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OR-Pad - Entwicklung eines Prototyps zur sterilen Informationsanzeige am OP-Situs : meeting abstract
(2019)
Hintergrund: Oftmals werden Informationen aus der Krankenakte oder von Bildgebungsverfahren nur auf recht weit vom Operationsgebiet entfernten Monitoren, außerhalb der ergonomischen Sichtachse des Operateurs, dargestellt. Dies führt dazu, dass relevante Informationen übersehen werden oder ihr Informationspotenzial nicht ausgeschöpft werden kann. In Papierform mitgenommene Notizen befinden sich während der OP außerhalb des sterilen Bereichs und sind dadurch für den Operateur nicht ohne Weiteres zugänglich. Auch bei intraoperativen Einträgen für die OP Dokumentation ist der Operateur auf die Mithilfe der Assistenz angewiesen. Durch die zusätzlichen Kommunikationswege entstehen dabei ein personeller und zeitlicher Mehraufwand und das Fehlerpotenzial nimmt zu. Das anwendungsorientierte Forschungsprojekt OR-Pad - Nutzung von portablen Informationsanzeigen im Operationssaal - soll dem Operateur zu einem verbesserten Informationsfluss verhelfen. Die Idee entstand aus der klinischen Routine der Anatomie und Urologie des Universitätsklinikums Tübingen und wird nun durch Fördermittel vom Ministerium für Wissenschaft, Forschung und Kunst Baden-Württemberg sowie vom Europäischen Fonds für regionale Entwicklung an der Hochschule Reutlingen zu einem High Fidelity-Prototypen weiterentwickelt.
Ziel: Ziel des OR-Pad Projekts ist es, während einer OP zum aktuellen Zeitpunkt klinisch relevante Informationen in unmittelbarer Nähe zum Operateur darzustellen. Mithilfe des Systems soll der Informationsfluss zwischen dem Eingriff sowie dessen Vor- und Nachbereitung optimiert werden. Der Operateur soll vorab relevante Informationen, wie aktuelle Röntgenbilder oder persönliche Notizen, zur intraoperativen Anzeige auswählen können, die dann am OP-Situs auf einer sterilen Informationsanzeige dargestellt werden. Durch die Positionierung soll eine ergonomische Sichtachse sowie die direkte Interaktion mit dem System ermöglicht werden. Kontextrelevante Informationen sollen basierend auf dem aktuellen OP-Verlauf durch die Entwicklung einer Situationserkennung automatisch bereitgestellt werden. Zur Optimierung des Informationsflusses gehört ebenfalls die Unterstützung der OP-Dokumentation. Für diese sollen während des Eingriffs manuell vom Operateur sowie automatisch vom System Einträge, wie Zeitpunkte oder intraoperative Aufnahmen, erstellt werden. Aus diesen soll nach dem Eingriff die OP-Dokumentation generiert und damit der Prozess qualitativer und zeiteffizienter gestaltet werden.
Methodik: Zur Erreichung des Ziels werden zunächst die klinischen Anforderungen spezifiziert und in ein Lastenheft überführt. Hierfür werden Interviews und Beobachtungen bei mehreren Interventionen durchgeführt. Nach dem User-Centered-Designprozess werden Personas und Nutzungsszenarien entworfen und mit klinischen Projektpartnern in mehreren Iterationen evaluiert. Es gilt eine Informationsarchitektur aufzubauen, die eine Einbettung klinischer Informationssysteme sowie Bild- und Gerätedaten aus dem OP-Netzwerk erlaubt. Eine Situationserkennung, basierend auf Prozessmodellen, soll zur Abschätzung des Operationsfortschritts entwickelt werden. Zur Befestigung der Informationsanzeige sollen geeignete Haltemechanismen eingesetzt werden. Das OR-Pad System soll laufend im Lehr- und Forschungs-OP der Hochschule Reutlingen getestet und im Sinne agiler Produktentwicklung mit den klinischen Projektpartnern abgestimmt werden. Der finale Funktionsprototyp soll abschließend in den Versuchs-OPs der Anatomie Tübingen getestet und evaluiert werden.
