In the era of big data, young patients may be overwhelmed by artificial intelligence-based tools, like chatbots. Five clinical experts were asked to evaluate the performance of the most currently used chatbots in providing information on a rare cancer affecting young people, like rhabdomyosarcoma. Generally speaking, despite their high performance in giving general information about the disease, these chatbots were considered by the experts to be inadequate in providing suggestions on cancer treatments and specialized centers, and also lacking in \"sensitivity.\" Efforts are planned by the pediatric oncology community to improve the quality of data used to train these tools.

A resurgence of panpsychism and dualism is a matter of ongoing debate in modern neuroscience. Although metaphysically hostile, panpsychism and dualism both persist in the science of consciousness because the former is proposed as a straightforward answer to the problem of integrating consciousness into the fabric of physical reality, whereas the latter proposes a simple solution to the problem of free will by endowing consciousness with causal power as a prerequisite for moral responsibility. I take the Integrated Information Theory (IIT) as a paradigmatic exemplar of a theory of consciousness (ToC) that makes its commitments to panpsychism and dualism within a unified framework. These features are not, however, unique for IIT. Many ToCs are implicitly prone to some degree of panpsychism whenever they strive to propose a universal definition of consciousness, associated with one or another known phenomenon. Yet, those ToCs that can be characterized as strongly emergent are at risk of being dualist. A remedy against both covert dualism and uncomfortable corollaries of panpsychism can be found in the evolutionary theory of life, called here \"bioprotopsychism\" and generalized in terms of autopoiesis and the free energy principle. Bioprotopsychism provides a biologically inspired basis for a minimalist approach to consciousness via the triad \"chemotaxis-efference copy mechanism-counterfactual active inference\" by associating the stream of weakly emergent conscious states with an amount of information (best guesses) of the brain, engaged in unconscious predictive processing.

UNASSIGNED: When providing health information in a diverse society and during health crises, it is crucial that nurses can adapt their communication to immigrants, as this may have an impact on their health outcomes. This study seeks to identify how nurses experienced and assessed their communication and information work with immigrants during COVID-19 and to discuss measures to improve practice.
UNASSIGNED: The study has an interpretive and explorative qualitative design, analyzing 10 semi-structured interviews with nurses from the municipal health service in Norway.
UNASSIGNED: Three themes were created as follows: multilingual infection control teams and cooperation with volunteers, challenges when providing COVID-19 information, and the nurses\' suggestions for improvements in the event of a new pandemic or other health crisis.
UNASSIGNED: Nurses\' cultural competence and their knowledge of immigrants\' health literacy can help them understand how immigrants think and behave during illness. It is important that nurses use discretion during health crises.

OBJECTIVE: This study explores the evolving position of the health system chief information officer (CIO) by identifying new core roles for success.
METHODS: An advisory board of industry executives and system leaders guided the study. Purposeful sampling was used to invite chief executive officer and CIOs from 65 not-for-profit US health systems to participate. Interviews were conducted with 51 executives from 33 different systems, using a comprehensive interview topic guide. Interview transcripts were analysed using NVivo software, focusing on themes related to the evolving role of the health system CIO.
RESULTS: Analyses revealed three main themes, with the CIO as (1) enabler of strategic change and transformation, (2) strategic developer of technology and leadership talent and (3) driver of organisational culture.
CONCLUSIONS: The role of CIO has undergone transformation from technology and information system management to strategic leadership within the broader health system context. It highlights the importance of comprehensive business knowledge for CIOs and the need for other C-suite executives to have a deeper understanding of information and technology.
CONCLUSIONS: As healthcare continues to evolve, the role of the CIO is expected to expand further, requiring a blend of technical and strategic business skills. This evolution presents opportunities for health systems to enhance their leadership development programmes, preparing leaders for the complexities of the contemporary health system sector.

