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This paper describes the development and test of a novel LiDAR based combine harvester steering system using a harvest scenario and sensor point cloud simulation together with an established simulation toolchain for embedded software development. For a realistic sensor behavior simulation, considering the harvesting environment and the sensor mounting position, a phenomenological approach was chosen to build a multilayer LiDAR model at system level in Gazebo and ROS. A software-in-the-loop simulation of the mechatronic steering system was assembled by interfacing the commercial AppBase framework for point cloud processing and feature detection algorithms together with a machine model and control functions implemented in MATLAB/ Simulink. A test of ECUs in a hardware-in-the-loop simulation and as well as HMI elements in a driver-in-the-loop simulation was achieved by using CAN hardware interfaces and a CANoe based restbus simulation.
The Internet of Things (IoT) relies on sensor devices to measure real-world phenomena in order to provide IoT services. The sensor readings are shared with multiple entities, such as IoT services, other IoT devices or other third parties. The collected data may be sensitive and include personal information. To protect the privacy of the users, the data needs to be protected through an encryption algorithm. For sharing cryptographic cipher-texts with a group of users Attribute-Based Encryption (ABE) is well suited, as it does not require to create group keys. However, the creation of ABE cipher-texts is slow when executed on resource constraint devices, such as IoT sensors. In this paper, we present a modification of an ABE scheme, which not only allows to encrypt data efficiently using ABE, but also reduces the size of the cipher-text, that must be transmitted by the sensor. We also show how our modification can be used to realise an instantaneous key revocation mechanism.
Use of Emergency Departments by Frail Elderly Patients : Temporal Patterns and Case Complexity
(2019)
Emergency department (ED) care for frail elderly patients is associated with an increased use of resources due to their complex medical needs and frequently difficult psycho-social situation. To better target their needs with specially trained staff, it is vital to determine the times during which these particular patients present to the ED. Recent research was inconclusive regarding this question and the applied methods were limited to coarse time windows. Moreover, there is little research on time variation of frail ED patients’ case complexity. This study examines differences in arrival rates for frail vs. non-frail patients in detail and compares case complexity in frail patients within vs. outside of regular GP working hours. Arrival times and case variables (admission rate, ED length of stay [LOS], triage level and comorbidities) were extracted from the EHR of an ED in an urban German teaching hospital. We employed Poisson time series regression to determine patterns in hourly arrival rates over the week. Frail elderly patients presented more likely to the ED during already high frequented hours, especially at midday and in the afternoon. Case complexity for frail patients was significantly higher compared to non-frail patients, but varied marginally in time only with respect to triage level and ED LOS. The results suggest that frailty-attuned emergency care should be available in EDs during the busiest hours. Based on EHR data, hospitals thus can tailor their staff needs.
This paper describes the methodology and developments towards the TIGER International Recommendation Framework of Core Competencies in Health Informatics 2.0. This Framework is meant to augment the scope from nursing towards a series of six other professional roles, i.e. direct patient care, health information management, executives, chief information officers, engineers and health IT specialists and researchers and educators. Health informatics core competency areas were compiled from various sources that had integrated the literature and were grouped into consistent clusters. The relevance of these core competency areas was rated in a survey by 718 professional experts from 51 countries. Furthermore, 22 local case studies illustrated the competencies and gave insight into examples of local educational practice. The Framework contributes to the overall discourse on how to shape health informatics education to improve quality and safety of care by enabling useful and successful health information systems.
German farmers are required by law to regularly self-assess the welfare of their animals. The project Q Check is aiming at developing a system that will assist farmers to objectively assess animal health and welfare in dairy cows. For this reason, a quarterly report will be compiled from animal-based key indicators to give an overview of the on-farm situation. The anonymised and aggregated reports can also be used for national animal welfare monitoring: Continuous collection of these key indicators enables the summary and publication of figures reflecting the current animal health and welfare status and progressions at federal state and at national level. Q Check is based on four data recording and analysis systems, which are already established in Germany and implemented on a national level. Out of these systems, the most suitable indicators to describe herd health have been selected by 215 experts within a twostage Delphi study. In addition, over 50 face-to-face interviews with stakeholders related to the German dairy sector have been performed in order to take into account the socio-scientific point of view. To complete the process, the selected indicators are currently being checked against mass data and hence tested for suitability regarding monitoring purposes. An automatic farm-specific evaluation of animal health, based on verified indicators, will provide support to farmers in fulfilling their legal requirements and in identifying weak points on the individual farms. A benchmarking system will be set up which will allow tracking the individual herd health indicators in the same farm in their course over time and compared with similar farms. These routinely provided horizontal and vertical statistics will facilitate targeted intervention and support objectified management decisions, implying that dairy farmers can benefit in several respects. In the course of the project, new tools for determining the risk of ketosis in the scope of milk recording will also be validated and implemented at national level to enhance monitoring of this major disease complex. The results of these nationwide, systematic investigations will contribute substantially to objectifying the discussion about the health and welfare situation of dairy cows.
