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1.
Sensors (Basel) ; 24(7)2024 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-38610493

RESUMO

Wildfires are pivotal to the functioning of many ecosystems globally, including the magnitude of surface erosion rates. This study aims to investigate the relationships between surface erosion rates and wildfire intensity in the tropical north savanna of Australia. The occurrence of fires in western Arnhem Land, Northern Territory, Australia was determined with remotely sensed digital datasets as well as analogue erosion measurement methods. Analysis was performed using satellite imagery to quantify burn severity via a monthly delta normalised burn ratio (dNBR). This was compared and correlated against on-ground erosion measurements (erosion pins) for 13 years. The dNBR for each year (up to +0.4) displayed no relationship with subsequent erosion (up to ±4 mm of erosion/deposition per year). Poor correlation was attributed to low fire severity, patchy burning, significant time between fires and erosion-inducing rainfall. Other influences included surface roughness from disturbances from feral pigs and cyclone impacts. The findings here oppose many other studies that have found that fires increase surface erosion. This accentuates the unique ecosystem characteristics and fire regime properties found in the tropical Northern Territory. Scenarios of late dry season fires with high severity were not observed in this study and require more investigations. Ecosystems such as the one examined here require specialised management practices acknowledging the specific ecosystem functions and processes. The methods employed here combine both analogue and digital sensors to improve understandings of a unique environmental system.

2.
J Environ Manage ; 351: 119733, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38061103

RESUMO

Understanding the landscape patterns of burn severity is vital for managing fire-prone ecosystems. Relatively limited research has been done about fire and burn severity patterns in subtropical forests. Here, we derived the pre-fire forest type data from a global land-cover product at 30 m resolution based on time-series Landsat imageries. Using Landsat 8 OLI remote sensing imagery and field-based composite burn index (CBI), this study spatially mapped the burn severity of 27 forest fires in the subtropical forest ecosystems in southern China from 2017 to 2021. The landscape pattern of patches with different burn severity was quantified using landscape indices. In addition, factors influencing the patterns of burn severity across the landscape were determined using the Geodetector model. Burn severity of patches varied significantly over space. High burn severity was common in forest patches with low fragmentation, low patch density, and regular shape. In contrast, moderate and low burn severity was prevalent in patches with smaller patch size, high patch density, and complex shapes. Extensively burned forest patches were located at higher elevations, while more fragmented patches were located in gently sloping areas. Topographic factors were the most significant factors influencing variances in burn severity across the forest patches, followed by weather conditions. Compared to low elevation areas, vegetation types at the high elevation areas (dominated by Masson pine) are more singular, with higher fuel loads, thus resulting in a more regularly-shaped distribution of highly severe burning patches. A detailed understanding of burn severity patterns and driving factors in a landscape can help develop sustainable forest management and restoration strategies. Practically, fire managers should conduct mechanical fuel treatments or thinning of forests at high-elevation areas to reduce the potential of severe fire behavior and the continuity of fire spread.


Assuntos
Incêndios , China , Ecossistema , Florestas , Tempo (Meteorologia)
3.
Glob Chang Biol ; 29(6): 1648-1659, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36517954

RESUMO

Area burned has decreased across Europe in recent decades. This trend may, however, reverse under ongoing climate change, particularly in areas not limited by fuel availability (i.e. temperate and boreal forests). Investigating a novel remote sensing dataset of 64,448 fire events that occurred across Europe between 1986 and 2020, we find a power-law relationship between maximum fire size and area burned, indicating that large fires contribute disproportionally to fire activity in Europe. We further show a robust positive correlation between summer vapor pressure deficit and both maximum fire size (R2  = .19) and maximum burn severity (R2  = .12). Europe's fire regimes are thus highly sensitive to changes in future climate, with the probability for extreme fires more than doubling by the end of the century. Our results suggest that climate change will challenge current fire management approaches and could undermine the ability of Europe's forests to provide ecosystem services to society.


