Supportive Attitudes Research Articles

Healthcare Professionals' Knowledge, Attitudes and Counselling Practice Regarding Prevention of Secondhand Smoke Exposure Among Pregnant Women/Children in Assiut, Egypt.

Objectives and Methods: A cross sectional study of HCPs working in public MCH clinics in Assiut city was conducted to explore their knowledge, attitudes and counselling practices regarding prevention of SHS exposure among pregnant women and children. Descriptive and regression analyses were performed. Results: 367 HCPs participated in the study, 12% of whom were smokers. The majority were nurses (45%). A considerable proportion of HCPs reported being exposed to SHS in workplace (70%) and home (52%). About half HCP reported high SHS knowledge (56%), supportive attitude towards preventing SHS exposure (53%), and having good counselling practice regarding SHS exposure (52%). Being a GP and serving urban communities were significantly associated with high knowledge. Being female, serving a rural population, receiving training on smoking cessation services, not being exposed to SHS at home, and having a supportive attitude towards prevention of SHS exposure were significantly associated with good counselling practice. Conclusion: Awareness, attitudes and counselling practice of HCPs should be improved. Training for HCPs and enforcement of smoke free polices are needed to improve awareness and facilitate changes in social norms.

여자 프로배구 구단에 대한 지역주민의 창단 기대효과와 지역주민의 태도, 구단이미지, 구단지지의 관계분석

Purpose: The purpose of this study is to empirically analyze the relationship between the attitudes of local residents, team image, and team support according to the founding expected effectiveness of the women’s professional volleyball team perceived by local residents.BR Method: On February 11 and February 24, 2022, the spectators who directly watched the women’s volleyball V-league match held at Pepper Stadium (Gwangju Yeomju Gymnasium) were selected as a sample group and surveyed, and analyzed through the final 277 effective samples. For data analysis, SPSS 24.0 and AMOS 26.0 were used for frequency analysis, correlation analysis, confirmatory factor analysis, and structural equation model analysis.BR Results: The results of this study are as follows. First, the founding expected effectiveness of a local new women’s professional volleyball team (economic, cultural, and promotion expected effectiveness) had a positive effect on the attitudes of local residents. Second, the attitude of local residents after the creation of a local new women’s professional volleyball team had a positive effect on the team image and team sup-port. Third, the team image had a positive effect on the team support of the local new women’s professional volleyball team.BR Conclusion: In summary, when a new professional sports district is established through the local association system, local residents’ voluntary and active attitudes can be drawn only when they are highly recognized, suggesting that local people raise a positive team image of professional sports team and team support.

Relationship Knowledge and Attitude of Mom and Family Support in Doing Baby Massage Independently in Puskesmas District Onowaembo Help Gunungsitoli In 2021

Baby massage is a touch therapy in direct contact with the body that can provide a sense of security and comfort for babies. Mother's broad knowledge will also affect the mother's desire to do baby massage, besides that there are also work factors, attitudes and perceptions that can influence in doing baby massage. This type of research uses an analytical research design with a cross-sectional approach, which is a type of research with cause or risk and effect variables or cases that occur when the research object is measured or collected simultaneously (at the same time). which can be obtained from this research, namely, Based on the results of research that has been carried out on the Relationship of Mother's Knowledge with Mother's Independence to Doing Baby Massage independently, the results of the Chi-Square test, the significant value of the relationship between mother's knowledge and mother's independence is 0.000, which means p-value < 0.05. So, it can be concluded that there is a significant relationship between mother's knowledge and mother's independence. Based on the results of research that has been carried out on the relationship between mother's attitude and mother's independence towards doing baby massage independently, the result of the Chi-square test is that the significant value of the relationship between mother's attitude and mother's independence is 0.000 , which means p-value <0.05. So, it can be concluded that there is a significant relationship between mother's attitude and mother's independence. Based on the results of research that has been carried out on the relationship between family support and mother independence on doing baby massage independently, the Chi-square test result shows that the significant value of the relationship between family support and mother's independence is 0.000, which means p-value <0.05. So, it can be concluded that there is a significant relationship between family support and maternal independence. This is in line with Malikhotul's research (2012) on "The relationship between mother's level of knowledge about infant massage and infant massage behavior at the Posyandu, Gunungsari Village, Beji District, Pasuruan Regency. This study shows that mother's knowledge about infant massage is related to infant massage behavior. It is hoped that health workers, especially midwives.

