Comprehensive Control Strategy Research Articles

Implementing a digital comprehensive myopia prevention and control strategy for children and adolescents in China: a cost-effectiveness analysis

Children and adolescents' myopia is a major public problem. Although the clinical effect of various interventions has been extensively studied, there is a lack of national-level and integral assessments to simultaneously quantify the economics and effectiveness of comprehensive myopia prevention and control programs. We aimed to compare the cost-effectiveness between traditional myopia prevention and control strategy, digital comprehensive myopia prevention and control strategy and school-based myopia screening program in China. A Markov model was used to compare the cost-utility and cost-effectiveness among school-based myopia screening, traditional myopia prevention and control strategy, and digital comprehensive myopia prevention and control strategy among 6 to 18-year-old rural and urban schoolchildren. Parameters were collected from published sources. The primary outcomes were quality-adjusted life-year, disability-adjusted life-year, incremental cost-utility ratio, and incremental cost-effectiveness ratio. Extensive sensitivity analyses were performed to test the robustness and sensitivity of base-case analysis. Compared with school-based myopia screening strategy, after implementing digital comprehensive myopia prevention and control strategy, the prevalence of myopia among 18-year-old students in rural and urban areas was reduced by 3.79% and 3.48%, respectively. The incremental cost-utility ratio per quality-adjusted life-year gained with the digital myopia management plan ($11,301 for rural setting, and $10,707 for urban setting) was less than 3 times the per capita gross domestic product in rural settings ($30,501) and less than 1 time the per capita gross domestic product in urban settings ($13,856). In cost-effectiveness analysis, the incremental cost-effectiveness ratio produced by digital comprehensive myopia management strategy ($37,446 and $41,814 per disability-adjusted life-year averted in rural and urban settings) slightly exceeded the cost-effectiveness threshold. When assuming perfect compliance, full coverage of outdoor activities and spectacles satisfied the cost-effectiveness threshold, and full coverage of outdoor activities produced the lowest cost ($321 for rural settings and $808 for urban settings). Health economic evidence confirmed the cost-effectiveness of promoting digital comprehensive myopia prevention and control strategies for schoolchildren at the national level. Sufficient evidence provides an economic and public health reference for further action by governments, policy-makers and other myopia-endemic countries. National Natural Science Foundation of China,NSFC(82171051),Beijing Natural Science Foundation(JQ20029),Capital Health Research and Development of Special(2020-2-1081),National Natural Science Foundation of China, NSFC(82071000),National Natural Science Foundation of China, NSFC (8197030562).

A Comprehensive Regional Traffic Coordination Control Strategy Integrated the Short-Term Traffic Flow Identification and Prediction

Traffic congestion caused by the rapid growth of vehicles and unadaptable signal control has become a major constraint on traffic efficiency and travel experience. However, the existing studies have primarily focused on a particular aspect of traffic behaviors, without considering the systemic and interconnected nature of traffic congestion. Hence, a comprehensive strategy integrating monitoring, prediction, and coordinated control at regional intersections is proposed to improve traffic efficiency. First, an intelligent algorithm is designed to identify and predict traffic condition information. Then, the intersections with similar traffic behaviors and higher relevancy are divided into the same subzone, and a multiobjective optimization model is proposed to improve traffic capacity and green time utilization. Furthermore, the timing is modified according to the temporal and spatial characteristics of the oversaturation. Simulation studies in long-term and short-term traffic congestion scenarios are designed to verify the performance of the proposed strategy. Compared with the existing multitime timing method and a newly formed reinforcement learning control method, the results show that the average delay of the proposed strategy is 4.945% and 6.737% inferior to the outstanding strategies.

Burden of COPD in China and the global from 1990 to 2019: a systematic analysis for the Global Burden of Disease Study 2019

ObjectiveTo investigate the current disease burden of chronic obstructive pulmonary disease (COPD) in China and globally using the Global Burden of Disease (GBD) data in 2019, as well as to...

Contactless-Sensor-Based Output Feedback Control With Maximum Efficiency Tracking Technique in Inductive Power Transfer Systems

To maximize the overall efficiency of a series-series inductive power transfer (SSIPT) system, the maximum efficiency tracking (MET) control should be employed. Based on a contactless current sensor which is designed for the mutual inductance estimation and the output voltage feedback, this paper proposes a novel MET control method for the SSIPT system with front-side and load-side converters. In this method, the output voltage of the rectifier on the load side is estimated and used as a control reference on the front side. Moreover, this paper analyzes the small-signal model of the SSIPT system and presents an impedance-based stability criterion. The factors which influence output feedback control are investigated, and a comprehensive control strategy based on the impedance stability criterion is developed. Finally, a 600 W prototype is built to validate the proposed method. MET control is implemented in a wide range of load variations, with a maximum efficiency drop of approximately 2.3% over a 100 mm misalignment. The results show that the proposed scheme significantly improves the robustness and response performance of the SSIPT system.

