scholarly journals AI in Healthcare: medical and socio-economic benefits and challenges

Author(s):  
Mohammed Yousef Shaheen

The objective of this research was to investigate benefits and challenges of AI in healthcare. We divided the benefits into two subcategories: benefits related to the medical domain, and the benefits related to economic and social lives domain. The findings are: 1) Smart data inclusion contributes significantly and help to improve decision-making quality. 2) Surgical robots have improved the precision and predictability of the surgery. 3) Intraoperative guidance via video pictures and communication systems has proven to be beneficial, particularly in situations when there is a poor access to clinics, travel limitations, or pandemic. The major challenges are: 1) the data reflects sometimes inherent biases and disparities in the healthcare system. 2) The demand for huge datasets incentivizes developers to acquire data from a large number of patients. Some patients may be worried that this data collection would infringe on their confidentiality. 3) AI systems may occasionally be incorrect, resulting in patient damage or other health-care issues. It is not assumed that a new technology will always be good; it has the potential to be detrimental. There are some improvements that benefit and there are some challenges that may harm, and these challenges must be responded by future research.

2021 ◽  
Author(s):  
Mohammed Yousef Shaheen

The objective of this research was to investigate benefits and challenges of AI in healthcare. Wedivided the benefits into two subcategories: benefits related to the medical domain, and the benefitsrelated to economic and social lives domain. The findings are: 1) Smart data inclusion contributessignificantly and help to improve decision-making quality. 2) Surgical robots have improved theprecision and predictability of the surgery. 3) Intraoperative guidance via video pictures andcommunication systems has proven to be beneficial, particularly in situations when there is a pooraccess to clinics, travel limitations, or pandemic. 4) Sentiment analysis analyzes, interprets, andresponds to verbal expressions of human emotions. 6)Data scientists have been able to create algorithmsthat can comprehend human feeling from written textwith unique combination of NLP and sentimentanalysis. 7) AI could re-balance a clinician's workload,providing them more time to connect with patientsand thereby improve care quality. The majorchallenges are: 1) the data reflects sometimesinherent biases and disparities in the healthcare system. 2) The demand for huge datasets incentivizesdevelopers to acquire data from a large number of patients. Some patients may be worried that thisdata collection would infringe on their confidentiality. 3) AI systems may occasionally be incorrect,resulting in patient damage or other health-care issues. It is not assumed that a new technology willalways be good; it has the potential to be detrimental. There are some improvements that benefit andthere are some challenges that may harm, and these challenges must be responded by futureresearch.


Author(s):  
Falisha Kanji ◽  
Tara Cohen ◽  
Myrtede Alfred ◽  
Ashley Caron ◽  
Samuel Lawton ◽  
...  

The introduction of surgical technology into existing operating rooms (ORs) can place novel demands on staff and infrastructure. Despite the substantial physical size of the devices in robotic-assisted surgery (RAS), the workspace implications are rarely considered. This study aimed to explore the impact of OR size on the environmental causes of surgical flow disruptions (FDs) occurring during RAS. Fifty-six RAS procedures were observed at two academic hospitals between July 2019 and January 2021 across general, urologic, and gynecologic surgical specialties. A multiple regression analysis demonstrated significant effects of room size in the pre-docking phase (t = 2.170, df = 54, β = 0.017, p = 0.035) where the rate of FDs increased as room size increased, and docking phase (t = −2.488, df = 54, β = −0.017, p = 0.016) where the rate of FDs increased as room size decreased. Significant effects of site (pre-docking phase: p = 0.000 and docking phase: p = 0.000) were also demonstrated. Findings from this study demonstrate hitherto unrecognized spatial challenges involved with introducing surgical robots into the operating domain. While new technology may provide benefits towards patient safety, it is important to consider the needs of the technology prior to integration.


2019 ◽  
Vol 18 (1-2) ◽  
pp. 101-128
Author(s):  
Mair E. Lloyd ◽  
James Robson

Abstract Between 2000 and 2013, over 8,000 students studied the module Reading Classical Latin at the Open University, the United Kingdom’s largest distance education provider. But while many learners attained high grades, a significant proportion withdrew from study or failed the module. In 2015, the original module was replaced with a completely new course, Classical Latin: The Language of Ancient Rome. This article details the innovative ways in which new technology and pedagogical theory from Modern Foreign Language (MFL) learning were drawn on by the team designing this new module, resulting in a learning experience which gives greater emphasis to elements such as spoken Latin, the intrinsic pleasure of reading, and cultural context. The (largely positive) effects of these pedagogical changes on student success and satisfaction are subsequently analysed using a rich mix of qualitative and quantitative data. Finally, the authors reflect on lessons learned and the possibilities for future research and enhancement.


