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This paper embeds the early political economy of Friedrich August von Hayek in the intellectual milieu of German ordoliberalism. The urgency during the 1930s and 1940s to stabilize the disintegrating societal orders is identified as a crucial driver behind the parallelisms between Hayek and the ordoliberals. Their shared theoretical position is that in such moments, liberty can thrive sustainably only after a framework of general and stable rules has been established. Hayek’s proximity to ordoliberalism was most explicitly discernible in The Road to Serfdom and at the founding meeting of the Mont Pèlerin Society in 1947, culminating in the shared politico-economic vision of the competitive order. The contextual nature of Hayek’s ordoliberalism surfaced in the years after The Constitution of Liberty when his focus shifted, along with the postwar intellectual and institutional stabilization of the West: from how stable orders enable liberty, to how liberty enables the evolution of orders.
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.
Context: VR as an application to enhance well-being is sparsely researched in the elderly population. The aim of the pilot study was to analyze the effect of 360° videos of different categories on the state of mind of seniors in nursing facilities. Furthermore, for the implementation in everyday life, the usability of the system and the experience for seniors should be evaluated.
Methods: The VR experience was used as a supplement to existing care services in three facilities on eight subjects. Mood state was assessed using the Questionnaire for the Assessment of Happiness before and after the intervention. Demographic data and technology acceptance were collected beforehand. After the intervention, subjects were interviewed about confounding factors and side effects, and nursing home staff were interviewed about the usability of the system and the organizational concept of implementation.
Results: There was a positive effect on state of mind. Gender and spatial mobility turned out to be influencing factors. Categories containing people, animals and action achieved the highest increases in the state of mind. Interest in using technical devices correlated negatively with the change in mood state. None of the subjects found the VR goggles distracting or reported motion sickness. Very good usability was indicated by the employees.
Conclusion: A very high willingness to use this technology was found among nursing staff and residents. The tendencies of the positive effect of 360° videos on the state of mind, as well as differentiation based on the mentioned characteristics gender and spatial mobility, should be verified by a larger sample to empirically validate the use of this technology to increase the quality of life.
The labor market is confronted with social, environmental, and economic developments that affect working conditions and individual labor relations. Lately, the Covid-19 pandemic has demonstrated and reinforced the importance of inclusive growth and sustainable work relationships. In this chapter, the smart job factory, a metamodel that supports the creation of new forms of work by redefining roles in labor, is introduced. The smart job factory is based on social entrepreneurship principles to drive innovative, sustainable, and long-term solutions to social challenges. For practical application, the model can be translated into a software solution that supports employers in the assessment of current working conditions and job roles within their companies and helps to redefine work relationships and to create new jobs. Thus, the smart job factory supports the labor market transition by systematically and proactively shaping new forms of work based on the triple bottom line of sustainable development.
The purpose of this study is to examine the relationship between contextual work-related factors in terms of job demands (workload-WL) and job resources (work flexibility-WF), work-life conflict (WLC) and the burnout dimension emotional exhaustion (EE) in a large population-based sample. Building on the job demands resources model (JDRM), we have developed the hypothesis that WL has an indirect effect on EE that is mediated by WLC. We conducted a secondary analysis using data from the Dresden Burnout Study (DBS, N = 4246, mean age (SD) = 42.7 years (10.5); 36.4% male). Results from structural equation modelling revealed that EE is positively associated with WL (β = 0.15, p = 0.001) and negatively associated with WF (β = -0.13, p = 0.001), also after accounting for potential confounding variables (demography, depressive symptoms, and lifetime diagnosis of burnout). Both effects are mediated by WLC (β = 0.18; p = 0.001 and β = 0.08; p = 0.001, respectively) highlighting the important role of WLC in employee health. In summary, WF may help to reduce burnout symptoms in employees, whereas WL may increase them. Study results suggest that both associations depend on WLC levels.
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.
