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Accurate monitoring of a patient's heart rate is a key element in the medical observation and health monitoring. In particular, its importance extends to the identification of sleep-related disorders. Various methods have been established that involve sensor-based recording of physiological signals followed by automated examination and analysis. This study attempts to evaluate the efficacy of a non-invasive HR monitoring framework based on an accelerometer sensor specifically during sleep. To achieve this goal, the motion induced by thoracic movements during cardiac contractions is captured by a device installed under the mattress. Signal filtering techniques and heart rate estimation using the symlets6 wavelet are part of the implemented computational framework described in this article. Subsequent analysis indicates the potential applicability of this system in the prognostic domain, with an average error margin of approximately 3 beats per minute. The results obtained represent a promising advancement in non-invasive heart rate monitoring during sleep, with potential implications for improved diagnosis and management of cardiovascular and sleep-related disorders.
This study investigates the application of Force Sensing Resistor (FSR) sensors and machine learning algorithms for non-invasive body position monitoring during sleep. Although reliable, traditional methods like Polysomnography (PSG) are invasive and unsuited for extended home-based monitoring. Our approach utilizes FSR sensors placed beneath the mattress to detect body positions effectively. We employed machine learning techniques, specifically Random Forest (RF), K-Nearest Neighbors (KNN), and XGBoost algorithms, to analyze the sensor data. The models were trained and tested using data from a controlled study with 15 subjects assuming various sleep positions. The performance of these models was evaluated based on accuracy and confusion matrices. The results indicate XGBoost as the most effective model for this application, followed by RF and KNN, offering promising avenues for home-based sleep monitoring systems.
This paper compares two popular scripting implementations for hardware prototyping: Python scripts exe- cut from User-Space and C-based Linux-Driver processes executed from Kernel-Space, which can provide information to researchers when considering one or another in their implementations. Conclusions exhibit that deploying software scripts in the kernel space makes it possible to grant a certain quality of sensor information using a Raspberry Pi without the need for advanced real-time operational systems.
The massive use of patient data for the training of artificial intelligence algorithms is common nowadays in medicine. In this scientific work, a statistical analysis of one of the most used datasets for the training of artificial intelligence models for the detection of sleep disorders is performed: sleep health heart study 2. This study focuses on determining whether the gender and age of the patients have a relevant influence to consider working with differentiated datasets based on these variables for the training of artificial intelligence models.
Unintrusive health monitoring systems is important when continuous monitoring of the patient vital signals is required. In this paper, signals obtained from accelerometers placed under a bed are processed with ballistocardiography algorithms and compared with synchronized electrocardiographic signals.
Im Investitionsgüterservice ist Wissen längst zu einem zentralen Erfolgshebel geworden, sowohl zur Steigerung der Prozesseffektivität und -effizienz als auch als Fundament für werthaltige Geschäftsmodelle. Das Management Service-relevanten Wissens ist für kleine und mittelständische Unternehmen der Investitionsgüterindustrie jedoch oftmals eine nicht zu unterschätzende Herausforderung, welche weit über IT-technische Aspekte hinausreicht. In dem vom BMBF sowie vom ESF (ko)finanzierten Projekt „SerWiss“ wurde vor diesem Hintergrund ein umfassender Lösungsansatz entwickelt und bei zwei Projektpartnern aus der Investitionsgüterindustrie prototypisch umgesetzt.
Der Kundenservice von morgen
(2023)
Die digitale Selbstbedienung im Einzelhandel und anderen Dienstleistungsbereichen verändert die Konsumwelt. Self-Services werden zunehmend von Konsumenten aller Altersklassen genutzt. Der Handel muss seine Servicekanäle hinterfragen und vermehrt auf Self-Service als Kundenkontaktpunkt setzen. Andere Branchen haben diesbezüglich bereits Lösungen umgesetzt. Vor diesem Hintergrund analysiert der Beitrag die Nutzung von Self-Service-Lösungen in Abhängigkeit von der Generationen-Zugehörigkeit und gibt Handlungsempfehlungen für KMU aus dem Einzelhandel.
