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Context: Companies that operate in the software-intensive business are confronted with high market dynamics, rapidly evolving technologies as well as fast-changing customer behavior. Traditional product roadmapping practices, such as fixed-time-based charts including detailed planned features, products, or services typically fail in such environments. Until now, the underlying reasons for the failure of product roadmaps in a dynamic and uncertain market environment are not widely analyzed and understood.
Objective: This paper aims to identify current challenges and pitfalls practitioners face when developing and handling product roadmaps in a dynamic and uncertain market environment.
Method: To reach our objective we conducted a grey literature review (GLR).
Results: Overall, we identified 40 relevant papers, from which we could extract 11 challenges of the application of product roadmapping in a dynamic and uncertain market environment. The analysis of the articles showed that the major challenges for practitioners originate from overcoming a feature-driven mindset, not including a lot of details in the product roadmap, and ensuring that the content of the roadmap is not driven by management or expert opinion.
„Bürgerrechtler klagen gegen Weitergabe von Gesundheitsdaten“ – so titelt (spiegel.de, 2022) am 29.04.2022. Dabei geht es um die Weitergabe pseudonymisierter Daten von 73 Millionen Versicherten durch die gesetzlichen Krankenkassen. Diese Daten sollen der Forschung zur Verfügung gestellt werden. Die Kläger bezweifeln, dass die Daten nicht deanonymisiert werden können. Dieses aktuelle Beispiel zeigt einen konkreten und relevanten Anwendungsfall des Themas Anonymisierung/Pseudonymisierung im aktuariellen Kontext auf. Es ist davon auszugehen, dass die Relevanz in den kommenden Jahren weiter zunehmen wird.
Spätestens seit dem Inkrafttreten der DSGVO ist das Thema Datenschutz allgegenwärtig und stellt uns Aktuare vor große Herausforderungen. Europäische Initiativen zur Schaffung eines Binnenmarktes für Daten sollen zwar die Möglichkeit schaffen, Daten einfacher zu teilen und so beispielsweise Dritten für Forschungszwecke zur Verfügung zu stellen, werfen aber auch viele Fragestellungen auf. Eine naheliegende Lösung ist es, Daten zu anonymisieren oder zu pseudonymisieren. Aber was bedeutet das konkret und welche Konsequenzen ergeben sich daraus? Bis zu welchem Grad müssen Daten anonymisiert werden und welche ReIdentifikationsrisiken bestehen weiterhin?
Enterprises and societies currently face crucial challenges, while Society 5.0 can contribute to a supersmart society, especially for manufacturing and healthcare, and Industry 4.0 becomes important in the global manufacturing industry. Smart energy digital platforms are architected to manage energy supply efficiently. Furthermore, the above digital platforms are expected to collect various kinds of data and analyze Big Data for the trends in the sharing economy in ecosystems. The adaptive integrated digital architecture framework (AIDAF) for Design Thinking Approach with Risk Management is expected to make an alignment with digital IT strategy. In this paper, we propose that various energy management systems and related digital platforms are designed and implemented in an alignment to digital IT strategy for sharing economy toward Society 5.0, with the AIDAF framework for Design Thinking Approach with Risk Management. The vision of AIDAF applications to enable sharing economy and digital platforms is explained and extended in the context of Society 5.0. In addition, challenges and future activities for this area are discussed that cover the directions of smart energy for Society 5.0.
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.
Turning students into Industry 4.0 entrepreneurs: design and evaluation of a tailored study program
(2022)
Startups in the field of Industry 4.0 could be a huge driver of innovation for many industry sectors such as manufacturing. However, there is a lack of education programs to ensure a sufficient number of well-trained founders and thus a supply of such startups. Therefore, this study presents the design, implementation, and evaluation of a university course tailored to the characteristics of Industry 4.0 entrepreneurship. Educational design-based research was applied with a focus on content and teaching concept. The study program was first implemented in 2021 at a German university of applied sciences with 25 students, of which 22 participated in the evaluation. The evaluation of the study program was conducted with a pretest–posttest-design targeting three areas: (1) knowledge about the application domain, (2) entrepreneurial intention and (3) psychological characteristics. The entrepreneurial intention was measured based on the theory of planned behavior. For measuring psychological characteristics, personality traits associated with entrepreneurship were used. Considering the study context and the limited external validity of the study, the following can be identified in particular: The results show that a university course can improve participants' knowledge of this particular area. In addition, perceived behavioral control of starting an Industry 4.0 startup was enhanced. However, the results showed no significant effects on psychological characteristics.
