1,695 research outputs found

    NeuroAIreh@b: an artificial intelligence-based methodology for personalized and adaptive neurorehabilitation

    Get PDF
    Cognitive impairments are a prevalent consequence of acquired brain injury, dementia, and age-related cognitive decline, hampering individuals' daily functioning and independence, with significant societal and economic implications. While neurorehabilitation represents a promising avenue for addressing these deficits, traditional rehabilitation approaches face notable limitations. First, they lack adaptability, offering one-size-fits-all solutions that may not effectively meet each patient's unique needs. Furthermore, the resource-intensive nature of these interventions, often confined to clinical settings, poses barriers to widespread, cost-effective, and sustained implementation, resulting in suboptimal outcomes in terms of intervention adaptability, intensity, and duration. In response to these challenges, this paper introduces NeuroAIreh@b, an innovative cognitive profiling and training methodology that uses an AI-driven framework to optimize neurorehabilitation prescription. NeuroAIreh@b effectively bridges the gap between neuropsychological assessment and computational modeling, thereby affording highly personalized and adaptive neurorehabilitation sessions. This approach also leverages virtual reality-based simulations of daily living activities to enhance ecological validity and efficacy. The feasibility of NeuroAIreh@b has already been demonstrated through a clinical study with stroke patients employing a tablet-based intervention. The NeuroAIreh@b methodology holds the potential for efficacy studies in large randomized controlled trials in the future

    Multidisciplinary perspectives on Artificial Intelligence and the law

    Get PDF
    This open access book presents an interdisciplinary, multi-authored, edited collection of chapters on Artificial Intelligence (‘AI’) and the Law. AI technology has come to play a central role in the modern data economy. Through a combination of increased computing power, the growing availability of data and the advancement of algorithms, AI has now become an umbrella term for some of the most transformational technological breakthroughs of this age. The importance of AI stems from both the opportunities that it offers and the challenges that it entails. While AI applications hold the promise of economic growth and efficiency gains, they also create significant risks and uncertainty. The potential and perils of AI have thus come to dominate modern discussions of technology and ethics – and although AI was initially allowed to largely develop without guidelines or rules, few would deny that the law is set to play a fundamental role in shaping the future of AI. As the debate over AI is far from over, the need for rigorous analysis has never been greater. This book thus brings together contributors from different fields and backgrounds to explore how the law might provide answers to some of the most pressing questions raised by AI. An outcome of the Católica Research Centre for the Future of Law and its interdisciplinary working group on Law and Artificial Intelligence, it includes contributions by leading scholars in the fields of technology, ethics and the law.info:eu-repo/semantics/publishedVersio

    Climate Change and Critical Agrarian Studies

    Full text link
    Climate change is perhaps the greatest threat to humanity today and plays out as a cruel engine of myriad forms of injustice, violence and destruction. The effects of climate change from human-made emissions of greenhouse gases are devastating and accelerating; yet are uncertain and uneven both in terms of geography and socio-economic impacts. Emerging from the dynamics of capitalism since the industrial revolution — as well as industrialisation under state-led socialism — the consequences of climate change are especially profound for the countryside and its inhabitants. The book interrogates the narratives and strategies that frame climate change and examines the institutionalised responses in agrarian settings, highlighting what exclusions and inclusions result. It explores how different people — in relation to class and other co-constituted axes of social difference such as gender, race, ethnicity, age and occupation — are affected by climate change, as well as the climate adaptation and mitigation responses being implemented in rural areas. The book in turn explores how climate change – and the responses to it - affect processes of social differentiation, trajectories of accumulation and in turn agrarian politics. Finally, the book examines what strategies are required to confront climate change, and the underlying political-economic dynamics that cause it, reflecting on what this means for agrarian struggles across the world. The 26 chapters in this volume explore how the relationship between capitalism and climate change plays out in the rural world and, in particular, the way agrarian struggles connect with the huge challenge of climate change. Through a huge variety of case studies alongside more conceptual chapters, the book makes the often-missing connection between climate change and critical agrarian studies. The book argues that making the connection between climate and agrarian justice is crucial

    ETHICAL EVALUATION IN WILDLIFE CONSERVATION: ART, ANIMAL-VISITOR INTERACTIONS AND EMERGENCIES IN WILDLIFE MANAGEMENT AND CONSERVATION

