Wellingborough,UK 2nd August 2011：Despite a very weak start to the year,IMS Research has recently increased its forecast for thefull year by more than 1 GWand predicts more than 22 GW of new PV capacity will
The growing demand for land to accommodate renewable energy infrastructure has intensified competition with biodiversity conservation, agriculture, and ecosystem services. In Portugal, electricity system decarbonisati...The growing demand for land to accommodate renewable energy infrastructure has intensified competition with biodiversity conservation, agriculture, and ecosystem services. In Portugal, electricity system decarbonisation relies heavily on utility-scale solar energy(USSE) facilities, yet the spatial extent of land transformation associated with photovoltaic development has not been systematically assessed. This study provides an assessment of the land occupancy of USSE facilities and associated land use and land cover(LULC) changes in continental Portugal over the past two decades, as well as their spatial relationship with areas designated for land and nature conservation. A geospatial database of USSE installations(≥1 MW) was developed through the integration of multiple data sources using geographic information systems(GIS). The geometric consistency of spatial features was ensured through harmonisation and validation procedures involving GIS-based corrections supported by Sentinel-2 satellite imagery. Spatial overlay analyses were conducted with multitemporal LULC datasets and with land-use planning constraints, including areas classified for nature conservation, ecological reserves, and agricultural reserves. The results indicate that USSE deployment has been predominantly located in the southern regions of Portugal, although the location of planned projects indicates a northward shift. The implementation of USSE facilities has been mainly associated with LULC changes in forest land, agricultural areas, pastures and shrubland. Spatial overlaps were observed with areas classified within the national ecological and agricultural reserves.These patterns may be indicative of growing land-use conflicts, but the extent to which these developments align with land-use planning objectives and conservation priorities requires further examination.展开更多
Micro/nanorobots represent a groundbreaking advancement in nanotechnology,with applications spanning medicine,envi-ronmental remediation,and industrial processes.A major challenge in their development is achieving eff...Micro/nanorobots represent a groundbreaking advancement in nanotechnology,with applications spanning medicine,envi-ronmental remediation,and industrial processes.A major challenge in their development is achieving efficient and bio-compatible propulsion.Enzyme-driven propulsion,particularly using catalase,offers a promising solution due to its ability to decompose hydrogen peroxide(H2O2)into water and oxygen,generating thrust for autonomous movement.Compared to metal-based catalysts,catalase-powered systems exhibit superior biocompatibility and lower toxicity,making them ideal for biomedical applications.This review explores the role of catalase in micro/nanorobot propulsion,highlighting self-propulsion mechanisms,different nanorobot types,and their applications in drug delivery,infection treatment,cancer therapy,and biosensing.Additionally,recent advancements in biodegradable enzyme-powered nanorobots and their poten-tial in overcoming biological barriers are discussed.With further research,catalase-driven nanorobots could revolutionize targeted therapy and diagnostic techniques,paving the way for innovative solutions in nanomedicine.展开更多
The primary motivation for this study is the recent growth and increased interest in artificial intelligence(AI).Despite the widespread recognition of its critical importance,a discernible scientific gap persists with...The primary motivation for this study is the recent growth and increased interest in artificial intelligence(AI).Despite the widespread recognition of its critical importance,a discernible scientific gap persists within the extant scholarly discourse,particularly concerning exhaustive systematic reviews of AI in the aviation industry.This gap spurred a meticulous analysis of 1,213 articles from the Web of Science(WoS)core database for bibliometric knowledge mapping.This analysis highlights China as the primary contributor to publications,with the Nanjing University of Finance and Economics as the leading institution in paper contributions.Lecture Notes in Artificial Intelligence and the IEEE AIAA Digital Avionics System Conference are the leading journals within this domain.This bibliometric research underscores the key focus on air traffic management,human factors,environmental ini-tiatives,training,logistics,flight operations,and safety through co-occurrence and co-citation analyses.A chro-nological examination of keywords reveals a central research trajectory centered on machine learning,models,deep