Background: Stroke is one of the most frequent causes of death in Germany and the developed countries. After a stroke, those affected often suffer particularly from functional motor restrictions of the upper extremities. Newer techniques such as the BCI-FES systems aim to establish a communication channel between the brain and external devices with a neuromuscular intervention. The electrical activity of the brain is measured, processed, translated into control signals and can then be used to control an application.
Methods: As a mixed-methods design (exploratory design), eight guideline-based expert interviews were conducted first. For the quantitative expert survey, 95 chief physicians from the field of neuromedicine in rehabilitation facilities nationwide were subsequently invited to participate in an online survey.
Results: In our data analysis, we found that doctors are largely open-minded towards new technical rehabilitation systems. In addition to the proper functioning of the system, they consider the understanding of the functionality and the meaningfulness of the system to be particularly important. In addition, the system should be motivating for individuals, generate meaningful movements, be easy to use, evidence-based and quick to set up. Concerns were expressed regarding the understanding of the system’s processes, especially in the acute phase after a stroke, as well as the excessive expectation of results from the system on the part of the persons. The experts named stroke patients in rehabilitation phase C, which is about mobilization and recovery, as well as all persons who can understand the language requirements as benefiting groups of people.
Conclusion: The present study shows that more research should and must be done in the field of BCI-FES interfaces, and various development trends have been identified. The system has the potential to play a leading role in the rehabilitation of stroke patients in the future. Nevertheless, more work should be done on the improvement and implementation as well as the system’s susceptibility to interference in everyday patient life.
This paper deals with systematic approaches for the analysis of stability properties and controller design for nonlinear dynamical systems. Numerical methods based on sum-of-squares decomposition or algebraic methods based on quantifier elimination are used. Starting from Lyapunov’s direct method, these methods can be used to derive conditions for the automatic verification of Lyapunov functions as well as for the structural determination of control laws. This contribution describes methods for the automatic verification of (control) Lyapunov functions as well as for the constructive determination of control laws.
Sustainable Integration of Digitalisation in Nursing Education - An International Scoping Review
(2024)
This article aims to identify the status quo of sustainability covenants firstly, secondly analyze their possibilities in enhancing sustainability performance and thirdly present further research directions. Covenants are additional contractual agreements mainly used in financial contracts, e.g. loans. They often focus on financial performance indicators, e.g., equity and net debt ratio, which the borrower must fulfil. However, the purpose of this article is to present a new approach to non-financial covenants, so-called sustainability covenants. Therefore, also nowadays ecological and social challenges are addressed. Banks have a huge impact on sustainable development by introducing more non-financial indicators in evaluating the creditability of borrowers. As a key hypothesis, this article argues that the approach of integrating ecological and social objectives through non-financial covenants is underrepresented in economic and business practice. Therefore, this article wants to examine how those objectives can be integrated into the financial concept of covenants and rely on research towards an integrative sustainability approach. In addition, a systematic literature review was conducted from October 2022 to July 2023 to analyze the status quo and derive future research directions. The review was based on two databases – Google Scholar and Scopus. As one key result, it was revealed that there is scarce existing literature on sustainability covenants, which refers to them as a policy measure. Only a few publications analyze their usage in financial contracts. However, this study implies the necessity for further research on sustainability covenants, emphasizing that they are powerful indicators to enhance the sustainability performance of the borrower.
The electrical conduction mechanism of resistive switching Prussian white (PW) thin films obtained by the electrodeposition method was examined by AC impedance spectroscopy and DC current–voltage measurements. Using an electrode tip to contact PW grown over Au, robust unipolar resistive switching was observed with a current change of up to three orders of magnitude, high repeatability, and reproducibility. Moreover, electrical impedance spectroscopy showed that the resistive switching comes from small conductive filaments formed by potassium ions before the establishment of larger conductive channels. Both voltammetry and EIS measurements suggest that the electrical properties and conductive filament formation are influenced by defects and ions present in the grain boundaries. Thus, PW is a potential material for the next generation of ReRAM devices.
