Artificial intelligence in neurology: opportunities, challenges, and policy implications

Abstract

Neurological conditions are the leading cause of disability and mortality combined, demanding innovative, scalable, and sustainable solutions. Brain health has become a global priority with adoption of the World Health Organization’s Intersectoral Global Action Plan in 2022. Simultaneously, rapid advancements in artificial intelligence (AI) are revolutionizing neurological research and practice. This scoping review of 66 original articles explores the value of AI in neurology and brain health, systematizing the landscape for emergent clinical opportunities and future trends across the care trajectory: prevention, risk stratification, early detection, diagnosis, management, and rehabilitation. AI’s potential to advance personalized precision neurology and global brain health directives hinges on resolving core challenges across four pillars—models, data, feasibility/equity, and regulation/innovation—through concerted pursuit of targeted recommendations. Paramount actions include swift, ethical, equity-focused integration of novel technologies into clinical workflows, mitigating data-related issues, counteracting digital inequity gaps, and establishing robust governance frameworks balancing safety and innovation.

Artificial intelligence in neurology: opportunities, challenges, and policy implications

Abstract

Neurological conditions are the leading cause of disability and mortality combined, demanding innovative, scalable, and sustainable solutions. Brain health has become a global priority with adoption of the World Health Organization’s Intersectoral Global Action Plan in 2022. Simultaneously, rapid advancements in artificial intelligence (AI) are revolutionizing neurological research and practice. This scoping review of 66 original articles explores the value of AI in neurology and brain health, systematizing the landscape for emergent clinical opportunities and future trends across the care trajectory: prevention, risk stratification, early detection, diagnosis, management, and rehabilitation. AI’s potential to advance personalized precision neurology and global brain health directives hinges on resolving core challenges across four pillars—models, data, feasibility/equity, and regulation/innovation—through concerted pursuit of targeted recommendations. Paramount actions include swift, ethical, equity-focused integration of novel technologies into clinical workflows, mitigating data-related issues, counteracting digital inequity gaps, and establishing robust governance frameworks balancing safety and innovation.

How Can Governments Be Motivated to Stably and Ethically Govern a Country? Lessons Learned from China

Abstract

A country that includes “People’s Republic” in its name nominally belongs to its people, but because states cannot spontaneously self-govern, governance must be implemented by government agents who are capable of resisting the temptation to abuse their power. It is therefore necessary to find ways to limit selfish behavior by government officials and reduce the gap between the rich rulers and their partners and the ordinary people to a tolerable degree, thereby allowing the governors to provide social stability and to stimulate both social and economic development. China’s experience demonstrates the crucial importance for successful institutional change based on a neutral policymaker that is capable of limiting the government’s power to decide who will benefit from policy changes, as was done by China’s successful State Commission for Restructuring the Economic Systems from 1982 to 1997. At the same time, it is crucial to strengthen crutiny of government workers and improve supervision of government departments and officials. Lessons learned from the 1982 to 1997 period will help us to restore social equity and promote economic development without sacrificing the needs of the people, thereby allowing them to improve their welfare through their own efforts.

The power of protest in the media: examining portrayals of climate activism in UK news

Abstract

Over the last several years, the United Kingdom has seen a wave of environmental movements demanding action on the climate crisis. While aligned in their goals, the groups undertaking this activism often diverge on the question of tactics. One such divergence occurred in January 2023, when Extinction Rebellion (XR) declared “We Quit”, ending actions that were disruptive to the general public. Peer groups Just Stop Oil and Animal Rising continued disruptive actions, viewing them as the best way to gain media coverage for their causes. Despite the urgency of addressing climate change and the growing prominence of direct action in British life, little research has examined how the news media covers and reacts to different climate actions. News media plays a vital role in influencing the public’s perception of the climate crisis and “appropriate” responses. We assembled a unique dataset of British news coverage of climate actions over a 7 month period, covering both before and after XR’s “We Quit” statement. Our results reveal that conservative publications cover climate actions more unfavorably and more inaccurately than other publications. Legal actions are generally covered more favorably than illegal ones in both conservative and non-conservative outlets and receive more coverage. Actions that target industry attract more coverage than those that target other actors, while actions that target the public are covered more favorably than those that do not. These results contribute to the scholarly debates surrounding the interaction between social movements and news media, especially on how different strategies potentially influence the extent and affective nature of coverage. They have implications for strategies adopted by climate advocates, depending on whether their goal is merely to draw attention to an issue or if it is to generate positive coverage.

