The rapid adoption of digital technologies has revolutionized business operations and introduced emerging concepts such as Digital Twin (DT) technology, which has the potential to predict system responses before they occur, making it an attractive option for smart and sustainable tourism. However, implementing DT software systems poses significant challenges, including compliance with regulations and effective communication among stakeholders, and concerns surrounding security, privacy, and trust with the use of big data. To address these challenges, this paper proposes (...) a documentation framework for architectural decisions (DFAD) that applies the concept of big data governance to the digital system. The framework aims to ensure accountability, transparency, and trustworthiness while adhering to rules and regulations. To demonstrate its applicability, a case study and three case scenarios on the potential use of Mobile Positioning Data (MPD) in Indonesia for DT technology in smart and sustainable tourism were examined. The paper highlights the benefits of DFAD in shaping stakeholder communication and human–machine interactions while leveraging the potential of MPD to measure tourism statistics by Statistics Indonesia since 2016. Not only the documentation framework promotes compliance with regulations, but it also facilitates effective communication among stakeholders and enhances trust and transparency in the use of big data in DT technology for smart and sustainable tourism. This paper emphasizes the importance of effective big data governance and its potential to promote sustainable tourism practices. The multidisciplinarity approach on political science, software engineering, tourism, and official statistics provides an opportunity for academic contribution and decision-making processes. (shrink)

Digital twinning in medicine refers to the idea of simulating a person’s organs, muscles or perhaps their entire body, in order to arrive more effectively at accurate diagnoses, to make treatment recommendations that reflect chances of success and possible side-effects, and to better understand the long-term trajectory of an individual’s overall condition. Digital twins, in these ways, build on the recent movement toward personalised medicine,1 and they undoubtedly present us with exciting opportunities to advance our health. Of course, (...) the opportunities are accompanied by newfound challenges—a common refrain in discussions surrounding emerging technologies. In a recent article, Matthias Braun surveys numerous problems, including the precision of simulations, ownership and consent to the use of digital models, and issues of justice in assuring equitable access to novel medical systems.2 In particular, he places special emphasis on the notion of representation. According to Braun, proper representation naturally calls for correspondence—namely a precise model offering dynamic, real-time feedback as well as transparency, both for the patient and the practitioner, in terms of the data being employed. While technical challenges remain, these goals are quite clear and relatively uncontroversial. Where a host of questions arise, however, is in the discussion on the interaction between the represented persons and their simulations. Alongside questions regarding ownership of one’s digital twin, Braun raises the concern that ‘giving …. (shrink)

Digital twins for health care have the potential to significantly impact the provision of medical services. In addition to possible use in care, this technology could serve as a conduit by which no...

The article examines the impact of the virtual public sphere on how urban spaces are experienced and conceived in our data-driven society. It places particular emphasis on urban scale digital twins, which are virtual replicas of cities that are used to simulate environments and develop scenarios in response to policy problems. The article also investigates the shift from the technical to the socio-technical perspective within the field of smart cities. Despite the aspirations of urban scale digital twins to (...) enhance the participation of citizens in the decision-making processes relayed to urban planning strategies, the fact that they are based on a limited set of variables and processes makes them problematic. The article aims to shed light on the tension between the real and the ideal at stake during this process of abstracting sets of variables and processes in the case of urban scale digital twins. (shrink)

Anticipating the ethical impact of emerging technologies is an essential part of responsible innovation. One such emergent technology is the digital twin which we define here as a living replica of a physical system (human or non-human). A digital twin combines various emerging technologies such as AI, Internet of Things, big data and robotics, each component bringing its own socio-ethical issues to the resulting artefacts. The question thus arises which of these socio-ethical themes surface in the (...) process and how they are perceived by stakeholders in the field. In this report we present the results of a qualitative study into the socio-ethical benefits and socio-ethical risks of using digital twins in healthcare. Employing insights from ethics of technology and the Quadruple Helix theory of innovation, we conducted desk research of white literature and 23 interviews with representatives from the four helixes: industry, research, policy and civil society. The ethical scan revealed several important areas where the digital twin can produce socio-ethical value (e.g., prevention and treatment of disease, cost reduction, patient autonomy and freedom, equal treatment) but also several important areas of socio-ethical risks (e.g., privacy and property of data, disruption of existing societal structures, inequality and injustice). We conclude with a reflection on the employed analytical tool and suggestions for further research. (shrink)

In the article ‘Represent Me: Please! Towards an Ethics of Digital Twins in Medicine’, I analysed and tried to better understand the main ethical challenges associated with Digital Twins. For those who are just entering the debate with this article: DT is a metaphor for a bundle of artificial intelligence driven simulation technologies that constantly, in real time and ad personam simulate single or multiple parts of the body and make predictions about future health states based on these (...) simulations. My argument addresses the need to look at the breadth of challenges through a perspective of representation. From such a take, key consequences can be drawn for the further development of such technologies, the required means of control and not least the way to think about the interaction between humans and ‘their’ simulations. I am very grateful for the subsequent suggestions, criticisms and further arguments, which have helped me to elaborate my arguments more clearly and have led to a substantial advancement of the debate and the discussion about ethical questions in dealing with DT. Jenny Blumenthal-Barby,1 Deborah Lupton,2 Jenny Krutzinna,3 Janina Loh,4 Brent Mittelstadt,5 Sven Nyholm,6 Daniel Tigard7 and Max Tretter8 have made excellent points, which, in the following, I will not be able to reply to individually and in detail. In this response, I will try to bundle the open points and questions along the comments and considerations mentioned above and attempt to outline their significance for an ethics of DT. Four challenges seem to be central. A first point addresses anthropological issues. It is concerned …. (shrink)

