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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.
Information systems, which support the workflow in the clinical area, are currently limited to organizational processes. This work shows a first approach of an information system supporting all actors in the perioperative area. The first prototype and proof of concept was a task manager, giving all actors information about their task and the task of all other actors during an intervention. Based on this initial task manager, we implemented an information system based on a workflow engine controlling all processes and all information necessary for the intervention. A second part was the development of a perioperative process visualization which was developed based on a user centered approach jointly with clinicians and OR members.
Reliable and accurate car driver head pose estimation is an important function for the next generation of advanced driver assistance systems that need to consider the driver state in their analysis. For optimal performance, head pose estimation needs to be non-invasive, calibration-free and accurate for varying driving and illumination conditions. In this pilot study we investigate a 3D head pose estimation system that automatically fits a statistical 3D face model to measurements of a driver’s face, acquired with a low-cost depth sensor on challenging real-world data. We evaluate the results of our sensor-independent, driver-adaptive approach to those of a state-of-the-art camera-based 2D face tracking system as well as a non-adaptive 3D model relative to own ground-truth data, and compare to other 3D benchmarks. We find large accuracy benefits of the adaptive 3D approach.
SmartLife ecosystems are emerging as intelligent user-centered systems that will shape future trends in technology and communication. Biological metaphors of living adaptable ecosystems provide the logical foundation for self-optimizing and self-healing run-time environments for intelligent adaptable business services and related information systems with service-oriented enterprise architectures. The present research in progress work investigates mechanisms for adaptable enterprise architectures for the development of service-oriented ecosystems with integrated technologies like Semantic Technologies, Web Services, Cloud Computing and Big Data Management. With a large and diverse set of ecosystem services with different owners, our scenario of service-based SmartLife ecosystems can pose challenges in their development, and more importantly, for maintenance and software evolution. Our research explores the use of knowledge modeling using ontologies and flexible metamodels for adaptable enterprise architectures to support program comprehension for software engineers during maintenance and evolution tasks of service-based applications. Our previous reference enterprise architecture model ESARC -- Enterprise Services Architecture Reference Cube -- and the Open Group SOA Ontology was extended to support agile semantic analysis, program comprehension and software evolution for a SmartLife applications scenario. The Semantic Browser is a semantic search tool that was developed to provide knowledge-enhanced investigation capabilities for service-oriented applications and their architectures.
Providing a digital infrastructure, platform technologies foster interfirm collaboration between loosely coupled companies, enabling the formation of ecosystems and building the organizational structure for value co-creation. Despite the known potential, the development of platform ecosystems creates new sources of complexity and uncertainty due to the involvement of various independent actors. For a platform ecosystem to succeed, it is essential that the platform ecosystem participants are aligned, coordinated, and given a common direction. Traditionally, product roadmaps have served these purposes during product development. A systematic mapping study was conducted to better understand how product roadmapping could be used in the dynamic environment of platform ecosystems. One result of the study is that there are hardly any concrete approaches for product roadmapping in platform ecosystems so far. However, many challenges on the topic are described in the literature from different perspectives. Based on the results of the systematic mapping study, a research agenda for product roadmapping in platform ecosystems is derived and presented.
Large critical systems, such as those created in the space domain, are usually developed by a large number of organizations and, furthermore, they have to comply with standards. Yet, the different stakeholders often do not have a common understanding of the needed quality of requirements specifications. Achieving such a common understanding is a laborious process that is currently not sufficiently supported. Moreover, such a common understanding must be aligned with the standards. In this paper, we present an approach that can be used to align the different stakeholder perceptions regarding the quality of requirements specifications. Existing quality models for requirements specifications are analyzed for equivalences, and transferred into a common representation, the so-called Aligned Quality Map (AQM). Furthermore, a process is defined that supports the alignment of different stakeholder perspectives with regard to the quality of requirements specifications using AQM, which is validated in a case study in the context of European space projects. AQM has been created and populated with an initial set of quality models. It is designed in such way that it can be extended to include further quality models. The case study has shown that an alignment of different stakeholder perspectives and the quality model of the European Cooperation for Space Standardization using AQM is feasible. The approach allows for aligning different stakeholder perspectives for a common understanding of the quality of requirements specifications in the context of standards. Furthermore, AQM supports the assessment of requirements specifications.
Enterprises and information societies confront crucial challenges currently, while Industry 4.0 becomes important in the global manufacturing industry and Society 5.0 should contribute to a supersmart society, especially for healthcare. Physical activity monitoring digital platforms are architected to improve the healthcare status of patients with diabetes and other lifestyle-related diseases. Furthermore, digital platforms are expected to generate profits for health technology companies and help control costs in the healthcare ecosystem. However, current digital enterprise architecture approaches are not well-established, and the potentials have not yet been realized. Design thinking approach and agile software development methodologies can overcome these limitations, beginning with proof of concept and pilot projects and then scaling to the production environment. In this paper, we describe how that the adaptive integrated digital architecture framework (AIDAF) for Design Thinking approach is proposed and verified in a case of a university hospital in the Americas. In addition, challenges and future activities for this area are discussed that cover the directions for Society 5.0.
