Brief postsurgical electrical stimulation (ES) has been shown to enhance peripheral nerve regeneration in animal models following axotomy and crush injury. However, whether this treatment is beneficial humans with sensory injury not tested. The goal of study was test the hypothesis that ES would digital transection compared surgery alone.Patients complete underwent epineurial repair. After coaptation severed ends, fine wire electrodes were implanted before skin closure. Postoperatively,...

Abstract Introduction Houselessness has increased in urban regions since the Covid-19 pandemic, potentially posing a risk to population northern climate. This study investigates how pre-injury living conditions influence health outcomes among thermally injured inpatients post-pandemic. We hypothesized that housing status at time of injury and admission is significant determinant our patient population. Methods A retrospective chart review was completed on patients admitted burn service level...

Background: Current surgical management of obstetrical brachial plexus injury is primary reconstruction with sural nerve grafts. Recently, the nerve-to-nerve transfer technique has been used to treat in adults, affording benefit distal coaptations that minimize regenerative distance. The purpose this study was test hypothesis transfers are effective reconstructing isolated upper trunk injuries. Methods: Ten patients aged 10 18 months were treated three transfers: spinal accessory...

Osteoarthritis (OA) of the knee is one most common joint diseases affecting adults in United States. For elderly patients with multiple medical comorbidities who do not wish to undergo total arthroplasty (TKA), lifestyle modification, pharmacologic management, and injections are mainstay therapy. Previously, pain management interventions were limited intra-articular viscosupplementation hyaluronic acid. Fluoroscopic-guided techniques for radiofrequency ablation (RFA) genicular nerves have...

Appropriate identification of burn depth and size is paramount. Despite the development assessment aids [e.g., laser doppler imaging (LDI)], clinical assessment, which assesses partial thickness with 67% accuracy, currently remains most consistent standard practice. We sought to develop an image-based artificial intelligence system that predicts severity wound margins for use as a triaging tool in thermal injury management. Modified EfficientNet architecture trained by 1684...

Burn care management includes assessing the severity of burns accurately, especially distinguishing superficial partial-thickness from deep burns, in context providing definitive, downstream treatment. Moreover, healing wound subacute setting requires continuous tracking to avoid complications. Artificial intelligence (AI) and computer vision (CV) provide a unique opportunity build low-cost accessible tools classify burn track changes parameters, both clinic by physicians nurses...

Abstract Introduction Appropriate identification of burn depth and size is paramount. Despite the development assessment aids [e.g., laser doppler imaging (LDI)], clinical remains a gold standard, which assesses partial thickness with ~67% accuracy. We sought to develop an image-based artificial intelligence system that predicts severity wound margins for use as triaging tool in community. Methods Modified EfficientNet architecture trained by 1684 mobile-device-captured datasets different...

Abstract Introduction Accurate assessment and early interventions in the field are crucial to prognosis of burn injuries. Studies have indicated that up 35% patients inappropriately transferred hospitals. In some pediatric burns, reports suggested total surface area (TBSA) has been overestimated as much 44%. First responders play a pivotal role management injuries, especially remote areas. An intuitive mobile application incorporates standardized practices Advanced Burn Life Support (ABLS)...

Abstract Introduction Burn injuries occur with a disproportionately higher frequency in vulnerable groups. Their health literacy (HL), defined as the way patients obtain, process, and understand information, may be an important factor that influences access, care, recovery after burns. This study aims to determine current levels of variables associated poor for outpatients treated at two regional burn centres. Methods All eligible presenting tertiary outpatient centers were asked...

Dysregulated wound healing, marked by excessive collagen deposition, is the hallmark to keloid scar formation. Current methods for assessing keloids in clinical settings rely heavily on subjective measures, which are prone interrater variability. This study introduces a machine learning (ML) pipeline prototype, designed automate detection, measurement, and colour analysis of scars. Using convolutional neural network (CNN), segments lesions from 2D images, applies fiducial markers accurate...

Despite the advances of modern operating rooms, surgeons often experience work environments that rival those industrial workers with regard to risk musculoskeletal (MSK) injuries or disorders. Such may result in loss hours, decreased surgical volume, premature retirement. This study aimed investigate prevalence and impact MSK among Canadian plastic trainees.

Abstract The escalating incidence of skin lesions, coupled with a scarcity dermatologists and the intricate nature diagnostic procedures, has resulted in prolonged waiting periods. Consequently, morbidity mortality rates stemming from untreated cancerous lesions have witnessed an upward trend. To address this issue, we propose lesion classification model that leverages efficient net B7 Convolutional Neural Network (CNN) architecture, enabling early screening based on camera images. is...

Recent advances in burn care have significantly improved the survival rate of patients with extensive injuries placing a greater emphasis on reconstruction to improve long-term outcomes scar deformities. Burn contractures are common deformities which limit range motion, complicate airway management and create significant cosmetic difficult treat. Traditional methods such as partial full-thickness skin grafts, Z-plasties, local flaps, tissue expanders substitutes been used release function...

Regional burn centers face challenges in follow-up care for large catchment areas. In 2006, we implemented a store-and-forward outpatient protocol (“BurnPics”) established patients our region to assess healing and range of motion. Starting August 2014, added videoconferencing visits select patients. The purpose this quality improvement project was evaluate BurnPics utilization. We reviewed records enrolled the program from 2014 through July 2015. evaluated enrollment, provider time, revenue...

Insufflation of epinephrine-containing solutions (clysis) has shown to decrease blood loss in burn surgery. Current delivery methods are associated with significant cost and may predispose patients hypothermia. This was a proof-of-concept study evaluate novel surgeon-operated clysis system. Our initial experience fluid management system is presented. Temperature, pressure, volume recorded. Patient factors were evaluated complications collected. Finally, cost-effectiveness analysis conducted....

Abstract Burn care management includes assessing the severity of burns accurately, especially distinguishing superficial partial thickness (SPT) from deep (DPT) burns, in context providing definitive, downstream treatment. Moreover, healing wound sub-acute setting requires continuous tracking to avoid complications. Artificial intelligence (AI) and computer vision (CV) provide a unique opportunity build low-cost accessible tools classify burn track changes parameters, both clinic by...