Burn injuries are very much common across globe and specially in developing countries. Burn care requires expertise and sophisticated health care facility. Unfortunately, Burn Surgery has always been a neglected part of Surgery & Allied Sciences. The published literature is not adequate and a lot has to be done yet. Different treatment options and modalities are practiced in different settings and tertiary care hospitals. This comparative study focuses on the treatment of Postburn flexion contracture of fingers which is a grave condition for burn victim. Post burn contractures affecting function remain the most frustrating late complication of burn injury. The fingers, because of their terminal anatomical location, are at the real risk in any burn of the upper extremity even if they are not directly involved. When burned, the extensor surface of the digits is more critical because of the superficial location of the tendons and the bony structure. The volar surface of the fingers is well padded and the flexor tendons are well protected, but any deep burn in this location will cause flexion contractures.
Evaluation of the flexion-relaxation response has been used to objectively assess the neuromuscular adaptation associated with low back pain, and has attracted much clinical interest due its impressive ability to distinguish between low back pain patients and pain-free controls. However, there appears to be a lack of consensus as to what actually constitutes flexion-relaxation in a normal population. Additionally, the influence of other factors such as electrode position and the flexion task being performed is unclear. In this book, the flexion-relaxation response is evaluated using different methods, and the influence of different electrode sites and flexion tasks is determined. This information will help in providing recommendations for flexion-relaxation quantification, and should be particularly useful to professionals in the field of human biomechanics and movement.
Burn injury represents perhaps the vast spectrum of any form of trauma. Burns can happen to anyone, and in almost all cases, a burn is fully avertable. Welcome to Paperback entitled “Burn Mortality in North India-Epidemiology and Preventive Aspects”. A study about the causes and the magnitude of the fatal burn mortality which shows majority of deaths occurred in the reproductive age group with a preponderance of females who were unlettered and most of incidents were suicidal with septicemia & pneumonia as a leading cause of death. The approach to burn prevention, to be potent in a particular area, should be based on a sound knowledge of etiological patterns of burn injuries and must take into account the geographical variations and socioeconomic differences in burn epidemiology. High-income countries have made considerable progress in reducing the burn deaths rates, through combination of proven prevention strategies and through improvements in the care of burn victims. Advances in prevention and care have been incompletely applied in low- and middle-income countries. Increased efforts to do so would likely lead to remarkable reductions in burn-related death and disability rates.
Oral submucous fibrosis is a chronic progressive premalignant condition, characterized by gradually increasing fibrosis of sub mucosa of cheek resulting in trismus thereby limiting mouth opening. Various surgical modalities have been tried in surgical management, but each has its own limitations. Buccal fat pad and collagen membrane has seen satisfactory results. In the present study these two grafting materials have been compared and assessed their roles in improving the mouth opening post operatively. The study group consisted of 15x2=30 patients with bilateral clinically and histopathologically proven cases of oral submucous fibrosis. Group I (buccal fat pad graft) was compared with group II (collagen graft) post operatively for mouth opening up to 6 month follow up. Collagen membrane group showed better mouth opening post operatively owing to their faster epithelization rate and less wound contracture. But the difference was not statistically significant. Findings of this study concludes that the use of collagen membrane following excision of fibrotic bands in the management of oral submucous fibrosis gave better results with respect to post operative mouth opening.
The human hand represents a highly sophisticated Structure. The complex array of hand muscles, tendons and specialized ligamentous structures produce a capacity for fine control of movement and position of digits.This Book which is based on research study conducted on discussing the effect of different professions on Hand capabilities. These professions composed Jewelers, carpenters, basketball players, handball players, tennis ball players. The measures included hand length, power grip, pinch grip, active span between fingers (fanning) and active range of finger flexion. It will be valuable for anatomists, hand surgeons, hand rehabilitation doctors, medical doctors, physiotherapists, and nurses interested in hand study.
Burn and wound care has developed significantly over the last 70 years but most rapidly at times of conflict and war. Significant advances in the quality of burn care were seen in the Second World War. To achieve the best outcomes for burn patients, the medical research clearly indicates that dedicated, well-equipped burn facilities are necessary, with a multidisciplinary rehabilitation team to improve patients quality of life .Therefore, we need to look at health issues related specifically to burn and wound care. Significantly, this book provides a comprehensive clinical approach for burn and wound care. The authors address important issues including bed sores, diabetic foot ulcers, burn patient rehabilitation .This book describes itself a practical handbook.
In essence, burns are haunting problems of the mankind even today. Nothing much can be done to such sufferers once they sustain serious injury, specially in terms of scaring, disfigurement and disability. The present study has been undertaken with a view to studying the profile of various type of burns brought for autopsy. This study highlights the incidence and impact of various epidemiological factors, patterns, mortality rate of burn cases. This study also signifies population of highest risk, duration of survival, comparative prevalance and medicolegal importance of burn cases. The massage is "prevent the burn before it devastates".