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https://www.readbyqxmd.com/read/29661381/a-review-of-the-safety-and-efficacy-of-inhaled-methoxyflurane-as-an-analgesic-for-outpatient-procedures
#1
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/29655335/persistent-optical-hole-burning-spectroscopy-of-nano-confined-dye-molecules-in-liquid-at-room-temperature-spectral-narrowing-due-to-a-glassy-state-and-extraordinary-relaxation-in-a-nano-cage
#2
Hiroshi Murakami
Persistent optical hole-burning spectroscopy has been conducted for a dye molecule within a very small (∼1 nm) reverse micelle at room temperature. The spectra show a spectral narrowing due to site-selective excitation. This definitely demonstrates that the surroundings of the dye molecule are in a glassy state regardless of a solution at room temperature. On the other hand, the hole-burning spectra exhibit large shifts from excitation frequencies, and their positions are almost independent of excitation frequencies...
April 14, 2018: Journal of Chemical Physics
https://www.readbyqxmd.com/read/29648477/acute-intensive-care-unit-management-of-mustard-gas-victims-the-turkish-experience
#3
Ertugrul Kilic, Mesut Ortatatli, Sermet Sezigen, Rusen Koray Eyison, Levent Kenar
Sulfur mustard (SM) is an highly toxic and vesicant chemical weapon that was used in various military conflicts several times in the history. The severity of ocular, dermal, and pulmonary symptoms that may appear following a characteristic asymptomatic period are depending on the SM concentration and exposure duration. The aim of this study is to present the clinical features and share the intensive care unit (ICU) experiences for the medical management of mustard gas victims. Thirteen Free Syrian Army soldiers near Al-Bab region of North Syria were reportedly exposed to oily blackish smoke with garlic smell due to the explosion of a trapped bomb without causing any blast or thermal effect on 26th November 2016...
April 12, 2018: Cutaneous and Ocular Toxicology
https://www.readbyqxmd.com/read/29626178/unique-clinical-and-neurophysiologic-profile-of-a-cohort-of-children-with-cmtx3
#4
Manoj Kanhangad, Kayla Cornett, Megan H Brewer, Garth A Nicholson, Monique M Ryan, Robert L Smith, Gopinath M Subramanian, Helen K Young, Stephan Züchner, Marina L Kennerson, Joshua Burns, Manoj P Menezes
OBJECTIVE: To describe in detail the clinical profile of Charcot-Marie-Tooth disease subtype 3 (CMTX3) to aid appropriate genetic testing and rehabilitative therapy. METHODS: We reviewed the clinical and neurophysiologic profile and CMT Pediatric Scale (CMTPedS) assessments of 11 children with CMTX3. RESULTS: Compared with the more common forms of CMT, CMT1A and CMTX, CMTX3 was characterized by early onset with early and progressive hand weakness...
April 6, 2018: Neurology
https://www.readbyqxmd.com/read/29610766/checking-procalcitonin-suitability-for-prognosis-and-antimicrobial-therapy-monitoring-in-burn-patients
#5
Luís Cabral, Vera Afreixo, Rita Meireles, Miguel Vaz, Catarina Chaves, Marisa Caetano, Luís Almeida, José Artur Paiva
Background: Due to greater infection susceptibility, sepsis is the main cause of death in burn patients. Quick diagnosis and patient stratification, early and appropriated antimicrobial therapy, and focus control are crucial for patients' survival. On the other hand, superfluous extension of therapy is associated with adverse events and arousal of microbial resistance. The use of biomarkers, necessarily coupled with close clinical examination, may predict outcomes, stratifying patients who need more intensive care, and monitor the efficacy of antimicrobial therapy, allowing faster de-escalation or stop, reducing the development of resistance and possibly the financial burden, without increasing mortality...
2018: Burns and Trauma
https://www.readbyqxmd.com/read/29602716/a-review-of-campfire-burns-in-children-the-qld-experience
#6
O Okon, L Zhu, R M Kimble, K A Stockton
INTRODUCTION: Campfire burns in children are a significant health issue. It is imperative that the extent of the problem is examined and strategies discussed to inform future prevention campaigns. METHOD: A retrospective review of data from the Queensland Paediatric Burns Registry for all children presenting with campfire burns between January 2013 and December 2014 (inclusive). Information collected included patient demographics, detail regarding mechanism of injury, first aid, Total Body Surface Area (TBSA), burn depth, and treatment...