The power of protest in the media: examining portrayals of climate activism in UK news

Abstract

Over the last several years, the United Kingdom has seen a wave of environmental movements demanding action on the climate crisis. While aligned in their goals, the groups undertaking this activism often diverge on the question of tactics. One such divergence occurred in January 2023, when Extinction Rebellion (XR) declared “We Quit”, ending actions that were disruptive to the general public. Peer groups Just Stop Oil and Animal Rising continued disruptive actions, viewing them as the best way to gain media coverage for their causes. Despite the urgency of addressing climate change and the growing prominence of direct action in British life, little research has examined how the news media covers and reacts to different climate actions. News media plays a vital role in influencing the public’s perception of the climate crisis and “appropriate” responses. We assembled a unique dataset of British news coverage of climate actions over a 7 month period, covering both before and after XR’s “We Quit” statement. Our results reveal that conservative publications cover climate actions more unfavorably and more inaccurately than other publications. Legal actions are generally covered more favorably than illegal ones in both conservative and non-conservative outlets and receive more coverage. Actions that target industry attract more coverage than those that target other actors, while actions that target the public are covered more favorably than those that do not. These results contribute to the scholarly debates surrounding the interaction between social movements and news media, especially on how different strategies potentially influence the extent and affective nature of coverage. They have implications for strategies adopted by climate advocates, depending on whether their goal is merely to draw attention to an issue or if it is to generate positive coverage.

Infectious eye disease in the 21st century—an overview

Abstract

Infectious diseases affecting the eye often cause unilateral or asymmetric visual loss in children and people of working age. This group of conditions includes viral, bacterial, fungal and parasitic diseases, both common and rare presentations which, in aggregate, may account for a significant portion of the global visual burden. Diagnosis is frequently challenging even in specialist centres, and many disease presentations are highly regional. In an age of globalisation, an understanding of the various modes of transmission and the geographic distribution of infections can be instructive to clinicians. The impact of eye infections on global disability is currently not sufficiently captured in global prevalence studies on visual impairment and blindness, which focus on bilateral disease in the over-50s. Moreover, in many cases it is hard to differentiate between infectious and immune-mediated diseases. Since infectious eye diseases can be preventable and frequently affect younger people, we argue that in future prevalence studies they should be considered as a separate category, including estimates of disability-adjusted life years (DALY) as a measure of overall disease burden. Numbers of ocular infections are uniquely affected by outbreaks as well as endemic transmission, and their control frequently relies on collaborative partnerships that go well beyond the remit of ophthalmology, encompassing domains as various as vaccination, antibiotic development, individual healthcare, vector control, mass drug administration, food supplementation, environmental and food hygiene, epidemiological mapping, and many more. Moreover, the anticipated impacts of global warming, conflict, food poverty, urbanisation and environmental degradation are likely to magnify their importance. While remote telemedicine can be a useful aide in the diagnosis of these conditions in resource-poor areas, enhanced global reporting networks and artificial intelligence systems may ultimately be required for disease surveillance and monitoring.

