EWMA control chart based on its first hitting time and coronavirus alert levels for monitoring symmetric COVID-19 cases

Objective:To define the alert levels for the total number of COVID-19 cases derived by using quantile functions to monitor COVID-19 outbreaks via an exponentially weighted moving-average(EWMA)control chart based on the first hitting time of the total number of COVID-19 cases following a symmetric logistic growth curve.Methods:The cumulative distribution function of the time for the total number of COVID-19 cases was used to construct a quantile function for classifying COVID-19 alert levels.The EWMA control chart control limits for monitoring a COVID-19 outbreak were formulated by applying the delta method and the sample mean and variance method.Samples were selected from countries and region including Thailand,Singapore,Vietnam,and Hong Kong to generate the total number of COVID-19 cases from February 15,2020 to December 16,2020,all of which followed symmetric patterns.A comparison of the two methods was made by applying them to a EWMA control chart based on the first hitting time for monitoring the COVID-19 outbreak in the sampled countries and region.Results:The optimal first hitting times for the EWMA control chart for monitoring COVID-19 outbreaks in Thailand,Singapore,Vietnam,and Hong Kong were approximately 280,208,286,and 298 days,respectively.Conclusions:The findings show that the sample mean and variance method can detect the first hitting time better than the delta method.Moreover,the COVID-19 alert levels can be defined into four stages for monitoring COVID-19 situation,which help the authorities to enact policies that monitor,control,and protect the population from a COVID-19 outbreak.

Glucose metabolism profile recorded by flash glucose monitoring system in patients with hypopituitarism during prednisone replacement

BACKGROUND Commonly used glucocorticoids replacement regimens in patients with hypopituitarism have difficulty mimicking physiological cortisol rhythms and are usually accompanied by risks of over-treatment,with adverse effects on glucose metabolism.Disorders associated with glucose metabolism are established risk factors of cardiovascular events,one of the life-threatening ramifications.AIM To investigate the glycometabolism profile in patients with hypopituitarism receiving prednisone(Pred)replacement,and to clarify the impacts of different Pred doses on glycometabolism and consequent adverse cardiovascular outcomes.METHODS Twenty patients with hypopituitarism receiving Pred replacement[patient group(PG)]and 20 normal controls(NCs)were recruited.A flash glucose monitoring system was used to record continuous glucose levels during the day,which provided information on glucose-target-rate,glucose variability(GV),period glucose level,and hypoglycemia occurrence at certain periods.Islet β-cell function was also assessed.Based on the administered Pred dose per day,the PG was then regrouped into Pred>5 mg/d and Pred≤5 mg/d subgroups.Comparative analysis was carried out between the PG and NCs.RESULTS Significantly altered glucose metabolism profiles were identified in the PG.This includes significant reductions in glucose-target-rate and nocturnal glucose level,along with elevations in GV,hypoglycemia occurrence and postprandial glucose level,when compared with those in NCs.Subgroup analysis indicated more significant glucose metabolism impairment in the Pred>5 mg/d group,including significantly decreased glucose-target-rate and nocturnal glucose level,along with increased GV,hypoglycemia occurrence,and postprandial glucose level.With regard to islet β-cell function,PG showed significant difference in homeostasis model assessment(HOMA)-β compared with that of NCs;a notable difference in HOMA-βwas identified in Pred>5 mg/d group when compared with those of NCs;as for Pred≤5 mg/d group,significant differences were found in HOMA-β,and fasting glucose/insulin ratio when compared with NCs.CONCLUSION Our results demonstrated that Pred replacement disrupted glycometabolic homeostasis in patients with hypopituitarism.A Pred dose of>5 mg/d seemed to cause more adverse effects on glycometabolism than a dose of≤5 mg/d.Comprehensive and accurate evaluation is necessary to consider a suitable Pred replacement regimen,wherein,flash glucose monitoring system is a kind of promising and reliable assessment device.The present data allows us to thoroughly examine our modern treatment standards,especially in difficult cases such as hormonal replacement mimicking delicate natural cycles,in conditions such as diabetes mellitus that are rapidly growing in worldwide prevalence.

