1
|
Fuad A, Tiara A, Kusumasari RA, Rimawati R, Murhandarwati EEH. Introducing a Regulatory Sandbox Into the Indonesian Health System Using e-Malaria as a Use Case: Participatory Action Study. J Med Internet Res 2023; 25:e47706. [PMID: 38051555 PMCID: PMC10731549 DOI: 10.2196/47706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 05/25/2023] [Accepted: 08/30/2023] [Indexed: 12/07/2023] Open
Abstract
BACKGROUND Regulatory sandboxes offer an alternative solution to address regulatory challenges in adopting disruptive technologies. Although regulatory sandboxes have been widely implemented in the financial sector across more than 50 countries, their application to the health sector remains limited. OBJECTIVE This study aims to explore stakeholders' perspectives on introducing a regulatory sandbox into the Indonesian health system using e-malaria as a use case. METHODS Using a participatory action research approach, this study conducted qualitative research, including desk reviews, focus group discussions, and in-depth interviews with stakeholders. This study sought to understand stakeholders' concerns and interests regarding the regulatory sandbox and to collaboratively develop a regulatory sandbox model to support the malaria program. RESULTS The study revealed that most stakeholders had limited awareness of the regulatory sandbox concept. Concerns have been raised regarding the time required to establish regulations, knowledge gaps among stakeholders, data protection issues, and limited digital infrastructure in malaria endemic areas. Existing regulations have been found to be inadequate to accommodate disruptive healthtech for malaria. Nevertheless, through a collaborative process, stakeholders successfully developed a regulatory sandbox model specifically for e-malaria, with the crucial support of the Ministry of Health. CONCLUSIONS The regulatory sandbox holds the potential for adoption in the Indonesian health system to address the limited legal framework and to facilitate the rapid and safe adoption of disruptive healthtech in support of the malaria elimination program. Through stakeholder involvement, guidelines for implementing the regulatory sandbox were developed and innovators were successfully invited to participate in the first-ever trial of a health regulatory sandbox for e-malaria in Indonesia. Future studies should provide further insights into the challenges encountered during the e-malaria regulatory sandbox pilot study, offering a detailed account of the implementation process.
Collapse
Affiliation(s)
- Anis Fuad
- Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Agi Tiara
- Center for Tropical Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Rizqiani Amalia Kusumasari
- Center for Tropical Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
- Department of Parasitology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | | | - E Elsa Herdiana Murhandarwati
- Center for Tropical Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
- Department of Parasitology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| |
Collapse
|
2
|
Affiliation(s)
- Pradyumna Kumar Mishra
- Division of Environmental Biotechnology, Genetics and Molecular Biology, ICMR-National Institute for Research in Environmental Health, Bhopal, 462030, India
| | - Prasan Kaur
- Division of Environmental Biotechnology, Genetics and Molecular Biology, ICMR-National Institute for Research in Environmental Health, Bhopal, 462030, India
| |
Collapse
|
3
|
Vintilă M, Mischianu D, Honțaru OS, Dobra M, Sterian AG. Use of Digital Healthcare Communication to Improve Urologists' Surveillance of Lithiasis Patients Treated with Internal Urinary Drainage Pre- and Post-COVID-19 Period. Healthcare (Basel) 2023; 11:1776. [PMID: 37372894 DOI: 10.3390/healthcare11121776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 06/12/2023] [Accepted: 06/12/2023] [Indexed: 06/29/2023] Open
Abstract
The COVID-19 pandemic has greatly affected lithiasis patients, which has led to an increase in the number of internal stents that have been installed. In this paper, two studies were carried out, a clinical study and a quantitative study. The aim of the first study was to evaluate the incidence and the prevalence of bacterial urinary colonization in patients with obstructive urolithiasis who needed internal stents implanted. In the second study, a multiple linear regression was created to identify the opinion of urologists regarding the importance of using digital technologies to improve the communication process. The result of the clinical study illustrates that the prevalence of urinary colonization in patients with internal stents carried out for obstructive urolithiasis was 35%, with this value being influenced by co-infection with COVID-19. The results of the quantitative study illustrated the fact that urologists are open to using new online technologies to facilitate communication with patients. The results have high importance for both doctors and patients, illustrating the main factors that have the ability to influence the communication process. The hospital managers should take into account the results obtained in this study when they choose to use certain online communication technologies with patients.
