Effectiveness of one-to-one feedback methods of teaching with proper metered-dose inhaler technique and correcting errors in chronic obstructive lung disease patients

Objective:To determine the most common mistakes made during the use of a metered-dose inhaler(MDI),and the effect of the repeated trainings performed with demonstration method by providing one-to-one feedback on these mistakes.Methods:This is a quasi-experimental study with a control group.A total of 100 chronic obstructive pulmonary disease(COPD)patients(50 in the control group and 50 in the experimental group)were included in the research.“Patient Information Form(PIF)”(to determine the descriptive characteristics of patients)through the face-to-face interview method,using“MDI Skill Assessment Form”(MDISAF)(it is composed of 10 skill steps about the use of MDI)through observation method was used.Patients in both the groups were asked to use MDI and their abilities regarding use of MDI were assessed.Then in the intervention group,usage of MDI was explained by a nurse via demonstration and placebo MDI.Trainings were repeated on days 1,3,and 5 as from hospitalization of the patient.In the intervention group,three methods were used in this study:“face-to-face training,”“one-to-one,”and“with feedbacks and repeated.”Routine training regarding use of MDI was given by the nurses in the clinic to patients in the control group.The use of an MDI was assessed using MDISAF before training and after the training on the first,third and fifth days of hospitalization.On the seventh day,the last measurement was performed.Percentage,chi square,and mean were used to assess the data.Results:After repetitive training with one-to-one feedback,several differences between the groups in favor of the experimental group were found in 7 of the 10 skill levels of the MDI.There was a significant difference after“training”between the groups in the third,fourth,fifth,sixth,seventh,eighth and ninth MDI steps in posttest measurement(P<0.05).Evaluating the skills of the groups to use MDI from pretest to posttest,it was determined that while the intervention group made less mistakes in steps in which mistakes were made mostly,the control group continued to make mistakes.Conclusions:Inhaler technique intervention with repeated,face to face,and one-to-one feedback trainings can significantly enhance the MDI techniques in COPD patients.The patients in the intervention group made less mistakes during MDI application and their application skills improved.It may be asser ted that the training provided to the intervention group was effective for using the device correctly,while the training provided in the clinic for the control group was inadequate.

A feedback control method for phase signal demodulation in fber-optic hydrophones

In the realm of acoustic signal detection,the identification of weak signals,particularly in the presence of negative signal-to-noise ratios,poses a significant challenge.This challenge is further heightened when signals are acquired through fiber-optic hydrophones,as these signals often lack physical significance and resist clear systematic modeling.Conventional processing methods,e.g.,low-pass filter(LPF),require a thorough understanding of the effective signal bandwidth for noise reduction,and may introduce undesirable time lags.This paper introduces an innovative feedback control method with dual Kalman filters for the demodulation of phase signals with noises in fiber-optic hydrophones.A mathematical model of the closed-loop system is established to guide the design of the feedback control,aiming to achieve a balance with the input phase signal.The dual Kalman filters are instrumental in mitigating the effects of signal noise,observation noise,and control execution noise,thereby enabling precise estimation for the input phase signals.The effectiveness of this feedback control method is demonstrated through examples,showcasing the restoration of low-noise signals,negative signal-to-noise ratio signals,and multi-frequency signals.This research contributes to the technical advancement of high-performance devices,including fiber-optic hydrophones and phase-locked amplifiers.

Effects of Signal Spectrum Bandwidth on Different PMD Compensation Feedback Methods

We compared efficiencies of different PMD compensation feedback methods against transmission signal bandwidth, including NRZ, RZ, CRZ format under various duty cycles. We found that the critical factor determining the efficiency of PMD compensation is not the modulation format, but the spectral bandwidth of the transmission signal.

