Effects of the information–knowledge–attitude–practice nursing model combined with predictability intervention on patients with cerebrovascular disease

BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD.Studies have shown that predictive nursing can improve the quality of care and that the information–knowledge–attitude–practice(IKAP)nursing model has a positive impact on patients who suffered a stroke.Few studies have combined these two nursing models to treat CVD.AIM To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl–Meyer motor function(FMA)score,Barthel index score,and disease knowledge mastery rate in patients with CVD.METHODS A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups,with 70 patients in each.The control group received routine nursing,while the observation group received the IKAP nursing model combined with predictive nursing.Both groups were observed for self-care ability,motor function,and disease knowledge mastery rate after one month of nursing.RESULTS There was no clear difference between the Barthel index and FMA scores of the two groups before nursing(P>0.05);however,their scores increased after nursing.This increase was more apparent in the observation group,and the difference was statistically significant(P<0.05).The rates of disease knowledge mastery,timely medication,appropriate exercise,and reasonable diet were significantly higher in the observation group than in the control group(P<0.05).The satisfaction rate in the observation group(97.14%)was significantly higher than that in the control group(81.43%;P<0.05).CONCLUSION The IKAP nursing model,combined with predictive nursing,is more effective than routine nursing in the care of patients with CVD,and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition,as well as produce high satisfaction in patients.Moreover,they can be widely used in the clinical setting.

Coupled Dynamics and Integrated Control for Position and Attitude Motions of Spacecraft:A Survey

Inspired by the integrated guidance and control design for endo-atmospheric aircraft,the integrated position and attitude control of spacecraft has attracted increasing attention and gradually induced a wide variety of study results in last over two decades,fully incorporating control requirements and actuator characteristics of space missions.This paper presents a novel and comprehensive survey to the coupled position and attitude motions of spacecraft from the perspective of dynamics and control.To this end,a systematic analysis is firstly conducted in details to show the position and attitude mutual couplings of spacecraft.Particularly,in terms of the time discrepancy between spacecraft position and attitude motions,space missions can be categorized into two types:space proximity operation and space orbital maneuver.Based on this classification,the studies on the coupled dynamic modeling and the integrated control design for position and attitude motions of spacecraft are sequentially summarized and analyzed.On the one hand,various coupled position and dynamic formulations of spacecraft based on various mathematical tools are reviewed and compared from five aspects,including mission applicability,modeling simplicity,physical clearance,information matching and expansibility.On the other hand,the development of the integrated position and attitude control of spacecraft is analyzed for two space missions,and especially,five distinctive development trends are captured for space operation missions.Finally,insightful prospects on future development of the integrated position and attitude control technology of spacecraft are proposed,pointing out current primary technical issues and possible feasible solutions.

Bionic Attitude Transformation Combined with Closed Motion for a Free Floating Space Robot

In order to realize the small error attitude transformation of a free floating space robot,a new method of three degrees of freedom（ DOF） attitude transformation was proposed for the space robot using a bionic joint. A general kinematic model of the space robot was established based on the law of linear and angular momentum conservation. A combinational joint model was established combined with bionic joint and closed motion. The attitude transformation of planar,two DOF and three DOF is analyzed and simulated by the model,and it is verified that the feasibility of attitude transformation in three DOF space. Finally,the specific scheme of disturbance elimination in attitude transformation is presented and simulation results are obtained.Therefore,the range of application field of the bionic joint model has been expanded.

Modelling Environmental Attitudes of the Users of Kilombero Valley Wetlands, Tanzania

Development policies have for a long time made it more profitable for people to degrade than to conserve environment. The adoption of these economic wide policies by Africa especially during colonial time and after independence has resulted into erosion of its communities’ conservation behaviour and attitude. Although many studies assess environmental attitudes, those focussing on African regions or countries using New Environmental Paradigm (NEP) scale are very limited. Such studies in the African context using NEP scale are very important, simply because many people depend on the environment for their livelihood, and in the process they destroy the world’s valued ecosystems including wetlands. This study is meant to fill in the gap using Kilombero valley wetlands in Tanzania as a case. The study used Structural Equation Modelling (SEM) to predict the behaviour of the users based on attitudes, environmental knowledge and awareness. The findings indicate that users of the Kilombero wetlands have a generally positive attitude towards the environment, despite a great degree of variability among the study participants. The study shows also that a certain level of environmental awareness is needed in order to increase people’s knowledge about environmental issues and change their environmental attitudes. The NEP scale does not fully fit into the Tanzanian context, thus suggesting that further research into the adaptation of the scale is needed.

