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Sample records for psia burning rate

  1. High burn rate solid composite propellants

    Science.gov (United States)

    Manship, Timothy D.

    High burn rate propellants help maintain high levels of thrust without requiring complex, high surface area grain geometries. Utilizing high burn rate propellants allows for simplified grain geometries that not only make production of the grains easier, but the simplified grains tend to have better mechanical strength, which is important in missiles undergoing high-g accelerations. Additionally, high burn rate propellants allow for a higher volumetric loading which reduces the overall missile's size and weight. The purpose of this study is to present methods of achieving a high burn rate propellant and to develop a composite propellant formulation that burns at 1.5 inches per second at 1000 psia. In this study, several means of achieving a high burn rate propellant were presented. In addition, several candidate approaches were evaluated using the Kepner-Tregoe method with hydroxyl terminated polybutadiene (HTPB)-based propellants using burn rate modifiers and dicyclopentadiene (DCPD)-based propellants being selected for further evaluation. Propellants with varying levels of nano-aluminum, nano-iron oxide, FeBTA, and overall solids loading were produced using the HTPB binder and evaluated in order to determine the effect the various ingredients have on the burn rate and to find a formulation that provides the burn rate desired. Experiments were conducted to compare the burn rates of propellants using the binders HTPB and DCPD. The DCPD formulation matched that of the baseline HTPB mix. Finally, GAP-plasticized DCPD gumstock dogbones were attempted to be made for mechanical evaluation. Results from the study show that nano-additives have a substantial effect on propellant burn rate with nano-iron oxide having the largest influence. Of the formulations tested, the highest burn rate was a 84% solids loading mix using nano-aluminum nano-iron oxide, and ammonium perchlorate in a 3:1(20 micron: 200 micron) ratio which achieved a burn rate of 1.2 inches per second at 1000

  2. Arrhenius Rate: constant volume burn

    Energy Technology Data Exchange (ETDEWEB)

    Menikoff, Ralph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-12-06

    A constant volume burn occurs for an idealized initial state in which a large volume of reactants at rest is suddenly raised to a high temperature and begins to burn. Due to the uniform spatial state, there is no fluid motion and no heat conduction. This reduces the time evolu tion to an ODE for the reaction progress variable. With an Arrhenius reaction rate, two characteristics of thermal ignition are illustrated: induction time and thermal runaway. The Frank-Kamenetskii approximation then leads to a simple expression for the adiabatic induction time. For a first order reaction, the analytic solution is derived and used to illustrate the effect of varying the activation temperature; in particular, on the induction time. In general, the ODE can be solved numerically. This is used to illustrate the effect of varying the reaction order. We note that for a first order reaction, the time evolution of the reaction progress variable has an exponential tail. In contrast, for a reaction order less than one, the reaction completes in a nite time. The reaction order also affects the induction time.

  3. The burning and smoke release rates of sodium pool fires

    International Nuclear Information System (INIS)

    Newman, R.N.; Payne, J.F.B.

    1976-10-01

    The burning rates and smoke release fractions of sodium pool fires have been measured over the pool temperature range 250 0 C to 750 0 C. A theoretical model is derived which satisfactorily predicts the burning rate over the above temperature range. The theory further predicts that the burning rate should be independent of pool diameter, a prediction supported by a comparison of burning rate data from this study and available data from other studies. (author)

  4. Burning Rate Emulator Experiments for Spacecraft Fire Safety

    Data.gov (United States)

    National Aeronautics and Space Administration — Experimental Investigation of Emulated Burning Rate at Various Gravity Levels Support for the initial development stages of a novel experimental apparatus, the...

  5. Development of strand burner for solid propellant burning rate studies

    International Nuclear Information System (INIS)

    Aziz, A; Mamat, R; Ali, W K Wan

    2013-01-01

    It is well-known that a strand burner is an apparatus that provides burning rate measurements of a solid propellant at an elevated pressure in order to obtain the burning characteristics of a propellant. This paper describes the facilities developed by author that was used in his studies. The burning rate characteristics of solid propellant have be evaluated over five different chamber pressures ranging from 1 atm to 31 atm using a strand burner. The strand burner has a mounting stand that allows the propellant strand to be mounted vertically. The strand was ignited electrically using hot wire, and the burning time was recorded by electronic timer. Wire technique was used to measure the burning rate. Preliminary results from these techniques are presented. This study shows that the strand burner can be used on propellant strands to obtain accurate low pressure burning rate data

  6. Non-linear analysis of solid propellant burning rate behavior

    Energy Technology Data Exchange (ETDEWEB)

    Junye Wang [Zhejiang Univ. of Technology, College of Mechanical and Electrical Engineering, Hanzhou (China)

    2000-07-01

    The parametric analysis of the thermal wave model of the non-steady combustion of solid propellants is carried out under a sudden compression. First, to observe non-linear effects, solutions are obtained using a computer under prescribed pressure variations. Then, the effects of rearranging the spatial mesh, additional points, and the time step on numerical solutions are evaluated. Finally, the behaviour of the thermal wave combustion model is examined under large heat releases (H) and a dynamic factor ({beta}). The numerical predictions show that (1) the effect of a dynamic factor ({beta}), related to the magnitude of dp/dt, on the peak burning rate increases as the value of beta increases. However, unsteady burning rate 'runaway' does not appear and will return asymptotically to ap{sup n}, when {beta}{>=}10.0. The burning rate 'runaway' is a numerical difficulty, not a solution to the models. (2) At constant beta and m, the amplitude of the burning rate increases with increasing H. However, the increase in the burning rate amplitude is stepwise, and there is no apparent intrinsic instability limit. A damped oscillation of burning rate occurs when the value of H is less. However, when H>1.0, the state of an intrinsically unstable model is composed of repeated, amplitude spikes, i.e. an undamped oscillation occurs. (3) The effect of the time step on the peak burning rate increases as H increases. (Author)

  7. Accuracy of real time radiography burning rate measurement

    Science.gov (United States)

    Olaniyi, Bisola

    The design of a solid propellant rocket motor requires the determination of a propellant's burning-rate and its dependency upon environmental parameters. The requirement that the burning-rate be physically measured, establishes the need for methods and equipment to obtain such data. A literature review reveals that no measurement has provided the desired burning rate accuracy. In the current study, flash x-ray modeling and digitized film-density data were employed to predict motor-port area to length ratio. The pre-fired port-areas and base burning rate were within 2.5% and 1.2% of their known values, respectively. To verify the accuracy of the method, a continuous x-ray and a solid propellant rocket motor model (Plexiglas cylinder) were used. The solid propellant motor model was translated laterally through a real-time radiography system at different speeds simulating different burning rates. X-ray images were captured and the burning-rate was then determined. The measured burning rate was within 1.65% of the known values.

  8. Bifurcations of propellant burning rate at oscillatory pressure

    Energy Technology Data Exchange (ETDEWEB)

    Novozhilov, Boris V. [N. N. Semenov Institute of Chemical Physics, Russian Academy of Science, 4 Kosygina St., Moscow 119991 (Russian Federation)

    2006-06-15

    A new phenomenon, the disparity between pressure and propellant burning rate frequencies, has revealed in numerical studies of propellant burning rate response to oscillatory pressure. As is clear from the linear approximation, under small pressure amplitudes, h, pressure and propellant burning rate oscillations occur with equal period T (T-solution). In the paper, however, it is shown that at a certain critical value of the parameter h the system in hand undergoes a bifurcation so that the T-solution converts to oscillations with period 2T (2T-solution). When the bifurcation parameter h increases, the subsequent behavior of the system becomes complicated. It is obtained a sequence of period doubling to 4T-solution and 8T-solution. Beyond a certain value of the bifurcation parameter h an apparently fully chaotic solution is found. These effects undoubtedly should be taken into account in studies of oscillatory processes in combustion chambers. (Abstract Copyright [2006], Wiley Periodicals, Inc.)

  9. Rill erosion rates in burned forests

    Science.gov (United States)

    Joseph W. Wagenbrenner; Peter R. Robichaud

    2011-01-01

    Introduction Wildfires often produce large increases in runoff and erosion rates (e.g., Moody and Martin, 2009), and land managers need to predict the frequency and magnitude of postfire erosion to determine the needs for hazard response and possible erosion mitigation to reduce the impacts of increased erosion on public safety and valued resources. The Water Erosion...

  10. High-Pressure Burning Rate Studies of Solid Rocket Propellants

    Science.gov (United States)

    2013-01-01

    monopropellant burning rate. The self-de§agration rates of neat AP are plotted in Fig. 2 for both pressed pellets and single crystals. There is agreement...rate data from various investigators: 1 ¡ [2]; pressed pellets : 2 ¡ [3], 3 ¡ [4], and 4 ¡ [2]; and single crystals: 5 ¡ [5], and 6 ¡ [6]. Line ¡ AP...7]. Strand or window burners have had more use in the solid propellant community. There are numerous types and styles of combustion vessels, but they

  11. Burns

    Science.gov (United States)

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

  12. Biomass burning fuel consumption rates: a field measurement database

    NARCIS (Netherlands)

    van Leeuwen, T.T.; van der Werf, G.R.; Hoffmann, A.A.; Detmers, R.G.; Ruecker, G.; French, N.H.F.; Archibald, S.; Carvalho Jr., J.A.; Cook, G.D.; de Groot, J.W.; Hely, C.; Kasischke, E.S.; Kloster, S.; McCarty, J.L.; Pettinari, M.L.; Savadogo, P.

    2014-01-01

    Landscape fires show large variability in the amount of biomass or fuel consumed per unit area burned. Fuel consumption (FC) depends on the biomass available to burn and the fraction of the biomass that is actually combusted, and can be combined with estimates of area burned to assess emissions.

  13. Rocket propellants with reduced smoke and high burning rates

    Energy Technology Data Exchange (ETDEWEB)

    Menke, K.; Eisele, S. [Fraunhofer-Institut fuer Chemische Technologie (ICT), Pfinztal-Berghausen (Germany)

    1997-07-01

    Rocket propellants with reduced smoke and high burning rates recommend themselves for use in a rocket motor for high accelerating tactical missiles. They serve for an improved camouflage on the battle field and may enable guidance control due to the higher transmission of their rocket plume compared to traditional aluminized composite propellants. In this contribution the material based ranges of performance and properties of three non aluminized rocket propellants will be introduced and compared to each other. The selected formulations based on AP/HTPB; AP/PU/TMETN and AP/HMX/GAP/TMETN have roughly the same specific impulse of I{sub SP}=2430 Ns/kg at 70:1 expansion ratio. The burning rates in the pressure range from 10-18 MPa vary from to 26-33 mm/s for the AP/HTPB propellant, 52-68 mm/s for the formulation based on AP/PU/TMETN and 28-39 mm/s for the propellant based on AP/HMX/GAP. With 58% and 20% AP-contents the propellants with nitrate ester plasticizers create a much smaller secondary signature than the AP/HTPB representative containing 85% AP. Their disadvantage, however, is the connection of high performance to a high level of energetic plasticizer. For this reason, the very fast burning propellant based on AP/PU/TMETN is endowed with a low elastic modulus and is limited to a grain configuration which isn`t exposed too much to the fast and turbulent airstream. The mechanical properties of the AP/HMX/GAP-propellant are as good or better as those of the AP/HTPB propellant. The first one exhibits the same performance and burn rates as the composite representative but produces only one fifth of HCl exhaust. For this reason it is recommended for missile applications, which must have high accelerating power together with a significantly reduced plume signature and smoke production. (orig.) [Deutsch] Rauchreduzierte Festtreibstoffe mit hohen Abbrandgeschwindigkeiten bieten sich fuer den Antrieb hochbeschleunigender taktischer Flugkoerper an, da sie gegenueber

  14. Turbulent burning rates of methane and methane-hydrogen mixtures

    Energy Technology Data Exchange (ETDEWEB)

    Fairweather, M. [School of Process, Environmental and Materials Engineering, University of Leeds, Leeds LS2 9JT (United Kingdom); Ormsby, M.P.; Sheppard, C.G.W. [School of Mechanical Engineering, University of Leeds, Leeds LS2 9JT (United Kingdom); Woolley, R. [Department of Mechanical Engineering, University of Sheffield, Sheffield S1 3JD (United Kingdom)

    2009-04-15

    Methane and methane-hydrogen (10%, 20% and 50% hydrogen by volume) mixtures have been ignited in a fan stirred bomb in turbulence and filmed using high speed cine schlieren imaging. Measurements were performed at 0.1 MPa (absolute) and 360 K. A turbulent burning velocity was determined for a range of turbulence velocities and equivalence ratios. Experimental laminar burning velocities and Markstein numbers were also derived. For all fuels the turbulent burning velocity increased with turbulence velocity. The addition of hydrogen generally resulted in increased turbulent and laminar burning velocity and decreased Markstein number. Those flames that were less sensitive to stretch (lower Markstein number) burned faster under turbulent conditions, especially as the turbulence levels were increased, compared to stretch-sensitive (high Markstein number) flames. (author)

  15. Analysis of the burns profile and the admission rate of severely burned adult patient to the National Burn Center of Chile after the 2010 earthquake.

    Science.gov (United States)

    Albornoz, Claudia; Villegas, Jorge; Sylvester, Marilu; Peña, Veronica; Bravo, Iside

    2011-06-01

    Chile is located in the Ring of Fire, in South America. An earthquake 8.8° affected 80% of the population in February 27th, 2010. This study was conducted to assess any change in burns profile caused by the earthquake. This was an ecologic study. We compared the 4 months following the earthquake in 2009 and 2010. age, TBSA, deep TBSA, agent, specific mortality rate and rate of admissions to the National burn Center of Chile. Mann-Whitney test and a Poisson regression were performed. Age, agent, TBSA and deep TBSA percentages did not show any difference. Mortality rate was lower in 2010 (0.52 versus 1.22 per 1,000,000 habitants) but no meaningful difference was found (Poisson regression p = 0.06). Admission rate was lower in 2010, 4.6 versus 5.6 per 1,000,000 habitants, but no differences were found (p = 0.26). There was not any admissions directly related to the earthquake. As we do not have incidence registries in Chile, we propose to use the rate of admission to the National Burn Reference Center as an incidence estimator. There was not any significant difference in the burn profile, probably because of the time of the earthquake (3 am). We conclude the earthquake did not affect the way the Chilean people get burned. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

  16. Hydrocolloid dressing in pediatric burns may decrease operative intervention rates.

    LENUS (Irish Health Repository)

    Martin, Fiachra T

    2010-03-01

    Partial-thickness scalds are the most common pediatric burn injury, and primary management consists of wound dressings to optimize the environment for reepithelialization. Operative intervention is reserved for burns that fail to heal using conservative methods. Worldwide, paraffin-based gauze (Jelonet) is the most common burn dressing; but literature suggests that it adheres to wounds and requires more frequent dressing change that may traumatize newly epithelialized surfaces. Hydrocolloid dressings (DuoDERM) provide an occlusive moist environment to optimize healing and are associated with less frequent dressing changes.

  17. Necrópsia em coelhos

    OpenAIRE

    Vala, Helena; Coelho, C.

    2012-01-01

    A necrópsia consiste na abertura e exame sistemáticos e metódicos de um cadáver animal, com os objetivos de determinar a causa da morte, estabelecer o diagnóstico morfológico e etiológico da doença, confirmar o diagnóstico clínico e estabelecer a relação entre os dados clínicos e a patologia, avaliar os resultados do tratamento, com vista a melhorar a sua aplicação, informar o clínico da necessidade de medidas sanitárias ou de saúde pública e obter informação para análise estatística ou epide...

  18. Results of Propellant Mixing Variable Study Using Precise Pressure-Based Burn Rate Calculations

    Science.gov (United States)

    Stefanski, Philip L.

    2014-01-01

    A designed experiment was conducted in which three mix processing variables (pre-curative addition mix temperature, pre-curative addition mixing time, and mixer speed) were varied to estimate their effects on within-mix propellant burn rate variability. The chosen discriminator for the experiment was the 2-inch diameter by 4-inch long (2x4) Center-Perforated (CP) ballistic evaluation motor. Motor nozzle throat diameters were sized to produce a common targeted chamber pressure. Initial data analysis did not show a statistically significant effect. Because propellant burn rate must be directly related to chamber pressure, a method was developed that showed statistically significant effects on chamber pressure (either maximum or average) by adjustments to the process settings. Burn rates were calculated from chamber pressures and these were then normalized to a common pressure for comparative purposes. The pressure-based method of burn rate determination showed significant reduction in error when compared to results obtained from the Brooks' modification of the propellant web-bisector burn rate determination method. Analysis of effects using burn rates calculated by the pressure-based method showed a significant correlation of within-mix burn rate dispersion to mixing duration and the quadratic of mixing duration. The findings were confirmed in a series of mixes that examined the effects of mixing time on burn rate variation, which yielded the same results.

  19. Reaction rate and composition dependence of the stability of thermonuclear burning on accreting neutron stars

    International Nuclear Information System (INIS)

    Keek, L.; Cyburt, R. H.; Heger, A.

    2014-01-01

    The stability of thermonuclear burning of hydrogen and helium accreted onto neutron stars is strongly dependent on the mass accretion rate. The burning behavior is observed to change from Type I X-ray bursts to stable burning, with oscillatory burning occurring at the transition. Simulations predict the transition at a 10 times higher mass accretion rate than observed. Using numerical models we investigate how the transition depends on the hydrogen, helium, and CNO mass fractions of the accreted material, as well as on the nuclear reaction rates of 3α and the hot-CNO breakout reactions 15 O(α, γ) 19 Ne and 18 Ne(α, p) 21 Na. For a lower hydrogen content the transition is at higher accretion rates. Furthermore, most experimentally allowed reaction rate variations change the transition accretion rate by at most 10%. A factor 10 decrease of the 15 O(α, γ) 19 Ne rate, however, produces an increase of the transition accretion rate of 35%. None of our models reproduce the transition at the observed rate, and depending on the true 15 O(α, γ) 19 Ne reaction rate, the actual discrepancy may be substantially larger. We find that the width of the interval of accretion rates with marginally stable burning depends strongly on both composition and reaction rates. Furthermore, close to the stability transition, our models predict that X-ray bursts have extended tails where freshly accreted fuel prolongs nuclear burning.

  20. 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.

  1. Steady State Investigations of DPF Soot Burn Rates and DPF Modeling

    DEFF Research Database (Denmark)

    Cordtz, Rasmus Lage; Ivarsson, Anders; Schramm, Jesper

    2011-01-01

    and soot mass concentrations are used as model boundary conditions. An in-house developed raw exhaust gas sampling technique is used to measure the soot concentration upstream the DPF which is also needed to find the DPF soot burn rate. The soot concentration is measured basically by filtering the soot...... characteristics are used to fit model constants of soot and filter properties. Measured DPF gas conversions and soot burn rates are used to fit model activation energies of four DPF regeneration reactions using O2 and NO2 as reactants. Modeled DPF pressure drops and soot burn rates are compared to the steady...... state DPF experiments in the temperature range between 260 and 480 °C. The model widely reproduces the experimental results. Especially the exponential soot burn rate versus temperature is accurately reproduced by the model....

  2. Estimation of fuel burning rate and heating value with highly variable properties for optimum combustion control

    International Nuclear Information System (INIS)

    Hsi, C.-L.; Kuo, J.-T.

    2008-01-01

    Estimating solid residue gross burning rate and heating value burning in a power plant furnace is essential for adequate manipulation to achieve energy conversion optimization and plant performance. A model based on conservation equations of mass and thermal energy is established in this work to calculate the instantaneous gross burning rate and lower heating value of solid residue fired in a combustion chamber. Comparing the model with incineration plant control room data indicates that satisfactory predictions of fuel burning rates and heating values can be obtained by assuming the moisture-to-carbon atomic ratio (f/a) within the typical range from 1.2 to 1.8. Agreement between mass and thermal analysis and the bed-chemistry model is acceptable. The model would be useful for furnace fuel and air control strategy programming to achieve optimum performance in energy conversion and pollutant emission reduction

  3. Burning rates of hydrogen-air mixtures in containment buildings and the consequent pressure transients

    International Nuclear Information System (INIS)

    Tennankore, K.N.; Kumar, R.K.; Razzaghi, M.

    1987-01-01

    One-dimensional flame models are often used to predict the pressure transients caused by hydrogen combustion in containments during postulated severe accidents. In the absence of data, these models account for prevailing flame acceleration mechanisms, such as initial turbulence, venting and obstacle-induced turbulence, by using arbitrarily large burning velocities that are much higher than laminar burning velocities. Using an intermediate-scale test facility at the Whiteshell Nuclear Research Establishment we have obtained necessary data on the effects of flame acceleration mechanisms, to estimate the safety margin in the buring velocities used in the models. So far, data have been analyzed, with a one-dimensional model, to determine effective burning velocities and burning-rate enhancement factors. The results of the analyses indicate that the effect of initial turbulence on the burning rate can be bounded only if the effect of flame-generated turbulence is included. The effect of venting can be accounted for by using two burning velocities, one for the pre-vent duration and a second increased value during the vented-combustion stage. The enhancement factors due to these two mechanisms, for the different conditions analyzed, varied up to 5.4, and the effective burning velocities varied up to 8.4 m/s

  4. Calculation of heat rating and burn-up for test fuel pins irradiated in DR 3

    International Nuclear Information System (INIS)

    Bagger, C.; Carlsen, H.; Hansen, K.

    1980-01-01

    A summary of the DR 3 reactor and HP1 rig design is given followed by a detailed description of the calculation procedure for obtaining linear heat rating and burn-up values of fuel pins irradiated in HP1 rigs. The calculations are carried out rather detailed, especially regarding features like end pellet contribution to power as a function of burn-up, gamma heat contributions, and evaluation of local values of heat rating and burn-up. Included in the report is also a description of the fast flux- and cladding temperature calculation techniques currently used. A good agreement between measured and calculated local burn-up values is found. This gives confidence to the detailed treatment of the data. (author)

  5. The correlation between burn mortality rates from fire and flame and economic status of countries.

    Science.gov (United States)

    Peck, Michael; Pressman, Melissa A

    2013-09-01

    Over 95% of burn deaths occur in low- and middle-income countries globally. However, the association between burn mortality rates and economic health has not been evaluated for individual countries. This study seeks to answer the question, how strong is the correlation between burn mortality and national indices of economic strength? A retrospective review was performed for 189 countries during 2008-2010 using economic data from the World Bank as well as mortality data from the World Health Organization (WHO). Countries were categorized into four groups based on income level according to stratification by the World Bank: low income, lower middle income, upper middle income, and high income. The Pearson correlation coefficient was used to estimate presence and strength of association among death rates, Gini coefficient (measure of inequality of distribution of wealth), gross domestic product (GDP) per capita, and gross national index (GNI) per capita. Statistically significant associations (p<0.05) were found between burn mortality and GDP per capita (r=-0.26), GNI per capita (r=-0.36), and Gini (r=+0.17). A nation's income level is negatively correlated with burn mortality; the lower the income level, the higher the burn mortality rates. The degree to which income within a country is equitably or inequitably distributed also correlates with burn mortality. Both governmental and non-governmental organizations need to focus on preventing burns in low-income countries, as well as in other countries in which there is marked disparity of income. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

  6. Shell and explosive hydrogen burning. Nuclear reaction rates for hydrogen burning in RGB, AGB and Novae

    Energy Technology Data Exchange (ETDEWEB)

    Boeltzig, A. [Gran Sasso Science Institute, L' Aquila (Italy); Bruno, C.G.; Davinson, T. [University of Edinburgh, SUPA, School of Physics and Astronomy, Edinburgh (United Kingdom); Cavanna, F.; Ferraro, F. [Dipartimento di Fisica, Universita di Genova (Italy); INFN, Genova (Italy); Cristallo, S. [Osservatorio Astronomico di Collurania, INAF, Teramo (Italy); INFN, Napoli (Italy); Depalo, R. [Dipartimento di Fisica e Astronomia, Universita di Padova, Padova (Italy); INFN, Padova (Italy); DeBoer, R.J.; Wiescher, M. [University of Notre Dame, Institute for Structure and Nuclear Astrophysics, Joint Institute for Nuclear Astrophysics, Notre Dame, Indiana (United States); Di Leva, A.; Imbriani, G. [Dipartimento di Fisica, Universita di Napoli Federico II, Napoli (Italy); INFN, Napoli (Italy); Marigo, P. [Dipartimento di Fisica e Astronomia, Universita di Padova, Padova (Italy); Terrasi, F. [Dipartimento di Matematica e Fisica Seconda Universita di Napoli, Caserta (Italy); INFN, Napoli (Italy)

    2016-04-15

    The nucleosynthesis of light elements, from helium up to silicon, mainly occurs in Red Giant and Asymptotic Giant Branch stars and Novae. The relative abundances of the synthesized nuclides critically depend on the rates of the nuclear processes involved, often through non-trivial reaction chains, combined with complex mixing mechanisms. In this paper, we summarize the contributions made by LUNA experiments in furthering our understanding of nuclear reaction rates necessary for modeling nucleosynthesis in AGB stars and Novae explosions. (orig.)

  7. Experimental study on composite solid propellant material burning rate using algorithm MATLAB

    Directory of Open Access Journals (Sweden)

    Thunaipragasam Selvakumaran

    2016-01-01

    Full Text Available In rocketry application, now-a-days instead of monopropellants slowly composite propellants are introduced. Burning rate of a solid state composite propellant depends on many factors like oxidizer-binder ratio, oxidizer particle size and distribution, particle size and its distribution, pressure, temperature, etc. Several researchers had taken the mass varied composite propellant. In that, the ammonium perchlorate mainly varied from 85 to 90%. This paper deals with the oxidizer rich propellant by allowing small variation of fuel cum binder ranging from 2%, 4%, 6%, and 8% by mass. Since the percent of the binder is very less compared to the oxidizer, the mixture remains in a powder form. The powder samples are used to make a pressed pellet. Experiments were conducted in closed window bomb set-up at pressures of 2, 3.5, and 7 MN/m2. The burning rates are calculated from the combustion photography (images taken by a high-speed camera. These images were processed frame by frame in MATLAB, detecting the edges in the images of the frames. The burning rate is obtained as the slope of the linear fit from MATLAB and observed that the burn rate increases with the mass variation of constituents present in solid state composite propellant. The result indicates a remarkable increase in burn rate of 26.66%, 20%, 16.66%, and 3.33% for Mix 1, 2, 3, 4 compared with Mix 5 at 7 MN/m2. The percentage variations in burn rate between Mix 1 and Mix 5 at 2, 3.5, and 7 MN/m2 are 25.833%, 32.322%, and 26.185%, respectively.

  8. Burning phylogenies: fire, molecular evolutionary rates, and diversification.

    Science.gov (United States)

    Verdú, Miguel; Pausas, Juli G; Segarra-Moragues, José Gabriel; Ojeda, Fernando

    2007-09-01

    Mediterranean-type ecosystems are among the most remarkable plant biodiversity "hot spots" on the earth, and fire has traditionally been invoked as one of the evolutionary forces explaining this exceptional diversity. In these ecosystems, adult plants of some species are able to survive after fire (resprouters), whereas in other species fire kills the adults and populations are only maintained by an effective post-fire recruitment (seeders). Seeders tend to have shorter generation times than resprouters, particularly under short fire return intervals, thus potentially increasing their molecular evolutionary rates and, ultimately, their diversification. We explored whether seeder lineages actually have higher rates of molecular evolution and diversification than resprouters. Molecular evolutionary rates in different DNA regions were compared in 45 phylogenetically paired congeneric taxa from fire-prone Mediterranean-type ecosystems with contrasting seeder and resprouter life histories. Differential diversification was analyzed with both topological and chronological approaches in five genera (Banksia, Daviesia, Lachnaea, Leucadendron, and Thamnochortus) from two fire-prone regions (Australia and South Africa). We found that seeders had neither higher molecular rates nor higher diversification than resprouters. Such lack of differences in molecular rates between seeders and resprouters-which did not agree with theoretical predictions-may occur if (1) the timing of the switch from seeding to resprouting (or vice versa) occurs near the branch tip, so that most of the branch length evolves under the opposite life-history form; (2) resprouters suffer more somatic mutations and therefore counterbalancing the replication-induced mutations of seeders; and (3) the rate of mutations is not related to shorter generation times because plants do not undergo determinate germ-line replication. The absence of differential diversification is to be expected if seeders and resprouters

  9. The effect of a changed environment on bacterial colonization rates in an established burns centre.

    Science.gov (United States)

    Wormald, P J

    1970-12-01

    In an established burns centre which moved from an old building to new purpose-designed premises, colonization rates of patients' burns with Staphylococcus aureus, Pseudomonas aeruginosa and other Gram-negative bacilli were not reduced. Colonization rates with Streptococcus pyogenes increased but the increase was mainly due to multiple importations in the new premises of a strain of higher communicability than any seen in the old.In the first 32 months in the new environment 10 patients were found colonized with pseudomonas on admission and 20 became colonized in the unit. A much higher proportion of patients with burns of more than 30% body surface became colonized than of patients with less. About one-third of the above 20 patients became colonized with strains already isolated from another patient; all but one of them had small area burns. Cross-infection was not observed from numerous heavily colonized patients with high percentage burns. This paradox is discussed in detail. Basin outflows in the new premises became colonized with P. aeruginosa of two serotypes not found on patients in this unit.

  10. What could have caused pre-industrial biomass burning emissions to exceed current rates?

    Directory of Open Access Journals (Sweden)

    G. R. van der Werf

    2013-01-01

    current situation; satellite data indicates that the majority of savannas have not burned in the past 10 yr, even in Africa, which is considered "the burning continent". Although we have not considered increased charcoal burning or changes in OH concentrations as potential causes for the elevated CO concentrations found at SPO, it is unlikely they can explain the large increase found in the CO concentrations in ice core data. Confirmation of the CO ice core data would therefore call for radical new thinking about causes of variable global fire rates over recent centuries.

  11. EFFECTS OF BURN RATE, WOOD SPECIES, MOISTURE CONTENT AND WEIGHT OF WOOD LOADED ON WOODSTOVE EMISSIONS

    Science.gov (United States)

    The report gives results of tests of four woodstove operating parameters (burn rate, wood moisture, wood load, and wood species) at two levels each using a half factorial experimental test design to determine statistically significant effects on the emission components CO, CO2, p...

  12. Particle size distribution effect on burn rate of ammonium nitrate based propellant

    NARCIS (Netherlands)

    Miedema, J.R.; Klein, A.J.J.; Zee, F.W.M.

    1995-01-01

    Burn rate control of a Phase Stabilised Ammonium Nitrate (PSAN) propellant by specific surface area (SSA) tuning of the PSAN oxidiser resulted in unexpected effects of applying a new batch of PSAN having a different particle size distribution. Analysis of the deviations and consultation of

  13. Effect of hydrogen addition on burning rate and surface density of turbulent lean premixed methane-air flames

    International Nuclear Information System (INIS)

    Guo, H.; Tayebi, B.; Galizzi, C.; Escudie, D.

    2009-01-01

    Hydrogen (H 2 ) is a clean burning component, but relatively expensive. Mixing a small amount of hydrogen with other fuels is an effective way to use H 2 . H 2 enriched combustion significantly improves fuel efficiency and reduces pollutant (nitrogen oxide and particulate matter) emissions. This presentation discussed the effect of hydrogen addition on burning rate and surface density of turbulent lean premixed methane-air flames. The presentation discussed flame configuration; the experimental methodology using laser tomography; and results for typical images, burning velocity, ratio of turbulent to laminar burning velocities, flame surface density, curvature, flame brush thickness, and integrated flame surface area. It was concluded that the increase of turbulent burning velocity was faster than that of laminar burning velocity, which contradicted traditional theory. figs.

  14. 30. Biópsia transtorácica guiada por tac: estudo de 102 biópsias

    Directory of Open Access Journals (Sweden)

    Filipa Costa

    2003-11-01

    (1,96% in the medium lobe, 17 (16,67% in the right lower lobe, 18 (17,56% in the left upper lobe and 9 (8,82% in the left lower lobe. 9 (8,82% lesions occupied more than one lobe, 9 (8,82% lesions were in the pleura/chest wall and 3 (2,94% were mediastinal; it was not possible to determine the lesion location in 13 cases (12,75%.A 18G-cutting needle was used for the majority of biopsies, yieldind a single fragment. The pathological/citological examination demonstrated that 65 cases (63,72% were neoplasic and 16 (15,69% nonneoplasic. In 21 lesions (20,59% the sample obtained was inconclusive/insuficient for diagnosis. For the 3 patients that repeated the biopsy, the histological diagnosis was obtained in the second attempt.The overall diagnostic yield was 79,41% and 86,87% for neoplasic lesions. Of the 102 biopsies performed we could only obtain diagnostic confirmation (clinical or by surgery in 66, 55 of which were neoplasic and 11 nonneoplasic. The sensitivity, specificity, PPV and NPV for neoplasic lesions was 78,18%, 100%, 100% and 47,82% respectively.The complication rate was 7,84% (8 cases: hemorrage in 6 and pneumothorax in 2, neither of which required drainage.The results obtained, confirm that CT-guided transthoracic biopsy is an accurate technique for the diagnosis of intrathoracic lesions, sparing patients from VATS or thoracotomy in many instances. The low rate of complications together with the fact that it can be performed in an out-patient basis, make it an important technique in pneumology. Palavras-chave: biópsia transtorácica guiada por TAC, rentabilidade, sensibilidade, especificidade, valor preditivo positivo, valor preditivo negativo, complicações, Key-words: CT-guided transthoracic biopsy, diagnostic yield, sensitivity, specificity, positive predictive value, negative predictive value, complications

  15. Effects of combined radiation-burn injury on survival rate of allogeneic skin grafts and immune reaction in rats

    International Nuclear Information System (INIS)

    Ran Xinze; Yan Yongtang; Cheng Tianmin; Li Yuan; Wei Shuqing

    1996-01-01

    The effects of combined radiation-burn injury on survival rate of allogeneic skin grafts and immune reaction were studied in rats with combined injury of 3-8 Gy 60 Co γ-ray irradiation plus 15% total body surface area full thickness burn induced by exposure to a 5 kw bromotungsten lamp. The allogeneic skin was transplanted 24 hours after injury. It was found that all the skin grafts failed to survive in 10 days and the immune reaction significantly increased in the early stage of burn injury. But the immune reaction was obviously suppressed by the combined radiation-burn injury. The survival rates of skin grafts were 20% and 30% in the combined injury of burn plus 3 and 4 Gy irradiation respectively. When the radiation doses increased to 5,6 and 8 Gy, the survival rates elevated to 69%, 88% and 100% respectively (in the group of 8 Gy, bone marrow transplantation was conducted before receiving skin graft). At day 30 post-transplantation the survival rates were still 36%, 42% and 100% respectively. Compared with burn group, there was a significant difference in survival rate when the radiation doses were higher than 5 Gy. These results indicate that the survival rate of the allogeneic skin graft increases concurrently with the increase in radiation dose and decreases with the elapse of the post-transplantation time

  16. Analysis of the concordance rates between core needle biopsy and surgical excision in patients with breast cancer Análise das taxas de concordância entre a biópsia com agulha grossa e a excisão cirúrgica em pacientes com câncer de mama

    Directory of Open Access Journals (Sweden)

    Marcos Desidério Ricci

    2012-10-01

    Full Text Available OBJECTIVE: To evaluate whether immunohistochemical marker studies performed on core needle biopsy (CNB specimens accurately reflect the marker status of the tumor obtained from final surgical specimen. METHODS: This was a retrospective study that used the database of the Division of Mastology of the Hospital das Clínicas, São Paulo, Brazil. Sixty-nine patients submitted to ultrasound-guided CNB diagnosed with breast cancer were retrospectively analyzed. Immunohistochemistry (IHC on core biopsy specimens was compared to that of excisional biopsy regarding estrogen receptor (ER, progesterone receptor (PR, human epidermal gowth factor receptor 2 gene (HER2, p53, and Ki67. The analysis of the concordance between CNB and surgical biopsy was performed using the kappa (k coefficient (95% CI. RESULTS: A perfect concordance between the labeling in the surgical specimens and the preoperative biopsies in p53 (k = 1.0; 95% CI: 0.76-1.0 was identified. There was an almost perfect concordance for ER (k = 0.89; 95% CI: 0.65-1.0 and a substantial concordance for PR (k = 0.70; 95% CI: 0.46-0.93. HER2 (k = 0.61; 95% CI: 0.38-0.84 and Ki-67 (k = 0.74; 95% CI: 0.58-0.98 obtained a substantial concordance this analysis. CONCLUSION: The results of this study indicate that the immunohistochemical analysis of ER, PR, Ki-67, and p53 from core biopsy specimens provided results that accurately reflect the marker status of the tumor. The concordance rate of HER2 was less consistent; although it produced substantial concordance, values were very close to moderate concordance.OBJETIVO: Avaliar se a análise dos marcadores imunoistoquímicos obtidos por meio de espécimes de core biopsy (CB refletem com precisão o perfil dos marcadores tumorais obtidos por biópsia cirúrgica excisional (BCE. MÉTODOS: Estudo retrospectivo usando dados da Divisão de Mastologia do Hospital das Clínicas de São Paulo. Sessenta e nove pacientes submetidas à CB guiada por ultrassom com

  17. What could have caused pre-industrial biomass burning emissions to exceed current rates?

    NARCIS (Netherlands)

    van der Werf, G. R.; Peters, W.; van Leeuwen, T. T.; Giglio, L.

    2012-01-01

    Recent studies based on trace gas mixing ratios in ice cores and charcoal data indicate that biomass burning emissions over the past millennium exceeded contemporary emissions by up to a factor of 4 for certain time periods. This is surprising because various sources of biomass burning are linked

  18. What could have caused pre-industrial biomass burning emissions to exceed current rates?

    NARCIS (Netherlands)

    Werf, van der G.R.; Peters, W.; Leeuwen, van T.T.; Giglio, L.

    2013-01-01

    Recent studies based on trace gas mixing ratios in ice cores and charcoal data indicate that biomass burning emissions over the past millennium exceeded contemporary emissions by up to a factor of 4 for certain time periods. This is surprising because various sources of biomass burning are linked

  19. Experimental Methodology for Estimation of Local Heat Fluxes and Burning Rates in Steady Laminar Boundary Layer Diffusion Flames.

    Science.gov (United States)

    Singh, Ajay V; Gollner, Michael J

    2016-06-01

    Modeling the realistic burning behavior of condensed-phase fuels has remained out of reach, in part because of an inability to resolve the complex interactions occurring at the interface between gas-phase flames and condensed-phase fuels. The current research provides a technique to explore the dynamic relationship between a combustible condensed fuel surface and gas-phase flames in laminar boundary layers. Experiments have previously been conducted in both forced and free convective environments over both solid and liquid fuels. A unique methodology, based on the Reynolds Analogy, was used to estimate local mass burning rates and flame heat fluxes for these laminar boundary layer diffusion flames utilizing local temperature gradients at the fuel surface. Local mass burning rates and convective and radiative heat feedback from the flames were measured in both the pyrolysis and plume regions by using temperature gradients mapped near the wall by a two-axis traverse system. These experiments are time-consuming and can be challenging to design as the condensed fuel surface burns steadily for only a limited period of time following ignition. The temperature profiles near the fuel surface need to be mapped during steady burning of a condensed fuel surface at a very high spatial resolution in order to capture reasonable estimates of local temperature gradients. Careful corrections for radiative heat losses from the thermocouples are also essential for accurate measurements. For these reasons, the whole experimental setup needs to be automated with a computer-controlled traverse mechanism, eliminating most errors due to positioning of a micro-thermocouple. An outline of steps to reproducibly capture near-wall temperature gradients and use them to assess local burning rates and heat fluxes is provided.

  20. Fire scar growth and closure rates in white oak (Quercus alba) and the implications for prescribed burning

    Science.gov (United States)

    Michael C. Stambaugh; Kevin T. Smith; Daniel C. Dey

    2017-01-01

    In burned forestlands, fire scar wounds commonly occur on tree stems as a result of cambial heating. In hardwood forests in particular, wounding can lead to stem decay with the extent of decay being related to scar size and exposure time. Therefore, wound closure rates are important to understand in the context of fire management such that allowing sufficient time for...

  1. Evaluation of Burning Test Rate Method for Flammable Solids to Increase air-Cargo Safety.

    Science.gov (United States)

    Lukežič, Marjan; Marinšek, Marjan; Faganeli, Jadran

    2010-03-01

    This paper deals with a standard classification procedure for readily combustible solids and their assignment to the relevant packing groups according to international air-cargo legislation and regulations. The current International Air Transport Association and United Nations Orange Book regulations were used on chemically similar substances: hexamethylenetetramine and Dancook ignition briquettes, which are both assigned into the same Packing Group III. To critically evaluate the degree of hazard both chemicals present, a standard burning test rate as well as thermogravimetry, differential scanning calorimetry and evolved gas analysis measurements were performed. It was shown that relatively small changes in the chemical composition of the material may have essential influence on the package group determination. Taking into account all the facts collected in the experimental work, it was concluded that ignition briquettes will undergo spontaneous combustion if exposed to elevated temperatures and, from this point of view, represent higher risk than hexamethylenetetramine during air transportation. Therefore, ignition briquettes should be classified into Packing Group II.

  2. Convective Heat Transfer Scaling of Ignition Delay and Burning Rate with Heat Flux and Stretch Rate in the Equivalent Low Stretch Apparatus

    Science.gov (United States)

    Olson, Sandra

    2011-01-01

    To better evaluate the buoyant contributions to the convective cooling (or heating) inherent in normal-gravity material flammability test methods, we derive a convective heat transfer correlation that can be used to account for the forced convective stretch effects on the net radiant heat flux for both ignition delay time and burning rate. The Equivalent Low Stretch Apparatus (ELSA) uses an inverted cone heater to minimize buoyant effects while at the same time providing a forced stagnation flow on the sample, which ignites and burns as a ceiling fire. Ignition delay and burning rate data is correlated with incident heat flux and convective heat transfer and compared to results from other test methods and fuel geometries using similarity to determine the equivalent stretch rates and thus convective cooling (or heating) rates for those geometries. With this correlation methodology, buoyant effects inherent in normal gravity material flammability test methods can be estimated, to better apply the test results to low stretch environments relevant to spacecraft material selection.

  3. Biópsia com agulha grossa guiada por ultrassonografia para o diagnóstico dos tumores fibroepiteliais da mama Ultrasound-guided core needle biopsy for the diagnosis of fibroepithelial breast tumors

    Directory of Open Access Journals (Sweden)

    Marcos Desidério Ricci

    2011-01-01

    Full Text Available OBJETIVO: avaliar a taxa de concordância da biópsia percutânea com agulha grossa guiada por ultrassom seguida pela biópsia excisional em nódulos de mama palpáveis, sugestivos de tumores fibroepiteliais. MÉTODO: estudo retrospectivo que selecionou 70 biópsias com diagnóstico histológico de tumor fibroepitelial em 67 dentre 531 pacientes com lesões mamárias submetidas à biópsia percutânea com agulha grossa guiada por ultrassonografia, com transdutor linear de alta frequência (7.5 MHz, utilizando pistola automática Bard-Magnum e agulha 14 gauge. Foram incluídos os casos com diagnóstico de tumor fibroepitelial na biópsia percutânea ou biópsia excisional. Biópsias com diagnóstico histopatológico de fibroesclerose também foram incluídas no estudo. A força da concordância entre o resultado da biópsia percutânea e da biópsia excisional foi medida pelo coeficiente de Kappa. RESULTADOS: a biópsia excisional revelou 40 casos de fibroadenoma (57,1%, 19 de tumor filoide (27,2% e 11 de fibroesclerose (15,7%. A taxa de concordância para o fibroadenoma foi substancial (k = 0,68; IC95% = 0,45 - 0,91, quase perfeita para o tumor filoide (k = 0,81; IC95% = 0,57 - 1,0 e moderada para a fibroesclerose (k = 0,58; IC95% = 0,36 - 0,90. CONCLUSÕES: a biópsia percutânea com agulha grossa é propedêutica minimamente invasiva que tem taxas de concordância com a biópsia excisional, de "substancial" a "quase perfeita". A fibroesclerose deve ser considerada no diagnóstico diferencial dos tumores fibroepiteliais.PURPOSE: to evaluate the concordance rate of ultrasound-guided core needle biopsy followed by excisional biopsy in palpable breast lumps, suggestive of fibroepithelial tumors. METHOD: a retrospective study included 70 biopsies with a histological diagnosis of fibroepithelial tumor in 67 out of 531 patients with breast lesions submitted to ultrasound-guided core needle biopsy with a high frequency (7.5 MHz linear transducer

  4. Cu–Co–O nano-catalysts as a burn rate modifier for composite solid propellants

    Directory of Open Access Journals (Sweden)

    D. Chaitanya Kumar Rao

    2016-08-01

    Full Text Available Nano-catalysts containing copper–cobalt oxides (Cu–Co–O have been synthesized by the citric acid (CA complexing method. Copper (II nitrate and Cobalt (II nitrate were employed in different molar ratios as the starting reactants to prepare three types of nano-catalysts. Well crystalline nano-catalysts were produced after a period of 3 hours by the calcination of CA–Cu–Co–O precursors at 550 °C. The phase morphologies and crystal composition of synthesized nano-catalysts were examined using Scanning Electron Microscope (SEM, Energy Dispersive Spectroscopy (EDS and Fourier Transform Infrared Spectroscopy (FTIR methods. The particle size of nano-catalysts was observed in the range of 90 nm–200 nm. The prepared nano-catalysts were used to formulate propellant samples of various compositions which showed high reactivity toward the combustion of HTPB/AP-based composite solid propellants. The catalytic effects on the decomposition of propellant samples were found to be significant at higher temperatures. The combustion characteristics of composite solid propellants were significantly improved by the incorporation of nano-catalysts. Out of the three catalysts studied in the present work, CuCo-I was found to be the better catalyst in regard to thermal decomposition and burning nature of composite solid propellants. The improved performance of composite solid propellant can be attributed to the high crystallinity, low agglomeration and lowering the decomposition temperature of oxidizer by the addition of CuCo-I nano-catalyst.

  5. On the rate determining step in fission gas release from high burn-up water reactor fuel during power transients

    International Nuclear Information System (INIS)

    Walker, C.T.; Mogensen, M.

    1987-01-01

    The radial distribution of grain boundary gas in a PWR and a BWR fuel is reported. The measurements were made using a new approach involving X-ray fluorescence analysis and electron probe microanalysis. In both fuels the concentration of grain boundary gas was much higher than hitherto suspected. The gas was mainly contained in the bubble/pore structure. The factors that determined the fraction of gas released from the grains and the level of gas retention on the grain boundaries are identified and discussed. The variables involved are the local fuel stoichiometry, the amount of open porosity, the magnitude of the local compressive hydrostatic stress and the interaction of metallic precipitates with gas bubbles on the grain faces. It is concluded that under transient conditions the interlinkage of gas bubbles on the grain faces and the subsequent formation of grain edge tunnels is the rate determining step for gas release; at least when high burn-up fuel is involved. (orig.)

  6. Burning rate characteristics of energetic CMDB propellants. Part 2. Effect of HMX addition; Ko enerugi CMDB suishin yaku no nensho sokudo tokusei ( II ) - HMX tenka no koka -

    Energy Technology Data Exchange (ETDEWEB)

    Aoki, I. [Nissan Motor Co. Ltd. (Japan)

    1997-08-01

    Burning rate and specific impulse of a solid propellant are extremely important parameters in a design of a solid rocket motor. In this study, the relations between the burning rate and the amount of energy contained in HMX-CMDB propellants wherein the amount of energy is varied by adding HMX (High Melting Point Explosive). The following results are obtained. The final flame temperature is getting higher when the amount of energy is increased by adding HMX into a double-base propellant. The higher the final flame temperature is, the lower the burning rate is. Dark zone temperature, as a physical property, is lowered when the containing amount of energy is increased by adding HMX into the double-base propellant. This is because that, when weight fraction of HMX is increased, reaction heat at burning surface decreases, and the reaction in fizz zone is getting slower. The higher the dark zone temperature is, the higher the burning rate is. 20 refs., 11 figs., 1 tab.

  7. Improving burn care and preventing burns by establishing a burn database in Ukraine.

    Science.gov (United States)

    Fuzaylov, Gennadiy; Murthy, Sushila; Dunaev, Alexander; Savchyn, Vasyl; Knittel, Justin; Zabolotina, Olga; Dylewski, Maggie L; Driscoll, Daniel N

    2014-08-01

    Burns are a challenge for trauma care and a contribution to the surgical burden. The former Soviet republic of Ukraine has a foundation for burn care; however data concerning burns in Ukraine has historically been scant. The objective of this paper was to compare a new burn database to identify problems and implement improvements in burn care and prevention in this country. Retrospective analyses of demographic and clinical data of burn patients including Tukey's post hoc test, analysis of variance, and chi square analyses, and Fisher's exact test were used. Data were compared to the American Burn Association (ABA) burn repository. This study included 1752 thermally injured patients treated in 20 hospitals including Specialized Burn Unit in Municipal Hospital #8 Lviv, Lviv province in Ukraine. Scald burns were the primary etiology of burns injuries (70%) and burns were more common among children less than five years of age (34%). Length of stay, mechanical ventilation use, infection rates, and morbidity increased with greater burn size. Mortality was significantly related to burn size, inhalation injury, age, and length of stay. Wound infections were associated with burn size and older age. Compared to ABA data, Ukrainian patients had double the length of stay and a higher rate of wound infections (16% vs. 2.4%). We created one of the first burn databases from a region of the former Soviet Union in an effort to bring attention to burn injury and improve burn care. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

  8. Heat and mass transfer analysis for paraffin/nitrous oxide burning rate in hybrid propulsion

    Science.gov (United States)

    Ben-Basat (Sisi), Shani; Gany, Alon

    2016-03-01

    This research presents a physical-mathematical model for the combustion of liquefying fuels in hybrid combustors, accounting for blowing effect on the heat transfer. A particular attention is given to a paraffin/nitrous oxide hybrid system. The use of a paraffin fuel in hybrid propulsion has been considered because of its much higher regression rate enabling significantly higher thrust compared to that of common polymeric fuels. The model predicts the overall regression rate (melting rate) of the fuel and the different mechanisms involved, including evaporation, entrainment of droplets of molten material, and mass loss due to melt flow on the condensed fuel surface. Prediction of the thickness and velocity of the liquid (melt) layer formed at the surface during combustion was done as well. Applying the model for an oxidizer mass flux of 45 kg/(s m2) as an example representing experimental range, it was found that 21% of the molten liquid undergoes evaporation, 30% enters the gas flow by the entrainment mechanism, and 49% reaches the end of the combustion chamber as a flowing liquid layer. When increasing the oxidizer mass flux in the port, the effect of entrainment increases while that of the flowing liquid layer along the surface shows a relatively lower contribution. Yet, the latter is predicted to have a significant contribution to the overall mass loss. In practical applications it may cause reduced combustion efficiency and should be taken into account in the motor design, e.g., by reinforcing the paraffin fuel with different additives. The model predictions have been compared to experimental results revealing good agreement.

  9. Light elements burning reaction rates at stellar temperatures as deduced by the Trojan Horse measurements

    Energy Technology Data Exchange (ETDEWEB)

    Lamia, L. [Dipartimento di Fisica e Astronomia, Università degli Studi di Catania, Catania (Italy); Spitaleri, C. [Dipartimento di Fisica e Astronomia, Università degli Studi di Catania, Catania, Italy and INFN-Laboratori Nazionali del Sud, Catania (Italy); La Cognata, M.; Palmerini, S.; Sergi, M. L. [INFN-Laboratori Nazionali del Sud, Catania (Italy); Puglia, S. M. R. [INFN-Laboratori Nazionali del Sud, Catania, Italy and Dipartimento di Fisica e Astronomia, Università degli Studi di Catania, Catania (Italy)

    2015-02-24

    Experimental nuclear astrophysics aims at determining the reaction rates for astrophysically relevant reactions at their Gamow energies. For charged-particle induced reactions, the access to these energies is usually hindered, in direct measurements, by the presence of the Coulomb barrier between the interacting particles or by electron screening effects, which make hard the determination of the bare-nucleus S(E)-factor of interest for astrophysical codes. The use of the Trojan Horse Method (THM) appears as one of the most suitable tools for investigating nuclear processes of interest for astrophysics. Here, in view of the recent TH measurements, the main destruction channels for deuterium ({sup 2}H), for the two lithium {sup 6,7}Li isotopes, for the {sup 9}Be and the one for the two boron {sup 10,11}B isotopes will be discussed.

  10. Experimental measurements of the 15O(alpha,gamma)19Ne reaction rate and the stability of thermonuclear burning on accreting neutron stars

    International Nuclear Information System (INIS)

    Fisker, J; Tan, W; Goerres, J; Wiescher, M; Cooper, R

    2007-01-01

    Neutron stars in close binary star systems often accrete matter from their companion stars. Thermonuclear ignition of the accreted material in the atmosphere of the neutron star leads to a thermonuclear explosion which is observed as an X-ray burst occurring periodically between hours and days depending on the accretion rate. The ignition conditions are characterized by a sensitive interplay between the accretion rate of the fuel supply and its depletion rate by nuclear burning in the hot CNO cycle and the rp-process. For accretion rates close to stable burning the burst ignition therefore depends critically on the hot CNO breakout reaction 15 O(α, γ) 19 Ne that regulates the flow between the hot CNO cycle and the rapid proton capture process. Until recently, the 15 O(α, γ) 19 Ne reaction rate was not known experimentally and the theoretical estimates carried significant uncertainties. In this paper we perform a parameter study of the uncertainty of this reaction rate and determine the astrophysical consequences of the first measurement of this reaction rate. Our results corroborate earlier predictions and show that theoretically burning remains unstable up to accretion rates near the Eddington limit, in contrast to astronomical observations

  11. An Advanced Sodium-Cooled Fast Reactor Core Concept Using Uranium-Free Metallic Fuels for Maximizing TRU Burning Rate

    Directory of Open Access Journals (Sweden)

    Wuseong You

    2017-12-01

    Full Text Available In this paper, we designed and analyzed advanced sodium-cooled fast reactor cores using uranium-free metallic fuels for maximizing burning rate of transuranics (TRU nuclides from PWR spent fuels. It is well known that the removal of fertile nuclides such as 238U from fuels in liquid metal cooled fast reactor leads to the degradation of important safety parameters such as the Doppler coefficient, coolant void worth, and delayed neutron fraction. To resolve the degradation of the Doppler coefficient, we considered adding resonant nuclides to the uranium-free metallic fuels. The analysis results showed that the cores using uranium-free fuels loaded with tungsten instead of uranium have a significantly lower burnup reactivity swing and more negative Doppler coefficients than the core using uranium-free fuels without resonant nuclides. In addition, we considered the use of axially central B4C absorber region and moderator rods to further improve safety parameters such as sodium void worth, burnup reactivity swing, and the Doppler coefficient. The results of the analysis showed that the final design core can consume ~353 kg per cycle and satisfies self-controllability under unprotected accidents. The fuel cycle analysis showed that the PWR–SFR coupling fuel cycle option drastically reduces the amount of waste going to repository and the SFR burner can consume the amount of TRUs discharged from 3.72 PWRs generating the same electricity.

  12. NHETS - Estudo de Necrópsias de Pacientes Submetidos a Transplante Cardíaco

    Directory of Open Access Journals (Sweden)

    Thiago Ninck Valette

    2014-06-01

    Full Text Available Fundamento: Discordâncias entre diagnóstico pre e post-mortem são relatadas na literatura, podendo variar de 4,1 a 49,8% dentre os casos encaminhados para exame necroscópico, com importante repercussão no tratamento dos pacientes. Objetivo: Analisar pacientes com óbito após o transplante cardíaco e confrontar os diagnósticos pre e post-mortem. Métodos: Por meio da revisão de prontuários, foram analisados dados clínicos, presença de comorbidades, esquema de imunossupressão, exames laboratoriais, causa clínica do óbito e causa do óbito à necrópsia. Foram confrontadas, então, a causa clínica e a causa necroscópica do óbito de cada paciente. Resultados: Foram analisados 48 óbitos submetidos à necrópsia no período de 2000 a 2010; 29 (60,4% tiveram diagnósticos clínico e necroscópico concordantes, 16 (33,3% tiveram diagnósticos discordantes e três (6,3% tiveram diagnóstico não esclarecido. Entre os discordantes, 15 (31,3% apresentaram possível impacto na sobrevida e um (2,1% não apresentou impacto na sobrevida. O principal diagnóstico clínico feito equivocadamente foi o de infecção, com cinco casos (26,7% dos discordantes, seguido por rejeição hiperaguda, com quatro casos (20% dos discordantes, e tromboembolismo pulmonar, com três casos (13,3% dos discordantes. Conclusão: Discordâncias entre o diagnóstico clínico e achados da necrópsia são comumente encontradas no transplante cardíaco. Novas estratégias no aperfeiçoamento do diagnóstico clínico devem ser introduzidas, considerando-se os resultados da necrópsia para melhoria do tratamento da insuficiência cardíaca por meio do transplante cardíaco.

  13. Homogeneous ice nucleation from aqueous inorganic/organic particles representative of biomass burning: water activity, freezing temperatures, nucleation rates.

    Science.gov (United States)

    Knopf, Daniel A; Rigg, Yannick J

    2011-02-10

    Homogeneous ice nucleation plays an important role in the formation of cirrus clouds with subsequent effects on the global radiative budget. Here we report on homogeneous ice nucleation temperatures and corresponding nucleation rate coefficients of aqueous droplets serving as surrogates of biomass burning aerosol. Micrometer-sized (NH(4))(2)SO(4)/levoglucosan droplets with mass ratios of 10:1, 1:1, 1:5, and 1:10 and aqueous multicomponent organic droplets with and without (NH(4))(2)SO(4) under typical tropospheric temperatures and relative humidities are investigated experimentally using a droplet conditioning and ice nucleation apparatus coupled to an optical microscope with image analysis. Homogeneous freezing was determined as a function of temperature and water activity, a(w), which was set at droplet preparation conditions. The ice nucleation data indicate that minor addition of (NH(4))(2)SO(4) to the aqueous organic droplets renders the temperature dependency of water activity negligible in contrast to the case of aqueous organic solution droplets. The mean homogeneous ice nucleation rate coefficient derived from 8 different aqueous droplet compositions with average diameters of ∼60 μm for temperatures as low as 195 K and a(w) of 0.82-1 is 2.18 × 10(6) cm(-3) s(-1). The experimentally derived freezing temperatures and homogeneous ice nucleation rate coefficients are in agreement with predictions of the water activity-based homogeneous ice nucleation theory when taking predictive uncertainties into account. However, the presented ice nucleation data indicate that the water activity-based homogeneous ice nucleation theory overpredicts the freezing temperatures by up to 3 K and corresponding ice nucleation rate coefficients by up to ∼2 orders of magnitude. A shift of 0.01 in a(w), which is well within the uncertainty of typical field and laboratory relative humidity measurements, brings experimental and predicted freezing temperatures and homogeneous ice

  14. Leptospirose de evolução fulminante: um caso de autópsia

    Directory of Open Access Journals (Sweden)

    Fernando Peixoto Ferraz de Campos

    2012-08-01

    Full Text Available A leptospirose é uma doença febril aguda septicêmica que afeta humanos e/ou animais com alta incidência mundial principalmente em países tropicais em desenvolvimento.É uma doença de ocorrência na zona rural e urbana com algumas características próprias ocupacionais ou recreativas. Os indivíduos mais acometidos na grande maioria das vezes são jovens ou adultos jovens. Aproximadamente 5% - 15% dospacientes apresentam a forma grave da doença conhecida como doença de Weill que pode se associar a síndrome da hemorragia pulmonar da leptospirose. Apresentamosum relato de autópsia de uma paciente octogenária, residente na zona urbana do município de São Paulo, internada no Hospital Universitário da Universidade de São Paulo, que apresentou quadro de evolução fulminante. A autópsia revelou comprometimento dos pulmões com hemorragia alveolar difusa e infiltração mononuclear dos septos alveolares. A histologia do fígado apresentava destrabeculação dos hepatócitos, alargamento dos sinusóides e hiperplasia das células de Kupfer. Necrose tubular aguda e nefrite intersticial caracterizaram a histologia dos rins.

  15. Biópsia aspirativa no estudo de lesões torácicas

    Directory of Open Access Journals (Sweden)

    A. Araújo

    1997-09-01

    Full Text Available RESUMO: A biópsia aspirativa transtorácica (BAT é a técnica de eleição no diagnóstico de lesões toracicas, sobretudo quando periféricas e quando suspeitas de serem malignas. Fizemos o estudo retrospectivo de 55 BATs executadas em 53 doentes com lesões de distintos aspectos radiológicos e localizaçõoes várias. A nossa rentabilidade técnica foi de 95,3% nos doentes com patologias malignas. Pensamos que há ainda pontos discutíveis sobre esta técnica, apesar de ela ser actualmente uma manobra de rotina. ABSTRACT: Transthoracic fine-needle aspiration (TFNA is generally the initial procedure of choice in the evaluation of many pulmonary lesions, especially if they are peripheral and suspected to be malignant. The authors report review on 55 TFNA in 53 patients with different pulmonary lesions after nondiagnostic fiberoptic bronchoscopy.Malignancy was demonstrated in 41 of the 43 patients with malignant pathology (95,3%. In our institution TFNA is a commonly made procedure, accurate, safe and time-effective in the diagnosis of many intrathoracic lesions. Palavras-chave: Biópsia aspirativa transtorácica, Punção aspirativa transtorácica, Lesões intratorácicas, Casuística, Key-words: Transthoracic fine-needle aspiration, Pulmonary lesions

  16. É a biópsia incisional útil na classificação dos carcinomas basocelulares? Is incisional biopsy helpful in the histopathological classification of basal cell carcinoma?

