TY - BOOK A1 - Uibel, Thomas A1 - Peterson, Leif Arne ED - Uibel, Thomas ED - Peterson, Leif Arne T1 - Tagungsband Aachener Holzbautagung 2023 Y1 - 2023 SN - 2197-4489 PB - FH Aachen CY - Aachen ER - TY - JOUR A1 - Alnemer, Momin Sami Mohammad A1 - Kotliar, Konstantin A1 - Neuhaus, Valentin A1 - Pape, Hans-Christoph A1 - Ciritsis, Bernhard D. T1 - Cost-effectiveness analysis of surgical proximal femur fracture prevention in elderly: a Markov cohort simulation model JF - Cost Effectiveness and Resource Allocation N2 - Background Hip fractures are a common and costly health problem, resulting in significant morbidity and mortality, as well as high costs for healthcare systems, especially for the elderly. Implementing surgical preventive strategies has the potential to improve the quality of life and reduce the burden on healthcare resources, particularly in the long term. However, there are currently limited guidelines for standardizing hip fracture prophylaxis practices. Methods This study used a cost-effectiveness analysis with a finite-state Markov model and cohort simulation to evaluate the primary and secondary surgical prevention of hip fractures in the elderly. Patients aged 60 to 90 years were simulated in two different models (A and B) to assess prevention at different levels. Model A assumed prophylaxis was performed during the fracture operation on the contralateral side, while Model B included individuals with high fracture risk factors. Costs were obtained from the Centers for Medicare & Medicaid Services, and transition probabilities and health state utilities were derived from available literature. The baseline assumption was a 10% reduction in fracture risk after prophylaxis. A sensitivity analysis was also conducted to assess the reliability and variability of the results. Results With a 10% fracture risk reduction, model A costs between $8,850 and $46,940 per quality-adjusted life-year ($/QALY). Additionally, it proved most cost-effective in the age range between 61 and 81 years. The sensitivity analysis established that a reduction of ≥ 2.8% is needed for prophylaxis to be definitely cost-effective. The cost-effectiveness at the secondary prevention level was most sensitive to the cost of the contralateral side’s prophylaxis, the patient’s age, and fracture treatment cost. For high-risk patients with no fracture history, the cost-effectiveness of a preventive strategy depends on their risk profile. In the baseline analysis, the incremental cost-effectiveness ratio at the primary prevention level varied between $11,000/QALY and $74,000/QALY, which is below the defined willingness to pay threshold. Conclusion Due to the high cost of hip fracture treatment and its increased morbidity, surgical prophylaxis strategies have demonstrated that they can significantly relieve the healthcare system. Various key assumptions facilitated the modeling, allowing for adequate room for uncertainty. Further research is needed to evaluate health-state-associated risks. KW - Hip fractures KW - Prevention KW - Geriatric KW - Cost-effectiveness KW - Prophylaxis Y1 - 2023 U6 - https://doi.org/10.1186/s12962-023-00482-4 SN - 1478-7547 N1 - Corresponding author: Momin S. Alnemer IS - 21, Article number: 77 PB - Springer Nature ER - TY - JOUR A1 - Kuchler, Timon A1 - Günthner, Roman A1 - Ribeiro, Andrea A1 - Hausinger, Renate A1 - Streese, Lukas A1 - Wöhnl, Anna A1 - Kesseler, Veronika A1 - Negele, Johanna A1 - Assali, Tarek A1 - Carbajo-Lozoya, Javier A1 - Lech, Maciej A1 - Adorjan, Kristina A1 - Stubbe, Hans Christian A1 - Hanssen, Henner A1 - Kotliar, Konstantin A1 - Haller, Berhard A1 - Heemann, Uwe A1 - Schmaderer, Christoph T1 - Persistent endothelial dysfunction in post-COVID-19 syndrome and its associations with symptom severity and chronic inflammation N2 - Background Post-COVID-19 syndrome (PCS) is a lingering disease with ongoing symptoms such as fatigue and cognitive impairment resulting in a high impact on the daily life of patients. Understanding the pathophysiology of PCS is a public health priority, as it still poses a