Royal Society of Chemistry

2019 Best Papers published in the Environmental Science journals of the Royal Society of Chemistry

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In 2019, the Royal Society of Chemistry published 180, 196 and 293 papers in Environmental Science: Processes & Impacts , Environmental Science: Water Research & Technology , and Environmental Science: Nano , respectively. These papers covered a wide range of topics in environmental science, from biogeochemical cycling to water reuse to nanomaterial toxicity. And, yes, we also published papers on the topic of the environmental fate, behavior, and inactivation of viruses. 1–10 We are extremely grateful that so many authors have chosen our journals as outlets for publishing their research and are equally delighted at the high quality of the papers that we have had the privilege to publish.

Our Associate Editors, Editorial Boards, and Advisory Boards were enlisted to nominate and select the best papers from 2019. From this list, the three Editors-in-Chief selected an overall best paper from the entire Environmental Science portfolio. It is our pleasure to present the winners of the Best Papers in 2019 to you, our readers.

Overall Best Paper

In this paper, Johansson et al. examine sea spray aerosol as a potential transport vehicle for perfluoroalkyl carboxylic and sulfonic acids. The surfactant properties of these compounds are well known and, in fact, key to many of the technical applications for which they are used. The fact that these compounds are enriched at the air–water interface makes enrichment in sea spray aerosols seem reasonable. Johansson et al. systematically tested various perfluoroalkyl acids enrichment in aerosols under conditions relevant to sea spray formation, finding that longer chain lengths lead to higher aerosol enrichment factors. They augmented their experimental work with a global model, which further bolstered the conclusion that global transport of perfluoroalkyl acids by sea spray aerosol is and will continue to be an important process in determining the global distribution of these compounds.

Journal Best Papers

Environmental Science: Processes & Impacts

First Runner-up Best Paper: Yamakawa, Takami, Takeda, Kato, Kajii, Emerging investigator series: investigation of mercury emission sources using Hg isotopic compositions of atmospheric mercury at the Cape Hedo Atmosphere and Aerosol Monitoring Station (CHAAMS), Japan , Environ. Sci.: Processes Impacts , 2019, 21 , 809–818, DOI: 10.1039/C8EM00590G .

Second Runner-up Best Paper: Avery, Waring, DeCarlo, Seasonal variation in aerosol composition and concentration upon transport from the outdoor to indoor environment , Environ. Sci.: Processes Impacts , 2019, 21 , 528–547, DOI: 10.1039/C8EM00471D .

Best Review Article: Cousins, Ng, Wang, Scheringer, Why is high persistence alone a major cause of concern? Environ. Sci.: Processes Impacts , 2019, 21 , 781–792, DOI: 10.1039/C8EM00515J .

Environmental Science: Water Research & Technology

First Runner-up Best Paper: Yang, Lin, Tse, Dong, Yu, Hoffmann, Membrane-separated electrochemical latrine wastewater treatment , Environ. Sci.: Water Res. Technol. , 2019, 5 , 51–59, DOI: 10.1039/C8EW00698A .

Second Runner-up Best Paper: Genter, Marks, Clair-Caliot, Mugume, Johnston, Bain, Julian, Evaluation of the novel substrate RUG™ for the detection of Escherichia coli in water from temperate (Zurich, Switzerland) and tropical (Bushenyi, Uganda) field sites , Environ. Sci.: Water Res. Technol. , 2019, 5 , 1082–1091, DOI: 10.1039/C9EW00138G .

Best Review Article: Okoffo, O’Brien, O’Brien, Tscharke, Thomas, Wastewater treatment plants as a source of plastics in the environment: a review of occurrence, methods for identification, quantification and fate , Environ. Sci.: Water Res. Technol. , 2019, 5 , 1908–1931, DOI: 10.1039/C9EW00428A .

Environmental Science: Nano

First Runner-up Best Paper: Janković, Plata, Engineered nanomaterials in the context of global element cycles , Environ. Sci.: Nano , 2019, 6 , 2697–2711, DOI: 10.1039/C9EN00322C .

Second Runner-up Best Paper: González-Pleiter, Tamayo-Belda, Pulido-Reyes, Amariei, Leganés, Rosal, Fernández-Piñas, Secondary nanoplastics released from a biodegradable microplastic severely impact freshwater environments , Environ. Sci.: Nano , 2019, 6 , 1382–1392, DOI: 10.1039/C8EN01427B .

Best Review Article: Lv, Christie, Zhang, Uptake, translocation, and transformation of metal-based nanoparticles in plants: recent advances and methodological challenges , Environ. Sci.: Nano , 2019, 6 , 41–59, DOI: 10.1039/C8EN00645H .

Congratulations to the authors of these papers and a hearty thanks to all of our authors. As one can clearly see from the papers listed above, environmental science is a global effort and we are thrilled to have contributions from around the world. In these challenging times, we are proud to publish research that is not only great science, but also relevant to the health of the environment and the public. Finally, we also wish to extend our thanks to our community of editors, reviewers, and readers. We look forward to another outstanding year of Environmental Science , reading the work generated not just from our offices at home, but also from back in our laboratories and the field.

Kris McNeill, Editor-in-Chief

Paige Novak, Editor-in-Chief

Peter Vikesland, Editor-in-Chief

  • A. B Boehm, Risk-based water quality thresholds for coliphages in surface waters: effect of temperature and contamination aging, Environ. Sci.: Processes Impacts , 2019, 21 , 2031–2041,   10.1039/C9EM00376B .
  • L. Cai, C. Liu, G. Fan, C Liu and X. Sun, Preventing viral disease by ZnONPs through directly deactivating TMV and activating plant immunity in Nicotiana benthamiana , Environ. Sci.: Nano , 2019, 6 , 3653–3669,   10.1039/C9EN00850K .
  • L. W. Gassie, J. D. Englehardt, N. E. Brinkman, J. Garland and M. K. Perera, Ozone-UV net-zero water wash station for remote emergency response healthcare units: design, operation, and results, Environ. Sci.: Water Res. Technol. , 2019, 5 , 1971–1984,   10.1039/C9EW00126C .
  • L. M. Hornstra, T. Rodrigues da Silva, B. Blankert, L. Heijnen, E. Beerendonk, E. R. Cornelissen and G. Medema, Monitoring the integrity of reverse osmosis membranes using novel indigenous freshwater viruses and bacteriophages, Environ. Sci.: Water Res. Technol. , 2019, 5 , 1535–1544,   10.1039/C9EW00318E .
  • A. H. Hassaballah, J. Nyitrai, C. H. Hart, N. Dai and L. M. Sassoubre, A pilot-scale study of peracetic acid and ultraviolet light for wastewater disinfection, Environ. Sci.: Water Res. Technol. , 2019, 5 , 1453–1463,   10.1039/C9EW00341J .
  • W. Khan, J.-Y. Nam, H. Woo, H. Ryu, S. Kim, S. K. Maeng and H.-C. Kim, A proof of concept study for wastewater reuse using bioelectrochemical processes combined with complementary post-treatment technologies, Environ. Sci.: Water Res. Technol. , 2019, 5 , 1489–1498,   10.1039/C9EW00358D .
  • J. Heffron, B. McDermid and B. K. Mayer, Bacteriophage inactivation as a function of ferrous iron oxidation, Environ. Sci.: Water Res. Technol. , 2019, 5 , 1309–1317,   10.1039/C9EW00190E .
  • S. Torii, T. Hashimoto, A. T. Do, H. Furumai and H. Katayama, Impact of repeated pressurization on virus removal by reverse osmosis membranes for household water treatment, Environ. Sci.: Water Res. Technol. , 2019, 5 , 910–919,   10.1039/C8EW00944A .
  • J. Miao, H.-J. Jiang, Z.-W. Yang, D.-y. Shi, D. Yang, Z.-Q. Shen, J. Yin, Z.-G. Qiu, H.-R. Wang, J.-W. Li and M. Jin, Assessment of an electropositive granule media filter for concentrating viruses from large volumes of coastal water, Environ. Sci.: Water Res. Technol. , 2019, 5 , 325–333,   10.1039/C8EW00699G .
  • K. L. Nelson, A. B. Boehm, R. J. Davies-Colley, M. C. Dodd, T. Kohn, K. G. Linden, Y. Liu, P. A. Maraccini, K. McNeill, W. A. Mitch, T. H. Nguyen, K. M. Parker, R. A. Rodriguez, L. M. Sassoubre, A. I. Silverman, K. R. Wigginton and R. G. Zepp, Sunlight mediated inactivation of health relevant microorganisms in water: a review of mechanisms and modeling approaches, Environ. Sci.: Processes Impacts , 2018, 20 , 1089–1122,   10.1039/C8EM00047F .
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Northward expansion trends and future potential distribution of a dragonfly Ischnura senegalensis Rambur under climate change using citizen science data in South Korea

