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https://www.readbyqxmd.com/read/29139278/improving-pain-control-in-diabetic-neuropathy
#1
Peter Paisley, Mick Serpell
Diabetic neuropathy is thought to affect 1.9% of the world’s population and 50% of patients with a diagnosis of diabetes mellitus which would equate to 2.25 million people in the UK. The term diabetic neuropathy includes multiple distinct clinical entities that have been classified under the broad headings of focal and multifocal neuropathies and symmetrical neuropathies. Peripheral diabetic neuropathy, a chronic distal symmetrical predominantly sensory neuropathy, is the most common form of diabetic neuropathy...
March 2017: Practitioner
https://www.readbyqxmd.com/read/29132083/fly-ash-classification-efficiency-of-electrostatic-precipitators-in-fluidized-bed-combustion-of-peat-wood-and-forest-residues
#2
Katja Ohenoja, Mika Körkkö, Valter Wigren, Jan Österbacka, Mirja Illikainen
The increasing use of biomasses in the production of electricity and heat results in an increased amount of burning residue, fly ash which disposal is becoming more and more restricted and expensive. Therefore, there is a great interest in utilizing fly ashes instead of just disposing of it. This study aimed to establish whether the utilization of fly ash from the fluidized bed combustion of peat, wood, and forest residues can be improved by electrostatic precipitator separation of sulfate, chloride, and some detrimental metals...
November 10, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/29099234/accident-risk-associated-with-smartphone-addiction-a-study-on-university-students-in-korea
#3
Hye-Jin Kim, Jin-Young Min, Hyun-Jin Kim, Kyoung-Bok Min
Background and aims The smartphone is one of the most popular devices, with the average smartphone usage at 162 min/day and the average length of phone usage at 15.79 hr/week. Although significant concerns have been made about the health effects of smartphone addiction, the relationship between smartphone addiction and accidents has rarely been studied. We examined the association between smartphone addiction and accidents among South Korean university students. Methods A total of 608 college students completed an online survey that included their experience of accidents (total number; traffic accidents; falls/slips; bumps/collisions; being trapped in the subway, impalement, cuts, and exit wounds; and burns or electric shocks), their use of smartphone, the type of smartphone content they most frequently used, and other variables of interests...
November 3, 2017: Journal of Behavioral Addictions
https://www.readbyqxmd.com/read/29060327/new-conducted-electrical-weapons-finite-element-modeling-of-safety-margins
#4
Dorin Panescu, Mark W Kroll, Michael A Brave
Introduction-We have previously published on the ventricular fibrillation (VF) risk with TASER(®) X26 conducted electrical weapon (CEW). Our risk model accounted for realistic body mass index distributions, modeled the effects of partial or oblique dart penetration, and used epidemiological CEW statistics. As new CEWs have become available to law enforcement, their cardiac safety profile was not quantified. Therefore, we applied our VF probability model to evaluate their cardiac risk. Methods and Results-An eXperimental Rotating-Field (XRF) waveform CEW and the X2 CEW are new 2-shot electrical weapon models designed to target a precise amount of delivered charge per pulse, 64 μC and 62 μC, respectively...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29056021/-effects-of-flap-or-myocutaneous-flap-combined-with-fascia-lata-or-composite-mesh-on-repairing-severe-high-voltage-electrical-burn-wounds-in-abdomen-of-patients
#5
C Zhang, X H Hu, H Chen, C X Ma, F J Qin, C Q Wen, Y M Shen
Objective: To investigate the effects of flap or myocutaneous flap combined with fascia lata or composite mesh on repairing wounds in abdomen of patients with severe high-voltage electrical burn. Methods: From January 2010 to May 2017, 11 patients with severe high-voltage electrical burn in abdomen were hospitalized in our burn wards. In 3 hours to 7 days after burn, operation was performed when patients were in stable condition. After debridement, intestines with necrosis or perforation in 4 patients with peritoneal defects were resected and intestinal anastomosis was performed...
October 20, 2017: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/29050789/satisfaction-with-life-over-time-in-people-with-burn-injury-a-national-institute-on-disability-independent-living-and-rehabilitation-research-burn-model-system-study
#6
Dagmar Amtmann, Fraser D Bocell, Kara McMullen, Alyssa M Bamer, Kurt L Johnson, Shelley Wiechman, Jeffrey C Schneider
OBJECTIVES: To examine trajectories of satisfaction with life (SWL) of burn survivors over time and their clinical, demographic and other predictors. DESIGN: Longitudinal survey. SETTING: N/A. PARTICIPANTS: Individuals 18 and over who underwent burn-related surgery and met one of the following criteria: (1) > 10% total burn surface area (TBSA) burn and ≥ 65 years of age; (2) > 20% TBSA burn and 18 to 64 years of age; (3) electrical high voltage/lightning injury; or (4) burn injury to the hands, face, or feet...