learning,and the impact of automation on human performance in aviation.Burst keyword analysis identifies the leading-edge research on AI within predictive models,unmanned aerial vehicles,object detection,and con-volutional neural networks.The primary objective is to bridge this knowledge gap and gain comprehensive in-sights into AI in the aviation sector.This study delineates the scholarly terrain of AI in aviation using a bibliometric methodology to facilitate this exploration.The results illuminate the current state of research,thereby enhancing academic understanding of developments within this critical domain.Finally,a new con-ceptual framework was constructed based on the primary elements identified in the literature.This framework can assist emerging researchers in identifying the fundamental dimensions of AI in the aviation industry.展开更多
Angiomyolipomas(AMLs)represent the most common benign solid renal tumors.The frequency of their detection in the general population is increasing owing to advances in imaging technology.The objective of this review is...Angiomyolipomas(AMLs)represent the most common benign solid renal tumors.The frequency of their detection in the general population is increasing owing to advances in imaging technology.The objective of this review is to discuss computed tomography(CT)and magnetic resonance imaging findings for both typical and atypical renal AMLs,along with their associated complications.AMLs are typically defined as solid triphasic tumors composed of varying amounts of dysmorphic and tortuous blood vessels,smooth muscle components and adipose tissue.In an adult,a classical renal AML appears as a solid,heterogeneous renal cortical mass with macroscopic fat.However,up to 5%of AMLs contain minimal fat and cannot be reliably diagnosed by imaging.Fat-poor AMLs can appear as hyperattenuating masses on unenhanced CT and as hypointense masses on T2WI;other AMLs may be isodense or exhibit cystic components.Hemorrhage is the most common complication,and AMLs with hemorrhage can mimic other tumors,making their diagnosis challenging.Understanding the variable and heterogeneous nature of this neoplasm to correctly classify renal AMLs and to avoid misdiagnosis of other renal lesions is crucial.展开更多
Most studies assessing urine biochemistry for acute kidney injury(AKI)monitoring rely on paradigms from the 1970s.It was proposed that a single measurement of urinary parameters in the presence of increased serum crea...Most studies assessing urine biochemistry for acute kidney injury(AKI)monitoring rely on paradigms from the 1970s.It was proposed that a single measurement of urinary parameters in the presence of increased serum creatinine(sCr)could help understand AKI pathophysiology and predict its duration.However,those studies produced variable and controversial results.Recently,an alternative“urine biochemical approach”has been proposed.In contrast with the traditional approach,it includes sequential urine electrolyte assessment,evaluation before AKI diagnosis,and interpretation of avid sodium retention as a marker of renal microcirculatory stress instead of low renal perfusion.This review highlights the rationale of this alternative approach,which is focused on early urinary biochemical changes that precede increases in sCr as well as signs of renal recovery before decreases in sCr.The relevance of urine composition in conjunction with urine volume for a proper evaluation of renal function is emphasized.This new approach aims to enhance the utility of urinary biochemical parameters in AKI monitoring,particularly in patients who are critically ill.展开更多
Objectives:The objectives of this study are to investigate the effect of midwifery-led comprehensive care in improving perinatal outcomes among women with hypertensive disorders of pregnancy.Materials and Methods:A si...Objectives:The objectives of this study are to investigate the effect of midwifery-led comprehensive care in improving perinatal outcomes among women with hypertensive disorders of pregnancy.Materials and Methods:A single-blinded randomized controlled trial was conducted among 150 pregnant women diagnosed with gestational hypertension after 20 weeks of gestation.The study was conducted between February 14,2022,and March 15,2024.Participants were randomly assigned(75 intervention,75 control)through computer-generated block randomization.The intervention arm received the midwifery-led comprehensive care,while the control group received standard routine care.The intervention was provided in 5 contact points(at 20 weeks,28 weeks,32 weeks,36 weeks,and before delivery)at the antenatal outpatient department(OPD).The tools used were a structured demographic questionnaire,structured tool for maternal and fetal outcomes.Data were collected at 20 weeks,28 weeks,32 weeks,and 36 weeks.Results:Neonatal resuscitation rate was lower in the intervention group(6.7%)than in the control group(21.3%).IUGR incidence(5.3%vs.16%)and fetal mortality(5.3%vs.14.7%)were