Citizen science is becoming a mainstream approach of baseline data collection to monitor biodiversity and climate change. Dragonflies (Odonata) have been ranked as the highest priority group in biodiversity mo...

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Morphological variables restrict flower choice of Lycaenid butterfly species: implication for pollination and conservation

Butterflies make an important part for plant-pollinator guild. These are nectar feeder or occasionally pollen feeder and thus proboscis of the butterfly species are considered as one of the most important vari...

Honey bees and their brood: a potentially valuable resource of food, worthy of greater appreciation and scientific attention

Despite the consumption of bee brood in several parts of the world, particularly in the tropical areas, the practice has received comparatively little attention. We have reviewed all the available information ...

Attributes and references to honey bees (Insecta; Hymenoptera; Apidae) and their products in some Asian and Australian societies’ folkloristic domains

References to insects in myths, stories, and idioms can be found in almost any culture, but with regard to references involving honey bee species in the Asia-Australian region, little information is available....

RETRACTED ARTICLE: Major environmental factors and traits of invasive alien plants determining their spatial distribution

As trade increases, the influx of various alien species and their spread to new regions are prevalent and no longer a special problem. Anthropogenic activities and climate changes have made the distribution of...

Spatial distribution of halophytes and environment factors in salt marshes along the eastern Yellow Sea

Salt marshes provide a variety of ecosystem services; however, they are vulnerable to human activity, water level fluctuations, and climate change. Analyses of the relationships between plant communities and e...

PollMap: a software for crop pollination mapping in agricultural landscapes

Ecosystem service mapping is an important tool for decision-making in landscape planning and natural resource management. Today, pollination service mapping is based on the Lonsdorf model (InVEST software) tha...

Current status of alert alien species management for the establishment of proactive management systems in Korea

Some of the introduced alien species introduced settle, multiply, and spread to become invasive alien species (IAS) that threaten biodiversity. To prevent this, Korea and other countries legally designate and ...

Dust and sandstorm: ecosystem perspectives on dryland hazards in Northeast Asia: a review

A review of the literature was carried out to study dust and sandstorm (DSS) in terms of its ecosystem processes and relationship to other dryland disasters in Northeast Asia. Drylands are ecosystems that incl...

Changes in nocturnal insect communities in forest-dominated landscape relevant to artificial light intensity

Artificial light at night has recently been identified as a major factor adversely affecting global insect diversity. Here, we compared the insect diversity in Gwangneung Forest Biosphere Reserve, specifically...

Occurrence and diet analysis of sea turtles in Korean shore

Sea turtles, which are globally endangered species, have been stranded and found as bycatch on the Korean shore recently. More studies on sea turtles in Korea are necessary to aid their conservation. To invest...

Quantifying how urban landscape heterogeneity affects land surface temperature at multiple scales

Landscape metrics have been widely applied to quantifying the relationship between land surface temperature and urban spatial patterns and have received acceptable verification from landscape ecologists but so...

The relationship of mean temperature and 9 collected butterfly species’ wingspan as the response of global warming

Organism body size is a basic characteristic in ecology; it is related to temperature according to temperature-size rule. Butterflies are affected in various aspects by climate change because they are sensitiv...

Non-deep physiological dormancy in seeds of Euphorbia jolkinii Boiss. native to Korea

Euphorbia jolkinii Boiss. is a perennial species native to Jeju Island and the southern coastal area of Korea. Particularly on Jeju Island, the yellow flowers of E. jolkinii Boiss. have a high ornamental value be...

Predation of the Japanese keelback ( Hebius vibakari Boie, 1826) by the Slender racer ( Orientocoluber spinalis Peters, 1866)

The Slender racer ( Orientocoluber spinalis Peters, 1866) has recently been reclassified to the new genus Orientocoluber from Hierophis . Ecological knowledge of this species is limited due to its highly mobile beh...

Major environmental factors and traits of invasive alien plants determine their spatial distribution: a case study in Korea

As trade increases, the influx of various alien species and their spread to new regions are prevalent, making them a general problem globally. Anthropogenic activities and climate change have led to alien spec...

Distribution and habitat use of the endangered Siberian flying squirrel Pteromys volans (Rodentia: Sciuridae)

Understanding the habitat characteristics of the endangered Siberian flying squirrel Pteromys volans is the first step in conserving and managing the forests it requires for nesting, gliding, and feeding. Therefo...

How effective are artificial nests in attracting bees? A review

Recent declines in bee populations, along with increasing demand for pollination services in urban, agricultural, and natural environments, have led to strategies to attract wild bees to these areas. One of th...

Tissue-specific systemic responses of the wild tobacco Nicotiana attenuata against stem-boring herbivore attack

Plants are able to optimize defense responses induced by various herbivores, which have different feeding strategies. Local and systemic responses within a plant after herbivory are essential to modulate herbi...

Estimating potential range shift of some wild bees in response to climate change scenarios in northwestern regions of Iran

Climate change is occurring rapidly around the world, and is predicted to have a large impact on biodiversity. Various studies have shown that climate change can alter the geographical distribution of wild bee...

Trends in the effects of climate change on terrestrial ecosystems in the Republic of Korea

In this review, we aimed to synthesize the current knowledge on the observed and projected effects of climate change on the ecosystems of Korea (i.e., the Republic of Korea (ROK) or South Korea), as well as th...

Principle of restoration ecology reflected in the process creating the National Institute of Ecology

The creation of the National Institute of Ecology began as a national alternative project to preserve mudflats instead of constructing the industrial complexes by reclamation, and achieve regional development....

Small-scale spatial genetic structure of Asarum sieboldii metapopulation in a valley

Asarum sieboldii Miq., a species of forest understory vegetation, is an herbaceous perennial belonging to the family Aristolochiaceae. The metapopulation of A. sieboldii is distributed sparsely and has a short se...

Diel and seasonal activity pattern of alien sika deer with sympatric mammalian species from Muljangori-oreum wetland of Hallasan National Park, South Korea

Sika deer, Cervus nippon , were originally introduced to South Korea from Japan and Taiwan for commercial farming purposes. Unfortunately, they were released into the wild during religious events and have since be...