Collapse
Affiliation(s)
- Mihai Vintilă
- Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila" Bucharest, 020021 Bucharest, Romania
| | - Dan Mischianu
- Department of Urology, University of Medicine and Pharmacy "Carol Davila" Bucharest, 020021 Bucharest, Romania
- Department of Urology, University Emergency Central Military Hospital, 010825 Bucharest, Romania
| | - Octavia-Sorina Honțaru
- Faculty of Sciences, Physical Education and Informatics, University of Pitesti, Târgul din Vale 1, Arges, 110040 Pitesti, Romania
- Department of Public Health Arges, Exercitiu 39 bis, Arges, 110438 Pitești, Romania
| | - Mihai Dobra
- Center of Uronephrology and Renal Transplant Fundeni, University of Medicine and Pharmacy "Carol Davila" Bucharest, 020021 Bucharest, Romania
| | - Alin Gabriel Sterian
- Department of Pediatric Surgery and Orthopedics, University of Medicine and Pharmacy "Carol Davila" Bucharest, 020021 Bucharest, Romania
- Emergency Hospital for Children Grigore Alexandrescu, 30-32 Iancu de Hunedoara Boulevard, 011743 Bucharest, Romania
| |
Collapse
|
4
|
Țap MD, Stanciu Neculau C, Popescu G, Honțaru OS. Disruptive Technologies for Learning and Further Investigation of the Potential Toxicity Produced by Titanium in the Human Body during the COVID-19 Pandemic Period. Toxics 2023; 11:523. [PMID: 37368623 DOI: 10.3390/toxics11060523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Revised: 06/04/2023] [Accepted: 06/08/2023] [Indexed: 06/29/2023]
Abstract
Titanium is considered to be a biocompatible material and is used to a great extent in the pharmaceutical and oral implantology fields. While initially, specialists considered that its use does not cause adverse effects on the human body, as time has gone by, it has become clear that its use can lead to the development of certain diseases. The objective of this study was to identify the way in which digital technologies have the capacity to facilitate information regarding the potential long-term harm caused by titanium device toxicity during the COVID-19 pandemic. In this study, a regression model was developed to identify how a series of independent variables have the ability to influence the dependent variable (respondents' perceptions of how new web technologies have the ability to help future physicians to facilitate information absorption with regard to potential titanium toxicity). The results illustrated that new technologies have the potential to support both the learning process on this topic and the innovation activity by discovering new solutions that will gradually lead to the reduction of the side effects of titanium used in the pharmaceutical and oral implantology fields.
