could be simple, safe and reliable treatment strategies in the patients withsevere electrical burns of the knees.

  16. Increasing the efficiency of teaching the topic "Burns, frostbites, electric traumas" by means of modern educational technology

    Directory of Open Access Journals (Sweden)

    Nor N.N.


    Full Text Available The main objective of the work is to test and implement modern interactive methods in the field of medical education, namely the method of cooperative groups into the educational process of the Department of General Surgery of SI "DMA MH" and to determine its efficacy by the example of class on the topic "Burns, frostbites, electrical trauma. Diagnosis, first aid, medical treatment”. The method is used to find similarities in different patterns of giving medical care to patients with burns, frostbites and electric trauma. Learning activity is divided into three stages. Stage 1: the teacher divides the students into four groups and gives a task to each group. Stage 2: each group announces the results and presents them in the standardized format. After the discussion the proper decision on the common features of the first aid, treatment, and the algorithm of action is made. Stage 3: the groups share results of the previous clinical experience, sum up, solve situational tasks and tests of level III. The method of co-operative groups allows to increase the motivation of students in the learning process, causes more efficient and thorough acquiring of the material, promotes development of clinical thinking, develops the urge towards collaboration and collective responsibility, favors the development of positive personal qualities of a future professional doctor.

  17. Effect of a combined continuous and intermittent transcutaneous electrical nerve stimulation on pain perception of burn patients evaluated by visual analog scale: a pilot study

    Directory of Open Access Journals (Sweden)

    Pérez-Ruvalcaba I


    Full Text Available Irma Pérez-Ruvalcaba,1 Viridiana Sánchez-Hernández,1 Arieh R Mercado-Sesma2,3 1Burn Unit, Hospital de Especialidades, Centro Médico Nacional de Occidente, Mexican Institute of Social Security, 2Health Sciences Department, Centro Universitario de Tonalá, University of Guadalajara, Guadalajara, Mexico; 3Diabetes sin Complicaciones, Zapopan, Mexico Aim: The aim of this study was to assess the effect of continuous and intermittent electrical transcutaneous nerve stimulation on the perception of pain in patients with burns of different types. Materials and methods: A pilot study was conducted in 14 patients (age 30.9±7.5 years with second- and third-degree burns of different types. The burn types included electrical, fire/flame, and chemical. All patients received continuous and intermittent electrical transcutaneous nerve stimulation sessions three times per week for 4 weeks. Each session had a duration of 30 minutes. A pair of electrodes were placed around the burn. The primary efficacy endpoint was the perception of pain assessed by a visual analog scale at baseline and at the 30th day. Results: A significant reduction of pain perception was reported (8.0±1.7 vs 1.0±0.5; P=0.027 by all patients after electrical stimulation therapy. There were no reports of adverse events during the intervention period. Conclusion: Electrical stimulation could be a potential nonpharmacological therapeutic option for pain management in burn patients. Keywords: TENS, burn pain, pain management, electrotherapy

  18. Analysis of predictor factors of limb amputation in patients with high-voltage electrical burns



    Background: Limb amputation is considered one of the most devastating consequences of electrical injury. Any factors that correlate with the degree of muscle damage can be used to predict the necessity of limb amputation. The aim of this study was to determine the factors that can be used to predict limb amputation in high-voltage electrically injured patients. Methods: Eighty-two high-voltage electrically injured patients were admitted to the Department of Plastic and Reconstructive Surg...

  19. JV Task 126 - Mercury Control Technologies for Electric Utilities Burning Bituminous Coal

    Energy Technology Data Exchange (ETDEWEB)

    Jason Laumb; John Kay; Michael Jones; Brandon Pavlish; Nicholas Lentz; Donald McCollor; Kevin Galbreath


    The EERC developed an applied research consortium project to test cost-effective mercury (Hg) control technologies for utilities burning bituminous coals. The project goal was to test innovative Hg control technologies that have the potential to reduce Hg emissions from bituminous coal-fired power plants by {ge}90% at costs of one-half to three-quarters of current estimates for activated carbon injection (ACI). Hg control technology evaluations were performed using the EERC's combustion test facility (CTF). The CTF was fired on pulverized bituminous coals at 550,000 Btu/hr (580 MJ/hr). The CTF was configured with the following air pollution control devices (APCDs): selective catalytic reduction (SCR) unit, electrostatic precipitator (ESP), and wet flue gas desulfurization system (WFDS). The Hg control technologies investigated as part of this project included ACI (three Norit Americas, Inc., and eleven Envergex sorbents), elemental mercury (Hg{sup 0}) oxidation catalysts (i.e., the noble metals in Hitachi Zosen, Cormetech, and Hitachi SCR catalysts), sorbent enhancement additives (SEAs) (a proprietary EERC additive, trona, and limestone), and blending with a Powder River Basin (PRB) subbituminous coal. These Hg control technologies were evaluated separately, and many were also tested in combination.

  20. Correction, Calculation and Experimental Adjustment of Burner, Destined for Burning Methane in Electric Field


    Pavel KLAUS; Tomčík, Petr; Kulhánek, Jiří


    In this paper was solved modification of combustion burner for experimental exam of methane combustion in the electric field with high intensity voltage. The burner was originally designed for the combustion stack gas. The burner must have been necessary adjusted, because the mixture of stack gas and air was replaced by mixture of methane and oxygen. The fundamental requirement is to adjust the height of the flame that may reach a maximum of height 100 mm. This height was re-quired because th...

  1. Burn Pits (United States)

    ... Enter ZIP code here Enter ZIP code here Burn Pits Burn Pits Registry Studies Photo: U.S. Department ... the health of deployed Veterans. Health effects from burn pit smoke Toxins in burn pit smoke may ...

  2. Burn Institute (United States)

    ... Now Help keep local seniors safe from fire! Burn Survivor Support If you are reading this, chances ... year – a burn injury. Learn more Fire and Burn Prevention Each year, the Burn Institute provides fire ...

  3. How to manage burns in primary care.


    Waitzman, A. A.; Neligan, P. C.


    Burns are common injuries; more than 200,000 occur in Canada annually. Nearly all burn injuries can be managed on on outpatient basis. Appropriate treatment depends on burn depth, extent, and location. Special types of burns, such as chemical, tar, and electrical injuries, need specific management strategies. Prevention through education is important to reduce the incidence of burns.

  4. Design of an Actinide-Burning, Lead or Lead-Bismuth Cooled Reactor that Produces Low-Cost Electricity

    Energy Technology Data Exchange (ETDEWEB)

    Mac Donald, Philip Elsworth; Weaver, Kevan Dean; Davis, Cliff Bybee; MIT folks


    The purpose of this Idaho National Engineering and Environmental Laboratory (INEEL) and Massachusetts Institute of Technology (MIT) University Research Consortium (URC) project is to investigate the suitability of lead or lead-bismuth cooled fast reactors for producing low-cost electricity as well as for actinide burning. The goal is to identify and analyze the key technical issues in core neutronics, materials, thermal-hydraulics, fuels, and economics associated with the development of this reactor concept. Work has been accomplished in four major areas of research: core neutronic design, material compatibility, plant engineering, and coolant activation. In the area of core neutronic design, the reactivity vs. burnup and discharge isotopics of both non-fertile and fertile fuels were evaluated. An innovative core for pure actinide burning that uses streaming, fertile-free fuel assemblies was studied in depth. This particular core exhibits excellent reactivity performance upon coolant voiding, even for voids that occur in the core center, and has a transuranic (TRU) destruction rate that is comparable to the proposed accelerator transmutation of waste (ATW) facility. These studies suggest that a core can be designed to achieve a long life while maintaining safety and minimizing waste. In the area of material compatibility studies, an experimental apparatus for the investigation of the flow-assisted dissolution and precipitation (corrosion) of potential fuel cladding and structural materials has been designed and built at the INEEL. The INEEL forced-convection corrosion cell consists of a small heated vessel with a shroud and gas flow system. The corrosion cell is being used to test steel that is commercially available in the United States to temperatures above 650°C. Progress in plant engineering was made for two reactor concepts, one utilizing an indirect cycle with heat exchangers and the other utilizing a direct-contact steam cycle. The evaluation of the

  5. Investigating the burning characteristics of electric cables used in the nuclear power plant by way of 3-D transient FDS code

    Energy Technology Data Exchange (ETDEWEB)

    Ferng, Y.M., E-mail: [Department of Engineering and System Science, Institute of Nuclear Engineering and Science, National Tsing Hua University, 101, Sec. 2. Kuang-Fu Rd., Hsinchu 30013, Taiwan (China); Liu, C.H. [Department of Engineering and System Science, Institute of Nuclear Engineering and Science, National Tsing Hua University, 101, Sec. 2. Kuang-Fu Rd., Hsinchu 30013, Taiwan (China)


    Burning characteristics of electrical cables are one of the key parameters for the fire hazard assessment of nuclear power plants (NPPs) since the cables are the essential sources of fire in the plants. A three-dimensional (3-D) transient computational fluid dynamics (CFD) code{sub F}DS is adopted in this paper to simulate these characteristics related to the cable burning. Being one of the NRC licensing fire codes, the FDS includes the thermal-hydraulic equations, the turbulence model and the chemical combustion model, etc. In order to assess the CFD fire models used in this code, a burning test using the control cable with the outer jacket of polyvinylchloride (PVC) and the inner insulation of cross-linked polyethylene (XLPE) is conducted. The measured parameters associated with the burning characteristics include the heat release rate (HRR), O{sub 2} depletion, and CO and CO{sub 2} production, etc. Except the amount of O{sub 2} consumption, the predicted transient behaviors of other parameters can reproduce the measured data. Based on the chemical combustion model in the FDS code, this discrepancy may be essentially resulted from the default value of hydrogen fraction (H{sub frac}) contained in the soot since the soot yield for the burning of PVC material is high enough that the uncertainty in the H{sub frac} value has a prominent effect on the amount of O{sub 2} consumption. This explanation can be confirmed by a benchmark calculation for simulating a burning test with the polymethylmethacrylate (PMMA) fuel of low-soot yield. The present simulation works can provide the useful information for the plant staff or the researcher as they would perform the fire hazard analysis in the NPPs using the FDS code.

  6. Jasmonic acid accumulation and systemic photosynthetic and electrical changes in locally burned wild type tomato, ABA-deficient sitiens mutants and sitiens pre-treated by ABA. (United States)

    Hlavinka, Jan; Nožková-Hlaváčková, Vladimíra; Floková, Kristýna; Novák, Ondřej; Nauš, Jan


    Burning the terminal leaflet of younger tomato (Lycopersicon esculentum Mill.) leaf caused local and systemic changes in the surface electrical potential (SEP) and gas exchange (GE) parameters. The local and systemic accumulation of endogenous abscisic acid (ABA) and jasmonic acid (JA) was measured 85 min after burning. The experiments were conducted with wild type (WT) plants, ABA-deficient mutant sitiens (SIT) and ABA pre-treated SIT plants (SITA). First changes in SEP were detected within 1.5 min after burning and were followed by a decrease in GE parameters within 3-6 min in WT, SIT and SITA plants. GE and SEP time courses of SIT were different and wave amplitudes of SEP of SIT were lower compared to WT and SITA. ABA content in WT and SITA control plants was similar and substantially higher compared to SIT, JA content was similar among WT, SIT and SITA. While changes in the ABA content in systemic leaves have not been recorded after burning, the systemic JA content was substantially increased in WT and more in SIT and SITA. The results suggest that ABA content governs the systemic reaction of GE and the SEP shape upon local burning. ABA, JA and SEP participate in triggering the GE reaction. The ABA shortage in the SIT in the reaction to burning is partly compensated by an enhanced JA accumulation. This JA compensation is maintained even in SIT endogenously supplied with ABA. A correlation between the systemic JA content and changes in GE parameters or SEP was not found.

  7. Burn Injuries: Burn Depth, Physiopathology and Type of Burns

    Directory of Open Access Journals (Sweden)

    Kemalettin Koltka


    Full Text Available A significant burn injury is a serious and mortal event. The most important threat to life is hypovolemic shock with complex pathophysiologic mechanisms. Burn depth is classified as first, second, or third degree. Local inflammatory response results a vasodilatation and an increase in vascular permeability. A burn injury is a three dimensional ischemic wound. Zone of coagulation is the zone with maximum damage. Zone of stasis consists of damaged but viable tissues, the tissue is salvageable. In zone of hyperemia tissue perfusion is increased. At the beginning, cardiac output falls and systemic vascular resistance increases; cardiac performance improves as hypovolemia is corrected with fluid resuscitation. While cardiac output increases systemic vascular resistance falls below normal values and a hypermetabolic state develops. Pulmonary vascular resistance increases immediately after thermal injury and this is more prolonged. To avoid secondary pulmonary complications, the smallest resuscitation volume of fluids that maintains adequate tissue perfusion should be given. Changes parallel to the cardiovascular response develop in other organ systems. The reasons of burn injury can be thermal, electrical, chemical or radiation. It is important to know the exact mechanism of burn injury because of different therapies for a specific cause. In this review information about burn depth, local and systemic responses to burn injury and major causes of burn injury are presented. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl:1-6

  8. Bilateral Lower Limb Amputations in a Nigerian Child Following High-Voltage Electrical Burns Injury: A Case Report


    Dim, EM; Amanari, OC; Nottidge, TE; Inyang, UC; Nwashindi, A


    Abstract The human body conducts electricity very well. Direct contact with electric current can be lethal. The passage of electric current through the body is capable of producing a wide spectrum of injuries, including serious damage to the heart, brain, skin and muscles. Naked high-voltage electric cables negligently abandoned in residential, commercial and industrial areas are a recipe for disaster. This is a case report of a 5-year girl child who had bilateral lower limb gangrene followin...

  9. Scald Burns (United States)

    Safety Tips & Info Scald Burns Thousands of scald burns occur annually, and ALL are preventable! The two high-risk populations are children under the age ... the single most important factor in preventing scald burns. Increased awareness is the key to scald prevention! ...

  10. Quemadura eléctrica, a propósito de un caso clínico quirúrgico: surgical clinic case Electric burn

    Directory of Open Access Journals (Sweden)

    P.A. Dávalos Dávalos


    Full Text Available Exponemos un caso representativo de un paciente que ingresa a la Unidad de Quemados del Hospital de Niños "Baca Ortiz" de la ciudad de Quito, Ecuador, con diagnóstico de quemadura eléctrica. Se trata de un paciente en estado crítico, con lesiones por carbonización en miembro superior e inferior izquierdos, y hemodinámicamente inestable. Analizamos los múltiples factores que intervienen en el curso de éste tipo de patologías, así como su tratamiento clínico y quirúrgico.We present a representative case of a patient arriving to the Burns Unit of "Baca Ortiz" Children Hospital in Quito, Ecuador, with an electric burn diagnose. The patient is in a critical status with carbonization of upper and lower left limbs, and hemodynamic instability. The multiple factors participating in the course of this pathology are being analyzed, as well as its clinical and surgical treatment.

  11. Unusual explosive growth of a squamous cell carcinoma of the scalp after electrical burn injury and subsequent coverage by sequential free flap vascular connection – a case report

    Directory of Open Access Journals (Sweden)

    Beier Justus P


    Full Text Available Abstract Background Squamous cell carcinomos may arise from chronic ulcerating wounds in scars, most commonly postburn scars. Tumour growth usually takes place over months to years. Localization on the scalp is a relatively rare condition. Case presentation This report presents the case of a 63-year-old man with chronic ulceration of a postburn scar of the scalp due to an electrical burn 58 years ago. Sudden tumour growth started within weeks and on presentation already had extended through the skull into frontal cortex. After radical tumour resection, defect was covered with a free radial forearm flap. Local recurrence occurred 6 weeks later. Subsequent wide excision including discard of the flap and preservation of the radial vessels was followed by transfer of a free latissimus dorsi muscle flap, using the radial vessels of the first flap as recipient vessels. The patient received radiotherapy post-operatively. There were no problems with flap survivals or wound healing. Due to rapidly growing recurrence the patient died 2 months later. Conclusion Explosive SCC tumour growth might occur in post-burn scars after more than 50 years. As a treatment option the use of sequential free flap connections might serve in repeated extensive tumour resections, especially in the scalp region, where suitable donor vessels are often located in distance to the defect.

  12. Design of an Actinide Burning, Lead or Lead-Bismuth Cooled Reactor that Produces Low Cost Electricity FY-01 Annual Report, October 2001

    Energy Technology Data Exchange (ETDEWEB)

    Mac Donald, Philip Elsworth; Buongiorno, Jacopo; Davis, Cliff Bybee; Herring, James Stephen; Loewen, Eric Paul; Smolik, Galen Richard; Weaver, Kevan Dean; Todreas, N.


    The purpose of this collaborative Idaho National Engineering and Environmental Laboratory (INEEL) and Massachusetts Institute of Technology (MIT) Laboratory Directed Research and Development (LDRD) project is to investigate the suitability of lead or lead-bismuth cooled fast reactors for producing low-cost electricity as well as for actinide burning. The goal is to identify and analyze the key technical issues in core neutronics, materials, thermal-hydraulics, fuels, and economics associated with the development of this reactor concept. Work has been accomplished in four major areas of research: core neutronic design, plant engineering, material compatibility studies, and coolant activation. The publications derived from work on this project (since project inception) are listed in Appendix A.

  13. Burn Rehabilitation

    Directory of Open Access Journals (Sweden)

    Koray Aydemir


    Full Text Available Burn injuries are important in terms of causing serious disability and threatening life. With the establishment of modern burn treatment units and advances in acute care management contributed to a reduced mortality rate over the last decades. As a result of improved outcome, more attention has to be given to a comprehensive burn rehabilitation program. Burn rehabilitation is a process that starts from day of admission and continues for months or sometimes years after the initial event. The term ‘burn rehabilitation’ incorporates the physical, physiological and social aspects of care. Burns can leave a patient with severely debilitating and deforming contractures, which can lead to significant disability when left untreated. Burn rehabilitation aims to prevent the possible complications, minimalize joint contractures and deformities, increase range of motion, control hypertrophic scarring, achieve the best possible functional capacity and to regain the patients vocational and recreational activities. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl: 70-7

  14. Early treatment of high-voltage electric burn wound in the limbs%四肢高压电烧伤创面的早期处理

    Institute of Scientific and Technical Information of China (English)

    沈余明; 胡骁骅; 宓惠茹; 于东宁; 覃风均; 陈辉; 王浩; 张国安


    Objective To summarize the experience of early treatment of high-voltage electric burn wounds in the limbs. Methods Fifty-four patients (50 males and 4 females,aged from 10 to 56 years) with high-voltage electric burn wounds in 97 limbs (67 upper limbs and 30 lower limbs) were hospitalized in our burn wards from January 2003 to December 2010. A total of 119 burn wounds in wrist-forearm,forearm-elbow-upper arm,shoulder-axillary region,ankle-foot,lower leg,around the knee,thigh-inguinal region were treated with incision for decompression within 10 days after burn. Under the premise of relatively stable systemic condition of the patients,certain surgical operations were performed as follows. (1) Sixteen limbs with 16 wounds were amputated,among them forearm amputation was performed for 5 upper limbs with necrosis,with preservation of elbow joints,and the residual wounds of the elbow and upper arm were repaired with pedicled latissimus dorsi musculo-cutaneous flaps;1 upper limb with upper arm amputated,with preservation of shoulder joint,was repaired with pedicled latissimus dorsi musculo-cutaneous flap. (2) Ninety-five wounds were covered with various tissue flaps with abundant blood supply after early debridement,in which 3 brachial arteries,1 vein,1 brachial artery and vein were reconstructed in 5 wrist wounds,artery reconstruction was performed in elbow wound of 1 case with injured brachial artery. (3) Eight wounds were treated with free skin grafting. Wound healing conditions were observed and followed up. Results Wounds in 16 limbs healed after amputation and repair. Blood supply and (or) venous return of hands were restored in 5 wrist wounds after vessel reconstruction. After artery reconstruction,abundant blood supply was observed in 1 case with injured brachial artery and amputation was avoided. Necrosis occurred in distal parts of tissue flaps in 5 wounds after grafting,in which 2 wounds healed after removal of necrotic tissue followed by closure with suture

  15. Feasibility Study of Supercritical Light Water Cooled Fast Reactors for Actinide Burning and Electric Power Production, Progress Report for Work Through September 2002, 4th Quarterly Report

    Energy Technology Data Exchange (ETDEWEB)

    Mac Donald, Philip Elsworth


    The use of light water at supercritical pressures as the coolant in a nuclear reactor offers the potential for considerable plant simplification and consequent capital and O&M cost reduction compared with current light water reactor (LWR) designs. Also, given the thermodynamic conditions of the coolant at the core outlet (i.e. temperature and pressure beyond the water critical point), very high thermal efficiencies of the power conversion cycle are possible (i.e. up to about 45%). Because no change of phase occurs in the core, the need for steam separators and dryers as well as for BWR-type re-circulation pumps is eliminated, which, for a given reactor power, results in a substantially shorter reactor vessel and smaller containment building than the current BWRs. Furthermore, in a direct cycle the steam generators are not needed. If no additional moderator is added to the fuel rod lattice, it is possible to attain fast neutron energy spectrum conditions in a supercritical water-cooled reactor (SCWR). This type of core can make use of either fertile or fertile-free fuel and retain a hard spectrum to effectively burn plutonium and minor actinides from LWR spent fuel while efficiently generating electricity. One can also add moderation and design a thermal spectrum SCWR. The Generation IV Roadmap effort has identified the thermal spectrum SCWR (followed by the fast spectrum SCWR) as one of the advanced concepts that should be developed for future use. Therefore, the work in this NERI project is addressing both types of SCWRs.

  16. Burns (For Parents) (United States)

    ... Old Feeding Your 1- to 2-Year-Old Burns KidsHealth > For Parents > Burns A A A What's ... outlets, etc.) overexposure to the sun Types of Burns Burns are often categorized as first-, second-, or ...

  17. Burning vasculitis. (United States)

    Chadha, Priyanka; Hobday, Dorian; O'Connor, Edmund Fitzgerald; D'Cruz, David


    We present the case of a 69-year-old man who was found collapsed close to a heat source and admitted to hospital for severe sepsis. He was also found to have widespread blistering and ulceration of his right leg; however, a history was unobtainable due to reduced consciousness levels. The leg lesions had the initial appearance of mixed depth burns and a management plan was made to transfer the patient to a burns unit for debridement. It was subsequently noted that the patient had a previous diagnosis of seropositive erosive rheumatoid arthritis. A biopsy of the leg lesion was performed and a diagnosis of rheumatoid vasculitis confirmed. Treatment with systemic steroids, intravenous antibiotics and intravenous immunoglobulin therapy for severe hypogammaglobulinaemia was started, and the patient was not transferred for surgical debridement. Rheumatoid vasculitis is a rare and extremely serious complication of rheumatoid arthritis that can manifest in a number of ways, occasionally mimicking other conditions. This case is essential to raise awareness of rare, severe rheumatoid vasculitis and of the potential for its misdiagnosis as a mixed depth burn.

  18. Achievements and challenge of treatment of electric burn over the past 50 years in China%我国烧伤免疫的研究

    Institute of Scientific and Technical Information of China (English)



    For five decades it has been recognized that severe burn injury may precipitate in marked alterations in im-mune function,resulting in life-threatening systemic infections,sepsis,multiple organ failure,and even death.Extensive and deep burns exert widespread and profound impacts on various cells and molecules of the immune system.The general charac-teristics of abnormal immune responses following major burns are hyperinflammatory response and hypoimmune response of innate and adaptive immunity.These are recognized as postbum im-mune dysfunction(PID).The stress reaction,massive necrotic tissue,shock,infection,malnutrition and various therapeutic procedures after burns alter the microenvironment of the immune cells and molecules in which they reside,and consequently re-suit in the changes in immune cells and their secretions in quan.tity and/or activity,and also aberrant signal transduction in dif-ferent immune cells.These events constitute the cellular and molecular ases in the pathogenesis of PID.The main clinical consequences of PID include tissue damages and increased SUS-ceptibility to opportunistic pathogens caused by refractory inflam-mation and suppressed adaptive immunity.In order to decrease the morbidity of these lethal complications,efforts to improve the immune dysfunction after burn injury have been made not only at the integral level of etiological factors,but also at the cellular and molecular levels of its mechanisms.In this review,all these above.mentioned aspects of PID are comprehensively discussed.

  19. Repair of electrical burns in the limbs with flap%四肢电烧伤创面的皮瓣修复

    Institute of Scientific and Technical Information of China (English)

    金秀; 王涛; 蒋子平; 于家傲; 路来金


    artery flap,1 case was treated by free latissimus dorsi flap,3 cases were treated by free anterolateral thigh flaps;1 case was treated by reverse island forearm posterior interosseous flap,2 cases were treated by posterior perforator reversed island flaps of the lower leg,1 case was treated by anterolateral perforator reversed island flaps of the lower leg.The area of flap was from 42.0 cm × 13.0 cm to 6.0 cm × 3.0 cm.The survival rate of the flap,the appearance and function of limb were observed.Results All these patients were followed up from 4 months to 3 years 6 months,the mean time was 6 months and 20 days.Thirty-five flaps survived completely,accounting for 92.1%,and 3 cases suffered partial necrosis at the distal end,accounting for 7.9%.Secondary healing was achieved by dress changing.The appearance of the limbs was satisfactory.Among the 28 cases whose bums were on the hands,the total number of excellent and good was 15,medium was 8,and 5 poor cases.The excellent and good rate was 57.1%.Conclusion Early repairing of the electrical burns with flaps is the effective method for protecting the deep structures of the limb,preventing and control the secondary infections and preserve the function of the limbs.

  20. First Aid: Burns (United States)

    ... Your 1- to 2-Year-Old First Aid: Burns KidsHealth > For Parents > First Aid: Burns A A A Scald burns from hot water and other liquids are the most common burns in early childhood. Because burns range from mild ...

  1. First Aid: Burns (United States)

    ... Old Feeding Your 8- to 12-Month-Old Feeding Your 1- to 2-Year-Old First Aid: Burns KidsHealth > For Parents > First Aid: Burns Print A A A Scald burns from hot water and other liquids are the most common burns in early childhood. Because burns range from mild to life threatening, ...

  2. 接触性电烧伤的致伤机理和急诊治疗原则分析%Analyze the injury mechanism and emergency treatment principle of electric burn contact

    Institute of Scientific and Technical Information of China (English)



    Objective: To analyze the contact electric burn injury mechanism and emergency treatment principle.Methods:Retrospective analysis of clinical data of 75 cases of contact electric burn patients, to explore the injury mechanism and emergency treatment principle, to ensure that patients get better treatment.Results: 75 cases of patients with treatment, by saving actively targeted therapy, the cure rate was 93.3%; 1 patients with cardiac damage should be died; 4 cases of patients with amputation.Conclusion: Through the analysis of contact burn injury mechanism and emergency treatment principle, take targeted measures to improve patient treatment, the therapeutic effect, reduce the rate of disability, mortality, morbidity played a signiifcant.%目的:分析接触性电烧伤的致伤机理和急诊治疗原则。方法:回顾分析75例接触性电烧伤患者临床资料,探究其致伤机理及急诊治疗原则,确保患者得到更好治疗。结果:75例患者经针对性治疗,经积极抢救针对性治疗,治愈率93.3%;1例患者应心脏损伤抢救无效死亡;4例患者截肢。结论:通过分析接触性烧伤的致伤机理及急诊治疗原则,采取针对性治疗措施,对提高患者治疗效果,降低致残率、致死率、致病率起到显著意义。

  3. 大面积烧伤手术患者使用高频电刀的护理配合要点%Large area burn patients nursing operation using high frequency electric knife matching points

    Institute of Scientific and Technical Information of China (English)



    目的:讨论大面积烧伤手术患者实施多台高频电刀同时使用的护理配合要点。方法选择我科收治的大面积烧伤手术的88例病人,为其实施多台高频电刀治疗,随机将其分为观察组和对照组,观察组病人采取有效的护理配合,对照组病人采取一般的护理方法。结果观察组病人的手术时间和术中出血量均低于对照组,比较后差异显著(P<0.05)。结论大面积烧伤的病人经过有效的护理配合以后,使手术得以顺利进行,为其提供了有力保障。%Objective: to discuss the 1, large area burn patients at the same time using the nursing operation implementation of multiple high-frequency electric knife matching points.2, methods: 88 cases of large area burn patients selection operation in our department, for the implementation of a plurality of high frequency electric knife treatment, and randomly divided into the observation group and the control group, the observation group patients take care with the effective, control group patients takegeneral nursing method.Results: 3, the amount of bleeding and operation time of the observation group patients was signiifcantly lower than control group, compared the difference was obvious (P< 0.05).Conclusion: 4, large area burn patients aftereffective nursing care, make the operation smoothly, providing a powerful guarantee forthe.

  4. 电站锅炉掺烧非设计煤种的分析与燃烧调整%The Electricity Stands Boiler Chan's Burning don't Design Analysis and Combustion Adjustment that the Coal Grows

    Institute of Scientific and Technical Information of China (English)



    In the current coal resources day by day under the short of situation , particularly request opposite and higher e-lectricity station to the coal quality boiler , usually dont'can use to design coal to grow according to the theoretical request complete Ran, therefore, have to consider research to don't design coal to grow the problem that the big proportion Chan burns or purely burns , this text knots a cooperator in the process of practicing to the my plant boiler Chan burn don 't design the combustion adjustment that the coal grows an aspect backlog xperience , from not design the characteristic parameter that the coal grows and Chan to burn a proportion to measure calculate , coal Cang up anticipate management , combustion adjust method and excrescent circumstance under of a few aspects like emergency response treatment ,etcs carried on analysis and summary, and passed the verification of fulfillment .%在当前煤炭资源日益匮乏的形势下,尤其是对煤质要求相对较高的电站锅炉,往往不能按照理论的要求完全燃用设计煤种,因此,不得不考虑研究非设计煤种大比例掺烧或者纯烧的问题,本文结合作者在实践过程对本厂锅炉掺烧非设计煤种方面积累的燃烧调整经验,从非设计煤种的特性参数、掺烧比例测算、煤仓上料管理、燃烧调整方法以及异常情况下的应急处置等几个方面进行了分析和总结,并通过了实践的验证。

  5. Emergency in Burn; Burn in Emergency

    Directory of Open Access Journals (Sweden)

    Yalcin Bayram


    Full Text Available Physicians who first meet with burned patients are often emergency service employees. When the patient was admitted to emergency service, especially in patients with major burn injury, is a matter should be dealt with strongly. Before sending the patients to a burn center, some interventions could became life saving which should be done as a first line treatment. Herein, review of the literature related to emergency burn treatment was performed and presented to all physicians as a summary guide. In addition, some questions such as how should be physician, who first meet with the burned patient, evaluated the patient, what should be physician paid attention, which principles should be employed for fluid replacement, how should be approached to burn wound are tried to be addressed. [TAF Prev Med Bull 2012; 11(3.000: 365-368

  6. Hole burning with pressure and electric field: A window on the electronic structure and energy transfer dynamics of bacterial antenna complexes

    Energy Technology Data Exchange (ETDEWEB)

    Wu, H.M.


    Light-harvesting (LH) complexes of cyclic (C{sub n}) symmetry from photosynthetic bacteria are studied using absorption and high pressure- and Stark-hole burning spectroscopies. The B800 absorption band of LH2 is inhomogeneously broadened while the B850 band of LH2 and the B875 band of the LH1 complex exhibit significant homogeneous broadening due to ultra-fast inter-exciton level relaxation. The B800{r_arrow}B850 energy transfer rate of ({approximately}2 ps){sup {minus}1} as determined by hole burning and femtosecond pump-probe spectroscopies, is weakly dependent on pressure and temperature, both of which significantly affect the B800-B850 energy gap. The resilience is theoretically explained in terms of a modified Foerster theory with the spectral overlap provided by the B800 fluorescence origin band and weak vibronic absorption bands of B850. Possible explanations for the additional sub-picosecond relaxation channel of B800 observed with excitation on the blue side of B800 are given. Data from pressure and temperature dependent studies show that the B800 and B850 bacteriochlorophyll a (BChl a) molecules are weakly and strongly excitonically coupled, respectively, which is consistent with the X-ray structure of LH2. The B875 BChl a molecules are also strongly coupled. It is concluded that electron-exchange, in addition to electrostatic interactions, is important for understanding the strong coupling of the B850 and B875 rings. The large linear pressure shifts of {approximately}{minus}0.6 cm{sup {minus}1}/MPa associated with B850 and B875 can serve as important benchmarks for electronic structure calculations.

  7. Cause analysis on frequent burning of electric motor and improvement measures%电动机频繁烧毁的原因分析及改进措施

    Institute of Scientific and Technical Information of China (English)

    马香普; 夏国明; 王志勇


    Frequent burning case of crane hoisting electric motor in a steel factory is analyzed. Some possible causes of failure are found. According to intermittent cycle working mode of crane hoisting electric motor, analysis shows that root cause of failure is that actual load duty cycle is greater than duty cycle of crane motor. Feasibility study is conducted to find the best solution. Since the solution was put into running, no burning accident of electric motor has been occurred. Equipment maintenance cost is saved greatly, safety of production is ensured, and production efficiency is improved. At last, combining with this case, some practical suggestions of equipment selection and using are put forward, so as to avoid accidents caused by problem of equipment type and parameters. It can be provided as a reference for the peers.%针对某钢管厂吊车用起升电动机屡次烧毁的实际案例进行分析,列出若干可能的故障原因。根据吊车所配电动机为断续周期制工作方式,分析找出电动机烧毁的根本原因——实际负载暂载率大于吊车配套电动机暂载率。通过可行性研究,给出问题的最佳解决方案。该方案自投入运行以来,未发生过电动机烧毁事故,大大节约了工厂设备维护成本,保障了生产安全,提高了生产效率。最后,结合此案例提出了若干切合实际的设备选购及使用建议,以避免由于设备型号或参数问题而引发的各类事故,供同行参考和借鉴。

  8. Burns and injuries from non-electric-appliance fires in low- and middle-income countries Part II. A strategy for intervention using the Haddon Matrix. (United States)

    Peck, Michael D; Kruger, Gerebreg E; van der Merwe, Anna E; Godakumbura, Wijaya; Oen, Irma M M; Swart, Dehran; Ahuja, Rajeev B


    A large proportion of burns in developing countries are related to the nature of domestic appliances used for cooking, heating, and lighting. Our overview of the problem elucidated the need for better surveillance with epidemiologic studies, which will more accurately assess the true incidence in vulnerable populations. This paper will create a framework for envisaging new approaches to the problem and begin to evaluate the strengths and weaknesses of proposed interventions. We used the Haddon Matrix to accumulate proposed interventions that encompass a pre-event, event, and post-event timeline. We propose an initial strategic outline plan for interventions based on values that are suited to the problem and the setting, are culturally appropriate, and can be employed in a reasonable period of time for a sustained period to ensure success. Recommended action steps include promoting the use of alternative energy sources, encouraging an integrated approach to finding interdisciplinary solutions, devising a better system of kerosene containerization, re-engineering appliance designs, legislating for enforcement of health and safety standards, taking a holistic approach through government inter-departmental collaboration, formally discouraging corruption, encouraging ventilation of cooking or living areas, implementing building codes, educating consumers, and training caregivers and health and emergency workers.

  9. Crude oil burning mechanisms

    DEFF Research Database (Denmark)

    van Gelderen, Laurens; Malmquist, L.M.V.; Jomaas, Grunde


    In order to improve predictions for the burning efficiency and the residue composition of in-situ burning of crude oil, the burning mechanism of crude oil was studied in relation to the composition of its hydrocarbon mixture, before, during and after the burning. The surface temperature, flame...... to the predictions of four conceptual models that describe the burning mechanism of multicomponent fuels. Based on the comparisons, hydrocarbon liquids were found to be best described by the Equilibrium Flash Vaporization model, showing a constant gas composition and gasification rate. The multicomponent fuels...... followed the diffusion-limited gasification model, showing a change in the hydrocarbon composition of the fuel and its evaporating gases, as well as a decreasing gasification rate, as the burning progressed. This burning mechanism implies that the residue composition and burning efficiency mainly depend...

  10. Minor burns - aftercare (United States)

    ... the burn: Use cool water, not ice. The extreme cold from ice can injure the tissue even more. If possible, especially if the burn is caused by chemicals, hold the burned skin under cool running water for 10 to 15 minutes until it ...

  11. Optimization of burn referrals

    DEFF Research Database (Denmark)

    Reiband, Hanna K; Lundin, Kira; Alsbjørn, Bjarne


    INTRODUCTION: Correct estimation of the severity of burns is important to obtain the right treatment of the patient and to avoid over- and undertriage. In this study we aimed to assess how often the guidelines for referral of burn injured patients are met at the national burn centre (NBC), Denmar...

  12. Learn Not To Burn. (United States)

    English, Nancy; Hendricks, Charlotte M.


    Describes the "Learn Not to Burn Preschool Program," a low-cost fire safety awareness and burn prevention curriculum for young children. The program promotes eight burn prevention methods--including practicing an escape plan--using developmentally appropriate learning objectives to increase children's fire safety knowledge, skill, and…

  13. Epidemiology of burns

    NARCIS (Netherlands)

    Dokter, Jan


    The aim of this thesis is to understand the epidemiology, treatment and outcomes of specialized burn care in The Netherlands. This thesis is mainly based on historical data of the burn centre in Rotterdam from 1986, combined with historical data from the burn centres in Groningen and Beverwijk from

  14. Partial Burn Laws in Propellant Erosive Burning

    Directory of Open Access Journals (Sweden)

    S.V. Finjakov


    Full Text Available Experimental and computer methods were developed for investigating the combustion phenomena in the propellants which burn in streams of hot gas flowing along the burn surfaces of the propellants. The experimental investigations allowed establishment of different dependencies for erosive burning. Computer solutions of the problem for double-base (DB propellants showed a good agreement with the experimental results. The suggested variant of modified theory considers the change of heat release in solids, the real burn surface roughness, the nonisothermality of boundary layer and the effect of gas mass blow from the propellant burn surface into the gas stream. This modified theory was used for studying burn laws at 30-1000 atm and up to gas stream sound velocities for different DB propellants. It was found that gas stream leads to splitting of the propellant burn laws, m = bp/sup v/. Pressure power (v, in this case depends on gas stream velocity (W, diameter of the propellant tube canal (d and gas stream temperature (T/sub w/. It is because of this that these burn laws were named partial burn laws. They have the form (m = bp/sup w(omega/ w,d,T/sub w/ -const. The dependencies w(omega = f(w,d,T/sub w/ were obtained by the modified theory. It was found that omega values mainly decrease when pressure increases beginning from ~200 to 400 atm and they can decrease up to w(omega = 0,1- 0,3. Similar results can be obtained for composite propellants.

  15. A `fast-burning' mechanism for magnetic diffusion

    CERN Document Server

    Xiao, Bo; Kan, Ming-xian; Wang, Gang-hua; Zhao, Jian-heng


    Fast-burning mechanism describes the rapid penetration, with a sharp-shaped wave-front, of a strong magnetic field into a conductive metal whose electric resistance poses an abrupt rise at some critical temperature. With its wave-front sweeping over a solid metal, the fast-burning can melt or vaporize the metal very rapidly. This paper derives formulas for the existence conditions and wave-front velocity of a fast-burning.

  16. [Burn injuries during MR scanning: a case report

    NARCIS (Netherlands)

    Vister, J.; Erning, L. van; Steens, S.C.A.; Meijer, F.J.A.


    In this paper we report one case of skin burns in MRI caused by induced electrical currents. Two second degree skin burns occurred during imaging, while operating within all current safety guidelines. The currents are induced by the magnetic-gradient field, as well as the radiofrequency pulses. A cl

  17. Fire Service Training. Immediate Care of the Burn Patient. (United States)

    North Carolina State Dept. of Community Colleges, Raleigh.

    Part of a series of instructional outlines intended for use in a training program for firemen with no previous formal training, this curriculum guide discusses the emergency treatment of thermal, chemical, and electrical burns. The topics covered are as follow: (1) evaluation of the degree and extent of the burn; (2) shock, its signs and…

  18. [The pain from burns]. (United States)

    Latarjet, J


    The painful events associated with the treatment of a severe burn can, because of their long-lasting and repetitive characteristics, be one of the most excruciating experiences in clinical practice. Moreover, burn pain has been shown to be detrimental to burn patients. Although nociception and peripheral hyperalgesia are considered the major causes of burn pain, the study of more hypothetical mechanisms like central hyperalgesia and neuropathic pain may lead to a better understanding of burn pain symptoms and to new therapeutic approaches. Continuous pain and intermittent pain due to therapeutic procedures are two distinct components of burn pain. They have to be evaluated and managed separately. Although continuous pain is by far less severe than intermittent pain, the treatment is, in both cases, essentially pharmacological relying basically on opioids. Because of wide intra- and inter-individual variations, protocols will have to leave large possibilities of adaptation for each case, systematic pain evaluation being mandatory to achieve the best risk/benefit ratio. Surprisingly, the dose of medication decreases only slowly with time, a burn often remaining painful for long periods after healing. Non pharmacological treatments are often useful and sometimes indispensable adjuncts; but their rationale and their feasibility depends entirely on previous optimal pharmacological control of burn pain. Several recent studies show that burn pain management is inadequate in most burn centres.

  19. Radius fracture from an electrical injury involving an electric guitar. (United States)

    Pappano, Dante


    Electrical injury ranges widely from simple shock and mild burns to more extensive superficial injury, internal injury, and mortality. Bony fracture from electrically-induced tetanic muscle contraction is a rare but recognized injury. We report the case of a 14-year-old boy who suffered a minor burn and radius fracture related to an electrical injury involving his electric guitar. An interesting pattern is emerging from available case reports of similar injuries.

  20. Burns and epilepsy. (United States)

    Berrocal, M


    This is a report of the first descriptive analytic study of a group of 183 burn patients, treated in the Burn Unit at the University Hospital of Cartagena, Colombia during the period since January 1985 until December 1990. There is presented experience with the selected group of 24 patients in whom the diagnosis of burn was associated with epilepsy. There is also analysed and described the gravity of the scars sequels, neurological disorders, the complication of the burn and an impact of this problem on the patient, his (her) family and the community. It is very important to report that there was found Neurocisticercosis in 66.6% of the group of burn patients with epilepsy, and it is probably the first risk factor of burn in this group.

  1. The Burning Saints

    DEFF Research Database (Denmark)

    Xygalatas, Dimitris

    . Carrying the sacred icons of the saints, participants dance over hot coals as the saint moves them. The Burning Saints presents an analysis of these rituals and the psychology behind them. Based on long-term fieldwork, The Burning Saints traces the historical development and sociocultural context......, The Burning Saints presents a highly original analysis of how mental processes can shape social and religious behaviour....

  2. Pattern of burn injury in hang-glider pilots. (United States)

    Campbell, D C; Nano, T; Pegg, S P


    High-voltage electrical injury has been well documented in a number of situations, such as the occupational hazard of linesmen and construction workers, and in the context of overhead railway power lines. Two cases of hang-glider pilots contacting 11,000-volt power lines have recently been treated in the Royal Brisbane Hospital Burns Unit. They demonstrate an interesting pattern of injury, not described in current burns literature, involving both hand and lower abdominal burns. Both patients sustained full-thickness patches of burn injury, with underlying muscle damage and peripheral neurological injury. This distribution of injury seems to be closely related to the design of the hang glider.

  3. Investigation of electrolyte electric discharge characteristics (United States)

    Kirko, D. L.; Savjolov, A. S.


    The most important electrical characteristics of electrolyte electric discharge were investigated. The electric burning discharge was obtained with the help of different electrolytes. The spectral composition of the electric discharge electromagnetic radiation was determined, the plasma temperature was determined. The spectrum of the electric discharge high-frequency oscillations was calculated in the region v=10 kHz-80 MHz. The most appropriate modes of the electric burning discharge in different electrolytes were proposed.

  4. Importance of proper initial treatment of moderate and major burns

    Directory of Open Access Journals (Sweden)

    Vulović Dejan


    Full Text Available Background/Aim. Burns are common injuries with frequency depending on human factors, development of protection, industry and traffic, eventual wars. Organized treatment of major burn injuries has tremendous medical, social and economic importance. The aim of this study was to analyze initial treatment of major and moderate burns, to compare it with the current recommendations and to signify the importance of organized management of burns. Methods. In a prospective study 547 adult patients with major burns were analyzed, covering a period of eight years, with the emphasis on the initial hospital admission and emergency care for burns greater than 10% of total body surface area (TBSA. Results. In the different groups of major burns, the percentage of hospital admission was: 81.5 in burns greater than 10% TBSA, 37.7 in burns of the functional areas, 54.5 in the III degree burns, 81.6 in electrical burns, 55.9 in chemical burns, 61.9 in inhalation injury, 41.0 in burns in patients with the greater risk and 100 in burns with a concomitant trauma. In the group of 145 patients with burns greater than 10% TBSA, intravenous fluids were given in 87 patients, analgesics in 45, corticosteroids in 29, antibiotics in 23 and oxygen administration in 14. In the same group, wound irrigation was done in 14.4%, removing of the clothing and shoes in 29.6%, elevation of the legs in 8.9% and prevention of hypothermia in 7.6% of the victims. There were no initial estimations of burn extent (percentage of a burn, notes about the patient and injury and tetanus immunizations. Conclusion. Based on these findings, it is concluded that there should be much more initial hospital admissions of major burns, and also, necessary steps in the emergency care of burns greater than 10% TBSA should be taken more frequently. On the other side, unnecessary or wrong steps should be avoided in the initial burn treatment.

  5. Influence of high-voltage electric burn on the microcirculation of heart in rabbit%高压电烧伤对兔心脏微循环的影响

    Institute of Scientific and Technical Information of China (English)

    张庆富; 周慧敏; 王车江; 邵洪波


    Objective To study the influence of high-voltage electric burn on the microcirculation of heart in rabbit. Methods One-hundred and twenty New Zealand rabbits of clean grade were divided into control group (C) and electric burn group (EB) according to the random number table,with 60 rabbits in each group.Rabbits in EB group were subjected to high-vohage electric burn ( the electrical current flow into the left foreleg at the lateral side of proximal end and out from the corresponding site of the right hind leg) with voltage regulator and experimental transformer.Rabbits in C group were sham injured with the same devices without electrification.At 15 minutes before injury,and 5 minutes,1,2,4,8 hour (s) post injury ( PIM or PIH ),ten rabbits in each group were chosen to examine the cardiac apex microcirculation hemoperfusion (CAMH) with laser Doppler hemoperfusion image instrument.The morphologic changes of microvessels of left ventricular wall tissues of 2 rabbits from each of the 10 rabbits collected at above-mentioned time points were observed with light microscope and transmission electron microscope.Auricular vein blood of rabbit was harvested at above-mentioned time points for the determination of aspartate amino transferase ( AST),lactate dehydrogenase ( LDH ),hydroxybutyrate dehydrogenase ( HBDH ),creatine kinase ( CK),and creatine kinase isozyme MB (CK-MB) by full-automatic biochemical analyzer.Data were processed with two-factor analysis of variance and LSD test. Results ( 1 ) The differences between C group and EB group in detection results were statistically significant,with F values from 425.991 to 3046.834,P values all below 0.01.Only the data within EB group were comparable.(2) At PIM 5,the CAMH value of rabbits in EB group was (1.96 ±0.09) V,which was lower than that at 15 minutes before injury [(4.34±0.35) V,P < 0.01 ].The CAMH value of rabbits in EB group was increased at PIH 1 [ (3.43 ± 0.30) V ],and then it showed a tendency of decrease.(3

  6. Critical issues in burn care. (United States)

    Holmes, James H


    Burn care, especially for serious burn injuries, represents a considerable challenge for the healthcare system. The American Burn Association has established a number of strategies for the management of burn patients and dedicates its efforts and resources to promoting and supporting burn-related research, education, care, rehabilitation, and prevention, often in collaboration with other organizations. The American Burn Association has recommended that patients with serious burns be referred to a designated burn center, ie, a hospital outfitted with specialized personnel and equipment dedicated to burn care. Burn centers have been operational for over 50 years, but the complexity and costs of providing specialized burn care have given rise to a number of critical administrative and political issues. These include logistical limitations imposed by the uneven national distribution of burn centers and a potential shortage of burn beds, both during everyday conditions and in the event of a mass disaster. Burn surgeon shortages have also been identified, stemming, in part, from a lack of specialized burn care training opportunities. There is currently a lack of quality outcome data to support evidence-based recommendations for burn care, and burn care centers are compromised by problems obtaining reimbursement for the care of uninsured and publicly insured out-of-state burn patients. Initiatives are underway to maintain efficient burn care facilities that are fully funded, easily accessible, and most importantly, provide optimal, evidence-based care on a daily basis, and are well-equipped to handle a surge of patients during a disaster situation.

  7. Pain in burn patients. (United States)

    Latarjet, J; Choinère, M


    While severe pain is a constant component of the burn injury, inadequate pain management has been shown to be detrimental to burn patients. Pain-generating mechanisms in burns include nociception, primary and secondary hyperalgesia and neuropathy. The clinical studies of burn pain characteristics reveal very clear-cut differences between continuous pain and pain due to therapeutic procedures which have to be treated separately. Some of the main features of burn pain are: (1) its long-lasting course, often exceeding healing time, (2) the repetition of highly nociceptive procedures which can lead to severe psychological disturbances if pain control is inappropriate. Pharmaco-therapy with opioids is the mainstay for analgesia in burned patients, but non-pharmacological techniques may be useful adjuncts. Routine pain evaluation is mandatory for efficient and safe analgesia. Special attention must be given to pain in burned children which remains too often underestimated and undertreated. More educational efforts from physicians and nursing staff are necessary to improve pain management in burned patients.

  8. Hand chemical burns. (United States)

    Robinson, Elliot P; Chhabra, A Bobby


    There is a vast and ever-expanding variety of potentially harmful chemicals in the military, industrial, and domestic landscape. Chemical burns make up a small proportion of all skin burns, yet they can cause substantial morbidity and mortality. Additionally, the hand and upper extremity are the most frequently involved parts of the body in chemical burns, and therefore these injuries may lead to severe temporary or permanent loss of function. Despite this fact, discussion of the care of these injuries is sparse in the hand surgery literature. Although most chemical burns require only first response and wound care, some require the attention of a specialist for surgical debridement and, occasionally, skin coverage and reconstruction. Exposure to certain chemicals carries the risk of substantial systemic toxicity and even mortality. Understanding the difference between thermal and chemical burns, as well as special considerations for specific compounds, will improve patient treatment outcomes.

  9. [Chickenpox, burns and grafts]. (United States)

    Rojas Zegers, J; Fidel Avendaño, L


    An outbreak of chickenpox that occurred at the Burns Repair Surgery Unit, Department of Children's Surgery, Hospital R. del Río, between June and November, 1975, is reported. 27 cases of burned children were studied, including analysis of correlations of the stages and outcome of the disease (varicela), the trauma (burns) and the graft (repair surgery). As a result, the authors emphasize the following findings: 1. Burns and their repair are not aggravating factors for varicella. In a small number of cases the exanthema looked more confluent in the graft surgical areas and in the first degree burns healing spontaneously. 2. Usually there was an uneventful outcome of graft repair surgery on a varicella patient, either during the incubation period, the acme or the convalescence. 3. The fact that the outmost intensity of secondary viremia of varicella occurs before the onset of exanthemia, that is, during the late incubation period, is confirmed.

  10. Crude oil burning mechanisms

    DEFF Research Database (Denmark)

    van Gelderen, Laurens; Malmquist, Linus Mattias Valdemar; Jomaas, Grunde


    In order to improve predictions for the burning efficiency and the residue composition of in-situ burning of crude oil, the burning mechanism of crude oil was studied in relation to the composition of its hydrocarbon mixture, before, during and after the burning. The surface temperature, flame...... height, mass loss rate and residues of three hydrocarbon liquids (n-octane, dodecane and hexadecane), two crude oils (DUC and REBCO) and one hydrocarbon liquid mixture of the aforementioned hydrocarbon liquids were studied using the Crude Oil Flammability Apparatus. The experimental results were compared...... to the predictions of four conceptual models that describe the burning mechanism of multicomponent fuels. Based on the comparisons, hydrocarbon liquids were found to be best described by the Equilibrium Flash Vaporization model, showing a constant gas composition and gasification rate. The multicomponent fuels...

  11. Epidemiology, etiology and outcomes of burn patients in a Referral Burn Hospital, Tehran

    Directory of Open Access Journals (Sweden)

    Mohammad Mehdi Soltan Dallal


    Full Text Available Background: Burns and its complications are regarded as a major problem in the society. Skin injuries resulted from ultraviolet radiation, radioactivity, electricity or chemicals as well as respiratory damage from smoke inhalation are considered burns. This study aimed to determine the epidemiology and outcome of burn patients admitted to Motahari Hospital, Tehran, Iran. Methods: Two hundred patients with second-degree burns admitted to Motahari Referral Center of Burn in Tehran, Iran. They were studied during a period of 12 months from May 2012 to May 2013. During the first week of treatment swabs were collected from the burn wounds after cleaning the site with sterile normal saline. Samples were inoculated in blood agar and McConkey agar, then incubation at 37 C for 48 hours. Identification was carried out according to standard conventional biochemical tests. Treatment continued up to epithelial formation and wound healing. Results of microbial culture for each patient was recorded. Healing time of the burn wounds in patients was recorded in log books. Chi-square test and SPSS Software v.19 (IBM, NY, USA were used for data analysis. Results: Our findings indicate that the most causes of burns are hot liquids in 57% of cases and flammable liquid in 21% of cases. The most cases of burns were found to be in the range of 21 to 30 percent with 17.5% and 7% in male and female respectively. Gram-negative bacteria were dominated in 85.7% and among them pseudomonas spp. with 37.5% were the most common cause of infected burns, followed by Enterobacter, Escherichia coli, Staphylococcus aureus, Acinetobacter and Klebsiella spp. Conclusion: The results of this study showed that the most cause of burns in both sex is hot liquid. Men were more expose to burn than women and this might be due to the fact that men are involved in more dangerous jobs than female. Pseudomonas aeruginosa was the most common organism encountered in burn infection.

  12. Burning plasmas in ITER for energy source

    Energy Technology Data Exchange (ETDEWEB)

    Inoue, Nobuyuki [Atomic Energy Commission, Tokyo (Japan)


    Fusion research and development has two aspects. One is an academic research on science and technology, i.e., discovery and understanding of unexpected phenomena and, development of innovative technology, respectively. The other is energy source development to realize fusion as a viable energy future. Fusion research has been made remarkable progress in the past several decades, and ITER will soon realize burning plasma that is essential for both academic research and energy development. With ITER, scientific research on unknown phenomena such as self-organization of the plasma in burning state will become possible and it contributes to create a variety of academic outcome. Fusion researchers will have a responsibility to generate actual energy, and electricity generation immediately after the success of burning plasma control experiment in ITER is the next important step that has to be discussed seriously. (author)

  13. Prescribed burning plan : Stillwater NWR : de Braga Burn Unit 67 (United States)

    US Fish and Wildlife Service, Department of the Interior — This 1991 Annual Prescribed Burning Plan for Stillwater NWR calls for all 67 acres of the de Braga burn unit to be burned. The objective of this burn is to remove...

