Neuroethics in the Era of Teleneurology

The accelerating integration of telehealth technologies in neurology practice has transformed traditional interactions between neurologists and patients, allied clinicians and society. Despite the immense promise of these technologies to improve systems of neurological care, the infusion of telehealth technologies into neurology practice introduces a host of unique ethical challenges. Proactive consideration of the ethical dimensions of teleneurology and of the impact of these innovations on the field of neurology more generally can help to ensure responsible development and deployment across stages of implementation. Toward these ends, this article explores key ethical dimensions of teleneurology practice and policy, presents a normative framework for their consideration, and calls attention to underexplored questions ripe for further study at this evolving nexus of teleneurology and neuroethics. To promote successful and ethically resilient development of teleneurology across diverse contexts, clinicians, organizational leaders, and information technology specialists should work closely with neuroethicists with the common goal of identifying and rigorously assessing the trajectories and potential limits of teleneurology systems.

Research on advanced technologies – design and development of cloud computing model

This article is a bibliographic review and focuses on a brief introduction to Cloud Computing as an innovative educational tool. Cloud technology is rapidly spreading in educational institutions, sometimes replacing the in-house infrastructure with cloud services. Education plays an important role in a country’s economy and today, the educational model in many countries has evolved with technology. Schools and universities in the world extensively use cloud Based Technology. Digital teaching – E-Learning and cloud-based technology are the latest models that have been widely adopted in the educational field. The identified trends in the use of cloud computing in education are clear, ranging from the design of cloud-oriented learning environments for future information technology specialists to the training of information technology specialists to enable them to obtain competencies in the use of cloud technologies. Cloud computing is a distributed computing paradigm, where, instead of acquiring information technology products, users access shared resources under various service models through a network, usually the Internet. The application of cloud computing is very broad and growing daily because of many advantages to the users, and is driven by the increasing use of various mobile devices (laptops, tablets and smartphones) and mobile Internet access being more available. The perspectives of its integration in the learning process are highlighted, as well as the factors that make its implementation difficult. Finally, some general conclusions presented on how technologies should be adopted to meet the educational needs of this new global challenge and some suggestions are made for more effective training through the Cloud Computing, as the need for further research emerges

Methods and problems of the nosological analysis of mortality in the period of COVID-19 pandemic

The article discusses different approaches to assessing mortality during the COVID-19 pandemic. The analysis of inter­national data shows that different countries use different approaches to assessing mortality from COVID-19 and the increase in mortality from all causes. The most probable reasons for the variability of the increase in mortality rates are the rate of spread of infection, the quality of isolation and quarantine measures, the commitment of the population to their implementation, the resource capacity of the healthcare system and the quality of medical care (both for the treatment of COVID-19 and other diseases), features of living conditions, socio-economic and political processes that are difficult to formalize (and therefore assess the contribution by methods of mathematical statistics). For a correct comparison of excess mortality rates, it will be necessary to calculate standardized indicators and compare data in five-year age groups.In 2021, serious problems should be expected with the comparison of mortality rates in different countries from individual causes. The methodology for recording deaths from COVID-19 and other causes is not uniform at the global level, prob­lems are associated with differences in approaches to determining the primary cause of death, difficulties in determining the cause of death if a patient has multimorbid pathology (especially without postmortem examination). A full-fledged analysis is possible only with transdisciplinary cooperation under the auspices of the WHO of doctors, mathematicians, economists, and information technology specialists.

Electronic clinical decision support for children with minor head trauma and intracranial injuries: a sociotechnical analysis

Background Current management of children with minor head trauma (MHT) and intracranial injuries is not evidence-based and may place some children at risk of harm. Evidence-based electronic clinical decision support (CDS) for management of these children may improve patient safety and decrease resource use. To guide these efforts, we evaluated the sociotechnical environment impacting the implementation of electronic CDS, including workflow and communication, institutional culture, and hardware and software infrastructure, among other factors. Methods Between March and May, 2020 semi-structured qualitative focus group interviews were conducted to identify sociotechnical influences on CDS implementation. Physicians from neurosurgery, emergency medicine, critical care, and pediatric general surgery were included, along with information technology specialists. Participants were recruited from nine health centers in the United States. Focus group transcripts were coded and analyzed using thematic analysis. The final themes were then cross-referenced with previously defined sociotechnical dimensions. Results We included 28 physicians and four information technology specialists in seven focus groups (median five participants per group). Five physicians were trainees and 10 had administrative leadership positions. Through inductive thematic analysis, we identified five primary themes: (1) clinical impact; (2) stakeholders and users; (3) tool content; (4) clinical practice integration; and (5) post-implementation evaluation measures. Participants generally supported using CDS to determine an appropriate level-of-care for these children. However, some had mixed feelings regarding how the tool could best be used by different specialties (e.g. use by neurosurgeons versus non-neurosurgeons). Feedback from the interviews helped refine the tool content and also highlighted potential technical and workflow barriers to address prior to implementation. Conclusions We identified key factors impacting the implementation of electronic CDS for children with MHT and intracranial injuries. These results have informed our implementation strategy and may also serve as a template for future efforts to implement health information technology in a multidisciplinary, emergency setting.

