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Cytokine Adsorber Use during DCD Heart Perfusion Counteracts Coronary Microvascular Dysfunction
(2022)
Despite the unabated growth of algorithmic decision-making in organizations, there is a growing consensus that numerous situations will continue to require humans in the loop. However, the blending of a formal machine and bounded human rationality also amplifies the risk of what is known as local rationality. Therefore, it is crucial, especially in a data-abundant environment that characterizes algorithmic decision-making, to devise means to assess performance holistically. In this paper, we propose a simulation-based model to address the current lack of research on quantifying algorithmic interventions in a broader organizational context. Our approach allows the combining of causal modeling and data science algorithms to represent decision settings involving a mix of machine and human rationality to measure performance. As a testbed, we consider the case of a fictitious company trying to improve its forecasting process with the help of a machine learning approach. The example demonstrates that a myopic assessment obscures problems that only a broader framing reveals. It highlights the value of a systems view since the effects of the interplay between human and algorithmic decisions can be largely unintuitive. Such a simulation-based approach can be an effective tool in efforts to delineate roles for humans and algorithms in hybrid contexts.
Background: Adolescence is a phase of higher vulnerability for suicidal behavior. In Germany, almost 500 adolescents and young adults aged 15-25 years commit suicide each year. Youths in rural areas are characterized by a higher likelihood of poorer mental health. In rural areas, appropriate support for adolescents and young adults in mental health crises is difficult to access. The general acceptability of digital communication in youths can make the provision of an eHealth tool a promising strategy.
Objective: The aim of this study was to explore the health needs regarding suicide prevention for adolescents and young adults in rural areas of Germany and Switzerland and to identify characteristics of suitable e-mental health interventions.
Methods: This study reports on a qualitative secondary analysis of archived data, which had been collected through formative participatory research. Using 32 semistructured interviews (individually or in groups of 2) with 13 adolescents and young adults (aged 18-25 years) and 23 experts from relevant fields, we applied a deductive-inductive methodological approach and used qualitative content analyses according to Kuckartz (2016).
Results: Experts as well as adolescents and young adults have reported health needs in digital suicide prevention. The health needs for rural adolescents and young adults in crises were characterized by several categories. First, the need for suicide prevention in general was highlighted. Additionally, the need for a peer concept and web-based suicide prevention were stressed. The factors influencing the acceptability of a peer-driven, web-based support were related to low-threshold access, lifelike intervention, anonymity, and trustworthiness.
Conclusions: The results suggest a need for suicide prevention services for adolescents and young adults in this rural setting. Peer-driven and web-based suicide prevention services may add an important element of support during crises. By establishing such a service, an improvement in mental health support and well-being could be enabled. These services should be developed with the participation of the target group, taking anonymity, trustworthiness, and low-threshold access into account.
Die komplexen Herausforderungen in der Gesundheitsversorgung erfordern die Zusammenarbeit verschiedener Berufsgruppen.
Den Grundstein dafür legen interprofessionelle Ausbildungsinhalte. Die erforderlichen Kompetenzen können durch unterschiedlichedidaktische Zugänge sowie Lehr- und Lernmethoden angebahnt werden. Das vorliegende narrative Review stellt die didaktische und methodische Realisierbarkeit interprofessioneller Ausbildungsinhalte zur Verbesserung der interprofessionellen Kompetenz in den Gesundheitsberufen dar. Ergänzend wird die Evaluation der Lehr- und Lernmethoden berücksichtigt. Der Artikel stellt die Ergebnisse vor und diskutiert diese vor dem Hintergrund bisheriger Erkenntnisse.
As planetary health education enters medical and health professional training, transversal implementation across curricula is critical in developing its full potential and enabling future health professionals to meet the social, environmental, and health challenges of current and future generations in an integrated manner. To advance the transversal implementation of planetary health education, our study proceeded through: (1) a sequence analysis of documents framing physiotherapy education to identify relevant nexus points; (2) an explorative implementation of planetary health into foundational anatomy and physiology modules identified as critical nexus points; (3) practical implementation during the 2021 autumn semester. Implementation in the operative foundations of healthcare education—anatomy and physiology—enables the emphasis of the ecological nature of human bodies and interconnection with our planetary environment. Musculoskeletal joints accentuate the relational nature of bodies highlighted across current research and traditional knowledges, as dynamically pervaded and in interaction with culture, technology, objects, ideas, plants, planets, etc. Teaching relational anatomies thus highlights planetary health as the transversal foundation of medical and healthcare education. Making this foundation more explicit will be critical for the transversal implementation of planetary health education and subsequent practice, as well as the fundamental shifts in our understanding of human lives and health they require.
Software engineering, as a central practice of digitalization, needs to become accountable for sustainability. In light of the ecological crises and the tremendous impact of digital systems on reshaping economic and social arrangements - often with negative side-effects - we need a sustainability transformation of the digital transformation. However, this is a complex and long-term task. In this article we combine an analysis of accountability arrangements in software engineering and a model of sustainability transformations to trace how certain dynamics are starting to make software engineering accountable for sustainability in the technological, cultural, economic and governance domains. The article discusses existing approaches for sustainable software engineering and software engineering for sustainability, traces emerging discourses that connect digitalization and sustainability, highlights new digital business models that may support sustainability and shows governance efforts to highlight “green and digital” policy problems. Yet, we argue that these are so far niche dynamics and that a sustainability transformation requires a collective and long-lasting effort to engender systemic changes. The goal should be to create varied accountability arrangements for sustainability in software engineering which is embedded in complex ways in society and economy.
COVID-19 in German Competitive Sports: Protocol for a Prospective Multicenter Cohort Study (CoSmo-S)
(2022)
The percentage of recreational runners that might benefit from new running shoes. A likely scenario
(2022)