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Adoption of AI-driven Clinical Decision Support Systems: A Checklist for Healthcare Providers Based on a Narrative Review of AI Evaluation Resources and Expert Interviews
Full text linkBackground: Artificial intelligence (AI) has the potential to support healthcare professionals and improve patients’ outcomes. AI-based clinical decision support systems (CDSSs) are reported to be particularly promising. To ensure the suitability of an AI-CDSS and prevent negative impacts, healthcare providers should ask the ‘right’ questions before adoption. However, there is yet no evaluation tool for AI-CDSS adoption publicly available. This thesis aimed to (1) identify guidelines and evaluation tools applicable to the adoption of CDSS and AI, and (2) synthesise AI-CDSS adoption considerations in a checklist for healthcare providers.
Methods: Trustworthy AI evaluation tools were previously identified in a scoping review by the author and colleagues. Guidelines and evaluation tools for other pre-identified categories of AI-CDSS adoption considerations were searched in PubMed, Scopus, and Google. Additional data was collected through four semi-structured interviews with experts who have backgrounds in medicine, bioethics and law, and the social science of the internet. The interviews were analysed using thematic analysis, while items from each literature source were categorised to summarise and structure AI-CDSS adoption considerations.
Results: A total of 76 literature sources, published between 2011 and 2025 and originating mainly from developed countries, were included. The majority of these sources focused on trustworthy AI or AI maturity, though guidance and evaluation tools related to other adoption categories were also identified. Their items were synthesised into a list of 227 AI-CDSS adoption questions covering the following categories: (1) regulatory and legal compliance, (2) utility, (3) trustworthy AI, (4) economic aspects, (5) usability, (6) workflow integration, (7) AI maturity, and (8) vendor reliability, support, and agreements. The expert interviews verified considerations covered by the list and helped to identify the most relevant ones. They also provided guidance on the development of an AI-CDSS adoption checklist with 20 questions.
Conclusions: The checklist integrates findings from 76 literature sources and four expert interviews. It can support both the decision whether an AI-CDSS should be adopted and the deployment of a system. While feedback on the checklist has been received from three experts and incorporated, a Delphi study involving a larger number of experts from diverse disciplines would enhance its usefulness. Furthermore, the checklist’s practicality needs to be tested in the real-world, and it should be updated as the use of AI in healthcare continues to evolve
PARTICLE - Lichtsimulation im Partizipationsprozess : ein innovativer Ansatz zur Reduktion von Lichtverschmutzung
No full textEuropäische KommissionAlternativeReviewe
Experimental investigation and numerical modeling of the layup-specific damage behavior of composite bonded joints under mixed-mode loading
No full textThis study investigates the influence of layup configuration on the failure behavior of composite bonded joints. Experimental results from quasi-static tests reveal that specimens with a 0°-oriented ply in contact with the adhesive consistently achieve higher fracture loads and exhibit simpler failure mechanisms compared to 45° configuration, where the crack propagates into the adherends and shows complex damage progression. Numerical simulations using cohesive zone modeling are conducted to predict this behavior. A method is applied to ensure sufficient resolution of the cohesive zone, and the influence of mesh size on predictive accuracy is assessed. The results show that at least nine cohesive elements are required within the cohesive zone for convergence in fracture load and accurate damage progression. The presented modeling approach accurately predicts both crack paths and fracture loads, particularly for complex failure scenarios. However, limitations remain for adhesive-layer-only failure due to sensitivity to surface pre-treatment and associated parameter uncertainty. The findings highlight the need for layup-sensitive modeling strategies and mesh resolution when analyzing bonded composite structures.PeerReviewe
Obstacles to implementing indigenous knowledge in climate change adaptation in Africa
No full textIn a climate change context, indigenous and local knowledge includes the use of traditional practices, crop varieties, and land management techniques that have evolved in response to local climatic conditions. This inter-generational transfer of knowledge is crucial for maintaining and adapting these practices to meet the challenges posed by climate change. Despite the many advantages of using indigenous knowledge in climate change adaptation in Africa, its implementation faces several obstacles. Understanding these obstacles is crucial for integrating indigenous knowledge with scientific approaches to enhance climate resilience effectively. This paper offers an analysis of some of the most critical obstacles that hinder the use of indigenous and local knowledge in climate change adaptation in African countries.PeerReviewe
