WorldWideScience

Sample records for burns electric

  1. [Chemical and electrical burns].

    Science.gov (United States)

    Sanchez, Raymond

    2002-12-15

    Chemical burns are less frequent in routine practice, but could be very serious owing to the complexity and severity of their actions. Influx of casualty after a civil disaster (industrial explosion) or military (war or terrorism) is possible. The action of these agents could be prolonged and deep. In addition to the skin, respiratory lesions and general intoxication could be observed. The urgent local treatment rely essentially on prolonged washing. Prevention and adequate emergency care could limit the serious consequences of these accidents. Accidents (thermal burns or electrisations) due to high or low voltage electricity are frequent. The severity is linked with the affected skin but especially with internal lesions, muscular, neurological or cardiac lesions. All cases of electrisation need hospital care. Locally, the lesions are often deep with difficult surgical repairs and often require amputation. Aesthetic and functional sequela are therefore frequent. Secondary complications could appear several months after the accident: cataract, dysesthesia and hypotonia. PMID:12621941

  2. Electrical burns of the abdomen

    Directory of Open Access Journals (Sweden)

    Rakesh Kumar Srivastava

    2013-01-01

    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.

  3. Burns

    Science.gov (United States)

    ... touching the stove This list is not all-inclusive. You can also burn your airways if you ... extinguishers in key locations at home, work, and school. Remove electrical cords from floors and keep them ...

  4. A ring burn--electric or contact?

    Science.gov (United States)

    Attalla, M F; el-Ekiabi, S; Al-Baker, A

    1990-02-01

    A circumferential band of deep burn affecting the ring finger sustained by a car electrician is presented. Although it was caused by short circuiting the car battery by a metal spanner and the ring he was wearing, the injury was purely a contact burn. PMID:2322399

  5. High voltage electrical burn injuries in teenage children: case studies with similarities (an indian perspective)

    OpenAIRE

    Mathangi Ramakrishnan, K.; Babu, M.; Mathivanan,; B. Ramachandran; Balasubramanian, S.; Raghuram, K

    2013-01-01

    From 1992 to 2012, a total of 911 paediatric burns were admitted and treated at Kanchi Kamakoti Childs Trust Hospital Intensive Burn Care Unit, of these 28 children had suffered electrical injuries and burns. 7 teenagers suffered high voltage electrical burn injuries: 2 were involved in train accidents which caused fatal electrical injuries, and 5 had electrical burn injuries caused by similar types of accidents, requiring Paediatric Intensive Care Unit (PICU) care, repeated surgeries and ext...

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

    Energy Technology Data Exchange (ETDEWEB)

    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)

    1998-10-01

    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.

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

    International Nuclear Information System (INIS)

    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

  8. [Electrical burns in children. 3 years of case histories].

    Science.gov (United States)

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

    1996-01-01

    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. PMID:9254529

  9. Burning of electrical household appliances. An experimental Study

    Energy Technology Data Exchange (ETDEWEB)

    Hietaniemi, J.; Mangs, J.; Hakkarainen, T. [VTT Building and Transport, Espoo (Finland). Building Physics, Building Services and Fire Technology

    2001-03-01

    Burning characteristics of electrical household appliances of four different types, TV sets, washing machines, dishwashers and refrigerator-freezers, have been studied experimentally. Results obtained comprise rate of heat release, mass loss and generation of smoke and some chemical substances as well as the quantities derived from these data such as the effective heat of combustion. The experiments are comprehensively documented by written records of events and photographs. High intensities of burning were detected. The highest rates of heat release (RHR), up to 2000 kW, were found for refrigerator-freezers. The peak RHR values for the other apparatuses were: dishwashers 350-750 kW, washing machines 300-450 kW and TVs 250-300 kW. Generally, the development of the burning of the apparatuses towards full burning has two phases. The first phase involves low-RHR incipient burning and during the second phase RHR grows rapidly towards the peak values. TV set fires develop rapidly: the first phase lasts ca. 1,5-3 minutes and, after it, the peak RHR value may be reached within 1-1,5 minutes from the initiation of the rapid RHR growth. For washing machines the period of incipient burning was rather long, 10-20 minutes depending on the way the apparatus was ignited (ignition in the motor space or at the control panel). For the dishwashers the delay was 5-10 minutes. A similar delay was found also in three refrigerator-freezer experiments. In one refrigerator- freezer experiment, the delay time was clearly shorter, only 2-3 minutes. A computational analysis of the development of room fires originating from ignited electrical household appliances was conducted to study the significance of the measured burning characteristics. The RHR of refrigerator-freezers is so high that fires originating from these apparatuses probably lead to flashover. In the case of dishwasher fires, the likelihood of flashover is considerable. The probability of flashover TV set fires in relatively

  10. The Usefulness of Bone Scan in Electric Burns

    Energy Technology Data Exchange (ETDEWEB)

    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)

    1996-03-15

    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.

  11. The Usefulness of Bone Scan in Electric Burns

    International Nuclear Information System (INIS)

    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. Burns

    Science.gov (United States)

    ... Chemical burns Burns can be the result of: House and industrial fires Car accidents Playing with matches ... hairs Burned lips and mouth Coughing Difficulty breathing Dark, black-stained mucus Voice changes Wheezing

  13. High voltage electrical burn injuries in teenage children: case studies with similarities (an indian perspective)

    Science.gov (United States)

    Mathangi Ramakrishnan, K.; Babu, M.; Mathivanan; Ramachandran, B.; Balasubramanian, S.; Raghuram, K.

    2013-01-01

    Summary From 1992 to 2012, a total of 911 paediatric burns were admitted and treated at Kanchi Kamakoti Childs Trust Hospital Intensive Burn Care Unit, of these 28 children had suffered electrical injuries and burns. 7 teenagers suffered high voltage electrical burn injuries: 2 were involved in train accidents which caused fatal electrical injuries, and 5 had electrical burn injuries caused by similar types of accidents, requiring Paediatric Intensive Care Unit (PICU) care, repeated surgeries and extensive rehabilitation. A common factor among these latter 5 patients was that they were injured by overhead high electrical voltage cables. Their management was labour intensive and highly costly. In this report, the type of accident, the electrical voltage that produced burns and the treatment details are elaborated. Findings included similarities in age and type of accident, and failure to implement safety procedures and apply standard norms of high voltage transmission feeder lines. PMID:24563637

  14. Multidisciplinary care in severe pediatric electrical oral burn.

    Science.gov (United States)

    Pontini, A; Reho, F; Giatsidis, G; Bacci, C; Azzena, B; Tiengo, C

    2015-05-01

    Oral burns in pediatric patient are commonly due to electrical injuries, representing an important reconstructive issue even for functional than esthetic reason. Different classification, surgical management and even oral device were described to allow the best long-term result. In most case a multidisciplinary approach is necessary to achieve a satisfactory outcome. A severe case of pediatric oral burn with germinative teeth damage is presented, describing a multispecialist team approach that guarantee a satisfactory outcome by reconstructive surgery, careful progressive evaluation of dental and soft tissue healing and speech recovery. The use of acellular dermal substitute template within traditional reconstructive surgery had provided a good functional and esthetic result joint to valid preservation of germinative dental element as shown at long-term X-ray evaluation. Intensive rehabilitation speech program has also avoided phonetic impairment in an important speech develop period. It was so evident that the necessity of a multispecialist care in such difficult injury to achieve the best long-term result. PMID:25716757

  15. Eradication of multidrug-resistant A. baumannii in burn wounds by antiseptic pulsed electric field

    OpenAIRE

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

    2014-01-01

    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...

  16. Electric cable insulation pyrolysis and ignition resulting from potential hydrogen burn scenarios for nuclear containment buildings

    International Nuclear Information System (INIS)

    Electric cable insulation in nuclear containment buildings may participate in pyrolysis and combustion processes engendered by hydrogen burn phenomena. This paper examines these pyrolysis/ignition processes of those polymeric materials present in the electric cable insulation and their possible relation to hydrogen burn scenarios

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

    Directory of Open Access Journals (Sweden)

    Çiğdem Aliosmanoğlu

    2011-06-01

    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.

  18. Eradication of multidrug-resistant A. baumannii in burn wounds by antiseptic pulsed electric field.

    Science.gov (United States)

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

    2014-06-01

    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. PMID:25089285

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

    Directory of Open Access Journals (Sweden)

    Chauhan D

    2004-01-01

    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.

  20. Tokamak burn extension by radial electric field control

    International Nuclear Information System (INIS)

    This study considers a TFTR-sized plasma operating on a long cycle. The temperature profile is fixed in time, and the plasma is not refuelled. In order to isolate the electric field effects, this last condition is extended to prohibit the electric field at the plasma edge from returning more fuel to the plasma than gradient-driven forces expel

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

    OpenAIRE

    Chauhan D; Chari P; Khuller G; Singh Dalbir

    2004-01-01

    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...

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

    Directory of Open Access Journals (Sweden)

    Hyung-Do Kim

    2012-03-01

    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.

  3. Influences of high-voltage electrical burns on the pulmonary microcirculation in rabbits.

    Science.gov (United States)

    Zhou, H M; Xu, S J; Wang, L; Shao, H B; Xie, B; Feng, J K; Wang, C J; Bai, Y Q; Zhang, Q F

    2016-04-01

    This study was performed to investigate the effects of high-voltage electrical burns (HEB) on the pulmonary microcirculation in rabbits. Total of 120 rabbits were randomly divided into control and HEB group using a random number table. HEB model was developed with a voltage regulator and experimental transformer. Laser Doppler perfusion imager was utilized to monitor and quantify the blood perfusion in pulmonary microcirculation. The microvascular morphologic changes of the lung were observed using light microscopy and transmission electron microscope (TEM). The lung wet/dry weight ratio and the PaO2 were determined. The values of blood perfusion in rabbit pulmonary microcirculation in the HEB group were decreased at 5 min, but increased at 1 h after burn (P pulmonary venules and bleeding in venous capillaries in HEB group. We found the number of microvilli in the capillary endothelial cells decreased, the rough endoplasmic reticulum expanded and severe degranulation occurred, the mitochondrial cristae fused or disappeared, and severe edema surrounded the capillary endothelial cells by TEM. The values of lung wet/dry weight ratio were higher and the PaO2 were lower than that of before burn group (P <  0.01). These results demonstrated that microcirculatory disorders play a major role in the development of progressive lung damage after high-voltage electrical burns. PMID:25547412

  4. Pulsed Electric Fields for Burn Wound Disinfection in a Murine Model

    OpenAIRE

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

    2015-01-01

    Emerging bacterial resistance renders many antibiotics ineffective, making alternative strategies of wound disinfection important. Here the authors report on a new, physical burn wound disinfection method: pulsed electric fields (PEFs). High voltage, short PEFs create nonthermal, permanent damage to cell membranes, possibly by irreversible electroporation. In medicine, PEF technology has recently been used for nonthermal ablation of solid tumors. The authors have expanded the spectrum of PEF ...

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

    Directory of Open Access Journals (Sweden)

    Guillermo García Álvarez

    2015-09-01

    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.

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

    Energy Technology Data Exchange (ETDEWEB)

    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)

    1999-07-01

    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.

  7. Pulsed electric fields for burn wound disinfection in a murine model.

    Science.gov (United States)

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

    2015-01-01

    Emerging bacterial resistance renders many antibiotics ineffective, making alternative strategies of wound disinfection important. Here the authors report on a new, physical burn wound disinfection method: pulsed electric fields (PEFs). High voltage, short PEFs create nonthermal, permanent damage to cell membranes, possibly by irreversible electroporation. In medicine, PEF technology has recently been used for nonthermal ablation of solid tumors. The authors have expanded the spectrum of PEF applications in medicine to burn wound disinfection. A third-degree burn was induced on the dorsal skin of C57BL/6 mice. Immediately after the injury, the burn wound was infected with Acinetobacter baumannii expressing the luxCDABE operon. Thirty minutes after infection, the infected areas were treated with 80 pulses delivered at 500 V/mm, 70 μs, 1 Hz. The authors used bioluminescence to quantify bacteria on skin. Three animals were used for each experimental condition. PEFs were effective in the disinfection of infected burned murine skin. The bacterial load reduction correlated with the number of delivered pulses. Forty pulses of 500 V/mm led to a 2.04 ± 0.29 Log10 reduction in bacterial load; 80 pulses led to the immediate 5.53 ± 0.30 Log10 reduction. Three hours after PEF, the bacterial reduction of the skin treated with 500 V/mm, 80 pulses was 4.91 ± 0.71 Log10. The authors introduce a new method of wound disinfection using high voltage, short PEFs. They believe that PEF technology may represent an important alternative to antibiotics in addressing bacterial contamination of wounds, particularly those contaminated with multidrug-resistant bacteria. PMID:25167374

  8. Assessment of electrical burn injury using structured illumination in an in-vivo electrical injury model

    Science.gov (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.

    2011-03-01

    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.

  9. Pyogenic Arthritis of the Ankle Joint Following a High-Voltage Electrical Burn in the Lower Extremity: A Case Report

    International Nuclear Information System (INIS)

    A high-voltage electrical burn caused extensive deep muscle injuries beneath a relatively small skin wound at the contact point. Hidden, undetected deep muscle injuries have a tendency for progressive tissue necrosis, which can lead to major amputations or sepsis. The radiologic features of this rare, sometimes life-threatening injury have occasionally been described in the literature. However, to the best of our knowledge, there have been no reports on a case of pyogenic arthritis of the ankle joint following a high-voltage electrical burn involving the lower extremity. We report a case of the pyogenic arthritis of the ankle joint following a high-voltage electrical burn involving the lower extremity.

  10. Pyogenic Arthritis of the Ankle Joint Following a High-Voltage Electrical Burn in the Lower Extremity: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kuk Seon; Lee, Gyung Kyu; Kang, Ik Won; Hwang, Dae Hyun; Lee, Eil Seong; Min, Seon Jung; Han, You Mie [Dept. of Radiology, Hangang Scared Heart Hospital, Hallym University College of Medicine, Seoul (Korea, Republic of); Lee, Eil Seong [Dept.of Radiology, Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju (Korea, Republic of)

    2011-04-15

    A high-voltage electrical burn caused extensive deep muscle injuries beneath a relatively small skin wound at the contact point. Hidden, undetected deep muscle injuries have a tendency for progressive tissue necrosis, which can lead to major amputations or sepsis. The radiologic features of this rare, sometimes life-threatening injury have occasionally been described in the literature. However, to the best of our knowledge, there have been no reports on a case of pyogenic arthritis of the ankle joint following a high-voltage electrical burn involving the lower extremity. We report a case of the pyogenic arthritis of the ankle joint following a high-voltage electrical burn involving the lower extremity.

  11. Reconstruction of high voltage electric burn wound with exposed shoulder joint by thoracoacromial artery perforator propeller flap

    Science.gov (United States)

    Rout, Debesh Kumar; Nayak, Bibhuti Bhusan; Choudhury, Arun Kumar; Pati, Ajit Kumar

    2014-01-01

    We describe the reconstruction of high voltage electric burn injury with exposed shoulder joint by thoracoacromial artery perforator propeller flap based on the delto-pectoral perforators of thoracoacromial artery. The successful use of this propeller flap to cover the exposed shoulder joint in a case with limited local flap options demonstrates its use as an alternative technique. PMID:25190925

  12. Reconstruction of high voltage electric burn wound with exposed shoulder joint by thoracoacromial artery perforator propeller flap

    Directory of Open Access Journals (Sweden)

    Debesh Kumar Rout

    2014-01-01

    Full Text Available We describe the reconstruction of high voltage electric burn injury with exposed shoulder joint by thoracoacromial artery perforator propeller flap based on the delto-pectoral perforators of thoracoacromial artery. The successful use of this propeller flap to cover the exposed shoulder joint in a case with limited local flap options demonstrates its use as an alternative technique.

  13. Numerical analysis of free-burning argon arcs based on the local thermodynamic equilibrium model at various electrical currents

    International Nuclear Information System (INIS)

    Free-burning arcs where the work piece acts as an anode were numerically analyzed using a computational domain including the arc itself and its anode region based on the local thermodynamic equilibrium model. Because the major arc parameters such as temperature, axial velocity, electric potential difference and pressure-rise from ambient atmospheric pressure are much dependent on the working current, our investigation was concerned with developing a capability to model free-burning argon arcs and considering the energy flux going into the anode at various values of the electrical current (I = 50, 100 and 200 A) by computational fluid dynamics analysis. Predicted temperatures along the z-axis between the electrodes were in fair agreement with existing experimental results. Particularly, reasonable relationships between the maximum velocity or temperature and the applied current were predicted, which matched well with other theoretical results. In addition, some discrepancies with other predictions were shown in the results about electric potential and pressure-rise. It should be related to the omission of the space-charge effect near the electrodes for a simplified unified model and the application of a turbulence model for the steep temperature gradient at the arc edges. - Highlights: • Free-burning argon arcs were investigated at various working currents numerically. • The relationships between the current, the velocity and the temperature were found. • Some discrepancies were shown in the results of pressure and electric potential. • Those should be supplemented by the non-equilibrium situation near electrodes

  14. Comparison of the burning behaviour of electric cables with intumescent coating in different test methods

    International Nuclear Information System (INIS)

    Cables used for electric power and control systems represent a significant potential hazard, particularly in buildings with highly complex wiring. To reduce the risk of ignition and of flame spread and to limit the fire effects, protective intumescent coatings or cables with fire retardant insulation materials have been implemented in safety related areas and locations, particularly of nuclear power plants. Since 1994, extensive experimental research has been performed by iBMB of the Branschweig University of Technology on the burning behaviour of unprotected as well as coated PVC cables. The main goal of this investigations was to develop a qualification method and licensing procedure for cable systems with protective coatings based on realistic fire conditions, which is accepted by the building authorities for application in buildings in general and, in particular, in nuclear power plants. For comparative results of tests with intumescent coatings in different scales - according to the standard IEC 332-3 (large scale), German standard DIN 4102-1 (intermediate scale) and ISO 5660 (small scale) - will be introduced. The setup of the different test procedures and the corresponding phases of natural fires will be discussed. It will be shown that cables with protective coatings are appropriate for fire scenarios up to a developed room fire while only resistance to a local ignition source could be guaranteed by testing according to international or national valid standard. The necessity of testing cables with insulation material, which should guarantee a fire retardant behaviour, by these different methods should be reasonable, because depending on the results of future tests, a more distinguished qualification and application of cables might be possible. (orig.)

  15. MR imaging findings of high-voltage electrical burns in the upper extremities: correlation with angiographic findings

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Gyung Kyu; Kang, Ik Won; Hwang, Dae Hyun; Min, Seon Jung; Han, You Mi (Dept. of Radiology, Hallym Univ. College of Medicine, Hangang Sacred Heart Hospital, Seoul (Korea, Republic of)); Suh, Kyung Jin (Dept. of Radiology, Dongguk Univ. College of Medicine, Gyeongju Hospital, Gyeongju (Korea, Republic of)), email: kyungjin.suh@gmail.com; Choi, Min Ho (Dept. of Internal Medicine, Hallym Univ. College of Medicine, Hangang Sacred Heart Hospital, Seoul (Korea, Republic of))

    2011-02-15

    Background: A high-voltage electrical burn is often associated with deep muscle injuries. Hidden, undetected deep muscle injuries have a tendency for progressive tissue necrosis, and this can lead to major amputations or sepsis. MRI has excellent soft tissue contrast and it may aid in differentiating the areas of viable deep muscle from the areas of non-viable deep muscle. Purpose: To describe the MR imaging findings of a high-voltage electrical burn in the upper extremity with emphasis on the usefulness of the gadolinium-enhanced MRI and to compare the MR imaging findings with angiography. Material and Methods: We retrospectively reviewed the imaging studies of six patients with high-voltage electrical burns who underwent both MRI and angiography at the burn center of our hospital from January 2005 to December 2009. The imaging features were evaluated for the involved locations, the MR signal intensity of the affected muscles, the MR enhancement pattern, the involved arteries and the angiographic findings (classified as normal, sluggish flow, stenosis or occlusion) of the angiography of the upper extremity. We assessed the relationship between the MR imaging findings and the angiographic findings. Results: The signal intensities of affected muscles were isointense or of slightly high signal intensity as compared with the adjacent unaffected skeletal muscle on the T1-weighted MR images. Affected muscles showed heterogenous high signal intensity relative to the adjacent unaffected skeletal muscle on the T2- weighted images. The gadolinium-enhanced T1-weighted images showed diffuse inhomogeneous enhancement or peripheral rim enhancement of the affected muscles. The angiographic findings of the arterial injuries showed complete occlusion in three patients, severe stenosis in two patients and sluggish flow in one patient. Of these, the five patients with complete occlusion or severe stenosis on angiography showed non-perfused and non-viable areas of edematous muscle on

  16. Negative Pressure Wound Therapy (NPWT) to Treat Complex Defect of the Leg after Electrical Burn.

    Science.gov (United States)

    Tevanov, Iulia; Enescu, Dan M; Bălănescu, Radu; Sterian, G; Ulici, Alexandru

    2016-01-01

    Negative pressure wound therapy is a non-invasive treatment that uses under atmospheric pressure to increase blood supply to the wound, stimulating the formation of granulation tissue, angiogenesis, proliferation of fibroblasts and endothelial cells. Negative pressure therapy has also the ability to decrease the bacterial load, reduce swelling and decrease exudate while maintaining a moist environment that facilitates healing. Our patient, a 17 year old male, suffered major third and fourth-degree high voltage electrical burns on 60% of the body surface, in November 2011. After the excision of the necrotic tissue (muscles and tendons), the lower extremity of the right leg- the tibial bone, the fibula, external and internal malleoli became exposed circularly. The soft-tissue defect was partially covered by using an internal twin muscle flap and free split skin. Then, a cross leg flap technique has been used, partially covering the defect with a contralateral thigh flap. Surface swab cultures were positive for Pseudomonas aeruginosa. In October 2013 the patient was transferred to our department. The clinical examination of the right leg showed that the tibial bone had been exposed on an area of 15/3 cm in the lower half. The peroneal malleolus had also been exposed. The resection of the devitalized, exposed tibia and the avivement of the wound edges were performed. Then the NPWT was started and performed by intermittent suction. Local cleansing, soft-tissue avivement and dressing changes were performed twice a week for 6 weeks. After six weeks of NPWT and eleven dressing changes under general anaesthesia, the wounds were ready for skin grafting. Granulation tissue was formed, covering the entire surface of both the tibia bone and the peroneal malleolus. Both receptor beds were covered with free skin graft harvested from the ipsilateral thigh. The mechanical suture of the skin grafts was performed and the grafts were covered with damp dressing. By using the NPWT it

  17. EXPERIENCE IN TREATING SECONDARY SYSTEMIC MYCOTIC INFECTION AFTER SEVERE BURNS ASSOCIATED WITH ELECTRIC INJURY

    Institute of Scientific and Technical Information of China (English)

    谢卫兴; 李秀芝

    1995-01-01

    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.

  18. 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.

    2013-12-01

    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.

  19. 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

    Science.gov (United States)

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

    2015-01-01

    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

  20. 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

    2003-01-01

    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.

  1. 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

    2015-12-01

    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

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

    OpenAIRE

    Guillermo García Álvarez; Guillermo Wiegering Cecchi

    2015-01-01

    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...

  3. 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

    2009-03-29

    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.

  4. 手部电烧伤的皮瓣修复%Repair of electrical burns on hands with flaps

    Institute of Scientific and Technical Information of China (English)

    谢卫国; 王德运; 刘杰峰; 龙忠恒; 李进; 蒋梅君

    2010-01-01

    目的 总结用皮瓣修复手部电烧伤创面的经验与不足,以期不断完善. 方法 收集整理2000年1月-2006年12月武汉市第三医院暨武汉大学同仁医院烧伤研究所收治的425例手部电烧伤患者资料,统计分析其治疗概况及结果,归纳总结行皮瓣移植术患者的皮瓣类型、术后并发症及存在的问题.根据皮瓣修复手术时机,将患者分为受伤7 d内手术组和受伤7 d后手术组,比较2组患者皮瓣成活率及并发症发生率. 结果 425例患者中,348例行手术治疗占90.2%,其中209例行不同类型皮瓣移植共248例次,包括远位带蒂皮瓣202例次占81.5%、局部皮瓣19例次占7.7%、游离皮瓣12例次占4.8%、其他类型组织瓣15例次占6.0%.5例因皮瓣撕脱或坏死改用其他方法治疗.8例皮瓣远端少许坏死,经换药或补植小皮片后愈合.其余皮瓣均完全成活,创面一次修复,功能及外观较满意.受伤7 d内手术组(170例次)和受伤7 d后手术组(78例次)患者,皮瓣成活率分别为98.8%(168/170)及96.2%(75/78),并发症发生率分别为10.6%(18/170)及12.8%(10/78),两指标组间比较,差异均无统计学意义(X~2值分别为0.81、0.27,P值均大于0.05). 结论 可用于修复手部电烧伤创面的皮瓣类型较多.合理选择和设计皮瓣、提高操作的熟练程度及术后正确观察与处理,是取得良好疗效的重要环节.%Objective To summarize the experiences and shortcomings of repair of wounds on hands due to electrical burns with flaps, aiming at further improvement. Methods Clinical data of 425 patients with electrical burn of hands admitted to Burn Institute of Wuhan City Hospital NO.3 & Tongren Hospital of Wuhan University from January 2000 to December 2006 were collected and summarized. Thera-peutic methods and outcomes of all patients were statistically analyzed. Flap types, complications after sur-gery and problems existed in patients having undergone flap transplantation were

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

    Directory of Open Access Journals (Sweden)

    Kemalettin Koltka

    2011-07-01

    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

  6. Management of acute burns and burn shock resuscitation.

    Science.gov (United States)

    Faldmo, L; Kravitz, M

    1993-05-01

    Initial management of minor and moderate, uncomplicated burn injury focuses on wound management and patient comfort. Initial management of patients with major burn injury requires airway support, fluid resuscitation for burn shock, treatment for associated trauma and preexisting medical conditions, management of adynamic ileus, and initial wound treatment. Fluid resuscitation, based on assessment of the extent and depth of burn injury, requires administration of intravenous fluids using resuscitation formula guidelines for the initial 24 hours after injury. Inhalation injury complicates flame burns and increases morbidity and mortality. Electrical injury places patients at risk for cardiac arrest, metabolic acidosis, and myoglobinuria. Circumferential full-thickness burns to extremities compromise circulation and require escharotomy or fasciotomy. Circumferential torso burns compromise air exchange and cardiac return. Loss of skin function places patients at risk for hypothermia, fluid and electrolyte imbalances, and systemic sepsis. The first 24 hours after burn injury require aggressive medical management to assure survival and minimize complications. PMID:8489882

  7. Burn Rehabilitation

    OpenAIRE

    Koray Aydemir; Mehmet Ali Taşkaynatan

    2011-01-01

    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 t...

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

    OpenAIRE

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

    2013-01-01

    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. Burn Rehabilitation

    Directory of Open Access Journals (Sweden)

    Koray Aydemir

    2011-07-01

    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

  10. 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

    International Nuclear Information System (INIS)

    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. 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. 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

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

    Directory of Open Access Journals (Sweden)

    P.A. Dávalos Dávalos

    2009-09-01

    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.

  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.

    2001-10-01

    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. 腕部电烧伤创面修复的临床分析%Clinical analysis to repairs of electrical burn of wrist

    Institute of Scientific and Technical Information of China (English)

    张功宝; 崔素英; 张成书

    2009-01-01

    Objective To choose a better metherds to repair electrical burns of Wrist.Methods We had treated 72 limbs of 64 patients between 1994 to 2008 which were divivided into two groups by differents choice of opperations.The abdominal pedicle flap were used in one group,local axial flap and free skin flap were used in another group.Results There was no differences between two groups in the injury,age and operation time,but was significant differences in the wound healing rate,preservation of the important deep fissure and complications(P<0.01).Conclusion It's more worthy recommendating to use local axial flap and free flap to repair electrical burns of wrist.%目的 腕部电烧伤创面修复的最佳皮瓣选择.方法 将1994~2008年间应用皮瓣修复腕部电烧伤创面64例72个肢体分成两个组进行比较分析,一组为腹部带蒂皮瓣修复,另一组为局部轴型皮瓣及游离皮瓣修复.结果 两组患者在伤情严重性、年龄和手术时间等方面均基本相同,但两组患者创而愈合率及深部重要组织保存,以及严重并发症发生有很大差异(P<0.01).结论 用局部轴型皮瓣和游离皮瓣修复腕部电烧伤较用腹部带蒂皮瓣修复有明显优越性.

  14. Electrical and chemical signals involved in short-term systemic photosynthetic responses of tobacco plants to local burning

    Czech Academy of Sciences Publication Activity Database

    Hlaváčková, V.; Krchňák, P.; Nauš, J.; Novák, Ondřej; Špundová, M.; Strnad, Miroslav

    2006-01-01

    Roč. 225, č. 1 (2006), s. 235-244. ISSN 0032-0935 R&D Projects: GA ČR GA206/05/0894 Institutional research plan: CEZ:AV0Z50380511 Keywords : Abscisic acid * Electrical signals * Gas exchange Subject RIV: CE - Biochemistry Impact factor: 2.963, year: 2006

  15. Burning Issue: Handling Household Burns

    Science.gov (United States)

    ... take steps to avoid household burns. Never leave cooking food unattended on the stove. Set your water heater’s thermostat to 120 °F or lower to prevent scalding burns. And install smoke alarms on every floor of your home. Keep yourself and your family safe from unexpected ...

  16. Burning Mouth Syndrome

    Science.gov (United States)

    ... OralHealth > Topics > Burning Mouth Syndrome > Burning Mouth Syndrome Burning Mouth Syndrome Main Content Key Points Symptoms Diagnosis Primary and Secondary BMS Treatment Helpful Tips Key Points Burning mouth syndrome is burning pain in the mouth that may ...

  17. Demographics of pediatric burns in Vellore, India.

    Science.gov (United States)

    Light, Timothy D; Latenser, Barbara A; Heinle, Jackie A; Stolpen, Margaret S; Quinn, Keely A; Ravindran, Vinitha; Chacko, Jacob

    2009-01-01

    The American Burn Association, Children's Burn Foundation, and Christian Medical College in Vellore, India have partnered together to improve pediatric burn care in Southern India. We report the demographics and outcomes of burns in this center, and create a benchmark to measure the effect of the partnership. A comparison to the National Burn Repository is made to allow for generalization and assessment to other burn centers, and to control for known confounders such as burn size, age, and mechanism. Charts from the pediatric burn center in Vellore, India were retrospectively reviewed and compared with data in the American Burn Association National Burn Registry (NBR) for patients younger than 16 years. One hundred nineteen pediatric patients with burns were admitted from January 2004 through April 2007. Average age was 3.8 years; average total body surface area burn was 24%: 64% scald, 30% flame, 6% electric. Annual death rate was 10%, with average fatal total body surface area burn was 40%. Average lengths of stay for survivors was 15 days. Delay of presentation was common (45% of all patients). Thirty-five of 119 patients received operations (29%). Flame burn patients were older (6.1 years vs 2.6 years), larger (30 vs 21%), had a higher fatality rate (19.4 vs 7.7%), and more of them were female (55 vs 47%) compared with scald burn patients. Electric burn patients were oldest (8.3 years) and all male. When compared with data in the NBR, average burn size was larger in Vellore (24 vs 9%). The mortality rate was higher in Vellore (10.1 vs 0.5%). The average mortal burn size in Vellore was smaller (40 vs 51%). Electric burns were more common in Vellore (6.0 vs 1.6%). Contact burns were almost nonexistent in Vellore (0.9 vs 13.1%). The differences in pediatric burn care from developing health care systems to burn centers in the US are manifold. Nonpresentation of smaller cases, and incomplete data in the NBR explain many of the differences. However, burns at this

  18. Epidemiology of paediatric burns in Iran

    OpenAIRE

    Karimi, H.; Montevalian, A.; Motabar, A.R.; Safari, R.; Parvas, M.S.; Vasigh, M.

    2012-01-01

    We surveyed the epidemiology of the patients in a tertiary burn care centre (the Motahari Burn Hospital) in Tehran in the 4-yr period 2005-2009. Scalding was the major cause of burn injury for patients under the age of 6, while there were many more flame and electrical burns in late childhood. Males were mainly affected (male to female ratio, 1.7:1). Most burns occurred in the summer, probably due to older children’s increased outdoor activities during school vacations. Most of the injuries t...

  19. 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

    2002-09-01

    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.

  20. Burning plasmas

    Energy Technology Data Exchange (ETDEWEB)

    Furth, H.P.; Goldston, R.J.; Zweben, S.J. (Princeton Univ., NJ (USA). Plasma Physics Lab.); Sigmar, D.J. (Massachusetts Inst. of Tech., Cambridge, MA (USA))

    1990-10-01

    The fraction of fusion-reaction energy that is released in energetic charged ions, such as the alpha particles of the D-T reaction, can be thermalized within the reacting plasma and used to maintain its temperature. This mechanism facilitates the achievement of very high energy-multiplication factors Q, but also raises a number of new issues of confinement physics. To ensure satisfactory reaction operation, three areas of energetic-ion interaction need to be addressed: single-ion transport in imperfectly symmetric magnetic fields or turbulent background plasmas; energetic-ion-driven (or stabilized) collective phenomena; and fusion-heat-driven collective phenomena. The first of these topics is already being explored in a number of tokamak experiments, and the second will begin to be addressed in the D-T-burning phase of TFTR and JET. Exploration of the third topic calls for high-Q operation, which is a goal of proposed next-generation plasma-burning projects. Planning for future experiments must take into consideration the full range of plasma-physics and engineering R D areas that need to be addressed on the way to a fusion power demonstration.

  1. Complicated Burn Resuscitation.

    Science.gov (United States)

    Harrington, David T

    2016-10-01

    More than 4 decades after the creation of the Brooke and Parkland formulas, burn practitioners still argue about which formula is the best. So it is no surprise that there is no consensus about how to resuscitate a thermally injured patient with a significant comorbidity such as heart failure or cirrhosis or how to resuscitate a patient after an electrical or inhalation injury or a patient whose resuscitation is complicated by renal failure. All of these scenarios share a common theme in that the standard rule book does not apply. All will require highly individualized resuscitations. PMID:27600129

  2. Burns in diabetic patients

    OpenAIRE

    Maghsoudi, Hemmat; Aghamohammadzadeh, Naser; Khalili, Nasim

    2008-01-01

    CONTEXT AND AIMS: Diabetic burn patients comprise a significant population in burn centers. The purpose of this study was to determine the demographic characteristics of diabetic burn patients. MATERIALS AND METHODS: Prospective data were collected on 94 diabetic burn patients between March 20, 2000 and March 20, 2006. Of 3062 burns patients, 94 (3.1%) had diabetes; these patients were compared with 2968 nondiabetic patients with burns. Statistical analysis was performed using the statistical...

  3. 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)

    彭代智

    2008-01-01

    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.

  4. Burning Mouth Syndrome and "Burning Mouth Syndrome".

    Science.gov (United States)

    Rifkind, Jacob Bernard

    2016-03-01

    Burning mouth syndrome is distressing to both the patient and practitioner unable to determine the cause of the patient's symptoms. Burning mouth syndrome is a diagnosis of exclusion, which is used only after nutritional deficiencies, mucosal disease, fungal infections, hormonal disturbances and contact stomatitis have been ruled out. This article will explore the many causes and treatment of patients who present with a chief complaint of "my mouth burns," including symptomatic treatment for those with burning mouth syndrome. PMID:27209717

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

    OpenAIRE

    Kemalettin Koltka

    2011-01-01

    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. ...

  6. Analysis of the treatment of abdominal pedicle flap repair of wrist electric burn%腹部带蒂皮瓣修复腕部电烧伤的治疗效果观察

    Institute of Scientific and Technical Information of China (English)

    张凤刚; 沈锐; 陈晓东; 刘婕婷; 阮树斌

    2016-01-01

    Objective To analyze the research of wrist electric burn patients through the abdomen with pedicled skin flap for repairing of treatment method,in order to provide the basis for clinical practice. Methods A total of August 2013 to August 2015 of wrist electric burn patient data of 50 cases of the implementation of retrospective analysis and summary of wounds in 50 cases of patients with treatment and functional recovery of the relationship between the degree and amputation. Results 50 patients underwent surgical treatment of 58 cases,and non operative treatment in 5 cases. Eight debridement and skin graft,stage I healing 4(50. 0% );eight adjacent random flap and axial pattern flap to repair,stage I healing 5(62. 5% );forty abdominal random flap,axial pattern skin flap and free + axial pattern skin flap,stage I healing 32(80. 0% ). There were no deaths in 50 cases,49 cases were cured,one patient returned to the local hospital to continue treatment. Follow up showed that patients with wrist electric burn site shape and range of motion and strength good,fully functional or recovered,curative effect satisfaction. Conclusion Implementation early incision decompression,debridement and flap surgery for wrist electric burn,can guarantee the healing effect,reduce the amputation rate,it should be popularized in clinic.%目的:观察腕部电烧伤患者通过腹部带蒂皮瓣修复治疗效果。方法选取2013年8月-2015年8月收治的50例腕部电烧伤患者的临床资料进行回顾性分析,观察50例患者的创面处理方式和功能恢复程度以及截肢情况。结果50例患者行手术治疗58例次,非手术治疗5例次,其中采取扩创以及游离植皮8处,Ⅰ期愈合4处(50.0%);邻近随意皮瓣以及轴型皮瓣转移修复8处,Ⅰ期愈合5处(62.5%);腹部随意皮瓣、轴型皮瓣以及随意+轴型皮瓣40处,Ⅰ期愈合32处(80.0%)。本组50例患者无死亡病例,治愈49例,剩余1例回到当地医

  7. 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.

    1999-02-12

    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.

  8. Treating and Preventing Burns

    Science.gov (United States)

    ... Issues Listen Español Text Size Email Print Share Treating and Preventing Burns Page Content Article Body Burns ... home, out of children’s reach, and away from heat or ignition sources. Lower the temperature of your ...

  9. Burns and Fire Safety

    Science.gov (United States)

    ... Tap water burns most often occur in the bathroom and tend to be more severe and cover a larger portion of the body than other scald burns. 9 10 11 A survey found that only 8 percent of adults felt ...

  10. Optimization of burn referrals

    DEFF Research Database (Denmark)

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

    2014-01-01

    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...

  11. First Aid: Burns

    Science.gov (United States)

    ... Story" 5 Things to Know About Zika & Pregnancy First Aid: Burns KidsHealth > For Parents > First Aid: Burns Print A A A Text Size Scald ... THIS TOPIC Kitchen: Household Safety Checklist Fireworks Safety First Aid: Sunburn Firesetting Fire Safety Burns Household Safety: Preventing ...

  12. Burn wound coverage and burn wound closure

    Czech Academy of Sciences Publication Activity Database

    Konigová, R.; Matoušková, Eva; Brož, L.

    2000. s. 9. [International Symposium and Course on Burns and Fire Desaster Management. Jerusalem Meeting /3./. 13.02.2000-16.02.2000, Jerusalem] R&D Projects: GA MZd IZ4368 Subject RIV: EB - Genetics ; Molecular Biology

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

    CERN Document Server

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

    2016-01-01

    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.

  14. Burn mouse models

    DEFF Research Database (Denmark)

    Calum, Henrik; Høiby, Niels; Moser, Claus

    2014-01-01

    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...... with infected burn wound compared with the burn wound only group. The burn mouse model resembles the clinical situation and provides an opportunity to examine or develop new strategies like new antibiotics and immune therapy, in handling burn wound victims much....