Die durch KMU geprägte Investitionsgüterindustrie steht aufgrund der zunehmenden Internationalisierung im Servicegeschäft, Mitarbeiterengpässen, hohen Prozesskosten sowie fehlendem Wissensmanagment vor großen Herausforderungen. Durch die Digitalisierung entstehen große Nutzenpotenziale im Servicegeschäft. Vor diesem Hintergrund wurde ein auf den Methoden Intelligent Swarming und Knowledge Centered Service basierender, integrierter Ansatz entwickelt, der KMU aus der Investitionsgüterindustrie befähigt, Servicewissen effizient zu generieren, zu strukturieren und international zu vermarkten.
Die digitale Transformation von Geschäftsprozessen und die stärkere Integration von IT-Systemen führen zu Chancen und Risiken für kleine und mittlere Unternehmen (KMU). Risiken, die zu fehlender IT-Governance, Risk und Compliance (GRC) führen können. Ziel dieses Beitrags ist es, die Design- und Evaluierungsphase der Erstellung eines Artefakts darzustellen. Dabei wird der Design Science Research Ansatz nach Hevner verwendet. Das Artefakt wird für die Auswahl von Standards entwickelt, indem KMU-relevante Ausprägungen und bestehende Rahmenwerke auf die definierten Kriterien angepasst werden.
Cities around the world are facing the implications of a changing climate as an increasingly pressing issue. The negative effects of climate change are already being felt today. Therefore, adaptation to these changes is a mission that every city must master. Leading practices worldwide demonstrate various urban efforts on climate change adaptation (CCA) which are already underway. Above all, the integration of climate data, remote sensing, and in situ data is key to a successful and measurable adaptation strategy. Furthermore, these data can act as a timely decision support tool for municipalities to develop an adaptation strategy, decide which actions to prioritize, and gain the necessary buy-in from local policymakers. The implementation of agile data workflows can facilitate the integration of climate data into climate-resilient urban planning. Due to local specificities, (supra)national, regional, and municipal policies and (by) laws, as well as geographic and related climatic differences worldwide, there is no single path to climate-resilient urban planning. Agile data workflows can support interdepartmental collaboration and, therefore, need to be integrated into existing management processes and government structures. Agile management, which has its origins in software development, can be a way to break down traditional management practices, such as static waterfall models and sluggish stage-gate processes, and enable an increased level of flexibility and agility required when urgent. This paper presents the findings of an empirical case study conducted in cooperation with the City of Constance in southern Germany, which is pursuing a transdisciplinary and trans-sectoral co-development approach to make management processes more agile in the context of climate change adaptation. The aim is to present a possible way of integrating climate data into CCA planning by changing the management approach and implementing a toolbox for low-threshold access to climate data. The city administration, in collaboration with the University of Applied Sciences Constance, the Climate Service Center Germany (GERICS), and the University of Stuttgart, developed a co-creative and participatory project, CoKLIMAx, with the objective of integrating climate data into administrative processes in the form of a toolbox. One key element of CoKLIMAx is the involvement of the population, the city administration, and political decision-makers through targeted communication and regular feedback loops among all involved departments and stakeholder groups. Based on the results of a survey of 72 administrative staff members and a literature review on agile management in municipalities and city administrations, recommendations on a workflow and communication structure for cross-departmental strategies for resilient urban planning in the City of Constance were developed.
Service in der Investitionsgüterindustrie wird heutzutage in der Regel immer noch manuell und vor Ort beim Kunden ausgeführt. Dazu braucht es qualifizierte Service-Techniker:innen, die über das nötige Produkt- Prozesswissen verfügen. Für kleine und mittelständische Unternehmen (KMU) der Investitionsgüterindustrie stellt insbesondere die Internationalisierung eine Herausforderung dar, da qualifizierte Service-Techniker:innen eine rare Ressource sind. Es gilt sie möglichst effektiv und effizient einzusetzen. Zu diesem Zweck wurde im Rahmen des SerWiss-Projektes eine Lösung entwickelt, die es KMU ermöglicht, service-rele-
vantes Wissen effizient zu generieren, zu strukturieren und am Point-of-Service bereitzustellen sowie im Rahmen geeigneter Geschäftsmodelle zu vermarkten. Im Beitrawird erläutert, wie sich dieses erfasste Wissen als kundenorientiertes Wertangebot einsetzen und erlöswirksam in entsprechenden Geschäftsmodellen umsetzen lässt.
