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Designing a Randomized Trial with an Age Simulation Suit—Representing People with Health Impairments
(2020)
Due to demographic change, there is an increasing demand for professional care services, whereby this demand cannot be met by available caregivers. To enable adequate care by relieving informal and formal care, the independence of people with chronic diseases has to be preserved for as long as possible. Assistance approaches can be used that support promoting physical activity, which is a main predictor of independence. One challenge is to design and test such approaches without affecting the people in focus. In this paper, we propose a design for a randomized trial to enable the use of an age simulation suit to generate reference data of people with health impairments with young and healthy participants. Therefore, we focus on situations of increased physical activity.
Primary focal hyperhidrosis (PFH, OMIM %144110) is a genetically influenced condition characterised by excessive sweating. Prevalence varies between 1.0–6.1% in the general population, dependent on ethnicity. The aetiology of PFH remains unclear but an autosomal dominant mode of inheritance, incomplete penetrance and variable phenotypes have been reported. In our study, nine pedigrees (50 affected, 53 non-affected individuals) were included. Clinical characterisation was performed at the German Hyperhidrosis Centre, Munich, by using physiological and psychological questionnaires. Genome-wide parametric linkage analysis with GeneHunter was performed based on the Illumina genome-wide SNP arrays. Haplotypes were constructed using easyLINKAGE and visualised via HaploPainter. Whole-exome sequencing (WES) with 100x coverage in 31 selected members (24 affected, 7 non-affected) from our pedigrees was achieved by next generation sequencing. We identified four genome-wide significant loci, 1q41-1q42.3, 2p14-2p13.3, 2q21.2-2q23.3 and 15q26.3-15q26.3 for PFH. Three pedigrees map to a shared locus at 2q21.2-2q23.3, with a genome-wide significant LOD score of 3.45. The chromosomal region identified here overlaps with a locus at chromosome 2q22.1-2q31.1 reported previously. Three families support 1q41-1q42.3 (LOD = 3.69), two families share a region identical by descent at 2p14-2p13.3 (LOD = 3.15) and another two families at 15q26.3 (LOD = 3.01). Thus, our results point to considerable genetic heterogeneity. WES did not reveal any causative variants, suggesting that variants or mutations located outside the coding regions might be involved in the molecular pathogenesis of PFH. We suggest a strategy based on whole-genome or targeted next generation sequencing to identify causative genes or variants for PFH.
Laboratory landslide experiments enable the observation of specific properties of these natural hazards. However, these observations are limited by traditional techniques: frequently used high-speed video analysis and wired sensors (e.g. displacement). These techniques lead to the drawback that either only the surface and 2D profiles can be observed or wires confine the motion behaviour. In contrast, an unconfined observation of the total spatiotemporal dynamics of landslides is needed for an adequate understanding of these natural hazards.
The present study introduces an autonomous and wireless probe to characterize motion features of single clasts within laboratory-scale landslides. The Smartstone probe is based on an inertial measurement unit (IMU) and records acceleration and rotation at a sampling rate of 100 Hz. The recording ranges are ±16 g (accelerometer) and ±2000∘ s−1 (gyroscope). The plastic tube housing is 55 mm long with a diameter of 10 mm. The probe is controlled, and data are read out via active radio frequency identification (active RFID) technology. Due to this technique, the probe works under low-power conditions, enabling the use of small button cell batteries and minimizing its size.
Using the Smartstone probe, the motion of single clasts (gravel size, median particle diameter d50 of 42 mm) within approx. 520 kg of a uniformly graded pebble material was observed in a laboratory experiment. Single pebbles were equipped with probes and placed embedded and superficially in or on the material. In a first analysis step, the data of one pebble are interpreted qualitatively, allowing for the determination of different transport modes, such as translation, rotation and saltation. In a second step, the motion is quantified by means of derived movement characteristics: the analysed pebble moves mainly in the vertical direction during the first motion phase with a maximal vertical velocity of approx. 1.7 m s−1. A strong acceleration peak of approx. 36 m s−2 is interpreted as a pronounced hit and leads to a complex rotational-motion pattern. In a third step, displacement is derived and amounts to approx. 1.0 m in the vertical direction. The deviation compared to laser distance measurements was approx. −10 %. Furthermore, a full 3D spatiotemporal trajectory of the pebble is reconstructed and visualized supporting the interpretations. Finally, it is demonstrated that multiple pebbles can be analysed simultaneously within one experiment. Compared to other observation methods Smartstone probes allow for the quantification of internal movement characteristics and, consequently, a motion sampling in landslide experiments.
Currently, new business models created in the sharing economy differ considerably and they differ in the formation of trust as well. If and how trust can be created is shown by a comparison of two examples which diverge in their founding philosophy. The chosen example of community-based economy, Community Supported Agriculture (CSA), no longer trusts the capitalist system and therefore distances itself and creates its own environment including a new business model. It is implemented within rather small groups where trust is created by personal relations and face-to-face communication. On the contrary, the example of a platform economy, the accommodation-provider company Airbnb, shows trust in the system and pushes technological innovations through the use of platform applications. It promotes trust and confidence in the progress of technology. For the conceptual analysis, the distinction between personal trust and system trust defined by Niklas Luhmann is adopted. The analysis describes two different modes of trust formation and how they push distrust or improve trust. Grounded on these analyses, assumptions on the process of trust formation within varying models of the sharing economy are formulated as well as a hypothesis about possible developments is introduced for further research.
