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What makes a good home-based nocturnal seizure detector? A value sensitive design.

ABSTRACT: A device for the in-home detection of nocturnal seizures is currently being developed in the Netherlands, to improve care for patients with severe epilepsy. It is recognized that the design of medical technology is not value neutral: perspectives of users and developers are influential in design, and design choices influence these perspectives. However, during development processes, these influences are generally ignored and value-related choices remain implicit and poorly argued for. In the development process of the seizure detector we aimed to take values of all stakeholders into consideration. Therefore, we performed a parallel ethics study, using "value sensitive design." Analysis of stakeholder communication (in meetings and e-mail messages) identified five important values, namely, health, trust, autonomy, accessibility, and reliability. Stakeholders were then asked to give feedback on the choice of these values and how they should be interpreted. In a next step, the values were related to design choices relevant for the device, and then the consequences (risks and benefits) of these choices were investigated. Currently the process of design and testing of the device is still ongoing. The device will be validated in a trial in which the identified consequences of design choices are measured as secondary endpoints. Value sensitive design methodology is feasible for the development of new medical technology and can help designers substantiate the choices in their design.

SUBMITTER: van Andel J

PROVIDER: S-EPMC4395301 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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What makes a good home-based nocturnal seizure detector? A value sensitive design.

van Andel Judith J Leijten Frans F van Delden Hans H van Thiel Ghislaine G

PloS one 20150413 4

A device for the in-home detection of nocturnal seizures is currently being developed in the Netherlands, to improve care for patients with severe epilepsy. It is recognized that the design of medical technology is not value neutral: perspectives of users and developers are influential in design, and design choices influence these perspectives. However, during development processes, these influences are generally ignored and value-related choices remain implicit and poorly argued for. In the dev ...[more]

PMID: 25875320

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Project description:We explored traits that promote plant invasions. External factors affecting invasion success consist of various abiotic and biotic constraints. How well plants perform under those depends on multiple characteristics, such as life history traits, genetic variation patterns, competitive and dispersal abilities, phenotypic plasticity, resistance, tolerance, and possibly allelopathic interactions. Since the introduction of invasive species is often connected with humans, their geographical distribution and differentiation may not reflect adaptation. However, a lack of adaptation may be compensated for by repeated introductions via mixing genotypes from multiple populations or through novel mutations. As a case study, we used data from the Global Invasive Species Database of IUCN and attempted to reveal factors contributing to invasiveness. The most prevalent features are that the dispersal is strongly human assisted, many species are used as ornamentals, disturbed habitats are favored, and most species are perennial. Distribution features show that the worst invasive species typically have a narrower native distribution, but both groups, i.e., most serious invasive and other listed invasive species, have commonly developed a multicontinental distribution. The change in the multicontinental distribution from 6% to 63% in most serious invasive species reflects their effectiveness in global dispersal and establishment. High proportions of invasive species in both groups have mixed reproduction systems, i.e., they have the ability to propagate both sexually and asexually (57% and 50%, respectively). This provides flexibility for spreading and establishment. A lower proportion of the worst invasive species was mainly/only sexual (23%, often hermaphrodites) when compared to other invasive plants (40%). In the case of sexual reproduction, hermaphroditism combined with self-compatibility may enhance invasiveness, since selfing allows fertilization and recombination even under low population densities. Overall, the ability for asexual propagation and, in the case of sexuality, hermaphroditism, is an asset in the invasion process.

Dataset Information

What makes a good home-based nocturnal seizure detector? A value sensitive design.

Publications

What makes a good home-based nocturnal seizure detector? A value sensitive design.

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