Burns : journal of the International Society for Burn Injuries
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In China, although burn treatment develops rapidly, and ranks in the forefront of the world, there is a relative shortage of burn specialists, which limits the development of burn education. In traditional curriculum of surgery education, burn surgery education accounts for few proportions, which results in the indifference to the burn surgery among medical students. To date, few research reported the application of Clinical pathway- Problem based Learning (CP-PBL) in burn surgery education. The objective of the study is to explore the teaching effect of this novel teaching method in burn surgery education. ⋯ More active approaches yield more learning and are viewed more favorable, which provides a vital message for the evolution of curriculum in Chinese medical schools.
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Optimal management of palmar hand burns in children is controversial. We aimed to compare function and aesthetics of retroauricular full thickness skin grafts (FTSG) to plantar glabrous split thickness skin grafts (STSG). ⋯ Plantar glabrous STSG showed superior functional and aesthetic results when compared to FTSG in pediatric palmar hand burns. In addition, the "Zurich Move" is safe and provides uncomplicated donor site healing on the scalp and the foot allowing rapid restoration of full function.
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In recent years, the frequent occurrence of bus fire accidents has caused public concern in China, impacting the safe operation of urban transportation seriously. A cross-sectional survey was conducted to evaluate the safety & security (S&S) level of attitude and knowledge in relation to bus fires among residents in Fuzhou city, Fujian Province. 200 passengers from 6 bus terminals and 10 bus stations were selected as study subject. The results show that the S&S attitude and knowledge differ by gender, age, education background, occupation, and the frequency of taking a bus. ⋯ Many passengers pay not much attention to the safety instructions when taking a bus. Some suggestions are given to improve S&S situation of bus transportation. The research results can lay the foundation for local governments, bus transport operators, and relevant safety organizations to establish a series of safety policies or regulations with respect to bus fires.
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The burn comb model is a well-established model for studying secondary burn progression. It creates four rectangular burn surfaces intercalated by three unburned zones prone to secondary burn progression. While burn progression is a tri-dimensional phenomenon, of which the vertical extension from the superficial to deeper tissue layer is clinically most relevant, the models initial focus was mainly on the horizontal surface extension within interspaces. The aim of this study is to evaluate the correlation between horizontal surface and vertical depth burn progression. ⋯ This study shows the limits of the burn comb model originally described with a discrepancy between horizontal surface and vertical depth progression of the burn injury. We herein propose a necessary refinement of this model to adequately evaluate vertical depth progression using a histological score. This revisited approach focusing on assessment of depth progression of the burn will allow a better evaluation of experimental burn treatments in future.