About the possibility of modifying the recipe of bread «fitness» buckwheat by using walnut flour

Walnut flour is considered by food technology specialists as a source of complete protein, lipids, carbohydrates, minerals, vitamins, etc. The purpose of the research is to study the possibility of using walnut flour in the “Fitness” buckwheat bread technology in order to expand the range and increase the nutritional density of bakery products. The objects of research were: baking wheat flour of the first grade; walnut flour; bakery mix “Fitness Mix” buckwheat; control samples of “Fitness” buckwheat bread; experiment No 1 – replacing 15 % of wheat flour with an identical amount of walnut flour; experiment No 2 – with the replacement of 15 % of wheat flour with walnut flour and the replacement of 2 % of the bakery mixture with a similar amount of wheat gluten; experiment No 3 – with the replacement of 15 % of wheat flour with walnut flour and replacement of 4 % of the bakery mixture with wheat gluten; experiment No 4 – with the replacement of 15 % of wheat flour with walnut flour and the replacement of 6 % of the bakery mixture with wheat gluten. The quality and chemical composition of wheat flour, walnut flour and a mixture of bakery buckwheat were investigated. The superiority of walnut flour over wheat raw materials in terms of a number of nutrients was revealed. The priority role of wheat flour in the formation of porosity and the formation of the specific volume of bread is determined. Modification of the “Fitness” buckwheat bread recipe was carried out.

Our Patch vs. Their Patch: Information Technology and Literacy in Schools

The information technology revolution is affecting schools on a broader basis than just libraries. Teachers, administrators and educational technology specialists are all espousing expanded roles to address the new opportunities with the result that responsibilities are beginning to overlap and roles are becoming blurred. In this paper the importance of defining a specific “patch” for the school librarian is stressed and criteria for the development of the “patch” are suggested.

The effectiveness of a training program using communicative theory in developing some concepts of Web 3 for educational technology specialists.

The aim of this research is to develop some concepts of web3 for the education technology specialist, to present a proposed training program for web3 technology, to define the concepts and technology of web3. There is a statistically significant difference at the level (0.05) between the average scores of education technology specialists in the pre and post applications to test the web3.0 concepts in favor of the post application. In light of the significance of the differences using the "T" tests, the square of ETA (2η) was calculated using the equation Eta square (2 η) to find the magnitude of the effect of the independent variable (training program) in the dependent variable (development of web3.0 concepts), and by calculating the value of the square of ETA (2)) (Al-Amiri, 2006, 233), reached (0.98), which indicates that the training program has a significant impact on the acquisition of some concepts of web3.0, where this value shows that the training program contributed (98%) of the total variance In developing these concepts,It is a large percentage indicating the effectiveness of the training program in developing web3.0 concepts for the target research sample, which is the education technology specialist (if the effect size = 0.2 is the effect is weak, and if the impact size = 0.5, the effect is moderate, and if the impact size is = 0.8 The effect is significant), (Asr, 2003). From the above it is clear that the training program contributed to the development of the targeted web3.0 concepts for education technology specialists, as it found a difference between the median of the pre and post applications to test the concepts of the web3.0 in favor of the post application at the research group, which averaged (51,85) compared to (16) , 75) for pre-application, with a large effect size of (0.98) according to the ETA square measure (2η) of the effect size.

Electronic Clinical Decision Support for Children with Minor Head Trauma and Intracranial Injuries: A Sociotechnical Analysis

Background: Current management of children with minor head trauma (MHT) and intracranial injuries is not evidence-based and may place some children at risk of harm. Evidence-based electronic clinical decision support (CDS) for management of these children may improve patient safety and decrease resource use. To guide these efforts, we evaluated the sociotechnical environment impacting the implementation of electronic CDS, including workflow and communication, institutional culture, and hardware and software infrastructure, among other factors. Methods: Between March and May, 2020 semi-structured qualitative focus group interviews were conducted to identify sociotechnical influences on CDS implementation. Physicians from neurosurgery, emergency medicine, critical care, and pediatric general surgery were included, along with information technology specialists. Participants were recruited from nine health centers in the United States. Focus group transcripts were coded and analyzed using thematic analysis. The final themes were then cross-referenced with previously defined sociotechnical dimensions.Results: We included 28 physicians and four information technology specialists in seven focus groups (median five participants per group). Five physicians were trainees and 10 had administrative leadership positions. Through inductive thematic analysis, we identified five primary themes: 1) clinical impact; 2) stakeholders and users; 3) tool content; 4) clinical practice integration; and 5) post-implementation evaluation measures. Participants generally supported using CDS to determine an appropriate level-of-care for these children. However, some had mixed feelings regarding how the tool could best be used by different specialties (e.g. use by neurosurgeons versus non-neurosurgeons). Feedback from the interviews helped refine the tool content and also highlighted potential technical and workflow barriers to address prior to implementation. Conclusions: We identified key factors impacting the implementation of electronic CDS for children with MHT and intracranial injuries. These results have informed our implementation strategy and may also serve as a template for future efforts to implement health information technology in a multidisciplinary, emergency setting.