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BACKGROUND A monitoring method is needed to further guide fluid resuscitation in severe burn injury. This study was performed to investigate the effects of pulse contour cardiac output (PCCO) monitoring on the prognosis of adult severe burns patients. METHODS We conducted a retrospective study enrolling patients from January 2015 to December 2020, who were divided into a control group receiving conventional monitoring and a study group receiving PCCO monitoring. The primary outcomes were 28-day mortality and total mortality, and the secondary outcomes included burn-related complications and the length of hospital stay and ICU stay. Multivariable logistic regression analysis and linear regression analysis were performed to determine the risk factors of burns-related complications and length of hospital stay in enrolled patients. RESULTS A total of 109 patients in the control group and 82 patients in the study group were enrolled. While the area of full thickness burn was much higher in the control group than in the study group (P=0.021), no significant difference was found in other characteristics between the two groups. During fluid resuscitation, the fluid volume ratio of the study group was significantly different from that of the control group, and both in the first 24 hours and the second 24 hours, the resuscitation fluid volume ratio and colloid volume ratio was significantly higher in the control group than in the study group (all P

92 cases of second degree burn wounds treated in our hospital from January 2019 to December 2019 were selected as the research objects, and the clinical effect of eCASH concept treatment combined with nano silver dressing on the second degree burn wounds was studied. The patients were randomly divided into control group (n = 46) and observation group (n = 46). The control group was treated with conventional treatment combined with eCASH concept nursing, and the observation group was treated with eCASH concept combined with nano silver dressing. We found that the effective rate of the observation group was 95.65% higher than that of the control group (76.09%); the wound healing time of the observation group was significantly lower than that of the control group; the average VAS pain score of the observation group during wound treatment was significantly lower than that of the control group The total positive rate of bacterial detection in the observation group was 8.70%, which was lower than 28.26% in the control group; the incidence of complications in the observation group was 2.17% lower than that in the control group (17.39%); the differences were statistically significant (all P < 0.05). These results indicate that eCASH concept combined with nano silver dressing in the treatment of second degree burn wounds has a significant effect, which can accelerate the recovery, reduce the pain, and effectively reduce the total positive rate of bacterial detection and the incidence of complications.

Three deep eutectic solvents (DESs) were synthesized using choline chloride (ChCl) and phenolic compounds (phenol, p -cresol, and p -chlorophenol) as hydrogen bond donors (HBD) with a molar ratio of 1:2 (ChCl:HBD). Densities ( ρ ), viscosities ( η ), and refractive indices ( n D ) of DESs were measured at T = (293.15 to 333.15) K under atmospheric pressure. Temperature dependence of ρ and η were fitted by empirical equations, and thermal expansion coefficient ( α p ) and activation energy for viscous flow ( E η ) were obtained accordingly. FT-IR spectra of DESs were determined and compared with the corresponding HBDs. Based on physicochemical properties and FT-IR spectra, the influence of electronic effect of substitution group of HBD on hydrogen bond interaction between ChCl and HBD was explored. The results show that the electronic effect of HBD plays an important role on the strength of hydrogen bond interaction of O H ⋯ Cl − of DES. The strong electron-withdrawing property of Cl group of p -chlorophenol can strengthen the hydrogen bond interaction of O H ⋯ Cl − , which leads to higher ρ , η , and n D of DES formed by ChCl and p -chlorophenol. Conversely, CH 3 group of p -cresol exhibits electron-donating effect, resulting in weaker hydrogen bond interaction and lower ρ and n D of DES formed by ChCl and p -cresol. Consequently, the strength of hydrogen bond interaction of O H ⋯ Cl − between ChCl and HBD of DES is as follows: p -chlorophenol > phenol > p -cresol.

In the development of a domestic passenger car, it is found that there is a severe abnormal noise of suspension system. In response to the problem, firstly, the frequency range of abnormal noise of the suspension system is identified through vehicle road test and subjective evaluation, secondly, the main path of abnormal noise source is acquired by transfer path analysis(TPA), finally, abnormal noise source of the key component of the main path is identified through the time difference method and the characteristic energy of wavelet analysis method. Through this method, the main abnormal noise source of suspension system can be identified quickly in a relatively short time. The result of the study can provide theoretical and practical guidance for other similar suspension abnormal noise problems.

To improve the flame retardancy and mechanical properties of epoxy (EP), a novel intercalated layered double hydroxides (ILDHs) were synthesized by a solution intercalation method using ammonium alcohol polyvinyl phosphate as intercalator. The ILDHs were examined by X-ray diffraction, Fourier transform infrared spectroscopy (FTIR), energy-dispersive spectrometry and scanning electron microscopy (SEM). The conditions for synthesis of ILDHs have been optimized. Thermogravimetric analysis indicated a good char-forming property of ILDHs. The flame retardancy of epoxy was improved by adding ILDHs. The EP composites containing 30–40 mass% ILDHs passed UL-94V-0 rating. Tensile strength was also enhanced by adding 30–40 mass% ILDHs, which was attributed to the involvement of physical cross-linking network among layered particles and polymer chains. The morphology and structures of residues generated during LOI test were investigated by SEM and FTIR to support a fundamental analysis for the mechanism of char formation. SEM observations of residues of the ILDHs/EP confirmed the formation of an incompact charred layer during combustion, which could inhibit the transmission of heat and mass during combustion. It may be inferred that ILDHs acted as a catalyst for esterification, dehydration and compact char formation of EP system.

