The Utility of an Online Forward Triage Tool During the SARS-CoV-2 Pandemic: Health Care Provider and Health Authority Perspectives.

Introduction The SARS CoV-2 pandemic poses major challenges not only to patients but also to health care professionals and policy-makers, with rapidly changing, sometimes complex, recommendations, and guidelines to the population. Online forward triage tools (OFTT) got a major boost from the pandemic as they helped with the implementation and monitoring of recommendations. Methods A multiphase mixed method sequential explanatory study design was employed. Quantitative data were collected first and informed the qualitative interview guides. Video interviews were held with key informants (health care providers and health authorities) between 2 September and 10 December 2020. Audio-recordings were transcribed verbatim, coded thematically and compared with patient perspectives (framework). Objectives To explore the perspectives of health care providers and authorities in Canton Bern on the utility of a COVID-19 OFTT, as well as elicit recommendations for telehealth in future. Results The following themes emerged; (i) accessibility (ii) health system burden reduction (iii) utility in preventing onward transmission (iv) utility in allaying fear and anxiety (v) medical decision-making utility (vi) utility as information source (vii) utility in planning and systems thinking. The health care providers and health authorities further provided insights on potential barriers and facilitators of telehealth in future. Conclusion Similar to patients, health care providers acknowledge the potential and utility of the COVID-19 OFTT particularly as an information source and in reducing the health system burden. Data privacy, doctor-patient relationship, resistance to change, regulatory, and mandate issues, and lack of systems thinking were revealed as barriers to COVID-19 OFTT utility

Thalamic Network Oscillations Synchronize Ontogenetic Columns in the Newborn Rat Barrel Cortex

Neocortical areas are organized in columns, which form the basic structural and functional modules of intracortical information processing. Using voltage-sensitive dye imaging and simultaneous multi-channel extracellular recordings in the barrel cortex of newborn rats in vivo, we found that spontaneously occurring and whisker stimulation-induced gamma bursts followed by longer lasting spindle bursts were topographically organized in functional cortical columns already at the day of birth. Gamma bursts synchronized a cortical network of 300-400 µm in diameter and were coherent with gamma activity recorded simultaneously in the thalamic ventral posterior medial (VPM) nucleus. Cortical gamma bursts could be elicited by focal electrical stimulation of the VPM. Whisker stimulation-induced spindle and gamma bursts and the majority of spontaneously occurring events were profoundly reduced by the local inactivation of the VPM, indicating that the thalamus is important to generate these activity patterns. Furthermore, inactivation of the barrel cortex with lidocaine reduced the gamma activity in the thalamus, suggesting that a cortico-thalamic feedback loop modulates this early thalamic network activit

Recovery kinetics of short-term depression of GABAergic and glutamatergic synapses at layer 2/3 pyramidal cells in the mouse barrel cortex

IntroductionShort-term synaptic plasticity (STP) is a widespread mechanism underlying activity-dependent modifications of cortical networks.MethodsTo investigate how STP influences excitatory and inhibitory synapses in layer 2/3 of mouse barrel cortex, we combined whole-cell patch-clamp recordings from visually identified pyramidal neurons (PyrN) and parvalbumin-positive interneurons (PV-IN) of cortical layer 2/3 in acute slices with electrical stimulation of afferent fibers in layer 4 and optogenetic activation of PV-IN.ResultsThese experiments revealed that electrical burst stimulation (10 pulses at 10 Hz) of layer 4 afferents to layer 2/3 neurons induced comparable short-term depression (STD) of glutamatergic postsynaptic currents (PSCs) in PyrN and in PV-IN, while disynaptic GABAergic PSCs in PyrN showed a stronger depression. Burst-induced depression of glutamatergic PSCs decayed within <4 s, while the decay of GABAergic PSCs required >11 s. Optogenetically-induced GABAergic PSCs in PyrN also demonstrated STD after burst stimulation, with a decay of >11 s. Excitatory postsynaptic potentials (EPSPs) in PyrN were unaffected after electrical burst stimulation, while a selective optogenetic STD of GABAergic synapses caused a transient increase of electrically evoked EPSPs in PyrN.DiscussionIn summary, these results demonstrate substantial short-term plasticity at all synapses investigated and suggest that the prominent STD observed in GABAergic synapses can moderate the functional efficacy of glutamatergic STD after repetitive synaptic stimulations. This mechanism may contribute to a reliable information flow toward the integrative layer 2/3 for complex time-varying sensory stimuli

