While every health care system stakeholder would seem to be concerned with obtaining the greatest value from a given technology, there is often a disconnect in the perception of value between a technology’s promoters and those responsible for the ultimate decision as to whether or not to pay for it. Adopting an empirical ethics approach, this paper examines how five Canadian medical device manufacturers, via their websites, frame the corporate “value proposition” of their innovation and seek to respond (...) to what they consider the key expectations of their customers. Our analysis shows that the manufacturers’ framing strategies combine claims that relate to valuable socio-technical goals and features such as prevention, efficiency, sense of security, real-time feedback, ease of use and flexibility, all elements that likely resonate with a large spectrum of health care system stakeholders. The websites do not describe, however, how the innovations may impact health care delivery and tend to obfuscate the decisional trade-offs these innovations represent from a health care system perspective. Such framing strategies, we argue, tend to bolster physicians’ and patients’ expectations and provide a large set of stakeholders with powerful rhetorical tools that may influence the health policy arena. Because these strategies are difficult to counter given the paucity of evidence and its limited use in policymaking, establishing sound collective health care priorities will require solid critiques of how certain kinds of medical devices may provide a better (i.e., more valuable) response to health care needs when compared to others. (shrink)

The World’s Leading Research and Development Institutions and Companies -/- Introduction -/- Research and Development (R&D) is the backbone of global innovation, driving technological progress, economic growth, and scientific discoveries. Across the world, top institutions and corporations invest billions of dollars into R&D to push the boundaries of human knowledge and create groundbreaking technologies. This essay explores the most influential research institutions and companies shaping the future through their contributions in science, engineering, medicine, and technology. -/- The Role of Research (...) Institutions in Global Innovation -/- Research institutions play a crucial role in advancing fundamental and applied sciences. Many of these institutions are publicly funded universities and government research agencies that focus on a wide range of disciplines, from medicine and engineering to artificial intelligence and space exploration. -/- 1. Leading Research Institutions -/- Some of the most prestigious research institutions include: -/- National Institutes of Health (NIH) – USA: The primary agency of the U.S. government responsible for biomedical and public health research. -/- National Aeronautics and Space Administration (NASA) – USA: A global leader in aerospace and space exploration, NASA continues to innovate in space technology and planetary science. -/- Centre National de la Recherche Scientifique (CNRS) – France: The largest governmental research organization in France, covering all scientific disciplines. -/- Max Planck Society – Germany: A network of research institutes in Germany, known for excellence in science and technology. -/- Chinese Academy of Sciences (CAS) – China: China’s premier research institution focuses on science and technology innovation across various fields. -/- Harvard University – USA: Leads in biomedical research, social sciences, and humanities. -/- Massachusetts Institute of Technology (MIT) – USA: At the forefront of engineering, robotics, artificial intelligence, and quantum computing research. -/- Stanford University – USA: Known for its deep ties to Silicon Valley, Stanford plays a key role in tech innovation. -/- University of Oxford & University of Cambridge – UK: Both institutions are among the oldest and most respected in the world, conducting high-impact research in medicine, engineering, and the humanities. -/- Swiss Federal Institute of Technology Zurich (ETH Zurich) – Switzerland: Excels in engineering and natural sciences research. -/- University of Tokyo – Japan: Japan’s leading university, known for its research in science and technology. -/- California Institute of Technology (Caltech) – USA: A leader in space science and physics. -/- Imperial College London – UK: Specializes in engineering, medical, and business research. -/- University of Toronto – Canada: A top institution in AI, robotics, and engineering. -/- 2. Engineering and Technology Research Leaders -/- Engineering research institutions contribute to infrastructure, automation, and digital transformation. Some of the most prominent ones include: -/- University of California, Berkeley – USA: Known for its research in engineering, computer science, and environmental science. -/- University of Pennsylvania – USA: Invests in innovative engineering projects. -/- University of Michigan – USA: Known for technological advancements in multiple fields. -/- Swiss Federal Institute of Technology Lausanne (EPFL) – Switzerland: Excels in engineering and digital research. -/- Tsinghua University – China: A leader in AI, renewable energy, and industrial automation research. -/- The Role of Private Companies in Research and Development -/- Private corporations play a major role in R&D, investing heavily in emerging technologies, pharmaceuticals, consumer electronics, and industrial innovations. Many of the world’s biggest companies spend billions to maintain leadership in their respective fields. -/- 1. Leading Technology Companies in R&D -/- Amazon ($73.2B in R&D spending, 2022): Focuses on cloud computing, AI, logistics, and automation. -/- Alphabet (Google) ($39.5B in R&D, 2022): Invests in AI, quantum computing, and search algorithms. -/- Meta (Facebook) ($35.3B in R&D, 2022): Focuses on AI, VR, and the Metaverse. -/- Apple ($27.7B in R&D, 2022): Leads in consumer electronics and semiconductor technology. -/- Microsoft ($26.6B in R&D, 2022): Invests in AI, cloud computing, and software innovation. -/- 2. Engineering and Industrial Companies in R&D -/- Volkswagen ($19.88B in R&D, 2022): A leader in automotive engineering and electric vehicles. -/- Samsung ($19.29B in R&D, 2022): Develops advanced semiconductors and electronics. -/- Intel ($17.53B in R&D, 2022): Focuses on microprocessors and AI hardware. -/- Huawei ($24B in R&D, 2022): Leads in telecommunications and 5G development. -/- Siemens – Germany: A global leader in industrial automation, medical technology, and smart infrastructure. -/- Nokia – Finland: Focuses on telecommunications infrastructure and technology development. -/- Sony – Japan: Invests in consumer electronics, gaming, and entertainment technologies. -/- Boeing – USA: Develops aerospace technology, defense systems, and commercial aircraft innovations. -/- General Electric (GE) – USA: Focuses on energy, aviation, and industrial automation R&D. -/- 3. Pharmaceutical and Biotech Research Leaders -/- Roche ($14.72B in R&D, 2022): A leading pharmaceutical company specializing in diagnostics and biotech innovations. -/- Pfizer: Known for vaccine development, including the COVID-19 vaccine. -/- Moderna: A pioneer in mRNA technology for medical treatments. -/- Johnson & Johnson: Invests heavily in medical devices and pharmaceuticals. -/- Bristol-Myers Squibb – USA: Focuses on biopharmaceutical research, including immunology and oncology. -/- AstraZeneca – UK/Sweden: Invests in pharmaceutical research, particularly in oncology and cardiovascular diseases. -/- The Impact of R&D on Society and the Future -/- The advancements driven by R&D have a profound impact on global society. Some of the most significant areas of innovation include: -/- Healthcare: Research in biotechnology, gene therapy, and medical AI is revolutionizing healthcare, leading to personalized medicine and new treatments for previously incurable diseases. -/- Artificial Intelligence: AI research in institutions and companies is driving automation, machine learning, and deep learning applications. -/- Sustainable Energy: Engineering research is focusing on renewable energy, electric vehicles, and smart grid technologies to combat climate change. -/- Space Exploration: Organizations like NASA, SpaceX, and ESA are expanding human exploration beyond Earth. -/- Telecommunications: Companies like Huawei, Nokia, and Qualcomm are leading the development of 5G and future wireless communication technologies. -/- Automotive Industry: Electric vehicles, hydrogen fuel cells, and autonomous driving are key research areas for companies like Tesla, Volkswagen, and Toyota. -/- Conclusion -/- The world’s leading R&D institutions and companies are shaping the future through their groundbreaking work in science, engineering, medicine, and technology. Universities and research centers provide the foundation for discovery, while corporations drive commercial applications of these innovations. As investments in R&D continue to grow, humanity will witness even greater advancements in fields such as artificial intelligence, biotechnology, and space exploration, ultimately improving lives and pushing the boundaries of what is possible. -/- . (shrink)

