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Der vorliegene Beitrag beschreibt erste Untersuchungsergebnisse mit der Finite-Elemente-Methode (FEM) zur Ermittlung der Kennwerte des bezogenen Spannungsgefälles beim linear-elastischen Werkstoffverhalten für die nach DIN 5480 genormten Zahnwellen mit freiem Auslauf bei Torsion, Biegung und Zug/Druck. Für die Bestimmung von Zwischen-werten werden analytische Näherungsgleichungen aufgestellt.
In cardiac resynchronization therapy (CRT) for heart failure, individualization of the AV delay is essential to improve hemodynamics and to minimize non-responder rate. In patients in sinus rhythm having additional disposition to bradycardia, optimization is necessary for both situations, atrial sensing and pacing. Therefore, echo-optimization is the goldstandard but time consuming. Unfortunately, it depends on the particular CRT systems parameter set if the resulting individually optimal AV delays can be programmed or not. Some CRT systems provide a set of AV delays for DDD operation combined with a set of the pace-sense-compensation to optimize the AV delay in DDD and VDD operation. The pace-sense-compensation (PSC) can be defined by the difference of implant-related interatrial conduction intervals in DDD and VDD operation measured in the esophageal left atrial electrogram. In a cohort of 96 CRT patients we found mean PSC of 59-35ms ranging between 0-143ms. As a consequence, allowing 10ms tolerance, AVD optimization is completely impossible in one of the two modes, VDD or DDD operation, in 34 (35%) or 5 (5%) patients with implants restricting the PSC range to 60ms or 100ms, respectively. Thus, we propose companies to provide CRT systems with programmable pace-sense- compensation between 0ms and 150ms.
Die Frage nach der Struktur und Funktion von „Hochschulen“ kann man sinnvoll nicht isoliert betrachten ohne einen Blick auf Schulen. Hochschulen sind Teil des gesamten Schulsystems und eingebunden in eine (momentan noch) sehr differenzierte und vielfältige, bundesdeutsche „Bildungslandschaft“, die sich über Jahrhunderte herauskristallisiert hat. Tradition und evolutionäre Genese sind eine Konstante von Bildungseinrichtungen, der ständige Wandel und der stetige Reformdruck eine weitere. Es scheint, das an Schulen und Hochschulen immer von neuem laboriert werden muss, auch wenn das mögliche Spektrum von Einstellungen und Methoden – zumindest was Lernen und Lehrkonzepte betrifft, – seit der Antike bekannt sind.
Daher gliedert sich dieser Text in drei Abschnitte:
• Ein kurzer Blick zurück leitet zentrale Begriffe her.
• Die Analyse des Ist-Zustandes unter Berücksichtigung der seit 1998 unter dem Namen „Bologna“ realisierten Reformen (Vereinheitlichung der europäischen Studiengänge, Umstellung der Studiengänge auf andere Abschlüsse (Bachelor, Master) u.v.m.) zeigt aktuelle Fehlentwicklungen, nennt Gründe und Protagonisten .
• Der abschließend Blick nach vorn zeigt, was aus (Hoch)Schulen (wieder) werden könnten, wenn Lehrende und Studierende mutiger werden.
Die immer weitreichenderen Anwendungen des Smart Metering und des Smart Grid stellen immer höhere Anforderungen an Kommunikationstechnologien, die die Zielkonflikte aus Echtzeitfähige, Stabilität, Kosten und Energieeffizienz möglichst anwendungsoptimiert und auf einem immer höheren Niveau lösen. Insbesondere im Bereich der so genannten Primärkommunikation zwischen einem Sensor- oder Aktorknoten und einem Datensammler mit Gatewayfunktionalität konnten in den vergangenen Jahren wesentliche Fortschritte erzielt werden. Zu nennen sind hierbei insbesondere die Aktivitäten der ZigBee Alliance rund um den offenen Spezifikationsprozess des ZigBee Smart Energy Profiles (SEP) und der OMS-Gruppe beim ZVEI, die auf dem Wireless M-Bus nach EN13757-4 aufbauen, der sich seinerseits lebhaft und zielgerichtet weiter entwickelt. Der Beitrag diskutiert die vorhandenen Einschränkungen und die verfügbaren Lösungsansätze. Er illustriert diese anhand einiger öffentlich geförderter Projekte, an denen das Team des Autors beteiligt ist.
This paper describes the magmaOffenburg 3D simulation team trying to qualify for RoboCup 2012. While last year’s TDP focused on the tool set created for 3D simulation and the support for heterogeneous robot models, this year we focus on the different ways how robot behavior can be defined in the magmaOffenburg framework and how those behaviors can be improved by learning.