Sodium iron hexacyanoferrate (NaFeHCF) films were electrodeposited on Au/Cr/Si for the study of growth behavior and physical properties. The NaFeHCF films were studied by different analytical methods to prove the chemical composition, morphology and crystal structure. The grains of the film grow with a cubic structure with an average lattice parameter of 10.10 Å and the preferential growth direction along the [111] direction of the cubic cell. The films show a repeatable bipolar resistive switching behavior accompanied by high current changes (up to a factor of ~105). The different resistive states in the materials are dominated by ohmic conduction.
Routing games over time are widely studied due to various applications, e.g., transportation, road and air traffic control, logistic in production systems, communication networks like the internet, and financial flows. In this article, we present a new competitive packet routing game with edge priorities motivated by traffic and transportation. In this model a set of selfishly acting players travels through the network over time. If the number of players who want to enter an edge at the same time exceeds the inflow capacity of this edge, then edge priorities with respect to the preceding edge are used to resolve these conflicts, which is similar to right-of-way rules in traffic. We analyze the efficiency of pure Nash equilibria, present an efficient algorithm for computing equilibria in symmetric games, and show that it is NP-hard to decide whether a Nash equilibrium exists in an asymmetric game. Furthermore, we address the problem of constructing optimal priorities.
Prussian blue (PB) layers were electrodeposited for the fabrication of Au/PB/Ag stacks to study the resistive switching effect. The PB layers were characterized by different techniques to prove the homogeneity, composition, and structure. Electrical measurements confirmed the bipolar switching behavior with at least 3 orders of magnitude in current and the effect persisting for the 200 cycles tested. The low resistance state follows the ohmic conduction with an activation energy of 0.2 eV.
The removal of bacterial infections within the root canal system is still a challenge. Therefore, the cleansing effect of established and new irrigation-protocols (IP) containing silver diamine fluoride (SDF) 3.8% on the whole root canal system was analyzed using quantitative PCR (qPCR) and 4′,6-diamidino-phenylindole-(DAPI)-staining. Extracted human premolars were instrumented up to F2 (ProTaper Gold) under NaCl 0.9% irrigation and incubated with Enterococcus faecalis for 42 days. Subsequently, different ultrasonically agitated IP were applied to the roots: control (no irrigation), 1. NaOCl 3%, EDTA 20%, CHX 2%, 2. NaOCl 3%, EDTA 20%, 3. NaOCl 3%, EDTA 20%, SDF 3.8%, 4. SDF 3.8%, and 5. NaCl 0.9%. One half of the root was investigated fluorescent-microscopically with DAPI. The other half was grinded in a cryogenic mill and the bacterial DNA was quantified with qPCR. The qPCR results showed a statistically significant reduction of bacteria after the application of IP 1, 2, and 3 compared to the control group. While IP 4 lead to a bacterial reduction which was not significant, IP 5 showed no reduction. These data corresponded with DAPI staining. With qPCR a new molecular-biological method for the investigation of the complete root canal system was implemented. The novel IP 3 had an equally good cleansing effect as the already established IP.
Hintergrund: Die Studienzeit ist eine Phase, in der die jungen Erwachsenen mit spezifischen Anforderungen konfrontiert werden. Studierende der Medizin gelten als besonders psychisch belastet. Untersuchungen, in denen sie diesbezüglich mit Studienfächern der gleichen Branche verglichen werden, sind jedoch rar.
Fragestellung: Ziel der Untersuchung war es, die psychische Gesundheit von Medizinstudierenden sowie von Gesundheits- und Pflegemanagementstudierenden zu untersuchen und zu vergleichen.
Material und Methoden: Untersucht wurden Studierende der Studiengänge Gesundheits- sowie Pflegemanagement (WHZ) und Medizinstudierende der (TU Dresden). Verschiedene Aspekte psychischer Gesundheit wurden mithilfe eines Online-Fragebogens erhoben. Dieser beinhaltete die Instrumente zur Erfassung der Prüfungsängstlichkeit (TAI-G-Kurzskala) und psychischen Belastung (BSI-18), sowie ein Item zur Ermittlung der subjektiv wahrgenommenen Studienbelastung. 258 Studierende nahmen an der Befragung teil.
