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Im Betrieb von Förderbändern auftretende Phänomene sind das Bandwandern in Achsrichtung der Walzen und die Bandverformung in der Bandebene [1, S. 142]. Das Bandwandern ist bisher detailliert untersucht [2–4], während die Bandverformung Gegenstand weniger Veröffentlichungen ist. Deshalb wird in diesem Artikel eine Methode zur Berechnung der sich im dynamischen Betrieb einstellenden Verformung eines elastischen Förderbandes vorgestellt. Dazu wird ein Mehrkörpersimulations-Modell basierend auf der Lumped-Mass-Modellierung verwendet. Als Untersuchungsbeispiel dient ein Zwei-Walzensystem mit flexiblen und zylindrischen Walzen, sowie ein flexibles Förderband. Es zeigt sich, dass mit der Lumped-Mass-Modellierung eine dynamische Bandverformung, die von der gewählten Diskretisierung abhängt, berechnet werden kann. Aufgrund dieser Abhängigkeit ist es notwendig eine Konvergenzanalyse durchzuführen. Zusätzlich ist darauf zu achten, dass die künstliche Anregung aufgrund der Lumped-Mass-Modellierung nicht mit einer Eigenfrequenz des Modells zusammenfällt.
Generative deep learning approaches for the design of dental restorations: A narrative review
(2024)
Objectives:
This study aims to explore and discuss recent advancements in tooth reconstruction utilizing deep learning (DL) techniques. A review on new DL methodologies in partial and full tooth reconstruction is conducted.
Data/Sources:
PubMed, Google Scholar, and IEEE Xplore databases were searched for articles from 2003 to 2023.
Study selection:
The review includes 9 articles published from 2018 to 2023. The selected articles showcase novel DL approaches for tooth reconstruction, while those concentrating solely on the application or review of DL methods are excluded. The review shows that data is acquired via intraoral scans or laboratory scans of dental plaster models. Common data representations are depth maps, point clouds, and voxelized point clouds. Reconstructions focus on single teeth, using data from adjacent teeth or the entire jaw. Some articles include antagonist teeth data and features like occlusal grooves and gap distance. Primary network architectures include Generative Adversarial Networks (GANs) and Transformers. Compared to conventional digital methods, DL-based tooth reconstruction reports error rates approximately two times lower.
Conclusions:
Generative DL models analyze dental datasets to reconstruct missing teeth by extracting insights into patterns and structures. Through specialized application, these models reconstruct morphologically and functionally sound dental structures, leveraging information from the existing teeth. The reported advancements facilitate the feasibility of DL-based dental crown reconstruction. Beyond GANs and Transformers with point clouds or voxels, recent studies indicate promising outcomes with diffusion-based architectures and innovative data representations like wavelets for 3D shape completion and inference problems.
Clinical significance:
Generative network architectures employed in the analysis and reconstruction of dental structures demonstrate notable proficiency. The enhanced accuracy and efficiency of DL-based frameworks hold the potential to enhance clinical outcomes and increase patient satisfaction. The reduced reconstruction times and diminished requirement for manual intervention may lead to cost savings and improved accessibility of dental services.
Background
This study evaluated the effect of an artificial intelligence (AI)-based clinical decision support system on the performance and diagnostic confidence of endoscopists in their assessment of Barrett’s esophagus (BE).
Methods
96 standardized endoscopy videos were assessed by 22 endoscopists with varying degrees of BE experience from 12 centers. Assessment was randomized into two video sets: group A (review first without AI and second with AI) and group B (review first with AI and second without AI). Endoscopists were required to evaluate each video for the presence of Barrett’s esophagus-related neoplasia (BERN) and then decide on a spot for a targeted biopsy. After the second assessment, they were allowed to change their clinical decision and confidence level.
Results
AI had a stand-alone sensitivity, specificity, and accuracy of 92.2%, 68.9%, and 81.3%, respectively. Without AI, BE experts had an overall sensitivity, specificity, and accuracy of 83.3%, 58.1%, and 71.5%, respectively. With AI, BE nonexperts showed a significant improvement in sensitivity and specificity when videos were assessed a second time with AI (sensitivity 69.8% [95%CI 65.2%–74.2%] to 78.0% [95%CI 74.0%–82.0%]; specificity 67.3% [95%CI 62.5%–72.2%] to 72.7% [95%CI 68.2%–77.3%]). In addition, the diagnostic confidence of BE nonexperts improved significantly with AI.
Conclusion
BE nonexperts benefitted significantly from additional AI. BE experts and nonexperts remained significantly below the stand-alone performance of AI, suggesting that there may be other factors influencing endoscopists’ decisions to follow or discard AI advice.
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.
Effect of AI on performance of endoscopists to detect Barrett neoplasia: A Randomized Tandem Trial
()
Background and study aims
To evaluate the effect of an AI-based clinical decision support system (AI) on the performance and diagnostic confidence of endoscopists during the assessment of Barrett's esophagus (BE).
Patients and Methods
Ninety-six standardized endoscopy videos were assessed by 22 endoscopists from 12 different centers with varying degrees of BE experience.
The assessment was randomized into two video sets: Group A (review first without AI and second with AI) and group B (review first with AI and second without AI). Endoscopists were required to evaluate each video for the presence of Barrett's esophagus-related neoplasia (BERN) and then decide on a spot for a targeted biopsy. After the second assessment, they were allowed to change their clinical decision and confidence level.
Results
AI had a standalone sensitivity, specificity, and accuracy of 92.2%, 68.9%, and 81.6%, respectively. Without AI, BE experts had an overall sensitivity, specificity, and accuracy of 83.3%, 58.1 and 71.5%, respectively. With AI, BE nonexperts showed a significant improvement in sensitivity and specificity when videos were assessed a second time with AI (sensitivity 69.7% (95% CI, 65.2% - 74.2%) to 78.0% (95% CI, 74.0% - 82.0%); specificity 67.3% (95% CI, 62.5% - 72.2%) to 72.7% (95 CI, 68.2% - 77.3%). In addition, the diagnostic confidence of BE nonexperts improved significantly with AI.
Conclusion
BE nonexperts benefitted significantly from the additional AI. BE experts and nonexperts remained below the standalone performance of AI, suggesting that there may be other factors influencing endoscopists to follow or discard AI advice.
