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INTRODUCTION: The cardiac magnetic resonance (CMR) data on mid- to long-term myocardial damage due to COVID-19 infections in elite athletes are scarce. Therefore, this study investigated the mid -to long-term consequences of myocardial involvement after a COVID-19 infection in elite athletes.
MATERIALS AND METHODS: This study included 27 athletes at the German Olympic Centre North Rhine-Westphalia (NRW)/Rhineland with a confirmed previous COVID-19 infection between January 2020 and October 2021. The athletes were part of an ongoing observational COVID-19 study at the Institute of Cardiology and Sports Medicine Cologne at the German Sport University (DSHS).Nine healthy non-athletes with no prior COVID-19 illness served as controls. CMR was performed within a mean of 182 days (standard deviation [SD] 99) of the initial positive test result.
RESULTS: CMR did not reveal any signs of acute myocarditis (according to the current Lake Louise criteria) or myocardial damage in any of the 26 elite athletes with previous COVID-19 infection. Of these athletes, 92% experienced a symptomatic course, and 54% reported symptoms lasting for more than 4 weeks. One male athlete was excluded from the analysis because CMR revealed an arrhythmogenic right ventricular cardiomyopathy (ARVC). Athletes had significantly enlarged left and right ventricle volumes and increased left ventricular myocardial mass in comparison to the healthy control group (LVEDVi 103.4 vs 91.1 ml/m2, p = 0.031; RVEDVi 104.1 vs 86.6 ml/m2, p = 0.007; LVMi 59.0 vs 46.2 g/m2, p = 0.002). Only two cases of elevated high-sensitivity-Troponin were documented; in one, the participant had previously engaged in high-intensity training, and in the other, CMR revealed a diagnosis of an arrhythmogenic cardiomyopathy.
CONCLUSION: Our findings suggest that the risk for mid- to long-term myocardial damage is very low to negligible in elite athletes. Our results do not allow conclusions to be drawn regarding myocardial injury in the acute phase of infection nor about possible long-term myocardial effects in the general population.
The European General Data Protection Regulation requires the implementation of Technical and Organizational Measures (TOMs) to reduce the risk of illegitimate processing of personal data. For these measures to be effective, they must be applied correctly by employees who process personal data under the authority of their organization. However, even data processing employees often have limited knowledge of data protection policies and regulations, which increases the likelihood of misconduct and privacy breaches. To lower the likelihood of unintentional privacy breaches, TOMs must be developed with employees’ needs, capabilities, and usability requirements in mind. To reduce implementation costs and help organizations and IT engineers with the implementation, privacy patterns have proven to be effective for this purpose. In this chapter, we introduce the privacy pattern Data Cart, which specifically helps to develop TOMs for data processing employees. Based on a user-centered design approach with employees from two public organizations in Germany, we present a concept that illustrates how Privacy by Design can be effectively implemented. Organizations, IT engineers, and researchers will gain insight on how to improve the usability of privacy-compliant tools for managing personal data.
Users should always play a central role in the development of (software) solutions. The human-centered design (HCD) process in the ISO 9241-210 standard proposes a procedure for systematically involving users. However, due to its abstraction level, the HCD process provides little guidance for how it should be implemented in practice. In this chapter, we propose three concrete practical methods that enable the reader to develop usable security and privacy (USP) solutions using the HCD process. This chapter equips the reader with the procedural knowledge and recommendations to: (1) derive mental models with regard to security and privacy, (2) analyze USP needs and privacy-related requirements, and (3) collect user characteristics on privacy and structure them by user group profiles and into privacy personas. Together, these approaches help to design measures for a user-friendly implementation of security and privacy measures based on a firm understanding of the key stakeholders.
