In a prospective, open, randomized and parallel group trial, 98 patients with partial thickness burns suitable for outpatient management were treated with either Granuflex 'E' (n = 49) or Bactigras (n = 49). The objective was to compare the safety, efficacy and performance characteristics of Granuflex 'E' with Bactigras. The ...

The first 12 months of a new consultation-liaison service to a burns unit is described. Management of contact between the psychiatrist and the burns team is discussed and diagnostic categories are given for referrals seen. Diagnostic criteria are not achieved for many patients assessed, and yet the burns team still ...

Publications on the use of antibacterial agents for wounds and burns in the developing world continue to emphasize the value of antiseptics such as Eusol and gentian violet. In the developed world these agents have been mostly discredited. A workshop organized by the European Society for Tissue Repair concluded that ...

Because the inclusion of the speech-language pathologist in a burn management team is not widely practiced, we discuss our successes as members of a burn team. We also review speech-language evaluation and treatment strategies and present two patients with head and neck burns who gained from our intervention.

An example is reported of a burn caused by cutaneous exposure to 3,5-dichloro 2,4,6-trifluoropyridine (DCTFP) involving 25 per cent of the body surface. A striking feature was the development of the appearance of the burn over the first 72h postinjury. Healing was nevertheless spontaneous. The management of the injury is ...

Burns of the feet pose unique and difficult problems in initial management, reconstruction, and the attainment of long-term functional results. The primary reconstructive goals for this region are unimpeded ambulation and weightbearing. These objectives can be achieved by adherence to established principles of wound management, a clear delineation of the ...

An algorithm of fluid resuscitation for cutaneous burns is presented. The management of these cases entails an initial process of evaluation followed, when appropriate, by the administration of intravenous fluids. The fluid requirements are prospectively calculated and subsequently modified by using closed loop feedback with monitoring of urine output, plasma ...

In a prospective randomized trial, 213 consecutive patients with less than 10 per cent BSA partial thickness burns were treated as outpatients with either Bactigras (n = 102) (tulle gras dressing with 0.5 per cent Chlorhexidine Acetate B.P.) or Inadine (n = 111) (rayon dressing with 10 per cent povidone ...

The hand is the most frequent site of thermal injury, and it is reported that didactic burn care training for physical therapists is severely lacking. This article is written for clinicians who do not routinely manage burned hands, with the purpose of outlining a plan for physical therapy evaluation and ...

An unusual suicide is described in which analysis of circulating kerosene components at autopsy suggested that the victim had drunk kerosene and then had poured it over his body, ignited it, and burned to death.

The smear taking practices of departments of genitourinary medicine were investigated by telephone inquiry. Departments seem to be broadly and equally divided into those where the smear is taken before the cervix is wiped or endocervical specimens are taken for microbiology, and those where the smear is taken afterwards. In ...

This study examines the ability of junior doctors to initiate the management of burned patients. One hundred and twenty-four junior doctors were assessed using a questionnaire. Eighty per cent of the sample had had undergraduate lectures on the subject and 43 per cent had experience of managing patients with major ...

We report the case of a child who sustained partial thickness burns from a garlic-petroleum jelly plaster, which had been applied at the direction of a naturopathic physician. A review of the literature reveals that "garlic burns" have not previously been reported, although medicinal properties of garlic have been investigated ...

That a female patient with abdominal pain is often considered to have pelvic inflammatory disease until proven otherwise is ubiquitous in the medical literature. This view is dangerous and should be challenged because it has resulted in episodes of ruptured appendix, death from ruptured ectopic pregnancies, and serious morbidity from ...

An elderly woman swallowed 2 tablets of a denture-cleansing agent (Steradent) believing them to be her sleeping tablets. This caused severe burning pain in the throat and resulted in a tight postcricoid oesophageal stricture. Treatment by repeated dilatation of the stricture has been only partially successful. Characteristic containers for non-medicinal ...

This paper discusses some of the causes of boredom in psychiatric practice. It also describes how many psychiatric conditions can have boring facets to them, which can lead to difficulties in treatment and "burn-out" in the therapist. Finally, some practical suggestions are given to help avoid and deal with boredom.

