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Technology and computer applications influence our daily lives and questions arise concerning the role of artificial intelligence and decision-making algorithms. There are warning voices, that computers can, in theory, emulate human intelligence-and exceed it. This paper points out that a replacement of humans by computers is unlikely, because human thinking is characterized by cognitive heuristics and emotions, which cannot simply be implemented in machines operating with algorithms, procedural data processing or artificial neural networks. However, we are going to share our responsibilities with superior computer systems, which are tracking and surveying all of our digital activities, whereas we have no idea of the decision-making processes inside the machines. It is shown that we need a new digital humanism defining rules of computer responsibilities to avoid digital totalism and comprehensive monitoring and controlling of individuals within the planet Earth.
Qualitative Wissenschaft, künstlerisches Forschen und forschendes Lernen verbinden Erkenntnis aus Praxis und Erfahrung. In der Autoethnographie der eigenen Werkstatt des Hörens wie der Kultur in Studios anderer, wird die noch neue Interdisziplin Sound (Studies) erprobt und vertieft, mit Impulsen für die Praxis und Theorie, von der noch wenig bekannten A/r/t ographie heute, hin zu einer künftig A/R/Tophonie, dem künstlerischen Forschen in der Musik, ebenso wie durch Klang Komposition, Radio Kunst und visuelle Musik.
Im vorliegenden Beitrag wird ein Strommarktsimulationsmodell entwickelt, mit dessen Hilfe die Bereitstellung von Flexibilität auf dem Strom- und Regelleistungsmarkt in Deutschland modell-gestützt analysiert werden soll. Das Modell bildet dabei zwei parallel verlaufende, zentrale Wettbewerbsmärkte ab, an denen Akteure durch die individuelle Gebotsermittlung handeln können. Die entsprechend hierzu entwickelte Gebotslogik wird detailliert erläutert, wobei der Fokus auf der Flexibilität fossil-thermischer Kraftwerke liegt. In der anschließenden Gegen-überstellung mit realen Marktpreisen zeigt sich, dass die verwendete Methodik und die Ge-botslogik den bestehenden Markt und dessen Marktergebnis in geeigneter Form wiederspie-geln, wodurch zukünftig unterschiedlichste Flexibilitätsszenarien analysiert und Aussagen zu deren Auswirkungen auf den Markt und seine Akteure getroffen werden können.
The electrical field (E-field) of the biventricular (BV) stimulation is important for the success of cardiac resynchronization therapy (CRT) in patients with cardiac insufficiency and widened QRS complex.
The aim of the study was to model different pacing and ablation electrodes and to integrate them into a heart model for the static and dynamic simulation of BV stimulation and HF ablation in atrial fibrillation (AF).
The modeling and simulation was carried out using the electromagnetic simulation software CST. Five multipolar left ventricular (LV) electrodes, four bipolar right atrial (RA) electrodes, two right ventricular (RV) electrodes and one HF ablation catheter were modelled. A selection were integrated into the heart rhythm model (Schalk, Offenburg) for the electrical field simulation. The simulation of an AV node ablation at CRT was performed with RA, RV and LV electrodes and integrated ablation catheter with an 8 mm gold tip.
The BV stimulation were performed simultaneously at amplitude of 3 V at the LV electrode and 1 V at the RV electrode with a pulse width of 0.5 ms each. The far-field potential at the RA electrode tip was 32.86 mV and 185.97 mV at a distance of 1 mm from the RA electrode tip. AV node ablation was simulated with an applied power of 5 W at 420 kHz at the distal ablation electrode. The temperature at the catheter tip was 103.87 °C after 5 s ablation time and 37.61 °C at a distance of 2 mm inside the myocardium. After 15 s, the temperature was 118.42 °C and 42.13 °C.
Virtual heart and electrode models as well as the simulations of electrical fields and temperature profiles allow the static and dynamic simulation of atrial synchronous BV stimulation and HF ablation at AF and could be used to optimize the CRT and AF ablation.
The ability to detect a target signal masked by noise is improved in normal-hearing listeners when interaural phase differences (IPDs) between the ear signals exist either in the masker or in the signal. To improve binaural hearing in bilaterally implanted cochlear implant (BiCI) users, a coding strategy providing the best possible access to IPDs is highly desirable. Outcomes of a previous study (Zirn, Arndt et al. 2016) revealed that a subset of BiCI users showed improved IPD detection thresholds with the fine structure processing strategy FS4 compared to the constant rate strategy HDCIS using narrowband stimuli. In contrast, little differences between the coding strategies were found for broadband stimuli with regard to binaural speech intelligibility level differences (BILD) as an estimate of binaural unmasking. Compared to normalhearing listeners (7.5 ± 1.2 dB) BILD were small in BiCI users (around 0.5 dB with both coding strategies).
