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Die minimal-invasive Chirurgie (MIC) entwickelt sich durch den Einsatz von medizinischen Robotern wie dem da Vinci System von Intuitive Surgical stetig weiter. Hierdurch kann eine bessere oder gleichwertige Operation bei deutlich geringerer körperlicher Belastung des Operateurs erreicht werden. Dabei entstehen jedoch neue Problemstellungen wie beispielsweise Kollision zwischen Roboterarmen und die benötigte Zeit zum Einrichten einer geeigneten Roboterkonfiguration. Daher ist eine effiziente Vorbereitung und Planung der Interventionen erforderlich. Diese Arbeit präsentiert einen Ansatz für eine verbesserte Planung mit Augmented Reality (AR) und einer Robotik Simulationssoftware (RS). Die Robotik Simulation dient zur Berechnung einer Roboterkonfiguration unter Vorgabe der Port-Positionen. Augmented Reality wird verwendet, um die berechneten Pose in der realen Umgebung zu visualisieren und somit leichter in den Operationssaal zu übertragen.
Putting actions in context: visual action adaptation aftereffects are modulated by social contexts
(2014)
The social context in which an action is embedded provides important information for the interpretation of an action. Is this social context integrated during the visual recognition of an action? We used a behavioural visual adaptation paradigm to address this question and measured participants’ perceptual bias of a test action after they were adapted to one of two adaptors (adaptation after-effect). The action adaptation after effect was measured for the same set of adaptors in two different social contexts. Our results indicate that the size of the adaptation effect varied with social context (social context modulation) although the physical appearance of the adaptors remained unchanged. Three additional experiments provided evidence that the observed social context modulation of the adaptation effect are owed to the adaptation of visual action recognition processes. We found that adaptation is critical for the social context modulation (experiment 2). Moreover, the effect is not mediated by emotional content of the action alone (experiment 3) and visual information about the action seems to be critical for the emergence of action adaptation effects (experiment 4). Taken together these results suggest that processes underlying visual action recognition are sensitive to the social context of an action.
Uncontrolled movement of instruments in laparoscopic surgery can lead to inadvertent tissue damage, particularly when the dissecting or electrosurgical instrument is located outside the field of view of the laparoscopic camera. The incidence and relevance of such events are currently unknown. The present work aims to identify and quantify potentially dangerous situations using the example of laparoscopic cholecystectomy (LC). Twenty-four final year medical students were prompted to each perform four consecutive LC attempts on a well-established box trainer in a surgical training environment following a standardized protocol in a porcine model. The following situation was defined as a critical event (CE): the dissecting instrument was inadvertently located outside the laparoscopic camera’s field of view. Simultaneous activation of the electrosurgical unit was defined as a highly critical event (hCE). Primary endpoint was the incidence of CEs. While performing 96 LCs, 2895 CEs were observed. Of these, 1059 (36.6%) were hCEs. The median number of CEs per LC was 20.5 (range: 1–125; IQR: 33) and the median number of hCEs per LC was 8.0 (range: 0–54, IQR: 10). Mean total operation time was 34.7 min (range: 15.6–62.5 min, IQR: 14.3 min). Our study demonstrates the significance of CEs as a potential risk factor for collateral damage during LC. Further studies are needed to investigate the occurrence of CE in clinical practice, not just for laparoscopic cholecystectomy but also for other procedures. Systematic training of future surgeons as well as technical solutions address this safety issue.
Context: An experiment-driven approach to software product and service development is gaining increasing attention as a way to channel limited resources to the efficient creation of customer value. In this approach, software capabilities are developed incrementally and validated in continuous experiments with stakeholders such as customers and users. The experiments provide factual feedback for guiding subsequent development.
Objective: This paper explores the state of the practice of experimentation in the software industry. It also identifies the key challenges and success factors that practitioners associate with the approach.
Method: A qualitative survey based on semi-structured interviews and thematic coding analysis was conducted. Ten Finnish software development companies, represented by thirteen interviewees, participated in the study.