Assuntos
Incêndios , Incêndios Florestais , Ecossistema , Florestas , Europa (Continente)
4.
Environ Res ; 233: 116510, 2023 09 15.
Artigo em Inglês | MEDLINE | ID: mdl-37385415

RESUMO

Fire regimes in mountain landscapes of southern Europe have been shifting from their baselines due to rural abandonment and fire exclusion policies. Understanding the effects of fire on biodiversity is paramount to implement adequate management. Herein, we evaluated the relative role of burn severity and heterogeneity on bird abundance in an abandoned mountain range located in the biogeographic transition between the Eurosiberian and Mediterranean region (the Natural Park 'Baixa Limia-Serra do Xurés'). We surveyed the bird community in 206 census plots distributed across the Natural Park, both inside and outside areas affected by wildfires over the last 11 years (from 2010 to 2020). We used satellite images of Sentinel 2 and Landsat missions to quantify the burn severity and heterogeneity of each fire within each surveyed plot. We also accounted for the past land use (forestry or agropastoral use) by using a land cover information for year 2010 derived from satellite image classification. We recorded 1735 contacts from 28 bird species. Our models, fitted by using GLMs with Poisson error distribution (pseudo-R2-average of 0.22 ± 0.13), showed that up to 71% of the modeled species were linearly correlated with at least one attribute of the fire regime. The spatiotemporal variation in burnt area and severity were relevant factors for explaining the local abundance of our target species (39% of the species; Akaike weights >0.75). We also found a quadratic effect of at least one fire regime attribute on bird abundance for 60% of the modeled species. The past land use, and its legacy after 10 years, was critical to understand the role of fire (Akaike weights >0.75). Our findings confirm the importance of incorporating remotely sensed indicators of burn severity into the toolkit of decision makers to accurately anticipate the response of birds to fire management.


Assuntos
Queimaduras , Incêndios , Incêndios Florestais , Animais , Florestas , Aves/fisiologia , Ecossistema
5.
Indian J Plast Surg ; 56(1): 39-43, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36998930

RESUMO

Background Several burn-specific mortality prediction models have been formulated and validated in the developed countries. There is a dearth of studies validating these models in the Indian population. Our objective was to validate three such models in the Indian burn patients. Methods A prospective observational study was performed after ethical clearance on consecutive eligible consenting burn patients. Patient demographics, vitals, and results of hematological workup were collected. Using these. the Abbreviated Burn Severity Index (ABSI), the revised Baux score (rBaux), and the Fatality by Longevity, APACHE II score, Measured extent of burn, and Sex score (FLAMES) were calculated. The discriminative ability of the ABSI, rBaux, and the FLAMES was tested using the receiver operating characteristic (ROC) curve at 30 days and the area under the ROC curve (AUROC) compared. A p -value ≤ 0.05 was considered significant. Probability of death was calculated using these models. Hosmer-Lemeshow goodness of fit test was run. Results The ABSI (AUROC 0.7497, 95% CI 0.67796-0.82141), rBaux (AUROC 0.7456, 95% CI 0.67059-0.82068) and FLAMES (AUROC 0.7119, 95% CI 0.63209-0.79172), had fair discriminative ability. The Hosmer-Lemeshow test reported that ABSI and rBaux were a good fit for the Indian population, while FLAMES was not a good fit. Conclusion The ABSI and rBaux had a fair discriminative ability and were a good fit for the adult patients with 30 to 60% thermal and scald burn patients. FLAMES despite having fair discriminative ability was not a good fit for the study population.

