A review of contemporary work on the ethics of ambient assisted living technologies for people with dementia

Ambient assisted living (AAL) technologies can provide assistance and support to persons with dementia. They might allow them the possibility of living at home for longer whilst maintaining their comfort and security as well as offering a way towards reducing the huge economic and personal costs forecast as the incidence of dementia increases worldwide over coming decades. However, the development, introduction and use of AAL technologies also trigger serious ethical issues. This paper is a systematic literature review of the on-going scholarly debate about these issues. More specifically, we look at the ethical issues involved in research and development (R&D), clinical experimentation, and clinical application of AAL technologies for people with dementia and related stakeholders. In the discussion we focus on: 1) the value of the goals of AAL technologies, 2) the special vulnerability of persons with dementia in their private homes, 3) the complex question of informed consent for the usage of AAL technologies

Combating Trafficking in Persons: A directory of organisations

This document is part of a digital collection provided by the Martin P. Catherwood Library, ILR School, Cornell University, pertaining to the effects of globalization on the workplace worldwide. Special emphasis is placed on labor rights, working conditions, labor market changes, and union organizing.ASI_2003_HT_UK_Combating_Trafficking.pdf: 445 downloads, before Oct. 1, 2020

EFSA BIOHAZ Panel (EFSA Panel on Biologicial Hazards), 2013. Scientific Opinion on the public health hazards to be covered by inspection of meat (solipeds)

A risk ranking process identified Trichinella spp. as the most relevant biological hazard in the context of meat inspection of domestic solipeds. Without a full and reliable soliped traceability system, it is considered that either testing all slaughtered solipeds for Trichinella spp., or inactivation meat treatments (heat or irradiation) should be used to maintain the current level of safety. With regard to general aspects of current meat inspection practices, the use of manual techniques during current post-mortem soliped meat inspection may increase microbial cross-contamination, and is considered to have a detrimental effect on the microbiological status of soliped carcass meat. Therefore, the use of visual-only inspection is suggested for “non-suspect” solipeds. For chemical hazards, phenylbutazone and cadmium were ranked as being of high potential concern. Monitoring programmes for chemical hazards should be more flexible and based on the risk of occurrence, taking into account Food Chain Information (FCI), covering the specific on-farm environmental conditions and individual animal treatments, and the ranking of chemical substances, which should be regularly updated and include new hazards. Sampling, testing and intervention protocols for chemical hazards should be better integrated and should focus particularly on cadmium, phenylbutazone and priority “essential substances” approved for treatment of equine animals. Implementation and enforcement of a more robust and reliable identification system throughout the European Union is needed to improve traceability of domestic solipeds. Meat inspection is recognised as a valuable tool for surveillance and monitoring of animal health and welfare conditions. If visual only post-mortem inspection is implemented for routine slaughter, a reduction in the detection of strangles and mild cases of rhodococcosis would occur. However, this was considered unlikely to affect the overall surveillance of both diseases. Improvement of FCI and traceability were considered as not having a negative effect on animal health and welfare surveillance

State of the art of audio- and video based solutions for AAL

Working Group 3. Audio- and Video-based AAL ApplicationsIt is a matter of fact that Europe is facing more and more crucial challenges regarding health and social care due to the demographic change and the current economic context. The recent COVID-19 pandemic has stressed this situation even further, thus highlighting the need for taking action. Active and Assisted Living (AAL) technologies come as a viable approach to help facing these challenges, thanks to the high potential they have in enabling remote care and support. Broadly speaking, AAL can be referred to as the use of innovative and advanced Information and Communication Technologies to create supportive, inclusive and empowering applications and environments that enable older, impaired or frail people to live independently and stay active longer in society. AAL capitalizes on the growing pervasiveness and effectiveness of sensing and computing facilities to supply the persons in need with smart assistance, by responding to their necessities of autonomy, independence, comfort, security and safety. The application scenarios addressed by AAL are complex, due to the inherent heterogeneity of the end-user population, their living arrangements, and their physical conditions or impairment. Despite aiming at diverse goals, AAL systems should share some common characteristics. They are designed to provide support in daily life in an invisible, unobtrusive and user-friendly manner. Moreover, they are conceived to be intelligent, to be able to learn and adapt to the requirements and requests of the assisted people, and to synchronise with their specific needs. Nevertheless, to ensure the uptake of AAL in society, potential users must be willing to use AAL applications and to integrate them in their daily environments and lives. In this respect, video- and audio-based AAL applications have several advantages, in terms of unobtrusiveness and information richness. Indeed, cameras and microphones are far less obtrusive with respect to the hindrance other wearable sensors may cause to one’s activities. In addition, a single camera placed in a room can record most of the activities performed in the room, thus replacing many other non-visual sensors. Currently, video-based applications are effective in recognising and monitoring the activities, the movements, and the overall conditions of the assisted individuals as well as to assess their vital parameters (e.g., heart rate, respiratory rate). Similarly, audio sensors have the potential to become one of the most important modalities for interaction with AAL systems, as they can have a large range of sensing, do not require physical presence at a particular location and are physically intangible. Moreover, relevant information about individuals’ activities and health status can derive from processing audio signals (e.g., speech recordings). Nevertheless, as the other side of the coin, cameras and microphones are often perceived as the most intrusive technologies from the viewpoint of the privacy of the monitored individuals. This is due to the richness of the information these technologies convey and the intimate setting where they may be deployed. Solutions able to ensure privacy preservation by context and by design, as well as to ensure high legal and ethical standards are in high demand. After the review of the current state of play and the discussion in GoodBrother, we may claim that the first solutions in this direction are starting to appear in the literature. A multidisciplinary 4 debate among experts and stakeholders is paving the way towards AAL ensuring ergonomics, usability, acceptance and privacy preservation. The DIANA, PAAL, and VisuAAL projects are examples of this fresh approach. This report provides the reader with a review of the most recent advances in audio- and video-based monitoring technologies for AAL. It has been drafted as a collective effort of WG3 to supply an introduction to AAL, its evolution over time and its main functional and technological underpinnings. In this respect, the report contributes to the field with the outline of a new generation of ethical-aware AAL technologies and a proposal for a novel comprehensive taxonomy of AAL systems and applications. Moreover, the report allows non-technical readers to gather an overview of the main components of an AAL system and how these function and interact with the end-users. The report illustrates the state of the art of the most successful AAL applications and functions based on audio and video data, namely (i) lifelogging and self-monitoring, (ii) remote monitoring of vital signs, (iii) emotional state recognition, (iv) food intake monitoring, activity and behaviour recognition, (v) activity and personal assistance, (vi) gesture recognition, (vii) fall detection and prevention, (viii) mobility assessment and frailty recognition, and (ix) cognitive and motor rehabilitation. For these application scenarios, the report illustrates the state of play in terms of scientific advances, available products and research project. The open challenges are also highlighted. The report ends with an overview of the challenges, the hindrances and the opportunities posed by the uptake in real world settings of AAL technologies. In this respect, the report illustrates the current procedural and technological approaches to cope with acceptability, usability and trust in the AAL technology, by surveying strategies and approaches to co-design, to privacy preservation in video and audio data, to transparency and explainability in data processing, and to data transmission and communication. User acceptance and ethical considerations are also debated. Finally, the potentials coming from the silver economy are overviewed.publishedVersio