Hubungan Sikap Ibu dan Dukungan Keluarga dengan Kelengkapan Imunisasi Lanjutan pada Baduta di Puskesmas Amplas Kecamatan Medan Amplas Tahun 2022

Background: Many factors influence the completeness of basic immunization, such as parents, geographical location, vaccines, and health workers who provide immunization services. Even though the immunization program has been implemented well, there are still some immunization coverage that have not been achieved. Parents are the most important factor in scoring a child's complete immunization. Parents' participation in a health program is influenced by various factors and one of them is knowledge and attitudes towards the health program itself. Giving vaccines to children is the right way to anticipate the possibility of children being infected with diseases that are threatening at any time. Immunization functions to build a child's immunity against infectious diseases and dangerous diseases that can cause bodily defects. even death. Immunization given to children is the most effective way to protect children from tuberculosis (TB), diphtheria, pertussis (cocoon cough), tetanus (toothbrush). poliomyletis, measles, rubella and hepatitis B (Mai-imbi, 2021). During this time, parents had hepatitis B, meningitis, pneumonia and polio. VPD is a disease that is hoped to be eradicated or suppressed by implementing an immunization program Objective: Knowing the relationship between maternal attitudes and family support with the completeness of follow-up immunizations for young children at the Medan Amplas Community Health Center, Medan Amplas District in 2022. Method chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. Results: There is a relationship between the mother's attitude of family support and the completeness of advanced immunization for children in 2022. Suggestions are provided for research and for research sites and for educational institutions regarding perennial wound care.

Construction and experimental verification of the spatial attitude kinematic model of advanced support equipment

The roadway in coal mine is prone to deformation of the surrounding rock under the influence of complex disturbance, which induces the imbalance of support attitude matching between roadway surrounding rock and advanced coupling support equipment, breaks the mechanical balance of the original coupling support system, and causes safety accidents. The postures and offsets of the various working spaces of the advanced hydraulic supports under the influence of complex disturbances are systematically analyzed. The D–H parameter matrix transformation method is used to establish the spatial posture kinematic model of a single/group of advanced hydraulic supports. The posture parameters of each key node are obtained through global coordinate transformation. Based on the comparison of the working attitude parameters of the support obtained through simulation analysis and model calculation, the average absolute error of the support height calculation results of the single group of advanced hydraulic support attitude model is 3.92 mm, and that of the coordinate calculation results of the advanced hydraulic support group is (3.26 mm, 1.99 mm), which meet the accuracy requirements of the advanced hydraulic support attitude monitoring. Finally, the spatial attitude kinematic model of a single/group of advanced hydraulic supports is verified and analyzed by using the advanced hydraulic support attitude monitoring test bench. The maximum error value of the experimental results is 4.9 mm, which verifies the accuracy of the established spatial attitude kinematic model of the advanced hydraulic support. The research results can provide theoretical and technical support for the intelligentization of the advanced coupling support system and the safe and efficient mining of coal mine.