  14. New Fashioned Book Burning. (United States)

    Gardner, Robert


    Reports on results of a teacher's experiment in book burning as a lesson accompanying the teaching of Ray Bradbury's "Fahrenheit 451." Discusses student reactions and the purpose of or justification for the experimental lesson. (TB)

  15. Management of burn wounds. (United States)

    Schiestl, Clemens; Meuli, Martin; Trop, Marija; Neuhaus, Kathrin


    Small and moderate scalds in toddlers are still the most frequent thermal injuries the pediatric surgeons have to face today. Over the last years, surgical treatment of these patients has changed in many aspects. Due to new dressing materials and new surgical treatment strategies that are particularly suitable for children, today, far better functional and aesthetic long-term results are possible. While small and moderate thermal injuries can be treated in most European pediatric surgical departments, the severely burned child must be transferred to a specialized, ideally pediatric, burn center, where a well-trained multidisciplinary team under the leadership of a (ideally pediatric) burn surgeon cares for these highly demanding patients. In future, tissue engineered full thickness skin analogues will most likely play an important role, in pediatric burn as well as postburn reconstructive surgery.

  16. PBXN-110 Burn Rate Estimate

    Energy Technology Data Exchange (ETDEWEB)

    Glascoe, E


    It is estimated that PBXN-110 will burn laminarly with a burn function of B = (0.6-1.3)*P{sup 1.0} (B is the burn rate in mm/s and P is pressure in MPa). This paper provides a brief discussion of how this burn behavior was estimated.

  17. Burn mouse models

    DEFF Research Database (Denmark)

    Calum, Henrik; Høiby, Niels; Moser, Claus


    Severe thermal injury induces immunosuppression, involving all parts of the immune system, especially when large fractions of the total body surface area are affected. An animal model was established to characterize the burn-induced immunosuppression. In our novel mouse model a 6 % third-degree b......Severe thermal injury induces immunosuppression, involving all parts of the immune system, especially when large fractions of the total body surface area are affected. An animal model was established to characterize the burn-induced immunosuppression. In our novel mouse model a 6 % third......-degree burn injury was induced with a hot-air blower. The third-degree burn was confirmed histologically. At 48 h, a decline in the concentration of peripheral blood leucocytes was observed in the group of mice with burn wound. The reduction was ascribed to the decline in concentration of polymorphonuclear...... neutrophil leucocytes and monocytes. When infecting the skin with Pseudomonas aeruginosa, a dissemination of bacteria was observed only in the burn wound group. Histological characterization of the skin showed an increased polymorphonuclear neutrophil granulocytes dominated inflammation in the group of mice...

  18. Burns Caused by Medical Therapy (United States)


    fear of litigation, patients with such injuries, even if the injuries are minor, arc often referred to a burn center for care. Burn injury...the potential burn hazards found elsewhere in the hospital. Even fewer studies have addressed the burn risks posed by medical therapy administered...35. Mills GH, Ralph S). Bums due to pulse oximetry [ letter ]. Anaesthesia 1992j47:276·7. 36. Shdlock: FG, Kana! E. Burns associated with the use of

  19. Epidemiological Study Of Burn Cases And Their Mortality Experiences Amongst Adults From A Tertiary Level Care Centre

    Directory of Open Access Journals (Sweden)

    Kumar P


    Full Text Available Research question: How to use hospital statistics in establishing epidemiology of burns amongst adults? Objectives: To identify epidemiological determinants for Ii Various burn injuries and ii their mortality experiences. Study design: Hospital based study carried out for a period of one year (1st January 1991 to 31st December 1991. Settings: Wards of department of Burn & Plastic Surgery, BJ Medical College, Ahmedabad. Participants: 386 adults (20 years and above admitted at the centre for burn injuries during 1991. Study variables: Epidemiological determinants (age, sex, temporal, place, etc. for various burn injuries and the determinants of mortality (type of burn, extent of burn, referral time lag etc. Outcome profile: Common profile of burn victims with relation to the epidemiological factors and other factors responsible for high mortality in burn cases. Statistical analysis: Chi- square and Z tests. Results:Burns occured more in females specially in the age group of 20-24 years. Eighty five percent were flame burns. Flame burns were more in females, while electric burns were more in males. Burns were less during monsoon (27.7% than winter (32.6% and summer (39.6%, but electric burns were twice more common during monsoon. Maximum burns (81.9% were domestic, occurring mainly either in kitchen or living room. They were seen more in late evening. Sixty two percent cases were severe as total burn surface area (TBSA was >40%. Case fatality correlated positively with TBSA and death was almost universal with TBSA >60%. Early referral reduced fatality significantly in less severe burns (TBSA<40% but failed to influence it in severe burns. Appraisal of alleged suicide cases (2.6% and of stove bursting (4.4% revealed that young females carry additional risk of burn injuries.

  20. Psychiatric aspects of burn

    Directory of Open Access Journals (Sweden)

    Dalal P


    Full Text Available Burn injuries and their subsequent treatment cause one of the most excruciating forms of pain imaginable. The psychological aspects of burn injury have been researched in different parts of the world, producing different outcomes. Studies have shown that greater levels of acute pain are associated with negative long-term psychological effects such as acute stress disorder, depression, suicidal ideation, and post-traumatic stress disorder for as long as 2 years after the initial burn injury. The concept of allostatic load is presented as a potential explanation for the relationship between acute pain and subsequent psychological outcomes. A biopsychosocial model is also presented as a means of obtaining better inpatient pain management and helping to mediate this relationship.

  1. An assessment of burn care professionals' attitudes to major burn.

    LENUS (Irish Health Repository)

    Murphy, A D


    The resuscitation of severe burn remains a controversial area within the burn care profession. There is ongoing debate as to what percentage burn is associated with a sufficient quality of life to support initial resuscitation efforts. We conducted a survey of delegates at the 39th Annual Meeting of the British Burns Association (2005), regarding attitudes towards resuscitation following major burns. Respondents were asked the maximum percentage total body surface area (TBSA) burn beyond which they would not wish to be resuscitated. They were also asked what maximum TBSA they perceived to be commensurate with an acceptable quality of life (QOL). One hundred and forty three of 300 delegates responded to the questionnaire. Thirty three percent of respondents would not wish to be resuscitated with 50-75% TBSA burns or greater. A further 35% would not wish to have life-sustaining intervention with 75-95% TBSA burns or greater. The remaining 32% indicated that they would not want resuscitation with TBSA burns>95%. Regardless of TBSA affected, 16% would not wish resuscitation if they had full thickness facial burns, a further 10% did not want resuscitation if both their hands and faces were affected. Our survey demonstrates the diversity of personal preference amongst burn care professionals. This would suggest that a unifying philosophy regarding the resuscitation of extensive burns will remain elusive.

  2. Phoenix Society for Burn Survivors (United States)

    ... Medical Professionals Phoenix Society is the leader in connecting the burn recovery community and creating resources for survivors. Since 1977, we have partnered with survivors, families, health care professionals, burn centers, and the fire ...

  3. Back Bay Wilderness burning support (United States)

    US Fish and Wildlife Service, Department of the Interior — This document is a memorandum concerning prescribed burns between members of the Bureau of Sport Fisheries and Wildlife. It states that burning should be supported...

  4. TIRES, OPEN BURNING (United States)

    The chapter describes available information on the health effects from open burning of rubber tires. It concentrates on the three known sources of detailed measurements: (1) a small-scale emissions characterization study performed by the U.S. EPA in a facility designed to simulat...


    Institute of Scientific and Technical Information of China (English)


    Objective Endotoxin as the inciting agentof cytokines and other mediators, whose highlevel expression correlates with the septicshock and MOF, has been the one of leadingcauses of death in ICU. Methods For treatingsepsis and MOF caused by endotoxin, the anti-lipid A of LPS antibody was used. 19 burned

  6. Chemical burn or reaction (United States)

    ... this page: // Chemical burn or reaction To use the sharing features on this page, please enable JavaScript. Chemicals that touch skin can lead to a reaction on the skin, throughout the body, or both. ...

  7. The year in burns 2008. (United States)

    Wolf, Steven E


    For 2008, approximately 1200 original burn research articles were published in scientific journals using the English language. This article reviews those with the most impact on burn treatment according to the Editor of one of the major journals (Burns). As in the previous year's review, articles were divided into the following topic areas: epidemiology, wound characterisation, critical care physiology, inhalation injury, infection, metabolism and nutrition, psychological considerations, pain management, rehabilitation, and burn reconstruction. Each selected article is mentioned briefly with editorial comment.

  8. Burn epidemiology and cost of medication in paediatric burn patients. (United States)

    Koç, Zeliha; Sağlam, Zeynep


    Burns are common injuries that cause problems to societies throughout the world. In order to reduce the cost of burn treatment in children, it is extremely important to determine the burn epidemiology and the cost of medicines used in burn treatment. The present study used a retrospective design, with data collected from medical records of 140 paediatric patients admitted to a burn centre between 1 January 2009 and 31 December 2009. Medical records were examined to determine burn epidemiology, medication administered, dosage, and duration of use. Descriptive statistical analysis was completed for all variables; chi-square was used to examine the relationship between certain variables. It was found that 62.7% of paediatric burns occur in the kitchen, with 70.7% involving boiling water; 55.7% of cases resulted in third-degree burns, 19.3% required grafting, and mean duration of hospital stay was 27.5 ± 1.2 days. Medication costs varied between $1.38 US dollars (USD) and $14,159.09, total drug cost was $46,148.03 and average cost per patient was $329.63. In this study, the medication cost for burn patients was found to be relatively high, with antibiotics comprising the vast majority of medication expenditure. Most paediatric burns are preventable, so it is vital to educate families about potential household hazards that can be addressed to reduce the risk of a burn. Programmes are also recommended to reduce costs and the inappropriate prescribing of medication.

  9. The year in burns 2011. (United States)

    Wolf, Steven E; Arnoldo, Brett D


    For 2011, approximately 1746 original research articles in burns were published in English in scientific journals. This article reviews those with the most potential impact on for burn therapeutics and outcomes according to the Editor of one of the major journals (Burns) and his colleague. As done previously, articles were found and divided into these topic areas: epidemiology of injury and burn prevention, wound and scar characterisation, acute care and critical care, inhalation injury, infection, psychological considerations, pain and itching management, rehabilitation and long-term outcomes, and burn reconstruction. Each selected article is mentioned briefly with editorial comment.

  10. Unusual Burn as a Complication of Paraplegia Treatment Caused by an Electrotherapy Device


    Celalettin Sever


    Electromyostimulation (EMS) therapy is widely used as a part of physiotherapy for all patterns of skeletal muscle weaknesses like paresis, paralysis, neuropathies, and myopathies. To our knowledge, burns caused by the use of an electrotherapy device have not been reported earlier. We report the case of a 21-yearold man who suffered full thickness burns by electrical stimulation with electrode implanted on the anterior side of his left thigh. The burn area was treated consevatively within f...

  11. [Burning mouth syndrome (glossalgia)]. (United States)


    Burning mouth syndrome (glossalgia) is manifested by oral pin and tingling sensations, numbness and even burning and severe pains, more frequently in the tongue. Unpleasant sensations may involve the anterior two thirds of the tongue or be extended to the front part of the hard palate and the mucous membrane of the lower lip. This condition is characterized by "mirror" and "food dominant" symptoms, disordered salivation, dysgeusia, or psychological disorders. The disease shows a chronic course. Its etiology may be multifactorial. There are no universally accepted diagnostic criteria; the diagnosis of glossalgia is made to rule out all other causes. A thorough examination should be conducted to establish a differential diagnosis. Glossalgia occurs primarily in middle-aged and elderly people. Women get sick much more frequently than men of the same age. Glossalgia remains difficult to treat. Continuous symptomatic treatment and follow-up help relieve its symptoms.

  12. [Hydrofluoric acid burns]. (United States)

    Holla, Robin; Gorter, Ramon R; Tenhagen, Mark; Vloemans, A F P M Jos; Breederveld, Roelf S


    Hydrofluoric acid is increasingly used as a rust remover and detergent. Dermal contact with hydrofluoric acid results in a chemical burn characterized by severe pain and deep tissue necrosis. It may cause electrolyte imbalances with lethal consequences. It is important to identify high-risk patients. 'High risk' is defined as a total affected body area > 3% or exposure to hydrofluoric acid in a concentration > 50%. We present the cases of three male patients (26, 31, and 39 years old) with hydrofluoric acid burns of varying severity and describe the subsequent treatments. The application of calcium gluconate 2.5% gel to the skin is the cornerstone of the treatment, reducing pain as well as improving wound healing. Nails should be thoroughly inspected and possibly removed if the nail is involved, to ensure proper healing. In high-risk patients, plasma calcium levels should be evaluated and cardiac monitoring is indicated.

  13. The hair color-highlighting burn: a unique burn injury. (United States)

    Peters, W


    A unique, preventable, 2.8 x 3.7-cm, full-thickness scalp burn resulted after a woman underwent a professional color-highlighting procedure at a hair salon. The burn appeared to result from scalp contact with aluminum foil that had been overheated by a hair dryer during the procedure. The wound required debridement and skin grafting and 3 subsequent serial excisions to eliminate the resulting area of burn scar alopecia. The preventive aspects of this injury are discussed.

  14. The ALMR actinide burning system

    Energy Technology Data Exchange (ETDEWEB)

    Quinn, J.E. (General Electric Co., San Jose, CA (United States))


    The advanced liquid-metal reactor (ALMR) actinide burning system is being developed under the sponsorship of the US Department of Energy to bring its unique capabilities to fruition for deployment in the early 21st century. The system consists of four major parts: the reactor plant, the metal fuel and its recycle, the processing of light water reactor (LWR) spent fuel to extract the actinides, and the development of a residual waste package. This paper addresses the status and outlook for each of these four major elements. The ALMR is being developed by an industrial group under the leadership of General Electric (GE) in a cost-sharing arrangement with the US Department of Energy. This effort is nearing completion of the advanced conceptual design phase and will enter the preliminary design phase in 1994. The innovative modular reactor design stresses simplicity, economics, reliability, and availability. The design has evolved from GE's PRISM design initiative and has progressed to the final stages of a prelicensing review by the US Nuclear Regulatory Commission (NRC); a safety evaluation report is expected by the end of 1993. All the major issues identified during this review process have been technically resolved. The next design phases will focus on implementation of the basic safety philosophy of passive shutdown to a safe, stable condition, even without scram, and passive decay heat removal. Economic projections to date show that it will be competitive with non- nuclear and advanced LWR nuclear alternatives.

  15. [The organization of burn care]. (United States)

    Latarjet, Jacques


    In 2002, the organisation of burn care is confronted to a great deficiency in burn epidemiological datas. The main mechanisms of hospitalized burns are somehow wellknown in industrialized countries: about 60% scalds and 30% flame burns; as well as the place of occurrence (60% at home, and 20% at work), and the risk groups (3 times more important for the age group 0-4 years old). The incidence of burns needing medical care (all levels) (250/100,000 inh/yr) or hospitalization (15-20/100,000 inh/yr) is much more uncertain. The statistics of Diagnosis Related Groups (DRG), for hospitalized patients will allow in France very shortly to know more about the most rational ways of dispatching and treating them. They already show that only 30% of hospitalized burned patients are treated in specialized facilities.

  16. Genital burns and vaginal delivery. (United States)

    Pant, R; Manandhar, V; Wittgenstein, F; Fortney, J A; Fukushima, C


    Obstetric complications may result from burn scarring in the genital area. Women in developing countries typically squat around cooking fires, and burns are common. This recent case in Nepal describes obstructed labor in a young woman whose genital area had extensive scarring from a cooking fire injury. Proper antenatal assessment by health care providers can reduce the risk to mothers and infants of the consequences of a birth canal damaged or obstructed by burn scarring.

  17. [Epidemiology of burns in France]. (United States)

    Latarjet, Jacques; Ravat, François


    As with most traumas, the epidemiology of the "burn" health-event has long been neglected by public health doctors and rarely considered by burns specialists. There were therefore few verified data and many approximations and preconceived ideas. The gathering of information recently undertaken in France enables the reliability of the data to be improved and the diagnostic and demographic elements relating to hospitalised patients with burns to be established.

  18. Marginally Stable Nuclear Burning (United States)

    Strohmayer, Tod E.; Altamirano, D.


    Thermonuclear X-ray bursts result from unstable nuclear burning of the material accreted on neutron stars in some low mass X-ray binaries (LMXBs). Theory predicts that close to the boundary of stability oscillatory burning can occur. This marginally stable regime has so far been identified in only a small number of sources. We present Rossi X-ray Timing Explorer (RXTE) observations of the bursting, high-inclination LMXB 4U 1323-619 that reveal for the first time in this source the signature of marginally stable burning. The source was observed during two successive RXTE orbits for approximately 5 ksec beginning at 10:14:01 UTC on March 28, 2011. Significant mHz quasi-periodic oscillations (QPO) at a frequency of 8.1 mHz are detected for approximately 1600 s from the beginning of the observation until the occurrence of a thermonuclear X-ray burst at 10:42:22 UTC. The mHz oscillations are not detected following the X-ray burst. The average fractional rms amplitude of the mHz QPOs is 6.4% (3 - 20 keV), and the amplitude increases to about 8% below 10 keV.This phenomenology is strikingly similar to that seen in the LMXB 4U 1636-53. Indeed, the frequency of the mHz QPOs in 4U 1323-619 prior to the X-ray burst is very similar to the transition frequency between mHz QPO and bursts found in 4U 1636-53 by Altamirano et al. (2008). These results strongly suggest that the observed QPOs in 4U 1323-619 are, like those in 4U 1636-53, due to marginally stable nuclear burning. We also explore the dependence of the energy spectrum on the oscillation phase, and we place the present observations within the context of the spectral evolution of the accretion-powered flux from the source.

  19. Exercise following burn injury. (United States)

    de Lateur, Barbara J; Shore, Wendy S


    Fatigue is a major barrier to recovery for burned individuals. Studies indicate that a slow return to normal or near-normal muscle strength is the natural course of recovery. With no special interventions, other than the "usual care" tailored to the needs of the individual, postburn patients will make gradual improvement in strength and aerobic capacity. Using the principle of initial condition (the worse the initial condition, the greater the response to exercise intervention) the authors outline an augmented exercise program that should result in a robust improvement in aerobic capacity.

  20. Unusual Burn as a Complication of Paraplegia Treatment Caused by an Electrotherapy Device

    Directory of Open Access Journals (Sweden)

    Celalettin Sever


    have not been reported earlier. We report the case of a 21-yearold man who suffered full thickness burns by electrical stimulation with electrode implanted on the anterior side of his left thigh. The burn area was treated consevatively within five weeks without any surgery. The burn injuries due to electrotherapy device are preventable and therefore, some basic measures may reduce the incidence of accidental burn injury. We hope that this case report will raise awareness about the dangers involved in the ever-increasing use of electrotherapy devices.

  1. Hospital bioterrorism planning and burn surge. (United States)

    Kearns, Randy D; Myers, Brent; Cairns, Charles B; Rich, Preston B; Hultman, C Scott; Charles, Anthony G; Jones, Samuel W; Schmits, Grace L; Skarote, Mary Beth; Holmes, James H; Cairns, Bruce A


    On the morning of June 9, 2009, an explosion occurred at a manufacturing plant in Garner, North Carolina. By the end of the day, 68 injured patients had been evaluated at the 3 Level I trauma centers and 3 community hospitals in the Raleigh/Durham metro area (3 people who were buried in the structural collapse died at the scene). Approximately 300 employees were present at the time of the explosion, when natural gas being vented during the repair of a hot water heater ignited. The concussion from the explosion led to structural failure in multiple locations and breached additional natural gas, electrical, and ammonia lines that ran overhead in the 1-story concrete industrial plant. Intent is the major difference between this type of accident and a terrorist using an incendiary device to terrorize a targeted population. But while this disaster lacked intent, the response, rescue, and outcomes were improved as a result of bioterrorism preparedness. This article discusses how bioterrorism hospital preparedness planning, with an all-hazards approach, became the basis for coordinated burn surge disaster preparedness. This real-world disaster challenged a variety of systems, hospitals, and healthcare providers to work efficiently and effectively to manage multiple survivors. Burn-injured patients served as a focus for this work. We describe the response, rescue, and resuscitation provided by first responders and first receivers as well as efforts made to develop burn care capabilities and surge capacity.

  2. Nutrition Support in Burn Patients

    Directory of Open Access Journals (Sweden)

    Cem Aydoğan


    Full Text Available Severe burn trauma causes serious metabolic derangements. Increased metabolic rate which is apart of a pathophysiologic characteristic of burn trauma results in protein-energy malnutrition. This situation causes impaired wound healing, muscle and fat tissue’s breakdown, growth retardation in children and infections. Nutrition support is vital in the treatment strategies of burn victims to prevent high mortal and disabling complications in this devastating trauma. Our aim in this study is to review management of nutrition in burn victims. (Journal of the Turkish Society Intensive Care 2012; 10: 74-83

  3. Oral Rehydration Therapy in Burn Patients (United States)


    Burn Any Degree Involving 20-29 Percent of Body Surface; Burn Any Degree Involving 30-39 Percent of Body Surface; Burn Any Degree Involving 40-49 Percent of Body Surface; Burn Any Degree Involving 50-59 Percent of Body Surface; Burn Any Degree Involving 60-65 Percent of Body Surface

  4. A review of community management of paediatric burns. (United States)

    Cox, S G; Martinez, R; Glick, A; Numanoglu, A; Rode, H


    This study was a component of a broader review to evaluate burn care in South Africa. A prospective audit of 353 children with thermal injuries admitted to the Red Cross War Memorial Children's Hospital in Cape Town was performed during 2012/2013. The audit was based to assess the adherence of initial burn management to the provincial policy guidelines on the clinical management of the burn wound. The community management of each patient prior to admission to a burns centre was assessed for the following: basic demographics, emergency home management, wound cover, analgesia and transport to medical facilities. Their ages ranged from 1 month to 14 years. The average total body surface area [TBSA] was 15% [1-86%]. Most of the injuries were due to hot water accidents [78.5%] followed by flame burns (9%), direct contact and electricity burns. Two hundred and twenty five children [63%] received first aid measures at home, including cooling with water [166] ice [30] and a cooling agent. No cooling was instituted in 130 and 65% of the patient's wounds were cooled for 10 min or less. Eighty percent proceeded to the referral centre or burns unit without their wounds being covered; with only 19 patients having any medical type of dressing available at home. Two hundred and ninety five children [83.6%] received pain medication prior to admission at the burns unit. Of the 316 patients not directly attending the burns unit, 137 received i.v. fluids of which 95 had burns greater than 10% TBSA. None of the patients were in shock on admission and all i.v. lines were functioning. Forty-four children with burns greater than 10% did not receive i.v. fluids. The audit identified six factors that were inadequately addressed during the pre-admission period: first aid, cooling of the wound, early covering of the wound, resuscitation, pain management and transfer. If these could be readdressed, basic burn care would be substantially improved in the study area.

  5. Bad advice; bad burn: a new problem in burn prevention. (United States)

    Deans, L; Slater, H; Goldfarb, I W


    Deep partial-thickness burns had been inflicted on the perineal area of an infant who was recently treated in our Burn Center. The burns were a result of advice to the patient's mother by a pediatrician. The doctor told her to use a hair dryer to prevent diaper rash. We surveyed pediatricians, well-baby clinics, and pediatric nurse practitioners in our area and found that approximately half of them advised the use of hair dryers to treat or prevent diaper rash. We tested four widely available hand-held hair dryers to determine potential for inflicting burn injury. All of the dryers are capable of delivering air heated to at least 53 degrees C after 2 minutes of use. We believe that warnings against the use of hair dryers for perineal hygiene should be included in burn prevention programs.

  6. Characteristics of 985 pediatric burn patients in the south of Liaoning province of China

    Directory of Open Access Journals (Sweden)

    Hongjun Zhai


    Full Text Available Accidental injury due to burns is a serious and common, but preventable, occurrence in children. To analyze the characteristics of pediatric burns in the south of Liaoning province of China, a retrospective review was conducted of information, including general characteristics, demographics, etiology of burns, anatomical areas burned, and severity of injuries, obtained from medical records of pediatric burn patients admitted to the Burn Center of Anshan Hospital of the First Hospital of China Medical University from 2002 to 2011. Differences between age-groups and cause and severity of injuries were examined using Cochran-Mantel-Haenzsel ­(C-M-H statistic or chi-square (χ2 analyses where appropriate. A total of 985 pediatric burn cases were included, with only one death. The maximal burn area recorded was 80% and the maximal third-degree burn area was 45%. The majority of burns (637/985, 64.67% were moderate second-degree wounds, encompassing 5-14% of the total body surface area. The infant age-group (<3 years old had the largest representation (622/985, 63.15%, with more males than females affected. Most of the injuries occurred at home in children living in the local region. Scalding accounted for 89.85% (885/985 of all injuries, with a decreasing incidence with age, whereas injuries due to flames and from electrical sources markedly increased with age. Only a minority of guardians (244/985, 24.77% had burn prevention knowledge, and none of them knew how to provide first-aid treatment for burn injuries. These results indicate that the majority of pediatric burns occur in children less than 3 years of age from scalds received while at home. As a large proportion of these cases occurred in rural areas, programs emphasizing burn prevention and treatment knowledge should therefore be made more available to these families.

  7. Application of transient burning rate model of solid propellant in electrothermal-chemical launch simulation

    Directory of Open Access Journals (Sweden)

    Yan-jie Ni


    Full Text Available A 30 mm electrothermal-chemical (ETC gun experimental system is employed to research the burning rate characteristics of 4/7 high-nitrogen solid propellant. Enhanced gas generation rates (EGGR of propellants during and after electrical discharges are verified in the experiments. A modified 0D internal ballistic model is established to simulate the ETC launch. According to the measured pressure and electrical parameters, a transient burning rate law including the influence of EGGR coefficient by electric power and pressure gradient (dp/dt is added into the model. The EGGR coefficient of 4/7 high-nitrogen solid propellant is equal to 0.005 MW−1. Both simulated breech pressure and projectile muzzle velocity accord with the experimental results well. Compared with Woodley's modified burning rate law, the breech pressure curves acquired by the transient burning rate law are more consistent with test results. Based on the parameters calculated in the model, the relationship among propellant burning rate, pressure gradient (dp/dt and electric power is analyzed. Depending on the transient burning rate law and experimental data, the burning of solid propellant under the condition of plasma is described more accurately.

  8. Application of transient burning rate model of solid propellant in electrothermal-chemical launch simulation

    Institute of Scientific and Technical Information of China (English)

    Yan-jie NI; Yong JIN; Gang WAN; Chun-xia YANG; Hai-yuan LI; Bao-ming LI


    A 30 mm electrothermal-chemical (ETC) gun experimental system is employed to research the burning rate characteristics of 4/7 high-nitrogen solid propellant. Enhanced gas generation rates (EGGR) of propellants during and after electrical discharges are verified in the experiments. A modified 0D internal ballistic model is established to simulate the ETC launch. According to the measured pressure and electrical parameters, a transient burning rate law including the influence of EGGR coefficient by electric power and pressure gradient (dp/dt) is added into the model. The EGGR coefficient of 4/7 high-nitrogen solid propellant is equal to 0.005 MW−1. Both simulated breech pressure and projectile muzzle velocity accord with the experimental results well. Compared with Woodley’s modified burning rate law, the breech pressure curves acquired by the transient burning rate law are more consistent with test results. Based on the parameters calculated in the model, the relationship among propellant burning rate, pressure gradient (dp/dt) and electric power is analyzed. Depending on the transient burning rate law and experimental data, the burning of solid propellant under the condition of plasma is described more accurately.

  9. Wanted: Clean Coal Burning Technology

    Institute of Scientific and Technical Information of China (English)


    China is intent on developing clean coal burning technology, an objective it can achieve through installing desulfurization facilities at coal-burning power plants that will control SO2 emissions and environmental pollution. According to kuo Yi, deputy director general of the Department of Science and Technology of the State Environmental Protection Agency, China is a major coal-buming country:

  10. 电刀浅筋膜层切痂中厚皮移植治疗手深度烧伤的临床价值分析%Analysis of the clinical value of electric knife superficial fascia escharectomy and split thickness skin grafting in the treatment of deep hand burn

    Institute of Scientific and Technical Information of China (English)

    田宝祥; 樊华; 蔺海龙; 杨雄; 刘洋; 魏纯琳; 刘凤彬


    目的:探讨应用早期电刀浅筋膜层切痂大张自体中厚皮移植技术对手部深度烧伤患者实施治疗的临床效果。方法:2011年6月-2013年6月收治深度手部烧伤患者74例,随机分为对照组和治疗组各37例。治疗组采用早期电刀浅筋膜层切痂大张自体中厚皮移植技术治疗;对照组采用传统手术方法。比较两组临床疗效。结果:治疗组手部烧伤病情治疗效果明显优于对照组;手术操作时间、术后恢复治疗时间、手部功能和外观复常时间明显短于对照组;围手术期不良反应例数明显少于对照组。结论:应用早期电刀浅筋膜层切痂大张自体中厚皮移植技术对患有深度手部烧伤的患者实施治疗的临床效果非常明显。%Objective:To investigate the clinical effect of application of early electric knife superficial fascia escharectomy autologous split thickness skin grafting technique on patients with hand deep burn.Methods:74 cases with hand deep burn were selected from June 2011 to June 2013.They were randomly divided into the treatment group and the control group with 37 cases in each.The treatment group were treated with early electric knife superficial fascia escharectomy autologous split thickness skin grafting technique treatment;the control group were treated with traditional operation method.Compare the clinical effect of the two groups.Results:Treatment effect of hand burns in patients of the treatment group was better than that of the control group;the operation time,postoperative recovery time,hand function and appearance of the recovery time were shorter than those of the control group;peri operation period of adverse reactions were significantly less than the control group.Conclusion:Application of early electric knife superficial fascia escharectomy autologous split thickness skin grafting technique on patients with hand deep burn can have an obviously treatment effect.

  11. Fires and Burns Involving Home Medical Oxygen (United States)

    ... Fires and Burns Involving Home Medical Oxygen The air is normally 21% oxygen. Oxygen is not flammable, but fire needs it to burn. ¾ When more oxygen is present, any fire that starts will burn ...

  12. Burn, thermal - close-up (image) (United States)

    ... first degree burns cause only reddening of the epidermis (outer layer of the skin), as seen in this photograph. Second degree burns cause blistering and extend into the dermis (lower layer of skin). Third degree burns cause ...

  13. The year in burns 2013. (United States)

    Wolf, Steven E; Phelan, Herbert A; Arnoldo, Brett D


    Approximately 3415 research articles were published with burns in the title, abstract, and/or keyword in 2013. We have continued to see an increase in this number; the following reviews articles selected from these by the Editor of one of the major journals (Burns) and colleagues that in their opinion are most likely to have effects on burn care treatment and understanding. As we have done before, articles were found and divided into the following topic areas: epidemiology of injury and burn prevention, wound and scar characterization, acute care and critical care, inhalation injury, infection, psychological considerations, pain and itching management, rehabilitation and long-term outcomes, and burn reconstruction. The articles are mentioned briefly with notes from the authors; readers are referred to the full papers for details.

  14. The biology of burn injury. (United States)

    Evers, Lars H; Bhavsar, Dhaval; Mailänder, Peter


    Burn injury is a complex traumatic event with various local and systemic effects, affecting several organ systems beyond the skin. The pathophysiology of the burn patient shows the full spectrum of the complexity of inflammatory response reactions. In the acute phase, inflammation mechanism may have negative effects because of capillary leak, the propagation of inhalation injury and the development of multiple organ failure. Attempts to mediate these processes remain a central subject of burn care research. Conversely, inflammation is a necessary prologue and component in the later-stage processes of wound healing. In this review, we are attempting to present the current science of burn wound pathophysiology and wound healing. We also describe the evolution of innovative strategies for burn management.

  15. Topical agents in burn care

    Directory of Open Access Journals (Sweden)

    Momčilović Dragan


    Full Text Available Introduction Understanding of fluid shifts and recognition of the importance of early and appropriate fluid replacement therapy have significantly reduced mortality in the early post burn period. After the bum patient successfully passes the resuscitation period, the burn wound represents the greatest threat to survival. History Since the dawn of civilization, man has been trying to find an agent which would help burn wounds heal, and at the same time, not harm general condition of the injured. It was not until the XX century, after the discovery of antibiotics, when this condition was fulfilled. In 1968, combining silver and sulfadiazine, fox made silver-sulfadiazine, which is a 1% hydro-soluble cream and a superior agent in topical treatment of burns today. Current topical agents None of the topical antimicrobial agents available today, alone or combined, have the characteristics of ideal prophylactic agents, but they eliminate colonization of burn wound, and invasive infections are infrequent. With an excellent spectrum of activity, low toxicity, and ease of application with minimal pain, silver-sulfadiazine is still the most frequently used topical agent. Conclusion The incidence of invasive infections and overall mortality have been significantly reduced after introduction of topical burn wound antimicrobial agents into practice. In most burn patients the drug of choice for prophylaxis is silver sulfadiazine. Other agents may be useful in certain clinical situations.

  16. Sedation and Analgesia in Burn

    Directory of Open Access Journals (Sweden)

    Özkan Akıncı


    Full Text Available Burn injury is one of the most serious injuries that mankind may face. In addition to serious inflammation, excessive fluid loss, presence of hemodynamic instability due to intercurrent factors such as debridements, infections and organ failure, very different levels and intensities of pain, psychological problems such as traumatic stress disorder, depression, delirium at different levels that occur in patient with severe burn are the factors which make it difficult to provide the patient comfort. In addition to a mild to moderate level of baseline permanent pain in burn patients, which is due to tissue damage, there is procedural pain as well, which occurs by treatments such as grafting and dressings, that are severe, short-term burst style 'breakthrough' pain. Movement and tactile stimuli are also seen in burn injury as an effect to sensitize the peripheral and central nervous system. Even though many burn centers have established protocols to struggle with the pain, studies show that pain relief still inadequate in burn patients. Therefore, the treatment of burn pain and the prevention of possible emergence of future psychiatric problems suc as post-traumatic stress disorder, the sedative and anxiolytic agents should be used as a recommendation according to the needs and hemodynamic status of individual patient. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl: 26-30

  17. Rehabilitation of the burn patient

    Directory of Open Access Journals (Sweden)

    Procter Fiona


    Full Text Available Rehabilitation is an essential and integral part of burn treatment. It is not something which takes place following healing of skin grafts or discharge from hospital; instead it is a process that starts from day one of admission and continues for months and sometimes years after the initial event. Burns rehabilitation is not something which is completed by one or two individuals but should be a team approach, incorporating the patient and when appropriate, their family. The term ′Burns Rehabilitation′ incorporates the physical, psychological and social aspects of care and it is common for burn patients to experience difficulties in one or all of these areas following a burn injury. Burns can leave a patient with severely debilitating and deforming contractures, which can lead to significant disability when left untreated. The aims of burn rehabilitation are to minimise the adverse effects caused by the injury in terms of maintaining range of movement, minimising contracture development and impact of scarring, maximising functional ability, maximising psychological wellbeing, maximising social integration

  18. Measurement of an Electric Arc Spectra


    Šimek, D.


    Article is focused on electric arc spectroscopy diagnostics related to electric low voltage apparatuses. The first attempts of spectroscopy measurements are dealt with. An example of radiation spectra of the electric arc burning between copper electrodes is presented. The problems connected with the measurements are discussed.

  19. [Reconstruction of facial burn sequelae]. (United States)

    Foyatier, J L; Comparin, J P; Boulos, J P; Bichet, J C; Jacquin, F


    The deep burns of the face can lead to horrible scars functionally and aesthetically. Treatment of these scars need several surgical interventions frequently and during many years. In our region we deal with this type of wounds as team work, multidisciplinary approach carrying out many process starting by emergency treatment of acute burns till the social rehabilitation. The expansion technique was great help in improving the shape of scars, by using the expanding skin as full thickness grafts. Reconstruction of the anatomical units and application of aesthetic techniques (like rhinoplasty, lifting, tattooing and autologous fat injections) participate equally in improving the quality of results. Many examples of treatments of burns scars are shown.

  20. Hair bleaching and skin burning. (United States)

    Forster, K; Lingitz, R; Prattes, G; Schneider, G; Sutter, S; Schintler, M; Trop, M


    Hairdressing-related burns are preventable and therefore each case is one too many. We report a unique case of a 16-yr-old girl who suffered full-thickness chemical and thermal burns to the nape of her neck and superficial burns to the occiput after her hair had been dyed blond and placed under a dryer to accelerate the highlighting procedure. The wound on the nape of the neck required surgical debridement and skin grafting. The grafted area resulted in subsequent scar formation.

  1. Role of phosphoinositide 3-kinase/protein kinase B signal pathway in monocyte-endothelial adhesion induced by serum of rats with electrical burn%磷脂酰肌醇3激酶/蛋白激酶B通路在电烧伤大鼠血清诱导单核-内皮细胞黏附中的作用

    Institute of Scientific and Technical Information of China (English)

    阮琼芳; 赵超莉; 叶子青; 张卫东; 谢琼慧; 谢卫国


    24 h,THP-1细胞中磷酸化蛋白激酶B/Akt比值分别是正常血清组培养同时相点的2.66、3.69、1.17倍.(2)正常血清组、正常血清+阻断剂组、烧伤血清组、烧伤血清+阻断剂组培养3、6h,每100倍视野下黏附EA.hy926细胞的THP-1细胞数量分别为(231 ±45)、(280 ±47)、(703±169)、(335±85)个,(219±49)、(235±21)、(562±123)、(226±29)个,总体比较均差异明显(F值分别为25.630、18.975,P值均小于0.01).与正常血清组比较,烧伤血清组黏附EA.hy926细胞的THP-1细胞数在培养3、6h均明显增多(£值分别为6.189、6.601,P值均小于0.01);烧伤血清+阻断剂组黏附EA.hy926细胞的THP-1细胞数在培养3、6h较烧伤血清组均明显减少(t值分别为6.821、6.465,P值均小于0.01). 结论 电烧伤大鼠血清可诱导单核细胞分泌TNF-α,促进单核-内皮细胞黏附.而阻断PI3K/Akt信号通路,可有效抑制单核-内皮细胞的黏附.%Objective To observe the change in phosphoinositide 3-kinase/protein kinase B (PI3K/Akt) signal pathway in monocytes as induced by serum of rats with electrical burn,and to explore the effects of PI3K/Akt pathway on monocyte-endothelial cell adhesion.Methods Sixty-four SD rats of clean grade were inflicted with electrical burn for the collection of serum of rats with electrical burn ; another group of twenty-four SD rats were used to obtain normal serum without treatment.(1) Human monocyte line THP-1 was routinely cultured.The THP-1 cells in logarithmic phase were divided into normal serum group (resuspended in RPMI 1640 medium with 20% normal rat serum) and burn serum group (resuspended with RPMI 1640 medium with 20% serum of rats with electrical burn) according to the random number table,with 6 wells in each group.Morphology of THP-1 cells in normal serum group was observed at post culture hour (PCH) 24,and that in burn serum group at PCH 3,6,24.The contents of TNF-α in culture supernatant were determined by double

  2. Regimes Of Helium Burning

    CERN Document Server

    Timmes, F X


    The burning regimes encountered by laminar deflagrations and ZND detonations propagating through helium-rich compositions in the presence of buoyancy-driven turbulence are analyzed. Particular attention is given to models of X-ray bursts which start with a thermonuclear runaway on the surface of a neutron star, and the thin shell helium instability of intermediate-mass stars. In the X-ray burst case, turbulent deflagrations propagating in the lateral or radial directions encounter a transition from the distributed regime to the flamlet regime at a density of 10^8 g cm^{-3}. In the radial direction, the purely laminar deflagration width is larger than the pressure scale height for densities smaller than 10^6 g cm^{-3}. Self-sustained laminar deflagrations travelling in the radial direction cannot exist below this density. Similarily, the planar ZND detonation width becomes larger than the pressure scale height at 10^7 g cm^{-3}, suggesting that a steady-state, self-sustained detonations cannot come into exista...

  3. Hair dryer burns in children. (United States)

    Prescott, P R


    Three children with burn injuries caused by home hair dryers are described. In one patient the injury was believed to be accidental, and in the other two cases the injuries were deliberately caused by a caretaker. The lack of prior experience with hair dryer burns initially led to suspicion of other causes. The characteristics of each case aided in the final determination of accidental vs nonaccidental injury. These cases prompted testing of home hair dryers to determine their heat output. At the highest heat settings, the dryers rapidly generated temperatures in excess of 110 degrees C. After the dryers were turned off, the protective grills maintained sufficient temperatures to cause full-thickness burns for up to 2 minutes. These cases and the results of testing demonstrate that hair dryers must be added to the list of known causes of accidental and nonaccidental burns in children.

  4. Burns, hypertrophic scar and galactorrhea. (United States)

    Karimi, Hamid; Nourizad, Samad; Momeni, Mahnoush; Rahbar, Hosein; Momeni, Mazdak; Farhadi, Khosro


    An 18-year-old woman was admitted to Motahari Burn Center suffering from 30% burns. Treatment modalities were carried out for the patient and she was discharged after 20 days. Three to four months later she developed hypertrophic scar on her chest and upper limbs. At the same time she developed galactorrhea in both breasts and had a disturbed menstrual cycle four months post-burn. On investigation, we found hyperprolactinemia and no other reasons for the high level of prolactin were detected.She received treatment for both the hypertrophic scar and the severe itching she was experiencing. After seven months, her prolactin level had decreased but had not returned to the normal level. It seems that refractory hypertrophic scar is related to the high level of prolactin in burns patients.

  5. Burns, hypertrophic scar and galactorrhea

    Directory of Open Access Journals (Sweden)

    Hamid Karimi


    Full Text Available An 18-year old woman was admitted to Motahari Burn Center suffering from 30% burns. Treatment modalities were carried out for the patient and she was discharged after 20 days. Three to four months later she developed hypertrophic scar on her chest and upper limbs .At the same time she developed galactorrhea in both breasts and had a disturbed menstrual cycle four months post-burn. On investigation, we found hyperprolactinemia and no other reasons for the high level of prolactin were detected. She received treatment for both the hypertrophic scar and the severe itching she was experiencing. After seven months, her prolactin level had decreased but had not returned to the normal level. It seems that refractory hypertrophic scar is related to the high level of prolactin in burns patients.

  6. 高频超声组织谐波技术及多普勒血流成像技术在四肢深度电烧伤诊断中的应用%The Application of High-frequency Ultrasound Tissue Harmonic Imaging and Doppler Vascular Imaging Techniques in the Diagnosis of Severe Electrical Burns in Extremities

    Institute of Scientific and Technical Information of China (English)

    郭瑜峰; 陈浩杰; 于新国; 朱维平; 陈国华; 王意达; 王怡


      目的:探讨高频超声组织谐波技术及多普勒血流成像技术在四肢深度电烧伤诊疗中的应用价值。方法:2008年12月-2010年8月笔者对本科收治的15例四肢深度电烧伤患者手术前后使用超声组织谐波成像技术及多普勒血流成像技术进行全面检查,观察软组织损伤情况及范围,测量血流相关参数,判断血管损伤程度。结果:共检测患肢28条,上肢19条,下肢 9条。组织谐波技术所得到的声像图能准确显示软组织受损程度及范围,判断肌组织坏死情况。彩色多普勒及频谱多普勒技术能对血管受损情况做出准确判断,检测出7例血栓形成病例。术前超声检查结果与手术中所见一致。术后超声检查可以动态追踪软组织恢复情况并检测血管内血流动力学参数,并据此评估疗效。结论:高频超声组织谐波技术及多普勒血流成像技术应用于重度电烧伤患肢可在手术前后实时、形象、直观地显示组织、血管损伤的形态学及功能学变化,具有很高的临床应用价值。%Objective:To evaluate the diagnosis value of high-frequency ultrasound tissue harmonic imaging and Doppler vascular imaging techniques in the treatment of severe electrical burns in limbs.Method:From December 2008 to August 2010,fifteen patients with severe electrical burns in limbs were admitted to author’s hospital. Ultrasound tissue harmonic imaging and Doppler vascular imaging techniques were applied in the thorough ultrasonogarphy examination of their limbs pre- and post-operatively,with the special attention to the extension and damage level of suffered soft tissue and vasculars.Result:Altogether,twenty-eight limbs,nineteen upper extremities and nine lower extremities,were examined.Sonograms acquired by tissue harmonic imaging technique could precisely show the extension and damage level of suffered soft and muscular tissues. Doppler vascular imaging

  7. One stage repair of electric burn coupled with skull exposure and infection by soft tissue expander%软组织扩张器一期修复电击伤颅骨外露并感染的临床研究

    Institute of Scientific and Technical Information of China (English)

    赵阳; 吕磊; 韩玲


    Objective To make comparison of advantages and disadvantages between one stage repair and staged repair of electric burn coupled with skull exposure and infection by soft tissue expander, and discuss the feasibility of one stage repair. Methods From June 1999 to December 2010 in our hospital, there were 64 infected patients suffering electric burn coupled with large areas of scalp defection and skull exposure,and the wound areas ranged from 180 to 480 cm2. After skull sequestra were taken out,the patients were respectively treated with one stage repair or staged repair by soft tissue expander. The repair effects of the two methods were observed. Results After the expander placement operation, the incidence rate of expander extrusion in the one - stage - repair group was higher than that in the staged - repair group. There were no statistically significant differences of the expander capsule infection and the incidence of skin flap necrosis between the two groups. Patients healed by the one stage repair had larger areas of alopecia on the incisional scars,but had shorter time of hospitalization and less expenses. Conclusion One stage repair is feasible in healing the electric burn coupled with skull exposure and infection,and can reduce both pain and economic burdens of the patients. However,it is vital to prevent expander extrusion during the early treatment.%目的 比较软组织扩张器一期修复和分期修复两种术式治疗电击伤颅骨外露并感染的优缺点,以及一期修复的可行性.方法 1999年6月~2010年12月收治的电击伤合并头皮缺损颅骨外露并感染的患者共64例,创面面积180-480 cm2.颅骨死骨凿除后,分别采用软组织扩张器行一期修复或分期修复,观察两种方式的修复效果.结果 两组患者扩张器埋置术后,一期修复组扩张器外露发生率高于两期修复组;两组扩张囊内感染、皮瓣坏死的发生率比较无明显统计学差异.一期修复组愈后头部切口

  8. Corneal Protection for Burn Patients (United States)


    Amniotic Membrane for the Treatment of Severe Exposure Keratopathy in the New Zealand White Rabbit Introduction: Patients with severe facial burns...often suffer indirect damage to their eyes as a sequela of ocular surface exposure keratopathy. Burn wound contracture of the periocular skin causes...inflammatory properties, amniotic membrane has developed into a mainstay of treatment to help maintain the ocular surface when skin grafting is delayed

  9. Erosive burning of solid propellants (United States)

    King, Merrill K.


    Presented here is a review of the experimental and modeling work concerning erosive burning of solid propellants (augmentation of burning rate by flow of product gases across a burning surface). A brief introduction describes the motor design problems caused by this phenomenon, particularly for low port/throat area ratio motors and nozzleless motors. Various experimental techniques for measuring crossflow sensitivity of solid propellant burning rates are described, with the conclusion that accurate simulation of the flow, including upstream flow development, in actual motors is important since the degree of erosive burning depends not only on local mean crossflow velocity and propellant nature, but also upon this upstream development. In the modeling area, a brief review of simplified models and correlating equations is presented, followed by a description of more complex numerical analysis models. Both composite and double-base propellant models are reviewed. A second generation composite model is shown to give good agreement with data obtained in a series of tests in which composite propellant composition and heterogeneity (particle size distribution) were systematically varied. Finally, the use of numerical models for the development of erosive burning correlations is described, and a brief discussion of scaling is presented.


    Directory of Open Access Journals (Sweden)

    Brahmaji Master


    Full Text Available One of the most challenging cases in forensic medicine is ascertaining the cause of death of burnt bodies under suspicious circumstances. The key questions that arise at the time of investigation include: 1  Was the person alive or dead prior to fire accident?  Did the victim die because of burn?  If death was not related to burns, could burns play a role in causing death?  Were the burns sustained accidentally, did the person commit suicide or was the person murdered?  Are the circumstances suggesting an attempt to conceal crime?  How was the fire started?  How was the victim identified?  In case of mass fatalities, who died first? Postmortem burning of corpses is supposed to be one of the ways to hide a crime. Differentiating the actual cause of death in burn patients is therefore important. Medical examiners usually focus on the defining the changes that occur in tissues while forensic anthropologists deal with the changes related to the bone with or without any the influence of other tissues. Under the circumstances of fire, differentiating the perimortem trauma from that of postmortem cause of bone fractures is vital in determining the cause and motive of death

  11. Burn treatment in the elderly. (United States)

    Keck, M; Lumenta, D B; Andel, H; Kamolz, L P; Frey, M


    The population of elderly patients is expected to rise continuously over the next decades due to global demographic changes. The elderly seem to be most vulnerable to burns and their management remains undoubtedly a challenge. A clear age margin for elderly patients is not yet defined, but most studies adhere to the inclusion of patients 65 years and above, but the general condition and social situation must be taken into account. The understanding of the physiological basis of aging and its related pathophysiological changes has only marginally influenced treatment and decision making in elderly burn patients. When looking at treatment regimens currently applied in elderly burn patients, the discussion of standards in intensive care as well as surgical strategies is ongoing. However, trends towards a moderate, non-aggressive resuscitation approach and careful inclusion of key parameters like physiological age, pre-burn functional status and premorbid conditions, seem to be useful guidelines for interdisciplinary treatment decisions. Once ordered for surgical treatment, the amount of body surface area operated in one session should be adapted to the general status of the patient. Even if older burn victims have a reported higher mortality rate than younger patients, improved therapeutic options have contributed to a reduced mortality rate even in the elderly over the last decades. As a result of improved outcome, more attention has to be given to a comprehensive rehabilitation program. This review will give an overview of the current literature and will draw attention to specific topics related to this important subpopulation of burn patients.

  12. Treatment of Palm Burns in Children


    Argirova, M.; Hadzhiyski, O.


    The timing and methods of treatment of palm burns in children vary widely. From January 2002 to November 2004, 492 children with burns - 125 of them with hand burns or other body burns - were hospitalized and treated at the N.I. Pirogov Clinic for Burns and Plastic Surgery in Bulgaria. Fifty-four children (for a total of 73 burned hands) presented isolated palm burns.Twenty-two hands were operated on. In this review we present the incidence, causes, treatment methods, functional results, and ...

  13. Burn Injury Arise From Flying Balloon Toys


    Yalcin Kulahci; Fatih Zor; Mehmet Bozkurt; Serdar Ozturk; Mustafa Sengezer


    Many of peoples are faced minor or major burn injuries in their life. Even the most widespread burn cause is flame injuries, too different burn cause pointed out in literature like Acetylen burns. The cases which imply in literature, mostly causes from explosion of high pressure acetylene tube, metal oxygene patch flame or carbide lamp using from cave explorers. An interesting acetylene burn cause in Turkey was publised by the authors. This cases was to come into being from flying toy balloon...

  14. Burn Patient Expectations from Nurses

    Directory of Open Access Journals (Sweden)

    Sibel Yilmaz sahin


    Full Text Available AIM: Burn is a kind of painful trauma that requires a long period of treatment and also changes patients body image. For this reason, nursing care of burn patients is very important. In this study in order to provide qualified care to the burned patients, patient and #8217;s expectations from nurses were aimed to be established. METHODS: Patients and #8217; expectations were evaluated on 101 patients with burn in Ministry of Health Ankara Numune Education and Research Hospital Burn Service and Gulhane Military Medical Academy Education and Research Hospital Burn Center. A questionnaire which was developed by the researchers was used for collecting data. The questions on the questionnaire were classified into four groups to evaluate the patients and #8217; expectations about communication, information, care and discharge. Data was evaluated by using SPSS 12 package software. RESULTS: In this study, 48.5% of patients were at 18-28 age group, 79.2% were male and 51.5% of patients were employed. Almost all of patients expect nurses to give them confidence (98% and to give them information about latest developments with the disease. Patients prior expectation from nurses about care was to do their treatments regularly (100% and to take the necessary precautions in order to prevent infection (100%. 97% of patient expect nurses to give them information about the drugs, materials and equipment that they are going to use while discharge. CONCLUSION: As a result we found that burn patient expectations from nurses about communication, information, care and discharge were high. [TAF Prev Med Bull 2014; 13(1.000: 37-46

  15. LA50 in burn injuries. (United States)

    Seyed-Forootan, K; Karimi, H; Motevalian, S A; Momeni, M; Safari, R; Ghadarjani, M


    Burn injuries put a huge financial burden on patients and healthcare systems. They are the 8th leading cause of mortality and the 13th most common cause of morbidity in our country. We used data from our Burn Registry Program to evaluate risk factors for mortality and lethal area fifty percent (LA50) in all burn patients admitted over two years. We used multiple logistic regressions to identify risk factors for mortality. LA50 is a reliable aggregate index for hospital care quality and a good measure for comparing results, also with those of other countries. 28,690 burn patients sought medical attention in the Emergency Department, and 1721 of them were admitted. Male to female ratio was 1,75:1. 514 patients were under 15 years old. Median age was 25 (range: 3 months - 93 years). Overall, probability of death was 8.4%. LA50 was 62.31% (CI 95%: 56.57-70.02) for patients aged 15 and over and 72.52% (CI 95%: 61.01-100) for those under 15. In the final model, we found that Adjusted OR was significant for age, female sex, TBSA and inhalation injury (P age and inhalation injury were the main risk factors for death. Authorities should pay special attention to these variables, especially in prevention programs, to reduce mortality and improve patient outcome. Children have better outcome than adults given equal burn size. Suicide rates are higher for women than men in our country.

  16. Telemedicine and burns: an overview. (United States)

    Atiyeh, B; Dibo, S A; Janom, H H


    Access to specialized burn care is becoming more difficult and is being restricted by the decreasing number of specialized burn centers. It is also limited by distance and resources for many patients, particularly those living in poverty or in rural medically underserved communities. Telemedicine is a rapidly evolving technology related to the practice of medicine at a distance through rapid access to remote medical expertise by telecommunication and information technologies. Feasibility of telemedicine in burn care has been demonstrated by various centers. Its use facilitates the delivery of care to patients with burn injuries of all sizes. It allows delivery of acute care and can be appropriately used for a substantial portion of the long-term management of patients after a burn by guiding less-experienced surgeons to treat and follow-up patients more appropriately. Most importantly, it allows better effective triage which reduces unnecessary time and resource demanding referrals that might overwhelm system capacities. However, there are still numerous barriers to the implementation of telemedicine, including technical difficulties, legal uncertainties, limited financial support, reimbursement issues, and an inadequate evidence base of its value and efficiency.

  17. Long-term RF burn-in effects on dielectric charging of MEMS capacitive switches

    KAUST Repository

    Molinero, David G.


    This paper experimentally quantified the long-term effects of RF burn-in, in terms of burn-in and recovery times, and found the effects to be semipermanent. Specifically, most of the benefit could be realized after approximately 20 min of RF burn-in, which would then last for several months. Additionally, since similar effects were observed on both real and faux switches, the effects appeared to be of electrical rather than mechanical nature. These encouraging results should facilitate the application of the switches in RF systems, where high RF power could be periodically applied to rejuvenate the switches. © 2001-2011 IEEE.


