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Background: Singers belong to the group of professional voice users with the highest demands regarding voice quality and vocal load. Thus, they also have a high risk of developing a voice disorder, which in return has major impact on their ability to work. Besides voice disorders caused by organic changes, there are functional voice disorders caused by, e.g., a hypertonia of the larynx, shoulder and neck muscles or insufficient breathing patterns. In these cases, physiotherapy can be one component of a multidisciplinary approach to treatment.
The purpose of this presentation is, based on anatomical considerations and current evidence, to inform about and demonstrate physiotherapy techniques for treating singers with functional voice disorders.
Approach of Presentation: A case from a special physiotherapy outpatient clinic for vocalists will be described. Based on this example, information on the evidence of physiotherapy approaches for functional voice disorders will be provided. Afterwards, some practical hands-on techniques will be demonstrated for participants to try.
Content of Presentation: This workshop will focus on the physiotherapy treatment for a vocalist with functional voice disorders. The vocalist experienced changed pitch and hypertonia in both the muscles of the shoulder-neck region and the extrinsic laryngeal muscles. Paralaryngeal manual techniques, in addition to posture and breathing exercises, will be demonstrated with the purpose of mobilizing the larynx and relaxing the hypertonic muscles.
Conclusions and Practical Relevance: This workshop highlights the special potential of physical therapy in the treatment of functional voice disorders in singers.
An Iterative Methodology for Developing National Recommendations for Nursing Informatics Curricula
(2016)
The increasing importance of IT in nursing requires educational measures to support its meaningful application. However, many countries do not yet have national recommendations for nursing informatics competencies. We thus developed an iterative triple methodology to yield validated and country specific recommendations for informatics core competencies in nursing. We identified relevant competencies from national sources (step 1), matched and enriched these with input from the international literature (step 2) and fed the resulting 24 core competencies into a survey (120 invited experts from which 87 responded) and two focus group sessions with a total of 48 experts (steps 3a/3b). The subsequent focus group sessions confirmed and expanded the findings. As a result, we were able to define role specific informatics core competencies for three countries.
Between Ekaterinburg and Nowosibirsk, in the Western Siberian grain belt, spring wheat is grown on fertileChernozem soils. Field and farm sizes are large but the land-use intensity per area is low compared to CentralEurope. Fertilizers and pesticides are applied only in low to moderate quantities and yields range between 10and 20 dt ha-1 . We studied the arable weed flora in the northern forest steppe zone of Tyumen region using arandomized sampling design. Surprisingly, the species richness was only moderate, on average 9.8 ± 3.8species per 100 m². Compared to weed communities of Bashkiria (Southern Ural) and less intensively usedarable land of Central Europe these numbers are rather low. Moreover, most of the recorded species werecosmopolitans or widely distributed throughout the temperate zone. We suggest that the land use intensitywas high enough to reduce the density of a number of weed species in a way that they were not registered byour random sampling design. The limited conservational value of the weed vegetation of large grain fields inTyumen leads to the conclusion that if intensification of land use is unavoidable, it should be directed to arableland and not to ex-arable land or ancient grassland, which is of higher conservation value.
Smart city applications in the Big Data era require not only techniques dedicated to dynamicity handling, but also the ability to take into account contextual information, user preferences and requirements, and real-time events to provide optimal solutions and automatic configuration for the end user. In this paper, we present a specific functionality in the design and implementation of a declarative decision support component that exploits contextual information, user preferences and requirements to automatically provide optimal configurations of smart city applications. The key property of user-centricity of our approach is achieved by enabling users to declaratively specify constraints and preferences on the solutions provided by the smart city application through the Decision Support component, and automatically map these constraints and preferences to provide optimal responses targeting user needs. We showcase the effectiveness and flexibility of our solution in two real usecase scenarios: a multimodal travel planner and a mobile parking application. All the components and algorithms described in this paper have been defined and implemented as part of the Smart City Framework CityPulse.
Differentiating nociceptive and neuropathic components of clinical pain presentations matters!
(2016)
Ein modulares Framework zur Modellierung, Konfiguration und Regelung von kooperativen Agrarprozessen
(2016)
Die Komplexität vieler Agrarprozesse nimmt aufgrund von technischem Fortschritt, steigenden rechtlichen Anforderungen und Nachweispflichten beständig zu. Prozessketten werden in Kooperation verschiedener Akteure (Landwirt, Lohnunternehmer, Dienstleister, digitaler Vermittler, Behörde) gemeinsam bearbeitet, dokumentiert und geprüft. Ein ökonomisch und ökologisch ressourceneffizientes Management der Prozessausführung stellt eine Herausforderung für alle Akteure dar. Dynamische Prozessveränderungen führen vielfach zu manuellen Eingriffen in die Prozessregelung, die kostenintensive Verzögerungen verursachen. Das Forschungsvorhaben OPeRAte entwirft und evaluiert neu gestaltete Konzepte und Mechanismen zur durchgehenden Organisation und Regelung kooperativer Agrarprozesse. Es werden konfigurierbare und wiederverwendbare Module identifiziert, die sich an Prozessparameter anpassen und in artverwandten Prozessen erneut verwenden lassen. Das OPeRAte-Framework ermöglicht die Zusammenführung aller beteiligten Akteure und Ressourcen (Maschinen, Sensoren, Aktoren, Endgeräte, Server, Daten, etc.) über offene Schnittstellen. Prozessinhaber sollen durch autonome Prozesskonfigurationen und -adaptionen entlastet und durch Visualisierungen zu effizienten Entscheidungen befähigt werden. Die Konzepte dieses Beitrags dienen als Diskussionsgrundlage zur Formulierung von flexiblen und erweiterbaren Lösungsstrategien für die Landtechnik.
Film- und Alltagsszenen als Lernfeld für die mathematisch-technische Modellbildung und Simulation
(2016)
Es werden ausgewählte Beispiele und Ideen vorgestellt, die Studierende des Moduls "Modellierung und Simulation" besonders motivieren sollen, mathematisch-technische Problemstellungen wissen-schaftlich zu bearbeiten. Dabei werden Fragestellungen aus dem persönlichen Alltag, aber auch aus dem Alltag berühmter Geheimagenten behandelt. Zu diesen Projekten gehören die Erstellung geeigneter mathematischer Modelle, die Implementierung in Matlab/Simulink® sowie die Systemsimulation. Die Erfahrungen zu Motivation und Erfolg, aber auch zu Schwierigkeiten bei der Bearbeitung werden abschließend reflektiert.