Publications by authors named "Stephen M Milner"
Article Synopsis
- Fungal infections, particularly those caused by Fusarium, are increasingly common in burn patients and are associated with high rates of illness and death, especially in those with weakened immune systems.
- A rare case is presented where a burn patient developed severe septic shock due to a Fusarium infection in the upper extremity, necessitating multiple surgeries, including amputation.
- The patient ultimately recovered from septic shock following aggressive treatments including debridements and skin grafting, highlighting the need for prompt and intensive management of such infections to improve survival outcomes.
Hidradenitis suppurativa (HS), also known as acne inversa, is an incapacitating skin disorder of unknown etiology manifested as abscess-like nodules and boils resulting in fistulas and tissue scarring as it progresses. Given that neutrophils are the predominant leukocyte infiltrate in HS lesions, the role of neutrophil extracellular traps (NETs) in the induction of local and systemic immune dysregulation in this disease was examined. Immunofluorescence microscopy was performed in HS lesions and detected the prominent presence of NETs.
View Article and Find Full Text PDFObjective: (1) To evaluate the feasibility of conducting a randomized controlled trial (RCT) of the Safety, Meaning, Activation and Resilience Training (SMART) intervention vs nondirective supportive psychotherapy (NDSP) in an acutely hospitalized adult survivor of burn injury sample; and (2) to assess the preliminary effect of SMART on acute stress disorder (ASD), posttraumatic stress disorder (PTSD), and major depressive disorder (MDD) symptom reduction as secondary prevention.
Design: Proof-of-concept, parallel group RCT design.
Setting: Regional burn center.
Background: There is an abundance of literature supporting the efficacy of fat grafting in aesthetic and reconstructive cases. There has been a recent emphasis on the regenerative capacity of adipose-derived stem cells and their utility in the improvement of wound healing and scarring provided by their cytokine and growth factor profiles. Despite the wealth of evidence supporting their efficacy, little attention has been paid to their utility in burn treatment.
View Article and Find Full Text PDFAdvances in burn management over the past 2 decades have resulted in improved survival and reduced morbidity. The treatment of a single patient following a 90% total body surface area injury illustrates the intensity of labour and coordinated hospital care required for such catastrophically injured patients. Data were extracted from the medical records and from personal recollections of the individual members of the multidisciplinary team as well as from the patient.
View Article and Find Full Text PDFAngiokeratomas are benign vascular ectasias that can present with bleeding or cosmetic concerns. We present an extreme case of Fordyce angiokeratoma. Usual treatment modalities, including medical management with analgesics and angiotensin-converting enzyme inhibitors, as well as laser treatments, were not viable options in this unique case.
View Article and Find Full Text PDFBackground: Audience response systems (ARSs) are electronic devices that allow educators to pose questions during lectures and receive immediate feedback on student knowledge. The current literature on the effectiveness of ARSs is contradictory, and their impact on student learning remains unclear.
Objectives: This randomised controlled trial was designed to isolate the impact of ARSs on student learning and students' perception of ARSs during a lecture.