  15. Burns and epilepsy.

    Science.gov (United States)

    Berrocal, M

    1997-01-01

    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. PMID:9212488

  16. Perineal Burns in Children

    OpenAIRE

    Ameh AEmmanuel

    2004-01-01

    Perineal burns are not common in childhood but when they occur, they can produce severe complications. Conservative management by open wound care and topical agents is effective in most cases. However, in deep burns and when control of infection proves problematic, diverting colostomy may be necessary to control infection and achieve wound healing and graft take. Burns wound excision and skin grafting may be required in such cases. Contractures of various forms may develop and require plastic...

  17. Treatment of full-thickness electric burn of skull combined with cerebral contusion and intracranial infection%颅骨全层高压电烧伤并脑挫裂伤及颅内感染的治疗

    Institute of Scientific and Technical Information of China (English)

    陈旭; 覃凤均; 陈忠; 张国安

    2012-01-01

    1 病历摘要患者男,28岁.在约8 m高处作业时双手不慎与10 kV高压电线接触,致身体多处烧伤并坠落,着地后昏迷约10 min.被送至当地医院治疗,CT检查示双侧枕部硬脑膜外血肿、左侧枕叶挫裂伤,给予抗休克、左上肢切开减张等治疗.伤后5d转入我院.患者入院时意识清楚,精神差,诉头痛、视物模糊;创面分布于头颈项部、双手、左前臂及左肩部,枕部约有5 cm×4 cm头皮缺损,颅骨外露且部分炭化,周围见约10 em宽皮革样焦痂.入院诊断:(1)高压电烧伤,总面积为6%,其中深Ⅱ度1%、Ⅲ度1%、Ⅳ度4% TBSA (2)双侧枕部硬脑膜外血肿,左侧枕叶脑挫裂伤,部分硬脑膜缺损,部分颅骨全层坏死.见图1.伤后14 d头颅CT检查结果见图2.%This article reports the treatment of a patient suffering from full-thickness electric burn of skull combined with cerebral contusion and intracranial infection to provide experience in treating such patients.Based on detailed analysis on patient's condition and CT results,several operations of surgery and anti-infection treatment were performed on the patient.The wounds healed 6 weeks after injury. The skull defect was repaired with three-dimensionally reconstructed titanium mesh of computer-aided design two years after wound healing.The treatment of full-thickness electric burn of skull combined with cerebral contusion was quite difficult.The timing and mode of operation were very important.Perioperative prevention and treatment of intracranial infection were essential to save the life of the patient.In the event of intracranial infection,effective systemic use of antibiotics,cerebrospinal fluid drainage,intrathecal injection of drugs, and the application of other comprehensive measures could ensure the success of treatment.

  18. Decadal emission estimates of carbon dioxide, sulfur dioxide, and nitric oxide emissions from coal burning in electric power generation plants in India.

    Science.gov (United States)

    Mittal, Moti L; Sharma, Chhemendra; Singh, Richa

    2014-10-01

    This study aims to estimate the emissions of carbon dioxide (CO₂), sulfur dioxide (SO₂), and nitric oxide (NO) for coal combustion in thermal power plants in India using plant-specific emission factors during the period of 2001/02 to 2009/10. The mass emission factors have been theoretically calculated using the basic principles of combustion under representative prevailing operating conditions in the plants and fuel composition. The results show that from 2001/02 to 2009/10 period, total CO₂ emissions have increased from 324 to 499 Mt/year; SO₂ emissions have increased from 2,519 to 3,840 kt/year; and NO emissions have increased from 948 to 1,539 kt/year from the Indian coal-fired power plants. National average emissions per unit of electricity from the power plants do not show a noticeable improvement during this period. Emission efficiencies for new plants that use improved technology are found to be better than those of old plants. As per these estimates, the national average of CO₂ emissions per unit of electricity varies between 0.91 and 0.95 kg/kWh while SO₂ and NO emissions vary in the range of 6.9 to 7.3 and 2.8 to 2.9 g/kWh, respectively. Yamunagar plant in Haryana state showed the highest emission efficiencies with CO₂ emissions as 0.58 kg/kWh, SO₂ emissions as 3.87 g/kWh, and NO emissions as 1.78 g/kWh, while the Faridabad plant has the lowest emission efficiencies with CO₂ emissions as 1.5 kg/kWh, SO₂ emissions as 10.56 g/kWh, and NO emissions as 4.85 g/kWh. Emission values at other plants vary between the values of these two plants. PMID:25004854

  19. Burns and military clothing.

    Science.gov (United States)

    McLean, A D

    2001-02-01

    Burn injury is a ubiquitous threat in the military environment. The risks during combat are well recognised, but the handling of fuel, oil, munitions and other hot or flammable materials during peacetime deployment and training also imposes an inherent risk of accidental burn injury. Over the last hundred years, the burn threat in combat has ranged from nuclear weapons to small shoulder-launched missiles. Materials such as napalm and white phosphorus plainly present a risk of burn, but the threat extends to encompass personnel in vehicles attacked by anti-armour weapons, large missiles, fuel-air explosives and detonations/conflagrations on weapons platforms such as ships. Large numbers of burn casualties were caused at Pearl Harbor, in Hiroshima and Nagasaki, Vietnam, during the Arab/Israeli Wars and in the Falkland Islands conflict. The threat from burns is unlikely to diminish, indeed new developments in weapons seek to exploit the vulnerability of the serviceman and servicewoman to burns. Clothing can be a barrier to some types of burn--both inherently in the properties of the material, but also by trapping air between clothing layers. Conversely, ignition of the clothing may exacerbate a burn. There is hearsay that burnt clothing products within a wound may complicate the clinical management, or that materials that melt (thermoplastic materials) should not be worn if there is a burn threat. This paper explores the incidence of burn injury, the mechanisms of heat transfer to bare skin and skin covered by materials, and the published evidence for the complication of wound management by materials. Even light-weight combat clothing can offer significant protection to skin from short duration flash burns; the most vulnerable areas are the parts of the body not covered--face and hands. Multilayered combat clothing can offer significant protection for short periods from engulfment by flames; lightweight tropical wear with few layers offers little protection. Under

  20. Crude oil burning mechanisms

    DEFF Research Database (Denmark)

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

    2015-01-01

    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...

  1. Burning mouth syndrome

    Directory of Open Access Journals (Sweden)

    K A Kamala

    2016-01-01

    Full Text Available Burning mouth syndrome (BMS is multifactorial in origin which is typically characterized by burning and painful sensation in an oral cavity demonstrating clinically normal mucosa. Although the cause of BMS is not known, a complex association of biological and psychological factors has been identified, suggesting the existence of a multifactorial etiology. As the symptom of oral burning is seen in various pathological conditions, it is essential for a clinician to be aware of how to differentiate between symptom of oral burning and BMS. An interdisciplinary and systematic approach is required for better patient management. The purpose of this study was to provide the practitioner with an understanding of the local, systemic, and psychosocial factors which may be responsible for oral burning associated with BMS, and review of treatment modalities, therefore providing a foundation for diagnosis and treatment of BMS.

  2. Assessment of Electrosurgery Burns in Cardiac Surgery

    Science.gov (United States)

    Jalali, Seyyed Mehdi; Moradi, Mohammad; Khalaj, Alireza; Pazouki, Alireza; Tamannaie, Zeinab; Ghanbari, Sajjad

    2015-01-01

    Background: Monopolar surgery is applied mostly in major operations, while bipolar is used in delicate ones. Attention must be paid in electrosurgery application to avoid electrical burns. Objectives: We aimed to assess factors associated with electrosurgery burns in cardiac surgery operating rooms. Patients and Methods: This was a case-control study in which two groups of 150 patients undergoing cardiac surgery in Imam Khomeini Hospital were recruited. Several factors like gender, age, operation duration, smoking, diseases, infection, atopia, , immunosuppressive drugs use, hepatic cirrhosis, and pulmonary diseases were compared between the two groups. Patients were observed for 24 hours for development of any burn related to the operation. Data was analyzed using SPSS v.11.5, by Chi square and T-test. Results: Patients in the two groups were similar except for two factors. DM and pulmonary diseases which showed significant differences (P = 0.005 and P = 0.002 respectively). Seventy-five patients from controls and 35 from the study group developed burns, which was significant (P ˂ 0.0001). Conclusions: None of the factors were significantly related to developing burns. The differences between the two groups highlights the importance of systems modifications to lessen the incidence of burns. PMID:26839854

  3. Prescribed burning plan : Stillwater NWR : de Braga Burn Unit 67

    Data.gov (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...

  4. Crude oil burning mechanisms

    DEFF Research Database (Denmark)

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

    2015-01-01

    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...... on the highest achievable oil slick temperature. Based on this mechanism, predictions can then be made depending on the hydrocarbon composition of the fuel and the measured surface temperature....

  5. A Burning Question

    Institute of Scientific and Technical Information of China (English)

    LAN XINZHEN

    2010-01-01

    @@ As heaping piles of garbage grow in cities and communities across China,a divide has formed over two possible solutions to this smelly problem: Should excessive mounds of trash be burned,or should it be buried?

  6. Advances in burn treatment

    OpenAIRE

    Lahoda, LU; Vogt, PM

    2006-01-01

    The German-speaking burn specialist, organized in the DAV (Deutsche Arbeitsgemeinschaft für Verbrennungsmedizin) held their yearly meeting in 2004 in Rottach-Egern, Bavaria. Participants from Switzerland, Germany and Austria found a high standing, very well organized and thorough program summoned by the host, Dr. Guido Graf Henckel von Donnersmarck, Munich. The topics consisted of reconstructive surgery, skin substitutes and replacement, advances in burn medicine over the last 10 years and bu...

  7. Burning mouth syndrome

    OpenAIRE

    Sudha Jimson; Rajesh, E.; R Jayasri Krupaa; M. Kasthuri

    2016-01-01

    Burning mouth syndrome is a debilitating medical condition affecting nearly 1.3 million of Americans. Its common features include a burning painful sensation in the mouth, often associated with dysgeusia and xerostomia, despite normal salivation. Classically, symptoms are better in the morning, worsen during the day and typically subside at night. Its etiology is largely multifactorial, and associated medical conditions may include gastrointestinal, urogenital, psychiatric, neurologic and met...

  8. Burning plasmas in ITER for energy source

    International Nuclear Information System (INIS)

    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)

  9. The media glorifying burns: a hindrance to burn prevention.

    Science.gov (United States)

    Greenhalgh, David G; Palmieri, Tina L

    2003-01-01

    The media have a profound influence on the actions of children and adults. Burns and burn prevention tend to be ignored or even mocked. The purpose of this presentation is to reveal the callousness of the media in its dealings with burns and burn prevention. Printed materials with a relationship to burns, risk of burning, or disrespect for the consequences of burns were collected. The materials were tabulated into four categories: comics, advertisements (ads), articles that made light of burns, and television shows that portrayed behavior that would risk burn injury. Most burn-related materials were found in comics or advertisements. Several comics made light of high-risk behavior with flames, scald injury, contact injury, or burns. In addition, several advertisements showed people on fire or actions that could easily lead to burns. Several articles and televisions shows portrayed high-risk behavior that, in some instances, led to copycat injuries. Flames are frequently used to sell items that target adolescent boys or young men. The high incidence injuries that frequent this population parallel the high-risk behaviors portrayed by the media. The media portrays flames and high-risk behavior for burn injury as being cool, funny, and without consequence. The use of flames on clothing and recreational equipment (skateboards, hot rods) particularly targets the high-risk adolescent male. The burn community should make the media aware of the harm it causes with its callous depiction and glorification of burns. PMID:12792237

  10. Psychiatric aspects of burn

    Directory of Open Access Journals (Sweden)

    Dalal P

    2010-10-01

    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.

  11. Electrothermal Ring Burn

    OpenAIRE

    Yakup Çil; Hamza Yıldız; Özlem Karabudak Abuaf

    2012-01-01

    Low-voltage fountainheads such as car, tractor or motorcycle batteries are predisposed to produce large currents. Any metal object that comes into contact with these batteries may result in short-circuit. This may result in rapid and excessive heating of metal object and an electrothermal burn. Herein we presented a motorcycle driver who was 28-year-old man with electrothermal ring burn which was caused by metal chain that was used as a ring. (Turk J Dermatol 2012; 6: 106-7)

  12. Electrothermal Ring Burn

    Directory of Open Access Journals (Sweden)

    Yakup Çil

    2012-09-01

    Full Text Available Low-voltage fountainheads such as car, tractor or motorcycle batteries are predisposed to produce large currents. Any metal object that comes into contact with these batteries may result in short-circuit. This may result in rapid and excessive heating of metal object and an electrothermal burn. Herein we presented a motorcycle driver who was 28-year-old man with electrothermal ring burn which was caused by metal chain that was used as a ring. (Turk J Dermatol 2012; 6: 106-7

  13. Burning mouth syndrome

    Directory of Open Access Journals (Sweden)

    Sudha Jimson

    2015-01-01

    Full Text Available Burning mouth syndrome (BMS is a complex disorder that is characterized by warm or burning sensation in the oral mucosa without changes on physical examination. It occurs more commonly in middle-aged and elderly women and often affects the tip of the tongue, lateral borders, lips, hard and soft palate. This condition is probably of multi-factorial origin, often idiopathic, and its etiopathogensis is unknown. BMS can be classified into two clinical forms namely primary and secondary BMS. As a result, a multidisciplinary approach is required for better control of the symptoms. In addition, psychotherapy and behavioral feedback may also help eliminate the BMS symptoms.

  14. Actinide burning and waste disposal

    International Nuclear Information System (INIS)

    Here we review technical and economic features of a new proposal for a synergistic waste-management system involving reprocessing the spent fuel otherwise destined for a U.S. high-level waste repository and transmuting the recovered actinides in a fast reactor. The proposal would require a U.S. fuel reprocessing plant, capable of recovering and recycling all actinides, including neptunium americium, and curium, from LWR spent fuel, at recoveries of 99.9% to 99.999%. The recovered transuranics would fuel the annual introduction of 14 GWe of actinide-burning liquid-metal fast reactors (ALMRs), beginning in the period 2005 to 2012. The new ALMRs would be accompanied by pyrochemical reprocessing facilities to recover and recycle all actinides from discharged ALMR fuel. By the year 2045 all of the LWR spent fuel now destined f a geologic repository would be reprocessed. Costs of constructing and operating these new reprocessing and reactor facilities would be borne by U.S. industry, from the sale of electrical energy produced. The ALMR program expects that ALMRs that burn actinides from LWR spent fuel will be more economical power producers than LWRs as early as 2005 to 2012, so that they can be prudently selected by electric utility companies for new construction of nuclear power plants in that era. Some leaders of DOE and its contractors argue that recovering actinides from spent fuel waste and burning them in fast reactors would reduce the life of the remaining waste to about 200-300 years, instead of 00,000 years. The waste could then be stored above ground until it dies out. Some argue that no geologic repositories would be needed. The current view expressed within the ALMR program is that actinide recycle technology would not replace the need for a geologic repository, but that removing actinides from the waste for even the first repository would simplify design and licensing of that repository. A second geologic repository would not be needed. Waste now planned

  15. Burn Safety Awareness on Playgrounds: Thermal Burns from Playground Equipment

    Science.gov (United States)

    ... Safety Awareness on Playgrounds Thermal Burns from Playground Equipment The U.S. Consumer Product Safety Commission CPSC wants ... of the risk of thermal burns from playground equipment. You may remember the metal slides of your ...

  16. Fat burn X: burning more than fat.

    Science.gov (United States)

    Hannabass, Kyle; Olsen, Kevin Robert

    2016-01-01

    A 50-year-old man presented with a 2-day history of bilateral lower extremity cramping and dark urine. The patient was found to have a creatine phosphokinase (CPK) elevated of up to 2306 U/L, a serum uric acid of 9.7 mg/dL and 101 red blood cell's per high-powered field on urinalysis. On questioning, the patient endorsed daily exercise with free weights. There were no changes in his regular exercise and medication regimen, no muscle trauma, no recent drug use and no illness. The patient did mention using a new fat burner known as 'Fat Burn X', which he had begun taking 2 days prior to the onset of his muscle cramps. The patient was given normal saline intravenous fluid resuscitation for 48 h with resultant normalisation of his CPK and creatinine, and was discharged with primary care follow-up. PMID:26811412

  17. Burning clean and green

    International Nuclear Information System (INIS)

    A new style of oil burner has been developed for use on exploration platforms offshore. The design improves oil combustion through enhanced air induction, producing stable flames in the clean burn region which do not generate smoke and oil fallout. Successful tests have led to it now being ready for commercial exploitation. (UK)

  18. Accumulative eschar after burn.

    Science.gov (United States)

    Ma, Fushun

    2016-02-01

    Eschar formation is a potential sequela of burn injuries. Definitive management may include escharectomy and eschar debridement. After eschar removal, the wound can be covered with a skin graft or reepithelialization. For prolonged refractory eschar on the fingertips, topical use of rb-bFGF after debridement can achieve an optimal outcome. PMID:26862412

  19. Accumulative eschar after burn

    OpenAIRE

    Ma, Fushun

    2015-01-01

    Key Clinical Message Eschar formation is a potential sequela of burn injuries. Definitive management may include escharectomy and eschar debridement. After eschar removal, the wound can be covered with a skin graft or reepithelialization. For prolonged refractory eschar on the fingertips, topical use of rb‐bFGF after debridement can achieve an optimal outcome.

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

    LENUS (Irish Health Repository)

    Murphy, A D

    2008-06-01

    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.

  1. Back Bay Wilderness burning support

    Data.gov (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...

  2. Treatment of hydrofluoric acid burns

    Energy Technology Data Exchange (ETDEWEB)

    Thiele, B.; Winter, U.J.; Mahrle, G.; Steigleder, G.K.

    1986-01-31

    A chemical-plant worker sustained hydrofluoric acid burns during cleaning procedures. Intra-arterial perfusion and intralesional injections of calcium gluconate solution prevented progression of the burns into deeper tissue layers.

  3. [Treatment of hydrofluoric acid burns].

    Science.gov (United States)

    Thiele, B; Winter, U J; Mahrle, G; Steigleder, G K

    1986-01-31

    A chemical-plant worker sustained hydrofluoric acid burns during cleaning procedures. Intra-arterial perfusion and intralesional injections of calcium gluconate solution prevented progression of the burns into deeper tissue layers. PMID:3943470

  4. [Burn injuries and mental health].

    Science.gov (United States)

    Palmu, Raimo; Vuola, Jyrki

    2016-01-01

    Currently a large proportion of patients with severe burn injuries survive. This gives increasing challenges also for psychological recovery after the trauma. More than half of burn patients have mental disorders already before the burn injury but also patients who previously had no mental disorders may suffer from them. Some of the hospitalize burn patients have injuries due to suicidal attempts. Only a small proportion of burn patients receive appropriate psychiatric care although psychosocial interventions specifically planned for burn victims exist. More frequent screening of symtoms of mental disorders and psychiatric consultation, also after acute care in hospital, could lead to better management of post-burn psychiatric care as well as better management of the burn treatment and rehabilitation itself. PMID:27089616

  5. Systemic Responses to Burn Injury

    OpenAIRE

    ÇAKIR, Barış; YEĞEN, Berrak Ç.

    2004-01-01

    The major causes of death in burn patients include multiple organ failure and infection. It is important for the clinician to understand the pathophysiology of burn injury and the effects it will have on the pharmacokinetics of a drug. The local and systemic inflammatory response to thermal injury is extremely complex, resulting in both local burn tissue damage and deleterious systemic effects on all other organ systems distant from the burn area itself. Thermal injury initiates systemic infl...

  6. Friction Burns: Epidemiology and Prevention

    OpenAIRE

    Agrawal, A; Raibagkar, S.C.; Vora, H.J.

    2008-01-01

    This epidemiological study deals with 60 patients with friction burns between January 2004 and January 2006. The age group most affected was that between 21 and 30 years, with male predominance. Road traffic accidents were the commonest cause of friction burns (56 patients), and the lower limb was the most frequently affected part of the body. Patient management was performed according to the degree of the burn injury. It is suggested that most friction burn injuries are neglected on admissio...

  7. Waste: energy to burn

    International Nuclear Information System (INIS)

    Incinerated, transformed into fuel or a gas, waste is a versatile source of energy. It is as once a problem and a resource that is increasingly the focus of green policies. According to the 2009 World Waste Survey, between 3.4 and 4 billion tons of waste are produced each year worldwide. Leading the pack is China, with 300 million tons produced in 2005, followed closely by the United States, with 238 million tons. But the United States wins the per capita count with 760 kg of waste produced per year per inhabitant; Australia comes in second. In Europe, 500 kg of waste is produced per capita per year for a total of 2 billion tons generated annually, and a growth rate of 10% in ten years' time. Between 2/3 and 3/4 of these waste materials are sorted, and a portion of them is recycled. The rest is either carted away to a dumping ground, or incinerated. But this waste is primarily domestic, and still contains energy, energy that can be recovered. The added bonus is two-fold: an additional source of energy is created by transforming waste, called waste-to- wheel or waste-to-energy (WTE), and the decomposition of organic waste does not give off GHGs. Two ways are known today to transform wastes into energy: the thermal process, where heat is extracted from the waste (and sometimes converted into electricity), and the non-thermal process, which comprises collecting energy in a chemical form (biogas, biofuel). Both technologies depend on the type of waste to be treated: plastic materials, household refuse, fermentable elements, sludge residue from sewage treatment plants, agricultural waste, forestry industry waste, etc. The thermal process is by far the most widely employed. 74% of waste is incinerated in Japan, and around 30 to 55% in most European countries. The second process does not burn waste and is better suited to wet and organic matter, i.e., to waste that contains quantities of biomass: fermentable waste, sludge, agricultural waste and the gas given off at

  8. Is proportion burned severely related to daily area burned?

    International Nuclear Information System (INIS)

    The ecological effects of forest fires burning with high severity are long-lived and have the greatest impact on vegetation successional trajectories, as compared to low-to-moderate severity fires. The primary drivers of high severity fire are unclear, but it has been hypothesized that wind-driven, large fire-growth days play a significant role, particularly on large fires in forested ecosystems. Here, we examined the relative proportion of classified burn severity for individual daily areas burned that occurred during 42 large forest fires in central Idaho and western Montana from 2005 to 2007 and 2011. Using infrared perimeter data for wildfires with five or more consecutive days of mapped perimeters, we delineated 2697 individual daily areas burned from which we calculated the proportions of each of three burn severity classes (high, moderate, and low) using the differenced normalized burn ratio as mapped for large fires by the Monitoring Trends in Burn Severity project. We found that the proportion of high burn severity was weakly correlated (Kendall τ = 0.299) with size of daily area burned (DAB). Burn severity was highly variable, even for the largest (95th percentile) in DAB, suggesting that other variables than fire extent influence the ecological effects of fires. We suggest that these results do not support the prioritization of large runs during fire rehabilitation efforts, since the underlying assumption in this prioritization is a positive relationship between severity and area burned in a day. (letters)

  9. Burn Teams and Burn Centers: The Importance of a Comprehensive Team Approach to Burn Care

    OpenAIRE

    Al-Mousawi, Ahmed M.; Mecott-Rivera, Gabriel A.; Jeschke, Marc G.; Herndon, David N

    2009-01-01

    Advances in burn care have been colossal, but while extra work is needed, it is clear that the organized effort of burn teams can continue making improvements in survival rates and quality of life possible for patients. Burn patients are unique, representing the most severe model of trauma,33 and hence this necessitates treatment in the best facilities available for that endeavor. Burn centers have developed to meet these intricate needs but can only function productively and most efficiently...

  10. Burns and beauty nails

    Science.gov (United States)

    Bélanger, Richard E; Marcotte, Marie-Eve; Bégin, François

    2013-01-01

    A case involving a five-month-old girl brought to the emergency department with burns over her abdomen is described. The child was reported to have spilled two small bottles of beauty nail adhesive on her clothes while her mother was preparing dinner. After undressing the infant, the mother discovered several lesions on the child’s abdomen and quickly sought medical attention. Given the unusual circumstances of the presentation, the child was hospitalized for both treatment and supervision. The beauty nail adhesive contained cyanoacrylate. In addition to its well-appreciated adhesive capacity, cyanoacrylate, in the presence of cotton or other tissues, is known to produce an exothermic reaction that may cause burns. Cyanoacrylate-based products, due to their possible adverse effects, should be kept away from children as advised. Odd injuries should always raise concerns about the possibility of inflicted injury. PMID:24421671

  11. The Burning Saints

    DEFF Research Database (Denmark)

    Xygalatas, Dimitris

    The Anastenaria are Orthodox Christians in Northern Greece who observe a unique annual ritual cycle focused on two festivals, dedicated to Saint Constantine and Saint Helen. The festivals involve processions, music, dancing, animal sacrifices, and culminate in an electrifying fire-walking ritual....... 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 of the...... Greek fire-walking rituals. As a cognitive ethnography, the book aims to identify the social, psychological and neurobiological factors which may be involved and to explore the role of emotional and physiological arousal in the performance of such ritual. A study of participation, experience and meaning...

  12. Burns and beauty nails

    OpenAIRE

    Richard E. Bélanger; Marcotte, Marie-Eve; Bégin, François

    2013-01-01

    A case involving a five-month-old girl brought to the emergency department with burns over her abdomen is described. The child was reported to have spilled two small bottles of beauty nail adhesive on her clothes while her mother was preparing dinner. After undressing the infant, the mother discovered several lesions on the child’s abdomen and quickly sought medical attention. Given the unusual circumstances of the presentation, the child was hospitalized for both treatment and supervision. T...

  13. Burns: Treatment and Outcomes

    OpenAIRE

    Burd, Andrew

    2010-01-01

    Burns can cause extensive and devastating injuries of the head and neck. Prevention of the initial injury must always be a priority, but once an injury has occurred, then prevention of progression of the damage together with survival of the patient must be the immediate goals. The acute care will have a major influence on the subsequent scarring, reconstructive need, and long-term outcome. In the majority of cases, the reconstruction will involve restoration of form and function to the soft t...

  14. Technology of straw burning

    International Nuclear Information System (INIS)

    The paper deals with the example of application of straw as fuel for a power plant with capacity of 1 MW, which is reconstructed from an old coal power plant. The article shows the advantages of straw as a source of energy, analyses the physical and chemical characteristics and temperature parameters, typical for straw. Moreover it indicates the specific circumstances of the straw burning processes. The paper focuses also on preparation and storing of straw for public use and in the energy sector. Comparing with fossil fuel, straw is a low-caloric natural source, whose energy value reached to 14-19 MJ/kg. This value depends partly on the kind of straw and its water or moisture content (MC). To the basic characteristics of energy aspects belong: - energy or heating value (HV) MJ/kg (in LPG it is MJ/ m3); - burning temperature; - melting point - temperature of ash; - weight kg/m3; - density; - Energy density MWh /m3; - Energy potential GJ/t; - Size-homogeneity of straw; - Water or Moisture Content (MC). The above mentioned characteristics have an influence on technical parameters of straw-burning boiler. These parameters define conditions process of straw preparation. (author)

  15. Persistent spectral hole-burning: Science and applications

    International Nuclear Information System (INIS)

    This book describes the underlying scientific fundamentals and principal phenomena associated with persistent spectral hole-burning in solids, and presents an overview of possible future applications to optical storage of digital data and optical signal processing. Organization of the material is by the general physical mechanism responsible for the formation of persistent spectral holes. After a description of the basic principles and methods of hole-burning, with examples from photochemical processes in crystalline and amorphous hosts, the unusual proton tunneling phenomena that occur in hydrogen-bonded polymers and glasses are described. Persistent spectral hole-burning in inorganic materials due either to photoionization or to photophysical effects is then summarized, followed by a detailed discussion of nonphotochemical hole-burning mechanisms for electronic transitions in amorphous solids. The book concludes with a description of potential applications to data storage and optical processing using frequency-domain, holographic, and electric field techniques

  16. Acoustic emission strand burning technique for motor burning rate prediction

    Science.gov (United States)

    Christensen, W. N.

    1978-01-01

    An acoustic emission (AE) method is being used to measure the burning rate of solid propellant strands. This method has a precision of 0.5% and excellent burning rate correlation with both subscale and large rocket motors. The AE procedure burns the sample under water and measures the burning rate from the acoustic output. The acoustic signal provides a continuous readout during testing, which allows complete data analysis rather than the start-stop clockwires used by the conventional method. The AE method helps eliminate such problems as inhibiting the sample, pressure increase and temperature rise, during testing.

  17. Tokamak burn control

    International Nuclear Information System (INIS)

    Research of the fusion plasma thermal instability and its control is reviewed. General models of the thermonuclear plasma are developed. Techniques of stability analysis commonly employed in burn control research are discussed. Methods for controlling the plasma against the thermal instability are reviewed. Emphasis is placed on applications to tokamak confinement concepts. Additional research which extends the results of previous research is suggested. Issues specific to the development of control strategies for mid-term engineering test reactors are identified and addressed. 100 refs., 24 figs., 10 tabs

  18. Explosive hydrogen burning

    International Nuclear Information System (INIS)

    Although an impressive quantity of work has been devoted to understanding nucleosynthesis during explosive hydrogen burning, much work remain to be done. Reactions which occur in novae, x-ray bursts, and supernovae are discussed. Much attention is given to the reactions of hot CNO cycles and of reactions in the rp-process. The many reactions described in this review are not all of the reactions which may be of interest to nuclear physicists, although the rates of those reactions not discussed are essentially unknown. 123 refs., 9 figs

  19. Prognosis and treatment of burns.

    OpenAIRE

    Mann, R; Heimbach, D

    1996-01-01

    Survival rates for burn patients in general have improved markedly over the past several decades. The development of topical antibiotic therapy for burn wounds, the institution of the practice of early excision and grafting, and major advances in intensive care management have all contributed to this success. In this review we address these 3 important advances in the modern treatment of burn injuries and provide a brief historical overview of these accomplishments and others, emphasizing spe...

  20. Topical agents in burn care

    OpenAIRE

    Momčilović Dragan

    2002-01-01

    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 injure...

  1. Animal Models in Burn Research

    OpenAIRE

    Abdullahi, A.; Amini-Nik, S.; Jeschke, M.G

    2014-01-01

    Burn injury is a severe form of trauma affecting more than two million people in North America each year. Burn trauma is not a single pathophysiological event but a devastating injury that causes structural and functional deficits in numerous organ systems. Due to its complexity and the involvement of multiple organs, in vitro experiments cannot capture this complexity nor address the pathophysiology. In the past two decades, a number of burn animal models have been developed to replicate the...

  2. Rehabilitation of the burn patient

    OpenAIRE

    Procter Fiona

    2010-01-01

    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...

  3. BACTERIOLOGICAL STUDY OF BURNS INFECTION

    OpenAIRE

    Shareen; Basavarajappa; Hanumanthappa

    2015-01-01

    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 a...

  4. The ALMR actinide burning system

    International Nuclear Information System (INIS)

    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

  5. Vitamin C in Burn Resuscitation.

    Science.gov (United States)

    Rizzo, Julie A; Rowan, Matthew P; Driscoll, Ian R; Chung, Kevin K; Friedman, Bruce C

    2016-10-01

    The inflammatory state after burn injury is characterized by an increase in capillary permeability that results in protein and fluid leakage into the interstitial space, increasing resuscitative requirements. Although the mechanisms underlying increased capillary permeability are complex, damage from reactive oxygen species plays a major role and has been successfully attenuated with antioxidant therapy in several disease processes. However, the utility of antioxidants in burn treatment remains unclear. Vitamin C is a promising antioxidant candidate that has been examined in burn resuscitation studies and shows efficacy in reducing the fluid requirements in the acute phase after burn injury. PMID:27600125

  6. Nutrition Support in Burn Patients

    Directory of Open Access Journals (Sweden)

    Cem Aydoğan

    2012-08-01

    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

  7. Oral Rehydration Therapy in Burn Patients

    Science.gov (United States)

    2014-04-24

    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

  8. In-situ burning of Orimulsion : small scale burns

    International Nuclear Information System (INIS)

    This study examined the feasibility of burning Orimulsion. In-situ burning has always been a viable method for cleaning oil spills on water because it can effectively reduce the amount of spilled oil and eliminate the need to collect, store, transport and dispose of recovered oil. Orimulsion, however, behaves very differently from conventional oil when it is spilled because of its composition of 70 per cent bitumen in 30 per cent water. In-situ burning of this surfactant-stablized oil-in-water emulsion has never been seriously considered because of the perception that Orimulsion could not be ignited, and if it could, ignition would not be sustained. In this study, burn tests were conducted on 3 scales in a Cleveland Open Cup apparatus of 5 cm, 10 cm and 50 cm diameters. Larger scale burns were conducted in specially built pans. All tests were conducted on salt water which caused the bitumen to separate from the water. The objective was to determine if sufficient vapours could be generated to ignite the Orimulsion. The study also measured if a sustained flame would result in successful combustion. Both objectives were successfully accomplished. Diesel fuel was used to ignite the Orimulsion in the specially designed pan for large scale combustion. Quantitative removal of Orimulsion was achieved in all cases, but in some burns it was necessary to re-ignite the Orimulsion. It was noted that when Orimulsion burns, some trapped water droplets in the bitumen explode with enough force to extinguish a small flame. This did not occur on large-scale burns. It was concluded that the potential for successful in-situ burning increases with size. It was determined that approximately 1 mm in thickness of diesel fuel is needed to ignite a burn. 5 refs., 3 tabs., 4 figs

  9. Fuel burning and climate

    International Nuclear Information System (INIS)

    Emission of soot particles and other air pollution indoors constitutes a considerable health hazard for a major part of the population in many developing countries, one of them being China. In these countries problems relating to poverty are the most important risk factors, undernourishment being the dominating reason. Number four on the list of the most serious health hazards is indoor air pollution caused by burning of coal and biomass in the households. Very high levels of soot particles occur indoors because of incomplete combustion in old-fashioned stoves and by use of low quality fuel such as sticks and twigs and straw and other waste from agriculture. This leads to an increase in a series of acute and chronic respiratory diseases, including lung cancer. It has been pointed out in recent years that emissions due to incomplete combustion of coal and biomass can contribute considerably to climate changes

  10. Wanted: Clean Coal Burning Technology

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    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:

  11. Radiophysical and geomagnetic effects of rocket burn and launch in the near-the-earth environment

    CERN Document Server

    Chernogor, Leonid F

    2013-01-01

    Radiophysical and Geomagnetic Effects of Rocket Burn and Launch in the Near-the-Earth Environment describes experimental and theoretical studies on the effects of rocket burns and launchings on the near-the-Earth environment and geomagnetic fields. It illuminates the main geophysical and radiophysical effects on the ionosphere and magnetosphere surrounding the Earth that accompany rocket or cosmic apparatus burns and launchings from 1,000 to 10,000 kilometers.The book analyzes the disturbances of plasma and the ambient magnetic and electric fields in the near-Earth environment from rocket burn

  12. Fires and Burns Involving Home Medical Oxygen

    Science.gov (United States)

    ... nfpa.org 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 ...

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

    Directory of Open Access Journals (Sweden)

    Hongjun Zhai

    2014-07-01

    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.

  14. Sedation and Analgesia in Burn

    Directory of Open Access Journals (Sweden)

    Özkan Akıncı

    2011-07-01

    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

  15. Alcohol use and burn injury.

    Science.gov (United States)

    Jones, J D; Barber, B; Engrav, L; Heimbach, D

    1991-01-01

    Charts of 108 consecutive adult patients with flame burns of 20% to 70% total body surface area were reviewed to determine the incidence of acute alcohol intoxication and the likelihood that intoxicated patients were chronic alcohol abusers, to assess morbidity and mortality in the alcoholic patient with burns, and to characterize the intervention used in postdischarge treatment of the alcoholic patient with burns who survives. Twenty-seven percent of patients were acutely intoxicated at the time of injury. Evidence for chronic alcohol abuse was apparent in 90% of intoxicated patients, compared to only 11% of nonintoxicated patients (p = 0.0001). Alcoholic patients with burns not only had an overall mortality rate three times that of nonalcoholics (p = 0.001) but also died of smaller burns (p less than 0.05). Surviving alcoholic patients with burns required significantly more intravenous antibiotics and a longer hospitalization. Social service evaluation of use of alcohol was made in 84% of the cases of surviving intoxicated burn victims. Further intervention was undertaken in two thirds of these cases, usually involving an outpatient treatment program. PMID:2050723

  16. Topical agents in burn care

    Directory of Open Access Journals (Sweden)

    Momčilović Dragan

    2002-01-01

    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.

  17. Rehabilitation of the burn patient

    Directory of Open Access Journals (Sweden)

    Procter Fiona

    2010-10-01

    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. Protocolized Resuscitation of Burn Patients.

    Science.gov (United States)

    Cancio, Leopoldo C; Salinas, Jose; Kramer, George C

    2016-10-01

    Fluid resuscitation of burn patients is commonly initiated using modified Brooke or Parkland formula. The fluid infusion rate is titrated up or down hourly to maintain adequate urine output and other endpoints. Over-resuscitation leads to morbid complications. Adherence to paper-based protocols, flow sheets, and clinical practice guidelines is associated with decreased fluid resuscitation volumes and complications. Computerized tools assist providers. Although completely autonomous closed-loop control of resuscitation has been demonstrated in animal models of burn shock, the major advantages of open-loop and decision-support systems are identifying trends, enhancing situational awareness, and encouraging burn team communication. PMID:27600131

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

    Directory of Open Access Journals (Sweden)

    Yan-jie Ni

    2016-04-01

    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.

  20. 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

    2016-01-01

    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.

  1. Phoenix Society for Burn Survivors

    Science.gov (United States)

    ... Learn More For First Responders & Medical Professionals Phoenix Society is the leader in connecting the burn recovery ... It can be a... Continue Reading The Phoenix Society, Inc. 1835 RW Berends Dr. SW Grand Rapids, ...

  2. Burns, hypertrophic scar and galactorrhea

    Directory of Open Access Journals (Sweden)

    Hamid Karimi

    2013-07-01

    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.

  3. Wound Care in Burn Patients

    OpenAIRE

    Orhan Çizmeci; Samet Vasfi Kuvat

    2011-01-01

    Wound care in one of the most important prognostic factors in burn victims. Open wound carries risks for infection due to hypothermia, protein and fluid losses. In addition, unhealed wounds are the major risk factors for acute-subacute or chronic complications in burn patients. Although no exact algorithm exists for open wound treatment, early escarectomy or debridement together with grafting is the best option. Ointments together with topical epithelizing agents without dressings are generea...