diagnostic and treatment challenge for physicians. Methods In this prospective observational cohort study, we analyzed the retinal microcirculation using Retinal Vessel Analysis (RVA) in a cohort of patients with PCS and compared it to an age- and gender-matched healthy cohort (n = 41, matched out of n = 204). Measurements and main results PCS patients exhibit persistent endothelial dysfunction (ED), as indicated by significantly lower venular flicker-induced dilation (vFID; 3.42% ± 1.77% vs. 4.64% ± 2.59%; p = 0.02), narrower central retinal artery equivalent (CRAE; 178.1 [167.5–190.2] vs. 189.1 [179.4–197.2], p = 0.01) and lower arteriolar-venular ratio (AVR; (0.84 [0.8–0.9] vs. 0.88 [0.8–0.9], p = 0.007). When combining AVR and vFID, predicted scores reached good ability to discriminate groups (area under the curve: 0.75). Higher PCS severity scores correlated with lower AVR (R = − 0.37 p = 0.017). The association of microvascular changes with PCS severity were amplified in PCS patients exhibiting higher levels of inflammatory parameters. Conclusion Our results demonstrate that prolonged endothelial dysfunction is a hallmark of PCS, and impairments of the microcirculation seem to explain ongoing symptoms in patients. As potential therapies for PCS emerge, RVA parameters may become relevant as clinical biomarkers for diagnosis and therapy management. KW - Endothelial dysfunction KW - Long COVID KW - Post-COVID-19 syndrome KW - retinal microvasculature Y1 - 2023 U6 - https://doi.org/10.1007/s10456-023-09885-6 N1 - Corresponding author: Christoph Schmaderer VL - 26 SP - 547 EP - 563 PB - Springer Nature CY - Dordrecht ER - TY - JOUR A1 - Fayyazi, Mojgan A1 - Sardar, Paramjotsingh A1 - Thomas, Sumit Infent A1 - Daghigh, Roonak A1 - Jamali, Ali A1 - Esch, Thomas A1 - Kemper, Hans A1 - Langari, Reza A1 - Khayyam, Hamid T1 - Artificial intelligence/machine learning in energy management systems, control, and optimization of hydrogen fuel cell vehicles N2 - Environmental emissions, global warming, and energy-related concerns have accelerated the advancements in conventional vehicles that primarily use internal combustion engines. Among the existing technologies, hydrogen fuel cell electric vehicles and fuel cell hybrid electric vehicles may have minimal contributions to greenhouse gas emissions and thus are the prime choices for environmental concerns. However, energy management in fuel cell electric vehicles and fuel cell hybrid electric vehicles is a major challenge. Appropriate control strategies should be used for effective energy management in these vehicles. On the other hand, there has been significant progress in artificial intelligence, machine learning, and designing data-driven intelligent controllers. These techniques have found much attention within the community, and state-of-the-art energy management technologies have been developed based on them. This manuscript reviews the application of machine learning and intelligent controllers for prediction, control, energy management, and vehicle to everything (V2X) in hydrogen fuel cell vehicles. The effectiveness of data-driven control and optimization systems are investigated to evolve, classify, and compare, and future trends and directions for sustainability are discussed. KW - optimization system KW - intelligent control KW - fuel cell vehicle KW - machine learning KW - artificial intelligence KW - intelligent energy management Y1 - 2023 U6 - https://doi.org/10.3390/su15065249 N1 - This article belongs to the Special Issue "Circular Economy and Artificial Intelligence" VL - 15 IS - 6 SP - 38 PB - MDPI CY - Basel ER - TY - JOUR A1 - Fissabre, Anke A1 - Rottke, Evelin ED - Bergdoll, Barry ED - Schwarting, Andreas ED - Tragbar, Klaus T1 - Das Quelle-Fertighaus : Einklang von Maß, Konstruktion und Entwurf JF - architectura N2 - The steel prefabricated family house ›Quelle-Fertighaus‹ designed and constructed by the German company Quelle, is an innovative modular system commercialised in 1962. All aspects of the Quelle-Fertighaus are planned on the principle of minimal effort for