115 research outputs found

    Proposing A Cyber-Physical Production Systems Framework Linking Factory Planning And Factory Operation

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    The challenges for industrial companies in the area of factory planning and operation are characterised on the one hand by permanently shortening product life cycles and increasing product diversity. Furthermore, the demand for ecologically sustainable processes is growing and the complexity of production systems is increasing due to higher product complexity. This results in a complex decision-making space for companies within factory planning and factory operation which is difficult to plan. The advancing digitalisation can bring a great opportunity here. Modelling and simulation can create greater transparency in the context of planning and operation, and processes can be designed to be ecologically sustainable and efficient. Currently, research approaches in the context of factory planning and operation are focussing on the application and use of digital methods and tools of the Digital Factory (DF). However, the application is limited to individual areas in factory planning or factory operation. For this reason, this paper focuses on the design of a framework that addresses both factory planning and factory operation aspects and links them through modelling and simulation. Cyber-physical production systems (CPPS) can help here by mapping the individual modules within planning and operation using individual agents in agent-based simulation (AB). By linking planning and real data, the processes from planning and operation can be taken into account. From this, insights gained from planning can be simulated in an early phase and subjected to optimisation during operation. The cycle-oriented CPPS can be used on an ongoing basis by preparing the generic building blocks on the planning and operational sides through structured data acquisition and implementing them in the real world with the help of decision support from the virtual world

    Process-oriented evaluation system for the use of robotic process automation

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    The administrative order processing is confronted with a variety of structural, procedural and organizational changes driven by the increasing demand for shorter delivery times and higher product variances. Thus, business processes become more complex and less transparent having a negative impact on administrative order processing. Studies estimate the waste in indirect areas at around 30 percent. The cause of this waste is, for example, missing information in the process step or interface losses during the transfer to another area of responsibility. This results in queries and coordination efforts that delay the order process. Among other things, robotic process automation (RPA) can be used to reduce waste. This enables the monitoring of administrative processes and the automation of sub-processes (activities). Identifying these automation potentials can be seen as a major challenge in administrative order processing due to the existing complexity. One way to discover automation potential is the use of data-driven tools such as process mining (PM). Using algorithms (e.g. a-miner), a process model is created based on data from central information systems (e.g. enterprise resource systems) allowing a systematical analyzation of causalities. Furthermore, PM can help to identify the relevant metrics for the RPA selection in a data-driven way, in order to support the selection process decisively. In the current state of research, most paper focuses on quantifiable key figures for evaluating RPA capabilities. Qualitative criteria for RPA use are rarely considered. This paper focuses on a qualitative criteria-based and quantitative indicator-based evaluation system for the use of RPA in administrative order processing The approach is validated in process mining software using a data set related to administrative order processing

    Preoperative aortic root geometry and postoperative cusp configuration primarily determine long-term outcome after valve-preserving aortic root repair

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    ObjectiveTechnical controversies exist in valve-preserving aortic root replacement. We sought to determine predictors of long-term stability of the aortic valve.MethodsA total of 430 patients (aged 57 ± 15 years, 323 male) underwent valve-preserving aortic root surgery (remodeling in 401, reimplantation in 29) between 1995 and 2009 and were followed echocardiographically. Factors influencing late recurrence of aortic valve regurgitation grade II or greater (n = 45) or need for reoperation on the aortic valve (n = 25) were analyzed.ResultsEarly mortality was 2.8% (1.9% for elective cases), and actuarial survival at 10 years was 83.5% ± 2.4%. Ten-year freedom from aortic valve regurgitation grade II or greater was 85.0% ± 2.5%. Preoperative aortoventricular junction diameter greater than 28 mm and postoperative effective height of the aortic cusp less than 9 mm were identified as significant predictors for late aortic valve regurgitation grade II or greater in multivariate analysis (both P < .001). Ten-year freedom from reoperation on the aortic valve was 89.3% ± 2.5%. Preoperative aortoventricular junction diameter greater than 28 mm (P < .001), use of pericardial patch (P = .022), and effective height of the aortic cusp less than 9 mm (P = .049) were identified as significant predictors for reoperation in multivariate analysis. Operative technique (remodeling, reimplantation), Marfan syndrome, bicuspid valve anatomy, concomitant central cusp plication, size of prosthesis used, and acute dissection were not associated with an increased risk of late aortic valve regurgitation grade II or greater or reoperation. In patients with preoperative aortoventricular junction diameter greater than 28 mm (n = 94), the addition of central cusp plication significantly improved freedom from aortic valve regurgitation grade II or greater (P = .006) regardless of root procedures (remodeling, P = .011; reimplantation, P = .053).ConclusionsLong-term stability of valve-preserving aortic root replacement was influenced not by the technique of root repair but by the preoperative aortic root geometry and postoperative cusp configuration

    Stellungnahme zum Klimaschutzaktionsplan im Entwurf von 09/2016: Ausschöpfung der Möglichkeiten der THG-Reduktion durch emissionsarme, effiziente Bioenergiebereitstellung

