The purpose of this study was to examine trends in MSW graduate student's self-reported levels of healthy habits, family support and relationships during education, self-care, personal standards, as well as time management, and what the implications of those things are related to student burnout. The hypothesis was that students are burned out before they enter the social work field professionally. This poses a problem because the social work field has an already high level of burnout, turnover, and compassion fatigue. This study examines the trends in both the online pathways program and the on-the- ground ground program.

Children account for approximately 34% of the burn-injured population in the United States and are particularly at risk for developing posttraumatic stress disorder (PTSD) or other significant psychopathology (i.e., behavioral and attentional difficulties, acute stress, depression, anxiety, phobias, dissociative symptoms, and enuresis). There is a significant risk that quality of life (QOL) can have a negative impact on children who have sustained a burn injury, particularly within the domain of social functioning. Specifically, children who meet the criteria for PTSD following a burn injury are at an increased risk of experiencing impairment in overall QOL. However, there remains significant evidence that a substantial portion of children exhibit satisfactory QOL outcomes following a burn injury at a level comparable to their noninjured peers. This positive outcome may be attributed to the child's level of resiliency--the protective factors that positively influence their ability to adjust and move forward following a traumatic event. Research on risk and resiliency of posttraumatic stress symptoms (PTSS) in pediatric burn survivors is limited. For psychological assessment and burn treatment to be successful, it is important to understand the resilient qualities that are present in children who experience positive post-burn-injury outcomes. By focusing on a child's mental health strengths and by building his or her resilience, a health professional may prevent or lessen the child's adjustment difficulty or psychopathological symptoms. Thus, the primary purpose of this study was to identify the relation between pediatric burn injury, demographic variables, resilience and QOL outcome with regard to PTSS. Demographic information (e.g, gender, age, household income, and diagnoses) and burn injury characteristics (e.g., age at time of burn, total body surface area injured, number or days spent in the hospital, and number of surgeries) were considered with regard to PTSS, resiliency, and QOL outcome. Further analysis efforts compared results from the Resiliency Scales for Children and Adolescents (RSCA) with scores obtained from the University of California at Los Angeles Posttraumatic Stress Reaction Index for Diagnostic and Statistical Manual--Fourth Edition (UCLA PTSD Reaction Index for DSM-IV; Reaction Index). Identical analyses were performed regarding the RSCA and the Pediatric Quality of Life Inventory, Version 4.0 (PedsQL 4.0). Analyses indicated a significant relation between PTSS severity and resilience, with positive resilience outcomes correlated to lower levels of PTSS severity. Further, a significant relation was found between QOL and PTSS, with positive QOL functioning related to lower levels of PTSS. Finally, a significant relation was found between resilience and QOL: Participants who endorse higher levels of resilience demonstrate better QOL outcomes. Overall, demographic information and burn injury characteristics did not significantly affect results regarding PTSS severity. Clinical implications and future areas of research are discussed.

Thesis (Ph. D.)--Ohio State University, 1984. / Includes vita. Includes bibliographical references (leaves 174-180). Available online via OhioLINK's ETD Center.

Thesis (Ph. D.)--Ohio State University, 1982. / Includes vita. Includes bibliographical references (leaves 117-125). Available online via OhioLINK's ETD Center.

Background: The increased vascular permeability seen after burn contribute to morbidity and mortality as it interferes with organ function and the healing process. Large efforts have been made to explore underlying pathophysiological mechanisms that generate increased vascular permeability after burns. Many different substances have been proposed as mediators of which histamine, serotonin and oxygen radicals are claimed most important. However, no specific blocker has convincingly been shown to be clinically effective. Early work has claimed increased histamine plasma-concentrations in humans after burn and data from animal models pointed at histamine as an important mediator. Modern human clinical studies investigating the role of histamine as a mediator of the generalized post burn increase in vascular permeability are lacking. less thanbrgreater than less thanbrgreater thanMethod: We examined histamine turnover by measuring the urinary excretion of histamine and methyl histamine for 48 h after burns in 8 patients (mean total burn surface area 24%). less thanbrgreater than less thanbrgreater thanResults: Over time, in this time frame and compared to healthy controls we found a small increase in the excretion of histamine, but no increase of its metabolite methylhistamine. less thanbrgreater than less thanbrgreater thanConclusion: Our findings do not support that histamine is an important mediator of the increased systemic vascular permeability seen after burn. / <p>Funding Agencies|Research and Development Unit, Jamtland County Council, Sweden||</p>

This study compared the effects of fire severity and salvage logging on early successional vegetation in the mixedwood boreal forest upland of Saskatchewan. The effects of salvage logging on post-fire forest stands are poorly understood. Few studies have investigated the short-term effects of salvage logging on the regeneration of boreal plant species or the long-term impact on overall forest composition and diversity. This study examines salvage logged and wildfire leave stands across three burn severity classes (no burn, low/moderate burn, and high burn) over two time periods (1 year post-fire and 10 years post-fire). The results indicate that salvage logging has a significant impact on the early regeneration of burned mixedwood boreal plant communities with the effect still evident in forest stands ten years post-fire. Salvage logging has long-lasting residual effects on boreal forest plant community development. Salvage logging one year post-fire reduced the number, diversity, and abundance of species within each of the burn severities, creating a less abundant and simplified plant community. It was also shown that salvage logging one year post-fire tended to create more homogenous plant communities similar to those communities typical of areas of moderate burn severity, constraining the effects of burn severity and decreasing the range of the vegetation communities. These findings are less pronounced, but still evident, within salvage logged stands ten years post-fire as three regrowth cover types have developed, characterised by no disturbance, moderate disturbance either by fire or salvage logging, and severe disturbance. The convergence of plant community characteristics between burn severity classes across logging treatments suggests that the effects of salvage logging do not have long lasting effects within areas of high burn severity.