Open Space Visitors’ Attitudes toward Ebikes on Natural Surface Trails

This article examined visitors’ attitudes toward electric motorized bikes (ebikes) on natural surface trails and the reasons for support or opposition to ebikes. On-site survey data (n = 536) were obtained from visitors to Devil’s Backbone Open Space (DBOS) in Larimer County, Colorado in 2020. Findings suggested that visitors’ ebike attitudes differed by demographics (i.e., age, gender, residence), and trip characteristics (i.e., survey location, visits per year, primary activity). We also observed a positive correlation between perceived ebike familiarity and support. A content analysis of responses to an open-ended question revealed that concerns over safety, crowding, and beliefs that ebikes do not belong in natural environment were major reasons for opposing ebikes. The potential to expand trail access to people with mobility difficulties was the main reason for a supportive attitude. Visitors’ attitudes were also based on misperceptions about ebikes (e.g., ebikes are noisy), suggesting the need effective public communication. We suggested several practical recommendations managing ebikes in natural areas. First, correct information regarding ebikes (e.g., ebikes are generally quiet) needs to be disseminated. Ebike demonstration sites at popular trailheads would allow visitors to personally experience ebikes and better understand the technology. Information boards could describe ebikes’ mechanisms and environmental impact to clarify some misperceptions. Second, concerns with safety and speed could be addressed by developing comprehensive bike regulations (e.g., speed limits, trail etiquette education) for all bikers. Setting up speed limit signs and monitoring devices on trails might minimize some visitor concerns. Third, exceptions could be made for users with mobility disabilities; these exceptions should be advertised widely so all visitors were aware of and understand the exceptions.

Attitudes of university students towards mandatory COVID-19 vaccination: a cross-sectional survey

Abstract Background Vaccination is an effective public health measure to control the COVID-19 pandemic. In Italy, vaccination against SARS-CoV-2 was made compulsory by law for some job categories, such as healthcare and education workers. Although students required a valid COVID-19 certificate to access university, they were never subjected to mandatory vaccination. In this context, we investigated their attitudes towards mandating COVID-19 vaccination to be able to access schools and universities. Methods We conducted a cross-sectional survey from September 2021 to February 2022. A multivariable logistic regression model was built to identify predictors of positive attitudes towards the outcome. Adjusted odds ratio (aOR) and 95% confidence intervals (CIs) were calculated. Results We collected 5287 questionnaires, grouped into three periods (September-October 2021, November-December 2021 and January-February 2022). The highest proportion of students supporting COVID-19 mandatory vaccination (62.5%) was found between November and December 2021. Multivariable analysis showed that November-December and January-February participants had higher odds of having a positive attitude towards the vaccine mandate than September-October respondents (aOR=1.26, 95% CI:1.09-1-48; and aOR=1.22, 95% CI:1.01-1.48). Other positive predictors were age (aOR=1.01, 95% CI:1.01-1.03), higher levels of perceived COVID-19 severity (aOR=1.09, 95% CI:1.05-1.14), concern for the emergency (aOR=1.09, 95% CI:1.05-1.14), getting vaccinated for fear of infecting other people or being infected (aOR=1.08, 95% CI:1.04-1.12; and aOR=1.07, 95% CI:1.03-1.10) and believing that vaccines could end the pandemic (aOR=1.49, 95% CI:1.41-1.56). Conclusions Attitudes towards COVID-19 mandatory vaccination changed over time, probably in relation to the pandemic trends. Moreover, feeling involved in the pandemic situation seems to be related with a positive attitude. Key messages • Pandemic trends may affect the attitude towards vaccine mandates. Mandating vaccines to access universities could be taken into account in emergency situations to ensure a safer learning environment. • Involvement in the pandemic situation seems related with a supportive attitude towards vaccine mandates, suggesting that awareness is a key factor to be addressed to implement mandatory vaccination.

Social support at work and job satisfaction among midwives: The mediating role of positive affect and work engagement.

