• Title/Summary/Keyword: burns

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Emergence of Online Teaching for Plastic Surgery and the Quest for Best Virtual Conferencing Platform: A Comparative Cohort Study

  • Suvashis Dash;Raja Tiwari;Amiteshwar Singh;Maneesh Singhal
    • Archives of Plastic Surgery
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    • v.50 no.2
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    • pp.200-209
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    • 2023
  • Background As the coronavirus disease 2019 virus made its way throughout the world, there was a complete overhaul of our day-to-day personal and professional lives. All aspects of health care were affected including academics. During the pandemic, teaching opportunities for resident training were drastically reduced. Consequently, medical universities in many parts across the globe implemented online learning, in which students are taught remotely and via digital platforms. Given these developments, evaluating the existing mode of teaching via digital platforms as well as incorporation of new models is critical to improve and implement. Methods We reviewed different online learning platforms used to continue regular academic teaching of the plastic surgery residency curriculum. This study compares the four popular Web conferencing platforms used for online learning and evaluated their suitability for providing plastic surgery education. Results In this study with a response rate of 59.9%, we found a 64% agreement rate to online classes being more convenient than normal classroom teaching. Conclusion Zoom was the most user-friendly, with a simple and intuitive interface that was ideal for online instruction. With a better understanding of factors related to online teaching and learning, we will be able to deliver quality education in residency programs in the future.

CASE REPORTS : MICROSTOMIA CAUSED BY BURN SCAR (화상으로 인한 소구증 환자의 치험례)

  • Chi, Jae-Hyu;Yeo, Hwan-Ho;Kim, Young-Kyun;Kim, Su-Gwan;Park, In-Soon;Lee, Byung-Joon;Hwang, Kyung-Kon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.3
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    • pp.358-365
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    • 1996
  • Deep burns of the face & lips often lead to scarring and contraction of the circum-oral tissues with a marked reduction in the size of the oral aperture. Such burns most commonly caused by electrical contact, for example, children sucking electric plugs, or as a result of chemical burns and the exposture to flame. Once having burns, burned tissue may contract and reduce considerably the size and mobility of the mouth ; therefore bring up the resultant functional disturbance, verbal difficulty, even digestive difficulty, and poor appearance, which fall into difficulty in social acceptability, caused by burns. In our department, 2 patients who were complain of functional limitations and esthetic problem owing to scar contracture, were visited, and we treated this microstomia with scar excision, graft and flap technique, and postoperative intensive physical therapy. We obtained relatively favorable results, thus report this cases with literature review.

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Polyurethane-Coated Breast Implants Revisited: A 30-Year Follow-Up

  • Castel, Nikki;Soon-Sutton, Taylor;Deptula, Peter;Flaherty, Anna;Parsa, Fereydoun Don
    • Archives of Plastic Surgery
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    • v.42 no.2
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    • pp.186-193
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    • 2015
  • Background Polyurethane coating of breast implants has been shown to reduce capsular contracture in short-term follow-up studies. This 30-year study is the longest examination of the use of polyurethane-coated implants and their correlation with capsular contracture. Methods This study evaluates the senior surgeon's (F.D.P.) experience with the use of polyurethane-coated implants in aesthetic breast augmentation in 382 patients over 30 years. Follow-up evaluations were conducted for six months after surgery. After the six-month follow-up period, 76 patients returned for reoperation. The gross findings, histology, and associated capsular contracture were noted at the time of explantation. Results No patient during the six-month follow-up period demonstrated capsular contracture. For those who underwent reoperation for capsular contracture, Baker II/III contractures were noted nine to 10 years after surgery and Baker IV contractures were noted 12 to 21 years after surgery. None of the explanted implants had macroscopic evidence of polyurethane, which was only found during the first five years after surgery. The microscopic presence of polyurethane was noted in all capsules up to 30 years after the original operation. Conclusions An inverse correlation was found between the amount of polyurethane coating on the implant and the occurrence of capsular contracture. Increasingly severe capsular contracture was associated with a decreased amount of polyurethane coating on the surface of the implants. No contracture occurred in patients whose implants showed incomplete biodegradation of polyurethane, as indicated by the visible presence of polyurethane coating. We recommend research to find a non-toxic, non-biodegradable synthetic material as an alternative to polyurethane.