    Directory of Open Access Journals (Sweden)

    Maria Cristina de Lorenzo Messina

    2006-10-01

    Full Text Available FUNDAMENTOS: O carcinoma basocelular é tumor constituído por diferentes tipos histológicos, que demonstram diversificado potencial de agressividade. Sabe-se que a correlação entre os tipos histológicos de carcinoma basocelular encontrados no material de biópsia pré-operatória e no material da peça cirúrgica excisional não é total. Na literatura essa correlação varia de 42,7 a 80%. OBJETIVO: Avaliar a correlação entre os tipos histológicos de carcinoma basocelular nas biópsias incisionais e respectivas peças cirúrgicas excisionais. MÉTODOS: Análise retrospectiva de 70 casos de carcinoma basocelular primário submetidos a biópsia pré-operatória e cirurgia excisional. A avaliação histológica foi feita de modo padronizado, determinando tanto o tipo histológico predominante quanto os tipos histológicos acessórios encontrados no material das biópsias préoperatórias e nas peças cirúrgicas excisionais. RESULTADOS: Houve 78,3% de correlação entre tipo histológico predominante da biópsia e peça cirúrgica e 87% de correlação entre tipo histológico predominante e/ou tipo histológico acessório da biópsia e tipo histológico predominante da peça cirúrgica. CONCLUSÃO: A biópsia pré-operatória é útil para predizer o tipo histológico predominante de carcinoma basocelular da peça cirúrgica excisional na maioria dos casos. No entanto, é importante ressaltar que, quando descrito apenas o tipo histológico predominante encontrado na biópsia, ocorre 21,7% de falha no diagnóstico.BACKGROUND: Basal cell carcinoma is a tumor with many histologic types, each one with different aggressiveness potential. The known correlation between histologic types found in preoperative biopsy samples and excisional specimens is not absolute. Correspondence rates vary from 42.7 to 80.0% in medical literature. OBJECTIVE: To evaluate the correlation between histologic types of basal cell carcinoma in preoperative biopsies and

  17. Regional changes in charcoal-burning suicide rates in East/Southeast Asia from 1995 to 2011: a time trend analysis.

    Directory of Open Access Journals (Sweden)

    Shu-Sen Chang

    2014-04-01

    Full Text Available Suicides by carbon monoxide poisoning resulting from burning barbecue charcoal reached epidemic levels in Hong Kong and Taiwan within 5 y of the first reported cases in the early 2000s. The objectives of this analysis were to investigate (i time trends and regional patterns of charcoal-burning suicide throughout East/Southeast Asia during the time period 1995-2011 and (ii whether any rises in use of this method were associated with increases in overall suicide rates. Sex- and age-specific trends over time were also examined to identify the demographic groups showing the greatest increases in charcoal-burning suicide rates across different countries.We used data on suicides by gases other than domestic gas for Hong Kong, Japan, the Republic of Korea, Taiwan, and Singapore in the years 1995/1996-2011. Similar data for Malaysia, the Philippines, and Thailand were also extracted but were incomplete. Graphical and joinpoint regression analyses were used to examine time trends in suicide, and negative binomial regression analysis to study sex- and age-specific patterns. In 1995/1996, charcoal-burning suicides accounted for <1% of all suicides in all study countries, except in Japan (5%, but they increased to account for 13%, 24%, 10%, 7%, and 5% of all suicides in Hong Kong, Taiwan, Japan, the Republic of Korea, and Singapore, respectively, in 2011. Rises were first seen in Hong Kong after 1998 (95% CI 1997-1999, followed by Singapore in 1999 (95% CI 1998-2001, Taiwan in 2000 (95% CI 1999-2001, Japan in 2002 (95% CI 1999-2003, and the Republic of Korea in 2007 (95% CI 2006-2008. No marked increases were seen in Malaysia, the Philippines, or Thailand. There was some evidence that charcoal-burning suicides were associated with an increase in overall suicide rates in Hong Kong, Taiwan, and Japan (for females, but not in Japan (for males, the Republic of Korea, and Singapore. Rates of change in charcoal-burning suicide rate did not differ by sex/age group

  18. Regional changes in charcoal-burning suicide rates in East/Southeast Asia from 1995 to 2011: a time trend analysis.

    Science.gov (United States)

    Chang, Shu-Sen; Chen, Ying-Yeh; Yip, Paul S F; Lee, Won Jin; Hagihara, Akihito; Gunnell, David

    2014-04-01

    Suicides by carbon monoxide poisoning resulting from burning barbecue charcoal reached epidemic levels in Hong Kong and Taiwan within 5 y of the first reported cases in the early 2000s. The objectives of this analysis were to investigate (i) time trends and regional patterns of charcoal-burning suicide throughout East/Southeast Asia during the time period 1995-2011 and (ii) whether any rises in use of this method were associated with increases in overall suicide rates. Sex- and age-specific trends over time were also examined to identify the demographic groups showing the greatest increases in charcoal-burning suicide rates across different countries. We used data on suicides by gases other than domestic gas for Hong Kong, Japan, the Republic of Korea, Taiwan, and Singapore in the years 1995/1996-2011. Similar data for Malaysia, the Philippines, and Thailand were also extracted but were incomplete. Graphical and joinpoint regression analyses were used to examine time trends in suicide, and negative binomial regression analysis to study sex- and age-specific patterns. In 1995/1996, charcoal-burning suicides accounted for <1% of all suicides in all study countries, except in Japan (5%), but they increased to account for 13%, 24%, 10%, 7%, and 5% of all suicides in Hong Kong, Taiwan, Japan, the Republic of Korea, and Singapore, respectively, in 2011. Rises were first seen in Hong Kong after 1998 (95% CI 1997-1999), followed by Singapore in 1999 (95% CI 1998-2001), Taiwan in 2000 (95% CI 1999-2001), Japan in 2002 (95% CI 1999-2003), and the Republic of Korea in 2007 (95% CI 2006-2008). No marked increases were seen in Malaysia, the Philippines, or Thailand. There was some evidence that charcoal-burning suicides were associated with an increase in overall suicide rates in Hong Kong, Taiwan, and Japan (for females), but not in Japan (for males), the Republic of Korea, and Singapore. Rates of change in charcoal-burning suicide rate did not differ by sex/age group in

  19. Effects of magnesium-based hydrogen storage materials on the thermal decomposition, burning rate, and explosive heat of ammonium perchlorate-based composite solid propellant.

    Science.gov (United States)

    Liu, Leili; Li, Jie; Zhang, Lingyao; Tian, Siyu

    2018-01-15

    MgH 2 , Mg 2 NiH 4 , and Mg 2 CuH 3 were prepared, and their structure and hydrogen storage properties were determined through X-ray photoelectron spectroscopy and thermal analyzer. The effects of MgH 2 , Mg 2 NiH 4 , and Mg 2 CuH 3 on the thermal decomposition, burning rate, and explosive heat of ammonium perchlorate-based composite solid propellant were subsequently studied. Results indicated that MgH 2 , Mg 2 NiH 4 , and Mg 2 CuH 3 can decrease the thermal decomposition peak temperature and increase the total released heat of decomposition. These compounds can improve the effect of thermal decomposition of the propellant. The burning rates of the propellant increased using Mg-based hydrogen storage materials as promoter. The burning rates of the propellant also increased using MgH 2 instead of Al in the propellant, but its explosive heat was not enlarged. Nonetheless, the combustion heat of MgH 2 was higher than that of Al. A possible mechanism was thus proposed. Copyright © 2017. Published by Elsevier B.V.

  20. Toracocentese e biópsia pleural Thoracentesis and pleural biopsy

    Directory of Open Access Journals (Sweden)

    Roberta Sales

    2006-08-01

    Full Text Available A toracocentese é o método de escolha para a obtenção de amostras de líquido pleural. Embora seja considerado um procedimento pouco invasivo, é fundamental que a toracocentese obedeça a uma técnica padronizada com a finalidade de aprimorar a chance de diagnóstico e minimizar riscos. A biópsia de pleura tem por objetivo ampliar e complementar a chance de diagnóstico das doenças pleurais, sendo indicada em casos selecionados.Thoracentesis is the method of choice for obtaining samples of pleural fluid. Although it is considered a minimum invasive procedure, it is crucial to follow a standardized technique with the purpose of optimizing the chance of diagnosis and minimizing risks. The pleura biopsy may enlarge and complement the chance of diagnosis of the pleural diseases and is indicated in selected cases.

  1. Toxic myopathies: muscle biopsy features Miopatia tóxica: biópsia muscular

    Directory of Open Access Journals (Sweden)

    Rosana Herminia Scola

    2007-03-01

    Full Text Available Several drugs and toxic substances can cause muscular abnormalities and are frequent causes of acquired myopathies. We present a series of 32 patients, predominance of young adult patients, diagnosed with toxic myopathy. The most common substances inducing myopathy were corticosteroids (56.2% followed by the propoxyphene, neuroleptics, zidovudine and drug-induced hypokalemia. The investigation showed normal serum creatine kinase levels in 65.4%, myopathic pattern of the needle electromyography in 40% and the more frequent histological diagnosis of the muscle biopsy was type 2 fiber atrophy (59.3%. Clinical features, etiology, course of the disease, serum levels of muscular enzymes, electromyographic features and, especially, muscle biopsy features are discussed.Diversos medicamentos e substâncias tóxicas podem causar alterações musculares e são causas freqüentes de miopatia adquirida. Apresentamos uma série de 32 pacientes, predomínio de pacientes adulto jovens, com miopatia tóxica. As substâncias mais relacionadas com a miopatia foram os corticosteróides (56,2% seguidos pelo propoxifeno, neurolépticos, zidovudina e drogas indutoras de hipocalemia. A investigação mostrou níveis normais de creatino quinase sérica em 65,4%, eletromiografia de agulha com padrão miopático em 40% e o mais freqüente diagnóstico histológico da biópsia muscular foi atrofia de fibras do tipo 2 (59,3%. As manifestações clínicas, etiologia, tempo de evolução, nível sérico das enzimas musculares, alterações da eletroneuromiografia e, especialmente, da biópsia muscular são discutidos.

  2. Burn Wise

    Science.gov (United States)

    Burn Wise is a partnership program of the U.S. Environmental Protection Agency that emphasizes the importance of burning the right wood, the right way, in the right appliance to protect your home, health, and the air we breathe.

  3. Are High-Severity Fires Burning at Much Higher Rates Recently than Historically in Dry-Forest Landscapes of the Western USA?

    Science.gov (United States)

    Baker, William L

    2015-01-01

    Dry forests at low elevations in temperate-zone mountains are commonly hypothesized to be at risk of exceptional rates of severe fire from climatic change and land-use effects. Their setting is fire-prone, they have been altered by land-uses, and fire severity may be increasing. However, where fires were excluded, increased fire could also be hypothesized as restorative of historical fire. These competing hypotheses are not well tested, as reference data prior to widespread land-use expansion were insufficient. Moreover, fire-climate projections were lacking for these forests. Here, I used new reference data and records of high-severity fire from 1984-2012 across all dry forests (25.5 million ha) of the western USA to test these hypotheses. I also approximated projected effects of climatic change on high-severity fire in dry forests by applying existing projections. This analysis showed the rate of recent high-severity fire in dry forests is within the range of historical rates, or is too low, overall across dry forests and individually in 42 of 43 analysis regions. Significant upward trends were lacking overall from 1984-2012 for area burned and fraction burned at high severity. Upward trends in area burned at high severity were found in only 4 of 43 analysis regions. Projections for A.D. 2046-2065 showed high-severity fire would generally be still operating at, or have been restored to historical rates, although high projections suggest high-severity fire rotations that are too short could ensue in 6 of 43 regions. Programs to generally reduce fire severity in dry forests are not supported and have significant adverse ecological impacts, including reducing habitat for native species dependent on early-successional burned patches and decreasing landscape heterogeneity that confers resilience to climatic change. Some adverse ecological effects of high-severity fires are concerns. Managers and communities can improve our ability to live with high-severity fire in

  4. Calculation and Analysis of B/T (Burning and/or Transmutation Rate of Minor Actinides and Plutonium Performed by Fast B/T Reactor

    Directory of Open Access Journals (Sweden)

    Marsodi

    2006-01-01

    Full Text Available Calculation and analysis of B/T (Burning and/or Transmutation rate of MA (minor actinides and Pu (Plutonium has been performed in fast B/T reactor. The study was based on the assumption that the spectrum shift of neutron flux to higher side of neutron energy had a potential significance for designing the fast B/T reactor and a remarkable effect for increasing the B/T rate of MA and/or Pu. The spectrum shifts of neutron have been performed by change MOX to metallic fuel. Blending fraction of MA and or Pu in B/T fuel and the volume ratio of fuel to coolant in the reactor core were also considered. Here, the performance of fast B/T reactor was evaluated theoretically based on the calculation results of the neutronics and burn-up analysis. In this study, the B/T rate of MA and/or Pu increased by increasing the blending fraction of MA and or Pu and by changing the F/C ratio. According to the results, the total B/T rate, i.e. [B/T rate]MA + [B/T rate]Pu, could be kept nearly constant under the critical condition, if the sum of the MA and Pu inventory in the core is nearly constant. The effect of loading structure was examined for inner or outer loading of concentric geometry and for homogeneous loading. Homogeneous loading of B/T fuel was the good structure for obtaining the higher B/T rate, rather than inner or outer loading

  5. Laminar Burning Velocities of Fuels for Advanced Combustion Engines (FACE) Gasoline and Gasoline Surrogates with and without Ethanol Blending Associated with Octane Rating

    KAUST Repository

    Mannaa, Ossama

    2016-05-04

    Laminar burning velocities of fuels for advanced combustion engines (FACE) C gasoline and of several blends of surrogate toluene reference fuels (TRFs) (n-heptane, iso-octane, and toluene mixtures) of the same research octane number are presented. Effects of ethanol addition on laminar flame speed of FACE-C and its surrogate are addressed. Measurements were conducted using a constant volume spherical combustion vessel in the constant pressure, stable flame regime at an initial temperature of 358 K and initial pressures up to 0.6 MPa with the equivalence ratios ranging from 0.8 to 1.6. Comparable values in the laminar burning velocities were measured for the FACE-C gasoline and the proposed surrogate fuel (17.60% n-heptane + 77.40% iso-octane + 5% toluene) over the range of experimental conditions. Sensitivity of flame propagation to total stretch rate effects and thermo-diffusive instability was quantified by determining Markstein length. Two percentages of an oxygenated fuel of ethanol as an additive, namely, 60 vol% and 85 vol% were investigated. The addition of ethanol to FACE-C and its surrogate TRF-1 (17.60% n-heptane + 77.40% iso-octane + 5% toluene) resulted in a relatively similar increase in the laminar burning velocities. The high-pressure measured values of Markstein length for the studied fuels blended with ethanol showed minimal influence of ethanol addition on the flame’s response to stretch rate and thermo-diffusive instability. © 2016 Taylor & Francis.

  6. Laminar Burning Velocities of Fuels for Advanced Combustion Engines (FACE) Gasoline and Gasoline Surrogates with and without Ethanol Blending Associated with Octane Rating

    KAUST Repository

    Mannaa, Ossama; Mansour, Morkous S.; Roberts, William L.; Chung, Suk-Ho

    2016-01-01

    Laminar burning velocities of fuels for advanced combustion engines (FACE) C gasoline and of several blends of surrogate toluene reference fuels (TRFs) (n-heptane, iso-octane, and toluene mixtures) of the same research octane number are presented. Effects of ethanol addition on laminar flame speed of FACE-C and its surrogate are addressed. Measurements were conducted using a constant volume spherical combustion vessel in the constant pressure, stable flame regime at an initial temperature of 358 K and initial pressures up to 0.6 MPa with the equivalence ratios ranging from 0.8 to 1.6. Comparable values in the laminar burning velocities were measured for the FACE-C gasoline and the proposed surrogate fuel (17.60% n-heptane + 77.40% iso-octane + 5% toluene) over the range of experimental conditions. Sensitivity of flame propagation to total stretch rate effects and thermo-diffusive instability was quantified by determining Markstein length. Two percentages of an oxygenated fuel of ethanol as an additive, namely, 60 vol% and 85 vol% were investigated. The addition of ethanol to FACE-C and its surrogate TRF-1 (17.60% n-heptane + 77.40% iso-octane + 5% toluene) resulted in a relatively similar increase in the laminar burning velocities. The high-pressure measured values of Markstein length for the studied fuels blended with ethanol showed minimal influence of ethanol addition on the flame’s response to stretch rate and thermo-diffusive instability. © 2016 Taylor & Francis.

  7. Retratos de autópsias Psicossociais sobre suicídio de idosos em Teresina

    Directory of Open Access Journals (Sweden)

    Selena Mesquita Teixeira Sérvio

    Full Text Available O desígnio da presente pesquisa consiste em analisar os fatores psicossociais que perpassaram o suicídio de idosos em Teresina, por meio de uma investigação retrospectiva dos aspectos da vida do suicida antes do autoextermínio e da reconstituição dos fatores de risco para o suicídio. Trata-se de uma pesquisa de natureza qualitativa, descritiva e exploratória. Foram construídas autópsias psicossociais de cinco casos de suicídios de idosos ocorridos no período de 2004 a 2009. Esse método reúne três tipos de informação: ficha de identificação pessoal e social, genograma e entrevista semi-estruturada. A coleta foi viabilizada pelo relato de cinco sujeitos, familiares e parentes próximos ao idoso. O material obtido passou por três etapas: pré-análise, análise qualitativa e síntese analítica. Desse modo, os principais fatores de risco associados ao suicídio desses idosos foram: depressão, transtornos mentais graves, estigma referente ao envelhecimento, alcoolismo, automutilações, impulsividade, relações afetivas fragilizadas e história de vida marcada por eventos trágicos.

  8. Measurements of reactive trace gases and variable O3 formation rates in some South Carolina biomass burning plumes

    Science.gov (United States)

    Akagi, S. K.; Yokelson, R. J.; Burling, I. R.; Meinardi, S.; Simpson, I.; Blake, D. R.; McMeeking, G. R.; Sullivan, A.; Lee, T.; Kreidenweis, S.; Urbanski, S.; Reardon, J.; Griffith, D. W. T.; Johnson, T. J.; Weise, D. R.

    2013-02-01

    In October-November 2011 we measured trace gas emission factors from seven prescribed fires in South Carolina (SC), US, using two Fourier transform infrared spectrometer (FTIR) systems and whole air sampling (WAS) into canisters followed by gas-chromatographic analysis. A total of 97 trace gas species were quantified from both airborne and ground-based sampling platforms, making this one of the most detailed field studies of fire emissions to date. The measurements include the first emission factors for a suite of monoterpenes produced by heating vegetative fuels during field fires. The first quantitative FTIR observations of limonene in smoke are reported along with an expanded suite of monoterpenes measured by WAS including α-pinene, β-pinene, limonene, camphene, 4-carene, and myrcene. The known chemistry of the monoterpenes and their measured abundance of 0.4-27.9% of non-methane organic compounds (NMOCs) and ~ 21% of organic aerosol (mass basis) suggests that they impacted secondary formation of ozone (O3), aerosols, and small organic trace gases such as methanol and formaldehyde in the sampled plumes in the first few hours after emission. The variability in the initial terpene emissions in the SC fire plumes was high and, in general, the speciation of the initially emitted gas-phase NMOCs was 13-195% different from that observed in a similar study in nominally similar pine forests in North Carolina ~ 20 months earlier. It is likely that differences in stand structure and environmental conditions contributed to the high variability observed within and between these studies. Similar factors may explain much of the variability in initial emissions in the literature. The ΔHCN/ΔCO emission ratio, however, was found to be fairly consistent with previous airborne fire measurements in other coniferous-dominated ecosystems, with the mean for these studies being 0.90 ± 0.06%, further confirming the value of HCN as a biomass burning tracer. The SC results also

  9. Effects of the Distributions of Energy or Charge Transfer Rates on Spectral Hole Burning in Pigment-Protein Complexes at Low Temperatures

    Energy Technology Data Exchange (ETDEWEB)

    Herascu, N.; Ahmouda, S.; Picorel, R.; Seibert, M.; Jankowiak, R.; Zazubovich, V.

    2011-12-22

    Effects of the distributions of excitation energy transfer (EET) rates (homogeneous line widths) on the nonphotochemical (resonant) spectral hole burning (SHB) processes in photosynthetic chlorophyll-protein complexes (reaction center [RC] and CP43 antenna of Photosystem II from spinach) are considered. It is demonstrated that inclusion of such a distribution results in somewhat more dispersive hole burning kinetics. More importantly, however, inclusion of the EET rate distributions strongly affects the dependence of the hole width on the fractional hole depth. Different types of line width distributions have been explored, including those resulting from Foerster type EET between weakly interacting pigments as well as Gaussian ones, which may be a reasonable approximation for those resulting, for instance, from so-called extended Foerster models. For Gaussian line width distributions, it is possible to determine the parameters of both line width and tunneling parameter distributions from SHB data without a priori knowledge of any of them. Concerning more realistic asymmetric distributions, we demonstrate, using the simple example of CP43 antenna, that one can use SHB modeling to estimate electrostatic couplings between pigments and support or exclude assignment of certain pigment(s) to a particular state.

  10. Effect of 15 N-urea rates on the rates on the accumulation of nitrogen by the sugarcane-plant in cane field renovation areas picked with and without burning

    International Nuclear Information System (INIS)

    Vitti, Andre Cesar.; Ocheuze Trivelin, Paulo Cesar; Wagner de Oliveira, Mauro; De Castro Gava, Glauber Jose; Sarries, Gabriel Adrian

    1999-01-01

    The main goal of this work was the evaluation of the nitrogen accumulated in the sugarcane (Saccharum spp.), the contribution and the recovery of the fertilizer by the culture, both calculated by the isotopic technique . The experiment was conducted in 220-liter vase and in a open atmosphere. A randomized block design was performed with 2x4-factorial treatment arrangements with three replications. The factors were: 1) differentiated addition of two amounts of cultural wastes to the soil, equivalent to 13.2 and 19.5 t ha -1 of dry material, simulating cane-field renovation conditions in areas picked with or without burning (CQ and SQ); 2) four N-urea rates (10.082% in 15 N-atoms), equivalent to 0; 30; 60; 90 kg ha -1 . The analysis of variance of the results showed that there were no significant differences between CQ and SQ treatments. Out of the total accumulated N in the plant, an average of 20.55% was stored in the stalks; 19% in the apexes; 27% in the root system, and 33% in dry leaves. Therefore, around 80% of the nitrogen would remain in the area after the harvest without burning, which represents 40% more in relationship with the areas with burning. The accumulation of N in the root system was 70% higher in the larger rate in relation to the zero rate, being this amount a potential N source for the following cycle. Out of the total accumulated nitrogen 7 and 16% originated from the fertilizer, in function of the N-urea rates, with the use efficiency by the culture equivalent to 54%, regardless of the treatment

  11. Prevalência de enteroparasitoses em fezes colhidas durante necrópsias

    Directory of Open Access Journals (Sweden)

    João Antônio de Almeida

    1991-03-01

    Full Text Available Com o objetivo de verificarmos a prevalência de enteroparasitoses, colhemos o conteúdo do tubo digestivo, em três porções distintas, durante a realização de 135 necrópsias completas. As fezes foram conservadas em MIF (mistura de formol, iodo e merthiolate, e analisadas pelo exame protoparasitológico direto. Encontramos enteroparasitas em 40 casos (29,6%, sendo que em 11 deles (27,5% havia poliparasitismo e em 29 casos (72,5% monoparasitismo. As enteroparasitoses mais freqüentes foram o S. stercoralis (31,9%, E. histolytica (23,4%, Ancilostomídeos (19,1% e A. lumbricoides (17%. Os resultados estão de acordo com levantamentos epidemiològicos na região. Além disso, mostram que o exame protoparasitológico de fezes colhidas concomitantemente ao exame necroscópico fornece mais um subsídio ao diagnóstico anatomopatológico.With the Intention to verify the frequency of intestinal parasites, we have taken the inside digestive system material from three differents parts of the intestinal tract while we were doing 135 complete necropsies. The stools were kept in MIF (Formol, iodine and merthiolate mixture being studied in slides by the direct method. We have found intestinal parasites in 40 cases (29.6%, 11 (27.5% with two or more kinds of parasites and 29 cases (72.5% with only one kind ofparasite. The most frequent parasites were: S. stercoralis (31,9%, E. hystolytica (23.4%, hook worm (19.1% and A. lumbricoides (17%. The results are in according with epidemiological research made in this area. Thus, they prove that the parasitological exam made in feces taken during the necroscopy provides further evidence to enrich the anatomo-pathological diagnosis.

  12. 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....

  13. Burning Feet

    Science.gov (United States)

    ... be accompanied by a pins and needles sensation (paresthesia) or numbness, or both. Burning feet may also be referred to as tingling feet or paresthesia. While fatigue or a skin infection can cause ...

  14. Measurements of VOC/SVOC emission factors from burning incenses in an environmental test chamber: influence of temperature, relative humidity, and air exchange rate.

    Science.gov (United States)

    Manoukian, A; Buiron, D; Temime-Roussel, B; Wortham, H; Quivet, E

    2016-04-01

    This study investigates the influence of three environmental indoor parameters (i.e., temperature, relative humidity, and air exchange rate) on the emission of 13 volatile organic compounds (VOCs) and semi-volatile organic compounds (SVOCs) during incense burning. Experiments have been carried out using an environmental test chamber. Statistical results from a classical two-level full factorial design highlight the predominant effect of ventilation on emission factors. The higher the ventilation, the higher the emission factor. Moreover, thanks to these results, an estimation of the concentration range for the compounds under study can be calculated and allows a quick look of indoor pollution induced by incense combustion. Carcinogenic substances (i.e., benzene, benzo(a)pyrene, and formaldehyde) produced from the incense combustion would be predicted in typical living indoors conditions to reach instantaneous concentration levels close to or higher than air quality exposure threshold values.

  15. Burning issues

    International Nuclear Information System (INIS)

    Raloff, J.

    1993-01-01

    The idea of burning oil slicks at sea has intrigued oil-cleanup managers for more than a decade, but it wasn't until the advent of fireproof booms in the mid-1980's and a major spill opportunity (the March 1989 Exxon Valdez) that in-situ burning got a real sea trial. The results of this and other burning experiments indicate that, when conditions allow it, nothing can compete with fire's ability to remove oil from water. Burns have the potential to remove as much oil in one day as mechanical devices can in one month, along with minimal equipment, labor and cost. Reluctance to burn in appropriate situations comes primarily from the formation of oily, black smoke. Analysis of the potentially toxic gases have been done, indicating that burning will not increase the levels of polluting aldehydes, ketones, dioxins, furans, and PAHs above those that normally evaporate from spilled oil. This article contains descriptions of planned oil fires and the discussion on the advantages and concerns of such a policy

  16. Foot burns: epidemiology and management.

    Science.gov (United States)

    Hemington-Gorse, S; Pellard, S; Wilson-Jones, N; Potokar, T

    2007-12-01

    This is a retrospective study of the epidemiology and management of isolated foot burns presenting to the Welsh Centre for Burns from January 1998 to December 2002. A total of 289 were treated of which 233 were included in this study. Approximately 40% were in the paediatric age group and the gender distribution varied dramatically for adults and children. In the adult group the male:female ratio was 3.5:1, however in the paediatric group the male:female ratio was more equal (1.6:1). Scald burns (65%) formed the largest group in children and scald (35%) and chemical burns (32%) in adults. Foot burns have a complication rate of 18% and prolonged hospital stay. Complications include hypertrophic scarring, graft loss/delayed healing and wound infection. Although isolated foot burns represent a small body surface area, over half require treatment as in patients to allow for initial aggressive conservative management of elevation and regular wound cleansing to avoid complications. This study suggests a protocol for the initial acute management of foot burns. This protocol states immediate referral of all foot burns to a burn centre, admission of these burns for 24-48 h for elevation, regular wound cleansing with change of dressings and prophylactic antibiotics.

  17. Frequency analysis of heart rate variability: a useful assessment tool of linearly polarized near-infrared irradiation to stellate ganglion area for burning mouth syndrome.

    Science.gov (United States)

    Momota, Yukihiro; Takano, Hideyuki; Kani, Koichi; Matsumoto, Fumihiro; Motegi, Katsumi; Aota, Keiko; Yamamura, Yoshiko; Omori, Mayuko; Tomioka, Shigemasa; Azuma, Masayuki

    2013-03-01

    Burning mouth syndrome (BMS) is characterized by the following subjective complaints without distinct organic changes: burning sensation in mouth or chronic pain of tongue. BMS is also known as glossodynia; both terms are used equivalently in Japan. Although the real cause of BMS is still unknown, it has been pointed out that BMS is related to some autonomic abnormality, and that stellate ganglion near-infrared irradiation (SGR) corrects the autonomic abnormality. Frequency analysis of heart rate variability (HRV) is expected to be useful for assessing autonomic abnormality. This study investigated whether frequency analysis of HRV could reveal autonomic abnormality associated with BMS, and whether autonomic changes were corrected after SGR. Eight subjects received SGR; the response to SGR was assessed by frequency analysis of HRV. No significant difference of autonomic activity concerning low-frequency (LF) norm, high-frequency (HF) norm, and low-frequency/high-frequency (LF/HF) was found between SGR effective and ineffective groups. Therefore, we proposed new parameters: differential normalized low frequency (D LF norm), differential normalized high frequency (D HF norm), and differential low-frequency/high-frequency (D LF/HF), which were defined as differentials between original parameters just before and after SGR. These parameters as indexes of responsiveness of autonomic nervous system (ANS) revealed autonomic changes in BMS, and BMS seems to be related to autonomic instability rather than autonomic imbalance. Frequency analysis of HRV revealed the autonomic instability associated with BMS and enabled tracing of autonomic changes corrected with SGR. It is suggested that frequency analysis of HRV is very useful in follow up of BMS and for determination of the therapeutic efficacy of SGR. Wiley Periodicals, Inc.

  18. Reduction in 14 MeV neutron generation rate by ICRF injection in D-3He burning plasmas

    International Nuclear Information System (INIS)

    Matsuura, Hideaki; Nakao, Yasuyuki

    2004-01-01

    The triton distribution function during ion cyclotron range of frequency (ICRF) waves injection in D- 3 He plasmas is examined by solving the 2-dimensional Fokker-Planck equation. Triton distribution function originally has a non-Maxwellian (tail) component around 1.01 MeV birth energy range due to D(d,p)T fusion reaction. Owing to the extension of the original tail by ICRF injection, the high-energy resonance tritons further increase, and the velocity-averaged T(d,n) 4 He fusion reaction rate coefficient, i.e. 14 MeV neutron generation rate, decreases from the values when triton is assumed to be Maxwellian. It is shown that when tritons absorb ∼1/200 of the fusion power from the waves in typical D- 3 He plasma, i.e. T=80 keV, n D =2x10 20 m -3 , τ E0 =3 sec and B=6T, the 14 MeV neutron generation rate is reduced by about ∼20% from the values for Maxwellian plasmas. (author)

  19. Biópsia mamária realizada pela técnica de biópsia helicoide: estudo experimental Breast biopsy performed by the helicoid biopsy technique: an experimental study

    Directory of Open Access Journals (Sweden)

    Eliel de Souza

    2010-12-01

    Full Text Available OBJETIVO: avaliar o desempenho da biópsia helicoide na realização de biópsias mamárias. MÉTODOS: foi selecionado aleatoriamente uma amostra composta de 30 pacientes portadoras de câncer de mama submetidas à mastectomia. Foram excluídas as mulheres portadoras de tumor que tivessem consistência pétrea, não-palpável, com manipulação cirúrgica prévia ou que contivesse líquido. Utilizando-se o kit de biópsia helicoide e um equipamento de core biopsy com cânula e agulha de 14 gauge, respectivamente, coletou-se um fragmento por equipamento em área sã e nos tumores, em cada peça cirúrgica, totalizando 120 fragmentos para estudo histológico. Para a análise dos dados, definiu-se um nível de confiança de 95% e utilizou-se o software SPSS, versão 13; o índice de concordância Kappa e o teste paramétrico t de Student. RESULTADOS: a média das idades das pacientes foi de 51,6 anos (±11,1 anos. A core biopsy apresentou sensibilidade de 93,3%, especificidade de 100% e acurácia de 96,7%, enquanto a biópsia helicoide teve sensibilidade de 96,7%, especificidade de 100% e acurácia de 98,3%. Na comparação entre a histologia dos tumores e dos fragmentos de biópsias, houve alto grau de concordância nos diagnósticos (Kappa igual a 0,9, com pPURPOSE: to assess the helicoid biopsy performance when carrying out breast biopsies. METHODS: thirty patients with breast cancer submitted to mastectomy were selected at random. Women with a tumor of petreous consistency, nonpalpable, submitted to previous surgical manipulation or containing fluid were excluded. The helicoid biopsy kit and a core biopsy device with a cannula and a 14-gauge-needle, respectively, were used to collect a fragment each from a healthy area and from the tumor of each surgical specimen, for a total of 120 fragments for histological study. Data were analyzed statistically by the parametric Student's t-test and by the Kappa concordance index at the 95% confidence level

  20. Influência do tempo e do meio de transporte no isolamento de fungos patogênicos de biópsias de pele Effects of time delay and transportation on isolation of pathogenic fungi from skin biopsies

    Directory of Open Access Journals (Sweden)

    Rafael Taglialegna

    2008-04-01

    Full Text Available FUNDAMENTOS: Não está definido como o meio de transporte e o intervalo de tempo até o processamento final interferem no isolamento de fungos patogênicos em material obtido de biópsias de pele. OBJETIVOS: Determinar o efeito da inoculação tardia de biópsias de pele, transportadas em diferentes meios líquidos, na taxa de isolamento de fungos patogênicos. MÉTODOS: De 47 pacientes com lesões cutâneas suspeitas de micoses invasivas obtiveram-se 278 biópsias das lesões. Cada biópsia foi transportada em frascos com caldo Sabouraud com cloranfenicol ou solução salina de cloreto de sódio e inoculada em ágar Sabouraud após 48-72 horas (precoce ou após 72 horas até sete dias (tardio, constituindo-se quatro grupos de estudo. RESULTADOS: As medianas das taxas de isolamento dos quatro grupos de esporotricose foram 100% e de paracoccidioidomicose foram 84% e 50% nos grupos precoces/solução salina ou caldo Sabouraud e 64% e 84% nos grupos tardios/solução salina ou caldo Sabouraud, respectivamente (p=0,88. Baixas taxas de contaminação resultaram em especificidade diagnóstica de 82% para doenças não fúngicas. CONCLUSÕES: Biópsias de pele podem ser transportadas em caldo Sabouraud ou solução salina por períodos de até sete dias, à temperatura ambiente, sem afetar a viabilidade dos fungos.BACKGROUND: It is not clear how culture media used during transport and the interval between the biopsy procedure and final processing can affect the successful isolation of fungi. OBJECTIVE: The aim of this study was to investigate the effects of late inoculation of skin biopsies, transported in different sterile fluids, on the isolation rate of pathogenic fungi. METHODS: A total of 278 punch biopsy specimens were collected from 47 patients with suspected lesions of invasive mycoses. Each biopsy was transported in vials with Sabouraud medium with chloramphenicol or saline solution and finally inoculated on Sabouraud agar and 2

  1. Wood burning

    Energy Technology Data Exchange (ETDEWEB)

    Winkelmann, H

    1955-01-01

    Discussed are the use of wood as a fuel, the technique of wood combustion and the operation of wood-burning stoves for cooking and heating. In addition, there is a section which reviews the use of wood stoves in various countries and lists manufacturers of stoves, central heating furnaces and in some cases sawdust burners.

  2. Educational Materials - Burn Wise

    Science.gov (United States)

    Burn Wise outreach material. Burn Wise is a partnership program of that emphasizes the importance of burning the right wood, the right way, in the right wood-burning appliance to protect your home, health, and the air we breathe.

  3. Pediatric burns: Kids' Inpatient Database vs the National Burn Repository.

    Science.gov (United States)

    Soleimani, Tahereh; Evans, Tyler A; Sood, Rajiv; Hartman, Brett C; Hadad, Ivan; Tholpady, Sunil S

    2016-04-01

    Burn injuries are one of the leading causes of morbidity and mortality in young children. The Kids' Inpatient Database (KID) and National Burn Repository (NBR) are two large national databases that can be used to evaluate outcomes and help quality improvement in burn care. Differences in the design of the KID and NBR could lead to differing results affecting resultant conclusions and quality improvement programs. This study was designed to validate the use of KID for burn epidemiologic studies, as an adjunct to the NBR. Using the KID (2003, 2006, and 2009), a total of 17,300 nonelective burn patients younger than 20 y old were identified. Data from 13,828 similar patients were collected from the NBR. Outcome variables were compared between the two databases. Comparisons revealed similar patient distribution by gender, race, and burn size. Inhalation injury was more common among the NBR patients and was associated with increased mortality. The rates of respiratory failure, wound infection, cellulitis, sepsis, and urinary tract infection were higher in the KID. Multiple regression analysis adjusting for potential confounders demonstrated similar mortality rate but significantly longer length of stay for patients in the NBR. Despite differences in the design and sampling of the KID and NBR, the overall demographic and mortality results are similar. The differences in complication rate and length of stay should be explored by further studies to clarify underlying causes. Investigations into these differences should also better inform strategies to improve burn prevention and treatment. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. Reliability enhancement through optimal burn-in

    Science.gov (United States)

    Kuo, W.

    1984-06-01

    A numerical reliability and cost model is defined for production line burn-in tests of electronic components. The necessity of burn-in is governed by upper and lower bounds: burn-in is mandatory for operation-critical or nonreparable component; no burn-in is needed when failure effects are insignificant or easily repairable. The model considers electronic systems in terms of a series of components connected by a single black box. The infant mortality rate is described with a Weibull distribution. Performance reaches a steady state after burn-in, and the cost of burn-in is a linear function for each component. A minimum cost is calculated among the costs and total time of burn-in, shop repair, and field repair, with attention given to possible losses in future sales from inadequate burn-in testing.

  5. Parameters Affecting the Erosive Burning of Solid Rocket Motor

    OpenAIRE

    Abdelaziz Almostafa; Guozhu Liang; Elsayed Anwer

    2018-01-01

    Increasing the velocity of gases inside solid rocket motors with low port-to-throat area ratios, leading to increased occurrence and severity of burning rate augmentation due to flow of propellant products across burning propellant surfaces (erosive burning), erosive burning of high energy composite propellant was investigated to supply rocket motor design criteria and to supplement knowledge of combustion phenomena, pressure, burning rate and high velocity of gases all of these are parameter...

  6. Assault by burning in Jordan

    Science.gov (United States)

    Haddadin, W.

    2012-01-01

    Summary Criminal attacks by burns on women in Jordan are highlighted in this retrospective study carried out of all proved cases of criminal burns in female patients treated at the burn unit of the Royal Rehabilitation Center in Jordan between January 2005 and June 2012. Thirteen patients were included in our study, out of a total of 550 patients admitted, all in the age range of 16-45 yr. Of these 13 women, six were burned by acid throwing, five by hot water, and two by direct flames from fuel thrown over them. Burn percentage ranged from 15 to 75% of the total body surface area, with involvement in most cases of the face and upper trunk. The mean hospital stay was 33 days and the mortality rate was 3/13, i.e. 23%. Violence against women exists in Jordanian society, yet burning assaults are rare. Of these, burning by throwing acid is the most common and most disfiguring act, with a higher mortality rate in domestic environments. PMID:23766757

  7. Burning plasmas

    International Nuclear Information System (INIS)

    Furth, H.P.; Goldston, R.J.; Zweben, S.J.

    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 ampersand D areas that need to be addressed on the way to a fusion power demonstration

  8. Avaliação de um dispositivo portátil para biópsia vácuo-assistida de microcalcificações mamárias Evaluation of a portable device for vacuum-assisted biopsy of breast microcalcifications

    Directory of Open Access Journals (Sweden)

    Hélio Sebastião Amâncio de Camargo Júnior

    2010-04-01

    Full Text Available OBJETIVO: A biópsia vácuo-assistida é a forma percutânea de biópsia de microcalcificações que obtém a menor taxa de subestimação, porém, seu custo é alto, havendo interesse em se conseguir formas mais baratas de biópsia vácuo-assistida. O objetivo deste trabalho foi testar um dispositivo portátil de biópsia vácuo-assistida que apresenta custo menor. MATERIAIS E MÉTODOS: Foram biopsiadas 35 pacientes que apresentavam agrupamentos de microcalcificações BI-RADS® 4 ou 5. Foram testados a representatividade dos fragmentos colhidos, as dificuldades na reintrodução da cânula e o número de ciclos de colheita. RESULTADOS: Houve obtenção de calcificações representativas em todas as pacientes. Não houve discordância anatomorradiológica, dificuldade na reintrodução da cânula ou complicações graves. CONCLUSÃO: Os dados permitem concluir que o sistema apresenta boa eficácia na obtenção das amostras e com relação de custo-benefício favorável em relação a outros sistemas para a biópsia de microcalcificações, achados em concordância com outras publicações da literatura.OBJECTIVE: Vacuum-assisted biopsy is the percutaneous technique of breast biopsy with the lowest underestimation rate. However, the cost of such procedure is high and currently there is a considerable interest in developing less expensive techniques. The present study was aimed at testing a less expensive device for vacuum-assisted biopsy of breast microcalcifications. MATERIALS AND METHODS: Thirty-five patients with clustered microcalcifications classified as BI-RADS® 4 or 5 were submitted to biopsy. Collected specimen appropriateness, difficulties in the reinsertion of the cannula and number of biopsy passes were evaluated. RESULTS: Successful specimens collection was achieved in all of the patients. Histo-radiological disagreement, difficulties in the cannula reinsertion or severe complications were not observed. CONCLUSION: The authors

  9. Burning Mouth Syndrome

    Science.gov (United States)

    ... Care Home Health Info Health Topics Burning Mouth Burning Mouth Syndrome (BMS) is a painful, complex condition often described ... or other symptoms. Read More Publications Cover image Burning Mouth Syndrome Publication files Download Language English PDF — Number of ...

  10. Burning issues

    Energy Technology Data Exchange (ETDEWEB)

    Ashmore, C.

    1998-10-01

    Coal is world`s most abundant source of energy. Turning this potential pollutant into a clean, cost-effective fuel for power production has become a matter for global concern. Some problems and their solutions are highlighted in this article. Environmental problems caused by the giant Mae Moh plant in Thailand were overcome with an extensive retrofit programme that included flue gas desulfurisation systems. For new and smaller coal-fuelled plant, boilers using circulating fluidised bed (CFB) technology provide a cost effective and efficient system which meets environmental standards. A large independent power plant at Colver, Pennsylvania, USA uses CFB technology to burn bituminous gob. AMM and Alstom can provide turnkey packages for coal-fired power plant using a modular concept based on CFB technology. 2 photos.

  11. Laparoscopy hepatic biopsy through cauterization Biópsia hepática laparoscopica por cauterização

    Directory of Open Access Journals (Sweden)

    Alexandra Pinheiro Fantinatti

    2003-08-01

    Full Text Available Hepatic biopsy was realized through laparoscopy with simultaneous cauterization in the present study, whose principal aim was to evaluate the efficacy of the applied method and to study its effects in the liver of healthy dogs. Furthermore, we tried to verify the main hematological and chemistry profile alterations related to the hepatic function, and to investigate the viability of the fragments collected by histopathology. To attain this objective, 21 clinically healthy dogs, weighing between 10 and 15kg were submitted to hepatic biopsy with forceps connected to the cautery. Cautery was performed by applying radiofrequency energy at 45 watts. Forty-two hepatic biopsies through laparoscopy were conducted in the animals. At group I one hepatic fragment per animal was collected, at group II two hepatic fragments per animal were collected, and at group III three fragments were collected. Hematocrit and alanine-aminotransferase measurements were employed to evaluate the animals at the pre-operative period, at four and six hour post-operative, and at day 30 post-operative. The results revealed that the procedure was safe and effective for hepatic biopsy in dogs. There were no clinical alterations related to the technique. The fragments collected were viable for histopathology. Hepatic biopsy through laparoscopy with simultaneous cauterization is an effective and usefull method in dogs.Este estudo visou avaliar a eficácia do método de biópsia hepática laparoscópica por cauterização e estudar os seus efeitos no fígado de cães sadios. Além disso, procurou-se verificar as principais alterações hematológicas e bioquímicas-séricas relacionadas às funções hepáticas e averiguar a viabilidade dos fragmentos colhidos por exame de histopatologia. Para tanto, 21 cães clinicamente sadios pesando entre 10 e 15kg, foram separados em três grupos de sete animais cada grupo. As amostras foram retiradas da borda no lobo lateral esquerdo

  12. [Etiological analysis of subambient temperature burn in 351 cases of Hefei area].

    Science.gov (United States)

    Shi, Jie; Qi, Weiwei; Xu, Qinglian; Zhou, Shunying; Wang, Guobao

    2010-06-01

    To study the preventive measure of the subambient temperature burn by analysing the pathogenesis feature. The clinical data were analysed from 351 cases of subambient temperature burn between February 2004 and February 2009, including age, sex, burn season, burn factors, burn position, burn area, burn degree, treatment way, and wound healing. Subambient temperature burn occurred in every age stage. The susceptible age stages included infant, children, and the elderly. Female patients were more than male patients. The common burn reasons were hot-water bottle burn, honey warm keeper burn, and heating device burn. The peak season was winter. Lower limb was the most common site of the subambient temperature burn. The deep II degree to III degree were the most common level, and the burn area was always small, often time safety awareness should be strengthened so as to decrease the incidence rate of subambient temperature burn and the injury degree.

  13. 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.

  14. Tumores do tronco cerebral: estudo anatomopatológico em 35 casos de necrópsia

    Directory of Open Access Journals (Sweden)

    Carmen Lúcia Penteado Lancellotti

    1989-09-01

    Full Text Available Os tumores do tronco cerebral são raros e geralmente tratados sem diagnóstico histopatológico. Sua incidência varia na literatura entre 1,09% e 17,5% dos tumores cerebrais. O objetivo do trabalho foi relatar a casuísti desses tumores em 28500 necrópsias realizadas de 1952 a 1985 no Departamento de Anatomia Patológica da Santa Casa de São Paulo. Enfatizamos os aspectos neuropatológicos, comparamos nossos casos com os de outras séries e salientamos os tumores mais observados nessa região, com a finalidade de procurar contribuir para melhor abordagem terapêutica. Utilizamos alguns dados clínicos e, através do exame anatomopatológico, localizamos o tumor no tronco cerebral sendo o diagnóstico microscópico estabelecido segundo os critérios da Organização Mundial da Saúde. Dos 428 tumores intracranianos observados, 35 estavam localizados no tronco cerebral. Foram aqui incluídos os tumores próprios do tronco cerebral e as metástases e excluídos os tumores que infiltravam o tronco. A maior incidência ocorreu na primeira década e a causa de óbito predominante foi edema cerebral. A localização preferencial foi a ponte e o tumor mais freqüente foi o glioblas-tomia multiforme (19 casos. As metástases ficaram em segundo lugar na freqüência (9 casos, na maioria dos casos de origem pulmonar. Apesar de alguns autores se posicionarem contra a biópsia de tumor nessa região, baseando-se no alto risco cirúrgico, discordamos dessa opinião, pois acreditamos que, frente ao diagnóstico de glioma, será importante a caracterização ou não de malignidade. Ainda, não devemos deixar de considerar os diagnósticos diferenciais de processo expansivo no tronco. Enfim, com o diagnóstico anatomopatológico de glioma ou de uma das possibilidades aventadas, o procedimento terapêutico poderá ser mais adequado.

  15. Aspectos morfológicos de biópsias musculares em equinos com miopatia sob forma de surto

    Directory of Open Access Journals (Sweden)

    Rogério M. Amorim

    2011-07-01

    Full Text Available As miopatias em equinos são classificadas de acordo com aspectos clínicos, morfológicos e moleculares, em três grandes grupos: não associadas ao exercício, associadas ao exercício e devido alteração da condução elétrica do sarcolema. Apesar dos avanços no diagnóstico, a literatura ainda relata surtos de miopatia em equinos sem etiologia esclarecida em diversos países. O objetivo desse estudo foi descrever as alterações histológicas e histoquímicas de biópsias musculares de equinos acometidos por miopatia. Sete equinos da raça Quarto de Milha, com 18-24 meses de idade, apresentaram sinais clínicos de miopatia. Dentre esses animais, cinco apresentaram sinais subagudos leves a moderados e dois apresentaram sinais hiperagudos severos e decúbito lateral. Foram realizadas biópsias musculares utilizando a técnica percutânea, por agulha tipo Bergström, no músculo glúteo médio em todos os animais acometidos. As amostras foram processadas por meio de técnicas histológicas (HE, Tricrômio de Gomori modificado e histoquímicas (PAS, NADH, ATPase. Nos quadros clínicos mais leves, a principal alteração encontrada foi a presença de fibras vermelhas rajadas do tipo I e IIA, que estão associadas às alterações do metabolismo oxidativo e das funções mitocondriais, como ocorrem nas miopatias mitocondriais. Também foram observadas fibras atróficas do tipo I e IIA, além da presença de agregados subsarcolemais. Nos quadros mais severos o tecido muscular apresentou infiltrado inflamatório, aumento de colágeno, fagocitose, necrose, calcificação e regeneração muscular. Diante dos achados morfológicos, da resposta à terapia com vitamina E e Se e da baixa mortalidade quando comparado aos relatos de miopatia atípica, conclui-se que esse surto foi desencadeado por lesões mitocondriais, caracterizadas pelas fibras musculares vermelhas rajadas, possivelmente devido uma quebra da homeostase de vitamina E e Se, sendo compat

  16. Doenças renais em pacientes idosos submetidos à biópsia percutânea de rins nativos

    Directory of Open Access Journals (Sweden)

    Claudine Maria Jorge de Oliveira

    2010-12-01

    Full Text Available INTRODUÇÃO: Tem ocorrido aumento da população de idosos e estes vêm envelhecendo em melhores condições clínicas do que no passado. Entretanto, a distribuição e evolução das doenças renais nos idosos ainda são pouco conhecidas, em parte devido à resistência em indicar biópsia renal. OBJETIVO: Avaliar a distribuição, a evolução e as características clínicas das nefropatias diagnosticadas por biópsia em pacientes idosos. PACIENTES E MÉTODOS: Foram avaliadas todas as biópsias renais percutâneas de rins nativos. Elas foram realizadas entre janeiro de 1990 e dezembro de 2006 em 71 pacientes com idade mínima de 60 anos (67,3 ± 6,5 anos, sendo 47 do gênero masculino e 24 do feminino. Os pacientes foram agrupados conforme a indicação clínica da biópsia. RESULTADOS: Síndrome nefrótica foi verificada em 35 pacientes (49,3% associada, na maioria dos casos, à nefropatia membranosa (17 casos, seguida por amiloidose e glomeruloesclerose segmentar e focal com 7 casos cada. Hipótese diagnóstica de injúria renal aguda (IRA, com 19 pacientes, teve como principais diagnósticos a necrose tubular aguda (6 casos e a nefropatia do cilindro (3 casos. Dentre os 19 casos, apenas dois tiveram evolução satisfatória, enquanto os demais morreram precocemente ou evoluíram para doença renal avançada. Doze pacientes biopsiados por hematúria ou proteinúria assintomática tiveram diagnósticos variados, mas a maioria já apresentava nefropatia crônica relevante. Biópsia por síndrome nefrítica ocorreu em 5 casos, também com diagnósticos variados. CONCLUSÕES: Síndrome nefrótica foi a principal indicação de biópsia renal com a nefropatia membranosa como diagnóstico mais frequente. Entre os pacientes com IRA e hematúria ou proteinúria assintomática os diagnósticos foram variados com elevadas taxas de nefropatia crônica avançada.

  17. Neurocisticercose: estudo clínico e patológico de 27 casos de necrópsia

    Directory of Open Access Journals (Sweden)

    MONTEMÓR NETTO MÁRIO RODRIGUES

    2000-01-01

    Full Text Available Neurocisticercose é a mais frequente e disseminada neuroparasitose humana. O desenvolvimento de lesões no cérebro e leptomeninges, com consequente aparecimento de sintomas, está relacionado com a resposta imune do hospedeiro, ao número e à fase de involução dos parasitas . Relatamos os achados anatomopatológicos durante a necrópsia em 27 casos de neurocisticercose, que corresponderam a 3,1% dos casos necropsiados no serviço. 77% dos pacientes eram masculinos, com idade variando entre 18 e 85 anos. Em 26% dos casos havia história de alcoolismo. A análise clinico-patológica mostrou que 50% dos casos eram da forma assintomática, 11% da forma epiléptica, 11% da forma intraventricular e 11% da forma combinada. 33% dos pacientes apresentaram crise epiléptica como fator agravante do quadro clínico. O cisticerco era único em 60% dos casos, a forma cellulosae estava presente em 82% e a racemosa em 7% dos casos, sendo os 11% restantes portadores da forma combinada. Em 30% dos pacientes a causa mortis estava relacionada com a presença do cisticerco no sistema nervoso central. Nossos achados confirmam a alta morbidade desta parasitose.

  18. Maternal burn-out: an exploratory study.

    Science.gov (United States)

    Séjourné, N; Sanchez-Rodriguez, R; Leboullenger, A; Callahan, S

    2018-02-21

    Maternal burn-out is a psychological, emotional and physiological condition resulting from the accumulation of various stressors characterised by a moderate but also a chronic and repetitive dimension. Little research has focused on this syndrome. The current study aims to assess maternal burn-out rate and to identify factors associated with this state of exhaustion. 263 French mothers aged between 20 and 49 years answered five scales quantifying maternal burn-out, perceived social support, parental stress, depression and anxiety symptoms and history of postnatal depression. About 20% of mothers were affected by maternal burn-out. The main factors related to maternal burn-out were having a child perceived as difficult, history of postnatal depression, anxiety, satisfaction of a balance between professional and personal life and parental stress. This research shows the need for further work on maternal burn-out to better understand and prevent this syndrome.

  19. Suicide by burning: epidemiological and clinical profiles.

    Science.gov (United States)

    Theodorou, Panagiotis; Phan, Vu T Q; Weinand, Christian; Maegele, Marc; Maurer, Christoph A; Perbix, Walter; Leitsch, Sebastian; Lefering, Rolf; Spilker, Gerald

    2011-04-01

    Self-immolation constitutes a rare form of suicide in developed countries, though it accounts for unique injury characteristics in the burn intensive care unit. The aim of this study was to present the epidemiological and clinical features of patients burned during a suicidal attempt seen in a North Rhine-Westphalia burn intensive care unit (BICU). To address this aim, we undertook a 21-year retrospective study involving patients with thermal injuries admitted to the largest burn unit in Germany. A total of 125 suicide-related burn victims were identified in the study period (9.4%). Comparing the self-immolation group with the rest burn patient cohort, suicide victims were more likely to be single and to act under the influence of alcohol. The suicidal group had a larger extent of burns, higher incidence of inhalation injury, required more surgical procedures, catecholamines, blood transfusions, and a longer BICU stay. Their clinical course was complicated by prolonged intubation period, higher rate of multiple drug-resistant bacteria acquisition and sepsis, leading to a higher mortality rate. Although the proportion of self-immolation victims among all burned patients is not high, the markedly higher severity of their burns and their poorer quality of outcomes makes them an important clinical subgroup for further study.

  20. Measurements of reactive trace gases and variable O3 formation rates in some South Carolina biomass burning plumes

    Energy Technology Data Exchange (ETDEWEB)

    Akagi, S. K.; Yokelson, R. J.; Burling, I. R.; Meinardi, S.; Simpson, I.; Blake, D. R.; McMeeking, G. R.; Sullivan, A.; Lee, T.; Kreidenweis, S.; Urbanski, S.; Reardon, J.; Griffith, D. W. T.; Johnson, T. J.; Weise, D. R.

    2013-02-01

    In October-November 2011 we measured the trace gas emission factors from 7 prescribed fires in South Carolina, U.S. using two Fourier transform infrared spectrometer (FTIR) systems and whole air sampling (WAS) into canisters followed by gas-chromatographic analyses. The fires were intended to emulate high-intensity burns as they were lit during the dry season and in most cases represented stands that had not been treated with prescribed burns in 10+ years, if at all. A total of 97 trace gas species are reported here from both airborne and ground-based platforms making this one of the most detailed field studies of fire emissions to date. The measurements included the first data for a suite of monoterpene compounds emitted via distillation of plant tissues during real fires. The known chemistry of the monoterpenes and their measured abundance of ~0.40% of CO (molar basis), ~3.9% of NMOC (molar basis), and ~21% of organic aerosol (mass basis), suggests that they impacted post-emission formation of ozone, aerosol, and small organic trace gases such as methanol and formaldehyde in the sampled plumes. The variability in the terpene emissions in South Carolina (SC) fire plumes was high and, in general, the speciation of the emitted gas-phase non-methane organic compounds was surprisingly different from that observed in a similar study in nominally similar pine forests in North Carolina ~20 months earlier. It is likely that the slightly different ecosystems, time of year and the precursor variability all contributed to the variability in plume chemistry observed in this study and in the literature. The ΔHCN/ΔCO emission ratio, however, is fairly consistent at 0.9 ± 0.06 % for airborne fire measurements in coniferous-dominated ecosystems further confirming the value of HCN as a good biomass burning indicator/tracer. The SC results also support an earlier finding that C3-C4 alkynes may be of use as biomass burning indicators on the time-scale of

  1. 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…

  2. Satisfaction with life after burn: A Burn Model System National Database Study.

    Science.gov (United States)

    Goverman, J; Mathews, K; Nadler, D; Henderson, E; McMullen, K; Herndon, D; Meyer, W; Fauerbach, J A; Wiechman, S; Carrougher, G; Ryan, C M; Schneider, J C

    2016-08-01

    While mortality rates after burn are low, physical and psychosocial impairments are common. Clinical research is focusing on reducing morbidity and optimizing quality of life. This study examines self-reported Satisfaction With Life Scale scores in a longitudinal, multicenter cohort of survivors of major burns. Risk factors associated with Satisfaction With Life Scale scores are identified. Data from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Burn Model System (BMS) database for burn survivors greater than 9 years of age, from 1994 to 2014, were analyzed. Demographic and medical data were collected on each subject. The primary outcome measures were the individual items and total Satisfaction With Life Scale (SWLS) scores at time of hospital discharge (pre-burn recall period) and 6, 12, and 24 months after burn. The SWLS is a validated 5-item instrument with items rated on a 1-7 Likert scale. The differences in scores over time were determined and scores for burn survivors were also compared to a non-burn, healthy population. Step-wise regression analysis was performed to determine predictors of SWLS scores at different time intervals. The SWLS was completed at time of discharge (1129 patients), 6 months after burn (1231 patients), 12 months after burn (1123 patients), and 24 months after burn (959 patients). There were no statistically significant differences between these groups in terms of medical or injury demographics. The majority of the population was Caucasian (62.9%) and male (72.6%), with a mean TBSA burned of 22.3%. Mean total SWLS scores for burn survivors were unchanged and significantly below that of a non-burn population at all examined time points after burn. Although the mean SWLS score was unchanged over time, a large number of subjects demonstrated improvement or decrement of at least one SWLS category. Gender, TBSA burned, LOS, and school status were associated with SWLS scores at 6 months

  3. Parameters Affecting the Erosive Burning of Solid Rocket Motor

    Directory of Open Access Journals (Sweden)

    Abdelaziz Almostafa

    2018-01-01

    Full Text Available Increasing the velocity of gases inside solid rocket motors with low port-to-throat area ratios, leading to increased occurrence and severity of burning rate augmentation due to flow of propellant products across burning propellant surfaces (erosive burning, erosive burning of high energy composite propellant was investigated to supply rocket motor design criteria and to supplement knowledge of combustion phenomena, pressure, burning rate and high velocity of gases all of these are parameters affect on erosive burning. Investigate the phenomena of the erosive burning by using the 2’inch rocket motor and modified one. Different tests applied to fulfil all the parameters that calculated out from the experiments and by studying the pressure time curve and erosive burning phenomena.

  4. Scheduling prescribed burns for hazard reduction in the southeast

    Science.gov (United States)

    Stephen S. Sackett

    1975-01-01

    Twelve-year studies in the southeastern Coastal Plain revealed that pine stands should be burned every three years to reduce natural fuels and thus forestall damage from possible wildfires. Rates of overstory growth were not significantly different in burned and unburned stands. Guidelines for prescribed burning of pine stands in this region are presented.

  5. 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...

