825 Electrical Injuries as a Result of Solar Panels: A New Trend

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S251-S252
Author(s):  
Ran Halleluyan ◽  
Nicole M Kopari
Keyword(s):  
Injury Severity ◽  
Average Length ◽  
Significant Proportion ◽  
Kidney Injury ◽  
Solar Panel ◽  
Solar Panels ◽  
Center Staff ◽  
Burn Center ◽  
Electrical Burns ◽  
Electrical Injuries

Abstract Introduction Solar panels are associated with a number of potential injuries from manufacturing through installation. Among these are electrical injuries, which increased in frequency with the recent increase in the production of photovoltaic panels. The burn literature is currently limited regarding these injuries, the aim of this study was to summarize our institutional experience with electrical injuries from solar panels. Methods A retrospective review of all electrical injuries evaluated at an ABA verified Burn Center from 2014–2018 was performed. Electrical burns unrelated to solar were excluded from analysis. Data collected included demographics, injury severity, and associated morbidity and mortality. Results A total of 39 electrical burns were treated during the study duration, 5 of which (13%) were related to solar panel production or installation. Two patients were burned while working in a solar factory, two while installing solar panels, and one while cleaning solar panels. The average age was 29 years (range 20–47) and all were male. All patients had < 5% TBSA; 1 patient had burns to the face, 1 had burns to the foot, 2 patients had burns to the hand/finger, and 1 patient had burns including the hands, abdomen, and thigh. One patient developed v-fib following his injury. He had a prolonged hospital stay of 74 days complicated by pneumonia, encephalitis, and acute kidney injury with rhabdomyolysis causing compartment syndrome of the hand which required fasciotomy. When excluding this outlier, the average length of stay was 2 days and none required ICU care. One patient required toe amputations and one presented with corneal abrasions, but no other significant complications including cardiac arrhythmias. All 5 patients survived. Conclusions Electrical burns from solar panels make up a significant proportion of electrical burns cared for at our institution. With the recent and continued rise in solar panel production and installation, burn centers should expect to see an increase in patients presenting with electrical burns associated with these products, especially in states seeing a greater push to adopt this technology. Applicability of Research to Practice Burn center staff should be aware of this emerging pattern and prepared to care for the patient injured though this mechanism.

Electrical Injuries in Children: A 10-Year Experience at a Tertiary Pediatric Burn Center

2021 ◽  
Author(s):  
Sabri Demir ◽  
Tugba Ornek Demir ◽  
Ahmet Erturk ◽  
Can İhsan Oztorun ◽  
Dogus Guney ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Surface Area ◽  
Surgical Procedures ◽  
High Voltage ◽  
Low Voltage ◽  
Average Length ◽  
Burn Center ◽  
Average Length Of Stay ◽  
The Right ◽  
Electrical Injuries

Abstract Electrical injuries comprise 4% of cases but have higher morbidity and mortality. This study aims to share our experiences with pediatric electrical injuries and propose strategies to prevent them. The files of pediatric electrical injuries between 2010 and 2020 were reviewed retrospectively. The following were investigated: age, gender, cause, length of stay in the pediatric burn center, total burned surface area, voltage-type, and surgical procedures performed. The patients from low- and high-voltage groups were compared. Eighty-five patients were treated in the last 10 years. Seventy were males, the mean age was 9.9 years, the average length of stay in pediatric burn center was 18.2 days, and the average total burned surface area was 11.7%. Forty-three patients were injured with high-voltage and 42 with low-voltage electricity. Fasciotomy was performed in 25 patients, grafting in 40 patients, and amputation in 12 patients. The most often amputated limb was the right arm/forearm. Psychiatric disorders developed in 24 patients. One patient died. In conclusion, the incidence of high-voltage electrical injuries increases with age. They are more prevalent in males, more often accompanied by additional trauma, and have higher total burned surface area, surgical procedures are performed more often, and hospitalization times are longer. For prevention, precautions should be taken by governments and families, and education is critical.

scholarly journals Expression of HO1 and PER2 can predict the incidence of delirium in trauma patients with concomitant brain injury

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Matti Steimer ◽  
Sandra Kaiser ◽  
Felix Ulbrich ◽  
Johannes Kalbhenn ◽  
Hartmut Bürkle ◽  
...  
Keyword(s):  
Brain Injury ◽  
Injury Severity ◽  
Kidney Injury ◽  
Diagnostic Tools ◽  
Heme Oxygenase 1 ◽  
Trauma Patients ◽  
Independent Manner ◽  
Equal Distribution ◽  
Expression Levels ◽  
Trauma Severity

