Tuesday, October 14, 2025

 

AI, health, and health care today and tomorrow – the JAMA Summit Report on artificial intelligence




JAMA Network




About The Article: Artificial intelligence carries promise and uncertainty for clinicians, patients, and health systems. This JAMA Summit Report presents expert perspectives on the opportunities, risks, and challenges of AI in health care, including how AI is developed, evaluated, regulated, and implemented across clinical and business domains.  

This content is the result of JAMA Summit AI that was held in October 2024. Reflecting the multidisciplinary nature of JAMA Summit, this report features a diverse group of authors whose expertise spans clinical care, biomedical research, software engineering, data science, health policy, law, and industry innovation. 

JAMA Summit is an initiative of JAMA and the JAMA Network that convenes leaders from across sectors and around the world to discuss and debate critical issues in medicine, health, and health care.  

The JAMA Summit has two primary goals: first, to bring together thought leaders from diverse sectors to explore a key topic and identify actionable steps with immediate impact; and second, to spark broader conversations by publishing papers and multimedia content based on the themes that emerge from these discussions.  

Author Contact Information: The Corresponding Author of the JAMA Summit Report is Derek C. Angus, M.D., M.P.H. Allison Hydzik, Senior Director of Public Relations at UPMC and University of Pittsburgh Health Sciences, can assist with scheduling interviews. Allison can be reached at 412-559-2431 and hydzikam@upmc.edu.

Contact the JAMA Media Relations department at mediarelations@jamanetwork.org to obtain contact information for additional authors.  

About JAMA+ AI: For the latest research on AI from across the JAMA Network, visit the JAMA+ AI channel, which is celebrating its one-year anniversary this week. An email newsletter is available as well as a podcast.  

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/

(doi:10.1001/jama.2025.18490)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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University of Houston researcher and international team expose weakness in bridges worldwide



Study shows North American and African bridges most at risk, scientists propose satellite monitoring to prevent failures




University of Houston

Pietro Milillo, associate professor of civil and environmental engineering at the University of Houston 

image: 

Pietro Milillo, associate professor of civil and environmental engineering at the University of Houston, and an international team, found that structures in North America are in the poorest condition and propose monitoring bridge stability from space.  

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Credit: University of Houston





Key takeaways: 

  • One-third fewer bridges are classified as high-risk when spaceborne monitoring is considered.  

  • Half of the remaining high-risk structures could benefit from satellite-based observations. 

  • Greatest benefits for disadvantaged regions such as Africa and Oceania, where structural monitoring is nearly absent. 

A University of Houston scientist is helping reveal the world’s weakest bridges - and how to fix them before it’s too late.  

In a study of 744 bridges across the globe, published in Nature Communications, Pietro Milillo and an international team found that structures in North America are in the poorest condition, followed by those in Africa. Their solution could change how infrastructure is protected worldwide: monitoring bridge stability from space to detect problems before they become disasters. 

The grim bridge news correlates with the age of the bridges, as there was a peak in North American bridge construction in the 1960s, meaning many of these bridges are near or beyond their design lives. The solution - to use spaceborne monitoring of bridges via Synthetic Aperture Radar - offers frequently acquired, high-resolution imagery with global coverage and extensive historical archives. 

“Our research shows that spaceborne radar monitoring could provide regular oversight for more than 60 percent of the world’s long-span bridges,” said Milillo, co-author of the study and an associate professor of civil and environmental engineering at UH. “By integrating satellite data into risk frameworks, we can significantly lower the number of bridges classified as high-risk, especially in regions where installing traditional sensors is too costly.”  

The international team, including Dominika Malinowska, Delft University of Technology (TU Delft) and the University of Bath; Cormac Reale and Chris Blenkinsopp (University of Bath), and Giorgia Giardina (TU Delft), used a remote sensing technique called Multi-Temporal Interferometric Synthetic Aperture Radar (MT-InSAR). The researchers revealed it can complement traditional inspections by detecting millimetre-scale displacement caused by slow-moving phenomena like landslides or subsidence or detecting anomalies across spatially extensive regions.  

Bridges are among the most vulnerable parts of the transportation networks, yet traditional monitoring has limitations. In-person visual inspections can be subjective and expensive, while inspectors may miss signs of early deterioration between typical bi-yearly inspection cycles. Structural Health Monitoring (SHM) sensors offer a more cost-effective solution, but their implementation remains limited primarily to newer bridges and specific concern cases, with the study confirming that they are installed on fewer than 20% of the world's long-span bridges. This leaves a significant gap in the understanding of the structural condition of bridges.   