In pediatric oncology, genetic and genomic tests are proposed throughout the care pathway for many reasons (e.g., cancer characterization, identification of the most appropriate treatment, patient selection for clinical trials, identification of tissue/organ donors, or risk of relapse prediction). Despite the many different approaches (somatic or germline testing, targeted gene or genome sequencing), the implicated individuals are confronted with situations that may intersect and that are interesting to compare. No study has identified and analyzed the available works on these new practices in pediatric oncology. The aim of this narrative literature review was to describe the ethical and psychological perspectives of children with cancer, parents, and healthcare professionals when genetic or genomic testing is proposed as part of the cancer management. Eighteen articles met the inclusion criteria and were comprehensively coded using MAXQDA. Their analysis showed that concerning the subjective implications of genetic and genomic testing, the areas of ambivalence (desire of treatment, desire for knowledge, uncertainty, and guilt) reported by patients and their parents seem to mirror the healthcare professionals\' concerns. The ethical and psychological issues about predisposition testing, long discussed in the context of hereditary retinoblastoma and Li-Fraumeni syndrome, represent a useful starting point for a wider discussion of a genetic and genomic testing pathway in pediatric oncology more broadly.

Many people wonder whether biology, including humans, will benefit or experience harm from new developments in information such as artificial intelligence (AI). Here, it is proposed that biological and non-biological information might be components of a unified process, \'Panevolution\' or \'Pan-Evo\', based on four basic operations-innovation, transmission, adaptation, and movement. Pan-Evo contains many types of variable objects, from molecules to ecosystems. Biological innovation includes mutations and behavioural changes; non-biological innovation includes naturally occurring physical innovations and innovation in software. Replication is commonplace in and outside biology, including autocatalytic chemicals and autonomous software replication. Adaptation includes biological selection, autocatalytic chemicals, and \'evolutionary programming\', which is used in AI. The extension of biological speciation to non-biological information creates a concept called \'Panspeciation\'. Panevolution might benefit or harm biology, but the harm might be minimal if AI and humans behave intelligently because humans and the machines in which an AI resides might split into vastly different environments that suit them. That is a possible example of Panspeciation and would be the first speciation event involving humans for thousands of years. This event will not be particularly hostile to humans if humans learn to evaluate information and cooperate better to minimise both human stupidity and artificial simulated stupidity (ASS-a failure of AI).

More patients are being discharged early from hospital and increasing numbers of patients have complex health care needs and receive care in the primary health care sector. To ensure efficient coordination and continuity of care, access to relevant information is crucial. We report from two Norwegian municipalities that, during an innovation project, transferred their information system from a paper-based to a digital coordination system. Workshops and interviews were conducted to address the considerations, reflections and dilemmas of the actors involved during the innovation process. The analysis provided three main themes which were: 1) transition from paper-based to digital overviews; 2) transition from individual patient information to a digital overview of groups of patients; and 3) transition from use of telephone to digital exchange of information. The actors had to overcome several challenges. Nevertheless, the outcome was that they were provided with contextualised information enabling efficiency and patient safety in their coordination work.

The correctness and the true validated data in Human Resource Management (HRM) are important for organizations as the data plays an impactful role in recruiting, developing, and retaining a skilled workforce. On one hand, the validated data in an organization helps in recruiting legitimate skillful employees; on the other hand, keeping the employee\'s data safe and maintaining privacy laws such as compliance with the General Data Protection Regulation (GDPR) is also an organization\'s responsibility. Besides, transparency in human resource management operations is crucial because it promotes trust and fairness within an organization. The present HRM systems are centralized in nature and their verifiable credential system is ineffective; this leads to the intentions of internal data sabotage or internal threats. Besides, the organizations\' biases also become more prominent. In this paper, we address the above-mentioned problems with a blockchain framework for HRM to utilize the privacy of data access through a Privacy Information Retrieval (PIR) process. To be specific, our proposed framework called Blockchained piR of resOurces as humaN (BRON), is the first blockchain framework to show an effective mechanism to access data from organizations globally without hampering privacy. BRON uses a generalized user registration process to use the services of data access and in the background, it uses Zero-Knowledge Proofs (ZKPs) for global verification and PIR for privacy-based data retrieval. More specifically, credential verification and ZKP-based PIR are the highlights of our proposed BRON. Another interesting aspect of BRON is the use of Proof-of-Authority (PoA) to validate the anonymity and unlinkability of any HR operation. Finally, BRON has also contributed with a smart contract to incentivize the employees. BRON is very generic and easily be customizable as per the HR requirements. We run a set of experiments on BRON and observe that it is successful in providing privacy-assured data access and decentralized human resource data management. Overall, BRON provides 30% reduced latency and 35% better throughput as compared to the existing blockchain solutions in the direction of HRM.