Cooperative trajectory optimization of UAVs in approaching stage using feedback guidance methods

This paper mainly studies the problem of using UAVs to provide accurate remote target indication for hypersonic projectiles.Based on the optimal trajectory trends and feedback guidance methods,a new cooperative control algorithm is proposed to optimize trajectories of multi-UAVs for target tracking in approaching stage.Based on UAV kinematics and sensor performance models,optimal trajectory trends of UAVs are analyzed theoretically.Then,feedback guidance methods are proposed under the optimal observation trends of UAVs in the approaching target stage,producing trajectories with far less computational complexity and performance very close to the best-known trajectories.Next,the sufficient condition for the UAV to form the optimal observation configuration by the feedback guidance method is presented,which guarantees that the proposed method can optimize the observation trajectory of the UAV in approaching stage.Finally,the feedback guidance method is numerically simulated.Simulation results demonstrate that the estimation performance of the feedback guidance method is superior to the Lyapunov guidance vector field(LGVF)method and verify the effectiveness of the proposed method.Additionally,compared with the receding horizon optimization(RHO)method,the proposed method has the same optimization ability as the RHO method and better real-time performance.

Mixed H_2/H_∞ State Feedback Attitude Control of Microsatellite Based on Extended LMI Method

For the appearance of the additive perturbation of controller gain when the controller parameter has minute adjustment at the initial running stage of system,to avoid the adverse effects,this paper investigates the mixed H_2/H_∞ state feedback attitude control problem of microsatellite based on extended LMI method.Firstly,the microsatellite attitude control system is established and transformed into corresponding state space form.Then,without the equivalence restriction of the two Lyapunov variables of H_2 and H∞performance,this paper introduces additional variables to design the mixed H_2/H_∞ control method based on LMI which can also reduce the conservatives.Finally,numerical simulations are analyzed to show that the proposed method can make the satellite stable within 20 s whether there is additive perturbation of the controller gain or not.The comparative analysis of the simulation results between extended LMI method and traditional LMI method also demonstrates the effectiveness and feasibility of the proposed method in this paper.

A sensitive method of determining optic axis azimuth based on laser feedback

A sensitive method to determine the optic axis azimuth of the birefringence element is presented, which is based on laser feedback. The phase difference between the two intensities in birefringence feedback changes with the angle between the optic axis of the birefringence element and laser original polarization. The phase difference is highly sensitive to the relative position of the optic axis and the laser original polarization. This method is used to highly precisely determine the optic axis azimuth, and is able to distinguish between the fast axis and the slow axis of the birefringence element. Theoretical analysis and experimental results are both demonstrated.

Effect of feedback health education on postoperative rehabilitation of patients with lumbar disc herniation: a cluster randomised trials

Aims and objective:A theoretical model based on guided postoperative rehabilitation with feedback was developed for patients with lumbar intervertebral disc protrusion to explore the effects of feedback-based health education.Patients were assessed in terms of disease knowledge,general self-efficacy,medical behaviour,and the Oswestry disability index(ODI).During postoperative rehabilitation,nursing staff provided health education regarding lumbar intervertebral disc protrusion.Design:The CONSORT 2010 statement extension for cluster randomized trials checklist(Campbell et al.,2012)was used to guide reporting outcomes(File S1).Methods:The methods were based on previous research on the feedback method of health education.A cluster randomized controlled trial design was used.From March 2019 to January 2020,patients who underwent spinal surgery at a first-class tertiary hospital were enrolled,and 76 met the inclusion criteria for lumbar disc disease(lumbar disc herniation,LDH).Patients were divided into an experimental group and a control group,with 38 patients in each group.Feedback-based health education was conducted for the experimental group,and routine health education was provided for the control group.Disease knowledge,general self-efficacy,compliance behaviour,and ODI scores were compared between the two groups.The intervention effect was compared between groups by means of t tests.SPSS 23.0 was used for statistical analysis,and P<0.05 was considered statistically significant.The research was reported according to CONSORT statement.Results:1.Comparison of baseline data between the two groups before the intervention.Before the intervention,there was no statistically significant difference between the two groups in terms of general demographic data,disease-related data,disease knowledge,general self-efficacy,compliance behaviour,or ODI(P>0.05).2.Comparison of relevant indicators between the two groups of patients before and after the intervention.(1)One,four and 12 weeks after surgery,the disease knowledge,general self-efficacy and postoperative compliance behaviour of the experimental group were significantly higher than those of the control group(P<0.05).(2)At 1,4 and 12 weeks after surgery,the ODI of the experimental group was significantly lower than that of the control group(P<0.05).Conclusions:Feedback-based health education is conducive to improving disease knowledge,general self-efficacy and compliance behaviour and reducing ODI scores in patients with LDH.Relevance to clinical practice:This study provides nurses worldwide with a reference for health education during postoperative rehabilitation for lumbar disc herniation.