Radiation Dose Survey of Pediatric Chest Computed Tomography Examinations: A Local Diagnostic Reference Levels Approach to Patient Safety

Objectives: The aim of this work was to initially establish both age and weight driven pediatric diagnostic reference levels (DRLs) for chest computed tomography (CT) examinations performed at tertiary care medical institution. Another aim was to compare the presented data with internationally published ones. This initial data shall serve as basis for establishing a national DRLs values for pediatric diagnostic CT examinations. Methods: Dosimetric indexes were collected for the chest examination for 93 patients during the past 2 years in a tertiary care medical city. Results: The results are within and below the international reported levels for chest CT in several countries. Conclusion: Continuous monitoring of the radiation doses received by the patients in computed tomography is continuous and ongoing process in order to ensure compliance and to optimize clinical imaging protocols. More extensive data acquisition and analysis are required to allow better understanding of the contributing factors leading to less patient radiation dose while preserving the clinical image quality. .

Parsimonious Model for Blood Glucose Level Monitoring in Type 2 Diabetes patients

To establish the parsimonious model for blood glucose monitoring in patients with type 2 diabetes receiving oral hypoglycemic agent treatment. One hundred and fifty-nine adult Chinese type 2 diabetes patients were randomized to receive rapid-acting or sustained-release gliclazide therapy for 12 weeks.

Real-time State Monitoring During Switching Mode Transitions in High Power Three-level Inverters

大功率多电平逆变器近年来在实际工业生产中得到越来越广泛的应用。多电平逆变器由于结构复杂,采用元器件较多,因此在设计和实验中,实现各个工作状态下运行参数的同步监测和分析较为困难。本文针对大功率三电平逆变器,实现开关动态特性的在线测试,在此基础上,进一步研究三电平逆变器在开关状态变化时理论与实际负载运行工况下电路拓扑的转换变化规律。通过全电路电气参数和元器件状态的实时监测,发现在三电平逆变器非正常运行状态下开关转换时额外电应力,同时,深入研究在实际工况运行条件非正常状态下该额外电应力出现的机理和原因,为三电平逆变器的故障诊断提供了参考,对于设计高可靠性的多电平逆变器系统有一定的理论和现实意义。

Thoughts on Integrated Monitoring of Ecological Environment at Provincial Level

The Law of Soil and Water Conservation entitles the administrations of water resources at various level to monitor ecological environment and to proclaim status of soil erosion periodically.Monitoring units of soil and water conservation approved by local governments are obliged to undertake this work.How to develop a monitoring program needs an overall and long-term concept.Particularity and objectives of ecological environment monitoring was discussed. Monitoring at provincial level may be divided into two levels:province-wide and at project level. Those indicators meaningful,sensitive to any disturbances,and simple to measure may be selected to test status of ecosystem stability and health.It makes sense to have an integrated sampling design,to set up permanent observation plots and to collect data, so that to have a relative timely,accurate understanding of ecosystems in the province.A program regarding sampling design,field methods, data analysis,documentation and implementation was detailed.

STUDY ON METHODS OF LAND USE DYNAMIC MONITORING AT COUNTY LEVEL──Taking Dehui County, Jilin Province for Example

Remote sensing technique has played an important role in land use dynamic monitoring, but as for the land use dynamic monitoring at county level, traditional remote sensing methods such as satellite imagery visual interpretation and computer classification can not meet its demand for accuracy. The result of 1:10 000 land use investigation map has high accuracy, but this method can not be used to dynamically monitor the land use because of its big expenses, long period and difficulty in updating data. In this paper, the characteristics of physiognomy, climate and the status of land use in Dehui County are taken into consideration and a set of method, which takes use of 3S techniques and applies to Northeast China Plain, is come up with. When the land use type of a land parcel changed as a whole, the date updating can be make by changing its land type ID in the attribute table in a GIS. When the land use type of an irregular area changed, GPS receivers are used to position its border. This set of method is characteristic of high accuracy and low expenses. It gets the information of land use change timely and can be used to dynamically monitor the land use. .