    Get PDF
    Nell’attuale crisi globale della biodiversità è sempre più cruciale valutare le questioni eticamente rilevanti e considerare la natura pluralistica della conservazione della biodiversità. L'etica della conservazione fornisce strumenti per eseguire tali valutazioni e assistere nei processi decisionali. La tesi di questo dottorato di ricerca presenta studi in cui vengono utilizzati strumenti per eseguire valutazioni etiche e multidisciplinari per valutare progetti di conservazione e gestione della fauna selvatica. Pertanto, questo lavoro di dottorato mostra tre diverse aree di applicazione dell'etica della conservazione: Conservation ART, le interazioni animale-visitatore e le sfide nella gestione della fauna selvatica durante l'emergenza COVID-19. Nella prima sezione, la valutazione etica è stata applicata nel contesto del progetto BioRescue, in cui le tecnologie di riproduzione assistita (ART) sono utilizzate nello sforzo di salvare il rinoceronte bianco settentrionale (Ceratotherium simum cottoni) dall’estinzione. Le tecnologie di riproduzione assistita possono fare la differenza nella conservazione della biodiversità, ma la loro applicazione può sollevare questioni eticamente rilevanti che necessitano di essere affrontate. Pertanto, in primo luogo, è stata utilizzata la Matrice Etica (EM) per presentare un quadro per l'analisi etica dell'applicazione delle procedure ART nella conservazione. L'EM, anche se specificamente costruita attorno alle procedure di prelievo di ovociti (OPU) effettuate su rinoceronti bianchi, ha permesso di raggruppare i fattori eticamente rilevanti, identificare e valutare complessi scenari morali in cui diversi bisogni, interessi e preoccupazioni etiche possono entrare in conflitto e fornire infine un modello per la valutazione delle procedure ART in progetti che coinvolgono altre specie in via di estinzione. In seguito, viene presentato un nuovo strumento di valutazione etica (ETHAS) specificamente sviluppato per valutare l’applicazione delle procedure ART in conservazione, e vengono illustrati i risultati delle prime applicazioni. ETHAS, con le sue due liste checklist che lo compongono, permette di effettuare un'autovalutazione integrata, multilivello e standardizzata della procedura in esame, generando una classifica di accettabilità etica e consentendo l'attuazione di misure per affrontare o gestire eventuali problemi in anticipo. ETHAS, specificatamente customizzato per l'OPU e le procedure di fecondazione in vitro eseguite sul rinoceronte bianco settentrionale, hanno permesso di garantire un elevato standard delle procedure, migliorare alcuni aspetti della comunicazione tra i partner del progetto e migliorare lo strumento stesso al fine di essere applicato nel prossimo futuro ad altri contesti in cui le ART vengono utilizzate per la conservazione di altre specie di mammiferi. Nell'ultimo studio presentato nella prima sezione, la matrice etica, l'albero decisionale e il cubo di Bateson sono stati adattati per assistere nell'analisi etica di un complesso scenario relativo alla decisione se continuare o meno la raccolta di biomateriale sul più anziano dei due rimanenti rinoceronti bianchi settentrionali, Najin. Strutturando questi strumenti per implementare le diverse dimensioni di valore (ambientale, sociale e benessere animale) coinvolte nell'etica della conservazione, è stato possibile raccogliere pro e contro, confrontare le diverse opzioni e stabilire una soglia di accettabilità etica. L'applicazione degli strumenti è stata fondamentale per strutturare il processo decisionale e aiutare a raggiungere la decisione condivisa, ragionata e trasparente di sospendere Najin da qualsiasi ulteriore procedura di prelievo di ovociti. L'etica della conservazione può anche aiutare ad esplorare le questioni etiche riguardanti la gestione della fauna selvatica durante le interazioni animale-visitatore (AVI) che si svolgono nelle strutture zoologiche. A questo proposito, la Sezione 2In the global biodiversity crisis, it is increasingly crucial to evaluate ethically relevant issues and consider the pluralistic nature of biodiversity conservation. Conservation ethics provides tools to perform such evaluation and assist in the decision-making processes. This Ph.D. thesis presents studies in which ethical tools are used to perform ethical evaluation and multidisciplinary assessments to approach conservation projects and wildlife management. Three different areas of application of conservation ethics are discussed: Conservation ART, animal-visitor interactions, and challenges in wildlife management during the COVID-19 emergency. In the first area, ethical evaluation has been applied in the context of the BioRescue project, an international project in which assisted reproductive technologies (ARTs) are used in the effort to save the endangered northern white rhinoceros (Ceratotherium simum cottoni). Assisted reproductive technologies can make a difference in biodiversity conservation, but their application can raise ethical issues that need to be addressed. Therefore, firstly, an Ethical Matrix (EM) has been used to present a framework for the ethical analysis of the application of ART procedures in conservation. The EM, specifically built around the ovum pick-up (OPU) procedures carried out on white rhinoceros, allowed to collect ethically relevant factors to identify issues and value conflicts, evaluates complex moral scenarios where different needs, interests, and ethical concerns may conflict, and provides a template for the assessment of ART procedures in projects involving endangered species. Therefore, a new ethical evaluation tool (ETHAS) specifically developed to assess ART procedures in conservation is presented, and the first application results are reported. ETHAS, with its two checklists, provides an integrated, multilevel, and standardized self-assessment of the procedure under scrutiny, generating an ethical acceptability ranking and allowing for implementing measures to address or manage issues beforehand. ETHAS customized for OPU and in vitro fertilization procedures performed on the northern white rhinoceros allowed for ensuring a high standard of procedures, improving some aspects of the communication among the projects’ partners, and improving the tool itself, in order to be applied in the near future to other contexts in which ARTs are applied for the conservation of other mammal species. Finally, in the last study presented in the first section, the ethical matrix, decision tree, and Bateson’s cube have been adapted to assist in the ethical analysis of a complex conservation scenarios relative to the decision regarding whether or not to continue collecting biomaterial on the oldest of the two remaining northern white rhinoceroses. By structuring these tools to implement the different value dimensions (environmental, social, and animal welfare) involved in conservation ethics, it has been possible to gather ethical pros and cons, compare the different options at stake, and establish a threshold of ethical acceptability. The application of the tools was pivotal in structuring the decision-making process and helping reach the shared, reasoned, and the transparent decision to discontinue Najin from any further oocyte collection procedures. Conservation ethics can also assist in exploring the ethical issues concerning wildlife management during animal-visitor interactions (AVI). In this regard, Section 2 of this thesis presents studies concerning AVIs. Firstly, a participatory process has been followed with an Ethical Matrix to explore welfare and management issues related to AVIs. The inclusion of the stakeholders' perspectives allowed to record all the value demands concerning AVI and provide a map of the ethically relevant aspects involved. This map shows how the ethical acceptability of AVIs is linked to different relevant issues like animal welfare, education, and biodiversit