Effects of different day length and wind conditions to the seedling growth performance of Phragmites australis

To understand shade and wind effects on seedling traits of common reed ( Phragmites australis ), we conducted a mesocosm experiment manipulating day length (10 h daytime a day as open canopy conditions or 6 h dayti...

Categorized wetland preference and life forms of the vascular plants in the Korean Peninsula

In 2020, a categorized list of wetland preferences, major habitats, and life forms of 4145 vascular plant taxa occurring in the Korean Peninsula was published by the National Institute of Biological Resources....

Elevational distribution ranges of vascular plant species in the Baekdudaegan mountain range, South Korea

The climate is changing rapidly, and this may pose a major threat to global biodiversity. One of the most distinctive consequences of climate change is the poleward and/or upward shift of species distribution ...

Study on the photosynthetic characteristics of Eutrema japonica (Siebold) Koidz. under the pulsed LEDs for simulated sunflecks

The sunfleck is an important light environmental factor for plants that live under the shade of trees. Currently, the smartfarm has a system that can artificially create these sunfleks. Therefore, it was inten...

Influence of trees and associated variables on soil organic carbon: a review

The level of soil organic carbon (SOC) fluctuates in different types of forest stands: this variation can be attributed to differences in tree species, and the variables associated with soil, climate, and topo...

Comparison of ecophysiological and leaf anatomical traits of native and invasive plant species

To address the lack of evidence supporting invasion by three invasive plant species ( Imperata cylindrica, Lantana camara, and Chromolaena odorata ) in tropical ecosystems, we compared the ecophysiological and leaf...

Effects of soil water content and light intensity on the growth of Molinia japonica in montane wetlands in South Korea

Montane wetlands are unique wetland ecosystems with distinct physicochemical characteristics, and Molinia japonica often makes dominant communities in montane wetlands in South Korea. In order to figure out the e...

First detection of ranavirus in a wild population of Dybowski’s brown frog ( Rana dybowskii ) in South Korea

Ranavirus is an emerging infectious disease which has been linked to mass mortality events in various amphibian species. In this study, we document the first mass mortality event of an adult population of Dybo...

Cushion plant Silene acaulis is a pioneer species at abandoned coal piles in the High Arctic, Svalbard

Abandoned coal piles after the closure of mines have a potential negative influence on the environment, such as soil acidification and heavy metal contamination. Therefore, revegetation by efficient species is...

Vegetation structure and distribution characteristics of Symplocos prunifolia , a rare evergreen broad-leaved tree in Korea

In Korea, Symplocos prunifolia Siebold. & Zucc. is only found on Jeju Island. Conservation of the species is difficult because little is known about its distribution and natural habitat. The lack of research and ...

Growth performance of planted population of Pinus roxburghii in central Nepal

Climate change has altered the various ecosystem processes including forest ecosystem in Himalayan region. Although the high mountain natural forests including treelines in the Himalayan region are mainly repo...

Correction to: Application of smart mosquito monitoring traps for the mosquito forecast systems by Seoul Metropolitan city

An amendment to this paper has been published and can be accessed via the original article.

The original article was published in Journal of Ecology and Environment 2020 44 :13

Correction to: Effect of precipitation on soil respiration in a temperate broad-leaved forest

The original article was published in Journal of Ecology and Environment 2018 42 :10

Effects of cutting and sowing seeds of native species on giant ragweed invasion and plant diversity in a field experiment

Ambrosia trifida is a highly invasive annual plant, but effective control methods have not been proposed. Among various eradication methods, cutting is a simple measure to control invasive plants, and sowing seed...

Mid-term (2009-2019) demographic dynamics of young beech forest in Albongbunji Basin, Ulleungdo, South Korea

The stem exclusion stage is a stage of forest development that is important for understanding the subsequent understory reinitiation stage and maturation stage during which horizontal heterogeneity is formed. ...

Annual and spatial variabilities in the acorn production of Quercus mongolica

Genus Quercus is a successful group that has occupied the largest area of forest around the world including South Korea. The acorns are an important food source for both wild animals and humans. Although the repr...

Prevalence of Puccinia abrupta var. partheniicola and its impact on Parthenium hysterophorus in Kathmandu Valley, Nepal

Parthenium hysterophorus is a noxious invasive weed in tropical and subtropical regions of the world, including Nepal. Among 11 species of biological control agents released to control P. hysterophorus in Ausrtal...

Ecological impact of fast industrialization inferred from a sediment core in Seocheon, West Coast of Korean Peninsula

Rapid industrialization has caused various impacts on nature, including heavy metal pollution. However, the impacts of industrialization vary depending on the types of industrializing activity and surrounding ...

Influence of roadkill during breeding migration on the sex ratio of land crab ( Sesarma haematoche )

Adult land crabs generally live on land while their larvae live in the sea. In the case of Sesarma haematoche , female crabs migrate from land to sea to release the larvae at the high tide of syzygy night. Artific...

Population structure and regeneration of Himalayan endemic Larix species in three high-altitude valleys in Nepal Himalaya

The Himalayan forests are of great importance to sustain the nature and community resource demands. These forests are facing pressures both from anthropogenic activities and ongoing global climatic changes. Po...

Otolith microchemistry reveals the migration patterns of the flathead grey mullet Mugil cephalus (Pisces: Mugilidae) in Korean waters

The flathead grey mullet Mugil cephalus has the widest distribution among mugilid species. Recent studies based on mitochondrial DNA sequences showed that the species comprises at least 14 different groups, three...

Population size, group and age structure of geladas ( Theropithecus gelada ) in escarpments of Eastern Tigray, Ethiopia: implication for conservation

Geladas ( Theropithecus gelada ), endemic to Ethiopia, are distributed closely related to the escarpments and gorge systems of the country, and large populations are found in the Simien Mountain National Park. This...

Coexistence of plant species under harsh environmental conditions: an evaluation of niche differentiation and stochasticity along salt marsh creeks

Ecologists have achieved much progress in the study of mechanisms that maintain species coexistence and diversity. In this paper, we reviewed a wide range of past research related to these topics, focusing on ...

Re-emergence of the Glossy Ibis ( Plegadis falcinellus ) in inland South Korea

Glossy Ibis ( Plegadis falcinellus ), which has never been recorded in South Korea, appeared on Jeju Island in 2018 and re-emerged in the inland area of Seocheon-gun (South Chungcheong Province) and in Goyang-si (G...

Diet composition of the Korean wild boar Sus scrofa coreanus (Suidae) at Mt. Jeombongsan, Korea

Korean wild boars ( Sus scrofa coreanus Heude), because of their adaptability, are a widespread large mammal; however, they sometimes cause problems by invading farms and eating the crops, creating insufficiencies...

Review on the succession process of Pinus densiflora forests in South Korea: progressive and disturbance-driven succession

Most of the Pinus densiflora forests, occupying the largest area, have been restored in South Korea since the 1970s. As young pioneer forests, the succession process is under way. Since the forests are distribute...

Journal of Ecology and Environment

ISSN: 2288-1220

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research papers in environment

Sustainable Development with Renewable Energy

The 10th International Conference on Energy and Environment Research—ICEER 2023

  • Conference proceedings
  • © 2024
  • Nídia S. Caetano 0

Departamento de Engenharia Química, Instituto Superior de Engenharia do Porto, Porto, Portugal

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  • Addresses energy decarbonization
  • Discusses how and why renewable energy can be more sustainable
  • Includes case studies relevant to renewable energy production systems

Part of the book series: Environmental Science and Engineering (ESE)

Included in the following conference series:

  • ICEER: International Conference on Energy and Environment Research

Conference proceedings info: ICEER 2023.