Today, companies face increasing market dynamics, rapidly evolving technologies, and rapid changes in customer behavior. Traditional approaches to product development typically fail in such environments and require companies to transform their often feature-driven mindset into a product-led mindset. A promising first step on the way to a product-led company is a better understanding of how product planning can be adapted to the requirements of an increasingly dynamic and uncertain market environment in the sense of product roadmapping. The authors developed the DEEP product roadmap assessment tool to help companies evaluate their current product roadmap practices and identify appropriate actions to transition to a more product-led company. Objective: The goal of this paper is to gain insight into the applicability and usefulness of version 1.1 of the DEEP model. In addition, the benefits, and implications of using the DEEP model in corporate contexts will be explored. Method: We conducted a multiple case study in which participants were observed using the DEEP model. We then interviewed each participant to understand their perceptions of the DEEP model. In addition, we conducted interviews with each company's product management department to learn how the application of the DEEP model influenced their attitudes toward product roadmapping. Results: The study showed that by applying the DEEP model, participants better understood which artifacts and methods were critical to product roadmapping success in a dynamic and uncertain market environment. In addition, the application of the DEEP model helped convince management and other stakeholders of the need to change current product roadmapping practices. The application also proved to be a suitable starting point for the transformation in the participating companies.
With the progress of technology in modern hospitals, an intelligent perioperative situation recognition will gain more relevance due to its potential to substantially improve surgical workflows by providing situation knowledge in real-time. Such knowledge can be extracted from image data by machine learning techniques but poses a privacy threat to the staff’s and patients’ personal data. De-identification is a possible solution for removing visual sensitive information. In this work, we developed a YOLO v3 based prototype to detect sensitive areas in the image in real-time. These are then deidentified using common image obfuscation techniques. Our approach shows that it is principle suitable for de-identifying sensitive data in OR images and contributes to a privacyrespectful way of processing in the context of situation recognition in the OR.
The euphoria around microservices has decreased over the years, but the trend of modernizing legacy systems to this novel architectural style is unbroken to date. A variety of approaches have been proposed in academia and industry, aiming to structure and automate the often long-lasting and cost-intensive migration journey. However, our research shows that there is still a need for more systematic guidance. While grey literature is dominant for knowledge exchange among practitioners, academia has contributed a significant body of knowledge as well, catching up on its initial neglect. A vast number of studies on the topic yielded novel techniques, often backed by industry evaluations. However, practitioners hardly leverage these resources. In this paper, we report on our efforts to design an architecture-centric methodology for migrating to microservices. As its main contribution, a framework provides guidance for architects during the three phases of a migration. We refer to methods, techniques, and approaches based on a variety of scientific studies that have not been made available in a similarly comprehensible manner before. Through an accompanying tool to be developed, architects will be in a position to systematically plan their migration, make better informed decisions, and use the most appropriate techniques and tools to transition their systems to microservices.
Theoretical foundation, effectiveness, and design artefact for machine learning service repositories
(2022)
Machine learning (ML) has played an important role in research in recent years. For companies that want to use ML, finding the algorithms and models that fit for their business is tedious. A review of the available literature on this problem indicates only a few research papers. Given this gap, the aim of this paper is to design an effective and easy-to-use ML service repository. The corresponding research is based on a multi-vocal literature analysis combined with design science research, addressing three research questions: (1) How is current white and gray literature on ML services structured with respect to repositories? (2) Which features are relevant for an effective ML service repository? (3) How is a prototype for an effective ML service repository conceptualized? Findings are relevant for the explanation of user acceptance of ML repositories. This is essential for corporate practice in order to create and use ML repositories effectively.
The digital twin concept has been widely known for asset monitoring in the industry for a long time. A clear example is the automotive industry. Recently, there has also been significant interest in the application of digital twins in healthcare, especially in genomics in what is known as precision medicine. This work focuses on another medical speciality where digital twins can be applied, sleep medicine. However, there is still great controversy about the fundamentals that constitute digital twins, such as what this concept is based on and how it can be included in healthcare effectively and sustainably. This article reviews digital twins and their role so far in what is known as personalized medicine. In addition, a series of steps will be exposed for a possible implementation of a digital twin for a patient suffering from sleep disorders. For this, artificial intelligence techniques, clinical data management, and possible solutions for explaining the results derived from artificial intelligence models will be addressed.
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 also integrated a graph-based view on user-selected routes, a way to interactively compare those routes, an attribute- and property-driven automatic computation of specific routes for one map as well as for all available maps in our repertoire, and finally, also the most important sights in each city are included as extra information to include in a user-selected route. We illustrate the usefulness of our interactive visualization and map navigation system 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 controlled user experiment with 20 participants.
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.
With significant advancements in digital technologies, firms find themselves competing in an increasingly dynamic business environment. Therefore, the logic of business decisions is based on the agility to respond to emerging trends in a proactive way. By contrast, traditional IT governance (ITG) frameworks rely on hierarchy and standardized mechanisms to ensure better business/IT alignment. This conflict leads to a call for an ambidextrous governance, in which firms alternate between stability and agility in their ITG mechanisms. Accordingly, this research aims to explore how agility might be integrated in ITG. A quantitative research strategy is implemented to explore the impact of agility on the causal relationship among ITG, business/IT alignment, and firm performance. The results show that the integration of agile ITG mechanisms contributes significantly to the explanation of business/IT alignment. As such, firms need to develop a dual governance model powered by traditional and agile ITG mechanisms.
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.
Background
Personalized medicine requires the integration and analysis of vast amounts of patient data to realize individualized care. With Surgomics, we aim to facilitate personalized therapy recommendations in surgery by integration of intraoperative surgical data and their analysis with machine learning methods to leverage the potential of this data in analogy to Radiomics and Genomics.