  6. Epidemiology of burns

    NARCIS (Netherlands)

    Dokter, Jan

    2016-01-01

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

  7. Reducing Uncertainties in the Production of the Gamma-emitting Nuclei {sup 26}Al, {sup 44}Ti, and {sup 60}Fe in Core-collapse Supernovae by Using Effective Helium Burning Rates

    Energy Technology Data Exchange (ETDEWEB)

    Austin, Sam M. [National Superconducting Cyclotron Laboratory, Michigan State University, 640 South Shaw Lane, East Lansing, MI 48824-1321 (United States); West, Christopher; Heger, Alexander, E-mail: austin@nscl.msu.edu, E-mail: christopher.west@metrostate.edu, E-mail: Alexander.Heger@Monash.edu [Joint Institute for Nuclear Astrophysics—Center for the Evolution of the Elements, Michigan State University, East Lansing, MI 48824-1321 (United States)

    2017-04-10

    We have used effective reaction rates (ERRs) for the helium burning reactions to predict the yield of the gamma-emitting nuclei {sup 26}Al, {sup 44}Ti, and {sup 60}Fe in core-collapse supernovae (SNe). The variations in the predicted yields for values of the reaction rates allowed by the ERR are much smaller than obtained previously, and smaller than other uncertainties. A “filter” for SN nucleosynthesis yields based on pre-SN structure was used to estimate the effect of failed SNe on the initial mass function averaged yields; this substantially reduced the yields of all these isotopes, but the predicted yield ratio {sup 60}Fe/{sup 26}Al was little affected. The robustness of this ratio is promising for comparison with data, but it is larger than observed in nature; possible causes for this discrepancy are discussed.

  8. Calculation using MVP and MVP-BURN in JRR-3

    International Nuclear Information System (INIS)

    Komeda, Masao; Kato, Tomoaki; Murayama, Yoji; Yamashita, Kiyonobu

    2007-01-01

    MVP is the particle-transport Monte Carlo code that has been developed in JAEA. MVP-BURN is an added function to do burn-up calculation. It is easy to built complex structure like core for MVP. And it is easy to do calculations of keff, any reaction rate, flux, burn-up and so on. In this report, it is introduced MVP and MVP-BURN. And some sample calculations of JRR-3 are shown. (author)

  9. To burn or not to burn

    International Nuclear Information System (INIS)

    Busch, L.

    1993-01-01

    While taking a match to an oil slick may sound like the making of a chaotic inferno, emergency response specialists say burning may be the most efficient way to remove large oil spills from the ocean's surface. But tests of this technique are being resisted by environmentalists as well as the Environmental Protection Agency (EPA), which has final authority over the matter. The debate over test burning arose most recently in Alaska when a proposal to spill and then ignite 1,000 barrels of crude on the Arctic Ocean this past summer was rejected by the EPA. The EPA didn't object to the technique or to the notion of burning spilled oil. However, it contends that it's not necessary to spill thousands of gallons of oil to conduct tests, and unnecessarily pollute the environment, when plenty of oil is already available from accidental spills. Researchers disagree, claiming they won't be able to use the burning technique on an actual spill until it has been tested in a controlled experiment. Despite such concerns, the Canadian government is going ahead with a test burn off the coast of Newfoundland next year. Faced with a choice of test burning or the kind of shoreline contamination left in the wake of the Exxon Valdez disaster, Environment Canada opts for testing. Learning valuable lessons about rapid oil-spill cleanup is worth the relatively minor risks to the environment that test burning would pose

  10. Epidemiology of burns throughout the World. Part II: intentional burns in adults.

    Science.gov (United States)

    Peck, Michael D

    2012-08-01

    A significant number of burns and deaths from fire are intentionally wrought. Rates of intentional burns are unevenly distributed throughout the world; India has a particularly high rate in young women whereas in Europe rates are higher in men in mid-life. Data from hospitalized burn patients worldwide reveal incidence rates for assault by fire and scalds ranging from 3% to 10%. The average proportion of the body surface area burned in an assault by fire or scalds is approximately 20%. In different parts of the world, attempted burning of others or oneself can be attributed to different motives. Circumstances under which assaults occur fall largely into the categories of interpersonal conflict, including spousal abuse, elder abuse, or interactions over contentious business transactions. Contributing social factors to assaults by burning include drug and alcohol abuse, non-constructive use of leisure time, non-participation in religious and community activities, unstable relationships, and extramarital affairs. Although the incidence of self-mutilation and suicide attempts by burning are relatively low, deliberate self-harm carries a significant risk of death, with an overall mortality rate of 65% worldwide. In those who resort to self-immolation, circumstantial themes reflect domestic discord, family dysfunction, and the social ramifications of unemployment. Preventing injurious burn-related violence requires a multifaceted approach, including legislation and enforcement, education, and advocacy. Better standardized assessment tools are needed to screen for risks of abuse and for psychiatric disorders in perpetrators. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

  11. Mitigating Satellite-Based Fire Sampling Limitations in Deriving Biomass Burning Emission Rates: Application to WRF-Chem Model Over the Northern sub-Saharan African Region

    Science.gov (United States)

    Wang, Jun; Yue, Yun; Wang, Yi; Ichoku, Charles; Ellison, Luke; Zeng, Jing

    2018-01-01

    Largely used in several independent estimates of fire emissions, fire products based on MODIS sensors aboard the Terra and Aqua polar-orbiting satellites have a number of inherent limitations, including (a) inability to detect fires below clouds, (b) significant decrease of detection sensitivity at the edge of scan where pixel sizes are much larger than at nadir, and (c) gaps between adjacent swaths in tropical regions. To remedy these limitations, an empirical method is developed here and applied to correct fire emission estimates based on MODIS pixel level fire radiative power measurements and emission coefficients from the Fire Energetics and Emissions Research (FEER) biomass burning emission inventory. The analysis was performed for January 2010 over the northern sub-Saharan African region. Simulations from WRF-Chem model using original and adjusted emissions are compared with the aerosol optical depth (AOD) products from MODIS and AERONET as well as aerosol vertical profile from CALIOP data. The comparison confirmed an 30-50% improvement in the model simulation performance (in terms of correlation, bias, and spatial pattern of AOD with respect to observations) by the adjusted emissions that not only increases the original emission amount by a factor of two but also results in the spatially continuous estimates of instantaneous fire emissions at daily time scales. Such improvement cannot be achieved by simply scaling the original emission across the study domain. Even with this improvement, a factor of two underestimations still exists in the modeled AOD, which is within the current global fire emissions uncertainty envelope.

  12. Morbidade da biópsia da próstata transretal guiada por ultrassonografia Morbidity of transrectal ultrasound guided prostate biopsy

    Directory of Open Access Journals (Sweden)

    Raphael Sandes Solha

    2013-04-01

    Full Text Available OBJETIVO: Avaliar a incidência de complicações pós-procedimento nos pacientes submetidos a biópsia prostática transretal guiada por ultrassom no setor de intervenção do Departamento de Diagnóstico por Imagem da Escola Paulista de Medicina - Universidade Federal de São Paulo. MATERIAIS E MÉTODOS: Foram avaliados, via contato telefônico, 132 pacientes submetidos a biópsia de próstata transretal guiada por ultrassom no período de abril/2011 a junho/2011, seguindo o protocolo padrão do nosso setor. RESULTADOS: As complicações pós-biópsia foram categorizadas em maiores e menores de acordo com a necessidade de avaliação médica adicional. Cinquenta e nove pacientes (61,8% apresentaram complicações, e desses, grande parte (86,4% apresentou sintomas leves e autolimitados, considerados menores. Oito pacientes (8,2% apresentaram complicações maiores, sendo que apenas um deles necessitou de tratamento sob regime de internação hospitalar. A retenção urinária foi a complicação maior mais incidente no nosso estudo. CONCLUSÃO: Corroborando outros estudos da literatura, nosso trabalho demonstrou baixa prevalência de complicações maiores após a biópsia prostática transretal.OBJECTIVE: To evaluate the incidence of postprocedural complications in patients submitted to transrectal ultrasound-guided prostate biopsy at the Unit of Intervention, Department of Imaging Diagnosis of Escola Paulista de Medicina - Universidade Federal de São Paulo. MATERIALS AND METHODS: Telephone interviews were conducted with 132 patients who had undergone transrectal ultrasound-guided prostate biopsy in the period from April 2011 to June 2011, according to the institution's protocol. RESULTS: Post-biopsy complications were categorized into two groups - minor and major complications, according to their need for further clinical evaluation. Complications were reported by 59 patients (61.8%, most of them (86.4% with mild and self-limited symptoms

  13. Correlation between surgical lung biopsy and autopsy findings and clinical data in patients with diffuse pulmonary infiltrates and acute respiratory failure Correlação entre achados de biópsia pulmonar cirúrgica e de autópsia e dados clínicos em pacientes com infiltrados pulmonares difusos e insuficiência respiratória aguda

    Directory of Open Access Journals (Sweden)

    Mauro Canzian

    2006-10-01

    Full Text Available INTRODUCTION: Surgical lung biopsy is an invasive procedure performed when other procedures have failed to provide an urgent and specific diagnosis, but there may be reluctance to perform it in critically ill patients with diffuse pulmonary infiltrates. PURPOSE: To evaluate the diagnostic accuracy, the changes in therapy and survival of patients with diffuse lung infiltrates, mostly presenting acute respiratory failure, who underwent surgical biopsy. METHODS: We retrospectively examined medical records and surgical lung biopsies from 1982 to 2003 of 63 patients older than 18 years with diffuse infiltrates. Clinical diagnoses were compared to histopathological ones, from biopsies and autopsies. Laboratory and epidemiological data were evaluated, and their relationship to hospital survival was analyzed. RESULTS: All histological specimens exhibited abnormalities, mostly presenting benign/inflammatory etiologies. Fifteen patients had an etiologic factor determined in biopsy, most commonly Mycobacterium tuberculosis. The preoperative diagnosis was rectified in 37 patients. Autopsies were obtained in 25 patients and confirmed biopsy results in 72% of cases. Therapy was changed for 65% of patients based on biopsy results. Forty-nine percent of patients survived to be discharged from the hospital. Characteristics that differed significantly between survivors and nonsurvivors included sex (P = 0.05, presence of comorbidity (P = 0.05, SpO2 (P = 0.05, and presence of diffuse alveolar damage in the biopsy (P = 0.004. CONCLUSION: Surgical lung biopsy provided a specific, accurate etiologic diagnosis in many patients with diffuse pulmonary infiltrates when clinical improvement did not occur after standard treatment. Surgical lung biopsy may reveal a specific diagnosis that requires distinct treatment, and it would probably have an impact in lowering the mortality of these patients.INTRODUÇÃO: A biópsia pulmonar cirúrgica é um procedimento invasivo

  14. Improved Survival of Patients With Extensive Burns: Trends in Patient Characteristics and Mortality Among Burn Patients in a Tertiary Care Burn Facility, 2004-2013.

    Science.gov (United States)

    Strassle, Paula D; Williams, Felicia N; Napravnik, Sonia; van Duin, David; Weber, David J; Charles, Anthony; Cairns, Bruce A; Jones, Samuel W

    Classic determinants of burn mortality are age, burn size, and the presence of inhalation injury. Our objective was to describe temporal trends in patient and burn characteristics, inpatient mortality, and the relationship between these characteristics and inpatient mortality over time. All patients aged 18 years or older and admitted with burn injury, including inhalation injury only, between 2004 and 2013 were included. Adjusted Cox proportional hazards regression models were used to estimate the relationship between admit year and inpatient mortality. A total of 5540 patients were admitted between 2004 and 2013. Significant differences in sex, race/ethnicity, burn mechanisms, TBSA, inhalation injury, and inpatient mortality were observed across calendar years. Patients admitted between 2011 and 2013 were more likely to be women, non-Hispanic Caucasian, with smaller burn size, and less likely to have an inhalation injury, in comparison with patients admitted from 2004 to 2010. After controlling for patient demographics, burn mechanisms, and differential lengths of stay, no calendar year trends in inpatient mortality were detected. However, a significant decrease in inpatient mortality was observed among patients with extensive burns (≥75% TBSA) in more recent calendar years. This large, tertiary care referral burn center has maintained low inpatient mortality rates among burn patients over the past 10 years. While observed decreases in mortality during this time are largely due to changes in patient and burn characteristics, survival among patients with extensive burns has improved.

  15. Estudo ultrastrutural de biópsias de conjuntiva em doenças metabólicas do sistema nervoso

    Directory of Open Access Journals (Sweden)

    S. Rosemberg

    1987-03-01

    Full Text Available Quarenta biópsias de conjuntivas obtidas de um número igual de crianças portadoras de doenças metabólicas do SNC, ou supostas de tal acometimento, foram analisadas do ponto de vista ultrastrutural. Em 20 casos foram observadas alterações ultrastruturais que possibilitaram firmar o diagnóstico de muco-polissacaridose em 8, gangliosidose G M1 em 6, distrofia neuro-axonal infantil em 4, gangliosidose G M1 em um e forma infantil tardia de lipofuscinose ceróide em um. Nos 20 casos em que o exame revelou-se negativo, este era esperado em dois (doença de Leigh e de Hallervorden-Spatz; em dois, o resultado revelou-se falso negativo (leucodistrofia metacromática e adrenoleucodistrofia; em 12 casos sua negatividade permitiu afastar doença de acúmulo; em 4 casos suspeitos de lipofuscinose ceróide seu resultado foi inconclusivo. O estudo ultrastrutural de biópsias de conjuntiva é um instrumento importante para o diagnóstico de doenças metabólicas do SNC.

  16. Malformações do sistema nervoso central : análise de 157 necrópsias pediátricas

    Directory of Open Access Journals (Sweden)

    NORONHA LÚCIA DE

    2000-01-01

    Full Text Available As malformações do sistema nervoso central (SNC têm sido relatadas como de alta prevalência, acometendo 5 a 10 crianças para 1000 nascidos vivos. Estudamos a frequência das malformações do SNC em 5837 necrópsias pediátricas realizadas no Serviço de Anatomia Patológica do Hospital de Clínicas-UFPR, entre 1960 e 1995. Encontraram-se 157 malformações do SNC, correspondendo a 2,69% das necrópsias. As malformações mais comuns foram os defeitos do tubo neural (61%, incluindo 47 anencefalias e 45 casos classificados no grupo das mieloencefaloceles. As anomalias da vesícula prosencefálica foram responsáveis por 8% das malformações encefálicas, havendo sete casos de holoprosencefalia. Em 3%, as alterações ocorreram na fossa posterior, com três malformações de Arnold-Chiari. No presente estudo, os índices de mortalidade por malformações do SNC foram mais altos no período neonatal.

  17. 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....

  18. The Burning Saints

    DEFF Research Database (Denmark)

    Xygalatas, Dimitris

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

  19. Burning mouth syndrome

    OpenAIRE

    K A Kamala; S Sankethguddad; S G Sujith; Praveena Tantradi

    2016-01-01

    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 different...

  20. 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.

  1. Predictors of muscle protein synthesis after severe pediatric burns.

    Science.gov (United States)

    Diaz, Eva C; Herndon, David N; Lee, Jinhyung; Porter, Craig; Cotter, Matthew; Suman, Oscar E; Sidossis, Labros S; Børsheim, Elisabet

    2015-04-01

    Following a major burn, skeletal muscle protein synthesis rate increases but is often insufficient to compensate for massively elevated muscle protein breakdown rates. Given the long-term nature of the pathophysiologic response to burn injury, we hypothesized that muscle protein synthesis rate would be chronically elevated in severely burned children. The objectives of this study were to characterize muscle protein synthesis rate of burned children over a period of 24 months after injury and to identify predictors that influence this response. A total of 87 children with 40% or greater total body surface area (TBSA) burned were included. Patients participated in stable isotope infusion studies at 1, 2, and approximately 4 weeks after burn and at 6, 12, and 24 months after injury to determine skeletal muscle protein fractional synthesis rate. Generalized estimating equations with log link normal distribution were applied to account for clustering of patients and control for patient characteristics. Patients (8 ± 6 years) had large (62, 51-72% TBSA) and deep (47% ± 21% TBSA third degree) burns. Muscle protein fractional synthesis rate was elevated throughout the first 12 months after burn compared with established values from healthy young adults. Muscle protein fractional synthesis rate was lower in boys, in children older than 3 years, and when burns were greater than 80% TBSA. Muscle protein synthesis is elevated for at least 1 year after injury, suggesting that greater muscle protein turnover is a component of the long-term pathophysiologic response to burn trauma. Muscle protein synthesis is highly affected by sex, age, and burn size in severely burned children. These findings may explain the divergence in net protein balance and lean body mass in different populations of burn patients. Prognostic study, level III.

  2. Choosing Wood Burning Appliances

    Science.gov (United States)

    Information to assist consumers in choosing a wood burning appliance, including types of appliances, the differences between certified and non-certified appliances, and alternative wood heating options.

  3. Wound management and outcome of 595 electrical burns in a major burn center.

    Science.gov (United States)

    Li, Haisheng; Tan, Jianglin; Zhou, Junyi; Yuan, Zhiqiang; Zhang, Jiaping; Peng, Yizhi; Wu, Jun; Luo, Gaoxing

    2017-06-15

    Electrical burns are important causes of trauma worldwide. This study aims to analyze the clinical characteristics, wound management, and outcome of electric burns. This retrospective study was performed at the Institute of Burn Research of the Third Military Medical University during 2013-2015. Data including the demographics, injury patterns, wound treatment, and outcomes were collected and analyzed. A total of 595 electrical burn patients (93.8% males) were included. The average age was 37.3 ± 14.6 y, and most patients (73.5%) were aged 19∼50 years. Most patients (67.2%) were injured in work-related circumstances. The mean total body surface area was 8.8 ± 11.8% and most wounds (63.5%) were full-thickness burns. Operation times of high-voltage burns and current burns were higher than those of low-voltage burns and arc burns, respectively. Of the 375 operated patients, 83.2% (n = 312) underwent skin autografting and 49.3% (n = 185) required skin flap coverage. Common types of skin flaps were adjacent (50.3%), random (42.2%), and pedicle (35.7%). Amputation was performed in 107 cases (18.0%) and concentrated on the hands (43.9%) and upper limbs (39.3%). The mean length of stay was 42.9 ± 46.3 d and only one death occurred (0.2%). Current burns and higher numbers of operations were major risk factors for amputation and length of stay, respectively. Electrical burns mainly affected adult males with occupational exposures in China. Skin autografts and various skin flaps were commonly used for electric burn wound management. More standardized and effective strategies of treatment and prevention are still needed to decrease amputation rates. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. 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.

  5. 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

  6. Accelerant-related burns and drug abuse: Challenging combination.

    Science.gov (United States)

    Leung, Leslie T F; Papp, Anthony

    2018-05-01

    Accelerants are flammable substances that may cause explosion when added to existing fires. The relationships between drug abuse and accelerant-related burns are not well elucidated in the literature. Of these burns, a portion is related to drug manufacturing, which have been shown to be associated with increased burn complications. 1) To evaluate the demographics and clinical outcomes of accelerant-related burns in a Provincial Burn Centre. 2) To compare the clinical outcomes with a control group of non-accelerant related burns. 3) To analyze a subgroup of patients with history of drug abuse and drug manufacturing. Retrospective case control study. Patient data associated with accelerant-related burns from 2009 to 2014 were obtained from the British Columbia Burn Registry. These patients were compared with a control group of non-accelerant related burns. Clinical outcomes that were evaluated include inhalational injury, ICU length of stay, ventilator support, surgeries needed, and burn complications. Chi-square test was used to evaluate categorical data and Student's t-test was used to evaluate mean quantitative data with the p value set at 0.05. A logistic regression model was used to evaluate factors affecting burn complications. Accelerant-related burns represented 28.2% of all burn admissions (N=532) from 2009 to 2014. The accelerant group had higher percentage of patients with history of drug abuse and was associated with higher TBSA burns, ventilator support, ICU stay and pneumonia rates compared to the non-accelerant group. Within the accelerant group, there was no difference in clinical outcomes amongst people with or without history of drug abuse. Four cases were associated with methamphetamine manufacturing, all of which underwent ICU stay and ventilator support. Accelerant-related burns cause significant burden to the burn center. A significant proportion of these patients have history of drug abuse. Copyright © 2017 Elsevier Ltd and ISBI. All rights

  7. Prevalência de doenças oportunistas em biópsias de linfonodos periféricos de pacientes com infecção pelo HIV

    OpenAIRE

    Carina Guedes Ramos

    2010-01-01

    Linfadenopatia pode estar presente em qualquer fase da infecção pelo HIV a apresenta uma variedade de diagnósticos diferenciais possíveis, desde manifestações secundárias ao próprio HIV até doenças oportunistas ou neoplasias. Foi realizado um estudo de corte transversal de pacientes que realizaram biópsias de linfonodo periférico no Hospital de Clínicas de Porto Alegre entre Janeiro de 2004 a Dezembro de 2008. Foram realizadas 210 biópsias, 131 (61,9%) pacientes eram do sexo masculino, a medi...

  8. Root Disease, Longleaf Pine Mortality, and Prescribed Burning

    Energy Technology Data Exchange (ETDEWEB)

    Otrosina, W.J; C.H. Walkinshaw; S.J. Zarnoch; S-J. Sung; B.T. Sullivan

    2001-01-01

    Study to determine factors involved in decline of longleaf pine associated with prescribed burning. Trees having symptoms were recorded by crown rating system based upon symptom severity-corresponded to tree physiological status-increased in hot burn plots. Root pathogenic fungi widespread throughout the study site. Histological studies show high fine root mortality rate in the hot burn treatment. Decline syndrome is complexed by root pathogens, soil factors, root damage and dysfunction.

  9. Incidence of the geometric parameters and of flow in the primary ventilation rate and of carbon monoxide emissions in burning atmospherics of medium and high pressure

    International Nuclear Information System (INIS)

    Amell A, Andres; Hernandez V, Jaime; Cortes T, Jaime

    2000-01-01

    In this kind of atmospheric burners, high-pressure gas supply and Venturi geometry guarantee a good primary air entrance for combustion. In this project we analyze the most important burner geometric parameters (outlet diameter, injection diameter and mixer geometry) and gas flux conditions (supply pressure) that have an influence over primary aeration rate. The results of this investigation will contribute with the methodology design improvement, focused to use this kind of burners in our country

  10. Tourniquet associated chemical burn

    Directory of Open Access Journals (Sweden)

    Jae-Hyuk Yang

    2012-01-01

    Full Text Available Chemical burn under pneumatic tourniquet is an iatrogenic preventable injury and is rarely reported in the literature. The two important mechanisms are maceration (friction and wetness underneath the tourniquent. In this report, our experience with two illustrative patients who presented with iatrogenic tourniquet associated burn is described.

  11. Burns (For Parents)

    Science.gov (United States)

    ... small, and have sensitive skin that needs extra protection. Although some minor burns aren't cause for concern and can ... burns, the mildest of the three, are limited to the top layer of skin: Signs ... pain, and minor swelling. The skin is dry without blisters. Healing ...

  12. 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.

  13. Técnica de biópsia hepática em eqüino por laparoscopia Hepatic biopsy in horses by laparoscopy

    Directory of Open Access Journals (Sweden)

    Luis Cláudio Lopes Correia da Silva

    2002-06-01

    Full Text Available Este trabalho experimental objetivou a avaliação do uso da laparoscopia para biópsia hepática em eqüino e o estudo das possíveis alterações clínicas e laboratoriais decorrentes de tal procedimento. Foram utilizados 10 animais, os quais foram submetidos a procedimento cirúrgico em posição quadrupedal, por abordagem pelo flanco direito, no 17º espaço intercostal, após jejum alimentar e hídrico de 36 e 18 horas respectivamente. A avaliação pós-operatória constou de exame físico diário e colheita de amostras de sangue seriadas. O procedimento possibilitou inspeção dos órgãos e estruturas anatômicas localizados dorsalmente à direita da cavidade abdominal, favorecendo a escolha do local de biópsia hepática. Não foram observadas alterações no exame físico dos animais. Os exames hematológicos e de função hepática não apresentaram alterações significativas. Concluiu-se que o emprego da laparoscopia para realização de biópsia hepática em eqüino é simples, eficaz e seguro.The purpose of this research was to evaluate the use of laparoscopy in obtaining hepatic biopsy in horses and to determine a possible clinical and laboratorial changes related to the procedure. Ten animals were submitted to 36 hours of fastening and 18 hours of water deprivation and then operated in the standing position, through a right flank approach at the level of the 17th intercostal space. Post-operative evaluation consisted of daily physical examination and seriated blood sampling. The procedure allowed for wide visualization of the viscera and anatomical structures located on the right side of the abdominal cavity, favouring the choice of the spot for hepatic biopsy collection. No changes were noted in the physical state of the animals and alterations in hemogram and hepatic function tests were not statistically significant. It was concluded that laparoscopy is a simple, effective and safe technique for obtaining hepatic biopsy

  14. 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.

  15. Phoenix Society for Burn Survivors

    Science.gov (United States)

    ... in 2018! Learn More For Loved Ones A burn injury doesn't just impact the survivor. Families ... to support longterm recovery, improve the quality of burn care, and prevent burn injury. Explore articles on ...

  16. 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. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  17. Validade da punção biópsia por agulha fina nas doenças da glândula parótida

    OpenAIRE

    Araújo Filho, Vergílius José F.; Carlucci Júnior, Dorival de; Sondermann, Adriana; Machado, Maria Teresa A. S.; Carneiro, Paulo C.; Ferraz, Alberto Rossetti

    2001-01-01

    OBJETIVO: Avaliar o método de punção biópsia aspirativa por agulha fina (PBAAF), técnica relativamente simples, de conhecida importância em cirurgia de cabeça e pescoço. Sua indicação em doenças das glândulas salivares, no entanto, especialmente na parótida, ainda é muito controversa na literatura. O diagnóstico pela PBAAF permite o adequado planejamento terapêutico e preparo do paciente. Muitos, porém, alegam que seu emprego acrescenta muito pouco à conduta terapêutica, além de ser procedime...

  18. Prevalência de megas em necrópsias realizadas no triângulo mineiro no período de 1954 a 1988

    Directory of Open Access Journals (Sweden)

    Edison Reis Lopes

    1989-12-01

    Full Text Available Dentre 1708 necrópsias de chagásicos crônicos, de um total de 4690, diagnosticamos 273 megas. Destes o mais freqüente foi o megacólon, seguido pelo megaesôfago, ocupando a associação megacólon e megaesôfago o terceiro lugar. Discutem-se e comparam-se os achados com outros de ordem clinico-epidemiológica e anatomopatológica. Confirmando dados da literatura, nossos achados atuais mostram, que a exemplo do que sucede na cardiopatia chagásica, o megacólon e o megaesôfago predominam no sexo masculino, discutindo-se os fatores que poderiam explicar a razão desse fato.

  19. BIÓPSIA PULMONAR EM BEZERROS COM BRONCOPNEUMONIA INDUZIDA PELA Mannheimia haemolytica PULMONAR BIOPSY IN CALVES WITH BRONCHOPNEUMONIA INDUCED BY Mannheimia haemolytica

    Directory of Open Access Journals (Sweden)

    Daniel Pessoa Gomes da Silva

    2009-09-01

    Full Text Available Com o propósito de avaliar a segurança, a eficácia diagnóstica da biópsia pulmonar e comparar a possível ocorrência de complicações decorrentes da técnica, entre bezerros sadios e com broncopneumonia induzida, utilizaram-se dez bezerros (G1 sadios e vinte bezerros portadores de broncopneumonia, divididos em quatro grupos de cinco bezerros (G2 a G5, os quais foram biopsiados 12, 24, 48 e 72 horas após a inoculação com Mannheimia haemolytica, respectivamente. A presença de crepitação grossa, som submaciço à percussão e as alterações radiográficas auxiliaram no diagnóstico da broncopneumonia e localizaram a área pulmonar a ser biopsiada nos grupos G2 a G5. As alterações microscópicas, visualizadas nos animais do grupo G2 a G5, foram as de broncopneumonia fibrinopurulenta. Nos bezerros do grupo G1 as alterações relacionadas à técnica foram: tosse, epistaxe, dispneia mista, taquipneia e taquicardia. Cinco (25% bezerros com broncopneumonia desenvolveram hemotórax após a biópsia e as alterações relacionadas à técnica foram: taquipneia, taquicardia, tosse, dispneia mista, apatia, mucosas pálidas e decúbito. Conclui-se que a biópsia pulmonar permite o diagnóstico de broncopneumonia em bezerros, contudo as complicações decorrentes da técnica limitam o seu uso apenas nas situações em que os métodos convencionais não tenham possibilitado o diagnóstico.

    PALAVRAS-CHAVES: Bezerros, biópsia pulmonar, broncopneumonia, Mannheimia haemolytica.

    The purpose of this study was to evaluate the safety and diagnostic efficacy of lung biopsy and to compare the possible occurrence of complications due to this technique in healthy calves and in calves with bronchopneumonia. Thirty Holstein calves were divided into a group of ten healthy animals (G1 and into four experimental groups (G2 to G5 of five calves each

  20. Biópsia hepática por laparotomia paracostal em bovinos e búfalos Paracostal liver biopsy in cattle and buffalo

    Directory of Open Access Journals (Sweden)

    Antonio Humberto Hamad Minervino

    2009-06-01

    Full Text Available A técnica de biópsia hepática em ruminantes tem importante valor no diagnóstico clínico de doenças tóxicas e metabólicas, em especial nos desequilíbrios minerais. As técnicas mais comumente utilizadas restringem análises devido ao limitado volume de tecido obtido. No presente trabalho, avaliou-se o uso de uma técnica de biópsia hepática por laparotomia paracostal em bovinos e búfalos. Foram utilizados 10 bovinos e 10 búfalos hígidos. Os animais foram mantidos em estação, sedados com xilazina e infiltrados localmente com lidocaína e epinefrina. O acesso à cavidade abdominal foi realizado por meio de uma incisão dorso-ventral de 15cm no flanco direito, iniciada ventralmente (cerca de 4-5cm ao processo transverso da 2a ou 3a vértebra lombar e situada caudalmente (cerca de 4cm e paralelamente à 13a costela, obtendo-se visualização do fígado. Foi então realizado pinçamento do bordo caudal do órgão com pinça Doyen para remoção de fragmento hepático (2 a 4g. Procedeu-se o fechamento da cavidade abdominal como de rotina. Foram analisados os parâmetros bioquímicos e hematológicos antes do procedimento (tempo zero e após 24 horas, 48 horas, 5 dias e 10 dias após a biópsia. Todas as variáveis bioquímicas estudadas retornaram aos valores basais 5 e 10 dias após o procedimento nos bovinos e búfalos, respectivamente. O tempo médio de cirurgia por animal foi de 25 minutos. A biópsia hepática por laparotomia paracostal demonstrou ser uma técnica eficaz e de baixo risco à saúde dos animais, permitindo a coleta de suficiente quantidade de tecido hepática para realização de múltiplas análises.Liver biopsy in ruminants is an important technique for clinical diagnosis of toxic and metabolic diseases, especially mineral disorders. The most frequent procedures used so far results in an small amount of liver and not enough for multiple tests. The present study aims to evaluate the efficacy of paracostal laparotomy

  1. Correlação clínico-patológica em 78 biópsias de nervo sural

    Directory of Open Access Journals (Sweden)

    Leila Chimelli

    1989-12-01

    Full Text Available As biópsias de nervos periféricos processadas com técnicas convencionais de parafina muitas vezes não fornecem dados suficientes para a conclusão diagnóstica. Se, no entanto, o nervo for processado para inclusão em resina para cortes semi e ultrafinos e microdissecção de fibras, vários aspectos podem ser analisados inclusive por métodos quantitativos ou morfométricos. Estudamos o nervo sural de 78 pacientes biopsiados no Hospital Universitário Antonio Pedro, Niterói, utilizando essas técnicas e observamos que em 55 casos (70,5% o diagnóstico anátomo-patológico foi conclusivo, em 11 (14,1% embora o nervo exibisse anormalidades, não foi possível estabelecer um diagnóstico e em 12 (15,4% o nervo estava normal. Em 68 casos havia um diagnóstico clínico que foi confirmado em 49 casos, o que não ocorreu nos 19 restantes pois, 8 tinham alterações inespecíficas e 11 eram normais. Nos 10 casos em que a situação nosológica não foi estabelecida clinicamente, a biópsia foi conclusiva em 6, exibia alterações inespecíficas em 4, sendo normal em 1 caso. A conclusão diagnostica na maioria dos nossos casos só foi possível porque, além dos dados clínicos fornecidos, todos os nervos foram processados para inclusão em resina.

  2. [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.

  3. [Influence of three-level collaboration network of pediatric burns treatment in Anhui province on treatment effects of burn children].

    Science.gov (United States)

    Xia, Z G; Zhou, X L; Kong, W C; Li, X Z; Song, J H; Fang, L S; Hu, D L; Cai, C; Tang, Y Z; Yu, Y X; Wang, C H; Xu, Q L

    2018-03-20

    Objective: To explore the influence of three-level collaboration network of pediatric burns in Anhui province on treatment effects of burn children. Methods: The data of medical records of pediatric burn children transferred from Lu'an People's Hospital and Fuyang People's Hospital to the First Affiliated Hospital of Anhui Medical University from January 2014 to December 2015 and January 2016 to September 2017 (before and after establishing three-level collaboration network of pediatric burns treatment) were analyzed: percentage of transferred burn children to hospitalized burn children in corresponding period, gender, age, burn degree, treatment method, treatment result, occurrence and treatment result of shock, and operative and non-operative treatment time and cost. Rehabilitation result of burn children transferred back to local hospitals in 2016 and 2017. Data were processed with t test, chi-square test, Mann-Whitney U test, and Fisher's exact test. Results: (1) Percentage of burn children transferred from January 2014 to December 2015 was 34.3% (291/848) of the total number of hospitalized burn children in the same period of time, which was close to 30.4% (210/691) of burn children transferred from January 2016 to September 2017 ( χ (2)=2.672, P >0.05). (2) Gender, age, burn degree, and treatment method of burn children transferred from the two periods of time were close ( χ (2)=3.382, Z =-1.917, -1.911, χ (2)=3.133, P >0.05). (3) Cure rates of children with mild, moderate, and severe burns transferred from January 2016 to September 2017 were significantly higher than those of burn children transferred from January 2014 to December 2015 ( χ (2)=11.777, 6.948, 4.310, P burns transferred from the two periods of time were close ( χ (2)=1.181, P >0.05). (4) Children with mild and moderate burns transferred from the two periods of time were with no shock. The incidence of shock of children with severe burns transferred from January 2014 to December 2015 was 6

  4. Making of a burn unit: SOA burn center

    Directory of Open Access Journals (Sweden)

    Jayant Kumar Dash

    2016-01-01

    Full Text Available Each year in India, burn injuries account for more than 6 million hospital emergency department visits; of which many require hospitalization and are referred to specialized burn centers. There are few burn surgeons and very few burn centers in India. In our state, Odisha, there are only two burn centers to cater to more than 5000 burn victims per year. This article is an attempt to share the knowledge that I acquired while setting up a new burn unit in a private medical college of Odisha.

  5. Radioactive implications from coal burning

    International Nuclear Information System (INIS)

    Papastefanou, C.; Manolopoulou, M.; Charalambous, S.

    1989-01-01

    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)

  6. American Burn Association

    Science.gov (United States)

    ... burn-related care, prevention, education, and research. Our multidisciplinary membership enhances our ability to work toward common goals with other organizations and educational programs. Membership Being a member of ...

  7. New Fashioned Book Burning.

    Science.gov (United States)

    Gardner, Robert

    1997-01-01

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

  8. Burn-out

    OpenAIRE

    Patricia van Echtelt

    2014-01-01

    Deze publicatie is alleen elektronisch verkrijgbaar (downloaden van deze site) Burn-out (ofwel: emotionele uitputting) komt relatief vaak voor: ongeveer één op de acht werknemers in Nederland heeft er last van. Het wordt dan ook gezien als een serieus maatschappelijk probleem dat beleidsmatig aandacht vergt. Dit rapport presenteert de resultaten van twee specifieke analyses over burn-out. Ten eerste gaan we na wat het effect is van emotionele uitputting op de loopbaan van werknemers. Ten twee...

  9. Smartphone applications in burns.

    Science.gov (United States)

    Wurzer, Paul; Parvizi, Daryousch; Lumenta, David B; Giretzlehner, Michael; Branski, Ludwik K; Finnerty, Celeste C; Herndon, David N; Tuca, Alexandru; Rappl, Thomas; Smolle, Christian; Kamolz, Lars P

    2015-08-01

    Since the introduction of applications (apps) for smartphones, the popularity of medical apps has been rising. The aim of this review was to demonstrate the current availability of apps related to burns on Google's Android and Apple's iOS store as well as to include a review of their developers, features, and costs. A systematic online review of Google Play Store and Apple's App Store was performed by using the following search terms: "burn," "burns," "thermal," and the German word "Verbrennung." All apps that were programmed for use as medical apps for burns were included. The review was performed from 25 February until 1 March 2014. A closer look at the free and paid calculation apps including a standardized patient was performed. Four types of apps were identified: calculators, information apps, book/journal apps, and games. In Google Play Store, 31 apps were related to burns, of which 20 were calculation apps (eight for estimating the total body surface area (TBSA) and nine for total fluid requirement (TFR)). In Apple's App Store, under the category of medicine, 39 apps were related to burns, of which 21 were calculation apps (19 for estimating the TBSA and 17 for calculating the TFR). In 19 out of 32 available calculation apps, our study showed a correlation of the calculated TFR compared to our standardized patient. The review demonstrated that many apps for medical burns are available in both common app stores. Even free available calculation apps may provide a more objective and reproducible procedure compared to manual/subjective estimations, although there is still a lack of data security especially in personal data entered in calculation apps. Further clinical studies including smartphone apps for burns should be performed. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  10. Burning mouth syndrome

    OpenAIRE

    Zakrzewska, Joanna; Buchanan, John A. G.

    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...

  11. Burning mouth syndrome: update

    OpenAIRE

    Cassol Spanemberg, Juliana; Rodríguez de Rivera Campillo, Ma Eugenia; Jané Salas, Enric; López López, José, 1958-

    2014-01-01

    Burning Mouth Syndrome (BMS) is a chronic disorder that predominately affects middle-aged women in the postmenopausal period. The condition is distinguished by burning symptoms of the oral mucosa and the absence of any clinical signs. The etiology of BMS is complex and it includes a variety of factors. Local, systemic and psychological factors such as stress, anxiety and depression are listed among the possible causes of BMS. BMS may sometimes be classified as BMS Type I, II or III. Although ...

  12. Burning mouth syndrome

    OpenAIRE

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

    2015-01-01

    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...

  13. Effect of Fe{sub 2}O{sub 3} in Fe{sub 2}O{sub 3}/AP composite particles on thermal decomposition of AP and on burning rate of the composite propellant

    Energy Technology Data Exchange (ETDEWEB)

    Ma, Zhenye [National Special Superfine Powder Engineering Research Center, Nanjing University of Science and Technology, Nanjing, 210094 (China); Nanjing University of Technology, Nanjing (China); Li, Fengsheng; Bai, Huaping [National Special Superfine Powder Engineering Research Center, Nanjing University of Science and Technology, Nanjing, 210094 (China)

    2006-12-15

    A technique of composite processing of Fe{sub 2}O{sub 3} and ammonium perchlorate (AP) was employed in making the propellant. The effects of composite processing of Fe{sub 2}O{sub 3} on catalytic activity, on the thermal decomposition of AP, and on the burning rate of the composite propellant were investigated in this paper. Fe{sub 2}O{sub 3}/AP composite particles were prepared by a novel solvent-nonsolvent method. The results show that AP is successfully coated on the surface of Fe{sub 2}O{sub 3}. Composite processing of Fe{sub 2}O{sub 3} and AP can improve the catalytic activity of Fe{sub 2}O{sub 3}. Fe{sub 2}O{sub 3} exhibits better catalytic effect with increasing Fe{sub 2}O{sub 3} content. The larger interface between Fe{sub 2}O{sub 3} and AP and lower density of composite propellant (with the added Fe{sub 2}O{sub 3}/AP composite particles) are responsible for the enhancement of the catalytic activity of Fe{sub 2}O{sub 3}. (Abstract Copyright [2006], Wiley Periodicals, Inc.)

  14. [Burn injuries to military personnel during the Six Day War].

    Science.gov (United States)

    Dreyfuss, U Y

    2000-05-01

    About 2500 soldiers were injured during the Six Day War (June 1967) of whom 115 suffered from burns. In 34 of them 15% or more of their body surface was involved and 11 died. Typical features of these burn cases were supplementary injuries, a high rate of infection, and long periods of hospitalization. Prophylactic antibiotics were not useful. The general condition of many deteriorated during the first week after injury, indicating the importance of treating severe burns in specialized facilities.

  15. Burns at KCMC: epidemiology, presentation, management and treatment outcome.

    Science.gov (United States)

    Ringo, Y; Chilonga, K

    2014-08-01

    About 90% of the global burden of burns occurs in the low and middle income countries. In Africa it is estimated that between 17,000 and 30,000 children under five die each year due to burns. In Tanzania there are no specialized burn centers. Burn patients are often managed in the general surgical wards in most hospitals. Kilimanjaro Christian Medical Centre is one of the four tertiary referral hospitals in Tanzania. This study aimed to review the epidemiology presentation management and outcome of burn patients in this challenging environment. A cross-sectional prospective study involving 41 patients was undertaken from October 2011 to April 2012. 65.9% were males. The largest age group was below 5 years (36.6%). 19.5% were epileptic. More than half of the burns were due to open flame. 80.5% had second degree burns. 56.1% had a BSA of 15% or less and 56.1% had an APACHE score of 10 or less. It was found that 73.2% of burns occurred at home. The commonest prehospital first aid applied was honey. Only 41.5% arrived in hospital within the first 24h after burn. Among the 14.6% who had skin grafting, none had early excision of burn wound. 53.7% developed wound sepsis while 24.4% developed contractures. The mortality rate was 26.8%. Children under five are the worst affected by burns. Most patients had second degree burn wounds. Inappropriate management of the burn wound started just after injury and continued even in hospital. Mortality and complication rates are high. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

  16. Psychiatric Assessment and Rehabilitation of Burn Patients

    Directory of Open Access Journals (Sweden)

    Süleyman Akarsu

    2017-03-01

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

  17. Host defence peptides in human burns.

    Science.gov (United States)

    Kaus, Aljoscha; Jacobsen, Frank; Sorkin, Michael; Rittig, Andrea; Voss, Bruno; Daigeler, Adrien; Sudhoff, Holger; Steinau, Hans-Ulrich; Steinstraesser, Lars

    2008-02-01

    The goal of this study was to analyse expression profiles of human epithelial host defence peptides in burned and unburned skin tissue, samples of which were obtained during debridements and snap-frozen in liquid nitrogen. Total RNA was isolated, and cDNA of epithelial host defence peptides and proteins (hCAP-18/LL-37, hBD1-hBD4, dermcidin, S100A7/psoriasin and RNAse7) was quantified by qRT-PCR. In situ hybridisation and immunohistochemical staining localised gene expression of hCAP-18/LL-37, hBD2 and hBD3 in histological sections. Most of the analysed host defence peptides and proteins showed higher mRNA levels in partial-thickness burns than in unburned tissue. In situ hybridisation revealed expression of hCAP-18/LL-37, hBD2 and hBD3 at the surface of burns that was independent of burn depth. However, the finding of higher host defence peptide gene expression rates does not correlate with the incidence of wound infection in burns. We hypothesise that the epithelial innate immune response in burns is complex.

  18. Improved survival with an innovative approach to the treatment of severely burned patients: development of a burn treatment manual

    OpenAIRE

    Morisada, S.; Nosaka, N.; Tsukahara, K.; Ugawa, T.; Sato, K.; Ujike, Y.

    2015-01-01

    The management of severely burned patients remains a major issue worldwide as indicated by the high incidence of permanent debilitating complications and poor survival rates. In April 2012, the Advanced Emergency & Critical Care Medical Center of the Okayama University Hospital began implementing guidelines for severely burned patients, distributed as a standard burn treatment manual. The protocol, developed in-house, was validated by comparing the outcomes of patients with severe extensive b...

  19. Avaliação de técnicas de biópsia hepática em ovinos Evaluation of hepatic biopsy techniques in sheep

    Directory of Open Access Journals (Sweden)

    Pedro B. Néspoli

    2010-01-01

    Full Text Available Devido à carência de informações sobre o tema e à ausência de estudos que confrontem as técnicas de biópsia hepática em ovinos, foi desenvolvido um estudo comparativo entre oito técnicas de biópsia nesta espécie. Neste estudo foram utilizadas oito borregas (17,95kg ± 2,71 mestiças (Santa Inês em procedimentos seriados por oito semanas consecutivas e avaliados os aspectos clínicos, os achados de patologia clínica, o peso das amostras hepáticas, a qualidade histológica, o número de veias centrolobulares e espaços-porta e a presença de artefatos no corte histológico de amostras hepáticas obtidas através de seis técnicas percutâneas e duas técnicas videolaparoscópicas. Para as técnicas percutâneas empregaram-se dois tipos de agulhas, Menghini modificada (M e Tru-cut semi-automática (T, combinadas com biópsias cegas, guiadas por ultra-sonografia (US e monitoradas por videolaparoscopia (VL. No caso dos procedimentos vídeolaparoscópicos utilizaram-se pinça laparoscópica de biópsia Blakesley e método de ressecção de fragmento hepático por VL. Não foram observadas alterações hematológicas ou bioquímicas relevantes e as manifestações clínicas detectadas foram leves e transitórias. De uma forma geral, o uso da US e da VL nas biópsias percutâneas não resultou em acréscimo significativo do peso e da qualidade histológica das amostras hepáticas, porém as técnicas videolaparoscópicas permitiram acesso mais amplo ao fígado do que as técnicas percutâneas. A qualidade das amostras recuperadas com ambas as técnicas VL foram equivalentes, entretanto o uso da técnica de ressecção permitiu a colheita de amostras de maior peso, mas determinou a formação de aderências perihepáticas. Verificaram-se maior dificuldade na recuperação de fragmentos, maior oscilação do peso e menor qualidade das amostras obtidas com o uso das agulhas M do que com o das agulhas T.Due to lack of information about the

  20. Doenças pulmonares intersticiais: Acuidade diagnóstica e riscos da biópsia pulmonar cirúrgica

    Directory of Open Access Journals (Sweden)

    Miguel Guerra

    2009-05-01

    Full Text Available Resumo: Os autores descrevem a sua casuística de biópsias pulmonares cirúrgicas em doentes com doença pulmonar intersticial, de forma a determinar a acuidade diagnóstica, os riscos e a morbimortalidade associados ao procedimento. Entre Janeiro de 1998 e De-zembro de 2007, 53 doentes (idade média de 47,2±13 anos foram referenciados para a realização de biópsia pulmonar cirúrgica, dos quais 22 eram mulheres (41,5%. As biópsias pulmonares foram realizadas quer por videotoracoscopia (37 doentes, 69,8%, quer por minitoracotomia (16 doentes, 30,2%. Foi escolhido o pulmão direito para biopsar em 88,7% dos casos. Registaram-se complicações pós-operatórias em 5 doentes (9,4%: fuga aérea prolongada em 3 doentes (5,7%, persistência de loca de pneumotórax num doente (1,9% e hemorragia com necessidade de revisão de hemostase noutro doente (1,9%. Ocor-reu um óbito de causa desconhecida num doente sem risco acrescido. A duração média da drenagem foi de 4,4±3 dias e o tempo de internamento médio de 5,5±4 dias. O diagnóstico histológico definitivo foi conseguido em 50 doentes, registando-se uma acuidade diagnóstica de 94,3%. Em conclusão, o potencial benefício de um diagnóstico histopatológico conclusivo através de uma biópsia pulmonar cirúrgica deve ser balanceado com os riscos associados ao procedimento cirúrgico, especialmente para aqueles doentes com disfunção cardiopulmonar severa.Rev Port Pneumol 2009; XV (3: 433-442 Abstract: This study reports our experience, diagnostic accuracy and safety of surgical lung biopsy in patients with interstitial lung diseases. From January 1998 – December 2007 surgical lung biopsy was performed in 53 patients (22 female [41.5%]; age 47.2±13 years. A total of 37 patients (69.8% underwent videothoracoscopic lung biopsy and minithoracotomy was performed in 16 patients (30.2%. Right lung was the

  1. The Burns Registry of Australia and New Zealand: progressing the evidence base for burn care.

    Science.gov (United States)

    Cleland, Heather; Greenwood, John E; Wood, Fiona M; Read, David J; Wong She, Richard; Maitz, Peter; Castley, Andrew; Vandervord, John G; Simcock, Jeremy; Adams, Christopher D; Gabbe, Belinda J

    2016-03-21

    Analysis of data from the Burns Registry of Australia and New Zealand (BRANZ) to determine the extent of variation between participating units in treatment and in specific outcomes during the first 4 years of its operation. BRANZ, an initiative of the Australian and New Zealand Burn Association, is a clinical quality registry developed in accordance with the Australian Commission on Safety and Quality in Healthcare national operating principles. Patients with burn injury who fulfil pre-defined criteria are transferred to and managed in designated burn units. There are 17 adult and paediatric units in Australia and New Zealand that manage almost all patients with significant burn injury. Twelve of these units treat adult patients. Data on 7184 adult cases were contributed by ten acute adult burn units to the registry between July 2010 and June 2014.Major outcomes: In-hospital mortality, hospital length of stay, skin grafting rates, and rates of admission to intensive care units. Considerable variations in unit profiles (including numbers of patients treated), in treatment and in outcomes were identified. Despite the highly centralised delivery of care to patients with severe or complex burn injury, and the relatively small number of specialist burn units, we found significant variation between units in clinical management and in outcomes. BRANZ data from its first 4 years of operation support its feasibility and the value of further development of the registry. Based on these results, the focus of ongoing research is to improve understanding of the reasons for variations in practice and of their effect on outcomes for patients, and to develop evidence-informed clinical guidelines for burn management in Australia and New Zealand.

  2. Burn Rate Modification with Carborane Polymers

    Science.gov (United States)

    2017-11-01

    limited amount of material, but observations confirmed the rubber consistency necessary for formulation. The chemical reaction resulting in the urethane...unlimited. AD U.S. ARMY ARMAMENT RESEARCH, DEVELOPMENT AND ENGINEERING CENTER Munitions Engineering Technology Center Picatinny Arsenal, New Jersey...Missile Research Development and Engineering Center, Redstone Arsenal, AL, for the n-hexyl carborane. UNCLASSIFIED Approved for public

  3. Burn-related factors affecting anxiety, depression and self-esteem in burn patients: an exploratory study.

    Science.gov (United States)

    Jain, M; Khadilkar, N; De Sousa, A

    2017-03-31

    Burns are physically, psychologically and economically challenging injuries, and the factors leading to them are many and under-studied. The aim of the current study was to assess level of anxiety, depression and self-esteem in burn patients, and look at various burn-related variables that affect them. This cross-sectional study included 100 patients with burn injuries admitted to a tertiary care private hospital in an urban metropolis in India. The patients were assessed for anxiety, depression and self-esteem using the Hamilton anxiety rating scale, Hamilton depression rating scale and Rosenberg self-esteem scale respectively. Assessment was carried out within 2-8 weeks of injury following medical stabilization. The data was tabulated and statistically analyzed. The study sample was predominantly male (54%), married (69%), with a mean age of 34.1 ± 10.8 years. Accidental burns (94%) were the most common modality of injury. The majority (46%) suffered burns involving 20-59% total body surface area (TBSA), and facial burns were present (57%). No significant association was found between TBSA and anxiety, depression or self-esteem, and the same was true for facial burns. Deep burns, however, were significantly associated with anxiety (p=0.03) and depression (p=0.0002). High rates of anxiety and depression are associated with burn injuries and related to burn depth. Adjustment and recovery in these patients depends on various other factors like the patient's psychological status, nature/extent of the injury and ensuing medical care. Further research is warranted to reveal the magnitude and predictors of psychological problems in burn patients.

  4. Burning mouth disorder

    Directory of Open Access Journals (Sweden)

    Anand Bala

    2012-01-01

    Full Text Available Burning mouth disorder (BMD is a burning or stinging sensation affecting the oral mucosa, lips and/or tongue, in the absence of clinically visible mucosal lesions. There is a strong female predilection, with the age of onset being approximately 50 years. Affected patients often present with multiple oral complaints, including burning, dryness and taste alterations. The causes of BMD are multifactorial and remain poorly understood. Recently, there has been a resurgence of interest in this disorder with the discovery that the pain of burning mouth syndrome (BMS may be neuropathic in origin and originate both centrally and peripherally. The most common sites of burning are the anterior tongue, anterior hard palate and lower lip, but the distribution of oral sites affected does not appear to affect the natural history of the disorder or the response to treatment BMS may persist for many years. This article provides updated information on BMS and presents a new model, based on taste dysfunction, for its pathogenesis.

  5. Epidemiology of Burns in Rural Bangladesh: An Update

    Science.gov (United States)

    He, Siran; Alonge, Olakunle; Agrawal, Priyanka; Sharmin, Shumona; Islam, Irteja; Mashreky, Saidur Rahman; Arifeen, Shams El

    2017-01-01

    Each year, approximately 265,000 deaths occur due to burns on a global scale. In Bangladesh, around 173,000 children under 18 sustain a burn injury. Since most epidemiological studies on burn injuries in low and middle-income countries are based on small-scale surveys or hospital records, this study aims to derive burn mortality and morbidity measures and risk factors at a population level in Bangladesh. A household survey was conducted in seven rural sub-districts of Bangladesh in 2013 to assess injury outcomes. Burn injuries were one of the external causes of injury. Epidemiological characteristics and risk factors were described using descriptive as well as univariate and multivariate logistic regression analyses. The overall mortality and morbidity rates were 2 deaths and 528 injuries per 100,000 populations. Females had a higher burn rate. More than 50% of injuries were seen in adults 25 to 64 years of age. Most injuries occurred in the kitchen while preparing food. 88% of all burns occurred due to flame. Children 1 to 4 years of age were four times more likely to sustain burn injuries as compared to infants. Age-targeted interventions, awareness of first aid protocols, and improvement of acute care management would be potential leads to curb death and disability due to burn injuries. PMID:28379160

  6. Predictors of muscle protein synthesis after severe pediatric burns

    Science.gov (United States)

    Objectives: Following a major burn, muscle protein synthesis rate increases but in most patients, this response is not sufficient to compensate the also elevated protein breakdown. Given the long-term nature of the pathophysiologic response to burn injury, we hypothesized that skeletal muscle prot...

  7. Nutritional management of the burn patient | Prins | South African ...

    African Journals Online (AJOL)

    Burn injury, the most severe type of injury from a metabolic point of view, is characterised by the most profound alterations in basal metabolic rate and urinary nitrogen excretion. In addition, requirements for and/or metabolism of macro- and micronutrients are altered or increased. The major improvement in burn survival can ...

  8. Vasculites e eosinófilos em biópsia endomiocárdica, como preditores de rejeição em transplante cardíaco

    Directory of Open Access Journals (Sweden)

    Reginaldo Cipullo

    2011-08-01

    Full Text Available FUNDAMENTO: O significado clínico de vasculites, lesões isquêmicas, efeito Quilty e da presença de eosinófilos em biópsias endomiocárdicas de receptores de transplante cardíaco com rejeições leves não foi ainda estabelecido. OBJETIVO: Verificar se esses achados histológicos encontrados nas biópsias endomiocárdicas (eosinófilos, vasculites, efeito Quilty e lesões isquêmicas são capazes de predizer rejeição aguda do enxerto. MÉTODOS: Foram reavaliadas 1.012 biópsias endomiocárdicas consecutivas; dessas, 939 foram classificadas como OR ou 1R pela Nomenclatura da Sociedade Internacional de Transplante de Coração e Pulmão de 2005, e divididas em dois grupos: (1 Biópsias preditoras: aquelas que precederam rejeição aguda; e (2 Biópsias não preditoras: aquelas que não precederam rejeição aguda. Comparamos a ocorrência dos seguintes achados histológicos: vasculites, lesões isquêmicas, efeito Quilty e eosinófilos por análise uni e multivariada entre os grupos. RESULTADOS: Após análise estatística verificou-se a presença de vasculite intensa e de eosinófilos como maiores preditores para rejeição aguda futura, apresentando respectivamente as seguintes razões de chance: 10,60 (IC95%: 3,62 - 31,06. p < 0,001 e 6,26 (IC95%: 3,16 - 12,43. p < 0,001. CONCLUSÃO: Vasculites intensas e eosinófilos em biópsias do miocárdio são os principais fatores preditores de rejeição aguda pós-transplante cardíaco.

  9. 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.

  10. Genital burns in the national burn repository: incidence, etiology, and impact on morbidity and mortality.

    Science.gov (United States)

    Harpole, Bethany G; Wibbenmeyer, Lucy A; Erickson, Bradley A

    2014-02-01

    To better characterize national genital burns (GBs) characteristics using a large burn registry. We hypothesized that mortality and morbidity will be higher in patients with GBs. The National Burn Repository, a large North American registry of hospitalized burn patients, was queried for patients with GB. Burn characteristics and mechanism, demographics, mortality, and surgical interventions were retrieved. Outcomes of interest were mortality, hospital-acquired infection (HAI), and surgical intervention on the genitalia. Adjusted odds ratios (aOR) for outcomes were determined with binomial logistic regression controlling for age, total burn surface area, race, length of stay, gender, and inhalation injury presence. GBs were present in 1245 cases of 71,895 burns (1.7%). Patients with GB had significantly greater average total burn surface area, length of stay, and mortality. In patients with GB, surgery of the genitalia was infrequent (10.4%), with the aOR of receiving surgery higher among men (aOR 2.7, P burns (aOR 3.1, P <.002). Presence of a GB increased the odds of HAI (aOR 3.0, P <.0001) and urinary tract infections (aOR 3.4, P <.0001). GB was also an independent predictor of mortality (aOR 1.54) even after adjusting for the increased HAI risk. GBs are rare but associated with higher HAI rates and higher mortality after adjusting for well-established mortality risk factors. Although a cause and effect relationship cannot be established using these registry data, we believe this study suggests the need for special management considerations in GB cases to improve overall outcomes. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. Epidemiology of burns undergoing hospitalization to the National Burns Unit in the Sultanate of Oman: a 25-year review.

    Science.gov (United States)

    Al-Shaqsi, Sultan; Al-Kashmiri, Ammar; Al-Bulushi, Taimoor

    2013-12-01

    The aim of this study was to describe the epidemiology of burns admitted to the National Burns Unit (NBU) in the Sultanate of Oman between 1987 and 2011. This is a retrospective review of burn patients admitted to Oman's National Burns Unit (NBU) between 1987 and 2011. The data extracted from the national burn registry. The study describes the admission rate by gender and age groups, occupation, causes of burns, time-to-admission, length of stay and in-hospital mortality of burns between 1987 and 2011. During a 25-year from 1987 to 2011, there were 3531 burn patients admitted to the National Burns Unit in Oman. The average admission rate to NBU is 7.02 per 100,000 persons per year. On average, males were more likely to be admitted to the NBU than females during the study period (P value Oman. Children are disproportionately over-represented in this study. Prevention programmes are urgently needed to address this "silent and costly epidemic." Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

  12. 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.

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

    DEFF Research Database (Denmark)

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

    2017-01-01

    furthermore showed that the vaporization was diffusion-limited. Analysis of the heat transfer balance for the crude oils indicated that the energy available for evaporation decreased over time due to increasing heat losses, which were caused by the volatility controlled vaporization order. Presumably, larger......In order to improve the understanding of the burning efficiency and its observed size dependency of in-situ burning of crude oil on water, the vaporization order of the components in crude oils was studied. The vaporization order of such multicomponent fuels was assessed by studying the surface...... these results. The crude oils did not show any steady state behavior, but instead had an increasing surface temperature and decreasing burning rate and flame height, indicating a volatility controlled vaporization order. An increasing concentration gradient from the medium to heavy fraction in the burn residues...

  14. Biomass burning in Africa: As assessment of annually burned biomass

    International Nuclear Information System (INIS)

    Delmas, R.A.; Loudjani, P.; Podaire, A.; Menaut, J.C.