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Table of contents (38 papers)

Front matter.

  • Renewable Energy

Agrivoltaic System Development Barriers from European Legislative Framework Perspective

Approach to short-term planning of the development of distribution electrical networks.

  • Stefka Nedelcheva, Petya Tsvetkova

Influence of the Neutral Grounding Mode on the Reliability of Actively Adaptive Electric Grids

  • Hristo Ilchev

Technical Feasibility and Optimization of Photovoltaic Solar Panels in the Central Area of Peru

  • Kattia Eliana Melgar Dionicio, Cesar Augusto Ravines Salazar, Anieval Peña-Rojas, Frans Carhuamaca Castro, Geraldine Yupanqui Fernandez

Gasification of Animal Fat Using Dolomite as Particle Bed in a Downdraft Fixed Bed Reactor

  • A. L. Araujo, F. T. Silva, A. Ribeiro, J. B. L. M. Campos, R. M. Pilão

Energy Production from Agro-Wastes: Comparative Studies for Wine Vinasse and Pig Slurry

  • Andreia D. Santos, Rosa M. Quinta-Ferreira, Luís M. Castro

Energy Recovery and Greenhouse Gas Emission Reduction Potential of Bio-Waste in South American Countries

  • H. Romero, M. Farias, G. Armijos, W. Torres, A. Castillo

Modelling, Simulation and Forecasting of Energy and Carbon Markets

The effect of blade curvature on the pico scale undershot water wheel performance.

  • Warjito, Rafi Adhi Pranata, Budiarso, Muhammad Mizan, Kevin Geraldo, Farhan Rizqi Syahnakri

Variation of Blade Angle on the Performance of the Undershot Waterwheel on the Pico Scale

  • Warjito, Kevin Geraldo, Budiarso, Muhammad Mizan, Rafi Adhi Pranata, Farhan Rizqi Syahnakri

Investigation of Coconut Methyl Ester (CME)-Palm Oil Methyl Ester (POME)-Diesel Blends Volatility

  • Natalina Damanik, Iswan Prahastono, Tatang Hernas Soerawidjaja, Iman Kartolaksono Reksowardojo, Tubagus Ahmad Fauzi Soelaiman, Handrea Bernando Tambunan

Hardware-in-the-Loop Simulation Based on Internet of Things: An Energy Community Digital Twin Case Study

  • Modar Zheiry, Luis Gomes, Pedro Faria, Zita Vale

Mathematical Modeling of a Sustainable Dewatering Process for Blueberries and Raspberries Preservation

  • Sérgio Lopes, Rafael Santos, Dulcineia Wessel, Isabel Brás, Maria Elisabete Silva, Tânia Ferreira et al.
  • Energy Efficiency

Thermal Comfort, Solar Exposure, Energy Production, and Carbon Reduction of Court-Yarded Clustered Sustainable Housing in Arid Regions

  • Mohammad Fahmy, Hatem Mahmoud, Ibrahim Elwy, Marwa Abdelalim, Bassel Essam

Supercritical Carbon Dioxide Recovery System for Potential Application in the European Cement Industry

  • G. Cevolani, G. Messina, C. Salvini, A. Giovannelli

Comparison Between Centrifugal and Inward Radial Turbines for Organic Rankine Cycle Plants

  • E. M. Archilei, C. Salvini, A. Giovannelli

Preliminary Results from the Use of Pear Waste in Single-Chamber Microbial Fuel Cells

  • Segundo Rojas-Flores, Renny Nazario-Naveda, Santiago M. Benites, Moisés Gallozzo-Cardenas

Other volumes

  • Sustainable Buildings
  • Advanced Energy Technologies
  • Modelling, Simulation

About this book

This proceedings book contains the full papers of the 10th edition of the International Conference on Energy and Environment Research, ICEER 2023, that took place in Madrid, Spain during October 7–9, 2023. ICEER 2023 is a joint organization of the School of Engineering (ISEP) of the Polytechnic of Porto (P.Porto) and the SCIEI, with collaboration of the Dipartimento di Ingegneria of the Università degli studi "Roma Tre", CIETI and LEPABE research groups. This book includes all the well prepared full papers presented at ICEER 2023.

Editors and Affiliations

Nídia S. Caetano

About the editor

She was the Sub-Director of the Chemical Engineering Department of ISEP for the Infrastructures and Facilities (2014-2016), Course Director of the MSc in Sustainable Energies of the Mechanical Engineering Department of ISEP (March 2013 to June 2018) and Sub-Director of the same MSc (September 2010 to March 2013 and June2018 to June 2022).

Nídia Caetano was the Advisor of the President of ISEP for Environment/Sustainability (2007 to 2018); Vice-President of APESB (Portuguese Association of Sanitary and Environmental Engineering) from 2019-2020 and from 2022; President of the Fiscal Board of the OERN (Order of the Engineers the Northern Region) from 2022.

Nídia Caetano is External Researcher with LEPABE – Laboratory for Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal, and ALiCE – Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal, and Collaborator at CIETI/ISEP/P.Porto. She funded and is the Coordinator of the Microalgae research laboratory of ISEP in 2008. She was the supervisor of several post-doctoral researchers, PhD and Master students. She has intense activity as project evaluator of national and international agencies.

Nídia Caetano is Associate Editor for Biomass of Renewable Energy (Elsevier), Member of the Editorial Advisory Board of  Algal Research (Elsevier), Review Editor in Sustainable Energy Systems and Policies (Frontiers) and Member of the Editorial Board of Green Technology, Resilience, and Sustainability (Springer). She Guest Edited 20 Special Issues in several international journals (Elsevier, Frontiers, Springer, MDPI), and Guest Edited one book of the Environmental Science and Engineering book series (Springer) has authored or co-authored +250 conference and journal papers with peer review, 20 book chapters, and was the Keynote Speaker or Invited Lecturer of several international conferences.

She has organized and been the conference or program chair of international conferences (ICEER series, from 2016, TEEM, JTIR, ISWA/APESB Beacon conference in Luanda and in Lobito, among others).

Bibliographic Information

Book Title : Sustainable Development with Renewable Energy

Book Subtitle : The 10th International Conference on Energy and Environment Research—ICEER 2023

Editors : Nídia S. Caetano

Series Title : Environmental Science and Engineering

DOI : https://doi.org/10.1007/978-3-031-54394-4

Publisher : Springer Cham

eBook Packages : Engineering , Engineering (R0)

Copyright Information : The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2024

Hardcover ISBN : 978-3-031-54393-7 Published: 30 April 2024

Softcover ISBN : 978-3-031-54396-8 Due: 31 May 2024

eBook ISBN : 978-3-031-54394-4 Published: 29 April 2024

Series ISSN : 1863-5520

Series E-ISSN : 1863-5539

Edition Number : 1

Number of Pages : XXXIV, 498

Number of Illustrations : 33 b/w illustrations, 158 illustrations in colour

Topics : Mechanical Engineering , Industrial Chemistry/Chemical Engineering

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Catherine French, NAE

Catherine French, headshot in MAST Lab

Professor Catherine E. Wolfgram French has been elected to the National Academy of Engineering (NAE). This is among the highest professional distinctions awarded to an engineer. The NAE elected only 114 new members and 21 foreign members this year. 