Nanoparticles can also be used as catalysts due to their high surface area. Of course, catalytic properties also occur in certain dimensions like magnetic properties. In other words, nanoparticles usually have catalytic properties if their specific surface is between 100 and 400 square meters per gram. Therefore, among nanoparticles with a specific volume, a nanoparticle with a larger surface area shows better catalytic properties. An example of nanoparticles that act as catalysts where various substances are placed on their surface and (...) chemical reactions are carried out. Apart from the mentioned cases, nanoparticles have many other applications in various medical industries (drug delivery, etc.), automobiles (anti-fogging windows, lightening the body, strengthening tires), electronics (making transistors), etc. The strength of carbon-carbon bonds gives carbon nanotubes amazing electronic properties. No previous material exhibits the extraordinary combination of mechanical, thermal and electronic properties attributed to them . However, their conductivity is what sets them apart. Multi-layered carbon nanotubes are the strongest materials that mankind has discovered so far in terms of electronic conductivity. The highest tensile strength or breaking strain for a carbon nanotube was up to 63 GPa, which is about 50 times more than the strongest conductors. Even the weakest types of multi-layered carbon nanotubes have multifold power in electronic conduction. These properties, along with the lightness of carbon nanotubes, give them great potential in applications such as aerospace. The electronic properties of the wall of carbon nanotubes are also extraordinary. It has high electrical conductivity (comparable to copper). It is particularly noteworthy that nanotubes can be metallic or semiconducting. The rolling action breaks the symmetry of the planar system and imposes a specific direction with respect to the hexagonal grid and the axial direction. Depending on the relationship between these axial directions and the unit vectors that describe the hexagonal lattice, nanotubes may behave electrically like metals or semiconductors , with some nanotubes having higher conductivity than copper, while Others behave more like silicon . And there are possibilities of making nano electronic devices from multi-layer nanotubes of CNTs. (shrink)

Care is more than dispensing pills or cleaning beds. It is about responding to the entire patient. What is called “bedside manner” in medical personnel is a quality of treating the patient not as a mechanism but as a being—much like the caregiver—with desires, ideas, dreams, aspirations, and the gamut of mental and emotional character. As automata, answering an increasing functional need in care, are designed to enact care, the pressure is on their becoming more humanlike to carry out (...) the function more effectively. The question becomes not merely whether the care automaton can effect good bedside manner but whether the patient’s response is not feeling deceived by the humanlikeness. It seems the device must be designed either to effect explicit mere human-“likeness,” thus likely undermining its bedside-manner potential, or to fool the patient completely. Neither option is attractive. This article examines the social problems of designing maximally humanlike care automata and how problems may start to erode the human rights of users/patients. The article then investigates the alternatives for dealing with this problem, whether by industrial and professional self-regulation or public-policy initiatives. It then frames the problem in the broader historical perspective in terms of previous bans, moratoria, and other means of control of hazardous and potentially rights-violating techniques and materials. (shrink)

The Internet of Things (IoT) wireless LAN in healthcare has moved away from traditional methods that include hospital visits and continuous monitoring. The Internet of Things allows the use of certain means, including the detection, processing and transmission of physical and biomedical parameters. With powerful algorithms and intelligent systems, it will be available to provide unprecedented levels of critical data for real-time life that are collected and analyzed to guide people in research, management and emergency care. This chapter provides a (...) quick overview of IoT features and how they relate to wireless discovery and technology to deploy the medical applications you need. In the world, the revolution in any industry is to connect your products and devices to the Internet and make them independent and remotely connected, so that anyone can use and view them from anywhere and anytime. The Internet of Things provides us with a home automation system that uses smart devices to overcome this obstacle, allowing us to easily manage our appliances. A smart city is a vision to integrate a variety of information and communication solutions for residents with essential services, such as smart parking on all streets. The main motivation for using the Internet for parking objects is simply collecting data to get free parking. The IoT-based RTSSPS architecture is divided into three parts: a WSN-based smart street parking module, an IoT-based smart street parking module, and an IoT-based smart street parking module. IoT-based cloud with street parking algorithm, rating and future directions. (shrink)

Initially the problems of data integration, for example in the field of medicine, were resolved in case by case fashion. Pairs of databases were cross-calibrated by hand, rather as if one were translating from French into Hebrew. As the numbers and complexity of database systems increased, the idea arose of streamlining these efforts by constructing one single benchmark taxonomy, as it were a central switchboard, into which all of the various classification systems would need to be translated only once. By (...) serving as a lingua franca for database integration this benchmark taxonomy would ensure that all databases calibrated in its terms would be automatically compatible with each other. We describe one strategy for creating such a lingua franca, in which philosophical ontology plays a central role. (shrink)

It is well-known that racism is encoded into the social practices and institutions of medicine. Less well-known is that racism is encoded into the material artifacts of medicine. We argue that many medical devices are not merely biased, but materialize oppression. An oppressive device exhibits a harmful bias that reflects and perpetuates unjust power relations. Using pulse oximeters and spirometers as case studies, we show how medical devices can materialize oppression along various axes of social difference, including (...) race, gender, class, and ability. Our account uses political philosophy and cognitive science to give a theoretical basis for understanding materialized oppression, explaining how artifacts encode and carry oppressive ideas from the past to the present and future. Oppressive medical devices present a moral aggregation problem. To remedy this problem, we suggest redundantly layered solutions that are coordinated to disrupt reciprocal causal connections between the attitudes, practices, and artifacts of oppressive systems. (shrink)

Background: Liver cancer is one of the malignant tumors worldwide, while the prevention and control situation is grim at present, and the diffusion of its early screening technology still faces some challenges. This study aims to investigate the influencing mechanism of perceived ease of use, organizational support mechanism, and industry competitive pressure on hepatic early screening technologies use by physicians, so as to promote the wider use of corresponding technologies. -/- Methods: Under the theoretical guidance of technology-organization-environment framework and (...) mindsponge theory, this study took hepatic contrast-enhanced ultrasound as an example, and conducted a cross-sectional questionnaire by randomly selecting physicians from Fujian and Jiangxi provinces in China with a high and low incidence of liver cancer, respectively. Structural equation modeling was used to determine the correlation among perceived ease of use, organizational support mechanism, and industry competitive pressure, as well as their impact on the physicians’ behavior toward contrast-enhanced ultrasound use. -/- Results: The hypothesis model fits well with the data (χ2/df = 1.863, GFI = 0.937, AGFI = 0.908, RMSEA = 0.054, NFI = 0.959, IFI = 0.980, CFI = 0.980). Under technology-organization-environment framework, the perceived ease of use (β = 0.171, p < 0.05), organizational support mechanism (β = 0.423, p < 0.01), industry competitive pressure (β = 0.159, p < 0.05) significantly influenced physicians’ use of hepatic contrast-enhanced ultrasound. Besides, perceived ease of use and organizational support mechanism (β = 0.216, p < 0.01), perceived ease of use and industry competitive pressure (β = 0.671, p < 0.01), organizational support mechanism and industry competitive pressure (β = 0.330, p < 0.01) were all associated significantly. -/- Conclusion: From the lens of information processing (mindsponge theory) and technology-organization-environment framework, this study clarified the social and psychological influencing mechanism of perceived ease of use, organizational support mechanism, and industry competitive pressure on physicians’ use of hepatic contrast-enhanced ultrasound. The results will directly propose recommendations for expanding hepatic contrast-enhanced ultrasound utilization and indirectly promoting other appropriate and effective health technologies diffusion within the integrated health system. (shrink)