AbstractIntensive care unit (ICU)-acquired delirium is associated with adverse outcome in trauma patients with concomitant traumatic brain injury (TBI), but diagnosis remains challenging. Quantifying circadian disruption by analyzing expression of the circadian gene period circadian regulator 2 (PER2) and heme oxygenase 1 (HO1), which determines heme turnover, may prove to be potential diagnostic tools. Expression of PER2 and HO1 was quantified using qPCR from blood samples 1 day and 7 days after trauma. Association analysis was performed comparing mRNA expression levels with parameters of trauma (ISS—injury severity score), delirium, acute kidney injury (AKI) and length of ICU stay. 48 polytraumatized patients were included (equal distribution of TBI versus non-TBI) corrected for ISS, age and gender using a matched pairs approach. Expression levels of PER2 and HO1 were independent of age (PER2: P = 0.935; HO1: P = 0.988), while expression levels were significantly correlated with trauma severity (PER2: P = 0.009; HO1: P < 0.001) and longer ICU length of stay (PER2: P = 0.018; HO1: P < 0.001). High expression levels increased the odds of delirium occurrence (PER2: OR = 4.32 [1.14–13.87]; HO1: OR = 4.50 [1.23–14.42]). Patients with TBI showed a trend towards elevated PER2 (OR = 3.00 [0.84–9.33], P = 0.125), but not towards delirium occurrence (P = 0.556). TBI patients were less likely to develop AKI compared to non-TBI (P = 0.022). Expression levels of PER2 and HO1 correlate with the incidence of delirium in an age-independent manner and may potentially improve diagnostic algorithms when used as delirium biomarkers.Trial registration: German Clinical Trials Register (Trial-ID DRKS00008981; Universal Trial Number U1111-1172-6077; Jan. 18, 2018).

scholarly journals Drug-Induced Acute Kidney Injury: A Study from the French Medical Administrative and the French National Pharmacovigilance Databases Using Capture-Recapture Method

2021 ◽  
Vol 10 (2) ◽  
pp. 168
Author(s):  
Anne-Lise Rolland ◽  
Anne-Sophie Garnier ◽  
Katy Meunier ◽  
Guillaume Drablier ◽  
Marie Briet
Keyword(s):  
Acute Kidney Injury ◽  
Medical Information ◽  
Significant Proportion ◽  
Kidney Injury ◽  
International Classification Of Diseases ◽  
Administrative Databases ◽  
Health Concern ◽  
Medical Information System ◽  
Drug Induced ◽  
Capture Recapture

Background: Acute kidney injury (AKI) is a public health concern. Among the pathological situations leading to AKI, drugs are preventable factors but are still under-notified. We aimed to provide an overview of drug-induced AKI (DIAKI) using pharmacovigilance and medical administrative databases Methods: A query of the PMSI database (French Medical Information System Program) of adult inpatient hospital stays between 1 January 2017 and 31 December 2018 was performed using ICD-10 (International Classification of Diseases 10th revision) codes to identify AKI cases which were reviewed by a nephrologist and a pharmacovigilance expert to identify DIAKI cases. In parallel, DIAKIs notified in the French Pharmacovigilance Database (FPVDB) were collected. A capture-recapture method was performed to estimate the total number of DIAKIs. Results: The estimated total number of DIAKIs was 521 (95%CI 480; 563), representing 20.0% of all AKIs. The notification was at a rate of 12.9% (95%CI 10.0; 15.8). According to the KDIGO classification, 50.2% of the DIAKI cases were stage 1 and 49.8% stage 2 and 3. The mortality rate was 11.1% and 9.6% required hemodialysis. Conclusion: This study showed that drugs are involved in a significant proportion of patients developing AKI during a hospital stay and emphasizes the severity of DIAKI cases.

scholarly journals Why do frail patients with chronic heart failure die and become hospitalised?

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S Sze ◽  
P Pellicori ◽  
J Zhang ◽  
J Weston ◽  
A.L Clark
Keyword(s):  
Heart Failure ◽  
Cause Of Death ◽  
Hospital Admissions ◽  
Average Length ◽  
Significant Proportion ◽  
Length Of Hospital Stay ◽  
Clinical Frailty Scale ◽  
Frail Patients ◽  
Increased Risk