Adaptive Runtime Monitoring of Service Level Agreement Violations in Cloud Computing

The cloud service level agreement(SLA)manage the relationship between service providers and consumers in cloud computing.SLA is an integral and critical part of modern era IT vendors and communication contracts.Due to low cost and flexibility more and more consumers delegate their tasks to cloud providers,the SLA emerges as a key aspect between the consumers and providers.Continuous monitoring of Quality of Service(QoS)attributes is required to implement SLAs because of the complex nature of cloud communication.Many other factors,such as user reliability,satisfaction,and penalty on violations are also taken into account.Currently,there is no such policy of cloud SLA monitoring to minimize SLA violations.In this work,we have proposed a cloud SLA monitoring policy by dividing a monitoring session into two parts,for critical and non-critical parameters.The critical and non-critical parameters will be decided on the interest of the consumer during SLA negotiation.This will help to shape a new comprehensive SLA based Proactive Resource Allocation Approach(RPAA)which will monitor SLA at runtime,analyze the SLA parameters and try to find the possibility of SLA violations.We also have implemented an adaptive system for allocating cloud IT resources based on SLA violations and detection.We have defined two main components of SLA-PRAA i.e.,(a)Handler and(b)Accounting and Billing Manager.We have also described the function of both components through algorithms.The experimental results validate the performance of our proposed method in comparison with state-of-the-art cloud SLA policies.

Study on Establishing a Monitoring System for Groundwater in the Condition of Climate Change and Sea Level Rise： Case Study of Ma River Basin in Vietnam

The results presented in this paper are a part of the research results of the thesis ＂research on scientific basis and practice of develop a system of monitoring the impacts of climate change on surface water and groundwater＂. Case study： Ma river basin in Vietnam. The results were implemented： （i） data collection, fieldwork survey, synthesis and analysis of information and data; （ii） partitioning the influence degree of climate change and sea level rise to groundwater; （iii） determining criteria to select monitoring routes, location of monitoring groundwater in the condition of climate change and sea level rise and （iv） developing the monitoring system. The research＇s results have practical implications for the water resources management in the context of climate change and sea level rise in Ma river basin.

Design of online control and monitoring software for the CPPF system in the CMS Level-1 trigger upgrade

The concentration preprocessing and fan-out(CPPF) system is one of the electronic subsystems of the upgraded Compact Muon Solenoid(CMS) Level-1 trigger system. It includes, in hardware, eight specially designed CPPF cards, one CMS card called AMC13, one commercial Micro-TCA Carrier HUB(MCH) card, and a MicroTCA shelf. Powerful online software is needed for the system, including providing reliable configuration and monitoring for the hardware, and a graphical interface for executing all actions and publishing monitoring messages.Further, to control and monitor the large amount of homogeneous hardware, the SoftWare Automating conTrol of Common Hardware(SWATCH) concept was proposed and developed. The SWATCH provides a generic structure and is flexible for customization. The structure includes a hardware access library based on the IPbus protocol, which assumes a virtual 32-bit address/32-bit data bus and builds a simple hardware access layer. Furthermore, the structure provides a graphical user interface, which is based on modern web technology and is accessible by web page. The CPPF controlling and monitoring online software was also customized from a common SWATCH cell, and provides afinite state machine(FSM) for configuring the entire CPPF hardware, and five monitoring objects for periodically collecting monitoring data from five main functional modules in the CPPF hardware. This paper introduces the details of the CPPF SWATCH cell development.

GF-3 InSAR Achieves Sub-centimeter Level Surface Subsidence Monitoring

The GF-3 satellite was launched on August 10,2016 from the Taiyuan Satellite Launch Center and was put into operation at the end of January,2017.It has acquired nearly 100 thousand C-band multi-polarization ocean and land SAR images,providing data support for many departments covering resource survey,typhoon early warning,disaster assessment,crop yield estimation and polar investigation.Recently,the team led by ZHANG Qingjun from

The Design Liquid-level Monitoring System of Adopting the Ultrasonic Sensing Technology

Utilizing the technology of Ultrasonic wave,relevant test arithmetic and the PC to carry on monitoring,controlling and cen-tralized management of the liquid-level in the liquid container. It can prevent from keeping in touch with the examined liquid,not only has increased the continuous working time of the system greatly,simplifying maintenance of the sensor conveniently,can also realize overhauling in producing and boost the productivity and management level. The working principle,hardware structure of the instrument and the design method are presented,and the selection of sensor and MCU is discussed in detail in this paper. MCU are used to control the emission and receiving. Then the liquid-level are calculated,which makes the design more intelligent.