6.
Ecol Appl ; 32(3): e2549, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35094462

RESUMO

Climate change will lead to more frequent and more severe fires in some areas of boreal forests, affecting the distribution and availability of late-successional forest communities. These forest communities help to protect globally significant carbon reserves beneath permafrost layers and provide habitat for many animal species, including forest-dwelling caribou. Many caribou populations are declining, yet the mechanisms by which changing fire regimes could affect caribou declines are poorly understood. We analyzed resource selection of 686 GPS-collared female caribou from three ecotypes and 15 populations in a ~600,000 km2 region of northwest Canada and eastern Alaska. These populations span a wide gradient of fire frequency but experience low levels of human-caused habitat disturbance. We used a mixed-effects modeling framework to characterize caribou resource selection in response to burns at different seasons and spatiotemporal scales, and to test for functional responses in resource selection to burn availability. We also tested mechanisms driving observed selection patterns using burn severity and lichen cover data. Caribou avoided burns more strongly during winter relative to summer and at larger spatiotemporal scales relative to smaller scales. During the winter, caribou consistently avoided burns at both spatiotemporal scales as burn availability increased, indicating little evidence of a functional response. However, they decreased their avoidance of burns during summer as burn availability increased. Burn availability explained more variation in caribou selection for burns than ecotype. Within burns, caribou strongly avoided severely burned areas in winter, and this avoidance lasted nearly 30 years after a fire. Caribou within burns also selected higher cover of terrestrial lichen (an important caribou food source). We found a negative relationship between burn severity and lichen cover, confirming that caribou avoidance of burns was consistent with lower lichen abundance. Consistent winter avoidance of burns and severely burned areas suggests that caribou will experience increasing winter habitat loss as fire frequency and severity increase. Our results highlight the potential for climate-induced alteration of natural disturbance regimes to affect boreal biodiversity through habitat loss. We suggest that management strategies prioritizing protection of core winter range habitat with lower burn probabilities would provide important climate-change refugia for caribou.


Assuntos
Incêndios , Rena , Animais , Ecossistema , Feminino , Florestas , Rena/fisiologia , Taiga
7.
Ecol Appl ; 31(3): e02283, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33368744

RESUMO

Forest wildfires consume and redistribute carbon within forest carbon pools. Because the incidence of wildfires is unpredictable, quantifying wildfire effects is challenging due to the lack of prefire data or controls from experiments over a large landscape. We explored a quasi-experimental method, propensity score matching, to estimate wildfire effects on aboveground forest woody carbon mass in Washington and Oregon, United States. Observational data, including national forest inventory plot measurements and satellite imagery metrics, were utilized to obtain a control set of unburned plots that are comparable to burned plots in terms of environmental conditions as well as spatial locations. Three matching methods were implemented: propensity score matching (PSM), spatial matching (SM), and distance-adjusted propensity score matching (DAPSM). We investigated if propensity score matching with and without spatial adjustment led to different outcomes in terms of (1) balance in covariate distributions between burned and control plots, (2) mean carbon mass obtained from the selected control plots compared to burned and all unburned plots, and (3) estimates of wildfire effects by burn severity. We found that PSM and SM, which use only the environmental covariate set or the spatial distance for estimating propensity scores, respectively, did not appear to produce a comparable set of control plots in terms of the estimated propensity scores and the outcomes of mean carbon mass. DAPSM was the preferred method both in balancing the observed covariates and in dealing with unobservable confounding variables through spatial adjustment. The average wildfire effects estimated by DAPSM showed clear evidence of redistribution of carbon among aboveground woody pools, from live to dead trees, but the consumption of total woody carbon by wildfire was not substantial. Only moderate burn severity led to significant reduction of total woody carbon mass across Washington and Oregon forests (64% of control plots remained on average). This study provides an applied example of a quasi-experimental approach to quantify the effects of a natural disturbance for which experimental settings are unavailable. The study results suggest that incorporating spatial information in addition to environmental covariates would yield a comparable set of control plots for wildfire effects quantification.


Assuntos
Incêndios , Incêndios Florestais , Carbono , Florestas , Oregon , Árvores , Estados Unidos , Washington
8.
Sensors (Basel) ; 21(12)2021 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-34207736

