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An operation room is a stressful work environment. Nevertheless, all involved persons have to work safely as there is no space for making mistakes. To ensure a high level of concentration and seamless interaction, all involved persons have to know their own tasks and tasks of their colleagues. The entire team must work synchronously at all times. However, the operation room (OR) is a noisy environment and the actors have to set their focus on their work. To optimize the overall workflow, a task manager supporting the team was developed. Each actor is equipped with a client terminal showing a summary of their own tasks. Moreover, a big screen displays all tasks of all actors. The architecture is a distributed system based on a communication framework that supports the interaction of all clients with the task manager. A prototype of the task manager and several clients have been developed and implemented. The system represents a proof-of-concept for further development. This paper describes the concept of the task manager.
Model-guided Therapy and Surgical Workflow Systems are two interrelated research fields, which have been developed separately in the last years. To make full use of both technologies, it is necessary to integrate them and connect them to Hospital Information Systems. We propose a framework for integration of Model-guided Therapy in Hospital Information Systems based on the Electronic Medical Record, and a taskbased Workflow Management System, which is suitable for clinical end users. Two prototypes - one based on Business Process Modeling Language, one based on the serum-board - are presented. From the experience with these prototypes, we developed a novel personalized visualization system for Surgical Workflows and Model-guided Therapy. Key challenges for further development are automated situation detection and a common communication infrastructure.
Many companies practice performance management in the framework of a heterogeneous, grown mix of numerous separate decisions, instruments, processes and systems and not in terms of a strategically and systematically planned management system. Due to the inefficiency of the above mentioned performance management style, a holistic and integrated approach is a key factor. Performance management must be able to meet central objectives and requirements and set the groundwork for long-term corporate success. This article presents a central approach of the conception of holistic and long-term performance management. The five equal part disciplines are illustrated and demonstrate the issue and composition complexity of a performance management due to their characteristics and combination. The objective of this article is to display and communicate the performance management issue and its context through an easily comprehensible system without following a general recipe.
Knowledge transfer is very important to our knowledge-based society and many approaches have been proposed to describe this transfer. However, these approaches take a rather abstract view on knowledge transfer, which makes implementation difficult. In order to address this issue, we introduce a layered model for knowledge transfer that structures the individual steps of knowledge transfer in more detail. This paper gives a description of the process and also an example of the application of the layered model for knowledge transfer. The example is located in the area of business process modelling. Business processes contain the important knowledge describing the procedures of the company to produce products and services. Knowledge transfer is the fundamental basis in the modelling and usage of Business processes, which makes it an interesting use case for the layered model for knowledge transfer.
The recent years and especially the Internet have changed the ways in which data is stored. It is now common to store data in the form of transactions, together with ist creation time-stamp. These transactions can often be attributed to Logical units, e.g., all transactions that belong to one customer. These groups, we refer to them as data sequences, have a more complex structure than tuple-based data. This makes it more difficult to find discriminatory patterns for classification purposes. However, the complex structure potentially enables us to track behaviour and its change over the course of time. This is quite interesting, especially in the e-commerce area, in which classification of a sequence of customer actions is still a challenging task for data miners. However, before standard algorithms such as Decision Trees, Neural Nets, Naive Bayes or Bayesian Belief Networks can be applied on sequential data, preparations are required in order to capture the information stored within the sequences. Therefore, this work presents a systematic approach on how to reveal sequence patterns among data and how to construct powerful features out of the primitive sequence attributes. This is achieved by sequence aggregation and the incorporation of time dimension into the feature construction step. The proposed algorithm is described in detail and applied on a real-life data set, which demonstrates the ability of the proposed algorithm to boost the classification performance of well-known data mining algorithms for binary classification tasks.
Vehicles have been so far improved in terms of energy-efficiency and safety mainly by optimising the engine and the power train. However, there are opportunities to increase energy-efficiency and safety by adapting the individual driving behaviour in the given driving situation. In this paper, an improved rule match algorithm is introduced, which is used in the expert system of a human-centred driving system. The goal of the driving system is to optimise the driving behaviour in terms of energy-efficiency and safety by giving recommendations to the driver. The improved rule match algorithm checks the incoming information against the driving rules to recognise any breakings of a driving rule. The needed information is obtained by monitoring the driver, the current driving situation as well as the car, using in-vehicle sensors and serial-bus systems. On the basis of the detected broken driving rules, the expert system will create individual recommendations in terms of energy-efficiency and safety, which will allow eliminating bad driving habits, while considering the driver needs.
Online credit card fraud presents a significant challenge in the field of eCommerce. In 2012 alone, the total loss due to credit card fraud in the US amounted to $ 54 billion. Especially online games merchants have difficulties applying standard fraud detection algorithms to achieve timely and accurate detection. This paper describes the Special constrains of this domain and highlights the reasons why conventional algorithms are not quite effective to deal with this problem. Our suggested solution for the problem originates from the fields of feature construction joined with the field of temporal sequence data mining. We present Feature construction techniques, which are able to create discriminative features based on a sequence of transaction and are able to incorporate the time into the classification process. In addition to that, a framework is presented that allows for an automated and adaptive change of features in case the underlying pattern is changing.
Intra-operative fluoroscopy-guided assistance system for transcatheter aortic valve implantation
(2014)
A new surgical assistance system has been developed to assist the correct positioning of the AVP during transapical TAVI. The developed assistance system automatically defines the target area for implanting the AVP under live 2-D fluoroscopy guidance. Moreover, this surgical assistance system works with low levels of contrast agent for the final deployment of AVP, reducing therefore long-term negative effects, such as renal failure in the elderly and high-risk patients.
There are several intra-operative use cases which require the surgeon to interact with medical devices. We used the Leap Motion Controller as input device and implemented two use-cases: 2D-Interaction (e.g. advancing EPR data) and selection of a value (e.g. room illumination brightness). The gesture detection was successful and we mapped its output to several devices and systems.
Stent graft visualization and planning tool for endovascular surgery using finite element analysis
(2014)
Purpose: A new approach to optimize stent graft selection for endovascular aortic repair is the use of finite element analysis. Once the finite element model is created and solved, a software module is needed to view the simulation results in the clinical work environment. A new tool for Interpretation of simulation results, named Medical Postprocessor, that enables comparison of different stent graft configurations and products was designed, implemented and tested. Methods Aortic endovascular stent graft ring forces and sealing states in the vessel landing zone of three different configurations were provided in a surgical planning software using the Medical Imaging Interaction Tool Kit (MITK) Software system. For data interpretation, software modules for 2D and 3D presentations were implemented. Ten surgeons evaluated the software features of the Medical Postprocessor. These surgeons performed usability tests and answered questionnaires based on their experience with the system.
Results: The Medical Postprocessor visualization system enabled vascular surgeons to determine the configuration with the highest overall fixation force in 16 ± 6 s, best proximal sealing in 56±24 s and highest proximal fixation force in 38 ± 12 s. The majority considered the multiformat data provided helpful and found the Medical Postprocessor to be an efficient decision support system for stent graft selection. The evaluation of the user interface results in an ISONORMconform user interface (113.5 points).
Conclusion: The Medical Postprocessor visualization Software tool for analyzing stent graft properties was evaluated by vascular surgeons. The results show that the software can assist the interpretation of simulation results to optimize stent graft configuration and sizing.