Ergebnisse: Es konnten keine signifikanten Unterschiede hinsichtlich des Gesamtscores der Prüfungsängstlichkeit und der psychischen Belastung zwischen den Studierenden beider Studienfächer festgestellt werden. Dahingegen gaben Medizinstudierende an, dass sie im Vergleich zu Studierenden der anderen beiden Studienfächer eine signifikant höhere Studienbelastung wahrnehmen.
Schlussfolgerung: Die ermittelten Gesamtscores lagen teilweise über den Werten in vergleichbaren Studien. Die Studierenden sollten bereits präventiv unterstützt werden, um eigene Bewältigungsstrategien zu entwickeln. Nicht nur die Bereitstellung von Hilfen ist notwendig, sondern vielmehr das aktive Eingreifen mithilfe von gesundheitsfördernden Maßnahmen durch die Institution Hochschule, in die die Studierenden frühzeitig integriert werden sollten.
The research was carried out for the selection of optimal options for the heat supply of multi-apartment buildings, taking as an example several new buildings in Yerevan. The purpose of the study is to confirm the choice of the best method of providing heat in apartment complexes. It was used to calculate and analyze the energy-economic and operational-technical indicators of individual heating boilers, small centralized systems, and hybrid systems to solve this problem. The calculations considered both natural gas tariffs and fluctuations in the value of the Armenian dram against the US dollar. The value of 1 kWh of thermal energy or specific heat capacity has been determined as an important criterion for choosing the most efficient method of heat supply, considering the careful analysis of almost all variable factors.
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.
Recent surveys and political research have shown that the acceptance of the political programmes of populist parties, such as the “Alternative für Deutschland (AfD)”, is relatively high amongst the population of the three eastern German federal states, especially in Saxony, where the AfD won nine of the 13 rural districts during the local elections in May 2019. Thus, it seems relevant to take a closer look at the persuasive discourse of a so-called populist party. In its public discourse, the AfD responds to the fears and concerns of those people who tend to use social media platforms to gain information when making political decisions. The aim of the article is to show which verbal and visual resources characterize the persuasive discourse of the AFD Saxony on their Facebook account. For this purpose, we propose a qualitative, multimodal analysis of selected entries which the party uploaded on its Facebook account between November 2018 and March 2019.
The book 'Reinforcement Learning: An Introduction' by Sutton and Barto is the standard text book for introductory courses to reinforcement learning. Next to concrete algorithms and extensive examples the book contains several fundamental results related to Markov decision processes (MDPs) and Bellman equations in Chapters 3 and 4. Unfortunately some proofs are missing, some theorems lack precise formulation, and for some results the line of arguments is quite garbled.
In this note we provide all missing proofs, give precise formulations of theorems and untangle the line of arguments. Further, we avoid using random variables and their expected values. Since we (like Sutton/Barto) restrict our attention to finite MDPs all expected values can be made explicit avoiding overloaded notation and murky conclusions.
This article bridges the gap between introductory literature like Sutton/Barto and research literature containing exact formulations and proofs of relevant results, but being less accessible to beginners due to higher generality and complexity.
Introduction: In the spring of 2020, coronavirus disease 2019 posed a substantial challenge for countries and their healthcare systems. In Germany, over 70% of all cancer patients are treated in an outpatient setting, so gynecologic oncology practices are the guarantors of optimal patient care. We developed a survey to evaluate the management of gynecologic oncology patients.
Methods: The survey consisted of 38 questions and was sent to the members of the Berufsverband Niedergelassener Gynäkologischer Onkologen in Deutschland e.V. (BNGO), a professional association of gynecologic oncologists in the outpatient sector in Germany.