French joins previously elected members from the Department of Civil, Environmental, and Geo- Engineering: Professor Emmanuel Detournay and Professors Emeriti Steve Crouch, Charles Fairhurst, and Theodore Galambos. 

Catherine French, a College of Science and Engineering Distinguished Professor in the Department of Civil, Environmental, and Geo- Engineering, is a renowned structural engineer. She was recognized by NAE for “design, safety, and construction of structural concrete buildings and bridges.” Her research interests include the behavior of reinforced and prestressed concrete structural systems, field monitoring of structures, numerical and experimental investigations of structural systems including time-dependent and environmental effects, evaluation and repair of damaged structures, and development and application of new aterials. French led the creation of the Multi-Axial Subassemblage Testing (MAST) Laboratory in 2004. She has served on the national concrete building code committee for nearly 30 years. Her research on reinforced and prestressed concrete structural systems led to new guidelines to improve public safety.

French has received national recognition for her contributions in the area of structural engineering, and for her teaching, leadership, and research. She received the highest honors from the American Society of Civil Engineers (Distinguished Member 2018) and the American Concrete Institute (ACI Honorary Member 2019). 

French started her academic career at UMN, following in the footsteps of her father, who earned his Electrical Engineering degree at UMN, and two sisters (Electrical Engineering and Math Education). After completing her bachelor’s degree in 1979, French went on to complete her master’s and Ph.D. at the University of Illinois at Urbana- Champaign. French then returned to UMN as a new faculty member in 1984. She was the first female professor in civil engineering.

Since 2019, she has been a member of the University of Minnesota Academy of Distinguished Teachers. She has mentored more than 85 graduate students, postdoctoral  researchers, and visiting scholars. She also has published and edited more than 175 research papers and discussions. 

French's family in the MAST Lab

In addition to her academic and professional  accomplishments, French counts relationships among her great fortunes. “I have been very fortunate with a supportive family, with great students, colleagues, and collaborators. My graduate advisor Mete Sozen had a huge impact on my pursuing a Ph.D. and was very supportive throughout my career. And my family is so important to me!”

Two UMN professors and six alumni elected to NAE this year.

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  • Published: 18 April 2024

Research ethics and artificial intelligence for global health: perspectives from the global forum on bioethics in research

  • James Shaw 1 , 13 ,
  • Joseph Ali 2 , 3 ,
  • Caesar A. Atuire 4 , 5 ,
  • Phaik Yeong Cheah 6 ,
  • Armando Guio Español 7 ,
  • Judy Wawira Gichoya 8 ,
  • Adrienne Hunt 9 ,
  • Daudi Jjingo 10 ,
  • Katherine Littler 9 ,
  • Daniela Paolotti 11 &
  • Effy Vayena 12  

BMC Medical Ethics volume  25 , Article number:  46 ( 2024 ) Cite this article

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The ethical governance of Artificial Intelligence (AI) in health care and public health continues to be an urgent issue for attention in policy, research, and practice. In this paper we report on central themes related to challenges and strategies for promoting ethics in research involving AI in global health, arising from the Global Forum on Bioethics in Research (GFBR), held in Cape Town, South Africa in November 2022.

The GFBR is an annual meeting organized by the World Health Organization and supported by the Wellcome Trust, the US National Institutes of Health, the UK Medical Research Council (MRC) and the South African MRC. The forum aims to bring together ethicists, researchers, policymakers, research ethics committee members and other actors to engage with challenges and opportunities specifically related to research ethics. In 2022 the focus of the GFBR was “Ethics of AI in Global Health Research”. The forum consisted of 6 case study presentations, 16 governance presentations, and a series of small group and large group discussions. A total of 87 participants attended the forum from 31 countries around the world, representing disciplines of bioethics, AI, health policy, health professional practice, research funding, and bioinformatics. In this paper, we highlight central insights arising from GFBR 2022.

We describe the significance of four thematic insights arising from the forum: (1) Appropriateness of building AI, (2) Transferability of AI systems, (3) Accountability for AI decision-making and outcomes, and (4) Individual consent. We then describe eight recommendations for governance leaders to enhance the ethical governance of AI in global health research, addressing issues such as AI impact assessments, environmental values, and fair partnerships.

Conclusions

The 2022 Global Forum on Bioethics in Research illustrated several innovations in ethical governance of AI for global health research, as well as several areas in need of urgent attention internationally. This summary is intended to inform international and domestic efforts to strengthen research ethics and support the evolution of governance leadership to meet the demands of AI in global health research.

Peer Review reports

Introduction

The ethical governance of Artificial Intelligence (AI) in health care and public health continues to be an urgent issue for attention in policy, research, and practice [ 1 , 2 , 3 ]. Beyond the growing number of AI applications being implemented in health care, capabilities of AI models such as Large Language Models (LLMs) expand the potential reach and significance of AI technologies across health-related fields [ 4 , 5 ]. Discussion about effective, ethical governance of AI technologies has spanned a range of governance approaches, including government regulation, organizational decision-making, professional self-regulation, and research ethics review [ 6 , 7 , 8 ]. In this paper, we report on central themes related to challenges and strategies for promoting ethics in research involving AI in global health research, arising from the Global Forum on Bioethics in Research (GFBR), held in Cape Town, South Africa in November 2022. Although applications of AI for research, health care, and public health are diverse and advancing rapidly, the insights generated at the forum remain highly relevant from a global health perspective. After summarizing important context for work in this domain, we highlight categories of ethical issues emphasized at the forum for attention from a research ethics perspective internationally. We then outline strategies proposed for research, innovation, and governance to support more ethical AI for global health.

In this paper, we adopt the definition of AI systems provided by the Organization for Economic Cooperation and Development (OECD) as our starting point. Their definition states that an AI system is “a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments. AI systems are designed to operate with varying levels of autonomy” [ 9 ]. The conceptualization of an algorithm as helping to constitute an AI system, along with hardware, other elements of software, and a particular context of use, illustrates the wide variety of ways in which AI can be applied. We have found it useful to differentiate applications of AI in research as those classified as “AI systems for discovery” and “AI systems for intervention”. An AI system for discovery is one that is intended to generate new knowledge, for example in drug discovery or public health research in which researchers are seeking potential targets for intervention, innovation, or further research. An AI system for intervention is one that directly contributes to enacting an intervention in a particular context, for example informing decision-making at the point of care or assisting with accuracy in a surgical procedure.

The mandate of the GFBR is to take a broad view of what constitutes research and its regulation in global health, with special attention to bioethics in Low- and Middle- Income Countries. AI as a group of technologies demands such a broad view. AI development for health occurs in a variety of environments, including universities and academic health sciences centers where research ethics review remains an important element of the governance of science and innovation internationally [ 10 , 11 ]. In these settings, research ethics committees (RECs; also known by different names such as Institutional Review Boards or IRBs) make decisions about the ethical appropriateness of projects proposed by researchers and other institutional members, ultimately determining whether a given project is allowed to proceed on ethical grounds [ 12 ].

However, research involving AI for health also takes place in large corporations and smaller scale start-ups, which in some jurisdictions fall outside the scope of research ethics regulation. In the domain of AI, the question of what constitutes research also becomes blurred. For example, is the development of an algorithm itself considered a part of the research process? Or only when that algorithm is tested under the formal constraints of a systematic research methodology? In this paper we take an inclusive view, in which AI development is included in the definition of research activity and within scope for our inquiry, regardless of the setting in which it takes place. This broad perspective characterizes the approach to “research ethics” we take in this paper, extending beyond the work of RECs to include the ethical analysis of the wide range of activities that constitute research as the generation of new knowledge and intervention in the world.