Die Veränderungen in der Energieversorgung führen zu einer neuen Systemarchitektur der Stromversorgung, die nur durch einen massiven Einsatz von Informations- und Kommunikationstechnologien (IKT) bewältigt werden kann und meist als „Smart Grid“ bezeichnet wird. Während es bereits umfangreiche Forschungsarbeiten und Demonstrationsprojekte zu einzelnen technologischen Komponenten gibt, existieren noch wenige Überlegungen, in welchen technologischen Schritten eine Migration hin zu Smart Grids durchgeführt werden sollte, die sowohl betriebstechnisch zukunftssicher ist, als auch marktgetriebene Innovationen begünstigt. Der Beitrag veranschaulicht die Herleitung solcher Migrationspfade im Rahmen eines schrittweisen Vorgehens. Zunächst werden Zukunftsszenarien für das Jahr 2030 konstruiert, um die maßgeblichen, oft auch nichttechnischen Einflussfaktoren auf das Smart Grid zu identifizieren. Darauf aufbauend werden die wesentlichen IKT-bezogenen Technologiefelder und ihre Zuordnung zu den Domänen der Energiewirtschaft beschrieben. Für jedes Technologiefeld werden die in den nächsten zwei Jahrzehnten denkbaren Entwicklungsstufen ermittelt und deren Abhängigkeit untereinander analysiert. Die gemeinsame Betrachtung von Szenarien, der Entwicklungsstufen der Technologiefelder und deren Interdependenzen führen schließlich zu einer Roadmap, welche die Migrationspfade in das Smart Grid beschreiben. Es lassen sich drei Entwicklungsphasen erkennen: Die Konzeptionsphase, die Integrationsphase und die Fusionsphase. Die präsentierten Ergebnisse entstammen dem Projekt „Future Energy Grid – Migrationspfade ins Internet“, welches vom Bundesministerium für Wirtschaft und Technologie im Rahmen des E-Energy-Programms (Förderkennzeichen 01ME10012A und 01ME10013) gefördert wurde.
ECG simulators, available on the market, imitate the electric activity of the heart in a simplified manner. Thus, they are suitable for education purposes but not really for testing algorithms to recognize complex arrhythmias needed for pacemakers and implantable defibrillators. Especially certain discrimination between various morphologies of atrial and ventricular fibrillation needs simulators providing native electrograms of different patients’ heart rhythm events. This explains the necessity to develop an ECG simulator providing high-resolution native intracardiac and surface electrograms of in-vivo rhythm events. In this paper we demonstrate an approach for an ECG simulator based on a consumer multichannel soundcard and a corresponding software application for a laptop computer. This Live-ECG Simulator is able to handle invasive electrogram recordings from electrophysiological studies and send the data to a modified external soundcard for subsequent digital to analog conversion. The hardware is completed with an electronic circuit providing level adjustment to adapt the output amplitude to the input conditions of several cardiac implants.
Cardiac resynchronization therapy with biventricular pacing is an established therapy for heart failure patients with electrical left ventricular desynchronization. The aim of this study was to evaluate left atrial conduction delay, intra left atrial conduction delay, left ventricular conduction delay and intra left ventricular conduction delay in heart failure patients using novel signal averaging transesophageal left heart ECG software.
Methods: 8 heart failure patients with dilated cardiomyopathy (DCM), age 68 ± 9 years, New York Heart Association (NYHA) class 2.9 ± 0.2, 24.8 ± 6.7 % left ventricular ejection fraction, 188.8 ± 15.5 ms QRS duration and 8 heart failure patients with ischaemic cardiomyopathy (ICM), age 67 ± 8 years, NYHA class 2.9 ± 0.3, 32.5 ± 7.4 % left ventricular ejection fraction and 167.6 ± 19.4 ms QRS duration were analysed with transesophageal and transthoracic ECG by Bard LabDuo EP system and novel National Intruments LabView signal averaging ECG software.
Results: The electrical left atrial conduction delay was 71.3 ± 17.6 ms in ICM versus 72.3 ± 12.4 ms in DCM, intra left atrial conduction delay 66.8 ± 8.6 ms in ICM versus 63.4 ± 10.9 ms in DCM and left cardiac AV delay 180.5 ± 32.6 ms in ICM versus 152.4 ± 30.4 ms in DCM. The electrical left ventricular conduction delay was 40.9 ± 7.5 ms in ICM versus 42.6 ± 17 ms in DCM and intra left ventricular conduction delay 105.6 ± 19.3 ms in ICM versus 128.3 ± 24.1 ms in DCM.
