Burns : journal of the International Society for Burn Injuries
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Burn wounds cause complex damage to the skin. Unlike simple cuts, burns cause a graded damage at the margin of the wound and leave biochemically complex debris in the wound, two factors that complicate the process of wound healing. ⋯ This simplified system is not subject to uncontrolled infection and does not involve angiogenesis and granulation. Thus, these cultures provide a simplified model of how cells of the dermis and epidermis in and around a burn wound respond to heat damage early in the process of healing.
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115 patients with facial and neck burns were assessed for the presence and severity of psychological morbidity. Various manifestations of such disorders and their predisposing factors are described. Countermeasures to ameliorate these disorders consist of early psychological intervention, which should be begun at the time of the patient's admission and continued-until the patient returns to society together with carefully planned treatment of the burn wounds, and skillful reconstructive surgery to correct the resultant disfigurements to attain a reasonably satisfactory cosmetic effect.
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Comparative Study
"Tandir": an old and well known cause of burn injury in the Middle East.
Analysis of an unusual cause of burn injury together with assessment of long-term end results was carried out. The 'tandir' is a kind of oven buried underground and resembles a big hole full of embers and surrounded with sheet iron. Most of the burn victims were children. 68 major burn cases have been admitted to our units in a 3 year period, 32 (47%) of them due to a 'tandir'. In most of the cases burn injuries included the head and both hands as a result of the specific characteristics of the 'tandir'.
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Case Reports
Silver sulfadiazine induced Clostridium difficile toxic megacolon in a burn patient: case report.
A 53 yr old diabetic male presented with a 34% total body surface area (TBSA) deep partial- and full-thickness burns. On post burn days 4 and 9, all of his burns were excised and grafted. ⋯ The incidence and treatment of Toxic Megacolon secondary to C. difficile is reviewed. Early diagnosis and treatment with colonoscopic decompression may obviate the need for surgery.