Rapid Earthquake Characterization Using MEMS Accelerometers and Volunteer Hosts Following the M 7.2 Darfield, New Zealand, Earthquake

We test the feasibility of rapidly detecting and characterizing earthquakes with the Quake‐Catcher Network (QCN) that connects low‐cost microelectromechanical systems accelerometers to a network of volunteer‐owned, Internet‐connected computers. Following the 3 September 2010 M 7.2 Darfield, New Zealand, earthquake we installed over 180 QCN sensors in the Christchurch region to record the aftershock sequence. The sensors are monitored continuously by the host computer and send trigger reports to the central server. The central server correlates incoming triggers to detect when an earthquake has occurred. The location and magnitude are then rapidly estimated from a minimal set of received ground‐motion parameters. Full seismic time series are typically not retrieved for tens of minutes or even hours after an event. We benchmark the QCN real‐time detection performance against the GNS Science GeoNet earthquake catalog. Under normal network operations, QCN detects and characterizes earthquakes within 9.1 s of the earthquake rupture and determines the magnitude within 1 magnitude unit of that reported in the GNS catalog for 90% of the detections

Data Management in distributed CAx Systems

Interoperability between different CAx systems involved in the development process of cars is presently one of the most critical issues in the automotive industry. None of the existing CAx systems meets all requirements of the very complex process network of the lifecycle of a car. With this background, industrial engineers have to use various CAx systems to get an optimal support for their daily work. Today, the communication between different CAx systems is done via data files using special direct converters or neutral system independent standards like IGES, VDAFS, and recently STEP, the international standard for product data description. To reduce the dependency on individual CAx s ystem vendors, the German automotive industry developed an open CAx system architecture based on STEP as guiding principle for CAx system development. The central component of this architecture is a common, system-independent access interface to CAx functions and data of all involved CAx systems, which is under development in the project ANICA. Within this project, a CAx object bus has been developed based on a STEP data description using CORBA as an integration platform. This new approach allows a transparent access to data and functions of the integrated CAx systems without file-based data exchange. The product development process with various CAx systems concerns objects from different CAx systems. Thus, mechanisms are needed to handle the persistent storage of the CAx objects distributed over the CAx object bus to give the developing engineers a consistent view of the data model of their product. The following paper discusses several possibilities to guarantee consistent data management and storage of distributed CAx models. One of the most promising approaches is the enhancement of the CAx object bus by a STEP-based object-oriented data server to realise a central data management

Online-Kopplung von CAx-Systemen für die virtuelle Produktentwicklung: Ein Vergleich mit dem dateibasierten Datenaustausch

Die virtuelle Produktentwicklung in verteilter Umgebung erfordert eine intensive Kommunika-tion zwischen den beteiligten CAx-Systemen. Diese findet bisher in Form des dateibasierten Datenaustausches mit Hilfe von Direktkonvertern oder neutralen Schnittstellen statt. Der Datenaustausch wird hierbei meist in mehreren Iterationsschleifen durchgeführt und ist oft mit Datenverlusten sowie Unterbrechungen der Entwicklungsaktivitäten verbunden. Demgegenüber steht als neuer Ansatz für die Interoperabilität zwischen CAx-Systemen das Konzept eines CAx-Objektbusses auf Basis von CORBA und STEP. Dieser Ansatz ermög-licht eine plattformübergreifende Online-Kopplung heterogener CAx-Systeme. Im Gegensatz zum dateibasierten Datenaustausch ist hierbei ein transparenter Zugriff sowohl auf Daten als auch auf Funktionen der angebundenen Systeme möglich. Dadurch kann die Durchgängigkeit der Produktdaten in der Prozeßkette deutlich erhöht werden. Zur Beurteilung der Praxistauglichkeit wird dieser neue Ansatz dem dateibasierten Daten-austausch am Beispiel virtueller Einbauuntersuchungen gegenübergestellt. Dabei werden für unterschiedliche praxisrelevante Modellgrößen die für die Übertragung von Geometrie und Topologie erforderlichen Zeiten analysiert und verglichen. Weiterhin werden die generellen Vor- und Nachteile der beiden Lösungen dargestellt. Abschließend wird auf die Potentiale des neuen Ansatzes für den Einsatz in anderen Bereichen eingegangen

