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Aims
Endoscopic retrograde cholangiopancreaticography (ERCP) is the gold standard in the diagnosis as well as treatment of diseases of the pancreatobiliary tract. However, it is technically complex and has a relatively high complication rate. In particular, cannulation of the papillary ostium remains challenging. The aim of this study is to examine whether a deep-learning algorithm can be used to detect the major duodenal papilla and in particular the papillary ostium reliably and could therefore be a valuable tool for inexperienced endoscopists, particularly in training situation.
Methods
We analyzed a total of 654 retrospectively collected images of 85 patients. Both the major duodenal papilla and the ostium were then segmented. Afterwards, a neural network was trained using a deep-learning algorithm. A 5-fold cross-validation was performed. Subsequently, we ran the algorithm on 5 prospectively collected videos of ERCPs.
Results
5-fold cross-validation on the 654 labeled data resulted in an F1 value of 0.8007, a sensitivity of 0.8409 and a specificity of 0.9757 for the class papilla, and an F1 value of 0.5724, a sensitivity of 0.5456 and a specificity of 0.9966 for the class ostium. Regardless of the class, the average F1 value (class papilla and class ostium) was 0.6866, the sensitivity 0.6933 and the specificity 0.9861. In 100% of cases the AI-detected localization of the papillary ostium in the prospectively collected videos corresponded to the localization of the cannulation performed by the endoscopist.
Conclusions
In the present study, the neural network was able to identify the major duodenal papilla with a high sensitivity and high specificity. In detecting the papillary ostium, the sensitivity was notably lower. However, when used on videos, the AI was able to identify the location of the subsequent cannulation with 100% accuracy. In the future, the neural network will be trained with more data. Thus, a suitable tool for ERCP could be established, especially in the training situation.
One major goal of production system design is to decide on space requirements in the plant. In this phase, detailed information about the supply chain network (e.g. which suppliers deliver which parts) is often unavailable. Nevertheless, typical decisions in supply chain management, like the definition of replenishment processes and quantities or make-or-buy decisions, impact space requirements and the capital investment in raw materials and should therefore be considered in factory and production planning. This research article proposes a simulation approach for a production simulation in which raw material replenishment is integrated to evaluate the capital investment and space requirements for raw materials.
Transient surrogate modeling of modally reduced structures with discontinuous loads and damping
(2024)
In this work, a surrogate model for structural, transient and discontinuously excited finite element method simulations is developed. This allows to reduce the computational effort of repeated calculations of identical models under different load cases. The architecture of the surrogate combines fully connected neural network layers with long short-term memory layers. For the reproduction of different damping ratios, a categorical variable is added to the continuous input data. Based on a recursive flow of the predicted data back to the input layer, long-term dependencies do not vanish due to short-input sequences. The system dimension is reduced by applying the model-order reduction technique for modal decomposition. The high accuracy of the surrogate and the reduction of computational costs are shown on an academic example of a cantilever beam and a real-world example of a robot. The advantages of our approach are illustrated in comparison with state-of-the-art surrogates for transient finite element analysis. By using the surrogate proposed in this study, oscillations due to discontinuous excitation of mechanical structures can be reproduced. For this purpose, only short-input sequences are necessary since the excitation of the oscillations does not have to be part of the input sequence during the whole duration of the oscillations. Due to the categorical variable for the damping ratio, the surrogate can account for the influence of different damping in parameter studies.
Case study research is one of the most widely used research methods in Information Systems (IS). In recent years, an increasing number of publications have used case studies with few sources of evidence, such as single interviews per case. While there is much methodological guidance on rigorously conducting multiple case studies, it remains unclear how researchers can achieve an acceptable level of rigour for this emerging type of multiple case study with few sources of evidence, i.e., multiple mini case studies. In this context, we synthesise methodological guidance for multiple case study research from a cross-disciplinary perspective to develop an analytical framework. Furthermore, we calibrate this analytical framework to multiple mini case studies by reviewing previous IS publications that use multiple mini case studies to provide guidelines to conduct multiple mini case studies rigorously. We also offer a conceptual definition of multiple mini case studies, distinguish them from other research approaches, and position multiple mini case studies as a pragmatic and rigorous approach to research emerging and innovative phenomena in IS.
Academic self-regulation is a key factor for motivation and learning achievement. Yet with the large range of individual factors, this is not a one-size-fits-all proposition. This study of L2 Technical English students at two German universities explored learners’ expectations and motivations, in particular regarding self-regulation and self-efficacy via the individual’s time investment in self-led study. In an initial survey, learners (N=1646) reported on their English skill levels and anticipated learning habits. Complementarily, the retrospective survey investigated learners’ (N=796) actual behavior during the course, their perceptions of language skill improvement, and their satisfaction. The initial survey indicates a clear understanding that time investment in self-regulated study will lead to greater improvement, an outcome confirmed in the retrospective survey. Additionally, students who invested more time in their coursework were more satisfied with their achievement, although most learners acknowledge they should have studied more. The results verify that learners recognize the nexus between self-regulation and language skill improvement, yet university students are not satisfied with their capacity to self-regulate their language learning strategies. While differences in students’ skill levels and academic self-efficacy result in divergent degrees of progress, students of all types report benefits to their language skills when motivated to self-regulated study.
