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The volume includes papers presented at the International KES Conference on Human Centred Intelligent Systems 2023 (KES HCIS 2023), held in Rome, Italy on June 14–16, 2023. This book highlights new trends and challenges in intelligent systems, which play an important part in the digital transformation of many areas of science and practice. It includes papers offering a deeper understanding of the human-centred perspective on artificial intelligence, of intelligent value co-creation, ethics, value-oriented digital models, transparency, and intelligent digital architectures and engineering to support digital services and intelligent systems, the transformation of structures in digital businesses and intelligent systems based on human practices, as well as the study of interaction and the co-adaptation of humans and systems.
Current advances in Artificial Intelligence (AI) combined with other digitalization efforts are changing the role of technology in service ecosystems. Human-centered intelligent systems and services are the target of many current digitalization efforts and part of a massive digital transformation based on digital technologies. Artificial intelligence, in particular, is having a powerful impact on new opportunities for shared value creation and the development of smart service ecosystems. Motivated by experiences and observations from digitalization projects, this paper presents new methodological experiences from academia and practice on a joint view of digital strategy and architecture of intelligent service ecosystems and explores the impact of digitalization based on real case study results. Digital enterprise architecture models serve as an integral representation of business, information, and technology perspectives of intelligent service-based enterprise systems to support management and development. This paper focuses on the novel aspect of closely aligned digital strategy and architecture models for intelligent service ecosystems and highlights the fundamental business mechanism of AI-based value creation, the corresponding digital architecture, and management models. We present key strategy-oriented architecture model perspectives for intelligent systems.
In today’s education, healthcare, and manufacturing sectors, organizations and information societies are discussing new enhancements to corporate structure and process efficiency using digital platforms. These enhancements can be achieved using digital tools. Industry 5.0 and Society 5.0 give several potentials for businesses to enhance the adaptability and efficacy of their industrial processes, paving the door for developing new business models facilitated by digital platforms. Society 5.0 can contribute to a super-intelligent society that includes the healthcare industry. In the past decade, the Internet of Things, Big Data Analytics, Neural Networks, Deep Learning, and Artificial Intelligence (AI) have revolutionized our approach to various job sectors, from manufacturing and finance to consumer products. AI is developing quickly and efficiently. We have heard of the latest artificial intelligence chatbot, ChatGPT. OpenAI created this, which has taken the internet by storm. We tested the effectiveness of a considerable language model referred to as ChatGPT on four critical questions concerning “Society 5.0”, “Healthcare 5.0”, “Industry,” and “Future Education” from the perspectives of Age 5.0.
Enterprises and societies currently face essential challenges, and digital transformation can contribute to their resolution. Enterprise architecture (EA) is useful for promoting digital transformation in global companies and information societies covering ecosystem partners. The advancement of new business models can be promoted with digital platforms and architectures for Industry 4.0 and Society 5.0. Therefore, products from the sector of healthcare, manufacturing and energy, etc. can increase in value. The adaptive integrated digital architecture framework (AIDAF) for Industry 4.0 and the design thinking approach is expected to promote and implement the digital platforms and digital products for healthcare, manufacturing and energy communities more efficiently. In this paper, we propose various cases of digital transformation where digital platforms and products are designed and evaluated for digital IT, digital manufacturing and digital healthcare with Industry 4.0 and Society 5.0. The vision of AIDAF applications to perform digital transformation in global companies is explained and referenced, extended toward the digitalized ecosystems such as Society 5.0 and Industry 4.0.
Acting like a startup - using corporate startup structures to manage the digital transformation
(2023)
Digital transformation is proving to be a significant challenge for firms and companies when it comes to maintaining their market position. It is evident that many companies are struggling to find their particular way through this transformation. A corporate startup structure is one way to find a suitable solution quickly. Therefore, we are presenting a model for corporate startup activities, which we will instantiate in an appropriate tool to support the management of corporate startups by their parent firms. We have derived the first requirements and design principles from a comprehensive problem analysis and literature study. In addition to this,we are presenting a first artifact, which should realize the design principles by implementing a practical tool. Forming a cooperation with an automotive firm has enabled us to gain access to real-world data for the design and evaluation of the artifact.