    1991-01-01

    It is now established that biomass burning is the dominant phenomenon that controls the atmospheric chemistry in the tropics. Africa is certainly the continent where biomass burning under various aspects and processes is the greatest. Three different types of burnings have to be considered-bush fires in savanna zones which mainly affect herbaceous flora, forest fires due to forestation for shifting agriculture or colonization of new lands, and the use of wood as fuel. The net release of carbon resulting from deforestation is assumed to be responsible for about 20% of the CO 2 increase in the atmosphere because the burning of forests corresponds to a destorage of carbon from the biospheric reservoir. The amount of reactive of greenhouse gases emitted by biomass burning is directly proportional, through individual emission factors, to the biomass actually burned. This chapter evaluates the biomass annually burned on the African continent as a result of the three main burning processes previously mentioned

  15. Prevalência de megas em necrópsias realizadas no triângulo mineiro no período de 1954 a 1988

    Directory of Open Access Journals (Sweden)

    Edison Reis Lopes

    1989-12-01

    Full Text Available Dentre 1708 necrópsias de chagásicos crônicos, de um total de 4690, diagnosticamos 273 megas. Destes o mais freqüente foi o megacólon, seguido pelo megaesôfago, ocupando a associação megacólon e megaesôfago o terceiro lugar. Discutem-se e comparam-se os achados com outros de ordem clinico-epidemiológica e anatomopatológica. Confirmando dados da literatura, nossos achados atuais mostram, que a exemplo do que sucede na cardiopatia chagásica, o megacólon e o megaesôfago predominam no sexo masculino, discutindo-se os fatores que poderiam explicar a razão desse fato.One thousand seven hundred and eight chronic chagasic post-mortem examinations studied from a total of4690 autopsies perfomed at our Institution. Two hundred and seventy-three chagasic had megas. Megacolon was the most frequent, followed by megaesophagus. Megacolon associated with megaesophagus was, the third mostcommom finding. Our data are discussed and compared with the literature. Megacolon and megaesophagus were more prevalent in man, as shown by other workers. Higher parasitemia perhaps could explain this finding.

  16. Experimental Study on the Burning Behavior of Pool Fires in Rooms with Different Wall Linings

    DEFF Research Database (Denmark)

    Poulsen, Annemarie; Jomaas, Grunde

    2011-01-01

    An experimental test series, comprising 10 experiments with varying pool sizes, lining materials and amounts of liquid burning, was conducted under free burn and room burn conditions. The thermal feedback from the enclosure (ISO 9705 Room Corner Test facility) enhanced the burning rate of the poo...... in the shortest time. Given the profound difference between the enclosure tests and the free burn tests and also between enclosure tests with different linings, it is recommended to show great caution if free burn tests are to be used in design fire scenarios....

  17. Methamphetamine-related burns in the cornbelt.

    Science.gov (United States)

    Burke, Bridget A; Lewis, Robert W; Latenser, Barbara A; Chung, Joseph Y; Willoughby, Clark; Kealey, G Patrick; Wibbenmeyer, Lucy A

    2008-01-01

    Methamphetamine (MA) is a highly addictive drug that is easily manufactured from everyday household products and chemicals found at local farm stores. The proliferation of small MA labs has led to a dramatic increase in patients sustaining thermal injury while making and/or using MA. We hypothesized that these patients have larger injuries with longer hospital stays, and larger, nonreimbursed hospital bills compared with burn patients not manufacturing or using MA. In a retrospective case-control study, all burn patients >or=16 years of age admitted to our burn center from January 2002 to December 2005 were stratified into two groups based on urine MA status. Of the 660 burn patients >or=16 years of age admitted during this 4 year period, urine drug screens were obtained at admission on 410 patients (62%); 10% of urine drug screens were MA (+). MA (+) patients have larger burns compared with MA (-) patients (9.3 vs 8.6% body surface area burns), have higher rates of inhalation injuries (20.4 vs 9.3%, P = .015), and more nonthermal trauma (13.0 vs 3.1%, P = .001). When compared with MA (-) patients, MA (+) patients require longer hospital stays (median 9.5 vs 7.0 days, P = .036), accrue greater hospital bills per day (dollars 4292 vs dollars 2797, P = .01), and lack medical insurance (66.7 vs 17.7%, P manufacture mandates that burn centers monitor patients for MA use and develop and institute protocols to ensure proper care of this increasingly costly population.

  18. [Surgical treatment of burns : Special aspects of pediatric burns].

    Science.gov (United States)

    Bührer, G; Beier, J P; Horch, R E; Arkudas, A

    2017-05-01

    Treatment of pediatric burn patients is very important because of the sheer frequency of burn wounds and the possible long-term ramifications. Extensive burns need special care and are treated in specialized burn centers. The goal of this work is to present current standards in burn therapy and important innovations in the treatment of burns in children so that the common and small area burn wounds and scalds in pediatric patients in day-to-day dermatological practice can be adequately treated. Analysis of current literature, discussion of reviews, incorporation of current guidelines. Burns in pediatric patients are common. Improvement of survival can be achieved by treatment in burn centers. The assessment of burn depth and area is an important factor for proper treatment. We give an overview for outpatient treatment of partial thickness burns. New methods may result in better long-term outcome. Adequate treatment of burn injuries considering current literature and guidelines improves patient outcome. Rational implementation of new methods is recommended.

  19. 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.

  20. 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.

  1. Minor burn - first aid - slideshow

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/presentations/100213.htm Minor burn - first aid - series—Procedure, part 1 To use ... out of 2 Overview To treat a minor burn, run cool water over the area of the ...

  2. [Burns in adolescents].

    Science.gov (United States)

    Ortiz Rodríguez, R; Domínguez Amillo, E; Soto Beauregard, C; Díaz González, M; López Gutiérrez, J C; Ros Mar, Z; Tovar Larrucea, J A

    2012-04-01

    The aim of this study was to know the epidemiology of burns in teenagers. Burn patients over 11 years old admitted in our Institution in the last 10 years were included. Etiology, burn size, hospital stay, quirurgical interventions and long term sequelae were registered. One thousand and eight patients were admitted, 89 were over 11 years (8.8%), 70.7% were boys and 29.3% girls. Fire was the principal agent in 58 cases (65.1%), due to fireworks in 13 (22.4%), alcohol in 7 (12%), explosion of flammable containers (spray) in 4 (6.8%) and gasoline in 3 (5.2%). Fireworks injuries and spray explosions affected face and hand in 88% cases. The median hospital stay was 8 days after admission (1 to 90). 83.1% required surgical treatment with mean of 1.8 +/- 1.4 interventions and 21.3% had long-term sequelaes that required at least one surgical intervention. Fire is the main cause of burns in adolescents. Fireworks injuries represented a quarter of that lesions, and highlights paint spray explosions as new causative agents. Considering the high morbidity in this age group, with permanent functional and aesthetic sequelae, prevention campaigns are needed to reduce such accidents.

  3. Electrical Burns: First Aid

    Science.gov (United States)

    ... local emergency number if the source of the burn is a high-voltage wire or lightning. Don't get near high-voltage ... 20 feet (about 6 meters) away — farther if wires are jumping and sparking. Don't move a person with ... breathing Heart rhythm problems (arrhythmias) Cardiac ...

  4. Burns - Multiple Languages

    Science.gov (United States)

    ... Translations Russian (Русский) Expand Section Burn Care - Русский (Russian) Bilingual ... Health Information Translations Characters not displaying correctly on this page? See language display issues . Return to the MedlinePlus Health Information ...

  5. One Burn, One Standard

    Science.gov (United States)

    2014-09-01

    PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Giretzlehner M., Haller H. L., Faucher L. D., Pressman M. A., Salinas J., Jeng J. C., 5d. PROJECT NUMBER 5e...AUVA Linz, Austria Lee D. Faucher, MD University of Wisconsin Madison, Wisconsin Melissa A. Pressman , PhD Arizona Burn Center Phoenix

  6. Explosive hydrogen burning in novae

    International Nuclear Information System (INIS)

    Wiescher, M.; Goerres, J.; Thielemann, F.K.; Ritter, H.

    1986-01-01

    Recent observations (nova CrA 81 and Aql 82) reported large enhancements of element abundances beyond CNO nuclei in nova ejecta, which still wait for a clear theoretical explanation. Attempts to interprete these findings include scenarios like nova events on a O-Ne-Mg white dwarf or nuclear processing which enables the transfer of CNO material to heavier nuclei. In the present study we included all available nuclear information on proton-rich unstable nuclei, to update thermo-nuclear reaction rates in explosive hydrogen burning. They are applied in a systematic analysis of explosive hydrogen burning for a variety of temperature conditions, appropriate to nova explosions. We find that (a) for temperatures T>2 10 8 K, pre-existing material in Ne, Al, or Mg can be transferred to heavier nuclei following the flow pattern of a r(apid) p(roton-capture) process (b) for T> or approx.3.5 10 8 K CNO matter can be processed to heavier nuclei (in accordance with previous findings). On the basis of these results it seems unlikely that nova Aql 82 (which shows strong carbon and oxygen enrichment together with heavier elements) can be explained by a nova event on a bare O-Ne-Mg white dwarf but is rather a result of burning with T> or approx.3.5 10 8 K. An application to existing nova models shows a reduced 26 Al production, when compared to earlier predictions. Both conclusions, however, have to be verified by complete nova calculations which include the improved nuclear physics input, presented here. (orig.)

  7. Brief cognitive interventions for burn pain.

    Science.gov (United States)

    Haythronthwaite, J A; Lawrence, J W; Fauerbach, J A

    2001-01-01

    This study tested the efficacy of 2 brief cognitive interventions in supplementing regular medical treatment for pain during burn dressing change. Forty-two burn inpatients were randomly assigned to 3 groups: sensory focusing, music distraction, and usual care. Patients reported pain, pain relief satisfaction with pain control, and pain coping strategies. The sensory focusing group reported greater pain relief compared to the music distraction group and a reduction in remembered pain compared to the usual care group, although group differences were not observed on serial pain ratings. In addition, after controlling for burn size and relevant covariates, regression analyses indicated that catastrophizing predicted pain, memory for pain, and satisfaction with pain control. Refinement of the sensory focusing intervention is warranted to reduce catastrophic thinking and improve pain relief

  8. Study of Alterations in Lipid Profile After Burn Injury.

    Directory of Open Access Journals (Sweden)

    Dr.Asha Khubchandani

    2017-06-01

    Full Text Available Introduction: After burn injury, changes in lipid profile occur in body. Dyslipidemia after burn injury is one of the important alterations. Objective: To check alterations in lipid profile after burn injury. Materials and Method: It was cross sectional study which was carried out on 250 burns patients of both sex, with an age group of 18-45 years, and varying burns percentage of 20-80% of total body surface area (TBSA. Serum cholesterol, serum LDL, serum HDL and serum triglyceride level were measured on XL-640 fully-auto biochemical analyser. Serum LDL and HDL were measured by Accelerator Selective Detergent Method. Serum cholesterol and triglyceride were measured by Trindor’s method. Results: Results showed decrease in serum cholesterol, serum LDL and serum HDL, while increase in serum triglyceride level in burns patients compared to normal subjects. Conclusion: This study clearly showed the importance of measuring serum cholesterol, TG, LDL and HDL in burn patients and targeting changes that occur in their levels along the burns course, which may have beneficial effect in protection from organ damage, increasing survival rates and improving burn outcome.

  9. Emissions of carbon, nitrogen, and sulfur from biomass burning in Nigeria

    International Nuclear Information System (INIS)

    Akeredolu, F.; Isichei, A.O.

    1991-01-01

    The atmospheric implications of the effects of burning of vegetation in Nigeria are discussed. The following topics are explored: the extent of biomass burning by geographical area; estimates of emission rates of carbon, nitrogen and sulfur; and the impact on biogeochemical cycling of elements. The results suggest that biomass burning generates a measurable impact on the cycling of carbon and nitrogen

  10. Burn Wise Educational Materials for Businesses

    Science.gov (United States)

    Burn Wise outreach material. Burn Wise is a partnership program of that emphasizes the importance of burning the right wood, the right way, in the right wood-burning appliance to protect your home, health, and the air we breathe.

  11. Repeated Prescribed Burning in Aspen

    Science.gov (United States)

    Donald A. Perala

    1974-01-01

    Infrequent burning weather, low flammability of the aspen-hardwood association, and prolific sprouting and seeding of shrubs and hardwoods made repeated dormant season burning a poor tool to convert good site aspen to conifers. Repeat fall burns for wildlife habitat maintenance is workable if species composition changes are not important.

  12. Air-Freshener Burns: A New Paradigm in Burns Etiology?

    OpenAIRE

    Sarwar, Umran; Nicolaou, M.; Khan, M. S.; Tiernan, E.

    2011-01-01

    Objectives: We report a rare case of burns following the use of automated air-fresheners. Methods: We present a case report with a brief overview of the literature relating to burns associated with air-fresheners. The mechanism and treatment of these types of injuries are also described. Results: A 44 year-old female was admitted under the care of the burns team following burns secondary to an exploding air-freshener canister. The patient sustained burns to the face, thorax and arms re...

  13. Correlação entre a graduação histológica de biópsias e do espécimen cirúrgico em câncer da prostata

    Directory of Open Access Journals (Sweden)

    José Cury

    Full Text Available Foram estudados, retrospectivamente, os prontuários de 120 pacientes com câncer localizado da próstata nos estádios clínicos T1, T2 e T3a e que foram submetidos a 1infadenectomia ilíaca e a cirurgia radical da próstata. Todos haviam sido graduados pela escala de Gleason através de biópsias da próstata guiadas pela ultra-sonografia transretal. Correlacionamos a graduação histo1ógica destas biópsias da próstata com a graduação final obtida no exame da peça cirúrgica correspondente e obtivemos exata concordância em 39 pacientes (32,50%. Ao considerarmos a concordância de ± 1unidade, observamos concordância de resultado em 81 pacientes (67,50%. A subgraduação histológica das biópsias prostáticas foi encontrada em 75 pacientes (62,50% dos casos.

  14. Paralisia do nervo ulnar na lepra sem alterações cutâneas: biópsia do ramo superficial do nervo ulnar na mão

    Directory of Open Access Journals (Sweden)

    FREITAS MARCOS R. G. DE

    1998-01-01

    Full Text Available A lepra constitui causa frequente de acometimento de nervos periféricos, em nosso meio. O sistema nervoso periférico é acometido por vezes sem que haja alterações cutâneas: é a chamada forma neurítica pura. Nessa variante, o nervo mais afetado é o ulnar. Nos casos de acometimento isolado de nervos periféricos somente a feitura de biópsia de nervo conduzirá ao diagnóstico. Assim, resolvemos realizar biópsia do ramo sensitivo superficial do nervo ulnar na mão em 17 pacientes com paresia ou paralisia desse nervo e espessamento do mesmo na altura do cotovelo. Os principais achados foram: redução do número de fibras mielínicas em 14 casos, infiltrado inflamatório em 13, fibrose em 12, desmielinização e remielinização em 9, presença de granuloma em 6 e visualização do Mycobacterium leprae em 5. Concluímos que a biópsia do ramo sensitivo superficial do nervo ulnar na mão é um bom meio diagnóstico de lepra em pacientes com acometimento desse nervo

  15. Lipofuscinose ceróide neuronal: relato de quatro casos com estudo por histoquímica retal, microscopia eletrônica de conjuntiva e necrópsia

    Directory of Open Access Journals (Sweden)

    Luiz Fernando Bleggi Torres

    1994-03-01

    Full Text Available Os autores relatam os achados neuropatológicos e clínicos de quatro casos de lipofuscinose ceróide ou doença de Batten. Dois casos foram estudados por necrópsia: o encéfalo mostrou atrofia e neurônios contendo pigmento citoplasmático com características tintoriais de lipofuscina. Um caso foi diagnosticado por estudo histoquímico de biópsia retal, em material congelado em nitrogênio líquido demonstrando-se células ganglionares mioentéricas contendo acúmulo citoplasmático de material granular fosfatase ácida positivo, bem como em grande número de macrófagos do córion. O quarto caso foi diagnosticado por microscopia eletrônica de biópsia de conjuntiva, com identificação de inclusões curvelíneas membranáceas e tipo impressão digital.

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

    International Nuclear Information System (INIS)

    Birch, Donovan S; Morgan, Penelope; Smith, Alistair M S; Kolden, Crystal A; Hudak, Andrew T

    2014-01-01

    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)

  17. Air-freshener burns: a new paradigm in burns etiology?

    Science.gov (United States)

    Sarwar, Umran; Nicolaou, M; Khan, M S; Tiernan, E

    2011-10-01

    We report a rare case of burns following the use of automated air-fresheners. We present a case report with a brief overview of the literature relating to burns associated with air-fresheners. The mechanism and treatment of these types of injuries are also described. A 44 year-old female was admitted under the care of the burns team following burns secondary to an exploding air-freshener canister. The patient sustained burns to the face, thorax and arms resulting in a seven-day hospital admission. The burns were treated conservatively. To our knowledge this is one of the few documented cases of burns as a result of air-fresheners. As they become more ubiquitous, we anticipate the incidence of such cases to increase. As such, they pose a potential public health concern on a massive scale.

  18. Suicidal burns in Samarkand burn centers and their consequences.

    Science.gov (United States)

    Shakirov, B M; Ahmedov, Y M; Hakimov, E A; Tagaev, K R; Karabaev, B H

    2013-12-31

    Suicide is a global public health problem, particularly in Asia where few countries with large populations have high suicide rates accounting for the majority of the world's suicides. During a 14-year period, 76 individuals, aged 17 to 66 years, committed suicide from 1995 to 2008 and were included in this report. Data was collected on each patient including, age, sex, place of injury, patient occupation, accommodation, psychiatric illness, suicidal motives, flammable substances used, place of burn, season of the year, and total body surface area (TBSA) burnt. Most suicidal cases (55 out of 76) had a history of depressive episodes and emotional unstable disorders, and 18 of them had a known history of psychiatric illness. In 5 cases alcohol intoxication was present at the moment of suicide, and 3 patients had chronic alcohol dependence together with basic psychiatric disease. It is also evident from this study that the causes of suicide in females are mainly socio-economical and psychological.

  19. Prescribed burning consumes key forest structural components: implications for landscape heterogeneity.

    Science.gov (United States)

    Holland, Greg J; Clarke, Michael F; Bennett, Andrew F

    2017-04-01

    Prescribed burning to achieve management objectives is a common practice in fire-prone regions worldwide. Structural components of habitat that are combustible and slow to develop are particularly susceptible to change associated with prescribed burning. We used an experimental, "whole-landscape" approach to investigate the effect of differing patterns of prescribed burning on key habitat components (logs, stumps, dead trees, litter cover, litter depth, and understorey vegetation). Twenty-two landscapes (each ~100 ha) were selected in a dry forest ecosystem in southeast Australia. Experimental burns were conducted in 16 landscapes (stratified by burn extent) while six served as untreated controls. We measured habitat components prior to and after burning. Landscape burn extent ranged from 22% to 89% across the 16 burn treatments. With the exception of dead standing trees (no change), all measures of habitat components declined as a consequence of burning. The degree of loss increased as the extent to which a landscape was burned also increased. Prescribed burning had complex effects on the spatial heterogeneity (beta diversity) of structural components within landscapes. Landscapes that were more heterogeneous pre-fire were homogenized by burning, while those that were more homogenous pre-fire tended to display greater differentiation post-burning. Thus, the notion that patch mosaic burning enhances heterogeneity at the landscape-scale depends on prior conditions. These findings have important management implications. Where prescribed burns must be undertaken, effects on important resources can be moderated via control of burn characteristics (e.g., burn extent). Longer-term impacts of prescribed burning will be strongly influenced by the return interval, given the slow rate at which some structural components accumulate (decades to centuries). Management of habitat structural components is important given the critical role they play in (1) provision of habitat

  20. ANFO truck burn trials

    Energy Technology Data Exchange (ETDEWEB)

    Rosen von, B.; Contestabile, E. [Natural Resources Canada, CANMET Canadian Explosives Research Laboratory, Ottawa, ON (Canada)

    2003-10-01

    This report describes the investigation of a tractor-trailer explosion. A truck loaded with 18,000 kg of commercial explosives, of which 13,000 kg was ammonium nitrate with fuel oil (ANFO), caught fire when it struck a rockcut near Walden, Ontario on August 5, 1998. The fire resulted in the detonation of the load. The Canadian Explosives Research Laboratory (CERL) conducted a test program to examine the suitability of existing explosive transportation regulations. Unconfined burns of ANFO were performed. The accident was recreated in two burn trials in an attempt to identify the mechanism that led from fire to detonation. Two full-scale tests were conducted using complete tractor-trailers, each in a jack-knifed position with most of the explosives placed on the ground in front of the trailer. ANFO was used in the first test to determine its response to thermal stimulus and the likelihood of detonation or explosion. The second test involved ANFO, a slurry and an emulsion. Thermocouples and video cameras were used to observe the burning characteristics of the explosives, the truck and its components. The explosives burned steadily for 80 minutes in each test. Many truck components, such as tires, spring brake chambers and the fuel tank ruptured violently due to the heat. Although no detonation occurred in the test trials, it was concluded that under favourable conditions, many truck components, might produce fragments with enough energy to initiate heat-sensitized explosives. It was suggested that a fragment impact caused the detonation at Walden. 4 refs., 7 tabs., 8 figs.

  1. Fungal Burn Wound Infection

    Science.gov (United States)

    1991-01-01

    Aspergillus), Blasto- T he use of effective topical chemotherapeutic agents to myces (Candida), and Zygomycetes ( Mucor , Rhizopus).6 reduce...species, 18%; Mucor species and Rhizopus species, acetate in the morning and silver sulfadiazine in the evening. Prophy- 9.1%; and Microspora species and...sensitivity reports, and the patient’s sue, including one patient who required a hip disarticulation response. to control an invasive Mucor burn wound

  2. Assessing burn depth in tattooed burn lesions with LASCA Imaging

    Science.gov (United States)

    Krezdorn, N.; Limbourg, A.; Paprottka, F.J.; Könneker; Ipaktchi, R.; Vogt, P.M

    2016-01-01

    Summary Tattoos are on the rise, and so are patients with tattooed burn lesions. A proper assessment with regard to burn depth is often impeded by the tattoo dye. Laser speckle contrast analysis (LASCA) is a technique that evaluates burn lesions via relative perfusion analysis. We assessed the effect of tattoo skin pigmentation on LASCA perfusion imaging in a multicolour tattooed patient. Depth of burn lesions in multi-coloured tattooed and untattooed skin was assessed using LASCA. Relative perfusion was measured in perfusion units (PU) and compared to various pigment colours, then correlated with the clinical evaluation of the lesion. Superficial partial thickness burn (SPTB) lesions showed significantly elevated perfusion units (PU) compared to normal skin; deep partial thickness burns showed decreased PU levels. PU of various tattoo pigments to normal skin showed either significantly lower values (blue, red, pink) or significantly increased values (black) whereas orange and yellow pigment showed values comparable to normal skin. In SPTB, black and blue pigment showed reduced perfusion; yellow pigment was similar to normal SPTB burn. Deep partial thickness burn (DPTB) lesions in tattoos did not show significant differences to normal DPTB lesions for black, green and red. Tattoo pigments alter the results of perfusion patterns assessed with LASCA both in normal and burned skin. Yellow pigments do not seem to interfere with LASCA assessment. However proper determination of burn depth both in SPTB and DPTB by LASCA is limited by the heterogenic alterations of the various pigment colours. PMID:28149254

  3. Burning mouth syndrome: etiology.

    Science.gov (United States)

    Cerchiari, Dafne Patrícia; de Moricz, Renata Dutra; Sanjar, Fernanda Alves; Rapoport, Priscila Bogar; Moretti, Giovana; Guerra, Marja Michelin

    2006-01-01

    The Burning Mouth Syndrome (BMS) is an oral mucosa pain--with or without inflammatory signs--without any specific lesion. It is mostly observed in women aged 40-60 years. This pain feels like a moderate/severe burning, and it occurs more frequently on the tongue, but it may also be felt at the gingiva, lips and jugal mucosa. It may worsen during the day, during stress and fatigue, when the patient speaks too much, or through eating of spicy/hot foods. The burning can be diminished with cold food, work and leisure. The goal of this review article is to consider possible BMS etiologies and join them in 4 groups to be better studied: local, systemic, emotional and idiopathic causes of pain. Knowing the different diagnoses of this syndrome, we can establish a protocol to manage these patients. Within the local pain group, we must investigate dental, allergic and infectious causes. Concerning systemic causes we need to look for connective tissue diseases, endocrine disorders, neurological diseases, nutritional deficits and salivary glands alterations that result in xerostomia. BMS etiology may be of difficult diagnosis, many times showing more than one cause for oral pain. A detailed interview, general physical examination, oral cavity and oropharynx inspection, and lab exams are essential to avoid a try and error treatment for these patients.

  4. 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.

  5. Epidemiology of burns in teaching hospital of Northern India

    Directory of Open Access Journals (Sweden)

    Mumtazudin Wani

    2016-01-01

    Full Text Available Background: There is no information on the pattern of outcomes among burn patients in relation to clinical aspects in India. Hence, the present study was undertaken in a burn unit to determine selected epidemiological variables, assess the clinical aspects (etiology, extent and anatomical location and finally to analyze the outcomes in cases of burn injury. Materials and Methods: This prospective study was undertaken to analyze the patients admitted to the Burn Unit of Government Medical college Srinagar. The study was carried over a period 2 years from January 2013 to December 2014. Various variables including age and sex distribution, nature of burn injuries, Anatomical location, percentage of total body surface area burnt, depth of burns, Survival of expired patients and mortality were recorded and analyzed. Results: Highest incidence of burns was in the age group between 21 and 40 years; 61% patients were females and 39% were males; majority of our patients had burns in the range of 20 to 40% TBSA (total body surface area; mortality rate in our study was 36.82%; most common site of the burn injury was upper limb(30.19%;among patients who died those with TBSA burn of >60%, 41 to 60% and 31 to 40% succumbed within three, six and nine days respectively. Age ranged from 6 months to 93 years. Mean age of the patients was 31 years. Eighty percent patients belonged to rural areas and 20% belonged to Urban locality. Conclusion: People with low educational qualification should be taught about the proper and safe usage of modern appliances based on electricity, LPG or kerosene. People with psychiatric problems or low intelligence quotient (I.Q should be helped by their care takers in avoiding the burn injuries and also devices with alarms should be used in their households. Fuel or electric devices should be checked by a trained person regularly (e.g once in month to avoid usage of faulty devices.

  6. A new Experimental Rig for Oil Burning on Water

    DEFF Research Database (Denmark)

    Brogaard, Nicholas L.; Sørensen, Martin X.; Fritt-Rasmussen, Janne

    2014-01-01

    A new experimental apparatus, the Crude Oil Flammability Apparatus (COFA), has been developed to study in-situ burning of crude and pure oils spilled on water in a controlled laboratory environment with large water-to-oil ratios. The parameters and phenomena studied for an asphaltic crude oil...... is superheated. When the initial crude oil layer thickness exceeded 20 mm the oil became solid and no boilover occurred. The heat-loss to the water sub-layer also had an effect on the burning efficiency and the regression rate was found to reach a constant value after increasing continuously as the oil...... (Grane) and two pure oils (n-Octane and dodecane) with different initial oil layer thicknesses include burning efficiency, burning rate, regression rate, flame height and boilover. Pyrex glass cylinders (157 and 260 mm ID) placed on top of a steel foot in a water basin (1m x 1m x 0.5m) enabled free...

  7. Unplanned readmission after hospital discharge in burn patients in Iran.

    Science.gov (United States)

    Jafaryparvar, Zakiyeh; Adib, Masoomeh; Ghanbari, Atefeh; Leyli, Ehsan Kazemnezhad

    2018-02-21

    Burns are considered as one of the most serious health problems throughout the world. They may lead to adverse consequences and outcomes. One of these outcomes is unplanned readmission. Unplanned readmission has been commonly used as a quality indicator by hospitals and governments. This study aimed to determine the predictors of unplanned readmission in patients with burns hospitalized in a burn center in the North of Iran (Guilan province, Rasht). This retrospective analytic study has been done on the medical records of hospitalized patients with burns in Velayat Sub-Specialty Burn and Plastic Surgery Center, Rasht, Iran during 2008-2013. In general, 703 medical records have been reviewed but statistical analysis was performed on 626 medical records. All data were entered in SPSS (version 16) and analyzed by descriptive and inferential statistics. Among 626 patients with burns, the overall readmission rate was 5.1%. Predictors of readmission included total body surface area (OR 1.030, CI 1.011-1.049), hypertension (OR 2.923, CI 1.089-7.845) and skin graft (OR 7.045, CI 2.718-18.258). Considering the outcome, predictors following burn have a crucial role in the allocation of treatment cost for patients with burns and they can be used as one of the quality indicators for health care providers and governments.

  8. History of burns: The past, present and the future

    Directory of Open Access Journals (Sweden)

    Kwang Chear Lee

    2014-10-01

    Full Text Available Burn injuries are one of the most common and devastating afflictions on the human body. In this article we look back at how the treatment of burns has evolved over the centuries from a primarily topical therapy consisting of weird and wonderful topical concoctions in ancient times to one that spans multiple scientific fields of topical therapy, antibiotics, fluid resuscitation, skin excision and grafting, respiratory and metabolic care and nutrition. Most major advances in burn care occurred in the last 50 years, spurred on by wars and great fires. The use of systemic antibiotics and topical silver therapy greatly reduced sepsis related mortality. This along with the advent of antiseptic surgical techniques, burn depth classification and skin grafting allowed the excision and coverage of full-thickness burns which resulted in greatly improved survival rates. Advancements in the methods of assessing the surface area of burns paved way for more accurate fluid resuscitation, minimising the effects of shock and avoiding fluid over-loading. The introduction of metabolic care, nutritional support and care of inhalational injuries further improved the outcome of burn patients. We also briefly discuss some future directions in burn care such as the use of cell and pharmalogical therapies.

  9. The impact of patient demographics and comorbidities upon burns admitted to Tygerberg Hospital Burns Unit, Western Cape, South Africa.

    Science.gov (United States)

    Cloake, T; Haigh, T; Cheshire, J; Walker, D

    2017-03-01

    In South Africa, burns are a major public health problem responsible for significant morbidity and long-term physical disability. This is, in part, due to a significant proportion of the urban population living in poorly constructed, combustible accommodation. The presence of co-morbid diseases such as diabetes and malignancy in patients with burns has been associated with a poorer outcome. The impact of other diseases such as HIV has yet to be defined. A retrospective data collection study analysed the 221 patients admitted to Tygerberg Hospital Burns Unit in 2011 and the first six months of 2013. Using hospital records, patient demographic data was collected alongside burn agent, ICU admission, complications, and patient outcome in terms of length of stay and mortality. The most common burn agent was hot liquid (45.7%). A significant proportion of patients were subject to intentional attacks (34.3%). Shack fires and flame accounted cumulatively for 85% of total inhalational burns, the highest rates of admission to ICU (85.5%), the highest rate of complications, as well as 92.3% of all total fatalities. HIV+ patients had a higher mortality (13.3% vs 5%, p=0.22) and a higher complication rate (46.7% vs 30%, p=0.21). There was no difference in length of stay between the HIV+ and HIV- cohort (12days vs. 15.5 days, p=0.916). Burns are a significant yet preventable cause of mortality and morbidity. The rising number of shack fires, responsible for extensive burns and resultant mortality is concerning and indicates urgent attention and action. HIV complicates the recovery from burn and is responsible for an increased rate of in hospital mortality. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  10. Community integration after burn injuries.

    Science.gov (United States)

    Esselman, P C; Ptacek, J T; Kowalske, K; Cromes, G F; deLateur, B J; Engrav, L H

    2001-01-01

    Evaluation of community integration is a meaningful outcome criterion after major burn injury. The Community Integration Questionnaire (CIQ) was administered to 463 individuals with major burn injuries. The CIQ results in Total, Home Integration, Social Integration, and Productivity scores. The purposes of this study were to determine change in CIQ scores over time and what burn injury and demographic factors predict CIQ scores. The CIQ scores did not change significantly from 6 to 12 to 24 months postburn injury. Home integration scores were best predicted by sex and living situation; Social Integration scores by marital status; and Productivity scores by functional outcome, burn severity, age, and preburn work factors. The data demonstrate that individuals with burn injuries have significant difficulties with community integration due to burn and nonburn related factors. CIQ scores did not improve over time but improvement may have occurred before the initial 6-month postburn injury follow-up in this study.

  11. Burning Mouth Syndrome

    OpenAIRE

    Renton, Tara

    2011-01-01

    Bruning mouth syndrome is a burning sensation of one or several oral soft tissues with the tongue being affected the most, and may be associated with some other symptoms outside the oral structures. The oral symptoms may appear suddenly or gradually within a time course, may be persistent throughout the day or get more intense as the day progresses in a complaint-free patient in the morning. The syndrome affects mostly women and those over 50 years old, and usually caused by multiple factors....

  12. Burning mouth syndrome: An update

    OpenAIRE

    Vijay Kumar Ambaldhage; Jaishankar Homberhalli Puttabuddi; Purnachandrarao Naik Nunsavath

    2015-01-01

    Burning mouth syndrome (BMS) is characterized by an oral burning sensation in the absence of any organic disorders of the oral cavity. 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. It is observed principally in middle-aged patients and postmenopausal women and is characterized by an intense burning type of pain, preferably on the tongue and in other areas of the ...

  13. Burning mouth syndrome: Present perspective

    OpenAIRE

    Ramesh Parajuli

    2015-01-01

    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 alte...

  14. Is Music Effective For Pain Relief In Burn Victims?

    Directory of Open Access Journals (Sweden)

    Lidiane Souza Lima

    2017-02-01

    Full Text Available Objective: to describe the effect of music on pain of burn victims during the dressing change. Methods: applied, descriptive, exploratory and quantitative research held in a Burn Treatment Unit from October 2015 to April 2016. The study included 16 burn victims who were divided in three groups: A: patients heard music before dressing; B: patients hear music during dressing; C: patients did not hear music. Results: the average age was 31.8 years (± 14.1 and most of the subjects were male. Lower limbs and trunk were the most affected parts of the body, especially with second-degree burns and which affected an average of 15.8% (± 11.5 of the body surface. There was a predominance of gospel music (50.0%. The music reduced the average heart rate and oxygen saturation, but did not change ventilatory rate. There was a decrease in the average of pain intensity in groups GB (p = 0.0505 and GC (p = 0.0055. During the dressing, the burning was unanimous characteristic for all subjects, in the same manner as verbal reports was the form of manifestation. Conclusion: music proved to be a simple and effective resource in controlling pain in burn victims. Keywords: Burns; Music; Pain.

  15. Controlling Object Heat Release Rate using Geometrical Features

    OpenAIRE

    Kraft, Stefan Marc

    2017-01-01

    An experimental study was conducted to determine the effect of complex geometries on the burning rate of materials made using additive manufacturing. Controlling heat release rate has applicability in limiting fire hazards as well as for designing fuels for optimal burning rate. The burning rate of a structure is a function of the material properties as well as the airflow through it, which is dictated by the geometry. This burning rate is generally proportional to the porosity for obj...

  16. Ice & Fire: the Burning Question

    DEFF Research Database (Denmark)

    van Gelderen, Laurens; Jomaas, Grunde

    2017-01-01

    With the Arctic opening up to new shipping routes and increased oil exploration and production due to climate change, the risk of an Arctic oil spill is increasing. Of the classic oil spill response methods (mechanical recovery, dispersants and in-situ burning), in-situ burning is considered...... to be particularly a suitable response method in the Arctic. In-situ burning aims to remove the oil from the marine environment by burning it from the water surface. A recent Ph.D. thesis from the Technical University of Denmark has provided some new insights with respect to the fire science behind this response...

  17. [Prevention of gastrointestinal bleeding in patients with advanced burns].

    Science.gov (United States)

    Vagner, D O; Krylov, K M; Verbitsky, V G; Shlyk, I V

    2018-01-01

    To reduce the incidence of gastrointestinal bleeding in patients with advanced burns by developing a prophylactic algorithm. The study consisted of retrospective group of 488 patients with thermal burns grade II-III over 20% of body surface area and prospective group of 135 patients with a similar thermal trauma. Standard clinical and laboratory examination was applied. Instrumental survey included fibrogastroduodenoscopy, endoscopic pH-metry and invasive volumetric monitoring (PICCO plus). Statistical processing was carried out with Microsoft Office Excel 2007 and IBM SPSS 20.0. New algorithm significantly decreased incidence of gastrointestinal bleeding (p<0.001) and mortality rate (p=0.006) in patients with advanced burns.

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

    International Nuclear Information System (INIS)

    Lim, Ji Hwan; Lee, Sang Hyup; Yoon, Woong Sup

    2014-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2014-10-15

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

  20. Novel burn device for rapid, reproducible burn wound generation.

    Science.gov (United States)

    Kim, J Y; Dunham, D M; Supp, D M; Sen, C K; Powell, H M

    2016-03-01

    Scarring following full thickness burns leads to significant reductions in range of motion and quality of life for burn patients. To effectively study scar development and the efficacy of anti-scarring treatments in a large animal model (female red Duroc pigs), reproducible, uniform, full-thickness, burn wounds are needed to reduce variability in observed results that occur with burn depth. Prior studies have proposed that initial temperature of the burner, contact time with skin, thermal capacity of burner material, and the amount of pressure applied to the skin need to be strictly controlled to ensure reproducibility. The purpose of this study was to develop a new burner that enables temperature and pressure to be digitally controlled and monitored in real-time throughout burn wound creation and compare it to a standard burn device. A custom burn device was manufactured with an electrically heated burn stylus and a temperature control feedback loop via an electronic microstat. Pressure monitoring was controlled by incorporation of a digital scale into the device, which measured downward force. The standard device was comprised of a heat resistant handle with a long rod connected to the burn stylus, which was heated using a hot plate. To quantify skin surface temperature and internal stylus temperature as a function of contact time, the burners were heated to the target temperature (200±5°C) and pressed into the skin for 40s to create the thermal injuries. Time to reach target temperature and elapsed time between burns were recorded. In addition, each unit was evaluated for reproducibility within and across three independent users by generating burn wounds at contact times spanning from 5 to 40s at a constant pressure and at pressures of 1 or 3lbs with a constant contact time of 40s. Biopsies were collected for histological analysis and burn depth quantification using digital image analysis (ImageJ). The custom burn device maintained both its internal

  1. 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

  2. Global Burned Area and Biomass Burning Emissions from Small Fires

    Science.gov (United States)

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

    2012-01-01

    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 often generate thermal anomalies that can be detected by satellites, their contributions to burned area and carbon fluxes have not been systematically quantified across different regions and continents. Here we developed a preliminary method for combining 1-km thermal anomalies (active fires) and 500 m burned area observations from the Moderate Resolution Imaging Spectroradiometer (MODIS) to estimate the influence of these fires. In our approach, we calculated the number of active fires inside and outside of 500 m burn scars derived from reflectance data. We estimated small fire burned area by computing the difference normalized burn ratio (dNBR) for these two sets of active fires and then combining these observations with other information. In a final step, we used the Global Fire Emissions Database version 3 (GFED3) biogeochemical model to estimate the impact of these fires on biomass burning emissions. We found that the spatial distribution of active fires and 500 m burned areas were in close agreement in ecosystems that experience large fires, including savannas across southern Africa and Australia and boreal forests in North America and Eurasia. In other areas, however, we observed many active fires outside of burned area perimeters. Fire radiative power was lower for this class of active fires. Small fires substantially increased burned area in several continental-scale regions, including Equatorial Asia (157%), Central America (143%), and Southeast Asia (90%) during 2001-2010. Globally, accounting for small fires increased total burned area by approximately by 35%, from 345 Mha/yr to 464 Mha/yr. A formal quantification of uncertainties was not possible, but sensitivity

  3. Tailorable Burning Behavior of Ti14 Alloy by Controlling Semi-Solid Forging Temperature.

    Science.gov (United States)

    Chen, Yongnan; Yang, Wenqing; Zhan, Haifei; Zhang, Fengying; Huo, Yazhou; Zhao, Yongqing; Song, Xuding; Gu, Yuantong

    2016-08-16

    Semi-solid processing (SSP) is a popular near-net-shape forming technology for metals, while its application is still limited in titanium alloy mainly due to its low formability. Recent works showed that SSP could effectively enhance the formability and mechanical properties of titanium alloys. The processing parameters such as temperature and forging rate/ratio, are directly correlated with the microstructure, which endow the alloy with different chemical and physical properties. Specifically, as a key structural material for the advanced aero-engine, the burn resistant performance is a crucial requirement for the burn resistant titanium alloy. Thus, this work aims to assess the burning behavior of Ti14, a kind of burn resistant alloy, as forged at different semi-solid forging temperatures. The burning characteristics of the alloy are analyzed by a series of burning tests with different burning durations, velocities, and microstructures of burned sample. The results showed that the burning process is highly dependent on the forging temperature, due to the fact that higher temperatures would result in more Ti₂Cu precipitate within grain and along grain boundaries. Such a microstructure hinders the transport of oxygen in the stable burning stage through the formation of a kind of oxygen isolation Cu-enriched layer under the burn product zone. This work suggests that the burning resistance of the alloy can be effectively tuned by controlling the temperature during the semi-solid forging process.

  4. Combat-Related Facial Burns: Analysis of Strategic Pitfalls

    Science.gov (United States)

    2015-01-01

    OMB control number. 1. REPORT DATE 01 JAN 2015 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE Combat Related Facial Burns...facial autograft failure, number and types of early eyelid release procedures, rates of concomitant facial fractures, associated fungal infec- tion...allograft or autograft. In a pro- spective observational study examining the late out- comes of grafting of burned faces, the surgeon debrided the wound

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

    International Nuclear Information System (INIS)

    Fingas, M.F.

    2002-01-01

    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

  6. Evaluating Alternative Prescribed Burning Policies to Reduce Net Economic Damages from Wildfire

    OpenAIRE

    D. Evan Mercer; Jeffrey P. Prestemon; David T. Butry; John M. Pye

    2007-01-01

    We estimate a wildfire risk model with a new measure of wildfire output, intensity-weighted risk and use it in Monte Carlo simulations to estimate welfare changes from alternative prescribed burning policies. Using Volusia County, Florida as a case study, an annual prescribed burning rate of 13% of all forest lands maximizes net welfare; ignoring the effects on wildfire intensity may underestimate optimal rates of prescribed burning. Our estimated supply function for prescribed fire services ...

  7. Estudo da biópsia por agulha cortante no diagnóstico histopatológico de lesões bucais = Cutting needle biopsy study in histopathological diagnosis of oral lesions

    Directory of Open Access Journals (Sweden)

    Braga, Ana Maria Corrêa

    2005-01-01

    Full Text Available Objetivo: Estudar a eficácia da biópsia por agulha cortante (BAC no diagnóstico de lesões bucais localizadas em tecidos moles, indicadas para biópsia incisional ou excisional, em 21 pacientes, de ambos os sexos, com idades entre 18 e 80 anos. Materiais e métodos: Para a realização das biópsias foi utilizada uma agulha cortante de 18 Ga × 9 cm. Cada peça foi submetida a três disparos com a agulha obtendo-se três espécimes que após o processamento laboratorial, originaram três lâminas. Para as análises histopatológicas elaborou-se um questionário contendo duas perguntas sobre o diagnóstico dos espécimes que foi aplicado em dois momentos diferentes, com e sem a história clínica. As respostas do questionário, em ambas as etapas, foram comparadas com os diagnósticos conclusivos das peças cirúrgicas removidas anteriormente. Resultados: Os resultados foram elaborados conforme uma escala de valores e submetidos à análise estatística de McNemar, a um nível de significância de 5%. O número de acertos dos diagnósticos específicos obtidos com os espécimes da agulha cortante foi estatisticamente superior em relação ao número de erros. Observou-se também que o número de acertos foi maior quando o examinador respondeu ao questionário com o conhecimento da história clínica. Conclusão: A biópsia por agulha cortante mostrou-se eficaz na elaboração do diagnóstico histopatológico de lesões bucais

  8. Henslow's sparrow winter-survival estimates and response to prescribed burning

    Science.gov (United States)

    Thatcher, B.S.; Krementz, D.G.; Woodrey, M.S.

    2006-01-01

    Wintering Henslow's sparrow (Ammodramus henslowii) populations rely on lands managed with prescribed burning, but the effects of various burn regimes on their overwinter survival are unknown. We studied wintering Henslow's sparrows in coastal pine savannas at the Mississippi Sandhill Crane National Wildlife Refuge, Jackson County, Mississippi, USA, during January and February 2001 and 2002. We used the known-fate modeling procedure in program MARK to evaluate the effects of burn age (1 or 2 growing seasons elapsed), burn season (growing, dormant), and calendar year on the survival rates of 83 radiomarked Henslow's sparrows. We found strong evidence that Henslow's sparrow survival rates differed by burn age (with higher survival in recently burned sites) and by year (with lower survival rates in 2001 likely because of drought conditions). We found some evidence that survival rates also differed by bum season (with higher survival in growing-season sites), although the effects of burn season were only apparent in recently burned sites. Avian predation was the suspected major cause of mortality (causing 6 of 14 deaths) with 1 confirmed loggerhead shrike (Lanius ludovicianus) depredation. Our results indicated that recently burned savannas provide high-quality wintering habitats and suggested that managers can improve conditions for wintering Henslow's sparrows by burning a large percentage of savannas each year.

  9. 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...-SURFACE MINING ACTIVITIES § 816.87 Coal mine waste: Burning and burned waste utilization. (a) Coal mine... extinguishing operations. (b) No burning or burned coal mine waste shall be removed from a permitted disposal...

  10. Animal Models in Burn Research

    Science.gov (United States)

    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 various aspects of burn injury; to elucidate the pathophysiology and explore potential treatment interventions. Understanding the advantages and limitations of these animal models is essential for the design and development of treatments that are clinically relevant to humans. This review paper aims to highlight the common animal models of burn injury in order to provide investigators with a better understanding of the benefits and limitations of these models for translational applications. While many animal models of burn exist, we limit our discussion to the skin healing of mouse, rat, and pig. Additionally, we briefly explain hypermetabolic characteristics of burn injury and the animal model utilized to study this phenomena. Finally, we discuss the economic costs associated with each of these models in order to guide decisions of choosing the appropriate animal model for burn research. PMID:24714880

  11. Stem Cells in Burn Eschar

    NARCIS (Netherlands)

    van der Veen, V. C.; Vlig, M.; van Milligen-Kummer, F.J.; de Vries, S.I.; Middelkoop, E.; Ulrich, M.

    2012-01-01

    This study compares mesenchymal cells isolated from excised burn wound eschar with adipose-derived stem cells (ASCs) and dermal fibroblasts in their ability to conform to the requirements for multipotent mesenchymal stem cells (MSCs). A population of multipotent stem cells in burn eschar could be an

  12. Burning mouth syndrome: An update

    Directory of Open Access Journals (Sweden)

    Vijay Kumar Ambaldhage

    2015-01-01

    Full Text Available Burning mouth syndrome (BMS is characterized by an oral burning sensation in the absence of any organic disorders of the oral cavity. 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. It is observed principally in middle-aged patients and postmenopausal women and is characterized by an intense burning type of pain, preferably on the tongue and in other areas of the oral mucosa. 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. This article provides an overview of the literature on this syndrome with special reference to the etiological factors, clinical aspects, diagnostic criteria that should be followed and the therapeutic management with reference to the most recent studies.

  13. Burn mortality in patients with preexisting cardiovascular disease.

    Science.gov (United States)

    Knowlin, Laquanda; Reid, Trista; Williams, Felicia; Cairns, Bruce; Charles, Anthony

    2017-08-01

    Burn shock, a complex process, which develops following burn leads to severe and unique derangement of cardiovascular function. Patients with preexisting comorbidities such as cardiovascular diseases may be more susceptible. We therefore sought to examine the impact of preexisting cardiovascular disease on burn outcomes. A retrospective analysis of patients admitted to a regional burn center from 2002 to 2012. Independent variables analyzed included basic demographics, burn mechanism, presence of inhalation injury, TBSA, pre-existing comorbidities, and length of ICU/hospital stay. Bivariate analysis was performed and Poisson regression modeling was utilized to estimate the incidence of being in the ICU and mortality. There were a total of 5332 adult patients admitted over the study period. 6% (n=428) had a preexisting cardiovascular disease. Cardiovascular disease patients had a higher mortality rate (16%) compared to those without cardiovascular disease (3%, pwill likely be a greater number of individuals at risk for worse outcomes following burn. This knowledge can help with burn prognostication. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

  14. Epidemiology and mortality of 162 major burns in Kuwait.

    Science.gov (United States)

    Bang, R L; Ghoneim, I E

    1996-09-01

    The burns intensive care unit at IBN Sina Hospital reopened in July 1991, following the Iraqi occupation of Kuwait and the Gulf War. Epidemiology and mortality of 162 burn patients with 30 per cent and over total body surface area (TBSA) burns, treated from July 1991 to December 1994, is presented. There were 91 males and 71 females with a ratio of 1.3 to 1. The median age was 30 years (range 4 months to 93 years) and 44 per cent of the patients were 15-40 years of age. 124 (76.5 per cent) accidents occurred at home and the flame burn was the commonest involving 131 (80.9 per cent) patients. The median burn surface area was 45.5 per cent and the majority of them sustained deep burns. The hospital stay of the surviving patients ranged from 11 to 174 days (median 38 days), while the day of the death was from 1 to 134 days. Forty-six deaths represent an overall mortality rate of 28.4 per cent amongst our patients. All the patients whose Baux score was 130 and above died. Burn shock was responsible for 10 deaths, and out of them eight were not actively resuscitated due to high Baux score. Sixteen deaths occurred within 48 h postburn. Septicaemia and its related effects were responsible for the majority of the deaths.

  15. Fuel burning and climate

    International Nuclear Information System (INIS)

    Aunan, Kristin

    2004-01-01

    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

  16. Basic Burns Management E-Learning: A New Teaching Tool.

    Science.gov (United States)

    Egro, Francesco M

    Burns teaching is organized only in a few medical schools in the United Kingdom. An e-learning tutorial was developed with the objective of incorporating burns teaching within the medical school curriculum. A 33-webpage e-learning was created, covering topics such as local and general response to burns, assessment of burns, first aid, primary and secondary survey, and referral guidelines. Medical student satisfaction was then evaluated using a 12-question feedback survey rated based on a Likert scale from 1 (very poor) to 5 (very good). The 12-question survey was completed by a total of 18 medical students ranging from second to fourth years (second = 17%, third = 22%, fourth = 61%). While only a couple of students had received prior burns teaching, 50% of the cohort had an interest to pursue surgery as a career. The majority of students (72%) would be interested to have an e-learning module on basic burns management in their medical curriculum. The means of all domains specific to the e-learning were rated as "good" or "very good." Students' rating for ease of use was 87%, usefulness was 88%, relevance to the medical curriculum was 90%, clarity and quality of content were 78% and 83%, respectively, design was 79%, and the overall satisfaction with this e-learning was 87%. The "Basic Burns Management" e-learning tutorial can provide an efficient and effective means of information delivery to medical students and junior doctors, allowing easy and fast incorporation of burns teaching within the medical curriculum and in other medical teaching settings.

  17. Improved survival with an innovative approach to the treatment of severely burned patients: development of a burn treatment manual.

    Science.gov (United States)

    Morisada, S; Nosaka, N; Tsukahara, K; Ugawa, T; Sato, K; Ujike, Y

    2015-09-30

    The management of severely burned patients remains a major issue worldwide as indicated by the high incidence of permanent debilitating complications and poor survival rates. In April 2012, the Advanced Emergency & Critical Care Medical Center of the Okayama University Hospital began implementing guidelines for severely burned patients, distributed as a standard burn treatment manual. The protocol, developed in-house, was validated by comparing the outcomes of patients with severe extensive burns (SEB) treated before and after implementation of these new guidelines at this institution. The patients included in this study had a burn index (BI) ≥30 or a prognostic burn index (PBI = BI + patient's age) ≥100. The survival rate of the patients with BI ≥30 was 65.2% with the traditional treatment and 100% with the new guidelines. Likewise, the survival rate of the patients with PBI ≥100 was 61.1% with the traditional treatment compared to 100% with the new guidelines. Together, these data demonstrate that the new treatment guidelines dramatically improved the treatment outcome and survival of SEB patients.

  18. Burns injury in children: Is antibiotic prophylaxis recommended?

    Directory of Open Access Journals (Sweden)

    Jamila Chahed

    2014-01-01

    Full Text Available Background: Wound infection is the most frequent complication in burn patients. There is a lack of guidelines on the use of systemic antibiotics in children to prevent this complication. Patients and Methods: A prospective study is carried out on 80 patients to evaluate the role of antibiotic prophylaxis in the control of infections. Results: The mean age was 34 months (9 months to 8 years. There was a male predominance with sex ratio of 1.66. The mean burn surface size burn was 26.5% with total burn surface area ranging from 5% to 33%, respectively. According to American Burn Association 37% (30/80 were severe burns with second and third degree burns >10% of the total surface body area in children aged <10 years old. Scalds represented 76.2% (61/80 of the burns. Burns by hot oil were 11 cases (13.7%, while 8 cases (10% were flame burns. The random distribution of the groups was as follow: Group A (amoxicilline + clavulanic acid = 25 cases, Group B (oxacilline = 20 cases and Group C (no antibiotics = 35 cases. Total infection rate was 20% (16/80, distributed as follow: 8 cases (50% in Group C, 5 cases (31.2% in Group A and 3 cases in Group B (18.7%. Infection rate in each individual group was: 22.9% (8 cases/35 in Group C, 20% (5 cases/25 in Group A and 15% (3 cases/20 in Group B (P = 0.7. They were distributed as follow: Septicaemia 12 cases/16 (75%, wound infection 4 cases/16 (25%. Bacteria isolated were with a decreasing order: Staphylococcus aureus (36.3%, Pseudomonas (27.2%, Escherichia coli (18.1%, Klebsiella (9% and Enterobacteria (9%. There is a tendency to a delayed cicatrisation (P = 0.07 in case of hot oil burns (65.18 ± 120 days than by flame (54.33 ± 19.8 days than by hot water (29.55 ± 26.2 days. Otherwise no toxic shock syndrome was recorded in this study. Conclusion: It is concluded that adequate and careful nursing of burn wounds seems to be sufficient to prevent complications and to obtain cicatrisation. Antibiotics are

  19. Targeting burn prevention in Ukraine: evaluation of base knowledge in burn prevention and first aid treatment.

    Science.gov (United States)

    Gamelli, Liza; Mykychack, Iryna; Kushnir, Antin; Driscoll, Daniel N; Fuzaylov, Gennadiy

    2015-01-01

    Burn prevention has been identified by the World Health Organization (WHO) as a topic in need of further investigation and education throughout the world, with an increased need in low-income countries. It has been noted that implementing educational programs for prevention in high income countries has aided in lowering the rate of burn injuries. The purpose of this study is to evaluate the current education level of knowledge of prevention and first aid treatment of scald burns. A prevention campaign will target these educational needs as a part of an outreach program to improve burn care in Ukraine. The research team evaluated the current health structure in Ukraine and how it could benefit from the increased knowledge of burn prevention and first aid. A test was designed to assess the baseline level of knowledge with regard to first aid and scald prevention in parents, pregnant woman, and healthcare and daycare providers. A total of 14,456 tests were sent to pediatric clinics, obstetrician clinics, and daycare facilities to test respondents. A total of 6,120 completed tests were returned. Doctors presented with the highest level of knowledge averaging 77.0% on prevention and 67.5% on first aid while daycare workers presented the largest gap in knowledge at 65.0% in prevention and 54.3% in first aid. Interest in further educational materials was reported by 92% of respondents. The results of this study clearly show a lack of knowledge in first aid and prevention of scald burn injury in all the populations tested.

  20. Nuclear Burning Wave Modular Fast Reactor Concept

    International Nuclear Information System (INIS)

    Kodochigov, N.G.; Sukharev, Yu.P.

    2014-01-01

    The necessity to provide nuclear power industry, comparable in a scope with power industry based on a traditional fuel, inspired studies of an open-cycle fast reactor aimed at: - solution of the problem of fuel provision by implementing the highest breeding characteristics of new fissile materials of raw isotopes in a fast reactor and applying accumulated fissile isotopes in the same reactor, independently on a spent fuel reprocessing rate in the external fuel cycle; - application of natural or depleted uranium for makeup fuel, which, with no spent fuel reprocessing, forms the most favorable non-proliferation conditions; - application of inherent properties of the core and reactor for safety provision. The present report, based on previously published papers, gives the theoretical backgrounds of the concept of the reactor with a nuclear burning wave, in which an enriched-fuel core (driver) is replaced by a blanket, and basic conditions for nuclear burning wave initiating and keeping are shown. (author)

  1. Clinical outcome of patients with self-inflicted burns.

    Science.gov (United States)

    Cornet, P A; Niemeijer, A S; Figaroa, G D; van Daalen, M A; Broersma, T W; van Baar, M E; Beerthuizen, G I J M; Nieuwenhuis, M K

    2017-06-01

    Patients with self-inflicted burns (SIB) are thought to have a longer length of stay compared to patients with accidental burns. However, other predictors for a longer length of stay are often not taken into account, e.g. percentage of the body surface area burned, age or comorbidities. Therefore, we wanted to study the outcome of patients with SIB at our burn center. A retrospective, observational study was conducted. All adult patients with acute burns admitted to the burn center of the Martini Hospital Groningen, between January 1, 2009 and December 31, 2013 were included. Data on characteristics of the patient, injury, and outcome (LOS, mortality, discharge destination) were collected. In patients with SIB, suicide attempts (SA) were distinguished from self-harm without the intention to die (non-suicidal self-injury, NSSI). To evaluate differences in outcome, each patient with SIB was matched on variables and total score of the Abbreviated Burn Severity Index (ABSI) to a patient with accidental burns (AB). In total 29 admissions (21 SA and 8 NSSI) were due to SIB and 528 due to accidents. Overall, when compared to AB, there were significant differences with respect to mortality and LOS for SA and/or NSSI. Mortality was higher in the SA group, while the LOS was higher in both the SA and NSSI groups compared to the AB group. However, after matching on ABSI, no statistical significant differences between the SA and SA-match or the NSSI and NSSI-match group were found. With the right and timely treatment, differences in mortality rate or length of stay in hospital could all be explained by the severity of the burn and the intention of the patient. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  2. Contaminação tumoral em trajeto de biópsia de tumores ósseos malignos primários Tumor contamination in the biopsy path of primary malignant bone tumors

    Directory of Open Access Journals (Sweden)

    Marcelo Parente Oliveira

    2012-10-01

    Full Text Available OBJETIVO: Estudar os fatores possivelmente associados à contaminação tumoral do trajeto de biópsia de tumores ósseos malignos primários. MÉTODO: Foram estudados, retrospectivamente, 35 pacientes submetidos a tratamento cirúrgico com diagnóstico de osteossarcoma, tumor de Ewing e condrossarcoma. A amostra foi analisada para caracterização quanto à técnica de biópsia empregada, tipo histológico do tumor, realização de quimioterapia neoadjuvante, ocorrência de recidiva local e contaminação tumoral no trajeto da biópsia. RESULTADOS: Nos 35 pacientes avaliados ocorreram quatro contaminações (11,43%. Um caso era de osteossarcoma, dois casos de tumor de Ewing e um caso de condrossarcoma, não se observando associação entre o tipo de tumor e a presença de contaminação tumoral no trajeto da biópsia (p = 0,65. Também não se observou associação entre a presença de contaminação tumoral e a técnica de biópsia (p = 0,06. Por outro lado, observou-se associação entre a presença de contaminação tumoral e a ocorrência de recidiva local (p = 0,01 e entre a presença de contaminação e a não realização de quimioterapia neoadjuvante (p = 0,02. CONCLUSÃO: A contaminação tumoral no trajeto de biópsia de tumores ósseos malignos primários esteve associada à ocorrência de recidiva local. Por outro lado, não mostrou ser influenciada pelo tipo de biópsia realizada e pelo tipo histológico de tumor estudado. A quimioterapia neoadjuvante mostrou um efeito protetor contra esta complicação. A despeito desses achados, a contaminação tumoral é uma complicação que deve sempre ser considerada, sendo recomendada a remoção do trajeto da biópsia na cirurgia de ressecção do tumor.OBJECTIVE: To study factors possibly associated with tumor contamination in the biopsy path of primary malignant bone tumors. METHOD: Thirty-five patients who underwent surgical treatment with diagnoses of osteosarcoma, Ewing's tumor and

  3. 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

  4. Electroacupuncture improves burn-induced impairment in gastric motility mediated via the vagal mechanism in rats.

    Science.gov (United States)

    Song, J; Yin, J; Sallam, H S; Bai, T; Chen, Y; Chen, J D Z

    2013-10-01

    Delayed gastric emptying (GE) is common in patients with severe burns. This study was designed to investigate effects and mechanisms of electroacupuncture (EA) on gastric motility in rats with burns. Male rats (intact and vagotomized) were implanted with gastric electrodes, chest and abdominal wall electrodes for investigating the effects of EA at ST-36 (stomach-36 or Zusanli) on GE, gastric slow waves, autonomic functions, and plasma interleukin 6 (IL-6) 6 and 24 h post severe burns. (i) Burn delayed GE (P Electroacupuncture improved GE 6 and 24 h post burn (P Electroacupuncture improved burn-induced gastric dysrhythmia. The percentage of normal slow waves was increased with EA 6 and 24 h post burn (P = 0.02). (iii) Electroacupuncture increased vagal activity assessed by the spectral analysis of heart rate variability (HRV). The high-frequency component reflecting vagal component was increased with EA 6 (P = 0.004) and 24 h post burn (P = 0.03, vs sham-EA). (iv) Electroacupuncture attenuated burn-induced increase in plasma IL-6 at both 6 (P = 0.03) and 24 h post burn (P = 0.003). Electroacupuncture at ST-36 improves gastric dysrhythmia and accelerates GE in rats with burns. The improvement seems to be mediated via the vagal pathway involving the inflammatory cytokine IL-6. © 2013 John Wiley & Sons Ltd.

