[Clinical effect of three dimensional human body scanning system BurnCalc in the evaluation of burn wound area].

PubMed

Lu, J; Wang, L; Zhang, Y C; Tang, H T; Xia, Z F

2017-10-20

Objective: To validate the clinical effect of three dimensional human body scanning system BurnCalc developed by our research team in the evaluation of burn wound area. Methods: A total of 48 burn patients treated in the outpatient department of our unit from January to June 2015, conforming to the study criteria, were enrolled in. For the first 12 patients, one wound on the limbs or torso was selected from each patient. The stability of the system was tested by 3 attending physicians using three dimensional human body scanning system BurnCalc to measure the area of wounds individually. For the following 36 patients, one wound was selected from each patient, including 12 wounds on limbs, front torso, and side torso, respectively. The area of wounds was measured by the same attending physician using transparency tracing method, National Institutes of Health (NIH) Image J method, and three dimensional human body scanning system BurnCalc, respectively. The time for getting information of 36 wounds by three methods was recorded by stopwatch. The stability among the testers was evaluated by the intra-class correlation coefficient (ICC). Data were processed with randomized blocks analysis of variance and Bonferroni test. Results: (1) Wound area of patients measured by three physicians using three dimensional human body scanning system BurnCalc was (122±95), (121±95), and (123±96) cm(2,) respectively, and there was no statistically significant difference among them ( F =1.55, P >0.05). The ICC among 3 physicians was 0.999. (2) The wound area of limbs of patients measured by transparency tracing method, NIH Image J method, and three dimensional human body scanning system BurnCalc was (84±50), (76±46), and (84±49) cm(2,) respectively. There was no statistically significant difference in the wound area of limbs of patients measured by transparency tracing method and three dimensional human body scanning system BurnCalc ( P >0.05). The wound area of limbs of patients

The Geoland2 BioPar burned area product

NASA Astrophysics Data System (ADS)

Tansey, K.; Bradley, A.; Smets, B.; van Best, C.; Lacaze, R.

2012-04-01

The European Commission Geoland2 project intends to constitute a major step forward to the implementation of the GMES Land Monitoring Core Service (LMCS). The Bio-geophysical Parameters (BioPar) Core Monitoring Service aims at setting-up pre-operational infrastructures for providing regional, European, and global bio-geophysical variables, both in near real time and off-line mode, for describing the vegetation state, the radiation budget at the surface, and the water cycle. The burned area product is part of the BioPar portfolio. The burned area product further builds on the experience of the Global Burned Area (GBA2000) and L3JRC projects. In the GBA2000 project, several algorithms were developed for different geographical regions of the world, and applied to a 1-year time series (the year 2000) of SPOT-VEGETATION data. In the L3JRC project, a single algorithm was improved and applied to a 7-year global dataset of SPOT-VEGETATION data. Since the conception of the Geoland2 project, work has been undertaken to improve the L3JRC algorithm, mainly based on user comments and feedback. Furthermore, the Geoland2 burned area product specification has been developed to meet the requirements of the Core Information Service, specifically LandCarbon and Natural Resource Monitoring in Africa (Narma). The Geoland2 burned area product has the following improvements over the L3JRC product: • It resolves issues with users extracting statistics and burned area estimates for time periods considered to be outside the main seasons for burning. Specifically, this deals with issues in northern latitude winters. • The number of pre-processing steps has been shortened, reducing processing time. • An improved land-water mask has been used. This resolves a problem around the coastlines of land masses which were frequently being detected as being burned. • A season metric calculation is performed over a 1x1 degree grid. For each grid cell, a date is logged against the start of the

Report From the California Burn Registry—The Causes of Major Burns

PubMed Central

Bongard, Frederic S.; Ostrow, Louis B.; Sacks, Susan T.; McGuire, Andrew; Trunkey, Donald D.

1985-01-01

In its first four years of operation, the California Burn Registry recorded 3,332 cases of burns, of which 73.1% were in male and 26.9% were in female patients of all ages. The average total body surface area burned was 15.4±0.3%. Flame burns were the most common (31.4%). Other common sources included scalds (24.5%) and flammable liquids (12.9%). Several other causes were cited with less frequency. Burns taking place at home occurred more commonly than at all other locations combined. In all, 221 deaths (6.6%) were reported, most (66.1%) of which were due to flame burns. PMID:4013280

Forest Understory Fire in the Brazilian Amazon in ENSO and Non-ENSO Years: Area Burned and Committed Carbon Emissions

NASA Technical Reports Server (NTRS)

Alencar, A.; Nepstad, D.; Ver-Diaz, M. Del. C.

2004-01-01

"Understory fires" that burn the floor of standing forests are one of the most important types of forest impoverishment in the Amazon, especially during the severe droughts of El Nino Southern Oscillation (ENSO) episodes. However, we are aware of no estimates of the areal extent of these fires for the Brazilian Amazon and, hence, of their contribution to Amazon carbon fluxes to the atmosphere. We calculated the area of forest understory fires for the Brazilian Amazon region during an El Nino (1998) and a non El Nino (1995) year based on forest fire scars mapped with satellite images for three locations in eastern and southern Amazon, where deforestation is concentrated. The three study sites represented a gradient of both forest types and dry season severity. The burning scar maps were used to determine how the percentage of forest that burned varied with distance from agricultural clearings. These spatial functions were then applied to similar forest/climate combinations outside of the study sites to derive an initial estimate for the Brazilian Amazon. Ninety-one percent of the forest area that burned in the study sites was within the first kilometer of a clearing for the non ENSO year and within the first four kilometers for the ENSO year. The area of forest burned by understory forest fire during the severe drought (ENSO) year (3.9 millions of hectares) was 13 times greater than the area burned during the average rainfall year (0.2 million hectares), and twice the area of annual deforestation rate. Dense forest was, proportionally, the forest area most affected by understory fires during the El Nino year, while understory fires were concentrated in transitional forests during the year of average rainfall. Our estimate of aboveground tree biomass killed by fire ranged from 0.06 Pg to 0.38 Pg during the ENSO and from 0,004 Pg to 0,024 Pg during the non ENSO.

Unsupervised Spatio-Temporal Data Mining Framework for Burned Area Mapping

NASA Technical Reports Server (NTRS)

Kumar, Vipin (Inventor); Boriah, Shyam (Inventor); Mithal, Varun (Inventor); Khandelwal, Ankush (Inventor)

2016-01-01

A method reduces processing time required to identify locations burned by fire by receiving a feature value for each pixel in an image, each pixel representing a sub-area of a location. Pixels are then grouped based on similarities of the feature values to form candidate burn events. For each candidate burn event, a probability that the candidate burn event is a true burn event is determined based on at least one further feature value for each pixel in the candidate burn event. Candidate burn events that have a probability below a threshold are removed from further consideration as burn events to produce a set of remaining candidate burn events.

Relationships between human population density and burned area at continental and global scales.

PubMed

Bistinas, Ioannis; Oom, Duarte; Sá, Ana C L; Harrison, Sandy P; Prentice, I Colin; Pereira, José M C

2013-01-01

We explore the large spatial variation in the relationship between population density and burned area, using continental-scale Geographically Weighted Regression (GWR) based on 13 years of satellite-derived burned area maps from the global fire emissions database (GFED) and the human population density from the gridded population of the world (GPW 2005). Significant relationships are observed over 51.5% of the global land area, and the area affected varies from continent to continent: population density has a significant impact on fire over most of Asia and Africa but is important in explaining fire over < 22% of Europe and Australia. Increasing population density is associated with both increased and decreased in fire. The nature of the relationship depends on land-use: increasing population density is associated with increased burned are in rangelands but with decreased burned area in croplands. Overall, the relationship between population density and burned area is non-monotonic: burned area initially increases with population density and then decreases when population density exceeds a threshold. These thresholds vary regionally. Our study contributes to improved understanding of how human activities relate to burned area, and should contribute to a better estimate of atmospheric emissions from biomass burning.

[Etiological analysis of subambient temperature burn in 351 cases of Hefei area].

PubMed

Shi, Jie; Qi, Weiwei; Xu, Qinglian; Zhou, Shunying; Wang, Guobao

2010-06-01

To study the preventive measure of the subambient temperature burn by analysing the pathogenesis feature. The clinical data were analysed from 351 cases of subambient temperature burn between February 2004 and February 2009, including age, sex, burn season, burn factors, burn position, burn area, burn degree, treatment way, and wound healing. Subambient temperature burn occurred in every age stage. The susceptible age stages included infant, children, and the elderly. Female patients were more than male patients. The common burn reasons were hot-water bottle burn, honey warm keeper burn, and heating device burn. The peak season was winter. Lower limb was the most common site of the subambient temperature burn. The deep II degree to III degree were the most common level, and the burn area was always small, often < or = 1% of total body surface area. Most of patients were treated with changing dressings at clinic and few patients needed hospitalization. Though the surface of wound could heal finally, and the wound healed well with no obvious scar in patients who received operation. Subambient temperature burn is the frequently encountered disease in winter. Use of the warming articles should be cautious, at the same time safety awareness should be strengthened so as to decrease the incidence rate of subambient temperature burn and the injury degree.

The epidemiology of pediatric burns undergoing intensive care in Burn Centre Brno, Czech Republic, 1997-2009.

PubMed

Lipový, B; Brychta, P; Gregorová, N; Jelínková, Z; Rihová, H; Suchánek, I; Kaloudová, Y; Mager, R; Krupicová, H; Martincová, A

2012-08-01

The aim of this study was to determine the basic epidemiological characteristics of severely burned children who were admitted to the intensive care unit (ICU), Department of Burns and Reconstructive Surgery Faculty Hospital Brno, Czech Republic in the years 1997-2009. We collected and evaluated epidemiological data such as age, sex, burn etiology, length of hospitalization, duration of the ICU stay, surgical or conservative therapeutic strategies, the use of mechanical ventilation and its duration, day and month of injury and the extent of burned area. In total 383 children (253 boys, 130 girls) aged 0-14 years, underwent intensive care for at least 48h. Male to female ratio was 1.95:1. The average range of burn area in the group was 16.43±12.86% TBSA (total body surface area). During the reporting period, 16 children were admitted with burns over 50% TBSA. 328 children suffered burns indoors, with 55 children being burned outdoors. Indoor/outdoor ratio was set at 5.96:1. The most frequent etiological agent was scalding (hot water, soup, coffee, oil, tea). The total number of scalded children in this group was 312 (81.46%). Mechanical ventilation was used in 96 cases (25.07% of all the admitted patients). The duration of mechanical ventilation in these patients was 8.03±5.67 days in average. The average length of stay in ICU was 10.71±10.92 days and total length of hospital stay was an average of 21.55±14.55 days. A total of 184 patients (48.04%) were treated surgically and therefore required necrectomy and skin grafting. The other 199 (51.96%) patients were treated conservatively. During the reporting period 3 children died (0.78%). In our report we identify basic epidemiological data defined in the aim of this study for burned children requiring intensive care. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

Relationships between Human Population Density and Burned Area at Continental and Global Scales

PubMed Central

Bistinas, Ioannis; Oom, Duarte; Sá, Ana C. L.; Harrison, Sandy P.; Prentice, I. Colin; Pereira, José M. C.

2013-01-01

We explore the large spatial variation in the relationship between population density and burned area, using continental-scale Geographically Weighted Regression (GWR) based on 13 years of satellite-derived burned area maps from the global fire emissions database (GFED) and the human population density from the gridded population of the world (GPW 2005). Significant relationships are observed over 51.5% of the global land area, and the area affected varies from continent to continent: population density has a significant impact on fire over most of Asia and Africa but is important in explaining fire over < 22% of Europe and Australia. Increasing population density is associated with both increased and decreased in fire. The nature of the relationship depends on land-use: increasing population density is associated with increased burned are in rangelands but with decreased burned area in croplands. Overall, the relationship between population density and burned area is non-monotonic: burned area initially increases with population density and then decreases when population density exceeds a threshold. These thresholds vary regionally. Our study contributes to improved understanding of how human activities relate to burned area, and should contribute to a better estimate of atmospheric emissions from biomass burning. PMID:24358108

A MODIS-based burned area assessment for Russian croplands: mapping requirements and challenges

USDA-ARS?s Scientific Manuscript database

Although agricultural burning is banned in Russia it is still a widespread practice and the challenge in mapping cropland burning has led to a wide range of burned area estimates. Accurately monitoring cropland burned area is an important task as these estimates are used in the calculation of cropla...

Burned area detection based on Landsat time series in savannas of southern Burkina Faso

NASA Astrophysics Data System (ADS)

Liu, Jinxiu; Heiskanen, Janne; Maeda, Eduardo Eiji; Pellikka, Petri K. E.

2018-02-01

West African savannas are subject to regular fires, which have impacts on vegetation structure, biodiversity and carbon balance. An efficient and accurate mapping of burned area associated with seasonal fires can greatly benefit decision making in land management. Since coarse resolution burned area products cannot meet the accuracy needed for fire management and climate modelling at local scales, the medium resolution Landsat data is a promising alternative for local scale studies. In this study, we developed an algorithm for continuous monitoring of annual burned areas using Landsat time series. The algorithm is based on burned pixel detection using harmonic model fitting with Landsat time series and breakpoint identification in the time series data. This approach was tested in a savanna area in southern Burkina Faso using 281 images acquired between October 2000 and April 2016. An overall accuracy of 79.2% was obtained with balanced omission and commission errors. This represents a significant improvement in comparison with MODIS burned area product (67.6%), which had more omission errors than commission errors, indicating underestimation of the total burned area. By observing the spatial distribution of burned areas, we found that the Landsat based method misclassified cropland and cloud shadows as burned areas due to the similar spectral response, and MODIS burned area product omitted small and fragmented burned areas. The proposed algorithm is flexible and robust against decreased data availability caused by clouds and Landsat 7 missing lines, therefore having a high potential for being applied in other landscapes in future studies.

A human-driven decline in global burned area

NASA Astrophysics Data System (ADS)

Andela, N.

2017-12-01

Fire regimes are changing rapidly across the globe, driven by human land management and climate. We assessed long-term trends in fire activity using multiple satellite data sets and developed a new global data set on individual fire dynamics to understand the implications of changing fire regimes. Despite warming climate, burned area declined across most of the tropics, contributing to a global decline in burned area of 24.3 ± 8.8% over the past 18 years. The estimated decrease in burned area was largest in savannas and grasslands, where agricultural expansion and intensification were primary drivers of declining fire activity. In tropical forests, frequent fires for deforestation and agricultural management yield a sharp rise in fire activity with the expansion of settled land uses, but the use of fire decreases with increasing investment in agricultural areas in both savanna and forested landscapes. Disparate patterns of recent socieconomic development resulted in contrasting fire trends between southern Africa (increase) and South America (decrease). A strong inverse relationship between burned area and economic development in savannas and grasslands suggests that despite potential increasing fire risk from climate change, ongoing socioeconomic development will likely sustain observed declines in fire in these ecosystems during coming decades. Fewer and smaller fires reduced aerosol concentrations, modified vegetation structure, and increased the magnitude of the terrestrial carbon sink. The spatiotemporal distribution of fire size, duration, speed and direction of spread provided new insights in continental scale differences in fire regimes driven by human and climatic factors. Understanding these dynamics over larger scales is critical to achieve a balance between conservation of fire-dependent ecosystems and increasing agricultural production to support growing populations that will require careful management of fire activity in human-dominated landscapes.

Impact of burned areas on the northern African seasonal climate from the perspective of regional modeling

NASA Astrophysics Data System (ADS)

De Sales, Fernando; Xue, Yongkang; Okin, Gregory S.

2016-12-01

This study investigates the impact of burned areas on the surface energy balance and monthly precipitation in northern Africa as simulated by a state-of-the-art regional model. Mean burned area fraction derived from MODIS date of burning product was implemented in a set of 1-year long WRF-NMM/SSiB2 model simulations. Vegetation cover fraction and LAI were degraded daily based on mean burned area fraction and on the survival rate for each vegetation land cover type. Additionally, ground darkening associated with wildfire-induced ash and charcoal deposition was imposed through lower ground albedo for a period after burning. In general, wildfire-induced vegetation and ground condition deterioration increased mean surface albedo by exposing the brighter bare ground, which in turn caused a decrease in monthly surface net radiation. On average, the wildfire-season albedo increase was approximately 6.3 % over the Sahel. The associated decrease in surface available energy caused a drop in surface sensible heat flux to the atmosphere during the dry months of winter and early spring, which gradually transitioned to a more substantial decrease in surface evapotranspiration in April and May that lessened throughout the rainy season. Overall, post-fire land condition deterioration resulted in a decrease in precipitation over sub-Saharan Africa, associated with the weakening of the West African monsoon progression through the region. A decrease in atmospheric moisture flux convergence was observed in the burned area simulations, which played a dominant role in reducing precipitation in the area, especially in the months preceding the monsoon onset. The areas with the largest precipitation impact were those covered by savannas and rainforests, where annual precipitation decreased by 3.8 and 3.3 %, respectively. The resulting precipitation decrease and vegetation deterioration caused a drop in gross primary productivity in the region, which was strongest in late winter and early

Hand burns surface area: A rule of thumb.

PubMed

Dargan, Dallan; Mandal, Anirban; Shokrollahi, Kayvan

2018-08-01

Rapid estimation of acute hand burns is important for communication, standardisation of assessment, rehabilitation and research. Use of an individual's own thumbprint area as a fraction of their total hand surface area was evaluated to assess potential utility in hand burn evaluation. Ten health professionals used an ink-covered dominant thumb pulp to cover the surfaces of their own non-dominant hand using the contralateral thumb. Thumbprints were assessed on the web spaces, sides of digits and dorsum and palm beyond the distal wrist crease. Hand surface area was estimated using the Banerjee and Sen method, and thumbprint ellipse area calculated to assess correlation. Mean estimated total hand surface area was 390.0cm 2 ±SD 51.5 (328.3-469.0), mean thumbprint ellipse area was 5.5cm 2 ±SD 1.3 (3.7-8.4), and mean estimated print number was 73.5±SD 11.0 (range 53.1-87.8, 95% CI 6.8). The mean observed number of thumbprints on one hand was 80.1±SD 5.9 (range 70.0-88.0, 95% CI 3.7), χ 2 =0.009. The combined mean of digital prints was 42, comprising a mean of two prints each on volar, dorsal, radial and ulnar digit surfaces, except volar middle and ring (3 prints each). Palmar prints were 15 (11-19), dorsal 15 (11-19), ulnar palm border 3, first web space 2, and second, third and fourth web spaces one each. Using the surface of the palm alone, excluding digits, as 0.5% of total body surface area, the area of one thumbprint was approximated as 1/30th of 1%. We have demonstrated how thumbprint area serves as a simple method for evaluating hand burn surface area. Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.

Field validation of Burned Area Reflectance Classification (BARC) products for post fire assessment

Treesearch

Andrew T. Hudak; Peter R. Robichaud; Jeffery B. Evans; Jess Clark; Keith Lannom; Penelope Morgan; Carter Stone

2004-01-01

The USFS Remote Sensing Applications Center (RSAC) and the USGS EROS Data Center (EDC) produce Burned Area Reflectance Classification (BARC) maps for use by Burned Area Emergency Rehabilitation (BAER) teams in rapid response to wildfires. BAER teams desire maps indicative of soil burn severity, but photosynthetic and nonphotosynthetic vegetation also influences the...

The impact of antecedent fire area on burned area in southern California coastal ecosystems

USGS Publications Warehouse

Price, Owen F.; Bradstock, Ross A.; Keeley, Jon E.; Syphard, Alexandra D.

2012-01-01

Frequent wildfire disasters in southern California highlight the need for risk reduction strategies for the region, of which fuel reduction via prescribed burning is one option. However, there is no consensus about the effectiveness of prescribed fire in reducing the area of wildfire. Here, we use 29 years of historical fire mapping to quantify the relationship between annual wildfire area and antecedent fire area in predominantly shrub and grassland fuels in seven southern California counties, controlling for annual variation in weather patterns. This method has been used elsewhere to measure leverage: the reduction in wildfire area resulting from one unit of prescribed fire treatment. We found little evidence for a leverage effect (leverage = zero). Specifically our results showed no evidence that wildfire area was negatively influenced by previous fires, and only weak relationships with weather variables rainfall and Santa Ana wind occurrences, which were variables included to control for inter-annual variation. We conclude that this is because only 2% of the vegetation burns each year and so wildfires rarely encounter burned patches and chaparral shrublands can carry a fire within 1 or 2 years after previous fire. Prescribed burning is unlikely to have much influence on fire regimes in this area, though targeted treatment at the urban interface may be effective at providing defensible space for protecting assets. These results fit an emerging global model of fire leverage which position California at the bottom end of a continuum, with tropical savannas at the top (leverage = 1: direct replacement of wildfire by prescribed fire) and Australian eucalypt forests in the middle (leverage ∼ 0.25).

The impact of antecedent fire area on burned area in southern California coastal ecosystems.

PubMed

Price, Owen F; Bradstock, Ross A; Keeley, Jon E; Syphard, Alexandra D

2012-12-30

Frequent wildfire disasters in southern California highlight the need for risk reduction strategies for the region, of which fuel reduction via prescribed burning is one option. However, there is no consensus about the effectiveness of prescribed fire in reducing the area of wildfire. Here, we use 29 years of historical fire mapping to quantify the relationship between annual wildfire area and antecedent fire area in predominantly shrub and grassland fuels in seven southern California counties, controlling for annual variation in weather patterns. This method has been used elsewhere to measure leverage: the reduction in wildfire area resulting from one unit of prescribed fire treatment. We found little evidence for a leverage effect (leverage = zero). Specifically our results showed no evidence that wildfire area was negatively influenced by previous fires, and only weak relationships with weather variables rainfall and Santa Ana wind occurrences, which were variables included to control for inter-annual variation. We conclude that this is because only 2% of the vegetation burns each year and so wildfires rarely encounter burned patches and chaparral shrublands can carry a fire within 1 or 2 years after previous fire. Prescribed burning is unlikely to have much influence on fire regimes in this area, though targeted treatment at the urban interface may be effective at providing defensible space for protecting assets. These results fit an emerging global model of fire leverage which position California at the bottom end of a continuum, with tropical savannas at the top (leverage = 1: direct replacement of wildfire by prescribed fire) and Australian eucalypt forests in the middle (leverage ~ 0.25). Copyright © 2012 Elsevier Ltd. All rights reserved.

Global analysis of the persistence of the spectral signal associated with burned areas

NASA Astrophysics Data System (ADS)

Melchiorre, A.; Boschetti, L.

2015-12-01

Systematic global burned area maps at coarse spatial resolution (350 m - 1 km) have been produced in the past two decades from several Earth Observation (EO) systems (including MODIS, Spot-VGT, AVHRR, MERIS), and have been extensively used in a variety of applications related to emissions estimation, fire ecology, and vegetation monitoring (Mouillot et al. 2014). There is however a strong need for moderate to high resolution (10-30 m) global burned area maps, in order to improve emission estimations, in particular on heterogeneous landscapes and for local scale air quality applications, for fire management and environmental restoration, and in support of carbon accounting (Hyer and Reid 2009; Mouillot et al. 2014; Randerson et al. 2012). Fires causes a non-permanent land cover change: the ash and charcoal left by the fire can be visible for a period ranging from a few weeks in savannas and grasslands ecosystems, to over a year in forest ecosystems (Roy et al. 2010). This poses a major challenge for designing a global burned area mapping system from moderate resolution (10-30 m) EO data, due to the low revisit time frequency of the satellites (Boschetti et al. 2015). As a consequence, a quantitative assessment of the permanence of the spectral signature of burned areas at global scale is a necessary step to assess the feasibility of global burned area mapping with moderate resolution sensors. This study presents a global analysis of the post-fire reflectance of burned areas, using the MODIS MCD45A1 global burned area product to identify the location and timing of burning, and the MO(Y)D09 global surface reflectance product to retrieve the time series of reflectance values after the fire. The result is a spatially explicit map of persistence of burned area signal, which is then summarized by landcover type, and by fire zone using the subcontinental regions defined by Giglio et al. (2006).

Epidemiology and financial implications of self-inflicted burns.

PubMed

George, S; Javed, M; Hemington-Gorse, S; Wilson-Jones, N

2016-02-01

The cost of the treatment of burns is high especially in self-inflicted burns with prolonged treatment. We performed a retrospective review of the self-inflicted burns at our regional burns centre to determine the costs incurred in their management and to identify factors which could reduce the financial burden in the future. The data was collected retrospectively of all the inpatient and outpatient self-inflicted burns presenting to our regional burns centre in the year 2011. Twenty one patients (out of a total of 870 patients) presented with self-inflicted burns to our centre in 2011. Five (23.8%) were major burns with an average of 53.2% Total Body Surface Area (TBSA) and 16 (76.2%) were minor burns with an average of 0.5% TBSA. 11 (52.4%) patients had flame burns including 4 self-immolation burns. The mortality rate was 4.8% (n=1). Five (23.8%) patients underwent surgical treatment. Seven (33.3%) patients were treated in intensive care and with average stay of 46.85 days. Critical care and theatre attendances made up most of the costs with average ICU stay per patient calculated at £313,131/day. The total cost of all 21 patients was £1,581,856. Burns are preventable injuries, early detection and intervention in patients with propensity to self-inflict burns can possibly reduce the costs of treatment in the future. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

Epidemiology of burns undergoing hospitalization to the National Burns Unit in the Sultanate of Oman: a 25-year review.

PubMed

Al-Shaqsi, Sultan; Al-Kashmiri, Ammar; Al-Bulushi, Taimoor

2013-12-01

The aim of this study was to describe the epidemiology of burns admitted to the National Burns Unit (NBU) in the Sultanate of Oman between 1987 and 2011. This is a retrospective review of burn patients admitted to Oman's National Burns Unit (NBU) between 1987 and 2011. The data extracted from the national burn registry. The study describes the admission rate by gender and age groups, occupation, causes of burns, time-to-admission, length of stay and in-hospital mortality of burns between 1987 and 2011. During a 25-year from 1987 to 2011, there were 3531 burn patients admitted to the National Burns Unit in Oman. The average admission rate to NBU is 7.02 per 100,000 persons per year. On average, males were more likely to be admitted to the NBU than females during the study period (P value < 0.04). Patients aged 1-10 years old constituted 46.6% of caseload during the study period. Flames and scalds caused 88.4% of burns. About half of all patients admitted to the NBU have burns to more than 11% of total body surface area (TBSA). The average stay in hospital was estimated to be 15.3 days per patient. The average in-hospital mortality rate was estimated to be 8.2% per year (range 1.9-22%). Burns are significant public health issue in the Sultanate of Oman. Children are disproportionately over-represented in this study. Prevention programmes are urgently needed to address this "silent and costly epidemic." Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

Interim Status Closure Plan Open Burning Treatment Unit Technical Area 16-399 Burn Tray

DOE Office of Scientific and Technical Information (OSTI.GOV)

Vigil-Holterman, Luciana R.

2012-05-07

This closure plan describes the activities necessary to close one of the interim status hazardous waste open burning treatment units at Technical Area (TA) 16 at the Los Alamos National Laboratory (LANL or the Facility), hereinafter referred to as the 'TA-16-399 Burn Tray' or 'the unit'. The information provided in this closure plan addresses the closure requirements specified in the Code of Federal Regulations (CFR), Title 40, Part 265, Subparts G and P for the thermal treatment units operated at the Facility under the Resource Conservation and Recovery Act (RCRA) and the New Mexico Hazardous Waste Act. Closure of themore » open burning treatment unit will be completed in accordance with Section 4.1 of this closure plan.« less

Automated mapping of burned areas in semi-arid ecosystems using modis time-series imagery

NASA Astrophysics Data System (ADS)

Hardtke, L. A.; Blanco, P. D.; del Valle, H. F.; Metternicht, G. I.; Sione, W. F.

2015-04-01

Understanding spatial and temporal patterns of burned areas at regional scales, provides a long-term perspective of fire processes and its effects on ecosystems and vegetation recovery patterns, and it is a key factor to design prevention and post-fire restoration plans and strategies. Standard satellite burned area and active fire products derived from the 500-m MODIS and SPOT are avail - able to this end. However, prior research caution on the use of these global-scale products for regional and sub-regional applica - tions. Consequently, we propose a novel algorithm for automated identification and mapping of burned areas at regional scale in semi-arid shrublands. The algorithm uses a set of the Normalized Burned Ratio Index products derived from MODIS time series; using a two-phased cycle, it firstly detects potentially burned pixels while keeping a low commission error (false detection of burned areas), and subsequently labels them as seed patches. Region growing image segmentation algorithms are applied to the seed patches in the second-phase, to define the perimeter of fire affected areas while decreasing omission errors (missing real burned areas). Independently-derived Landsat ETM+ burned-area reference data was used for validation purposes. The correlation between the size of burnt areas detected by the global fire products and independently-derived Landsat reference data ranged from R2 = 0.01 - 0.28, while our algorithm performed showed a stronger correlation coefficient (R2 = 0.96). Our findings confirm prior research calling for caution when using the global fire products locally or regionally.

Burns caused by flambé foods.

PubMed

Peters, W; Knighton, J

1993-01-01

From 1978 to 1990, five patients were admitted to the hospital for treatment of burns that were sustained during the preparation of flambé foods in restaurants. Three patients were patrons, and two were waiters. The average body surface area involved was 14% (range 10% to 18%). The average area of full-thickness burn was 3% (0% to 10%). All patrons required long-term psychologic support and were involved with lengthy and expensive litigation proceedings. The two waiters lost a total of 5 months from work. Although these injuries are quite rare, it is hoped that they can be totally prevented by adherence to certain safety guidelines.

Assessing the response of area burned to changing climate in western boreal North America using a Multivariate Adaptive Regression Splines (MARS) approach

USGS Publications Warehouse

Balshi, M. S.; McGuire, A.D.; Duffy, P.; Flannigan, M.; Walsh, J.; Melillo, J.

2009-01-01

Fire is a common disturbance in the North American boreal forest that influences ecosystem structure and function. The temporal and spatial dynamics of fire are likely to be altered as climate continues to change. In this study, we ask the question: how will area burned in boreal North America by wildfire respond to future changes in climate? To evaluate this question, we developed temporally and spatially explicit relationships between air temperature and fuel moisture codes derived from the Canadian Fire Weather Index System to estimate annual area burned at 2.5?? (latitude ?? longitude) resolution using a Multivariate Adaptive Regression Spline (MARS) approach across Alaska and Canada. Burned area was substantially more predictable in the western portion of boreal North America than in eastern Canada. Burned area was also not very predictable in areas of substantial topographic relief and in areas along the transition between boreal forest and tundra. At the scale of Alaska and western Canada, the empirical fire models explain on the order of 82% of the variation in annual area burned for the period 1960-2002. July temperature was the most frequently occurring predictor across all models, but the fuel moisture codes for the months June through August (as a group) entered the models as the most important predictors of annual area burned. To predict changes in the temporal and spatial dynamics of fire under future climate, the empirical fire models used output from the Canadian Climate Center CGCM2 global climate model to predict annual area burned through the year 2100 across Alaska and western Canada. Relative to 1991-2000, the results suggest that average area burned per decade will double by 2041-2050 and will increase on the order of 3.5-5.5 times by the last decade of the 21st century. To improve the ability to better predict wildfire across Alaska and Canada, future research should focus on incorporating additional effects of long-term and successional

Development of the life impact burn recovery evaluation (LIBRE) profile: assessing burn survivors' social participation.

PubMed

Kazis, Lewis E; Marino, Molly; Ni, Pengsheng; Soley Bori, Marina; Amaya, Flor; Dore, Emily; Ryan, Colleen M; Schneider, Jeff C; Shie, Vivian; Acton, Amy; Jette, Alan M

2017-10-01

Measuring the impact burn injuries have on social participation is integral to understanding and improving survivors' quality of life, yet there are no existing instruments that comprehensively measure the social participation of burn survivors. This project aimed to develop the Life Impact Burn Recovery Evaluation Profile (LIBRE), a patient-reported multidimensional assessment for understanding the social participation after burn injuries. 192 questions representing multiple social participation areas were administered to a convenience sample of 601 burn survivors. Exploratory factor analysis and confirmatory factor analysis (CFA) were used to identify the underlying structure of the data. Using item response theory methods, a Graded Response Model was applied for each identified sub-domain. The resultant multidimensional LIBRE Profile can be administered via Computerized Adaptive Testing (CAT) or fixed short forms. The study sample included 54.7% women with a mean age of 44.6 (SD 15.9) years. The average time since burn injury was 15.4 years (0-74 years) and the average total body surface area burned was 40% (1-97%). The CFA indicated acceptable fit statistics (CFI range 0.913-0.977, TLI range 0.904-0.974, RMSEA range 0.06-0.096). The six unidimensional scales were named: relationships with family and friends, social interactions, social activities, work and employment, romantic relationships, and sexual relationships. The marginal reliability of the full item bank and CATs ranged from 0.84 to 0.93, with ceiling effects less than 15% for all scales. The LIBRE Profile is a promising new measure of social participation following a burn injury that enables burn survivors and their care providers to measure social participation.

Towards global Landsat burned area mapping: revisit time and availability of cloud free observations

NASA Astrophysics Data System (ADS)

Melchiorre, A.; Boschetti, L.

2016-12-01

Global, daily coarse resolution satellite data have been extensively used for systematic burned area mapping (Giglio et al. 2013; Mouillot et al. 2014). The adoption of similar approaches for producing moderate resolution (10 - 30 m) global burned area products would lead to very significant improvements for the wide variety of fire information users. It would meet a demand for accurate burned area perimeters needed for fire management, post-fire assessment and environmental restoration, and would lead to more accurate and precise atmospheric emission estimations, especially over heterogeneous areas (Mouillot et al. 2014; Randerson et al. 2012; van der Werf et al. 2010). The increased spatial resolution clearly benefits mapping accuracy: the reduction of mixed pixels directly translates in increased spectral separation compared to coarse resolution data. As a tradeoff, the lower temporal resolution (e.g. 16 days for Landsat), could potentially cause large omission errors in ecosystems with fast post-fire recovery. The spectral signal due to the fire effects is non-permanent, can be detected for a period ranging from a few weeks in savannas and grasslands, to over a year in forest ecosystems (Roy et al. 2010). Additionally, clouds, smoke, and other optically thick aerosols limit the number of available observations (Roy et al. 2008; Smith and Wooster 2005), exacerbating the issues related to mapping burned areas globally with moderate resolution sensors. This study presents a global analysis of the effect of cloud cover on Landsat data availability over burned areas, by analyzing the MODIS data record of burned area (MCD45) and cloud detections (MOD35), and combining it with the Landsat acquisition calendar and viewing geometry. For each pixel classified as burned in the MCD45 product, the MOD35 data are used to determine how many cloud free observations would have been available on Landsat overpass days, within the period of observability of the burned area

Temporal resolution requirements of satellite constellations for 30 m global burned area mapping

NASA Astrophysics Data System (ADS)

Melchiorre, A.; Boschetti, L.

2017-12-01

Global burned area maps have been generated systematically with daily, coarse resolution satellite data (Giglio et al. 2013). The production of moderate resolution (10 - 30 m) global burned area products would meet the needs of several user communities: improved carbon emission estimations due to heterogeneous landscapes and for local scale air quality and fire management applications (Mouillot et al. 2014; van der Werf et al. 2010). While the increased spatial resolution reduces the influence of mixed burnt/unburnt pixels and it would increase the spectral separation of burned areas, moderate resolution satellites have reduced temporal resolution (10 - 16 days). Fire causes a land-cover change spectrally visible for a period ranging from a few weeks in savannas to over a year in forested ecosystems (Roy et al. 2010); because clouds, smoke, and other optically thick aerosols limit the number of available observations (Roy et al. 2008; Smith and Wooster 2005), burned areas might disappear before they are observed by moderate resolution sensors. Data fusion from a constellation of different sensors has been proposed to overcome these limits (Boschetti et al. 2015; Roy 2015). In this study, we estimated the probability of moderate resolution satellites and virtual constellations (including Landsat-8/9, Sentinel-2A/B) to provide sufficient observations for burned area mapping globally, and by ecosystem. First, we estimated the duration of the persistence of the signal associated with burned areas by combining the MODIS Global Burned Area and the Nadir BRDF-Adjusted Reflectance Product by characterizing the post-fire trends in reflectance to determine the length of the period in which the burn class is spectrally distinct from the unburned and, therefore, detectable. The MODIS-Terra daily cloud data were then used to estimate the probability of cloud cover. The cloud probability was used at each location to estimate the minimum revisit time needed to obtain at least one

A comparative analysis of potential impact area of common sugar cane burning methods

NASA Astrophysics Data System (ADS)

Hiscox, A. L.; Flecher, S.; Wang, J. J.; Viator, H. P.

2015-04-01

The negative effects of agricultural burning are well-known, although the actual impact area of different activities has not previously been quantified. An elastic backscatter lidar system was used to examine the impact-area size and dispersion of smoke generated from different types of sugarcane burning activities; pre-harvest (standing) burning and post-harvest (ground) burning. Experiments were conducted in the sugarcane harvest season of 2010 and 2011 at two locations in Louisiana, USA. Current dispersion theory would suggest that the primary difference between burn types would be primarily in the initial plume rise, but that the overall plume shape would remain the same. However, remotely sensed lidar data with the capability to measure plume dispersion and the short time dynamics of plume location showed pre-harvest (standing) burning produced a larger plume with greater rise and more spread within the 300 m of the plume, but a decrease in dispersion, but not concentration further downwind. Post-harvest (ground) burning produced a more traditional plume shape, but still exceeded impact area predictions near the source. Moreover, large changes in plume size can occur with small increases in wind speed. These are the first instrumented measurements of the meteorological effects of the different types of sugarcane burning. These results indicate that ground burning is preferable, but should be avoided in lower wind speed conditions.

Total body surface area overestimation at referring institutions in children transferred to a burn center.

PubMed

Swords, Douglas S; Hadley, Edmund D; Swett, Katrina R; Pranikoff, Thomas

2015-01-01

Total body surface area (TBSA) burned is a powerful descriptor of burn severity and influences the volume of resuscitation required in burn patients. The incidence and severity of TBSA overestimation by referring institutions (RIs) in children transferred to a burn center (BC) are unclear. The association between TBSA overestimation and overresuscitation is unknown as is that between TBSA overestimation and outcome. The trauma registry at a BC was queried over 7.25 years for children presenting with burns. TBSA estimate at RIs and BC, total fluid volume given before arrival at a BC, demographic variables, and clinical variables were reviewed. Nearly 20 per cent of children arrived from RIs without TBSA estimation. Nearly 50 per cent were overestimated by 5 per cent or greater TBSA and burn sizes were overestimated by up to 44 per cent TBSA. Average TBSA measured at BC was 9.5 ± 8.3 per cent compared with 15.5 ± 11.8 per cent as measured at RIs (P < 0.0001). Burns between 10 and 19.9 per cent TBSA were overestimated most often and by the greatest amounts. There was a statistically significant relationship between overestimation of TBSA by 5 per cent or greater and overresuscitation by 10 mL/kg or greater (P = 0.02). No patient demographic or clinical factors were associated with TBSA overestimation. Education efforts aimed at emergency department physicians regarding the importance of always calculating TBSA as well as the mechanics of TBSA estimation and calculating resuscitation volume are needed. Further studies should evaluate the association of TBSA overestimation by RIs with adverse outcomes and complications in the burned child.

Sensitivity of global terrestrial carbon cycle dynamics to variability in satellite-observed burned area

NASA Astrophysics Data System (ADS)

Poulter, Benjamin; Cadule, Patricia; Cheiney, Audrey; Ciais, Philippe; Hodson, Elke; Peylin, Philippe; Plummer, Stephen; Spessa, Allan; Saatchi, Sassan; Yue, Chao; Zimmermann, Niklaus E.

2015-02-01

Fire plays an important role in terrestrial ecosystems by regulating biogeochemistry, biogeography, and energy budgets, yet despite the importance of fire as an integral ecosystem process, significant advances remain to improve its prognostic representation in carbon cycle models. To recommend and to help prioritize model improvements, this study investigates the sensitivity of a coupled global biogeography and biogeochemistry model, LPJ, to observed burned area measured by three independent satellite-derived products, GFED v3.1, L3JRC, and GlobCarbon. Model variables are compared with benchmarks that include pantropical aboveground biomass, global tree cover, and CO2 and CO trace gas concentrations. Depending on prescribed burned area product, global aboveground carbon stocks varied by 300 Pg C, and woody cover ranged from 50 to 73 Mkm2. Tree cover and biomass were both reduced linearly with increasing burned area, i.e., at regional scales, a 10% reduction in tree cover per 1000 km2, and 0.04-to-0.40 Mg C reduction per 1000 km2. In boreal regions, satellite burned area improved simulated tree cover and biomass distributions, but in savanna regions, model-data correlations decreased. Global net biome production was relatively insensitive to burned area, and the long-term land carbon sink was robust, 2.5 Pg C yr-1, suggesting that feedbacks from ecosystem respiration compensated for reductions in fuel consumption via fire. CO2 transport provided further evidence that heterotrophic respiration compensated any emission reductions in the absence of fire, with minor differences in modeled CO2 fluxes among burned area products. CO was a more sensitive indicator for evaluating fire emissions, with MODIS-GFED burned area producing CO concentrations largely in agreement with independent observations in high latitudes. This study illustrates how ensembles of burned area data sets can be used to diagnose model structures and parameters for further improvement and also

Large-area burns with pandrug-resistant Pseudomonas aeruginosa infection and respiratory failure.

PubMed

Ning, Fang-Gang; Zhao, Xiao-Zhuo; Bian, Jing; Zhang, Guo-An

2011-02-01

Infection due to pandrug-resistant Pseudomonas aeruginosa (PDRPA) has become a challenge in clinical practice. The aim of this research was to summarize the treatment of large-area burns (60% - 80%) with PDRPA infection and respiratory failure in our hospital over the last two years, and to explore a feasible treatment protocol for such patients. We retrospectively analyzed the treatment of five patients with large-area burns accompanied by PDRPA infection and respiratory failure transferred to our hospital from burn units in hospitals in other Chinese cities from January 2008 to February 2010. Before PDRPA infection occurred, all five patients had open wounds with large areas of granulation because of the failure of surgery and dissolving of scar tissue; they had also undergone long-term administration of carbapenems. This therapy included ventilatory support, rigorous repair of wounds, and combined antibiotic therapy targeted at drug-resistance mechanisms, including carbapenems, ciprofloxacin, macrolide antibiotics and β-lactamase inhibitors. Four patients recovered from burns and one died after therapy. First, compromised immunity caused by delayed healing of burn wounds in patients with large-area burns and long-term administration of carbapenems may be the important factors in the initiation and progression of PDRPA infection. Second, if targeted at drug-resistance mechanisms, combined antibiotic therapy using carbapenems, ciprofloxacin, macrolide antibiotics and β-lactamase inhibitors could effectively control PDRPA infection. Third, although patients with large-area burns suffered respiratory failure and had high risks from anesthesia and surgery, only aggressive skin grafting with ventilatory support could control the infection and save lives. Patients may not be able to tolerate a long surgical procedure, so the duration of surgery should be minimized, and the frequency of surgery increased.

How Much Global Burned Area Can Be Forecast on Seasonal Time Scales Using Sea Surface Temperatures?

NASA Technical Reports Server (NTRS)

Chen, Yang; Morton, Douglas C.; Andela, Niels; Giglio, Louis; Randerson, James T.

2016-01-01

Large-scale sea surface temperature (SST) patterns influence the interannual variability of burned area in many regions by means of climate controls on fuel continuity, amount, and moisture content. Some of the variability in burned area is predictable on seasonal timescales because fuel characteristics respond to the cumulative effects of climate prior to the onset of the fire season. Here we systematically evaluated the degree to which annual burned area from the Global Fire Emissions Database version 4 with small fires (GFED4s) can be predicted using SSTs from 14 different ocean regions. We found that about 48 of global burned area can be forecast with a correlation coefficient that is significant at a p < 0.01 level using a single ocean climate index (OCI) 3 or more months prior to the month of peak burning. Continental regions where burned area had a higher degree of predictability included equatorial Asia, where 92% of the burned area exceeded the correlation threshold, and Central America, where 86% of the burned area exceeded this threshold. Pacific Ocean indices describing the El Nino-Southern Oscillation were more important than indices from other ocean basins, accounting for about 1/3 of the total predictable global burned area. A model that combined two indices from different oceans considerably improved model performance, suggesting that fires in many regions respond to forcing from more than one ocean basin. Using OCI-burned area relationships and a clustering algorithm, we identified 12 hotspot regions in which fires had a consistent response to SST patterns. Annual burned area in these regions can be predicted with moderate confidence levels, suggesting operational forecasts may be possible with the aim of improving ecosystem management.

Relative abundance of small mammals in nest core areas and burned wintering areas of Mexican spotted owls in the Sacramento Mountains, New Mexico

Treesearch

Joseph L. Ganey; Sean C. Kyle; Todd A. Rawlinson; Darrell L. Apprill; James P Ward

2014-01-01

Mexican Spotted Owls (Strix occidentalis lucida) are common in older forests within their range but also persist in many areas burned by wildfire and may selectively forage in these areas. One hypothesis explaining this pattern postulates that prey abundance increases in burned areas following wildfire. We observed movement to wintering areas within areas burned by...

Cost analysis of acute burn patients treated in a burn centre: the Gulhane experience

PubMed Central

Sahin, I.; Ozturk, S.; Alhan, D.; Açikel, C.; Isik, S.

2011-01-01

Summary Even if calculating the exact cost of burn treatment is a very hard task, the study of cost analysis provides financial perspective. We performed a cost analysis study in our burn centre to respond to questions about total patient treatment cost and the length of hospital stay. We reviewed all patients admitted to the Gulhane Military Medical Academy Burn Centre in Ankara, Turkey, between March 2005 and August 2008. Forty-three patients with major burns were identified on the basis of the study criteria. The data regarding total treatment cost and the length of hospital stay for each type of burn (flame, scald, electric) were collected at the end of the study. The average total body surface area burned was 36 ± 7%.. The average duration of hospital stay was 73 ± 33 days. Patients with electrical burns stayed longer in hospital than patients with other types of burn injuries. Each one per cent of burn corresponded to a mean hospital stay of two days. The overall mean total cost was $US 15,250. The mean total cost of electrical burns was the highest, with $US 22,501 ± 24,039. Even if the costs associated with burn injury are higher than some other well-known health-related problems, they have not been much studied. Reports have produced different results, but it should be kept in mind that although the results of cost analysis studies may vary they must be performed in all newly established burn centres in order to form a financial overview. PMID:21991233

Near real-time estimation of burned area using VIIRS 375 m active fire product

NASA Astrophysics Data System (ADS)

Oliva, P.; Schroeder, W.

2016-12-01

Every year, more than 300 million hectares of land burn globally, causing significant ecological and economic consequences, and associated climatological effects as a result of fire emissions. In recent decades, burned area estimates generated from satellite data have provided systematic global information for ecological analysis of fire impacts, climate and carbon cycle models, and fire regimes studies, among many others. However, there is still need of near real-time burned area estimations in order to assess the impacts of fire and estimate smoke and emissions. The enhanced characteristics of the Visible Infrared Imaging Radiometer Suite (VIIRS) 375 m channels on board the Suomi National Polar-orbiting Partnesship (S-NPP) make possible the use of near real-time active fire detection data for burned area estimation. In this study, consecutive VIIRS 375 m active fire detections were aggregated to produce the VIIRS 375 m burned area (BA) estimation over ten ecologically diverse study areas. The accuracy of the BA estimations was assessed by comparison with Landsat-8 supervised burned area classification. The performance of the VIIRS 375 m BA estimates was dependent on the ecosystem characteristics and fire behavior. Higher accuracy was observed in forested areas characterized by large long-duration fires, while grasslands, savannas and agricultural areas showed the highest omission and commission errors. Complementing those analyses, we performed the burned area estimation of the largest fires in Oregon and Washington states during 2015 and the Fort McMurray fire in Canada 2016. The results showed good agreement with NIROPs airborne fire perimeters proving that the VIIRS 375 m BA estimations can be used for near real-time assessments of fire effects.

Recent changes in annual area burned in interior Alaska: The impact of fire management

USGS Publications Warehouse

Calef, M.P.; Varvak, Anna; McGuire, A. David; Chapin, F. S.; Reinhold, K. B.

2015-01-01

The Alaskan boreal forest is characterized by frequent extensive wildfires whose spatial extent has been mapped for the past 70 years. Simple predictions based on this record indicate that area burned will increase as a response to climate warming in Alaska. However, two additional factors have affected the area burned in this time record: the Pacific decadal oscillation (PDO) switched from cool and moist to warm and dry in the late 1970s and the Alaska Fire Service instituted a fire suppression policy in the late 1980s. In this paper a geographic information system (GIS) is used in combination with statistical analyses to reevaluate the changes in area burned through time in Alaska considering both the influence of the PDO and fire management. The authors found that the area burned has increased since the PDO switch and that fire management drastically decreased the area burned in highly suppressed zones. However, the temporal analysis of this study shows that the area burned is increasing more rapidly in suppressed zones than in the unsuppressed zone since the late 1980s. These results indicate that fire policies as well as regional climate patterns are important as large-scale controls on fires over time and across the Alaskan boreal forest.

Burn severity of areas reburned by wildfires in the Gila National Forest, New Mexico, USA

Treesearch

Zachary A. Holden; Penelope Morgan; Andrew T. Hudak

2010-01-01

We describe satellite-inferred burn severity patterns of areas that were burned and then reburned by wildland fire from 1984 to 2004 within the Gila Aldo Leopold Wilderness Complex, New Mexico, USA. Thirteen fires have burned 27 000 hectares across multiple vegetation types at intervals between fires ranging from 3 yr to 14 yr. Burn severity of reburned areas showed...

Semi-automated mapping of burned areas in semi-arid ecosystems using MODIS time-series imagery

NASA Astrophysics Data System (ADS)

Hardtke, Leonardo A.; Blanco, Paula D.; Valle, Héctor F. del; Metternicht, Graciela I.; Sione, Walter F.

2015-06-01

Understanding spatial and temporal patterns of burned areas at regional scales, provides a long-term perspective of fire processes and its effects on ecosystems and vegetation recovery patterns, and it is a key factor to design prevention and post-fire restoration plans and strategies. Remote sensing has become the most widely used tool to detect fire affected areas over large tracts of land (e.g., ecosystem, regional and global levels). Standard satellite burned area and active fire products derived from the 500-m Moderate Resolution Imaging Spectroradiometer (MODIS) and the Satellite Pour l'Observation de la Terre (SPOT) are available to this end. However, prior research caution on the use of these global-scale products for regional and sub-regional applications. Consequently, we propose a novel semi-automated algorithm for identification and mapping of burned areas at regional scale. The semi-arid Monte shrublands, a biome covering 240,000 km2 in the western part of Argentina, and exposed to seasonal bushfires was selected as the test area. The algorithm uses a set of the normalized burned ratio index products derived from MODIS time series; using a two-phased cycle, it firstly detects potentially burned pixels while keeping a low commission error (false detection of burned areas), and subsequently labels them as seed patches. Region growing image segmentation algorithms are applied to the seed patches in the second-phase, to define the perimeter of fire affected areas while decreasing omission errors (missing real burned areas). Independently-derived Landsat ETM+ burned-area reference data was used for validation purposes. Additionally, the performance of the adaptive algorithm was assessed against standard global fire products derived from MODIS Aqua and Terra satellites, total burned area (MCD45A1), the active fire algorithm (MOD14); and the L3JRC SPOT VEGETATION 1 km GLOBCARBON products. The correlation between the size of burned areas detected by the global

Brazil Fire Characterization and Burn Area Estimation Using the Airborne Infrared Disaster Assessment (AIRDAS) System

NASA Technical Reports Server (NTRS)

Brass, J. A.; Riggan, P. J.; Ambrosia, V. G.; Lockwood, R. N.; Pereira, J. A.; Higgins, R. G.; Peterson, David L. (Technical Monitor)

1995-01-01

Remotely sensed estimations of regional and global emissions from biomass combustion have been used to characterize fire behavior, determine fire intensity, and estimate burn area. Highly temporal, low resolution satellite data have been used to calculate estimates of fire numbers and area burned. These estimates of fire activity and burned area have differed dramatically, resulting in a wide range of predictions on the ecological and environmental impacts of fires. As part of the Brazil/United States Fire Initiative, an aircraft campaign was initiated in 1992 and continued in 1994. This multi-aircraft campaign was designed to assist in the characterization of fire activity, document fire intensity and determine area burned over prescribed, agricultural and wildland fires in the savanna and forests of central Brazil. Using a unique, multispectral scanner (AIRDAS), designed specifically for fire characterization, a variety of fires and burned areas were flown with a high spatial and high thermal resolution scanner. The system was used to measure flame front size, rate of spread, ratio of smoldering to flaming fronts and fire intensity. In addition, long transects were flown to determine the size of burned areas within the cerrado and transitional ecosystems. The authors anticipate that the fire activity and burned area estimates reported here will lead to enhanced information for precise regional trace gas prediction.