Despite the recent advances in information and communication technology that have increased our ability to store and circulate information, the task of ensuring that the right sorts of information gets to the right sorts of people remains. We argue that the many efforts underway to develop efficient means for sharing information across healthcare systems and organizations would benefit from a careful analysis of human action in healthcare organizations. This in turn requires that the management of information and knowledge within healthcare (...) organizations be combined with models of resources and processes of patient care that are based on a general ontology of social interaction. The Health Level 7 (HL7) is one of several ANSI-accredited Standards Developing Organizations operating in the healthcare arena. HL7 has advanced a widely used messaging standard that enables healthcare applications to exchange clinical and administrative data in digital form. HL7 focuses on the interface requirements of the entire healthcare system and not exclusively on the requirements of one area of healthcare such as pharmacy, medical devices, imaging or insurance transactions. This has inspired the development of a powerful abstract model of patient care called the Reference Information Model (RIM). The present paper begins with an overview of the core classes of the HL7 (Version 3) RIM and a brief discussion of its “actcentered” view of healthcare. Central to this account is what is called the life cycle of events. A clinical action may progress from defined, through planned and ordered, to executed. These modalities of an action are represented as the mood of the act. We then outline the basis of an ontology of organizations, starting from the theory of speech Acts, and apply this ontology to the HL7 RIM. Special attention is given to the sorts of preconditions that must be satisfied for the successful performance of a speech act and to the sorts of entities to which speech acts give rise (e.g. obligations, claims, commitments, etc.). Finally we draw conclusions for the efficient communication and management of medical information and knowledge within and between healthcare organizations, paying special attention to the role that medical documents play in such organizations. (shrink)

The current debate on closed-loop brain devices (CBDs) focuses on their use in a medical context; possible criminal justice applications have not received scholarly attention. Unlike in medicine, in criminal justice, CBDs might be offered on behalf of the State and for the purpose of protecting security, rather than realising healthcare aims. It would be possible to deploy CBDs in the rehabilitation of convicted offenders, similarly to the much-debated possibility of employing other brain interventions in this context. Although such (...) use of CBDs could in principle be consensual, there are significant differences between the choice faced by a criminal offender offered a CBD in the context of criminal justice, and that faced by a patient offered a CBD in an ordinary healthcare context. Employment of CBDs in criminal justice thus raises ethical and legal intricacies not raised by healthcare applications. This paper examines some of these issues under three heads: autonomy, human rights, and accountability. (shrink)

The rapid advancement of artificial (computer) intelligence systems (CIS) has generated a means whereby assistive bionic prosthetics can become both more effective and practical for the patients who rely upon the use of such machines in their daily lives. However, de lege lata remains relatively unspoken as to the legal status of patients whose devices contain self-learning CIS that can interface directly with the peripheral nervous system. As a means to reconcile for this lack of legal foresight, this article approaches (...) the topic of CIS-nervous system interaction and the impacts it may have on the legal definition of “persons” under the law. While other literature of this nature centres upon notions of transhumanism or self-enhancement, the approach herein approached is designed to focus solely upon the legal nature of independent CIS actions when operating alongside human subjects. To this end, it is hoped that further discussion on the topic can be garnered outside of transhumanist discourse to expedite legal consideration for how these emerging relationships ought to be received by law-generating bodies internationally. (shrink)

Over the last few years, personal health monitoring wearable devices have emerged as innovative applications of Artificial Intelligence (AI) in the healthcare industry as they help in real time analysis and prediction of health standardized check-ups and health management. To navigate through the current trends, new technologies and developments, the prospects are as follows: The article also gives a logical look at the state of the art of such devices, enumerating the advantages and drawbacks, as well as outlining the (...) main ethical issues. In terms of method, it also discusses different AI approaches, data acquisition procedures, and those integrating systems used in the context of health monitoring. The finding and implication section discusses the findings of the current trend and the possibility of improvement in application and user acceptance. The last section provides a prognosis on what the area of personal health monitoring might look like in the future, as well as the position of AI in the optimisation of patient experience. (shrink)

The integration of Internet Protocol and Embedded Systems can enhance the communication platform. This paper describes the emerging smart technologies based on Internet of Things (IOT) and internet protocols along with embedded systems for monitoring and controlling smart devices with the help of WiFi technology and web applications. The internet protocol (IP) address has been assigned to the things to control and operate the devices via remote network that facilitates the interoperability and end-to-end communication among various devices c,onnected over a (...) network. The HTTP POST and HTTP GET command that supports the RESTful service have been used to ensure the transmission and reception of packets between the IOT Gateway and Cloud Database. The emerging smart technologies based on the Internet of Things (IoT) facilitated features like automation, controllability, interconnectivity, reliability which in turn turn paved the way for a wide range of acceptance amongst the masses. The Internet of Things (IoT) has brought in many new emerging technologies into varoius field like our daily lives, industry, agricultural sector, and many more. The world is experiencing the explosive growth with the advent of Internet of Things (IoT) these years. The potential growth of IoT is enoromous which is evidenced by all the human beings in our day to day life. (shrink)

Newton’s impact on Enlightenment natural philosophy has been studied at great length, in its experimental, methodological and ideological ramifications. One aspect that has received fairly little attention is the role Newtonian “analogies” played in the formulation of new conceptual schemes in physiology, medicine, and life science as a whole. So-called ‘medical Newtonians’ like Pitcairne and Keill have been studied; but they were engaged in a more literal project of directly transposing, or seeking to transpose, Newtonian laws into quantitative models (...) of the body. I am interested here in something different: neither the metaphysical reading of Newton, nor direct empirical transpositions, but rather, a more heuristic, empiricist construction of Newtonian analogies. Figures such as Haller, Barthez, and Blumenbach constructed analogies between the method of celestial mechanics and the method of physiology. In celestial mechanics, they held, an unknown entity such as gravity is posited and used to mathematically link sets of determinate physical phenomena (e.g., the phases of the moon and tides). This process allows one to remain agnostic about the ontological status of the unknown entity, as long as the two linked sets of phenomena are represented adequately. Haller et. al. held that the Newtonian physician and physiologist can similarly posit an unknown called ‘life’ and use it to link various other phenomena, from digestion to sensation and the functioning of the glands. These phenomena consequently appear as interconnected, goal-oriented processes which do not exist either in an inanimate mechanism or in a corpse. In keeping with the empiricist roots of the analogy, however, no ontological claims are made about the nature of this vital principle, and no attempts are made to directly causally connect such a principle and observable phenomena. The role of the “Newtonian analogy” thus brings together diverse schools of thought, and cuts across a surprising variety of programs, models and practices in natural philosophy. (shrink)