Importance of Proficiency Testing in Water Quality Monitoring

The monitoring data is undoubtedly important to the water quality monitor- ing department. The proficiency testing is an important way to improve the monitor- ing capacity and enhance the quality management of laboratories. It plays an impor- tant role in ensuring the accuracy, integrity and comparability of monitoring data. In this paper, the positive role of proficiency testing in the water quality monitoring was analyzed. In addition, how to improve the water quality monitoring capacity and the quality management level of laboratories through the proficiency testing was also discussed.

Seepage safety monitoring model for an earth rock dam under influence of high-impact typhoons based on particle swarm optimization algorithm

Extreme hydrological events induced by typhoons in reservoir areas have presented severe challenges to the safe operation of hydraulic structures. Based on analysis of the seepage characteristics of an earth rock dam, a novel seepage safety monitoring model was constructed in this study. The nonlinear influence processes of the antecedent reservoir water level and rainfall were assumed to follow normal distributions. The particle swarm optimization （PSO） algorithm was used to optimize the model parameters so as to raise the fitting accuracy. In addition, a mutation factor was introduced to simulate the sudden increase in the piezometric level induced by short-duration heavy rainfall and the possible historical extreme reservoir water level during a typhoon. In order to verify the efficacy of this model, the earth rock dam of the Siminghu Reservoir was used as an example. The piezometric level at the SW1-2 measuring point during Typhoon Fitow in 2013 was fitted with the present model, and a corresponding theoretical expression was established. Comparison of fitting results of the piezometric level obtained from the present statistical model and traditional statistical model with monitored values during the typhoon shows that the present model has a higher fitting accuracy and can simulate the uprush feature of the seepage pressure during the typhoon perfectly.

Monitoring models for base flow effect and daily variation of dam seepage elements considering time lag effect

Affected by external environmental factors and evolution of dam performance, dam seepage behavior shows nonlinear time-varying characteristics. In this study, to predict and evaluate the long-term development trend and short-term fluctuation of the dam seepage behavior, two monitoring models were developed, one for the base flow effect and one for daily variation of dam seepage elements. In the first model, to avoid the influence of the time lag effect on the evaluation of seepage variation with the time effect component of seepage elements, the base values of the seepage element and the reservoir water level were extracted using the wavelet multi-resolution analysis method, and the time effect component was separated by the established base flow effect monitoring model. For the development of the daily variation monitoring model for dam seepage elements, all the previous factors, of which the measured time series prior to the dam seepage element monitoring time may have certain influence on the monitored results, were considered. Those factors that were positively correlated with the analyzed seepage element were initially considered to be the support vector machine(SVM) model input factors, and then the SVM kernel function-based sensitivity analysis was performed to optimize the input factor set and establish the optimized daily variation SVM model. The efficiency and rationality of the two models were verified by case studies of the water level of two piezometric tubes buried under the slope of a concrete gravity dam.Sensitivity analysis of the optimized SVM model shows that the influences of the daily variation of the upstream reservoir water level and rainfall on the daily variation of piezometric tube water level are processes subject to normal distribution.

Characteristics of microseismic b-value associated with rock mass large deformation in underground powerhouse caverns at different stress levels

Rock mass large deformation in underground powerhouse caverns has been a severe hazard in hydropower engineering in Southwest China.During the development of rock mass large deformation,a sequence of fractures was generated that can be monitored using microseismic(MS)monitoring techniques.Two MS monitoring systems were established in two typical underground powerhouse caverns featuring distinct geostress levels.The MS b-values associated with rock mass large deformation and their temporal variation are analysed.The results showed that the MS bvalue in course of rock mass deformation was less than 1.0 in the underground powerhouse caverns at a high stress level while larger than 1.5 at a low stress level.Prior to the rock mass deformation,the MS b-values derived from both the high-stress and low-stress underground powerhouse caverns show an incremental decrease over 10%within 10 d.The results contribute to understanding the fracturing characteristics of MS sources associated with rock mass large deformation and provide a reference for early warning of rock mass large deformation in underground powerhouse caverns.