Abstract Background Frailty is common in patients with heart failure (HF) and is associated with increased morbidity and mortality. A better understanding of the causes of hospitalisations and death in frail patients might help to tailor interventional strategies for these at-risk patients. Purpose We studied the cause of death and hospitalisations in ambulatory patients with HF and frailty. Methods We assessed frailty using the clinical frailty scale (CFS) in consecutive HF patients attending a routine follow-up visit. Those with CFS ≥5 were classified as frail. Mortality and hospitalisations were ascertained from medical records (updated systematically using an NHS electronic database), discharge letters, autopsy reports and death certificates. We studied the primary cause of death and hospitalisations within one year of enrolment. Results 467 patients (67% male, median (IQR) age 76 (69–82) years, median (IQR) NT-proBNP 1156 (469–2463) ng/L) were enrolled. 206 (44%) patients were frail. Frail patients were more likely to not receive or receive suboptimal doses of ACEi/ARB and Beta-blockers; while non-frail patients were more likely to be treated with optimal doses. At 1-year follow up, there were 56 deaths and 322 hospitalisations, of which 46 (82%) and 215 (67%) occurred in frail patients. Frailty was associated with an increased risk of all-cause mortality (HR (95% CI): 4.27 (2.60–7.01)) and combined mortality/ hospitalisation (HR (95% CI): 2.85 (2.14–3.80)), all p&lt;0.001. 57% (n=26) of frail patients died of cardiovascular causes (of which 58% were due to HF progression); although deaths due to non-cardiovascular causes (43%, n=20), especially severe infections, were also common (26%, n=12). (Figure 1) The proportion of frail patients who had non-elective hospital admissions within 1 year was more than double that of non-frail patients (46% (n=96) vs 21% (n=54); p&lt;0.001). Compared to non-frail patients, frail patients had more recurrent (≥2) hospitalisations (28% (n=59) vs 9% (n=24); p&lt;0.001) but median (IQR) average length of hospital stay was not significantly different (frail: 6 (4–11) vs non-frail: 6 (2–12) days, p=0.50). A large proportion of hospitalisations (64%, n=137) in frail patients were due to non-cardiovascular causes (of which 34%, 30% and 20% were due to infections, falls and comorbidities respectively). Of cardiovascular hospitalisations (36%, n=78), the majority were due to decompensated HF (67%, n=46). (Figure 1) Conclusion Frailty is common in patients with HF and is associated with an increased risk of mortality and recurrent hospitalisations. A significant proportion suffered non-cardiovascular deaths and hospitalisations. This implies that interventions targeted at HF alone can only have limited impact on outcomes in frail patients. Figure 1 Funding Acknowledgement Type of funding source: None

Intestinal microbiota control acute kidney injury severity by immune modulation

2020 ◽  
Vol 98 (4) ◽  
pp. 932-946 ◽  
Author(s):  
Jihyun Yang ◽  
Chan Johng Kim ◽  
Yoon Sook Go ◽  
Hee Young Lee ◽  
Myung-Gyu Kim ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Intestinal Microbiota ◽  
Immune Modulation ◽  
Injury Severity ◽  
Kidney Injury ◽  
Acute Kidney Injury Severity

scholarly journals 186 Acute Kidney Injury in Skeletal Trauma Admissions to Intensive Care: An Under-Estimated Complication

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
O Brown ◽  
T Crisp ◽  
M Flatman ◽  
C Hing
Keyword(s):  
Acute Kidney Injury ◽  
Intensive Care ◽  
Injury Severity ◽  
Penetrating Trauma ◽  
Kidney Injury ◽  
Long Bone ◽  
Trauma Patients ◽  
Skeletal Trauma ◽  
Body Regions ◽  
Intensive Care Stay

Abstract Introduction Acute kidney injury (AKI) is associated with prolonged admission and 3.5 times increased mortality for trauma patients requiring intensive care (ICU) treatment. Blunt trauma confers greater risk of AKI than penetrating trauma, potentially related to long bone fracture. The relationship between skeletal trauma and AKI in ICU has not previously been investigated. Method Retrospective data was analysed from 202 consecutive adult patients admitted to ICU with skeletal trauma from 01/06/2018 to 01/06/2019. AKI was defined by creatinine rise &gt;1.5 times baseline. Results AKI was found in 70/202 (34.65%) patients aged 16-99 years, 138 males and 64 females. Mean limb Abbreviated Injury Scale (AIS) was significantly higher in AKI (AIS= 2.57 (SD 0.53) versus non-AKI AIS=2.38 (SD 0.61), p = 0.027). Other body regions and total Injury Severity Score (ISS) were non-significant. AKI was associated with a significantly worse Glasgow Outcome Score (AKI 3.28 (SD 1.52) versus 4.02 (SD 1.08) p &lt; 0.001), increased intensive care stay (AKI 7.03 (SD 8.30) days versus non-AKI 3.8 (SD 4.1) days p &lt; 0.001) and increased 30-day mortality (AKI 18/70 (25.71%) versus non-AKI 10/132 (7.58%) p &lt; 0.001) Conclusions Skeletal trauma patients have a high incidence of AKI, which was significantly correlated with severity of skeletal limb trauma but not overall ISS.

scholarly journals Management of a pediatric burn center during the covid-19 pandemic

2021 ◽  
Author(s):  
Ahmet Erturk ◽  
Sabri Demir ◽  
Can İhsan Oztorun ◽  
Elif Emel Erten ◽  
Dogus Guney ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Total Body Surface Area ◽  
Center Staff ◽  
Staff Members ◽  
Burn Center ◽  
History Of ◽  
Group 2 ◽  
Travel Abroad ◽  
Pcr Test ◽  
Group 1

