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Road network performance (RNP) is a key element for urban sustainability as it has a significant impact on economy, environment, and society. Poor RNP can lead to traffic congestion, which can lead to higher transportation costs, more pollution and health issues regarding the urban population. To evaluate the effects of the RNP, the involved stakeholders need a real-world data base to work with. This paper develops a data collection approach to enable location-based RNP analysis using publicly available traffic information. Therefore, we use reachable range requests implemented by navigation service providers to retrieve travel times, travel speeds, and traffic conditions. To demonstrate the practicability of the proposed methodology, a comparison of four German cities is made, considering the network characteristics with respect to detours, infrastructure, and traffic congestion. The results are combined with cost rates to compare the economical dimension of sustainability of the chosen cities. Our results show that digitization eases the assessment of traffic data and that a combination of several indicators must be considered depending on the relevant sustainability dimension decisions are made from.
Virtual teams that use integrated communication platforms are ubiquitous in cross-border collaboration. This study explores the use of communication media and team outcomes—both social outcomes and task accomplishment—in multilingual virtual teams. Based on surveys from 96 virtual teams (with 578 team members), the research shows that the more time spent in rich communication channels, such as online conferences, increased inclusion and satisfaction, whereas the more time spent with written communication that is lower in richness increased the level of task accomplishment. Team members with lower language proficiency felt less included in all collaboration channels, whereas team members with higher language proficiency felt less satisfied with lean collaboration. In addition, limited language proficiency speakers were significantly less likely to view rich tools as helpful for their teams to reach a mutual decision. Our data support media richness theory in its original context for native and highly proficient English speakers. Our study extends the scope of the theory by applying it to the new context of team members with limited language proficiency. Management should implement a collaboration infrastructure consisting of communication platforms that integrate a variety of media to account for different tasks and different communication needs.
Each year, the Virtual Business Professional (VBP) program brings together professors and students from across the globe to engage in client projects. The VBP program of 2020 occurred from the beginning of March through the middle of April. In this article, we share how the COVID-19 pandemic affected VBP participants and their teams. We present post-project survey results (completed by 440 of 530 participants for an 83 percent response rate), professor comments, and student comments to demonstrate how VBP participants overcame many of the pandemic disruptions to work effectively in virtual teams, develop compassion and empathy for one another, and foster more global mindsets.
This study examines the impact of perceived foreign language proficiency on hybrid culture building in multicultural teams. Hybrid culture includes a mutually shared set of norms, communication patterns, problem-solving approaches, and synergistic task coordination that result from the diverse cultural backgrounds of the team members. Language is the main vehicle for communication and plays a major role in social interaction and therefore hybrid culture building. We argue that the level of perceived language proficiency of multicultural team members influences hybrid culture building; consequently, adequate language skills lead not only to an efficient task solution but are also an important factor in creating interpersonal relationships and building a shared culture. Our empirical analysis supports the positive influence of language proficiency in hybrid teams; however, foreign language proficiency is more influential on cognitively oriented areas of multicultural teamwork than on affective ones.
Oncologic patients are regarded as the population most at risk of developing a severe course of COVID-19 due to the fact that malignant diseases and chemotherapy often weaken the immune system. In the face of the ongoing SARS-CoV-2 pandemic, how particular patients deal with this infection remains an important question. In the period between the 15 and 26 April 2020, a total of 1227 patients were tested in one of seven oncologic outpatient clinics for SARS-CoV-2, regardless of symptoms, employing RT-qPCR. Of 1227 patients, 78 (6.4%) were tested positive of SARS-CoV-2. Only one of the patients who tested positive developed a severe form of COVID-19 with pneumonia (CURB-65 score of 2), and two patients showed mild symptoms. Fourteen of 75 asymptomatic but positively tested patients received chemotherapy or chemo-immunotherapy according to their regular therapy algorithm (±4 weeks of SARS-CoV-2 test), and 48 of 78 (61.5%) positive-tested patients received glucocorticoids as co-medication. None of the asymptomatic infected patients showed unexpected complications due to the SARS-CoV-2 infection during the cancer treatment. These data clearly contrast the view that patients with an oncologic disease are particularly vulnerable to SARS-CoV-2 and suggest that compromising therapies could be continued or started despite the ongoing pandemic. Moreover the relatively low appearance of symptoms due to COVID-19 among patients on chemotherapy and other immunosuppressive co-medication like glucocorticoids indicate that suppressing the response capacity of the immune system reduces disease severity.
Objective: Functioning is an important outcome for rheumatoid arthritis (RA) management. Heterogeneity of respective patient-reported outcome measures (PROMs) challenges direct comparisons between their results. This study aimed to standardize reporting of such PROMs measuring functioning in RA to facilitate comparability.
Methods: Common Item Non-Equivalent Groups Design (NEAT) with the Health Assessment Questionnaire (HAQ) as a common scale across data sets from various countries (incl. UK, Turkey and Germany) to establish a common metric. Other PROMs included are the Physical Function items of the Multidimensional Health Assessment Questionnaire (MDHAQ), Disabilities of Arm, Shoulder and Hand (DASH), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), World Health Organization Disability Assessment Schedule Version 2.0 (WHODAS 2.0), and four short forms (20, 10, 6, and 4 physical function items) from the Patient-Reported Outcomes Measurement Information System (PROMIS). As the HAQ includes mobility, self-care and domestic life items, this study focuses on these three domains. PROMs were described using Standard Error of Measurement (SEM) and Smallest Detectable Difference (SDD). Rasch Measurement model was used to create the common metric.