    Directory of Open Access Journals (Sweden)



    Full Text Available A burn is a wound in which there is coagulative necrosis of the tissue, majority of which are caused by heat. Burn injury is a major public health problem in many areas of the world. Burns predispose to infection by damaging the protective barrier function of the skin, thus facilitating the entry of pa thogenic microorganisms and by inducing systemic immunosuppression . (1 OBJECTIVE : The present study was therefore undertaken to isolate and identify the aerobic bacterial flora in burn patients and its antibiotic susceptibility pattern. MATERIAL & METHODS : A total of 100 patients admitted with different degree of burns were studied. Wound swabs were taken with aseptic precautions by dry sterile cotton swab sticks. These swabs were transported to the microbiology laboratory and the isolates were identified based on standard microbiological methods. Antibiotic susceptibility testing was done by Kirby Bauer’s disc diffusion method. RESULT : A total of 127 bacterial pathogens were isolated from 100 patients. Of these, 69% were monomicrobial in nature and 28% wer e polymicrobial. The most frequent cause of infection was found to be Staphylococcus aureus (39.4%, followed by Pseudomonas aeruginosa (14.2%, Klebsiella pneumonia (13.4%, E.coli (8.7% and Acinetobacter species (7.9%.Out of the total Staphylococcus au reus isolates, 19 were Methicillin sensitive and 31 were Methicillin resistant (MRSA. All the MRSA strains were 100% sensitive to Vancomycin and Linezolid. The Pseudomonas aeruginosa isolates were most sensitive to Amikacin (9 4.4%, Fluroquinolones (61.1% . CONCLUSION : Staphylococcus aureus and Pseudomonas aeruginosa were major causes of infection in burn wounds. Therefore it is necessary to implement urgent measures for restriction of nosocomial infections, sensible limitation on the use of antimicrobial agents, strict disinfection and hygiene.

  19. American Burn Association Consensus Statements (United States)


    Veterans Affairs, 1996. 20. Davidson JRT, Book SW, Colket JT, Tupler LA, Roth S, Hertzberg M, Mellman T, Beckham JC, Smith RD, David- son RM, Katz R...episodes in severely burned children. J Trauma 2007;62:676–81. 3. Kelemen JJ 3rd, Cioffi WG Jr, Mason AD Jr, Mozingo DW, McManus WF, Pruitt BA Jr...versus late enteral nu- tritional support in adults with burn injury: a systematic re- view. J Hum Nutr Diet 2007;20:75–3. 12. Wilmore DW, Mason AD Jr

  20. A review of hydrofluoric acid burn management. (United States)

    McKee, Daniel; Thoma, Achilleas; Bailey, Kristy; Fish, Joel


    Hydrofluoric acid (HF) causes a unique chemical burn. Much of the current treatment knowledge of HF burns is derived from case reports, small case series, animal studies and anecdotal evidence. The management can be challenging because clinical presentation and severity of these burns vary widely. Plastic surgeons managing burn patients must have a basic understanding of the pathophysiology, the range of severity in presentation and the current treatment options available for HF burns. The present article reviews the current understanding of the pathophysiology and systemic effects associated with severe HF burns. Furthermore, it distinguishes between minor and life-threatening HF burns and describes several of the basic techniques that are available to treat patients with HF burns.

  1. Protect the Ones You Love: Burns Safety (United States)

    ... Child Abuse and Neglect Prevention Youth Violence Prevention Burn Prevention Recommend on Facebook Tweet Share Compartir We ... to prevent leading causes of child injury, like burns, is a step toward this goal. Every day, ...

  2. Topical Pain Relievers May Cause Burns (United States)

    ... Consumers Consumer Updates Topical Pain Relievers May Cause Burns Share Tweet Linkedin Pin it More sharing options ... rare, have ranged from mild to severe chemical burns with use of such brand-name topical muscle ...

  3. Abdominal Complications after Severe Burns (United States)


    abdominal compartment syndrome, schemic bowel, biliary disease , peptic ulcer disease and astritis requiring laparotomy, small bowel obstruction, rimary fungal...complications in- luded trauma exploratory laparotomy, abdominal com- artment syndrome, ischemic bowel, biliary disease , peptic lcer disease and gastritis, large...because it was almost uniformly ssociated with serious lethal burns. This was in the period efore effective gastric acid control, explaining the high

  4. MHD control in burning plasmas MHD control in burning plasmas (United States)

    Donné, Tony; Liang, Yunfeng


    Fusion physics focuses on the complex behaviour of hot plasmas confined by magnetic fields with the ultimate aim to develop a fusion power plant. In the future generation of tokamaks like ITER, the power generated by the fusion reactions substantially exceeds the external input power (Pfusion}/Pin >= 10). When this occurs one speaks of a burning plasma. Twenty per cent of the generated fusion power in a burning plasma is carried by the charged alpha particles, which transfer their energy to the ambient plasma in collisions, a process called thermalization. A new phenomenon in burning plasmas is that the alpha particles, which form a minority but carry a large fraction of the plasma kinetic energy, can collectively drive certain types of magneto-hydrodynamic (MHD) modes, while they can suppress other MHD modes. Both types of MHD modes can have desirable effects on the plasma, as well as be detrimental to the plasma. For example, the so-called sawtooth instability, on the one hand, is largely responsible for the transport of the thermalized alpha particles out of the core, but, on the other hand, may result in the loss of the energetic alphas before they have fully thermalized. A further undesirable effect of the sawtooth instability is that it may trigger other MHD modes such as neoclassical tearing modes (NTMs). These NTMs, in turn, are detrimental to the plasma confinement and in some cases may even lead to disruptive termination of the plasma. At the edge of the plasma, finally, so-called edge localized modes or ELMs occur, which result in extremely high transient heat and particle loads on the plasma-facing components of a reactor. In order to balance the desired and detrimental effects of these modes, active feedback control is required. An additional complication occurs in a burning plasma as the external heating power, which is nowadays generally used for plasma control, is small compared to the heating power of the alpha particles. The scientific challenge

  5. [Pulmonary lesion in electric injury: report of a case]. (United States)

    Goldenberg, D C; Bringel, R W; Fontana, C; Teixeira, T L; de Almeida, P C; de Faria, J C; Ferreira, M C


    Major electrical injuries constitute approximately 5% of all admissions to Burn Units. Visceral complications are associated with a high mortality rate. The most common visceral lesions associated to electric burns are cardiac lesions. Pulmonary compromise is rare, if compared to inhalation injuries in termical burns. Although, when the entry or exit ports are the toracic wall, pleural effusion, hemotorax and pneumonitis may occur. A rare case of high-voltage electrical injury with massive pulmonary lesion is presented, regarding to clinical course and roentgenographic patterns.

  6. Use of previously burned skin as random cutaneous local flaps in pediatric burn reconstruction

    NARCIS (Netherlands)

    Barret, JP; Herndon, DN; McCauley, RL


    Reconstruction after post-burn scarring remains a challenge. It is especially true in the severely burned patient, who normally presents with a paucity of donor sites Healed skin from areas that had been burned and skin from grafted areas (termed as previously burned skin) have been occasionally use

  7. Titanium tetrachloride burns to the eye.


    Chitkara, D K; McNeela, B. J.


    We present eight cases of chemical burns of the eyes from titanium tetrachloride, an acidic corrosive liquid. However it causes severe chemical burns which have a protracted course and features more akin to severe alkali burns. Injuries related to titanium tetrachloride should be treated seriously and accordingly appropriate management is suggested.

  8. A review of hydrofluoric acid burn management


    McKee, Daniel; Thoma, Achilleas; Bailey, Kristy; Fish, Joel


    The clinical presentation and severity of hydrofluoric acid burns vary considerably, making management particularly challenging. Given that current knowledge of HF burns is derived from small case series, case reports, animal studies and anecdotal evidence, this narrative review discusses the current understanding of the effects associated with severe hydrofluoric acid burns, describing the mechanism of injury, systemic toxicity and treatment options.

  9. New type of sauna-related burn: conductive contact burn. (United States)

    Shin, Seung Jun; Yoo, Heon; Park, Myong Chul


    A 70-year-old woman visited a Korean-style hot dry sauna room. The patient had a medical history of hypertension and hyperlipidemia. During the sauna, the patient slept for 30 minutes. During the sleep, the right medial thigh was covered with a fully wet towel. The patient sustained a second-degree burn on the right medial thigh area with multiple bullas. On physical examination, erythema, heating sensation, and swelling around the bullas were noted. The patient was admitted and received intravenous antibiotics for 7 days. A dressing with Silmazine 1% cream (sulfadiazine) was applied twice a day for prevention of local infection. The patient was discharged on day 14 without complication. In this case, the mechanism of the burn was different. Hot air has much thermal energy but is not conducted to the skin directly. A wet towel will have a relatively higher thermal capacity or heat capacity than a dry or damp towel, and the sodden water might be a medium for the conduction of thermal energy. Owing to the global popularity of sauna bathing, it is important to recognize all sources of sauna-related burns.

  10. Modelling burned area in Africa

    Directory of Open Access Journals (Sweden)

    V. Lehsten


    Full Text Available The simulation of current and projected wildfires is essential for predicting crucial aspects of vegetation patterns, biogeochemical cycling as well as pyrogenic emissions across the African continent. This study uses a data-driven approach to parameterize two burned area models applicable to dynamic vegetation models (DVMs and Earth system models (ESMs. We restricted our analysis to variables for which either projections based on climate scenarios are available, or that are calculated by DVMs, and we consider a spatial scale of one degree as the scale typical for DVMs and ESMs. By using the African continent here as an example, an analogue approach could in principle be adopted for other regions, for global scale dynamic burned area modelling.

    We used 9 years of data (2000–2008 for the variables: precipitation over the last dry season, the last wet season and averaged over the last 2 years, a fire-danger index (the Nesterov index, population density, and annual proportion of area burned derived from the MODIS MCD45A1 product. Two further variables, tree and herb cover were only available for 2001 as a remote sensing product. Since the effect of fires on vegetation depends strongly on burning conditions, the timing of wildfires is of high interest too, and we were able to relate the seasonal occurrence of wildfires to the daily Nesterov index.

    We parameterized two generalized linear models (GLMs, one with the full variable set (model VC and one considering only climate variables (model C. All introduced variables resulted in an increase in model performance. Model VC correctly predicts the spatial distribution and extent of fire prone areas though the total variability is underrepresented. Model VC has a much lower performance in both aspects (correlation coefficient of predicted and observed ratio of burned area: 0.71 for model VC and 0.58 for model C. We expect the remaining variability to be attributed to additional

  11. Management of post burn hand deformities

    Directory of Open Access Journals (Sweden)

    Sabapathy S


    Full Text Available The hand is ranked among the three most frequent sites of burns scar contracture deformity. One of the major determinants of the quality of life in burns survivors is the functionality of the hands. Burns deformities, although largely preventable, nevertheless do occur when appropriate treatment is not provided in the acute situation or when they are part of a major burns. Reconstructive procedures can greatly improve the function of the hands. Appropriate choice of procedures and timing of surgery followed by supervised physiotherapy can be a boon for a burns survivor.

  12. Pediatric burn rehabilitation: Philosophy and strategies

    Directory of Open Access Journals (Sweden)

    Shohei Ohgi


    Full Text Available Burn injuries are a huge public health issue for children throughout the world, with the majority occurring in developing countries. Burn injuries can leave a pediatric patient with severely debilitating and deforming contractures, which can lead to significant disability when left untreated. Rehabilitation is an essential and integral part of pediatric burn treatment. The aim of this article was to review the literature on pediatric burn rehabilitation from the Medline, CINAHL, and Web of Science databases. An attempt has been made to present the basic aspects of burn rehabilitation, provide practical information, and discuss the goals and conceptualization of rehabilitation as well as the development of rehabilitation philosophy and strategies.


    Directory of Open Access Journals (Sweden)

    R. McKinley


    Full Text Available In 2009, the Victoria Department of Sustainability and Environment estimated approximately 430,000 hectares of Victoria Australia were burned by numerous bushfires. Burned Area Emergency Response (BAER teams from the United States were deployed to Victoria to assist local fire managers. The U.S. Geological Survey Earth Resources Observation and Science Center (USGS/EROS and U.S. Forest Service Remote Sensing Applications Center (USFS/RSAC aided the support effort by providing satellite-derived "soil burn severity " maps for over 280,000 burned hectares. In the United States, BAER teams are assembled to make rapid assessments of burned lands to identify potential hazards to public health and property. An early step in the assessment process is the creation of a soil burn severity map used to identify hazard areas and prioritize treatment locations. These maps are developed primarily using Landsat satellite imagery and the differenced Normalized Burn Ratio (dNBR algorithm.

  14. [Current treatment strategies for paediatric burns]. (United States)

    Küntscher, M V; Hartmann, B


    Paediatric burns occupy the third place in the severe accident statistics in Germany after traffic injuries and drowning. The paper reviews current treatment concepts of pre-hospital management, fluid resuscitation and surgical therapy in paediatric burned patients. Specific features in the approximation of the total body surface area burn and indications for transfer of paediatric burn victims to specialized units are discussed. The therapy of severe paediatric burns requires an interdisciplinary team consisting of especially skilled plastic or paediatric surgeons,anaesthetists, psychiatrists or psychologists, specifically trained nurses, physiotherapists and social workers. The rehabilitation process starts basically with admission to the burn unit. A tight cooperation between therapists and the relatives of the paediatric burn victim is needed for psychological recovery and reintegration into society.'The adaptation to the suffered trauma resulting in life-long disability and disfigurement is the main task of psychotherapy.

  15. Septicemia: The Principal Killer of Burns Patients

    Directory of Open Access Journals (Sweden)

    B. R. Sharma


    Full Text Available Burn injury is a major problem in many areas of the world and it has been estimated that 75% of all deaths following burns are related to infection. Burns impair the skin’s normal barrier function thus allowing microbial colonization of the burn wounds and even with the use of topical antimicrobial agents, contamination is almost unavoidable. It is therefore essential for every burn institution to determine its specific pattern of burn wound microbial colonization, time related changes in predominant flora and antimicrobial resistance profiles. This would allow early management of septic episodes with proper empirical systemic antibiotics before the results of microbiologic culture becomes available, thus improving the overall infection-related morbidity and mortality. We attempted to examine the factors affecting risk of infection; strategies for infection control and prevention in burn victims.

  16. Zinc supplementation in burn patients. (United States)

    Caldis-Coutris, Nancy; Gawaziuk, Justin P; Logsetty, Sarvesh


    Micronutrient supplementation is a common practice throughout many burn centers across North America; however, uncertainty pertaining to dose, duration, and side effects of such supplements persists. The authors prospectively collected data from 23 hospitalized patients with burn sizes ranging from 10 to 93% TBSA. Each patient received a daily multivitamin and mineral supplement, 50 mg zinc (Zn) daily, and 500 mg vitamin C twice daily. Supplements were administered orally or enterally. Albumin, prealbumin, C-reactive protein, serum Zn, and serum copper were measured weekly during hospital admission until levels were within normal reference range. Our study concluded that 50 mg daily dose of Zn resulted in normal serum levels in 19 of 23 patients at discharge; 50 mg Zn supplementation did not interfere with serum copper levels; and Zn supplements, regardless of administration route, did not result in gastrointestinal side effects.

  17. Southeast U.S. burns (United States)

    Maggs, William Ward

    Human beings were responsible for most of 12,000 forest fires in the southeastern United States that burned for 10 days in late October and early November 1987. 910 km2, mostly hardwood forest, were destroyed in the fires, with arson and carelessness as the primary causes, according to the U.S. Department of Agriculture Forest Service.Measured in monetary terms, the toll was more than $40 million in resource and property damage. While the amount of forest burned did not rival the 3390 km2 lost to fires in the western United States last summer, the human impact was severe in the southeast and all along the East Coast. Favorable winds blew smoke from the southern and central Appalachians as far north as New England and as far east as Delaware, and cool fall air close to the ground prevented the smoke from rising, thickening the air in many northeastern cities on November 8 and 9.

  18. Fluconazole Pharmacokinetics in Burn Patients (United States)

    Boucher, Bradley A.; King, Stephen R.; Wandschneider, Heidi L.; Hickerson, William L.; Hanes, Scott D.; Herring, Vanessa L.; Canada, Todd W.; Hess, Mary M.


    The pharmacokinetics of fluconazole in nine adult patients with severe (30 to 95% total body surface area) burns were studied. There was no significant difference in half-life (t1/2), clearance (CL), or volume of distribution (V) over time in five patients on days 3 and 8 of the study (P > 0.05). Combined parameter estimates (means ± standard deviations) for all nine patients for the two study periods were as follows: t1/2, 24.4 ± 5.8 h; CL, 0.36 ± 0.09 ml/min/kg; and V, 0.72 ± 0.12 liters/kg. These estimates of t1/2 and CL in burn patients were approximately 13% shorter and 30% more rapid, respectively, than the most extreme estimates reported for other populations. PMID:9559811

  19. Burn injuries related to suicide. (United States)

    Persley, G V; Pegg, S P


    Of 1060 admissions to the burns unit, Royal Brisbane Hospital, over a 12-year period, there were 30 cases (2.8%) of attempted suicide. Fourteen (47%) of these patients died. The psychosocial features of people using self-ignition as a method of suicide are consistent with those of suicide in general. The morbidity if high and the outcome is often fatal, especially for those using a flammable liquid.

  20. Rehabilitation of the Burned Hand (United States)


    13 Mallet and swan-neck deformities Thermal injury to the terminal slip of the extensor tendon can result in loss of DIP joint extension or mallet...deformity. Injury to the terminal slip can be a result of direct thermal injury or tendon ischemia induced as the injured tendon is compressed between...elastic bandage or self-adherent wrap may be necessary. Cotton socks over the splint may prevent the child from removing the splint. Contact burns

  1. [Treatment of burns in infants]. (United States)

    Foyatier, J L; Latarjet, J; Comparin, J P; Zaragori, M; Robert, A; Braye, F; Weill, E; Masson, C L


    Because of the potential severity of their residual deformities, burn injuries in infants justify an early management in specialized centres when they cover more than 5% of body surface and in every case when hands, face, or external genitalia are concerned. Cooling with cold water is the first aid treatment to be performed as early as possible after the injury. The treatment in specialized centres must be both general and surgical. General treatment includes fluid and electrolyte therapy, temperature control, appropriate nutrition and pain suppression. Pain suppression is a major part of the treatment and morphine must be largely used. Surgical treatment starts as soon as the patient arrives in the centre and is eventually performed under general anesthesia: all the burned areas are covered with occlusive dressings. Infections are prevented by systematic cultures and adjusted antibiotic therapy. A vigorous rehabilitation program must be instituted as soon as possible: massages, compressive clothes, splints, physical therapy, plastic surgery. Primary prevention by sustained parental education is important in order to reduce the frequency of burn injuries in infants.

  2. Multispectral and Photoplethysmography Optical Imaging Techniques Identify Important Tissue Characteristics in an Animal Model of Tangential Burn Excision. (United States)

    Thatcher, Jeffrey E; Li, Weizhi; Rodriguez-Vaqueiro, Yolanda; Squiers, John J; Mo, Weirong; Lu, Yang; Plant, Kevin D; Sellke, Eric; King, Darlene R; Fan, Wensheng; Martinez-Lorenzo, Jose A; DiMaio, J Michael


    Burn excision, a difficult technique owing to the training required to identify the extent and depth of injury, will benefit from a tool that can cue the surgeon as to where and how much to resect. We explored two rapid and noninvasive optical imaging techniques in their ability to identify burn tissue from the viable wound bed using an animal model of tangential burn excision. Photoplethysmography (PPG) imaging and multispectral imaging (MSI) were used to image the initial, intermediate, and final stages of burn excision of a deep partial-thickness burn. PPG imaging maps blood flow in the skin's microcirculation, and MSI collects the tissue reflectance spectrum in visible and infrared wavelengths of light to classify tissue based on a reference library. A porcine deep partial-thickness burn model was generated and serial tangential excision accomplished with an electric dermatome set to 1.0 mm depth. Excised eschar was stained with hematoxylin and eosin to determine the extent of burn remaining at each excision depth. We confirmed that the PPG imaging device showed significantly less blood flow where burn tissue was present, and the MSI method could delineate burn tissue in the wound bed from the viable wound bed. These results were confirmed independently by a histological analysis. We found these devices can identify the proper depth of excision, and their images could cue a surgeon as to the preparedness of the wound bed for grafting. These image outputs are expected to facilitate clinical judgment in the operating room.

  3. American Burn Association consensus conference to define sepsis and infection in burns. (United States)

    Greenhalgh, David G; Saffle, Jeffrey R; Holmes, James H; Gamelli, Richard L; Palmieri, Tina L; Horton, Jureta W; Tompkins, Ronald G; Traber, Daniel L; Mozingo, David W; Deitch, Edwin A; Goodwin, Cleon W; Herndon, David N; Gallagher, James J; Sanford, Art P; Jeng, James C; Ahrenholz, David H; Neely, Alice N; O'Mara, Michael S; Wolf, Steven E; Purdue, Gary F; Garner, Warren L; Yowler, Charles J; Latenser, Barbara A


    Because of their extensive wounds, burn patients are chronically exposed to inflammatory mediators. Thus, burn patients, by definition, already have "systemic inflammatory response syndrome." Current definitions for sepsis and infection have many criteria (fever, tachycardia, tachypnea, leukocytosis) that are routinely found in patients with extensive burns, making these current definitions less applicable to the burn population. Experts in burn care and research, all members of the American Burn Association, were asked to review the literature and prepare a potential definition on one topic related to sepsis or infection in burn patients. On January 20, 2007, the participants met in Tucson, Arizona to develop consensus for these definitions. After review of the definitions, a summary of the proceedings was prepared. The goal of the consensus conference was to develop and publish standardized definitions for sepsis and infection-related diagnoses in the burn population. Standardized definitions will improve the capability of performing more meaningful multicenter trials among burn centers.

  4. Increasing the utility of the Functional Assessment for Burns Score: Not just for major burns. (United States)

    Smailes, Sarah T; Engelsman, Kayleen; Rodgers, Louise; Upson, Clara


    The Functional Assessment for Burns (FAB) score is established as an objective measure of physical function that predicts discharge outcome in adult patients with major burn. However, its validity in patients with minor and moderate burn is unknown. This is a multi-centre evaluation of the predictive validity of the FAB score for discharge outcome in adult inpatients with minor and moderate burns. FAB assessments were undertaken within 48 h of admission to (FAB 1), and within 48 h of discharge (FAB 2) from burn wards in 115 patients. Median age was 45 years and median burn size 4%. There were significant improvements in the patients' FAB scores (pburns.

  5. Plasma burn-through simulations using the DYON code and predictions for ITER

    NARCIS (Netherlands)

    Kim, H. T.; Sips, A.C.C.; de Vries, P. C.; JET-EFDA Contributors,


    This paper will discuss simulations of the full ionization process (i.e. plasma burn-through), fundamental to creating high temperature plasma. By means of an applied electric field, the gas is partially ionized by the electron avalanche process. In order for the electron temperature to increase, th

  6. Acute pain management in burn patients

    DEFF Research Database (Denmark)

    Gamst-Jensen, Hejdi; Vedel, Pernille Nygaard; Lindberg-Larsen, Viktoria Oline


    management addresses and alleviates these complications. The aim of our study was to compare clinical guidelines for pain management in burn patients in selected European and non-European countries. We included pediatric guidelines due to the high rate of children in burn units. METHOD: The study had...... patients. The most highly recommended guidelines provided clear and accurate recommendations for the nursing and medical staff on pain management in burn patients. We recommend the use of a validated appraisal tool such as the AGREE instrument to provide more consistent and evidence-based care to burn......OBJECTIVE: Burn patients suffer excruciating pain due to their injuries and procedures related to surgery, wound care, and mobilization. Acute Stress Disorder, Post-Traumatic Stress Disorder, chronic pain and depression are highly prevalent among survivors of severe burns. Evidence-based pain...

  7. The treatment of municipal solid waste in Malaysia comparing the biothennal process and mass burning

    Energy Technology Data Exchange (ETDEWEB)

    Fogelholm, C.J.; Iso-Tryykari, M.


    Mass burning is the previously much used technology in the combustion of municipal solid waste. In mass burning, unsorted waste is burned on a grate. The Biothermal Process is a new innovative municipal solid waste treatment concept. It consists of front end treatment, the biogasification of the biofraction and the fluidized bed combustion of the combustible fraction. The objective of this work is to compare the technical, environmental and economical features of the Biothermal Process and mass burning, when constructed in Malaysia. Firstly technical descriptions of concepts are presented. Secondly three cases namely Kuala Lumpur, Perai and Johor Bahru are studied. Finally conclusions are drawn. Economic comparisons revealed that the Biothermal Process is more economical than mass burning. The investment cost far the Biothermal Process is about 30 % lower than for mass burning plant. To achieve an 8 % Return on Investment, the treatment fee for the Biothermal Process is 47-95 MYR per tonne and for mass burning 181-215 MYR per tonne depending on the case. The sensibility analysis showed that independent of the variations in feeding values, the treatment fee remains much lower in the Biothermal Process. Technical comparisons show that the Biothermal Process has the better waste reduction and recycling rate in all cases. The Biothermal Process has much better electrical efficiency in the Kuala Lumpur and Johor Bahru cases, while mass burning has slightly better electrical efficiency in the Perai case. Both concepts have postal for phased construction, but phasing increases investment costs more in mass burning. The suitability of each concept to the differences in the quality of waste depends on local conditions, and both methods have merits. The Biothermal Process produces 45-70 % lower air emissions than mass burning, and generates less traffic in Kuala Lumpur and Perai, while traffic generation is equal in the Johor Bahru case. The comparisons show that according

  8. Vitamin E Supplementation in Burn Patients (United States)


    AWARD NUMBER: W81XWH-12-1-0429 TITLE: Vitamin E Supplementation in Burn Patients PRINCIPAL INVESTIGATOR: Perenlei Enkhbaatar, MD., PhD...NOTES 14. ABSTRACT Our recent findings demonstrate that burn injury significantly depleted stores of vitamin E in adipose tissue of children by nearly...oxidative stress. The objectives of our proposal were to a) attenuate alpha-tocopherol depletion in burn patients by vitamin E supplementation, b) to

  9. Fluid management in major burn injuries

    Directory of Open Access Journals (Sweden)

    Haberal Mehmet


    Full Text Available It is a widely accepted fact that severe fluid loss is the greatest problem faced following major burn injuries. Therefore, effective fluid resuscitation is one of the cornerstones of modern burn treatment. The aim of this article is to review the current approaches available for modern trends in fluid management for major burn patients. As these current approaches are based on various experiences all over the world, the knowledge is essential to improve the status of this patient group.

  10. Infection control in severely burned patients


    Coban, Yusuf Kenan


    In the last two decades, much progress has been made in the control of burn wound infection and nasocomial infections (NI) in severely burned patients. The continiually changing epidemiology is partially related to greater understanding of and improved techniques for burn patient management as well as effective hospital infection control measures. With the advent of antimicrobial chemotherapeutic agents, infection of the wound site is now not as common as, for example, urinary and blood strea...

  11. Managing burn patients in a fire disaster: Experience from a burn unit in Bangladesh

    Directory of Open Access Journals (Sweden)

    Mashreky S


    Full Text Available Although burn disaster is not a frequent event, with urbanisation and industrialisation, burn disaster is becoming an emerging problem in Bangladesh. On 3 June 2010, a fire disaster killed 124 people in Neemtali, Dhaka, Bangladesh. This paper narrates the management of burn patients of this disaster in the burn unit of Dhaka Medical College Hospital. The burn unit managed 192 burn victims of the disaster. Forty-two victims were admitted and 150 of them received primary care at the emergency room and were sent back home. Ten patients among 42 in-patients died. The in-patient mortality was 23.8%. Burn unit in Dhaka Medical College Hospital is the only burn management centre in Bangladesh. Proper planning and coordinated effort by all sectors and persons concerned were the key elements in this successful management.

  12. Enhancement of burning velocity by dissociated oxygen atoms (United States)

    Akashi, Haruaki; Yoshinaga, Tomokazu; Sasaki, Koichi


    Green technology, such as preventing global warming, has been developed for years. Researches on plasma assisted combustion is one of the technologies and have been done for investigating more efficient combustion, more efficient use of fossil fuel with plasmas or applying electric fields. In the ignition time delay analyses with the dissociated oxygen atoms which is generated by non-equilibrium plasma had significant effect on the ignition time. In this paper, dissociated oxygen could effect on burning velocity or not has been examined using CHEMKIN. As a result, no effect can be seen with dissociation degree of lower than 10-3. But there is an effect on the enhancement of burning velocity with higher degree of 10-3. At the dissociation degree of 5×10-2, the burning velocity is enhanced at a factor of 1.24. And it is found that the distributions of each species in front of preheat zone are completely different. The combustion process is proceeded several steps in advance, and generation of H2O, CO and CO2 can be seen before combustion in higher dissociation case. This work was supported by KAKENHI (22340170).

  13. Renal failure in burn patients: a review. (United States)

    Emara, S S; Alzaylai, A A


    Burn care providers are usually challenged by multiple complications during the management of acute burns. One of the most common complications worldwide is renal failure. This article reviews the various aspects of renal failure management in burn patients. Two different types of renal failures develop in these patients. The different aetiological factors, incidence, suspected prognosis, ways of diagnosing, as well as prevention methods, and the most accepted treatment modalities are all discussed. A good understanding and an effective assessment of the problem help to reduce both morbidity and mortality in burn management.

  14. Burn site groundwater interim measures work plan.

    Energy Technology Data Exchange (ETDEWEB)

    Witt, Jonathan L. (North Wind, Inc., Idaho Falls, ID); Hall, Kevin A. (North Wind, Inc., Idaho Falls, ID)


    This Work Plan identifies and outlines interim measures to address nitrate contamination in groundwater at the Burn Site, Sandia National Laboratories/New Mexico. The New Mexico Environment Department has required implementation of interim measures for nitrate-contaminated groundwater at the Burn Site. The purpose of interim measures is to prevent human or environmental exposure to nitrate-contaminated groundwater originating from the Burn Site. This Work Plan details a summary of current information about the Burn Site, interim measures activities for stabilization, and project management responsibilities to accomplish this purpose.

  15. Hospital costs associated with pediatric burn injury. (United States)

    Klein, Matthew B; Hollingworth, William; Rivara, Frederick P; Kramer, C Bradley; Askay, Shelley W; Heimbach, David M; Gibran, Nicole S


    Modern burn care is a resource intensive endeavor requiring specialized equipment, personnel, and facilities in order to provide optimum care. The costs associated with burn injury to both patients and society as a whole can be multifaceted and large. The purpose of this study was to evaluate the association between hospital costs, patient characteristics, and injury factors in a cohort of pediatric patients admitted to a regional burn center. We performed a review of the hospital charges accrued by pediatric patients (age dollar costs using an inflation index and a cost to charge ratio. Univariate and multivariate regressions were performed to identify the factors most significantly associated with cost. In addition, we performed a subset cost analysis for patients with burns more than 20% TBSA. A total of 1443 pediatric patients (age dollars was dollars 9026 (SD = dollars 25,483; median = dollars 2138). Area of full thickness burn was the only patient or injury factor significantly associated with greater hospital costs (P < .05) on multivariate analysis. No single anatomic area was associated with increased hospital costs when adjusted for total overall burn size. Injury severity was the most significant factor impacting index hospitalization costs following pediatric burn injury. Further studies defining the long-term societal costs impact of burn injury are needed as are studies that evaluate the impact of burn injury on quality of life.

  16. Aeromonas hydrophila in a burn patient. (United States)

    Yasti, Ahmet Cinar; Otan, Emrah; Doganay, Mutlu; Kama, Nuri A


    Infectious consequences are still a major problem and leading cause of mortality in burn patients. Among others, aeromonads need special concern because they mimic pseudomonal infections; however, they have a more rapid progression with considerable mortality if undiagnosed promptly. Here, we present a major burn case extinguished with tap water pooled in a tank. With the possibility of aeromonal infection in mind, the patient underwent aggressive debridement with proper antibiotic medication, which resulted in a successful patient management. Aeromonads should always be kept in mind in burn cases that contacted with tanked water or soil after the burn.

  17. Burn healing plants in Iranian Traditional Medicine

    Directory of Open Access Journals (Sweden)

    Sh. Fahimi


    Full Text Available Burns are known as one of the most common forms of injury with devastating consequences. Despite the discovery of several antiseptics, burn wound healing has still remained a challenge to modern medicine. Herbal products seem to possess moderate efficacy with no or less toxicity and are less expensive compared to synthetic drugs. Burn is a well-known disorder in Iranian Traditional Medicine (ITM. Iranian physicians have divided burns into various types based on the cause and recommended treatment for each type. According to ITM references, herbal therapy was the major treatment prescribed by Iranian physicians for burns. In the present study, seven ancient Iranian medical texts were screened for the herbs with burn healing effects along with their applied dosage forms. The medicinal herbs were listed and scored based on the frequency of their repetition. Moreover, the best scientific name that was suitable for each plant as well as surveying modern studies about their biological effects has been carried out. In our investigation eighteen plants with seven topical application categories have been obtained as the most frequent herbs for burn healing in ITM. Modern studies have revealed that these plants have shown some biological activities such as anti-inflammatory, antimicrobial and antioxidant effects which might establish the relationship between the mentioned activities and burn wound healing property. This list can provide a suitable resource for future researches in the field of burn treatment.

  18. Reconstrucción de nariz y labios en secuela de quemadura eléctrica Reconstrução de nariz e lábios em seqüela de queimadura elétrica Nose and lips reconstruction in electrical burn sequela

    Directory of Open Access Journals (Sweden)

    F.A.M. Cido Carvalho


    Full Text Available Presentamos el caso de un paciente joven, víctima de quemadura eléctrica en la cara, con complejas secuelas en la zona de boca y nariz, pérdida de sustancia y de parte del componente cartilaginoso de dorso, punta, colmuela y alas nasales, además de pérdida de labio superior e inferior, e importantes retracciones cicatriciales en áreas de vecindad. Fue sometido a reparación quirúrgica de la pérdida de sustancia nasal mediante colgajos supratrocleares y a reconstrucción de labio superior e inferior mediante colgajo cervical bipediculado, según descripción de Tsur y col. El resultado fue una buena cobertura nasal y la reconstrucción de los labios preservando sus funciones masticatorias y de habla, mejorando además la imagen estética del paciente.Caso de paciente jovem, vítima de queimadura elétrica na face, com complexas seqüelas na região da boca e nariz, como perda de substância cutânea e de parte do arcabouço cartilaginoso envolvendo dorso, ponta, columela e asas nasais, além de perda de lábios superior e inferior, com importante retração cicatricial das áreas vizinhas à lesão. Foi submetido a reparação da perda de substância nasal com retalhos supratrocleares e reconstrução dos lábios superior e inferior, através de retalho cervical bipediculado ao acaso, descrito por Tsur e cols. Resultou em boa cobertura nasal e reconstrução dos lábios, preservação das funções mastigatória e fala, além de permitir melhor figura estética ao paciente.We present a clinical case of a young man, victim of electrical burning to the face, with complex injuries to the mouth and nose. He presented cutaneous and framework damage to the nose and cutaneous damage to superior and inferior lips. He was submitted to nose repair with supratroclear flaps and mouth repair with bipedicular randomlybased cervical flap according to Tsur et al. The treatment allowed satisfactory nose cover and lips reconstruction, improvement on

  19. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? (United States)

    Mandell, Samuel P; Robinson, Ellen F; Cooper, Claudette L; Klein, Matthew B; Gibran, Nicole S


    Recently, much attention has been placed on quality of care metrics and patient safety. Groups such as the University Health-System Consortium (UHC) collect and review patient safety data, monitor healthcare facilities, and often report data using mortality and complication rates as outcomes. The purpose of this study was to analyze the UHC database to determine if it differentiates quality of care across burn centers. We reviewed UHC clinical database (CDB) fields and available data from 2006 to 2008 for the burn product line. Based on the September 2008 American Burn Association (ABA) list of verified burn centers, we categorized centers as American Burn Association-verified burn centers, self-identified burn centers, and other centers that are not burn units but admit some burn patients. We compared total burn admissions, risk pool, complication rates, and mortality rates. Overall mortality was compared between the UHC and National Burn Repository. The UHC CDB provides fields for number of admissions, % intensive care unit admission, risk pool, length of stay, complication profiles, and mortality index. The overall numbers of burn patients in the database for the study period included 17,740 patients admitted to verified burn centers (mean 631 admissions/burn center/yr or per 2 years), 10,834 for self-identified burn centers (mean 437 admissions/burn center/yr or per 2 years), and 1,487 for other centers (mean 11.5 admissions/burn center/yr or per 2 years). Reported complication rates for verified burn centers (21.6%), self-identified burn centers (21.3%), and others (20%) were similar. Mortality rates were highest for self-identified burn centers (3.06%), less for verified centers (2.88%), and lowest for other centers (0.74%). However, these outcomes data may be misleading, because the risk pool criteria do not include burn-specific risk factors, and the inability to adjust for injury severity prevents rigorous comparison across centers. Databases such as the

  20. Deciding Where to Burn: Stakeholder Priorities for Prescribed Burning of a Fire-Dependent Ecosystem

    Directory of Open Access Journals (Sweden)

    Jennifer K. Costanza


    Full Text Available Multiagency partnerships increasingly work cooperatively to plan and implement fire management. The stakeholders that comprise such partnerships differ in their perceptions of the benefits and risks of fire use or nonuse. These differences inform how different stakeholders prioritize sites for burning, constrain prescribed burning, and how they rationalize these priorities and constraints. Using a survey of individuals involved in the planning and implementation of prescribed fire in the Onslow Bight region of North Carolina, we examined how the constraints and priorities for burning in the longleaf pine (Pinus palustris ecosystem differed among three stakeholder groups: prescribed burn practitioners from agencies, practitioners from private companies, and nonpractitioners. Stakeholder groups did not differ in their perceptions of constraints to burning, and development near potentially burned sites was the most important constraint identified. The top criteria used by stakeholders to decide where to burn were the time since a site was last burned, and a site's ecosystem health, with preference given to recently burned sites in good health. Differences among stakeholder groups almost always pertained to perceptions of the nonecological impacts of burning. Prescribed burning priorities of the two groups of practitioners, and particularly practitioners from private companies, tended to be most influenced by nonecological impacts, especially through deprioritization of sites that have not been burned recently or are in the wildland-urban interface (WUI. Our results highlight the difficulty of burning these sites, despite widespread laws in the southeast U.S. that limit liability of prescribed burn practitioners. To avoid ecosystem degradation on sites that are challenging to burn, particularly those in the WUI, conservation partnerships can facilitate demonstration projects involving public and private burn practitioners on those sites. In summary

  1. Medical management of paediatric burn injuries: best practice. (United States)

    Kim, Leo K P; Martin, Hugh C O; Holland, Andrew J A


    Burns commonly occur in children and their first aid remains inadequate despite burn prevention programmes. While scald injuries predominate, contact and flame burns remain common. Although typically less severe injuries overall than those in adults, hypertrophic scarring complicating both the burn wound and even donor sites occur more frequently in children. The heterogeneous nature of burn wounds, coupled with the difficulties associated with the early clinical assessment of burn depth, has stimulated the application of novel technologies to predict burn wound outcome. This review explores current best practice in the management of paediatric burns, with a focus on prevention, optimal first aid, resuscitation, burn wound prediction and wound management strategies.

  2. Bony ankylosis following thermal and electrical injury

    Energy Technology Data Exchange (ETDEWEB)

    Balen, P.F.; Helms, C.A. [Dept. of Radiology, Duke University Medical Center, Durham, NC (United States)


    Objective. Bony ankylosis has been described following trauma, paralysis, psoriasis, Reiter's syndrome, ankylosing spondylitis, juvenile chronic arthritis and rheumatoid arthritis. Reports of bony ankylosis following thermal and electrical injury are limited.Design and patients. Thirteen cases of burn-related joint ankylosis in four patients are presented.Conclusion. Patients with burns from thermal or electrical injury may develop bony ankylosis among other radiographic manifestations. This bony ankylosis may result either from bridging extra-articular heterotopic ossification with preservation of the underlying joint or from intra-articular fusion due to joint destruction. (orig.)

  3. Survey of care and evaluation of East African burn unit feasibility: an academic burn center exchange. (United States)

    Mitchell, Katrina B; Giiti, Geofrey; Gallagher, James J


    Weill Cornell Medical College in New York, partnered with Weill Bugando Medical College and Sekou Toure Regional Referral Hospital, in Mwanza, Tanzania, to consider the development of a burn unit there. This institutional partnership provided a unique opportunity to promote sustainable academic exchange and build burn care capacity in the East African region. A Weill Cornell burn surgeon and burn fellow collaborated with the Sekou Toure department of surgery to assess its current burn care capabilities and potential for burn unit development. All aspects of interdisciplinary burn care were reviewed and institutional infrastructure evaluated. Sekou Toure is a 375-bed regional referral center and teaching hospital of Weill Bugando Medical College. In 2010-2011, it admitted 5244 pediatric patients in total; 100 of these patients were burn-injured children (2% of admissions). There was no specific data kept on percentage of body surface burned, degree of burn, length of stay, or complications. No adult, operative, or outpatient burn data were available. There are two operating theaters. Patient's families perform wound care with nursing supervision. Rehabilitation therapists consult as needed. Meals are provided three times daily by a central kitchen. Public health outreach is possible through village-based communication networks. Infrastructure to support the development of a burn care unit exists at Sekou Toure, but needs increased clinical focus, human resource capacity building, and record-keeping to track accurate patient numbers. A multidisciplinary center could improve record-keeping and outcomes, encourage referrals, and facilitate outreach through villages.

  4. How Disabling Are Pediatric Burns? Functional Independence in Dutch Pediatric Patients with Burns (United States)

    Disseldorp, Laurien M.; Niemeijer, Anuschka S.; Van Baar, Margriet E.; Reinders-Messelink, Heleen A.; Mouton, Leonora J.; Nieuwenhuis, Marianne K.


    Although the attention for functional outcomes after burn injury has grown over the past decades, little is known about functional independence in performing activities of daily living in children after burn injury. Therefore, in this prospective cohort study functional independence was measured by burn care professionals with the WeeFIM[R]…

  5. National programme for prevention of burn injuries

    Directory of Open Access Journals (Sweden)

    Gupta J


    Full Text Available The estimated annual burn incidence in India is approximately 6-7 million per year. The high incidence is attributed to illiteracy, poverty and low level safety consciousness in the population. The situation becomes further grim due to the absence of organized burn care at primary and secondary health care level. But the silver lining is that 90% of burn injuries are preventable. An initiative at national level is need of the hour to reduce incidence so as to galvanize the available resources for more effective and standardized treatment delivery. The National Programme for Prevention of Burn Injuries is the endeavor in this line. The goal of National programme for prevention of burn injuries (NPPBI would be to ensure prevention and capacity building of infrastructure and manpower at all levels of health care delivery system in order to reduce incidence, provide timely and adequate treatment to burn patients to reduce mortality, complications and provide effective rehabilitation to the survivors. Another objective of the programme will be to establish a central burn registry. The programme will be launched in the current Five Year Plan in Medical colleges and their adjoining district hospitals in few states. Subsequently, in the next five year plan it will be rolled out in all the medical colleges and districts hospitals of the country so that burn care is provided as close to the site of accident as possible and patients need not to travel to big cities for burn care. The programme would essentially have three components i.e. Preventive programme, Burn injury management programme and Burn injury rehabilitation programme.

  6. Clinical application of modified skin soft tissue expansion in early repair of devastating wound on the head due to electrical burn%改良皮肤软组织扩张术在头颅电击伤毁损性创面早期修复中的临床应用

    Institute of Scientific and Technical Information of China (English)

    雷晋; 侯春胜; 段鹏; 郝振明; 翟彦斌; 孟艳斌


    目的 观察早期应用改良皮肤软组织扩张术修复头颅电击伤毁损性创面的临床效果.方法 2009年4月-2014年10月,笔者单位收治21例高压电击伤致头皮软组织部分缺如伴颅骨外露及不同程度坏死患者,创面面积7 cm×5 cm~15 cm×13 cm.行尽早清创,坏死颅骨原位保留并覆盖猪ADM及含银敷料.针对清创后残存软组织,入院后3d开始适时行分泌物细菌培养,针对性外用抗生素控制感染,移植自体刃厚皮.伤后2~3周待植皮成活,行改良皮肤软组织扩张术:于距植皮外缘2 cm正常头皮处做弓状切口,阶梯状分层剥离形成囊腔,置入扩张器后注射壶外置,充放气舒展扩张器,分层缝合切口,延长扩张间隙持续负压引流时间,按扩张器容积的2~3倍超量注水扩张.扩张皮瓣制备完成后,将其旋转推进修复创面.结果 清创后1周内,创面分泌物细菌培养检出4种菌,其中金黄色葡萄球菌4例、表皮葡萄球菌5例、铜绿假单胞菌5例、鲍氏不动杆菌3例.共埋置26个扩张器,扩张期间未见扩张部位感染、切口裂开等并发症或扩张器破裂渗漏.伤后2~3个月完成扩张皮瓣移植、创面修复.4个扩张皮瓣转移后,缝合处部分糜烂,经换药愈合;2个扩张皮瓣术后1个月左右出现缝合处点状破溃,自行排除少量游离死骨后愈合;其他皮瓣均存活良好.术后随访3 ~12个月,术区外观及毛发生长良好.结论 针对头颅电击伤毁损性创面,采用改良皮肤软组织扩张术能达到早期一次性创面覆盖及无秃发形成的美容修复效果.%Objective To observe the clinical effect of modified skin soft tissue expansion in repair of devastating wound on the head due to electrical burn in the early stage.Methods Twenty-one patients with partial scalp soft tissue defect accompanying skull exposure and necrosis in different degree due to highvoltage electrical burn were hospitalized from April 2009 to

  7. 7 CFR 29.6004 - Burn. (United States)


    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Burn. 29.6004 Section 29.6004 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing... INSPECTION Standards Definitions § 29.6004 Burn. The duration of combustion or length of time that a...

  8. Burn Injury Arise From Flying Balloon Toys

    Directory of Open Access Journals (Sweden)

    Yalcin Kulahci


    Full Text Available Many of peoples are faced minor or major burn injuries in their life. Even the most widespread burn cause is flame injuries, too different burn cause pointed out in literature like Acetylen burns. The cases which imply in literature, mostly causes from explosion of high pressure acetylene tube, metal oxygene patch flame or carbide lamp using from cave explorers. An interesting acetylene burn cause in Turkey was publised by the authors. This cases was to come into being from flying toy balloons flame. 80 person was injured from flying toy ballons flame in a meeting in 2002. Although this potential risks of acetylene, helium have not any of some risk. But helium was provided from other countries and have more price. The injuries which caused from acetylene burns like 1st -2nd degree burns. Consequently that was known helium is more avaliable for using in toy sector, and never cause burn injuries like this. [TAF Prev Med Bull 2007; 6(4.000: 291-296

  9. How Does the Freezer Burn Our Food? (United States)

    Schmidt, Shelly J.; Lee, Joo Won


    Freezer burn is a common problem that significantly affects the color, texture, and flavor of frozen foods. Food science students should be able to clearly explain the causes and consequences of freezer burn. However, it is difficult to find a modern, detailed, accurate, yet concise, explanation of the mechanism and factors influencing the rate of…


    Institute of Scientific and Technical Information of China (English)

    王鸿利; 邵慧珍; 支立民; 肖玉瑞; 杨丽英; 史济湘


    Seventy-eight burned patients (53 males and 25 females) were classified into 4 groups (mild type: 14 cases, moderate type: 13 cases, severe type: 17 cases and super-severe type: 34 cases) in accordence with criteria established by the Chinese Society for burns. Twenty-two parameters related to platelet, coagulant and anticoagulant factors, fibrinolysis system and hemorrheology were determined at first 24 hours, on third and fifth post-burn days. The results were as follow: Fibrinogen antigen, von Willebrand factor antigen, plasminogen activitor inhibitor activity, thromboxane B2 and hematocrit and whole blood viscosity significantly increased, however antithrombin Ⅲ, protein C antigen, free protein S and 6-keto-prostaglandin F1α markedly decreased compared with normal control at first 24 hours post burn. In addition, fibrinogen antigen, von Willebrand factor antigen, plasminogen activitor inhibitor activity, thromboxane B2 and whole blood viscosity were persistently elevated, however, antithrombin Ⅲ, protein C, free protein S and 6-keto-prostaglandin F1α declined on third and fifth post burn days. These changes resulted in a prethrombotic state, being an important factor in genesis of microthrombosis on burn site and the cause of the deepening and aggravation of burn wound on the third and fifth days in burned patients.



    Jaiprakash, B.; Chandramohan,; Reddy, D. Narishma


    The Ethanolic extract of whole plant of Euphorbia hirta was screened for burn wound healing activity in rats as 2% W/W cream. The study was carried out based on the assessment of percentage reduction in original wound. It showed significant burn wound healing activity.

  12. Treating burns caused by hydrofluoric acid. (United States)

    Summers, Anthony


    Hydrofluoric acid is an ingredient of many common household and industrial solutions. Even seemingly minor burns caused by this acid can have catastrophic effects if they are treated inappropriately or late. This article describes the signs and symptoms, the pathophysiology and the emergency management of hydrofluoric acid burns.

  13. Current approach to burn critical care. (United States)

    Sakallioglu, A E; Haberal, M


    Burn trauma is a frequent cause of morbidity and mortality all over the world. Advancements in resuscitation, surgical tecniques, infection control and nutritional/metaolic support decreased mortality and morbidity. This article intends to review current outlines for initial treatment and resuscitation nutritional/metabolic support and wound management peculiar to burn patients.

  14. Predictive Factors of Mortality in Burn Patients


    Fazeli; Karami-Matin; Kakaei; Pourghorban; Safari-Faramani


    Background: Burn injuries impose a considerable burden on healthcare systems in Iran. It is among the top ten causes of mortality and a main cause of disability. Objectives: This study aimed to examine factors influencing mortality in burn patients admitted to the main educational tertiary referral hospital in Kermanshah. Patients and Methods: All patients admitted to the Imam Khom...

  15. Pathophysiologic Response to Burns in the Elderly. (United States)

    Jeschke, Marc G; Patsouris, David; Stanojcic, Mile; Abdullahi, Abdikarim; Rehou, Sarah; Pinto, Ruxandra; Chen, Peter; Burnett, Marjorie; Amini-Nik, Saeid


    Over the last decades advancements have improved survival and outcomes of severely burned patients except one population, elderly. The Lethal Dose 50 (LD50) burn size in elderly has remained the same over the past three decades, and so has morbidity and mortality, despite the increased demand for elderly burn care. The objective of this study is to gain insights on why elderly burn patients have had such a poor outcome when compared to adult burn patients. The significance of this project is that to this date, burn care providers recognize the extreme poor outcome of elderly, but the reason remains unclear. In this prospective translational trial, we have determined clinical, metabolic, inflammatory, immune, and skin healing aspects. We found that elderly have a profound increased mortality, more premorbid conditions, and stay at the hospital for longer, p 0.05, but a significant increased incidence of multi organ failure, p response, increased hyperglycemic and hyperlipidemic responses, inversed inflammatory response, immune-compromisation and substantial delay in wound healing predominantly due to alteration in characteristics of progenitor cells, p responses to burns when compared to adults associated with increased morbidity and mortality. This study indicates that these responses are complex and not linear, requiring a multi-modal approach to improve the outcome of severely burned elderly.

  16. Osteomyelitis in burn patients requiring skeletal fixation

    NARCIS (Netherlands)

    Barret, JP; Desai, MH; Herndon, DN


    Deep and severe burns often present with the exposure of musculoskeletal structures and severe deformities. Skeletal fixation, suspension and/or traction are part of their comprehensive treatment. Several factors put burn patients at risk for osteomyelitis, osteosynthesis material being one of them.

  17. Epidemiology of pediatric burn in southern Taiwan. (United States)

    Lin, Tsai-Ming; Wang, Kai-Hung; Lai, Cheng-Sheng; Lin, Sin-Daw


    A 5-year retrospective review of 157 pediatric patients admitted to burn center of Kaohsiung Medical University Hospital (Kaohsiung, Taiwan) was undertaken to identify the incidence, mechanism, and agents of pediatric burn. The highest incidence of pediatric burn was in children aged 1-6 years (57.3%), followed by age group 6-14 years (31.8%). Scald burn (75.2%) made up the major cause of this injury and was dominant in each age group compared to non-scald burn. The kitchen/dining area (57.3%) and living room (29.9%) accounted for the most frequent places where pediatric burns occurred. Among the agents of scald burn, hot drink (49.2%) and soup (32.2%) were the two leading causes. There were more pediatric burns reported in colder seasons (38.2% and 33.1% in winter and fall respectively) and during dining time (19.7% in 11 a.m.-1 p.m. and 35.0% in 5 p.m.-8 p.m.). The results of this report may be closely related to special culinary habits (use of chafing-dish and making hot tea) in the south of Taiwan.

  18. Burn Injury Arise From Flying Balloon Toys

    Directory of Open Access Journals (Sweden)

    Yalcin Kulahci


    Full Text Available Many of peoples are faced minor or major burn injuries in their life. Even the most widespread burn cause is flame injuries, too different burn cause pointed out in literature like Acetylen burns. The cases which imply in literature, mostly causes from explosion of high pressure acetylene tube, metal oxygene patch flame or carbide lamp using from cave explorers. An interesting acetylene burn cause in Turkey was publised by the authors. This cases was to come into being from flying toy balloons flame. 80 person was injured from flying toy ballons flame in a meeting in 2002. Although this potential risks of acetylene, helium have not any of some risk. But helium was provided from other countries and have more price. The injuries which caused from acetylene burns like 1st -2nd degree burns. Consequently that was known helium is more avaliable for using in toy sector, and never cause burn injuries like this. [TAF Prev Med Bull. 2007; 6(4: 291-296

  19. Pathophysiologic Response to Burns in the Elderly

    Directory of Open Access Journals (Sweden)

    Marc G. Jeschke


    Full Text Available Over the last decades advancements have improved survival and outcomes of severely burned patients except one population, elderly. The Lethal Dose 50 (LD50 burn size in elderly has remained the same over the past three decades, and so has morbidity and mortality, despite the increased demand for elderly burn care. The objective of this study is to gain insights on why elderly burn patients have had such a poor outcome when compared to adult burn patients. The significance of this project is that to this date, burn care providers recognize the extreme poor outcome of elderly, but the reason remains unclear. In this prospective translational trial, we have determined clinical, metabolic, inflammatory, immune, and skin healing aspects. We found that elderly have a profound increased mortality, more premorbid conditions, and stay at the hospital for longer, p  0.05, but a significant increased incidence of multi organ failure, p < 0.05. These clinical outcomes were associated with a delayed hypermetabolic response, increased hyperglycemic and hyperlipidemic responses, inversed inflammatory response, immune-compromisation and substantial delay in wound healing predominantly due to alteration in characteristics of progenitor cells, p < 0.05. In summary, elderly have substantially different responses to burns when compared to adults associated with increased morbidity and mortality. This study indicates that these responses are complex and not linear, requiring a multi-modal approach to improve the outcome of severely burned elderly.