A solution from the skies 

“Remote sensing offers a complement to SHM sensors, can reduce maintenance costs, and can support visual inspections, particularly when direct access to a structure is challenging,” said Millilo. “For bridges specifically, MT-InSAR allows for more frequent deformation measurements across the entire infrastructure network, unlike traditional inspections, which typically occur only a few times per year and require personnel on the ground”  

Said Malinowska. “While using MT-InSAR to monitor bridges is well-established in academic circles, it has yet to be routinely adopted by the authorities and engineers responsible for them. Our work provides the global-scale evidence showing this is a viable and effective tool that can be deployed now. 

Researchers found that incorporating data from MT-InSAR, particularly pixels with stable scattering properties known as persistent scatterers (PS), into risk assessments provides more accurate risk registers through uncertainty reduction, enabling better risk prioritization and maintenance planning.  

The method proposed by this international research team integrates the availability of monitoring from both SHM sensors and satellites like the European Space Agency's Sentinel-1 or the recently launched NASA NISAR into a bridge's structural vulnerability score. By providing more frequent updates than typical visual inspections, this combined monitoring approach reduces uncertainty about a bridge's current condition, leading to more accurate risk classification. 

 

‘Pirates’ of the Caribbean: The luck and pluck of three-legged lizards


Chance encounter inspired team of biologists to study lizards with missing, reduced limbs



Washington University in St. Louis





More than 20 years ago, Jonathan Losos was in the Bahamas pursuing one of his favorite pastimes — catching and measuring anole lizards — when he spotted a familiar reptilian flash on a branch. But this wasn’t a typical lizard.

“The lizard was nimble,” said Losos, the William H. Danforth Distinguished University Professor. “Until I had her in my hand, I didn’t realize she was missing an entire hind leg.”

That surprising find reminded Losos of a passage from Charles Darwin’s “On the Origin of Species,” in which Darwin wrote, “natural selection is daily and hourly scrutinizing … every variation, even the slightest; rejecting that which is bad, preserving what is good.” But missing an entire leg is more than a slight variation, Losos thought, and natural selection clearly hadn’t scrutinized it.

Over the years, Losos kept wondering if the Bahamian lizard was a fluke. “I started talking to colleagues and collecting anecdotes of other encounters with lizards that were missing all or part of a limb,” Losos said.

When lizard expert James Stroud joined Losos’ lab as a postdoctoral researcher in 2018, those conversations evolved into a concerted attempt to collect and synthesize the available data. The effort culminated in a new paper published in The American Naturalist. Stroud, now at the Georgia Institute of Technology, is the lead author, Losos is the senior author, and another 50 co-authors provided observations and other data.

Anyone who has ever seen a three-legged dog enjoying a walk around the neighborhood knows that animals have a way of getting by. But there’s a big difference between a three-legged animal on a leash and an animal trying to survive in the wild.

As biologists interested in evolutionary adaptations, both Losos and Stroud have spent years documenting the significance of subtle differences in anole limb lengths. By conducting studies on a lizard-sized racetrack, Losos had shown that even tiny differences in leg length affected how fast a lizard could run—crucial for catching prey and avoiding predators.

Stroud’s postdoctoral research showed that limb length had crucial real-world consequences. “By measuring lizards and following them for more than two years, we demonstrated that even tiny differences in limb length could be crucial to survival,” Stroud said. 

Losos and Stroud’s research would suggest that lizards missing parts or all of a limb should be very rare. Indeed, population studies reported in their paper show that less than 1% of lizards captured in the wild have a limb deficit, likely because of an encounter with a predator or a territorial dispute with another lizard. (While many species of lizard can regrow lost tails, amputated legs are gone forever.)

Losos emphasized that losing a limb is probably catastrophic for most lizards. An unknown number starve or succumb to predators quickly after their mishap. “We might only be finding the lucky ones who survive long enough to be sampled,” he said.

Still, three-legged lizards are widespread. After checking with other lizard experts, the team was able to document 122 cases of wild lizards across 58 species missing all or part of a limb. Nearly half of the lizards were Caribbean anoles, but other cases came from around the world. To be included in the study, the injuries had to be healed, indicating that the lizard had survived the injury for some time.

The lizards in the sample were about equally likely to have sustained injury to a forelimb or a hind limb. This was surprising, Stroud noted, because hind limbs provide the power in lizard locomotion. “One might have thought surviving hind limb loss would be less likely,” he said.

When spotted in the wild, three-legged lizards often seem as plump and agile as the anole Losos saw in the Bahamas. “You can tell just by looking at them,” Losos said. “They’re fat and sassy, and clearly aren’t starving.” So how do they survive when one of their limbs goes missing?

Over the years, a few researchers have put three-legged lizards on racetracks to check their ability to run. While some were much slower than typical lizards, others ran as fast, or even faster, than expected for their species. Stroud used slow-motion video and computer analysis to track the running style of a surprisingly fast anole that had lost more than half of its right hind limb. That lizard ran by undulating its trunk from side to side more than typical lizards, extending the length of each stride and giving it extra propulsion.