also reduced.The independent sample t-test and repeated measures analysis of variance revealed that intervention arm has significantly improved key maternal and fetal parameters in terms of higher APGAR scores,better fetal heart rate at 32 weeks,and significantly lower systolic and diastolic blood pressure,maternal weight,and proteinuria levels at various gestational weeks,indicating improved perinatal outcomes compared to the control group at P<0.05.Conclusion:Midwifery-led care positively influenced maternal health and fetal outcomes,reducing abnormal weight gain,stabilizing blood pressure,and reducing the adverse fetal outcome.As a feasible,scalable intervention,it can be generalized to diverse populations,emphasizing the need for broader implementation and further research.展开更多
The pressure and temperature increase resulting from the impact of different threats onto target materials is analyzed with a unified laboratory-scale setup.This allows deriving qualitative information on the occurrin...The pressure and temperature increase resulting from the impact of different threats onto target materials is analyzed with a unified laboratory-scale setup.This allows deriving qualitative information on the occurring phenomenology as well as quantitative statements about the relative effects sizes as a function of target material and threat.The considered target materials are steel,aluminum,and magnesium.As threats,kinetic energy penetrator,explosively formed projectile,and shaped charge jet are used.For the investigated combinations,the measured overpressures vary by a factor of up to 5 for a variation of the material,by a factor of up to 7 for a variation of the threat,and by a factor larger than 15for a simultaneous variation of both.The obtained results as well as the experimental approach are relevant for the basic understanding of impact effects and risks due to material reactivity.The paper combines two main aims.Firstly,to provide a summary of own prior work in a coherent journal article and,secondly,to review and discuss these earlier results with a new perspective.展开更多
Objectives:The objective of this study is to evaluate the effect of simulation-based education(SBE)on the knowledge and skills of nursing students in managing childhood epileptic seizures.Materials and Methods:A quasi...Objectives:The objective of this study is to evaluate the effect of simulation-based education(SBE)on the knowledge and skills of nursing students in managing childhood epileptic seizures.Materials and Methods:A quasi-experimental design was conducted among 160 third-year B.Sc.nursing students at a SUM nursing college in Bhubaneswar,India.The experimental group(n=80)participated in a structured simulation-based session,while the control group(n=80)received routine lecture-demonstration sessions.Knowledge was measured using a 20-item multiple-choice questionnaire and skills were assessed through an Objective Structured Clinical Examination checklist.Results:The experimental group demonstrated significant improvements in posttest knowledge(13.15±1.40 vs.9.56±2.10;t=11.24,P<0.001)and skill scores(17.28±1.82 vs.12.42±2.18;t=10.96,P<0.001)compared with the control group.Ranked data analysis further confirmed higher postintervention knowledge and skill levels(Z=−-6.42 and−-6.55,respectively;P<0.001).These results indicated that SBE produced substantial gains in both cognitive and psychomotor domains.Conclusion:SBE significantly enhances nursing students’knowledge and skills in managing childhood epileptic seizures compared to traditional teaching.Incorporating structured simulation modules into pediatric nursing curricula can improve clinical competence,reduce anxiety,and bolster patient safety in pediatric emergency care.展开更多
Objective:The objective of this study was to compare the effect of nurse and beloved family member’s recording voice on consciousness and physical parameters in patients with coma state.Materials and Methods:A random...Objective:The objective of this study was to compare the effect of nurse and beloved family member’s recording voice on consciousness and physical parameters in patients with coma state.Materials and Methods:A randomized control trial parallel group design was conducted among 45 comatose patients divided into two intervention groups,i.e.nurse voice stimulus group,receiving nurses voice with standard care,family members voice stimulus group receiving their beloved family member voice with standard care and one control group receiving only standard care in medicine intensive care unit.The intervention was provided three times a day,each lasting 5 min for 7 days in addition to standard care.Repeated measure analysis of variance and independent t-test were used to compare within and between groups,respectively.Results:The study found significant differences in Glasgow coma scale(GCS)scores within both the nurse(F=2.78,P=0.042)and family member(F=10.27,P=0.0001)voice stimulus groups over 7 days.Comparing GCS scores between intervention groups showed significant variations before(P=0.028),during(P=0.047),and after(P=0.036)the intervention on day 7.Comparing GCS scores between the family members’voice stimulus group and the control group,significant changes were observed on days 5 and 7(P=0.043,0.030,0.030,and 0.014,0.012,0.012)before,during,and after the intervention.Conclusions:The use of beloved family members’voices proved more effective in elevating the patients’level of consciousness compared to both the nurse voice stimulus group and the control group.展开更多
