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Patterns-descriptions of proven and well-documented solutions for recurring problems have gained widespread interest and acceptance in the area of business process modeling. In the past years, a large number of such patterns have been documented in the literature. However, it is still difficult to find patterns that can be useful in a given context. The reason is that the relevant publications are spread in various journals and other types of publications, and there is no guidance for locating a pattern that can be useful for solving a given problem. In this demo, we present an interactive web-site that provides a comprehensive overview on published work in the field of business process modeling patterns. It allows finding publications on business process modeling patterns based on various search criteria. It is intended to be useful both for business process modeling practitioners as for researchers in need of sound literature references. Currently, this catalog (meant to be a growing resource) provides an categorization of 95 publications on patterns as well as 50 publication on anti-patterns.
Hintergrund/Zielstellung: Aufgrund des gestiegenen Informationsbedürfnisses von Patienten wird für Ärzte ein eigener Webauftritt als Informationsmittler mit dem Ziel der Patientengewinnung und -bindung zunehmend bedeutsam. In der vorliegenden Studie wurde daher die Patientenorientierung der Internetauftritte niedergelassener Fachärzte für Orthopädie und/oder Unfallchirurgie in Sachsen untersucht.
Methode/Stichprobe: Alle Websites der im Arztregister der Kassenärztlichen Vereinigung Sachsen gelisteten Fachärzte für Orthopädie und/oder Unfallchirurgie wurden mithilfe einer standardisierten Checkliste analysiert.
Ergebnisse: Von allen untersuchten Fachärzten (n = 349) besaßen 140 (40,1 %) einen eigenen Internetauftritt. In der Arztpraxis durchgeführte diagnostische Methoden und Therapiemaßnahmen wurden auf je ca. 90,0 % der Websites genannt und auf ca. der Hälfte hiervon erklärt. Der Kontrast konnte auf 10 Websites angepasst werden. Eine Meinungsäußerung wurde den Patienten auf 28 Websites ermöglicht. Rechtlich verpflichtende Impressuminhalte wurden auf 45,0 % der Internetauftritte nicht hinreichend beachtet.
Diskussion/Schlussfolgerung: Die Ergebnisse weisen darauf hin, dass die Gestaltung der Internetauftritte sowie deren Informationsgehalt differieren und Verbesserungspotenziale existieren. Ein standardisierter Kriterienkatalog könnte ein einheitliches Qualitätsniveau gewährleisten und von den Ärzten als Handlungsempfehlung genutzt werden.
Analgesic drug use of recreational and competitive badminton players: Starting points for prevention
(2021)
The objective of this survey was to assess badminton-related pain and analgesic drug use in recreational as well as competitive badminton players and to identify factors influencing analgesic drug use in order to create effective preventive strategies. A cross-sectional study addressed all adult badminton players/members registered in the regional badminton association of Saxony, Germany. Badminton-related pain prevalence and analgesic drug use were assessed. Also, predictors for analgesic drug use were identified. Altogether 247 badminton club members (65% male) participated in the study. Lifetime prevalence of badminton-related pain was 95%, and one-year prevalence was 73%. Of the participants with badminton-related pain during the last year, 56% used analgesic drugs; of the participants without badminton-related pain during the last year, 31% used analgesic drugs. Significant predictors were players’ attitudes toward analgesics as doping substances, self-perceived knowledge about effects and side effects, being influenced by others, and self-perceived “sporting culture” in badminton. A gap between self-perceived and actual knowledge about adverse effects can be a first starting point for the prevention of dangerous analgesic drug use in badminton.
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).
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.
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.
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.
This paper provides a critical reading of Janek Wasserman’s The Marginal Revolutionaries: How Austrian Economists Fought the War of Ideas. Wasserman depicts the evolution of the Austrian School from the 1860s until today, a particularly illuminating narrative for the readers of this journal. The breadth of portrayed economists, their cultural embeddedness in Austrian and US contexts, and the complexity of configurations across the school’s generations create a rich and readable story. The last third of the book suffers from allegations about the ideological agenda and institutional power of the Austrian economists which sometimes lack sufficient substantiation. The paper indicates how both in their theorizing and in their political activities, the Austrian economists can be seen as reformers instead of revolutionaries, and as constitutionalists instead of anti-democrats. Despite these disagreements, Wasserman’s portrayals evoke largely fair and challenging impulses both to scholars working in the Austrian research program and to those interested in the Austrian School’s long history, regardless of one’s ideological positions.
