AIM To look into the management options of early debridement of the wound, followed by vascularized cover to bring in fresh blood supply to remaining tissue in electrical burns. METHODS A total of 16 consecutive patie...AIM To look into the management options of early debridement of the wound, followed by vascularized cover to bring in fresh blood supply to remaining tissue in electrical burns. METHODS A total of 16 consecutive patients sustaining full thickness forearm burns over a period of one year were included in the study group. Debridement was undertaken within 48 h in 13 patients. Three patients were taken for debridement after 48 h. Debridement was repeated within 2-4 d after daily wound assessment and need for further debridement. RESULTS On an average two debridements(range 1-4) was required in our patients for the wound to be ready for definitive cover. Interval between each debridement ranged from 2-18 d. Fourteen patients were provided vascularized cover after final debridement(6 free flaps, 8 pedicled flaps). Functional assessment of gross hand function done at 6 wk, 2 mo, 3 mo and 6 mo follow-up. CONCLUSION High-tension electrical burns lead to significant morbi-dity. These injuries are best managed by early decompression followed by multiple serial debridements. The ideal timing of free flap coverage needs further investigation.展开更多
On a deglaciated terrain,glacial gravel is the primary component of the natural habitat for vascular plant colonization and succession.Knowledge regarding the role of glacial gravel in vascular plant growth,however,re...On a deglaciated terrain,glacial gravel is the primary component of the natural habitat for vascular plant colonization and succession.Knowledge regarding the role of glacial gravel in vascular plant growth,however,remains limited.In this study,an unmanned aerial vehicle(UAV)was used to investigate plant family composition,species richness,fractional vegetation cover(FVC),and gravel cover(GC)along elevational gradients on the three glacier forelands(Kekesayi,Jiangmanjiaer,and Koxkar Baxi)of the Third Pole(including the eastern Pamir Plateau and western Tianshan Mountains)in China.We then analyzed the spatial characteristics of vascular plants followed by exploring the effect of glacial gravel on vascular plants.Findings indicated that FVC on these glacier forelands generally decreased as the elevation increased or distance from the current glacier terminus decreased.The shady slope(Kekesayi)was more vegetated in comparison to the sunny slope(Jiangmanjiaer)at the glacier basin scale,and the warm and humid deglaciated terrain(Koxkar Baxi)had the highest FVC at the regional scale.Plant family composition and species richness on the glacier forelands decreased with rising elevation,with the exception of those on the Jiangmanjiaer glacier foreland.The relationships between FVC and GC presented negative correlations;particularly,they exhibited variations in power functions on the Kekesayi and Jiangmanjiaer glacier forelands of the eastern Pamir Plateau and a linear function on the Koxkar Baxi glacier foreland of the western Tianshan Mountains.Glacial gravel was found to be conducive to vegetation colonization and development in the early succession stage up until vascular plants adapted to the cold and arid climatic condition,whereas it is unfavorable to the expansion of vascular plants in the later succession stage.These findings suggested that the spatial difference of plant characteristics had close connections with regional climatic and topographic conditions,as well as glacial gravel distribution.In addition,we co展开更多
文摘AIM To look into the management options of early debridement of the wound, followed by vascularized cover to bring in fresh blood supply to remaining tissue in electrical burns. METHODS A total of 16 consecutive patients sustaining full thickness forearm burns over a period of one year were included in the study group. Debridement was undertaken within 48 h in 13 patients. Three patients were taken for debridement after 48 h. Debridement was repeated within 2-4 d after daily wound assessment and need for further debridement. RESULTS On an average two debridements(range 1-4) was required in our patients for the wound to be ready for definitive cover. Interval between each debridement ranged from 2-18 d. Fourteen patients were provided vascularized cover after final debridement(6 free flaps, 8 pedicled flaps). Functional assessment of gross hand function done at 6 wk, 2 mo, 3 mo and 6 mo follow-up. CONCLUSION High-tension electrical burns lead to significant morbi-dity. These injuries are best managed by early decompression followed by multiple serial debridements. The ideal timing of free flap coverage needs further investigation.
基金supported by the Strategic Priority Research Program of Chinese Academy of Sciences(XDA19070501)the National Natural Science Foundation of China(41671066)+2 种基金the Ministry of Science and Technology of the People's Republic of China(2018FY100502)the Young Scholars Science Foundation of Lanzhou Jiaotong University(1200061124)the International Partnership Program of Chinese Academy of Sciences(131C11KYSB20160061)。
文摘On a deglaciated terrain,glacial gravel is the primary component of the natural habitat for vascular plant colonization and succession.Knowledge regarding the role of glacial gravel in vascular plant growth,however,remains limited.In this study,an unmanned aerial vehicle(UAV)was used to investigate plant family composition,species richness,fractional vegetation cover(FVC),and gravel cover(GC)along elevational gradients on the three glacier forelands(Kekesayi,Jiangmanjiaer,and Koxkar Baxi)of the Third Pole(including the eastern Pamir Plateau and western Tianshan Mountains)in China.We then analyzed the spatial characteristics of vascular plants followed by exploring the effect of glacial gravel on vascular plants.Findings indicated that FVC on these glacier forelands generally decreased as the elevation increased or distance from the current glacier terminus decreased.The shady slope(Kekesayi)was more vegetated in comparison to the sunny slope(Jiangmanjiaer)at the glacier basin scale,and the warm and humid deglaciated terrain(Koxkar Baxi)had the highest FVC at the regional scale.Plant family composition and species richness on the glacier forelands decreased with rising elevation,with the exception of those on the Jiangmanjiaer glacier foreland.The relationships between FVC and GC presented negative correlations;particularly,they exhibited variations in power functions on the Kekesayi and Jiangmanjiaer glacier forelands of the eastern Pamir Plateau and a linear function on the Koxkar Baxi glacier foreland of the western Tianshan Mountains.Glacial gravel was found to be conducive to vegetation colonization and development in the early succession stage up until vascular plants adapted to the cold and arid climatic condition,whereas it is unfavorable to the expansion of vascular plants in the later succession stage.These findings suggested that the spatial difference of plant characteristics had close connections with regional climatic and topographic conditions,as well as glacial gravel distribution.In addition,we co