Results: The survey was completed by 54 out of 133 (41%) gynecologic oncologists from 14 out of 15 (93%) federal states where the BNGO is represented. Facing the pandemic, popular measures were mask requirements (100%), restriction of access to practices (94%), increased number of disinfectant dispensers (85%), installment of panes of acrylic glass (76%), or spatial alterations (67%). For most patients the pandemic had no influence on prioritization of therapies (82%) or prescribed systemic treatments (87%). Despite an increase in perceived psychological burden among the staff (72%), 85% (45/54) of the practices were not offered any additional psychological support.
Discussion and Conclusion: As most cancer patients in Germany are treated in an outpatient setting, a suitable reaction of oncology centers to the new circumstances was crucial to secure optimal treatment and patient care. Nevertheless, the low prioritization of mental health or distress of healthcare workers poses a serious threat to the maintenance of optimal medical care in further waves of the pandemic.
Traffic calming is introduced to minimise the negative results of motor vehicle use, for example, low safety level or quality of life, high noise and pollution. It can be implemented through the introduction of road infrastructure reducing the velocity and the traffic volume. In this paper, we studied how traffic-calming influences the traffic assignment. For the research, a traffic-calming measure of speed cushions on the Stachiewicza street in Krakow was taken. A method of extracting trajectories from aerial footage was shown, and it was used to build a model. For a given example, through driving characteristics research and microscopic modelling, volume–delay BPR functions were estimated—for a street with and without traffic calming. Later, a toy network of two roads of the same length, connecting the same origin and destination, was simulated using an equilibrium traffic assignment method. Simulations were conducted both with the use of PTV Vissim and Visum software and through individual calculations. According to the results of this paper, there was a difference in traffic volume according to the equilibrium traffic assignment in the aforementioned toy network as a function of total network traffic volume.
The impact of work environment factors has to be considered in an integrated ergonomic analyzing and designing process. To capture relevant environmental exposures, measurements must be carried out. In companies, an increasing use of smartphones for initial measurements of work environment factors can be noticed. Here, the question arises whether it is possible to determine adequate data for scientific work analyses by using built-in sensors in smartphones. For that purpose, the operational readiness of smartphone applications to measure the work environment factors noise, climate and lighting is investigated. Here, the assessing of measuring accuracy and the recordable measurement quantities for different combinations of applications and smartphones is analyzed. In result, a wide variety of the measurement accuracy for the analyzed environmental factors can be observed.
In this work, a new method for selecting suitable materials is presented. This method has a high potential for a variety of engineering applications, such as the design of sound-absorbing and vibration-loaded structures, where a large number of different requirements have to be met. The method is based on the derivation of functional dependencies of selected material parameters. These dependencies can be used in parameter studies to consider parameter combinations that lie in the range of real existing and targeted material groups. This allows the parameter space to be reduced, the calculation to be accelerated, and suitable materials to be (pre-)selected for the respective application, which contributes to a more target-oriented design. The method is applied to the example of a plate resonator. For this purpose, a semi-analytical model is implemented to calculate the transmission loss as well as the reflected and dissipated sound power of plate silencers, taking into account the influence of flow velocity and fluid temperature on the performance of plate silencers.
Lewis–Mogridge Points: A Nonarbitrary Method to Include Induced Traffic in Cost-Benefit Analyses
(2020)
We propose a new method to estimate benefits of road network improvements, which allows to include the induced demand without arbitrary assumptions. Instead of estimating induced demand (which is nontrivial and hardly possible in practice), we search for demand induction where initial benefits are mitigated to zero. Such approach allows to formulate a dual measure of benefit, covering both the potential benefits and the likelihood of consuming them by the induced traffic. We first estimate benefits of road network improvement assuming that traffic demand is fixed. Consequently, we find demand model configurations at which the benefits of the new investment become null, i.e., all the initial benefits are consumed by the traffic demand growth. We call such states of induced demand the Lewis–Mogridge points of the analysed improvement. We select the most probable of such points and use it to calculate the proposed novel indicator μ, for which the initial benefits (obtained under a fixed-demand assumption) are multiplied with a demand increase rate needed to consume them. We believe that such measure allows to include the critical phenomena of induced traffic and, at the same time, to overcome problems associated with reliable estimation of induced demand. As we illustrate with the case of two alternative road improvement schemes in Kraków, Poland, the proposed method allows to estimate maximal threshold of induced traffic and to select scenario more resilient to induced traffic.