Methods
We defined Surgomics as the entirety of surgomic features that are process characteristics of a surgical procedure automatically derived from multimodal intraoperative data to quantify processes in the operating room. In a multidisciplinary team we discussed potential data sources like endoscopic videos, vital sign monitoring, medical devices and instruments and respective surgomic features. Subsequently, an online questionnaire was sent to experts from surgery and (computer) science at multiple centers for rating the features’ clinical relevance and technical feasibility.
Results
In total, 52 surgomic features were identified and assigned to eight feature categories. Based on the expert survey (n = 66 participants) the feature category with the highest clinical relevance as rated by surgeons was “surgical skill and quality of performance” for morbidity and mortality (9.0 ± 1.3 on a numerical rating scale from 1 to 10) as well as for long-term (oncological) outcome (8.2 ± 1.8). The feature category with the highest feasibility to be automatically extracted as rated by (computer) scientists was “Instrument” (8.5 ± 1.7). Among the surgomic features ranked as most relevant in their respective category were “intraoperative adverse events”, “action performed with instruments”, “vital sign monitoring”, and “difficulty of surgery”.
Conclusion
Surgomics is a promising concept for the analysis of intraoperative data. Surgomics may be used together with preoperative features from clinical data and Radiomics to predict postoperative morbidity, mortality and long-term outcome, as well as to provide tailored feedback for surgeons.
Database management systems and K/V-Stores operate on updatable datasets – massively exceeding the size of available main memory. Tree-based K/V storage management structures became particularly popular in storage engines. B+ -Trees [1, 4] allow constant search performance, however write-heavy workloads yield in inefficient write patterns to secondary storage devices and poor performance characteristics. LSM-Trees [16, 23] overcome this issue by horizontal partitioning fractions of data – small enough to fully reside in main memory, but require frequent maintenance to sustain search performance.
Firstly, we propose Multi-Version Partitioned BTrees (MV-PBT) as sole storage and index management structure in key-sorted storage engines like K/V-Stores. Secondly, we compare MV-PBT against LSM-Trees. The logical horizontal partitioning in MV-PBT allows leveraging recent advances in modern B+ -Tree techniques in a small transparent and memory resident portion of the structure. Structural properties sustain steady read performance, yielding efficient write patterns and reducing write amplification.
We integrated MV-PBT in the WiredTiger [15] KV storage engine. MV-PBT offers an up to 2× increased steady throughput in comparison to LSM-Trees and several orders of magnitude in comparison to B+ -Trees in a YCSB [5] workload.
One of the key challenges for automatic assistance is the support of actors in the operating room depending on the status of the procedure. Therefore, context information collected in the operating room is used to gain knowledge about the current situation. In literature, solutions already exist for specific use cases, but it is doubtful to what extent these approaches can be transferred to other conditions. We conducted a comprehensive literature research on existing situation recognition systems for the intraoperative area, covering 274 articles and 95 cross-references published between 2010 and 2019. We contrasted and compared 58 identified approaches based on defined aspects such as used sensor data or application area. In addition, we discussed applicability and transferability. Most of the papers focus on video data for recognizing situations within laparoscopic and cataract surgeries. Not all of the approaches can be used online for real-time recognition. Using different methods, good results with recognition accuracies above 90% could be achieved. Overall, transferability is less addressed. The applicability of approaches to other circumstances seems to be possible to a limited extent. Future research should place a stronger focus on adaptability. The literature review shows differences within existing approaches for situation recognition and outlines research trends. Applicability and transferability to other conditions are less addressed in current work.
Personalized remote healthcare monitoring is in continuous development due to the technology improvements of sensors and wearable electronic systems. A state of the art of research works on wearable sensors for healthcare applications is presented in this work. Furthermore, a state of the art of wearable devices, chest and wrist band and smartwatches available on the market for health and sport monitoring is presented in this paper. Many activity trackers are commercially available. The prices are continuously reducing and the performances are improving, but commercial devices do not provide raw data and are therefore not useful for research purposes.
The respiratory rate is a vital sign indicating breathing illness. It is necessary to analyze the mechanical oscillations of the patient's body arising from chest movements. An inappropriate holder on which the sensor is mounted, or an inappropriate sensor position is some of the external factors which should be minimized during signal registration. This paper considers using a non-invasive device placed under the bed mattress and evaluates the respiratory rate. The aim of the work is the development of an accelerometer sensor holder for this system. The normal and deep breathing signals were analyzed, corresponding to the relaxed state and when taking deep breaths. The evaluation criterion for the holder's model is its influence on the patient's respiratory signal amplitude for each state. As a result, we offer a non-invasive system of respiratory rate detection, including the mechanical component providing the most accurate values of mentioned respiratory rate.
Purpose
Context awareness in the operating room (OR) is important to realize targeted assistance to support actors during surgery. A situation recognition system (SRS) is used to interpret intraoperative events and derive an intraoperative situation from these. To achieve a modular system architecture, it is desirable to de-couple the SRS from other system components. This leads to the need of an interface between such an SRS and context-aware systems (CAS). This work aims to provide an open standardized interface to enable loose coupling of the SRS with varying CAS to allow vendor-independent device orchestrations.
