检索结果-南通市图书馆

Burn care: The challenges of research

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Burns & Trauma 2013年第3期1卷 105-108页

作者： fiona M. wood Burns Service of Western Australia Burn Injury Research Unit University of Western Australia Australia

Burn care is an area which has advanced relentlessly over the past decades with improved survival and quality of survival. However, there are many challenges which overshadow the successes. The translation of what we know into clinical practice remains a challenge due to issues on many levels from overcoming personal opinion to resource allocation. We live in a time of exponential increase in knowledge in diverse areas which could be harnessed to improve the lives of those suffering burn injuries. Breaking down silos in education training and research remain challenging and again the allocation of resource is key. Ultimately when the goal is "One World One Standard of Burn Care" the greatest challenge is in education with specific reference to burn injury prevention and first aid.

关键词： Burn injury translational research improved outcomes

Current understanding of the chronic stress response to burn injury from human studies

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Burns & Trauma 2023年第1期11卷 289-299页

作者： Tyler Osborne Bradley Wall Dale WEdgar Timothy Fairchild fiona wood Discipline of Exercise Science Murdoch UniversityMurdoch 6150Western Australia Centre for Healthy Ageing Health Futures InstituteMurdoch UniversityMurdoch 6150Western Australia State Adult Burns Unit Govern-ment of Western Australia South Metropolitan Health ServiceFiona Stanley HospitalMurdoch 6150Western Australia fionawood Foundation Fiona Stanley HospitalMurdoch 6150Western Australia Burn Injury Research Node Institute for Health ResearchThe University of Notre Dame AustraliaMurdoch 6160Western Australia Burn Injury Research Unit University of Western AustraliaMurdoch 6009Western Australia The Centre for Molecular Medicine and Innovative Therapeutics Health Futures InstituteMurdoch UniversityMurdoch 6150Western Australia

There is a marked inflammatory and hypermetabolic response following a burn *** inter-linked responses are more pronounced than for other forms of trauma and can persist for≥3 years post-injury in burned *** a burn,patients have an increased risk of diseases of ageing including cancer,diabetes and cardiovascular disease,highlighting the need for effective long-term strategies to ameliorate the stress response *** therapeutic strategies for post-burn recovery include removal of damaged tissue with surgical excision and wound repair,nutritional supplementation and rehabilitative *** strategies aim to minimize the hypermetabolic and inflammatory responses,as well as reducing the loss of lean body *** review briefly summarises the inflammatory and hypermetabolic responses and provides an update on the current therapeutic strategies for burned *** review examines the persistent nutritional challenge of ensuring sufficient energy intake of each macronutrient to fuel the hypermetabolic and counteract the catabolic response of burn injury,whilst reducing periods of hyperglycaemia and *** require individualized treatment options tailored to unique systemic responses following a burn,facilitated by a precision medicine approach to improve clinical and physiological outcomes in burned ***,this review discusses the utility of metabolic flexibility assessment to aid clinical decision making and prescription relating to nutritional supplementation and rehabilitative exercise in the burned patient.

关键词： Burns Metabolism Inflammation Metabolic flexibility Exercise Nutrition Clinical care

Effect of corrosion inhibiting compounds on the corrosion behaviour of pure magnesium and the magnesium alloys EV31A, WE43B and ZE41A

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Magnesium and Alloys 2021年第2期9卷 432-455页

作者： Akif Soltan Matthew S.Dargusch Zhiming Shi fiona Jones Barry wood Darren Gerrard Andrej Atrens School of Mechanical and Mining Engineering The University of QueenslandBrisbaneQld 4072Australia UQ Materials Performance The University of QueenslandBrisbaneQld 4072Australia Centre for Microscopy and Microanalysis The University of QueenslandBrisbaneQld 4072Australia Defence Materials Technology Centre DMTC LimitedLevel 224 Wakefield StreetHawthornVic 3122Australia Defence Science and Technology Group 506 Lorimer StreetFishermans BendVic 3207Australia

This paper studied corrosion of pure Mg and the Mg alloys EV31A,WE43B,ZE41A,coated with commercial corrosion inhibiting compounds(CICs)(LPS 3,LPS2,AMLGuard,Ardrox 3961)immersed in 3.5 wt%(0.6M)Na Cl solution saturated with Mg(OH)_(2).All four CICs reduced corrosion *** 3 resulted in zero corrosion rates and 100%inhibition in most *** 2 and AMLGuard had comparable inhibition efficiencies,whilst Ardrox 3961 had the lowest inhibition *** in corrosion rates was tentatively attributed to barrier films formed by chemical adsorption for LPS 3 and AMLGuard,and by physical adsorption for LPS2 and Ardrox 3961.