  4. Waste - a burning issue

    International Nuclear Information System (INIS)

    Modern municipal waste incineration technology which incorporates energy recovery is being promoted as environmentally friendly. As such, it qualifies for subsidies when used by electric utilities as part of the United Kingdom Government's Non Fossil Fuel Obligation for electricity generation. It is argued, however, that this is a misuse of money intended to promote renewable energy sources. Incineration is primarily a waste disposal technology and an inefficient means for producing electricity. The environmental benefits claimed for incineration are that it reduces the volume of landfill, particularly plastics, that the ash residues are easier to handle than the original waste, that the methane production and smells from landfill are avoided, that transport costs are reduced and that energy reclaim offsets costs. Arguments to set against these benefits are presented. Incinerators are expensive to construct and beyond the construction phase offer little economic spin-off for the host community. The landfill reduction is not as great as claimed and the fly-ash from incinerators includes heavy metals in the form of metal chlorides which can be leached out instead of being chemically bound into the original plastic matrix. Dioxin pollution from incineration is still a significant concern. Overall more energy could be obtained by a programme of recycling and composting. (1 figure, 9 references) (UK)

  5. DIFFERENTIATING PERIMORTEM AND POSTMORTEM BURNING

    Directory of Open Access Journals (Sweden)

    Brahmaji Master

    2015-01-01

    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

  6. Review of Burn Research for Year 2014.

    Science.gov (United States)

    Sen, Soman; Palmieri, Tina; Greenhalgh, David

    2015-01-01

    Management of burn injuries requires treatments and interventions from many disciplines. Worldwide, burn patients suffer from physical and psychological challenges that impact their lives socially and economically. In this review, we will highlight a handful of the numerous articles published in multiple areas of burn care. The areas of burn care addressed in the article are: epidemiology; burn resuscitation, critical care, and infection; nutrition and metabolism; pain and rehabilitation; prevention and firefighter safety; psychology; and reconstruction and wounds. PMID:26204384

  7. Burning mouth syndrome: Current concepts.

    Science.gov (United States)

    Nasri-Heir, Cibele; Zagury, Julyana Gomes; Thomas, Davis; Ananthan, Sowmya

    2015-01-01

    Burning mouth syndrome (BMS) is a chronic pain condition. It has been described by the International Headache Society as "an intra-oral burning or dysesthetic sensation, recurring daily for more than 2 h/day for more than 3 months, without clinically evident causative lesions." BMS is frequently seen in women in the peri-menopausal and menopausal age group in an average female/male ratio of 7:1. The site most commonly affected is the anterior two-thirds of the tongue. The patient may also report taste alterations and oral dryness along with the burning. The etiopathogenesis is complex and is not well-comprehended. The more accepted theories point toward a neuropathic etiology, but the gustatory system has also been implicated in this condition. BMS is frequently mismanaged, partly because it is not well-known among healthcare providers. Diagnosis of BMS is made after other local and systemic causes of burning have been ruled out as then; the oral burning is the disease itself. The management of BMS still remains a challenge. Benzodiazepines have been used in clinical practice as the first-line medication in the pharmacological management of BMS. Nonpharmacological management includes cognitive behavioral therapy and complementary and alternative medicine (CAM). The aim of this review is to familiarize healthcare providers with the diagnosis, pathogenesis, and general characteristics of primary BMS while updating them with the current treatment options to better manage this group of patients. PMID:26929531

  8. 腹部联合轴型皮瓣修复腕部环状高压电烧伤创面%Repair of circumferential wound in the wrist region due to high-voltage electrical burn using combined abdominal axial pattern flaps

    Institute of Scientific and Technical Information of China (English)

    沈余明; 田彭; 宁方刚; 覃凤均; 张国安

    2012-01-01

    Objective To explore the method for repairing circumferential wound in the wrist region due to high-voltage electrical burn.Methods Six patients with circumferential wound in the wrist region after high-voltage electrical burn were admitted to our hospital from January 2009 to December 2011.After debridement,wounds in the wrist were repaired with combined abdominal axial pattern flaps.The wound of wrist on the flexor aspect was repaired with paraumbilical flap carrying a portion of rectus abdominis that filled the wound cavity of the wrist on the flexor aspect.The wound of wrist on the dorsal aspect was repaired with lower abdominal flap.Pedicle division was performed 4-5 weeks post surgery.Some donor sites were sutured directly,and the others were closed by skin grafting after the suture of anterior sheath.Results Three flaps survived.Liquefaction necrosis of tissue was observed under two flaps,and they were healed after debridement.Radial artery embolism of wrist occurred in one flap when pedicle division was performed 5 weeks post surgery,and it was healed by a transplantation of a segment of the great saphenous vein to reconstruct radial artery right after debridement.Patients were followed up for 6-12 months,and satisfactory appearance and function of the flaps were observed.Conclusions It is a feasible option to repair circumferential wound in the wrist region due to high-voltage electrical burn by using paraumbilical flap carrying a portion of rectus abdominis muscle combined with lower abdominal flap.%目的 探讨腕部环状高压电烧伤创面的修复方法. 方法 2009年1月-2011年12月,笔者单位收治6例腕部环状高压电烧伤患者,清创后采用腹部联合轴型皮瓣修复腕部创面,即用带部分腹直肌的脐旁皮瓣修复腕屈侧创面,其中腹直肌充填腕屈侧腔隙;下腹部皮瓣修复腕背侧创面,术后4~5周断蒂.供瓣区部分直接.拢缝合,部分在前鞘拉拢缝合后植皮修复. 结果 3

  9. 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

    2011-01-01

    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

  10. Advanced tokamak burning plasma experiment

    International Nuclear Information System (INIS)

    A new reduced size ITER-RC superconducting tokamak concept is proposed with the goals of studying burn physics either in an inductively driven standard tokamak (ST) mode of operation, or in a quasi-steady state advanced tokamak (AT) mode sustained by non-inductive means. This is achieved by reducing the radiation shield thickness protecting the superconducting magnet by 0.34 m relative to ITER and limiting the burn mode of operation to pulse lengths as allowed by the TF coil warming up to the current sharing temperature. High gain (Q≅10) burn physics studies in a reversed shear equilibrium, sustained by RF and NB current drive techniques, may be obtained. (author)

  11. Burn Control Mechanisms in Tokamaks

    Science.gov (United States)

    Hill, Maxwell; Stacey, Weston

    2013-10-01

    Burn control and passive safety in accident scenarios will be an important design consideration in future tokamaks, especially those used as a neutron source for fusion-fission hybrid reactors, such as the Subcritical Advanced Burner Reactor (SABR) concept. At Georgia Tech, we are developing a new burning plasma dynamics code to investigate passive safety mechanisms that could prevent power excursions in tokamak reactors. This code solves the coupled set of balance equations governing burning plasmas in conjunction with a two-point SOL-divertor model. Predictions have been benchmarked against data from DIII-D. We are examining several potential negative feedback mechanisms to limit power excursions: i) ion-orbit loss, ii) thermal instabilities, iii) the degradation of alpha-particle confinement resulting from ripples in the toroidal field, iv) modifications to the radial current profile, v) ``divertor choking'' and vi) Type 1 ELMs.

  12. Epidemiology of severe burn injuries in a Tertiary Burn Centre in Tehran, Iran

    OpenAIRE

    Mohammadi-Barzelighi, H.; Alaghehbandan, R.; Motevallian, A.; Alinejad, F.; Soleimanzadeh-Moghadam, S.; Sattari, M.; A R Lari

    2011-01-01

    The aim of the study was to examine the epidemiological characteristics of hospitalized burn patients in a tertiary burn centre in Tehran, Iran. A hospital-based cross-sectional study of all hospitalized patients with burn injuries was conducted in Motahari Burn and Reconstruction Center in Tehran from August to December 2010. Medical records of all hospitalized burn patients were reviewed and pertinent information was captured. A total of 135 patients with severe burns requiring hospitalizat...

  13. BACTERIOLOGICAL STUDY OF BURNS INFECTION

    Directory of Open Access Journals (Sweden)

    Shareen

    2015-10-01

    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.

  14. A clinico-epidemiologic study of 892 patients with burn injuries at a tertiary care hospital in Punjab, India

    Directory of Open Access Journals (Sweden)

    Gupta Ashok

    2011-01-01

    Full Text Available Aim : To analyze the causes, demographic and socio-cultural aspects, and the magnitude of burn injuries prospectively and to evaluate the outcome of treatment of patients admitted to burns ICU of tertiary care hospital. Materials and Methods : A total of 892 burn patients admitted over a period of 6 years from January 2002 to December 2007 at tertiary care hospital in Punjab, India, were analyzed. Results : 54% patients were males. A majority of the patients, 704(79%, were in the age group of 15-45 years. Six hundred and thirty-four patients (72% sustained flame burns, while 17% and 7% sustained electrical and scald burns, respectively. A total of 470(53% patients sustained major two to three degree flame burns involving more than 45% of total body surface area (TBSA. The mortality rate was 40%, i.e. 357 patients died of burns and its related problems, in our study. Six hundred and thirty-nine patients (72% sustained burns in closed space of which 331 patients (52% sustained burns in kitchen. Seven hundred and seventy-nine patients sustained accidental burns. Burn victims were mainly Hindus and Sikhs. The mean hospital stay varied depending upon the percentage of burns. On an average, a patient with >45% TBSA burns received 15 whole blood transfusions. Split skin grafting was done in 416 patients. Most common complication encountered during their hospital stay was wound infection which was seen in 671 patients, followed by ARDS in 221 patients. The most common organisms causing wound infection were Pseudomonas and Acinetobacter. Conclusion : Developing country like India need an aggressive public education program so that people become more literate about various etiological factors causing burns and means of preventing them. Also needed are burn care hospitals which are easily accessible and affordable.

  15. Physics of plasma burn-through and DYON simulations for the JET ITER-like wall

    CERN Document Server

    Kim, Hyun-Tae; contributors, EFDA-JET

    2013-01-01

    This paper presents the DYON simulations of the plasma burn-through phase at Joint European Torus (JET) with the ITER-like wall. The main purpose of the study is to validate the simulations with the ITER-like wall, made of beryllium. Without impurities, the burn-through process of a pure deuterium plasma is described using DYON simulations, and the criterion for deuterium burn-through is derived analytically. The plasma burn-through with impurities are simulated using wall-sputtering models in the DYON code, which are modified for the ITER-like wall. The wall-sputtering models and the validation against JET data are presented. The impact of the assumed plasma parameters in DYON simulations are discussed by means of parameter scans. As a result, the operation space of prefill gas pressure and toroidal electric field for plasma burn-through in JET is compared to the Townsend avalanche criterion.

  16. Psychophysiological Processing of Itch in Patients with Chronic Post-burn Itch: An Exploratory Study.

    Science.gov (United States)

    van Laarhoven, Antionette I M; Ulrich, Dietmar J O; Wilder-Smith, Oliver H; van Loey, Nancy E E; Nieuwenhuis, Marianne; van der Wee, Nic J A; Evers, Andrea W M

    2016-06-15

    A substantial proportion of patients with burn injury develop chronic itch, which can severely affect their quality of life. As found in research on chronic pain, different psychophysiological processes may also play a role in chronic itch, of which central sensitization, conditioned modulation, and attentional processes have been studied most frequently. This study aimed to explore psychophysiological processes of chronic post-burn itch by comparing 15 patients with long-term itch due to burn injury with 15 matched healthy controls. Exploratory results indicated tendencies for higher itch sensitivity in patients than in controls, for mechanical stimuli and histamine, but not for electrical stimulation. Results further suggest that the efficacy of itch modulation by an itch- or pain-conditioning stimulus or directing attention towards itch stimuli do not differ between these patients and controls. Further elucidation of the processes underlying post-burn itch may improve the early identification and treatment of burn patients developing chronic itch. PMID:26694745

  17. Global burned area and biomass burning emissions from small fires

    NARCIS (Netherlands)

    Randerson, J.T; Chen, Y.; Werf, van der G.R.; Rogers, B.M.; Morton, D.C.

    2012-01-01

    [1] In several biomes, including croplands, wooded savannas, and tropical forests, many small fires occur each year that are well below the detection limit of the current generation of global burned area products derived from moderate resolution surface reflectance imagery. Although these fires ofte

  18. Wood would burn

    International Nuclear Information System (INIS)

    Absract: In view of the world-wide problem of energy sustainability and greenhouse gas production (carbon dioxide), it is timely to review the issues involved in generating heat and power from all fuels and especially new (to the UK) solid fuels, including high moisture fuels such as wood, SRF, oil shale, tar sands and brown coal, which will become major international fuels as oil and gas become depleted. The combustion properties of some of these materials are significantly different from traditional coal, oil and gas fuels, however the technology proposed herein is also applicable to these conventional fuels. This paper presents some innovative combustion system options and the associated technical factors that must be considered for their implementation. For clarity of understanding, the novel concepts will be largely presented in terms of a currently developing solid fuel market; biomass wood chips. One of the most important characteristics of many solid fuels to be used in the future (including oil shale and brown coal) is their high moisture content of up to 60%. This could be removed by utilising low grade waste heat that is widely available in industry to dry the fuel and thus reduce transport costs. Burning such dried wood for power generation also increases the energy available from combustion and thus acts as a thermal transformer by upgrading the low grade heat to heat available at combustion temperatures. The alternative approach presented here is to recover the latent heat by condensing the extrinsic moisture and the water formed during combustion. For atmospheric combustion, the temperature of the condensed combustion products is below the dew point at about 55-65 oC and is only suitable for recovery in an efficient district heating system. However, in order to generate power from the latent heat, the condensation temperature must be increased to the level where the heat can be used in the thermodynamic power cycle. This can be achieved by increasing

  19. Epidemiology of U.K. military burns.

    Science.gov (United States)

    Foster, Mark Anthony; Moledina, Jamil; Jeffery, Steve L A

    2011-01-01

    The authors review the etiology of U.K. military burns in light of increasing hybrid warfare. Analysis of the nature of these injured personnel will provide commanders with the evidence to plan for on-going and future operations. Case notes of all U.K. Armed Forces burn injured patients who were evacuated to the Royal Centre for Defence Medicine were reviewed. Demographics, burn severity, pattern, and mortality details were included. There were 134 U.K. military personnel with burns requiring return to the United Kingdom during 2001-2007. The median age was 27 (20-62) years. Overall, 60% of burns seen were "accidental." Burning waste, misuse or disrespect of fuel, and scalds were the most prevalent noncombat burns. Areas commonly burned were the face, legs, and hands. During 2006-2007 in the two major conflicts, more than 59% (n = 36) of the burned patients evacuated to the United Kingdom were injured during combat. Burns sustained in combat represent 5.8% of all combat casualties and were commonly associated with other injuries. Improvised explosive device, minestrike, and rocket-propelled grenade were common causes. The mean TBSA affected for both groups was 5% (1-70). The majority of combat burn injuries have been small in size. Greater provision of flame retardant equipment and clothing may reduce the extent and number of combat burns in the future. The numbers of noncombat burns are being reduced by good military discipline. PMID:21422938

  20. To Burn or not to Burn: Making the Burning of Chocolate Hills of Bohol, Philippines Carbon Neutral

    OpenAIRE

    Nathaniel T. Bantayan; Margaret M Calderon; Flocencia B. Pulhin; Canesio D. Predo; Rose Ann C. Baruga

    2013-01-01

    This study was conducted to evaluate the current management regime of burning vis-à-vis burning with carbon offsets for the Chocolate Hills Natural Monument (CHNM) in Bohol, Philippines. The current scheme of burning to maintain the grass-covered (tree-less) and brown hills to sustain tourist arrivals is seen as environmentally unsound and inconsistent with existing environmental laws. The study estimated the carbon loss from burning and compared the carbon loss value with the tourism income ...

  1. A burn-down prevention method of HDPE insulator

    International Nuclear Information System (INIS)

    Covered conductors have been used on high as well as low voltage overhead distribution lines for preventing brush contact and short circuit failure between conductors. Conductor bum-down has frequently occurred on covered conductors, but bum-down seldom occurs on bare conductors. Therefore it has become a problem. Burn-down happens because a high electric field region occurs around covered conductors. There are some factors for that. We noticed some factors and identified a bum-down prevention method of HDPE Insulator using the finite element method electric field simulation. In this paper, we propose this method because useful results were obtained. (Author)

  2. Chorioretinal burn: body temperature dependence

    International Nuclear Information System (INIS)

    Irradiance thresholds for chorioretinal damage in rhesus monkeys vary linearly with core temperatures between 34 and 390C. Damage results from the combined thermal effects of retinal irradiation and the body temperature. Visible damage is calculated to occur at a tissue temperature of 42.50C. Fever increases the retina's susceptibility to burns from the sun, lasers, and other radiant energy sources

  3. Antibiotics and the burn patient.

    Science.gov (United States)

    Ravat, François; Le-Floch, Ronan; Vinsonneau, Christophe; Ainaud, Pierre; Bertin-Maghit, Marc; Carsin, Hervé; Perro, Gérard

    2011-02-01

    Infection is a major problem in burn care and especially when it is due to bacteria with hospital-acquired multi-resistance to antibiotics. Moreover, when these bacteria are Gram-negative organisms, the most effective molecules are 20 years old and there is little hope of any new product available even in the distant future. Therefore, it is obvious that currently available antibiotics should not be misused. With this aim in mind, the following review was conducted by a group of experts from the French Society for Burn Injuries (SFETB). It examined key points addressing the management of antibiotics for burn patients: when to use or not, time of onset, bactericidia, combination, adaptation, de-escalation, treatment duration and regimen based on pharmacokinetic and pharmacodynamic characteristics of these compounds. The authors also considered antibioprophylaxis and some other key points such as: infection diagnosis criteria, bacterial inoculae and local treatment. French guidelines for the use of antibiotics in burn patients have been designed up from this work. PMID:20510518

  4. Suicidal burn in Hong Kong.

    Science.gov (United States)

    Chan, R C; Burd, A

    2012-09-01

    The aim of our study is to review our experience in the management of patients who sustained burns associated with suicidal attempts over a 10-year period. In particular, we look into the outcome and incidence of self-harm/suicide after discharge among the survivors. Thirty-one patients with median age 36 years, ranging from 10 to 74, were included. Twenty-three (74%) were males and eight (26%) were females. Nearly three quarters (74%) of our patients had a known history of psychiatric illness: 11 had known history of substance abuse; 3 of them had drug-induced psychosis; 6 had schizophrenia; 5 had depression; 4 had personality disorders; 1 had pathological gambling and another one had adjustment disorder. Relationship problems and work/financial difficulties were the commonest reason for the suicidal attempts. Self-inflicted flame burn was the most frequent (39%; 12 patients) method of burning. Six patients (19%) died. The remaining 25 patients healed and were discharged. Seventeen patients required ICU care. The median length of stay in ICU was 7 days. The overall median length of stay was 35 days. The median follow up time for those survived is 63 months. Only 4 of these patients had further suicidal/parasuicidal attempts. Despite the high mortality, once these patients survived the initial injury, they are unlikely to commit suicide again. Thus, we believe that aggressive resuscitation should therefore be advocated for all suicidal burn patients. PMID:22360959

  5. Burning mouth syndrome and menopause

    Directory of Open Access Journals (Sweden)

    Parveen Dahiya

    2013-01-01

    Full Text Available Menopause is a physiological process typically occurring in the fifth decade of life. One of the most annoying oral symptoms in this age group is the burning mouth syndrome (BMS, which may be defined as an intraoral burning sensation occurring in the absence of identifiable oral lesion or laboratory findings. Pain in burning mouth syndrome may be described as burning, tender, tingling, hot, scalding, and numb sensation in the oral mucosa. Multiple oral sites may be involved, but the anterior two-third part and the tip of tongue are most commonly affected site. There is no definite etiology for BMS other than the precipitating causative factors, and it is still considered idiopathic. Various treatment options like use of benzodiazepine, anti-depressants, analgesics, capsaicin, alpha lipoic acids, and cognitive behavioral therapy are found to be effective, but definite treatment is still unknown. The present article discusses some of the recent concepts of etiopathogenesis of BMS as well as the role of pharmacotherapeutic management in this disorder.

  6. Burning mouth syndrome: Present perspective

    Directory of Open Access Journals (Sweden)

    Ramesh Parajuli

    2015-07-01

    Full Text Available Introduction: Burning mouth syndrome is characterized by chronic oral pain or burning sensation affecting the oral mucosa in the absence of obvious visible mucosal lesions. Patient presenting with the burning mouth sensation or pain is frequently encountered in clinical practice which poses a challenge to the treating clinician. Its exact etiology remains unknown which probably has multifactorial origin. It often affects middle or old age women and it may be accompanied by xerostomia and altered taste. Objective: To review the current concepts regarding etiopathogenesis, diagnosis and management of this disorder. Methods and methodology: A literature review was conducted on PubMed/Medline and Google scholar about the burning mouth syndrome and the representative articles were selected and reviewed. Conclusion: There is no universal consensus regarding diagnosis, etiology and treatment of BMS. BMS is a diagnosis of exclusion which probably has multifactorial origin. Various pharmacological and non pharmacological treatments are available but it is difficult to achieve curative treatment so reassurance is of great importance while treating the patients. Combination of cognitive behavioral therapy, alpha lipoic acid and/or clonazepam has shown promising results.

  7. MHD control in burning plasmas MHD control in burning plasmas

    Science.gov (United States)

    Donné, Tony; Liang, Yunfeng

    2012-07-01

    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

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

    KAUST Repository

    Molinero, David G.

    2013-03-01

    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.

  9. A review of hydrofluoric acid burn management.

    Science.gov (United States)

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

    2014-01-01

    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. PMID:25114621

  10. Pediatric burn rehabilitation: Philosophy and strategies

    OpenAIRE

    Shohei Ohgi; Shouzhi Gu

    2013-01-01

    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 Sc...

  11. Clinical profile of burn injured patients

    OpenAIRE

    Efstathiou, Flora; Svardagalou, Paraskevi

    2016-01-01

    Abstract Introduction: Burn injury is a severe systemic disease with social implications. Aim: The recording of patient’s clinical profile with burn injury worldwide and in Greece, the outcome and impact of the injury on the patient’s mental health and social, professional and family life. Methods: There were collected surveys and reports concerned burn victims, men and women, teenagers and adults of all types and severities of burns in the world and in Greece. The inf...

  12. Burn healing plants in Iranian Traditional Medicine

    OpenAIRE

    Sh. Fahimi; H. Hajimehdipoor; Abdollahi, M.; S.A. Mortazavi

    2015-01-01

    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 trea...

  13. Early Enteral Nutrition for Burn Injury

    OpenAIRE

    Mandell, Samuel P.; Gibran, Nicole S.

    2014-01-01

    Significance: Nutrition has been recognized as a critical component of acute burn care and ultimate wound healing. Debate remains over the appropriate timing of enteral nutrition and the benefit of supplemental trace elements, antioxidants, and immunonutrition for critically ill burn patients. Pharmacotherapy to blunt the metabolic response to burn injury plays a critical role in effective nutritional support.

  14. Aggregation of erythrocytes in burn disease

    OpenAIRE

    Levin, Grigory Y; Egorihina, Marpha N

    2011-01-01

    The manuscript describes experiments designed to examine factors that influence erythrocytes aggregation within the blood of burn patients. Results showed that the rate and degree of erythrocytes aggregation increased significantly in burn patients, and what is especially unfavorable for microcirculation, erythrocytes disaggregation decreased. We show that normalization of blood plasma contents completely restores erythrocytes aggregation and disaggregation of burn patients. The rate and degr...

  15. 30 CFR 816.87 - Coal mine waste: Burning and burned waste utilization.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Coal mine waste: Burning and burned waste utilization. 816.87 Section 816.87 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT...-SURFACE MINING ACTIVITIES § 816.87 Coal mine waste: Burning and burned waste utilization. (a) Coal...

  16. 30 CFR 817.87 - Coal mine waste: Burning and burned waste utilization.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Coal mine waste: Burning and burned waste utilization. 817.87 Section 817.87 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT...-UNDERGROUND MINING ACTIVITIES § 817.87 Coal mine waste: Burning and burned waste utilization. (a) Coal...

  17. Burning clean fuel gas improves energetic efficiency

    International Nuclear Information System (INIS)

    One the most critical problems faced by refineries nowadays is the continuous increasing of legislation urging emissions reductions specifically SO2, NOx, and particles. Therefore there is a substantial need for refineries to burn fuel gas instead of fuel oil and avoiding, if possible, the use of imported natural gas. The refinery case study presents a substantial excess of fuel gas resulting from the production of hydrogen to obtain clean flues with low sulphurs. The aim of this paper is to optimize the use of the hydrogen excess with the implementation of a gas turbine with heat recovery with a feed near 28-31% of hydrogen. The cogeneration system was modelled by GateCycle 5.34.0.r. and the results obtained for the simulation were considered optimistic. Considering a production of 13 MW of electrical power the overall efficiency reached a value of 76% and 22 t/h of vapour (17 MW) from a feed of 3 t/h of fuel gas (39 MW). These results allow a higher electrical power production and a consequent reduction in the emissions of SO2 and CO2.

  18. Burning clean fuel gas improves energetic efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Fonseca, Andre; Gomes, Luisa A.C.N. [Chemical Engineering Department, Instituto Superior de Engenharia do Porto, Rua Dr. Antonio Bernardino de Almeida 431, P4200-072 Porto (Portugal); Tavares, Manuel L.C. [Galp Energia, Area de Tecnologia, Apartado 3015, 4451-852 Leca da Palmeira (Portugal)

    2010-03-15

    One the most critical problems faced by refineries nowadays is the continuous increasing of legislation urging emissions reductions specifically SO{sub 2}, NO{sub x}, and particles. Therefore there is a substantial need for refineries to burn fuel gas instead of fuel oil and avoiding, if possible, the use of imported natural gas. The refinery case study presents a substantial excess of fuel gas resulting from the production of hydrogen to obtain clean flues with low sulphurs. The aim of this paper is to optimize the use of the hydrogen excess with the implementation of a gas turbine with heat recovery with a feed near 28-31% of hydrogen. The cogeneration system was modelled by GateCycle 5.34.0.r. and the results obtained for the simulation were considered optimistic. Considering a production of 13 MW of electrical power the overall efficiency reached a value of 76% and 22 t/h of vapour (17 MW) from a feed of 3 t/h of fuel gas (39 MW). These results allow a higher electrical power production and a consequent reduction in the emissions of SO{sub 2} and CO{sub 2}. (author)

  19. Burn Prevention for Families with Children with Special Needs

    Medline Plus

    Full Text Available ... Burns and Scalds Burn Prevention for Families With Children With Special Needs Watch this video to learn ... know about burn prevention if you have a child with special needs. Read our burn prevention tips | ...

  20. Electrical cardioversion

    International Nuclear Information System (INIS)

    External electrical cardioversion was first performed in the 1950s. Urgent or elective cardioversions have specific advantages, such as termination of atrial and ventricular tachycardia and recovery of sinus rhythm. Electrical cardioversion is life-saving when applied in urgent circumstances. The success rate is increased by accurate tachycardia diagnosis, careful patient selection, adequate electrode (paddles) application, determination of the optimal energy and anesthesia levels, prevention of embolic events and arrythmia recurrence and airway conservation while minimizing possible complications. Potential complications include ventricular fibrillation due to general anesthesia or lack of synchronization between the direct current (DC) shock and the QRS complex, thromboembolus due to insufficient anticoagulant therapy, non-sustained VT, atrial arrhythmia, heart block, bradycardia, transient left bundle branch block, myocardial necrosis, myocardial dysfunction, transient hypotension, pulmonary edema and skin burn. Electrical cardioversion performed in patients with a pacemaker or an incompatible cardioverter defibrillator may lead to dysfunction, namely acute or chronic changes in the pacing or sensitivity threshold. Although this procedure appears fairly simple, serious consequences might occur if inappropriately performed. (author)

  1. Hydrofluoric acid burns of the eye.

    Science.gov (United States)

    McCulley, J P; Whiting, D W; Petitt, M G; Lauber, S E

    1983-06-01

    A case of hydrofluoric acid (HF) burns of the eye is reported and a review is presented of our investigation into the mechanism of HF toxicity in ocular tissues. A number of therapeutic procedures that have been successful in the treatment of HF skin burns were studied in the rabbit for use in the eye. Immediate single irrigation with water, normal saline or isotonic magnesium chloride solution is the most effective therapy for ocular HF burns. Extrapolation of other skin burn treatments to use in the eye is unacceptable due to the toxicity of these agents in normal eyes and the additive damage caused in burned eyes. PMID:6886845

  2. Pediatric burn rehabilitation: Philosophy and strategies

    Directory of Open Access Journals (Sweden)

    Shohei Ohgi

    2013-09-01

    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.

  3. Management of post burn hand deformities

    Directory of Open Access Journals (Sweden)

    Sabapathy S

    2010-10-01

    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.

  4. Burns related to sunbed use.

    Science.gov (United States)

    Hemington-Gorse, S J; Slattery, M A; Drew, P J

    2010-09-01

    The quest for a year round tan has led to an increase in the use of artificial tanning devices, namely sunbeds. There has been much debate in the press recently regarding the dangers of sunbed use and calls for tighter regulation of the industry, particularly the licensing of unmanned tanning salons. The dangers of sunbed use have long been recognised and the body of evidence linking sunbed use to skin malignancy is growing, in fact this month the Lancet published a review from the International Agency for Research on Cancer classifying UV emitting tanning devices as carcinogenic to humans. At the Welsh Centre for Burns and Plastic Surgery we noticed a rise in the number of patients presenting with burns related to sunbed use and present our data surrounding this injury over the last 6 years. PMID:20171016

  5. Candidemia in major burns patients.

    Science.gov (United States)

    Renau Escrig, Ana I; Salavert, Miguel; Vivó, Carmen; Cantón, Emilia; Pérez Del Caz, M Dolores; Pemán, Javier

    2016-06-01

    Major burn patients have characteristics that make them especially susceptible to candidemia, but few studies focused on this have been published. The objectives were to evaluate the epidemiological, microbiological and clinical aspects of candidemia in major burn patients, determining factors associated with a poorer prognosis and mortality. We conducted a retrospective observational study of candidemia between 1996 and 2012 in major burn patients admitted to the La Fe University Hospital, Valencia, Spain. The study included 36 episodes of candidemia in the same number of patients, 55.6% men, mean age 37.33 years and low associated comorbidity. The incidence of candidemia varied between 0.26 and 6.09 episodes/1000 days stay in the different years studied. Candida albicans was the most common species (61.1%) followed by Candida parapsilosis (27.8%). Candidemia by C. krusei, C. glabrata or C. tropicalis were all identified after 2004. Central vascular catheter (CVC) was established as a potential source of candidemia in 36.1%, followed by skin and soft tissues of thermal injury (22.2%) and urinary tract (8.3%). Fluconazole was used in 19 patients (52.7%) and its in vitro resistance rate was 13.9%. The overall mortality was 47.2%, and mortality related to candidemia was 30.6%. Factors associated with increased mortality were those related to severe infection and shock. CVC was the most usual focus of candidemia. Fluconazole was the most common antifungal drug administered. The management of candidemia in major burn patients is still a challenge. PMID:26931414

  6. Global biomass burning: Atmospheric, climatic, and biospheric implications

    International Nuclear Information System (INIS)

    As a significant source of atmospheric gases, biomass burning must be addressed as a major environmental problem. Biomass burning includes burning forests and savanna grasslands for land clearing and conversion, burning agricultural stubble and waste after harvesting, and burning biomass fuels. The editor discusses the history of biomass burning and provides an overview of the individual chapters

  7. Okanagan indoor wood burning appliance inventory survey

    International Nuclear Information System (INIS)

    A survey was conducted to determine the usage and nature of wood burning appliances used by residents in British Columbia's Okanagan region. The objective was to better understand this source of air quality concern and to facilitate strategic planning, guidelines and legislation. The survey also provides a baseline to track the effectiveness of any reduction strategies. It identifies the different types of wood burning appliances used in the community and presents residential options about potential bylaws to protect air quality. The receptivity of households to switch to more efficient wood burning appliances was also examined. The survey completes a portion of an overall emissions inventory for the Okanagan Valley. Environment Canada uses the particulate loading results to model the air quality in the airshed. Results showed that approximately 21 per cent of the households in the Okanagan use indoor wood burning appliances, and burn an average of 2.3 cords of wood each year. Only 11 per cent of the appliances are considered to have advanced burning technology. It is projected that the use of wood burning appliances in the Okanagan will increase by 5 to 7 per cent in the next 2 years. Most residents have good burning habits, but some improvements can still be made. Many residents are considering exchanging old wood burning appliances for clean burning technology appliances for environmental and health reasons. Most households would support a bylaw to control nuisance amounts of smoke from wood burning appliances. 20 tabs., 5 figs

  8. Radioactive implications from coal burning

    International Nuclear Information System (INIS)

    Lignites burning in the Greek Coal Power Plants (CPP) contain naturally occurring radionuclides mainly arising from the uranium series. Radium-226 concentrations in lignites burning in the three Coal Power Plants of the 3.02 GW energy centre, the greatest in Greece (Valley of Ptolemais, North Greece), varied from about 30 to 132 Bq kg-1 (average 65.5 Bq kg-1. About 1.3 % of 226 Ra is discharged to the environment in particulate form - fly ash - by the stacks of thermal power stations, burning coal at a rate 14.3 Mt (GH y)-1. The collective effective dose equivalent (EDE) commitment to the population 44400 living in the region of these plants, due to inhalation was estimated to be 0.13 man Sv y-1, that is an order of magnitude higher than that recommended for such a population. Doses from inhaled radon and radon progeny might cause an excess of 3-7 cancer deaths this year. (author)

  9. Wound Care in Burn Patients

    Directory of Open Access Journals (Sweden)

    Orhan Çizmeci

    2011-07-01

    Full Text Available Wound care in one of the most important prognostic factors in burn victims. Open wound carries risks for infection due to hypothermia, protein and fluid losses. In addition, unhealed wounds are the major risk factors for acute-subacute or chronic complications in burn patients. Although no exact algorithm exists for open wound treatment, early escarectomy or debridement together with grafting is the best option. Ointments together with topical epithelizing agents without dressings are genereally adequate for first-degree burns. However, topical antibacterial agents are usually required for second to third-degree wounds. Standart treatment for the open wound without epithelization is autologous skin grafting. In cases where more than 50% of the skin surface in affected, autologus donor skin may not be enough. For these cases, epidermal cell culture in vitro may be used. Mesenchymal stem cell applications which have immunosupressive effects should be utilized in cases where cells need to be prepared as allografts. (Journal of the Turkish Society intensive Care 2011; 9 Suppl: 51-4

  10. In-situ burning of spilled oil

    International Nuclear Information System (INIS)

    Laboratory and field investigations have now demonstrated that the effective, sustained combustion of spilled oil on water requires that the oil being burned be at least 2-3 mm thick. This requires a properly manipulated fire containment boom to keep the spilled oil thick enough to support combustion. There are numerous situations where controlled in-situ burning of spilled oil can be carried out quickly, safely, and effectively. Some of the more significant burn experiences, the basics of controlled burning, and several different spill scenarios in which burning could be used as an effective response technique are presented. These scenarios include offshore exploration and production operations, marine pipeline accidents, tanker accidents, and spills into rivers and streams. Environmental constraints on in-situ burning are discussed. Nomograms are included which can be used to calculate the boom capacities and burn rates. 15 refs., 10 figs

  11. [Burns care following a nuclear incident].

    Science.gov (United States)

    Bargues, L; Donat, N; Jault, P; Leclerc, T

    2010-09-30

    Radiation injuries are usually caused by radioactive isotopes in industry. Detonations of nuclear reactors, the use of military nuclear weapons, and terrorist attacks represent a risk of mass burn casualties. Ionizing radiation creates thermal burns, acute radiation syndrome with pancytopenia, and a delayed cutaneous syndrome. After a latency period, skin symptoms appear and the depth of tissue damages increase with dose exposure. The usual burn resuscitation protocols have to be applied. Care of these victims also requires assessment of the level of radiation, plus decontamination by an experienced team. In nuclear disasters, the priority is to optimize the available resources and reserve treatment to patients with the highest probability of survival. After localized nuclear injury, assessment of burn depth and surgical techniques of skin coverage are the main difficulties in a burn centre. Training in medical facilities and burn centres is necessary in the preparation for management of the different types of burn injuries. PMID:21991218

  12. Dismantled weapons fuel burning in molten salt reactors

    International Nuclear Information System (INIS)

    The advantages of burning fissile material from dismantled weapons in molten salt reactors (MSRs) are described. The fluid fuel MSRs with some, or full, processing are nondedicated reactors that generate energy and completely burn the fissile material on a continuous basis. No fuel fabrication is needed, and the entire dismantling can be done in a secure facility. Shipments are made in small, safe, and secure quantities. Denaturing, spiking, or mixing can be done at the source for added safety. MSRs are very safe reactors that help close the fuel cycle and simplify waste treatment, thereby contributing to acceptability. Additionally, MSRs are expected to be economically competitive as electric power stations. The safety, security, simplicity, economy, and proliferation resistant properties support the deployment in countries that have the need

  13. Burns

    Science.gov (United States)

    ... have young children, use safety latches in your home When cooking, keep pot handles turned toward the rear of the stove, and never leave pans unattended. Do not leave hot cups of coffee on tables or counter edges. Do not carry hot liquids or food near your child or while holding your child. ...

  14. Burns

    Science.gov (United States)

    ... and Answers page . Share Print E-mail House Image Highlight Header Learn More Highlight Body Other NIGMS Fact Sheets Related Links Up to top This page last reviewed on April 06, 2016 Social Media Links Bookmark & Share Free Subscriptions Twitter Facebook YouTube ...

  15. Measurement of Solid Rocket Propellant Burning Rate Using X-ray Imaging

    Science.gov (United States)

    Denny, Matthew D.

    The burning rate of solid propellants can be difficult to measure for unusual burning surface geometries, but X-ray imaging can be used to measure burning rate. The objectives of this work were to measure the baseline burning rate of an electrically-controlled solid propellant (ESP) formulation with real-time X-ray radiography and to determine the uncertainty of the measurements. Two edge detection algorithms were written to track the burning surface in X-ray videos. The edge detection algorithms were informed by intensity profiles of simulated 2-D X-ray images. With a 95% confidence level, the burning rates measured by the Projected-Slope Intersection algorithm in the two combustion experiments conducted were 0.0839 in/s +/-2.86% at an average pressure of 407 psi +/-3.6% and 0.0882 in/s +/-3.04% at 410 psi +/-3.9%. The uncertainty percentages were based on the statistics of a Monte Carlo analysis on burning rate.

  16. Electric arc hydrogen heaters

    International Nuclear Information System (INIS)

    The experimental data on the electric arc burning in hydrogen are presented. Empirical and semiempirical dependences for calculating the arc characteristics are derived. An engineering method of calculating plasma torches for hydrogen heating is proposed. A model of interaction of a hydrogen arc with a gas flow is outlined. The characteristics of plasma torches for heating hydrogen and hydrogen-bearing gases are described. (author)

  17. Multispectral and Photoplethysmography Optical Imaging Techniques Identify Important Tissue Characteristics in an Animal Model of Tangential Burn Excision.

    Science.gov (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

    2016-01-01

    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. PMID:26594863

  18. Incidence of cardiac events in burned patients.

    Science.gov (United States)

    Meyers, David G; Hoestje, Sara M; Korentager, Richard A

    2003-06-01

    Given the increased level of adrenergic stimulation in burn patients, it would be expected that they would experience an increased incidence of cardiac arrhythmias and other cardiac events. We performed a retrospective chart review of 56 acute burn patients matched by age, length of hospital stay, and sex to 56 trauma patients, all of whom had been continuously monitored electrocardiographically. Burn and trauma patients were similar in injury severity, admission laboratory values, and prior history of cardiopulmonary diseases. Arrhythmias were noted in 34% of burn patients and 28% of trauma patients. One myocardial infarction and six deaths occurred in burn patients. No myocardial infarctions or deaths were observed in trauma patients. A past history of cardiopulmonary disease increased the risk of myocardial infarction or death by 6.6 times. Cardiac arrhythmias and other events are relatively infrequent and benign in burn patients and are similar to those experienced by other patients with acute injuries. PMID:12781616

  19. How to manage a minor burn.

    Science.gov (United States)

    Rowley-Conwy, Gabrielle

    2016-07-20

    Rationale and key points This article outlines the technique for dressing a minor burn. The nurse should be aware of national burn care referral guidance, and have the knowledge and skills to establish the severity and extent of a burn. The nurse should also be able to determine whether referral to a regional specialist centre is required. » The extent and severity of a burn determines its ongoing management. » The burn wound requires regular evaluation, since its appearance and management needs can change over time. » Competence in general wound care is essential for nurses undertaking this procedure. Reflective activity 'How to' articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: » The classification of burn depth and guidelines for specialist referral. » How you think this article will change your practice. Subscribers can update their reflective accounts at rcni.com/portfolio. PMID:27440365

  20. [Abnormality in bone metabolism after burn].

