Understanding the integration of artificial intelligence in healthcare organisations and systems through the NASSS framework: a qualitative study in a leading Canadian academic centre

Background: Artificial intelligence (AI) technologies are expected to “revolutionise” healthcare. However, despite their promises, their integration within healthcare organisations and systems remains limited. The objective of this study is to explore and understand the systemic challenges and implications of their integration in a leading Canadian academic hospital. Methods: Semi-structured interviews were conducted with 29 stakeholders concerned by the integration of a large set of AI technologies within the organisation (e.g., managers, clinicians, researchers, patients, technology providers). Data were collected and analysed using the Non-Adoption, Abandonment, Scale-up, Spread, Sustainability (NASSS) framework. Results: Among enabling factors and conditions, our findings highlight: a supportive organisational culture and leadership leading to a coherent organisational innovation narrative; mutual trust and transparent communication between senior management and frontline teams; the presence of champions, translators, and boundary spanners for AI able to build bridges and trust; and the capacity to attract technical and clinical talents and expertise. Constraints and barriers include: contrasting definitions of the value of AI technologies and ways to measure such value; lack of real-life and context-based evidence; varying patients’ digital and health literacy capacities; misalignments between organisational dynamics, clinical and administrative processes, infrastructures, and AI technologies; lack of funding mechanisms covering the implementation, adaptation, and expertise required; challenges arising from practice change, new expertise development, and professional identities; lack of official professional, reimbursement, and insurance guidelines; lack of pre- and post-market approval legal and governance frameworks; diversity of the business and financing models for AI technologies; and misalignments between investors’ priorities and the needs and expectations of healthcare organisations and systems. Conclusion: Thanks to the multidimensional NASSS framework, this study provides original insights and a detailed learning base for analysing AI technologies in healthcare from a thorough socio-technical perspective. Our findings highlight the importance of considering the complexity characterising healthcare organisations and systems in current efforts to introduce AI technologies within clinical routines. This study adds to the existing literature and can inform decision-making towards a judicious, responsible, and sustainable integration of these technologies in healthcare organisations and systems

Accelerated bone ingrowth by local delivery of Zinc from bioactive glass: oxidative stress status, mechanical property, and microarchitectural characterization in an ovariectomized rat model

Background: Synthetic bone graft substitutes such as bioactive glass (BG) material are developed in order to achieve successful bone regeneration. Zn plays an important role in the proper bone growth, development, and maintenance of healthy bones.Aims: This study aims to evaluate in vivo the performance therapy of zinc-doped bioactive glass (BG-Zn) and its applications in biomedicine.Methods: Female Wistar rats were ovariectomized. BG and BG-Zn were implanted in the femoral condyles of Wistar rats and compared to that of control group. Grafted bone tissues were carefully removed to evaluate the oxidative stress status, histomorphometric profile, mechanical property, and mineral bone distribution by using inductively coupled plasma optical emission spectrometry.Results: A significant decrease of thiobarbituric acidreactive substances was observed after BG-Zn implantation. Superoxide dismutase, catalase (CAT), and glutathione peroxidase (GPx) activities significantly increased in ovariectomized group implanted with Zinc-doped bioactive glass (OVX-BG-Zn) as compared to ovariectomized group implanted with bioactive glass (OVX-BG). An improved mechanical property was noticed in contact of OVX-BG-Zn (39+6 HV) when compared with that of OVX-BG group (26+9 HV). After 90 days of implantation, the histomorphometric analysis showed that trabecular thickness (Tb.Th) and trabecular number (Tb.N) were significantly increased with 28 and 24%, respectively, in treated rats of OVXBG- Zn group as compared to those of OVX-BG groups. Trabecular separation (Tb.Sp) and trabecular bone pattern factor (TBPf) were significantly decreased in OVX-BG-Zn group with 29.5 and 54% when compared with those of OVX-BG rat groups. On the other hand, a rise in Ca and P ion concentrations in the implanted microenvironment was shown and lead to the formation/deposition of Ca-P phases. The ratio of pyridinoline [Pyr] to dihydroxylysinonorleucine [DHLNL] cross-links was normalized to the control level.Conclusion: Our findings suggested that BG-Zn might have promising  potential applications for osteoporosis therapy.Keywords: zinc metallic ion; bioactive glass; osteoporosis; trabecular bone architecture; mechanical property; oxidative stressResponsible Editor: Amin Bredan, VIB Inflammation Research Center & Ghent University, Belgium