Effect of KAP Intervention Model on Resilience and Cancer-related Fatigue in Patients with Colorectal Cancer Undergoing Chemotherapy

Objective:To explore the effect of KAP intervention mode on resilience and cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy.Methods:A prospective randomized trial was conducted.55 patients with colorectal cancer who received routine nursing from February 2018 to February 2019 were included in the control group,and 55 patients who received routine nursing+KAP intervention from March 2019 to March 2020 were included in the observation group.The scores of Resilience Scale and cancer-related fatigue scale(CFS)before and 6 months after intervention were compared between the two groups.Results:After 6 months of intervention,the score of resilience of the two groups was higher than that before intervention,and that of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05);The CFS score of the two groups was lower than that before intervention,and that of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:KAP intervention model can improve the resilience of patients with colorectal cancer chemotherapy,reduce cancerrelated fatigue.

Two-Stage Identification Method for Attitude-Control Models of On-Orbit Satellites

A two-stage identification method was developed for attitude-control models of on-orbit satellites for accurate attitude control. The attitude-control models are based on a generalized attitude model （GAM） and its corresponding noise model （NM）. These are both low order models which are able to characterize the main satellite dynamics and the corresponding noise. These low-order attitude-control models facilitate improved controller design and state estimation. This identification approach uses two open-loop identification processes, with higher order auxiliary models used in the estimation for filtering and with the filtered signals used to identify the low order GAM and NM. An identification experiment with a micro-satellite simulator was used to verify the effectiveness of the two-stage identification method.

Angular velocity dynamics identification of small unmanned helicopter using fuzzy model

Attitude identification method for unmanned helicopter based on fuzzy model at hovering is presented. The dynamical attitude model is considered as basis for attitude control and it is very complex. To reduce the complexity of model, nonlinear model of unmanned helicopter with unknown parameters are to be determined by fuzzy system first and then derivative based gradient method is used to identify unknown parameters of model. Gradient method is used due to ability that fuzzy system is not necessarily to be linear in parameters, therefore all fuzzy sets for input and output can be adjusted. The validity of the proposed model was verified using experimental data obtained by the commercially available flight simulator X-Plane. The simulation results showed high accuracy of the modeling method and attitude dynamics data matched well with experimental data.

Nonlinear Rolling Control Technology of Liquid Launch Vehicle Based on Single Engine

New program was proposed in LM-6 rolling control technology that using high-pressure staged combustion gas. Launch vehicle rolling control by just one engine was realized. Under the limit of the rolling control moment of the launch vehicle, a new attitude dynamic model is established. Interference source and how to reduce the effect was analyzed, and method of designing a pre-compensated robust controller was proposed. Simulation and flight resuits showed that the attitude dynamic model established and the pre-compensation robust controller proposed in this paper could solve the key problems with a strong coupling attitude controller, and realize high quality and high reliability control in wind areas, and improve the capability of the launch vehicle.

Installation error calibration for MEMS angular measurement system in hypersonic wind tunnel

The accuracy of model attitude measurement has an important impact on wind tunnel test results. Microelectromechanical System Inertial Measurement Unit(MEMS IMU) provides a feasible way to measure model attitudes with high accuracy. However, the installation error between MEMS IMU coordinate system and the body coordinate system of test models can make the accuracy of the model attitude measurement decrease. In wind tunnel tests, the installation error depends on the relationship between the IMU and the model mechanism before tests. Therefore, infield calibration in wind tunnel tests is necessary to reduce installation errors. To improve attitude measurement accuracy, the least squares quaternion calibration method based on MEMS IMU and six-position calibration procedure are proposed. High-precision three-axis turntable tests are performed. The pitch accuracy after calibration is higher than that before calibration in the angle of attack sweeping tests. The Root-Mean-Square Errors(RMSE) in the roll and yaw are within0.01°, which are smaller than those before calibration. In the roll sweeping tests, RMSE of three attitude angles decrease significantly. In hypersonic wind tunnel tests, the pitch errors before and after calibration are within 0.05° and 0.02° in the angle of attack sweeping tests without wind. In five angle of attack sweeping tests with wind, the deviation between the mean of the pitch and the pitch after the elastic angle correction is within 0.03° and the standard deviation of five tests is within 0.01°. The proposed method is confirmed to enhance the accuracy of attitude measurement effectively, which is convenient for engineering applications.