An epidemiological analysis of paediatric burns in urban and rural areas in south central China.

PubMed

Zhou, Bo; Zhou, Xiao; Ouyang, Li-zhi; Huang, Xiao-yuan; Zhang, Pi-hong; Zhang, Ming-hua; Ren, Li-cheng; Liang, Peng-fei

2014-02-01

This study aims to analyse the epidemiology of paediatric burns in south central China, illustrate the differences between rural and urban areas, and discern prevention measures to reduce paediatric burns. Data were obtained from all paediatric patients admitted to Department of Burns unit of Xiangya Hospital during 2009-2012. A retrospective review was performed, including cause of burn, pre-hospital treatment, place of burn occurrence, anatomical areas involved, extent of burn, date of injury, number of operations, complications, length of hospital stay, hospitalisation cost and cure rate. A total of 278 hospitalised paediatric patients were admitted in this study. The majority (56.47%) were 1-3 years old. Rural patients accounted for 67.99% in total; the ratio of boys to girls was 2.05. Scalding with hot fluids was the most common cause of burns in children (62.59%), followed by flame (17.63), fireworks (9.71%), electricity (5.76%) and other factors such as contact and chemical (4.32%). The living room was the location with the highest frequency of burns in children (53.24%). Burns were more likely to happen in winter and the upper extremities were the most involved anatomic site (53.24%). Total burn surface area (TBSA) ranging from 0% to 9% accounted for 55.4% in total. Rural patients underwent more operations and had longer and costlier hospital stays than urban patients. Compared with treatment in urban areas, rural burn patients received less first-aid treatment, underwent more surgery, had more complications and longer and more costly hospital stays. This finding strongly suggests that it is necessary to make more efforts to prevent burns, especially in rural areas. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

An assessment of dispersing pollutants from the pre-harvest burning of sugarcane in rural areas in the northeast of Brazil

NASA Astrophysics Data System (ADS)

Rangel, Maria Gabriela L.; Henríquez, Jorge R.; Costa, José A. P.; de Lira Junior, José C.

2018-04-01

In recent years, the Brazilian government has been applying several restrictions with regard to preventing environmental pollution. Although Brazilian legislation is becoming stricter as to the pre-harvest burning of sugarcane, this practice is frequently used in order to assist manual harvesting. In the northeast region of Brazil, sugarcane is an important crop, which accounts for about 15% of the national production in a total area of 1,060,660 ha, the average production being 51,119 kg per hectare. The pre-harvest burning of sugarcane generates smoke, which has a high concentration of atmospheric pollutants such as carbon dioxide (CO2), carbon monoxide (CO), particulate matter (P.M. 2.5 and 10), polycyclic aromatic hydrocarbons (PAH), volatile organic compounds (VOC) and nitrogen oxides (NOX). This article estimates the volume of CO, P.M. 2.5 and NOX generated and how they are dispersed in the atmosphere when this arises from the burning of sugarcane biomass in rural areas of Northeast Brazil, and does so by using AERMOD VIEW® simulation software. Using the characteristics of the emissions and environmental (meteorological and topographical) data, quality air profiles based on pollutant dispersion were obtained. Three studies were taken into account in order to determine the relationship between pollutant dispersion and some parameters of the burning process, such as those for the spatial distribution of resources, the duration of pre-harvest burning and the influence of undertaking burning in different months. As to spatial distribution, to divide an area into small lots contributes to decreasing the maximum concentration of pollutants by 53% compared to burning a single area of equivalent size. The study of the burning duration indicated that doing so gradually (using a lengthier procedure) could decrease the maximum concentration of the pollutants by an inverse relation. The harvesting period in this region is between November and April. The pollutants

The pollution control of fluorine and arsenic in roasted corn in "coal-burning" fluorosis area Yunnan, China.

PubMed

Li, Ling; Luo, Kun-li; Liu, Yong-lin; Xu, Yong-xin

2012-08-30

Pilot experiments were carried out to reduce the fluorine (F) and arsenic (As) pollution of roasted corn dried by open ovens in "coal-burning" fluorosis area Yunnan, China. The results indicated that the average emission amount of F and As in briquettes in experimental group were 29.20mg/kg and 0.76 mg/kg in Xiaolongdong, and 46.8 mg/kg and 0.54 mg/kg in Mangbu respectively. The results also indicated that the fixing rate of F and As in briquettes in experimental group was more than 4 times and 1.2 times of that in control group respectively. The average concentration of F and As in roasted corn in experimental group were 3.86 mg/kg and 13.23 μg/kg in Xiaolongdong, and 4.77 mg/kg and 122.96 μg/kg in Mangbu respectively, which reduced by more than 65% and 75% respectively compared with that in control group. Adding local natural calcium-based materials in briquettes can reduce the emission of F and As and their pollution on roasted corn largely, and thus will reduce the risk of fluorosis for residents greatly in "coal-burning" fluorosis area of southwestern China. Copyright © 2012 Elsevier B.V. All rights reserved.

Validation of the MODIS Collection 6 MCD64 Global Burned Area Product

NASA Astrophysics Data System (ADS)

Boschetti, L.; Roy, D. P.; Giglio, L.; Stehman, S. V.; Humber, M. L.; Sathyachandran, S. K.; Zubkova, M.; Melchiorre, A.; Huang, H.; Huo, L. Z.

2017-12-01

The research, policy and management applications of satellite products place a high priority on rigorously assessing their accuracy. A number of NASA, ESA and EU funded global and continental burned area products have been developed using coarse spatial resolution satellite data, and have the potential to become part of a long-term fire Essential Climate Variable. These products have usually been validated by comparison with reference burned area maps derived by visual interpretation of Landsat or similar spatial resolution data selected on an ad hoc basis. More optimally, a design-based validation method should be adopted, characterized by the selection of reference data via probability sampling. Design based techniques have been used for annual land cover and land cover change product validation, but have not been widely used for burned area products, or for other products that are highly variable in time and space (e.g. snow, floods, other non-permanent phenomena). This has been due to the challenge of designing an appropriate sampling strategy, and to the cost and limited availability of independent reference data. This paper describes the validation procedure adopted for the latest Collection 6 version of the MODIS Global Burned Area product (MCD64, Giglio et al, 2009). We used a tri-dimensional sampling grid that allows for probability sampling of Landsat data in time and in space (Boschetti et al, 2016). To sample the globe in the spatial domain with non-overlapping sampling units, the Thiessen Scene Area (TSA) tessellation of the Landsat WRS path/rows is used. The TSA grid is then combined with the 16-day Landsat acquisition calendar to provide tri-dimensonal elements (voxels). This allows the implementation of a sampling design where not only the location but also the time interval of the reference data is explicitly drawn through stratified random sampling. The novel sampling approach was used for the selection of a reference dataset consisting of 700

A human-driven decline in global burned area.

PubMed

Andela, N; Morton, D C; Giglio, L; Chen, Y; van der Werf, G R; Kasibhatla, P S; DeFries, R S; Collatz, G J; Hantson, S; Kloster, S; Bachelet, D; Forrest, M; Lasslop, G; Li, F; Mangeon, S; Melton, J R; Yue, C; Randerson, J T

2017-06-30

Fire is an essential Earth system process that alters ecosystem and atmospheric composition. Here we assessed long-term fire trends using multiple satellite data sets. We found that global burned area declined by 24.3 ± 8.8% over the past 18 years. The estimated decrease in burned area remained robust after adjusting for precipitation variability and was largest in savannas. Agricultural expansion and intensification were primary drivers of declining fire activity. Fewer and smaller fires reduced aerosol concentrations, modified vegetation structure, and increased the magnitude of the terrestrial carbon sink. Fire models were unable to reproduce the pattern and magnitude of observed declines, suggesting that they may overestimate fire emissions in future projections. Using economic and demographic variables, we developed a conceptual model for predicting fire in human-dominated landscapes. Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

Fire frequency, area burned, and severity: A quantitative approach to defining a normal fire year

USGS Publications Warehouse

Lutz, J.A.; Key, C.H.; Kolden, C.A.; Kane, J.T.; van Wagtendonk, J.W.

2011-01-01

Fire frequency, area burned, and fire severity are important attributes of a fire regime, but few studies have quantified the interrelationships among them in evaluating a fire year. Although area burned is often used to summarize a fire season, burned area may not be well correlated with either the number or ecological effect of fires. Using the Landsat data archive, we examined all 148 wildland fires (prescribed fires and wildfires) >40 ha from 1984 through 2009 for the portion of the Sierra Nevada centered on Yosemite National Park, California, USA. We calculated mean fire frequency and mean annual area burned from a combination of field- and satellite-derived data. We used the continuous probability distribution of the differenced Normalized Burn Ratio (dNBR) values to describe fire severity. For fires >40 ha, fire frequency, annual area burned, and cumulative severity were consistent in only 13 of 26 years (50 %), but all pair-wise comparisons among these fire regime attributes were significant. Borrowing from long-established practice in climate science, we defined "fire normals" to be the 26 year means of fire frequency, annual area burned, and the area under the cumulative probability distribution of dNBR. Fire severity normals were significantly lower when they were aggregated by year compared to aggregation by area. Cumulative severity distributions for each year were best modeled with Weibull functions (all 26 years, r2 ??? 0.99; P < 0.001). Explicit modeling of the cumulative severity distributions may allow more comprehensive modeling of climate-severity and area-severity relationships. Together, the three metrics of number of fires, size of fires, and severity of fires provide land managers with a more comprehensive summary of a given fire year than any single metric.

Epidemiology of burns due to domestic flammable agents.

PubMed

Pegg, S P; Beecham, L; Dore, N; Hrdlicka, D; Hukins, C

1990-04-01

An analysis of the epidemiological factors relating to domestic flammable agents has shown that 17.7 per cent of admissions over a 5-year period were involved in domestic flammable injuries; 87.7 per cent of the patients were male, with 38.9 per cent being young males between 12 and 19 years old. Petrol and diesel accounted for 56.8 per cent of the burns and the average body surface area burned was 17.7 per cent. Most commonly the face, hands and limbs were burned, and the average length of stay was 18.25 days, 69.2 per cent of the burns were due to human error and were thus potentially preventable, 21.2 per cent had predisposing conditions with 8.9 per cent being due to alcohol. It was considered that the strategies to prevent these burns injuries should be aimed particularly at young males.

On the use of the (V,W) Burn-Sensitive Vegetation Index System to monitor the spatiotemporal distribution of burned areas in Portugal

NASA Astrophysics Data System (ADS)

DaCamara, Carlos; Libonati, Renata; Calado, Teresa; Ermida, Sofia; Nunes, Sílvia

2017-04-01

The use of remotely sensed information for burned area detection is well established and there is a general consensus about its usefulness from global down to regional levels. In this particular, the combined use of near and middle infrared (NIR and MIR) channels has shown to be particularly suitable to discriminate burned areas in a variety of ecosystems. The so-called (V,W) system [1,2] is a burn-sensitive vegetation index system defined in a transformed NIR-MIR space that has proven to be capable of discriminating burned pixels in the Brazilian biomes. A procedure based on the (V,W) system is here presented that allows discriminating burned areas and dating burning events. The procedure is tested over Portugal using NIR and MIR data from the Terra/Aqua MODIS Level 1B 1 km V5 product (MOD021/MYD021) together with active fire data from the MODIS V5 product Thermal Anomalies/Fire 5-Min L2 Swath 1km (MOD14/ MYD14). First monthly minimum composites of W are computed for July and August 2015. Burned pixels are then identified as the ones that are located close to hot spots (detected during August) and that present low values of composited minimum of W in August (characteristic of a burning event) together with a sharp decrease of composited minimum of W from July to August (that is expected to occur after a burning event). Burned pixels are then successively identified by a seeded region-growing algorithm. The day of burning of each pixel classified as burned is finally identified as the one that maximizes an index of temporal separability computed along the respective time series of available values of W in August. Results obtained are validated using as reference burned scars and dates as identified by the Rapid Damage Assessment (RDA) module developed by the European Forest Fire Information System (EFFIS); the EFFIS mapping process consists of an unsupervised procedure that uses MODIS bands at 250 m resolution combined with information from the CORINE Land Cover

[Influence of educational status, burn area and coping behaviors on the complication of psychological disorders in severely burned patients].

PubMed

Cheng, Hua; Li, Xiao-jian; Cao, Wen-juan; Chen, Li-ying; Zhang, Zhi; Liu, Zhi-he; Yi, Xian-feng; Lai, Wen

2013-04-01

To discuss how the educational status, burn area and coping behaviors influence the psychological disorders in severely burned patients. Sixty-four severely burned patients hospitalized in Guangzhou Red Cross Hospital, Guangdong Provincial Work Injury Rehabilitation Center, and Guangdong General Hospital were enrolled with cluster random sampling method. Data of their demography and situation of burns were collected. Then their coping behavior, psychological disorders including anxiety, depression and post-traumatic stress disorder (PTSD) plus its core symptoms of flashback, avoidance, and hypervigilance were assessed by medical coping modes questionnaire, self-rating anxiety scale (SAS), self-rating depression scale (SDS), PTSD checklist-civilian version (PCL-C) respectively. Correlation was analyzed between demography, burn area, coping behavior and psychological disorders. The predictive powers of educational status, burn area and coping behaviors on the psychological disorders were analyzed. The qualitative variables were assigned values. Data were processed with t test, Spearman rank correlation analysis, and multiple linear regression analysis. (1) The patients scored (19.0 ± 3.4) points in confrontation coping behavior, which showed no statistically significant difference from the domestic norm score (19.5 ± 3.8) points (t = -1.13, P > 0.05). The patients scored (16.6 ± 2.4) and (11.0 ± 2.2) points in avoidance and resignation coping behaviors, which were significantly higher than the domestic norm score (14.4 ± 3.0), (8.8 ± 3.2) points (with t values respectively 7.06 and 7.76, P values both below 0.01). The patients' standard score of SAS, SDS, PCL-C were (50 ± 11), (54 ± 11), and (38 ± 12) points. Respectively 89.1% (57/64), 60.9% (39/64), 46.9% (30/64) of the patients showed anxiety, depression, and PTSD symptoms. (2) Four independent variables: age, gender, marital status, and time after burns, were correlated with the psychological disorders

Burns in mobile home fires--descriptive study at a regional burn center.

PubMed

Mullins, Robert F; Alarm, Badrul; Huq Mian, Mohammad Anwarul; Samples, Jancie M; Friedman, Bruce C; Shaver, Joseph R; Brandigi, Claus; Hassan, Zaheed

2009-01-01

Death from fires and burns are the sixth most common cause of unintentional injury death in the United States. More than (3/4) of burn deaths occurring in the United States are in the home. Mobile home fires carry twice the death rate as other dwellings. The aim of the study was to describe the characteristics of deaths and injuries in mobile home fire admitted in a regional Burn Center and to identify possible risk factors. A cross-sectional retrospective study was carried out among all burn patients admitted to a regional Burn Center between January 2002 and December 2004 (3469 patients). The study included patients who suffered a burn injury from a mobile home fire. The demographic characteristics of the patients, location of mobile home, associated inhalation injury, source of fire, comorbidity of the victims, employment status, insurance status, family history of burns, and outcomes of the treatment were incorporated in a data collection record. There were 65 burn patients in mobile home fires admitted to the Burn Center during the studied period. The average age of the patients was 39 years (ranging from 2 to 81 years, SD=16.06), 77% were male, 67% were white, and 79% were the residents in the suburban areas of Georgia, South Carolina, North Carolina, and Florida. The average TBSA of burns was about 21% (ranging from 1 to 63%, SD=17.66), 63% of the patients had associated inhalation, three inhalation injury only, and 69% patients required ventilator support. The average length of stay per TBSA percentage of burn was 1.01 days (P=0.00), controlling for age, preexisting medical comorbidities, and inhalation injury. About 88% of the patients had preexisting medical comorbid conditions, 74% were smokers, 64% reported as alcoholic, and 72% had at least some form of health insurance coverage. In 40% of the cases, the cause of the fire was unknown, 31% were caused by accidental explosions, such as electric, gasoline, or kerosene appliances, and 29% were due to other

A Method of Mapping Burned Area Using Chinese FengYun-3 MERSI Satellite Data

NASA Astrophysics Data System (ADS)

Shan, T.

2017-12-01

Wildfire is a naturally reoccurring global phenomenon which has environmental and ecological consequences such as effects on the global carbon budget, changes to the global carbon cycle and disruption to ecosystem succession. The information of burned area is significant for post disaster assessment, ecosystems protection and restoration. The Medium Resolution Spectral Imager (MERSI) onboard FENGYUN-3C (FY-3C) has shown good ability for fire detection and monitoring but lacks recognition among researchers. In this study, an automated burned area mapping algorithm was proposed based on FY-3C MERSI data. The algorithm is generally divided into two phases: 1) selection of training pixels based on 1000-m resolution MERSI data, which offers more spectral information through the use of more vegetation indices; and 2) classification: first the region growing method is applied to 1000-m MERSI data to calculate the core burned area and then the same classification method is applied to the 250-m MERSI data set by using the core burned area as a seed to obtain results at a finer spatial resolution. An evaluation of the performance of the algorithm was carried out at two study sites in America and Canada. The accuracy assessment and validation were made by comparing our results with reference results derived from Landsat OLI data. The result has a high kappa coefficient and the lower commission error, indicating that this algorithm can improve the burned area mapping accuracy at the two study sites. It may then be possible to use MERSI and other data to fill the gaps in the imaging of burned areas in the future.

3D photography is as accurate as digital planimetry tracing in determining burn wound area.

PubMed

Stockton, K A; McMillan, C M; Storey, K J; David, M C; Kimble, R M

2015-02-01

In the paediatric population careful attention needs to be made concerning techniques utilised for wound assessment to minimise discomfort and stress to the child. To investigate whether 3D photography is a valid measure of burn wound area in children compared to the current clinical gold standard method of digital planimetry using Visitrak™. Twenty-five children presenting to the Stuart Pegg Paediatric Burn Centre for burn dressing change following acute burn injury were included in the study. Burn wound area measurement was undertaken using both digital planimetry (Visitrak™ system) and 3D camera analysis. Inter-rater reliability of the 3D camera software was determined by three investigators independently assessing the burn wound area. A comparison of wound area was assessed using intraclass correlation co-efficients (ICC) which demonstrated excellent agreement 0.994 (CI 0.986, 0.997). Inter-rater reliability measured using ICC 0.989 (95% CI 0.979, 0.995) demonstrated excellent inter-rater reliability. Time taken to map the wound was significantly quicker using the camera at bedside compared to Visitrak™ 14.68 (7.00)s versus 36.84 (23.51)s (p<0.001). In contrast, analysing wound area was significantly quicker using the Visitrak™ tablet compared to Dermapix(®) software for the 3D Images 31.36 (19.67)s versus 179.48 (56.86)s (p<0.001). This study demonstrates that images taken with the 3D LifeViz™ camera and assessed with Dermapix(®) software is a reliable method for wound area assessment in the acute paediatric burn setting. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

Validation of the USGS Landsat Burned Area Essential Climate Variable (BAECV) across the conterminous United States

USGS Publications Warehouse

Vanderhoof, Melanie; Fairaux, Nicole; Beal, Yen-Ju G.; Hawbaker, Todd J.

2017-01-01

The Landsat Burned Area Essential Climate Variable (BAECV), developed by the U.S. Geological Survey (USGS), capitalizes on the long temporal availability of Landsat imagery to identify burned areas across the conterminous United States (CONUS) (1984–2015). Adequate validation of such products is critical for their proper usage and interpretation. Validation of coarse-resolution products often relies on independent data derived from moderate-resolution sensors (e.g., Landsat). Validation of Landsat products, in turn, is challenging because there is no corresponding source of high-resolution, multispectral imagery that has been systematically collected in space and time over the entire temporal extent of the Landsat archive. Because of this, comparison between high-resolution images and Landsat science products can help increase user's confidence in the Landsat science products, but may not, alone, be adequate. In this paper, we demonstrate an approach to systematically validate the Landsat-derived BAECV product. Burned area extent was mapped for Landsat image pairs using a manually trained semi-automated algorithm that was manually edited across 28 path/rows and five different years (1988, 1993, 1998, 2003, 2008). Three datasets were independently developed by three analysts and the datasets were integrated on a pixel by pixel basis in which at least one to all three analysts were required to agree a pixel was burned. We found that errors within our Landsat reference dataset could be minimized by using the rendition of the dataset in which pixels were mapped as burned if at least two of the three analysts agreed. BAECV errors of omission and commission for the detection of burned pixels averaged 42% and 33%, respectively for CONUS across all five validation years. Errors of omission and commission were lowest across the western CONUS, for example in the shrub and scrublands of the Arid West (31% and 24%, respectively), and highest in the grasslands and

Mineral Resources of the Black Mountains North and Burns Spring Wilderness Study Areas, Mohave County, Arizona

USGS Publications Warehouse

Conrad, James E.; Hill, Randall H.; Jachens, Robert C.; Neubert, John T.

1990-01-01

At the request of the U.S. Bureau of Land Management, approximately 19,300 acres of the Black Mountains North Wilderness Study Area (AZ-020-009) and 23,310 acres of the Burns Spring Wilderness Study Area (AZ-02D-010) were evaluated for mineral resources and mineral resource potential. In this report, the area studied is referred to, collectively or individually, as the 'wilderness study area' or simply 'the study area'; any reference to the Black Mountains North or Burns Spring Wilderness Study Areas refers only to that part of the wilderness study area for which a mineral survey was requested by the U.S. Bureau of Land Management. The study area is located in western Arizona, about 30 mi northwest of Kingman. There are no identified resources in the study area. An area surrounding the Portland mine and including the southern part of the Black Mountains North Wilderness Study Area and the extreme northwestern part of the Burns Spring Wilderness Study Area has high resource potential for gold and moderate resource potential for silver, lead, and mercury. The area surrounding this and including much of the northern part of the Burns Spring Wilderness Study Area has moderate potential for gold, silver, and lead. The northeastern corner of the Black Mountains North Wilderness Study Area has moderate potential for gold and low potential for silver, copper, and molybdenum resources. The central part, including the narrow strip of land just west of the central part, of the Black Mountains North Wilderness Study Area and the southern and extreme eastern parts of the Burns Spring Wilderness Study Area have low resource potential for gold. The central and southern parts of the Black Mountains North Wilderness Study Area and all but the southwestern part of the Burns Spring Wilderness Study Area have moderate resource potential for perlite. Moderate resource potential for zeolites is assigned to a large area around the Portland mine that includes parts of both study areas, to

A system for 3D representation of burns and calculation of burnt skin area.

PubMed

Prieto, María Felicidad; Acha, Begoña; Gómez-Cía, Tomás; Fondón, Irene; Serrano, Carmen

2011-11-01

In this paper a computer-based system for burnt surface area estimation (BAI), is presented. First, a 3D model of a patient, adapted to age, weight, gender and constitution is created. On this 3D model, physicians represent both burns as well as burn depth allowing the burnt surface area to be automatically calculated by the system. Each patient models as well as photographs and burn area estimation can be stored. Therefore, these data can be included in the patient's clinical records for further review. Validation of this system was performed. In a first experiment, artificial known sized paper patches were attached to different parts of the body in 37 volunteers. A panel of 5 experts diagnosed the extent of the patches using the Rule of Nines. Besides, our system estimated the area of the "artificial burn". In order to validate the null hypothesis, Student's t-test was applied to collected data. In addition, intraclass correlation coefficient (ICC) was calculated and a value of 0.9918 was obtained, demonstrating that the reliability of the program in calculating the area is of 99%. In a second experiment, the burnt skin areas of 80 patients were calculated using BAI system and the Rule of Nines. A comparison between these two measuring methods was performed via t-Student test and ICC. The hypothesis of null difference between both measures is only true for deep dermal burns and the ICC is significantly different, indicating that the area estimation calculated by applying classical techniques can result in a wrong diagnose of the burnt surface. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

Burns in a major burns center in East China from 2005 to 2014: Incidence and outcome.

PubMed

Fan, Xiaoming; Ma, Bing; Zeng, Ding; Fang, Xiao; Li, Haihang; Xiao, Shichu; Wang, Guangyi; Tang, Hongtai; Xia, Zhaofan

2017-11-01

Information about epidemiology on burns is rare in China. The aim of this article is to describe the pattern of burns in East China during a 10-year time period. A retrospective data analysis was performed on all hospitalized patients to the burn center at the Changhai hospital, one of major burn centers in East China, from 2005 to 2014. We included 3376 patients in this study. Among them, 48.1% were from 27 provinces out of Shanghai and nearly 90% were from East China. August saw the most admissions and November saw the fewest. Spring and summer separately dominated in number of female and male patients. Children aged 2-5 and working-age adult were the most commonly treated. Home was the commonest place of injury, followed by industrial-related places, outdoors, public buildings, and vehicles or roads. Scalds remained the primary reason, followed by fire, contact burns, electricity, and chemicals. The average %TBSA of male patients was 14.2±21.3, significantly different from that of female patients (10.4±16.9). Extremities were the most vulnerable body region burned, followed by the trunk, face and hands. The average hospital length of stay in male patients was 25.4±72.4 days, significantly different from that of females' 19.9±27.6 days. The total mortality was 1.8% and the lethal area burned resulting in 50% mortality was 96.5% TBSA. Compared with published data, these result are encouraging, which demonstrate that burn care and treatment has made significant progress. Burn clinicians should bear not only the responsibility to treat and cure burns, but also the popularization of knowledge about burn precautions and emergency treatments. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

Investigating the Impacts of Surface Temperature Anomalies due to Burned Area Albedo in Northern sub-Saharan Africa

NASA Astrophysics Data System (ADS)

Gabbert, T.; Matsui, T.; Capehart, W. J.; Ichoku, C. M.; Gatebe, C. K.

2015-12-01

The northern Sub-Saharan African region (NSSA) is an area of intense focus due to periodic severe droughts that have dire consequences on the growing population, which relies mostly on rain fed agriculture for its food supply. This region's weather and hydrologic cycle are very complex and are dependent on the West African Monsoon. Different regional processes affect the West African Monsoon cycle and variability. One of the areas of current investigation is the water cycle response to the variability of land surface characteristics. Land surface characteristics are often altered in NSSA due to agricultural practices, grazing, and the fires that occur during the dry season. To better understand the effects of biomass burning on the hydrologic cycle of the sub-Saharan environment, an interdisciplinary team sponsored by NASA is analyzing potential feedback mechanisms due to the fires. As part of this research, this study focuses on the effects of land surface changes, particularly albedo and skin temperature, that are influenced by biomass burning. Surface temperature anomalies can influence the initiation of convective rainfall and surface albedo is linked to the absorption of solar radiation. To capture the effects of fire perturbations on the land surface, NASA's Unified Weather and Research Forecasting (NU-WRF) model coupled with NASA's Land Information System (LIS) is being used to simulate burned area surface albedo inducing surface temperature anomalies and other potential effects to environmental processes. Preliminary sensitivity results suggest an altered surface radiation budget, regional warming of the surface temperature, slight increase in average rainfall, and a change in precipitation locations.

Storm rainfall conditions for floods and debris flows from recently burned areas in southwestern Colorado and southern California

USGS Publications Warehouse

Cannon, S.H.; Gartner, J.E.; Wilson, R.C.; Bowers, J.C.; Laber, J.L.

2008-01-01

Debris flows generated during rain storms on recently burned areas have destroyed lives and property throughout the Western U.S. Field evidence indicate that unlike landslide-triggered debris flows, these events have no identifiable initiation source and can occur with little or no antecedent moisture. Using rain gage and response data from five fires in Colorado and southern California, we document the rainfall conditions that have triggered post-fire debris flows and develop empirical rainfall intensity-duration thresholds for the occurrence of debris flows and floods following wildfires in these settings. This information can provide guidance for warning systems and planning for emergency response in similar settings. Debris flows were produced from 25 recently burned basins in Colorado in response to 13 short-duration, high-intensity convective storms. Debris flows were triggered after as little as six to 10??min of storm rainfall. About 80% of the storms that generated debris flows lasted less than 3??h, with most of the rain falling in less than 1??h. The storms triggering debris flows ranged in average intensity between 1.0 and 32.0??mm/h, and had recurrence intervals of two years or less. Threshold rainfall conditions for floods and debris flows sufficiently large to pose threats to life and property from recently burned areas in south-central, and southwestern, Colorado are defined by: I = 6.5D-??0.7 and I = 9.5D-??0.7, respectively, where I = rainfall intensity (in mm/h) and D = duration (in hours). Debris flows were generated from 68 recently burned areas in southern California in response to long-duration frontal storms. The flows occurred after as little as two hours, and up to 16??h, of low-intensity (2-10??mm/h) rainfall. The storms lasted between 5.5 and 33??h, with average intensities between 1.3 and 20.4??mm/h, and had recurrence intervals of two years or less. Threshold rainfall conditions for life- and property-threatening floods and debris

Use of a copolymer dressing on superficial and partial-thickness burns in a paediatric population.

PubMed

Everett, M; Massand, S; Davis, W; Burkey, B; Glat, P M

2015-07-01

Despite extensive research into the treatment of partial-thickness burns, to date there has not been the emergence of a preeminent modality. This pilot study, the first such study to be performed in a burn unit in the US, was designed to evaluate the efficacy and outcomes of the application of copolymer dressing (Suprathel; PolyMedics Innovations Corporation, Stuttgart, Germany) for both superficial and deeper partial-thickness burns. The copolymer dressing was used as a primary wound dressing to treat superficial and deep partial-thickness burns (average 5% total body surface area) in paediatric patients. Burns were debrided within 24 hours, at bedside, in the burn unit or in the operating room. The copolymer dressing was then applied directly to the wound and covered with a non-adherent second layer and an absorptive outer dressing. After discharge, patients were seen every 5-7 days until healed. Parameters evaluated included average hospital length of stay, average number of intravenous doses of narcotics administered, pain score at first follow-up visit, average time to complete re epithelialisation, incidence of burn wound infection, and patient/parent satisfaction on a 4-point scale. We also evaluated our experience with the dressing. Data were evaluated retrospectively under an Investigational Review Board approved protocol. Of the 17 patients assessed the average hospital length of stay was 1.4 days during which the average number of intravenous narcotic doses administered before copolymer dressing application was 1.5 and after was 0.1 doses. At the first follow-up visit, average pain score was 1.2 on a 10-point scale and the average time to re epithelialisation was 9.5 days. There was no incidence of burn wound infection. Patient/parent satisfaction was average of 3.66 on a 4-point scale. The staff had found that the self-adherence and elasticity of the dressing made it easy to apply and stay adherent, especially in areas of difficult contour. There were

Developing a burn injury severity score (BISS): adding age and total body surface area burned to the injury severity score (ISS) improves mortality concordance.

PubMed

Cassidy, J Tristan; Phillips, Michael; Fatovich, Daniel; Duke, Janine; Edgar, Dale; Wood, Fiona

2014-08-01

There is limited research validating the injury severity score (ISS) in burns. We examined the concordance of ISS with burn mortality. We hypothesized that combining age and total body surface area (TBSA) burned to the ISS gives a more accurate mortality risk estimate. Data from the Royal Perth Hospital Trauma Registry and the Royal Perth Hospital Burns Minimum Data Set were linked. Area under the receiver operating characteristic curve (AUC) measured concordance of ISS with mortality. Using logistic regression models with death as the dependent variable we developed a burn-specific injury severity score (BISS). There were 1344 burns with 24 (1.8%) deaths, median TBSA 5% (IQR 2-10), and median age 36 years (IQR 23-50). The results show ISS is a good predictor of death for burns when ISS≤15 (OR 1.29, p=0.02), but not for ISS>15 (ISS 16-24: OR 1.09, p=0.81; ISS 25-49: OR 0.81, p=0.19). Comparing the AUCs adjusted for age, gender and cause, ISS of 84% (95% CI 82-85%) and BISS of 95% (95% CI 92-98%), demonstrated superior performance of BISS as a mortality predictor for burns. ISS is a poor predictor of death in severe burns. The BISS combines ISS with age and TBSA and performs significantly better than the ISS. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

Analysis of Alaskan burn severity patterns using remotely sensed data

USGS Publications Warehouse

Duffy, P.A.; Epting, J.; Graham, J.M.; Rupp, T.S.; McGuire, A.D.

2007-01-01

Wildland fire is the dominant large-scale disturbance mechanism in the Alaskan boreal forest, and it strongly influences forest structure and function. In this research, patterns of burn severity in the Alaskan boreal forest are characterised using 24 fires. First, the relationship between burn severity and area burned is quantified using a linear regression. Second, the spatial correlation of burn severity as a function of topography is modelled using a variogram analysis. Finally, the relationship between vegetation type and spatial patterns of burn severity is quantified using linear models where variograms account for spatial correlation. These results show that: 1) average burn severity increases with the natural logarithm of the area of the wildfire, 2) burn severity is more variable in topographically complex landscapes than in flat landscapes, and 3) there is a significant relationship between burn severity and vegetation type in flat landscapes but not in topographically complex landscapes. These results strengthen the argument that differential flammability of vegetation exists in some boreal landscapes of Alaska. Additionally, these results suggest that through feedbacks between vegetation and burn severity, the distribution of forest vegetation through time is likely more stable in flat terrain than it is in areas with more complex topography. ?? IAWF 2007.

Genital burns in the national burn repository: incidence, etiology, and impact on morbidity and mortality.

PubMed

Harpole, Bethany G; Wibbenmeyer, Lucy A; Erickson, Bradley A

2014-02-01

To better characterize national genital burns (GBs) characteristics using a large burn registry. We hypothesized that mortality and morbidity will be higher in patients with GBs. The National Burn Repository, a large North American registry of hospitalized burn patients, was queried for patients with GB. Burn characteristics and mechanism, demographics, mortality, and surgical interventions were retrieved. Outcomes of interest were mortality, hospital-acquired infection (HAI), and surgical intervention on the genitalia. Adjusted odds ratios (aOR) for outcomes were determined with binomial logistic regression controlling for age, total burn surface area, race, length of stay, gender, and inhalation injury presence. GBs were present in 1245 cases of 71,895 burns (1.7%). Patients with GB had significantly greater average total burn surface area, length of stay, and mortality. In patients with GB, surgery of the genitalia was infrequent (10.4%), with the aOR of receiving surgery higher among men (aOR 2.7, P <.001) and those with third-degree burns (aOR 3.1, P <.002). Presence of a GB increased the odds of HAI (aOR 3.0, P <.0001) and urinary tract infections (aOR 3.4, P <.0001). GB was also an independent predictor of mortality (aOR 1.54) even after adjusting for the increased HAI risk. GBs are rare but associated with higher HAI rates and higher mortality after adjusting for well-established mortality risk factors. Although a cause and effect relationship cannot be established using these registry data, we believe this study suggests the need for special management considerations in GB cases to improve overall outcomes. Copyright © 2014 Elsevier Inc. All rights reserved.

A mobile app for measuring the surface area of a burn in three dimensions: comparison to the Lund and Browder assessment.

PubMed

Goldberg, Harry; Klaff, Justin; Spjut, Aaron; Milner, Stephen

2014-01-01

The aim of this study was to compare the ease and accuracy of measuring the surface area of a severe burn through the use of a mobile software application (BurnMed) to the traditional method of assessment, the Lund and Browder chart. BurnMed calculates the surface area of a burn by enabling the user to first manipulate a three-dimensional model on a mobile device and then by touching the model at the locations representing the patient's injury. The surface area of the burn is calculated in real time. Using a cohort of 18 first-year medical students with no experience in burn care, the surface area of a simulated burn on a mannequin was made using BurnMed and compared to estimates derived from the Lund and Browder chart. At the completion of this study, students were asked to complete a questionnaire designed to assess the ease of use of BurnMed. Users were able to easily and accurately measure the surface area of a simulated burn using the BurnMed application. In addition, there was less variability in surface area measurements with the application compared to the results obtained using the Lund and Browder chart. Users also reported that BurnMed was easier to use than the Lund and Browder chart. A software application, BurnMed, has been developed for a mobile device that easily and accurately determines the surface area of a burn. This system uses a three-dimensional model that can be rotated, enlarged, and transposed by the health care provider to easily determine the extent of a burn. Results show that the variability of measurements using BurnMed is lower than the measurements obtained using the Lund and Browder chart. BurnMed is available at no charge in the Apple™ Store.

Vacuum-assisted closure device as a split-thickness skin graft bolster in the burn population.

PubMed

Waltzman, Joshua T; Bell, Derek E

2014-01-01

The vacuum-assisted closure device (VAC) is associated with improved wound healing outcomes. Its use as a bolster device to secure a split-thickness skin graft has been previously demonstrated; however, there is little published evidence demonstrating its benefits specifically in the burn population. With use of the VAC becoming more commonplace, its effect on skin graft take and overall time to healing in burn patients deserves further investigation. Retrospective review of burn registry database at a high-volume level I trauma center and regional burn center during a 16-month period was performed. Patients who had a third-degree burn injury requiring a split-thickness skin graft and who received a VAC bolster were included. Data points included age, sex, burn mechanism, burn location, grafted area in square centimeters, need for repeat grafting, percent graft take, and time to complete reepithelialization. Sixty-seven patients were included in the study with a total of 88 skin graft sites secured with a VAC. Age ranged from <1 year to 84 years (average 41 years). The average grafted area was 367 ± 545 cm. The three most common were the leg, thigh, and arm (28, 15, and 12%, respectively). Average percent graft take was 99.5 ± 1.5%. Notably, no patients returned to the operating room for repeat grafting. The average time to complete reepithelialization was 16 ± 7 days. The VAC is a highly reliable and reproducible method to bolster a split-thickness skin graft in the burn population. The observed rate of zero returns to the operating room for repeat grafting was especially encouraging. Its ability to conform to contours of the body and cover large surface areas makes it especially useful in securing a graft. This method of bolstering results in decreased repeat grafting and minimal graft loss, thus decreasing morbidity compared with conventional bolster dressings.

Treatment of burning mouth syndrome with a low-level energy diode laser.

PubMed

Yang, Hui-Wen; Huang, Yu-Feng

2011-02-01

To test the therapeutic efficacy of low-level energy diode laser on burning mouth syndrome. Burning mouth syndrome is characterized by burning and painful sensations in the mouth, especially the tongue, in the absence of significant mucosal abnormalities. Although burning mouth syndrome is relatively common, little is known regarding its etiology and pathophysiology. As a result, no treatment is effective in all patients. Low-level energy diode laser therapy has been used in a variety of chronic and acute pain conditions, including neck, back and myofascial pain, degenerative osteoarthritis, and headache. A total of 17 patients who had been diagnosed with burning mouth syndrome were treated with an 800-nm wavelength diode laser. A straight handpiece was used with an end of 1-cm diameter with the fiber end standing 4 cm away from the end of handpiece. When the laser was applied, the handpiece directly contacted or was immediately above the symptomatic lingual surface. The output used was 3 W, 50 msec intermittent pulsing, and a frequency of 10 Hz, which was equivalent to an average power of 1.5 W/cm(2) (3 W × 0.05 msec × 10 Hz = 1.5 W/cm(2)). Depending on the involved area, laser was applied to a 1-cm(2) area for 70 sec until all involved area was covered. Overall pain and discomfort were analyzed with a 10-cm visual analogue scale. All patients received diode laser therapy between one and seven times. The average pain score before the treatment was 6.7 (ranging from 2.9 to 9.8). The results showed an average reduction in pain of 47.6% (ranging from 9.3% to 91.8%). The burning sensation remained unchanged for up to 12 months. Low-level energy diode laser may be an effective treatment for burning mouth syndrome.

Survival after burn in a sub-Saharan burn unit: challenges and opportunities.

PubMed

Tyson, Anna F; Boschini, Laura P; Kiser, Michelle M; Samuel, Jonathan C; Mjuweni, Steven N; Cairns, Bruce A; Charles, Anthony G

2013-12-01

Burns are among the most devastating of all injuries and a major global public health crisis, particularly in sub-Saharan Africa. In developed countries, aggressive management of burns continues to lower overall mortality and increase lethal total body surface area (TBSA) at which 50% of patients die (LA50). However, lack of resources and inadequate infrastructure significantly impede such improvements in developing countries. This study is a retrospective analysis of patients admitted to the burn center at Kamuzu Central Hospital in Lilongwe, Malawi between June 2011 and December 2012. We collected information including patient age, gender, date of admission, mechanism of injury, time to presentation to hospital, total body surface area (TBSA) burn, comorbidities, date and type of operative procedures, date of discharge, length of hospital stay, and survival. We then performed bivariate analysis and logistic regression to identify characteristics associated with increased mortality. A total of 454 patients were admitted during the study period with a median age of 4 years (range 0.5 months to 79 years). Of these patients, 53% were male. The overall mean TBSA was 18.5%, and average TBSA increased with age--17% for 0-18 year olds, 24% for 19-60 year olds, and 41% for patients over 60 years old. Scald and flame burns were the commonest mechanisms, 52% and 41% respectively, and flame burns were associated with higher mortality. Overall survival in this population was 82%; however survival reduced with increasing age categories (84% in patients 0-18 years old, 79% in patients 19-60 years old, and 36% in patients older than 60 years). TBSA remained the strongest predictor of mortality after adjusting for age and mechanism of burn. The LA50 for this population was 39% TBSA. Our data reiterate that burn in Malawi is largely a pediatric disease and that the high burn mortality and relatively low LA50 have modestly improved over the past two decades. The lack of financial

Survival after burn in a sub-Saharan burn unit: Challenges and opportunities

PubMed Central

Tyson, Anna F.; Boschini, Laura P.; Kiser, Michelle M.; Samuel, Jonathan C.; Mjuweni, Steven N.; Cairns, Bruce A.; Charles, Anthony G.

2013-01-01

Background Burns are among the most devastating of all injuries and a major global public health crisis, particularly in sub-Saharan Africa. In developed countries, aggressive management of burns continues to lower overall mortality and increase lethal total body surface area (TBSA) at which 50% of patients die (LA50). However, lack of resources and inadequate infrastructure significantly impede such improvements in developing countries. Methods This study is a retrospective analysis of patients admitted to the burn center at Kamuzu Central Hospital in Lilongwe, Malawi between June 2011 and December 2012. We collected information including patient age, gender, date of admission, mechanism of injury, time to presentation to hospital, total body surface area (TBSA) burn, comorbidities, date and type of operative procedures, date of discharge, length of hospital stay, and survival. We then performed bivariate analysis and logistic regression to identify characteristics associated with increased mortality. Results A total of 454 patients were admitted during the study period with a median age of 4 years (range 0.5 months to 79 years). Of these patients, 53% were male. The overall mean TBSA was 18.5%, and average TBSA increased with age—17% for 0–18 year olds, 24% for 19–60 year olds, and 41% for patients over 60 years old. Scald and flame burns were the commonest mechanisms, 52% and 41% respectively, and flame burns were associated with higher mortality. Overall survival in this population was 82%; however survival reduced with increasing age categories (84% in patients 0–18 years old, 79% in patients 19–60 years old, and 36% in patients older than 60 years). TBSA remained the strongest predictor of mortality after adjusting for age and mechanism of burn. The LA50 for this population was 39% TBSA. Discussion Our data reiterate that burn in Malawi is largely a pediatric disease and that the high burn mortality and relatively low LA50 have modestly improved

Estimating the usage of allograft in the treatment of major burns.

PubMed

Horner, C W M; Atkins, J; Simpson, L; Philp, B; Shelley, O; Dziewulski, P

2011-06-01

To assess the amount of allograft used in the past treatment of major burns and calculate a figure to guide estimation of the quantity of allograft required to treat future patients and aid resource planning. A retrospective observational study. Records of 143 patients treated with major burns at a regional centre, from January 2004 to November 2008 were accessed with biometric data and quantity of allograft used being recorded. This data was used to calculate an allograft index (cm² allograft used/burn surface area (cm²)) (AI) for each patient. 112 of the 143 patients had complete sets of data, of the 112, 89 patients survived the initial stay in hospital. For all data average AI=1.077 ± 0.090. AI varied according to burn % area with burns < 40% requiring 0.490 cm² allo/cm²burn, increasing in a logarithmic fashion (R²=0.995) for burn areas > 40%. The ability to estimate deceased donor skin requirements based on % body surface area affected is important in the care planning for patients with major burns. Our findings of 0.5 cm² allograft/cm² burn for injuries less than 40% TBSA, increasing to 1.82 cm² allograft/cm² burn for injuries up to 80% TBSA can be used for planning purposes for individual services and for burn disaster planning. Copyright © 2010 Elsevier Ltd and ISBI. All rights reserved.

[Surgical treatment of burns : Special aspects of pediatric burns].

PubMed

Bührer, G; Beier, J P; Horch, R E; Arkudas, A

2017-05-01

Treatment of pediatric burn patients is very important because of the sheer frequency of burn wounds and the possible long-term ramifications. Extensive burns need special care and are treated in specialized burn centers. The goal of this work is to present current standards in burn therapy and important innovations in the treatment of burns in children so that the common and small area burn wounds and scalds in pediatric patients in day-to-day dermatological practice can be adequately treated. Analysis of current literature, discussion of reviews, incorporation of current guidelines. Burns in pediatric patients are common. Improvement of survival can be achieved by treatment in burn centers. The assessment of burn depth and area is an important factor for proper treatment. We give an overview for outpatient treatment of partial thickness burns. New methods may result in better long-term outcome. Adequate treatment of burn injuries considering current literature and guidelines improves patient outcome. Rational implementation of new methods is recommended.

Atmospheric Effects of Biomass Burning in Madagascar

NASA Technical Reports Server (NTRS)

Aikin, Arthur C.; Hoegy, Walter R.; Ziemke, Jerry R.; Thorpe, Arthur; Einaudi, Franco (Technical Monitor)

2000-01-01

Simultaneous tropospheric ozone and aerosols observed using the TOMS satellite instrument are reported for Madagascar during the 1979 through 1999 time period Ozone observations made using the TOMS tropospheric ozone convective-cloud differential method show that the tropospheric ozone amount associated with Madagascar has an average monthly value of 30 DU (Dobson units). The average value is enhanced by 10 to 15 DU in October This maximum coincides with the time of maximum biomass area burning in Madagascar and parts of southern Africa. The aerosol index derived from TOMS is examined for correlation with biomass burning in Madagascar and southern Africa. There is good correlation between a satellite observation derived fire index for different parts of Madagascar, tropospheric ozone and the TOMS aerosol index in the same geographical area. Aerosols from fires were found to reach their peak in November and to persist over Madagascar until sometime in December.

The management of small area burns and unexpected illness after burn in children under five years of age - A costing study in the English healthcare setting.

PubMed

Kandiyali, R; Sarginson, J H; Hollén, L I; Spickett-Jones, F; Young, A E R

2018-02-01

The objective of this economic study was to evaluate the resource use and cost associated with the management of small area burns, including the additional costs associated with unexpected illness after burn in children of less than five years of age. This study was conducted as a secondary analysis of a multi-centre prospective observational cohort study investigating the physiological response to burns in children. 452 children were included in the economic analysis (median age=1.60years, 61.3% boys, median total burn surface area [TBSA]=1.00%) with a mean length of stay of 0.69 days. Of these children, 21.5% re-presented to medical care with an unexpected illness within fourteen days of injury. The cost of managing a burn of less than 10% TBSA in a child less than five years of age was £785. The additional cost associated with the management of illness after burn was £1381. A generalised linear regression model was used to determine the association between an unexpected illness after burn, presenting child characteristics and NHS cost. Our findings may be of value to those planning economic evaluations of novel technologies in burn care. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

Evaluation of the U.S. Geological Survey Landsat burned area essential climate variable across the conterminous U.S. using commercial high-resolution imagery

USGS Publications Warehouse

Vanderhoof, Melanie; Brunner, Nicole M.; Beal, Yen-Ju G.; Hawbaker, Todd J.

2017-01-01

The U.S. Geological Survey has produced the Landsat Burned Area Essential Climate Variable (BAECV) product for the conterminous United States (CONUS), which provides wall-to-wall annual maps of burned area at 30 m resolution (1984–2015). Validation is a critical component in the generation of such remotely sensed products. Previous efforts to validate the BAECV relied on a reference dataset derived from Landsat, which was effective in evaluating the product across its timespan but did not allow for consideration of inaccuracies imposed by the Landsat sensor itself. In this effort, the BAECV was validated using 286 high-resolution images, collected from GeoEye-1, QuickBird-2, Worldview-2 and RapidEye satellites. A disproportionate sampling strategy was utilized to ensure enough burned area pixels were collected. Errors of omission and commission for burned area averaged 22 ± 4% and 48 ± 3%, respectively, across CONUS. Errors were lowest across the western U.S. The elevated error of commission relative to omission was largely driven by patterns in the Great Plains which saw low errors of omission (13 ± 13%) but high errors of commission (70 ± 5%) and potentially a region-growing function included in the BAECV algorithm. While the BAECV reliably detected agricultural fires in the Great Plains, it frequently mapped tilled areas or areas with low vegetation as burned. Landscape metrics were calculated for individual fire events to assess the influence of image resolution (2 m, 30 m and 500 m) on mapping fire heterogeneity. As the spatial detail of imagery increased, fire events were mapped in a patchier manner with greater patch and edge densities, and shape complexity, which can influence estimates of total greenhouse gas emissions and rates of vegetation recovery. The increasing number of satellites collecting high-resolution imagery and rapid improvements in the frequency with which imagery is being collected means greater opportunities to utilize these sources

How important is biomass burning in Canada to mercury contamination?

NASA Astrophysics Data System (ADS)

Fraser, Annemarie; Dastoor, Ashu; Ryjkov, Andrei

2018-05-01

total biomass burning Hg emissions to be highly variable from year to year and estimate average 2010-2015 total atmospheric biomass burning emissions of Hg in Canada to be between 6 and 14 t during the biomass burning season (i.e. from May to September), which is 3-7 times the mercury emission from anthropogenic sources in Canada for this period. On average, 65 % of the emissions occur in the provinces west of Ontario. We find that while emissions from biomass burning have a small impact on surface air concentrations of GEM averaged over individual provinces/territories, the impact at individual sites can be as high as 95 % during burning events. We estimate average annual mercury deposition from biomass burning in Canada to be between 0.3 and 2.8 t, compared to 0.14 t of mercury deposition from anthropogenic sources during the biomass burning season in Canada. Compared to the biomass burning emissions, the relative impact of fires on mercury deposition is shifted eastward, with on average 54 % percent of the deposition occurring in provinces west of Ontario. While the relative contribution of Canadian biomass burning to the total mercury deposition over each province/territory is no more than 9 % between 2010 and 2015, the local contribution in some locations (including areas downwind of biomass burning) can be as high as 80 % (e.g. northwest of Great Slave Lake in 2014) from May to September. We find that northern Alberta and Saskatchewan, central British Columbia, and the area around Great Slave Lake in the Northwest Territories are at greater risk of mercury contamination from biomass burning. GEM is considered to be the dominant mercury species emitted from biomass burning; however, there remains an uncertainty in the speciation of mercury released from biomass burning. We find that the impact of biomass burning emissions on mercury deposition is significantly affected by the uncertainty in speciation of emitted mercury because PBM is more readily deposited closer

Diversity of the soil biota in burned areas of southern taiga forests (Tver oblast)

NASA Astrophysics Data System (ADS)

Gongalsky, K. B.; Zaitsev, A. S.; Korobushkin, D. I.; Saifutdinov, R. A.; Yazrikova, T. E.; Benediktova, A. I.; Gorbunova, A. Yu.; Gorshkova, I. A.; Butenko, K. O.; Kosina, N. V.; Lapygina, E. V.; Kuznetsova, D. M.; Rakhleeva, A. A.; Shakhab, S. V.

