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Background
Although teledermatology has been proven internationally to be an effective and safe addition to the care of patients in primary care, there are few pilot projects implementing teledermatology in routine outpatient care in Germany. The aim of this cluster randomized controlled trial was to evaluate whether referrals to dermatologists are reduced by implementing a store-and-forward teleconsultation system in general practitioner practices.
Methods
Eight counties were cluster randomized to the intervention and control conditions. During the 1-year intervention period between July 2018 and June 2019, 46 general practitioner practices in the 4 intervention counties implemented a store-and-forward teledermatology system with Patient Data Management System interoperability. It allowed practice teams to initiate teleconsultations for patients with dermatologic complaints. In the four control counties, treatment as usual was performed. As primary outcome, number of referrals was calculated from routine health care data. Poisson regression was used to compare referral rates between the intervention practices and 342 control practices.
Results
The primary analysis revealed no significant difference in referral rates (relative risk = 1.02; 95% confidence interval = 0.911–1.141; p = .74). Secondary analyses accounting for sociodemographic and practice characteristics but omitting county pairing resulted in significant differences of referral rates between intervention practices and control practices. Matched county pair, general practitioner age, patient age, and patient sex distribution in the practices were significantly related to referral rates.
Conclusions
While a store-and-forward teleconsultation system was successfully implemented in the German primary health care setting, the intervention's effect was superimposed by regional factors. Such regional factors should be considered in future teledermatology research.
Die Informatics Inside ist seit über 13 Jahren ein fester Bestandteil des akademischen Jahres an der Fakultät für Informatik der Hochschule Reutlingen. Die Konferenz wird von Studierenden des Masterstudiengangs Human-Centered Computing selbstständig organisiert und bildet einen wichtigen Teil der wissenschaftlichen Ausbildung. Die Studierenden haben ihre Themen selbst gewählt und nicht selten sind es Fragen, die sie bereits durch das ganze Studium begleiten. Sie bereiten diese im Format einer wissenschaftlichen Ausarbeitung auf, wobei Inhalt, Vollständigkeit und Nachvollziehbarkeit entscheidende Faktoren sind. Die Ergebnisse dieser vertieften Auseinandersetzung mit relevanten Anwendungsthemen der Informatik können Sie in diesem Tagungsband nachlesen. Die Anwendungsdomänen reichen von der Medizin über Wirtschaft bis zu den Medien. Dabei werden aktuelle Fragestellungen des menschzentrierten Einsatzes von künstlicher Intelligenz, Softwaretechnik, Datenanalyse und Kommunikation sowie der digitalen Transformation behandelt. Es wird deutlich, dass der Nutzen von IT-Lösungen für den Menschen im Mittelpunkt der Veranstaltung steht. Das Motto der Veranstaltung „IT´s Future“ ist Programm und macht die Relevanz der Informatik für alle Lebensbereiche sowie die zukünftige Innovations- und Wettbewerbsfähigkeit von Industrie und Forschung deutlich.
Physicians in interventional radiology are exposed to high physical stress. To avoid negative long-term effects resulting from unergonomic working conditions, we demonstrated the feasibility of a system that gives feedback about unergonomic
situations arising during the intervention based on the Azure Kinect camera. The overall feasibility of the approach could be shown.
In our initial DaMoN paper, we set out the goal to revisit the results of “Starring into the Abyss [...] of Concurrency Control with [1000] Cores” (Yu in Proc. VLDB Endow 8: 209-220, 2014). Against their assumption, today we do not see single-socket CPUs with 1000 cores. Instead, multi-socket hardware is prevalent today and in fact offers over 1000 cores. Hence, we evaluated concurrency control (CC) schemes on a real (Intel-based) multi-socket platform. To our surprise, we made interesting findings opposing results of the original analysis that we discussed in our initial DaMoN paper. In this paper, we further broaden our analysis, detailing the effect of hardware and workload characteristics via additional real hardware platforms (IBM Power8 and 9) and the full TPC-C transaction mix. Among others, we identified clear connections between the performance of the CC schemes and hardware characteristics, especially concerning NUMA and CPU cache. Overall, we conclude that no CC scheme can efficiently make use of large multi-socket hardware in a robust manner and suggest several directions on how CC schemes and overall OLTP DBMS should evolve in future.
