The Minds We Make: A Philosophical Inquiry into Theory of Mind and Artificial Intelligence.

This theoretical paper offers an in-depth examination of the intersection between Theory of Mind (ToM) and artificial intelligence (AI), drawing on developmental psychology and philosophical analysis. By investigating the key developmental stages at which children begin to understand that others have distinct mental states, the paper provides a framework for assessing the cognitive boundaries of AI systems. It critically interrogates the pervasive human inclination to anthropomorphize machines, particularly through the attribution of complex mental states like "knowing," "thinking," or "believing" to AI entities that lack subjective experience. The paper argues that AI, while capable of simulating cognitive processes, operates without the conscious awareness that defines human cognition, raising profound epistemological and ethical questions. It explores the broader implications of this projection for society, considering how our conceptualization of AI affects both technological development and social structures. Ultimately, this interdisciplinary inquiry calls for a more nuanced understanding of the distinctions between human and machine cognition, advocating for responsible approaches to AI as its capabilities evolve.

The Political Sociology of NICE: Investigating Pharmaceutical Cost-Effectiveness Regulation in the UK.

The National Institute for Health and Care Excellence (NICE) was established a quarter of a century ago in 1999 to regulate the cost-effectiveness of pharmaceuticals (and other health technologies) for the NHS. Drawing on medical sociology theories of corporate bias, neoliberalism, pluralism/polycentricity and regulatory capture, the purpose of this article is to examine the applicability of those theories to NICE as a key regulatory agency in the UK health system. Based on approximately 7 years of documentary research, interviews with expert informants and observations of NICE-related meetings, this paper focuses particularly on NICE's relationship with the interests of the pharmaceutical industry compared with other stakeholder interests at the meso-organisational level. Consideration of the interaction between the UK Government and the pharmaceutical industry in relation to NICE is presented together with the analysis of revolving doors and conflicts of interest of NICE experts/advisors. The nature of policy changes over time (e.g. accelerated assessment pathways and industry fees for regulatory appraisals) and how they relate to the relevant stakeholder interests is also investigated. It is concluded that NICE is largely characterised by neoliberal corporate bias, though some elements of its organisation are also consistent with theories of capture, pluralism and polycentricity.

Compliance With Routine Health Checkup Visits Among California-Based Minority Men: A Survey Study.

The literature on health care disparities among U.S. minority men remains limited, and post-pandemic changes in the health care delivery system may uniquely affect this population. We assessed the factors influencing California-based minority men's compliance with routine health checkup. An IRB-approved survey was conducted electronically by convenience sampling between October 2022 and July 2023. Data was collected on demographics, socioeconomic status, health insurance, and routine checkup attendance. Health insurance literacy was assessed by self-reported ability to locate insurance-covered clinics and health care information. The data was analyzed using random forest modeling with both feature importance and SHAP values for interpretability, and logistic regression analysis. A total of 266 male respondents participated. Of these, 60.5% were under 30 years old, and 66.9% identified as Latino/Hispanic.The majority were employed (82.7%), insured (84.9%), and earned less than $50,000 annually (64.5%). While 71.8% were connected to a clinic or hospital, only 50.8% attended routine health checkup, and 6.8% had visited a doctor in the past year. Key factors influencing compliance included zip code, connection to a clinic and the ability to locate a clinic covered by insurance. These findings highlight that half of insured minority men in California under 60 years of age are not attending routine checkups, suggesting significant barriers related to accessibility and health insurance literacy. Addressing these disparities could improve health care utilization and outcomes in this population.

Optical coherence tomography (OCT) and OCT angiography: Technological development and applications in brain science.

Brain diseases are a leading cause of disability and death worldwide. Early detection can lead to earlier intervention and better outcomes for patients. In recent years, optical coherence tomography (OCT) and OCT angiography (OCTA) imaging have been widely used in stroke, traumatic brain injury (TBI), and brain cancer due to their advantages of in vivo, unlabeled, and high-resolution 3D microvessel imaging at the capillary resolution level. This review summarizes recent advances and challenges in living brain imaging using OCT/OCTA, including technique modality, types of diseases, and theoretical approach. Although there may still be many limitations, with the development of lasers and the advances in artificial intelligence are expected to enable accurate detection of deep cerebral hemodynamics and guide intraoperative tumor resection in vivo in the future.

Policy Surveillance Methods Applied to NORM and TENORM Regulation in the Southeast United States.