XPC 939A>C and 499C>T Polymorphisms and Skin Cancer Risk: a Meta-analysis

  • Ji, Geng;Lin, Yuan;Cao, Song-Yu;Li, Luo-Zhu;Chen, Xin-Long;Sun, Bu-Mei;Chen, Chuan-Jun;Ma, Hong-Xia
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.4983-4988
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    • 2012
  • The xeroderma pigmentosum complementation group C gene (XPC) has been identified as important for repairing UV-related DNA damage. Some subtle changes in this gene may impair repair efficiency and influence susceptibility to human cancers, including skin cancer. Two polymorphisms in XPC, 939A>C (rs2228001) and 499C>T (rs2228000), are considered to have possible associations with the risk of skin cancer, but the reported results have been inconsistent. Here we performed a meta-analysis of the available evidence regarding the relationship between these two polymorphisms and the risk of skin cancer. All relevant studies were searched using PubMed, Embase and Web of Science before February 2012. A total of 8 case-control studies were included in this analysis, and no convincing associations between the two polymorphisms and risk of skin cancer were observed in any of the genetic models. Stratified analyses by skin cancer type also did not detect significant associations in any subgroup. This meta-analysis suggested that the XPC 939A>C and 499C>T polymorphisms may have little involvement in susceptibility to skin cancer.

Cloning and characterization of a novel gene with alternative splicing in murine mesenchymal stem cell line C3H/10T1/2 by gene trap screening

  • Wang, Mingke;Sun, Huiqin;Jiang, Fan;Han, Jing;Ye, Feng;Wang, Tao;Su, Yongping;Zou, Zhongmin
    • BMB Reports
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    • v.43 no.12
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    • pp.789-794
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    • 2010
  • A novel gene, designated mgt-6, containing four splicing variants, was isolated from a gene trap clone library of C3H/10T1/2 cells transfected with retroviral promoterless gene-trap vector, ROSAFARY. The transcript variants were differentially expressed in murine tissues and cell lines and differentially responded to diverse stimuli including TGF-${\beta}1$ and mitogen-activated protein kinase (MAPK) inhibitors. The mgt-6 gene encoded a protein of 37 or 11 amino acid residuals with cytoplasmic distribution. However, when C3H/10T1/2 cells were treated with 5-azacytidine, the protein translocated into cell nucleus as indicated by fused LacZ or C-terminally tagged EGFP. Our preliminary results suggest that further study on the role of mgt-6 gene in cell transformation and differentiation may be of significance.

Treatment for Hydrofluoric Acid Chemical Injury on Hands (불산에 의한 수부 화학 화상의 치료)

  • Nam, Seung Min;Choi, Hwan Jun;Kim, Mi Sun
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.471-477
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    • 2007
  • Purpose: Hydrofluoric acid(HF) is one of the most dangerous mineral acids with dissociated fluoride ions. As hydrofluoric acid is present in various household products(such as rust removers), a large population of industrials is at the risk of HF exposure. It is a very strong organic acid, used widely in glass etching, metal washing, and in the semiconductor industry. Even when using adequate safety measures, lack of care on the user's part results in chemical burn by HF. Symptoms caused by HF-induced chemical burns shows delayed manifestations resulting in a loss of proper treatment opportunities. We therefore reviewed 20 cases of HF-induced chemical burns and treatment principle. Methods: The objects of this study were 19 male patients and 1 female treated from March 2004 to March 2006. There were 19 cases of injury on digits and 1 on the wrist area. There were 15 cases of immediate treatment after sustaining HF-induced burns, and 5 cases of delayed treatment. As a principle, in the emergency treatment, partial or complete removal of the nail along with copious washing with normal saline was done, depending on the degree of HF invasion of the distal digital extremities. Results: The 15 cases who came to the hospital immediately after the injury were healed completely without sequelae, and those who delayed their treatment needed secondary surgical measures, due to the severity of inflammation and necrosis of the digital tissues. Conclusion: As the industrial sector develops, the use of HF is increasing more and more, leading to increase in incidences of HF-induced chemical burns. When treating chemical burns caused by HF, washing by copious amounts of normal saline, along with early removal of the nails, rather than calcium gluconate, seems to be a available method for preserving the shape and function of the digits and the nail. The education of patients regarding this subject should be empathized accordingly.