    Tradition and Innovation in Construction Project Management

    Get PDF
    This book is a reprint of the Special Issue 'Tradition and Innovation in Construction Project Management' that was published in the journal Buildings

    An empirical evaluation of m-health service users’ behaviours: A case of Bangladesh

    Get PDF
    A thesis submitted in partial fulfilment of the requirements of the University of Wolverhampton for the degree of Doctor of Philosophy.Mobile health (m-health) services are revolutionising healthcare in the developing world by improving accessibility, affordability, and availability. Although these services are revolutionising healthcare in various ways, there are growing concerns regarding users' service quality perceptions and overall influence on satisfaction and usage behaviours. In developing countries, access to healthcare and low healthcare costs are insufficient if users lack confidence in healthcare service quality. Bangladesh's Directorate General of Health Services (DGHS) provides the only government-sponsored m-health service available to the entire population. DGHS's m-health service, available since 2009, is yet to be evaluated in terms of users' perceptions of the quality of service and its impact on satisfaction and usage. Hence, this study developed a conceptual model for evaluating the associations between overall DGHS m-health service quality, satisfaction, and usage behaviours. This study operationalised overall m-health service quality as a higher-order construct with three dimensions- platform quality, information quality, and outcome quality, and nine corresponding subdimensions-privacy, systems availability, systems reliability, systems efficiency, responsiveness, empathy, assurance, emotional benefit, and functional benefit. Moreover, researchers in various service domains, including- healthcare, marketing, environmental protection, and information systems, evaluated and confirmed the influence of social and personal norms on satisfaction and behavioural outcomes like- intention to use. Despite this, no research has been conducted to determine whether these normative components affect m-health users' service satisfaction and usage behaviours. As a result, this study included social and personal norms along with overall service quality into the conceptual model to assess the influence of these variables on users' satisfaction and m-health service usage behaviours. Data was collected from two districts in Bangladesh- Dhaka and Rajshahi, utilising the online survey approach. A total of 417 usable questionnaires were analysed using partial least squares structural equation modelling to investigate the relationships between the constructs in Warp PLS. The study confirms that all three dimensions of service quality and their corresponding subdimensions influence users' overall perceptions of DGHS m-health service quality. Moreover, overall DGHS m-health service quality has a significant direct association with satisfaction and an indirect association with usage behaviours through satisfaction. While social norms do not influence satisfaction and usage behaviours within the DGHS m-health context, personal norms directly influence users' satisfaction and indirectly influence usage behaviours through satisfaction. Theoretically, the study contributes by framing the influence of users' overall m-health service quality perceptions, social and personal norms on their actual usage behaviours rather than the intention to use. It also extends the existing knowledge by assessing and comparing m-health users' continuous and discontinuous behaviours. Methodologically this study confirms the usefulness of partial least squares structural equational modelling to analyse a complex model including a higher order construct (i.e., overall perceived service quality). Practically, the study demonstrates the importance of users' satisfaction in addition to service quality, as service quality only affects usage behaviours through satisfaction in the current study context. Additionally, knowing that personal norms significantly influence service satisfaction motivates providers of m-health services to strive to enhance users' personal norms toward m-health service to enhance service satisfaction and usage. Overall, the study will help enhance patient outcomes and m-health service usage