Current data-intensive systems suffer from scalability as they transfer massive amounts of data to the host DBMS to process it there. Novel near-data processing (NDP) DBMS architectures and smart storage can provably reduce the impact of raw data movement. However, transferring the result-set of an NDP operation may increase the data movement, and thus, the performance overhead. In this paper, we introduce a set of in-situ NDP result-set management techniques, such as spilling, materialization, and reuse. Our evaluation indicates a performance improvement of 1.13 × to 400 ×.
For a long time, most discrete accelerators have been attached to host systems using various generations of the PCI Express interface. However, with its lack of support for coherency between accelerator and host caches, fine-grained interactions require frequent cache-flushes, or even the use of inefficient uncached memory regions. The Cache Coherent Interconnect for Accelerators (CCIX) was the first multi-vendor standard for enabling cache-coherent host-accelerator attachments, and already is indicative of the capabilities of upcoming standards such as Compute Express Link (CXL). In our work, we compare and contrast the use of CCIX with PCIe when interfacing an ARM-based host with two generations of CCIX-enabled FPGAs. We provide both low-level throughput and latency measurements for accesses and address translation, as well as examine an application-level use-case of using CCIX for fine-grained synchronization in an FPGA-accelerated database system. We can show that especially smaller reads from the FPGA to the host can benefit from CCIX by having roughly 33% shorter latency than PCIe. Small writes to the host have a latency roughly 32% higher than PCIe, though, since they carry a higher coherency overhead. For the database use-case, the use of CCIX allowed to maintain a constant synchronization latency even with heavy host-FPGA parallelism.
Even though near-data processing (NDP) can provably reduce data transfers and increase performance, current NDP is solely utilized in read-only settings. Slow or tedious to implement synchronization and invalidation mechanisms between host and smart storage make NDP support for data-intensive update operations difficult. In this paper, we introduce a low-latency cache-coherent shared lock table for update NDP settings in disaggregated memory environments. It utilizes the novel CCIX interconnect technology and is integrated in neoDBMS, a near-data processing DBMS for smart storage. Our evaluation indicates end-to-end lock latencies of ∼80-100ns and robust performance under contention.
Hybrid project management is an approach that combines traditional and agile project management techniques. The goal is to benefit from the strengths of each approach, and, at the same time avoid the weaknesses. However, due to the variety of hybrid methodologies that have been presented in the meantime, it is not easy to understand the differences or similarities of the methodologies, as well as, the advantages or disadvantages of the hybrid approach in general. Additionally, there is only fragmented knowledge about prerequisites and success factors for successfully implementing hybrid project management in organizations. Hence, the aim of this study is to provide a structured overview of the current state of research regarding the topic. To address this aim, we have conducted a systematic literature review focusing on a set of specific research questions. As a result, four different hybrid methodologies are discussed, as well as, the definition, benefits, challenges, suitability and prerequisites of hybrid project management. Our study contributes to knowledge by synthesizing and structuring prior work in this growing area of research, which serves as a basis for purposeful and targeted research in the future.
The paper describes how eye-tracking can be used to explore electronic patient records (EPR) in a sterile environment. As an information display, we used a system that we developed for the presentation of patient data and for supporting surgical hand disinfection. The eye-tracking was performed using the Tobii Eye Tracker 4C, and the connection between the eye-tracker and the HTML website was realized using the Tobii EyeX Chrome Extension. Interactions with the EPR are triggered by fixations of icons. The interaction was working as intended, but test persons reported a high mental load while using the system.
Ultra wideband real-time locating system for tracking people and devices in the operating room
(2022)
Position tracking within the OR could be one possible input for intraoperative situation recognition. Our approach demonstrates a Real-time Locating System (RTLS) using the Ultra Wideband (UWB) technology to determine the position of people or objects. The UWB RTLS was integrated into the research OR at Reutlingen University and the system’s settings were optimized regarding the four factors accuracy, susceptibility to interference, range, and latency. Therefore, different parameters were adapted and the effects on the factors were compared. Goodtracking quality could be achieved under optimal settings. These results indicate that a UWB RTLS is well suited to determine the position of people and devices in our setting. The feasibility of the system needsto be evaluated under real OR conditions.