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Background: Cardiovascular disease is the major cause of death worldwide. Although knowledge regarding diagnosing and treating cardiovascular disease has increased dramatically, secondary prevention remains insufficiently implemented due to failure among affected individuals to adhere to guideline recommendations. This has continued to lead to high morbidity and mortality rates. Involving patients in their healthcare and facilitating their active roles in their chronic disease management is an opportunity to meet the needs of the increasing number of cardio-vascular patients. However, simple recall of advice regarding a more preventive lifestyle does not affect sustainable behavioral lifestyle changes. We investigate the effect of plaque visualization combined with low-threshold daily lifestyle tasks using the smartphone app PreventiPlaque to evaluate change in cardiovascular risk profile. Methods: and study design: This randomized, controlled clinical trial includes 240 participants with ultrasound evidence of atherosclerotic plaque in one or both carotid arteries, defined as focal thickening of the vessel wall measuring 50% more than the regular vessel wall. A criterion for participation is access to a smartphone suitable for app usage. The participants are randomly assigned to an intervention or a control group. While both groups receive the standard of care, the intervention group has additional access to the PreventiPlaque app during the 12-month follow-up. The app includes daily tasks that promote a healthier lifestyle in the areas of smoking cessation, medication adherence, physical activity, and diet. The impact of plaque visualization and app use on the change in cardiovascular risk profile is assessed by SCORE2. Feasibility and effectiveness of the PreventiPlaque app are evaluated using standardized and validated measures for patient feedback.
In the era of digital transformation an evolution takes place. Following this, new perspectives concerning leadership are required, especially in virtual teams. Shared Leadership is a promising leadership form to meet the challenges in a virtual team setting. Particularly, studies show that shared leadership increases performance, team creativity and innovative behavior. Moreover, the responsibility is distributed among several, not one individual. Nevertheless, it is unclear, which skills are needed in shared leadership teams and how they could be trained. Therefore, we develop a conceptual framework to pave the way for an empirical inquiry of the skills for and the role of shared leadership. Moreover, we encourage the discussion, whether the current leadership development is still viable and offer practical implications to develop shared leadership.
Hot water heat pumps are well suited for demand side management, as the heat pump market faced a rapid growth in the past years with the trend to decentralized domestic hot water use. Sales were accelerated through wants and needs of energy conservation, energy efficiency, and less restrictive rules regarding Legionella. While in literature the model predictive control potential for heat pumps is commonly shown in simulations, the share of experimental studies is relatively low. To this day, experimental studies considering solely domestic hot water use are not available. In this paper, the realistic achievable model predictive control potential of a hot water heat pump is compared to the standard hysteresis control, to provide an experimental proof. We show for the first time, how state-of-the-art approaches (model predictive control, system identification, live state estimation, and demand prediction) can be transferred from electric hot water heaters to hot water heat pumps, combined, and implemented into a real-world hot water heat pump setup. The optimization approach, embedded in a realistic experimental setting, leads to a decrease in electric energy demand and cost per unit electricity by approximately 12% and 14%, respectively. Further, an increase in efficiency by approximately 13% has been achieved.
This paper presents design, simulation, and optimization of the three-dimensional 1×4 optical multimode interference splitter using IP-Dip polymer as a core and polydimethylsiloxane (PDMS) Sylgard 184 as a cladding. The splitter was simulated by using beam propagation method in BeamPROP simulation engine of RSoft photonic tool and optimized for an operating wavelength of 1.55 µm. According to the minimum insertion loss, the dimensions of the MMI coupler and the length of the whole MMI splitter structure were optimized applying a waveguide with a core size of 4×4 µm2. The objective of the study is to create a design for fabrication by three-dimensional direct laser writing optical lithography.
We present design of planar 16-channel, 100-GHz multi-mode polymer-based AWG. This AWG was designed for central wavelength of 1550 nm applying AWG-Parameters tool. The AWG structure was created and simulated in the commercial photonic tool PHASAR from Optiwave. Achieved transmission characteristics were evaluated by AWG-Analyzer tool. For the design, multi-mode waveguides having a cross-section of (4x4) µm2 were used. The simulated results show strong worsening of the transmission characteristics in comparison when using single-mode waveguides. Nevertheless, the transmitting channels are clearly separated. The reason for using thicker multi-mode waveguides in the design is possibility to fabricate the AWG structure on polymer basis using direct laser writing lithography.
Coupling is one of the most frequently mentioned metric in software systems. However, to measure logical coupling between microservices, runtime information is needed or the availability of service-log files to analyze the calls between services is required. This work presents our emerging results, in which we propose a metric to statically calculate logical coupling between microservices based on commits to versioning systems. We performed an initial validation of the proposed metric with a dataset containing 145 open-source microservices projects. The results illustrate how logical coupling affects every system and increases overtime. However, we did not find a correlation between the number of commits or the number of developers and the introduction of logical coupling. In future, we investigate why, how, and when logical coupling is introduced in a system.
The paper deals with designing and numerical modelling a 2 x 2 optical switch for photonic integrated circuits based on 2 x 2 MMI elements and phase modulators. The 2 x 2 optical switch was modelled in the RsoftCAD with the simulation tool BeamPROP. The 2 x 2 optical switch is a common element for creating more complex 1 x N or N x N optical switches in all-optical signal processing.