In his contribution, ‘Represent me: please! Towards an ethics of digital twins in medicine’1, Braun shows that there is a fundamental ambivalence inherent in digital twins: they can either open up new freedoms for the simulated persons, or, conversely, endanger and restrict their freedom. To prevent digital twins from restricting people’s freedom, Braun suggests a strong focus on control. Braun’s focus on control is insufficient, I will argue, because his idea of control works only retroactively: it can (...) only react to restrictions of freedom that have already occurred, but it cannot prevent them, nor can it restore any lost freedom. Control is therefore insufficient to defend people’s freedom. To prove my claim, I will first use an everyday example to illustrate the fundamental ambivalence inherent in digital twins. Second, I will show that digital twins endanger people’s freedom in a hermeneutic way. Finally, I will demonstrate why controllability cannot prevent this hermeneutic endangerment. I understand digital twins, like Braun, as simulation of a person, as their dynamic and precise effigy. Simulated twins use machine-learning and artificial intelligence capabilities to make predictive analyses about the simulated person and the future development of her health. Imagine: You are eating dinner. Meanwhile, your partner lectures you about the calorie density and nutrient composition of your food, warns you that your portion size exceeds your daily calorie requirement by x calories. It calculates how your dinner will negatively impact your body mass index and physical fitness, and predicts what the consequences will be for your overall health. Based on these data and predictions, it creates an individualised diet plan for you—and at the same time shows you by how much you could improve your vital values by sticking to that plan. This example helps to illustrate the fundamental …. (shrink)

The concept of a digital twin comes from engineering.1 It refers to a digital model of an artefact in the real world, which takes data about the artefact itself, data about other such artefacts, among other things, as inputs. The idea is that the maintenance of artefacts—such as jet engines—can be vastly improved if we work with digital twins that simulate actual objects. Similarly, personalised medicine might benefit from the digital modelling of body parts or (...) even whole human bodies. A medical digital twin could use data about the patient, more general population data, and other inputs to generate predictions about the patient. This could lead to highly personalised interventions and nuanced judgments about the patient’s health. Matthias Braun2 discusses this intriguing prospect, asking how we should think about the way in which a digital twin could represent a patient. I will respond to Braun’s striking suggestion that we can regard a digital twin as an extension of the patient’s body. Notably, Braun does not compare his just-mentioned idea with the extended mind thesis popularised by Andy Clark and David Chalmers.3 But I am sure many readers will be reminded of the extended mind thesis. Accordingly, I will consider this comparison. I cannot discuss this comparison in detail, nor fully evaluate Braun’s suggestion. But I can say something about how we might approach this comparison, and provide some …. (shrink)

In his Feature Article ‘Represent me: please: Towards an ethics of digital twins in medicine’1, Mattias Braun considers several important bioethical issues in relation to the use of digital twin simulations in health and medical contexts. He focuses on the ways these simulations are used or are proposed to be deployed in these domains, including to what extent they are a ‘true’ or ‘real’ representation of human bodies. In this response, I want to take a step back (...) and delve into the metaphor of the ‘digital twin’. I consider the implications of using this metaphor in the context of medical care and how this choice of language participates in what science and technology scholars term the ‘sociomaterial imaginaries’ that are used to support and promote novel technologies.2 Language is important. It matters. The choice of language is both symbolic and persuasive. It intervenes in political and policy debates and research and healthcare funding decisions.2 It has material effects and affects: to some of which Braun has gestured in his piece. The …. (shrink)

Anticipating the ethical impact of emerging technologies is an essential part of responsible innovation. One such emergent technology is the digital twin which we define here as a living replica of a physical system. A digital twin combines various emerging technologies such as AI, Internet of Things, big data and robotics, each component bringing its own socio-ethical issues to the resulting artefacts. The question thus arises which of these socio-ethical themes surface in the process and how (...) they are perceived by stakeholders in the field. In this report we present the results of a qualitative study into the socio-ethical benefits and socio-ethical risks of using digital twins in healthcare. Employing insights from ethics of technology and the Quadruple Helix theory of innovation, we conducted desk research of white literature and 23 interviews with representatives from the four helixes: industry, research, policy and civil society. The ethical scan revealed several important areas where the digital twin can produce socio-ethical value but also several important areas of socio-ethical risks. We conclude with a reflection on the employed analytical tool and suggestions for further research. (shrink)