  5. Hair bleaching and skin burning

    OpenAIRE

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

    2012-01-01

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

  6. Emission factors from residential combustion appliances burning Portuguese biomass fuels.

    Science.gov (United States)

    Fernandes, A P; Alves, C A; Gonçalves, C; Tarelho, L; Pio, C; Schimdl, C; Bauer, H

    2011-11-01

    Smoke from residential wood burning has been identified as a major contributor to air pollution, motivating detailed emission measurements under controlled conditions. A series of experiments were performed to compare the emission levels from two types of wood-stoves to those of fireplaces. Eight types of biomass were burned in the laboratory: wood from seven species of trees grown in the Portuguese forest (Pinus pinaster, Eucalyptus globulus, Quercus suber, Acacia longifolia, Quercus faginea, Olea europaea and Quercus ilex rotundifolia) and briquettes produced from forest biomass waste. Average emission factors were in the ranges 27.5-99.2 g CO kg(-1), 552-1660 g CO(2) kg(-1), 0.66-1.34 g NO kg(-1), and 0.82-4.94 g hydrocarbons kg(-1) of biomass burned (dry basis). Average particle emission factors varied between 1.12 and 20.06 g kg(-1) biomass burned (dry basis), with higher burn rates producing significantly less particle mass per kg wood burned than the low burn rates. Particle mass emission factors from wood-stoves were lower than those from the fireplace. The average emission factors for organic and elemental carbon were in the intervals 0.24-10.1 and 0.18-0.68 g kg(-1) biomass burned (dry basis), respectively. The elemental carbon content of particles emitted from the energy-efficient "chimney type" logwood stove was substantially higher than in the conventional cast iron stove and fireplace, whereas the opposite was observed for the organic carbon fraction. Pinus pinaster, the only softwood species among all, was the biofuel with the lowest emissions of particles, CO, NO and hydrocarbons.

  7. Effects of burn wound excision on bacterial colonization and invasion

    NARCIS (Netherlands)

    Barret, JP; Herndon, DN

    Rates of survival after thermal injury have improved in the past two decades, and rates of wound infections and sepsis have decreased during the same period. Early excision has been advocated as one of the major factors, but its safety and efficacy and the exact timing of burn excision are still

  8. A burning question

    International Nuclear Information System (INIS)

    Lamb, Garth

    2010-01-01

    Converting unwanted biomass to fuel pellets four times denser than wood has local companies in Queensland, Australia excited. The well-tested 'old technology' of burning wood is going through a renaissance. There is a growing focus on producing high- density biomass pellets from feedstock that would otherwise be considered waste. Their uniform size reduces transport costs, the energy content varies, about 4-5MWh/tonne, compared to 2.8MWh/t for brown coal or 8.3MWh/t for black coal. The biomass estimates from sugarcane, other agricultural wastes and wood wastes suggest Australia has huge biomass resources, but whether or not Australia's political settings see the potential fulfilled is yet to be seen. Altus Renewables recently disclosed plans to build a biofuel pelletisation plant at Queensland's largest sawmill. Altus are very interested in the European market, the world's leading pellet consuming region, where according to the IEA, biomass represents 65% of the renewables. Cheap power provided by waste biomass could potentially power biomass converters, desalination plants, or even pump water inland to arid regions.

  9. Burning mouth syndrome.

    Science.gov (United States)

    Jääskeläinen, Satu K; Woda, Alain

    2017-06-01

    Objective To review the clinical entity of primary burning mouth syndrome (BMS), its pathophysiological mechanisms, accurate new diagnostic methods and evidence-based treatment options, and to describe novel lines for future research regarding aetiology, pathophysiology, and new therapeutic strategies. Description Primary BMS is a chronic neuropathic intraoral pain condition that despite typical symptoms lacks clear clinical signs of neuropathic involvement. With advanced diagnostic methods, such as quantitative sensory testing of small somatosensory and taste afferents, neurophysiological recordings of the trigeminal system, and peripheral nerve blocks, most BMS patients can be classified into the peripheral or central type of neuropathic pain. These two types differ regarding pathophysiological mechanisms, efficacy of available treatments, and psychiatric comorbidity. The two types may overlap in individual patients. BMS is most frequent in postmenopausal women, with general population prevalence of around 1%. Treatment of BMS is difficult; best evidence exists for efficacy of topical and systemic clonazepam. Hormonal substitution, dopaminergic medications, and therapeutic non-invasive neuromodulation may provide efficient mechanism-based treatments for BMS in the future. Conclusion We present a novel comprehensive hypothesis of primary BMS, gathering the hormonal, neuropathic, and genetic factors presumably required in the genesis of the condition. This will aid in future research on pathophysiology and risk factors of BMS, and boost treatment trials taking into account individual mechanism profiles and subgroup-clusters.

  10. Lawn mower-related burns.

    Science.gov (United States)

    Still, J; Orlet, H; Law, E; Gertler, C

    2000-01-01

    Lawn mower-related injuries are fairly common and are usually caused by the mower blades. Burns may also be associated with the use of power lawn mowers. We describe 27 lawn mower-related burn injuries of 24 male patients and 3 female patients. Three of the patients with burn injuries were children. Burn sizes ranged from 1% to 99% of the total body surface area (mean, 18.1%). Two of the patients died. The hospital stay ranged from 1 day to 45 days. Twenty-six injuries involved gasoline, which is frequently associated with refueling accidents. Safety measures should involve keeping children away from lawn mowers that are being used. The proper use and storage of gasoline is stressed.

  11. Modern management of paediatric burns

    African Journals Online (AJOL)

    2010-03-01

    Mar 1, 2010 ... an area of stasis where sluggish circulation and release of inflammatory mediators will .... way to estimate medium to large burns in patients older than 10 .... on day 1 decreases stress hormone release, improves nitrogen ...

  12. Preventing Burns in Your Home

    Science.gov (United States)

    ... clothing when you handle chemicals. Store chemicals, including gasoline, out of the reach of children. To prevent ... mild burn? What is the treatment for smoke inhalation? Resources American Red Cross, Home Fire Safety Centers ...

  13. Prescribed burning: a topical issue

    Directory of Open Access Journals (Sweden)

    Bovio G

    2013-11-01

    Full Text Available Prescribed burning is a promising technique for the prevention of forest fires in Italy. The research deepened several ecological and operative aspects. However, legal issues need to be thoroughly investigated.

  14. Burning mouth syndrome: Clinical dilemma?

    OpenAIRE

    Kanchan R Patil; R S Sathawane

    2008-01-01

    Burning Mouth Syndrome (BMS) is a chronic orofacial burning pain condition usually in the absence of clinical and laboratory findings that affects many adults worldwide, yet its etiology and treatment remain poorly understood. Though it has been associated with numerous oral and systemic conditions, there has been no clear consensus on its etiology, pathogenesis and treatment. As a result, patients with inexplicable oral complaints are often referred from one health care professional to anoth...

  15. 21 CFR 880.5180 - Burn sheet.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Burn sheet. 880.5180 Section 880.5180 Food and... Burn sheet. (a) Identification. A burn sheet is a device made of a porous material that is wrapped aroung a burn victim to retain body heat, to absorb wound exudate, and to serve as a barrier against...

  16. 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

  17. The effect of seasonality on burn incidence, severity and outcome in Central Malawi.

    Science.gov (United States)

    Tyson, Anna F; Gallaher, Jared; Mjuweni, Stephen; Cairns, Bruce A; Charles, Anthony G

    2017-08-01

    In much of the world, burns are more common in cold months. However, few studies have described the seasonality of burns in sub-Saharan Africa. This study examines the effect of seasonality on the incidence and outcome of burns in central Malawi. A retrospective analysis was performed at Kamuzu Central Hospital and included all patients admitted from May 2011 to August 2014. Demographic data, burn mechanism, total body surface area (%TBSA), and mortality were analyzed. Seasons were categorized as Rainy (December-February), Lush (March-May), Cold (June-August) and Hot (September-November). A negative binomial regression was used to assess the effect of seasonality on burn incidence. This was performed using both the raw and deseasonalized data in order to evaluate for trends not attributable to random fluctuation. A total of 905 patients were included. Flame (38%) and Scald (59%) burns were the most common mechanism. More burns occurred during the cold season (41% vs 19-20% in the other seasons). Overall mortality was 19%. Only the cold season had a statistically significant increase in burn . The incidence rate ratios (IRR) for the hot, lush, and cold seasons were 0.94 (CI 0.6-1.32), 1.02 (CI 0.72-1.45) and 1.6 (CI 1.17-2.19), respectively, when compared to the rainy season. Burn severity and mortality did not differ between seasons. The results of this study demonstrate the year-round phenomenon of burns treated at our institution, and highlights the slight predominance of burns during the cold season. These data can be used to guide prevention strategies, with special attention to the implications of the increased burn incidence during the cold season. Though burn severity and mortality remain relatively unchanged between seasons, recognizing the seasonal variability in incidence of burns is critical for resource allocation in this low-income setting. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

  18. Long term mortality in critically ill burn survivors.

    Science.gov (United States)

    Nitzschke, Stephanie; Offodile, Anaeze C; Cauley, Ryan P; Frankel, Jason E; Beam, Andrew; Elias, Kevin M; Gibbons, Fiona K; Salim, Ali; Christopher, Kenneth B

    2017-09-01

    Little is known about long term survival risk factors in critically ill burn patients who survive hospitalization. We hypothesized that patients with major burns who survive hospitalization would have favorable long term outcomes. We performed a two center observational cohort study in 365 critically ill adult burn patients who survived to hospital discharge. The exposure of interest was major burn defined a priori as >20% total body surface area burned [TBSA]. The modified Baux score was determined by age + %TBSA+ 17(inhalational injury). The primary outcome was all-cause 5year mortality based on the US Social Security Administration Death Master File. Adjusted associations were estimated through fitting of multivariable logistic regression models. Our final model included adjustment for inhalational injury, presence of 3rd degree burn, gender and the acute organ failure score, a validated ICU risk-prediction score derived from age, ethnicity, surgery vs. medical patient type, comorbidity, sepsis and acute organ failure covariates. Time-to-event analysis was performed using Cox proportional hazard regression. Of the cohort patients studied, 76% were male, 29% were non white, 14% were over 65, 32% had TBSA >20%, and 45% had inhalational injury. The mean age was 45, 92% had 2nd degree burns, 60% had 3rd degree burns, 21% received vasopressors, and 26% had sepsis. The mean TBSA was 20.1%. The mean modified Baux score was 72.8. Post hospital discharge 5year mortality rate was 9.0%. The 30day hospital readmission rate was 4%. Patients with major burns were significantly younger (41 vs. 47 years) had a significantly higher modified Baux score (89 vs. 62), and had significantly higher comorbidity, acute organ failure, inhalational injury and sepsis (all Pburns. In the multivariable logistic regression model, major burn was associated with a 3 fold decreased odds of 5year post-discharge mortality compared to patients with TBSAburn, gender and the acute organ failure score

  19. Treatment of Palm Burns in Children

    OpenAIRE

    Argirova, M.; Hadzhiyski, O.

    2005-01-01

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

  20. [Effect of prescribed burning on grassland nitrogen gross mineralization and nitrification].

    Science.gov (United States)

    Li, Yuzhong; Zhu, Tingcheng; Li, Jiandong; Zhou, Daowei

    2003-02-01

    The seasonal dynamics of nitrogen gross mineralization, nitrification, and mineral nitrogen consumption rates in burned and unburned Leymus chinensis grasslands were studied with 15N pool dilution technique. The results indicated that the gross mineralization and nitrification rates in burned area were higher than those in unburned area in April and May, and lower than those in unburned area in September. NH4(+)-N consumption rates were higher than unburned area in April and May, and lower in September. NO3(-)-N consumption rates were higher than control in April and May, and lower than control in July and September. The NH4(+)-N concentrations were higher in burned area in April, May and July, and no difference in September. NO3(-)-N concentrations were no difference between burned and unburned areas in April and May, and higher in burned areas in July and September.

  1. Childhood burns in Sulaimaniyah province, Iraqi Kurdistan: a prospective study of admissions and outpatients.

    Science.gov (United States)

    Othman, Nasih; Kendrick, Denise; Al-Windi, Ahmad

    2015-03-01

    While it is globally observed that young children are at a higher risk of burn injuries, little is known about childhood burns in Iraqi Kurdistan. This study was undertaken to describe the epidemiology of burns amongst pre-school children in this region. A prospective study was undertaken from November 2007 to November 2008 involving all children aged 0-5 years attending the burns centre in Sulaimaniyah province for a new burn injury whether treated as an outpatient or admitted to hospital. 1,122 children attended the burns centre of whom 944 (84%) were interviewed (male 53%, female 47%). Mean age was 1.9 years with children aged 1 year comprising 32% and those aged 2 years comprising 21% of the sample. The incidence of burns was 1044/100,000 person-years (1030 in females and 1057 in males). Mechanisms of injury included scalds (80%), contact burns (12%) flames (6%) and other mechanisms (2%). Almost 97% of burns occurred at home including 43% in the kitchen. Winter was the commonest season (36%) followed by autumn (24%). There were 3 peak times of injury during the day corresponding to meal times. The majority of burns were caused by hot water (44%) and tea (20%) and the most common equipment/products responsible were tea utensils (41%). There were 237 admissions with an admission rate of 95 per 100,000 person-years. Scald injuries accounted for most admissions (84%). Median total body surface area affected by the burn or scald (TBSA) was 11% and median hospital stay was 7 days. In-hospital mortality was 8%. Mortality rate was 4% when TBSA was ≤25%, and 100% when TBSA was over 50%. Burn incidence is high in young children especially those aged 1-2 years. Preventive interventions targeted at families with young children & focusing on home safety measures could be effective in reducing childhood burns. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  2. 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...-UNDERGROUND MINING ACTIVITIES § 817.87 Coal mine waste: Burning and burned waste utilization. (a) Coal mine... extinguishing operations. (b) No burning or unburned coal mine waste shall be removed from a permitted disposal...

  3. Burn Depth Estimation Using Thermal Excitation and Imaging

    Energy Technology Data Exchange (ETDEWEB)

    Dickey, F.M.; Holswade, S.C.; Yee, M.L.

    1998-12-17

    Accurate estimation of the depth of partial-thickness burns and the early prediction of a need for surgical intervention are difficult. A non-invasive technique utilizing the difference in thermal relaxation time between burned and normal skin may be useful in this regard. In practice, a thermal camera would record the skin's response to heating or cooling by a small amount-roughly 5{degrees} Celsius for a short duration. The thermal stimulus would be provided by a heat lamp, hot or cold air, or other means. Processing of the thermal transients would reveal areas that returned to equilibrium at different rates, which should correspond to different burn depths. In deeper thickness burns, the outside layer of skin is further removed from the constant-temperature region maintained through blood flow. Deeper thickness areas should thus return to equilibrium more slowly than other areas. Since the technique only records changes in the skin's temperature, it is not sensitive to room temperature, the burn's location, or the state of the patient. Preliminary results are presented for analysis of a simulated burn, formed by applying a patch of biosynthetic wound dressing on top of normal skin tissue.

  4. Impact of deforestation on biomass burning in the tropics

    International Nuclear Information System (INIS)

    Hao, W.M.; Liu, M.H.; Ward, D.E.

    1994-01-01

    Fires are widely used for various land use practices in tropical countries. Large amounts of trace gases and aerosol particles are produced during the fires. It is important to assess the potential impact of these gases and particulate matter on the chemistry of the atmosphere and global climate. One of the largest uncertainties in quantifying the effects is the lack of information on the source strengths. The authors quantify the amount of biomass burned due to deforestation in each tropical country on basis of the deforestation rate, the above ground density, and the fraction of above ground biomass burned. Approximately 725 Tg of biomass were burned in 1980 and 984 Tg were burned in 1990. The 36% increase took place mostly in Latin America and tropical Asia. The largest source was Brazil, contributing about 29% of the total biomass burned in the tropics. The second largest source was Indonesia accounting for 10%, followed by Zaire accounting for about 8%. The burning of biomass due to increased deforestation has resulted in an additional 33 Tg CO and 2.5 Tg CH 4 emitted annually to the atmosphere from 1980 to 1990

  5. MSFR TRU-burning potential and comparison with an SFR

    Energy Technology Data Exchange (ETDEWEB)

    Fiorina, C.; Cammi, A. [Politecnico di Milano: Via La Masa 34, 20136 Milan (Italy); Franceschini, F. [Westinghouse Electric Company LL: 1000 Westinghouse Dr., Cranberry Township, PA 16066 (United States); Krepel, J. [Paul Scherrer Institut - PSI WEST, 5234 Villigen (Switzerland)

    2013-07-01

    The objective of this work is to evaluate the Molten Salt Fast Reactor (MSFR) potential benefits in terms of transuranics (TRU) burning through a comparative analysis with a sodium-cooled FR. The comparison is based on TRU- and MA-burning rates, as well as on the in-core evolution of radiotoxicity and decay heat. Solubility issues limit the TRU-burning rate to 1/3 that achievable in traditional low-CR FRs (low-Conversion-Ratio Fast Reactors). The softer spectrum also determines notable radiotoxicity and decay heat of the equilibrium actinide inventory. On the other hand, the liquid fuel suggests the possibility of using a Pu-free feed composed only of Th and MA (Minor Actinides), thus maximizing the MA burning rate. This is generally not possible in traditional low-CR FRs due to safety deterioration and decay heat of reprocessed fuel. In addition, the high specific power and the lack of out-of-core cooling times foster a quick transition toward equilibrium, which improves the MSFR capability to burn an initial fissile loading, and makes the MSFR a promising system for a quick (i.e., in a reactor lifetime) transition from the current U-based fuel cycle to a novel closed Th cycle. (authors)

  6. Freqüência de Candida sp. em biópsias de lesões da mucosa bucal The frequency of Candida sp. in biopsies of oral mucosal lesions

    Directory of Open Access Journals (Sweden)

    Luís Carlos Spolidorio

    2003-03-01

    Full Text Available O objetivo desse trabalho foi determinar a freqüência da infecção por Candida sp. em biópsias de lesões da mucosa bucal, assim como associar a presença de Candida sp. com lesões malignas e lesões com vários graus de displasia. Foram utilizadas 832 biópsias da mucosa bucal, previamente incluídas em parafinas, cujos blocos foram obtidos dos arquivos da Disciplina de Patologia da Faculdade de Odontologia de Araraquara da UNESP, no período entre 1990-2001. Três cortes seqüenciais foram corados pelo ácido periódico de Schiff (PAS. Do total de biópsias 27,2% foram PAS positivas, dessas 83,25% eram provenientes de pacientes do sexo masculino. Houve associação positiva entre infecção com displasia epitelial leve, moderada, severa, carcinoma espinocelular e hiperqueratose (p Candidosis is the most common fungal infection in the oral cavity, and is usually associated with local and systemic predisposing factors. The ocurrence and relevance of Candidal infection in oral lesions such as liquen planus, leukoplakias and carcinomas are still to be understood. The aim of the present study was to define the frequency of infection by Candida sp. on biopsies of oral mucosal lesions and associate its presence with malignant and dysplastic lesions. Histopathology reports issued between 1990 and 2001 inclusive were reviewed. Three sections of each mucosal biopsy were stained using the periodic acid-Schiff (PAS technique. From the 832 biopsies 27.2% were PAS positive, of which 83.25% were obtained from male patients. There was positive association between fungic infection and mild, moderate and severe epithelial dysplasia, squamous cell carcinoma and hiperqueratosis (p < 0.05. There was no association between fungic infection and inflammatory fibrous hyperplasia, hyperkeratosis, lichen planus and pyogenic granuloma (p < 0.05. The frequency of infection in the tongue was significantly higher (p < 0.05 than in the other sites. Our results do not

  7. Biópsia percutânea de lesões ósseas guiada por tomografia computadorizada: taxas de definição diagnóstica e complicações

    Directory of Open Access Journals (Sweden)

    Macello Jose Sampaio Maciel

    2014-10-01

    Full Text Available Objetivo: Determinar taxas de definição diagnóstica e complicações da biópsia percutânea guiada por tomografia computadorizada (TC de lesões ósseas suspeitas de malignidade. Materiais e Métodos: Estudo retrospectivo que incluiu 186 casos de biópsia percutânea guiada por TC de lesões ósseas no período de janeiro de 2010 a dezembro de 2012. Todas as amostras foram obtidas usando agulhas de 8 a 10 gauge. Foram coletados dados demográficos, história de neoplasia maligna prévia, dados relacionados à lesão, ao procedimento e ao resultado histológico. Resultados: A maioria dos pacientes era do sexo feminino (57% e a idade média foi 53,0 ± 16,4 anos. Em 139 casos (74,6% a suspeita diagnóstica era metástase e os tumores primários mais comuns foram de mama (32,1% e próstata (11,8%. Os ossos mais envolvidos foram coluna vertebral (36,0%, bacia (32,8% e ossos longos (18,3%. Houve complicações em apenas três pacientes (1,6%, incluindo uma fratura, um caso de parestesia com comprometimento funcional e uma quebra da agulha necessitando remoção cirúrgica. Amostras de 183 lesões (98,4% foram consideradas adequadas para diagnóstico. Resultados malignos foram mais frequentes nos pacientes com suspeita de lesão secundária e história de neoplasia maligna conhecida (p < 0,001 e nos procedimentos orientados pela PET/CT (p = 0,011. Conclusão: A biópsia percutânea guiada por TC é segura e eficaz no diagnóstico de lesões ósseas suspeitas.

  8. Hormônio folículo estimulante como preditor do achado de espermatozóides móveis na biópsia testicular de casos de azoospermia

    Directory of Open Access Journals (Sweden)

    Souza Carlos Augusto Bastos de

    2003-01-01

    Full Text Available OBJETIVO: Determinar fatores preditivos do achado de espermatozóides móveis em casos de azoospermia. MÉTODOS: Sessenta pacientes com diagnóstico de azoospermia tiveram avaliado seu volume testicular e dosagens séricas de hormônio folículo estimulante (FSH, hormônio luteinizante (LH, prolactina e testosterona. Os pacientes foram submetidos à biópsia testicular bilateral com anestesia local. As amostras obtidas foram submetidas à avaliação no laboratório de biologia de reprodução, sendo classificadas em: ausência de espermatozóides, presença de espermatozóides móveis e imóveis, e à avaliação histológica. Foram comparados: idade, valores hormonais, volume testicular e histologia com o achado de espermatozóides móveis. Foi considerado significativo um P < 0,05. RESULTADOS: Quarenta e cinco pacientes possuíam azoospermia não-obstrutiva. Foi encontrada uma diferença significativa entre os grupos com achado de espermatozóides móveis e o grupo com ausência de espermatozóides quanto aos valores de FSH (P=0,037 ANOVA one-way. Foi construída uma curva ROC que determinou valores abaixo de 16,05 UI/L (sensibilidade de 76,2%, especificidade de 67,7% como preditivos do achado de espermatozóides móveis. Não foram encontradas outras diferenças estatísticas. CONCLUSÕES: O FSH possui boa acurácia na determinação da presença de espermatozóides móveis na biópsia testicular de pacientes azoospérmicos. O exame físico, os valores de testosterona, LH e prolactina não podem ser utilizados na predição do sucesso da biópsia testicular para fins de reprodução assistida.

  9. Impact of managed moorland burning on peat nutrient and base cation status

    Science.gov (United States)

    Palmer, Sheila; Gilpin, Martin; Wearing, Catherine; Johnston, Kerrylyn; Holden, Joseph; Brown, Lee

    2013-04-01

    Controlled 'patch' burning of moorland vegetation has been used for decades in the UK to stimulate growth of heather (Calluna vulgaris) for game bird habitat and livestock grazing. Typically small patches (300-900 m2) are burned in rotations of 8-25 years. However, our understanding of the short-to-medium term environmental impacts of the practice on these sensitive upland areas has so far been limited by a lack of scientific data. In particular the effect of burning on concentrations of base cations and acid-base status of these highly organic soils has implications both for ecosystem nutrient status and for buffering of acidic waters. As part of the EMBER project peat chemistry data were collected in ten upland blanket peat catchments in the UK. Five catchments were subject to a history of prescribed rotational patch burning. The other five catchments acted as controls which were not subject to burning, nor confounded by other detrimental activities such as drainage or forestry. Soil solution chemistry was also monitored at two intensively studied sites (one regularly burned and one control). Fifty-centimetre soil cores, sectioned into 5-cm intervals, were collected from triplicate patches of four burn ages at each burned site, and from twelve locations at similar hillslope positions at each control site. At the two intensively monitored sites, soil solution chemistry was monitored at four depths in each patch. Across all sites, burned plots had significantly smaller cation exchange capacities, lower concentrations of exchangeable base cations and increased concentrations of exchangeable H+ and Al3+ in near-surface soil. C/N ratios were also lower in burned compared to unburned surface soils. There was no consistent trend between burn age and peat chemistry across all burned sites, possibly reflecting local controls on post-burn recovery rates or external influences on burn management decisions. At the intensively monitored site, plots burned less than two years

  10. Spread and burning behavior of continuous spill fires

    DEFF Research Database (Denmark)

    Zhao, Jinlong; Huang, Hong; Jomaas, Grunde

    2017-01-01

    Spill fire experiments with continuous discharge on a fireproof glass sheet were conducted to improve the understanding of spill fire spread and burning. Ethanol was used as the fuel and the discharge rate was varied from 2.8. mL/s to 7.6. mL/s. Three ignition conditions were used...... in the experiments; no ignition, instantaneous ignition and delayed ignition. The spread rate, regression rate, penetrated thermal radiation and the temperature of the bottom glass were analyzed. The experiments clearly show the entire spread process for spill fires. Further, the regression rate of spill fires...... at the quasi-steady burning was lower than that of pool fires and the ratio of the spill fires' regression rate to the pool fires' regression rate was found to be approximately 0.89. With respect to the radiative penetration and the heat conduction between the fuel layer and the glass, a regression rate...

  11. Safety and potential anticoagulant effects of nebulised heparin in burns patients with inhalational injury at Singapore General Hospital Burns Centre.

    Science.gov (United States)

    Yip, Lian Yee; Lim, Yen Fang; Chan, Hong Ngee

    2011-11-01

    Nebulised heparin, N-acetylcysteine (NAC) and salbutamol were shown to decrease reintubation rates, incidence of atelectasis and mortality in paediatric patients and reduce lung injury scores in adult burns patients with inhalational lung injury (ILI). Nebulised heparin, NAC and salbutamol treatment protocol was introduced in Singapore General Hospital (SGH) Burns Centre in 2006. However, safety data on the use of nebulised heparin and NAC for burns patients with ILI is not well established. In this study, we investigated the safety and potential anticoagulant effects of nebulised heparin in burns patients with ILI. A retrospective study with historical control was conducted. The treatment group consisted of 52 mechanically ventilated adult patients, with a diagnosis of ILI as confirmed by bronchoscopy, admitted to burn intensive care unit (BICU) from the year 2006 to 2009. The group was treated with nebulised heparin, NAC and salbutamol. The control group consists of 11 mechanically ventilated BICU ILI patients treated from year 2001 to 2005 before protocol initiation. Blood coagulation indices (prothrombin time (PT), activated partial thromboplastin time (APTT) and platelet count) were monitored and bleeding incidences were assessed. Blood coagulation indices did not suggest an increase risk of bleeding with nebulised heparin. The APTT, PT and platelet count followed a similar trend for both groups over 7 days. No clinically significant increase in bleeding risk was found to be associated with nebulised heparin. Nebulised heparin was not found to potentiate the risk of bleeding in burns patients with ILI. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

  12. Impact of a Newly Implemented Burn Protocol on Surgically Managed Partial Thickness Burns at a Specialized Burns Center in Singapore.

    Science.gov (United States)

    Tay, Khwee-Soon Vincent; Chong, Si-Jack; Tan, Bien-Keem

    2016-03-01

    This study evaluated the impact of a newly implemented protocol for superficial to mid-dermal partial thickness burns which involves early surgery and rapid coverage with biosynthetic dressing in a specialized national burns center in Singapore. Consecutive patients with 5% or greater total body surface area (TBSA) superficial to mid-dermal partial thickness burns injury admitted to the Burns Centre at the Singapore General Hospital between August and December 2014 for surgery within 48 hours of injury were prospectively recruited into the study to form the protocol group. Comparable historical cases from the year 2013 retrieved from the burns center audit database were used to form the historical control group. Demographics (age, sex), type and depth of burns, %TBSA burnt, number of operative sessions, and length of stay were recorded for each patient of both cohorts. Thirty-nine burns patients managed under the new protocol were compared with historical control (n = 39) comparable in age and extensiveness of burns. A significantly shorter length of stay (P burns was observed in the new protocol group (0.74 day/%TBSA) versus historical control (1.55 day/%TBSA). Fewer operative sessions were needed under the new protocol for burns 10% or greater TBSA burns (P protocol for surgically managed burns patients which involves early surgery and appropriate use of biosynthetic dressing on superficial to mid-dermal partial thickness burns. Clinically, shorter lengths of stay, fewer operative sessions, and decreased need for skin grafting of burns patient were observed.

  13. Comparing the reported burn conditions for different severity burns in porcine models: a systematic review.

    Science.gov (United States)

    Andrews, Christine J; Cuttle, Leila

    2017-12-01

    There are many porcine burn models that create burns using different materials (e.g. metal, water) and different burn conditions (e.g. temperature and duration of exposure). This review aims to determine whether a pooled analysis of these studies can provide insight into the burn materials and conditions required to create burns of a specific severity. A systematic review of 42 porcine burn studies describing the depth of burn injury with histological evaluation is presented. Inclusion criteria included thermal burns, burns created with a novel method or material, histological evaluation within 7 days post-burn and method for depth of injury assessment specified. Conditions causing deep dermal scald burns compared to contact burns of equivalent severity were disparate, with lower temperatures and shorter durations reported for scald burns (83°C for 14 seconds) compared to contact burns (111°C for 23 seconds). A valuable archive of the different mechanisms and materials used for porcine burn models is presented to aid design and optimisation of future models. Significantly, this review demonstrates the effect of the mechanism of injury on burn severity and that caution is recommended when burn conditions established by porcine contact burn models are used by regulators to guide scald burn prevention strategies. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  14. The effect of family characteristics on the recovery of burn injuries in children.

    Science.gov (United States)

    Sheridan, Robert L; Lee, Austin F; Kazis, Lewis E; Liang, Matthew H; Li, Nien-Chen; Hinson, Michelle I; Bauk, Helena; Meyer, Walter J; Stubbs, Teresa K; Palmieri, Tina L; Tompkins, Ronald G

    2012-09-01

    Interactions between family members and characteristics of family life and function may affect a child's recovery from burn injury. We prospectively examined the relationship between family characteristics and physical and psychosocial recovery from burns. The families of 399 burned children aged 5 years to 18 years admitted to one of four Shriners Hospitals for Children for management of acute burns completed the Family Environment Scale within 7 days of admission and then the American Burn Association/Shriners Hospitals for Children Burn Outcome Questionnaire (BOQ) at baseline, 3, 6, 12, 18, 24, 36, and 48 months. Generalized estimating equations with random effects for the time since burn were used to track recovery of the BOQ patient-centered domains associated with baseline family characteristics during the course of the study. The children had a mean age of 11 years and burn size of 32% total body surface area burned. Higher Family Environment Scale scores in cohesion, independence, organization, and active recreational orientation were associated with significantly better rates of recovery in multiple BOQ domains of health-related quality of life. Higher scores in conflict and achievement orientation predicted statistically significant impaired recovery. Higher expressiveness predicted greater difficulty with school reentry. Family characteristics affect the recovery of children after serious burns. Some of these may be amenable to focused anticipatory family interventions to help optimize outcomes. In particular, those characteristics that impair school reentry should be targeted.

  15. The epidemiology of burns in young children from Mexico treated at a U.S. hospital.

    Science.gov (United States)

    Patel, Dipen D; Rosenberg, Laura; Rosenberg, Marta; Leal, Jesus; Andersen, Clark R; Foncerrada, Guillermo; Lee, Jong O; Jimenez, Carlos J; Branski, Ludwik; Meyer, Walter J; Herndon, David N

    2016-12-01

    Young children are the most vulnerable for sustaining burns. At this pediatric burn hospital we have provided medical care to young children with severe burns from Mexico for many years. This study identified modifiable risk factors that could be used to assist in prevention of burns in this age group. A retrospective chart review was performed with children Mexico who were injured from 2000 to 2013. The medical records of 447 acute patients were reviewed. There were 187 females and 260 males with large burns >20% total body surface area (TBSA) burned. Primary causes of burns were flame and scalds. Children with flame injuries were older (3.0±1.5 years of age) than those with scalds (2.6±1.2 years of age). Admissions attributed to flame burns were largely from explosions by propane tanks, gas line leaks, and house fires. Most admissions for scalds were predominantly from falling in large containers of hot water, food, or grease; and fewer were attributed to spills from hot liquids. Most cases reported to a social service agency were to find resources for families. Mortality rate for flame and scald burns was low. It is important take into account demographic, cultural, and socioeconomic variables when developing and implementing prevention programs. Burn prevention instruction for parents is crucial. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  16. [Current situation and reflection on the prevention and treatment of burns in the elderly].

    Science.gov (United States)

    Zhang, J P; Huang, Y S

    2017-09-20

    With ageing of the population, it is estimated that the percentage of old people aged above 65 years old will be approached to 30% in China by 2035. This presents a considerable challenge to geriatric burn treatment, as elderly burn patients have more serious injuries, longer hospital lengths of stay, and higher rates of complications and mortality. In this article, we analyze the current status of burns in the elderly in China and the factors contributing to the outcome of the elderly, and put forward therapeutic strategies so as to improve the level of prevention and treatment of burns in the elderly.

  17. A One-Dimensional Global-Scaling Erosive Burning Model Informed by Blowing Wall Turbulence

    Science.gov (United States)

    Kibbey, Timothy P.

    2014-01-01

    A derivation of turbulent flow parameters, combined with data from erosive burning test motors and blowing wall tests results in erosive burning model candidates useful in one-dimensional internal ballistics analysis capable of scaling across wide ranges of motor size. The real-time burn rate data comes from three test campaigns of subscale segmented solid rocket motors tested at two facilities. The flow theory admits the important effect of the blowing wall on the turbulent friction coefficient by using blowing wall data to determine the blowing wall friction coefficient. The erosive burning behavior of full-scale motors is now predicted more closely than with other recent models.

  18. Vigilância de óbitos infantis em sistemas locais de saúde: avaliação da autópsia verbal e das informações de agentes de saúde

    Directory of Open Access Journals (Sweden)

    Barrêto Ivana C. H. C.

    2000-01-01

    Full Text Available Conhecer os eventos vitais de uma população é de fundamental importância para combater a morbimortalidade e melhorar as condições de vida. Contudo, no Brasil, os sistemas de informação de saúde têm-se mostrado ineficientes. No presente estudo, realizado em três municípios do Estado do Ceará (Quixadá, Icapuí e Jucás, com boa cobertura de serviços de atenção primária à saúde, foram investigados, através de um instrumento epidemiológico denominado autópsia verbal, 215 óbitos de crianças menores de 1 ano de idade, representando 90% do total dos óbitos em 1993 e 1994. Foram averiguadas as características socioeconômicas, cuidados e higiene, estado nutricional, o processo de doença, assistência e morte, a causa básica do óbito e o funcionamento do sistema de informação sobre mortalidade e do sistema de informação de agentes de saúde. Segundo a autópsia verbal, 39% dos óbitos tiveram como causa básica a diarréia, seguida da prematuridade (17% e infecção respiratória aguda (10%; 49% das crianças morreram no domicílio, embora 79% das famílias tenham procurado os serviços de saúde no decorrer da doença fatal, sugerindo uma baixa efetividade na identificação e no tratamento de lactentes com doenças graves. Em 84% dos casos, a família procurou a rezadeira. Os agentes de saúde foram procurados em 29% dos casos, embora tenham notificado 78% dos óbitos investigados. A concordância estatística entre diagnóstico dos agentes de saúde para a causa básica do óbito e autópsia verbal foi boa para a diarréia, regular para outras causas, e fraca para a infecção respiratória aguda. A incorporação da autópsia verbal à rotina dos serviços de atenção primária à saúde do Estado propiciaria informações valiosas para as equipes locais de saúde e geraria uma consciência crítica que favorece a redução da mortalidade infantil.

  19. Vigilância de óbitos infantis em sistemas locais de saúde: avaliação da autópsia verbal e das informações de agentes de saúde

    Directory of Open Access Journals (Sweden)

    Ivana C. H. C. Barrêto

    2000-05-01

    Full Text Available Conhecer os eventos vitais de uma população é de fundamental importância para combater a morbimortalidade e melhorar as condições de vida. Contudo, no Brasil, os sistemas de informação de saúde têm-se mostrado ineficientes. No presente estudo, realizado em três municípios do Estado do Ceará (Quixadá, Icapuí e Jucás, com boa cobertura de serviços de atenção primária à saúde, foram investigados, através de um instrumento epidemiológico denominado autópsia verbal, 215 óbitos de crianças menores de 1 ano de idade, representando 90% do total dos óbitos em 1993 e 1994. Foram averiguadas as características socioeconômicas, cuidados e higiene, estado nutricional, o processo de doença, assistência e morte, a causa básica do óbito e o funcionamento do sistema de informação sobre mortalidade e do sistema de informação de agentes de saúde. Segundo a autópsia verbal, 39% dos óbitos tiveram como causa básica a diarréia, seguida da prematuridade (17% e infecção respiratória aguda (10%; 49% das crianças morreram no domicílio, embora 79% das famílias tenham procurado os serviços de saúde no decorrer da doença fatal, sugerindo uma baixa efetividade na identificação e no tratamento de lactentes com doenças graves. Em 84% dos casos, a família procurou a rezadeira. Os agentes de saúde foram procurados em 29% dos casos, embora tenham notificado 78% dos óbitos investigados. A concordância estatística entre diagnóstico dos agentes de saúde para a causa básica do óbito e autópsia verbal foi boa para a diarréia, regular para outras causas, e fraca para a infecção respiratória aguda. A incorporação da autópsia verbal à rotina dos serviços de atenção primária à saúde do Estado propiciaria informações valiosas para as equipes locais de saúde e geraria uma consciência crítica que favorece a redução da mortalidade infantil.

  20. Doenças pulmonares intersticiais: Acuidade diagnóstica e riscos da biópsia pulmonar cirúrgica Interstitial lung disease: Diagnostic accuracy and safety of surgical lung biopsy

    Directory of Open Access Journals (Sweden)

    Miguel Guerra

    2009-05-01

    Full Text Available Os autores descrevem a sua casuística de biópsias pulmonares cirúrgicas em doentes com doença pulmonar intersticial, de forma a determinar a acuidade diagnóstica, os riscos e a morbimortalidade associados ao procedimento. Entre Janeiro de 1998 e Dezembro de 2007, 53 doentes (idade média de 47,2±13 anos foram referenciados para a realização de biópsia pulmonar cirúrgica, dos quais 22 eram mulheres (41,5%. As biópsias pulmonares foram realizadas quer por videotoracoscopia (37 doentes, 69,8%, quer por minitoracotomia (16 doentes, 30,2%. Foi escolhido o pulmão direito para biopsar em 88,7% dos casos. Registaram-se complicações pós-operatórias em 5 doentes (9,4%: fuga aérea prolongada em 3 doentes (5,7%, persistência de loca de pneumotórax num doente (1,9% e hemorragia com necessidade de revisão de hemostase noutro doente (1,9%. Ocorreu um óbito de causa desconhecida num doente sem risco acrescido. A duração média da drenagem foi de 4,4±3 dias e o tempo de internamento médio de 5,5±4 dias. O diagnóstico histológico definitivo foi conseguido em 50 doentes, registando-se uma acuidade diagnóstica de 94,3%. Em conclusão, o potencial benefício de um diagnóstico histopatológico conclusivo através de uma biópsia pulmonar cirúrgica deve ser balanceado com os riscos associados ao procedimento cirúrgico, especialmente para aqueles doentes com disfunção cardiopulmonar severa.This study reports our experience, diagnostic accuracy and safety of surgical lung biopsy in patients with interstitial lung diseases. From January 1998 – December 2007 surgical lung biopsy was performed in 53 patients (22 female [41.5%]; age 47.2±13 years. A total of 37 patients (69.8% underwent videothoracoscopic lung biopsy and minithoracotomy was performed in 16 patients (30.2%. Right lung was the choice in 47 patients (88.7%. Postoperative complications were rare (9.4% and included three prolonged air leaks (5.7%, one pneumothorax requiring a

  1. Burning mouth syndrome: Current concepts

    Directory of Open Access Journals (Sweden)

    Cibele Nasri-Heir

    2015-01-01

    Full Text Available 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.

  2. 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.

  3. Telemedicine and burns: an overview.

    Science.gov (United States)

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

    2014-06-30

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

  4. Introduction to burning plasma physics

    International Nuclear Information System (INIS)

    Momota, Hiromu

    1982-01-01

    The free energy of fusion-produced charged particles, the critical plasma Q-value for the thermal instability, and the Cherenkov's emission are discussed. The free energy of fusion-produced charged particles is large even in DT burning plasma. The primary role of fusion-produced energetic charged particles is the heating of fuel plasma. If the charged particle heating is large, burning may be thermally unstable. A zero dimensional analysis shows that the critical plasma Q-values for this thermal instability are nearly 5 for DT burning plasma of 14 keV and 1.6 for D-He 3 burning plasma of 60 keV. These critical plasma Q-values are small as compared to that required for commercial reactors. Then, some methods of burning-control should be introduced to fusion plasma. Another feature of energetic charged particles may be Cherenkov's emission of various waves in fusion plasma. The relationship between this micro-instability and transport phenomena may be the important problem to be clarified. The fusion-produced energetic charged particles have large Larmor radii, and they may have effects on balooning mode instability. (Kato, T.)

  5. Effects of burn location and investigator on burn depth in a porcine model.

    Science.gov (United States)

    Singer, Adam J; Toussaint, Jimmy; Chung, Won Taek; Thode, Henry C; McClain, Steve; Raut, Vivek

    2016-02-01

    In order to be useful, animal models should be reproducible and consistent regardless of sampling bias, investigator creating burn, and burn location. We determined the variability in burn depth based on biopsy location, burn location and investigator in a porcine model of partial thickness burns. 24 partial thickness burns (2.5 cm by 2.5 cm each) were created on the backs of 2 anesthetized pigs by 2 investigators (one experienced, one inexperienced) using a previously validated model. In one of the pigs, the necrotic epidermis covering each burn was removed. Five full thickness 4mm punch biopsies were obtained 1h after injury from the four corners and center of the burns and stained with Hematoxylin and Eosin and Masson's trichrome for determination of burn depth by a board certified dermatopathologist blinded to burn location and investigator. Comparisons of burn depth by biopsy location, burn location and investigator were performed with t-tests and ANOVA as appropriate. The mean (SD) depth of injury to blood vessels (the main determinant of burn progression) in debrided and non-debrided pigs pooled together was 1.8 (0.3)mm, which included 75% of the dermal depth. Non-debrided burns were 0.24 mm deeper than debrided burns (Plocations, in debrided burns. Additionally, there were also no statistical differences in burn depths from midline to lateral in either of these burn types. Burn depth was similar for both investigators and among biopsy locations. Burn depth was greater for caudal locations in non-debrided burns and overall non-debrided burns were deeper than debrided burns. However, burn depth did not differ based on investigator, biopsy site, and medial-lateral location. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

  6. Overweight and obesity: overrepresentation in the pediatric reconstructive burn population.

    Science.gov (United States)

    Mayes, Theresa; Gottschlich, Michele M; Allgeier, Chris; Khoury, Jane; Kagan, Richard J

    2010-01-01

    Pediatric burn patients are predisposed to excessive weight gain in the reconstructive period, but the cause is unclear. An overweight (OW) or obese (OB) condition is associated with numerous health risks, decreased physical function, and increased morbidity. The purpose of this study was to compare the frequency of OW status in reconstructive, pediatric burn patients with the prevalence in the US population. The authors reviewed the records of 1533 pediatric patients, >1 year from acute burn, admitted for an elective reconstructive procedure. Body mass index between 85th and 95th percentile, according to the National Center for Health Statistics for 2000 growth charts, was classified as OW, and body mass index >95th percentile was classified as OB. Frequency of OW and OB and racial disparity was calculated as a percentage of total patients and compared with pediatric data from National Health and Nutrition Examination Survey for 1999 to 2006, a nationally representative sample. The rate of OW and OB was 16.3 and 24.1%, respectively, in the authors' pediatric burn population. White patients had OW and OB rates of 15.9 and 23.6%, respectively, compared with 18.2 and 30.2%, respectively, in black patients. All OW and OB rates were outside the 95% confidence interval of the nationally representative National Health and Nutrition Examination Survey population. The rates of OW and OB in pediatric reconstructive burn patients exceed the US population standard across age and race stratifications. The prevention and treatment of excessive weight gain should be a component of rehabilitation in pediatric burns.

  7. Biomass burning: A significant source of nutrients for Andean rainforests

    Science.gov (United States)

    Fabian, P. F.; Rollenbeck, R.; University Of Marburg, Germany

    2010-12-01

    Regular rain and fogwater sampling in the Podocarpus National Park,on the humid eastern slopes of the Ecuadorian Andes,has been carried out since 2002.The samples,accumulated over about 1-week intervals,were analysed for pH,conductivity,and major ions (K+, Na+, NH4+, Ca2+, Mg2+, Cl-, SO4 2-, NO3-, PO4 3- ).Annual deposition rates of these ions which, due to poor acidic soils with low mineralization rates,constitute the dominant nutrient supply to the mountaineous rainforests, and major ion sources could be determined using back trajectories,along with satellite data. While most of the Na, Cl, and K as well as Ca and Mg input was found to originate from natural oceanic and desert dust sources,respectively (P.Fabian et al.,Adv.Geosci.22,85-94, 2009), NO3, NH4, and about 90% of SO4 (about 10 % is from active volcanoes) are almost entirely due to anthropogenic sources,most likely biomass burning. Industrial and transportation emissions and other pollutants,however,act in a similar way as the precursors produced by biomass burning.For quantifying the impacts of biomass burning vs. those of anthropogenic sources other than biomass burning we used recently established emission inventories,along with simplified model calculations on back trajectories.First results yielding significant contributions of biomass burning will be discussed.

  8. Tritium burning in inertial electrostatic confinement fusion facility

    Energy Technology Data Exchange (ETDEWEB)

    Ohnishi, Masami, E-mail: onishi@kansai-u.ac.jp [Department of Science and Engineering, Kansai University, 3-3-35 Yamate-cho, Suita, Osaka 564-8680 (Japan); Yamamoto, Yasushi; Osawa, Hodaka [Department of Science and Engineering, Kansai University, 3-3-35 Yamate-cho, Suita, Osaka 564-8680 (Japan); Hatano, Yuji; Torikai, Yuji [Hydrogen Isotope Science Center, University of Toyama, Gofuku, Toyama 930-8555 (Japan); Murata, Isao [Faculty of Engineering Environment and Energy Department, Osaka University, 2-1 Yamadaoka, Suita, Osaka 565-0871 (Japan); Kamakura, Keita; Onishi, Masaaki; Miyamoto, Keiji; Konda, Hiroki [Department of Science and Engineering, Kansai University, 3-3-35 Yamate-cho, Suita, Osaka 564-8680 (Japan); Masuda, Kai [Institute of Advanced Energy, Kyoto University, Gokasho, Uji, Kyoto 611-0011 (Japan); Hotta, Eiki [Interdisciplinary Graduate School of Science and Engineering, Tokyo Institute of Technology, 4259 Nagatsuda-cho, Midori-ku, Yokohama 226-8503 (Japan)

    2016-11-01

    Highlights: • An experiment on tritium burning is conducted in an inertial electrostatic confinement fusion (IECF) facility. • A deuterium–tritium gas mixture with 93% deuterium and 7% tritium is used. • The neutron production rate is measured to be 5–8 times more than that of pure deuterium gas. • The neutron production rate of the D–T gas mixture in 1:1 ratio is expected to be more than 10{sup 8}(1/sec) in the present D–T experiment. - Abstract: An experiment on tritium burning is conducted to investigate the enhancement in the neutron production rate in an inertial electrostatic confinement fusion (IECF) facility. The facility is designed such that it is shielded from the outside for safety against tritium and a getter pump is used for evacuating the vacuum chamber and feeding the fuel gas. A deuterium–tritium gas mixture with 93% deuterium and 7% tritium is used, and its neutron production rate is measured to be 5–8 times more than that of pure deuterium gas. Moreover, the results show good agreement with those of a simplified theoretical estimation of the neutron production rate. After tritium burning, the exhausted fuel gas undergoes a tritium recovery procedure through a water bubbler device. The amount of gaseous tritium released by the developed IECF facility after tritium burning is verified to be much less than the threshold set by regulations.

  9. Tritium burning in inertial electrostatic confinement fusion facility

    International Nuclear Information System (INIS)

    Ohnishi, Masami; Yamamoto, Yasushi; Osawa, Hodaka; Hatano, Yuji; Torikai, Yuji; Murata, Isao; Kamakura, Keita; Onishi, Masaaki; Miyamoto, Keiji; Konda, Hiroki; Masuda, Kai; Hotta, Eiki

    2016-01-01

    Highlights: • An experiment on tritium burning is conducted in an inertial electrostatic confinement fusion (IECF) facility. • A deuterium–tritium gas mixture with 93% deuterium and 7% tritium is used. • The neutron production rate is measured to be 5–8 times more than that of pure deuterium gas. • The neutron production rate of the D–T gas mixture in 1:1 ratio is expected to be more than 10"8(1/sec) in the present D–T experiment. - Abstract: An experiment on tritium burning is conducted to investigate the enhancement in the neutron production rate in an inertial electrostatic confinement fusion (IECF) facility. The facility is designed such that it is shielded from the outside for safety against tritium and a getter pump is used for evacuating the vacuum chamber and feeding the fuel gas. A deuterium–tritium gas mixture with 93% deuterium and 7% tritium is used, and its neutron production rate is measured to be 5–8 times more than that of pure deuterium gas. Moreover, the results show good agreement with those of a simplified theoretical estimation of the neutron production rate. After tritium burning, the exhausted fuel gas undergoes a tritium recovery procedure through a water bubbler device. The amount of gaseous tritium released by the developed IECF facility after tritium burning is verified to be much less than the threshold set by regulations.

  10. Efficacy of silver sulfadiazine phonophoresis on wound healing in acute burn patients

    DEFF Research Database (Denmark)

    Omar, Ghada Said Mohammed

    2003-01-01

    The purpose of the current study was to evaluate the efficacy of SSD phonophoresis approaches (continuous and pulsed modes on the rate of healing following acute burn injury . forty female patients with second degree burn in thrir anterior aspect of the dominant foream were divided randomly...

  11. Evaluating alternative prescribed burning policies to reduce net economic damages from wildfire

    Science.gov (United States)

    D. Evan Mercer; Jeffrey P. Prestemon; David T. Butry; John M. Pye

    2007-01-01

    We estimate a wildfire risk model with a new measure of wildfire output, intensity-weighted risk and use it in Monte Carlo simulations to estimate welfare changes from alternative prescribed burning policies. Using Volusia County, Florida as a case study, an annual prescribed burning rate of 13% of all forest lands maximizes net welfare; ignoring the effects on...

  12. Fire behavior, weather, and burn severity of the 2007 Anaktuvuk River tundra fire, North Slope, Alaska

    Science.gov (United States)

    Benjamin M. Jones; Crystal A. Kolden; Randi Jandt; John T. Abatzoglu; Frank Urban; Christopher D. Arp

    2009-01-01

    In 2007, the Anaktuvuk River Fire (ARF) became the largest recorded tundra fire on the North Slope of Alaska. The ARF burned for nearly three months, consuming more than 100,000 ha. At its peak in early September, the ARF burned at a rate of 7000 ha d-1. The conditions potentially responsible for this large tundra fire include modeled record high...

  13. Advanced tokamak burning plasma experiment

    International Nuclear Information System (INIS)

    Porkolab, M.; Bonoli, P.T.; Ramos, J.; Schultz, J.; Nevins, W.N.

    2001-01-01

    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)

  14. Wood-burning stoves worldwide

    DEFF Research Database (Denmark)

    Luis Teles de Carvalho, Ricardo

    global environmental health risk, since these sources are important contributors to fine particulate matter (PM2.5) in the ambient air that increase climate and health risks. This thesis explores the social-technical dimensions of both the use of wood-burning stoves (WBSs) and transition to the use......More than any time in our history, the wood-burning stove continues to be the most popular technology used for cooking and heating worldwide. According to the World Health Organization and recent scientific studies, the inefficient use of solid-fuels in traditional stoves constitutes the major...... systems, improved efficient retrofits and advanced stove innovations. In chapter 3, four popular wood-burning practices found in five countries were singled-out to be examined closely in four case studies: “cooking in Brazil”, “cooking and heating in Peru”, “heating in Portugal” and “recreational heat...

  15. Burn Control Mechanisms in Tokamaks

    Science.gov (United States)

    Hill, M. A.; Stacey, W. M.

    2015-11-01

    Burn control and passive safety in accident scenarios will be an important design consideration in future tokamak reactors, in particular fusion-fission hybrid reactors, e.g. the Subcritical Advanced Burner Reactor. We are developing a burning plasma dynamics code to explore various aspects of burn control, with the intent to identify feedback mechanisms that would prevent power excursions. This code solves the coupled set of global density and temperature equations, using scaling relations from experimental fits. Predictions of densities and temperatures have been benchmarked against DIII-D data. We are examining several potential feedback mechanisms to limit power excursions: i) ion-orbit loss, ii) thermal instability density limits, iii) MHD instability limits, iv) the degradation of alpha-particle confinement, v) modifications to the radial current profile, vi) ``divertor choking'' and vii) Type 1 ELMs. Work supported by the US DOE under DE-FG02-00ER54538, DE-FC02-04ER54698.

  16. Burning mouth syndrome: Current concepts

    OpenAIRE

    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 rep...

  17. [Enteral nutrition in burn patients].

    Science.gov (United States)

    Pereira, J L; Garrido, M; Gómez-Cía, T; Serrera, J L; Franco, A; Pumar, A; Relimpio, F; Astorga, R; García-Luna, P P

    1992-01-01

    Nutritional support plays an important role in the treatment of patients with burns. Due to the severe hypercatabolism that develops in these patients, oral support is insufficient in most cases, and this makes it essential to initiate artificial nutritional support (either enteral or parenteral). Enteral nutrition is more physiological than parenteral, and data exist which show that in patients with burns, enteral nutrition exercises a protective effect on the intestine and may even reduce the hypermetabolic response in these patients. The purpose of the study was to evaluate the effectiveness and tolerance of enteral nutritional support with a hypercaloric, hyperproteic diet with a high content of branched amino acids in the nutritional support of patients suffering from burns. The study included 12 patients (8 males and 4 females), admitted to the Burns Unit. Average age was 35 +/- 17 years (range: 21-85 years). The percentage of body surface affected by the burns was 10% in two cases, between 10-30% in three cases, between 30-50% in five cases and over 50% in two cases. Initiation of the enteral nutrition was between twenty-four hours and seven days after the burn. The patients were kept in the unit until they were discharged, and the average time spent in the unit was 31.5 days (range: 17-63 days). Total energetic requirements were calculated based on Harris-Benedict, with a variable aggression factor depending on the body surface burned, which varied from 2,000 and 4,000 cal day. Nitrogenous balance was determined on a daily basis, and plasmatic levels of total proteins, albumin and prealbumin on a weekly basis. There was a significant difference between the prealbumin values at the initiation and finalization of the enteral nutrition (9.6 +/- 2.24 mg/dl compared with 19.75 +/- 5.48 mg/dl; p diet was very good, and only mild complications such as diarrhoea developed in two patients. Enteral nutrition is a suitable nutritional support method for patients with

  18. Principles of Burn Pain Management.

    Science.gov (United States)

    James, Dominika Lipowska; Jowza, Maryam

    2017-10-01

    This article describes pathophysiology of burn injury-related pain and the basic principles of burn pain management. The focus is on concepts of perioperative and periprocedural pain management with extensive discussion of opioid-based analgesia, including patient-controlled analgesia, challenges of effective opioid therapy in opioid-tolerant patients, and opioid-induced hyperalgesia. The principles of multimodal pain management are discussed, including the importance of psychological counseling, perioperative interventional pain procedures, and alternative pain management options. A brief synopsis of the principles of outpatient pain management is provided. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Air-freshener burns: A new paradigm in burns etiology?

    Directory of Open Access Journals (Sweden)

    Umran Sarwar

    2011-01-01

    Conclusions: To our knowledge this is one of the few documented cases of burns as a result of air-fresheners. As they become more ubiquitous, we anticipate the incidence of such cases to increase. As such, they pose a potential public health concern on a massive scale.

  20. Epidemiology of Burn Injury and Demography of Burn Care Facilities

    Science.gov (United States)

    1990-06-01

    epidemiologic surveillance, vide the nursing care required by an exten- microbiology support is required for diagno-v sively burned patient is one of the...MA. Pittsburgh bur study. 28. Purdue GF, Hunt JL, Prescott PR. Child abuse bynig an iandnci o, suspiciro JA Traumarg 1988 t Pittsburgh and Allegheny

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

    NARCIS (Netherlands)

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

    2012-01-01

    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 often

  2. Burning characteristics of ammonium nitrate-based composite propellants supplemented with ammonium dichromate

    Energy Technology Data Exchange (ETDEWEB)

    Kohga, Makoto; Nishino, Saeko [Department of Applied Chemistry, National Defense Academy, Yokosuka, Kanagawa 239-8686 (Japan)

    2009-08-15

    Ammonium nitrate (AN)-based composite propellants have attracted much attention, primarily because of the clean burning nature of AN as an oxidizer. However, such propellants have some disadvantages such as poor ignition and low burning rate. Ammonium dichromate (ADC) is used as a burning catalyst for AN-based propellants; however, the effect of ADC on the burning characteristics has yet to be sufficiently delineated. The burning characteristics of AN/ADC propellants prepared with various contents of AN and ADC have been investigated in this study. The theoretical performance of an AN-based propellant is improved by the addition of ADC. The increase in the burning rate is enhanced and the pressure deflagration limit (PDL) becomes lower with increasing amount of ADC added. The increasing ratio of the burning rate with respect to the amount of ADC is independent of the AN content and the combustion pressure. The optimal amount of ADC for improving the burning characteristics has been determined. (Abstract Copyright [2009], Wiley Periodicals, Inc.)

  3. Wood would burn

    International Nuclear Information System (INIS)

    Swithenbank, Jim; Chen, Qun; Zhang, Xiaohui; Sharifi, Vida; Pourkashanian, Mohamed

    2011-01-01

    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 o C 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

  4. Probing thermonuclear burning on accreting neutron stars

    Science.gov (United States)

    Keek, L.

    2008-12-01

    Neutron stars are the most compact stars that can be directly observed, which makes them ideal laboratories to study physics at extreme densities. Neutron stars in low-mass X-ray binaries accrete hydrogen and helium from a lower-mass companion star through Roche lobe overflow. This matter undergoes thermonuclear burning in the neutron star envelope, creating carbon and heavier elements. The fusion process may proceed in an unstable manner, resulting in a thermonuclear runaway. Within one second the entire surface is burned, which is observable as a sharp rise in the emitted X-ray flux: a type I X-ray burst. Afterwards the neutron star surface cools down on a timescale of ten to one hundred seconds. During these bursts the surface of an accreting neutron star can be observed directly, which makes them instrumental for studying this type of stars. We have studied rare kinds of X-ray bursts. One such rare burst is the superburst, which lasts a thousand times longer than an ordinary burst. Superbursts are thought to result from the explosive burning of a thick carbon layer, which lies deeper inside the neutron star, close to a layer known as the crust. A prerequisite for the occurrence of a superburst is a high enough temperature, which is set by the temperature of the crust and the heat conductivity of the envelope. The latter is lowered by the presence of heavy elements that are produced during normal X-ray bursts. Using a large set of observations from the Wide Field Camera's onboard the BeppoSAX satellite, we find that, at high accretion rate, sources which do not exhibit normal bursts likely have a longer superburst recurrence time, than the observed superburst recurrence time of one burster. We analyze in detail the first superburst from a transient source, which went into outburst only 55 days before the superburst. Recent models of the neutron star crust predict that this is too small a time to heat the crust sufficiently for superburst ignition, indicating

  5. Effect of fusion burn cycle on first wall swelling

    International Nuclear Information System (INIS)

    Choi, Y.H.; Bement, A.L.; Russell, K.C.

    1976-01-01

    A mathematical simulation of first wall swelling has been performed for stainless steel under a hypothetical duty cycle of 50 sec burn, 50 sec cool. In most instances steady state nucleation conditions were not established during the burn cycle, thereby necessitating the use of transient nucleation theory. The effects of transmutation helium and of surface active impurities were modelled in an approximate way. Both kinds of impurity were found to give large increases in the void nucleation rate. Suggestions for refining and extending the calculations are also given

  6. Astronaut observations of global biomass burning

    International Nuclear Information System (INIS)

    Wood, C.A.; Nelson, R.

