Central Monitoring Research Articles

Protocol implementation during the COVID-19 pandemic: experiences from a randomized trial of stress ulcer prophylaxis

BackgroundDuring the COVID-19 pandemic, many intensive care units (ICUs) halted research to focus on COVID-19-specific studies.ObjectiveTo describe the conduct of an international randomized trial of stress ulcer prophylaxis (Re-Evaluating the Inhibition of Stress Erosions in the ICU [REVISE]) during the pandemic, addressing enrolment patterns, center engagement, informed consent processes, data collection, a COVID-specific substudy, patient transfers, and data monitoring.MethodsREVISE is a randomized trial among mechanically ventilated patients, comparing pantoprazole 40 mg IV to placebo on the primary efficacy outcome of clinically important upper gastrointestinal bleeding and the primary safety outcome of 90-day mortality. We documented protocol implementation status from March 11th 2020-August 30th 2022.ResultsThe Steering Committee did not change the scientific protocol. From the first enrolment on July 9th 2019 to March 10th 2020 (8 months preceding the pandemic), 267 patients were enrolled in 18 centers. From March 11th 2020-August 30th 2022 (30 months thereafter), 41 new centers joined; 59 were participating by August 30th 2022 which enrolled 2961 patients. During a total of 1235 enrolment-months in the pandemic phase, enrolment paused for 106 (8.6%) months in aggregate (median 3 months, interquartile range 2;6). Protocol implementation involved a shift from the a priori consent model pre-pandemic (188, 58.8%) to the consent to continue model (1615, 54.1%, p < 0.01). In one new center, an opt-out model was approved. The informed consent rate increased slightly (80.7% to 85.0%, p = 0.05). Telephone consent encounters increased (16.6% to 68.2%, p < 0.001). Surge capacity necessitated intra-institutional transfers; receiving centers continued protocol implementation whenever possible. We developed a nested COVID-19 substudy. The Methods Centers continued central statistical monitoring of trial metrics. Site monitoring was initially remote, then in-person when restrictions lifted.ConclusionProtocol implementation adaptations during the pandemic included a shift in the consent model, a sustained high consent rate, and launch of a COVID-19 substudy. Recruitment increased as new centers joined, patient transfers were optimized, and monitoring methods were adapted.

Tele-ICU Management of a Trauma Patient at a Peripheral Center

Methods: A 23-year-old male was admitted to a peripheral center following a fall from a tractor. Examination at admission revealed a conscious, stable patient with significant chest pain. The tele-ICU (intensive care unit) was called, and when they received the patient, he was stabilized and managed immediately. The tele-ICU connection was provided through the Command Center in Apollo Hospitals, Jubilee Hills, Hyderabad, India, which is connected to multiple spoke locations at peripheral centers using audio-visual aids. An intensivist is available 24 h daily to provide critical care services to the peripheral centers through audio-visual aids. The tele-ICU connection is provided to the peripheral centers through commercial audio-visual and bedside data transfer devices. The tele-ICU team supervised the primary survey remotely via a central monitor, viewing the patient’s vitals along with the audio/video calling capabilities of the cameras as a part of the tele-ICU program. Results: Chest X-rays showed bilateral pneumothorax, lung compression, and multiple rib fractures. The team at the peripheral center was immediately advised to institute bilateral intercostal drainage (ICD). High-resolution CT chest (HRCT) reveals extensive right and minor left pneumothorax, bilateral lung contusions, a right clavicle medial end fracture, and multiple rib fractures. Ultrasonography of the abdomen showed altered splenic echo texture and moderate left pleural effusion. Flail chest and paradoxical breathing pattern warranted endotracheal intubation. The patient was ventilated for 4 days. On day 3, the patient experienced an air leak from the left ICD, increased drain output, and decreased hemoglobin. The tele-ICU team consulted the cardiothoracic surgeon regarding the air leak and followed their advice to attach a vacuum bottle to the ICD. The patient’s breathing improved gradually. Mechanical ventilator settings (i.e., tidal volume, respiratory rate, and peak airway pressures) were reviewed daily by the tele-ICU team during the regular morning and evening rounds. In addition, the ventilator and the bedside monitor were continuously monitored from the Command Center through video conferencing, which is integrated with electronic software and regularly captures the patient’s vitals. After 4 days of mechanical ventilation, the patient was extubated and started on oxygen therapy. Oxygen was gradually tapered and stopped. After 8 days of uneventful hospitalization, the patient was discharged. Conclusion: Studies show that telemedicine can provide expert-guided mentoring for life-saving procedures, including pre-hospital assessment and triage for polytrauma, tube thoracotomies, and extended focused assessment with sonography in trauma (eFAST). Technology may help resource-constrained places adopt telemedicine and its benefits.