2016-03-01

Relations between soil biota diversity and its contribution to the performance of some ecosystem functions were assessed based on the results obtained in undisturbed and burned spruce forests near the Central Forest Nature Biosphere Reserve (Tver oblast). In August 2014, in two 4-year-old burned areas, abiotic parameters of the soils, indicators of the state of the microbial communities, the number, taxonomic diversity, and the abundance of the main groups of soil invertebrates (testate amoebae, nematodes, enchytraeids, mites, collembolans, and the mesofauna as a whole) were determined. In the soils of the burned areas, higher CO2, CH4, and N2O emissions were observed. The number of bacterial cells remained similar, and the total length of active mycelium was not significantly different. All this implies a certain intensification of biogenic processes promoting the mobilization of carbon and nitrogen after fire. The number of most of the groups of soil animals was lower (not always significantly) in the burned area than that in the soils of the undisturbed forests. The changes in the taxonomic diversity were specific for each taxon studied. Overall, the diversity of invertebrates was related to the litter thickness. However, the high taxonomic diversity of soil fauna did not always correspond to the active functioning of the ecosystem. Thus, for some taxa, a quite close correlation was found, for instance, between the total number of species (of testate amoebae in particular) and the berry crop, as well as between the soil mesofauna population and the dead wood stock. The total diversity of the investigated taxa included in the detrital trophic web was the most reliable indicator of the carbon stock in the burned areas.

What determines area burned in large landscapes? Insights from a decade of comparative landscape-fire modelling

Treesearch

Geoffrey J. Cary; Robert E. Keane; Mike D. Flannigan; Ian D. Davies; Russ A. Parsons

2015-01-01

Understanding what determines area burned in large landscapes is critical for informing wildland fire management in fire-prone environments and for representing fire activity in Dynamic Global Vegetation Models. For the past ten years, a group of landscape-fire modellers have been exploring the relative influence of key determinants of area burned in temperate and...

Using Logistic Regression To Predict the Probability of Debris Flows Occurring in Areas Recently Burned By Wildland Fires

USGS Publications Warehouse

Rupert, Michael G.; Cannon, Susan H.; Gartner, Joseph E.

2003-01-01

Logistic regression was used to predict the probability of debris flows occurring in areas recently burned by wildland fires. Multiple logistic regression is conceptually similar to multiple linear regression because statistical relations between one dependent variable and several independent variables are evaluated. In logistic regression, however, the dependent variable is transformed to a binary variable (debris flow did or did not occur), and the actual probability of the debris flow occurring is statistically modeled. Data from 399 basins located within 15 wildland fires that burned during 2000-2002 in Colorado, Idaho, Montana, and New Mexico were evaluated. More than 35 independent variables describing the burn severity, geology, land surface gradient, rainfall, and soil properties were evaluated. The models were developed as follows: (1) Basins that did and did not produce debris flows were delineated from National Elevation Data using a Geographic Information System (GIS). (2) Data describing the burn severity, geology, land surface gradient, rainfall, and soil properties were determined for each basin. These data were then downloaded to a statistics software package for analysis using logistic regression. (3) Relations between the occurrence/non-occurrence of debris flows and burn severity, geology, land surface gradient, rainfall, and soil properties were evaluated and several preliminary multivariate logistic regression models were constructed. All possible combinations of independent variables were evaluated to determine which combination produced the most effective model. The multivariate model that best predicted the occurrence of debris flows was selected. (4) The multivariate logistic regression model was entered into a GIS, and a map showing the probability of debris flows was constructed. The most effective model incorporates the percentage of each basin with slope greater than 30 percent, percentage of land burned at medium and high burn severity

Wound management and outcome of 595 electrical burns in a major burn center.

PubMed

Li, Haisheng; Tan, Jianglin; Zhou, Junyi; Yuan, Zhiqiang; Zhang, Jiaping; Peng, Yizhi; Wu, Jun; Luo, Gaoxing

2017-06-15

Electrical burns are important causes of trauma worldwide. This study aims to analyze the clinical characteristics, wound management, and outcome of electric burns. This retrospective study was performed at the Institute of Burn Research of the Third Military Medical University during 2013-2015. Data including the demographics, injury patterns, wound treatment, and outcomes were collected and analyzed. A total of 595 electrical burn patients (93.8% males) were included. The average age was 37.3 ± 14.6 y, and most patients (73.5%) were aged 19∼50 years. Most patients (67.2%) were injured in work-related circumstances. The mean total body surface area was 8.8 ± 11.8% and most wounds (63.5%) were full-thickness burns. Operation times of high-voltage burns and current burns were higher than those of low-voltage burns and arc burns, respectively. Of the 375 operated patients, 83.2% (n = 312) underwent skin autografting and 49.3% (n = 185) required skin flap coverage. Common types of skin flaps were adjacent (50.3%), random (42.2%), and pedicle (35.7%). Amputation was performed in 107 cases (18.0%) and concentrated on the hands (43.9%) and upper limbs (39.3%). The mean length of stay was 42.9 ± 46.3 d and only one death occurred (0.2%). Current burns and higher numbers of operations were major risk factors for amputation and length of stay, respectively. Electrical burns mainly affected adult males with occupational exposures in China. Skin autografts and various skin flaps were commonly used for electric burn wound management. More standardized and effective strategies of treatment and prevention are still needed to decrease amputation rates. Copyright © 2017 Elsevier Inc. All rights reserved.

Joint simulation of regional areas burned in Canadian forest fires: A Markov Chain Monte Carlo approach

Treesearch

Steen Magnussen

2009-01-01

Areas burned annually in 29 Canadian forest fire regions show a patchy and irregular correlation structure that significantly influences the distribution of annual totals for Canada and for groups of regions. A binary Monte Carlo Markov Chain (MCMC) is constructed for the purpose of joint simulation of regional areas burned in forest fires. For each year the MCMC...

Nitrogen and sulfur emissions from the burning of forest products near large urban areas

Treesearch

Dean A. Hegg; Lawrence F. Radke; Peter V. Hobbs; Charles A. Brock; Phillip J. Riggan

1987-01-01

Airborne measuremens of trace gases and particles in the smoke from a prescribed burn of forest products in the Los Angeles basin show significantly higher emissions of NOx, SO2, and particulate NO3 than do measurements in smokes from the burning of biomass in rural areas. It is postulated that the...

MORBIDITY AND SURVIVAL PROBABILITY IN BURN PATIENTS IN MODERN BURN CARE

PubMed Central

Jeschke, Marc G.; Pinto, Ruxandra; Kraft, Robert; Nathens, Avery B.; Finnerty, Celeste C.; Gamelli, Richard L.; Gibran, Nicole S.; Klein, Matthew B.; Arnoldo, Brett D.; Tompkins, Ronald G.; Herndon, David N.

2014-01-01

Objective Characterizing burn sizes that are associated with an increased risk of mortality and morbidity is critical because it would allow identifying patients who might derive the greatest benefit from individualized, experimental, or innovative therapies. Although scores have been established to predict mortality, few data addressing other outcomes exist. The objective of this study was to determine burn sizes that are associated with increased mortality and morbidity after burn. Design and Patients Burn patients were prospectively enrolled as part of the multicenter prospective cohort study, Inflammation and the Host Response to Injury Glue Grant, with the following inclusion criteria: 0–99 years of age, admission within 96 hours after injury, and >20% total body surface area burns requiring at least one surgical intervention. Setting Six major burn centers in North America. Measurements and Main Results Burn size cutoff values were determined for mortality, burn wound infection (at least two infections), sepsis (as defined by ABA sepsis criteria), pneumonia, acute respiratory distress syndrome, and multiple organ failure (DENVER2 score >3) for both children (<16 years) and adults (16–65 years). Five-hundred seventy-three patients were enrolled, of which 226 patients were children. Twenty-three patients were older than 65 years and were excluded from the cutoff analysis. In children, the cutoff burn size for mortality, sepsis, infection, and multiple organ failure was approximately 60% total body surface area burned. In adults, the cutoff for these outcomes was lower, at approximately 40% total body surface area burned. Conclusions In the modern burn care setting, adults with over 40% total body surface area burned and children with over 60% total body surface area burned are at high risk for morbidity and mortality, even in highly specialized centers. PMID:25559438

Does nurses'perceived burn prevention knowledge and ability to teach burn prevention correlate with their actual burn prevention knowledge?

PubMed

Lehna, Carlee; Myers, John

2010-01-01

The purpose of this study was to explore the relationship among nurses'perceived burn prevention knowledge, their perceived ability to teach about burn prevention, and their actual burn prevention knowledge and to test if their actual burn knowledge could be predicted by these perceived measures. A two-page, anonymous survey that included a 10-item burn prevention knowledge test and an assessment of nurses'perceived knowledge of burn prevention and their perceived ability to teach burn prevention was administered to 313 nurses. Actual burn prevention knowledge was determined and the correlation among actual burn prevention knowledge, perceived knowledge, and perceived ability to teach was determined. Differences in these outcome variables based on specialty area were tested using analysis of variance techniques. Generalized linear modeling techniques were used to investigate which variables significantly predict a nurse's actual burn prevention knowledge. Test for interaction effects were performed, and significance was set at .05. Responding nurses (N = 265) described practicing in a variety of settings, such as pediatric settings (40.2%, n = 105), emergency departments (25.4%, n = 86), medical/surgical settings (8.4%, n = 22), and one pediatric burn setting (4.1%, n = 14), with all specialty areas as having similar actual burn prevention knowledge (P = .052). Seventy-seven percent of the nurses said they never taught about burn prevention (n = 177). Perceived knowledge and actual knowledge (r = .124, P = .046) as well as perceived knowledge and perceived ability were correlated (r = .799, P < .001). Significant predictors of actual knowledge were years in practice (beta = -0.063, P = .034), years in current area (beta = 0.072, P = .003), perceived knowledge (beta = 0.109, P = .042), and perceived ability (beta = 0.137, P = .019). All nurses, regardless of specialty area, have poor burn prevention knowledge, which is correlated with their perceived lack of

Remote sensing and geospatial support to burned area emergency response teams

USGS Publications Warehouse

McKinley, Randy; Clark, Jess

2011-01-01

A major concern of land managers in the United States is the response of watersheds to weather after a wildfire. With an ever-expanding wildland-urban interface (WUI), land managers must be cognizant of potential damage to private property and other values at risk. In the United States, land-management agencies from the U.S. Department of Agriculture (USDA) and the U.S. Department of the Interior (DOI) deploy Burned Area Emergency Response (BAER) teams to address these concerns and to “prescribe and implement emergency treatments to minimize threats to life or property or to stabilize and prevent unacceptable degradation to natural and cultural resources resulting from the effects of a fire” (USDA Forest Service 2004, p. 17). BAER teams’ objective is emergency stabilization of burned areas, rather than long-term restoration of the landscape after a fire.

Platelet-Rich Plasma Injection in Burn Scar Areas Alleviates Neuropathic Scar Pain

PubMed Central

Huang, Shu-Hung; Wu, Sheng-Hua; Lee, Su-Shin; Lin, Yun-Nan; Chai, Chee-Yin; Lai, Chung-Sheng; Wang, Hui-Min David

2018-01-01

Objective: No effective treatments have yet been developed for burn-induced neuropathic pain. Platelet-rich plasma (PRP) has been reported to ameliorate various types of inflammation pain. However, the effect of PRP on burn-induced neuropathic pain is unclear. Methods: Burn-induced neuropathic pain Sprague-Dawley rat model was confirmed using a mechanical response test 4 weeks after the burn injuries were sustained, following which PRP was injected in the scar area. The rats were divided into four groups (n = 6) as following: Group A, Sham; Group B, Sham + PRP; Group C, Burn; and Group D, Burn + PRP. Four weeks after the PRP injection, the animals were subjected to behavior tests and then sacrificed; specimens were collected for inflammation tests, Masson's trichrome stain and chromosome 10 (PTEN) in the injured skin; and PTEN, phosphorylated mammalian target of rapamycin (p-mTOR), p38, nuclear factor κB (NFκB), chemokine (CC motif) ligand 2 (CCL2), and CCL2 cognate receptor (CCR2) in spinal cord dorsal horns through immunohistochemistry and immunofluorescence staining. Results: PRP significantly alleviated allodynia in burn-induced neuropathic pain 4 weeks after treatment, and PTEN expression in the skin and spinal cord were significantly increased in group D compared with the group C. p-PTEN, p-mTOR, and CCL2 expression in neuron cells; p-p38 and p-NFκB expression in microglia; and p-JNK and p-NFκB activation in spinal astrocytes decreased significantly in the group D compared with the group C. Conclusions: PRP is effective in treating burn-induced neuropathic pain and may be used in clinical practice. PMID:29483815

Resuscitation burn card--a useful tool for burn injury assessment.

PubMed

Malic, C C; Karoo, R O S; Austin, O; Phipps, A

2007-03-01

It is well recognised that the initial assessment of body surface area affected by a burn is often over estimated in Accident and Emergency Departments. A useful aide-memoir in the acute setting is Wallace's "rule of nines" or using the patients' palmar surface of the hand, which approximates 1% of the total body surface area, as a method of assessment. Unfortunately, as with every system, limitations apply. Factors such as patient size and the interpretation of what is exactly the 'palmar surface' may significantly influence burn size estimations and subsequently fluid resuscitation. Our aim is to develop a simple, quick and easy reproducible method of calculating burn injuries for medical professionals in the acute setting. Worldwide, the dimensions of a credit card are standardized (8.5 cm x 5.3 cm), thus producing a surface area of 45 cm2. We created a resuscitation burn card (RBC) using these exact same proportions, upon which a modified body surface area (BSA) nomogram was printed. Knowing the patient height and weight, we calculated the surface area of the card as percentage of total body surface area (TBSA). On the opposite site of the RBC, a Lund and Browder chart was printed, as well as the Parkland formula and a formula to calculate paediatric burn fluid requirements. The plastic, flexible RBC conformed well to the body contour and was designed for single use. We used the resuscitation burn card in the initial assessment of simulated burns in a Regional Burn Centre and in an Accident and Emergency Department. The information present on the card was found to be clear and straightforward to use. The evaluation of burn extent was found to be more accurately measured than the estimation obtained without the RBC. The resuscitation burn card can be a valuable tool in the hands of less experienced medical professionals for the early assessment and fluid resuscitation of a burn.

Burned area emergency watershed rehabilitation: Program goals, techniques, effectiveness, and future directions in the 21st Century

Treesearch

Daniel G. Neary; Peter R. Robichaud; Jan L. Beyers

2000-01-01

Following wildfires, burned areas are assessed by special teams to determine if emergency watershed rehabilitation measures are required to restore watershed function and minimize damage to soil resources. The objective of burned area emergency rehabilitation (BAER) treatments is to restore watershed condition and reduce erosional losses on hillslopes, in channels, and...

Sensitivity of spectral reflectance values to different burn and vegetation ratios: A multi-scale approach applied in a fire affected area

NASA Astrophysics Data System (ADS)

Pleniou, Magdalini; Koutsias, Nikos

2013-05-01

The aim of our study was to explore the spectral properties of fire-scorched (burned) and non fire-scorched (vegetation) areas, as well as areas with different burn/vegetation ratios, using a multisource multiresolution satellite data set. A case study was undertaken following a very destructive wildfire that occurred in Parnitha, Greece, July 2007, for which we acquired satellite images from LANDSAT, ASTER, and IKONOS. Additionally, we created spatially degraded satellite data over a range of coarser resolutions using resampling techniques. The panchromatic (1 m) and multispectral component (4 m) of IKONOS were merged using the Gram-Schmidt spectral sharpening method. This very high-resolution imagery served as the basis to estimate the cover percentage of burned areas, bare land and vegetation at pixel level, by applying the maximum likelihood classification algorithm. Finally, multiple linear regression models were fit to estimate each land-cover fraction as a function of surface reflectance values of the original and the spatially degraded satellite images. The main findings of our research were: (a) the Near Infrared (NIR) and Short-wave Infrared (SWIR) are the most important channels to estimate the percentage of burned area, whereas the NIR and red channels are the most important to estimate the percentage of vegetation in fire-affected areas; (b) when the bi-spectral space consists only of NIR and SWIR, then the NIR ground reflectance value plays a more significant role in estimating the percent of burned areas, and the SWIR appears to be more important in estimating the percent of vegetation; and (c) semi-burned areas comprising 45-55% burned area and 45-55% vegetation are spectrally closer to burned areas in the NIR channel, whereas those areas are spectrally closer to vegetation in the SWIR channel. These findings, at least partially, are attributed to the fact that: (i) completely burned pixels present low variance in the NIR and high variance in the

Ten-year epidemiology of chemical burns in western Zhejiang Province, China.

PubMed

Ye, Chunjiang; Wang, Xingang; Zhang, Yuanhai; Ni, Liangfang; Jiang, Ruiming; Liu, Liping; Han, Chunmao

2016-05-01

Chemical burns occur frequently in western Zhejiang Province. This study documents the epidemiology of chemical burns in the region using burn data from a local specialized hospital. Results from this analysis will assist in the planning of prevention strategies for high-risk occupations and groups. A 10-year retrospective analysis was conducted for all patients with chemical burns admitted to the Department of Burn and Plastic Surgery from January 2004 to December 2013. Information obtained for each patient included demographics (gender, age, occupation and education), location of the burn, cause of the burn, and categories of chemicals. Data regarding the season of admittance, prehospital treatment, wound site/size (area, region, and depth), accompanying injuries, operations, length of hospital stay and mortality were also assessed. A total of 690 patients (619 males, 71 females; average age: 30.6±12.4 years) were admitted to the department for chemical burns. Over the 10-year period, the incidence of chemical burns showed an increasing tendency. Chemical burns occurred most frequently in patients aged 20-59 years (94.79%). Most of the chemical burns were work-related, primarily in private enterprises (47.97%) and state-owned enterprises (24.93%). Operations (68.99%) and machine problems (17.26%) were the main causes of chemical burns in the workplace. With regard to burns caused by chemicals, most were caused by acids (72.01%), with hydrofluoric acid and sulphuric acid causing 51.45%. Most chemical burns occurred in the summer and autumn seasons (61.02%). The burn size was <10% of the total body surface area (TBSA) for 445 patients (64.49%), while only 26 patients (3.76%) had burns covering >40% TBSA. The most common burn sites were the upper extremities (31.57%), lower extremities (19.86%), and head and neck (28.83%). Most patients (581 (84.20%)) received water washing treatment on site immediately after exposure. The most common accompanying injuries included

Use of a home vacuum-assisted closure device in the burn population is both cost-effective and efficacious.

PubMed

Mushin, Oren P; Bogue, Jarrod T; Esquenazi, Mica D; Toscano, Nicole; Bell, Derek E

2017-05-01

The vacuum assisted closure device (VAC) improves wound-healing when utilized as a bolster to secure split thickness skin grafts (STSG). Patients typically remain hospitalized for VAC therapy; however, home VACs (hVAC) are now available. Limited studies examine burns treated with hVAC as a STSG bolster. A retrospective study of records from an ABA verified regional burn center was conducted over 23 months. Patients included STSGs for burn. Data points included demographics, burn mechanism and location, graft characteristics, hospital length of stay (LOS), and time to heal. Fifty patients were included, with average age of 39 years (range <1-83years). Average burn TBSA was 1.27±1.42 (range 0.05-8.18). Grafted area average was 102.9±128.1cm 2 . The most commonly treated areas were the leg/foot, thigh, and torso (53%, 16%, and 16%, respectively). Average LOS was 1.1±1.2 days. Mean graft-take was 99.2±2.8% with one patient undergoing repeat STSG. Average post-operative time to heal was 16±6 days. A 5-day inpatient stay with a VAC costs an average of $34,635, compared to $9134 for an hVAC over the same period. The hVAC is a cost-effective STSG bolster in the burn population for appropriate candidates. Excellent graft-take and low morbidity rates imply that this is an efficacious alternative for STSG bolster. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Automated Burned Area Delineation Using IRS AWiFS satellite data

NASA Astrophysics Data System (ADS)

Singhal, J.; Kiranchand, T. R.; Rajashekar, G.; Jha, C. S.

2014-12-01

India is endowed with a rich forest cover. Over 21% of country's area is covered by forest of varied composition and structure. Out of 67.5 million ha of Indian forests, about 55% of the forest cover is being subjected to fires each year, causing an economic loss of over 440 crores of rupees apart from other ecological effects. Studies carried out by Forest Survey of India reveals that on an average 53% forest cover of the country is prone to fires and 6.17% of the forests are prone to severe fire damage. Forest Survey of India in a countrywide study in 1995 estimated that about 1.45 million hectares of forest are affected by fire annually. According to Forest Protection Division of the Ministry of Environment and Forest (GOI), 3.73 million ha of forests are affected by fire annually in India. Karnataka is one of the southern states of India extending in between latitude 110 30' and 180 25' and longitudes 740 10' and 780 35'. As per Forest Survey of India's State of Forest Report (SFR) 2009, of the total geographic area of 191791sq.km, the state harbors 38284 sq.km of recorded forest area. Major forest types occurring in the study area are tropical evergreen and semi-evergreen, tropical moist and dry deciduous forests along with tropical scrub and dry grasslands. Typical forest fire season in the study area is from February-May with a peak during March-April every year, though sporadic fire episodes occur in other parts of the year sq.km, the state harbors 38284 sq.km of recorded forest area. Major forest types occurring in the study area are tropical evergreen and semi-evergreen, tropical moist and dry deciduous forests along with tropical scrub and dry grasslands. Significant area of the deciduous forests, scrub and grasslands is prone to recurrent forest fires every year. In this study we evaluate the feasibility of burned area mapping over a large area (Karnataka state, India) using a semi-automated detection algorithm applied to medium resolution multi

Smoke incursions into urban areas: simulation of a Georgia prescribed burn

Treesearch

Y. Liu; S. Goodrick; G. Achtemeier

2009-01-01

This study investigates smoke incursion into urban areas by examining a prescribed burn in central Georgia,USA, on 28 February 2007. Simulations were conducted with a regional modeling framework to understand transport, dispersion,and structure of smoke plumes, the air quality effects, sensitivity to emissions,...

Area burned in alpine treeline ecotones reflects region-wide trends

Treesearch

C. Alina Cansler; Donald McKenzie; Charles B. Halpern

2016-01-01

The direct effects of climate change on alpine treeline ecotones – the transition zones between subalpine forest and non-forested alpine vegetation – have been studied extensively, but climate-induced changes in disturbance regimes have received less attention. To determine if recent increases in area burned extend to these higher-elevation landscapes, we analysed...

Field trip guide to the 2010 Schultz Fire Burn Area

Treesearch

Karen Koestner; Anne Youberg; Daniel G. Neary

2011-01-01

This field trip guide was created for a September 18th, 2011, field trip to the 2010 Schultz Fire burn area northeast of Flagstaff, Arizona, as part of the Arizona Hydrological Society's Annual Symposium. The guide provides background information on the 2010 Schultz Fire and aftermath (Section 1), site-specific information for each stop on the field trip (Section...

Spectral Mixture Analysis to map burned areas in Brazil's deforestation arc from 1992 to 2011

NASA Astrophysics Data System (ADS)

Antunes Daldegan, G.; Ribeiro, F.; Roberts, D. A.

2017-12-01

The two most extensive biomes in South America, the Amazon and the Cerrado, are subject to several fire events every dry season. Both are known for their ecological and environmental importance. However, due to the intensive human occupation over the last four decades, they have been facing high deforestation rates. The Cerrado biome is adapted to fire and is considered a fire-dependent landscape. In contrast, the Amazon as a tropical moist broadleaf forest does not display similar characteristics and is classified as a fire-sensitive landscape. Nonetheless, studies have shown that forest areas that have already been burned become more prone to experience recurrent burns. Remote sensing has been extensively used by a large number of researchers studying fire occurrence at a global scale, as well as in both landscapes aforementioned. Digital image processing aiming to map fire activity has been applied to a number of imagery from sensors of various spatial, temporal, and spectral resolutions. More specifically, several studies have used Landsat data to map fire scars in the Amazon forest and in the Cerrado. An advantage of using Landsat data is the potential to map fire scars at a finer spatial resolution, when compared to products derived from imagery of sensors featuring better temporal resolution but coarser spatial resolution, such as MODIS (Moderate Resolution Imaging Spectrometer) and GOES (Geostationary Operational Environmental Satellite). This study aimed to map burned areas present in the Amazon-Cerrado transition zone by applying Spectral Mixture Analysis on Landsat imagery for a period of 20 years (1992-2011). The study area is a subset of this ecotone, centered at the State of Mato Grosso. By taking advantage of the Landsat 5TM and Landsat 7ETM+ imagery collections available in Google Earth Engine platform and applying Spectral Mixture Analysis (SMA) techniques over them permitted to model fire scar fractions and delimitate burned areas. Overlaying

Production of Landsat ETM+ reference imagery of burned areas within Southern African savannahs: comparison of methods and application to MODIS

Treesearch

A. M. S. Smith; N. A. Drake; M. J. Wooster; A. T. Hudak; Z. A. Holden; C. J. Gibbons

2007-01-01

Accurate production of regional burned area maps are necessary to reduce uncertainty in emission estimates from African savannah fires. Numerous methods have been developed that map burned and unburned surfaces. These methods are typically applied to coarse spatial resolution (1 km) data to produce regional estimates of the area burned, while higher spatial resolution...

Forest edge burning in the Brazilian Amazon promoted by escaping fires from managed pastures

NASA Astrophysics Data System (ADS)

Cano-Crespo, Ana; Oliveira, Paulo J. C.; Boit, Alice; Cardoso, Manoel; Thonicke, Kirsten

2015-10-01

Understanding to what extent different land uses influence fire occurrence in the Amazonian forest is particularly relevant for its conservation. We evaluate the relationship between forest fires and different anthropogenic activities linked to a variety of land uses in the Brazilian states of Mato Grosso, Pará, and Rondônia. We combine the new high-resolution (30 m) TerraClass land use database with Moderate Resolution Imaging Spectroradiometer burned area data for 2008 and the extreme dry year of 2010. Excluding the non-forest class, most of the burned area was found in pastures, primary and secondary forests, and agricultural lands across all three states, while only around 1% of the total was located in deforested areas. The trend in burned area did not follow the declining deforestation rates from 2001 to 2010, and the spatial overlap between deforested and burned areas was only 8% on average. This supports the claim of deforestation being disconnected from burning since 2005. Forest degradation showed an even lower correlation with burned area. We found that fires used in managing pastoral and agricultural lands that escape into the neighboring forests largely contribute to forest fires. Such escaping fires are responsible for up to 52% of the burned forest edges adjacent to burned pastures and up to 22% of the burned forest edges adjacent to burned agricultural fields, respectively. Our findings call for the development of control and monitoring plans to prevent fires from escaping from managed lands into forests to support effective land use and ecosystem management.

Mercury emissions from biomass burning in China.

PubMed

Huang, Xin; Li, Mengmeng; Friedli, Hans R; Song, Yu; Chang, Di; Zhu, Lei

2011-11-01

Biomass burning covers open fires (forest and grassland fires, crop residue burning in fields, etc.) and biofuel combustion (crop residues and wood, etc., used as fuel). As a large agricultural country, China may produce large quantities of mercury emissions from biomass burning. A new mercury emission inventory in China is needed because previous studies reflected outdated biomass burning with coarse resolution. Moreover, these studies often adopted the emission factors (mass of emitted species per mass of biomass burned) measured in North America. In this study, the mercury emissions from biomass burning in China (excluding small islands in the South China Sea) were estimated, using recently measured mercury concentrations in various biomes in China as emission factors. Emissions from crop residues and fuelwood were estimated based on annual reports distributed by provincial government. Emissions from forest and grassland fires were calculated by combining moderate resolution imaging spectroradiometer (MODIS) burned area product with combustion efficiency (ratio of fuel consumption to total available fuels) considering fuel moisture. The average annual emission from biomass burning was 27 (range from 15.1 to 39.9) Mg/year. This inventory has high spatial resolution (1 km) and covers a long period (2000-2007), making it useful for air quality modeling.

Air Pollution Episodes Associated with Prescribed Burns

NASA Astrophysics Data System (ADS)

Hart, M.; Di Virgilio, G.; Jiang, N.

2017-12-01

Air pollution events associated with wildfires have been associated with extreme health impacts. Prescribed burns are an important tool to reduce the severity of wildfires. However, if undertaken during unfavourable meteorological conditions, they too have the capacity to trigger extreme air pollution events. The Australian state of New South Wales has increased the annual average area treated by prescribed burn activities by 45%, in order to limit wildfire activity. Prescribed burns need to be undertaken during meteorological conditions that allow the fuel load to burn, while still allowing the burn to remain under control. These conditions are similar to those that inhibit atmospheric dispersion, resulting in a fine balance between managing fire risk and managing ambient air pollution. During prescribed burns, the Sydney air shed can experience elevated particulate matter concentrations, especially fine particulates (PM2.5) that occasionally exceed national air quality standards. Using pollutant and meteorological data from sixteen monitoring stations in Sydney we used generalized additive model and CART analyses to profile the meteorological conditions influencing air quality during planned burns. The insights gained from this study will help improve prescribed burn scheduling in order to reduce the pollution risk to the community, while allowing fire agencies to conduct this important work.

A thirty year, fine-scale, characterization of area burned in Canadian forests shows evidence of regionally increasing trends in the last decade

PubMed Central

2018-01-01

Fire as a dominant disturbance has profound implications on the terrestrial carbon cycle. We present the first ever multi-decadal, spatially-explicit, 30 meter assessment of fire regimes across the forested ecoregions of Canada at an annual time-step. From 1985 to 2015, 51 Mha burned, impacting over 6.5% of forested ecosystems. Mean annual area burned was 1,651,818 ha and varied markedly (σ = 1,116,119), with 25% of the total area burned occurring in three years: 1989, 1995, and 2015. Boreal forest types contained 98% of the total area burned, with the conifer-dominated Boreal Shield containing one-third of all burned area. While results confirm no significant national trend in burned area for the period of 1985 to 2015, a significant national increasing trend (α = 0.05) of 11% per year was evident for the past decade (2006 to 2015). Regionally, a significant increasing trend in total burned area from 1985 to 2015 was observed in the Montane Cordillera (2.4% increase per year), while the Taiga Plains and Taiga Shield West displayed significant increasing trends from 2006 to 2015 (26.1% and 12.7% increases per year, respectively). The Atlantic Maritime, which had the lowest burned area of all ecozones (0.01% burned per year), was the only ecozone to display a significant negative trend (2.4% decrease per year) from 1985 to 2015. Given the century-long fire return intervals in many of these ecozones, and large annual variability in burned area, short-term trends need to be interpreted with caution. Additional interpretive cautions are related to year used for trend initiation and the nature and extents of spatial regionalizations used for summarizing findings. The results of our analysis provide a baseline for monitoring future national and regional trends in burned area and offer spatially and temporally detailed insights to inform science, policy, and management. PMID:29787562

A thirty year, fine-scale, characterization of area burned in Canadian forests shows evidence of regionally increasing trends in the last decade.

PubMed

Coops, Nicholas C; Hermosilla, Txomin; Wulder, Michael A; White, Joanne C; Bolton, Douglas K

2018-01-01

Fire as a dominant disturbance has profound implications on the terrestrial carbon cycle. We present the first ever multi-decadal, spatially-explicit, 30 meter assessment of fire regimes across the forested ecoregions of Canada at an annual time-step. From 1985 to 2015, 51 Mha burned, impacting over 6.5% of forested ecosystems. Mean annual area burned was 1,651,818 ha and varied markedly (σ = 1,116,119), with 25% of the total area burned occurring in three years: 1989, 1995, and 2015. Boreal forest types contained 98% of the total area burned, with the conifer-dominated Boreal Shield containing one-third of all burned area. While results confirm no significant national trend in burned area for the period of 1985 to 2015, a significant national increasing trend (α = 0.05) of 11% per year was evident for the past decade (2006 to 2015). Regionally, a significant increasing trend in total burned area from 1985 to 2015 was observed in the Montane Cordillera (2.4% increase per year), while the Taiga Plains and Taiga Shield West displayed significant increasing trends from 2006 to 2015 (26.1% and 12.7% increases per year, respectively). The Atlantic Maritime, which had the lowest burned area of all ecozones (0.01% burned per year), was the only ecozone to display a significant negative trend (2.4% decrease per year) from 1985 to 2015. Given the century-long fire return intervals in many of these ecozones, and large annual variability in burned area, short-term trends need to be interpreted with caution. Additional interpretive cautions are related to year used for trend initiation and the nature and extents of spatial regionalizations used for summarizing findings. The results of our analysis provide a baseline for monitoring future national and regional trends in burned area and offer spatially and temporally detailed insights to inform science, policy, and management.

Epidemiology of pediatric burns in southwest China from 2011 to 2015.

PubMed

Li, Haisheng; Wang, Song; Tan, Jianglin; Zhou, Junyi; Wu, Jun; Luo, Gaoxing

2017-09-01

Burns are a major form of injury in children worldwide. This study aimed to investigate the epidemiology, outcome, cost and risk factors of pediatric burns in southwest China. This retrospective study was performed at the Institute of Burn Research of the Third Military Medical University from 2011 to 2015. Data, including demographic, injury-related, and clinical data and patient outcome, were collected from medical records. A total of 2478 children with burns (58.03% boys), accounting for 39.2% of total burn patients, were included. The average age of the burn patients was 2.86±2.86years, and most patients (85.55%) were under five years old. The incidence of burns peaked in January, February and May. Scald burns were the most frequent (79.06%), followed by flame burns (14.0%) and electrical burns (3.35%). Limbs were the most common burn sites (69.73%), and the average total body surface area (TBSA) was 11.57±11.61%. The percentage of children who underwent operations and the number of operations were significantly increased in cases of electrical burns, the older-age group, a larger TBSA and full-thickness burns. Six deaths were recorded, yielding a mortality of 0.24%. The median length of stay and cost were 14days and 9541 CNY, respectively, and the major risk factors for length of stay and cost were the TBSA, number of operations, full-thickness burns and outcome. In southwest China, among children under five years old, scald and flame burns should become the key prevention target, and future prevention strategies should be based on related risk factors. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

Trends in fire risk and burned area in Brazil in the 20th century

NASA Astrophysics Data System (ADS)

Silva, P.; Bastos, A.; DaCamara, C.; Libonati, R.

2016-12-01

Fire has a significant contribution to the global greenhouse gas emissions and vast ecological and climatic impacts. Worldwide, Brazil is one of the areas most affected by fire, which highly influences the state of the vegetation cover, the ecological diversity of the region and has significant consequences to the global CO2 balance [1]. Hence, with the increasing evidence of human induced climate change, it becomes essential to understand the present and future trends of fire risk in Brazil. Although a large number of fires in Brazil are anthropogenic, it has been shown that the burned area is mainly controlled by meteorological conditions [2], therefore being partially determined by fire risk. In this study we use a fire danger index specifically tailored for the Brazilian climate and biome characteristics, the MFDI developed by INPE, to assess the patterns and trends of fire risk in Brazil. The index relies on values of maximum temperature, accumulated precipitation over different periods, minimum relative humidity and vegetation cover to estimate the likelihood of fire occurrence. We test the sensitivity of the index to different climate reanalyses and evaluate the trends in fire risk in Brazil during the past four decades for different biomes. We further assess the link between the calculated fire risk and observed fire occurrence and burned area. Finally, we compare the results with fire risk simulated by a regional climate model (RCA4 forced by EC-Earth from CORDEX) in order to evaluate its suitability for future projections of fire risk and burned area. [1] Bowman, D. M. et al. Fire in the earth system. Science, v. 324, p. 481-484, 24 apr. 2009. [2] Libonati, R. et al. An Algorithm for Burned Area Detection in the Brazilian Cerrado Using 4 μm MODIS Imagery. Remote Sensing, v. 7, p. 15782-15803, 2015.

A Model to Improve Detection of Nonaccidental Pediatric Burns.

PubMed

Nigro, Lauren C; Feldman, Michael J; Foster, Robin L; Pozez, Andrea L

2018-06-01

Pediatric burn patients warrant thorough evaluation because a sizeable proportion of pediatric burns are nonaccidental. A multidisciplinary method involving an internal child protection team (CPT) was developed and used to identify suspected nonaccidental pediatric burns in all pediatric burn patients 5 years of age or younger who were evaluated by the CPT and social workers at our institution over a 55-month period. We identified 343 cases for review that fit our age criteria, 6 of which we identified as cases of suspected abuse or neglect. On average, these patients were younger, suffered greater total body surface area burns (TBSA), and required a longer length of stay in the hospital than the total population. We have not had readmissions for repeat nonaccidental pediatric burn injuries in this group of patients since this model was implemented. Our multidisciplinary method might provide a more consistent and reliable method for identifying cases of suspected abuse. © 2018 American Medical Association. All Rights Reserved.

Global estimation of CO emissions using three sets of satellite data for burned area

NASA Astrophysics Data System (ADS)

Jain, Atul K.

Using three sets of satellite data for burned areas together with the tree cover imagery and a biogeochemical component of the Integrated Science Assessment Model (ISAM) the global emissions of CO and associated uncertainties are estimated for the year 2000. The available fuel load (AFL) is calculated using the ISAM biogeochemical model, which accounts for the aboveground and surface fuel removed by land clearing for croplands and pasturelands, as well as the influence on fuel load of various ecosystem processes (such as stomatal conductance, evapotranspiration, plant photosynthesis and respiration, litter production, and soil organic carbon decomposition) and important feedback mechanisms (such as climate and fertilization feedback mechanism). The ISAM estimated global total AFL in the year 2000 was about 687 Pg AFL. All forest ecosystems account for about 90% of the global total AFL. The estimated global CO emissions based on three global burned area satellite data sets (GLOBSCAR, GBA, and Global Fire Emissions Database version 2 (GFEDv2)) for the year 2000 ranges between 320 and 390 Tg CO. Emissions from open fires are highest in tropical Africa, primarily due to forest cutting and burning. The estimated overall uncertainty in global CO emission is about ±65%, with the highest uncertainty occurring in North Africa and Middle East region (±99%). The results of this study suggest that the uncertainties in the calculated emissions stem primarily from the area burned data.

Burns education for non-burn specialist clinicians in Western Australia.

PubMed

McWilliams, Tania; Hendricks, Joyce; Twigg, Di; Wood, Fiona

2015-03-01

Burn patients often receive their initial care by non-burn specialist clinicians, with increasingly collaborative burn models of care. The provision of relevant and accessible education for these clinicians is therefore vital for optimal patient care. A two phase design was used. A state-wide survey of multidisciplinary non-burn specialist clinicians throughout Western Australia identified learning needs related to paediatric burn care. A targeted education programme was developed and delivered live via videoconference. Pre-post-test analysis evaluated changes in knowledge as a result of attendance at each education session. Non-burn specialist clinicians identified numerous areas of burn care relevant to their practice. Statistically significant differences between perceived relevance of care and confidence in care provision were reported for aspects of acute burn care. Following attendance at the education sessions, statistically significant increases in knowledge were noted for most areas of acute burn care. Identification of learning needs facilitated the development of a targeted education programme for non-burn specialist clinicians. Increased non-burn specialist clinician knowledge following attendance at most education sessions supports the use of videoconferencing as an acceptable and effective method of delivering burns education in Western Australia. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

The validation study on a three-dimensional burn estimation smart-phone application: accurate, free and fast?

PubMed

Cheah, A K W; Kangkorn, T; Tan, E H; Loo, M L; Chong, S J

2018-01-01

Accurate total body surface area burned (TBSAB) estimation is a crucial aspect of early burn management. It helps guide resuscitation and is essential in the calculation of fluid requirements. Conventional methods of estimation can often lead to large discrepancies in burn percentage estimation. We aim to compare a new method of TBSAB estimation using a three-dimensional smart-phone application named 3D Burn Resuscitation (3D Burn) against conventional methods of estimation-Rule of Palm, Rule of Nines and the Lund and Browder chart. Three volunteer subjects were moulaged with simulated burn injuries of 25%, 30% and 35% total body surface area (TBSA), respectively. Various healthcare workers were invited to use both the 3D Burn application as well as the conventional methods stated above to estimate the volunteer subjects' burn percentages. Collective relative estimations across the groups showed that when used, the Rule of Palm, Rule of Nines and the Lund and Browder chart all over-estimated burns area by an average of 10.6%, 19.7%, and 8.3% TBSA, respectively, while the 3D Burn application under-estimated burns by an average of 1.9%. There was a statistically significant difference between the 3D Burn application estimations versus all three other modalities ( p  < 0.05). Time of using the application was found to be significantly longer than traditional methods of estimation. The 3D Burn application, although slower, allowed more accurate TBSAB measurements when compared to conventional methods. The validation study has shown that the 3D Burn application is useful in improving the accuracy of TBSAB measurement. Further studies are warranted, and there are plans to repeat the above study in a different centre overseas as part of a multi-centre study, with a view of progressing to a prospective study that compares the accuracy of the 3D Burn application against conventional methods on actual burn patients.

Biological markers of stress in pediatric acute burn injury.

PubMed

Brown, Nadia J; Kimble, Roy M; Rodger, Sylvia; Ware, Robert S; McWhinney, Brett C; Ungerer, Jacobus P J; Cuttle, Leila

2014-08-01

Burns and their associated wound care procedures evoke significant stress and anxiety, particularly for children. Little is known about the body's physiological stress reactions throughout the stages of re-epithelialization following an acute burn injury. Previously, serum and urinary cortisol have been used to measure stress in burn patients, however these measures are not suitable for a pediatric burn outpatient setting. To assess the sensitivity of salivary cortisol and sAA in detecting stress during acute burn wound care procedures and to investigate the body's physiological stress reactions throughout burn re-epithelialization. Seventy-seven participants aged four to thirteen years who presented with an acute burn injury to the burn center at the Royal Children's Hospital, Brisbane, Australia, were recruited between August 2011 and August 2012. Both biomarkers were responsive to the stress of burn wound care procedures. sAA levels were on average 50.2 U/ml higher (p<0.001) at 10 min post-dressing removal compared to baseline levels. Salivary cortisol levels showed a blunted effect with average levels at ten minutes post dressing removal decreasing by 0.54 nmol/L (p<0.001) compared to baseline levels. sAA levels were associated with pain (p=0.021), no medication (p=0.047) and Child Trauma Screening Questionnaire scores at three months post re-epithelialization (p=0.008). Similarly, salivary cortisol was associated with no medication (p<0.001), pain scores (p=0.045) and total body surface area of the burn (p=0.010). Factors which support the use of sAA over salivary cortisol to assess stress during morning acute burn wound care procedures include; sensitivity, morning clinic times relative to cortisol's diurnal peaks, and relative cost. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

Improved estimates of biomass burning emissions in the southeast United States

NASA Astrophysics Data System (ADS)

Nowell, H.; Holmes, C.; Elsner, J.; Hiers, J. K.; Robertson, K.

2017-12-01

Biomass burning is a major source of gas and particle emissions that affects air quality, human health, and climate. Prescribed burns in the southeastern United States consume more biomass and cover a larger area than fires in the rest of the United States combined. Although fires can be detected remotely from thermal infrared emission and changes to surface reflectance, there are multiple issues that make satellite detections difficult in the eastern United States. These include small fire sizes, short duration, low intensity, canopy coverage, and rapid vegetation regrowth. Some attempts have been made to compensate for this bias, for example the small fire product in the Global Fire Emission Database (GFED4.1s) product. The accuracy of GFED and other remotely sensed global fire emission inventories are largely unknown, outside of a few field studies, mainly because there are few independent datasets of fire extent. The Florida Forest Service (FFS) has extensive records on fire type, size, location, and time for both prescribed and wild fires, which have not previously been used to evaluate fire area and emissions. For our study period of 2004 to 2016, we compared FFS burn authorization data against GFED4.1s burned area. When averaged across the state of Florida, there is 4 times more land burned than detected from satellite sensors. When comparing FFS data against high quality records from Apalachicola National Forest, Avon Park Air Force Range, Eglin Air Force Base, Tall Timbers Research Station, and Tyndall Air Force base, the areal discrepancy between these records and FFS reports are +/- 15%, well below the 4 times detection discrepancy between satellites and FFS reports. We have developed a method to statistically correct this satellite bias in fire detections. Treating the FFS burn authorizations as accurate, we have found this bias ratio can be predicted from fire size, land cover type, leaf area, and month. The regression model incorporating these factors

Postwildfire preliminary debris flow hazard assessment for the area burned by the 2011 Las Conchas Fire in north-central New Mexico

USGS Publications Warehouse

Tillery, Anne C.; Darr, Michael J.; Cannon, Susan H.; Michael, John A.

2011-01-01

The Las Conchas Fire during the summer of 2011 was the largest in recorded history for the state of New Mexico, burning 634 square kilometers in the Jemez Mountains of north-central New Mexico. The burned landscape is now at risk of damage from postwildfire erosion, such as that caused by debris flows and flash floods. This report presents a preliminary hazard assessment of the debris-flow potential from 321 basins burned by the Las Conchas Fire. A pair of empirical hazard-assessment models developed using data from recently burned basins throughout the intermountain western United States was used to estimate the probability of debris-flow occurrence and volume of debris flows at the outlets of selected drainage basins within the burned area. The models incorporate measures of burn severity, topography, soils, and storm rainfall to estimate the probability and volume of debris flows following the fire. In response to a design storm of 28.0 millimeters of rain in 30 minutes (10-year recurrence interval), the probabilities of debris flows estimated for basins burned by the Las Conchas Fire were greater than 80 percent for two-thirds (67 percent) of the modeled basins. Basins with a high (greater than 80 percent) probability of debris-flow occurrence were concentrated in tributaries to Santa Clara and Rio del Oso Canyons in the northeastern part of the burned area; some steep areas in the Valles Caldera National Preserve, Los Alamos, and Guaje Canyons in the east-central part of the burned area; tributaries to Peralta, Colle, Bland, and Cochiti canyons in the southwestern part of the burned area; and tributaries to Frijoles, Alamo, and Capulin Canyons in the southeastern part of the burned area (within Bandelier National Monument). Estimated debris-flow volumes ranged from 400 cubic meters to greater than 72,000 cubic meters. The largest volumes (greater than 40,000 cubic meters) were estimated for basins in Santa Clara, Los Alamos, and Water Canyons, and for two

Energy balance studies and plasma catecholamine values for patients with healed burns.

PubMed

Wallace, B H; Cone, J B; Caldwell, F T

1991-01-01

We report heat balance studies and plasma catecholamine values for 49 children and young adults with healed burn wounds (age range 0.6 to 31 years and burn range 1% to 82% body surface area burned; mean 41%). All measurements were made during the week of discharge. Heat production for patients with healed burns was not significantly different from predicted normal values. However, compartmented heat loss demonstrated a persistent increment in evaporative heat loss that was secondary to continued elevation of cutaneous water vapor loss immediately after wound closure. A reciprocal decrement in dry heat loss was demonstrated (as a result of a cooler average surface temperature, 0.84 degree C cooler than the average integrated skin temperature of five normal volunteers who were studied in our unit under similar environmental conditions). Mean values for plasma catecholamines were in the normal range: epinephrine = 56 +/- 37 pg/ml, norepinephrine = 385 +/- 220 pg/ml, and dopamine = 34 +/- 29 pg/ml. In conclusion, patients with freshly healed burn wounds have normal rates of heat production; however, there is a residual increment in transcutaneous water vapor loss, which produces surface cooling and decreased average surface temperature, which in turn lowers dry heat loss by an approximately equivalent amount.

Clinical and demographic features of pediatric burns in the eastern provinces of Turkey

PubMed Central

2011-01-01

Background The aim of this study is to perform a retrospective analysis of the causes of burns observed in children in the eastern provinces of Turkey. Method In this study, patients were studied retrospectively with regard to their age, sex, cause of burns, seasonal variations, social and economic factors, length of hospital stay, burned body surface area, medical history, site of injury, and mortality. Results A total of 125 patients undergoing inpatient treatment were male, (53.2%) and 110 were female (46.8%). The most common causes of burns in patients treated on an inpatient basis were scald burns (65.5%) and tandir burns (15.7%). The mean total body surface area of all the patients was 12.17+9.86%. When the patients were grouped according to tandir, cauldron, and others burn causes, a significant difference was seen between the in burn percentages caused by tandir and cauldron burns and other causes (p < 0.001). Higher burn percentages were seen for cauldron burns than for tandir burns (p < 0.05). The average length of hospital stay was 17.67+13.64 days. When the patients were grouped according to burn causes (tandir, cauldron, and others), a significant difference was determined between the hospitalization periods of patients with tandir burns and other burn causes (p = 0.001) The most commonly proliferating microorganism in burned areas was Pseudomonas aeruginosa (20.4%). Of the 235 patients, 61 were treated in operating rooms. During the 24-month period of the study, 2 of the 235 patients died (0.85%). Conclusion Pediatric burns in the eastern part of Turkey are different from those in other parts of Turkey, as well as in other countries. Due to the lifestyle of the region, tandir and cauldron burns, which cause extensive burn areas and high morbidity, are frequently seen in children. Therefore, precautions and educational programs related to the use of tandirs and cauldrons are needed in this region. PMID:21244683

Trout Creek 1999 Burn

Treesearch

Sherel Goodrich

2008-01-01

A small prescribed fire near the mouth of Trout Creek in Strawberry Valley, Wasatch County, Utah, on the Uinta National Forest provided an opportunity to compare production and vascular plant composition in unburned and burned areas. At four years post burn, production of herbaceous plants was about four times greater in the burned area than in the unburned area. Most...

Validating long-term satellite-derived disturbance products: the case of burned areas

NASA Astrophysics Data System (ADS)

Boschetti, L.; Roy, D. P.

2015-12-01

The potential research, policy and management applications of satellite products place a high priority on providing statements about their accuracy. A number of NASA, ESA and EU funded global and continental burned area products have been developed using coarse spatial resolution satellite data, and have the potential to become part of a long-term fire Climate Data Record. These products have usually been validated by comparison with reference burned area maps derived by visual interpretation of Landsat or similar spatial resolution data selected on an ad hoc basis. More optimally, a design-based validation method should be adopted that is characterized by the selection of reference data via a probability sampling that can subsequently be used to compute accuracy metrics, taking into account the sampling probability. Design based techniques have been used for annual land cover and land cover change product validation, but have not been widely used for burned area products, or for the validation of global products that are highly variable in time and space (e.g. snow, floods or other non-permanent phenomena). This has been due to the challenge of designing an appropriate sampling strategy, and to the cost of collecting independent reference data. We propose a tri-dimensional sampling grid that allows for probability sampling of Landsat data in time and in space. To sample the globe in the spatial domain with non-overlapping sampling units, the Thiessen Scene Area (TSA) tessellation of the Landsat WRS path/rows is used. The TSA grid is then combined with the 16-day Landsat acquisition calendar to provide tri-dimensonal elements (voxels). This allows the implementation of a sampling design where not only the location but also the time interval of the reference data is explicitly drawn by probability sampling. The proposed sampling design is a stratified random sampling, with two-level stratification of the voxels based on biomes and fire activity (Figure 1). The novel

Burned areas for the conterminous U.S. from 1984 through 2015, an automated approach using dense time-series of Landsat data

NASA Astrophysics Data System (ADS)

Hawbaker, T. J.; Vanderhoof, M.; Beal, Y. J. G.; Takacs, J. D.; Schmidt, G.; Falgout, J.; Brunner, N. M.; Caldwell, M. K.; Picotte, J. J.; Howard, S. M.; Stitt, S.; Dwyer, J. L.

2016-12-01

Complete and accurate burned area data are needed to document patterns of fires, to quantify relationships between the patterns and drivers of fire occurrence, and to assess the impacts of fires on human and natural systems. Unfortunately, many existing fire datasets in the United States are known to be incomplete and that complicates efforts to understand burned area patterns and introduces a large amount of uncertainty in efforts to identify their driving processes and impacts. Because of this, the need to systematically collect burned area information has been recognized by the United Nations Framework Convention on Climate Change and the Intergovernmental Panel on Climate Change, which have both called for the production of essential climate variables. To help meet this need, we developed a novel algorithm that automatically identifies burned areas in temporally-dense time series of Landsat image stacks to produce Landsat Burned Area Essential Climate Variable (BAECV) products. The algorithm makes use of predictors derived from individual Landsat scenes, lagged reference conditions, and change metrics between the scene and reference predictors. Outputs of the BAECV algorithm, generated for the conterminous United States for 1984 through 2015, consist of burn probabilities for each Landsat scene, in addition to, annual composites including: the maximum burn probability, burn classification, and the Julian date of the first Landsat scene a burn was observed. The BAECV products document patterns of fire occurrence that are not well characterized by existing fire datasets in the United States. We anticipate that these data could help to better understand past patterns of fire occurrence, the drivers that created them, and the impacts fires had on natural and human systems.

Using NDVI to assess departure from average greenness and its relation to fire business

Treesearch

Robert E. Burgan; Roberta A. Hartford; Jeffery C. Eidenshink

1996-01-01

A new satellite-derived vegetation greenness map, departure from average, is designed to compare current-year vegetation greenness with average greenness for the same time of year. Live-fuel condition as portrayed on this map, and the calculated 1,000-hour fuel moistures, are compared to fire occurrence and area burned in Montana and Idaho during the 1993 and 1994 fire...