Collapse
Affiliation(s)
- Mădălin Dorel Țap
- Faculty of Dental Medicine, "Titu Maiorescu" University of Bucharest, 031593 Bucharest, Romania
| | - Cristina Stanciu Neculau
- Department of Marketing and Medical Technology, University of Medicine and Pharmacy "Carol Davila" Bucharest, 020021 Bucharest, Romania
| | - George Popescu
- Emergency Clinical Hospital Dr. Bagdasar-Arseni, Șoseaua Berceni 12, 041915 Bucharest, Romania
| | - Octavia-Sorina Honțaru
- Faculty of Sciences, Physical Education and Informatics, University of Pitesti, Târgul din Vale 1, 110040 Arges, Romania
- Department of Public Health Arges, Exercitiu 39 bis, 110438 Arges, Romania
| |
Collapse
|
5
|
Baudier P. Teleconsultation management in healthcare during the COVID-19 pandemic: The impact of Perceived Justice on satisfaction and Word-Of-Mouth. Journal of General Management 2023:03063070211062995. [PMCID: PMC9996184 DOI: 10.1177/03063070211062995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/11/2023]
Abstract
Following the restrictions on movement imposed during the COVID-19 pandemic, the greater demands placed on physicians and many healthcare infrastructures, a large number of health teleconsultation platforms have emerged around the world. The aim of this paper is to obtain a better understanding of the acceptance of teleconsultation platforms by patients. To this end, a survey of 1273 patients was carried out using a teleconsultation platform during the pandemic period in France (from 9 July to 29 October 2020). The questionnaire mobilized existing scales to measure Satisfaction, Perceived Justice and, finally, the intention to disseminate by Word-Of-Mouth (WOM). Data were analysed using a Partial Least Squares approach. The study confirms the impact of Distributive, Informational and Procedural Justice on Satisfaction and the impact of Distributive and Informational Justice on WOM. The findings emphasize the influence of Satisfaction on WOM. The results detect a mediating effect of Satisfaction on WOM and moderating effects of gender, age and long-standing use. This research contributes to both theoretical and practical COVID-19 research and may be used by healthcare professionals to develop teleconsultation services, one of the means of supporting interaction and satisfying patients’ treatment requirements during the pandemic.
Collapse
Affiliation(s)
- Patricia Baudier
- Patricia Baudier, Métis Lab, SCM Department, EM Normandie Business School, 64 rue Du Ranelagh, Paris 75016, France.
| |
Collapse
|
6
|
Greaves RF, Kricka L, Gruson D, Martin H, Ferrari M, Bernardini S. Emerging technology: a definition for laboratory medicine. Clin Chem Lab Med 2023; 61:33-36. [PMID: 36302376 DOI: 10.1515/cclm-2022-0929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Accepted: 09/18/2022] [Indexed: 12/15/2022]
Abstract
The term "emerging technology" (ET) is used extensively, and there are numerous definitions offered, but to our knowledge, none specifically encompass the field of laboratory medicine. An ET definition that incorporates the overarching IFCC aim of "Advancing excellence in laboratory medicine to support healthcare worldwide" would clarify discussions. We discuss key aspects of the term "emerging technology(ies)" as it applies to laboratory medicine with a view to laying the foundations for a practical definition for the profession and propose the definition of an ET as "An analytical method or device that by virtue of its stage of development, translation into broad routine clinical practice, or geographical adoption and implementation has the potential to add value to clinical diagnostics".
Collapse
Affiliation(s)
- Ronda F Greaves
- Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC, Australia.,Dept. of Paediatrics, University of Melbourne, Melbourne VIC, Australia
| | - Larry Kricka
- Department of Pathology and Lab. Medicine, University of Pennsylvania Medical Center, Philadelphia, PA, USA
| | - Damien Gruson
- Département des Laboratoires Cliniques, Biochimie Médicale, Cliniques Universitaires Saint Luc, Brussels, Belgium
| | | | | | - Sergio Bernardini
- Department of Experimental Medicine, University Tor Vergata, Rome, Italy
| |
Collapse
|
7
|
Bao L, Xu T. From Psychology Management Innovation and Education Reform in the Digital Age: Role of Disruptive Technologies. Front Psychol 2022; 13:888383. [PMID: 35651559 PMCID: PMC9149434 DOI: 10.3389/fpsyg.2022.888383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 04/07/2022] [Indexed: 11/25/2022] Open
Abstract
In the main body of colleges and universities, the effect of college teaching psychology management is an important standard to test the quality of college teaching psychology management and its effects on the development of college teaching psychology management. However, the psychology management system used by traditional colleges and universities is challenging to meet the needs of the innovation of the new talent training model of higher vocational education. The construction of the new micro-level teaching organization inevitably requires the psychology management practice, structure, process, and technology at the medium and macro-levels to adapt to it. However, there are many mismatches in Higher Vocational Colleges’ internal and external administrative systems in China, such as low administrative efficiency, generalization of administrative power, low degree of specialization in administrative psychology management, and unreasonable administrative and organizational structure. This paper innovates the psychology management of colleges and universities reforms in combination with the characteristics of the digital age. Based on the collaborative innovation theory of colleges and universities, this paper puts forward the collaborative psychology management innovation network model of colleges and universities. The model combines the psychology management theory with the practical research of collaborative innovation in colleges and universities, expands the application and research field of innovation network theory, constructs the evaluation index system of students’ satisfaction in teaching psychology management in colleges and universities, and discusses it through reading and consulting materials and communication with teachers and students. A questionnaire of college teaching psychology management based on student satisfaction is formed. The experiment shows that teaching satisfaction is improved by nearly 31% compared with before innovation and reform. It can initially get the effect of innovation and reform, meet students’ needs, and promote the improvement of teaching psychology management quality.
