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Global vernetzte Supply Chains (SC) führen bei den Unternehmen zu geringeren Kosten, aber zugleich erhöhen diese auch die Abhängigkeit ggü. den Lieferanten und die Störanfälligkeit der SCs wird erhöht. In den vergangenen Jahren haben zudem die Unsicherheiten für die SCs stark zugenommen. Treiber waren hier u.a. der Brexit, Handelskonflikte oder auch die Corona-Pandemie. In diesem Zusammenhang steht verstärkt die Entwicklung neuer SC-Strategien im Fokus der Unternehmen. Dabei wird stark auf die Verbesserung der Resilienz der SCs geachtet, um dadurch u.a. die Risiken für die SCs zu reduzieren. Die Arbeit beschäftigt sich mit den Auswirkungen steigender Unsicherheiten auf das Design sowie die Resilienz von SCs und hat das Ziel zu ermitteln, ob es Änderungen in der SC bedarf, um auf die Auswirkungen steigender Unsicherheiten zu reagieren und wie die Resilienz zukünftig sichergestellt werden kann (Trade-off zwischen Resilienz und Kosteneffizienz). Im Rahmen der Untersuchung erfolgte eine qualitative Forschung in Form von Experteninterviews, da so u.a. spezifische Meinungen oder auch Begründungen und Einstellungen von bestimmten Personen zu den vorliegenden Thematiken ermittelt werden können. Die Ergebnisse zeigen, dass die Kosten weiterhin meist der entscheidende Aspekt sind und es mehr Transparenz, Flexibilität sowie ein besseres Risikomanagement nötig ist. Des Weiteren bedarf es zukünftig u.a. einer größeren Berücksichtigung von Unsicherheiten, eine Erhöhung von Sicherheitsbeständen sowie eine Verringerung der Komplexität der SCs und u.U. mehr Local Sourcing. Es empfiehlt sich eine weitere Untersuchung hinsichtlich der Kosten, die durch Resilienz-Instrumente sowie durch fehlende Resilienz entstehen können, durchzuführen.
Companies have made considerable progress in assessing the sustainability of their processes and products, including the information and communication technology (ICT) sector. However, it is surprising that little attention has been given to the sustainability performance of software products. For this article, we chose a case study approach to explore the extent, to which software manufacturers have considered sustainability criteria for their products. We selected a manufacturer of sustainability management software on the assumption that they would be more likely to integrate elements of sustainability performance in their products. In the case study, we applied a previously developed set of criteria for sustainable software (SCSS) using a questionnaire and experiments, to assess a web-based sustainability management software product regarding its sustainability performance. The assessment finds that despite a sustainability conscious manufacturer, a systematic assessment of sustainability regarding software products is missing in the case study. This implies that sustainability assessment for software products is still novel, corresponding knowledge is missing and suitable tools are not yet being widely applied in the industry. The SCSS presents a suitable approach to close this gap, but it does require further refinement, for example regarding its applicability to web-based software on external servers.
Sustainable software products - Towards assessment criteria for resource and energy efficiency
(2018)
Many authors have proposed criteria to assess the “environmental friendliness” or “sustainability” of software products. However, a causal model that links observable properties of a software product to conditions of it being green or (more general) sustainable is still missing. Such a causal model is necessary because software products are intangible goods and, as such, only have indirect effects on the physical world. In particular, software products are not subject to any wear and tear, they can be copied without great effort, and generate no waste or emissions when being disposed of. Viewed in isolation, software seems to be a perfectly sustainable type of product. In real life, however, software products with the same or similar functionality can differ substantially in the burden they place on natural resources, especially if the sequence of released versions and resulting hardware obsolescence is taken into account. In this article, we present a model describing the causal chains from software products to their impacts on natural resources, including energy sources, from a life-cycle perspective. We focus on (i) the demands of software for hardware capacities (local, remote, and in the connecting network) and the resulting hardware energy demand, (ii) the expectations of users regarding such demands and how these affect hardware operating life, and (iii) the autonomy of users in managing their software use with regard to resource efficiency. We propose a hierarchical set of criteria and indicators to assess these impacts. We demonstrate the application of this set of criteria, including the definition of standard usage scenarios for chosen categories of software products. We further discuss the practicability of this type of assessment, its acceptability for several stakeholders and potential consequences for the eco-labeling of software products and sustainable software design.
