Objetivos: analisar de que forma ocorre o acolhimento do paciente renal crônico para o tratamento hemodialitico pelo enfermeiro na admissão em uma clínica de Hemodiálise. Método: Estudo descritivo ...exploratório de abordagem qualitativa, realizada nos meses de setembro e outubro de 2018. Os participantes do estudo foram 16 enfermeiros que atuavam há pelo menos seis meses na área de hemodiálise, e excluídos os que não realizam assistência direta ao paciente. Resultados: As falas evidenciam que os enfermeiros executam procedimentos burocráticos rotineiros na admissão, identificam as necessidades de cuidado relacionados principalmente ao acesso, orientam para o autocuidado e que tem muitos pacientes sob sua supervisão dificultando a realização de uma assistência completa. Conclusão: o ato de acolher é executado, na busca da construção do vínculo profissional-paciente, orientando ao auto cuidado, mostrando formas de adaptação ao novo tratamento e o seu reflexo na qualidade de vida do paciente.
Objetivos: analisar de que forma ocorre o acolhimento do paciente renal crônico para o tratamento hemodialitico pelo enfermeiro na admissão em uma clínica de Hemodiálise. Método: Estudo descritivo ...exploratório de abordagem qualitativa, realizada nos meses de setembro e outubro de 2018. Os participantes do estudo foram 16 enfermeiros que atuavam há pelo menos seis meses na área de hemodiálise, e excluídos os que não realizam assistência direta ao paciente. Resultados: As falas evidenciam que os enfermeiros executam procedimentos burocráticos rotineiros na admissão, identificam as necessidades de cuidado relacionados principalmente ao acesso, orientam para o autocuidado e que tem muitos pacientes sob sua supervisão dificultando a realização de uma assistência completa. Conclusão: o ato de acolher é executado, na busca da construção do vínculo profissional-paciente, orientando ao auto cuidado, mostrando formas de adaptação ao novo tratamento e o seu reflexo na qualidade de vida do paciente.
Objetivos: analisar de que forma ocorre o acolhimento do paciente renal crônico para o tratamento hemodialitico pelo enfermeiro na admissão em uma clínica de Hemodiálise. Método: Estudo descritivo ...exploratório de abordagem qualitativa, realizada nos meses de setembro e outubro de 2018. Os participantes do estudo foram 16 enfermeiros que atuavam há pelo menos seis meses na área de hemodiálise, e excluídos os que não realizam assistência direta ao paciente. Resultados: As falas evidenciam que os enfermeiros executam procedimentos burocráticos rotineiros na admissão, identificam as necessidades de cuidado relacionados principalmente ao acesso, orientam para o autocuidado e que tem muitos pacientes sob sua supervisão dificultando a realização de uma assistência completa. Conclusão: o ato de acolher é executado, na busca da construção do vínculo profissional-paciente, orientando ao auto cuidado, mostrando formas de adaptação ao novo tratamento e o seu reflexo na qualidade de vida do paciente.
The purpose of the present study was to retrospectively compare the clinical and radiological outcomes of arthroscopic suture anchor fixation and open screw fixation for acute large anterior glenoid ...rim fractures.BACKGROUNDThe purpose of the present study was to retrospectively compare the clinical and radiological outcomes of arthroscopic suture anchor fixation and open screw fixation for acute large anterior glenoid rim fractures.This study enrolled patients with acute large anterior glenoid rim fractures treated with arthroscopic suture anchor fixation (group A) or open screw fixation (group O) from January 2013 to June 2020 with a minimum follow-up of＞2 years. The Subjective Shoulder Value (SSV), American Shoulder and Elbow Surgeons (ASES) score, Rowe score, Constant score, range of motion (ROM), recurrent instability rate, and complications were recorded as clinical results. The quality of the postoperative reduction, reconstructed glenoid sizes, rate of fracture healing, and progression of osteoarthritis (OA) were evaluated as radiological outcomes.METHODSThis study enrolled patients with acute large anterior glenoid rim fractures treated with arthroscopic suture anchor fixation (group A) or open screw fixation (group O) from January 2013 to June 2020 with a minimum follow-up of＞2 years. The Subjective Shoulder Value (SSV), American Shoulder and Elbow Surgeons (ASES) score, Rowe score, Constant score, range of motion (ROM), recurrent instability rate, and complications were recorded as clinical results. The quality of the postoperative reduction, reconstructed glenoid sizes, rate of fracture healing, and progression of osteoarthritis (OA) were evaluated as radiological outcomes.This retrospective study included 66 patients, including 37 in Group A and 29 in Group O with a mean follow-up of 46.9 (range, 24.3-94.2) months