Maxwell B Johnson
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View article: 104 Integrating Addiction Medicine into Burn Care: Optimizing Pain Management in Stimulant-Positive Patients
104 Integrating Addiction Medicine into Burn Care: Optimizing Pain Management in Stimulant-Positive Patients Open
Introduction Stimulant use, such as amphetamines and cocaine, complicates burn care by increasing pain sensitivity, inflammation, and medical complexity, often leading to worse outcomes like prolonged hospital stays and higher complication…
View article: 126 Ill-Being and its Relevance to Unrepresented Burn Patients
126 Ill-Being and its Relevance to Unrepresented Burn Patients Open
Introduction Patients-without-proxies (PWPs) lack decision-making capacity, a surrogate, and an advanced directive. Their values are therefore unknown. Due to an aging population and a nation-wide homelessness crisis, PWPs represent a larg…
View article: 128 Correlating Self-Reported Disability of Burn Survivors with Philosophical Models of Disability
128 Correlating Self-Reported Disability of Burn Survivors with Philosophical Models of Disability Open
Introduction Philosophical models provide coherent definitions of concepts that impact how those concepts are subsequently employed in practice. The concept of ‘disability’ has three well-established models, detailed in Table 1. The popula…
View article: Ibuprofen is Not Associated With an Elevated Bleeding Risk or Transfusion Requirement in Skin Grafting for Patients With Burn Injuries
Ibuprofen is Not Associated With an Elevated Bleeding Risk or Transfusion Requirement in Skin Grafting for Patients With Burn Injuries Open
Ibuprofen, a non-steroidal anti-inflammatory drug, can increase the risk of bleeding, a significant concern in burn surgery, which often involves substantial blood loss. This study aims to evaluate the safety of ibuprofen use in burn patie…
View article: 757 Focusing the Lens on Burn Wound Photography: An Institutional Assessment
757 Focusing the Lens on Burn Wound Photography: An Institutional Assessment Open
Introduction Wound photography plays a critical role in burn care. In addition to written descriptions, photographs document wound changes and inform management decisions. Furthermore, photographs may be utilized for academic purposes such…
View article: 536 A Novel Mobile Application for Burn Surface Area Calculation
536 A Novel Mobile Application for Burn Surface Area Calculation Open
Introduction The percent total body surface area (TBSA) burned is a critical determinant of required level of care, initial management, and prognosis in burn patients. The current gold standard for TBSA estimation, the Lund-Browder (LB) ch…
View article: 716 Autologous Skin Cell Suspension for Dorsal Hand Burn Treatment
716 Autologous Skin Cell Suspension for Dorsal Hand Burn Treatment Open
Introduction Intermediate and deep partial-thickness dorsal hand burn injuries require timely and appropriate care to preserve both form and function. Split-thickness autografting (STAG) remains the standard of care but requires postoperat…
View article: 744 The Unhoused Burn Population: An Alarming Increase of Leaving Against Medical Advice and Unplanned Readmissions
744 The Unhoused Burn Population: An Alarming Increase of Leaving Against Medical Advice and Unplanned Readmissions Open
Introduction Unhoused burn patients (UBP) have historically been more likely to leave against medical advice (AMA) and suffer worse health outcomes compared to the general population. The COVID-19 (CV) pandemic has created major strain on …
View article: 765 Charting a Path to Enhanced Burn Care: Standardized Note Templates and Resident Perspectives
765 Charting a Path to Enhanced Burn Care: Standardized Note Templates and Resident Perspectives Open
Introduction Common Data Elements (CDE) are standardized questions with a set of limited responses that are used systematically across multiple sites. They have been proposed as a means of standardizing clinical documentation and improving…
View article: Exploring the interaction of viscosity and nipple design on feeding performance in an infant pig model
Exploring the interaction of viscosity and nipple design on feeding performance in an infant pig model Open
Infant feeding behaviors are modulated via sensorimotor feedback, such that sensory perturbations can significantly impact performance. Properties of the nipple and milk (e.g., nipple hole size and viscosity) are critical sources of sensor…
View article: Impact of volume and rate of milk delivery on coordination of respiration and swallowing in infant pigs
Impact of volume and rate of milk delivery on coordination of respiration and swallowing in infant pigs Open
The coordination of respiration and swallowing is a life‐critical function in infants. Varying volume and rate of milk delivery changes swallowing frequency and bolus volume but any impact on swallow‐respiration coordination is unknown. Fi…
View article: Prolymphangiogenic Effects of 9- <i>cis</i> Retinoic Acid Are Enhanced at Sites of Lymphatic Injury and Dependent on Treatment Duration in Experimental Postsurgical Lymphedema
Prolymphangiogenic Effects of 9- <i>cis</i> Retinoic Acid Are Enhanced at Sites of Lymphatic Injury and Dependent on Treatment Duration in Experimental Postsurgical Lymphedema Open
