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Gewalt in der Pflege
(2021)
Studien zeigen, dass das medizinisch/pflegerische Personal nach Polizei und Sicherheitsleuten unter allen Berufen am zweithäufigsten am Arbeitsplatz von Aggressions- und Gewaltereignissen betroffen sind und dies hat einen negativen Einfluss auf die Berufszufriedenheit und die Gesundheit der betroffenen Mitarbeiter:innen.
Die Studie „Gewalt in der Pflege“ begründet auf repräsentativer Basis ein Monitoring über das Ausmaß von Gewalt gegenüber Pflegenden in Vorarlberger Pflege- und Betreuungseinrichtungen. Für die Analyse wurde in Anlehnung an bestehende Erhebungsinstrumente in verbale Gewalt (inkl. Drohungen), körperliche Gewalt und sexuelle Gewalt unterschieden.
80 % der Befragten gaben an bereits mindestens einmal in ihrem Berufsleben mit Gewalt konfrontiert gewesen zu sein. 44,1 % von ihnen waren Opfer körperlicher Gewalt in verschiedenen Schweregraden. Auch die Prävalenz von sexueller Gewalt ist in den Pflegeheimen als hoch einzustufen, wobei der Großteil der betroffenen Mitarbeiter:innen Frauen sind. Die Hauptquelle der Gewalt sind die Bewohner:innen, gefolgt von den Angehörigen. Es können verschiedene Gründe und Ursachen für die Gewalt ausgemacht werden. Da sind zunächst gesellschaftliche Entwicklungen, wie ein gesteigerter Erwartungsdruck an die Pflegequalität bei gleichbleibenden Rahmenbedingungen, das zunehmende schwerere Krankheitsbild Bewohner:innen von Alters- und Pflegeheimen, sowie eine hohe Belegungszahl zu nennen. Gewalterfahrungen egal welcher Art sind eine Belastung für das Pflegepersonal.
If left uncontrolled, electric vehicle charging poses severe challenges to distribution grid operation. Resulting issues are expected to be mitigated by charging control. In particular, voltage-based charging control, by relying only on the local measurements of voltage at the point of connection, provides an autonomous communication-free solution. The controller, attached to the charging equipment, compares the measured voltage to a reference voltage and adapts the charging power using a droop control characteristic. We present a systematic study of the voltage-based droop control method for electric vehicles to establish the usability of the method for all the currently available residential electric vehicle charging possibilities considering a wide range of electric vehicle penetrations. Voltage limits are evaluated according to the international standard EN50160, using long-term load flow simulations based on a real distribution grid topology and real load profiles. The results achieved show that the voltage-based droop controller is able to mitigate the under voltage problems completely in distribution grids in cases either deploying low charging power levels or exhibiting low penetration rates. For high charging rates and high penetrations, the control mechanism improves the overall voltage profile, but it does not remedy the under voltage problems completely. The evaluation also shows the controller’s ability to reduce the peak power at the transformer and indicates the impact it has on users due to the reduction in the average charging rates. The outcomes of the paper provide the distribution grid operators an insight on the voltage-based droop control mechanism for the future grid planning and investments.
In recent years, ultrashort pulsed lasers have increased their applicability for industrial requirements, as reliable femtosecond and picosecond laser sources with high output power are available on the market. Compared to conventional laser sources, high quality processing of a large number of material classes with different mechanical and optical properties is possible. In the field of laser cutting, these properties enable the cutting of multilayer substrates with changing material properties. In this work, the femtosecond laser cutting of phosphor sheets is demonstrated. The substrate contains a 230 micrometer thick silicone layer filled with phosphor, which is embedded between two glass plates. Due to the softness and thermal sensitivity of the silicone layer in combination with the hard and brittle dielectric material, the separation of such a material combination is challenging for both mechanical separation processes and cutting with conventional laser sources. In our work, we show that the femtosecond laser is suitable to cut the substrate with a high cutting edge quality. In addition to the experimental results of the laser dicing process, we present a universal model that allows predicting the final cutting edge geometry of a multilayer substrate.