The number of additive manufacturing methods and materials is growing rapidly, leaving gaps in the knowledge of specific material properties. A relatively recent addition is the metal-filled filament to be printed similarly to the fused filament fabrication (FFF) technology used for plastic materials, but with additional debinding and sintering steps. While tensile, bending, and shear properties of metals manufactured this way have been studied thoroughly, their fatigue properties remain unexplored. Thus, the paper aims to determine the tensile, fatigue, and impact strengths of Markforged 17-4 PH and BASF Ultrafuse 316L stainless steel to answer whether the metal FFF can be used for structural parts safely with the current state of technology. They are compared to two 316L variants manufactured via selective laser melting (SLM) and literature results. For extrusion-based additive manufacturing methods, a significant decrease in tensile and fatigue strength is observed compared to specimens manufactured via SLM. Defects created during the extrusion and by the pathing scheme, causing a rough surface and internal voids to act as local stress risers, handle the strength decrease. The findings cast doubt on whether the metal FFF technique can be safely used for structural components; therefore, further developments are needed to reduce internal material defects.
Railroads, roads, rivers, and airways are the most common modes of transportation for people and commodities. The cost of different ways of transportation varies according to distance, luxury, size, fragility, and other factors. When the following factors are accounted for, the vehicle might become prohibitively expensive for many individuals. A new means of conveyance has been developed. Elon Musk initially proposed it as the fifth mode of transportation in 2012. For commuters and goods, Hyperloop offers a quick and cost-effective way of transportation. The Hyperloop is essentially a vacuum tube train that transports people or products at incredible speeds while efficiently. Compared to traditional forms of transportation, the Hyperloop is ideal since it is highly energy-efficient, quiet, and self-contained. Increased cargo delivery speeds will be the most evident benefit of this idea to the industry. Hyperloop also has the potential to make a significant contribution to green supply chains. It is a carbon-free form of transportation that has changed inland freight transportation and maritime and air freight transit. It can move freight below, above ground, and under-water. The aim of this paper is to explain this new innovative technology as a development for logistic concepts.
Background: The STarT-MSK-Tool is an adaptation of the well established STarT-Back-Tool, used to risk-stratify patients with a wider range of musculoskeletal presentations.
Objective: To formally translate and cross-culturally adapt the Keele STarT-MSK risk stratification tool into German (STarT-MSKG) and to establish its reliability and validity.
Methods: A formal, multi-step, forward and backward translation approach was used. To assess validity patients aged ≥18 years, with acute, subacute or chronic musculoskeletal presentations in the lumbar spine, hip, knee, shoulder, or neck were included. The prospective cohort was used with initial data collected electronically at the point-of-consultation. Retest and 6-month follow-up questionnaires were sent by email. Test-retest reliability, construct validity, discriminative ability, predictive ability and floor or ceiling effects were analysed using intraclass correlation coefficient, and comparisons with a reference standard (Orebro-Musculoskeletal-Pain-Questionnaire: OMPQ) using correlations, ROC-curves and regression models.
Results: The participants’ (n = 287) mean age was 47 (SD = 15.8) years, 51% were female, with 48.8% at low, 43.6% at medium, and 7.7% at high risk. With ICC = 0.75 (95% CI 0.69; 0.81) test-retest-reliability was good. Construct validity was good with correlations for the STarT-MSKG-Tool against the OMPQ-Tool of rs = 0.74 (95% CI 0.68, 0.79). The ability of the tool [comparison OMPQ] to predict 6-month pain and disability was acceptable with AUC = 0.77 (95% CI 0.71, 0.83) [OMPQ = 0.74] and 0.76 (95% CI 0.69, 0.82) [OMPQ = 0.72] respectively. However, the explained variance (linear/logistic regression) for predicting 6-month pain (21% [OMPQ = 17%]/logistic = 29%) and disability (linear = 20%:[OMPQ = 19%]/logistic = 26%), whilst being comparable to the existing OMPQ reference standard, fell short of the a priori target of ≥30%.
Conclusions: The German version of the STarT-MSK-Tool is a valid instrument for use across multiple musculoskeletal conditions and is availabe for use in clinical practice. Comparison with the OMPQ suggests it is a good alternative.
Stratified care for low back pain (LBP) has been shown to be clinically- and cost-effective in the UK, but its transferability to the German healthcare system is unknown. This study explores LBP patients’ perspectives regarding future implementation of stratified care, through in-depth interviews (n = 12). The STarT-Back-Tool was completed by participants prior to interviews. Interview data were analysed using Grounded Theory. The overarching theme identified from the data was ‘treatment-success’, with subthemes of ‘assessment and treatment planning’, ‘acceptance of the questionnaire’ and ‘contextual factors’. Patients identified the underlying cause of pain as being of great importance (whereas STarT-Back allocates treatment based on prognosis). The integration of the STarT-Back-Tool in consultations was considered helpful as long as it does not disrupt the therapeutic relationship, and was acceptable if tool results are handled confidentially. Results indicate that for patients to find STarT-Back acceptable, the shift from a focus on identifying a cause of pain and subsequent diagnosis, to prediction-orientated treatment planning, must be made clear. Patient ‘buy in’ is important for successful uptake of clinical interventions, and findings can help to inform future strategies for implementing STarT-Back in the Germany, as well as having potential implications for transferability to other similar healthcare systems.