The production of scientific instruments in America was neither a postwar phenomenon nor dramatically different from that of several other developed countries. It did, however, undergo a step-change in direction, size and style during and after the war. The American scientific instrument industry after 1945 was intimately dependent on, and shaped by, prior American and European experience. This was true of the specific genres of instrument produced commercially; to links between industry and science; and, just as importantly, to (...) manufacturing practices and cultures. I will argue that, despite the new types of instrument commercialized after the war, this historical continuity of links with science and scientists guided and constrained the design and manufacture of these products. Nevertheless, new designers, manufacturers and customers gradually transformed the culture of scientific instruments in the second half of the century. -/- This chapter deals with a subset of the American instrument industry, namely the measuring and monitoring instruments manufactured for scientific use. Even with the specification of ‘scientific’ instruments, however, these borders are rather artificial and unclear: instrument making from the seventeenth through the twentieth century has generally involved the fabrication of both standard products and custom-made devices for scientific use.2 In this context of sales quantities, ‘scientific’ instruments have often been defined as low-volume, special-order or custom devices. In a similar vein, ‘scientific’ instruments were commonly distinguished from ‘production’ instruments by context of usage, namely their very absence from – and indeed irrelevance to – production environments. This demarcation according to customer and environment was mirrored in at least one furth er respect: the training of their users. The classification into ‘scientific’ and ‘engineering’ applications was as fluid as the relationship between American universities and technical industries themselves.Despite these complementary definitions, the notion of the ‘scientific instrument’ was beginning to prove inadequate even at the turn of the twentieth century, and dramatically so when discussing the post-Second World War period. Definitions altered qualitatively after the Second World War in at least three further ways: (a) new genres of device altered the scope of the scientific instrument; (b) the contribution of State and military sponsorship of new forms of instrument became significant; and, (c) the postwar demand for specialist instruments increased rapidly, owing to wartime innovation, new applications and new customers. I will explore the evolution of instrument manufacturing in this changing context of new technology, funding, development and markets. (shrink)

Introduction. The medical sphere is constantly evolving, requiring improved approaches to its organisation and functioning. Advances in medical technology, observable changes in patient needs and growing competition challenge medical institutions to improve their strategies and approaches. Marketing technologies are becoming one of the key tools for achieving strategic goals. Purpose. This article is aimed at studying the peculiarities of the use of marketing technologies in the medical field. The main purpose of the study is to analyse (...) the impact of marketing tools on the development and success of medical institutions. Method (methodology). The methodological approach involves the use of an analytical approach to studying current trends in marketing and their impact on the healthcare sector. The study uses methods of data analysis and comparative analysis of marketing practices in medical institutions. Results. The study found that the use of targeted marketing strategies allows healthcare facilities to attract more patients, increase customer satisfaction and ensure an excellent reputation. The results of the study show a positive impact of the use of marketing tools on changing the perception of medical services by patients. Conclusions. The scope of application of the results is the practical activities of medical institutions seeking to improve their strategy of promotion and interaction with customers. The findings of the study can be used by marketers and managers of healthcare organisations to develop and implement effective marketing strategies. In summary, this article reveals the importance of using marketing technologies in the healthcare sector and provides practical recommendations for their successful implementation. The study emphasises that marketing in the healthcare industry is necessary to increase competitiveness and ensure quality medical care. (shrink)

The Internet of Things (IoT) is transforming industries by enabling devices to gather and share data. However, IoT devices often face limitations in processing power, storage, and energy consumption, restricting their ability to make complex decisions in real time. To address these challenges, cloud-assisted edge AI combines the advantages of edge computing and cloud-powered machine learning models, enabling IoT devices to make intelligent decisions at the edge while leveraging cloud resources for more complex processing tasks. This paper explores the integration (...) of edge AI with cloud assistance, demonstrating how this hybrid approach enhances decision-making capabilities in IoT devices. The paper examines key concepts, the architecture of cloud-assisted edge AI systems, application areas, and the benefits of combining edge and cloud computing. Furthermore, challenges such as latency, data privacy, and integration issues are discussed, alongside future directions for this technology in IoT applications. (shrink)

A background assumption of this paper is that the repertoire of inference schemes available to humanity is not fixed, but subject to change as new schemes are invented or refined and as old ones are obsolesced or abandoned. This is particularly visible in areas like health and environmental sciences, where enormous societal investment has been made in finding ways to reach more dependable conclusions. Computational modeling of argumentation, at least for the discourse in expert fields, will require the possibility of (...) modeling change in a stock of schemes that may be applied to generate conclusions from data. We examine Randomized Clinical Trial, an inference scheme established within medical science in the mid-20th Century, and show that its successful defense by means of practical reasoning allowed for its black-boxing as an inference scheme that generates (and warrants belief in) conclusions about the effects of medical treatments. Modeling the use of a scheme is well-understood; here we focus on modeling how the scheme comes to be established so that it is available for use. (shrink)

This article suggests different approaches to the definition of the nature, types, and component elements of safety culture (SC) in the organization; given the possible method of evaluation; formulated the concept of professional safety culture by taking into account the features of the medical industry; suggested innovative ways to implement the SC and strengthen it to improve the efficiency of hospitals. -/- Запропоновано окремі підходи до трактування сутності, видів і складових елементів культури безпеки (КБ) в організації; надано можливий (...) метод оцінки; сформульовано поняття професійної культури безпеки з урахуванням особливостей медичної галузі; запропоновано інноваційні шляхи впровадження КБ і її зміцнення для підвищення ефективності діяльності медичного закладу. (shrink)

The moral justification of intellectual property is often called into question when placed in the context of pharmaceutical patents and global health concerns. The theoretical accounts of both John Rawls and Robert Nozick provide an excellent ethical framework from which such questions can be clarified. While Nozick upholds an individuals right to intellectual property, based upon its conformation with Lockean notions of property and Nozicks ideas of just acquisition and transfer, Rawls emphasizes the importance of basic liberties, such as an (...) individuals right to health, superceding such secondary rights as intellectual property rights. From a policy perspective, patent protection for pharmaceutical products necessarily entails the balancing of corporate intellectual property interests and public interests in healthcare. The moral dilemma that occurs when these two interests clash is not easily resolved. Aside from corporate and public interests, the state maintains an interest in creating and preserving policies that regulate the moral dilemma itself. This paper analyzes the economic and ethical factors surrounding the production and distribution of the anti-HIV medication, AZT. Potential policy implications and recommendations are also discussed. (shrink)

Medicines and medical devices containing animal-derived ingredients are frequently used on patients without their informed consent, despite a significant proportion of patients wanting to know if an animal-derived product is going to be used in their care. Here, I outline three arguments for why this practice is wrong. First, I argue that using animal-derived medical products on patients without their informed consent undermines respect for their autonomy. Second, it risks causing nontrivial psychological harm. Third, it is morally inconsistent (...) to respect patients’ dietary preferences and then use animal-derived medicines or medical devices on them without their informed consent. I then address several anticipated objections and conclude that the continued failure to address this issue is an ethical blind spot that warrants applying the principles of respect for autonomy and informed consent consistently. There are no data in this work. (shrink)

We introduce the Vital Sign Ontology (VSO), an extension of the Ontology for General Medical Science (OGMS) that covers the consensus human vital signs: blood pressure, body temperature, respiratory rate, and pulse rate. VSO provides a controlled structured vocabulary for describing vital sign measurement data, the processes of measuring vital signs, and the anatomical entities participating in such measurements. VSO is implemented in OWL-DL and follows OBO Foundry guidelines and best practices. If properly developed and extended, we believe the (...) VSO will find applications for the EMR, clinical informatics, and medical device communities. (shrink)

The rapid advancement of digital health innovation, including Artificial Intelligence (AI), is transforming healthcare. The growing role the European Union (EU) plays in regulating the use of AI in healthcare renders national laws insufficient to safeguard patients from unique AIrelated risks. This underscores the urgent need for the recognition of a canon of patients' rights in the scope of EU law. This paper proposes the blueprint for an EU Charter for Digital Patients' Rights, consolidating and adapting existing rights for patients (...) to address these specific challenges. Traditional patients' rights such as the right to privacy and the right to informed consent are interpreted in light of the challenges posed by AI. It also proposes novel rights for patients, such as the right not to be subject to automated medical decision-making and the right to meaningful human contact. This paper highlights the EU's central role in protecting patients' rights and outlines strategies for effective implementation. This comprehensive approach aims to address the current shortcomings and enhance the legal framework governing digital health in Europe. (shrink)

Liao and Carbonell argue that medical devices are often not merely biased, but rather materialize oppression through the perpetuation of oppression into the present and future (Liao and Carbonell 2...