We investigate the influence of the geometry and doping level on the performance of n-type silicon nanowire field emitters on silicon pillar structures. Therefore, multiple cathodes with 50 by 50 pillar arrays (diameter: 5 μm, height: 30 μm, spacing: 50 μm) were fabricated and measured in diode configuration. In the first experiment, we compared two geometry types using the same material. Geometry 1 is black silicon, which is a highly dense surface covering a forest of tightly spaced silicon needles resulting from self-masking during a plasma etching process of single crystal silicon. Geometry 2 are silicon nanowires, which are individual spaced-out nanowires in a crownlike shape resulting from a plasma etching process of single crystal silicon. In the second experiment, we compared two different silicon doping levels [n-type (P), 1–10 and <0.005 Ω cm] for the same geometry. The best performance was achieved with lower doped silicon nanowire samples, emitting 2 mA at an extraction voltage of 1 kV. The geometry/material combination with the best performance was used to assemble an integrated electron source. These electron sources were measured in a triode configuration and reached onset voltages of about 125 V and emission currents of 2.5 mA at extraction voltages of 400 V, while achieving electron transmission rates as high as 85.0%.
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.
The human nose serves as the primary gateway for air entering the respiratory system and plays a vital role in breathing. Nasal breathing difficulties are a significant health concern, leading to substantial healthcare costs for patients. Understanding nasal airflow dynamics is crucial for comprehending respiratory mechanisms. This article presents a detailed study using tomo-Particle Image Velocimetry (PIV) to investigate nasal airflow dynamics while addressing its accuracy. Embedded in the OpenNose project, the work described aims to provide a validation basis for different numerical approaches to upper airway flow. The study includes the manufacturing of a transparent silicone model based on a clinical CT scan, refractive index matching to minimize optical distortions, and precise flow rate adjustments based on physiological breathing cycles. This method allows for spatial high-resolution investigations in different regions of interest within the nasopharynx during various phases of the breathing cycle. The results demonstrate the accuracy of the investigations, enabling detailed analysis of flow structures and gradients. This spatial high-resolution tomo-PIV approach provides valuable insights into the complex flow phenomena occurring during the physiological breathing cycle in the nasopharynx. The study's findings contribute to advancements in non-free-of-sight experimental flow investigation of complex cavities under nearly realistic conditions. Furthermore, reliable and accurate experimental data is crucial for properly validating numerical approaches that compute this patient-specific flow for clinical purposes.
Increasingly stringent emission limits have made particulate filters necessary for gasoline engines. Similar to diesel applications, gasoline particulate filters (GPFs) can be monitored by differential pressure measurement or by the radio-frequency-based filter diagnosis (RF sensor). In addition to measuring the soot loading, ash detection is critical for monitoring the GPF over the entire vehicle lifetime. Because the RF sensor detects the filter loading through a change in the dielectric properties of the GPF, it can detect not only soot but also ash. In diesel applications, the RF sensor has already demonstrated its potential for ash detection. To verify the feasibility of simultaneous ash and soot monitoring for GPFs, filters were loaded with ash on an engine test bench and measured on a lab test bench under defined synthetic exhaust gas conditions. By evaluating resonant modes, soot and ash could be clearly distinguished, as ash mainly affects the resonant frequency, while soot also changes the quality factor due to its high dielectric losses. However, higher soot loadings could not be detected by the resonant parameters, but instead by a frequency-averaged transmission signal. While the presence of ash caused an offset in this signal, its sensitivity to soot was not affected. Thus, the influence of ash can be corrected if the signal in the soot-free filter state is known, e.g., from the behavior of the resonant parameters. Therefore, even with a continuously increasing ash loading over the lifetime of a vehicle, an accurate soot detection is possible with the RF sensor.
In the field of computer- and robot-assisted minimally invasive surgery, enormous progress has been made in recent years based on the recognition of surgical instruments in endoscopic images and videos. In particular, the determination of the position and type of instruments is of great interest. Current work involves both spatial and temporal information, with the idea that predicting the movement of surgical tools over time may improve the quality of the final segmentations. The provision of publicly available datasets has recently encouraged the development of new methods, mainly based on deep learning. In this review, we identify and characterize datasets used for method development and evaluation and quantify their frequency of use in the literature. We further present an overview of the current state of research regarding the segmentation and tracking of minimally invasive surgical instruments in endoscopic images and videos. The paper focuses on methods that work purely visually, without markers of any kind attached to the instruments, considering both single-frame semantic and instance segmentation approaches, as well as those that incorporate temporal information. The publications analyzed were identified through the platforms Google Scholar, Web of Science, and PubMed. The search terms used were “instrument segmentation”, “instrument tracking”, “surgical tool segmentation”, and “surgical tool tracking”, resulting in a total of 741 articles published between 01/2015 and 07/2023, of which 123 were included using systematic selection criteria. A discussion of the reviewed literature is provided, highlighting existing shortcomings and emphasizing the available potential for future developments.
In fatigue strength assessment, the methods based on ideal elastic stresses according to Basquin and the less established method based on elastic-plastic stress quantities according to Manson, Coffin and Morrow are applied. The former calculates loads using linear-elastic stresses, the latter requires elasticplastic evaluation parameters, such as stresses and strains. These can be determined by finite element analysis (FEA) with a linear-elastic constitutive law, and subsequent conversion to elastic-plastic loads, using the macro support formula by Neuber. In this contribution, an alternative approach to approximate elastic-plastic parameters proposed by Glinka is compared to the the strain-life method using Neuber's formula, as well as the stress-life method of Basquin. Several component tests on 42CrMoS4-QT specimens are investigated. To determine the input data for the fatigue strength evaluations, the entire test setup is computed by FEA. The nodal displacements from these validated full-model simulations are used as boundary conditions for a submodel simulation of a notch, whose results serve as input for the fatigue strength assessments. It is shown that all approaches provide a reliable assessment of components. Our key result is that the strain-life method using the concept by Glinka for notch stress computation, yields improved results in fatigue strength assessments.
Although magnesium and its alloys are promising candidates as biodegradable implant materials, the tendency for localized corrosion mechanism in physiological environment limit their biomedical application. Electropolishing is an attractive strategy for improving the corrosion behaviour of metals, but it is still largely unexplored in magnesium materials. In this study, the characterization of electropolished surfaces of AM50 and pure magnesium was performed, focussing on their in vitro degradation behaviour in cell medium. Corrosion rates were evaluated using potentiodynamic polarisation. The surface morphology before and after the onset of corrosion was investigated by scanning electron microscopy and confocal laser scanning microscopy. The presented electropolishing process led to improved surface performances, observable by significantly lower corrosion rates (0.08 mm·year-1 in Dulbecco's modified Eagle's medium), lower arithmetical mean height (0.05 µm), lower water contact angle (25-35°) and lower micro hardness (35-50 HV 0.1) compared to mechanically and chemically treated surfaces. MgO/Mg(OH)2 could be detected on electropolished surfaces. The localized corrosion mode could be reduced, but not entirely prevented. Electropolishing shows great potential as post-treatment of magnesium-based components, but detailed tests of the long-term corrosion behaviour are an important area of future research.