Collapse
Affiliation(s)
- Lin Bao
- School of Sciences, Nantong University, Nantong, China
| | - Tian Xu
- School of Sciences, Nantong University, Nantong, China
| |
Collapse
|
8
|
Barbazzeni B, Haider S, Friebe M. Engaging Through Awareness: Purpose-Driven Framework Development to Evaluate and Develop Future Business Strategies With Exponential Technologies Toward Healthcare Democratization. Front Public Health 2022; 10:851380. [PMID: 35692334 PMCID: PMC9174566 DOI: 10.3389/fpubh.2022.851380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 04/20/2022] [Indexed: 11/13/2022] Open
Abstract
Industry 4.0 and digital transformation will likely come with an era of changes for most manufacturers and tech industries, and even healthcare delivery will likely be affected. A few trends are already foreseeable such as an increased number of patients, advanced technologies, different health-related business models, increased costs, revised ethics, and regulatory procedures. Moreover, cybersecurity, digital invoices, price transparency, improving patient experience, management of big data, and the need for a revised education are challenges in response to digital transformation. Indeed, forward-looking innovation about exponential technologies and their effect on healthcare is now gaining momentum. Thus, we developed a framework, followed by an online survey, to investigate key areas, analyze and visualize future-oriented developments concerning technologies and innovative business models while attempting to translate visions into a strategy toward healthcare democratization. When forecasting the future of health in a short and long-term perspective, results showed that digital healthcare, data management, electronics, and sensors were the most common predictions, followed by artificial intelligence in clinical diagnostic and in which hospitals and homes would be the places of primary care. Shifting from a reactive to a proactive digital ecosystem, the focus on prevention, quality, and faster care accessibility are the novel value propositions toward democratization and digitalization of patient-centered services. Longevity will translate into increased neurodegenerative, chronic diseases, and mental illnesses, becoming severe issues for a future healthcare setup. Besides, data privacy, big data management, and novel regulatory procedures were considered as potential problems resulting from digital transformation. However, a revised education is needed to address these issues while preparing future health professionals. The "P4 of health", a novel business model that is outcome-based oriented, awareness and acceptance of technologies to support public health, a different mindset that is proactive and future-oriented, and an interdisciplinary setting to merge clinical and technological advances would be key to a novel healthcare ecosystem. Lastly, based on the developed framework, we aim to conduct regular surveys to capture up-to-date technological trends, sustainable health-related business models, and interdependencies. The engagement of stakeholders through awareness and participation is the key to recognizing and improving healthcare needs and services.