Mit der Aufforderung «Eidgenossen helft euren Brüdern in Not!» machte 1919 ein Pro Vorarlberg Komitee in der Schweiz Werbung für einen Beitritt des bei Ende des Ersten Weltkrieges neu gegründeten österreichischen Bundeslandes Vorarlberg zur Eidgenossenschaft. Am 11. Mai 1919 hatte ein Plebiszit eine Zustimmung von 80% für die Aufnahme von Verhandlungen mit Blick auf einen möglichen Beitritt zur Schweiz ergeben. Die in diesem Band versammelten Dokumente aus den nationalen Archiven in Bern, London und Wien sowie aus Regionalarchiven links und rechts des Rheins ermöglichen die Rekonstruktion der sog. Vorarlberger Frage der Jahre 1918–1922 und geben zudem Antwort auf die Frage, wie es den «Schwestern in Not» im alemannischen österreichischen Landesteil erging.
Entangled photon generation at 1550 nm in the telecom C-band is of critical importance as it enables the realization of quantum communication protocols over long distance using deployed telecommunication infrastructure. InAs epitaxial quantum dots have recently enabled on-demand generation of entangled photons in this wavelength range. However, time-dependent state evolution, caused by the fine-structure splitting, currently limits the fidelity to a specific entangled state. Here, we show fine-structure suppression for InAs quantum dots using micromachined piezoelectric actuators and demonstrate generation of highly entangled photons at 1550 nm. At the lowest fine-structure setting, we obtain a maximum fidelity of 90.0 ± 2.7% (concurrence of 87.5 ± 3.1%). The concurrence remains high also for moderate (weak) temporal filtering, with values close to 80% (50%), corresponding to 30% (80%) of collected photons, respectively. The presented fine-structure control opens the way for exploiting entangled photons from quantum dots in fiber-based quantum communication protocols.
Today, optics and photonics is widely regarded as one of the most important key technologies for this century. Many experts even anticipate that the 21st century will be century of photon much as the 20th century was the century of electron. Optics and photonics technologies affect almost all areas of our life and cover a wide range of applications in science and industry, e.g. in information and communication technology, in medicine, life science engineering as well as in energy and environmental technology. However even so attractive, the photonics is not well known by most people. To motivate especially young generation for optics and photonics we worked out a lecture related to the “light” for children aged eight to twelve years. We have prepared many experiments to explain the nature of light and its applications in our everyday life. Finally, we focused on the optical data transmission, i.e. how modern communication over optical networks works. To reach many children at home we recorded this lecture and offered it as a video online in the frame of children’s university at Vorarlberg University of Applied Sciences. By combining the hands-on teaching with having a fun while learning about the basic optics concepts we aroused interest of many children with a very positive feedback.
The increasing digitalisation of daily routines confronts people with frequent privacy decisions. However, obscure data processing often leads to tedious decision-making and results in unreflective choices that unduly compromise privacy. Serious Games could be applied to encourage teenagers and young adults to make more thoughtful privacy decisions. Creating a Serious Game (SG) that promotes privacy awareness while maintaining an engaging gameplay requires, however, a carefully balanced game concept. This study explores the benefits of an online role-playing boardgame as a co-designing activity for creating SGs about privacy. In a between-subjects trial, student groups and educator/researcher groups were taking the roles of player, teacher, researcher and designer to co-design a balanced privacy SG concept. Using predefined design proposal cards or creating their own, students and educators played the online boardgame during a video conference session to generate game ideas, resolve potential conflicts and balance the different SG aspects. The comparative results of the present study indicate that students and educators alike perceive support from role-playing when ideating and balancing SG concepts and are happy with their playfully co-designed game concepts. Implications for supporting SG design with role-playing in remote collaboration scenarios are conclusively synthesised.
With the digitalisation, and the increased connectivity between manufacturing systems emerging in this context, manufacturing is shifting towards decentralised, distributed concepts. Still, for manufacturing scenarios manual input or augmentation of data is required at system boundaries. Especially in distributed manufacturing environments, like Cloud Manufacturing (CMfg) systems, constant changes to the available manufacturing resources and products pose challenges for establishing connections between them. We propose a feature-oriented representation of concepts, especially from the manufacturing domain, which serves as the basis for (semi-) automatically linking, e.g., manufacturing resources and products. This linking methodologies, as well as knowledge inferred using it, is then used to support distributed manufacturing, especially in CMfg environments, and enhance product development. The concepts and methodologies are to be evaluated in a real world learning factory.