Digital Twins are conceptualised in the academic technical discourse as real-time realistic digital representations of physical entities. Originating from product engineering, the Digital Twin quickly advanced into other fields, including the life sciences and earth sciences. Digital Twins are seen by the tech sector as the new promising tool for efficiency and optimisation, while governmental agencies see it as a fruitful means for improving decision-making to meet sustainability goals. A striking example of the latter is (...) the European Commission who wishes to delegate a significant role to Digital Twins in addressing climate change and supporting Green Deal policy. As Digital Twins give rise to high expectations, ambitions, and are being entrusted important societal roles, it is crucial to critically reflect on the nature of Digital Twins. In this article, we therefore philosophically reflect on Digital Twins by critically analysing dominant conceptualisations, the assumptions underlying them, and their normative implications. We dissect the concept and argue that a Digital Twin does not merely fulfil the role of being a representation, but is in fact a steering technique used to direct a physical entity towards certain goals by means of multiple representations. Currently, this steering seems mainly fuelled by a reductionist approach focused on efficiency and optimisation. However, this is not the only direction from which a Digital Twin can be thought and, consequently, designed and deployed. We therefore set an agenda based on a critical understanding of Digital Twins that helps to draw out their beneficial potential, while addressing their potential issues. (shrink)

Simulations are used in very different contexts and for very different purposes. An emerging development is the possibility of using simulations to obtain a more or less representative reproduction of organs or even entire persons. Such simulations are framed and discussed using the term ‘digital twin’. This paper unpacks and scrutinises the current use of such digital twins in medicine and the ideas embedded in this practice. First, the paper maps the different types of digital twins. (...) A special focus is put on the concrete challenges inherent in the interactions between persons and their digital twin. Second, the paper addresses the questions of how far a digital twin can represent a person and what the consequences of this may be. Against the background of these two analytical steps, the paper defines first conditions for digital twins to take on an ethically justifiable form of representation. (shrink)

In this article, we present and analyse the concept of Digital Twin (DT) linked to distinct types of objects (artefacts, natural, inanimate or living) and examine the challenges involved in creating them from a fundamental neuroethics approach that emphasises conceptual analyses. We begin by providing a brief description of DTs and their initial development as models of artefacts and physical inanimate objects, identifying core challenges in building these tools and noting their intended benefits. Next, we describe attempts to (...) build DTs of model living entities, such as hearts, highlighting the novel challenges raised by this shift from DTs of inanimate to DTs of living objects. Against that background, we give an account of contemporary research aiming to develop DTs of the human brain by building "virtual brains", e.g. the simulation engine The Virtual Brain (TVB) as it is carried out in the European Human Brain Project. Since the brain is structurally and functionally the most complex organ in the human body, and our integrated knowledge of its functional architecture remains limited in spite of recent neuroscientific advances, the attempts to create virtual copies of the human brain are correspondingly challenging. We suggest that a clear scientific theoretical structure, conceptual clarity and transparency regarding the methods and goals of this technological development are necessary prerequisites in order to make the project of constructing virtual brains a theoretically promising and socially beneficial scientific, technological and philosophical enterprise. (shrink)

Background: The concept of digital twins has great potential for transforming the existing health care system by making it more personalized. As a convergence of health care, artificial intelligence, and information and communication technologies, personalized health care services that are developed under the concept of digital twins raise a myriad of ethical issues. Although some of the ethical issues are known to researchers working on digital health and personalized medicine, currently, there is no comprehensive review that maps (...) the major ethical risks of digital twins for personalized health care services. Objective: This study aims to fill the research gap by identifying the major ethical risks of digital twins for personalized health care services. We first propose a working definition for digital twins for personalized health care services to facilitate future discussions on the ethical issues related to these emerging digital health services. We then develop a process-oriented ethical map to identify the major ethical risks in each of the different data processing phases. Methods: We resorted to the literature on eHealth, personalized medicine, precision medicine, and information engineering to identify potential issues and developed a process-oriented ethical map to structure the inquiry in a more systematic way. The ethical map allows us to see how each of the major ethical concerns emerges during the process of transforming raw data into valuable information. Developers of a digital twin for personalized health care service may use this map to identify ethical risks during the development stage in a more systematic way and can proactively address them. Results: This paper provides a working definition of digital twins for personalized health care services by identifying 3 features that distinguish the new application from other eHealth services. On the basis of the working definition, this paper further layouts 10 major operational problems and the corresponding ethical risks. Conclusions: It is challenging to address all the major ethical risks that a digital twin for a personalized health care service might encounter proactively without a conceptual map at hand. The process-oriented ethical map we propose here can assist the developers of digital twins for personalized health care services in analyzing ethical risks in a more systematic manner. (shrink)

In this article, we present and analyse the concept of Digital Twin linked to distinct types of objects and examine the challenges involved in creating them from a fundamental neuroethics approach that emphasises conceptual analyses. We begin by providing a brief description of DTs and their initial development as models of artefacts and physical inanimate objects, identifying core challenges in building these tools and noting their intended benefits. Next, we describe attempts to build DTs of model living entities, (...) such as hearts, highlighting the novel challenges raised by this shift from DTs of inanimate to DTs of living objects. Against that background, we give an account of contemporary research aiming to develop DTs of the human brain by building "virtual brains", e.g. the simulation engine The Virtual Brain as it is carried out in the European Human Brain Project. Since the brain is structurally and functionally the most complex organ in the human body, and our integrated knowledge of its functional architecture remains limited in spite of recent neuroscientific advances, the attempts to create virtual copies of the human brain are correspondingly challenging. We suggest that a clear scientific theoretical structure, conceptual clarity and transparency regarding the methods and goals of this technological development are necessary prerequisites in order to make the project of constructing virtual brains a theoretically promising and socially beneficial scientific, technological and philosophical enterprise. (shrink)