The study analyzes the long-term trends (1998–2019) of concentrations of the air pollutants ozone (O3) and nitrogen oxides (NOx) as well as meteorological conditions at forest sites in German midrange mountains to evaluate changes in O3 uptake conditions for trees over time at a plot scale. O3 concentrations did not show significant trends over the course of 22 years, unlike NO2 and NO, whose concentrations decreased significantly since the end of the 1990s. Temporal analyses of meteorological parameters found increasing global radiation at all sites and decreasing precipitation, vapor pressure deficit (VPD), and wind speed at most sites (temperature did not show any trend). A principal component analysis revealed strong correlations between O3 concentrations and global radiation, VPD, and temperature. Examination of the atmospheric water balance, a key parameter for O3 uptake, identified some unusually hot and dry years (2003, 2011, 2018, and 2019). With the help of a soil water model, periods of plant water stress were detected. These periods were often in synchrony with periods of elevated daytime O3 concentrations and usually occurred in mid and late summer, but occasionally also in spring and early summer. This suggests that drought protects forests against O3 uptake and that, in humid years with moderate O3 concentrations, the O3 flux was higher than in dry years with higher O3 concentrations.
Although gravitropism forces trees to grow vertically, stems have shown to prefer specific orientations. Apart from wind deforming the tree shape, lateral light can result in prevailing inclination directions. In recent years a species dependent interaction between gravitropism and phototropism, resulting in trunks leaning down-slope, has been confirmed, but a terrestrial investigation of such factors is limited to small scale surveys. ALS offers the opportunity to investigate trees remotely. This study shall clarify whether ALS detected tree trunks can be used to identify prevailing trunk inclinations. In particular, the effect of topography, wind, soil properties and scan direction are investigated empirically using linear regression models. 299.000 significantly inclined stems were investigated. Species-specific prevailing trunk orientations could be observed. About 58% of the inclination and 19% of the orientation could be explained by the linear models, while the tree species, tree height, aspect and slope could be identified as significant factors. The models indicate that deciduous trees tend to lean down-slope, while conifers tend to lean leeward. This study has shown that ALS is suitable to investigate the trunk orientation on larger scales. It provides empirical evidence for the effect of phototropism and wind on the trunk orientation.
Soil degradation due to erosion is a significant worldwide problem at different spatial (from pedon to watershed) and temporal scales. All stages and factors in the erosion process must be detected and evaluated to reduce this environmental issue and protect existing fertile soils and natural ecosystems. Laboratory studies using rainfall simulators allow single factors and interactive effects to be investigated under controlled conditions during extreme rainfall events. In this study, three main factors (rainfall intensity, inclination, and rainfall duration) were assessed to obtain empirical data for modeling water erosion during single rainfall events. Each factor was divided into three levels (− 1, 0, + 1), which were applied in different combinations using a rainfall simulator on beds (6 × 1 m) filled with soil from a study plot located in the arid Sistan region, Iran. The rainfall duration levels tested were 3, 5, and 7 min, the rainfall intensity levels were 30, 60, and 90 mm/h, and the inclination levels were 5, 15, and 25%. The results showed that the highest rainfall intensity tested (90 mm/h) for the longest duration (7 min) caused the highest runoff (62 mm3/s) and soil loss (1580 g/m2/h). Based on the empirical results, a quadratic function was the best mathematical model (R2 = 0.90) for predicting runoff (Q) and soil loss. Single-factor analysis revealed that rainfall intensity was more influential for runoff production than changes in time and inclination, while rainfall duration was the most influential single factor for soil loss. Modeling and three-dimensional depictions of the data revealed that sediment production was high and runoff production lower at the beginning of the experiment, but this trend was reversed over time as the soil became saturated. These results indicate that avoiding the initial stage of erosion is critical, so all soil protection measures should be taken to reduce the impact at this stage. The final stages of erosion appeared too complicated to be modeled, because different factors showed differing effects on erosion.
Up-to-date information about the type and spatial distribution of forests is an essential element in both sustainable forest management and environmental monitoring and modelling. The OpenStreetMap (OSM) database contains vast amounts of spatial information on natural features, including forests (landuse=forest). The OSM data model includes describing tags for its contents, i.e., leaf type for forest areas (i.e., leaf_type=broadleaved). Although the leaf type tag is common, the vast majority of forest areas are tagged with the leaf type mixed, amounting to a total area of 87% of landuse=forests from the OSM database. These areas comprise an important information source to derive and update forest type maps. In order to leverage this information content, a methodology for stratification of leaf types inside these areas has been developed using image segmentation on aerial imagery and subsequent classification of leaf types. The presented methodology achieves an overall classification accuracy of 85% for the leaf types needleleaved and broadleaved in the selected forest areas. The resulting stratification demonstrates that through approaches, such as that presented, the derivation of forest type maps from OSM would be feasible with an extended and improved methodology. It also suggests an improved methodology might be able to provide updates of leaf type to the OSM database with contributor participation.
Climate change is expected to cause mountain species to shift their ranges to higher elevations. Due to the decreasing amounts of habitats with increasing elevation, such shifts are likely to increase their extinction risk. Heterogeneous mountain topography, however, may reduce this risk by providing microclimatic conditions that can buffer macroclimatic warming or provide nearby refugia. As aspect strongly influences the local microclimate, we here assess whether shifts from warm south-exposed aspects to cool north-exposed aspects in response to climate change can compensate for an upward shift into cooler elevations.
A lack of ability to inhibit prepotent responses, or more generally a lack of impulse control, is associated with several disorders such as attention-deficit/hyperactivity disorder and schizophrenia as well as general damage to the prefrontal cortex. A stop-signal task (SST) is a reliable and established measure of response inhibition. However, using the SST as an objective assessment in diagnostic or research-focused settings places significant stress on participants as the task itself requires concentration and cognitive effort and is not particularly engaging. This can lead to decreased motivation to follow task instructions and poor data quality, which can affect assessment efficacy and might increase drop-out rates. Gamification—the application of game-based elements in nongame settings—has shown to improve engaged attention to a cognitive task, thus increasing participant motivation and data quality.