Abstract The aim of this study was to evaluate the results of an algorithm that was created to prevent coronavirus disease-2019 (COVID-19) transmission during the management of children with burns in a tertiary pediatric burn center. Children admitted to the burn center between May 2020 and November 2020 were prospectively evaluated for cause, burn depth, total body surface area (TBSA), length of stay, symptoms suggesting COVID-19, suspicious contact history, history of travel abroad, and COVID-19 polymerase chain reaction (PCR) test results. Patients were divided into two groups: unsuspected (Group 1) and suspected (Group 2), depending on any history of suspicious contact, travel abroad, and/or presence of symptoms. A total of 101 patients were enrolled in the study, which included 59 boys (58.4%) and 42 girls (41.6%). Group 1 included 79 (78.2%) patients, and Group 2 consisted of 22 (21.8%) patients. The most common cause of the burns was scald injuries (74.2%). The mean age, TBSA, and length of stay were 4.5 years, 12.0%, and 13.2 days, respectively. Four patients (3.9%) had a positive PCR test (two patients in each group). Comparing groups, males were more commonly found in Group 2 (p=0.042), but no differences were found for the other variables. No patients or burn center staff members developed COVID-19 during the course of hospitalization. In conclusion, every child should be tested for COVID-19 upon admission to a burn unit, and a modified algorithm should be constructed for the handling and management of pediatric burn patients.

scholarly journals Performance Comparative Analysis of Monocrystalline and Polycrystalline Single Diode Solar Panel Models using the Five Parameters Method

2019 ◽  
Vol 1 (1) ◽  
pp. 14
Author(s):  
Rizal Akbarudin Rahman ◽  
Aripriharta Aripriharta ◽  
Hari Putranto
Keyword(s):  
Renewable Energy ◽  
Input Data ◽  
Power Plants ◽  
Renewable Energy Sources ◽  
Solar Panel ◽  
Solar Panels ◽  
Natural Conditions ◽  
Panel Models ◽  
The Cost ◽  
Module Performance

The use of renewable energy as a source of electrical energyincreases every year. Unfortunately, Indonesia does not have manypower plants that utilize renewable energy sources. The mostpotential renewable energy in Indonesia is the sunlight with the helpof solar panels that converts solar energy into electrical energy.However, the environment could affect the solar panel module andin turn, affect the performance of solar panels or the generatedelectric energy. This research calculated the performance of solarpanels with a single-diode model using the Five Parameters methodthat required solar panel module specification data, the totalradiation absorbed by the solar panel module, and the temperatureof the environment. The Five Parameters method is a methodmodeled after solar panel module performance in the form of thesingle-diode equivalent circuit. The Five Parameters method isreliable in predicting the energy produced by the solar panels whenthe input data is limited. The results for using the Five Parametersin monocrystalline solar panels were Isc = 1.827 A, Imp = 0.662 A,Voc = 18.221 V, Vmp = 15.019 V, Pmp = 9.955 W. And the results inpolycrystalline solar panels were Isc = 1.926 A, Imp = 0.686 A, Voc =17.594 V, Vmp = 14.166 V, Pmp = 9.722 W. Based on the results; itwas concluded that the most efficient and optimised types of solarpanels on natural conditions in Sendang Biru Beach was themonocrystalline solar panel because it produced electrical outputpower of 9.955 W. Therefore, there could be a manufacturer ofsolar energy power plants to reduce the cost of electricity in thecoastal area, such as in Sendang Biru Beach.

scholarly journals EFFECTS OF THE TEMPERATURE ON THE OUTPUT VOLTAGE OF MONO-CRYSTALLINE AND POLY-CRYSTALLINE SOLAR PANELS

SINERGI ◽  
2019 ◽  
Vol 24 (1) ◽  
pp. 73 ◽  
Author(s):  
Hamzah Eteruddin ◽  
Atmam Atmam ◽  
David Setiawan ◽  
Yanuar Z. Arief
Keyword(s):  
Solar Energy ◽  
Output Voltage ◽  
Alternative Energy ◽  
Solar Panel ◽  
Solar Panels ◽  
Solar Module ◽  
Temperature Changes ◽  
The Difference

People can make solar energy alternative energy by employing solar panels to generate electricity. The utilization of solar energy on a solar panel to generate electricity is affected by the weather and the duration of the radiation, and they will affect the solar panel’s temperature. There are various types of solar panels that can be found on the market today, including Mono-Crystalline and Poly-Crystalline. The difference in the material used needs to be observed in terms of temperature changes in the solar module. Our study’s findings showed that a change in the temperature would impact the solar panel’s output voltage, and the solar panel’s output voltage would change when it was connected to the load although the measured temperatures were almost the same.

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