Ethical governance of AI in global health

The ethical governance of AI for global health has been widely discussed in recent years. The World Health Organization (WHO) released its guidelines on ethics and governance of AI for health in 2021, endorsing a set of six ethical principles and exploring the relevance of those principles through a variety of use cases. The WHO guidelines also provided an overview of AI governance, defining governance as covering “a range of steering and rule-making functions of governments and other decision-makers, including international health agencies, for the achievement of national health policy objectives conducive to universal health coverage.” (p. 81) The report usefully provided a series of recommendations related to governance of seven domains pertaining to AI for health: data, benefit sharing, the private sector, the public sector, regulation, policy observatories/model legislation, and global governance. The report acknowledges that much work is yet to be done to advance international cooperation on AI governance, especially related to prioritizing voices from Low- and Middle-Income Countries (LMICs) in global dialogue.

One important point emphasized in the WHO report that reinforces the broader literature on global governance of AI is the distribution of responsibility across a wide range of actors in the AI ecosystem. This is especially important to highlight when focused on research for global health, which is specifically about work that transcends national borders. Alami et al. (2020) discussed the unique risks raised by AI research in global health, ranging from the unavailability of data in many LMICs required to train locally relevant AI models to the capacity of health systems to absorb new AI technologies that demand the use of resources from elsewhere in the system. These observations illustrate the need to identify the unique issues posed by AI research for global health specifically, and the strategies that can be employed by all those implicated in AI governance to promote ethically responsible use of AI in global health research.

RECs and the regulation of research involving AI

RECs represent an important element of the governance of AI for global health research, and thus warrant further commentary as background to our paper. Despite the importance of RECs, foundational questions have been raised about their capabilities to accurately understand and address ethical issues raised by studies involving AI. Rahimzadeh et al. (2023) outlined how RECs in the United States are under-prepared to align with recent federal policy requiring that RECs review data sharing and management plans with attention to the unique ethical issues raised in AI research for health [ 13 ]. Similar research in South Africa identified variability in understanding of existing regulations and ethical issues associated with health-related big data sharing and management among research ethics committee members [ 14 , 15 ]. The effort to address harms accruing to groups or communities as opposed to individuals whose data are included in AI research has also been identified as a unique challenge for RECs [ 16 , 17 ]. Doerr and Meeder (2022) suggested that current regulatory frameworks for research ethics might actually prevent RECs from adequately addressing such issues, as they are deemed out of scope of REC review [ 16 ]. Furthermore, research in the United Kingdom and Canada has suggested that researchers using AI methods for health tend to distinguish between ethical issues and social impact of their research, adopting an overly narrow view of what constitutes ethical issues in their work [ 18 ].

The challenges for RECs in adequately addressing ethical issues in AI research for health care and public health exceed a straightforward survey of ethical considerations. As Ferretti et al. (2021) contend, some capabilities of RECs adequately cover certain issues in AI-based health research, such as the common occurrence of conflicts of interest where researchers who accept funds from commercial technology providers are implicitly incentivized to produce results that align with commercial interests [ 12 ]. However, some features of REC review require reform to adequately meet ethical needs. Ferretti et al. outlined weaknesses of RECs that are longstanding and those that are novel to AI-related projects, proposing a series of directions for development that are regulatory, procedural, and complementary to REC functionality. The work required on a global scale to update the REC function in response to the demands of research involving AI is substantial.

These issues take greater urgency in the context of global health [ 19 ]. Teixeira da Silva (2022) described the global practice of “ethics dumping”, where researchers from high income countries bring ethically contentious practices to RECs in low-income countries as a strategy to gain approval and move projects forward [ 20 ]. Although not yet systematically documented in AI research for health, risk of ethics dumping in AI research is high. Evidence is already emerging of practices of “health data colonialism”, in which AI researchers and developers from large organizations in high-income countries acquire data to build algorithms in LMICs to avoid stricter regulations [ 21 ]. This specific practice is part of a larger collection of practices that characterize health data colonialism, involving the broader exploitation of data and the populations they represent primarily for commercial gain [ 21 , 22 ]. As an additional complication, AI algorithms trained on data from high-income contexts are unlikely to apply in straightforward ways to LMIC settings [ 21 , 23 ]. In the context of global health, there is widespread acknowledgement about the need to not only enhance the knowledge base of REC members about AI-based methods internationally, but to acknowledge the broader shifts required to encourage their capabilities to more fully address these and other ethical issues associated with AI research for health [ 8 ].

Although RECs are an important part of the story of the ethical governance of AI for global health research, they are not the only part. The responsibilities of supra-national entities such as the World Health Organization, national governments, organizational leaders, commercial AI technology providers, health care professionals, and other groups continue to be worked out internationally. In this context of ongoing work, examining issues that demand attention and strategies to address them remains an urgent and valuable task.

The GFBR is an annual meeting organized by the World Health Organization and supported by the Wellcome Trust, the US National Institutes of Health, the UK Medical Research Council (MRC) and the South African MRC. The forum aims to bring together ethicists, researchers, policymakers, REC members and other actors to engage with challenges and opportunities specifically related to research ethics. Each year the GFBR meeting includes a series of case studies and keynotes presented in plenary format to an audience of approximately 100 people who have applied and been competitively selected to attend, along with small-group breakout discussions to advance thinking on related issues. The specific topic of the forum changes each year, with past topics including ethical issues in research with people living with mental health conditions (2021), genome editing (2019), and biobanking/data sharing (2018). The forum is intended to remain grounded in the practical challenges of engaging in research ethics, with special interest in low resource settings from a global health perspective. A post-meeting fellowship scheme is open to all LMIC participants, providing a unique opportunity to apply for funding to further explore and address the ethical challenges that are identified during the meeting.

In 2022, the focus of the GFBR was “Ethics of AI in Global Health Research”. The forum consisted of 6 case study presentations (both short and long form) reporting on specific initiatives related to research ethics and AI for health, and 16 governance presentations (both short and long form) reporting on actual approaches to governing AI in different country settings. A keynote presentation from Professor Effy Vayena addressed the topic of the broader context for AI ethics in a rapidly evolving field. A total of 87 participants attended the forum from 31 countries around the world, representing disciplines of bioethics, AI, health policy, health professional practice, research funding, and bioinformatics. The 2-day forum addressed a wide range of themes. The conference report provides a detailed overview of each of the specific topics addressed while a policy paper outlines the cross-cutting themes (both documents are available at the GFBR website: https://www.gfbr.global/past-meetings/16th-forum-cape-town-south-africa-29-30-november-2022/ ). As opposed to providing a detailed summary in this paper, we aim to briefly highlight central issues raised, solutions proposed, and the challenges facing the research ethics community in the years to come.

In this way, our primary aim in this paper is to present a synthesis of the challenges and opportunities raised at the GFBR meeting and in the planning process, followed by our reflections as a group of authors on their significance for governance leaders in the coming years. We acknowledge that the views represented at the meeting and in our results are a partial representation of the universe of views on this topic; however, the GFBR leadership invested a great deal of resources in convening a deeply diverse and thoughtful group of researchers and practitioners working on themes of bioethics related to AI for global health including those based in LMICs. We contend that it remains rare to convene such a strong group for an extended time and believe that many of the challenges and opportunities raised demand attention for more ethical futures of AI for health. Nonetheless, our results are primarily descriptive and are thus not explicitly grounded in a normative argument. We make effort in the Discussion section to contextualize our results by describing their significance and connecting them to broader efforts to reform global health research and practice.