This study examined whether social support at work from superiors and colleagues is associated with positive affect at work, and whether work engagement creates a positive relationship with job satisfaction among midwives. We also investigated whether a positive affect and work engagement mediate the relationship between social support at work and job satisfaction. This was a quantitative cross-sectional study. Data were collected from 163 midwives working in the Polish public healthcare system between June 2019 and December 2019. There was a direct relationship between support from superiors and colleagues, positive affect at work, work engagement and job satisfaction. The relationship between support from superiors and job satisfaction was mediated partially by positive affect at work and work engagement. In contrast, the relationship between support from colleagues and job satisfaction was mediated entirely by positive affect at work and work engagement. Support from colleagues, compared to support from superiors, was a stronger predictor of positive affect at work and job satisfaction among midwives. Support at work is a resource that leads to higher job satisfaction by generating positive feelings and increasing work engagement. We recommend paying particular attention to the role of inter-personal relationships and positive feelings at work in shaping the level of satisfaction with work among midwives. The personnel management policy at healthcare institutions should be oriented towards strengthening supportive attitudes in the workplace.

Dialogue intervention for youth amidst intractable conflict attenuates neural prejudice response and promotes adults' peacemaking.

Humans' dependence on group living has led to the formation of tenacious, often nonconscious negative perceptions of other social groups, a phenomenon termed "intergroup bias" that sustains one of the world's most imminent problem: intergroup conflicts. Adolescents' participation in intergroup conflicts has been continuously on the rise, rendering the need to devise interventions that can mitigate some of their deleterious effects on youth an urgent societal priority. Framed within the Israeli-Palestinian conflict and targeting youth, we implemented a dialogue-enhancing intervention for adolescents (16 to 18 years) reared amidst intractable conflict that builds on social synchrony and the neurobiology of affiliation. Implementing a randomized controlled trial design, before and after the 8-week intervention adolescents underwent magnetoencephalography to assess a neural marker of implicit prejudice and interviewed on their attitudes toward the conflict. Adolescents who received the intervention showed attenuation of the neural prejudice response, as indexed by sustained occipital alpha that was significantly reduced at post-intervention and adopted attitudes of peacemaking. Change in the neural prejudice response predicted attitudes of compromise and support in peacebuilding 7 years later, when young adults can already engage in active civil duties and responsibilities. These results underscore adolescence as a window of opportunity for enhancing inter-group dialogue and demonstrate the long-term associations between the neural evaluation of prejudice and self-reported measures of proclivity for compromise and peace in the context of an intractable century-long conflict.

Decreased influenza vaccination coverage among Chinese healthcare workers during the COVID-19 pandemic

BackgroundHealthcare workers (HCWs) were the priority group for influenza vaccination, in China during the 2020/2021 and 2021/2022 influenza seasons. However, vaccination rates in HCWs have always been low. This study investigated influenza vaccination status among Chinese HCWs and analyzed the factors driving vaccination.MethodsWe provided electronic questionnaires to HCWs from January 27, 2022 to February 21, 2022, using the WeChat platform "Breath Circles". HCWs who received the link could also forward it to their colleagues. Binary logistic regression models were used to analyze vaccination-associated factors among HCWs.ResultsAmong the 1697 HCWs surveyed, vaccination coverage was 43.7% (741/1697) during the 2020/2021 influenza season, and 35.4% (600/1697) during the 2021/2022 influenza season, as of February 21, 2022. Additionally, 22.7% (385/1697) and 22.1% (358/1697) of HCWs reported that their workplaces implemented a free vaccination policy for all employees during the 2020/2021 and 2021/2022 influenza seasons. HCWs who were required to be vaccinated according to hospital regulations, and whose hospitals implemented the free influenza vaccine policy were more likely to be vaccinated (2020/2021 and 2021/2022; P < 0.05). In addition, the economic level of the HCWs' province (2021/2022, P < 0.05) and the HCWs’ knowledge about vaccination and willingness to get vaccinated, such as active learning about vaccines (2020/2021, P < 0.05), supportive attitude toward vaccination for all HCWs (2020/2021 and 2021/2022; P < 0.05), also had an impact on vaccine coverage.ConclusionsA free influenza vaccination policy and workplace required vaccination are effective in improving influenza vaccination coverage among HCWs. Influenza vaccination coverage of Chinese HCWs remained low and showed a downward trend after the COVID-19 outbreak. Further effective measures, such as advocacy campaigns, free vaccine policies, and on-site vaccination could be implemented to improve influenza vaccination coverage.Graphical abstract

