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I Am Not Okay With This 2020 - 1 Stagione Dr... [2021]

Regarding training of new GPs, courses were perceived as poorly organized and led in a bureaucratic fashion. Respondents reported that this negatively impacted their training and their safety during the first peak of the outbreak. These findings are consistent with previously published studies, which showed how GP trainees in Italy are enrolled in non-academic regional courses of questionable quality (29, 30). In fact, during the first months of the outbreak, many GP traineeship activities were stopped due to the lack of PPE, which was not available for trainees undertaking purely observational internships. Since then, trainees have been employed in GP out-of-hours services in the COVID-19 special units and to replace regular GPs; a government decree stated that the hours worked in these services would be recognized as part of the traineeships despite the fact that they occurred without clinical supervision (31). GP trainees therefore became part of the paid GP workforce. Further research on the quality of GP training in Italy is needed to overcome these critical issues (29, 30). This knowledge will explain how training has been impacted by COVID-19.

I Am Not Okay With This 2020 - 1 stagione Dr...

The GPs reported that they experienced an improvement in their relationships with their patients in terms of compliance, patient understanding, and solidarity. Similar findings in China have been reported despite the decline in doctor/patient relationships since the late 1970s (44). A possible explanation for this phenomenon is that an outbreak of the scale of COVID-19 could reduce the emotional distance between doctors and patients. In fact, the so-called hidden curriculum traditionally encourages detachment between emotions and clinical reasoning (45, 46) to preserve the objectivity of clinical judgement, i.e., avoiding the interference of the doctor's empathic concern that could affect clinical decision making (47). Doctors could have perceived increased solidarity from their patients as the doctors themselves felt closer to them because they were sharing the common concern of COVID-19. More research is needed to understand the impact of COVID-19 on empathy in medicine and, more broadly, on the doctor/patient relationship.

The authors would like to thank the Research Team (R-Team) of the Giotto Movement for collaborating on this research project by participating in the discussion sessions and in the data collection. The members of the R-Team are Maria Elisa Alessi, Mariagiovanna Amoroso, Samuele Angeletti, Martina Boatti, Francesca Borsari, Luigi Bracchitta, Maria Teresa Bufano, Miriam Carluccio, Michela Demontis, Viviana Forte, Peter Konstantin Kurotschka, Martina Meocci, Alessandro Mereu, Caterina Pelligra, Andrea Posocco, Alice Serafini, Matteo Venturella and Matilde Zanetti. A special thanks goes to all the physicians that, while facing the unprecedented professional and emotional challenges posed by the first epidemic outbreak, shared their experiences with us. Without their generosity, this study wouldn't have been possible.

Another example is the recent attempt of health insurance providers to encourage increased exercise by handing out smart fitness bracelets, with the aim of reducing the amount of cardiovascular disease in the population; but in the end, this might result in more hip operations. In a complex system, such as society, an improvement in one area almost inevitably leads to deterioration in another. Thus, large-scale interventions can sometimes prove to be massive mistakes.

What can we do now? First, even in these times of digital revolution, the basic rights of citizens should be protected, as they are a fundamental prerequisite of a modern functional, democratic society. This requires the creation of a new social contract, based on trust and cooperation, which sees citizens and customers not as obstacles or resources to be exploited, but as partners. For this, the state would have to provide an appropriate regulatory framework, which ensures that technologies are designed and used in ways that are compatible with democracy. This would have to guarantee informational self-determination, not only theoretically, but also practically, because it is a precondition for us to lead our lives in a self-determined and responsible manner.

Which public systems do we therefore need to ensure that the digital society becomes a success? First, completely new educational concepts are needed. This should be more focused on critical thinking, creativity, inventiveness and entrepreneurship than on creating standardised workers (whose tasks, in the future, will be done by robots and computer algorithms). Education should also provide an understanding of the responsible and critical use of digital technologies, because citizens must be aware of how the digital world is intertwined with the physical one. In order to effectively and responsibly exercise their rights, citizens must have an understanding of these technologies, but also of what uses are illegitimate. This is why there is all the more need for science, industry, politics, and educational institutions to make this knowledge widely available.