    Science.gov (United States)

    Gong, X; Xie, W G

    2016-08-20

    Burn causes bone metabolic abnormality in most cases, including the changes in osteoblasts and osteoclasts, bone mass loss, and bone absorption, which results in decreased bone mineral density. These changes are sustainable for many years after burn and even cause growth retardation in burned children. The mechanisms of bone metabolic abnormality after burn include the increasing glucocorticoids due to stress response, a variety of cytokines and inflammatory medium due to inflammatory response, vitamin D deficiency, hypoparathyroidism, and bone loss due to long-term lying in bed. This article reviews the pathogenesis and regularity of bone metabolic abnormality after burn, the relationship between bone metabolic abnormality and burn area/depth, and the treatment of bone metabolic abnormality, etc. and discusses the research directions in the future. PMID:27562160

  1. Epidemiological data, outcome, and costs of burn patients in Kermanshah

    OpenAIRE

    Karami Matin, B.; Karami Matin, R.; Ahmadi Joybari, T.; Ghahvehei, N.; M Haghi; M. Ahmadi; S. Rezaei

    2012-01-01

    Burn injuries in both developed and developing countries cause long-term disability, mortality, and socio-economic costs that are imposed on patients, families, and societies. This study was carried out to investigate the epidemiology, outcome, and cost of hospitalization of 388 burn patients admitted to the Imam Khomeini Hospital Burn Center in Kermanshah, Iran, between 21 March 2011 and 20 March 2012. The data about demographics, cause of burns, degree of burns, outcome of burns, burned bod...

  2. Cheiloplasty in Post-burn Deformed Lips

    OpenAIRE

    Saadeldeen, W.M.

    2009-01-01

    The lip is a part of the face that is frequently affected by burn injury. Post-burn scar sequelae in this area often result in cosmetic disfigurement and psychological upsets in patients, especially young adult females. A burn destroys the aesthetic features and lines of the lip. Plastic and reconstructive surgery of the face has a long history. Many local and regional flaps have been used for reconstruction of surgical or traumatic defects. Procedures to enhance the cosmetic features of the ...

  3. The Integrated Burn Information System - Microbiology Module

    OpenAIRE

    McManus, A T; Henderson, J. R.

    1985-01-01

    Infection is the most common serious complication occurring in hospitalized burn patients. Since this institute was established more than 35 years ago, the Microbiology section has provided direct clinical microbiology support and has collected epidemiological and historical data concerning the identification, incidence and treatment of infections in burn patients. With the availability of a centralized computer facility, microbiology data were added to the integrated burn information system,...

  4. Comparison of tokamak burn cycle options

    International Nuclear Information System (INIS)

    Experimental confirmation of noninductive current drive has spawned a number of suggestions as to how this technique can be used to extend the fusion burn period and improve the reactor prospects of tokamaks. Several distinct burn cycles, which employ various combinations of Ohmic and noninductive current generation, are possible, and we will study their relative costs and benefits for both a commerical reactor as well as an INTOR-class device. We begin with a review of the burn cycle options

  5. Infection control in severely burned patients

    OpenAIRE

    Coban, Yusuf Kenan

    2012-01-01

    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...

  6. Epidemiology and Statistical Modeling in Burn Injuries

    OpenAIRE

    Sadeghi Bazargani, Homayoun

    2010-01-01

    An important issue in assessing the epidemiology of injuries, including burns, is the investigation of appropriate methodologies and statistical modeling techniques to study injuries in an efficient and trustworthy manner. The overall aim of this thesis is to analyze epidemiological patterns and assess the appropriateness of supervised statistical models to investigate burn risks and patterns. This thesis contains four papers: the first two concern descriptive epidemiology of burns in Arda...

  7. Neuroendocrine Stress Response after Burn Trauma

    OpenAIRE

    Lindahl, Andreas

    2013-01-01

    Some aspects of the stress response during acute intensive care for severe burns are described and quantified by measuring hormonal and neuroendocrine patterns and relating these to organ function in the short term. This includes an assessment of whether there are markers for the severity of stress that are better than conventional descriptors of the severity of a burn in predicting failing organ function. P-CgA after a major burn injury is an independent and better predictor of organ dysfunc...

  8. Spectral Hole Burning via Kerr Nonlinearity

    Science.gov (United States)

    Khan, Anwar Ali; Abdul Jabar, M. S.; Jalaluddin, M.; Bacha, Bakht Amin; Iftikhar, Ahmad

    2015-10-01

    Spectral hole burning is investigated in an optical medium in the presence of Doppler broadening and Kerr nonlinearity. The Kerr nonlinearity generates coherent hole burning in the absorption spectrum. The higher order Kerr nonlinearity enhances the typical lamb dip of the hole. Normal dispersion in the hole burning region while Steep anomalous dispersion between the two hole burning regions also enhances with higher order Kerr effect. A large phase shift creates large delay or advancement in the pulse propagation while no distortion is observed in the pulse. These results provide significant steps to improve optical memory, telecom devices, preservation of information and image quality. Supported by Higher Education Commission (HEC) of Pakistan

  9. ISBI Practice Guidelines for Burn Care.

    Science.gov (United States)

    Isbi Practice Guidelines Committee

    2016-08-01

    Practice guidelines (PGs) are recommendations for diagnosis and treatment of diseases and injuries, and are designed to define optimal evaluation and management. The first PGs for burn care addressed the issues encountered in developed countries, lacking consideration for circumstances in resource-limited settings (RLS). Thus, the mission of the 2014-2016 committee established by the International Society for Burn Injury (ISBI) was to create PGs for burn care to improve the care of burn patients in both RLS and resource-abundant settings. An important component of this effort is to communicate a consensus opinion on recommendations for burn care for different aspects of burn management. An additional goal is to reduce costs by outlining effective and efficient recommendations for management of medical problems specific to burn care. These recommendations are supported by the best research evidence, as well as by expert opinion. Although our vision was the creation of clinical guidelines that could be applicable in RLS, the ISBI PGs for Burn Care have been written to address the needs of burn specialists everywhere in the world. PMID:27542292

  10. Burn healing plants in Iranian Traditional Medicine

    Directory of Open Access Journals (Sweden)

    Sh. Fahimi

    2015-11-01

    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.

  11. Aeromonas hydrophila in a burn patient.

    Science.gov (United States)

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

    2009-01-01

    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. PMID:19692919

  12. Diffusive Nuclear Burning in Neutron Star Envelopes

    CERN Document Server

    Chang, P

    2003-01-01

    We present a new mode of hydrogen burning on neutron stars (NSs) called diffusive nuclear burning (DNB). In DNB, the burning occurs in the exponentially suppressed tail of hydrogen that extends to the hotter regions of the envelope where protons are readily captured. Diffusive nuclear burning changes the compositional structure of the envelope on timescales $\\sim 10^{2-4} {\\rm yrs}$, much shorter than otherwise expected. This mechanism is applicable to the physics of young pulsars, millisecond radio pulsars (MSPs) and quiescent low mass X-ray binaries (LMXBs).

  13. [Burning oral sensation: when is really BMS?].

    Science.gov (United States)

    Spadari, Fracesco; Garagiola, Umberto; Dzsida, Eszter; Azzi, Lorenzo; Kálmán, Fanni Sára

    2015-12-01

    The aims and purposes of this systematic review of the international literature are to discuss and clarify some considerations on Burning Mouth Syndrome (BMS). Over the last 40 years, many researchers have addressed this disease clinically or experimentally. Thus, the etiology and pathogenesis of BMS remain unclear. We analyzed the etiopathogenesis of Burning Mouth Syndrome and of the burning oral sensation and currently, we could not find a consensus on the diagnosis and classification of BMS. Further studies are required to better understand the pathogenesis of BMS, and a "Gold Standard" classification is required because not every burning sensation in the mouth is BMS. PMID:26863819

  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)

    2005-05-01

    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. Amniotic membrane for burn trauma

    International Nuclear Information System (INIS)

    Amniotic membranes are derived from human placentae at birth. They have two layers mainly the amniotic and the chorionic surfaces which are separated by a thin layer of connective tissues. The two layers are separated during procurement, the placenta and the chorionic side are discarded and the amnion membranes are then further processed. Amnion membranes are normally procured from placentae which are normally free of infections, i.e; the mothers are antenatally screened for sexually transmitted diseases or AlDs related diseases. Intrapartum the mother should not be having chorioamnionitis or jaundice. Sometimes the amniotic membranes are acquired from fresh elective caeserian sections. After processing, the amniotic membranes are packed in two layers of polypropylene and radiated with cobalt 60 at a dose of about 25 kGy. The amniotic membranes are clinically used to cover burn surfaces especially effective for superficial or partial thickness burns. The thin membranes adhered well to the trauma areas and peeled off automatically by the second week. No change of dressing were necessary during these times because of the close adherence, there were less chance of external contamination or infections of these wounds. Due to their flexibility they are very useful to cover difference contours of the human body for example the face, body, elbows or knees. However our experience revealed that amniotic membranes are not useful for third degree bums because the membranes dissolves by the enzymes present in the wounds

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

    Directory of Open Access Journals (Sweden)

    Aaron Moody

    2011-03-01

    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

  17. New electrophysical technologies for removal of pollutants from burning installations

    International Nuclear Information System (INIS)

    This paper presents a new technology of nitrogen and sulfur oxides removal in the installations for burning of organic fuels, which is based on the oxidation of the last ones up to the corresponding acids used pulsed corona discharge and alternating electric field, neutralization of the formed acids by introduction of ammonia in gas and receiving of nitrate and sulfate of ammonia used as fertilizers. The obtained experimental results have shown the possibility of the efficiency improvement of the nitrogen oxides removal from 50% to 90% and of the sulfur oxides removal from 75% to 95-98%. (authors)

  18. How Disabling Are Pediatric Burns? Functional Independence in Dutch Pediatric Patients with Burns

    Science.gov (United States)

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

    2013-01-01

    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]…

  19. A non-destructive surface burn detection method for ferrous metals based on acoustic emission and ensemble empirical mode decomposition: from laser simulation to grinding process

    International Nuclear Information System (INIS)

    Grinding is usually done in the final finishing of a component. As a result, the surface quality of finished products, e.g., surface roughness, hardness and residual stress, are affected by the grinding procedure. However, the lack of methods for monitoring of grinding makes it difficult to control the quality of the process. This paper focuses on the monitoring approaches for the surface burn phenomenon in grinding. A non-destructive burn detection method based on acoustic emission (AE) and ensemble empirical mode decomposition (EEMD) was proposed for this purpose. To precisely extract the AE features caused by phase transformation during burn formation, artificial burn was produced to mimic grinding burn by means of laser irradiation, since laser-induced burn involves less mechanical and electrical noise. The burn formation process was monitored by an AE sensor. The frequency band ranging from 150 to 400 kHz was believed to be related to surface burn formation in the laser irradiation process. The burn-sensitive frequency band was further used to instruct feature extraction during the grinding process based on EEMD. Linear classification results evidenced a distinct margin between samples with and without surface burn. This work provides a practical means for grinding burn detection. (paper)

  20. Enhancement of burning velocity by dissociated oxygen atoms

    Science.gov (United States)

    Akashi, Haruaki; Yoshinaga, Tomokazu; Sasaki, Koichi

    2015-09-01

    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).

  1. National programme for prevention of burn injuries

    Directory of Open Access Journals (Sweden)

    Gupta J

    2010-10-01

    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.

  2. 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.

    1997-12-31

    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

  3. 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,

    2013-01-01

    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

  4. Burns: an update on current pharmacotherapy

    Science.gov (United States)

    Rojas, Yesinia; Finnerty, Celeste C.; Radhakrishnan, Ravi S.; Herndon, David N.

    2013-01-01

    Introduction The world-wide occurrence of burn injuries remains high despite efforts to reduce injury incidence through public awareness campaigns and improvements in living conditions. In 2004, almost 11 million people experienced burns severe enough to warrant medical treatment. Advances over the past several decades in aggressive resuscitation, nutrition, excision, and grafting have reduced morbidity and mortality. Incorporation of pharmacotherapeutics into treatment regimens may further reduce complications of severe burn injuries. Areas covered Severe burn injuries, as well as other forms of stress and trauma, trigger a hypermetabolic response that, if left untreated, impedes recovery. In the past two decades, use of anabolic agents, beta adrenergic receptor antagonists, and anti-hyperglycemic agents has successfully counteracted post-burn morbidities including catabolism, the catecholamine-mediated response, and insulin resistance. Here we review the most up-to-date information on currently used pharmacotherapies in the treatment of these sequelae of severe burns and the insights that have expanded our understanding of the pathophysiology of severe burns. Expert opinion Existing drugs offer promising advances in the care of burn injuries. Continued gains in our understanding of the molecular mechanisms driving the hypermetabolic response will enable the application of additional existing drugs to be broadened to further attenuate the hypermetabolic response. PMID:23121414

  5. Burn Injury Arise From Flying Balloon Toys

    Directory of Open Access Journals (Sweden)

    Yalcin Kulahci

    2007-08-01

    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

  6. Bubble bath burns: an unusual case.

    Science.gov (United States)

    Nizamoglu, Metin; Tan, Alethea; El-Muttardi, Naguib

    2016-01-01

    We present an unusual case of flash burn injury in an adolescent following accidental combination of foaming bath bubbles and tea light candle flame. There has not been any reported similar case described before. This serves as a learning point for public prevention and clinicians managing burn injuries. PMID:27583271

  7. Intensive Care Management in Pediatric Burn Patients

    Directory of Open Access Journals (Sweden)

    Ayşe Ebru Sakallıoğlu Abalı

    2011-07-01

    Full Text Available Burn injury is still a leading cause of morbidity and mortality in children. This article aimed to review the current principles of management from initial assessment to early management and intensive care for pediatric burn patients. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl: 62-9

  8. Skin Dendritic Cells in Burn Patients

    OpenAIRE

    D’Arpa, N.; D’Amelio, L.; Accardo-Palumbo, A.; Pileri, D.; Mogavero, R.; Amato, G.; Napoli, B.; Alessandro, G.; Lombardo, C.; F. Conte

    2009-01-01

    The body's immunological response to burn injury has been a subject of great inquiry in recent years. Burn injury disturbs the immune system, resulting in a progressive suppression of the immune response that is thought to contribute to the development of sepsis. Dendritic cells (DCs) are potent antigen-presenting cells that possess the ability to stimulate naïve T cells.

  9. Acute pain management in burn patients

    DEFF Research Database (Denmark)

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

    2014-01-01

    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...

  10. How Does the Freezer Burn Our Food?

    Science.gov (United States)

    Schmidt, Shelly J.; Lee, Joo Won

    2009-01-01

    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…

  11. Epidemiology of major burns at the Lebanese Burn Center in Geitawi, Lebanon

    OpenAIRE

    Ghanimé, G.; Rizkallah, N.; Said, J.M.

    2013-01-01

    Burn care is one of the few areas in medicine considered both medically and surgically challenging, with burn injuries affecting people of all ages and both sexes. Between May 1992 and March 2012, 1,524 patients were admitted to the Lebanese Burn Center in Geitawi, with an average length of stay (LOS) of 36.5 days. The most frequently encountered injuries were thermal burns, generally resulting from domestic accidents. Of our patients, 47% were from rural areas and burned body surface (BBS) w...

  12. Crusted Scabies in the Burned Patient

    DEFF Research Database (Denmark)

    Berg, Jais Oliver; Alsbjørn, Bjarne

    2011-01-01

    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...

  13. Sexual Function Following Burn Injuries: Literature Review.

    Science.gov (United States)

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

    2015-01-01

    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. PMID:25423439

  14. Microbiological Monitoring and Proteolytic Study of Clinical Samples From Burned and Burned Wounded Patients

    International Nuclear Information System (INIS)

    In this study, clinical samples were collected from 100 patients admitted to Burn and Plastic Surgery Department, Faculty of Medicine, Ain Shams University, Egypt, over a period of 12 months. The proteolytic activity of 110 clinical samples taken from surfaces swabs which taken from burned and burned wounded patients with different ages and gender was examined. Screening for the proteolytic activity produced by pathogenic bacteria isolated from burned and burned wounded patients was evaluated as gram positive Bacilli and gram negative bacilli showed high proteolytic activity (46.4%) while 17.9% showed no activity. The isolated bacteria proved to have proteolytic activity were classified into high, moderate and weak. The pathogenic bacteria isolated from burned and burned wounded patients and showing proteolytic activity were identified as Pseudomonas aeruginosa, Proteus mirabilis, Proteus vulgaris, Bacillus megaterium, Bacillus cereus, Staphylococcus aureus, Escherichia coli, Klebsiella ozaeanae, Klebsiella oxytoca, Klebsiella pneumoniae and Pseudomonas fluoresces.

  15. Severe complications after negative pressure wound therapy in burned wounds: two case reports

    Directory of Open Access Journals (Sweden)

    Ren H

    2014-07-01

    Full Text Available Haitao Ren,1 Yuan Li21Department of Burns and Wound Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China; 2Department of Ultrasound, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of ChinaAbstract: We present two typical cases of severe complications (sepsis and hemorrhage after negative pressure wound therapy (NPWT in burned patients. Necrotic tissues in some deep burn wounds are difficult to judge correctly and remove thoroughly. An electrically burned blood vessel looks “intact” but can easily break. Necrotic tissue or injured blood vessels when using NPWT are dangerous, both for causing sepsis and hemorrhage. This is the first article that reports the severe complications of NPWT in burned patients. It is imperative to heed indications and avoid contraindications. Proper preparation of wound beds, close observation, and sufficient irrigation are also crucial to avoid these severe complications, and there is an urgent need to substitute the central vacuum system with the low-pressure system.Keywords: negative pressure wound therapy, complication, burn sepsis, bleeding, drainage

  16. Kitchen Cooking Burns a Real Danger for Kids

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_160530.html Kitchen Cooking Burns a Real Danger for Kids Establish a ' ... this burn accident was not an isolated case. Cooking burns are common among American children, but can ...

  17. 1994 Prescribed Burning Plan: Shiawassee National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Prescribed Burn Plan provides a description of each burn unit on the Refuge and summarizes the safety concerns, monitoring, and burn operations for these units.

  18. MORBIDITY AND SURVIVAL PROBABILITY IN BURN PATIENTS IN MODERN BURN CARE

    Science.gov (United States)

    Jeschke, Marc G.; Pinto, Ruxandra; Kraft, Robert; Nathens, Avery B.; Finnerty, Celeste C.; Gamelli, Richard L.; Gibran, Nicole S.; Klein, Matthew B.; Arnoldo, Brett D.; Tompkins, Ronald G.; Herndon, David N.

    2014-01-01

    Objective Characterizing burn sizes that are associated with an increased risk of mortality and morbidity is critical because it would allow identifying patients who might derive the greatest benefit from individualized, experimental, or innovative therapies. Although scores have been established to predict mortality, few data addressing other outcomes exist. The objective of this study was to determine burn sizes that are associated with increased mortality and morbidity after burn. Design and Patients Burn patients were prospectively enrolled as part of the multicenter prospective cohort study, Inflammation and the Host Response to Injury Glue Grant, with the following inclusion criteria: 0–99 years of age, admission within 96 hours after injury, and >20% total body surface area burns requiring at least one surgical intervention. Setting Six major burn centers in North America. Measurements and Main Results Burn size cutoff values were determined for mortality, burn wound infection (at least two infections), sepsis (as defined by ABA sepsis criteria), pneumonia, acute respiratory distress syndrome, and multiple organ failure (DENVER2 score >3) for both children (<16 years) and adults (16–65 years). Five-hundred seventy-three patients were enrolled, of which 226 patients were children. Twenty-three patients were older than 65 years and were excluded from the cutoff analysis. In children, the cutoff burn size for mortality, sepsis, infection, and multiple organ failure was approximately 60% total body surface area burned. In adults, the cutoff for these outcomes was lower, at approximately 40% total body surface area burned. Conclusions In the modern burn care setting, adults with over 40% total body surface area burned and children with over 60% total body surface area burned are at high risk for morbidity and mortality, even in highly specialized centers. PMID:25559438

  19. [Quantification of crop residue burned areas based on burning indices using Landsat 8 image].

    Science.gov (United States)

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

    2015-11-01

    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. PMID:26915202

  20. Calcium and ER Stress Mediate Hepatic Apoptosis after Burn Injury

    OpenAIRE

    Jeschke, Marc G.; Gauglitz, Gerd G.; Song, Juquan; Kulp, Gabriela A; Finnerty, Celeste C.; Cox, Robert A.; Barral, José M.; Herndon, David N; Boehning, Darren

    2009-01-01

    A hallmark of the disease state following severe burn injury is decreased liver function, which results in gross metabolic derangements that compromise patient survival. The underlying mechanisms leading to hepatocyte dysfunction post-burn are essentially unknown. The aim of the present study was to determine the underlying mechanisms leading to hepatocyte dysfunction and apoptosis post-burn. Rats were randomized to either control (no burn) or burn (60% total body surface area burn) and sacri...

  1. Role of Antioxidants in the Treatment of Burn Lesions

    OpenAIRE

    Al-Jawad, F.H.; Sahib, A.S.; Al-Kaisy, A.A.

    2008-01-01

    Burns are a major health problem worldwide, with high mortality and morbidity in addition to causing changes in the quality of life of burn patients. Utilizing antioxidant therapeutic strategies depending on new mechanisms involved in the pathogenesis of burns-related "oxidative stress" may be considered a promising step in burns management. This study involved 180 burn patients of varying age and either sex and with varying burns percentages. The patients were subdivided into six groups (A, ...

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

    OpenAIRE

    Tiwari, V K

    2012-01-01

    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 wh...

  3. Reactive burn models and ignition & growth concept

    Directory of Open Access Journals (Sweden)

    Shaw M.S.

    2011-01-01

    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.

  4. Pediatric burn wound impetigo after grafting.

    Science.gov (United States)

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

    2015-01-01

    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. PMID:24823337

  5. Factors affecting mortality in patients with burns

    Directory of Open Access Journals (Sweden)

    Halil Erbiş

    2015-09-01

    Full Text Available Objective: The increase in life quality and expectancy causes an increase in the elderly population. Improvements in burn treatment resulted in decreased mortality in children and young adults but in elderly patients burns are still an important trauma that should be handed differently than other age groups. The aim of this study was to evaluate the factors effecting mortality in patients with burns over 45 years old. Methods: Fifty-eight patients over 45 years of age, who were treated in our burns unit in the last 3 years were included in our study. Their age, burn percentage and depth, coexisting diseases and mortality rates were examined retrospectively. Results: The average age of surviving patients was 57.4 years while it was 70 years for nonsurviving patients (p=0.002. The width of burn area was 21.1 % in surviving and 50 % in nonsurviving patients (p<0.01. The effect of additional coexistent diseases on mortality was significant (p=0.001. The most common reasons of mortality were sepsis and congestive heart failure. Conclusion: We found out that the age, percentage of burns and coexistent diseases had a negative effect on success of treatment and mortality. Mortality rates will decrease in these cases with careful follow-up and a multidisciplinary approach. J Clin Exp Invest 2015; 6 (3: 240-243

  6. Characterization of residual coke during burning

    Energy Technology Data Exchange (ETDEWEB)

    Pieck, C.L.; Jablonski, E.L.; Parera, J.M. (Inst. de Investigaciones in Catalisis y Petroquimica, Santiago del Estero 2654, 3000 Santa Fe (Argentina)); Frety, R. (Conventionne a l' Univ. Claude Bernard, Lyon I (France))

    1992-04-01

    In this paper coke remaining from the partial burning of coke deposited during the commercial re-forming of naphtha on a Pt-Re/Al[sub 2]O[sub 3] catalyst is studied. Burning temperatures are 623-923 K, and the remaining coke is characterized by temperature-programmed oxidation, X-ray diffraction, electron diffraction, IR, [sup 13]C CP-MAS NMR, electron spectroscopy for chemical analysis, electron paramagnetic resonance, and chemical analysis. After coke is burned at 673 K, the residual coke shows the minimum value in the H/C ratio and the maximum in the thickness of the aromatic layers, degree of organization, C==O concentration, binding energy of C 1s, peak width, and g value. This agrees with the model of coke burning: at low temperatures, the burning is selective; the more hydrogenated and amorphous carbonaceous species are burnt first. At high temperatures, the burning is nonselective and all species are simultaneously burnt. Coke is partially oxidized during burning, and intermediate species with C==O and C--OH groups are formed.

  7. Burning characteristics of microcellular combustible objects

    Directory of Open Access Journals (Sweden)

    Wei-tao Yang

    2014-06-01

    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.

  8. Burning characteristics of microcellular combustible objects

    Institute of Scientific and Technical Information of China (English)

    Wei-tao YANG; Yu-xiang LI; San-jiu YING

    2014-01-01

    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.

  9. Childhood burns in south eastern Nigeria

    Directory of Open Access Journals (Sweden)

    Okoro Philemon

    2009-01-01

    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.

  10. In-situ burning of heavy oils and Orimulsion : mid-scale burns

    Energy Technology Data Exchange (ETDEWEB)

    Fingas, M.F.; Fieldhouse, B.; Brown, C.E.; Gamble, L. [Environment Canada, Ottawa, ON (Canada). Emergencies Science and Technology Div]|[Environment Canada, Ottawa, ON (Canada). River Road Environmental Technology Centre; Cooper, D. [SAIC Canada, Ottawa, ON (Canada)

    2004-07-01

    In-situ burning is considered to be a viable means to clean oil spills on water. In-situ burning, when performed under the right conditions, can reduce the volume of spilled oil and eliminate the need to collect, store, transport and dispose of the recovered oil. This paper presented the results of bench-scale in-situ burning tests in which Bunker C, Orimulsion and weathered bitumen were burned outdoors during the winter in burn pans of approximately 1 square metre. Each test was conducted on salt water which caused the separation of the bitumen from the water in the Orimulsion. Small amounts of diesel fuel was used to ignite the heavy oils. Quantitative removal of the fuels was achieved in all cases, but re-ignition was required for the Orimulsion. Maximum efficiency was in the order of 70 per cent. The residue was mostly asphaltenes and resins which cooled to a solid, glass like material that could be readily removed. The study showed that the type of oil burned influences the behaviour of the burns. Bunker C burned quite well and Orimulsion burned efficiently, but re-ignition was necessary. It was concluded that there is potential for burning heavy oils of several types in-situ. 6 refs., 7 tabs., 18 figs.

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

    CERN Document Server

    Bahukudumbi, Sudarshan

    2010-01-01

    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

  12. Hypnosis for the treatment of burn pain.

    Science.gov (United States)

    Patterson, D R; Everett, J J; Burns, G L; Marvin, J A

    1992-10-01

    The clinical utility of hypnosis for controlling pain during burn wound debridement was investigated. Thirty hospitalized burn patients and their nurses submitted visual analog scales (VAS) for pain during 2 consecutive daily wound debridements. On the 1st day, patients and nurses submitted baseline VAS ratings. Before the next day's would debridement, Ss received hypnosis, attention and information, or no treatment. Only hypnotized Ss reported significant pain reductions relative to pretreatment baseline. This result was corroborated by nurse VAS ratings. Findings indicate that hypnosis is a viable adjunct treatment for burn pain. Theoretical and practical implications and future research directions are discussed. PMID:1383302

  13. [Major Burn Trauma Management and Nursing Care].

    Science.gov (United States)

    Lo, Shu-Fen

    2015-08-01

    Major burn injury is one of the most serious and often life-threatening forms of trauma. Burn patients not only suffer from the physical, psychological, social and spiritual impacts of their injury but also experience considerable changes in health-related quality of life. This paper presents a review of the literature on the implications of previous research and clinical care guidelines related to major burn injuries in order to help clinical practice nurses use evidence-based care guidelines to respond to initial injury assessments, better manage the complex systemic response to these injuries, and provide specialist wound care, emotional support, and rehabilitation services. PMID:26242439

  14. Again, new, Afresh: Electric Injuries In Children

    OpenAIRE

    Almiş, Habip; Yakıncı, Cengiz; KAYHAN, Eda; Kaplan, Fatih; Karakurt, Cemşit

    2014-01-01

    OBJECTIVESIn this study, we planned to determine the factors affecting the mortality, and morbidity of electrical injuries.Electric injuries, is cause of high morbidity and mortality, major burns, leading to cardiac and orthopedic problems and trauma, in all age groups are at risk type.This study of children presenting with electric injuries to determine the demographic characteristics, can be taken to reduce mortality and morbidity measures were planned to be discussed.MATERIAL AND METHODSIn...

  15. Simulation of burning tokamak plasmas

    International Nuclear Information System (INIS)

    To simulate dynamical behaviour of tokamak fusion reactors, a zero-dimensional time-dependent particle and power balance code has been developed. The zero-dimensional plasma model is based on particle and power balance equations that have been integrated over the plasma volume using prescribed profiles for plasma parameters. Therefore, the zero-dimensional model describes the global dynamics of a fusion reactor. The zero-dimensional model has been applied to study reactor start-up, and plasma responses to changes in the plasma confinement, fuelling rate, and impurity concentration, as well as to study burn control via fuelling modulation. Predictions from the zero-dimensional code have been compared with experimental data and with transport calculations of a higher dimensionality. In all cases, a good agreement was found. The advantage of the zero-dimensional code, as compared to higher-dimensional transport codes, is the possibility to quickly scan the interdependencies between reactor parameters. (88 refs., 58 figs., 6 tabs.)

  16. Global biomass burning. Atmospheric, climatic, and biospheric implications

    International Nuclear Information System (INIS)

    Biomass burning is a significant source of atmospheric gases and, as such, may contribute to global climate changes. Biomass burning includes burning forests and savanna grasslands for land clearing, burning agricultural stubble and waste after harvesting, and burning biomass fuels. The chapters in this volume include the following topics: remote sensing of biomass burning from space;geographical distribution of burning; combustion products of burning in tropical, temperate and boreal ecosystems; burning as a global source of atmospheric gases and particulates; impacts of biomass burning gases and particulates on global climate; and the role of biomass burning on biodiversity and past global extinctions. A total of 1428 references are cited for the 63 chapters. Individual chapters are indexed separately for the data bases

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

    Institute of Scientific and Technical Information of China (English)

    ZHANG Hong-lin

    2009-01-01

    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.

  18. Treatment of radiation burns, 1987 [videorecording

    International Nuclear Information System (INIS)

    After the accident at Chernobyl, patients with various degrees of radiation burns were given treatment at Moscow hospital No. 6. The video shows the radiation injuries as well as therapy and treatment in detail

  19. On burning a lump of coal

    CERN Document Server

    Alonso-Serrano, Ana

    2015-01-01

    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.

  20. Protect the Ones You Love: Burns Safety

    Science.gov (United States)

    ... Recreational Safety Child Abuse and Neglect Prevention Youth Violence Prevention ... keep our children safe and secure and help them live to their full potential. Knowing how to prevent leading causes of child injury, like burns, is a step ...

  1. Prescribed Burn Cycles 4-yr Rotation

    Data.gov (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...

  2. Treatment of burn injuries with keratinocyte cultures

    International Nuclear Information System (INIS)

    The German Institute for Cell and Tissue Replacement (DIZG) provides burned patients with skin and amnion for a temporary wound closure. Severely burned patients (>60% BSA for adults, >40% BSA for children) were supplied with autologous and allogenic grafts from cultured keratinocytes. The keratinocyte culture is done under GMP-conditions using the method of Rheinwald and Green. The 3T3 fibroblasts were irradiated with 60 Gy and used as feeder cells to produce keratinocyte sheets within 3 weeks. In this time up to 6.000 cm are available. The sheets were harvested by detachment with dispase (1,2 U/ml), fixed to gauze and transported to the hospital. The DIZG has a 3 years experience in the treatment of burns with keratinocyte sheets. The sheets were transplanted to patients in different hospitals, the total transplanted area is about 30.000 cm. This paper describes the experiences with ten severely burned patients treated with keratinocyte sheet

  3. Nutrition and Metabolic Support in Burn

    Directory of Open Access Journals (Sweden)

    Perihan Ergin Özcan

    2011-07-01

    Full Text Available Burn injury results in a dramatic increase of the basal metabolic rate. Severe burn injury nearly doubles resting energy expenditure and hypermetabolism associated with burn results in a loss of body fat stores and a loss of visceral and structural protein mass. The clinical effects of these changes include immunosuppression, delayed wound healing, and generalized muscle weakness. Post burn, the metabolic and catabolic responses are prolonged in severity and time course, lasting weeks to months in contrast to the days and weeks observed in other injuries. Nutrition support provides the substrates and nutrients to prevent the complications of deficiencies as well as supporting wound healing, and recovery from hormonal and metabolic abnormalities after thermal injury. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl: 21-5

  4. Burned Microporous Alumina-Graphite Brick

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ 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.

  5. Using Pig skin to treat Burns

    International Nuclear Information System (INIS)

    The paper discusses the use of irradiated Pig Skin for the treatment of Burns, traumatic dermal denudations and poorly healing Decubitus ulcers. It gives a brief history of Pig skin use its characteristics

  6. On burning a lump of coal

    Science.gov (United States)

    Alonso-Serrano, Ana; Visser, Matt

    2016-06-01

    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.

  7. Predictors of insulin resistance in pediatric burn injury survivors 24 to 36 months post-burn

    Science.gov (United States)

    Chondronikola, Maria; Meyer, Walter J.; Sidossis, Labros S.; Ojeda, Sylvia; Huddleston, Joanna; Stevens, Pamela; Børsheim, Elisabet; Suman, Oscar E.; Finnerty, Celeste C.; Herndon, David N.

    2014-01-01

    Background Burn injury is a dramatic event with acute and chronic consequences including insulin resistance. However, factors associated with insulin resistance have not been previously investigated. Purpose To identify factors associated with long-term insulin resistance in pediatric burn injury survivors. Methods The study sample consisted of 61 pediatric burn injury survivors 24 to 36 months after the burn injury, who underwent an oral glucose tolerance test. To assess insulin resistance, we calculated the area under the curve for glucose and insulin. The diagnostic criteria of the American Diabetes Association were used to define individuals with impaired glucose metabolism. Additional data collected include body composition, anthropometric measurements, burn characteristics and demographic information. The data were analyzed using multivariate linear regression analysis. Results Approximately 12% of the patients met the criteria for impaired glucose metabolism. After adjusting for possible confounders, burn size, age and percent body fat were associated with the area under the curve for glucose (p<0.05 for all). Time post-burn and lean mass were inversely associated with the area under the curve for glucose (p<0.05 for both). Similarly, older age predicted higher insulin area under the curve. Conclusion A significant proportion of pediatric injury survivors suffer from glucose abnormalities 24–36 months post-burn. Burn size, time post-burn, age, lean mass and adiposity are significant predictors of insulin resistance in pediatric burn injury survivors. Clinical evaluation and screening for abnormal glucose metabolism should be emphasized in patients with large burns, older age and survivors with high body fat. PMID:24918945

  8. Micafungin Concentrations in the Plasma and Burn Eschar of Severely Burned Patients

    OpenAIRE

    Sasaki, Junichi; Yamanouchi, Satoshi; Kudo, Daisuke; Endo, Tomoyuki; Nomura, Ryosuke; Takuma, Kiyotsugu; Kushimoto, Shigeki; Shinozawa, Yotaro; Kishino, Satoshi; Hori, Shingo; Aikawa, Naoki

    2012-01-01

    Micafungin concentrations in plasma and burn eschar after daily intravenous infusion (1 h) of micafungin (200 to 300 mg) were investigated for six patients with severe burns. Micafungin treatment was initiated more than 72 h after the burn injuries. The peak and trough levels in the plasma after the initial administration and repeated administrations for more than 4 days were comparable with or slightly lower than the reported values for healthy volunteers. Micafungin concentrations in the pl...

  9. Influence of early post-burn enteral nutrition on clinical outcomes of patients with extensive burns

    OpenAIRE

    Lu, Guozhong; Huang, Jiren; Yu, Junjie; Zhu, Yugang; Cai, Liangliang; Gu, Zaiqiu; Su, Qinghe

    2011-01-01

    Sepsis commonly occurs in severe post-burn patients, often resulting in death. We aimed to evaluate the influence of early enteral feeding on outcomes in patients with extensive burns, including infection incidence, healing and mortality. We retrospectively reviewed 60 patients with extensive burns, 35 who had received early enteral nutrition and 25 who had received parenteral nutrition. Average healing time, infection incidence and mortality were clinically observed. Hemoglobin and serum alb...

  10. Treatment of Burning Mouth Syndrome With Amisulpride

    OpenAIRE

    Rodriguez-Cerdeira, Carmen; Sanchez-Blanco, Elena

    2012-01-01

    Background Burning mouth syndrome (BMS) is a frequently occurring disease characterized by a burning or painful sensation in the tongue and/or other oral sites without clinical mucosal abnormalities or lesions. Its etiopathology is unknown, although local, systemic, and psychological factors have been associated with BMS. The syndrome is multifactorial, and its management remains unsatisfactory. The purpose of this study was to obtain preliminary data regarding the efficacy and tolerability o...

  11. The Local Treatment of Burns With Antibiotics

    OpenAIRE

    Napoli, B.; D’Arpa, N.; Masellis, A.; Masellis, M.

    2005-01-01

    After presenting an analysis of the principal antiseptics used for the local treatment of burns, highlighting their toxicity and the limitations of their antibacterial effectiveness, we describe the therapeutic protocol used in our burns centre (where antibacterial treatment consists exclusively of antibiotics for both local and systemic use). We review the data regarding actual and predicted mortality, and mortality due to septicaemia during the years 2000-2003.

  12. Parents’ experience confronting child burning situation

    OpenAIRE

    Valdira Vieira de Oliveira; Ariadne da Silva Fonseca; Maísa Tavares de Souza Leite; Luciana Soares dos Santos; Adélia Dayane Guimarães Fonseca; Conceição Vieira da Silva Ohara

    2016-01-01

    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, fe...

  13. Van burn-out naar bevlogenheid

    OpenAIRE

    Hoekx, Laura

    2015-01-01

    Het fenomeen burn-out is tegenwoordig niet meer uit de media weg te denken. Steeds meer mensen gaan ten onder aan werkstress en geraken opgebrand. Dat heeft niet alleen voor de persoon in kwestie negatieve gevolgen, zowel mentaal als lichamelijk, maar ook voor de organisatie. Een minder bekend en relatief nieuw begrip is bevlogenheid of engagement, de tegenhanger van burn-out. Bevlogen mensen zijn energiek, voelen zich betrokken bij de organisatie en kunnen lang en onvermoeibaar doorgaan met ...

  14. Increased mortality in hypernatremic burned patients

    OpenAIRE

    de Lange, Thomas; Mailänder, Peter; Stollwerck, Peter. L.; Stang, Felix H.; Siemers, Frank; Namdar, Thomas

    2010-01-01

    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 in...