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    Der Klimaschutzaktionsplan stellt ein ambitioniertes Leitbild zur Erreichung der Klimaschutzziele von Paris dar. Er zeigt deutlich, dass diese Ziele nur durch Ausnutzung aller Optionen erreichbar sind. Gleichzeitig ist nach 20 Jahren intensiver Anstrengungen zur Dekarbonisierung des Energiesektors dieser immer noch der grĂ¶ĂŸte Klimagasemittent – und damit sind die Anstrengungen in diesem Bereich auch kĂŒnftig von besonderer Bedeutung. Biomasse ist der derzeit am meisten genutzte erneuerbare EnergietrĂ€ger. Er wird zur Strom-, WĂ€rme und Kraftstoffbereitstellung eingesetzt und sparte durch die Substitution fossiler EnergietrĂ€ger ca. 60 Mio. Tonnen CO2-Äquivalent im Jahr 2015 (AGEE Stat 2016, siehe angehĂ€ngte Tabelle). Die Chancen einer umfassenden Klimagasreduktion werden jedoch im Klimaschutzaktionsprogramm nur unzureichend dargestellt. Diese Möglichkeiten der Klimagaseinsparung durch Bioenergie umfassen einerseits die energetische Nutzung bisher unerschlossener Biomassepotenziale sowie andererseits die effiziente, emissionsarme und integrierte Weiterentwicklung der gegenwĂ€rtigen Biomassenutzung. Beide Aspekte werden nachfolgend aufgezeigt

    The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgery

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    Soft tissue defects resulting from trauma and musculoskeletal infections can complicate surgical treatment. Appropriate temporary coverage of these defects is essential to achieve the best outcomes for necessary plastic soft tissue defect reconstruction. The antibiotic bead pouch technique is a reasonable surgical approach for managing temporary soft tissue defects following adequate surgical debridement. This technique involves the use of small diameter antibiotic-loaded bone cement beads to fill the dead space created by debridement. By applying antibiotics to the bone cement and covering the beads with an artificial skin graft, high local dosages of antibiotics can be achieved, resulting in the creation of a sterile wound that offers the best starting position for soft tissue and bone defect reconstruction. This narrative review describes the rationale for using this technique, including its advantages and disadvantages, as well as pearls and pitfalls associated with its use in daily practice. In addition, the article provides a comprehensive overview of the literature that has been published since the technique was introduced in surgical practice

    Lovastatin improves impaired synaptic plasticity and phasic alertness in patients with neurofibromatosis type 1

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    Background: Neurofibromatosis type 1 (NF1) is one of the most common genetic disorders causing learning disabilities by mutations in the neurofibromin gene, an important inhibitor of the RAS pathway. In a mouse model of NF1, a loss of function mutation of the neurofibromin gene resulted in increased gamma aminobutyric acid (GABA)-mediated inhibition which led to decreased synaptic plasticity and deficits in attentional performance. Most importantly, these defictis were normalized by lovastatin. This placebo-controlled, double blind, randomized study aimed to investigate synaptic plasticity and cognition in humans with NF1 and tried to answer the question whether potential deficits may be rescued by lovastatin. Methods: In NF1 patients (n = 11; 19-44 years) and healthy controls (HC; n = 11; 19-31 years) paired pulse transcranial magnetic stimulation (TMS) was used to study intracortical inhibition (paired pulse) and synaptic plasticity (paired associative stimulation). On behavioural level the Test of Attentional Performance (TAP) was used. To study the effect of 200 mg lovastatin for 4 days on all these parameters, a placebo-controlled, double blind, randomized trial was performed. Results: In patients with NF1, lovastatin revealed significant decrease of intracortical inhibition, significant increase of synaptic plasticity as well as significant increase of phasic alertness. Compared to HC, patients with NF1 exposed increased intracortical inhibition, impaired synaptic plasticity and deficits in phasic alertness. Conclusions: This study demonstrates, for the first time, a link between a pathological RAS pathway activity, intracortical inhibition and impaired synaptic plasticity and its rescue by lovastatin in humans. Our findings revealed mechanisms of attention disorders in humans with NF1 and support the idea of a potential clinical benefit of lovastatin as a therapeutic option

    Fast-growing pancreatic neuroendocrine carcinoma in a patient with multiple endocrine neoplasia type 1: a case report

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    <p>Abstract</p> <p>Introduction</p> <p>Predictive genetic screening and regular screening programs in patients with multiple endocrine neoplasia type 1 are intended to detect and treat malignant tumors at the earliest stage possible. Malignant neuroendocrine pancreatic tumors are the most frequent cause of death in these patients. However, the extent and intervals of screening in patients with multiple endocrine neoplasia type 1 are controversial as neuroendocrine tumors are usually slow growing. Here we report the case of a patient who developed a fast-growing neuroendocrine carcinoma within 15 months of a laparoscopic distal pancreatic resection.</p> <p>Case presentation</p> <p>We followed a group of 45 patients with multiple endocrine neoplasia type 1 by an annual screening program in the Department of Visceral, Thoracic, and Vascular Surgery at the University Hospital Marburg in cooperation with the Department of Radiology and the Division of Endocrinology. A man with multiple endocrine neoplasia type 1 who was diagnosed with a recurrent primary hyperparathyroidism underwent a distal pancreatic resection for a non-functional neuroendocrine tumor. In the context of our regular screening program, a large non-functional neuroendocrine tumor was diagnosed in the pancreatic head 15 months after the first pancreatic surgery. Therefore, we performed an enucleation and regional lymph node resection. At histology, the diagnosis of a neuroendocrine carcinoma with one lymph node metastasis was established. There was no evidence of recurrence 9 months after re-operation.</p> <p>Conclusion</p> <p>Fast-growing neuroendocrine tumors are rare in patients with multiple endocrine neoplasia type 1. The intervals, both postoperative and in newly diagnosed pancreatic lesions, in patients with multiple endocrine neoplasia type 1 should be reduced to 6 months to establish the early diagnosis of rapidly progressive disease in a small subset of patients.</p
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