关键词： Magnesium Weight loss Hydrogen evolution XPS FTIR Corrosion inhibition

Demonstration of the test-retest reliability and sensitivity of the Lower Limb Functional Index-10 as a measure of functional recovery post burn injury:a cross-sectional repeated measures study design

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Burns & Trauma 2016年第2期4卷 153-159页

作者： Margaret E.Ryland Tiffany L.Grisbrook fiona M.wood Michael Phillips Dale W.Edgar School of Physiotherapy and Exercise Science Curtin UniversityBentley 6102WAAustralia School of Physiotherapy and Exercise Science Curtin UniversityBentley 6102WAAustralia fiona wood Foundation of Western Australia Fiona Stanley Hospital11 Warren DriveMurdoch 6150WAAustralia fiona wood Foundation of Western Australia Fiona Stanley Hospital11 Warren DriveMurdoch 6150WAAustralia State Adult Burn Unit Fiona Stanley HospitalLevel 411 Warren Smith DriveMurdoch 6150WAAustralia Burn Injury Research Unit The University of Western AustraliaCrawley 6009WAAustralia Harry Perkins Institute of Medical Research The University of Western AustraliaCrawley 6009WAAustralia fiona wood Foundation of Western Australia Fiona Stanley Hospital11 Warren DriveMurdoch 6150WAAustralia State Adult Burn Unit Fiona Stanley HospitalLevel 411 Warren Smith DriveMurdoch 6150WAAustralia Burn Injury Research Unit The University of Western AustraliaCrawley 6009WAAustralia Burn Injury Research Node The University of Notre Dame Australia19 Mouat StFremantle 6160WAAustralia

Background:Lower limb burns can significantly delay recovery of *** lower limb functional outcomes is challenging in the unique burn patient population and necessitates the use of reliable and valid *** aims of this study were to examine the test-retest reliability,sensitivity,and internal consistency of Sections 1 and 3 of the Lower Limb Functional Index-10(LLFI-10)questionnaire for measuring functional ability in patients with lower limb burns over ***:Twenty-nine adult patients who had sustained a lower limb burn injury in the previous 12 months completed the test-retest procedure of the *** addition,the minimal detectable change(MDC)was calculated for Section 1 and 3 of the *** 1 is focused on the activity limitations experienced by patients with a lower limb disorder whereas Section 3 involves patients indicating their current percentage of pre-injury ***:Section 1 of the LLFI-10 demonstrated excellent test-retest reliability(intra-class correlation coefficient(ICC)0.98,95%CI 0.96–0.99)whilst Section 3 demonstrated high test-retest reliability(ICC 0.88,95%CI 0.79–0.94).MDC scores for Sections 1 and 3 were 1.27 points and 30.22%,*** consistency was demonstrated with a significant negative association(rs=?0.83)between Sections 1 and 3 of the LLFI-10(p<0.001).Conclusions:This study demonstrates that Section 1 and 3 of the LLFI-10 are reliable for measuring functional ability in patients who have sustained lower limb burns in the previous 12 months,and furthermore,Section 1 is sensitive to changes in patient function over time.

关键词： Outcome measure Questionnaire Lower limb function Internal consistency Minimal detectable change Burn

Venous thromboembolism prophylaxis practice and its association with outcomes in Australia and New Zealand burns patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Burns & Trauma 2021年第1期9卷 642-651页

作者： Lincoln M.Tracy Peter A.Cameron Yvonne Singer Arul Earnest fiona wood Heather Cleland Belinda J.Gabbe School of Public Health and Preventive Medicine Monash University553 St Kilda RoadMelbourneVictoria3004Australia Emergency and Trauma Centre The Alfred HospitalCommercial RoadMelbourneVictoria3004Australia Victorian Adult Burns Service Alfred Hospital55 Commercial RoadMelbourneVictoria3004AustraliaAustralia Registry Sciences Unit Department of Epidemiology and Preventive MedicineMonash University553 St Kilda RoadMelbourneVictoria3004Australia Biostatistics Unit Department of Epidemiology and Preventive MedicineMonash University553 St Kilda RoadMelbourneVictoria3004Australia Burn Injury Research Unit University of Western Australia35 Stirling HighwayPerthWestern Australia6009Australia Health Data Research UK Swansea University Medical SchoolSwansea UniversitySingleton ParkSwanseaUK