maximal flexibility. The clever design of the ground plan based on a 4 m × 7 m module offers the flexibility for either one to three additional modules. The steel construction is innovative and unique, consisting of load-bearing portal frames acting as braces. The house design is furthermore characterised by a simple metrical grid layout and the practical placement of the foundation and basement, which allowed the very cost-effective production and the lowest price for a prefabricated family house in Germany during the postwar era. Nowadays its portal-frame-construction offers an interesting approach for its renovation and transformation according to present building demands. KW - Quelle-Fertighaus KW - Stahlkonstruktion KW - Portalrahmen KW - Modulbau KW - 60er Jahre Y1 - 2023 U6 - https://doi.org/10.1515/atc-2021-1005 SN - 2569-1554 VL - 51 IS - 1 SP - 57 EP - 78 PB - Deutscher Kunstverlag (DKV) CY - Berlin ER - TY - JOUR A1 - Laarmann, Lukas A1 - Thoma, Andreas A1 - Misch, Philipp A1 - Röth, Thilo A1 - Braun, Carsten A1 - Watkins, Simon A1 - Fard, Mohammad T1 - Automotive safety approach for future eVTOL vehicles JF - CEAS Aeronautical Journal N2 - The eVTOL industry is a rapidly growing mass market expected to start in 2024. eVTOL compete, caused by their predicted missions, with ground-based transportation modes, including mainly passenger cars. Therefore, the automotive and classical aircraft design process is reviewed and compared to highlight advantages for eVTOL development. A special focus is on ergonomic comfort and safety. The need for further investigation of eVTOL’s crashworthiness is outlined by, first, specifying the relevance of passive safety via accident statistics and customer perception analysis; second, comparing the current state of regulation and certification; and third, discussing the advantages of integral safety and applying the automotive safety approach for eVTOL development. Integral safety links active and passive safety, while the automotive safety approach means implementing standardized mandatory full-vehicle crash tests for future eVTOL. Subsequently, possible crash impact conditions are analyzed, and three full-vehicle crash load cases are presented. KW - eVTOL development KW - eVTOL safety KW - Crashworthiness KW - Automotive safety approach KW - Full-vehicle crash test Y1 - 2023 U6 - https://doi.org/10.1007/s13272-023-00655-0 SN - 1869-5590 (Online) SN - 1869-5582 (Print) N1 - Corresponding author: Lukas Laarmann PB - Springer Nature ER - TY - JOUR A1 - Böhnisch, Nils A1 - Braun, Carsten A1 - Muscarello, Vincenzo A1 - Marzocca, Pier T1 - A sensitivity study on aeroelastic instabilities of slender wings with a large propeller JF - AIAA SCITECH 2023 Forum N2 - Next-generation aircraft designs often incorporate multiple large propellers attached along the wingspan. These highly flexible dynamic systems can exhibit uncommon aeroelastic instabilities, which should be carefully investigated to ensure safe operation. The interaction between the propeller and the wing is of particular importance. It is known that whirl flutter is stabilized by wing motion and wing aerodynamics. This paper investigates the effect of a propeller onto wing flutter as a function of span position and mounting stiffness between the propeller and wing. The analysis of a comparison between a tractor and pusher configuration has shown that the coupled system is more stable than the standalone wing for propeller positions near the wing tip for both configurations. The wing fluttermechanism is mostly affected by the mass of the propeller and the resulting change in eigenfrequencies of the wing. For very weak mounting stiffnesses, whirl flutter occurs, which was shown to be stabilized compared to a standalone propeller due to wing motion. On the other hand, the pusher configuration is, as to be expected, the more critical configuration due to the attached mass behind the elastic axis. Y1 - 2023 U6 - https://doi.org/10.2514/6.2023-1893 N1 - AIAA SCITECH 2023 Forum, 23-27 January 2023, National Harbor, MD & Online SP - 1 EP - 14 