Results: Range of SEM is 0.2 (MDHAQ) to 7.4 (SF36-PF). SDD revealed a range from 9.7 % (WOMAC-RAT) to 33.5 % (WHODAS-PF). PROMs co-calibration revealed fit to the Rasch measurement model. A transformation table was developed to allow exchange between PROMs scores.
Discussion: Scores between the Daily Activity PROMs commonly used in RA can now be compared. Factors such as SEM and SDD help determine choice of PROM in clinical practice and research.
Providing a subset of previously studied information as a retrieval cue can impair memory for the remaining information. Previous work with adults has shown that such part-list cuing impairment (PLCI) can be transient or lasting, depending on study condition. Here, we investigated the persistence of PLCI in children. Three age groups (7- and 8-year-olds, 9- and 10-year-olds, and 12- to 14-year-olds) learned a list of items, either through a single study trial (1-study condition) or through two study-test cycles (2-study-test condition). Subsequently, two recall tests were administered, with part-list cues being provided in the first (critical) test but not in the second (final) test. Of primary interest was whether the detrimental effect of part-list cuing induced in the critical test would persist to the uncued final test. In 12- to 14-year-olds, we found an adult-like pattern of results, with lasting impairment in the 1-study condition but transient impairment in the 2-study-test condition. In contrast, in the two younger age groups, we found PLCI to be lasting in both study conditions, suggesting age differences in the persistence of PLCI. The results are discussed in light of a recently proposed two-mechanism account of PLCI that attributes lasting impairment to retrieval inhibition and transient impairment to strategy disruption. Following this account, the results suggest that whereas 12- to 14-year-olds’ PLCI was caused by (lasting) retrieval inhibition in the 1-study condition and by (transient) strategy disruption in the 2-study-test condition, 7- and 8-year-olds’ and 9- and 10-year-olds’ PLCI was caused by (lasting) retrieval inhibition in both study conditions.
Background
Vertigo, dizziness and balance disorders (VDB) are among the most relevant contributors to the burden of disability among older adults living in the community and associated with immobility, limitations of activities of daily living and decreased participation. The aim of this study was to identify the quality of evidence of physical therapy interventions that address mobility and participation in older patients with VDB and to characterize the used primary and secondary outcomes.
Methods
A systematic search via MEDLINE (PubMed), Cochrane Library, CINAHL, PEDro, forward citation tracing and hand search was conducted initially in 11/2017 and updated in 7/2019. We included individual and cluster-randomized controlled trials and trials with quasi-experimental design, published between 2007 and 2017/2019 and including individuals ≥65 years with VDB. Physical therapy and related interventions were reviewed with no restrictions to outcome measurement. Screening of titles, abstracts and full texts, data extraction and critical appraisal was conducted by two independent researchers. The included studies were heterogeneous in terms of interventions and outcome measures. Therefore, a narrative synthesis was conducted.
Results
A total of 20 randomized and 2 non-randomized controlled trials with 1876 patients met the inclusion criteria. The included studies were heterogeneous in terms of complexity of interventions, outcome measures and methodological quality. Vestibular rehabilitation (VR) was examined in twelve studies, computer-assisted VR (CAVR) in five, Tai Chi as VR (TCVR) in three, canal repositioning manoeuvres (CRM) in one and manual therapy (MT) in one study. Mixed effects were found regarding body structure/function and activities/participation. Quality of life and/or falls were assessed, with no differences between groups. VR is with moderate quality of evidence superior to usual care to improve balance, mobility and symptoms.
Conclusion
To treat older individuals with VDB, VR in any variation and in addition to CRMs seems to be effective. High-quality randomized trials need to be conducted to inform clinical decision making.
Trial registration
PROSPERO 2017 CRD42017080291.
Faults in Heating, Ventilation and Air Conditioning (HVAC) systems affect the energy efficiency of buildings. To date, there rarely exist methods to detect and diagnose faults during the operation of buildings that are both cost-effective and sufficient accurate. This study presents a method that uses artificial intelligence to automate the detection of faults in HVAC systems. The automated fault detection is based on a residual analysis of the predicted total heating power and the actual total heating power using an algorithm that aims to find an optimal decision rule for the determination of faults. The data for this study was provided by a detailed simulation of a residential case study house. A machine learning model and an ARX model predict the building operation. The model for fault detection is trained on a fault-free data set and then tested with a faulty operation. The algorithm for an optimal decision rule uses various statistical tests of residual properties such as the Sign Test, the Turning Point Test, the Box-Pierce Test and the Bartels-Rank Test. The results show that it is possible to predict faults for both known faults and unknown faults. The challenge is to find the optimal algorithm to determine the best decision rules. In the outlook of this study, further methods are presented that aim to solve this challenge.