This perspective article explores the use of digital twins (DTs) in medicine, highlighting its capacity to simulate risks and personalize treatments while examining the emerging bioethical concerns. Central concerns include power dynamics, exclusion, and misrepresentation. We propose adopting a relational bioethical approach that advocates for a comprehensive assessment of DTs in medicine, extending beyond individual interactions to consider broader structural relations and varying levels of access to power. This can be achieved through two key relational recommendations: acknowledging the impact (...) of uneven relational structures on access to medical care and promoting social justice by evaluating resource allocation. While DTs in medicine offer promising advancements, a relational bioethical lens may provide a nuanced understanding, fostering equitable, inclusive and responsible integration of DTs into medical practice. (shrink)

Digital Health Technologies (DHTs) are currently the subject of much debate both in terms of their technological frontiers as well as their ethical, legal and societal implications (ELSI). Regulation of such technologies as medical devices currently lacks behind their level of adoption. Digital Twins are the next evolution step of such DHTs and provide an opportunity to anticipate and act on ELSI before adoption again leaps before the necessary review. This paper introduces the concept and use cases of (...) digital twins in medicine, then frames the debate through the lens of related technologies, machine learning and personalized medicine, and maps ethical challenges stemming from those. Finally, we lay out how digital twins may change and challenge the future practice of medicine. (shrink)

Industry over the last ten years has been characterized by a high level of digital transformation, affecting all layers of production and all areas of the economy. One of the key trends in the digitalization of industry is the digital twin – a system that combines a physical object, its digital model, and a continuous link between the two. However, the integration of such a complex technological solution is fraught with a number of barriers that arise (...) in one way or another in the way of technology users. The authors of the article analyzed 100 examples of digital twin use in industry according to 7 criteria, among which the scope of technology application, the most problematic stage of its integration, key technological, organizational, ecosystem and economic barriers, as well as recommendations on overcoming these barriers, which have been applied or are in the process of application, were highlighted. The article contains a layer of statistical data and infographics that confirm the key conclusions about the main barriers to the integration of digital twins, among which the lack of devices and equipment with the necessary capacity, the lack of existing strategies for the technology implementation, the lack of standards for industry regulation and high initial investment are the main ones. Each block of barriers is accompanied by real examples (cases) of use of digital twin in the domestic and foreign industry, among which there are such companies as KamAZ, UEC-Klimov, Tesla, Volvo, Norske Shell and others. (shrink)

This paper promotes critical realism as a suitable and fruitful philosophical foundation for the development and implementation of urban digital twins. The proliferation of a-theoretical digital twin research and practices, not declaring their philosophical positions, is threatening the scientific soundness of this new paradigm and offers little evidence for reflecting on the knowledge it produces. To address this issue, first, this paper uses focus group discussions to explore digital twin experts’ perceptions of digital (...) class='Hi'>twin best practices for urban management and uncover the philosophical worldviews underlying these perceptions. A philosophical worldview is a general orientation about the world that is described in terms of ontological and epistemological assumptions and views on human nature. The inferred philosophical worldviews are then compared with critical realism principles, supporting the argument that critical realism provides a suitable philosophical foundation for digital twin practices in urban management envisaged by participating experts, as well as enhancing current forms of digital twin practice. (shrink)

In ‘Represent me: please! Towards an ethics of digital twins in medicine’,1 Braun analyses the potential for simulations of human organs and bodies, or ‘digital twins,’ to faithfully a person. Drawing from several French philosophers, he introduces ‘first conditions for digital twins to take on an ethically justifiable form of representation’.1 The analysis predominantly focuses on challenges that arise in terms of representation, embodiment, control by the patients after which the twin is modelled. Many challenges are (...) posited on the existence of digital twins as autonomous technologies capable of acting on behalf of the patient. One may be reasonably sceptical about the potential to achieve ‘digital twins’ in the near future; the author, to his credit, acknowledges this fact in the section ‘Simulating a precise efficacy’ while still providing a faithful overview of a nascent field of development. Given the state of development described in the paper, the risk of autonomous digital twins in the near future seems remote. There are two clear ethical risks of digital twin which, to my reading, deserve more attention than they receive in Braun’s analysis. Let us refer to these as the ‘near-term’ challenges of digital twins, in the sense that their significance does not turn on the degree of agency or embodiment of digital twins, but rather their mere existence and potential …. (shrink)

Ivery much appreciated the thoughtful response to my Datafied brains and digital twins: lessons from industry, caution for psychiatry provided by Douglas W. Heinrichs. I am encouraged that we differ merely in emphasis among the issues upon which we share a wider understanding.In his response, Assessing the Dangers of the Next Reductionist Fantasy, Heinrichs elaborates upon an underemphasized dimension in my Digital Twin article. Heinrichs approaches this dimension through “a semantic understanding of scientific theorizing.” According to this (...) understanding, all science is fundamentally concerned with model making, and testing of models whose efficacy is evaluated on an adaptable basis relating to factors including... (shrink)

Matthias Braun’s1 concise reflections on the ethical challenges posed by digital twins in medicine are briefly supplemented below by a thought that, in my view, seems to run through the text like a thread, but whose ethical implications are not explicitly stated. Braun states in the final paragraph that ‘digital twins do not fundamentally threaten the embodied person’, at least not as long as the person in question has ‘control over her simulated representation’. I agree with this, but (...) would like to point out that it is not just the embodied person who has control. Regardless of whether the person embodied by the digital twin has permanent control over it, which enables them to revoke their agreed representation at any time, the company that developed or uses the digital twin also has control over it. The control of the company or companies and other involved parties lies in the fact that data and information are …. (shrink)

