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Chen J, Wang Y. Characteristics and risk factors for electrical burn injuries: a study based on World Health Organization Global Burn Registry. Burns 2024; 50:1116-1121. [PMID: 38402118 DOI: 10.1016/j.burns.2024.01.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 12/28/2022] [Accepted: 01/11/2024] [Indexed: 02/26/2024]
Abstract
OBJECTIVE Electrical burn injuries (EBIs) represent an important subset of burn injuries, but the information on them from the global level is limited. We aimed to investigate the characteristics and risk factors for EBIs reported to the World Health Organization Global Burn Registry. METHODS Patients with EBIs and non-EBIs were identified from the registry. Patient demographics, income of the country, setting of the injury occurred, and outcomes were described and compared. Multivariable analysis was performed to identify risk factors associated with the EBIs and their outcomes. RESULTS Of the 9276 patients, 814 (8.8%) were grouped as EBIs. EBIs patients had a median age of 28 years, and they were predominantly males (89.2%). EBIs were more likely to occur in lower-middle- and low-income countries (60.9% versus 43.4%) and in an occupational setting (49.1% versus 6.7%) than the non-EBIs. Older age, male, lower-income, and occupational and public setting were risk factors for EBIs. For EBIs patients, adolescents and young adults, those from low-middle and low-income countries, and those injured by high-voltage electricity were more likely to have more than 15% of the total body surface area. In addition, those from low-middle and low-income countries and those injured by high-voltage electricity were more likely to die. CONCLUSION The characteristics of EBIs are significantly different from that of non-EBIs. To prevent EBIs and avoid unpleasant outcomes, particular attention should be given to adolescent boys and young adult men who are employed in electrical jobs in lower-income countries.
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Affiliation(s)
- Jigang Chen
- Department of burn and plastic surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - Yanni Wang
- Department of burn and plastic surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.
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Hege AR, Choubisa CA, Kasatwar P. Physiotherapeutic Rehabilitation of a Patient Following an Electrical Burn: A Case Report. Cureus 2022; 14:e29702. [PMID: 36320961 PMCID: PMC9616556 DOI: 10.7759/cureus.29702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 09/28/2022] [Indexed: 11/11/2022] Open
Abstract
Electrical burn is one of the common burn injuries occurring nowadays due to the increase in the use of technology; among others, electricians are more prone to electrical burn injury as they work all day to make and repair electrical equipment and systems. In this case report, we are presenting such a scenario. The patient, a 36-year-old male, was brought to casualty with an injury by a flash of electricity while working. The patient sustained a burn on the right hand and presented with burn injury over the right hand and forearm with bleb over the anterior aspect of the wrist joint, skin discolouration, local rise in temperature, line of demarcation seen over the palmar aspect of the forearm at middle 2/3rd, clear serous discharge present from bleb, discolouration of tips of all fingers of the right hand and nail beds, and tenderness. The patient was diagnosed with an electrical burn injury after the evaluation and investigations. The investigations were done on complete blood count (CBC), coagulation profile, peripheral smear, liver function test (LFT), and random blood glucose (RBS). The injury site was cleaned and the dressing was done with one percent silver sulfadiazine, some medications were prescribed by the physician, and plaster was applied to prevent contractures. The physiotherapeutic intervention for the prevention of burn contracture includes positioning, splinting, massage, stretching, scar management, pressure therapy, and strengthening. This case report concludes that early physiotherapeutic interventions helped in the prevention of electrical burn contractures and the patient’s functional mobility.
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Oyedele A, Ajayi A, Oyedele LO, Delgado JMD, Akanbi L, Akinade O, Owolabi H, Bilal M. Deep learning and Boosted trees for injuries prediction in power infrastructure projects. Appl Soft Comput 2021. [DOI: 10.1016/j.asoc.2021.107587] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Poncio MAG, Cruz JJV. Factors associated with mortality, amputation, pneumonia, and skin graft loss among electrical burn patients admitted in a Philippine tertiary hospital burn center from 2013 to 2019. BURNS OPEN 2021. [DOI: 10.1016/j.burnso.2021.08.076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Salehi SH, Sadat Azad Y, Bagheri T, Ghadimi T, Rahbar A, Ehyaei P, Momeni M. Epidemiology of Occupational Electrical Injuries. J Burn Care Res 2021; 43:399-402. [PMID: 34562012 DOI: 10.1093/jbcr/irab171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Electrical injuries are an uncommon but very destructive type of burn, with serious complications and disabilities for the victims. This study was conducted due to the importance of understanding the epidemiology of electrical accidents in planning to prevent their occurrence. This is a retrospective cross-sectional study that was performed on patients with electrical burns referred to Shahid Motahari Educational and Medical Center from 2017 to 2018. Patients' information was entered in the researcher-made information registration form, including demographic and accident-related information. In this study, most of the accidents occurred in the workplace with high-voltage electricity. Contact with overhead cables and wires was the most common cause of injury. Excision and graft surgeries were the most common type of surgery. The variables of sex, age, length of hospital stay, and type of job had a significant relationship with the type of voltage (P < .05). The difference between the ratio of men to women and the length of hospitalization in the group of injured with high-voltage electricity was greater and most of these patients were construction workers. The variables of sex, nationality, length of hospital stay, and cause of the accident had a significant relationship with the type of job (P < .05). Construction workers are the main group at risk of electrical damage in Iran. Therefore, it is recommended to conduct more extensive studies in the field of recognizing and implementing practical methods of preventing electrical injuries, especially in high-risk work environments.