Simulation and evaluation of flexible enhancement of thermal power unit coupled with flywheel energy storage array

Under the background of “carbon neutrality” and “carbon peak” concepts, China desires to develop a new power system based on renewable energy sources (RES), which will be the primary energy support in prospective China. Thus, it is imperative to improve the peak shaving capability of power system to address the problem of random fluctuation and intermittency of RES by developing various energy storage systems. An innovative approach to enhance the flexibility of the conventional thermal power unit (TPU) through the utilization of flywheel energy storage array (FESA) is presented, simulated, and evaluated in this paper. Using the relatively practical and specific model of TPU and FESA, modified frequency modulation and automatic generation control (AGC) instruction tracing operation scenario models are constructed. A comprehensive control strategy of FESA and a well-designed operation coordinated control method for TPU with FESA are proposed and applied. The simulation results are distinctively processed and evaluated by the methods in “two documents”, aiming to assess the real-world operation performance of the model proposed in this paper. The comprehensive analysis of the indicators demonstrates that the FESA can improve the flexibility and economy of the units. This research may guide the usage of FESA to improve the operational flexibility of TPU.

Why Canadians deserve to have mandated health and standard drink information labels on alcohol containers

To reduce deaths, morbidity, and social problems from alcohol in Canada, a multi-dimensional robust response is needed, including a comprehensive alcohol control strategy at the provincial, territorial, and federal levels. Alcohol container labels with health and standard drink information are an essential component of this strategy. This commentary provides a rationale for the mandatory labelling of all alcohol products, summarizes Canadian initiatives to date to legislate alcohol container warning labels, and addresses myths and misconceptions about labels. Canadians deserve direct, accessible information about (1) the inherent health risks associated with alcohol consumption, (2) the number of standard drinks per container and volume of a standard drink, and (3) guidance for preventing or reducing consumption-related health risks. Enhanced health labels on alcohol containers are long overdue.

Cost‐effective upgrade of the Dutch traction power network: Moving to Bi‐directional and controllable 3 kV DC substations for improved performance

AbstractTraction power networks can significantly influence a country's national grid due to their significant power consumption and numerous coupling points. To modernise the ageing Dutch traction power networks and enhance their impact on the utility grid, this study explores practical and cost‐effective approaches for upgrading existing 1.5 kV DC traction substations (TS) in the Netherlands into 3 kV bi‐directional DC TS. After evaluating the benefits of a 3 kV bi‐directional DC, two novel topologies are proposed that re‐use the existing substation's components and reduce the need for higher investments. These topologies incorporate parallel voltage source converters (VSCs) to recuperate braking energy from the DC grid and transfer it back to the AC grid. Furthermore, the study investigates additional use cases for the VSCs, including improving DC TS's reliability during faults, reducing harmonics through active power filtering, compensating for reactive power, and supporting the integration of renewable energy sources into the DC grid. A comprehensive control strategy for the VSCs is also proposed based on a thorough analysis of their working methodology and functional modes. The feasibility and effectiveness of the proposed solutions are validated through scenario analysis relevant to the Netherlands' traction network, utilising both a Simulink model and an Opal‐RT real‐time simulator. This study serves as a starting point for the various stakeholders of the Dutch traction network in their journey towards modernising the current traction power supply. It has the potential to serve as a reference for reusing existing railway infrastructures to provide ancillary services and support the energy transition.

Global trends and forecasts of breast cancer incidence and deaths

Breast cancer (BC) is one of the major public health challenges worldwide. Studies that address the new evidence on trends of BC are of great importance for preventing and controlling the occurrence and development of diseases and improving health. The aim of this study was to analyze the outcomes for the global burden of disease (GBD), incidence, deaths, and risk factors for BC from 1990 to 2019, and predict the GBD of BC until 2050 to inform global BC control planning efforts. In this study, the results show that the regions with low levels of socio-demographic index (SDI) will have the largest disease burden of BC in the future. The leading global risk factor for death attributable to BC in 2019 was metabolic risks, followed by behavioral risks. This study supports the worldwide urgent need for comprehensive cancer prevention and control strategies to reduce exposure, early screening, and improve treatment to effectively reduce the GBD of BC.