The concept of digital twinning has become a hot topic in the manufacturing industry in recent years. The emerging digital twin technology is an intelligent technology that makes full use of multimodels, big data, and interdisciplinary knowledge, which provides some new approaches for the field of the intelligent manufacturing industry. The job shop scheduling problem has been an important research field in the discrete manufacturing industry. Digital twin technology is adopted to solve the problem of (...) job shop scheduling, which provides the possibility for the intelligent development of workshops. Based on digital twin technology and combined with the actual problem of production line scheduling, we propose a new intelligent scheduling platform to solve the shop scheduling problems above. Meanwhile, based on the prediction and diagnosis of multisource dynamic interference in the workshop production process by big data analysis technology, the corresponding interference strategy is formulated in advance by the scheduling cloud platform. The model simulation experiment of intelligent dispatching cloud platform was carried out, and some enterprises in intelligent manufacturing workshop were taken as examples to verify the superiority of the dispatching cloud platform. Finally, we look forward to the future research direction of intelligent manufacturing based on digital twin technology. (shrink)

Large Language Models (LLMs) “assign probabilities to sequences of text. When given some initial text, they use these probabilities to generate new text. Large language models are language models u...

Bioconvergence is a growing area within the evolving bioeconomy that seeks out synergistic opportunities at the intersection of engineering and the life sciences (Greenbaum 2023). One example is th...

The purpose of the study is to reveal the prerequisites for the accumulation of intellectual and technological potential of an industrial company based on digital twins. The article discusses the application of digital twin technology in industry. The scientific novelty lies in the substantiation of the definition of intellectual potential in terms of creative and professional components in the context of digital provision of jobs in the course of the use of digital twin technology, (...) which will allow accumulating the positive experience and technological potential of the company. As a result, the components of intellectual and technological potential in ensuring productivity growth and competitive advantages of industrial companies have been identified. The level of innovative development and the dynamics of developed advanced production technologies in Russia have been investigated. (shrink)

The technical literature actively discusses ideas for creating digital twins to solve a wide range of problems that arise for enterprises of various kinds. Advances in the areas of information technology and the development of the necessary software really make it possible to obtain important new results through the creation of digital twins. This paper proposes the concept of building a network of digital twins, used to solve a number of actual problems in complex telecommunication systems. Two (...) applications are considered examples of such tasks. The first application is the organization of information feedback for enterprises involved in the life cycle of a telecommunication network: “elaboration of modernization principles, development of equipment, design, construction, and operation.” The second application is monitoring traffic, including its atypical behavior, in order to avoid the recurrence of erroneous actions in case of emergency situations. Another important feature of the digital twin network is that it will become an effective tool for conducting interdisciplinary research. (shrink)

As one of the basic manufacturing industries in China, injection molding industry is faced with the problems of low degree of informatization and intelligence, resulting in low production efficiency and high costs. It is urgent to integrate deeply with new generation of information technology to achieve transformation and upgrade. In this paper, an integrative industrial Internet architecture of “integration of intelligent equipment, intelligent production lines, intelligent workshops, intelligent factories, and intelligent formats” was described. The injection molding intelligent control system, the (...) production management, control platform based on the MES system, and other key technologies were researched. Also, the smart factory architecture based on digital twin was established, and the implementation method of the smart factory digital twin system was elaborated. The feasibility and effectiveness of the method had been verified through the industrial application, which provided the technical supports for the injection molding industrial Internet system. Finally, the intelligent manufacturing industrial Internet cloud platform for injection molding industry was prospected. (shrink)

Cho and Martinez-Martin (2023) discuss the ethical challenges associated with the use of digital simulacra (also known as digital twins) in biomedicine, specifically focusing on the issue of episte...

Cho and Martinez-Martin (2023) provide a thoughtful analysis of the epistemological and ethical implications of digital twin (DT) technology in biomedical research. However, they overlook the profo...

Big data and artificial intelligence (“AI”) promise to transform virtually all aspects of biomedical research and health care (Matheny et al. 2019), through facilitation of drug development, diagno...

Purpose Online education can facilitate inclusive societal development. In emerging countries with low investment per capita in school and universities, it helps students overcome infrastructure constraints to continue their learning and reach their full potential, and it helps educational institutes to save costs and improve quality of learning. This study aims to develop and empirically evaluate a conceptual model for predicting digital loyalty (DL) among participants in online accounting courses, as a key lever to execute an inclusive societal development (...) agenda and ensure sustainability of education in an emerging country. Design/methodology/approach The study used quantitative primary data collected from survey questionnaires administered to 167 respondents in India and employed partial least squares structural equation modelling (PLS SEM) to analyse the data. Findings We observed that perceived learning (PL) significantly mediated the relationship between learning performance (LP) and digital loyalty to an online accounting programme. Research limitations/implications Students’ attitudes and preferences have changed remarkably in recent years. Online education encourages participants to complete their courses, learn new and relevant skills, improve their quality of life and recommend online education to others. This facilitates an inclusive, open society with opportunities for all. The results of this study have certain implications. First, as a novel extension of Abrantes et al.’s (2007) work, the DL construct added a new key dimension to the model. Second, the use of PLS Predict introduced methodological rigour to measures such as R2 and blindfolding processes, improving the understanding of the PLS Predict algorithm’s application to prediction studies. Practical implications The study established PL as a mediating variable in the associations between LP and DL and between pedagogical affect (PA) and DL. These findings have practical implications for course design and execution programmes in educational institutes, especially those aiming to democratise education and ensure inclusivity. Online education service providers should focus on equipping students with updated, cross-functional and integrated skills. Originality/value Online education can foster an inclusive and open society by overcoming the twin limitations of geographical distance and infrastructure constraints resulting from scarce learning resources, especially in emerging markets, such as India. The study makes an original contribution by collecting participant data for online accounting courses in India to establish clearly the antecedents of DL. This study empirically demonstrates the role of LP as the most significant antecedent of PL and DL. (shrink)