Conclusions: Left heart signal averaging ECG can be utilized to analyse left atrial conduction delay, intra left atrial conduction delay, left ventricular conduction delay and intra left ventricular conduction delay to improve patient selection for cardiac resynchronization therapy.
The provisioning of security for highly dynamic wireless networks, as for Car2X applications is still a major topic, as very specific requirements have to be solved. Those include a perfect privacy level and advanced real-time behavior, and the necessity to work with a public infrastructure (PKI) to support secure authentication.
This contribution analyzes these requirements, discusses the existing approaches, performs a gap analysis and elaborates on proposals to fill these gaps. It describes work in progress within the KoFAS-initiative for the development of a cooperative pedestrian protection system (CPPS).
The paper focuses on a numerical model which describes the radial temperature evolution in an optical fiber during the heating and cooling process according to the SP1 approximation. Based on this model, experimental methods for temperature measurement with optical fibers and for splice process optimization can be developed.
We will present the first example of a two-dimensional scanned TLC-plate, measured by use of a diode-array scanner. A spatial resolution of 250 µm was achieved on plate. The system provides real 2D fluorescence and absorption spectra in the wavelength-range from 190 to 1000 nm with a spectral resolution of greater than 1 nm. A mixture of 12 sulphonamides was separated by using a cyanopropyl-coated silica gel plate (Merck, 1.16464) with the solvent mix of methyl tert-butyl ether-methanol-dichloromethane-cyclohexane-NH3 (25%) (48:2:2:1:1, v/v) in the first and with a mixture of water-acetonitrile-dioxane-ethanol (8:2:1:1, v/v) in the second direction. Both developments were carried out over a distance of 70 mm. A separation number (spot capacity) of 259 was calculated. We discussed a new formula for its calculation in 2D-TLC separations. The drawback of this method is that measuring a 2D-TLC plate needs more than 3 h measurement time.
During the last ten years the development of wireless sensing applications has become more and more attractive. A major reason for this trend is the large quantity of available wireless technologies. The progressing demand on wireless technologies is mainly driven through development from the industrial wireless sensors market. Especially requirements like low energy consumption, a resource saving simple protocol stack and short timing delays between different states of the wireless transceivers are very important for wireless sensors. Bluetooth Low Energy (BLE) is a rather new wireless standard in addition to the traditional Bluetooth standard (Basis rate and enhanced data rate, BR/EDR) [1]. The BLE will completely fulfill these fundamental requirements. First BLE transceiver chips and modules are available and have been tested and implemented in products. In this paper the performance analysis results of a BLE sensor system which is based on the TI transceiver CC2540F [5] will be presented. The results can be taken for further important investigations like lifetime calculations or BLE simulation models.
Cardiac resynchronization therapy (CRT) with biventricular pacing is an established therapy for heart failure (HF) patients (P) with ventricular desynchronization and reduced left ventricular (LV) ejection fraction. The aim of this study was to evaluate electrical right atrial (RA), left atrial (LA), right ventricular (RV) and LV conduction delay with novel telemetric signal averaging electrocardiography (SAECG) in implantable cardioverter defibrillator (ICD) P to better select P for CRT and to improve hemodynamics in cardiac pacing.
Methods: ICD-P (n=8, age 70.8 ± 9.0 years; 2 females, 6 males) with VVI-ICD (n=4), DDD-ICD (n=3) and CRT-ICD (n=1) (Medtronic, Inc., Minneapolis, MN, USA) were analysed with telemetric ECG recording by Medronic programmer 2090, ECG cable 2090AB, PCSU1000 oscilloscope with Pc-Lab2000 software (Velleman®) and novel National Intruments LabView SAECG software.
Results: Electrical RA conduction delay (RACD) was measured between onset and offset of RA deflection in the RAECG. Interatrial conduction delay (IACD) was measured between onset of RA deflection and onset of far-field LA deflection in the RAECG. Interventricular conduction delay (IVCD) was measured between onset of RV deflection in the RVECG and onset of LV deflection in the LVECG. Telemetric SAECG recording was possible in all ICD-P with a mean of 11.7 ± 4.4 SAECG heart beats, 97.6 ± 33.7 ms QRS duration, 81.5 ± 44.6 ms RACD, 62.8 ± 28.4 ms RV conduction delay, 143.7 ± 71.4 ms right cardiac AV delay, 41.5 ms LA conduction delay, 101.6 ms LV conduction delay, 176.8 ms left cardiac AV delay, 53.6 ms IACD and 93 ms IVCD.
Conclusions: Determination of RA, LA, RV and LV conduction delay, IACD, IVCD, right and left cardiac AV delay by telemetric SAECG recording using LabView SAECG technique may be useful parameters of atrial and ventricular desynchronization to improve P selection for CRT and hemodynamics in cardiac pacing.
