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This paper investigates the distributed neural network (NN)-based fixed-time practical attitude synchronization of the networked spacecraft systems (NSSs) with model uncertainties and external disturbances. A novel practical attitude synchronization scheme is proposed using the Lagrangian representation of spacecraft attitude dynamics for both leaderless and leader-follower cases. Fixed-time control is first employed to enhance robustness against model uncertainties, and the NN is then integrated to advance its adaptability. Additionally, a unified analytical framework is developed to establish the fixed-time practical stability of the control system using the Lyapunov function method. Furthermore, the allowable upper bound expressions of the practical attitude synchronization error and the settling time are analytically derived for the NSSs. Finally, comparative simulations are conducted to validate the feasibility and effectiveness of the proposed control scheme.
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http://dx.doi.org/10.1016/j.isatra.2025.08.005 | DOI Listing |
JAMA Netw Open
September 2025
Harvard Medical School, Boston, Massachusetts.
Importance: Research in behavioral economics has demonstrated that people have irrational biases, which make them susceptible to decisional shortcuts, or heuristics. The extent to which physicians consciously might use nudges to exploit these heuristics and thereby influence their patients' decision-making is unclear. In addition, ethical questions about the conscious use of nudges in medicine persist, yet little is known about how physicians experience and perceive their use.
View Article and Find Full Text PDFActa Derm Venereol
September 2025
Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China.
Psoriasis-related stigmatization affects nurses' willingness to provide care, potentially compromising patient outcomes. However, limited research has examined this issue. A cross-sectional survey of 1,873 nurses was conducted, which assessed 4 stigmatization dimensions and their correlation with the willingness to care for patients with psoriasis, and explored the roles of education, working environment, and self-reported psoriasis knowledge.
View Article and Find Full Text PDFJ Eval Clin Pract
September 2025
Macquarie University Ethics and Agency Research Centre, Macquarie University, Sydney, New South Wales, Australia.
Rationale: Clinical innovation-where physicians develop and use novel interventions that differ significantly from standard practice and that have not been shown to be sufficiently safe or effective for regular use in healthcare systems-has the potential to transform patient care and drive medical advancement. However, it is not without risk. It is important, therefore, that policymakers and healthcare institutions develop strategies to encourage responsible clinical innovation.
View Article and Find Full Text PDFInt J Lang Commun Disord
September 2025
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.
Background: Research Capacity and Culture (RCC) is important for research engagement. Little is known of what speech and language therapy staff perceives to be the barriers or enablers to this at individual, team and organisational levels.
Aims: To identify the barriers and enablers to RCC among speech and language therapy staff, using behaviour change theory as a framework, and to explore their self-reported level of research engagement.
Basic Clin Pharmacol Toxicol
October 2025
HUS Pharmacy, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
While deprescribing benzodiazepines and related drugs (BZRDs) is crucial for preventing prolonged use and their associated adverse effects, it presents challenges from a healthcare perspective, because of limited resources and time. Recently, a pharmacist-led deprescribing of BZRDs in the treatment of insomnia was introduced in Helsinki's primary care health centres. To explore pharmacists' and physicians' insights, qualitative semi-structured interviews were conducted via Microsoft Teams with physicians and pharmacists involved in a pharmacist-led deprescribing.
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