Detailed coverage of Canon's four speedlite-580EX II, 430 EX II, 220 EX and the new 270 EX-built exclusively for Canon DSLRs If you use a digital SLR camera, then you understand just how critical it is to have a capable flash. Canon Speedlite shines a whole new light on taking photos with a Canon DSLR. This full-color, in-depth guide takes you beyond the standard manual that accompanies the Speedlite and shows you the types of settings you can use on (...) your camera when working with the Speedlite. You'll explore the possibilities of wireless lighting with multiple speedlites as well as the creative effects you can achieve. Author and professional photographer Brian McLernon demystifies setting up the speedlite, synchronizing the speedlite equipment, and determining lighting ratios. Canon DSLRs are only growing in popularity and the Speedlite system is a must-have accessory for exploring a new world of digital photo possibilities Shows you how to create an inexpensive and portable wireless studio lighting system that can go where you go Demystifies setting up the speedlite, synchronizing the equipment, and figuring out lighting ratios Covers other Canon lighting system components, such as the ST-E2 Speedlite Transmitter, Macro Ring Lite, and Macro Twin Lite Real-world information on using these speedlites illustrated by full-color examples and untangles the complexities of using the Canon Speedlite system. (shrink)

Braun explores the use of digital twin technology in medicine with a particular emphasis on the question of how such simulations can represent a person.1 In defining some first conditions for ethically justifiable forms of representation of digital twins, he argues that digital twins do not threaten an embodied person, as long as that person retains control over their simulated representation via dynamic consent, and ideally with the option to choose both form and usage of the (...) simulation. His thoughtful elaboration provides insight into the challenges inherent in interactions between a person and their digital twin, emphasising the modes of control required to respect personal modes of freedom. This individual-centric approach to the question of representation leaves out the important ethical consideration of ensuring that all, not merely some, can be represented. Braun describes dynamic consent as a necessary mode of control, arguing that where a person is unable to give consent, ‘such simulations threaten to become illegitimate representations. They would then shift the kind of interaction from representation to illegitimate forms of prediction or surveillance and thereby could lead to infringements to individual modes of freedom.’ Consequently, the implementation of digital twin technology in healthcare would seem to exclude the most vulnerable members of society from participation in and benefiting from medical innovation, …. (shrink)

In what follows, I shall focus on what may be defined as the engineering of hu- mans from a philosophical perspective. More precisely, I shall reflect upon the way in which our language increasingly changes when we define our relationship with emerging technologies, specifically human digital twins, which, as our tech- nological replica, can serve as privileged standpoints to try to understand the meaning of the shift from using distinguishable words to define humans and technologies (for instance, when we (...) happen to talk about our health in terms of self-perception) to using indistinguishable words to define humans and technol- ogies (for instance, when we happen to talk about our health in terms of human digital twins’ diagnoses and prognoses). The change of our language shows a kind of optimisation that is taken to the extreme, starting with the optimisation of human bodies’ performances: the more engineered humans are (in that they identify their purpose not with feeling good, for instance, but with preforming in faster and more profitable ways), the better they are (in that they measure themselves not against typically human values, such as feeling good, for in- stance, but against typically engineering values, such as efficiency). But a re- markable paradox emerges, whose meaning shall be the core of my philosophical reflection: the more humans work on optimising themselves, the more they (par- adoxically) work on moving optimisation from themselves, i.e. their capabilities as autonomous humans (starting with self-perception), to technologies, i.e. ways of engineering, specifically automating, themselves. (shrink)

The development of the systems of artificial intelligence (AI) and digital transformation in general lead to the formation of multitude of autonomous agents of artificial and mixed genealogy, as well as to complex structures in the information and regulatory environment with many opportunities and pathologies and a growing level of uncertainty in making managerial decisions. The situation is complicated by the continuing plurality of understanding of the essence of AI systems. The modern expanded understanding of AI goes back to (...) ideas formulated more than 100 years ago. In official national policy documents on the development of AI, working definitions of AI are preferred. The current stage of AI systems life cycle can be assessed as the completion of the initial period in the development of systems associated with weak AI. The ability of artificial systems to realize themselves as a separate person becomes one of the serious scientific and practical challenges. Attention to the issues of the ethics of AIS indicates the expansion of the diversity of its forms and the beginning of the work in the field of goal-setting. New moral and ethical problems also arise in connection with the possibility of the creation of genuine conscious subjects in the foreseeable future. There is an increasing phenomenon of degradation of natural intelligence. It is required to take into account the issue of the heterogeneity of data generated by humans, electronic sensors and network devices in the dynamic complex environments of the digital economy, the issue of the complexity of the process of co-evolution of AI systems, collective and individual natural consciousness. A special area of opportunities and risks is the development of neurotechnologies. The object of control is digital twins, through which there can be manipulation of real attitudes, preferences, and behavior of individuals. As a result, there are the development of technological capabilities that provoke destructive phenomena as well as the formation of a new class of mass addictions. (shrink)