Commercially available contact angle (CA) measuring devices usually do not allow for the application of magnetic fields to the sample under test. A setup for measuring the CA of liquids on magnetosensitive surfaces has been developed specifically for investigating the surfaces of magnetoactive elastomers (MAEs). The addition of a programmable linear stage, which moves a permanent magnet, allows for fine control of the magnetic field applied to the MAE without the need for large and power-consuming electromagnets. Paired with a custom control and evaluation software, this measurement setup operates semiautomatically, limiting operator error and increasing precision, speed, as well as repeatability of static and dynamic CA measurements for different magnetoactive materials. The software is equipped with robust droplet fitting algorithms to avoid experimental challenges arising with soft magnetoactive materials, such as the curling of sample edges or diffuse non-reflective surfaces. Several application examples on MAE surfaces, both processed and unprocessed, are presented.
Eine Herausforderung performancebasierter Prüfverfahren zur Bewertung der Dauerhaftigkeit ist die Beschleunigung natürlicher Mechanismen. Dies ist notwendig, um innerhalb kurzer Zeit die Langzeit-Leistungsfähigkeit ermitteln zu können. Die Bestimmung der Frost-Tausalzbeständigkeit von Beton kann durch den CDF-Test erfolgen, welcher für Betone mit ausreichendem Frost-Tausalz-Widerstand sehr gut funktioniert. Bei Proben mit einer unzureichenden bzw. unbekannten Performance können erhöhte Randabwitterungen auftreten, welche durch das Ablösen des seitlichen Abdichtbands entstehen. Der zunehmende Randeinfluss führt so zu einer Verfälschung der Ergebnisse und zu einer Unterschätzung der tatsächlichen Performance des Bauteils. In diesem Beitrag werden Mörtel- und Betonprobekörper mit unterschiedlichen Abwitterungsraten in Anlehnung an das CDF-Verfahren untersucht. Zusätzlich wird die Oberflächenschädigung der Proben anhand einer neuartigen Messmethode mittels hochauflösendem 3D-Laserscanning ausgewertet. Die Ergebnisse zeigen, dass die Randeffekte mit der Laserscan-Methode umgangen und vergleichbare Ergebnisse zu den CDF-Untersuchungen erzielt werden können. Somit können Betone ohne Randeinflüsse charakterisiert und eine präzise Prognose der Langzeitbeständigkeit getroffen werden.
Die Carbonatisierung von Beton kann einerseits zu Schäden bei Stahlbetonbauwerken führen, andererseits kann der Beton so CO2 speichern und damit seinen CO2-Fußabdruck verringern. In diesem Beitrag wird dargestellt, wie eine effiziente Beschleunigung der Carbonatisierung durch Anlegen eines geringen äußeren Drucks erreicht werden kann. Damit wird neben der Diffusion der wesentlich schneller ablaufende Transportmechanismus der Permeation ausgenutzt, der das CO2 tiefer in das Probeninnere transportiert und damit in kurzer Zeit die Bestimmung des Carbonatisierungswiderstand zementgebundener Materialien ermöglicht. Hierzu wurde eine Prüfeinrichtung entwickelt, die es ermöglicht, die CO2-Konzentration und in gewissen Grenzen auch relative Luftfeuchte sowie die Temperatur gezielt einzustellen und zu steuern, um so Mörtel- und Betonproben schnell und präzise zu carbonatisieren. Der Einfluss verschiedener Druckstufen und Wechselzyklen wird dargelegt und die resultierenden chemischen und physikalischen Veränderungen der Proben bestimmt. Als besonders effizient und gleichzeitig realitätsnah erwies sich die konstante CO2-Beaufschlagung mit 3 Vol.-% CO2 mit zusätzlichem, moderatem Gasdruck. Das hier entwickelte Verfahren kann daher genutzt werden, um Betone schnell und effizient in zeitraffenden Materialtests hinsichtlich Carbonatisierungswiderstand zu charakterisieren.
Review of elasto-static models for three-dimensional analysis of thick-walled anisotropic tubes
(2023)
Most shell or beam models of anisotropic tubes under bending have no validity for thick-walled structures. As a result, the need to develop three-dimensional formulations which allow a change in the stress, strain and displacement distributions across the radial component arises. Basic formulations on three-dimensional anisotropic elasticity were made either stressor displacement-based by Lekhnitskii or Stroh on plates. Lekhnitskii also was the first to expand these analytical formulations to tubes under various loading conditions. This paper presents a review of the stress and strain analysis of tube models using three-dimensional anisotropic elasticity. The focus lies on layered structures, like fiber-reinforced plastics, under various bending loads, although the basic formulations and models regarding axisymmetric loads are briefly discussed. One section is also dedicated to the determination of an equivalent bending stiffness of tubes.
BACKGROUND: Thrombosis remains a critical complication during venovenous extracorporeal membrane oxygenation (VV ECMO). The involvement of neutrophil extracellular traps (NETs) in thrombogenesis has to be discussed. The aim was to verify NETs in the form of cell-free DNA (cfDNA) in the plasma of patients during ECMO.
METHODS: A fluorescent DNA-binding dye (QuantifFluor®, Promega) was used to detect cell-free DNA in plasma samples. cfDNA concentrations from volunteers (n = 21) and patients (n = 9) were compared and correlated with clinical/technical data before/during support, ECMO end and time of a system exchange.
RESULTS: Before ECMO, patients with a median (IQR) age of 59 (51/63) years, SOFA score of 11 (10/15), and ECMO run time of 9.0 (7.0/19.5) days presented significantly higher levels of cfDNA compared to volunteers (6.4 (5.8/7.9) ng/μL vs. 5.9 (5.4/6.3) ng/μL; p = 0.044). Within 2 days after ECMO start, cfDNA, inflammatory, and hemolysis parameters remained unchanged, while platelets decreased (p = 0.005). After ECMO removal at the end of therapy, cfDNA, inflammation, and coagulation data (except antithrombin III) remained unchanged. The renewal of a system resulted in known alterations in fibrinogen, d-dimers, and platelets, while cfDNA remained unchanged.