Background: The STarT-Back-Approach (STarT: Subgroups for Targeted Treatment) was developed in the UK and has demonstrated clinical and cost effectiveness. Based on the results of a brief questionnaire, patients with low back pain are stratified into three treatment groups. Since the organisation of physiotherapy differs between Germany and the UK, the aim of this study is to explore German physiotherapists’ views and perceptions about implementing the STarT-Back-Approach.
Methods: Three two-hour think-tank workshops with physiotherapists were conducted. Focus groups, using a semi-structured interview guideline, followed a presentation of the STarT-Back-Approach, with discussions audio recorded, transcribed and qualitatively analysed using content analysis.
Results: Nineteen physiotherapists participated (15 female, mean age 41.2 (SD 8.6) years). Three main themes emerged, each with multiple subthemes: 1) the intervention (15 subthemes), 2) the healthcare context (26 subthemes) and 3) individual characteristics (8 subthemes). Therapists’ perceptions of the extent to which the STarT-Back intervention would require changes to their normal clinical practice varied considerably. They felt that within their current healthcare context, there were significant financial disincentives that would discourage German physiotherapists from providing the STarT-Back treatment pathways, such as the early discharge of low-risk patients with supported self-management materials. They also discussed the need for appropriate standardised graduate and post-graduate skills training for German physiotherapists to treat high-risk patients with a combined physical and psychological approach (e.g., communication skills).
Conclusions: Whilst many German physiotherapists are positive about the STarT-Back-Approach, there are a number of substantial barriers to implementing the matched treatment pathways in Germany. These include financial disincentives within the healthcare system to early discharge of low-risk patients. Therapists also highlighted the need for solutions in respect of scalable physiotherapy training to gain skills in combined physical and psychological approaches.
Background: Stratified care is an up-to-date treatment approach suggested for patients with back pain in several guidelines. A comprehensively studied stratification instrument is the STarT Back Tool (SBT). It was developed to stratify patients with back pain into three subgroups, according to their risk of persistent disabling symptoms. The primary aim was to analyse the disability differences in patients with back pain 12 months after inclusion according to the subgroups determined at baseline using the German version of the SBT (STarT-G). Moreover, the potential to improve prognosis for disability by adding further predictor variables, an analysis for differences in pain intensity according to the STarT-Classification, and discriminative ability were investigated.
Methods: Data from the control group of a randomized controlled trial were analysed. Trial participants were members of a private medical insurance with a minimum age of 18 and indicated as having persistent back pain. Measurements were made for the risk of back pain chronification using the STarT-G, disability (as primary outcome) and back pain intensity with the Chronic Pain Grade Scale (CPGS), health-related quality of life with the SF-12, psychological distress with the Patient Health Questionnaire-4 (PHQ-4) and physical activity. Analysis of variance (ANOVA), multiple linear regression, and area under the curve (AUC) analysis were conducted.
Results: The mean age of the 294 participants was 53.5 (SD 8.7) years, and 38% were female. The ANOVA for disability and pain showed significant differences (p < 0.01) among the risk groups at 12 months. Post hoc Tukey tests revealed significant differences among all three risk groups for every comparison for both outcomes. AUC for STarT-G’s ability to discriminate reference standard ‘cases’ for chronic pain status at 12 months was 0.79. A prognostic model including the STarT-Classification, the variables global health, and disability at baseline explained 45% of the variance in disability at 12 months.
Conclusions: Disability differences in patients with back pain after a period of 12 months are in accordance with the subgroups determined using the STarT-G at baseline. Results should be confirmed in a study developed with the primary aim to investigate those differences.
The integration of genetic algorithms to optimize the networks of value chains could enormously improve the performance of supply chains. For this reason, this paper describes in more detail the application of genetic algorithms in the value chains of the automotive industry. For this purpose, a theoretical model is built up to evaluate whether the application of the model can optimize the value chain. This option is described, analyzed and its restrictions are shown. Instead of looking at the entire network, individual finished goods and their bill of material are used as a basis for optimization, which greatly reduces the complexity of the original problem. The original complexity of the supply chain networks can thus be reduced and considered based on the bill of material.