In current phenomenology of medicine, health is often understood as a state of transparency in which our body refrains from being an object of explicit attention. In this paper, I argue that such an understanding of health unnecessarily presupposes an overly harmonious alignment between subjective and objective body, resulting in the idea that our health remains phenomenologically inaccessible. Alternatively, I suggest that there are many occasions in which one’s body in health does become an object of attention, and that technologies (...) mediate how a relation with one’s body is formed. First, I show prominent accounts in current phenomenology of medicine understand health in terms of a harmonious alignment between objective and subjective body. Second, I argue that there are many occasions in which there is a disharmony between objective and subjective body, and suggest that also in health, we cannot escape being an object that we often relate to. Then, I draw on postphenomenology to show how technologies such as digital self-tracking applications and digital twins can be understood as mediating the relationship with one’s own body in a specific way. In conclusion, I argue that both technologies make present the objective body as a site for hermeneutic inquiry such that it can be interacted with in terms of health parameters. Furthermore, I point to some relevant differences in how different technologies make aspects of our own body phenomenologically present. (shrink)

Researchers are studying how artificial intelligence (AI) can be used to better detect, prognosticate and subgroup diseases. The idea that AI might advance medicine’s understanding of biological categories of psychiatric disorders, as well as provide better treatments, is appealing given the historical challenges with prediction, diagnosis and treatment in psychiatry. Given the power of AI to analyse vast amounts of information, some clinicians may feel obligated to align their clinical judgements with the outputs of the AI system. However, a potential (...) epistemic privileging of AI in clinical judgements may lead to unintended consequences that could negatively affect patient treatment, well-being and rights. The implications are also relevant to precision medicine, digital twin technologies and predictive analytics generally. We propose that a commitment to epistemic humility can help promote judicious clinical decision-making at the interface of big data and AI in psychiatry. (shrink)

Cho and Martinez-Martin provide a wide-ranging analysis of what they label “digital simulacra”—which are in essence data-driven AI-based simulation models such as digital twins or models used for i...

This paper aims to construct a logic of alternative-I that provides a proper conceptual framework for talk of possible-I in decision-making context, and thereby solves what we call the paradox of possible-I. The model of our logic, Alt-I model, is an adaptation of N. Belnap’s branching-time model, and the STIT (see to it that) operator defined on the model serves to represent choices and decisions made by actual and counterfactual agents. We conclude this paper by discussing the application of Alt-I (...) model to the case of digital twins, digital copies of a person. (shrink)

From the perspective of the system of systems development, system-level functional testing is required for designing subsystems. This study utilizes modeling and simulation techniques to analyze the operational behaviors of the subsystems and confirm data communication between them. The targeted system in the study is a naval combat system, which is a typical type of defense cyber-physical system. Three types of models were designed for the simulation testing of the NCS: a combat-management model for simulating the overall computational activities, physical (...) models to confirm the intrasubsystem behaviors, and data integration models to test the intersubsystem communications. These models are realized with the Model-View-ViewModel design pattern, which strongly facilitates graphical user interfaces being decoupled from model logic and data. We consider underwater combat scenarios as an application. Six significant physical subsystems within the NCS are simulated and tested: a ship-steering system, an inertial navigation system, a global navigation satellite system, a periscope, sonar systems, and a plotting board. We expect that the proposed work will play a principal role when analyzing the behaviors and communications of defense CPSs and providing an environment for functional testing as a digital twin. (shrink)

This paper presents a social-theologically informed interpretation of the term integrity, as it occurs in fundamental law. It explores the manifestations of integrity violations and proceeds to draw an inference: an integrity violation can directly emanate from a misconception regarding integrity itself, as well as the implementation of protective measures that follow it. Integrity in its wholeness dimension is understood as open-endedness and non-seclusion rather than as a substantial, clearly definable characteristic of a person. This open-endedness and non-seclusion results from (...) the relational constitution of an individual. Consequently, it follows that a violation of integrity occurs when the open-endedness and non-seclusion of a person and their relational Becoming is hindered. The new definition of integrity is particularly important when it comes to the governance of new health technologies, especially Digital Twins that can become representatives of a person. Human integrity is non-violated only when it is understood as open to relational Becoming and this Becoming shows its expression in the mutual enabling and support of self-articulation. (shrink)

The metaverse concept constructs a virtual world parallel to the real world. The social economic dynamics model establishes a systematic model for social economic dynamics simulation that integrates macroeconomy and microeconomy based on modeling mechanism of the new theory of value by analogy with Newtonian mechanics and the modeling approach of Agent-based computational economics. This article describes the SED model’s modeling mechanisms, modeling rules, and behavior equations. At the same time, this article introduces the methods, testing standards, and some typical (...) cases about using the SED model to generate the economic digital twin systems. By doing so, we hope to demonstrate that the method of computer simulation experiment based on the SED model is a scientific empirical method, which has more advantages than the existing empirical research methods in economics. The SED model, which can be fully used to form an economic engine and construct a virtual economic system by digital twin method, can be integrated with the extant physical engine in the metaverse concept to build a virtual world consisting of physics, economy, culture, and politics that is close to and coexists with reality. (shrink)