ABSTRACT: The regulation of naturally occurring radioactive materials (NORM) and technologically enhanced naturally occurring radioactive material (TENORM) at the state level in the United States of America varies significantly from state to state. Policy surveillance methods and associated technologies have been developed to monitor and evaluate the effectiveness of public health policies. Previous research has demonstrated that policy surveillance methods can be applied to state radiation regulations; however, no organization has taken steps to incorporate these results into a permanent database with a continuous data lifecycle program. The first goal of this project aims to apply policy surveillance methods to NORM and TENORM regulations in five southeastern states in the United States with a focus on basic definitions and general licensing requirements. The second goal is to introduce policy surveillance methods to health physicists and act as a blueprint for establishing additional datasets of radiation regulations.

Social welfare expansion and political support during economic slowdown: A panel data analysis of China, 2010-2018.

While economic growth is often emphasized as crucial for developing nations to maintain political support, the impact of social welfare provision in such countries remains unclear. This article investigates how social security spending and economic growth affect political support in China, with a focus on citizens' evaluations of local government performance. Using a dataset that combines five waves of the China Family Panel Studies surveys with city-level socioeconomic measures from 2010 to 2018, we find that, despite the role of economic growth, social security spending significantly encourages political support. The impact of social security expansion is particularly pronounced during periods of economic slowdown and among its primary beneficiaries-rural residents and non-state-sector workers. Moreover, social security spending enhances political support across both disadvantaged and advantaged groups, while economic growth primarily increases the political support of advantaged groups. These findings suggest that social welfare provision can garner broader popular support, especially during economic downturns. Our study contributes to the literature on non-Western political systems by highlighting the importance of social welfare provision in sustaining regime stability.

Changes in coverage, access, and health status among adults with cardiovascular disease after medicaid work requirements.

Policymakers have intensified calls to expand work requirements in Medicaid across the United States, which could have implications for low-income adults who experience a high burden of cardiometabolic risk factors and disease. In this difference-in-differences analysis, we found that the implementation of Medicaid work requirements was associated with decreased health insurance coverage, no change in employment status, and a trend towards worse access to care. Our findings suggest that the expansion of work requirements could have major implications for the cardiovascular health of working-age adults in the US.

A Sociology of Plasma Proteins - A Technocrat's Perspective.

This commentary addresses the article "Toward a Sociology of Plasma Products" by Holloway and Grundy in this issue of the International Journal of Social Determinants of Health and Health Services. The program of research proposed by the authors positioning the medico-industrial field of plasma products within a sociological context is supported, this being an endeavor which has not been attempted previously. I seek to augment Holloway and Grundy's proposed approach through some additional insights which are the result of over forty years of personal commitment in the field. Holloway and Grundy's proposed areas of engagement involving the products, the recipients, the donors and the governance of the systems binding these together is widened through an examination of additional technological factors that have shaped the field. These factors include the influence of the medical industry, the role of patient groups, the continuing controversy on the sourcing of plasma raw material, and the roles of different governance models. Converging these factors with Holloway and Grundy's proposed program should enhance its capacity to develop a framework for understanding the dynamics within this complex and unique sector. The concepts developed in both articles will assist stakeholders to develop a societal framework for the provision of these essential medicines.

Psychological needs related to civil inattention: A qualitative and quantitative view on public encounters.

As described by early sociological research (Goffman, 1963, Behavior in public places: Notes on the social organization of gatherings), a typical behavioural pattern in public encounters between strangers is so-called Civil Inattention (CI). CI describes a ritual of politely communicating having noticed the other while assuring non-communication intentions. A typical example of showing CI is initially looking at the other person but then quickly averting the gaze. As argued earlier, CI fulfils a central role in the smooth functioning of a society. Also, CI gains new relevance in the digital era, in particular regarding privacy needs. Still, previous research on CI often remained on a theoretical or descriptive level, and its psychological functions have not been explored systematically. As an advancement, our study provides a deeper understanding of CI, exploring individual narratives, relevant psychological needs, and contextual factors. We conducted a qualitative interview study (N = 25) followed by an experimental online study (N = 353) with a 2 (presence of CI) × 2 (physical distance) mixed design. It shows that CI adds to well-being and specifically addresses needs for relatedness, security, and autonomy. However, though Study 1 suggested physical distance as a relevant contextual factor, the present experimental manipulation in Study 2 did not show significant effects.