    1991-01-01

    One of the most fundamental inputs for understanding and modeling possible effects of biomass burning is knowledge of the size of the area burned. Because the burns are often very large and occur on all continents (except Antarctica), observations from space are essential. Information is presented in this chapter on another method for monitoring biomass burning, including immediate and long-term effects. Examples of astronaut photography of burning during one year give a perspective of the widespread occurrence of burning and the variety of biological materials that are consumed. The growth of burning in the Amazon region is presented over 15 years using smoke as a proxy for actual burning. Possible climate effects of smoke palls are also discussed

  7. Protect the Ones You Love: Burns Safety

    Science.gov (United States)

    ... Submit Search The CDC Protect the Ones You Love: Child Injuries are Preventable Note: Javascript is disabled ... ways you can help protect the children you love from burns. Key Prevention Tips To prevent burns ...

  8. EPIDEMOLOGY OF BURNS IN ENUGU, NIGERIA

    African Journals Online (AJOL)

    JIBURUM

    community is encouraged to study the epidemiology of burns since this important ... CONCLUSION The incidence and mortality of burn injury has remained high in this .... they are a group at risk. ... epidemiology and the compliance factors in.

  9. The Burning Truth(s)

    African Journals Online (AJOL)

    Surgical procedures in acute burns can be broadly divided into four groups: ablative (tangential or fascial ... tissue oedema due to extravasation of plasma into the interstitium. Fluid replacement will worsen the oedema, ... include airway distortion, pulmonary dysfunction, difficult vascular access, rapid blood loss, problematic ...

  10. 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.

  11. Burning Mouth Syndrome and Menopause

    Science.gov (United States)

    Dahiya, Parveen; Kamal, Reet; Kumar, Mukesh; Niti; Gupta, Rajan; Chaudhary, Karun

    2013-01-01

    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. PMID:23411996

  12. Burning effigies with Bakhtinian laughter

    NARCIS (Netherlands)

    Göttke, F.

    2015-01-01

    The hanging or burning of effigies as an expression of dissent is a well-established genre of playful political protest. It is enacted in a variety of ways, accessing the conventions of various traditional rituals and social practices, and can function either as a progressive force demanding change,

  13. Prescribed burning for understory restoration

    Science.gov (United States)

    Kenneth W. Outcalt

    2006-01-01

    Because the longleaf ecosystem evolved with and is adapted to frequent fire, every 2 to 8 years, prescribed burning is often useful for restoring understory communities to a diverse ground layer of grasses, herbs, and small shrubs. This restoration provides habitat for a number of plant and animal species that are restricted to or found mostly in longleaf pine...

  14. Aromatherapy massage seems to enhance relaxation in children with burns: an observational pilot study.

    Science.gov (United States)

    O'Flaherty, Linda-Anne; van Dijk, Monique; Albertyn, Rene; Millar, Alastair; Rode, Heinz

    2012-09-01

    This observational pilot study investigated effects of aromatherapy massage in paediatric burn patients. The setting was a 17 beds level I burn unit in Cape Town, South Africa. Between January and October 2009 heart rates and respiratory rates of patients who underwent aromatherapy massage sessions were read before and after the sessions. Primary outcomes were decline in heart rates and respiratory rates, a sign of relaxation. Behavioural responses (sleep/awake state, facial expression, body posture) were documented as secondary outcomes. A convenience sample of 71 paediatric burn patients (median age 3 years) underwent a total of 126 massage sessions. Mean heart rate decreased significantly from 118 (SD 20) to 109 (SD 21), t=9.8, pAromatherapy massage seems to be a helpful nonpharmacological approach to reduce hospitalized paediatric burn patients' distress. Future studies with better research designs and validated outcome measures should confirm our findings. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

  15. Barriers to return to work after burn injuries.

    Science.gov (United States)

    Esselman, Peter C; Askay, Shelley Wiechman; Carrougher, Gretchen J; Lezotte, Dennis C; Holavanahalli, Radha K; Magyar-Russell, Gina; Fauerbach, James A; Engrav, Loren H

    2007-12-01

    To identify barriers to return to work after burn injury as identified by the patient. A cohort study with telephone interview up to 1 year. Hospital-based burn centers at 3 national sites. Hospitalized patients (N=154) meeting the American Burn Association criteria for major burn injury, employed at least 20 hours a week at the time of injury, and with access to a telephone after discharge. Patients were contacted via telephone every 2 weeks up to 4 months, then monthly up to 1 year after discharge. A return to work survey was used to identify barriers that prevented patients from returning to work. A graphic rating scale determined the impact of each barrier. By 1 year, 79.7% of patients returned to work. Physical and wound issues were barriers early after discharge. Although physical abilities continued to be a significant barrier up to 1 year, working conditions (temperature, humidity, safety) and psychosocial factors (nightmares, flashbacks, appearance concerns) became important issues in those with long-term disability. The majority of patients return to work after a burn injury. Although physical and work conditions are important barriers, psychosocial issues need to be evaluated and treated to optimize return to work.

  16. Health effects of smoke from planned burns: a study protocol

    Directory of Open Access Journals (Sweden)

    David O’Keeffe

    2016-02-01

    Full Text Available Abstract Background Large populations are exposed to smoke from bushfires and planned burns. Studies investigating the association between bushfire smoke and health have typically used hospital or ambulance data and been done retrospectively on large populations. The present study is designed to prospectively assess the association between individual level health outcomes and exposure to smoke from planned burns. Methods/design A prospective cohort study will be conducted during a planned burn season in three locations in Victoria (Australia involving 50 adult participants who undergo three rounds of cardiorespiratory medical tests, including measurements for lung inflammation, endothelial function, heart rate variability and markers of inflammation. In addition daily symptoms and twice daily lung function are recorded. Outdoor particulate air pollution is continuously measured during the study period in these locations. The data will be analysed using mixed effect models adjusting for confounders. Discussion Planned burns depend on weather conditions and dryness of ‘fuels’ (i.e. forest. It is potentially possible that no favourable conditions occur during the study period. To reduce the risk of this occurring, three separate locations have been identified as having a high likelihood of planned burn smoke exposure during the study period, with the full study being rolled out in two of these three locations. A limitation of this study is exposure misclassification as outdoor measurements will be conducted as a measure for personal exposures. However this misclassification will be reduced as participants are only eligible if they live in close proximity to the monitors.

  17. Spontaneous neutrophil migration patterns during sepsis after major burns.

    Science.gov (United States)

    Jones, Caroline N; Moore, Molly; Dimisko, Laurie; Alexander, Andrew; Ibrahim, Amir; Hassell, Bryan A; Warren, H Shaw; Tompkins, Ronald G; Fagan, Shawn P; Irimia, Daniel

    2014-01-01

    Finely tuned to respond quickly to infections, neutrophils have amazing abilities to migrate fast and efficiently towards sites of infection and inflammation. Although neutrophils ability to migrate is perturbed in patients after major burns, no correlations have yet been demonstrated between altered migration and higher rate of infections and sepsis in these patients when compared to healthy individuals. To probe if such correlations exist, we designed microfluidic devices to quantify the neutrophil migration phenotype with high precision. Inside these devices, moving neutrophils are confined in channels smaller than the neutrophils and forced to make directional decisions at bifurcations and around posts. We employed these devices to quantify neutrophil migration across 18 independent parameters in 74 blood samples from 13 patients with major burns and 3 healthy subjects. Blinded, retrospective analysis of clinical data and neutrophil migration parameters revealed that neutrophils isolated from blood samples collected during sepsis migrate spontaneously inside the microfluidic channels. The spontaneous neutrophil migration is a unique phenotype, typical for patients with major burns during sepsis and often observed one or two days before the diagnosis of sepsis is confirmed. The spontaneous neutrophil migration phenotype is rare in patients with major burns in the absence of sepsis, and is not encountered in healthy individuals. Our findings warrant further studies of neutrophils and their utility for early diagnosing and monitoring sepsis in patients after major burns.

  18. Hydrogen and helium shell burning during white dwarf accretion

    Science.gov (United States)

    Cui, Xiao; Meng, Xiang-Cun; Han, Zhan-Wen

    2018-05-01

    Type Ia supernovae (SNe Ia) are believed to be thermonuclear explosions of carbon oxygen (CO) white dwarfs (WDs) with masses close to the Chandrasekhar mass limit. How a CO WD accretes matter and grows in mass to this limit is not well understood, hindering our understanding of SN Ia explosions and the reliability of using SNe Ia as a cosmological distance indicator. In this work, we employed the stellar evolution code MESA to simulate the accretion process of hydrogen-rich material onto a 1.0 M ⊙ CO WD at a high rate (over the Eddington limit) of 4.3 × 10‑7 M ⊙ yr‑1. The simulation demonstrates the characteristics of the double shell burning on top of the WD, with a hydrogen shell burning on top of a helium burning shell. The results show that helium shell burning is not steady (i.e. it flashes). Flashes from the helium shell are weaker than those in the case of accretion of helium-rich material onto a CO WD. The carbon to oxygen mass ratio resulting from the helium shell burning is higher than what was previously thought. Interestingly, the CO WD growing due to accretion has an outer part containing a small fraction of helium in addition to carbon and oxygen. The flashes become weaker and weaker as the accretion continues.

  19. Observing the Peripheral Burning of Cigarettes by an Infrared Technique

    Directory of Open Access Journals (Sweden)

    Liu C

    2014-12-01

    Full Text Available A modern infrared camera was used to observe the peripheral burning of cigarettes during puffing and smouldering. The computer-controlled infrared system captured thermal images with recording rates up to 50 Hz at 8-bit (256-colour resolution. The response time was less than 0.04 s at ca. 780 °C. The overall performance of the system was superior to most infrared systems used in previously reported investigations. The combined capacity allowed us to capture some faster, smaller high-temperature burning events on the periphery of a cigarette during puffing, which was first described by Egertion et al. in 1963 using an X-ray method. These transient burning events were caused by tobacco shreds near the coal surface experiencing the maximum air influx. The temperature of these transient burning events could be ca. 200 to 250 °C higher than the average peripheral temperature of the cigarette. The likelihood of these high-temperature burning events occurring during smouldering was significantly less. Some other details of the cigarette's combustion were also observed with improved simplicity and clarity.

  20. Characterization of coal and char reactivity as a function of burn-off

    Energy Technology Data Exchange (ETDEWEB)

    Biede, O.; Swane Lund, J. [DTU, Dept. of Energy Engineering (Denmark); Holst Soerensen, L. [Risoe National Lab. (Denmark); Peck, R.E. [Arizona State University (United States)

    1996-12-01

    Four coal types have been tested under varying burning conditions in three high-temperature experimental facilities: A 1.3 MW test furnace, an entrained flow reactor and a down-fired tube furnace with a flat flame burner have been used to produce char samples. More than one hundred partly burned samples with burn-off from 30% to 99% have been collected from the experimental facilities, and analyzed in a thermogravimetric analyser (TGA) giving, besides the proximate data, a char burning profile of each individual sample, using a linear TGA-temperature ramp of 3 deg. C/minute. The burning profile derived by this procedure agrees well with reactivity profiles derived at a constant temperature. It is shown that small particle burn faster than large particles, and that small particles in general are more reactive than large particles. Particles burn faster when the oxygen partial pressure is increased, and apparently the oxygen partial pressure influences the combustion rate differently for different coal types. Except for one coal type, that apparently behaves differently in different burning environments, the ranking with respect to reactivity among the coals remains consistent at both high and at low temperatures. It is further shown how samples from one coal type varies more in behavior than samples from the other coal types, indicating a larger inhomogeneity of this coal. In general the reactivity of collected samples decrease with high-temperature burn-off. (au) 20 refs.

  1. Long term repeated prescribed burning increases evenness in the basidiomycete laccase gene pool in forest soils.

    Science.gov (United States)

    Artz, Rebekka R E; Reid, Eileen; Anderson, Ian C; Campbell, Colin D; Cairney, John W G

    2009-03-01

    Repeated prescribed burning alters the biologically labile fraction of nutrients and carbon of soil organic matter (SOM). Using a long-term (30 years) repeated burning experiment where burning has been carried out at a 2- or 4-year frequency, we analysed the effect of prescribed burning on gross potential C turnover rates and phenol oxidase activity in relation to shifts in SOM composition as observed using Fourier-transform infrared spectroscopy. In tandem, we assessed the genetic diversity of basidiomycete laccases. While the overall effect of burning was a decline in phenol oxidase activity, Shannon diversity and evenness of laccases was significantly higher in burned sites. Co-correspondence analysis of SOM composition and laccase operational taxonomic unit frequency data also suggested a strong correlation. While this correlation could indicate that the observed increase in laccase genetic diversity due to burning is due to increased resource diversity, a temporal replacement of the most abundant members of the assembly by an otherwise dormant pool of fungi cannot be excluded. As such, our results fit the intermediate disturbance hypothesis. Effects were stronger in plots burned in 2-year rotations, suggesting that the 4-year burn frequency may be a more sustainable practice to ensure the long-term stability of C cycling in such ecosystems.

  2. Pediatric scalds: do cooking-related burns have a higher injury burden?

    Science.gov (United States)

    Bachier, Marielena; Hammond, Sarah E; Williams, Regan; Jancelewicz, Timothy; Feliz, Alexander

    2015-11-01

    Pediatric scald burns result in frequent emergency room visits and hospitalizations. We investigated whether cooking-related burns produce greater morbidity requiring more extensive care than noncooking burns. We performed a 6-y review at our free-standing children's hospital. Children aged cooking versus noncooking burns. The Mann-Whitney U test, a chi-square test, and the negative binomial were used to compare continuous, categorical, and count data between groups. Bivariate analysis was performed to identify risk factors among patients with adverse outcomes. We identified 308 patients; 262 (85%) cooking and 46 (15%) noncooking burns. Most patients were African-American males, with public insurance, and a median age of 2 y. Cooking burns preferentially occurred over the head, neck, and upper body; noncooking burns were distributed over the lower body (P  0.11). In subgroup analysis, semisolid and grease burns resulted in increased rates of wound contractures and/or limited mobility when compared with noncooking burns (P = 0.05 and P = 0.008, respectively). Patients with complications were more likely to have third degree burns and required more consults, longer hospitalization, and more surgical debridements and clinic visits. Most accidental scald burns occurred in young children during food preparation. Greater long-term morbidity was found in patients with semisolid and grease burns. This subset of children has a higher injury burden and requires extensive care in the acute and long-term setting. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. The treatment of extensively burned patents and β irradiational injury skin burn patients with irradiated pigskin

    International Nuclear Information System (INIS)

    Tang Zhongyi; Lu Xingan; Jing Ling; Qi Qiang

    1994-01-01

    Obvious therapeutic effects achieved by the covering of irradiation sterilized pigskin on burn wounds, escarectomized 3rd degree burn wounds β injured burns are discussed. The article also describes the manufacture processes of irradiated pigskins and the selection of surgical treatments of various burns. 5 refs., 1 tab., 4 figs

  4. 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 | ...

  5. Car radiator burns: a prevention issue.

    Science.gov (United States)

    Rabbitts, Angela; Alden, Nicole E; Conlin, Tara; Yurt, Roger W

    2004-01-01

    Scald burns continue to be the major cause of injury to patients admitted to the burn center. Scald burns occurring from car radiator fluid comprise a significant subgroup. Although manufacturer warning labels have been placed on car radiators, these burns continue to occur. This retrospective review looks at all patients admitted to our burn center who suffered scald burns from car radiator fluid to assess the extent of this problem. During the study period, 86 patients were identified as having suffered scald burns as a result of contact with car radiator fluid. Seventy-one percent of the burn injuries occurred in the summer months. The areas most commonly burned were the head and upper extremities. Burn prevention efforts have improved greatly over the years; however, this study demonstrates that scald burns from car radiator fluid continue to cause physical, emotional, and financial devastation. The current radiator warning labels alone are not effective. The National Highway Traffic Safety Administration has proposed a new federal motor vehicle safety standard to aid in decreasing the number of scald burns from car radiators. The results of this study were submitted to the United States Department of Transportation for inclusion in a docket for federal legislation supporting these safety measures.

  6. Prediction of Mortality and Causes of Death in a Burn Centre: A Retrospective Clinical Study

    Directory of Open Access Journals (Sweden)

    Celalettin Sever

    2011-09-01

    Full Text Available Aim: Mortality rates are important outcome parameters after burn. The causes of mortality have been reported differently in the literature. The aim of the study was to identify parameters that are predictive of major morbidity factors and risk of mortality in patients with burn injury. Material and Methods: This study was performed among the patients who admitted to the burn center period between December 2001 and June 2010. Within this period, demographic data, treatment, and outcomes of treatment were reviewed and analyzed. Results: The burn patients were analysed retrospectively during 9-years period between December 2001 and January 2010. Burns caused by scalding were the most frequent (69.7 % followed by flames (24.4 %. 4.30 % of the patients died because of multisystem organ failure, septicaemia and cardiac respiratory failure. Conclusions:The most common cause of mortality was multiorgan failure according to our study. The mortality rates and causes of burn centers should be investigated retrospectively between different burn centres to determine the most common cause of mortality in burn centers. 

  7. Burn-induced stimulation of lysosomal enzyme synthesis in skeletal muscle

    International Nuclear Information System (INIS)

    Odessey, R.

    1986-01-01

    A localized burn injury to a rat hindlimb results in atrophy of soleus muscle (in the absence of cellular damage) which is attributable to an increase in muscle protein breakdown. Previous work has shown that lysosomal enzyme activities (cathepsins B, H, L, and D) are elevated in muscle from the burned leg by 50% to 100%. There is no change in endogenous neutral protease activity (+/- Ca ++ ). The increase in protease activity can not be attributed to changes in endogenous protease inhibitors. The latency [(Triton X100 treated - control)/triton treated] of lysosomal enzymes is approximately 50% and is not altered by burn injury. The rate of sucrose uptake is also not altered by burn. These experiments suggest that the rate of substrate supply to the lysosomal apparatus via endocytosis or autophagocytosis is not altered by burn. When muscles are preincubated with 3 H-phenylalanine or 3 H-mannose burn increased incorporation into protein of the fraction containing lysosomes by 100%. Preincubation in the presence of tunicamycin (an inhibitor of glycoprotein synthesis) inhibited incorporation of both labels into a microsomal fraction of the muscle from the burned leg, but has little effect on incorporation in the control muscle. These findings are consistent with the hypothesis that the burn-induced increase in protein breakdown is caused by an increase in lysosomal protease synthesis

  8. Burning minor actinides in a HTR energy spectrum

    International Nuclear Information System (INIS)

    Pohl, Christoph; Rütten, H. Jochem

    2012-01-01

    Highlights: ► Burn-up analysis for varying plutonium/minor actinide fuel compositions. ► The influence of varying heavy metal fuel element loads is investigated. ► Significant burn-up via radiative capture and subsequently fission is observed. ► Difference observed between fuel element burn-up and total actinide burning rate. - Abstract: The generation of nuclear energy by means of the existing nuclear reactor systems is based mainly on the fission of U-235. But this comes along with the capture of neutrons by the U-238 faction and results in a build-up of plutonium isotopes and minor actinides as neptunium, americium and curium. These actinides are dominant for the long time assessment of the radiological risk of a final disposal therefore a minimization of the long living isotopes is aspired. Burning the actinides in a high temperature helium cooled graphite moderated reactor (HTR) is one of these options. The use of plutonium isotopes to sustain the criticality of the system is intended to avoid on the one hand highly enriched uranium because of international regulations and on the other hand low enriched uranium because of the build up of new actinides from neutron capture in the U-238 fraction. Because initial minor actinide isotopes are typically not fissionable by thermal neutrons the idea is to fission instead the intermediate isotopes generated by the first neutron capture. This paper comprises calculations for plutonium/minor actinides/thorium fuel compositions and their correlated final burn-up for a generic pebble bed HTR based on the reference design of the 400 MW PBMR. In particular the cross sections and the neutron balance of the different minor actinide isotopes in the higher thermal energy spectrum of a HTR will be discussed. For a fuel mixture of plutonium and minor actinides a significant burn-up of these actinides up to 20% can be achieved but at the expense of a higher residual fraction of plutonium in the burned fuel. Combining

  9. Incidence and characteristics of chemical burns.

    Science.gov (United States)

    Koh, Dong-Hee; Lee, Sang-Gil; Kim, Hwan-Cheol

    2017-05-01

    Chemical burns can lead to serious health outcomes. Previous studies about chemical burns have been performed based on burn center data so these studies have provided limited information about the incidence of chemical burns at the national level. The aim of this study was to evaluate the incidence and characteristics of chemical burns using nationwide databases. A cohort representing the Korean population, which was established using a national health insurance database, and a nationwide workers' compensation database were used to evaluate the incidence and characteristics of chemical burns. Characteristics of the affected body region, depth of burns, industry, task, and causative agents were analyzed from two databases. The incidence of chemical burns was calculated according to employment status. The most common regions involving chemical burns with hospital visits were the skin followed by the eyes. For skin lesions, the hands and wrists were the most commonly affected regions. Second degree burns were the most common in terms of depth of skin lesions. The hospital visit incidence was 1.96 per 10,000 person-year in the general population. The compensated chemical burns incidence was 0.17 per 10,000 person-year. Employees and the self-employed showed a significantly increased risk of chemical burns undergoing hospital visits compared to their dependents. Chemical burns on the skin and eyes are almost equally prevalent. The working environment was associated with increased risk of chemical burns. Our results may aid in estimating the size of the problem and prioritizing prevention of chemical burns. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  10. Silicon Burning. II. Quasi-Equilibrium and Explosive Burning

    International Nuclear Information System (INIS)

    Hix, W.R.; Thielemann, F.

    1999-01-01

    Having examined the application of quasi-equilibrium to hydrostatic silicon burning in Paper I of this series, we now turn our attention to explosive silicon burning. Previous authors have shown that for material that is heated to high temperature by a passing shock and then cooled by adiabatic expansion, the results can be divided into three broad categories, incomplete burning, normal freezeout, and α-rich freezeout, with the outcome depending on the temperature, density, and cooling timescale. In all three cases, we find that the important abundances obey quasi-equilibrium for temperatures greater than approximately 3x10 9 K, with relatively little nucleosynthesis occurring following the breakdown of quasi-equilibrium. We will show that quasi-equilibrium provides better abundance estimates than global nuclear statistical equilibrium, even for normal freezeout, and particularly for α-rich freezeout. We will also examine the accuracy with which the final nuclear abundances can be estimated from quasi-equilibrium. copyright copyright 1999. The American Astronomical Society

  11. Calculation of the linear heat generation rates which violate the thermomechanical limit of plastic deformation of the fuel cladding in function of the burn up of a BWR fuel rod type

    International Nuclear Information System (INIS)

    Lucatero, M.A.; Hernandez L, H.

    2003-01-01

    The linear heat generation rates (LHGR) for a BWR type generic fuel rod, as function of the burnup that violate the thermomechanical limit of circumferential plastic deformation of the can (canning) in nominal operation in stationary state of the fuel rod are calculated. The evaluation of the LHGR in function of the burnt of the fuel, is carried out under the condition that the deformation values of the circumferential plastic deformation of the can exceeds in 0.1 the thermomechanical value operation limit of 1%. The results of the calculations are compared with the generation rates of linear operation heat in function of the burnt for this fuel rod type. The calculations are carried out with the FEMAXI-V and RODBURN codes. The results show that for exhibitions or burnt between 0 and 16,000 M Wd/tU a minimum margin of 160.8 W/cm exists among LHGR (439.6 W/cm) operation peak for the given fuel and maximum LHGR of the fuel (calculated) to reach 1.1% of circumferential plastic deformation of the can, for the peak factor of power of 1.40. For burnt of 20,000 MWd/tU and 60,000 MWd/tU exist a margin of 150.3 and 298.6 W/cm, respectively. (Author)

  12. Biópsia hepática com agulha tru-cut guiada por videolaparoscopia em caprinos Videolaparoscopic guided hepatic biopsy with tru-cut needle in goats

    Directory of Open Access Journals (Sweden)

    A.L.L. Duarte

    2009-02-01

    Full Text Available Descreve-se a técnica de biópsia hepática com agulha tru-cut guiada por videolaparoscopia em 12 caprinos machos, castrados, hígidos, sem raça definida, distribuídos em dois grupos (G: G1, com cinco animais de 12 meses e G2, com sete de seis meses de idade. O procedimento foi realizado sob anestesia geral intravenosa com o animal em decúbito lateral esquerdo. O pneumoperitônio e a laparoscopia foram procedidos no flanco direito, aproximadamente a 10cm ventral aos processos transversos das vértebras lombares. A agulha tru-cut foi introduzida no 11º espaço intercostal direito, a aproximadamente 12cm ventral à coluna vertebral, para punção e remoção de fragmento do lobo hepático direito. O tempo operatório médio foi de 23 minutos e cinco segundos. A hemorragia causada pela perfuração hepática cessou em dois minutos em 75% dos animais e em três minutos, nos 25% restantes. Nas avaliações clínicas feitas no pré-jejum e às 24, 48 e 72 horas após a biópsia, não foram observadas alterações (P>0,05 da temperatura retal, das frequências cardíaca e respiratória e dos movimentos rumenais nos dois grupos. A biópsia hepática com agulha tru-cut guiada por videolaparoscopia foi considerada eficaz para uso em caprinos, permitindo a obtenção de fragmentos hepáticos suficientes para exame histológico.The videolaparoscopic guided hepatic biopsy with tru-cut needle is described in 12 healthy, no defined breed, castrated male goats. Animals were distributed in two groups: G1 (n=5 12-month-old animals; and G2 (n=7 six-month-old animals. The procedure was performed with the animal in left lateral recumbency and under total intravenous anesthesia. Pneumoperitoneum and laparoscopy were performed in the right flank, approximately 10cm ventral to the transverse processes of the lumbar vertebrae. The tru-cut needle was inserted into the right eleventh intercostal space, around 12cm ventral to the spinal column, for punching and

  13. Perfil Epidemiológico de Pacientes Submetidos à Biópsia Gástrica em um Hospital Escola do Sul de Minas Gerais/ Epidemiological Profile of Patients Undergo Gastric Biopsy in a School Hospital of Minas Gerais

    Directory of Open Access Journals (Sweden)

    Isabela Maria A. Ribeiro Simões

    2014-09-01

    Full Text Available Objetivo: Determinar a prevalência de lesões benignas e neoplasia gástrica através do estudo de biópsias realizadas em um Hospital Escola do Sul de Minas Gerais, no período entre 2007 e 2011. Materiais e Métodos: A pesquisa documental foi quantitativa e retrospectiva, baseada na análise dos registros de biópsias e prontuários. Realizou-se o levantamento de dados referentes à idade, gênero, cor, profissão, diagnóstico histopatológico e presença de Helicobacter pylori nas amostras. Resultados: O número total de biópsias gástricas analisadas foi de 1225, cujo perfil populacional encontrado foi: idade média de 56,75 anos, sexo masculino (52%, cor branca (81,9 %, aposentado (30%. Os diagnósticos mais frequentes foram: gastrites (71,9%, pólipos (14,2%, adenocarcinomas (5,9%, úlceras gástricas (6%, linfomas (0,4%, sem alterações (0,4% e outros (1,2%. Em outros, encontram-se achados de malignidade, metaplasia e xantelasma gástrico. Em relação à presença de Helicobacter pylori nas amostras, o resultado encontrado foi de24% positivas, 46% negativas e 30% não pesquisadas. Conclusão: Os resultados confirmam a alta frequência das doenças gástricas e sua incidência nas diversas faixas etárias, além do envolvimento do H. pylori em tais afecções. É de grande importância a caracterização dos dados epidemiológicos, o que permite prováveis direcionamentos para programas de prevenção e informação para a população. Objective: To determine the prevalence of benign lesions and gastric cancer through study of biopsies performed at a school hospital in southern Minas Gerais, in the period between 2007 and 2011.Materials and Methods: The research was quantitative and retrospective, based on analysis of biopsies records and medical records. We conducted the survey data regarding age, sex, color, profession, histopathological diagnosis and the presence of Helicobacter pylori in the samples. Results: The total number of

  14. Prevalência de coilocitose em biópsias penianas de parceiros de mulheres com lesões genitais induzidas pelo HPV Prevalence of koilocytosis in penile biopsies of partners of women with HPV-induced genital lesions

    Directory of Open Access Journals (Sweden)

    Alberto Azoubel Antunes

    2004-01-01

    Full Text Available OBJETIVO: determinar a prevalência de coilocitose em biópsias penianas de parceiros de mulheres com lesões genitais induzidas pelo HPV e analisar os fatores de risco envolvidos com a infecção peniana. MÉTODOS: foram incluídos neste estudo de coorte transversal 80 parceiros de mulheres com lesões induzidas pelo HPV no período de maio de 2002 a junho de 2003. A média de idade dos pacientes foi de 34,1 anos (variando de 16 a 63. Todos os pacientes negavam ou desconheciam qualquer tipo de lesão genital. Foram submetidos à anamnese específica quanto a presença de sintomas uretrais, passado de doenças sexualmente transmissíveis (DST, número de parceiras sexuais, uso de preservativos e postectomia. Posteriormente foram submetidos à peniscopia com a utilização de soluções de ácido acético e azul de toluidina, tendo sido colhido material para biópsia das lesões de aspecto morfológico sugestivo de contaminação por HPV. A análise estatística foi realizada pelo teste do chi2. RESULTADOS: o exame foi considerado negativo em 24 pacientes (30%. Todos os outros 56 pacientes (70% apresentaram lesões acetobrancas e azul de toluidina positivas. Destes, 53 foram biopsiados, e 41 pacientes (77,3% apresentaram biópsia com alterações histológicas sugestivas de infecção pelo HPV. CONCLUSÕES: a prevalência da infecção genital masculina pelo HPV foi de 51,2%, e nenhum fator de risco analisado foi associado com uma maior prevalência da infecção genital pelo vírus.PURPOSE: to determine the prevalence of koilocytosis in penile biopsies of partners of women with HPV-induced genital lesions, and to analyze the risk factors associated with the penile viral infection. METHODS: a total of 80 partners of HPV-infected women with genital lesions were included in this transversal cohort study. The study was carried out between May 2002 and June 2003. The mean age was 34.1 years (16 to 63. No patient reported any kind of genital lesion

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

    International Nuclear Information System (INIS)

    Levine, J.S.

    1991-01-01

    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

  16. Importance of the slick thickness for effective in-situ burning of crude oil

    DEFF Research Database (Denmark)

    van Gelderen, Laurens; Brogaard, Nicholas L.; Sørensen, Martin X.

    2015-01-01

    height. The experiments were performed in a new experimental apparatus, the Crude Oil Flammability Apparatus (COFA), which has been developed to study ISB of oil on water in a controlled laboratory environment with large water-to-oil ratios. The regression rate, average mass loss rate and burning...... efficiency reached a constant maximum value for all oils at slick thicknesses exceeding 10–20 mm. For thinner initial slick thicknesses, these values were greatly reduced, most likely due to heat losses to the water. A further increase in the initial slick thickness could not improve the burning efficiency......In order to improve the potential of in-situ burning (ISB), the importance of the oil slick thickness on two pure oils (n-octane and dodecane) and two fresh crude oils (Grane and REBCO) was studied in relation to the regression rate, boilover tendency, mass loss rate, burning efficiency and flame...

  17. 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.

  18. 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.

  19. Methylated spirit burns: an ongoing problem.

    Science.gov (United States)

    Jansbeken, J R H; Vloemans, A F P M; Tempelman, F R H; Breederveld, R S

    2012-09-01

    Despite many educational campaigns we still see burns caused by methylated spirit every year. We undertook a retrospective study to analyse the impact of this problem. We retrospectively collected data of all patients with burns caused by methylated spirit over twelve years from 1996 to 2008. Our main endpoints were: incidence, age, mechanism of injury, total body surface area (TBSA) burned, burn depth, need for surgery and length of hospital stay. Ninety-seven patients with methylated spirit burns were included. During the study period there was no decrease in the number of patients annually admitted to the burn unit with methylated spirit burns. 28% of the patients (n=27) were younger than eighteen years old, 15% (n=15) were ten years old or younger. The most common cause of burns was carelessness in activities involving barbecues, campfires and fondues. Mean TBSA burned was 16% (SD 12.4). 70% (n=68) had full thickness burns. 66% (n=64) needed grafting. Mean length of hospital stay was 23 days (SD 24.7). The use of methylated spirit is an ongoing problem, which continues to cause severe burns in adults and children. Therefore methylated spirit should be banned in households. We suggest sale only in specialised shops, clear labelling and mandatory warnings. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

  20. Okanagan indoor wood burning appliance inventory survey

    International Nuclear Information System (INIS)

    2001-01-01

    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

  1. [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.

  2. Method for burning radioactive wastes

    International Nuclear Information System (INIS)

    Hattori, Akinori; Tejima, Takaya.

    1987-01-01

    Purpose: To completely process less combustible radioactive wastes with no excess loads on discharge gas processing systems and without causing corrosions to furnace walls. Method: Among combustible radioactive wastes, chlorine-containing less combustible wastes such as chlorine-containing rubbers and vinyl chlorides, and highly heat generating wastes not containing chloride such as polyethylene are selectively packed into packages. While on the other hand, packages of less combustible wastes are charged into a water-cooled jacket type incinerator intermittently while controlling the amount and the interval of charging so that the temperature in the furnace will be kept to lower than 850 deg C for burning treatment. Directly after the completion of the burning, the packed highly heat calorie producing wastes are charged and subjected to combustion treatment. (Yoshihara, H.)

  3. Burning mouth syndrome: A review

    Directory of Open Access Journals (Sweden)

    Rajendra G Patil

    2017-01-01

    Full Text Available Burning mouth syndrome is a condition characterized by chronic orofacial pain without any mucosal abnormalities or other organic disease. There are numerous synonyms for this ailment such as stomatodynia, stomatopyrosis, glossodynia, glossopyrosis, sore mouth, sore tongue, oral dysesthesia, and scalding mouth syndrome. Patients usually present with burning, stinging, or numbness on the tongue or other areas of oral mucosa. The complex etiology and lack of characteristic signs and symptoms makes the diagnosis difficult. As a result of which managing such patients become a herculean task. Moreover, lack of understanding of the disease leads to misdiagnosis and unnecessary referral of patients. In this article, the authors have described the etiopathogenesis, diagnostic algorithm and management of this confusing ailment.

  4. Cell formation effects on the burning speeds and flame front area of synthetic gas at high pressures and temperatures

    International Nuclear Information System (INIS)

    Askari, Omid; Elia, Mimmo; Ferrari, Matthew; Metghalchi, Hameed

    2017-01-01

    Highlights: • Effect of cell formation on burning speed and flame surface area is investigated. • A new developed non-dimensional number called cellularity factor is introduced. • Cellular burning speed and mass burning rate are calculated using differential based multi-shell model. • Flame instability is studied using thermo-diffusive and hydrodynamics effects. • Power law correlations are developed for cellular burning speeds and mass burning rates. - Abstract: Cellular burning speeds and mass burning rates of premixed syngas/oxidizer/diluent (H_2/CO/O_2/He) have been determined at high pressures and temperatures over a wide range of equivalence ratios which are at engine-relevant conditions. Working on high pressure combustion helps to reduce the pollution and increase the energy efficiency in combustion devices. The experimental facilities consisted of two spherical and cylindrical chambers. The spherical chamber, which can withstand high pressures up to 400 atm, was used to collect pressure rise data due to combustion, to calculate cellular burning speed and mass burning rate. For flame structure and instability analysis the cylindrical chamber was used to take pictures of propagating flame using a high speed CMOS camera and a schlieren photography system. A new differential based multi-shell model based on pressure rise data was used to determine the cellular burning speed and mass burning rate. In this paper, cellular burning speed and mass burning rate of H_2/CO/O_2/He mixture have been measured for a wide range of equivalence ratios from 0.6 to 2, temperatures from 400 to 750 K and pressures from 2 to 50 atm for three hydrogen concentrations of 5, 10 and 25% in the syngas. The power law correlations for cellular burning speed and mass burning rate were developed as a function of equivalence ratio, temperature and pressure. In this study a new developed parameter, called cellularity factor, which indicates the cell formation effect on flame

  5. The accuracy of acetylcholinesterase reaction in rectal suction biopsy in the diagnosis of Hirschsprung’s disease A acurácia da reação da acetilolinesterase na biópsia por sucção retal no diagnóstico da doença de Hirschsprung

    Directory of Open Access Journals (Sweden)

    Elizabeth S. Gugelmin

    2005-12-01

    Full Text Available Suction rectal biopsy with acetylcholinesterase (AChE histochemistry has been recognized as a reliable method for the diagnosis of Hirschsprung’s disease (HD. This study compares the final pathologic diagnosis made on paraffin embedded material of 68 colectomy specimens with the histochemical AChE reaction from the same patients previously diagnosed as HD by rectal suction biopsy at the Hospital Infantil Pequeno Príncipe (Curitiba, Brazil from 1988 to 1999. The group included 58 male and ten female patients with ages ranging from 7 days to 10 years. Thirty-six patients (52.94% where under 1 year of age at time of surgery. Two of the 68 patients had previous normal histochemical reactions for AChE: one of them resulted a normal ganglionic segment of bowel and the other one was a 15-day-old boy with total colonic aganglionosis, the only false-negative result in this series. Two patients had inconclusive results and because untreatable clinical symptoms also received surgical treatment. One of them resulted a normal ganglionic bowel and the other one was diagnosed as HD. All surgical specimens from the other 64 patients resulted in various extents of aganglionosis presenting prominent nerve trunks in the submucosal and myenteric plexuses, confirming the previous AChE histochemical diagnosis. In three cases there was total colonic aganglionosis. In this study the rectal suction biopsy associated with the histochemical method of AChE, performed days, months or sometimes years before surgery, resulted in a diagnostic accuracy rate of 95.59%, a positive predictive value of 100% and there were no false-positive results.A biópsia de reto por sucção associada à histoquímica enzimática pela acetilcolinesterase (AChE tem sido reconhecida como um método confiável para o diagnóstico da doença de Hirshsprung (HD. Este estudo compara o diagnóstico patológico final de 68 peças de colectomias incluídas em parafina com o diagnóstico prévio de HD

  6. Avaliação da utilização de biópsia transbrônquica em pacientes com suspeita clínica de doença pulmonar intersticial Evaluation of the use of transbronchial biopsy in patients with clinical suspicion of interstitial lung disease

    Directory of Open Access Journals (Sweden)

    Cristiano Claudino Oliveira

    2011-04-01

    Full Text Available OBJETIVO: Estudar os padrões clínicos, radiológicos e histopatológicos da biópsia transbrônquica (BTB utilizados para a confirmação diagnóstica em pacientes com suspeita clinica de doença pulmonar intersticial (DPI atendidos em um hospital universitário de nível terciário. MÉTODOS: Os prontuários, laudos radiológicos e de biópsias transbrônquicas de todos os pacientes com suspeita de DPI submetidos a BTB entre janeiro de 1999 e dezembro de 2006 no Hospital das Clínicas de Botucatu, localizado na cidade de Botucatu (SP, foram revisados. RESULTADOS: Foram incluídos no estudo 56 pacientes. Desses, 11 (19,6% apresentaram o diagnóstico definitivo de fibrose pulmonar idiopática (FPI, que foi significativamente maior nos casos nos quais DPI era uma possibilidade diagnóstica em comparação com aqueles nos quais DPI era a principal suspeita (p = 0,011, demonstrando a contribuição da BTB para a definição diagnóstica dessas doenças. O exame histopatológico dessas biópsias revelou que 27,3% dos pacientes com FPI apresentavam o padrão de pneumonia organizante, o que pode sugerir doença mais avançada. O padrão histológico indeterminado foi o mais frequente, refletindo a característica periférica da FPI. Entretanto, o padrão fibrose apresentou alta especificidade e alto valor preditivo negativo. Para os padrões sugestivos de FPI em TC, a curva ROC indicou que a melhor relação entre sensibilidade e especificidade ocorreu com a presença de cinco alterações radiológicas, sendo o aspecto de favo de mel fortemente sugestivo de FPI (p = 0,01. CONCLUSÕES: Nas DPIs, a TC de tórax deve ser sempre realizada e a BTB usada em situações individualizadas, conforme a suspeita e distribuição das lesões.OBJECTIVE: To study the clinical, radiological, and histopathological patterns of transbronchial biopsy (TBB used in order to confirm the diagnosis in patients with clinical suspicion of interstitial lung disease (ILD

  7. Burning Phosphorus under Water Safely

    Science.gov (United States)

    Taylor, Larry C.

    1997-09-01

    A safer method for demonstrating the burning of white phosphorous under water is described. This demonstration uses 3% hydrogen peroxide solution and manganese dioxide as the oxygen source, eliminating the use of potentially explosive potassium chlorate. The oxygen generation is manually controlled by means of a stopcock on the dropping funnel. The apparatus has been designed to provide a most spectacular display, especially in the dark, lasting an hour or longer if desired, and eliminates the noxious phosphorous odor.

  8. Method of burning petrochemical products

    Energy Technology Data Exchange (ETDEWEB)

    Sado, I

    1973-01-12

    This invention concerns a method of burning wastes such as polyvinyl chloride or other synthetic resin products and rubbers, in which wastes are burned in a nearly smokeless and odorless state. The method is characterized by a process by which petrochemical waste products are subjected to a spontaneous combustion in a casserole state in a closed combustion room in such a way that no air is supplied whatever, and subsequently the gas so generated is sent successively in an adequate amount into a separately installed second combustion room where it is reburnt at a high temperature of more than 1000 C by a jet flame from the oil burners mounted inside the combustion room. Usually, petrochemical products emanate black smoke of Ringelmann concentration of more than five and a strong odor, but in this method, particularly in the case of polyvinyl chloride the exhaust smoke has a Ringelmann smoke concentration of less than one and is almost odorless because the plastic is completely gasified by the spontaneous combustion and completely burned at 1300 to 1400/sup 0/C with oil and air in the second combustion room. When the exhaust smoke is passed through a neutralization tank to remove the chloride compounds in the smoke, the damaging contribution of the exhaust gas or smoke to the secondary pollution can be completely eliminated.

  9. Achados histológicos em 48 pacientes transplantados do fígado: biópsias do enxerto pós-reperfusão (tempo zero e de três a 15 dias pós-transplante

    Directory of Open Access Journals (Sweden)

    Castro Alexandre Fonseca de

    2002-01-01

    Full Text Available Introdução: As relações entre a morfologia do enxerto transplantado e a do período pós-transplante são importantes no acompanhamento dos pacientes e no direcionamento dos tratamentos instituídos. Objetivo: Analisar os achados histológicos do enxerto hepático em biópsiasrealizadas pós-reperfusão (tempo zero e naquelas realizadas de três a 15 dias pós-transplante. Materiais e métodos: Noventa e seis biópsias de 48 pacientes foram selecionadas por terem sido colhidas no tempo zero (pós-reperfusão e no período compreendido entre o terceiro e o 15º dia pós-transplante, com identificação das lesões hepatocitárias degenerativas, necrose e atividadeinflamatória. As biópsias pós-transplante foram ainda graduadas quanto ao índice de atividade de rejeição (IAR, segundo o consenso de Banff. Resultados: Osachados histopatológicos mais freqüentes nas biópsias pós-reperfusão foram de degeneração hidrópica discreta (acometimento de até 50% dos hepatócitos em 87,5% dos casos e necrose focal intralobular (lítica, apoptose presente em 75% dos pacientes, em graus variáveis. Nas biópsiasrealizadas pós-transplante encontrou-se degeneração hidrópica discreta também em 87,5% dos casos e rejeição aguda em 38 (79,2% pacientes. Nestas biópsias com rejeição aguda, chamou atenção a intensidade da agressão a ductos biliares em graus moderado (2 e acentuado (3 presentes em 42,1% dos casos, enquanto a endotelialite portal, nestas mesmas intensidades, ocorreu em 21,05%. Conclusão: Nossos dados evidenciaram lesões relacionadas à preservação (lesões do tipo harvesting nas biópsias pós-reperfusão. As biópsias pós-transplante revelaram índice de rejeição morfológica na maioria dos casos, como evidenciado na literatura, destacando-se aqui a intensidade da agressão a ductos biliares.

  10. 3D hydrodynamic simulations of carbon burning in massive stars

    Science.gov (United States)

    Cristini, A.; Meakin, C.; Hirschi, R.; Arnett, D.; Georgy, C.; Viallet, M.; Walkington, I.

    2017-10-01

    We present the first detailed 3D hydrodynamic implicit large eddy simulations of turbulent convection of carbon burning in massive stars. Simulations begin with radial profiles mapped from a carbon-burning shell within a 15 M⊙ 1D stellar evolution model. We consider models with 1283, 2563, 5123, and 10243 zones. The turbulent flow properties of these carbon-burning simulations are very similar to the oxygen-burning case. We performed a mean field analysis of the kinetic energy budgets within the Reynolds-averaged Navier-Stokes framework. For the upper convective boundary region, we find that the numerical dissipation is insensitive to resolution for linear mesh resolutions above 512 grid points. For the stiffer, more stratified lower boundary, our highest resolution model still shows signs of decreasing sub-grid dissipation suggesting it is not yet numerically converged. We find that the widths of the upper and lower boundaries are roughly 30 per cent and 10 per cent of the local pressure scaleheights, respectively. The shape of the boundaries is significantly different from those used in stellar evolution models. As in past oxygen-shell-burning simulations, we observe entrainment at both boundaries in our carbon-shell-burning simulations. In the large Péclet number regime found in the advanced phases, the entrainment rate is roughly inversely proportional to the bulk Richardson number, RiB (∝RiB-α, 0.5 ≲ α ≲ 1.0). We thus suggest the use of RiB as a means to take into account the results of 3D hydrodynamics simulations in new 1D prescriptions of convective boundary mixing.

  11. Decreasing burned children's pain behavior: impacting the trauma of hydrotherapy.

    Science.gov (United States)

    Kelley, M L; Jarvie, G J; Middlebrook, J L; McNeer, M F; Drabman, R S

    1984-01-01

    We evaluated the effects of cartoon viewing with the use of a star feedback chart on two burned children's pain behavior during their physical therapy sessions. In addition, the degree to which the observational data corresponded with physical therapists' and mothers' ratings of the children's pain, fear, and cooperativeness was examined. Using a reversal single-subject design, the results showed that the children's pain behavior substantially decreased during experimental treatment sessions compared to their baseline levels. The rating scale data indicated that the physical therapist's and mother's rating of pain, anxiety, and cooperativeness were all correlated significantly with the observational data (p less than .05). The contributions of respondent and operant conditioning to the occurrence and treatment of pain behavior in burned children are discussed. PMID:6735948

  12. Fossil fuel and biomass burning effect on climate - Heating or cooling?

    Science.gov (United States)

    Kaufman, Yoram J.; Fraser, Robert S.; Mahoney, Robert L.

    1991-01-01

    The basic theory of the effect of pollution on cloud microphysics and its global implications is applied to compare the relative effect of a small increase in the consumption rate of oil, coal, or biomass burning on cooling and heating of the atmosphere. The characteristics of and evidence for the SO2 induced cooling effect are reviewed. This perturbation analysis approach permits linearization, therefore simplifying the analysis and reducing the number of uncertain parameters. For biomass burning the analysis is restricted to burning associated with deforestation. Predictions of the effect of an increase in oil or coal burning show that within the present conditions the cooling effect from oil and coal burning may range from 0.4 to 8 times the heating effect.

  13. Burns in South Korea: An analysis of nationwide data from the Health Insurance Review and Assessment Service.

    Science.gov (United States)

    Oh, Hyunjin; Boo, Sunjoo

    2016-05-01

    The purpose of the study was to identify and describe the incidence of burn injuries in patients seen and treated in South Korea. Characteristics of inpatients and outpatients with burns were analyzed according to gender, age, burn site, and burn severity. This retrospective study examined the characteristics of a stratified sample of burn patients seen and treated in South Korea during the calendar year 2011. The sample was drawn from the national patient database Health Insurance Review and Assessment (HIRA). Approximately 1.71% of the total patients in the Patient Sample of HIRA for 2011 were burn-injured patients. The numbers of patients treated for burns were 913/10(5) males (n=8009) and 1454/10(5) females (n=11,881). Nearly all of these patients (94.1%) were covered by national health insurance and the majority of these patients (80.6%) were treated as outpatients. Nearly half of the burn injuries were of the upper extremities (43.5%), and most of these injuries (71.5%) were rated as second-degree burns. A review of the national data on patients seen and treated for burns in 2011 revealed that people in South Korea may experience higher numbers and more severe cases of burns and burn-related injuries than found in other countries. General burn prevention programs as well as gender- and age-specific prevention strategies are needed to reduce the risk of burns in this population. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

  14. Mortality pattern of burn patients admitted in S. G. M. Hospital Rewa: A teaching institute of central India

    Directory of Open Access Journals (Sweden)

    S Lal

    2012-01-01

    Full Text Available Background: Burn injuries rank among the most severe types of injuries suffered by the human body with an attendant high mortality and morbidity rate. In previous studies, incidence, severity and deaths due to burn were found higher in young married women in India. Study to find out mortality pattern in burn patient was not carried out in this part of country. Objective: To identify demographic and sociocultural factors, type, modes, causes and risk factors for burn injuries and their gender-wise association. Materials and Methods: It was a retrospective study. Data were collected from all burn patients who admitted and died while on the treatment from 2004 to 2009. A total of 586 patients were included in this study. Data were gathered from hospital records and entered in the excel sheet. Analysis of data was done by using SPSS version 17 statistical software. Results: The mean age of patients was 22.66 years (range 1 m to 80 years. Episodes of burn were 4.63 times common in female (82.25% than in male (17.75%. It was statistically significant in females of age group 21-30 years (93.93% vs. 15.33% P < 0.0001. Married females (86.80% burned more commonly than married males (13.19% P < 0.0001. Flame burn was the major cause of death (95.56%. Kerosene was the most common (69% source of flame burn. Clothes caught fire while working on Chullha were 25% cases ( P < 0.0001. Accidental (86.44% burn was the most common intention of injury. The majority of burn deaths (68% occurred within one week of the incident due to septicemia (57%. Conclusion: Factors associated with an increase in mortality were accidental burns, burn size, young age, married women, and flame burns. For planning and implementing prevention programs, the approach has to be multidisciplinary and coordinated.

  15. Evaluation of the online-presence (homepage) of burn units/burn centers in Germany, Austria and Switzerland.

    Science.gov (United States)

    Selig, H F; Lumenta, D B; König, C; Andel, H; Kamolz, L P

    2012-05-01

    A successful online presence is an important key factor in the competition among hospitals today. However, little is known about the internet presence and the quality of websites of burn units on the World Wide Web. The aim was to assess the online presence of hospitals provided by specialized burn units in German speaking countries with a focus on the rate and the performance of actively run websites. A multicenter, observational, cross-sectional study was performed over a period of 1.5 month (October-December 2010). Forty-four burn units were assessed by using a previously generated criteria list. The list included 36 criteria with following topics: "research and teaching"; "patient care"; "clinical emphases", "general information"; "information brokerage". Overall, the websites examined offered a good overview about their different online services with many multimedia-based elements included. All websites consisted of hyperlinks, general multimedia-based elements and information on means of communication with the hospital, respectively. In contrast, the quality of specific information for burn patients was relatively poor. With regard to the need of elderly people, the usability and the layout, the different websites offer a lot of options for future improvements. Burn centers in Germany, Austria and Switzerland already consider the World Wide Web as an important tool for self-promotion and communication. The potential of burn center websites to function as a knowledge base for first aid as well as preventive measurements should be considered and realized in future web site designs. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

  16. Skin graft fixation in severe burns: use of topical negative pressure.

    Science.gov (United States)

    Kamolz, L P; Lumenta, D B; Parvizi, D; Wiedner, M; Justich, I; Keck, M; Pfurtscheller, K; Schintler, M

    2014-09-30

    Over the last 50 years, the evolution of burn care has led to a significant decrease in mortality. The biggest impact on survival has been the change in the approach to burn surgery. Early excision and grafting has become a standard of care for the majority of patients with deep burns; the survival of a given patient suffering from major burns is invariably linked to the take rate and survival of skin grafts. The application of topical negative pressure (TNP) therapy devices has demonstrated improved graft take in comparison to conventional dressing methods alone. The aim of this study was to analyze the impact of TNP therapy on skin graft fixation in large burns. In all patients, we applied TNP dressings covering a %TBSA of >25. The following parameters were recorded and documented using BurnCase 3D: age, gender, %TBSA, burn depth, hospital length-of-stay, Baux score, survival, as well as duration and incidence of TNP dressings. After a burn depth adapted wound debridement, coverage was simultaneously performed using split-thickness skin grafts, which were fixed with staples and covered with fatty gauzes and TNP foam. The TNP foam was again fixed with staples to prevent displacement and finally covered with the supplied transparent adhesive film. A continuous subatmospheric pressure between 75-120 mm Hg was applied (VAC®, KCI, Vienna, Austria). The first dressing change was performed on day 4. Thirty-six out of 37 patients, suffering from full thickness burns, were discharged with complete wound closure; only one patient succumbed to their injuries. The overall skin graft take rate was over 95%. In conclusion, we consider that split thickness skin graft fixation by TNP is an efficient method in major burns, notably in areas with irregular wound surfaces or subject to movement (e.g. joint proximity), and is worth considering for the treatment of aged patients.

  17. Total inpatient treatment costs in patients with severe burns: towards a more accurate reimbursement model.

    Science.gov (United States)

    Mehra, Tarun; Koljonen, Virve; Seifert, Burkhardt; Volbracht, Jörk; Giovanoli, Pietro; Plock, Jan; Moos, Rudolf Maria

    2015-01-01

    Reimbursement systems have difficulties depicting the actual cost of burn treatment, leaving care providers with a significant financial burden. Our aim was to establish a simple and accurate reimbursement model compatible with prospective payment systems. A total of 370 966 electronic medical records of patients discharged in 2012 to 2013 from Swiss university hospitals were reviewed. A total of 828 cases of burns including 109 cases of severe burns were retained. Costs, revenues and earnings for severe and nonsevere burns were analysed and a linear regression model predicting total inpatient treatment costs was established. The median total costs per case for severe burns was tenfold higher than for nonsevere burns (179 949 CHF [167 353 EUR] vs 11 312 CHF [10 520 EUR], interquartile ranges 96 782-328 618 CHF vs 4 874-27 783 CHF, p <0.001). The median of earnings per case for nonsevere burns was 588 CHF (547 EUR) (interquartile range -6 720 - 5 354 CHF) whereas severe burns incurred a large financial loss to care providers, with median earnings of -33 178 CHF (30 856 EUR) (interquartile range -95 533 - 23 662 CHF). Differences were highly significant (p <0.001). Our linear regression model predicting total costs per case with length of stay (LOS) as independent variable had an adjusted R2 of 0.67 (p <0.001 for LOS). Severe burns are systematically underfunded within the Swiss reimbursement system. Flat-rate DRG-based refunds poorly reflect the actual treatment costs. In conclusion, we suggest a reimbursement model based on a per diem rate for treatment of severe burns.

  18. Validade da citologia e da biópsia orientada pela colposcopia no diagnóstico do carcinoma cervical pré-clínico Validity of cytology and colposcopy - guided biopsy for the diagnosis of preclinical cervical carcinoma

    Directory of Open Access Journals (Sweden)

    Aldo Franklin Ferreira Reis

    1999-05-01

    Full Text Available Objetivo: avaliar a eficácia da citologia e da biópsia orientada pela colposcopia na discriminação entre o carcinoma invasor pré-clínico e as lesões intra-epiteliais. Pacientes e Métodos: 441 pacientes submetidas a conização, histerectomia e operação de Wertheim-Meigs, no período de 1978 a 1995, no Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Setor de Patologia Cervical. Foram efetuados os cálculos da sensibilidade, especificidade, valores preditivos, razão de verossimilhança e intervalos de confiança de cada exame, divididos em quatro categorias: normal e inflamatório; displasia leve e displasia moderada; displasia acentuada e carcinoma in situ, e carcinoma microinvasor e invasor. As biópsias foram analisadas como um todo e separadas pelo tipo de colposcopia (satisfatória e insatisfatória. Resultados: a citologia mostrou sensibilidade de 50%, especificidade de 89%, valor preditivo positivo de 63% e valor preditivo negativo de 82%. As razões de verossimilhança foram 4,4 para o diagnóstico de invasão, 0,7 para displasia acentuada e carcinoma in situ, 0,1 para displasia leve e moderada, 2,2 para normal e inflamatório e 0,6 para o conjunto de resultados negativos para invasão. A biópsia orientada pela colposcopia apresentou sensibilidade de 50%, especificidade de 100%, valor preditivo positivo de 100% e valor preditivo negativo de 83%. As razões de verossimilhança foram: tendendo ao ¥ para o resultado de invasão, 0,5 para displasia acentuada e carcinoma in situ, 0,2 para displasia leve e moderada, 0,3 para normal e inflamatório e 0,5 para o conjunto de resultados negativos para invasão. A biópsia orientada pela colposcopia satisfatória com lesão visível mostrou sensibilidade de 59%, especificidade de 100%, valor preditivo positivo de 100% e valor preditivo negativo de 83%. As razões de verossimilhança foram: tendendo ao ¥ para o resultado positivo de invasão, 0

  19. Incidência da cardiopatia chagásica em 15.000 necrópsias consecutivas e sua associação com os «megas»

    Directory of Open Access Journals (Sweden)

    A. J. A. Barbosa

    1970-08-01

    Full Text Available Os AA. estudaram, a incidência da cardiopatia chagásica em 15.000 necrópsias consecutivas e sua associação com os megas. Em 875 cardiopatias chagásicas houve 145 casos de megas, ou seja, 16,56%, com predominância do sexo masculino. No branco houve maior incidência (55 de megas do que no mulato (53 e no negro (31 dentre 858 cardiopatias chagásicas. Em 848 cardiopatias chagásicas, 85,78% eram de indivíduos que faleceram entre 21 e 60 anos. O maior número de cardiopatias (120 ou 14,14% e de "megas'' (21 ou 15,78% foi encontrado nos indivíduos entre 36 a 40 anos. Os nossos resultados mostram uma incidência diferente da associação cardiopatia-mega, em comparação da observada em outras regiões do País e em outros países da América do Sul.

  20. Rapid spread of suicide by charcoal burning from 2007 to 2011 in Korea.

    Science.gov (United States)

    Lee, Ah-Rong; Ahn, Myung Hee; Lee, Tae Yeop; Park, Subin; Hong, Jin Pyo

    2014-11-30

    Despite rapid increase of suicide by charcoal burning within 5 years, little is known about the characteristics of charcoal burning suicide in Korea. This study aimed to examine the trends and risk factors in the spread of suicide using this method. We identified an association between media reporting of suicide by charcoal burning and its incidence. Data on suicide from 2007 to 2011 were obtained from the Korean National Statistical Office. Cross-correlation analysis was used. Increasing incidence of suicide by charcoal burning was correlated with higher education levels, male sex, and the latter half of the year. Victims of charcoal burning suicide were more likely to be young, male, single, highly educated, professional, urban-based, and to die between October and December. Internet reports of suicide via charcoal burning tended to precede the increased incidence of suicide using this method, but only during the early period of the suicide epidemic. Our findings suggest that one episode of heavy media coverage of a novel method, such as charcoal burning, is sufficient to increase the prevalence of suicide by that method even after media coverage decreases. These findings are expected to contribute to the prevention of increasing rates of suicide by charcoal burning. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  1. Study on laminar burning velocity of syngas-air premixed flames in various mixing conditions

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kee Man; Jeong, Byeong Gyu [Sunchon National University, Suncheon (Korea, Republic of); Lee, Seung Ro [Chonbuk National University, Jeonju (Korea, Republic of)

    2015-07-15

    The laminar burning velocity of syngas-air premixed flames was measured with various equivalence ratios from 0.5 to 5.0 and a mole fraction of H{sub 2} from 0.05 to 0.75. The laminar burning velocity was experimentally determined using a Bunsen flame according to the cone angle and surface area methods. A premixed code with a USC-II detailed reaction mechanism was used for the numerical calculations to predict the laminar burning velocity and to examine the relationship between the burning velocity enhancement and the hydrogen-related reactions. The results indicate that an appropriate method for the measurement of laminar burning velocity is necessary in the H{sub 2}/CO/air syngas premixed flame. In addition, the burning velocity linearly increased with the increase of the H{sub 2} mole fraction in the syngas mixture, although the burning velocity of H{sub 2} was 10 times larger than that of CO. This result is attributed to the rapid production of H-radicals at the early stage of combustion. Furthermore, the predicted mole fractions of H and OH radicals increased with the increase of H{sub 2} mole fraction for a lean syngas mixture. However, the mole fraction of OH radicals, an indicator of heat release rate, decreased for rich syngas mixture, resulting in a reduction of the laminar burning velocity, even with an increase of the H{sub 2} mole fraction.