Care, management, and statute each mandate restraint-reporting in psychiatric settings in England. PROD-ALERT in this journal (\"PA1\") correlated log incidence of restraint, log institutional size, and log detention. The period was September 2020 to August 2021. It showed a clear trend among reporters. Restraint correlated with institutional size and use of legal detention. Some large detaining providers reported no restraints per month despite that trend. Inference from size suggested that non-complete reporters restrained 1,774 people per month. This paper \"PA2\" develops analysis repeating it for September 2021 to August 2022. PA2 shows how to count L-information, i.e., questionable information, added by null reports, by applying an L-test to data sets. PA2 uses illustrative vignettes about human height to ground L-information scores from English restraint reporting. In PA2, reported restraint again correlates with size and detention as in PA1. PA2 shows evolving data. Providers still follow a trend in restraint by size and detention. Providers which newly report restraint are on trend. Inference suggests that non-complete reporters restrained 1,305 people per month (536-3233), 95% CI, a large but reduced number since PA1. English restraint data have an L-test L-information score of increase in information by a factor of L = 145. This is as surprising as claiming that an average English man of 1.72 m is 2.64 m tall. Persons restrained per month is a robust measure continuing to log-correlate with size and legal compulsion. Providers over a certain size who report null restraint probably have some. Restraint remains underreported in England. Imputation of incomplete reporters shows a large shrinking cohort of patients detained by incomplete reporters. Knowledge of this may promote reporting. Improved reporting, and the infrastructure and integrity it demands, may help providers measure and reduce restraint. PA1 remains unrefuted. L-test can measure L-information in intuitively representable ways. The informational effect of nulls on the reliable data set is similar to a claim that an average-heighted man is as tall as people with clinical gigantism.

OBJECTIVE: Cancer is associated with an urgent need for understandable and reliable information, which is often not satisfied by information available online. Therefore, as part of the PIKKO project, a web-based knowledge database (WDB) was introduced to provide cancer patients with quality-assured, evidence-based information. This paper aims to provide insights into the usage (Who? How? What?) and the effects regarding health literacy of the WDB.
METHODS: A patient survey and automatically generated logfile data were evaluated. Two user groups, patients and patient navigators (PNs), were compared.
RESULTS: The 13 PNs were responsible for 1/3 of all accesses over the entire duration of the project. The 413 patients used WDB twice on average and spent an average of 12 min per session online (PNs: 9 min per session, more frequently). The top 3 topics of interest were \'therapy\', \'nutrition\' and \'carcinogenesis\' for the patients, and \'therapy\', \'naturopathy\' and \'legal regulations/support\' for the PNs. Of the patients surveyed, 69% said that WDB was helpful in making informed decisions, 76% found the information they wanted and 90% thought WDB was an appropriate way to provide information.
CONCLUSIONS: Our WDB provided important information about cancer and its treatment on a digital way both, to patients and PNs. In routine cancer care, the WDB can improve health literacy and informed decision-making.
BACKGROUND: This study was retrospectively registered in the German Clinical Trial Register under DRKS00016703 (21 Feb 2019, retrospectively registered). https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00016703.