This study identifies and evaluates factors for success in innovation work in the Bavarian dairy farming industry. The research is based on an analysis of innovation system theories and a comparison with innovation work in the Dutch dairy sector. Dutch dairy farming is characterized by high productivity and technical efficiency at the farm level. Moreover, important developments in dairy farming have originated in the Netherlands. Therefore, this study delves into the systemic background of the successful innovation work in the Netherlands and makes a comparison with Bavaria. The main result of this study is that innovation work in the Bavarian dairy farming sector is lacking in two respects: end-user (farmer) integration and within-sector cooperation.
Despite similar policy goals, the adoption of eHealth practices took different paths in Austria (AT), Switzerland (CH), and Germany (GER). We seek to provide a rigorous analysis of the current state of hospitals by focusing on three key eHealth areas: electronic patient records (EPR), health information exchange (HIE), electronic patient communication. For validation and in order to gain better contextual insight we applied a mixed method approach by combining survey results from clinical directors with qualitative interview data from eHealth experts of all three countries. Across countries, EPR adoption rates were reported highest (AT: 52%, CH: 78%, GER: 50%), HIE-rates were partly lower (AT: 52%, CH: 14%, GER: 17%), and electronic patient communication was reported lowest overall (AT: 17%, CH: 8%, GER: 19%). Amongst others, results indicate patient awareness about eHealth to be equally weak across countries, which thus may be an important focal point of future policy initiatives.
We describe an automated approach, to easily track patients regaining their walking ability while recovering from neurological diseases like e.g. stroke. Based on captured gait data and objective measures derived out of it the rehabilitation process can be optimized and thus steered. In order to apply such system in clinical practice two key requirements have to be fulfilled: (i) the system needs to be applicable in terms of ease of use and performance; (ii) the derived measures need to be accurate.
Rationale:
Dance as an intense kind of performance is associated with high loads on the musculoskeletal system. In particular, the lower limb is exposed to these high loads, which is reported by a high prevalence. Most dancers are affected by injuries during their careers, most in the lower limb. Typical risk factors for dancers include the compensatory turnout, hypermobility, and core stability. The correlation between these factors and lower limb injuries is not fully understood.
Purpose:
The aim of this study was to evaluate the correlation between lower limb injuries and the risk factors compensated turnout, hypermobility and core stability. Based on these results, hypotheses can be generated for further studies.
Methods:
This explorative pilot study was conducted at Osnabrück University of Applied Sciences. All eligible participants were scheduled for a single research appointment if they fulfilled the inclusion criteria of dance experience (ballet, modern, contemporary or jazz) at least one year with dance lessons of at least 5 hours per week. Parameters for the correlation analysis were (1) core stability, measured by the motor control tests battery proposed by Luomajoki, (2) hypermobility, measured by the Beighton Score (3) compensated turnout, measured by the difference between functional turnout and external rotation of both hips, (4) dance hours per week, (5) dance experience in years, (6) professional dance experience in years and (7) dance style (ballet, modern, contemporary, jazz). These parameters were correlated with the numbers of lower limb injuries. Significance level was set at 90% because of the explorative character of the study with the purpose to generate hypotheses.
Results:
Sixteen female dancers with different levels of dance experience (mean 11.3 years) and dance lessons per week (mean 17.6 hours) fulfilled the inclusion criteria and participated in this study. Significant correlations with the numbers of lower limb injuries were found at core stability (rs=0.489, p=0.034, medium effect), dance hours per week (rs=0.459, p=0.048, medium effect) and professional dance experience in years (rs=0.396, p=0.093, medium effect). Two dance styles (modern dance: rs=0.388, p=0.101 and contemporary dance: rs=0.385, p=0.104) were close to the significance level.
Conclusions:
These results show correlations between core stability, dance hours per week, professional dance experience in years and lower limb injuries in dancers.
Due to the limitations of a small and heterogeneous sample size as well as the medium effects, these results should be interpreted with caution, but may provide a basis for further research to this topic in the field of dance research and can be helpful in generating research hypotheses.
Talent scarcity in emerging economies such as India poses challenges for companies. Limited labour market participation among well-educated women has been observed. The reasons that professionals decide not to pursue a further corporate career remain unclear. By investigating their career decision making, this handout summerizes research results from a study that aims to highlight the contextual factors that impact those decisions.
Following a qualitative research design interviews with internationally experienced Indian business professionals show that rebellion against Indian societal and family expectations is essential to following a career path, especially for women. The current institutional framework of society and organizations serves as a legitimizing façade veiling traditional practices that hinder females’ careers.