SHELDON Smart habitat for the elderly.

An insightful document concerning active and assisted living under different perspectives: Furniture and habitat, ICT solutions and Healthcare

HIDE: User centred Domotic evolution toward Ambient Intelligence

Pervasive Computing and Ambient Intelligence (AmI) visions are still far from being achieved, especially with regard to Domotics and home applications. According to the vision of Ambient Intelligence (AmI), the most advanced technologies are those that disappear: at maturity, computer technology should become invisible. All the objects surrounding us must possess sufficient computing capacity to interact with users, the surroundings and each other. The entire physical environment in which users are immersed should thus be a hidden computer system equipped with the appropriate software in order to exhibit intelligent behavior. Even though many implementations have started to appear in several contexts, few applications have been made available for the home environment and the general public. This is mainly due to the segmentation of standards and proprietary solutions, which are currently confusing the market with a sparse offer of uninteroperable devices and systems. Although modern houses are equipped with smart technological appliances, still very few of these appliances can be seamlessly connected to each other. The objective of this research work is to take steps in these directions by proposing, on the one hand, a software system designed to make today’s heterogeneous, mostly incompatible domotic systems fully interoperable and, on the other hand, a feasible software application able to learn the behavior and habits of home inhabitants in order to actively contribute to anticipating user needs, and preventing emergency situations for his health. By applying machine learning techniques, the system offers a complete, ready-to-use practical application that learns through interaction with the user in order to improve life quality in a technological living environment, such as a house, a smart city and so on. The proposed solution, besides making life more comfortable for users without particular needs, represents an opportunity to provide greater autonomy and safety to disabled and elderly occupants, especially the critically ill ones. The prototype has been developed and is currently running at the Pisa CNR laboratory, where a home environment has been faithfully recreated

Patriarchy, authority and exclusion from full participation of women in the Orthodox Church

From 1948, when the Orthodox churches became members of the World Council of Churches, the woman question has been debated and researched through various assemblies, consultations and programmes. The general attitude of Orthodox Church hierarchs on the debate of the \u27woman question\u27 is that it is an imposition from the West and therefore any changes for the Church to be active in improving the status of women are not under serious consideration. The question of changing roles in the ministry of women is one of the most contentious issues in the ecumenical movement for the Orthodox Church. The Orthodox member churches have not implemented specific programmes for Orthodox women based on the work of the WCC. This thesis includes analysis of the archives of meetings and documents contributed by Orthodox theologians and historians to discern at what level the recommendations for change were acted upon or ignored. This thesis analyses patriarchy and authority within the Orthodox Church and the influences of culture and tradition upon the status and participation of women. The analysis focuses on data from ecumenical archives; national church documents and statements; traditional Orthodox church theology and history and sacramental practices of the Church. The thesis questions the present understanding that in order to be Orthodox, that is, for \u27right thinking\u27 and \u27correct practice\u27 in the faith of the Orthodox Church, Orthodox men have authority and spiritual leadership for both the sacramental and liturgical life of the church and in turn their rightful authority and headship in the family and community. This thesis focuses on both historical and contemporary elements of human sexuality, ministry and participation of women in the Orthodox Church with reference to selected teachings of the Church Fathers whose attitudes and perceptions were very often to the detriment of women. The Church Fathers continue as guide lines for the Church today with little reference to the context of their times und in contrast to contemporary issues and concerns for women and societal influences of society, imposed and absorbed, that have arisen in the twentieth century. The women\u27s movement in the Orthodox Church is in the infancy stage and very few women have written or researched present day situations; contemporary Orthodox Church historians are not engaged in critical analysis of the liturgical, religious or cultural traditions that place women in gender specific subservient roles and have led to the exclusion and prohibition of women within the fullness of religious life of church communities. Specific contributions of Orthodox women, though not necessarily with a feminist agenda, are analysed in the context of a feminist framework of a \u27hermeneutics of suspicion\u27 in addition to references to the contemporary work of Catholic and Protestant feminist historians and theologians