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Informationstechnische Systeme, die den Arbeitsablauf im klinischen Bereich unterstützen, sind aktuell auf organisatorische Abläufe beschränkt. Diese Arbeit stellt einen ersten Ansatz vor, wie solch ein System in den perioperativen Bereich eingebracht werden kann. Hierzu wurde eine Workflow Engine mit einer perioperativen Prozess-Visualisierung verknüpft. Das System wurde nach Modell-View-Controller-Prinzip implementiert. Als "Controller" kommt die Workflow Engine zum Einsatz; also "Modell" ein Prozessmodell, mit den erforderlichen klinischen Daten. Der "View" wurde durch eine abgekoppelte Anwendung realisiert, welche auf Web-Technologien basiert. Drei Visualisierungen, die Workflow Engine sowie die Anbindung beider über eine Datenbankschnittstelle, wurden erfolgreich umgesetzt. Bei den drei Visualisierungen wurden jeweils eine Ansicht für den OP-Koordinator, den Springer und eine Ansicht für die Übersicht einer OP erstellt.
To bring a pattern-based perspective to the SOA vs. microservices discussion, we qualitatively analyzed a total of 118 SOA patterns from 2 popular catalogs for their (partial) applicability to microservices. Patterns had to hold up to 5 derived microservices principles to be applicable. 74 patterns (63%) were categorized as fully applicable, 30 (25%) as partially applicable, and 14 (12%) as not applicable. Most frequently violated microservices characteristics werde Decentralization and Single System. The findings suggest that microservices and SOA share a large set of architectural principles and solutions in the general space of service-based systems while only having a small set of differences in specific areas.
Data analysis is becoming increasingly important to pursue organizational goals, especially in the context of Industry 4.0, where a wide variety of data is available. Here numerous challenges arise, especially when using unstructured data. However, this subject has not been focused by research so far. This research paper addresses this gap, which is interesting for science and practice as well. In a study three major challenges of using unstructured data has been identified: analytical know-how, data issues, variety. Additionally, measures how to improve the analysis of unstructured data in the industry 4.0 context are described. Therefore, the paper provides empirical insights about challenges and potential measures when analyzing unstructured data. The findings are presented in a framework, too. Hence, next steps of the research project and future research points become apparent.
While driving, stress is caused by situations in which the driver estimates their ability to manage the driving demands as insufficient or loses the capability to handle the situation. This leads to increased numbers of driver mistakes and traffic violations. Additional stressing factors are time pressure, road conditions, or dislike for driving. Therefore, stress affects driver and road safety. Stress is classified into two categories depending on its duration and the effects on the body and psyche: short-term eustress and constantly present distress, which causes degenerative effects. In this work, we focus on distress. Wearable sensors are handy tools for collecting biosignals like heart rate, activity, etc. Easy installation and non-intrusive nature make them convenient for calculating stress. This study focuses on the investigation of stress and its implications. Specifically, the research conducts an analysis of stress within a select group of individuals from both Spain and Germany. The primary objective is to examine the influence of recognized psychological factors, including personality traits such as neuroticism, extroversion, psychoticism, stress and road safety. The estimation of stress levels was accomplished through the collection of physiological parameters (R-R intervals) using a Polar H10 chest strap. We observed that personality traits, such as extroversion, exhibited similar trends during relaxation, with an average heart rate 6% higher in Spain and 3% higher in Germany. However, while driving, introverts, on average, experienced more stress, with rates 4% and 1% lower than extroverts in Spain and Germany, respectively.
This work is a study about a comparison of survey tools and it should help developers in selecting a suited tool for application in an AAL environment. The first step was to identify the basic required functionality of the survey tools used for AAL technologies and to compare these tools by their functionality and assignments. The comparative study was derived from the data obtained, previous literature studies and further technical data. A list of requirements was stated and ordered in terms of relevance to the target application domain. With the help of an integrated assessment method, the calculation of a generalized estimate value was performed and the result is explained. Finally, the planned application of this tool in a running project is explained.
There are several intra-operative use cases which require the surgeon to interact with medical devices. I used the Leap Motion Controller as input device for three use-cases: 2D-interaction (e.g. advancing EPR data), selection of a value (e.g. room illumination brightness) and an application point and click scenario. I evaluated the Palm Mouse as the most suitable gesture solution to coordinate the mouse and advise to use the implementation using all fingers to perform a click. This small case study introduces the implementations and methods that result those recommendations.