The Culture of the Copy is an unprecedented attempt to make sense of our Western fascination with replicas, duplicates, and twins. In a work that is breathtaking in both its synthetic and critical achievements, Hillel Schwartz charts the repercussions of our entanglement with copies of all kinds, whose presence alternately sustains and overwhelms us. Through intriguing, and at times humorous, historical analysis and case studies in contemporary culture, Schwartz investigates most varieties of simulacra, including counterfeits, decoys, mannequins, ditto marks, portraits, (...) genetic cloning, war games, camouflage, instant replays, digital imaging, parrots, photocopies, wax museums, apes, art forgeries, not to mention the very notion of the Real McCoy. At the same time Schwartz works through a range of modernist, feminist, and postmodern theories about copies and mechanical reproduction, posing the following compelling question: How is it that the ethical dilemmas at the heart of so many fields of endeavor have become inseparable from our pursuit of copies—of the natural world, or our own creations, indeed our very selves? The Culture of the Copy is a stunning, innovative blend of microsociology, cultural history, and philosophical reflection that will fascinate anyone concerned with problems of authenticity, identity, and originality. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Truth in WritingAmandaAn excerpt from my journal during a dark period in my life reads:I am a survivor of sexual mutilation, of coerced gender roles, and of perpetual lies all in the name of normalization. Sometimes I have a hard time even thinking about the true extent of what all happened. It’s like my mind doesn’t have that type of scope, like when I think about the word (...) “eternity.”I wrote this after combing through old medical records, reading comments like “her introitus has healed nicely and looks normal, but my exam suggests that her vagina is shortened,” and “reduction clitoroplasty... removal of testes.” The records go on to say that my “external genitalia is quite satisfactory,” and “on perineal exam, her neovaginal orifice is quite compliant and easily accepts my second and third digits.”My journal continues:I chose this fake hole when I was a teenager because I didn’t know there was another option. I was told from day one to be a female, to be heteronormative, to act like all the other girls, and the only way I could fully accomplish this is by looking the part. A fake hole would be necessary, I thought, to go along with the rest of the lies. Sometimes I think about how the doctors told me to lie about my surgeries and my scars. Sometimes I wonder what my parents would have told the world if I had died during one of surgeries. Maybe they would have said “we were just trying to make her fuckable.”My strength is growing from the stories and experiences I write and share. My journal started about four years ago, when I was in my early 20s, near the beginning of medical school. My initial purpose in writing the journal was to help sort through my feelings and experiences related to a newly discovered sexuality and a changing gender identity. Medical school was thousands of miles away from my previous life, my family, and my friends. Away from my old social network, I was free to self–discover on my own terms. In the first journal entry, I lay out reasons why I decided to get in contact with a therapist, something I had not done previously. Some of the reasons were fairly standard reasons one seeks out a therapist, such as moving away from home. But the fundamental reasons I sought out a therapist, and why I chose to journal, had to do with exploring feelings after my first sexual encounter with a woman, and then [End Page 98] accepting my intersexuality. My relationship with that therapist did not last, but the journaling did.In the beginning of the journal, I write:I am from a small, religious, white, non–diverse, family oriented suburb of Milwaukee. I was raised to be the picture–perfect daughter in a household that did not talk about feelings, sex, cultural or religious differences, etc. My brother and I also never talked about personal issues (and still don’t), which is quite remarkable since we are twins, and have grown up doing most everything together, from sharing birthday parties, to being locker buddies... [When my mother told me about having Androgen Insensitivity Syndrome (AIS)] knowing this little fact about my body kept me wanting to become as perfectly female in all ways possible.Growing up without being able to talk about having AIS was stifling to say the least. Closing communication implied great shame, and with the shame came even greater repression. My skate-boarding, baseball card collecting, and model car building interests disappeared after learning about my AIS, which I believe was when I was 12 years old, but I cannot remember exactly. Granted, it’s tough to say whether my interests just changed as I grew older, but I do remember having a fear of portraying any masculine tendencies that other girls in my town weren’t displaying (for example, playing soccer was okay, but I had to shave my legs). I also had crafted some pretty good covers for my AIS, including stories about when I first had my (fake) period, or how I acted fearful about a... (shrink)

Surveillance is a core function of all public health systems. Responses to the COVID-19 pandemic have deployed traditional public health surveillance responses, such as contact tracing and quarantine, and extended these responses with the use of varied technologies, such as the use of smartphone location data, data networks, ankle bracelets, drones, and big data analysis. Applying Foucault’s (1979) notion of the panopticon, with its twin focus on surveillance and self-regulation, as the preeminent form of social control in modern societies, (...) we examine the increasing levels of surveillance enacted during this pandemic and how people have participated in, and extended, this surveillance, self-regulation, and social control through the use of digital media. Consideration is given to how such surveillance may serve public health needs and/or political interests and whether the rapid deployment of these extensive surveillance mechanisms risks normalizing these measures so that they become more acceptable and then entrenched post-COVID-19. (shrink)