Blood Pressure Profile and Glycemic Control of Type 2 Diabetics and Hypertensives at the Yalgado Ouedraogo University Hospital: A Review of 116 Cases

Objective: The association hypertension and diabetes is important. The two pathologies may influence each other. The aim was to study the correlation between glycemic control and blood pressure control and to determine the factors associated with blood pressure control. Methodology: This was a descriptive cross-sectional study with an analytical focus over 7 months. Patients were recruited as outpatients and all underwent ambulatory blood pressure measure, glycated hemoglobin and creatinine measurements, and assessment of compliance with treatment. Results: During this period 116 patients were collected. The predominance was female 69%. The mean age of the patients was 62 ± 7 years with a peak between 60 and 70 years. The average age of hypertension was 12 years and that of diabetes 6 1/2 years. The most frequently associated cardiovascular risk factor was a sedentary lifestyle (71.5%) after age. 57.8% of patients were not controlled at the office, with a predominance of systolic hypertension (58.2%). 61.6% of patients were controlled by ambulatory blood pressure measure, a rate of 47.8% of white coat hypertension. Glycemic control was observed in 42.2% of cases and 87% of patients had good renal function (glomerular filter rate ≥ 60 ml/mn). Therapeutic compliance was good in 53.4% of cases and dual therapy was the most used therapeutic modality 44.8% (52 patients) followed by triple therapy. The factors associated with poor blood pressure control were glycemic imbalance, non-compliance and monotherapy. Dual therapy had a protective effect. Conclusion: The association of hypertension and type 2 diabetes is frequent. The risk of occurrence increases with age. Ambulatory blood pressure measure is the best method to assess blood pressure control. Optimization of blood pressure control should also include optimization of glycemic control.

On-Chip Micro Temperature Controllers Based on Freestanding Thermoelectric Nano Films for Low-Power Electronics

Multidimensional integration and multifunctional com-ponent assembly have been greatly explored in recent years to extend Moore’s Law of modern microelectronics.However,this inevitably exac-erbates the inhomogeneity of temperature distribution in microsystems,making precise temperature control for electronic components extremely challenging.Herein,we report an on-chip micro temperature controller including a pair of thermoelectric legs with a total area of 50×50μm^(2),which are fabricated from dense and flat freestanding Bi2Te3-based ther-moelectric nano films deposited on a newly developed nano graphene oxide membrane substrate.Its tunable equivalent thermal resistance is controlled by electrical currents to achieve energy-efficient temperature control for low-power electronics.A large cooling temperature difference of 44.5 K at 380 K is achieved with a power consumption of only 445μW,resulting in an ultrahigh temperature control capability over 100 K mW^(-1).Moreover,an ultra-fast cooling rate exceeding 2000 K s^(-1) and excellent reliability of up to 1 million cycles are observed.Our proposed on-chip temperature controller is expected to enable further miniaturization and multifunctional integration on a single chip for microelectronics.

Laboratory Implementation of Direct Torque Controller based Speed Loop Pseudo Derivative Feedforward Controller for PMSM Drive

This paper,evaluate the effectiveness of a proposed speed loop pseudo derivative feedforward(PDFF)controller-based direct torque controller(DTC)for a PMSM drive against the performance of existing PI speed controller-based DTC and hysteresis current controller(HCC).The proposed PDFF-based speed regulator effectively reduces oscillation and overshoot associated with rotor angular speed,electromagnetic torque,and stator current.Two case studies,one using forward-to-reverse motoring operation and the other involving reverse-to-forward braking operation,has been validated to show the effectiveness of the proposed control strategy.The proposed controller's superior performance is demonstrated through experimental verification utilizing an FPGA controller for a 1.5 kW PMSM drive laboratory prototype.

