目的 探究继续动机性访谈对糖尿病视网膜病变患者的干预效果。方法 选取2021年1月—2023年6月柳州市人民医院眼科收治的糖尿病视网膜病变患者100例作为研究对象,根据随机数表法分为对照组和研究组,每组50例。对照组行常规健康教育,研究...目的 探究继续动机性访谈对糖尿病视网膜病变患者的干预效果。方法 选取2021年1月—2023年6月柳州市人民医院眼科收治的糖尿病视网膜病变患者100例作为研究对象,根据随机数表法分为对照组和研究组,每组50例。对照组行常规健康教育,研究组开展继续动机性访谈。统计两组糖尿病自我管理活动问卷(the Summary of Diabete Self-care Activities, SDSCA)、视功能生存质量量表(Vision-related Quality of Life and Visual Function, QOLVF)评分以及两组血糖控制水平。结果 干预后,研究组SDSCA评分高于对照组,QOLVF评分低于对照组,血糖水平低于对照组,差异有统计学意义(P<0.05)。结论 继续动机性访谈在糖尿病视网膜病变患者中可显著提高自我管理能力及生存质量,积极改善血糖水平。展开更多
With the development of technology and the change of market demands,the trend in middle and high grade bicycle manufacturing is developed toward small-volume,multi-species,and customer-oriented production.Therefore,hu...With the development of technology and the change of market demands,the trend in middle and high grade bicycle manufacturing is developed toward small-volume,multi-species,and customer-oriented production.Therefore,human element should be fully considered in design so that the bicycle has the best cycling performance for the specific rider.Currently,customized design is difficult to achieve since feature parameters of the rider are not included in the design.The design of bicycle frame is the most important in bicycle design.The relative positions among the saddle,handlebar and central axis are defined as the bicycle three-pivot,they are the main parameters in bicycle frame design.In conventional bicycle design,frame parameters are merely relevant to bicycle types.On the basis of the principles of biomechanics and ergonomics knowledge,this paper presents a design method for bicycle three-pivot considering feature parameters of the rider by dynamic simulation.Firstly,a dynamic model of rider-bicycle system is built for a special rider,and a serial of simulation experiments is designed by uniform test method.Then,a mathematical model is built between the three-pivot position and the square of lower limb muscle stress by using simulation and regression analysis of the rider-bicycle system.The optimal three-pivot position parameters are obtained by setting the minimal of the square of the lower limb muscle stress as the objective.Therefore,the optimal parameters are gained for the specific rider.Finally,various results are gained for different riders based on the same design process.The function between feature parameters of the rider and the optimum three-pivot position parameters is built by regression.Bicycle design considering biomechanics can be divided into three main steps：calculating the three-pivot position,designing the geometrical structure of the bicycle frame and analyzing frame strength,and selecting appropriate parts and assembling the bicycle.Bicycle design considering biomechanics changes the conventional bicycle design and realizes customized design by considering human element in the design process.展开更多
This paper investigates the dynamic design methodology of mountain bikes with rear suspension. Firstly, a multi-rigid body dynamic model of rider and mountain bike coupled system is constructed. The rider model includ...This paper investigates the dynamic design methodology of mountain bikes with rear suspension. Firstly, a multi-rigid body dynamic model of rider and mountain bike coupled system is constructed. The rider model includes 19 skeletons, 18 joints and 118 main muscles. Secondly, to validate the feasibility of the model, an experiment test is designed to reflect the real cycling status. Finally, aiming at enhancing the performance of the rider vibration comfort, the scale parameters of rear suspension are optimized with computer simulation and uniform design. The mathematical model in the vibration performance and the design variables is constructed with regression analysis. The result shows that when the length of side link is 90 mm, the length of connected rod is 336.115 1 mm and the included angle between absorber and side link is 60°, the mountain bike has better vibration comfort. This study and relevant conclusions are of practical importance to the design of the mountain bike＇s rear suspension system.展开更多
文摘目的 探究继续动机性访谈对糖尿病视网膜病变患者的干预效果。方法 选取2021年1月—2023年6月柳州市人民医院眼科收治的糖尿病视网膜病变患者100例作为研究对象,根据随机数表法分为对照组和研究组,每组50例。对照组行常规健康教育,研究组开展继续动机性访谈。统计两组糖尿病自我管理活动问卷(the Summary of Diabete Self-care Activities, SDSCA)、视功能生存质量量表(Vision-related Quality of Life and Visual Function, QOLVF)评分以及两组血糖控制水平。结果 干预后,研究组SDSCA评分高于对照组,QOLVF评分低于对照组,血糖水平低于对照组,差异有统计学意义(P<0.05)。结论 继续动机性访谈在糖尿病视网膜病变患者中可显著提高自我管理能力及生存质量,积极改善血糖水平。
基金supported by Tianjin Municipal Special Fund Project for Technology Innovation of China(Grant No.10FDZDGX00500),and Tianjin Municipal Key Laboratory of Advanced Manufacturing Technology and Equipment of Tianjin University of China
文摘With the development of technology and the change of market demands,the trend in middle and high grade bicycle manufacturing is developed toward small-volume,multi-species,and customer-oriented production.Therefore,human element should be fully considered in design so that the bicycle has the best cycling performance for the specific rider.Currently,customized design is difficult to achieve since feature parameters of the rider are not included in the design.The design of bicycle frame is the most important in bicycle design.The relative positions among the saddle,handlebar and central axis are defined as the bicycle three-pivot,they are the main parameters in bicycle frame design.In conventional bicycle design,frame parameters are merely relevant to bicycle types.On the basis of the principles of biomechanics and ergonomics knowledge,this paper presents a design method for bicycle three-pivot considering feature parameters of the rider by dynamic simulation.Firstly,a dynamic model of rider-bicycle system is built for a special rider,and a serial of simulation experiments is designed by uniform test method.Then,a mathematical model is built between the three-pivot position and the square of lower limb muscle stress by using simulation and regression analysis of the rider-bicycle system.The optimal three-pivot position parameters are obtained by setting the minimal of the square of the lower limb muscle stress as the objective.Therefore,the optimal parameters are gained for the specific rider.Finally,various results are gained for different riders based on the same design process.The function between feature parameters of the rider and the optimum three-pivot position parameters is built by regression.Bicycle design considering biomechanics can be divided into three main steps：calculating the three-pivot position,designing the geometrical structure of the bicycle frame and analyzing frame strength,and selecting appropriate parts and assembling the bicycle.Bicycle design considering biomechanics changes the conventional bicycle design and realizes customized design by considering human element in the design process.
基金supported by Tianjin Municipal Science and Technology Development Project of China (Grant No. 043186211)Tianjin Municipal Key Laboratory of Advanced Manufacturing Technology and Equipment of Tianjin University of China
文摘This paper investigates the dynamic design methodology of mountain bikes with rear suspension. Firstly, a multi-rigid body dynamic model of rider and mountain bike coupled system is constructed. The rider model includes 19 skeletons, 18 joints and 118 main muscles. Secondly, to validate the feasibility of the model, an experiment test is designed to reflect the real cycling status. Finally, aiming at enhancing the performance of the rider vibration comfort, the scale parameters of rear suspension are optimized with computer simulation and uniform design. The mathematical model in the vibration performance and the design variables is constructed with regression analysis. The result shows that when the length of side link is 90 mm, the length of connected rod is 336.115 1 mm and the included angle between absorber and side link is 60°, the mountain bike has better vibration comfort. This study and relevant conclusions are of practical importance to the design of the mountain bike＇s rear suspension system.