Collapse
Affiliation(s)
- Beatrice Barbazzeni
- ESF-GS ABINEP International Graduate School, Otto-von-Guericke-University, Magdeburg, Germany
| | - Sultan Haider
- Innovation Think Tank, Siemens Healthineers, Erlangen, Germany
| | - Michael Friebe
- INKA-HealthTec Innovation Laboratory, Medical Faculty, Otto-von-Guericke-University, Magdeburg, Germany
- Department of Measurement and Electronics, AGH University of Science and Technology, Kraków, Poland
| |
Collapse
|
9
|
Gardiner LJ, Krishna R. Bluster or Lustre: Can AI Improve Crops and Plant Health? Plants (Basel) 2021; 10:plants10122707. [PMID: 34961177 PMCID: PMC8707749 DOI: 10.3390/plants10122707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 11/24/2021] [Accepted: 12/06/2021] [Indexed: 06/14/2023]
Abstract
In a changing climate where future food security is a growing concern, researchers are exploring new methods and technologies in the effort to meet ambitious crop yield targets. The application of Artificial Intelligence (AI) including Machine Learning (ML) methods in this area has been proposed as a potential mechanism to support this. This review explores current research in the area to convey the state-of-the-art as to how AI/ML have been used to advance research, gain insights, and generally enable progress in this area. We address the question-Can AI improve crops and plant health? We further discriminate the bluster from the lustre by identifying the key challenges that AI has been shown to address, balanced with the potential issues with its usage, and the key requisites for its success. Overall, we hope to raise awareness and, as a result, promote usage, of AI related approaches where they can have appropriate impact to improve practices in agricultural and plant sciences.
Collapse
|
10
|
Fritzsche H, Barbazzeni B, Mahmeen M, Haider S, Friebe M. A Structured Pathway Toward Disruption: A Novel HealthTec Innovation Design Curriculum With Entrepreneurship in Mind. Front Public Health 2021; 9:715768. [PMID: 34540788 PMCID: PMC8446366 DOI: 10.3389/fpubh.2021.715768] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 08/11/2021] [Indexed: 12/02/2022] Open
Abstract
The typical curriculum of training and educating future clinicians, biomedical engineers, health IT, and artificial intelligence experts lacks needed twenty first-century skills like problem-solving, stakeholder empathy, curiosity stimulation, entrepreneurship, and health economics, which are essential generators and are pre-requirements for creating intentional disruptive innovations. Moreover, the translation from research to a valuable and affordable product/process innovation is not formalized by the current teachings that focus on short-term rather than long-term developments, leading to inaccurate and incremental forecasting on the future of healthcare and longevity. The Stanford Biodesign approach of unmet clinical need detection would be an excellent starting methodology for health-related innovation work, although unfortunately not widely taught yet. We have developed a novel lecture titled HealthTec Innovation Design (HTID) offered in an interdisciplinary setup to medical students and biomedical engineers. It teaches a future-oriented view and the application and effects of exponential trends. We implemented a novel approach using the Purpose Launchpad meta-methodology combined with other innovation generation tools to define, experiment, and validate existing project ideas. As part of the process of defining the novel curriculum, we used experimentation methods, like a global science fiction event to create a comic book with Future Health stories and an Innovation Think Tank Certification Program of a large medical technology company that is focused on identifying future health opportunities. We conducted before and after surveys and concluded that the proposed initiatives were impactful in developing an innovative design thinking approach. Participants' awareness and enthusiasm were raised, including their willingness to implement taught skills, values, and methods in their working projects. We conclude that a new curriculum based on HTID is essential and needed to move the needle of healthcare activities from treating sickness to maintaining health.