The records of 2,277 patients referred to the Colposcopy Clinic at Cook County Hospital were reviewed, and those of 1,328 black patients who had a histological diagnosis of dysplasia or carcinoma in situ of the cervix were chosen for this study.Treatment modalities of intraepithelial cervical neoplasia are discussed and the ...

Clinical research on burns has developed substantially in China since 1958. Having the rich inheritance of our traditional medicine the study of burn treatment in our country has developed in a way somewhat different from that in Western countries. In this paper, the outcome of the clinical practice and research ...

Patients with minor chemical skin burns are often seen by the dermatologist. If these burns are treated improperly, the result may be severe tissue damage. In order to familiarize the dermatologist with chemical burns, recommendations for office therapy are given with an emphasis on practical therapy in the office setting.

Most minor burns can be expected to heal uneventfully if certain principles of management are followed. Prompt assessment of the etiology and classification of the burn will reveal which burns can be treated on an outpatient basis. This article outlines the principles of such treatment.

Between 1969 and 1979, 20 patients under-went pneumonectomy for tuberculous destroyed lungs (TDL) at the University College Hospital (UCH), Ibadan, Nigeria. Their ages ranged from 9 to 57 years, with an average age of 24 years. The left lung was involved in 16 patients (80 percent) and the right lung ...

Burns due to hot tar present a difficult management problem because the tar is difficult to remove without inflicting further injury to the underlying burn. We have found the surface active agent polyoxyethylene sorbitan (Tween 80, Sigma, St. Louis, MO) or Polysorbate (Sigma), by itself or in combination with an ...

My first aim is to present the state of burn care during the few years before the Battle of Britain in August-October 1940. This gives the climate of thought in which McIndoe and his collegues faced the challenge of burns. We are inclined to forget the helplessness of surgeons faced ...

Flexor tendon injuries in the hand present a real challenge in treatment. Poorly chosen or poorly executed treatment may lead to a functionless finger at best, impairing total hand function. A variety of approaches to treatment of flexor tendon injuries is available to the specially trained surgeon and a particular ...

An overview of the management of the acutely burned patient has been described. Adherence to the sound principles of early resuscitation, appropriate nutrition, wound management, and rehabilitation can provide hope for many of the victims of this tragic injury. Complications encountered throughout the burn illness present unique and perplexing problems ...

Two randomized, double-blind comparison studies were conducted to evaluate the efforts of 2 emollient dry skin creams containing urea in the management of dry skin in atopic patients. Cream with 10% urea was shown to be effective in the management of dry skin and hand dermatitis. The cream with a ...

An active approach to the management of severe pre-eclampsia is outlined using sedation with diazepam, hypotensive therapy with hydralazine and immediate steps to terminate the pregnancy.Clinical experience with 80 cases is described. There was no maternal loss and corrected perinatal mortality was 4.8%.

Nine patients who had recurrent ventricular fibrillation following acute myocardial infarction or angina were given bretylium tosylate in a dose of 5 mg./kg. intramuscularly every eight hours after other measures had proved ineffective. Provided the patients were not in shock or in heart failure, there was a considerable reduction in ...

Burn injuries are common and vary in severity. Early management is essential to reduce patient mortality and morbidity. Immediate care involves accurate assessment of burn depth and appropriate fluid management. This article offers an overview of the assessment and nursing care involved in ensuring successful management of patients with burn ...

The first article in this series (Vol 52 (11), p.583) discussed the pathophysiological processes involved in burn injury. This article describes the early management of large burns, in which treatment is considered in four stages: resuscitation, assessment, further care and transfer. The mnemonic 'RAFT' is suggested as a means of ...

Symmetrical, extracellular fibrils, which are related to the "special fibrils" of the dermis described by Palade and Farquhar, have been found along the outer surface of the basement membrane covering the notochord in the tail of Rana catesbeiana (bullfrog) tadpoles. The fibrils are approximately 7,500 A long and occur singly ...

One hundred and thirteen consecutive patients with acne were studied by qualified dermatologists during a trial of topical 10% benzoyl peroxide and 2%-5% sulfur cream. The results were considered "good" to "excellent" in both office and clinic situations. The method was remarkably free of undesirable side effects. The program has ...