Some aspects of the stress response during acute intensive care for severe burns are described and quantified by measuring hormonal and neuroendocrine patterns and relating these to organ function in the short term. This includes an assessment of whether there are markers for the severity of stress that are better than conventional descriptors of the severity of a burn in predicting failing organ function. P-CgA after a major burn injury is an independent and better predictor of organ dysfunction assessed as SOFA score than the traditionally used TBSA% burned. The results also suggest that the extent of neuroendocrine activation is related to organ dysfunction, and this motivates a more extensive effort to evaluate P-CgA as a prognostic marker with respect to mortality and long-term outcome. P-NT-proBNP exhibited a complex pattern with considerable inter-individual and day-to-day variations. Values of P-NT-proBNP were related to size of burn, water accumulation and systemic inflammatory response. A considerable covariation with trauma response and SOFA scores was observed in day by day analyses, but with weight change only on day 2. Maximum P-NT-proBNP showed a stronger correlation with SOFA score on day 14, with mortality, and with LOS, than did age and TBSA% burned. High values were also independent predictors of all subsequent SOFA scores up to two weeks after injury. P-NT-proBNP and NT-proANP reflect and predict organ function after burn injury similarly, notwithstanding a significantly larger intra-individual variability for P-NT-proBNP. P-NT-proBNP, but not NT-proANP, reflects the systemic inflammatory trauma response. Free cortisol concentration was related to the size of burns, as was the circadian cortisol rhythm. This effect of burn size was, at least in part, related to its effect on organ function. This thesis points to the fact that the stress response is richly interwoven, and cannot be adequately assessed by one biomarker only. All biomarkers studied here can be viewed as representing efferent limbs of the stress reaction, and they would need to be supplemented by biomarkers representing individual physiologic responses that follow the stress signaling.

Abstract: Aim: To illuminate how nurses working with burn injured children describe their care for burn injured children in pain during dressing procedures and which conditions and obstacles nurses express they are working under in order to proceed with giving care. Method: Semi-structured qualitative interviews with eight nurses at a pediatric burn ward in Dar es Salaam. Interviews were recorded, transcribed and processed by manifest content analysis. Result: Three themes were derived and identified as, pain assessment, pain management and pain treatment. Nurses experienced the pain management as satisfactory and expressed pain assessment as indication to how the burn injured children behaved and were affected upon daily dressing of burn wounds. Results also showed from observations that there is no specific pain assessment tool being used at the ward, more than the nurse’s clinical eye and work experience at the dressing occasion. The main pain treatment used at the ward was Panadol and nurses described their fear of children becoming tolerant to opiates as reason why Panadol being used so extensively. Conclusion: This is a topic that shows that nurses in dealing with pediatric burn injured patients have good skills in pain management. However the routine use of pain treatment during dressings as an extensive standard treatment needs to be illuminated.

This study compared the effects of fire severity and salvage logging on early successional vegetation in the mixedwood boreal forest upland of Saskatchewan. The effects of salvage logging on post-fire forest stands are poorly understood. Few studies have investigated the short-term effects of salvage logging on the regeneration of boreal plant species or the long-term impact on overall forest composition and diversity. This study examines salvage logged and wildfire leave stands across three burn severity classes (no burn, low/moderate burn, and high burn) over two time periods (1 year post-fire and 10 years post-fire). The results indicate that salvage logging has a significant impact on the early regeneration of burned mixedwood boreal plant communities with the effect still evident in forest stands ten years post-fire. Salvage logging has long-lasting residual effects on boreal forest plant community development. Salvage logging one year post-fire reduced the number, diversity, and abundance of species within each of the burn severities, creating a less abundant and simplified plant community. It was also shown that salvage logging one year post-fire tended to create more homogenous plant communities similar to those communities typical of areas of moderate burn severity, constraining the effects of burn severity and decreasing the range of the vegetation communities. These findings are less pronounced, but still evident, within salvage logged stands ten years post-fire as three regrowth cover types have developed, characterised by no disturbance, moderate disturbance either by fire or salvage logging, and severe disturbance. The convergence of plant community characteristics between burn severity classes across logging treatments suggests that the effects of salvage logging do not have long lasting effects within areas of high burn severity.

Thesis (Ph. D.)--University of Missouri-Columbia, 2000. / Typescript. Vita. Includes bibliographical references (leaves 69-74). Also available on the Internet.