CONCLUSION: Detection of cfDNA in plasma of ECMO patients was not an indicator of acute and circuit-induced thrombogenesis.
Hintergrund/Zielsetzung
Der Beitrag befasst sich mit dem Wissenstand und der Einstellung der Bevölkerung. Betrachtet werden die Übermittlung und Verfügbarkeit von Gesundheitsdaten, Gesundheitsregister, die elektronische Patientenakte, Einwilligungsverfahren für die Übermittlung von Daten und der Zugriff auf Gesundheitsdaten zu Forschungszwecken.
Methoden
Die Studie basiert auf einer computergestützten Telefonbefragung (Dual-Frame) bei einer Zufallsstichprobe der Bevölkerung in Deutschland im Zeitraum 01.-27.06.2022 (n = 1.308).
Ergebnisse
Der Wissensstand zur Übermittlung von Gesundheitsdaten an Krankenkassen ist hoch, wohingegen das Vorhandensein zentraler Sterbe-, Impf- und Gesundheitsregister sowie der Zugriff auf Gesundheitsdaten durch behandelnde Ärztinnen und Ärzte überschätzt werden. Die Akzeptanz medizinischer Register ist sehr hoch. Die elektronische Patientenakte ist bei der Hälfte der Bevölkerung unbekannt, die Nutzungsbereitschaft ist eher gering ausgeprägt; bei der Übertragung von Daten wird eine Zustimmungsoption bevorzugt, und über achtzig Prozent würden die Daten der elektronischen Patientenakte zur Forschung freigeben. Drei Viertel würden ihre Gesundheitsdaten allgemein zur Forschung freigeben, insbesondere an Universitäten in Deutschland, wobei meist Anonymität Bedingung ist. Die Bereitschaft zur Datenfreigabe steigt mit der Höhe des Vertrauens in die Presse sowie in Universitäten und Hochschulen, und sie sinkt, wenn ein Datenleck als schwerwiegend erachtet wird.
Diskussion und Schlussfolgerung
In Deutschland besteht, wie in anderen europäischen Ländern, eine große Bereitschaft zur Freigabe von Gesundheitsdaten zu Forschungszwecken. Dagegen ist der Wunsch zur Nutzung der elektronischen Patientenakte eher gering. Ebenso niedrig ist die Akzeptanz einer Widerspruchsoption, die jedoch als Voraussetzung für eine erfolgreiche Einführung einer elektronischen Patientenakte gilt. Vertrauen in die Forschung und staatliche Stellen, die Gesundheitsdaten verarbeiten, sind zentrale Faktoren.
In the field of software engineering, graph-based models are used for a variety of applications. Usually, the layout of those graphs is determined at the discretion of the user. This article empirically investigates whether different layouts affect the comprehensibility or popularity of a graph and whether one can predict the perception of certain aspects in the graph using basic graphical laws from psychology (i.e., Gestalt principles). Data on three distinct layouts of one causal graph is collected from 29 subjects using eye tracking and a print questionnaire. The evaluation of the collected data suggests that the layout of a graph does matter and that the Gestalt principles are a valuable tool for assessing partial aspects of a layout.
LuGre or not LuGre
(2023)
The LuGre model is widely used in the analysis and control of systems with friction. Recently, it has even been made available in the commercial multibody dynamics simulation software system Adams. However, the LuGre model exhibits well-known drawbacks like too low and force rate-dependent break-away forces, drift problems during sticking periods, and significant differences in non-stationary situations between the pre-defined friction law and the one produced by the LuGre model. In the present literature, these problems are supposed to come from the model dynamics or its nonlinear nature. However, most of these drawbacks are not simple side effects of a dynamic friction model but are caused in the LuGre approach, as shown here, by a too simple and inconsistent model of the bristle dynamics. Standard examples and a more practical application demonstrate that the LuGre model is not a “what you see is what you get” approach. A dynamic friction model with accurate bristle dynamics and consistent friction force is set up here. It provides insight into the physical basis of the LuGre model dynamics. However, it results in a nonlinear and implicit differential equation, whose solution will not be easy because of the ambiguity of the friction characteristics. The standard workaround, a static model based on simple regularized characteristics, produces reliable and generally satisfactory results but definitely cannot maintain a stick. The paper presents a second-order dynamic friction model, which may serve as an alternative. It can maintain a stick and produces realistic and reliable results.
BACKGROUND
Surgeons have historically used age as a preoperative predictor of postoperative outcomes. Sarcopenia, the loss of skeletal muscle mass due to disease or biological age, has been proposed as a more accurate risk predictor. The prognostic value of sarcopenia assessment in surgical patients remains poorly understood. Therefore, we aimed to synthesize the available literature and investigate the impact of sarcopenia on peri- and postoperative outcomes across all surgical specialties.
METHODS
We systematically assessed the prognostic value of sarcopenia on postoperative outcomes by conducting a systematic review and meta-analysis according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searching the PubMed/MEDLINE and EMBASE databases from inception to 1st October 2022. Our primary outcomes were complication occurrence, mortality, length of operation and hospital stay, discharge to home, and postdischarge survival rate at one, three, and five years. Subgroup analysis was performed by stratifying complications according to the Clavien-Dindo classification system. Sensitivity analysis was performed by focusing on studies with an oncological, cardiovascular, emergency, or transplant surgery population, and on those of higher quality or prospective study design.
RESULTS
A total of 294 studies comprising 97,643 patients, of which 33,070 had sarcopenia, were included in our analysis. Sarcopenia was associated with significantly poorer postoperative outcomes including greater mortality, complication occurrence, length of hospital stay, and lower rates of discharge to home (all P<0.00001). A significantly lower survival rate in patients with sarcopenia was noted at one, three, and five years (all P<0.00001) after surgery. Subgroup analysis confirmed higher rates of complications and mortality in oncological (both P<0.00001), cardiovascular (both P<0.00001), and emergency (P=0.03 and P=0.04, respectively) patients with sarcopenia. In the transplant surgery cohort, mortality was significantly higher in patients with sarcopenia (P<0.00001). Among all patients undergoing surgery for inflammatory bowel disease, the frequency of complications was significantly increased among sarcopenic patients (P=0.007). Sensitivity analysis based on higher-quality studies and prospective studies showed that sarcopenia remained a significant predictor of mortality and complication occurrence (all P<0.00001).
CONCLUSION
Sarcopenia is a significant predictor of poorer outcomes in surgical patients. Preoperative assessment of sarcopenia can help surgeons to identify patients at risk, critically balance eligibility, and refine perioperative management. Large-scale studies are required to further validate the importance of sarcopenia as a prognostic indicator of perioperative risk, especially in surgical sub-specialties.