Practicing health equity in kidney care by establishing improved access to timely disease management and kidney replacement therapy options: from providers to patients.

PURPOSE OF REVIEW: The aim of this article is to review the current understanding of disparities in healthcare experienced by people living with kidney disease and emerging approaches to address root causes. Health equity for any disease state is an aspirational goal commonly sought out by the medical community, but all too often lacking the understanding and support required to improve the outcomes of people with complex conditions such as chronic kidney disease (CKD). RECENT FINDINGS: The main themes of the literature covered in this article include a review of the structural drivers of healthcare outcomes, a description of research in the fields of health literacy and patient activation for patients with CKD, and an analysis of the examples of healthcare disparities in CKD patients that include involuntary discharges from dialysis facilities as well as the toll taken from dialysis populations during natural disasters. The National Forum of the ESRD Networks is a coalition of 18 congressionally mandated ESRD network organizations committed to equitable access to home and in-center dialysis modalities and preemptive kidney transplantation. We conclude with the patient-centered story of a patient living with end-stage kidney disease for over 40 years and how her journey has helped shape her view on what she believes should encompass a 'call to action' to provide more equitable healthcare to people living with kidney disease. SUMMARY: The overarching implications of this article focus on improving the understanding of present-day healthcare inequality within the community of people living with kidney disease and providing a roadmap of resources and ideas that will help achieve more equitable outcomes. The National Forum of the ESRD Networks is committed to the effective implementation of 'Practicing Health Equity in Kidney Care' and improving access to dialysis modalities including home dialysis as well as kidney transplantation including preemptive transplant options.

What Do Medicaid Members Want From Their Health Plan?: Insights From a Qualitative Study to Improve Engagement in Case Management.

PURPOSE OF STUDY: Managed care organizations (MCOs) provide case management services to address unmet health and social needs among their members. Few studies have examined factors influencing members' decision to participate in these programs. The purpose of the present study was to describe the life circumstances of Medicaid members offered case management, what they wanted from their MCO, and their perceptions of case management and barriers to participation. Results will inform practice to raise the awareness, engagement, and impact of case management programs. PRIMARY PRACTICE SETTINGS: Case management offered through a Midwestern Medicaid MCO. METHODOLOGY AND SAMPLE: Adult members who had been offered case management services in the 6 months preceding the study were eligible for the study. Fifteen people from each strata were recruited: members who engaged with case management, declined it, or declined it initially but later engaged ( N = 45). Participants completed a qualitative interview by phone and a brief health survey online. RESULTS: Across strata, only 22 participants recalled engagement with case management. Members described a variety of life challenges (e.g., chronic health conditions, caregiver responsibilities, and limited finances) and services they desired from their MCO (e.g., stipends for over-the-counter health expenses, improved transportation services, and caregiver assistance). Participants identified direct communication, emotional support, and referrals for resources as benefits of case management.

Community-centred disaster recovery: A call to change the narrative.

This paper challenges current approaches to undertaking community-centred disaster recovery. Community-centred approaches are widely recognised as 'the gold standard' for effective recovery from disasters. Yet, they are rarely applied well enough in practice. Challenges include the 'authority' culture of command-and-control agencies, the emphasis on discrete recovery time frames, and the reluctance to relinquish centralised control. The paper focuses on people's experiences of community-centred recovery in New South Wales, Australia, which has experienced severe fires and floods since 2019. We undertook key informant interviews and an online survey to inquire into how community-centred recovery is enacted. Our work uncovered widespread dissatisfaction with current practices. The paper discusses key themes emerging from the research and ends with a call to change how community-centred recovery is framed and conducted by responding organisations, to include the underlying causes of vulnerability in recovery, to measure success differently, and to alter the narrative of who 'owns' disasters.

The British NHS at 75: Past, Contemporary, and Future Challenges.

This article assesses how and why the National Health Service (NHS) has remained at the forefront of British politics and society for 75 years amid significant economic pressures, organizational strain, shifting ideological trends, ongoing reforms, and an unprecedented public health emergency. The postwar "years of consensus" evolved into alleged decline and ostensible neglect during the 1980s, while New Labour sought to rejuvenate this core public service after 1997, featuring investment and often controversial reforms that challenged the party's social democratic values. Amid the New Labour era, NHS powers filtered down to devolved administrations, while from 2008 retrenchment and austerity ensued, fueled by global recession. Austerity eventually subsided, yet from early 2020 the NHS swiftly faced the extreme conditions of the globalized Covid-19 pandemic. The service continues to face challenges regarding its longer-term viability, and this article analyzes this scenario, within the context of the NHS's 75-year historical legacy, its contemporary status, comparative international trends, and likely future evolution.

