The 10 most recently published documents
The objective of this study was to catalogue items from instruments used to measure functioning, disability, and contextual factors in patients with low back pain (LBP) treated with manual medicine (manipulation and mobilization) according to the International Classification of Functioning, Disability and Health (ICF). This catalogue will be used to inform the development of an ICF-based assessment schedule for LBP patients treated with manual medicine. In this scoping review we systematically searched MEDLINE, Embase, PsycINFO and CINAHL. We identified instruments (questionnaires, clinical tests, single questions) used to measure functioning, disability and contextual factors, extracted the relevant items and then linked these items to the ICF. We included 95 articles and identified 1510 meaningful concepts. All but 70 items were linked to the ICF. Of the concepts linked to the ICF, body functions accounted for 34.7%, body structures accounted for 0%, activities and participation accounted for 41%, environmental factors accounted for 3.6%, and personal factors accounted for 16%. Most items used to measure functioning and disability in LBP patient treated with manual medicine focus on body functions, and activities and participation. The lack of measures that address environmental factors warrants further investigation.
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.
Keywords: Common metric; DASH; Disability and Health; HAQ; International Classification of Functioning; Multidimensional HAQ; PROMIS-SF; Rasch measurement model; Scale banking; WHODAS 2.0; WOMAC.
In the project, domestic ventilation concepts with PushPull-Fans were investigated. These ventilation units are characterized by a periodically changing supply and exhaust air operation. To ensure balanced operation, these ventilation units are always used in pairs, with one unit being in the exhaust air mode and the other in supply air mode. Measurements were made in a research apartment. The results were used to validate a CFD simulation model for transient studies. A room-by-room layout with two units in one room and a cross-room ventilation layout with two connected units in two rooms were analysed. The age of air was used as the evaluation parameter. With the room-by-room ventilation layout a lower age of air in the bedroom compared to the cross-room layout was obtained. However, in the room-by-room layout, the air flow through the larger living room with connected corridor was poorer in the rear area. With the cross-room layout, the flow through the rooms was more uniform. With the cross-room layout, the average age of air in the apartment could be slightly reduced compared to the room-by-room layout.
In dieser Arbeit wurden unterschiedliche Regler für Wohnraumlüftungsanlagen untersucht. Als Bewertungsgrößen wurden die Lüftungswärmeverluste und die kumulierte Grenzwertüberschreitung für CO2 und relative Luftfeuchte verwendet. Dafür wurde in Matlab/Simulink ein Multizonen-Simulationsmodell erstellt. Untersucht wurde ein zentrales, ein dezentrales alternierendes (Pendellüftung) sowie ein nichtalternierendes (Einzelraumlüftung) Lüftungssystem. Jedes der Lüftungssysteme wurde mit konstantem Volumenstrom, einem PI- und einem Fuzzy-Regler (Ausnahme: Pendellüftung) simuliert. Gegenüber einem Lüftungssystem mit konstantem Volumenstrom, kann durch Regelung bei mindestens gleicher Luftqualität der Lüftungswärmeverlust um mindestens ein Drittel reduziert werden.
Mobile-access edge clouds provide distributed com-pute capacities for low-latency applications. 5G technology willpave the way for such mobile deployment scenarios. In thispaper, we propose an edge cloud infrastructure that supportslow-latency video analysis connected with bandwidth reductionfor a moving group of persons. As example, we consider a mobilebody camera scenario that monitors the situation in a certain areaand transmits it to an operations center. Our discussion focuseson three aspects: mobility support, low-latency video processing,and bandwidth reduction. For this, we propose a mobile edgecloud infrastructure with a central cloud. In order to optimizevideo processing we optimize the edge cloud device assignmentof the cameras depending on their movement by reassigning itto another cloud device. This requires live migration of ongoingvideo analysis between edge devices. Finally we discuss the useof a mobile central cloud.
Die Entwickler und Hersteller von Bauprodukten sind nur selten Experten für statische Nachweise. Entsprechend schwierig gestaltet sich die Diskussion mit Prüfinstituten oder Statikern, wenn es um die Bestimmung oder die Ver-wendung von statischen Kennwerten geht. Während es früher ausreichte, den Mittelwert einer Versuchsreihe auszu-werten, ist heute bereits die statistische Versuchsauswertung hinreichend komplex. Was ist genau gemeint, wenn der Statiker nach dem charakteristischen Wert oder dem Bemessungswert frägt? Der Aufsatz erklärt für den Nicht-Statiker, was bei der Planung und Auswertung von Versuchen zu beachten ist, damit die gewonnen Kennwerte als Basis für statische Nachweise brauchbar sind. Der gesamte Prozess vom Versuch bis zum statischen Nachweis wird dazu in 10 Einzelschritte unterteilt.