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Publisher: Medknow Publishers   (Total: 426 journals)

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Showing 1 - 200 of 426 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 3)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access  
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access  
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 9, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 6, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access  
Arab J. of Interventional Radiology     Open Access  
Archives of Cardiovascular Imaging     Open Access   (Followers: 1, SJR: 0.187, CiteScore: 0)
Archives of Intl. Surgery     Open Access   (Followers: 10, SJR: 0.302, CiteScore: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Pharmacy Practice     Open Access   (Followers: 6, SJR: 0.102, CiteScore: 0)
Archives of Trauma Research     Open Access   (Followers: 3, SJR: 0.37, CiteScore: 2)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 5)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.856, CiteScore: 2)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.35, CiteScore: 1)
Asian Pacific J. of Reproduction     Open Access   (SJR: 0.227, CiteScore: 1)
Asian Pacific J. of Tropical Biomedicine     Open Access   (Followers: 2, SJR: 0.491, CiteScore: 2)
Asian Pacific J. of Tropical Medicine     Open Access   (Followers: 1, SJR: 0.561, CiteScore: 2)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
Biomedical and Biotechnology Research J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access  
Chinese Medical J.     Open Access   (Followers: 10, SJR: 0.52, CiteScore: 1)
CHRISMED J. of Health and Research     Open Access   (Followers: 2)
Clinical Cancer Investigation J.     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 3)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 10, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 4, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 11, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, SJR: 0.242, CiteScore: 0)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.127, CiteScore: 0)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access   (Followers: 1)
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 2)
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 3)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 1, SJR: 0.12, CiteScore: 0)
European J. of Prosthodontics     Open Access   (Followers: 3)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11, SJR: 0.113, CiteScore: 0)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.112, CiteScore: 0)
Genome Integrity     Open Access   (Followers: 2, SJR: 0.153, CiteScore: 0)
Glioma     Open Access  
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Gynecology and Minimally Invasive Therapy     Open Access   (SJR: 0.311, CiteScore: 1)
Hamdan Medical J.     Open Access  
Heart and Mind     Open Access  
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access  
IJS Short Reports     Open Access  
Imam J. of Applied Sciences     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.478, CiteScore: 1)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.361, CiteScore: 1)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.37, CiteScore: 1)
Indian J. of Critical Care Medicine     Open Access   (Followers: 4, SJR: 0.604, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.266, CiteScore: 1)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.468, CiteScore: 1)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 4, SJR: 0.445, CiteScore: 1)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1, SJR: 0.791, CiteScore: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4, SJR: 0.568, CiteScore: 1)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.392, CiteScore: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 2, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.311, CiteScore: 0)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.408, CiteScore: 1)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.368, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Respiratory Care     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 1)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access   (Followers: 1)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access  
Intl. J. of Community Dentistry     Open Access  
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1, SJR: 0.192, CiteScore: 0)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 3, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 2)
Intl. J. of Orofacial Biology     Open Access   (Followers: 1)
Intl. J. of Orofacial Research     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)

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Journal Cover
Indian Journal of Burns
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0971-653X - ISSN (Online) 2321-1415
Published by Medknow Publishers Homepage  [426 journals]
  • Models of a different kind

    • Authors: Vinita Puri
      Pages: 1 - 2
      Abstract: Vinita Puri
      Indian Journal of Burns 2017 25(1):1-2

      Citation: Indian Journal of Burns 2017 25(1):1-2
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_35_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • Cadaver skin donation and skin bank

    • Authors: Madhuri Gore
      Pages: 3 - 5
      Abstract: Madhuri Gore
      Indian Journal of Burns 2017 25(1):3-5

      Citation: Indian Journal of Burns 2017 25(1):3-5
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_31_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • The management of postburn contractures of trunk, groin, and perineum: A
           review