  2. Study on laminar burning velocity of syngas-air premixed flames in various mixing conditions

    International Nuclear Information System (INIS)

    Lee, Kee Man; Jeong, Byeong Gyu; Lee, Seung Ro

    2015-01-01

    The laminar burning velocity of syngas-air premixed flames was measured with various equivalence ratios from 0.5 to 5.0 and a mole fraction of H 2 from 0.05 to 0.75. The laminar burning velocity was experimentally determined using a Bunsen flame according to the cone angle and surface area methods. A premixed code with a USC-II detailed reaction mechanism was used for the numerical calculations to predict the laminar burning velocity and to examine the relationship between the burning velocity enhancement and the hydrogen-related reactions. The results indicate that an appropriate method for the measurement of laminar burning velocity is necessary in the H 2 /CO/air syngas premixed flame. In addition, the burning velocity linearly increased with the increase of the H 2 mole fraction in the syngas mixture, although the burning velocity of H 2 was 10 times larger than that of CO. This result is attributed to the rapid production of H-radicals at the early stage of combustion. Furthermore, the predicted mole fractions of H and OH radicals increased with the increase of H 2 mole fraction for a lean syngas mixture. However, the mole fraction of OH radicals, an indicator of heat release rate, decreased for rich syngas mixture, resulting in a reduction of the laminar burning velocity, even with an increase of the H 2 mole fraction.

  3. Development of continuous energy Monte Carlo burn-up calculation code MVP-BURN

    International Nuclear Information System (INIS)

    Okumura, Keisuke; Nakagawa, Masayuki; Sasaki, Makoto

    2001-01-01

    Burn-up calculations based on the continuous energy Monte Carlo method became possible by development of MVP-BURN. To confirm the reliably of MVP-BURN, it was applied to the two numerical benchmark problems; cell burn-up calculations for High Conversion LWR lattice and BWR lattice with burnable poison rods. Major burn-up parameters have shown good agreements with the results obtained by a deterministic code (SRAC95). Furthermore, spent fuel composition calculated by MVP-BURN was compared with measured one. Atomic number densities of major actinides at 34 GWd/t could be predicted within 10% accuracy. (author)

  4. Mapping burned areas and burn severity patterns across the Mediterranean region

    Science.gov (United States)

    Kalogeropoulos, Christos; Amatulli, Giuseppe; Kempeneers, Pieter; Sedano, Fernando; San Miguel-Ayanz, Jesus; Camia, Andrea

    2010-05-01

    The Mediterranean region is highly susceptible to wildfires. On average, about 60,000 fires take place in this region every year, burning on average half a million hectares of forests and natural vegetation. Wildfires cause environmental degradation and affect the lives of thousands of people in the region. In order to minimize the consequences of these catastrophic events, fire managers and national authorities need to have in their disposal accurate and updated spatial information concerning the size of the burned area as well as the burn severity patterns. Mapping burned areas and burn severity patterns is necessary to effectively support the decision-making process in what concerns strategic (long-term) planning with the definition of post-fire actions at European and national scales. Although a comprehensive archive of burnt areas exists at the European Forest Fire Information System, the analysis of the severity of the areas affected by forest fires in the region is not yet available. Fire severity is influenced by many variables, including fuel type, topography and meteorological conditions before and during the fire. The analysis of fire severity is essential to determine the socio-economic impact of forest fires, to assess fire impacts, and to determine the need of post-fire rehabilitation measures. Moreover, fire severity is linked to forest fire emissions and determines the rate of recovery of the vegetation after the fire. Satellite imagery can give important insights about the conditions of the live fuel moisture content and can be used to assess changes on vegetation structure and vitality after forest fires. Fire events occurred in Greece, Portugal and Spain during the fire season of 2009 were recorded and analyzed in a GIS environment. The Normalized Difference Vegetation Index (NDVI), the Enhanced Vegetation Index (EVI) and the Normalized Burn Ratio (NBR) were calculated from 8-days composites MODIS/TERRA imagery from March to October 2009. In

  5. Lethal Area 50 in Patients with Burn Injuries in North West, Iran

    Directory of Open Access Journals (Sweden)

    Ahmad Mirza Aghazadeh

    2018-03-01

    Full Text Available Introduction: In view of their considerably high rates of mortality and morbidity, burns are still viewed as one of the most important health-threatening environmental hazards imposing a significant burden on the health care system in low and middle-income countries. This study seeks to determine the lethal area fifty percent (LA50 in all burn patients admitted over a period of five years and the factors influencing mortality in burn injuries. Methods: This study was a cross-sectional carried out from 2010 to 2014 in Sina Hospital of Tabriz, 1226 participant including 319 women, 346 men, 272 girls, and 289 boys were selected through stratified sampling. The demographic and clinical data of patients ( their age, gender, burn type, TBSA, the season and consequences of burning were all extracted and then analyzed, using descriptive statistics (measures of central tendency and variability and inferential statistics(chi-square and linear regressionat a significance level of 0.05. The LA50 was calculated through determining the relationship between the total body surface area and mortality rate (The extent of the body burns measured and recorded based on Lando Chart in hospitals. Results: The highest (47.6% and the lowest (3.8% rates of burns were observed among those aged below 16 and above 65, respectively. The majority of the participants were residents of cities (55.4%, married (34.6%, illiterate (56.6%, and housewives (14.8%. Most burns were caused by accidents (98.4% at home (90.6%. Most patients had suffered first- and second-degree burns (68.4%, with no inhalation damages (99.5%. Hot liquids were the main culprit in most of the burns (58.7% and the upper extremities were the most frequently affected areas (34.8%. There was .99 rise in mortality for every percent increase in TBSA, and there seemed to be a significant relationship between the age level and the eventual outcome- the higher the age, the more likely for the incident to end in death

  6. Burns

    Science.gov (United States)

    ... regularly. Teach children about fire safety and the danger of matches and fireworks. Keep children from climbing ... injuries of the lungs. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: ...

  7. Burns

    Science.gov (United States)

    ... putting a child in the bathtub. Cover unused electric outlets with safety caps, and replace damaged, frayed or brittle electrical cords. Keep fire extinguishers on every floor of your house, especially in the kitchen, and know how to use them. Do not ...

  8. Training and burn care in rural India

    Directory of Open Access Journals (Sweden)

    Chamania Shobha

    2010-10-01

    Full Text Available Burn care is a huge challenge in India, having the highest female mortality globally due to flame burns. Burns can happen anywhere, but are more common in the rural region, affecting the poor. Most common cause is flame burns, the culprit being kerosene and flammable flowing garments worn by the women. The infrastructure of healthcare network is good but there is a severe resource crunch. In order to bring a positive change, there will have to be more trained personnel willing to work in the rural areas. Strategies for prevention and training of burn team are discussed along with suggestions on making the career package attractive and satisfying. This will positively translate into improved outcomes in the burns managed in the rural region and quick transfer to appropriate facility for those requiring specialised attention.

  9. Childhood burns in south eastern Nigeria.

    Science.gov (United States)

    Archibong, A E; Antia, U E; Udosen, J

    1997-06-01

    In a ten year retrospective study of burns in children in University of Calabar Teaching Hospital (UCTH), Calabar, the main causes were hot water, hot soup or oil (56.6%) involving children mostly in the one to three year age group. The relative safety of the home environment seen in other forms of paediatric trauma is not observed in burns in children. A changing pattern of burns in children has emerged within the region with naked flames/bush fire coming second and affecting 22.7% of the children. Chemical burns hitherto a rare occurrence is now frequent because of the storage of caustic soda and acids in living rooms by soap making parents. Burns affecting the perineum, axilla and buttocks are difficult to keep clean and frequently lead to infections, with associated increased morbidity. Causes of childhood burns are largely preventable requiring active social/medical education and public enlightenment campaigns on the various methods of prevention.

  10. The past 25 years of pediatric burn treatment in Graz and important lessons been learned. An overview.

    Science.gov (United States)

    Trop, Marija; Herzog, Sereina A; Pfurtscheller, Klaus; Hoebenreich, Angelika M; Schintler, Michael V; Stockenhuber, Andrea; Kamolz, Lars-Peter

    2015-06-01

    The aim of this study was to characterize the epidemiology of pediatric and adolescent burns admitted to the Children's Burns Unit at the Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Austria, between January 1st 1988 and December 31st 2012. This is a retrospective review over the past 25-years and describes admission rate by gender and age groups, causes of burns, anatomical sites of burns, extent and depth of injury, length of hospital stay, child abuse and in-hospital mortality. In the studied 25 year-period, 1586 pediatric burn patients were admitted. 1451 patients were "acute" admissions, 64 "secondary" admissions and 71 patients did not fulfill the inclusion criteria. Of the 1451 patients, 930 (64%) were male and 521 (36%) female. The majority of patients - 880 or 60.6% - were children from 1 to 5 years of age. Domestic burns occurring at home resulted in 1164 (80.2%) of injuries and scalds were the most common type of thermal trauma with 945 (65.1%) patients. According to the extent of injury 1106 (76.2%) patients suffered burns of burn care over a long time period, at a single center, including children and adolescents, with stable surgical and rehabilitation staff. The data is also important for the design of prevention programs and establishment of burn care capacities, since the analysis showed no change in the incidence of burn related admissions over the time period studied. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  11. Sulfate reduction and carbon removal during kraft char burning

    Energy Technology Data Exchange (ETDEWEB)

    Waag, K.J.; Frederick, W.J.; Sricharoenchaikul, V [Oregon State Univ., Corvallis, OR (United States). Dept. of Chemical Engineering; Grace, T.M. [T.M. Grace Company, Appleton, WI (United States); Kymalainen, M. [Tampella Power, Tampere (Finland)

    1995-12-31

    An improved mathematical model of char burning during black liquor combustion was described. Enhancements include a proper treatment of CO{sub 2} and H{sub 2}O gasification, reactions between oxygen and combustibles in the boundary layer, and integration of sulfate reduction and sulfide reoxidation into the char burning process. Gasification of char carbon by reaction with H{sub 2}O and CO{sub 2} proved to be the most important means of carbon release under typical recovery furnace conditions. Sulfate reduction was shown to be responsible for only a minor part of the carbon release. Simulations showed that for typical recovery boiler conditions, char burning behavior is independent of oxygen concentration up to the point of carbon depletion. After carbon depletion, sulfide reoxidation occurs at a rate determined by oxygen mass transfer. Process variables that had the biggest effect on char burning behavior were initial black liquor drop diameter and temperature; also there was a direct link between char burnout times and the amount of sulfate reduction. At a given temperature, any variable that shortened the char burnout time resulted in proportionately less reduction. 22 refs., 10 figs., 2 tabs.

  12. Vitamin E Supplementation in Burn Patients

    Science.gov (United States)

    2015-10-01

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

  13. In-Situ Burn Gaps Analysis

    Science.gov (United States)

    2015-02-01

    This Report) UNCLAS//Public 20. Security Class (This Page) UNCLAS//Public 21. No of Pages 76 22. Price UNCLAS//Public | CG-926 RDC | Merrick...surveillance and spotting techniques/equipment to keep responders in the heaviest oil concentrations where their operation to skim , burn, or disperse...Offshore Oil Skim And Burn System For Use With Vessels Of Opportunity. UNCLAS//Public | CG-926 RDC | Merrick, et al. Public | June 2015 In-Situ Burn Gaps

  14. Fire-fighting burning oil wells

    International Nuclear Information System (INIS)

    Newbury, Herbert; Risk, Stewart.

    1993-01-01

    A method of extinguishing burning oil wells is presented which involves dispensing liquid nitrogen to the burning site to prevent or inhibit oxygen from fuelling the flames. To carry out the method a remotely operated vehicle is described which is provided with a source of liquid nitrogen and an articulated deployment boom capable of supplying the liquid nitrogen to the site of a burning oil well. (Author)

  15. Comparison of tokamak burn cycle options

    International Nuclear Information System (INIS)

    Ehst, D.A.; Brooks, J.N.; Cha, Y.; Evans, K. Jr.; Hassanein, A.M.; Kim, S.; Majumdar, S.; Misra, B.; Stevens, H.C.

    1985-01-01

    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

  16. The effect of preexisting respiratory co-morbidities on burn outcomes☆

    Science.gov (United States)

    Knowlin, Laquanda T.; Stanford, Lindsay B.; Cairns, Bruce A.; Charles, Anthony G.

    2018-01-01

    Introduction Burns cause physiologic changes in multiple organ systems in the body. Burn mortality is usually attributable to pulmonary complications, which can occur in up to 41% of patients admitted to the hospital after burn. Patients with preexisting comorbidities such as chronic lung diseases may be more susceptible. We therefore sought to examine the impact of preexisting respiratory disease on burn outcomes. Methods A retrospective analysis of patients admitted to a regional burn center from 2002–2012. Independent variables analyzed included basic demographics, burn mechanism, presence of inhalation injury, TBSA, pre-existing comorbidities, smoker status, length of hospital stay, and days of mechanical ventilation. Bivariate analysis was performed and Cox regression modeling using significant variables was utilized to estimate hazard of progression to mechanical ventilation and mortality. Results There were a total of 7640 patients over the study period. Overall survival rate was 96%. 8% (n=672) had a preexisting respiratory disease. Chronic lung disease patients had a higher mortality rate (7%) compared to those without lung disease (4%, pburn. Given the increasing number of Americans with chronic respiratory diseases, there will likely be a greater number of individuals at risk for worse outcomes following burn. PMID:28341260

  17. Health risks due to pre-harvesting sugarcane burning in São Paulo State, Brazil

    Directory of Open Access Journals (Sweden)

    Maria Leticia de Souza Paraiso

    2015-09-01

    Full Text Available After 2003, a new period of expansion of the sugarcane culture began in Brazil. Pre-harvesting burning of sugarcane straw is an agricultural practice that, despite the nuisance for the population and pollution generated, still persisted in over 70% of the municipalities of São Paulo State in 2010. In order to study the distribution of this risk factor, an ecological epidemiological study was conducted associating the rates of deaths and hospital admissions for respiratory diseases, for each municipality in the State, with the exposure to the pre-harvesting burning of sugarcane straw. A Bayesian multivariate regression model, controlled for the possible effects of socioeconomic and climate (temperature, humidity, and rainfall variations, has been used. The effect on health was measured by the standardized mortality and morbidity ratio. The measures of exposure to the pre-harvesting burning used were: percentage of the area of sugarcane harvested with burning, average levels of aerosol, and number of outbreaks of burning. The autocorrelation between data was controlled using a neighborhood matrix. It was observed that the increase in the number of outbreaks of burning was significantly associated with higher rates of hospital admissions for respiratory disease in children under five years old. Pre-harvesting burning of sugarcane effectively imposes risk to population health and therefore it should be eliminated.

  18. Cutaneous osteosarcoma arising from a burn scar

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Min A.; Yi, Jaehyuck [Kyungpook National University, Department of Radiology, College of Medicine, Daegu (Korea, Republic of); Kyungpook National University Hospital, Department of Radiology, Daegu (Korea, Republic of); Chae, Jong Min [Kyungpook National University, Department of Pathology, College of Medicine, Daegu (Korea, Republic of)

    2017-04-15

    Tumors that develop in old burn scars are usually squamous cell carcinomas. Sarcomas have also been reported, albeit rarely. To our knowledge, there has been only one case report of an extraskeletal osteosarcoma arising in a prior burn scar reported in the English-language literature, mainly discussing the clinicopathological features. Herein, we present a case of cutaneous osteosarcoma visualized as a mineralized soft-tissue mass arising from the scar associated with a previous skin burn over the back. This seems to be the first report describing the imaging features of a cutaneous osteosarcoma from an old burn scar. (orig.)

  19. Management of acid burns: experience from Bangladesh.

    Science.gov (United States)

    Das, Kishore Kumar; Olga, Loren; Peck, Michael; Morselli, Paolo G; Salek, A J M

    2015-05-01

    Acid burn injuries in Bangladesh primarily occur as a result of intentional attacks although there are incidences of accidental acid burns in industry, on the street, and at home. A total of 126 patients with acid burns, 95 from attacks and 31 from accidents, were studied from July 2004 to December 2012. A diagnosis of acid burn was made from history, physical examination and in some cases from chemical analysis of the patients' clothing. Alkali burns were excluded from the study. In the burn unit of Dhaka Medical College Hospital, we applied a slightly different protocol for management of acid burns, beginning with plain water irrigation of the wound, which effectively reduced burn depth and the requirement of surgical treatment. Application of hydrocolloid dressing for 48-72 h helped with the assessment of depth and the course of treatment. Early excision and grafting gives good results but resultant acid trickling creates a marble cake-like appearance of the wound separated by the vital skin. Excision with a scalpel and direct stitching of the wounds are often a good option. Observation of patients on follow-up revealed that wounds showed a tendency for hypertrophy. Application of pressure garments and other scar treatments were given in all cases unless the burn was highly superficial. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  20. 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.

  1. 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...... patients. The most highly recommended guidelines provided clear and accurate recommendations for the nursing and medical staff on pain management in burn patients. We recommend the use of a validated appraisal tool such as the AGREE instrument to provide more consistent and evidence-based care to burn...

  2. Mouse Model of Burn Wound and Infection

    DEFF Research Database (Denmark)

    Calum, Henrik; Høiby, Niels; Moser, Claus

    2017-01-01

    The immunosuppression induced by thermal injury renders the burned victim susceptible to infection. A mouse model was developed to examine the immunosuppression, which was possible to induce even at a minor thermal insult of 6% total body surface area. After induction of the burn (48 hr) a depres......The immunosuppression induced by thermal injury renders the burned victim susceptible to infection. A mouse model was developed to examine the immunosuppression, which was possible to induce even at a minor thermal insult of 6% total body surface area. After induction of the burn (48 hr...

  3. Long term outcomes data for the Burns Registry of Australia and New Zealand: Is it feasible?

    Science.gov (United States)

    Gabbe, Belinda J; Cleland, Heather; Watterson, Dina M; Schrale, Rebecca; McRae, Sally; Parker, Christine; Taggart, Susan; Edgar, Dale W

    2015-12-01

    Incorporating routine and standardised collection of long term outcomes following burn into burn registries would improve the capacity to quantify burn burden and evaluate care. To evaluate methods for collecting the long term functional and quality of life outcomes of burns patients and establish the feasibility of implementing these outcomes into a multi-centre burns registry. Five Burns Registry of Australia and New Zealand (BRANZ) centres participated in this prospective, longitudinal study. Patients admitted to the centres between November 2009 and November 2010 were followed-up at 1, 6, 12 and 24-months after injury using measures of burn specific health, health status, fatigue, itch and return to work. Participants in the study were compared to BRANZ registered patients at the centres over the study timeframe to identify participation bias, predictors of successful follow-up were established using a Generalised Estimating Equation model, and the completion rates by mode of administration were assessed. 463 patients participated in the study, representing 24% of all BRANZ admissions in the same timeframe. Compared to all BRANZ patients in the same timeframe, the median %TBSA and hospital length of stay was greater in the study participants. The follow-up rates were 63% at 1-month, 47% at 6-months; 40% at 12-months, and 21% at 24-months after injury, and there was marked variation in follow-up rates between the centres. Increasing age, greater %TBSA and opt-in centres were associated with greater follow-up. Centres which predominantly used one mode of administration experienced better follow-up rates. The low participation rates, high loss to follow-up and responder bias observed indicate that greater consideration needs to be given to alternative models for follow-up, including tailoring the follow-up protocol to burn severity or type. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

  4. Propofol clearance and volume of distribution are increased in patients with major burns.

    Science.gov (United States)

    Han, Tae-Hyung; Greenblatt, David J; Martyn, J A Jeevendra

    2009-07-01

    Propofol pharmacokinetics were examined in 17 adults with major burns during the hyperdynamic convalescent phase. Eighteen nonburned surgical patients served as controls. After a 2-mg/kg intravenous dose of propofol, blood samples were collected at multiple time points. Noncompartmental methods were used to calculate the pharmacokinetic parameters. The following indices were higher in burns than controls: propofol clearance (64+/-17 vs 29+/-4 mL/kg/min, Pclearance of propofol in burned patients may imply that these patients require higher doses or infusion rates of propofol to attain a target plasma concentration or pharmacodynamic effect.

  5. Thermal Decomposition Behaviors and Burning Characteristics of AN/Nitramine-Based Composite Propellant

    Science.gov (United States)

    Naya, Tomoki; Kohga, Makoto

    2015-04-01

    Ammonium nitrate (AN) has attracted much attention due to its clean burning nature as an oxidizer. However, an AN-based composite propellant has the disadvantages of low burning rate and poor ignitability. In this study, we added nitramine of cyclotrimethylene trinitramine (RDX) or cyclotetramethylene tetranitramine (HMX) as a high-energy material to AN propellants to overcome these disadvantages. The thermal decomposition and burning rate characteristics of the prepared propellants were examined as the ratio of AN and nitramine was varied. In the thermal decomposition process, AN/RDX propellants showed unique mass loss peaks in the lower temperature range that were not observed for AN or RDX propellants alone. AN and RDX decomposed continuously as an almost single oxidizer in the AN/RDX propellant. In contrast, AN/HMX propellants exhibited thermal decomposition characteristics similar to those of AN and HMX, which decomposed almost separately in the thermal decomposition of the AN/HMX propellant. The ignitability was improved and the burning rate increased by the addition of nitramine for both AN/RDX and AN/HMX propellants. The increased burning rates of AN/RDX propellants were greater than those of AN/HMX. The difference in the thermal decomposition and burning characteristics was caused by the interaction between AN and RDX.

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

    Directory of Open Access Journals (Sweden)

    Jennifer K. Costanza

    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

  7. Augmentation and Control of Burn Rates in Plasma Devices

    National Research Council Canada - National Science Library

    Bourham, Mohamed

    1999-01-01

    Interaction of electrothermal plasmas with solid propellants necessitates thorough understanding of plasma-propellant interface physics, momentum and energy transfer, plasma flow regimes, and mixing processes...

  8. Development of materials for higher burn-up rates

    International Nuclear Information System (INIS)

    Ehrlich, K.; Anderko, K.

    1983-01-01

    The results obtained so far concerning both high-nickel austenitic steels (X10CrNiMoTiB10 25) and ferritic-martensitic steels (X18CrMoVNb12 1 corresponds to 1.4914) justify the expectations placed in these materials. Future R and D work will concentrate on high-nickel austenitic steels, in particular on in-pile residence time in the range of maximum cladding mean temperatures (He embrittlement), on confirmation of the fairly good swelling and creep behaviour to be obtained from neutron irradiation experiments as well as on material qualification and technology. As far the development in the field of martensitic steels the major question concerns the influence of neutron irradiation on the transient temperature. It is just as important and interesting to detect and describe the ruling in-pile creep mechanism in the 400 to 600 0 C range. Furthermore, questions on the fabrication and qualification of cladding tube boxes are also preeminent. (orig.) [de

  9. Flamelet Surface Density and Burning Rate Integral in Premixed Combustion

    National Research Council Canada - National Science Library

    Gouldin, F

    1999-01-01

    We have developed, tested and applied in V-flames and a spark ignition engine a new experimental method, crossed-plane laser imaging, for measuring flamelet surface normals in premixed turbulent flames...

  10. Biomass burning fuel consumption rates: a field measurement database

    CSIR Research Space (South Africa)

    Van Leeuwen, TT

    2014-01-01

    Full Text Available residue (n = 4, FC = 6.5), chaparral (n = 2, FC = 32), tropical peatland (n = 4, FC = 314), boreal peatland (n = 2, FC = 42), and tundra (n = 1, FC = 40). Within biomes the regional variability in the number of measurements was sometimes large, with e...

  11. Theoretical Study on Nano-Catalyst Burn Rate

    Science.gov (United States)

    2014-11-26

    the adsorbed system EAP +surface and the adsorption state, with a positive value of Eads being thermodynamically favorable: Eads = (Esurface + EAP ... EAP +surface, (1) The interaction between the TiO2 surfaces and the AP molecules has been analyzed by

  12. A Portable Burn Pan for the Disposal of Gun Propellants

    Science.gov (United States)

    2016-11-01

    industrial suppliers. There should be no problems for most installations to fabricate or contract out the fabrication of a burn pan. ERDC/CRREL MP...2012). Measuring ener- getic contaminant deposition rates on snow. Water Air Soil Pollut (2012) 223:3689–3699. [25] Rasemann, W (2000) Industrial ...elevates the system off the ground, providing both clearance from most combustible materials or snow that may lie beneath it while partially

  13. Goal-Directed Fluid Resuscitation Protocol Based on Arterial Waveform Analysis of Major Burn Patients in a Mass Burn Casualty.

    Science.gov (United States)

    Chiao, Hao-Yu; Chou, Chang-Yi; Tzeng, Yuan-Sheng; Wang, Chih-Hsin; Chen, Shyi-Gen; Dai, Niann-Tzyy

    2018-02-01

    Adequate fluid titration during the initial resuscitation period of major burn patients is crucial. This study aimed to evaluate the feasibility and efficacy of a goal-directed fluid resuscitation protocol that used hourly urine output plus the arterial waveform analysis FloTrac (Edwards LifeSciences, Irvine, Calif) system for major burns to avoid fluid overload. We conducted a retrospective cohort study of 43 major burn patients at the Tri-Service General Hospital after the Formosa Fun Coast Dust Explosion on June 27, 2015. Because of the limited capacity of intensive care units (ICUs), 23 intubated patients were transferred from the burn wards or emergency department to the ICU within 24 hours. Fluid administration was adjusted to achieve a urine output of 30 to 50 mL/h, cardiac index greater than 2.5 L/min/m, and stroke volume variation (SVV) less than 12%. The hourly crystalloid fluid infusion rate was titrated based on SVV and hourly urine output. Of the 23 critically burned patients admitted to the ICU, 13 patients who followed the goal-directed fluid resuscitation protocol within 12 hours postburn were included in the analysis. The mean age (years) was 21.8, and the mean total body surface area (TBSA) burned (%) was 68.0. The mean Revised Baux score was 106.8. All patients sustained inhalation injury. The fluid volumes administered to patients in the first 24 hours and the second 24 hours (mL/kg/% total body surface area) were 3.62 ± 1.23 and 2.89 ± 0.79, respectively. The urine outputs in the first 24 hours and the second 24 hours (mL/kg/h) were 1.13 ± 0.66 and 1.53 ± 0.87, respectively. All patients achieved the established goals within 32 hours postburn. In-hospital mortality rate was 0%. The SVV-based goal-directed fluid resuscitation protocol leads to less unnecessary fluid administration during the early resuscitation phase. Clinicians can efficaciously manage the dynamic body fluid changes in major burn patients under the guidance of the protocol.

  14. Electrical burns of the abdomen.

    Science.gov (United States)

    Srivastava, Rakesh Kumar; Kumar, Ritesh

    2013-09-01

    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.

  15. 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.

  16. Burning mouth syndrome: Clinical dilemma?

    Directory of Open Access Journals (Sweden)

    Kanchan R Patil

    2008-01-01

    Full Text Available Burning Mouth Syndrome (BMS is a chronic orofacial burning pain condition usually in the absence of clinical and laboratory findings that affects many adults worldwide, yet its etiology and treatment remain poorly understood. Though it has been associated with numerous oral and systemic conditions, there has been no clear consensus on its etiology, pathogenesis and treatment. As a result, patients with inexplicable oral complaints are often referred from one health care professional to another without effective management having significant emotional impact on patients. As the dental profession expands its scope of care to oral medicine and geriatrics, BMS will be more effectively diagnosed and managed by these dental surgeons. Hence, they should be more involved in evaluation and management of these patients. The present article provides updated information on BMS including possible etiological factors and current treatment options, although data on the effectiveness of these treatment modalities remain limited. Recently researchers found that treatment with a familiar nutritional supplement- lipoic acid- is of remarkable benefit with minimal adverse effects. ALA (alpha-lipoic acid may be the effective treatment modality in management of BMS.

  17. Amniotic membrane for burn trauma

    International Nuclear Information System (INIS)

    Jamaluddin Zainol; Hasim Mohammad

    1999-01-01

    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

  18. Comparison of heat transfer and soil impacts of air curtain burner burning and slash pile burning

    Science.gov (United States)

    Woongsoon Jang; Deborah S. Page-Dumroese; Han-Sup Han

    2017-01-01

    We measured soil heating and subsequent changes in soil properties between two forest residue disposal methods: slash pile burning (SPB) and air curtain burner (ACB). The ACB consumes fuels more efficiently and safely via blowing air into a burning container. Five burning trials with different fuel sizes were implemented in northern California, USA. Soil temperature...

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

    Science.gov (United States)

    2015-03-06

    ceruloplasmin; ferroxidase; iron status; oxidant stress; burn; trauma 1. Introduction Iron is an essential element for life that facilitates...899–906. 45. Shakespeare , P.G. Studies on the serum levels of iron, copper and zinc and the urinary excretion of zinc after burn injury. Burns Incl

  20. Burns education for non-burn specialist clinicians in Western Australia.

    Science.gov (United States)

    McWilliams, Tania; Hendricks, Joyce; Twigg, Di; Wood, Fiona

    2015-03-01

    Burn patients often receive their initial care by non-burn specialist clinicians, with increasingly collaborative burn models of care. The provision of relevant and accessible education for these clinicians is therefore vital for optimal patient care. A two phase design was used. A state-wide survey of multidisciplinary non-burn specialist clinicians throughout Western Australia identified learning needs related to paediatric burn care. A targeted education programme was developed and delivered live via videoconference. Pre-post-test analysis evaluated changes in knowledge as a result of attendance at each education session. Non-burn specialist clinicians identified numerous areas of burn care relevant to their practice. Statistically significant differences between perceived relevance of care and confidence in care provision were reported for aspects of acute burn care. Following attendance at the education sessions, statistically significant increases in knowledge were noted for most areas of acute burn care. Identification of learning needs facilitated the development of a targeted education programme for non-burn specialist clinicians. Increased non-burn specialist clinician knowledge following attendance at most education sessions supports the use of videoconferencing as an acceptable and effective method of delivering burns education in Western Australia. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  1. Prescribed burning in the South: trends, purpose, and barriers

    Science.gov (United States)

    Terry K. Haines; Rodney L. Busby; David A. Cleaves

    2001-01-01

    The results of a survey of fire management officials concerning historical and projected prescribed burning activity in the South are reported. Prescribed burning programs on USDA Forest Service and private and State-owned lands are described in terms of area burned by ownership and State, intended resource benefits, barriers to expanded burning, and optimum burning...

  2. Squamous cell carcinoma arising in previously burned or irradiated skin

    International Nuclear Information System (INIS)

    Edwards, M.J.; Hirsch, R.M.; Broadwater, J.R.; Netscher, D.T.; Ames, F.C.

    1989-01-01

    Squamous cell carcinoma (SCC) arising in previously burned or irradiated skin was reviewed in 66 patients treated between 1944 and 1986. Healing of the initial injury was complicated in 70% of patients. Mean interval from initial injury to diagnosis of SCC was 37 years. The overwhelming majority of patients presented with a chronic intractable ulcer in previously injured skin. The regional relapse rate after surgical excision was very high, 58% of all patients. Predominant patterns of recurrence were in local skin and regional lymph nodes (93% of recurrences). Survival rates at 5, 10, and 20 years were 52%, 34%, and 23%, respectively. Five-year survival rates in previously burned and irradiated patients were not significantly different (53% and 50%, respectively). This review, one of the largest reported series, better defines SCC arising in previously burned or irradiated skin as a locally aggressive disease that is distinct from SCC arising in sunlight-damaged skin. An increased awareness of the significance of chronic ulceration in scar tissue may allow earlier diagnosis. Regional disease control and survival depend on surgical resection of all known disease and may require radical lymph node dissection or amputation

  3. [Effects of hydrogen on the lung damage of mice at early stage of severe burn].

    Science.gov (United States)

    Qin, C; Bian, Y X; Feng, T T; Zhang, J H; Yu, Y H

    2017-11-20

    Objective: To investigate the effects of hydrogen on the lung damage of mice at early stage of severe burn. Methods: One hundred and sixty ICR mice were divided into sham injury, hydrogen, pure burn, and burn+ hydrogen groups according to the random number table, with 40 mice in each group. Mice in pure burn group and burn+ hydrogen group were inflicted with 40% total body surface area full-thickness scald (hereafter referred to as burn) on the back, while mice in sham injury group and hydrogen group were sham injured. Mice in hydrogen group and burn+ hydrogen group inhaled 2% hydrogen for 1 h at post injury hour (PIH) 1 and 6, respectively, while mice in sham injury group and pure burn group inhaled air for 1 h. At PIH 24, lung tissue of six mice in each group was harvested, and then pathological changes of lung tissue were observed by HE staining and the lung tissue injury pathological score was calculated. Inferior vena cava blood and lung tissue of other eight mice in each group were obtained, and then content of high mobility group box 1 (HMGB1) and interleukin-6 (IL-6) in serum and lung tissue was determined by enzyme-linked immunosorbent assay. Activity of superoxide dismutase (SOD) in serum and lung tissue was detected by spectrophotometry. After arterial blood of other six mice in each group was collected for detection of arterial partial pressure of oxygen (PaO(2)), the wet and dry weight of lung tissue were weighted to calculate lung wet to dry weight ratio. The survival rates of the other twenty mice in each group during post injury days 7 were calculated. Data were processed with one-way analysis of variance, LSD test and log-rank test. Results: (1) At PIH 24, lung tissue of mice in sham injury group and hydrogen group showed no abnormality. Mice in pure burn group were with pulmonary interstitial edema, serious rupture of alveolar capillary wall, and infiltration of a large number of inflammatory cells. Mice in burn+ hydrogen group were with mild

  4. Myocardial Autophagy after Severe Burn in Rats

    Science.gov (United States)

    Zhang, Qiong; Shi, Xiao-hua; Huang, Yue-sheng

    2012-01-01

    Background Autophagy plays a major role in myocardial ischemia and hypoxia injury. The present study investigated the effects of autophagy on cardiac dysfunction in rats after severe burn. Methods Protein expression of the autophagy markers LC3 and Beclin 1 were determined at 0, 1, 3, 6, and 12 h post-burn in Sprague Dawley rats subjected to 30% total body surface area 3rd degree burns. Autophagic, apoptotic, and oncotic cell death were evaluated in the myocardium at each time point by immunofluorescence. Changes of cardiac function were measured in a Langendorff model of isolated heart at 6 h post-burn, and the autophagic response was measured following activation by Rapamycin and inhibition by 3-methyladenine (3-MA). The angiotensin converting enzyme inhibitor enalaprilat, the angiotensin receptor I blocker losartan, and the reactive oxygen species inhibitor diphenylene iodonium (DPI) were also applied to the ex vivo heart model to examine the roles of these factors in post-burn cardiac function. Results Autophagic cell death was first observed in the myocardium at 3 h post-burn, occurring in 0.008 ± 0.001% of total cardiomyocytes, and continued to increase to a level of 0.022 ± 0.005% by 12 h post-burn. No autophagic cell death was observed in control hearts. Compared with apoptosis, autophagic cell death occurred earlier and in larger quantities. Rapamycin enhanced autophagy and decreased cardiac function in isolated hearts 6 h post-burn, while 3-MA exerted the opposite response. Enalaprilat, losartan, and DPI all inhibited autophagy and enhanced heart function. Conclusion Myocardial autophagy is enhanced in severe burns and autophagic cell death occurred early at 3 h post-burn, which may contribute to post-burn cardiac dysfunction. Angiotensin II and reactive oxygen species may play important roles in this process by regulating cell signaling transduction. PMID:22768082

  5. In-situ burning: NIST studies

    International Nuclear Information System (INIS)

    Evans, D.D.

    1992-01-01

    In-situ burning of spilled oil has distinct advantages over other countermeasures. It offers the potential to convert rapidly large quantities of oil into its primary combustion products, carbon dioxide and water, with a small percentage of other unburned and residue byproducts. Because the oil is converted to gaseous products of combustion by burning, the need for physical collection, storage, and transport of recovered fluids is reduced to the few percent of the original spill volume that remains as residue after burning. Burning oil spills produces a visible smoke plume containing smoke particulate and other products of combustion which may persist for many kilometers from the burn. This fact gives rise to public health concerns, related to the chemical content of the smoke plume and the downwind deposition of particulate, which need to be answered. In 1985, a joint Minerals Management Service (MMS) and Environment Canada (EC) in-situ burning research program was begun at the National Institute of Standards and Technology (NIST). This research program was designed to study the burning of large crude oil spills on water and how this burning would affect air quality by quantifying the products of combustion and developing methods to predict the downwind smoke particulate deposition. To understand the important features of in-situ burning, it is necessary to perform both laboratory and mesoscale experiments. Finally, actual burns of spilled oil at sea will be necessary to evaluate the method at the anticipated scale of actual response operations. In this research program there is a continuing interaction between findings from measurements on small fire experiments performed in the controlled laboratory environments of NIST and the Fire Research Institute (FRI) in Japan, and large fire experiments at facilities like the USCG Fire Safety and Test Detachment in Mobile, Alabama where outdoor liquid fuel burns in large pans are possible

  6. 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.

  7. Gas fireplace contact burns in young children.

    Science.gov (United States)

    Zettel, Julie C; Khambalia, Amina; Barden, Wendy; Murthy, Trisha; Macarthur, Colin

    2004-01-01

    Contact burns from domestic appliances are common in young children. Recently, gas fireplaces have been recognized as a potential cause of contact burns in young children. We sought to quantify the frequency of gas fireplace contact burns in young children, to identify the etiology of contact, to describe the clinical presentation, and to describe clinical outcomes. Children with gas fireplace contact burn injuries presenting to The Hospital for Sick Children in Toronto (1999-2002) were identified using three data sources: the Canadian Hospitals Injury Reporting and Prevention Program Database, the Burn Unit Registry, and the Rehabilitation Services Database. Demographic, clinical, and outcomes data were collected on all children. During the 4-year study period, 27 children presented to the hospital because of a gas fireplace contact burn (approximately 9% of all contact burns). The median age of the children was 14 months (range, 8-36 months), with 16 boys (59%). Most children were burned in their own home. With regard to etiology, 10 children (37%) lost their balance near the fireplace, 2 (7%) walked too close to the glass front, and 8 (30%) touched the glass front out of curiosity. Almost half (44%) of the children burned the palms and digits of both hands. The median total burn surface area was 1% (range, 0.2-2.5%). In total, 30% of children were admitted to hospital, and 11% required skin grafts. All children had full wound closure after 4 to 43 days. Given the etiology of these burns (loss of balance or curiosity), passive prevention, such as barriers or changes in the composition of glass panels, may be the most effective approach to combat them.

  8. Review of the use of povidone-iodine (PVP-I) in the treatment of burns.

    Science.gov (United States)

    Steen, M

    1993-01-01

    Local infection and burn wound sepsis are one of the most severe problems in the treatment of thermally injured patients. Early surgical treatment and the use of topical antiseptics led to a decrease in the infection rate and significantly improved the survival rate of burns patients within the last twenty-five years. Many antiseptics are used in the treatment of burns. Silver nitrate, silver sulphadiazine, sulfamylon and povidone-iodine (PVP-I) are the most common substances used worldwide in burn care facilities. Clinical studies demonstrate that treatment with PVP-I is the most effective against bacterial and fungal infection. Several methodological problems however arise from direct comparison between these antiseptics, and local and systemic adverse effects can make the right choice difficult. Some case reports documented possible side effects in the treatment of patients with PVP-I, leading to general concerns about this treatment. Absorption of iodine and possible changes in thyroid hormones are well known, but evaluation of the clinical consequences is controversial. Reports of severe metabolic acidosis and renal insufficiency with lethal results have condemned the use of PVP-I in the treatment of extensive burns. The case reports, however, dealt with patients suffering from general morbidity and sepsis and therefore these single reports may not be generally valid. Local treatment of burns may cause further problems. The beneficial effect of a decrease of bacterial counts in deeper tissue may be confounded by other effects delaying wound healing, as shown in some experimental studies. Controlled clinical investigations on burn patients however are still missing. The paper will discuss these topics in detail referring to the treatment of burns with PVP-I. It is based on a critical review of the literature and the author's own experience in burns therapy.

  9. Survey on current hydrotherapy use among North American burn centers.

    Science.gov (United States)

    Davison, Peter G; Loiselle, Frederick B; Nickerson, Duncan

    2010-01-01

    The authors have reviewed hydrotherapy practices in North American burn centers and described the epidemiology of hydrotherapy-associated nosocomial infections. A web-based survey was distributed to the directors of all burn care facilities listed by the American Burn Association. Questions addressed aspects of practice, including the method, additives, disposable liners, decontamination practices, nosocomial pathogens, and perceptions regarding the "ideal" method of hydrotherapy. The response rate was 44%, 59 of 142 centers, or 827 of 1900 beds. Hydrotherapy is regularly used by 83% of centers. Among these centers, 10% use exclusively immersion hydrotherapy (IH), 54% use exclusively shower cart hydrotherapy (SCH), and 35% use a combination of IH and SCH. Disposable liners are used at 80% of centers. Tap water alone is used by 51% of centers, 27% add detergent, 16% chlorhexidine, and 7% povidone-iodine. The majority of centers (57%) do not routinely culture their hydrotherapy equipment, 20% culture weekly, 7% monthly, and 17% less than once per month. Directors believe that Pseudomonas aeruginosa, methicillin-sensitive Staphylococcus aureus, and methicillin-resistant S. aureus are the most common nosocomial pathogens, followed by Acinetobacter species and Candida albicans. The relative frequency of occurrence of the first three pathogens did not vary with regard to the hydrotherapy method used. Given the opportunity to redesign, 45% of burn unit directors would implement SCH only, 42% a combination of SCH and IH, 2% exclusively IH, and 11% no hydrotherapy or bedside irrigation only. The prevalence of hydrotherapy use at North American burn centers has decreased since 1990 (83% vs 95%), yet continues to be used at the majority of centers. The use of IH has also declined (55% vs 81%). The trend away from the exclusive use of IH will likely continue, because more centers incorporate showering methods.

  10. Determinantes morfológicos de prognóstico em pneumonia nosocomial: um estudo em autópsias Morphological prognostic factors in nosocomial pneumonia: an autopsy study

    Directory of Open Access Journals (Sweden)

    Luiz Mário Baptista Martinelli

    2010-02-01

    Full Text Available OBJETIVO: Determinar a prevalência de pneumonia nosocomial nas autópsias em um hospital público universitário; identificar os fatores de risco relacionados à pneumonia nosocomial e os potenciais fatores prognósticos relacionados à ocorrência de pneumonia nosocomial fatal; e correlacionar os achados anatomopatológicos com a ocorrência de pneumonia nosocomial e/ou pneumonia aspirativa. MÉTODOS: Estudo retrospectivo de 199 pacientes autopsiados, maiores de 1 ano de idade, internados no Hospital das Clínicas da Faculdade de Medicina de Botucatu da Universidade Estadual Paulista entre 1999 e 2006, cuja causa de morte (causa básica ou associada foi pneumonia nosocomial. Testou-se a associação dos dados demográficos, clínicos e anatomopatológicos com os desfechos pneumonia nosocomial fatal e pneumonia aspirativa fatal. As variáveis significativas entraram na análise multivariada. RESULTADOS: A idade média foi de 59 ± 19 anos. A prevalência de pneumonia nosocomial em autópsias foi 29%, e essa foi a causa mortis de 22,6% dos pacientes autopsiados. A pneumonia nosocomial fatal correlacionou-se com os achados anatomopatológicos de alterações estruturais tabágicas (OR = 3,23; IC95%: 1,26-2,95; p = 0,02 e acometimento pulmonar bilateral (OR = 3,23; IC95%: 1,26-8,30; p = 0,01. Não houve associações significativas entre as variáveis e pneumonia aspirativa fatal. CONCLUSÕES: Em nossa amostra, a pneumonia nosocomial teve prevalência elevada e foi responsável por quase 25% das mortes. A mortalidade é favorecida por alterações estruturais tabágicas e pneumonia bilateral. Esses achados corroboram os resultados de diversos estudos clínicos sobre pneumonia nosocomial.OBJECTIVE: To determine the prevalence of nosocomial pneumonia in autopsies at a public university hospital; to identify the risk factors for nosocomial pneumonia and the potential prognostic factors associated with fatal nosocomial pneumonia and with fatal

  11. Exame imuno-histoquímico na biópsia de medula óssea: uma importante ferramenta complementar à morfologia Immunohistochemistry in bone marrow biopsy: an important complementary tool for morphology

    Directory of Open Access Journals (Sweden)

    Maria Cláudia Nogueira Zerbini

    2011-12-01

    Full Text Available Por razões técnicas e históricas, a utilização da imuno-histoquímica (IHQ em biópsias de medula óssea (BMO levou algum tempo a ocupar espaço na avaliação diagnóstica desse tipo de material. Entretanto, esse cenário vem se modificando graças ao crescimento exponencial do número de anticorpos disponíveis para a utilização em material incluído em parafina, além do aperfeiçoamento das técnicas de recuperação antigênica e descalcificação do material. Este texto tem a finalidade de auxiliar o patologista na seleção/ interpretação de painéis de anticorpos utilizados nos laboratórios de rotina, de acordo com a experiência do autor, assim como de enumerar referências da literatura de grande utilidade para a prática diagnóstica.Due to historical and technical reasons, the use of immunohistochemistry (IHC in bone marrow biopsies (BMB has not till recently been introduced in diagnostic evaluation. However, this scenario has changed owing to the exponential growth in the number of antibodies available for paraffin-embedded material and the development of techniques for antigen retrieval and material decalcification. Not only does this text aim to assist pathologists in the selection/interpretation of antibody panels used in routine laboratories, but it also lists literature references highly useful for diagnostic practice in accordance with the author's experience.

  12. Hepatobiliary alterations in massive biliary ascariasis: histopathological aspects of an autopsy case Lesões hepatobiliares em ascaridíase biliar maciça: aspectos histopatológicos em um caso de autópsia

    Directory of Open Access Journals (Sweden)

    Luiz Carlos da Costa Gayotto

    1990-04-01

    Full Text Available Hepatobiliary alterations found in an autopsy case of massive Biliary Ascariasis, are reported on histological grounds. Severe cholangitis was the main finding, but other changes were also detected, such as pyloric and intestinal metaplasia, hyperplasia of the epithelial lining, with intraductal papillomas and adenomatous proliferation. Remnants of the worm were observed tightly adhered to the epithelium, forming microscopic intrahepatic calculi. Mucopolysaccharides, especially acid, showed to be strongly positive on the luminal border, and in proliferated glands around the ducts. The authors discuss the similarity between such findings and Oriental Cholangiohepatitis, and suggest that inflammation and the presence of the parasitic remnants are responsible for the hyperplastic and metaplastic changes, similarly with what occurs in chlonorchiasis, fascioliasis and schistosomiasis.Os autores apresentam os aspectos histopatológicos encontrados no fígado de um caso de autópsia de Ascaridíase Biliar maciça. A intensa colangite foi o aspecto predominante, mas outras lesões também foram encontradas, tais como metaplasia pilórica e intestinal, hiperplasia epitelial com papilomas intraductais, e por vezes padrão adenomatoso. Restos do helminto foram encontrados fortemente aderidos ao epitélio, sendo intensa a positividade de mucopolissacárides, principalmente ácidos, na borda luminal do epitélio ductal e em glândulas proliferadas ao redor dos ductos. Os autores discutem a semelhança da Ascaridíase Biliar com a Colangio Hepatite Oriental, e sugerem que o processo inflamatório e a presença de restos do verme são responsáveis pelas alterações hiperplásicas e metaplásicas, analogamente ao que ocorre na clonorquíase, fasciolíase e esquistossomose.

  13. Actinide burning and waste disposal

    Energy Technology Data Exchange (ETDEWEB)

    Pigford, T H [University of California, Berkeley, CA (United States)

    1990-07-01

    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

  14. Actinide burning and waste disposal

    International Nuclear Information System (INIS)

    Pigford, T.H.

    1990-01-01

    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. 7 CFR 29.6004 - Burn.

    Science.gov (United States)

    2010-01-01

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

  16. Pathophysiologic Response to Burns in the Elderly

    Directory of Open Access Journals (Sweden)

    Marc G. Jeschke

    2015-10-01

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

  17. 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

  18. Do burn centers provide juvenile firesetter intervention?

    Science.gov (United States)

    Ahrns-Klas, Karla S; Wahl, Wendy L; Hemmila, Mark R; Wang, Stewart C

    2012-01-01

    Juvenile firesetting activity accounts for a significant number of annual injuries and property damage, yet there is sparse information on intervention in the burn literature. To quantify juvenile firesetting intervention (JFSI) in burn centers, a 23-question survey was sent to all directors listed in the American Burn Association Burn Care Facilities Directory.Sixty-four out of 112 (57%) surveys were returned. This represents responses from 79% of currently verified burn centers. When queried on interventions provided to a juvenile firesetter admitted to their unit, 38% report having their own JFSI program and 38% refer the child to fire services. Two thirds of units without a JFSI program treat pediatric patients. Units that previously had a JFSI program report lack of staffing and funding as most common reasons for program discontinuation. Almost all (95%) stated that a visual tool demonstrating legal, financial, social, future, and career ramifications associated with juvenile firesetting would be beneficial to their unit. Many burn units that treat pediatric patients do not have JFSI and rely on external programs operated by fire services. Existing JFSI programs vary greatly in structure and method of delivery. Burn centers should be involved in JFSI, and most units would benefit from a new video toolkit to assist in providing appropriate JFSI. Study results highlight a need for burn centers to collaborate on evaluating effectiveness of JFSI programs and providing consistent intervention materials based on outcomes research.

  19. Air Pollution Episodes Associated with Prescribed Burns

    Science.gov (United States)

    Hart, M.; Di Virgilio, G.; Jiang, N.

    2017-12-01

    Air pollution events associated with wildfires have been associated with extreme health impacts. Prescribed burns are an important tool to reduce the severity of wildfires. However, if undertaken during unfavourable meteorological conditions, they too have the capacity to trigger extreme air pollution events. The Australian state of New South Wales has increased the annual average area treated by prescribed burn activities by 45%, in order to limit wildfire activity. Prescribed burns need to be undertaken during meteorological conditions that allow the fuel load to burn, while still allowing the burn to remain under control. These conditions are similar to those that inhibit atmospheric dispersion, resulting in a fine balance between managing fire risk and managing ambient air pollution. During prescribed burns, the Sydney air shed can experience elevated particulate matter concentrations, especially fine particulates (PM2.5) that occasionally exceed national air quality standards. Using pollutant and meteorological data from sixteen monitoring stations in Sydney we used generalized additive model and CART analyses to profile the meteorological conditions influencing air quality during planned burns. The insights gained from this study will help improve prescribed burn scheduling in order to reduce the pollution risk to the community, while allowing fire agencies to conduct this important work.

  20. Osteomyelitis in burn patients requiring skeletal fixation

    NARCIS (Netherlands)

    Barret, JP; Desai, MH; Herndon, DN

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

  1. Wind erosion of soils burned by wildfire

    Science.gov (United States)

    N. S. Wagenbrenner; M. J. Germino; B. K. Lamb; R. B. Foltz; P. R. Robichaud

    2011-01-01

    Wind erosion and aeolian transport processes are largely unstudied in the post-wildfire environment, but recent studies have shown that wind erosion can play a major role in burned landscapes. A wind erosion monitoring system was installed immediately following a wildfire in southeastern Idaho, USA to measure wind erosion from the burned area (Figure 1). This paper...

  2. Burn Injury Caused by Laptop Computers

    African Journals Online (AJOL)

    generated in central processing unit (CPU), graphics processing unit, hard drive, internal ... change its position. Discussion ... Suzuki, et al. reported that the critical temperature for superficial burn was 37.8°C, for deep dermal burns 41.9°C and ... The laptop should be placed on a hard surface and not on soft surfaces like.

  3. Radiator scald burns: a preventable hazard.

    Science.gov (United States)

    Benmeir, P; Rosenberg, L; Sagi, A; Ben-Yakar, Y

    1990-04-01

    During the last 13 years 80 patients have been admitted to our department suffering from burns caused by a vehicle's radiator. Ten of them were deeply burned and had to be treated surgically. The preventive aspect of this injury is emphasized.

  4. Creating a social work link to the burn community: a research team goes to burn camp.

    Science.gov (United States)

    Williams, Nancy R; Reeves, Patricia M; Cox, Ellen R; Call, Serena B

    2004-01-01

    Social work faculty and graduate students conducted focus groups with 52 burn-injured adolescents from three burn camps to explore perceptions of their camp experience. Three themes emerged from data analysis that suggest burn camps play an important role in participants' lives. Camp is a place where burn-injured adolescents: (1) feel "normal" and accepted; (2) acquire insight in regard to self and meaning in life; and (3) gain confidence, increase self-esteem, and develop empathy. This project highlights how the use of qualitative research methods with grassroots organizations such as burn camps can serve as a link to greater social work involvement with this community.

  5. A clinician's guide to the treatment of foot burns occurring in diabetic patients.

    Science.gov (United States)

    Jones, Larry M; Coffey, Rebecca; Khandelwal, Sorabh; Atway, Said; Gordillo, Gayle; Murphy, Claire; Fries, Jody A; Dungan, Kathleen

    2014-12-01

    Diabetes mellitus affects 25.8 million Americans and is predicted to almost double by 2050. The presence of diabetes complicates hospital courses because of the microvascular complications associated with disease progression. Patients with diabetes represent 18.3% of annual burn admissions to our unit and 27% have burns to the feet. The purpose of this project was to develop an evidence-based guideline for care of the patient with diabetes and foot burns A multidisciplinary group was charged with developing an evidence-based guideline for the treatment of foot burns in patients with diabetes. Evidence was evaluated in the areas of diabetes, burn care, hyperbaric medicine, care of diabetic foot wounds and physical therapy. After guideline development and approval, key aspects were incorporated into order sets. Key aspects of this guideline are the ability to identify patients with undiagnosed diabetes, assess diabetic control, optimize glycemic and metabolic control, optimize burn wound management, treat microvascular disease, and provide education and a discharge plan. Evaluated outcomes are glycemic control, length of stay, complication rates, amputation rates, infection rates and the use of hyperbaric oxygen. Best outcomes for this high risk population will be attainable with an evidence based guideline. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  6. A prospective study of time to healing and hypertrophic scarring in paediatric burns: every day counts.

    Science.gov (United States)

    Chipp, Elizabeth; Charles, Lisa; Thomas, Clare; Whiting, Kate; Moiemen, Naiem; Wilson, Yvonne

    2017-01-01

    It is commonly accepted that burns taking longer than 3 weeks to heal have a much higher rate of hypertrophic scarring than those which heal more quickly. However, some of our patients develop hypertrophic scars despite healing within this 3-week period. We performed a prospective study of 383 paediatric burns treated non-operatively at a regional burns centre over a 2-year period from May 2011 to April 2013. Scar assessment was performed by a senior burns therapist using the Vancouver Scar Scale. Overall rates of hypertrophic scarring were 17.2%. Time to healing was the strongest predictor of developing hypertrophic scarring, and the earliest hypertrophic scar developed in a patient who was healed after 8 days. The risk of hypertrophic scarring was multiplied by 1.138 for every additional day taken for the burn wound to heal. There was a trend towards higher rates of hypertrophic scarring in non-white skin types but this did not reach statistical significance. The risk of hypertrophic scarring increases with every day and, therefore, every effort should be made to get the wound healed as quickly as possible, even within the traditional 3-week period usually allowed for healing. We believe that the traditional dogma of aiming for healing within 3 weeks is overly simplistic and should be abandoned: in paediatric burns, every day counts. Not applicable.

  7. Bioquímica sérica e hemograma de bovinos antes e após a técnica de biópsia hepática Serum chemistry profile and complete blood count in cattle before and after liver biopsy technique

    Directory of Open Access Journals (Sweden)

    Rogério Martins Amorim

    2003-06-01

    Full Text Available Avaliaram-se os efeitos da técnica de biópsia hepática sobre as atividades séricas das enzimas gama glutamil transferase (GGT, aspartato amino transferase (AST, fosfatase alcalina (FA, hemograma e fibrinogênio em 36 novilhas Nelore. Os animais foram submetidos ao procedimento de colheita de fragmento hepático, utilizando-se agulha de biópsia para determinação dos elementos minerais. As avaliações da bioquímica sérica foram realizadas em 20 novilhas, sendo divididas em dois grupos. No grupo 1 (n=10, colheu-se sangue em tubos a vácuo sem anticoagulante, antes da realização da biópsia e 24h após, e no grupo 2 (n=10 antes da biópsia e 96h após. Os valores do hemograma e do fibrinogênio foram obtidos antes e 96h após a realização do procedimento (n=16. A atividade sérica da AST aumentou significativamente (54,4% 24h após a realização da biópsia, porém estava dentro dos valores de referência 96h após o procedimento. As atividades séricas da GGT e da FA não sofreram aumentos nas 24h e 96h após a biópsia. A proteína total apresentou aumento significativo de 0,24g/dL 96h após o procedimento. Os demais parâmetros avaliados permaneceram dentro dos valores normais para a espécie. Os resultados obtidos permitem concluir que a técnica de biópsia hepática empregada é segura e eficaz por não provocar dano hepático significativo e por obter rapidamente fragmentos adequados para análise bromatológica e histopatológica.The effects of liver biopsy technique on GGT (gama glutamil transferase, AST (aspartate amino transferase, FA (alcaline transferase serum activity, complete blood counting and fibrinogen were evaluated in 36 Nelore breed heifers. The animals were submitted to liver biopsy, using biopsy needle for mineral element determination. The biochemical profile evaluation were obtained in 20 heifers, being divided in two groups. In group 1 (n=10, blood was obtained with vacuum tubes without anticoagulant before

  8. Reasons for Distress Among Burn Survivors at 6, 12, and 24 Months Postdischarge: A Burn Injury Model System Investigation.

    Science.gov (United States)

    Wiechman, Shelley A; McMullen, Kara; Carrougher, Gretchen J; Fauerbach, Jame A; Ryan, Colleen M; Herndon, David N; Holavanahalli, Radha; Gibran, Nicole S; Roaten, Kimberly

    2017-12-16

    To identify important sources of distress among burn survivors at discharge and 6, 12, and 24 months postinjury, and to examine if the distress related to these sources changed over time. Exploratory. Outpatient burn clinics in 4 sites across the country. Participants who met preestablished criteria for having a major burn injury (N=1009) were enrolled in this multisite study. Participants were given a previously developed list of 12 sources of distress among burn survivors and asked to rate on a 10-point Likert-type scale (0=no distress to 10=high distress) how much distress each of the 12 issues was causing them at the time of each follow-up. The Medical Outcomes Study 12-Item Short-Form Health Survey was administered at each time point as a measure of health-related quality of life. The Satisfaction With Appearance Scale was used to understand the relation between sources of distress and body image. Finally, whether a person returned to work was used to determine the effect of sources of distress on returning to employment. It was encouraging that no symptoms were worsening at 2 years. However, financial concerns and long recovery time are 2 of the highest means at all time points. Pain and sleep disturbance had the biggest effect on ability to return to work. These findings can be used to inform burn-specific interventions and to give survivors an understanding of the temporal trajectory for various causes of distress. In particular, it appears that interventions targeted at sleep disturbance and high pain levels can potentially effect distress over financial concerns by allowing a person to return to work more quickly. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  9. Burn Prevention for Families with Children with Special Needs

    Medline Plus

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

  10. Burn Incidence and Treatment in the U.S.

    Science.gov (United States)

    ... News and Activities Media Contact Us Disaster Response Burn Incidence Fact Sheet Home / Who We Are / Media / ... hospitals with specialized services provided by “burn centers.” Burn Injuries Receiving Medical Treatment: 486,000 This general ...

  11. Burn Prevention for Families with Children with Special Needs

    Science.gov (United States)

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

  12. Burn Prevention for Families with Children with Special Needs

    Medline Plus

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

  13. Honey compared with silver sulphadiazine in the treatment of superficial partial-thickness burns.

    Science.gov (United States)

    Malik, Kamran Ishaque; Malik, M A Nasir; Aslam, Azhar

    2010-10-01

    Burn injury is associated with a high incidence of death and disability; yet, its management remains problematic and costly. We conducted this clinical study to evaluate the efficacy of honey in the treatment of superficial and partial-thickness burns covering less than 40% of body surface area and compared its results with those of silver sulphadiazine (SSD). In this randomised comparative clinical trial, carried out Burn Center of POF Hospital, Wah Cantt, Pakistan, from May 2007 to February 2008, 150 patients of all ages having similar types of superficial and partial-thickness burns at two sites on different parts of body were included. Each patient had one burn site treated with honey and one treated with topical SSD, randomly. The rate of re-epithelialization and healing of superficial and partial-thickness burns was significantly faster in the sites treated with honey than in the sites treated with SSD (13·47 ± 4·06 versus 15·62 ± 4·40 days, respectively: P honey healed completely in less than 21 days versus 24 days for the site treated with SSD. Six patients had positive culture for Pseudomonas aeroginsa in honey-treated site, whereas 27 patients had positive culture in SSD-treated site. The results clearly showed greater efficacy of honey over SSD cream for treating superficial and partial-thickness burns. 2010 The Authors. Journal Compilation © 2010 Blackwell Publishing Ltd and Medicalhelplines.com Inc.

  14. [Factor XIII deficiency in burns].