Methods
A requirements analysis investigated limiting factors that currently prevent the integration of CAS in today's ORs. These elicited requirements enabled the selection of a suitable base architecture. We examined how to specify this architecture with the constraints of an interoperability standard. The resulting middleware was integrated into a prototypic SRS and our system for intraoperative support, the OR-Pad, as exemplary CAS for evaluating whether our solution can enable context-aware assistance during simulated orthopedical interventions.
Results
The emerging Service-oriented Device Connectivity (SDC) standard series was selected to specify and implement a middleware for providing the interpreted contextual information while the SRS and CAS are loosely coupled. The results were verified within a proof of concept study using the OR-Pad demonstration scenario. The fulfillment of the CAS’ requirements to act context-aware, conformity to the SDC standard series, and the effort for integrating the middleware in individual systems were evaluated. The semantically unambiguous encoding of contextual information depends on the further standardization process of the SDC nomenclature. The discussion of the validity of these results proved the applicability and transferability of the middleware.
Conclusion
The specified and implemented SDC-based middleware shows the feasibility of loose coupling an SRS with unknown CAS to realize context-aware assistance in the OR.
Motivation: Aim of this project is the automatic classification of total hip endoprosthesis (THEP) components in 2D Xray images. Revision surgeries of total hip arthroplasty (THA) are common procedures in orthopedics and trauma surgery. Currently, around 400.000 procedures per year are performed in the United States (US) alone. To achieve the best possible result, preoperative planning is crucial. Especially if parts of the current THEP system are to be retained.
Methods: First, a ground truth based on 76 X-ray images was created: We used an image processing pipeline consisting of a segmentation step performed by a convolutional neural network and a classification step performed by a support vector machine (SVM). In total, 11 classes (5 pans and 6 shafts) shall be classified.
Results: The ground truth generated was of good quality even though the initial segmentation was performed by technicians. The best segmentation results were achieved using a U-net architecture. For classification, SVM architectures performed much better than additional neural networks.
Conclusions: The overall image processing pipeline performed well, but the ground truth needs to be extended to include a broader variability of implant types and more examples per training class.
What might the attendee be able to do after being in your session?
Our work shows how to connect intra-operative devices via IEEE 11073 Service-oriented Device Connectivity (SDC).
Description of the Problem or Gap
Standardized device communication is essential for interoperability, availability of device data, and therefore for the intelligent operating room (OR) and arising solutions. The SDC standard was developed to make information from medical devices available in a uniform manner and enable interoperability. Existing devices are rarely SDC-capable and need interfaces to be interoperable via SDC.
Methods: What did you do to address the problem or gap?
We conceived an SDC-based architecture consisting of a service provider and service consumer. In our concept, the service provider is connected to the medical device and capable to translate the proprietary protocol of the device into SDC and vice versa. The service consumer is used to request or send information via the SDC protocol to the service provider and can function as a uniform bidirectional interface (e.g. for displaying or controlling). This concept was exemplarily demonstrated with the patient monitor MX800 of Philips to retrieve the device data (e.g. vital parameters) via SDC and partly for the operating light marLED X of KLS Martin Group.
Results: What was the outcome(s) of what you did to address the problem or gap?
The patient monitor MX800 was connected to a Raspberry Pi (RPi) via LAN, on which the service provider is running. The python script on the RPi establishes a connection to the monitor and translates incoming and outgoing messages from the proprietary protocol to SDC and vice versa to/from the service consumer. The service consumer is running on a laptop and acts as a simulation for different kinds of systems that want to get vital parameters or other information from the patient monitor. The operating light marLED X was connected to an RPi via USB-to-RS232. A python script on the RPi establishes a connection to the light and makes it possible via proprietary commands to get information of the light (e.g. status) and to control it (e.g. toggle the light, increment the intensity). A translation to SDC is not integrated yet.
Discussion of Results
Our practical implementation shows that medical devices can be accessed via external connections to get device data and control the device via commands. The example SDC implementation of the patient monitor MX800 makes it possible to request its data via the standardized communication protocol SDC. This is also possible for the operating light marLED X if its proprietary protocol is analyzed to be translatable to/from SDC. This would allow to control the device from an external system, or automatically depending on the status of the ongoing procedure. The advantage is, that existing intra-operative devices can be extended by a service provider which is capable of translating the proprietary protocol of the device in SDC and vice versa. This enables interoperability and an intelligent OR that, for example, is aware of all devices, their status, and data and can use this information to optimally support the surgeons and their team (e.g. provision of information, automated documentation). This interoperability allows that future innovations merely need to understand the SDC protocol instead of all vendor-dependent communication protocols.
Conclusion
Standardized device communication is essential to reach interoperability, and therefore intelligent ORs. Our contribution addresses the possibility of subsequently making medical devices SDC-capable. This may eliminate the need of understanding all the different proprietary protocols when developing new innovative solutions for the OR.
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 ×.