Epidemiology of Burns in Infants: A Four-Year Retrospective Study (영유아 화상의 역학조사: 4년간의 후향적 연구)

  • Yu, Ha Hyun;Choi, Youngwoong
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.49-52
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    • 2019
  • Purpose: Little information has been published regarding minor burn injuries in infants, most of which are preventable. To fill this research gap, this study explored the patterns and mechanisms of burn injuries in infants to ascertain whether such incidents can be prevented. Methods: This was a retrospective study, based on data collected prospectively from all infants (<12 months old) admitted to our hospital with burns in the four-year period between January 1, 2015 and December 31, 2018. A medical record review provided basic demographic information, such as age at the time of injury, sex, cause of injury, duration of treatment, operative treatment, and the extent and type of burn, as well as the anatomical region involved. Results: Fifty-seven infants were diagnosed with burn injuries, with scalding being the most common type (47%), followed by contact (32%) and steam (14%). Seven infants of eight steam burn patients injured by pressure cooker. Superficial second degree was the most common depth of injury (72%) followed by first degree (17%) and deep second degree (8%). Average age per injury type was calculated by independent T-test. Average ages of patients with contact and steam burns were significantly lower (7.06 months; P=0.19) and higher (9.25 months; P=0.005), respectively, than for other burn types. Conclusion: Given that infants cannot control their body movements, talk, or manage by themselves, they are entirely dependent on the proper care of adults. Consequently, in addition to the prevention of burns, special care should be taken for the pressure cooker.

Crop Burns in an Ara Macao (금강앵무에서 발생한 모이주머니 화상과 파열)

  • 김순영;정성목;남치주
    • Journal of Veterinary Clinics
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    • v.18 no.1
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    • pp.65-66
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    • 2001
  • A 900 g seven-month-old female scarlet macaw was referred to Seoul National University Veterinary Medical Teaching Hospital with history of rupture of a crop. Formula leaking from the crop fistula onto the chest feathers was found. According to history taking, and physical examination, the avian was diagnosed as the burns on both right and left surface of the crop. After anesthetizing it with ketamine(50 mg/kg, IV), necrotic tissue of the skin and crop was excised. The crop wall and skin were closed in layer by layer. Metronidazole (50 mg/kg, sid, PO) was administered for 5 days postoperatively. The meal was given frequently with smaller amount. There has not been any digestive problem for 2 months after treatment.

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The Effect of Burns' Cognitive-Behavioral Group Counseling on depression and anxiety of Industrial High School Students (전문계고 학생들의 우울과 불안 감소를위한 Burns의 인지-행동 집단상담의 효과)

  • Lee, Hee-Young;Kang, Sin-Hoon;Cha, Ta-Soon
    • Journal of Fisheries and Marine Sciences Education
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    • v.22 no.1
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    • pp.99-112
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    • 2010
  • This study was conducted to test the effect of Burns' cognitive-behavioral group counseling on depression and anxiety of industrial high school students. For this purpose, an experimental group and comparative group which was composed of 15 students respectively were assigned. The independent sample t-test between experimental group and comparative group about the degree of pre-test and after-test and the opposition sample t-test within each experimental group and comparative group were conducted. Analysis of Covariance was also applied. Results of the analyses showed that Burns' cognitive-behavioral group counseling program was effective in decreasing depression and anxiety. Implications of these results on student guidance and counseling were discussed. Suggestions for future research were presented and limitations were indicated.

Therapeutic Effect of Autologous Activated Platelet-rich Plasma Therapy on Mid-dermal to Full-thickness Burns: A Case Series

  • Karina, Karina;Ekaputri, Krista;Biben, Johannes Albert;Hadi, Pritha;Andrew, Hubert;Sadikin, Patricia Marcellina
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.405-412
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    • 2022
  • Although modern medicine has made great strides in the management of burn injuries, associated complications such as pain, infection, dyspigmentation, and scarring have yet to be fully dealt with. Although skin grafting and meshing are routinely performed on burn patients, this method poses a risk for adverse effects. Activated autologous platelet-rich plasma (aaPRP), which is increasingly used in the field of plastic surgery, contains growth factors beneficial for wound regeneration. Seven cases of burns with varying severity and conditions that were treated with intralesional subcutaneous injection and intravenous aaPRP are presented and discussed herein. This case series indicates that subcutaneous and intravenous aaPRP is a safe procedure with the potential to be an alternative when skin grafting cannot be done or as an adjunct treatment to skin grafting.