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Affiliation(s)
- Seyed Hamid Salehi
- Department of Surgery, School of Medicine, Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Yasaman Sadat Azad
- Department of Surgery, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Tooran Bagheri
- Burn Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Tayyeb Ghadimi
- Burn Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Arya Rahbar
- International Baccalaureate Student, Ontario, Canada
| | - Parvin Ehyaei
- Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - Mahnoush Momeni
- Department of General Surgery, School of Medicine, Burn Research Center, Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran
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Ahmed J, Stenkula C, Omar S, Ghanima J, Bremtun FF, Bergan J, Raouf N, Ghanima W. Patient outcomes after electrical injury - a retrospective study. Scand J Trauma Resusc Emerg Med 2021; 29:114. [PMID: 34362435 PMCID: PMC8344194 DOI: 10.1186/s13049-021-00920-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 07/14/2021] [Indexed: 01/18/2023] Open
Abstract
Introduction People exposed to electrical injuries are often admitted to hospital for observation. Current evidence suggests that patients who have a normal ECG on admission after a low-voltage injury, with no loss of consciousness or initial cardiac arrest may be discharged home after a short observation time. Currently, there are no established standards for the duration of monitoring after electric shock, but 24 h of observation is the most commonly adopted approach. We carried out a retrospective study of patients admitted after electrical injuries to determine the in-hospital outcomes and 30-day mortality in these patients. Methods We performed a chart review of all patients with electrical injuries admitted to Østfold Hospital, Norway between the years 2001 and 2019, to determine in-hospital and 30-day mortality and the frequency of various cardiac and non-cardiac complications. Results Mean age of 465 included patients (88% males) was 31 years. Of all injuries, 329 (71%) were work-related, 17 (3.7%) involved loss of consciousness. Furthermore, 29/437 (6.6%) were high voltage (> 1000 V), and 243/401 (60.6%) were transthoracic injuries. 369 (79.4%) were discharged same day. None of the admitted patients died in hospital nor did any die within 30 days of admission, yielding a 30-day mortality of 0% (95% CI 0–0.8). At admission troponin was elevated in three (0.6%) patients, creatinine kinase (CK) in 30 (6.5%) and creatinine in six (1.3%). Electrocardiogram (ECG) abnormalities were described in 85 (18%) patients. No serious arrhythmias were detected. When comparing high- vs low-voltage or transthoracic vs other injuries, there were no significant differences between most of the outcomes, except for more ECG abnormalities in the transthoracic group, whereas more patients had elevated CK, and fewer discharged the same day in high-voltage injuries. Conclusion No in-hospital nor 30-day mortality or serious arrhythmias were encountered in those who were assessed, regardless of the type of injury. Troponin and creatinine were rarely elevated. It seems that conscious patients admitted with a normal ECG following a low-voltage injury may safely be discharged home after a quick clinical assessment including ECG.
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Affiliation(s)
- Jamal Ahmed
- Department of Emergency Medicine, Østfold Hospital Trust, Gralum, Norway.