  20. Burn Prevention for Families with Children with Special Needs

    Medline Plus

    Full Text Available ... Tips Video Special Needs Burns and Scalds Burn Prevention for Families With Children With Special Needs Watch ... learn what you need to know about burn prevention if you have a child with special needs. ...

  1. Burn Prevention for Families with Children with Special Needs (United States)

    ... Burn Prevention for Families With Children With Special Needs Watch this video to learn what you need to know about burn prevention if you have a child with special needs. Read our burn prevention tips | Visit our YouTube ...

  2. Sexual Function Following Burn Injuries: Literature Review. (United States)

    Pandya, Atisha A; Corkill, Helen A; Goutos, Ioannis


    Sexual function is a profound facet of the human personality. Burns due their sudden and devastating nature can have longstanding effects on intimate function by virtue of physical sequelae as well as alterations in body image and perceived desirability. A considerable number of patients encounter problems with intimate function in burns rehabilitation; nevertheless, the topic appears to be poorly addressed in specialist centers worldwide. Review of the literature suggests that a number of parameters can affect the quality of sexual life following burn injuries including age at the time of injury, location, and severity of the burn as well as coping mechanisms employed by the individual survivor. Addressing issues of intimacy relies on awareness, education, and a holistic approach on behalf of the multidisciplinary team members and, to this effect, recommendations are made on managing sexual function concerns in burns rehabilitation.

  3. Crusted Scabies in the Burned Patient

    DEFF Research Database (Denmark)

    Berg, Jais Oliver; Alsbjørn, Bjarne


    The objectives of this study were 1) to describe a case of crusted scabies (CS) in a burned patient, which was primarily undiagnosed and led to a nosocomial outbreak in the burn unit; 2) to analyze and discuss the difficulties in diagnosing and treating this subset of patients with burn injury......; and 3) to design a treatment strategy for future patients. Case analysis and literature review were performed. The index patient had undiagnosed crusted scabies (sive Scabies norvegica) with the ensuing mite hyperinfestation when admitted to the department with minor acute dermal burns. Conservative...... healing and autograft healing were impaired because of the condition. Successful treatment of the burns was only accomplished secondarily to scabicide treatment. An outbreak of scabies among staff members indirectly led to diagnosis. CS is ubiquitous, and diagnosis may be difficult. This is the first...

  4. Modern trends in fluid therapy for burns. (United States)

    Tricklebank, Stephen


    The majority of burn centres use the crystalloid-based Parkland formula to guide fluid therapy, but patients actually receive far more fluid than the formula predicts. Resuscitation with large volumes of crystalloid has numerous adverse consequences, including worsening of burn oedema, conversion of superficial into deep burns, and compartment syndromes. Resuscitation fluids influence the inflammatory response to burns in different ways and it may be possible, therefore to affect this response using the appropriate fluid, at the appropriate time. Starches are effective volume expanders and early use of newer formulations may limit resuscitation requirements and burn oedema by reducing inflammation and capillary leak. Advanced endpoint monitoring may guide clinicians in when to 'turn off' aggressive fluid therapy and therefore avoid the problems of over-resuscitation.

  5. Long hair, smoking, and deep facial burns. (United States)

    Koljonen, Virve


    The purpose of this article is to describe deep facial burn injuries by cigarette lighters in longhaired adults and to report our experience in their treatment. Eight consecutive cigarette lighter burn victims are treated in the Helsinki Burn Center in the year 2006. Seven of the patients were women; their mean age was 50 years. All were under the influence of alcohol at the time of injury. The mean burnt area was 3.5% TBSA. The burnt areas were primarily forehead, cheek, and ipsilateral ear. After a conservative treatment, all the patients underwent an operation, whereby the nonhealing burns were excised and covered with autologous split thickness skin grafts. Postoperative period was uneventful in all the patients. Besides having severe detrimental effects on general health status and wound healing, smoking is the leading cause of residential and total fire deaths worldwide. The patients in this article suffered deep facial burns because of cigarette lighters.

  6. Wafer-level testing and test during burn-in for integrated circuits

    CERN Document Server

    Bahukudumbi, Sudarshan


    Wafer-level testing refers to a critical process of subjecting integrated circuits and semiconductor devices to electrical testing while they are still in wafer form. Burn-in is a temperature/bias reliability stress test used in detecting and screening out potential early life device failures. This hands-on resource provides a comprehensive analysis of these methods, showing how wafer-level testing during burn-in (WLTBI) helps lower product cost in semiconductor manufacturing.Engineers learn how to implement the testing of integrated circuits at the wafer-level under various resource constrain

  7. Coping with severe burns in the early stage after burn injury. (United States)

    Bras, Marijana; Loncar, Zoran; Brajković, Lovorka; Gregurek, Rudolf; Micković, Vlatko


    This study examined the relationship between coping strategies, anxiety and depression levels and burn injury characteristics in the early phase of the treatment in burn-injured patients. Seventy patients with severe burns were interviewed within two weeks of their burn trauma. Coping strategies were measured by the coping with burns questionnaire (CBQ). Anxiety and depression levels were assessed with the Beck Depression Inventory and the Beck Anxiety Inventory. There were no statistically significant gender differences in various coping strategies. Avoidance was associated with higher levels of anxiety, depression and hopelessness. The percentage of total body surface area (TBSA) and localization of burns were not associated with coping patterns. Implications for the assessment and management of burn injured patients were discussed.

  8. Wood-burning stoves worldwide

    DEFF Research Database (Denmark)

    Luis Teles de Carvalho, Ricardo

    global environmental health risk, since these sources are important contributors to fine particulate matter (PM2.5) in the ambient air that increase climate and health risks. This thesis explores the social-technical dimensions of both the use of wood-burning stoves (WBSs) and transition to the use...... focused on understanding the effects of cookstove use on the indoor air quality of 20 rural houses. In Europe, qualitative interviews were conducted to study the operation of WBSs in 24 dwellings. The energy and environmental performance of a fireplace, an ordinary wood stove and an automatic stove, were......, the advanced gasifiers and automatic stoves (Digital and Forced air) were identified to be among the best performing technologies. In spite of the fact that the thermal efficiency of the most advanced type of heating stoves (Gasifier) is around twice larger than that achieved for the most advanced type...

  9. The Ocular Surface Chemical Burns

    Directory of Open Access Journals (Sweden)

    Medi Eslani


    Full Text Available Ocular chemical burns are common and serious ocular emergencies that require immediate and intensive evaluation and care. The victims of such incidents are usually young, and therefore loss of vision and disfigurement could dramatically affect their lives. The clinical course can be divided into immediate, acute, early, and late reparative phases. The degree of limbal, corneal, and conjunctival involvement at the time of injury is critically associated with prognosis. The treatment starts with simple but vision saving steps and is continued with complicated surgical procedures later in the course of the disease. The goal of treatment is to restore the normal ocular surface anatomy and function. Limbal stem cell transplantation, amniotic membrane transplantation, and ultimately keratoprosthesis may be indicated depending on the patients’ needs.

  10. Threshold age and burn size associated with poor outcomes in the elderly after burn injury. (United States)

    Jeschke, Marc G; Pinto, Ruxandra; Costford, Sheila R; Amini-Nik, Saeid


    Elderly burn care represents a vast challenge. The elderly are one of the most susceptible populations to burn injuries, but also one of the fastest growing demographics, indicating a substantial increase in patient numbers in the near future. Despite the need and importance of elderly burn care, survival of elderly burn patients is poor. Additionally, little is known about the responses of elderly patients after burn. One central question that has not been answered is what age defines an elderly patient. The current study was conducted to determine whether there is a cut-off age for elderly burn patients that is correlated with an increased risk for mortality and to determine the burn size in modern burn care that is associated with increased mortality. To answer these questions, we applied appropriate statistical analyses to the Ross Tilley Burn Centre and the Inflammatory and Host Response to Injury databases. We could not find a clear cut-off age that differentiates or predicts between survival and death. Risk of death increased linearly with increasing age. Additionally, we found that the LD50 decreases from 45% total body surface area (TBSA) to 25% TBSA from the age of 55 years to the age of 70 years, indicating that even small burns lead to poor outcome in the elderly. We therefore concluded that age is not an ideal to predictor of burn outcome, but we strongly suggest that burn care providers be aware that if an elderly patient sustains even a 25% TBSA burn, the risk of mortality is 50% despite the implementation of modern protocolized burn care.

  11. [Quantification of crop residue burned areas based on burning indices using Landsat 8 image]. (United States)

    Ma, Jian-hang; Song, Kai-shar; Wen, Zhi-dan; Shao, Tian-tian; Li, Bo-nan; Qi, Cai


    Crop residue burning leads to atmospheric pollution and is an enormous waste of crop residue resource. Crop residue burning can be monitored timely in large regions as the fire points can be recognized through remotely sensed image via thermal infrared bands. However, the area, the detailed distribution pattern and especially the severity of the burning areas cannot be derived only by the thermal remote sensing approach. The burning index, which was calculated with two or more spectral bands at where the burned and unburned areas have distinct spectral characteristics, is widely used in the forest fire investigation. However its potential application for crop residue burning evaluation has not been explored. With two Landsat 8 images that cover a part of the Songnen Plain, three burning indices, i.e., the normalized burned ratio (NBR), the normalized burned ratio incorporating the thermal band (NBRT), and the burned area index (BAI), were used to classify the crop residue burned and unburned areas. The overall classification accuracies were 91.9%, 92.3%, and 87.8%, respectively. The correlation analysis between the indices and the crop residue coverage indicated that the NBR and NBRT were positively correlated with the crop residue coverage (R2 = 0.73 and 0.64, respectively) with linear regression models, while the BAI was exponentially correlated with the crop residue coverage (R2 = 0.68). The results indicated that the use of burning indices in crop residue burning monitoring could quantify crop residue burning severity and provide valuable data for evaluating atmospheric pollution.

  12. Reactive burn models and ignition & growth concept

    Directory of Open Access Journals (Sweden)

    Shaw M.S.


    Full Text Available Plastic-bonded explosives are heterogeneous materials. Experimentally, shock initiation is sensitive to small amounts of porosity, due to the formation of hot spots (small localized regions of high temperature. This leads to the Ignition & Growth concept, introduced by LeeTarver in 1980, as the basis for reactive burn models. A homo- genized burn rate needs to account for three meso-scale physical effects: (i the density of active hot spots or burn centers; (ii the growth of the burn fronts triggered by the burn centers; (iii a geometric factor that accounts for the overlap of deflagration wavelets from adjacent burn centers. These effects can be combined and the burn model defined by specifying the reaction progress variable λ = g(s as a function of a dimensionless reaction length s(t = rbc/ℓbc, rather than by specifying an explicit burn rate. The length scale ℓbc(Ps = [Nbc(Ps]−1/3 is the average distance between burn centers, where Nbc is the number density of burn centers activated by the lead shock. The reaction length rbc(t = ∫t0 D(P(t′dt′ is the distance the burn front propagates from a single burn center, where D(P is the deflagration speed as a function of the local pressure and t is the time since the shock arrival. A key implementation issue is how to determine the lead shock strength in conjunction with a shock capturing scheme. We have developed a robust algorithm for this purpose based on the Hugoniot jump condition for the energy. The algorithm utilizes the time dependence of density, pressure and energy within each cell. The method is independent of the numerical dissipation used for shock capturing. It is local and can be used in one or more space dimensions. The burn model has a small number of parameters which can be calibrated to fit velocity gauge data from shock initiation experiments.

  13. Pediatric burn wound impetigo after grafting. (United States)

    Aikins, Kimberly; Prasad, Narayan; Menon, Seema; Harvey, John G; Holland, Andrew J A


    Modern burn care techniques have reduced the risk of infection of the acute burn wound, resulting in more rapid healing and a lower incidence of graft loss. Secondary breakdown may still occur. The loss of epithelium in association with multifocal superficial abscesses and ulceration has been termed burns impetigo. This may result in considerable morbidity and require prolonged treatment. The events preceding development, the impact on the patient, and the ideal treatment appear unclear and poorly reported. In 5 years, between 2006 and 2011, 406 pediatric burns were treated with skin grafts, with 7% developing burns impetigo. Time to resolution ranged from 5 to 241 days: the mean time to complete healing was greatest with conservative management (96 days), followed by antibacterial dressings (37 days), oral antibiotics (36 days), topical steroids (16 days), and oral antibiotics in combination with topical steroids (13.5 days). Burns impetigo resulted in significant morbidity, requiring multiple visits to the treatment center and prolonged symptoms. Delay in diagnosis and treatment resulted in worse outcomes. Prompt consideration of burns impetigo should occur when postgraft patients present with suggestive clinical signs and treatment with oral antibiotics plus topical steroids should be considered.

  14. Burning characteristics of microcellular combustible objects

    Directory of Open Access Journals (Sweden)

    Wei-tao Yang


    Full Text Available Microcellular combustible objects for application of combustible case, caseless ammunition or combustible detonator-holding tubes are fabricated through one-step foaming process, in which supercritical CO2 is used as foaming agent. The formulations consist of inert polymer binder and ultra fine RDX. For the inner porous structures of microcellular combustible objects, the cell sizes present a unimodal or bimodal distribution by adjusting the foaming conditions. Closed bomb test is to investigate the influence of both porous structure style and RDX content on burning behavior. The sample with bimodal distribution of cell sizes burns faster than that with unimodal distribution, and the concentration of RDX can influence the burning characteristics in a positive manner. In addition, the translation of laminar burning to convective burning is determined by burning rate versus pressure curves of samples at two different loading densities, and the resulting transition pressure is 30 MPa. Moreover, the samples with bigger sample size present higher burning rate, resulting in providing deeper convective depth. Dynamic vivacity of samples is also studied. The results show that the vivacity increases with RDX content and varies with inner structure.

  15. Infections in critically ill burn patients. (United States)

    Hidalgo, F; Mas, D; Rubio, M; Garcia-Hierro, P


    Severe burn patients are one subset of critically patients in which the burn injury increases the risk of infection, systemic inflammatory response and sepsis. The infections are usually related to devices and to the burn wound. Most infections, as in other critically ill patients, are preceded by colonization of the digestive tract and the preventative measures include selective digestive decontamination and hygienic measures. Early excision of deep burn wound and appropriate use of topical antimicrobials and dressings are considered of paramount importance in the treatment of burns. Severe burn patients usually have some level of systemic inflammation. The difficulty to differentiate inflammation from sepsis is relevant since therapy differs between patients with and those without sepsis. The delay in prescribing antimicrobials increases morbidity and mortality. Moreover, the widespread use of antibiotics for all such patients is likely to increase antibiotic resistance, and costs. Unfortunately the clinical usefulness of biomarkers for differential diagnosis between inflammation and sepsis has not been yet properly evaluated. Severe burn injury induces physiological response that significantly alters drug pharmacokinetics and pharmacodynamics. These alterations impact antimicrobials distribution and excretion. Nevertheless the current available literature shows that there is a paucity of information to support routine dose recommendations.

  16. Ultrasound assessed thickness of burn scars in association with laser Doppler imaging determined depth of burns in paediatric patients. (United States)

    Wang, Xue-Qing; Mill, Julie; Kravchuk, Olena; Kimble, Roy M


    This study describes the ultrasound assessment of burn scars in paediatric patients and the association of these scar thickness with laser Doppler imaging (LDI) determined burn depth. A total of 60 ultrasound scar assessments were conducted on 33 scars from 21 paediatric burn patients at 3, 6 and 9 months after-burn. The mean of peak scar thickness was 0.39±0.032 cm, with the thickest at 6 months (0.40±0.036 cm). There were 17 scald burn scars (0.34±0.045 cm), 4 contact burn scars (0.61±0.092 cm), and 10 flame burn scars (0.42±0.058 cm). Each group of scars followed normal distributions. Twenty-three scars had original burns successfully scanned by LDI and various depths of burns were presented by different colours according to blood perfusion units (PU), with dark blue burns, with the thinnest scars for green coloured burns and the thickest for dark blue coloured burns. Within light blue burns, grafted burns healed with significantly thinner scars than non-grafted burns. This study indicates that LDI can be used for predicting the risk of hypertrophic scarring and for guiding burn care. To our knowledge, this is the first study to correlate the thickness of burns scars by ultrasound scan with burn depth determined by LDI.

  17. Burn care professionals' attitudes and practices regarding discussions of sexuality and intimacy with adult burn survivors. (United States)

    Rimmer, Ruth Brubaker; Rutter, Cindy E; Lessard, Collette R; Pressman, Melissa Singer; Jost, Janet Cusick; Bosch, James; Foster, Kevin N; Caruso, Daniel M


    Burn injury survival means coping with more than just the physical changes and disabilities often encountered after burn injury. Overall quality of life is important, and issues such as sexuality and intimacy are significant facets of quality of life. A literature review revealed limited research regarding current burn center practices related to sexuality and intimacy concerns of burn survivors and their partners. A 28-item survey, designed by seasoned burn care professionals and survivors, was distributed to burn care practitioners attending general sessions at several burn conferences in the United States. Seventy-one (86%) of the invited respondents completed the survey, with nursing representing the majority (63%). Mean tenure working in burn care was 10 years. Mean age of respondents was 40.5 years, with 75% being female and 25% male. Nearly half (47%) reported that specific staff was not designated to discuss sexuality and intimacy with survivors in their center. Sixty-two percent reported that special training regarding sexuality and intimacy was not available at their burn center. Only 14% of respondents indicated that they were "very comfortable" initiating conversation regarding these topics. Fifty-five percent said they were only likely to discuss sexuality and intimacy if the patient/partner initiated the discussion; however, 95% agreed that the patient should not have this responsibility. Although results represent findings from only 37 burn centers, the issues of sexuality and intimacy are not being effectively addressed in the participating centers. Designated staff to provide education is lacking, and there is limited comfort on the part of health care providers in initiating such conversations. These factors seem to often prevent burn care professionals from adequately addressing burn survivor's sexuality and intimacy needs and establish the need for further development of training and educational materials specific to sexuality, intimacy, and

  18. Burning of droplets and particles of explosives

    Energy Technology Data Exchange (ETDEWEB)

    Kondrikov, B.N. [Mendeleev University of Chemical Technology, Moscow (Russian Federation)


    Small droplets of organic diazides investigated by C.K. Law and coworkers burn in hot gas at 1 atm with rates inversely proportional to the droplet diameter presumably owing to leading chemical reaction proceeds in gas phase. These burning rates are obviously much lower than those obtained by extrapolation of the results measured for the some substances in glass tubes (at pressure of about 10{sup -2}-10{sup -1} atm, and temperature 0-100 deg C) on the burning conditions of the droplets. Kinetic constants estimated using Zel`dovich equation for the burning rate in gas phase and Semenov relation for delay time of the droplets micro-explosion in liquid phase are about the same: E {approx_equal} 0.17 MJ/mol, log{sub 10}k{sub o} {approx_equal} 15(S{sup -1}). In both of the cases the leading chemical reaction is supposed to be of the first order. Landau instability is assumed to be reflected in distortion of the droplets at burning but, as opposed to the liquids pools or columns burning, it is not followed by the burning rate augmentation or (as it is observed sometimes) by the combustion extinguishment. Simple dependence of burning rate of droplets of diazides of the row of normal alkanes on their enthalpy of formation is obtained. Burning rate of ball-shaped particles of polyvinyl-nitrate estimated by A. Merzhanov and collaborators is about the same as measured by the data E.I. Maximov, the member of the same team, for PVN strands, at extrapolation of his results on the suggested preheating temperature of the particle. Probably it is a result of the leading chemical reaction proceeding in condensed phase. (author) 10 refs.

  19. Childhood burns in south eastern Nigeria

    Directory of Open Access Journals (Sweden)

    Okoro Philemon


    Full Text Available Background: Burns injuries are recognized as a major health problem worldwide. In children and, particularly, in our environment where poverty, ignorance and disease are still high, they constitute significant morbidity and mortality. Previous studies on this topic in parts of Nigeria either lumped adults and children together or were retrospective. We, therefore, prospectively studied the current trends in burns in children. Patients and Methods: This prospective study of burns spanned over a period of 18 months (June 2006-December 2007 at the Paediatric Surgery Units of the Imo State University Teaching Hospital, Orlu, and the Federal Medical Centre, Owerri, Imo State. Data were collected and analysed for age, sex, cause/type of burn, place of burn, presence or absence of adult/s, initial prehospital intervention, interval between injury and presentation, surface area and depth of burn and treatment and outcome. Results: Fifty-three patients were studied, 31 (58.4% were male and 22 (41.6% were female (M:F = 1.4:1. Patients mostly affected were aged 2 years and below. The most common cause of burns was hot water in 31 (58.5% patients. The vast majority of these injuries happened in a domestic environment (92.5% and in the presence of competent adult/s (88.7%. Outcome of treatment was good: there were two (3.8% deaths and 46 (86% patients had complete recovery. Conclusion: Burns is still a major health problem among children in south eastern Nigeria. Fortunately, outcome of appropriate treatment is good. However, we think that poor safety consciousness among parents is a major predisposing factor. Public enlightenment on measures to ensure safe home environment may be necessary to avoid or limit childhood burns.

  20. The Application of Erosive Burning to Propellant Charge Interior Ballistics

    Institute of Scientific and Technical Information of China (English)

    ZHANG Hong-lin


    Erosive burning is a common burning phenomenon of the gunpowder with inner holes. The actual combustion law of the gunpowder with inner holes can be changed by erosive burning. Pressure difference between the inner and the outer of hole caused by loading density variation of the propellant charge makes erosive burning occur at inner holes during in-bore burning. The effect of erosive burning on burning speed of the propellant is studied by using the effects of flow rate, heat transfer and erosion of the combustion gas in inner holes on burning rate. The mathematic model of erosive burning of the propellant is established. The effects of the factors such as loading density, inner hole size and grain length on erosive burning and interior ballistic performance are analyzed .The method to improve the bore pressure for small charge mass and small firing range by erosive burning is proposed.

  1. Burn Injury Caused by Laptop Computers


    Sharma, G


    Laptop burn is a real condition and medical reports indicate that using a laptop across the legs can indeed cause it. in very rare cases, the condition can cause damage leading to skin cancer. A 24-year-old man presented with an asymptomatic reddish brown pigmentation on the thighs. After an extensive work-up, burning caused by use of a laptop was observed. Burning was induced in 3 days by using laptop for 4 h daily. Laptop should be used in properly ventilated and air-conditioned rooms. The ...

  2. The initial management of acute burns. (United States)

    Treharne, L J; Kay, A R


    The initial management of burns, in common with all trauma, follows the ABCDE approach. The outline management plan detailed above assumes the availability of certain medical supplies but even simple measures are invaluable in burn care if they are all that are available. The most basic supplies required to resuscitate a casualty are oral salt and water in appropriate volumes. Similarly it should be possible in field conditions to monitor vital signs and urine output, dress the burns with clingfilm or plastic bags and wrap the casualty in absorbent materials.

  3. Ciguatera neurotoxin poisoning mimicking burning mouth syndrome. (United States)

    Heir, Gary M


    Burning mouth syndrome is a condition in which the patient perceives a sensation of intraoral burning, typically of the anterior tongue. This article presents a case report of a patient presenting for orofacial pain evaluation in whom ciguatera neurotoxin poisoning is diagnosed. The clinician should be aware of neurotoxin poisoning as a possible cause of symptoms of burning mouth, especially among patients who have recently traveled to a tropical area. Recognition of this condition in this case highlights the need for a detailed and accurate patient history.

  4. Monitor For Electrical-Discharge Machining (United States)

    Burley, Richard K.


    Circuit monitors electrical-discharge-machining (EDM) process to detect and prevent abnormal arcing, which can produce unacceptable "burn" marks on workpiece. When voltage between EDM electrode and workpiece behaves in manner indicative of abnormal arcing, relay made to switch off EDM power, which remains off until operator attends to EDM setup and resets monitor.

  5. Sediment availability on burned hillslopes (United States)

    Nyman, Petter; Sheridan, Gary J.; Moody, John A.; Smith, Hugh G.; Noske, Philip J.; Lane, Patrick N. J.


    describes the inherent resistance of soil to erosion. Hillslope erosion models typically consider erodibility to be constant with depth. This may not be the case after wildfire because erodibility is partly determined by the availability of noncohesive soil and ash at the surface. This study quantifies erodibility of burned soils using methods that explicitly capture variations in soil properties with depth. Flume experiments on intact cores from three sites in western United States showed that erodibility of fire-affected soil was highest at the soil surface and declined exponentially within the top 20 mm of the soil profile, with root density and soil depth accounting for 62% of the variation. Variation in erodibility with depth resulted in transient sediment flux during erosion experiments on bounded field plots. Material that contributed to transient flux was conceptualized as a layer of noncohesive material of variable depth (dnc). This depth was related to shear strength measurements and sampled spatially to obtain the probability distribution of noncohesive material as a function of depth below the surface. After wildfire in southeast Australia, the initial dnc ranged from 7.5 to 9.1 mm, which equated to 97-117 Mg ha-1 of noncohesive material. The depth decreased exponentially with time since wildfire to 0.4 mm (or < 5 Mg ha-1) after 3 years of recovery. The results are organized into a framework for modeling fire effects on erodibility as a function of the production and depletion of the noncohesive layer overlying a cohesive layer.

  6. TIGER Burned Brightly in JAMIC (United States)

    Olson, Sandra L.; Kashiwagi, Takashi


    The Transition From Ignition to Flame Growth Under External Radiation in 3D (TIGER- 3D) experiment, which is slated to fly aboard the International Space Station, conducted a series of highly successful tests in collaboration with the University of Hokkaido using Japan's 10-sec JAMIC drop tower. The tests were conducted to test engineering versions of advanced flight diagnostics such as an infrared camera for detailed surface temperature measurements and an infrared spectroscopic array for gas-phase species concentrations and temperatures based on detailed spectral emissions in the near infrared. Shown in the top figure is a visible light image and in the bottom figure is an infrared image at 3.8 mm obtained during the microgravity tests. The images show flames burning across cellulose samples against a slow wind of a few centimeters per second (wind is from right to left). These flow velocities are typical of spacecraft ventilation systems that provide fresh air for the astronauts. The samples are ignited across the center with a hot wire, and the flame is allowed to spread upwind and/or downwind. As these images show, the flames prefer to spread upwind, into the fresh air, which is the exact opposite of flames on Earth, which spread much faster downwind, or with the airflow, as in forest fires.

  7. Electricity Customers (United States)

    This page discusses key sectors and how they use electricity. Residential, commercial, and industrial customers each account for roughly one-third of the nation’s electricity use. The transportation sector also accounts for a small fraction of electricity.

  8. Theory and Observations of Plasma Waves Excited Space Shuttle OMS Burns in the Ionosphere (United States)

    Bernhardt, P. A.; Pfaff, R. F.; Schuck, P. W.; Hunton, D. E.; Hairston, M. R.


    Measurements of artificial plasma turbulence were obtained during two Shuttle Exhaust Ionospheric Turbulence Experiments (SEITE) conducted during the flights of the Space Shuttle (STS-127 and STS-129). Based on computer modeling at the NRL PPD and Laboratory for Computational Physics & Fluid Dynamics (LCP), two dedicated burns of the Space Shuttle Orbital Maneuver Subsystem (OMS) engines were scheduled to produce 200 to 240 kg exhaust clouds that passed over the Air Force Research Laboratory (AFRL) Communications, Navigation, and Outage Forecast System (C/NOFS) satellite. This operation required the coordination by the DoD Space Test Program (STP), the NASA Flight Dynamics Officer (FDO), the C/NOFS payload operations, and the C/NOFS instrument principal investigators. The first SEITE mission used exhaust from a 12 Second OMS burn to deposit 1 Giga-Joules of energy into the upper atmosphere at a range of 230 km from C/NOFS. The burn was timed so C/NOFS could fly though the center of the exhaust cloud at a range of 87 km above the orbit of the Space Shuttle. The first SEITE experiment is important because is provided plume detection by ionospheric plasma and electric field probes for direct sampling of irregularities that can scatter radar signals. Three types of waves were detected by C/NOFS during and after the first SEITE burn. With the ignition and termination of the pair of OMS engines, whistler mode signals were recorded at C/NOFS. Six seconds after ignition, a large amplitude electromagnetic pulse reached the satellite. This has been identified as a fast magnetosonic wave propagating across magnetic field lines to reach the electric field (VEFI) sensors on the satellite. Thirty seconds after the burn, the exhaust cloud reach C/NOFS and engulfed the satellite providing very strong electric field turbulence along with enhancements in electron and ion densities. Kinetic modeling has been used to track the electric field turbulence to an unstable velocity

  9. Children with burn injuries-assessment of trauma, neglect, violence and abuse

    Directory of Open Access Journals (Sweden)

    Antoinette Runge


    Full Text Available Burns are an important cause of injury to young children, being the third most frequent cause of injury resulting in death behind motor vehicle accidents and drowning. Burn injuries account for the greatest length of stay of all hospital admissions for injuries and costs associated with care are substantial. The majority of burn injuries in children are scald injuries resulting from hot liquids, occurring most commonly in children aged 0-4 years. Other types of burns include electrical, chemical and intentional injury. Mechanisms of injury are often unique to children and involve exploratory behavior without the requisite comprehension of the dangers in their environment. Assessment of the burnt child includes airway, breathing and circulation stabilization, followed by assessment of the extent of the burn and head to toe examination. The standard rule of 9s for estimating total body surface area (TBSA of the burn is inaccurate for the pediatric population and modifications include utilizing the Lund and Browder chart, or the child’s palm to represent 1% TBSA. Further monitoring may include cardiac assessment, indwelling catheter insertion and evaluation of inhalation injury with or without intubation depending on the context of the injury. Risk factors and features of intentional injury should be known and sought and vital clues can be found in the history, physical examination and common patterns of presentation. Contemporary burn management is underscored by several decades of advancing medical and surgical care however, common to all injuries, it is in the area of prevention that the greatest potential to reduce the burden of these devastating occurrences exists.

  10. The effect of levamisole on mortality rate among patients with severe burn injuries

    Directory of Open Access Journals (Sweden)

    Mohammad Javad Fatemi


    Full Text Available Background: Burn injuries are one of the main causes of mortality and morbidity throughout the world and burn patients have higher chances for infection due to their decreased immune resistance. Levamisole, as an immunomodulation agent, stimulates the immune response against infection. Materials and Methods: This randomized clinical trial was conducted in Motahari Burn Center, Tehran, Iran. Patients who had second- or third-degree burn with involvement of more than 50% of total body surface area (TBSA were studied. The levamisole group received levamisole tablet, 100 mg per day. Meantime, both the levamisole and control groups received the standard therapy of the Burn Center, based on a standard protocol. Then, the outcome of the patients was evaluated. Results: 237 patients entered the study. After excluding 42 patients with inhalation injury, electrical and chemical burns, and the patients who died in the first 72 h, 195 patients remained in the study, including 110 patients in the control group and 85 in the treatment group. The mean age of all patients (between 13 to 64 years was 33.29 ± 11.39 years (Mean ± SD, and it was 33.86 ± 11.45 years in the control group and 32.57 ± 11.32 years in the treatment group. The mean percentage of TBSA burn was 64.50 ± 14.34 and 68.58 ± 14.55 for the levamisole and control groups, respectively, with the range of 50-100% and 50-95% TBSA. The mortality rate was 68 (61.8% patients in the control group and 50 (58.8% patients in the treatment group (P = 0.8. Conclusion: According to this study, there was no significant relationship between improvement of mortality and levamisole consumption.

  11. The effect of levamisole on mortality rate among patients with severe burn injuries (United States)

    Fatemi, Mohammad Javad; Salehi, Hamid; Akbari, Hossein; Alinejad, Faranak; Saberi, Mohsen; Mousavi, Seyed Jaber; Soltani, Majid; Taghavi, Shahrzad; Payandan, Hossein


    Background: Burn injuries are one of the main causes of mortality and morbidity throughout the world and burn patients have higher chances for infection due to their decreased immune resistance. Levamisole, as an immunomodulation agent, stimulates the immune response against infection. Materials and Methods: This randomized clinical trial was conducted in Motahari Burn Center, Tehran, Iran. Patients who had second- or third-degree burn with involvement of more than 50% of total body surface area (TBSA) were studied. The levamisole group received levamisole tablet, 100 mg per day. Meantime, both the levamisole and control groups received the standard therapy of the Burn Center, based on a standard protocol. Then, the outcome of the patients was evaluated. Results: 237 patients entered the study. After excluding 42 patients with inhalation injury, electrical and chemical burns, and the patients who died in the first 72 h, 195 patients remained in the study, including 110 patients in the control group and 85 in the treatment group. The mean age of all patients (between 13 to 64 years) was 33.29 ± 11.39 years (Mean ± SD), and it was 33.86 ± 11.45 years in the control group and 32.57 ± 11.32 years in the treatment group. The mean percentage of TBSA burn was 64.50 ± 14.34 and 68.58 ± 14.55 for the levamisole and control groups, respectively, with the range of 50-100% and 50-95% TBSA. The mortality rate was 68 (61.8%) patients in the control group and 50 (58.8%) patients in the treatment group (P = 0.8). Conclusion: According to this study, there was no significant relationship between improvement of mortality and levamisole consumption. PMID:24381625

  12. Characteristics of burn deaths from 2003 to 2009 in a burn center: A retrospective study

    Directory of Open Access Journals (Sweden)

    Jian Chen


    Full Text Available Mortality remains one of the most important end-point quality control parameters to evaluate a burn care system. We retrospectively reviewed the characteristics and multiple organ dysfunction syndrome (MODS patterns of burn deaths in our center from January 2003 to December 2009. The mortality rate during this time period was 2.3%. Fifty-six patients died, including 49 males and 7 females. The mean survival time was 28.45 ± 24.60 days. The burn percentage was (76.70 ± 26.86 % total burn surface area (TBSA, with (27.74 ± 24.95 % deep-partial thickness burns and (46.88 ± 33.84 % full-thickness burns. Inhalation injury was diagnosed in 36 (64.29% patients. Patients who had undergone an operation, particularly in the first week post-burn, had a significantly longer survival time. An average of 5.50 ± 1.35 malfunctioning organs per patient and a mean sequential organ failure assessment (SOFA score of 13.91 ± 3.65 were observed. The most frequently malfunctioning organs were involved in the respiratory, hematologic, circulatory, and central nervous systems. Most of the organ damage occurred during the first week post-burn, followed by 4 weeks later, with relatively less organ damage observed in the third week. Among patients with a TBSA over 50%, non-survivors had larger burn sizes (particularly larger full-thickness burns and a higher incidence of inhalation injury compared with survivors; non-survivors were also more likely to have microorganism-positive blood and sputum cultures. In conclusion, burn deaths are related to a higher burn percentage, inhalation injury, MODS, and infection. Early operation may help improve survival duration.

  13. On burning a lump of coal (United States)

    Alonso-Serrano, Ana; Visser, Matt


    Burning something, (e.g. the proverbial lump of coal, or an encyclopaedia for that matter), in a blackbody furnace leads to an approximately Planck emission spectrum with an average entropy/information transfer of approximately 3.9 ± 2.5 bits per emitted photon. This quantitative and qualitative result depends only on the underlying unitarity of the quantum physics of burning, combined with the statistical mechanics of blackbody radiation. The fact that the utterly standard and unitarity preserving process of burning something (in fact, burning anything) nevertheless has an associated entropy/information budget, and the quantitative size of that entropy/information budget, is a severely under-appreciated feature of standard quantum statistical physics.

  14. On burning a lump of coal

    CERN Document Server

    Alonso-Serrano, Ana


    Burning something, (e.g. the proverbial lump of coal, or an encyclopaedia for that matter), in a blackbody furnace leads to an approximately Planck emission spectrum with an average entropy/information transfer of approximately $3.9 \\pm 2.5$ bits per emitted photon. This quantitative and qualitative result depends only on the underlying unitarity of the quantum physics of burning, combined with the statistical mechanics of blackbody radiation. The fact that the utterly standard and unitarity preserving process of burning something (in fact, burning anything) nevertheless *has* an associated entropy/information budget, and the quantitative *size* of that entropy/information budget, is a severely under-appreciated feature of standard quantum statistical physics.

  15. Radioactivity released from burning gas lantern mantles. (United States)

    Luetzelschwab, J W; Googins, S W


    Gas lantern mantles contain thorium to produce incandescence when lantern fuel is burned on the mantle. Although only thorium is initially present on the mantle, the thorium daughters build up, some over a period of weeks and some over a period of years, and significant quantities of these daughters are present when the mantle is used. Some of these daughters are released when the lantern fuel is burned on the mantle. The amounts of radioactivity released during burning is studied by measuring the gamma radiation emitted by the daughters. Results of this study show that some of the radium (224Ra and 228Ra) and more than half the 212Pb and 212Bi is released during the first hour of a burn. The actual amounts release depend on the age of the mantle.

  16. Prescribed Burn Cycles 4-yr Rotation (United States)

    US Fish and Wildlife Service, Department of the Interior — This document contains a map and a table showing the number of acres and locations of planned burns and wildfires on St. Vincent National Wildlife Refuge between...

  17. Erosive Burning Study Utilizing Ultrasonic Measurement Techniques (United States)

    Furfaro, James A.


    A 6-segment subscale motor was developed to generate a range of internal environments from which multiple propellants could be characterized for erosive burning. The motor test bed was designed to provide a high Mach number, high mass flux environment. Propellant regression rates were monitored for each segment utilizing ultrasonic measurement techniques. These data were obtained for three propellants RSRM, ETM- 03, and Castor@ IVA, which span two propellant types, PBAN (polybutadiene acrylonitrile) and HTPB (hydroxyl terminated polybutadiene). The characterization of these propellants indicates a remarkably similar erosive burning response to the induced flow environment. Propellant burnrates for each type had a conventional response with respect to pressure up to a bulk flow velocity threshold. Each propellant, however, had a unique threshold at which it would experience an increase in observed propellant burn rate. Above the observed threshold each propellant again demonstrated a similar enhanced burn rate response corresponding to the local flow environment.

  18. Burned Microporous Alumina-Graphite Brick

    Institute of Scientific and Technical Information of China (English)


    @@ 1 Scope This standard specifies the definition,classifica-tion,technical requirements,test methods,inspection rules,marking,packing,transportation and quality certificate of burned microporous alumina-graphite brick.

  19. Clay Improvement with Burned Olive Waste Ash

    Directory of Open Access Journals (Sweden)

    Utkan Mutman


    Full Text Available Olive oil is concentrated in the Mediterranean basin countries. Since the olive oil industries are incriminated for a high quantity of pollution, it has become imperative to solve this problem by developing optimized systems for the treatment of olive oil wastes. This study proposes a solution to the problem. Burned olive waste ash is evaluated for using it as clay stabilizer. In a laboratory, bentonite clay is used to improve olive waste ash. Before the laboratory, the olive waste is burned at 550°C in the high temperature oven. The burned olive waste ash was added to bentonite clay with increasing 1% by weight from 1% to 10%. The study consisted of the following tests on samples treated with burned olive waste ash: Atterberg Limits, Standard Proctor Density, and Unconfined Compressive Strength Tests. The test results show promise for this material to be used as stabilizer and to solve many of the problems associated with its accumulation.

  20. Burns - Multiple Languages: MedlinePlus (United States)

    ... Translations Korean (한국어) Burn Care 화상 관리 - 한국어 ... Characters not displaying correctly on this page? See language display issues . Return to the MedlinePlus Health Information ...

  1. Experimental study on flowing burning behaviors of a pool fire with dripping of melted thermoplastics. (United States)

    Xie, Qiyuan; Tu, Ran; Wang, Nan; Ma, Xin; Jiang, Xi


    The objective of this work is to quantitatively investigate the dripping-burning and flowing fire of thermoplastics. A new experimental setup is developed with a heating vessel and a T-trough. Hot thermoplastic liquids are generated in the vessel by electric heating. N2 gas is continuously injected into the vessel to avoid a sudden ignition of fuel in it. The detailed flowing burning behaviors of pool fire in the T-trough are analyzed through the measurements of the mass, heat flux and temperatures etc. The experimental results suggest that a continuous dripping of melted thermoplastic liquids in a nearly constant mass rate can be successfully made in the new setup. It also shows that the mass dripping rate of melted PS liquid is smaller than PP and PE since its large viscosity. In addition, the flame spread velocities of hot liquids of PS in the T-trough are also smaller than that of PP and PE because of its large viscosity. The mass burning rate of the PP and PE pool fire in T-trough are smaller than PS. Finally, considering the heating, melting, dripping and flowing burning behaviors of these polymers, it is suggested that the fire hazard of PE and PP are obviously higher than PS for their faster flowing burning.

  2. Early Sequential Excision of Chemical Burns - our Experience in Riyadh Burns Unit


    Bhat, F.A.


    This paper reports on the treatment of chemical burns in a burns unit in Saudi Arabia in the 10-yr period 1993 to 2003. In 1993, in line with new approaches, the protocol for treating deep chemical burns in the first 48 h was modified to employ sequential excision followed by a second-look approach after 24 h, at which stage autografts/homografts were effected, depending upon the extent of the burn and having ascertained that the wound was bleeding and that there was no necrotic tissue. Resul...

  3. Epidemiology and screening of intentional burns in children in a Dutch burn centre. (United States)

    Bousema, Sara; Stas, Helene G; van de Merwe, Marjolijn H; Oen, Irma M M H; Baartmans, Martin G A; van Baar, Margriet E


    International estimates of the incidence of non-accidental burns (NAB) in children admitted to burn centres vary from 1% to 25%. Hardly any data about Dutch figures exist. The aim of this study was to evaluate the incidence, treatment and outcome of burns due to suspected child abuse in paediatric burns. We described the process of care and outcome, including the accuracy of the SPUTOVAMO screening tool and examined child, burn and treatment characteristics related to suspicions of child abuse or neglect. A retrospective study was conducted in children aged 0-17 years with a primary admission after burn injuries to the burn centre Rotterdam in the period 2009-2013. Data on patient, injury and treatment characteristics were collected, using the Dutch Burn Repository R3. In addition, medical records were reviewed. In 498 paediatric admissions, suspected child abuse or neglect was present in 43 children (9%). 442 screening questionnaires (89%) were completed. In 52 out of 442 questionnaires (12%) the completed SPUTOVAMO had one or more positive signs. Significant independent predictors for suspected child abuse were burns in the genital area or buttocks (OR=3.29; CI: 143-7.55) and a low socio-economic status (OR=2.52; 95%CI: 1.30-4.90). The incidence of suspected child abuse indicating generation of additional support in our population is comparable to studies with a similar design in other countries.

  4. [Treatment of pain in children burns]. (United States)

    Latarjet, J; Pommier, C; Robert, A; Comparin, J P; Foyatier, J L


    Burn injury is considered by children as one of the most painful traumas (just after bone factures). Burn pain in children can and must be controlled as well as for adult patients, with almost identical techniques. Continuous pain from injury and intermittent pain caused by therapeutic procedures must be evaluated and treated separately. Due to very high levels of nociception, satisfactory management of procedural pain requires the use of opioid therapy. Non pharmacological methods are meaningless if pharmacological treatment is not optimal.

  5. Stability of Rocket Flight during Burning

    Directory of Open Access Journals (Sweden)

    T. N. Srivastava


    Full Text Available Stability of the rocket motion during burning is discussed taking into consideration gravity, aerodynamic forces and torques. Conditions for stabilizing the rocket motion are investigated. Analysis for initial and final phases of burning is given separately. Stability regions of the projected motions on two dimensional co-ordinate planes are obtained and thereby stability region of the actual motion is derived. Stability diagrams illustrate statically and dynamically stable and unstable regions.

  6. Segmentation and Classification of Burn Color Images (United States)


    2Grupo de Ingeniería Biomédica. Escuela Superior de Ingenieros. Universidad de Sevilla. Spain. e-mail:, aim of the algorithm described in this paper is to separate burned skin from normal skin in burn color images and to classify them...Segmentation Results To perform the segmentation, a previous characterization of the hue and saturation component histograms for both normal and burnt skin

  7. Disseminated intravascular coagulation in burn injury. (United States)

    Lippi, Giuseppe; Ippolito, Luigi; Cervellin, Gianfranco


    Disseminated intravascular coagulation (DIC) is a complex and multifaceted disorder characterized by the activation of coagulation and fibrinolytic pathways, consumption of coagulation factors, and depletion of coagulation regulatory proteins. The introduction into the circulation of cellular debris characterized by strong thromboplastic activity due to tissue factor exposition or release (in or from burned tissues), which can thereby activate extrinsic pathway of coagulation system and trigger massive thrombin generation when present in sufficient concentration, represents the most plausible biological explanation to support the development of intravascular coagulation in patients with burn injury. Severe burns left untreated might also lead to an immunological and inflammatory response (activation of the complement cascade), which can amplify fibrinolysis and blood clotting. Overall, the real prevalence of DIC in patients with burns is as yet unclear. Postmortem, retrospective, and even longitudinal investigations are in fact biased by several factors, such as the objective difficulty to establish whether DIC might have occurred as a primary complication of burns or rather as a consequence of other superimposed pathologies (e.g., sepsis, multiple organ failure), the different diagnostic criteria for assessing DIC, and the heterogeneity of the patient samples studied. Nevertheless, the current scientific evidence is consistent with the hypothesis that biochemical changes suggestive for DIC (hypercoagulability, hypo- and hyperfibrinolysis) are commonplace in patients with burn trauma, and their severity increases exponentially with the severity of injury. Overt DIC seems to occur especially in critically ill burn patients or in those with severe burns (up to third degree) and large involvement of body surface area, in whom an appropriate therapy might be effective to prevent the otherwise fulminant course. Although early prophylaxis with antithrombin concentrates

  8. 40 CFR 266.101 - Management prior to burning. (United States)


    ... MANAGEMENT FACILITIES Hazardous Waste Burned in Boilers and Industrial Furnaces § 266.101 Management prior to burning. (a) Generators. Generators of hazardous waste that is burned in a boiler or industrial furnace... burned in a boiler or industrial furnace are subject to part 263 of this chapter. (c) Storage...

  9. 49 CFR 195.226 - Welding: Arc burns. (United States)


    ... 49 Transportation 3 2010-10-01 2010-10-01 false Welding: Arc burns. 195.226 Section 195.226 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY... PIPELINE Construction § 195.226 Welding: Arc burns. (a) Each arc burn must be repaired. (b) An arc burn...

  10. Psychiatric Assessment and Rehabilitation of Burn Patients

    Directory of Open Access Journals (Sweden)

    Süleyman Akarsu


    Full Text Available Objective: Psychiatric rehabilitation has gained significance owing to improved healthcare facilities for burn injuries and decreased mortality/ morbidity rates. Burn traumas may result in psychiatric signs such as denial, anger, guilt, confusion, disgrace, anxiety, distress, and nervousness. Psychiatric disorders such as delirium, depression, anxiety, post-traumatic stress disorder, and sexual problems can also be encountered. Therefore, it is necessary to look for these signs and disorders through regular sessions with burn patients and appropriate psychometric tests. This study aims at examining the process of psychological rehabilitation for burn patients in light of the current literature. Material and Methods: This study has been carried out in the light of the main and current literature review. The study intends to put forth the data observed in the course of the psychological diagnosis, treatment and rehabilitation of burn patients. The study has been conducted in accordance with the Helsinki Declaration Guidelines. Results: Treatment and rehabilitation process requires a multidisciplinary teamwork that consists of physicians, dieticians, psychologists, social service specialists, and other healthcare workers who can meet the needs of burn patients and their families. It is necessary for the team to contribute both to the hospitalization process and the social environment of the patients and their families. Conclusion: It is observed that the quality of life of these patients can be considerably improved with the effective assessment of psychiatric signs that occur during or after the injury and with appropriate treatment methods.

  11. Instrumented tube burns: theoretical and experimental observations

    Energy Technology Data Exchange (ETDEWEB)

    Yarrington, Cole Davis [Los Alamos National Laboratory; Obrey, Stephen J [Los Alamos National Laboratory; Foley, Timothy J [Los Alamos National Laboratory; Son, Steven F [Los Alamos National Laboratory


    The advent of widely available nanoscale energetic composites has resulted in a flurry of novel applications. One of these applications is the use of nanomaterials in energetic compositions. In compositions that exhibit high sensitivity to stimulus, these materials are often termed metastable intermolecular composites (MIC). More generally, these compositions are simply called nanoenergetics. Researchers have used many different experimental techniques to analyze the various properties of nanoenergetic systems. Among these various techniques, the confined tube burn is a simple experiment that is capable of obtaining much data related to the combustion of these materials. The purpose of this report is to review the current state of the confined tube burn experiment, including the drawbacks of the technique and possible remedies. As this report is intended to focus on the specific experimental technique, data from many different energetic materials, and experimental configurations will be presented. The qualitative and quantitative data that can be gathered using confined tube burn experiments include burning rates, total impulse, pressure rise rate, and burning rate differences between different detector types. All of these measurements lend insight into the combustion properties and mechanisms of specific nanoenergetics. Finally, certain data indicates a more complicated flow scenario which may need to be considered when developing burn tube models.

  12. The Correlation Between the Burning Features, the Burning Agent and Motivation in Burn Victims Attending Shahid Motahari Hospital in Tehran During 2009: letter to Editor

    Directory of Open Access Journals (Sweden)

    Kamran Aghakhani M.D.


    Full Text Available Burning is one of the commonest causes of death. Due to the high rate of death among burn victims epidemiological investigation of burning, burning agents and the relevant motivations can be of great preventive value.1 In this cross-sectional study all the hospitalized patients in Shahid Motahari Burn Hospital at Tehran city in the year 2009 were included in the study. The collected data were analyzed by SPSS (ver. 17 software. Out of the 1548 hospitalized patients for burn, 1134 (73.3% left hospital in good conditions, 47 (3% left in relatively good conditions, 289 (18.7% died and 78 (5% persons left the Hospital satisfactorily on their own volition. About two-thirds of the patients were men. The mean age of the burn victims was 27.9±18.3 years, 16% of them being 5 years old or younger. The highest percentage of burn area was 30% of the total body surface which was seen in 20 to 30-year old patients. 58.7% of burns had been caused by fire. 94% of the burns had happened accidentally, 5% by suicidal and 1% by homicidal acts. The highest percentage of burn was observed in patients in whom the burn agent was fire. Six (4% persons had first degree, 820 (53% persons had second degree and 722 (46.6% had third degree burns. In patients who had committed suicide third degree burns were higher than second degree burns (7.7% vs. 2%. 24.4% of women and 16.6% of men died due to the burns. The rate of death in patients less than 50 years of age was 18% but the figure increased to 24% in those above 50. A burn area less than or more than 10% was, respectively correlated with 2.1% and 22.1% of deaths. 34.8% of the patients with third degree burns and 4.6% of those with second and first degree burns died. 58.3% of the suicidal patient died due to the severity of the burns relative to 16.7% due to other causes. 89 (5.7% patients had respiratory tract burns and the death rate was 58.4% among these patients while the death rate was 16.2% in patients without

  13. Orion Burn Management, Nominal and Response to Failures (United States)

    Odegard, Ryan; Goodman, John L.; Barrett, Charles P.; Pohlkamp, Kara; Robinson, Shane


    An approach for managing Orion on-orbit burn execution is described for nominal and failure response scenarios. The burn management strategy for Orion takes into account per-burn variations in targeting, timing, and execution; crew and ground operator intervention and overrides; defined burn failure triggers and responses; and corresponding on-board software sequencing functionality. Burn-to- burn variations are managed through the identification of specific parameters that may be updated for each progressive burn. Failure triggers and automatic responses during the burn timeframe are defined to provide safety for the crew in the case of vehicle failures, along with override capabilities to ensure operational control of the vehicle. On-board sequencing software provides the timeline coordination for performing the required activities related to targeting, burn execution, and responding to burn failures.

  14. Mechanism of Burn Resistance of Alloy Ti40

    Institute of Scientific and Technical Information of China (English)


    The Ti fire found in high performance engines promotes the development of burn resistant Ti alloys. The burn resistant mechanism of Ti40 alloy is investigated. Ti40 alloy reveals good burn resistance. Its interfacial products between burning products and the matrix are tenacious,which retard the diffusion of oxygen into the matrix. Two burn resistant mechanisms, that is, fast scatter dispersion of heat and suppression of oxygen diffusion, are proposed.

  15. Treatment of secondary burn wound progression in contact burns-a systematic review of experimental approaches. (United States)

    Schmauss, Daniel; Rezaeian, Farid; Finck, Tom; Machens, Hans-Guenther; Wettstein, Reto; Harder, Yves


    After a burn injury, superficial partial-thickness burn wounds may progress to deep partial-thickness or full-thickness burn wounds, if kept untreated. This phenomenon is called secondary burn wound progression or conversion. Burn wound depth is an important determinant of patient morbidity and mortality. Therefore, reduction or even the prevention of secondary burn wound progression is one goal of the acute care of burned patients. The objective of this study was to review preclinical approaches evaluating therapies to reduce burn wound progression. A systematic review of experimental approaches in animals that aim at reducing or preventing secondary burn wound progression was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines. The selected references consist of all the peer-reviewed studies performed in vivo in animals and review articles published in English, German, Italian, Spanish, or French language relevant to the topic of secondary burn wound progression. We searched MEDLINE, Cochrane Library, and Google Scholar including all the articles published from the beginning of notations to the present. The search was conducted between May 3, 2012 and December 26, 2013. We included 29 experimental studies in this review, investigating agents that maintain or increase local perfusion conditions, as well as agents that exhibit an anti-coagulatory, an anti-inflammatory, or an anti-apoptotic property. Warm water, simvastatin, EPO, or cerium nitrate may represent particularly promising approaches for the translation into clinical use in the near future. This review demonstrates promising experimental approaches that might reduce secondary burn wound progression. Nevertheless, a translation into clinical application needs to confirm the results compiled in experimental animal studies.

  16. Ceruloplasmin and Hypoferremia: Studies in Burn and Non-Burn Trauma Patients

    Directory of Open Access Journals (Sweden)

    Michael A. Dubick


    Full Text Available Objective: Normal iron handling appears to be disrupted in critically ill patients leading to hypoferremia that may contribute to systemic inflammation. Ceruloplasmin (Cp, an acute phase reactant protein that can convert ferrous iron to its less reactive ferric form facilitating binding to ferritin, has ferroxidase activity that is important to iron handling. Genetic absence of Cp decreases iron export resulting in iron accumulation in many organs. The objective of this study was to characterize iron metabolism and Cp activity in burn and non-burn trauma patients to determine if changes in Cp activity are a potential contributor to the observed hypoferremia. Material and Methods: Under Brooke Army Medical Center Institutional Review Board approved protocols, serum or plasma was collected from burn and non-burn trauma patients on admission to the ICU and at times up to 14 days and measured for indices of iron status, Cp protein and oxidase activity and cytokines. Results: Burn patients showed evidence of anemia and normal or elevated ferritin levels. Plasma Cp oxidase activity in burn and trauma patients were markedly lower than controls on admission and increased to control levels by day 3, particularly in burn patients. Plasma cytokines were elevated throughout the 14 days study along with evidence of an oxidative stress. No significant differences in soluble transferrin receptor were noted among groups on admission, but levels in burn patients were lower than controls for the first 5 days after injury. Conclusion: This study further established the hypoferremia and inflammation associated with burns and trauma. To our knowledge, this is the first study to show an early decrease in Cp oxidase activity in burn and non-burn trauma patients. The results support the hypothesis that transient loss of Cp activity contributes to hypoferremia and inflammation. Further studies are warranted to determine if decreased Cp activity increases the risk of

  17. Beautiful heat: a master chimney sweep talks about burning issues

    Energy Technology Data Exchange (ETDEWEB)

    Hederich, M.P.