Since half a decade, there has been an increasing interest in Robotic Process Automation (RPA) by business firms. However, academic literature has been lacking attention to RPA, before adopting the topic to a larger extent. The aim of this study is to review and structure the latest state of scholarly research on RPA. This chapter is based on a systematic literature review that is used as a basis to develop a conceptual framework to structure the field. Our study shows that some areas of RPA have been extensively examined by many authors, e.g. potential benefits of RPA. Other categories, such as empirical studies on adoption of RPA or organisational readiness models, have remained research gaps.
Uncontrolled movement of instruments in laparoscopic surgery can lead to inadvertent tissue damage, particularly when the dissecting or electrosurgical instrument is located outside the field of view of the laparoscopic camera. The incidence and relevance of such events are currently unknown. The present work aims to identify and quantify potentially dangerous situations using the example of laparoscopic cholecystectomy (LC). Twenty-four final year medical students were prompted to each perform four consecutive LC attempts on a well-established box trainer in a surgical training environment following a standardized protocol in a porcine model. The following situation was defined as a critical event (CE): the dissecting instrument was inadvertently located outside the laparoscopic camera’s field of view. Simultaneous activation of the electrosurgical unit was defined as a highly critical event (hCE). Primary endpoint was the incidence of CEs. While performing 96 LCs, 2895 CEs were observed. Of these, 1059 (36.6%) were hCEs. The median number of CEs per LC was 20.5 (range: 1–125; IQR: 33) and the median number of hCEs per LC was 8.0 (range: 0–54, IQR: 10). Mean total operation time was 34.7 min (range: 15.6–62.5 min, IQR: 14.3 min). Our study demonstrates the significance of CEs as a potential risk factor for collateral damage during LC. Further studies are needed to investigate the occurrence of CE in clinical practice, not just for laparoscopic cholecystectomy but also for other procedures. Systematic training of future surgeons as well as technical solutions address this safety issue.
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.
Sleep analysis using a Polysomnography system is difficult and expensive. That is why we suggest a non-invasive and unobtrusive measurement. Very few people want the cables or devices attached to their bodies during sleep. The proposed approach is to implement a monitoring system, so the subject is not bothered. As a result, the idea is a non-invasive monitoring system based on detecting pressure distribution. This system should be able to measure the pressure differences that occur during a single heartbeat and during breathing through the mattress. The system consists of two blocks signal acquisition and signal processing. This whole technology should be economical to be affordable enough for every user. As a result, preprocessed data is obtained for further detailed analysis using different filters for heartbeat and respiration detection. In the initial stage of filtration, Butterworth filters are used.
Multi-versioning and MVCC are the foundations of many modern DBMSs. Under mixed workloads and large datasets, the creation of the transactional snapshot can become very expensive, as long-running analytical transactions may request old versions, residing on cold storage, for reasons of transactional consistency. Furthermore, analytical queries operate on cold data, stored on slow persistent storage. Due to the poor data locality, snapshot creation may cause massive data transfers and thus lower performance. Given the current trend towards computational storage and near-data processing, it has become viable to perform such operations in-storage to reduce data transfers and improve scalability. neoDBMS is a DBMS designed for near-data processing and computational storage. In this paper, we demonstrate how neoDBMS performs snapshot computation in-situ. We showcase different interactive scenarios, where neoDBMS outperforms PostgreSQL 12 by up to 5×.
Near-data processing in database systems on native computational storage under HTAP workloads
(2022)
Today’s Hybrid Transactional and Analytical Processing (HTAP) systems, tackle the ever-growing data in combination with a mixture of transactional and analytical workloads. While optimizing for aspects such as data freshness and performance isolation, they build on the traditional data-to-code principle and may trigger massive cold data transfers that impair the overall performance and scalability. Firstly, in this paper we show that Near-Data Processing (NDP) naturally fits in the HTAP design space. Secondly, we propose an NDP database architecture, allowing transactionally consistent in-situ executions of analytical operations in HTAP settings. We evaluate the proposed architecture in state-of-the-art key/value-stores and multi-versioned DBMS. In contrast to traditional setups, our approach yields robust, resource- and cost-effcient performance.
Mobile apps for sustainability in grocery shopping: increasing acceptance through gameification
(2022)
Sustainability has become an important topic in social sciences research as well as in the societal debate. Research in general indicates a high sensitivity of sustainability issues in broad parts of the society, however a change of consumption habits can hardly be overserved. It can be argued that technology, such as mobile apps, can play an important role to increase more sustainable behaviors and consumption habits, as they facilitate such behaviors, bring transparency to an unclear field and reduce complexity. Our research hence approaches an important research gap, especially as currently existing apps show a lack of functionalities and UX. By using a Design Science Research (DSR) approach applying Chou’s Octalysis framework, we systematically analyzed eight apps in the field of sustainability and two general gamification apps as reference points complementing our findings with issues discussed in literature and could identify a broad range of functionalities. This comprehensive analysis allowed us to develop an initial mockup of a potential app, which then was tested within a user-group of ten users by using a semi structured interview approach. Our findings contribute to knowledge by highlighting the importance of user experience on the acceptance of mobile apps, as well as, by showcasing how gamification can contribute to a sustained use of mobile apps in this specific context.