Objectives:This study was conducted to determine the effect of multidisciplinary nursing intervention(MNI)on interdialytic weight gain(IDWG)and quality of life(QoL)among chronic hemodialysis patients.Materials and Met...Objectives:This study was conducted to determine the effect of multidisciplinary nursing intervention(MNI)on interdialytic weight gain(IDWG)and quality of life(QoL)among chronic hemodialysis patients.Materials and Methods:Quantitative research approach with randomized-controlled,single-blind trial was conducted among 120 chronic hemodialysis patients in Institute of Medical Sciences and SUM Hospital Bhubaneswar,Odisha,India from February 2023 to February 2024.Participants were randomly assigned into the experimental group(n1=65)and control group(n2=55)by block randomization methods.The experimental group received the intervention phase up to the 6th week,along with the usual treatment,and the control group received only standard treatment up to the end of the study.After that,they received the diet chart plan and fluid distribution timetable.Results:Significant improvements were found in IDWG and QoL for the experimental group.The experimental group exhibited a sharp decline in weight gain within the group(F=20.05,P<0.001)between the group(F=13.02,P<0.001),interaction effects between the groups across the time point(F=5.67,P<0.005).Kidney disease QoL scores(KDQOL^(TM)36)increased from 49.38±9.56 to 58.63±6.04 in the experimental group,compared to an increase from 50.84±9.25 to 52.04±8.02 in the control group.Conclusion:This trial showed that MNIs significantly reduced IDWG and improved KDQOL^(TM)36 scores,with the experimental group outperforming the control,highlighting the intervention’s effectiveness.展开更多
文摘Wellingborough,UK 2nd August 2011：Despite a very weak start to the year,IMS Research has recently increased its forecast for thefull year by more than 1 GWand predicts more than 22 GW of new PV capacity will
基金supported by the doctoral scholarship of the author, André Alves, funded by the Foundation for Science and Technology (FCT) through the MIT Portugal Programme (PRT/BD/154418/2023)the State Budgetprovided through FCT funding, was received from the MOPT Research Group of the Centre of Geographical Studies, University of Lisbon (UID/295/2025, DOI: 10.54499/UID/00295/2025), and from the Centro de Investigação em Gestão de Informação (MagIC) under the projects UID/04152/2025 (DOI: 10.54499/UID/04152/2025,2025–01–01 to 2028–12–31) and UID/PRR/04152/2025 (DOI: 10.54499/UID/PRR/04152/2025,2025–01–01 to 2026–06–30)
文摘The growing demand for land to accommodate renewable energy infrastructure has intensified competition with biodiversity conservation, agriculture, and ecosystem services. In Portugal, electricity system decarbonisation relies heavily on utility-scale solar energy(USSE) facilities, yet the spatial extent of land transformation associated with photovoltaic development has not been systematically assessed. This study provides an assessment of the land occupancy of USSE facilities and associated land use and land cover(LULC) changes in continental Portugal over the past two decades, as well as their spatial relationship with areas designated for land and nature conservation. A geospatial database of USSE installations(≥1 MW) was developed through the integration of multiple data sources using geographic information systems(GIS). The geometric consistency of spatial features was ensured through harmonisation and validation procedures involving GIS-based corrections supported by Sentinel-2 satellite imagery. Spatial overlay analyses were conducted with multitemporal LULC datasets and with land-use planning constraints, including areas classified for nature conservation, ecological reserves, and agricultural reserves. The results indicate that USSE deployment has been predominantly located in the southern regions of Portugal, although the location of planned projects indicates a northward shift. The implementation of USSE facilities has been mainly associated with LULC changes in forest land, agricultural areas, pastures and shrubland. Spatial overlaps were observed with areas classified within the national ecological and agricultural reserves.These patterns may be indicative of growing land-use conflicts, but the extent to which these developments align with land-use planning objectives and conservation priorities requires further examination.