SAGE Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 215824402110269
Author(s):  
Guangbao Fang ◽  
Philip Wing Keung Chan ◽  
Penelope Kalogeropoulos

Using data from the Teaching and Learning International Survey (TALIS; 2013), this article explores teachers’ needs, support, and barriers in their professional development. The research finds that Australian teachers expressed greater needs in information and communication technology (ICT) use and new technology training for teaching, while Shanghai teachers required more assistance to satisfy students’ individual learning and pedagogical competencies. More than 80% of Australian and Shanghai teachers received scheduled time to support their participation in professional development, whereas less than 20% of Australian and Shanghai teachers received monetary or nonmonetary support. In terms of barriers, Australian and Shanghai teachers reported two significant barriers that conflicted with their participation in professional development: “working schedule” and “a lack of incentives to take part.” This article reveals implications of the study in the design of an effective professional development program for Australian and Shanghai teachers and ends with discussing the limitations of the research and future research directions.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042547
Author(s):  
Atif Riaz ◽  
Olga Cambaco ◽  
Laura Elizabeth Ellington ◽  
Jennifer L Lenahan ◽  
Khatia Munguambe ◽  
...  

ObjectivesPaediatric pneumonia burden and mortality are highest in low-income and middle-income countries (LMIC). Paediatric lung ultrasound (LUS) has emerged as a promising diagnostic tool for pneumonia in LMIC. Despite a growing evidence base for LUS use in paediatric pneumonia diagnosis, little is known about its potential for successful implementation in LMIC. Our objectives were to evaluate the feasibility, usability and acceptability of LUS in the diagnosis of paediatric pneumonia.DesignProspective qualitative study using semistructured interviewsSettingTwo referral hospitals in Mozambique and PakistanParticipantsA total of 21 healthcare providers (HCPs) and 20 caregivers were enrolled.ResultsHCPs highlighted themes of limited resource availability for the feasibility of LUS implementation, including perceived high cost of equipment, maintenance demands, time constraints and limited trained staff. HCPs emphasised the importance of policymaker support and caregiver acceptance for long-term success. HCP perspectives of usability highlighted ease of use and integration into existing workflow. HCPs and caregivers had positive attitudes towards LUS with few exceptions. Both HCPs and caregivers emphasised the potential for rapid, improved diagnosis of paediatric respiratory conditions using LUS.ConclusionsThis was the first study to evaluate HCP and caregiver perspectives of paediatric LUS through qualitative analysis. Critical components impacting feasibility, usability and acceptability of LUS for paediatric pneumonia diagnosis in LMIC were identified for initial deployment. Future research should explore LUS sustainability, with a particular focus on quality control, device maintenance and functionality and adoption of the new technology within the health system. This study highlights the need to engage both users and recipients of new technology early in order to adapt future interventions to the local context for successful implementation.Trial registration numberNCT03187067.


Sexual Health ◽  
2016 ◽  
Vol 13 (5) ◽  
pp. 428 ◽  
Author(s):  
Justin R. Garcia ◽  
Amanda N. Gesselman ◽  
Shadia A. Siliman ◽  
Brea L. Perry ◽  
Kathryn Coe ◽  
...  

Background: The transmission of sexual images and messages via mobile phone or other electronic media (sexting) has been associated with a variety of mostly negative social and behavioural consequences. Research on sexting has focussed on youth, with limited data across demographics and with little known about the sharing of private sexual images and messages with third parties. Methods: The present study examines sexting attitudes and behaviours, including sending, receiving, and sharing of sexual messages and images, across gender, age, and sexual orientation. A total of 5805 single adults were included in the study (2830 women; 2975 men), ranging in age from 21 to 75+ years. Results: Overall, 21% of participants reported sending and 28% reported receiving sexually explicit text messages; both sending and receiving ‘sexts’ was most common among younger respondents. Although 73.2% of participants reported discomfort with unauthorised sharing of sexts beyond the intended recipient, of those who had received sext images, 22.9% reported sharing them with others (on average with 3.17 friends). Participants also reported concern about the potential consequences of sexting on their social lives, careers, and psychosocial wellbeing. Conclusion: Views on the impact of sexting on reputation suggest a contemporary struggle to reconcile digital eroticism with real-world consequences. These findings suggest a need for future research into negotiations of sexting motivations, risks, and rewards.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jingqin Su ◽  
Shuai Zhang ◽  
Huanhuan Ma

PurposeThe purpose of the study is to explore how technological capability and exogenous pressure interactively influence business model (BM) dynamics over time in new technology-based ventures.Design/methodology/approachThe study adopts a longitudinal case study of the BM innovations of a Chinese financial technology venture. The structural approach and temporal bracket are used to analyze and theorize the data.FindingsThe findings indicate that distinct contextual changes impel a firm to refine or abandon existing BMs over time. In different stages, the antecedents interactively influence BM dynamics with three successive patterns, namely pressure dominance, parallel influence and hybrid influence. While both antecedents trigger changes during the initiation and implementation of new BMs, they also serve as the filter and the enabler, respectively, during the ideation and integration of BMs.Research limitations/implicationsThe study inductively develops three propositions regarding the relationship between BM dynamics and its antecedents, which is based on the data collected from one single firm. Future research should test the propositions in other domains and take more cross-level antecedents into consideration.Originality/valueThe study contributes to the nascent research stream of BM dynamics by offering in-depth insights into the interaction of internal and external antecedents and by linking the differentiated roles of antecedents to the BM innovation process. The research offers some practical implications for new technology-based ventures seeking to develop BMs in a fast-changing environment.


