
@article{ref1,
title="Tolerance to heat in burnt patients",
journal="Harefuah",
year="2011",
author="Epstein, Yoram and Shapiro, Yair",
volume="150",
number="8",
pages="681-685",
abstract="Body temperature regulated within the homeostatic range, is essential for the stability of the &quot;milieu intérieur&quot; and for maintaining intact body functioning. Those individuals in the population who cannot adapt to heat stress and whose body temperature will rise earlier and at a higher rate than expected under predetermined conditions are considered as 'heat intolerant&quot;. Patients with deep burns are intolerant to heat because of the injured dermis and the destruction of the imbedded eccrine sweat glands and the peripheral vascular bed and its post-synaptic innervations, which common treatment with split-thickness skin grafts cannot restore. Thus, the extent of the inability to regulate body temperature is associated with the percent of the burnt area - the Larger the affected area, the lower is the ability to thermoregulate. The cumulative data suggest that the state of heat intolerance in deep-burnt patients is a persisting condition and cannot be alleviated by heat acclimation.<p /><p>Language: he</p>",
language="he",
issn="0017-7768",
doi="",
url="http://dx.doi.org/"
}