PCDD/Fs in air and soil around an e-waste dismantling area with open burning of insulated wires in south China.

PubMed

Ren, M; Tang, Y H; Peng, P A; Cai, Y

2015-05-01

Polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in ambient air and farmland soil sampled in 2006 around an e-waste dismantling area with open burning of insulated wires in Longtang in south China were investigated. The total toxic equivalent concentrations of PCDD/Fs were 3.2-31.7 pg/m(3) in air and 5.8 12.4 ng/kg in farmland soil at an e-waste site and 0.063-0.091 pg/m(3) in air at a background site. PCDD/Fs in the air at the e-waste site were characterized with dominant 1,2,3,4,6,7,8-HpCDF and OCDF and higher concentrations of furans than dioxins, suggesting open burning of insulated wires was likely to be the main source of PCDD/Fs. Compared with the results in this study, the level of PCDD/F tended to lessen with the average TEQ concentration decreasing by 41 % and the pattern changed to be dominated by OCDD in the air of Longtang in 2010 when insulated wires were openly burned in only a small scale. Our results indicate that the lower chlorinated congeners with higher vapor pressures have enhanced atmospheric transport tendencies.

The determination of total burn surface area: How much difference?

PubMed

Giretzlehner, M; Dirnberger, J; Owen, R; Haller, H L; Lumenta, D B; Kamolz, L-P

2013-09-01

Burn depth and burn size are crucial determinants for assessing patients suffering from burns. Therefore, a correct evaluation of these factors is optimal for adapting the appropriate treatment in modern burn care. Burn surface assessment is subject to considerable differences among clinicians. This work investigated the accuracy among experts based on conventional surface estimation methods (e.g. "Rule of Palm", "Rule of Nines" or "Lund-Browder Chart"). The estimation results were compared to a computer-based evaluation method. Survey data was collected during one national and one international burn conference. The poll confirmed deviations of burn depth/size estimates of up to 62% in relation to the mean value of all participants. In comparison to the computer-based method, overestimation of up to 161% was found. We suggest introducing improved methods for burn depth/size assessment in clinical routine in order to efficiently allocate and distribute the available resources for practicing burn care. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

Propranolol attenuates hemorrhage and accelerates wound healing in severely burned adults.

PubMed

Ali, Arham; Herndon, David N; Mamachen, Ashish; Hasan, Samir; Andersen, Clark R; Grogans, Ro-Jon; Brewer, Jordan L; Lee, Jong O; Heffernan, Jamie; Suman, Oscar E; Finnerty, Celeste C

2015-05-04

Propranolol, a nonselective β-blocker, exerts an indirect effect on the vasculature by leaving α-adrenergic receptors unopposed, resulting in peripheral vasoconstriction. We have previously shown that propranolol diminishes peripheral blood following burn injury by increasing vascular resistance. The purpose of this study was to investigate whether wound healing and perioperative hemodynamics are affected by propranolol administration in severely burned adults. Sixty-nine adult patients with burns covering ≥ 30% of the total body surface area (TBSA) were enrolled in this IRB-approved study. Patients received standard burn care with (n = 35) or without (control, n = 34) propranolol. Propranolol was administered within 48 hours of burns and given throughout hospital discharge to decrease heart rate by approximately 20% from admission levels. Wound healing was determined by comparing the time between grafting procedures. Blood loss was determined by comparing pre- and postoperative hematocrit while factoring in operative graft area. Data were collected between first admission and first discharge. Demographics, burn size, and mortality were comparable in the control and propranolol groups. Patients in the propranolol group received an average propranolol dose of 3.3 ± 3.0 mg/kg/day. Daily average heart rate over the first 30 days was significantly lower in the propranolol group (P < 0.05). The average number of days between skin grafting procedures was also lower in propranolol patients (10 ± 5 days) than in control patients (17 ± 12 days; P = 0.02), indicative of a faster donor site healing time in the propranolol group. Packed red blood cell infusion was similar between groups (control 5.3 ± 5.4 units vs. propranolol 4.4 ± 3.1 units, P = 0.89). Propranolol was associated with a 5 to 7% improvement in perioperative hematocrit during grafting procedures of 4,000 to 16,000 cm(2) compared to control (P = 0.002). Administration of propranolol during the acute

Evaluating the effectiveness of burned area emergency response (BAER) efforts after the 2003 wildfires, southern California

Treesearch

Peter M. Wohlgemuth; Ken R. Hubbert; Jan L. Beyers; David R. Weise

2007-01-01

Wildfires burned approximately 300,000 hectares (750,000 acres) across southern California in the fall of 2003. Over 10 million dollars were spent on Burned Area Emergency Response (BAER) treatments following these fires. To support the BAER efforts, we designed a comprehensive strategy with standardized protocols to evaluate the effectiveness of various erosion...

Estimates of biomass burning emissions in tropical Asia based on satellite-derived data

NASA Astrophysics Data System (ADS)

Chang, D.; Song, Y.

2009-09-01

Biomass burning in tropical Asia emits large amounts of trace gases and particulate matters into the atmosphere, which has significant implications for atmospheric chemistry and climatic change. In this study, emissions from open biomass burning over tropical Asia were evaluated during seven fire years from 2000-2006 (1 April 2000-31 March 2007). Burned areas were estimated from newly published 1-km L3JRC and 500-m MODIS burned area products (MCD45A1). Available fuel loads and emission factors were assigned for each vegetation type in a GlobCover characterisation map, and fuel moisture content was taken into account when calculating combustion factors. Over the whole period, both burned areas and fire emissions clearly showed spatial and seasonal variations. The L3JRC burned areas ranged from 31 165 km2 in fire year 2005 to 57 313 km2 in 2000, while the MCD45A1 burned areas ranged from 54 260 km2 in fire year 2001 to 127 068 km2 in 2004. Comparisons of L3JRC and MCD45A1 burned areas with ground-based measurements and other satellite information were constructed in several major burning regions, and results suggested that MCD45A1 performed better in most areas than L3JRC did although with a certain degree of underestimation of burned forest areas. The average annual L3JRC-based emissions were 125, 12, 0.98, 1.91, 0.11, 0.89, 0.044, 0.022, 0.42, 3.40, and 3.68 Tg yrburning was determined as the major source of the fire emissions due to the high carbon density. Although agricultural burning was the second important contributor, a great deal of crop residue combustion could probably be missed by satellite observations when compared to previously published data, which may be because of its small burning size. Fire emissions were mainly concentrated in Indonesia

Postwildfire debris-flow hazard assessment of the area burned by the 2012 Little Bear Fire, south-central New Mexico

USGS Publications Warehouse

Tillery, Anne C.; Matherne, Anne Marie

2013-01-01

A preliminary hazard assessment was developed of the debris-flow potential from 56 drainage basins burned by the Little Bear Fire in south-central New Mexico in June 2012. The Little Bear Fire burned approximately 179 square kilometers (km2) (44,330 acres), including about 143 km2 (35,300 acres) of National Forest System lands of the Lincoln National Forest. Within the Lincoln National Forest, about 72 km2 (17,664 acres) of the White Mountain Wilderness were burned. The burn area also included about 34 km2 (8,500 acres) of private lands. Burn severity was high or moderate on 53 percent of the burn area. The area burned is at risk of substantial postwildfire erosion, such as that caused by debris flows and flash floods. A postwildfire debris-flow hazard assessment of the area burned by the Little Bear Fire was performed by the U.S. Geological Survey in cooperation with the U.S. Department of Agriculture Forest Service, Lincoln National Forest. A set of two empirical hazard-assessment models developed by using data from recently burned drainage basins throughout the intermountain Western United States was used to estimate the probability of debris-flow occurrence and volume of debris flows along the burn area drainage network and for selected drainage basins within the burn area. The models incorporate measures of areal burn extent and severity, topography, soils, and storm rainfall intensity to estimate the probability and volume of debris flows following the fire. Relative hazard rankings of postwildfire debris flows were produced by summing the estimated probability and volume ranking to illustrate those areas with the highest potential occurrence of debris flows with the largest volumes. The probability that a drainage basin could produce debris flows and the volume of a possible debris flow at the basin outlet were estimated for three design storms: (1) a 2-year-recurrence, 30-minute-duration rainfall of 27 millimeters (mm) (a 50 percent chance of occurrence in

Fatal burns in Manipal area: a 10 year study.

PubMed

Kumar, Virendra; Mohanty, Manoj Kumar; Kanth, Sarita

2007-01-01

The purpose of this study was to record and evaluate the causes and the magnitude of the fatal burn injuries retrospectively. An analysis of autopsy records revealed 19.4% cases of burn injuries amongst the total autopsies done over 10years period (1993-2002) in the mortuary of the department of Forensic Medicine of Kasturba medical College, Manipal. The majority of deaths (78.5%) occurred between 11 and 40years of age group with preponderance of females (74.8%). The flame burns were seen in 94.1% of the victims followed by scalds and electrical burns in 2.8% and 2.5% cases, respectively. The majority of burn incidents were accidental (75.8%) in nature followed by suicidal (11.5%) and homicidal (3.1%) deaths. The percentage of burn (TBSA) over 40% were observed in most of the cases (92.5%). The majority of deaths occurred within a week (69.87%) and most the victims died because of septicemia (50.9%).

Using Logistic Regression to Predict the Probability of Debris Flows in Areas Burned by Wildfires, Southern California, 2003-2006

USGS Publications Warehouse

Rupert, Michael G.; Cannon, Susan H.; Gartner, Joseph E.; Michael, John A.; Helsel, Dennis R.

2008-01-01

Logistic regression was used to develop statistical models that can be used to predict the probability of debris flows in areas recently burned by wildfires by using data from 14 wildfires that burned in southern California during 2003-2006. Twenty-eight independent variables describing the basin morphology, burn severity, rainfall, and soil properties of 306 drainage basins located within those burned areas were evaluated. The models were developed as follows: (1) Basins that did and did not produce debris flows soon after the 2003 to 2006 fires were delineated from data in the National Elevation Dataset using a geographic information system; (2) Data describing the basin morphology, burn severity, rainfall, and soil properties were compiled for each basin. These data were then input to a statistics software package for analysis using logistic regression; and (3) Relations between the occurrence or absence of debris flows and the basin morphology, burn severity, rainfall, and soil properties were evaluated, and five multivariate logistic regression models were constructed. All possible combinations of independent variables were evaluated to determine which combinations produced the most effective models, and the multivariate models that best predicted the occurrence of debris flows were identified. Percentage of high burn severity and 3-hour peak rainfall intensity were significant variables in all models. Soil organic matter content and soil clay content were significant variables in all models except Model 5. Soil slope was a significant variable in all models except Model 4. The most suitable model can be selected from these five models on the basis of the availability of independent variables in the particular area of interest and field checking of probability maps. The multivariate logistic regression models can be entered into a geographic information system, and maps showing the probability of debris flows can be constructed in recently burned areas of

A review of community management of paediatric burns.

PubMed

Cox, S G; Martinez, R; Glick, A; Numanoglu, A; Rode, H

2015-12-01

This study was a component of a broader review to evaluate burn care in South Africa. A prospective audit of 353 children with thermal injuries admitted to the Red Cross War Memorial Children's Hospital in Cape Town was performed during 2012/2013. The audit was based to assess the adherence of initial burn management to the provincial policy guidelines on the clinical management of the burn wound. The community management of each patient prior to admission to a burns centre was assessed for the following: basic demographics, emergency home management, wound cover, analgesia and transport to medical facilities. Their ages ranged from 1 month to 14 years. The average total body surface area [TBSA] was 15% [1-86%]. Most of the injuries were due to hot water accidents [78.5%] followed by flame burns (9%), direct contact and electricity burns. Two hundred and twenty five children [63%] received first aid measures at home, including cooling with water [166] ice [30] and a cooling agent. No cooling was instituted in 130 and 65% of the patient's wounds were cooled for 10 min or less. Eighty percent proceeded to the referral centre or burns unit without their wounds being covered; with only 19 patients having any medical type of dressing available at home. Two hundred and ninety five children [83.6%] received pain medication prior to admission at the burns unit. Of the 316 patients not directly attending the burns unit, 137 received i.v. fluids of which 95 had burns greater than 10% TBSA. None of the patients were in shock on admission and all i.v. lines were functioning. Forty-four children with burns greater than 10% did not receive i.v. fluids. The audit identified six factors that were inadequately addressed during the pre-admission period: first aid, cooling of the wound, early covering of the wound, resuscitation, pain management and transfer. If these could be readdressed, basic burn care would be substantially improved in the study area. Copyright © 2015 Elsevier

Wildland fire emissions, carbon, and climate: wildland fire detection and burned area in the United States

Treesearch

Wei Min Hao; Narasimhan K. Larkin

2014-01-01

Biomass burning is a major source of greenhouse gases, aerosols, black carbon, and atmospheric pollutants that affects regional and global climate and air quality. The spatial and temporal extent of fires and the size of burned areas are critical parameters in the estimation of fire emissions. Tremendous efforts have been made in the past 12 years to characterize the...

47 CFR 36.622 - National and study area average unseparated loop costs.

Code of Federal Regulations, 2011 CFR

2011-10-01

... companies which did not make an update filing by the most recent filing date. (b) Study Area Average... 47 Telecommunication 2 2011-10-01 2011-10-01 false National and study area average unseparated... Universal Service Fund Calculation of Loop Costs for Expense Adjustment § 36.622 National and study area...

47 CFR 36.622 - National and study area average unseparated loop costs.

Code of Federal Regulations, 2010 CFR

2010-10-01

... companies which did not make an update filing by the most recent filing date. (b) Study Area Average... 47 Telecommunication 2 2010-10-01 2010-10-01 false National and study area average unseparated... Universal Service Fund Calculation of Loop Costs for Expense Adjustment § 36.622 National and study area...

Is proportion burned severely related to daily area burned?

Treesearch

Donovan S. Birch; Penelope Morgan; Crystal A. Kolden; Andrew T. Hudak; Alistair M. S. Smith

2014-01-01

The ecological effects of forest fires burning with high severity are long-lived and have the greatest impact on vegetation successional trajectories, as compared to low-to-moderate severity fires. The primary drivers of high severity fire are unclear, but it has been hypothesized that wind-driven, large fire-growth days play a significant role, particularly on large...

Minor burn management: potions and lotions

PubMed Central

Hyland, Ela J; Connolly, Siobhan M; Fox, Jade A; Harvey, John G

2015-01-01

Summary The first aid for burns is to run cold water over the burn for 20 minutes. This is effective for up to three hours after the injury. Assess the affected body surface area using the rule of nines. Consult a burn unit if more than 5% of the total body surface area is burnt in a child or if more than 10% in an adult. Extensive or deep burns and burns to special areas, such as the hands, should be referred. Chemical or electrical burns should also be assessed by a burn unit. For minor burns, antimicrobial dressings are recommended, but oral antibiotics should be avoided unless there are signs of infection. As burns are tetanus prone, check the patient’s immunisation status. Burns that become infected or are slow to heal should be discussed with a burn unit. The burn unit can also provide advice if there are uncertainties about how to manage a patient. PMID:26648640

Impact of trash burning on air quality in Mexico City.

PubMed

Hodzic, A; Wiedinmyer, C; Salcedo, D; Jimenez, J L

2012-05-01

Air pollution experienced by expanding urban areas is responsible for serious health effects and death for millions of people every year. Trash burning is a common disposal method in poor areas, yet it is uncontrolled in many countries, and its contribution to air pollution is unclear due to uncertainties in its emissions. Here we develop a new trash burning emission inventory for Mexico City based on inverse socioeconomic levels and recently measured emission factors, and apply a chemistry-transport model to analyze the effects on pollutant concentrations. Trash burning is estimated to emit 25 tons of primary organic aerosols (POA) per day, which is comparable to fossil fuel POA emissions in Mexico City, and causes an increase in average organic aerosol concentrations of ∼0.3 μg m(-3) downtown and up to 2 μg m(-3) in highly populated suburbs near the sources of emission. An evaluation using submicrometer antimony suggests that our emission estimates are reasonable. Mitigation of trash burning could reduce the levels of organic aerosols by 2-40% and those of PM(2.5) by 1-15% over the metropolitan area. The trash burning contributions to carbon monoxide, nitrogen oxides, and volatile organic compounds were found to be very small (<3%), and consequently the contributions to secondary nitrate, sulfate, and secondary organic aerosols are also very small. © 2012 American Chemical Society

A comparison of burn season effects on nesting birds in North Dakota mixed-grass prairie

USGS Publications Warehouse

Higgins, K.F.

1986-01-01

During 1982-1985, the effects of single spring and fall burn treatments on ground nesting birds and residual cover were studied on five paired areas of native mixed-grass prairie in northwestern Stutsman County, ND. Annually, visual obstruction readings to index the height-density of residual cover were taken once and nest searches were made four times on each area. Residual nesting cover on fall burn plots averaged taller and denser than on spring burn plots during post-fire growing years 2-4. A total of 259 duck nests and 63 nests of non-passerine birds were found during the four years. Duck nesting success was significantly greater (P < 0.05) in fall burn plots than in spring burn plots for all species and years combined. Too few nests of other bird species were found for valid comparisons. Results suggest that vegetation structure and duck nesting response to spring and fall burns became similar again by the third post-fire growing season.

Baseline Risk Assessment for the F-Area Burning/Rubble Pits and Rubble Pit

DOE Office of Scientific and Technical Information (OSTI.GOV)

Palmer, E.

This document provides an overview of the Savannah River Site (SRS) and a description of the F-Area Burning/Rubble Pits (BRPs) and Rubble Pit (RP) unit. It also describes the objectives and scope of the baseline risk assessment (BRA).

Preliminary results in single-step wound closure procedure of full-thickness facial burns in children by using the collagen-elastin matrix and review of pediatric facial burns.

PubMed

Demircan, Mehmet; Cicek, Tugrul; Yetis, Muhammed Ikbal

2015-09-01

Management of full-thickness facial burns remains one of the greatest challenges. Controversy exists among surgeons regarding the use of early excision for facial burns. Unfortunately, delayed excision of deeper burns often results in more scarring and subsequent reconstruction becomes more difficult. A collagen-elastin matrix is used to improve the quality of the reconstructed skin, to reduce scarring and to prevent wound contraction. It serves as a foundation for split thickness skin graft and enhances short and long-term results. We report the usage of a collagen-elastin matrix during single-step wound closure technique of severe full-thickness facial burns in 15 children with large burned body surface area, and also we review the literature about pediatric facial burns. There were 15 pediatric patients with severe facial burns, 8 girls and 7 boys ranging in age from 10 months to 12 years, mean age 7 years and 6 months old. The facial burn surface area (FBSA) among the patients includes seven patients with 100%, five with 75%, and three with 50%. The average total body surface area (TBSA) for the patients was 72%, ranging between 50 and 90%. 5 of the patients' admissions were late, more than four days after burns while the rest of the patients were admitted within the first four days (acute admission time). The burns were caused by flame in eight of the patients, bomb blast in four, and scalding in three. All patients were treated by the simultaneous application of the collagen-elastin matrix and an unmeshed split thickness skin graft at Turgut Özal Medical Center, Pediatric Burn Center, Malatya, Turkey. After the treatment only two patients needed a second operation for revision of the grafts. All grafts transplanted to the face survived. The average Vancouver scar scales (VSS) were 2.55±1.42, ranging between one and six, in the first 10 of 15 patients at the end of 6 months postoperatively. VSS measurements of the last 5 patients were not taken since the 6

Periorbital burns – a 6 year review of management and outcome.

PubMed

Fitzgerald O'Connor, Edmund; Frew, Q; Din, A; Pleat, J; Ashraff, S; Ghazi-Nouri, S; El-Muttardi, N; Philp, B; Dziewulski, P

2015-05-01

Periorbital burns are an infrequent but potentially devastating injury. This study aimed to elucidate the spectrum of such injuries presenting to a UK burns centre and the outcome achieved in the cases requiring periorbital reconstruction for the restoration of function and form. Patients admitted to a UK regional burns centre between January 2005 and January 2011 with periorbital burns were identified from the Patient Administration System (PAS), theatre logs and the International Burns Injury database (IBID). Multiple parameters were assessed using patient notes, ITU and hospital image databases. Over 6 years, 167 patients with facial burns requiring surgery were treated, including 103 patients with eyelid burns. The mean burn size was 33% total body surface area. The eyelid burn depth varied; 67% superficial partial thickness, 17% deep dermal and 16% full thickness. Two patients lost complete vision in one eye, one patient underwent amniotic membrane grafting. In total 16 patients required periorbital reconstruction to maintain eye closure, with 1.8 operations on average per patient. Acute surgery was required in 11 patients, whilst late intervention (>3 months) was needed in 5, 2 patients had both acute and delayed surgery. Of the 5 late intervention patients 4 were treated with full thickness skin grafts and 1 with a Z plasty. Average time for final reconstruction with delayed surgery was 4.5 months. The goal in management of periorbital burns is preservation of vision, prevention of future complications and restoration of an acceptable aesthetic outcome. Total visual loss is thankfully rare, but early ophthalmology intervention is vital given the evidence of corneal damage as a brief therapeutic window exists. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

Chemical mass balance source apportionment of TSP in a lignite-burning area of Western Macedonia, Greece

NASA Astrophysics Data System (ADS)

Samara, Constantini

Total suspended particle mass concentrations (TSP) were determined in the Kozani-Ptolemais-Florina basin (western Macedonia, Greece), an area with intensive lignite burning for power generation. The study was conducted over a 1-year period (November 2000-November 2001) at 10 receptor sites located at variable distances from the power plants. Ambient TSP samples were analyzed for 27 major, minor and trace elements. Particulate emissions were also collected from a variety of sources including fly ash, lignite dust, automobile traffic, domestic heating, and open-air burning of agricultural biomass and refuse, and analyzed for the same chemical components. Ambient and source chemical profiles were used for source identification and apportionment of TSP by employing a chemical mass balance (CMB) receptor model. Diesel burning in vehicular traffic and in the power plants for generator start up was found to be the major contributor to ambient TSP levels at all 10 sites. Other sources with significant contributions were domestic coal burning, vegetative burning (wood combustion and agricultural burns) and refuse open-air burning. Fly ash escaping the electrostatic precipitators of the power plants was a minor contributor to ambient TSP.

Antiseptics for burns.

PubMed

Norman, Gill; Christie, Janice; Liu, Zhenmi; Westby, Maggie J; Jefferies, Jayne M; Hudson, Thomas; Edwards, Jacky; Mohapatra, Devi Prasad; Hassan, Ibrahim A; Dumville, Jo C

2017-07-12

Burn wounds cause high levels of morbidity and mortality worldwide. People with burns are particularly vulnerable to infections; over 75% of all burn deaths (after initial resuscitation) result from infection. Antiseptics are topical agents that act to prevent growth of micro-organisms. A wide range are used with the intention of preventing infection and promoting healing of burn wounds. To assess the effects and safety of antiseptics for the treatment of burns in any care setting. In September 2016 we searched the Cochrane Wounds Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), Ovid MEDLINE, Ovid MEDLINE (In-Process & Other Non-Indexed Citations), Ovid Embase, and EBSCO CINAHL. We also searched three clinical trials registries and references of included studies and relevant systematic reviews. There were no restrictions based on language, date of publication or study setting. We included randomised controlled trials (RCTs) that enrolled people with any burn wound and assessed the use of a topical treatment with antiseptic properties. Two review authors independently performed study selection, risk of bias assessment and data extraction. We included 56 RCTs with 5807 randomised participants. Almost all trials had poorly reported methodology, meaning that it is unclear whether they were at high risk of bias. In many cases the primary review outcomes, wound healing and infection, were not reported, or were reported incompletely.Most trials enrolled people with recent burns, described as second-degree and less than 40% of total body surface area; most participants were adults. Antiseptic agents assessed were: silver-based, honey, Aloe Vera, iodine-based, chlorhexidine or polyhexanide (biguanides), sodium hypochlorite, merbromin, ethacridine lactate, cerium nitrate and Arnebia euchroma. Most studies compared antiseptic with a topical antibiotic, primarily silver sulfadiazine (SSD); others compared antiseptic with a non

Seasonal and spatial variation of organic tracers for biomass burning in PM1 aerosols from highly insolated urban areas.

PubMed

van Drooge, B L; Fontal, M; Bravo, N; Fernández, P; Fernández, M A; Muñoz-Arnanz, J; Jiménez, B; Grimalt, J O

2014-10-01

PM1 aerosol characterization on organic tracers for biomass burning (levoglucosan and its isomers and dehydroabietic acid) was conducted within the AERTRANS project. PM1 filters (N = 90) were sampled from 2010 to 2012 in busy streets in the urban centre of Madrid and Barcelona (Spain) at ground-level and at roof sites. In both urban areas, biomass burning was not expected to be an important local emission source, but regional emissions from wildfires, residential heating or biomass removal may influence the air quality in the cities. Although both areas are under influence of high solar radiation, Madrid is situated in the centre of the Iberian Peninsula, while Barcelona is located at the Mediterranean Coast and under influence of marine atmospheres. Two extraction methods were applied, i.e. Soxhlet and ASE, which showed equivalent results after GC-MS analyses. The ambient air concentrations of the organic tracers for biomass burning increased by an order of magnitude at both sites during winter compared to summer. An exception was observed during a PM event in summer 2012, when the atmosphere in Barcelona was directly affected by regional wildfire smoke and levels were four times higher as those observed in winter. Overall, there was little variation between the street and roof sites in both cities, suggesting that regional biomass burning sources influence the urban areas after atmospheric transport. Despite the different atmospheric characteristics in terms of air relative humidity, Madrid and Barcelona exhibit very similar composition and concentrations of biomass burning organic tracers. Nevertheless, levoglucosan and its isomers seem to be more suitable for source apportionment purposes than dehydroabietic acid. In both urban areas, biomass burning contributions to PM were generally low (2 %) in summer, except on the day when wildfire smoke arrive to the urban area. In the colder periods the contribution increase to around 30 %, indicating that regional

Average Cross-Sectional Area of DebriSat Fragments Using Volumetrically Constructed 3D Representations

NASA Technical Reports Server (NTRS)

Scruggs, T.; Moraguez, M.; Patankar, K.; Fitz-Coy, N.; Liou, J.-C.; Sorge, M.; Huynh, T.

2016-01-01

Debris fragments from the hypervelocity impact testing of DebriSat are being collected and characterized for use in updating existing satellite breakup models. One of the key parameters utilized in these models is the ballistic coefficient of the fragment which is directly related to its area-to-mass ratio. However, since the attitude of fragments varies during their orbital lifetime, it is customary to use the average cross-sectional area in the calculation of the area-to-mass ratio. The average cross-sectional area is defined as the average of the projected surface areas perpendicular to the direction of motion and has been shown to be equal to one-fourth of the total surface area of a convex object. Unfortunately, numerous fragments obtained from the DebriSat experiment show significant concavity (i.e., shadowing) and thus we have explored alternate methods for computing the average cross-sectional area of the fragments. An imaging system based on the volumetric reconstruction of a 3D object from multiple 2D photographs of the object was developed for use in determining the size characteristic (i.e., characteristics length) of the DebriSat fragments. For each fragment, the imaging system generates N number of images from varied azimuth and elevation angles and processes them using a space-carving algorithm to construct a 3D point cloud of the fragment. This paper describes two approaches for calculating the average cross-sectional area of debris fragments based on the 3D imager. Approach A utilizes the constructed 3D object to generate equally distributed cross-sectional area projections and then averages them to determine the average cross-sectional area. Approach B utilizes a weighted average of the area of the 2D photographs to directly compute the average cross-sectional area. A comparison of the accuracy and computational needs of each approach is described as well as preliminary results of an analysis to determine the "optimal" number of images needed for

Forest fires in Mediterranean countries: CO2 emissions and mitigation possibilities through prescribed burning.

PubMed

Vilén, Terhi; Fernandes, Paulo M

2011-09-01

Forest fires are an integral part of the ecology of the Mediterranean Basin; however, fire incidence has increased dramatically during the past decades and fire is expected to become more prevalent in the future due to climate change. Fuel modification by prescribed burning reduces the spread and intensity potential of subsequent wildfires. We used the most recently published data to calculate the average annual wildfire CO(2) emissions in France, Greece, Italy, Portugal and Spain following the IPCC guidelines. The effect of prescribed burning on emissions was calculated for four scenarios of prescribed burning effectiveness based on data from Portugal. Results show that prescribed burning could have a considerable effect on the carbon balance of the land use, land-use change and forestry (LULUCF) sector in Mediterranean countries. However, uncertainty in emission estimates remains large, and more accurate data is needed, especially regarding fuel load and fuel consumption in different vegetation types and fuel layers and the total area protected from wildfire per unit area treated by prescribed burning, i.e. the leverage of prescribed burning.

Focused feasibility study for surface soil at the main pits and pushout area, J-field toxic burning pits area, Aberdeen Proving Ground, Maryland

DOE Office of Scientific and Technical Information (OSTI.GOV)

Patton, T.; Benioff, P.; Biang, C.

1996-06-01

The Environmental Management Division of Aberdeen Proving Ground (APG), Maryland, is conducting a remedial investigation and feasibility study of the J-Field area at APG pursuant to the Comprehensive Environmental Response, Compensation, and Liability Act, as amended (CERCLA). J-Field is located within the Edgewood Area of APG in Harford County, Maryland. Since World War II, activities in the Edgewood Area have included the development, manufacture, testing, and destruction of chemical agents and munitions. These materials were destroyed at J-Field by open burning/open detonation. Portions of J-Field continue to be used for the detonation and disposal of unexploded ordnance (UXO) by openmore » burning/open detonation under authority of the Resource Conservation and Recovery Act.« less

[Nitrogen balance assessment in burn patients].

PubMed

Beça, Andreia; Egipto, Paula; Carvalho, Davide; Correia, Flora; Oliveira, Bruno; Rodrigues, Acácio; Amarante, José; Medina, J Luís

2010-01-01

The burn injury probably represents the largest stimulus for muscle protein catabolism. This state is characterized by an accelerated catabolism of the lean or skeletal mass that results in a clinical negative balance of nitrogen and muscle wasting. The determination of an appropriate value for protein intake is essential, since it is positively related to the nitrogen balance (NB) and accordingly several authors argue that a positive NB is the key parameter associated with nutritional improvement of a burn patient. Evaluation of the degree of protein catabolism by assessment of the Nitrogen Balance; Defining of nutritional support (protein needs) to implement in patients with burned surface area (BSA) = 10%. We prospectively evaluated the clinical files and scrutinized the clinical variables of interest. The NB was estimated according to three formulae. Each gram of nitrogen calculated by the NB was then converted into grams of protein, subtracted or added to protein intake (or administered enteric or parenterically) and divided by kg of reference Weight (kg Rweight), in an attempt to estimate the daily protein needs. The cohort consisted of 10 patients, 6 females, with average age of 58(23) years old, a mean of BSA of 21.4(8.4)%, ranging from a minimum of 10.0% and máximum of 35.0%. On average, patients were 58 (23) years old. The average number of days of hospitalization in the burn unit was 64.8(36.5) days. We observed significant differences between the 3 methods used for calculating the NB (p = 0.004), on average the NB was positive. When the formula A was used the average value of NB was higher. Regarding the attempt to estimate the needs of g prot/kg Rweight/day most of the values did not exceed, on average, 2.6 g Prot/kg Rweight/day and no significant differences between patients with a BSA% of 10-20% and with BSA% > 20% were found. Despite being able to estimate the protein catabolism through these formulas and verifying that most values were above zero

A rare case of failed healing in previously burned skin after a secondary burns.

PubMed

Goldie, Stephen J; Parsons, Shaun; Menezes, Hana; Ives, Andrew; Cleland, Heather

2017-01-01

Patients presenting with large surface area burns are common in our practice; however, patients with a secondary large burn on pre-existing burn scars and grafts are rare and not reported. We report on an unusual case of a patient sustaining a secondary large burn to areas previously injured by a burn from a different mechanism. We discuss the potential implications when managing a case like this and suggest potential biological reasons why the skin may behave differently. Our patient was a 33-year-old man who presented with a 5% TBSA burn on skin scarred by a previous 40% total body surface area (TBSA) burn and skin grafts. Initially assessed as superficial partial thickness in depth, the wounds were treated conservatively with dressings; however, they failed to heal and became infected requiring surgical management. Burns sustained in areas of previous burn scars and grafts may behave differently to normal patterns of healing, requiring more aggressive management and surgical intervention at an early stage.

40 CFR 63.7522 - Can I use emissions averaging to comply with this subpart?

Code of Federal Regulations, 2014 CFR

2014-07-01

... section. You may not include new boilers or process heaters in an emissions average. (b) For a group of... subcategory of units designed to burn gas 2 (other) fuels. (iv) You may not average across the units designed to burn liquid, units designed to burn solid fuel, and units designed to burn gas 2 (other...

Projecting wildfire area burned in the south-eastern United States, 2011-60

Treesearch

Jeffrey P. Prestemon; Uma Shankar; Aijun Xiu; K. Talgo; D. Yang; Ernest Dixon; Donald McKenzie; Karen L. Abt

2016-01-01

Future changes in society and climate are expected to affect wildfire activity in the south-eastern United States. The objective of this research was to understand how changes in both climate and society may affect wildfire in the coming decades.We estimated a three-stage statistical model of wildfire area burned by ecoregion province for lightning and human causes (...

Forest service large fire area burned and suppression expenditure trends, 1970-2002.

Treesearch

David E. Calkin; Krista M. Gebert; J. Greg Jones; Ronald P. Neilson

2005-01-01

Extreme fire seasons in recent years and associated high suppression expenditures have brought about a chorus of calls for reform of federal firefighting structure and policy. Given the political nature of the topic, a critical review of past trends in area burned, size of fires, and suppression expenditures is warranted. We examined data relating to emergency wildland...

Five-year epidemiology of liquefied petroleum gas-related burns.

PubMed

Jin, Ronghua; Wu, Pan; Ho, Jon Kee; Wang, Xingang; Han, Chunmao

2018-02-01

The incidence of liquefied petroleum gas (LPG)-related burns has increased over recent years, and it has become a serious public health issue in developing countries such as India and Turkey. This paper aims to investigate the epidemiological characteristics of LPG-related burns to provide assistance and suggestions for planning prevention strategies. A 5-year retrospective study was conducted in patients with LPG-related burns admitted to the Department of Burns & Wound Care Center, Second Affiliated Hospital of Zhejiang University, College of Medicine, between 1st January 2011 and 31st December 2015. Information obtained for each patient included age, gender, education status, occupation, medical insurance, average hospital cost, length of hospital stay, monthly distribution of incidence, place of burns, mechanism of burns, extent of burns, site of burns, accompanying injuries, and treatment outcomes. For the first 4 years (2011-2014), the yearly incidence of LPG-related burns was at approximately 10% of all burns; however, in the fifth year (2015) alone, there was a surge to 26.94%. A total of 1337 burn patients were admitted during this period. Of these, 195 patients were admitted because of 169 LPG-related accidents; there were 11 accidents involving more than one victim. LPG-related burns occurred most frequently in patients aged 21-60 years (73.85%). The majority of injuries occurred from May to August (56.41%), and the most common place was home (83.08%, 162 patients). Gas leak (81.03%) was the main cause of LPG-related burns, followed by inappropriate operation (7.69%) and cooking negligence (2.05%). The mean burn area was 31.32±25.40% of TBSA. The most common sites of burns were the upper extremities (37.47%), followed by the head/face and neck (24.80%) and lower extremities (19.95%). The most common accompanying injuries included inhalation injury (23.59%), shock (8.71%), and external injury (7.18%). The average hospital stay was 22.90±19.47days (range

Tweens feel the burn: "salt and ice challenge" burns.

PubMed

Roussel, Lauren O; Bell, Derek E

2016-05-01

To review our institution's experience with frostbite injury secondary to "salt and ice challenge" (SIC) participation. We conducted a retrospective analysis of intentional freezing burns from 2012 to 2014. Demographics, depth and location of burn, total body surface area of burn, treatment, time to wound healing, length of stay, complications, and motives behind participation were analyzed. Five patients were seen in the emergency department for intentional freezing burns that resulted from SIC (all females; mean age: 12.3 years; range age: 10.0-13.2 years). Mean total body surface area was 0.408%. Salt and ice was in contact with skin for >10 min for two patients, >20 min for two patients, and an unknown duration for one patient. Complications included pain and burn scar dyschromia. Four patients cited peer pressure and desire to replicate SIC as seen on the Internet as their motivation in attempting the challenge. SIC has become a popular, self-harming behavior among youths. Increased public education, and provider and parent awareness of SIC are essential to address this public health concern.

BurnCase 3D software validation study: Burn size measurement accuracy and inter-rater reliability.

PubMed

Parvizi, Daryousch; Giretzlehner, Michael; Wurzer, Paul; Klein, Limor Dinur; Shoham, Yaron; Bohanon, Fredrick J; Haller, Herbert L; Tuca, Alexandru; Branski, Ludwik K; Lumenta, David B; Herndon, David N; Kamolz, Lars-P

2016-03-01

The aim of this study was to compare the accuracy of burn size estimation using the computer-assisted software BurnCase 3D (RISC Software GmbH, Hagenberg, Austria) with that using a 2D scan, considered to be the actual burn size. Thirty artificial burn areas were pre planned and prepared on three mannequins (one child, one female, and one male). Five trained physicians (raters) were asked to assess the size of all wound areas using BurnCase 3D software. The results were then compared with the real wound areas, as determined by 2D planimetry imaging. To examine inter-rater reliability, we performed an intraclass correlation analysis with a 95% confidence interval. The mean wound area estimations of the five raters using BurnCase 3D were in total 20.7±0.9% for the child, 27.2±1.5% for the female and 16.5±0.1% for the male mannequin. Our analysis showed relative overestimations of 0.4%, 2.8% and 1.5% for the child, female and male mannequins respectively, compared to the 2D scan. The intraclass correlation between the single raters for mean percentage of the artificial burn areas was 98.6%. There was also a high intraclass correlation between the single raters and the 2D Scan visible. BurnCase 3D is a valid and reliable tool for the determination of total body surface area burned in standard models. Further clinical studies including different pediatric and overweight adult mannequins are warranted. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Economics of pediatric burns.

PubMed

Bass, Michael J; Phillips, Linda G

2008-07-01

Sustaining a burn injury sets in motion a cycle of pain, disfigurement, and a search for survival. In pediatric burns, the injury extends to the parents where fear, ignorance, and helplessness forever change their lives. Pediatric burn injuries are caused by fire, hot liquids, clothing irons, hair curlers, caustic substances like drain cleaner, the grounding of an electrical source, and exposure to radiation. Efficiency in the delivery of pediatric burn care is critical. Maximizing resource utilization means continual self-evaluation and economic analysis of therapeutic modalities. Griffiths et al found that most childhood burns are due to scalds, which can be treated for $1061 per percent burn. Paddock et al reduced the cost of treating superficial pediatric burns and reduced the length of stay in hospital using silver-impregnated gauze over traditional methods. Barrett et al found improved cosmesis of skin grafts using cultured epithelial autografts but at a substantially increased cost. Corpron et al showed that pediatric burn units that treat burns >10% total body surface area and operative treatment of pediatric burns regardless of size generate positive revenue. There is a paucity of evidentiary pediatric burn economic data. More research is needed to address areas of pediatric burn care inefficiency. Improving knowledge of cost in all health care endeavors will create competition and drive down expenditures.

Probability and volume of potential postwildfire debris flows in the 2012 Waldo Canyon Burn Area near Colorado Springs, Colorado

USGS Publications Warehouse

Verdin, Kristine L.; Dupree, Jean A.; Elliott, John G.

2012-01-01

This report presents a preliminary emergency assessment of the debris-flow hazards from drainage basins burned by the 2012 Waldo Canyon fire near Colorado Springs in El Paso County, Colorado. Empirical models derived from statistical evaluation of data collected from recently burned basins throughout the intermountain western United States were used to estimate the probability of debris-flow occurrence and potential volume of debris flows along the drainage network of the burned area and to estimate the same for 22 selected drainage basins along U.S. Highway 24 and the perimeter of the burned area. Input data for the models included topographic parameters, soil characteristics, burn severity, and rainfall totals and intensities for a (1) 2-year-recurrence, 1-hour-duration rainfall, referred to as a 2-year storm (29 millimeters); (2) 10-year-recurrence, 1-hour-duration rainfall, referred to as a 10-year storm (42 millimeters); and (3) 25-year-recurrence, 1-hour-duration rainfall, referred to as a 25-year storm (48 millimeters). Estimated debris-flow probabilities at the pour points of the the drainage basins of interest ranged from less than 1 to 54 percent in response to the 2-year storm; from less than 1 to 74 percent in response to the 10-year storm; and from less than 1 to 82 percent in response to the 25-year storm. Basins and drainage networks with the highest probabilities tended to be those on the southern and southeastern edge of the burn area where soils have relatively high clay contents and gradients are steep. Nine of the 22 drainage basins of interest have greater than a 40-percent probability of producing a debris flow in response to the 10-year storm. Estimated debris-flow volumes for all rainfalls modeled range from a low of 1,500 cubic meters to a high of greater than 100,000 cubic meters. Estimated debris-flow volumes increase with basin size and distance along the drainage network, but some smaller drainages were also predicted to produce

Preparation of Partial-Thickness Burn Wounds in Rodents Using a New Experimental Burning Device.

PubMed

Sakamoto, Michiharu; Morimoto, Naoki; Ogino, Shuichi; Jinno, Chizuru; Kawaguchi, Atsushi; Kawai, Katsuya; Suzuki, Shigehiko

2016-06-01

The manual application of hot water or hot metal to an animal's skin surface is often used to prepare burn wound models. However, manual burn creation is subject to human variability. We developed a new device that can control the temperature, time, and pressure of contact to produce precise and reproducible animal burn wounds and investigated the conditions required to prepare various burn wounds using our new device. We prepared burn wounds on F344 rats using 3 contact times 2, 4, and 10 seconds using a stamp heated to 80°C. We observed the wound-healing process macroscopically and histologically and evaluated the burn depth using a laser speckle contrast-imaging device, which evaluated the blood flow of the wound. The changes in the burned area over time, tissue perfusion of the burn wounds, histological evaluation of the burn depth by hematoxylin-eosin and azocarmine and aniline blue staining, and the epithelialization rate (the ratio of the epithelialized area to the wound length) were evaluated on histological sections. Results indicated that the burn wounds prepared with contact times of 2, 4, and 10 seconds corresponded to superficial dermal burns, deep dermal burns, and full-thickness burns, respectively. We demonstrated that partial- and full-thickness burn wounds can be precisely and reproducibly created with our new automated burning device.

Probability and volume of potential postwildfire debris flows in the 2012 High Park Burn Area near Fort Collins, Colorado

USGS Publications Warehouse

Verdin, Kristine L.; Dupree, Jean A.; Elliott, John G.

2012-01-01

This report presents a preliminary emergency assessment of the debris-flow hazards from drainage basins burned by the 2012 High Park fire near Fort Collins in Larimer County, Colorado. Empirical models derived from statistical evaluation of data collected from recently burned basins throughout the intermountain western United States were used to estimate the probability of debris-flow occurrence and volume of debris flows along the burned area drainage network and to estimate the same for 44 selected drainage basins along State Highway 14 and the perimeter of the burned area. Input data for the models included topographic parameters, soil characteristics, burn severity, and rainfall totals and intensities for a (1) 2-year-recurrence, 1-hour-duration rainfall (25 millimeters); (2) 10-year-recurrence, 1-hour-duration rainfall (43 millimeters); and (3) 25-year-recurrence, 1-hour-duration rainfall (51 millimeters). Estimated debris-flow probabilities along the drainage network and throughout the drainage basins of interest ranged from 1 to 84 percent in response to the 2-year-recurrence, 1-hour-duration rainfall; from 2 to 95 percent in response to the 10-year-recurrence, 1-hour-duration rainfall; and from 3 to 97 in response to the 25-year-recurrence, 1-hour-duration rainfall. Basins and drainage networks with the highest probabilities tended to be those on the eastern edge of the burn area where soils have relatively high clay contents and gradients are steep. Estimated debris-flow volumes range from a low of 1,600 cubic meters to a high of greater than 100,000 cubic meters. Estimated debris-flow volumes increase with basin size and distance along the drainage network, but some smaller drainages were also predicted to produce substantial volumes of material. The predicted probabilities and some of the volumes predicted for the modeled storms indicate a potential for substantial debris-flow impacts on structures, roads, bridges, and culverts located both within and

Burn epidemiology and cost of medication in paediatric burn patients.

PubMed

Koç, Zeliha; Sağlam, Zeynep

2012-09-01

Burns are common injuries that cause problems to societies throughout the world. In order to reduce the cost of burn treatment in children, it is extremely important to determine the burn epidemiology and the cost of medicines used in burn treatment. The present study used a retrospective design, with data collected from medical records of 140 paediatric patients admitted to a burn centre between 1 January 2009 and 31 December 2009. Medical records were examined to determine burn epidemiology, medication administered, dosage, and duration of use. Descriptive statistical analysis was completed for all variables; chi-square was used to examine the relationship between certain variables. It was found that 62.7% of paediatric burns occur in the kitchen, with 70.7% involving boiling water; 55.7% of cases resulted in third-degree burns, 19.3% required grafting, and mean duration of hospital stay was 27.5 ± 1.2 days. Medication costs varied between $1.38 US dollars (USD) and $14,159.09, total drug cost was $46,148.03 and average cost per patient was $329.63. In this study, the medication cost for burn patients was found to be relatively high, with antibiotics comprising the vast majority of medication expenditure. Most paediatric burns are preventable, so it is vital to educate families about potential household hazards that can be addressed to reduce the risk of a burn. Programmes are also recommended to reduce costs and the inappropriate prescribing of medication. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

The influence of weather and fuel type on the fuel composition of the area burned by forest fires in Ontario, 1996-2006.

PubMed

Podur, Justin J; Martell, David L

2009-07-01

Forest fires are influenced by weather, fuels, and topography, but the relative influence of these factors may vary in different forest types. Compositional analysis can be used to assess the relative importance of fuels and weather in the boreal forest. Do forest or wild land fires burn more flammable fuels preferentially or, because most large fires burn in extreme weather conditions, do fires burn fuels in the proportions they are available despite differences in flammability? In the Canadian boreal forest, aspen (Populus tremuloides) has been found to burn in less than the proportion in which it is available. We used the province of Ontario's Provincial Fuels Database and fire records provided by the Ontario Ministry of Natural Resources to compare the fuel composition of area burned by 594 large (>40 ha) fires that occurred in Ontario's boreal forest region, a study area some 430,000 km2 in size, between 1996 and 2006 with the fuel composition of the neighborhoods around the fires. We found that, over the range of fire weather conditions in which large fires burned and in a study area with 8% aspen, fires burn fuels in the proportions that they are available, results which are consistent with the dominance of weather in controlling large fires.

Burns in sub-Saharan Africa: A review.

PubMed

Nthumba, Peter M

2016-03-01

Burns are important preventable causes of morbidity and mortality, with a disproportionate incidence in sub-Saharan Africa. The management of these injuries in sub-Saharan Africa is a challenge because of multiple other competing problems such as infectious diseases (HIV/AIDS, tuberculosis and malaria), terrorist acts and political instability. There is little investment in preventive measures, pre-hospital, in-hospital and post-discharge care of burns, resulting in high numbers of burns, high morbidity and mortality. Lack of data that can be used in legislation and policy formulation is a major hindrance in highlighting the problem of burns in this sub-region. An online search of publications on burns from sub-Saharan countries was performed. A total of 54 publications with 32,862 patients from 14 countries qualified for inclusion in the study. The average age was 15.3 years. Children aged 10 years and below represented over 80% of the burn patient population. Males constituted 55% of those who suffered burns. Scalds were the commonest cause of thermal injuries, accounting for 59% of all burns, while flame burns accounted for 33%. The burn mortality averaged 17%, or the death of one of every five burn victims. These statistics indicate the need for an urgent review of burn policies and related legislation across the sub-Saharan region to help reduce burns, and provide a safe environment for children. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

Modelling fire frequency and area burned across phytoclimatic regions in Spain using reanalysis data and the Canadian Fire Weather Index System

NASA Astrophysics Data System (ADS)

Bedia, J.; Herrera, S.; Gutiérrez, J. M.

2013-09-01

We develop fire occurrence and burned area models in peninsular Spain, an area of high variability in climate and fuel types, for the period 1990-2008. We based the analysis on a phytoclimatic classification aiming to the stratification of the territory into homogeneous units in terms of climatic and fuel type characteristics, allowing to test model performance under different climatic and fuel conditions. We used generalized linear models (GLM) and multivariate adaptive regression splines (MARS) as modelling algorithms and temperature, relative humidity, precipitation and wind speed, taken from the ERA-Interim reanalysis, as well as the components of the Canadian Forest Fire Weather Index (FWI) System as predictors. We also computed the standardized precipitation-evapotranspiration index (SPEI) as an additional predictor for the models of burned area. We found two contrasting fire regimes in terms of area burned and number of fires: one characterized by a bimodal annual pattern, characterizing the Nemoral and Oro-boreal phytoclimatic types, and another one exhibiting an unimodal annual cycle, with the fire season concentrated in the summer months in the Mediterranean and Arid regions. The fire occurrence models attained good skill in most of the phytoclimatic zones considered, yielding in some zones notably high correlation coefficients between the observed and modelled inter-annual fire frequencies. Total area burned also exhibited a high dependence on the meteorological drivers, although their ability to reproduce the observed annual burned area time series was poor in most cases. We identified temperature and some FWI system components as the most important explanatory variables, and also SPEI in some of the burned area models, highlighting the adequacy of the FWI system for fire modelling applications and leaving the door opened to the development a more complex modelling framework based on these predictors. Furthermore, we demonstrate the potential usefulness

Interpretation of stable isotope, denitrification, and groundwater age data for samples collected from Sandia National Laboratories /New Mexico (SNL/NM) Burn Site Groundwater Area of Concern

DOE Office of Scientific and Technical Information (OSTI.GOV)

Madrid, V.; Singleton, M. J.; Visser, A.

This report combines and summarizes results for two groundwater-sampling events (October 2012 and October/November 2015) from the Sandia National Laboratories/New Mexico (SNL/NM) Burn Site Groundwater (BSG) Area of Concern (AOC) located in the Lurance Canyon Arroyo southeast of Albuquerque, NM in the Manzanita Mountains. The first phase of groundwater sampling occurred in October 2012 including samples from 19 wells at three separate sites that were analyzed by the Environmental Radiochemistry Laboratory at Lawrence Livermore National Laboratory as part of a nitrate Monitored Natural Attenuation (MNA) evaluation. The three sites (BSG, Technical Area-V, and Tijeras Arroyo) are shown on the regionalmore » hydrogeologic map and described in the Sandia Annual Groundwater Monitoring Report. The first phase of groundwater sampling included six monitoring wells at the Burn Site, eight monitoring wells at Technical Area-V, and five monitoring wells at Tijeras Arroyo. Each groundwater sample was analyzed using the two specialized analytical methods, age-dating and denitrification suites. In September 2015, a second phase of groundwater sampling took place at the Burn Site including 10 wells sampled and analyzed by the same two analytical suites. Five of the six wells sampled in 2012 were resampled in 2015. This report summarizes results from two sampling events in order to evaluate evidence for in situ denitrification, the average age of the groundwater, and the extent of recent recharge of the bedrock fracture system beneath the BSG AOC.« less

Assessment of Burned Area and Atmospheric Gases from Multi- temporal MODIS Images (2000- 2017) in Nainital District, Uttarakhand

NASA Astrophysics Data System (ADS)

Aggarwal, R.; K V, S. B.; Dhakate, P. M.

