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Restoring Function of the Flexor Tendons of the Hand: State of the Science in Kazakhstan. 恢复手屈肌腱的功能:哈萨克斯坦的科学状况。
Pub Date : 2023-10-01 DOI: 10.1097/PSN.0000000000000530
Kymbat E Kazantayev, Kanat B Mukhamedkerim, Mismil I Muradov, Yergali Nabiyev, Botagoz S Turdalieva

We conducted a literature review to highlight the diagnosis and treatment of hand flexor tendon injuries and discuss the current state of the science of hand surgery in the Republic of Kazakhstan. We reviewed the Google Scholar, PubMed, Web of Science, Elsevier, and National Center for Biotechnology Information databases and other printed sources for open access articles in three languages. We accepted relevant scientific articles that reflected the peculiarities of restoring function of the tendon flexors of the hand. We reviewed articles from the present to the previous 20 years and included 31 of these sources in our literature review. The medical examination of a patient who has sustained a flexor tendon injury should be thorough and gradual, supported by ultrasound and X-ray examination. For effective restoration of hand function following a hand injury, it is important for the surgeon to conduct a step-by-step assessment of the damage that has occurred to soft tissues, superficial and deep tendons, bones, nerves, and blood vessels. The main goal of tendon repair is to preserve tendon function. It is also known that early postoperative tendon movement leads to faster healing. The most frequent complications associated with flexor tendon repair include the development of adhesions, wound infection, tendon rupture, impaired hand function, and scar formation. Relative to the state of the science in the Republic of Kazakhstan, we conclude that hand surgery should be performed by highly skilled specialists in the field of microsurgery in a specialized department with microsurgical equipment.

我们进行了一项文献综述,重点介绍了手屈肌腱损伤的诊断和治疗,并讨论了哈萨克斯坦共和国手外科的现状。我们查阅了Google Scholar、PubMed、Web of Science、Elsevier和国家生物技术信息中心的数据库以及其他三种语言的开放获取文章的印刷来源。我们接受了相关的科学文章,这些文章反映了手屈肌肌腱恢复功能的特点。我们回顾了从现在到过去20年的文章,并在我们的文献综述中纳入了其中的31个来源。屈肌腱损伤患者的医学检查应该是彻底和渐进的,并辅以超声波和X光检查。为了在手部受伤后有效恢复手部功能,外科医生必须对软组织、浅肌腱和深肌腱、骨骼、神经和血管的损伤进行逐步评估。肌腱修复的主要目的是保持肌腱的功能。众所周知,术后早期肌腱运动可加快愈合速度。屈肌腱修复最常见的并发症包括粘连、伤口感染、肌腱断裂、手功能受损和疤痕形成。根据哈萨克斯坦共和国的科学状况,我们得出结论,手部手术应由显微外科领域的高技能专家在配备显微外科设备的专业部门进行。
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引用次数: 1
ISPAN 2023 Meeting: What Is the Difference Between a CME and a Non-CME Presentation? ISPAN 2023会议:CME和非CME演讲有什么区别?
Pub Date : 2023-10-01 DOI: 10.1097/PSN.0000000000000531
Gerrie M Obi
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引用次数: 1
2023 ISPAN Meeting Abstracts. 2023年ISPAN会议摘要。
Pub Date : 2023-10-01 DOI: 10.1097/PSN.0000000000000528
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引用次数: 0
The Effect of Hand Massage on Anxiety Levels in Preoperative Patients: A Case Study. 手部按摩对术前患者焦虑水平的影响:个案研究。
Pub Date : 2023-07-01 DOI: 10.1097/PSN.0000000000000517
Upik Rahmi, El Rahmayati, Septian Andriyani

Surgery can trigger high levels of anxiety in preoperative patients. If this anxiety is not managed effectively, it can disrupt the surgical plan. Preoperative nurses can help prepare patients for their surgical experience by implementing interventions that reduce the stress that causes preoperative anxiety. One intervention that can be used to manage preoperative anxiety is hand massage. We report our experience with Mr. S, a 34-year-old man scheduled for surgery to remove a lump in his left upper back. The lump appeared approximately 3 years ago. It was initially small, but enlarged over time. The patient sought medical treatment and was diagnosed with a soft tissue tumor (STT) of his left scapula. His surgeons recommended surgical excision of the tumor. Our study aimed to determine the effect of hand massage on reducing anxiety in a preoperative patient with a diagnosis of STT of the scapula.

