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2.
Curr Neurol Neurosci Rep ; 22(12): 839-846, 2022 12.
Article in English | MEDLINE | ID: mdl-36434488

ABSTRACT

PURPOSE OF REVIEW: To critically appraise the literature on the application, methods, and advances in emergency electroencephalography (EEG). RECENT FINDINGS: The development of rapid EEG (rEEG) technologies and other reduced montage approaches, along with advances in machine learning over the past decade, has increased the rate and access to EEG acquisition. These achievements have made EEG in the emergency setting a practical diagnostic technique for detecting seizures, suspected nonconvulsive status epilepticus (NCSE), altered mental status, stroke, and in the setting of sedation. Growing evidence supports using EEG to expedite medical decision-making in the setting of suspected acute neurological injury. This review covers approaches to acquiring EEG in the emergency setting in the adult and pediatric populations. We also cover the clinical impact of this data, the time associated with emergency EEG, and the costs of acquiring EEG in these settings. Finally, we discuss the advances in artificial intelligence for rapid electrophysiological interpretation.


Subject(s)
Mental Disorders , Status Epilepticus , Adult , Child , Humans , Artificial Intelligence , Electroencephalography/methods , Status Epilepticus/diagnosis , Seizures
3.
Sci Eng Ethics ; 21(4): 1019-31, 2015 Aug.
Article in English | MEDLINE | ID: mdl-24928281

ABSTRACT

It is widely accepted that translational research practitioners need to acquire special skills and knowledge that will enable them to anticipate, analyze, and manage a range of ethical issues. While there is a small but growing literature that addresses the ethics of translational research, there is a dearth of scholarship regarding how this might apply to engineers. In this paper we examine engineers as key translators and argue that they are well positioned to ask transformative ethical questions. Asking engineers to both broaden and deepen their consideration of ethics in their work, however, requires a shift in the way ethics is often portrayed and perceived in science and engineering communities. Rather than interpreting ethics as a roadblock to the success of translational research, we suggest that engineers should be encouraged to ask questions about the socio-ethical dimensions of their work. This requires expanding the conceptual framework of engineering beyond its traditional focus on "how" and "what" questions to also include "why" and "who" questions to facilitate the gathering of normative, socially-situated information. Empowering engineers to ask "why" and "who" questions should spur the development of technologies and practices that contribute to improving health outcomes.


Subject(s)
Bioengineering/ethics , Ethics, Professional , Health Occupations/ethics , Science/ethics , Social Responsibility , Technology/ethics , Translational Research, Biomedical , Delivery of Health Care/ethics , Ethics, Medical , Humans , Knowledge , Morals , Social Norms
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