Infectious eye disease in the 21st century—an overview

Abstract

Infectious diseases affecting the eye often cause unilateral or asymmetric visual loss in children and people of working age. This group of conditions includes viral, bacterial, fungal and parasitic diseases, both common and rare presentations which, in aggregate, may account for a significant portion of the global visual burden. Diagnosis is frequently challenging even in specialist centres, and many disease presentations are highly regional. In an age of globalisation, an understanding of the various modes of transmission and the geographic distribution of infections can be instructive to clinicians. The impact of eye infections on global disability is currently not sufficiently captured in global prevalence studies on visual impairment and blindness, which focus on bilateral disease in the over-50s. Moreover, in many cases it is hard to differentiate between infectious and immune-mediated diseases. Since infectious eye diseases can be preventable and frequently affect younger people, we argue that in future prevalence studies they should be considered as a separate category, including estimates of disability-adjusted life years (DALY) as a measure of overall disease burden. Numbers of ocular infections are uniquely affected by outbreaks as well as endemic transmission, and their control frequently relies on collaborative partnerships that go well beyond the remit of ophthalmology, encompassing domains as various as vaccination, antibiotic development, individual healthcare, vector control, mass drug administration, food supplementation, environmental and food hygiene, epidemiological mapping, and many more. Moreover, the anticipated impacts of global warming, conflict, food poverty, urbanisation and environmental degradation are likely to magnify their importance. While remote telemedicine can be a useful aide in the diagnosis of these conditions in resource-poor areas, enhanced global reporting networks and artificial intelligence systems may ultimately be required for disease surveillance and monitoring.

Proceed with Caution: Social Acceptability of Forestry Practices in Puerto Rico among Members of Local Environmental Organizations, Academia and Professional Associations

Abstract

Social acceptability of forestry practices plays a key role in defining sustainable forestry policies and strategies. In this study an online survey was distributed among members of environmental, non-governmental, professional, and academic organizations to assess the acceptability of forestry practices in Puerto Rico among members of civic society interested in environmental management issues. Participants were asked about their perception of forest uses, their preference of tree harvesting technologies, methods that may apply in small scale wood production settings, and trust in organizations providing forest information. We also inquired about attitudes towards economic activity in forests and the impact of such activity on recreation and biodiversity. The results show that even though participants do not place a high priority on economic development through forestry activities, acceptance of forest management for wood harvesting will be possible by considering adherence to particular forestry technologies and methods to safeguard current recreation activities and biodiversity conservation. Social acceptability information would be worthwhile when seeking consensus among a broader group of local stakeholders. As a next step we suggest the creation of a council constituted by diverse forestry sector stakeholders that would engage in a strategic planning exercise to delineate a clear road map that can guide short and long-term sustainable forest management, including wood industry development.

Proceed with Caution: Social Acceptability of Forestry Practices in Puerto Rico among Members of Local Environmental Organizations, Academia and Professional Associations

Abstract

Social acceptability of forestry practices plays a key role in defining sustainable forestry policies and strategies. In this study an online survey was distributed among members of environmental, non-governmental, professional, and academic organizations to assess the acceptability of forestry practices in Puerto Rico among members of civic society interested in environmental management issues. Participants were asked about their perception of forest uses, their preference of tree harvesting technologies, methods that may apply in small scale wood production settings, and trust in organizations providing forest information. We also inquired about attitudes towards economic activity in forests and the impact of such activity on recreation and biodiversity. The results show that even though participants do not place a high priority on economic development through forestry activities, acceptance of forest management for wood harvesting will be possible by considering adherence to particular forestry technologies and methods to safeguard current recreation activities and biodiversity conservation. Social acceptability information would be worthwhile when seeking consensus among a broader group of local stakeholders. As a next step we suggest the creation of a council constituted by diverse forestry sector stakeholders that would engage in a strategic planning exercise to delineate a clear road map that can guide short and long-term sustainable forest management, including wood industry development.

Social corrections act as a double-edged sword by reducing the perceived accuracy of false and real news in the UK, Germany, and Italy

Abstract

Corrective or refutational posts from ordinary users on social media have the potential to improve the online information ecosystem. While initial evidence of these social corrections is promising, a better understanding of the effects across different topics, formats, and audiences is needed. In three pre-registered experiments (N = 1944 UK, N = 2467 Italy, N = 2210 Germany) where respondents completed a social media post assessment task with false and true news posts on various topics (e.g., health, climate change, technology), we find that social corrections reduce perceived accuracy of and engagement with false news posts. We also find that social corrections that flag true news as false decrease perceived accuracy of and engagement with true news posts. We did not find evidence to support moderation of these effects by correction strength, anti-expert sentiments, cognitive reflection capacities, or susceptibility to social influence. While social corrections can be effective for false news, they may also undermine belief in true news.