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Introduction: Even if there is a standard procedure of CI surgery, especially in pediatric surgery surgical steps often differ individually due to anatomical variations, malformations or unforseen events. This is why every surgical report should be created individually, which takes time and relies on the correct memory of the surgeon. A standardized recording of intraoperative data and subsequent storage as well as text processing would therefore be desirable and provides the basis for subsequent data processing, e.g. in the context of research or quality assurance.
Method: In cooperation with Reutlingen University, we conducted a workflow analysis of the prototype of a semi-automatic checklist tool. Based on automatically generated checklists generated from BPMN models a prototype user interface was developed for an android tablet. Functions such as uploading photos and files, manual user entries, the interception of foreseeable deviations from the normal course of operations and the automatic creation of OP documentation could be implemented. The system was tested in a remote usability test on a petrous bone model.
Result: The user interface allows a simple intuitive handling, which can be well implemented in the intraoperative setting. Clinical data as well as surgical steps could be individually recorded and saved via DICOM. An automatic surgery report could be created and saved.
Summary: The use of a dynamic checklist tool facilitates the capture, storage and processing of surgical data. Further applications in clinical practice are pending.
Sleep disorders can impact daily life, affecting physical, emotional, and cognitive well-being. Due to the time-consuming, highly obtrusive, and expensive nature of using the standard approaches such as polysomnography, it is of great interest to develop a noninvasive and unobtrusive in-home sleep monitoring system that can reliably and accurately measure cardiorespiratory parameters while causing minimal discomfort to the user’s sleep. We developed a low-cost Out of Center Sleep Testing (OCST) system with low complexity to measure cardiorespiratory parameters. We tested and validated two force-sensitive resistor strip sensors under the bed mattress covering the thoracic and abdominal regions. Twenty subjects were recruited, including 12 males and 8 females. The ballistocardiogram signal was processed using the 4th smooth level of the discrete wavelet transform and the 2nd order of the Butterworth bandpass filter to measure the heart rate and respiration rate, respectively. We reached a total error (concerning the reference sensors) of 3.24 beats per minute and 2.32 rates for heart rate and respiration rate, respectively. For males and females, heart rate errors were 3.47 and 2.68, and respiration rate errors were 2.32 and 2.33, respectively. We developed and verified the reliability and applicability of the system. It showed a minor dependency on sleeping positions, one of the major cumbersome sleep measurements. We identified the sensor under the thoracic region as the optimal configuration for cardiorespiratory measurement. Although testing the system with healthy subjects and regular patterns of cardiorespiratory parameters showed promising results, further investigation is required with the bandwidth frequency and validation of the system with larger groups of subjects, including patients.
Applications often need to be deployed in different variants due to different customer requirements. However, since modern applications often need to be deployed using multiple deployment technologies in combination, such as Ansible and Terraform, the deployment variability must be considered in a holistic way. To tackle this, we previously developed Variability4TOSCA and the prototype OpenTOSCA Vintner, which is a TOSCA preprocessing and management layer that implements Variability4TOSCA. In this demonstration, we present a detailed case study that shows how to model a deployment using Variability4TOSCA, how to resolve the variability using Vintner, and how the result can be deployed.
In modern collaborative production environments where industrial robots and humans are supposed to work hand in hand, it is mandatory to observe the robot’s workspace at all times. Such observation is even more crucial when the robot’s main position is also dynamic e.g. because the system is mounted on a movable platform. As current solutions like physically secured areas in which a robot can perform actions potentially dangerous for humans, become unfeasible in such scenarios, novel, more dynamic, and situation aware safety solutions need to be developed and deployed.
This thesis mainly contributes to the bigger picture of such a collaborative scenario by presenting a data-driven convolutional neural network-based approach to estimate the two-dimensional kinematic-chain configuration of industrial robot-arms within raw camera images. This thesis also provides the information needed to generate and organize the mandatory data basis and presents frameworks that were used to realize all involved subsystems. The robot-arm’s extracted kinematic-chain can also be used to estimate the extrinsic camera parameters relative to the robot’s three-dimensional origin. Further a tracking system, based on a two-dimensional kinematic chain descriptor is presented to allow for an accumulation of a proper movement history which enables the prediction of future target positions within the given image plane. The combination of the extracted robot’s pose with a simultaneous human pose estimation system delivers a consistent data flow that can be used in higher-level applications.
This thesis also provides a detailed evaluation of all involved subsystems and provides a broad overview of their particular performance, based on novel generated, semi automatically annotated, real datasets.
Blockchains have become increasingly important in recent years and have expanded their applicability to many domains beyond finance and cryptocurrencies. This adoption has particularly increased with the introduction of smart contracts, which are immutable, user-defined programs directly deployed on blockchain networks. However, many scenarios require business transactions to simultaneously access smart contracts on multiple, possibly heterogeneous blockchain networks while ensuring the atomicity and isolation of these transactions, which is not natively supported by current blockchain systems. Therefore, in this work, we introduce the Transactional Cross-Chain Smart Contract Invocation (TCCSCI) approach that supports such distributed business transactions while ensuring their global atomicity and serializability. The approach introduces the concept of Resource Manager Smart Contracts, and 2PC for Blockchains (2PC4BC), a client-driven Atomic Commit Protocol (ACP) specialized for blockchain-based distributed transactions. We validate our approach using a prototypical implementation, evaluate its introduced overhead, and prove its correctness.