Models in the Construction of Accounting Informatization Transformation Based on Digital Twin

The construction of accounting informatization is an effective tool for enterprises to transform from focusing on financial accounting to focusing on group management and decision support. Digital twins make full use of physical models, sensor updates and other data, integrate interdisciplinary and multi-scale modeling processes, and perform complete mapping in virtual space, which can reflect the process of the entire life cycle of the corresponding physical equipment. Based on the technology of digital twin, this paper solved the related problems in the transformation and construction of accounting informatization, and proposed a clustering analysis algorithm. Company A was taken as the experimental object, companies B and C were taken as the experimental control group, combined with data analysis, among the accountants of company A, 179 people have a supportive attitude towards the transformation of accounting information, 16 people have a neutral attitude, and 5 people have an opposing attitude, accounting for 89.5%, 8% and 2.5% respectively. However, among companies B and C, 196 and 199 people hold a favorable attitude, accounting for 98% and 99.5% respectively. The experimental results showed that the acceptance of the accounting informatization transformation is still relatively high among the employees of the enterprise.

Relationship of Knowledge and Attitude with Mother's Actions on Stunting Incidents in Wali Ate Village

Stunting is a child's growth and development disorder caused by lack of nutrition, infection, or inadequate stimulation. This study aims to examine the relationship between mother's knowledge and attitudes and mother's actions with the incidence of stunting in Wali Ate Village. research was carried out on20 june to 3 july 2022.Objective: To determine the relationship between knowledge and attitudes with mother's actions on the incidence of stunting in Wali Ate Village. Methods: Analytical research with a cross sectional approach. The population in this study amounted to 887 mothers. The number of samples was 96 mothers. The sampling technique used Accidental Sampling. Data collection by using a questionnaire. Results: Most of the respondents have sufficient knowledge aboutstunting42 people (43.8%). A number of respondents have a supportive attitude towards preventionstunting70 people (72.2%). Mother's actions on preventionstuntingwere in moderate action as many as 48 people (50.0%). The test results obtained a probability value for the relationship of knowledge with the mother's actions in the eventstuntingof 0.617 (p&gt;0.05), while the relationship between attitudes and maternal actions in preventing DHF was 0.66 (p&gt;0.05).

The Interpersonal Communication of Prophet Muhammad in Dialogic Hadiths

Prophet Mohammed’s interpersonal communication is an appealing topic to study not only the way the communication is conveyed but also the effectiveness of the communication. Though his assignment as a messenger of God was relatively short, around 23 years, he was able to communicate his Islamic messages (teachings) to the Arab community successfully. He turned the Arabs from rejecting and confronting Islam into accepting and defending it. There are factors contributing to this success, and one of them is his interpersonal communication skill. This study attempts to describe Mohammed’s interpersonal communication through a deep investigation into dialogic prophetic traditions (hadith). This study employs a descriptive-inferential method and a subjective communicative approach. The theory used in this study is that of interpersonal communication. The findings reveal five qualities supporting the effectiveness of Mohammad’s interpersonal communication in his dialogic hadiths. They are openness, empathy, supportive attitudes, positive attitudes, and equality.

Love, Hope and Despair of Pregnant Women Living in the Slum of Sylhet City Corporation: A Study

Pregnancy is a joyous but stressful phase in every woman’s life as it takes a ten-month-long journey. Support and caring attitude from family members and others, along with regular ante-natal treatment during pregnancy, is essential for every woman because it will protect the health of the unborn baby and future mother. However, in Bangladesh, patriarchal social structure and cultural components bring unequal treatment for women even when they feel sick. So, this qualitative study was conducted to explore the experiences of pregnant women living in the slum area of Sylhet city corporation, Bangladesh. Data were collected purposively from pregnant women during gestational weeks 36–38 who came for treatment at the Urban Primary Health Care Service Delivery Center of Shimantik (NGO). Ten in-depth interviews were conducted through a semi-structured interview schedule, and then collected data were thematically analysed. Data were presented under four themes: role of husband and family members during pregnancy, challenging circumstances within and outside of the family, the reason for the adverse social concern arising and the strategies employed to deal with the hostile condition. This study recommends that there should be a professional counsellor in every maternity health clinic, especially for pregnant women, with whom they can share their personal grief and sufferings.