Creation of Remote Monitoring Centers for Patients with Spinal Cord Injury Based on the Principles of Value-Oriented Rehabilitation Model: Relevance and Organization Principles

Due to the widespread introduction into the practice of Russian healthcare of the International Classification of Functioning, Disability and Health (ICF), the development of digital medicine requires the reorganization of rehabilitation care in the Russian healthcare system. Special attention is paid to the models of 5P medicine and trinitarianism. In this regard, it seems relevant to form the basic principles of building a remote monitoring center model for patients with spinal cord injury. To this end, the authors conducted a search for publications in the PubMed databases, e-Library (the rubricator of clinical recommendations and regulatory legal acts), as well as additional sources in the reference lists. As a result, 86 publications and literature sources were identified, analyzed and systematized, 25 of which are included in this review. The following research methods were used: analytical method, data copying, SWOT analysis. As a result, from the perspective of a value-oriented model of rehabilitation, 5P medicine, and trinitarianism, the need for creating regional remote monitoring centers for patients with spinal cord injury to provide them with the necessary assistance, as well as other patients traveling in wheelchairs, was justified. The principles are substantiated, as well as the possibilities and threats of the formation of regional remote monitoring centers are shown. In conclusion, it is emphasized that the creation of such centers for remote monitoring of low-mobility patients based on ICF in Russia will contribute to optimizing resources, optimal routing and accessibility of medical rehabilitation care.

Monitoring and Controlling of Greenhouse

Abstract: The potential for revolutionizing crop production practices has drawn significant attention to the monitoring and management of greenhouse settings. With the help of greenhouses, plants may grow in a controlled environment with the right amount of light, heat, humidity, and soil moisture. However, manual monitoring and intervention—which may be timeconsuming, laLbor-intensive, and prone to human error are frequently used in traditional greenhouse management techniques. The design, implementation, and assessment of a greenhouse monitoring and controlling system built around the ESP32 controller are proposed in this research paper. In order to gather environmental data—such as temperature, humidity, soil moisture, and light intensity—that is essential for determining plant health and maximizing growth conditions, the system incorporates sensors. Farmers may remotely get real-time insights into their greenhouse operations by transmitting the acquired data to a cloud platform or central monitoring station using the ESP32's networking features. the incorporation of ESP32 controllers into greenhouse management is a noteworthy technical development that has the potential to completely transform current agricultural methods. ESP32-based systems give farmers a strong tool for maximizing agricultural productivity while reducing resource inputs and environmental effects by providing real-time monitoring and precise control of environmental conditions

Central bank policies and green bond issuance on a global scale

We employ recently released IMF data to examine the impact of central bank supervision policies on green bond issuance in sixty-six countries during 1992–2021. We introduce three novel metrics to assess central banks' supervisory authority: the breadth of their supervision mandates, the intensity of monitoring and enforcement, and the power of utilization of systemic risk tools. Countries with central banks possessing broader supervisory mandates and actively employing systemic risk tools are broadly associated with higher overall values of green bond issuance. Conversely, higher monitoring and enforcement intensity is associated with lower issuance values. These effects are pronounced in the realm of private green bond issuance and less prominent in government bond issuance where the government has a strong role. While the efficient functioning of financial institutions and the quality of ratings play crucial roles, inflation does not seem to have a significant impact on green bond issuance. Our results remain robust through sensitivity tests and endogeneity analyses. Developed countries primarily rely on central bank monitoring and enforcement intensity as the dominant policy variable, whereas developing countries lean more towards the central bank mandate as the influential policy variable.