  15. Increased mortality in hypernatremic burned patients

    OpenAIRE

    Namdar, T; Siemers, F; Stollwerck, PL; Stang, FH; Mailänder, P; de Lange, T

    2010-01-01

    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 i...

  16. Transdermal fluid loss in severely burned patients

    Directory of Open Access Journals (Sweden)

    Lange, Thomas

    2010-01-01

    Full Text Available Introduction: The skin protects against fluid and electrolyte loss. Burn injury does affect skin integrity and protection against fluid loss is lost. Thus, a systemic dehydration can be provoked by underestimation of fluid loss through burn wounds. Purpose: We wanted to quantify transdermal fluid loss in burn wounds. Method: Retrospective study. 40 patients admitted to a specialized burn unit were analyzed and separated in two groups without (Group A or with (Group B hypernatremia. Means of daily infusion-diuresis-ratio (IDR and the relationship to totally burned surface area (TBSA were analyzed. Results: In Group A 25 patients with a mean age of 47±18 years, a mean TBSA of 23±11%, and a mean abbreviated burned severity index (ABSI score of 6.9±2.1 were summarized. In Group B 15 patients with a mean age of 47±22 years, a mean TBSA of 30±13%, and a mean ABSI score of 8.1±1.7 were included. Statistical analysis of the period from day 3 to day 6 showed a significant higher daily IDR-amount in Group A (Group A vs. Group B: 786±1029 ml vs. –181±1021 ml; p<0.001 and for daily IDR-TBSA-ratio (Group A vs. Group B: 40±41 ml/% vs. –4±36 ml/%; p<0.001. Conclusions: There is a systemic relevant transdermal fluid loss in burn wounds after severe burn injury. Serum sodium concentration can be used to calculate need of fluid resuscitation for fluid maintenance. There is a need of an established fluid removal strategy to avoid water and electrolyte imbalances.

  17. Violates stem wood burning sustainable development?

    DEFF Research Database (Denmark)

    Czeskleba-Dupont, Rolf

    2008-01-01

    friendly effects of substituting wood burning for fossil fuels. With reference to Bent Sørensen's classical work on 'Renewable Energy' the assumption of CO2-neutrality regarding incineration is problematised when applied to plants with long rotation periods as trees. Registered CO2-emissions from wood...... 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....

  18. Epidemiology and screening of intentional burns in children in a Dutch burn centre.

    Science.gov (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

    2016-09-01

    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. PMID:27211360

  19. Spatial frequency domain imaging of burn wounds in a preclinical model of graded burn severity

    Science.gov (United States)

    Nguyen, John Quan; Crouzet, Christian; Mai, Tuan; Riola, Kathleen; Uchitel, Daniel; Liaw, Lih-Huei; Bernal, Nicole; Ponticorvo, Adrien; Choi, Bernard; Durkin, Anthony J.

    2013-06-01

    Frequent monitoring of early-stage burns is necessary for deciding optimal treatment and management. Both superficial and full thickness burns are relatively easy to diagnose based on clinical observation. In between these two extremes are superficial-partial thickness and deep-partial thickness burns. These burns, while visually similar, differ dramatically in terms of clinical treatment and are known to progress in severity over time. The objective of this study was to determine the potential of spatial frequency domain imaging (SFDI) for noninvasively mapping quantitative changes in chromophore and optical properties that may be an indicative of burn wound severity. A controlled protocol of graded burn severity was developed and applied to 17 rats. SFDI data was acquired at multiple near-infrared wavelengths over a course of 3 h. Burn severity was verified using hematoxylin and eosin histology. From this study, we found that changes in water concentration (edema), deoxygenated hemoglobin concentration, and optical scattering (tissue denaturation) to be statistically significant at differentiating superficial partial-thickness burns from deep-partial thickness burns.

  20. 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

    2009-01-01

    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.

  1. Antithrombin in the treatment of burn trauma.

    Science.gov (United States)

    Kowal-Vern, Areta; Orkin, Bruce A

    2016-02-01

    Antithrombin (AT) is a natural anticoagulant with anti-inflammatory properties that has demonstrated value in sepsis, disseminated intravascular coagulation and in burn and inhalation injury. With high doses, AT may decrease blood loss during eschar excision, reducing blood transfusion requirements. There are no human randomized, placebo-controlled studies, which have tested the true benefit of this agent in these conditions. Two main forms of AT are either plasma-derived AT (phAT) and recombinant AT (rhAT). Major ovine studies in burn and smoke inhalation injury have utilized rhAT. There have been no studies which have either translated the basic rhAT research in burn trauma, or determined the tolerance and pharmacokinetics of rhAT concentrate infusions in burn patients. Advantages of rhAT infusions are no risk of blood borne diseases and lower cost. However, the majority of human burn patient studies have been conducted utilizing phAT. Recent Japanese clinical trials have started using phAT in abdominal sepsis successfully. This review examines the properties of both phAT and rhAT, and analyzes studies in which they have been utilized. We believe that it is time to embark on a randomized placebo-controlled multi-center trial to establish the role of AT in both civilian and military patients with burn trauma. PMID:26855890

  2. [Invasive yeast infections in severely burned patients].

    Science.gov (United States)

    Renau, Ana Isabel; García-Vidal, Carolina; Salavert, Miguel

    2016-01-01

    Currently, there are few studies on candidaemia in the severely burned patient. These patients share the same risk factors for invasive fungal infections as other critically ill patients, but have certain characteristics that make them particularly susceptible. These include the loss of skin barrier due to extensive burns, fungal colonisation of the latter, and the use of hydrotherapy or other topical therapies (occasionally with antimicrobials). In addition, the increased survival rate achieved in recent decades in critically burned patients due to the advances in treatment has led to the increase of invasive Candida infections. This explains the growing interest in making an earlier and more accurate diagnosis, as well as more effective treatments to reduce morbidity and mortality of candidaemia in severe burned patients. A review is presented on all aspects of the burned patient, including the predisposition and risk factors for invasive candidiasis, pathogenesis of candidaemia, underlying immunodeficiency, local epidemiology and antifungal susceptibility, evolution and prognostic factors, as well as other non-Candida yeast infections. Finally, we include specific data on our local experience in the management of candidaemia in severe burned patients, which may serve to quantify the problem, place it in context, and offer a realistic perspective. PMID:27395025

  3. [The Nutrition Care of Severe Burn Patients].

    Science.gov (United States)

    Hsieh, Yu-Hsiu

    2016-02-01

    In addition to recent advances in burn patient care techniques such as maintaining warm circumambient temperature, the early excision of wounds, and the use of closed dressing, providing nutrition support through early feeding has proven instrumental in greatly increasing the survival rate of burn patients. Severe burns complicated by many factors initiate tremendous physiological stress that leads to postburn hypermetabolism that includes enhanced tissue catabolism, the loss of muscle mass, and decreases in the body's reservoirs of protein and energy. These problems have become the focus of burn therapy. Treating severe burns aims not only to enhance survival rates but also to restore normal bodily functions as completely as possible. Recent research evaluating the application of anabolic agents and immune-enhance formula for severe burns therapy has generated significant controversy. Inadequate caloric intake is one of the main differences among the related studies, with the effect of many special nutrients such as bran acid amides not taken into consideration. Therefore, considering the sufficiency of caloric and protein intake is critical in assessing effectiveness. Only after patients receive adequate calories and protein may the effect of special nutrients such as glutamine and supplements be evaluated effectively. PMID:26813059

  4. Community energy plan : village of Burns Lake

    International Nuclear Information System (INIS)

    Climate change has a significant impact on the lives of Canadians and their economies. In northern British Columbia, the ability to grow, process and transport food will likely change. The rising cost of fuel and other natural resources will create a need for more resilient communities. This report presented a community energy plan for Burns Lake in order to provide the first steps toward building on an already resilient community. The report answered questions about Burns Lake's energy consumption and greenhouse gas (GHG) emissions as well as the community's views on energy issues. The report provided background information on the Village of Burns Lake and discussed climate change in Burns Lake, energy use, and greenhouse gas emissions. The report also described community engagement by way of a questionnaire on fuel prices, homes and public opinion in Burns Lake. A strategy was also outlined. It was concluded that the village of Burns Lake is well positioned to face challenges regarding future energy use. The community is looking to the municipality for support and leadership, in order to deliver through active opportunities to reduce greenhouse gas emissions. 6 figs., 4 appendices.

  5. Effects of Burning Alternative Fuel in a 5-Cup Combustor Sector

    Science.gov (United States)

    Tacina, K. M.; Chang, C. T.; Lee, C.-M.; He, Z.; Herbon, J.

    2015-01-01

    A goal of NASA's Environmentally Responsible Aviation (ERA) program is to develop a combustor that will reduce the NOx emissions and that can burn both standard and alternative fuels. To meet this goal, NASA partnered with General Electric Aviation to develop a 5-cup combustor sector; this sector was tested in NASA Glenn's Advanced Subsonic Combustion Rig (ASCR). To verify that the combustor sector was fuel-flexible, it was tested with a 50-50 blend of JP-8 and a biofuel made from the camelina sativa plant. Results from this test were compared to results from tests where the fuel was neat JP-8. Testing was done at three combustor inlet conditions: cruise, 30% power, and 7% power. When compared to burning JP-8, burning the 50-50 blend did not significantly affect emissions of NOx, CO, or total hydrocarbons. Furthermore, it did not significantly affect the magnitude and frequency of the dynamic pressure fluctuations.

  6. 49 CFR 195.226 - Welding: Arc burns.

    Science.gov (United States)

    2010-10-01

    ... 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...

  7. 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.

    2011-06-01

    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

  8. 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)

    2001-07-01

    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.)

  9. Bony ankylosis following thermal and electrical injury

    International Nuclear Information System (INIS)

    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.)

  10. Orion Burn Management, Nominal and Response to Failures

    Science.gov (United States)

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

    2016-01-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Antoinette Runge

    2011-07-01

    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.

  12. Burn-up and cycle length optimization project of the robust fuel programme

    International Nuclear Information System (INIS)

    The Spanish electric sector (UNESA) takes part in the Robust Fuel programme in the different work groups set up by EPRI. Iberinco, with the collaboration of Iberdrola Generacion (TECNO and Cofrentes NPP) and Soluziona Ingenieria, has created a stable multidisciplinary group to assimilate and follow up this program, analyzing in detail the technology generated and evaluating the conclusions to provide the most suitable recommendations for application. Along these lines, one of the most promising projects within technical group 3 (High burn properties) has been the one called Burn-up and cycle Length Optimization. In January 2000 Duke Power published a study on the plants it owns (PWR type) and 18-month cycles, to establish the optimum unloading burn-up of fuel. The conclusion it reached is that the fuel cost drops t a minimum for average unload burn-ups of between 60 and 70 GWd/MTU. As an extension to this study and covering a wider base of considerations, Exelon, with the support of Westinghouse and the University of Pennsylvania, released a study in December 2001 on different reference cores with different cycle lengths. In this study, the optimum burn-up without exceeding current maximum enrichment limits (5%) is determined. Publication of the results of the second phase, considering higher enrichments, was due in the summer of 2002. The design of the core to be refueled and economic analyzes show that both pressurized water reactors (PWR) and boiling water reactors (BWR) can obtain significant benefits by increasing the fuel unloading burn-up above currently licensed limits. However, the optimum unload burn-up level is not reached without exceeding the current enrichment limit of 5% . (Author)

  13. Tm7sf2 may participate in the healing of burn wounds.

    Science.gov (United States)

    Lei, Na; Wang, Peng; Meng, Qiang

    2016-07-01

    The transmembrane 7 superfamily member 2 (Tm7sf2) gene been reported to be involved in the reduced cholesterol levels of patients with large burn areas. To investigate the importance of Tm7sf2 in the burn wound healing process, a total of 10 Sprague‑Dawley rats underwent electrical burns. Blood serum was collected for the culture of HaCaT human keratinocyte cells. Tm7sf2 small interfering RNAs (siRNAs) were prepared and transfected into the normal‑ and burn serum‑cultured HaCaT cells. Monocyte‑endothelial cellular adhesion ability and cell proliferation, as determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay, and the levels of autophagy proteins Beclin1 and LC3‑II, which were detected by western blot assay and real time‑quantitative polymerase chain reaction, and it was identified that Tm7sf2 siRNAs were successfully transfected. Cell proliferation was reduced and monocyte-endothelial cell adhesion increased in the burn serum group compared with the normal serum group (P<0.05). Additionally, the expression levels of Beclin1 and LC3‑II were increased, and the addition of siTm7sf2 had a similar effect as the burn serum. Thus, Tm7sf2 may take part in the burn wound healing process by interacting with LC3‑II and Beclin1, and targeting Tm7sf2 may have therapeutic benefits. PMID:27220550

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

    Directory of Open Access Journals (Sweden)

    Mohammad Javad Fatemi

    2013-01-01

    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.

  15. Children with burns referred for child abuse evaluation: Burn characteristics and co-existent injuries.

    Science.gov (United States)

    Pawlik, Marie-Christin; Kemp, Alison; Maguire, Sabine; Nuttall, Diane; Feldman, Kenneth W; Lindberg, Daniel M

    2016-05-01

    Intentional burns represent a serious form of physical abuse that must be identified to protect children from further harm. This study is a retrospectively planned secondary analysis of the Examining Siblings To Recognize Abuse (ExSTRA) network data. Our objective was to describe the characteristics of burns injuries in children referred to Child Abuse Pediatricians (CAPs) in relation to the perceived likelihood of abuse. We furthermore compare the extent of diagnostic investigations undertaken in children referred to CAPs for burn injuries with those referred for other reasons. Within this dataset, 7% (215/2890) of children had burns. Children with burns were older than children with other injuries (median age 20 months vs. 10 months). Physical abuse was perceived as likely in 40.9% (88) and unlikely in 59.1% (127). Scalds accounted for 52.6% (113) and contact burns for 27.6% (60). Several characteristics of the history and burn injury were associated with a significantly higher perceived likelihood of abuse, including children with reported inflicted injury, absent or inadequate explanation, hot water as agent, immersion scald, a bilateral/symmetric burn pattern, total body surface area ≥10%, full thickness burns, and co-existent injuries. The rates of diagnostic testing were significantly lower in children with burns than other injuries, yet the yield of skeletal survey and hepatic transaminases testing were comparable between the two groups. This would imply that children referred to CAPs for burns warrant the same level of comprehensive investigations as those referred for other reasons. PMID:27088728

  16. Modulation of inflammatory and catabolic responses in severely burned children by early burn wound excision in the first 24 hours

    NARCIS (Netherlands)

    Barret, JP; Herndon, DN

    2003-01-01

    Hypothesis: Early burn wound excision modulates the hypermetabolic response in severe pediatric burn injuries. Design: Before-after trial. Setting: A 30-bed burn referral center in a private, university-affiliated hospital. Methods: We studied 35 severely burned children who were divided into 2 grou

  17. Burn size determines the inflammatory and hypermetabolic response

    OpenAIRE

    Jeschke, Marc G.; Mlcak, Ronald P.; Finnerty, Celeste C.; Norbury, William B.; Gauglitz, Gerd G.; Kulp, Gabriela A; Herndon, David N

    2007-01-01

    Background Increased burn size leads to increased mortality of burned patients. Whether mortality is due to inflammation, hypermetabolism or other pathophysiologic contributing factors is not entirely determined. The purpose of the present study was to determine in a large prospective clinical trial whether different burn sizes are associated with differences in inflammation, body composition, protein synthesis, or organ function. Methods Pediatric burned patients were divided into four burn ...

  18. Pediatric Burns in the Bedouin Population in Southern Israel

    OpenAIRE

    Cohen, Arnon D; Gurfinkel, R.; Glezinger, R.; Kriger, Y.; Yancolevich, N.; Rosenberg, L

    2007-01-01

    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 surfac...

  19. Aetiology and Outcome of Elderly Burn Patients in Tabriz, Iran

    OpenAIRE

    H. Maghsoudi; Ghaffari, A

    2009-01-01

    Background. Geriatric patients, usually defined as being 65 years of age or over, now make up about 10% of the major burn population. Main aim. To conduct a prospective study of elderly burn patients, analysing the predictive value of age, gender, total body surface area (TBSA) burned, inhalation trauma, pre-morbid conditions, and mortality. Methods. A 10-year prospective study of burn victims hospitalized in a major burn centre in Iran was conducted to analyse the association between age, pe...

  20. Epidemiology of outpatient burns in Iran: an update

    OpenAIRE

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

    2014-01-01

    Burn injury remains a serious and devastating issue faced by developing countries. It is also true, however, that the developed world still tackles many of the challenges caused by burns. In order to reduce this problem through preventive programs, the characteristics of this type of injury must be studied and well documented in each setting. Our study aims to show the epidemiology, demographic distribution and clinical outcomes of burns patients referred to Motahari Burn Hospital, the burn c...

  1. Modeling and simulation of cement clinkering process with compact internal burning of carbon

    International Nuclear Information System (INIS)

    This article describes a mathematical model of the thermodynamic process for Cement Clinkering Process with Compact Internal Burning of Carbon. Using simplifying assumptions, results of calculations are presented based on relevant computerized numerical simulation for a set of typical process parameters obtained from the existing cement shaft kiln operation and the electrical furnace test on the mechanical and chemical performance of the compact coal containing cement raw meal pellets. It is revealed that, the carbon internal burning mode, combining fuel combustion and gas solid heat transfer together as well as preheating, calcining, clinkering and cooling of the raw pellets together, is the origin of the process superiority in respect of equipment simplicity, process enhancement, high energy efficiency and low pollution. Important process details are determined, e.g. the features and lengths of the process zones, the material residence time and the burning mode of carbon in each zone, the clinkering reaction course and the maximum burning temperature. It is concluded that numerical simulations could be useful tool for understanding the new process ideas, as well as conducting the technical development and optimizing the process design. - Highlights: • Twin subsystem model is used to simulate a new type of cement shaft kiln process. • Grain-particle structural model is used to describe the pellet solid gas reactions. • The process superiority resulted from the carbon internal burning mode is revealed. • A series of important process details are determined. • An unprecedented comprehensive picture for cement clinkering process is depicted

  2. Bacterial and fungal colonization of burn wounds

    Directory of Open Access Journals (Sweden)

    Jefferson Lessa Soares de Macedo

    2005-08-01

    Full Text Available A prospective study of fungal and bacterial flora of burn wounds was carried out from February 2004 to February 2005 at the Burns Unit of Hospital Regional da Asa Norte, Brasília, Brazil. During the period of the study, 203 patients were treated at the Burns Unit. Wound swab cultures were assessed at weekly intervals for four weeks. Three hundred and fifty four sampling procedures (surface swabs were performed from the burn wounds. The study revealed that bacterial colonization reached 86.6% within the first week. Although the gram-negative organisms, as a group, were more predominant, Staphylococcus aureus (28.4% was the most prevalent organism in the first week. It was however surpassed by Pseudomonas aeruginosa form third week onwards. For S. aureus and P. aeruginosa vancomycin and polymyxin were found to be the most effective drugs. Most of the isolates showed high level resistance to antimicrobial agents. Fungi were found to colonize the burn wound late during the second week postburn, with a peak incidence during the third and fourth weeks. Species identification of fungi revealed that Candida tropicalis was the most predominant, followed by Candida parapsilosis. It is crucial for every burn institution to determine the specific pattern of burn wound microbial colonization, the time-related changes in the dominant flora, and the antimicrobial sensitivity profiles. This would enable early treatment of imminent septic episodes with proper empirical systemic antibiotics, without waiting for culture results, thus improving the overall infection-related morbidity and mortality.

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

    Energy Technology Data Exchange (ETDEWEB)

    Hederich, M.P.

    2001-07-01

    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.

  4. Special considerations in paediatric burn patients

    Directory of Open Access Journals (Sweden)

    Sharma Ramesh

    2010-10-01

    Full Text Available Burn injuries are a major cause of morbidity and mortality in children. In India, the figure constitutes about one-fourth of the total burn accidents. The management of paediatric burns can be a major challenge for the treating unit. One has to keep in mind that "children are not merely small adults"; there are certain features in this age group that warrant special attention. The peculiarities in the physiology of fluid and electrolyte handling, the uniqueness of the energy requirement and the differences in the various body proportions in children dictate that the paediatric burn management should be taken with a different perspective than for adults. This review article would deal with the special situations that need to be addressed while treating this special class of thermal injuries. We must ensure that not only the children survive the initial injury, but also the morbidity and complications are minimized. If special care is taken during the initial management of paediatric burn injuries, these children can be effectively integrated into the society as very useful and productive members.

  5. Medical response to the radioinduced burns

    International Nuclear Information System (INIS)

    For over two years the Hospital for Burns in Buenos Aires has been studying the burns caused by radiation, in accordance to an agreement with the Nuclear Regulatory Authority (ARN) of Argentina. The analysis of each case showed the importance of the differential diagnosis from conventional injuries, of this early diagnosis depends the possibility of treatment from the 0 (zero) hour (time at which the accident took place) and achieve the wound healing with the best possible treatment, weather it is medical or surgical in nature. The Hospital's medical staff has developed the necessary skills to recognize this type of burns from an early stage. Most patients arrive to the consultation on their own accord due to the general practitioners inability to correctly diagnose the wounds appeared after radiotherapy has been applied. In this article, we present the general guidelines that the doctors of the Hospital for Burns follow in the presence of radio inducted injuries, objectifying the ethiopathogenic differences of the various burns. (author)

  6. Ventilator associated pneumonia in major paediatric burns.

    Science.gov (United States)

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

    2014-09-01

    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. PMID:24468505

  7. Increased mortality in hypernatremic burned patients

    Directory of Open Access Journals (Sweden)

    Lange, Thomas

    2010-01-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Sean A. Parks

    2014-02-01

    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.

  9. BURN SIZE AND SURVIVAL PROBABILITY IN PEDIATRIC PATIENTS IN MODERN BURN CARE

    Science.gov (United States)

    Kraft, Robert; Herndon, David N; Al-Mousawi, Ahmed M; Williams, Felicia N; Finnerty, Celeste C; Jeschke, Marc G

    2012-01-01

    Background Patient survival following severe burn injury is largely determined by burn size. Modern developments in burn care have tremendously improved survival and outcomes. However, no large analysis on outcomes in pediatric burn patients with current treatment regimen exists. This study was designed to identify the burn size presently associated with significant increases in morbidity and mortality in pediatric burn patients. Methods Single center prospective observational cohort study utilizing the clinical data of severely burned pediatric patients admitted between 1998 and 2009. This study included 952 severely burned pediatric patients with burns over at least 30% of their total body surface area (TBSA). Patients were stratified by burn size in 10% increments, ranging from 30 to 100%, with a secondary assignment made according to the outcome of a receiver operating characteristic (ROC) analysis. Statistical analysis was performed using Student’s t-test, χ2 test, logistic regression and ROC analysis, as appropriate, with significance set at p<0.05. Findings All groups were comparable in age (age in years: 30–39: 6.1±5.1, 40–49: 7.1±5.2, 50–59: 7.6±5.1, 60–69: 7.2±5.1, 70–79: 8.3±5.9, 80–89: 8.4±5.6, 90–100: 9.6±5.4), and gender distribution (male: 30–39: 68%, 40–49: 64%, 50–59: 65%, 60–69: 59%, 70–79: 71%, 80–89: 62%, 90–100: 82%). Mortality (30–39: 3%, 40–49: 3%, 50–59: 7%, 60–69: 16%, 70–79: 22%, 80–89: 35%, 90–100: 55%), multi-organ failure (30–39: 6%, 40–49: 6%, 50–59: 12%, 60–69: 27%, 70–79: 29%, 80–89: 44%, 90–100: 45%), and sepsis (30–39: 2%, 40–49: 5%, 50–59: 6%, 60–69: 15%, 70–79: 13%, 80–89: 22%, 90–100: 26%), increased significantly (p<0.001) among the groups and at a threshold of 62% TBSA. Comparison of patients with burns larger than 62% with those smaller showed significant differences in inflammatory (Cytokines), acute phase (CRP) and hypermetabolic responses (REE

  10. A clarion to recommit and reaffirm burn rehabilitation.

    Science.gov (United States)

    Richard, Reginald L; Hedman, Travis L; Quick, Charles D; Barillo, David J; Cancio, Leopoldo C; Renz, Evan M; Chapman, Ted T; Dewey, William S; Dougherty, Mary E; Esselman, Peter C; Forbes-Duchart, Lisa; Franzen, Beth J; Hunter, Hope; Kowalske, Karen; Moore, Merilyn L; Nakamura, Dana Y; Nedelec, Bernedette; Niszczak, Jon; Parry, Ingrid; Serghiou, Michael; Ward, R Scott; Holcomb, John B; Wolf, Steven E

    2008-01-01

    Burn rehabilitation has been a part of burn care and treatment for many years. Yet, despite of its longevity, the rehabilitation outcome of patients with severe burns is less than optimal and appears to have leveled off. Patient survival from burn injury is at an all-time high. Burn rehabilitation must progress to the point where physical outcomes parallel survival statistics in terms of improved patient well-being. This position article is a treatise on burn rehabilitation and the state of burn rehabilitation patient outcomes. It describes burn rehabilitation interventions in brief and why a need is felt to bring this issue to the forefront. The article discusses areas for change and the challenges facing burn rehabilitation. Finally, the relegation and acceptance of this responsibility are addressed. PMID:18388581

  11. Cost analysis of a major burn.

    Science.gov (United States)

    Lofts, J A

    1991-11-27

    A retrospective review was undertaken of 26 patients admitted to Middlemore Hospital between January 1986 to July 1989 with burns totalling more than 30% of total body surface area. An attempt was made to estimate the total cost of successful inpatient management of a major burn using known and assumed values. The new schedule of interboard hospital charges was also employed for greater accuracy. The 20 survivors had a mean initial hospital stay of 68.7 days at a cost of between $37,077 and $40,702 (1989 values) and $46,069 (1991 values). This latter figure equates to an average cost of $647 per patient per day or, alternatively, $927 per % burn. Suggestions to reduce costs and improve treatment include: earlier excision and grafting; the establishment of a regional skin bank and keratinocyte culture facility to aid wound closure; and guidelines on antibiotic prescribing. PMID:1745459

  12. An overview of burning mouth syndrome.

    Science.gov (United States)

    Salerno, Carmen; Di Stasio, Dario; Petruzzi, Massimo; Lauritano, Dorina; Gentile, Enrica; Guida, Agostino; Maio, Claudio; Tammaro, Mariasofia; Serpico, Rosario; Lucchese, Alberta

    2016-01-01

    Burning mouth syndrome (BMS) is characterised by the presence of a burning sensation in the oral mucosa in the absence of any clinically apparent mucosal sign. It occurs more commonly in older women and often affects the tongue tip and lateral borders, lips, and hard and soft palates. Besides the burning sensation, patients with BMS may complain of unremitting oral mucosal pain, dysgeusia, and xerostomia. The exact pathophysiology of primary BMS remains unknown. A major challenge for the clinician is the treatment of BMS: identifying possible causative factors is the first step, but BMS is often idiopathic. Drug therapy, in addition to behavioural therapy and psychotherapy, may help to eliminate the symptoms. Considering the growing incidence of BMS in older people, further research is required to determine the true efficacy of current management strategies for patients with this disorder. PMID:26709657

  13. Epidemiologic study of scald burns in victims in Tehran burn hospital

    Directory of Open Access Journals (Sweden)

    Kamran Aghakhani

    2013-10-01

    Full Text Available Background: Damages caused by scald burns are common and can cause severe complications and death. The purpose of this study was to define risk groups and then methods of prevention and treatment is designed to fit. Methods: Data for this retrospective study of hospitalized patients in Shahid Motahari Hospital in Tehran from 2007-2011 were compiled. Data including age, sex, cause of burn, and degree of burn and ultimate fate of the victims were collected from scald burns. Burns caused by boiling water and hot food (Scald , in two age groups : 12 and under 12 years ( children and more than 12 years ( adults were compared in terms of statistics . Results: A total of 1150 patients consisting of males (57.9% and females (42.1% were studied. The most common age was 1 year old and 50% of patients were under 3 years of age. 87.9% burned with boiling water and 12.1% had experienced burns with hot food. Incentive to burn was 0.3% cross burning and 99.7% incident. A maximum number of burns in children 12 years and younger males (42.1% and a minimum number in men over 12 years (15.7% were observed. Mean percentage of burns was 11% in over 12 years group and 30.9% in 12 and under 12 years group. The average hospital stay was 11.4 days and the mortality rate was 4.8%. The final status of the patients was as fallows: full recovery 904 cases (78.6%, partial recovery 134 (11.7%, clearance with personal consent 41 (3.6%, death 55 (4.8% and 16 cases (3.1% were among other reasons. Conclusion: In general it can be said, scald burns incidence in individuals aged 12 and younger were more than the older ones and the mean of burns was lower in individuals with over 12 years old. There was a sexual preference for males under 12 years. Mortality rate in the two groups has not any statistically significant difference. There was no statistically significant association between sex and mortality rate. Some of our findings are depending on cultural, social and economic

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

    Directory of Open Access Journals (Sweden)

    V K Tiwari

    2012-01-01

    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.

  15. Risk factors for mortality in burn children

    Directory of Open Access Journals (Sweden)

    Maria Teresa Rosanova

    2014-04-01

    Full Text Available Studies about risk factors for mortality in burn children are scarce. We conducted this study to evaluate the risk factors for mortality in pediatric burn patients. We included 110 patients. Mean age was 31.5 months (range: 1 to 204. The burn surface was between 1% and 95%(median 27% Type of burn was: A or superfitial in 39 patients (36%, AB or intermediate in 19 (17%, and B or full thickness in 52 (47%. Inhalatory injury was present in 52 patients (47%. Invasive procedures were: venous catheter, 90 patients (82%, arterial catheter, 83patients (75.5%, urinary catheter, 86 patients (78%, and mechanical ventilation, 75 patients (68%. In 84 patients, 128 infections were diagnosed. in 53 cases (48%. Multiresistant Pseudomonas aeruginosa and Acynetobacter baumannii were the most common organisms isolated. The median length of hospital stay was 33 days (r: 8-139 days. Seventeen patients (15% died and 14 of them of infection-related causes. Age 40% burn surface, presence of inhalatory syndrome, use of venous catheter, arterial catheter, urinary catheter and mechanical ventilation, positive blood cultures, colistin use in documented multiresistant infections, antifungal use and graft requirement, were identified as risks factors for mortality in the univariate analysis. By multivariate analysis: age <4 years, Garcés 4, colistin use in multiresistant infections, mechanical ventilation and graft requirement were independent variables related with mortality. CONCLUSIONS: In this series of burn children age < 4 years, Garces index score 4, colistin use in documented multiresistant infections, mechanical ventilation and graft requirement were identified as independent variables related with mortality.

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

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, Marcia A.; Oliver, Michael S.

    2012-08-01

    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.

  17. Addition agents effects on hydrocarbon fuels burning

    Science.gov (United States)

    Larionov, V. M.; Mitrofanov, G. A.; Sakhovskii, A. V.

    2016-01-01

    Literature review on addition agents effects on hydrocarbon fuels burning has been conducted. The impact results in flame pattern and burning velocity change, energy efficiency increase, environmentally harmful NOx and CO emission reduction and damping of self-oscillations in flow. An assumption about water molecules dissociation phenomenon existing in a number of practical applications and being neglected in most explanations for physical- chemical processes taking place in case of injection of water/steam into combustion zone has been noted. The hypothesis about necessity of water dissociation account has been proposed. It can be useful for low temperature combustion process control and NOx emission reduction.

  18. Control of a burning tokamak plasma

    Energy Technology Data Exchange (ETDEWEB)

    Burmeister, R.E.; Mandrekas, J.; Stacey, W.M.

    1993-03-01

    This report is a review of the literature relevant to the control of the thermonuclear burn in a tokamak plasma. Some basic tokamak phenomena are reviewed, and then control by modulation of auxiliary heating and fueling is discussed. Other possible control methods such as magnetic ripple, plasma compression, and impurity injection as well as more recent proposed methods such as divertor biasing and L- to H-mode transition are also reviewed. The applications of modern control theory to the tokamak burn control problem are presented. The control results are summarized and areas of further research are identified.

  19. Three-dimensional simulations of burning thermals

    Science.gov (United States)

    Aspden, Andy; Bell, John; Woosley, Stan

    2010-11-01

    Flame ignition in type Ia supernovae (SNe Ia) leads to isolated bubbles of burning buoyant fluid. As a bubble rises due to gravity, it becomes deformed by shear instabilities and transitions to a turbulent buoyant vortex ring. Morton, Taylor and Turner (1956) introduced the entrainment assumption, which can be applied to inert thermals. In this study, we use the entrainment assumption, suitably modified to account for burning, to predict the late-time asymptotic behaviour of these turbulent buoyant vortex rings in SNe Ia. The theory is validated against three- dimensional simulations with adaptive mesh refinement at effective resolutions up to 4096^3.

  20. Inflammatory pain in experimental burns in man

    DEFF Research Database (Denmark)

    Pedersen, J L

    2000-01-01

    Human experimental pain models are important tools in pain research. The primary aims of pain research in normal man is 1) to provide insight in pain mechanisms, 2) to provide a rational basis for clinical trials of pain relieving interventions, and 3) to confirm the anti-nociceptive effects...... inflammatory responses to superficial thermal burns in skin have been studied in healthy volunteers. Burns have the potential for releasing most of the inflammatory and chemical mediators that produce sensitisation and excitation of nociceptors, and the intense nociceptive input during injury produces...

  1. Biomass Burning Observation Project Science Plan

    Energy Technology Data Exchange (ETDEWEB)

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

    2013-09-01

    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.

  2. Nuclear fuel burn-up economy

    International Nuclear Information System (INIS)

    In the period 1981-1985, for the needs of Utility Organization, Beograd, and with the support of the Scientific Council of SR Srbija, work has been performed on the study entitled 'Nuclear Fuel Burn-up Economy'. The forst [phase, completed during the year 1983 comprised: comparative analysis of commercial NPP from the standpoint of nuclear fuel requirements; development of methods for fuel burn-up analysis; specification of elements concerning the nuclear fuel for the tender documentation. The present paper gives the short description of the purpose, content and results achieved in the up-to-now work on the study. (author)

  3. Increasing the utility of the Functional Assessment for Burns Score: Not just for major burns.

    Science.gov (United States)

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

    2016-02-01

    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 48h of admission to (FAB 1), and within 48h 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 (ppatients were discharged home (no social care) and 17 patients discharged to further inpatient rehabilitation or home with social care. FAB 1 score (≤14) is strongly associated with discharge to inpatient rehabilitation or home with social care (p=0.0001) and as such can be used to facilitate early discharge planning. FAB 2 (≤30) independently predicts discharge outcome to inpatient rehabilitation or home with social care (ppatients with minor and moderate burns. PMID:26508532

  4. Burn injuries in eastern Zambia: impact of multidisciplinary teaching teams.

    Science.gov (United States)

    Edwards, Dianna; Heard, Jason; Latenser, Barbara A; Quinn, Keely Y; van Bruggen, Jaap; Jovic, Goran

    2011-01-01

    The American Burn Association/Children's Burn Foundation (ABA/CBF) sponsors teams who offer burn education to healthcare providers in Zambia, a sub-Saharan country. The goals of this study are 1) to acquire burn-patient demographics for the Eastern Province, Zambia and 2) to assess the early impact of the ABA/CBF-sponsored burn teams. This is a retrospective chart review of burn patients admitted in one mission hospital in Katete, Zambia, July 2002 to June 2009. July 2002 to December 2006 = data before ABA/CBF burn teams and January 2007 to June 2009 = burn care data during/after burn outreach. There were 510 burn patients hospitalized, male:female ratio 1.2:1. Average age = 15.6 years, with 44% younger than 5 years. Average TBSA burned = 11% and mean fatal TBSA = 25%. Average hospital length of stay = 16.9 days survivors and 11.6 days nonsurvivors. Most common mechanisms of burn injuries: flame (52%) and scald (41%). Ninety-two patients (18%) died and 23 (4.5%) left against medical advice. There were 191 (37.4%) patients who underwent 410 surgical procedures (range 1-13/patient). There were 138 (33.7%) sloughectomies, 118 (28.7%) skin grafts, 39 (9.5%) amputations, and 115 (28.1%) other procedures. Changes noted in the 2007 to 2009 time period: more patients had burn diagrams (48.6 vs 27.6%, P set for a sub-Saharan region in Africa. There has been a statistically significant improvement in documentation of burn size as well as administration of analgesics, validating the efficacy of the ABA/CBF-sponsored burn teams. Continued contact with burn teams may lead to increased use of resuscitation fluids, topical antimicrobials, and more patients undergoing operative intervention, translating into improved burn patient outcomes. PMID:21131848

  5. Optimization studies for the prism alternative oxide core, and its response to the actinide burning strategy

    International Nuclear Information System (INIS)

    The PRISM advanced liquid metal reactor is designed by General Electric in a reference solution equipped by a metal fuelled core. An alternative oxide core is studied by General Electric and ENEA in the frame of a collaboration existing since 1989. This paper deals with the ENEA contribution on the oxide solution, aimed at the core optimization both from safety parameters and fuel cycle economy points of view. Moreover, synthetic information about ENEA evaluations about the minor actinide burning capability of the PRISM oxide core are given. (author)

  6. Pain insensitivity syndrome misinterpreted as inflicted burns.

    Science.gov (United States)

    van den Bosch, Gerbrich E; Baartmans, Martin G A; Vos, Paul; Dokter, Jan; White, Tonya; Tibboel, Dick

    2014-05-01

    We present a case study of a 10-year-old child with severe burns that were misinterpreted as inflicted burns. Because of multiple injuries since early life, the family was under suspicion of child abuse and therefore under supervision of the Child Care Board for 2 years before the boy was burned. Because the boy incurred the burns without feeling pain, we conducted a thorough medical examination and laboratory testing, evaluated detection and pain thresholds, and used MRI to study brain morphology and brain activation patterns during pain between this patient and 3 healthy age- and gender-matched controls. We found elevated detection and pain thresholds and lower brain activation during pain in the patient compared with the healthy controls and reference values. The patient received the diagnosis of hereditary sensory and autonomic neuropathy type IV on the basis of clinical findings and the laboratory testing, complemented with the altered pain and detection thresholds and MRI findings. Hereditary sensory and autonomic neuropathy IV is a very rare congenital pain insensitivity syndrome characterized by the absence of pain and temperature sensation combined with oral mutilation due to unawareness, fractures, and anhidrosis caused by abnormalities in the peripheral nerves. Health care workers should be aware of the potential presence of this disease to prevent false accusations of child abuse. PMID:24733875

  7. Biomass burning and the disappearing tropical rainforest

    International Nuclear Information System (INIS)

    The author discusses the implications of reduced biological diversity as a result of slash and burn agriculture in the tropical rainforest. The importance of global management of forests to prevent a buildup of carbon dioxide and the resulting greenhouse effect is emphasized

  8. Reclaiming body image: the hidden burn.

    Science.gov (United States)

    Willis-Helmich, J J

    1992-01-01

    At the age of 4, I incurred a major burn injury that left 45% of my body with permanent scars. Normal clothing covers most of the scars. I was able to reclaim a positive body image through a gradual process of verbal and "body" disclosure. As an adult, I joined a burn survivors' self-help group; as a result of talking with other burn survivors, my self expectations increased. Later, I joined a facilitated group in which nudity and personal growth were the norm. In this group, I was the only person who had experienced a major physical trauma. I replaced my strongly held beliefs that others could not accept my unclothed, burn-injured body with the belief that some persons can, and I came to a personal understanding of why others could not. Fun, exercise, and relaxation led to a reclamation of positive feelings about my unclothed body and allowed my femininity and the character of my body image to emerge and become integrated. PMID:1572860

  9. Pathogenic alteration in severe burn wounds.

    Science.gov (United States)

    Fu, Yang; Xie, Bing; Ben, DaoFeng; Lv, KaiYang; Zhu, ShiHui; Lu, Wei; Tang, HongTai; Cheng, DaSheng; Ma, Bing; Wang, GuangYi; Xiao, ShiChu; Wang, GuangQing; Xia, ZhaoFan

    2012-02-01

    The present study aims to define the trend of time related changes with local bacterial alteration of bacterial resistance in severe burns in our burn center during a 12-year period. Retrospective analysis of microbiological results on severely burned wounds between 1998 and 2009 was carried out. A study of 3615 microbial isolates was performed. Staphylococcus aureus was the most commonly isolated pathogen (38.2%) followed by A. baumannii (16.2%), Streptococcus viridans (11.4%), Pseudomonas aeruginosa (10.4%), coagulase-negative staphylococci (CNS, 9.2%). The species ratios of S. aureus and A. baumannii increased significantly from 1st to 8th week of hospitalization, while those of Streptococcus viridans, P. aeruginosa and coagulase-negative staphylococci decreased during the same period. Bacterial resistance rates were compared between the periods 1998-2003 and 2004-2009. Vancomycin remained as the most sensitive antibiotic in S. aureus including methicillin-resistant S. aureus (MRSA). It was very likely that the majority of infections caused by Streptococcus viridans, P. aeruginosa and coagulase-negative staphylococci occurred in the early stage of burn course and the majority of infections caused by A. baumannii occurred 4 weeks after admission. The use of different antibiotics was probably the major contributor to these trends. PMID:22100426

  10. Peculiar Features of Burning Alternative Motor Fuels

    Directory of Open Access Journals (Sweden)

    M. Assad

    2006-01-01

    Full Text Available Some peculiar features of air-hydrogen mixture combustion process in a modeling combustion chamber are given in the paper. Dependences of burning duration of various fuel types on initial pressure have been obtained. The paper considers dynamics of changes in pressure and ignition rate of some fuel types in the combustion chamber.