In der Medizin existieren verschiedene Reifegradmodelle, die die Digitalisierung von Krankenhäusern unterstützen können. Die Anforderungen an ein Reifegradmodell für diesen Zweck umfassen Aspekte aus allgemeinen und spezifischen Bereichen des Krankenhauses. Die Analyse der Reifegradmodelle HIN, CCMM, EMRAM und O-EMRAM zeigt große Lücken im Bereich des OP sowie fehlende Aspekte in der Notaufnahme auf. Ein umfassendes Reifegradmodell wurde nicht gefunden. Durch eine Kombination aus HIN und CCMM könnten fast alle Bereiche ausreichend abgedeckt werden. Zusätzliche Ergänzungen durch spezialisierte Reifegradmodelle oder sogar die Entwicklung eines umfassenden Reifegradmodells wären sinnvoll.
Fragestellung: Das klinische Standardverfahren und Referenz der Schlafmessung und der Klassifizierung der einzelnen Schlafstadien ist die Polysomnographie (PSG). Alternative Ansätze zu diesem aufwändigen Verfahren könnten einige Vorteile bieten, wenn die Messungen auf eine komfortablere Weise durchgeführt werden. Das Hauptziel dieser Forschung Studie ist es, einen Algorithmus für die automatische Klassifizierung von Schlafstadien zu entwickeln, der ausschließlich Bewegungs- und Atmungssignale verwendet [1].
Patienten und Methoden: Nach der Analyse der aktuellen Forschungsarbeiten haben wir multinomiale logistische Regression als Grundlage für den Ansatz gewählt [2]. Um die Genauigkeit der Auswertung zu erhöhen, wurden vier Features entwickelt, die aus Bewegungs- und Atemsignalen abgeleitet wurden. Für die Auswertung wurden die nächtlichen Aufzeichnungen von 35 Personen verwendet, die von der Charité-Universitätsmedizin Berlin zur Verfügung gestellt wurden. Das Durchschnittsalter der Teilnehmer betrug 38,6 +/– 14,5 Jahre und der BMI lag bei durchschnittlich 24,4 +/– 4,9 kg/m2. Da der Algorithmus mit drei Stadien arbeitet, wurden die Stadien N1, N2 und N3 zum NREM-Stadium zusammengeführt. Der verfügbare Datensatz wurde strikt aufgeteilt: in einen Trainingsdatensatz von etwa 100 h und in einen Testdatensatz mit etwa 160 h nächtlicher Aufzeichnungen. Beide Datensätze wiesen ein ähnliches Verhältnis zwischen Männern und Frauen auf, und der durchschnittliche BMI wies keine signifikante Abweichung auf.
Ergebnisse: Der Algorithmus wurde implementiert und lieferte erfolgreiche Ergebnisse: die Genauigkeit der Erkennung von Wach-/NREM-/REM-Phasen liegt bei 73 %, mit einem Cohen’s Kappa von 0,44 für die analysierten 19.324 Schlafepochen von jeweils 30 s. Die beobachtete gewisse Überschätzung der NREM-Phase lässt sich teilweise durch ihre Prävalenz in einem typischen Schlafmuster erklären. Selbst die Verwendung eines ausbalancierten Trainingsdatensatzes konnte dieses Problem nicht vollständig lösen.
Schlussfolgerungen: Die erreichten Ergebnisse haben die Tauglichkeit des Ansatzes prinzipiell bestätigt. Dieser hat den Vorteil, dass nur Bewegungs- und Atemsignale verwendet werden, die mit weniger Aufwand und komfortabler für Benutzer aufgezeichnet werden können als z. B. Herz- oder EEG-Signale. Daher stellt das neue System eine deutliche Verbesserung im Vergleich zu bestehenden Ansätzen dar. Die Zusammenführung der beschriebenen algorithmischen Software mit dem in [1] beschriebenen Hardwaresystem zur Messung von Atem- und Körperbewegungssignalen zu einem autonomen, berührungslosen System zur kontinuierlichen Schlafüberwachung ist eine mögliche Richtung zukünftiger Arbeiten.
