Rescue of a deep burned elbow using a radial forearm pedicled flap, an original irrigation system and a specific immobilization

2020 ◽  
Author(s):  
Marie Benayoun ◽  
Marie-Charlotte Dutot ◽  
Céline Aboud ◽  
Kévin Serror ◽  
Marc Chaouat ◽  
...  
Keyword(s):  
Irrigation System ◽  
Case Reports ◽  
Donor Site ◽  
Drainage System ◽  
Complete Recovery ◽  
Pedicled Flap ◽  
Treatment Center ◽  
Burn Treatment ◽  
Efficient Treatment ◽  
Radial Forearm

Abstract Introduction Deep soft tissue defects next to the joints can rapidly lead to irreversible damages and have to be covered urgently and effectively. In severely burned patients the usual approach is to use a flap even though it has its limitations in regards to the extent of the burn and the general condition of the patient. Case report A twenty seven-year-old male was admitted at the Burn Treatment Center for a thermic burn of seventy-two percent of his body surface area. At first he has benefited from several skin grafts and later on a major open right elbow had to be treated urgently to rescue the joint. Results After the burn, a revascularization of the donor site was noticed, sufficient to use the radial forearm pedicled flap as a cover for the elbow. This case reports an innovative approach based on the use of an irrigation and drainage system placed underneath the flap. The elbow was rigidly immobilized with an external fixator in order to facilitate an optimal healing of the flap. Conclusion In this case, the choice of this flap, combined with the irrigation and drainage system and the immobilization by external fixation, provided an original and efficient treatment. Post operatively the healing of the flap and of the donor site was complete. The functional results exceeded the expectations with a complete recovery of the joint amplitude. Thus, in case of no other therapeutic options, it is probably possible to use a variety of flaps recently healed.

scholarly journals Use of virtual reality for treating burned children: case reports

2017 ◽  
Vol 70 (6) ◽  
pp. 1291-1295 ◽  
Author(s):  
Soliane Quitolina Scapin ◽  
Maria Elena Echevarría-Guanilo ◽  
Paulo Roberto Boeira Fuculo Junior ◽  
Jerusa Celi Martins ◽  
Mayara da Ventura Barbosa ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Facial Pain ◽  
Rating Scale ◽  
Case Reports ◽  
Treatment Center ◽  
Southern Brazil ◽  
Burn Treatment ◽  
Relevant Effect ◽  
Dressing Change ◽  
Pain Rating Scale

ABSTRACT Objective: To report the use of virtual reality (VR) in pain intensity during dressing change of two burned children hospitalized in a Burn Treatment Center (BTC) in Southern Brazil. Method: Case report on the use of VR during dressing change of two burned children hospitalized in a BTC, from May to July 2016. For assessing pain, a facial pain rating scale was applied at four times: just before the dressing, during the dressing without the use of VR, during the dressing with the VR, and after the use of VR. Results: The use of goggles was easy to apply and well-accepted by the children, and also had a relevant effect reducing pain. Conclusion: VR can become an important nonpharmacological method for treating pain in burned children.

LYSIMETERS WITH RAINFALL AND SOIL WATER CONTROL

1971 ◽  
Vol 2 (2) ◽  
pp. 79-92 ◽  
Author(s):  
K. J. KRISTENSEN ◽  
H. C. ASLYNG
Keyword(s):  
Soil Moisture Content ◽  
Soil Depth ◽  
Irrigation System ◽  
Drainage System ◽  
Soil Surface ◽  
Trickle Irrigation ◽  
Water Control ◽  
Radiation Equipment ◽  
Different Depths ◽  
Growth Experiments

The lysimeter installation described comprises 36 concrete tanks each with a soil surface of 4 m2. The installation is useful for plant growth experiments under natural conditions involving different treatment combined with various controlled water supplies. The ground installation is at least 20 cm below the soil surface and tillage can be done with field implements. The lysimeter tanks are provided with a drainage system which can drain the soil at the bottom (100 cm depth) to a tension of up to 100 cm. A constant ground-water table at less than 100 cm soil depth can also be maintained. The soil moisture content at different depths is determined from an underground tunnel by use of gamma radiation equipment in metal tubes horizontally installed in the soil. Rainfall is prevented by a movable glass roof automatically operated and controlled by a special rain sensor. Water is applied to the soil surface with a special trickle irrigation system consisting of a set of plastic tubes for each lysimeter tank and controlled from the tunnel. Fertilizers in controlled amount can be applied with the irrigation water.