Practice of Infection Prevention and Control Strategies in Risk Departments during the COVID-19 Epidemic

Objective: To explore the practice and application of infection prevention and control strategies in risk departments during the COVID-19 epidemic, and to formulate the infection prevention and control measures to provide advice and guidance in risk departments. Methods: According to the latest plan of diagnosis and treatment, prevention and control issued by the National Health Commission, expert advice and consensus, combined with the actual situation in our hospital, a series of infection prevention and control measures of COVID-19 in risk department was formulated. Results: During the epidemic period, the prevention and control measures of nine risk departments including emergency operation, anesthesiology, endoscopy center, blood purification center, otolaryngology, stomatology, medical imaging department, medical cosmetology department and pulmonary function room were established from six aspects, including pre-examination and screening, medical technology control, personnel management, personal protection, environmental disinfection, medical waste disposal, etc. Conclusion: During the epidemic period, the infection prevention and control strategy of risk departments is one of the key links to control the spread of the epidemic, and risk departments must pay attention to and strictly implement various infection prevention and control measures.

Electrically controllable spin filtering in zigzag phosphorene nanoribbon based normal–antiferromagnet–normal junctions

We investigated the electric controllable spin-filtering effect in a zigzag phosphorene nanoribbon(ZPNR) based normal–antiferromagnet–normal junction. Two ferromagnets are closely coupled to the edges of the nanoribbon and form the edge-to-edge antiferromagnetism. Under an in-plane electric field, the two degenerate edge bands of the edge-to-edge antiferromagnet split into four spin-polarized sub-bands and a 100% spin-polarized current can be easily induced with the maximal conductance 2e~2/h. The spin polarization changes with the strength of the electric field and the exchange field,and changes sign at opposite electric fields. The spin-polarized current switches from one edge to the other by reversing the direction of the electric field. The edge current can also be controlled spatially by changing the electric potential of the scattering region. The manipulation of edge current is useful in spin-transfer-torque magnetic random-access memory and provides a practical way to develop controllable spintronic devices.

Prevention and Control Strategies of Nosocomial Infection and Effectiveness Evaluation in a Tertiary Teaching Hospital during the Epidemic of COVID-19

Objective: To evaluate the role of prevention and control strategies for nosocomial infection in a tertiary teaching hospital during the sudden outbreak of Corona Virus Disease 2019 (COVID-19). Methods: The hospital initiated an emergency plan involving multi-departmental defense and control. It adopted a series of nosocomial infection prevention and control measures, including strengthening pre-examination and triage, optimizing the consultation process, improving the hospital’s architectural composition, implementing graded risk management, enhancing personal protection, and implementing staff training and supervision. Descriptive research was used to evaluate the short-term effects of these in-hospital prevention and control strategies. The analysis compared changes in related evaluation indicators between January 24, 2020 and February 12, 2020 (Chinese Lunar New Year’s Eve 2020 to lunar January 19) and the corresponding lunar period of the previous year. Results: Compared to the same period last year, the outpatient fever rate increased by 1.85-fold (P P Conclusion: The nosocomial infection prevention and control strategies implemented during this specific period improved the detection and control abilities for the COVID-19 source of infection and enhanced the compliance with measures. This likely contributed significantly to avoiding the occurrence of nosocomial infection.

Safe Motion Planning and Control Framework for Automated Vehicles with Zonotopic TRMPC

Model mismatches can cause multi-dimensional uncertainties for the receding horizon control strategies of automated vehicles(AVs).The uncertainties may lead to potentially hazardous behaviors when the AV tracks ideal trajectories that are individually optimized by the AV's planning layer.To address this issue,this study proposes a safe motion planning and control(SMPAC)framework for AVs.For the control layer,a dynamic model including multi-dimensional uncertainties is established.A zonotopic tube-based robust model predictive control scheme is proposed to constrain the uncertain system in a bounded minimum robust positive invariant set.A flexible tube with varying cross-sections is constructed to reduce the controller conservatism.For the planning layer,a concept of safety sets,representing the geometric boundaries of the ego vehicle and obstacles under uncertainties,is proposed.The safety sets provide the basis for the subsequent evaluation and ranking of the generated trajectories.An efficient collision avoidance algorithm decides the desired trajectory through the intersection detection of the safety sets between the ego vehicle and obstacles.A numerical simulation and hardware-in-the-loop experiment validate the effectiveness and real-time performance of the SMPAC.The result of two driving scenarios indicates that the SMPAC can guarantee the safety of automated driving under multi-dimensional uncertainties.