The use of deep learning models with medical data is becoming more widespread. However, although numerous models have shown high accuracy in medical-related tasks, such as medical image recognition (e.g. radiographs), there are still many problems with seeing these models operating in a real healthcare environment. This article presents a series of basic requirements that must be taken into account when developing deep learning models for biomedical time series classification tasks, with the aim of facilitating the subsequent production of the models in healthcare. These requirements range from the correct collection of data, to the existing techniques for a correct explanation of the results obtained by the models. This is due to the fact that one of the main reasons why the use of deep learning models is not more widespread in healthcare settings is their lack of clarity when it comes to explaining decision making.
An autonomous vehicle is a robotic vehicle with decision and action capability capable of performing assigned tasks without or with minimal human intervention. Autonomous cars have been in development for many years. The Society of Automotive Engineers (SAE International) published in 2014 a classification in five levels of driving automation, with level 0 corresponding to completely manual driving, and level 5 to an ideal dream where the vehicle would be able to navigate entirely autonomously for all missions and in all environments. This work addressed the navigation of an autonomous vehicle in general. We focus on one of the most complex scenarios of the road network and crossing of road intersections. In this paper, the critical features of autonomous intelligent vehicles are reviewed. Furthermore, the associated problems are presented, and the most advanced solutions are derived. This article aims to allow a novice in this field to understand the different facets of localization and perception problems for autonomous vehicles.
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.
In recent decades, it can be observed that a steady increase in the volume of tourism is a stable trend. To offer travel opportunities to all groups, it is also necessary to prepare offers for people in need of long-term care or people with disabilities. One of the ways to improve accessibility could be digital technologies, which could help in planning as well as in carrying out trips. In the work presented, a study of barriers was first conducted, which led to selecting technologies for a test setup after analysis. The main focus was on a mobile app with travel information and 360° tours. The evaluation results showed that both technologies could increase accessibility, but some essential aspects (such as usability, completeness, relevance, etc.) need to be considered when implementing them.
Healthy sleep is required for sufficient restoration of the human body and brain. Therefore, in the case of sleep disorders, appropriate therapy should be applied timely, which requires a prompt diagnosis. Traditionally, a sleep diary is a part of diagnosis and therapy monitoring for some sleep disorders, such as cognitive behaviour therapy for insomnia. To automatise sleep monitoring and make it more comfortable for users, substituting a sleep diary with a smartwatch measurement could be considered. With the aim of providing accurate results, a study with a total of 30 night recordings was conducted. Objective sleep measurement with a Samsung Galaxy Watch 4 was compared with a subjective approach (sleep diary), evaluating the four relevant sleep characteristics: time of getting asleep, wake up time, sleep efficiency (SE), and total sleep time (TST). The performed analysis has demonstrated that the median difference between both measurement approaches was equal to 7 and 3 minutes for a time of getting asleep and wake up time correspondingly, which allows substituting a subjective measurement with a smartwatch. The SE was determined with a median difference between the two measurement methods of 5.22%. This result also implicates a possibility of substitution. Some single recordings have indicated a higher variance between the two approaches. Therefore, the conclusion can be made that a substitution provides reliable results primarily in the case of long-term monitoring. The results of the evaluation of the TST measurement do not allow to recommend substitution of the measurement method.
Das Motto in diesem Jahr lautet: "Zukunft mIT gestalten". Die Beiträge sind ein Spiegelbild der menschenzentrierten Rolle der Informatik in der heutigen Welt. Sie zeigen u. a. Forschungen in Künstlicher Intelligenz, Mensch-Maschine-Interkation und Mixed-Reality mit Anwendungen in der Medizin, der Wirtschaft und der Gesellschaft. Ein besonderer Höhepunkt der Konferenz ist der abschließende Gastvortrag von Frau Prof. Dr. Claudia Müller-Birn zum Thema "Human-Centered Data Science".
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.
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 volume includes papers presented at the International KES Conference on Human Centred Intelligent Systems 2022 (KES HCIS 2022), held in Rhodes, Greece on June 20–22, 2022. This book highlights new trends and challenges in intelligent systems, which play an important part in the digital transformation of many areas of science and practice. It includes papers offering a deeper understanding of the human-centred perspective on artificial intelligence, of intelligent value co-creation, ethics, value-oriented digital models, transparency, and intelligent digital architectures and engineering to support digital services and intelligent systems, the transformation of structures in digital businesses and intelligent systems based on human practices, as well as the study of interaction and the co-adaptation of humans and systems.