Ergebnisse: Über eine erste Datenerhebung mittels Contextual Inquiry konnten erste Anforderungen an das OR-Pad System erfasst werden, woraus ein Low-Fidelity-Prototyp resultierte. Die Evaluation über Experteninterviews führte in die zweite Iteration, in der das Konzept entsprechend der Ergebnisse angepasst wurde. Über Hospitationen am Uniklinikum Tübingen fand eine weitere Datenerhebung zur Erstellung von Szenarien für die intraoperativen Anwendungsfälle statt. Anhand der Anforderungen wurde ein Konzept für die Benutzerschnittstelle entworfen, die im weiteren Verlauf mit den klinischen Projektpartnern evaluiert wird.
This paper presents a concurrency control mechanism that does not follow a ‘one concurrency control mechanism fits all needs’ strategy. With the presented mechanism a transaction runs under several concurrency control mechanisms and the appropriate one is chosen based on the accessed data. For this purpose, the data is divided into four classes based on its access type and usage (semantics). Class O (the optimistic class) implements a first-committer-wins strategy, class R (the reconciliation class) implements a first-n-committers-win strategy, class P (the pessimistic class) implements a first reader-wins strategy, and class E (the escrow class) implements a firsnreaderswin strategy. Accordingly, the model is called OjRjPjE. Under this model the TPC-C benchmark outperforms other CC mechanisms like optimistic Snapshot Isolation.
This paper presents a concurrency control mechanism that does not follow a "one concurrency control mechanism fits all needs" strategy. With the presented mechanism a transaction runs under several concurrency control mechanisms and the appropriate one is chosen based on the accessed data. For this purpose, the data is divided into four classes based on its access type and usage (semantics). Class O (the optimistic class) implements a first-committer-wins strategy, class R (the reconciliation class) implements a first-n-committers-win strategy, class P (the pessimistic class) implements a first-reader-wins strategy, and class E (the escrow class) implements a first-n-readers-win strategy. Accordingly, the model is called OjRjPjE. The selected concurrency control mechanism may be automatically adapted at run-time according to the current load or a known usage profile. This run-time adaptation allows OjRjPjE to balance the commit rate and the response time even under changing conditions. OjRjPjE outperforms the Snapshot Isolation concurrency control in terms of response time by a factor of approximately 4.5 under heavy transactional load (4000 concurrent transactions). As consequence, the degree of concurrency is 3.2 times higher.
This thesis studies concurrency control and composition of transactions in computing environments with long living transactions where local data autonomy of transactions is indispensable. This kind of computing architecture is referred to as a Disconnected System where reads are segregated -disconnected- from writes enabling local data autonomy. Disconnecting reads from writes is inspired by Bertrand Meyer's "Command Query Separation" pattern. This thesis provides a simple yet precise definition for a Disconnected System with a focus on transaction management. Concerning concurrency control, transaction management frameworks implement a'one concurrency control mechanism fits all needs strategy'. This strategy, however, does not consider specific characteristics of data access. The thesis shows the limitations of this strategy if transaction load increases, transactions are long lived, local data autonomy is required, and serializability is aimed at isolation level. For example, in optimistic mechanisms the number of aborts suddenly increases if load increases. In pessimistic mechanisms locking causes long blocking times and is prone to deadlocks. These findings are not new and a common solution used by database vendors is to reduce the isolation. This thesis proposes the usage of a novel approach. It suggests choosing the concurrency control mechanism according to the semantics of data access of a certain data item. As a result a transaction may execute under several concurrency control mechanisms. The idea is to introduce lanes similar to a motorway where each lane is dedicated to a certain class of vehicle with the same characteristics. Whereas disconnecting reads and writes sets the traffic's direction, the semantics of data access defines the lanes. This thesis introduces four concurrency control classes capturing the semantics of data access and each of them has an associated tailored concurrency control mechanism. Class O (the optimistic class) implements a first-committer-wins strategy, class R (the reconciliation class) implements a first-n-committers-win strategy, class P (the pessimistic class) implements a first-reader-wins strategy, and class E (the escrow class) implements a first-n-readers-win strategy. In contrast to solutions that adapt the concurrency control mechanism during runtime, the idea is to classify data during the design phase of the application and adapt the classification only in certain cases at runtime. The result of the thesis is a transaction management framework called O|R|P|E. A performance study based on the TPC-C benchmark shows that O|R|P|E has a better performance and a considerably higher commit rate than other solutions. Moreover, the thesis shows that in O|R|P|E aborts are due to application specific limitations, i.e., constraint violations and not due to serialization conflicts. This is a result of considering the semantics.