2017-12-01

Recent times have observed a significant rate of deforestation and forest degradation. One of the major causes of forest degradation is forest fires. Forest fires though have shaped the current forest ecosystem but also have continued to degrade the system by causing loss of flora and fauna. In addition to that, forest fire leads to emission of carbon and other trace gases which contributes to global warming. The hill states in India, particularly Uttarakhand witnesses annual forest fires; which are primarily anthropogenic caused, occurring from March to June. Nainital one of the thirteen districts in Uttarakhand, has been selected as the study site. The region has diverse endemic species of vegetation, ranging from Alpine in North to moist deciduous in South. The increasing forest fire incidents in the region and limited studies on the subject, calls for landscape assessment of the complex Human Environment System (HES). It is in this context, that a greater need for monitoring forest fire incidents has been felt. Remote Sensing and GIS which are robust tool, provides continuous information of an area at various spatial and temporal resolutions. The goal of this study is to map burned area, burned severity and estimate atmospheric gas emissions in forested areas of Nainital by utilizing cloud free MODIS images from 2000- 2017. Multiple spectral indices were generated from pre and post burn dataset of MODIS to conclude the most sensitive band combination. Inter- comparison of results obtained from different spectral indices and the global MODIS MCD45A1 was carried out using linear regression analysis. Additionally, burned area estimation from satellite was compared to figures reported by forest department. There were considerable differences amongst the two which could be primarily due to differences in spatial resolution, and timings of forest fire occurrence and image acquisition. Further, estimation of various atmospheric gases was carried out based on the IPCC

Landsat-Based Detection and Severity Analysis of Burned Sugarcane Plots in Tarlac, Philippines Using Differenced Normalized Burn Ratio (dNBR)

NASA Astrophysics Data System (ADS)

Baloloy, A. B.; Blanco, A. C.; Gana, B. S.; Sta. Ana, R. C.; Olalia, L. C.

2016-09-01

The Philippines has a booming sugarcane industry contributing about PHP 70 billion annually to the local economy through raw sugar, molasses and bioethanol production (SRA, 2012). Sugarcane planters adapt different farm practices in cultivating sugarcane, one of which is cane burning to eliminate unwanted plant material and facilitate easier harvest. Information on burned sugarcane extent is significant in yield estimation models to calculate total sugar lost during harvest. Pre-harvest burning can lessen sucrose by 2.7% - 5% of the potential yield (Gomez, et al 2006; Hiranyavasit, 2016). This study employs a method for detecting burn sugarcane area and determining burn severity through Differenced Normalized Burn Ratio (dNBR) using Landsat 8 Images acquired during the late milling season in Tarlac, Philippines. Total burned area was computed per burn severity based on pre-fire and post-fire images. Results show that 75.38% of the total sugarcane fields in Tarlac were burned with post-fire regrowth; 16.61% were recently burned; and only 8.01% were unburned. The monthly dNBR for February to March generated the largest area with low severity burn (1,436 ha) and high severity burn (31.14 ha) due to pre-harvest burning. Post-fire regrowth is highest in April to May when previously burned areas were already replanted with sugarcane. The maximum dNBR of the entire late milling season (February to May) recorded larger extent of areas with high and low post-fire regrowth compared to areas with low, moderate and high burn severity. Normalized Difference Vegetation Index (NDVI) was used to analyse vegetation dynamics between the burn severity classes. Significant positive correlation, rho = 0.99, was observed between dNBR and dNDVI at 5% level (p = 0.004). An accuracy of 89.03% was calculated for the Landsat-derived NBR validated using actual mill data for crop year 2015-2016.

A review of the peri-operative management of paediatric burns: Identifying adverse events.

PubMed

Rode, H; Brink, C; Bester, K; Coleman, M P; Baisey, T; Martinez, R

2016-11-02

Burn injuries are common in poverty-stricken countries. The majority of patients with large and complex burns are referred to burn centres. Of the children who qualify for admission, according to burn admission criteria, about half require some kind of surgical procedure to obtain skin cover. These range from massive full-thickness fire burns to skin grafts for small, residual unhealed wounds. Burn anaesthetic procedures are of the most difficult to perform and are known for high complication rates. Reasons include peri-operative sepsis, bleeding, issues around thermoregulation, the hypermetabolic state, nutritional and electrolyte issues, inhalation injuries and the amount of movement during procedures to wash patients, change drapes and access different anatomical sites. The appropriate execution of surgery is therefore of the utmost importance for both minor and major procedures. To review the peri-operative management and standard of surgical care of burnt children. This was a retrospective review and analysis of standard peri-operative care of burnt children at Red Cross War Memorial Children's Hospital, Cape Town, South Africa. A total of 558 children were operated on and supervised by the first author. Factors that could adversely affect surgical and anaesthetic outcomes were identified. There were 257 males and 301 females in this study, with an average age of 50.1 months and average weight of 19.5 kg. The total body surface area involved was 1 - 80%, with an average of 23.5%. Inhalational injury was present in 11.3%, pneumonia in 13.1%, wound sepsis in 20.8%, and septicaemia in 9.7%, and organ dysfunction in more than one organ was seen in 6.1%. The average theatre temperature during surgery was 30.0°C. Core temperatures recorded at the start, halfway through and at completion of surgery were 36.9°C, 36.8°C and 36.5°C, respectively. The average preoperative and postoperative haemoglobin levels were 11.28 g/dL and 9.64 g/dL, respectively. Blood loss was

Telehealth for paediatric burn patients in rural areas: a retrospective audit of activity and cost savings.

PubMed

McWilliams, Tania; Hendricks, Joyce; Twigg, Di; Wood, Fiona; Giles, Margaret

2016-11-01

Since 2005, the Western Australian paediatric burn unit has provided a state-wide clinical consultancy and support service for the assessment and management of acute and rehabilitative burn patients via its telehealth service. Since then, the use of this telehealth service has steadily increased as it has become imbedded in the model of care for paediatric burn patients. Primarily, the service involves acute and long term patient reviews conducted by the metropolitan-located burn unit in contact with health practitioners, advising patients and their families who reside outside the metropolitan area thereby avoiding unnecessary transfers and inpatient bed days. A further benefit of the paediatric burn service using telehealth is more efficient use of tertiary level burn unit beds, with only those patients meeting clinical criteria for admission being transferred. To conduct a retrospective audit of avoided transfers and bed days in 2005/06-2012/13 as a result of the use of the paediatric Burns Telehealth Service and estimate their cost savings in 2012/13. A retrospective chart audit identified activity, avoided unnecessary acute and scar review patient transfers, inpatient bed days and their associated avoided costs to the tertiary burn unit and patient travel funding. Over the period 2005/06-2012/13 the audit identified 4,905 avoided inpatient bed days, 364 avoided acute patient transfers and 1,763 avoided follow up review transfers for a total of 1,312 paediatric burn patients as a result of this telehealth service. This paper presents the derivation of these outcomes and an estimation of their cost savings in 2012/13 of AUD 1.89million. This study demonstrates avoided patient transfers, inpatient bed days and associated costs as the result of an integrated burns telehealth service. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Burn care in South Africa: a micro cosmos of Africa.

PubMed

Rode, H; Cox, S G; Numanoglu, A; Berg, A M

2014-07-01

Burn injuries in Africa are common with between 300,000 and 17.5 million children under 5 years sustaining burn injuries annually, resulting in a high estimated fatality rate. These burns are largely environmentally conditioned and therefore preventable. The Western Cape Province in South Africa can be regarded as a prototype of paediatric burns seen on the continent, with large numbers, high morbidity and mortality rates and an area inclusive of all factors contributing to this extraordinary burden of injury. Most of the mechanisms to prevent burns are not easily modified due to the restraint of low socio-economic homes, overcrowding, unsafe appliances, multiple and complex daily demands on families and multiple psycho-social stressors. Children <4 years are at highest risk of burns with an average annual rate of 6.0/10,000 child-years. Burn care in South Africa is predominantly emergency driven and variable in terms of organization, clinical management, facilities and staffing. Various treatment strategies were introduced. The management of HIV positive children poses a problem, as well as the conflict of achieving equity of burn care for all children. Without alleviating poverty, developing minimum standards for housing, burn education, safe appliances and legislation, we will not be able to reduce the "curse of poor people" and will continue to treat the consequences.

Prescribed burning weather in Minnesota.

Treesearch

Rodney W. Sando

1969-01-01

Describes the weather patterns in northern Minnesota as related to prescribed burning. The prevailing wind direction, average wind speed, most persistent wind direction, and average Buildup Index are considered in making recommendations.

Projecting wildfire area burned in the south-eastern United States, 2011-60

Treesearch

Jeff Prestemon; Uma Shankar; Aijun Xiu; K. Talgo; D. Yang; Ernest Dixon IV; Donald McKenzie; Karen L. Abt

2016-01-01

Future changes in society and climate are expected to affect wildfire activity in the south-eastern United States. The objective of this research was to understand how changes in both climate and society may affect wildfire in the coming decades.Weestimated a three-stage statistical model of wildfire area burned by ecoregion province for lightning and human causes (...

Interactive home telehealth and burns: A pilot study.

PubMed

Hickey, Sean; Gomez, Jason; Meller, Benjamin; Schneider, Jeffery C; Cheney, Meredith; Nejad, Shamim; Schulz, John; Goverman, Jeremy

2017-09-01

The objective of this study is to review our experience incorporating Interactive Home Telehealth (IHT) visits into follow-up burn care. A retrospective review of all burn patients participating in IHT encounters over the course of 15 months was performed. Connections were established through secure video conferencing and call-routing software. Patients connected with a personal computer or tablet and providers connected with a desktop computer with a high-definition web camera. In some cases, high-definition digital images were emailed to the provider prior to the virtual consultation. For each patient, the following was collected: (1) patient and injury demographics (diagnosis, prognosis, and clinical management), (2) total number of encounters, (3) service for each encounter (burn, psychiatry, and rehabilitation), (4) length of visit, including travel distance and time saved and, (5) complications, including re-admissions and connectivity issues. 52 virtual encounters were performed with 31 patients during the first year of the pilot project from March 2015 to June 2016. Mean age of the participant was 44 years (range 18-83 years). Mean total burn surface area of the participant was 12% (range 1-80%). Average roundtrip travel distance saved was 188 miles (range 4-822 miles). Average round trip travel time saved was 201min (range 20-564min). There were no unplanned re-admissions and no complications. Five connectivity issues were reported, none of which prevented completion of the visit. Interactive Home Telehealth is a safe and feasible modality for delivering follow-up care to burn patients. Burn care providers benefit from the potential to improve outpatient clinic utilization. Patients benefit from improved access to multiple members of their specialized burn care team, as well as cost-reductions for patient travel expenses. Future studies are needed to ensure patient and provider satisfaction and to further validate the significance, cost-effectiveness and

Spatial distribution of ponderosa pine seedlings along environmental gradients within burned areas in the Black Hills, South Dakota

Treesearch

V. H. Bonnet; A. W. Schoettle; W. D. Shepperd

2004-01-01

In 2000, the Jasper fire in the Black Hills, SD, created a mosaic of burned and unburned patches of different sizes within the contiguous ponderosa pine forest. To study the spatial regeneration of ponderosa pine seedlings and the ecological gradients existing between burned and unburned areas two years after fire, we used a transect approach. We demonstrated that...

Regional relationships between climate and wildfire-burned area in the interior West, USA

Treesearch

Brandon M. Collins; Philip N. Omi; Phillip L. Chapman

2006-01-01

Recent studies have linked the Atlantic Multtidecadal Oscillation (AMO) and the Pacific Decadal Oscillation (PDO) with drought occurrence in the interior United States. This study evaluates the influence of AM0 and PDO phases on interannual relationships between climate and wildfire-burned area during the 20th century. Palmer's Drought Severity Index (PDSI) is...

Postwildfire debris-flow hazard assessment of the area burned by the 2013 West Fork Fire Complex, southwestern Colorado

USGS Publications Warehouse

Verdin, Kristine L.; Dupree, Jean A.; Stevens, Michael R.

2013-01-01

This report presents a preliminary emergency assessment of the debris-flow hazards from drainage basins burned by the 2013 West Fork Fire Complex near South Fork in southwestern Colorado. Empirical models derived from statistical evaluation of data collected from recently burned basins throughout the intermountain western United States were used to estimate the probability of debris-flow occurrence, potential volume of debris flows, and the combined debris-flow hazard ranking along the drainage network within and just downstream from the burned area, and to estimate the same for 54 drainage basins of interest within the perimeter of the burned area. Input data for the debris-flow models included topographic variables, soil characteristics, burn severity, and rainfall totals and intensities for a (1) 2-year-recurrence, 1-hour-duration rainfall, referred to as a 2-year storm; (2) 10-year-recurrence, 1-hour-duration rainfall, referred to as a 10-year storm; and (3) 25-year-recurrence, 1-hour-duration rainfall, referred to as a 25-year storm. Estimated debris-flow probabilities at the pour points of the 54 drainage basins of interest ranged from less than 1 to 65 percent in response to the 2-year storm; from 1 to 77 percent in response to the 10-year storm; and from 1 to 83 percent in response to the 25-year storm. Twelve of the 54 drainage basins of interest have a 30-percent probability or greater of producing a debris flow in response to the 25-year storm. Estimated debris-flow volumes for all rainfalls modeled range from a low of 2,400 cubic meters to a high of greater than 100,000 cubic meters. Estimated debris-flow volumes increase with basin size and distance along the drainage network, but some smaller drainages also were predicted to produce substantial debris flows. One of the 54 drainage basins of interest had the highest combined hazard ranking, while 9 other basins had the second highest combined hazard ranking. Of these 10 basins with the 2 highest

[The post-burn process--a determinant in local surgical treatment of deep burns].

PubMed

Bäumer, F; Henrich, H A

1988-12-01

Afterburning has been studied in the animal experiment by use of intravital dye indicators and by measuring partial oxygen pressure. After third degree burn the oxygen conduction of the damaged skin increased. The afterburning was seen to be finished on the 5th day after the burn trauma. The histological changes in the depth of the afterburn area reaches to the subcutis. The extend of the afterburn area was not related to the applied temperature or the duration of the experimental burn injury.

Size-dependent validation of MODIS MCD64A1 burned area over six vegetation types in boreal Eurasia: Large underestimation in croplands

NASA Astrophysics Data System (ADS)

Zhu, C.; Kobayashi, H.; Kanaya, Y.; Saito, M.

2017-12-01

Pollutants emitted from wildfires in boreal Eurasia can be transported to the Arctic, and their subsequent deposition could accelerate global warming. The Moderate Resolution Imaging Spectroradiometer (MODIS) MCD64A1 burned area product is used widely for global mapping of burned areas in conjunction with products such as the Global Fire Emission Database version 4, which can estimate pollutant emissions. However, uncertainties due to the "moderate resolution" (500 m) characteristic of the MODIS sensor could be introduced. Here, we present a size-dependent validation of MCD64A1 with reference to higher resolution (better than 30 m) satellite products (Landsat 7 ETM+, RapidEye, WorldView-2, and GeoEye-1) for six ecotypes over 12 regions of boreal Eurasia. We considered the 2012 boreal Eurasia burning season when severe wildfires occurred and when Arctic sea ice extent was historically low. Among the six ecotypes, we found MCD64A1 burned areas comprised only 13% of the reference products in croplands because of inadequate detection of small fires (<100 ha). Our results indicate that over all ecotypes, the actual burned area in boreal Eurasia (15,256 km2) could have been 16% greater than suggested by MCD64A1 (13,187 km2). We suggest applying correction factors of 0.5-8.2 when using emission rates based on MCD64A1 burned areas in chemistry and climate models of the studied regions. This implies the effects of wildfire emissions in boreal Eurasia on Arctic warming could be greater than currently estimated.

Tropical tropospheric ozone: Implications for dynamics and biomass burning

NASA Astrophysics Data System (ADS)

Chandra, S.; Ziemke, J. R.; Bhartia, P. K.; Martin, R. V.

2002-07-01

This paper studies the significance of large-scale transport and pyrogenic (i.e., biomass burning) emissions in the production of tropospheric ozone in the tropics. Using aerosol index (AI) and tropospheric column ozone (TCO) time series from 1979 to 2000 derived from the Nimbus-7 and Earth Probe Total Ozone Mapping Spectrometer measurements, our study shows significant differences in the seasonal and spatial characteristics of pyrogenic emissions north and south of the equator in the African region and Brazil in South America. Notwithstanding these differences, most of the observed seasonal characteristics are well simulated by the GEOS-CHEM global model of tropospheric chemistry. The only exception is the northern African region where modeled and observed TCO differ significantly. In the Indonesian region the most significant increase in TCO occurred during September-December 1997, following large-scale forest and savanna fires associated with the El Niño induced dry condition. The increase in TCO extended over most of the western Pacific well outside the burning region and was accompanied by a decrease in the eastern Pacific resembling a west-to-east dipole about the dateline. These features are well simulated in the GEOS-CHEM model which suggests that both the biomass burning and changes in meteorological conditions during the El Niño period contributed almost equally to the observed increase in TCO in the Indonesian region. During 1997 the net increase in TCO integrated over the tropical region between 15°N and 15°S was about 6-8 Tg (1 Tg = 1012 g) over the mean climatological value of about 77 Tg. The GEOS-CHEM model suggests that most of this increase may have been caused by biomass burning in the Indonesian region since dynamical components of El Niño induced changes in TCO tend to cancel out in the area-averaged data. In addition to biomass burning, the interannual variability in the area-averaged column ozone in the tropics is influenced by a number

Assessing the response of area burned to changing climate in western boreal North America using a Multivariate Adaptive Regression Splines (MARS) approach

Treesearch

Michael S. Balshi; A. David McGuire; Paul Duffy; Mike Flannigan; John Walsh; Jerry Melillo

2009-01-01

We developed temporally and spatially explicit relationships between air temperature and fuel moisture codes derived from the Canadian Fire Weather Index System to estimate annual area burned at 2.5o (latitude x longitude) resolution using a Multivariate Adaptive Regression Spline (MARS) approach across Alaska and Canada. Burned area was...

Seasonal and interannual variations in CO and BC emissions from open biomass burning in Southern Africa during 1998-2005

NASA Astrophysics Data System (ADS)

Ito, Akinori; Ito, Akihiko; Akimoto, Hajime

2007-06-01

We estimate the emissions of carbon monoxide (CO) and black carbon (BC) from open vegetation fires in the Southern Hemisphere Africa from 1998 to 2005 using satellite information in conjunction with a biogeochemical model. Monthly burned areas at a 0.5-degree resolution are estimated from the Visible InfraRed Scanner (VIRS) fire count product and the MODerate resolution Imaging Spectroradiometer (MODIS) burned area data set associated with the MODIS tree cover imagery in grasslands and woodlands. The monthly fuel load distributions are derived from a 0.5-degree terrestrial carbon cycle model in conjunction with satellite data. The monthly maps of combustion factors and emission factors are estimated using empirical models that predict the effects of fuel conditions on these factors in grasslands and woodlands. Our annually averaged effective CO and BC emissions per area burned are 27 g CO m-2 and 0.17 g BC m-2 which are consistent with the products of fuel consumption and emission factors typically measured in southern Africa. The CO and BC emissions from open vegetation burning in southern Africa range from 45 Tg CO yr-1 and 0.26 Tg BC yr-1 for 2002 to 75 Tg CO yr-1 and 0.42 Tg BC yr-1 for 1998. The monthly averaged burned areas from VIRS fire counts peak earlier than modeled CO emissions. This characteristic delay between burned areas and emissions is mainly explained by significant changes in combustion factors for woodlands in our model. Consequently, the peaks in CO and BC emissions from our bottom-up approach are identical to those from previous top-down estimates using the Measurement Of the Pollution In The Troposphere (MOPITT) and the Total Ozone Mapping Spectrometer (TOMS) Aerosol Index (AI) data.

Inter-Annual Variability of Burned Area in Brazil Based on a Synergistic use of Information Derived from MODIS and Landsat-TM

NASA Astrophysics Data System (ADS)

Libonati, R.; Dacamara, C. C.; Setzer, A. W.; Morelli, F.

2014-12-01

A procedure is presented that allows using information from the MODerate resolution Imaging Spectroradiometer (MODIS) sensor to improve the quality of monthly burned area estimates over Brazil. The method integrates MODIS derived information from two sources; the NASA MCD64A1 Direct Broadcast Monthly Burned Area Product and INPE's Monthly Burned Area MODIS product (AQM-MODIS). The latter product relies on an algorithm that was specifically designed for ecosystems in Brazil, taking advantage of the ability of MIR reflectances to discriminate burned areas. Information from both MODIS products is incorporated by means of a linear regression model where an optimal estimate of the burned area is obtained as a linear combination of burned area estimates from MCD64A1 and AQM-MODIS. The linear regression model is calibrated using as optimal estimates values of burned area derived from Landsat TM during 2005 and 2006 over Jalapão, a region of Cerrado covering an area of 187 x 187 km2. Obtained values of coefficients for MCD64A1 and AQM-MODIS were 0.51 and 0.35, respectively and the root mean square error was 7.6 km2. Robustness of the model was checked by calibrating the model separately for 2005 and 2006 and cross-validating with 2006 and 2005; coefficients for 2005 (2006) were 0.46 (0.54) for MCD64A1 and 0.35 (0.35) for AQM-MODIS and the corresponding root mean square errors for 2006 (2005) were 7.8 (7.4) km2. The linear model was then applied to Brazil as well as to the six Brazilian main biomes, namely Cerrado, Amazônia, Caatinga, Pantanal, Mata Atlântica and Pampa. As to be expected the interannual variability based on the proposed synergistic use of MCD64A1, AQM-MODIS and Landsat Tm data for the period 2005-2010 presents marked differences with the corresponding amounts derived from MCD64A1 alone. For instance during the considered period, values (in 103 km2) from the proposed approach (from MCD64A1) are 399 (142), 232 (62), 559 (259), 274 (73), 219 (31) and 415

On the theory relating changes in area-average and pan evaporation (Invited)

NASA Astrophysics Data System (ADS)

Shuttleworth, W.; Serrat-Capdevila, A.; Roderick, M. L.; Scott, R.

2009-12-01

Theory relating changes in area-average evaporation with changes in the evaporation from pans or open water is developed. Such changes can arise by Type (a) processes related to large-scale changes in atmospheric concentrations and circulation that modify surface evaporation rates in the same direction, and Type (b) processes related to coupling between the surface and atmospheric boundary layer (ABL) at the landscape scale that usually modify area-average evaporation and pan evaporation in different directions. The interrelationship between evaporation rates in response to Type (a) changes is derived. They have the same sign and broadly similar magnitude but the change in area-average evaporation is modified by surface resistance. As an alternative to assuming the complementary evaporation hypothesis, the results of previous modeling studies that investigated surface-atmosphere coupling are parameterized and used to develop a theoretical description of Type (b) coupling via vapor pressure deficit (VPD) in the ABL. The interrelationship between appropriately normalized pan and area-average evaporation rates is shown to vary with temperature and wind speed but, on average, the Type (b) changes are approximately equal and opposite. Long-term Australian pan evaporation data are analyzed to demonstrate the simultaneous presence of Type (a) and (b) processes, and observations from three field sites in southwestern USA show support for the theory describing Type (b) coupling via VPD. England's victory over Australia in 2009 Ashes cricket test match series will not be mentioned.

Fluid resuscitation for major burn patients with the TMMU protocol.

PubMed

Luo, Gaoxing; Peng, Yizhi; Yuan, Zhiqiang; Cheng, Wenguang; Wu, Jun; Tang, Jin; Huang, Yuesheng; Fitzgerald, Mark

2009-12-01

Fluid resuscitation is one of the critical treatments for the major burn patient in the early phases after injury. We evaluated the practice of fluid resuscitation for severely burned patients with the Third Military Medical University (TMMU) protocol, which is most widely used in many regions of China. Patients with major burns (>30% total body surface area (TBSA)) presenting to Southwest Hospital, Third Military Medical University, between January 2005 and October 2007, were included in this study. Fluid resuscitation was initiated by the TMMU protocol. A total of 71 patients were (46 adults and 25 children) included in this study. All patients survived the first 48 h after injury smoothly and none developed abdominal compartment syndrome or other recognised complications associated with fluid resuscitation. The average quantity of fluid infused was 3.3-61.33% more than that calculated based on the TMMU protocol in both adult and paediatric groups. The average urine output during the first 24h after injury was about 1.2 ml per kg body weight per hour in the two groups, but reached 1.2 ml and 1.7 ml during the second 24h in adult and pediatric groups, respectively. This study indicates that the TMMU protocol for fluid resuscitation is a feasible option for burn patients. Individualised resuscitation - guided by the physiological response to fluid administration - is still important as in other protocols.

Linking runoff response to burn severity after a wildfire

USGS Publications Warehouse

Moody, J.A.; Martin, D.A.; Haire, S.L.; Kinner, D.A.

2008-01-01

Extreme floods often follow wildfire in mountainous watersheds. However, a quantitative relation between the runoff response and burn severity at the watershed scale has not been established. Runoff response was measured as the runoff coefficient C, which is equal to the peak discharge per unit drainage area divided by the average maximum 30 min rainfall intensity during each rain storm. The magnitude of the bum severity was expressed as the change in the normalized burn ratio. A new burn severity variable, hydraulic functional connectivity ?? was developed and incorporates both the magnitude of the burn severity and the spatial sequence of the bum severity along hillslope flow paths. The runoff response and the burn severity were measured in seven subwatersheds (0.24 to 0.85 km2) in the upper part of Rendija Canyon burned by the 2000 Cerro Grande Fire Dear Los Alamos, New Mexico, USA. A rainfall-discharge relation was determined for four of the subwatersheds with nearly the same bum severity. The peak discharge per unit drainage area Qupeak was a linear function of the maximum 30 min rainfall intensity I30. This function predicted a rainfall intensity threshold of 8.5 mm h-1 below which no runoff was generated. The runoff coefficient C = Qupeak/I30 was a linear function of the mean hydraulic functional connectivity of the subwatersheds. Moreover, the variability of the mean hydraulic functional connectivity was related to the variability of the mean runoff coefficient, and this relation provides physical insight into why the runoff response from the same subwatershed can vary for different rainstorms with the same rainfall intensity. Published in 2007 by John Wiley & Sons, Ltd.

Sensitivity of burned area in Europe to climate change, atmospheric CO2 levels, and demography: A comparison of two fire-vegetation models

NASA Astrophysics Data System (ADS)

Wu, Minchao; Knorr, Wolfgang; Thonicke, Kirsten; Schurgers, Guy; Camia, Andrea; Arneth, Almut

2015-11-01

Global environmental changes and human activity influence wildland fires worldwide, but the relative importance of the individual factors varies regionally and their interplay can be difficult to disentangle. Here we evaluate projected future changes in burned area at the European and sub-European scale, and we investigate uncertainties in the relative importance of the determining factors. We simulated future burned area with LPJ-GUESS-SIMFIRE, a patch-dynamic global vegetation model with a semiempirical fire model, and LPJmL-SPITFIRE, a dynamic global vegetation model with a process-based fire model. Applying a range of future projections that combine different scenarios for climate changes, enhanced CO2 concentrations, and population growth, we investigated the individual and combined effects of these drivers on the total area and regions affected by fire in the 21st century. The two models differed notably with respect to the dominating drivers and underlying processes. Fire-vegetation interactions and socioeconomic effects emerged as important uncertainties for future burned area in some European regions. Burned area of eastern Europe increased in both models, pointing at an emerging new fire-prone region that should gain further attention for future fire management.

Relative importance of fuel management, ignition management and weather for area burned: Evidence from five landscape-fire-succession models

Treesearch

Geoffrey J. Cary; Mike D. Flannigan; Robert E. Keane; Ross A. Bradstock; Ian D. Davies; James M. Lenihan; Chao Li; Kimberley A. Logan; Russell A. Parsons

2009-01-01

The behaviour of five landscape fire models (CAFE, FIRESCAPE, LAMOS(HS), LANDSUM and SEMLAND) was compared in a standardised modelling experiment. The importance of fuel management approach, fuel management effort, ignition management effort and weather in determining variation in area burned and number of edge pixels burned (a measure of potential impact on assets...

Probability and volume of potential postwildfire debris flows in the 2010 Fourmile burn area, Boulder County, Colorado

USGS Publications Warehouse

Ruddy, Barbara C.; Stevens, Michael R.; Verdin, Kristine

2010-01-01

This report presents a preliminary emergency assessment of the debris-flow hazards from drainage basins burned by the Fourmile Creek fire in Boulder County, Colorado, in 2010. Empirical models derived from statistical evaluation of data collected from recently burned basins throughout the intermountain western United States were used to estimate the probability of debris-flow occurrence and volumes of debris flows for selected drainage basins. Data for the models include burn severity, rainfall total and intensity for a 25-year-recurrence, 1-hour-duration rainstorm, and topographic and soil property characteristics. Several of the selected drainage basins in Fourmile Creek and Gold Run were identified as having probabilities of debris-flow occurrence greater than 60 percent, and many more with probabilities greater than 45 percent, in response to the 25-year recurrence, 1-hour rainfall. None of the Fourmile Canyon Creek drainage basins selected had probabilities greater than 45 percent. Throughout the Gold Run area and the Fourmile Creek area upstream from Gold Run, the higher probabilities tend to be in the basins with southerly aspects (southeast, south, and southwest slopes). Many basins along the perimeter of the fire area were identified as having low probability of occurrence of debris flow. Volume of debris flows predicted from drainage basins with probabilities of occurrence greater than 60 percent ranged from 1,200 to 9,400 m3. The predicted moderately high probabilities and some of the larger volumes responses predicted for the modeled storm indicate a potential for substantial debris-flow effects to buildings, roads, bridges, culverts, and reservoirs located both within these drainages and immediately downstream from the burned area. However, even small debris flows that affect structures at the basin outlets could cause considerable damage.

The relationship of field burn severity measures to satellite-derived Burned Area Reflectance Classification (BARC) maps

Treesearch

Andrew Hudak; Penelope Morgan; Carter Stone; Pete Robichaud; Terrie Jain; Jess Clark

2004-01-01

Preliminary results are presented from ongoing research on spatial variability of fire effects on soils and vegetation from the Black Mountain Two and Cooney Ridge wildfires, which burned in western Montana during the 2003 fire season. Extensive field fractional cover data were sampled to assess the efficacy of quantitative satellite image-derived indicators of burn...

A review of burns patients admitted to the Burns Unit of Hospital Universiti Kebangsaan Malaysia.

PubMed

Chan, K Y; Hairol, O; Imtiaz, H; Zailani, M; Kumar, S; Somasundaram, S; Nasir-Zahari, M

2002-12-01

This is a retrospective review of 110 patients admitted to the Burns Units between October 1999 and November 2001. The aim was to determine the burns pattern of patients admitted to hospital UKM. There was an increasing trend for patients admitted. Female to male ratio was 1:2. Children consisted 34% of the total admission. Children had significant higher number of scald burns as compare to adult (p < 0.01). Domestic burns were consist of 75% overall admission. Mean percentage of TBSA (total body surface area) burns was 19%. Thirty percent of patients sustained more than 20% of TBSA. Sixty percent of patients had scald burns. Ninety percents of patients with second degree burns that were treated with biologic membrane dressing or split skin graft. Mean duration of hospital stay was 10 days. Over 70% of patients were discharged within 15 days. Overall mortality rate was 6.3%. The patients who died had significantly larger area of burns of more than 20% TBSA (p < 0.05) and a higher incidence of inhalation injury (p < 0.02). Hence, this study suggests a need for better preventive measures by the authority to prevent burns related accident and the expansion of the service provided by the Burns Unit.

From Cholera to Burns: A Role for Oral Rehydration Therapy

PubMed Central

Green, W.B.; Asuku, M.E.; Feldman, M.; Makam, R.; Noppenberger, D.; Price, L.A.; Prosciak, M.; van Loon, I.N.

2011-01-01

According to the practice guidelines of the American Burn Association on burn shock resuscitation, intravenous (IV) fluid therapy is the standard of care for the replacement of fluid and electrolyte losses in burn injury of ≥20% of the total body surface area. However, in mass burn casualties, IV fluid resuscitation may be delayed or unavailable. Oral rehydration therapy (ORT), which has been shown to be highly effective in the treatment of dehydration in epidemics of cholera, could be an alternate way to replace fluid losses in burns. A prospective case series of three patients was carried out as an initial step to establish whether oral Ceralyte®90 could replace fluid losses requiring IV fluid therapy in thermal injury. The requirement of the continuing IV fluid therapy was reduced by an average of 58% in the first 24 hours after the injury (range 37-78%). ORT may be a feasible alternative to IV fluid therapy in the resuscitation of burns. It could also potentially save many lives in mass casualty situations or in resource-poor settings where IV fluid therapy is not immediately available. Further studies are needed to assess the efficacy of this treatment and to determine whether the present formulations of ORT for cholera need modification. PMID:22283039

Implementation of a near real-time burned area detection algorithm calibrated for VIIRS imagery

Treesearch

Brenna Schwert; Carl Albury; Jess Clark; Abigail Schaaf; Shawn Urbanski; Bryce Nordgren

2016-01-01

There is a need to implement methods for rapid burned area detection using a suitable replacement for Moderate Resolution Imaging Spectroradiometer (MODIS) imagery to meet future mapping and monitoring needs (Roy and Boschetti 2009, Tucker and Yager 2011). The Visible Infrared Imaging Radiometer Suite (VIIRS) sensor onboard the Suomi-National Polar-orbiting Partnership...

Epidemiology of pediatric burns and future prevention strategies-a study of 475 patients from a high-volume burn center in North India.

PubMed

Dhopte, Amol; Tiwari, V K; Patel, Pankaj; Bamal, Rahul

2017-01-01

Pediatric burns have a long-term social impact. This is more apparent in a developing country such as India, where their incidence and morbidity are high. The aim of this study was to provide recent prospective epidemiological data on pediatric burns in India and to suggest future preventive strategies. Children up to 18 years old admitted to the Department of Burns, Plastic & Maxillofacial Surgery, VMMC & Safdarjung Hospital, New Delhi, between January and December 2014 were included in the study. Data regarding age, sex, etiology, total body surface area (TBSA), circumstances of injury, and clinical assessment were collected. The Mann-Whitney test or Kruskal-Wallis test or ANOVA was used to compare involved TBSA among various cohort groups accordingly. Univariate and multivariate linear regression analyses were used to determine the predictors of TBSA. There were a total of 475 patients involved in the study, including seven suicidal burns, all of whom were females with a mean age greater than the cohort average. Age, type of burns, mode of injury, presence or absence of inhalation injury, gender, and time of year (quarter) for admission were found to independently affect the TBSA involved. Electrical burns also formed an important number of presenting burn patients, mainly involving teenagers. Several societal issues have come forth, e.g., child marriage, child labor, and likely psychological problems among female children as suggested by a high incidence of suicidal burns. This study also highlights several issues such as overcrowding, lack of awareness, dangerous cooking practices, and improper use of kerosene oil. There is an emergent need to recognize the problems, formulate strategies, spread awareness, and ban or replace hazardous substances responsible for most burn accidents.

Global combustion: the connection between fossil fuel and biomass burning emissions (1997-2010).

PubMed

Balch, Jennifer K; Nagy, R Chelsea; Archibald, Sally; Bowman, David M J S; Moritz, Max A; Roos, Christopher I; Scott, Andrew C; Williamson, Grant J

2016-06-05

Humans use combustion for heating and cooking, managing lands, and, more recently, for fuelling the industrial economy. As a shift to fossil-fuel-based energy occurs, we expect that anthropogenic biomass burning in open landscapes will decline as it becomes less fundamental to energy acquisition and livelihoods. Using global data on both fossil fuel and biomass burning emissions, we tested this relationship over a 14 year period (1997-2010). The global average annual carbon emissions from biomass burning during this time were 2.2 Pg C per year (±0.3 s.d.), approximately one-third of fossil fuel emissions over the same period (7.3 Pg C, ±0.8 s.d.). There was a significant inverse relationship between average annual fossil fuel and biomass burning emissions. Fossil fuel emissions explained 8% of the variation in biomass burning emissions at a global scale, but this varied substantially by land cover. For example, fossil fuel burning explained 31% of the variation in biomass burning in woody savannas, but was a non-significant predictor for evergreen needleleaf forests. In the land covers most dominated by human use, croplands and urban areas, fossil fuel emissions were more than 30- and 500-fold greater than biomass burning emissions. This relationship suggests that combustion practices may be shifting from open landscape burning to contained combustion for industrial purposes, and highlights the need to take into account how humans appropriate combustion in global modelling of contemporary fire. Industrialized combustion is not only an important driver of atmospheric change, but also an important driver of landscape change through companion declines in human-started fires.This article is part of the themed issue 'The interaction of fire and mankind'. © 2016 The Author(s).

Extra-large negative pressure wound therapy dressings for burns - Initial experience with technique, fluid management, and outcomes.

PubMed

Fischer, Sebastian; Wall, Jennifer; Pomahac, Bohdan; Riviello, Robert; Halvorson, Eric G

2016-03-01

The use of negative-pressure-wound-therapy (NPWT) is associated with improved outcomes in smaller burns. We report our experience using extra-large (XL) NPWT dressings to treat ≥15% total body surface area (TBSA) burned and describe our technique and early outcomes. We also provide NPWT exudate volume for predictive fluid resuscitation in these critically ill patients. We retrospectively reviewed patients treated with XL-NPWT from 2012 to 2014. Following excision/grafting, graft and donor sites were sealed with a layered NPWT dressing. We documented wound size, dressing size, NPWT outputs, graft take, wound infections, and length of stay (LOS). Mean NPWT exudate volume per %TBSA per day was calculated. Twelve burn patients (mean TBSA burned 30%, range 15-60%) were treated with XL-NPWT (dressing TBSA burned and skin graft donor sites range 17-44%). Average graft take was 97%. No wound infections occurred. Two patients had burns ≥50% TBSA and their LOS was reduced compared to ABA averages. XL-NPWT outputs peaked at day 1 after grafting followed by a steady decline until dressings were removed. Average XL-NPWT dressing output during the first 5 days was 101±66mL/%BSA covered per day. 2 patients developed acute kidney injury. The use of XL-NPWT to treat extensive burns is feasible with attention to application technique. NPWT dressings appear to improve graft take, and to decrease risk of infection, LOS, and pain and anxiety associated with wound care. Measured fluid losses can improve patient care in future applications of NPWT to large burn wounds. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

Operative management of acute pavement burns: a case series.

PubMed

Silver, A G; Zamboni, W A; Baynosa, R C

2014-11-01

Acute burns suffered from contact with environmentally heated roadways and walkways are a rare entity. The aim of this report is to assess the information gained from the treatment of a series of patients. A retrospective review of a consecutive series of cases, where operative treatment was necessary, that occurred during July 2010 in southern Arizona. Seven patients were included, with an average total body surface area burn of 10.2%. Direct fascial excision and tangential excision were carried out on three and four patients, respectively. Although tangential excision was carried out to normal endpoints, there was commonly a need for repetitive debridement. The total hospital costs were over $4,400,000 (£2,730,000). Burns suffered from contact with roadways/walkways are often deeper than suggested by their appearance. Direct fascial excision minimises the number of debridement sessions. We hypothesise that the failure to offload pressure on these wounds may be a causative factor in their observed deepening.

Deer habitat use after prescribed burning in Northern California

Treesearch

John G. Kie

1984-01-01

Prescribed burning was used to improve blacktailed deer (Odocoileus hemionus columbianus) habitat in Trinity County, northern California. Deer response was measured by comparing pellet group deposition on one burned and three unburned areas. Pellet group counts were highest on the burned area for 3 years after burning. One year after burning, pellet...

Work-Related Burn Injuries Hospitalized in US Burn Centers: 2002 to 2011.

PubMed

Huang, Zhenna; Friedman, Lee S

2017-03-01

To develop a comprehensive definition to identify work-related burns in the National Burn Repository (NBR) based on multiple fields and describes injuries by occupation. The NBR, which is an inpatient dataset, was used to compare type and severity of burn injuries by occupation. Using the definition developed for this analysis, 22,969 burn injuries were identified as work-related. In contrast, the single work-related field intended to capture occupational injuries only captured 4696 cases. The highest numbers of burns were observed in construction/extraction, food preparation, and durable goods production occupations. Occupations with a mean total body surface area (TBSA) burned greater than 10% include transportation and material-moving, architecture and engineering, and arts/design/entertainment/sports/media occupations. The NBR dataset should be further utilized for occupational burn injury investigations and multiple fields should be considered for case ascertainment.

Novel burn device for rapid, reproducible burn wound generation.

PubMed

Kim, J Y; Dunham, D M; Supp, D M; Sen, C K; Powell, H M

2016-03-01

temperature and the skin surface temperature near target temperature throughout contact time. In contrast, the standard burner required more than 20s of contact time to raise the skin surface temperature to target due to its quickly decreasing internal temperature. The custom burner was able to create four consecutive burns in less than half the time of the standard burner. Average burn depth scaled positively with time and pressure in both burn units. However, the distribution of burn depth within each time-pressure combination in the custom device was significantly smaller than with the standard device and independent of user. The custom burn device's ability to continually heat the burn stylus and actively control pressure and temperature allowed for more rapid and reproducible burn wounds. Burns of tailored and repeatable depths, independent of user, provide a platform for the study of anti-scar and other wound healing therapies without the added variable of non-uniform starting injury. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

Novel burn device for rapid, reproducible burn wound generation

PubMed Central

Kim, J.Y.; Dunham, D.M.; Supp, D.M.; Sen, C.K.; Powell, H.M.

2016-01-01

maintained both its internal temperature and the skin surface temperature near target temperature throughout contact time. In contrast, the standard burner required more than 20 s of contact time to raise the skin surface temperature to target due to its quickly decreasing internal temperature. The custom burner was able to create four consecutive burns in less than half the time of the standard burner. Average burn depth scaled positively with time and pressure in both burn units. However, the distribution of burn depth within each time-pressure combination in the custom device was significantly smaller than with the standard device and independent of user. Conclusions The custom burn device's ability to continually heat the burn stylus and actively control pressure and temperature allowed for more rapid and reproducible burn wounds. Burns of tailored and repeatable depths, independent of user, provide a platform for the study of anti-scar and other wound healing therapies without the added variable of non-uniform starting injury. PMID:26803369

Estimated probability of postwildfire debris flows in the 2012 Whitewater-Baldy Fire burn area, southwestern New Mexico

USGS Publications Warehouse

Tillery, Anne C.; Matherne, Anne Marie; Verdin, Kristine L.

2012-01-01

In May and June 2012, the Whitewater-Baldy Fire burned approximately 1,200 square kilometers (300,000 acres) of the Gila National Forest, in southwestern New Mexico. The burned landscape is now at risk of damage from postwildfire erosion, such as that caused by debris flows and flash floods. This report presents a preliminary hazard assessment of the debris-flow potential from 128 basins burned by the Whitewater-Baldy Fire. A pair of empirical hazard-assessment models developed by using data from recently burned basins throughout the intermountain Western United States was used to estimate the probability of debris-flow occurrence and volume of debris flows along the burned area drainage network and for selected drainage basins within the burned area. The models incorporate measures of areal burned extent and severity, topography, soils, and storm rainfall intensity to estimate the probability and volume of debris flows following the fire. In response to the 2-year-recurrence, 30-minute-duration rainfall, modeling indicated that four basins have high probabilities of debris-flow occurrence (greater than or equal to 80 percent). For the 10-year-recurrence, 30-minute-duration rainfall, an additional 14 basins are included, and for the 25-year-recurrence, 30-minute-duration rainfall, an additional eight basins, 20 percent of the total, have high probabilities of debris-flow occurrence. In addition, probability analysis along the stream segments can identify specific reaches of greatest concern for debris flows within a basin. Basins with a high probability of debris-flow occurrence were concentrated in the west and central parts of the burned area, including tributaries to Whitewater Creek, Mineral Creek, and Willow Creek. Estimated debris-flow volumes ranged from about 3,000-4,000 cubic meters (m3) to greater than 500,000 m3 for all design storms modeled. Drainage basins with estimated volumes greater than 500,000 m3 included tributaries to Whitewater Creek, Willow

Current methods of burn reconstruction.

PubMed

Orgill, Dennis P; Ogawa, Rei

2013-05-01

After reading this article, the participant should be able to: 1. Explain the present challenges in reconstructive burn surgery. 2. Describe the most appropriate treatment methods and techniques for specific burn injury types, including skin grafts, dermal substitutes, and a variety of flap options. 3. Identify the appropriate use, advantages, and disadvantages of specific flaps in the treatment of burn injuries, including local, regional, superthin, prefabricated, prelaminated, and free flaps. Victims of thermal burns often form heavy scars and develop contractures around joints, inhibiting movement. As burns can occur in all cutaneous areas of the body, a wide range of reconstructive options have been utilized. Each method has advantages and disadvantages that must be considered by both patients and surgeons. The authors reviewed the literature for burn reconstruction and focused their discussion on areas that have been recently developed. They reviewed the mechanism of burn injury and discussed how this relates to the pathophysiology of the burn injury. Surgeons now have a wide array of plastic surgical techniques that can be used to treat burn victims. These range from skin grafts and local flaps to free flaps, prefabricated flaps, superthin flaps, and dermal scaffolds. Recent advances in burn reconstruction provide methods to decrease scar tissue and joint contractures. In the future, the authors hope that further developments in burn treatment will foster the development of new technologies that will allow site-specific reconstruction with minimal donor-site morbidity.

Burn severity mapping in Australia 2009

USGS Publications Warehouse

McKinley, Randy; Clark, J.; Lecker, Jennifer

2012-01-01

In 2009, the Victoria Department of Sustainability and Environment estimated approximately 430,000 hectares of Victoria Australia were burned by numerous bushfires. Burned Area Emergency Response (BAER) teams from the United States were deployed to Victoria to assist local fire managers. The U.S. Geological Survey Earth Resources Observation and Science Center (USGS/EROS) and U.S. Forest Service Remote Sensing Applications Center (USFS/RSAC) aided the support effort by providing satellite-derived "soil burn severity " maps for over 280,000 burned hectares. In the United States, BAER teams are assembled to make rapid assessments of burned lands to identify potential hazards to public health and property. An early step in the assessment process is the creation of a soil burn severity map used to identify hazard areas and prioritize treatment locations. These maps are developed primarily using Landsat satellite imagery and the differenced Normalized Burn Ratio (dNBR) algorithm.

Accuracy of remote burn scar evaluation via live video-conferencing technology.

PubMed

Cai, Lawrence Z; Caceres, Maria; Dangol, Mohan Krishna; Nakarmi, Kiran; Rai, Shankar Man; Chang, James; Gibran, Nicole S; Pham, Tam N

2016-12-05

Telemedicine in outpatient burn care, particularly in burn scar management, may provide cost-effective care and comes highly rated by patients. However, an effective scar scale using both video and photographic elements has not been validated. The purpose of this study is to test the reliability of the Patient and Observer Scar Assessment Scale (POSAS) using live video-conferencing. A prospective study was conducted with individuals with healed burn scars in Kathmandu, Nepal. Three independent observers assessed 85 burn scars from 17 subjects, using the Observer portion to evaluate vascularity, pigmentation, thickness, relief, pliability, surface area, and overall opinion. The on-site observer was physically present with the subjects and used a live videoconferencing application to show the scars to two remote observers in the United States. Subjects used the Patient portion to evaluate the scar that they believed appeared the worst appearance and had the greatest impact on function. The single-rater reliability of the Observer scale was acceptable (ICC>0.70) in overall opinion, thickness, pliability, and surface area. The average-rater reliability for three observers was acceptable (ICC>0.70) for all parameters except for vascularity. When comparing Patients' and Observers' overall opinion scores, patients consistently reported worse opinion. Evaluation of burn scars using the Patient and Observer Scar Assessment Scale can be accurately performed via live videoconferencing and presents an opportunity to expand access to burn care to rural communities, particularly in low- and middle-income countries, where patients face significant access barriers to appropriate follow-up care. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Simulating high spatial resolution high severity burned area in Sierra Nevada forests for California Spotted Owl habitat climate change risk assessment and management.

NASA Astrophysics Data System (ADS)

Keyser, A.; Westerling, A. L.; Jones, G.; Peery, M. Z.

2017-12-01

Sierra Nevada forests have experienced an increase in very large fires with significant areas of high burn severity, such as the Rim (2013) and King (2014) fires, that have impacted habitat of endangered species such as the California spotted owl. In order to support land manager forest management planning and risk assessment activities, we used historical wildfire histories from the Monitoring Trends in Burn Severity project and gridded hydroclimate and land surface characteristics data to develope statistical models to simulate the frequency, location and extent of high severity burned area in Sierra Nevada forest wildfires as functions of climate and land surface characteristics. We define high severity here as BA90 area: the area comprising patches with ninety percent or more basal area killed within a larger fire. We developed a system of statistical models to characterize the probability of large fire occurrence, the probability of significant BA90 area present given a large fire, and the total extent of BA90 area in a fire on a 1/16 degree lat/lon grid over the Sierra Nevada. Repeated draws from binomial and generalized pareto distributions using these probabilities generated a library of simulated histories of high severity fire for a range of near (50 yr) future climate and fuels management scenarios. Fuels management scenarios were provided by USFS Region 5. Simulated BA90 area was then downscaled to 30 m resolution using a statistical model we developed using Random Forest techniques to estimate the probability of adjacent 30m pixels burning with ninety percent basal kill as a function of fire size and vegetation and topographic features. The result is a library of simulated high resolution maps of BA90 burned areas for a range of climate and fuels management scenarios with which we estimated conditional probabilities of owl nesting sites being impacted by high severity wildfire.

Firework injuries presenting to a national burn's unit.

PubMed

Jones, D; Lee, W; Rea, S; Donnell, M O; Eadie, P A

2004-09-01

The sale to the general public of fireworks is illegal in Ireland. However, many fireworks are readily available on the black market from illegal traders. The number of firework injuries presenting to our unit during the three week run-up to Hallowe'en October 2001 was recorded. In addition, each patient was contacted to determine how the fireworks were obtained, the average amount of money spent, and the level of adult supervision present at the time of injury. A total of 19 patients presented, 18 from the local catchment area, with a mean age of 16 yrs (range 5-46 yrs). Thirteen patients required admission. Sixteen patients sustained hand injuries including burns, and three sustained burns to other body areas. The amount of money spent varied between adults and children, the average amount among the paediatric group was Euro 2-4, but Euro 45 in the adult group. None were willing to identify the local source of their fireworks, but most fireworks originated in Northern Ireland. This small review highlights an ongoing problem in Ireland; fireworks are illegal, yet they are easily and cheaply available without quality or safety controls. Our public awareness campaign has failed to reach its target audience, and the illegal traders who sell these often inferior products are seldom charged. Children and adults will continue to sustain serious injuries as a result.

Home remedy or hazard?: management and costs of paediatric steam inhalation therapy burn injuries.

PubMed

Al Himdani, Sarah; Javed, Muhammad Umair; Hughes, Juliana; Falconer, Olivia; Bidder, Christopher; Hemington-Gorse, Sarah; Nguyen, Dai

2016-03-01

Steam inhalation has long been considered a beneficial home remedy to treat children with viral respiratory tract infections, but there is no evidence to suggest a benefit and children are at risk of serious burn injuries. To determine the demographics, mechanism, management, and costs of steam inhalation therapy scalds to a regional burns centre in the UK, and to ascertain whether this practice is recommended by primary care providers. A retrospective study of all patients admitted to a regional burns centre in Swansea, Wales, with steam inhalation therapy scalds. Patients who attended the burns centre for steam inhalation therapy scalds between January 2010 and February 2015 were identified using the burns database and data on patient demographics, treatment, and costs incurred were recorded. In addition, an electronic survey was e-mailed to 150 local GPs to determine whether they recommended steam inhalation therapy to patients. Sixteen children attended the burns centre with steam inhalation scalds. The average age attending was 7.4 years (range 1-15 years) and, on average, three children per year were admitted. The most common indication was for the common cold (n = 9). The average size of the burns was 3.1% (range: 0.25-17.0%) of total body area. One child was managed surgically; the remainder were treated with dressings, although one patient required a stay in a high-dependency unit. The total cost of treatment for all patients was £37,133. All in all, 17 out of 21 GPs surveyed recommended steam inhalation to their patients; eight out of 19 GPs recommended it for children aged <5 years. Steam inhalation incurs a significant cost to patients and the healthcare system. Its practice continues to be recommended by GPs but children, due to their limited motor skills, curiosity, and poor awareness of danger, are at significant risk of burn injuries and this dangerous practice should no longer be recommended. © British Journal of General Practice 2016.