    • Authors: Rajeev B Ahuja, Pallab Chatterjee
      Pages: 6 - 13
      Abstract: Rajeev B Ahuja, Pallab Chatterjee
      Indian Journal of Burns 2017 25(1):6-13
      While the trunk is injured in about one-fifth of burn incidents, the groin and perineal contractures are relatively infrequent. Truncal and groin/perineal involvement with disfiguring and functionally restrictive contractures are usually seen in the setting of large surface area burn injuries. In a majority of cases, the treatment of truncal contractures is aimed at mitigating the effects of hypertrophic scarring. In groin/perineal contractures, the contractures are treated to restore movements that enable the important functions of excretion, squatting, and sexual intercourse. Many innovative local and regional flaps have been described to treat such contractures that provide a durable result. Even then, split skin grafting remains a valuable method to treat these contractures, especially for the severe ones. Although tissue expansion can be frequently used to provide color and texture-matched skin resurfacing after the release of truncal contractures, it is deemed unsuitable for groin/perineal contractures owing to high complications rates.
      Citation: Indian Journal of Burns 2017 25(1):6-13
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_27_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • Burn Care Unit, Tata Main Hospital, Jamshedpur

    • Authors: Prasenjit Goswami, Amit Kumar Sinha, Pankaj Kumar Sinha
      Pages: 14 - 17
      Abstract: Prasenjit Goswami, Amit Kumar Sinha, Pankaj Kumar Sinha
      Indian Journal of Burns 2017 25(1):14-17
      Consequent to a big fire tragedy which occurred at a function on 3rd of March 1989 at Jamshedpur which left many people dead and an even more number of people with severe burn, a serious need was felt regarding having of a specialised burn care unit in the region.Foundation stone for the burn care unit (BCU) of TMH was laid on 19th December 1989. This self-sufficient unit became fully functional from August 1992 with 18 beds divided into two zones – Septic and Aseptic, and was headed by Plastic Surgeon Dr R Bharat, who served the department till his retirement in the year 2008.The present BCU has fifteen beds in separate cubicles and is provided with all the modern facilities such as modern critical care beds, wall mounted gas pipe lines and suction, monitors and Ventilators. Apart from its therapeutic endeavours, the department has constantly forayed into the realm of social responsibility by undertaking community awareness programmes on prevention of burns through its several outreach programs within the premises of the Tata Steel industrial areas as well as the community at large, in keeping with the Tata steel’s Corporate Social Responsibility.
      Citation: Indian Journal of Burns 2017 25(1):14-17
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_1_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • Could serum cytokines serve as predictors in outcome of thermal burn
           injuries

    • Authors: Ranjith J Babu, G. Karthikeyan, Nirmala Ponnambalam
      Pages: 18 - 22
      Abstract: Ranjith J Babu, G. Karthikeyan, Nirmala Ponnambalam
      Indian Journal of Burns 2017 25(1):18-22
      Introduction: Thermal burns cause ample havoc to human beings. Multidisciplinary approach plays a pivotal role in reducing morbidity and mortality. Justifiably tailored intervention plays cardinal role to offset further systemic derangements. This study is undertaken to assess whether serum cytokines could serve as predictors in the outcome of thermal burn injuries.Materials and Methods: Prospective study was conducted in 30 patients during the period of January 2016 to December 2016. The use of proinflammatory cytokines interleukin-1B (IL-1B), interleukin-6 (IL-6) was quantitatively estimated on postburn day 4 and every 5 days thereafter. The proinflammatory cytokine levels were high in patients who had higher percentage total body surface area burns.Results: Temporal cytokine profiling revealed significant difference in the pattern of patients who survived with those who had a fatal outcome. Reduction in cytokine levels IL-1B, IL-6 in the survival group over the course of treatment and observation of incremental temporal expression in cytokine levels in the nonsurvival group indicate its recalcitrant nature on treatment and thereby dictate catastrophic outcome.Discussion: The local inflammation in thermal burns releases proinflammatory cytokines systemically which leads to progression in systemic inflammatory response syndrome which can prove detrimental.Conclusion: Temporal analysis of cytokines could serve as prediction analysis in the outcome of thermal burn injuries because this sequence goes awry with higher percentage of burn area. This could dictate morbidity and mortality which gain significance in the overall outcome of patient.
      Citation: Indian Journal of Burns 2017 25(1):18-22
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_9_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • Commentary to ‘Could serum cytokines serve as predictors in outcome
           of thermal burn injuries’