Organizations that operate under uncertainty need to cultivate their ability to manage their primary resource, knowledge, accordingly. Under such conditions, organizations are required to harvest knowledge from two sources: to explore knowledge that is to be found outside the organization as well as exploit knowledge that is contained within. In a knowledge management context these exploitation and exploration activities have been conceptualized as knowledge ambidexterity. While ambidexterity has been studied extensively in contexts as manufacturing or IT, the notion of knowledge ambidexterity remains scarce in current knowledge management research. This study illustrates knowledge ambidexterity and elaborates its positive impact on organizational performance. Our study furthermore answers the question of how the use of enterprise social media (ESM) can facilitate the performance effects of knowledge ambidexterity. Drawing on the theory of communication visibility, we argue that ESM (e.g., Microsoft Teams, Slack, etc.) allow employees to communicate unhindered while making these communications visible. This allows for capturing tacit knowledge within these communications - this form of knowledge is generally hard to codify and can be a source of competitive edge. With respect to knowledge ambidexterity, ESM use can capture tacit knowledge aspects originating from inside and outside the organization, which fosters the development of a competitive advantage and, thus, supports its positive effect on organizational performance. This paper contributes to IT-enabled ambidexterity research in two aspects: (1) It sheds light on knowledge ambidexterity and, thereby, addresses a major practical challenge for knowledge-intensive organizations, and (2) it elaborates on the effects that ESM use can have on the relationship between knowledge ambidexterity and organizational performance. This work-in-progress paper offers a better understanding of the phenomenon of ambidexterity in a knowledge context, while providing insights on the facilitating role of ESM. Our research serves as a foundation for future empirical examinations of the concept of knowledge ambidexterity.
In many cases continuous monitoring of vital signals is required and low intrusiveness is an important requirement. Incorporating monitoring systems in the hospital or home bed could have benefits for patients and caregivers. The objective of this work is the definition of a measurement protocol and the creation of a data set of measurements using commercial and low-cost prototypes devices to estimate heart rate and breathing rate. The experimental data will be used to compare results achieved by the devices and to develop algorithms for feature extraction of vital signals.
This workshop addressed scientific research and development to acquire physiological signals, process signals, and extract relevant data for further analysis. There are very different domains of application, for example. Tiredness and drowsiness are responsible for a significant percentage of road accidents. There are different approaches to monitoring driver drowsiness, ranging from the driver’s steering behavior to in-depth analysis of the driver, e.g., eye tracking, blinking, yawning, or Electrocardiogram (ECG). One of the leading causes of road accidents in Egypt is trucks, buses, cars, motorcycles, and pedestrians, all sharing the same infrastructure. The result is that there are more than 12,000 fatalities in road accidents every year. Thousands are injured, and some suffer long-term disabilities. A similar effect can be observed in Germany for all types of vehicles. According to the Federal Statistical Office, a high percentage of accidents involving personal injury are directly or indirectly caused by drowsiness.
A different application domain is sleep monitoring: Healthy and sound sleep is a prerequisite for a rested mind and body. Both form the basis for physical and mental health. Healthy sleep is counteracted by sleep disorders, the medically diagnosed frequency of which increases sharply from the age of 40. Increasing acceptance can be promoted by monitoring vital signs during sleep over long periods through the exclusive use of noninvasive technologies. In the case of objective measurement, the vital signs are measured to calculate the sleep phases or sleep efficiency and, after applying the appropriate algorithms, to record the sleep quality. About a quarter of all Germans have the feeling of sleeping poorly. The disruptive factors include problems falling asleep or the subjective feeling that sleep is not restful. About half of those subjectively affected have consulted a doctor. Older people and people living alone are particularly affected. There is no doubt that sleep abnormalities can lead to poor performance throughout the day, physical/somatic illnesses, psychological problems, or even premature death. Prevention, early detection, and therapy support are relevant factors impacting the personal quality of life.
The presented approaches have different application domains but share standard methodologies and technologies. Cross-domain thinking and application are essential to successful data acquisition and processing, either with traditional or cutting-edge approaches.
Handling complexity in modern software engineering : editorial introduction to issue 32 of CSIMQ
(2022)
The potential of the Internet and related digital technologies, such as the Internet of Things (IoT), cognition and artificial intelligence, data analytics, services computing, cloud computing, mobile systems, collaboration networks, and cyber-physical systems, are both strategic drivers and enablers of modern digital platforms with fast-evolving ecosystems of intelligent services for digital products. This issue of CSIMQ presents three recent articles on modern software engineering. First, we focus on continuous software development and place it in the context of software architectures and digital transformation. The first contribution is followed by the description of the basis of specific security requirements and adequate digital monitoring mechanisms. Finally, we present a practical example of the digital management of livestock farming.
Startups play a key role in software-based innovation. They make an important contribution to an economy’s ability to compete and innovate, and their importance will continue to grow due to increasing digitalization. However, the success of a startup depends primarily on market needs and the ability to develop a solution that is attractive enough for customers to choose. A sophisticated technical solution is usually not critical, especially in the early stages of a startup. It is not necessary to be an experienced software engineer to start a software startup. However, this can become problematic as the solution matures and software complexity increases. Based on a proposed solution for systematic software development for early-stage startups, in this paper, we present the key findings of a survey study to identify the methodological and technical priorities of software startups. Among other things, we found that requirements engineering and architecture pose challenges for startups. In addition, we found evidence that startups’ software development approaches do not tend to change over time. An early investment in a more scalable development approach could help avoid long-term software problems. To support such an investment, we propose an extended model for Entrepreneurial Software Engineering that provides a foundation for future research.