    Science.gov (United States)

    Burkhardt, H; Zellner, P R; Möller, I

    1977-08-01

    In 34 patients with severe burn injuries platelets, fibrinogen, prothrombin time, partial thromboplastin time, thrombin time and factor XIII were measured daily. Half of the patients were administered 15 000 IE of heparin per 24 hours. In the first 4 days there was a rapid fall of factor XIII to a value of approximately 30%. Values remained very low during the whole observation period of up to 20 days. However, in patients treated with heparin, values tended to be 10--15% higher. After an initial decline on the tenth day, the platelets had risen to the lowest normal level. Platelets were identical in both groups. The causes for the changes in these haemostasis parameters, their significance, and possible consequences of therapy are discussed.

  15. The Ocular Surface Chemical Burns

    Directory of Open Access Journals (Sweden)

    Medi Eslani

    2014-01-01

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

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

    International Nuclear Information System (INIS)

    Toema, M.A.; El-Bazza, Z.E.; El-Hifnawi, H.N.; Abd-El-Hakim, E.E.

    2013-01-01

    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.

  17. Quantifying Risk Factors for Long-Term Sleep Problems After Burn Injury in Young Adults.

    Science.gov (United States)

    Lee, Austin F; Ryan, Colleen M; Schneider, Jeffrey C; Kazis, Lewis E; Li, Nien Chen; Rose, Mary; Liang, Matthew H; Wang, Chao; Palmieri, Tina; Meyer, Walter J; Pidcock, Frank S; Reilly, Debra; Sheridan, Robert L; Tompkins, Ronald G

    Restorative sleep is an important component of quality of life. Disturbances in sleep after burn injury were reported but all based on uncontrolled or nonstandardized data. The occurrence and the effect of long-term sleep problems in young adult burn survivors have not been well defined. This 5-year (2003-2008) prospective multicenter longitudinal study included adults with burn injuries ages 19 to 30 years who completed the Young Adult Burn Outcome Questionnaire (YABOQ) up to 36 months after injury. The items measured 15 patient-reported outcomes including physical, psychological, and social statuses and symptoms such as itch and pain. Scores of these 15 YABOQ outcome domains were standardized to a mean of 50 and a SD of 10 based on an age-matched nonburned reference group of young adults. Sleep quality was assessed using the item 'How satisfied are you now with your sleep,' rated by a 5-point Likert scale. Patients responding with very and somewhat dissatisfied were classified as having sleep dissatisfaction and the remaining as less or not dissatisfied. The associations between sleep dissatisfaction (yes/no) and YABOQ outcome domains were analyzed longitudinally using mixed-effect generalized linear models, adjusted for %TBSA burned, age, gender, and race. Generalized estimating equations were used to take into account correlated error resulting from repeated surveys on each patient over time. One hundred and fifty-two burn survivors participated in the YABOQ survey at baseline and during the follow-up who had at least one survey with a response to the sleep item. Among them, sleep dissatisfaction was twice as prevalent (76/152, 50%) when compared with the nonburned reference group (29/112, 26%). The likelihood of a burn survivor being dissatisfied with sleep was reduced over time after the burn injury. Sleep dissatisfaction following burns was significantly associated, in a dose-dependent manner, with increasing burn size (P = .001). Better sleep was associated

  18. Comparison between TRU burning reactors and commercial fast reactor

    International Nuclear Information System (INIS)

    Fujimura, Koji; Sanda, Toshio; Ogawa, Takashi

    2001-03-01

    additional consideration should be required in nuclear design and fuel treating facilities due to reactivity coefficient being shifted to the plus side, larger neutron yield and increased heat source caused by MA loading. (2) Confirmation of TRU burning reactor core concepts. The core specification of sodium cooled-nitride fueled TRU burning large reactor was designed based on commercial type fast reactor (sodium cooled nitride fueled large fast reactor, 38000 MWt) which was designed in the feasibility studies on commercialized fast reactor cycle system. The composition of MAs from LWR's spent fuel was supposed. MA content in the core fuel is settled to 60 wt% based on the JAERI's design in order to maximize the MA transmutation amount. We need to exchange 25% of core fuel with zirconium hydride (ZrH 1.6 ) to attain Doppler coefficient being equivalent to that of the conventional type commercial fast reactor loaded 5 wt% MA. Furthermore, this reactor could transmute MAs produced in forty-eight sodium cooled nitride fueled large fast reactors generating the same output. In order to investigate the dependency of MA transmutation characteristics on the reactor output, 1200 MWt TRU burning middle or small reactor core concept was designed. This core was settled by reducing the number of core fuel assemblies from that of TRU burning large reactor designed above. MA transmutation rate in this core is smaller than that in the TRU burning large reactor core because the neutron flux of this core becomes smaller than that of the TRU burning large reactor core due to the higher Pu enrichment. (3) Comparison between TRU burning reactor and conventional type commercial fast reactor. MA transmutation and nuclear characteristics of the sodium cooled nitride fuel commercial type fast reactor loaded 5 wt%MA were evaluated and compared with those of TRU burning large reactor designed in (2). The commercial type fast reactor could only transmute MAs produced in seven sodium cooled nitride

  19. Evaluation of salivary function in patients with burning mouth syndrome.

    Science.gov (United States)

    Lee, Y C; Hong, I K; Na, S Y; Eun, Y G

    2015-04-01

    To investigate salivary function in patients with primary burning mouth syndrome (BMS) compared with control and to evaluate salivary hypofunction using salivary gland scintigraphy (SGS). A total of 33 patients with primary BMS and 30 control subjects were enrolled in our study. The severity of the pain and the burning sensation on a 10-cm visual analog scale (VAS) and the Oral Health Impact Profile-14 (OHIP-14) were assessed. Unstimulated and stimulated salivary flow rates (SFRs) were measured. (99m) Tc pertechnetate SGS was used to evaluate salivary gland function. Unstimulated SFR in patients with BMS was significantly lower than that in the control group (0.11 ± 0.15 vs 0.21 ± 0.16 ml min(-1) , P = 0.014). There was no significant difference in stimulated SFR between the two groups. The VAS scores for oral pain and burning sensation, the total OHIP-14 score, and salivary gland function by salivary scintigraphy were not significantly different between BMS patients with normal flow rate and hyposalivation. Patients with primary BMS exhibited a significant decrease in unstimulated SFR compared with control group. In addition, we could not find any difference in salivary gland function between BMS patients with or without hyposalivation. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. Characteristics of fatal and hospital admissions for burns in Fiji: a population-based study (TRIP Project-2).

    Science.gov (United States)

    Taoi, Mable; Wainiqolo, Iris; Kafoa, Berlin; Kool, Bridget; Naisaki, Asilika; McCaig, Eddie; Ameratunga, Shanthi

    2012-08-01

    Over 95% of burn deaths are estimated to occur in low-and-middle-income countries. However, the epidemiology of burn-related injuries in Pacific Island Countries is unclear. This study investigated the incidence and demographic characteristics associated with fatal and hospitalised burns in Fiji. This cross-sectional study utilised the Fiji Injury Surveillance in Hospital database to estimate the population-based incidence and contextual characteristics associated with burns resulting in death or hospital admission (≥12h) during a 12-month period commencing 1st October 2005. 116 people were admitted to hospital or died as a result of burns during the study period accounting for an overall annual incidence of 17.8/100,000 population, and mortality rate of 3.4/100,000. Most (92.2%) burns occurred at home, and 85.3% were recorded as unintentional. Burns were disproportionately higher among Fijian children compared with Fijian-Indian children with the converse occurring in adulthood. In adults, Indian women were at particularly high risk of death from self-inflicted burns as a consequence of 'conflict situations'. Burns are a significant public health burden in Fiji requiring prevention and management strategies informed by important differences in the context of these injuries among the major ethic groups of the country. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

  1. A ten-year experience with hemodialysis in burn patients at Los Angeles County + USC Medical Center.

    Science.gov (United States)

    Soltani, Ali; Karsidag, Semra; Garner, Warren

    2009-01-01

    Acute renal failure (ARF) is a rare, but serious, complication after burn injury that is commonly thought to be fatal. Before the modern era, there were few survivors of burn injuries who required dialysis. We report our 10-year experience with ARF and dialysis at the Los Angeles County + USC burn unit. During the period of August 1994 to February 2004, 3356 patients were admitted. Furthermore, 1143 patients were admitted to the intensive care unit and 1125 had burns >10% TBSA. Thirty-three patients developed ARF necessitating dialysis, equaling 0.98% of all admitted patients, and 2.7% of patients with TBSA >10% burns, which is at the low end of published burn unit data. The average age of these patients requiring dialysis was 49 years, 91% were men, 24% were diabetic, and 39% were positive for substances of abuse at admission, and the average TBSA burned was 36%. This is compared with an average age of 31 years, 70% men, 7.3% diabetic, and 14.7% intoxicated in the general burned population at our burn unit. Furthermore, our overall mortality in the burn unit was 5% overall and 14% in patients with >10% TBSA burns during the study period. In patients requiring hemodialysis, the mortality rate was 69.7%. The average time to hemodialysis was 14 days in our series, and patients, on average, required 10.3 days of dialysis support. These mortality data are the lowest recorded for burned patients requiring dialysis and suggest that ARF is a survivable complication in some of these patients.

  2. Burn propagation in a PBX 9501 thermal explosion

    International Nuclear Information System (INIS)

    Henson, B. F.; Smilowitz, L.; Romero, J. J.; Sandstrom, M. M.; Asay, B. W.; Schwartz, C.; Saunders, A.; Merrill, F.; Morris, C.; Murray, M. M.; McNeil, W. V.; Marr-Lyon, M.; Rightley, P. M.

    2007-01-01

    We have applied proton radiography to study the conversion of solid density to gaseous combustion products subsequent to ignition of a thermal explosion in PBX 9501. We apply a thermal boundary condition to the cylindrical walls of the case, ending with an induction period at 205 C. We then introduce a laser pulse that accelerates the thermal ignition and synchronizes the explosion with the proton accelerator. We then obtain fast, synchronized images of the evolution of density loss with few microsecond resolution during the approximately 100 microsecond duration of the explosion. We present images of the solid explosive during the explosion and discuss measured rates and assumed mechanisms of burning the role of pressure in this internal burning

  3. An emissions audit of a chain grate stoker burning coal

    International Nuclear Information System (INIS)

    Jackson, P.M.; King, P.G.

    1993-01-01

    This report describes the Emissions Audit carried out on a chain-grate stoker boiler burning coal. The boiler rated at 4.6MW(th) was installed at the Senior Foster Wheeler test facility in Wakefield where it had been modified so that it could burn both coal and dRDF. This report is based on test work undertaken as part of a programme to assess the environmental impact of the combustion of a variety of wastes as fuels. Emissions monitoring tests were carried out using coal as the fuel for comparison with the other wastes. Combustion of coal in boilers of this size are regulated by the Clean Air Acts whilst combustion of wastes is regulated by the more recent Environmental Protection Act. (author)

  4. Characteristics of atmospheric ice nucleating particles associated with biomass burning in the US: Prescribed burns and wildfires

    Science.gov (United States)

    McCluskey, Christina S.

    Insufficient knowledge regarding the sources and number concentrations of atmospheric ice nucleating particles (INP) leads to large uncertainties in understanding the interaction of aerosols with cloud processes, such as cloud life time and precipitation rates. This study utilizes measurements of INP from a diverse set of biomass burning events to better understand INP associated with biomass burning in the U.S. Prescribed burns in Georgia and Colorado, two Colorado wildfires and two laboratory burns were monitored for INP number concentrations. The relationship between nINP and total particle number concentrations, evident within prescribed burning plumes, was degraded within aged smoke plumes from the wildfires, limiting the utility of this relationship for comparing laboratory and field data. Larger particles, represented by n500nm, are less vulnerable to plume processing and have previously been evaluated for their relation to nINP. Our measurements indicated that for a given n500nm, nINP associated with the wildfires were nearly an order of magnitude higher than nINP found in prescribed fire emissions. Reasons for the differences between INP characteristics in these emissions were explored, including variations in combustion efficiency, fuel type, transport time and environmental conditions. Combustion efficiency and fuel type were eliminated as controlling factors by comparing samples with contrasting combustion efficiencies and fuel types. Transport time was eliminated because the expected impact would be to reduce n500nm, thus resulting in the opposite effect from the observed change. Bulk aerosol chemical composition analyses support the potential role of elevated soil dust particle concentrations during the fires, contributing to the population of INP, but the bulk analyses do not target INP composition directly. It is hypothesized that both hardwood burning and soil lofting are responsible for the elevated production of INP in the Colorado wildfires in

  5. Plastic packaging and burn-in effects on ionizing dose response in CMOS microcircuits

    International Nuclear Information System (INIS)

    Clark, S.D.; Bings, J.P.; Maher, M.C.; Williams, M.K.; Alexander, D.R.; Pease, R.L.

    1995-01-01

    Results are reported from an investigation of the effects of packaging and burn-in on the post-irradiation performance of National Semiconductor 54AC02 Quad 2-input NOR gates. The test population was drawn from a single wafer fabricated in the National process qualified under Mil-Prf-38535 to an ionizing radiation hardness of 100 krads(Si). The test sample was divided between plastic and ceramic packages. Additionally, half of the plastic samples and half of the two ceramic samples received a 168 hour/125 C burn-in. Two irradiation schemes were used. The first followed Mil-Std-883 Method 1019.4 (dose rate = 50 rads(Si)/s). The second used a low dose rate (0.1 rads(Si)/s). AC, DC, transfer function and functional behavior were monitored throughout the tests. Significant differences among the package types and burn-in variations were noted with the plastic, burned-in components demonstrating enhanced degradation. They show the worst post-irradiation parameter values as well as very broad post-irradiation parameter distributions. Degradation is highly dependent upon dose rate and anneal conditions. Two different radiation induced leakage paths have been identified, and their characteristics have been correlated to variations in high dose rate and low dose rate circuit performance. Caution is recommended for system developers to ensure that radiation hardness characterization is performed for the same package/burn-in configuration to be used in the system

  6. Analysis and Description of Suicidal Burns Admitted to Al-Fayhaa General Hospital in Basra, Iraq

    Directory of Open Access Journals (Sweden)

    Mustafa Al-Shamsi

    2018-05-01

    Full Text Available Suicide by self-burning remains a common method of suicide amongst women in Iraq and some neighboring countries. This study aimed to describe the problem of self-burning in Basra province and investigate the associated factors. A prospective study was undertaken between October 2016 and May 2017 in Al-Fayhaa Burn Center. Data were collected from all patients admitted to the center for a self-inflicted burn. Sociodemographic information and cause of suicide were obtained using an interviewer-administered questionnaire, and clinical data were transcribed from hospital records. There were 62 cases (females 74%, males 26% of self-burning during the 6 months data collection accounting for 22% of all burn admission. The age ranged from 9-56 years (mean 25.3, SD 10.8 year. The vast majority had no or only basic education (92%, 55% were married, 60% were from outside Basra city and 53% considered themselves from a poor socioeconomic background. The incident mostly occurred at home (84% while the person was alone (91% using kerosene as the burning material (82%. The total burn surface area ranged from 20-100% with a median of 80% (IQR 60-95. The median hospital stay was 5 days (IQR 1-12 days. In-hospital mortality rate was 72.6%. Suicide by self-burning seems not to be uncommon in Basra and require more attention from public health and social services. More research is required to provide a better estimation of the problem and in-depth understanding of the factors that contribute to the problem.

  7. Uniform DT 3T burn: computations and sensitivities

    Energy Technology Data Exchange (ETDEWEB)

    Vold, Erik [Los Alamos National Laboratory; Hryniw, Natalia [Los Alamos National Laboratory; Hansen, Jon A [Los Alamos National Laboratory; Kesler, Leigh A [Los Alamos National Laboratory; Li, Frank [Los Alamos National Laboratory

    2011-01-27

    A numerical model was developed in C to integrate the nonlinear deutrium-tritium (DT) burn equations in a three temperature (3T) approximation for spatially uniform test problems relevant to Inertial Confinement Fusion (ICF). Base model results are in excellent agreement with standard 3T results. Data from NDI, SESAME, and TOPS databases is extracted to create fits for the reaction rate parameter, the Planck opacity, and the coupling frequencies of the plasma temperatures. The impact of different fits (e.g., TOPS versus SESAME opacity data, higher order polynomial fits ofNDI data for the reaction rate parameter) were explored, and sensitivity to several model inputs are presented including: opacity data base, Coulomb logarithm, and Bremsstrahlung. Sensitivity to numerical integration time step size, and the relative insensitivity to the discretized numerics and numerical integration method was demonstrated. Variations in the IC for densities and temperatures were explored, showing similar DT burn profiles in most cases once ignition occurs. A coefficient multiplying the Compton coupling term (default, A = 1) can be adjusted to approximate results from more sophisticated models. The coefficient was reset (A = 0.4) to match the maximum temperatures resulting from standard multi-group simulations of the base case test problem. Setting the coefficient to a larger value, (A = 0.6) matches maximum ion temperatures in a kinetic simulation of a high density ICF-like regime. Matching peak temperatures does not match entire temperature-time profiles, indicating the Compton coefficient is density and time dependent as the photon distribution evolves. In the early time burn during the ignition of the DT, the present model with modified Compton coupling provides a very simple method to obtain a much improved match to the more accurate solution from the multi-group radiation model for these DT burn regimes.

  8. 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.

  9. Infections in critically ill burn patients.

    Science.gov (United States)

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

    2016-04-01

    Severe burn patients are one subset of critically patients in which the burn injury increases the risk of infection, systemic inflammatory response and sepsis. The infections are usually related to devices and to the burn wound. Most infections, as in other critically ill patients, are preceded by colonization of the digestive tract and the preventative measures include selective digestive decontamination and hygienic measures. Early excision of deep burn wound and appropriate use of topical antimicrobials and dressings are considered of paramount importance in the treatment of burns. Severe burn patients usually have some level of systemic inflammation. The difficulty to differentiate inflammation from sepsis is relevant since therapy differs between patients with and those without sepsis. The delay in prescribing antimicrobials increases morbidity and mortality. Moreover, the widespread use of antibiotics for all such patients is likely to increase antibiotic resistance, and costs. Unfortunately the clinical usefulness of biomarkers for differential diagnosis between inflammation and sepsis has not been yet properly evaluated. Severe burn injury induces physiological response that significantly alters drug pharmacokinetics and pharmacodynamics. These alterations impact antimicrobials distribution and excretion. Nevertheless the current available literature shows that there is a paucity of information to support routine dose recommendations. Copyright © 2016. Publicado por Elsevier España, S.L.U.

  10. [Burns, new challenges to take on].

    Science.gov (United States)

    Galí-Llàcer, Rosa; Sena-Fernández, Beatriz; Leyva-Moral, Juan Manuel

    2009-04-01

    This article concerns a transversal descriptive study which shows the characteristics of burns treated in a Primary Health Care Center in an urban environment in Barcelona from 19 July 2005 unti 11 August 2007 (N=93). Patients younger than 15 were excluded from this study. 88% (82; CI of 95% 81,47-94,59) of the burns treated were caused by a thermal agent. Kitchen cooking oil ranks first as the cause of burns (24; 27%, CI of 95% 17,99-36,01). 70% of the burns studied had signs of superficial skin damage (65, CI of 95% 60,70-79,30). 61% (57; CI of 95% 51,70-70,30) of these burns were located on upper extremities The average recorded body surface burned was 0.0076% (median = 0,005%, range = 0,0001-0,5000%). The greatest number of wounds were observed among men aged 31 to 45 (17%; 16; CI of 95% 9,38-24,62). Educational health programs which focus on prevention of, and first aid care for, burns are needed. Studies like this one may prove useful when starting preventive or educational strategies.

  11. CHALLENGING ISSUES OF SPECIALIZED CARE DELIVERY TO VICTIMS OF BURNS IN THE KRASNODAR REGION

    Directory of Open Access Journals (Sweden)

    V. A. Porkhanov

    2016-01-01

    Full Text Available BACKGROUND. The number of burn victims in Russia is growing annually. However, combustiology remains one of the few medical specialties in the country, which has no accepted procedure for the care delivery.MATERIAL AND METHODS. The article presents an analysis of high-tech medical assistance delivery to victims of burns in the Krasnodar Region. We also consider challenging issues on combustiology services organization in Russia and economic aspects for patients with burn injury under the compulsory medical insurance.RESULTS AND CONCLUSION. Up to 3,000 patients requiring hospital treatment are registered in the Krasnodar Region. Of 2,200 operations, 2,000 surgeries are performed in the regional burn center. Implementation of regional system of “early surgical treatment” allowed to reach some of the lowest mortality rates in Russia (in the Region: total 2.43%, adults 4.69%, children 0.16%.

  12. Women's recovery, negotiation of appearance, and social reintegration following a burn.

    Science.gov (United States)

    Dekel, Bianca; van Niekerk, Ashley

    2018-06-01

    The gendered nature of postburn coping has received scant research attention in South Africa, a country that has a high rate of burns with significant concentrations among women. In this study, narratives that emerged from in-depth interviews with seven women were examined. The narratives emphasized essential needs of these burn survivors for personal support, the complexities of negotiating intimate relationships, struggles with the humiliation from family and friends, in some instances strained relationships with children, the support found through religious beliefs and institutions, and often frustratingly slow psychological acceptance of scars. These difficulties faced by women survivors of burns have highlighted the need to include religion/spirituality, intimate male partners, and women's children into the psychological recovery process, in an attempt to assist women's journey to psychological and emotional healing after burn. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

  13. The relationship between behavioural problems in preschool children and parental distress after a paediatric burn event.

    Science.gov (United States)

    Bakker, Anne; van der Heijden, Peter G M; van Son, Maarten J M; van de Schoot, Rens; Vandermeulen, Els; Helsen, Ann; Van Loey, Nancy E E

    2014-09-01

    This study examines mother- and father-rated emotional and behaviour problems in and worries about 0- to 5-year-old children at 3 and 12 months after a burn event and the relation with parental distress. Mothers (n = 150) and fathers (n = 125) representing 155 children participated in this study. Child emotional and behaviour problems and parental worries about the child were assessed with the Child Behavior Checklist at both time points. Parents' level of acute subjective distress was assessed within the first month after the burn event with the Impact of Event Scale. Mothers and fathers held comparable views of their child's emotional and behaviour problems, which were generally within the normal limits. Parents' own acute stress reactions were significantly related to parent-rated child behaviour problems at 3 and 12 months postburn. A substantial part of mothers' and fathers' worries about the child concerned physical and emotional aspects of the burn trauma, and potential future social problems. Parents with high acute stress scores more often reported burn-related concerns about their child at 3 and 12 months postburn. Health-care professionals should be informed that parents' distress in the subacute phase of their child's burn event may be related to subsequent worries about their child and to (parent-observed) child emotional and behaviour problems. The authors recommend a family perspective, with particular attention for the interplay between parents' distress and parent-reported child behaviour problems and worries, in each phase of paediatric burn care.

  14. Propranolol attenuates hemorrhage and accelerates wound healing in severely burned adults.

    Science.gov (United States)

    Ali, Arham; Herndon, David N; Mamachen, Ashish; Hasan, Samir; Andersen, Clark R; Grogans, Ro-Jon; Brewer, Jordan L; Lee, Jong O; Heffernan, Jamie; Suman, Oscar E; Finnerty, Celeste C

    2015-05-04

    Propranolol, a nonselective β-blocker, exerts an indirect effect on the vasculature by leaving α-adrenergic receptors unopposed, resulting in peripheral vasoconstriction. We have previously shown that propranolol diminishes peripheral blood following burn injury by increasing vascular resistance. The purpose of this study was to investigate whether wound healing and perioperative hemodynamics are affected by propranolol administration in severely burned adults. Sixty-nine adult patients with burns covering ≥ 30% of the total body surface area (TBSA) were enrolled in this IRB-approved study. Patients received standard burn care with (n = 35) or without (control, n = 34) propranolol. Propranolol was administered within 48 hours of burns and given throughout hospital discharge to decrease heart rate by approximately 20% from admission levels. Wound healing was determined by comparing the time between grafting procedures. Blood loss was determined by comparing pre- and postoperative hematocrit while factoring in operative graft area. Data were collected between first admission and first discharge. Demographics, burn size, and mortality were comparable in the control and propranolol groups. Patients in the propranolol group received an average propranolol dose of 3.3 ± 3.0 mg/kg/day. Daily average heart rate over the first 30 days was significantly lower in the propranolol group (P operative intervention is optimal.

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

    International Nuclear Information System (INIS)

    Fingas, M.F.; Fieldhouse, B.; Brown, C.E.; Gamble, L.

    2004-01-01

    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

  16. Impacts of prescribed burning on soil greenhouse gas fluxes in a suburban native forest of south-eastern Queensland, Australia

    Science.gov (United States)

    Zhao, Y.; Wang, Y. Z.; Xu, Z. H.; Fu, L.

    2015-11-01

    Prescribed burning is a forest management practice that is widely used in Australia to reduce the risk of damaging wildfires. Prescribed burning can affect both carbon (C) and nitrogen (N) cycling in the forest and thereby influence the soil-atmosphere exchange of major greenhouse gases, i.e. carbon dioxide (CO2), methane (CH4) and nitrous oxide (N2O). To quantify the impact of a prescribed burning (conducted on 27 May 2014) on greenhouse gas exchange and the potential controlling mechanisms, we carried out a series of field measurements before (August 2013) and after (August 2014 and November 2014) the fire. Gas exchange rates were determined in four replicate plots which were burned during the combustion and in another four adjacent unburned plots located in green islands, using a set of static chambers. Surface soil properties including temperature, pH, moisture, soil C and N pools were also determined either by in situ measurement or by analysing surface 10 cm soil samples. All of the chamber measurements indicated a net sink of atmospheric CH4, with mean CH4 uptake ranging from 1.15 to 1.99 mg m-2 d-1. Prescribed burning significantly enhanced CH4 uptake as indicated by the significant higher CH4 uptake rates in the burned plots measured in August 2014. In the following 3 months, the CH4 uptake rate was recovered to the pre-burning level. Mean CO2 emission from the forest soils ranged from 2721.76 to 7113.49 mg m-2 d-1. The effect of prescribed burning on CO2 emission was limited within the first 3 months, as no significant difference was observed between the burned and the adjacent unburned plots in both August and November 2014. The CO2 emissions showed more seasonal variations, rather than the effects of prescribed burning. The N2O emission in the plots was quite low, and no significant impact of prescribed burning was observed. The changes in understory plants and litter layers, surface soil temperature, C and N substrate availability and microbial

  17. Ultrasound assessed thickness of burn scars in association with laser Doppler imaging determined depth of burns in paediatric patients.

    Science.gov (United States)

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

    2010-12-01

    This study describes the ultrasound assessment of burn scars in paediatric patients and the association of these scar thickness with laser Doppler imaging (LDI) determined burn depth. A total of 60 ultrasound scar assessments were conducted on 33 scars from 21 paediatric burn patients at 3, 6 and 9 months after-burn. The mean of peak scar thickness was 0.39±0.032 cm, with the thickest at 6 months (0.40±0.036 cm). There were 17 scald burn scars (0.34±0.045 cm), 4 contact burn scars (0.61±0.092 cm), and 10 flame burn scars (0.42±0.058 cm). Each group of scars followed normal distributions. Twenty-three scars had original burns successfully scanned by LDI and various depths of burns were presented by different colours according to blood perfusion units (PU), with dark blue burns, with the thinnest scars for green coloured burns and the thickest for dark blue coloured burns. Within light blue burns, grafted burns healed with significantly thinner scars than non-grafted burns. This study indicates that LDI can be used for predicting the risk of hypertrophic scarring and for guiding burn care. To our knowledge, this is the first study to correlate the thickness of burns scars by ultrasound scan with burn depth determined by LDI. Copyright © 2010 Elsevier Ltd and ISBI. All rights reserved.

  18. Burning Characteristics of Ammonium-Nitrate-Based Composite Propellants with a Hydroxyl-Terminated Polybutadiene/Polytetrahydrofuran Blend Binder

    Directory of Open Access Journals (Sweden)

    Makoto Kohga

    2012-01-01

    Full Text Available Ammonium-nitrate-(AN- based composite propellants prepared with a hydroxyl-terminated polybutadiene (HTPB/polytetrahydrofuran (PTHF blend binder have unique thermal decomposition characteristics. In this study, the burning characteristics of AN/HTPB/PTHF propellants are investigated. The specific impulse and adiabatic flame temperature of an AN-based propellant theoretically increases with an increase in the proportion of PTHF in the HTPB/PTHF blend. With an AN/HTPB propellant, a solid residue is left on the burning surface of the propellant, and the shape of this residue is similar to that of the propellant. On the other hand, an AN/HTPB/PTHF propellant does not leave a solid residue. The burning rates of the AN/HTPB/PTHF propellant are not markedly different from those of the AN/HTPB propellant because some of the liquefied HTPB/PTHF binder cover the burning surface and impede decomposition and combustion. The burning rates of an AN/HTPB/PTHF propellant with a burning catalyst are higher than those of an AN/HTPB propellant supplemented with a catalyst. The beneficial effect of the blend binder on the burning characteristics is clarified upon the addition of a catalyst. The catalyst suppresses the negative influence of the liquefied binder that covers the burning surface. Thus, HTPB/PTHF blend binders are useful in improving the performance of AN-based propellants.

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

    International Nuclear Information System (INIS)

    Levine, J.S.

    1991-01-01

    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

  20. Post-burn scars and scar contractures

    Directory of Open Access Journals (Sweden)

    Goel Arun

    2010-10-01

    Full Text Available The mortality and morbidity from burns have diminished tremendously over the last six to seven decades. However, these do not truly reflect whether the victim could go back to society as a useful person or not and lead a normal life because of the inevitable post-burn scars, contractures and other deformities which collectively have aesthetic and functional considerations. This article gives an overview of the post-burn scars and scar contractures, especially their prevention, minimisation and principles of management.

  1. Myroides Species in a Paediatric Burn Patient

    Directory of Open Access Journals (Sweden)

    Sevda Soydan

    2017-11-01

    Full Text Available Members of the genus Myroides are non-motile, Gram negative bacteria that are mostly found in environmental sources such as soil and water. They are not a part of human flora. For a long time they were evaluated as low grade opportunistic pathogens causing infections in immunocompromised patients whereas a few life-threatening infections were reported in immunocompetent individuals due to Myroides species. The child having a 64% of total body surface area burn was admitted to the burn unit. Myroides spp. was isolated first in urine culture then in blood culture. This is the first time Myroides spp. is reported in a paediatric patient with serious burn.

  2. A “burning” therapy for burning mouth syndrome: preliminary results with the administration of topical capsaicin.

    Science.gov (United States)

    Azzi, L; Croveri, F; Pasina, L; Porrini, M; Vinci, R; Manfredini, M; Tettamanti, L; Tagliabue, A; Silvestre-Rangil, J; Spadari, F

    2017-01-01

    Burning mouth syndrome is defined as an intraoral burning sensation for which no medical or dental cause can be found. Recently, researchers have demonstrated an altered trophism of the small nerve fibres and alterations in the numbers of TRPV-1 vanilloid receptors. Capsaicin is a molecule that is contained in hot peppers and is specifically detected by TRPV-1 vanilloid receptors that are distributed in the oral mucosae. We aimed at verifying if topical capsaicin could prove to be an effective treatment of Burning Mouth Syndrome. A group of 99 BMS patients were recruited. We subdivided the BMS patients into two groups: the collaborative patients, who expressed a predominantly neuropathic pattern of symptoms, and the non-collaborative patients, who were characterised by stronger psychogenic patterns of the syndrome. Both groups underwent topical therapy with capsaicin in the form of a mouth rinse 3 times a day for a long period. After 1 year of treatment, the final overall success rate was approximately 78%, but with a significant difference in the success rates of the two groups of patients (87% and 20% among the collaborative and non-collaborative patients, respectively; p=0.000). The use of topical capsaicin can improve the oral discomfort of BMS patients, especially during the first month of therapy, but it is more effective for those patients in which the neuropathic component of the syndrome is predominant. Our hypothesis is that chronic stimulation with capsaicin leads to decreases in burning symptoms. This phenomenon is called desensitisation and is accompanied by substantial improvements in oral symptoms.

  3. Practice of first aid in burn related injuries in a developing country.

    Science.gov (United States)

    Fadeyibi, Idowu Olusegun; Ibrahim, Nasiru Akanmu; Mustafa, Ibrahim Akinwunmi; Ugburo, Andrew Omotayo; Adejumo, Adedeji Olusola; Buari, Adedayo

    2015-09-01

    First aid with cool running water reduces the severity of burn. Low level of knowledge of first aid in burns was shown in previous studies with few patients receiving first aid by water lavage. A study investigating the use of water lavage as first aid in patients presenting to hospital with burn in Lagos, Nigeria was carried out. Patients admitted to a University Teaching Hospital for treatment of burns were recruited for this prospective study. Data detailing demographics, scene and aetiology of burns, material used for first aid, who administered first aid, level of education and relationship of first-aider with patients, length of hospital stay, complications and outcome of treatment were collected and statistical analysis performed. 168 patients; 73 (43.4%) children and 95 (56.6%) adults were seen. Burns were sustained at home in 95 (74.2%) cases and outside in 33 (25.8%). Water lavage was used in 49 (29.2%) cases, raw eggs in 21 (12.5%), pap in 16 (9.5%) and other materials in 48.8%. 40 (23.8%) patients had not received any form of first aid at presentation. Patients that received no water first aid had higher complication rate (35.3% versus 18.4%) compared with those that had water first aid. The use of water first aid in burns was shown to reduce complication rate in this study. People should be educated on the efficacy of water first aid in pre-hospital care of burns. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

  4. Effect of burn and first-pass splanchnic leucine extraction on protein kinetics in rats

    International Nuclear Information System (INIS)

    Karlstad, M.D.; DeMichele, S.J.; Istfan, N.; Blackburn, G.L.; Bistrian, B.R.

    1988-01-01

    The effects of burn and first-pass splanchnic leucine extraction (FPE) on protein kinetics and energy expenditure were assessed by measuring O 2 consumption, CO 2 production, nitrogen balance, leucine kinetics, and tissue fractional protein synthetic rates (FSR-%/day) in enterally fed rats. Anesthetized male rats (200 g) were scalded on their dorsum with boiling water (25-30% body surface area) and enterally fed isovolemic diets that provided 60 kcal/day and 2.4 g of amino acids/day for 3 days. Controls were not burned. An intravenous or intragastric infusion of L-[1- 14 C]leucine was used to assess protein kinetics on day 3. FPE was taken as the ratio of intragastric to intravenous plasma leucine specific activity. There was a 69% reduction in cumulative nitrogen balance (P less than 0.001) and a 17-19% increase in leucine oxidation (P less than 0.05) and total energy expenditure (P less than 0.01) in burned rats. A 15% decrease in plasma leucine clearance (P less than 0.05) was accompanied by a 20% increase in plasma [leucine] (P less than 0.01) in burned rats. Burn decreased rectus muscle FSR from 5.0 +/- 0.4 to 3.5 +/- 0.5 (P less than 0.05) and increased liver FSR from 19.0 +/- 0.5 to 39.2 +/- 3.4 (P less than 0.01). First pass extraction of dietary leucine by the splanchnic bed was 8% in controls and 26% in burned rats. Leucine kinetics corrected for FPE showed increased protein degradation with burn that was not evident without FPE correction. This hypermetabolic burn model can be useful in the design of enteral diets that optimize rates of protein synthesis and degradation

  5. The contribution of charcoal burning to the rise and decline of suicides in Hong Kong from 1997-2007.

    Science.gov (United States)

    Law, C K; Yip, Paul S F; Caine, Eric D

    2011-09-01

    There has been scant research exploring the relationship between choice of method (means) of self-inflicted death, and broader social or contextual factors. The recent emergence and growth of suicide using carbon monoxide poisoning resulting from burning charcoal in an enclosed space (hereafter, "charcoal burning") was related to an increase in the overall suicide rate in Hong Kong. The growth of this method coincided with changing economic conditions. This paper expands upon previous work to explore possible relationships further. This study aims to discern the role of charcoal burning in overall suicide rate transition during times of both economic recession and expansion, as captured in the unemployment rate of Hong Kong, and to examine whether there was evidence of an effect from means-substitution. Age and gender specific suicide rates in Hong Kong by suicide methods from 1997 to 2007 were calculated. To model the transition of suicide rate by different methods, Poisson regression analyses were employed. Charcoal burning constituted 18.3% of all suicides, 88% of which involved individuals drawn from the middle years (25-59) of life. During both periods of rising and declining unemployment, charcoal burning played an important role in the changing suicide rates, and this effect was most prominent among for those in their middle years. Means-substitution was found among the married women during the period of rate advancement (1997-2003). Compared to others, working-age adults preferentially selected carbon monoxide poisoning from charcoal burning.

  6. Autopsy-proven causes of death in lungs of patients immunocompromised by secondary interstitial pneumonia Causas de óbito por pneumonia intersticial secundária em autópsias pulmonares de pacientes imunocomprometidos

    Directory of Open Access Journals (Sweden)

    Alberto Antonio Terrabuio Junior

    2007-02-01

    thromboembolism was associated with an appreciable risk of death (OR = 2.4 in patients with arterial hypertension. The risk of death was also high in patients presenting hepatic cancer (OR = 2.5 or steroid therapy (OR = 2.4 who developed pulmonary hemorrhage as the histological pattern of secondary interstitial pneumonia . The risk of death by lung metastasis was also elevated (OR = 1.6 for patients that were immunosuppressed after radiotherapy. CONCLUSION: Patients with secondary immunosuppression who developed secondary interstitial pneumonia during treatment in hospital should be evaluated to avoid death by diffuse alveolar damage, pulmonary edema, bronchopneumonia, lung hemorrhage, pulmonary thromboembolism, or lung metastasis. The high-risk patients are those immunosuppressed by hematologic disease; those under steroid treatment; or those with colon or hepatic carcinoma, cachexia, or arterial hypertension.OBJETIVO: Apresentar as associações mais freqüentes encontradas em autópsias de pacientes imunossuprimidos que desenvolveram pneumonia intersticial secundária bem como o risco de óbito (Odds Ratio de desenvolver PIS associada à causa da imunossupressão. MÉTODO: De janeiro de 1994 a março de 2004, 17000 autópsias foram realizadas no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. A partir da revisão dos laudos patológicos foram selecionados 558 destas autópsias (3,28% de pacientes com 15 anos de idade ou mais, com alguma doença de base que desenvolveu um infiltrado pulmonar radiologicamente difuso durante o curso da hospitalização e que depois foi para óbito com pneumonia intersticial secundária (broncopneumonia, pneumonia lobar, pneumonia intersticial, dano alveolar difuso, doença pulmonar recorrente, doença pulmonar induzida por drogas, edema pulmonar cardiogênico e embolismo pulmonar. As lâminas histológicas foram revisadas por patologistas experientes para confirmar ou não a presença de pneumonia intersticial

  7. Cerebral biopsy: comparison between frame-based stereotaxy and neuronavigation in an oncology center Biópsia cerebral: comparação entre estereotaxia com arco e neuronavegação em um centro de oncologia

    Directory of Open Access Journals (Sweden)

    Carlos Augusto Ferreira Lobão

    2009-09-01

    Full Text Available Treatment of intracranial tumoral lesions is related to its correct histological diagnostic. We present a retrospective analysis of 32 patients submitted to 36 cerebral biopsies using neuronavigation and 44 patients using frame-based stereotaxy. Mean age was 46.6 and 49.3 years old respectively. Sex distribution in both groups was 50% for each. Most of lesions were lobar in both groups. Diagnostic yielding was 91.7% and 83.4%, respectively (p=0.26. We found in the postoperative CT scans intracranial hemorrhages in 13.8% cases of the first group and 9.8% cases in the second. Most of them were mild post-operative hemorrages in the biopsy site. There was one death related to the procedure in each group. Astrocytomas and metastatic adenocarcinomas were the most frequent diagnosis. Diagnostic yielding and the number of postoperative hemorrhage and death were similar on both groups and the same found in the literature.O manejo das lesões intracranianas tumorais está relacionado ao seu diagnóstico histológico adequado. Foi realizado estudo retrospectivo com 32 pacientes submetidos a 36 biópsias cerebrais por neuronavegação e 44 pacientes por estereotaxia com arco. A idade média foi 46,6 e 49,3 anos respectivamente. Nos dois grupos a distribuição por sexo foi 50% para cada. A maioria das lesões biopsiadas eram lobares nos dois grupos. A positividade diagnóstica foi 91,7% para neuronavegação e 83,4% para a estereotaxia com arco, respectivamente (p=0,26. Identificou-se hemorragia intracraniana na TC pós-operatória em 13,8% dos casos no primeiro grupo e em 9,8% no segundo, a maioria de pequena monta sem provocar piora neurológica. Ocorreu uma morte relacionada ao procedimento em cada grupo. Os diagnósticos mais freqüentes foram astrocitomas e adenocarcinomas metastáticos. A positividade diagnóstica, taxas de hemorragia pós-operatória e de mortalidade foram equiparáveis estatisticamente entre os dois métodos e se assemelham com as

  8. Autópsias psicológicas e psicossociais de idosos que morreram por suicídio no Brasil Psychological and psychosocial autopsies of the elderly who committed suicide in Brazil

    Directory of Open Access Journals (Sweden)

    Fátima Gonçalves Cavalcante

    2012-08-01

    Full Text Available Analisam-se 51 casos de suicídio de idosos em dez municípios brasileiros, visando a conhecer a interação de variáveis associadas ao fenômeno. Uma revisão sobre o tema dá suporte teórico ao estudo. Tendo como base o método da autópsia psicológica, o estudo parte de um roteiro de entrevista semiestruturada, aplicada e analisada por pares de pesquisadores, mediante um mesmo procedimento de coleta, organização e análise dos dados. O conjunto foi reexaminado através de uma meta-análise de enfoque psicossocial e qualitativo sobre dados dos familiares entrevistados, interpretações dos pesquisadores, contextualização socioantropológica e categorias de relevância. Foram estudadas formas de perpetração e letalidade por sexo, faixa etária, perfil socioeconômico; fatores associados; e motivos atribuídos. Analisou-se a interação de fatores precipitantes relevantes. As conclusões apontam convergências entre estudos epidemiológicos e qualitativos. Doenças graves, deficiências e transtornos mentais juntos formam as principais causas, seguidas de depressão, conflitos familiares e conjugais. Recomenda-se atenção à qualidade de vida dos idosos, especialmente dos homens, que constituem o grupo de maior risco para suicídio.The authors analyze 51 cases of suicide among the elderly from ten Brazilian municipalities. The objective is to understand the interaction of variables associated with suicide among the elderly. A bibliographic review gives theoretical support to this study. Based on psychological autopsy, the study begins with a semi-structured interview format, which was applied and analyzed by peer researchers, using the same procedure for gathering, organizing and analyzing the data. This material was reviewed using a psychosocial and qualitative meta-analysis approach based on family interview data, researchers' interpretations, socio-anthropological contextualization and relevance categories. Ways of committing

  9. TIGER Burned Brightly in JAMIC

    Science.gov (United States)

    Olson, Sandra L.; Kashiwagi, Takashi

    2001-01-01

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

  10. Outcome after burns: an observational study on burn scar maturation and predictors for severe scarring.

    Science.gov (United States)

    van der Wal, Martijn B A; Vloemans, Jos F P M; Tuinebreijer, Wim E; van de Ven, Peter; van Unen, Ella; van Zuijlen, Paul P M; Middelkoop, Esther

    2012-01-01

    Long-term outcome of burn scars as well as the relation with clinically relevant parameters has not been studied quantitatively. Therefore, we conducted a detailed analysis on the clinical changes of burn scars in a longitudinal setup. In addition, we focused on the differences in scar quality in relation to the depth, etiology of the burn wound and age of the patient. Burn scars of 474 patients were subjected to a scar assessment protocol 3, 6, and 12 months postburn. Three different age groups were defined (≤5, 5-18, and ≥18 years). The observer part of the patient and observer scar assessment scale revealed a significant (p burned (p  0.230) have no significant influence on scar quality when corrected for sex, total body surface area burned, time, and age or etiology, respectively. © 2012 by the Wound Healing Society.

  11. Secondary hyperalgesia to heat stimuli after burn injury in man

    DEFF Research Database (Denmark)

    Pedersen, J L; Kehlet, H

    1998-01-01

    The aim of the study was to examine the presence of hyperalgesia to heat stimuli within the zone of secondary hyperalgesia to punctate mechanical stimuli. A burn was produced on the medial part of the non-dominant crus in 15 healthy volunteers with a 50 x 25 mm thermode (47 degrees C, 7 min......), and assessments were made 70 min and 40 min before, and 0, 1, and 2 h after the burn injury. Hyperalgesia to mechanical and heat stimuli were examined by von Frey hairs and contact thermodes (3.75 and 12.5 cm2), and pain responses were rated with a visual analog scale (0-100). The area of secondary hyperalgesia...... to punctate stimuli was assessed with a rigid von Frey hair (462 mN). The heat pain responses to 45 degrees C in 5 s (3.75 cm2) were tested in the area just outside the burn, where the subjects developed secondary hyperalgesia, and on the lateral crus where no subject developed secondary hyperalgesia (control...

  12. Crusted Scabies in the Burned Patient

    DEFF Research Database (Denmark)

    Berg, Jais Oliver; Alsbjørn, Bjarne

    2011-01-01

    ; 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...... report of a burned patient with CS in the English language literature. CS is also highly contagious and may lead to a nosocomial outbreak. Furthermore, CS seems to have a detrimental impact on the burned patient's course of treatment. A scabicide treatment is necessary to guarantee successful treatment...

  13. Analgesic effects of dexamethasone in burn injury

    DEFF Research Database (Denmark)

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

    2002-01-01

    and secondary hyperalgesia. RESULTS: The burn injury induced significant increases in erythema (P burn did not differ between dexamethasone and placebo treatments (P >.6). There were no significant......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...... 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...

  14. Management of Mass Casualty Burn Disasters

    National Research Council Canada - National Science Library

    Cancio, Leopoldo C; Pruitt, Basil A

    2005-01-01

    Mass casualty burn disasters are potentially challenging, in part because the majority of health care providers are inexperienced in the care of thermally injured patients and in part because of the...

  15. Using Pig skin to treat Burns

    International Nuclear Information System (INIS)

    Katebe, R.

    2001-01-01

    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

  16. Burning mouth syndrome: an enigmatic disorder.

    Science.gov (United States)

    Javali, M A

    2013-01-01

    Burning mouth syndrome (BMS) is a chronic oral pain or burning sensation affecting the oral mucosa, often unaccompanied by mucosal lesions or other evident clinical signs. It is observed principally in middle-aged patients and postmenopausal women and may be accompanied by xerostomia and altered taste. Burning mouth syndrome is characterized by an intense burning or stinging sensation, preferably on the tongue or in other areas of mouth. This disorder is one of the most common, encountered in the clinical practice. This condition is probably of multifactorial origin; however the exact underlying etiology remains uncertain. This article discusses several aspects of BMS, updates current knowledge about the etiopathogenesis and describes the clinical features as well as the diagnosis and management of BMS patients.

  17. Treatment of burn injuries with keratinocyte cultures

    International Nuclear Information System (INIS)

    Syring, C.; Maenig, H.J.; Von Versen, R.; Bruck, J.

    1999-01-01

    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

  18. Past In-Situ Burning Possibilities

    National Research Council Canada - National Science Library

    Yoshioka, Gary

    1999-01-01

    This study evaluated the feasibility of conducting in-situ burning (ISB) using current technology on post 1967 major oil spills over 10,00 barrels in North America and over 50,00 barrels in South America and Europe...

  19. Ash and burn control through fishbones

    Energy Technology Data Exchange (ETDEWEB)

    Varadarajan, V.; Miley, G.H.

    1989-01-01

    The thermal alphas will accumulate in the center of the ignited thermonuclear plasma in the long pulse experiments. This accumulation increases the Z{sub eff} leading to increased synchrotron losses and decreases the effective fuel density which reduces the power output. Also the ignited plasma is burn-unstable and its temperature is expected to increase above the design point until a stable equilibrium is reached at a higher temperature. This higher operating temperature is not expected to be beneficial. Thus we are faced with the dual problem of ash accumulation and thermonuclear burn instability in the steadily burning tokamak plasma. So some means of controlling them is desirable. Several control schemes for both problems have been proposed. But it is felt that we need alternatives with more desirable characteristics. In this paper, we explore the use of fishbones' as possible scheme that will achieve the dual purpose of ash and burn control. 3 refs.

  20. Risk factors for mortality in burn children

    Directory of Open Access Journals (Sweden)

    Maria Teresa Rosanova

    2014-03-01

    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.

  1. Predicting postoperative haemoglobin changes after burn surgery

    African Journals Online (AJOL)

    Burn surgery is associated with significant peri-operative haemoglobin. (Hb) changes. ... operative factors predictive of an Hb <7 g/dL on the first day after surgery, which were ..... clinical judgement, taking into consideration the risk associated.

  2. Treatment of radiation burns, 1987 [videorecording

    International Nuclear Information System (INIS)

    1987-01-01

    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

  3. Burning nuclear wastes in fusion reactors

    International Nuclear Information System (INIS)

    Meldner, H.W.; Howard, W.M.

    1979-01-01

    A study was made up of actinide burn-up in ICF reactor pellets; i.e. 14 Mev neutron fission of the very long-lived actinides that pose storage problems. A major advantage of pellet fuel region burn-up is safety: only milligrams of highly toxic and active material need to be present in the fusion chamber, whereas blanket burn-up requires the continued presence of tons of actinides in a small volume. The actinide data tables required for Monte Carlo calculations of the burn-up of /sup 241/Am and /sup 243/Am are discussed in connection with a study of the sensitivity to cross section uncertainties. More accurate and complete cross sections are required for realistic quantitative calculations. 13 refs

  4. Prescribed Burn at Pine Bluff Arsenal

    National Research Council Canada - National Science Library

    Peacock, Lance

    2000-01-01

    .... Abandoned fields grew up in pine or in some cases were planted in pine during the 1930's. The burning of farm stubble and woodlands was a common practice in Arkansas throughout this time period...

  5. Decontamination of burns contaminated with radioactive materials

    International Nuclear Information System (INIS)

    Vykouril, L.

    1986-01-01

    The suitability of various solutions for the decontamination of burnt skin and their efficiency were tested by experiments on rats. Tested was the decontamination of undisturbed skin, second degree skin burns and third degree skin burns. Decontamination solutions used included: distilled water, jodonal (an aqueous solution of iodine, ethoxylated nonylphenols, the copolymer of ethylene oxide with propylene oxide, and phosphoric acid) and a decontamination mixture of Sapon, Komplexon (trade names of detergents) and sodium hexametaphosphate. Decontamination efficiency was 68.4% for second degree burns and 47.1% for third degree burns. Most effective was the decontamination solution with an efficiency of 72%; the efficiency of jodonal was 67% and of water - 54%. Jodonal is the most suitable: in addition, it acts as a disinfectant and antiseptic. (M.D.)

  6. Galactorrhea and amenorrhea in burn patients.

    Science.gov (United States)

    Goyal, Navin; Gore, Madhuri A; Shankar, Ravi

    2008-09-01

    Galactorrhea and/or amenorrhea, although uncommonly reported in post-burn patients, is a complex problem to treat. Patient is reluctant to volunteer history of these symptoms, unless asked specifically. To study profile of adult female patients with galactorrhea and/or amenorrhea in post burn period. A prospective study of all adult female patients presenting with or detected to have galactorrhea and/or amenorrhea in post burn period was conducted over 6 month's period. Detailed clinical examination, estimation of LH, FSH, Prolactin levels and X-ray of skull was done in all patients. The data collected was analyzed. Patients with hyperprolactinemia and galactorrhea were treated with Bromocriptine for 3 weeks to 3 months. In all patients with amenorrhea, pregnancy was ruled out by gynecological examination and urine pregnancy test. During this period, 30 patients (15.15%) were detected to have galactorrhea and/or amenorrhoea. The extent of burn in these patients was 20-65%of body surface area. Out of 30 patients, 5 had galactorrhea and amenorrhea, 1 galactorrhea alone and 24 had amenorrhea alone. Analysis of voluntary disclosures and detection on interrogation was done. Till the end of study, 4 patients with galactorrhea had complete relief, 2 patients reported reduction in discharge. Galactorrhea was distressing for all and was always associated with high prolactine levels .The reverse was not true. All the patients had chest burns besides other body areas. Association was noted between menstrual aberration and ovulatory phase at the time of burn. Galactorrhea and menstrual disturbances do exist in female patients in reproductive age group in post burn period and patients should be especially interrogated for these symptoms by the burn care providers.

  7. Refueling and control of RFP burns

    International Nuclear Information System (INIS)

    Nebel, R.; Miley, G.H.

    1978-01-01

    An earlier study of the stability of a fusion burn in a Reversed Field Pinch (RFP) has been extended to include cold particle refueling. This refueling, coupled with anomalous transport, makes possible quasi-steady state operation which both flattens the wall-loading temporal dependence and significantly increases energy gain factors. This paper discusses results of these burn simulations along with parametric studies aimed at determining associated reactor scaling problems

  8. On a metastable vacuum burning phenomenon

    International Nuclear Information System (INIS)

    Berezin, V.A.; Tkachev, I.I.; Kuzmin, V.A.; AN SSSR, Moscow. Inst. Yadernykh Issledovanij)

    1983-02-01

    Equations of motion of an interface between two phases with arbitrary equations of state are obtained. It is found that there may take place a process of metastable vacuum burning. It is shown that under some conditions the process of the new phase bubble expansion is described by the detonation wave equations. Possible cosmological consequences of the metastable phase burning effect are briefly discussed. (author)

  9. 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....

  10. Towards more efficient burn care: Identifying factors associated with good quality of life post-burn.

    Science.gov (United States)

    Finlay, V; Phillips, M; Allison, G T; Wood, F M; Ching, D; Wicaksono, D; Plowman, S; Hendrie, D; Edgar, D W

    2015-11-01

    As minor burn patients constitute the vast majority of a developed nation case-mix, streamlining care for this group can promote efficiency from a service-wide perspective. This study tested the hypothesis that a predictive nomogram model that estimates likelihood of good long-term quality of life (QoL) post-burn is a valid way to optimise patient selection and risk management when applying a streamlined model of care. A sample of 224 burn patients managed by the Burn Service of Western Australia who provided both short and long-term outcomes was used to estimate the probability of achieving a good QoL defined as 150 out of a possible 160 points on the Burn Specific Health Scale-Brief (BSHS-B) at least six months from injury. A multivariate logistic regression analysis produced a predictive model provisioned as a nomogram for clinical application. A second, independent cohort of consecutive patients (n=106) was used to validate the predictive merit of the nomogram. Male gender (p=0.02), conservative management (p=0.03), upper limb burn (p=0.04) and high BSHS-B score within one month of burn (pburns were excluded due to loss to follow up. For clinicians managing comparable burn populations, the BSWA burns nomogram is an effective tool to assist the selection of patients to a streamlined care pathway with the aim of improving efficiency of service delivery. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

  11. [Combined burn trauma in the array of modern civilian and combat burns].

    Science.gov (United States)

    Ivchenko, E V; Borisov, D N; Golota, A S; Krassiĭ, A B; Rusev, I T

    2015-02-01

    The current article positions the combined burn and non-burn injuries in the general array of civilian and combat burns. For that purpose the official state statistics and scientific medical publications, domestic as well as foreign, have been analyzed. It has been shown that in peace time the combined burn/trauma injuries are infrequent. But the same type of injury becomes routine especially among the civilian population in the conditions of the modern so called "hybrid war". And the medical service should be prepared for it.

  12. 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.

  13. Estimates of global biomass burning emissions for reactive greenhouse gases (CO, NMHCs, and NOx) and CO2

    Science.gov (United States)

    Jain, Atul K.; Tao, Zhining; Yang, Xiaojuan; Gillespie, Conor

    2006-03-01

    Open fire biomass burning and domestic biofuel burning (e.g., cooking, heating, and charcoal making) algorithms have been incorporated into a terrestrial ecosystem model to estimate CO2 and key reactive GHGs (CO, NOx, and NMHCs) emissions for the year 2000. The emissions are calculated over the globe at a 0.5° × 0.5° spatial resolution using tree density imagery, and two separate sets of data each for global area burned and land clearing for croplands, along with biofuel consumption rate data. The estimated global and annual total dry matter (DM) burned due to open fire biomass burning ranges between 5221 and 7346 Tg DM/yr, whereas the resultant emissions ranges are 6564-9093 Tg CO2/yr, 438-568 Tg CO/yr, 11-16 Tg NOx/yr (as NO), and 29-40 Tg NMHCs/yr. The results indicate that land use changes for cropland is one of the major sources of biomass burning, which amounts to 25-27% (CO2), 25 -28% (CO), 20-23% (NO), and 28-30% (NMHCs) of the total open fire biomass burning emissions of these gases. Estimated DM burned associated with domestic biofuel burning is 3,114 Tg DM/yr, and resultant emissions are 4825 Tg CO2/yr, 243 Tg CO/yr, 3 Tg NOx/yr, and 23 Tg NMHCs/yr. Total emissions from biomass burning are highest in tropical regions (Asia, America, and Africa), where we identify important contributions from primary forest cutting for croplands and domestic biofuel burning.

  14. 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 may...

  15. Photographic assessment of burn size and depth: reliability and validity

    NARCIS (Netherlands)

    Hop, M.; Moues, C.; Bogomolova, K.; Nieuwenhuis, M.; Oen, I.; Middelkoop, E.; Breederveld, R.; de Baar, M.

    2014-01-01

    Objective: The aim of this study was to examine the reliability and validity of using photographs of burns to assess both burn size and depth. Method: Fifty randomly selected photographs taken on day 0-1 post burn were assessed by seven burn experts and eight referring physicians. Inter-rater

  16. Camphor Burns on the Palm: An Unusual New Presentation

    African Journals Online (AJOL)

    in the center), and Type 3 (a full‑thickness burn exposing the palmar fascia). Conclusion: Different types of camphor burns on the palm are described in this study. This is the first study to report ring‑shaped blisters and ring‑shaped partially thick camphor burns caused on the palm. KEYWORDS: Camphor, palm burn, ring ...

  17. Using relative humidity to predict spotfire probability on prescribed burns

    Science.gov (United States)

    John R. Weir

    2007-01-01

    Spotfires have and always will be a problem that burn bosses and fire crews will have to contend with on prescribed burns. Weather factors (temperature, wind speed and relative humidity) are the main variables burn bosses can use to predict and monitor prescribed fire behavior. At the Oklahoma State University Research Range, prescribed burns are conducted during...

  18. Fouling tendency of ash resulting from burning mixtures of biofuels. Part 3. Influence of probe surface temperature

    Energy Technology Data Exchange (ETDEWEB)

    Mischa Theis; Bengt-Johan Skrifvars; Maria Zevenhoven; Mikko Hupa; Honghi Tran [Aabo Akademi Process Chemistry Centre, Aabo (Finland). Combustion and Materials Chemistry

    2006-10-15

    Mixtures of peat with bark and peat with straw were burned in a large lab-scale entrained flow reactor under controlled conditions, and deposits were collected on an air-cooled probe controlled at four to six different probe surface temperatures between 475 and 625{sup o}C. The results show that the probe surface temperature has no effect on the deposition rate when peat is burned. When burning bark, either alone or in mixtures with peat, the deposition rate decreases with increasing probe surface temperature. When burning straw, either alone or in mixtures with peat, the deposition rate increases with increasing probe surface temperature up to 550{sup o}C and remains constant at higher temperatures. The Cl content in the deposits decreases with increasing probe surface temperature, regardless of the mixture composition. In deposits obtained from burning peat-bark mixtures, K appears as K{sub 2}SO{sub 4} when the deposition rate is low and as KCl when the deposition rate is high. In deposits obtained from burning peat-straw mixtures, no clear relationship is found between the deposition rate and the contents of Cl, S and K in the deposits. 21 refs., 6 figs., 2 tabs.

  19. Burning/Rubble Pits: Environmental information document

    International Nuclear Information System (INIS)

    Huber, L.A.; Johnson, W.F.; Marine, I.W.

    1987-03-01

    The Burning/Rubble Pits, located near each of the major operating areas at the Savannah River Plant (SRP), began collecting burnable waste in 1951. The waste was incinerated monthly. All Burning/Rubble Pits are currently closed except for Burning/Rubble Pit 131-1R, which has not been backfilled but is inactive. No soil cores from the Burning/Rubble Pits have been analyzed. There are four groundwater monitoring wells located around each of the pits, which have been sampled quarterly since 1984. The closure options considered for the Burning/Rubble Pits are waste removal and closure, no waste removal and closure, and no action. Modeling calculations were made to determine the risks to human population for the three postulated closure options. An ecological assessment was conducted to predict the environmental impacts on aquatic and terrestrial biota. The relative costs for each of the closure options were estimated. An evaluation of the environmental impacts from the Burning/Rubble Pits indicates that the relative risks to human health and ecosystems for the postulated closure options are low. The ecological assessment shows that the effects of any closure activities on river water quality and wildlife would be insignificant. The cost estimates show the waste removal and closure option to be the most expensive for all of the pits. 38 refs., 35 figs., 47 tabs

  20. Community energy plan : village of Burns Lake

    International Nuclear Information System (INIS)

    Rivard, B.

    2008-09-01

    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.