基金The Large Research Group Project under grant number RGP.02/516/45.
文摘Micro/nanorobots represent a groundbreaking advancement in nanotechnology,with applications spanning medicine,envi-ronmental remediation,and industrial processes.A major challenge in their development is achieving efficient and bio-compatible propulsion.Enzyme-driven propulsion,particularly using catalase,offers a promising solution due to its ability to decompose hydrogen peroxide(H2O2)into water and oxygen,generating thrust for autonomous movement.Compared to metal-based catalysts,catalase-powered systems exhibit superior biocompatibility and lower toxicity,making them ideal for biomedical applications.This review explores the role of catalase in micro/nanorobot propulsion,highlighting self-propulsion mechanisms,different nanorobot types,and their applications in drug delivery,infection treatment,cancer therapy,and biosensing.Additionally,recent advancements in biodegradable enzyme-powered nanorobots and their poten-tial in overcoming biological barriers are discussed.With further research,catalase-driven nanorobots could revolutionize targeted therapy and diagnostic techniques,paving the way for innovative solutions in nanomedicine.
文摘The primary motivation for this study is the recent growth and increased interest in artificial intelligence(AI).Despite the widespread recognition of its critical importance,a discernible scientific gap persists within the extant scholarly discourse,particularly concerning exhaustive systematic reviews of AI in the aviation industry.This gap spurred a meticulous analysis of 1,213 articles from the Web of Science(WoS)core database for bibliometric knowledge mapping.This analysis highlights China as the primary contributor to publications,with the Nanjing University of Finance and Economics as the leading institution in paper contributions.Lecture Notes in Artificial Intelligence and the IEEE AIAA Digital Avionics System Conference are the leading journals within this domain.This bibliometric research underscores the key focus on air traffic management,human factors,environmental ini-tiatives,training,logistics,flight operations,and safety through co-occurrence and co-citation analyses.A chro-nological examination of keywords reveals a central research trajectory centered on machine learning,models,deep learning,and the impact of automation on human performance in aviation.Burst keyword analysis identifies the leading-edge research on AI within predictive models,unmanned aerial vehicles,object detection,and con-volutional neural networks.The primary objective is to bridge this knowledge gap and gain comprehensive in-sights into AI in the aviation sector.This study delineates the scholarly terrain of AI in aviation using a bibliometric methodology to facilitate this exploration.The results illuminate the current state of research,thereby enhancing academic understanding of developments within this critical domain.Finally,a new con-ceptual framework was constructed based on the primary elements identified in the literature.This framework can assist emerging researchers in identifying the fundamental dimensions of AI in the aviation industry.
文摘Angiomyolipomas(AMLs)represent the most common benign solid renal tumors.The frequency of their detection in the general population is increasing owing to advances in imaging technology.The objective of this review is to discuss computed tomography(CT)and magnetic resonance imaging findings for both typical and atypical renal AMLs,along with their associated complications.AMLs are typically defined as solid triphasic tumors composed of varying amounts of dysmorphic and tortuous blood vessels,smooth muscle components and adipose tissue.In an adult,a classical renal AML appears as a solid,heterogeneous renal cortical mass with macroscopic fat.However,up to 5%of AMLs contain minimal fat and cannot be reliably diagnosed by imaging.Fat-poor AMLs can appear as hyperattenuating masses on unenhanced CT and as hypointense masses on T2WI;other AMLs may be isodense or exhibit cystic components.Hemorrhage is the most common complication,and AMLs with hemorrhage can mimic other tumors,making their diagnosis challenging.Understanding the variable and heterogeneous nature of this neoplasm to correctly classify renal AMLs and to avoid misdiagnosis of other renal lesions is crucial.