An improved car-following model with consideration of the lateral effect and its feedback control research

A car-following model is presented, in which the effects of non-motor vehicles on adjacent lanes are taken into ac- count. A control signal including the velocity differences between the following vehicle and the target vehicle is introduced according to the feedback control theory. The stability condition for the new model is derived. Numerical simulation is used to demonstrate the advantage of the new model including the control signal; the results are consistent with the analytical ones

Time-delayed feedback control optimization for quasi linear systems under random excitations

A strategy for time-delayed feedback control optimization of quasi linear systems with random excitation is proposed. First, the stochastic averaging method is used to reduce the dimension of the state space and to derive the stationary response of the system. Secondly, the control law is assumed to be velocity feedback control with time delay and the unknown control gains are determined by the performance indices. The response of the controlled system is predicted through solving the Fokker-Plank-Kolmogorov equation associated with the averaged Ito equation. Finally, numerical examples are used to illustrate the proposed control method, and the numerical results are confirmed by Monte Carlo simulation .

ASUBOPTIMAL DESIGN OF H∞DECENTRALIZED STATE FEEDBACK CONTROL FOR INTERCONNEC TED SYSTEMS

In the paper, the problem of H∞ decentralized state feedback control for largescale systems is described. An algorithm is proposed which uses the method of a feasible direction matrix. The algorithm only requires the solution of an algebraic Riccati equation (ARE) and makes the H∞norm of the closedloop transfer function matrix from disturbance inputs to controlled outputs less than a given constant which ensure the stability of the overall controlled system at each iteration. The given example shows that the convergence of the algorithm is satisfactory.

State Feedback Control for a Class of Fractional Order Nonlinear Systems

Using the Lyapunov function method, this paper investigates the design of state feedback stabilization controllers for fractional order nonlinear systems in triangular form, and presents a number of new results. First, some new properties of Caputo fractional derivative are presented, and a sufficient condition of asymptotical stability for fractional order nonlinear systems is obtained based on the new properties. Then, by introducing appropriate transformations of coordinates, the problem of controller design is converted into the problem of finding some parameters, which can be certainly obtained by solving the Lyapunov equation and relevant matrix inequalities. Finally, based on the Lyapunov function method, state feedback stabilization controllers making the closed-loop system asymptotically stable are explicitly constructed. A simulation example is given to demonstrate the effectiveness of the proposed design procedure. © 2014 Chinese Association of Automation.

Comparison of Iterative Feedback Tuning Search Techniques

Iterative feedback tuning is an attractive method for industry as it is a model free approach using experiments conducted on the plant to tune controller parameters. Classically Gauss-Newton iterative methods are used in IFT to update the controller parameters in the negative gradient direction of a specified design criterion function. Levenburg-Marquardt and Trust-Region strategies offer attractive advantages to Gauss-Newton in many applications,these alternative methods are given and results from simulation presented. A discussion on the differences between line search methods and Trust-Region methods is given showing the Trust-Region search direction is more flexible. Step size selection is often the limiting factor and it is found that with unknown step size values and initial controller parameters the Trust-Region is the best selection,where as if overshoot is a concern Levenburg-Marquardt is a good choice.Gauss-Newton method provides quick convergence and a fast response time however it shows more dependence on the step size.

Performance analysis of high-static-low-dynamic stiffness vibration isolator with time-delayed displacement feedback

The displacement feedback with time delay considered is introduced in order to enhance the vibration isolation performance of a high-static-low-dynamic stiffness(HSLDS) vibration isolator. Such feedback is detailedly analyzed from the viewpoint of equivalent damping. Firstly, the primary resonance of the controlled HSLDS vibration isolator subjected to a harmonic force excitation is obtained based on the multiple scales method and further verified by numerical integration. The stability of the primary resonance is subsequently investigated. Then, the equivalent damping is defined to study the effects of feedback gain and time delay on primary resonance. The condition of jump avoidance is obtained with the purpose of eliminating the adverse effects induced by jumps. Finally, the force transmissibility of the controlled HSLDS vibration isolator is defined to evaluate its isolation performance. It is shown that an appropriate choice of feedback parameters can effectively suppress the force transmissibility in resonant region and reduce the resonance frequency. Furthermore, a wider vibration isolation frequency bandwidth can be achieved compared to the passive HSLDS vibration isolator.