Background:Patients with burn injuries are considered to have an increased risk of venous thromboembolism(VTE).While untreated VTEs can be fatal,no studies have examined chemoprophylaxis *** study aimed to quantify the variation in prevalence of VTE prophylaxis use in patients in Australian and New Zealand burns units and whether prophylaxis use is associated with in-hospital outcomes following burn ***:Admission data for adult burns patients(aged≥16 years)admitted between 1 July 2016 and 31 December 2018 were extracted from the Burns Registry of Australia and New *** effects logistic regression modelling investigated whether VTE prophylaxis usewas associated with the primary outcome of in-hospital ***:There were 5066 admissions over the study *** these patients,81%(n=3799)with a valid response to the VTE prophylaxis data field received some form of VTE *** of VTE prophylaxis ranged from 48.6%to 94.8%of patients between ***-hospital death was recorded in<1%of patients(n=33).After adjusting for confounders,receiving VTE prophylaxis was associated with a decrease in the adjusted odds of in-hospital mortality(adjusted odds ratio=0.21;95%CI,0.07–0.63;p=0.006).Conclusions:Variation in the use of VTE prophylaxis was observed between the units,and prophylaxis use was associated with a decrease in the odds of *** findings provide an opportunity to engage with units to further explore differences in prophylaxis use and develop future best practice guidelines.

关键词： Burn injury Venous thromboembolism Prophylaxis Australia New Zealand

Collating Historic Weather Observations for the East Asian Region： Challenges, Solutions, and Reanalyses

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Advances in Atmospheric Sciences 2018年第8期35卷 3-8页

作者： fiona WILLIAMSON Rob ALLAN Guoyu REN Tsz-cheung LEE Wing-hong LUI Hisayuki KUBOTA Jun MATSUMOTO Jurg LUTERBACHER Clive WILKINSON Kevin wood Asia Research Institute National University of Singapore 10 Kent Ridge Crescent Singapore 119260 Atmospheric Circulation Reconstructions over the Earth Climate Monitoring and Attribution Group Met Office Hadley Centre FitzRoy Road Exeter EX1 3PB UK National Climate Center China Meteorological Administration Beijing 100081 China Hong Kong Observatory Hong Kong China Department of Earth and Planetary Sciences Hokkaido University 5 Chome Kita 8 Jonishi Kita Sapporo Hokkaido 060-0808 Japan Tokyo Metropolitan University 1 Chome-1 Minamiosawa Hachioji Tokyo 192-0364 Japan Department of Geography Justus Liebig University of Giessen Senckenbergstrasse 1 D-35390 Giessen Germany Climatic Research Unit University of East Anglia Norwich Research Park Norwich NR4 7TJ UK Joint Institute for the Study of the Atmosphere and Ocean University of Washington Seattle 98195 USA China University of Geosciences Wuhan 430074 China

1. IntroductionHistoric instrumental weather observations, made on land or at sea from as early as the 17th century （e.g.,Camuffo et al.,2010）,are integral to extending our understanding of the decadal and centennia... 详细信息

关键词： Collating Historic Weather Observations for the East Asian Region:Challenges Solutions and Reanalyses

A population-based comparison study of the mental health of patients with intentional and unintentional burns

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Burns & Trauma 2018年第4期6卷 287-296页

作者： Thirthar P Vetrichevvel Sean M Randall fiona M wood Suzanne Rea James H Boyd Janine M Duke Burn Injury Research Unit Faculty of Health and Medical SciencesThe University of Western AustraliaM318 35 Stirling HighwayCrawleyPerthWestern Australia 6009Australia Curtin Medical School Curtin UniversityPerthAustralia Centre for Data Linkage Curtin UniversityPerthWestern AustraliaAustralia Burns Service of Western Australia Fiona Stanley Hospital and Princess Margaret HospitalPerthWestern AustraliaAustralia

Background:A number of studies report high prevalence of mental health conditions among burn patients. However there is a need to understand differences in the temporal relationship between mental health conditions and intentional and unintentional burns to hasten psychological prevention and intervention. This study aims to compare the socio-demographic profile, burn characteristics and pre-and post-burn psychiatric morbidity of burn patients by intent-of-injury. Methods:De-identified linked hospital, death and mental health (MH) case registry data of burn patients hospitalised in Western Australia between 1 January 1980 and 30 June 2012 were analysed. Crude (observed) post-burn rates of mental health admissions were generated by burn intent-of-injury. Descriptive statistics were performed to compare the characteristics of the burn patients. Results:A total of 30,997 individuals were hospitalised for a first burn;360 (1.2%) had self-harm burns and 206 (0.7%) assault burns. Over the study period, admission rates for assault burns increased by 4.8%per year (95%confidence interval (CI) 3.1–6.5%) and self-harm burns increased 6.9%per year (95%CI 4.8–9.1%). Self-harm and assault burns occurred mainly among those aged 15 to 44 years (median age, interquartile range (IQR):self-harm 30 years, 22–40;assault 31 years, 23–38). Those with self-harm burns had a longer index hospital stay (median (IQR):self-harm 15 days (5–35) vs 4 days (1–11) assault vs 4 days (1–10) unintentional) and higher in-hospital mortality (7.2%self-harm vs 1.9%assault burns vs 0.8%unintentional). More than half (55.0%) of self-harm burns had a prior hospitalisation (5-year lookback) for a MH condition vs 10.7%of assault burns and 2.8%of unintentional burns. Crude post-burn rates of MH admissions per 100 person-years (PY) by intent-of-burn subgroups:self-harm 209 per 100 PY, assault burns 11 per 100 PY and unintentional burns 3 per 100 PY. Conclusions:Intentional burn patients experienced significantly

