published_or_final_version / abstract / toc / Surgery / Master / Master of Philosophy

Aim of the study: To estimate and evaluate the influence of sociodemographic and environmental factors on children burnings in Kaunas region in 2000–2003. Methods: The research is carried out during 2000–2003. The data is taken from Kaunas territorial patient center. During the research the rate of children burning according sex, age and living place is analyzed. The distribution of burnings depending to the city and country as well as the patient age is surveyed, too. MS Excel and SPSS programs are used for the data analysis. Results: During 2000–2003, there were 2233 children(1365 boys and 868 girls) with various burnings in Kaunas region. In 2000 in Kaunas region 367,5 boys and 225 girls suffered from burnings; in 2001 there were 408,5 boys and 322,9 girls with burnings for 100 000 region dwellers. In 2002 there were 360,6 boys and 229,8 girls with burnings, but in 2003 the number increased up to 494,2 boys and 308,1 girls with burnings. The total number of injured boys is 1365(61%) and the total number of injured girls is 868(39%). The largest number of burnt children is stated in the group of 0-6 years(1249–56%). In the group of 7-9 years the number of burnt children is 246(11%). 432(19%) children of 10–14 years old and 306(14%) children of 15–17 years old suffered from burnings. 323(23,7%) boys and 211(24,3%) girls suffered from arm and shoulder burnings. 195(22,5%) girls suffered from leg burnings. The number is 5,6% higher than the number of analogous burnings in boys... [to full text]

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Burns are common in low- and middle income countrie ssuch asTarzania and firerelated deaths are numerous in Africa compared to high income countries in Europe. The nurse's primary professional responsibility is to require nursing care to people. Nursing care for burned patients is important and demands knowledge. Nurses in Tanzania experience difficulties in their daily work in terms of heavy workload and lack of material. Transcultural nursing aims to see care, health and illness from a cultural perspective and the goal is to provide competent care to people in different cultures. The purpose of the study was to illuminate how nurses in Tanzania take care of patients with burns.The study was implemented at the hospital Kilimanjaro Christian Medical Centre in Moshi,Tanzania. A qualitative method was used;participating observations of nine nurses were carried out. The field notes were analyzed by content analysis and gradually two themes appeared; preventing infections and meeting the patient.The conclusion was that nursing care meant collaboration with the relatives, a calm and low stress atmosphere and concems about the patients' integrity. Difficulties experienced in the nurse's daily work were lack of time and material, but despite this the nurses wanted to improve the care of the burned patients in order to reduce the risk of infection. An interesting finding was that normally no contact was created between the nurse and the patient. Overall the lasting impression was that nursing care must be seen and understood in the cultural context. / <p>Röda Korsets sjuksköterskeförening stipendium 2010</p>

Burns Bog covers approximately 3,000 hectares between the Fraser River and Boundary Bay in Delta, BC. An ecologically unique ecosystem, its hydrology and ecology have been widely disturbed. Hydrology strongly shapes the character and distribution of vegetation and Sphagnum growth. This study investigated measures of hydrology, including water table residence times and cumulative moisture deficits, to quantify intuitive relationships between moisture stress and ecological zones. Regression analysis of quantitative field observations reveal statistically significant relationships between cumulative moisture deficits and several key bog plant species and Lodgepole pine (Pinus contorta) diameter at breast height, signifying that these relationships can be used to predict the potential for vegetation recovery. Sphagnum height measurements reveal the unexpected observation that most growth occurs during the cool moist winter and early spring. This study contributes to the hydrological management of Burns Bog and will help to guide the location and mechanisms of restoration efforts.