Maßgeschneiderte CAx-Systeme auf Basis von Komponenten

Der Trend der letzten Jahre im CAx-Bereich geht eindeutig in Richtung 3D-Modellierung. Der Einsatz dieser Technologie ist jedoch erst dann wirtschaftlich sinnvoll, wenn die generierten Daten nicht ausschließlich als Ersatz für 2D-Zeichnungen dienen, sondern während des gesamten Produkt-entstehungsprozesses eingesetzt werden und auf diese Weise Datendurchgängigkeit gewährleistet wird. Mittlerweile wird ein umfangreiches Spektrum von Anwendungen eingesetzt. Beispielhaft sei-en hier Berechnungs- und Simulationsprogramme oder die 3D-Produktvisualisierung in nicht-technischen Bereichen (z. B. Marketing, Vertrieb) genannt. Viele CA-Systeme bieten zwar eine große Auswahl an Modulen für nahezu alle Bereiche der Produktentwicklung, allerdings ist kein System, unabhängig von seiner Komplexität, in der Lage, alle Anforderungen seiner Anwender zu erfüllen. Deshalb kommen in immer größerem Umfang spezielle Programme für individuelle Probleme zum Einsatz. Der Anwender sieht sich jedoch mit Schwierigkeiten konfrontiert, wenn er versucht, für spezielle Probleme spezielle Anwendungen unterschiedlicher Systemhersteller einzusetzen. Um die Integrati-on der verschiedenen Programme zu ermöglichen, muß er sich auf neutrale Standardschnittstellen für den Produktdatenaustausch (IGES, VDAFS, STEP) verlassen, wobei hier mit Informationsverlusten zu rechnen ist. Außerdem muß er sich mit differierenden Benutzerführungen vertraut machen. Im Bewußtsein dieser Probleme entwickelte die Arbeitsgruppe "CAD/CAM-Strategien der deut-schen Automobilindustrie" einen Vorschlag für eine offene CAx-Systemarchitektur /1/, /2/, /3/. Diese sollte in der Lage sein, alle CAx-Komponenten, die im Laufe des Produktent-stehungsprozesses verwendet werden, zu integrieren. Es sollte unter anderem die folgenden Anforderungen erfüllen: ° Offenheit ° Interoperabilität ° Investitionssicherheit ° Aufhebung der Zwangsbindung des Anwenders an einen Systemhersteller ° Vermeidung redundanter Systeme Die Berücksichtigung der internationalen Standards STEP für den Bereich der Produktdatenmo-dellierung und CORBA für den Bereich der verteilten objektorientierten Systeme, die in den folgen-den Abschnitten kurz dargestellt sind, war für die Erfüllung dieser Anforderungen eine wichtige Voraussetzun

Data Management in distributed CAx Systems

Interoperability between different CAx systems involved in the development process of cars is presently one of the most critical issues in the automotive industry. None of the existing CAx systems meets all requirements of the very complex process network of the lifecycle of a car. With this background, industrial engineers have to use various CAx systems to get an optimal support for their daily work. Today, the communication between different CAx systems is done via data files using special direct converters or neutral system independent standards like IGES, VDAFS, and recently STEP, the international standard for product data description. To reduce the dependency on individual CAx s ystem vendors, the German automotive industry developed an open CAx system architecture based on STEP as guiding principle for CAx system development. The central component of this architecture is a common, system-independent access interface to CAx functions and data of all involved CAx systems, which is under development in the project ANICA. Within this project, a CAx object bus has been developed based on a STEP data description using CORBA as an integration platform. This new approach allows a transparent access to data and functions of the integrated CAx systems without file-based data exchange. The product development process with various CAx systems concerns objects from different CAx systems. Thus, mechanisms are needed to handle the persistent storage of the CAx objects distributed over the CAx object bus to give the developing engineers a consistent view of the data model of their product. The following paper discusses several possibilities to guarantee consistent data management and storage of distributed CAx models. One of the most promising approaches is the enhancement of the CAx object bus by a STEP-based object-oriented data server to realise a central data management

Data Management in Distributed CAx Systems

Interoperability between different CAx 1 systems involved in the development process of cars is presently one of the most critical issues in the automotive industry. None of the existing CAx systems meets all requirements of the very complex process network of the lifecycle of a car. With this background, industrial engineers have to use various CAx systems to get an optimal support for their daily work. Today, the communication between different CAx systems is done via data files using special direct converters or neutral system independent standards like IGES, VDAFS, and recently STEP, the international standard for product data description. To reduce the dependency on individual CAx system vendors, the German automotive industry developed an open CAx system architecture based on STEP as guiding principle for CAx system development. The central component of this architecture is a common, system-independent access interface to CAx functions 2 and data of all involved CAx systems, ..