About 20% of those heart failure patients receiving cardiac resynchronization therapy (CRT) are in atrial fibrillation (AF). Current guidelines apply for patients in sinus rhythm only. Recent studies have shown again, that successful resynchronization is closely linked to a pre-existent ventricular desynchronization. In those studies, the interventricular conduction delay (IVCD) was determined prior to device implantation by ultrasound in patients with sinus rhythm (SR)only. In patients with AF this method ́s use is limited.
To implement left-heart electrogram (LHE) into standard programmers and to simplify IVCD measurement in heart failure patients with AF, LHE was recorded in 11 AF patients with heart failure by Biotronik ICS3000 programmer via a15Hz Butterworth high-pass filter. Therefore, TOslim esophageal electrode (Dr. Osypka GmbH, Rheinfelden, Germany) was perorally applied and fixed in position of maximal left ventricular defection. IVCD was measured between onset of QRS in surface ECG and left ventricular defection (LV) in LHE. In addition, intra-left ventricular conduction delay (ILVCD) was measured as duration of LV in LHE.
In all of the 11 AF patients, desynchronization was quantifiable by LHE. Mean QRS of 162 ± 27ms (120-206ms) was linked with IVCD of 62ms ± 27ms (37-98ms) and ILVCD of 110 ± 20ms (80-144ms), at mean. Correlation between IVCD and QRS was 0.39 (n. s.) with IVCD/QRS ratio of 0.38 ± 0.11 (0.22-0.81).
A 15Hz high-pass filtered LHE feature of the Biotronik ICS3000 programmer is feasible to quantify ventricular dyssynchrony in heart failure patients with AF in order to clearly indicate implantation of CRT systems. As relations between QRS duration, IVCD and ILVCD considerably differ interindividually, the predictive values of IVCD, ILVCD and IVCD/QRS ratio for individual CRT response or non-response shall be identified in follow-up studies.
New frontiers of supraventricular tachycardia and atrial flutter evaluation and catheter ablation
(2012)
Radiofrequency catheter ablation (RFCA) has revolutionized treatment for tachyarrhythmias and has become first-line therapy for some tachycardias. Although developed in the 1980s and widely applied in the 1990s, the technique is still in development. Transesophageal atrial pacing (TAP) can used for initiation and termination of supraventricular tachycardia (SVT).
Methods: The paroxysmal SVT include a wide spectrum of disorders including, in descending order of frequency, atrial flutter, atrioventricular (AV) nodal reentry, Wolff-Parkinson-White syndrome, and atrial tachycardia. While not life-threatening in most cases, they may cause important symptoms, such as palpitations, chest discomfort, breathlessness, anxiety, and syncope, which significantly impair quality of life. Medical therapy has variable efficacy, and most patients are not rendered free of symptoms. Research over the past several decades has revealed fundamental mechanisms involved in the initiation and maintenance of all of these arrhythmias. Knowledge of mechanisms has in turn led to highly effective surgical and catheter-based treatments. The supraventricular arrhythmias and their treatment are described in this report. SVT initiation was analysed with programmed TAP in 49 patients with palpitations (age 47 ± 17 years, 24 females, 25 males).
Results: In comparison to antiarrhythmic drug therapy the radiofrequency catheter ablation in patients suffering from atrial flutter, atrioventricular nodal reentry, atrioventricular reentry and atrial tachycardia is the better choice in most cases. TAP SVT initiation was possible in 23 patients before RFCA. Atrial cycle length of SVT was 320 ± 59 ms. We initiated AV nodal reentrant tachycardia (AVNRT, n=15), atrial tachycardia (AT, n=6) and AV reentrant tachycardia with Kent pathway conduction (AVRT, n=2) before RFCA.
Conclusions: Radiofrequency catheter ablation is a successful and safe method to cure most patients with paroxysmal supraventricular tachycardias. TAP allowed initiation and termination of SVT especially in outpatients.
MPC-Workshop Juli 2012
(2012)
MPC-Workshop Februar 2012
(2012)
In the field of smart metering it can be observed that standardized protocol, like Wireless M-Bus or ZigBee, enjoy a rapidly increasing popularity. For the protocol implementations, however, up to now, mostly legacy engineering processes and technologies are used, and modern approaches such as model driven design processes or open software platform are disregarded. Therefore, within the WiMBex project, it shall be demonstrated that it is possible to develop a commercial class Wireless M-Bus implementation following state-of-the art design process and using TinyOS as an open source platform. This contribution describes the overall approach of the project, as well as the state and the first experiences of the current work in progress.