    • Authors: Kuldeep Singh
      Pages: 23 - 25
      Abstract: Kuldeep Singh
      Indian Journal of Burns 2017 25(1):23-25

      Citation: Indian Journal of Burns 2017 25(1):23-25
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_23_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • A simple mortality prognostic scoring system for burns

    • Authors: Pawan Agarwal, Sudhir Adalti, Vikesh Agrawal, Dhananjaya Sharma
      Pages: 26 - 32
      Abstract: Pawan Agarwal, Sudhir Adalti, Vikesh Agrawal, Dhananjaya Sharma
      Indian Journal of Burns 2017 25(1):26-32
      Background: Several complex prognostic scoring systems are available for burn patients incorporating sophisticated investigations and use of global scales involved in the management of patients in intensive care unit. We constructed and validated a simplified scoring system for burn patients, which can be easily used in developing countries.Materials and Methods: One hundred and eighty-two consecutive patients with burns undergoing treatment at a teaching hospital in Central India were studied prospectively. Multiple logistic regressions were used to assess the predictive power of each prognostic variable. A simple scoring system was constructed using the four most powerful, but easy to calculate, prognostic factors. This system was then prospectively validated in the next 122 consecutive patients.Results: On multivariate analysis, total body surface area, percentage full thickness burn area, presence of inhalation burn, and serum creatinine were found significant predictors of mortality. Score was constructed using logit model using these four factors, which ranged from 4 to 20. Score correlated well with mortality; which increased with rising score. The mean score in survivors was significantly less than that in non-survivors (9.44 vs. 15.75; P < 0.0001). Cut off value of score ≥12 was associated with significantly higher mortality. The predicted and observed outcomes matched well.Conclusion: The Jabalpur prognostic scoring system for burns is effective for prognostication in selected group of patients with burn injuries. It is simple and user-friendly because it uses only four routinely documented clinical risk factors.
      Citation: Indian Journal of Burns 2017 25(1):26-32
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_26_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • Impact of nonscraping of granulation tissue on outcomes after skin
           grafting

    • Authors: Deepak Krishna, Shalabh Kumar, Upendra Sharma, Deepti Gupta
      Pages: 33 - 37
      Abstract: Deepak Krishna, Shalabh Kumar, Upendra Sharma, Deepti Gupta
      Indian Journal of Burns 2017 25(1):33-37
      Context: Chronic granulating burn wounds are covered with split-thickness skin grafts (SSG) after scraping of granulation tissue. But scraping is associated with increased blood and protein loss, and time required for hemostasis. We, therefore, conducted a study to determine if scraping can be avoided.Aims: Comparison of outcome of SSG and blood loss in burn wounds treated with and without scraping of granulation tissue.Settings and Design: Prospective clinical study.Materials and Methods: Over a year, 30 adult patients, with healthy granulating postburn wounds of size at least 100 cm2 and 4 to 10-week duration, were included. Wounds were divided into two halves, with one-half grafted after scraping (Group A) and other without scraping (Group B). Intraoperative blood loss was calculated. Dressings were done at postoperative days 3, 5, 7, and 10. Graft take, complete wound-healing time, and regrafting requirement were assessed.Statistical Analysis: Unpaired t test for quantitative variables.Results: Mean graft take (87.21 ± 9.48 Group A; 86.58 ± 11.18 Group B) was similar in both groups. Average intraoperative blood loss was significantly lesser (Group A 54.58 ± 6.5 mL/100 cm2; Group B 10.2 ± 1.5 mL/100 cm2), and duration of complete wound healing was increased without scraping (14.66 ± 2.79 days Group A; 15.73 ± 3.13 days Group B). There was no requirement of regrafting in both groups.Conclusion: Scraping of wound bed is avoidable in selected patients, although at expense of marginally faster healing. Leaving the healthy granulation tissue intact does not affect overall graft take and is associated with decreased blood loss.
      Citation: Indian Journal of Burns 2017 25(1):33-37
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_30_16
      Issue No: Vol. 25, No. 1 (2017)
       