    Fire has played a major role in mankind's life from the beginning. Used for heating and cooking, its various uses have evolved to include controlled explosions shortly after the development of gunpowder, and the generation of electricity made other uses possible. The author, a certified solid fuel technician and chimney sweep, as well as a licensed technician for natural gas and propane, has written this book to enable the reader to enjoy safe and dependable wood fires year round by taking the necessary steps. The first recommendation made is against the homeowner installing himself/herself any solid fuel system. It is a job better left to the professionals, considering the substantial product and regulation knowledge and experience required. Specific information related to solid fuel burning technology is included in this book, to be used as a guide. Part 1 of the book deals with the fuel, touching on issues such as energy and the environment, wood combustion and air pollution, buying firewood, wood ashes, cleaning your heating system and others. Part 2 is devoted to the heating system. It introduces topics ranging from the systems advisor to the location and installation of the system, the principles of space heating, high efficiency wood burning, inspections, to name just a few. 22 refs., tabs., figs.

  18. Titanium subhydride potassium perchlorate (TiH1.65/KClO4) burn rates from hybrid closed bomb-strand burner experiments.

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, Marcia A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Oliver, Michael S. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)


    A hybrid closed bomb-strand burner is used to measure the burning behavior of the titanium subhydride potassium perchlorate pyrotechnic with an equivalent hydrogen concentration of 1.65. This experimental facility allows for simultaneous measurement of the closed bomb pressure rise and pyrotechnic burn rate as detected by electrical break wires over a range of pressures. Strands were formed by pressing the pyrotechnic powders to bulk densities between 60% and 90% theoretical maximum density. The burn rate dependance on initial density and vessel pressure are measured. At all initial strand densities, the burn is observed to transition from conductive to convective burning within the strand. The measured vessel pressure history is further analyzed following the closed bomb analysis methods developed for solid propellants.

  19. Honey oil burns: a growing problem. (United States)

    Jensen, Guy; Bertelotti, Robert; Greenhalgh, David; Palmieri, Tina; Maguina, Pirko


    There is an emerging mechanism of burn injury as a result of the ignition of butane, during the manufacture of a tetrahydrocannabinol concentrate known as butane honey oil. The authors report of a series of patients who presented with this mechanism of injury and a description of the process that causes these burns. Patient data were gathered from the medical records of eight patients treated at the University of California Davis Medical Center and Shriners Hospital of Northern California. Information on the manufacturing process of butane honey oil was gathered from Internet searches and published literature on the topic. The burns witnessed at the abovementioned institutions ranged from 16 to 95% TBSA, with an average of 49.9%. The average length of stay for the patients was 118.3 hospital days and 114.4 intensive care unit days, with an average of 43.8 days spent on mechanical ventilation. The average age of patients was 22 years, with only one patient above the age of 30 years. Accidents during honey oil production have resulted in a surge of burn injuries in our community during the past year. The manufacture of this product, which involves the use of volatile butane gas, is gaining in popularity. Although considered to be safer than previous methods, multiple casualties with extensive burn injuries have resulted from this process. Associated injuries from blast trauma or chemical burns are not likely to occur in these types of explosions and have not been observed in the series reported in this article. In light of the increasing popularity of honey oil, it is important for burn care providers to gain awareness and understanding of this problem and its growing presence in the community.

  20. Bilateral Electrical Cataract: A Case Report

    Directory of Open Access Journals (Sweden)

    Selçuk Sızmaz


    Full Text Available To present a rare complication, such as bilateral cataracts, in a man who sustained a high-voltage electrical injury. A 35- year-old man was admitted with a complaint of decrease in visual acuity. He had a history of a contact with a power line carrying 30.000 volts of electricity while working at a construction site. Examination at a burn center revealed second-degree facial, neck and left foot burns. One month later, the patient underwent amputation of fourth and fifth toes of his left foot. During the next 6 months, he noted decreasing vision in both eyes. Ocular examination 1 year after the accident revealed that the patient’s visual acuity had deteriorated to 1/10 in both eyes. The cornea on the left eye showed superficial punctate opacities. The lenses in both eyes had anterior subcapsular cortical lens opacities and posterior subcapsular opacities. Uncomplicated bilateral phacoemulsification surgery with intraocular lens implantation was performed and the patient’s visual acuity returned to 10/10 in both eyes. We noted that the fundus remained normal in both eyes. Electrical cataracts are still a serious potential complication that may occur after electrical injury. Awareness of this by burn team members is important for providing optimal treatment to those who have suffered an electrical injury. (Turk J Ophthalmol 2011; 41: 197-9

  1. High-fidelity plasma codes for burn physics

    Energy Technology Data Exchange (ETDEWEB)

    Cooley, James [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Graziani, Frank [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Marinak, Marty [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Murillo, Michael [Michigan State Univ., East Lansing, MI (United States)


    Accurate predictions of equation of state (EOS), ionic and electronic transport properties are of critical importance for high-energy-density plasma science. Transport coefficients inform radiationhydrodynamic codes and impact diagnostic interpretation, which in turn impacts our understanding of the development of instabilities, the overall energy balance of burning plasmas, and the efficacy of selfheating from charged-particle stopping. Important processes include thermal and electrical conduction, electron-ion coupling, inter-diffusion, ion viscosity, and charged particle stopping. However, uncertainties in these coefficients are not well established. Fundamental plasma science codes, also called high-fidelity plasma codes are a relatively recent computational tool that augments both experimental data and theoretical foundations of transport coefficients. This paper addresses the current status of HFPC codes and their future development, and the potential impact they play in improving the predictive capability of the multi-physics hydrodynamic codes used in HED design.

  2. High-fidelity plasma codes for burn physics

    Energy Technology Data Exchange (ETDEWEB)

    Cooley, James [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Graziani, Frank [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Marinak, Marty [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Murillo, Michael [Michigan State Univ., East Lansing, MI (United States)


    Accurate predictions of equation of state (EOS), ionic and electronic transport properties are of critical importance for high-energy-density plasma science. Transport coefficients inform radiation-hydrodynamic codes and impact diagnostic interpretation, which in turn impacts our understanding of the development of instabilities, the overall energy balance of burning plasmas, and the efficacy of self-heating from charged-particle stopping. Important processes include thermal and electrical conduction, electron-ion coupling, inter-diffusion, ion viscosity, and charged particle stopping. However, uncertainties in these coefficients are not well established. Fundamental plasma science codes, also called high-fidelity plasma codes, are a relatively recent computational tool that augments both experimental data and theoretical foundations of transport coefficients. This paper addresses the current status of HFPC codes and their future development, and the potential impact they play in improving the predictive capability of the multi-physics hydrodynamic codes used in HED design.

  3. Angiogenin expression in burn blister fluid: implications for its role in burn wound neovascularization. (United States)

    Pan, Shin-Chen; Wu, Li-Wha; Chen, Chung-Lin; Shieh, Shyh-Jou; Chiu, Haw-Yen


    Deep partial thickness burn (DPTB) wound fluids have a greater propensity for establishing neovascularization than did superficial partial thickness burn (SPTB) wound fluids in our previous study. To investigate the factors responsible for this activity, cytokine array and enzyme-linked immunosorbent assay were used to perform an expression analysis of angiogenic factors in burn fluid. Although present in approximately equal amounts in both SPTB and DPTB blister fluids from burn patients, angiogenin does appear to be involved in the ability of DPTB blister fluid to promote neovascularization in vitro and in vivo. Angiogenin alone was sufficient to induce endothelial differentiation of circulating angiogenic cells (CAC) without vascular endothelial growth factor A involvement. In addition, angiogenin was positively associated with CAC differentiation in the burn blister fluid. Blocking the effect of angiogenin in burn blister fluids resulted in a significant reduction of endothelial cell proliferation, CAC differentiation, and new blood vessels formation in vivo. Moreover, immunohistochemistry revealed that high angiogenin expression colocalizes with high vascularity in human burn wounds at day 7, further supporting our hypothesis that angiogenin is involved in burn wound neovascularization.

  4. Vaporization order and burning efficiency of crude oils during in-situ burning on water

    DEFF Research Database (Denmark)

    van Gelderen, Laurens; Malmquist, Linus M.V.; Jomaas, Grunde


    of multicomponent fuels. The alkanes were tested as benchmark fuels with a uniform vaporization order, for which all components evaporate simultaneously. As expected, these pure fuels showed a steady state burning with a near-constant surface temperature, flame height and burning rate. The alkane mixture showed...... similar steady state results but became dominated by the heaviest component towards the end of the burning. These results indicate that the lightest components had been depleted from the mixture. A near-uniform vaporization order in which the lighter components evaporate preferably best matched......In order to improve the understanding of the burning efficiency and its observed size dependency of in-situ burning of crude oil on water, the vaporization order of the components in crude oils was studied. The vaporization order of such multicomponent fuels was assessed by studying the surface...

  5. A New Metric for Quantifying Burn Severity: The Relativized Burn Ratio

    Directory of Open Access Journals (Sweden)

    Sean A. Parks


    Full Text Available Satellite-inferred burn severity data have become increasingly popular over the last decade for management and research purposes. These data typically quantify spectral change between pre-and post-fire satellite images (usually Landsat. There is an active debate regarding which of the two main equations, the delta normalized burn ratio (dNBR and its relativized form (RdNBR, is most suitable for quantifying burn severity; each has its critics. In this study, we propose and evaluate a new Landsat-based burn severity metric, the relativized burn ratio (RBR, that provides an alternative to dNBR and RdNBR. For 18 fires in the western US, we compared the performance of RBR to both dNBR and RdNBR by evaluating the agreement of these metrics with field-based burn severity measurements. Specifically, we evaluated (1 the correspondence between each metric and a continuous measure of burn severity (the composite burn index and (2 the overall accuracy of each metric when classifying into discrete burn severity classes (i.e., unchanged, low, moderate, and high. Results indicate that RBR corresponds better to field-based measurements (average R2 among 18 fires = 0.786 than both dNBR (R2 = 0.761 and RdNBR (R2 = 0.766. Furthermore, the overall classification accuracy achieved with RBR (average among 18 fires = 70.5% was higher than both dNBR (68.4% and RdNBR (69.2%. Consequently, we recommend RBR as a robust alternative to both dNBR and RdNBR for measuring and classifying burn severity.

  6. The epidemiology of geriatric burns in Iran: A national burn registry-based study. (United States)

    Emami, Seyed-Abolhassan; Motevalian, Seyed Abbas; Momeni, Mahnoush; Karimi, Hamid


    Defining the epidemiology and outcome of geriatric burn patients is critical for specialized burn centers, health-care workers, and governments. Better resource use and effective guidelines are some of the advantages of studies focusing on this aspect. The outcome of these patients serves as an objective criterion for quality control, research, and preventive programs. We used data from the burn registry program in our country. For 2 years, >28,700 burn patients were recorded, 1721 of whom were admitted. Among them, 187 patients were ≥55 years old. Sixty-nine percent of patients were male and 31% female, with a male to female ratio of 2.22:1. The mean±standard deviation (SD) of age was 63.4±8.1. The cause of burns was flame (58.2%) and scalds (20.3%). Most of the burns were sustained at home. The mean duration of hospital stay was 19.5 days (range 3-59 days). The mean (SD) of the total body surface area (TBSA) was 20.3% (8.4%). The median hospital stay (length of stay (LOS)) was 11 days (SD=14). The increase in TBSA was related to a longer LOS (pBurn wound infection developed in 44.3% of patients. The presence of inhalation injury was significantly related to mortality (ppatients, 9% recovered completely, 74.9% recovered partially (requiring further treatment), 1% underwent amputation, and 12.8% died. The lack of insurance coverage did not affect the survival of our geriatric burn patients. However, being alone or single, ignition of clothing, cause of burn, comorbid illnesses, complications following the burn, TBSA, age, and sepsis were positively correlated with mortality. The mean cost of treatment for each patient was about $7450.

  7. Burning characteristics of chemically isolated biomass ingredients

    Energy Technology Data Exchange (ETDEWEB)

    Haykiri-Acma, H.; Yaman, S.; Kucukbayrak, S. [Istanbul Technical University, Chemical and Metallurgical Engineering Faculty, Chemical Engineering Department, 34469 Maslak, Istanbul (Turkey)


    This study was performed to investigate the burning characteristics of isolated fractions of a biomass species. So, woody shells of hazelnut were chemically treated to obtain the fractions of extractives-free bulk, lignin, and holocellulose. Physical characterization of these fractions were determined by SEM technique, and the burning runs were carried out from ambient to 900 C applying thermal analysis techniques of TGA, DTG, DTA, and DSC. The non-isothermal model of Borchardt-Daniels was used to DSC data to find the kinetic parameters. Burning properties of each fraction were compared to those of the raw material to describe their effects on burning, and to interpret the synergistic interactions between the fractions in the raw material. It was found that each of the fractions has its own characteristic physical and thermal features. Some of the characteristic points on the thermograms of the fractions could be followed definitely on those of the raw material, while some of them seriously shifted to other temperatures or disappeared as a result of the co-existence of the ingredients. Also, it is concluded that the presence of hemicellulosics and celluloses makes the burning of lignin easier in the raw material compared to the isolated lignin. The activation energies can be arranged in the order of holocellulose < extractives-free biomass < raw material < lignin. (author)

  8. Ventilator associated pneumonia in major paediatric burns. (United States)

    Rogers, Alan David; Deal, Cailin; Argent, Andrew Charles; Hudson, Donald Anthony; Rode, Heinz


    More than three-quarters of deaths related to major burns are a consequence of infection, which is frequently ventilator associated pneumonia (VAP). A retrospective study was performed, over a five-year period, of ventilated children with major burns. 92 patients were included in the study; their mean age was 3.5 years and their mean total body surface area burn was 30%. 62% of the patients sustained flame burns, and 31% scalds. The mean ICU stay was 10.6 days (range 2-61 days) and the mean ventilation time was 8.4 days (range 2-45 days). There were 59 documented episodes of pneumonia in 52 patients with a rate of 30 infections per 1000 ventilator days. Length of ventilation and the presence of inhalational injury correlate with the incidence of VAP. 17.4% of the patients died (n=16); half of these deaths may be attributed directly to pneumonia. Streptococcus pneumonia, Pseudomonas aeruginosa, Acinetobacter baumanii and Staphylococcus aureus were the most prominent aetiological organisms. Broncho-alveolar lavage was found to be more specific and sensitive at identifying the organism than other methods. This study highlights the importance of implementing strictly enforced strategies for the prevention, detection and management of pneumonia in the presence of major burns.

  9. Increased mortality in hypernatremic burned patients

    Directory of Open Access Journals (Sweden)

    Lange, Thomas


    Full Text Available Introduction: In-hospital hypernatremia develops usually iatrogenically from inadequate or inappropriate fluid prescription. In severely burned patient an extensive initial fluid resuscitation is necessary for burn shock survival. After recovering of cellular integrity the circulating volume has to be normalized. Hereby extensive water and electrolyte shifts can provoke hypernatremia. Purpose: Is a hypernatremic state associated with increased mortality? Method: Retrospective study for the incidence of hypernatremia and survival in 40 patients with a totally burned surface area (TBSA >10%. Age, sex, TBSA, ABSI-Score and fluid resuscitation within the first 24 hours were analyzed. Patients were separated in two groups without (Group A or with (Group B hypernatremia. Results: Hypernatremia occurred on day 5±1.4. No significant difference for age, sex, TBSA, ABSI-Score and fluid resuscitation within the first 24 hours were calculated. In Group A all patients survived, while 3 of the hypernatremic patient in Group B died during ICU-stay (Odds-ratio = 1.25; 95% CI 0.971–1.61; p=0.046. Conclusion: Burned patients with an in-hospital acquired hypernatremia have an increased mortality risk. In case of a hypernatremic state early intervention is obligatory. There is a need of a fluid removal strategy in severely burned patient to avoid water imbalance.

  10. Effects of Oxidizer Particle Size on Composite Solid Propellant Burning: Normal Burning, Plateau Burning and Intermediate Pressure Extinction (United States)


    butadiene Acrylic Acid Propellants 14 10 807 AP + 20% PBAA Data Plotted as (p/r) vs (p2/3) 14 11 DB and CMDB Propellant Data Plotted as (p/r) vs (p2/3...1.2% stabilizer causes a striking differ- ) ence in its burning behavior. This composite-modified double-base ( CMDB ) pro- pellant burns like a normal...dominated by a granular diffusion flame mechanism. It is to be noted that since the binder in a CMDB propellant is itself a monopropellant, there is no

  11. Burn wound: How it differs from other wounds?

    Directory of Open Access Journals (Sweden)

    V K Tiwari


    Full Text Available Management of burn injury has always been the domain of burn specialists. Since ancient time, local and systemic remedies have been advised for burn wound dressing and burn scar prevention. Management of burn wound inflicted by the different physical and chemical agents require different regimes which are poles apart from the regimes used for any of the other traumatic wounds. In extensive burn, because of increased capillary permeability, there is extensive loss of plasma leading to shock while whole blood loss is the cause of shock in other acute wounds. Even though the burn wounds are sterile in the beginning in comparison to most of other wounds, yet, the death in extensive burns is mainly because of wound infection and septicemia, because of the immunocompromised status of the burn patients. Eschar and blister are specific for burn wounds requiring a specific treatment protocol. Antimicrobial creams and other dressing agents used for traumatic wounds are ineffective in deep burns with eschar. The subeschar plane harbours the micro-organisms and many of these agents are not able to penetrate the eschar. Even after complete epithelisation of burn wound, remodelling phase is prolonged. It may take years for scar maturation in burns. This article emphasizes on how the pathophysiology, healing and management of a burn wound is different from that of other wounds.

  12. [Ischemic cholangiopathy induced by extended burns]. (United States)

    Cohen, Laurence; Angot, Emilie; Goria, Odile; Koning, Edith; François, Arnaud; Sabourin, Jean-Christophe


    Ischemic cholangiopathy is a recently described entity occurring mainly after hepatic grafts. Very few cases after intensive care unit (ICU) for extended burn injury were reported. We report the case of a 73-year-old woman consulting in an hepatology unit, for a jaundice appearing during a hospitalisation in an intensive care unit and increasing from her leaving from ICU, where she was treated for an extended burn injury. She had no pre-existing biological features of biliary disease. Biological tests were normal. Magnetic resonance imaging acquisitions of biliary tracts pointed out severe stenosing lesions of diffuse cholangiopathy concerning intrahepatic biliary tract, mainly peri-hilar. Biopsie from the liver confirmed the diagnosis, showing a biliary cirrhosis with bile infarcts. This case is the fourth case of ischemic cholangiopathy after extended burn injury, concerning a patient without a prior history of hepatic or biliary illness and appearing after hospitalisation in intensive care unit.

  13. Severe metabolic acidosis following assault chemical burn. (United States)

    Roock, Sophie D; Deleuze, Jean-Paul; Rose, Thomas; Jennes, Serge; Hantson, Philippe


    Assault chemical burns are uncommon in northern Europe. Besides local toxicity, systemic manifestations are possible after strong acid exposure. A 40-year-old woman was admitted 1 h after a criminal assault with sulfuric acid. The total burned surface area was 35%, third degree. Injury was due to sulfuric acid (measured pH 0.9) obtained from a car battery. Immediate complications were obstructive dyspnea and metabolic acidosis. The admission arterial pH was 6.92, with total bicarbonate 8.6 mEq/l and base deficit 23.4 mEq/l. The correction of metabolic acidosis was achieved after several hours by the administration of bicarbonate and lactate buffers. The patient developed several burns-related complications (sepsis and acute renal failure). Cutaneous projections of strong acids may cause severe metabolic acidosis, particularly when copious irrigation and clothes removal cannot be immediately performed at the scene.

  14. Severe metabolic acidosis following assault chemical burn

    Directory of Open Access Journals (Sweden)

    Sophie De Roock


    Full Text Available Assault chemical burns are uncommon in northern Europe. Besides local toxicity, systemic manifestations are possible after strong acid exposure. A 40-year-old woman was admitted 1 h after a criminal assault with sulfuric acid. The total burned surface area was 35%, third degree. Injury was due to sulfuric acid (measured pH 0.9 obtained from a car battery. Immediate complications were obstructive dyspnea and metabolic acidosis. The admission arterial pH was 6.92, with total bicarbonate 8.6 mEq/l and base deficit 23.4 mEq/l. The correction of metabolic acidosis was achieved after several hours by the administration of bicarbonate and lactate buffers. The patient developed several burns-related complications (sepsis and acute renal failure. Cutaneous projections of strong acids may cause severe metabolic acidosis, particularly when copious irrigation and clothes removal cannot be immediately performed at the scene.

  15. Fungal infections in burns: Diagnosis and management

    Directory of Open Access Journals (Sweden)

    Capoor Malini


    Full Text Available Burn wound infection (BWI is a major public health problem and the most devastating form of trauma worldwide. Fungi cause BWI as part of monomicrobial or polymicrobial infection, fungaemia, rare aggressive soft tissue infection and as opportunistic infections. The risk factors for acquiring fungal infection in burns include age of burns, total burn size, body surface area (BSA (30-60%, full thickness burns, inhalational injury, prolonged hospital stay, late surgical excision, open dressing, artificial dermis, central venous catheters, antibiotics, steroid treatment, long-term artificial ventilation, fungal wound colonisation (FWC, hyperglycaemic episodes and other immunosuppressive disorders. Most of the fungal infections are missed owing to lack of clinical awareness and similar presentation as bacterial infection coupled with paucity of mycology laboratories. Expedient diagnosis and treatment of these mycoses can be life-saving as the mortality is otherwise very high. Emergence of resistance in non-albicans Candida spp., unusual yeasts and moulds in fungal BWI, leaves very few fungi susceptible to antifungal drugs, leaving many patients susceptible. There is a need to speciate fungi as far as the topical and systemic antifungal is concerned. Deep tissue biopsy and other relevant samples are processed by standard mycological procedures using direct microscopy, culture and histopathological examination. Patients with FWC should be treated by aggressive surgical debridement and, in the case of fungal wound infection (FWI, in addition to surgical debridement, an intravenous antifungal drug, most commonly amphotericin B or caspofungin, is prescribed followed by de-escalating with voriconazole or itraconazole, or fluconazole depending upon the species or antifungal susceptibility, if available. The propensity for fungal infection increases, the longer the wound is present. Therefore, the development of products to close the wound more rapidly

  16. Soil heating and impact of prescribed burning (United States)

    Stoof, Cathelijne


    Prescribed burning is highly uncommon in the Netherlands, where wildfire awareness is increasing but its risk management does not yet include fuel management strategies. A major exception is on two military bases, that need to burn their fields in winter and spring to prevent wildfires during summer shooting practice. Research on these very frequent burns has so far been limited to effects on biodiversity, yet site managers and policy makers have questions regarding the soil temperatures reached during these burns because of potential impact on soil properties and soil dwelling fauna. In March 2015, I therefore measured soil and litter temperatures under heath and grass vegetation during a prescribed burn on military terrain in the Netherlands. Soil and litter moisture were sampled pre- and post-fire, ash was collected, and fireline intensity was estimated from flame length. While standing vegetation was dry (0.13 g water/g biomass for grass and 0.6 g/g for heather), soil and litter were moist (0.21 cm3/cm3 and 1.6 g/g, respectively). Soil heating was therefore very limited, with maximum soil temperature at the soil-litter interface remaining being as low as 6.5 to 11.5°C, and litter temperatures reaching a maximum of 77.5°C at the top of the litter layer. As a result, any changes in physical properties like soil organic matter content and bulk density were not significant. These results are a first step towards a database of soil heating in relation to fuel load and fire intensity in this temperate country, which is not only valuable to increase understanding of the relationships between fire intensity and severity, but also instrumental in the policy debate regarding the sustainability of prescribed burns.

  17. Biomass Burning Observation Project Science Plan

    Energy Technology Data Exchange (ETDEWEB)

    Kleinman, KI [Brookhaven National Laboratory; Sedlacek, AJ [Brookhaven National Laboratory


    Aerosols from biomass burning perturb Earth’s climate through the direct radiative effect (both scattering and absorption) and through influences on cloud formation and precipitation and the semi-direct effect. Despite much effort, quantities important to determining radiative forcing such as the mass absorption coefficients (MAC) of light-absorbing carbon, secondary organic aerosol (SOA) formation rates, and cloud condensation nuclei (CCN) activity remain in doubt. Field campaigns in northern temperate latitudes have been overwhelmingly devoted to other aerosol sources in spite of biomass burning producing about one-third of the fine particles (PM2.5) in the U.S.

  18. Effect of Topical Platelet-Rich Plasma on Burn Healing After Partial-Thickness Burn Injury. (United States)

    Ozcelik, Umit; Ekici, Yahya; Bircan, Huseyin Yuce; Aydogan, Cem; Turkoglu, Suna; Ozen, Ozlem; Moray, Gokhan; Haberal, Mehmet


    BACKGROUND To investigate the effects of platelet-rich plasma on tissue maturation and burn healing in an experimental partial-thickness burn injury model. MATERIAL AND METHODS Thirty Wistar albino rats were divided into 3 groups of 10 rats each. Group 1 (platelet-rich plasma group) was exposed to burn injury and topical platelet-rich plasma was applied. Group 2 (control group) was exposed to burn injury only. Group 3 (blood donor group) was used as blood donors for platelet-rich plasma. The rats were killed on the seventh day after burn injury. Tissue hydroxyproline levels were measured and histopathologic changes were examined. RESULTS Hydroxyproline levels were significantly higher in the platelet-rich plasma group than in the control group (P=.03). Histopathologically, there was significantly less inflammatory cell infiltration (P=.005) and there were no statistically significant differences between groups in fibroblast development, collagen production, vessel proliferations, or epithelization. CONCLUSIONS Platelet-rich plasma seems to partially improve burn healing in this experimental burn injury model. As an initial conclusion, it appears that platelet-rich plasma can be used in humans, although further studies should be performed with this type of treatment.

  19. Burns in patients over 90: a fifteen-year series from a regional burns centre. (United States)

    Shariff, Zakir; Rodrigues, Jeremy N; Anwar, Umair; Austin, Orla; Phipps, Alan


    The elderly constitute an expanding subgroup within society, and may have differences in health needs compared to younger patients. The specific needs and outcomes of elderly patients with burns have been widely studied. However, the definition of elderly often used in previous studies is a cut off of 65 years old. Within this broadly defined group, the very elderly may have distinct health care needs and issues. This study investigated aetiology, management and outcome of burns in those over 90 years treated at a single UK burns service over a period of 15 years between 1998 and 2013, and compares these data to published data describing 'younger' elderly burns patients. Twenty two patients were included, with a 2:1 female:male ration, and a mean 9%TBSA burn. Six of the 22 died during their admission, and those who survived averaged 8 days inpatient stay per %TBSA. The very elderly with burns may fare worse than younger elderly patients. Although burns in the very elderly are relatively infrequent events, they require significant resource. Further work to optimise their outcome is required.

  20. Research into the prevention and treatment of burns due to specific causes should be highly strengthened%特殊原因烧伤的防治研究不容忽视

    Institute of Scientific and Technical Information of China (English)



    So far there is no clear and accurate definition for burns due to specific causes,though they are encountered sometimes.Burns due to specific causes sometimes are neglected because of their low incidence,and many surgeons,even burn specialists are not familiar with them because of low incidence,thus leading to poor results in the treatment.Burns due to specific causes are often involved in complicated and compound injuries.The treatment is often difficult,leading to delayed wound healing.In this paper,the definition,classification,and clinical characteristics of burns due to specific causes are described.Problems involved in diagnosis and treatment of common ones such as electrical,chemical,and compound burns are discussed.Facing an increase of those bums with specific causes,the author suggests that the research into the prevention and treatment should be highly strengthened.

  1. Financial burden of burn injuries in iran: a report from the burn registry program. (United States)

    Karimi, H; Motevalian, S A; Momeni, M; Ghadarjani, M


    Understanding the cost of burn treatment is very important for patients, their families, governmental authorities and insurance companies. It alleviates patient and familial stress, provides a framework for better use of resources, and facilitates better performance between burn centers. Hospital burn costs can provide a basis for authorities to budget for acute burn treatment, for further management of chronic complications, and for planning prevention and public educational programs in Iran. To identify costs we used data from our burn registry program. Over the two-year assessment period, we treated roughly 28,700 burn patients, 1,721 of whom were admitted, with a mortality rate of 5.9%. The male to female ratio was 1.7:1 (63% male; 37% female). Flame burns were most frequent (49.8%) followed by scalds (35.7%). Mean hospital stay was 14.41 days (range 0-64 days). Mean TBSA was 17.39%. Skin grafts were carried out in 65.4% of the patients, with a mean of 5.2 surgeries per patient. The total cost of all patient admissions over the two years was US$ 4,835,000. The maximum treatment cost for one patient was US$ 91,000. The mean cost per patient was US$ 2,810 (29,500,000 Rials). The mean cost for each percent of burn was US$ 162. The mean cost for a one-day stay in hospital was US$ 195. The mean cost of each operation was US$ 540. Patients who contracted infections endured longer hospital stays, meaning increased costs of US$ 195 per day. With comparable outcome and results, the cost of burn treatment in Iran is cheaper than in the US and Europe.

  2. Electric Power

    Institute of Scientific and Technical Information of China (English)


    @@ China Council for the Promotion of International Trade Electric Power Industry Office (CCPIT Electric Power), one of the pro-fessional industrial branches of China Council for the Promotion of International Trade (CCPIT), was established in 2006.

  3. Electricity economics

    CERN Document Server

    Hu, Zhaoguang


    Systematically analyzing for the first time the production output from electricity consumption for enterprises, sectors, and industries, this study uses the function of EAI (electricity as input), and includes national E-GDP figures for more than 20 countries.

  4. "Burn catatonia": a case report and literature review. (United States)

    Quinn, Davin Kenneth


    Thermal injuries have been recognized to cause significant neuropsychiatric symptoms and disability in their sufferers since the middle of the 20th century, when Drs. Stanley Cobb and Erich Lindemann of the Massachusetts General Hospital (Boston, MA) studied survivors of the Cocoanut Grove nightclub fire in Boston. Although "burn encephalopathy" or burn-induced delirium is a common occurrence in the acute phase, catatonia in burn patients is not often reported. This report describes a case of malignant catatonia occurring in a 51-year-old male patient acutely suffering from burns acquired in a chemical explosion, effectively treated with reinstitution of a selective serotonin reuptake inhibitor. The literature on burn encephalopathy and catatonia in burns is reviewed. Few examples of burn catatonia exist. Burn encephalopathy is common, and may occur in patients with low TBSA burns such as described in the case above. Descriptions of burn encephalopathy are numerous, but have not included catatonia as a possible etiology. Catatonia in burn patients as an etiology of burn encephalopathy is likely underrecognized. Clinicians should be aware of the possibility of catatonia when a patient's confusional state after a burn does not respond to usual care.

  5. Incidence and Bacteriology of Burn Infections at a Military Burn Center (United States)


    is independently associated with mortality in burn patients. Ann Surg 2007;245: 978–85. [27] Griffith ME, Lazarus DR, Mann PB, Boger JA, Hospenthal DR...SE. Effects of delayed wound excision and grafting in severely burned children. Arch Surg 2002;137(9):1049–54. [30] Hart DW, Wolf SE, Chinkes DL ...F, Thompson P, Linares HA, Stein M, Traber DL . Pulmonary injury in burned patients. Surg Clin North Am 1987;67(1):31–46. [42] Santucci SG, Gobara S

  6. 14,000 volt electrical injury to bilateral upper extremities: a case report. (United States)

    Lee, J; Sinno, H; Perkins, A; Tahiri, Y; Luc, M


    Electrical burns are among the most devastating of burn injuries. High voltage electrical injuries result in extensive deep tissue damage and are associated with multiple complications, long term morbidity, and a high mortality rate. We describe the case of a 47 year-old electric company linesman who suffered a high voltage electrical injury (HVEI) of 14,000 volts to bilateral hands and wrists managed by the Division of Plastic and Reconstructive Surgery at the McGill University Health Center in Montreal, Quebec, Canada. His management included multiple operative procedures, including escharotomies, fasciotomies, serial debridements, and bilateral pedicle groin flaps, and amputation of his left hand.

  7. Clinker burning kinetics and mechanism

    Energy Technology Data Exchange (ETDEWEB)

    Telschow, S.


    The industrial cement process is subject to several changes in order to reduce the high energy consumption and thereby increase the profitability of cement production. These changes also affect the core of the entire cement producing process: the clinker formation in the rotary kiln. Thus, in order to maintain or even improve clinker quality (and output), we need a better understanding of the development of clinker properties inside the kiln to react upon the impact of process changes. Clinker formation in industrial rotary kilns is very complex due to a vast number of interacting parameters: kiln dimensions, rotation velocity, temperature, gas composition, heat transfer phenomena, etc. These conditions can only be partly simulated in ordinary lab-scale experiments. Thus, the objectives of this project have been to establish test equipment to simulate the industrial clinker burning process on a laboratory scale and to conduct clinker formation experiments in order to derive knowledge on gradual clinker property development, as a function of different process parameters. A new lab-scale setup rotary kiln simulator (RKS) was designed and built for this purpose. It is assembled of two parts: an ordinary lab-scale heating furnace and a sample motion system. The motion system consists of a SiC tube, which moves the sample, placed in a Pt/Rh-crucible, at a chosen velocity through the heating furnace. Simultaneously, the sample is rotated around its horizontal axis with a chosen rotation velocity. The heating furnace consists of five individual heating zones, which are set to obtain a temperature ramp from {approx}00-1540 deg. C. Furthermore, the atmosphere in the system can be set to any mixture of N2, O2 and CO{sup 2}. Thus, the rotary kiln simulator features most important parameters of the industrial cement rotary kiln (ICRK): gradual temperature increase, rotation velocity and gas phase composition. An investigation of clinker formation vs. heating profile and

  8. [Air pollution due to the burning of thermoplastics II (author's transl)]. (United States)

    van Grimbergen, M; Reybrouck, G; van de Voorde, H


    Following on from the first publication, (12) concerning the burning of plastics, another 13 chemical pure polymers were burnt in an electric oven to determine the level of solid and gaseous air pollution caused by their stackgases. All 13 polymers are highly combustible but require different burning temperatures (300-900 degrees C) in order to be burnt completely (i.e. without ashrest). With the exception of PMMA and PTFE, all plastics leave a very heavy tar- and soot deposit after burning. At the other end of the scale, burning at low temperature (300 degrees C) gives rise to high concentrations of alipathic aldehyds. The pH of the exhaust-gases, dissolved in water, is neutral to strong acid (PTFE), and will cause a severe corrosion. The nitrogen-containing polymers pollute by forming cyanides, nitrogenoxides and ammonia. PTFE gives off high concentrations of fluorid into the air. PMMA decomposes in its monomer methylmethacrylate and forms large amounts of aliphatic aldehyds. ABS and SBR cause a styrene pollution.

  9. Plasma burn-through simulations using the DYON code and predictions for ITER

    CERN Document Server

    Kim, Hyun-Tae; de Vries, P C; Contributors, JET-EFDA


    This paper will discuss simulations of the full ionization process (i.e. plasma burn-through), fundamental to creating high temperature plasma. By means of an applied electric field, the gas is partially ionized by the electron avalanche process. In order for the electron temperature to increase, the remaining neutrals need to be fully ionized in the plasma burn-through phase, as radiation is the main contribution to the electron power loss. The radiated power loss can be significantly affected by impurities resulting from interaction with the plasma facing components. The DYON code is a plasma burn-through simulator developed at Joint European Torus (JET) [1] [2]. The dynamic evolution of the plasma temperature and plasma densities including impurity content is calculated in a self-consistent way, using plasma wall interaction models. The recent installation of a beryllium wall at JET enabled validation of the plasma burn-through model in the presence of new, metallic plasma facing components. The simulation...

  10. Toddlers at High Risk of Chemical Eye Burns (United States)

    ... fullstory_160258.html Toddlers at High Risk of Chemical Eye Burns: Study Access to household cleaning products to blame, ... and 2 years have relatively high rates of chemical eye burns, with everyday cleaners a common cause, researchers say. ...

  11. Reality Therapy as an Antidote to Burn-Out. (United States)

    Wubbolding, Robert E.; Kessler-Bolotin, Else


    Counselor burn-out is characterized by feelings of frustration, rigidity, omnipotence, and the like. Reality therapy uses systematic plans to increase love, worth, fun, and self-discipline to deal effectively with burn-out. (Author)

  12. Etiology of Burn Injuries Among 0-6 Aged Children in One University Hospital Burn Unit, Bursa, Turkey

    Directory of Open Access Journals (Sweden)

    Neriman Akansel


    Full Text Available Background; Children whose verbal communications are not fully developed are the ones at risk for burn injuries. Causes of burn injuries vary among different age groups and scald injuries are the common cause of burn injuries among children. The majority of burns result from contact with thermal agents such as flame, hot surfaces, or hot liquids.Aim: The aim of this study was to determine etiologic factors of the burn injured children Methods: Data were collected for burn injured children treated in Uludag University Medical Hospital Burn Unit between January 2001 – December 2008. Patients’ demographic variables, etiology of burn injury, TBSA(total body surface area, degree of the burn injury, duration of hospitalization was detected from medical records of the hospitalized patients.Results: The mean age of the children was 2.5±1.5 (median=2. Although 4.6 % of burned patients were under one year of age, most of the children (67.8% were between 1-3 years. All of the patients were burned as a result of accident and house environment was the place where the burn incident occurred. Burn injuries occurredmostly during summer (29.9% and spring (28.7%. Scald injuries (75.3% were mostly seen burn injury types all among other burn injuries.Conclusions: Lack of supervision and observation are usually the most common causes of burn injuries in children. Statistical differences were found among age groups according to their burn etiology (p<0.05. An effect of TBSA on patient survival was statistically significant (p<0.000 and also statistically significant results were seen among age groups according to their TBSA’s (p<0.005.

  13. In-Situ Burn Gaps Analysis (United States)


    Li, K., Identification and Measurement of PAH and Other Organic Compounds in Crude Oil Burning Samples. Environmental Emergencies Technology...Lab tests on the biodegradation rates of chemically dispersed oil must consider natural dilution. In: Proceedings of the 2011 International Oil Spill

  14. Silica Derived from Burned Rice Hulls

    Directory of Open Access Journals (Sweden)

    M.F. de Souza


    Full Text Available Three new processes to obtain silica having high specific surface area from burned pre-treated rice hulls are presented and discussed. These procedures allow for the simultaneous recovery of biomass energy and the production of high quality silica at thermoelectric plants, without the risk of using corrosive substances in the burning process. The first method involves treatment of the hull with hot organic acid solutions before burning, the second with boiling water, both using an autoclave at temperatures close to150 °C, while the third method renders the hull fragile by treating it at 250 °C and reducing it to a fine powder before burning. The first two methods result in white amorphous silica that can show 500 m²/g of specific surface area. The third method, which does not remove the alkaline elements from the hull, produces an amorphous gray carbon-free powder whose specific surface area can be as high as 250 m²/g. An investigation of the specific surface area of the prepared silica indicates the alkaline elements are not mixed with silica in the hulls or combined as insoluble compounds. A comparison is made of these processes and the dissolution of silica by sodium hydroxide solutions is discussed.

  15. Protect the Ones You Love From Burns

    Centers for Disease Control (CDC) Podcasts


    This podcast, developed as part of the Protect the Ones You Love initiative, discusses steps parents can take to help protect their children from burns, one of the leading causes of child injury.  Created: 12/10/2008 by National Center for Injury Prevention and Control (NCIPC).   Date Released: 12/10/2008.

  16. Process and apparatus for burning solid fuel

    NARCIS (Netherlands)

    Lin, W.; Van den Bleek, C.M.


    Abstract of NL 9301828 (A) Described is a process for burning solid fuel, in which nitrogen in the form of NH3 is released from said fuel, for example by gasification, said NH3 being excluded from the combustion process but being admixed, together with CO likewise released, to the gases released

  17. Extracorporeal Blood Purification in Burns: A Review (United States)


    exclusion chromatography and nonselective hydrophobic interactions. Small molecules, below 10 kDa, travel through the pores of the beads while larger...3] Chung KK, Lundy JB, Matson JR, Renz EM, White CE, King BT, et al. Continuous venovenous hemofiltration in severely burned patients with acute

  18. Burning mouth syndrome: a review and update. (United States)

    Silvestre, Francisco J; Silvestre-Rangil, Javier; López-Jornet, Pía


    Burning mouth syndrome (BMS) is mainly found in middle aged or elderly women and is characterized by intense burning or itching sensation of the tongue or other regions of the oral mucosa. It can be accompanied by xerostomia and dysgeusia. The syndrome generally manifests spontaneously, and the discomfort is typically of a continuous nature but increases in intensity during the evening and at night. Although BMS classically has been attributed to a range of factors, in recent years evidence has been obtained relating it peripheral (sensory C and/or trigeminal nerve fibers) or central neuropathic disturbances (involving the nigrostriatal dopaminergic system). The differential diagnosis requires the exclusion of oral mucosal lesions or blood test alterations that can produce burning mouth sensation. Patient management is based on the avoidance of causes of oral irritation and the provision of psychological support. Drug treatment for burning sensation in primary BMS of peripheral origin can consist of topical clonazepam, while central type BMS appears to improve with the use of antidepressants such as duloxetine, antiseizure drugs such as gabapentin, or amisulpride.

  19. Burn Resuscitation Decision Support System (BRDSS) (United States)


    first year of the study and provided to USAISR with the BRDSS prototypes. Environmental test certifications (primarily: EMC and RFID testing) was...also conducted hardware based testing, such as electromagnetic compatibility (EMC) and radio-frequency identification ( RFID ) compatibility three areas could improve effectiveness of this technology . Field Feedback. The BRDSS / Burn Navigator™ devices are now in Full Rate Production

  20. Burns B. Crookston: Life and Legacy (United States)

    Fried, Jane


    Burns B. Crookston was a man ahead of his times. He left a legacy to the student affairs profession that inspired the practice of student development education. His writings described a role for higher education in training students to become active citizens by learning about leadership, decision making, and conflict resolution in democratic…

  1. Validation of the burns itch questionnaire

    NARCIS (Netherlands)

    Van Loey, N E; Hofland, H W; Hendrickx, H; Van de Steenoven, J; Boekelaar, A; Nieuwenhuis, M K


    Itch (pruritus) is a common multidimensional complaint after burn that can persist for months to years. A questionnaire able to investigate itch and its consequences is imperative for clinical and research purposes. The current study investigated the factor structure, internal consistency and constr


    The primary objective of this study was to improve the characterization of particulate matter emissions from burning incense. Emissions of particulate matter were measured for 23 different types of incense using a cyclone/filter method. Emission rates for PM2.5 (particulate matte...

  3. Analysis of antibiotic consumption in burn patients (United States)

    Soleymanzadeh-Moghadam, Somayeh; Azimi, Leila; Amani, Laleh; Rastegar Lari, Aida; Alinejad, Faranak; Rastegar Lari, Abdolaziz


    Infection control is very important in burn care units, because burn wound infection is one of the main causes of morbidity and mortality among burn patients. Thus, the appropriate prescription of antibiotics can be helpful, but unreasonable prescription can have detrimental consequences, including greater expenses to patients and community alike. The aim of this study was to determine the effect of antibiotic therapy on the emergence of antibiotic-resistant bacteria. 525 strains of Pseudomonas aeruginosa, Acinetobacter baumannii and Staphylococcus aureus were isolated from 335 hospitalized burn patients. Antibiotic susceptibility tests were performed after identification the strains. The records of patients were audited to find the antibiotic used. The results indicated that P. aeruginosa is the most prevalent Gram-negative bacteria. Further, it showed a relation between abuse of antibiotics and emergence of antibiotic resistance. Control of resistance to antibiotics by appropriate prescription practices not only facilitates prevention of infection caused by multi-drug resistant (MDR) microorganisms, but it can also decrease the cost of treatment. PMID:26124986

  4. Analysis of antibiotic consumption in burn patients

    Directory of Open Access Journals (Sweden)

    Soleymanzadeh-Moghadam, Somayeh


    Full Text Available Infection control is very important in burn care units, because burn wound infection is one of the main causes of morbidity and mortality among burn patients. Thus, the appropriate prescription of antibiotics can be helpful, but unreasonable prescription can have detrimental consequences, including greater expenses to patients and community alike. The aim of this study was to determine the effect of antibiotic therapy on the emergence of antibiotic-resistant bacteria. 525 strains of and were isolated from 335 hospitalized burn patients. Antibiotic susceptibility tests were performed after identification the strains. The records of patients were audited to find the antibiotic used.The results indicated that is the most prevalent Gram-negative bacteria. Further, it showed a relation between abuse of antibiotics and emergence of antibiotic resistance. Control of resistance to antibiotics by appropriate prescription practices not only facilitates prevention of infection caused by multi-drug resistant (MDR microorganisms, but it can also decrease the cost of treatment.

  5. Long standing intra oral acid burn

    NARCIS (Netherlands)

    V.V. Kumar; S. Ebenezer; F. Lobbezoo


    Oral burn due to ingestion of corrosive substances can bring about debilitating consequences. It often brings mortality, and the survivors can have severe impairment of functions, especially in relation to the stomatognathic and gastrointestinal systems. This article presents a long-standing case (2

  6. Thermoregulation in burn patients during exercise. (United States)

    Austin, K G; Hansbrough, J F; Dore, C; Noordenbos, J; Buono, M J


    The purpose of this study was to assess the ability of patients with burns on 30 to 40% and 60% or greater of their BSA to thermoregulate their core temperature during exercise in the heat. Two groups (n = 3 in each) of subjects with healed third-degree burns (34.0 +/- 1.4% and 77.7 +/- 12.4%, respectively) and a group of unburned subjects (n = 2) exercised for 1 hour on a cycle ergometer at 75 Watts in an environmental chamber set at 35 degrees C and 60% relative humidity. Subjects were monitored for rectal and skin temperatures, heart rate, whole body sweat rate, skin blood flow, and active sweat gland density (number per cm ) in unburned, burned, and harvested skin. The results demonstrated that patients with burns on 60% or greater BSA did not show an intolerance to moderate exercise in the heat, as evidenced by only a moderate rise in rectal temperature and heart rate. Furthermore, the responses were similar to those of the unburned subjects.

  7. DEMO diagnostics and burn control

    Energy Technology Data Exchange (ETDEWEB)

    Biel, Wolfgang, E-mail: [Institute of Energy and Climate Research, Forschungszentrum Jülich GmbH, Jülich (Germany); Department of Applied Physics, Ghent University (Belgium); Baar, Marco de [FOM-Institute DIFFER, Nieuwegein (Netherlands); Eindhoven University of Technology (Netherlands); Dinklage, Andreas [Max-Planck-Institut für Plasmaphysik, Greifswald (Germany); Felici, Federico [Eindhoven University of Technology (Netherlands); König, Ralf [Max-Planck-Institut für Plasmaphysik, Greifswald (Germany); Meister, Hans; Treutterer, Wolfgang [Max-Planck-Institut für Plasmaphysik, Garching (Germany); Wenninger, Ronald [Max-Planck-Institut für Plasmaphysik, Garching (Germany); EFDA Power Plant Physics and Technology, Garching (Germany)


    Highlights: • An initial concept for the DEMO diagnostic and control system is presented. • A preliminary list of control functions and candidate diagnostics is developed. • Challenges regarding disruptions, power exhaust and radiation control are highlighted. • The need for introducing realistic control margins is emphasized. • On outline of the future R&D plan is presented. - Abstract: The development of the control system for a tokamak demonstration fusion reactor (DEMO) faces unprecedented challenges. First, the requirements for control reliability and accuracy are more stringent than on existing fusion devices: any loss of plasma control on DEMO may result in a disruption which could damage the inner wall of the machine, while operating the device with larger margins against the operational limits would lead to a reduction of the electrical output power. Second, the performance of DEMO control is limited by space restrictions for the implementation of components (optimization of the tritium breeding rate), by lifetime issues for the front-end parts (neutron and gamma radiation, erosion and deposition acting on all components) and by slow, weak and indirect action of the available actuators (plasma shaping, heating and fuelling). The European DEMO conceptual design studies include the development of a reliable control system, since the details of the achievable plasma scenario and the machine design may depend on the actual performance of the control system. In the first phase of development, an initial understanding of the prime choices of diagnostic methods applicable to DEMO, implementation and performance issues, the interrelation with the plasma scenario definition, and the planning of necessary future R&D have been obtained.

  8. Electric drives

    CERN Document Server

    Boldea, Ion


    ENERGY CONVERSION IN ELECTRIC DRIVESElectric Drives: A DefinitionApplication Range of Electric DrivesEnergy Savings Pay Off RapidlyGlobal Energy Savings Through PEC DrivesMotor/Mechanical Load MatchMotion/Time Profile MatchLoad Dynamics and StabilityMultiquadrant OperationPerformance IndexesProblemsELECTRIC MOTORS FOR DRIVESElectric Drives: A Typical ConfigurationElectric Motors for DrivesDC Brush MotorsConventional AC MotorsPower Electronic Converter Dependent MotorsEnergy Conversion in Electric Motors/GeneratorsPOWER ELECTRONIC CONVERTERS (PECs) FOR DRIVESPower Electronic Switches (PESs)The

  9. Electrical contracting

    CERN Document Server

    Neidle, Michael


    Electrical Contracting, Second Edition is a nine-chapter text guide for the greater efficiency in planning and completing installations for the design, installation and control of electrical contracts. This book starts with a general overview of the efficient cabling and techniques that must be employed for safe wiring design, as well as the cost estimation of the complete electrical contract. The subsequent chapters are devoted to other electrical contracting requirements, including electronic motor control, lighting, and electricity tariffs. A chapter focuses on the IEE Wiring Regulations an

  10. Reactive burn models and ignition & growth concept

    Energy Technology Data Exchange (ETDEWEB)

    Menikoff, Ralph S [Los Alamos National Laboratory; Shaw, Milton S [Los Alamos National Laboratory


    Plastic-bonded explosives are heterogeneous materials. Experimentally, shock initiation is sensitive to small amounts of porosity, due to the formation of hot spots (small localized regions of high temperature). This leads to the Ignition and Growth concept, introduced by Lee and Tarver in 1980, as the basis for reactive burn models. A homogeneized burn rate needs to account for three mesoscale physical effects (i) the density of burnt hot spots, which depends on the lead shock strength; (ii) the growth of the burn fronts triggered by hot spots, which depends on the local deflagration speed; (iii) a geometric factor that accounts for the overlap of deflagration wavelets from adjacent hot spots. These effects can be combined and the burn model defined by specifying the reaction progress variable {lambda}(t) as a function of a dimensionless reaction length {tau}{sub hs}(t)/{ell}{sub hs}, rather than by xpecifying an explicit burn rate. The length scale {ell}{sub hs} is the average distance between hot spots, which is proportional to [N{sub hs}(P{sub s})]{sup -1/3}, where N{sub hs} is the number density of hot spots activated by the lead shock. The reaction length {tau}{sub hs}(t) = {line_integral}{sub 0}{sup t} D(P(t'))dt' is the distance the burn front propagates from a single hot spot, where D is the deflagration speed and t is the time since the shock arrival. A key implementation issue is how to determine the lead shock strength in conjunction with a shock capturing scheme. They have developed a robust algorithm for this purpose based on the Hugoniot jump condition for the energy. The algorithm utilizes the time dependence of density, pressure and energy within each cell. The method is independent of the numerical dissipation used for shock capturing. It is local and can be used in one or more space dimensions. The burn model has a small number of parameters which can be calibrated to fit velocity gauge data from shock initiation experiments.

  11. Electric vehicles (United States)


    Quiet, clean, and efficient, electric vehicles (EVs) may someday become a practical mode of transportation for the general public. Electric vehicles can provide many advantages for the nation's environment and energy supply because they run on electricity, which can be produced from many sources of energy such as coal, natural gas, uranium, and hydropower. These vehicles offer fuel versatility to the transportation sector, which depends almost solely on oil for its energy needs. Electric vehicles are any mode of transportation operated by a motor that receives electricity from a battery or fuel cell. EVs come in all shapes and sizes and may be used for different tasks. Some EVs are small and simple, such as golf carts and electric wheel chairs. Others are larger and more complex, such as automobile and vans. Some EVs, such as fork lifts, are used in industries. In this fact sheet, we will discuss mostly automobiles and vans. There are also variations on electric vehicles, such as hybrid vehicles and solar-powered vehicles. Hybrid vehicles use electricity as their primary source of energy, however, they also use a backup source of energy, such as gasoline, methanol or ethanol. Solar-powered vehicles are electric vehicles that use photovoltaic cells (cells that convert solar energy to electricity) rather than utility-supplied electricity to recharge the batteries. These concepts are discussed.

  12. Burn Pre-Approval Area, Geographic NAD83, LOSCO (2000) [burn_preapproval_area_LOSCO_2000 (United States)

    Louisiana Geographic Information Center — This is a region dataset delineating the areas of offshore Louisiana having Regional Response Team VI (RRT 6) pre-approval for the use of in-situ burning, according...

  13. An unusual burn caused by hot argy wormwood leaf water

    Directory of Open Access Journals (Sweden)

    Feng Guo


    Full Text Available An unusual burn case caused by hot wormwood leaf water was discussed. A 29-year-old woman sustained a 7% second-degree burn on both buttocks and left thigh. This case report highlights a rare cause of a chemical burn that may become more common with increasing use of this Chinese traditional medicine. The prevention measures of this burn injury were also presented.

  14. Management of chemical burns of the canine cornea


    Christmas, Richard


    Significant clinical signs and general principles of treatment for chemical burns of the canine cornea are presented using three typical case studies for illustration. Alkali burns are more common in dogs than acid burns. The sources of alkali in this study were soap, cement, and mortar dust. Common signs of chemical burns are ocular pain, corneal ulceration, tear film inadequacy, corneal edema, and marked corneal neovascularity. Successful treatment requires thorough ocular lavage, treatment...

  15. A Hydrodynamical Analysis of the Burning of a Neutron Star

    CERN Document Server

    Cho, H T; Speliotopoulos, Achilles D; 10.1016/0370-2693(94)91201-7


    The burning of a neutron star by strange matter is analyzed using relativistic combustion theory with a planar geometry. It is shown that such burning is probably neither slow combustion nor simple detonation. Fast combustion without detonation is possible under certain circumstances, but would involve very efficient heat transfer mechanisms. It is found, however, that the burning is most likely absolutely unstable with no well defined burn front.