RESUMO

Wildfires have affected global forests and the Mediterranean area with increasing recurrency and intensity in the last years, with climate change resulting in reduced precipitations and higher temperatures. To assess the impact of wildfires on the environment, burned area mapping has become progressively more relevant. Initially carried out via field sketches, the advent of satellite remote sensing opened new possibilities, reducing the cost uncertainty and safety of the previous techniques. In the present study an experimental methodology was adopted to test the potential of advanced remote sensing techniques such as multispectral Sentinel-2, PRISMA hyperspectral satellite, and UAV (unmanned aerial vehicle) remotely-sensed data for the multitemporal mapping of burned areas by soil-vegetation recovery analysis in two test sites in Portugal and Italy. In case study one, innovative multiplatform data classification was performed with the correlation between Sentinel-2 RBR (relativized burn ratio) fire severity classes and the scene hyperspectral signature, performed with a pixel-by-pixel comparison leading to a converging classification. In the adopted methodology, RBR burned area analysis and vegetation recovery was tested for accordance with biophysical vegetation parameters (LAI, fCover, and fAPAR). In case study two, a UAV-sensed NDVI index was adopted for high-resolution mapping data collection. At a large scale, the Sentinel-2 RBR index proved to be efficient for burned area analysis, from both fire severity and vegetation recovery phenomena perspectives. Despite the elapsed time between the event and the acquisition, PRISMA hyperspectral converging classification based on Sentinel-2 was able to detect and discriminate different spectral signatures corresponding to different fire severity classes. At a slope scale, the UAV platform proved to be an effective tool for mapping and characterizing the burned area, giving clear advantage with respect to filed GPS mapping. Results highlighted that UAV platforms, if equipped with a hyperspectral sensor and used in a synergistic approach with PRISMA, would create a useful tool for satellite acquired data scene classification, allowing for the acquisition of a ground truth.


Assuntos
Incêndios , Incêndios Florestais , Florestas , Itália , Portugal
9.
J Environ Manage ; 288: 112462, 2021 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-33831636

RESUMO

The design and implementation of pre-fire management strategies in heterogeneous landscapes requires the identification of the ecological conditions contributing to the most adverse effects of wildfires. This study evaluates which features of pre-fire vegetation structure, estimated through broadband land surface albedo and Light Detection and Ranging (LiDAR) data fusion, promote high wildfire damage across several fire-prone ecosystems dominated by either shrub (gorse, heath and broom) or tree species (Pyrenean oak and Scots pine). Topography features were also considered since they can assist in the identification of priority areas where vegetation structure needs to be managed. The case study was conducted within the scar of a mixed-severity wildfire that occurred in the Western Mediterranean Basin. Burn severity was estimated using the differenced Normalized Burn Ratio index computed from Sentinel-2 multispectral instrument (MSI) Level 2 A at 10 m of spatial resolution and validated in the field using the Composite Burn Index (CBI). Ordinal regression models were implemented to evaluate high burn severity outcome based on three groups of predictors: topography, pre-fire broadband land surface albedo computed from Sentinel-2 and pre-fire LiDAR metrics. Models were validated both by 10-fold cross-validation and external validation. High burn severity was largely ecosystem-dependent. In oak and pine forest ecosystems, severe damage was promoted by a high canopy volume (model accuracy = 79%) and a low canopy base height (accuracy = 82%), respectively. Land surface albedo, which is directly related to aboveground biomass and vegetation cover, outperformed LiDAR metrics to predict high burn severity in ecosystems with sparse vegetation. This is the case of gorse and broom shrub ecosystems (accuracy of 80% and 77%, respectively). The effect of topography was overwhelmed by that of the vegetation structure portion of the fire triangle behavior, except for heathlands, in which warm and steep slopes played a key role in high burn severity outcome together with horizontal and vertical fuel continuity (accuracy = 71%). The findings of this study support the fusion of LiDAR and satellite albedo data to assist forest managers in the development of ecosystem-specific management actions aimed at reducing wildfire damage and promote ecosystem resilience.