手术可以引发术前患者的高度焦虑。如果这种焦虑没有得到有效的控制,它可能会破坏手术计划。术前护士可以通过实施干预措施,减少导致术前焦虑的压力,帮助患者做好手术准备。一种可以用来控制术前焦虑的干预措施是手部按摩。我们报告我们的经验与S先生,一个34岁的男子计划手术切除肿块在他的左上背部。这个肿块大约是三年前出现的。它最初很小,但随着时间的推移而扩大。病人求医后被诊断为左肩胛骨软组织肿瘤。他的外科医生建议手术切除肿瘤。我们的研究旨在确定手部按摩对减少术前诊断为肩胛骨STT患者焦虑的影响。
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引用次数: 1
Plastic and Aesthetic Nursing Knowledge. 整形美容护理知识。
Pub Date : 2023-07-01 DOI: 10.1097/PSN.0000000000000513
Sharon Ann Van Wicklin
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引用次数: 0
Professionalism and Responsibility-Certification. 专业精神与责任--认证。
Pub Date : 2023-07-01 DOI: 10.1097/PSN.0000000000000510
Lisa Griffin
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引用次数: 0
Facility Recommendations for Medical Aesthetic Procedures in Canada. 加拿大医疗美容程序的设施建议。
Pub Date : 2023-07-01 DOI: 10.1097/PSN.0000000000000507
Jacklyn Sudetic

This article articulates core facility recommendations for regulated health care providers and professionals performing medical aesthetic procedures involving the use of topical and local anesthesia in a private clinic setting in Canada. The recommendations help ensure patient safety, confidentiality, and ethics. Information is provided about the setting/environment where medical aesthetic procedures are performed, safety equipment and emergency medications that should be on-site for medical aesthetic procedures, infection prevention and control measures, the way that medications and medical supplies should be stored, how to handle biomedical hazardous waste, and how to protect patient information.

这篇文章阐述了在加拿大的私人诊所环境中,对受监管的医疗保健提供者和专业人员执行涉及使用局部和局部麻醉的医疗美容程序的核心设施建议。这些建议有助于确保患者的安全、保密和道德。提供了关于进行医疗美容手术的设置/环境、医疗美容手术现场应配备的安全设备和紧急药物、感染预防和控制措施、药物和医疗用品的储存方式、如何处理生物医学危险废物以及如何保护患者信息的信息。
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引用次数: 1
Evidence Review: Natural Hair Supplements: Biotin and Collagen. 证据回顾:天然头发补充剂:生物素和胶原蛋白
Pub Date : 2023-07-01 DOI: 10.1097/PSN.0000000000000519
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引用次数: 0
Natural Hair Supplements: Biotin and Collagen. 天然头发补充剂:生物素和胶原蛋白
Pub Date : 2023-07-01 DOI: 10.1097/PSN.0000000000000508
Sharon Ann Van Wicklin
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引用次数: 0
Conservative Management of a Rare Entity-Aplasia Cutis Congenita: A Case Report. 罕见先天性皮肤发育不全的保守治疗1例。
Pub Date : 2023-07-01 DOI: 10.1097/PSN.0000000000000511
Luis Chang-Azancot, Manuel Campello, Javier Montón

Aplasia cutis congenita (ACC) is a rare entity characterized by a congenital localized absence of the skin, dermal appendages, and subcutaneous tissue. The cause of ACC is not clear, but inheritance is the most widely accepted cause. We report a rare case of a full-term (37 + 5 weeks) female newborn who showed complete absence of skin in localized areas of the upper and lower extremities. The patient was diagnosed with ACC associated with epidermolysis bullosa (EB; a disease that causes the skin to blister easily) and was initially treated using conservative measures. We applied mupirocin topical ointment and a nonocclusive polyester mesh impregnated with hydrocolloid and petroleum jelly daily. Complete healing of the affected areas occurred after 3 weeks. Managing patients with ACC is often challenging and based on the severity of the lesions, the approach may include both surgical and conservative treatment. Our case report suggests that a conservative approach can be effective for managing certain types of ACC and EB lesions. However, further research is warranted to better understand the pathogenesis and optimal management of this entity.

摘要先天性皮肤发育不全(ACC)是一种罕见的先天性皮肤、真皮附属物和皮下组织的局部缺失。ACC的病因尚不清楚,但遗传是最被广泛接受的原因。我们报告一例罕见的足月(37 + 5周)女性新生儿,其上肢和下肢局部皮肤完全缺失。患者被诊断为ACC伴大疱性表皮松解症(EB;(一种容易引起皮肤起泡的疾病),最初使用保守措施治疗。我们每天使用莫匹罗星外用软膏和浸渍水胶体和凡士林的非闭塞聚酯网。3周后患处完全愈合。管理ACC患者通常具有挑战性,根据病变的严重程度,该方法可能包括手术和保守治疗。我们的病例报告表明,保守的方法可以有效地管理某些类型的ACC和EB病变。然而,需要进一步的研究来更好地了解这种实体的发病机制和最佳管理。
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引用次数: 1
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Plastic and aesthetic nursing
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