Burns : journal of the International Society for Burn Injuries
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Review Comparative Study
Burns in Israel, comparative study: Demographic, etiologic and clinical trends 1997-2003 vs. 2004-2010.
To review hospitalised burn patients from 2004 to 2010 admitted to Israeli burn units and compare these result with data from 1997 to 2003. ⋯ Within Israel, high risk populations remain infants under two years of age, males and those from non-Jewish populations. National prevention strategies and campaigns are warranted to inform and educated parents of young children and those at risk of burns. Of note, advances in burn care and procedures might have contributed to a decrease in the length of hospital stay (LOS).
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A variety of conservative treatments for burn scars are available, but there is no clear consensus on the evidence. The purpose of this study was to summarize the available literature on the effects of conservative treatments of burn scars in adults. RCTs and CCTs were sought in three databases, reference lists of retrieved articles and relevant reviews. ⋯ Massage therapy could have a positive result on scar pliability, pain and pruritus, but with less supporting evidence. The use of moisturizers and lotions could have an effect on itching, but the findings are contradictory. Of all other non-invasive treatments such as splinting, casting, physical activity, exercise and mobilizations no RCTs or CCTs were found.
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A variety of conservative treatments for burn scars are available, but there is no clear consensus on the evidence. The purpose of this study was to summarize the available literature on the effects of conservative treatments of burn scars in adults. RCTs and CCTs were sought in three databases, reference lists of retrieved articles and relevant reviews. ⋯ Massage therapy could have a positive result on scar pliability, pain and pruritus, but with less supporting evidence. The use of moisturizers and lotions could have an effect on itching, but the findings are contradictory. Of all other non-invasive treatments such as splinting, casting, physical activity, exercise and mobilizations no RCTs or CCTs were found.
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Review
Mesenchymal stem cells for sweat gland regeneration after burns: From possibility to reality.
Sweat glands play important roles in homeostasis maintenance and body temperature regulation. In patients with deep burns, the injury can reach the muscle tissues and damage sweat glands. However, the plasticity of mesenchymal stem cells (MSCs) may offer the possibility to regenerate sweat glands after severe burn. ⋯ Here, we analyze the barriers of sweat gland regeneration in situ after deep burns, propose the possibilities of MSCs in regeneration of sweat glands, summarize the recent researches into sweat gland regeneration with MSCs, and sum up the possible mechanisms during this process. In addition, the advantage and disadvantage of sweat gland regeneration with MSCs from different tissues have been discussed. So this review will provide meaningful guidance in the clinic for sweat gland regeneration with MSCs.
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Few studies have been conducted on treatment adherence to burn care. Given the prevalence of burn injuries across the lifespan and the impact of proper burn care on associated morbidity, it is important to understand factors associated with regimen non-adherence in this population. The purpose of this paper is to summarize and critique all published literature on patient adherence to burn care. ⋯ Given that adherence may vary as a function of different factors, future research should assess pediatric burn patients as a separate population, as well as investigate adherence to multiple aspects of the burn care regimen. To enhance adherence to burn care, healthcare providers should educate their patients on various treatment components and tailor these components to meet patients' goals and needs, as feasible.