Assuntos
Queimaduras , Incêndios , Incêndios Florestais , Ecossistema , Florestas , Humanos
10.
Glob Chang Biol ; 25(9): 2841-2854, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31301168

RESUMO

Wildfires are becoming larger and more frequent across much of the United States due to anthropogenic climate change. No studies, however, have assessed fire prevalence in lake watersheds at broad spatial and temporal scales, and thus it is unknown whether wildfires threaten lakes and reservoirs (hereafter, lakes) of the United States. We show that fire activity has increased in lake watersheds across the continental United States from 1984 to 2015, particularly since 2005. Lakes have experienced the greatest fire activity in the western United States, Southern Great Plains, and Florida. Despite over 30 years of increasing fire exposure, fire effects on fresh waters have not been well studied; previous research has generally focused on streams, and most of the limited lake-fire research has been conducted in boreal landscapes. We therefore propose a conceptual model of how fire may influence the physical, chemical, and biological properties of lake ecosystems by synthesizing the best available science from terrestrial, aquatic, fire, and landscape ecology. This model also highlights emerging research priorities and provides a starting point to help land and lake managers anticipate potential effects of fire on ecosystem services provided by fresh waters and their watersheds.


Assuntos
Lagos , Incêndios Florestais , Ecologia , Ecossistema , Florida , Estados Unidos
11.
Environ Res ; 165: 279-285, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29734029

RESUMO

Severe fire greatly increases soil erosion rates and overland-flow in forest land. Soil erosion prediction models are essential for estimating fire impacts and planning post-fire emergency responses. We evaluated the performance of a) the Revised Universal Soil Loss Equation (RUSLE), modified by inclusion of an alternative equation for the soil erodibility factor, and b) the Disturbed WEPP model, by comparing the soil loss predicted by the models and the soil loss measured in the first year after wildfire in 44 experimental field plots in NW Spain. The Disturbed WEPP has not previously been validated with field data for use in NW Spain; validation studies are also very scarce in other areas. We found that both models underestimated the erosion rates. The accuracy of the RUSLE model was low, even after inclusion of a modified soil erodibility factor accounting for high contents of soil organic matter. We conclude that neither model is suitable for predicting soil erosion in the first year after fire in NW Spain and suggest that soil burn severity should be given greater weighting in post-fire soil erosion modelling.


Assuntos
Solo , Incêndios Florestais , Conservação dos Recursos Naturais , Monitoramento Ambiental , Modelos Teóricos , Espanha
12.
Ecology ; 97(9): 2272-2282, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27859087

RESUMO

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-km2 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 wildfires indicate that positive severity feedbacks, an oft-posited agent of ecosystem decline or state shift, are not an inevitable outcome of re-burning. Nonetheless, context-dependent shifts in both the magnitude and direction of wildfire interactions (associated with forest zone, initial burn-severity, and disturbance interval) illustrate complexities in disturbance interactions and can inform management and predictions of future system dynamics.


Assuntos
Monitoramento Ambiental , Florestas , Incêndios Florestais , Conservação dos Recursos Naturais , Ecossistema , Incêndios
13.
J Environ Manage ; 151: 113-23, 2015 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-25549866

RESUMO

Wildfire is a common disturbance that can significantly alter vegetation in watersheds and affect the rate of sediment and nutrient transport to adjacent nearshore oceanic environments. Changes in runoff resulting from heterogeneous wildfire effects are not well-understood due to both limitations in the field measurement of runoff and temporally-limited spatial data available to parameterize runoff models. We apply replicable, scalable methods for modeling wildfire impacts on sediment and nonpoint source pollutant export into the nearshore environment, and assess relationships between wildfire severity and runoff. Nonpoint source pollutants were modeled using a GIS-based empirical deterministic model parameterized with multi-year land cover data to quantify fire-induced increases in transport to the nearshore environment. Results indicate post-fire concentration increases in phosphorus by 161 percent, sediments by 350 percent and total suspended solids (TSS) by 53 percent above pre-fire years. Higher wildfire severity was associated with the greater increase in exports of pollutants and sediment to the nearshore environment, primarily resulting from the conversion of forest and shrubland to grassland. This suggests that increasing wildfire severity with climate change will increase potential negative impacts to adjacent marine ecosystems. The approach used is replicable and can be utilized to assess the effects of other types of land cover change at landscape scales. It also provides a planning and prioritization framework for management activities associated with wildfire, including suppression, thinning, and post-fire rehabilitation, allowing for quantification of potential negative impacts to the nearshore environment in coastal basins.