Acellular Dermal Composite Allografts for Reconstruction of the Radial Forearm Donor Site

2006 ◽  
Vol 57 (3) ◽  
pp. 305-311 ◽  
Author(s):  
Norman M. Rowe ◽  
Luc Morris ◽  
Mark D. Delacure
Keyword(s):  
Donor Site ◽  
Radial Forearm ◽  
Acellular Dermal

Aesthetic improvements of radial forearm flap donor site by autologous fat transplantation

2018 ◽  
Vol 53 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Benedetto Longo ◽  
Michail Sorotos ◽  
Rosaria Laporta ◽  
Fabio Santanelli di Pompeo
Keyword(s):  
Donor Site ◽  
Radial Forearm Flap ◽  
Fat Transplantation ◽  
Autologous Fat ◽  
Forearm Flap ◽  
Autologous Fat Transplantation ◽  
Radial Forearm

scholarly journals Clinical Lycanthropy, Neurobiology, Culture: A Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Sélim Benjamin Guessoum ◽  
Laelia Benoit ◽  
Sevan Minassian ◽  
Jasmina Mallet ◽  
Marie Rose Moro
Keyword(s):  
Systematic Review ◽  
Evaluation System ◽  
Psychotic Disorders ◽  
Right Hemisphere ◽  
Case Reports ◽  
Future Research ◽  
Patient Centered ◽  
Efficient Treatment ◽  
Cultural Aspects ◽  
Centered Care

Background: Culture can affect psychiatric disorders. Clinical Lycanthropy is a rare syndrome, described since Antiquity, within which the patient has the delusional belief of turning into a wolf. Little is known on its clinical or therapeutic correlates.Methods: We conducted a systematic review (PRISMA) on PubMed and Google Scholar, until January 2021. Case reports, data on neurobiological hypotheses, and cultural aspects were included. Language was not restricted to English.Results: Forty-three cases of clinical lycanthropy and kynanthropy (delusion of dog transformation) were identified. Associated diagnoses were: schizophrenia, psychotic depression, bipolar disorder, and other psychotic disorders. Antipsychotic medication may be an efficient treatment for this rare transnosographic syndrome. In case of depression or mania, the treatment included antidepressants or mood regulators. The neuroscientific hypotheses include the conception of clinical lycanthropy as a cenesthopathy, as a delusional misidentification of the self-syndrome, as impairments of sensory integration, as impairments of the belief evaluation system, and right hemisphere anomalies. Interestingly, there is a clinical overlap between clinical lycanthropy and other delusional misidentification syndromes. Clinical lycanthropy may be a culture-bound syndrome that happens in the context of Western cultures, myths, and stories on werewolves, and today's exposure to these narratives on cultural media such as the internet and the series. We suggest the necessity of a cultural approach for these patients' clinical assessment, and a narrative and patient-centered care.Conclusions: Psychiatric transtheoretical reflections are needed for complementaristic neurobiological and cultural approaches of complex delusional syndromes such as clinical lycanthropy. Future research should include integrative frameworks.

scholarly journals Adult Measles – Case Reports of a Highly Contagious Disease

2019 ◽  
Vol 7 (18) ◽  
pp. 3009-3012 ◽  
Author(s):  
André Koch ◽  
Claudia Krönert ◽  
Torello Lotti ◽  
Aleksandra Vojvodic ◽  
Uwe Wollina
Keyword(s):  
Measles Virus ◽  
Case Reports ◽  
Complete Recovery ◽  
Maculopapular Rash ◽  
Adult Patients ◽  
Older Patient ◽  
Active Immunisation ◽  
Younger Patient ◽  
Initial Improvement ◽  
Polymerase Chain

BACKGROUND: Measles is highly contagious and is caused by the RNA morbillivirus. The best protection is active immunisation in early childhood. Without immunisation morbidity and mortality of measles are high. In recent years, an increasing number of adult measles has been recognised in Europe. CASE REPORTS: We report here on two adult patients – a 40-year-old male and a 55-year-old female – who presented with fever, fatigue, cough, coryza, conjunctivitis and maculopapular rash. The suspicion of adult measles infection was confirmed by positivity for IgM antibodies against measles virus and reverse-transcriptase polymerase chain reaction in blood and urine. Patients were isolated, and the treatment was symptomatic. In the younger patient, complete recovery was achieved within two weeks. In the older patient, an acute encephalopathy developed after initial improvement characterised by cognitive impairment. CONCLUSIONS: In patients presenting with fever and maculopapular rash and fatigue, measles should be considered even in adult patients. Early diagnosis with subsequent isolation and registration of patients are important measures to prevent local outbreaks of the disease.

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