An intelligent control method based on artificial neural network for numerical flight simulation of the basic finner projectile with pitching maneuver

In this paper,an intelligent control method applying on numerical virtual flight is proposed.The proposed algorithm is verified and evaluated by combining with the case of the basic finner projectile model and shows a good application prospect.Firstly,a numerical virtual flight simulation model based on overlapping dynamic mesh technology is constructed.In order to verify the accuracy of the dynamic grid technology and the calculation of unsteady flow,a numerical simulation of the basic finner projectile without control is carried out.The simulation results are in good agreement with the experiment data which shows that the algorithm used in this paper can also be used in the design and evaluation of the intelligent controller in the numerical virtual flight simulation.Secondly,combined with the real-time control requirements of aerodynamic,attitude and displacement parameters of the projectile during the flight process,the numerical simulations of the basic finner projectile’s pitch channel are carried out under the traditional PID(Proportional-Integral-Derivative)control strategy and the intelligent PID control strategy respectively.The intelligent PID controller based on BP(Back Propagation)neural network can realize online learning and self-optimization of control parameters according to the acquired real-time flight parameters.Compared with the traditional PID controller,the concerned control variable overshoot,rise time,transition time and steady state error and other performance indicators have been greatly improved,and the higher the learning efficiency or the inertia coefficient,the faster the system,the larger the overshoot,and the smaller the stability error.The intelligent control method applying on numerical virtual flight is capable of solving the complicated unsteady motion and flow with the intelligent PID control strategy and has a strong promotion to engineering application.

A guidance and control design with reduced information for a dual-spin stabilized projectile

In this paper,an integrated guidance and control method based on an adaptive path-following controller is proposed to control a spin-stabilized projectile with only translational motion information under the constraint of an actuator,uncertainties in aerodynamic parameters and measurements,and control system complexity.Owing to the fairly high rotation speed,the dynamic model of this missile is strongly nonlinear,uncertain and coupled in pitch,yaw and roll channels.A theoretical equivalent resultant force and uncertainty compensation method are comprehensively used to realize decoupling of pitch and yaw.In response to the strong nonlinear and time-varying characteristics of the dynamic system,the quasi-linear model whose parameters are obtained by interpolation of points selected as the segmentation points in the trajectory envelope,is used for calculation in each step.To cope with the system uncertainty caused by model approximation,parameter uncertainty and ballistic interference,an extended state estimator is used to compensate the output feedback according to the test ballistic angle.In order to improve the tracking efficiency and ensure the tracking error convergence with only translational motion information,the virtual guide point,whose derivative is deduced according to the Lyapunov principle,is calculated in real time according to the projection relationship between the real-time position and the reference trajectory,and a virtual line-of-sight angle and the backstepping method are used for the design of the guidance and control system.In order to avoid the influence of control input saturation on the guidance and control performance due to the actuator limitation and improve the robustness of the system,an anti-saturation compensator is designed according to the two-step method.The feasibility and effectiveness of the path-following controller is verified through closed-loop flight simulations with measurement,control,and condition uncertainties.The results indicate that the designed controller can converge to the reference path and evidently decrease the distance between the impact point and target under different uncertainties.

Can Tibetan medicine Honghua Ruyi pills relieve endometriosisassociated dysmenorrhea?Protocol for a randomized placebocontrolled trial

Objective:To provide high-quality clinical evidence of the efficacy of Tibetan medicine Honghua Ruyi(HHRY)pills for endometriosis-associated dysmenorrhea.Methods:This study constitutes a multicenter,randomized,double-blind,placebo-controlled trial encompassing a three-menstrual cycle intervention followed by a three-menstrual cycle follow-up period.A total of 164 eligible females with endometriosis-associated dysmenorrhea were randomly divided into HHRY pills and placebo groups in a 1:1 ratio.The primary outcome included dysmenorrhea symptoms assessed using Visual Analog Scale(VAS)scores and quality of life,whereas the secondary outcome measures included the maximum VAS for non-menstrual pelvic pain,duration of pain episodes(in days),frequency and quantity of the consumption of ibuprofen sustained-release capsules(or other non-steroidal anti-inflammatory drugs),and days off work/study for staff/student due to dysmenorrhea,ovarian cyst,and/or pelvic nodule size.The safety was monitored throughout the treatment period.All the analyses were based on the intention-to-treat principle.For continuous outcomes,simple or multiple linear regressions were used to estimate the differences between the HHRY pills and placebo groups,with categorical data expressed as the number and percentage of occurrences.Differences were compared using the chi-square test or Fisher's exact test.The predefined analysis was adjusted for concomitant treatment,a variable considered to be associated with outcomes but unaffected by treatment allocation.Estimates of treatment effects were reported with 95%confidence intervals.Two-tailed P values≤.05 were considered statistically significant.Conclusion:Positive results from this trial,upon completion would provide robust evidence for the efficacy and safety of HHRY pills in treating dysmenorrhea in patients with endometriosis.

