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Influence of nursing interventions on adherence to treatment with antituberculosis drugs in children and young people: research protocol
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Older LGBT people's experiences and concerns with healthcare professionals and services in Ireland
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A qualitative investigation into nurses' perceptions of factors influencing staff injuries sustained during physical interventions employed in response to service user violence within one secure learning disability service
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Andrew Lovell BA PhD RNMH Debra Smith BSc MSc PGCE Paula Johnson MSc CBT RM RGN 《Journal of clinical nursing》2015,24(13-14):1926-1935
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Supporting staff to respond effectively to informal complaints: findings from an action research study
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MA El Darouti S Hussein SR Al Tahlawy M Al Fangary HM Mashaly E El Nabarawy A Al Tawdy M Fawzi RM Abdel Hay 《Journal of the European Academy of Dermatology and Venereology》2011,25(3):290-295
Background Nail changes in leprotic patients are not specific to leprosy, and may be observed in other peripheral neuropathies. Diabetes is one of the diseases that present with nail dystrophy secondary to peripheral neuropathy, vasculopathy, trauma and infections. Therefore, nail changes in diabetic neuropathy are expected to be very similar to that of leprosy. Objectives To evaluate the frequency and pattern of nail changes in Egyptian leprotic patients with the different spectrums of the disease, and to compare nail changes in leprosy with those seen in patients with diabetic neuropathy. Methods The study included 115 leprosy patients and 60 patients with diabetic peripheral neuropathy. Nail examination was thoroughly carried out and various nail changes were recorded including the location of the involved nails (fingers, toes). Results Our study detected similar incidence of nail changes in both multibacillary (MB) (86%) and paucibacillary (PB) patients (86%). Flag sign (alternating horizontal bands of whitish and pinkish discoloration of the nail) observed in our study was not reported before. It was more commonly seen in MB patients (21%) than in PB patients (14%). Our results also revealed that the nail changes were more commonly seen in leprosy patients (86%) than in diabetic patients (68%). Conclusion Nail changes in leprosy are multifactorial, and could be related to one or more of the following: neuropathy, endarteritis, trauma, drugs or superimposed infections. Nail changes in leprosy may be used as an additional clue that helps in the diagnosis. 相似文献