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Introduction. Despite its high accuracy, polysomnography (PSG) has several drawbacks for diagnosing obstructive sleep apnea (OSA). Consequently, multiple portable monitors (PMs) have been proposed. Objective. This systematic review aims to investigate the current literature to analyze the sets of physiological parameters captured by a PM to select the minimum number of such physiological signals while maintaining accurate results in OSA detection. Methods. Inclusion and exclusion criteria for the selection of publications were established prior to the search. The evaluation of the publications was made based on one central question and several specific questions. Results. The abilities to detect hypopneas, sleep time, or awakenings were some of the features studied to investigate the full functionality of the PMs to select the most relevant set of physiological signals. Based on the physiological parameters collected (one to six), the PMs were classified into sets according to the level of evidence. The advantages and the disadvantages of each possible set of signals were explained by answering the research questions proposed in the methods. Conclusions. The minimum number of physiological signals detected by PMs for the detection of OSA depends mainly on the purpose and context of the sleep study. The set of three physiological signals showed the best results in the detection of OSA.
Die vorgestellte analytische Berechnungsmethode führt, unter Berücksichtigung desKraftschlusses, der Radsatzdimensionierungund der Dämpfungseigenschaft des Antriebssystems, zu einem konservativ berechnetendynamischen Torsionsmoment.Die ermittelten Abweichungen zeigenleicht gröβere Werte gegenüber der Messungund über einen breiten Parameterbereichtendenziell gröβere Werte gegenüber der Simulation. Demnach stellt die Methodeeinen pragmatischen Ansatz dar, dasmaximale, dynamische Torsionsmomentfür die Auslegung von Radsatzwelle ausreichendkonservativ zu berechnen.
Auslegung von Radsatzwellen unter Berücksichtigung des maximalen, dynamischen Torsionsmoments
(2021)
Der vorgestellte Bericht verdeutlicht denEinfluss des dynamischen Torsionsmomentsinfolge von selbsterregten Radsatz-Torsionsschwingungen auf den Festigkeitsnachweisvon Radsatzwellen. Durch dieanalytische Berechnung des maximalen,dynamischen Torsionsmoments werdenkausale Zusammenhänge erkennbar, diebei der Dimensionierung von Radsätzenhilfreich sind. So führt eine Vergröβerungdes Radsatzwellendurchmessers aufgrundder zunehmenden Torsionssteifigkeitzwar zu höheren Momenten, bewirktaber gleichzeitig eine deutlich niedrigereVergleichsspannung. Durch gröβereDurchmesser der Radsatzwelle ist, infolgegeringerer Fugendrücke, allerdings auchmit einer Schwächung der Pressverbändezu rechnen. In jedem Fall sind im Hinblickauf den Festigkeitsnachweis kleine Radradienvorteilhaft. Sollten Radradius undRadsatzwellendurchmesser nicht optimiertwerden können, kann zur weiteren Absicherungdes Festigkeitsnachweises derWerkstoff EA4T verwendet werden.
Background:
One of the most promising health care development areas is introducing telemedicine services and creating solutions based on blockchain technology. The study of systems combining both these domains indicates the ongoing expansion of digital technologies in this market segment.
Objective:
This paper aims to review the feasibility of blockchain technology for telemedicine.
Methods:
The authors identified relevant studies via systematic searches of databases including PubMed, Scopus, Web of Science, IEEE Xplore, and Google Scholar. The suitability of each for inclusion in this review was assessed independently. Owing to the lack of publications, available blockchain-based tokens were discovered via conventional web search engines (Google, Yahoo, and Yandex).
Results:
Of the 40 discovered projects, only 18 met the selection criteria. The 5 most prevalent features of the available solutions (N=18) were medical data access (14/18, 78%), medical service processing (14/18, 78%), diagnostic support (10/18, 56%), payment transactions (10/18, 56%), and fundraising for telemedical instrument development (5/18, 28%).
Conclusions:
These different features (eg, medical data access, medical service processing, epidemiology reporting, diagnostic support, and treatment support) allow us to discuss the possibilities for integration of blockchain technology into telemedicine and health care on different levels. In this area, a wide range of tasks can be identified that could be accomplished based on digital technologies using blockchains.
Electricity generation from renewable energies often fluctuates due to weather and other natural effects. The instrument of control energy (balancing energy) can compensate for these fluctuations and thus guarantee the system and supply security of the electricity grid. Luxury hotels on tourist islands could react to fluctuations in electricity generation and provide balancing energy. The purpose of this paper is to investigate the electricity consumption of luxury hotels to assess their potential as a source for providing control energy.