Does Participating in New Rural Cooperative Medical Insurance Change Catastrophic Health Expenditure? Evidence from the China Household Income Project.

A primary goal of the New Rural Cooperative Medical Insurance (NRCMI) is to provide financial protection against health care costs and alleviate the financial burdens of rural residents in China. This article examines whether NRCMI participation impacted the incidence of catastrophic health expenditure (CHE) among middle-aged and older adults (45 years old and above). The analysis utilized data from the 2007 China Household Income Project survey in rural areas and an instrumental variable estimation method in Anhui and Sichuan provinces, which exhibited heterogeneity in the NRCMI implementation schedule. The results show that NRCMI participation was not associated with changes in the CHE incidence among families. The finding is consistent with the prior literature using quasi-experimental study designs. This study provides empirical evidence for policymakers, highlighting that the impact of NRCMI participation on financial protections is limited despite its extensive population coverage. The limited effects are probably due to the low reimbursement rate and increased utilization of expensive health care services.

Demand and Supply Drivers of Medicare and Non-Medicare Health Spending: An Analysis of U.S. States, 1991-2019.

For the last four decades, policymakers have attempted to control the United States's high health care costs by reducing patients' demand for care (e.g., by imposing managed-care restrictions or high costs on patients at the time of use). Yet studies based mostly on data from the public Medicare program, which covers mostly elderly Americans, suggest that supply (e.g., number of physicians or hospital beds) rather than demand drives aggregate service use and, hence, costs. Using variation between U.S. states in per enrollee Medicare spending versus per capita spending of all other (non-Medicare) individuals, we find that greater supply boosts costs for the entire population. Furthermore, we find that factors that suppress demand in the non-Medicare population do reduce non-Medicare health care spending, but simultaneously increase Medicare spending. This suggests that for a given supply of medical resources, suppressing demand for one group of patients may produce a compensatory increase in provision of care to those whose demand has not been suppressed. Health planning to assure adequate medical resources where they are needed while preventing excess supply where it is duplicative and wasteful is likely a more effective cost control strategy than the imposition of managed-care restrictions or imposing higher costs onto patients seeking care.

Smart working during the COVID-19 pandemic: the prevalence of musculoskeletal and visual disorders in administrative staff of a large international company.

Introduction: During the COVID-19 Pandemic, the use of digital devices during work activities has increased with important repercussions on the psychological and physical well-being of the employees. The aim of this study was to investigate the prevalence of musculoskeletal and visual disorders related to the use of computers and home workstation. Methods: The study is a cross-sectional study. A checklist, from the National Institute of Health, was administered to white collar workers of a large international pharmaceutical company based in Italy. Results: Our study showed that postural breaks have a protective effect on neck/shoulder pain (OR 0.32, CI 0.16-0.62), back and lower extremity pain (OR 0.35, CI 0.18-0.69), and eye burning (OR 0.50, CI 0.27-0.94) of study participants. Conclusions: The research recommends that remote employees who often change their workstations should establish a suitable work environment and obtaining enough risk training from an occupational physician. This is essential for maintaining their mental and physical well-being.

Mechanically durable plant-based composite surface towards enhanced antifouling properties.

The biofouling adhering to underwater facilities has a negative impact on the environment, energy, and economic development. However, conventional anti-adhesion organic silicon and organic fluorine materials often have poor adhesion properties and mechanical stability when combined with substrates. This work presents a novel strategy for preparing composite antifouling coatings that low surface energy plant-based carnauba wax (CW) covering through rough substrates and chemically bond with flexible polydimethylsiloxane (PDMS) oligomers or polymers. The CW coating adheres strongly to the substrate owing to the mobility of the liquated CW, which flows into the micro-nano structure of the substrate and solidifies on the solid surface. The polymerization reaction of (PDMS) oligomers compounded the coating, thereby creating a composite coating with superior lubricating and antifouling properties. This distinctive bonding process imbued the coating with exceptional characteristics, including remarkable mechanical stability in destructive tests as well as an impressive ability to repel fouling, such as protein attachment, bacterial adhesion, diatom deposition, and biofilm formation. This work systematically investigated the impact of the composition and structure of composite materials on their mechanical stability and resistance to fouling, and developed high-performance antifouling coatings in the real world.