  11. Protect the Ones You Love From Burns

    Centers for Disease Control (CDC) Podcasts

    2008-12-10

    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.

  12. Diffusive Nuclear Burning on Neutron Star Envelopes

    CERN Document Server

    Chang, P

    2003-01-01

    We calculate the rate of hydrogen burning for neutron stars (NSs) with hydrogen atmospheres and an underlying reservoir of nuclei capable of proton capture. This burning occurs in the exponentially suppressed diffusive tail of H that extends to the hotter depths of the envelope where protons are rapidly captured. This process, which we call diffusive nuclear burning (DNB), can change the H abundance at the NS photosphere on timescales as short as $10^{2-4}$ years. In the absence of diffusion, the hydrogen at the photosphere (where $T\\approx 10^6 {\\rm K}$ and $\\rho\\sim 0.1 {\\rm g cm^{-2}}$) would last for far longer than a Hubble time. Our work impacts the understanding of the evolution of surface abundances of isolated NSs, which is important to their thermal spectrum and their effective temperature-core temperature relation. In this paper, we calculate the rate of H burning when the overall consumption rate is controlled by the nuclear timescales, rather than diffusion timescales. The immediate application i...

  13. Analysis of antibiotic consumption in burn patients.

    Science.gov (United States)

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

    2015-01-01

    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

  14. Analysis of antibiotic consumption in burn patients

    Directory of Open Access Journals (Sweden)

    Soleymanzadeh-Moghadam, Somayeh

    2015-06-01

    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.

  15. Medical management of radiation burns - some experiences

    International Nuclear Information System (INIS)

    Localized exposure resulting in radiation burns are serious injuries, seen not only in this country but all over the world. All of these injuries have resulted from accidents in Industrial Radiography (non-destructive testing). In our country all these injuries have occurred in the private sectors who handle these radiography sources. These sources can be of Iridium-192 or Cobalt-60. Some of these accidents have occurred involving trained radiographers but sometimes casual workers have been exposed. Skin is highly vulnerable to the external radiation exposure. Damage of varying extent can be seen following radiotherapy and accidents involving X- and gamma-ray sources. The reaction is related to the absorbed dose, which in turn is dependent upon the energy of radiation and weather it is particulate or electromagnetic radiation. Beta particles give up their energy within a short range and hence are more hazardous. Radiation burns develop slowly and blister formation occurs usually after 4 weeks. After exposure the skin response occurs in the form of transient erythema, fixed erythema, transepidermal burns, full thickness radiation burns and epilation. In radiation accidents, particularly those involving X-ray machines, the patients may not be aware of the time of accident and the dose may not be known in those circumstances. The medical management and treatment of such patients, therefore, has its own challenges. This talk will share some experiences on treatment of radiation injuries. (author)

  16. Accidental radioisotope burns - Management of late sequelae

    Directory of Open Access Journals (Sweden)

    Varghese Bipin

    2010-10-01

    Full Text Available Accidental radioisotope burns are rare. The major components of radiation injury are burns, interstitial pneumonitis, acute bone marrow suppression, acute renal failure and adult respiratory distress syndrome. Radiation burns, though localized in distribution, have systemic effects, and can be extremely difficult to heal, even after multiple surgeries. In a 25 year old male who sustained such trauma by accidental industrial exposure to Iridium192 the early presentation involved recurrent haematemesis, pancytopenia and bone marrow suppression. After three weeks he developed burns in contact areas in the left hand, left side of the chest, abdomen and right inguinal region. All except the inguinal wound healed spontaneously but the former became a non-healing ulcer. Pancytopenia and bone marrow depression followed. He was treated with morphine and NSAIDs, epidural buprinorphine and bupivicaine for pain relief, steroids, antibiotics followed by wound excision and reconstruction with tensor fascia lata(TFL flap. Patient had breakdown of abdominal scar later and it was excised with 0.5 cm margins up to the underlying muscle and the wound was covered by a latissimis dorsi flap. Further scar break down and recurrent ulcers occurred at different sites including left wrist, left thumb and right heel in the next two years which needed multiple surgical interventions.

  17. Burning mouth syndrome: a review and update.

    Science.gov (United States)

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

    2015-05-16

    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. PMID:25952601

  18. 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

    2010-01-01

    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.

  19. Soil moisture variation and dynamics across a wildfire burn boundary in a loblolly pine (Pinus taeda) forest

    Science.gov (United States)

    Cardenas, M. Bayani; Kanarek, Michael R.

    2014-11-01

    A year after the most destructive wildfire in Texas (USA) history which occurred in and around Bastrop State Park, we established a 165 m-long study transect, bridging burned and unburned areas, to study post-wildfire soil moisture dynamics. Soil moisture content (θ) was monitored indirectly approximately monthly for half a year using a variety of methods with different measurement scales including: 2D electrical resistivity (ER) imaging and surface and vertical profiles using probes which measure soil dielectric properties. The burned section, where the majority of loblolly pine trees were killed, had higher θ and lower ER whereas the unburned end which is still populated by live pine trees had lower θ and higher ER. This pattern persisted from the ground surface and down to ∼2 m and through the study period even after a rainfall event which made the whole transect generally wetter but with the burned end showing a much stronger wetting response to the storm. The differences in θ cannot be explained by differences in soil texture with the burned end with sand soil and the unburned end with less permeable loamy sand. The differing results may be explained by loss of canopy cover and by reduced transpiration at the burned end where the dead roots may also potentially serve as macropores. Thus, after fires and until new vegetation cover has grown, the burned areas will store and transmit more water which could lead to increased groundwater recharge and promote the recovery or invasion of certain types of vegetation.

  20. Burn Pre-Approval Area, Geographic NAD83, LOSCO (2000) [burn_preapproval_area_LOSCO_2000

    Data.gov (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...

  1. Ultrasonic pulse-echo determination of burn depth in partial-thickness burns

    International Nuclear Information System (INIS)

    A number of possible techniques for measuring burn depth were considered, and it was concluded that high-frequency ultrasound offers the best possibility for investigation of burn injury. A conventional ultrasonic pulse-echo system was assembled and modified so that small distances in tissue (less than or equal to 1 mm) can be resolved. Typical transducers used during the course of measurements on human and porcine skin are described. Ultimate success of the ultrasonic technique is dependent on the validity of the assumption that the acoustic impedance of necrotic burn tissue is sufficiently different from that of viable tissue to allow for ultrasonic reflections at the interface between burned and viable tissue. In general, this assumption seems to have been valid in animal and human experiments carried out to date

  2. Solar burn reactivation induced by methotrexate.

    Science.gov (United States)

    DeVore, Kelli J

    2010-04-01

    Solar burn reactivation, a rare and idiosyncratic drug reaction, has been reported with the use of a variety of drugs. This reaction is believed to be the result of exposure to ultraviolet light during the subsiding phase of an acute inflammatory reaction. It affects areas of the body that have been previously sunburned. We describe a 16-year-old girl who was receiving treatment for acute lymphoblastic leukemia and experienced a second-degree solar burn reactivation reaction to methotrexate. The patient had a mild sunburn on her face and shoulders the day she went to the oncology clinic for her interim maintenance chemotherapy with vincristine 1.5 mg/m(2)/dose and methotrexate 100 mg/m(2)/dose. Three days later, she returned to the clinic with a 2-day history of fever (solar burn reactivation reaction. She was admitted to the children's hospital and treated with sodium bicarbonate, acetaminophen with codeine, ondansetron, and silvadene cream. On hospital day 3, the patient's methotrexate level decreased to less than 0.1 mM. The sunburn continued to heal, and after a 14-day hospital stay, complicated by a streptococcal infection, grade 3 mucositis, bacteremia, and mild gastritis and duodenitis, the patient recovered and was discharged. Use of the Naranjo adverse drug reaction probability scale indicated a probable relationship (score of 6) between the patient's solar burn reactivation and methotrexate. Although methotrexate-induced solar burn reactivation is rare, clinicians should be aware of this potential adverse reaction and consider delaying administration of methotrexate by 5-7 days if a patient reports ultraviolet-related erythema in the past 2-4 days or presents with a notable sunburn. PMID:20334462

  3. Methoxyphenols in smoke from biomass burning

    Energy Technology Data Exchange (ETDEWEB)

    Kjaellstrand, J.

    2000-07-01

    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.

  4. PCDD AND PCDF EMISSIONS FROM SIMULATED SUGARCANE FIELD BURNING

    Science.gov (United States)

    The emissions from simulated sugarcane field burns were sampled and analyzed for polychlorinated dibenzodioxins and dibenzofurans (PCDDs and PCDFs). Sugarcane leaves from Hawaii and Florida were burned in a manner simulating the natural physical dimensions and biomass density fou...

  5. Burn Prevention for Families with Children with Special Needs

    Medline Plus

    Full Text Available ... Safety Tips Get Involved Giving Donate Safety Tips Age ... 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 | ...

  6. 1980 Prescribed Burning Progam: Union Slough National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document outlines a prescribed burning program for Union Slough National Wildlife Refuge. The following information is provided; names of burn units,...

  7. Characterization of burn injuries using terahertz time-domain spectroscopy

    Science.gov (United States)

    Arbab, M. Hassan; Dickey, Trevor C.; Winebrenner, Dale P.; Chen, Antao; Mourad, Pierre D.

    2011-03-01

    The accuracy rates of the clinical assessment techniques used in grading burn injuries remain significantly low for partial thickness burns. In this paper, we present experimental results from terahertz characterization of 2nd and 3rd degree burn wounds induced on a rat model. Reflection measurements were obtained from the surface of both burned and normal skin using pulsed terahertz spectroscopy. Signal processing techniques are described for interpretation of the acquired terahertz waveform and differentiation of burn wounds. Furthermore, the progression of burn injuries is shown by comparison between acute characterization and 72-hours survival studies. While the water content of healthy and desiccated skin has been considered as a source of terahertz signal contrast, it is demonstrated that other biological effects such as formation of post-burn interstitial edema as well as the density of the discrete scattering structures in the skin (such as hair follicles, sweat glands, etc.) play a significant role in the terahertz response of the burn wounds.

  8. 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

    2013-01-01

    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.

  9. The leading causes of death after burn injury in a single pediatric burn center

    OpenAIRE

    Williams, Felicia N.; Herndon, David N; Hawkins, Hal K.; Lee, Jong O; Cox, Robert A.; Kulp, Gabriela A; Finnerty, Celeste C.; Chinkes, David L.; Jeschke, Marc G.

    2009-01-01

    Introduction Severe thermal injury is characterized by profound morbidity and mortality. Advances in burn and critical care, including early excision and grafting, aggressive resuscitation and advances in antimicrobial therapy have made substantial contributions to decrease morbidity and mortality. Despite these advances, death still occurs. Our aim was to determine the predominant causes of death in burned pediatric patients in order to develop new treatment avenues and future trajectories a...

  10. Covering techniques for severe burn treatment: lessons for radiological burn accidents

    International Nuclear Information System (INIS)

    Covering techniques for severe burn treatment: lessons for radiological burn accidents. After a severe burn, the injured person is weakened by a risk of infection and a general inflammation. The necrotic tissues have to be removed because they are toxic for the organism. The injured person also needs to be covered by a cutaneous envelope, which has to be done by a treatment centre for burned people. The different techniques are the following: - auto grafts on limited burned areas; - cutaneous substitutes to cover temporary extended burned areas. Among them: natural substitutes like xenografts (pork skin, sheep skin,..) or allografts (human skin), - treated natural substitutes which only maintain the extracellular matrix. Artificial skins belong to this category and allow the development of high quality scars, - cell cultures in the laboratory: multiplying the individual cells and grafting them onto the patient. This technique is not common but allows one to heal severely injured patients. X-ray burns are still a problem. Their characteristics are analysed: intensive, permanent, antalgic resistant pain. They are difficult to compare with heat burns. In spite of a small number of known cases, we can give some comments and guidance on radio necrosis cures: the importance of the patients comfort, of ending the pain, of preventing infection, and nutritional balance. At the level of epidermic inflammation and phlyctena (skin blisters), the treatment may be completed by the use of growth factors. At the level of necrosis, after a temporary cover, an auto graft can be considered only if a healthy basis is guaranteed. The use of cellular cultures in order to obtain harmonious growth factors can be argued. (author)

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

    OpenAIRE

    Aaron Moody; Jennifer K. Costanza

    2011-01-01

    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 Onsl...

  12. Cytokine expression profile over time in burned mice

    OpenAIRE

    Finnerty, Celeste C.; Przkora, Rene; Herndon, David N; Jeschke, Marc G.

    2008-01-01

    The persistent inflammatory response induced by a severe burn increases patient susceptibility to infections and sepsis, potentially leading to multi-organ failure and death. In order to use murine models to develop interventions that modulate the post-burn inflammatory response, the response in mice and the similarities to the human response must first be determined. Here we present the temporal serum cytokine expression profiles in burned in comparison to sham mice and human burn patients. ...

  13. From Cholera to Burns: A Role for Oral Rehydration Therapy

    OpenAIRE

    Milner, S. M.; Green, W.B.; Asuku, M.E.; M. Feldman; Makam, R.; Noppenberger, D; Price, L A; Prosciak, M.; van Loon, I.N.

    2011-01-01

    According to the practice guidelines of the American Burn Association on burn shock resuscitation, intravenous (IV) fluid therapy is the standard of care for the replacement of fluid and electrolyte losses in burn injury of ≥20% of the total body surface area. However, in mass burn casualties, IV fluid resuscitation may be delayed or unavailable. Oral rehydration therapy (ORT), which has been shown to be highly effective in the treatment of dehydration in epidemics of cholera, could be an alt...

  14. CASE REPORT Playing Football Burns More Than Just Calories

    OpenAIRE

    Wain, Richard A. J.; Shah, Syed H. A.

    2010-01-01

    Objective: To highlight the case of a sports-related alkali burn due to a common household chemical and emphasize the importance of a detailed medical history in chemical burns patients. Methods: A single-patient case study is presented along with references from existing literature. Results: Alkaline burn injuries associated with sports have previously been described in the literature; however, this case demonstrates an unusual presentation of a chemical burn with a readily available househo...

  15. Optimizing advanced liquid metal reactors for burning actinides

    International Nuclear Information System (INIS)

    In this report, the process to design an Advanced Liquid Metal Reactor (ALMR) for burning the transuranic part of nuclear waste is discussed. The influence of design parameters on ALMR burner performance is studied and the results are incorporated in a design schedule for optimizing ALMRs for burning transuranics. This schedule is used to design a metallic and an oxide fueled ALMR burner to burn as much as possible transurancis. The two designs burn equally well. (orig.)

  16. Bacteremia in burned patients admitted to Sina Hospital, Tabriz, Iran

    OpenAIRE

    Parviz Saleh; Hamid Noshad

    2014-01-01

    Introduction: One of the most important causes of mortality and morbidity in burn wards is infection, and it is the major reason of death in burn injuries. There are several reasons that make burn victims predisposed to infection. The current study aimed to investigate the role of different factors that have an effect on bacteremia occurrence in burn patients and factors which are relevant to mortality in these patients. Methods: This descriptive-analytic study conducted in a 1...

  17. Psychological Aspects of Paediatric Burns (A Clinical Review)

    OpenAIRE

    A Sousa

    2010-01-01

    Burn injuries in childhood can be traumatic with lasting effects until adulthood. This article reviews the various psychological issues one confronts when treating paediatric patients with burn injuries. A wide range of factors influence recovery and rehabilitation from paediatric burns. The role of family members, family dynamics, parental reactions, parental psychiatric illness, and pre-morbid psychiatric illness in the child are important factors. The entire family and the burned child hav...

  18. Epidemiologic Characteristics of Occupational Burns in Yazd, Iran

    OpenAIRE

    Seyyed Jalil Mirmohammadi; Amir Houshang Mehrparvar; Kazem Kazemeini; Mehrdad Mostaghaci

    2013-01-01

    Objective: Occupational burns are among the important causes of work-related fatalities and absenteeism. Epidemiologic assessment of these injuries is important to define high-risk jobs. We designed this study to evaluate the epidemiology of occupational burns in Yazd, an industrial province in Iran. Methods: This is a prospective study on work-related burns in a 1-year period (2008-2009). A questionnaire was completed for them about the characteristics of the burn injury. Results: Th...

  19. [Prevention and treatment strategy for burn wound sepsis in children].

    Science.gov (United States)

    Niu, Xihua; Li, Xiaoling

    2016-02-01

    Wound sepsis is one of the main causes of death in patients with severe burn and trauma. The high incidence of burn wound sepsis in children is attributed to their imperfect immune system function, poor resistance against infection, and the weakened skin barrier function after burn. The key to reduce the mortality of pediatric patients with burn wound sepsis is to enhance the understanding of its etiology, epidemiology, pathogenesis, and diagnostic criteria, in order to improve its early diagnosis and treatment. PMID:26902271

  20. Posttraumatic Stress and Cognitive Processes in Patients with Burns

    OpenAIRE

    Sveen, Josefin

    2011-01-01

    A severe burn is one of the most traumatic injuries a person can experience. Posttraumatic stress disorder (PTSD) is relatively common after burns, and can be devastating for the individual’s possibilities for recovery. The principal aims were to gain knowledge regarding posttraumatic stress symptoms and cognitive processes after burn and to evaluate methods for assessing symptoms of PTSD up to one year after burn. The psychometric properties of a Swedish version of the Impact of Event Scale-...

  1. Modalities for the Assessment of Burn Wound Depth

    OpenAIRE

    Devgan, Lara; Bhat, Satyanarayan; Aylward, S.; Spence, Robert J.

    2006-01-01

    Objective: Burn wound depth is a significant determinant of patient treatment and morbidity. While superficial partial-thickness burns generally heal by re-epithelialization with minimal scarring, deeper wounds can form hypertrophic or contracted scars, often requiring surgical excision and grafting to prevent a suboptimal result. In addition, without timely intervention, more superficial burn wounds can convert to deeper wounds. As such, the rapid and accurate assessment of burn wound depth ...

  2. Current Treatment Options in Challenging Oral Diseases: Burning Mouth Syndrome

    Directory of Open Access Journals (Sweden)

    Bilgen Erdoğan

    2012-12-01

    Full Text Available Burning mouth syndrome is a chronic condition characterized by burning pain without any signs of an oral mucosal pathology, that usually affects postmenopausal women. Burning sensation is often accompanied by dysgeusia and xerostomia. The pathogenesis of the disease is unknown and an effective treatment option for most of the patients has not been defined yet. The aim of this review is to present current pharmacological and physicological treatments of burning mouth syndrome.

  3. Current Treatment Options in Challenging Oral Diseases: Burning Mouth Syndrome

    OpenAIRE

    Bilgen Erdoğan; Murat Yılmaz

    2012-01-01

    Burning mouth syndrome is a chronic condition characterized by burning pain without any signs of an oral mucosal pathology, that usually affects postmenopausal women. Burning sensation is often accompanied by dysgeusia and xerostomia. The pathogenesis of the disease is unknown and an effective treatment option for most of the patients has not been defined yet. The aim of this review is to present current pharmacological and physicological treatments of burning mouth syndrome.

  4. Music therapy for children with severe burn injury

    OpenAIRE

    Edwards, Jane

    1998-01-01

    peer-reviewed Music therapy for children with severe burns is a developing field of practice and research interest in pediatric music therapy. The following article presents an overview of the nature of severe burn injury and provides a rationale for the use of music therapy in the Burn Unit. The application of song writing techniques to address needs of children receiving care for severe burns in a hospital setting is presented.

  5. 30 CFR 56.6903 - Burning explosive material.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Burning explosive material. 56.6903 Section 56... MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Explosives General Requirements § 56.6903 Burning explosive material. If explosive material is suspected of burning at the...

  6. 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

    2014-01-01

    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...

  7. New treatment strategies to reduce burn wound progression

    Directory of Open Access Journals (Sweden)

    Schmauss, Daniel

    2014-01-01

    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

  8. Nutrition in the severely burned child.

    Science.gov (United States)

    Solomon, J R

    1981-01-01

    Adequate nutrition in the severely burned child often determines the morbidity and mortality and its supervision demands a high priority in the management of the burn injury. A disciplined, detailed programme is required, but this is often neglected. The hypermetabolism experienced in the severe burn may require a calorie intake up to 2 1/2 times normal, and in the growing child, with extra requirements, a negative balance can easily eventuate if careful management is not instituted. A daily metabolic plan provides firstly, the basic calories and protein per kilogram depending on age as for a normal child and, secondly additional requirements depending on the surface area of the burn. With such a programme the weakness of treating all children, whatever their age, on the same formula related only to surface area burn, is overcome. Parenteral nutrition is commenced as soon as the shock phase has been controlled and is continued until enteral intake by gastric tube is sufficient to cover the requirements. Such tube feeding requires the selection of an isotonic liquid diet so as so limit the possibility of diarrhoea. Isocal (Mead Johnson) has been found generally acceptable. Gradually as the patient recovers, oral intake is introduced and the child returns home on a normal nutritional diet, expectantly without weight loss and even with some weight gain, which befits any normal child under treatment for some months. Preburn nutrition, disease and infection, hyperthermia, hypothermia, evaporative water loss, active exercise, psychological well being, social state, early skin cover and limitation of stress are important aspects affecting metabolism and require careful supervision and management. The limitation of metabolism is as important as increasing the caloric intake and this is exemplified at the time of operation, which should be as nonstressful as possible. Every two weeks an adjusted assessment is made of the burned area still to be grafted and the caloric

  9. Hybrid Automotive Engine Using Ethanol-Burning Miller Cycle

    Science.gov (United States)

    Weinstein, Leonard

    2004-01-01

    A proposed hybrid (internal-combustion/ electric) automotive engine system would include as its internal-combustion subsystem, a modified Miller-cycle engine with regenerative air preheating and with autoignition like that of a Diesel engine. The fuel would be ethanol and would be burned lean to ensure complete combustion. Although the proposed engine would have a relatively low power-to-weight ratio compared to most present engines, this would not be the problem encountered if this engine were used in a non-hybrid system since hybrid systems require significantly lower power and thus smaller engines than purely internal-combustion-engine-driven vehicles. The disadvantage would be offset by the advantages of high fuel efficiency, low emission of nitrogen oxides and particulate pollutants, and the fact that ethanol is a renewable fuel. The original Miller-cycle engine, named after its inventor, was patented in the 1940s and is the basis of engines used in some modern automobiles, but is not widely known. In somewhat oversimplified terms, the main difference between a Miller-cycle engine and a common (Otto-cycle) automobile engine is that the Miller-cycle engine has a longer expansion stroke while retaining the shorter compression stroke. This is accomplished by leaving the intake valve open for part of the compression stroke, whereas in the Otto cycle engine, the intake valve is kept closed during the entire compression stroke. This greater expansion ratio makes it possible to extract more energy from the combustion process without expending more energy for compression. The net result is greater efficiency. In the proposed engine, the regenerative preheating would be effected by running the intake air through a heat exchanger connected to the engine block. The regenerative preheating would offer two advantages: It would ensure reliable autoignition during operation at low ambient temperature and would help to cool the engine, thereby reducing the remainder of the

  10. Systems Analysis of a Compact Next Step Burning Plasma Experiment

    Energy Technology Data Exchange (ETDEWEB)

    S.C. Jardin; C.E. Kessel; D. Meade; C. Neumeyer

    2002-02-06

    A new burning plasma systems code (BPSC) has been developed for analysis of a next step compact burning plasma experiment with copper-alloy magnet technology. We consider two classes of configurations: Type A, with the toroidal field (TF) coils and ohmic heating (OH) coils unlinked, and Type B, with the TF and OH coils linked. We obtain curves of the minimizing major radius as a function of aspect ratio R(A) for each configuration type for typical parameters. These curves represent, to first order, cost minimizing curves, assuming that device cost is a function of major radius. The Type B curves always lie below the Type A curves for the same physics parameters, indicating that they lead to a more compact design. This follows from that fact that a high fraction of the inner region, r < R-a, contains electrical conductor material. However, the fact that the Type A OH and TF magnets are not linked presents fewer engineering challenges and should lead to a more reliable design. Both the Type A and Type B curves have a minimum in major radius R at a minimizing aspect ratio A typically above 2.8 and at high values of magnetic field B above 10 T. The minimizing A occurs at larger values for longer pulse and higher performance devices. The larger A and higher B design points also have the feature that the ratio of the discharge time to the current redistribution time is largest so that steady-state operation can be more realistically prototyped. A sensitivity study is presented for the baseline Type A configuration showing the dependence of the results on the parameters held fixed for the minimization study.

  11. [Intravenous drop of calcium gluconate for phosphorus burns].

    Science.gov (United States)

    Hu, A J

    1993-07-01

    20 patients with phosphor burn (TBSA 2%-75%) were cured by i.v. drop of calcium gluconate combined with other therapies including eschar conservation. Our experimental data showed that dogs with burn by spreading 85% phosphoric acid and napalm locally increased the level of plasma phosphorus and pathological damages to the heart, lung, kidney and etc were similar to those previously reported phosphorus burns. Intravenous drop of calcium gluconate after phosphate burn reduced the level of plasma phosphorus to normal rapidly and lessened the visceral damages. We consider that i.v. drop of calcium gluconate can accelerate the elimination of phosphorus, and prevent phosphorus poisoning after phosphorus burns. PMID:8313772

  12. Biomass Burning Emissions from Fire Remote Sensing

    Science.gov (United States)

    Ichoku, Charles

    2010-01-01

    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.

  13. An idiosyncratic history of burn scars.

    Science.gov (United States)

    Petro, Jane A

    2015-03-01

    The history of burn scars can best be found in military medical history. The care of wounded soldiers documented in the Illiad reflected the trauma of the weapons of war, arrow, spear, sword, and ax. The introduction of gunpowder in the 14th century, increasingly sophisticated explosives, and in modern times, petroleum-driven vehicles, including airplanes, created a new subset of wounds requiring attention and post-survival scars challenging the quality of survival. This article selects from among a myriad of examples of modern military treatments as they relate to those survivors. Larrey, with Napolean's Grand Army, Sir Harold Gilles during and following World War I, and the Boston area preparation and response to the Cocoanut Grove Fire in 1942 are the principle topics examined. Recent modern interventions, related to the survival of horrific blast and burn injuries, with modern wound care and scar manipulation techniques provide context to the current ability to modify healing and scars. PMID:25922950

  14. Light hydrocarbon emissions from African savanna burnings

    International Nuclear Information System (INIS)

    A study was undertaken in West Africa to determine the background mixing ratio of nonmethane hydrocarbons (NMHC) during the dry season and to measure the composition of savanna burnings. The experiment was conducted from 13 to 22 January 1989 in the experimental station located at the border of the tropical rainforest and savanna. Samples were collected during aircraft flights at 2,400 m in the free troposphere, at 400 m in the haze layer and in a smoke plume at 200 m altitude. Samples representing the ground-level evolution of the local background were collected at 10 m altitude. Fire samples were collected at a short distance from the fires during the intensive experiments. Results are presented in tables and indicate that the effect of NMHC produced by biomass burning on the tropospheric photochemistry is limited to a few species, namely, C2-C4 alkenes

  15. Tertiary nuclear burning - neutron star deflagration?

    International Nuclear Information System (INIS)

    A motivation is presented for the idea that dense nuclear matter can burn to a new class of stable particles. One of several possibilities is an octet particle which is the 16 baryon extension of alpha particle, but now composed of a pair of each of the two nucleons, (3Sigma, Delta, and 2Xi). Such tertiary nuclear burning (here primary is H-He and secondary is He-Fe) may lead to neutron star explosions rather than collapse to a black hole, analogous to some Type I supernovae models wherein accreting white dwarfs are pushed over the Chandrasekhar mass limit but explode rather than collapse to form neutron stars. Such explosions could possibly give gamma-ray bursts and power quasars, with efficient particle acceleration in the resultant relativistic shocks. The new stable particles themselves could possibly be the sought-after weakly interacting, massive particles (WIMPs) or dark' matter. 26 references

  16. Modeling Deep Burn TRISO particle nuclear fuel

    Science.gov (United States)

    Besmann, T. M.; Stoller, R. E.; Samolyuk, G.; Schuck, P. C.; Golubov, S. I.; Rudin, S. P.; Wills, J. M.; Coe, J. D.; Wirth, B. D.; Kim, S.; Morgan, D. D.; Szlufarska, I.

    2012-11-01

    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.

  17. Impact of biomass burning on the atmosphere

    International Nuclear Information System (INIS)

    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

  18. Explosive helium burning at constant pressures

    Science.gov (United States)

    Hashimoto, M.-A.; Hanawa, T.; Sugimoto, D.

    The results of numerical calculations of nucleosynthesis under adiabatic conditions, i.e., when the only heat exchange with the external regions takes place through neutrinos, are reported. Attention is focused on explosive burning associated with shell flashes, assuming that nuclear energy is deposited in a mass element, followed by expansion and density decrease. Consideration is given to three cases, the shell flash near the surface of a degenerate star, to nuclear burning concentrated in a small region of a star, and to the heat energy being deposited in intermediate layers. A reaction network of 181 nuclear species was constructed and the thermodynamic evolution was calculated assuming constant pressure and adiabatic conditions. The final products of the reactions of H-1 to Cu-62 were projected to by O-16, Mg-24, Si-28, S-32, Ca-40, Ti-44, Cr-48, and Fe-52.

  19. Pascal Chabot, Global Burn-out

    OpenAIRE

    Rollot, Jérémie

    2013-01-01

    « La philosophie est une réflexion pour qui toute matière étrangère est bonne et nous dirions volontiers pour qui toute bonne matière doit être étrangère » écrivait G. Canguilhem. L’ouvrage de Pascal Chabot, par conséquent, porte son regard philosophique sur cet objet étrange et étranger à la philosophie : le burn-out. L’enjeu est de comprendre ce phénomène et de le situer « dans une époque excessive » (p. 12). En effet, le burn-out dépasse le cadre de la pathologie de l’individu, il est path...

  20. Pain Part 8: Burning Mouth Syndrome.

    Science.gov (United States)

    Beneng, Kiran; Renton, Tara

    2016-04-01

    Burning mouth syndrome (BMS) is a rare but impactful condition affecting mainly post-menopausal women resulting in constant pain and significant difficulty with eating, drinking and daily function. The aetiology of BMS remains an enigma. Recent evidence suggests it likely to be neuropathic in origin, the cause of which remains unknown. There is no cure for this condition and the unfortunate patients remain managed on a variety of neuropathic pain medication, salivary substitutes and other non-medical interventions that help the patient 'get through the day'. Some simple strategies can assist both clinician and patient to manage this debilitating condition. CPD/Clinical Relevance: The dental team will recognize patients presenting with burning mouth syndrome. They are difficult patients to manage and are often referred to secondary care and, ultimately, depend on their general medical practitioners for pain management. PMID:27439272

  1. Influence of high-voltage electrical burn on the rheological property of platelet and leukocyte in rats and the interventional effect of pentoxifylline%高压电烧伤对大鼠血小板与白细胞流变性的影响及己酮可可碱的干预作用

    Institute of Scientific and Technical Information of China (English)

    张庆富; 魏伟; 尚涛; 周慧敏; 李增宁; 王车江; 冯建科; 许顺江; 崔冬生

    2012-01-01

    细胞黏附数显著大于伤前15 min;微循环灌流量显著小于伤前15 min(P值均小于0.001).电伤组PAF、TXB2、E选择素含量及TXB2/PGI2比值于伤后4h达峰值,分别为(9.3±0.9) ng/mL、(14.31±0.65)nmol/mL、(271.2±18.4) ng/mL、4.62±0.26;PGI2、P选择素含量及每100微米微静脉白细胞黏附数伤后8h达峰值,分别为(3.98±0.24) nmol/mL、(514±24) ng/mL、(25.50±4.14)个;L选择素含量于伤后2h达峰值,为(876±54) ng/mL;微循环灌流量以伤后5 min最小,为(1.17±0.10)V. 结论 高压电烧伤引起大鼠PAF、TXB2、PGI2、P选择素、E选择素、L选择索含量及TXB2/PGI2比值升高,白细胞黏附数增加及微循环灌流量下降.PTX通过增加PGI2的含量,降低上述其他因子的含量而抑制血小板及白细胞聚集黏附,从而改善电烧伤后微循环障碍.%Objective To investigate the influence of high-voltage electrical bum (HEB) on the aggregation and adhesion of platelet and leukocyte in rats and the interventional effect of pentoxifylline (PTX).Methods One hundred and eighty SD rats were divided into control,electrical burn (EB),and pentoxifylline treatment (PT) groups according to the random number table,with 60 rats in each group.(1) Ten rats were taken from each group at 15 minutes before injury for the observation of the microcirculatory perfusion of chest skin with Laser Doppler Perfusion Imager (LDPI),and the number of leukocyte adherent to mesenteric venule with Bradford Variable Projection Microscope (BVPM).Serum was collected from heart blood to determine the contents of platelet activating factor (PAF),thromboxane B2 (TXB2),prostacyclin (PGI2),P-selectin,E-selectin and L-selectin by double-antibody sandwich enzyme-linked immunosorbent assay.The ratio of TXB2 to PGI2 was calculated therefrom.(2) Model of HEB was reproduced in the remaining 50 rats of EB group and that of PT group with voltage regulator and experimental transformer (the electrical current applied to

  2. Light absorption by biomass burning source emissions

    Science.gov (United States)

    Cheng, Yuan; Engling, Guenter; Moosmüller, Hans; Arnott, W. Patrick; Chen, L.-W. Antony; Wold, Cyle E.; Hao, Wei Min; He, Ke-bin

    2016-02-01

    Black carbon (BC) aerosol has relatively short atmospheric lifetimes yet plays a unique and important role in the Earth's climate system, making it an important short-term climate mitigation target. Globally, biomass burning is the largest source of BC emissions into the atmosphere. This study investigated the mass absorption efficiency (MAE) of biomass burning BC generated by controlled combustion of various wildland fuels during the Fire Laboratory at Missoula Experiments (FLAME). MAE values derived from a photoacoustic spectrometer (∼7.8 m2/g at a wavelength of 532 nm) were in good agreement with those suggested for uncoated BC when the emission ratios of organic carbon (OC) to elemental carbon (EC) were extremely low (i.e., below 0.3). With the increase of OC/EC, two distinct types of biomass smoke were identified. For the first type, MAE exhibited a positive dependence on OC/EC, while the overestimation of the light absorption coefficient (babs) by a filter-based method was less significant and could be estimated by a nearly constant correction factor. For the second type, MAE was biased low and correlated negatively with OC/EC, while the overestimation of babs by the filter-based method was much more significant and showed an apparent OC/EC dependence. This study suggests that BC emission factors determined by the commonly used thermal-optical methods might be sustantially overestimated for some types of biomass burning emissions. Our results also indicate that biomass burning emissions may include some liquid-like organics that can significantly bias filter-based babs measurements.

  3. BURNING THERMALS IN TYPE ia SUPERNOVAE

    International Nuclear Information System (INIS)

    We develop a one-dimensional theoretical model for thermals burning in Type ia supernovae based on the entrainment assumption of Morton, Taylor, and Turner. Extensions of the standard model are required to account for the burning and for the expansion of the thermal due to changes in the background stratification found in the full star. The model is compared with high-resolution three-dimensional numerical simulations, both in a uniform environment and a full-star setting. The simulations in a uniform environment present compelling agreement with the predicted power laws and provide model constants for the full-star model, which then provides excellent agreement with the full-star simulation. The importance of the different components in the model is compared, and are all shown to be relevant. An examination of the effect of initial conditions was then conducted using the one-dimensional model, which would have been infeasible in three dimensions. More mass was burned when the ignition kernel was larger and closer to the center of the star. The turbulent flame speed was found to be important during the early-time evolution of the thermal, but played a diminished role at later times when the evolution is dominated by the large-scale hydrodynamics responsible for entrainment. However, a higher flame speed effectively gave a larger initial ignition kernel and so resulted in more mass burned. This suggests that future studies should focus on the early-time behavior of these thermals (in particular, the transition to turbulence), and that the choice of turbulent flame speed does not play a significant role in the dynamics once the thermal has become established.

  4. Study of nuclear fuel burn-up

    International Nuclear Information System (INIS)

    The authors approach theoretical treatment of isotopic composition changement for nuclear fuel in nuclear reactors. They show the difficulty of exhaustive treatment of burn-up problems and introduce the principal simplifying principles. Due to these principles they write and solve analytically the evolution equations of the concentration for the principal nuclides both in the case of fast and thermal reactors. Finally, they expose and comment the results obtained in the case of a power fast reactor. (author)

  5. Multi-Accuracy-Level Burning Plasma Simulations

    International Nuclear Information System (INIS)

    The design of a reactor grade tokamak is based on a hierarchy of tools. We present here three codes that are presently used for the simulations of burning plasmas. At the first level there is a 0-dimensional code that allows to choose a reasonable range of global parameters; in our case the HELIOS code was used for this task. For the second level we have developed a mixed 0-D / 1-D code called METIS that allows to study the main properties of a burning plasma, including profiles and all heat and current sources, but always under the constraint of energy and other empirical scaling laws. METIS is a fast code that permits to perform a large number of runs (a run takes about one minute) and design the main features of a scenario, or validate the results of the 0-D code on a full time evolution. At the top level, we used the full 1D1/2 suite of codes CRONOS that gives access to a detailed study of the plasma profiles evolution. CRONOS can use a variety of modules for source terms and transport coefficients computation with different level of complexity and accuracy: from simple estimators to highly sophisticated physics calculations. Thus it is possible to vary the accuracy of burning plasma simulations, as a trade-off with computation time. A wide range of scenario studies can thus be made with CRONOS and then validated with post-processing tools like MHD stability analysis. We will present in this paper results of this multi-level analysis applied to the ITER hybrid scenario. This specific example will illustrate the importance of having several tools for the study of burning plasma scenarios, especially in a domain that present devices cannot access experimentally. (Author)

  6. Ozone photochemistry in boreal biomass burning plumes

    OpenAIRE

    M. Parrington; Palmer, P. I.; Lewis, A. C.; J. D. Lee; A. R. Rickard; De Carlo, P; Taylor, J.W.; J. R. Hopkins; S. Punjabi; D. E. Oram; G. Forster; Aruffo, E.; Moller, S. J.; Bauguitte, S. J.-B.; Allan, J. D.