Efficient transportation of droplets (∽10 ¹ ̶̶̶̶ 10 ² µl) and small solid objects (∽10 ¹ ̶ 10 ² mm ³ ) have important applications in many fields, such as microfluidics, lab‐on‐a‐chip devices, drug delivery, etc. A novel multifunctional surface consisting of a periodic array of micro‐lamellae from a soft magnetoactive elastomer (MAE) on a plastic substrate is reported for these purposes. The physical origin of the propulsion is the bending of soft magnetic lamellae in non‐uniform magnetic fields, which is also observed in uniform magnetic fields. The magnetoactive surface is fabricated using a facile and rapid method of laser ablation. The propulsion of items is realized using a four‐pole rotating magnet. This results in a cyclic lamellar fringe motion over the micro‐structured surface and brings an advantage of easy reciprocation of transport by rotation reversal. Two modes of object transportation are identified: “pushing” mode for precise control of droplet and solid positioning and “bouncing” mode for heavier solid objects transportation. A water droplet of 5 μl or a glass sphere with a 2.1 mm diameter can be moved at a maximum speed of 60 mm s ⁻¹ . The multifunctionality of the proposed mechatronic platform is demonstrated on the examples of selective solid‐liquid separation and droplet merging.
Auch kleine und mittlere Unternehmen (KMUs) benötigen zunehmend ein effektives Informationstechnologie- (IT)-Management, um wettbewerbsfähig zu bleiben. Im Vergleich zu großen Unternehmen verfügen KMUs jedoch oft nicht über die Ressourcen, die Arbeitgeberattraktivität oder den Bedarf, um einen Chief Information Officer (CIO) in Vollzeit zu beschäftigen. Um diese Lücke zu schließen, hat eine wachsende Zahl von Expertinnen und Experten weltweit damit begonnen, CIO-Dienste in Teilzeit anzubieten. Auf diese Weise erhalten KMUs Zugang zu erfahrenen und kompetenten IT-Führungskräften zu einem Bruchteil der Kosten und ohne langfristige Verpflichtungen. Während diese so genannten „Fractional CIOs“ in der Praxis bereits einen Mehrwert schaffen, gibt es noch kaum wissenschaftliche Untersuchungen zu diesem neuen Phänomen. In einem größeren Forschungsprojekt mit insgesamt 62 Fractional CIOs aus 10 Ländern wurden daher eine Definition, Typen verschiedenartiger Engagements und Erfolgsfaktoren abgeleitet. Die vorliegende Studie fasst die Ergebnisse zusammen und setzt sie in Bezug zum deutschen Markt, indem sie drei Fractional CIOs/CTOs aus Deutschland befragt. Es zeigt sich, dass die folgenden vier Engagement-Typen von Fractional CIOs für KMUs in verschiedenen Situationen von Nutzen sind: Strategisches IT-Management, Restrukturierung, Skalierung und Hands-on Support. Darüber hinaus zeigt die Studie, dass Vertrauen, die Unterstützung durch das Top-Management-Team und die Integrität des Fractional CIOs Schlüsselfaktoren für den Erfolg von Fractional CIO-Engagements sind. Für den deutschen Markt werden die Ergebnisse durch drei befragte Fractional CIOs/CTOs weitgehend bestätigt. Die Fractional CIOs/CTOs können zwar keine genauen Gründe für die geringe Akzeptanz der Rolle nennen, betonen aber ihr Wertpotenzial für den deutschen Markt.
A comparative analysis of two different approaches developed to deal with molecular relaxation in photoacoustic spectroscopy is here reported. The first method employs a statistical analysis based on partial least squares regression, while the second method relies on the development of a digital twin of the photoacoustic sensor based on the theoretical modelling of the occurring relaxations. Methane detection within a gas matrix of synthetic air with variable humidity level is selected as case study. An interband cascade laser emitting at 3.345 µm is used to target methane absorption features. Two methane concentration ranges are explored targeting different absorptions, one in the order of part-per-million and one in the order of percent, while water vapor absolute concentration was varied from 0.3 % up to 2 %. The results achieved employing the detection techniques demonstrated the possibility to efficiently retrieve the target gas concentrations with accuracy > 95 % even in the case of strong influence of relaxation effects.
Für Fußballer:innen stellen muskuläre Verletzungen der unteren Extremitäten ein großes Problem dar. Ein Beispiel hierfür liefert die Nationalmannschaftsstürmerin Alexandra Popp, die aufgrund muskulärer Probleme das EM-Finale 2022 in Wembley kurzfristig verpasste. Oftmals stehen gerade hohe Anspannungssituationen in zeitlichem Zusammenhang mit Verletzungen, der Einfluss der psychischen Beanspruchung auf die biomechanischen Belastungen wird jedoch meist nur wenig beachtet.
To avoid dislocation of the shoulder joint after reverse total shoulder arthroplasty, it is important to achieve sufficient shoulder stability when placing the implant components during surgery. One parameter for assessing shoulder stability can be shoulder stiffness. The aim of this research was to develop a temporary reverse shoulder implant prototype that would allow intraoperative measurement of shoulder stiffness while varying the position of the implant components. Joint angle and torque measurement techniques were developed to determine shoulder stiffness. Hall sensors were used to measure the joint angles by converting the magnetic flux densities into angles. The accuracy of the joint angle measurements was tested using a test bench. Torques were determined by using thin-film pressure sensors. Various mechanical mechanisms for variable positioning of the implant components were integrated into the prototype. The results of the joint angle measurements showed measurement errors of less than 5° in a deflection range of ±15° adduction/abduction combined with ±45° flexion/extension. The proposed design provides a first approach for intra-operative assessment of shoulder stiffness. The findings can be used as a technological basis for further developments.
Die Situation von Menschen im Pflegeheim, die besonders dem Risiko der „pflegebedingten Verarmung“ ausgesetzt sind, ist in der Forschung wenig präsent. Der Beitrag befasst sich mit dem Erleben von Unsicherheiten, Armut und prekären Lebenslagen älterer Menschen im Heim. Grundlage liefern Daten einer ethnographischen Studie zum Älterwerden und zum Leben mit chronischen Erkrankungen. Anhand von Fällen wird ein Spektrum prekärer Lebenslagen skizziert. Deutlich wird u. a.: Menschen mit diversen soziobiografischen Hintergründen können im Zuge von Hilfebedürftigkeit und Heimübergängen von Unsicherheiten, Armut und prekären Lebenslagen betroffen sein. Nicht zu wissen, ob das verfügbare Geld genügt, um Kostensteigerungen bis zum Lebensende zu decken, kennzeichnet eine häufig erlebte Zukunftsunsicherheit; drohende Armut bzw. die Abhängigkeit von Sozialhilfe können pflege- und institutionell bedingte Verlusterfahrungen von Autonomie, Teilhabe und Lebensgestaltung verschärfen und den Gesamtzustand weiter destabilisieren. Das Erleiden bleibt weitgehend unsichtbar; strukturelle Probleme werden individualisiert.