There are indicators we are entering a new era for MTM research, by moving beyond the structural approach that has characterized MTM research to date, to focus on important and under-researched issues, such as the nature of employees’ experiences in an MTM context. Although team research suggests that the experiences of members impact team functioning, these lines of reasoning have not, until recently, made their way to MTM research. To overcome this limitation, this symposium showcases five papers that use a variety of theoretical perspectives, research designs (i.e., qualitative, quantitative), contexts (e.g., healthcare, automotive manufacturer, online panels), methodologies, and analytical methods (i.e., meta-analysis, content/thematic analysis). The symposium focuses on surfacing and advancing unanswered questions that extend theory and can offer fruitful directions for MTM research by examining critical individual and team level outcomes (e.g., individual/team performance, individual counterproductive and organizational citizenship behavior, individual learning, individual turnover intentions, organizational commitment) in the experiences of MTM employees across their teams (e.g., goals, functions, roles). We hope to provide a forum to advance unanswered questions that offer fruitful directions for MTM research.
Motivation
In order to enable context-aware behavior of surgical assistance systems, the acquisition of various information about the current intraoperative situation is crucial. To achieve this, the complex task of situation recognition can be delegated to a specialized system. Consequently, a standardized interface is required for the seamless transfer of the recognized contextual information to the assistance systems, enabling them to adapt accordingly.
Methods
Our group analyzed four medical interface standards to determine their suitability for exchanging intraoperative contextual information. The assessment was based on a harmonized data and service model derived from the requirements of expected context-aware use cases. The Digital Imaging and Communications in Medicine (DICOM) and IEEE 11073 for Service-oriented Device Connectivity (SDC) were identified as the most appropriate standards.
Results
We specified how DICOM Unified Procedure Steps (UPS), can be used to effectively communicate contextual information. We proposed the inclusion of attributes to formalize different granularity levels of the surgical workflow.
Conclusions
DICOM UPS SOP classes can be used for the exchange of intraoperative contextual information between a situation recognition system and surgical assistance systems. This can pave the way for vendor-independent context awareness in the OR, leading to targeted assistance of the surgical team and an improvement of the surgical workflow.
Werkzeugmaschinen sind im Bereich des Maschinen- und Anlagenbau die größte Branche, mit denen auch in Unternehmen anderer Bereiche (z. B. Automobilbau, Aerospace) wesentliche Teile der Bruttowertschöpfung stattfinden. (Destatis, 2022) Das dynamische Verhalten von Werkzeugmaschinen beeinflusst in entscheidendem Maße die Produktivität der Produktionsanlage und die Qualität der darauf erzeugten Werkstücke. Sowohl fremderregte Schwingungen (z. B. Unwucht, Pulsation, periodisch schwankende Prozesskräfte) als auch selbsterregte Schwingungen (z. B. Rattern) führen zu schlechter Qualität der gefertigten Bauteile. Das dynamische Verhalten vonWerkzeugmaschinen wird durch die Masse, Dämpfung und Steifigkeit der einzelnen Komponenten (z. B. Maschinenbett, Ständer, Schlitten) als auch der im Kraftfluss liegenden Fügestellen (z. B. Führungen, Antriebe) beeinflusst. In diesem Beitrag werden die Auswirkungen von konstruktiven Modifikationen der Dämpfung in Gestellbauteilen bezüglich des dynamischen Verhaltens an der Zerspanstelle näher beleuchtet.
Die additive Fertigung hat sich in den vergangenen Jahren wesentlich weiterentwickelt. Dabei wurde die Prozesstechnologie, Anlagen und die Werkstoffe optimiert. Für die industrielle Anwendung auch bei größeren Stückzahlen in der flexiblen Fertigung fehlen noch automatisierte Lösungen für die gesamte Prozesskette. In diesem Beitrag werden Werkzeuge und Technologie für die Reinigung interner Strukturelemente dargestellt.
There have been substantial research efforts for algorithms to improve continuous and automated assessment of various health-related questions in recent years. This paper addresses the deployment gap between those improving algorithms and their usability in care and mobile health applications. In practice, most algorithms require significant and founded technical knowledge to be deployed at home or support healthcare professionals. Therefore, the digital participation of persons in need of health care professionals lacks a usable interface to use the current technological advances. In this paper, we propose applying algorithms taken from research as web-based microservices following the common approach of a RESTful service to bridge the gap and make algorithms accessible to caregivers and patients without technical knowledge and extended hardware capabilities. We address implementation details, interpretation and realization of guidelines, and privacy concerns using our self-implemented example. Also, we address further usability guidelines and our approach to those.
In many cases continuous monitoring of vital signals is required and low intrusiveness is an important requirement. Incorporating monitoring systems in the hospital or home bed could have benefits for patients and caregivers. The objective of this work is the definition of a measurement protocol and the creation of a data set of measurements using commercial and low-cost prototypes devices to estimate heart rate and breathing rate. The experimental data will be used to compare results achieved by the devices and to develop algorithms for feature extraction of vital signals.