PB - AIAA CY - Reston, Va. ER - TY - CHAP A1 - Thoma, Andreas A1 - Stiemer, Luc A1 - Braun, Carsten A1 - Fisher, Alex A1 - Gardi, Alessandro G. T1 - Potential of hybrid neural network local path planner for small UAV in urban environments T2 - AIAA SCITECH 2023 Forum N2 - This work proposes a hybrid algorithm combining an Artificial Neural Network (ANN) with a conventional local path planner to navigate UAVs efficiently in various unknown urban environments. The proposed method of a Hybrid Artificial Neural Network Avoidance System is called HANNAS. The ANN analyses a video stream and classifies the current environment. This information about the current Environment is used to set several control parameters of a conventional local path planner, the 3DVFH*. The local path planner then plans the path toward a specific goal point based on distance data from a depth camera. We trained and tested a state-of-the-art image segmentation algorithm, PP-LiteSeg. The proposed HANNAS method reaches a failure probability of 17%, which is less than half the failure probability of the baseline and around half the failure probability of an improved, bio-inspired version of the 3DVFH*. The proposed HANNAS method does not show any disadvantages regarding flight time or flight distance. Y1 - 2023 U6 - https://doi.org/10.2514/6.2023-2359 N1 - AIAA SCITECH 2023 Forum, 23-27 January 2023, National Harbor, Md & Online PB - AIAA CY - Reston, Va. ER - TY - CHAP A1 - Vladova, Gergana A1 - Ullrich, André A1 - Sultanow, Eldar A1 - Tobolla, Marinho A1 - Sebrak, Sebastian A1 - Czarnecki, Christian A1 - Brockmann, Carsten T1 - Visual analytics for knowledge management T2 - INFORMATIK 2023 - Designing Futures: Zukünfte gestalten N2 - The management of knowledge in organizations considers both established long-term processes and cooperation in agile project teams. Since knowledge can be both tacit and explicit, its transfer from the individual to the organizational knowledge base poses a challenge in organizations. This challenge increases when the fluctuation of knowledge carriers is exceptionally high. Especially in large projects in which external consultants are involved, there is a risk that critical, company-relevant knowledge generated in the project will leave the company with the external knowledge carrier and thus be lost. In this paper, we show the advantages of an early warning system for knowledge management to avoid this loss. In particular, the potential of visual analytics in the context of knowledge management systems is presented and discussed. We present a project for the development of a business-critical software system and discuss the first implementations and results. Y1 - 2023 SN - 978-3-88579-731-9 U6 - https://doi.org/10.18420/inf2023_187 SN - 1617-5468 N1 - INFORMATIK 2023, 26. - 29. September 2023, Berlin SP - 1851 EP - 1870 PB - GI - Gesellschaft für Informatik CY - Bonn ER - TY - CHAP A1 - Schult, Prince Garcia A1 - Losse, Ann-Kathrin A1 - Czarnecki, Christian A1 - Sultanow, Eldar T1 - Proposing a Framework to address the Sustainable Development Goals T2 - EnviroInfo 2023 N2 - Reducing poverty, protecting the planet, and improving life on earth for everyone are the essential goals of the "2030 Agenda for Sustainable Development"committed by the United Nations (UN). Achieving those goals will require technological innovation as well as their implementation in almost all areas of our business and day-to-day life. This paper proposes a high-level framework that collects and structures different uses cases addressing the goals defined by the UN. Hence, it contributes to the discussion by proposing technical innovations that can be used to achieve those goals. As an example, the goal "Climate Actionïs discussed in detail by describing use cases related to tackling biodiversity loss in order to conservate ecosystems. Y1 - 2023 SN - 978-3-88579-736-4 U6 - https://doi.org/10.18420/env2023-022 SN - 1617-5468 N1 - EnviroInfo 2023, 11. - 23. October 2023, Garching, Germany SP - 243 EP - 249 PB - GI - Gesellschaft für Informatik CY - Bonn ER -