To assess the quality of a person’s sleep, it is essential to examine the sleep behaviour by identifying the several sleep stages, their durations and sleep cycles. The established and gold standard procedure for sleep stage scoring is overnight polysomnography (PSG) with the Rechtschaffen and Kales (R-K) method. Unfortunately, the conduct of PSG is time-consuming and unfamiliar for the subjects and might have an impact of the recorded data. To avoid the disadvantages with PSG, it is important to make further investigations in low-cost home diagnostic systems. For this intention it is necessary to find suitable bio vital parameters for classifying sleep stages without any physical impairments at the same time. Due to the promising results in several publications we want to analyse existing methods for sleep stage classification based on the parameters body movement,
heartbeat and respiration. Our aim was to find different behaviour patterns in the several sleep stages. Therefore, the average values of 15 whole-night PSG recordings -obtained from the ‘DREAMS
Subjects Database’- where analysed in the light of heartbeat, body movement and respiration with 10 different methods.
Public transport maps are typically designed in a way to support route finding tasks for passengers while they also provide an overview about stations, metro lines, and city-specific attractions. Most of those maps are designed as a static representation, maybe placed in a metro station or printed in a travel guide. In this paper we describe a dynamic, interactive public transport map visualization enhanced by additional views for the dynamic passenger data on different levels of temporal granularity. Moreover, we also allow extra statistical information in form of density plots, calendar-based visualizations, and line graphs. All this information is linked to the contextual metro map to give a viewer insights into the relations between time points and typical routes taken by the passengers. We illustrate the usefulness of our interactive visualization by applying it to the railway system of Hamburg in Germany while also taking into account the extra passenger data. As another indication for the usefulness of the interactively enhanced metro maps we conducted a user experiment with 20 participants.
The Seventh International Conferences on Pervasive Patterns and Applications (PATTERNS 2015), held between March 22-27, 2015 in Nice, France, continued a series of events targeting the application of advanced patterns, at-large. In addition to support for patterns and pattern processing, special categories of patterns covering ubiquity, software, security, communications, discovery and decision were considered. It is believed that patterns play an important role on cognition, automation, and service computation and orchestration areas. Antipatterns come as a normal output as needed lessons learned.
We present a multitask network that supports various deep neural network based pedestrian detection functions. Besides 2D and 3D human pose, it also supports body and head orientation estimation based on full body bounding box input. This eliminates the need for explicit face recognition. We show that the performance of 3D human pose estimation and orientation estimation is comparable to the state-of-the-art. Since very few data sets exist for 3D human pose and in particular body and head orientation estimation based on full body data, we further show the benefit of particular simulation data to train the network. The network architecture is relatively simple, yet powerful, and easily adaptable for further research and applications.
We investigated the influence of body shape and pose on the perception of physical strength and social power for male virtual characters. In the first experiment, participants judged the physical strength of varying body shapes, derived from a statistical 3D body model. Based on these ratings, we determined three body shapes (weak, average, and strong) and animated them with a set of power poses for the second experiment. Participants rated how strong or powerful they perceived virtual characters of varying body shapes that were displayed in different poses. Our results show that perception of physical strength was mainly driven by the shape of the body. However, the social attribute of power was influenced by an interaction between pose and shape. Specifically, the effect of pose on power ratings was greater for weak body shapes. These results demonstrate that a character with a weak shape can be perceived as more powerful when in a high-power pose.
Perceptual integration of kinematic components in the recognition of emotional facial expressions
(2018)
According to a long-standing hypothesis in motor control, complex body motion is organized in terms of movement primitives, reducing massively the dimensionality of the underlying control problems. For body movements, this low dimensional organization has been convincingly demonstrated by the learning of low-dimensional representations from kinematic and EMG data. In contrast, the effective dimensionality of dynamic facial expressions is unknown, and dominant analysis approaches have been based on heuristically defined facial ‘‘action units,’’ which reflect contributions of individual face muscles. We determined the effective dimensionality of dynamic facial expressions by learning of a low dimensional model from 11 facial expressions. We found an amazingly low dimensionality with only two movement primitives being sufficient to simulate these dynamic expressions with high accuracy. This low dimensionality is confirmed statistically, by Bayesian model comparison of models with different numbers of primitives, and by a psychophysical experiment that demonstrates that expressions, simulated with only two primitives, are indistinguishable from natural ones.
In addition, we find statistically optimal integration of the emotion information specified by these primitives in visual perception. Taken together, our results indicate that facial expressions might be controlled by a very small number of independent control units, permitting very low dimensional parametrization of the associated facial expression.