Abstract: The study aimed to determine the strategic flexibility and its relationship to the level of quality of services provided, from the viewpoint of the internal beneficiary in non-governmental hospitals in Gaza Strip. The study relied on the descriptive and analytical approach, and the questionnaire was designed as a tool to collect data and consisted of (39) items, and the researchers used the comprehensive survey method, and the number of the study population was (536) individuals, where (434) questionnaires were retrieved, (...) and the recovery rate was (80.97%). The study revealed many results, the most important of which were: the existence of a moderate degree of approval by the study sample individuals on strategic flexibility, as it was evident through the area of strategic flexibility as a whole having a relative weight (60.44%). The study is on the quality of services, as it became clear through the field of service quality obtaining a relative weight (79.90%). The results of the study revealed a statistically significant relationship between strategic flexibility and the quality of services in non-governmental hospitals in Gaza Strip, with a correlation coefficient of 0.490. The study reached many recommendations, the most important of which were: the need to work on appointing young people and those with potentials, because jobs are vacant in the hospitals under study, and the need to seek the help of an administrative staff with scientific and practical qualifications, and to work on updating information systems, archiving and networks through which data and information are transferred between departments And the creation of mechanisms by which stored information can be used to enhance the decision-making process, and an effective system to receive patients' complaints in a manner that ensures rapid response and treatment, to achieve continuous communication between patients and the hospital management, and to notify patients of dealing with the complaints they submit, and work to provide all Medical and health specialties in the hospitals under study, by making use of the medical delegations that visit Gaza Strip, involving them in the treatment processes, bringing in doctors and specialists from abroad, updating the standards related to measuring the services provided to patients on an ongoing basis, based on the suggestions and complaints of patients, and developing facilities in hospitals As well as updating the medical devices and equipment used in hospitals periodically. (shrink)

The conjunction of wireless computing, ubiquitous Internet access, and the miniaturisation of sensors have opened the door for technological applications that can monitor health and well-being outside of formal healthcare systems. The health-related Internet of Things (H-IoT) increasingly plays a key role in health management by providing real-time tele-monitoring of patients, testing of treatments, actuation of medical devices, and fitness and well-being monitoring. Given its numerous applications and proposed benefits, adoption by medical and social care institutions and consumers (...) may be rapid. However, a host of ethical concerns are also raised that must be addressed. The inherent sensitivity of health-related data being generated and latent risks of Internet-enabled devices pose serious challenges. Users, already in a vulnerable position as patients, face a seemingly impossible task to retain control over their data due to the scale, scope and complexity of systems that create, aggregate, and analyse personal health data. In response, the H-IoT must be designed to be technologically robust and scientifically reliable, while also remaining ethically responsible, trustworthy, and respectful of user rights and interests. To assist developers of the H-IoT, this paper describes nine principles and nine guidelines for ethical design of H-IoT devices and data protocols. (shrink)

Animal research has long been a source of biomedical aspirations and moral concern. Examples of both hope and concern are abundant today. In recent months, as is common practice, monkeys have served as test subjects in promising preclinical trials for an Ebola vaccine or treatment 1 , 2 , 3 and in controversial maternal deprivation studies. 4 The unresolved tension between the noble aspirations of animal research and the ethical controversies it often generates motivates the present issue of the Cambridge (...) Quarterly of Healthcare Ethics. As editors of this special section, we hope that these original and timely articles will push the professional discussion of animal research ethics in a positive direction that will benefi t research scientists and others interested in moral problems in animal research. We also look forward to a day when animal research will genuinely meet both appropriate scientifi c and appropriate ethical criteria—criteria that themselves can be improved by critical scrutiny. Animal research—that is, the use of live animals as experimental subjects in biomedical and behavioral fi elds of learning—has been deeply entrenched for well over half a century. One signal development was the enactment in the late 1930s of federal product safety legislation in the United States and other nations that required animal testing of food, drugs, and medical devices prior to use by human subjects or consumers. 5 Another development was the publication of codes of research ethics that called for animal research prior to human research. The Nuremberg Code, published by an American military tribunal in 1947–48 after scrutiny of Nazi medical atrocities, stated that experiments involving the use of human subjects should be " based on the results of animal experimentation. " 6 The Declaration of Helsinki, fi rst published in 1964, reaffi rmed this assumption and added, rather imprecisely, that " the welfare of animals used for research must be respected. " 7 Against the background of such statements, the institutionalization and widespread acceptance of animal research in the twentieth century rested on two basic assumptions, one factual and one moral. The factual assumption was that animal research is suffi ciently reliable as a basis for predicting the effects of drugs, products, and other materials on human beings that animal trials can be expected to yield signifi cant scientifi c conclusions and medical benefi ts to humanity. (shrink)

The study aimed at identifying responsive flexibility and its role in improving service quality, from the point of view of the internal beneficiary in non-governmental hospitals in Gaza Strip. The study relied on the descriptive and analytical approach, and the questionnaire was designed as a tool to collect data, and the researchers used the comprehensive survey method, and the number of the study population was (536) single, where (434) questionnaires were retrieved, and the recovery rate was (80.97%). The study showed (...) many results, the most important of which were: The presence of moderate degree of approval by the study sample on the responsive flexibility, as it was evident through the response flexibility field obtaining a relative weight (60.50%), and the results of the study indicated that there is a high degree of approval by the members of the study sample. On the quality of service, as it was evident through the field of service quality obtaining a relative weight (79.90%). The results of the study revealed a statistically significant relationship between responsive flexibility and service quality in non-governmental hospitals in Gaza Strip, with a correlation coefficient of 0.418, and the results of the study revealed a statistically significant effect between responsive flexibility and service quality in non-governmental hospitals in Gaza Strip. The study reached many recommendations, the most important of which were: Finding mechanisms by which stored information can be used to enhance the decision-making process, and setting up an effective system to receive patients' complaints in a manner that ensures rapid response and treatment, to achieve continuous communication between patients and the hospital management, and to notify patients of abuse With the complaints that they submit, and working to provide all medical and health specialties in the hospitals under study, by making use of the medical delegations that visit Gaza Strip, involving them in the treatment processes, bringing in doctors and specialists from abroad, and updating the standards related to measuring the services provided to patients continuously, based on On patients' suggestions and complaints, developing facilities in hospitals, as well as updating medical devices and equipment used in hospitals periodically. (shrink)

Current COVID-19 pandemic and previous SARS/MERS outbreaks have caused a series of major crises to global public health. We must integrate the large and exponentially growing amount of heterogeneous coronavirus data to better understand coronaviruses and associated disease mechanisms, in the interest of developing effective and safe vaccines and drugs. Ontologies have emerged to play an important role in standard knowledge and data representation, integration, sharing, and analysis. We have initiated the development of the community-based Coronavirus Infectious Disease Ontology (CIDO). (...) As an Open Biomedical Ontology (OBO) library ontology, CIDO is an open source and interoperable with other existing OBO ontologies. In this article, the general architecture and the design patterns of the CIDO are introduced, CIDO representation of coronaviruses, phenotypes, anti-coronavirus drugs and medical devices (e.g. ventilators) are illustrated, and an application of CIDO implemented to identify repurposable drug candidates for effective and safe COVID-19 treatment is presented. (shrink)