Die Arbeit stellt die Möglichkeiten von 3D-Controllern für den Einsatz in der interventionellen Radiologie und insbesondere für die Steuerung der Echtzeit-Magnetresonanztomographie (MRT) dar. Dies ist interessant in Bezug auf die kontrollierte Navigation in ein Zielgewebe. Dabei kann der Interventionalist durch Echtzeit- Bildgebung den Verlauf des Eingriffs verfolgen, allerdings kann er bisher das MRT während der Durchführung des Eingriffs nicht selbst steuern, da dies durch den Assistenten im Nebenraum erfolgt. Die Kommunikation ist bei dem hohen Geräuschpegel aber sehr schwer. Diese Arbeit setzt an dieser Stelle an und analysiert 3D-Controller auf die Eignung für die Echtzeit-Steuerung eines MRTs. Dabei wurden trackingbasierte und trackinglose Geräte betrachtet. Als Ergebnis ließ sich festhalten, dass trackingbasierte Verfahren weniger geeignet sind, aufgrund der nicht ausreichenden Interpretation der Eingaben. Die trackinglosen Geräte hingegen sind aufgrund der korrekten Interpretation aller Eingaben und der intuitiven Bedienung geeignet.
Requirements Engineering (RE) umfasst sämtliche systematische Schritte zur Entwicklung eines Systems, um die Bedürfnisse der Nutzer und Vorgaben, die an dieses gestellt werden, zu erfüllen. Das RE eines ausgewählten Herstellers für klinische Informationssysteme (KIS) wurde untersucht und es stellt sich als intransparent als auch teilweise unzureichend dar. Das Ausmaß des Einsatzes von systematischen Vorgehensweisen und Methoden zum RE wurden beim ausgewählten KIS-Hersteller analysiert. Die Analyse zeigt, dass RE weit verbreitet ist, aber differenziert betrieben wird.
Das Ziel dieser Arbeit ist es, den Stand der Technik des RE für die KIS Entwicklung zu ermitteln. Es werden wichtige Faktoren des RE für die Entwicklung von KIS beschrieben. Die Ergebnisse dieser Arbeit werden als erster Schritt für die Optimierung des RE des ausgewählten KIS-Herstellers dienen.
This work presents a disconnected transaction model able to cope with the increased complexity of longliving, hierarchically structured, and disconnected transactions. Wecombine an Open and Closed Nested Transaction Model with Optimistic Concurrency Control and interrelate flat transactions with the aforementioned complex nature. Despite temporary inconsistencies during a transaction’s execution our model ensures consistency.
Intelligent Tutoring Systems (ITSs) are increasingly used in modern education to automatically give students individual feedback on their performance. The advantage for students is fast individual feedback on their answers to asked questions, while lecturers benefit from considerable time savings and easy delivery of educational material. Of course, it is important that the provided feedback is as effective as direct feedback from the lecturer. However, in digital teaching, lecturers cannot assess the student’s knowledge precisely but can only provide information on which questions were answered correctly and incorrectly. Therefore, this paper presents a concept for integrating ITS elements into the gamified e-learning platform IT-REX so that the feedback quality can be improved to support students in the best possible way.
Due to digitalization, constant technological progress and ever shorter product life cycles, enterprises are currently facing major challenges. In order to succeed in the market, business models have to be adapted more often and more quickly to changing market conditions than they used to be. Fast adaptability, also called agility, is a decisive competitive factor in today’s world. Because of the ever-growing IT part of products and the fact that they are manufactured using IT, changing the business model has a major impact on the enterprise architecture (EA). However, developing EAs is a very complex task, because many stakeholders with conflicting interests are involved in the decision-making process. Therefore, a lot of collaboration is required. To support organizations in developing their EA, this article introduces a novel integrative method that systematically integrates stakeholder interests into decision-making activities. By using the method, collaboration between stakeholders involved is improved by identifying points of contact between them. Furthermore, standardized activities make decision-making more transparent and comparable without limiting creativity.
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.