Assuntos
Ecossistema , Incêndios , Movimentos da Água , Poluentes Químicos da Água/química , Modelos Teóricos , Oceanos e Mares
14.
Front Public Health ; 12: 1413986, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38989128

RESUMO

Background: Burns are a prevalent form of unintentional injury and a significant public health concern in developing countries. We aimed to investigate the epidemiological and clinical characteristics of adult burn patients at a major center in Eastern China. Methods: This 6-year retrospective study analyzed patients with varying degrees of burns between January 2017 and December 2022 at the Suzhou Burns and Trauma Center. The study extracted demographic, clinical, and epidemiological data from electronic medical records for analysis. Results: The study included 3,258 adult patients, of which 64.3% were male. The largest age group affected 30-59-year-old adults (63.04%). Scalds were the leading cause of burns (1,346, 41.31%), followed by flames (1,271, 39.01%). The majority of burn hospitalizations were those with moderate burns (1791, 54.97%). The morbidity rate was low at 0.68%, while mortality was strongly associated with age, etiology, and total body surface area. Patients with certain types of burns, such as explosions, hot crush injuries, and electric burns had more operations, longer lengths of hospital stay, and higher costs compared to those with scalds and flame injuries. Conclusion: Different prevention strategies should be formulated according to different etiologies, ages, and genders.


Assuntos
Unidades de Queimados , Queimaduras , Humanos , Masculino , Estudos Retrospectivos , Queimaduras/epidemiologia , China/epidemiologia , Adulto , Feminino , Pessoa de Meia-Idade , Unidades de Queimados/estatística & dados numéricos , Idoso , Adulto Jovem , Hospitalização/estatística & dados numéricos , Adolescente , Tempo de Internação/estatística & dados numéricos
15.
J Burn Care Res ; 2024 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-39320264

RESUMO

Previous iterations of burn severity (mild, moderate, and severe) were not data-driven and were outdated. Clustering analyses have gained popularity for identifying homogenous subgroups from heterogeneous medical conditions, such as asthma, sepsis, and lung disease. There is no consensus in burn literature regarding what constitutes massive burns. The current classification includes a 20% total body surface area (TBSA) burn and a 95% TBSA burn as severe. Latent class and hierarchical clustering analyses were applied to the American Burn Association National Burn Research Dataset. Cluster variables included length of stay, length of stay, intensive care unit length of, number and type of procedures, and number and type of complications. Non-clustering variables were evaluated after clustering, including burned TBSA, inhalation injury, mortality, discharge disposition, age, sex, and race. Latent class analysis suggested three clusters. Hierarchical clustering analysis was applied to the most severe latent class, creating four total burn severity groups. In total, 112,297 patients were included in the final analysis. The mean TBSA burned for each class is 4.26±4.91 for minor, 8.07±8.39 for moderate, 22.76±17.31 for severe and 36.72±21.61 for massive. The age and sex proportions were similar among all clusters. The clustering variables steadily increased for each severity cluster. Mortality was the highest in the massive cluster (18.2%). Data informed categories of burn severity were formed using clustering analyses, which will be helpful for triage, data-benchmarking, and class-specific research.