Trade-offs in German wind energy expansion: building bridges between different interests, values and priorities

BackgroundTo achieve climate targets, a transition to low-carbon energy production is necessary. However, conflicts between different interests, values and priorities, particularly at the community level, can constrain this transition. This paper aims to analyze lines of conflict and opportunities to build bridges between conflicting interests in the expansion of wind energy in Germany at the local level, to achieve successful implementation of wind energy projects.ResultsOur analysis of four cases of local-level wind energy projects in Germany shows that limited local options for action reinforce the need for local actors to maximize the benefits of energy transition projects. In addition to the conflict over scarce space, the lines of conflict at the local level run primarily along the dimensions of costs and benefits, winners and losers. Real or perceived procedural and distributive injustices had the potential to fuel resistance to wind energy projects in the analyzed cases. However, wind energy projects were successfully implemented despite the presence of local opposition.ConclusionsThe results show that, by integrating procedural and distributive justice into the project planning and implementation and offering tailored solutions, community support for expansion of renewable energy projects can be enhanced. The paper advances the concept of societal ownership (“gesellschaftliche Trägerschaft”), which suggests the willingness of members of a community to tolerate decisions even when some conflicts related to the decision remain unresolved. Societal ownership is presented as an alternative to the concept of simple acceptance; it implies a more positive, more supportive community attitude, where members aim to address conflict as a normal aspect of decision making. Rather than sweeping alternative opinions aside, the community addresses alternative viewpoints, seeking to achieve greater procedural and distributive justice. In this way, a sense of societal ownership of a project can develop, enhancing its likelihood of success.

Taking perspective of the stories we tell about transgender rights: The narrative policy framework

AbstractOur project uses the narrative policy framework (NPF) to explore narrative effects on attitudes about transgender rights. The framework focuses on the stories that are told about public policy. As opposed to conceptualizing communications as informational, NPF suggests that getting lost in the story is primary for attitude change. We also incorporate a perspective taking exercise to examine its effects on individual attitudes. Using an experiment on 1784 American adults, we found that individuals who received the inclusive transgender policy narrative by either watching or reading the narrative held views more supportive of transgender rights, with the effect greater for watching than reading. Those who experienced greater narrative transportation, being more lost in the story, reported more supportive attitudes. We further find that those with traits that lead them to become more imaginatively involved in stories occasionally are more greatly affected by watching policy narratives than those who are less imaginatively involved. However, perspective taking did not influence attitudes and weakened the treatment effects of the narratives. Our findings suggest stories can affect policy attitudes and beliefs, which may be conceptually distinct from traditional framing‐based accounts and implies distinctive causal mechanisms that result in attitude change.

Depression severity and psychosocial determinants of physical activity behavior in in-patients with major depressive disorders

