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https://www.readbyqxmd.com/read/29664823/incidence-of-cellulitis-in-lower-extremity-burns-6-year-analysis
#1
Joseph N Batac, Roger L Simpson, Catherine J Sinnott, Michael P Catanzaro, Laurence T Glickman
INTRODUCTION: Patients with burn wounds of the lower extremities are at increased risk of developing cellulitis. The probability of developing burn-associated cellulitis is presumed to be correlated with a medical history of diabetes, the etiology of the burn, delay in hospitalization of the patient during their initial presentation, and depth of the burn itself. This study aims to identify factors that place patients at increased risk for developing lower extremity burn wound cellulitis...
April 17, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29661381/a-review-of-the-safety-and-efficacy-of-inhaled-methoxyflurane-as-an-analgesic-for-outpatient-procedures
#2
REVIEW
C Jephcott, J Grummet, N Nguyen, O Spruyt
Methoxyflurane delivered via a hand-held inhaler is a proven analgesic which has been used in Australasia for emergency relief of trauma associated pain since the 1970s. The agent is self-administered by the patient under the supervision of trained personnel. More than 5 million patients have received inhaled methoxyflurane without significant side effects. Methoxyflurane is also licensed in Australasia for the relief of pain in monitored conscious patients requiring analgesia for minor surgical procedures...
May 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29643605/effect-of-aquatic-versus-land-based-exercise-programs-on-physical-performance-in-severely-burned-patients-a-randomized-controlled-trial
#3
Ibrahim M Zoheiry, Haidy N Ashem, Hamada Ahmed Hamada Ahmed, Rami Abbas
[Purpose] To compare the effect of an aquatic-based versus a land-based exercise regimen on the physical performance of severely burned patients. [Subjects and Methods] Forty patients suffering from severe burn (total body surface area more than 30%) were recruited from several outpatient clinics in Greater Cairo. Their ages ranged between 20 to 40 years and were randomly assigned into two equal groups: group (A), which received an aquatic based exercise program, and group (B), which received a land-based exercise program...
December 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29615112/where-to-from-here-a-quality-improvement-project-investigating-burns-treatment-and-rehabilitation-practices-in-india
#4
J Jagnoor, C Lukaszyk, A Christou, T Potokar, S Chamania, R Ivers
OBJECTIVE: To describe the capacity of the Indian healthcare system in providing appropriate and effective burns treatment and rehabilitation services. RESULTS: Health professionals involved in burns treatment or rehabilitation at seven hospitals from four states in India were invited to participate in consultative meetings. Existing treatment and rehabilitation strategies, barriers and enablers to patient flow across the continuum of care and details on inpatient and outpatient rehabilitation were discussed during the meetings...
April 3, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29608761/correlates-and-consequences-central-sleep-apnea-in-a-national-sample-of-u-s-veterans
#5
David Ratz, Wyndy Wiitala, M S Badr, Jennifer Burns, Susmita Chowdhuri
The prevalence and consequences of central sleep apnea (CSA) in adults are not well- described. By utilizing the large Veterans Health Administration (VHA) national administrative databases, we sought to determine the incidence, clinical correlates and impact of CSA on healthcare utilization in Veterans. Analysis of a retrospective cohort of patients with sleep disorders was performed from outpatient visits and inpatient admissions from fiscal years 2006 through 2012. The CSA group, defined by International Classification of Diseases-9, was compared to a non-CSA group...
March 28, 2018: Sleep
https://www.readbyqxmd.com/read/29596648/quantification-of-an-exercise-rehabilitation-program-for-severely-burned-children-the-standard-of-care-at-shriners-hospitals-for-children%C3%A2-galveston
#6
Eric Rivas, David N Herndon, Janos Cambiaso-Daniel, Victoria G Rontoyanni, Craig Porter, Shauna Glover, Oscar E Suman
Introduction: Currently, there are no clear guidelines for the implementation of rehabilitative exercise training (RET) in burned individuals. Therefore, we quantified the training logs for exercise intensity, frequency, and duration of 6 weeks of this program in order to develop a basic framework for outpatient RET in patients recovering from severe burns. Methods: Thirty-three children (11 female, [mean±SD] 12±3 years, 145±18 cm, 40±11 kg, 49±31 BMI percentile) with severe burns (49±15% total body surface area burned, with 35±22% third-degree burns) completed our 6-week resistance and aerobic exercise training program...
January 25, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29578849/disparities-in-initial-oral-antidiabetic-medication-adherence-among-veterans-with-incident-diabetes
#7
Justin D Gatwood, Marie Chisholm-Burns, Robert Davis, Fridtjof Thomas, Praveen Potukuchi, Adriana Hung, Csaba P Kovesdy
BACKGROUND: Medication nonadherence is a prevalent public health issue, particularly among patients with diabetes mellitus (DM), and negatively affects health outcomes. Because of the prevalence of DM among U.S. veterans, it is crucial to understand how well these patients adhere to oral antidiabetic (OAD) medication and whether certain subgroups are more likely to be nonadherent. OBJECTIVE: To assess initial OAD medication use among veterans with uncomplicated DM and determine factors associated with adherence in the first 2 years of treatment...