Smart cities are considered data factories that generate an enormous amount of data from various sources. In fact data is the backbone of any smart services. Therefore, the strategic beneficial handling of this digital capital is crucial for cities. Some smart city pioneers have already written down their approach to data in the form of data strategies, but what should a city's data strategy include, and how can the goals and measures defined in the strategies be operationalized? This paper addresses these questions by looking closely at the data strategies of cities in Germany and the top three countries in the EU Digital Economy and Society Index. The in-depth analysis of 8 city data strategies has yielded 11 dimensions that cities should consider in their data strategy. These are relevance of data, principles, methods, data sharing, technology, data culture, data ethics, organizational structure, data security and privacy, collaborations, data literacy. In addition, data governance is a concept to put these 11 strategic dimensions into practice through standardization measures, training programs, and defining roles and responsibilities by developing a data catalog.
The benefits of urban data cannot be realized without a political and strategic view of data use. A core concept within this view is data governance, which aligns strategy in data-relevant structures and entities with data processes, actors, architectures, and overall data management. Data governance is not a new concept and has long been addressed by scientists and practitioners from an enterprise perspective. In the urban context, however, data governance has only recently attracted increased attention, despite the unprecedented relevance of data in the advent of smart cities. Urban data governance can create semantic compatibility between heterogeneous technologies and data silos and connect stakeholders by standardizing data models, processes, and policies. This research provides a foundation for developing a reference model for urban data governance, identifies challenges in dealing with data in cities, and defines factors for the successful implementation of urban data governance. To obtain the best possible insights, the study carries out qualitative research following the design science research paradigm, conducting semi-structured expert interviews with 27 municipalities from Austria, Germany, Denmark, Finland, Sweden, and the Netherlands. The subsequent data analysis based on cognitive maps provides valuable insights into urban data governance. The interview transcripts were transferred and synthesized into comprehensive urban data governance maps to analyze entities and complex relationships with respect to the current state, challenges, and success factors of urban data governance. The findings show that each municipal department defines data governance separately, with no uniform approach. Given cultural factors, siloed data architectures have emerged in cities, leading to interoperability and integrability issues. A city-wide data governance entity in a cross-cutting function can be instrumental in breaking down silos in cities and creating a unified view of the city’s data landscape. The further identified concepts and their mutual interaction offer a powerful tool for developing a reference model for urban data governance and for the strategic orientation of cities on their way to data-driven organizations.
Purpose
For the modeling, execution, and control of complex, non-standardized intraoperative processes, a modeling language is needed that reflects the variability of interventions. As the established Business Process Model and Notation (BPMN) reaches its limits in terms of flexibility, the Case Management Model and Notation (CMMN) was considered as it addresses weakly structured processes.
Methods
To analyze the suitability of the modeling languages, BPMN and CMMN models of a Robot-Assisted Minimally Invasive Esophagectomy and Cochlea Implantation were derived and integrated into a situation recognition workflow. Test cases were used to contrast the differences and compare the advantages and disadvantages of the models concerning modeling, execution, and control. Furthermore, the impact on transferability was investigated.
Results
Compared to BPMN, CMMN allows flexibility for modeling intraoperative processes while remaining understandable. Although more effort and process knowledge are needed for execution and control within a situation recognition system, CMMN enables better transferability of the models and therefore the system. Concluding, CMMN should be chosen as a supplement to BPMN for flexible process parts that can only be covered insufficiently by BPMN, or otherwise as a replacement for the entire process.
Conclusion
CMMN offers the flexibility for variable, weakly structured process parts, and is thus suitable for surgical interventions. A combination of both notations could allow optimal use of their advantages and support the transferability of the situation recognition system.
For large-scale processes as implemented in organizations that develop software in regulated domains, comprehensive software process models are implemented, e.g., for compliance requirements. Creating and evolving such processes is demanding and requires software engineers having substantial modeling skills to create consistent and certifiable processes. While teaching process engineering to students, we observed issues in providing and explaining models. In this paper, we present an exploratory study in which we aim to shed light on the challenges students face when it comes to modeling. Our findings show that students are capable of doing basic modeling tasks, yet, fail in utilizing models correctly. We conclude that the required skills, notably abstraction and solution development, are underdeveloped due to missing practice and routine. Since modeling is key to many software engineering disciplines, we advocate for intensifying modeling activities in teaching.
Context
In a world of high dynamics and uncertainties, it is almost impossible to have a long-term prediction of which products, services, or features will satisfy the needs of the customer. To counter this situation, the conduction of Continuous Improvement or Design Thinking for product discovery are common approaches. A major constraint in conducting product discovery activities is the high effort to discover and validate features and requirements. In addition, companies struggle to integrate product discovery activities into their agile processes and iterations.
Objective
This paper aims at suggests a supportive tool, the “Discovery Effort Worthiness (DEW) Index”, for product owners and agile teams to determine a suitable amount of effort that should be spent on Design Thinking activities. To operationalize DEW, proposals for practitioners are presented that can be used to integrate product discovery into product development and delivery.
Method
A case study was conducted for the development of the DEW index. In addition, we conducted an expert workshop to develop proposals for the integration of product discovery activities into the product development and delivery process.
Results
First, we present the "Discovery Effort Worthiness Index" in form of a formula. Second, we identified requirements that must be fulfilled for systematic integration of product discovery activities into product development and delivery. Third, we derived from the requirements proposals for the integration of product discovery activities with a company's product development and delivery.
Conclusion
The developed "Discovery Effort Worthiness Index" provides a tool for companies and their product owners to determine how much effort they should spend on Design Thinking methods to discover and validate requirements. Integrating product discovery with product development and delivery should ensure that the results of product discovery are incorporated into product development. This aims to systematically analyze product risks to increase the chance of product success.