BackgroundPhysical inactivity is a world-wide health issue. In people with major depressive disorders approximately 68% do not reach the recommended physical activity levels. Psychosocial determinants of and implicit attitudes towards physical activity serve to explain physical activity behavior and may form the basis of interventions to promote physical activity. The aim of this study was to examine, whether psychosocial determinants and implicit attitudes towards physical activity vary according to depression severity. MethodsPhysically inactive, adult in-patients diagnosed with major depressive disorder (according to ICD-10) were recruited from four Swiss psychiatric clinics. Psychosocial determinants of physical activity were assessed with seven questionnaires pertaining to motivational and volitional aspects of physical activity. Implicit attitudes towards physical activity were measured with a computer-based Single Target Implicit Association Test. ResultsIn-patients (N = 215, Mage = 41 ± 13 years, 53% female) with major depressive disorder reporting more severe (n = 52) depression symptomology exhibited less favorable psychosocial determinants for physical activity behavior (self-efficacy, negative outcome expectancies, intention, intrinsic motivation, introjected motivation, external motivation, action planning, perceived barriers, coping planning) compared to those with mild (n = 89) and moderate (n = 74) depression symptomology. Positive outcome expectancies, identified, social support and implicit attitudes towards physical activity did not vary according to depression severity. ConclusionsPsychosocial determinants of physical activity do vary according to depression severity. Attempts to promote physical activity among people with major depressive disorder should take depression severity into account when developing and delivering interventions. Trial registrationISRCTN registry, ISRCTN10469580, registered on 3rd September 2018, https://www.isrctn.com/ISRCTN10469580.

Does COVID-19 have an impact on influenza vaccine knowledge, attitude and practice among medical students: a 2-year prospective cohort study

ObjectivesTo explore the main factors affecting the knowledge, attitude and practice about influenza and influenza vaccine as well as the intention to receive influenza vaccination among the same group of...

Nursing Approaches and Perceived Quality of Life in Advanced Stage Huntington's Disease Patients.

Long-term Huntington's disease (HD) care is offered in specialized inpatient nursing home units with a focus on individually perceived quality of life (QoL). This is shaped in daily care and interaction, which is often abstract and intangible. Furthermore, different perspectives are involved and may vary. To explore and describe perceived QoL of HD patients from three perspectives: manifest HD patients, family members, and nursing staff. 36 patients, 11 family members, and 30 nurses participated in this qualitative study by means of individual interviews and systematic qualitative observations on three units. Preservation of identity and autonomy is important for patients. Patients struggle with increasing dependence, and try to cope with the impact, uncertainty, and progressive nature of the disease. All participants emphasize the focus on "being human, not just a patient". Both patients and family members mention the difficulty of dealing with altered behavior and loss of control. Patients are reliant on a relational approach, and an attitude of unconditional acceptance, trust, and understanding support by the nurses. Nursing staff help patients to focus on preserved abilities, and to continue to engage in personalized preferred social activities. Specific qualifications of the nurses were of major influence on QoL for HD patients. This study shows, from the patient as well as family member and nursing staff perspectives, that caring for HD patients requires specific knowledge and skills. Particular nursing approaches and attitude and qualifications of the nursing staff in residential HD care improves the perceived QoL of patients.

Intelligent decision method for the position and attitude self-adjustment of hydraulic support groups driven by a digital twin system

The hydraulic support group is often skewed during the propulsion process, but the existing technology cannot autonomously adjust its position and attitude according to the actual working conditions. This paper proposes an intelligent decision method for the position and attitude self-adjustment of hydraulic support groups driven by a digital twin system. The method reconstructs the position and attitude of the hydraulic support, completes virtual decision-making, virtual execution and strategy optimization for the adjustment behavior in the virtual space, and finally derives the optimal control command to reversely control the real support to achieve the self-adjustment of the position and attitude of the support. First, the full position and attitude parameter matrix and the 3D workspace are defined to describe the position and attitude of the hydraulic support, and a pose analysis method of the hydraulic support group is proposed based on the lengths of the column and balance jack. Second, the method of predicting the ideal pose of the support, the synergistic method of the adjustment device, and the method for the calculation of its elongation are studied. Finally, a digital twin system facing physical support prototypes was built in a laboratory environment, and three key experiments were carried out for the virtual reconstruction of the support pose, the intelligent decision-making and virtual execution of the adjustment behavior, and the autonomous adjustment of the physical prototype based on virtual decision-making results. The experimental results show that virtual decision-making can effectively guide the real adjustment behavior, and the applicability and influencing factors of the adjustment effect are further studied. The proposed method compensates for the vacancy of hydraulic support self-adjustment technology, and can provide a reference for the intelligent control of fully-mechanized mining equipment.