The digital twin concept has been widely known for asset monitoring in the industry for a long time. A clear example is the automotive industry. Recently, there has also been significant interest in the application of digital twins in healthcare, especially in genomics in what is known as precision medicine. This work focuses on another medical speciality where digital twins can be applied, sleep medicine. However, there is still great controversy about the fundamentals that constitute digital twins, such as what this concept is based on and how it can be included in healthcare effectively and sustainably. This article reviews digital twins and their role so far in what is known as personalized medicine. In addition, a series of steps will be exposed for a possible implementation of a digital twin for a patient suffering from sleep disorders. For this, artificial intelligence techniques, clinical data management, and possible solutions for explaining the results derived from artificial intelligence models will be addressed.
In recent decades, it can be observed that a steady increase in the volume of tourism is a stable trend. To offer travel opportunities to all groups, it is also necessary to prepare offers for people in need of long-term care or people with disabilities. One of the ways to improve accessibility could be digital technologies, which could help in planning as well as in carrying out trips. In the work presented, a study of barriers was first conducted, which led to selecting technologies for a test setup after analysis. The main focus was on a mobile app with travel information and 360° tours. The evaluation results showed that both technologies could increase accessibility, but some essential aspects (such as usability, completeness, relevance, etc.) need to be considered when implementing them.
What might the attendee be able to do after being in your session?
Our work shows how to connect intra-operative devices via IEEE 11073 Service-oriented Device Connectivity (SDC).
Description of the Problem or Gap
Standardized device communication is essential for interoperability, availability of device data, and therefore for the intelligent operating room (OR) and arising solutions. The SDC standard was developed to make information from medical devices available in a uniform manner and enable interoperability. Existing devices are rarely SDC-capable and need interfaces to be interoperable via SDC.
Methods: What did you do to address the problem or gap?
We conceived an SDC-based architecture consisting of a service provider and service consumer. In our concept, the service provider is connected to the medical device and capable to translate the proprietary protocol of the device into SDC and vice versa. The service consumer is used to request or send information via the SDC protocol to the service provider and can function as a uniform bidirectional interface (e.g. for displaying or controlling). This concept was exemplarily demonstrated with the patient monitor MX800 of Philips to retrieve the device data (e.g. vital parameters) via SDC and partly for the operating light marLED X of KLS Martin Group.
Results: What was the outcome(s) of what you did to address the problem or gap?
The patient monitor MX800 was connected to a Raspberry Pi (RPi) via LAN, on which the service provider is running. The python script on the RPi establishes a connection to the monitor and translates incoming and outgoing messages from the proprietary protocol to SDC and vice versa to/from the service consumer. The service consumer is running on a laptop and acts as a simulation for different kinds of systems that want to get vital parameters or other information from the patient monitor. The operating light marLED X was connected to an RPi via USB-to-RS232. A python script on the RPi establishes a connection to the light and makes it possible via proprietary commands to get information of the light (e.g. status) and to control it (e.g. toggle the light, increment the intensity). A translation to SDC is not integrated yet.
Discussion of Results
Our practical implementation shows that medical devices can be accessed via external connections to get device data and control the device via commands. The example SDC implementation of the patient monitor MX800 makes it possible to request its data via the standardized communication protocol SDC. This is also possible for the operating light marLED X if its proprietary protocol is analyzed to be translatable to/from SDC. This would allow to control the device from an external system, or automatically depending on the status of the ongoing procedure. The advantage is, that existing intra-operative devices can be extended by a service provider which is capable of translating the proprietary protocol of the device in SDC and vice versa. This enables interoperability and an intelligent OR that, for example, is aware of all devices, their status, and data and can use this information to optimally support the surgeons and their team (e.g. provision of information, automated documentation). This interoperability allows that future innovations merely need to understand the SDC protocol instead of all vendor-dependent communication protocols.
Conclusion
Standardized device communication is essential to reach interoperability, and therefore intelligent ORs. Our contribution addresses the possibility of subsequently making medical devices SDC-capable. This may eliminate the need of understanding all the different proprietary protocols when developing new innovative solutions for the OR.
Gamification is one of the recognized methods of motivating people in various life processes, and it has spread to many spheres of life, including healthcare. This article proposes a system design for long-term care patients using the method mentioned. The proposed system aims to increase patient engagement in the treatment and rehabilitation process via gamification. Literature research on available and earlier proposed systems was conducted to develop a suited system design. The primary target group includes bedridden patients and a sedentary lifestyle (predominantly lying in bed). One of the main criteria for selecting a suitable option was its contactless realization for the mentioned target groups in long-term care cases. As a result, we developed the system design for hardware and software that could prevent bedsores and other health problems from occurring because of low activity. The proposed design can be tested in hospitals, nursing homes, and rehabilitation centers.