Multisensor Multitarget Tracking and Collision Avoidance Based on the Labeled RFS Void Probability and KL-PaC Cost Function

Existing sensor control methods for multi-sensor and multi-target tracking seldom consider comprehensive control strategy and collision avoidance between sensors and targets or between sensors together. In this paper, we first propose a cost function for multi-sensor control strategy, which includes Kullback-Leibler (K-L) divergence, detection probability and sensor usage cost (KL-PaC cost function). Second, in order to solve collision avoidance between sensors and targets, we propose a collision avoidance strategy based on the labeled random finite set (RFS) void probability. The strategy is essentially to set up a safe region around the sensor or target, and then combine the void probability and cost function in the safe region as the evaluation function. The final simulation and experimental results verify the effectiveness of the proposed approach.

Cutaneous leishmaniasis situation analysis in the Islamic Republic of Iran in preparation for an elimination plan.

Iran has invariably been under the growing public health threat of cutaneous leishmaniasis (CL), a significant barrier to local development that hinders the prevention and control efforts toward eliminating the disease. So far, no comprehensive and in-depth epidemiological analysis of the CL situation has been carried out nationwide. This study aimed to employ advanced statistical models to analyze the data collected through the Center for Diseases Control and Prevention of Communicable Diseases during 1989-2020. However, we emphasized the current trends, 2013-2020, to study temporal and spatial CL patterns. In the country, the epidemiology of CL is incredibly intricate due to various factors. This fact indicates that the basic infrastructure, the preceding supports, and the implementation plan related to preventive and therapeutic measures need crucial support. The leishmaniasis situation analysis is consistent with desperate requirements for efficient information on the control program in the area. This review provides evidence of temporally regressive and spatially expanding incidence of CL with characteristic geographical patterns and disease hotspots, signifying an urgent need for comprehensive control strategies. This information could be a suitable model and practical experience in the Eastern Mediterranean Region, where over 80% of CL is reported.

Research on voltage comprehensive compensation system and control strategy of high-speed railway traction network

High-speed railway, as one of the most important forms of transportation, have been developed rapidly throughout the world. As the people’s living condition improves, the energy demand in China’s transport sector has grown dramatically and will keep increasing in the short term. In order to support the realization of ’ energy conservation ’ vision, it is urgent to adopt energy technology to change the structure of traditional high-speed railway system and realize the green, high efficiency and high elasticity transformation of high-speed railway system. High-speed railway will cause voltage fluctuation of the traction network during driving, which may affect the safety and reliability of high-speed railway in severe cases. In order to improve the voltage fluctuation of traction network caused by high-speed railway, this paper proposes a comprehensive voltage compensation system (VCCS) and its control strategy for high-speed railway traction network. Firstly, the causes of voltage fluctuation in traction network are analyzed, and the existing compensation methods at home and abroad are introduced. Then, the topology and compensation principle of high-speed railway traction network voltage compensation system are introduced, and the corresponding control strategy is proposed. Finally, the correctness of the theoretical analysis is verified by simulation experiments. The experimental results show that the VCCS proposed in this paper can ensure that the high-speed train can maintain full power operation under various typical working conditions, and effectively improve the voltage fluctuation of the traction network.

Vector competence evaluation of mosquitoes for Tahyna virus PJ01 strain, a new Orthobunyavirus in China.

Tahyna virus (TAHV), an arbovirus of the genus Orthobunyavirus, is a cause of human diseases and less studied worldwide. In this study, a new strain of TAHV was isolated from Aedes sp. mosquitoes collected in Panjin city, Liaoning province. However, the competent vector of TAHV in China is still unknown. The genome of newly isolated TAHV was sequenced and phylogenetic analysis is performed. Aedes albopictus and Culex pipiens pallens were orally infected with artificial virus blood meals (1:1 of virus suspension and mouse blood), the virus was detected in the midgut, ovary, salivary gland and saliva of the mosquitoes. Then, the transmission and dissemination rates, vertical transmission and horizontal transmission of the virus by the mosquitoes were assessed. Phylogenetic analysis revealed that the virus shared high similarity with TAHV and was named the TAHV PJ01 strain. After oral infection with virus blood meals, Ae. albopictus showed positive for the virus in all tested tissues with an extrinsic incubation period of 2 days and a fluctuating increasement of transmission and dissemination rates. Whereas no virus was detected in the saliva of Cx. pipiens pallens. Suckling mice bitten by infectious Ae. albopictus developed obvious neurological symptoms, including inactivity, hind-leg paralysis and difficulty turning over, when the virus titer reached 1.70×105 PFU/mL in the brain. Moreover, TAHV was detected in the eggs, larvae and adults of F1 offspring of Ae. albopictus. Ae. albopictus is an efficient vector to transmit TAHV but Cx. pipiens pallens is not. Ae. albopictus is also a reservoir host that transmits the virus vertically, which further increases the risk of outbreaks. This study has important epidemiological implications for the surveillance of pathogenic viruses in China and guiding comprehensive vector control strategies to counteract potential outbreaks in future.