| | - Charlotte Stenkula
- Department of Emergency Medicine, Østfold Hospital Trust, Gralum, Norway
| | - Sherwan Omar
- Department of Emergency Medicine, Østfold Hospital Trust, Gralum, Norway
| | - Josef Ghanima
- Department of Emergency Medicine, Østfold Hospital Trust, Gralum, Norway
| | | | - Jonas Bergan
- Department of Research Østfold Hospital Trust, Gralum, Norway
| | - Nezar Raouf
- Department of Emergency Medicine, Østfold Hospital Trust, Gralum, Norway
| | - Waleed Ghanima
- Department of Emergency Medicine, Østfold Hospital Trust, Gralum, Norway.,Department of Research Østfold Hospital Trust, Gralum, Norway.,Department of Hematology, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway
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Olsen LN, Fischer M, Evans PA, Gliemann L, Hellsten Y. Does Exercise Influence the Susceptibility to Arterial Thrombosis? An Integrative Perspective. Front Physiol 2021; 12:636027. [PMID: 33708141 PMCID: PMC7940832 DOI: 10.3389/fphys.2021.636027] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Accepted: 02/01/2021] [Indexed: 12/14/2022] Open
Abstract
Arterial thrombosis is the primary cause of death worldwide, with the most important risk factors being smoking, unhealthy diet, and physical inactivity. However, although there are clear indications in the literature of beneficial effects of physical activity in lowering the risk of cardiovascular events, exercise can be considered a double-edged sword in that physical exertion can induce an immediate pro-thrombotic environment. Epidemiological studies show an increased risk of cardiovascular events after acute exercise, a risk, which appear to be particularly apparent in individuals with lifestyle-related disease. Factors that cause the increased susceptibility to arterial thrombosis with exercise are both chemical and mechanical in nature and include circulating catecholamines and vascular shear stress. Exercise intensity plays a marked role on such parameters, and evidence in the literature accordingly points at a greater susceptibility to thrombus formation at high compared to light and moderate intensity exercise. Of importance is, however, that the susceptibility to arterial thrombosis appears to be lower in exercise-conditioned individuals compared to sedentary individuals. There is currently limited data on the role of acute and chronic exercise on the susceptibility to arterial thrombosis, and many studies include incomplete assessments of thrombogenic clotting profile. Thus, further studies on the role of exercise, involving valid biomarkers, are clearly warranted.
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Affiliation(s)
- Line Nørregaard Olsen
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - Mads Fischer
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - Phillip Adrian Evans
- Haemostasis Biomedical Research Unit, Welsh Centre for Emergency Medicine Research, Morriston Hospital, SBU Health Board, Swansea, United Kingdom.,College of Medicine, Swansea University, Swansea, United Kingdom
| | - Lasse Gliemann
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
| | - Ylva Hellsten
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark
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Neniwal V, Sharma R, Meena A. Epidemiological clinical profile and outcome of electric burn at our tertiary care center in Hadoti region. INDIAN JOURNAL OF BURNS 2021. [DOI: 10.4103/ijb.ijb_20_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Mulder MB, Gilna GP, Iyengar RS, Quintana OD, Nardiello DC, Kaufman JI, Pizano LR, Namias N, Schulman CI, Proctor KG. Electrical Burns During Fruit Harvesting. J Burn Care Res 2020; 40:427-429. [PMID: 31051035 DOI: 10.1093/jbcr/irz050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Electrocutions during tree trimming or fruit harvesting are occasionally reported in the public media, but the actual incidence is unknown. Some fruit trees (eg, mango and avocado) can exceed 30 feet, with dense foliage concealing the fruit and overlying power lines so burns associated with harvesting these fruits are often exacerbated with falls. However, there are limited data on this subject. To fill this gap, we provide some of the first information on this unique injury pattern. All electrocutions from 2013 to 2018 were retrospectively reviewed at an ABA-verified burn center. Demographics, injury patterns, and complications were analyzed. Of 97 electrocutions, 22 (23%) were associated with fruit procurement. This population was aged 43 ± 14 years, 95% (n = 21) male, injury severity score of 15 ± 13, and total body surface area burned 4% [1%-9%]. Third-degree burns were present in 36% (n = 8). ICU admission was required in 59% (n = 13) and 39% of the survivors required operative interventions for the burn. Compartment syndrome occurred in 18% (n = 4) and 14% (n = 3) patients required amputations. Falls complicated the care in 50% (n = 11), with associated head, chest, and/or extremity trauma. Mortality was 32% (n = 7), with three patients presenting dead on arrival. All but 3 injuries occurred between June and December, coinciding with mango and avocado season. Electrocution during fruit picking is a seasonal injury often exacerbated by falls. Management is challenging, and favorable outcome depends on recognition of the complexity of the polytrauma.