Teilzeitmodelle sind beliebt und haben für viele Mitarbeiter einen ernsten Hintergrund. Ihre Lebensentwürfe lassen schlicht keine andere Form der Arbeit zu. Arbeitgeber sollten einerseits auf die Flexibilisierungswünsche der Betroffenen eingehen, um das Betriebsklima zu fördern und eine Unternehmensbindung herzustellen. Andererseits sind sie aber (mit wenigen Ausnahmen) verpflichtet, Teilzeit zu ermöglichen. Eine Variante ist dabei die Brückenteilzeit, also eine zuvor festgelegte (nur) zeitlich begrenzte Verringerung der Arbeitszeit.
Sleep disorders can impact daily life, affecting physical, emotional, and cognitive well-being. Due to the time-consuming, highly obtrusive, and expensive nature of using the standard approaches such as polysomnography, it is of great interest to develop a noninvasive and unobtrusive in-home sleep monitoring system that can reliably and accurately measure cardiorespiratory parameters while causing minimal discomfort to the user’s sleep. We developed a low-cost Out of Center Sleep Testing (OCST) system with low complexity to measure cardiorespiratory parameters. We tested and validated two force-sensitive resistor strip sensors under the bed mattress covering the thoracic and abdominal regions. Twenty subjects were recruited, including 12 males and 8 females. The ballistocardiogram signal was processed using the 4th smooth level of the discrete wavelet transform and the 2nd order of the Butterworth bandpass filter to measure the heart rate and respiration rate, respectively. We reached a total error (concerning the reference sensors) of 3.24 beats per minute and 2.32 rates for heart rate and respiration rate, respectively. For males and females, heart rate errors were 3.47 and 2.68, and respiration rate errors were 2.32 and 2.33, respectively. We developed and verified the reliability and applicability of the system. It showed a minor dependency on sleeping positions, one of the major cumbersome sleep measurements. We identified the sensor under the thoracic region as the optimal configuration for cardiorespiratory measurement. Although testing the system with healthy subjects and regular patterns of cardiorespiratory parameters showed promising results, further investigation is required with the bandwidth frequency and validation of the system with larger groups of subjects, including patients.
Background
This is a systematic review protocol to identify automated features, applied technologies, and algorithms in the electronic early warning/track and triage system (EW/TTS) developed to predict clinical deterioration (CD).
Methodology
This study will be conducted using PubMed, Scopus, and Web of Science databases to evaluate the features of EW/TTS in terms of their automated features, technologies, and algorithms. To this end, we will include any English articles reporting an EW/TTS without time limitation. Retrieved records will be independently screened by two authors and relevant data will be extracted from studies and abstracted for further analysis. The included articles will be evaluated independently using the JBI critical appraisal checklist by two researchers.
Discussion
This study is an effort to address the available automated features in the electronic version of the EW/TTS to shed light on the applied technologies, automated level of systems, and utilized algorithms in order to smooth the road toward the fully automated EW/TTS as one of the potential solutions of prevention CD and its adverse consequences.
