Refine
Year of publication
Institute
- Fachbereich Gestaltung (166)
- FH Aachen (150)
- Fachbereich Medizintechnik und Technomathematik (146)
- Fachbereich Maschinenbau und Mechatronik (67)
- IfB - Institut für Bioengineering (63)
- Fachbereich Energietechnik (49)
- Fachbereich Bauingenieurwesen (47)
- Fachbereich Wirtschaftswissenschaften (39)
- Fachbereich Elektrotechnik und Informationstechnik (34)
- INB - Institut für Nano- und Biotechnologien (30)
Has Fulltext
- yes (770) (remove)
Language
- German (539)
- English (223)
- Portuguese (6)
- Multiple languages (1)
- Spanish (1)
Document Type
- Conference Proceeding (226)
- Bachelor Thesis (158)
- Article (128)
- Administrative publication (76)
- Part of a Periodical (61)
- Lecture (30)
- Book (22)
- Report (19)
- Diploma Thesis (12)
- Course Material (9)
Keywords
- Amtliche Mitteilung (71)
- Bachelor (33)
- Aachen University of Applied Sciences (31)
- Master (31)
- Prüfungsordnung (31)
- Bauingenieurwesen (30)
- Lesbare Fassung (28)
- Biosensor (25)
- Fachhochschule Aachen (23)
- Studien- und Prüfungsordnung (21)
Zugriffsart
- weltweit (238)
- campus (73)
- fachbereichsweit (FB4) (34)
- bezahl (3)
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.
Contractile behavior of the gastrocnemius medialis muscle during running in simulated hypogravity
(2021)
Vigorous exercise countermeasures in microgravity can largely attenuate muscular degeneration, albeit the extent of applied loading is key for the extent of muscle wasting. Running on the International Space Station is usually performed with maximum loads of 70% body weight (0.7 g). However, it has not been investigated how the reduced musculoskeletal loading affects muscle and series elastic element dynamics, and thereby force and power generation. Therefore, this study examined the effects of running on the vertical treadmill facility, a ground-based analog, at simulated 0.7 g on gastrocnemius medialis contractile behavior. The results reveal that fascicle−series elastic element behavior differs between simulated hypogravity and 1 g running. Whilst shorter peak series elastic element lengths at simulated 0.7 g appear to be the result of lower muscular and gravitational forces acting on it, increased fascicle lengths and decreased velocities could not be anticipated, but may inform the development of optimized running training in hypogravity. However, whether the alterations in contractile behavior precipitate musculoskeletal degeneration warrants further study.
In: Unterrichtsblätter / Deutsche Telekom AG. 54. 2001. 7. S. 410-420 (11 S. ) Angesichts der zunehmenden Globalisierung von Informationen und Informationsdiensten können Inhalte (Contents) für mehrere unterschiedliche Dienste genutzt und auf verschiedenen Endgeräten ausgegeben werden. Hier setzt ein Content-Management-System (CMS) an, welches sowohl für die Kunden als auch für die Anbieter der unterschiedlich distribuierten Dienste Synergien und somit Einsparpotenziale bietet. Darüber hinaus werden für die Anbieter dieser Dienste durch die allgemeine Definition von Leistungstools und die Definition von Wertschöpfungsketten künftige Produktentwicklungen vereinheitlicht und optimiert werden. Mit der Entwicklung und Vertriebsfreigabe immer weiterer Informationsdienste, die von verschiedenen Dienste-Providern betrieben werden, ist der Bedarf an einer Koordinierung der Entwicklungen und Investitionen im Bereich der Content-Akquisition und des Content-Management (CM) bedeutend angestiegen. Neben Akquisition, lizenzrechtlichen Fragen und Verwaltung des im Rahmen von Diensten angebotenen Content rücken vor allem auch Fragen der Gestaltung von Content-Management-Plattformen (CMP) immer stärker in den Blickpunkt. Der Beitrag stellt die globalen Ergebnisse dar, die in einem Forschungs- und Entwicklungsauftrag des Zentralbereichs Innovationsmanagement der Deutschen Telekom zu diesem Thema ermittelt wurden. Es werden die Kernmodule für eine Content- Management-Plattform beschrieben, die die Anforderungen an die Bereitstellung vielfältiger Content-Angebote erfüllt. Die folgenden Themen werden behandelt: + Begriffsbestimmung, + Content- und Dienste-Portfolio, + Standard Content-Prozess, + synergetische Content-Plattform (sCP), + Modelle der sCP, + Aspekte beim Betrieb und + Nutzen eines Content-Management.
In the paper a lightning protection design concept for renewable energy hybrid-systems without power mains connection is described. Based on a risk analysis protection measures against direct strikes and overvoltages are shown in an overview. The design concept is realized exemplarily for the hybrid-system VATALI on the Greek island Crete. VATALI, not lightning protected at that time, was a victim of a lightning strike in the year 2000 causing destructions and damages of some mechanical and electrical components with costs of approx. 60.000 €. The hardware costs for the protection measures were about 15.000 €: about 50% of the costs are due to protection measures against direct strikes, 50% are due to overvoltage protection.
Applications of Graph Transformations with Industrial Relevance Lecture Notes in Computer Science, 2004, Volume 3062/2004, 434-439, DOI: http://dx.doi.org/10.1007/978-3-540-25959-6_33 This paper gives a brief overview of the tools we have developed to support conceptual design in civil engineering. Based on the UPGRADE framework, two applications, one for the knowledge engineer and another for architects allow to store domain specific knowledge and to use this knowledge during conceptual design. Consistency analyses check the design against the defined knowledge and inform the architect if rules are violated.
Shock waves, explosions, impacts or cavitation bubble collapses may generate stress waves in solids causing cracks or unexpected dammage due to focussing, physical nonlinearity or interaction with existing cracks. There is a growing interest in wave propagation, which poses many novel problems to experimentalists and theorists.
This paper compares several blade element theory (BET) method-based propeller simulation tools, including an evaluation against static propeller ground tests and high-fidelity Reynolds-Average Navier Stokes (RANS) simulations. Two proprietary propeller geometries for paraglider applications are analysed in static and flight conditions. The RANS simulations are validated with the static test data and used as a reference for comparing the BET in flight conditions. The comparison includes the analysis of varying 2D aerodynamic airfoil parameters and different induced velocity calculation methods. The evaluation of the BET propeller simulation tools shows the strength of the BET tools compared to RANS simulations. The RANS simulations underpredict static experimental data within 10% relative error, while appropriate BET tools overpredict the RANS results by 15–20% relative error. A variation in 2D aerodynamic data depicts the need for highly accurate 2D data for accurate BET results. The nonlinear BET coupled with XFOIL for the 2D aerodynamic data matches best with RANS in static operation and flight conditions. The novel BET tool PropCODE combines both approaches and offers further correction models for highly accurate static and flight condition results.
O conceito científico de Lideranca situaçional explica que um líder tem que ser uma pessoa de múltiplas Funções e Competências. Nas empresas alemaes tem muitos pessoas pensando ser líderes, mas no fundo eles são somente Administradores. a diferenca é o seguinte: alguem que é somente capaz de trabalhar com seu conhecimento e com seus ferramentas, já sabe muito, mas isso nao è suficiente para ter sucesso. Ele è de verdade somente um administrador. Pois para ser um Líder de verdade ele precisa além disso as competencias social e individual.