Integrated Two-Level New Energy Monitoring and Big Data Centers: A Comprehensive Approach for Urban Sustainability

With the help of the quick development of big data, the Internet of Things, and other related technologies, the construction of new energy monitoring and big data centres aims to enhance the control capability of urban new energy stations. Inefficient operation and maintenance of new energy stations, as well as chaotic production control, are the reasons behind this action. Given the limitations of the current stage of new energy big data platform construction, the construction of group-level new energy monitoring and big data centres to achieve a high degree of integration and sharing of resources and experience has become an inevitable development of the new energy industry. This project aims to achieve multi-level integration in decision-making from the bottom up by using the background of the construction of the Wenzhou New Energy Two-Level Centre as a guide, organising the business processes for new energy production and equipment control, designing the technical architecture of the platform for cloud-side collaboration, providing guidance for the heterogeneous data processing and analysis of new energy assets in the cloud, and acting as a model for the development of the group-level intelligent platform for the new energy industry.

The network of sci-tech libraries as the foundation of the national system of sci-tech information: The history, status, and prospects

The authors discuss the sci-tech libraries in historical aspect; these libraries make the key element of the national system of sci-tech information and information services and support national science and technology. They follow the dynamics of building the network of research institutions and special sci-tech libraries that replaced technical, factory and company libraries. The role of the USSR State Public Library for Science and Technology (USSR SPLS&amp;T) is highlighted: during the Soviet era it was the country’s head sci-tech library, the main methodological center for technological libraries, interdepartmental coordinator of user services, collection development, interlibrary loan, and translation of scitech literature. The authors emphasize the importance of the national regulation of sci-tech library and information services, and their development through building the state system of sci-tech information. The authors also examine the goals of t he S PLS&amp;T U SSR a s a research institution in the area of library and bibliographic studies; SPLS&amp;T supported the unity of efforts within the system. The authors analyze the implementation of the national sci-tech program; within the framework of the program, the RNPLS&amp;T acts as the head agency of the Automated System of the Russian Union Catalog in science and technology and provides for interaction of sci-tech library network and sci-tech information institutions in using the databases by associated members. The authors substantiate the need for the new national system of sci-tech information based on the laws and regulations adopted in the recent decades. They analyze the results of 2023 All-Russian monitoring of sci-tech libraries and sci-tech information centers; evaluate the capacities of sci-tech libraries for supporting corporate projects, scitech professionals and researchers.

Biostimulation of sulfate reduction for in-situ metal(loid) precipitation at an industrial site in Flanders, Belgium

A 30-month pilot study was conducted to evaluate the potential of in-situ metal(loid) removal through biostimulation of sulfate-reducing processes. The study took place at an industrial site in Flanders, Belgium, known for metal(loid) contamination in soil and groundwater. Biostimulation involved two incorporations of an organic substrate (emulsified vegetable oil) as electron donor and potassium bicarbonate to raise the pH of the groundwater by 1–1.5 units. The study focused on the most impacted permeable fine sand aquifer (8–9 m below groundwater level) confined by layers of non-permeable clay. The fine sands exhibited initially oxic conditions (50–200 mV), an acidic pH of 4.5 and sulfate concentrations ranging from 600 to 800 mg/L. At the central monitoring well, anoxic conditions (−200 to −400 mV) and a pH of 5.9 established shortly after the second substrate and reagent injection. Over the course of 12 months, there was a significant decrease in the concentration of arsenic (from 2500 to 12 μg/L), nickel (from 360 to <2 μg/L), zinc (from 78,000 to <2 μg/L), and sulfate (from 930 to 450 mg/L). Low levels of metal(loid)s were still present after 34 months (end of study). Mineralogical analysis indicated that the precipitates formed were amorphous in nature. Evidence for biologically driven metal(loid) precipitation was provided by compound specific stable isotope analysis of sulfate. In addition, changes in microbial populations were assessed using next-generation sequencing, revealing stimulation of native sulfate-reducing bacteria. These results highlight the potential of biostimulation for long-term in situ metal(loid) plume treatment/containment.