Recognizing Human Activity of Daily Living Using a Flexible Wearable for 3D Spine Pose Tracking
(2023)
The World Health Organization recognizes physical activity as an influencing domain on quality of life. Monitoring, evaluating, and supervising it by wearable devices can contribute to the early detection and progress assessment of diseases such as Alzheimer’s, rehabilitation, and exercises in telehealth, as well as abrupt events such as a fall. In this work, we use a non-invasive and non-intrusive flexible wearable device for 3D spine pose measurement to monitor and classify physical activity. We develop a comprehensive protocol that consists of 10 indoor, 4 outdoor, and 8 transition states activities in three categories of static, dynamic, and transition in order to evaluate the applicability of the flexible wearable device in human activity recognition. We implement and compare the performance of three neural networks: long short-term memory (LSTM), convolutional neural network (CNN), and a hybrid model (CNN-LSTM). For ground truth, we use an accelerometer and strips data. LSTM reached an overall classification accuracy of 98% for all activities. The CNN model with accelerometer data delivered better performance in lying down (100%), static (standing = 82%, sitting = 75%), and dynamic (walking = 100%, running = 100%) positions. Data fusion improved the outputs in standing (92%) and sitting (94%), while LSTM with the strips data yielded a better performance in bending-related activities (bending forward = 49%, bending backward = 88%, bending right = 92%, and bending left = 100%), the combination of data fusion and principle components analysis further strengthened the output (bending forward = 100%, bending backward = 89%, bending right = 100%, and bending left = 100%). Moreover, the LSTM model detected the first transition state that is similar to fall with the accuracy of 84%. The results show that the wearable device can be used in a daily routine for activity monitoring, recognition, and exercise supervision, but still needs further improvement for fall detection.
Cardiovascular diseases (CVD) are leading contributors to global mortality, necessitating advanced methods for vital sign monitoring. Heart Rate Variability (HRV) and Respiratory Rate, key indicators of cardiovascular health, are traditionally monitored via Electrocardiogram (ECG). However, ECG's obtrusiveness limits its practicality, prompting the exploration of Ballistocardiography (BCG) as a non-invasive alternative. BCG records the mechanical activity of the body with each heartbeat, offering a contactless method for HRV monitoring. Despite its benefits, BCG signals are susceptible to external interference and present a challenge in accurately detecting J-Peaks. This research uses advanced signal processing and deep learning techniques to overcome these limitations. Our approach integrates accelerometers for long-term BCG data collection during sleep, applying Discrete Wavelet Transforms (DWT) and Ensemble Empirical Mode Decomposition (EEMD) for feature extraction. The Bi-LSTM model, leveraging these features, enhances heartbeat detection, offering improved reliability over traditional methods. The study's findings indicate that the combined use of DWT, EEMD, and Bi-LSTM for J-Peak detection in BCG signals is effective, with potential applications in unobtrusive long-term cardiovascular monitoring. Our results suggest that this methodology could contribute to HRV monitoring, particularly in home settings, enhancing patient comfort and compliance.
Die Kleinwasserkraft stand zuletzt zunehmend in der öffentlichen Kritik wegen des ökologischen Einflusses und der verhältnismäßigen geringen Stromerzeugung. Der vorliegende Beitrag beschreibt die Einschätzung von KWK-Betreibern zum Potenzial einer Effizienzsteigerung ihrer bestehenden Anlagen durch eine intelligente Informationsvernetzung innerhalb des Flusslaufes der Radolfzeller Aach im Süden Baden-Württembergs, um somit die Stromerzeugung der einzelnen Anlagen zu erhöhen.
Short-Term Density Forecasting of Low-Voltage Load using Bernstein-Polynomial Normalizing Flows
(2023)
The transition to a fully renewable energy grid requires better forecasting of demand at the low-voltage level to increase efficiency and ensure reliable control. However, high fluctuations and increasing electrification cause huge forecast variability, not reflected in traditional point estimates. Probabilistic load forecasts take uncertainties into account and thus allow more informed decision-making for the planning and operation of low-carbon energy systems. We propose an approach for flexible conditional density forecasting of short-term load based on Bernstein polynomial normalizing flows, where a neural network controls the parameters of the flow. In an empirical study with 3639 smart meter customers, our density predictions for 24h-ahead load forecasting compare favorably against Gaussian and Gaussian mixture densities. Furthermore, they outperform a non-parametric approach based on the pinball loss, especially in low-data scenarios.