Introduction: The paper analyses – basing itself on reports and other documents created by different parts of the International Labour Organisation (ILO) – the process which led to the adoption of Social Protection Floor Recommendation No. 202 and the shift in focus of social policy advice towards basic protection and to the Global South countries. We look at the actions of different actors which shape the standard setting and policy stand of the organisation. Objective: To provide a comprehensive analysis of the historical trajectory of ILO social security standards, examining the evolution of principles, conventions, and the global dynamics that have shaped the organization's approach to social protection over time. Materials and methods: The methods include examining ILO documents, relevant subject literature, and the author's participant observations from over twenty-years of service in the ILO's Social Security Department, aiming to provide insights into the decision-making processes within the organization. Conclusion: We conclude that change was brought by: 1) shift in the membership of the ILO and of its decision-making bodies towards the increased presence and powers of representatives from countries of the Global South, 2) the shift in the global development community policy priorities towards poverty reduction, 3) emergence of experimental social assistance schemes in Global South countries, with designs often ignoring principles embedded in the ILO standards. The Social Protection Floor Recommendation complements previous standards in response to the challenges of widespread poverty and informality and spreading atypical forms of employment. It provides two directions of policy responses: 1) formalizing informal employment relationships and 2) expanding universal or targeted rights-based social assistance schemes. Assistance provided by ILO to member states focuses now more on building the non-contributory schemes and on identifying the fiscal space necessary to close the coverage gaps. Nowadays, the ILO must collaborate more than before with other development partners and the main challenge is to build among them awareness and acceptance of the principles of the ILO social security standards.
There are several recent works which had proposed an automatic computer-aided diagnosis (CAD) deep learning (DL) model to diagnose coronavirus disease 2019 (COVID-19) using chest x-ray images (CXR) to propose a high-accuracy CAD method to detect COVID-19 automatically. In this study, seven different models including Convolutional Neural Network (CNN) models such as VGG-16 and vision transformer (ViT) models, are proposed. The different proposed models are trained with a three-class balanced dataset consisting of 3,000 CXR images consisting of 1,000 CXR images for each class of COVID-19, Normal, and Lung-Opacity. A publicly available dataset to train and test the models is used from Kaggle-COVID-19-Radiography-Dataset. From the experiments, the accuracy of the VGG16 model is 93.44% and ViT's is 92.33%. Besides, the binary classification between two classes of COVID-19 and Normal CXR with a limited number of just 100 images for each class, using a transfer learning technique, with a validation accuracy of 97.5% is proposed.
The transport of carbon dioxide through pipelines is one of the important components of Carbon dioxide Capture and Storage (CCS) systems that are currently being developed. If high flow rates are desired a transportation in the liquid or supercritical phase is to be preferred. For technical reasons, the transport must stay in that phase, without transitioning to the gaseous state. In this paper, a numerical simulation of the stationary process of carbon dioxide transport with impurities and phase transitions is considered. We use the Homogeneous Equilibrium Model (HEM) and the GERG-2008 thermodynamic equation of state to describe the transport parameters. The algorithms used allow to solve scenarios of carbon dioxide transport in the liquid or supercritical phase, with the detection of approaching the phase transition region. Convergence of the solution algorithms is analyzed in connection with fast and abrupt changes of the equation of state and the enthalpy function in the region of phase transitions.
This paper presents the b-it-bots RoboCup@Work team and its current hardware and functional architecture for the KUKA youBot robot. We describe the underlying software framework and the developed capabilities required for operating in industrial environments including features such as reliable and precise navigation, flexible manipulation, robust object recognition and task planning. New developments include an approach to grasp vertical objects, placement of objects by considering the empty space on a workstation, and the process of porting our code to ROS2.
This paper presents the preliminary results of the Socialist Republic of Vietnam country case study conducted as part of the research project Sustainable Labour Migration implemented by the University of Applied Science Bonn-Rhein-Sieg. The project focuses on stakeholder perspectives on countries of origin benefits and the sustainability of different transnational skill partnership schemes. Existing and ongoing small-scale initiatives indicate that opportunities exist for all three types of labour mobility pathways, from recruiting youth for apprenticeships and subsequent skilled work to recruitment and recognition of skilled 'professionals' certificates for direct work contracts to initial vocational education and training programs in a dual-track approach. While the latter has the highest potential to be more beneficial than other approaches, pursuing and supporting the scaling up of all three pathways in parallel will have additional, mutually reinforcing and supporting effects. The potential for benefits over and above those already realised by existing skill partnerships appears high, especially considering the favourable framework conditions specific to the long-standing German-Vietnamese relationship. If the potential of well-managed skill partnerships was realised, such sustainable models of skilled labour migration could serve as a unique selling point in the international competition for skilled labour.