Abstract: The study aimed to determine the quality of services and its role in enhancing strategic flexibility, from the point of view of the internal beneficiary in non-governmental hospitals in Gaza Strip. The study relied on the descriptive and analytical approach, and the questionnaire was designed as a tool to collect data and consisted of (39) items, and the researchers used the comprehensive survey method, and the number of the study population was (536) individuals, where (434) questionnaires were retrieved, and (...) the recovery rate was (80.97%). The study revealed many results, the most important of which were: the existence of a high degree of approval by the study sample regarding the quality of services, as it was evident through the field of service quality obtaining a relative weight (79.90%), and the results of the study indicated that there is a moderate degree of approval by the members of the study sample. On the strategic flexibility, as it was evident by obtaining the area of strategic flexibility as a whole on a relative weight (60.44%). The results of the study revealed a statistically significant relationship between the quality of services and the strategic flexibility in non-governmental hospitals in Gaza Strip, with a correlation coefficient of 0.490). The results of the study also revealed a statistically significant effect of the quality of services on the strategic flexibility in non-governmental hospitals in Gaza Strip. The study reached many recommendations, the most important of which were: Establishing an effective system to receive patients' complaints in a manner that ensures rapid response and treatment, to achieve continuous communication between patients and the hospital administration, to notify patients of dealing with the complaints they submit, and to work to provide all medical and health specialties in hospitals in place. The study, by making use of medical delegations visiting Gaza Strip, involving them in therapeutic operations, bringing in doctors and specialists from abroad, updating the criteria for measuring services provided to patients on an ongoing basis, based on patients' suggestions and complaints, developing facilities in hospitals, as well as updating medical devices and equipment Used in hospitals periodically and the need to work on appointing young people and people of energy, for vacancies in the hospitals under study, and the need to seek the help of an administrative staff that is distinguished by scientific and practical qualifications, and to work on updating information systems, archiving and networks through which data and information are transferred between departments, and finding mechanisms to be done from During which the information stored can be used to enhance the decision-making process. (shrink)

Background Healthcare is predicated on the use of biotechnology and medical technology, both of which are indispensable in diagnosis, treatment, and most aspects of patient care. It is therefore imperative that justifications for use of new technologies are appropriate, with the technologies working as advertised. In this paper, I consider philosophical accounts of how such justifications are made. Methods Critical philosophical reflection and analysis. Results I propose that justification in many prominent accounts is based on the designer’s professional experience (...) and on expert testimony. I argue, however, that professional designers are not in a position to justify a new biotechnology or medical device if the justification is based on testimony or past experience of presumably similar technologies. I argue (1) that similarity judgments offered by instantaneous experts cannot be viewed as contributing (epistemically) to evidential justification of new and unproven technologies; and (2) that designers and manufacturers cannot endorse a technology’s effective function in a patient-care context until it has been successfully used in that context. Conclusion I show that an expert’s past professional experiences can never predict or justify the impact of a novel technology on human health. This is because any new technology leads to the introduction of new mechanisms with unprecedented functions. The new technology therefore needs to be studied in situ and justified as a newly created mechanism within the relevant healthcare setting. Ultimately, justifications of this type rely on the scientific community and society engaging in repeated experimentation and observation of the technology, and confirming its successful use. (shrink)

RD, a 32-year-old male, was admitted to the hospital with hypoxic COVID pneumonia–a potentially life-threatening condition characterized by dangerously low levels of oxygen in the body- during one of the pandemic’s surges. While RD’s age gave the clinical team hope for his prognosis, his ability to recover was complicated by his being unvaccinated and having multiple comorbidities, including diabetes and obesity. His condition worsened to the point that he required extracorporeal membrane oxygenation (ECMO), a machine that maintains the functioning of (...) a person’s heart and lungs. -/- Given its scarcity–only 264 of the over 6,000 hospitals in the United States offer ECMO, according to the Extracorporeal Life Support Organization–as well as its high cost and the inadequate supply of staff required to maintain it, ECMO primarily serves as a bridge to support critically ill patients until they can receive an organ transplant or implanted medical device. For RD, ECMO was started to support him until he could be evaluated for, and possibly receive, a bilateral lung transplant. Despite its intended use as a treatment of last resort, some patients can remain on ECMO for weeks or months. And some are awake, alert, and capable of medical decision-making. -/- RD was one such patient. However, the transplant evaluation committee ruled out RD’s candidacy for bilateral lung transplantation, based on his poor potential for recovery and a lack of family and friends to provide post-transplant support. This determination raised the prospect of continued ECMO treatment being a bridge to nowhere. But RD was comfortable on ECMO and wanted to remain in the ICU. The ICU intensivist contacted the ethics consult service with questions about whether continued ECMO support was medically and ethically inappropriate. (shrink)

Nanotechnology, as with many technologies before it, places a strain on existing legislation and poses a challenge to all administrative agencies tasked with regulating technology-based products. It is easy to see how statutory schemes become outdated, as our ability to understand and affect the world progresses. In this article, we address the regulatory problems that nanotechnology posses for the Food and Drug Administration’s (FDA) classification structure for ‘‘drugs’’ and ‘‘devices.’’ The last major modification to these terms was in 1976, with (...) the enactment of the Medical Device Amendments. There are serious practical differences for a classification as a drug or device in terms of time to market and research. Drugs are classified, primarily, as acting by ‘‘chemical action.’’ We lay out some legal, philosophic, and scientific tools that serve to provide a useful, as well as legally and scientifically faithful, distinction between drugs and devices for the purpose of regulatory classification. These issues we raise are worth the consideration of anyone who is interested in the regulation of nano-products or other novel technologies. (shrink)

This research paper presents an in-depth analysis of advanced artificial intelligence (AI) algorithms designed to automate data preprocessing in the healthcare sector. The automation of data preprocessing is crucial due to the overwhelming volume, diversity, and complexity of healthcare data, which includes medical records, diagnostic imaging, sensor data from medical devices, genomic data, and other heterogeneous sources. These datasets often exhibit various inconsistencies such as missing values, noise, outliers, and redundant or irrelevant information that necessitate extensive preprocessing before (...) being analyzed by machine learning or statistical models. Traditional data preprocessing methods, which are largely manual and time-consuming, can result in errors that affect the quality of the data and, subsequently, the performance of predictive and diagnostic models. Thus, there is a growing need for intelligent, automated systems that can enhance data quality, streamline the preprocessing pipeline, and reduce the time and effort required by healthcare professionals and data scientists. The study begins by outlining the specific challenges associated with healthcare data, including its high dimensionality, incompleteness, and variability across different data sources and formats. These issues not only complicate the preprocessing stage but also hinder the ability to develop robust models capable of making accurate predictions or diagnoses. The paper then explores how AI algorithms—particularly those based on machine learning (ML), deep learning (DL), and reinforcement learning (RL)—can automate key data preprocessing tasks such as data cleaning, feature selection, normalization, and transformation. These algorithms are designed to identify patterns in data, detect anomalies, and automatically apply corrections or transformations based on predefined rules or learned behaviors, thereby minimizing human intervention. The paper also delves into specific AI techniques that have been successfully applied to healthcare data preprocessing. For instance, supervised learning models, such as decision trees and support vector machines (SVMs), have been utilized to perform imputation of missing data by predicting the most likely values based on the available information. Similarly, unsupervised learning methods, such as clustering algorithms, have been employed to group similar data points and remove outliers that could distort the performance of analytical models. Moreover, deep learning techniques, particularly autoencoders and generative adversarial networks (GANs), have demonstrated remarkable effectiveness in transforming high-dimensional medical data into lower-dimensional representations, enabling more efficient and accurate model training. In addition to the discussion of these algorithms, the paper emphasizes the role of natural language processing (NLP) in automating the preprocessing of unstructured healthcare data, such as clinical notes and diagnostic reports. NLP techniques, including named entity recognition (NER) and word embeddings, are instrumental in extracting relevant information from unstructured text, standardizing terminologies, and converting textual data into structured formats suitable for downstream analysis. Furthermore, AI-based feature selection algorithms are explored, which aim to identify the most relevant features in the dataset, thereby reducing its dimensionality and improving the computational efficiency of predictive models. The study goes on to highlight the significant reduction in processing time achieved by AIdriven automation of preprocessing tasks. In conventional settings, data preprocessing accounts for a substantial portion of the time spent on building healthcare models, often requiring expert intervention to manually inspect and clean the data. By employing AI algorithms, not only can this process be expedited, but the accuracy of the resulting data is also enhanced, which translates into better model performance. The paper provides a detailed comparative analysis of manual preprocessing methods versus automated AI-driven approaches, demonstrating the substantial time savings and improvements in data quality brought about by automation. (shrink)