Background: Mobile health interventions are intended to support complex health care needs in chronic diseases digitally, but they are mainly targeted at general health improvement and neglect disease-specific requirements. Therefore, we designed TrackPAD, a smartphone app to support supervised exercise training in patients with peripheral arterial disease.
Objective: This pilot study aimed to evaluate changes in the 6-minute walking distance (meters) as a primary outcome measure. The secondary outcome measures included changes in physical activity and assessing the patients’ peripheral arterial disease–related quality of life.
Methods: This was a pilot two-arm, single-blinded, randomized controlled trial. Patients with symptomatic PAD (Fontaine stage IIa/b) and access to smartphones were eligible. Eligible participants were randomly assigned to the study, with the control group stratified by the distance covered in the 6-minute walking test using the TENALEA software. Participants randomized to the intervention group received usual care and the mobile intervention (TrackPAD) for the follow-up period of 3 months, whereas participants randomized to the control group received routine care only. TrackPAD records the frequency and duration of training sessions and pain levels using manual user input. Clinical outcome data were collected at the baseline and after 3 months via validated tools (the 6-minute walk test and self-reported quality of life). The usability and quality of the app were determined using the Mobile Application Rating Scale user version.
Results: The intervention group (n=19) increased their mean 6-minute walking distance (83 meters, SD 72.2), while the control group (n=20) decreased their mean distance after 3 months of follow-up (–38.8 meters, SD 53.7; P=.01). The peripheral arterial disease–related quality of life increased significantly in terms of “symptom perception” and “limitations in physical functioning.” Users’ feedback showed increased motivation and a changed attitude toward performing supervised exercise training.
Conclusions: Besides the rating providing a valuable support tool for the user group, the mobile intervention TrackPAD was linked to a change in prognosis-relevant outcome measures combined with enhanced coping with the disease. The influence of mobile interventions on long-term prognosis must be evaluated in the future.
In this paper, we propose and simulate a new type of three-dimensional (3D) optical splitter based on multimode interference (MMI) for the wavelength of 1550 nm. The splitter was proposed on the square basis with the width of 20 x 20 µm2 using the IP-Dip polymer as a standard material for 3D laser lithography. We present the optical field distribution in the proposed MMI splitter and its integration possibility on optical fiber. The design is aimed to the possible fabrication process using the 3D laser lithography for forthcoming experiments.
In this paper, low-loss Y-branch splitters up to 128 splitting ratio are designed, simulated, and optimized by using 2D beam propagation method in OptiBPM tool by Optiwave. For an optical waveguide, a silica-on-silicon material platform is used. The splitters were designed as a planar structure for a telecommunication operating wavelength of 1.55 m. According to the minimum insertion loss and minimum non-uniformity, the optimum length for each Y-branch is determined. The influence of the pre-defined S-Bend waveguide shapes (Arc, Cosine, Sine) and of the waveguide core size reduction on the splitter performance has been also studied. The obtained simulation results of all designed splitters with different S-Bend shape waveguides together with the different waveguide core sizes are discussed and compared with each other.
In the regime of incentive-based autonomous demand response, time dependent prices are typically used to serve as signals from a system operator to consumers. However, this approach has been shown to be problematic from various perspectives. We clarify these shortcomings in a geometric way and thereby motivate the use of power signals instead of price signals. The main contribution of this paper consists of demonstrating in a standard setting that power tracking signals can control flexibilities more efficiently than real-time price signals. For comparison by simulation, German renewable energy production and German standard load profiles are used for daily production and demand profiles, respectively. As for flexibility, an energy storage system with realistic efficiencies is considered. Most critically, the new approach is able to induce consumptions on the demand side that real-time pricing is unable to induce. Moreover, the pricing approach is outperformed with regards to imbalance energy, peak consumption, storage variation, and storage losses without the need for additional communication or computation efforts. It is further shown that the advantages of the optimal power tracking approach compared to the pricing approach increase with the extent of the flexibility. The results indicate that autonomous flexibility control by optimal power tracking is able to integrate renewable energy production efficiently, has additional benefits, and the potential for enhancements. The latter include data uncertainties, systems of flexibilities, and economic implementation.