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Affiliation(s)
- Michelle B Mulder
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
| | - Gareth P Gilna
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
| | - Rahul S Iyengar
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
| | - Olga D Quintana
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
| | - Dawn C Nardiello
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
| | - Joyce I Kaufman
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
| | - Louis R Pizano
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
| | - Nicholas Namias
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
| | - Carl I Schulman
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
| | - Kenneth G Proctor
- Dewitt Daughtry Department of Surgery Divisions of Trauma, Burns, & Surgical Critical Care, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida
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Ding H, Huang M, Li D, Lin Y, Qian W. Epidemiology of electrical burns: a 10-year retrospective analysis of 376 cases at a burn centre in South China. J Int Med Res 2019; 48:300060519891325. [PMID: 31854209 PMCID: PMC7782948 DOI: 10.1177/0300060519891325] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE To investigate the epidemiological profile and associated outcomes of electrical injuries at a major burn centre in southern China. METHODS This retrospective study enrolled consecutive electrical burn patients admitted to the burn centre of the First Affiliated Hospital of Guangxi Medical University between 2008 and 2017. Demographic and clinical data and outcomes were recorded. Mann-Whitney U tests/Pearson's chi-squared tests were used to examine the differences between low-voltage and high-voltage injuries. RESULTS There were 217 high-voltage injuries and 159 low-voltage injuries. High-voltage burns were frequently observed between March and August, and low-voltage burns peaked between June and September. Burn patients were mainly men. Most burns occurred in participants aged 21 to 50 years and in industrial workers and electricians at work or householders at home. Only one person with high-voltage burns died (a mortality rate of 0.46%). Amputation rates were 37.33% for high-voltage burns and 22.01% for low-voltage burns. High-voltage injuries were associated with more extensive burns, longer hospital stays, and more complications and amputations. CONCLUSIONS More attention should be paid to prevention of electrical burns in male adults. Particular focus is needed on industrial workers, incidents in the spring and summer, and high-voltage injuries.
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Affiliation(s)
- Huarong Ding
- Department of Burn and Plastic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Meimei Huang
- Department of Plastic and Aesthetic Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
| | - Dehui Li
- Department of Burn and Plastic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Yuan Lin
- Department of Burn and Plastic Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Wei Qian
- Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Key Laboratory of Disease Proteomics of Chongqing, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
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A New Approach to the Assessment of the Reduction in Visibility Caused by Fires of Electrical Cables. SAFETY 2019. [DOI: 10.3390/safety5030044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Electricity is the most important form of household energy and one of the most important forms of energy for industry and transport. Electrical distribution in construction and transport is almost exclusively implemented using electrical cables. One of the unresolved problems associated with electrical cables is the release of smoke and the resulting reduction of visibility in case of fire in the area. In this study, a new approach was developed to assess the reduction of visibility in an area affected by an electrical cable fire. This approach is based on the determination of the critical ratio of smoke volume (in the smoke layer and exhausted from the fire compartment) to the length of the burning cable, through which the visibility of reflective and illuminated signs was reduced to a lower limit value (a standard of 10 m). The input data for this approach was the extinction area of the smoke released from one meter of burning cable and the length of the cables in the area. This approach was used to test two power cables (CHKE-V J3x1.5 and CHKE-R J3x1.5) and one signal cable J-H(St)H 1 × 2 × 0.8 with the B2ca, s1, d1, a1 fire reaction class. The smoke extinction area of the examined cables was determined using a cone calorimeter at a heat flux of 50 kW/m2. The obtained data showed that in order to maintain a visibility of 10 m for reflective signs, the critical ratio of smoke volume to length of burning cable was 7.5 m3/m. For illuminated signs, the critical ratio was 2.8 m3/m. The relationship between burning length and visibility allows the calculation of visibility in the fire compartment affected by cable fire only from cables length.
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Abstract
OBJECTIVE To analyze specific spectroscopic (FT-Raman) and thermal (limiting oxygen index) aspects of skin samples exposed to electrical injury compared with thermal injury. METHODS An observational case-control study was conducted at the Dr Stanislaw Sakiel Center for Burns Treatment in Siemianowice, Silesia, Poland. A scanning electron microscope was used to diagnose and illustrate the topography of skin samples from electrical and thermal burns and the morphologic effects on damaged versus undamaged skin surfaces. In particular, researchers attempted to detect spectroscopic and thermal changes at the molecular level, namely, specific biomarkers of tissue degeneration and their regeneration under the influence of the applied modifiers (antioxidants and orthosilicic acid solutions). RESULTS Modification with L-ascorbic acid and hydrogel of orthosilicic acid caused an increase in the intensity of the amide I Raman peaks, whereas modification with sodium ascorbate and orthosilicic acid resulted in the separation of the band protein side chains (1,440-1,448 cm), which is a part of tissue regeneration. The best result was obtained when the skin was treated with 7% orthosilicic acid (limiting oxygen index, 26%). CONCLUSIONS Antioxidant treatment may be advantageous in minimizing injury in patients with thermal burns but not always in electrical burns.
