Journal of

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Background and Aim: Over the years, the surgical approach for complicated burns has changed significantly. The limited donor site skin has left as a problem yet.  The objective of this study was to review the evidence on the safety and efficacy of Meek technique in patients with various extent of burns and age group levels

Methods: The most important medical databases including electronic library Cochrane (Cochrane Library), PubMed and Google Scholar were searched to find relevant articles till July 2015 without mesh language restrictions. Articles were examined independently by two reviewers and a structured form was used to collect data from included . The findings were qualitatively analyzed through (thematic synthesis).

Results: Six papers were found, 2 were reviews. Meek technique facilitates high rate of expansion of the skin and allows covering more areas of the skin.  This technique in combination with cultured epithelial autograft method is a useful additional option in achieving wound closure, especially in pediatric patients.

Conclusion: Functional and aesthetics outcomesof burn wounds treated with Meek technique were satisfactory in most cases.

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Introductio: Sarcoidosis is a chronic multi-organ disease. Scar sarcoidosis is a rare but specific cutaneous presentation. Most patients with scar sarcoidosis suffer from systemic involvement especially lung disease.

Case Report: We present here a 77 year-old-woman with sarcoidal infiltration in burn scars that she had acquired 30 years ago. She was treated with systemic steroids which led to regression of cutaneous lesions.

Conclusion: Scar sarcoidosis should be suspected in occurrence of new lesions in burn scars

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Background and Aim: Burns are among the most common causes of wounds. One of the medications used in these cases is silver sulfadiazine 1%, which has many side effects. Therefore, people turn to traditional compounds for treatment of these ulcers . Despite the widespread use of lime water in combination with olive oil and Ziziphus in Iran, little research has been done to prove their benefits. The purpose of this study was to investigate the topical effect of Ziziphus and olive oil and lime water combination on the healing rate of third-degree burns in mice.

Methods: In this study, 24 male Balb/c mice with a mean weight of 25±5 g were used. After anesthesia, a 1 cm² third-degree burn was created with a special device. The mice were randomly divided into four groups and received normal saline, Ziziphus poultice, olive oil-lime water, or silver sulfadiazine 1% daily. Pictures were taken weekly for three weeks. Then the area of the wounds was measured and the percentage of healing was calculated. Repeated measure ANOVA was used to analyze the data.

Results: In all weeks, the percentage of wound healing in the second to fourth groups was significantly higher than that of the first group, but was not significantly different from each other.

Conclusion: The results of this study showed the positive effect of Ziziphus leaves and the combination of olive oil and lime water on the healing rate of third-degree burn wounds in mice.

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Background and Aim: Burn is a risk, which threatens human beings every day in various forms. It is one of the most destructive injuries, associated with various physical and psychological complications. Burn affects the quality of life and life satisfaction . Evaluation of life satisfaction is very important due to its close relationship with physical and mental health. Given the high prevalence of burn in Iran and the presence of challenges in the treatment and rehabilitation of these patients, we decided to conduct this research to evaluate the life satisfaction in burned patients, admitted to Burn Injuries and Reconstructive Surgery Center in Rasht.

Methods: In this descriptive-analytical research, 379 burned patients were included in the study using convenient sampling method. The Diner Life Satisfaction Questionnaire was used to collect the data. Data were analyzed using descriptive and analytical statistics. The significance level was considered to be less than 0.05.

Results: Most of the subjects were male (64.1%) and had high level of education (34.6%). Also, most of them returned to their previous jobs (83.4%). Most of patients (48.5%) were satisfied with their life and the variables of lodging (P<0.0001), educational level (P<0.0001), marital status after burn (P=0.05), pre-burn job (P=0.016), post-burn job (P=0.014), skin graft (P<0.0001) and insurance (P<0.0001) were considered as predictive variables related to life satisfaction.

Conclusion: Since burn injury was expected to cause more than obtained dissatisfaction , other factors such as the power of faith and satisfaction with divine providence, high life expectancy, etc may influence their state of satisfaction. Thus, it is recommended that supporting and charity institutions (such as welfare, relief committee, IRIB, etc.) provide more support for these patients. It is also recommended that programs and classes with advisory and educational content be held for patients and their families.

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ackground and Aim: Different treatments have been tried for healing burn wounds each of which has had its own effects and complications. Therefore, researchers have attempted to develop methods for more rapid wound healing with fewer complications and greater patient satisfaction. This study investigated the effect of topical application of vitamin C solution on granulation tissue formation resulting from burn wounds.

Methods: Thirty patients hospitalized in the Burns Ward were divided into the control and intervention groups. The intervention group received topical application of vitamin C solution together with silver sulfadiazine ointment whereas only silver sulfadiazine ointment was used for the control group. Wound healing was observed and given scores on days 1, 3, 7 and 14 using the Bates-Jensen Wound Assessment Tool. The collected data was analyzed using SPSS 16.

Results: The results of repeated measures ANOVA showed that there were statistically significant between the two groups with respect to the mean scores for granulation tissue formation (P=0.004). Moreover, topical application of vitamin C significantly improved granulation tissue formation. As for intragroup effects also, the duration of the treatment had statistically significant effects on the mean score given for granulation tissue formation; i.e., there were significant differences between the mean scores given for days 1, 3, 7 and 17 (P=0.000; F=264.430).

Conclusion: This study showed that vitamin C has accelerating effect on wound healing.

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Burn is one of the most severe traumas experienced in humans with severe pain. Some researches indicate the positive impact of spiritual-religious interventions on different aspects of burn injuries. Therefore, the purpose of the present study was to investigate articles published in domestic and foreign databases on the effect of spirituality and religion on burn patients in Iran. The present study is a review study, all Persian articles in scientific journals that are in internal databases including Database SID, Iranmedex, Magiran, Irandoc and external databases such as Google Scholar, pubmed and indexed in persian were reviewed for the purpose of the study. Out of the reviewed articles, 4 articles were finally identified and evaluated according to the purpose of the study. Studies that did not have the full text were excluded, as well as articles that examined only the prevalence of burns and studies that did not specify how interventions were performed. Findings indicate the positive effect of spiritual-religious interventions on increasing the ability to cope with burn pain. Therefore, it is suggested that spiritual-religious interventions in nursing care be more widely considered.