    2013-01-01

    We present an analysis of ozone (O3) photochemistry observed by aircraft measurements of boreal biomass burning plumes over eastern Canada in the summer of 2011. Measurements of O3 and a number of key chemical species associated with O3 photochemistry, including non-methane hydrocarbons (NMHCs), nitrogen oxides (NOx) and total nitrogen containing species (NOy), were made from the UK FAAM BAe-146 research aircraft as part of the "quantifying the impact of BOReal forest fires on Tropospheric ox...

  7. Ozone photochemistry in boreal biomass burning plumes

    OpenAIRE

    M. Parrington; Palmer, P. I.; Lewis, A. C.; J. D. Lee; A. R. Rickard; P. Di Carlo; Taylor, J.W.; J. R. Hopkins; S. Punjabi; D. E. Oram; G. Forster; Aruffo, E.; Moller, S. J.; S. J.-B. Bauguitte; Allan, J. D.

    2013-01-01

    We present an analysis of ozone photochemistry observed by aircraft measurements of boreal biomass burning plumes over Eastern Canada in the summer of 2011. Measurements of ozone and a number of key chemical species associated with ozone photochemistry, including non-methane hydrocarbons (NMHCs), nitrogen oxides (NOx) and total nitrogen containing species (NOy), were made from the UK FAAM BAe-146 research aircraft as part of the quantifying ...

  8. Ozone photochemistry in boreal biomass burning plumes

    OpenAIRE

    M. Parrington; Palmer, P. I.; Lewis, A. C.; J. D. Lee; A. R. Rickard; P. Di Carlo; Taylor, J.W.; J. R. Hopkins; S. Punjabi; D. E. Oram; G. Forster; Aruffo, E.; Moller, S. J.; Bauguitte, S. J.-B.; Allan, J. D.

    2013-01-01

    We present an analysis of ozone photochemistry observed by aircraft measurements of boreal biomass burning plumes over Eastern Canada in the summer of 2011. Measurements of ozone and a number of key chemical species associated with ozone photochemistry, including non-methane hydrocarbons (NMHCs), nitrogen oxides (NOx) and total nitrogen containing species (NOy), were made from the UK FAAM BAe-146 research aircraft as part of the quantifying the impact of BOReal forest fires on tropospheric ox...

  9. Pyoderma gangrenosum in burned patient: Case report

    OpenAIRE

    Obradović-Tomašev Milana; Jovanović Mladen; Popović Aleksandra

    2015-01-01

    Introduction. Pyoderma gangrenosum is a rare, chronic, destructive, ulcerating skin disease of uncertain etiology. It develops most frequently in patients between 25-45 years of age and affects both sexes equally. Case report. We present a case of pyoderma gangrenosum in a young female patient who sustained a burn injury of 40% total body surface area. She underwent four operations. She developed a wound infection and urinary infection during her hospital s...

  10. Burns - Multiple Languages: MedlinePlus

    Science.gov (United States)

    ... Chinese - Simplified (简体中文) Chinese - Traditional (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) ... brûlures - français (French) Bilingual PDF Health Information Translations Hindi (हिन्दी) Burn Care हिन्दी (Hindi) Bilingual ...

  11. Narrative review: Electrocution and life-threatening electrical injuries.

    Science.gov (United States)

    Spies, Christian; Trohman, Richard G

    2006-10-01

    The authors reviewed the mechanisms and pathophysiology of typically encountered electrical injuries by searching English-language publications listed in MEDLINE and reference lists from identified articles. They included relevant retrospective studies, case reports, and review articles published between 1966 and 2005. The authors also searched the Internet for information related to electrocution and life-threatening electrical injuries. They found that familiarity with basic principles of physics elucidates the typical injuries sustained by patients who experience electrical shock. Death due to electrocution occurs frequently. However, patients successfully resuscitated after cardiopulmonary arrest often have a favorable prognosis. Approximately 3000 patients who survive electrical shock are admitted to specialized burn units annually. Patients with serious electrical burns admitted to the intensive care unit are trauma patients and should be treated accordingly. Initial prediction of outcome for patients who have experienced electrical shock is difficult, as the full degree of injury is often not apparent. PMID:17015871

  12. Cytokine expression profile over time in burned mice

    Science.gov (United States)

    Finnerty, Celeste C; Przkora, Rene; Herndon, David N; Jeschke, Marc G

    2009-01-01

    The persistent inflammatory response induced by a severe burn increases patient susceptibility to infections and sepsis, potentially leading to multi-organ failure and death. In order to use murine models to develop interventions that modulate the post-burn inflammatory response, the response in mice and the similarities to the human response must first be determined. Here we present the temporal serum cytokine expression profiles in burned in comparison to sham mice and human burn patients. Male C57BL/6 mice were randomized to control (n=47) or subjected to a 35% TBSA scald burn (n=89). Mice were sacrificed 3, 6, 9, 12, 24, 48 hours and 7, 10, and 14 days post-burn; cytokines were measured by multi-plex array. Following the burn injury, IL-6, IL-1β, KC, G-CSF, TNF, IL-17, MIP-1α, RANTES, and GM-CSF were increased, p<0.05. IL-2, IL-3, and IL-5 were decreased, p<0.05. IL-10, IFN-γ, and IL-12p70 were expressed in a biphasic manner, p<0.05. This temporal cytokine expression pattern elucidates the pathogenesis of the inflammatory response in burned mice. Expression of 11 cytokines were similar in mice and children, returning to lowest levels by post-burn day 14, confirming the utility of the burned mouse model for development of therapeutic interventions to attenuate the post-burn inflammatory response. PMID:19019696

  13. Best available control measures for prescribed burning

    International Nuclear Information System (INIS)

    Section 190 of the Clean Air Act (CAA) as amended in 1990 requires the US Environmental Protection Agency (EPA) to issue guidance on Best Available Control Measures (BACM) of PM10 (particulate matter with a nominal aerodynamic diameter less than or equal to 10 micrometers) from urban fugitive dust, residential wood combustion, and prescribed silvicultural and agricultural burning (prescribed burning). The purpose of this guidance is to assist states (especially, but not exclusively, those with PM10 nonattainment areas which have been classified as serious) in developing a control measure for these three source categories. This guidance is to be issued no later than May 15, 1992 as required under the CAA. The guidance will be issued in the form of a policy guidance generic to all three BACM and in the form of Technical Information Documents (TIDs) for each of the three source categories. The policy guidance will provide the analytical approach for determining BACM and the TID will provide the technical information. The purpose of this paper is to present some insight from the forthcoming TID on what BACM might entail for prescribed burning in a serious PM10 nonattainment area

  14. Particle accelerator requirements for burning radioactive wastes

    International Nuclear Information System (INIS)

    One of the four subprograms of the Accelerator Driven Transmutation Technology (ADTT) program is the Accelerator Transmutation of Waste (ATW) subprogram which in term is a program. The capacity to burn waste is given by the enhanced neutron economy made possible by the presence of the extra accelerator-produced neutrons. The better neutron economy increases the capacity of burning (transmute) anything that absorbs neutrons including long-lived fission products and actinides. By these transmuted or 'burning' systems, the bulk of long-lived radionuclides in disposed radioactive wastes can be reduced by factors of 1000 and the storage time of residual products can be greatly reduced from hundreds of thousands of years to several centuries. This paper presents particle beam requirements for ADTT applications. These are most often specified with a nominal 1 GeV energy and an average beam current for ATW ranging from 100 to 250 m A depending on different applications and different system concepts. It is sketched the reference RF-Linac Accelerator Design for ATW systems. (author)

  15. U.S. BURNING PLASMA ORGANIZATION ACTIVITIES

    Energy Technology Data Exchange (ETDEWEB)

    Raymond J. Fonck

    2009-08-11

    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.

  16. Analgesic effects of dexamethasone in burn injury

    DEFF Research Database (Denmark)

    Werner, Mads U; Lassen, Birgit Vibeke; Kehlet, Henrik

    2002-01-01

    BACKGROUND AND OBJECTIVES: Glucocorticoids are well-known adjuvant analgesics in certain chronic pain states. There is, however, a paucity of data on their analgesic efficacy in acute pain. Therefore, the aim of the study was to examine the analgesic effects of dexamethasone in a validated burn m...... 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....... 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...... model of acute inflammatory pain in humans. METHODS: Twenty-two volunteers were investigated in a double-blind, randomized, placebo-controlled cross-over study. Intravenous dexamethasone 8 mg or placebo was administered on 2 separate study days. Two hours after drug administration, a first-degree burn...

  17. U.S. Burning Plasma Organization Activities

    International Nuclear Information System (INIS)

    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.

  18. Opioid-induced hyperalgesia and burn pain.

    Science.gov (United States)

    Holtman, Joseph R; Jellish, W Scott

    2012-01-01

    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. PMID:23143613

  19. Second law analysis of convective droplet burning

    International Nuclear Information System (INIS)

    In this paper the entropy generation due to burning particles in a gaseous stream is considered and the contribution to it compared. A second law analysis is undertaken in order to minimize the entropy generation and therefore the lost available work. The optimum flow conditions from this thermodynamically advantageous perspective are determined for a burning droplet at low Reynolds number and an optimum transfer number obtained. The transfer number so obtained depends directly on the square of the relative velocity, and inversely on the net enthalpy rise due to burning and the ratio of ambient to flame temperature. In realistic flows, where the transfer number and net heat release are fixed, these quantities are related to the relative velocity and ambient to flame temperature ratio in order to operate at optimum conditions. The square of the relative velocity in such flows is a small fraction of the net heat release so that, to operate at optimum thermodynamic conditions, it is determined that the droplet Reynolds number must be large suggesting a large droplet size and low gas velocity. Considerations pertaining to engineering practice are also considered and it is concluded that within constraints practice is consistent with the implications of the second law analysis

  20. Cytomegalovirus Colitis in a Burn Patient.

    Science.gov (United States)

    Gibbs, Jeff T; Zieger, Madeline; Sood, Rajiv

    2016-01-01

    The prevalence of cytomegalovirus in the burn population is high. However, its role in the clinical management of burn patients is still being defined. This report documents a 41-year-old man who developed cytomegalovirus (CMV) colitis after being admitted with a 72% burn. Before the administration of ganciclovir, the authors had difficulty controlling his quantitative wound cultures with serial debridements, topical agents, and systemic antibiotics for known pathogens, which led to graft loss. After the ganciclovir was given, his quantitative wound cultures improved without changing the authors' topical agents or systemic antibiotics and had improved graft take. Whether CMV infection alone contributed to an increased morbidity in this patient or the combination of bacteria/fungal infection with CMV led to a synergistic effect is still not clearly understood. CMV may have contributed to a dysfunction in his cell mediated immunity, which, in turn, lowered the bacterial and fungal load necessary to cause graft loss. Patients who continue to do poorly despite adequate treatment for known pathogens may need to be screened for CMV and treated. PMID:26056763

  1. A Model For The Burning of Teflon

    Science.gov (United States)

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

    2000-01-01

    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.

  2. 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

    2015-01-01

    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.

  3. Burn size determines the inflammatory and hypermetabolic response

    Science.gov (United States)

    Jeschke, Marc G; Mlcak, Ronald P; Finnerty, Celeste C; Norbury, William B; Gauglitz, Gerd G; Kulp, Gabriela A; Herndon, David N

    2007-01-01

    Background Increased burn size leads to increased mortality of burned patients. Whether mortality is due to inflammation, hypermetabolism or other pathophysiologic contributing factors is not entirely determined. The purpose of the present study was to determine in a large prospective clinical trial whether different burn sizes are associated with differences in inflammation, body composition, protein synthesis, or organ function. Methods Pediatric burned patients were divided into four burn size groups: 80% TBSA burn. Demographic and clinical data, hypermetabolism, the inflammatory response, body composition, the muscle protein net balance, serum and urine hormones and proteins, and cardiac function and changes in liver size were determined. Results One hundred and eighty-nine pediatric patients of similar age and gender distribution were included in the study (80% TBSA burn, n = 21). Patients with larger burns had more operations, a greater incidence of infections and sepsis, and higher mortality rates compared with the other groups (P 80% TBSA group, followed by the 60–79% TBSA burn group (P 80% burns lost the most body weight, lean body mass, muscle protein and bone mineral content (P < 0.05). The urine cortisol concentration was highest in the 80–99% and 60–79% TBSA burn groups, associated with significant myocardial depression and increased change in liver size (P < 0.05). The cytokine profile showed distinct differences in expression of IL-8, TNF, IL-6, IL-12p70, monocyte chemoattractant protein-1 and granulocyte–macrophage colony-stimulating factor (P < 0.05). Conclusion Morbidity and mortality in burned patients is burn size dependent, starts at a 60% TBSA burn and is due to an increased hypermetabolic and inflammatory reaction, along with impaired cardiac function. PMID:17716366

  4. 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)

    2005-03-01

    , 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.

  5. Electricity Theory

    International Nuclear Information System (INIS)

    The text book composed of five parts, which are summary of this book, arrangement of electricity theory including electricity nad magnetism, a direct current, and alternating current. It has two dictionary electricity terms for a synonym. The last is an appendix. It is for preparing for test of officer, electricity engineer and fire fighting engineer.

  6. 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

    2009-01-01

    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

  7. Prestudy of burn control in NET

    International Nuclear Information System (INIS)

    The present report describes our ongoing work on a number of selected topics, and the plans for the nearest future. In chapter 2 we have specialized the system of the previous report to form an easily tractable, second-order system. In this case one can give an explicit, analytical condition for stability. A code providing quick answers regarding stability, time scales and eigenvectors has been written and tested. The zerodimensional modelling of a burning plasma described by space dependent equations is often done in a heuristic way, with no clear relation between the two systems of equations. We have tried to put the approximation procedure involved in the transition to 0-D models on a more formal basis. This is the topic of chapter 3. The 1-D equilibrium solution is also investigated with respect to its stability properties, which are shown to be the same as those derived from the simplest 0-D space averaged model. Chapter 4 contains a few emerging thoughts on burn control. First, the limited swing of the auxiliary heating gives rise to limitations on the possibilities to intervene against temperature excursions by an auxiliary heating modulation. This problem becomes severe when one operates at high Q values. Another analysis concerns the problem of selecting a proper control action when a temperature profile differs from the equilibrium shape. A couple of alternative schemes for burn control, minor radius alterations and dynamic stabilization are tentatively discussed; no definite answers on their feasibility are obtained. The problem of diagnosing the plasma with respect to burn conditions is the topic of chapter 5. The influence on the energy distribution of control actions and the reliability of neutron measurements are discussed, and the question of how to handle sawteeth is briefly revisited. Chapter 6 is a description of process identification and how it could be used for burn control. A particular advantage is that it can be combined with physical

  8. Simulation of an EPRI-Nevada Test Site (NTS) hydrogen burn test at the Central Receiver Test Facility

    International Nuclear Information System (INIS)

    In order to augment results obtained from the hydrogen burn equipment survival tests performed by the Electric Power Research Institute (EPRI) at the Nevada Test Site (NTS), a series of tests was conducted at the Sandia National Laboratories Central Receiver Test Facility (CRTF). The CRTF tests simulated a 13 volume-percent burn from the EPRI-NTS series. During the CRTF tests, the thermal and operational responses of several specimens of nuclear power plant safety-related equipment were monitored when subjected to a solar heat flux simulation of a hydrogen burn. The simulation was conducted with and without steam in the vicinity of the test specimens. Prior to exposure, the specimens were preheated to temperatures corresponding to the precombustion environment in the EPRI-NTS test vessel

  9. Enhanced efficacy and anti-biofilm activity of novel nanoemulsions against skin burn wound multi-drug resistant MRSA infections.

    Science.gov (United States)

    Song, Zhen; Sun, Hongwu; Yang, Yun; Jing, Haiming; Yang, Liuyang; Tong, Yanan; Wei, Chao; Wang, Zelin; Zou, Quanming; Zeng, Hao

    2016-08-01

    Multi-drug resistant MRSA (methicillin-resistant Staphylococcus aureus) is a global problem for human health, especially skin burn wound patients. Therefore, we estimated the antibacterial and anti-biofilm activity of a chlorhexidine acetate nanoemulsion (CNE) by previously ourselves designed against skin burn wound MRSA infections. Compared with its water solution (CHX), CNE showed a better and faster action against MRSA both in vitro and in vivo. Importantly, CNE was more effective at inhibiting biofilm formation and clearing the biofilm. We also found that the cell walls and membranes of MRSA were severely disrupted after treatment with CNE. Moreover, the relative electrical conductivity and the leakage of alkaline phosphates, K(+), Mg(2+), DNA and protein obviously increased because the cell wall and membrane were damaged. These data show that novel CNE is a promising potential antimicrobial candidate, especially for skin burn wound MRSA infections. PMID:26961464

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

    Energy Technology Data Exchange (ETDEWEB)

    Milanovich, Nebojsa

    1999-11-08

    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.

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

    Energy Technology Data Exchange (ETDEWEB)

    None

    1992-10-01

    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.

  12. Analysis of Parallel Burn Without Crossfeed TSTO RLV Architectures and Comparison to Parallel Burn With Crossfeed and Series Burn Architectures

    Science.gov (United States)

    Smith, Garrett; Phillips, Alan

    2002-01-01

    There are currently three dominant TSTO class architectures. These are Series Burn (SB), Parallel Burn with crossfeed (PBw/cf), and Parallel Burn without crossfeed (PBncf). The goal of this study was to determine what factors uniquely affect PBncf architectures, how each of these factors interact, and to determine from a performance perspective whether a PBncf vehicle could be competitive with a PBw/cf or SB vehicle using equivalent technology and assumptions. In all cases, performance was evaluated on a relative basis for a fixed payload and mission by comparing gross and dry vehicle masses of a closed vehicle. Propellant combinations studied were LOX: LH2 propelled orbiter and booster (HH) and LOX: Kerosene booster with LOX: LH2 orbiter (KH). The study conclusions were: 1) a PBncf orbiter should be throttled as deeply as possible after launch until the staging point. 2) a detailed structural model is essential to accurate architecture analysis and evaluation. 3) a PBncf TSTO architecture is feasible for systems that stage at mach 7. 3a) HH architectures can achieve a mass growth relative to PBw/cf of ratio and to the position of the orbiter required to align the nozzle heights at liftoff. 5 ) thrust to weight ratios of 1.3 at liftoff and between 1.0 and 0.9 when staging at mach 7 appear to be close to ideal for PBncf vehicles. 6) performance for all vehicles studied is better when staged at mach 7 instead of mach 5. The study showed that a Series Burn architecture has the lowest gross mass for HH cases, and has the lowest dry mass for KH cases. The potential disadvantages of SB are the required use of an air-start for the orbiter engines and potential CG control issues. A Parallel Burn with crossfeed architecture solves both these problems, but the mechanics of a large bipropellant crossfeed system pose significant technical difficulties. Parallel Burn without crossfeed vehicles start both booster and orbiter engines on the ground and thus avoid both the risk of

  13. 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

    2012-05-07

    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.

  14. [Integration of burn treatment and rehabilitation for a child with extremely severe burn].

    Science.gov (United States)

    Li, Hongming; Zhang, Jiaping; Chen, Jian; Song, Huapei; Liu, Qiushi; Fan, Xin; Peng, Yizhi; Wu, Jun

    2015-04-01

    This article reports the successful experience of integration of burn treatment and rehabilitation for a child suffering from 91% TBSA flame burn injury (with 60% TBSA full-thickness injury, 30% TBSA deep partial-thickness injury, and 1% TBSA superficial partial-thickness injury), severe inhalation injury, severe burn shock, stress ulcer, gastrointestinal bleeding and atelectasis of the right upper lung. The patient was given effective fluid infusion against shock, treatment for gastrointestinal bleeding, and other effective supportive treatment for functions of various organs after being admitted to our burn ward. When vital signs became stable at 30 hours post injury, bedside rehabilitation was begun. On post injury day (PID) 4, escharectomy was performed for both lower limbs, followed by microskin grafting and allogeneic skin covering. On PID 10, invasive infection of multi-drug resistant bacteria was found with accompanied high fever, and at the same time allograft began to disintegrate, with dissolution of large area of eschar, leading to a raw surface reaching 86% TBSA. Following debridement, dressing, application of compound polymyxin B ointment, temporary covering of wounds with porcine acellular dermal matrix, adjustment of antibiotics, patient's condition was finally stabilized. From PID 28 on, split-thickness skin grafting was conducted 7 times, and the raw surface of 75% TBSA involving the upper and lower limbs and trunk was successfully covered. At the same time, our rehabilitation team launched comprehensive rehabilitation measures comprising active exercise, occupational therapy, prevention of scar formation, organ function training and psychological intervention. Finally, the patient was able to walk unaided and fed herself when the wounds were almost entirely healed in 3 months after injury. Oriented forwards functional rehabilitation, strong cooperation between team members, and synchronous effective implementation of burn treatment and

  15. Proposing "the burns suite" as a novel simulation tool for advancing the delivery of burns education.

    Science.gov (United States)

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

    2014-01-01

    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. PMID:23877145

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

    Directory of Open Access Journals (Sweden)

    Dhirender Kaushik

    2013-01-01

    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.

  17. Predictors of Discharge Disposition in Older Adults With Burns: A Study of the Burn Model Systems.

    Science.gov (United States)

    Pham, Tam N; Carrougher, Gretchen J; Martinez, Erin; Lezotte, Dennis; Rietschel, Carly; Holavanahalli, Radha; Kowalske, Karen; Esselman, Peter C

    2015-01-01

    Older patients with burn injury have a greater likelihood for discharge to nursing facilities. Recent research indicates that older patients discharged to nursing facilities are two to three times as likely to die within a 3-year period relative to those discharged to home. In light of these poor long-term outcomes, we conducted this study to identify predictors for discharge to independent vs nonindependent living status in older patients hospitalized for burns. We retrospectively reviewed all older adults (age ≥ 55 years) who were prospectively enrolled in a longitudinal multicenter study of outcomes from 1993 to 2011. Patient, injury, and treatment outcomes data were analyzed. Recognizing that transfer to inpatient rehabilitation may have impacted final hospital discharge disposition: we assessed the likelihood of inpatient rehabilitation stay, based on identified predictors of inpatient rehabilitation. We subsequently performed a logistic regression analysis on the clustered, propensity-matched cohort to assess associations of burn and injury characteristics on the primary outcome of final discharge status. A total of 591 patients aged ≥55 years were treated and discharged alive from three participating U.S. burn centers during the study period. Mean burn size was 14.8% (SD 11.2%) and mean age was 66.7 years (SD 9.3 years). Ninety-three patients had an inpatient rehabilitation stay before discharge (15.7%). Significant factors predictive of inpatient rehabilitation included a burn >20% TBSA, mechanical ventilation, older age, range of motion deficits at acute care discharge, and study site. These factors were included in the propensity model. Four hundred seventy-one patients (80%) were discharged to independent living status. By matched propensity analysis, older age was significantly associated with a higher likelihood of discharge to nonindependent living (P patient factors. Furthermore, clinical practice variations among the three study sites also

  18. Emissions from Open Burning: Evaluation Challenges at Different Scales

    Science.gov (United States)

    Wiedinmyer, C.; Emmons, L. K.; Raffuse, S. M.; Larkin, N. K.

    2011-12-01

    Open burning, whether wildland fires, prescribed burning, burning as part of agricultural practices, or even the burning of waste, emits significant amounts of trace gases and particulate matter to the atmosphere. These emissions can play an important role in local and regional air quality, global atmospheric chemistry, and climatic processes. Many valuable efforts have been put forth to estimate the emissions from open burning, ranging from event-specific and local scales, to regional and global scales. The results from these efforts are extremely valuable, since the inclusion of open burning events is essential to models that simulate air quality, chemistry, and climate. However, evaluation of these emission estimates remains a significant challenge and the uncertainty associated with the estimates is high. Burning emissions are episodic in nature, often occur on heterogeneous landscapes, and are variable throughout a day, a week, and even over months and seasons. The quantity and species of open burning emissions depend on the type of fuel burned, the condition of the fuel, and the way in which the fire burns. These characteristics add inherent difficulties for constraining open burning emissions. Additionally, the transport and transformation of open burning emissions in the atmosphere provides further challenges to their evaluation. This presentation will summarize some of the recent advances in open burning emission estimates, including emission estimates over various spatial and temporal scales that have been developed for various applications. Many efforts to evaluate the emissions, using measurements and models, have already been accomplished, providing information of success and challenges we still face. For example, recent studies using chemical transport models and observations from aircraft studies suggest that the carbon monoxide emissions predicted by the Fire INventory from NCAR in North America are too low. The results of the evaluations can be

  19. Ozone photochemistry in boreal biomass burning plumes

    Directory of Open Access Journals (Sweden)

    M. Parrington

    2013-08-01

    Full Text Available We present an analysis of ozone (O3 photochemistry observed by aircraft measurements of boreal biomass burning plumes over eastern Canada in the summer of 2011. Measurements of O3 and a number of key chemical species associated with O3 photochemistry, including non-methane hydrocarbons (NMHCs, nitrogen oxides (NOx and total nitrogen containing species (NOy, were made from the UK FAAM BAe-146 research aircraft as part of the "quantifying the impact of BOReal forest fires on Tropospheric oxidants over the Atlantic using Aircraft and Satellites" (BORTAS experiment between 12 July and 3 August 2011. The location and timing of the aircraft measurements put BORTAS into a unique position to sample biomass burning plumes from the same source region in Northwestern Ontario with a range of ages. We found that O3 mixing ratios measured in biomass burning plumes were indistinguishable from non-plume measurements, but evaluating them in relationship to measurements of carbon monoxide (CO, total alkyl nitrates (ΣAN and the surrogate species NOz (= NOy-NOx revealed that the potential for O3 production increased with plume age. We used NMHC ratios to estimate photochemical ages of the observed biomass burning plumes between 0 and 10 days. The BORTAS measurements provided a wide dynamic range of O3 production in the sampled biomass burning plumes with ΔO3/ΔCO enhancement ratios increasing from 0.020 ± 0.008 ppbv ppbv−1 in plumes with photochemical ages less than 2 days to 0.55 ± 0.29 ppbv ppbv−1 in plumes with photochemical ages greater than 5 days. We found that the main contributing factor to the variability in the ΔO3/ΔCO enhancement ratio was ΔCO in plumes with photochemical ages less than 4 days, and that was a transition to ΔO3 becoming the main contributing factor in plumes with ages greater than 4 days. In comparing O3 mixing ratios with components of the NOy budget, we observed that plumes with ages between 2 and 4 days were characterised

  20. Getting back on track from electrical injuries

    Energy Technology Data Exchange (ETDEWEB)

    Mitchell, L. [St. John' s Rehab Hospital, Toronto, ON (Canada)

    2009-01-15

    Exposure to an electrical arc flash constitutes one of the most serious and fatal electrical injuries. The arc flash creates pressure waves that can damage hearing, eyesight and brain functions and can cause severe burns or death. Between 1998 and 2006, 39 per cent of critical electrical injuries involved burns from an arc flash. Not all electrical injuries are immediately visible, and don't always show up on traditional tests. This article cautioned that symptoms may arise slowly and unpredictably. Currently, Toronto's St. John's Rehab and Sunnybrook Health Sciences Centre are Canada's only specialized rehabilitation and acute care facilities working clinically and publishing research about electrical injuries. Patients from across Canada have been assessed and treated there since the electrical injury program began in 2003. Early intervention is considered to be the best opportunity for anyone who has been in an electrical contact accident. A specialized, comprehensive assessment by a multi-disciplinary team at the health centres results in a plan of care that minimizes future complications such as permanent disability or other long-term effects. 1 ref., 2 figs.

  1. Burn patient: emergency treatment and reanimation

    Directory of Open Access Journals (Sweden)

    Berrocal-Revueltas Manuela

    2011-12-01

    Full Text Available Burns are a worldwide public Health Problem. This matter mainly affects the populationsof developing countries, due to their vulnerability and the lack of statistical recordsavailable to acknowledge the truly dimensions of the problem, which are needed todevelop efficient prevention proposals. This trauma or injury of the tissue, produced bythe transference of energy from one body to another, severely affects the quality of lifeof the burn patient, with high risk of morbidity and mortality, if the emergency treatmentof resuscitation or reanimation procedure, performed by the medical or paramedical teamfails to operate in a efficient way. This Guidelines is an easy, updated, effective and safetysupport, designed for physicians and paramedics, since they are the first who go to theplace of the accident to offer the primary support to the burned patient.RESEUMEN:Las quemaduras son un problema de salud pública a nivel mundial, que afecta con mayorgravedad a las poblaciones vulnerables de los países en vías de desarrollo, por la falta deregistros estadísticos que permitan conocer la dimensión del problema, para desarrollarpropuestas eficientes en materia de prevención. Este trauma o lesión tisular, producidapor la transferencia de energía de un cuerpo a otro, puede afectar en forma severa lacalidad de vida del paciente y su familia, con alto riesgo de morbi-mortalidad, si no seaplica en forma oportuna y eficiente un tratamiento de emergencia para la reanimación óresucitación del paciente, por parte del equipo médico y paramédico, asignados en cadacaso. La presente guía de manejo de urgencia del paciente quemado, es de fácil aplicación,efectiva y actualizada, orientada a los médicos generales y paramédicos, quienes son losprimeros en acudir al lugar del accidente para ofrecer los primeros cuidados al pacientequemado.

  2. THE PATHOPHYSIOLOGIC RESPONSE TO SEVERE BURN INJURY

    Science.gov (United States)

    Jeschke, Marc G; Chinkes, David L; Finnerty, Celeste C; Kulp, Gabriela; Suman, Oscar E; Norbury, William B; Branski, Ludwik K; Gauglitz, Gerd G; Mlcak, Ronald P; Herndon, David N

    2014-01-01

    Objective To improve clinical outcome and to determine new treatment options, we studied the pathophysiologic response postburn in a large prospective, single center, clinical trial. Summary Background Data A severe burn injury leads to marked hypermetabolism and catabolism, which are associated with morbidity and mortality. The underlying pathophysiology and the correlations between humoral changes and organ function have not been well delineated. Methods Two hundred forty-two severely burned pediatric patients [>30% total body surface area (TBSA)], who received no anabolic drugs, were enrolled in this study. Demographics, clinical data, serum hormones, serum cytokine expression profile, organ function, hypermetabolism, muscle protein synthesis, incidence of wound infection sepsis, and body composition were obtained throughout acute hospital course. Results Average age was 8 ± 0.2 years, and average burn size was 56 ± 1% TBSA with 43 ± 1% third-degree TBSA. All patients were markedly hypermetabolic throughout acute hospital stay and had significant muscle protein loss as demonstrated by a negative muscle protein net balance (−0.05% ± 0.007 nmol/100 mL leg/min) and loss of lean body mass (LBM) (−4.1% ± 1.9%); P < 0.05. Patients lost 3% ± 1% of their bone mineral content (BMC) and 2 ± 1% of their bone mineral density (BMD). Serum proteome analysis demonstrated profound alterations immediately postburn, which remained abnormal throughout acute hospital stay; P < 0.05. Cardiac function was compromised immediately after burn and remained abnormal up to discharge; P < 0.05. Insulin resistance appeared during the first week postburn and persisted until discharge. Patients were hyperinflammatory with marked changes in IL-8, MCP-1, and IL-6, which were associated with 2.5 ± 0.2 infections and 17% sepsis. Conclusions In this large prospective clinical trial, we delineated the complexity of the postburn pathophysiologic response and conclude that the postburn

  3. Amazonia: Burning and global climate impacts

    International Nuclear Information System (INIS)

    In recent years, humans have been playing a major role in reducing the natural forest cover in the tropics through different forms of slash and burn. The most serious destruction, it is said, is occurring in the Amazon, which is the largest expanse of tropical forest remaining on the planet. This chapter reviews briefly the causes and the extent of Amazonian deforestation and focuses on its global and local climate impacts. In addition, the effects of loss of diversity and need to preserve Indian cultures and societies are briefly discussed

  4. Spectral hole burning studies of photosystem II

    Energy Technology Data Exchange (ETDEWEB)

    Chang, H.C.

    1995-11-01

    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.

  5. Burning invariant manifolds in reactive front propagation

    CERN Document Server

    Mahoney, John; Mitchell, Kevin; Solomon, Tom

    2011-01-01

    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.

  6. Paediatric suicidal burns: A growing concern.

    Science.gov (United States)

    Segu, Smitha; Tataria, Rachana

    2016-06-01

    An alarming rise in rates of paediatric population committing self-immolation acts is a growing social and medical problem. In recent times there seems to be a rising concern in paediatric population. A study was conducted at a government tertiary care burn centre over 5 years in paediatric age group of peer pressure leaving them vulnerable. A multidisciplinary care involving medical, psychological and social support is required. Identifying children at risk and proper counselling and support can form an important strategy at prevention rather than cure. PMID:26803366

  7. Burn control resulting from toroidal field ripple

    International Nuclear Information System (INIS)

    The enhanced transport due to toroidal magnetic field ripple is proposed as a means of averting thermal runaway in a tokamak reactor in the post-ignition stage. A theoretical analysis applied to a typical reactor design reveals that peak-to-average edge ripple of the order of 2% is sufficient to terminate the thermal excursion at reasonable values of β without significantly increasing the difficulty of reaching ignition. These analytic predictions, which are shown to agree well with radial transport code results, suggest that a properly specified ripple is one way of achieving a controlled burn in tokamak reactors. (author)

  8. [Burning mouth syndrome - a joint biopsychosocial approach].

    Science.gov (United States)

    Arpone, Francesca; Combremont, Florian; Weber, Kerstin; Scolozzi, Paolo

    2016-02-10

    Burning mouth syndrome (BMS) is a medical condition that is often refractory to conventional diagnostic and therapeutic methods. Patients suffering from BMS can benefit from a biopsychosocial approach in a joint, medical-psychological consultation model. Such a consultation exists at Geneva University Hospitals, involving the collaboration of the maxillo-facial and oral surgery division and the division of liaison psychiatry and crisis intervention, in order to take into account the multiple factors involved in BMS onset and persistence. This article will describe BMS clinical presentation, and present an integrate approach to treat these patients. PMID:27039444

  9. In situ oil burning in the marshland environment : soil temperatures resulting from crude oil and diesel fuel burns

    International Nuclear Information System (INIS)

    The unique challenge associated with oil spill cleanups in sensitive marsh environments was discussed. Mechanical recovery of crude or refined hydrocarbons in wetlands may cause more damage to the marsh than the oil itself. This study evaluated whether in situ burning of oiled marshlands would provide a less damaging alternative than mechanical recovery. This was done through a series of 6 crude oil and 5 diesel fuel burns conducted in a test tank to examine the impact of intentional burning of oil spilled in a wetlands environment. There are several factors which may influence how well such an environment would recover from an in situ oil burn, such as plant species, fuel type and load, water level, soil type, and burn duration. This paper focused on soil, air and water temperatures, as well as total heat fluxes that resulted when 3 plant species were exposed to full-scale in situ burns that were created by burning diesel fuel and crude oil. The soil temperatures were monitored during the test burn at three different soil/water elevations for 700 second burn exposures. A total of 184 plant sods were harvested from marshlands in southern Louisiana and were subjected to the burning fuel. They were instrumental in characterizing the thermal and chemical stress that occur during an in-situ burn. The plants were inserted into the test tanks at various water and soil depths. The results indicated that diesel fuel and crude oil burns produced similar soil temperature profiles at each of three plant sod elevations. Although in-situ burning did not appear to remediate oil that had penetrated into the soil, it did effectively remove floating oil from the water surface, thereby preventing it from potentially contaminating adjacent habitats and penetrating the soil when the water recedes. The regrowth and recovery of the plants will be described in a separate report. 25 refs., 7 tabs., 15 figs

  10. Feet sunk in molten aluminium: The burn and its prevention.

    Science.gov (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

    2015-08-01

    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. PMID:25687835

  11. [Risk factors for development of hypomagnesemia in the burned patient].

    Science.gov (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

    2004-01-01

    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. PMID:15633562

  12. Waste burning and heat recovery characteristics of a mass burn incineration system.

    Science.gov (United States)

    Chen, Wei-Hsin

    2003-02-01

    An experimental investigation on waste combustion characteristics of a mass burn incinerator is conducted in this study. Three different charging modes, including operator manipulation, periodic feeding, and temperature control, are taken into consideration. The results indicate that the burning characteristics in the combustion chambers are closely related to the operating modes. For the operator manipulation where the wastes are sent into the incinerator in two short periods, the entire temperature distribution of the primary combustion chamber can be partitioned into two parts, thereby yielding waste group combustion. Temperature oscillations in both the primary and secondary combustion chambers are characterized for the periodic feeding. However, because of the shorter charging period and smaller amount of waste, the burning interaction between the two chambers is initially weak and becomes notable in the final stage. When temperature control is performed, the burning oscillation of the primary combustion chamber is further amplified so the combustion interaction is drastic. These exhibitions are mainly caused by the competition between endothermic and exothermic reactions. The instantaneous heat exchange efficiency of the cyclone heat recovery system (CHRS) installed in the incineration system is also evaluated to obtain details of energy recovery behaviors. As a result, the efficiency tends to decrease linearly with increasing temperature of hot flue gas. This arises from the fact that heat loss from the gas to the environment is increased when the temperature of the former is higher, even though the temperature gradient across the cyclone is enlarged. PMID:12617288

  13. Electricity economics

    CERN Document Server

    Hu, Zhaoguang

    2013-01-01

    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.

  14. Electric Power

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ 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.

  15. Wound Coverage Technologies in Burn Care: Established Techniques

    Science.gov (United States)

    Jeschke, Marc G.; Shahrokhi, Shahriar; Finnerty, Celeste C.; Branski, Ludwik K.; Dibildox, Manuel

    2013-01-01

    Major advances in burn care have reduced post-burn morbidity and mortality. The development and incorporation of new wound healing modalities into the clinical arena have contributed to this improvement by allowing standard-of-care regimens to be established. These regimens range from early excision to the use of cultured epithelial autograft. Here, we review the wound care options that are now well established and used by many burn surgeons. PMID:24165670

  16. Two cases of jugular vein thrombosis in severely burned patients

    OpenAIRE

    Cen H; He X

    2013-01-01

    Hanghui Cen, Xiaojie HeDepartment of Burn, The Second Affiliated Hospital, Zhejiang University Medical College, Hangzhou, People’s Republic of ChinaAbstract: Here we present two cases of jugular vein thrombosis in burn patients, with diagnosis, risk factor analysis, and treatment approaches. Severely burned patients have high risk of deep vein thrombosis occurrence due to multiple surgeries. The deep vein catheter should be carefully performed. Once deep vein thrombosis is detected, a w...