In recent years, the cloud has become an attractive execution environment for parallel applications, which introduces novel opportunities for versatile optimizations. Particularly promising in this context is the elasticity characteristic of cloud environments. While elasticity is well established for client-server applications, it is a fundamentally new concept for parallel applications. However, existing elasticity mechanisms for client-server applications can be applied to parallel applications only to a limited extent. Efficient exploitation of elasticity for parallel applications requires novel mechanisms that take into account the particular runtime characteristics and resource requirements of this application type. To tackle this issue, we propose an elasticity description language. This language facilitates users to define elasticity policies, which specify the elasticity behavior at both cloud infrastructure level and application level. Elasticity at the application level is supported by an adequate programming and execution model, as well as abstractions that comply with the dynamic availability of resources. We present the underlying concepts and mechanisms, as well as the architecture and a prototypical implementation. Furthermore, we illustrate the capabilities of our approach through real-world scenarios.
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.
The global demand for resources such as energy, land, or water is constantly increasing. It is therefore not sur- prising that research on the Food-Energy-Water (FEW) nexus has become a scientific as well as a general focus in recent years. A significant increase in publications since 2015 can be observed, and it can be expected that this trend will continue. A multilevel (macro, meso, and micro) perspective is essential, as the FEW nexus has cross- sectoral interdependencies. Several review studies on the FEW nexus can be found in the literature, in general, it can be concluded that the FEW nexus is a multi-disciplinary and complex topic. The studies examined identify essential fields of action for research, policy, and society. However, questions such as what are the main research fields at each level? Is it possible to divide the research into specific clusters? and do the clusters correlate with the levels, and what are the methods of modeling used in the clusters and levels? are still not fully discussed in the literature. An extensive literature review was conducted to get insight into the existing research areas. Especially in such fields as the FEW nexus, the amount of literature can get huge, and a human could get lost analyzing the literature manually. For that, we created word clouds and performed a cluster- and network-analysis to support the selection of most relevant papers for a detailed reading. In 2021, the most publications were published, with 173 publications, which corresponds to a share of 26.6 %. There has been a significant increase since 2015, and it can be expected that this trend will continue in the coming years. Most of the first authors come from the USA (25.4 %), followed by China with 22.4 %. From the word cloud and the top 20 words, which appear in the title and abstract, it can be deduced that the topic water is the most represented. However, the terms system, resource, model, study, change, development, and management also appear to be very important, which indi- cates the importance of a holistic approach to the topic. In total 9 clusters could be identified at the different levels. It can be seen that three clusters form well. For the others, a rather diffuse picture can be observed. In order to find out which topics are hidden behind the individual clusters, 6 publications from each cluster were subjected to a more detailed examination. With these steps, a number of 54 publications were identified for de- tailed consideration. The modeling approaches that are currently being applied in research can be classified into domain-specific tools (e. g. global water models, crop models or global climate models) and into more general tools to perform for example a life cycle analysis, spatial analysis using geographic information system, or system dynamics for a general understanding of the links between the domains. With the domain-specific tools, detailed research questions can be addressed to answer questions for a specific domain. However, these tools have the disadvantage that especially the links between the sectors food, energy, and water are not fully considered. Many implementations that are made today are at lowest level (micro) relate to bounded spatial areas and are derived from macro and meso level goals.
Interoperability is an important topic in the Internet of Things (IoT), because this domain incorporates diverse and heterogeneous objects, communication protocols and data formats. Many models and classification schemes have been proposed to make the degree of interoperability measurable - however only on the basis of a hierarchical scale. In the course of this paper we introduce a novel approach to measure the degree of interoperability using a metric scaled quantity. We consider IoT as a distributed system, where interoperable objects exchange messages with each other. Under this premise, we interpret messages as operation calls and formalize this view as a causal model. The analysis of this model enables us to quantify the interoperable behavior of communicating objects.
Pokémon Go was the first mobile augmented reality (AR) game to reach the top of the download charts of mobile applications. However, little is known about this new generation of mobile online AR games. Existing theories provide limited applicability for user understanding. Against this background, this research provides a comprehensive framework based on uses and gratification theory, technology risk research, and flow theory. The proposed framework aims to explain the drivers of attitudinal and intentional reactions, such as continuance in gaming or willingness to invest money in in-app purchases. A survey among 642 Pokémon Go players provides insights into the psychological drivers of mobile AR games. The results show that hedonic, emotional, and social benefits and social norms drive consumer reactions while physical risks (but not data privacy risks) hinder consumer reactions. However, the importance of these drivers differs depending on the form of user behavior.
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.