  16. Continental cement trial burn strategy follow-up

    Energy Technology Data Exchange (ETDEWEB)

    Woodford, J. [Gossman Consulting, Inc., Springboro, OH (United States); Winders, H. [Continental Cement Company, Hannibal, MO (United States); Constans, D.L. [Gossman Consulting, Inc., Peachtree City, GA (United States)


    The Continental Trial Burn strategy, presented at the 1995 BIF Conference, included the use of {open_quotes}data-in-lieu-of{close_quotes} from previous compliance testing conducted at the facility. Since the submission of the Trial Burn Plan and the 1995 presentation, Continental Cement has completed their two campaign trial burn. This paper will update the implementation of the Continental Trial Burn strategy. 1 fig., 1 tab.

  17. Seawater Immersion Aggravates Burn Injury Causing Severe Blood Coagulation Dysfunction



    This study aimed to investigate the endothelial function in a canine model of burn injury combined with seawater immersion. The model of burn injury was established. The dogs were randomly divided into four groups including dogs with burn injury (B group), or burn injury combined with seawater immersion (BI group), or only immersion in seawater (I group), or control animals with no injury or immersion (C group). The circulating endothelial cell (CEC) count and coagulation-fibrinolysis paramet...

  18. Methoxyphenols in smoke from biomass burning

    Energy Technology Data Exchange (ETDEWEB)

    Kjaellstrand, J.


    Wood and other forest plant materials were burned in laboratory experiments with the ambition to simulate the natural burning course in a fireplace or a forest fire. Smoke samples were taken and analysed with respect to methoxyphenols, using gas chromatography and mass spectrometry. Different kinds of bio pellets, intended for residential heating were studied in the same way. The aim of a first study was to establish analytical data to facilitate further research. Thirty-six specific methoxyphenols were identified, and gas chromatographic retention and mass spectrometric data were determined for these. In a subsequent study, the methoxyphenol emissions from the burning of wood and other forest plant materials were investigated. Proportions and concentrations of specific methoxyphenols were determined. Methoxyphenols and anhydrosugars, formed from the decomposition of lignin and cellulose respectively, were the most prominent semi-volatile compounds in the biomass smoke. The methoxyphenol compositions reflected the lignin structures of different plant materials. Softwood smoke contained almost only 2-methoxyphenols, while hardwood smoke contained both 2-methoxyphenols and 2,6-dimethoxyphenols. The methoxyphenols in smoke from pellets, made of sawdust, bark and lignin, reflected the source of biomass. Although smoke from incompletely burned wood contains mainly methoxyphenols and anhydrosugars, there is also a smaller amount of well-known hazardous compounds present. The methoxyphenols are antioxidants. They appear mainly condensed on particles and are presumed to be inhaled together with other smoke components. As antioxidants, phenols interrupt free radical chain reactions and possibly counteract the effect of hazardous smoke components. Health hazards of small-scale wood burning should be re-evaluated considering antioxidant effects of the methoxyphenols.

  19. A Goniometry Paradigm Shift to Measure Burn Scar Contracture in Burn Patients (United States)


    cost extension has been granted to extend the study period to September 14, 2017. Standard Goniometry (SG) Position to Measure Wrist Extension 42...1 AD______________ AWARD NUMBER: W81XWH-14-2-0148 TITLE: A Goniometry Paradigm Shift to Measure Burn Scar Contracture in Burn Patients...subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO

  20. Epidermal-dermal crosstalk during burn wound scar maturation

    NARCIS (Netherlands)

    T.E. Hakvoort (Eveline)


    textabstractBurn injuries arc among the worst traumas which can happen to man. The larger a burn injury, the more severe the consequences and the highcr the chance of an adverse outcome or even death. In The Netherlands each year 40,000 people visit a general practitioner for treatment of a burn wou

  1. The trend of acute burns pre-hospital management

    Directory of Open Access Journals (Sweden)

    Abubakar Hamdiya


    Conclusions: Burn injuries are common in our settings, a more reason for all to know the immediate intervention to give to victims of such accidents. The kind of first aid administered to burns victims possibly affects the burns management outcome. Thus, the earlier the right intervention implemented, the lesser the complications.

  2. Sexuality after burn in Brazil: survey of burn health-care workers. (United States)

    Piccolo, Monica Sarto; Daher, Ricardo Piccolo; Gragnani, Alfredo; Ferreira, Lydia Masako


    Patients who survive a major burn must live with emotional and physical sequela. In a literature review, we found that sexuality concerns of burn victims are rarely a focus of therapy. After suggestions from Rimmer et al. [12], using their questionnaire translated into Portuguese, we held a survey of burn-care professionals at the VII Brazilian Burn Congress. More than 120 practitioners from 41 centres, aged in average 41.2 years (1 standard deviation 10.96), completed the survey. A proportion of 63.7% were female, and 58.1% were Caucasians; 37.1% were physicians, 20.9% nurse practitioners and 16.9 were occupational therapists/physical therapists (OTs/PT)s. Psychologists made up 3.2%. Only 28% of the respondents felt comfortable in initiating a conversation about sexual intimacy with their patients. The vast majority believed it should be done by the psychologist. Only 38% felt their burn centre did an adequate job in that area. When compared with a study of our country's general population, we find similar results indicating that intimacy, sexuality and sexual intercourse are considered most important in a relationship. There is a significant lack of literature in sexuality after burn; most likely meaning it is ignored by most centres. There is a need for other similar surveys to be performed, as well as a collective consciousness of the need for discussions about sexuality with patients and their partners, providing counselling and treatment, when need.

  3. New treatment strategies to reduce burn wound progression

    Directory of Open Access Journals (Sweden)

    Schmauss, Daniel


    Full Text Available [english] Background: After a burn injury certain superficial partial-thickness burn wounds spontaneously progress into deep partial-thickness or full-thickness burn wounds. This poorly understood phenomenon is called burn wound progression. The aim of this study was to investigate whether treatment strategies using warm water (preservation of microcirculation on the one side and erythropoietin (EPO (molecule with anti-inflammatory, anti-apoptotic, vasodilatory and neoangiogenic properties can prevent, delay and/or reduce secondary burn wound progression in a rat model.Methods: We used a burn comb model in 63 rats, creating eight rectangular contact burns (2x1 cm each intercalated by unburned zones (2x0.5 cm prone to burn wound progression. In a first experimental set we treated burn wounds with locally applied warm (37°C or cold (17°C water for 20 minutes.In a second experimental set, animals were treated systemically with EPO at two different dosages of 500 and 2,500 IU/kg bodyweight (bw and initiated at 2 different time-points (45 minutes vs. 6 hours after burn injury. Evaluation of microcirculatory perfusion, interspace necrosis and burn depth was performed using respectively laser Doppler flowmetry, planimetry and histology. For statistical analysis the two-way ANOVA-test followed by an adequate post-hoc test (Bonferroni were used. Results: In untreated control animals a conversion from superficial to full-thickness burns was observed within 24 hours. Warm and cold water treatment significantly delayed burn depth progression, nevertheless after 4 days, burn depth was similar in all three groups. Warm water significantly reduced interspace necrosis compared to untreated controls and cold water with a significantly improved perfusion in the warm water group. Surface extension and particularly burn depth progression were significantly decreased by EPO only if administered at a dosage of bw and initiated 45 minutes after burn injury. EPO

  4. A clinico-epidemiological study of rescuer burns. (United States)

    Basra, Baljeet Kumar; Suri, Manav P; Patil, Nilesh; Atha, Ravish; Patel, Natvar; Sachde, Jayesh P; Shaikh, M F


    Rescuer burn is a relatively newer terminology introduced to define the burns sustained by a person attempting to rescue a primary burn victim. Few studies have been published thus far on this peculiar type of burns. Due to the general neglect of the rescuer burns victim and discontinuation of treatment in most cases, once the primary victim dies, the rescuer often ends up in badly infected wounds and has a delayed return to work. A prospective study was conducted at the B J Medical College and Civil Hospital, Ahmedabad from January 2009 to December 2012 on the rescuer burns patients treated in its burns and plastic surgery department. 3074 patients of burns received treatment during the period of study. Of these, 48 patients gave the history of sustaining burns while trying to rescue a burns victim. Male to female ratio of rescuers was approximately 7:1. It was significantly higher as compared to the ratio of 1:0.8 of females to male burn victims observed at our centre (p≤0.01). Average age of the rescuers was higher in males as compared to females but the difference was not significant (p≥0.05). Of the 45 cases of female primary burns victims, male rescuer was husband of the primary victim in 41/45 cases (91.1%), mother was rescuer in three cases (6.6% cases) and sister was rescuer in one case. Though multiple people came to rescue a burns victim, in all cases, it was seen that it was the first rescuer who sustained burns himself or herself. None of the rescuers had any knowledge of the techniques and precautions to be taken while performing a rescue operation irrespective of their education status, indirectly pointing to the lack of any teaching on burns rescue in the school education curriculum.

  5. Carbon Danganese Furnace Burning Serious New%新开碳锰炉炉底严重烧损处理

    Institute of Scientific and Technical Information of China (English)



    随着铁合金电炉大型化,新开高碳锰铁电炉炉底烧损现象将给企业带来很大损失。结合9000 kV·A和16500 kV·A电炉的炉底烧损情况,分析了炉底烧损的原因,对炉底积碳和积铁的处理情况进行了阐述。%With the large-scale electric furnace ferroalloy, new high carbon ferromanganese furnace hearth burning phenomenon will bring great loss to the enterprises. Combined with the 9 000 kV·A and 16 500 kV·A, a furnace hearth burning situation, analysis the hearth burning, on the bottom of the carbon deposition and product processing of iron are described.

  6. Re-burning of ash in grate boilers; Omfoerbraenning av askor i rosterpannor

    Energy Technology Data Exchange (ETDEWEB)

    Bergqvist, Kristina; Myringer, Aase; Nordgren, Daniel; Rydberg, Stina [Vattenfall Utveckling AB, Aelvkarleby (Sweden)


    , reburning of fly ash appears to be the method that has the highest potential of substantially reducing the amount of unburnt carbon in the ash. Ash from the electric filter should not be circulated, as analyses show that chlorine is concentrated there. The technical conditions and the economic incentives for installing re-burning, vary greatly between plants. The study shows that the economic potential of installing ash reburning systems is high and that reduced fuel costs often is a stronger incentive for an installation than reduced deposit costs. Screening tests show a clear correlation between particle size and content of unburnt carbon in the fly ash. This knowledge can and should be used when re-burning ash. Separating the fly ash and returning the coarser fraction to the furnace makes sure most of the unburnt material is re-burned at the same time as the amount of circulated inorganic material is minimized, thereby also minimizing unnecessary erosion of equipment. The telephone interviews indicated that re-burning ash does not lead to increased emissions of CO or NO{sub x}, which was also confirmed by the field studies. Both plants used for the field studies circulate ash from cyclones that are placed before the final dust separators, in both cases electric filters. If some kind of final dust separation is utilized, the emissions of dust will not be affected by the ash reburn, but if such equipment is missing, emissions of dust will increase as the load on the cyclone separation will increase. Tests with deposit probes have been performed and the results do not show that ash reburning increases the rate of deposit growth or the risk of corrosion.

  7. Using online blogs to explore positive outcomes after burn injuries. (United States)

    Garbett, Kirsty; Harcourt, Diana; Buchanan, Heather


    This study uses blog analysis, a new and novel technique, to explore the positive outcomes experienced by burn survivors. This study examined 10 burn survivor blogs to offer a unique, longitudinal insight into burn survivor recovery. Using thematic analysis, three themes emerged: shift in self-perception, enhanced relationships and a change in life outlook. Many of these themes contained stories and experiences unique to a traumatic burn injury, suggesting that standardised trauma scales are not effectively measuring the impact of a burn in this population. Reflections on blog analysis are discussed, along with a recommendation that health researchers utilise the vast amount of data available from online blogs.

  8. Severe burns as a consequence of seizures in patients with epilepsy. (United States)

    Spitz, M C


    We report 10 seizure-related thermal injuries severe enough to require hospitalization in patients with epilepsy. Eight of the ten incidents were with patients who had had seizures with impaired consciousness two or more times a month. This suggests that seizure frequency is a risk factor and implies the importance of striving for optimal seizure control. Two burns each occurred from an electric iron, a hand-held hair dryer, and stove-top cooking. Minimizing these activities, especially in patients with frequent consciousness-altering seizures, may be useful. Three burns occurred while showering; these resulted in the most severe injuries, with hospital stays of 29, 30, and 41 days. Simple plumbing devices may have prevented these injuries.

  9. Atmospheric electricity

    CERN Document Server

    Chalmers, J Alan


    Atmospheric Electricity brings together numerous studies on various aspects of atmospheric electricity. This book is composed of 13 chapters that cover the main problems in the field, including the maintenance of the negative charge on the earth and the origin of the charges in thunderstorms. After a brief overview of the historical developments of atmospheric electricity, this book goes on dealing with the general principles, results, methods, and the MKS system of the field. The succeeding chapters are devoted to some aspects of electricity in the atmosphere, such as the occurrence and d

  10. Electrical stator (United States)

    Fanning, Alan W.; Olich, Eugene E.


    An electrical stator of an electromagnetic pump includes first and second spaced apart coils each having input and output terminals for carrying electrical current. An elongate electrical connector extends between the first and second coils and has first and second opposite ends. The connector ends include respective slots receiving therein respective ones of the coil terminals to define respective first and second joints. Each of the joints includes a braze filler fixedly joining the connector ends to the respective coil terminals for carrying electrical current therethrough.

  11. The immersion freezing behavior of ash particles from wood and brown coal burning (United States)

    Grawe, Sarah; Augustin-Bauditz, Stefanie; Hartmann, Susan; Hellner, Lisa; Pettersson, Jan B. C.; Prager, Andrea; Stratmann, Frank; Wex, Heike


    It is generally known that ash particles from coal combustion can trigger ice nucleation when they interact with water vapor and/or supercooled droplets. However, data on the ice nucleation of ash particles from different sources, including both anthropogenic and natural combustion processes, are still scarce. As fossil energy sources still fuel the largest proportion of electric power production worldwide, and biomass burning contributes significantly to the global aerosol loading, further data are needed to better assess the ice nucleating efficiency of ash particles. In the framework of this study, we found that ash particles from brown coal (i.e., lignite) burning are up to 2 orders of magnitude more ice active in the immersion mode below -32 °C than those from wood burning. Fly ash from a coal-fired power plant was shown to be the most efficient at nucleating ice. Furthermore, the influence of various particle generation methods on the freezing behavior was studied. For instance, particles were generated either by dispersion of dry sample material, or by atomization of ash-water suspensions, and then led into the Leipzig Aerosol Cloud Interaction Simulator (LACIS) where the immersion freezing behavior was examined. Whereas the immersion freezing behavior of ashes from wood burning was not affected by the particle generation method, it depended on the type of particle generation for ash from brown coal. It was also found that the common practice of treating prepared suspensions in an ultrasonic bath to avoid aggregation of particles led to an enhanced ice nucleation activity. The findings of this study suggest (a) that ash from brown coal burning may influence immersion freezing in clouds close to the source and (b) that the freezing behavior of ash particles may be altered by a change in sample preparation and/or particle generation.

  12. Application of spectral hole burning to the study of in vitro cellular systems

    Energy Technology Data Exchange (ETDEWEB)

    Milanovich, Nebojsa [Iowa State Univ., Ames, IA (United States)


    Chapter 1 of this thesis describes the various stages of tumor development and a multitude of diagnostic techniques used to detect cancer. Chapter 2 gives an overview of the aspects of hole burning spectroscopy important for its application to the study of cellular systems. Chapter 3 gives general descriptions of cellular organelles, structures, and physical properties that can serve as possible markers for the differentiation of normal and cancerous cells. Also described in Chapter 3 are the principles of cryobiology important for low temperature spectroscopy of cells, characterization of MCF-10F (normal) and MCF-7 (cancer) cells lines which will serve as model systems, and cellular characteristics of aluminum phthalocyanine tetrasulfonate (APT), which was used as the test probe. Chapters 4 and 5 are previously published papers by the author pertaining to the results obtained from the application of hole burning to the study of cellular systems. Chapter 4 presents the first results obtained by spectral hole burning of cellular systems and Chapter 5 gives results for the differentiation of MCF-10F and MCF-7 cells stained with APT by an external applied electric (Stark) field. A general conclusion is presented in Chapter 6. Appendices A and B provide additional characterization of the cell/probe model systems. Appendix A describes the uptake and subcellular distribution of APT in MCF-10F and MCF-7 cells and Appendix B compares the hole burning characteristics of APT in cells when the cells are in suspension and when they are examined while adhering to a glass coverslip. Appendix C presents preliminary results for a novel probe molecule, referred to as a molecular thumbtack, designed by the authors for use in future hole burning applications to cellular systems.

  13. Data summary of municipal solid waste management alternatives. Volume 3, Appendix A: Mass burn technologies

    Energy Technology Data Exchange (ETDEWEB)



    This appendix on Mass Burn Technologies is the first in a series designed to identify, describe and assess the suitability of several currently or potentially available generic technologies for the management of municipal solid waste (MSW). These appendices, which cover eight core thermoconversion, bioconversion and recycling technologies, reflect public domain information gathered from many sources. Representative sources include: professional journal articles, conference proceedings, selected municipality solid waste management plans and subscription technology data bases. The information presented is intended to serve as background information that will facilitate the preparation of the technoeconomic and life cycle mass, energy and environmental analyses that are being developed for each of the technologies. Mass burn has been and continues to be the predominant technology in Europe for the management of MSW. In the United States, the majority of the existing waste-to-energy projects utilize this technology and nearly 90 percent of all currently planned facilities have selected mass burn systems. Mass burning generally refers to the direct feeding and combustion of municipal solid waste in a furnace without any significant waste preprocessing. The only materials typically removed from the waste stream prior to combustion are large bulky objects and potentially hazardous or undesirable wastes. The technology has evolved over the last 100 or so years from simple incineration to the most highly developed and commercially proven process available for both reducing the volume of MSW and for recovering energy in the forms of steam and electricity. In general, mass burn plants are considered to operate reliably with high availability.

  14. Scaling of the burning efficiency for multicomponent fuel pool fires

    DEFF Research Database (Denmark)

    van Gelderen, Laurens; Farahani, Hamed Farmahini; Rangwala, Ali S.;

    In order to improve the validity of small scale crude oil burning experiments, which seem to underestimate the burning efficiency obtained in larger scales, the gasification mechanism of crude oil was studied. Gasification models obtained from literature were used to make a set of predictions...... for relevant burning related parameters which were then compared to experimental results. These parameters, the surface temperature, mass loss rate, flame height and residue composition, were studied for three hydrocarbon liquids (n-octane, dodecane and hexadecane) and two crude oils (DUC and REBCO). Based...... on the models-experiments comparison, it was suggested that crude oil burns according to a distillation-like mechanism, with the light components burning off first, followed by increasingly heavier components as the burning progresses. Thus, in order for the crude oil to burn near 100%, the surface temperature...

  15. Do burns increase the severity of terror injuries? (United States)

    Peleg, Kobi; Liran, Alon; Tessone, Ariel; Givon, Adi; Orenstein, Arie; Haik, Josef


    The use of explosives and suicide bombings has become more frequent since October 2000. This change in the nature of terror attacks has marked a new era in the Israeli-Palestinian conflict. We previously reported that the incidence of thermal injuries has since risen. However, the rise in the incidence of burns among victims of terror was proportionate to the rise in the incidence of burns among all trauma victims. This paper presents data from the Israeli National Trauma Registry during the years 1997--2003, to compare the severity of injuries and outcome (mortality rates) in terror victims with and without burn injuries. We also compare the severity of injuries and outcome (mortality rates) for patients with terror-attack related burns to non terror-attack related burns during the same period. Data was obtained from the Israeli National Trauma Registry for all patients admitted to 8 to 10 hospitals in Israel between 1997 and 2003. We analyzed and compared demographic and clinical characteristics of 219 terror-related burn patients (terror/burn), 2228 terror patients with no associated burns (Terror/no-burn) and 6546 non terror related burn patients (burn/no-terror). Severity of injuries was measured using the injury severity score, and burn severity by total body surface percentage indices. Admission rates to Intensive Care Units (ICU) and total length of hospitalization were also used to measure severity of injuries. In-hospital mortality rates were used to indicate outcome. Of burn/terror patients, 87.2% suffered other accompanying injuries, compared with 10.4% of burn/no-terror patients. Of burn/terror patients, 49.8% were admitted to ICU compared with only 11.9% of burn/no-terror patients and 23.8% of no-burn/terror patients. Mean length of hospital stay was 18.5 days for the terror/burn group compared with 11.1 days for the burn/no-terror group and 9.5 days for the terror/no-burn group. Burn/terror patients had a significantly higher injury severity score

  16. Early diagnostics and treatment with acute burn sepsis

    Institute of Scientific and Technical Information of China (English)

    Ahmedov A.A.; Shakirov B.M.; Karabaev H.K


    Objective: To determine the value of the procalcitonin test used for early diagnosis of sepsis and to study the course and treatment of burn sepsis in patients with severe burns. Methods: Eighty patients in the Burn Department of Republican Scientific Centre of Emergency Medical Care, aged 17-75 years with burn injuries covering 30%-85% of the body surface, were enrolled in the study. Procalcitonin is marker of sepsis, procalcitonin > 2 ng/mL, sensitivity -89%, specific feature -94%. Results: The result showed that among septic patients with severe burns, rational use of intensive therapy for burn sepsis and septic shock in combination with parentrial ozonotherapy resulted in decreases of syndrome of poly organ insufficiency and lethal outcomes from 70%accordingly. The result allows the conclusion that the treatment examined leads to a significant increase in survival coefficient. Conclusions: This in turn confirms the efficacy of early necrectomy and auto dermoplasty of deep burn wounds in victims with sepsis.

  17. An overview of acute burn management in the Emergency Centre

    Directory of Open Access Journals (Sweden)

    Adaira Landry


    Full Text Available Despite the frequency and severity of burns in Low Income Countries, including many in Africa, there is a paucity of research and funding for these populations to aid in prevention, treatment and recovery of burn patients. The objectives of this paper are four-fold. First, by addressing the pathophysiology of burns the reader may strengthen understanding of the clinical progression of burns. Second, through describing proper assessment of burn patients one will learn how to decide if patients can be discharged, admitted or transferred to burn centre. Third, the inclusion of treatments solidifies the steps necessary to manage a patient in a hospital setting. Lastly, the overall goal of the paper, is to raise awareness that more research, publication and funding is required to create a better understanding of burns in Africa and why they continue to be devastating social and economic burdens.

  18. Biomass Burning Emissions from Fire Remote Sensing (United States)

    Ichoku, Charles


    Knowledge of the emission source strengths of different (particulate and gaseous) atmospheric constituents is one of the principal ingredients upon which the modeling and forecasting of their distribution and impacts depend. Biomass burning emissions are complex and difficult to quantify. However, satellite remote sensing is providing us tremendous opportunities to measure the fire radiative energy (FRE) release rate or power (FRP), which has a direct relationship with the rates of biomass consumption and emissions of major smoke constituents. In this presentation, we will show how the satellite measurement of FRP is facilitating the quantitative characterization of biomass burning and smoke emission rates, and the implications of this unique capability for improving our understanding of smoke impacts on air quality, weather, and climate. We will also discuss some of the challenges and uncertainties associated with satellite measurement of FRP and how they are being addressed.

  19. Modeling Deep Burn TRISO particle nuclear fuel

    Energy Technology Data Exchange (ETDEWEB)

    Besmann, T.M., E-mail: [Oak Ridge National Laboratory, P.O. Box 2008, Oak Ridge, TN 37831 (United States); Stoller, R.E., E-mail: [Oak Ridge National Laboratory, P.O. Box 2008, Oak Ridge, TN 37831 (United States); Samolyuk, G., E-mail: [Oak Ridge National Laboratory, P.O. Box 2008, Oak Ridge, TN 37831 (United States); Schuck, P.C., E-mail: [Oak Ridge National Laboratory, P.O. Box 2008, Oak Ridge, TN 37831 (United States); Golubov, S.I., E-mail: [Oak Ridge National Laboratory, P.O. Box 2008, Oak Ridge, TN 37831 (United States); Rudin, S.P., E-mail: [Los Alamos National Laboratory, P.O. Box 1663, Los Alamos, NM 87545 (United States); Wills, J.M., E-mail: [Los Alamos National Laboratory, P.O. Box 1663, Los Alamos, NM 87545 (United States); Coe, J.D., E-mail: [Los Alamos National Laboratory, P.O. Box 1663, Los Alamos, NM 87545 (United States); Wirth, B.D., E-mail: [University of Tennessee, Knoxville, TN 37996-0750 (United States); Kim, S., E-mail: [University of Wisconsin, 1509 University Ave., Madison, WI 53706 (United States); Morgan, D.D., E-mail: [University of Wisconsin, 1509 University Ave., Madison, WI 53706 (United States); Szlufarska, I., E-mail: [University of Wisconsin, 1509 University Ave., Madison, WI 53706 (United States)


    Under the DOE Deep Burn program TRISO fuel is being investigated as a fuel form for consuming plutonium and minor actinides, and for greater efficiency in uranium utilization. The result will thus be to drive TRISO particulate fuel to very high burn-ups. In the current effort the various phenomena in the TRISO particle are being modeled using a variety of techniques. The chemical behavior is being treated utilizing thermochemical analysis to identify phase formation/transformation and chemical activities in the particle, including kernel migration. Density functional theory is being used to understand fission product diffusion within the plutonia oxide kernel, the fission product's attack on the SiC coating layer, as well as fission product diffusion through an alternative coating layer, ZrC. Finally, a multiscale approach is being used to understand thermal transport, including the effect of radiation damage induced defects, in a model SiC material.

  20. Parents’ experience confronting child burning situation

    Directory of Open Access Journals (Sweden)

    Valdira Vieira de Oliveira


    Full Text Available Objective: to understand experiences of parents in a child burning situation during the hospitalization process. Methods: phenomenological research in view of Martin Heidegger, held with seven assisting parents at a pediatrics unit of a general hospital in Montes Claros. The information was obtained by phenomenological interview, containing the question guide: “What does it mean to you being with a son who is suffering with burns?”. Results: during the experience, parents revealed anguish, fear, helplessness, concerns and expectations of “being-in-the-world”. Conclusion: respect, understanding and care from the health team were fundamental for the adaptation and the confrontation demanded by the consequent suffering of the event.

  1. Hole burning, Stark effect, and data storage: 2: holographic recording and detection of spectral holes. (United States)

    Caro, C D; Renn, A; Wild, U P


    The properties of holographic recording and detection of spectral holes in the frequency and electric-field dimension are investigated. To optimize the storage properties of optical memory devices, based on spectral hole burning and holography, cross-talk effects between adjacent holograms have to be minimized. These interactions depend on the relative phases of the holograms chosen during the recording stage. Using free-base chlorin (2,3-dihydroporphyrin) in polyvinyl butyral as host at a temperature of 1.7 K, the influence of the relative phase difference between holograms is demonstrated in both the frequency and the electric-field dimension. Experimental results are presented for rows and columns of holograms stored either in the laser frequency or the electric-field dimension and compared to transmission data. Using both dimensions a 10 x 10 matrix of holograms has been stored within the range of a single wave number.

  2. Probing thermonuclear burning on accreting neutron stars


    Keek, L.


    Neutron stars are the most compact stars that can be directly observed, which makes them ideal laboratories to study physics at extreme densities. Neutron stars in low-mass X-ray binaries accrete hydrogen and helium from a lower-mass companion star through Roche lobe overflow. This matter undergoes thermonuclear burning in the neutron star envelope, creating carbon and heavier elements. The fusion process may proceed in an unstable manner, resulting in a thermonuclear runaway. Within one seco...

  3. Violates stem wood burning sustainable development?

    DEFF Research Database (Denmark)

    Czeskleba-Dupont, Rolf


    With reference to the paradigme shift regarding the formation of dioxins in municiplan solid waste incinerators experimental results are taken into account which lead to the suspicion that the same mechanism of de-novo-synthesis also applies to fireplace chimneys. This can explain the dioxin...... burning are characterised together with particle and PAH emissions. The positive treatment of wood stove-technology in the Danish strategy for sustainable development (draft 2007) is critically evaluated and approaches to better regulation are identified....

  4. Extracorporeal blood purification in burns: a review. (United States)

    Linden, Katharina; Stewart, Ian J; Kreyer, Stefan F X; Scaravilli, Vittorio; Cannon, Jeremy W; Cancio, Leopoldo C; Batchinsky, Andriy I; Chung, Kevin K


    A prolonged and fulminant inflammatory state, with high levels of pro- and anti-inflammatory mediators, is seen after extensive thermal injury. Blood purification techniques including plasma exchange, continuous venovenous hemofiltration, and adsorbing membranes have the potential to modulate this response, thereby improving outcomes. This article describes the scientific rationale behind blood purification in burns and offers a review of literature regarding its potential application in this patient cohort.

  5. [Physical rehabilitation in extensively burned patients]. (United States)

    Martín Martínez, V; Díez Sanz, Ma J; Corona Fernández, O; García Aragón, A; González Fraile, L


    The rehabilitation of the extensively burned patient aims to prevent and minimize consequences of the own lesion this is supported by three pillars: 1) postural treatment to prevent contractures; 2) kinesiotherapy to maintain/restore joint range of movement and muscle strength; 3) functional recovery. Physical therapy is essential in the multidisciplinary team. A coordinated team assures better results and positively influences the quality of life of the patients.


    Energy Technology Data Exchange (ETDEWEB)

    Raymond J. Fonck


    The national U.S. Burning Plasma Organization (USBPO) was formed to provide an umbrella structure in the U.S. fusion science research community. Its main purpose is the coordination of research activities in the U.S. program relevant to burning plasma science and preparations for participation in the international ITER experiment. This grant provided support for the continuing development and operations of the USBPO in its first years of existence. A central feature of the USBPO is the requirement for broad community participation in and governance of this effort. We concentrated on five central areas of activity of the USBPO during this grant period. These included: 1) activities of the Director and support staff in continuing management and development of the USBPO activity; 2) activation of the advisory Council; 3) formation and initial research activities of the research community Topical Groups; 4) formation of Task Groups to perform specific burning plasma related research and development activities; 5) integration of the USBPO community with the ITER Project Office as needed to support ITER development in the U.S.

  7. A Model For The Burning of Teflon (United States)

    Waller, Jess M.; Wilson, D. Bruce; Beeson, Harold D.; Fries, Joseph (Technical Monitor)


    Teflon has been identified as suitable material for use in oxygen-enriched atmospheres because of its low specific enthalpy of combustion that is, less than 1500 cal/gram. However, once ignited, Teflon burns in a heterogeneous reaction until total consumption or depletion of oxygen occurs. A model is developed for the burning of Teflon in pure, high-pressure oxygen, 3.4 to 68.9 MPa. The Teflon polymer chain dissociates via monomer units due to pyrolysis. These monomer units diffuse to the surface due to free convection. The model consists of coupled mass and energy balances for the polymer and an energy balance for the free convection of product gases. The model is used to obtain appropriate kinetic parameters for the dissociation and surface reactions. The model is validated against experimental measurements of Teflon discs supported on aluminum rods (2216) at oxygen pressures of 3.4, 6.8, 34.4, and 68.9 MPa. The model simulates the temperature distribution in the product gases above burning Teflon.

  8. Opioid-induced hyperalgesia and burn pain. (United States)

    Holtman, Joseph R; Jellish, W Scott


    The treatment of pain produced during the management of burn injury has been an ongoing problem for physicians caring for these patients. The main therapeutic option for analgesia has been the repeated and prolonged use of opioids. The adverse effects of opioids are well known but the long term use of opioids which produces tolerance with accompanying dose escalation and dependence is most problematic. Another potentially important consequence of opioid exposure that sometimes masks as tolerance is that of opioid induced hyperalgesia. This syndrome is manifest as enhanced pain, sensitivity and loss of analgesic efficacy in patients treated with opioids who actually become sensitized to painful stimuli. This article focuses on the treatment of burn pain and how current analgesic therapies with opioids may cause hyperalgesia and affect the adequacy of treatment for burn pain. This article also provides possible modalities to help therapeutically manage these patients and considers future analgesic strategies which may help to improve pain management in this complicated patient population.

  9. US and CT of the Liver after Electric Shock. (United States)

    Sofić, Amela; Bešlić, Nermina; Efendić, Alma; Čarovac, Aladin; Šabanović, Jusuf; Jahić, Elma; Bukvić, Melika; Krakonja, Fikreta; Kupusović, Jana


    Liver injuries caused by high voltage electricity are rare and result in high mortality and morbidity. They are produced by the resistance to the passage of electrical current through the tissue, which creates heat that leads to coagulation necrosis and rupture of the cell membrane. We present a case of an electrical injury to the liver, diagnosed by ultrasound and CT in a 39-year-old man who presented with skin burns on his right hand and right hemiabdomen. Injuries occurred after the contact with 220 kV high voltage electricity.

  10. Electric machine (United States)

    El-Refaie, Ayman Mohamed Fawzi [Niskayuna, NY; Reddy, Patel Bhageerath [Madison, WI


    An interior permanent magnet electric machine is disclosed. The interior permanent magnet electric machine comprises a rotor comprising a plurality of radially placed magnets each having a proximal end and a distal end, wherein each magnet comprises a plurality of magnetic segments and at least one magnetic segment towards the distal end comprises a high resistivity magnetic material.

  11. Current concepts on burn wound conversion-A review of recent advances in understanding the secondary progressions of burns. (United States)

    Salibian, Ara A; Rosario, Angelica Tan Del; Severo, Lucio De Almeida Moura; Nguyen, Long; Banyard, Derek A; Toranto, Jason D; Evans, Gregory R D; Widgerow, Alan D


    Burn wound conversion describes the process by which superficial partial thickness burns convert into deeper burns necessitating surgical intervention. Fully understanding and thus controlling this phenomenon continues to defy burn surgeons. However, potentially guiding burn wound progression so as to obviate the need for surgery while still bringing about healing with limited scarring is the major unmet challenge. Comprehending the pathophysiologic background contributing to deeper progression of these burns is an essential prerequisite to planning any intervention. In this study, a review of articles examining burn wound progression over the last five years was conducted to analyze trends in recent burn progression research, determine changes in understanding of the pathogenesis of burn conversion, and subsequently examine the direction for future research in developing therapies. The majority of recent research focuses on applying therapies from other disease processes to common underlying pathogenic mechanisms in burn conversion. While ischemia, inflammation, and free oxygen radicals continue to demonstrate a critical role in secondary necrosis, novel mechanisms such as autophagy have also been shown to contribute affect significantly burn progression significantly. Further research will have to determine whether multiple mechanisms should be targeted when developing clinical therapies.

  12. Physical functional outcome assessment of patients with major burns admitted to a UK Burn Intensive Care Unit. (United States)

    Smailes, Sarah T; Engelsman, Kayleen; Dziewulski, Peter


    Determining the discharge outcome of burn patients can be challenging and therefore a validated objective measure of functional independence would assist with this process. We developed the Functional Assessment for Burns (FAB) score to measure burn patients' functional independence. FAB scores were taken on discharge from ICU (FAB 1) and on discharge from inpatient burn care (FAB 2) in 56 patients meeting the American Burn Association criteria for major burn. We retrospectively analysed prospectively collected data to measure the progress of patients' physical functional outcomes and to evaluate the predictive validity of the FAB score for discharge outcome. Mean age was 38.6 years and median burn size 35%. Significant improvements were made in the physical functional outcomes between FAB 1 and FAB 2 scores (ppatients were discharged home, 8 of these with social care. 8 patients were transferred to another hospital for further inpatient rehabilitation. FAB 1 score (≤ 9) is strongly associated with discharge outcome (pburn patients.

  13. Treatment strategies for mass burn casualties

    Institute of Scientific and Technical Information of China (English)

    CHAI Jia-ke; SHENG Zhi-yong; YANG Hong-ming; HAO Dai-feng; SHEN Chuan-an; JIA Xiao-ming; LI Feng; JING Sa; LI Li-gen; SONG Hui-feng; JIA Chi-yu; TUO Xiao-ye; SUN Tian-jun; HU Quan


    Background Mass burn casualties are always a great challenge to a medical team because a large number of seriously injured patients were sent in within a short time. Usually a high mortality is impending. Experiences gained from successful treatment of the victims may be useful in guiding the care of mass casualties in an armed conflict.Methods Thirty-five burn victims in a single batch, being transferred nonstop by air and highway from a distant province,were admitted 48 hours post-injury. All patients were male with a mean age of (22.4±8.7) years. The burn extent ranged from 4% to 75% ((13.6±12.9)%) total body surface area. Among them, thirty-two patients were complicated by moderate and severe inhalation injury, and tracheostomy had been performed in 15 patients. Decompression incisions of burn eschar on extremities were done in 17 cases before transportation. All the thirty-five patients arrived at the destination smoothly via 4-hour airlift and road transportation. Among them, twenty-five patients were in critical condition.Results These thirty-five patients were evacuated 6 hours from the scene of the injury, and they were transferred to a local hospital for primary emergency care. The patients were in very poor condition when admitted to our hospital because of the severe injury with delayed and inadequate treatment. Examination of these patients at admission showed that one patient was suffering from sepsis and multiple organ dysfunction syndrome. Dysfunction of the heart, lung, liver,kidney, and coagulation were all found in the patients. Forty-eight operations were performed in the 23 patients during one month together with comprehensive treatment, and the function of various organs was ameliorated after appropriate treatment. All the 35 patients survived.Conclusions A well-organized team consisting of several cooperative groups with specified duties is very important. As a whole, the treatment protocol should be individualized, basing on the extent of

  14. Low Voltage Electric Current Causing Ileal Perforation: A Rare Injury (United States)

    Mathur, Vinay; Tanger, Ramesh; Gupta, Arun Kumar


    Post-electric burn ileal perforation is a rare but severe complication leading to high morbidity and mortality if there is delay in diagnosis and management. We are describing a case of electric current injury of left forearm, chest, and abdominal wall with perforation of ileum in an 8-year old boy. Patient was successfully managed by primary closure of the ileal perforation. PMID:27170922

  15. Low Voltage Electric Current Causing Ileal Perforation: A Rare Injury

    Directory of Open Access Journals (Sweden)

    Aditya Pratap Singh


    Full Text Available Post-electric burn ileal perforation is a rare but severe complication leading to high morbidity and mortality if there is delay in diagnosis and management. We are describing a case of electric current injury of left forearm, chest, and abdominal wall with perforation of ileum in an 8-year old boy. Patient was successfully managed by primary closure of the ileal perforation.

  16. Sepsis in burned patients Sepse em pacientes queimados

    Directory of Open Access Journals (Sweden)

    Jefferson Lessa S. de Macedo


    Full Text Available A prospective study was conducted from June 2001 to May 2002 at the Burns Unit of Hospital Regional da Asa Norte, Brasília, Brazil. During the period of the study, 252 patients were treated at the Burns Unit, 49 (19.4% developed clinically and microbiologically proven sepsis. Twenty-six (53.1% were males and 23 (46.9% females with a mean age of 22 years (range one to 89 years and mean burned body surface area of 37.7 ± 18.4% (range 7 to 84%. Forty-three patients had flame burns, five a scald and one an electric burn. These 49 patients had a total of 62 septic episodes. Forty (81.6% patients had only one and nine (18.4% had up to three episodes of sepsis. Thirty (61.2% patients had their first septicemic episode either earlier or by one week postburn. Out of 62 septic episodes, 58 were due to bacteria and four due to Candida sp. The most common bacteria isolated from blood culture were Staphylococcus aureus, coagulase-negative Staphylococcus, Acinetobacter baumannii, Enterobacter cloacae and Klebsiella pneumoniae. Eleven (18.9% episodes were due to oxacillin resistant Staphylococcus aureus. Acinetobacter baumannii was sensitive to ampicillin/sulbactam in 71.4% and to imipenem in 85.7% of the cases. The primary foci of sepsis were the burn wound in 15 ( 24.2% episodes. The most common clinical findings of sepsis in these patients were fever, dyspnea, hypotension and oliguria. The most common laboratory findings of these patients were anemia, leukocytosis, hypoalbuminemia and thrombocytopenia. Twelve (24.5% patients died. The appropriate knowledge of clinical, epidemiological, laboratorial and microbiological aspects of sepsis in burned patients permits an adequate diagnosis and treatment of this complication.Um estudo prospectivo foi realizado de junho de 2001 a maio de 2002, na Unidade de Queimados do Hospital Regional da Asa Norte, Brasília, Brasil. Durante o período do estudo, 252 pacientes foram tratados na Unidade de Queimados, 49 (19

  17. Amish Culture and Their Utilization of Burns and Wounds Ointment for the Treatment of Burns. (United States)

    Trinkle, Krystal Melich


    As indicated in the 2010 United States Religion Census, there are approximately 251,000 Amish people in the United States and Ontario. This census also demonstrated that a new Amish community is founded on average about every three-and-a-half weeks, suggesting that this religious culture is the fastest-growing religion throughout the United States. Because of the rapid growth of the Amish population, it is essential for health care workers to understand their background, cultural, and health care beliefs, especially in the treatment of burns. The purpose of this article is to examine the Amish background, cultural, and health care beliefs, specifically the utilization of burns and wounds ointment and burdock leaves in the treatment of burns.

  18. A comparative study of the ignition and burning characteristics of after burning aluminum and magnesium particles

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Ji Hwan; Lee, Sang Hyup; Yoon, Woong Sup [Yonsei University, Seoul (Korea, Republic of)


    Ignition and the burning of air-born single aluminum and magnesium particles are experimentally investigated. Particles of 30 to 106 μm-diameters were electrodynamically levitated, ignited, and burnt in atmospheric air. The particle combustion evolution was recorded by high-speed cinematography. Instant temperature and thermal radiation intensity were measured using two-wavelength pyrometry and photomultiplier tube methods. Ignition of the magnesium particle is prompt and substantially advances the aluminum particle by 10 ms. Burning time of the aluminum particles is extended 3 to 5 times longer than the magnesium particles. Exponents of a power-law fit of the burning rates are 1.55 and 1.24 for aluminum and magnesium particles, respectively. Flame temperature is slightly lower than the oxide melting temperature. For the aluminum, dimensionless flame diameter is inert to the initial particle size, but for the magnesium inversely proportional to the initial diameter.

  19. Interim Status Closure Plan Open Burning Treatment Unit Technical Area 16-399 Burn Tray

    Energy Technology Data Exchange (ETDEWEB)

    Vigil-Holterman, Luciana R. [Los Alamos National Laboratory


    This closure plan describes the activities necessary to close one of the interim status hazardous waste open burning treatment units at Technical Area (TA) 16 at the Los Alamos National Laboratory (LANL or the Facility), hereinafter referred to as the 'TA-16-399 Burn Tray' or 'the unit'. The information provided in this closure plan addresses the closure requirements specified in the Code of Federal Regulations (CFR), Title 40, Part 265, Subparts G and P for the thermal treatment units operated at the Facility under the Resource Conservation and Recovery Act (RCRA) and the New Mexico Hazardous Waste Act. Closure of the open burning treatment unit will be completed in accordance with Section 4.1 of this closure plan.

  20. Pediatric Burns in the Bedouin Population in Southern Israel

    Directory of Open Access Journals (Sweden)

    Arnon D. Cohen


    Full Text Available Burn trauma is an important public health concern, with increased risk for burns in children. A cross-sectional study was performed to describe the epidemiological characteristics and risk factors for burns in hospitalized Bedouin children in Soroka University Medical Center during the years 2001–2002. In a population of 558 hospitalized burn-injured patients, 282 Bedouin children were identified. Two hundred and sixty five patients (94.0% had burns involving less than 20% of the body surface area. Cause of the burns was scald in 190 patients (67.4%, fire in 80 patients (28.4%, chemical in 8 patients (2.8%, and explosion in 2 patients (0.7%. Two female patients (0.7% aged 11 and 17 years died of their burns that were caused by fire. The mean length of hospitalization was 9.8 days. Pediatric burn injury has become a significant public health problem in the Bedouin population of the Negev. To reduce the burden of burn injury, it is necessary to increase current efforts in prevention of burns.

  1. Rehabilitation and social adjustment of people with burns in society. (United States)

    Din, Sirajud; Shah, Mussawar; Asadullah; Jamal, Humera; Bilal, Muhammad


    The present study was conducted on rehabilitation and social adjustment of people with burns in society with the main objective to determine the relationship between social adjustment of people with burns and their psychosocial rehabilitation. The study was limited to the Burn Unit, Khyber Teaching Hospital, Peshawar, Pakistan. At bi-variate level, the following were observed: the relationship of psychosocial rehabilitation was highly significant (P=0.000) considering that people with burns feel shame in the society, a highly significant relation (P=0.000) was found between psychosocial rehabilitation and burn as the hurdle to contact other members of the society, a highly significant (P=0.000) relation was found between psychosocial rehabilitation and perception that society provides social support to people with burns, a highly significant (P=0.000) relationship between psychosocial rehabilitation and people with burns feel alienated from the society, a significant association (P=0.024) was found between psychosocial rehabilitation and loss of social network, and a significant (P=0.002) association between psychosocial rehabilitation and society insult toward people with burns. Regular provision of treatment, quota in job allocation for people with burns, initiation of stipend through Benazir Income Support Program, and keeping and updating record of burns at the district level in census centers were suggested as recommendations in light of the study.

  2. Burn wound: Pathophysiology and its management by herbal plants

    Directory of Open Access Journals (Sweden)

    Dhirender Kaushik


    Full Text Available In human body, wound healing is a normal biological phenomenon. Burns may be acute or chronic depending upon the source and its time of exposure. Burn wounds may be superficial, partial or full thickness wounds. When skin comes in contact with higher temperature, protein denaturation takes place due to which the plasma membrane integrity is lost. When skin is burned, a number of inflammatory mediators and releasing agents such as histamine, nitric oxide, oxygen free radicals, eicosanoid products, tumor necrosis factors, and interleukins etc., are released at the site. For wound healing mechanism, the keratinocytes has to move from uninjured site to the burned area. For deeper burns this process takes a long time. By some unknown mechanisms, burn wounds may convert from one form to another form. So burn wound depth must be accurately measured before starting the treatment to prevent the complications. Burns can be induced in experimental animals by using different models. Many treatments such as herbal drugs, topical agents, gene therapy, volume therapy, and rehabilitation can be employed. This review article mainly deals with the theoretical and practical aspects of burn wound healing. Some burn wound healing plants with their chemical constituents, plant part used, uses and animal models are described here.

  3. Oxidative stress and anti-oxidative mobilization in burn injury. (United States)

    Parihar, Arti; Parihar, Mordhwaj S; Milner, Stephen; Bhat, Satyanarayan


    A severe burn is associated with release of inflammatory mediators which ultimately cause local and distant pathophysiological effects. Mediators including Reactive Oxygen Species (ROS) and Reactive Nitrogen Species (RNS) are increased in affected tissue, which are implicated in pathophysiological events observed in burn patients. The purpose of this article is to understand the role of oxidative stress in burns, in order to develop therapeutic strategies. All peer-reviewed, original and review articles published in the English language literature relevant to the topic of oxidative stress in burns in animals and human subjects were selected for this review and the possible roles of ROS and RNS in the pathophysiology of burns are discussed. Both increased xanthine oxidase and neutrophil activation appear to be the oxidant sources in burns. Free radicals have been found to have beneficial effects on antimicrobial action and wound healing. However following a burn, there is an enormous production of ROS which is harmful and implicated in inflammation, systemic inflammatory response syndrome, immunosuppression, infection and sepsis, tissue damage and multiple organ failure. Thus clinical response to burn is dependent on the balance between production of free radicals and its detoxification. Supplementation of antioxidants in human and animal models has proven benefit in decreasing distant organ failure suggesting a cause and effect relationship. We conclude that oxidative damage is one of the mechanisms responsible for the local and distant pathophysiological events observed after burn, and therefore anti-oxidant therapy might be beneficial in minimizing injury in burned patients.

  4. Evaluation of burn injuries related to liquefied petroleum gas. (United States)

    Tarim, Mehmet Akin


    Liquefied petroleum gas (LPG) is a fuel that is widely used for domestic, agricultural, and industrial purposes. LPG is also commonly used in restaurants, industries, and cars; however, the home continues to be the main site for accidents. In Turkey, the increased usage of LPG as a cooking or heating fuel has resulted in many burn injuries from LPG mishaps. Between January 2000 and June 2011, 56 LPG-burned patients were compared with 112 flame-burned patients. There were no significant differences with respect to the mean age, sex, hospitalization time, and mortality in both groups. In the LPG-caused burn cases, 41 burns (73.2%) occurred at home, seven (12.5) were work-related mishaps, and eight (14.3) were associated with car accidents. The majority of the LPG burns (82%, 46 patients) resulted from a gas leak, and 18% of them were related to the failure to close LPG tubes in the patients' kitchens (10 patients). Burns to the face and neck (82 vs 67%, P = .039) and upper (62 vs 23%, P = .000) and lower (70 vs 45%, P = .002) extremities were significantly higher in LPG-caused burn cases than flame-burned cases. General awareness regarding the risk of LPG and first aid for burns appears to be lacking. The LPG delivery system should be standardized throughout countries that widely use LPG.

  5. Burn patients' experience of pain management: a qualitative study. (United States)

    Yuxiang, Li; Lingjun, Zhou; Lu, Tang; Mengjie, Liu; Xing, Ming; Fengping, Shen; Jing, Cui; Xianli, Meng; Jijun, Zhao


    Pain is a major problem after burns and researchers continue to report that pain from burns remains undertreated. The inadequate pain control results in adverse sequalae physically and psychologically in the burn victims. A better understanding of a burn patient's experience is important in identifying the factors responsible for undertreated pain and establishing effective pain management guidelines or recommendation in the practice of pain relief for burn injuries. This study sought to explore and describe the experience that patients have about pain related to burn-injury during hospitalization. Semi-structured interviews were conducted on eight patients with moderate to severe pain from burn injuries recruited from a Burn Centre in Northwest China. Data was collected by in-depth interviews and qualitative description after full transcription of each interview. Analysis involved the identification of themes and the development of a taxonomy of patients' experience of burn pain and its management. Three themes were indentified: (1) patients' experience of pain control, (2) patients' perception on burn pain management, and (3) patients' expectation of burn pain management. Findings from this study suggested that patients experience uncontrolled pain both physically and psychologically which may serve as an alert for awareness of health professionals to recognize and establish a multidisciplinary pain management team for burn victims, including surgeons, critical care specialists, anesthesiologists, nurses, psychologists, and social workers to accomplish safe and effective strategies for pain control to reach an optimal level of pain management in burn patients. It also provides insights and suggestions for future research directions to address this significant clinical problem.

  6. Electric fields and electrical insulation

    DEFF Research Database (Denmark)

    McAllister, Iain Wilson


    The adoption of a field-theoretical approach to problems arising in the framework of electrical insulation is discussed with reference to six main topics, which have been addressed over the last 30 years. These include uniform field electrodes, Green's differential equation, electrode surface......, it is amply demonstrated that such an approach can lead to significant progress in many areas of electrical insulation....

  7. Proposing "the burns suite" as a novel simulation tool for advancing the delivery of burns education. (United States)

    Sadideen, Hazim; Wilson, David; Moiemen, Naiem; Kneebone, Roger


    Educational theory highlights the importance of contextualized simulation for effective learning. We explored this concept in a burns scenario in a novel, low-cost, high-fidelity, portable, immersive simulation environment (referred to as distributed simulation). This contextualized simulation/distributed simulation combination was named "The Burns Suite" (TBS). A pediatric burn resuscitation scenario was selected after high trainee demand. It was designed on Advanced Trauma and Life Support and Emergency Management of Severe Burns principles and refined using expert opinion through cognitive task analysis. TBS contained "realism" props, briefed nurses, and a simulated patient. Novices and experts were recruited. Five-point Likert-type questionnaires were developed for face and content validity. Cronbach's α was calculated for scale reliability. Semistructured interviews captured responses for qualitative thematic analysis allowing for data triangulation. Twelve participants completed TBS scenario. Mean face and content validity ratings were high (4.6 and 4.5, respectively; range, 4-5). The internal consistency of questions was high. Qualitative data analysis revealed that participants felt 1) the experience was "real" and they were "able to behave as if in a real resuscitation environment," and 2) TBS "addressed what Advanced Trauma and Life Support and Emergency Management of Severe Burns didn't" (including the efficacy of incorporating nontechnical skills). TBS provides a novel, effective simulation tool to significantly advance the delivery of burns education. Recreating clinical challenge is crucial to optimize simulation training. This low-cost approach also has major implications for surgical education, particularly during increasing financial austerity. Alternative scenarios and/or procedures can be recreated within TBS, providing a diverse educational immersive simulation experience.


    Institute of Scientific and Technical Information of China (English)


    Objective: To verify the moisture maintaining effect of moist exposed burn ointment (MEBO) in treating burn wound. Methods: Rabbit model with II degree burn wound was used in this study. Observations were conducted at 0 (before burn), 0.5, 6, 24, 48, 72, and 168 hours postburn. The data of wound water evaporation, wound appearance and pathological changes of the wounds were compared with that of the burn wounds treated with Vaseline or conventional dry exposed therapy. Results: It was found that wounds treated with MEBO had water evaporation close to that of normal skin and was significantly less than that of the wounds treated with dry exposed therapy (P<0.01) MEBO did not obstruct water evaporation from wound as Vaseline did(P<0.01).Wounds treated with MEBO had good permeability and adequate drainage. Conclusion: MEBO provided the wounds with a physiological moist environment

  9. Firefighter burn injuries: predictable patterns influenced by turnout gear. (United States)

    Kahn, Steven A; Patel, Jignesh H; Lentz, Christopher W; Bell, Derek E


    Approximately 100 firefighters suffer fatal injuries annually and tens of thousands receive nonfatal injuries. Many of these injuries require medical attention and restricted activity but may be preventable. This study was designed to elucidate etiology, circumstances, and patterns of firefighter burn injury so that further prevention strategies can be designed. In particular, modification of protective equipment, or turnout gear, is one potential strategy to prevent burn injury. An Institutional Review Board-approved retrospective review was conducted with records of firefighters treated for burn injury from 2005 to 2009. Data collected included age, gender, TBSA, burn depth, anatomic location, total hospital days per patient, etiology, and circumstances of injury. Circumstances of injury were stratified into the following categories: removal/dislodging of equipment, failure of equipment to protect, training errors, and when excessive external temperatures caused patient sweat to boil under the gear. Over the 4-year period, 20 firefighters were treated for burn injury. Mean age was 38.9 ± 8.9 years and 19 of 20 patients were male. Mean burn size was 1.1 ± 2.7% TBSA. Eighteen patients suffered second-degree burns, while two patients suffered first-degree burns. Mean length of hospitalization was 2.45 days. Scald burns were responsible for injury to 13 firefighters (65%). Flame burns caused injury to four patients (20%). Only three patients received contact burns (15%). The face was the site most commonly burned, representing 29% of injuries. The hand/wrist and ears were the next largest groups, with 23 and 16% of the injuries, respectively. Other areas burned included the neck (10%), arm (6.5%), leg (6.5%), knees (3%), shoulders (3%), and head (3%). Finally, the circumstance of injury was evaluated for each patient. Misuse and noncontiguous areas of protective equipment accounted for 14 of the 20 injuries (70%). These burns were caused when hot steam

  10. Burn-injured adolescents report gaining multiple developmental benefits and improved life skills as a result of burn camp attendance. (United States)

    Rimmer, Ruth Brubaker; Pressman, Melissa S; Takach, Oliver P; Bay, R Curtis; Croteau, Renee; Hansen, Linda D; Foster, Kevin N; Caruso, Daniel M


    Anecdotally, burn camp has been reported to be a positive developmental and rehabilitative experience for attendees; there is little empirical data to support this belief. This study sought to explore whether burn camp either directly or indirectly elicits positive development outcomes in pediatric burn survivors or increases their psychosocial well-being and achievement. The Youth Experience Survey 2.0, a 66-item self-report inventory designed to measure developmental experiences in an organized youth activity, was administered to children aged 11 to 18 years attending summer burn camp. One hundred and ten burn-injured youth, 58 male and 52 female, reported that burn camp had positively impacted their lives through improved identity exploration, goal-setting and problem-solving abilities, increased physical activity, communication, emotional regulation, and time management skills (P camp for more than 5 years resulted in greater improvement. Study results support the burn camp experience as a far-reaching and positive developmental activity. Participants credited the camp experience with helping them with identity formation and reflection, improved social interactions, and increased initiative; all positive developmental outcomes for youth. Results suggest that burn camp participation not only helps burn-injured youth to deal with their burns but also assists them in the development of social and basic life skills, which will allow them to navigate the transition from youth to adulthood, more effectively and successfully.