A Comprehensive Control Strategy for a Push–Pull Microinverter Connected to the Grid

The effects of partial shading or dust accumulation on the panels of photovoltaic systems connected to the grid can generate a considerable reduction in energy performance, being necessary to provide the appropriate voltage to the grid regardless of the irradiance level. This paper addresses this problem and presents a comprehensive control strategy and its implementation for a grid-connected microinverter composed of a push–pull converter followed by an H-bridge inverter. In the push–pull converter, a hybrid MPPT algorithm and a PI control enable work in the MPP of the PV panel. In the H-bridge inverter, a cascade control consisting of a PI control and a predictive control allows the connection to the grid. A proof-of-concept prototype is implemented in order to validate the proposal. Experimental tests were performed by connecting the microinverter to a PV panel and a programmable photovoltaic panel emulator to check the MPPT performance. Furthermore, partial shading conditions were simulated on the dc source to check if the global maximum power point is reached. Experimental results demonstrate the feasibility of the topology and the control approach, obtaining MPPT performance in the topology above 99% at different power and voltage levels on the MPPT, even in the presence of partial shading conditions.

Sentinel Surveillance of Schistosomiasis - China, 2021.

This report analyzes the national surveillance data for schistosomiasis in 2021 to understand the current status and provide evidence for further policy actions to promote elimination. This analysis is in line with the National Surveillance Plan of Schistosomiasis, which was revised in 2020 to adapt to the new stage of moving towards elimination. Data from the 2021 national surveillance of schistosomiasis in humans, livestock, and snails were collected from 13 provincial-level administrative divisions (PLADs) and analyzed using descriptive epidemiological methodology. The antibody-positive rate and area of newly discovered and re-emergent snail habitats were calculated. In 2021, a total of 31,661 local residents and 101,558 transient population were screened for antibodies using indirect hemagglutination assay (IHA). Of those who tested positive, 745 local residents and 438 transient population underwent further parasitological examination, with only one stool-positive result in the transient population. Additionally, 12,966 livestock were examined using the miracidia hatching test, with no positives detected. The total area of newly discovered and re-emergent snail habitats was 957,702 m2 and 4,381,617 m2, respectively. No infected snails were found using the microscopic dissection method, but six pooled snail samples were reported as positive using the loop-mediated isothermal amplification method for detecting specific sequences of Schistosoma. japonicum, in Anhui and Jiangxi Provinces. The prevalence of schistosomiasis among humans and livestock was found to be low, however, a potential transmission risk was identified in certain areas. To reduce the risk of transmission, a comprehensive control strategy should be continued and new techniques should be implemented in the surveillance and early warning system.

Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2020.

The current study provides national cancer statistics and their secular trends in Korea, including incidence, mortality, survival, and prevalence in 2020. Incidence, survival, and prevalence rates of cancer were calculated using the Korea National Cancer Incidence Database, from 1999 to 2020, with survival follow-up until December 31, 2021. Deaths from cancer were assessed using causes-of-death data obtained from Statistics Korea. The number of new cancer diagnoses in 2020 decreased by 9,218 cases (3.6%) compared to 2019. In 2020, newly diagnosed cancer cases and deaths from cancer were reported as 247,952 (age-standardized rate [ASR], 262.2 per 100,000) and 82,204 (ASR, 69.9 per 100,000), respectively. The overall cancer incidence rates increased by 3.3% annually from 1999 to 2012, and decreased by 5.0% annually from 2012 to 2015, thereafter, followed by nonsignificant changes. Cancer mortality rates have been decreasing since 2002, with more rapid decline in recent years. The 5-year relative survival between 2016 and 2020 was 71.5%, which contributed to prevalent cases reaching over 2.2 million in 2020. In 2020, the number of newly diagnosed cancer patients decreased due to the coronavirus disease 2019 pandemic, but the overall trend is on the rise. Cancer survival rates have improved over the past decades. As the number of cancer survivors increases, a comprehensive cancer control strategy should be implemented in line with the changing aspects of cancer statistics. The long-term impact of the coronavirus disease 2019 pandemic on cancer statistics needs to be investigated in the future.