March 27, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29596291/interprofessional-simulations-promote-knowledge-retention-and-enhance-perceptions-of-teamwork-skills-in-a-surgical-trauma-burn-intensive-care-unit-setting
#7
Katie L George, Beth Quatrara
BACKGROUND: The current state of health care encompasses highly acute, complex patients, managed with ever-changing technology. The ability to function proficiently in critical care relies on knowledge, technical skills, and interprofessional teamwork. Integration of these factors can improve patient outcomes. Simulation provides "hands-on" practice and allows for the integration of teamwork into knowledge/skill training. However, simulation can require a significant investment of time, effort, and financial resources...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29595705/treatment-of-partial-thickness-hand-burn-injuries-in-children-with-combination-of-silver-foam-dressing-and-zinc-hyaluronic-gel-case-reports
#8
Gergo Jozsa, Peter Vajda, Andras Garami, Alexandra Csenkey, Zsolt Juhasz
RATIONALE: Burns is a common type of traumatic injury in childhood. Nowadays, several wound dressings are available to treat the second-degree hand burns conservatively. PATIENT CONCERNS, DIAGNOSES: At the authors' institute, 37 children were treated conservatively with a special dressing at first intervention containing Aquacel Ag foam and Zn-hyaluronic gel to determine their effectiveness on partial thickness hand burns. INTERVENTIONS: The dressing was checked on the second day, and removed on the sixth or seventh day (unless it had spontaneously separated)...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29590483/building-capacity-for-complementary-and-integrative-medicine-through-a-large-cross-agency-acupuncture-training-program-lessons-learned-from-a-military-health-system-and-veterans-health-administration-joint-initiative-project
#9
Richard Niemtzow, John Baxter, Rollin M Gallagher, Arnyce Pock, Kathryn Calabria, David Drake, Kevin Galloway, Joan Walter, Richard Petri, Thomas Piazza, Stephen Burns, Lew Hofmann, John Biery, Chester Buckenmaier
Introduction: Complementary and integrative medicine (CIM) use in the USA continues to expand, including within the Military Health System (MHS) and Veterans Health Administration (VHA). To mitigate the opioid crisis and provide additional non-pharmacological pain management options, a large cross-agency collaborative project sought to develop and implement a systems-wide curriculum, entitled Acupuncture Training Across Clinical Settings (ATACS). Materials and Methods: ATACS curriculum content and structure were created and refined over the course of the project in response to consultations with Subject Matter Experts and provider feedback...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29574372/post-wildfire-management-effects-on-short-term-evolution-of-soil-properties-catalonia-spain-sw-europe
#10
Marcos Francos, Paulo Pereira, Meritxell Alcañiz, Xavier Úbeda
Post-fire management practices after wildfires have an important impact on soil properties. Nevertheless, little research has been carried out. The aim of this study is to examine the impact of different post-wildfire forest management practices in a 10-month period immediately after a severe wildfire on soil properties. Two months after a wildfire, three experimental areas were designed, each one with different post-fire management: Cut and Remove (CR) where burned trunks were cut after fire and removed manually from the area; No Treatment (NT) where no intervention was carried out; and, Cut and Leave (CL) where burned trunks were cut and left randomly on topsoil...
March 22, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29573689/source-apportionment-and-carcinogenic-risk-assessment-of-passive-air-sampler-derived-pahs-and-pcbs-in-a-heavily-industrialized-region
#11
Banu Cetin, Sema Yurdakul, Elif Gungormus, Fatma Ozturk, Sait C Sofuoglu
Cancer has become the primary reason of deaths in Dilovasi probably due to its location with unique topography under the influence of heavy industrialization and traffic. In this study, possible sources and carcinogenic health risks of PAHs and PCBs were investigated in Dilovasi region by Positive Matrix Factorization (PMF) and the USEPA approach, respectively. PAHs and PCBs were measured monthly for a whole year at 23 sampling sites using PUF disk passive samplers. Average ambient air concentrations were found as 285±431ng/m3 and 4152±6072pg/m3 , for Σ15 PAH and Σ41 PCB, respectively...
March 21, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29569497/racial-and-ethnic-disparities-in-stroke-outcomes-a-scoping-review-of-post-stroke-disability-assessment-tools
#12
Suzanne Perea Burns, Brandi M White, Gayenell Magwood, Charles Ellis, Ayaba Logan, Joy N Jones Buie, Robert J Adams
PURPOSE: To identify how post-stroke disability outcomes are assessed in studies that examine racial/ethnic disparities and to map the identified assessment content to the International Classification of Functioning, Disability, and Health (ICF) across the time course of stroke recovery. METHODS: We conducted a scoping review of the literature. Articles published between January 2001 and July 2017 were identified through Scopus, PubMed, CINAHL, and PsycINFO according to predefined inclusion and exclusion criteria...
March 23, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29564050/fasciocutaneous-propeller-flap-based-on-perforating-branch-of-ulnar-artery-for-soft-tissue-reconstruction-of-the-hand-and-wrist
#13
Hyo Seok Jang, Young Ho Lee, Min Bom Kim, Joo Young Chung, Hyun Sik Seok, Goo Hyun Baek
Background: A skin defect of the hand and wrist is a common manifestation in industrial crushing injuries, traffic accidents or after excision of tumors. We reconstructed a skin defect in the ulnar aspect of the hand and wrist with a perforator-based propeller flap from the ulnar artery. The aims of our study are to evaluate the utility and effectiveness of this flap and to discuss the advantages and disadvantages of the flap in hand and wrist reconstruction with a review of the literature...