  11. Health impacts of anthropogenic biomass burning in the developed world. (United States)

    Sigsgaard, Torben; Forsberg, Bertil; Annesi-Maesano, Isabella; Blomberg, Anders; Bølling, Anette; Boman, Christoffer; Bønløkke, Jakob; Brauer, Michael; Bruce, Nigel; Héroux, Marie-Eve; Hirvonen, Maija-Riitta; Kelly, Frank; Künzli, Nino; Lundbäck, Bo; Moshammer, Hanns; Noonan, Curtis; Pagels, Joachim; Sallsten, Gerd; Sculier, Jean-Paul; Brunekreef, Bert


    Climate change policies have stimulated a shift towards renewable energy sources such as biomass. The economic crisis of 2008 has also increased the practice of household biomass burning as it is often cheaper than using oil, gas or electricity for heating. As a result, household biomass combustion is becoming an important source of air pollutants in the European Union.This position paper discusses the contribution of biomass combustion to pollution levels in Europe, and the emerging evidence on the adverse health effects of biomass combustion products.Epidemiological studies in the developed world have documented associations between indoor and outdoor exposure to biomass combustion products and a range of adverse health effects. A conservative estimate of the current contribution of biomass smoke to premature mortality in Europe amounts to at least 40 000 deaths per year.We conclude that emissions from current biomass combustion products negatively affect respiratory and, possibly, cardiovascular health in Europe. Biomass combustion emissions, in contrast to emissions from most other sources of air pollution, are increasing. More needs to be done to further document the health effects of biomass combustion in Europe, and to reduce emissions of harmful biomass combustion products to protect public health.

  12. Electrical Conductivity. (United States)

    Hershey, David R.; Sand, Susan


    Explains how electrical conductivity (EC) can be used to measure ion concentration in solutions. Describes instrumentation for the measurement, temperature dependence and EC, and the EC of common substances. (PR)

  13. Electricity derivatives

    CERN Document Server

    Aïd, René


    Offering a concise but complete survey of the common features of the microstructure of electricity markets, this book describes the state of the art in the different proposed electricity price models for pricing derivatives and in the numerical methods used to price and hedge the most prominent derivatives in electricity markets, namely power plants and swings. The mathematical content of the book has intentionally been made light in order to concentrate on the main subject matter, avoiding fastidious computations. Wherever possible, the models are illustrated by diagrams. The book should allow prospective researchers in the field of electricity derivatives to focus on the actual difficulties associated with the subject. It should also offer a brief but exhaustive overview of the latest techniques used by financial engineers in energy utilities and energy trading desks.

  14. Prognostic indicators in acute burned patients-a review

    Institute of Scientific and Technical Information of China (English)

    Sherif Emara


    Burn trauma is in need for prognostic indicators or admission scores. This aims for realistic documentation of the burn injury, expectation of the prognosis, and to facilitate a patient stratification to evaluate therapeutic strategies. A computer search through different medical websites was performed looking for articles correlating prognosis with different burn indices. These were carefully summarized and analyzed for this review. Variable studies were found related to that issue; the reliable indicators found had been classified as general or specific. All of them had certain clinical importance, but limitations are a common feature. All the listed indices are useful to serve in the only special clinical situations. We couldn't claim that they are actual prognostic indicator in burn victims. We believe that we still lack the proper prognostic indicator in burn patients. Researchers are invited for more effort to organize a more reliable prognostic indicator and scoring system for burn patients.

  15. [Risk factors for development of hypomagnesemia in the burned patient]. (United States)

    Durán-Vega, Héctor César; Romero-Aviña, Francisco Javier; Gutiérrez-Salgado, Jorge Eduardo; Silva-Díaz, Teresita; Ramos-Durón, Luis Ernesto; Carrera-Gómez, Francisco Javier


    Electrolyte abnormalities are common in the severely burned patient. There is little information with regard to the frequency and magnitude of hypomagnesemia, as well as on risk factors for this condition. We performed an observational, retrospective analysis of 35 burned patients treated at the Plastic and Reconstructive Surgery Service at the Hospital Central Sur PEMEX, Mexico City. We determined serum magnesium behavior and divided patients into two groups: the first included 11 patients with burns and hypomagnesemia, and the second, 24 patients with burns but without hypomagnesemia. Risk factor identification was performed. We found patient at risk was the one with more than 40% of 2nd or 3rd degree total burned body area, in day 4 or 10 after the burn, and with hypokalemia, hypocalcemia, or both, and without intravenous (i.v.) supplementation of magnesium. The best way to prevent or avoid major complications is to identify the high-risk patient, or to diagnose earlier.

  16. Feet sunk in molten aluminium: The burn and its prevention. (United States)

    Alonso-Peña, David; Arnáiz-García, María Elena; Valero-Gasalla, Javier Luis; Arnáiz-García, Ana María; Campillo-Campaña, Ramón; Alonso-Peña, Javier; González-Santos, Jose María; Fernández-Díaz, Alaska Leonor; Arnáiz, Javier


    Nowadays, despite improvements in safety rules and inspections in the metal industry, foundry workers are not free from burn accidents. Injuries caused by molten metals include burns secondary to molten iron, aluminium, zinc, copper, brass, bronze, manganese, lead and steel. Molten aluminium is one of the most common causative agents of burns (60%); however, only a few publications exist concerning injuries from molten aluminium. The main mechanisms of lesion from molten aluminium include direct contact of the molten metal with the skin or through safety apparel, or when the metal splash burns through the pants and rolls downward along the leg. Herein, we report three cases of deep dermal burns after 'soaking' the foot in liquid aluminium and its evolutive features. This paper aims to show our experience in the management of burns due to molten aluminium. We describe the current management principles and the key features of injury prevention.

  17. Predictors of PTSD symptoms in caregivers of pediatric burn survivors

    Directory of Open Access Journals (Sweden)

    Lucía Del Carmen Quezada Berumen


    Full Text Available Facing a severe injury in the children is one of the most devastating experiences that parents may face. The aim of this study was to explore the role of resilience showed by fathers and mothers of children with burns, the TBSA burned, age at the time of the burn and time since the burn in PTSD symptoms in caregivers. It was a cross-sectional study where fathers, mothers and guardians of 51 burn patients were evaluated. Results showed that the higher strength and confidence in caregivers, less severity in PTSD symptoms. The post-burn reactions of parents and guardians can affect the responses and welfare of their children. Therefore, a better understanding of factors related to the adaptation in caregivers, better attention by health services.

  18. Prognostic indicators in acute burned patients–a review

    Directory of Open Access Journals (Sweden)

    Sherif Emara


    Full Text Available Burn trauma is in need for prognostic indicators or admission scores. This aims for realistic documentation of the burn injury, expectation of the prognosis, and to facilitate a patient stratification to evaluate therapeutic strategies. A computer search through different medical websites was performed looking for articles correlating prognosis with different burn indices. These were carefully summarized and analyzed for this review. Variable studies were found related to that issue; the reliable indicators found had been classified as general or specific. All of them had certain clinical importance, but limitations are a common feature. All the listed indices are useful to serve in the only special clinical situations. We couldn't claim that they are actual prognostic indicator in burn victims. We believe that we still lack the proper prognostic indicator in burn patients. Researchers are invited for more effort to organize a more reliable prognostic indicator and scoring system for burn patients.

  19. Probing thermonuclear burning on accreting neutron stars (United States)

    Keek, L.


    Neutron stars are the most compact stars that can be directly observed, which makes them ideal laboratories to study physics at extreme densities. Neutron stars in low-mass X-ray binaries accrete hydrogen and helium from a lower-mass companion star through Roche lobe overflow. This matter undergoes thermonuclear burning in the neutron star envelope, creating carbon and heavier elements. The fusion process may proceed in an unstable manner, resulting in a thermonuclear runaway. Within one second the entire surface is burned, which is observable as a sharp rise in the emitted X-ray flux: a type I X-ray burst. Afterwards the neutron star surface cools down on a timescale of ten to one hundred seconds. During these bursts the surface of an accreting neutron star can be observed directly, which makes them instrumental for studying this type of stars. We have studied rare kinds of X-ray bursts. One such rare burst is the superburst, which lasts a thousand times longer than an ordinary burst. Superbursts are thought to result from the explosive burning of a thick carbon layer, which lies deeper inside the neutron star, close to a layer known as the crust. A prerequisite for the occurrence of a superburst is a high enough temperature, which is set by the temperature of the crust and the heat conductivity of the envelope. The latter is lowered by the presence of heavy elements that are produced during normal X-ray bursts. Using a large set of observations from the Wide Field Camera's onboard the BeppoSAX satellite, we find that, at high accretion rate, sources which do not exhibit normal bursts likely have a longer superburst recurrence time, than the observed superburst recurrence time of one burster. We analyze in detail the first superburst from a transient source, which went into outburst only 55 days before the superburst. Recent models of the neutron star crust predict that this is too small a time to heat the crust sufficiently for superburst ignition, indicating

  20. Specific unresponsiveness to skin allografts in burns. (United States)

    Clark, G T; Moon, D J; Cunningham, P R; Johnson, T D; Thomas, J M; Thomas, F T


    We have examined the potential to provide long-term or even permanent wound coverage in a mouse model of a 30% total body surface area burn using skin allografts. Treatment of the recipient mouse with rabbit anti-mouse thymocyte serum (ATS) followed by donor bone marrow infusion induces a state of specific unresponsiveness to the skin allograft without the need for chronic immunosuppression. Specifically, a B6AF1 mouse receives a burn on Day -2 relative to grafting, ATS on Day -1, and Day +2, a skin allograft from a C3H/He mouse on Day 0, and infusion of C3H/He donor bone marrow on Day +6. We studied three groups of burned mice: Group I, allograft control (n = 5); Group II, allograft plus ATS (n = 12); and Group III, allograft plus ATS and bone marrow infusion (n = 15). Mean graft survival was compared using a one-way analysis of variance and a Student-Newman-Keuls post hoc test. There was no statistical difference in animal mortality among any of the three groups, and there was no evidence of infectious morbidity. Mean skin allograft survival was as follows: Group I, 9 days; Group II, 29 days; and Group III, 66 days (P less than 0.05 vs Group I and II). Nine animals in Group III had intact hair bearing grafts at 90 days when the study was terminated. This study suggests the potential use of induced specific unresponsiveness to skin allografts for wound coverage in thermal injury without use of chronic immunosuppression. In our animal study this was accomplished without increased mortality or apparent infectious morbidity.

  1. The elderly patient with burns: treatment considerations. (United States)

    Staley, M; Richard, R


    When therapists treat elderly patients with burns, they should ask themselves several questions: Am I treating elderly patients with burns "just like other patients with burns?" Am I assessing the patient's joint mobility and strength as critically as I should? Am I ensuring that further tissue trauma is avoided by instructing the nursing staff in turning/transfer techniques? Am I routinely monitoring heart rate and blood pressure? Am I requiring repetition and practice of exercises before the patient's discharge? Is my patient safe to function in the environment to which he or she is being discharged? Most physical changes in the elderly population are attributed to the aging process but often are due to diminished movement disorders arising from poor physical fitness and disuse. The "slowdown" in the older adult may result from a lack of appropriate movement practice and failure to receive reinforcement for activity. Regardless of age, physiological challenges result in enhanced functional status. Training for a specific skill increases performance in that skill just as strength training increases strength. Practice or repetition of a task improves movement and response time for that task. Appropriate physical training programs for the elderly can (1) counterbalance age-associated declines in work capacity and physical performance; (2) maintain and improve range of motion, strength, flexibility, balance, and endurance; and (3) reduce the disability of the cardiovascular, respiratory, and musculoskeletal systems that may result in decreased risk of falls and accidents. Practice of a task and maintenance of physical fitness helps ensure a high level of motor performance and speed as a person grows older. One is never too old to exercise!

  2. Mobile Electric Power Technologies for the Army of the Future: Engines, Power Source, and Electrical Aspects (United States)


    developed across the beta"-alumina barrier forces electrons to flow to the porous electrode surface through the load , producing electrical work...Engines Not Generally Available on a Commercial Basis 72 Steady- Flow Combustion Engines Capable of Burning JP-8 75 Direct Energy Conversion 77 thyristor HAEMP High altitude electromagnetic pulse HMMWV High Mobility Multipurpose Wheeled Vehicle xv HVDC High-voltage direct current IC

  3. Pyrolytic characteristics of burning residue of fire-retardant wood

    Institute of Scientific and Technical Information of China (English)

    ZHAO Guangjie; LUO Wensheng; Furuno T; REN Qiang; MA Erni


    In order to investigate the pyrolytic characteristics of the burning residue of fire-retardant wood,a multifunctional fire-resistance test oven aimed at simulating the course of a fire was used to burn fire-retardant wood and untreated wood.Samples at different distances from the combustion surface were obtained and a thennogravimetric analysis (TG) was applied to test the pyrolytic process of the burning residue in an atmosphere of nitrogen.The results showed that:1) there was little difference between fireretardant wood and its residue in the initial temperature of thermal degradation.The initial temperature of thermal degradation of the combustion layer in untreated wood was higher than that in the no burning wood sample;2) the temperature of the flame retardant in fire-retardant wood was 200℃ in the differential thermogravimetry (DTG).The peak belonging to the flame retardant tended to dissipate during the time of burning;3) for the burning residue of fire-retardant wood,the peak belonging to hemicellulose near 230℃ in the DTG disappeared and there was a gentle shoulder from 210 to 240℃;4) the temperature of the main peaks of the fireretardant wood and its burning residue in DTG was 100℃ lower than that of the untreated wood and its burning residue.The rate of weight loss also decreased sharply;5) the residual weight of fire-retardant wood at 600~C clearly increased compared with that of untreated wood.Residual weight of the burning residue increased markedly as the heating temperature increased when burning;6) there was a considerable difference with respect to the thermal degradation temperature of the no burning sample and the burning residue between fire-retardant wood and untreated wood.

  4. Simulation study of burning control with transport barrier

    Energy Technology Data Exchange (ETDEWEB)

    Tateishi, Gonta [Interdisciplinary Graduate School of Engineering Sciences, Kyushu University, Kasuga, Fukuoka (Japan); Itoh, Sanae-I.; Yagi, Masayoshi [Kyushu Univ., Fukuoka (Japan). Research Inst. for Applied Mechanics


    Dynamics of burning plasmas are studied by use of one dimensional simulation code with current diffusive ballooning mode model. Focusing on the effects of current profile control, burning performance is evaluated. The ohmic plasma is heated by additional heating and ignited state of the plasma is reached. Due to the formation of negative shear, improved confinement is obtained with the L-mode boundary condition. Controlling the external current drive, burning state is sustained longer than 1000 sec. (author)

  5. Burning Rate Studies of Energetic Double Base Propellants

    Directory of Open Access Journals (Sweden)

    V. K. Bhat


    Full Text Available A systematic study was carried out on the combustion characteristics of CMDB propellants containing ammonium nitrate, ammonium perchlorate, potassium nitrate, potassium perchlorate, RDX and PETN. While ammonium and potassium perchlorates increased burning rates, other additives maintained either the same burning rate or reduced burning rates marginally. Propellants containing these additives showed marginally higher peak temperatures, indicating interaction among the species of double base propellant decomposition and those of additives.


    Institute of Scientific and Technical Information of China (English)


    Objective To investigate the feasibility of using synbiotics and probiotics to prevent and cure intestinal dysbacteriosis after burn. Methods Burned rats were fed with synbiotics and probiotics reagents, and the amounts of major intestinal florae in caecal contents were detected. Results The major physiological anaerobes were mostly stable, and the conditioned pathogens had no abnormal. Conclusion The micro-ecosystem regulator can quickly supplement the decreased physiological anaerobes caused by burning,and avoid the occurrence of dysbacteriosis.

  7. Aerodigestive tract burn from ingestion of microwaved food. (United States)

    Silberman, Michael; Jeanmonod, Rebecca


    Aerodigestive tract burns represent a rare but potentially devastating injury pattern throughout the world. Although the majority of these injuries do not require intervention, these burns have the potential for poor outcomes. Traditionally this disease has been caused by superheated gases found in explosions or fire-related injury. However, as technology advances, it brings novel methods for injury that require physician awareness of potential hazards. We describe a case of laryngeal and esophageal thermal burn caused by a microwave heated food bolus.

  8. Treatment of acute burn blisters in unscheduled care settings. (United States)

    Payne, Sarah; Cole, Elaine


    Many patients with minor burns present at emergency departments and urgent care centres, where their management is often undertaken by experienced nurses rather than experts in treating burns. This article describes a small study of the clinical decision making that underpins nurses' management of minor burns in these non-specialist settings. The results suggest that, due to a lack of relevant research, nurses base their decisions on previous experience or expert colleagues' opinions and advice rather than on the evidence.

  9. Burn Injuries in Children and the Use of Biological Dressings (United States)


    is the subcutaneous fat, which con- tains free nerve endings and the roots of hair follicles . Burns are classified as first, second, or third degree...and hair follicles , is also destroyed, third-degree burns appear dry, white, charred, or leathery, and the tissue has no sensation. Burns that extend...Emer Care 2013;29: 939Y948) TARGET AUDIENCE This CME activity is intended for physicians who care for children. Pediatricians, emergency physicians

  10. Spectral hole burning studies of photosystem II

    Energy Technology Data Exchange (ETDEWEB)

    Chang, H.C.


    Low temperature absorption and hole burning spectroscopies were applied to the D1-D2-cyt b{sub 559} and the CP47 and CP43 antenna protein complexes of Photosystem H from higher plants. Low temperature transient and persistent hole-burning data and theoretical calculations on the kinetics and temperature dependence of the P680 hole profile are presented and provide convincing support for the linker model. Implicit in the linker model is that the 684-nm-absorbing Chl a serve to shuttle energy from the proximal antenna complex to reaction center. The stoichiometry of isolated Photosystem H Reaction Center (PSII RC) in several different preparations is also discussed. The additional Chl a are due to 684-nm-absorbing Chl a, some contamination by the CP47 complex, and non-native Chl a absorbing near 670 nm. In the CP47 protein complex, attention is focused on the lower energy chlorophyll a Q{sub y}-states. High pressure hole-burning studies of PSII RC revealed for the first time a strong pressure effect on the primary electron transfer dynamics. The 4.2 K lifetime of P680*, the primary donor state, increases from 2.0 ps to 7.0 ps as pressure increases from 0.1 to 267 MPa. Importantly, this effect is irreversible (plastic) while the pressure induced effect on the low temperature absorption and non-line narrowed P680 hole spectra are reversible (elastic). Nonadiabatic rate expressions, which take into account the distribution of energy gap values, are used to estimate the linear pressure shift of the acceptor state energy for both the superexchange and two-step mechanisms for primary charge separation. It was found that the pressure dependence could be explained with a linear pressure shift of {approximately} 1 cm{sup -1}/MPa in magnitude for the acceptor state. The results point to the marriage of hole burning and high pressures as having considerable potential for the study of primary transport dynamics in reaction centers and antenna complexes.

  11. Burning invariant manifolds in reactive front propagation

    CERN Document Server

    Mahoney, John; Mitchell, Kevin; Solomon, Tom


    We present theory and experiments on the dynamics of reaction fronts in a two-dimensional flow composed of a chain of alternating vortices. Inspired by the organization of passive transport by invariant manifolds, we introduce burning invariant manifolds (BIMs), which act as one-sided barriers to front propagation. The BIMs emerge from the theory when the advection-reaction- diffusion system is recast as an ODE for reaction front elements. Experimentally, we demonstrate how these BIMs can be measured and compare their behavior with simulation. Finally, a topological BIM formalism yields a maximum front propagation speed.

  12. 'I have seen Königsberg burning'

    DEFF Research Database (Denmark)

    Wentzer, Thomas Schwarz


    It is December 1944 in East Prussia, and a German mother with the four youngest of her thirteen children is fleeing from the Red Army. Some thirty years later one of her sons talks about his memories, using the phrase: ‘I have seen Königsberg burning.’ – What a sentence. The city of Immanuel Kant...... experience has to be deconstructed (against historical realism or historicism) and defended (against constructivism and structuralism) at the very same time. The concept of responsiveness is introduced in order to encompass the paradox contained in this agenda, in particular the need to think of the human...

  13. On turbulent transport in burning plasmas

    Energy Technology Data Exchange (ETDEWEB)

    Itoh, K. [National Inst. for Fusion Science, Toki, Gifu (Japan); Yagi, M.; Itoh, S.-I. [Kyushu Univ., Fukuoka (Japan). Research Inst. for Applied Mechanics; Fukuyama, A. [Kyoto Univ. (Japan). Dept. of Nuclear Engineering


    The change of the transport coefficient due to the fusion energy source is studied. The scale invariance property of the reduced set of equations is investigated in the presence of the self-heating term due to the fusion reaction. The pressure gradient as well as the fusion power are the free energy sources that dictate the turbulent transport. It is shown that the burning transport coefficient can have a form with much wider variety, and that the transport property could be different owing to the self-heating by the fusion reactions. (author)

  14. Inflammatory pain in experimental burns in man

    DEFF Research Database (Denmark)

    Pedersen, J L


    by the measurements, and the discrepancies in results between studies. Inflammation has been evaluated in the model by skin erythema intensity, area of flare, and blister formation. The major determinant of skin erythema intensity is the amount of blood in the most superficial part of the dermis, and burn......-induced erythema may be primarily due to congestion of capillary loops and postcapillary venules. The area of flare may be used to evaluate the efferent function of heat-sensitive A delta- and C-fibre nociceptors, whereas blisters may be used to assess edema formation and the degree of injury. Hyperalgesia...

  15. New Perspectives on African Biomass Burning Dynamics (United States)

    Roberts, Gareth; Wooster, Martin J.


    Biomass burning is a key Earth system process and, in particular a major element of the terrestrial carbon cycle and a globally significant source of atmospheric trace gases and aerosols. Smoke emitted during combustion affects air quality, atmospheric chemical composition, and Earth's radiation budget [Le Canut et al., 1996]. In terms of carbon emissions, vegetation fires are, globally and on average, believed to generate emissions equivalent to between perhaps one third and one half of those from fossil fuel combustion, and savanna fires are responsible for around 50% of the global vegetation fire carbon release [Williams et al., 2007].

  16. A Man With Two Burned Ears

    Institute of Scientific and Technical Information of China (English)



    Mr Smith was in troublethose days. He drove a car forMr Black, a rich business-man. He worked hard and theshopkeeper liked him. But hecouldn't work when he dranktoo much. And once he al-most fell into the river whenhe drove along the bridge. MrBlack became angry and wasgoing to send him away. Hehad a big family and wasafraid of that and promisedhe would stop drinking atonce. The man told him towait to be dealt with. OneMonday morning, Mr Smithcame into the office, with twobadly burned ears. “Whathappened to your ears?”asked Mr Black.

  17. Spectral hole burning: examples from photosynthesis. (United States)

    Purchase, Robin; Völker, Silvia


    The optical spectra of photosynthetic pigment-protein complexes usually show broad absorption bands, often consisting of a number of overlapping, "hidden" bands belonging to different species. Spectral hole burning is an ideal technique to unravel the optical and dynamic properties of such hidden species. Here, the principles of spectral hole burning (HB) and the experimental set-up used in its continuous wave (CW) and time-resolved versions are described. Examples from photosynthesis studied with hole burning, obtained in our laboratory, are then presented. These examples have been classified into three groups according to the parameters that were measured: (1) hole widths as a function of temperature, (2) hole widths as a function of delay time and (3) hole depths as a function of wavelength. Two examples from light-harvesting (LH) 2 complexes of purple bacteria are given within the first group: (a) the determination of energy-transfer times from the chromophores in the B800 ring to the B850 ring, and (b) optical dephasing in the B850 absorption band. One example from photosystem II (PSII) sub-core complexes of higher plants is given within the second group: it shows that the size of the complex determines the amount of spectral diffusion measured. Within the third group, two examples from (green) plants and purple bacteria have been chosen for: (a) the identification of "traps" for energy transfer in PSII sub-core complexes of green plants, and (b) the uncovering of the lowest k = 0 exciton-state distribution within the B850 band of LH2 complexes of purple bacteria. The results prove the potential of spectral hole burning measurements for getting quantitative insight into dynamic processes in photosynthetic systems at low temperature, in particular, when individual bands are hidden within broad absorption bands. Because of its high-resolution wavelength selectivity, HB is a technique that is complementary to ultrafast pump-probe methods. In this review, we have

  18. [Changes in mesenteric microcirculation in rats following repeated skin burns]. (United States)

    Shtykhno, Iu M


    Acute experiments were conducted on rats; repeated extensive burn of a convalescent who formerly sustained the burn disease was better tolerated, led tono fatal outcome and was accompanied by moderate microcirculatory disturbances. The smae burn was accompanied in intact rats by a severe shock followed by death, intravascular aggregation of erythrocytes and significant microcirculatory disturbances leading to disturbance of tissue nutrition. It is supposed that the results obtained could serve as an indirect proof that toxemia played an important role in the genesis of intravascular aggregation of erythrocytes in burn shock.


    Ishchuk, T V; Savchuk, O M; Raetska, Ya B; Vereschaka, V V; Ostapchenko, L I


    The main result of esophagus burn is the formation of scars, that caused by excessive synthesis of collagen and changes the balance of metalloproteinases and their tissue inhibitors. It was studied the activity of proteolytic enzymes, participation of MMP (metalloproteinase) and their tissue inhibitors (TIMP) in alkali burns of the esophagus 1st and 2nd degrees. We have shown a significant increase of TIMP level in homogenate after alkali burns of the esophagus (an average of 31-56% depend on of burn degree). We observed a reduced activity of serine proteinase after 1st degree burns on 15th, 21st day 35 and 18% respectively, after burns 2nd degree on 15th, 21st day 54 and 50%. The decrease of activity MMP after 1st degree burns on 15th and 21st day 30, 19%, respectively, in conditions of chemical burns 2nd degree on 15th and 21st day 30, 37%. These data may indicate the development of scarring after burn simulation of 2nd degree. Further investigation of the MMP and TIMP in the process of wound healing can be useful in creating effective approaches to prevent formation of post scarring of the esophagus.

  20. Characterization of facial burns from maxillofacial surgery. Cienfuegos 2005 - 2007

    Directory of Open Access Journals (Sweden)

    Eduardo Duarte Marrero


    Full Text Available Background: A descriptive study and retrospective study with 87 patients for facial burns, were treated at the Burn Service of the Hospital General Universitario "Dr. Gustavo Lima Aldereguía "Cienfuegos between January 2005 and September 2007. Objective: To characterize the care of patients with facial burns to help develop knowledge, attitudes and skills medical - surgery in the maxillofacial surgeon. Method: the source of information used were the records of patient care in the emergency department Burned Service and these data were selected that identified the patients as well as other related directly with facial burns. For each patient, more severe burning classified according to their size and depth. Results: In this study facial burns were more frequent in females aged 16 to 34 years, the most common cause of these lesions was in contact with boiling liquids as the predominant type skin burns, with extensions between 2 and 4% of the face area. In 44 patients affected centers facial structures, so predominant involvement of the ears. The priest most used in the facial region was the stop with silver sulfadiazine. Approximately 50% of patients were affected in the organs of sense, particularly in the ears. Conclusion: The traumatic facial burns are more severe conditions than any other location for the possible commitment to the airways.

  1. [Advances in the research of treatment of hydrofluoric acid burn]. (United States)

    Wang, Xin-gang; Zhang, Yuan-hai; Han, Chun-mao


    Hydrofluoric acid (HF) is one of the most common inorganic acids used widely in industrial circle. HF not only causes cutaneous burn, but also induces systemic toxicity by its unique injury mechanism. Accurate and timely diagnosis and treatment are critical after HF burns. To date, the strategies for treating HF burns have been developed, mainly including topical treatments and systematic support. However, there is no standard treatment strategy with wide acceptance in the world. This paper presents a comprehensive overview of the advances in the research of strategies for the treatment of HF burns.

  2. Furniture wood wastes: experimental property characterisation and burning tests. (United States)

    Tatàno, Fabio; Barbadoro, Luca; Mangani, Giovanna; Pretelli, Silvia; Tombari, Lucia; Mangani, Filippo


    Referring to the industrial wood waste category (as dominant in the provincial district of Pesaro-Urbino, Marche Region, Italy), this paper deals with the experimental characterisation and the carrying out of non-controlled burning tests (at lab- and pilot-scale) for selected "raw" and primarily "engineered" ("composite") wood wastes. The property characterisation has primarily revealed the following aspects: potential influence on moisture content of local weather conditions at outdoor wood waste storage sites; generally, higher ash contents in "engineered" wood wastes as compared with "raw" wood wastes; and relatively high energy content values of "engineered" wood wastes (ranging on the whole from 3675 to 5105 kcal kg(-1) for HHV, and from 3304 to 4634 kcal kg(-1) for LHV). The smoke qualitative analysis of non-controlled lab-scale burning tests has primarily revealed: the presence of specific organic compounds indicative of incomplete wood combustion; the presence exclusively in "engineered" wood burning tests of pyrroles and amines, as well as the additional presence (as compared with "raw" wood burning) of further phenolic and containing nitrogen compounds; and the potential environmental impact of incomplete industrial wood burning on the photochemical smog phenomenon. Finally, non-controlled pilot-scale burning tests have primarily given the following findings: emission presence of carbon monoxide indicative of incomplete wood combustion; higher nitrogen oxide emission values detected in "engineered" wood burning tests as compared with "raw" wood burning test; and considerable generation of the respirable PM(1) fraction during incomplete industrial wood burning.

  3. Burn care in South Africa: a micro cosmos of Africa. (United States)

    Rode, H; Cox, S G; Numanoglu, A; Berg, A M


    Burn injuries in Africa are common with between 300,000 and 17.5 million children under 5 years sustaining burn injuries annually, resulting in a high estimated fatality rate. These burns are largely environmentally conditioned and therefore preventable. The Western Cape Province in South Africa can be regarded as a prototype of paediatric burns seen on the continent, with large numbers, high morbidity and mortality rates and an area inclusive of all factors contributing to this extraordinary burden of injury. Most of the mechanisms to prevent burns are not easily modified due to the restraint of low socio-economic homes, overcrowding, unsafe appliances, multiple and complex daily demands on families and multiple psycho-social stressors. Children <4 years are at highest risk of burns with an average annual rate of 6.0/10,000 child-years. Burn care in South Africa is predominantly emergency driven and variable in terms of organization, clinical management, facilities and staffing. Various treatment strategies were introduced. The management of HIV positive children poses a problem, as well as the conflict of achieving equity of burn care for all children. Without alleviating poverty, developing minimum standards for housing, burn education, safe appliances and legislation, we will not be able to reduce the "curse of poor people" and will continue to treat the consequences.

  4. Summer camps for children with burn injuries: a literature review. (United States)

    Maslow, Gary R; Lobato, Debra


    The first summer camps for children with burn injuries started over 25 years ago, and as of 2008, there were 60 camps worldwide. This review examines the literature on summer pediatric burn camps. The authors describe common characteristics of burn camp structure, activities, and staffing and then examine the scientific evidence regarding the effect of burn camp programs on campers and camp staff volunteers. A search of Pubmed and Psychinfo databases from 1970 to 2008 for articles related to pediatric burn summer camps identified 17 articles, of which 13 fit the inclusion criteria. Existing literature consists primarily of qualitative studies, suggesting that burn camp can decrease camper isolation, improve self-esteem, and promote coping and social skills. Studies examining volunteer staff at burn camp have consistently found that there are both personal and professional benefits. Quantitative studies of self-esteem have yielded equivocal results. No studies have examined safety or the effect of burn camp on medical or rehabilitation outcomes. For the past 25 years, pediatric summer camps for children with burn injuries have played an important rehabilitation role and provided a strong community that benefits both campers and staff. Future research using more rigorous research methods and examining a broader range of outcomes (eg, safety and medical/rehabilitation outcomes) is recommended.

  5. Accidental Chemical Burns of Oral Mucosa by Herbicide

    Directory of Open Access Journals (Sweden)

    S P Deo


    Full Text Available Glyphosate (GlySH is a broad spectrum, nonselective herbicide, widely used in agriculture. This case report describes a 25-year-old man presenting with extensive chemical burns and ulceration of the oral cavity as a result of accidental exposure to GlySH. This paper aims to illustrate the typical appearance of GlySH related chemical mucosal burn and to demonstrate the severity of the corrosive effect of GlySH which need team approach to prevent unfavorable sequelae such as microstomia. Keywords: Chemical burns, corrosive injury, glyphosate poisoning, herbicide, microstomia, oral mucosal burn.

  6. Gold standards for primary care of burn management

    Directory of Open Access Journals (Sweden)

    Fatih Zor


    Full Text Available Every year, about 2.5 million people are affected from burns in the world. In our country there is no reliable database related to this subject. There are ongoing studies about the epidemiology of burns in Turkey. After burn injury had represent many various complications, such as myocardial infarction, cardiac deficiency, acute hypertension, endocarditis, thromboembolism, pulmonary edema, pneumonia, respiratuar failure, renal failure, gastric ulcus, ileus, sepsis, coagulopathy and anemia. Such complications can preventable or treatable. In this respect, preventive management in the first step burn treatment had very importantly in burn cases. Skin is a barrier which protects evaporative heat loss. In cases of acute burn, hypothermia occurs related to skin loss. For these cases, care must be taken to keep the patient warm. In addition fluid resuscitation is very important in these cases. Furthermore, the damaged tissues are highly susceptible to infection in burned patients. Burn care and rehabilitation includes challenging and complex procedures. Briefly, treatments of burn cases require a multidisciplinary and meticulous approach.

  7. Photodynamic Therapy for Acinetobacter baumannii Burn Infections in Mice (United States)


    PerkinElmer Life and Analytical Sciences Inc., Wellesley, MA). Introduction of bioluminescence genes into the clinical isolate of A. bauman- nii. The...the National Institutes of Health. The mice received buprenorphine (0.03 mg/kg of body weight subcutaneously twice a day) for 3 days after the burn for...log units higher than that of the treated mouse burn (2.73 104 RLU). The burned areas of the two mice were then excised. Half of each excised burn

  8. Burns from acetylene gas: more than skin deep. (United States)

    Al-Hassani, Fawaz; Amin, Kavit; Lo, Steven


    Oxyacetylene welding torches are commonly used in industry, yet serious burns are fortunately rare. When dealing with the sequelae of these burn injuries, one must be aware of the high pressure component of these flame burns, which can penetrate and dissect the subcutaneous tissue. Appropriate initial assessment and preoperative planning are, therefore, essential to exclude and identify problems such as, compartment syndrome, subcutaneous emphysema and acute carpal tunnel syndrome. We present a case in which an innocuous palmar burn revealed a penetrating flame injury into the carpal tunnel.

  9. Unsupervised Spatio-Temporal Data Mining Framework for Burned Area Mapping (United States)

    Boriah, Shyam (Inventor); Kumar, Vipin (Inventor); Mithal, Varun (Inventor); Khandelwal, Ankush (Inventor)


    A method reduces processing time required to identify locations burned by fire by receiving a feature value for each pixel in an image, each pixel representing a sub-area of a location. Pixels are then grouped based on similarities of the feature values to form candidate burn events. For each candidate burn event, a probability that the candidate burn event is a true burn event is determined based on at least one further feature value for each pixel in the candidate burn event. Candidate burn events that have a probability below a threshold are removed from further consideration as burn events to produce a set of remaining candidate burn events.

  10. Stress disorder and PTSD after burn injuries: a prospective study of predictors of PTSD at Sina Burn Center, Iran

    Directory of Open Access Journals (Sweden)

    Sadeghi-Bazargani H


    Full Text Available Homayoun Sadeghi-Bazargani1, Hemmat Maghsoudi2, Mohsen Soudmand-Niri3, Fatemeh Ranjbar4, Hossein Mashadi-Abdollahi51Neuroscience Research Center, Statistics and Epidemiology Department, School of Health and Nutrition, 2Department of Surgery, 3School of Psychology, 4Department of Psychiatry, 5National Public Health Management Centre, Tabriz University of Medical Sciences, Tabriz, IranBackground: A burn injury can be a traumatic experience with tremendous social, physical, and psychological consequences. The aim of this study was to investigate the existence of post-traumatic stress disorder (PTSD and predictors of PTSD Checklist score initially and 3 months after injury in burns victims admitted to the Sina Burn Center in north-west Iran.Methods: This prospective study examined adult patients aged 16–65 years with unintentional burns. The PTSD Checklist was used to screen for PTSD.Results: Flame burns constituted 49.4% of all burns. Mean PTSD score was 23.8 ± 14.7 early in the hospitalization period and increased to 24.2 ± 14.3, 3 months after the burn injury. Twenty percent of victims 2 weeks into treatment had a positive PTSD screening test, and this figure increased to 31.5% after 3 months. The likelihood of developing a positive PTSD screening test increased significantly after 3 months (P < 0.01. Using multivariate regression analysis, factors independently predicting PTSD score were found to be age, gender, and percentage of total body surface area burned.Conclusion: PTSD was a problem in the population studied and should be managed appropriately after hospital admission due to burn injury. Male gender, younger age, and higher total body surface area burned may predict a higher PTSD score after burn injury. Keywords: post-traumatic stress disorder, burn injury, predictors, Iran

  11. National trends in burn and inhalation injury in burn patients: results of analysis of the nationwide inpatient sample database. (United States)

    Veeravagu, Anand; Yoon, Byung C; Jiang, Bowen; Carvalho, Carla M; Rincon, Fred; Maltenfort, Mitchell; Jallo, Jack; Ratliff, John K


    The aim of this study was describe national trends in prevalence, demographics, hospital length of stay (LOS), hospital charges, and mortality for burn patients with and without inhalational injury and to compare to the National Burn Repository. Burns and inhalation injury cause considerable mortality and morbidity in the United States. There remains insufficient reporting of the demographics and outcomes surrounding such injuries. The National Inpatient Sample database, the nation's largest all-payer inpatient care data repository, was utilized to select 506,628 admissions for burns from 1988 to 2008 based on ICD-9-CM recording. The data were stratified based on the extent of injury (%TBSA) and presence or absence of inhalational injury. Inhalation injury was observed in only 2.2% of burns with burns with 80 to 99% TBSA. Burn patients with inhalation injury were more likely to expire in-hospital compared to those without (odds ratio, 3.6; 95% confidence interval, 2.7-5.0; P Patients treated at rural facilities and patients with hyperglycemia had lower mortality rates. Each increase in percent of TBSA of burns increased LOS by 2.5%. Patients with burns covering 50 to 59% of TBSA had the longest hospital stay at a median of 24 days (range, 17-55). The median in-hospital charge for a burn patient with inhalation injury was US$32,070, compared to US$17,600 for those without. Overall, patients who expired from burn injury accrued higher in-hospital charges (median, US$50,690 vs US$17,510). Geographically, California and New Jersey were the states with the highest charges, whereas Vermont and Maryland were states with the lowest charges. The study analysis provides a broad sampling of nationwide demographics, LOS, and in-hospital charges for patients with burns and inhalation injury.

  12. Novel Predictors of Sepsis Outperform the American Burn Association Sepsis Criteria in the Burn Intensive Care Unit Patient (United States)


    Albrecht MC, Albrecht MA, Griffith ME, et al. Impact of Acinetobacter infection on the mortality of burn patients. J Am Coll Surg 2006;203:546–50. 18...31 Sepsis is a significant problem for burn patients. It is a systemic infection that overwhelms the body’s immune system, triggering an... Infection has been demonstrated to precede multiple organ failure syndrome in 83% of burn patients, and reported mortality in this population

  13. Experiencia en el tratamiento de quemaduras de cuero cabelludo Scalp burns treatment experience

    Directory of Open Access Journals (Sweden)

    N. Pereira


    .266 visits for head burns, of which 34 patients consulted with scalp burns, 11 of them were hospitalized. Most were due to electrical burns, 4 patients, and fire, 4 patients. In the treatment, highlighted the use in a case of free flap and local advancement flaps. In the management of sequelae, expanders and then local advancement flaps were performed. Only a small proportion of patients attending with head burns had scalp burns. Most were treated on as outpatient and did not require further action. The group of patients with electrical burns required more aggressive treatments while the management of the sequelaes is done with expanders and local advancement flaps.

  14. Energy poverty, shack fires and childhood burns

    Directory of Open Access Journals (Sweden)

    D K Kimemia


    Full Text Available Burn injuries are a persisting challenge in South Africa. Energy poverty, prevalent in under-resourced communities, is a key contributor to the problem. The energy-poor rely on solid fuels and flammable hydrocarbons, such as paraffin, for energy services. The fuels are burnt in inefficient, leaky and unstable appliances, leading to health losses from pollutant emissions, burns, and conflagrations. Within cramped informal home settings, using flammable fuels and risky combustion technologies, the situation can become devastating, especially for young children. Those who survive fiery incidents have to contend with trauma and property losses that may lead to further impoverishment. Proactive intervention strategies are required and should include the broadening of access to safe and sustainable energy. We advocate greater enforcement of home appliance standards and targeted support for the distribution of proven alternative energy technologies, such as liquefied petroleum gas and solar power. Support and advocacy from professional and citizen groups would be necessary to ensure that government prioritises the safe energy requirements of poor citizens.

  15. Burns during Easter festivities in Greece. (United States)

    Pallantzas, A; Kourakos, P; Stampolidis, N; Papagianni, E; Balagoura, A; Stathopoulos, A; Polizoi, A; Emvalomata, A; Evaggelopoulou, M; Castana, O


    Easter is the most important holiday for the Greek Church. It is rich in traditions and rituals but during the Greek Easter festivities, especially at midnight Mass on Easter Saturday night, it is customary to throw fireworks around. These fireworks are not part of the true Easter tradition and they are potentially fatal. Unfortunately, in the past few years, the custom has become more and more popular in Greece. There are some local variations, mainly in the Aegean islands, where homemade rockets are used to have a "rocket war". The rockets consist of wooden sticks loaded with an explosive mixture containing gunpowder and launched from special platforms. Many severe injuries involving loss of sight and limbs as well as major burns are also caused by the use of illegal fireworks at Easter. Every year numerous burn victims are hospitalized. The most affected areas are the face, the upper extremities, and the chest, often in association with slight or severe wounds and injuries. This study presents our department's experience with incidents due to the use of fireworks during Easter festivities.

  16. Burning analysis on the improved confinement mode

    Energy Technology Data Exchange (ETDEWEB)

    Tateishi, Gonta [Interdisciplinary Graduate School of Engineering Science, Kyushu Univ., Kasuga, Fukuoka (Japan); Yagi, Masatoshi; Itoh, Sanae-I.


    1-D transport code is used to examine the ignition of plasma on the improved confinement mode and impact of profile effect on the burning performance. Energy transport, He-ash particle transport and poloidal magnetic field transport equations are solved with a thermal diffusivity of current diffusive ballooning mode model. The ratio of a thermal diffusivity and a He-ash diffusivity is introduced as a parameter and assumed to be constant. For a fixed current profile, the existence of the ignited state is shown. An internal transport barrier is formed autonomously even if parameters lie in the L-mode boundary condition. It is found that the sensitivity of the ignition condition on the density is strong and there is no margin of ignition for the density limit when density profile is flat. However, if a peaked profile of density is chosen, solutions which satisfy the density limit exist. The long time sustainment of ignition is also shown, solving poloidal magnetic field transport simultaneously. It is shown that the ignition is sustained within the time scale of burn-time, however, MHD stability should be considered in the time scale of current diffusion. (author)

  17. Burning Behavior of Liquid Fuel Droplets

    Directory of Open Access Journals (Sweden)

    Shah Shahood Alam


    Full Text Available Ignition of flammable liquids by hot surfaces is well known to automotive and aviation industries. However, only a limited data regarding hot surface ignition (HSI of pure and commercial fuels is available in literature. Further, relatively few studies have determined the ignition delay and to our knowledge the combustion lifetime. In the present work, we have generated results from an efficient, reproducible, yet simple experimental setup involving a liquid fuel droplet, a horizontal heated stainless steel plate and quiescent environment. Tests were conducted for diesel, biodiesel and its blends as well as vegetable oils, applied/used as single droplets under variety of conditions to the heated surface. The droplet size range was approximately between 1500 micron to 2000 micron. The objective of this experiment was to determine the minimum temperatures for HSI and also the temperatures where 100% probability of ignition was expected. Further, from this experiment, we were also able to obtain the ignition delay and droplet lifetime. As an extension to this study, a separate droplet combustion model was developed to closely study the general burning behavior of these droplets by generating temperature and species concentration profiles. The droplet mass burning rate was also determined. The results obtained in the present work were in a general agreement with the experimental and modeling observations of other studies.

  18. Modeling Deep Burn TRISO Particle Nuclear Fuel

    Energy Technology Data Exchange (ETDEWEB)

    Besmann, Theodore M [ORNL; Stoller, Roger E [ORNL; Samolyuk, German D [ORNL; Schuck, Paul C [ORNL; Rudin, Sven [Los Alamos National Laboratory (LANL); Wills, John [Los Alamos National Laboratory (LANL); Wirth, Brian D. [University of California, Berkeley; Kim, Sungtae [University of Wisconsin, Madison; Morgan, Dane [University of Wisconsin, Madison; Szlufarska, Izabela [University of Wisconsin, Madison


    Under the DOE Deep Burn program TRISO fuel is being investigated as a fuel form for consuming plutonium and minor actinides, and for greater efficiency in uranium utilization. The result will thus be to drive TRISO particulate fuel to very high burn-ups. In the current effort the various phenomena in the TRISO particle are being modeled using a variety of techniques. The chemical behavior is being treated utilizing thermochemical analysis to identify phase formation/transformation and chemical activities in the particle, including kernel migration. First principles calculations are being used to investigate the critical issue of fission product palladium attack on the SiC coating layer. Density functional theory is being used to understand fission product diffusion within the plutonia oxide kernel. Kinetic Monte Carlo techniques are shedding light on transport of fission products, most notably silver, through the carbon and SiC coating layers. The diffusion of fission products through an alternative coating layer, ZrC, is being assessed via DFT methods. Finally, a multiscale approach is being used to understand thermal transport, including the effect of radiation damage induced defects, in a model SiC material.

  19. Management of burns of the penis. (United States)

    Housinger, T A; Keller, B; Warden, G D


    Burns of the penis can be physically and psychologically devastating. This is particularly true in young pediatric patients who have to content with growth as well as with the trials of adolescence and the development of self-image. Little has been written on the grafting management of these injuries. This report reviews a management technique used with great success. Ten patients who sustained full-thickness penis burns were reviewed. The grafting technique consisted of excision and grafting with sheet grafts in a one- or two-stage setting. After grafting, the penis was placed in traction with a weighted Foley catheter. Grafts were left open or stented. No complications occurred from the traction apparatus, and graft take was uniformly excellent. Short-term results have been excellent, and no urethral problems have developed over a median 3-year follow-up. This technique appears to provide excellent means of supporting the penis to accomplish superb graft take in this hard-to-manage area.

  20. Impact of biomass burning on the atmosphere

    Energy Technology Data Exchange (ETDEWEB)

    Dignon, J.


    Fire has played an important part in biogeochemical cycling throughout most of the history of our planet. Ice core studies have been very beneficial in paleoclimate studies and constraining the budgets of biogeochemical cycles through the past 160,000 years of the Vostok ice core. Although to date there has been no way of determining cause and effect, concentration of greenhouse gases directly correlates with temperature in ice core analyses. Recent ice core studies on Greenland have shown that significant climate change can be very rapid on the order of a decade. This chapter addresses the coupled evolution of our planet`s atmospheric composition and biomass burning. Special attention is paid to the chemical and climatic impacts of biomass burning on the atmosphere throughout the last century, specifically looking at the cycles of carbon, nitrogen, and sulfur. Information from ice core measurements may be useful in understanding the history of fire and its historic affect on the composition of the atmosphere and climate.

  1. Is the Target of 1 Day of Stay per 1% Total Body Surface Area Burned Achieved in Chemical Burns? (United States)

    Tan, Teresa; Wong, David S Y


    The length of hospital stay (LOS) is a standard parameter used to reflect quality and evaluate outcomes in acute burn care. This study aims to assess whether the target of 1 day of stay per 1% total body surface area (TBSA) burned was achieved in acute chemical burns management and factors affecting the LOS. A retrospective analysis of the records of patients who suffered from chemical burn injuries admitted to a university burn center over a continuous 14-year period was performed.A total of 118 patients were admitted over the period for chemical burns. Only 14% of cases achieved the target stated. Factors associated with lengthening of the hospital stay included TBSA, ocular involvement, the cause of injury, and the need for surgery during the same admission.The LOS in chemical burns frequently exceeds 1 day of stay per 1% TBSA burned. Many factors can contribute to a patient's LOS and are worth exploring in order to see if the impact of these factors could be minimized. Early surgical intervention should help to reduce the LOS if reliable methods of burn wound depth assessment are available.

  2. Contamination of burn wounds by Achromobacter Xylosoxidans followed by severe infection: 10-year analysis of a burn unit population (United States)

    Schulz, A.; Perbix, W.; Fuchs, P.C.; Seyhan, H.; Schiefer, J.L.


    Summary Gram-negative infections predominate in burn surgery. Until recently, Achromobacter species were described as sepsis-causing bacteria in immunocompromised patients only. Severe infections associated with Achromobacter species in burn patients have been rarely reported. We retrospectively analyzed all burn patients in our database, who were treated at the Intensive Care Burn Unit (ICBU) of the Cologne Merheim Burn Centre from January 2006 to December 2015, focusing on contamination and infection by Achromobacter species.We identified 20 patients with burns contaminated by Achromobacter species within the 10-year study period. Four of these patients showed signs of infection concomitant with detection of Achromobacter species. Despite receiving complex antibiotic therapy based on antibiogram and resistogram typing, 3 of these patients, who had extensive burns, developed severe sepsis. Two patients ultimately died of multiple organ failure. In 1 case, Achromobacter xylosoxidans was the only isolate detected from the swabs and blood samples taken during the last stage of sepsis. Achromobacter xylosoxidans contamination of wounds of severely burned immunocompromised patients can lead to systemic lethal infection. Close monitoring of burn wounds for contamination by Achromobacter xylosoxidans is essential, and appropriate therapy must be administered as soon as possible. PMID:28149253

  3. The role of actinide burning and the Integral Fast Reactor in the future of nuclear power

    Energy Technology Data Exchange (ETDEWEB)

    Hollaway, W.R.; Lidsky, L.M.; Miller, M.M.


    A preliminary assessment is made of the potential role of actinide burning and the Integral Fast Reactor (IFR) in the future of nuclear power. The development of a usable actinide burning strategy could be an important factor in the acceptance and implementation of a next generation of nuclear power. First, the need for nuclear generating capacity is established through the analysis of energy and electricity demand forecasting models which cover the spectrum of bias from anti-nuclear to pro-nuclear. The analyses take into account the issues of global warming and the potential for technological advances in energy efficiency. We conclude, as do many others, that there will almost certainly be a need for substantial nuclear power capacity in the 2000--2030 time frame. We point out also that any reprocessing scheme will open up proliferation-related questions which can only be assessed in very specific contexts. The focus of this report is on the fuel cycle impacts of actinide burning. Scenarios are developed for the deployment of future nuclear generating capacity which exploit the advantages of actinide partitioning and actinide burning. Three alternative reactor designs are utilized in these future scenarios: The Light Water Reactor (LWR); the Modular Gas-Cooled Reactor (MGR); and the Integral Fast Reactor (FR). Each of these alternative reactor designs is described in some detail, with specific emphasis on their spent fuel streams and the back-end of the nuclear fuel cycle. Four separation and partitioning processes are utilized in building the future nuclear power scenarios: Thermal reactor spent fuel preprocessing to reduce the ceramic oxide spent fuel to metallic form, the conventional PUREX process, the TRUEX process, and pyrometallurgical reprocessing.

  4. Role of Metallothionein in Post-Burn Inflammation. (United States)

    Zhang, Wei; Xie, Yongjun; Liu, Weihua; Xu, Xuefeng; Chen, Xuelian; Liu, Hairong; Liu, Yueming


    Metallothioneins (MTs) are a family of low molecular-weight and cysteine-rich metalloproteins that regulate metal metabolism and protect cells from oxygen free radicals. Recent studies suggested that MTs have some anti-inflammatory effects. However, the role of MTs in post-burn inflammation remains unclear. This study is designed to investigate the role of MTs in post-burn inflammation in a mouse burn model. MT-I/II null (-/-) and C57BL/6 wild-type (WT) mice were randomly divided into sham burn, burn, Zn treated, and Zn-MT-2 treated groups. The inflammatory cytokines levels were measured by enzyme-linked immunosorbent assay (ELISA). Myeloperoxidase (MPO) activity was determined by spectrophotometry. In in vitro study, exogenous MT-2 was added to macrophages that were stimulated with burn serum in the presence or absence of a p38 MAPK inhibitor SB203580. The IL-6 and TNF-α messenger RNA (mRNA) expression were detected by quantitative real-time polymerase chain reaction. The levels of p38 expression were determined by Western blot. Burn induced increased inflammatory cytokines such as interleukin (IL)-1β, IL-6, tumor necrosis factors-α, and macrophage chemoattractant protein-1 production in burn wound and serum. The MPO activities in the lung and heart were also increased after burn. These effects were significantly more prominent in MT (-/-) mice than in WT mice. Furthermore, these effects were inhibited by administration of exogenous MT-2 to both WT and MT (-/-) mice. Exogenous MT-2 inhibited the p38 expression and abrogated the increase of IL-6 and TNF-α mRNA expression from macrophages that were stimulated with burn serum. The effect of MT-2 was not further strengthened in the presence of SB203580. MTs may have a protective role against post-burn inflammation and inflammatory organ damage, at least partly through inhibiting the p38 MAPK signaling.