An assessment model to foster the adoption of agile software product lines in the automotive domain
(2018)
A software product line is commonly used for the software development in large automotive organizations. A strategic reuse of software is needed to handle the increasing complexity of the development and to maintain the quality of numerous software variants. However, the development process needs to be continuously adapted at a fast pace to satisfy the changing market demands. Introducing agile software development methods promise the flexibility to react on customers’ change requests and market demands to deliver high quality software. Despite this need, it is still challenging to combine agile software development and product lines. The maturity of an agile adoption is often hard to determine. Assessing the current situation regarding the combination is a first step towards a successful inclusion of agile methods into automotive software product lines. Based on an interview study with 16 participants and a literature review, we build the so-called ASPLA Model allowing self-assessments within the team to determine the current state of agile software development in combination with software product lines. The model comprises seven areas of improvement and recommends a possibility to improve the current status.
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.
While Microservices promise several beneficial characteristics for sustainable long-term software evolution, little empirical research covers what concrete activities industry applies for the evolvability assurance of Microservices and how technical debt is handled in such systems. Since insights into the current state of practice are very important for researchers, we performed a qualitative interview study to explore applied evolvability assurance processes, the usage of tools, metrics, and patterns, as well as participants’ reflections on the topic. In 17 semi-structured interviews, we discussed 14 different Microservice-based systems with software professionals from 10 companies and how the sustainable evolution of these systems was ensured. Interview transcripts were analyzed with a detailed coding system and the constant comparison method.
We found that especially systems for external customers relied on central governance for the assurance. Participants saw guidelines like architectural principles as important to ensure a base consistency for evolvability. Interviewees also valued manual activities like code review, even though automation and tool support was described as very important. Source code quality was the primary target for the usage of tools and metrics. Despite most reported issues being related to Architectural Technical Debt (ATD), our participants did not apply any architectural or service-oriented tools and metrics. While participants generally saw their Microservices as evolvable, service cutting and finding an appropriate service granularity with low coupling and high cohesion were reported as challenging. Future Microservices research in the areas of evolution and technical debt should take these findings and industry sentiments into account.
Non-fungible tokens (NFTs) are unique digital assets that have recently gained significant popularity, particularly in the digital art sector. The success of NFTs and other blockchain-based innovations depends on their ac-acceptance and use by consumers. This study aims to understand the impact of moral values on the acceptance of NFTs. Based on a quantitative survey with over 800 complete responses, the analysis shows that moral aspects of NFTs are indeed important for potential users. However, there is an attitude-behavior gap, as the positive impact of moral values on the intention to use NFTs is not reflected in the actual current usage of NFTs by the respondents. This study contributes to knowledge by providing new empirical data on the acceptance of NFTs and highlighting the role of moral values on the acceptance decision.
Organizations identified the opportunities of big data analytics to support the business with problem-specific insights through the exploitation of generated data. Sociotechnical solutions are developed in big data projects to reach competitive advantage. Although these projects are aligned to specific business needs, common architectural challenges are not addressed in a comprehensive manner. Enterprise architecture management is a holistic approach to tackle complex business and IT architectures. The transformation of an organization’s EA is influenced by big data transformation processes and their data-driven approach on all layers. In this paper, we review big data literature to analyze which requirements for the EA management discipline are proposed. Based on a systematic literature identification, conceptual categories of requirements for EA management are elicited utilizing an inductive category formation. These conceptual categories of requirements constitute a category system that facilitates a new perspective on EA management and fosters the innovation-driven evolution of the EA management.
discipline.
Combining agile development and software product lines in automotive: challenges and recommendations
(2018)
Software product lines (SPLs) are used throughout the automotive industry. SPLs help to manage the large number of variants and to improve quality by reuse. In order to develop high quality software faster, agile software development (ASD) practices are introduced. From both the research and the management point of view it is still not clear how these two approaches can be combined. We derive recommendations to combine ASD and SPLs based on challenges identified for an automotive specific model. This study combines the outcome of a literature review and a qualitative interview study with 16 practitioners from the automotive domain. We evaluate the results and analyze the relationship between ASD and SPLs in the automotive domain. Furthermore, we derive recommendations to combine ASD and SPLs based on challenges identified in the automotive domain. This study identifies 86 individual challenges. Important challenges address supplier collaboration and faster software release cycles without loss of quality. The identified challenges and the derived recommendations show that the combination of ASD and SPL in the automotive industry is promising but not trivial. There is a need for an automotive-specific approach that combines ASD and SPL.
