RESUMO
Scars commonly give rise to unpredictable, potentially irritating, cutaneous complications including pruritis, folliculitis, and pigment changes. These problems can be self-limiting and are prevalent in many burn cases, although their expression varies among individuals. A better understanding of the presentation, risk factors, and pathophysiology of these long-term sequelae allows for more comprehensive care of burn survivors.
Assuntos
Queimaduras , Transplante de Pele , Humanos , Queimaduras/cirurgia , Queimaduras/complicações , Queimaduras/terapia , Cicatriz/etiologia , Cicatriz/cirurgia , Foliculite/etiologia , Foliculite/terapia , Transtornos da Pigmentação/etiologia , Transtornos da Pigmentação/terapia , Transtornos da Pigmentação/cirurgia , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/terapia , Prurido/etiologia , Prurido/terapia , Transplante de Pele/efeitos adversos , Transplante de Pele/métodosRESUMO
Channeling feelings into the written word rather than the scalpel was at the heart of the creative writing challenge that the first author (DR) accepted when she joined the Seven Doctors Project at the University of Nebraska Medical Center in 2008. Burnout has become recognized as a factor undermining physicians' quality of life, and the practice of creative writing helps mitigate stress and sustain a successful practice. When physicians partner with and are mentored by a seasoned creative writer, creative writing can serve as an exercise in ethical reflection, which is particularly valuable at mid-career; this is the subject of the following dialogue between one physician writer and the facilitator of the Seven Doctors Project creative writing class.
Assuntos
Queimaduras/terapia , Emoções , Ética Médica , Ciências Humanas , Estresse Ocupacional/terapia , Médicos/psicologia , Redação , Esgotamento Profissional/prevenção & controle , Criatividade , Currículo , Hospitais Universitários , Humanos , Mentores , Nebraska , Estresse Ocupacional/psicologia , Qualidade de Vida , PensamentoRESUMO
Amniotic membrane is immunologically privileged and is a reservoir of growth factors and cytokines known to modulate inflammation and enhance the healing process, while also possessing antimicrobial, antifibrosis, and antiscarring properties. These properties establish a strong argument for using amniotic membrane derived products as a treatment for burns. The purpose of this article is to describe the use of commercially available dehydrated human amnion/chorion membrane allografts in patients with partial-thickness and full-thickness burns.