WCN24-1875 Central Blood Pressure Monitoring in Pediatric Kidney Transplant Recipients: A Comprehensive Evaluation

WCN24-1875 Central Blood Pressure Monitoring in Pediatric Kidney Transplant Recipients: A Comprehensive Evaluation

24-h central pressure is a valuable predictor for left ventricular hypertrophy in non-dialysis patients with chronic kidney disease.

The current research on the relationship between 24-h central pressure and 24-h brachial pressure with left ventricular hypertrophy (LVH) is characterised by limited sample size and inconsistent findings. Furthermore, the association has never been explored in chronic kidney disease (CKD). A multicentre, cross-sectional study among non-dialysis patients with CKD was conducted. All participants underwent brachial and central ambulatory blood pressure monitoring using MobilO-Graph PWA, while trained cardiologists performed echocardiography. In this study, 2117 non-dialysis patients with CKD were examined. 24-h central systolic blood pressure with c2 calibration (24-h c2SBP) demonstrated a stronger association with left ventricular mass index and LVH compared with 24-h brachial systolic blood pressure (24-h bSBP) in the univariate and multivariate regression analyses. The multivariate net reclassification index (NRI) analysis revealed that 24-h c2SBP exhibited greater discriminatory power over 24-h bSBP (NRI = 0.310, 95% CI [0.192-0.429], P < 0.001). Applying 130/135 mmHg as the threshold for 24-h bSBP/c2SBP to cross-classify, the patients were divided into concordant normotension (1509 individuals), isolated brachial hypertension (155 individuals), isolated central hypertension (11 individuals), and concordant hypertension (442 individuals). With concordant normotension as the reference, the multivariable-adjusted ORs were 0.954 (95% CI, 0.534-1.640; P = 0.870) for isolated brachial hypertension and 2.585 (95%CI, 1.841-3.633; P < 0.001) for concordant hypertension. Among non-dialysis patients with CKD, 24-h c2SBP exhibits greater efficacy in identifying the presence of LVH compared with 24-h bSBP. The presence of LVH was greater in cases of concordant hypertension compared with cases of isolated brachial hypertension and concordant normotension.

Forensic Emergencies In The Context Of Genital Injuries: A Case Report

Introduction&#x0D; A review of gynecological emergency cases shows that traumatic injuries observed in consensual sexual relations, sexual abuse victims or following an abortion, secondary infections, internal organ injuries, and massive bleeding are gynecological forensic cases that may require an emergency approach. In this case; it is aimed to discuss the case of a child who was diagnosed as sexual abuse and reported as a forensic case.&#x0D; Case report&#x0D; In the evaluation of the case of a 15-year-old girl who applied to the emergency service with a history of the foot of a stool entering her vaginal area, it was seen that she had a complaint of active vaginal bleeding but was referred to Child Monitoring Center(ÇİM) without taking a detailed anamnesis or performing any tests. During the forensic interviews at ÇİM, on account of the fact that the patient complained of dizziness, an emergency forensic vaginal examination and operation was performed. Active vaginal bleeding, 3 cm transverse laceration, and uterine artery injury were found in the area between the upper cervix and lower uterine segment.&#x0D; Conclusion&#x0D; Our study aims to contribute to raising awareness about the importance of medical evaluation and healthy anamnesis in the emergency department regarding these issues.