Ziel der Studie:
Ziel der Studie ist die Messung des Stands der Digitalisierung und die mit einer Anbindung an die Telematikinfrastruktur verbundenen Chancen und Herausforderungen für Rehabilitationseinrichtungen.
Methodik:
Teilstandardisierte Online-Befragung bei Trägern von Rehabilitationseinrichtungen in Bayern (n=33). Der Fragebogen mit 36 Fragen beinhaltet eine leicht veränderte Skala auf Basis des „Electronic Medical Record Adoption Model (EMRAM)“.
Ergebnisse:
Der Digitalisierungsgrad wurde in 70 Prozent der Rehabilitationseinrichtungen mit Stufe 0 angegeben (Stufenmodell bis 7). Die Übermittlung patientenbezogener Daten (Eingang und Ausgang) erfolgt häufig analog, wohingegen die Verarbeitung innerhalb der Einrichtung in vielen Fällen bereits überwiegend digital ist. Beim Anschluss an die Telematikinfrastruktur wird hoher Aufwand bei der Installation, aber auch der Schulung des Personals und der Anpassung der Arbeitsorganisation gesehen.
Schlussfolgerung:
Durch Änderung der gesetzlich-finanziellen Lage in Deutschland eröffnen sich für Rehabilitationseinrichtungen neue Möglichkeiten einer verstärkten Digitalisierung. Hürden hängen mit Anforderungen an IT-Sicherheit, Schulung des Personals und sowie dem ebenfalls geringen Digitalisierungsstand bei Krankenhäusern und Ärzt*innen sowie Patient*innen zusammen, die eine digitale Datenübermittlung erschweren.
New structural sheet metal parts are developed in an iterative, time-consuming manner. To improve the reproducibility and speed up the iterative drawability assessment, we propose a novel low-dimensional multi-fidelity inspired machine learning architecture. The approach utilizes the results of low-fidelity and high-fidelity finite element deep drawing simulation schemes. It hereby relies not only on parameters, but also on additional features to improve the generalization ability and applicability of the drawability assessment compared to classical approaches. Using the machine learning approach on a generated data set for a wide range of different cross-die drawing configurations, a classifier is trained to distinguish between drawable and non-drawable setups. Furthermore, two regression models, one for drawable and one for non-drawable designs are developed that rank designs by drawability. At instantaneous evaluation time, classification scores of high accuracy as well as regression scores of high quality for both regressors are achieved. The presented models can substitute low-fidelity finite element models due to their low evaluation times while at the same time, their predictive quality is close to high-fidelity models. This approach may enable fast and efficient assessments of designs in early development phases at the accuracy of a later design phase in the future.
As use of digital fabrication increases in architecture, engineering and construction, the industry seeks appropriate management and processes to enable the adoption during the design/planning phase. Many enablers have been identified across various studies; however, a comprehensive synthesis defining the enablers of design for digital fabrication does not yet exist. This work conducts a systematic literature review of 59 journal articles published in the past decade and identifies 140 enablers under eight categories: actors, resources, conditions, attributes, processes, artefacts, values and risks. The enablers' frequency network is illustrated using an adjacency matrix. Through the lens of actor-network theory, the work creates a relational ontology to demonstrate the linkages between different enablers. Three examples are presented using onion diagrams: circular construction focus, business model focus and digital twin in industrialisation focus. Finally, this work discusses the intersection of relational ontology with process modelling to design future digital fabrication work routines.
Appropriate climate change mitigation requires solutions for all actors of the energy system. The residential sector is a major part of the energy system and solutions for the implementation of a seasonal hydrogen storage system in residential houses has been increasingly discussed. A global analysis of prosumer systems including seasonal hydrogen storage with water electrolyser, hydrogen compressor, storage tank, and a fuel cell studying the role of such a seasonal household storage in the upcoming decades is not available. This study aims to close this research gap via the improved LUT-PROSUME model, which models a fully micro sector coupled residential photovoltaic prosumer system with linear optimisation for 145 regions globally. The modelling of the cost development of hydrogen storage components allows for the simulation of a residential system from 2020 until 2050 in 5-year steps in hourly resolution. The systems are cost-optimised for either on- or off-grid operation in eight scenarios including battery electric vehicles, which can act as an additional vehicle-to-home electricity storage for the system. Results show that implementation of seasonal hydrogen systems only occurs in least cost solutions in high latitude countries when the system is forced to run in off-grid mode. In general, a solar photovoltaic plus battery system including technologies that can cover the heat demand is the most economic choice and can even achieve lower cost than a full grid supply in off-grid operation for most regions until 2050. Additional parameters including the self-consumption ratio, the demand cover ratio, and the heat cover ratio can therefore not be improved by seasonal storage systems if economics is the main deciding factor for a respective system. Further research opportunities and possible limitations of the system are then identified.
Die Bedeutung von Zeit für Bildungsprozesse im Kontext der Sozialen Arbeit ist bisher wenig erforscht. Um sich dieser Fragestellung anzunähern, werden in diesem Beitrag theoretische Überlegungen im Anschluss an Diskurse zu Bildung und Zeit in der Pädagogik angestellt. Dabei wird Zeit als ermöglichender, ökonomischer und politischer Faktor diskutiert, um die Perspektive der Sozialen Arbeit auf Bildungsprozesse zu erweitern.
Multi-fidelity optimization of metal sheets concerning manufacturability in deep-drawing processes
(2023)
Multi-fidelity optimization, which complements an expensive high-fidelity function with cheaper low-fidelity functions, has been successfully applied in many fields of structural optimization. In the present work, an exemplary cross-die deep-drawing optimization problem is investigated to compare different objective functions and to assess the performance of a multi-fidelity efficient global optimization technique. To that end, hierarchical kriging is combined with an infill criterion called variable-fidelity expected improvement. Findings depend significantly on the choice of objective function, highlighting the importance of careful consideration when defining an objective function. We show that one function based on the share of bad elements in a forming limit diagram is not well suited to optimize the example problem. In contrast, two other definitions of objective functions, the average sheet thickness reduction and an averaged limit violation in the forming limit diagram, confirm the potential of a multi-fidelity approach. They significantly reduce computational cost at comparable result quality or even improve result quality compared to a single-fidelity optimization.