Results: The study found that although the principles of continuous experimentation resonated with industry practitioners, the state of the practice is not yet mature. In particular, experimentation is rarely systematic and continuous. Key challenges relate to changing the organizational culture, accelerating the development cycle speed, and finding the right measures for customer value and product success. Success factors include a supportive organizational culture, deep customer and domain knowledge, and the availability of the relevant skills and tools to conduct experiments.
Conclusions: It is concluded that the major issues in moving towards continuous experimentation are on an organizational level; most significant technical challenges have been solved. An evolutionary approach is proposed as a way to transition towards experiment-driven development.
Real Time Charging (RTC) applications that reside in the telecommunications domain have the need for extremely fast database transactions. Today´s providers rely mostly on in-memory databases for this kind of information processing. A flexible and modular benchmark suite specifically designed for this domain provides a valuable framework to test the performance of different DB candidates. Besides a data and a load generator, the suite also includes decoupled database connectors and use case components for convenient customization and extension. Such easily produced test results can be used as guidance for choosing a subset of candidates for further tuning/testing and finally evaluating the database most suited to the chosen use cases. This is why our benchmark suite can be of value for choosing databases for RTC use cases.
Context: The current situation and future scenarios of the automotive domain require a new strategy to develop high quality software in a fast pace. In the automotive domain, it is assumed that a combination of agile development practices and software product lines is beneficial, in order to be capable to handle high frequency of improvements. This assumption is based on the understanding that agile methods introduce more flexibility in short development intervals. Software product lines help to manage the high amount of variants and to improve quality by reuse of software for long term development.
Goal: This study derives a better understanding of the expected benefits for a combination. Furthermore, it identifies the automotive specific challenges that prevent the adoption of agile methods within the software product line.
Method: Survey based on 16 semi structured interviews from the automotive domain, an internal workshop with 40 participants and a discussion round on ESE congress 2016. The results are analyzed by means of thematic coding.
Reality mining refers to an application of data mining, using sensor data to drive behavioral patterns in the real world. However, research in this field started a decade ago when technology was far behind today's state of the art. This paper discusses which requirements are now posed to applications in the context of reality mining. A survey has shown which sensors are available in state-of-the-art smartphones and usable to gather data for reality mining. As another contribution of this paper, a reality mining application architecture is proposed to facilitate the implementation of such applications. A proof of concept verifies the assumptions made on reality mining and the presented architecture.
This document presents an algorithm for a nonobtrusive recognition of Sleep/Wake states using signals derived from ECG, respiration, and body movement captured while lying in a bed. As a core mathematical base of system data analytics, multinomial logistic regression techniques were chosen. Derived parameters of the three signals are used as the input for the proposed method. The overall achieved accuracy rate is 84% for Wake/Sleep stages, with Cohen’s kappa value 0.46. The presented algorithm should support experts in analyzing sleep quality in more detail. The results confirm the potential of this method and disclose several ways for its improvement.
The recovery of our body and brain from fatigue directly depends on the quality of sleep, which can be determined from the results of a sleep study. The classification of sleep stages is the first step of this study and includes the measurement of vital data and their further processing. The non-invasive sleep analysis system is based on a hardware sensor network of 24 pressure sensors providing sleep phase detection. The pressure sensors are connected to an energy-efficient microcontroller via a system-wide bus. A significant difference between this system and other approaches is the innovative way in which the sensors are placed under the mattress. This feature facilitates the continuous use of the system without any noticeable influence on the sleeping person. The system was tested by conducting experiments that recorded the sleep of various healthy young people. Results indicate the potential to capture respiratory rate and body movement.
At DBKDA 2019, we demonstrated that StrongDBMS with simple but rigorous optimistic algorithms, provides better performance in situations of high concurrency than major commercial database management systems (DBMS). The demonstration was convincing but the reasons for its success were not fully analysed. There is a brief account of the results below. In this short contribution, we wish to discuss the reasons for the results. The analysis leads to a strong criticism of all DBMS algorithms based on locking, and based on these results, it is not fanciful to suggest that it is time to re-engineer existing DBMS.