Hintergrund: Wenn professionelle Unterstützung fehlt, erkennen pflegende Angehörige selten eigene Überlastungssituationen und nehmen Unterstützungsleistungen bei Pflegebedürftigkeit daher unzureichend in Anspruch.
Ziel: Die Studie untersucht die Versorgung von Menschen mit Pflegebedarf, den Kenntnisstand zu Entlastungsleistungen sowie Belastungsfaktoren bei der Übernahme pflegerischer Leistungen aus Sicht informell Pflegender und Nicht-Pflegender.
Methode: Es wurde eine Querschnittstudie mittels standardisierter Computer Assisted Telephone Interviews (CATI) mit Personen ab dem 18. Lebensjahr in Sachsen durchgeführt. Deskriptive und bivariate Statistiken wurden berechnet.
Ergebnisse: Die Versorgung durch einen ambulanten Pflegedienst oder durch pflegende Angehörige bewerteten von 601 Teilnehmenden 259 informell Pflegende gegenüber 342 Nicht-Pflegenden signifikant besser ( N = 601). Weiterhin hatten die informell Pflegenden und die Nicht-Pflegenden unterschiedliche Kenntnisse über den nächstgelegenen Ort der Pflegeberatung und über Ausgleichzahlungen der Rentenversicherung. Schlussfolgerungen: In einzelnen Bereichen der abgefragten Beratungsleistungen und Entlastungsmöglichkeiten hat sich das Antwortverhalten von pflegenden Angehörigen gegenüber den anderen Teilnehmenden signifikant unterschieden. Es kann von einem geringen Informationsvorsprung der pflegenden Angehörigen bei der Inanspruchnahme von Unterstützungsleistungen ausgegangen werden.
The Jupyter ecosystem with JupyterHub and JupyterLab as its most prominent members is the de-facto standard for teaching Python programming and also for research in machine learning and data science. Although the Jupyter project is well documented, there are lots of settings and situations requiring deep knowledge of the internal workings of Jupyter, Linux and related software tools. This report describes three problems and possible solutions arising when installing and configuring a Jupyter-based teaching environment. These three problems are the installation and setup of the autograding tool nbgrader, the interplay between JupyterHub and Linux PAM, and providing access to WebDAV resources for users of JupyterHub.
Introduction
(2022)
Objectives: Evidence-based clinical guidelines play an important role in healthcare and can be a valuable source for quality indicators (QIs). However, the link between guidelines and QI is often neglected and methodological standards for the development of guideline-based QI are still lacking. The aim of this qualitative study was to get insights into experiences of international authors with developing and implementing guideline-based QI.
Setting: We conducted semistructured interviews via phone or skype (September 2017–February 2018) with guideline authors developing guideline-based QI.
Participants: 15 interview participants from eight organisations in six European and North American countries.
Methods: Organisations were selected using purposive sampling with a maximum variation of healthcare settings. From each organisation a clinician and a methodologist were asked to participate. An interview guide was developed based on the QI development steps according to the ‘Reporting standards for guideline-based performance measures’ by the Guidelines International Network. Interviews were analysed using qualitative content analysis with deductive and inductive categories.