Infection control strategies for healthcare workers during COVID-19 pandemic in German hospitals: A cross-sectional study in march–april 2021

BackgroundHealthcare workers (HCW) are at risk of getting infected with COVID-19 at work. To prevent such incidents and provide a safe environment in hospitals, comprehensive infection control strategies are necessary. We aimed to collect information on COVID-19 infection control strategies regarding personal protective equipment (PPE), regulations during breaks for HCW and dissemination of pandemic-related information. MethodsWe invited infection control practitioners from 987 randomly selected German hospitals in March–April 2021 to participate in our cross-sectional online survey. We categorized the hospital based on bed capacity (≤499 beds = small; ≥500 beds = large). Fisher's exact test was performed and p < 0.05 defined as statistically significant. Findings100 participants completed the questionnaire. Small hospitals were more directive about requiring FFP2 respirators (63%), whereas larger hospitals more often gave their HCW a choice between these and medical masks (67%). For the care of COVID-19 and suspected COVID-19 cases, >90% of the participants recommended the use of gloves. Notably, gloves were recommended beyond COVID-19 in 30% of the hospitals. During meal breaks various strategies were followed. ConclusionRecommendations for PPE varied across hospital sizes, which could be due to different assessments of necessity and safety. Regulations during breaks varied strongly which illustrates the need for clear official guidelines.

Overview of Key Technologies for Torque Ripple Suppression in Four- Wheel In-Wheel Motor Drive Electric Vehicles

Aims and Objectives: The stability control of the four-wheel hub motor-driven electric vehicle is of great significance to the safety of the driver during the driving process, and the torque fluctuation is an important factor that affects the stability control of the vehicle. Therefore, this paper reviews the key technologies and difficulties of torque ripple suppression for in-wheel motor-driven electric vehicles from two aspects: rational design of the in-wheel motor structure to suppress the torque fluctuation of the motor and the in-wheel motor torque control distribution strategy. Methods: Through the analysis of the structural characteristics of the motor, the structural optimization design of the pole slot, cogging, core shape, and magnetic pole shape is used to suppress the torque fluctuation of the motor, and the methods of previous scholars are unified and explained; From the motor control strategy, summed up the scholars in the motor torque ripple suppression method strategy; From the perspective of motor torque control allocation strategy, a series of related strategies are elaborated. The previous researchers proposed the neural network PID electronic differential speed torque comprehensive control strategies, electronic differential control algorithms based on sliding mode control, automotive electronic stability program control algorithms based on hierarchical coordinated control strategies, and other control strategies and algorithms. Results: Based on the theoretical model, the theoretical model is verified and tested through software simulation or test platform. The errors of all simulation and test results in the literature and the theoretical model are within the acceptable range. Conclusion: The theoretical model has been verified on the software simulation or test platform, which proves the feasibility and effectiveness of the theoretical model, thereby suppressing torque fluctuations and improving the stability of the vehicle. Finally, the development direction of the key technology of torque ripple suppression for four-wheel in-wheel motor-driven electric vehicles has been prospected.

A Performance Evaluation System for PPP Sewage Treatment Plants at the Operation-maintenance Stage

Sewage treatment plants are essential in improving the quality of receiving water bodies, contributing to healthy and sustainable urban development. The increasingly common public-private partnership (PPP) model of sewage treatment facilities may not yield the expected benefits, often compromised by inadequacies in the complex operation-maintenance stage. Holistic criteria and methods to define and judge a plant's performance are lacking. To fill the knowledge gap, this study established a performance evaluation system applicable to the critical operation-maintenance stage of China's PPP sewage-treatment industry. First, the range of quantitative and qualitative indicators was surveyed by literature review, and an appropriate subset was selected according to expert judgment. Second, the multilevel extension principle of matter-element analysis was combined with the analytic hierarchy process to determine the performance level and establish a comprehensive, efficient and practical evaluation system. The proposed method was tested on two PPP plants to confirm its applicability and reliability in assessing operation-maintenance functions. The study identified the diagnostic criteria to refine the design, operation and maintenance parameters to optimize plant performance. The findings provided an assured and comprehensive quality control scheme and a practical tool for governments and other parties to assess the service delivery quality of PPP plants.