April 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29577244/treatment-of-scalp-dysesthesia-utilising-simple-exercises-and-stretches-a-pilot-study
#8
Nicholas K Laidler, Jonathan Chan
BACKGROUND/OBJECTIVES: Scalp dysesthesia is characterised by abnormal cutaneous sensations such as burning, stinging or itching of the scalp in the absence of objective dermatological findings. We hypothesised that the unpleasant sensations are the result of a sensory neuropathy secondary to cervical spine dysfunction and chronic tension of the pericranial muscles. The aim of this pilot study was to evaluate the use of an exercise protocol consisting of cervical spine range of movement exercises, gentle mobilisation and muscle stretches over 4 weeks...
March 25, 2018: Australasian Journal of Dermatology
https://www.readbyqxmd.com/read/29562343/expert-outpatient-burn-care-in-the-home-through-mobile-health-technology
#9
Denise I Garcia, H Ryan Howard, Robert A Cina, Sachin Patel, Ken Ruggiero, Frank A Treiber, Aaron P Lesher
Access to care for pediatric burns remains a major public health problem in the US. Telemedicine has an opportunity to improve access to care, but current models are expensive and inefficient. We have developed and pilot-tested the TeleBurn App, a novel smartphone application, to treat partial thickness burns while outpatient. The app allows the provision of expert clinical burn care directly in the patient's home through text and image messaging, video conferencing, and instructional videos. We retrospectively reviewed clinical outcomes and usability in pediatric partial thickness burn patients treated using the TeleBurn App compared to standard therapy alone...
March 17, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29556908/economic-burden-of-hr-her2-metastatic-breast-cancer-among-adult-premenopausal-women
#10
Geneviève Gauthier, Patrick Gagnon-Sanschagrin, Annie Guérin, Rebecca Burne, Tania Small, Polly Niravath, Anand A Dalal
INTRODUCTION: Premenopausal women with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) metastatic breast cancer (mBC) have complex treatment needs and may receive sequential combinations of endocrine therapy (ET) or chemotherapy. This study describes healthcare utilization (HRU) and costs among premenopausal women with HR+/HER2- mBC in real-world settings from a payer's perspective. METHODS: In this retrospective cohort study, premenopausal women with HR+/HER2- mBC who received ET or chemotherapy were identified from the Truven Health Analytics MarketScan database (1 January 2006-31 December 2015)...
March 20, 2018: Advances in Therapy
https://www.readbyqxmd.com/read/29534885/the-efficacy-of-excision-followed-by-intralesional-5-fluorouracil-and-triamcinolone-acetonide-versus-excision-followed-by-radiotherapy-in-the-treatment-of-ear-keloids-a-randomized-control-trial
#11
Farrukh Aslam Khalid, Usman Khalid Farooq, Muhammad Saleem, Jibran Rabbani, Muhammad Amin, Kamal Uddin Khan, Younas Mehrose, Moazzam N Tarar
BACKGROUND: The ear is the common site for keloid formation especially in women after ear piercing. Surgery is the main stay of treatment in these lesions but there are large numbers of treatment failures in surgery alone. OBJECTIVE: The objective of this study was to compare the efficacy of post-excision intralesional 5-fluorouracil/triamcinolone acetonide (5-FU/TAC) and post-excision radiotherapy in the treatment of ear keloids. STUDY DESIGN: A randomized controlled trial...
March 10, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29501455/using-a-biopsychosocial-model-to-understand-long-term-outcomes-in-persons-with-burn-injuries
#12
Shelley Wiechman, Michael A Hoyt, David R Patterson
OBJECTIVE: To determine the importance of preburn adjustment, injury related variables and selection of coping style on various outcome measures using a biopsychosocial model. DESIGN: Longitudinal. SETTING: Outpatient burn clinics. PARTICIPANTS: A total of 231 burn survivors participated in this study as part of a larger burn model system study of 645 patients with major burn injuries. INTERVENTIONS: N/A/...
March 1, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29471518/differences-between-supportive-music-and-imagery-and-music-listening-during-outpatient-chemotherapy-and-potential-moderators-of-treatment-effects
#13
Debra S Burns, Anthony N Meadows, Sandra Althouse, Susan M Perkins, Larry D Cripe
Background: Supportive music and imagery and music listening interventions have been effective in decreasing distress and improving mood in cancer patients receiving chemotherapy, but it is unclear whether the two interventions differ in their treatment benefits. Furthermore, previous studies have not examined moderators to determine which subgroup(s) of patients may benefit most from each intervention. Objective: To examine the effects of supportive music and imagery compared with preferred music listening on responsiveness to music therapy, distress, anxiety and depression, and benefit finding...
