Advanced Emergency Medicine

Application of lower eyelid muscle folding and implantation of silicone prosthesis in the formation of lying silkworms

Objective: To observe the surgical effects of silicone prosthesis implantation for patients seeking aesthetic improvement who desire fuller lying silkworms. Methods: A clinical study was conducted on 50 patients (average age 30±10 years) who underwent silicone prosthesis implantation for lying silkworms at our hospital from August 2024 to May 2025. An incision was made 2 mm away from the lower eyelash, and a sharp dissection cavity was created under the orbicularis oculi muscle close to the tarsus for the implantation of the silicone prosthesis. Additionally, the orbicularis oculi muscles of the upper and lower lips of the incision were folded and sutured to increase the fullness of the lying silkworms. Postoperative effects and complications were observed. Results: Among the 50 patients, 40 were rated as excellent, and 10 were rated as good. The first three days after surgery were characterized by swelling, and some patients experienced bruising and swelling, which obscured the initial effects due to inflammation and congestion. Rapid swelling reduction began on the fourth day, gradually revealing the prosthesis effect. By one month postoperatively, most of the swelling had resolved, and the lying silkworms appeared fuller. Conclusion: The improvement rate of the silicone prosthesis implantation for lying silkworms is 100%, with long-lasting effects. The 2-year maintenance rate remains to be observed, but the effects are durable with few complications.

The predictive value of CysC combined with NGAL in critical newborns with acute kidney injury

To investigate the predictive value of cystatin C (CysC) combined with neutrophil gelatinase-associated lipocalin (NGAL) in critically ill newborns with acute kidney injury (AKI).The data of 143 critically ill newborns admitted to the NICU from October 2022 to October 2024 were retrospectively analyzed. They were divided into non-AKI group (114 cases) and AKI group (29 cases) based on whether they had AKI. The clinical data of the two groups were compared. CysC and NGAL were detected at admission to the NICU and 24 hours after admission to the NICU. The levels of CysC and NGAL were compared between the non-AKI group and the AKI group, and an ROC curve was drawn to evaluate the predictive value of CysC and NGAL on AKI in critical newborns.The levels of CysC and NGAL in the AKI group were measured upon admission to the NICU and 24 hours post-admission. Both markers were significantly higher compared to the non-AKI group (P < 0.05). The ROC curve showed that CysC and NGAL have predictive value for identifying critically ill neonates in the NICU. Specifically, the AUC values for predicting AKI in infants were 0.895 for CysC and 0.835 for NGAL, with a combined prediction AUC of 0.948. Furthermore, when measured 24 hours after NICU admission, the AUC values for predicting critical neonatal AKI were 0.798 for CysC and 0.806 for NGAL, with a combined forecast AUC of 0.847.CysC and NGAL have the value of predicting AKI in critically ill newborns. Compared with testing after admission to the NICU, the combined testing of CysC and NGAL when first admitted to the NICU has a better predictive effect on AKI.

Research on the innovation of nursing ward mode integrating Chinese medicine characteristics and humanistic care

As the concept of ‘patient-centered’ nursing continues to deepen, exploring a new model of nursing ward management that suits Chinese characteristics has become a key issue in modern nursing reform. Traditional Chinese medicine (TCM) nursing, an essential part of traditional Chinese medicine, offers significant advantages such as holistic thinking, syndrome differentiation-based care, and emotional support. By effectively integrating the humanistic care philosophy centered on respecting life and individual feelings, it can help create a more humane, efficient, and culturally rich ward nursing model. This article reviews literature, conducts field observations, and studies case studies to outline the pathways for embedding humanistic elements in current TCM nursing practices, explores the feasible implementation mechanisms of these elements in nursing wards, and proposes a new four-pronged ward nursing model: creating a TCM cultural atmosphere, optimizing the humanistic nursing process, enhancing communication among medical staff and patients, and providing intelligent support.

Importance of medicinal plants in human health

medicinal plants are increasingly used in aromatherapy, such as lavender essential oil for relieving stress and improving sleep, mint essential oil for refreshing and relieving headache. Medicinal plants are not only an important guarantee for mental health, but also an important way to improve the quality of life. Medicinal plants are not only guardians of human health, but also important contributors to the earth’s ecology. In the future, with the progress of science and technology and the deepening of the concept of sustainable development, medicinal plants will play a more important role in human health and ecological protection, and make greater contributions to global health and environmental protection. Based on this, the importance of medicinal plants to human health is discussed below for reference.

Selection of tension-free herniorrhaphy for inguinal hernia in elderly patients and analysis of risk factors for postoperative chronic pain

To analyze the selection of tension-free herniorrhaphy and the risk factors of postoperative chronic pain in elderly patients. 100 elderly patients with inguinal hernia in our hospital from January 2024 to January 2025 were selected and randomly divided into the control group and the observation group, with 50 cases in each group.The control group was treated with mesh-plug tension-free herniorrhaphy, while the observation group was treated with flat tension-free herniorrhaphy, and the pain risk factors of the two groups were compared. The operation time, the first ambulation time after operation and the length of hospital stay in the observation group were higher than those in the control group (P < 0.05). There was no significant difference between the observation group and the control group before and 7 days after treatment (P > 0.05), but the pain score of the observation group was lower than that of the control group 1 day after treatment (P < 0.05). Logistic regression analysis showed that the choice of tension-free herniorrhaphy and nerve exposure were the independent risk factors of chronic pain (P < 0.05). Tension-free repair of inguinal hernia in elderly patients should be combined with the patient’s tolerance and longterm quality of life needs, weighing the advantages of hernia ring filling and plain pain control, and choosing a reasonable operation to reduce the risk of chronic pain after operation.