Grief experiences among female American and Arab undergraduate college students

© 2015 The Author(s). The purpose of this study was to compare the incidence of grief among American and Arab female undergraduate students, the effects of their grief, and risk of prolonged grief disorder. A total of 471 female undergraduate students, 308 (65.4%) from the United Arab Emirates and 163 (34.6%) from the United States, completed a survey about their grief experiences. Students experiencing a significant loss also completed the Prolonged Grief Disorder Questionnaire. Findings revealed that overall approximately 38.4% (n=181) of all 471 students experienced the loss of a significant person in their lives within the past 24 months; a similar percentage was found in each sub group. Students reported various grief effects with American students experiencing more effects related to sleep, relationships, academics, physical well-being, religion/spirituality, and outlook on life than Arab students. Only a small number (10, 5.52%) of students met the criteria for prolonged grief disorder; however, most students were female Arab students. Limitations of the study and recommendations for future research are provided

New Material of the Earliest Hominid from the Upper Miocene of Chad

Anthropolog

High-sensitivity Gd3+-Gd3+ EPR distance measurements that eliminate artefacts seen at short distances

We would like to acknowledge EPSRC (EP/R)13705/1) for current funding on the HiPER project, and the Wellcome Trust for a multi-user equipment grant (099149/Z/12/Z) for upgrades on the Q-band system. We thank the Royal Society for an International Exchanges Grant and The Weizmann-UK Joint Research Program for allowing bilateral travel and research between the University of St Andrews and the Weizmann Institute of Science. JEL thanks the Royal Society for a University Research Fellowship. MJT thanks EPSRC for a CM-CDT studentship (EP/LO15110/1). MQ and AG thank the Deutsche Forschungsgemeinschaft (DFG) for funding within SPP 1601 (GO555/6-2).Gadolinium complexes are attracting increasing attention as spin labels for EPR dipolar distance measurements in biomolecules and particularly for in-cell measurements. It has been shown that flip-flop transitions within the central transition of the high spin Gd3+ ion can introduce artefacts in dipolar distance measurements, particularly when measuring distances less than 3–4 nm. Previous work has shown some reduction of these artefacts through increasing the frequency separation between the two frequencies required for the Double Electron-Electron Resonance (DEER) experiment. Here we use a high power (1 kW), wideband, non-resonant, system operating at 94 GHz to evaluate DEER measurement protocols using two rigid Gd(III)-rulers, consisting of two [GdIII(PyMTA)] complexes, with separations of 2.1 nm and 6.0 nm, respectively. We show that by avoiding the |−1/2⟩ → |1/2⟩ central transition completely, and placing both the pump and the observer pulses on either side of the central transition, we can now observe apparently artefact-free spectra and narrow distance distributions, even for a Gd-Gd distance of 2.1 nm. Importantly we still maintain excellent signal-to-noise ratio and relatively high modulation depths. These results have implications for in-cell EPR measurements at naturally occurring biomolecule concentrations.Publisher PDFPeer reviewe

Flavonoid-coated gold nanoparticles as efficient antibiotics against gram-negative bacteria—evidence from in silico-supported in vitro studies

Flavonoids are a class of bioactive plant-derived natural products that exhibit a broad range of biological activities, including antibacterial ones. Their inhibitory activity toward Gram-positive bacterial was found to be superior to that against Gram-negative ones. In the present study, a number of flavonoid-coated gold nanoparticles (GNPs) were designed to enhance the antibacterial effects of chrysin, kaempferol, and quercetin against a number of Gram-negative bacteria. The prepared GNPs were able to conjugate to these three flavonoids with conjugation efficiency ranging from 41% to 80%. Additionally, they were able to exert an enhanced antibacterial activity in comparison with the free flavonoids and the unconjugated GNPs. Quercetin-coated GNPs were the most active nano-conjugates and were able to penetrate the cell wall of E. coli. A number of in silico experiments were carried out to explain the conjugation efficiency and the antibacterial mechanisms of these flavonoids as follows: (i) these flavonoids can efficiently bind to the glutathione linker on the surface of GNPs via H-bonding; (ii) these flavonoids, particularly quercetin, were able to increase the bacterial membrane rigidity, and hence decrease its functionality; (iii) these flavonoids can inhibit E. coli’s DNA gyrase (Gyr-B) with IC(50) values ranging from 0.9 to 3.9 µM. In conclusion, these bioactive flavonoid-based GNPs are considered to be very promising antibiotic candidates for further development and evaluation

New insights into Cenomanian paleoceanography and climate evolution from the Tarfaya Basin, southern Morocco