Healthy and good sleep is a prerequisite for a rested mind and body. Both form the basis for physical and mental health. Healthy sleep is hindered by sleep disorders, the medically diagnosed frequency of which increases sharply from the age of 40. This chapter describes the formal specification of an on-course practical implementation for a non-invasive system based on biomedical signal processing to support the diagnosis and treatment of sleep-related diseases. The system aims to continuously monitor vital data during sleep in a patient’s home environment over long periods by using non-invasive technologies. At the center of the development is the MORPHEUS Box (MoBo), which consists of five main conceptualizations: the MoBo core, the MoBo-HW, the MoBo algorithm, the MoBo API, and the MoBo app. These synergistic elements aim to support the diagnosis and treatment of sleep-related diseases. Although there are related developments in individual aspects concerning the system, no comparative approach is known that gives a similar scope of functionality, deployment flexibility, extensibility, or the possibility to use multiple user groups. With the specification provided in this chapter, the MORPHEUS project sets a good platform, data model, and transmission strategies to bring an innovative proposal to measure sleep quality and detect sleep diseases from non-invasive sensors.
This paper introduces the third update/release of the Global Sanctions Data Base (GSDB-R3). The GSDB-R3 extends the period of coverage from 1950–2019 to 1950–2022, which includes two special periods—COVID-19 and the new sanctions against Russia. This update of the GSDB contains a total of 1325 cases. In response to multiple inquiries and requests, the GSDB-R3 has been amended with a new variable that distinguishes between unilateral and multilateral sanctions. As before, the GSDB comes in two versions, case-specific and dyadic, which are freely available upon request at GSDB@drexel.edu. To highlight one of the new features of the GSDB, we estimate the heterogeneous effects of unilateral and multilateral sanctions on trade. We also obtain estimates of the effects on trade of the 2014 sanctions on Russia.
We quantify the effects of GATT/WTO membership on trade and welfare. Using an extensive database covering manufacturing trade for 186 countries over the period 1980–2016, we find that the average partial equilibrium impact of GATT/WTO membership on trade among member countries is large, positive, and significant. We contribute to the literature by estimating country-specific estimates and find them to vary widely across the countries in our sample with poorer members benefitting more. Using these estimates, we simulate the general equilibrium effects of GATT/WTO on welfare, which are sizable and heterogeneous across members. We show that countries not experiencing positive trade effects from joining GATT/WTO can still gain in terms of welfare, due to lower import prices and higher export demand.
AbstractSanctions encompass a wide set of policy instruments restricting cross‐border economic activities. In this paper, we study how different types of sanctions affect the export behavior of firms to the targeted countries. We combine Danish register data, including information on firm‐destination‐specific exports, with information on sanctions imposed by Denmark from the Global Sanctions Database. Our data allow us to study firms' export behavior in 62 sanctioned countries, amounting to a total of 453 country‐years with sanctions over the period 2000–2015. Methodologically, we apply a two‐stage estimation strategy to properly account for multilateral resistance terms. We find that, on average, sanctions lead to a significant reduction in firms' destination‐specific exports and a significant increase in firms' probability to exit the destination. Next, we study heterogeneity in the effects of sanctions across (i) sanction types and sanction packages, (ii) the objectives of sanctions, and (iii) countries subject to sanctions. Results confirm that the effects of sanctions on firms' export behavior vary considerably across these three dimensions.
Apnea is a sleep disorder characterized by breathing interruptions during sleep, impacting cardiorespiratory function and overall health. Traditional diagnostic methods, like polysomnography (PSG), are unobtrusive, leading to noninvasive monitoring. This study aims to develop and validate a novel sleep monitoring system using noninvasive sensor technology to estimate cardiorespiratory parameters and detect sleep apnea. We designed a seamless monitoring system integrating noncontact force-sensitive resistor sensors to collect ballistocardiogram signals associated with cardiorespiratory activity. We enhanced the sensor’s sensitivity and reduced the noise by designing a new concept of edge-measuring sensor using a hemisphere dome and mechanical hanger to distribute the force and mechanically amplify the micromovement caused by cardiac and respiration activities. In total, we deployed three edge-measuring sensors, two deployed under the thoracic and one under the abdominal regions. The system is supported with onboard signal preprocessing in multiple physical layers deployed under the mattress. We collected the data in four sleeping positions from 16 subjects and analyzed them using ensemble empirical mode decomposition (EMD) to avoid frequency mixing. We also developed an adaptive thresholding method to identify sleep apnea. The error was reduced to 3.98 and 1.43 beats/min (BPM) in heart rate (HR) and respiration estimation, respectively. The apnea was detected with an accuracy of 87%. We optimized the system such that only one edge-measuring sensor can measure the cardiorespiratory parameters. Such a reduction in the complexity and simplification of the instruction of use shows excellent potential for in-home and continuous monitoring.