Sepsis commonly occurs in severe post-burn patients, often resulting in death. We aimed to evaluate the influence of early enteral feeding on outcomes in patients with extensive burns, including infection incidence, healing and mortality. We retrospectively reviewed 60 patients with extensive burns, 35 who had received early enteral nutrition and 25 who had received parenteral nutrition. Average healing time, infection incidence and mortality were clinically observed. Hemoglobin and serum albumin were monitored weekly in both groups during treatment. Causative organisms were identified in patients with sepsis. Infection incidence was significantly less in the enteral nutrition group than the parenteral nutrition group (17.1% vs 44.0%; p = 0.023); and latency duration was longer in the enteral nutrition group than in the parenteral nutrition group (30.5 ± 4.7 days vs 14.5 ± 2.3 days; p

Abstract: In-vitro cultured autologous and allogenic keratinocytes were mixed in single-cell suspension and transplanted for the treatment of full-thickness, third-degree burns. Ten patients were selected according to a protocol approved by the authors' local Institutional Review Board. After epifascial necrectomy, the burns were temporarily covered with fresh allografts, and a mixed suspension of in-vitro cultured autologous and allogenic keratinocytes in fibrin glue with a density of 107 cells/mL was transplanted to the wounds by injection with a syringe in multipoint underneath the allograft. The grafting density was 5 × 106 cells per 100 cm2. The transplanted keratinocytes proliferated on the epifascial surface and grew into confluent epithelial layer 28 ± 7 days after transplantation. Complete re-epithelialization and stable skin conditions were achieved 62 ± 11 days after transplantation. This method decreased in-vitro cell culture time to 5 days and resulted in permanent re-epithelialization of third-degree burn wounds. To the authors' knowledge, this is the first report where autologous and allogenic keratinocytes were mixed and transplanted together to treat third-degree burn wounds. The performance and density of the keratinocytes remain to be studied .

We must solve some questions such as low-cost, high efficiency, flexibility, robustness of life and etc. about development and application on management information system in current time. The management information ontology triple, a 3-elements (business-table-predicate) set, can effectively describe the separation and filtration between business and functions, realize truly the management functions from abstract to subtle, while ensuring that complex business can be defined and guided-implemented on-line. Therefore, middleware technology and its needs guidance technology based on management information ontology can effectively reduce the time in the system requirements and analysis and design, shorten the phase in the database design and simplify the document written request, then improve the current software engineering methods.

To assess the efficacy of the extra long scapular-lateral thoracic-ilioinguinal siamese flap to repair the contracture deformity of perineal scar caused by burn and to discuss its characteristics.From January 2008 to August 2009, 9 patients with contracture deformity of perineal scar after deep II degree to III degree burn were treated. There were 7 males and 2 females aged from 22 to 54 years (35.4 years on average). The course of disease ranged from 8 months to 5 years. All cases had central type of perineal scar. Among the cases, 3 cases were complicated by abdominal scar, 4 cases by legs scar, and 2 cases by abdominal and legs scar. Scar ulcer was observed in 2 cases. The opening-closing angle of bilateral lower extremities was (29.4 +/- 8.8) degrees. And anus could not expose entirely so that squatting and relieving the bowels were difficult in 6 cases. Defect areas after scar resection ranged from 20 cm x 6 cm to 28 cm x 8 cm. The size of extra long scapular-lateral thoracic-ilioinguinal siamese flap ranged from 35 cm x 12 cm to 58 cm x 15 cm. The donor sites were sutured directly.Blister and necrosis occurred in 1 case and was cured after dressing changed, and others flaps survived with wounds primary healing. Incision at donor site healed by first intention. All cases were followed up 6-12 months. The perineal function improved and the partial deformities were corrected. The opening-closing angle of bilateral lower extremities increased to (75.6 +/- 11.3) degrees, showing significant difference between pre- and post-operation (P0.05). The functions of squatting and relieving the bowels recovered well. The perineal scar adhesion recurred in 2 cases after 6 months of operation and were cured after scar resection and expanding flaps transposition.In view of large donating region, great facility for transposition, stable and sufficient blood supply, reutilization as expanded flap, it was an effective treatment and a beneficial trial by applying the transposition of the extra long scapular-lateral thoracic-ilioinguinal siamese flap for contracture deformity of perineal scar caused by burn.