  • Silver sulfadiazine versus sustained-release silver dressings in the
           treatment of burns: A surprising result

    • Authors: Shobhit Gupta, Naveen Kumar, Vinay K Tiwari
      Pages: 38 - 43
      Abstract: Shobhit Gupta, Naveen Kumar, Vinay K Tiwari
      Indian Journal of Burns 2017 25(1):38-43
      Introduction: In recent times, there has been an increased use of dressings containing silver. Although there are many studies showing the impact of sustained-release silver foam dressings on microbial assay, there is a scarcity of studies on clinical and economical parameters. This study highlights the comparison between sustained-release silver dressings and 1% silver sulfadiazine (SSD) with respect to patient comfort, its impact on wound healing, and cost estimation in patients with burns.Materials and Methods: This prospective observational study was conducted from 1st August 2015 to 31st December 2015. Patients with second-degree burns (scald and flame burns) covering 20–60% of the total body surface area and belonging to the age group from 18 to 60 years were selected. The patients were divided into the following groups on alternate basis: Group 1–dressing with 1% SSD; Group 2–dressing with sustained-release silver dressings. The following variables were used: pain during change of dressing using visual analogue scale (VAS) score, the percentage of wound healing on the 5th, 10th, 15th, and 20th days on the anterior and posterior trunk using graphs, duration of hospital stay, cost calculation accounting for dressings and hospital expenses.Results: Statistical analysis showed an advantage of sustained-release silver foam dressing over SSD with respect to reduced pain on the basis of VAS score on the 5th, 10th, 15th, and 20th days (7.47, 6.27, 3.8, and 3.87 in Group 1 vs. 4.4, 3.13, 2.53, and 1.93 in Group 2) with P < 0.005. In addition, statistically, wound healing was faster among the patients in Group 2 than those in Group 1 on the 10th, 15th, and 20th days (25.67, 39.27, and 64.53% vs. 22.07, 54.6, and 84.53% in Group 2) with P < 0.005. The patients belonging to Group 2 were discharged earlier (14.6 vs. 22.47 days) with P < 0.005. Surprisingly, accounting both hospital expenses and dressing cost, the patients belonging to Group 2 had lesser expense than those in Group 1.Conclusion: Comparative study shows that sustained-release silver foam dressing has faster wound healing, lesser pain with earlier hospital discharge than SSD, and lesser expenses when total hospital burden was accounted.
      Citation: Indian Journal of Burns 2017 25(1):38-43
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_22_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • An algorithmic approach to reconstruction of complex scalp defects in
           electric burns

    • Authors: Jonathan Victor, Naren Shetty, Narender Manickavachakan, Deevish Dinakara
      Pages: 44 - 51
      Abstract: Jonathan Victor, Naren Shetty, Narender Manickavachakan, Deevish Dinakara
      Indian Journal of Burns 2017 25(1):44-51
      Introduction: Reconstruction of scalp defects due to electrical burns poses a challenge to the reconstructive surgeon and a lot of controversy exists in decision making with regards to the timing of surgery, debridement of the underlying bone, choice of flap cover and the role of trephining. There also is a paucity of literature on this subject probably because of its rare incidence. Proper management of these cases could prevent serious complications like osteomyelitis of the underlying bone, epidural abscess and cosmetic disfigurement.Materials and Methods: The study was conducted at a tertiary care burn unit. A retrospective analysis was done of the patients with electrical burns involving the scalp, between 2010 and 2015.Results: In the study period there were 135 cases of electrical burns. Out of these 9 patients had electrical burns involving the scalp. Two patients with scalp defects in which the pericranium was intact after debridement were managed with skin grafts, 4 patients with moderate sized scalp defects were managed with local flaps, and in 3 patients free flaps were used to reconstruct large scalp defects. Literature search showed only two other similar case series with free flap reconstruction. We have proposed a management protocol for scalp defects in electrical burns based on our experience and a review of the available literature.Conclusion: Meticulous debridement of infected/non-viable bone is the key to a good outcome. In view of progressive tissue necrosis in electrical burns delayed reconstruction is preferred. Free flaps are the standard of care for extensive scalp defects. Local flaps and skin grafting can be used for smaller scalp defects. Secondary procedures are required for management of the alopecia and optimal cosmetic outcome.
      Citation: Indian Journal of Burns 2017 25(1):44-51
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_3_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • Single-stage reconstruction of high-voltage electric burns sequelae of
           volar forearm using nerve grafts, short tendon grafts and microvascular
           flap