A "Wikipedia of Cultures" could eventually help to coordinate various activities in a highly diverse world and to make them compatible with each other. It would make the mostly implicit success principles of the world's cultures explicit, so that they could be combined in new ways. A "Cultural Genome Project" like this would also be a kind of peace project, because it would raise public awareness for the value of sociocultural diversity. Global companies have long known that culturally diverse and multidisciplinary teams are more successful than homogeneous ones. However, the framework needed to efficiently collate knowledge and ideas from lots of people in order to create collective intelligence is still missing in many places. To change this, the provision of online deliberation platforms would be highly useful. They could also create the framework needed to realize an upgraded, digital democracy, with greater participatory opportunities for citizens. This is important, because many of the problems facing the world today can only be managed with contributions from civil society.

If we lack the motivation to develop the technological tools, science and institutions necessary to align the digital world with our shared values, the future looks very bleak. Thankfully, the European Union has invested in an extensive research and development program for responsible innovation. Furthermore, the EU countries which passed the Lund and Rome Declarations emphasized that innovation needs to be carried out responsibly. Among other things, this means that innovation should be directed at developing intelligent solutions to societal problems, which can harmonize values such as efficiency, security and sustainability. Genuine innovation does not involve deceiving people into believing that their cars are sustainable and efficient. Genuine innovation means creating technologies that can actually satisfy these requirements.

The second vision is known as "nudging". Rather than letting the algorithm do all the work, people are steered into a particular direction, often without being aware of it. The experiment on the elections in India is an example of that. We know that the first page of Google search results receives about 90% of all clicks, and half of these are the first two results. This knowledge about human behavior is taken advantage of by manipulating the order of results so that the positive ones about a particular candidate or a particular commercial product appear on the first page. In countries such as Germany, where web searches are dominated by one search engine (Google), this leads to endless possibilities to sway voters. Like techno-paternalism, nudging takes over the helm.

States, international organizations and private actors now employ big data in a variety of spheres. It is important that all those who profit from big data are aware of their moral responsibility. For this reason, the Data for Humanity Initiative was established, with the goal of disseminating an ethical code of conduct for big data use. This initiative advances five fundamental ethical principles for big data users:

We asked a group of analysts -- Stephania Bell, Matt Bowen, Mike Clay, Courtney Cronin, Jeremy Fowler, Dan Graziano, Matt Miller, Sal Paolantonio, Jason Reid, Jordan Reid, Louis Riddick, Mike Tannenbaum, Seth Walder and Field Yates -- to vote on the top players in the MVP race right now. Then we used those 14 sets of rankings to give our top five candidates, using Heisman Trophy-esque scaling for each ranking to determine how the field stacks up. Of our 14-person panel, Mahomes received nine first-place votes and Hurts finished this round of voting with five first-place votes.

Mahomes jumped ahead of Josh Allen as the front-runner for the MVP award following a rough patch for Allen post-Week 9. Mahomes has continued to make his case as the most valuable player in the NFL with the league-best in passing yards and touchdown passes, all of which he has done without receiver Tyreek Hill. Mahomes threw three touchdown passes against the Broncos in Week 14, but also threw three interceptions -- the most he has thrown in a game since late 2020 and just one week after the Chiefs lost to the Bengals -- which is probably why his MVP odds have dipped since midseason.

Playing without his two starting offensive tackles, Herbert turned in one of the strongest performances of his career in a 23-17 win over the Dolphins in Week 14. The third-year quarterback outdueled Tagovailoa, who was taken one spot ahead of him in the 2020 draft, and threw for a season-high 367 yards and a touchdown on 39-of-51 passing. The Chargers remain in the hunt for an AFC wild-card spot with winnable games against Tennessee (which boasts an identical 7-6 record), Indianapolis, Las Vegas and Denver remaining.

Jackson missed most of the Ravens' Week 13 win and all of the Week 14 win with a knee injury, so his odds are slipping. He's no longer a lock as the league's most dynamic rushing quarterback, a nod that this season goes to Bears QB Justin Fields. The Ravens and Bengals are tied for first in the AFC North with a Jan. 8 meeting that will likely decide the division winner. Jackson's injury could keep him out until Week 16, which will only further put him out of the MVP conversation. 041b061a72


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