Results: Interviewees deemed a programmatic approach, involvement of representative stakeholders with clinical and methodological knowledge and the connection to existing quality improvement strategies important factors for developing QI parallel to or after guideline development. Methodological training of the developing team and a shared understanding of the QI purpose were further seen conducive. Patient participation and direct patient relevance were inconsistently considered important, whereas a strong evidence base was seen essential. To assess measurement characteristics interviewees favoured piloting, but often missed implementation. Lack of measurability is still experienced a serious limitation, especially for qualitative aspects and individualised care.
Conclusion: Our results suggest that developing guideline-based QI can succeed either parallel to or following the guideline process with careful planning and instruction. Strategic partnerships seem key for implementation. Patient participation and relevance, measurement of qualitative aspects and piloting are areas for further development.
Trial registration number: German Clinical Trials Registry (DRKS00013006).
The atomizing gas dynamics and the applied process energy have a significant influence on the produced particles. The melting process of the two wires can be influenced by current modulation. As for arc welding processes, more and more electronic and software-controlled machines are being used for arc spraying and will have replaced conventional power sources in the future. Due to the highly dynamic, fast regulating computing technology in the latest energy source, technology arcs can be operated with different current forms and types. The modern machines allow process-stable, reproducible variation of the particles and heat input into the substrate. Constant and pulsed current can be used as current forms. Usable current types are direct current (DC) and alternating current (AC). The electrical parameters must be analyzed to evaluate the process behavior. The consumable used is a wire-shaped iron-based alloy with a diameter of 1.6 mm. Relevant process parameters such as basic current Iground, pulse current Ipulse, pulse duration tpulse, impulse frequency fpulse, and alternating current frequency, fAC, are varied and recorded using appropriate measurement technology. The aim is to change the process performance and thereby the particle formation in a broad band. High-speed images are used to observe the arc and the deposition process. In addition, particle sizes are determined.
Hybrid manufacturing of titanium Ti-6Al-4V combining laser metal deposition and cryogenic milling
(2020)
Hybrid manufacturing, which, e.g., combines additive manufacturing with conventional machining processes, can be a way of overcoming limitations currently encountered in additive manufacturing. Cryogenic milling might be a viable option for hard-to-cut materials, as it leaves a contamination-free surface and can increase surface quality and tool life compared to conventional cooling concepts. In this study, the influence of cryogenic milling with carbon dioxide on titanium Ti-6Al-4V specimens manufactured with laser metal deposition (LMD) was investigated regarding tool wear and surface integrity in comparison to dry machining and machining with cooling lubricants. Moreover, additional layers of material were deposited on top of conventionally and cryogenically machined surfaces by means of LMD. The interface zone was then examined for defects. The milling process was closely monitored by means of thermal and high-speed imaging. Optical and tactile surface analysis provided evidence that lower roughness values and improved surface qualities could be obtained with cryogenic machining in comparison to dry machining. Moreover, significantly less tool wear was observed when a cryogenic cooling medium was applied. Although the utilization of conventional cooling lubricants resulted in satisfying surface qualities, substantial residual contamination on the milled surface was detected by means of fluorescence analysis. These contaminants are suspected to cause defects when the next layer of material is deposited. This is supported by the fact that pores were found in the weld bead applied on top of the milled specimens by means of LMD. Conversely, cryogenic machining resulted in very clean surfaces due to the residue-free evaporation of the coolant. Hence, a good metallurgical bonding between the weld bead and the milled substrate could be achieved. The results indicate the great potential of cryogenic milling in hybrid manufacturing, especially in terms of intermediate machining, as it provides residue-free surfaces for subsequent material deposition without an additional cleaning step and can significantly prolongate tool life.
LEGO robotics sets are a well established tool for teaching programming in undergraduate courses. Starting with the now outdated EV3 set LEGO provided a Python programming interface and (inofficial) Linux support. The current LEGO Spike Prime set still provides Python programming, but no direct support for Linux.
In this report we collect and extend information on controlling Spike Prime robots from Linux hosts. We cover access to a robot's Python interpreter and code transfer as well as bidirectional robot-to-host communication via USB and Bluetooth. Results may be extended to robot-to-robot communication via Bluetooth.