<p>&nbsp / South Africa has a high rate of children&rsquo / s burn injuries with 1300 deaths annually. These burn injuries are considered preventable and South African research has identified this as a priority concern. South African childhood burn injury studies have mainly focused on expert and parents&rsquo / /caregivers&rsquo / descriptions and accounts. Despite their particular vulnerability, children&rsquo / s perspectives have not been consistently accommodated in the identification of childhood injury risk phenomena or in the development and implementation of safety interventions. Using a qualitative approach this study investigates children&rsquo / s perceptions of causation and prevention of burn injuries. Study data was collected from Khayelitsha, Site C and Philippi, Samora Machel in Cape Town as these areas have reported elevated rates of thermal and fire-related burn injuries. Study data were collected using three isiXhosa focus group discussions based on a convenience sample of 10 &ndash / 11 years old children ranging between 4 &ndash / 6 participants per group. They were selected based on verbal ability, age, residential area and ability to speak either English or isiXhosa. Thematic analysis was used to analyse the results. The themes demonstrate that children appreciate the magnitude of burns in their communities and attribute the problem to factors ranging from themselves, their social conditions and mostly their parents/caregivers. The children emphasized the importance of parental supervision and risk avoidance by the child and adults in prevention. This study recommends an integrated approach to burn injury prevention interventions and calls for the inclusion of children in studies concerning the wellbeing and safety of children.</p>

<p>&nbsp / South Africa has a high rate of children&rsquo / s burn injuries with 1300 deaths annually. These burn injuries are considered preventable and South African research has identified this as a priority concern. South African childhood burn injury studies have mainly focused on expert and parents&rsquo / /caregivers&rsquo / descriptions and accounts. Despite their particular vulnerability, children&rsquo / s perspectives have not been consistently accommodated in the identification of childhood injury risk phenomena or in the development and implementation of safety interventions. Using a qualitative approach this study investigates children&rsquo / s perceptions of causation and prevention of burn injuries. Study data was collected from Khayelitsha, Site C and Philippi, Samora Machel in Cape Town as these areas have reported elevated rates of thermal and fire-related burn injuries. Study data were collected using three isiXhosa focus group discussions based on a convenience sample of 10 &ndash / 11 years old children ranging between 4 &ndash / 6 participants per group. They were selected based on verbal ability, age, residential area and ability to speak either English or isiXhosa. Thematic analysis was used to analyse the results. The themes demonstrate that children appreciate the magnitude of burns in their communities and attribute the problem to factors ranging from themselves, their social conditions and mostly their parents/caregivers. The children emphasized the importance of parental supervision and risk avoidance by the child and adults in prevention. This study recommends an integrated approach to burn injury prevention interventions and calls for the inclusion of children in studies concerning the wellbeing and safety of children.</p>

A qualitative descriptive approach was undertaken to explore the experience of eight registered nurses and two hospital play specialists who care for children hospitalised with burn injuries. The research participants were recruited from a paediatric ward that offers centralised specialty care to children with burns. Collected through face-to-face interviews, the participants' stories were tape-recorded and transcribed verbatim using a process for analysis informed by van Manen, (1997b).Emerging out of the data was the over-arching theme of 'passionate dedication' that shows the nurses and hospital play specialists genuine compassion and commitment to meet the needs of the children with burns. The findings of the study reveal that the participant's dedication is shaped and determined by a dynamic process that involves having professional integrity and in-depth knowledge of caring for children and burn management. The nurses and the hospital play specialists have a common understanding of what their role entails and the skills required to provide quality care and support to the children and the children's family. On a personal and professional level the participants encounter several challenges in this care context that are physically and emotionally overwhelming. Despite becoming overwhelmed the participants are revealed as being resourceful and resilient in their aptitude to find ways that enable them to cope and get through.This study supports international literature that suggests that caring for children with burns is equally rewarding, as much as it is physically and emotionally demanding. The implication in this study for the organisation is to seriously consider issues regarding productivity and efficiency of the workforce with acknowledgement that nurses and hospital play specialists cannot do this emotional work without effective systems of support in place. With the help of team leaders, managers and educators, the organisation will need to consider ways to monitor the job satisfaction of their staff. Furthermore, reinforce existing comprehensive measures, such as mentorship and clinical supervision programmes to encourage the retention and well-being of all staff, at all stages of their career on the children's burn ward.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

Diss. (sammanfattning) Linköping : Linköpings universitet, 2007. / Härtill 4 uppsatser.