A new optimal adaptive backstepping control approach for nonlinear systems under deception attacks via reinforcement learning

In this paper,a new optimal adaptive backstepping control approach for nonlinear systems under deception attacks via reinforcement learning is presented in this paper.The existence of nonlinear terms in the studied system makes it very difficult to design the optimal controller using traditional methods.To achieve optimal control,RL algorithm based on critic–actor architecture is considered for the nonlinear system.Due to the significant security risks of network transmission,the system is vulnerable to deception attacks,which can make all the system state unavailable.By using the attacked states to design coordinate transformation,the harm brought by unknown deception attacks has been overcome.The presented control strategy can ensure that all signals in the closed-loop system are semi-globally ultimately bounded.Finally,the simulation experiment is shown to prove the effectiveness of the strategy.

Intelligent Fractional-Order Controller for SMES Systems in Renewable Energy-Based Microgrid

An autonomous microgrid that runs on renewable energy sources is presented in this article.It has a supercon-ducting magnetic energy storage(SMES)device,wind energy-producing devices,and an energy storage battery.However,because such microgrids are nonlinear and the energy they create varies with time,controlling and managing the energy inside them is a difficult issue.Fractional-order proportional integral(FOPI)controller is recommended for the current research to enhance a standalone microgrid’s energy management and performance.The suggested dedicated control for the SMES comprises two loops:the outer loop,which uses the FOPI to regulate the DC-link voltage,and the inner loop,responsible for regulating the SMES current,is constructed using the intelligent FOPI(iFOPI).The FOPI+iFOPI parameters are best developed using the dandelion optimizer(DO)approach to achieve the optimum performance.The suggested FOPI+iFOPI controller’s performance is contrasted with a conventional PI controller for variations in wind speed and microgrid load.The optimal FOPI+iFOPI controller manages the voltage and frequency of the load.The behavior of the microgrid as a reaction to step changes in load and wind speed was measured using the proposed controller.MATLAB simulations were used to evaluate the recommended system’s performance.The results of the simulations showed that throughout all interruptions,the recommended microgrid provided the load with AC power with a constant amplitude and frequency.In addition,the required load demand was accurately reduced.Furthermore,the microgrid functioned incredibly well despite SMES and varying wind speeds.Results obtained under identical conditions were compared with and without the best FOPI+iFOPI controller.When utilizing the optimal FOPI+iFOPI controller with SMES,it was found that the microgrid performed better than the microgrid without SMES.

Research on the Control Cover against Solenopsis invicta and Rapid Extinguishment of Its Epidemic

Based on the biological characteristics of Solenopsis invicta and the structural characteristics of its ant nest,a fast and efficient closed treatment device was developed.Compared with the simple chemical treatment commonly used at present,the developed treatment device(the ant nest control cover)is a fast and efficient method to exterminate S.invicta in 7 d,featured by short course,quick results and good effect.