    • Authors: Rayidi V.K. Rao, Pigilam Suma, Rangachari Srikanth, Manajeet Patil
      Pages: 52 - 61
      Abstract: Rayidi V.K. Rao, Pigilam Suma, Rangachari Srikanth, Manajeet Patil
      Indian Journal of Burns 2017 25(1):52-61
      Introduction: A total of 10 patients underwent single-stage reconstruction of high-voltage electrical burn sequelae at the distal forearm and volar wrist, in patients with complete loss of motor and sensory function of the hand; all 10 were operated using interposition tendon grafts for the flexor digitorum profundus, nerve grafts for the median and ulnar nerves and the anterolateral thigh flap (ALT) for coverage; in addition, the fascial component of the flap was used to wrap the repaired finger flexors.Materials and Methods: All the flaps survived, and eight of the 10 patients had S3 or S4 recovery of median nerve sensation.Results: The final outcome measurement was done by adopting a variant of the abbreviated upper extremity functional index. The mean value for this was 19 of a possible 40 points (range in 10 patients −7 to 28).Discussion: Single-stage reconstruction using short tendon grafts and nerve grafts is a useful procedure in high-voltage electrical burns.Conclusion: The use of the ALT with vascularised fascia permits early finger flexor activity suitable for activities of daily living.
      Citation: Indian Journal of Burns 2017 25(1):52-61
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/0971-653X.217041
      Issue No: Vol. 25, No. 1 (2017)
       
  • Epidemiological study of burn injuries and its mortality risk factors in a
           tertiary care hospital

    • Authors: Chirag A Bhansali, Giriraj Gandhi, Parag Sahastrabudhe, Nikhil Panse
      Pages: 62 - 66
      Abstract: Chirag A Bhansali, Giriraj Gandhi, Parag Sahastrabudhe, Nikhil Panse
      Indian Journal of Burns 2017 25(1):62-66
      Background: Burn injuries account for a significant cause of mortality and morbidity amongst the Indian population. Since prevention is more important than the treatment of such injuries, this study was undertaken to find out the exact epidemiological determinants of such injuries and thus to try and formulate effective preventive strategies.Aims and Objectives: To find out the epidemiological characteristics of burn patients in a tertiary care hospital.Materials and Methods: A Cohort review of patients admitted over a period of 3 years from January 2010 to September 2013 in the burns unit of our institute. Data were collected from hospital admission books which included age, sex, religion, Total body surface area burns, location, mode of burn and the cause of burns. Data were entered in MS EXCEL software and analysed.Results: There are 3179 patients included in the study. The mean age of patients was 28 years (SD=14.7 years) and overall male to female ratio was 0.6. The percent of Total body surface area for burned patients ranged between 1% and 100% and maximum number of patients were admitted with 30 to 50 % burns (27.5%) The median hospital stay was 5 days. There was a significant association between Total body surface area burns and hospital stay (P<0.001). 7.3% patients were discharged from the hospital after successful treatment. 1733 (54.51%) deaths were recorded. Death rate was higher amongst females as compared to males. Mortality rate was highest in age group of 12–26 years. There was a significant correlation between Total body surface area burns and mortality (P<0.001). Death rate was highest amongst patients with suicidal burns as compared to accidental and homicidal burns.75% patients died within 5 days of hospitalization.Conclusion: High mortality rate amongst patients is a major concern in the present scenario of health care towards burn injuries.
      Citation: Indian Journal of Burns 2017 25(1):62-66
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_28_16
      Issue No: Vol. 25, No. 1 (2017)
       