关键词： Intentional burns Mental health Self-harm burns Assault burns Epidemiology

Identification of factors predicting scar outcome after burn injury in children:a prospective case-control study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Burns & Trauma 2017年第3期5卷 186-198页

作者： Hilary J. Wallace Mark W. Fear Margaret M. Crowe Lisa J. Martin fiona M. wood Burn Injury Research Unit Faculty of Health and Medical Sciences University of Western Australia Perth WA Australia Burn Injury Research Unit Faculty of Health and Medical Sciences University of Western Australia M318 35 Stirling Highway Crawley 6009 WA Australia Burn Injury Research Unit Faculty of Health and Medical Sciences University of Western Australia Perth WA Australia Burns Service of Western Australia Princess Margaret Hospital for Children and Fiona Stanley Hospital Perth WA Australia Burn Injury Research Unit Faculty of Health and Medical Sciences University of Western Australia Perth WA Australia Burns Service of Western Australia Princess Margaret Hospital for Children and Fiona Stanley Hospital Perth WA Australia

Background:There is a lack of rigorous research investigating the factors that influence scar outcome in children. Improved clinical decision-making to reduce the health burden due to post-burn scarring in children will be guided by evidence on risk factors and risk stratification. This study aimed to examine the association between selected patient, injury and clinical factors and the development of raised scar after burn injury. Novel patient factors were investigated including selected immunological co-morbidities (asthma, eczema and diabetes type 1 and type 2) and skin pigmentation (Fitzpatrick skin type). Methods:A prospective case-control study was conducted among 186 children who sustained a burn injury in Western Australia. Logistic regression was used to explore the relationship between explanatory variables and a defined outcome measure:scar height measured by a modified Vancouver Scar Scale (mVSS). Results:The overall correct prediction rate of the model was 80.6%;80.9%for children with raised scars (>1 mm) and 80.4%for children without raised scars (≤1 mm). After adjustment for other variables, each 1%increase in%total body surface area (%TBSA) of burn increased the odds of raised scar by 15.8%(95%CI=4.4-28.5%). Raised scar was also predicted by time to healing of longer than 14 days (OR=11.621;95%CI=3.727-36.234) and multiple surgical procedures (OR=11.521;1.994-66.566). Conclusions:Greater burn surface area, time to healing of longer than 14 days, and multiple operations are independently associated with raised scar in children after burn injury. Scar prevention strategies should be targeted to children with these risk factors.

关键词： Burns Wound healing Hypertrophic scar Risk factors Children

Understanding acute burn injury as a chronic disease

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Burns & Trauma 2019年第1期7卷 213-221页

作者： Lucy W.Barrett Vanessa S.Fear Jason C.Waithman fiona M.wood Mark W.Fear Telethon Kids Institute University of Western AustraliaNorthern EntrancePerth Children’s Hospital15 Hospital AveNedlandsWA 6009Australia Institute for Respiratory Health Ground FloorE Block Sir Charles Gairdner HospitalHospital AvenueNedlandsWA 6009Australia fiona wood Foundation Fiona Stanley HospitalMNH(B)Main HospitalCD 15Level 4Burns Unit102-118 Murdoch DriveMurdochWA 6150Australia Burns Service of Western Australia WA Department of HealthNedlandsWA 6009Australia Burn injury research unit School of Biomedical SciencesUniversity of Western AustraliaCrawleyWA 6009Australia

While treatment for burn injury has improved significantly over the past few decades,reducing mortality and improving patient outcomes,recent evidence has revealed that burn injury is associated with a number of secondary pathologies,many of which arise long after the initial injury has *** studies have linked burn injury with increased risk of cancer,cardiovascular disease,nervous system disorders,diabetes,musculoskeletal disorders,gastrointestinal disease,infections,anxiety and *** wide range of secondary pathologies indicates that burn can cause sustained disruption of homeostasis,presenting new challenges for post-burn *** burn injury as a chronic disease will improve patient care,providing evidence for better long-term support and monitoring of *** focused research into the mechanisms underpinning long-term dysfunction,a better understanding of burn injury pathology may help with the development of preventative treatments to improve long-term health *** review will outline evidence of long-term health effects,possible mechanisms linking burn injury to long-term health and current research into burns as a chronic disease.

关键词： Burns Immune system Endocrine system Homeostasis Patient care Chronic disease