Compact transmission element, system comprising a transmission element and use of a system comprising a transmission element
No full textUm ein Getriebeelement bereitzustellen, welches eine hohe Untersetzung zwischen zwei rotierenden Bauteilen in einem begrenzten Bauraum bereitstellt, wird ein Getriebeelement vorgeschlagen zur Kraftübertragung von einer ersten Antriebskomponente (20) auf eine zweite Antriebskomponente (21), wobei das Getriebeelement (100) einen im Wesentlichen tonnenförmigen Getriebeelementkörper (10) mit einer Rotationsachse (A) und einer Umfangsfläche (14) aufweist, wobei die Umfangsfläche (14) eine Eingriffsstruktur (15) aufweist zum Eingriff der ersten Antriebskomponente (20) und der zweiten Antriebskomponente (21), wobei die Eingriffsstruktur (15) gebildet ist aus einer Überlagerung einer ersten Teilstruktur (12) und einer zweiten Teilstruktur (13).In order to provide a transmission element which provides a high reduction ratio between two rotating components in a limited installation space, a transmission element is proposed for transmitting power from a first drive component (20) to a second drive component (21), wherein the transmission element (100) has a substantially barrel-shaped transmission element body (10) with an axis of rotation (A) and a peripheral surface (14), wherein the peripheral surface (14) has an engagement structure (15) for engagement of the first drive component (20) and the second drive component (21), wherein the engagement structure (15) is formed from a superposition of a first partial structure (12) and a second partial structure (13).NonPeerReviewe
Hybrid development of physical products based on systems engineering and design thinking : towards a new process model
No full textHybrid process models combine elements of agile approaches with stage-gate processes from systems engineering to address the specific challenges of developing physical products. However, there is currently no established hybrid product development process model that has been widely adopted in the industrial practice of new product development (NPD). The aim of this paper is to develop a hybrid product development process model that has a high practical suitability for the development of physical products. Our paper begins by defining the fundamental principle of agile development with regard to engineering design methodology. Subsequently, we analyse Stanford's hybrid ME310 process model's practical suitability for the development of physical products, both theoretically and empirically. Based on the process model's limitations identified in these analyses, we create a new hybrid process model called 'Systematic Engineering-Design-Thinking' (SEDT), which builds on the ME310 process model but integrates essential methods from systems engineering to improve solution space exploration.PeerReviewe
Soziale Kontrolle, Normen und Sanktionen : eine soziologische Perspektive
No full textSoziale Kontrolle soll gewährleisten, dass die Mitglieder einer Gruppe, Organisation oder Gesellschaft sich an die jeweils geltenden Regeln halten. Somit ist sie wesentlich für den Erhalt sozialer Gefüge, ihre Veränderung kann aber auch gesellschaftliche Entwicklungen prägen.AlternativeReviewe
Katharina Duve : der lächelnde Hase, Sendung vom 17. Februar 2025
No full textKünstler*innengespräche mit Carsten Rabe und Madeleine Lauw. Das Gespräch mit Katharina Duve wurde am 17. Februar 2025 im FSK Hamburg als Radiosendung ausgestrahlt.NonPeerReviewe
Navigationen : Zeitschrift für Medien- und Kulturwissenschaften ; Media Cultures of Value | Economy, Politics, and Art in Web 3
No full textThe recent surge in Bitcoin’s value and the emerging of Web3 as a new layer of the internet are reshaping digital infrastructures. While artifical intelligence (AI) dominates current discourse on digital technologies, blockchain technology has quietly influenced finance, governance, and digital ownership, thereby raising questions concerning datafication, decentralization and economic control. The introduction proposes media cultures of value as a framework to think about Web3. With this issue we explore the potential of Web3 to challenge platform capitalism or reinforce user control, examining the various values and ideological tensions that exist among blockchain ecosystems. The blockchain technology, as a networked medium intricately associated with finance, gives rise to different media cultures of value and, in turn, to different forms of digital governance models. Adopting a media studies perspective, this collection critically investigates the cultural, economic, political, and aesthetic implications of blockchain technology, seeking to do so beyond the scope of speculation and hype.AlternativeReviewe