In the early-stage development of sheet metal parts, key design properties of new structures must be specified. As these decisions are made under significant uncertainty regarding drawing configuration changes, they sometimes result in the development of new parts that, at a later design stage, will not be drawable. As a result, there is a need to increase the certainty of experience-driven drawing configuration decisions.
Complementing this process with a global sensitivity analysis can provide insight into the impact of various changes in drawing configurations on drawability, unveiling cost-effective strategies to ensure the drawability of new parts. However, when quantitative global sensitivity approaches, such as Sobol's method, are utilized, the computational requirements for obtaining Sobol indices can become prohibitive even for small application problems. To circumvent computational limitations, we evaluate the applicability of different surrogate models engaged in computing global design variable sensitivities for the drawability assessment of a deep-drawn component.
Here, we show in an exemplary application problem, that both a standard kriging model and an ensemble model can provide commendable results at a fraction of the computational cost. Moreover, we compare our surrogate models to existing approaches in the field. Furthermore, we show that the error introduced by the surrogate models is of the same order of magnitude as that from the choice of drawability measure. In consequence, our surrogate models can improve the cost-effective development of a component in the early design phase.
Control and Automation of services of the urban infrastructure offered to citizens and tourists are elementary parts of a smart city. But both rely on a stable supply of data from sensors spread across the whole city, e. g., the fill level sensors of waste bins needed for a waste management tool which we developed in a collaboration with the Regensburg city council for the on-demand collection of waste bins. Europe has a lot of historic cities like Regensburg with narrow streets and huge building walls, some made from granite and fieldstones, which often represents an insurmountable obstacle to wireless data transmission. The reduction of the road traffic volume poses an additional challenge for city planners. By means of networked planning and simulation software, the situation, state and efficiency of citywide logistic services can be monitored and optimized. In the course of such optimizations, we propose the combination of digital and logistic services. As an example, we show that monitoring state information, such as the waste bin fill levels, can be accomplished using the same vehicles and the same planning software, that is used for luggage transportation. Moreover, we describe how we adapted a solver for a variant of the TSP, namely the prize-collecting traveling salesman, to optimize the route planning dynamically.
AbstractRegularized static friction models have been used successfully for many years. However, they are unable to maintain static friction in detail. For this reason, dynamic friction models have been developed and published in the literature. However, commercial multibody simulation packages such as Adams, RecurDyn, and Simpack have developed their own specific stick-slip models instead of adopting one of the public domain approaches. This article introduces the fundamentals of these commercial models and their behavior from a practical point of view. The stick-slip models were applied to a simple test model and a more sophisticated model of a festoon cable system using their standard parameters.
An inexpensive UV-LED photoacoustic based real-time sensor-system detecting exhaled trace-acetone
(2024)
n this research we present a low-cost system for breath acetone analysis based on UV-LED photoacoustic spectroscopy. We considered the end-tidal phase of exhalation, which represents the systemic concentrations of volatile organic compounds (VOCs) – providing clinically relevant information about the human health. This is achieved via the development of a CO2-triggered breath sampling system, which collected alveolar breath over several minutes in sterile and inert containers. A real-time mass spectrometer is coupled to serve as a reference device for calibration measurements and subsequent breath analysis. The new sensor system provided a 3σ detection limit of 8.3 ppbV and an NNEA of 1.4E-9 Wcm 1Hz 0.5. In terms of the performed breath analysis measurements, 12 out of 13 fell within the error margin of the photoacoustic measurement system, demonstrating the reliability of the measurements in the field.
Small and medium-sized enterprises (SMEs) increasingly need to manage nformation technology (IT) effectively in order to remain competitive. However, compared to larger organizations, SMEs often face challenges in terms of resources and employer attractiveness, and regularly do not have the need to employ a Chief Information Officer (CIO) on a full-time basis. To address this issue, a growing number of global experts have begun to provide CIO services on a part-time basis for multiple clients simultaneously. This approach allows SMEs to tap into the expertise of experienced IT leaders at a fraction of the cost and without committing to long-term arrangements. While these professionals, known as “Fractional CIOs”, have proven their value in the field, there has been a lack of academic research on this emerging trend. Therefore, we carried out a comprehensive research project between 2020 and 2023, involving 62 Fractional CIOs from 10 countries. The research produced a definition, different types of engagements, and success factors for Fractional CIOs and their engagements. This paper summarizes these findings for a wider audience of academics and practitioners.