Due to frequently changing requirements, the internal structure of cloud services is highly dynamic. To ensure flexibility, adaptability, and maintainability for dynamically evolving services, modular software development has become the dominating paradigm. By following this approach, services can be rapidly constructed by composing existing, newly developed and publicly available third-party modules. However, newly added modules might be unstable, resource-intensive, or untrustworthy. Thus, satisfying non-functional requirements such as reliability, efficiency, and security while ensuring rapid release cycles is a challenging task. In this paper, we discuss how to tackle these issues by employing container virtualization to isolate modules from each other according to a specification of isolation constraints. We satisfy non-functional requirements for cloud services by automatically transforming the modules comprised into a container-based system. To deal with the increased overhead that is caused by isolating modules from each other, we calculate the minimum set of containers required to satisfy the isolation constraints specified. Moreover, we present and report on a prototypical transformation pipeline that automatically transforms cloud services developed based on the Java Platform Module System into container-based systems.
Rapid value delivery requires a company to utilize empirical evaluation of new features and products in order to avoid unnecessary product risks. This helps to make data-driven decisions and to ensure that the development is focused on features that provide real value for customers. Short feedback loops are a prerequisite as they allow for fast learning and reduced reaction times. Continuous experimentation is a development practice where the entire R&D process is guided by constantly conducting experiments and collecting feedback. Although principles of continuous experimentation have been successfully applied in domains such as game software or SAAS, it is not obvious how to transfer continuous experimentation to the business to-business domain. In this article, a case study from a medium-sized software company in the B2B domain is presented. The study objective is to analyze the challenges, benefits and organizational aspects of continuous experimentation in the B2B domain. The results suggest that technical challenges are only one part of the challenges a company encounters in this transition. The company also has to address challenges related to the customer and organizational culture. Unique properties in each customers business play a major role and need to be considered when designing experiments. Additionally, the speed by which experiments can be conducted is relative to the speed by which production deployments can be made. Finally, the article shows how the study results can be used to modify the development in the case company in a way that more feedback and data is used instead of opinions.
In networked operating room environments, there is an emerging trend towards standardized non-proprietary communication protocols which allow to build new integration solutions and flexible human-machine interaction concepts. The most prominent endeavor is the IEEE 11073 SDC protocol. For some uses cases, it would be helpful if not just medical devices could be controlled based on SDC, but also building automation systems like light, shutters, air condition, etc. For those systems, the KNX protocol is widely used. We build an SDC-to-KNX gateway which allows to use the SDC protocol for sending commands to connected KNX devices. The first prototype system was successfully implemented at the demonstration operating room at Reutlingen University. This is a first step toward the integration of a broader variety of KNX devices.
This work is a report on practical experiences with the issue of interoperability in German practice management systems (PMSs) from an ongoing clinical trial on teledermatology, the TeleDerm project. A proprietary and established web-platform for store-and-forward telemedicine is integrated with the IT in the GPs’ offices for automatic exchange of basic patient data. Most of the 19 different PMSs included in the study sample lack support of modern health data exchange standards, therefore the relatively old but widely available German health data exchange interface “Gerätedatentransfer” (GDT) is used. Due to the lack of enforcement and regulation of the GDT standard, several obstacles to interoperability are encountered. As a partial, but reusable working solution to cope with these issues, we present a custom middleware which is used in conjunction with GDT. We describe the design, technical implementation and observed hindrances with the existing infrastructure. A discussion on health care interfacing standards and the current state of interoperability in German PMS software is given.
In the present tutorial we perform a cross-cut analysis of database systems from the perspective of modern storage technology, namely Flash memory. We argue that neither the design of modern DBMS, nor the architecture of flash storage technologies are aligned with each other. The result is needlessly suboptimal DBMS performance and inefficient flash utilisation as well as low flash storage endurance and reliability. We showcase new DBMS approaches with improved algorithms and leaner architectures, designed to leverage the properties of modern storage technologies. We cover the area of transaction management and multi-versioning, putting a special emphasis on: (i) version organisation models and invalidation mechanisms in multi-versioning DBMS; (ii) Flash storage management especially on append-based storage in tuple granularity; (iii) Flash-friendly buffer management; as well as (iv) improvements in the searching and indexing models. Furthermore, we present our NoFTL approach to native Flash access that integrates parts of the flash-management functionality into the DBMS yielding significant performance increase and simplification of the I/O stack. In addition, we cover the basics of building large Flash storage for DBMS and revisit some of the RAID techniques and principles.
Digitization fosters the development of IT environments with many rather small structures, like Internet of Things (IoT), microservices, or mobility systems. They are needed to support flexible and agile digitized products and services. The goal is to create service-oriented enterprise architectures (EA) that are self optimizing and resilient. The present research paper investigates methods for decision-making concerning digitization architectures for Internet of Things and microservices. They are based on evolving enterprise architecture reference models and state of the art elements for architectural engineering for microgranular systems. Decision analytics in this field becomes increasingly complex and decision support, particularly for the development and evolution of sustainable enterprise architectures, is sorely needed. The challenging of the decision processes can be supported with in a more flexible and intuitive way by an architecture management cockpit.