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1.
Int J Qual Health Care ; 35(3)2023 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-37552630

RESUMO

Epidemiologists frequently adopt statistical process control tools, like control charts, to detect changes in the incidence or prevalence of a specific disease in real time, thereby protecting against outbreaks and emergent health concerns. Control charts have proven essential in instantly identifying fluctuations in infection rates, spotting emerging patterns, and enabling timely reaction measures in the context of COVID-19 monitoring. This study aims to review and select an optimal control chart in epidemiology to monitor variations in COVID-19 deaths and understand pandemic mortality patterns. An essential aspect of the present study is selecting an appropriate monitoring technique for distinct deaths in the USA in seven phases, including pre-growth, growth, and post-growth phases. Stage-1 evaluated control chart applications in epidemiology departments of 12 countries between 2000 and 2022. The study assessed various control charts and identified the optimal one based on maximum shift detection using sample data. This study considered at Shewhart ($\bar X$, $R$, $C$) control charts and exponentially weighted moving average (EWMA) control chart with smoothing parameters λ = 0.25, 0.5, 0.75, and 1 were all investigated in this study. In Stage-2, we applied the EWMA control chart for monitoring because of its outstanding shift detection capabilities and compatibility with the present data. Daily deaths have been monitored from March 2020 to February 2023. Control charts in epidemiology show growing use, with the USA leading at 42% applications among top countries. During the application on COVID-19 deaths, the EWMA chart accurately depicted mortality dynamics from March 2020 to February 2022, indicating six distinct stages of death. The third and fifth waves were extremely catastrophic, resulting in a considerable loss of life. Significantly, a persistent sixth wave appeared from March 2022 to February 2023. The EWMA map effectively determined the peaks associated with each wave by thoroughly examining the time and amount of deaths, providing vital insights into the pandemic's progression. The severity of each wave was measured by the average number of deaths $W5(1899)\,\gt\,W3(1881)\,\gt\,W4(1393)\,\gt\,W1(1036)\,\gt\,W2(853)\,\gt\,(W6(473)$. The USA entered a seventh phase (6th wave) from March 2022 to February 2023, marked by fewer deaths. While reassuring, it remains crucial to maintain vaccinations and pandemic control measures. Control charts enable early detection of daily COVID-19 deaths, providing a systematic strategy for government and medical staff. Incorporating the EWMA chart for monitoring immunizations, cases, and deaths is recommended.


Assuntos
COVID-19 , Humanos , Estados Unidos/epidemiologia , Vacinação
2.
PLoS One ; 17(8): e0272584, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35994483

RESUMO

The adaptive exponentially weighted moving average (AEWMA) control charts are the advanced form of classical memory control charts used for efficiently monitoring small-to-large shifts in the process parameters (location and/or dispersion). These AEWMA control charts estimate the unknown shifts using exponentially weighted moving average (EWMA) or cumulative sum (CUSUM) control charts statistics. The hybrid EWMA (HEWMA) control chart is preferred over classical memory control charts to detect early shifts in process parameters. So, this study presents a new auxiliary information-based (AIB) AEWMA (IAEWMAAIB) control chart for process location that estimates the unknown location shift using HEWMA statistic. The objective is to develop an unbiased location shift estimator using HEWMA statistic and then adaptively update the smoothing constant. The shift estimation using HEWMA statistic instead of EWMA or CUSUM statistics boosts the performance of the proposed IAEWMAAIB control chart. The Monte Carlo simulation technique is used to get the numerical results. Famous performance evaluation measures like average run length, extra quadratic loss, relative average run length, and performance comparison index are used to evaluate the performance of the proposed chart with existing counterparts. The comparison reveals the superiority of the proposed control chart. Finally, two real-life applications from the glass manufacturing industry and physicochemical parameters of groundwater are considered to show the proposed control chart's implementation procedure and dominance.


Assuntos
Vidro , Água Subterrânea , Indústria Manufatureira , Simulação por Computador , Água Subterrânea/química , Método de Monte Carlo
3.
Comput Math Methods Med ; 2022: 2868885, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35321203

RESUMO

The frequency and timing of antenatal care visits are observed to be the significant factors of infant and maternal morbidity and mortality. The present research is conducted to determine the risk factors of reduced antenatal care visits using an optimized partial least square regression model. A data set collected during 2017-2018 by Pakistan Demographic and Health Surveys is used for modeling purposes. The partial least square regression model coupled with rank correlation measures are introduced for improved performance to address ranked response. The proposed models included PLSρ s , PLSτ A , PLSτ B , PLSτ C , PLS D , PLSτ GK , PLS G , and PLS U . Three filter-based factor selection methods are executed, and leave-one-out cross-validation by linear discriminant analysis is measured on predicted scores of all models. Finally, the Monte Carlo simulation method with 10 iterations of repeated sampling for optimization of validation performance is applied to select the optimum model. The standard and proposed models are executed over simulated and real data sets for efficiency comparison. The PLSρ s is found to be the most appropriate proposed method to model the observed ranked data set of antenatal care visits based on validation performance. The optimal model selected 29 influential factors of inadequate use of antenatal care. The important factors of reduced antenatal care visits included women's educational status, wealth index, total children ever born, husband's education level, domestic violence, and history of cesarean section. The findings recommended that partial least square regression algorithms coupled with rank correlation coefficients provide more efficient estimates of ranked data in the presence of multicollinearity.


Assuntos
Cesárea , Cuidado Pré-Natal , Criança , Análise Discriminante , Feminino , Humanos , Análise dos Mínimos Quadrados , Método de Monte Carlo , Gravidez
4.
PLoS One ; 15(2): e0229422, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32101566

RESUMO

Control charts are popular tools in the statistical process control toolkit and the exponentially weighted moving average (EWMA) chart is one of its essential component for efficient process monitoring. In the present study, a new Bayesian Modified-EWMA chart is proposed for the monitoring of the location parameter in a process. Four various loss functions and a conjugate prior distribution are used in this study. The average run length is used as a performance evaluation tool for the proposed chart and its counterparts. The results advocate that the proposed chart performs very well for the monitoring of small to moderate shifts in the process and beats the existing counterparts. The significance of the proposed scheme has proved through two real-life examples: (1) For the monitoring of the reaming process which is used in the mechanical industry. (2) For the monitoring of golf ball performance in the sports industry.


Assuntos
Algoritmos , Desempenho Atlético/estatística & dados numéricos , Teorema de Bayes , Indústria Manufatureira/estatística & dados numéricos , Modelos Estatísticos , Esportes/estatística & dados numéricos , Golfe/estatística & dados numéricos , Humanos
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