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Background:
Fitbit and Garmin motion tracker devices are highly used in research. The validity and reliability of these devices is proven for healthy adults between 18 and 64.
Objectives:
Comparing data output of two devices.
Methods:
Observational case study on a test track and in the domestic environment of a 80- year-old female multimorbide geriatric patient.
Results:
High significant correlation of the devices on the test track [r=.776, p≤.001, Bca-CI-95% (.618;.874), N=33], but significant different in the domestic environment over time (z=4.840, p≤.001).
Conclusion:
The dominant/non-dominant body side and further sources of error may play a role in monitoring steps with these devices.
Drei Veränderungen charakterisieren den demografischen Wandel in Deutschland: steigende durchschnittliche Lebenserwartung, der Anteil der Alten und Hochbetagten wächst und der Anteil der jüngeren Generationen schrumpft. Konsequenzen sind ein Zuwachs chronisch-degenerativer und pflegeintensiver Erkrankungen, ein schrumpfendes Arbeitskräftepotenzial und vor der Überlastung stehende soziale Sicherungssysteme. Abhilfe soll durch verstärkten Technikeinsatz in der Pflege, insbesondere durch Roboter, geleistet werden: Roboter sollen Pflegekräfte ergänzen oder ersetzen, um dem Pflegenotstand zu begegnen und die Kosten der Pflege zu senken. Damit gehen aber zahlreiche Herausforderungen einher, die nicht zuletzt ethische Fragen berühren: Eine durch Technik bzw. Roboter gestützte Pflege wird diese in ihrem Kern verändern, Professions- und Menschenbilder werden infrage gestellt und moralische Ansprüche tangiert. Der Beitrag zeichnet diese Gemengelage nach und skizziert ein diskursethisch ausgerichtetes Verfahren (MEESTAR) zur Aushandlung der Bedingungen für den Robotereinsatz in der Pflege- und Gesundheitsversorgung.
This article highlights methodological and ethical challenges in research with adults of older and oldest age, by presenting field experiences of the current research project “Motion Monitoring of Geriatric Trauma Patients - Explorative Study on the Rehabilitation Process after Hip Fracture Using Sensor-based Data”. Depiction of the survey situation, with regard to the subjects in particular, can serve as practical examples for designing future research projects.
The group of older adults is a rather large and growing group for which research is required, especially concerning their heterogeneity, their individual autonomy and quality of life. It is assumed, that research designs of studies on the target group must be specifically adjusted, in particular when considering the attribution of vulnerability of the group members. At the same time, it is not clear yet what exact specifics of the subjects and target group must be considered in research designs, as surprisingly little is known about the target group as subjects and corresponding theories have been insufficiently tested.
The exploratory long-term design of the research project presented in the second section of this chapter has a positive evaluation of an ethics committee. Still ethical challenges occurred in the field situation, that are illustrated in the third section of this chapter, by providing information on the patients, their role as research subjects, how they were recruited, how an informed consensus was reached, and in some cases how participation was rejected or abandoned. After a summary, the end of the paper is marked by recommendations on how to design future research projects.
Cumulatively it must always be expected that interaction between researchers and research subjects of this target group can become very intensive, what requires to follow clearly defined procedures and at the same time to be prepared to act flexibly.
Cybersecurity in Health Care
(2020)
Ethical questions have always been crucial in health care; the rapid dissemination of ICT makes some of those questions even more pressing and also raises new ones. One of these new questions is cybersecurity in relation to ethics in health care. In order to more closely examine this issue, this chapter introduces Beauchamp and Childress’ four principles of biomedical ethics as well as additional ethical values and technical aims of relevance for health care. Based on this, two case studies—implantable medical devices and electronic Health Card—are presented, which illustrate potential conflicts between ethical values and technical aims as well as between ethical values themselves. It becomes apparent that these conflicts cannot be eliminated in general but must be reconsidered on a case-by-case basis. An ethical debate on cybersecurity regarding the design and implementation of new (digital) technologies in health care is essential.
Die monetären Kosten, die jährlich weltweit durch Cyberattacken ent-stehen, wachsen stetig und bewegen sich in Dimensionen, die mit öffentlichen Haushalten ganzer Staaten verglichen werden können. Cyberattacken treffen Individuen, Unternehmen, öffentliche Einrichtun-gen, Behörden und Regierungen; sie treffen eine Infrastruktur, ohne die moderne Gesellschaften kaum mehr funktionieren. Doch die Gewähr-leistung von Cybersicherheit kann zu Zielkonflikten führen. Die Techno-logien zur Herstellung von Sicherheit und Resilienz dieser Infrastruktur sollten daher Gegenstand der Technikfolgenabschätzung sein.
Die Macht der Maschinenmoral
(2020)