  5. Neuroendocrine system response modulates oxidative cellular damage in burn patients. (United States)

    Xie, Xiao-Qi; Shinozawa, Yotaro; Sasaki, Junichi; Takuma, Kiyotsugu; Akaishi, Satoshi; Yamanouchi, Satoshi; Endo, Tomoyuki; Nomura, Ryosuke; Kobayashi, Michio; Kudo, Daisuke; Hojo, Nobuko


    Oxygen-derived free radicals play important roles in pathophysiological processes in critically ill patients, but the data characterizing relationships between radicals and neuroendocrine system response are sparse. To search the cue to reduce the oxidative cellular damage from the point of view of neuroendocrine system response, we studied the indicators of neuroendocrine and inflammatory responses excreted in urine in 14 burn patients (42.3 +/- 31.4 years old, and 32.3 +/- 27.6% burn of total body surface area [%TBSA]) during the first seven days post burn. The daily mean amounts of urinary excretion of 8-hydroxy-2'-deoxy-guanosine (8-OHdG), a marker of oxidative cellular damage, were above the upper limit of the standard value during the studied period. The total amount of urinary excretion of 8-OHdG in the first day post burn correlated with burn severity indices: %TBSA (r = 0.63, p = 0.021) and burn index (r = 0.70, p = 0.008). The daily urinary excretion of 8-OHdG correlated with the daily urinary excretion of norepinephrine and nitrite plus nitrate (NOx) during the studied period except day 2 post burn, and correlated with the daily urinary excretion of 17-hydroxycorticosteriod (17-OHCS) in days 2, 3, and 7 post burn. These data suggest that oxidative cellular damage correlates with burn severity and neuroendocrine system response modulates inflammation and oxidative cellular damage. Modulation of neuroendocrine system response and inflammation in the treatment in the early phase of burn may be useful to reduce the oxidative cellular damage and to prevent multiple organ failures in patients with extensive burn.

  6. Ukraine biosolids incineration project generates electricity while solving disposal problems

    Energy Technology Data Exchange (ETDEWEB)

    Kosanke, J. [Quality Recycling Ltd., Henderson, NC (United States)


    This article described an innovative Waste-to-Energy (WtE) system that is currently being installed in the city of Odessa in the Ukraine. The city has a population of 1 million and is a major seaport on the Black Sea. Sewage sludge will be used as a biomass fuel to power an electrical generation plant. The system includes a clean-burning rotary cascading bed combustor (RCBC) linked to a boiler and an electricity-generating steam turbine. The RCBC spins in order to keep fuel cascading for maximum combustion, and is expected to burn over 50,000 tons of dewatered sewage sludge per year while generating 33,507,000 kWh of electricity per individual location. Eleven systems will be installed at major sewage processing modules in the Ukraine. A pilot program is also being conducted to test and monitor the system under United States emissions and operational standards. The RCBC is also being used to combust fuels derived from municipal solid waste (MSW) at a site in Kansas. Other fuels that can be cleanly burned using the RCBC system included high sulfur bituminous coal; anthracite coal waste; carpet and carpet scrap, and tires and rubber wastes. Studies have demonstrated that some toxic wastes can be removed using the RCBC system. It was concluded that burning negative value fuels can allow some power plants to earn revenues from disposal fees. 3 figs.

  7. electric vehicle

    Directory of Open Access Journals (Sweden)

    W. R. Lee


    Full Text Available A major problem facing battery-powered electric vehicles is in their batteries: weight and charge capacity. Thus, a battery-powered electric vehicle only has a short driving range. To travel for a longer distance, the batteries are required to be recharged frequently. In this paper, we construct a model for a battery-powered electric vehicle, in which driving strategy is to be obtained such that the total travelling time between two locations is minimized. The problem is formulated as an optimization problem with switching times and speed as decision variables. This is an unconventional optimization problem. However, by using the control parametrization enhancing technique (CPET, it is shown that this unconventional optimization is equivalent to a conventional optimal parameter selection problem. Numerical examples are solved using the proposed method.

  8. Epidemiology of burn injuries in Singapore from 1997 to 2003. (United States)

    Song, Colin; Chua, Alvin


    The Singapore General Hospital (SGH) Burn Centre receives more than 93% of burn cases occurring in Singapore. The Centre also received patients from the Southeast Asian region. The collection and analysis of burn epidemiology data in recent years from Singapore would provide insights into new prevention/management strategies in terms of population profile and economic activities. Data pertaining to burn patients admitted to SGH Burn Centre between January 1997 and December 2003 were studied retrospectively in terms of admissions' demographics, extent of burn (TBSA), causes of burns, length of hospital stay (LOS) and mortality. A total of 2019 burn patients were admitted with an annual admission of 288. This presented an incidence rate for burn injury (with admission) of 0.07 per 1000 general population. The male to female ratio is 2.2:1 and the mean age of admission is 32.5years. The mean extent of burn was 11.5% and patients with burn size 10% TBSA and less made up the majority of admissions at 70.7% while patients with burn size 30% TBSA and more made up 8.2%. The most common cause of burn injury is scald at 45.6% followed by flame at 35.2%. The overall mean LOS and mortality are 10.8days and 4.61%, respectively. An annual trend of falling mortality rate for admissions with burn size >30% TBSA was observed-60% in year 2000 to 30% in 2003. This is a result of massive early excision and grafting of severe burn patients. 17.6% of patients were children of 12years and below, showing a 11.9% reduction from previous study in the 80s. This is consistent with the city's demographics of falling fertility rate and improved living and social conditions. Occupational burn admissions account for 33.4% of total admissions, a reduction of 11.6% from a study in the early 90s. Occurrence of occupational flame burns decreased by 9.5% due to an improvement in fire prevention and management of the industrial sectors. However, chemical burns increased by 12.6% as the chemical sector

  9. Selection of burning rate modifiers for hydrazinium nitroformate

    NARCIS (Netherlands)

    Tummers, M.J.; Heijden, A.E.D.M. van der; Veen, E.H. van


    Species including N2H4, NH3 and N2O are known to be present near the surface of burning hydrazinium nitroformate (HNF). In this paper, planar laser induced fluorescence from the near surface region of burning HNF pellets is reported indicating the presence of NO2. These four species are formed in th

  10. Relations between soil hydraulic properties and burn severity

    NARCIS (Netherlands)

    Moody, J.A.; Ebel, B.A.; Stoof, C.R.; Nyman, P.; Martin, D.A.; McKinley, R.


    Wildfire can affect soil hydraulic properties, often resulting in reduced infiltration. The magnitude of change in infiltration varies depending on the burn severity. Quantitative approaches to link burn severity with changes in infiltration are lacking. This study uses controlled laboratory measure

  11. Epidemiologic characteristics of occupational burns in Yazd, Iran

    Directory of Open Access Journals (Sweden)

    Seyyed Jalil Mirmohammadi


    Conclusions: The highest incidence of occupational burns was in 21-30 year-old workers. There was a male preponderance in work-related burns. Metal industry had the most injured workers and among them, smelters were more frequently injured.

  12. Model for nonlinear transient burning of hydrazinium nitroformate

    NARCIS (Netherlands)

    Louwers, J.; Gadiot, G.M.H.J.L.


    Transient burning of solid propellants is a topic that still contains a large number of questions. The transient burning of neat hydrazinium nitroformate is calculated within the quasi-steady gas-phase, homogeneous one-dimensional condensed phase approach. We focus on the effect of the condensed pha

  13. Airway Management and Smoke Inhalation Injury in the Burn Patient (United States)


    deficit and alveolar -arterial gradient during resuscitation contribute independently but modestly to the prediction of mortality after burn injury. J Burn...parenchymal injuries (eg, tracheal, bronchial, and alveolar injuries) caused by chemical and particulate constituents of smoke. Unless otherwise...perivascular fuzziness or cuffing, alveolar or intersitital pulmonary edema, consolidation, and atelectasis, have been reported.20–23 In sheep, Park and

  14. [Immediate cooling with water: emergency treatment of burns]. (United States)

    Latarjet, J


    Experimental data have demonstrated that prolonged immediate cooling with cold water is the best first-aid treatment for burn injuries. However in France, this treatment is rarely applied; instead old, inefficient and aggravating methods are still very popular. Pediatricians must help to change this practice by recommending immediate cold water treatment for burns in children.

  15. Predictors of muscle protein synthesis after severe pediatric burns (United States)

    Objectives: Following a major burn, muscle protein synthesis rate increases but in most patients, this response is not sufficient to compensate the also elevated protein breakdown. Given the long-term nature of the pathophysiologic response to burn injury, we hypothesized that skeletal muscle prot...

  16. History of burns: The past, present and the future. (United States)

    Lee, Kwang Chear; Joory, Kavita; Moiemen, Naiem S


    Burn injuries are one of the most common and devastating afflictions on the human body. In this article we look back at how the treatment of burns has evolved over the centuries from a primarily topical therapy consisting of weird and wonderful topical concoctions in ancient times to one that spans multiple scientific fields of topical therapy, antibiotics, fluid resuscitation, skin excision and grafting, respiratory and metabolic care and nutrition. Most major advances in burn care occurred in the last 50 years, spurred on by wars and great fires. The use of systemic antibiotics and topical silver therapy greatly reduced sepsis related mortality. This along with the advent of antiseptic surgical techniques, burn depth classification and skin grafting allowed the excision and coverage of full-thickness burns which resulted in greatly improved survival rates. Advancements in the methods of assessing the surface area of burns paved way for more accurate fluid resuscitation, minimising the effects of shock and avoiding fluid over-loading. The introduction of metabolic care, nutritional support and care of inhalational injuries further improved the outcome of burn patients. We also briefly discuss some future directions in burn care such as the use of cell and pharmalogical therapies.

  17. History of burns: The past, present and the future

    Directory of Open Access Journals (Sweden)

    Kwang Chear Lee


    Full Text Available Burn injuries are one of the most common and devastating afflictions on the human body. In this article we look back at how the treatment of burns has evolved over the centuries from a primarily topical therapy consisting of weird and wonderful topical concoctions in ancient times to one that spans multiple scientific fields of topical therapy, antibiotics, fluid resuscitation, skin excision and grafting, respiratory and metabolic care and nutrition. Most major advances in burn care occurred in the last 50 years, spurred on by wars and great fires. The use of systemic antibiotics and topical silver therapy greatly reduced sepsis related mortality. This along with the advent of antiseptic surgical techniques, burn depth classification and skin grafting allowed the excision and coverage of full-thickness burns which resulted in greatly improved survival rates. Advancements in the methods of assessing the surface area of burns paved way for more accurate fluid resuscitation, minimising the effects of shock and avoiding fluid over-loading. The introduction of metabolic care, nutritional support and care of inhalational injuries further improved the outcome of burn patients. We also briefly discuss some future directions in burn care such as the use of cell and pharmalogical therapies.

  18. Glutathione S-transferase, incense burning and asthma in children. (United States)

    Wang, I-J; Tsai, C-H; Chen, C-H; Tung, K-Y; Lee, Y L


    Incense burning is a popular practice in many family homes and temples. However, little is known about the effects of indoor incense burning and genetic polymorphisms on asthma. This study evaluated the effects of indoor incense burning and glutathione S-transferase (GST) genetic polymorphisms on asthma and wheeze. In 2007, 3,764 seventh-grade schoolchildren (mean±sd age 12.42±0.65 yrs) were evaluated using a standard questionnaire for information about respiratory symptoms and environmental exposures. Multiple logistic regressions were performed to assess the association between GST polymorphisms and incense burning frequency on asthma and wheeze, after adjusting for potential confounders. The frequency of incense burning at home was associated with increased risk of current asthma (p=0.05), medication use (p=0.03) and exercise wheeze (p=0.001). GST1 (GSTT1) null genotypes were associated with current asthma (OR 1.43, 95% CI 1.00-2.04) and medication use (OR 1.46, 95% CI 1.01-2.22). GSTT1 showed a significant interactive effect with incense burning on current asthma, current wheeze and nocturnal wheeze. The frequency of incense burning was associated with increased risk of current asthma, medication use, lifetime wheeze, nocturnal wheeze and exercise wheeze in an exposure-response manner among children with GSTT1 null genotype (pIncense burning is a risk factor for asthma and wheezing, especially in GSTT1 genetically susceptible children.

  19. Human beta defensin is absent in burn blister fluid. (United States)

    Ortega, M R; Ganz, T; Milner, S M


    Defensins are a family of cationic antimicrobial peptides that participate in innate host defence. Human beta defensin-2 (HBD-2) is produced by human keratinocytes, and has a potent bactericidal activity against a wide spectrum of microorganisms. We have recently shown that expression of HBD-2 is present in normal skin and lost in the full-thickness burn wound. Defensins have been found in the blister fluid of chronic wounds. Our study was designed to examine blister fluid from partial-thickness burns for defensin content. Fluid from five patients was collected from partial-thickness burn blisters, and then analysed by sandwich Enzyme-Linked Immunosorbent Assay (ELISA) with a monoclonal antibody and rabbit polyclonal antibody to HBD-2. The assay was validated against a Western blot assay for HBD-2 in samples of bronchoalveolar lavage fluid from patients with inflammatory lung disease. No HBD-2 was detectable in any of the burn blister fluids analysed. HBD-2 is lost in the full-thickness burn wound, and we have now demonstrated its absence in burn blister fluid. This finding represents evidence of a host defence defect within the burn wound and suggests a possible therapeutic role for antimicrobial peptides in the management of burn wounds.

  20. Exploding E-Cigarettes Sending 'Vapers' to Burn Centers (United States)

    ... Exploding E-Cigarettes Sending 'Vapers' to Burn Centers Users say they' ... 5, 2016 WEDNESDAY, Oct. 5, 2016 (HealthDay News) -- E-cigarette devices are randomly and unexpectedly exploding, burning and ...

  1. Prehospital Care of Burn Patients and Trajectories on Survival. (United States)

    Kallinen, Outi; Koljonen, Virve; Tukiainen, Erkki; Randell, Tarja; Kirves, Hetti


    We sought to identify factors associated with the prognosis and survival of burn patients by analyzing data related to the prehospital treatment of burn patients transferred directly to the burn unit from the accident site. We also aimed to assess the role of prehospital physicians and paramedics providing care to major burn patients. This study included adult burn patients with severe burns treated between 2006 and 2010. Prehospital patient records and clinical data collected during treatment were analyzed, and the Injury Severity Scale (ISS) was calculated. Patients were grouped into two cohorts based on the presence or absence of a physician during the prehospital phase. Data were analyzed with reference to survival by multivariable regression model. Specific inclusion criteria resulted in a sample of 67 patients. The groups were comparable with regard to age, gender, and injury etiology. Patients treated by prehospital physicians (group 1, n = 49) were more severely injured than patients treated by paramedics (group 2, n = 18) in terms of total burn surface area (%TBSA) (32% vs. 17%, p = 0.033), ISS (25 vs. 8, p prehospital prognostic factors affecting patient outcomes. Based on the results from this study, our current EMS system is capable of identifying seriously injured burn patients who may benefit from physician attendance at the injury scene.

  2. Physical fitness in people after burn injury : a systematic review

    NARCIS (Netherlands)

    Disseldorp, Laurien M.; Nieuwenhuis, Marianne; Van Baar, Margriet E.; Mouton, Leonora J.


    Disseldorp LM, Nieuwenhuis MK, Van Baar ME, Mouton U. Physical fitness in people after burn injury: a systematic review. Arch Phys Med Rehabil 2011;92:1501-10. Objective: To gain insight into the physical fitness of people after burn injury compared with healthy subjects, and to present an overview

  3. Physical fitness in people after burn injury : a systematic review

    NARCIS (Netherlands)

    Disseldorp, Laurien M; Nieuwenhuis, Marianne K; Van Baar, Margriet E; Mouton, Leonora J


    OBJECTIVE: To gain insight into the physical fitness of people after burn injury compared with healthy subjects, and to present an overview of the effectiveness of exercise training programs in improving physical fitness in people after burn injury. DATA SOURCES: Electronic databases EMBASE, PubMed,

  4. Caregivers' perspective of school reintegration in children survivors of burns

    NARCIS (Netherlands)

    Pan, R.; Santos, B.D.; Van Loey, N.E.E.; Geenen, R.; Rossi, L.A.; Nascimento, L.C.


    Introduction: Pediatric burns are an important reason of treatment and hospitalization. Children victims of burns may interrupt or even abandon school activities. The process of school reintegration of this population has become a point of attention. Aim: To analyze the caregivers’ perspective of th

  5. Nutritional and metabolic consequences in the pediatric burn patient. (United States)

    Schulman, Carl I; Ivascu, Felicia A


    Nutritional support is one of the many important considerations when treating severe burn injury in children. The type, route, timing, amount, and monitoring of nutritional support have been widely investigated, yet many questions remain. This review will highlight the current state of knowledge and the important aspects of nutritional support in severe burn injury in children.

  6. Dual-imaging system for burn depth diagnosis. (United States)

    Ganapathy, Priya; Tamminedi, Tejaswi; Qin, Yi; Nanney, Lillian; Cardwell, Nancy; Pollins, Alonda; Sexton, Kevin; Yadegar, Jacob


    Currently, determination of burn depth and healing outcomes has been limited to subjective assessment or a single modality, e.g., laser Doppler imaging. Such measures have proven less than ideal. Recent developments in other non-contact technologies such as optical coherence tomography (OCT) and pulse speckle imaging (PSI) offer the promise that an intelligent fusion of information across these modalities can improve visualization of burn regions thereby increasing the sensitivity of the diagnosis. In this work, we combined OCT and PSI images to classify the degree of burn (superficial, partial-thickness and full-thickness burns). Algorithms were developed to integrate and visualize skin structure (with and without burns) from the two modalities. We have completed the proposed initiatives by employing a porcine burn model and compiled results that attest to the utility of our proposed dual-modal fusion approach. Computer-derived data indicating the varying burn depths were validated through immunohistochemical analysis performed on burned skin tissue. The combined performance of OCT and PSI modalities provided an overall ROC-AUC=0.87 (significant at pdual-imaging system for wound tracking are underway.

  7. Burn Incidence and Treatment in the U.S. (United States)

    ... Fact Sheet Job Channel Other Meetings Links Forms Burn Incidence and Treatment in the United States: 2016 The following estimates ... the best source for information related to initial treatment, ongoing care, and follow-up issues for burn injuries. If you do not have a physician, ...

  8. Clinical characteristics and treatment of burn wound sepsis in extensive burn patients: successful experience with eight cases

    Institute of Scientific and Technical Information of China (English)

    柴家科; 盛志勇; 杨红明


    Eight burn wound sepsis patients, in which 6 cases were diagnosed as MODS and two as septic shock, were treated consecutively in our hospital from September 1997 to October 1998. The plasma concentration of IL-6, IL-8, TNFα and LPS were assayed before and after surgical intervention, as well as when the patients' vital signs became stable. The results showed: ①The patients' conditions abruptly deteriorated when the burn wound sepsis emerged;②The major cause related to burn wound sepsis was extensive burn injuries, with large areas of deep burn remaining open; ③Although wound swabs taken on admission revealed the presence of colonization by many pathogenic bacteria, Pseudomonas aeruginosa was one of the most frequent bacteria isolated from the subeschar tissue; ④The plasma concentrations of IL-6, IL-8, TNF and LPS before surgical intervention were significantly higher than that after surgical intervention (P<0.05) ;⑤The lowest level of the inflammatory mediators was observed when the patients' conditions became stable, as compared with before surgical intervention (P<0. 001).These findings suggest that the clinical characteristics of burn wound sepsis are abrupt deterioration of the general condition and prominent septic symptoms, often complicated by MODS. The main cause of burn wound sepsis is the presence of a large area of open deep burn wounds, which should be excised and covered early. LPS and pro-inflammatory mediators play an important role in the pathogenesis of burn wound sepsis. Although success in treating these patients is the result of appropriate application of multiple treatments, early, aggressive and thorough surgical excision of invasive burn infectious tissue and closure of wound play a crucial role in the successful treatment of patients complicated by burn wound sepsis. Other treatments are adjuvant but also important.

  9. Environmentally Responsible Aviation: Propulsion Research to Enable Fuel Burn, Noise and Emissions Reduction (United States)

    Van Zante, Dale; Suder, Kenneth


    The NASA Environmentally Responsible Aviation (ERA) program is maturing technologies to enable simultaneous reduction of fuel burn, noise and emissions from an aircraft engine system. Three engine related Integrated Technology Demonstrations (ITDs) have been completed at Glenn Research Center in collaboration with Pratt Whitney, General Electric and the Federal Aviation Administration. The engine technologies being matured are: a low NOx, fuel flexible combustor in partnership with Pratt Whitney; an ultra-high bypass, ducted propulsor system in partnership with Pratt Whitney and FAA; and high pressure ratio, front-stage core compressor technology in partnership with General Electric. The technical rationale, test configurations and overall results from the test series in each ITD are described. ERA is using system analysis to project the benefits of the ITD technologies on potential aircraft systems in the 2025 timeframe. Data from the ITD experiments were used to guide the system analysis assumptions. Results from the current assessments for fuel burn, noise and oxides of nitrogen emissions are presented.

  10. The development of a modular system to burn farm animal waste to generate heat and power

    Energy Technology Data Exchange (ETDEWEB)

    Virr, M.J. [Spinheat Ltd., Pottsville, PA (United States)


    This paper presents an internally circulating fluid bed (ICFB) boiler that can burn poultry litter or other waste fuels. The disposal of animal waste is a significant problem for many poultry producers in the Chesapeake Bay area where poultry waste has contaminated local watersheds and the unpleasant odour has offended the local population. ICFB boilers can be made in the range of 3,000 to 23,000 kg/hr. Spinheat Ltd. has designed a complete modular small co-generating power plant in the range of 100 to 1,000 kW electrical generation with equivalent steam output. The co-generating power unit fits on the processor's premises to supply electricity and steam for process use by burning the poultry litter. The unit has been tested for poultry litter combustion and for emissions. This paper illustrates the complete design of the modular plants in the 100, 150, 200, 580 kW range as well as the 1 MW size. This new co-generating unit solves the waste management problem for poultry producers, as it can result in half the amount of poultry litter being spread on land as fertilizer. The cost of building the co-generation plant was reported in this paper along with the running costs of the plant. 1 tab., 8 figs.

  11. High Pressure Burn Rate Measurements on an Ammonium Perchlorate Propellant

    Energy Technology Data Exchange (ETDEWEB)

    Glascoe, E A; Tan, N


    High pressure deflagration rate measurements of a unique ammonium perchlorate (AP) based propellant are required to design the base burn motor for a Raytheon weapon system. The results of these deflagration rate measurements will be key in assessing safety and performance of the system. In particular, the system may experience transient pressures on the order of 100's of MPa (10's kPSI). Previous studies on similar AP based materials demonstrate that low pressure (e.g. P < 10 MPa or 1500 PSI) burn rates can be quite different than the elevated pressure deflagration rate measurements (see References and HPP results discussed herein), hence elevated pressure measurements are necessary in order understand the deflagration behavior under relevant conditions. Previous work on explosives have shown that at 100's of MPa some explosives will transition from a laminar burn mechanism to a convective burn mechanism in a process termed deconsolidative burning. The resulting burn rates that are orders-of-magnitude faster than the laminar burn rates. Materials that transition to the deconsolidative-convective burn mechanism at elevated pressures have been shown to be considerably more violent in confined heating experiments (i.e. cook-off scenarios). The mechanisms of propellant and explosive deflagration are extremely complex and include both chemical, and mechanical processes, hence predicting the behavior and rate of a novel material or formulation is difficult if not impossible. In this work, the AP/HTPB based material, TAL-1503 (B-2049), was burned in a constant volume apparatus in argon up to 300 MPa (ca. 44 kPSI). The burn rate and pressure were measured in-situ and used to calculate a pressure dependent burn rate. In general, the material appears to burn in a laminar fashion at these elevated pressures. The experiment was reproduced multiple times and the burn rate law using the best data is B = (0.6 {+-} 0.1) x P{sup (1.05{+-}0.02)} where B is the burn

  12. Prescribed burning plan : Stillwater NWR : Roadside ditches, canals, and brush piles (United States)

    US Fish and Wildlife Service, Department of the Interior — This 1997 Annual Prescribed Burning Plan for Stillwater NWR calls for all units, roads, and delivery canals to be burned. The objective of this burn is to return...

  13. Management of cyanide toxicity in patients with burns. (United States)

    MacLennan, Louise; Moiemen, Naiem


    The importance of cyanide toxicity as a component of inhalational injury in patients with burns is increasingly being recognised, and its prompt recognition and management is vital for optimising burns survival. The evidence base for the use of cyanide antidotes is limited by a lack of randomised controlled trials in humans, and in addition consideration must be given to the concomitant pathophysiological processes in patients with burns when interpreting the literature. We present a literature review of the evidence base for cyanide antidotes with interpretation in the context of patients with burns. We conclude that hydroxycobalamin should be utilised as the first-line antidote of choice in patients with burns with inhalational injury where features consistent with cyanide toxicity are present.

  14. Hyaluronic acid covers in burn treatment: a systematic review

    Directory of Open Access Journals (Sweden)

    Michel Marcos Dalmedico


    Full Text Available Abstract OBJECTIVE To evaluate the effectiveness of hyaluronic acid in the healing of partial thickness burns. METHOD Systematic review of randomized controlled trials on the use of hyaluronic acid for the topical treatment of skin burns, based on recommendations of the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS Two randomized controlled trials that analyzed 143 patients with partial thickness burns and/or deep partial thickness burns were selected. They compared the application of hyaluronic acid 0.2% associated to silver sulfadiazine 1% 5g/cm2 versus silver sulfadiazine 1% 5g/cm2 alone for the outcome of complete healing. CONCLUSION This review emphasizes the need for new well-designed randomized controlled trials to establish the therapeutic relevance of hyaluronic acid with respect to the healing of burns of partial thickness or deep partial thickness.

  15. Burns and epilepsy--review and case report. (United States)

    Gragnani, Alfredo; Müller, Bruno Rafael; Oliveira, Andrea Fernandes; Ferreira, Lydia Masako


    Decompensation of epilepsy in burned patients may be caused by several factors. Burn is a classic etiology of systemic inflammatory response syndrome, and evolves into two physiological phases. The first 48h after injury corresponds to the first phase involving severe hypovolemic shock. The second phase corresponds to the hypermetabolic response to burns. Altered pharmacokinetics of anticonvulsant drugs is observed. Albumin and other plasma proteins are reduced, leading to increased free fraction of phenytoin, resulting in greater clearance and a lower total drug concentration. Associated with metabolic changes of burned patient, this fact predisposes to seizures in epileptic burned patients. The authors present the case of an epileptic 36-year-old-woman who developed recurrent seizures after a thermal injury, despite using the same medications and doses of anticonvulsant drugs of last 12 years, with controlled epilepsy.

  16. Incidence of flap procedures in the management of burn patients. (United States)

    Lineaweaver, William C; Craft-Coffman, Beretta; Oswald, Tanya M


    Increased survival of burn patients presents opportunities for reconstructive strategies to improve outcomes in management of acute and secondary burn injuries. To assess one such strategy, namely flap reconstruction, we reviewed cases performed during the first 4.5 years of the JMS Burn and Reconstruction Center. We found that flap procedures accounted for 0.8% of acute cases (23 of 2723 procedures) and 33% of secondary cases (260 of 790 procedures). This initial finding shows that in this practice flap procedures are applied to a small number of acute problems while flap procedures comprise 33% of secondary procedures. Reconstructive flap surgery plays a measurable role in burn treatment at this center. Further study of outcomes and timing could lead to better understanding of optimal strategies for flap reconstruction in burns.

  17. Study on acute burn injury survivors and the associated issues

    Institute of Scientific and Technical Information of China (English)

    Jonathan Bayuo; Pius Agbenorku; Richcane Amankwa


    Objective: To explore the phenomenon of surviving burn injury and its associated issues and concerns. Methods: A cross sectional survey approach was utilized to obtain data from one hundred burn survivors who were purposely selected. Descriptive statistics and content analysis were used to analyze data. Results: Findings from the study indicate that burns from flames stood out as a major cause of burns. Physical discomfort/pain, anxiety, needing assistance in meeting self-care needs, financial and social limitations were identified as the major impact of the injury. Furthermore, participants perceived the existence of societal stigma. In addition, hope in God or a spiritual being as well as family support were the two key resources participants relied on to cope effectively. Conclusions: Surviving burn injury is associated with varied physical, social and psy-chological factors and survivors may need professional assistance to fully adjust after discharge.

  18. Prehospital care of burns: an analysis of 3 years use of the emergency physician system (EPS) Cologne. (United States)

    Lechleuthner, A; Schmidt-Barbo, A; Bouillon, B; Perbix, W; Holzki, J; Spilker, G


    Little information is available about the vital parameters of burns victims shortly after the accident. Therefore cases of burns, electrical and caustic injuries presenting to the Cologne Emergency Physician System over 3 years (n = 262) were prospectively studied and analysed. The average incidence in Cologne, Germany (population 1 million), of burns victims attended by the Emergency Medical System and emergency physicians at the scene was 74 adults and 14 children per year. Children are mainly injured by scalds (41.4 per cent); adults by fire accidents (43 per cent). A classification of the victims at the site of the accident according to their vital signs (Trauma Score (TS) after Champion H. R., Sacco W. J. and Carnazzo A. J. et al. (1981) Trauma Score. Crit. Care Med. 9, 672) showed, that in spite of a major burn injury, the vital signs were usually not or only slightly impaired. Subsequent measurements instituted by the emergency physician at the scene increased with decreasing initial TS. With TS = 14, 50 per cent of the patients were intubated; below 14 points nearly 100 per cent. The fluid administered also increased with a decreasing TS.

  19. Burn Injury: A Challenge for Tissue Engineers

    Directory of Open Access Journals (Sweden)

    Yerneni LK


    Full Text Available Ever since man invented fire he has been more frequently burning himself by this creation than by the naturally occurring bushfires. It is estimated that over 1.152 million people in India suffer from burn injuries requiring treatment every year and majority of them are women aged between 16-40 years and most of them occur in the kitchen. The treatment for burns basically involves autologous skin grafting, which originated in India more than two thousand years ago (Sushruta Samhita, is still the gold standard for the wound resurfacing, although, autografting is difficult where graftable donor sites are limited. Although, Cadaver skin, porcine or bovine xenografts are used alternatively over the past thirty years, modern approaches like the Bioengineering of skin substitutes emerged during the past 20 years as advanced wound management technologies with no social impediment. They can be broadly categorized as Acellular and Cellular biotechnological products. The acellular products like Alloderm (LifeCell Corporation, Integra (Integra Life Sciences act like template and depend on natural regeneration, while the cellular ones are either ‘Off-the-Shelf’ products like Apligraf (Organogenesis Inc and Orcel (Ortec International have allogenic elements and ‘home grown’ autologous cell products like Cultured Epithelial Autograft (CEA and epidermal-dermal composite skin use synthetic or natural non-human matrices. The CEA is based on the ex-vivo epidermal stem cell-expansion and our laboratory has been engaged in CEA technique development with innovative cost-effective approach and yielded promising preliminary clinical success. The basic methodological approach in CEA technique which is still clinically adopted by several developed countries involves the use of growth arrested mouse dermal fibroblasts as growth supportive matrix and is thus considered a drawback as a whole. Additionally, there is no superior enough method available to augment the

  20. Analgesic effects of dexamethasone in burn injury

    DEFF Research Database (Denmark)

    Werner, Mads U; Lassen, Birgit Vibeke; Kehlet, Henrik


    differences between treatments in regard to skin erythema (P >.8), thermal or mechanical thresholds (P >.2), thermal or mechanical pain response (P >.2), or mechanical secondary hyperalgesia (P >.2). Dexamethasone had no analgesic effects in normal skin. CONCLUSIONS: The study indicates that systemic...... administration of dexamethasone 2 hours before a burn injury does not reduce the inflammatory-mediated changes in quantitative sensory thresholds, pain perception, or skin erythema in humans....... injury was produced on the medial aspect of the nondominant calf (12.5 cm2, 47 degrees C for 7 minutes). Quantitative sensory testing included pain ratings to thermal and mechanical stimuli (visual analog scale [VAS]), assessments of thermal and mechanical detection thresholds, and areas of allodynia...

  1. Burning rate characteristics of CMDB propellants

    Energy Technology Data Exchange (ETDEWEB)

    Swaminathan, V.; Soosai Marian, M. (Vikram Sarabhai Space Centre, Trivandrum (India). Propellant Engineering Div.)


    The object of this paper is to obtain expressions for the burning rate pressure exponent and the temperature sensitivity of AP-based and HMX-based CMDB propellants in terms of the respective physical constants on the basis of a recently developed model of combustion for CMDB propellants and to examine the effects, if any, on these two parameters, of the changes in propellant composition, AP particle size and pressure. Computer programs were developed for this purpose and the results obtained for typical sets of input data presented in the paper. While the results of the calculation indicate a markedly strong dependence of the pressure exponent and the temperature sensitivity on pressure and composition for both AP-based and HMX-based CMDB propellants, the parameters are characterized by far lesser dependence on AP particle size for the AP-based propellant.

  2. Emissions from Biomass Burning in the Yucatan (United States)

    Yokelson, R.; Crounse, J. D.; DeCarlo, P. F.; Karl, T.; Urbanski, S.; Atlas, E.; Campos, T.; Shinozuka, Y.; Kapustin, V.; Clarke, A. D.; Weinheimer, A.; Knapp, D. J.; Montzka, D. D.; Holloway, J.; Weibring, P.; Flocke, F.; Zheng, W.; Toohey, D.; Wennberg, P. O.; Wiedinmyer, C.; Mauldin, L.; Fried, A.; Richter, D.; Walega, J.; Jimenez, J. L.


    In March 2006 two instrumented aircraft made the first detailed field measurements of biomass burning (BB) emissions in the Northern Hemisphere tropics as part of the MILAGRO project. The aircraft were the National Center for Atmospheric Research C-130 and a University of Montana/US Forest Service Twin Otter. The initial emissions of up to 49 trace gas or particle species were measured from 20 deforestation and crop residue fires on the Yucatan peninsula. This included two trace gases useful as indicaters of BB (HCN and acetonitrile) and several rarely, or never before, measured species: OH, peroxyacetic acid, propanoic acid, hydrogen peroxide, methane sulfonic acid, and sulfuric acid. Crop residue fires emitted more organic acids and ammonia than deforestation fires, but the emissions from the main fire types were otherwise fairly similar. The Yucatan fires emitted unusually amounts of SO2 and particle chloride, likely due to a strong marine influence on the peninsula.

  3. Coal burning induced endemic fluorosis in China

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Y.; Cao, S.R. [Chinese Academy of Preventative Medicine, Beijing (China). Inst. of Environmental Health and Engineering


    Wide-spread coal-burning in China is caused by indoor combustion of high fluoride (F) containing coal. The incidence of fluorosis increases with increase in the F content of coal. Indoor airborne F of fluorosis-afflicted areas exists mainly in a gaseous form (SiF{sub 4} and HG) with some co-existing aerosol forms. Gaseous F contributes about 40-84% of total inorganic F emission. Total airborne inorganic F was in the range of 11-155 {mu}g/m{sup 3}, several times higher than the National Hygienic Standards. Total F intake by adults in disease areas was found to be about 10 mg/day as compared to 0.8 mg/day in nondisease areas.

  4. Burn Control of Magnetically Confined Fusion Plasma 2. Burn Control in Tokamak Fusion Reactors 2.3 Burn Control in ITER (United States)

    Fujisawa, Noboru

    The issue of burn control in FDR-ITER, the design of which was completed in 1998, is introduced, Controllability was studied based on the ID transport code, PRETOR, during the burn phase with self-ignition, as well as during start-up and shut-down. The results of the present study have helped us to identify the importance of controlling the fuel supply, impurity injection, and heating power to maintain fusion power and power to the divertor.

  5. Does fire severity influence shrub resprouting after spring prescribed burning? (United States)

    Fernández, Cristina; Vega, José A.; Fonturbel, Teresa


    Prescribed burning is commonly used to reduce the risk of severe wildfire. However, further information about the associated environmental effects is required to help forest managers select the most appropriate treatment. To address this question, we evaluated if fire severity during spring prescribed burning significantly affects the resprouting ability of two common shrub species in shrubland under a Mediterranean climate in NW Spain. Fire behaviour and temperatures were recorded in tagged individuals of Erica australis and Pterospartum tridentatum during prescribed burning. The number and length of resprouted shoots were measured three times (6, 12 and 18 months) after the prescribed burning. The influence of a series of fire severity indicators on some plant resprouting vigour parameters was tested by canonical correlation analysis. Six months and one year after prescribed burning, soil burn severity (measured by the absolute reduction in depth of the organic soil layer, maximum temperatures in the organic soil layer and the mineral soil surface during burning and the post-fire depth of the organic soil layer) reduced the resprouting vigour of E. australis and P. tridentatum. In contrast, direct measurements of fire effects on plants (minimum branch diameter, duration of temperatures above 300 °C in the shrub crown and fireline intensity) did not affect the post-fire plant vigour. Soil burn severity during spring prescribed burning significantly affected the short-term resprouting vigour in a mixed heathland in Galicia. The lack of effects eighteen months after prescribed burning indicates the high resilience of these species and illustrates the need to conciliate fire prevention and conservation goals.

  6. The burn wound inflammatory response is influenced by midazolam. (United States)

    Babcock, George F; Hernandez, Laura; Yadav, Ekta; Schwemberger, Sandy; Dugan, Amy


    Burn patients requiring hospitalization are often treated for anxiety with benzodiazepines (BDZs). Benzodiazepines are reported to influence immune system function. Immune system alterations are a major cause of burn-induced mortality. We wanted to determine whether the BDZ, midazolam given daily at an anxiolytic dose, had any influence on the burn injury-induced inflammatory response in the blood and wound. Mice received a 15% total body surface area flame burn and received either midazolam 1 mg/kg i.p. or saline 0.1 ml daily. Blood and skin wounds were harvested 24 h after injection on post-burn day 2, 3, 7, or 8. Mice treated with midazolam had significantly lower serum IL-1β (p=0.002), TNF-α (p=0.002), IL-6 (p=0.016), IL-10 (p=0.009), and TGF-β (p=0.004) than saline-treated mice, with little impact on serum chemokine levels. In the wound, TNF-α and IL-10 were the only cytokines significantly influenced by the drug, being lower (p=0.018) and higher (p=0.006), respectively. The chemokines in the wound influenced significantly by midazolam were MIP-1α, MIP-1β, and MIP-2 while MCP-1 and KC were not. There were more inflammatory cells at the burn wound margin in midazolam-treated mice on post-burn day 3. Although serum nitrate/nitrite was significantly increased by midazolam (p=0.03), both eNOS and iNOS mRNA expression in the wound were similar to the saline group. We found that midazolam given daily after burn injury significantly influenced the inflammatory response. The clinical implications of these findings on wound healing and shock following burn injury, especially larger burns, deserve further investigation.

  7. Burning mouth syndrome: pathogenic and therapeutic concepts

    Directory of Open Access Journals (Sweden)

    Ferensztajn, Ewa


    Full Text Available Burning mouth syndrome (BMS is a chronic pain condition characterized by pain, burning sensations and dryness within an oral mucosa, without any clinical changes of the latter. It occurs approximately seven times more frequently in women, mostly in perimenopausal age. The psychiatric aspect of BMS is significant: the most frequent co-morbidities are depression and anxiety disorders, and a number of psychotropic drugs play an essential role in its treatment. In the present review, the most important pathogenic and treatment concepts of BMS have been discussed. The BMS may be similar to neuropathic pain and has some related pathogenic elements with fibromyalgia and the restless leg syndrome. In primary BMS, the features of presynaptic dysfunction of dopaminergic neurons and deficiency of endogenous dopamine levels have been demonstrated. Other neurotransmitters such as serotonin, noradrenaline, histamine as well as hormonal and inflammatory factors may also play a role in the pathogenesis of BMS. In the pharmacological treatment of BMS a variety of drugs have been used including benzodiazepines, anticonvulsants, antidepressants and atypical antipsychotic drugs. In the final part of the paper, the possibility of using atypical antipsychotic drug, olanzapine, in the treatment of BMS has been discussed. In the context of the recent studies on this topic, a case of female patient with the BMS lasting more than ten years has been mentioned, in whom the treatment with olanzapine brought about a rapid and significant reduction of symptoms. The probable mechanism of the therapeutic effect of olanzapine in BMS can include its effect on dopaminergic receptors and probably also on histaminergic, noradrenergic and serotonergic ones.

  8. Perineal burn contractures: An experience in tertiary hospital of a Himalayan state


    Thakur Jagdeep; Chauhan C. G. S; Diwana Vijay; Chuahan Dayal; Thakur Anamika


    Perineal burn contracture is a rare burn sequel. We conducted a retrospective analysis of cases with perineal burn contractures managed in a tertiary care centre of a Himalayan state. We found that all cases sustained burn injury from burning firewood and the time of presentation was two to six years after the burn injury. We analyzed our treatment method and have classified these contractures into two types.

  9. Perineal burn contractures: An experience in tertiary hospital of a Himalayan state

    Directory of Open Access Journals (Sweden)

    Thakur Jagdeep


    Full Text Available Perineal burn contracture is a rare burn sequel. We conducted a retrospective analysis of cases with perineal burn contractures managed in a tertiary care centre of a Himalayan state. We found that all cases sustained burn injury from burning firewood and the time of presentation was two to six years after the burn injury. We analyzed our treatment method and have classified these contractures into two types.

  10. Flight-based chemical characterization of biomass burning aerosols within two prescribed burn smoke plumes

    Directory of Open Access Journals (Sweden)

    K. A. Pratt


    Full Text Available Biomass burning represents a major global source of aerosols impacting direct radiative forcing and cloud properties. Thus, the goal of a number of current studies involves developing a better understanding of how the chemical composition and mixing state of biomass burning aerosols evolve during atmospheric aging processes. During the Ice in Clouds Experiment-Layer Clouds (ICE-L in the fall of 2007, smoke plumes from two small Wyoming Bureau of Land Management prescribed burns were measured by on-line aerosol instrumentation aboard a C-130 aircraft, providing a detailed chemical characterization of the particles. After ~2–4 min of aging, submicron smoke particles, produced primarily from sagebrush combustion, consisted predominantly of organics by mass, but were comprised primarily of internal mixtures of organic carbon, elemental carbon, potassium chloride, and potassium sulfate. Significantly, the fresh biomass burning particles contained minor mass fractions of nitrate and sulfate, suggesting that hygroscopic material is incorporated very near or at the point of emission. The mass fractions of ammonium, sulfate, and nitrate increased with aging up to ~81–88 min and resulted in acidic particles. Decreasing black carbon mass concentrations occurred due to dilution of the plume. Increases in the fraction of oxygenated organic carbon and the presence of dicarboxylic acids, in particular, were observed with aging. Cloud condensation nuclei measurements suggested all particles >100 nm were active at 0.5% water supersaturation in the smoke plumes, confirming the relatively high hygroscopicity of the freshly emitted particles. For immersion/condensation freezing, ice nuclei measurements at −32 °C suggested activation of ~0.03–0.07% of the particles with diameters greater than 500 nm.

  11. Flight-based chemical characterization of biomass burning aerosols within two prescribed burn smoke plumes

    Directory of Open Access Journals (Sweden)

    K. A. Pratt


    Full Text Available Biomass burning represents a major global source of aerosols impacting direct radiative forcing and cloud properties. Thus, the goal of a number of current studies involves developing a better understanding of how the chemical composition and mixing state of biomass burning aerosols evolve during atmospheric aging processes. During the Ice in Cloud Experiment – Layer Clouds (ICE-L in fall of 2007, smoke plumes from two small Wyoming Bureau of Land Management prescribed burns were measured by on-line aerosol instrumentation aboard a C-130 aircraft, providing a detailed chemical characterization of the particles. After ~2–4 min of aging, submicron smoke particles, produced primarily from sagebrush combustion, consisted predominantly of organics by mass, but were comprised primarily of internal mixtures of organic carbon, elemental carbon, potassium chloride, and potassium sulfate. Significantly, 100 % of the fresh biomass burning particles contained minor mass fractions of nitrate and sulfate, suggesting that hygroscopic material is incorporated very near or at the point of emission. The mass fractions of ammonium, sulfate, and nitrate increased with aging up to ~81–88 min and resulted in acidic particles, with both nitric acid and sulfuric acid present. Decreasing black carbon mass concentrations occurred due to dilution of the plume. Increases in the fraction of oxygenated organic carbon and the presence of dicarboxylic acids, in particular, were observed with aging. Cloud condensation nuclei measurements suggested all particles >100 nm were active at 0.5 % water supersaturation in the smoke plumes, confirming the relatively high hygroscopicity of the freshly emitted particles. For immersion/condensation freezing, ice nuclei measurements at −32 °C suggested activation of ~0.03–0.07 % of the particles with diameters greater than 500 nm.

  12. Chemistry of burning the forest floor during the FROSTFIRE experimental burn, interior Alaska, 1999 (United States)

    Harden, J.W.; Neff, J.C.; Sandberg, D.V.; Turetsky, M.R.; Ottmar, R.; Gleixner, G.; Fries, T.L.; Manies, K.L.


    Wildfires represent one of the most common disturbances in boreal regions, and have the potential to reduce C, N, and Hg stocks in soils while contributing to atmospheric emissions. Organic soil layers of the forest floor were sampled before and after the FROSTFIRE experimental burn in interior Alaska, and were analyzed for bulk density, major and trace elements, and organic compounds. Concentrations of carbon, nutrients, and several major and trace elements were significantly altered by the burn. Emissions of C, N, and Hg, estimated from chemical mass balance equations using Fe, Al, and Si as stable constituents, indicated that 500 to 900 g C and up to 0 to 4 ?? 10-4 g Hg/M2 were lost from the site. Calculations of nitrogen loss range from -4 to +6 g/m2 but were highly variable (standard deviation 19), with some samples showing increased N concentrations post-burn potentially from canopy ash. Noncombustible major nutrients such as Ca and K also were inherited from canopy ash. Thermogravimetry indicates a loss of thermally labile C and increase of lignin-like C in char and ash relative to unburned counterparts. Overall, atmospheric impacts of boreal fires include large emissions of C, N and Hg that vary greatly as a function of severe fire weather and its access to deep organic layers rich in C, N, and Hg. In terrestrial systems, burning rearranges the vertical distribution of nutrients in fuels and soils, the proximity of nutrients and permafrost to surface biota, and the chemical composition of soil including its nutrient and organic constituents, all of which impact C cycling. Copyright 2004 by the American Geophysical Union.

  13. Successful treatment of invasive burn wound infection with sepsis in patients with major burns

    Institute of Scientific and Technical Information of China (English)


    Objective To investigate the clinical characteristics of invasive bum wound infection with sepsis in patients with major burns and to summarize the successful expenences in the treatment of such patients. Methods Eight patients with major bums, complicated by invesive bum wound infection and sepsis were consecutively admitted to our hospital from September 1997 to October 1998. Among them, 6 patients developed multiple organ dysfunction syndrome (MODS) and 2 developed septic shock. The plasma concentrations of IL-6,IL-8,TNFα and lypopolysaccharibe (LPS) were assayed before and after surgical intervention, as well as when the patient' s vital signs became stable. Results The patients' conditions usually deterieorated abruptly when extensive invasive bum wound infection emerged. While multi-microbial infection was usually found, Pseudomonas aeruginosa was the predominant bactena isolated from the subeschar tissue. The plasma concentrations of IL-6, IL-8, TNFα and LPS before surgical intervention wore significantly higher than those after surgical intervention (P<0.05).The lowest levels of the inflammatory mediators were abserved when the patients'conditions became stable,and the values were significantly lower than those before surgical intervention ( P<0.001). Conclusion Since the main cause of burn wound sepsis is the presence of a large area of infected bum wound, they should be excised and covered as early as possible. LPS and pro-inflammatory mediators play an important role in the pathogenesis of burn sepsis. Athough favorable results should be attributed to compmhessive treatment, we believe that early, aggressive and thorough surgical excision of infected burn wounds, followed by sound and complete coverage of the area, play a crucial role.

  14. Coping with burns : the role of coping self-efficacy in the recovery from traumatic stress following burn injuries

    NARCIS (Netherlands)

    Bosmans, Mark W G; Hofland, Helma W.; De Jong, Alette E.; Van Loey, Nancy E.


    We conducted a three-wave prospective study among patients with burns (N = 178) to examine the prospective influence of coping self-efficacy (CSE) perceptions on trajectories of posttraumatic stress symptoms in the first 12 months after burn injuries. Using linear growth curve modeling, we corrected

  15. Coping with burns : The role of coping self-efficacy in the recovery from traumatic stress following burn injuries

    NARCIS (Netherlands)

    Bosmans, Mark; Hofland, Helma; de jong, Alette; Van Loey, Nancy


    We conducted a three-wave prospective study among patients with burns (N = 178) to examine the prospective influence of coping self-efficacy (CSE) perceptions on trajectories of posttraumatic stress symptoms in the first 12 months after burn injuries. Using linear growth curve modeling, we corrected

  16. Perfusion of burn wounds assessed by Laser Doppler Imaging is related to burn depth and healing time

    NARCIS (Netherlands)

    Kloppenberg, FWH; Beerthuizen, GIJM; ten Duis, HJ


    Average perfusion in various burn wounds was assessed using Laser Doppler Imaging (LDI). The time necessary for a complete healing of the wound was compared to the results of the LDI measurements. A certain depth of burn was associated with a typical pattern of perfusion in the course of time. There

  17. Evaluating potential benefits of burning lower quality fuel oils using the oil burn optimization model

    Energy Technology Data Exchange (ETDEWEB)

    Babilonia, P.


    As a result of a 1987 New York State Public Service Commission Audit of Niagara Mohawk`s Fuel Supply operations, Niagara Mohawk (NMPC) became interested in analyzing the plant performance impacts of burning fuels of differing qualities at its various generating stations. Black & Veatch (B&V) had previously developed a computer model for EPRI that analyzed coal quality impacts (i.e., Coal Quality Impact Model). As a result of B&V`s work, NMPC contracted with B&V to first develop custom-designed software for its coal stations (Coal Burn Optimization Model (CBOM)). Subsequently, B&V was retained to develop a similar designed software for its oil stations, Oswego and Albany Steam Stations. The Oil Burn Optimization Model (OBOM) was, therefore, developed. OBOM was designed to be used to evaluate residual fuel oil supply options by predicting their fuel-related plant operating and maintenance costs. Fuel oil-related costs can also be compared to natural gas-related costs. Costs are estimated by predicting performance of various plant equipment. Predictions focus on combustion calculations, material flows, auxiliary power, boiler efficiency, precipitator and fan performance, fuel pumping and preheating requirements, and corrosion considerations. Total costs at the busbar attributed to fuel are calculated from these predictions. OBOM is a PC-based system operating under MS-DOS. The model produces hard copy results for quick comparison of fuels and their potential effects on plant operating and maintenance costs.

  18. Progress in burns research: a review of advances in burn pathophysiology. (United States)

    Jewo, P I; Fadeyibi, I O


    Severe burns trigger a wide range of responses in the victim. Initial vascular changes are followed by hypermetabolic, inflammatory and immunologic changes. The prolonged hypermetabolic response is associated with an elevated resting rate of energy consumption, tissue wasting and altered substrate kinetics. There is increased blood glucose though insulin levels are above normal. The cortisol level is raised and, together with catecholamine, drives the metabolic response. The immune system is typically weakened. There is elevation in blood levels of a wide range of cytokines from activated cells. These agents drive a prolonged inflammatory response which can lead to tissue damage and multiple organ failure. Dynamic fluid resuscitation regimens have cut down mortality from shock in the early post-burn period. However, unbalanced activity of pro- and anti-inflammatory cytokines can leave patients in an immuno-suppressed state that affects outcomes. So far, many treatments, such as propranolol, a cardio-protector, and anabolic agents, such as oxandrolone and growth hormone, have been tried with mixed results. This review focuses on research that elucidated burn pathophysiology. Some clinical areas in which treatment centred on correcting altered physiology were also included. We have highlighted both the challenges and significant findings. Finally, this paper draws attention to the gaps between progress in basic research and clinical application and suggests areas where further research and funding could be focused.

  19. Burn prevention mechanisms and outcomes: pitfalls, failures and successes. (United States)

    Atiyeh, Bishara S; Costagliola, Michel; Hayek, Shady N


    Burns are responsible for significant mortality and morbidity worldwide and are among the most devastating of all injuries, with outcomes spanning the spectrum from physical impairments and disabilities to emotional and mental consequences. Management of burns and their sequelae even in well-equipped, modern burn units of advanced affluent societies remains demanding and extremely costly. Undoubtedly, in most low and middle income countries (LMICs) with limited resources and inaccessibility to sophisticated skills and technologies, the same standard of care is obviously not possible. Unfortunately, over 90% of fatal fire-related burns occur in developing or LMICs with South-East Asia alone accounting for over half of these fire-related deaths. If burn prevention is an essential part of any integrated burn management protocol anywhere, focusing on burn prevention in LMICs rather than treatment cannot be over-emphasized where it remains the major and probably the only available way of reducing the current state of morbidity and mortality. Like other injury mechanisms, the prevention of burns requires adequate knowledge of the epidemiological characteristics and associated risk factors, it is hence important to define clearly, the social, cultural and economic factors, which contribute to burn causation. While much has been accomplished in the areas of primary and secondary prevention of fires and burns in many developed or high-income countries (HICs) such as the United States due to sustained research on the epidemiology and risk factors, the same cannot be said for many LMICs. Many health authorities, agencies, corporations and even medical personnel in LMICs consider injury prevention to have a much lower priority than disease prevention for understandable reasons. Consequently, burns prevention programmes fail to receive the government funding that they deserve. Prevention programmes need to be executed with patience, persistence, and precision, targeting high

  20. Electric Propulsion (United States)

    Baggett, R.


    Next Generation Electric Propulsion (NGEP) technology development tasks are working towards advancing solar-powered electric propulsion systems and components to levels ready for transition to flight systems. Current tasks within NGEP include NASA's Evolutionary Xenon Thruster (NEXT), Carbon Based Ion Optics (CBIO), NSTAR Extended Life Test (ELT) and low-power Hall Effect thrusters. The growing number of solar electric propulsion options provides reduced cost and flexibility to capture a wide range of Solar System exploration missions. Benefits of electric propulsion systems over state-of-the-art chemical systems include increased launch windows, which reduce mission risk; increased deliverable payload mass for more science; and a reduction in launch vehicle size-- all of which increase the opportunities for New Frontiers and Discovery class missions. The Dawn Discovery mission makes use of electric propulsion for sequential rendezvous with two large asteroids (Vesta then Ceres), something not possible using chemical propulsion. NEXT components and thruster system under development have NSTAR heritage with significant increases in maximum power and Isp along with deep throttling capability to accommodate changes in input power over the mission trajectory. NEXT will produce engineering model system components that will be validated (through qualification-level and integrated system testing) and ready for transition to flight system development. NEXT offers Discovery, New Frontiers, Mars Exploration and outer-planet missions a larger deliverable payload mass and a smaller launch vehicle size. CBIO addresses the need to further extend ion thruster lifetime by using low erosion carbon-based materials. Testing of 30-cm Carbon-Carbon and Pyrolytic graphite grids using a lab model NSTAR thruster are complete. In addition, JPL completed a 1000 hr. life test on 30-cm Carbon-Carbon grids. The NSTAR ELT was a life time qualification test started in 1999 with a goal of 88 kg