Collapse
Affiliation(s)
- Holger Fritzsche
- INKA (Intelligente Katheter) - HealthTec Innovation Laboratory, Medical Faculty, Otto-Von-Guericke-University, Magdeburg, Germany
| | - Beatrice Barbazzeni
- European Structural and Investment Funds-International Graduate School (ESF-GS) Analysis, Imaging, and Modelling of Neuronal and Inflammatory Processes (ABINEP) International Graduate School, Otto-Von-Guericke-University, Magdeburg, Germany
| | | | | | - Michael Friebe
- INKA (Intelligente Katheter) - HealthTec Innovation Laboratory, Medical Faculty, Otto-Von-Guericke-University, Magdeburg, Germany
| |
Collapse
|
11
|
Likar B, Trcek D. Orde ab Chao Method for Disruptive Innovations Creation (With COVID-19 Pandemic Case Application). Front Psychol 2021; 11:581968. [PMID: 33643108 PMCID: PMC7904675 DOI: 10.3389/fpsyg.2020.581968] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 12/28/2020] [Indexed: 11/13/2022] Open
Abstract
This paper introduces a novel method for the creation of ideas for disruptive innovations. It provides an application of innovation management techniques to specifics of disruptive technologies, which stand behind the Industry 4.0 (and Society 4.0) changes that are taking place at present. Centered around the Ordo ab Chao technique, the paper presents how contemporary disruptive technologies can attain reflections in the complex creative process that has to lead to disruptive ideas and innovations. Quite some innovative thinking techniques already exist. However, they fail to place emphasis on creation of ideas that are tied to emerging disruptive technologies so as to further deploy them in a focused, yet innovative manner. Hence, this paper presents an effective technique that facilitates creation of disruptive ideas with a focused potential for real-life implementations. Practical application of the method related to challenges in higher education processes amid the COVID-19 pandemic is also demonstrated. Based on the understanding of existing disruptive technologies, the technique is used for the adaptation and improvements of distance-learning processes to further add value for students and our society in general. In brief, the Ordo ab Chao technique is a promising tool for systematic development of disruptive solutions, representing a creative synergy between cutting-edge technologies and innovation management approaches.
Collapse
Affiliation(s)
- Borut Likar
- Faculty of Management, University of Primorska, Koper, Slovenia
| | - Denis Trcek
- Laboratory of E-media, Faculty of Computer and Information Science, University of Ljubljana, Ljubljana, Slovenia
| |
Collapse
|
12
|
Clarke KM, Kapralos B, Quevedo A, Dubrowski A. Constructing a Multidisciplinary Network That Relies on Disruptive Technologies to Design, Test, and Implement Simulation Training. Cureus 2020; 12:e7548. [PMID: 32377496 PMCID: PMC7199899 DOI: 10.7759/cureus.7548] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
MaxSIMhealth is a multidisciplinary network of manufacturing, design, and simulation labs at Ontario Tech University combining expertise in health sciences, business and information technology (IT), and engineering while building community partnerships to advance simulation training. It discovers existing simulation gaps, provides innovative solutions that change systems, and leads to improved healthcare outcomes. Specifically, it utilizes disruptive technologies, including 3D printing, gaming, and extended reality, as innovative solutions that deliver cost-effective, portable, and realistic simulation, which is currently lacking. MaxSIMhealth is a novel collaborative innovation with aims to develop future cohorts of scholars with strong competencies ranging from technology application, to collaborating in new environments, communicating professionally, and problem-solving. Its work will transform current health professional education landscapes by providing novel, flexible, and inexpensive simulation environments. This editorial aims to showcase maxSIMhealth's innovative strategy focusing on collaborations of expertise in order to develop new simulation solutions that advance the health industry.
Collapse
Affiliation(s)
| | - Bill Kapralos
- Faculty of Information Technology/Health Education Technology Research Unit, Ontario Institute of Technology, Oshawa, CAN
| | - Alvaro Quevedo
- Faculty of Business and Information Technology, Ontario Tech University, Oshawa, CAN
| | | |
Collapse
|
13
|
M Bublitz F, Oetomo A, S Sahu K, Kuang A, X Fadrique L, E Velmovitsky P, M Nobrega R, P Morita P. Disruptive Technologies for Environment and Health Research: An Overview of Artificial Intelligence, Blockchain, and Internet of Things. Int J Environ Res Public Health 2019; 16:E3847. [PMID: 31614632 PMCID: PMC6843531 DOI: 10.3390/ijerph16203847] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 10/05/2019] [Accepted: 10/07/2019] [Indexed: 12/13/2022]
Abstract
The purpose of this descriptive research paper is to initiate discussions on the use of innovative technologies and their potential to support the research and development of pan-Canadian monitoring and surveillance activities associated with environmental impacts on health and within the health system. Its primary aim is to provide a review of disruptive technologies and their current uses in the environment and in healthcare. Drawing on extensive experience in population-level surveillance through the use of technology, knowledge from prior projects in the field, and conducting a review of the technologies, this paper is meant to serve as the initial steps toward a better understanding of the research area. In doing so, we hope to be able to better assess which technologies might best be leveraged to advance this unique intersection of health and environment. This paper first outlines the current use of technologies at the intersection of public health and the environment, in particular, Artificial Intelligence (AI), Blockchain, and the Internet of Things (IoT). The paper provides a description for each of these technologies, along with a summary of their current applications, and a description of the challenges one might face with adopting them. Thereafter, a high-level reference architecture, that addresses the challenges of the described technologies and could potentially be incorporated into the pan-Canadian surveillance system, is conceived and presented.
