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Military burns

Anat Galor, Roy C Levitt, Katherine T McManus, Jerry P Kalangara, Benjamin E Seiden, Jasmine J Park, Derek B Covington, Constantine D Sarantopoulos, Elizabeth R Felix
Importance: Somatosensory dysfunction likely underlies dry eye (DE) symptoms in many individuals yet remains an understudied component of the disease. Its presence has important diagnostic and therapeutic implications. Objective: To assess the integrity of nociceptive system processes in persons with DE and ocular pain using quantitative sensory testing (QST) techniques applied at a site remote from the eye. Design, Setting, and Participants: A cross-sectional study conducted at Miami Veterans Affairs Hospital included 118 individuals with a wide variety of DE symptoms and signs...
September 29, 2016: JAMA Ophthalmology
Daniel S Burns, K A Clay, M S Bailey
Undifferentiated febrile illness in a returning soldier is a common problem encountered by serving medical officers. A 32-year-old soldier presented to Birmingham Heartlands Hospital with fever and acute kidney injury after return from Borneo. Leptospirosis was suspected and empirical antibiotics were started before subsequent confirmation by serology and PCR. Leptospirosis is common in South-East Asia, and troops exercising in jungle areas, and in the UK, are at risk. Advice, including inpatient management when appropriate, is available from the UK Role 4 Military Infectious Diseases and Tropical Medicine Service...
September 28, 2016: Journal of the Royal Army Medical Corps
G C Liu, Z H Kan, J J Sheng, H H Li, L Li, Y Sun, S Z Ji, S H Zhu
Objective: To explore the efficacy of a hydrosurgery system applied in the debridement of extensive residual wounds of patients with severe burn prospectively. Methods: Seventy-six severely burned patients with extensive residual wounds after treatment were admitted into Department of Burn Surgery of Changhai Hospital of the Second Military Medical University from May 2012 to November 2015. The patients were divided into hydrosurgery system debridement group (HD, n=34) and traditional debridement group (TD, n=42) according to the random number table, and their residual wounds were debrided by a hydrosurgery system and conventional surgical instruments respectively...
September 20, 2016: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
Robert Cartotto, Zeyu Li, Steven Hanna, Stefania Spano, Donna Wood, Karen Chung, Fernando Camacho
BACKGROUND: The Berlin definition of Acute Respiratory Distress Syndrome (ARDS) has been applied to military burns resulting from combat-related trauma, but has not been widely studied among civilian burns. This study's purpose was to use the Berlin definition to determine the incidence of ARDS, and its associated respiratory morbidity, and mortality among civilian burn patients. METHODS: Retrospective study of burn patients mechanically ventilated for ≥48h at an American Burn Association-verified burn center...
November 2016: Burns: Journal of the International Society for Burn Injuries
Clifton L Dalgard, Keith F Polston, Gauthaman Sukumar, Col Timothy M Mallon, Matthew D Wilkerson, Harvey B Pollard
OBJECTIVE: The aim of this study was to identify serum microRNA (miRNA) biomarkers that indicate deployment-associated exposures in service members at military installations with open burn pits. Another objective was to determine detection rates of miRNAs in Department of Defense Serum Repository (DoDSR) samples with a high-throughput methodology. METHODS: Low-volume serum samples (n = 800) were profiled by miRNA-capture isolation, pre-amplification, and measurement by a quantitative PCR-based OpenArray platform...
August 2016: Journal of Occupational and Environmental Medicine
Xiaoyan Xia, Alesia Carroll-Haddad, Nicole Brown, Mark J Utell, Col Timothy M Mallon, Philip K Hopke
OBJECTIVE: The objectives were: 1) measure polycyclic aromatic hydrocarbons (PAHs), polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs) in 100 μL of human serum and 2) assess PAH and PCDD/PCDF as markers of burn pit exposures during military deployments. METHODS: PAHs and PCDDs/PCDFs were analyzed in 100 μL serum samples collected pre- and post-deployment from 200 persons deployed to Iraq or Afghanistan (CASE); 200 persons not deployed (CONTROL) with gas chromatography/mass spectrometry...
August 2016: Journal of Occupational and Environmental Medicine
Kyle W Blasch, John E Kolivosky, Jack M Heller
OBJECTIVE: This study presents environmental air samples collected at a US military installation with a solid waste disposal facility (SWDF) containing a burn pit from 2005 through 2012 and compared these results with occupational (breathing zone) samples. METHODS: Particulate matter (PM) environmental samples were collected as part of the installation monitoring program. Service Members in four security positions were monitored for PM and acrolein occupational exposures...