Comment on “Transport of substantial stratospheric ozone to the surface by a dying typhoon and shallow convection” by Chen et al. (2022)

Abstract. Chen et al. (2022) analyzed the event of rapid nocturnal O3 enhancement (NOE) observed on 31 July 2021 at the surface level in the North China Plain and proposed transport of substantial stratosphere ozone to the surface by Typhoon In-fa followed by downdraft of shallow convection as the mechanism of the NOE event. The analysis seems to be valid from the viewpoint of atmospheric physics. This comment revisits the NOE phenomenon on the basis of the China National Environmental Monitoring Center (CNEMC) network data used in Chen et al. (2022), together with the CNEMC data from Zibo (ZB) and O3, NOx, PAN (peroxyacetic nitric anhydride), and VOC (volatile organic compound) data from the Zibo supersite operated by the China Research Academy of Environmental Sciences (CRAES). We found (a) Ox (O3 + NO2) levels during the NOE period approaching those of O3 during 14:00–17:00 LT, (b) levels of PAN and the relationship between O3 and PAN consistent with dominance of chemical and physical processes within the boundary layer, and (c) estimated photochemical ages of air mass shorter than 1 d and showing no drastic increases during the NOE. We argue that the NOE was not caused by typhoon-induced stratospheric intrusion but originated from fresh photochemical production in the lower troposphere. Our argument is well supported by the analysis of atmospheric transport as well as ground-based remote sensing data.

Abstract 819: Feasibility of patient-centered home care (PCHC) to reduce disparities in high-risk black men with advanced prostate cancer

Abstract The objective of our study is to evaluate the feasibility, acceptance, and impact of patient-centered home care (PCHC) on patient reported outcomes (PROs) and health-related quality of life (HQoL) of black men with advanced prostate cancer (CaP). Meeting patients where they are and offering treatment in or closer to their homes reduce psychological distress and increase treatment compliance, especially for disadvantaged patients in rural areas, those on low incomes, with poor access to transport, elderly and people with disabilities. In 2023, Mayo Clinic has developed the Cancer Care Beyond Walls (CCBW) program, a cancer care delivery model that integrates virtual with in facility treatment and provides a package of care to support administration of cancer-directed therapy (chemotherapy, immunotherapy, hormonal therapy) and/or supportive care in the patients’ homes. Our study will assess if patients and families are comfortable with cancer therapy at home, what factors influences their decision, and use this data to inform our understanding of the proportion of the black men with advanced CaP who would be willing to receive and would benefit from this level of care at home. Patients with advanced CaP from our practice requiring active anti-cancer therapy are administered a brief questionnaire regarding preference for location of therapy at the infusion center or in the home, with perceived difficulties and advantages of each approach. A focus group session with prostate cancer survivor advocates is also conducted to capture patients’ thoughts, feelings, attitudes, and questions towards cancer treatments being administered at home versus a hospital setting. In addition, we are conducting an observational study of 20 patients with advanced prostate cancer receiving supportive care/symptom management and/or anti-cancer therapy in the home as part of the Mayo Clinic CCBW Program to assess the safety of cancer directed therapy when administered at home by a home health provider with remote patient monitoring and command center support, and establish the impact of home cancer treatment administration on patient-reported function and global health/quality of life, patient-reported symptoms, clinical outcomes, and cost of care. Successful completion of the project will deliver data on patient understanding and acceptability of cancer care at home, strategies for overcoming barriers to care for underserved communities, and the foundation from which we discover, translate and apply new knowledge in administering personalized care to vulnerable populations. Citation Format: Roxana S. Dronca, Folakemi Odedina, Che Ngufor, Kimlin Ashing, Ernest Kaninjing, Solomon Rotimi. Feasibility of patient-centered home care (PCHC) to reduce disparities in high-risk black men with advanced prostate cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 819.