Collapse
Affiliation(s)
- Frederico M Bublitz
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
- Center for Strategic Technologies in Health (NUTES), State University of Paraiba (UEPB), Campina Grande, PB 58429-500, Brazil.
| | - Arlene Oetomo
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
| | - Kirti S Sahu
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
| | - Amethyst Kuang
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
| | - Laura X Fadrique
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
| | - Pedro E Velmovitsky
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
| | - Raphael M Nobrega
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
| | - Plinio P Morita
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
- Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada.
- Research Institute for Aging, University of Waterloo, Waterloo, ON N2J 0E2, Canada.
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
- eHealth Innovation, Techna Institute, University Health Network, Toronto, ON M5G 2C4, Canada.
| |
Collapse
|
14
|
Abstract
The classical role of the clinical laboratory, seen as the central place where the samples converge and from where the results are distributed, will be challenged by the development of digital health, the application of information technology (big data) and genomics to health care. When the development of disruptive new technologies will allow the production of accurate results outside the laboratory, its role will dramatically change. However, several factors are slowing down these evolutions. The quality of the existing data is relatively poor: lack of standardization of results, different units, different reference intervals, etc. The lab-on-a-chip technology is still relatively far from broad range application and the costs are higher than the traditional methods. There is the need for regulations of direct to consumer approaches that are posing big ethical problems. In the future, the clinical laboratory will maintain part of the "classical" role in the areas of research education and services. The large production will continue, favored by consolidation and reduction of the number of laboratories. The specialists of laboratory medicine have the task of collaborating with the national scientific societies and with the industry for improving harmonization of all the production phases, thus allowing the production of meaningful big data. Clinical laboratories have the role of implementing translational medicine. The new point-of-care (POC) technologies still need validation, the clinical laboratory is the place to do it. The advisory role toward clinicians and patients has to be improved, and a role in validating laboratory data interpretation apps and in controlling and supervising the functionality and the quality of the POC devices has to be developed.
Collapse
Affiliation(s)
- Ferruccio Ceriotti
- Clinical Laboratory, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 28, 20122 Milano, Italy, Phone: +390255032876, Fax: +390255032219
| |
Collapse
|
15
|
Brown KE, Hottle TA, Bandyopadhyay R, Babaee S, Dodder RS, Kaplan PO, Lenox CS, Loughlin DH. Evolution of the United States Energy System and Related Emissions under Varying Social and Technological Development Paradigms: Plausible Scenarios for Use in Robust Decision Making. Environ Sci Technol 2018; 52:8027-8038. [PMID: 29928794 PMCID: PMC7297051 DOI: 10.1021/acs.est.8b00575] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
The energy system is the primary source of air pollution. Thus, evolution of the energy system into the future will affect society's ability to maintain air quality. Anticipating this evolution is difficult because of inherent uncertainty in predicting future energy demand, fuel use, and technology adoption. We apply scenario planning to address this uncertainty, developing four very different visions of the future. Stakeholder engagement suggested that technological progress and social attitudes toward the environment are critical and uncertain factors for determining future emissions. Combining transformative and static assumptions about these factors yields a matrix of four scenarios that encompass a wide range of outcomes. We implement these scenarios in the U.S. Environmental Protection Agency MARKet ALlocation (MARKAL) model. Results suggest that both shifting attitudes and technology transformation may lead to emission reductions relative to the present, even without additional policies. Emission caps, such as the Cross-State Air-Pollution Rule, are most effective at protecting against future emission increases. An important outcome of this work is the scenario-implementation approach, which uses technology-specific discount rates to encourage scenario-specific technology and fuel choices. End-use energy demands are modified to approximate societal changes. This implementation allows the model to respond to perturbations in manners consistent with each scenario.