Air Leakage Law and Prevention Technology of Coal Spontaneous Combustion in the Goaf of “Isolated Island” Fully Mechanized Caving Face

ABSTRACT The coal pillar along the goaf of the completely mechanized caving face of “Isolated Island” is severely damaged, with complex air leakage and a high risk of coal spontaneous combustion. In order to research the law of goaf air leakage in “Isolated Island” working face and effectively control the hidden threat of coal spontaneous combustion in goaf, it is necessary to investigate the goaf air leakage law. In this work, the 3302 “Isolated Island” entirely mechanized caving face of Jining No. 2 Coal Mine in Shandong province, China, served as an example. SF6 tracer gas air leakage measurement was utilized to identify the air leaking route in the goaf. In conjunction with the numerical modeling, the air leakage route surrounding the goaf was evaluated to establish the coal spontaneous combustion risk region, and the targeted prevention and controlled ways of coal spontaneous combustion were proposed. The results indicated that the primary source of air leakage was the seepage of air flow through the working face to the rear goaf and the diffusion to the adjacent goaf through the broken coal pillar. The risk area for coal spontaneous combustion was 40–80 m behind the rear goaf and 50 m within the coal pillar of the adjacent goaf. Regarding this region, the comprehensive prevention and control strategies of plugging and oxygen reduction, inerting and cooling, monitoring and forecasting were proposed. In addition, the fire prevention and extinguishing system combining slurry spraying, sodium silicate, and liquid CO2 injection was designed at both ends of the 3302 track and haulage roads. Using field measurements during the working face mining process, the corresponding methods for reducing the CO volume fraction in 3302 return air roadway and air return corner effectively prevented and controlled the hidden danger of coal spontaneous combustion in the goaf and ensured the safety of working face mining. This research developed a new technology for the prevention and management of coal spontaneous combustion in the goaf of the “Isolated Island” working face.

Caregiver Perceptions of Children's and Adolescents' Psychosocial Functioning During the Stringent COVID-19 Lockdown Restrictions in Shanghai: Cross-sectional Study.

The COVID-19 pandemic represents a global health crisis. The Shanghai municipal government in China implemented strict and comprehensive pandemic control strategies in the first half of 2022 to eliminate a wave of COVID-19 infection. The pandemic and the resulting government responses have led to abrupt changes to families' daily lives, including the mental health of children and adolescents. The aim of this paper is to examine the impact of COVID-19 exposure and the stringent lockdown measures on the daily life and mental health of children and adolescents and to provide suggestions on maintaining their mental health when similar public health emergencies occur in the future. In this cross-sectional study, an anonymous survey was distributed online in May 1-15, 2022, in Shanghai. Individuals were eligible to participate if they were currently the caregiver of a child or adolescent (aged 4-17 years). Outcomes were psychosocial functioning of children and adolescents, as reported by parents, using the Pediatric Symptom Checklist-17. COVID-19 exposure and life changes were also reported. Multivariate logistic regression was used to analyze risk factors for poor psychosocial functioning. In total, 2493 valid questionnaires were analyzed. The rate of positive scores on the global Pediatric Symptom Checklist-17 scale was 16.5% (n=411). Internalizing, attention, and externalizing problem subscale positivity rates were 17.3% (n=431), 10.9% (n=272), and 8.9% (n=221), respectively. Caregivers reported that 64.2% (n=1601) and 20.7% (n=516) of the children's interactions with friends or peers and parents deteriorated, respectively. Compared with male caregivers, female caregivers were less likely to report psychosocial problems in children and adolescents (adjusted odds ratio [aOR] 0.68; 95% CI 0.53-0.88). Older children and those with lower COVID-19 Exposure and Family Impact Scales scores were less likely to have psychological problems (aOR 1.15; 95% CI 1.10-1.21). Compared with children with screen times <1 hour per day for recreation, those using screens for >3 hours had higher odds of psychological distress (aOR 2.09; 95% CI 1.47-1.97). Children who spent 1-2 hours exercising and had better interactions with friends or peers and parents showed a trend toward lower odds of psychological problems. Children and adolescents with worse sleep compared with preclosure were more likely to have psychological problems. The prevalence of psychosocial problems among children and adolescents is relatively high. Being young, having more COVID-19 exposure, and having more screen times (>3 h/day), less exercise time (<30 min), worse sleep, and deteriorated interactions with friends or peers and parents were risk factors for poor psychosocial functioning. It is necessary for governments, communities, schools, and families to take appropriate countermeasures to reduce the negative impact of the stringent control measures on caregivers' parenting and psychosocial functioning of children and adolescents.