What does ‘desirable’ or ‘sustainable’ mean in the context of labour migration? And what should programmes geared towards making migration more compatible with development look like? These questions provided the starting point for the ‘Sustainable Labour Migration’ research project implemented by Hochschule Bonn-Rhein-Sieg University of Applied Sciences between December 2020 and August 2022. The project looked at how sustainability in different transnational skills partnership schemes was perceived by different stakeholders in three countries chosen as case studies: Georgia, Kosovo and Vietnam. Embracing the notion of a ‘triple win’, many transnational skills partnership schemes aim to deliver benefits for their main stakeholder groups. As well as reflecting critically on this triple-win narrative, this paper also argues for a more nuanced approach in order to grasp the complexity of skilled labour migration. The paper introduces one such approach, namely the sustainable labour migration framework, and highlights the key elements of the research project. It details the methodology used in the study (systematic literature review – employer survey – semi-structured, in-depth interviews – focus group interviews) and explores the perception of sustainability in skilled labour migration with a focus on the cost/benefit ratio, the relationship between vocational education and training and labour migration, and the various arrangements for the partnerships employed in the schemes. In introducing the key findings from the three countries selected for the case studies, the paper highlights that the perception of sustainability is not underpinned by a comprehensive understanding of the term amongst most stakeholders. Within all the schemes, however, some stakeholders identified elements which make a positive contribution to development in the respective countries of origin and thus identify elements of sustainable labour migration with room for improvement in multiple areas. The paper concludes with a presentation of overall policy recommendations: The ongoing reform of Germany’s labour migration policy should be accompanied by more development-oriented activities. As part of this, the German Federal Ministry for Economic Cooperation and Development (BMZ) should stand up more forcefully for the needs of migrants and potential partner countries in order to reduce existing inequalities
In intensively used agricultural landscapes, path margins are one of the few refuges and nurseries for wildlife. They provide e. g. food sources and overwintering opportunities for many insects, serve as migration corridors for animals, protect soil from erosion, increase its water-holding capacity, and increase soil organic carbon, contributing thus directly to biodiversity conservation and climate change mitigation. Path margins are often municipally owned but used and managed by agriculture. For a path margin to be functional, certain conditions must be fulfilled, such as the width, the botanical composition, and how it is managed through the seasons. Therefore, it must be managed under specific requirements. A multifunctional path margin can be achieved only through the commitment of all stakeholders (e.g., farmers, municipalities, conservationists, and civil society).
The art of nudging
(2023)
Do simple and subtle changes in the living and study environment improve the eating behaviour of students in an educational setting? This dissertation provides a not-so-simple answer to this simple question based on the outcomes of four studies that explore the effects and design of artwork nudges (specifically the artwork of Alberto Giacometti) on the eating behaviour of students by applying different research designs. Study 1 explores the effects of a Giacometti-like nudge (a more contemporary version of the original nudge) regarding the dietary behaviour of high school students in a controlled setting. Study 2 applies different artwork nudges within a virtual vignette setting to measure their effects on virtual meal choices made. Also, the degree to which individuals were aware of the nudge’s presence is included as an influential factor in nudge effectiveness. Study 3 assesses the susceptibility to nudges as measured with a questionnaire. Susceptibility to nudges is defined as nudgeability. Study 4 assesses the effects of the original Giacometti nudge in a real-world university cafeteria setting. Specifically, the immediate and sustained effects of the original Giacometti nudge on students’ meal purchases in the university cafeteria are considered. In addition, the role of awareness of the nudge’s presence as well as the acceptance of this specific nudge are discussed. The conclusion is drawn that the original Giacometti nudge should only be applied in an educational setting to improve healthy eating behaviour if the intended target groups and environment meet certain conditions. Artwork nudges in general should be applied only after rigorous testing of various types of different nudges and more research reflecting healthy eating in its entirety.