Emergency medical team interventions in Poland during out-of-hospital deliveries: A retrospective analysis.

Emergency medical teams are a crucial component of healthcare systems, routinely providing essential care to pregnant patients in various situations. To evaluate the rate and outcomes of out-of-hospital deliveries attended by Emergency Medical Services (EMS) in Poland and identify areas for improvement in the care provided by emergency medical teams. This retrospective study was based on 41,335 EMS emergency calls to women in advanced pregnancy, of which 879 births were delivered directly by medical teams between January 2018 and December 2022. Data were obtained from the Polish National Monitoring Center for Emergency Medical Services, encompassing all EMS interventions in Poland. The study involved 879 EMS team interventions for pregnant women, with an average patient age of 29.87 years. Most patients were in their 2nd pregnancy (28.26%) and delivering for the 2nd time (25.77%). The postnatal condition of newborns, assessed using the Apgar score, was missing in 408 cases (46.52%) due to incorrect completion of documentation. Emergency Medical Services teams, predominantly P-type (basic) teams, handled 69.78% of deliveries, while S-type (specialist) teams were involved in 30.22% of cases. Medical procedures often performed during childbirth included manual assistance in spontaneous delivery, pulse oximetry, physical examination, examination of systemic blood pressure, obtaining peripheral intravenous access, and gynecological examination. Given the rate of encountered cases and the gaps identified in medical documentation, there is merit in potentially implementing a dedicated form to be completed by medical teams when caring for a pregnant patient. Ongoing training and enhancements in the range of assistance provided to the mother and newborn are imperative for ensuring appropriate care.

Study the Level of Network Security and Penetration Tests on Power Electronic Device

This work demonstrates the feasibility of using Kali Linux in the process of power electronic device research. The novelty in this work is the use of Kali Linux in the process of power electronic device research. This operating system is mainly used for the penetration testing of various communication devices but not for power electronic device research. The aim of this work is to study the level of network security (the type of security vulnerabilities that a power electronic device has) and whether the data exchange between the power electronic device and the monitoring and control center is secure. Additionally, penetration testing has been carried out. Kali Linux was used to implement these tasks. Penetration testing was performed to verify how the studied power electronic device reacted to various TCP DoS attacks—could it be accessed, was it blocked, etc. Kali Linux and some of the tools built into the operating system—Nmap, hping3, Wireshark, Burp Suite Community Edition—were used for this study. During the penetration tests, a characterization of the traffic being processed/generated by the studied power electronic device was carried out to evaluate and analyze what impact each TCP DoS attack had on the device’s performance. In order to conduct the study, an experimental setup was designed. This experimental network was not connected to other networks, so the cyber attacks were controlled and confined within the experimental network. The research carried out validated the use of Kali Linux for the study of power electronic devices. From the obtained results, it is found that the studied power electronic device provides a certain level of network security, but the data exchange is insecure.

A bio-based, sweat-resistant and markedly sensitive iontronic skin for advancing central sleep apnea monitoring

Central Sleep Apnea (CSA) is characterized by respiratory pauses during sleep, posing risks like cardiovascular diseases, stroke and sudden death. The challenges in managing it arise from the current monitoring tools, which are often complicated and inaccurate. Furthermore, respiratory pauses leading to decreased blood oxygen can induce profuse sweating, further affecting accuracy. Herein, we have synthesized a bio-based, biocompatible and sweat-resistant polyurethane. By utilizing it as the matrix, we incorporated [BMIM]+[PF6]− to fabricate a markedly sensitive dielectric material, termed i-DFPU. The fluorine groups in i-DFPU contributed to a trap-release effect for migratable ions, while the alkyl side chains provided smooth ion migration channels, endowing i-DFPU with exceptional sensitivity. In combination with a stress concentration layer and serpentine-shaped electrodes, the resultant iontronic skin exhibited a remarkable sensitivity up to 132.2 kPa−1, operational stability and portability. Consequently, it could accurately monitor various respiratory states in CSA, potentially preventing complications such as sudden death.