Services Addressing Mental Health Needs of Youth in Physical Rehabilitation: Perspectives of Clinicians, Youth and Family Members.

BACKGROUND: Knowledge about services addressing mental health provided in a rehabilitation setting to youth with physical disabilities is limited. This study aimed to better understand the needs, supports, challenges and potential solutions to optimize rehabilitation services for co-occurring physical and mental health needs, from the perspectives of youth, family members and clinicians. METHODS: A qualitative descriptive approach using 22 individual interviews with youth, parents and clinicians from five rehabilitation centres in a large Canadian city was employed. Inductive thematic analysis was conducted. RESULTS: Three themes were identified across the three stakeholder groups: (1) available clinical resources for mental health (access to mental health professionals, impact of organizational structures and mandates and continuity of services during transition to adult care); (2) clinician workforce capacity (mental health knowledge, skills and professional development, and therapeutic rapport between clinician and youth); and (3) links and partnerships with key players (improved pathways to access mental health services across programmes and organizations, and family involvement and advocacy). CONCLUSION: This study provides insights to barriers for mental health care (such as limited mental health knowledge, tools and professional development and access to specialists within the team, restrictive organizational mandates and disruption of services during the transition to adult care), illustrating important aspects to address. Clinicians can be better equipped to address mental health in rehabilitation settings via training opportunities and peer and organizational support in addition to establishing links with external partners. Organizations can also ensure adequate staffing and create pathways within and beyond their institutions to deliver well-coordinated mental health services in a more accessible way.

Operational lessons learned from simulating an elimination response to a transboundary animal disease in wild animals.

Transboundary animal disease (TAD) introductions can have myriad economic, ecological, and societal impacts. When TADs are introduced into wild species, rapid and intense control efforts to reduce wild animal host populations are sometimes needed to eliminate the disease and prevent endemicity and spillover to domestic animal populations. Yet, such intensive efforts are non-trivial, and the rarity of TAD introductions means that personnel rarely have direct experience with these types of operations. Thus, explicit assessments of operational challenges for these kinds of efforts can provide direction to build emergency response preparedness capacity. Here, we simulated a TAD control effort in response to initial detection of a hypothetical index case of a TAD in wild pigs (Sus scrofa) (e.g., African swine fever; ASF). We used three removal methods (aerial control, trapping, and an experimental toxic bait). Then, we conducted an after-action assessment to identify operational challenges for rapidly reducing a population of invasive wild pigs within a simulated outbreak zone. We also simulated carcass recoveries of dispatched pigs, similar to what might be conducted during a response to a TAD with carcass-based transmission (e.g., ASF virus). Here, we describe operational challenges identified during our effort, alongside technological development solutions and a priori strategy needs to improve TAD response operation outcomes.

Abortion access for U.S. active-duty servicewomen: A scoping review.

OBJECTIVES: U.S. active-duty servicewomen experience barriers to abortion care that civilian women do not experience due to military regulations and federal law. This scoping review aims to address this gap in knowledge by evaluating the research in this area. STUDY DESIGN: A scoping review protocol based on Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines was used to search PubMed, Embase, and CINAHL for peer-reviewed publications and gray literature. Inclusion criteria included (1) abortion access for active-duty servicewomen; (2) knowledge, attitudes, or beliefs regarding abortion for active-duty servicewomen; or (3) the prevalence of abortion among active-duty servicewomen. Quality appraisal was completed according to Let Evidence Guide Every New Decision criteria. RESULTS: The search yielded 811 articles, of which 15 met the criteria for inclusion in this review. Nine were empirical research articles, and six were nonempirical. Overall, 66% (n = 10) had abortion coverage or access as the primary outcome of interest; 73% (n = 11) cited relevant legislation; 80% (n = 12) made policy recommendations; and 40% (n = 6) made future research recommendations. Three themes emerged (1) prevalence estimates, (2) barriers to care, and (3) lack of knowledge and training on military abortion policies. IMPLICATIONS: More studies with abortion coverage and access for active-duty servicewomen as the primary outcome of interest should be conducted to better understand the scope of the issue and the impact on military readiness and to inform policy makers and future interventions to mitigate barriers to care.