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Rasulić L, Savić A, Lepić M, Puzović V, Karaleić S, Kovačević V, Vitošević F, Samardžić M. Epidemiological characteristics of surgically treated civilian traumatic brachial plexus injuries in Serbia. Acta Neurochir (Wien) 2018; 160:1837-1845. [PMID: 30056518 DOI: 10.1007/s00701-018-3640-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Accepted: 07/20/2018] [Indexed: 01/09/2023]
Abstract
BACKGROUND Traumatic brachial plexus injuries are generally severe, and in many cases associated with surrounding tissue injuries, which makes them hard to diagnose at the right time. This paper presents etiological and epidemiological characteristics of surgically treated civilian traumatic brachial plexus injuries. METHODS This retrospective study included 68 patients, operated due to the traumatic brachial plexus injuries at Clinic for Neurosurgery, Clinical Center of Serbia, during the 11-year period. RESULTS The vast majority of injured patients were men in full working maturity. In our study, there were seven different etiological factors. The road traffic accidents were the most common-41 (60.3%), while the motorcycle accidents were the most dominant subtype (53.7%) of all road traffic accidents, and also representing 32.4% of all causes of trauma. Supraclavicular elements of the brachial plexus were injured in more than 80% of patients. A total of 49 (72.1%) patients from our study had one or more associated injuries. The most common associated injuries were bone fractures, brain contusions, and vascular injuries. CONCLUSION Although rare, non-war-related severe brachial plexus injuries represent a group of patients carrying high risk of insufficient functional recovery regardless of treatment modality, or surgical technique. Epidemiological and etiological data are therefore very important to identify the groups in risk and to induce preventive actions aimed at these patients.
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Early Reconstruction of Distal Leg and Foot in Acute High-Voltage Electrical Burn: Does Location of Pedicle in the Zone of Injury Affect the Outcome of Distally Based Sural Flap? Ann Plast Surg 2017; 78:41-45. [PMID: 26808748 DOI: 10.1097/sap.0000000000000719] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Distally based fasciocutaneous sural flap is popular in the reconstruction of distal leg and foot burns. However, utilization of this technique in high-voltage electrical injury has been challenging. AIMS The present study aimed to compare the outcome of early aggressive debridement and coverage of contact point of acute high-voltage electrical injury using distally based fasciocutaneous sural flap between high-risk and low-risk patients defined by the anatomic proximity of the flap pedicle to the zone of injury. METHODS A total of 51 patients with contact point of high-voltage electrical burn (HVEB) in distal leg and foot undergoing distally based fasciocutaneous sural flap were included in this prospective clinical study. In 28 patients, the flap pedicle was not involved in the contact point of high-voltage electrical injury (low risk/control group), whereas in 21 patients, it was located inside the zone of injury (high-risk/case group). Patients were followed up for a median of 21 months (range, 12-44 months). RESULTS Wound dimensions to be covered were relatively similar between the 2 groups. Complications of flap survival (primary outcome) and other minor early and late complications (secondary outcome) did not significantly differ between the 2 groups (P > 0.05). CONCLUSIONS Provided that early and completed debridements of contact points of HVEB were achieved, distally based sural flap is feasible and there is reliable coverage in HVEB even in patients with flap pedicle located in vicinity of the zone of injury.
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Stergiou-Kita M, Mansfield E, Colantonio A, Moody J, Mantis S. What’s gender got to do with it? Examining masculinities, health and safety and return to work in male dominated skilled trades. Work 2016; 54:721-33. [DOI: 10.3233/wor-162322] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Mary Stergiou-Kita
- Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada
- Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
- Institute of Work & Health, Toronto, ON, Canada
| | | | - Angela Colantonio
- Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada
- Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
| | | | - Steve Mantis
- Ontario Network of Injured Workers Groups (ONIWG), ON, Canada
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Workplace Ladder-Related Electrical Accidents: “Repetitive Injuries”. Trauma Mon 2016. [DOI: 10.5812/traumamon.34260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Etiology, incidence and gender-specific patterns of severe burns in a German Burn Center – Insights of 25 years. Burns 2016; 42:687-96. [DOI: 10.1016/j.burns.2015.10.031] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Revised: 10/24/2015] [Accepted: 10/28/2015] [Indexed: 11/20/2022]
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Population-based incidence and cost of non-fatal injuries in Iran: a consistent under-recognized public health concern. Public Health 2015; 129:483-92. [DOI: 10.1016/j.puhe.2015.01.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2014] [Revised: 11/21/2014] [Accepted: 01/19/2015] [Indexed: 11/19/2022]
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