    Automatic Generation of Personalized Recommendations in eCoaching

    Get PDF
    Denne avhandlingen omhandler eCoaching for personlig livsstilsstøtte i sanntid ved bruk av informasjons- og kommunikasjonsteknologi. Utfordringen er å designe, utvikle og teknisk evaluere en prototyp av en intelligent eCoach som automatisk genererer personlige og evidensbaserte anbefalinger til en bedre livsstil. Den utviklede løsningen er fokusert på forbedring av fysisk aktivitet. Prototypen bruker bærbare medisinske aktivitetssensorer. De innsamlede data blir semantisk representert og kunstig intelligente algoritmer genererer automatisk meningsfulle, personlige og kontekstbaserte anbefalinger for mindre stillesittende tid. Oppgaven bruker den veletablerte designvitenskapelige forskningsmetodikken for å utvikle teoretiske grunnlag og praktiske implementeringer. Samlet sett fokuserer denne forskningen på teknologisk verifisering snarere enn klinisk evaluering.publishedVersio

    Showing RESPECT: a mixed methods study into communicating the results of a Phase III clinical trial to trial participants

    Get PDF
    INTRODUCTION: Clinical trials depend on volunteers participating, often accepting increased risk and/or inconvenience. Most participants want to receive the results of trials they have participated in, while few actually receive them. There is little evidence to guide researchers on how best to share results with people taking part in trials. METHODS: I conducted a mixed methods, cluster randomised factorial trial of different approaches to sharing results with participants in the ICON8 ovarian cancer trial. (ICON8 tested two weekly chemotherapy schedules against the standard three-weekly schedule, and found no difference between the arms). I collected quantitative and qualitative data from patients and site staff. RESULTS: Patients at hospitals that were randomised to the Posted Printed Summary were more satisfied with how the results were shared and more likely to find out the results than those at hospitals not randomised to the Printed Summary. Women who received the results said that the information was easy to understand and find, and told them everything they wanted to know. Most were glad to receive the results, and did not regret finding them out, although some were, at the same time, disappointed that ICON8 interventions did not improve outcomes. This links back to their motivation for joining the trial: to benefit themselves and future patients. Site staff were supportive of sharing results with participants, seeing it as a way of respecting and valuing participants, and repaying trust. Staff at most sites found the process used to share results straight-forward and not too time-consuming. Sharing results by post increased site costs by ~£14 per participant. CONCLUSION: My findings can inform how future trials share results with participants, helping improve participants’ trial experience. Further research is required to look at how different patient populations, trial results and settings influence participant satisfaction with how results are shared

    The mobilising power of corruption: assessing anticorruption movements in Brazil

    Get PDF
    Corruption is a long-lasting problem the world over. Capitalism, modernisation, development, and democracy were not able to reduce it. If these global transformations have failed, why would people be expected to do something about it? When conditions are right, people actually do something about it, and they are sometimes victorious. But what are the contextual and institutional conditions under which constructive anticorruption social movements form and thrive? The answer to this research question is related to corruption perception and the nature of information. Using qualitative techniques such as case studies and process tracing, I analyse two anticorruption laws initiated and enacted through popular initiatives in Brazil. As in contrast, I analyse a third bill, the 10 Measures against Corruption, which was not successful, despite also counting on a significant anticorruption mobilisation. These three events depict the conditions under which people organise and react against corruption. In comparing them, information appears as a crucial variable in the mobilising process, being capable of transforming people’s apathy and cynicism into political participation.Keywords: social movements, anticorruption, corruption, corruption perception, political participation, accountabilit

    Measuring the impact of COVID-19 on hospital care pathways

    Get PDF
    Care pathways in hospitals around the world reported significant disruption during the recent COVID-19 pandemic but measuring the actual impact is more problematic. Process mining can be useful for hospital management to measure the conformance of real-life care to what might be considered normal operations. In this study, we aim to demonstrate that process mining can be used to investigate process changes associated with complex disruptive events. We studied perturbations to accident and emergency (A &E) and maternity pathways in a UK public hospital during the COVID-19 pandemic. Co-incidentally the hospital had implemented a Command Centre approach for patient-flow management affording an opportunity to study both the planned improvement and the disruption due to the pandemic. Our study proposes and demonstrates a method for measuring and investigating the impact of such planned and unplanned disruptions affecting hospital care pathways. We found that during the pandemic, both A &E and maternity pathways had measurable reductions in the mean length of stay and a measurable drop in the percentage of pathways conforming to normative models. There were no distinctive patterns of monthly mean values of length of stay nor conformance throughout the phases of the installation of the hospital’s new Command Centre approach. Due to a deficit in the available A &E data, the findings for A &E pathways could not be interpreted
    • …
    corecore