16.
Burns ; 50(6): 1662-1670, 2024 08.
Artigo em Inglês | MEDLINE | ID: mdl-38637258

RESUMO

OBJECTIVES: The aim of this study was to investigate the moderating role of gender in the relationship between burn severity, perceived stigmatization and depressive symptoms at multiple time points postburn. MATERIALS AND METHODS: This multi-center study included data from two cohorts. Cohort 1 consisted of 215 burn survivors, participating in a longitudinal study with measures at 3 and 12 months postburn. Cohort 2 consisted of 180 burn survivors cross-sectionally assessed at 5 - 7 years postburn. Both cohorts completed self-reported measures of perceived stigmatization and depressive symptoms. The number of acute surgeries (i.e., no surgery, 1 surgery or 2 or more surgeries) was used as indicator of burn severity. Relations between number of surgeries, depressive symptoms, and perceived stigmatization, including possible indirect effects, were evaluated with gender-specific path models. RESULTS: In both men and women, number of surgical operations was related to higher levels of depressive symptoms and perceived stigmatization at 3 months after burn. In women, number of operations was still directly related to both constructs at 12 months after burn, which was cross-sectionally confirmed in the 5-7 years after burn cohort. In men, from 3 to 12 months after burn, depressive symptoms and perceived stigmatization were bidirectionally related, and, through these effects, number of surgeries was indirectly related to both outcomes. In the cross-sectional 5-7 years after burn cohort, number of operations was related to stigma but not to depressive symptoms of men. CONCLUSION: Number of operations had a different effect on psychosocial adaptation of male and female burn survivors. In women, a persistent direct link from number of operations to both depressive symptoms and perceived stigmatization was found over time. In men, the effect of number of operations was most evident in the short-term, after which perceived stigmatization and depressive symptoms became interrelated. This indicates that burn severity remains a factor of significance in psychological adjustment in women, whereas in men, this significance seems to decrease over time.


Assuntos
Queimaduras , Depressão , Estereotipagem , Humanos , Queimaduras/psicologia , Queimaduras/cirurgia , Feminino , Masculino , Depressão/psicologia , Adulto , Fatores Sexuais , Pessoa de Meia-Idade , Estudos Transversais , Estudos Longitudinais , Sobreviventes/psicologia , Estigma Social , Adulto Jovem , Idoso , Procedimentos Cirúrgicos Operatórios/psicologia
17.
Sci Total Environ ; 931: 172746, 2024 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-38679103

RESUMO

Temperate heathlands and blanket bogs are globally rare and face growing wildfire threats. Ecosystem impacts differ between low and high severity fires, where severity reflects immediate fuel consumption. This study assessed factors influencing fire severity in Scottish heathlands and blanket bogs, including the efficacy of the Canadian Fire Weather Index System (CFWIS). Using remote sensing, we measured the differenced Normalised Burn Ratio at 92 wildfire sites from 2015 to 2021. We used Generalised Additive Mixed Models to investigate the impact of topography, habitat wetness, CFWIS components and 30-day weather on severity. Dry heath exhibited higher severity than wet heath and blanket bog, and slope, elevation and south facing aspect were positively correlated to severity. Weather effects were less clear due to data scale differences, yet still indicated weather's significant role in severity. Rainfall had an increasingly negative effect from approximately 15 days before the fire, whilst temperature had an increasingly positive effect. Vapour Pressure Deficit (VPD) was the weather variable with highest explanatory value, and predicted severity better than any CFWIS component. The best-explained fire severity model (R2 = 0.25) incorporated topography, habitat wetness wind and VPD on the day of the fire. The Drought Code (DC), predicting organic matter flammability at ≥10 cm soil depth, was the CFWIS component with the highest predictive effect across habitats. Our findings suggest that wildfires in wet heath and blanket bogs are typically characterised by low severity, but that warmer, drier weather may increase the risk of severe, smouldering fires which threaten peatland carbon stores.


Assuntos
Ecossistema , Monitoramento Ambiental , Incêndios Florestais , Escócia , Áreas Alagadas , Tempo (Meteorologia)
18.
Comput Biol Med ; 182: 109171, 2024 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-39362001

RESUMO

Accurate assessment of burn severity is crucial for the management of burn injuries. Currently, clinicians mainly rely on visual inspection to assess burns, characterized by notable inter-observer discrepancies. In this study, we introduce an innovative analysis platform using color burn wound images for automatic burn severity assessment. To do this, we propose a novel joint-task deep learning model, which is capable of simultaneously segmenting both burn regions and body parts, the two crucial components in calculating the percentage of total body surface area (%TBSA). Asymmetric attention mechanism is introduced, allowing attention guidance from the body part segmentation task to the burn region segmentation task. A user-friendly mobile application is developed to facilitate a fast assessment of burn severity at clinical settings. The proposed framework was evaluated on a dataset comprising 1340 color burn wound images captured on-site at clinical settings. The average Dice coefficients for burn depth segmentation and body part segmentation are 85.12 % and 85.36 %, respectively. The R2 for %TBSA assessment is 0.9136. The source codes for the joint-task framework and the application are released on Github (https://github.com/xjtu-mia/BurnAnalysis). The proposed platform holds the potential to be widely used at clinical settings to facilitate a fast and precise burn assessment.

