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Background: Proctoring represents a cornerstone in the acquisition of state‐of‐the‐art cardiovascular interventions. Yet, travel restrictions and containment measures during the COVID‐19 pandemic limited on‐site proctoring for training and expert support in interventional cardiology.
Methods and Results: We established a teleproctoring setup for training in a novel patent foramen ovale closure device system (NobleStitch EL, HeartStitch Inc, Fountain Valley, CA) at our institution using web‐based real‐time bidirectional audiovisual communication. A total of 6 patients with prior paradoxical embolic stroke and a right‐to‐left shunt of grade 2 or 3 were treated under remote proctorship after 3 cases were performed successfully under on‐site proctorship. No major device/procedure‐related adverse events occurred, and none of the patients had a residual right‐to‐left shunt of grade 1 or higher after the procedure. Additionally, we sought to provide an overview of current evidence available for teleproctoring in interventional cardiology. Literature review was performed identifying 6 previous reports on teleproctoring for cardiovascular interventions, most of which were related to the current COVID‐19 pandemic. In all reports, teleproctoring was carried out in similar settings with comparable setups; no major adverse events were reported.
Conclusions: Teleproctoring may represent a feasible and safe tool for location‐independent and cost‐effective training in a novel patent foramen ovale closure device system. Future prospective trials comparing teleproctoring with traditional on‐site proctoring are warranted.
Hypotrochoidal profile contours have been produced in industrial applications in recent years using two-spindle processes, and they are considered effective high-quality solutions for form-fit shaft and hub connections. This study mainly concerns analytical approaches to determine the stresses and deformations in hypotrochoidal profile shafts due to pure bending loads. The formulation was developed according to bending principles using the mathematical theory of elasticity and conformal mappings. The loading was further used to investigate the rotating bending behaviour. The stress factors for the classical calculation of maximum bending stresses were also determined for all those profiles presented and compiled in the German standard DIN3689-1 for practical applications. The results were also compared with the corresponding numerical and experimental results, and very good agreement was observed. Additionally, based on previous work, the stress factor was determined for the case of torsional loading to calculate the maximum torsional stresses in the standardised profiles, and the results are listed in a table. This study contributes to the further refinement of the current DIN3689 standard.
Duplex steels are used for applications that require high strength and ductility combined with good corrosion resistance. An economical welding technology to handle these steels is achieved by combining the MIG and TIG arc processes. The aim is to improve welding speed and quality by utilizing a TIG-MIG hybrid welding process to join 1.4462 duplex steel with a thickness of 2 mm. The interaction between the two arcs, caused by the blowing effect, is an enormous challenge that can be counteracted with a defined torch position and current modulation. For this purpose, a variation of the MIG (pulsed and AC pulsed arc) and TIG process (AC and pulsed DC) took place. The influence of electrical parameters on process stability and material transfer was investigated. For analysis, an evaluation of high-speed recordings (5000 frames per second) and synchronized measured current/voltage curves (200 kHz) is carried out. Based on a number of selected specimens, a welding procedure test according to ISO 15614-1 is performed to determine the welding seam quality. The test includes the characterization by tensile and hardness testing and macroscopic and microscopic examination. Additionally, the specimens are examined according to ISO 5817.
Model predictive control (MPC) is a promising approach to the lateral and longitudinal control of autonomous vehicles. However, the parameterization of the MPC with respect to high-level requirements such as passenger comfort, as well as lateral and longitudinal tracking, is challenging. Numerous tuning parameters and conflicting requirements need to be considered. In this paper, we formulate the MPC tuning task as a multi-objective optimization problem. Its solution is demanding for two reasons: First, MPC-parameterizations are evaluated in a computationally expensive simulation environment. As a result, the optimization algorithm needs to be as sample-efficient as possible. Second, for some poor parameterizations, the simulation cannot be completed; therefore, useful objective function values are not available (for instance, learning with crash constraints). In this work, we compare the sample efficiency of multi-objective particle swarm optimization (MOPSO), a genetic algorithm (NSGA-II), and multiple versions of Bayesian optimization (BO). We extend BO by introducing an adaptive batch size to limit the computational overhead. In addition, we devise a method to deal with crash constraints. The results show that BO works best for a small budget, NSGA-II is best for medium budgets, and none of the evaluated optimizers are superior to random search for large budgets. Both proposed BO extensions are, therefore, shown to be beneficial.
The purpose of this article is to revise the literature on how theories have been utilized in investigating third-parties (for example, Non-Governmental Organizations, certifying organizations, among others) in Sustainable Supply Chain Management. Based on that, we derive future research directions. For revising the literature in a structured manner, the articles use the systematic literature review as the method of choice. Only half of the identified articles utilize theories for investigating third-parties in Sustainable Supply Chain Management. In addition, major theories are overweighed. This predomination leads to influencing the conceptualization of third-parties in Sustainable Supply Chain Management. Future research opportunities exist in broadening the utilization of theories and methods applied in the field, investing in under-explored aspects and broadening the scope of testing and building frameworks. Based on the synthesizing, propositions supplement future research directions. The novelty of this article lies in its investigation of how theories have been used in investigating and conceptualizing third-parties in Sustainable Supply Chain Management. By that, it contributes with a state-of-the-art view on the important topic of sustainability and how third-parties could solve sustainability challenges. With that, the article is a first attempt and step for extending the academic literature and practice with rethinking classic ways of managing sustainability and utilize out of the box ideas.
