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Ling Baus
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Over 100,000 patients are admitted every year to burn centers across the country. While many burns are minor and do not require hospitalization, some burns can be very extensive or deep and may require hospitalization and surgery. Approximately one-third of patients treated for burns are pediatric patients.
Arkansas Children's Hospital is home to Arkansas' ONLY Burn Program. Founded in 1928, the Burn Program has been providing comprehensive, personal care to adult and pediatric patients. On average, the Burn Program admits over 400 patients a year and sees over 2250 outpatient visits.
The Burn Program is at the forefront of medicine, utilizing skin substitutes, advanced skin grafting techniques, reality and other innovative technologies to help patients recover faster, decrease pain and improve cosmetic and functional outcomes.
The Burn Program at Arkansas Children's provides comprehensive, personal care to adult and pediatric patients. We treat and manage thermal, chemical and electrical burn wounds, as well as necrotizing soft tissue injuries, skin sloughing disorders such as toxic epidermal necrolysis (TENS) and Stevens-Johnson syndrome (SJS), and many other injuries.
The Burn Team is unique and comprises of surgeons, anesthesiologists, nurse practitioners, nurses, physical and occupational therapists, a clinical nutritionist, pharmacists, social workers, chaplains, child life specialists, psychologists, rehabilitation specialists, respiratory therapists and a discharge planner. The entire team is dedicated to providing the best burn care in the nation and works with families and patients alike to assist in the recovery process.
Everyone is in danger of a hot tap water burn, but young children and older adults are even more susceptible. Young children just know they can turn the water on and off, if it's too hot they can get burned. Older adults may have problems with lack of sensation, loss of dexterity, and slower reactions.
Camp Sunshine was founded in 1991 as an attempt to promote physical and emotional healing, growth and development of burned children. Children who sustain burn injury have needs which are best met by other burn survivors. Camp Sunshine gives survivors, both adult and pediatric across the state of Arkansas an opportunity to establish lasting friendships, experience personal growth and develop lifelong memories. Camp Sunshine assists in the transformation of Burn Victim to "Burn Survivor."
To attend camp, certain criteria must be met. Future campers must have survived a 10% or greater full thickness burn and may have significant scarring, disability or scarring to the hands or face. The age range is from 4 to 16 years. At 16 a camper becomes a Junior Staff member, at 18 they choose to be a Counselor in Training or a Volunteer in Training. Camp is ongoing for as long as the survivor wishes to attend.
Designed by the Phoenix Society for Burn Survivors, this hospital-based program utilizes volunteers to provide peer support to patients and their families. Peer support assists in adapting to a burn injury through sharing similar experiences.
Many people who successfully recover from a burn injury find purpose and meaning by helping others make the transition from burn victim to burn survivor. Those who recover successfully have learned a lot through trial and error and hope to make the road easier for others. The SOAR training program empowers volunteers with information and skills needed to provide appropriate forms of support.
* Soon after the publication of this blog, CAL FIRE issued course certificates and task books to almost everyone who took the course last May, as well as to the cadre that developed the course curriculum. They also made important changes that will help streamline the approval and certification process. Lenya and her colleagues are currently planning the next course, to be hosted later this spring. Optimism and truth-telling won in the end!
2) Layer upon layer of local, state, and federal environmental laws that were well intended when enacted (most in the 1970s before the wildfire fuel accumulation problem was well recognized), but are now counterproductive and act to increase the threat of wildfires to the very resources they were intended to protect, by adding delays, costs, restrictions, requirements, and threats of fines and jail time for individuals who seek to perform wildfire fuel reduction work, and opportunity and threat of litigation against public agencies that want to do the same.
Climate change adds to the problem, but climate does not burn, only fuel burns. If fuels were reduced to safe levels the problem would be largely solved. There have been decades of bipartisan state and federal reports on the wildfire fuel accumulation problem, the need to address it, and the need to amend laws to allow it to be addressed.
Most of those people do not understand the reality of rural and wild areas, and are being given inaccurate information by their leaders/politicians (e.g., that the cause of increasingly destructive wildfires is climate change).
As a result, politicians are afraid to amend what are now counterproductive environmental laws for fear of incurring the wrath of voters, or themselves are urbanites who do not understand rural reality.
I would not be surprised if some environmental organizations understand the problem, but are also afraid of alienating their supporters if they advocate for changing environmental laws to enable cutting of trees and brush at the scale needed, without regulatory hindrance.
I live in an area that burned, which had not burned in over 100 years due to wildfire suppression. It was ready to burn again three years after the fire. Standing dead trees killed by the fire are now kindling ready to kill trees that survived the fire. Yet even dead trees continue to be protected in the area. Crazy. Life and resource threateningly irrational. But the law.
Some of the federal laws that need changing are the Migratory Bird Treaty Act, the Endangered Species Act, the Clean Air Act, the Clean Water Act, National Environmental Quality Act, the Wilderness Act, the Equal Access to Justice Act.
Any incidental harm that could come to resources from wildfire fuel reduction work by amending these laws to exempt wildfire fuel reduction work from their application, would be nothing compared to the harm being done to resources by high-heat-intensity wildfires fueled by unaddressed accumulations of wildfire fuels.
The Fire Adapted Communities Learning Network is supported by a cooperative agreement between The Nature Conservancy, USDA Forest Service and agencies of the Department of the Interior through a subaward to the Watershed Research and Training Center. This institution is an equal opportunity provider.
The orchard/vineyard removal option provides incentives to commercial agricultural operations located within District boundaries to chip agricultural material from orchard and vineyard removals and use for soil incorporation (whole orchard/vineyard recycling), on-site land application on agricultural land, off-site beneficial re-use (mulch, composting, land application near roadways for dust suppression, and other District approved beneficial re-use of the chipped material). Additionally, this option provides incentives for the use of air curtain burners, which may only be used to dispose of diseased agricultural material or material with embedded wire.
The fleet expansion option provides incentives for the purchase of new agricultural wood-chipping equipment to chip orchard and vineyard removals located within the San Joaquin Valley. Eligible participants would include chipping and shredding contractors with demonstrated experience in providing services for the chipping of agricultural material and large farming companies that provide chipping services to other agricultural operations (with a commitment to offer services).
"....boot0 (PIN 138) must be connected to GND..." ? I may not be understanding what you are trying to do, but if you connect BOOT0 pin directly to ground you will be limiting your programming options. I connect the Boot0 pin to a pull-down resistor (10k?) and a test pad/hole. That way I can pull the pin high using a spring loaded probe in a programming/test jig when I need to re-program/test. My jig connects to GND, VCC, TX, RX, BOOT0 via spring loaded test probes (my boards tend to be smallish, so I don't have much room for connectors)
When I said PIN 138 connected to GND, I was thinking in a final project board, no in an experimental board, but I was thinking to use a header to be used when I needed to burn the program or change it any time I need if it necessary..... but always thinking to use Flash area..... is it wrong? Maybe I am trying to do something that is not correct.....
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