August 2016: Journal of Occupational and Environmental Medicine
Mauro Masiol, Col Timothy M Mallon, Kevin M Haines, Mark J Utell, Philip K Hopke
OBJECTIVES: The objective of this study was to use ambient polycyclic aromatic hydrocarbon (PAH), polychlorinated dibenzo-p-dioxins (PCDD), and polychlorinated dibenzofurans (PCDF) concentrations measured at Joint Base Balad in Iraq in 2007 to identify the sources of these species and their spatial patterns. METHODS: The ratios of the measured species were compared with literature data for likely emission sources. Using the multiple site measurements on specific days, contour maps have been drawn using inverse distance weighting (IDW)...
August 2016: Journal of Occupational and Environmental Medicine
John C Hunninghake, Andrew J Skabelund, Michael J Morris
Deployment to Southwest Asia is associated with increased airborne hazards such as geologic dusts, burn pit smoke, vehicle exhaust, or air pollution. There are numerous ongoing studies to evaluate the potential effects of inhaled particulate matter on reported increases in acute and chronic respiratory symptoms. Providers need to be aware of potential causes of pulmonary disease such as acute eosinophilic pneumonia, asthma, and vocal cord dysfunction that have been associated with deployment. Other pulmonary disorders such as interstitial lung disease are infrequently reported...
August 2016: Military Medicine
Oscar Thabouillot, R Roffi, K Bertho, F Ramon, D Commeau, Y Fressancourt, E Quemeneur, N-C Roche, O Dubourg
INTRODUCTION: Each year, the French Special Weapons And Tactics team, Groupe d'Intervention de la Gendarmerie Nationale, recruits new members through a physically demanding 8-week selection process. The goal of this study is to estimate the incidence and the causes for temporary or final interruptions during this process for medical reasons. SUBJECTS, MATERIAL AND METHODS: All of the candidates for the November 2015 selection process were included in this prospective study...
July 13, 2016: Journal of the Royal Army Medical Corps
R Karrouri
INTRODUCTION: Self-mutilating behaviour is expanding, especially among adolescents and patients with a psychiatric disorder. CLINICAL MATERIAL: We have tried to describe the self-mutilating behaviour in Moroccan inpatients of the psychiatric department of Mohammed V Military Hospital of Rabat, through a prospective and descriptive longitudinal study over a period of four months, based on a questionnaire prepared according to the literature data to allow discussing its results...
June 24, 2016: L'Encéphale
Michael S Clemens, Ian J Stewart, Jonathan A Sosnov, Jeffrey T Howard, Slava M Belenkiy, Christy R Sine, Jonathan L Henderson, Allison R Buel, Andriy I Batchinsky, Leopoldo C Cancio, Kevin K Chung
OBJECTIVE: To evaluate the association between acute respiratory distress syndrome and acute kidney injury with respect to their contributions to mortality in critically ill patients. DESIGN: Retrospective analysis of consecutive adult burn patients requiring mechanical ventilation. SETTING: A 16-bed burn ICU at tertiary military teaching hospital. PATIENTS: Adult patients more than 18 years old requiring mechanical ventilation during their initial admission to our burn ICU from January 1, 2003, to December 31, 2011...
October 2016: Critical Care Medicine
Saud Othman Al Shlash, Jamal Omran Al Madani, Jamal Ismail El Deib, Fatemah Suliman Alsubhi, Sara Saud Al Saifi, Ayman Mohammed Adel Helmi, Sultan Khalaf Al-Mutairi, Javed Akhtar Khurram
Split thickness skin graft (STSG) and full thickness skin graft (FTSG) are the integral part of burn wound management. However the impact of these graft types on the outcome still remain a matter of controversy. The purpose of this study was to determine the demographic characteristics and outcome of graft surgery of the patients undergone STSG and FTSG at Plastic Surgery Department of Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia. This retrospective study included 85 burn patients who received STSG (56 cases) and FTSG (29 cases) at PSMMC during 2010-2015...
2016: International Journal of Burns and Trauma
Caitlin M Asato, Jorge Gonzalez-Estrella, Amber C Jerke, Sookie S Bang, James J Stone, Patrick C Gilcrease
Austere US military bases typically dispose of solid wastes, including large fractions of food waste (FW) and corrugated cardboard (CCB), by open dumping, landfilling, or burning. Anaerobic digestion (AD) offers an opportunity to reduce pollution and recover useful energy. This study aimed to evaluate the rates and yields of AD for FW-CCB mixtures. Batch AD was analyzed at substrate concentrations of 1-50g total chemical oxygen demand (COD)L(-1) using response surface methodology. At low concentrations, higher proportions of FW were correlated with faster specific methanogenic activities and greater final methane yields; however, concentrations of FW ⩾18...