Therapeutic drug monitoring in patients with inflammatory bowel disease

Thiopurine analogs and anti-tumor necrosis factor (TNF) agents have dramatically changed the therapeutics of inflammatory bowel diseases (IBD), improving short and long-term outcomes. Unfortunately some patients do not respond to therapy and others lose response over time. The pharmacokinetic properties of these drugs are complex, with high inter-patient variability. Thiopurine analogs are metabolized through a series of pathways, which vary according to the patients’ pharmacogenetic profile. This profile largely determines the ratios of metabolites, which are in turn associated with likelihoods of clinical efficacy and/or toxicity. Understanding these mechanisms allows for manipulation of drug dose, aiming to reduce the development of toxicity while improving the efficacy of treatment. The efficacy of anti-TNF drugs is influenced by many pharmacodynamic variables. Several factors may alter drug clearance, including the concomitant use of immunomodulators (thiopurine analogs and methotrexate), systemic inflammation, the presence of anti-drug antibodies, and body mass. The treatment of IBD has evolved with the understanding of the pharmacologic profiles of immunomodulating and TNF-inhibiting medications, with good evidence for improvement in patient outcomes observed when measuring metabolic pathway indices. The role of routine measurement of metabolite/drug levels and antibodies warrants further prospective studies as we enter the era of personalized IBD care.

Investigation of monitoring system for high-speed railway subgrade frost heave

This paper presents methods for monitoring frost heave, device requirements, testing principals, and data analysis re- quirements, such as manual leveling observation, automatic monitoring （frost heave, frost depth, and moisture）, track dynamic detection, and track status detection. We focused on the requirements of subgrade frost heave monitoring for high speed railways, and the relationship of different monitoring methods during different phases of the railway. The com- prehensive monitoring system of high speed railway subgrade frost heave provided the technical support for dynamic design during construction and safe operation of the rail system.

Design and Application of Integrated Monitoring Model for Provincial Meteorological Observation Data Transmission

With the development of meteorological services, there are more and more types of real-time observation data, and the timeliness requirements are getting higher and higher. The monitoring methods of existing meteorological observation data transmission can no longer meet the needs. This paper proposes a new monitoring model, namely the “integrated monitoring model” for provincial meteorological observation data transmission. The model can complete the whole network monitoring of meteorological observation data transmission process. Based on this model, the integrated monitoring system for meteorological observation data transmission in Guangdong Province is developed. The system uses Java as the programming language, and integrates J2EE, Hibernate, Quartz, Snmp4j and Slf4j frameworks, and uses Oracle database as the data storage carrier, following the MVC specification and agile development concept. The system development uses four key technologies, including simple network management protocol, network connectivity detection technology, remote host management technology and thread pool technology. The integrated monitoring system has been put into business application. As a highlight of Guangdong’s meteorological modernization, it has played an active role in many major meteorological services.

Clinical Study on Evaluation of Autonomic Nervous Dysfunction Based on Imaging Urodynamic Examination with Slow Filling and Synchronous Blood Pressure Monitoring in the Patients with Cervicothoracic Spinal Cord Injury

Objective: Explore the rule of autonomic nervous dysfunction in the patients with urination disorder after high level spinal cord injury, and seek a safe, objective and accurate method to evaluate autonomic nervous function. Patients and Method: 48 patients with dysuria after cervicothoracic SCI were selected. Before, during and after imaging urodynamic examination with slow filling in supine position, blood pressure and ECG were monitored simultaneously. The symptoms of sweating, shivering, headache, flushing and chills were observed and recorded. The study of the relationship among the changes of blood pressure, heart rate and urodynamic indexes and the above symptoms was analyzed. Results: They were divided into three groups: group A (no obvious abnormality), group B (hyperactivity) and group C (hypoactivity) according to their BP, HR and existing the symptoms or not. Conclusion: The incidence of autonomic dysfunction in the high level SCI patients with dysuria was very high (79.17%), most of them were hyperactivity, and a few were low function. The changes of SBP and DBP in the hypoactivity group all appeared an increasing and then declining trend, while the change of HR in the low function one was lower than normal and decreased continuously. The main inducements of AD are neurogenic detrusor overactivity, detrusor sphincter dyssynergia, elevated abdominal pressure and abnormal bladder sensitivity. The asymptomatic patients had a higher occurrence rate (43.75%). Only by imaging urodynamic examination with slow filling and synchronous blood pressure monitoring, can autonomic nervous function of the patients be evaluated safely, objectively, early and accurately.