One goal of the project described in this paper is to create learning algorithms for machines and robots that lack a precise virtual controller for correct simulations. Using a digital twin approach, the developed mixed reality application aims for an overlay of a virtual robot model with the real world counterpart using Microsoft HoloLens 2 smart glasses. The application should help users to have an inside look into the results of the learning algorithm and therefore supervise and improve those results. The main focus of this paper is the visual representation of the digital twin on the smart glasses. One of the challenges is the level of abstraction and specific use of shaders (program code defining material attributes) to help the user differentiating between virtual and real objects. Therefore different presentation methods are described and evaluated. Study results with 48 persons show that the most abstract representation (wireframe) scores lowest, whereas a half-transparent model works best.
Mobility choices - an instrument for precise automatized travel behavior detection & analysis
(2021)
Im Rahmen eines Forschungsprojektes gingen die Autorinnen folgender Frage nach: Welche identitätsstiftenden Werte der Siebenbürger Sachsen/Sächsinnen sind heute in Oberösterreich noch wahrnehmbar? Es wurde dazu ein qualitatives Forschungsdesign gewählt. Die Ergebnisse zeigen, dass die Auswanderung, Fluchterfahrung und die Ankunft in Österreich wesentlich die Identitäten dieser Personengruppe bestimmte und noch immer beeinflusst. Es wird aufgezeigt, wie sich die Identitäten über drei Generationen verändert haben und was noch als identitätsstiftend erfahrbar ist. Die Ergebnisse leisten einen Beitrag zur Identitätsforschung und bieten eine gute Möglichkeit Erkenntnisse über die beforschte Zielgruppe hinaus zu generieren.
Recently the use of microRNAs (miRNAs) as biomarkers for a multitude of diseases has gained substantial significance for clinical as well as point-of-care diagnostics. Amongst other challenges, however, it holds the central requirement that the concentration of a given miRNA must be evaluated within the context of other factors in order to unambiguously diagnose one specific disease. In terms of the development of diagnostic methods and devices, this implies an inevitable demand for multiplexing in order to be able to gauge the abundance of several components of interest in a patient’s sample in parallel. In this study, we design and implement different multiplexed versions of our electrochemical microfluidic biosensor by dividing its channel into subsections, creating four novel chip designs for the amplification-free and simultaneous quantification of up to eight miRNAs on the CRISPR-Biosensor X (‘X’ highlighting the multiplexing aspect of the device). We then use a one-step model assay followed by amperometric readout in combination with a 2-minute-stop-flow-protocol to explore the fluidic and mechanical characteristics and limitations of the different versions of the device. The sensor showing the best performance, is subsequently used for the Cas13a-powered proof-of-concept measurement of two miRNAs (miRNA-19b and miRNA-20a) from the miRNA-17∼92 cluster, which is dysregulated in the blood of pediatric medulloblastoma patients. Quantification of the latter, alongside simultaneous negative control measurements are accomplished on the same device. We thereby confirm the applicability of our platform to the challenge of amplification-free, parallel detection of multiple nucleic acids.
In this work, we present a significant step toward in vivo ophthalmic optical coherence tomography and angiography on a photonic integrated chip. The diffraction gratings used in spectral-domain optical coherence tomography can be replaced by photonic integrated circuits comprising an arrayed waveguide grating. Two arrayed waveguide grating designs with 256 channels were tested, which enabled the first chip-based optical coherence tomography and angiography in vivo three-dimensional human retinal measurements. Design 1 supports a bandwidth of 22 nm, with which a sensitivity of up to 91 dB (830 µW) and an axial resolution of 10.7 µm was measured. Design 2 supports a bandwidth of 48 nm, with which a sensitivity of 90 dB (480 µW) and an axial resolution of 6.5 µm was measured. The silicon nitride-based integrated optical waveguides were fabricated with a fully CMOS-compatible process, which allows their monolithic co-integration on top of an optoelectronic silicon chip. As a benchmark for chip-based optical coherence tomography, tomograms generated by a commercially available clinical spectral-domain optical coherence tomography system were compared to those acquired with on-chip gratings. The similarities in the tomograms demonstrate the significant clinical potential for further integration of optical coherence tomography on a chip system.