To increase productivity when joining galvanised sheet metal, metal inert gas (MIG) and tungsten inert gas (TIG) arc brazing are combined in a hybrid process. This coupling of two arc processes increases brazing speed and reduces weld reinforcement and the tendency to spatter. Because the arcs are 6 mm apart, they influence each other. Therefore, the blowing action is a major challenge in hybrid arc brazing. A current modulation and the optimal relative position of the arcs to each other are compulsory conditions. Selected brazing parameters are tested in order to verify the hybrid arc brazing. Overlap joints are brazed on galvanised sheets. The mechanical-technological properties of the brazed joints are determined. It has been shown that hybrid brazing can achieve significantly higher brazing speed with the same or better brazing quality compared to standard arc brazing. For the realisation of the hybrid arc brazing process, software-controlled welding machines are used, which will replace conventional power sources in the future.
The classes of band-dominated operators and the subclass of operators in the Wiener algebra W are known to be inverse closed. This paper studies and extends partially known results of that type for one-sided and generalized invertibility. Furthermore, for the operators in the Wiener algebra W invertibility, the Fredholm property and the Fredholm index are known to be independent of the underlying space lp, 1≤p≤∞. Here this is completed by the observation that even the kernel and a suitable direct complement of the range as well as generalized inverses of operators in W are invariant w.r.t. p.
[Mathematische Symbole nur unzureichend darstellbar.]
Introduction
(2022)
A novel approach to consider triaxial tensile stresses within the framework of a failure criterion
(2022)
For use in micromechanical simulations of continuous fiber reinforced polymers, a more general form of the paraboloid failure criterion by Stassi‐D'Alia for matrix failure was developed with explicit consideration of the hydrostatic tension strength. Regarding polymers, limits for hydrostatic tensile strength based on isotropic linear elasticity could be derived. The comparison of the newly developed extended paraboloid criterion with experimental data for yielding as well as for material separation (fracture) shows good agreement.
Based on a real-world application in the semiconductor industry, this article models and discusses a hybrid flow shop problem with time dependencies and priority constraints. The analyzed problem considers a production where a large number of heterogeneous jobs are processed by a number of machines. The route that each job has to follow depends upon its type, and, in addition, some machines require that a number of jobs are combined in batches before starting their processing. The hybrid flow model is also subject to a global priority rule and a “same setup” rule. The primary goal of this study was to find a solution set (permutation of jobs) that minimizes the production makespan. While simulation models are frequently employed to model these time-dependent flow shop systems, an optimization component is needed in order to generate high-quality solution sets. In this study, a novel algorithm is proposed to deal with the complexity of the underlying system. Our algorithm combines biased-randomization techniques with a discrete-event heuristic, which allows us to model dependencies caused by batching and different paths of jobs efficiently in a near-natural way. As shown in a series of numerical experiments, the proposed simulation-optimization algorithm can find solutions that significantly outperform those provided by employing state-of-the-art simulation software.
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.
Analysis of a Film Forming Process through Coupled Image Correlation and Infrared Thermography
(2022)
The aim of the present investigation was to determine the dependence of the material and process parameters of the bending process of thermoplastic films. In this context, parameter combinations leading to high resulting forming ratios were identified. To measure the relevant parameters within the hot bending process, a coupled evaluation of infrared thermography (IRT) and deformation measurement using digital image correlation (DIC) was performed. The coupled measurement enables the identification of the actual mechanically stressed bending area of the film as a result of the bending process. This allows for the specification of the local forming temperatures required for the desired forming ratios. Furthermore, the mechanical and thermal strain along the defined measuring sections and their deviation in individual tests as well as the effect of thermal strain on process control on a larger scale were determined. Based on the results, a process window was defined for the film materials investigated, which will serve as a starting point for future efforts to develop a continuous manufacturing process.
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.