The genus Arthrobacter was established in 1947 by Conn & Dimmick. So far, more than 70 recognized species of the genus Arthrobacter have been certified. Its special functions have been widely known by researchers, such as, in agricultural, in medical, in industrial, and in environmental areas, etc. What deserves to be mentioned is that some species of genus Arthrobacter have showed the function of degrading pesticides, fixing nitrogen, producing beneficial enzyme, treating sewage, and so on. Recently, the applications of (...) the genus Arthrobacter, especially the VBNC (viable but non-culturable) bacteria of this genus in the field of contaminated environment repair attract people’s attention and some related research results have also been obtained. The functions that we have known are waiting for us to study about mechanism, deeply. And, we can look forward to discovering more potential functions and applications of this genus in ecological environment. In the meantime, these discoveries must bring more new changes and knowledge. (shrink)

Edge computing, combined with machine learning (ML), is emerging as a transformative paradigm for handling the data deluge generated by the Internet of Things (IoT) devices. Traditional cloud computing is often inadequate for the low-latency, high-throughput demands of IoT applications, especially in real-time analytics. By processing data locally at the edge of the network, edge computing reduces latency, enhances privacy, and alleviates the bandwidth burden on centralized cloud servers. The integration of ML algorithms into edge devices further augments the decision-making (...) process by enabling real-time data analytics, improving operational efficiency, and delivering immediate insights. This paper explores the synergy between edge computing, ML, and IoT, discussing how real-time data analytics at the edge can transform industries such as smart cities, healthcare, and industrial automation. We also present challenges, future directions, and practical applications of machine learning-based real-time analytics for edge computing in IoT ecosystems. (shrink)

This article highlights the limitations of the tendency to frame health- and wellbeing-related digital tools (mHealth technologies) as empowering devices, especially as they play an increasingly important role in the National Health Service (NHS) in the UK. It argues that mHealth technologies should instead be framed as digital companions. This shift from empowerment to companionship is advocated by showing the conceptual, ethical, and methodological issues challenging the narrative of empowerment, and by arguing that such challenges, as well as the risk (...) of medical paternalism, can be overcome by focusing on the potential for mHealth tools to mediate the relationship between recipients of clinical advice and givers of clinical advice, in ways that allow for contextual flexibility in the balance between patiency and agency. The article concludes by stressing that reframing the narrative cannot be the only means for avoiding harm caused to the NHS as a healthcare system by the introduction of mHealth tools. Future discussion will be needed on the overarching role of responsible design. (shrink)

The Internet of Things (IoT) is revolutionizing industries by connecting everyday objects to the internet, enabling improved functionality and convenience. However, the rapid adoption of IoT devices has raised significant cybersecurity concerns, as the vast number of connected devices presents new vulnerabilities that can be exploited by cybercriminals. These vulnerabilities are often the result of insecure device configurations, weak authentication mechanisms, and inadequate data protection. This paper explores the cybersecurity challenges associated with IoT, such as device security, network (...) security, and data privacy, and discusses the solutions that can help mitigate these risks. The paper further evaluates the role of standardization, encryption techniques, and intrusion detection systems in enhancing the security of IoT ecosystems. Finally, it proposes a framework for IoT security based on best practices and emerging technologies. (shrink)

The Internet of Things (IoT) is revolutionizing industries by connecting everyday objects to the internet, enabling improved functionality and convenience. However, the rapid adoption of IoT devices has raised significant cybersecurity concerns, as the vast number of connected devices presents new vulnerabilities that can be exploited by cybercriminals. These vulnerabilities are often the result of insecure device configurations, weak authentication mechanisms, and inadequate data protection. This paper explores the cybersecurity challenges associated with IoT, such as device security, network (...) security, and data privacy, and discusses the solutions that can help mitigate these risks. The paper further evaluates the role of standardization, encryption techniques, and intrusion detection systems in enhancing the security of IoT ecosystems. Finally, it proposes a framework for IoT security based on best practices and emerging technologies. (shrink)

In this chapter, we analyze the relationship between Kondratieff waves and major technological revolutions on the basis of the theory of production principles and production revolutions, and offer some forecasts about the features of the Sixth Kondratieff Wave/the Fourth Industrial Revolution. We show that the technological breakthrough of the Sixth Kondratieff Wave may be interpreted as both the Fourth Industrial Revolution and as the final phase of the Cybernetic Revolution. We assume that the sixth K-wave in the 2030s and 2040s (...) will merge with the final phase of the Cybernetic Revolution (which we call a phase of selfregulating systems). This period will be characterized by the breakthrough in medical technologies which will be capable of combining a number of other technologies into a single system of new and innovative technologies (we denote this system as a system of MANBRIC-technologies—i.e. medical, additive, nano-, bio-, robo-, info-, and cogno-technologies). (shrink)

The health industry is experiencing change, the newest forerunner of which is being propelled by spatial computing and generative AI. Spatial computing simply refers to the ability to interface with physical space through computation and digital devices; on the other hand, generative AI means using advanced machine learning to generate new output. This paper examines the roles and the combined possibilities of these two technologies with the view of transforming health care and diagnostics in the field of patient care. (...) Precision medicine unveils new opportunities of integrating precise spatial computing components and generative artificial intelligence to provide a personalized treatment for patients and data visualization for surgeons. The paper examines major use cases, concerns, and future of this convergence specifically in the fields of medicine. (shrink)

Promotion of prescription drugs may appear to be severely limited in some jurisdictions due to restrictions on direct-to-consumer advertising. However, in most jurisdictions, strategies exist to raise consumer awareness about prescription drugs, notably through the deployment of direct-to-consumer information campaigns that encourage patients to seek help for particular medical conditions. In Canada, DTCI is presented by industry and regulated by Health Canada as being purely informational activities, but their design and integration in broader promotional campaigns raise very similar (...) ethical concerns as those associated with DTCA. Specifically, DTCI can be an effective means of familiarizing the public with the scope and benefits of a particular prescription drug and so, like DTCA, can promote increased patient-consumer demand and thus a problematic rise in the prescribing and use of medications that may be neither the most appropriate nor the most cost-effective. Yet, with DTCI the industry is playing within the existing rules and regulations set by health regulators. To respond appropriately to this regulatory incoherence, we argue that DTCI should be regulated as a type of direct-to-consumer indirect advertising. Even if the case and specific regulations presented here are Canadian, the implications extend to every country that has a partial or total prohibition on DTCA. (shrink)