and a mean patient age of 46.8 (range, 21-69) years. No significant differences were found in the clinical outcomes between the two groups. A significant ROM limitation in all planes was found in both groups and group O showed more limitations in external rotation at the side (ERs) (18° vs. 10°, P = 0.002). The reduction quality was better in group O (P < 0.001). However, there was no significant difference between the two groups in terms of reconstructed glenoid size (101.6% ± 4.6% vs. 100.6% ± 7.1%, P = 0.460) and the rate of OA progression (26.9% vs. 20%, P = 0.525).RESULTSThis retrospective study included 66 patients, including 37 in Group A and 29 in Group O with a mean follow-up of 46.9 (range, 24.3-94.2) months and a mean patient age of 46.8 (range, 21-69) years. No significant differences were found in the clinical outcomes between the two groups. A significant ROM limitation in all planes was found in both groups and group O showed more limitations in external rotation at the side (ERs) (18° vs. 10°, P = 0.002). The reduction quality was better in group O (P < 0.001). However, there was no significant difference between the two groups in terms of reconstructed glenoid size (101.6% ± 4.6% vs. 100.6% ± 7.1%, P = 0.460) and the rate of OA progression (26.9% vs. 20%, P = 0.525).Arthroscopic suture anchor fixation and open screw fixation achieved similar clinical outcomes, reconstructed glenoid sizes, and OA progression in patients with acute large anterior glenoid rim fractures. Arthroscopic suture fixation showed a poorer quality of reduction but less ERs limitations.CONCLUSIONArthroscopic suture anchor fixation and open screw fixation achieved similar clinical outcomes, reconstructed glenoid sizes, and OA progression in patients with acute large anterior glenoid rim fractures. Arthroscopic suture fixation showed a poorer quality of reduction but less ERs limitations.
Core-rim structure has distinct advantage to improve the performances of KNN-based piezoceramics. Whereas the state of the core-rim structure is difficult to control during sintering. Here, the ...core-rim structured 0.96(K0.51Na0.47Li0.02)(Nb0.8Ta0.2)O3-0.04CaZrO3 (KNLNT) ceramics were both obtained by conventional sintering (CS) and rapid sintering (RS). KNLNT ceramics prepared by rapid sintering exhibit more outstanding controllability on grain growth and core-rim structure and can hold the core/rim size ratio in a stable and favorable level due to extended effective range of grain boundary diffusion in densification. Benefiting from the controllable microstructure, the RS method prepared samples show excellent performance. The unipolar strain value of RS-1240 (Smax=0.252%) is 2.07 times as much as CS-1110 (Smax=0.122%). Large strain, low hysteresis and low dielectric permittivity features make the core-rim structured KNLNT ceramics a potential material for pulse drive applications and demonstrate that the manual precise control of core-rim structure could create many possibilities on materials design.
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The global energy issue is undergoing transformation owing to various factors, such as climate change and geopolitics. In the long term, the primary pathways to achieve sustainable energy development ...remain the clean energy and global cooperation. As the largest energy consumption centers, the Asia Pacific and North America possess complementary energy profiles and developmental needs for cooperation. This paper analyses various electricity or hydrogen transmission technologies suitable for the Pacific Rim energy system. The liquid hydrogen superconducting energy pipelines possess the potential to fulfill the demands of long-distance and large-scale energy transmission. Building upon this technology, a super energy pipeline project connecting East Asia and North America across 12 time zones was proposed. It is composed of pipelines and relay energy stations, which can realize large-scale storage and transportation of renewable energy as well as the diversified energy supply at terminals. The techno-economic evaluation of the project has been comprehensively conducted, and the investment can be recovered within 10 years. The project is expected to boost the progress of renewable energy, ensure regional energy security and promote the sustainable development of global energy.
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•Proposes cross-continental energy transmission scheme for Pacific Rim.•Highlights the potential of liquid hydrogen superconducting energy pipelines.•Identifies the future requirements for the energy storage and transmission.•Presents a review of the existing global energy mix.
ESP in the Pacific Rim Coxhead, Averil; Ballance, Oliver
English for specific purposes (New York, N.Y.),
April 2020, 2020-04-00, Letnik:
58
Journal Article
PDF