  17. EXTRACORPOREAL SHOCKWAVE THERAPY FOR POST BURN CARPAL TUNNEL SYNDROME

    OpenAIRE

    Hesham Galal Mahran; Ashraf Hassan Mohammed; Shimaa Nabil Aboelazm

    2015-01-01

    Background: Carpal tunnel syndrome is considered the most common compression neuropathy of the upper extremity. It may lead to work disability and functional impairment. Burns are associated with swelling and eschar which forms a tight band constricting the circulation distally. Purpose: To investigate the effect of shockwave therapy on the carpal tunnel syndrome post burn. Subjects: Thirty male and female patients selected with manifestation of carpal tunnel syndrome post burn evaluated by e...

  18. Burning Rate Studies of Energetic Double Base Propellants

    Directory of Open Access Journals (Sweden)

    V. K. Bhat

    1986-01-01

    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.

  19. Impact of prescribed burning on blanket peat hydrology

    OpenAIRE

    Holden, J; Palmer, SM; Johnston, K; Wearing, C.; Irvine, B; Brown, LE

    2015-01-01

    Fire is known to impact soil properties and hydrological flowpaths. However, the impact of prescribed vegetation burning on blanket peatland hydrology is poorly understood. We studied ten blanket peat headwater catchments. Five were subject to prescribed burning, while five were unburnt controls. Within the burnt catchments we studied plots where the last burn occurred ∼2 (B2), 4 (B4), 7 (B7) or greater than 10 years (B10+) prior to the start of measurements. These were compared with plots at...

  20. Nurses' experience of caring for burn injured children in pain.

    OpenAIRE

    Olsson, Andrea

    2011-01-01

    Abstract: Aim: To illuminate how nurses working with burn injured children describe their care for burn injured children in pain during dressing procedures and which conditions and obstacles nurses express they are working under in order to proceed with giving care. Method: Semi-structured qualitative interviews with eight nurses at a pediatric burn ward in Dar es Salaam. Interviews were recorded, transcribed and processed by manifest content analysis. Result: Three themes were derived and i...

  1. The Use of Dermal Substitutes in Burn Surgery: Acute Phase

    OpenAIRE

    Shahrokhi, Shahriar; Anna, Arno; Marc G. Jeschke

    2014-01-01

    Dermal substitutes are increasingly becoming an essential part of the burn care strategy. During the acute phase of burn treatment, dermal substitutes improve functional and cosmetic results long-term and thus increase quality of life. In the chronic wound setting, dermal substitutes are used to reconstruct and improve burn scars and other defects. Despite some successes in the use of dermal substitutes there are more needs and requirements to further improve outcomes and hence further resear...

  2. Gold standards for primary care of burn management

    OpenAIRE

    Fatih Zor; Nail Ersöz; Yalçın Külahçı; Emin Kapı; Mehmet Bozkurt

    2009-01-01

    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. Su...

  3. Rapid changes in biomass burning aerosols by atmospheric oxidation

    OpenAIRE

    Vakkari, Ville; Beukes, Johan Paul; Tiitta, Petri; van Zyl, Pieter G.; Josipovic, Miroslav; Venter, Andrew D.; Jaars, Kerneels

    2014-01-01

    Primary and secondary aerosol particles originating from biomass burning contribute significantly to the atmospheric aerosol budget and thereby to both direct and indirect radiative forcing. Based on detailed measurements of a large number of biomass burning plumes of variable age in southern Africa, we show that the size distribution, chemical composition, single-scattering albedo, and hygroscopicity of biomass burning particles change considerably during the first 2–4 h of their...

  4. Global estimation of burned area using MODIS active fire observations

    OpenAIRE

    GIGLIO, L.; G. R. van der Werf; J. T. Randerson; Collatz, G. J.; Kasibhatla, P.

    2006-01-01

    We present a method for estimating monthly burned area globally at 1° spatial resolution using Terra MODIS data and ancillary vegetation cover information. Using regression trees constructed for 14 different global regions, MODIS active fire observations were calibrated to ''true'' burned area estimates derived from 500-m MODIS imagery based on the conventional assumption that burned area is proportional to counts of fire pixels. Unlike earlier methods, we...

  5. FARMER EDUCATION AND ADOPTION OF SLASH AND BURN AGRICULTURE

    OpenAIRE

    Schuck, Eric C.; Nganje, William E.; Yantio, Debazou; Aquach, Emmanuel

    2001-01-01

    Education can play a critical role in moving farmers in developing countries away from environmentally harmful slash and burn agriculture. The present research examines the extent to which extension education can promote adoption of cropping systems other than slash and burn. Choice of cropping system by farmers in Cameroon, whether slash and burn, multiple crops, or mono-cropping, is modeled as a function of farm size, farmer educational level, and visits by extension personnel. Results indi...

  6. Plasmid Mediated Antibiotic Resistance in Isolated Bacteria From Burned Patients

    OpenAIRE

    Beige, Fahimeh; Baseri Salehi, Majid; Bahador, Nima; Mobasherzadeh, Sina

    2014-01-01

    Background: Nowadays, the treatment of burned patients is difficult because of the high frequency of infection with antibiotic resistance bacteria. Objectives: This study was conducted to evaluate the level of antibiotic resistance in Gram-negative bacteria and its relation with the existence of plasmid. Materials and Methods: The samples were collected from two hundred twenty hospitalized burned patients in Isfahan burn hospital during a three-month period (March 2012 to June 2012). The samp...

  7. Burn wound healing and treatment: review and advancements

    OpenAIRE

    Rowan, Matthew P.; Cancio, Leopoldo C; Elster, Eric A.; Burmeister, David M.; Rose, Lloyd F.; Natesan, Shanmugasundaram; Chan, Rodney K.; Christy, Robert J.; Chung, Kevin K.

    2015-01-01

    Burns are a prevalent and burdensome critical care problem. The priorities of specialized facilities focus on stabilizing the patient, preventing infection, and optimizing functional recovery. Research on burns has generated sustained interest over the past few decades, and several important advancements have resulted in more effective patient stabilization and decreased mortality, especially among young patients and those with burns of intermediate extent. However, for the intensivist, chall...

  8. Hospital acquired diarrhea in a burn center of Tehran

    OpenAIRE

    Faranak Alinejad; Mitra Barati; Mahbobe Satarzadeh Tabrisi; Mohsen Saberi

    2016-01-01

    Background and Objectives: Incidence of hospital-acquired diarrhea has increased rapidly and burn patients are at high risk of getting it. Infection with C. difficile is the most common cause of antibiotic associated diarrhea. The aim of this study was to determine the baseline characteristics and clinical presentation of hospital-acquired diarrhea and compare C. difficile and non-C. difficile diarrhea in burn patients treated at a burn center.Materials and Methods: During a 1-year study all ...

  9. REGULATION OF INTESTINAL DYSBACTERIOSIS OF BURNED RATS BY MICROECOSYSTEM REGULATORS

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    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.

  10. A Partnership in Burn Care Education - Nepal and Australia

    OpenAIRE

    Edgar, D.; Tonkin, C.; T. Baker; Goodwin-Walters, A.; Wood, F

    2005-01-01

    This paper describes some of the issues related to an education partnership which has been developed over the last four years between the Royal Perth Hospital Burn Team in Australia and the Bir Hospital Burn Team in Kathmandu, Nepal. The paper provides an insight into the preparation and collaboration required from both teams and describes some practical ideas to assist those who may be considering educating others in a developing burn service outside their catchment area.

  11. Burning mouth syndrome due to herpes simplex virus type 1.

    Science.gov (United States)

    Nagel, Maria A; Choe, Alexander; Traktinskiy, Igor; Gilden, Don

    2015-01-01

    Burning mouth syndrome is characterised by chronic orofacial burning pain. No dental or medical cause has been found. We present a case of burning mouth syndrome of 6 months duration in a healthy 65-year-old woman, which was associated with high copy numbers of herpes simplex virus type 1 (HSV-1) DNA in the saliva. Her pain resolved completely after antiviral treatment with a corresponding absence of salivary HSV-1 DNA 4 weeks and 6 months later. PMID:25833911

  12. Enhancement of burn wounds healing by platelet dressing

    OpenAIRE

    Maghsoudi, Hemmat; Nezami, Nariman; Mirzajanzadeh, Mehdi

    2013-01-01

    Background and aims: The goal of this study was to evaluate the efficacy of platelet dressing in the treatment of burn wounds and compare its results with silver sulfadiazine dressing. Material and methods: Between 21 march 2011 to 21 September, 50 patients with burn injuries were selected by a randomized double-blind controlled trial. In order to eliminate the biological and personal variables among the various treated burn wounds, in the same patient, distal or proximal, lateral or medial p...

  13. Health impacts of anthropogenic biomass burning in the developed world.

    Science.gov (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

    2015-12-01

    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. PMID:26405285

  14. Analysis of Alaskan burn severity patterns using remotely sensed data

    Science.gov (United States)

    Duffy, P.A.; Epting, J.; Graham, J.M.; Rupp, T.S.; McGuire, A.D.

    2007-01-01

    Wildland fire is the dominant large-scale disturbance mechanism in the Alaskan boreal forest, and it strongly influences forest structure and function. In this research, patterns of burn severity in the Alaskan boreal forest are characterised using 24 fires. First, the relationship between burn severity and area burned is quantified using a linear regression. Second, the spatial correlation of burn severity as a function of topography is modelled using a variogram analysis. Finally, the relationship between vegetation type and spatial patterns of burn severity is quantified using linear models where variograms account for spatial correlation. These results show that: 1) average burn severity increases with the natural logarithm of the area of the wildfire, 2) burn severity is more variable in topographically complex landscapes than in flat landscapes, and 3) there is a significant relationship between burn severity and vegetation type in flat landscapes but not in topographically complex landscapes. These results strengthen the argument that differential flammability of vegetation exists in some boreal landscapes of Alaska. Additionally, these results suggest that through feedbacks between vegetation and burn severity, the distribution of forest vegetation through time is likely more stable in flat terrain than it is in areas with more complex topography. ?? IAWF 2007.

  15. River ecosystem response to prescribed vegetation burning on Blanket Peatland.

    Directory of Open Access Journals (Sweden)

    Lee E Brown

    Full Text Available Catchment-scale land-use change is recognised as a major threat to aquatic biodiversity and ecosystem functioning globally. In the UK uplands rotational vegetation burning is practised widely to boost production of recreational game birds, and while some recent studies have suggested burning can alter river water quality there has been minimal attention paid to effects on aquatic biota. We studied ten rivers across the north of England between March 2010 and October 2011, five of which drained burned catchments and five from unburned catchments. There were significant effects of burning, season and their interaction on river macroinvertebrate communities, with rivers draining burned catchments having significantly lower taxonomic richness and Simpson's diversity. ANOSIM revealed a significant effect of burning on macroinvertebrate community composition, with typically reduced Ephemeroptera abundance and diversity and greater abundance of Chironomidae and Nemouridae. Grazer and collector-gatherer feeding groups were also significantly less abundant in rivers draining burned catchments. These biotic changes were associated with lower pH and higher Si, Mn, Fe and Al in burned systems. Vegetation burning on peatland therefore has effects beyond the terrestrial part of the system where the management intervention is being practiced. Similar responses of river macroinvertebrate communities have been observed in peatlands disturbed by forestry activity across northern Europe. Finally we found river ecosystem changes similar to those observed in studies of wild and prescribed forest fires across North America and South Africa, illustrating some potentially generic effects of fire on aquatic ecosystems.

  16. Burn Wound Cleansing - A Myth or a Scientific Practice

    OpenAIRE

    Hayek, S; El Khatib, A.; Atiyeh, B.

    2010-01-01

    Burn wound cleansing is an integral step in every wound management protocol. Yet a lot of this practice is based on myth rather than real scientific basis. The literature is poor in scientific papers comparing the outcome of patients who underwent wound cleansing to those who did not. A survey form was designed by the Mediterranean Council for Burns and Fire Disasters - MBC and sent by e-mail to its members as well as members of the European Burn Association and other burn specialists, and 76...

  17. ALGORITHM FOR POST-BURN BACTERIAL SEPSIS DIAGNOSIS

    OpenAIRE

    Guzenko, B. V.

    2013-01-01

    Introduction. In patients with extensive deep burns the most severe of all infectious and inflammatory complications is sepsis which causes high death rate.The purpose of our work was to develop the algorithm of bacterial sepsis diagnosis in patients with severe burn disease.Materials and methods. The study involved 140 burned patients divided into two groups: Group 1 – 78 patients who underwent necrectomy within 3-7 days after the burn, Group 2  (control) – 62 patients with necrectomy perfor...

  18. Gold standards for primary care of burn management

    Directory of Open Access Journals (Sweden)

    Fatih Zor

    2009-01-01

    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.

  19. Summer camps for children with burn injuries: a literature review.

    Science.gov (United States)

    Maslow, Gary R; Lobato, Debra

    2010-01-01

    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. PMID:20644489

  20. River ecosystem response to prescribed vegetation burning on Blanket Peatland.

    Science.gov (United States)

    Brown, Lee E; Johnston, Kerrylyn; Palmer, Sheila M; Aspray, Katie L; Holden, Joseph

    2013-01-01

    Catchment-scale land-use change is recognised as a major threat to aquatic biodiversity and ecosystem functioning globally. In the UK uplands rotational vegetation burning is practised widely to boost production of recreational game birds, and while some recent studies have suggested burning can alter river water quality there has been minimal attention paid to effects on aquatic biota. We studied ten rivers across the north of England between March 2010 and October 2011, five of which drained burned catchments and five from unburned catchments. There were significant effects of burning, season and their interaction on river macroinvertebrate communities, with rivers draining burned catchments having significantly lower taxonomic richness and Simpson's diversity. ANOSIM revealed a significant effect of burning on macroinvertebrate community composition, with typically reduced Ephemeroptera abundance and diversity and greater abundance of Chironomidae and Nemouridae. Grazer and collector-gatherer feeding groups were also significantly less abundant in rivers draining burned catchments. These biotic changes were associated with lower pH and higher Si, Mn, Fe and Al in burned systems. Vegetation burning on peatland therefore has effects beyond the terrestrial part of the system where the management intervention is being practiced. Similar responses of river macroinvertebrate communities have been observed in peatlands disturbed by forestry activity across northern Europe. Finally we found river ecosystem changes similar to those observed in studies of wild and prescribed forest fires across North America and South Africa, illustrating some potentially generic effects of fire on aquatic ecosystems. PMID:24278367

  1. Minor burn injuries in children: inpatient versus outpatient treatment?

    Science.gov (United States)

    La Ferla, G. A.; Fyfe, A. H.; Drainer, I. K.

    1983-01-01

    Seventy-two children with minor superficial burns presented at our casualty department over a 5-month period. Half were treated as inpatients and the other half as outpatients. The colonisation rates were similar in the two groups. Colonised and sterile burns treated as inpatients showed no significant difference in healing rates. The healing time, however, was prolonged in colonised outpatient treated burns. Cosmetic results were satisfactory overall. In the absence of a definite benefit from inpatient treatment, outpatient care of a child with a minor burn should therefore be used if circumstances allow. PMID:6357035

  2. Epidemiology of Pediatric Burn Injuries in Isfahan, Iran

    OpenAIRE

    Rafii, Mohammad Hadi; Saberi, Hamid Reza; Hosseinpour, Mehrdad; Fakharian, Esmaeil; Mohammadzadeh, Mahdi

    2012-01-01

    Background Burns are major cause of death and disability worldwide, particularly in the developing countries. Objectives The aim of this study was to determine the incidence and causes of burns in children under the age of 15 years in Isfahan province, Iran. Patients and Methods All children admitted to the burn center of Isfahan, the largest city in central Iran, between 2007 and 2009 were enrolled in this study. We analyzed the data on age, sex, location, cause and spread of the burn, durat...

  3. Clinical practice recommendations for positioning of the burn patient.

    Science.gov (United States)

    Serghiou, M A; Niszczak, J; Parry, I; Richard, R

    2016-03-01

    The objective of this review was to systematically examine whether there is clinical evidence to support recommendations for positioning patients with acute burn. Review of the literature revealed minimal evidence-based practice regarding the positioning of burn patients in the acute and intermediate phases of recovery. This manuscript describes recommendations based on the limited evidence found in the literature as well as the expert opinion of burn rehabilitation specialists. These positioning recommendations are designed to guide those rehabilitation professionals who treat burn survivors during their acute hospitalization and are intended to assist in the understanding and development of effective positioning regimens. PMID:26787131

  4. Establishing a PWR burn-up library

    International Nuclear Information System (INIS)

    Starting out from data file ENDF/B IV /1/, a cross-section library has been established for the calculation of operating conditions in pressurized water reactors of the type used in BIBLIS B. The library includes macroscopic, homogenized 2-group cross-sections for all types of fuel elements used in this reactor, including those equipped with boron glass rods. For their calculation the previous irradiation of the fuel has been taken into consideration by approximation. Information on fuel consumption from cell burn-up calculations has been stored in a separate data file. It was designed as a base for the determination of cross sections to be used in the calculation of the incident ''main-steam pipe fracture''. For this library the description of cross sections as a function of the moderator status chose the water densities at 3000C/155 bar, 1900C/140 bar and 1000C/100 bar as fixed values. The burn-up library has been tested by a three-dimensional calculation for the 1sup(st) cycle of the BIBLIS B-reactor using program QUABOX /2/. This showed variances with the anticipated course concerning critically, which can be explained almost quantitatively by known deficiencies of the ENDF/b-IV library. (orig.)

  5. Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn Depth

    Directory of Open Access Journals (Sweden)

    Victoria Hamrahi

    2012-01-01

    Full Text Available Sepsis remains the major cause of death in patients with major burn injuries. In the present investigation we evaluated the interaction between burn injuries of varying severity and preexisting distant infection. We used Gram-negative bacteria (Pseudomonas aeruginosa and Proteus mirabilis that were genetically engineered to be bioluminescent, which allowed for noninvasive, sequential optical imaging of the extent and severity of the infection. The bioluminescent bacteria migrated from subcutaneous abscesses in the leg to distant burn wounds on the back depending on the severity of the burn injury, and this migration led to increased mortality of the mice. Treatment with ciprofloxacin, injected either in the leg with the bacterial infection or into the burn eschar, prevented this colonization of the wound and decreased mortality. The present data suggest that burn wounds can readily become colonized by infections distant from the wound itself.

  6. 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

    2011-07-01

    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

  7. Comparative study of pulsed and steady-state tokamak reactor burn cycles

    International Nuclear Information System (INIS)

    Four distinct operating modes have been proposed for tokamaks. Our study focuses on capital costs and lifetime limitations of reactor subsystems in an attempt to quantify sensitivity to pulsed operation. Major problem areas considered include: thermal fatigue on first wall, limiter/divertor; thermal energy storage; fatigue in pulsed poloidal field coils; out-of-plant fatigue and eddy current heating in toroidal field coils; electric power supply costs; and noninductive driver costs. We assume a high availability and low cost of energy will be mandatory for a commercial fusion reactor, and we characterize improvements in physics and engineering which will help achieve these goals for different burn cycles

  8. Critical issues of burning plasma, engineering, economic and environmental assessments on steady-state fusion reactors

    International Nuclear Information System (INIS)

    For burning plasma simulation and reactor system analysis on steady-state high beta fusion reactors, TOTAL physics code and PEC engineering code have been developed. From TOTAL analysis, it is clarified that by choosing appropriate external current drive profile, high bootstrap-current fraction is achieved in steady-state. From PEC analysis, it is found that the current drive efficiency should be raised for cost of electricity (COE) and CO2 reductions in rather low-beta reactors. Newly derived scaling formulas on COE and life-cycle CO2 emission rate might contribute to the future reactor design projection. (author)

  9. Electric drives

    CERN Document Server

    Boldea, Ion

    2005-01-01

    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

  10. Electrical contracting

    CERN Document Server

    Neidle, Michael

    2013-01-01

    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

  11. Electric vehicles

    Science.gov (United States)

    1990-03-01

    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. Effect of Human Burn Wound Exudate on Pseudomonas aeruginosa Virulence.

    Science.gov (United States)

    Gonzalez, Manuel R; Fleuchot, Betty; Lauciello, Leonardo; Jafari, Paris; Applegate, Lee Ann; Raffoul, Wassim; Que, Yok-Ai; Perron, Karl

    2016-01-01

    Burn wound sepsis is currently the main cause of morbidity and mortality after burn trauma. Infections by notorious pathogens such as Pseudomonas aeruginosa, Staphylococcus aureus, and Acinetobacter baumannii impair patient recovery and can even lead to fatality. In this study, we investigated the effect of burn wound exudates (BWEs) on the virulence of those pathogens. BWEs were collected within 7 days after burn trauma from 5 burn patients. We first monitored their effect on pathogen growth. In contrast to A. baumannii and S. aureus, P. aeruginosa was the only pathogen able to grow within these human fluids. Expression of typical virulence factors such as pyocyanin and pyoverdine was even enhanced compared the levels seen with standard laboratory medium. A detailed chemical composition analysis of BWE was performed, which enabled us to determine the major components of BWE and underline the metabolic modifications induced by burn trauma. These data are essential for the development of an artificial medium mimicking the burn wound environment and the establishment of an in vitro system to analyze the initial steps of burn wound infections. IMPORTANCE Microbial infection of severe burn wounds is currently a major medical challenge. Of the infections by bacteria able to colonize such injuries, those by Pseudomonas aeruginosa are among the most severe, causing major delays in burn patient recovery or leading to fatal issues. In this study, we investigated the growth properties of several burn wound pathogens in biological fluids secreted from human burn wounds. We found that P. aeruginosa strains were able to proliferate but not those of the other pathogens tested. In addition, burn wound exudates (BWEs) stimulate the expression of virulence factors in P. aeruginosa. The chemical composition analysis of BWEs enabled us to determine the major components of these fluids. These data are essential for the development of an artificial medium mimicking the burn wound

  13. Experiencia en el tratamiento de quemaduras de cuero cabelludo Scalp burns treatment experience

    Directory of Open Access Journals (Sweden)

    N. Pereira

    2013-03-01

    .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. Immediate changes in topsoil chemical properties after controlled shrubland burning in the Central Pyrenees

    Science.gov (United States)

    Zufiaurre-Galarza, Raquel; Fernández Campos, Marta; Badía-Villas, David; María Armas-Herrera, Cecilia; Martí-Dalmau, Clara; Girona-García, Antonio

    2016-04-01

    Prescribed fire has recently been adopted as an encroachment-fighting strategy in the Central Pyrenees. Despite relatively large information on wildfire impacts on soil, there is little information on prescribed fire effects, especially in mountain ecosystems (Shakesby et al, 2015). Fire effects are noticeable in the topsoil, particularly in relation to soil organic matter and nutrient contents and quality (Alexis et al, 2012). These components change with time after fire and at the scale of the upper few centimetres of mineral soil (Badía et al, 2014). The aim of this study is to evaluate the immediate effects of prescribed shrubland burning on soil's nutrients and organic matter content to detect changes at cm-scale, trying to differentiate the heat shock from the subsequent incorporation of ash and charcoal. The study area, densely covered with spiny broom (Echinospartum horridum), is located in Tella (Central Pyrenees, NE Spain) at 1900 meters above sea level. Three sites were sampled before burning and immediately after burning just in its adjacent side. The soils belong to the WRB unit Leptic Eutric Cambisol, Soil samples were collected separating carefully the organic layers (litter in unburned soils and ashes and fire-altered organic residues in burned soils) and the mineral horizon at 0-1, 1-2 and 2-3 cm depths. Soil samples were air-dried and sieved to 2 mm. Soil organic C (by the wet oxidation method), total N (Kjeldahl method), water-soluble ions (Ca2+, Mg2+, Na+, K+, SO4=, NO3- and NH4+), exchangeable ions (Ca2+, Mg2+, K+, Na+, Fe3+ and Mn2+), total and available P, pH (1:5) and the electrical conductivity (in a 1:10 soil-to-water ratio) were measured. Immediately after the controlled fire, soil organic carbon content on burned topsoil decreases significantly within 0-3 cm of soil depth studied while total N decrease was not significant. Moreover, only a slight increase of the electrical conductivity, water-soluble ions and exchangeable ions was

  15. Comparison of the General Health, Self-Esteem and Social Support in Self-Inflicted Burn Patients and Non Self Inflicted Burn Patients of the Choromy Accidental and Burning Hospital of Ganaveh

    OpenAIRE

    MS Enayati; A Heidarei; Malekzadeh, M.; Y Abolfathi

    2006-01-01

    ABSTRACT: Introduction & Objective: Self-inflicted burn is a violent method of suicide. Since our society faces lots of psychological, social, personal and economical problems due to self-inflicted burn, more survey for this event can assist us to know its causes and prevent from its occurrence. This research was carried out to compare general health, self- esteem and social support in patient's self-inflicted burn and non-self-inflicted burn of the Choromy accidental and burning hospital...

  16. Acceptable ELM regimes for burning plasmas

    International Nuclear Information System (INIS)

    The reduction in size of Type I ELMs with increasing density is explored in DIII-D for the purpose of more reliable extrapolation to a burning plasma scale tokamak. The separate convective and conductive transport of energy due to an ELM is determined by Thomson scattering measurements of electron density and temperature in the pedestal. The conductive transport across the separatrix during an ELM is seen to decrease with increasing density, while the convective transport remains nearly constant. The scaling of the conducted ELM energy loss is found consistent with edge MHD stability modeling. Scrape-off-layer (SOL) and divertor diagnostics also show evidence of conductive transport in the SOL at low density with a more convective behavior at high density. Evidence of radial particle transport to the main chamber during an ELM is also presented. (author)

  17. Emissions from Biomass Burning in the Yucatan

    Science.gov (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.

    2009-01-01

    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.

  18. An assessment of mass burn incineration costs

    International Nuclear Information System (INIS)

    This study comprises the third and final part of a cost assessment exercise of waste-to-energy options. The specific objectives of this particular study were: to determine the capital and operating costs of three generic types of mass burn waste-to-energy systems, for waste inputs of 200,000 and 400,000 t/y of municipal solid waste (MSW); to verify the mass and energy balances of the systems; to develop a computer cost model to manipulate the data as required; to carry out sensitivity checks on the computer model of changes to key parameters; and to conduct the study in a manner approximating as closely as possible to a real commercial situation. (author)

  19. Ozone photochemistry in boreal biomass burning plumes

    Directory of Open Access Journals (Sweden)

    M. Parrington

    2013-01-01

    Full Text Available We present an analysis of ozone photochemistry observed by aircraft measurements of boreal biomass burning plumes over Eastern Canada in the summer of 2011. Measurements of ozone and a number of key chemical species associated with ozone photochemistry, including non-methane hydrocarbons (NMHCs, nitrogen oxides (NOx and total nitrogen containing species (NOy, were made from the UK FAAM BAe-146 research aircraft as part of the quantifying the impact of BOReal forest fires on tropospheric oxidants over the Atlantic using Aircraft and Satellites (BORTAS experiment between 12 July and 3 August 2011. We found that ozone mixing ratios measured in biomass burning plumes were indistinguishable from non-plume measurements, but evaluating them in relationship to measurements of carbon monoxide (CO, total alkyl nitrates (ΣAN and the surrogate species NOz (=NOy - NOx revealed that the potential for ozone production increased with plume age. We used NMHC ratios to estimate photochemical ages of the observed biomass burning plumes between 0 and 15 days. Ozone production, calculated from ΔO3/ΔCO enhancement ratios, increased from 0.020 ± 0.008 ppbv ppbv−1 in plumes with photochemical ages less than 2 days to 0.55 ± 0.29 ppbv ppbv−1 in plumes with photochemical ages greater than 5 days. In comparing ozone mixing ratios with components of the NOy budget we observed that plumes with ages between 2 and 4 days were characterised by high aerosol loading, relative humidity greater than 40%, and low ozone production efficiencies of 8 ppbv ppbv−1 relative to ΣAN and 2 ppbv ppbv−1 relative to NOz. In plumes with ages greater than 4 days, ozone production efficiency increased to 473 ppbv ppbv−1 relative to ΣAN and 155 ppbv ppbv−1 relative to NOz. From the BORTAS measurements we estimated

  20. Burn Injury: A Challenge for Tissue Engineers

    Directory of Open Access Journals (Sweden)

    Yerneni LK

    2009-01-01

    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

  1. Model for nonlinear transient burning of hydrazinium nitroformate

    NARCIS (Netherlands)

    Louwers, J.; Gadiot, G.M.H.J.L.

    1999-01-01

    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

  2. Calcium and ER stress mediate hepatic apoptosis after burn injury

    Science.gov (United States)

    Gauglitz, Gerd G.; Song, Juquan; Kulp, Gabriela A.; Finnerty, Celeste C.; Cox, Robert A.; Barral, José M.; Herndon, David N.; Boehning, Darren

    2009-01-01

    Abstract A hallmark of the disease state following severe burn injury is decreased liver function, which results in gross metabolic derangements that compromise patient survival. The underlying mechanisms leading to hepatocyte dysfunction after burn are essentially unknown. The aim of the present study was to determine the underlying mechanisms leading to hepatocyte dysfunction and apoptosis after burn. Rats were randomized to either control (no burn) or burn (60% total body surface area burn) and sacrificed at various time‐points. Liver was either perfused to isolate primary rat hepatocytes, which were used for in vitro calcium imaging, or liver was harvested and processed for immunohistology, transmission electron microscopy, mitochondrial isolation, mass spectroscopy or Western blotting to determine the hepatic response to burn injury in vivo. We found that thermal injury leads to severely depleted endoplasmic reticulum (ER) calcium stores and consequent elevated cytosolic calcium concentrations in primary hepatocytes in vitro. Burn‐induced ER calcium depletion caused depressed hepatocyte responsiveness to signalling molecules that regulate hepatic homeostasis, such as vasopressin and the purinergic agonist ATP. In vivo, thermal injury resulted in activation of the ER stress response and major alterations in mitochondrial structure and function – effects which may be mediated by increased calcium release by inositol 1,4,5‐trisphosphate receptors. Our results reveal that thermal injury leads to dramatic hepatic disturbances in calcium homeostasis and resultant ER stress leading to mitochondrial abnormalities contributing to hepatic dysfunction and apoptosis after burn injury. PMID:20141609

  3. The nitric acid burn trauma of the skin.

    Science.gov (United States)

    Kolios, L; Striepling, E; Kolios, G; Rudolf, K-D; Dresing, K; Dörges, J; Stürmer, K M; Stürmer, E K

    2010-04-01

    Nitric acid burn traumata often occur in the chemical industry. A few publications addressing this topic can be found in the medical database, and there are no reports about these traumata in children. A total of 24 patients, average 16.6 years of age, suffering from nitric acid traumata were treated. Wound with I degrees burns received open therapy with panthenol-containing creams. Wound of II degrees and higher were initially treated by irrigation with sterile isotonic saline solution and then by covering with silver-sulphadiazine dressing. Treatment was changed on the second day to fluid-absorbent foam bandages for superficial wounds (up to IIa degrees depth) and occlusive, antiseptic moist bandages in combination with enzymatic substances for IIb degrees -III degrees burns. After the delayed demarcation, necrectomy and mesh-graft transplantation were performed. All wounds healed adequately. Chemical burn traumata with nitric acid lead to specific yellow- to brown-stained wounds with slower accumulation of eschar and slower demarcation compared with thermal burns. Remaining wound eschar induced no systemic inflammation reaction. After demarcation, skin transplantation can be performed on the wounds, as is commonly done. The distinguishing feature of nitric-acid-induced chemical burns is the difficulty in differentiation and classification of burn depth. An immediate lavage should be followed by silver sulphadiazine treatment. Thereafter, fluid-absorbent foam bandages or occlusive, antiseptic moist bandages should be used according to the burn depth. Slow demarcation caused a delay in performing surgical treatments. PMID:19875347

  4. Epidemiologic characteristics of occupational burns in Yazd, Iran

    Directory of Open Access Journals (Sweden)

    Seyyed Jalil Mirmohammadi

    2013-01-01

    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.

  5. Burn-up measurements coupling gamma spectrometry and neutron measurement

    International Nuclear Information System (INIS)

    The need to apply for burn-up credit arises with the increase of the initial enrichment of nuclear fuel. When burn-up credit is used in criticality safety studies, it is often necessary to confirm it by measurement. For the last 10 years, CANBERRA has manufactured the PYTHON system for such measurements. However, the method used in the PYTHON itself uses certain reactor data to arrive at burn-up estimates. Based on R and D led by CEA and COGEMA in the framework of burn-up measurement for burn-up credit and safeguards applications, CANBERRA is developing the next generation of burn-up measurement device. This new product, named SMOPY, is able to measure burn-up of any kind of irradiated fuel assembly with a combination of gamma spectrometry and passive neutron measurements. The measurement data is used as input to the CESAR depletion code, which has been developed and qualified by CEA and COGEMA for burn-up credit determinations. In this paper, we explain the complementary nature of the gamma and neutron measurements. In addition, we draw on our previous experience from PYTHON system and from COGEMA La Hague to show what types of evaluations are required to qualify the SMOPY system, to estimate its uncertainties, and to detect discrepancies in the fuel data given by the reactor plant to characterize the irradiated fuel assembly. (authors)

  6. 30 CFR 57.6903 - Burning explosive material.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Burning explosive material. 57.6903 Section 57... MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES Explosives General Requirements-Surface and Underground § 57.6903 Burning explosive material. If explosive...

  7. 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.

    2011-01-01

    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

  8. 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.

    2015-01-01

    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

  9. Working group report: methane emissions from biomass burning

    International Nuclear Information System (INIS)

    Biomass burning is a significant source of atmospheric methane. Like most other sources of methane, it has both natural and anthropogenic causes, although anthropogenic causes now predominate. Most of the estimates of methane emissions from biomass burning in the past have relied on a uniform emission factor for all types of burning. This results in the share of trace gas emissions for different types of burning being the same as the amounts of biomass burned in those types. The Working Group endorsed the extension of an approach followed for Africa by Delmas et al. (1991) to use different emission factors for different types of biomass burning to estimate national emissions of methane. This is really critical as emission factors present important variations. While the focus of discussions of the Working Group was on methane emissions from biomass burning, the Group endorsed the IPCC-OECD methodology of estimating all greenhouse related trace gases from biomass burning. Neither the IPCC-OECD nor the methodology suggested here applies to estimation of trace gas emissions from the processing of biomass to upgraded fuels. They must be estimated separately. The Group also discussed technical options for controlling methane emissions from biomass. 12 refs

  10. An overview of burning mouth syndrome for the dermatologist.

    Science.gov (United States)

    Lewis, A K; Prime, S S; Cohen, S N

    2016-03-01

    Burning mouth syndrome is characterized by an idiopathic burning pain affecting the oral mucosa, with no clinically apparent changes. It can present to a variety of health professionals including dermatologists. This article summarizes the important aspects of the condition, including theories of pathogenesis, diagnosis and management. PMID:26871710

  11. Isolation of Serratia plymuthica from a human burn site.

    OpenAIRE

    Clark, R B; Janda, J M

    1985-01-01

    The saprophytic bacterium Serratia plymuthica was recovered from a facial wound (burn) site of a pediatric patient. The clinical significance of the organism was undetermined due to its apparent eradication from this location by therapy with topical 1% silver sulfadiazine. Seeding of the burn with S. plymuthica may have occurred from contaminated moisture sometimes found on and around steam radiators.

  12. 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

    2000-01-01

    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.

  13. Burning mouth syndrome: pathogenic and therapeutic concepts

    Directory of Open Access Journals (Sweden)

    Ferensztajn, Ewa

    2013-12-01

    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.

  14. Operation of tube electric heaters in a medium of oil coolants of chemical purification machinery

    Energy Technology Data Exchange (ETDEWEB)

    Bolgov, I.V.; Barinov, V.V.; Isakov, B.V.; Skatkov, V.D.

    1979-01-01

    The basic factors which cause failure of tube electric heaters of chemical purification machinery which operate on electrical heating are pointed out. It is shown that the material of the envelope of the tube electric heater noticeably influences aging of the oil coolant. It is established that at a thickness of solid deposits on the surface of the tube electric heater greater than 3-4 mm the spiral overheats and the envelope burns through.

  15. The role of actinide burning and the Integral Fast Reactor in the future of nuclear power

    International Nuclear Information System (INIS)

    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

  16. 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.

    1990-12-01

    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.

  17. High Pressure Burn Rate Measurements on an Ammonium Perchlorate Propellant

    Energy Technology Data Exchange (ETDEWEB)

    Glascoe, E A; Tan, N

    2010-04-21

    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

  18. The Presence of Excess Oxygen in Burning Metallic Materials

    Science.gov (United States)

    Wilson, D. Bruce; Steinberg, Theodore A.; Stoltzfus, Joel M.; Fries, Joseph (Technical Monitor)

    2000-01-01

    Early work on burning of iron rods under conditions of the ATSM/NASA flammability test showed that there was excess oxygen, that is, above stoichiometric requirements for iron(III) oxide, present in the molten product during burning. Since that work, this phenomenon has been confirmed for burning under microgravity conditions and has been observed for a wide range of metals under burning conditions of a single micro-drop at ambient pressures and 20-second microgravity tests under pressurized oxygen-enriched conditions. This paper reviews these experimental observations and discusses the possible thermodynamic analysis for the metals iron, aluminum, and cobalt. The excess oxygen in the burning molten iron oxide was represented as combined to form a series of ferrite ions. For aluminum the excess oxygen is represented as a bridging species and a similar explanation is postulated for the cobalt system.

  19. Radioisotopic studies on pulmonary function in experimental burn shock

    Energy Technology Data Exchange (ETDEWEB)

    Lambrecht, W.; Barcikowski, S.; Maziarz, Z.; Zajgner, J.; Markiewicz, A. (Wojskowa Akademia Medyczna, Warsaw (Poland))

    1980-01-01

    Disturbances in pulmonary ventilation and perfusion, which can initiate severe complications, often lead to many therapeutic failures in burn shock. Early recognition of respiratory disturbances is often required to improve results of treatment of burn shock. The authors investigated changes in pulmonary ventilation and perfusion in napalm-burnt rabbits using /sup 133/Xe. Simultaneously, they determined effect of treatment with cytochrome C on pulmonary ventilation and perfusion in animals burnt with napalm. It was found that in napalm-burnt rabbits burn shock was accompanied by a significant deterioration in pulmonary ventilation and perfusion. The most marked changes were observed one and two days after burn. It was also found a beneficial effect of treatment with cytochrome C on alveolar ventilation. The authors pointed out the usefulness of radioisotopic investigations of pulmonary ventilation and perfusion in burn shock.

  20. Thermonuclear burn-up in deuterated methane $CD_4$

    CERN Document Server

    Frolov, Alexei M

    2010-01-01

    The thermonuclear burn-up of highly compressed deuterated methane CD$_4$ is considered in the spherical geometry. The minimal required values of the burn-up parameter $x = \\rho_0 \\cdot r_f$ are determined for various temperatures $T$ and densities $\\rho_0$. It is shown that thermonuclear burn-up in $CD_4$ becomes possible in practice if its initial density $\\rho_0$ exceeds $\\approx 5 \\cdot 10^3$ $g \\cdot cm^{-3}$. Burn-up in CD$_2$T$_2$ methane requires significantly ($\\approx$ 100 times) lower compressions. The developed approach can be used in order to compute the critical burn-up parameters in an arbitrary deuterium containing fuel.