Hybrid Optimized PI Controller Design for Grid Tied PV Based Electric Vehicle

Nowadays,researchers are becoming increasingly concerned about developing a highly efficient emission free transportation and energy generation system for addressing the pressing issue of environmental crisis in the form of pollution and climate change.The introduction of Electric Vehicles(EVs)solves the challenge of emission-free transportation while the necessity for decarbonized energy production is fulfilled by the installation and expansion of solar-powered Photovoltaic(PV)systems.Hence,this paper focuses on designing an effective PV based EV charging system that aids in stepping towards the achievement of a pollution free future.For overcoming the inherent intermittency associated with PV,a novel DC-DC converter is designed by integrating both Trans Z-source con-verter and Luo converter,which offers remarkable benefits of high conversion range,lesser voltage stress and excellent efficiency.A novel robust Lion Grey Wolf Optimized Proportional Integral(LGWO-PI)controller is designed for sig-nificantly strengthening the operation of the integrated converter in terms of peak overshoot,Total Harmonic Distortion(THD)and settling time.A 3’Voltage Source Inverter(VSI)is employed to convert the stable DC output from the PV sys-tem to AC,which is then used for driving the Brushless Direct Current Motor(BLDC)motor of EV.The speed of the BLDC is regulated using a PI controller.The BLDC motor gets the power supply from the grid during the unavailability of PV based power supply.The grid is integrated with the designed EV charging system through a 1’VSI and the process of grid voltage synchronization is carried out with the application of PI controller.The simulation for evaluating the operation of the presented EV charging system is done using MATLAB and the attained out-comes have validated that this introduced methodology delivers enhanced perfor-mance with optimal efficiency of 97.6%and lesser THD of 2.1%.

Gaussian PI Controller Network Classifier for Grid-Connected Renewable Energy System

Multi-port converters are considered as exceeding earlier period decade owing to function in a combination of different energy sources in a single processing unit.Renewable energy sources are playing a significant role in the modern energy system with rapid development.In renewable sources like fuel combustion and solar energy,the generated voltages change due to their environmental changes.To develop energy resources,electric power generation involved huge awareness.The power and output voltages are plays important role in our work but it not considered in the existing system.For considering the power and voltage,Gaussian PI Controller-Maxpooling Deep Convolutional Neural Network Classifier(GPIC-MDCNNC)Model is introduced for the grid-connected renewable energy system.The input information is collected from two input sources.After that,input layer transfer information to hidden layer 1 fuzzy PI is employed for controlling voltage in GPIC-MDCNNC Model.Hidden layer 1 is transferred to hidden layer 2.Gaussian activation is employed for determining the output voltage with help of the controller.At last,the output layer offers the last value in GPIC-MDCNNC Model.The designed method was confirmed using one and multiple sources by stable and unpredictable input voltages.GPIC-MDCNNC Model increases the performance of grid-connected renewable energy systems by enhanced voltage value compared with state-of-the-art works.The control technique using GPIC-MDCNNC Model increases the dynamics of hybrid energy systems connected to the grid.

DC–DC Converter with Pi Controller for BLDC Motor Fuzzy Drive System

The Brushless DC Motor drive systems are used widely with renewable energy resources.The power converter controlling technique increases the performance by novel techniques and algorithms.Conventional approaches are mostly focused on buck converter,Fuzzy logic control with various switching activity.In this proposed research work,the QPSO(Quantum Particle Swarm Optimization algorithm)is used on the switching state of converter from the generation unit of solar module.Through the duty cycle pulse from optimization function,the MOSFET(Metal-Oxide-Semiconductor Field-Effect Transistor)of the Boost converter gets switched when BLDC(Brushless Direct Current Motor)motor drive system requires power.Voltage Source three phase inverter and Boost converter is controlled by proportional-integral(PI)controller.Based on the BLDC drive,the load utilized from the solar generating module.Experimental results analyzed every module of the proposed grid system,which are solar generation utilizes the irradiance and temperature depends on this the Photovoltaics(PV)power is generated and the QPSO with Duty cycle switching state is determined.The Boost converter module is boost stage based on generation and load is obtained.Single Ended Primary Inductor Converter(SEPIC)and Zeta converter model is compared with the proposed logic;the proposed boost converter achieves the results.Three phase inverter control,PI,and BLDC motor drive results.Thus the proposed grid model is constructed to obtain the better performance results than most recent literatures.Overall design model is done by using MATLAB/Simulink 2020a.

The Research on the Paths of Popular Science Education about Myopia Prevention and Control among College Students in the Context of Shifting the Focus Forward

Currently, the number of myopic people in China has reached as high as 600 million, and it shows a trend of “early onset, high incidence, and a high degree of severity”. The issue of myopia among children and adolescents has attracted widespread attention from all sectors of society. Comprehensive myopia prevention and control efforts have been launched nationwide. Popular science education, vision screening, and improving visual environments are effective measures for preventing myopia. However, among the target audience for comprehensive myopia prevention and control, the preschool children group has been neglected, and the work of myopia prevention and control for this group has been significantly weakened and marginalized. Due to insufficient awareness of prevention and control, the hyperopia reserve in the preschool children group is being continuously depleted, leading to the early onset of myopia. In light of this situation, the focus of myopia prevention and control needs to shift forward, and it is worth exploring and pondering how college students with a background in optometry can develop entertaining and engaging popular science education materials and methods.

