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Gait analysis is a systematic study of human movement. Combining wearable foot pressure sensors and machine learning (ML) solutions for a high-fidelity body pose tracking from RGB video frames could reveal more insights into gait abnormalities. However, accurate detection of heel strike (HS) and toe-off (TO) events is crucial to compute interpretable gait parameters. In this work, we present an experimental platform to study the timing of gait events using a new wearable foot pressure sensor (ActiSense System, IEE S.A., Luxembourg), and Google’s open-source ML solution MediaPipe Pose. For this purpose, two StereoPi systems were built to capture stereoscopic videos and images in real time. MediaPipe Pose was applied to the synchronized StereoPi cameras, and two algorithms (ALs) were developed to detect HS and TO events for gait and analysis. Preliminary results from a healthy subject walking on a treadmill show a mean relative deviation across all time spans of less than 4% for the ActiSense device and less than 16% for AL2 (33% for AL1) employing MediaPipe Pose on StereoPi videos. Finally, this work offers a platform for the development of sensor- and video-based ALs to automatically identify the timing of gait events in healthy individuals and those with gait disorders.
In relation to the fast development of e-commerce and rapid increasing of parcels, urban logistic sector is facing the challenge of sustainability. Especially, last-mile delivery as the last step of goods transport, it connects to customers’ satisfaction, cost efficiency of logistic companies, and more and more public expectations to sustainability of urban logistics. To handle with the complexity of urban logistics conditions, governments and logistics companies should develop a co-operating strategy for sustainability of urban last-mile delivery. This paper is based on data collection from the long-term empirical research and a survey to the e-commerce users in Germany and China to develop a sustainable concept for the urban last-mile delivery. The key to the development of concept is to create a balance among the requirements of customers, the competition abilities of logistics companies and the public interest.
With a radar working in the 24 GHz ISM-band in a frequency modulated continuous wave mode the major vital signs heartbeat and respiration rate are monitored. The observation is hereby contactless with the patient sitting straight up in a distance of 1–2 m to the radar. Radar and sampling platform are components developed internally in the university institution. The communication with the radar is handled with MATLAB via TCP/IP. The signal processing and real-time visualization is developed in MATLAB, too. Cornerstone of this publication are the wavelet packet transformation and a spectral frequency estimation for vital sign calculation. The wavelet transformation allows a fine tuning of frequency subspaces, separating the heartbeat signal from the respiration and more important from noise and other movement. Heartbeat and respiration are monitored independently and compared to parallel recorded ECG-data.
Background: Stratified care approach involving use of the STarT-Back tool to optimise care for patients with low back pain is gaining widespread attention in western countries. However, adoption and implementation of this approach in low-and-middle-income countries will be restricted by context-specific factors that need to be addressed. This study aimed to develop with physiotherapists, tailored intervention strategies for the implementation of stratified care for patients with low back pain.
Methods: A two-round web-based Delphi survey was conducted among purposively sampled physiotherapists with a minimum of three years of clinical experience, with post-graduation certification or specialists. Thirty statements on barriers and enablers for implementation were extracted from the qualitative phase. Statements were rated by a Delphi panel with additional open-ended feedback. After each Delphi round, participants received feedback which informed their subsequent responses. Additional qualitative feedback were analysed using qualitative content analysis. The criteria for consensus and stability were pre-determined using percentage agreement (≥ 75%), median value (≥ 4), Inter-quartile range (≤ 1), and Wilcoxon matched-pairs test respectively.
Results: Participants in the first round were 139 and 125 of them completed the study, yielding a response rate of 90%. Participants were aged 35.2 (SD6.6) years, and 55 (39.6%) were female. Consensus was achieved in 25/30 statements. Wilcoxon’s test showed stability in responses after the 5 statements failed to reach consensus: ‘translate the STarT-Back Tool to pidgin language’ 71% (p = 0.76), ‘begin implementation with government hospitals’ 63% (p = 0.11), ‘share knowledge with traditional bone setters’ 35% (p = 0.67), ‘get second opinion on clinician’s advice’ 63% (p = 0.24) and ‘carry out online consultations’ 65% (p = 0.41). Four statements strengthened by additional qualitative data achieved the highest consensus: ‘patient education’ (96%), ‘quality improvement appraisals’ (96%), ‘undergraduate training on psychosocial care’ (96%) and ‘patient-clinician communication’ (95%).
Conclusion: There was concordance of opinion that patients should be educated to correct misplaced expectations and proper time for communication is vital to implementation. This communication should be learned at undergraduate level, and for already qualified clinicians, quality improvement appraisals are key to sustained and effective care. These recommendations provide a framework for future research on monitored implementation of stratified care in middle-income countries.
Many SMEs still face a problematic fact that their corporate structures and processes are not designed for efficient development and market positioning and there is a lack of appropriate methods and tools. SMEs are often inefficiently targeted to the internal or external demands for services. The goal of the research regarding contents and methodology was to investigate the practice of strategic planning and the implementation and application of service engineering in young SMEs on the one hand, and on the other hand specifically for young SMEs, whose performance and the probability of success can be increased by its application. These two goals have been achieved.