The success of three-legged lizards doesn’t undermine the evolutionary significance of limb length, Losos said. “We know from many population studies that limb length is a key adaptation for overall survival,” he said.

Nonetheless, Losos and Stroud took one major lesson from these observations: Natural selection isn’t as omnipresent as Darwin speculated. Sometimes selection is strong, and lizards missing limbs don’t stand a chance. But some lizards might just have the good luck to avoid predators. Or food may be so abundant or predators so scarce that even an ungainly lizard can get by. “It’s also possible that lizards that are otherwise Olympian in their capabilities can survive such a loss while mere mortals succumb to the effects,” Losos said.

 “You can’t help but be impressed by lizards that do well even when they lose a good chunk of a limb,” Losos said. “They’re remarkably resilient.”

----

Stroud J et. al. Pirates of the Caribbean (and elsewhere): Three-legged Lizards and the Study of Evolutionary Adaptation. The American Naturalist. Available online Oct. 13. DOI: https://doi.org/10.1086/737525

 

Large national study finds minimal link between smartphone use and well-being in adults



University of Oregon researchers worked with Google on the largest study to date directly measuring phone use and mental health



University of Oregon





EUGENE, Ore. — Oct. 13, 2025 — A new study led by researchers at the University of Oregon in collaboration with Google Research has found little evidence linking smartphone use with mental well-being in adults.

Published in the Proceedings of the National Academy of Sciences, the study analyzed more than 250,000 days of smartphone usage data from more than 10,000 U.S. adults age 18 and older, making it the largest and most comprehensive investigation to date of how objectively measured smartphone behavior relates to mood and well-being.

The research team, led by Nicholas Allen, the Ann Swindells Professor of Clinical Psychology and director of the University of Oregon’s Center for Digital Mental Health, used objective smartphone data rather than self-reports, which have been shown to be unreliable indicators of actual phone use.

Over a four-week period, participants’ smartphone activity — including screen time, app categories and unlock frequency — was passively recorded and paired with daily mood check-ins. The researchers used statistical techniques to investigate potential relationships between smartphone use and subsequent mood and mental health symptoms across time.

While younger adults showed a slightly stronger link between social media use and lower mood in data that looked at a single point in time, that link did not hold up over longer time periods. In fact, across both group and individual analyses, the effects were either weak or statistically insignificant.

“Our findings challenge the popular assumption that smartphone use is inherently harmful to mental health and well-being,” Allen, the senior author of the study, said. “There’s been a lot of public concern and policy discussion often based on small, self-reported studies. This large-scale, objective data suggests the relationship is far more nuanced and, in most cases, minimal – at least over this time frame.”

The study found that demographic factors such as age and gender were much stronger predictors of mood than smartphone use. For example, younger adults and women reported lower average mood scores, regardless of how much they used their phones.

Allen said health researchers at Google initially reached out to him in 2021 to discuss collaborating on a study of digital device use and well-being.

“We discovered that we both wanted to address some of the limitations of previous work on the topic, like relying on self-report data of phone use patterns, which might not have much association with actual use, and small or biased samples,” he said. “So this was a unique opportunity to establish a collaboration between the technology industry and university researchers to address an important issue, and it provided opportunities that would not have been possible without this partnership.”

Researchers from Google collaborated on the subject recruitment and analysis of data collected using the Google Health Studies app.

“This study represents an important partnership with the University of Oregon to accelerate research on digital well-being and to help generate evidence-based insights so that we can support our users,” said John Hernandez, director and head of clinical research and health impact at Google and a study co-author.

 “We are thankful to the more than 10,000 participants who contributed their data to this comprehensive research study. This effort enabled the collection of objective, real-world smartphone data and well-being data at an unprecedented scale,” he said. “Releasing public datasets from this research should enable the broader scientific community to continue performing independent analyses and advance our collective understanding of digital behaviors and well-being.”

While researchers caution that the study was limited to adults age 18 or older and covered only a four-week period, the study contributes methodological advancements and a large public-use real-world dataset to help inform the field.

“Smartphones are part of the context of our daily lives; they’re not inherently good or bad,” Allen said. “The key is understanding how people use them and how technology can be designed to support well-being rather than detract from it.”

— By Thuy Tran, University Communications

About the University of Oregon College of Arts and Sciences
The University of Oregon College of Arts and Sciences supports the UO’s mission and shapes its identity as a comprehensive research university. With disciplines in humanities and social and natural sciences, the College of Arts and Sciences serves approximately two-thirds of all UO students. The College of Arts and Sciences faculty includes some of the world’s most accomplished researchers, and the more than $75 million in sponsored research activity of the faculty underpins the UO’s status as a Carnegie Research I institution and its membership in the Association of American Universities.