Personalized remote healthcare monitoring is in continuous development due to the technology improvements of sensors and wearable electronic systems. A state of the art of research works on wearable sensors for healthcare applications is presented in this work. Furthermore, a state of the art of wearable devices, chest and wrist band and smartwatches available on the market for health and sport monitoring is presented in this paper. Many activity trackers are commercially available. The prices are continuously reducing and the performances are improving, but commercial devices do not provide raw data and are therefore not useful for research purposes.
The hearing contact lens® (HCL) is a new type of hearing aid devices. One of its main components is a piezo-electric actuator. In order to evaluate and maximize the HCL’s performance, a model of the HCL coupled to the middle ear was developed using finite element approach. The model was validated step by step starting with the HCL only. To validate the HCL model, vibrational measurements on the HCL were performed using a Laser-Doppler-Vibrometer (LDV). Then, a silicone cap was placed onto the HCL to provide an interface between the HCL and the tympanic membrane of the middle-ear model and additional LDV measurements on temporal bones were performed to validate the coupled model. The coupled model was used to evaluate the equivalent sound pressure of the HCL. Moreover, a deeper insight was gained into the contact between the HCL and tympanic membrane and its effects on the HCL performance. The model can be used to investigate the sensitivity of geometrical and material parameters with respect to performance measures of the HCL and evaluate the feedback behavior.
Simulation models of the middle ear have rarely been used for diagnostic purposes due to their limited predictive ability with respect to pathologies. One big challenge is the large uncertainty and ambiguity in the choice of material parameters of the model.
Typically, the model parameters are determined by fitting simulation results to validation measurements. In a previous study, it was shown that fitting the model parameters of a finite-element model using the middle-ear transfer function and various other measurable output variables from normal ears alone is not sufficient to obtain a good predictive ability of the model on pathological middle-ear conditions. However, the inclusion of validation measurements on one pathological case resulted in a very good predictive ability also for other pathological cases. Although the found parameter set was plausible in all aspects, it was not yet possible to draw conclusions about the uniqueness and the accuracy or the uncertainty of the parameter set.
To answer these questions, statistical solution approaches are used in this study. Using the Monte Carlo method, a large number of plausible model data sets are generated that correctly represent the normal and pathological middle-ear characteristics in terms of various output variables like e.g., impedance, reflectance, umbo, and stapes transfer function. Subsequent principal component analyses (PCA) allow to draw conclusions about correlations, quantitative limits and statistical density of parameter values.
Furthermore, applying inverse PCA yields numerous plausible parameterizations of the middle-ear model, which can be used for data augmentation and training of a neural network which is capable of distinguishing between a normal middle ear and pathologies like otosclerosis, malleus fixation, and disarticulation based on objectively measured quantities like impedance, reflectance, and umbo velocity.
In order to evaluate the performance of different stapes prosthesis types, a coupled finite element (FE) model of human ear was developed. First, the middle-ear FE model was developed and validated using the middle-ear transfer function measurements available in literature including pathological cases. Then, the inner-ear FE model was developed and validated using tonotopy, impedance, and level of cochlea amplification curves from literature. Both models are based on pre-existing research with some improvements and were combined into one coupled FE model. The stapes in the coupled FE ear model was replaced with a model of a stapes prosthesis to create a reconstructed ear model that can be used to estimate how different types of protheses perform relative to each other as well as to the natural ear. This will help in designing of new innovative types of stapes prostheses or any other type of middle-ear prostheses as well as to improve the ones that are already available on the market.
Public transport causes in rural areas high costs per passenger and kilometer as the frequency of scheduled busses is low and therefore, many people avoid using public transport. With the trend of moving from urban regions to countryside individual traffic will further increase. To tackle issues of emissions, mobility for young and elderly people and provide economically meaningful public transport a new concept was elaborated in Germany. This consists of (partly) autonomous shuttle busses which are remote controlled. For implementation rural districts of Germany have worked together and set up a three-phase plan consisting of a project with public funding, a highly frequent used pilot region and industrial partners with the commitment and possibilities for necessary investments. The concept promises economical value with respect to installation, service and maintaining costs, it leads to lower barriers for public transport of young and elderly people and ultimately reduces emissions and congestions.