文摘Most studies assessing urine biochemistry for acute kidney injury(AKI)monitoring rely on paradigms from the 1970s.It was proposed that a single measurement of urinary parameters in the presence of increased serum creatinine(sCr)could help understand AKI pathophysiology and predict its duration.However,those studies produced variable and controversial results.Recently,an alternative“urine biochemical approach”has been proposed.In contrast with the traditional approach,it includes sequential urine electrolyte assessment,evaluation before AKI diagnosis,and interpretation of avid sodium retention as a marker of renal microcirculatory stress instead of low renal perfusion.This review highlights the rationale of this alternative approach,which is focused on early urinary biochemical changes that precede increases in sCr as well as signs of renal recovery before decreases in sCr.The relevance of urine composition in conjunction with urine volume for a proper evaluation of renal function is emphasized.This new approach aims to enhance the utility of urinary biochemical parameters in AKI monitoring,particularly in patients who are critically ill.
文摘Objectives:The objectives of this study are to investigate the effect of midwifery-led comprehensive care in improving perinatal outcomes among women with hypertensive disorders of pregnancy.Materials and Methods:A single-blinded randomized controlled trial was conducted among 150 pregnant women diagnosed with gestational hypertension after 20 weeks of gestation.The study was conducted between February 14,2022,and March 15,2024.Participants were randomly assigned(75 intervention,75 control)through computer-generated block randomization.The intervention arm received the midwifery-led comprehensive care,while the control group received standard routine care.The intervention was provided in 5 contact points(at 20 weeks,28 weeks,32 weeks,36 weeks,and before delivery)at the antenatal outpatient department(OPD).The tools used were a structured demographic questionnaire,structured tool for maternal and fetal outcomes.Data were collected at 20 weeks,28 weeks,32 weeks,and 36 weeks.Results:Neonatal resuscitation rate was lower in the intervention group(6.7%)than in the control group(21.3%).IUGR incidence(5.3%vs.16%)and fetal mortality(5.3%vs.14.7%)were also reduced.The independent sample t-test and repeated measures analysis of variance revealed that intervention arm has significantly improved key maternal and fetal parameters in terms of higher APGAR scores,better fetal heart rate at 32 weeks,and significantly lower systolic and diastolic blood pressure,maternal weight,and proteinuria levels at various gestational weeks,indicating improved perinatal outcomes compared to the control group at P<0.05.Conclusion:Midwifery-led care positively influenced maternal health and fetal outcomes,reducing abnormal weight gain,stabilizing blood pressure,and reducing the adverse fetal outcome.As a feasible,scalable intervention,it can be generalized to diverse populations,emphasizing the need for broader implementation and further research.
文摘The pressure and temperature increase resulting from the impact of different threats onto target materials is analyzed with a unified laboratory-scale setup.This allows deriving qualitative information on the occurring phenomenology as well as quantitative statements about the relative effects sizes as a function of target material and threat.The considered target materials are steel,aluminum,and magnesium.As threats,kinetic energy penetrator,explosively formed projectile,and shaped charge jet are used.For the investigated combinations,the measured overpressures vary by a factor of up to 5 for a variation of the material,by a factor of up to 7 for a variation of the threat,and by a factor larger than 15for a simultaneous variation of both.The obtained results as well as the experimental approach are relevant for the basic understanding of impact effects and risks due to material reactivity.The paper combines two main aims.Firstly,to provide a summary of own prior work in a coherent journal article and,secondly,to review and discuss these earlier results with a new perspective.