IT-Kosten machen heute einen immer größeren Anteil an den Gesamtkosten von Unternehmen aus. Die Verantwortlichen sind aufgefordert die IT-Kosten zu senken oder zumindest ein effizientes Management sicherzustellen. Oftmals fehlt es dafür an Transparenz und Verständnis für diese Ausgaben. Die Analyse der IT-Kostentreiber ermöglicht ein tieferes Verständnis der Ursachen und Auswirkungen strategischer Entscheidungen. Dieser Beitrag zielt darauf ab, die strategischen IT-Kostentreiber bezüglich des Wirkungshorizonts und des Entscheidungsortes zu analysieren. Die durchgeführte Delphi-Studie zeigt, dass Entscheidungen über diese Kostentreiber größtenteils mittel- bis langfristige Auswirkungen haben. Zudem wird deutlich, dass die IT-Abteilung zwar in den Entscheidungsprozess eingebunden ist, während die finalen Entscheidungen häufig stärker im Fachbereich liegen. Zusammenarbeit und effektive Kommunikation sind deshalb entscheidend und die Verantwortung für IT-Kosten sollte von allen EntscheidungsträgerInnen getragen werden. Dieser Beitrag erweitert die Forschung im IT-Kostenmanagement und sensibilisiert PraktikerInnen für Kostenbeeinflussungshebel und die strategische Diskussion über IT-Kosten und das Wertversprechen der IT.
Black-box variational inference (BBVI) is a technique to approximate the posterior of Bayesian models by optimization. Similar to MCMC, the user only needs to specify the model; then, the inference procedure is done automatically. In contrast to MCMC, BBVI scales to many observations, is faster for some applications, and can take advantage of highly optimized deep learning frameworks since it can be formulated as a minimization task. In the case of complex posteriors, however, other state-of-the-art BBVI approaches often yield unsatisfactory posterior approximations. This paper presents Bernstein flow variational inference (BF-VI), a robust and easy-to-use method flexible enough to approximate complex multivariate posteriors. BF-VI combines ideas from normalizing flows and Bernstein polynomial-based transformation models. In benchmark experiments, we compare BF-VI solutions with exact posteriors, MCMC solutions, and state-of-the-art BBVI methods, including normalizing flow-based BBVI. We show for low-dimensional models that BF-VI accurately approximates the true posterior; in higher-dimensional models, BF-VI compares favorably against other BBVI methods. Further, using BF-VI, we develop a Bayesian model for the semi-structured melanoma challenge data, combining a CNN model part for image data with an interpretable model part for tabular data, and demonstrate, for the first time, the use of BBVI in semi-structured models.
Die energetische Sanierung von Gebäuden ist von großer Relevanz, um die gesetzlichen Klimaziele zu erreichen. Die Methode des seriellen Sanierens spielt hierbei eine wichtige Rolle. Sie gilt als ganzheitliche Maßnahme zur energetischen Aufwertung von Bestandsgebäuden, durch die nicht nur die Gebäudehülle und die Anlagentechnik, wie etwa das Heizungssystem, effektiv verbessert werden, sondern auch eine Integration von Anlagen zur Strom- und Warmwasseraufbereitung erfolgt. Bei der seriellen Sanierung wird, in Anlehnung an die Industrie und an die modulare Bauweise, eine Vorfertigung der Fassaden-
und Dachelemente durchgeführt. Im Nachgang werden die einzelnen Bauelemente und Anlagen montiert bzw. installiert. Durch die Auslagerung der Produktion und durch die Vorfertigung der Elemente besteht das Potenzial, die Montagezeit und die damit verbundenen Einschränkungen vor Ort für die Bewohner deutlich zu reduzieren.