Research on the Problems and Countermeasures of Monetary Capital Internal Control in Small and Medium-Sized Enterprises

Small and medium-sized enterprises(SMEs)constitute the primary drivers of production within the nation’s existing enterprise landscape.They represent the most dynamic segment of the national economy and play a pivotal role in supporting economic growth,fostering employment,and enhancing people’s livelihoods.However,despite their significant and extensive organizational structures,only a fraction of these companies have established internal control systems,and even fewer possess robust ones.Building upon this premise and considering the prevailing circumstances of SMEs,this paper undertakes an empirical analysis of monetary fund management within this sector.It delves into the operational intricacies,exploring how monetary funds should be effectively implemented to ensure their safety and integrity.Furthermore,it proposes viable strategies to enhance the circulation efficiency of monetary funds,thereby maximizing benefits for enterprises.Addressing these challenges is crucial for SME managers striving to achieve sustainable profit growth and navigate the complexities of financial management.

Respiratory Mechanics, Respiratory Muscle Strength, Control of Ventilation and Gas Exchange in Patients with Autoimmune Liver Disease

Objectives: To assess respiratory elastance and resistive properties in patients with autoimmune liver disorders using the passive relaxation expiration technique and compare findings to a group of patients with non-autoimmune liver disease and control subjects. These findings were then related to control of ventilation and gas exchange. A secondary objective was to assess respiratory muscle strength and gas exchange and their relation to respiratory mechanics. Methods: Measurements included respiratory elastance and resistance using the passive relaxation method. Pulmonary function, gas exchange and control of ventilation were assessed using standard methods. Results: a) Compared to control subjects, Ers in patients with liver disease was on average 50% greater than in controls;b) mean respiratory resistance, expressed as the respiratory constants, K1 and K2 in the Rohrer relationship, Pao/V’ = K1 + K2V’, was not different from control resistance;c) mean maximal inspiratory and maximal expiratory pressures averaged 36% and 55% of their respective control values;d) inspiratory occlusion pressure in 0.1 sec (P0.1) was increased and negatively associated with FVC;and e) increases in P0.1, mean inspiratory flow (Vt/Ti) and presence of respiratory alkalosis confirmed the increase in ventilatory drive. Despite inspiratory muscle weakness in patients, P0.1/Pimax averaged 5-fold higher than in control subjects. Conclusions: Despite inspiratory muscle weakness and a V’E similar to that in normal subjects, central drive is increased in patients with chronic liver disease. The increase in ventilatory drive is related to smaller lung volumes and weakly associated with increase in respiratory elastance. Findings confirm that P0.1 is a reliable measure of central drive and is an approach that can be used in the evaluation of control of ventilation in patients with chronic liver disease.

A Novel ANFIS Based SMC with Fractional Order PID Controller

Interacting The highest storage capacity of a circular tank makes it pop-ular in process industries.Because of the varying surface area of the cross-sec-tions of the tank,this two-tank level system has nonlinear characteristics.Controlling theflow rate of liquid is one of the most difficult challenges in the production process.This proposed effort is critical in preventing time delays and errors by managing thefluid level.Several scholars have explored and explored ways to reduce the problem of nonlinearity,but their techniques have not yielded better results.Different types of controllers with various techniques are implemented by the proposed system.Sliding Mode Controller(SMC)with Fractional Order PID Controller based on Intelligent Adaptive Neuro-Fuzzy Infer-ence System(ANFIS)is a novel technique for liquid level regulation in an inter-connected spherical tank system to avoid interferences and achieve better performance in comparison of rise time,settling time,and overshoot decrease.Evaluating the simulated results acquired by the controller yields the efficiency of the proposed system.The simulated results were produced using MATLAB 2018 and the FOMCON toolbox.Finally,the performance of the conventional controller(FOPID,PID-SMC)and proposed ANFIS based SMC-FOPID control-lers are compared and analyzed the performance indices.