In the present work, we investigated the influence of binaural fitting parameters on BILD. In our cohort of BiCI users many were implanted with electrode arrays differing in length left versus right. Because this length difference typically corresponded to the distance of two electrode contacts the first modification of bilateral fitting was a tonotopic adjustment by deactivation of the most apical electrode contact on the side with the deeper inserted array (tonotopic approach).
The second modification was the isolation of the residual, most apical electrode contacts by deactivation of the basally adjacent electrode contact on each side (tonotopic sparse approach). Applying these modifications, BILD improved by up to 1.5 dB.
Das normalhörende auditorische System ist in der Lage, interaurale Zeit- bzw. Phasendifferenzen zur verbesserten Signaldetektion im Störgeräusch zu nutzen. Dieses Phänomen wird häufig als binaurale Entmaskierung bezeichnet und ist sowohl bei einfachen Signalen wie Sinustönen, als auch bei Sprachsignalen im Störgeräusch wirksam. Vorangegangene Studien haben gezeigt, dass binaurale Entmaskierung eingeschränkt auch bei bilateralen CI-Trägern beobachtbar ist (Zirn et al., 2016).
Aktuelle Ergebnisse zeigen, dass die binaurale Entmaskierung sensitiv gegenüber der bilateralen CI-Anpassung ist. So lässt sich der Effekt durch tonotopen Abgleich und Herausstellen eines apikalen Feinstrukturkanals modulieren. Steigerungen der binauralen Entmaskierung um bis zu 1,5 dB sind auf diese Weise gegenüber der konventionellen CI-Anpassung möglich. Allerdings variiert der Einfluss der CI-Anpassung interindividuell erheblich.
Die drei großen Hersteller von Cochlea-Implantat (CI)-Systemen ermöglichen es klinischen Audiologen, die Mikrofoneigenschaften der meisten CI-Sprachprozessoren zu prüfen. Dazu können bei diesen Sprachprozessoren Monitorkopfhörer angeschlossen und das/die Mikrofon(e) inklusive eines Teils der Signalvorverarbeitung abgehört werden. Präzise Angaben dazu, mit welchen Stimuli, bei welchem Pegel und nach welchem Kriterium diese Prüfung stattfinden soll, machen die CI-Hersteller nicht. Auf Basis dieser Prüfung soll der Audiologe dann über die Funktion der Mikrofone und damit darüber entscheiden, ob der betreffende Sprachprozessor an den Hersteller eingeschickt wird oder nicht.
Zur Objektivierung der CI-Sprachprozessor-Mikrofon-Prüfung haben wir eine Testbox entwickelt, mit der alle abhörbaren aktuellen CI-Sprachprozessoren der drei großen Hersteller geprüft werden können. Die Box wurde im 3D-Druck-Verfahren hergestellt. Der zu prüfende Sprachprozessor wird in die Messbox eingehängt und über einen darin verbauten Lautsprecher mit definierten Prüfsignalen (Sinustöne unterschiedlicher Frequenz) beschallt. Das Mikrofonsignal wird über das Kabel der Monitorkopfhörer herausgeführt und mit einer Shifting- and Scaling-Schaltung in einen Spannungsbereich transformiert, der für die AD-Wandlung mit einem Mikrokontroller (ATmega1280 verbaut auf einem Arduino Mega) geeignet ist. Derselbe Mikrokontroller übernimmt über einen eigens gebauten DA-Wandler die Ausgabe der Sinustöne über den Lautsprecher. Signalaufnahme und –wiedergabe erfolgen mit jeweils 38,5 kHz Samplingrate. Der für jede Frequenz über mehrere Perioden des Prüfsignals ermittelte Effektivwert wird mit dem Effektivwert, der mit einem neuwertigen Referenzprozessor für diese Frequenz gemessen wurde, verglichen. Die Messergebnisse werden graphisch auf einem Display ausgegeben.
Derzeit läuft eine erste Datenerhebung mit in der Klinik subjektiv auffällig gewordenen CI-Sprachprozessoren, die anschließend in der Messbox untersucht werden. So sollen realistische Schwellen für kritische Abweichungen von den Referenz-Effektivwerten ermittelt werden. Im weiteren Verlauf sollen dann Hit und False Alarm-Raten der subjektiven Prüfung bestimmt werden.