Let G⊊C be a bounded, simply connected domain in C, and denote by
Q(G):={f:G⟶G | f is a quasiconformal mapping of G onto G } the quasiconformal automorphism group of G. In a canonical manner, the set Q(G) carries the structure of a (non–abelian) group with respect to composition of mappings. Moreover, we endow the set Q(G) with the topology of uniform convergence by the supremum metric dsup(f,g):=supz∈G|f(z)−g(z)|,f,g∈Q(G).
In this paper, we present results concerning topological properties of Q(G) such as completeness, separability, path–connectedness, discreteness and compactness.
Although the number and size of interconnected pores have been identified as the most important aspects of concrete microstructure, comprehensive datasets on shotcrete porosity and pore size distributions are still scarce and their key controls are poorly investigated. In this study we investigate the effects of the spraying process, setting accelerator addition and mix design on the microstructure of real-scale dry- and wet-mix shotcrete and hand-mixed and sprayed accelerated pastes. A newly proposed deconvolution analysis of the pore size distributions, measured by mercury intrusion porosimetry, offers increased precision in determining the critical and median pore diameter parameters. In total >50 samples were analysed. Results show that the dry-mix shotcrete exhibits a shift towards coarser pore sizes (∼100–1 μm) than wet-mix shotcrete. Combinations of different supplementary cementitious materials are favourable for producing wet-mix shotcretes with refined pore structures. The addition of setting accelerators, up to 10 wt-% of binder mass, and the spraying process cause systematic variations in the pore volume and pore structure of (sprayed) paste and shotcrete.
This communication presents an experimental and analytical study on the evaporation mechanism in a closed-structured asymmetric plate heat exchanger (PHE) employed as a stagnant water evaporator for the application in an adsorption heat transformation appliance. To this aim, an experimental unit is constructed, which comprises two identical PHEs, one acting as an vaporator/condenser and the second, as an adsorber/desorber. Two endoscopes are mounted inside the investigated evaporator to visualize the evaporation mechanism when performing adsorption-evaporation processes under different boundary conditions. It turned out that the evaporation mechanism is a partially covered, thin film evaporation. A heat transfer analysis is performed to evaluate the heat transfer coefficient of the thin film evaporation () inside the investigated evaporator, resulting in -values between 1330 and 160 [W∙m−2∙K−1] over the investigated adsorption-evaporation time. Correlating the obtained () to the film thickness and the wetted area results in -values between 0.34 and 0.78 [mm] and wetted to total area ratios of 0.78 to 0.16. Besides, an analytical model has been developed and introduced to correlate the overall evaporator heat transfer coefficient with the adsorption potential and the time rate of change of the water uptake.
The use of robotics in construction projects is still in its infancy despite the opportunities that robots can present for the improvement of construction practices. One of the strategies to effectively increase the reliance on robots in construction is increasing the knowledge and improving the educational programs about robotics for university students. This paper contributes to the ongoing efforts worldwide to improve the teaching methods about construction robotics through the presentation of a novel method called “Imagine and Make”, in which students learn how to integrate robotics in different aspects and practices in construction projects. The method has been applied at Centrale Lille in France since 2018. The results of the application of “Imagine and Make” in the first semester of 2021–2022, evaluation by students, and teaching outcomes are reported in this paper.
Im Rahmen des Projektes AUT-1A wurden 123 Arbeitgeber*innen mittels Fragebogen zu ihren Erfahrungen mit der Beschäftigung von autistischen Mitarbeiter*innen befragt. Ziel war es, die beschäftigungsfördernden und -hindernden Faktoren herauszuarbeiten. Die Studie deutet darauf hin, dass sich die berufliche Qualifizierung in den Berufsbildungswerken positiv auf die nachhaltige Beschäftigung von Menschen mit Autismus-Spektrum-Diagnose (ASD) auswirkt, die Unterstützungsleistungen für Betriebe aber noch nicht hinreichend sind. Auch konnte eine mangelnde Aufklärung in Bezug auf eine autismusfreundliche Umgebungsgestaltung sowie eine mangelnde Aufklärung über die Diagnose Autismus der direkten Kolleg*innen herausgearbeitet werden.
Stimuli responsive materials are key ingredients for any application that requires dynamically tunable or on-demand responses. In this work we report experimental and theoretical investigation of magnetic-field driven modifications of soft-magnetic elastomers whose surface was processed by laser ablation into lamellar microstructures that can be manipulated by a uniform magnetic field. We present a minimal hybrid model that elucidates the associated deflection process of the lamellae and explains the lamellar structure frustration in terms of dipolar magnetic forces arising from the neighbouring lamellae. We experimentally determine the magnitude of the deflection as a function of magnetic flux density and explore the dynamic response of lamellae to fast changes in a magnetic field. A relationship between the deflection of lamellae and modifications of the optical reflectance of the lamellar structures is resolved.
Although many composite structures are inconsistently curved, such as the leading edges of aircraft wings, the variety of research in impact engineering is almost limited to the impact performance of plates or cylindrically curved specimens. It is not known whether the findings obtained from standardized tests can be transferred to curved structures or which adaptions are required. Therefore, a deeper understanding of the deformation and damage behavior of inconsistently curved structures is essential to transfer the observed impact behavior of flat specimens to general curved structures and therefore to utilize the full lightweight potential of a load-specific design. An accurate description of the procedure as well as the results of the experimental and numerical study of the low-velocity impact behavior of differently single-curved elliptic specimens is presented. To close the research gap of the impact behavior of geometries with curvatures between the plates and simplified leading edges, novel specimens geometries have been derived from established impact test standards. Glassfiber-reinforced specimens are subjected to an instrumented impact test at constant impact energy. This is numerically investigated by a stacked-layer model, which used cohesive zone modeling to enable the simulation of matrix cracking, fiber fracture and delamination. The resulting projected damage areas, as well as the force and deflection histories, were evaluated and section cuts were examined to discuss the damage morphology, formation and propagation process. Significant effects on maximum deflection, compliance and dynamic behavior on the size and morphology of damage were found.