Home remedy or hazard? management and costs of paediatric steam inhalation therapy burn injuries

PubMed Central

Himdani, Sarah Al; Javed, Muhammad Umair; Hughes, Juliana; Falconer, Olivia; Bidder, Christopher; Hemington-Gorse, Sarah; Nguyen, Dai

2016-01-01

Background Steam inhalation has long been considered a beneficial home remedy to treat children with viral respiratory tract infections, but there is no evidence to suggest a benefit and children are at risk of serious burn injuries. Aim To determine the demographics, mechanism, management, and costs of steam inhalation therapy scalds to a regional burns centre in the UK, and to ascertain whether this practice is recommended by primary care providers. Design and setting A retrospective study of all patients admitted to a regional burns centre in Swansea, Wales, with steam inhalation therapy scalds. Method Patients who attended the burns centre for steam inhalation therapy scalds between January 2010 and February 2015 were identified using the burns database and data on patient demographics, treatment, and costs incurred were recorded. In addition, an electronic survey was e-mailed to 150 local GPs to determine whether they recommended steam inhalation therapy to patients. Results Sixteen children attended the burns centre with steam inhalation scalds. The average age attending was 7.4 years (range 1–15 years) and, on average, three children per year were admitted. The most common indication was for the common cold (n = 9). The average size of the burns was 3.1% (range: 0.25–17.0%) of total body area. One child was managed surgically; the remainder were treated with dressings, although one patient required a stay in a high-dependency unit. The total cost of treatment for all patients was £37 133. All in all, 17 out of 21 GPs surveyed recommended steam inhalation to their patients; eight out of 19 GPs recommended it for children aged <5 years. Conclusion Steam inhalation incurs a significant cost to patients and the healthcare system. Its practice continues to be recommended by GPs but children, due to their limited motor skills, curiosity, and poor awareness of danger, are at significant risk of burn injuries and this dangerous practice should no longer be

Aquifer pumping test report for the burn site groundwater area of concern

DOE Office of Scientific and Technical Information (OSTI.GOV)

Skelly, Michael; Ferry, Robert

The Aquifer Pumping Test Report for the Burn Site Groundwater (BSG) Area of Concern is being submitted by National Technology and Engineering Solutions of Sandia, LLC and the U.S. Department of Energy (DOE)/National Nuclear Security Administration to describe the results of the aquifer pumping test program and related field activities that were completed at the BSG Area of Concern. This report summarizes the results of the field work and data analyses, and is being submitted to the New Mexico Environment Department (NMED) Hazardous Waste Bureau, as required by the April 14, 2016 letter, Summary of Agreements and Proposed Milestones Pursuantmore » to the Meeting of July 20, 2015, (NMED April 2016).« less

Assessing the predictability of fire occurrence and area burned across phytoclimatic regions in Spain

NASA Astrophysics Data System (ADS)

Bedia, J.; Herrera, S.; Gutiérrez, J. M.

2014-01-01

Most fire protection agencies throughout the world have developed forest fire risk forecast systems, usually building upon existing fire danger indices and meteorological forecast data. In this context, the daily predictability of wildfires is of utmost importance in order to allow the fire protection agencies to issue timely fire hazard alerts. In this study, we address the predictability of daily fire occurrence using the components of the Canadian Fire Weather Index (FWI) System and related variables calculated from the latest ECMWF (European Centre for Medium Range Weather Forecasts) reanalysis, ERA-Interim. We develop daily fire occurrence models in peninsular Spain for the period 1990-2008 and, considering different minimum burned area thresholds for fire definition, assess their ability to reproduce the inter-annual fire frequency variability. We based the analysis on a phytoclimatic classification aiming the stratification of the territory into homogeneous units in terms of climatic and fuel type characteristics, allowing to test model performance under different climate/fuel conditions. We then extend the analysis in order to assess the predictability of monthly burned areas. The sensitivity of the models to the level of spatial aggregation of the data is also evaluated. Additionally, we investigate the gain in model performance with the inclusion of socioeconomic and land use/land cover (LULC) covariates in model formulation. Fire occurrence models have attained good performance in most of the phytoclimatic zones considered, being able to faithfully reproduce the inter-annual variability of fire frequency. Total area burned has exhibited some dependence on the meteorological drivers, although model performance was poor in most cases. We identified temperature and some FWI system components as the most important explanatory variables, highlighting the adequacy of the FWI system for fire occurrence prediction in the study area. The results were improved

An Analysis Framework Using Satellite Remote Sensing to Understand Landscape Patterns of High Severity Burns from Wildfires in Coastal Woodlands of California and Italy

NASA Astrophysics Data System (ADS)

Potter, C. S.

2016-12-01

The central California coastal landscape has a history of frequent large wildfires that have threatened or destroyed many residential structures at the wildland interface. This study starts with the largest wildfires on the Central Coast over the past 30 years and analyzes the fraction and landscape patterns of high severity burned (HBS) areas from the Landsat-based Monitoring Trends in Burn Severity (MTBS) data base as a function of weather conditions and topographic variations. Results indicate that maximum temperatures at the time of fire and the previous 12 months of rainfall explained a significant portion of the variation in total area burned and the fraction of HBS area. Average patch size and aggregation metrics of HBS areas were included in the analysis framework. Within each burned area, the Landsat (30-meter resolution) differenced Normalized Burn Ratio (dNBR), a continuous index of vegetation burn severity, was correlated against slope, aspect, and elevation to better understand landscape level-controls over HBS patches. The Landsat dNBR analysis framework is being extended next to the island of Sardinia, Italy for a comparison of Mediterranean climates and wildfire patterns since the mid-1980s.

Burn and Scald Prevention

MedlinePlus

... ĵ ĵ Remove all clothing, diapers, jewelry and metal from the burned area. These can hide underlying burns and retain heat, which can increase skin damage. For more information and free fire-safety resources, visit www.usfa.fema.gov. Click ...

Effects of Mechanical Soil Disturbance on Rill Connectivity and Soil Erosion Following Logging on Burned Hillslopes in Central California

NASA Astrophysics Data System (ADS)

Olsen, W.; Wagenbrenner, J. W.; Demirtas, I.; Robichaud, P. R.

2016-12-01

Soil erosion rates in forests increase after severe fires and may pose a threat to aquatic resources. While research has shown that the harvest of burned trees ("salvage logging") may elevate post-fire erosion, it is less clear how disturbance from logging affects rill erosion and sediment yields. We studied 14 catchments (900-7400 m2 "swales") in the area burned by the 2013 Rim Fire in the California Sierra Nevada, nine of which were burned and logged, and five that were burned and unlogged. We installed silt fences, surveyed mechanical disturbance and rill networks, and measured ground cover following logging that occurred between fall 2014 and fall 2015. The logged swales had 20-162 trees ha-1 removed, and high traffic skid trails covered 8-28% of the swale area while low traffic skid trails covered 0-13% of the area. Feller-buncher tracks were minimal at 0-6% of the swale area. Following logging, wood cover increased, while vegetation cover remained about the same. Rills densities ranged from 0.3-22 m m-2 in logged swales and 2.2-16 m m-2 in unlogged swales. Higher bare soil percentages led to increased rill density in all swales. Rills that initiated in high traffic skid trails averaged 42 m in the swales, while rills from untrafficked burned soil averaged 26 m. The number of rills from high traffic skid trails increased with the amount of skid trail area, and often were diverted by waterbars toward the swale outlets. Sediment yields increased with rill density, and did not appear to respond to the modest increase in wood cover post-logging. Results indicate that rill erosion is a dominant sediment transport mechanism for both burned forests and salvage logged forests at the hillslope to small catchment scale. Mitigating skidding disturbance, appropriate placement of waterbars, and reducing the connectivity of bare soil after logging will be important to reduce rilling and sediment yields related to salvage logging.

Burns in patients over 90: a fifteen-year series from a regional burns centre.

PubMed

Shariff, Zakir; Rodrigues, Jeremy N; Anwar, Umair; Austin, Orla; Phipps, Alan

2015-03-01

The elderly constitute an expanding subgroup within society, and may have differences in health needs compared to younger patients. The specific needs and outcomes of elderly patients with burns have been widely studied. However, the definition of elderly often used in previous studies is a cut off of 65 years old. Within this broadly defined group, the very elderly may have distinct health care needs and issues. This study investigated aetiology, management and outcome of burns in those over 90 years treated at a single UK burns service over a period of 15 years between 1998 and 2013, and compares these data to published data describing 'younger' elderly burns patients. Twenty two patients were included, with a 2:1 female:male ration, and a mean 9%TBSA burn. Six of the 22 died during their admission, and those who survived averaged 8 days inpatient stay per %TBSA. The very elderly with burns may fare worse than younger elderly patients. Although burns in the very elderly are relatively infrequent events, they require significant resource. Further work to optimise their outcome is required. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

Efficacy of enzymatic debridement of deeply burned hands.

PubMed

Krieger, Yuval; Bogdanov-Berezovsky, Alexander; Gurfinkel, Reuven; Silberstein, Eldad; Sagi, Amiram; Rosenberg, Lior

2012-02-01

The burned hand is a common and difficult to care-for entity in the field of burns. Due to the anatomy of the hand (important and delicate structures crowded in a small limited space without sub-dermal soft tissue), surgical debridement of the burned tissue is technically difficult and may cause considerable complications and, therefore, should be performed judiciously. Selective enzymatic debridement of the burn wound can preserve the spontaneous epithelialisation potential and reduce the added injury to the traumatised tissue added by a surgical debridement. The aim of the study was to assess the implication of a selective enzymatic compound (Debrase(®) - Ds) in the special field of deep hand burns, by comparing the actual burn area that required surgical coverage after enzymatic debridement to the burn area clinically judged to require skin grafting prior to debridement. This was a retrospective data collection and analysis from 154 complete files of prospective, open-label study in 275 hospitalised, Ds-treated burn patients. A total of 69 hand burns diagnosed as 'deep' was analysed; 36% of the wounds required surgical intervention after enzymatic debridement; 28.6% of the total burned area estimated initially as deep was covered by skin graft (statistically significant p<0.001). Debridement of deep-hand burns with a selective enzymatic agent decreased the perceived full-thickness wound area and skin-graft use. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

Fire history reconstruction in grassland ecosystems: amount of charcoal reflects local area burned

NASA Astrophysics Data System (ADS)

Leys, Bérangère; Brewer, Simon C.; McConaghy, Scott; Mueller, Joshua; McLauchlan, Kendra K.

2015-11-01

Fire is one of the most prevalent disturbances in the Earth system, and its past characteristics can be reconstructed using charcoal particles preserved in depositional environments. Although researchers know that fires produce charcoal particles, interpretation of the quantity or composition of charcoal particles in terms of fire source remains poorly understood. In this study, we used a unique four-year dataset of charcoal deposited in traps from a native tallgrass prairie in mid-North America to test which environmental factors were linked to charcoal measurements on three spatial scales. We investigated small and large charcoal particles commonly used as a proxy of fire activity at different spatial scales, and charcoal morphotypes representing different types of fuel. We found that small (125-250 μm) and large (250 μm-1 mm) particles of charcoal are well-correlated (Spearman correlation = 0.88) and likely reflect the same spatial scale of fire activity in a system with both herbaceous and woody fuels. There was no significant relationship between charcoal pieces and fire parameters <500 m from the traps. Moreover, local area burned (<5 km distance radius from traps) explained the total charcoal amount, and regional burning (200 km radius distance from traps) explained the ratio of non arboreal to total charcoal (NA/T ratio). Charcoal variables, including total charcoal count and NA/T ratio, did not correlate with other fire parameters, vegetation cover, landscape, or climate variables. Thus, in long-term studies that involve fire history reconstructions, total charcoal particles, even of a small size (125-250 μm), could be an indicator of local area burned. Further studies may determine relationships among amount of charcoal recorded, fire intensity, vegetation cover, and climatic parameters.

Global combustion: the connection between fossil fuel and biomass burning emissions (1997–2010)

PubMed Central

Balch, Jennifer K.; Nagy, R. Chelsea; Archibald, Sally; Moritz, Max A.; Williamson, Grant J.

2016-01-01

Humans use combustion for heating and cooking, managing lands, and, more recently, for fuelling the industrial economy. As a shift to fossil-fuel-based energy occurs, we expect that anthropogenic biomass burning in open landscapes will decline as it becomes less fundamental to energy acquisition and livelihoods. Using global data on both fossil fuel and biomass burning emissions, we tested this relationship over a 14 year period (1997–2010). The global average annual carbon emissions from biomass burning during this time were 2.2 Pg C per year (±0.3 s.d.), approximately one-third of fossil fuel emissions over the same period (7.3 Pg C, ±0.8 s.d.). There was a significant inverse relationship between average annual fossil fuel and biomass burning emissions. Fossil fuel emissions explained 8% of the variation in biomass burning emissions at a global scale, but this varied substantially by land cover. For example, fossil fuel burning explained 31% of the variation in biomass burning in woody savannas, but was a non-significant predictor for evergreen needleleaf forests. In the land covers most dominated by human use, croplands and urban areas, fossil fuel emissions were more than 30- and 500-fold greater than biomass burning emissions. This relationship suggests that combustion practices may be shifting from open landscape burning to contained combustion for industrial purposes, and highlights the need to take into account how humans appropriate combustion in global modelling of contemporary fire. Industrialized combustion is not only an important driver of atmospheric change, but also an important driver of landscape change through companion declines in human-started fires. This article is part of the themed issue ‘The interaction of fire and mankind’. PMID:27216509

Gaseous and particulate emissions from prescribed burning in Georgia.

PubMed

Lee, Sangil; Baumann, Karsten; Schauer, James J; Sheesley, Rebecca J; Naeher, Luke P; Meinardi, Simone; Blake, Donald R; Edgerton, Eric S; Russell, Armistead G; Clements, Mark

2005-12-01

Prescribed burning is a significant source of fine particulate matter (PM2.5) in the southeastern United States. However, limited data exist on the emission characteristics from this source. Various organic and inorganic compounds both in the gas and particle phase were measured in the emissions of prescribed burnings conducted at two pine-dominated forest areas in Georgia. The measurements of volatile organic compounds (VOCs) and PM2.5 allowed the determination of emission factors for the flaming and smoldering stages of prescribed burnings. The VOC emission factors from smoldering were distinctly higher than those from flaming except for ethene, ethyne, and organic nitrate compounds. VOC emission factors show that emissions of certain aromatic compounds and terpenes such as alpha and beta-pinenes, which are important precursors for secondary organic aerosol (SOA), are much higher from active prescribed burnings than from fireplace wood and laboratory open burning studies. Levoglucosan is the major particulate organic compound (POC) emitted for all these studies, though its emission relative to total organic carbon (mg/g OC) differs significantly. Furthermore, cholesterol, an important fingerprint for meat cooking, was observed only in our in situ study indicating a significant release from the soil and soil organisms during open burning. Source apportionment of ambient primary fine particulate OC measured at two urban receptor locations 20-25 km downwind yields 74 +/- 11% during and immediately after the burns using our new in situ profile. In comparison with the previous source profile from laboratory simulations, however, this OC contribution is on average 27 +/- 5% lower.

3D photography is a reliable burn wound area assessment tool compared to digital planimetry in very young children.

PubMed

Gee Kee, E L; Kimble, R M; Stockton, K A

2015-09-01

Reliability and validity of 3D photography (3D LifeViz™ System) compared to digital planimetry (Visitrak™) has been established in a compliant cohort of children with acute burns. Further research is required to investigate these assessment tools in children representative of the general pediatric burns population, specifically children under the age of three years. To determine if 3D photography is a reliable wound assessment tool compared to Visitrak™ in children of all ages with acute burns ≤10% TBSA. Ninety-six children (median age 1 year 9 months) who presented to the Royal Children's Hospital Brisbane with an acute burn ≤10% TBSA were recruited into the study. Wounds were measured at the first dressing change using the Visitrak™ system and 3D photography. All measurements were completed by one investigator and level of agreement between wound surface area measurements was calculated. Wound surface area measurements were complete (i.e. participants had measurements from both techniques) for 75 participants. Level of agreement between wound surface area measurements calculated using an intra-class correlation coefficient (ICC) was excellent (ICC 0.96, 95% CI 0.93, 0.97). Visitrak™ tracings could not be completed in 19 participants with 16 aged less than two years. 3D photography could not be completed for one participant. Barriers to completing tracings were: excessive movement, pain, young age or wound location (e.g. face or perineum). This study has confirmed 3D photography as a reliable alternative to digital planimetry in children of all ages with acute burns ≤10% TBSA. In addition, 3D photography is more suitable for very young children given its non-invasive nature. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

Averages, Areas and Volumes; Cambridge Conference on School Mathematics Feasibility Study No. 45.

ERIC Educational Resources Information Center

Cambridge Conference on School Mathematics, Newton, MA.

Presented is an elementary approach to areas, columns and other mathematical concepts usually treated in calculus. The approach is based on the idea of average and this concept is utilized throughout the report. In the beginning the average (arithmetic mean) of a set of numbers is considered and two properties of the average which often simplify…

Preventable burns associated with the misuse of gasoline.

PubMed

Barillo, D J; Stetz, C K; Zak, A L; Shirani, K Z; Goodwin, C W

1998-08-01

Gasoline is intended for use as a motor fuel, but the universal availability of gasoline in the home encourages misuse as a solvent, insecticide, accelerant or cleaning solution. The careless or inappropriate use of gasoline may result in burn injury. We examined the circumstance of gasoline-related injury in a population admitted to one burn centre to determine the potential for burn prevention efforts. A retrospective review of all burn admissions to one centre for the years 1978 to 1996 demonstrated hat 1011 of 4339 acute admissions (23.3%) were gasoline-related. This group had an average total burn size of 29.8% total body surface (TBSA) and an average full thickness injury of 14.4% TBSA. There were 144 fatalities resulting from gasoline-associated burn injury. Where such determination could be made, the use of gasoline was judged to be inappropriate or unsafe in 687 of 788 cases (87.1%). Ninety of 144 fatalities (62.5%) were associated with inappropriate or unsafe use of gasoline. The careless or inappropriate use of gasoline poses significant risk of burn injury. The indoor use of gasoline, as well as use of gasoline for purposes other than as a motor fuel, should be strongly discouraged.

Impact of a Newly Implemented Burn Protocol on Surgically Managed Partial Thickness Burns at a Specialized Burns Center in Singapore.

PubMed

Tay, Khwee-Soon Vincent; Chong, Si-Jack; Tan, Bien-Keem

2016-03-01

This study evaluated the impact of a newly implemented protocol for superficial to mid-dermal partial thickness burns which involves early surgery and rapid coverage with biosynthetic dressing in a specialized national burns center in Singapore. Consecutive patients with 5% or greater total body surface area (TBSA) superficial to mid-dermal partial thickness burns injury admitted to the Burns Centre at the Singapore General Hospital between August and December 2014 for surgery within 48 hours of injury were prospectively recruited into the study to form the protocol group. Comparable historical cases from the year 2013 retrieved from the burns center audit database were used to form the historical control group. Demographics (age, sex), type and depth of burns, %TBSA burnt, number of operative sessions, and length of stay were recorded for each patient of both cohorts. Thirty-nine burns patients managed under the new protocol were compared with historical control (n = 39) comparable in age and extensiveness of burns. A significantly shorter length of stay (P < 0.05) per TBSA burns was observed in the new protocol group (0.74 day/%TBSA) versus historical control (1.55 day/%TBSA). Fewer operative sessions were needed under the new protocol for burns 10% or greater TBSA burns (P < 0.05). The authors report their promising experience with a newly implemented protocol for surgically managed burns patients which involves early surgery and appropriate use of biosynthetic dressing on superficial to mid-dermal partial thickness burns. Clinically, shorter lengths of stay, fewer operative sessions, and decreased need for skin grafting of burns patient were observed.

A Computer Program to Evaluate Experimental Therapies for Treating Burned Patients

PubMed Central

Flora, Jairus D.; Flora, Sharyl Ann

1980-01-01

Determining the worth of new therapies for burn patients has been difficult because of the rarity of the burn injury and the disparate survival chances associated with different sizes of burns. Recently a burn survival model has been developed that estimates the risk of death from a burn as a function of the patient's age, sex, area of full thickness (third degree) burn, area of partial thickness burn, involvement of the perineum, and time from burn to admission. An alternative risk model uses the total area burned in place of the areas of partial thickness burn and full thickness burn, and is appropriate if the amount of full thickness burn is not determined accurately. This paper describes a program that uses these risk models to correct or standardize for demographic and severity factors, then, after that adjustment, tests whether a group of burn patients who received a new or experimental therapy shows a significantly better survival rate than that predicted by a baseline model. The program is a simple one written in Fortran for easy adaptation to other computer systems.

Recreational-outdoor burns: the impact and severity--a retrospective review of 107 patients.

PubMed

Phillips, B J; Kassir, A; Anderson, B; Schiller, W R

1998-09-01

Campfires, bonfires and barbecues play a prominent role in outdoor activities and serve a variety of decorative and functional purposes. Given all of it's various forms, uses and benefits, the outdoor fire can turn dangerous in a matter of seconds: a stumble or fall (the child running that trips) leads to direct contact with the flames and subsequent burn injury. With it's everyday occurrence, we were surprised to find a paucity of information regarding this type of burn in the literature, including the NBIE analysis. A retrospective review of 107 patients admitted to the Maricopa Medical Bum Center, from 1987 to 1996, was conducted. Each chart was analyzed for the patient demographics, mechanism of injury, percent total body surface area burned, operative versus non-operative treatment and overall outcome. An average burn injury involved 5.7% TBSA, with a wide range from 1 to 47%. The majority of our population involved either small children or intoxicated adults and a total of 50 patients required 92 operations. Severe morbidity, including 4 amputations and 2 mortalities, were seen. The average hospital stay was 14.3 days, ranging from 1 to 52 days. Recreational outdoor burns were extremely common injuries leading to loss of functional employment and prolonged physical therapy requirements. Small children and intoxicated adults comprised the majority of our study population. The impact and severity of such outdoor fires could be greatly affected by appropriate attention to prevention.

Cardowan coal mine explosion: experience of a mass burns incident.

PubMed Central

Allister, C; Hamilton, G M

1983-01-01

A coal mine explosion 1700 feet (516 m) underground and two miles (3.2 km) from the pit head resulted in 40 casualties. Two hours elapsed between the explosion and the arrival of patients at hospital. Six patients suffered mechanical injuries, only one of which was life threatening. Thirty six suffered burns; in 18 over 15% of the total body surface area was affected. Nineteen patients had a mild respiratory upset requiring oxygen treatment. The average length of inpatient stay in those admitted was 24 days. Early assessment and treatment in the accident and emergency department was relatively simple because of the large proportion of burn injuries. Lack of communication between site and hospital made administration of the disaster difficult. PMID:6409324

[Distribution characteristics of soil organic carbon of burned area under different restorations.

PubMed

Li, Hong Yun; Xin, Ying; Zhao, Yu Sen

2016-09-01

The distribution characteristics of soil organic carbon (SOC), soil dissolved organic carbon (DOC) and soil microbial biomass carbon (MBC) under different restorations were studied in Larix gmelinii plantation, Pinus sylvestris var. mongolica plantation, artificial promotion poplar-birch forest and the natural secondary poplar-birch forest restored from burned area after the severe fire of Greater Xing' an Mountains in 1987. The results showed that the variations in SOC, DOC and MBC ranged from 9.63 to 79.72 g·kg -1 , from 33.21 to 186.30 mg·kg -1 and from 200.85 to 1755.63 mg·kg -1 , respectively, which decreased with soil depth increasing. There was significant diffe-rence in SOC, DOC and MBC among different restorations, with the maximum carbon contents for artificial promotion poplar-birch forest, followed by L. gmelinii plantation, natural secondary poplar-birch forest and P. sylvestris var. mongolica plantation successively. The soil microbial quotient va-ried from 1.1% under P. sylvestris var. mongolica plantation to 2.3% under artificial promotion poplar-birch forest, and its vertical distributions were different in the four restoration forests. Correlation analysis indicated that MBC had a significant positive correlation with SOC and DOC, respectively. The activity of soil organic carbon in artificial promotion poplar-birch forest was higher than in other forest stands, suggesting a stronger capacity of the soil carbon cycle through natural regeneration with artificial promotion on burned area in Greater Xing'an Mountains.

Minor burn - first aid - slideshow

MedlinePlus

... page: //medlineplus.gov/ency/presentations/100213.htm Minor burn - first aid - series—Procedure, part 1 To use ... out of 2 Overview To treat a minor burn, run cool water over the area of the ...

Automobile carburetor- and radiator-related burns.

PubMed

Renz, B M; Sherman, R

1992-01-01

Seventy-nine persons who had sustained automobile engine carburetor- and radiator-related burns were admitted to Grady Memorial Hospital Burn Unit between June 1, 1984 and September 30, 1990. Forty patients with carburetor-priming flame burns had a mean age of 31.5 years, a mean burn size of 13.4% total body surface area, and a mean length of stay of 13.8 days. There were 37 male patients. Four patients had an inhalation injury. Twenty-two surgical procedures were performed on 13 patients. One patient was an innocent bystander, and one patient died. The clothing of 16 patients had ignited, which resulted in larger, deeper burns and in one death. Burns predominantly involved the right sides of the face, head, and torso; the right upper extremity; and the right hand. Thirty-nine patients had scald burns that were associated with uncapping a radiator. These patients had a mean age of 29.6 years, a mean burn size of 8.9% total body surface area, and a mean length of stay of 6.4 days. There were 36 male patients and three innocent bystanders. One autografting procedure was performed, and there were no deaths in this group of patients. The burn-prone person is the young adult male. The circumstances that result in such dangerous behavior are predictable, and resultant burn injuries are preventable.

An assessment of burn prevention knowledge in a high burn-risk environment: restaurants.

PubMed

Piazza-Waggoner, Carrie; Adams, C D; Goldfarb, I W; Slater, H

2002-01-01

Our facility has seen an increase in the number of cases of children burned in restaurants. Fieldwork has revealed many unsafe serving practices in restaurants in our tristate area. The current research targets what appears to be an underexamined burn-risk environment, restaurants, to examine server knowledge about burn prevention and burn care with customers. Participants included 71 local restaurant servers and 53 servers from various restaurants who were recruited from undergraduate courses. All participants completed a brief demographic form as well as a Burn Knowledge Questionnaire. It was found that server knowledge was low (ie, less than 50% accuracy). Yet, most servers reported that they felt customer burn safety was important enough to change the way that they serve. Additionally, it was found that length of time employed as a server was a significant predictor of servers' burn knowledge (ie, more years serving associated with higher knowledge). Finally, individual items were examined to identify potential targets for developing prevention programs.

A ten-year experience with hemodialysis in burn patients at Los Angeles County + USC Medical Center.

PubMed

Soltani, Ali; Karsidag, Semra; Garner, Warren

2009-01-01

Acute renal failure (ARF) is a rare, but serious, complication after burn injury that is commonly thought to be fatal. Before the modern era, there were few survivors of burn injuries who required dialysis. We report our 10-year experience with ARF and dialysis at the Los Angeles County + USC burn unit. During the period of August 1994 to February 2004, 3356 patients were admitted. Furthermore, 1143 patients were admitted to the intensive care unit and 1125 had burns >10% TBSA. Thirty-three patients developed ARF necessitating dialysis, equaling 0.98% of all admitted patients, and 2.7% of patients with TBSA >10% burns, which is at the low end of published burn unit data. The average age of these patients requiring dialysis was 49 years, 91% were men, 24% were diabetic, and 39% were positive for substances of abuse at admission, and the average TBSA burned was 36%. This is compared with an average age of 31 years, 70% men, 7.3% diabetic, and 14.7% intoxicated in the general burned population at our burn unit. Furthermore, our overall mortality in the burn unit was 5% overall and 14% in patients with >10% TBSA burns during the study period. In patients requiring hemodialysis, the mortality rate was 69.7%. The average time to hemodialysis was 14 days in our series, and patients, on average, required 10.3 days of dialysis support. These mortality data are the lowest recorded for burned patients requiring dialysis and suggest that ARF is a survivable complication in some of these patients.

Joint Use of Sentinel-1 and Landsat-8 data for Burned Areas Mapping: the Case of the Sardinia Island, Italy

NASA Astrophysics Data System (ADS)

Pepe, Antonio; Azar, Ramin; Calò, Fabiana; Stroppiana, Daniela; Brivio, Pietro Alessandro; Imperatore, Pasquale

2016-04-01

Fires widely affect Mediterranean regions, causing severe threats to human lives and damages to natural environments. The socio-economic impacts of fires on the affected local communities are significant, indeed, the activation of prevention measures and the extinguishment of fires and reclamation of the pre-fire conditions are very expensive. Moreover, fires have also global impacts: they affect global warming and climate changes due to gas and aerosol emissions to atmosphere. In such a context, fire scars mapping and monitoring are fundamental tasks for a sustainable management of natural resources and for the prevention/mitigation of fire risk. With this respect, remotely sensed data offer the opportunity for a regional-up-to-global scale monitoring of areas prone to fires, on a cost-effective and regular basis. In this work, the potential of a joint use of Sentinel-1A (C-band) Synthetic Aperture Radar (SAR) and Landsat-8 Operational Land Imager (OLI) data for detecting burned areas is investigated. The experimental analyses are conducted by focusing on Sardinia Island, which is one of the Italian regions most affected by fire events during summer. Our analysis shows that the capability of monitoring burned areas in the Mediterranean environment can be improved by exploiting information embedded in OLI multispectral bands in conjunction with multi-temporal dual-polarized SAR data. Indeed, limitations experienced in analyses based on the use of only optical data (e.g., cloud cover, spectral overlap/confusion of burned areas with dark soils, water surfaces and shaded regions) may be overcome by using SAR data, owing to the insensitiveness to sunlight-illumination conditions and the cloud-penetrating capability of microwave radiation. Results prove the effectiveness of an integrated approach based on the combination of optical and microwave imagery for the monitoring and mapping of burned areas in vegetated regions.

Diagnosis of aged prescribed burning plumes impacting an urban area.

PubMed

Lee, Sangil; Kim, Hyeon K; Yan, Bo; Cobb, Charles E; Hennigan, Chris; Nichols, Sara; Chamber, Michael; Edgerton, Eric S; Jansen, John J; Hu, Yongtao; Zheng, Mei; Weber, Rodney J; Russell, Armistead G

2008-03-01

An unanticipated wind shift led to the advection of plumes from two prescribed burning sites that impacted Atlanta, GA, producing a heavy smoke event late in the afternoon on February 28, 2007. Observed PM2.5 concentrations increased to over 140 microg/m3 and O3 concentrations up to 30 ppb in a couple of hours, despite the late hour in February when photochemistry is less vigorous. A detailed investigation of PM2.5 chemical composition and source apportionment analysis showed that the increase in PM2.5 mass was driven mainly by organic carbon (OC). However, both results from source apportionment and an observed nonlinear relationship between OC and PM2.5 potassium (K) indicate that the increased OC was not due solely to primary emissions. Most of the OC was water-soluble organic carbon (WSOC) and was dominated by hydrophobic compounds. The data are consistent with large enhancements in isoprenoid (isoprene and monoterpenes) and other volatile organic compounds emitted from prescribed burning that led to both significant O3 and secondary organic aerosol (SOA) production. Formation of oligomers from oxidation products of isoprenoid compounds or condensation of volatile organic compounds (VOCs) with multiple functional groups emitted during prescribed burning appears to be a major component of the secondary organic contributor of the SOA. The results from this study imply that enhanced emissions due to the fire itself and elevated temperature in the burning region should be considered in air quality models (e.g., receptor and emission-based models) to assess impacts of prescribed burning emissions on ambient air quality.

Two-year follow-up of outcomes related to scarring and distress in children with severe burns.

PubMed

Wurzer, Paul; Forbes, Abigail A; Hundeshagen, Gabriel; Andersen, Clark R; Epperson, Kathryn M; Meyer, Walter J; Kamolz, Lars P; Branski, Ludwik K; Suman, Oscar E; Herndon, David N; Finnerty, Celeste C

2017-08-01

We assessed the perception of scarring and distress by pediatric burn survivors with burns covering more than one-third of total body surface area (TBSA) for up to 2 years post-burn. Children with severe burns were admitted to our hospital between 2004 and 2012, and consented to this IRB-approved-study. Subjects completed at least one Scars Problems and/or Distress questionnaire between discharge and 24 months post burn. Outcomes were modeled with generalized estimating equations or using mixed linear models. Significance was accepted at p < 0.01. Responses of 167 children with a mean age of 7 ± 5 years and burns covering an average 54 ± 14% of TBSA were analyzed. Significant improvements over the 2-year period were seen in reduction of pain, itching, sleeping disturbance, tightness, range of motion, and strength (p < 0.01). There was a significantly increased persistent desire to hide the scarred body areas over time (p < 0.01). The perception of mouth scarring, inability to portray accurate facial expressions, and skin coloration did not improve over the follow-up period. According to self-assessment questionnaires, severely burned children exhibit significant improvements in their overall perception of scarring and distress. However, these patients remain self-conscious with respect to their body image even 2 years after burn injury. Implications for Rehabilitation According to self-assessment questionnaires, severely burned children perceive significant improvements in scarring and distress during the first 2 years post burn. Significant improvements were seen in reduction of pain, itching, sleeping disturbances, tightness, range of motion, and strength (p < 0.01). Burn care providers should improve the treatment of burns surrounding the mouth that with result in scarring, and develop strategies to prevent skin discoloration. Careful evaluation of pain and sleeping disorders during the first year post burn are warranted to improve the

Landscape Patterns of Burn Severity in the Soberanes Fire of 2016

NASA Technical Reports Server (NTRS)

Potter, Christopher

2016-01-01

The Soberanes Fire started on July 22, 2016 in Monterey County on the California Central Coast from an illegal campfire. This fire burned for 10 weeks at a record cost of more than $208 million for protection and control. A progressive analysis of the normalized burn ratio from the Landsat satellite showed that the final high burn severity (HBS) area for the Soberanes Fire comprised 22 percent of the total area burned, whereas final moderate burn severity (MBS) area comprised about 10 percent of the total area burned of approximately 53,470 ha (132,130 acres). The resulting landscape pattern of burn severity classes from the 2016 Soberanes Fire revealed that the majority of HBS area was located in the elevation zone between 500 and 1000 m, in the slope zone between 15 percent and 30 percent, or on south-facing aspects.

Evaluation of Demographic and Clinical Characteristics of Patients who Attempted Suicide by Self-Inflicted Burn Using Catalyzer

PubMed Central

Yabanoglu, Hakan; Aytac, Huseyin Ozgur; Turk, Emin; Karagulle, Erdal; Belli, Sedat; Sakallioglu, Ayse Ebru; Tarim, Mehmet Akin; Moray, Gokhan; Haberal, Mehmet

2015-01-01

Our aim was to assess demographic and clinical characteristics of patients treated at our units who attempted suicide by self-incineration, and to compare the results of burns with or without catalyzer use. Twenty patients who attempted suicide by self-incineration were examined in terms of clinical and demographic characteristics. Average age of the study population was 35 years (range 13−85 years). Average percentage of total body surface area burn was 53% (9%−100%). Six (30%) patients used gasoline and 5 (25%) used paint thinner in order to catalyze burning. Of these 11 patients who used a catalyzer, 5 (45.4%) had inhalation injury and 7 (63.6%) died. Among 9 patients who did not use any catalyzer, 1 (11.1%) had inhalation injury and 4 (44.4%) died. In general, inhalation injury was diagnosed in 6 patients (30%) while 11 (55%) patients died. A high morbidity and mortality rate was found in patients who used a catalyzer. PMID:25692434

Outcome after burns: an observational study on burn scar maturation and predictors for severe scarring.

PubMed

van der Wal, Martijn B A; Vloemans, Jos F P M; Tuinebreijer, Wim E; van de Ven, Peter; van Unen, Ella; van Zuijlen, Paul P M; Middelkoop, Esther

2012-01-01

Long-term outcome of burn scars as well as the relation with clinically relevant parameters has not been studied quantitatively. Therefore, we conducted a detailed analysis on the clinical changes of burn scars in a longitudinal setup. In addition, we focused on the differences in scar quality in relation to the depth, etiology of the burn wound and age of the patient. Burn scars of 474 patients were subjected to a scar assessment protocol 3, 6, and 12 months postburn. Three different age groups were defined (≤5, 5-18, and ≥18 years). The observer part of the patient and observer scar assessment scale revealed a significant (p < 0.001) improvement in scar quality at 12 months compared with the 3- and 6-month data. Predictors for severe scarring are depth of the wound (p < 0.001) and total body surface area burned (p < 0.001). Etiology (p = 0.753) and age (p > 0.230) have no significant influence on scar quality when corrected for sex, total body surface area burned, time, and age or etiology, respectively. © 2012 by the Wound Healing Society.

Assessment of Residential Biomass Burning During Winter in Las Vegas, Nevada

NASA Astrophysics Data System (ADS)

Brown, S. G.; Lee, T.; Olson, D.; Norris, G.; Roberts, P. T.; Collett, J. L.

2011-12-01

Concentrations of organic matter (OM) and black carbon (BC) were measured at a site in a residential area of Las Vegas, Nevada, and multiple analytical methods were used to determine the amounts attributable to biomass burning. In January 2008, measurements of a wood burning tracer, levoglucosan, were made via gas chromatography-mass spectroscopy (n=17). In addition, an Aerodyne High Resolution Aerosol Mass Spectrometer (HR-AMS) measured OM and C2H4O2+, a levoglucosan-derived fragment. During 2007 and 2008, two-channel Aethalometer data were also collected; the difference between the 370 nm and 880 nm channels (UV-BC difference) was used to indicate the presence of wood smoke. Concentrations of OM, BC, C2H4O2+, and levoglucosan, as well as the UV-BC difference, were all highest during the evening hours (generally between 1800 and 0000 LST). Average OM concentrations were 3.3 μg/m3 during January but were 6.9 μg/m3 during the overnight hours (between 1700 and 0000 LST). Median levoglucosan concentrations were 0.14 μg/m3. The correlation of levoglucosan with C2H4O2+ was very high (r2=0.92). During the evening hours, correlation between BC and C2H4O2+ was good (r2=0.79); however, correlation was poor during other hours (r2<0.40), suggesting that other emissions such as mobile-source emissions were likely the dominant source of BC during those hours. C2H4O2+ showed modest correlation with UV-BC (e.g., r2=0.45). Using EPA's positive matrix factorization tool, EPA PMF, on the January HR-AMS data, we determined that biomass burning organic aerosol (BBOA) constituted 12% of the OM on average, but about 25% of the OM during evening hours. BBOA correlated well with levoglucosan (r2=0.82) and C2H4O2+ (r2=0.93). Levoglucosan measurements suggested that wood burning could constitute 38% of the OM during the overnight periods on average, although this number greatly depends on the assumed ratio of levoglucosan to OM in a source profile for residential biomass burning. The

Effect of Malva sylvestris cream on burn injury and wounds in rats

PubMed Central

Nasiri, Ebrahim; Hosseinimehr, Seyed Jalal; Azadbakht, Mohammad; Akbari, Jafar; Enayati-fard, Reza; Azizi, Sohail

2015-01-01

Objectives: Burn injury is one of the most health-threatening problems in the world. Malva sylvestris (M. sylvestris) flowers have a high mucilage content and are used as a remedy for cut wound and dermal infected wounds in Iranian folklore Medicine. The purpose of this study was to investigate the effect of M. sylvestris cream on the second degree burn injury in rats. Materials and Methods: Five groups of 10 rats per group were burned with hot metal plate. Animals were administrated divided as control, normal saline, standard silver sulfadiazine 1% (SSD), 5% M. sylvestris, and 10% M. sylvestris into separate groups. Wound area, percentage of wound contraction, and histological and bacteriological assessments were evaluated. Results: Wound sizes were not significantly different among groups on 1st and 3rd days after burn injury, while they were significantly different among groups after 7th day post-burn injury. The average areas of wounds on the 15th day were 7.5±2.9, 6.7±2, 10.5±1.6, 4.7±2, and 4.5±2 cm2 for base cream, normal saline, SSD, 5% M. sylvestris, and 10% M. sylvestris, respectively. The results of histology exhibited well-formed horizontally-oriented collagen fibers in MS topical treatment groups. Microorganisms existed in the SSD group were most probably Staphilococcus epidermitis and for NS group were staphylococcus saprophiteccus. Conclusion: M. sylvestris cream improved histological changes of tissue components in the process of healing when compared with SSD cream. Therefore, it can be used as a topical treatment agent for burn wound. PMID:26909337

[Hand burns in children and Aquacel(®) Burn gloves, an alternative to prolonged hospital stays].

PubMed

Ridel, P; Perrot, P; Truffandier, M V; Bellier-Waast, F; Duteille, F

2015-04-01

Occlusive dressings for second-degree hand burns in children must prevent infection and promote healing. For good management of analgesia, these treatments often require children to be hospitalized. Our goal was to find an alternative to conventional care protocol that would reduce the number of dressings and therefore the length of hospitalization. We report our experience with the use of Aquacel(®) Burn. Non-randomized monocentric prospective study was conducted from 2012 to 2014. The glove was used in the operating room within 72hours after the burn in children younger than 15 years old with isolated superficial to deep 2nd degree hand burns. Once the glove was perfectly stuck to the burn, the children could go back home. We saw them 10 to 12 days after the accident to be sure there was no indication of skin graft. Twenty gloves were used in 16 children aged from 16 months to 13 years. The average length of stay (ALOS) was five days to put the glove on and one day to remove it. Four hands were grafted. Once we get used to the product, Aquacel(®) Burn gloves have reduced the ALOS before skin graft in cases of isolated hand burns in children. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

Uncertainty analysis of moderate- versus coarse-scale satellite fire products for quantifying agricultural burning: Implications for Air Quality in European Russia, Belarus, and Lithuania

NASA Astrophysics Data System (ADS)

McCarty, J. L.; Krylov, A.; Prishchepov, A. V.; Banach, D. M.; Potapov, P.; Tyukavina, A.; Rukhovitch, D.; Koroleva, P.; Turubanova, S.; Romanenkov, V.

2015-12-01

Cropland and pasture burning are common agricultural management practices that negatively impact air quality at a local and regional scale, including contributing to short-lived climate pollutants (SLCPs). This research focuses on both cropland and pasture burning in European Russia, Lithuania, and Belarus. Burned area and fire detections were derived from 500 m and 1 km Moderate Resolution Imaging Spectroradiometer (MODIS), 30 m Landsat 7 Enhanced Thematic Mapper Plus (ETM+), and Landsat 8 Operational Land Imager (OLI) data. Carbon, particulate matter, volatile organic carbon (VOCs), and harmful air pollutants (HAPs) emissions were then calculated using MODIS and Landsat-based estimates of fire and land-cover and land-use. Agricultural burning in Belarus, Lithuania, and European Russia showed a strong and consistent seasonal geographic pattern from 2002 to 2012, with the majority of fire detections occurring in March - June and smaller peak in July and August. Over this 11-year period, there was a decrease in both cropland and pasture burning throughout this region. For Smolensk Oblast, a Russian administrative region with comparable agro-environmental conditions to Belarus and Lithuania, a detailed analysis of Landsat-based burned area estimations for croplands and pastures and field data collected in summer 2014 showed that the agricultural burning area can be up to 10 times higher than the 1 km MODIS active fire estimates. In general, European Russia is the main source of agricultural burning emissions compared to Lithuania and Belarus. On average, all cropland burning in European Russia as detected by the MCD45A1 MODIS Burned Area Product emitted 17.66 Gg of PM10 while annual burning of pasture in Smolensk Oblast, Russia as detected by Landsat burn scars emitted 494.85 Gg of PM10, a 96% difference. This highlights that quantifying the contribution of pasture burning and burned area versus cropland burning in agricultural regions is important for accurately

Healthcare costs of burn patients from homes without fire sprinklers

PubMed Central

Banfield, Joanne; Rehou, Sarah; Gomez, Manuel; Redelmeier, Donald A.; Jeschke, Marc G.

2014-01-01

The treatment of burn injuries requires high-cost services for healthcare and society. Automatic fire sprinklers are a preventive measure that can decrease fire injuries, deaths, property damage and environmental toxins. This study’s aim was to conduct a cost-analysis of patients with burn or inhalation injuries due to residential fires, and to compare this to the cost of implementing residential automatic fire sprinklers. We conducted a cohort analysis of adult burn patients admitted to our provincial burn center (1995–2012). Patient demographics and injury characteristics were collected from medical records, and clinical and coroner databases. Resource costs included average cost per day at our intensive care and rehabilitation program, transportation, and property loss. During the study period there were 1,557 residential fire-related deaths province-wide and 1,139 patients were admitted to our provincial burn center due to a flame injury occurring at home. At our burn center, the average cost was CAN$84,678 per patient with a total cost of CAN$96,448,194. All resources totaled CAN$3,605,775,200. This study shows the considerable healthcare costs of burn patients from homes without fire sprinklers. PMID:25412056

[Cement burns: a 10-year retrospective study in our burn unit. About 55 cases].

PubMed

Besset, M; Quignon, R; Dhennin, C; Yassine, A; Penaud, A

2014-06-01

Although cement burns represents only a small percentage of admissions to burn centers, their diagnosis and treatment are specific. Our retrospective study concerns all patients treated for cement burns in our unit between 1999 and 2009. This is the largest series described. Fifty-five patients, aged from 23 to 63, were treated in our burn unit from 1999 to 2009. A review of medical and socioeconomic data was made from computer data files. This population is predominantly male, young and active. These burns occurred mainly in a domestic accident situation (78.2%). Burns were limited but deep and concerned especially lower limbs. The average duration of treatment was 39days. Forty-four patients were treated medically. The mean duration of sick live for these patients was 63 days. It was only of 21 days for those treated surgically. Aesthetic and functional sequelae were present in 88% of medically treated patients and in 18% of patients treated surgically. This study demonstrates that early surgical diagnosis and the coverage (care) of these burns allows to limit the socioeconomic echo and to reduce the risk of after-effects for this population of patients mainly young and active. The necessity of strengthening the precautionary measures with these users who are informed enough about the risks incurred during the misuse of the cement is also a reality. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

The status of statewide burn prevention legislation.

PubMed

Hammond, J

1993-01-01

Successful programs in injury prevention can focus on changing an individual's attitude and behavior or on creating and amending the environment to reduce the likelihood of injury. To investigate the latter approach as it pertains to burn prevention, the American Burn Association Burn Prevention Committee catalogued statewide legislation (as opposted to county or municipal ordinances) in major areas of burn and fire prevention. Burn reporting was generally viewed by state fire marshals as a means to apprehend arsonists or investigate child abuse, as opposed to collect demographic data for injury prevention. Smoke detectors are mandated in new residential construction by the majority of states; however, one in six still leave this to local initiatives. Sprinkler systems have generally not been addressed by state legislation. The committee concludes that pursuing statewide legislative agendas as an area of burn and injury prevention is open to further initiatives.

Lawn mower-related burns.

PubMed

Still, J; Orlet, H; Law, E; Gertler, C

2000-01-01

Lawn mower-related injuries are fairly common and are usually caused by the mower blades. Burns may also be associated with the use of power lawn mowers. We describe 27 lawn mower-related burn injuries of 24 male patients and 3 female patients. Three of the patients with burn injuries were children. Burn sizes ranged from 1% to 99% of the total body surface area (mean, 18.1%). Two of the patients died. The hospital stay ranged from 1 day to 45 days. Twenty-six injuries involved gasoline, which is frequently associated with refueling accidents. Safety measures should involve keeping children away from lawn mowers that are being used. The proper use and storage of gasoline is stressed.

The use of botulinum toxin in the management of burns itching: preliminary results.

PubMed

Akhtar, N; Brooks, P

2012-12-01

Itching is a common and well recognised problem following burns. As the underlying pathways involved in burns itch have been identified, different pharmacological agents have been introduced to improve the effectiveness of management regimes. We present preliminary data from an on-going study in the use of botulinum toxin as a novel agent in the treatment of this problem. Patients with recalcitrant itching secondary to burns treated with Botox(©) were identified. Data pertaining to burn size, depth and management were recorded. The delay in the onset of the itch, its severity and the speed and duration of any improvement in symptoms were also noted. 10 patients were identified. 1 patient was excluded. Average follow-up was 11.3 months. All patients had deep partial thickness to full thickness burns. Eight patients underwent grafting. The average burn was 24% TBSA. 87.5% of patients rated their burns itch as being severe (>7 on the pain scale). Following the administration of Botox(©) this fell to 0 out of 10 at 4 weeks. The average duration of the symptom free period was nine months (range 3-18 months). Botox(©) can successfully be used to treat burns itch that are resistant to conventional therapies. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

The Healing Effect of Arnebia Euchroma Ointment versus Silver Sulfadiazine on Burn Wounds in Rat

PubMed Central

Nasiri, Ebrahim; Hosseinimehr, Seyed Jalal; Azadbakht, Mohammad; Akbari, Jafar; Enayati-Fard, Reza; Azizi, Sohail; Azadbakht, Masoud

2015-01-01

BACKGROUND Burn is still a majordevastating condition in emergency medicine departments among both genders and all age groups in all developed and developing countries, leading to physical, psychological scars and economical burden. The present study aimed to determine the healing effect of topical treatment with Arnebia euchroma on second-degree burn wound in rats. METHODS Fifty rats were divided into 4 equal groups receiving the ointment base, normal saline (NS), standard 1% silver sulfadiazine (SSD), and 5% and 10% Arnebia euchroma ointments (AEO). The mean of burn area, percentage of wound contraction, histopathological and bacteriological assessments in the injured area were dtermined during the study. RESULTS Average area of wound on the 10th day was 10.2±2.3, 8.4±2.6, 12.4±2.5, 5.9±2.2 and 5.7±2 cm2 for ointment base, NS, 1% SSD, and 5% and 10% AEO, respectively. Wound size was significantly lower in 10% AEO than 1% SSD and control groups on the 10th day post-burn injury. On day 11, the percentage of wound contraction in 5% and 10% AEO was 53.9%±14.7% and 55.9±10.5% which was more than 1% SSD (15.3±10.8%). The collagen fibers were well formed and horizontally-oriented in 5% and 10% AEO groups when compared with other groups. CONCLUSION Arnebia euchroma ointment was an effective treatment for healing of burn wounds in comparison with SSD and can be regarded as an alternative topical treatment for burn wounds. PMID:26284182

The largest forest fires in Portugal: the constraints of burned area size on the comprehension of fire severity.

PubMed

Tedim, Fantina; Remelgado, Ruben; Martins, João; Carvalho, Salete

2015-01-01

Portugal is a European country with highest forest fires density and burned area. Since beginning of official forest fires database in 1980, an increase in number of fires and burned area as well as appearance of large and catastrophic fires have characterized fire activity in Portugal. In 1980s, the largest fires were just a little bit over 10,000 ha. However, in the beginning of 21st century several fires occurred with a burned area over 20,000 ha. Some of these events can be classified as mega-fires due to their ecological and socioeconomic severity. The present study aimed to discuss the characterization of large forest fires trend, in order to understand if the largest fires that occurred in Portugal were exceptional events or evidences of a new trend, and the constraints of fire size to characterize fire effects because, usually, it is assumed that larger the fire higher the damages. Using Portuguese forest fire database and satellite imagery, the present study showed that the largest fires could be seen at the same time as exceptional events and as evidence of a new fire regime. It highlighted the importance of size and patterns of unburned patches within fire perimeter as well as heterogeneity of fire ecological severity, usually not included in fire regime description, which are critical to fire management and research. The findings of this research can be used in forest risk reduction and suppression planning.

Chemical and Common Burns in Children.

PubMed

Yin, Shan

2017-05-01

Burns are a common cause of preventable morbidity and mortality in children. Thermal and chemical burns are the most common types of burns. Their clinical appearance can be similar and the treatment is largely similar. Thermal burns in children occur primarily after exposure to a hot surface or liquid, or contact with fire. Burns are typically classified based on the depth and total body surface area, and the severity and onset of the burn can also depend on the temperature and duration of contact. Chemical burns are caused by chemicals-most commonly acids and alkalis-that can damage the skin on contact. In children, the most common cause of chemical burns is from household products such as toilet bowl cleaners, drain cleaners, detergents, and bleaches. Mild chemical burns generally cause redness and pain and can look similar to other common rashes or skin infections, whereas severe chemical burns are more extreme and may cause redness, blistering, skin peeling, and swelling.

Characterisation of the impact of open biomass burning on urban air quality in Brisbane, Australia.