Background: Patients undergoing surgical treatment for solid tumors are at risk for development of secondary lymphedema due to intraoperative lymphatic vessel injury. The damaged lymphatic vessels fail to adequately regenerate and lymphati…
View article: Patient Characteristics Associated with Free Nipple Graft Reduction Mammoplasty
Patient Characteristics Associated with Free Nipple Graft Reduction Mammoplasty Open
Total weight of the breast specimens removed and BMI were significantly associated with the FNG technique. Removing more than 1500 g gof total breast tissue was also significantly correlated. These findings may guide surgeons during the de…
View article: Characteristics of Upper Extremity Recovery in Acute Flaccid Myelitis: A Case Series
Characteristics of Upper Extremity Recovery in Acute Flaccid Myelitis: A Case Series Open
Background: Clinical characteristics and timing associated with nonsurgical recovery of upper extremity function in acute flaccid myelitis are unknown. Methods: A single-institution retrospective case series was analyzed to describe clinic…
View article: Differential Gene Expression in Capsules Derived From Smooth and Textured Silicone Implants
Differential Gene Expression in Capsules Derived From Smooth and Textured Silicone Implants Open
PURPOSE: Capsular contracture is the most common complication of implant-based breast surgery in the United States, leading to abnormal breast contour, increased firmness, and pain to touch. It is well established that smooth implants have…
View article: Mesenchymal Stromal Cells Isolated from Irradiated Human Skin Have Diminished Capacity for Proliferation, Differentiation, Colony Formation, and Paracrine Stimulation
Mesenchymal Stromal Cells Isolated from Irradiated Human Skin Have Diminished Capacity for Proliferation, Differentiation, Colony Formation, and Paracrine Stimulation Open
Ionizing radiation, commonly used in the treatment of solid tumors, has unintended but deleterious effects on overlying skin and is associated with chronic nonhealing wounds. Skin-derived mesenchymal stromal cells (SMSCs) are a pluripotent…
View article: Development and Characterization of A Novel Prox1-EGFP Lymphatic and Schlemm’s Canal Reporter Rat
Development and Characterization of A Novel Prox1-EGFP Lymphatic and Schlemm’s Canal Reporter Rat Open
The lymphatic system plays a key role in tissue fluid homeostasis, immune cell trafficking, and fat absorption. We previously reported a bacterial artificial chromosome (BAC)-based lymphatic reporter mouse, where EGFP is expressed under th…
View article: Topical Fibronectin Improves Wound Healing of Irradiated Skin
Topical Fibronectin Improves Wound Healing of Irradiated Skin Open
Wound healing is significantly delayed in irradiated skin. To better understand global changes in protein expression after radiation, we utilized a reverse phase protein array (RPPA) to identify significant changes in paired samples of nor…
View article: Impaired wound healing after radiation therapy: A systematic review of pathogenesis and treatment
Impaired wound healing after radiation therapy: A systematic review of pathogenesis and treatment Open
Background: Radiotherapy is a common cancer treatment, but often results in unintended injury to overlying skin and contributes to poor wound healing. The mechanisms underlying these changes are complex, and existing treatment is limited. …
View article: Abstract 136: Short Duration 9-cis Retinoid Acid Therapy is Sufficient to Improve Functional Lymphatic Drainage in Post-Surgical Lymphedema
Abstract 136: Short Duration 9-cis Retinoid Acid Therapy is Sufficient to Improve Functional Lymphatic Drainage in Post-Surgical Lymphedema Open
PURPOSE: 9-cis Retinoic Acid (9-cis RA), prevents postsurgical lymphedema and is associated with increased lymphangiogenesis and lymphatic clearance. In this study, we sought to determine if shorter durations of 9-cis RA therapy were suffi…
View article: An update and review of cell-based wound dressings and their integration into clinical practice
An update and review of cell-based wound dressings and their integration into clinical practice Open
Chronic wounds affect over 4 million individuals and pose a significant burden to the US healthcare system. Diabetes, venous stasis, radiation or paralysis are common risk factors for chronic wounds. Unfortunately, the current standard of …
View article: Integra-based Reconstruction of Large Scalp Wounds: A Case Report and Systematic Review of the Literature
Integra-based Reconstruction of Large Scalp Wounds: A Case Report and Systematic Review of the Literature Open
Background: Large complex scalp wounds that have traditionally required free vascularized tissue transfer have been successfully reconstructed with skin substitutes such as Integra. Although there are multiple reports of Integra-based reco…
View article: Efficient Assessment of Developmental, Surgical and Pathological Lymphangiogenesis Using a Lymphatic Reporter Mouse and Its Embryonic Stem Cells
Efficient Assessment of Developmental, Surgical and Pathological Lymphangiogenesis Using a Lymphatic Reporter Mouse and Its Embryonic Stem Cells Open
Several lymphatic reporter mouse lines have recently been developed to significantly improve imaging of lymphatic vessels. Nonetheless, the usage of direct visualization of lymphatic vessels has not been fully explored and documented. Here…