Highlights • Complete upper Albian to early Turonian climate archive in drilled core from Tarfaya Basin. • Eccentricity pacing of mid Cretaceous OAE isotope excursions. • MCE and OAE2 associated with climate cooling and sea level fall. Abstract A 325 m long continuous succession of uppermost Albian to lower Turonian pelagic (outer shelf) deposits was recovered from a new drill site in the central part of the Tarfaya Basin (southern Morocco). Natural gamma ray wireline logging, carbonate and organic carbon content, bulk carbonate and organic carbon stable isotopes and X-ray fluorescence (XRF)-scanner derived elemental distribution data in combination with planktonic foraminiferal biostratigraphy indicate complete recovery of the Cenomanian Stage. This exceptional sediment archive allows to identify orbitally driven cyclic sedimentation patterns and to evaluate the pacing of climatic events and regional environmental change across the Albian-Cenomanian boundary (ACB), the mid-Cenomanian Event (MCE) and Oceanic Anoxic Event 2 (OAE2) in the latest Cenomanian. The deposition of organic-rich sediments in the Tarfaya Basin, likely driven by upwelling of nutrient-rich water masses, started during the latest Albian and intensified in two major steps following the MCE and the onset of OAE2. The duration and structure of the MCE and OAE2 carbon isotope excursions exhibit striking similarities, suggesting common driving mechanisms and climate-carbon cycle feedbacks. Both events were also associated with eustatic sea level falls, expressed as prominent sequence boundaries in the Tarfaya Basin. Based on the 405 kyr signal imprinted on the Natural Gamma Ray (NGR) and XRF-scanner derived Log(Zr/Rb) records, we estimate the duration of the Cenomanian Stage to be 4.8 ± 0.2 Myr

Collection and characterization of cassava germplasm in Comoros

Open Access ArticleIn Comoros, cassava plays a major food security role, however yields are low as few modern cultivars are grown. Prior to the introduction of new cultivars, and as a germplasm resource for breeders, germplasm collection missions were undertaken in the three largest islands; Ngazidja, Ndzouani and Mwali; and associated farmer knowledge documented. Cassava landraces were collected from 34 farms, and 17 key informant interviews conducted. Stakes of 79 collected landraces were planted for agro-morphological characterization. All landraces were genotyped using DaRTSeq technology and data analysed to identify duplicates. Genetic fingerprints of 46 unique landraces were co-analysed with 402 previously genotyped landraces and improved cultivars from Tanzania. From this set only one match was made with a very old cultivar, Aipin Valenca, from the Northern Zone in Tanzania. According to SNP data, germplasm from the three islands of Comoros were similarly related to one another, and more distantly related to germplasm from Tanzania. They were most closely related to germplasm from the Northern Zone in Tanzania, suggesting a possible historical introduction of germplasm from this area. Lower levels of diversity were observed on these islands, as well as the islands of Pemba and Zanzibar. This implies limited introduction and movement of cassava germplasm into the islands. Introductions of improved germplasm to Comoros is recommended with the simultaneous conservation of collected unique landraces. Two landraces with high market demand and reported tolerance to diseases were identified for further evaluation with a view to multiplication and distribution and incorporation into the breeding program

Unveiling the effects of interval resistance training and chlorella vulgaris supplementation on meteorin-like protein and oxidative stress in obese men

Background and Aim Dysregulation of adipocyte function occurs in obesity. Meteorin-like protein (metrnl) is a newly discovered modulator of inflammation, metabolism, and differentiation of human adipocytes. The dietary supplement Chlorella Vulgaris (CV) reduces hyperlipidemia, hyperglycemia, and oxidative stress in clinical trials. We explored the impact of 12 weeks of interval resistance training (IRT) and supplementation with CV on plasma levels of metrnl and oxidative stress in males with obesity. Methods Forty-four obese men (BMI: 32.0 ± 1.5 kg/m2, weight: 101.1 ± 2.2 kg, age: 23-35 years) were randomized into four groups (n = 11/group): Control (CON), CV supplement (CV), IRT, and CV + IRT (CVIRT). The IRT was performed for 12 weeks (three sessions per week). The treatment consisted of a daily intake of CV (1800 mg capsule) or placebo capsules. Blood samples were collected 48 hours before and after the interventions to analyze biomedical measurements. Results The IRT and CVIRT had elevations in plasma metrnl, superoxide dismutase (SOD), and total antioxidant capacity (TAC) levels (all p0.05). Conclusion Although IRT and its combination with CV hold promise for improving metrnl levels and oxidative status in obesity, combining IRT and CV do not yield greater benefits than IRT alone. While standalone CV supplementation could favorably impact certain markers of oxidative stress, the effectiveness of CV supplementation appears to have a relatively limited effect across assessed biomarkers and requires further investigation