PubMed

He, Congrong; Miljevic, Branka; Crilley, Leigh R; Surawski, Nicholas C; Bartsch, Jennifer; Salimi, Farhad; Uhde, Erik; Schnelle-Kreis, Jürgen; Orasche, Jürgen; Ristovski, Zoran; Ayoko, Godwin A; Zimmermann, Ralf; Morawska, Lidia

2016-05-01

Open biomass burning from wildfires and the prescribed burning of forests and farmland is a frequent occurrence in South-East Queensland (SEQ), Australia. This work reports on data collected from 10 to 30 September 2011, which covers the days before (10-14 September), during (15-20 September) and after (21-30 September) a period of biomass burning in SEQ. The aim of this project was to comprehensively quantify the impact of the biomass burning on air quality in Brisbane, the capital city of Queensland. A multi-parameter field measurement campaign was conducted and ambient air quality data from 13 monitoring stations across SEQ were analysed. During the burning period, the average concentrations of all measured pollutants increased (from 20% to 430%) compared to the non-burning period (both before and after burning), except for total xylenes. The average concentration of O3, NO2, SO2, benzene, formaldehyde, PM10, PM2.5 and visibility-reducing particles reached their highest levels for the year, which were up to 10 times higher than annual average levels, while PM10, PM2.5 and SO2 concentrations exceeded the WHO 24-hour guidelines and O3 concentration exceeded the WHO maximum 8-hour average threshold during the burning period. Overall spatial variations showed that all measured pollutants, with the exception of O3, were closer to spatial homogeneity during the burning compared to the non-burning period. In addition to the above, elevated concentrations of three biomass burning organic tracers (levoglucosan, mannosan and galactosan), together with the amount of non-refractory organic particles (PM1) and the average value of f60 (attributed to levoglucosan), reinforce that elevated pollutant concentration levels were due to emissions from open biomass burning events, 70% of which were prescribed burning events. This study, which is the first and most comprehensive of its kind in Australia, provides quantitative evidence of the significant impact of open biomass burning

Conifer regeneration on burned and unburned clearcuts on granitic soils of the Klamath National Forest

Treesearch

Danny Heavilan

1977-01-01

Regeneration was studied on a mixed conifer stand on granitic soils on the Klamath National Forest. Six years after logging and hand planting with Douglas-fir, stocking and growth on cutblocks where slash had been broadcast burned was compared with that on similar unburned cutblocks. Conifers were seven times more plentiful on the unburned areas, the average height of...

Topical Antimicrobials for Burn Wound Infections

PubMed Central

Dai, Tianhong; Huang, Ying-Ying; Sharma, Sulbha K.; Hashmi, Javad T.; Kurup, Divya B.; Hamblin, Michael R.

2010-01-01

Throughout most of history, serious burns occupying a large percentage of body surface area were an almost certain death sentence because of subsequent infection. A number of factors such as disruption of the skin barrier, ready availability of bacterial nutrients in the burn milieu, destruction of the vascular supply to the burned skin, and systemic disturbances lead to immunosuppression combined together to make burns particularly susceptible to infection. In the 20th century the introduction of antibiotic and antifungal drugs, the use of topical antimicrobials that could be applied to burns, and widespread adoption of early excision and grafting all helped to dramatically increase survival. However the relentless increase in microbial resistance to antibiotics and other antimicrobials has led to a renewed search for alternative approaches to prevent and combat burn infections. This review will cover patented strategies that have been issued or filed with regard to new topical agents, preparations, and methods of combating burn infections. Animal models that are used in preclinical studies are discussed. Various silver preparations (nanocrystalline and slow release) are the mainstay of many approaches but antimicrobial peptides, topical photodynamic therapy, chitosan preparations, new iodine delivery formulations, phage therapy and natural products such as honey and essential oils have all been tested. This active area of research will continue to provide new topical antimicrobials for burns that will battle against growing multi-drug resistance. PMID:20429870

Is location of burns related to outcome? A comparison between burns on extremities and burns on head and/or trunk in patients with low to intermediate TBSA in a burn center in The Netherlands.

PubMed

Menger, Tirsa; Krijnen, Pieta; Tuinebreijer, Willem E; Breederveld, Roelf S

2014-01-01

In the literature no study was found about the effect of location of burns on outcome. The objective of this retrospective study was to investigate the effect of location on outcome parameters of 371 patients, admitted to our burn center from January 2009 to December 2011. The patients were included in the study if more than 80% of the burn(s) was localized either on the extremities or on the head and/or trunk. Two groups of TBSA were elaborated, low: 0 to 5% and intermediate: 5 to 15%. Two-hundred ninety-two patients (78.7%) had a low TBSA (<5%) and 79 (21.3%) an intermediate TBSA (5-15%). None of the included patients died. The patients with an intermediate TBSA were on average 8.0 days longer admitted compared with the patients with a low TBSA adjusted for age and depth (95% confidence interval: 6.5-9.4). The patients with burns on the head and/or trunk were more often admitted to the intensive care unit, mostly as a result of suspected inhalation injury (6.2 vs 0.9%; P = .008). More complications were seen in the intermediate TBSA group. In this study no difference in outcome was found between burns on the head and/or trunk or on extremities. The patients with burns on the head and/or trunk group are more frequently admitted to intensive care.

Blood transfusions in severe burn patients: Epidemiology and predictive factors.

PubMed

Wu, Guosheng; Zhuang, Mingzhu; Fan, Xiaoming; Hong, Xudong; Wang, Kangan; Wang, He; Chen, Zhengli; Sun, Yu; Xia, Zhaofan

2016-12-01

Blood is a vital resource commonly used in burn patients; however, description of blood transfusions in severe burns is limited. The purpose of this study was to describe the epidemiology of blood transfusions and determine factors associated with increased transfusion quantity. This is a retrospective study of total 133 patients with >40% total body surface area (TBSA) burns admitted to the burn center of Changhai hospital from January 2008 to December 2013. The study characterized blood transfusions in severe burn patients. Univariate and Multivariate regression analyses were used to evaluate the association of clinical variables with blood transfusions. The overall transfusion rate was 97.7% (130 of 133). The median amount of total blood (RBC and plasma), RBC and plasma transfusions was 54 units (Interquartile range (IQR), 20-84), 19 units (IQR, 4-37.8) and 28.5 units (IQR, 14.8-51.8), respectively. The number of RBC transfusion in and outside operation room was 7 (0, 14) and 11 (2, 20) units, and the number of plasma was 6 (0.5, 12) and 21 (11.5, 39.3) units. A median of one unit of blood was transfused per TBSA and an average of 4 units per operation was given in the series. The consumption of plasma is higher than that of RBC. On multivariate regression analysis, age, full-thickness TBSA and number of operations were significant independent predictors associated with the number of RBC transfusion, and coagulopathy and ICU length showed a trend toward RBC consumption. Predictors for increased plasma transfusion were female, high full-thickness TBSA burn and more operations. Severe burn patients received an ample volume of blood transfusions. Fully understanding of predictors of blood transfusions will allow physicians to better optimize burn patients during hospitalization in an effort to use blood appropriately. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Assault by burning in Jordan.

PubMed

Haddadin, W

2012-12-31

Criminal attacks by burns on women in Jordan are highlighted in this retrospective study carried out of all proved cases of criminal burns in female patients treated at the burn unit of the Royal Rehabilitation Center in Jordan between January 2005 and June 2012. Thirteen patients were included in our study, out of a total of 550 patients admitted, all in the age range of 16-45 yr. Of these 13 women, six were burned by acid throwing, five by hot water, and two by direct flames from fuel thrown over them. Burn percentage ranged from 15 to 75% of the total body surface area, with involvement in most cases of the face and upper trunk. The mean hospital stay was 33 days and the mortality rate was 3/13, i.e. 23%. Violence against women exists in Jordanian society, yet burning assaults are rare. Of these, burning by throwing acid is the most common and most disfiguring act, with a higher mortality rate in domestic environments.

Size-dependent validation of MODIS MCD64A1 burned area over six vegetation types in boreal Eurasia: Large underestimation in croplands.

PubMed

Zhu, Chunmao; Kobayashi, Hideki; Kanaya, Yugo; Saito, Masahiko

2017-07-05

Pollutants emitted from wildfires in boreal Eurasia can be transported to the Arctic, and their subsequent deposition could accelerate global warming. The Moderate Resolution Imaging Spectroradiometer (MODIS) MCD64A1 burned area product is the basis of fire emission products. However, uncertainties due to the "moderate resolution" (500 m) characteristic of the MODIS sensor could be introduced. Here, we present a size-dependent validation of MCD64A1 with reference to higher resolution (better than 30 m) satellite products (Landsat 7 ETM+, RapidEye, WorldView-2, and GeoEye-1) for six ecotypes over 12 regions of boreal Eurasia. We considered the 2012 boreal Eurasia burning season when severe wildfires occurred and when Arctic sea ice extent was historically low. Among the six ecotypes, we found MCD64A1 burned areas comprised only 13% of the reference products in croplands because of inadequate detection of small fires (<100 ha). Our results indicate that over all ecotypes, the actual burned area in boreal Eurasia (15,256 km 2 ) could have been ~16% greater than suggested by MCD64A1 (13,187 km 2 ) when applying the correction factors proposed in this study. This implies the effects of wildfire emissions in boreal Eurasia on Arctic warming could be greater than currently estimated.

30 CFR 57.6903 - Burning explosive material.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Burning explosive material. 57.6903 Section 57... General Requirements-Surface and Underground § 57.6903 Burning explosive material. If explosive material is suspected of burning at the blast site, persons shall be evacuated from the endangered area and...

30 CFR 57.6903 - Burning explosive material.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Burning explosive material. 57.6903 Section 57... General Requirements-Surface and Underground § 57.6903 Burning explosive material. If explosive material is suspected of burning at the blast site, persons shall be evacuated from the endangered area and...

30 CFR 57.6903 - Burning explosive material.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Burning explosive material. 57.6903 Section 57... General Requirements-Surface and Underground § 57.6903 Burning explosive material. If explosive material is suspected of burning at the blast site, persons shall be evacuated from the endangered area and...

30 CFR 57.6903 - Burning explosive material.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Burning explosive material. 57.6903 Section 57... General Requirements-Surface and Underground § 57.6903 Burning explosive material. If explosive material is suspected of burning at the blast site, persons shall be evacuated from the endangered area and...

30 CFR 57.6903 - Burning explosive material.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Burning explosive material. 57.6903 Section 57... General Requirements-Surface and Underground § 57.6903 Burning explosive material. If explosive material is suspected of burning at the blast site, persons shall be evacuated from the endangered area and...

Comparison Between Civilian Burns and Combat burns From Operation Iraqi Freedom and Operation Enduring Freedom

DTIC Science & Technology

2006-06-01

to the average burn size reported from the ABA Burn Registry in 1995 (14% TBSA).20 We also found that the time to death in those who died, time on...after a prolonged stay in theater (up to 30 days, COL (retired) Basil A. Pruitt, personal commu- nication). They found a mortality rate of 7.9% in...from the green books that you know about. When we have that, we may be able to make that same comparison from the Vietnam era. DR. BASIL A. PRUITT, JR

Analyses of biomass burning contribution to aerosol in Zhengzhou during wheat harvest season in 2015

NASA Astrophysics Data System (ADS)

Chen, Hongyang; Yin, Shasha; Li, Xiao; Wang, Jia; Zhang, Ruiqin

2018-07-01

Ambient PM2.5 samples were collected in suburban area of Zhengzhou, China to investigate the impact of straw open burning on local aerosol during wheat harvest season in 2015. Secondary formation and accumulation processes were found under unfavorable meteorological conditions through the chemical composition analysis in PM2.5. And spatial and temporal variation of the agricultural activities were observed through MODIS fire spots data combined with back trajectory analysis. Results showed elevated levoglucosan was affected directly during biomass burning episodes and transportation periods. In order to estimate the contribution, levoglucosan/K+ combined with levoglucosan/mannosan were analyzed to identify biomass burning sources. And the results showed that levoglucosan were emitted from straw burning mixing with softwood combustion during the study period, emphasizing that wood combustion for households was non-negligible which consists part of the levoglucosan background in Zhengzhou aerosol. Based on emission factors (levoglucosan/OC or levoglucosan/PM2.5) summarized by laboratory simulation experiments, the study period was divided into 7 depending on the former characteristics to estimate the contribution of biomass burning to aerosol, and the average contributions of biomass burning emission to OC and PM2.5 were 46% and 13% relatively, indicating biomass burning have a significant impact on ambient aerosol levels during harvest season.

Burn me twice, shame on who? Interactions between successive forest fires across a temperate mountain region.

PubMed

Harvey, Brian J; Donato, Daniel C; Turner, Monica G

2016-09-01

Increasing rates of natural disturbances under a warming climate raise important questions about how multiple disturbances interact. Escalating wildfire activity in recent decades has resulted in some forests re-burning in short succession, but how the severity of one wildfire affects that of a subsequent wildfire is not fully understood. We used a field-validated, satellite-derived, burn-severity atlas to assess interactions between successive wildfires across the US Northern Rocky Mountains a 300,000-km 2 region dominated by fire-prone forests. In areas that experienced two wildfires between 1984 and 2010, we asked: (1) How do overall frequency distributions of burn-severity classes compare between first and second fires? (2) In a given location, how does burn severity of the second fire relate to that of the first? (3) Do interactions between successive fires vary by forest zone or the interval between fires? (4) What factors increase the probability of burning twice as stand-replacing fire? Within the study area, 138,061 ha burned twice between 1984 and 2010. Overall, frequency distributions of burn severity classes (low, moderate, high; quantified using relativized remote sensing indices) were similar between the first and second fires; however burn severity was 5-13% lower in second fires on average. Negative interactions between fires were most pronounced in lower-elevation forests and woodlands, when fire intervals were <10 yr, and when burn severity was low in the first fire. When the first fire burned as high severity and fire intervals exceeded 10-12 yr, burn-severity interactions switched from negative to positive, with high-severity fire begetting subsequent high-severity fire. Locations most likely to experience successive stand-replacing fires were high-elevation forests, which are adapted to high-severity fire, and areas conducive to abundant post-fire tree regeneration. Broadly similar severities among short-interval "re-burns" and other

Accuracy of real time radiography burning rate measurement

NASA Astrophysics Data System (ADS)

Olaniyi, Bisola

The design of a solid propellant rocket motor requires the determination of a propellant's burning-rate and its dependency upon environmental parameters. The requirement that the burning-rate be physically measured, establishes the need for methods and equipment to obtain such data. A literature review reveals that no measurement has provided the desired burning rate accuracy. In the current study, flash x-ray modeling and digitized film-density data were employed to predict motor-port area to length ratio. The pre-fired port-areas and base burning rate were within 2.5% and 1.2% of their known values, respectively. To verify the accuracy of the method, a continuous x-ray and a solid propellant rocket motor model (Plexiglas cylinder) were used. The solid propellant motor model was translated laterally through a real-time radiography system at different speeds simulating different burning rates. X-ray images were captured and the burning-rate was then determined. The measured burning rate was within 1.65% of the known values.

Postwildfire debris flows hazard assessment for the area burned by the 2011 Track Fire, northeastern New Mexico and southeastern Colorado

USGS Publications Warehouse

Tillery, Anne C.; Darr, Michael J.; Cannon, Susan H.; Michael, John A.

2011-01-01

In June 2011, the Track Fire burned 113 square kilometers in Colfax County, northeastern New Mexico, and Las Animas County, southeastern Colorado, including the upper watersheds of Chicorica and Raton Creeks. The burned landscape is now at risk of damage from postwildfire erosion, such as that caused by debris flows and flash floods. This report presents a preliminary hazard assessment of the debris-flow potential from basins burned by the Track Fire. A pair of empirical hazard-assessment models developed using data from recently burned basins throughout the intermountain western United States were used to estimate the probability of debris-flow occurrence and volume of debris flows at the outlets of selected drainage basins within the burned area. The models incorporate measures of burn severity, topography, soils, and storm rainfall to estimate the probability and volume of post-fire debris flows following the fire. In response to a design storm of 38 millimeters of rain in 30 minutes (10-year recurrence-interval), the probability of debris flow estimated for basins burned by the Track fire ranged between 2 and 97 percent, with probabilities greater than 80 percent identified for the majority of the tributary basins to Raton Creek in Railroad Canyon; six basins that flow into Lake Maloya, including the Segerstrom Creek and Swachheim Creek basins; two tributary basins to Sugarite Canyon, and an unnamed basin on the eastern flank of the burned area. Estimated debris-flow volumes ranged from 30 cubic meters to greater than 100,000 cubic meters. The largest volumes (greater than 100,000 cubic meters) were estimated for Segerstrom Creek and Swachheim Creek basins, which drain into Lake Maloya. The Combined Relative Debris-Flow Hazard Ranking identifies the Segerstrom Creek and Swachheim Creek basins as having the highest probability of producing the largest debris flows. This finding indicates the greatest post-fire debris-flow impacts may be expected to Lake Maloya

Hydrologic Impact of Straw Mulch On Runoff from a Burned Area for Various Soil Water Content

NASA Astrophysics Data System (ADS)

Carnicle, M. M.; Moody, J. A.; Ahlstrom, A. K.

2011-12-01

Mountainous watersheds often exhibit increases in runoff and flash floods after wildfires. During 11 days of September 2010, the Fourmile Canyon wildfire burned 2500 hectares of the foothills of the Rocky Mountains near Boulder, Colorado. In an effort to minimize the risk of flash floods after the wildfire, Boulder County aerially applied straw mulch on high-risk areas selected primarily on the basis of their slopes and burn severities. The purpose of this research is to investigate the hydrologic response, specifically runoff, of a burned area where straw mulch is applied. We measured the runoff, at different soil water contents, from 0.8-m diameter plots. Paired plots were installed in June 2011 in a basin burned by the Fourmile Canyon Fire. Two sets of bounded, paired plot (two control and two experimental plots) were calibrated for 35 days without straw on either plot by measuring volumetric soil water content 2-3 times per week and measuring total runoff from each storm. Straw (5 cm thick) was added to the two experimental plots on 19 July 2011 and also to the funnels of two visual rain gages in order to measure the amount of rainfall absorbed by the straw. Initial results during the calibration period showed nearly linear relations between the volumetric soil water content of the control and experimental plots. The regression line for the runoff from the control versus the runoff from the experiment plot did not fit a linear trend; the variability may have been caused by two intense storms, which produced runoff that exceeded the capacity of the runoff gages. Also, during the calibration period, when soil water content was low the runoff coefficients were high. It is anticipated that the final results will show that the total runoff is greater on plots with no straw compared to those with straw, under conditions of various antecedent soil water content. We are continuing to collect data during the summer of 2011 to test this hypothesis.

Assessment of the vegetation cover in a burned area 22-years ago using remote sensing techniques and GIS analysis (Sierra de las Nieves, South of Spain).

NASA Astrophysics Data System (ADS)

Martínez-Murillo, Juan F.; Remond, Ricardo; Ruiz-Sinoga, José D.

2015-04-01

The study aim was to characterize the vegetation cover in a burned area 22-years ago considering the previous situation to wildfire in 1991 and the current one in 2013. The objectives were to: (i) compare the current and previous vegetation cover to widlfire; (ii) evaluate whether the current vegetation has recovered the previous cover to wildfire; and (iii) determine the spatial variability of vegetation recovery after 22-years since the wildfire. The study area is located in Sierra de las Nieves, South of Spain. It corresponds to an area affected by a wildfire in August 8th, 1991. The burned area was equal to 8156 ha. The burn severity was spatially very high. The main geographic features of the burned area are: mountainous topography (altitudes ranging from 250 m to 1500 m; slope gradient >25%; exposure mainly southfacing); igneous (peridotites), metamorphic (gneiss) and calcareous rocks (limestones); and predominant forest land use (Pinus pinaster sp. woodlands, 10%; pinus opened forest + shrubland, 40%; shrubland, 35%; and bare soil + grassland, 15%). Remote sensing techniques and GIS analysis has been applied to achieve the objectives. Landsat 5 and Landsat 8 images were used: July 13th, 1991 and July 1st, 2013, for the previous wildfire situation and 22-years after, respectively. The 1990 CORINE land cover was also considered to map 1991 land uses prior the wildfire. Likewise, the Andalucía Regional Government wildfire historic records were used to select the burned area and its geographical limit. 1991 and 2013 land cover map were obtained by means of object-oriented classifications. Also, NDVI and PVI1 vegetation indexes were calculated and mapped for both years. Finally, some images transformations and kernel density images were applied to determine the most recovered areas and to map the spatial concentration of bare soil and pine cover areas in 1991 and 2013, respectively. According to the results, the combination of remote sensing and GIS analysis let

Prescribed burning in the South: trends, purpose, and barriers

Treesearch

Terry K. Haines; Rodney L. Busby; David A. Cleaves

2001-01-01

The results of a survey of fire management officials concerning historical and projected prescribed burning activity in the South are reported. Prescribed burning programs on USDA Forest Service and private and State-owned lands are described in terms of area burned by ownership and State, intended resource benefits, barriers to expanded burning, and optimum burning...

Outcomes of burns in the elderly: revised estimates from the Birmingham Burn Centre.

PubMed

Wearn, Christopher; Hardwicke, Joseph; Kitsios, Andreas; Siddons, Victoria; Nightingale, Peter; Moiemen, Naiem

2015-09-01

Outcomes after burn have continued to improve over the last 70 years in all age groups including the elderly. However, concerns have been raised that survival gains have not been to the same magnitude in elderly patients compared to younger age groups. The aims of this study were to analyze the recent outcomes of elderly burn injured patients admitted to the Birmingham Burn Centre, compare data with a historical cohort and published data from other burn centres worldwide. A retrospective review was conducted of all patients ≥65 years of age, admitted to our centre with cutaneous burns, between 2004 and 2012. Data was compared to a previously published historical cohort (1999-2003). 228 patients were included. The observed mortality for the study group was 14.9%. The median age of the study group was 79 years, the male to female ratio was 1:1 and median Total Body Surface Area (TBSA) burned was 5%. The incidence of inhalation injury was 13%. Median length of stay per TBSA burned for survivors was 2.4 days/% TBSA. Mortality has improved in all burn size groups, but differences were highly statistically significant in the medium burn size group (10-20% TBSA, p≤0.001). Burn outcomes in the elderly have improved over the last decade. This reduction has been impacted by a reduction in overall injury severity but is also likely due to general improvements in burn care, improved infrastructure, implementation of clinical guidelines and increased multi-disciplinary support, including Geriatric physicians. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

[Effect of prescribed burning on grassland nitrogen gross mineralization and nitrification].

PubMed

Li, Yuzhong; Zhu, Tingcheng; Li, Jiandong; Zhou, Daowei

2003-02-01

The seasonal dynamics of nitrogen gross mineralization, nitrification, and mineral nitrogen consumption rates in burned and unburned Leymus chinensis grasslands were studied with 15N pool dilution technique. The results indicated that the gross mineralization and nitrification rates in burned area were higher than those in unburned area in April and May, and lower than those in unburned area in September. NH4(+)-N consumption rates were higher than unburned area in April and May, and lower in September. NO3(-)-N consumption rates were higher than control in April and May, and lower than control in July and September. The NH4(+)-N concentrations were higher in burned area in April, May and July, and no difference in September. NO3(-)-N concentrations were no difference between burned and unburned areas in April and May, and higher in burned areas in July and September.

Combat-related facial burns: analysis of strategic pitfalls.

PubMed

Johnson, Benjamin W; Madson, Andrew Q; Bong-Thakur, Sarah; Tucker, David; Hale, Robert G; Chan, Rodney K

2015-01-01

Burns constitute approximately 10% of all combat-related injuries to the head and neck region. We postulated that the combat environment presents unique challenges not commonly encountered among civilian injuries. The purpose of the present study was to determine the features commonly seen among combat facial burns that will result in therapeutic challenges and might contribute to undesired outcomes. The present study was a retrospective study performed using a query of the Burn Registry at the US Army Institute of Surgical Research Burn Center for all active duty facial burn admissions from October 2001 to February 2011. The demographic data, total body surface area of the burn, facial region body surface area involvement, and dates of injury, first operation, and first facial operation were tabulated and compared. A subset analysis of severe facial burns, defined by a greater than 7% facial region body surface area, was performed with a thorough medical record review to determine the presence of associated injuries. Of all the military burn injuries, 67.1% (n = 558) involved the face. Of these, 81.3% (n = 454) were combat related. The combat facial burns had a mean total body surface area of 21.4% and a mean facial region body surface area of 3.2%. The interval from the date of the injury to the first operative encounter was 6.6 ± 0.8 days and was 19.8 ± 2.0 days to the first facial operation. A subset analysis of the severe facial burns revealed that the first facial operation and the definitive coverage operation was performed at 13.45 ± 2.6 days and 31.9 ± 4.1 days after the injury, respectively. The mortality rate for this subset of patients was 32% (n = 10), with a high rate of associated inhalational injuries (61%, n = 19), limb amputations (29%, n = 9), and facial allograft usage (48%, n = 15) and a mean facial autograft thickness of 10.5/1,000th in. Combat-related facial burns present multiple challenges, which can contribute to suboptimal long

Foot burns: epidemiology and management.

PubMed

Hemington-Gorse, S; Pellard, S; Wilson-Jones, N; Potokar, T

2007-12-01

This is a retrospective study of the epidemiology and management of isolated foot burns presenting to the Welsh Centre for Burns from January 1998 to December 2002. A total of 289 were treated of which 233 were included in this study. Approximately 40% were in the paediatric age group and the gender distribution varied dramatically for adults and children. In the adult group the male:female ratio was 3.5:1, however in the paediatric group the male:female ratio was more equal (1.6:1). Scald burns (65%) formed the largest group in children and scald (35%) and chemical burns (32%) in adults. Foot burns have a complication rate of 18% and prolonged hospital stay. Complications include hypertrophic scarring, graft loss/delayed healing and wound infection. Although isolated foot burns represent a small body surface area, over half require treatment as in patients to allow for initial aggressive conservative management of elevation and regular wound cleansing to avoid complications. This study suggests a protocol for the initial acute management of foot burns. This protocol states immediate referral of all foot burns to a burn centre, admission of these burns for 24-48 h for elevation, regular wound cleansing with change of dressings and prophylactic antibiotics.

Hydrophone area-averaging correction factors in nonlinearly generated ultrasonic beams

NASA Astrophysics Data System (ADS)

Cooling, M. P.; Humphrey, V. F.; Wilkens, V.

2011-02-01

The nonlinear propagation of an ultrasonic wave can be used to produce a wavefield rich in higher frequency components that is ideally suited to the calibration, or inter-calibration, of hydrophones. These techniques usually use a tone-burst signal, limiting the measurements to harmonics of the fundamental calibration frequency. Alternatively, using a short pulse enables calibration at a continuous spectrum of frequencies. Such a technique is used at PTB in conjunction with an optical measurement technique to calibrate devices. Experimental findings indicate that the area-averaging correction factor for a hydrophone in such a field demonstrates a complex behaviour, most notably varying periodically between frequencies that are harmonics of the centre frequency of the original pulse and frequencies that lie midway between these harmonics. The beam characteristics of such nonlinearly generated fields have been investigated using a finite difference solution to the nonlinear Khokhlov-Zabolotskaya-Kuznetsov (KZK) equation for a focused field. The simulation results are used to calculate the hydrophone area-averaging correction factors for 0.2 mm and 0.5 mm devices. The results clearly demonstrate a number of significant features observed in the experimental investigations, including the variation with frequency, drive level and hydrophone element size. An explanation for these effects is also proposed.

Use of healthcare a long time after severe burn injury; relation to perceived health and personality characteristics.

PubMed

Wikehult, B; Willebrand, M; Kildal, M; Lannerstam, K; Fugl-Meyer, A R; Ekselius, L; Gerdin, B

2005-08-05

The aim of the study was to evaluate which factors are associated with the use of healthcare a long time after severe burn injury. After a review process based on clinical reasoning, 69 former burn patients out of a consecutive group treated at the Uppsala Burn Unit from 1980--1995 were visited in their homes and their use of care and support was assessed in a semi-structured interview. Post-burn health was assessed with the Burn-Specific Health Scale-Brief (BSHS-B) and personality was assessed with the Swedish universities Scales of Personality (SSP). The participants were injured on average eight years previously. Thirty-four had current contact with healthcare due to their burn injury and had significantly lower scores on three BSHS-B-domains: Simple Abilities, Work and Hand function, and significantly higher scores for the SSP-domain Neuroticism and the SSP-scales Stress Susceptibility, Lack of Assertiveness, and lower scores for Social Desirability. There was no relation to age, gender, time since injury, length of stay, or to the surface area burned. A routine screening of personality traits as a supplement to long-term follow-ups may help in identifying the patient's need for care.

A METHOD FOR DETERMINING THE RADIALLY-AVERAGED EFFECTIVE IMPACT AREA FOR AN AIRCRAFT CRASH INTO A STRUCTURE

DOE Office of Scientific and Technical Information (OSTI.GOV)

Walker, William C.

This report presents a methodology for deriving the equations which can be used for calculating the radially-averaged effective impact area for a theoretical aircraft crash into a structure. Conventionally, a maximum effective impact area has been used in calculating the probability of an aircraft crash into a structure. Whereas the maximum effective impact area is specific to a single direction of flight, the radially-averaged effective impact area takes into consideration the real life random nature of the direction of flight with respect to a structure. Since the radially-averaged effective impact area is less than the maximum effective impact area, themore » resulting calculated probability of an aircraft crash into a structure is reduced.« less

Development and evaluation of a novel smart device-based application for burn assessment and management.

PubMed

Godwin, Zachary; Tan, James; Bockhold, Jennifer; Ma, Jason; Tran, Nam K

2015-06-01

We have developed a novel software application that provides a simple and interactive Lund-Browder diagram for automatic calculation of total body surface area (TBSA) burned, fluid formula recommendations, and serial wound photography on a smart device platform. The software was developed for the iPad (Apple, Cupertino, CA) smart device platforms. Ten burns ranging from 5 to 95% TBSA were computer generated on a patient care simulator using Adobe Photoshop CS6 (Adobe, San Jose, CA). Burn clinicians calculated the TBSA first using a paper-based Lund-Browder diagram. Following a one-week "washout period", the same clinicians calculated TBSA using the smart device application. Simulated burns were presented in a random fashion and clinicians were timed. Percent TBSA burned calculated by Peregrine vs. the paper-based Lund-Browder were similar (29.53 [25.57] vs. 28.99 [25.01], p=0.22, n=7). On average, Peregrine allowed users to calculate burn size significantly faster than the paper form (58.18 [31.46] vs. 90.22 [60.60]s, p<0.001, n=7). The smart device application also provided 5 megapixel photography capabilities, and acute burn resuscitation fluid calculator. We developed an innovative smart device application that enables accurate and rapid burn size assessment to be cost-effective and widely accessible. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

Hardwood control using pelleted herbicides and burning

Treesearch

James H. Miller

1982-01-01

Treatments using combinations of pelletized herbicides with prescribe burning were tested for planting site preparation on steep terrain (>35% slopes) in the Alabama Piedmont. Mixed forests of southern pines, oaks, and hickories occupied areas before logging. Three burning treatments (no-burn, pre- and post-harvest) were applied randomly among three 4-acre major...

East Peak Fire Burn Scar, Colorado [annotated

NASA Image and Video Library

2017-12-08

On June 22, 2013, the Operational Land Imager (OLI) on Landsat 8 captured this false-color image of the East Peak fire burning in southern Colorado near Trinidad. Burned areas appear dark red, while actively burning areas look orange. Dark green areas are forests; light green areas are grasslands. Lightning ignited the blaze on June 19, 2013. By June 25, it had burned nearly 13,500 acres (5,500 hectares). NASA Earth Observatory image by Jesse Allen and Robert Simmon, using Landsat data from the U.S. Geological Survey. Caption by Adam Voiland. Instrument: Landsat 8 - OLI More images from this event: 1.usa.gov/14DesQC Credit: NASA Earth Observatory NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Evaluation of biomass burning across North West Europe and its impact on air quality

NASA Astrophysics Data System (ADS)

Cordell, R. L.; Mazet, M.; Dechoux, C.; Hama, S. M. L.; Staelens, J.; Hofman, J.; Stroobants, C.; Roekens, E.; Kos, G. P. A.; Weijers, E. P.; Frumau, K. F. A.; Panteliadis, P.; Delaunay, T.; Wyche, K. P.; Monks, P. S.

2016-09-01

Atmospheric particulate pollution is a significant problem across the EU and there is concern that there may be an increasing contribution from biomass burning, driven by rising fuel prices and an increased interest in the use of renewable energy sources. This study was carried out to assess current levels of biomass burning and the contribution to total PM10 across five sites in North-West Europe; an area which is frequently affected by poor air quality. Biomass burning was quantified by the determination of levoglucosan concentrations from PM10 aerosol filters collected over a 14 month period in 2013/2014 and continued for a further 12 months at the UK site in Leicester. Levoglucosan levels indicated a distinct period of increased biomass combustion between November and March. Within this period monthly average concentrations ranged between 23 ± 9.7 and 283 ± 163 ng/m3, with Lille showing consistently higher levels than the sites in Belgium, the Netherlands and the UK. The estimated contribution to PM10 was, as expected, highest in the winter season where the season average percentage contribution was lowest in Wijk aan Zee at 2.7 ± 1.4% and again highest in Lille at 11.6 ± 3.8%, with a PM10 mass concentration from biomass that ranged from 0.56 μg/m3 in Leicester to 2.08 μg/m3 in Lille. Overall there was poor correlation between the levoglucosan concentrations measured at the different sites indicating that normally biomass burning would only affect atmospheric particulate pollution in the local area; however, there was evidence that extreme burning events such as the Easter fires traditionally held in parts of North-West Europe can have far wider ranging effects on air quality. Network validation measurements were also taken using a mobile monitoring station which visited the fixed sites to carry out concurrent collections of aerosol filters; the result of which demonstrated the reliability of both PM10 and levoglucosan measurements.

Previous fires moderate burn severity of subsequent wildland fires in two large western US wilderness areas

Treesearch

Sean A. Parks; Carol Miller; Cara R. Nelson; Zachary A. Holden

2014-01-01

Wildland fire is an important natural process in many ecosystems. However, fire exclusion has reduced frequency of fire and area burned in many dry forest types, which may affect vegetation structure and composition, and potential fire behavior. In forests of the western U.S., these effects pose a challenge for fire and land managers who seek to restore the ecological...

Basic investigation into the present burn care system in China: burn units, doctors, nurses, beds and special treatment equipment.

PubMed

Zhanzeng, Feng; Yurong, Zheng; Chuangang, You; Yunyun, Jin; Xingang, Wang; Zhaofan, Xia; Chunmao, Han

2015-03-01

The aim of the study was to survey the current burn units in China to understand the burn care system in the country and supply basic data for the National Burn Repository of China (NBRC) and further research. A questionnaire was developed and sent to burn unit directors in China via e-mail, which was followed up with reminder text messages to obtain information for the study. Of the 405 hospitals from the 31 provinces in mainland China that responded to the questionnaire, 63.7% of the responses came from Grade 3A hospitals, and the most popular model of organisation was the Burns and Plastic Surgery arrangement (63.0%). An average of 9.43±0.351 doctors work in each burn unit with 70.4% of all units having 4-11 doctors. The ratio of chief surgeon to associate chief surgeon to attending surgeon to resident surgeon and surgeon assistant was 1:1.8:2.2:2.3. An average of 30% of all doctors in each burn unit held postgraduate degrees, and more than 90% of all surgeons held a bachelor's degree or higher. There were 16.48±0.637 nurses per burn unit, 56.5% of burn units had 8-15 nurses, and the ratio of chief nurse to associate chief nurse to supervisor nurse to nurse practitioner to junior nurse was 1:11.8:57.0:82.1:86.1. More than 80% of all nurses had received a college education or above. However, only 30% of nurses held bachelor's degrees or higher, while only 0.66% of nurses had received postgraduate degrees. A total of 39.91±1.50 beds were available in each burn unit and 45% of burn units had 20-39 beds. Up to 70% of the total beds were prepared for patients with burn, and more than 10% of the beds were specifically for patients with severe burn. The ratios of doctors to nurses, beds to doctors, beds to nurses, and beds to doctors and nurses were 0.64±0.01, 4.48±0.12, 2.67±0.09, and 1.66±0.06, respectively. The workload of each doctor and nurse was most heavy in units with 40-59 beds. In addition, we estimated that there were 0.05, 0.5, 0.8, and 1.9 burn

[Enteral nutrition in burn patients].

PubMed

Pereira, J L; Garrido, M; Gómez-Cía, T; Serrera, J L; Franco, A; Pumar, A; Relimpio, F; Astorga, R; García-Luna, P P

1992-01-01

Nutritional support plays an important role in the treatment of patients with burns. Due to the severe hypercatabolism that develops in these patients, oral support is insufficient in most cases, and this makes it essential to initiate artificial nutritional support (either enteral or parenteral). Enteral nutrition is more physiological than parenteral, and data exist which show that in patients with burns, enteral nutrition exercises a protective effect on the intestine and may even reduce the hypermetabolic response in these patients. The purpose of the study was to evaluate the effectiveness and tolerance of enteral nutritional support with a hypercaloric, hyperproteic diet with a high content of branched amino acids in the nutritional support of patients suffering from burns. The study included 12 patients (8 males and 4 females), admitted to the Burns Unit. Average age was 35 +/- 17 years (range: 21-85 years). The percentage of body surface affected by the burns was 10% in two cases, between 10-30% in three cases, between 30-50% in five cases and over 50% in two cases. Initiation of the enteral nutrition was between twenty-four hours and seven days after the burn. The patients were kept in the unit until they were discharged, and the average time spent in the unit was 31.5 days (range: 17-63 days). Total energetic requirements were calculated based on Harris-Benedict, with a variable aggression factor depending on the body surface burned, which varied from 2,000 and 4,000 cal day. Nitrogenous balance was determined on a daily basis, and plasmatic levels of total proteins, albumin and prealbumin on a weekly basis. There was a significant difference between the prealbumin values at the initiation and finalization of the enteral nutrition (9.6 +/- 2.24 mg/dl compared with 19.75 +/- 5.48 mg/dl; p < 0.001). The nitrogenous balance improved, changing from -5.4 in the second week to positive values by the fourth and fifth weeks of treatment. Tolerance to the enteral

Early excision and grafting versus delayed excision and grafting of deep thermal burns up to 40% total body surface area: a comparison of outcome

PubMed Central

Saaiq, M.; Zaib, S.; Ahmad, S.

2012-01-01

Summary This is a study of 120 patients of either sex and all ages who had sustained deep burns of up to 40% of the total body surface area. Half the patients underwent early excision and skin autografting (i.e., within 4-7 days of sustaining burn injury) while the rest underwent delayed excision and skin autografting (i.e., within 1-4 weeks post-burn). Significant differences were found in favour of the early excision and grafting group with regard to the various burn management outcome parameters taken into consideration, i.e. culture positivity of wounds, graft take, duration of post-graft hospitalization, and mortality. PMID:23467391

[Experimental determination of the time-dependent extent of after-burning with reference to possibilities of the plastic surgery reconstruction of 3d degree burns].

PubMed

Bäumer, F; Henrich, H A; Ussmüller, J

1986-02-01

The present experiments try to answer the question as to the time-dependent extent of the after-burning process after full-thickness burn (third degree). For an early plastic surgical treatment it was of interest to determine the most early time of escharotomy. The time-dependent spreading of the after-burning area reached its maximum five days after the burn injury. The after-burning area was marked by intravenous injections of Patentblau which caused distinct intravital colouring. Subsequently no further progress could be observed. In the present experiments we suggest this time as the earliest time for plastic covering in case it would be dependent upon the end of the after-burning process.

Global burned-land estimation in Latin America using MODIS composite data.

PubMed

Chuvieco, Emilio; Opazo, Sergio; Sione, Walter; Del Valle, Hector; Anaya, Jesús; Di Bella, Carlos; Cruz, Isabel; Manzo, Lilia; López, Gerardo; Mari, Nicolas; González-Alonso, Federico; Morelli, Fabiano; Setzer, Alberto; Csiszar, Ivan; Kanpandegi, Jon Ander; Bastarrika, Aitor; Libonati, Renata

2008-01-01

This paper presents results of the AQL2004 project, which has been develope within the GOFC-GOLD Latin American network of remote sensing and forest fires (RedLatif). The project intended to obtain monthly burned-land maps of the entire region, from Mexico to Patagonia, using MODIS (moderate-resolution imaging spectroradiometer) reflectance data. The project has been organized in three different phases: acquisition and preprocessing of satellite data; discrimination of burned pixels; and validation of results. In the first phase, input data consisting of 32-day composites of MODIS 500-m reflectance data generated by the Global Land Cover Facility (GLCF) of the University of Maryland (College Park, Maryland, U.S.A.) were collected and processed. The discrimination of burned areas was addressed in two steps: searching for "burned core" pixels using postfire spectral indices and multitemporal change detection and mapping of burned scars using contextual techniques. The validation phase was based on visual analysis of Landsat and CBERS (China-Brazil Earth Resources Satellite) images. Validation of the burned-land category showed an agreement ranging from 30% to 60%, depending on the ecosystem and vegetation species present. The total burned area for the entire year was estimated to be 153 215 km2. The most affected countries in relation to their territory were Cuba, Colombia, Bolivia, and Venezuela. Burned areas were found in most land covers; herbaceous vegetation (savannas and grasslands) presented the highest proportions of burned area, while perennial forest had the lowest proportions. The importance of croplands in the total burned area should be taken with reserve, since this cover presented the highest commission errors. The importance of generating systematic products of burned land areas for different ecological processes is emphasized.

Assault by burning in Jordan

PubMed Central

Haddadin, W.

2012-01-01

Summary Criminal attacks by burns on women in Jordan are highlighted in this retrospective study carried out of all proved cases of criminal burns in female patients treated at the burn unit of the Royal Rehabilitation Center in Jordan between January 2005 and June 2012. Thirteen patients were included in our study, out of a total of 550 patients admitted, all in the age range of 16-45 yr. Of these 13 women, six were burned by acid throwing, five by hot water, and two by direct flames from fuel thrown over them. Burn percentage ranged from 15 to 75% of the total body surface area, with involvement in most cases of the face and upper trunk. The mean hospital stay was 33 days and the mortality rate was 3/13, i.e. 23%. Violence against women exists in Jordanian society, yet burning assaults are rare. Of these, burning by throwing acid is the most common and most disfiguring act, with a higher mortality rate in domestic environments. PMID:23766757

Epidemiology and screening of intentional burns in children in a Dutch burn centre.

PubMed

Bousema, Sara; Stas, Helene G; van de Merwe, Marjolijn H; Oen, Irma M M H; Baartmans, Martin G A; van Baar, Margriet E

2016-09-01

International estimates of the incidence of non-accidental burns (NAB) in children admitted to burn centres vary from 1% to 25%. Hardly any data about Dutch figures exist. The aim of this study was to evaluate the incidence, treatment and outcome of burns due to suspected child abuse in paediatric burns. We described the process of care and outcome, including the accuracy of the SPUTOVAMO screening tool and examined child, burn and treatment characteristics related to suspicions of child abuse or neglect. A retrospective study was conducted in children aged 0-17 years with a primary admission after burn injuries to the burn centre Rotterdam in the period 2009-2013. Data on patient, injury and treatment characteristics were collected, using the Dutch Burn Repository R3. In addition, medical records were reviewed. In 498 paediatric admissions, suspected child abuse or neglect was present in 43 children (9%). 442 screening questionnaires (89%) were completed. In 52 out of 442 questionnaires (12%) the completed SPUTOVAMO had one or more positive signs. Significant independent predictors for suspected child abuse were burns in the genital area or buttocks (OR=3.29; CI: 143-7.55) and a low socio-economic status (OR=2.52; 95%CI: 1.30-4.90). The incidence of suspected child abuse indicating generation of additional support in our population is comparable to studies with a similar design in other countries. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Semi-arid grassland bird responses to patch-burn grazing and drought

USGS Publications Warehouse

Skagen, Susan K.; Augustine, David J.; Derner, Justin D.

2018-01-01

As grassland birds of central North America experience steep population declines with changes in land use, management of remaining tracts becomes increasingly important for population viability. The integrated use of fire and grazing may enhance vegetation heterogeneity and diversity in breeding birds, but the subsequent effects on reproduction are unknown. We examined the influence of patch-burn grazing management in shortgrass steppe in eastern Colorado on habitat use and reproductive success of 3 grassland bird species, horned lark (Eremophila alpestris), lark bunting (Calamospiza melanocorys), and McCown’s longspur (Rhynchophanes mccownii), at several spatial scales during 2011 and 2012. Although no simple direct relationship to patch-burn grazing treatment existed, habitat selection depended on precipitation- and management-induced vegetation conditions and spatial scale. All species selected taller-than-expected vegetation at the nest site, whereas at the territory scale, horned larks and McCown’s longspurs selected areas with low vegetation height and sparse cover of tall plants (taller than the dominant shortgrasses). Buntings nested primarily in unburned grassland under average rainfall. Larks and longspurs shifted activity from patch burns during average precipitation (2011) to unburned pastures during drought (2012). Daily survival rate (DSR) of nests varied with time in season, species, weather, and vegetation structure. Daily survival rate of McCown’s longspur nests did not vary with foliar cover of relatively tall vegetation at the nest under average precipitation but declined with increasing cover during drought. At the 200-m scale, increasing cover of shortgrasses, rather than taller plant species, improved DSR of larks and longspurs. These birds experience tradeoffs in the selection of habitat at different spatial scales: tall structure at nests may reduce visual detection by predators and provide protection from sun, wind, and rain, yet

Car radiator burns: a prevention issue.

PubMed

Rabbitts, Angela; Alden, Nicole E; Conlin, Tara; Yurt, Roger W

2004-01-01

Scald burns continue to be the major cause of injury to patients admitted to the burn center. Scald burns occurring from car radiator fluid comprise a significant subgroup. Although manufacturer warning labels have been placed on car radiators, these burns continue to occur. This retrospective review looks at all patients admitted to our burn center who suffered scald burns from car radiator fluid to assess the extent of this problem. During the study period, 86 patients were identified as having suffered scald burns as a result of contact with car radiator fluid. Seventy-one percent of the burn injuries occurred in the summer months. The areas most commonly burned were the head and upper extremities. Burn prevention efforts have improved greatly over the years; however, this study demonstrates that scald burns from car radiator fluid continue to cause physical, emotional, and financial devastation. The current radiator warning labels alone are not effective. The National Highway Traffic Safety Administration has proposed a new federal motor vehicle safety standard to aid in decreasing the number of scald burns from car radiators. The results of this study were submitted to the United States Department of Transportation for inclusion in a docket for federal legislation supporting these safety measures.

When a hero becomes a patient: firefighter burn injuries in the National Burn Repository.

PubMed

Matt, Sarah E; Shupp, Jeffery W; Carter, Elizabeth A; Flanagan, Katherine E; Jordan, Marion H

2012-01-01

Firefighters receive significant training and are outfitted with state-of-the-art protective equipment. However, given the unpredictable nature of their work environment, injuries still occur. The National Burn Repository (NBR) was viewed as a resource for defining the epidemiology of these injuries on a national level and to identify predictive factors for outcomes in this population. The NBR was queried for the occupation of "firefighter" for the years 1990-2008. Records were screened for completeness, and 597 patients were identified for analysis. Data examined included demographics, %TBSA burn, length of stay (LOS), injury circumstance, and disposition. Multiple linear regression models were created to determine factors related to outcome measures. The majority of patients were white (84%) and male (96%). The mean age was 35 years. Most injuries were caused by fire/flame (73%). Only six deaths (1%) were reported. Most injuries were work-related (86%), and most patients were discharged home (92%). Inhalation injury was documented in 9% of patients. The mean LOS was 6.5 ± 11.3 days (median 2 days), and few patients had critical care requirements. The average %TBSA was 6 ± 11.7%. Patients with larger injuries had increased LOS. The presence of inhalation injury, elevated carboxyhemoglobin levels, and advancing age were significantly associated with larger burns. From the NBR data, most firefighter burn injuries were small, and few firefighter burn patients required critical care resources or had significant disability. Firefighters comprise a small number of burn center admissions each year, yet they are an important population to consider for burn prevention efforts.

Civilian blast-related burn injuries

PubMed Central

Patel, J.N.; Tan, A.; Dziewulski, P.

2016-01-01

Summary There is limited English literature describing the experience of a civilian hospital managing blast-related burn injuries. As the largest regional burn unit, we reviewed our cases with the aim of identifying means to improve current management. A 6-year retrospective analysis of all patients coded as sustaining blast-related burns was conducted through the unit’s burns database. Medical case notes were reviewed for information on burn demographics, management and outcomes. 42 patients were identified. Male to female ratio was 37:5. Age range was 12-84 years, (mean=33 years). Total body surface area (%TBSA) burn ranged from 0.25% to 60%, (median=1%). The most common burn injury was flame (31/42, 73.8%). Gas explosions were the most common mechanism of injury (19 cases; 45.2%). 7/42 cases (16.7%) had full ATLS management pre-transfer to the burns unit. The Injury Severity Score (ISS) ranged from 0-43 (median=2). 17/42 (40.4%) patients required admission. 37/36 (88.1%) patients were managed conservatively of which 1 patient later required surgery due to deeper burns. 5/42 (11.9%) patients required surgical management at presentation and these were noted to be burns with >15% TBSA requiring resuscitation. One case required emergency escharotomies and finger amputations. All patients survived their burn injuries. Blast-related burn injuries are generally uncommon in the civilian setting. Following proper assessment, most of these cases can be deemed as minor injuries and managed conservatively. Improvement in burns management education and training at local emergency departments would provide efficient patient care and avoid unnecessary referrals to a burns unit. PMID:27857651

Children with burns referred for child abuse evaluation: Burn characteristics and co-existent injuries.

PubMed

Pawlik, Marie-Christin; Kemp, Alison; Maguire, Sabine; Nuttall, Diane; Feldman, Kenneth W; Lindberg, Daniel M

2016-05-01

Intentional burns represent a serious form of physical abuse that must be identified to protect children from further harm. This study is a retrospectively planned secondary analysis of the Examining Siblings To Recognize Abuse (ExSTRA) network data. Our objective was to describe the characteristics of burns injuries in children referred to Child Abuse Pediatricians (CAPs) in relation to the perceived likelihood of abuse. We furthermore compare the extent of diagnostic investigations undertaken in children referred to CAPs for burn injuries with those referred for other reasons. Within this dataset, 7% (215/2890) of children had burns. Children with burns were older than children with other injuries (median age 20 months vs. 10 months). Physical abuse was perceived as likely in 40.9% (88) and unlikely in 59.1% (127). Scalds accounted for 52.6% (113) and contact burns for 27.6% (60). Several characteristics of the history and burn injury were associated with a significantly higher perceived likelihood of abuse, including children with reported inflicted injury, absent or inadequate explanation, hot water as agent, immersion scald, a bilateral/symmetric burn pattern, total body surface area ≥10%, full thickness burns, and co-existent injuries. The rates of diagnostic testing were significantly lower in children with burns than other injuries, yet the yield of skeletal survey and hepatic transaminases testing were comparable between the two groups. This would imply that children referred to CAPs for burns warrant the same level of comprehensive investigations as those referred for other reasons. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Modeling crop residue burning experiments to evaluate smoke emissions and plume transport.

PubMed

Zhou, Luxi; Baker, Kirk R; Napelenok, Sergey L; Pouliot, George; Elleman, Robert; O'Neill, Susan M; Urbanski, Shawn P; Wong, David C

2018-06-15

Crop residue burning is a common land management practice that results in emissions of a variety of pollutants with negative health impacts. Modeling systems are used to estimate air quality impacts of crop residue burning to support retrospective regulatory assessments and also for forecasting purposes. Ground and airborne measurements from a recent field experiment in the Pacific Northwest focused on cropland residue burning was used to evaluate model performance in capturing surface and aloft impacts from the burning events. The Community Multiscale Air Quality (CMAQ) model was used to simulate multiple crop residue burns with 2 km grid spacing using field-specific information and also more general assumptions traditionally used to support National Emission Inventory based assessments. Field study specific information, which includes area burned, fuel consumption, and combustion completeness, resulted in increased biomass consumption by 123 tons (60% increase) on average compared to consumption estimated with default methods in the National Emission Inventory (NEI) process. Buoyancy heat flux, a key parameter for model predicted fire plume rise, estimated from fuel loading obtained from field measurements can be 30% to 200% more than when estimated using default field information. The increased buoyancy heat flux resulted in higher plume rise by 30% to 80%. This evaluation indicates that the regulatory air quality modeling system can replicate intensity and transport (horizontal and vertical) features for crop residue burning in this region when region-specific information is used to inform emissions and plume rise calculations. Further, previous vertical emissions allocation treatment of putting all cropland residue burning in the surface layer does not compare well with measured plume structure and these types of burns should be modeled more similarly to prescribed fires such that plume rise is based on an estimate of buoyancy. Copyright © 2018 Elsevier B

Seasonal and Interannual Variations in BC Emissions From Open Biomass Burning in Southern Africa From 1998 to 2005

NASA Astrophysics Data System (ADS)

Ito, A.; Akimoto, H.