Collapse
Affiliation(s)
- Kristen E. Brown
- US Environmental Protection Agency (EPA), Office of Research and Development, 109 TW Alexander Dr., Research Triangle Park, NC, 27711
| | - Troy A. Hottle
- Eastern Research Group, Inc, work performed as Oak Ridge Institute for Science and Education (ORISE) postdoctoral fellow at US Environmental Protection Agency (EPA), 110 Hartwell Ave, Lexington, MA 02421
| | - Rubenka Bandyopadhyay
- Advanced Energy Corp., work performed as ORISE postdoctoral fellow at US EPA, 909 Capability Drive, Suite 2100, Raleigh, NC 2706
| | - Samaneh Babaee
- Oak Ridge Institute for Science and Education (ORISE) postdoctoral fellow at US Environmental Protection Agency (EPA), 109 TW Alexander Dr., Research Triangle Park, NC 27711
| | - Rebecca S. Dodder
- US Environmental Protection Agency (EPA), Office of Research and Development, 109 TW Alexander Dr., Research Triangle Park, NC, 27711
| | - P. Ozge Kaplan
- US Environmental Protection Agency (EPA), Office of Research and Development, 109 TW Alexander Dr., Research Triangle Park, NC, 27711
| | - Carol S. Lenox
- US Environmental Protection Agency (EPA), Office of Research and Development, 109 TW Alexander Dr., Research Triangle Park, NC, 27711
| | - Daniel H. Loughlin
- US Environmental Protection Agency (EPA), Office of Research and Development, 109 TW Alexander Dr., Research Triangle Park, NC, 27711
- ; 109 TW Alexander Dr. RTP, NC 27711; phone 919-541-3928; fax 919-541-7885
| |
Collapse
|
16
|
Abstract
The purpose of this review is to survey current, emerging and predicted future biotechnologies which are impacting, or are likely to impact in the future on the life sciences, with a projection for the coming 20 years. This review is intended to discuss current and future technical strategies, and to explore areas of potential growth during the foreseeable future. Information technology approaches have been employed to gather and collate data. Twelve broad categories of biotechnology have been identified which are currently impacting the life sciences and will continue to do so. In some cases, technology areas are being pushed forward by the requirement to deal with contemporary questions such as the need to address the emergence of anti-microbial resistance. In other cases, the biotechnology application is made feasible by advances in allied fields in biophysics (e.g. biosensing) and biochemistry (e.g. bio-imaging). In all cases, the biotechnologies are underpinned by the rapidly advancing fields of information systems, electronic communications and the World Wide Web together with developments in computing power and the capacity to handle extensive biological data. A rationale and narrative is given for the identification of each technology as a growth area. These technologies have been categorized by major applications, and are discussed further. This review highlights: Biotechnology has far-reaching applications which impinge on every aspect of human existence. The applications of biotechnology are currently wide ranging and will become even more diverse in the future. Access to supercomputing facilities and the ability to manipulate large, complex biological datasets, will significantly enhance knowledge and biotechnological development.
Collapse
Affiliation(s)
- E Diane Williamson
- a CBR Division , Defence Science & Technology Laboratory , Porton Down , Salisbury , UK
| |
Collapse
|