Background: With the coming of the Industrial Revolution, the levels of pollution grow significantly. This Technological development contributed to the worsening of shortness breath problems in great shape. especially in infants and children. There are many shortness breath diseases that infants and children face in their lives. Shortness of breath is one of a very serious symptom in children and infants and should never be ignored. Objectives: Along these lines, the main goal of this expert system is to help physician (...) in diagnosing and describe some common causes of shortness of breath in infants and children by diagnosing their cases through our expert system. Moreover, this system which we are presenting will give patient the appropriate diagnosis of disease and the treatment required. Methods: In this paper the strategy of the expert system for diagnosing a number of the existed shortness of breath in infants and children diseases such as (Asthma , Bronchiolitis, Viral Pneumonia, cough, Shortness of breath' dyspnea ', Epiglottitis, Croup, ABSCESS in the tonsil 'peritonsillar abscess', Bronchitis, Viral Bronchitis, Wheezing, sudden infant death syndrome 'SIDS' ) is introduced, an overview about the shortness of breath in children and infants diseases are delineated, the cause of diseases are sketched and the treatment of disease whenever conceivable is given . SL5 Object Expert System language was utilized for designing and implementing the proposed expert system. Results: The proposed shortness of breath in children and infants diseases diagnosis expert system was estimated by Medical students and they were satisfied with its result. Conclusions: The Proposed expert system is very useful for Respiratory physician, pediatrician, recently graduated physician, and for children's parents with shortness of breath problem. (shrink)

The new field of meta-research investigates industry bias, publication bias, contradictions between studies, and other trends in medical research. I argue that its findings should be used as meta-evidence for evaluating therapies. ‘Meta-evidence’ is evidence about the support that direct ‘first-order evidence’ provides the hypothesis. I consider three objections to my proposal: the irrelevance objection, the screening-off objection, and the underdetermination objection. I argue that meta-research evidence works by rationally revising our confidence in first-order evidence and, consequently, in (...) the hypothesis—typically, downward. (shrink)

Background. The COVID-19 pandemic necessitated drastic changes to undergraduate medical training at the University of Botswana (UB). To save the academic year when campus was locked down, the Department of Medical Education conducted a needs assessment to determine the readiness for emergency remote teaching (ERT) of the Faculty of Medicine, UB. Objectives. To report on the findings of needs assessment surveys to assess learner and teaching staff preparedness for fair and just ERT, as defined by philosopher John Rawls. (...) Methods. Needs assessment surveys were conducted using Office 365 Forms distributed via WhatsApp, targeting medical students and teaching staff during the 5 undergraduate years. Data were analysed quantitatively and qualitatively. Results. Ninety-two percent (266/289) of students and 73.5% (62/84) of teaching staff responded. Surveys revealed a high penetration of smartphones among students, but poor internet accessibility and affordability in homes. Some teaching staff also reported internet and device insufficiencies. Only WhatsApp was accessible to students and teaching staff. Conclusions. For equitable access to ERT in the future, the surveys revealed infrastructural improvement needs, including wider, stronger, affordable WiFi coverage within Botswana and enhanced digital infrastructures in educational institutions, with increased support for students. (shrink)

Internet of Things (IoT) devices have transformed various industries, enabling advanced functionalities across domains such as healthcare, smart cities, and industrial automation. However, the increasing number of connected devices has raised significant concerns regarding their security. IoT networks are highly vulnerable to a wide range of cyber threats, making Intrusion Detection Systems (IDS) critical for identifying and mitigating malicious activities. This paper proposes a hybrid approach for intrusion detection in IoT networks by combining Machine Learning (ML) techniques with Signature-Based Methods. (...) The hybrid model leverages the strengths of both methodologies to achieve high detection accuracy, reduced false positives, and the ability to identify both known and unknown threats. We explore the integration of ML classifiers such as Random Forest, Support Vector Machines, and k-Nearest Neighbors with traditional signature-based techniques to create a robust IDS solution. The effectiveness of the proposed approach is evaluated using a publicly available IoT dataset, demonstrating its capability to detect a wide variety of attacks with high precision and recall. (shrink)

Internet of Things (IoT) devices have transformed various industries, enabling advanced functionalities across domains such as healthcare, smart cities, and industrial automation. However, the increasing number of connected devices has raised significant concerns regarding their security. IoT networks are highly vulnerable to a wide range of cyber threats, making Intrusion Detection Systems (IDS) critical for identifying and mitigating malicious activities. This paper proposes a hybrid approach for intrusion detection in IoT networks by combining Machine Learning (ML) techniques with Signature-Based Methods. (...) The hybrid model leverages the strengths of both methodologies to achieve high detection accuracy, reduced false positives, and the ability to identify both known and unknown threats. We explore the integration of ML classifiers such as Random Forest, Support Vector Machines, and k-Nearest Neighbors with traditional signature-based techniques to create a robust IDS solution. The effectiveness of the proposed approach is evaluated using a publicly available IoT dataset, demonstrating its capability to detect a wide variety of attacks with high precision and recall. (shrink)

Many people believe that the research-based pharmaceutical industry has a ‘special’ moral obligation to provide lifesaving medications to the needy, either free-ofcharge or at a reduced rate relative to the cost of manufacture. In this essay, I argue that we can explain the ubiquitous notion of a special moral obligation as an expression of emotionally charged intuitions involving sacred or protected values and an aversive response to betrayal in an asymmetric trust relationship. I then review the most common arguments (...) used to justify the claim that the pharmaceutical industry has a special moral obligation and show why these justifications fail. Taken together, these conclusions call into question the conventional ideologies that have traditionally animated the debate on whether the pharmaceutical industry has special duties of beneficence and distributive justice with respect to the impoverished in dire need of their products. (shrink)

"Technological Foundations of Equipment Selection in Machine-Building Workshops" is a comprehensive resource designed to explore the key principles and methodologies involved in selecting appropriate equipment for machine-building industries. This book provides an in-depth analysis of organizational and technical aspects crucial for the construction of flexible manufacturing systems (FMS), a critical component in modern industrial operations. The text addresses the importance of automation in production processes, offering insights into the various types of automation systems, their classification, and their impact on the (...) efficiency and flexibility of manufacturing operations. The first part of the book delves into the characteristics and methods of automating production processes, examining the significance of flexible manufacturing systems in the context of modern mechanical engineering. The discussion includes the evaluation of production types, from single-unit to mass production, and the corresponding selection of automation tools suited to each type. The book outlines essential techniques for designing machine-building workshops, including pre-project works, technical specifications, and sequential stages of workshop planning and implementation. In the second part, the book focuses on the key components of flexible manufacturing systems, providing a detailed classification of machine tool systems and industrial robots, which are integral to the functioning of FMS. The text emphasizes the characteristics of industrial robots and transport-accumulating systems, as well as the specific criteria for selecting technological devices. Additionally, it examines the storage systems and management structures needed to support FMS, highlighting the role of information systems and control principles that ensure effective operation. This book serves as a valuable guide for engineers, production managers, and students involved in the design, implementation, and optimization of manufacturing systems, offering both theoretical knowledge and practical insights for improving the technological capabilities of machine-building workshops. (shrink)