February 8, 2018: Journal of Music Therapy
https://www.readbyqxmd.com/read/29454711/outcomes-of-post-burn-flexion-contracture-release-under-tourniquet-versus-tumescent-technique-in-children
#14
Muhammad Mustehsan Bashir, Muhammad Sohail, Ahmad Wahab, Umar Iqbal, Rehan Qayyum, Saadia Nosheen Jan
OBJECTIVE: To compare the clinical outcomes of release of flexion contractures after burn of the hand in children using tourniquet or tumescent technique in terms of operative time, postoperative pain score, and percentage of graft take. METHODS: Patients aged 3 to 12 years who required release of post-burn flexion contractures involving volar aspect of palm and fingers were enrolled from outpatient clinic. Patients were randomized in 1:1 ratio to the use of either tumescent technique or tourniquet during contracture release...
February 14, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29446233/annual-estimates-of-the-burden-of-seasonal-influenza-in-the-united-states-a-tool-for-strengthening-influenza-surveillance-and-preparedness
#15
Melissa A Rolfes, Ivo M Foppa, Shikha Garg, Brendan Flannery, Lynnette Brammer, James A Singleton, Erin Burns, Daniel Jernigan, Sonja J Olsen, Joseph Bresee, Carrie Reed
BACKGROUND: Estimates of influenza disease burden are broadly useful for public health, helping national and local authorities monitor epidemiologic trends, plan and allocate resources, and promote influenza vaccination. Historically, estimates of the burden of seasonal influenza in the United States, focused mainly on influenza-related mortality and hospitalization, were generated every few years. Since the 2010-2011 influenza season, annual US influenza burden estimates have been generated and expanded to include estimates of influenza-related outpatient medical visits and symptomatic illness in the community...
February 14, 2018: Influenza and Other Respiratory Viruses
https://www.readbyqxmd.com/read/29395403/the-value-of-whatsapp-communication-in-paediatric-burn-care
#16
R Martinez, A D Rogers, A Numanoglu, H Rode
BACKGROUND: Telemedicine is increasingly applied in developed settings to facilitate transfer of information to and from burn surgeons across vast geographic areas. WhatsApp is a widely available and extremely user-friendly encrypted smartphone application that does not require the expensive physical and personnel infrastructure that characterizes many of these telemedicine systems. The aim of this study was to review the use of WhatsApp to facilitate paediatric burn injury consultations to a regional burn centre in a developing country, where burn care continues to be thwarted by administrative apathy, poor resource allocation and lack of attention to medical and nursing education at all levels...
January 27, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29383558/peri-procedural-antithrombotic-management-time-to-burn-the-bridge
#17
Jessica Marquez, John C Togami, Colton R Dant, Amanda Herrera, Patricia Marshik, Allison E Burnett
Emerging evidence suggests the use of peri-procedural bridging during interruptions in warfarin therapy increases bleed risk without reducing thromboembolic events. We implemented a peri-procedural anticoagulant management risk assessment tool in a single, outpatient anticoagulation clinic within an academic teaching institution. In this retrospective, pre-post observational study, we evaluated adults who required an interruption in warfarin therapy for an invasive procedure. The primary outcome was the proportion of patients who received bridging prior to and following implementation of the tool...
January 30, 2018: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/29324427/lemons-in-the-arizona-sunshine-the-effects-of-furocoumarins-leading-to-phytophotodermatitis-and-burn-like-injuries
#18
Marc R Matthews, Joel C VanderVelde, Daniel M Caruso, Kevin N Foster
INTRODUCTION: Phytophototoxic dermatitis is a strong phototoxic reaction to ultraviolet A (UV-A) radiation exposure after cutaneous contact with citrus fruit containing furocoumarins, leading to skin injury. At the Arizona Burn Center (Phoenix, AZ), the majority of these injuries are managed in the outpatient setting. CASE REPORT: The authors present a pediatric admission for burn-like injuries following prolonged cutaneous exposure to lemons while playing in the Arizona sunshine...
December 2017: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29305379/short-stay-admissions-at-an-inner-city-hospital-a-cross-sectional-analysis
#19
Ian Pope, Sharif Ismail, Benjamin Bloom, Gwyneth Jansen, Helen Burn, David McCoy, Tim Harris
OBJECTIVE: To investigate factors predictive of short hospital admissions and appropriate placement to inpatient versus clinical decision units (CDUs). METHOD: This is a retrospective analysis of attendance and discharge data from an inner-city ED in England for December 2013. The primary outcome was admission for less than 48 hours either to an inpatient unit or CDU. Variables included: age, gender, ethnicity, deprivation score, arrival date and time, arrival method, admission outcome and discharge diagnosis...
April 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29305105/assessing-the-feasibility-of-implementing-low-cost-virtual-reality-therapy-during-routine-burn-care
#20
Cameron G Ford, Ellen M Manegold, Cameron L Randall, Ariel M Aballay, Christina L Duncan
Burn care often involves procedures that result in significant pain experiences for patients which, in turn, can lead to poorer physical and psychological health outcomes. Distraction and virtual reality (VR) are an effective adjunct to pharmacological interventions in reducing pain. Much of the research that has demonstrated efficacy for VR in burn care has involved expensive and extensive technology. Thus, identifying cost-effective, feasible, acceptable, and effective approaches to apply distraction within routine burn care is important...
January 2, 2018: Burns: Journal of the International Society for Burn Injuries
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