The aim of this work was to develop and evaluate the reinforcement learning algorithm VentAI, which is able to suggest a dynamically optimized mechanical ventilation regime for critically-ill patients. We built, validated and tested its performance on 11,943 events of volume-controlled mechanical ventilation derived from 61,532 distinct ICU admissions and tested it on an independent, secondary dataset (200,859 ICU stays; 25,086 mechanical ventilation events). A patient “data fingerprint” of 44 features was extracted as multidimensional time series in 4-hour time steps. We used a Markov decision process, including a reward system and a Q-learning approach, to find the optimized settings for positive end-expiratory pressure (PEEP), fraction of inspired oxygen (FiO2) and ideal body weight-adjusted tidal volume (Vt). The observed outcome was in-hospital or 90-day mortality. VentAI reached a significantly increased estimated performance return of 83.3 (primary dataset) and 84.1 (secondary dataset) compared to physicians’ standard clinical care (51.1). The number of recommended action changes per mechanically ventilated patient constantly exceeded those of the clinicians. VentAI chose 202.9% more frequently ventilation regimes with lower Vt (5–7.5 mL/kg), but 50.8% less for regimes with higher Vt (7.5–10 mL/kg). VentAI recommended 29.3% more frequently PEEP levels of 5–7 cm H2O and 53.6% more frequently PEEP levels of 7–9 cmH2O. VentAI avoided high (>55%) FiO2 values (59.8% decrease), while preferring the range of 50–55% (140.3% increase). In conclusion, VentAI provides reproducible high performance by dynamically choosing an optimized, individualized ventilation strategy and thus might be of benefit for critically ill patients.
Laboratory protocols using magnetic beads have gained importance in the purification of mRNA for vaccines. Here, the produced mRNA hybridizes specifically to oligo(dT)-functionalized magnetic beads after cell lysis. The mRNA-loaded magnetic beads can be selectively separated using a magnet. Subsequently, impurities are removed by washing steps and the mRNA is eluted. Magnetic separation is utilized in each step, using different buffers such as the lysis/binding buffer. To reduce the time required for purification of larger amounts of mRNA vaccine for clinical trials, high-gradient magnetic separation (HGMS) is suitable. Thereby, magnetic beads are selectively retained in a flow-through separation chamber. To meet the requirements of biopharmaceutical production, a disposable HGMS separation chamber with a certified material (United States Pharmacopeia Class VI) was developed which can be manufactured using 3D printing. Due to the special design, the filter matrix itself is not in contact with the product. The separation chamber was tested with suspensions of oligo(dT)-functionalized Dynabeads MyOne loaded with synthetic mRNA. At a concentration of cB = 1.6–2.1 g·L–1 in lysis/binding buffer, these 1 μm magnetic particles are retained to more than 99.39% at volumetric flows of up to 150 mL·min–1 with the developed SU-HGMS separation chamber. When using the separation chamber with volumetric flow rates below 50 mL·min–1, the retained particle mass is even more than 99.99%.
In 2019 at IBM, it was found that there is a strong dependence on a few large banks in bank sales, and the growth targets of the sales division cannot be achieved due to the existing business with these same customers. To counteract this dependency, an NCA-specific sales team for the banking industry was established to support small and medium-sized banks with personal commitment and expertise and to develop them into long-term business partners of IBM. This research focuses on the development of a performance measurement system for NCA-Sales teams. It postulates the hypothesis that more effective and better-suited performance measurement systems can be developed for NCA-Sales of information technology towards financial institutions. Authors use the methodology of expert interviews and Mayrings qualitative content analysis to gain insights into the relevant factors that need to be considered when evaluating the performance of such sales teams. The paper identifies stakeholders, challenges, and goals that should be integrated into a performance measurement system as well as KPIs to measure them. The results are being consolidated into a conceptual sketch for an NCA-sales optimized PMS. The paper distinguishes itself from other research through an approach that gives detailed guidance for the practical implementation of its findings. The research was conducted with professionals in the IT sector; however, all of them were working for the same company, and the data was collected in the short span of one week as it was part of a research. The outcome can be used for further studies on how to effectively measure performance in NCA-Sales teams.
Die vorliegende Ausarbeitung beschäftigt sich mit der Frage, ob weibliche Führungskräfte aufgrund spezieller Führungskompetenzen auf den langfristigen Unternehmenserfolg einzahlen. Besondere Beachtung findet hierbei der Faktor der Emotionalen Intelligenz. Nach wie vor ist der Anteil weiblicher Führungskräfte auf deutschen Managementebenen auffallend gering. Um ein Verständnis für die Hintergründe dieser Thematik zu entwickeln, werden zunächst die Ursachen geschlechtsbedingter Differenzierungen erläutert. Die wesentlichen Erkenntnisse entstammen dem Bereich der Geschlechterforschung. Im Anschluss werden diese im Kontext der Führung beleuchtet. Ein besonderes Augenmerk liegt auf der Frage, ob und inwiefern sich ein potentieller weiblicher Führungsstil von der als männlich geltenden Führung unterscheidet. Im weiteren Verlauf des Artikels wird das Phänomen der Emotionalen Intelligenz im Detail betrachtet. Dieses gilt im Kontext der Führung seit geraumer Zeit als Erfolgsfaktor. Ob und inwiefern diese Annahme tatsächlich Bestand hat, soll daher zunächst herausgestellt werden. Abschließend wird geprüft, ob es sich bei der Emotionalen Intelligenz um eine vorwiegend weibliche Kompetenz handelt
Sowohl der stationäre Handel als auch die Online Pure Player befinden sich durch die zunehmende Digitalisierung und die Beeinflussung durch die dynamisch veränderten Trends in einem Wandel. Insbesondere wird von der Möbelbranche ein adaptives Verhalten an die vorliegenden Entwicklungen verlangt. Durch die Intensivierung der Markt- und Wettbewerbslandschaften und die Veränderungen des Verbraucherverhaltens bezüglich der verlangten Verschmelzung der Einkaufskanäle wird ein Umdenken gefordert und notwendig. Zusätzlich wird diese Notwendigkeit durch aktuelle Gegebenheiten, wie die Covid-19-Pandemie dringlicher. Die Omnichannel-Strategie und deren Etablierung birgt für die Möbelbranche insbesondere hinsichtlich der logistischen Herausforderungen Gelegenheiten und Bedrohungen. Diese sind zu erkennen, zu nutzen und zu beheben.