  • Resistant Acinetobacter: A Booming Peril

    • Authors: Sathya Chandrasekaran, Ramesh Bellam Alagirisamy, Sathish Kumar Jayaraman, Mohan Jagannathan
      Pages: 67 - 71
      Abstract: Sathya Chandrasekaran, Ramesh Bellam Alagirisamy, Sathish Kumar Jayaraman, Mohan Jagannathan
      Indian Journal of Burns 2017 25(1):67-71
      Aim: The objective of the study was to find pathogens currently colonizing the wounds of patients admitted to burn intensive care unit (ICU) and to evaluate drug resistance among the common organisms.Materials and Methods: A retrospective analysis of bacterial isolates from the wounds of patients admitted to burn ICU in a tertiary care center. The study was conducted from November 2015 to April 2017. A total of 126 isolates were analyzed.Results: Pseudomonas and Klebsiella were the most common organisms followed by Acinetobacter. The antibiotic-sensitive patterns of these three common bacteria were analyzed. Statistical analyses were performed using one-way analysis of variance and post-hoc Tukey honest significant difference test. The study helped to infer that the multidrug resistance (MDR) of Acinetobacter is greater than that of Pseudomonas or Klebsiella and is significant (P < 0.05).Conclusion: The MDR seen in the isolates is a matter of concern. A study of bacterial isolates from the patients with burns and the sensitivity pattern of these isolates would assist to create or modify institutional drug policy.
      Citation: Indian Journal of Burns 2017 25(1):67-71
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_24_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • Burn injury in infants and toddlers: Risk factors, circumstances, and
           prevention

    • Authors: Sonal T Lal, Deepak J Bhatti
      Pages: 72 - 75
      Abstract: Sonal T Lal, Deepak J Bhatti
      Indian Journal of Burns 2017 25(1):72-75
      Aim: To study the risk factors and circumstances of burn injury in infants and toddlers.Materials and Methods: A retrospective study was conducted on children visiting the plastic surgery department with acute burns or postburn deformities in the year 2016. The children who sustained burns up to an age of 3 years were included. An analysis of data for their age, sex, type of burn injury, involved body part, seasonal variation, place of occurrence, time of the day, presence of guardians at the time of injury, and socioeconomic status was performed.Results: A total of 44 children were included in the study. Thirty-one were males and 13 were females. The majority of children (77.3%) belonged to the toddler age group (1–3 years). Scald was the most common burn injury (54.5%). The majority of burns (68.2%) were sustained in winters. Burns were most frequent in domestic settings (90.9%). 64.1% were kitchen accidents. Hands were the most commonly affected anatomical site (54%). Ninety percent of the burnt children belonged to low socioeconomic strata.Conclusion: Pediatric burns were seen more commonly among toddlers. Scalds were the most common form of burns. Male gender, domestic environment, winter season, and low socioeconomic strata were found to have an increased frequency of burns. Hands were the most commonly affected site. Focused burn prevention strategies consistent with local circumstances should be implemented for the prevention and better management of pediatric burn injuries.
      Citation: Indian Journal of Burns 2017 25(1):72-75
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_14_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • Complex airway after electric burns in the neck &#8211; A challenge
           for the anesthesiologist