State Feedback Stabilzation for a Class of Time-delay Nonlinear Systems

The problem of global stabilization by state feedback for a class of time-delay nonlinear system is considered. By constructing the appropriate Lyapunov-Krasovskii functionals (LKF) and using the backstepping design, a linear state feedback controller making the closed-loop system globally asymptotically stable is constructed.

Chaotic Control of LüSystem via Three Methods

In the paper, several different methods are adopted to control Lü system. With direct feedback method, Lü system can be stabilized at one equilibrium point or a limit cycle surrounding its equilibrium. With adaptive time-delayed feedback method, feedback coefficient and delay time can be adjusted adaptively to stabilize Lü system at its original unstable periodic orbit. With minimal energy method, Lü system can also be stabilized at fixed point or limit cycle. Numerical simulations show the effectiveness of our methods.

IMPROVE EFFICIENCY OF BIOGAS FEEDBACK SUPPLY CHAIN IN RURAL CHINA

Feedback supply chain is a key structure in the supply chain system, and the development of feedback supply chain for biogas biomass energy is one of the important ways of the rural ecological civilization construction. Presently, the efficiency problem of biogas supply chain in rural China has been restricting the development of biogas biomass energy business. This article, on the basis of combination of regulation parameters, describes the dynamic changes in the system, using differential equations integrated with simulation to reveal the rules of regulation parameters to investigate the efficiency problem in the biogas supply chain. First of all, on the basis of the actual situation, the flow level and flow rate system structure model and simulation equation set are established for the biogas energy feedback supply chain from a scale livestock farm to peasant households; On the basis of the differentiability of the simulation equation a third order inhomogeneous differential equation with constant coefficients containing regulative parameters is established for the quantity of biogas stored in the feedback supply chain. A theorem and its corollaries are established for the operating efficiency of supply chain to reveal the change law of the quantity of biogas, the quantity of biogas consumed daily by peasant households and its standard-reaching rate as well as other variables.

Explicit Determination of State Feedback Matrices

Methods which calculate state feedback matrices explicitly for uncontrollable systems are considered in this paper. They are based on the well-known method of the entire eigenstructure assignment. The use of a particular similarity transformation exposes certain intrinsic properties of the closed loop w-eigenvectors together with their companion z-vectors. The methods are extended further to deal with multi-input control systems. Existence of eigenvectors solution is established. A differentiation property of the z-vectors is proved for the repeated eigenvalues assignment case. Two examples are worked out in detail.

热室气动位置传感器反馈滞后补偿研究

热室辐照环境中的各类型射线会严重影响电子元件的服役寿命,因此目前多采用气动位置传感器来替代,其将感知及信号处理部分分别置于辐照环境和热室绿区来提高传感器的可靠性。由于气体的可压缩性,气动位置传感器存在信号反馈滞后现象。为了改善上述问题,分析了气动位置传感器的流量特性,建立了管道内流场数值模型并采用特征线法进行求解,构建了传感器压力响应预测模型,推导得到滞后量,并基于此提出了补偿策略。最后搭建了气动位置传感器响应检测平台,验证了预测模型及滞后补偿策略的有效性,结果表明:补偿后的位置相对预期值最大差值在0.5 mm以内,能够满足工程应用要求。

肾内科教学中采用SHARP反馈法的效果及对教学满意度的影响

目的探析SHARP反馈法在肾内科教学中的应用效果。方法选取2021年5月至2022年5月皖南医学院弋矶山医院肾内科实习生50名,依据随机数表法分为两组,每组各25名。对照组采用传统教学方法,观察组采用SHARP反馈法。比较两组学习成绩、教学质量评分及教学满意度。结果观察组学生学习成绩、教学质量评分包括学习和学术价值、教师的情操、组织和表达、师生关系和互动、教师知识面评分高于对照组,差异有统计学意义(P<0.05),观察组教学满意度、学习能力评分包括学生临床思维、课堂氛围、自学能力、临床实践能力、表达能力及知识关联能力高于对照组,差异有统计学意义(P<0.05)。结论肾内科教学中采用SHARP反馈法教学的效果明显,可提升实习生学习成绩,为实习生提供高质量教学,同时提升实习生对教学方法的满意度,临床教学中可大力推广及应用。