October 16, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29032979/a-treatment-algorithm-for-the-management-of-intraoral-burns-a-narrative-review
#7
REVIEW
Steve Kang, Kenneth Kufta, Thomas P Sollecito, Neeraj Panchal
Oral mucosa follows a distinctly different trajectory of wound healing than skin. Although there are contemporary guidelines regarding treatment of burns to the skin, there is no standard of care specific to intraoral burns. This narrative review proposes an evidence-based treatment algorithm for the management of intraoral burns. Data was collated through a comprehensive review of the literature and only included studies that have reported particular success with favorable short- and long-term prognoses. In order to critically appraise the strength of the treatment recommendations, the GRADE criteria was applied to each arm of the algorithm...
October 9, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29021730/case-report-of-a-high-voltage-electrical-injury-and-review-of-the-indications-for-early-fasciotomy-in-limb-salvage-of-an-electrically-injured-limb
#8
T J Huei, S J Mohd Yussof, H T C Lip, I Salina
Electrical injuries make up a relatively small portion of burn injuries. Safety measures in place on domestic electricity supply have reduced the occurrence of high voltage electrical injuries. We present the case of a young man who sustained a high voltage electrical injury on all four limbs. Early fasciotomy was performed on both his hands and forearms. Despite early compartment release, the left upper limb deteriorated and required amputation. In this article we discuss the indications, outcomes and complications of early fasciotomy...
June 30, 2017: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/29021718/epidemiology-and-outcome-of-2-590-burned-patients-in-northwest-iran
#9
S N Hosseini, V Rashtchi, K Kamali, M H Moghimi
Burns are calamities with considerable morbidity and mortality rates. We attempted to examine the epidemiology of burns in Zanjan city, in northwest Iran, by a systematic study of existing information. The medical files of 2,590 thermal burn patients treated in our hospital in Zanjan city, Iran, from December 2010 to November 2016 were studied. Patient information, including age, sex, burn degree, season, cause of burn, hospital stay and treatment results were analyzed. About 65% of the patients were male (n=1691)...
June 30, 2017: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/29016867/the-response-of-the-primary-motor-cortex-to-neuromodulation-is-altered-in-chronic-low-back-pain-a-preliminary-study
#10
Siobhan M Schabrun, Emma Burns, Tribikram Thapa, Paul Hodges
Objective: Neuromodulation is increasingly investigated for the treatment of low back pain (LBP). However, the neurophysiological effects of common neuromodulatory techniques (anodal transcranial direct current stimulation [tDCS] and peripheral electrical stimulation [PES]) have not been investigated in people with chronic LBP. Here we aimed to compare the effect of three neuromodulatory protocols (anodal tDCS, high intensity PES, and a priming protocol of combined tDCS/PES) on primary motor cortex (M1) excitability in people with and without chronic LBP...
July 17, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28976919/housing-as-a-determinant-of-tongan-children-s-health-innovative-methodology-using-wearable-cameras
#11
Andrew Robinson, Sarah Hulme-Moir, Viliami Puloka, Moira Smith, James Stanley, Louise Signal
Housing is a significant determinant of health, particularly in developing countries such as Tonga. Currently, very little is known about the quality of the housing in Tonga, as is the case with many developing countries, nor about the interaction between children and the home environment. This study aimed to identify the nature and extent of health risk factors and behaviours in Tongan houses from a child's perspective. An innovative methodology was used, Kids'Cam Tonga. Seventy-two Class 6 children (10 to 13-year-olds) were randomly selected from 12 randomly selected schools in Tongatapu, the main island...
October 4, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28972286/foot-and-ankle-reconstruction-with-vertically-designed-deep-inferior-epigastric-perforator-flap
#12
Osman Akdag, Mehtap Karamese, Gokce Unal Yıldıran, Mustafa Sutcu, Zekeriya Tosun
INTRODUCTION: The deep inferior epigastric perforator (DIEP) flap is one of the most commonly utilized flaps of reconstructive surgery. Although the horizontal flap design is the most commonly used, this flap can be vertically designed to avoid drawbacks such as excessive tissue dissection, relatively reduced flap perfusion, and scarification of the contralateral flap opportunity. The aim of this report is to present our case series for foot and ankle reconstruction with vertical designed DIEP flap...
October 3, 2017: Microsurgery
https://www.readbyqxmd.com/read/28969851/lower-amputation-rate-after-fasciotomy-by-straight-midline-incision-technique-for-a-22-900-v-electrical-injury-to-the-upper-extremities
#13
Young-Soo Jang, Byung Hoon Lee, Hyun-Soo Park
PURPOSE: The purpose of this study is to compare the major amputation rate following two different fasciotomy techniques, conventional versus straight midline, in patients with high-voltage arc burn injury by electric currents of 22,900V to the upper extremities. METHODS: A retrospective analysis of 230 patients (270 burned upper limbs) who underwent fasciotomy after high-voltage electrical injuries between 1996 and 2007 was performed. The patients were divided into two groups according to the fasciotomy method used...