    • Authors: Nitika Goel, Indumohini Sen, Kiran Jhangra, Mukesh Kumar
      Pages: 76 - 79
      Abstract: Nitika Goel, Indumohini Sen, Kiran Jhangra, Mukesh Kumar
      Indian Journal of Burns 2017 25(1):76-79
      High voltage electric burns can cause massive damage to the body tissues. Direct contact with the live electric wires may result in severe damage of the underlying subdermal tissues. However, the superficial presentation is often misleading as most of the damage occurs under the skin. Very less literature has been found regarding the presentation of high voltage burns in head and neck region. We present a patient who sustained high voltage burns in the neck region resulting in massive damage of the underlying tissues. This lead to challenges for the anesthesiologist.
      Citation: Indian Journal of Burns 2017 25(1):76-79
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_20_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • Neonatal scalp necrosis: Long term sequelae and management: A case report

    • Authors: Mathangi Ramakrishnan, Rahul Yadav, Balasubramaniam Chidambaram, Ranganathan Jothi, Santosh M.R Kanangi, Gomathy Nayagam Karthikeyan, Venkatraman Jayaraman, Thangarajan Mathivanan, Rangasamy Ravi, Krishnamurty Ramachandran
      Pages: 80 - 84
      Abstract: Mathangi Ramakrishnan, Rahul Yadav, Balasubramaniam Chidambaram, Ranganathan Jothi, Santosh M.R Kanangi, Gomathy Nayagam Karthikeyan, Venkatraman Jayaraman, Thangarajan Mathivanan, Rangasamy Ravi, Krishnamurty Ramachandran
      Indian Journal of Burns 2017 25(1):80-84
      Scalp necrosis in the neonate is not an unheard of entity. It however, poses a treatment challenge because the neonatal calvarium is not ossified, and the dura is in close association with the skin. The neonatal susceptibility to sepsis also compounds the issue. We present a case of neonatal scalp necrosis. The child was treated in the newborn period and was on a regular follow-up. The plastic surgery, pediatric neurosurgery departments together with the pediatricians were closely involved in the management. He subsequently developed new onset behavioral problems which, after ruling out other common neurosurgical aetiologies, was attributed to contractures in the split skin graft used in the neonatal period. He was operated on again, wherein a vascularized free flap (latissimus dorsi − LD flap) was used. His behavioral disturbances abated considerably post-surgery. We consider this case unique, as the long-term sequelae of neonatal scalp necrosis, and its management is rarely mentioned in literature. Further, the behavioral disturbances which could be attributable to the graft fibrosis were a feature worth mentioning. We would also like to highlight the need for multidisciplinary co-operation to achieve the best results in children.
      Citation: Indian Journal of Burns 2017 25(1):80-84
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_29_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • The role of regional block analgesia in the early functional recovery of
           burns in the hand

    • Authors: Sandeep Mehrotra, Amit Dua, Vikas Singh, Samiksha Mehare, Rakesh Kaundal
      Pages: 85 - 87
      Abstract: Sandeep Mehrotra, Amit Dua, Vikas Singh, Samiksha Mehare, Rakesh Kaundal
      Indian Journal of Burns 2017 25(1):85-87
      Patients with upper limb and hand burn suffer from a higher pain perception due to higher density of nerve endings and larger cortical representation compared to other regions. This unfortunately leads to reduction of movement, increasing edema and stiffness. This initiates a vicious cycle leading to prolonged morbidity and repeated interventions. In our burn centre we are routinely practicing regional supraclavicular analgesic blocks for hand burn. We have found this technique immensely beneficial in pain relief, promoting early healing with restoration of range of motion (ROM) and functional recovery.
      Citation: Indian Journal of Burns 2017 25(1):85-87
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_25_17
      Issue No: Vol. 25, No. 1 (2017)
       
  • When the skin changes in severe acute malnutrition appear as burns

    • Authors: Zainab F Ibrahim, Ibrahim Aliyu
      Pages: 88 - 89
      Abstract: Zainab F Ibrahim, Ibrahim Aliyu
      Indian Journal of Burns 2017 25(1):88-89

      Citation: Indian Journal of Burns 2017 25(1):88-89
      PubDate: Wed,13 Dec 2017
      DOI: 10.4103/ijb.ijb_8_17
      Issue No: Vol. 25, No. 1 (2017)
       
 
 
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