Uniquely important ethical issues for AI in global health research

Presentations and group dialogue over the course of the forum raised several issues for consideration, and here we describe four overarching themes for the ethical governance of AI in global health research. Brief descriptions of each issue can be found in Table  1 . Reports referred to throughout the paper are available at the GFBR website provided above.

The first overarching thematic issue relates to the appropriateness of building AI technologies in response to health-related challenges in the first place. Case study presentations referred to initiatives where AI technologies were highly appropriate, such as in ear shape biometric identification to more accurately link electronic health care records to individual patients in Zambia (Alinani Simukanga). Although important ethical issues were raised with respect to privacy, trust, and community engagement in this initiative, the AI-based solution was appropriately matched to the challenge of accurately linking electronic records to specific patient identities. In contrast, forum participants raised questions about the appropriateness of an initiative using AI to improve the quality of handwashing practices in an acute care hospital in India (Niyoshi Shah), which led to gaming the algorithm. Overall, participants acknowledged the dangers of techno-solutionism, in which AI researchers and developers treat AI technologies as the most obvious solutions to problems that in actuality demand much more complex strategies to address [ 24 ]. However, forum participants agreed that RECs in different contexts have differing degrees of power to raise issues of the appropriateness of an AI-based intervention.

The second overarching thematic issue related to whether and how AI-based systems transfer from one national health context to another. One central issue raised by a number of case study presentations related to the challenges of validating an algorithm with data collected in a local environment. For example, one case study presentation described a project that would involve the collection of personally identifiable data for sensitive group identities, such as tribe, clan, or religion, in the jurisdictions involved (South Africa, Nigeria, Tanzania, Uganda and the US; Gakii Masunga). Doing so would enable the team to ensure that those groups were adequately represented in the dataset to ensure the resulting algorithm was not biased against specific community groups when deployed in that context. However, some members of these communities might desire to be represented in the dataset, whereas others might not, illustrating the need to balance autonomy and inclusivity. It was also widely recognized that collecting these data is an immense challenge, particularly when historically oppressive practices have led to a low-trust environment for international organizations and the technologies they produce. It is important to note that in some countries such as South Africa and Rwanda, it is illegal to collect information such as race and tribal identities, re-emphasizing the importance for cultural awareness and avoiding “one size fits all” solutions.

The third overarching thematic issue is related to understanding accountabilities for both the impacts of AI technologies and governance decision-making regarding their use. Where global health research involving AI leads to longer-term harms that might fall outside the usual scope of issues considered by a REC, who is to be held accountable, and how? This question was raised as one that requires much further attention, with law being mixed internationally regarding the mechanisms available to hold researchers, innovators, and their institutions accountable over the longer term. However, it was recognized in breakout group discussion that many jurisdictions are developing strong data protection regimes related specifically to international collaboration for research involving health data. For example, Kenya’s Data Protection Act requires that any internationally funded projects have a local principal investigator who will hold accountability for how data are shared and used [ 25 ]. The issue of research partnerships with commercial entities was raised by many participants in the context of accountability, pointing toward the urgent need for clear principles related to strategies for engagement with commercial technology companies in global health research.

The fourth and final overarching thematic issue raised here is that of consent. The issue of consent was framed by the widely shared recognition that models of individual, explicit consent might not produce a supportive environment for AI innovation that relies on the secondary uses of health-related datasets to build AI algorithms. Given this recognition, approaches such as community oversight of health data uses were suggested as a potential solution. However, the details of implementing such community oversight mechanisms require much further attention, particularly given the unique perspectives on health data in different country settings in global health research. Furthermore, some uses of health data do continue to require consent. One case study of South Africa, Nigeria, Kenya, Ethiopia and Uganda suggested that when health data are shared across borders, individual consent remains necessary when data is transferred from certain countries (Nezerith Cengiz). Broader clarity is necessary to support the ethical governance of health data uses for AI in global health research.

Recommendations for ethical governance of AI in global health research

Dialogue at the forum led to a range of suggestions for promoting ethical conduct of AI research for global health, related to the various roles of actors involved in the governance of AI research broadly defined. The strategies are written for actors we refer to as “governance leaders”, those people distributed throughout the AI for global health research ecosystem who are responsible for ensuring the ethical and socially responsible conduct of global health research involving AI (including researchers themselves). These include RECs, government regulators, health care leaders, health professionals, corporate social accountability officers, and others. Enacting these strategies would bolster the ethical governance of AI for global health more generally, enabling multiple actors to fulfill their roles related to governing research and development activities carried out across multiple organizations, including universities, academic health sciences centers, start-ups, and technology corporations. Specific suggestions are summarized in Table  2 .

First, forum participants suggested that governance leaders including RECs, should remain up to date on recent advances in the regulation of AI for health. Regulation of AI for health advances rapidly and takes on different forms in jurisdictions around the world. RECs play an important role in governance, but only a partial role; it was deemed important for RECs to acknowledge how they fit within a broader governance ecosystem in order to more effectively address the issues within their scope. Not only RECs but organizational leaders responsible for procurement, researchers, and commercial actors should all commit to efforts to remain up to date about the relevant approaches to regulating AI for health care and public health in jurisdictions internationally. In this way, governance can more adequately remain up to date with advances in regulation.

Second, forum participants suggested that governance leaders should focus on ethical governance of health data as a basis for ethical global health AI research. Health data are considered the foundation of AI development, being used to train AI algorithms for various uses [ 26 ]. By focusing on ethical governance of health data generation, sharing, and use, multiple actors will help to build an ethical foundation for AI development among global health researchers.

Third, forum participants believed that governance processes should incorporate AI impact assessments where appropriate. An AI impact assessment is the process of evaluating the potential effects, both positive and negative, of implementing an AI algorithm on individuals, society, and various stakeholders, generally over time frames specified in advance of implementation [ 27 ]. Although not all types of AI research in global health would warrant an AI impact assessment, this is especially relevant for those studies aiming to implement an AI system for intervention into health care or public health. Organizations such as RECs can use AI impact assessments to boost understanding of potential harms at the outset of a research project, encouraging researchers to more deeply consider potential harms in the development of their study.

Fourth, forum participants suggested that governance decisions should incorporate the use of environmental impact assessments, or at least the incorporation of environment values when assessing the potential impact of an AI system. An environmental impact assessment involves evaluating and anticipating the potential environmental effects of a proposed project to inform ethical decision-making that supports sustainability [ 28 ]. Although a relatively new consideration in research ethics conversations [ 29 ], the environmental impact of building technologies is a crucial consideration for the public health commitment to environmental sustainability. Governance leaders can use environmental impact assessments to boost understanding of potential environmental harms linked to AI research projects in global health over both the shorter and longer terms.

Fifth, forum participants suggested that governance leaders should require stronger transparency in the development of AI algorithms in global health research. Transparency was considered essential in the design and development of AI algorithms for global health to ensure ethical and accountable decision-making throughout the process. Furthermore, whether and how researchers have considered the unique contexts into which such algorithms may be deployed can be surfaced through stronger transparency, for example in describing what primary considerations were made at the outset of the project and which stakeholders were consulted along the way. Sharing information about data provenance and methods used in AI development will also enhance the trustworthiness of the AI-based research process.