September 28, 2017: Injury
https://www.readbyqxmd.com/read/28969190/groin-flap-in-paediatric-age-group-to-salvage-hand-after-electric-contact-burn-challenges-and-experience
#14
Pradeep Gupta, Rakesh Singh Tawar, Manohar Malviya
INTRODUCTION: Electric contact burn is characterised by multiple wounds produced by entrance and exit of the current. Hand is most commonly involved in the same and children are particularly susceptible to such accidents. AIM: To document effectiveness and challenges associated with the use of groin flap as an initial definitive treatment of electric contact burn in paediatric age group. MATERIALS AND METHODS: From January 2015 to December 2016, 25 children up to 12 years of age, who were admitted at SMS Medical College, Jaipur, Rajasthan, India, after electric burn injury with hand defect and who were treated by pedicled groin flap at the Department of Plastic and Reconstructive Surgery, were included in the study...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28953517/acute-onset-quadriplegia-with-recovery-after-high-voltage-electrical-injury
#15
Daniel Delgadillo, Stephanie Chapman, Matthew P Fahrenkopf, Matthew D Martin
Although uncommon, electrical injuries are associated with significant morbidity and mortality. There have been several reports of neurological sequelae secondary to electrical injury; however, the neurophysiology is still not completely understood. These neurological complications pose the greatest risk for permanent disability. We present a case of acute-onset quadriplegia after high-voltage electrical injury without radiographic evidence. Two months after the injury, the patient went on to regain partial sensorimotor function...
November 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28944866/early-anticoagulation-therapy-for-severe-burns-complicated-by-inhalation-injury-in-a-rabbit-model
#16
Zhong-Hua Fu, Guang-Hua Guo, Zhen-Fang Xiong, Xincheng Liao, Ming-Zhuo Liu, Jinhua Luo
The aim of the present study was to determine the effects of early anticoagulation treatment on severe burns complicated by inhalation injury in a rabbit model. Under anesthetization, an electrical burns instrument (100˚C) was used to scald the backs of rabbits for 15 sec, which established a 30% III severe burns model. Treatment of the rabbits with early anticoagulation effectively improved the severe burns complicated by inhalation injury‑induced lung injury, reduced PaO2, PaCO2 and SPO2 levels, suppressed the expression of tumor necrosis factor‑α, interleukin (IL)‑1β and IL‑6, and increased the activity of IL‑10...
November 2017: Molecular Medicine Reports
https://www.readbyqxmd.com/read/28934967/building-a-resistance-to-ignition-testing-device-for-sunglasses-and-analysing-data-a-continuing-study-for-sunglasses-standards
#17
Renan Magri, Mauro Masili, Fernanda Oliveira Duarte, Liliane Ventura
BACKGROUND: Sunglasses popularity skyrocketed since its advent. The ongoing trend led to the creation of standards to protect consumers from injuries and secondary hazards due to spectacles use. In Brazil, the corresponding standard is NBR ISO 12312-1:2015 and since there is no mandatory testing, evaluating sunglasses performance provides an insight into compliance with the standard. In a continuing revision of sunglasses standards requirements, resistance to ignition is one of the concerns, since sunglasses should be protected from burning into flames at a pre-determined temperature, which may protect user of getting their sunglasses into flames if some, cigarette sparks reaches the spectacles, as an example...
September 21, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28926877/-clinical-effects-of-repair-of-wounds-in-fingers-after-electrical-burn-with-wrist-perforator-free-flaps
#18
H P Di, C D Xia, P P Xing, Q Li, D W Han, J D Xue, D Y Cao
Objective: To explore the clinical effects of repair of wounds in the fingers after electrical burn with wrist perforator free flaps. Methods: Twelve patients (13 fingers) with electrical burn were hospitalized in our burn ward from January 2016 to January 2017. After radical debridement, the size of wounds ranged from 5.0 cm×2.0 cm to 10.0 cm×7.0 cm. Wounds with size below or equal to 6.0 cm ×2.5 cm were repaired with free flaps based on the superficial palmar branch of radial artery, with flap area ranging from 2...
September 20, 2017: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/28915129/atypical-exit-wound-in-high-voltage-electrocution
#19
Jamshid Parakkattil, Shanmugam Kandasamy, Siddhartha Das, Gerard Pradeep Devnath, Vinod Ashok Chaudhari, Kusa Kumar Shaha
Electrocution fatality cases are difficult to investigate. High-voltage electrocution burns resemble burns caused by other sources, especially if the person survives for few days. In that case, circumstantial evidence if correlated with the autopsy findings helps in determining the cause and manner of death. In addition, the crime scene findings also help to explain the pattern of injuries observed at autopsy. A farmer came in contact with a high-voltage transmission wire and sustained superficial to deep burns over his body...
December 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28912424/electric-field-and-aging-effects-of-uniaxial-ferroelectrics-sr-x-ba1-x-nb2o6-probed-by-brillouin-scattering
#20
M Aftabuzzaman, M A Helal, R Paszkowski, J Dec, W Kleemann, S Kojima
Static and dynamic heterogeneity of disordered system is one of the current topics in materials science. In disordered ferroelectric materials with random fields, dynamic polar nanoregions (PNRs) appear at Burns temperature and freeze into nanodomain state below Curie temperature (T C). This state is very sensitive to external electric field and aging by which it gradually switches into macrodomain state. However, the role of PNRs in such states below T C is still a puzzling issue of materials science. Electric field and aging effects of uniaxial ferroelectric Sr x Ba1-x Nb2O6 (x = 0...
September 14, 2017: Scientific Reports
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