2006-12-01

We estimate the emissions of black carbon (BC) from open vegetation fires in southern hemisphere Africa from 1998 to 2005 using satellite information in conjunction with a biogeochemical model. Monthly burned areas at a 0.5-degree resolution are estimated from the Visible and Infrared Scanner (VIRS) fire count product and the Moderate Resolution Imaging Spectroradiometer (MODIS) burned area data set associated with the MODIS tree cover imagery in grasslands and woodlands. The monthly fuel load distribution is derived from a 0.5- degree terrestrial carbon cycle model in conjunction with satellite data. The monthly maps of combustion factor and emission factor are estimated using empirical models that predict the effects of fuel conditions on these factors in grasslands and woodlands. Our annual averaged BC emitted per unit area burned is 0.17 g BC m-2 which is consistent with the product of fuel consumption and emission factor typically measured in southern Africa. The BC emissions from open vegetation burning in southern Africa ranged from 0.26 Tg BC yr-1 for 2002 to 0.42 Tg BC yr-1 for 1998. The peak in BC emissions is identical to that from previous top-down estimate using the Total Ozone Mapping Spectrometer (TOMS) Aerosol Index (AI) data. The sum of monthly emissions during the burning season in 2000 is in good agreement between our estimate (0.38 Tg) and previous estimate constrained by numerical model and measurements (0.47 Tg).

The year in burns 2013.

PubMed

Wolf, Steven E; Phelan, Herbert A; Arnoldo, Brett D

2014-12-01

Approximately 3415 research articles were published with burns in the title, abstract, and/or keyword in 2013. We have continued to see an increase in this number; the following reviews articles selected from these by the Editor of one of the major journals (Burns) and colleagues that in their opinion are most likely to have effects on burn care treatment and understanding. As we have done before, articles were found and divided into the following topic areas: epidemiology of injury and burn prevention, wound and scar characterization, acute care and critical care, inhalation injury, infection, psychological considerations, pain and itching management, rehabilitation and long-term outcomes, and burn reconstruction. The articles are mentioned briefly with notes from the authors; readers are referred to the full papers for details. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

Creation of Consistent Burn Wounds: A Rat Model

PubMed Central

Cai, Elijah Zhengyang; Ang, Chuan Han; Raju, Ashvin; Tan, Kong Bing; Hing, Eileen Chor Hoong; Loo, Yihua; Wong, Yong Chiat; Lee, Hanjing; Lim, Jane; Moochhala, Shabbir M; Hauser, Charlotte AE

2014-01-01

Background Burn infliction techniques are poorly described in rat models. An accurate study can only be achieved with wounds that are uniform in size and depth. We describe a simple reproducible method for creating consistent burn wounds in rats. Methods Ten male Sprague-Dawley rats were anesthetized and dorsum shaved. A 100 g cylindrical stainless-steel rod (1 cm diameter) was heated to 100℃ in boiling water. Temperature was monitored using a thermocouple. We performed two consecutive toe-pinch tests on different limbs to assess the depth of sedation. Burn infliction was limited to the loin. The skin was pulled upwards, away from the underlying viscera, creating a flat surface. The rod rested on its own weight for 5, 10, and 20 seconds at three different sites on each rat. Wounds were evaluated for size, morphology and depth. Results Average wound size was 0.9957 cm2 (standard deviation [SD] 0.1845) (n=30). Wounds created with duration of 5 seconds were pale, with an indistinct margin of erythema. Wounds of 10 and 20 seconds were well-defined, uniformly brown with a rim of erythema. Average depths of tissue damage were 1.30 mm (SD 0.424), 2.35 mm (SD 0.071), and 2.60 mm (SD 0.283) for duration of 5, 10, 20 seconds respectively. Burn duration of 5 seconds resulted in full-thickness damage. Burn duration of 10 seconds and 20 seconds resulted in full-thickness damage, involving subjacent skeletal muscle. Conclusions This is a simple reproducible method for creating burn wounds consistent in size and depth in a rat burn model. PMID:25075351

A clinico-epidemiological study of rescuer burns.

PubMed

Basra, Baljeet Kumar; Suri, Manav P; Patil, Nilesh; Atha, Ravish; Patel, Natvar; Sachde, Jayesh P; Shaikh, M F

2014-08-01

Rescuer burn is a relatively newer terminology introduced to define the burns sustained by a person attempting to rescue a primary burn victim. Few studies have been published thus far on this peculiar type of burns. Due to the general neglect of the rescuer burns victim and discontinuation of treatment in most cases, once the primary victim dies, the rescuer often ends up in badly infected wounds and has a delayed return to work. A prospective study was conducted at the B J Medical College and Civil Hospital, Ahmedabad from January 2009 to December 2012 on the rescuer burns patients treated in its burns and plastic surgery department. 3074 patients of burns received treatment during the period of study. Of these, 48 patients gave the history of sustaining burns while trying to rescue a burns victim. Male to female ratio of rescuers was approximately 7:1. It was significantly higher as compared to the ratio of 1:0.8 of females to male burn victims observed at our centre (p≤0.01). Average age of the rescuers was higher in males as compared to females but the difference was not significant (p≥0.05). Of the 45 cases of female primary burns victims, male rescuer was husband of the primary victim in 41/45 cases (91.1%), mother was rescuer in three cases (6.6% cases) and sister was rescuer in one case. Though multiple people came to rescue a burns victim, in all cases, it was seen that it was the first rescuer who sustained burns himself or herself. None of the rescuers had any knowledge of the techniques and precautions to be taken while performing a rescue operation irrespective of their education status, indirectly pointing to the lack of any teaching on burns rescue in the school education curriculum. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

Impact of Work-Related Burn Injury on Social Reintegration Outcomes: A Life Impact Burn Recovery Evaluation (LIBRE) Study.

PubMed

Schneider, Jeffrey C; Shie, Vivian L; Espinoza, Leda F; Shapiro, Gabriel D; Lee, Austin; Acton, Amy; Marino, Molly; Jette, Alan; Kazis, Lewis E; Ryan, Colleen M

2017-11-26

To examine differences in long-term social reintegration outcomes for burn survivors with and without work-related injuries. Cross-sectional survey. Community-dwelling burn survivors. Burn survivors (N=601) aged ≥18 years with injuries to ≥5% total body surface area or burns to critical areas (hands, feet, face, or genitals). Not applicable. The Life Impact Burn Recovery Evaluation Profile was used to examine the following previously validated 6 scale scores of social participation: Family and Friends, Social Interactions, Social Activities, Work and Employment, Romantic Relationships, and Sexual Relationships. Older participants, those who were married, and men were more likely to be burned at work (P<.01). Burn survivors who were injured at work scored significantly lower on the Work and Employment scale score after adjusting for demographic and clinical characteristics (P=.01). All other domain scale scores demonstrated no significant differences between groups. Individuals with work-related injuries scored significantly worse on 6 of the 19 items within the Work and Employment scale (P<.05). These individuals were more likely to report that they were afraid to go to work and felt limited in their ability to perform at work. Burn survivors with work-related injuries report worse work reintegration outcomes than those without work-related injuries. Identification of those at higher risk for work reintegration challenges after burn injury may enable survivors, providers, employers, and insurers to better use appropriate resources to promote and target optimal employment outcomes. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Prescribed burning for oak savanna restoration in central Minnesota.

Treesearch

Alan S. White

1986-01-01

Low intensity, spring prescribed burns have been used since 1964 at the Cedar Creek Natural History Area in Minnesota in an attempt to restore the area to an oak savanna. Burned areas are now more savanna like (having greater grass and forb and lower shrub and lower tree representation) than unburned areas but still have higher overstory densities than apparently...

Heparin Reduced Mortality and Sepsis in Severely Burned Children

PubMed Central

Zayas, G.J.; Bonilla, A.M.; Saliba, M.J

2007-01-01

Summary Objectives. In El Salvador, before 1999, morbidity and mortality in severely burned children were high. In 1998, all children with burns of 40% or larger size died and sepsis was found. With heparin use in 1999, some similarly burned children survived, and sepsis, pain, procedures, and scars were noted to be less. This retrospective study presents the details. Methods. A study was conducted at the National Children's Hospital in El Salvador of all children with burns over 20% size treated in 1998, when no heparin was used, and in 1999, when heparin was added to burns treatment, using an ethics committee approved protocol in use in twelve other countries. Sodium aqueous heparin solution USP from an intestinal source was infused intravenously and applied topically onto burn surfaces and within blisters for the first 1-3 days post-burn. Then heparin, in diminishing doses, was continued only topically until healing. The treatments in 1998 and 1999 were otherwise the same, except that fewer procedures were needed in 1999. Results. There were no significant differences in gender, age, weight, burn aetiology, or burn size between the burned children in 1998 and those in 1999. Burn pain was relieved and pain medicine was not needed in children treated with heparin in 1999. In 1998, one child survived who had a 35% size burn, and the eight children died who had burns of 40% and over. The survival rate was one out of nine (11%). The average burn size was 51.7%. With heparin use in 1999, six of the ten children survived burns of 50.7% average size. The increase in survival with heparin from 11% to 60% and, therefore, the decrease in mortality from 89% to 40% were significant (p < 0.04). Clinical symptoms and positive blood cultures documented bacterial sepsis in the nine children in 1998. In 1999, the blood cultures for sepsis were positive in the four children who died and negative in the six who survived. The nine versus four differences in the incidence of sepsis

Post-fire debris-flow hazard assessment of the area burned by the 2013 Beaver Creek Fire near Hailey, central Idaho

USGS Publications Warehouse

Skinner, Kenneth D.

2013-01-01

A preliminary hazard assessment was developed for debris-flow hazards in the 465 square-kilometer (115,000 acres) area burned by the 2013 Beaver Creek fire near Hailey in central Idaho. The burn area covers all or part of six watersheds and selected basins draining to the Big Wood River and is at risk of substantial post-fire erosion, such as that caused by debris flows. Empirical models derived from statistical evaluation of data collected from recently burned basins throughout the Intermountain Region in Western United States were used to estimate the probability of debris-flow occurrence, potential volume of debris flows, and the combined debris-flow hazard ranking along the drainage network within the burn area and to estimate the same for analyzed drainage basins within the burn area. Input data for the empirical models included topographic parameters, soil characteristics, burn severity, and rainfall totals and intensities for a (1) 2-year-recurrence, 1-hour-duration rainfall, referred to as a 2-year storm (13 mm); (2) 10-year-recurrence, 1-hour-duration rainfall, referred to as a 10-year storm (19 mm); and (3) 25-year-recurrence, 1-hour-duration rainfall, referred to as a 25-year storm (22 mm). Estimated debris-flow probabilities for drainage basins upstream of 130 selected basin outlets ranged from less than 1 to 78 percent with the probabilities increasing with each increase in storm magnitude. Probabilities were high in three of the six watersheds. For the 25-year storm, probabilities were greater than 60 percent for 11 basin outlets and ranged from 50 to 60 percent for an additional 12 basin outlets. Probability estimates for stream segments within the drainage network can vary within a basin. For the 25-year storm, probabilities for stream segments within 33 basins were higher than the basin outlet, emphasizing the importance of evaluating the drainage network as well as basin outlets. Estimated debris-flow volumes for the three modeled storms range

Burns and military clothing.

PubMed

McLean, A D

2001-02-01

Burn injury is a ubiquitous threat in the military environment. The risks during combat are well recognised, but the handling of fuel, oil, munitions and other hot or flammable materials during peacetime deployment and training also imposes an inherent risk of accidental burn injury. Over the last hundred years, the burn threat in combat has ranged from nuclear weapons to small shoulder-launched missiles. Materials such as napalm and white phosphorus plainly present a risk of burn, but the threat extends to encompass personnel in vehicles attacked by anti-armour weapons, large missiles, fuel-air explosives and detonations/conflagrations on weapons platforms such as ships. Large numbers of burn casualties were caused at Pearl Harbor, in Hiroshima and Nagasaki, Vietnam, during the Arab/Israeli Wars and in the Falkland Islands conflict. The threat from burns is unlikely to diminish, indeed new developments in weapons seek to exploit the vulnerability of the serviceman and servicewoman to burns. Clothing can be a barrier to some types of burn--both inherently in the properties of the material, but also by trapping air between clothing layers. Conversely, ignition of the clothing may exacerbate a burn. There is hearsay that burnt clothing products within a wound may complicate the clinical management, or that materials that melt (thermoplastic materials) should not be worn if there is a burn threat. This paper explores the incidence of burn injury, the mechanisms of heat transfer to bare skin and skin covered by materials, and the published evidence for the complication of wound management by materials. Even light-weight combat clothing can offer significant protection to skin from short duration flash burns; the most vulnerable areas are the parts of the body not covered--face and hands. Multilayered combat clothing can offer significant protection for short periods from engulfment by flames; lightweight tropical wear with few layers offers little protection. Under

Recent acceleration of biomass burning and carbon losses in Alaskan forests and peatlands

USGS Publications Warehouse

Turetsky, M.R.; Kane, E.S.; Harden, J.W.; Ottmar, R.D.; Manies, K.L.; Hoy, E.; Kasischke, E.S.

2011-01-01

Climate change has increased the area affected by forest fires each year in boreal North America. Increases in burned area and fire frequency are expected to stimulate boreal carbon losses. However, the impact of wildfires on carbon emissions is also affected by the severity of burning. How climate change influences the severity of biomass burning has proved difficult to assess. Here, we examined the depth of ground-layer combustion in 178 sites dominated by black spruce in Alaska, using data collected from 31 fire events between 1983 and 2005. We show that the depth of burning increased as the fire season progressed when the annual area burned was small. However, deep burning occurred throughout the fire season when the annual area burned was large. Depth of burning increased late in the fire season in upland forests, but not in peatland and permafrost sites. Simulations of wildfire-induced carbon losses from Alaskan black spruce stands over the past 60 years suggest that ground-layer combustion has accelerated regional carbon losses over the past decade, owing to increases in burn area and late-season burning. As a result, soils in these black spruce stands have become a net source of carbon to the atmosphere, with carbon emissions far exceeding decadal uptake.

Burn-related factors affecting anxiety, depression and self-esteem in burn patients: an exploratory study.

PubMed

Jain, M; Khadilkar, N; De Sousa, A

2017-03-31

Burns are physically, psychologically and economically challenging injuries, and the factors leading to them are many and under-studied. The aim of the current study was to assess level of anxiety, depression and self-esteem in burn patients, and look at various burn-related variables that affect them. This cross-sectional study included 100 patients with burn injuries admitted to a tertiary care private hospital in an urban metropolis in India. The patients were assessed for anxiety, depression and self-esteem using the Hamilton anxiety rating scale, Hamilton depression rating scale and Rosenberg self-esteem scale respectively. Assessment was carried out within 2-8 weeks of injury following medical stabilization. The data was tabulated and statistically analyzed. The study sample was predominantly male (54%), married (69%), with a mean age of 34.1 ± 10.8 years. Accidental burns (94%) were the most common modality of injury. The majority (46%) suffered burns involving 20-59% total body surface area (TBSA), and facial burns were present (57%). No significant association was found between TBSA and anxiety, depression or self-esteem, and the same was true for facial burns. Deep burns, however, were significantly associated with anxiety (p=0.03) and depression (p=0.0002). High rates of anxiety and depression are associated with burn injuries and related to burn depth. Adjustment and recovery in these patients depends on various other factors like the patient's psychological status, nature/extent of the injury and ensuing medical care. Further research is warranted to reveal the magnitude and predictors of psychological problems in burn patients.

Epidemiology of burns caused by moxibustion in Korea.

PubMed

Yoon, Cheonjae; Cho, Young Soon; Park, Seungchoon; Chung, Sung Phil; Choi, Young Hwan

2016-11-01

Moxibustion, a traditional Chinese treatment that uses dried Artemisia argyi, is a common cause of burns treated in Korean hospitals. We aimed to examine the characteristics of moxibustion-induced burns. This retrospective study examined the records of 59 patients who were treated for moxibustion-induced burns (April 2014-October 2015). All patients completed a questionnaire regarding their general characteristics and moxibustion use. The patients included 16 men and 43 women (average age: 49.1 years, 68 burn sites). Superficial second-degree burns were present at 21 sites, deep second- or third-degree burns at 44 sites, and unknown burns at 3 sites. The most common sites were the lower extremities, abdomen, and upper extremities. The most common practitioners were the patients (27/59, 45.7%) and Oriental medicine practitioners (23/59, 38.9%). The most common locations were the patient's home, Oriental medicine clinic, and moxibustion clinic. The most common reason for moxibustion was pain. Only the burn site was significantly associated with burn depth, and non-abdominal sites were 9.37-fold more likely to involve deep burns (vs. abdominal sites). Korean patients routinely undergo moxibustion, and care must be taken when using moxibustion at non-abdominal sites, due to the risk of deep burns. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Operating efficiency of an emergency Burns theatre: An eight month analysis.

PubMed

Mohan, Arvind; Lutterodt, Christopher; Leon-Villapalos, Jorge

2017-11-01

The efficient use of operating theatres is important to insure optimum cost-benefit for the hospital. We used the emergency Burns theatre as a model to assess theatre efficiency at our institution. Data was collected retrospectively on every operation performed in the Burns theatre between 01/04/15 and 30/11/15. Each component of the operating theatre process was considered and integrated to calculate values for surgical/anaesthetic time, changeover time and ultimately theatre efficiency. A total of 426 operations were carried out over 887h of allocated theatre time (ATT). Actual operating time represented 67.7%, anaesthetic time 8.8% and changeover time 14.2% of ATT. The average changeover time between patients was 30.1min. Lists started on average 27.7min late each day. There were a total of 5.8h of overruns and 9.6h of no useful activity. Operating theatre efficiency was 69.3% for the 8 month period. Our study highlights areas where theatre efficiency can be improved. We suggest various strategies to improve this that may be applied universally. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

A model of ponderosa pine growth response to prescribed burning

Treesearch

Elaine Kennedy Sutherland; W. Wallace Covington; Steve Andariese

1991-01-01

Our objective was to model the radial growth response of individual ponderosa pines to prescribed burning in northern Arizona. We sampled 188 trees from two study areas, which were burned in 1976. Within each study area, control and burned trees were of similar age, vigor, height, and competition index. At Chimney Spring, trees were older, less vigorous, and taller and...

Potential impact of air quality restrictions on logging residue burning

Treesearch

Owen P. Cramer; James N. Westwood

1970-01-01

The number of potential burning days and the potential burn acreage under smoke control restrictions were estimated for hypothetical forest areas on both sides of a pollution prone area, the Willamette Valley in western Oregon. On the basis of a sample of 2 dry years, the greatest impact on burning operations applied to low elevation forests west of the Valley. The...

Burns inflicted by self or by others--an 11 year snapshot.

PubMed

Malic, C C; Karoo, R O S; Austin, O; Phipps, A

2007-02-01

In the United Kingdom, the incidence of assault by burning and of self inflicted burns increased significantly over the last decade. This has major implications both for service providers and society as a whole. Our aim was to investigate the differences in patients' characteristics, management and outcome following a burn sustained by either an assault or self immolation. Acute admissions to a tertiary Burn Centre were retrospectively reviewed over an 11 year period (1994-2005). Demographic data and information regarding the circumstances surrounding the incident, burn severity, treatment and outcomes of the patients were collected. Over an 11 year period, 1745 patients were admitted to the tertiary Burn Centre. Of this total, 41 patients (mean age 29 years+/-16) sustained burns following an assault, a further 86 patients (mean age of 37 years+/-12) had self inflicted burn injuries; males were preponderant in both groups. In this series, a history of alcohol or substance abuse was present in 25% of both cohorts, 63% of the patients with self inflicted injuries having a previously diagnosed psychiatric disorder. Petrol, accelerants and other flammable liquids were the main agents chosen to inflict injury in both the assault and self inflicted groups. The burn depth and surface area distribution was greater in the self inflicted group compared to those assaulted (29% versus 21%). A difference was also noted in the pattern of distribution of burns between the two groups, as well as between genders although this difference was not significant. Two-thirds (67.4%) of the self immolated patients and 56% of the assaulted group required surgery. The length of hospital stay was similar for both groups, averaging 20 days. The crude mortality for the self inflicted group was 29%, whereas in the assaulted patients, the overall mortality was 4.9%. Although the incidence of burns caused either by assault or attempted suicide is low, the affected patients require a

Desert tortoise use of burned habitat in the Eastern Mojave desert

USGS Publications Warehouse

Drake, Karla K.; Esque, Todd C.; Nussear, Kenneth E.; DeFalco, Lesley; Scoles, Sara; Modlin, Andrew T.; Medica, Philip A.

2015-01-01

Wildfires burned 24,254 ha of critical habitat designated for the recovery of the threatened Mojave desert tortoise (Gopherus agassizii) in southern Nevada during 2005. The proliferation of non-native annual grasses has increased wildfire frequency and extent in recent decades and continues to accelerate the conversion of tortoise habitat across the Mojave Desert. Immediate changes to vegetation are expected to reduce quality of critical habitat, yet whether tortoises will use burned and recovering habitat differently from intact unburned habitat is unknown. We compared movement patterns, home-range size, behavior, microhabitat use, reproduction, and survival for adult desert tortoises located in, and adjacent to, burned habitat to understand how tortoises respond to recovering burned habitat. Approximately 45% of home ranges in the post-fire environment contained burned habitat, and numerous observations (n = 12,223) corroborated tortoise use of both habitat types (52% unburned, 48% burned). Tortoises moved progressively deeper into burned habitat during the first 5 years following the fire, frequently foraging in burned habitats that had abundant annual plants, and returning to adjacent unburned habitat for cover provided by intact perennial vegetation. However, by years 6 and 7, the live cover of the short-lived herbaceous perennial desert globemallow (Sphaeralcea ambigua) that typically re-colonizes burned areas declined, resulting in a contraction of tortoise movements from the burned areas. Health and egg production were similar between burned and unburned areas indicating that tortoises were able to acquire necessary resources using both areas. This study documents that adult Mojave desert tortoises continue to use habitat burned once by wildfire. Thus, continued management of this burned habitat may contribute toward the recovery of the species in the face of many sources of habitat loss.

Improving burn care and preventing burns by establishing a burn database in Ukraine.

PubMed

Fuzaylov, Gennadiy; Murthy, Sushila; Dunaev, Alexander; Savchyn, Vasyl; Knittel, Justin; Zabolotina, Olga; Dylewski, Maggie L; Driscoll, Daniel N

2014-08-01

Burns are a challenge for trauma care and a contribution to the surgical burden. The former Soviet republic of Ukraine has a foundation for burn care; however data concerning burns in Ukraine has historically been scant. The objective of this paper was to compare a new burn database to identify problems and implement improvements in burn care and prevention in this country. Retrospective analyses of demographic and clinical data of burn patients including Tukey's post hoc test, analysis of variance, and chi square analyses, and Fisher's exact test were used. Data were compared to the American Burn Association (ABA) burn repository. This study included 1752 thermally injured patients treated in 20 hospitals including Specialized Burn Unit in Municipal Hospital #8 Lviv, Lviv province in Ukraine. Scald burns were the primary etiology of burns injuries (70%) and burns were more common among children less than five years of age (34%). Length of stay, mechanical ventilation use, infection rates, and morbidity increased with greater burn size. Mortality was significantly related to burn size, inhalation injury, age, and length of stay. Wound infections were associated with burn size and older age. Compared to ABA data, Ukrainian patients had double the length of stay and a higher rate of wound infections (16% vs. 2.4%). We created one of the first burn databases from a region of the former Soviet Union in an effort to bring attention to burn injury and improve burn care. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

The revised burn diagram and its effect on diagnosis-related group coding.

PubMed

Turner, D G; Berger, N; Weiland, A P; Jordan, M H

1996-01-01

Diagnosis-related group (DRG) codes for burn injuries are defined by thresholds of the percentage of total body surface area and depth of burns, and by whether surgery, debridement, or grafting or both occurred. This prospective study was designed to determine whether periodic revisions of the burn diagram resulted in more accurate assignment of the International Classification of Diseases and DRG codes. The admission burn diagrams were revised after admission and after each surgical procedure. All areas grafted (deep second-and third-degree burns) were diagrammed as "third-degree," after the current convention that both are biologically the same and require grafting. The multiple diagrams from 82 charts were analyzed to determine the disparities in the percentage of total body surface area burn and the percentage of body surface area third-degree burn. The revised diagrams differed from the admission diagrams in 96.5% of the cases. In 77% of the cases, the revised diagram correctly depicted the percentage of body surface area third-degree burn as confirmed intraoperatively. In 7.3% of the cases, diagram revision changed the DRG code. Documenting wound evolution in this manner allows more accurate assignment of the International Classification of Diseases and DRG codes, assuring optimal reimbursement under the prospective payment system.

Should dermal scald burns in children be covered with autologous skin grafts or with allogeneic cultivated keratinocytes?--"The Viennese concept".

PubMed

Rab, Matthias; Koller, Rupert; Ruzicka, Margot; Burda, Gudrun; Kamolz, Lars Peter; Bierochs, Bettina; Meissl, Guenther; Frey, Manfred

2005-08-01

The treatment of scald burns in children is still under discussion. The aim of the present study was to evaluate an optimised treatment regime for scald burns in children. Between 1997 and 2002, 124 children underwent surgical intervention due to burn injuries. Thirty-six out of these 124 children were enrolled into the evaluation of our recent treatment protocol. Twenty-two children with scald burns covering an average body surface area (TBSA) of 18.5% were treated by early excision and coverage with allogeneic keratinocytes in case of partial thickness lesions (keratinocyte group). Fourteen children with a TBSA of 17.2% were treated with autologous skin grafts alone (skin graft group). Both groups were comparable according to age, burn depth and affected TBSA. The complete clinical follow-up examination of at least 17 months was performed in 12 out of 22 children of the keratinocyte group and in 9 out of 14 patients of the comparative group. Visible scar formations were classified according to the Vancouver Scar Scale (VSS) in each patient. The use of allogeneic keratinocytes led to complete epithelialisation within 12 days in 20 of the 22 cases. No secondary skin grafting procedures had to be done. Skin take rate at the sixth postoperative day was 100% in the skin graft group. Blood transfusions were administered intraoperatively according to the clinical need of the patients by the responsible anaesthesiologist. The mean volume of blood, which had to be transfused was 63.9 ml in the keratinocyte group and significantly lower than the volume of 151.4 ml, which was administered in the skin graft group (p=0.04). At follow up the VSS observed in areas covered by keratinocytes was 2.33 on the average and therefore, significantly lower than the VSS of 5.22 in skin grafted areas of the comparative group (p=0.04). In children the use of cultivated keratinocytes in partial thickness scald burns is a procedure, which renders constantly reliable results. It minimizes the

On the averaging area for incident power density for human exposure limits at frequencies over 6 GHz

NASA Astrophysics Data System (ADS)

Hashimoto, Yota; Hirata, Akimasa; Morimoto, Ryota; Aonuma, Shinta; Laakso, Ilkka; Jokela, Kari; Foster, Kenneth R.

2017-04-01

Incident power density is used as the dosimetric quantity to specify the restrictions on human exposure to electromagnetic fields at frequencies above 3 or 10 GHz in order to prevent excessive temperature elevation at the body surface. However, international standards and guidelines have different definitions for the size of the area over which the power density should be averaged. This study reports computational evaluation of the relationship between the size of the area over which incident power density is averaged and the local peak temperature elevation in a multi-layer model simulating a human body. Three wave sources are considered in the frequency range from 3 to 300 GHz: an ideal beam, a half-wave dipole antenna, and an antenna array. 1D analysis shows that averaging area of 20 mm  ×  20 mm is a good measure to correlate with the local peak temperature elevation when the field distribution is nearly uniform in that area. The averaging area is different from recommendations in the current international standards/guidelines, and not dependent on the frequency. For a non-uniform field distribution, such as a beam with small diameter, the incident power density should be compensated by multiplying a factor that can be derived from the ratio of the effective beam area to the averaging area. The findings in the present study suggest that the relationship obtained using the 1D approximation is applicable for deriving the relationship between the incident power density and the local temperature elevation.

Effects of olive tree branches burning emissions on PM2.5 concentrations

NASA Astrophysics Data System (ADS)

Papadakis, G. Z.; Megaritis, A. G.; Pandis, S. N.

2015-07-01

An olive tree branches burning emission inventory for Greece is developed based on recently measured emission factors and the spatial distribution of olive trees. A three-dimensional chemical transport model (CTM), PMCAMx, is used to estimate the corresponding impact on PM2.5 concentrations during a typical winter period. Assuming that burning of olive tree branches takes place only during days with low wind speed and without precipitation, the contribution of olive tree branches burning emissions on PM2.5 levels is more significant during the most polluted days. Increases of hourly PM2.5 exceeding 50% and locally reaching up to 150% in Crete are predicted during the most polluted periods. On a monthly-average basis, the corresponding emissions are predicted to increase PM2.5 levels up to 1.5 μg m-3 (20%) in Crete and Peloponnese, where the largest fraction of olive trees is located, and by 0.4 μg m-3 (5%) on average over Greece. OA and EC levels increase by 20% and 13% respectively on average over Greece, and up to 70% in Crete. The magnitude of the effect is quite sensitive to burning practices. Assuming that burning of olive tree branches takes place during all days results in a smaller effect of burning on PM2.5 levels (9% increase instead of 20%). These results suggest that this type of agricultural waste burning is a major source of particulate pollution in the Mediterranean countries where this practice is prevalent during winter.

East Peak Fire Burn Scar, Colorado [high res

NASA Image and Video Library

2017-12-08

On June 22, 2013, the Operational Land Imager (OLI) on Landsat 8 captured this false-color image of the East Peak fire burning in southern Colorado near Trinidad. Burned areas appear dark red, while actively burning areas look orange. Dark green areas are forests; light green areas are grasslands. Lightning ignited the blaze on June 19, 2013. By June 25, it had burned nearly 13,500 acres (5,500 hectares). NASA Earth Observatory image by Jesse Allen and Robert Simmon, using Landsat data from the U.S. Geological Survey. Caption by Adam Voiland. Instrument: Landsat 8 - OLI More images from this event: 1.usa.gov/14DesQC Credit: NASA Earth Observatory NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Clinical application and viability of cryopreserved cadaveric skin allografts in severe burn: a retrospective analysis.

PubMed

Cleland, Heather; Wasiak, Jason; Dobson, Hannah; Paul, Michelle; Pratt, George; Paul, Eldho; Herson, Marisa; Akbarzadeh, Shiva

2014-02-01

Cadaveric cutaneous allografts are used in burns surgery both as a temporary bio-dressing and occasionally as definitive management of partial thickness burns. Nonetheless, limitations in the understanding of the biology of these grafts have meant that their role in burns surgery continues to be controversial. A review of all patients suffering 20% or greater total body surface area (TBSA) burns over an eight year period that received cadaveric allografts were identified. To investigate whether tissue viability plays a role in engraftment success, five samples of cryopreserved cadaveric cutaneous allograft processed at the Donor Tissue Bank of Victoria (DTBV) were submitted to our laboratory for viability analysis using two methods of Trypan Blue Exclusion and tetrazolium salt (MTT) assays. During the study period, 36 patients received cadaveric allograft at our institution. The average total burn surface area (TBSA) for this group of patients was 40% and all patients received cadaveric skin as a temporizing measure prior to definitive grafting. Cadaveric allograft was used in complicated cases such as wound contamination, where synthetic dressings had failed. Viability tests showed fewer than 30% viability in processed allografts when compared to fresh skin following the thawing process. However, the skin structure in the frozen allografts was histologically well preserved. Cryopreserved cutaneous cadaveric allograft has a positive and definite role as an adjunct to conventional dressing and grafting where available, particularly in patients with large TBSA burns. The low viability of cryopreserved specimens processed at DTBV suggests that cell viability in cadaveric allograft may not be essential for its clinical function as a wound dressing or even as permanent dermal substitute. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

Predictive Factors of Mortality in Burn Patients

PubMed Central

Fazeli, Shahram; Karami-Matin, Reza; Kakaei, Neda; Pourghorban, Samira; Safari-Faramani, Roya; Safari-Faramani, Bahare

2014-01-01

Background: Burn injuries impose a considerable burden on healthcare systems in Iran. It is among the top ten causes of mortality and a main cause of disability. Objectives: This study aimed to examine factors influencing mortality in burn patients admitted to the main educational tertiary referral hospital in Kermanshah. Patients and Methods: All patients admitted to the Imam Khomeini Hospital (from March 2011 to March 2012), due to thermal burn injuries were included in the study. We applied multiple logistic regressions to identify risk and protective factors of mortality. Also we calculated lethal area fifty percent (LA50), as an aggregate index for hospital quality. Results: During the study period, 540 burn patients were admitted. Male to female ratio was 1.12:1. Twenty three percent of the patients were less than 15 years-old. Median of age was 25 years (Inter Quartile Range, 16 - 37). Overall, probability of death was 25.8%. Lethal area fifty percent (LA50) was 50.82 (CI 95%: 47.76 - 54.48). In the final model, after adjustment of sex, age, total body surface area (TBSA), cause of burn and it’s severity, female gender (P < 0.05), age ≥ 60 years (in comparison with age less than 15 years, P < 0.05) and larger burn size (P < 0.0001) were identified as the main risk factors of death in these patients. Conclusions: Findings showed that the main risk factors of death were female gender, burn size and old age. Directing more attention to these vulnerable patients is required to reduce mortality and improve patient survival. PMID:24719826

Adult survivors' lived experience of burns and post-burn health: A qualitative analysis.

PubMed

Abrams, Thereasa E; Ogletree, Roberta J; Ratnapradipa, Dhitinut; Neumeister, Michael W

2016-02-01

The individual implications of major burns are likely to affect the full spectrum of patients' physical, emotional, psychological, social, environmental, spiritual and vocational health. Yet, not all of the post-burn health implications are inevitably negative. Utilizing a qualitative approach, this heuristic phenomenological study explores the experiences and perceptions early (ages 18-35) and midlife (ages 36-64) adults providing insight for how participants perceived their burns in relationship to their post-burn health. Participants were interviewed using semi-structured interview questions framed around seven domains of health. Interview recordings were transcribed verbatim then coded line by line, identifying dominant categories related to health. Categories were analyzed identifying shared themes among the study sample. Participants were Caucasian, seven males and one female. Mean age at time of interviews was 54.38 and 42.38 at time of burns. Mean time since burns occurred was 9.38 years with a minimum of (20%) total body surface area (TBSA) burns. Qualitative content analysis rendered three emergent health-related categories and associated themes that represented shared meanings within the participant sample. The category of "Physical Health" reflected the theme physical limitations, pain and sensitivity to temperature. Within the category of "Intellectual Health" were themes of insight, goal setting and self-efficacy, optimism and humor and within "Emotional Health" were the themes empathy and gratitude. By exploring subjective experiences and perceptions of health shared through dialog with experienced burned persons, there are opportunities to develop a more complete picture of how holistic health may be affected by major burns that in turn could support future long-term rehabilitative trajectories of early and midlife adult burn patients. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

The epidemiology of geriatric burns in Iran: A national burn registry-based study.

PubMed

Emami, Seyed-Abolhassan; Motevalian, Seyed Abbas; Momeni, Mahnoush; Karimi, Hamid

2016-08-01

Defining the epidemiology and outcome of geriatric burn patients is critical for specialized burn centers, health-care workers, and governments. Better resource use and effective guidelines are some of the advantages of studies focusing on this aspect. The outcome of these patients serves as an objective criterion for quality control, research, and preventive programs. We used data from the burn registry program in our country. For 2 years, >28,700 burn patients were recorded, 1721 of whom were admitted. Among them, 187 patients were ≥55 years old. Sixty-nine percent of patients were male and 31% female, with a male to female ratio of 2.22:1. The mean±standard deviation (SD) of age was 63.4±8.1. The cause of burns was flame (58.2%) and scalds (20.3%). Most of the burns were sustained at home. The mean duration of hospital stay was 19.5 days (range 3-59 days). The mean (SD) of the total body surface area (TBSA) was 20.3% (8.4%). The median hospital stay (length of stay (LOS)) was 11 days (SD=14). The increase in TBSA was related to a longer LOS (p<0.02). Burn wound infection developed in 44.3% of patients. The presence of inhalation injury was significantly related to mortality (p<0.001). Among the patients, 9% recovered completely, 74.9% recovered partially (requiring further treatment), 1% underwent amputation, and 12.8% died. The lack of insurance coverage did not affect the survival of our geriatric burn patients. However, being alone or single, ignition of clothing, cause of burn, comorbid illnesses, complications following the burn, TBSA, age, and sepsis were positively correlated with mortality. The mean cost of treatment for each patient was about $7450. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Methylated spirit burns: an ongoing problem.

PubMed

Jansbeken, J R H; Vloemans, A F P M; Tempelman, F R H; Breederveld, R S

2012-09-01

Despite many educational campaigns we still see burns caused by methylated spirit every year. We undertook a retrospective study to analyse the impact of this problem. We retrospectively collected data of all patients with burns caused by methylated spirit over twelve years from 1996 to 2008. Our main endpoints were: incidence, age, mechanism of injury, total body surface area (TBSA) burned, burn depth, need for surgery and length of hospital stay. Ninety-seven patients with methylated spirit burns were included. During the study period there was no decrease in the number of patients annually admitted to the burn unit with methylated spirit burns. 28% of the patients (n=27) were younger than eighteen years old, 15% (n=15) were ten years old or younger. The most common cause of burns was carelessness in activities involving barbecues, campfires and fondues. Mean TBSA burned was 16% (SD 12.4). 70% (n=68) had full thickness burns. 66% (n=64) needed grafting. Mean length of hospital stay was 23 days (SD 24.7). The use of methylated spirit is an ongoing problem, which continues to cause severe burns in adults and children. Therefore methylated spirit should be banned in households. We suggest sale only in specialised shops, clear labelling and mandatory warnings. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

Total sugars in atmospheric aerosols: An alternative tracer for biomass burning

NASA Astrophysics Data System (ADS)

Scaramboni, C.; Urban, R. C.; Lima-Souza, M.; Nogueira, R. F. P.; Cardoso, A. A.; Allen, A. G.; Campos, M. L. A. M.

2015-01-01

Ambient aerosols were collected in an agro-industrial region of São Paulo State (Brazil) between May 2010 and February 2012 (n = 87). The atmosphere of the study region is highly affected by the emissions of gases and particles from sugar and fuel ethanol production, because part of the area planted with sugarcane is still burned before manual harvesting. This work proposes the quantification of total sugars as an alternative chemical tracer of biomass burning, instead of levoglucosan. The quantification of total sugars requires a small area of a filter sample and a simple spectrophotometer, in contrast to the determination of levoglucosan, which is much more complex and time-consuming. Total sugars concentrations in the aerosol ranged from 0.28 to 12.5 μg m-3, and (similarly to levoglucosan) the emissions were significantly higher at night and during the sugarcane harvest period, when most agricultural fires occur. The linear correlation between levoglucosan and total sugars (r = 0.612) was stronger than between levoglucosan and potassium (r = 0.379), which has previously been used as a biomass burning tracer. In the study region, potassium is used in fertilizers, and this, together with substantial soil dust resuspension, makes potassium unsuitable for use as a tracer. On average, ca. 40% of the total sugars was found in particles smaller than 0.49 μm. By including data from previous work, it was possible to identify from 35 to 42% of the total sugars, with biomass burning making the largest contribution. The high solubility in water of these sugars means that determination of their concentrations could also provide important information concerning the hydrophilic properties of atmospheric aerosols.

Epidemiology of burn injuries in Nepal: a systemic review.

PubMed

Tripathee, Sanjib; Basnet, Surendra Jung

2017-01-01

Burn is a global public health problem associated with significant morbidity and mortality, mostly in low- and middle-income countries. Southeast-Asian countries share a big burden of burn injuries, and Nepal is not an exception. We performed a systemic review to examine the epidemiological characteristics of burn injures in Nepal. Relevant epidemiological studies were identified through systemic search in PubMed, EMBASE, and Google Scholar. Reference lists from relevant review articles were also searched. Studies were included if they meet our selection criteria. Eight studies were included in our systemic review. Most of the burn victims belong to the working age group between 15-60 years old. Flame burns were found to be the most common cause of burn injury followed by scald burns, whereas scald burns were the most common cause of burn injury among the pediatric population. Most patients sustained less severe burn injuries, with home being the most common place of burn injury. The average hospital stay among the burn victims ranged from 13 to 60 days. Mortality among the burn victims ranged from 4.5 to 23.5%, with highest mortality among the flame burn patients. Developed nations have significantly reduced the burn incidence through effective intervention program. Although, burn injuries are the leading cause of morbidity and mortality in Nepal, effective intervention programs are lacking due to the limited epidemiological data related to burn injuries. Further large scale research is imperative to investigate the problem and assess the effectiveness of an intervention program.

Cardiovascular risk profile in burn survivors.

PubMed

Leung, Becky; Younger, John F; Stockton, Kellie; Muller, Michael; Paratz, Jennifer

2017-11-01

Burn patients have prolonged derangements in metabolic, endocrine, cardiac and psychosocial systems, potentially impacting on their cardiovascular health. There are no studies on the risk of cardiovascular disease (CVD) after-burn. The aim of our study was to record lipid values and evaluate CVD risk in adult burn survivors. In a cross-sectional study patients ≥18 years with burn injury between 18-80% total burn surface area (TBSA) from 1998 to 2012 had total cholesterol, low density lipoprotein (LDL), high density lipoprotein (HDL) and triglycerides measured via finger prick. Means were compared to optimal ranges. Multivariate regression models were performed to assess the association of lipids with age, years after-burn and total body surface area % (TBSA). A p value <0.05 was considered significant. The Framingham General Cardiovascular Risk Score (FGCRS) was calculated. Fifty patients were included in the study. Compared to optimal values, patients had low HDL and high triglycerides. Greater %TBSA was associated with statistically significant elevation of triglycerides (p=0.007) and total cholesterol/HDL ratio (p=0.027). The median FGCRS was 3.9% (low) 10-year risk of CVD with 82% of patients in the low-risk category. Patients involved in medium/high level of physical activity had optimal values of HDL, TC/HDL and triglycerides despite the magnitude of TBSA%. Adult burn survivors had alterations in lipid profile proportional to TBSA, which could be modified by exercise, and no increase in overall formally predicted CVD risk in this cross sectional study. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

Five years' experience of the modified Meek technique in the management of extensive burns.

PubMed

Hsieh, Chun-Sheng; Schuong, Jen-Yu; Huang, W S; Huang, Ted T

2008-05-01

The Meek technique of skin expansion is useful for covering a large open wound with a small piece of skin graft, but requires a carefully followed protocol. Over the past 5 years, a skin graft expansion technique following the Meek principle was used to treat 37 individuals who had sustained third degree burns involving more than 40% of the body surface. A scheme was devised whereby the body was divided into six areas, in order to clarify the optimal order of wound debridements and skin grafting procedures as well as the regimen of aftercare. The mean body surface involvement was 72.9% and the mean area of third degree burns was 41%. The average number of operations required was 1.84. There were four deaths among in this group of patients. The Meek technique of skin expansion and the suggested protocol are together efficient and effective in covering an open wound, particularly where there is a paucity of skin graft donor sites.

Comparison of traditional burn wound mapping with a computerized program.

PubMed

Williams, James F; King, Booker T; Aden, James K; Serio-Melvin, Maria; Chung, Kevin K; Fenrich, Craig A; Salinas, José; Renz, Evan M; Wolf, Steven E; Blackbourne, Lorne H; Cancio, Leopoldo C

2013-01-01

Accurate burn estimation affects the use of burn resuscitation formulas and treatment strategies, and thus can affect patient outcomes. The objective of this process-improvement project was to compare the accuracy of a computer-based burn mapping program, WoundFlow (WF), with the widely used hand-mapped Lund-Browder (LB) diagram. Manikins with various burn representations (from 1% to more than 60% TBSA) were used for comparison of the WF system and LB diagrams. Burns were depicted on the manikins using red vinyl adhesive. Healthcare providers responsible for mapping of burn patients were asked to perform burn mapping of the manikins. Providers were randomized to either an LB or a WF group. Differences in the total map area between groups were analyzed. Also, direct measurements of the burn representations were taken and compared with LB and WF results. The results of 100 samples, compared using Bland-Altman analysis, showed no difference between the two methods. WF was as accurate as LB mapping for all burn surface areas. WF may be additionally beneficial in that it can track daily progress until complete wound closure, and can automatically calculate burn size, thus decreasing the chances of mathematical errors.

Comparison of AVIRIS and Landsat ETM+ detection capabilities for burn severity

USGS Publications Warehouse

Van Wagtendonk, Jan W.; Root, Ralph R.; Key, Carl H.

2004-01-01

Our study compares data on burn severity collected from multi-temporal Airborne Visible and Infrared Imaging Spectrometer (AVIRIS) with similar data from the Enhanced Thematic Mapper Plus (ETM+) using the differenced Normalized Burn Ratio (dNBR). Two AVIRIS and ETM+ data acquisitions recorded surface conditions immediately before the Hoover Fire began to spread rapidly and again the following year. Data were validated with 63 field plots using the Composite Burn Index (CBI). The relationship between spectral channels and burn severity was examined by comparing pre- and post-fire datasets. Based on the high burn severity comparison, AVIRIS channels 47 and 60 at wavelengths of 788 and 913 nm showed the greatest negative response to fire. Post-fire reflectance values decreased the most on average at those wavelengths, while channel 210 at 2370 nm showed the greatest positive response on average. Fire increased reflectance the most at that wavelength over the entire measured spectral range. Furthermore, channel 210 at 2370 nm exhibited the greatest variation in spectral response, suggesting potentially high information content for fire severity. Based on general remote sensing principles and the logic of variable spectral responses to fire, dNBR from both sensors should produce useful results in quantifying burn severity. The results verify the band–response relationships to burn severity as seen with ETM+ data and confirm the relationships by way of a distinctly different sensor system.

Studying the Infleunce of Burning Fireworks on Air Quality and Human Health in a Residential Area

NASA Astrophysics Data System (ADS)

Kota, S. H.; Garaga, R.

2016-12-01

India observes Diwali as the celebration of lights, which fully brightens the nation with its splendour, and amazes all with its happiness. To understand the impact of fireworks on air quality and human health, a ten-day short term study was conducted in one of the residential colleges in North-East India. The PM10 concentration during fireworks was 311µg/m3, which was 81% higher than a normal day. Additionally, ambient noise level measured during fireworks day was found to be 101 dB, which was 65% higher than a normal day's mean noise level. SO42-, NO3-, Cl-, F-, Na+, Ca2+, NH4+, K+, Zn, Fe, Cd, Co, Ni and Sr increased by 1.29, 0.51, 0.48, 1.08, 0.6, 0.54, 1.79, 1.43, 1.72, 0.34, 0.42, 0.82, 0.56, 0.17 times respectively, on fireworks compared to a normal day. Additionally, microorganisms decreased by 40% to the concentration of CFU/m3, on fireworks day. This implies that the fireworks burning inhibit the growth of microbial activity. The source apportionment studies carried out using principal component analysis revealed five factors related to fireworks, construction activities, biomass burning, vehicle emission and industries. The average number of patients in the hospital increased three folds, evidently signifying the negative impact of fireworks on human health. Patients suffering from cough, sneezing, headache and nasal congestion increased by 64, 69, 65 and 82%, respectively. This study stresses the importance of regulated and monitored practice of burning of fireworks in regions with high population density.

Burning Issue: Handling Household Burns

MedlinePlus

... hot objects or liquid, fire, friction, the sun, electricity, or certain chemicals. Each year, about a half- ... infant or elderly. the burn was caused by electricity, which can lead to “invisible” burns. Links Burns ...

Comparison between civilian burns and combat burns from Operation Iraqi Freedom and Operation Enduring Freedom.

PubMed

Wolf, Steven E; Kauvar, David S; Wade, Charles E; Cancio, Leopoldo C; Renz, Evan P; Horvath, Edward E; White, Christopher E; Park, Myung S; Wanek, Sandra; Albrecht, Michael A; Blackbourne, Lorne H; Barillo, David J; Holcomb, John B

2006-06-01

To assess outcome differences between locally burned civilians and military personnel burned in a distant combat zone treated in the same facility. The United States Army Institute of Surgical Research (USAISR) Burn Center serves as a referral center for civilians and is the sole center for significant burns in military personnel. We made the hypothesis that outcomes for military personnel burned in the current conflict in Iraq and Afghanistan would be poorer because of delays to definitive treatment, other associated injury, and distance of evacuation. We reviewed the civilian and military records of patients treated at the USAISR from the outset of hostilities in Iraq in April 2003 to May 2005. Demographics, injury data, mortality, and clinical outcomes were compared. : We cared for 751 patients during this time period, 273 of whom were military (36%). Military injuries occurred in a younger population (41 +/- 19 vs. 26 +/- 7 years for civilian and military respectively, P < 0.0001) with a longer time from injury to burn center arrival (1 +/- 5 days vs. 6 +/- 5, P < 0.0001), a higher Injury Severity Score (ISS 5 +/- 8 vs. 9 +/- 11, P < 0.0001), and a higher incidence of inhalation injury (8% vs. 13%, P = 0.024). Total burn size did not differ. Mortality was 7.1% in the civilian and 3.8% in the military group (P = 0.076). When civilians outside the age range of the military cohort were excluded, civilian mortality was 5.0%, which did not differ from the military group (P = 0.57). Total body surface area (TBSA) burned, age > or =40 years, presence of inhalation injury, and ventilator days were found to be important predictors of mortality by stepwise regression, and were used in a final predictive model with the area under receiver operator characteristic curve of 0.97 for both populations considered together. No significant effect of either group was identified during development. Mortality does not differ between civilians evacuated locally and military personnel

Ghg and Aerosol Emission from Fire Pixel during Crop Residue Burning Under Rice and Wheat Cropping Systems in North-West India

NASA Astrophysics Data System (ADS)

Acharya, Prasenjit; Sreekesh, S.; Kulshrestha, Umesh

2016-10-01

Emission of smoke and aerosol from open field burning of crop residue is a long-standing subject matter of atmospheric pollution. In this study, we proposed a new approach of estimating fuel load in the fire pixels and corresponding emissions of selected GHGs and aerosols i.e. CO2, CO, NO2, SO2, and total particulate matter (TPM) due to burning of crop residue under rice and wheat cropping systems in Punjab in north-west India from 2002 to 2012. In contrasts to the conventional method that uses RPR ratio to estimate the biomass, fuel load in the fire pixels was estimated as a function of enhanced vegetation index (EVI). MODIS fire products were used to detect the fire pixels during harvesting seasons of rice and wheat. Based on the field measurements, fuel load in the fire pixels were modelled as a function of average EVI using second order polynomial regression. Average EVI for rice and wheat crops that were extracted through Fourier transformation were computed from MODIS time series 16 day EVI composites. About 23 % of net shown area (NSA) during rice and 11 % during wheat harvesting seasons are affected by field burning. The computed average fuel loads are 11.32 t/ha (±17.4) during rice and 10.89 t/ha (±8.7) during wheat harvesting seasons. Calculated average total emissions of CO2, CO, NO2, SO2 and TPM were 8108.41, 657.85, 8.10, 4.10, and 133.21 Gg during rice straw burning and 6896.85, 625.09, 1.42, 1.77, and 57.55 Gg during wheat burning. Comparison of estimated values shows better agreement with the previous concurrent estimations. The method, however, shows its efficiency parallel to the conventional method of estimation of fuel load and related pollutant emissions.

Slash-and-burn farmers: villains or victims?

PubMed

Rambo, T

1990-01-01

Slash and burn farmers in southeast Asia are blamed for deforestation and are considered backward or ignorant. Efforts have been made by agricultural development experts to urge farmers to switch to fixed field methods. Slash and burn methods are used in upland areas with steep slopes, low soil fertility, and unpredictable natural hazards in order to allow survival in an environment made difficult for cultivation by other methods. Slash and burn farmers may be stable or migratory and use rotational or pioneering methods. Rotational methods involve clearing and burning a new plot every year, and then allowing regeneration of forest for 10-20 years. When population density is 40/square km, this method does not degrade the environment. Pioneering involves clearance of primary forest, cultivation for several years until soil fertility is destroyed, and then replacement with low productivity "imperata cylindrica grass." Pioneering tends to cause long-term environmental degradation. Humid tropic soils tend toward infertility, and in many areas of southeast Asia the soils are nutrient-poor and acidic. Ash from burning also reduces soil acidity. In northeast Thailand, 454 kg of calcium are released from burning one hectare of mature forest. The advantages are affordable natural fertilization and freedom from technical experts and imported spare parts. Frequent rotation also helps to expand the crops and provide disease protection. Population densities, competition for scarce resources, and social and economic pressures make the slash and burn technique inappropriate. As yet unavailable alternative farming techniques are needed which take advantage of slash and burn benefits. Slash and burn farmers are victims of deforestation even though they may appear to be the villains.