September 2016: Bioresource Technology
Felicity Page, Nathan Hamnett, Federica D'Asta, Steven Jeffery
After sustaining burn injuries overseas, U.K. Armed Forces personnel are evacuated to the Royal Centre for Defence Medicine. The objective was to review the etiology of U.K. Military burns managed at the center between 2008 and 2013. Analysis will aid provision planning and assist in the prevention of burn injuries for future tours. The International Burn Injury Database database of all U.K. Armed Forces burn injured patients evacuated to the Queen Elizabeth University Hospital Birmingham between 2008 and 2013 were reviewed retrospectively...
June 2, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Daniel De Vos, Jean-Paul Pirnay, Florence Bilocq, Serge Jennes, Gilbert Verbeken, Thomas Rose, Elkana Keersebilck, Petra Bosmans, Thierry Pieters, Mony Hing, Walter Heuninckx, Frank De Pauw, Patrick Soentjens, Maia Merabishvili, Pieter Deschaght, Mario Vaneechoutte, Pierre Bogaerts, Youri Glupczynski, Bruno Pot, Tanny J van der Reijden, Lenie Dijkshoorn
Multidrug resistant Acinetobacter baumannii and its closely related species A. pittii and A. nosocomialis, all members of the Acinetobacter calcoaceticus-baumannii (Acb) complex, are a major cause of hospital acquired infection. In the burn wound center of the Queen Astrid military hospital in Brussels, 48 patients were colonized or infected with Acb complex over a 52-month period. We report the molecular epidemiology of these organisms, their clinical impact and infection control measures taken. A representative set of 157 Acb complex isolates was analyzed using repetitive sequence-based PCR (rep-PCR) (DiversiLab) and a multiplex PCR targeting OXA-51-like and OXA-23-like genes...
2016: PloS One
Michael J Morris, Frederic A Rawlins, Damon A Forbes, Andrew J Skabelund, Pedro F Lucero
Military deployment to Southwest Asia since 2003 in support of Operations Enduring Freedom/Iraqi Freedom/New Dawn has presented unique challenges from a pulmonary perspective. Various airborne hazards in the deployed environment include suspended geologic dusts, burn pit smoke, vehicle exhaust emissions, industrial air pollution, and isolated exposure incidents. These exposures may give rise to both acute respiratory symptoms and in some instances development of chronic lung disease. While increased respiratory symptoms during deployment are well documented, there is limited data on whether inhalation of airborne particulate matter is causally related to an increase in either common or unique pulmonary diseases...
April 2016: U.S. Army Medical Department Journal
Can Zhang, Junhui Zhang, Dongxia Zhang, Weiguo Xie, Zhangjia Jiang, Guoan Lin, Xihua Niu, Yuesheng Huang
OBJECTIVE: To retrospectively analyze the risk factors and clinical manifestations of myocardial damage of patients with severe burn in order to provide evidence for its prevention and treatment. METHODS: Two hundred and fifty-two patients with severe burn admitted to 5 burn centers from January 2010 to June 2015, conforming to the study criteria, were treated in accordance with the fluid resuscitation formula of the Third Military Medical University. According to the creatine kinase isoenzyme-MB (CK-MB) level before treatment on admission, patients were divided into non-myocardial damage group (n=118, CK-MB level less than 75 U/mL) and myocardial damage group (n=134, CK-MB level higher than or equal to 75 U/mL)...
May 2016: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
Heather C Yun, Charla C Tully, Katrin Mende, Mayra Castillo, Clinton K Murray
INTRODUCTION: Pulsed-field gel electrophoresis (PFGE) has been used as an adjunct to traditional hospital epidemiology in numerous outbreak investigations, including in burn centers. However, its most effective real-world application remains unclear, with few longitudinal descriptions of use. SETTING AND METHODS: A 425 bed military tertiary hospital with a 40 bed burn center, from July 2007 to July 2013; retrospective evaluation of hospital infection prevention records was performed and results of PFGE where used in outbreak investigation...
September 2016: Burns: Journal of the International Society for Burn Injuries
Christopher Nemeth, Shilo Anders, Robert Strouse, Anna Grome, Beth Crandall, Jeremy Pamplin, Jose Salinas, Elizabeth Mann-Salinas
BACKGROUND: Burn Intensive Care Unit (BICU) work is necessarily complex and depends on clinician actions, resources, and variable patient responses to interventions. Clinicians use large volumes of data that are condensed in time, but separated across resources, to care for patients. Correctly designed health information technology (IT) systems may help clinicians to treat these patients more efficiently, accurately, and reliably. We report on a 3-year project to design and develop an ecologically valid IT system for use in a military BICU...
May 2016: Military Medicine
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