March 2018: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29546423/grip-and-muscle-strength-dynamometry-in-acute-burn-injury-evaluation-of-an-updated-assessment-protocol
#14
Paul M Gittings, Dana A Hince, Benedict M Wand, Fiona M Wood, Dale W Edgar
External stabilization is reported to improve reliability of hand held dynamometry, yet this has not been tested in burns. We aimed to assess the reliability of dynamometry using an external system of stabilization in people with moderate burn injury and explore construct validity of strength assessment using dynamometry.Participants were assessed on muscle and grip strength three times on each side. Assessment occurred three times per week for up to four weeks. Within session reliability was assessed using intraclass correlations calculated for within session data grouped prior to surgery, immediately after surgery and in the sub-acute phase of injury...
March 13, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29538774/a-review-of-the-first-seminar-that-set-the-stage-for-the-creation-of-the-american-burn-association
#15
Michael J Feldman
As the first civilian burn center in the United States, the Evans-Haynes burn center shares a rich history with the American Burn Association. This is evidenced by a review of Dr. B.W. Haynes Jr's personal notes, which were shared with us by his daughter. Dr. Haynes states, in his own hand writing, that this 1959 burn seminar led to the formation of the American Burn Association. The manuscript contains a meticulous collection of discussions among leaders in the development of modern burn care. These discussions range from debates about burn resuscitation and the early use of antibiotics to the reconstruction of large burn defects and release of burn scars...
February 20, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29534883/hand-burns-surface-area-a-rule-of-thumb
#16
Dallan Dargan, Anirban Mandal, Kayvan Shokrollahi
INTRODUCTION: Rapid estimation of acute hand burns is important for communication, standardisation of assessment, rehabilitation and research. Use of an individual's own thumbprint area as a fraction of their total hand surface area was evaluated to assess potential utility in hand burn evaluation. MATERIALS AND METHODS: Ten health professionals used an ink-covered dominant thumb pulp to cover the surfaces of their own non-dominant hand using the contralateral thumb...
March 10, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29527249/functional-reconstruction-of-severely-burned-hand-with-osseous-blood-flow-deficiency-with-immediate-surgery-using-an-abdominal-bipediceled-flap-a-case-report
#17
Masakatsu Hihara, Takashi Matsushima, Yoshihito Tanaka, Yutaka Ogawa, Natsuko Kakudo, Kenji Kusumoto
Objective: When hands suffer burns, the tendons and digital bones are rarely injured because of the quick withdrawal reflex away from the heat source. Hence, a consensus of opinion regarding the treatment of severe hand burns with osseous blood flow deficiency has not been reached among clinicians. Methods: The patient was a 28-year-old woman whose fingers were accidentally soaked in heated cooking oil (160°C-170°C) for approximately 1 minute. The result was fourth-degree (extending to the tendon) digital burns of the distal end of the proximal interphalangeal joint with blood flow deficiency to the skin, tendon, and bone...
2018: Eplasty
https://www.readbyqxmd.com/read/29506839/does-industry-funding-mean-more-publications-for-subspecialty-academic-plastic-surgeons
#18
Qing Zhao Ruan, Justin B Cohen, Yoonji Baek, Patrick Bletsis, Arthur R Celestin, Sherise Epstein, Alexandra E M Bucknor, Bernard T Lee
BACKGROUND: Conflict of interest among physicians in the context of private industry funding led to the introduction of the Physician Payments Sunshine Act in 2010. This study examined whether private industry funding correlated with scholarly productivity in the respective subspecialties of plastic surgery and the wider academic plastic surgery community. MATERIALS AND METHODS: Full-time plastic surgeons and their academic attributes were identified via institutional websites...
April 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29503045/thermal-injuries-from-exploding-electronic-cigarettes
#19
Sean Hickey, Jeremy Goverman, Jonathan Friedstat, Robert Sheridan, John Schulz
INTRODUCTION: There are an estimated 2.75 million electronic cigarette (EC) users in the United States. ECs have become the most commonly used nicotine-containing product in young adults ages 18-24 years. Thermal, blast, and missile injuries from EC explosions has grown rapidly in recent years. Burn surgeons must remain up to date regarding management and treatment of burn injuries related to EC device ignition. METHODS: An IRB approved retrospective review of all patients admitted to the Massachusetts General Hospital Burn Center from January 2015 to April 2017 was performed...
March 1, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29492272/mirror-therapy-for-an-adult-with-central-post-stroke-pain-a-case-report
#20
Davide Corbetta, Elisabetta Sarasso, Federica Agosta, Massimo Filippi, Roberto Gatti
Background: Treatment of central post-stroke pain (CPSP) after a thalamic-capsular stroke is generally based on pharmacological approach as it is low responsive to physiotherapy. In this case report, the use of mirror therapy (MT) for the reduction of CPSP in a subject after a stroke involving thalamus is presented. Case presentation: Five years after a right lenticular-capsular thalamic stroke, despite a good recovery of voluntary movement that guaranteed independence in daily life activities, a 50-year-old woman presented with mild weakness and spasticity, an important sensory loss and a burning pain in the left upper limb...
2018: Archives of physiotherapy
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