2021 ◽  
Author(s):  
XIANGBO YIN ◽  
Christine Martineau ◽  
Isabelle Demers ◽  
Nathan Basiliko ◽  
Nicole J. Fenton

The development of rare earth element (REE) production in Canada could generate significant economic benefits, but also poses serious potential risks to the environment. Rare earth elements have been widely used in modern life and industries, and even are indispensable in some crucial advanced technologies (e.g. permanent magnets). Increasing demand and the context of current US-China trade tensions provide a commercial economic development opportunity for Canada, which has rich resources of REEs, to develop its own sector. However, environmental and health issues caused by REE production are challenges Canada has to face, given that significant environmental impacts have been reported elsewhere (e.g. China). Little literature is available on the potential environmental risks associated with the development of REE production in Canada. It is important to know what environmental issues, particularly those generated by REEs themselves, may happen in Canada in the future. Therefore, three major aspects are evaluated and summarized from multidisciplinary perspectives in this paper: 1) a general conceptual model of the transport of REEs as a group in the environment is established; 2) toxicity levels, biochemical mechanisms, and physiological effects of REEs on different organisms are reviewed, and case-studies from existing REE mining areas are briefly highlighted; and 3) considering specific environmental condition and risk factors, environmental risks Canada may face in future REE developments are identified and discussed. This review concludes with a macro-identification of potential environmental risks associated with the development of REE production in Canada considering both human and ecological health. We note that ingestion, inhalation and dermal exposure for workers and surrounding residents (including potentially indigenous communities), and sub-arctic/arctic climate conditions could increase the risks to human and ecological health in future REE production development in Canada. Finally, future research directions are proposed that could be applied to both Canadian and other geographical contexts.


2021 ◽  
Author(s):  
David Lanctin ◽  
Eliana Biundo ◽  
Marco Di Bacco ◽  
Sarah Rosemas ◽  
Emmanuelle Nicolle ◽  
...  

BACKGROUND The number of patients with cardiac implantable electronic devices (CIEDs) is growing, creating substantial workload for device clinics. OBJECTIVE This study aimed to characterize the workflow and quantify clinic staff time requirements to manage CIED patients. METHODS A time and motion workflow evaluation was performed in 11 US and European CIED clinics. Workflow tasks were repeatedly timed during one business week of observation at each clinic. Observations were inclusive of all device models/manufacturers present. Mean cumulative staff time required to review a Remote device transmission and for an In-person clinic visit were calculated, including all necessary clinical and administrative tasks. Annual staff time for follow-up of 1 CIED patient was modeled using CIED transmission volumes, clinical guidelines, and published literature. RESULTS A total of 276 in-person clinic visits and 2,173 remote monitoring activities were observed. Mean staff time required per remote transmission ranged from 9.4-13.5 minutes for therapeutic devices (pacemaker, ICD, CRT) and 11.3-12.9 mins for diagnostic devices (insertable cardiac monitors (ICMs)). Mean staff time per in-person visit ranged from 37.8-51.0 mins and 39.9-45.8 mins, for therapeutic devices and ICMs respectively. Including all remote and in-person follow-ups, the estimated annual time to manage one CIED patient ranged from 1.6-2.4 hours for therapeutic devices and 7.7-9.3 hours for ICMs. CONCLUSIONS CIED patient management workflow is complex and requires significant staff time. Understanding process steps and time requirements informs implementation of efficiency improvements, including remote solutions. Future research should examine the heterogeneity in patient management processes to identify the most efficient workflows.


2016 ◽  
Vol 73 (1) ◽  
Author(s):  
A. Corrado ◽  
T. Renda ◽  
S. Bertini

Long term oxygen therapy (LTOT) has been shown to improve the survival rate in Chronic Obstructive Pulmonary Disease (COPD) patients with severe resting hypoxemia by NOTT and MRC studies, published more than 25 years ago. The improved survival was found in patients who received oxygen for more than 15 hours/day. The effectiveness of LTOT has been documented only in stable COPD patients with severe chronic hypoxemia at rest (PaO255%. In fact no evidence supports the use of LTOT in COPD patients with moderate hypoxemia (55<PaO2<65 mmHg), and in those with decreased oxygen saturation (SO2<90%) during exercise or sleep. Furthermore, it is generally accepted without evidence that LTOT in clinical practice is warranted in other forms of chronic respiratory failure not due to COPD when arterial blood gas criteria match those established for COPD patients. The prescription of oxygen in these circumstances, as for unstable patients, increases the number of patients receiving supplemental oxygen and the related costs. Comorbidities are likely to affect both prognosis and health outcomes in COPD patients, but at the moment we do not know if LTOT in these patients with complex chronic diseases and mild-moderate hypoxemia could be of any use. For these reasons a critical revision of the actual guide lines indications for LTOT in order to optimise effectiveness and costs, and future research in the areas that have not previously been addressed by NOTT and MRC studies, are mandatory.


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