Transition metal dichalcogenide (TMDC) nanotubes complement the field of low-dimensional materials with their quasi-1D morphology and a wide set of intriguing properties. By introducing different transition metals into the crystal structure, their properties can be tailored for specific purpose and applications. Herein, the characterization and a subsequent preparation of single-nanotube field emission devices of MoxWx-1S2 nanotubes prepared via the chemical vapor transport reaction is presented. Energy-dispersive X-ray spectroscopy, Raman spectroscopy, and X-ray diffraction indicate that the molybdenum and tungsten atoms are randomly distributed within the crystal structure and that the material is highly crystalline. High resolution transmission electron microscopy and electron diffraction (ED) patterns further corroborate these findings. A detailed analysis of the ED patterns from an eight-layer nanotube reveal that the nanotubes grow in the 2H structure, with each shell consists of one bilayer. The work function of the nanotubes is comparable to that of pure MoS2 and lower of pure WS2 NTs, making them ideal candidates for field emission applications. Two devices with different geometrical setup are prepared and tested as field emitters, showing promising results for single nanotube field emission applications.
Clot formation within membrane oxygenators (MOs) remains a critical problem during extracorporeal membrane oxygenation (ECMO). The composition of the clots-in particular, the presence of von Willebrand factor (vWF)-may be an indicator for prevalent nonphysiological flow conditions, foreign body reactions, or coagulation abnormalities in critically ill patients. Mats of interwoven gas exchange fibers from randomly collected MOs (PLS, Maquet, Rastatt, Germany) of 21 patients were stained with antibodies (anti-vWF and anti-P-selectin) and counterstained with 4 ',6-diamidino-2-phenylindole. The extent of vWF-loading was correlated with patient and technical data. While 12 MOs showed low vWF-loadings, 9 MOs showed high vWF-loading with highest accumulations close to crossing points of adjacent gas fibers. The presence and the extent of vWF-fibers/"cobwebs," leukocytes, platelet-leukocyte aggregates (PLAs), and P-selectin-positive platelet aggregates were independent of the extent of vWF-loading. However, the highly loaded MOs were obtained from patients with a significantly elevated SOFA score, severe thrombocytopenia, and persistent liver dysfunction. The coagulation abnormalities of these critically ill patients may cause an accumulation of the highly thrombogenic and elongated high-molecular-weight vWF multimers in the plasma which will be trapped in the MOs during the ECMO therapy.
Semantic segmentation is an essential task in medical imaging research. Many powerful deep-learning-based approaches can be employed for this problem, but they are dependent on the availability of an expansive labeled dataset. In this work, we augment such supervised segmentation models to be suitable for learning from unlabeled data. Our semi-supervised approach, termed Error-Correcting Mean-Teacher, uses an exponential moving average model like the original Mean Teacher but introduces our new paradigm of error correction. The original segmentation network is augmented to handle this secondary correction task. Both tasks build upon the core feature extraction layers of the model. For the correction task, features detected in the input image are fused with features detected in the predicted segmentation and further processed with task-specific decoder layers. The combination of image and segmentation features allows the model to correct present mistakes in the given input pair. The correction task is trained jointly on the labeled data. On unlabeled data, the exponential moving average of the original network corrects the student’s prediction. The combined outputs of the students’ prediction with the teachers’ correction form the basis for the semi-supervised update. We evaluate our method with the 2017 and 2018 Robotic Scene Segmentation data, the ISIC 2017 and the BraTS 2020 Challenges, a proprietary Endoscopic Submucosal Dissection dataset, Cityscapes, and Pascal VOC 2012. Additionally, we analyze the impact of the individual components and examine the behavior when the amount of labeled data varies, with experiments performed on two distinct segmentation architectures. Our method shows improvements in terms of the mean Intersection over Union over the supervised baseline and competing methods. Code is available at https://github.com/CloneRob/ECMT.
Background and aims
Celiac disease with its endoscopic manifestation of villous atrophy is underdiagnosed worldwide. The application of artificial intelligence (AI) for the macroscopic detection of villous atrophy at routine esophagogastroduodenoscopy may improve diagnostic performance.
Methods
A dataset of 858 endoscopic images of 182 patients with villous atrophy and 846 images from 323 patients with normal duodenal mucosa was collected and used to train a ResNet 18 deep learning model to detect villous atrophy. An external data set was used to test the algorithm, in addition to six fellows and four board certified gastroenterologists. Fellows could consult the AI algorithm’s result during the test. From their consultation distribution, a stratification of test images into “easy” and “difficult” was performed and used for classified performance measurement.
Results
External validation of the AI algorithm yielded values of 90 %, 76 %, and 84 % for sensitivity, specificity, and accuracy, respectively. Fellows scored values of 63 %, 72 % and 67 %, while the corresponding values in experts were 72 %, 69 % and 71 %, respectively. AI consultation significantly improved all trainee performance statistics. While fellows and experts showed significantly lower performance for “difficult” images, the performance of the AI algorithm was stable.
Conclusion
In this study, an AI algorithm outperformed endoscopy fellows and experts in the detection of villous atrophy on endoscopic still images. AI decision support significantly improved the performance of non-expert endoscopists. The stable performance on “difficult” images suggests a further positive add-on effect in challenging cases.
The prospect of achieving computational speedups by exploiting quantum phenomena makes the use of quantum processing units (QPUs) attractive for many algorithmic database problems. Query optimisation, which concerns problems that typically need to explore large search spaces, seems like an ideal match for the known quantum algorithms. We present the first quantum implementation of join ordering, which is one of the most investigated and fundamental query optimisation problems, based on a reformulation to quadratic binary unconstrained optimisation problems. We empirically characterise our method on two state-of-the-art approaches (gate-based quantum computing and quantum annealing), and identify speed-ups compared to the best know classical join ordering approaches for input sizes that can be processed with current quantum annealers. However, we also confirm that limits of early-stage technology are quickly reached.
Current QPUs are classified as noisy, intermediate scale quantum computers (NISQ), and are restricted by a variety of limitations that reduce their capabilities as compared to ideal future quantum computers, which prevents us from scaling up problem dimensions and reaching practical utility. To overcome these challenges, our formulation accounts for specific QPU properties and limitations, and allows us to trade between achievable solution quality and possible problem size.
In contrast to all prior work on quantum computing for query optimisation and database-related challenges, we go beyond currently available QPUs, and explicitly target the scalability limitations: Using insights gained from numerical simulations and our experimental analysis, we identify key criteria for co-designing QPUs to improve their usefulness for join ordering, and show how even relatively minor physical architectural improvements can result in substantial enhancements. Finally, we outline a path towards practical utility of custom-designed QPUs.