文摘Objectives:The objective of this study is to evaluate the effect of simulation-based education(SBE)on the knowledge and skills of nursing students in managing childhood epileptic seizures.Materials and Methods:A quasi-experimental design was conducted among 160 third-year B.Sc.nursing students at a SUM nursing college in Bhubaneswar,India.The experimental group(n=80)participated in a structured simulation-based session,while the control group(n=80)received routine lecture-demonstration sessions.Knowledge was measured using a 20-item multiple-choice questionnaire and skills were assessed through an Objective Structured Clinical Examination checklist.Results:The experimental group demonstrated significant improvements in posttest knowledge(13.15±1.40 vs.9.56±2.10;t=11.24,P<0.001)and skill scores(17.28±1.82 vs.12.42±2.18;t=10.96,P<0.001)compared with the control group.Ranked data analysis further confirmed higher postintervention knowledge and skill levels(Z=−-6.42 and−-6.55,respectively;P<0.001).These results indicated that SBE produced substantial gains in both cognitive and psychomotor domains.Conclusion:SBE significantly enhances nursing students’knowledge and skills in managing childhood epileptic seizures compared to traditional teaching.Incorporating structured simulation modules into pediatric nursing curricula can improve clinical competence,reduce anxiety,and bolster patient safety in pediatric emergency care.
文摘Objective:The objective of this study was to compare the effect of nurse and beloved family member’s recording voice on consciousness and physical parameters in patients with coma state.Materials and Methods:A randomized control trial parallel group design was conducted among 45 comatose patients divided into two intervention groups,i.e.nurse voice stimulus group,receiving nurses voice with standard care,family members voice stimulus group receiving their beloved family member voice with standard care and one control group receiving only standard care in medicine intensive care unit.The intervention was provided three times a day,each lasting 5 min for 7 days in addition to standard care.Repeated measure analysis of variance and independent t-test were used to compare within and between groups,respectively.Results:The study found significant differences in Glasgow coma scale(GCS)scores within both the nurse(F=2.78,P=0.042)and family member(F=10.27,P=0.0001)voice stimulus groups over 7 days.Comparing GCS scores between intervention groups showed significant variations before(P=0.028),during(P=0.047),and after(P=0.036)the intervention on day 7.Comparing GCS scores between the family members’voice stimulus group and the control group,significant changes were observed on days 5 and 7(P=0.043,0.030,0.030,and 0.014,0.012,0.012)before,during,and after the intervention.Conclusions:The use of beloved family members’voices proved more effective in elevating the patients’level of consciousness compared to both the nurse voice stimulus group and the control group.
文摘Objectives:This study was conducted to determine the effect of multidisciplinary nursing intervention(MNI)on interdialytic weight gain(IDWG)and quality of life(QoL)among chronic hemodialysis patients.Materials and Methods:Quantitative research approach with randomized-controlled,single-blind trial was conducted among 120 chronic hemodialysis patients in Institute of Medical Sciences and SUM Hospital Bhubaneswar,Odisha,India from February 2023 to February 2024.Participants were randomly assigned into the experimental group(n1=65)and control group(n2=55)by block randomization methods.The experimental group received the intervention phase up to the 6th week,along with the usual treatment,and the control group received only standard treatment up to the end of the study.After that,they received the diet chart plan and fluid distribution timetable.Results:Significant improvements were found in IDWG and QoL for the experimental group.The experimental group exhibited a sharp decline in weight gain within the group(F=20.05,P<0.001)between the group(F=13.02,P<0.001),interaction effects between the groups across the time point(F=5.67,P<0.005).Kidney disease QoL scores(KDQOL^(TM)36)increased from 49.38±9.56 to 58.63±6.04 in the experimental group,compared to an increase from 50.84±9.25 to 52.04±8.02 in the control group.Conclusion:This trial showed that MNIs significantly reduced IDWG and improved KDQOL^(TM)36 scores,with the experimental group outperforming the control,highlighting the intervention’s effectiveness.