Geometry of music perception
(2022)
Prevalent neuroscientific theories are combined with acoustic observations from various studies to create a consistent geometric model for music perception in order to rationalize, explain and predict psycho-acoustic phenomena. The space of all chords is shown to be a Whitney stratified space. Each stratum is a Riemannian manifold which naturally yields a geodesic distance across strata. The resulting metric is compatible with voice-leading satisfying the triangle inequality. The geometric model allows for rigorous studies of psychoacoustic quantities such as roughness and harmonicity as height functions. In order to show how to use the geometric framework in psychoacoustic studies, concepts for the perception of chord resolutions are introduced and analyzed.
Generating synthetic data is a relevant point in the machine learning community. As accessible data is limited, the generation of synthetic data is a significant point in protecting patients' privacy and having more possibilities to train a model for classification or other machine learning tasks. In this work, some generative adversarial networks (GAN) variants are discussed, and an overview is given of how generative adversarial networks can be used for data generation in different fields. In addition, some common problems of the GANs and possibilities to avoid them are shown. Different evaluation methods of the generated data are also described.
Gamification is one of the recognized methods of motivating people in various life processes, and it has spread to many spheres of life, including healthcare. This article proposes a system design for long-term care patients using the method mentioned. The proposed system aims to increase patient engagement in the treatment and rehabilitation process via gamification. Literature research on available and earlier proposed systems was conducted to develop a suited system design. The primary target group includes bedridden patients and a sedentary lifestyle (predominantly lying in bed). One of the main criteria for selecting a suitable option was its contactless realization for the mentioned target groups in long-term care cases. As a result, we developed the system design for hardware and software that could prevent bedsores and other health problems from occurring because of low activity. The proposed design can be tested in hospitals, nursing homes, and rehabilitation centers.
Adoption of artificial intelligence (AI) has risen sharply in recent years but many firms are not successful in realising the expected benefits or even terminate projects before completion. While there are a number of previous studies that highlight challenges in AI projects, critical factors that lead to project failure are mostly unknown. The aim of this study is therefore to identify distinct factors that are critical for failure of AI projects. To address this, interviews with experts in the field of AI from different industries are conducted and the results are analyzed using qualitative analysis methods. The results show that both, organizational and technological issues can cause project failure. Our study contributes to knowledge by reviewing previously identified challenges in terms of their criticality for project failure based on new empirical data, as well as, by identifying previously unknown factors.
Purpose
Artificial intelligence (AI), in particular deep learning (DL), has achieved remarkable results for medical image analysis in several applications. Yet the lack of human-like explanations of such systems is considered the principal restriction before utilizing these methods in clinical practice (Yang, Ye, & Xia, 2022).
Methods
Explainable Artificial Intelligence (XAI) provides a human-explainable and interpretable description of the “black-box” nature of DL (Gulum, Trombley, & Kantardzic, 2021). An effective XAI diagnosis generator, namely NeuroXAI (refer to Fig. 1), has been developed to extract 3D explanations from convolutional neural networks (CNN) models of brain gliomas (Zeineldin et al., 2022). By providing visual justification maps, NeuroXAI can help make DL models transparent and thus increase the trust of medical experts.
Results
NeuroXAI has been applied to two applications of the most widely investigated problems in brain imaging analysis, i.e. image classification and segmentation using magnetic resonance imaging (MRI). Visual attention maps of multiple XAI methods have been generated and compared for both applications, which could help to provide transparency about the performance of DL systems.
Conclusion
NeuroXAI helps to understand the prediction process of 3D CNN networks for brain glioma using human-understandable explanations. Results revealed that the investigated DL models behave in a logical human-like manner and can improve the analytical process of the MRI images systematically. Due to its open architecture, ease of implementation, and scalability to new XAI methods, NeuroXAI could be utilized to assist medical professionals in the detection and diagnosis of brain tumors. NeuroXAI code is publicly accessible at https://github.com/razeineldin/NeuroXAI
Purpose
Artificial intelligence (AI), in particular deep neural networks, has achieved remarkable results for medical image analysis in several applications. Yet the lack of explainability of deep neural models is considered the principal restriction before applying these methods in clinical practice.
Methods
In this study, we propose a NeuroXAI framework for explainable AI of deep learning networks to increase the trust of medical experts. NeuroXAI implements seven state-of-the-art explanation methods providing visualization maps to help make deep learning models transparent.
Results
NeuroXAI has been applied to two applications of the most widely investigated problems in brain imaging analysis, i.e., image classification and segmentation using magnetic resonance (MR) modality. Visual attention maps of multiple XAI methods have been generated and compared for both applications. Another experiment demonstrated that NeuroXAI can provide information flow visualization on internal layers of a segmentation CNN.
Conclusion
Due to its open architecture, ease of implementation, and scalability to new XAI methods, NeuroXAI could be utilized to assist radiologists and medical professionals in the detection and diagnosis of brain tumors in the clinical routine of cancer patients. The code of NeuroXAI is publicly accessible at https://github.com/razeineldin/NeuroXAI.