19.
J Plast Reconstr Aesthet Surg ; 94: 160-168, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38805847

RESUMO

BACKGROUND: The Abbreviated Burn Severity Index (ABSI) is a five-variable scale to help evaluate burn severity upon initial assessment. As other studies have been conducted with comparatively small patient populations, the purpose of this study is to revalidate the prognostic relevance of the ABSI in our selected population (N = 1193) 4 decades after its introduction, considering the progress in the treatment of severe burn injuries over the past decades. In addition, we evaluate whether comorbidities influence the survival probability of severely burned patients. METHODS: This retrospective study presents data from the Center for Severely Burned Patients of the General Hospital in Vienna. We included 1193 patients for over 20 years. Regression models were used to describe the prognostic accuracy of the ABSI. RESULTS: The ABSI can still be used as a prognostic factor for the probability of survival of severely burned patients. The odds of passing increases by a factor of 2.059 for each unit increase in the ABSI with an area under the curve value of 0.909. Over time, the likelihood of survival increased. The existence of chronic kidney disease negatively impacts the survival probability of severely burned patients. CONCLUSION: The ABSI can still be used to provide accurate information about the chances of survival of severely burned patients; however, further exploration of the impact of chronic kidney disease on the survival probability and adding variables to the ABSI scale should be considered. The probability of survival has increased over the last 20 years.


Assuntos
Queimaduras , Humanos , Queimaduras/terapia , Queimaduras/mortalidade , Áustria/epidemiologia , Estudos Retrospectivos , Prognóstico , Masculino , Feminino , Pessoa de Meia-Idade , Adulto , Idoso , Índices de Gravidade do Trauma , Adulto Jovem , Adolescente
20.
Int J Appl Basic Med Res ; 14(1): 7-11, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38504838

RESUMO

Background: Burns is one of the leading causes of mortality in developing countries like India. Most of the major burns requiring hospital care are not triaged adequately for the use of medical resources. An efficient mortality predicting scale would not only help in better care to those who will benefit the most but also make it easy to explain to patient's attendants. Among the various tools, revised Baux (rBaux) and modified Abbreviated Burn Severity Index (ABSI) are two most commonly used scales in developed nations. We proposed this study to analyze the reliability of these two scoring scales in our burn population. Aim: This study aimed to retrospectively study the two scoring systems and analyze them for their reliability in predicting mortality compared to actual observed mortality in each case. Materials and Methods: This study was conducted on all burn patients admitted to the intensive care unit of our hospital. Data on their demographic profile, total burn surface area, thickness of burns, inhalational injury, and other comorbidities were collected from files. rBaux and modified ABSI (mABSI) were calculated. The end result in the form of survival or nonsurvival was also recorded. Appropriate statistical analysis using Mann-Whitney U-test, Chi-square test, and receiver operator characteristic curve was done to look for a better scoring system out of the two. Results: A total of 504 patients were included in the study, out of which 337 were survivors. Female gender was not a risk factor for mortality in our study. The median rBaux score in the survivor group was 100 (80-110) and in nonsurvivor group was 111 (103-123). The median mABSI score in the survivor group was 8 (7-9) and in nonsurvivor group was 10 (9-11). The area under the receiver operating characteristic curve shows mABSI having better specificity for predicting mortality. rBAUX, though more sensitive, overestimates mortality than actual observed mortality. Conclusion: mABSI predicts mortality better than rBaux. A multicentric prospective study is recommended for mABSI to be used as a standard mortality predictor in burns in India.

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