Sixth, forum participants suggested that governance leaders can encourage or require community engagement at various points throughout an AI project. It was considered that engaging patients and communities is crucial in AI algorithm development to ensure that the technology aligns with community needs and values. However, participants acknowledged that this is not a straightforward process. Effective community engagement requires lengthy commitments to meeting with and hearing from diverse communities in a given setting, and demands a particular set of skills in communication and dialogue that are not possessed by all researchers. Encouraging AI researchers to begin this process early and build long-term partnerships with community members is a promising strategy to deepen community engagement in AI research for global health. One notable recommendation was that research funders have an opportunity to incentivize and enable community engagement with funds dedicated to these activities in AI research in global health.

Seventh, forum participants suggested that governance leaders can encourage researchers to build strong, fair partnerships between institutions and individuals across country settings. In a context of longstanding imbalances in geopolitical and economic power, fair partnerships in global health demand a priori commitments to share benefits related to advances in medical technologies, knowledge, and financial gains. Although enforcement of this point might be beyond the remit of RECs, commentary will encourage researchers to consider stronger, fairer partnerships in global health in the longer term.

Eighth, it became evident that it is necessary to explore new forms of regulatory experimentation given the complexity of regulating a technology of this nature. In addition, the health sector has a series of particularities that make it especially complicated to generate rules that have not been previously tested. Several participants highlighted the desire to promote spaces for experimentation such as regulatory sandboxes or innovation hubs in health. These spaces can have several benefits for addressing issues surrounding the regulation of AI in the health sector, such as: (i) increasing the capacities and knowledge of health authorities about this technology; (ii) identifying the major problems surrounding AI regulation in the health sector; (iii) establishing possibilities for exchange and learning with other authorities; (iv) promoting innovation and entrepreneurship in AI in health; and (vi) identifying the need to regulate AI in this sector and update other existing regulations.

Ninth and finally, forum participants believed that the capabilities of governance leaders need to evolve to better incorporate expertise related to AI in ways that make sense within a given jurisdiction. With respect to RECs, for example, it might not make sense for every REC to recruit a member with expertise in AI methods. Rather, it will make more sense in some jurisdictions to consult with members of the scientific community with expertise in AI when research protocols are submitted that demand such expertise. Furthermore, RECs and other approaches to research governance in jurisdictions around the world will need to evolve in order to adopt the suggestions outlined above, developing processes that apply specifically to the ethical governance of research using AI methods in global health.

Research involving the development and implementation of AI technologies continues to grow in global health, posing important challenges for ethical governance of AI in global health research around the world. In this paper we have summarized insights from the 2022 GFBR, focused specifically on issues in research ethics related to AI for global health research. We summarized four thematic challenges for governance related to AI in global health research and nine suggestions arising from presentations and dialogue at the forum. In this brief discussion section, we present an overarching observation about power imbalances that frames efforts to evolve the role of governance in global health research, and then outline two important opportunity areas as the field develops to meet the challenges of AI in global health research.

Dialogue about power is not unfamiliar in global health, especially given recent contributions exploring what it would mean to de-colonize global health research, funding, and practice [ 30 , 31 ]. Discussions of research ethics applied to AI research in global health contexts are deeply infused with power imbalances. The existing context of global health is one in which high-income countries primarily located in the “Global North” charitably invest in projects taking place primarily in the “Global South” while recouping knowledge, financial, and reputational benefits [ 32 ]. With respect to AI development in particular, recent examples of digital colonialism frame dialogue about global partnerships, raising attention to the role of large commercial entities and global financial capitalism in global health research [ 21 , 22 ]. Furthermore, the power of governance organizations such as RECs to intervene in the process of AI research in global health varies widely around the world, depending on the authorities assigned to them by domestic research governance policies. These observations frame the challenges outlined in our paper, highlighting the difficulties associated with making meaningful change in this field.

Despite these overarching challenges of the global health research context, there are clear strategies for progress in this domain. Firstly, AI innovation is rapidly evolving, which means approaches to the governance of AI for health are rapidly evolving too. Such rapid evolution presents an important opportunity for governance leaders to clarify their vision and influence over AI innovation in global health research, boosting the expertise, structure, and functionality required to meet the demands of research involving AI. Secondly, the research ethics community has strong international ties, linked to a global scholarly community that is committed to sharing insights and best practices around the world. This global community can be leveraged to coordinate efforts to produce advances in the capabilities and authorities of governance leaders to meaningfully govern AI research for global health given the challenges summarized in our paper.

Limitations

Our paper includes two specific limitations that we address explicitly here. First, it is still early in the lifetime of the development of applications of AI for use in global health, and as such, the global community has had limited opportunity to learn from experience. For example, there were many fewer case studies, which detail experiences with the actual implementation of an AI technology, submitted to GFBR 2022 for consideration than was expected. In contrast, there were many more governance reports submitted, which detail the processes and outputs of governance processes that anticipate the development and dissemination of AI technologies. This observation represents both a success and a challenge. It is a success that so many groups are engaging in anticipatory governance of AI technologies, exploring evidence of their likely impacts and governing technologies in novel and well-designed ways. It is a challenge that there is little experience to build upon of the successful implementation of AI technologies in ways that have limited harms while promoting innovation. Further experience with AI technologies in global health will contribute to revising and enhancing the challenges and recommendations we have outlined in our paper.

Second, global trends in the politics and economics of AI technologies are evolving rapidly. Although some nations are advancing detailed policy approaches to regulating AI more generally, including for uses in health care and public health, the impacts of corporate investments in AI and political responses related to governance remain to be seen. The excitement around large language models (LLMs) and large multimodal models (LMMs) has drawn deeper attention to the challenges of regulating AI in any general sense, opening dialogue about health sector-specific regulations. The direction of this global dialogue, strongly linked to high-profile corporate actors and multi-national governance institutions, will strongly influence the development of boundaries around what is possible for the ethical governance of AI for global health. We have written this paper at a point when these developments are proceeding rapidly, and as such, we acknowledge that our recommendations will need updating as the broader field evolves.

Ultimately, coordination and collaboration between many stakeholders in the research ethics ecosystem will be necessary to strengthen the ethical governance of AI in global health research. The 2022 GFBR illustrated several innovations in ethical governance of AI for global health research, as well as several areas in need of urgent attention internationally. This summary is intended to inform international and domestic efforts to strengthen research ethics and support the evolution of governance leadership to meet the demands of AI in global health research.

Data availability

All data and materials analyzed to produce this paper are available on the GFBR website: https://www.gfbr.global/past-meetings/16th-forum-cape-town-south-africa-29-30-november-2022/ .

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Acknowledgements

We would like to acknowledge the outstanding contributions of the attendees of GFBR 2022 in Cape Town, South Africa. This paper is authored by members of the GFBR 2022 Planning Committee. We would like to acknowledge additional members Tamra Lysaght, National University of Singapore, and Niresh Bhagwandin, South African Medical Research Council, for their input during the planning stages and as reviewers of the applications to attend the Forum.

This work was supported by Wellcome [222525/Z/21/Z], the US National Institutes of Health, the UK Medical Research Council (part of UK Research and Innovation), and the South African Medical Research Council through funding to the Global Forum on Bioethics in Research.

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Shaw, J., Ali, J., Atuire, C.A. et al. Research ethics and artificial intelligence for global health: perspectives from the global forum on bioethics in research. BMC Med Ethics 25 , 46 (2024). https://doi.org/10.1186/s12910-024-01044-w

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