Dynamically loaded structures made of thermoplastic polymers have been extensively exploited in several demanding industries. Due to the viscoelastic and thermal properties of thermoplastic polymers, self-heating is generally inevitable, especially during dynamic deformations at high frequencies. Therefore, the thermoplastic polyether ether ketone (PEEK), with its high temperature resistance and high specific strength, is a particularly ideal candidate for dynamically loaded applications. Using scanning laser Doppler vibrometry and infrared thermography, an experimental study of the vibration characteristics and the vibration-induced heating of flat-sheet PEEK specimens was carried out. The specimens were base-excited by means of a piezoelectric actuator at high frequencies in the range between 1 and 16 kHz. As a result, a maximum temperature rise of approximately 6.4 K was detected for the highest investigated excitation. A high correlation between the spatial distribution of the velocity along the beam’s axial direction and the resulting temperature increase was measured. To summarize, the occurring self-heating of PEEK due to the dissipation of vibrational energy has to be critically considered for dynamically loaded structural applications, especially areas with high displacement amplitudes, such as antinodes, which yield the highest temperature increase.
This article reconstructs the path of the German economist Friedrich A. Lutz (1901–75) to American economics. The correspondence with his former teacher Walter Eucken, the founder of the Freiburg school, constitutes a crucial yet unexplored source for the article. Through Lutz's case, this article demonstrates the growing gulf between German and Anglo-Saxon economics during the late 1930s. In his native Germany, Lutz was trained in methodologically and institutionally focused economics, which differed fundamentally from the mathematical economics dominating Anglo-Saxon academia. He realized that an academic career in the United States would be impossible if he did not adapt to the new methods and if he did not abandon the methods of the German tradition. This gave rise to his internal Methodenstreit. After his emigration in 1938, he constantly experienced doubts and tensions because he was convinced that without considering institutions, mathematical economics could never explain the occurrence and essence of macroeconomic phenomena. Despite his stellar career at Princeton, it was only after his move to Zurich in 1953, where he taught history and theory of socioeconomics for the rest of his life, that Lutz could reconcile this internal Methodenstreit.
Der General
(2022)
This master's thesis focuses on developing a robust framework for co-simulating microscopic traffic scenarios and vehicle dynamics, leveraging the capabilities of SUMO and CARLA. The essence of this research lies in its meticulous analysis of existing simulation tools, leading to identifying the most effective co-simulation strategies and intercommunication methods. A comparative study elucidates the strengths and limitations of these methodologies, guiding the selection of an optimal approach.
Central to the methodology is a thorough understanding and application of SUMO and CARLA, enhanced by the strategic implementation of intercommunication methods. The detailed integration of these tools and the introduction of test automation significantly boost simulation efficacy. The framework's reliability and accuracy are rigorously validated through well-defined procedures and metrics, ensuring fidelity in simulation results.
Key to this research is the design of experimental scenarios that reflect real-world traffic conditions underpinned by carefully chosen simulation parameters. These scenarios are pivotal in validating the co-simulation framework's performance, supplemented by a performance cost analysis focusing on processing efficiency. The thesis culminates with a critical discussion of the findings, addressing the research objectives and posing solutions to identified challenges. Potential areas for future enhancements are explored, highlighting the framework's limitations.
In conclusion, this thesis contributes significantly to the field of traffic simulation for autonomous driving technologies. It presents a comprehensive co-simulation framework, offering researchers and engineers a sophisticated tool for advanced testing and validation. The insights and recommendations provided are instrumental for ongoing research and development in this rapidly evolving domain.
The demand for thorough disinfection within ambulances is essential, given the in-vehicle medical procedures and the potential high risk of infections due to patients' open wounds. One solution that can address this hygiene challenge involves the application of reactive products generated from atmospheric (air) oxygen and water vapor, activated through the use of cold plasma. Cold plasma's charged particles perforate the cell membranes of microorganisms. This process does not work in human cells, as proteins in the form of enzymes within the body break down the cold plasma and protect the cells. The study was done on an ambulance that was contaminated in eight places. Samples were taken from each site, and two surfaces measuring approximately 8 × 8 cm were carefully sealed and marked. These surfaces were deliberately contaminated by applying an Enterococcus faecium suspension of 8.5 × 107 CFU/mL using a sterile cotton swab. It was followed by the disinfection procedure, that was initiated with the PLASMOCAR device. It was positioned on the front workspace and operated for a duration of 30 min, utilizing the vehicle's onboard voltage. Throughout the operation, all doors and windows were closed and the vehicle's air conditioning system remained active. After the completion of the disinfection process, samples were collected from the surfaces for bacterial counts. A reduction of 3.73 log levels in initial bacteria was accomplished within the rescue vehicle for Enterococcus faecium, equivalent to a 10–fourfold reduction in bacteria, eliminating up to 99.99% of the initial microorganisms. This success makes the process well-suited and convenient as an ongoing "background" procedure to enhance the established disinfection procedures. The established disinfection procedures outlined in the hygiene plan must be promptly implemented whenever mechanical surface cleaning is required. The use of PLASMOCAR offers an extra layer of protection and security, significantly decreasing the risk of microorganism transmission through cross-contamination and aerosols. This is a significant benefit for the well-being of both staff and patients.