Anaesthetic management of a case of Takayasu arteritis: A case report

Takayasu's arteritis (TA) is a rare disease characterized by chronic progressive pan-endarteritis involving large blood vessels with resultant feeble pulsations in involved arteries. Therefore, it is also referred as pulseless disease. The challenges for anaesthesia management includes uncontrolled hypertension, invasive arterial monitoring, central nervous system monitoring and end-organ dysfunction. We present successful management of a middle-aged female diagnosed with TA posted for aorto-carotid graft. The anaesthesia management and complications encountered are highlighted.

Design and experiment of an intelligent surface mobile robot for the microbial slow-release control of pollution

In this paper, to solve the current problems of water quality pollution of rivers, such as multiple types, high toxicity and difficult degradation, we design an intelligent surface mobile robot based on the slow release of microorganisms. In the robot, the skeleton has a ship-type structure welded with stainless steel equilateral angle steel; the function module comprises a power supply part, motor part, transmission part, and release part; the wireless monitoring module is based on GPRS and EtherCAT networking technologies and consists of four submodules, including a data acquisition submodule, transmission submodule, database server and monitoring center. The field test results show stable overall transmission performance and wireless data transmission performance of the robot. When the water depth of the rotating cylinder is 0.3 m, and the speed of the rotating cylinder is 15 r/min, the pollution control ability of the robot is outstanding. The experimental results also verify the feasibility of the robot in treating water pollution. The robot can greatly improve the mechanization, automation and efficiency of water pollution control and facilitate the centralized monitoring of joint operations, so it is worth popularizing.

Alternative Interpretations on the Case for Non-invasive Central Aortic Pressure Monitoring

Alternative Interpretations on the Case for Non-invasive Central Aortic Pressure Monitoring

Studies on regional ozone formation sensitivities and transport with higher spatiotemporal resolutions in a stereoscopic dimension: GEMS and vertical observations

Currently, ozone pollution is one of the key environmental concerns, and to provide more effective strategies for ozone control, this paper proposes the use of the Geostationary Environmental Monitoring Spectrometer (GEMS) in conjunction with MAX-DOAS for observations and ozone sensitivity analysis. Compared to traditional polar-orbiting satellites, GEMS, launched by South Korea in 2019, offers superior spatiotemporal resolution. However, there is a lack of ground validation for GEMS data related to ozone and its precursors. In this study, we conducted validation in the Jing-Jin-Ji (Beijing-Tianjin-Hebei) region using two typical MAX-DOAS sites and the China National Environmental Monitoring Center (CNEMC) sites, confirming the accuracy of GEMS data. Analysis of the seasonal horizontal distribution results from GEMS and vertical distribution results from MAX-DOAS in 2022 reveals that the concentrations of NO2, HCHO, O3, and ozone sensitivity not only display seasonality and regional variations but also exhibit distinct characteristics at different altitudes and times, influenced by local climatic conditions, human activities, and topography. When formulating ozone control policies, it becomes imperative to consider factors such as time, regional characteristics, and seasonality. Comparisons between daily results from TROPOMI and GEMS indicate that polar-orbiting satellites may overlook high-pollution periods within a single day, and their measurements may not provide a comprehensive representation of an entire day's data. Consequently, relying solely on polar-orbiting satellite data for shaping ozone prevention and control policies may inadvertently encourage ozone formation during specific time periods, rendering these policies ineffective. Therefore, leveraging GEMS is essential for the development of comprehensive, around-the-clock ozone control policies. Finally, we used monitoring data from Beijing on October 6, 2022, to illustrate how the combination of GEMS and MAX-DOAS enables three-dimensional monitoring of pollutant transport processes on an hourly scale.