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Citation scores (CS) have been traditionally used to measure the impact of scientific publications. Sourced from the Internet, Altmetric Attention Scores (AAS) are complementary metrics that assess how often publications are discussed and used globally. We compared by rank the top 500 papers by CS and AAS published in Clinical Nutrition with corresponding AAS and CS. A search for all publications in Clinical Nutrition was performed on Dimensions (https://app.dimensions.ai/discover/publication) on 3rd April 2024. Outputs were ranked according to CS and then by AAS with the top 500 in each category selected. Scores, year and type of publication were recorded. Correlation was expressed as the Spearman's rank coefficient (ϱ). We identified 18,790 outputs. Within the top 500 publications ranked by CS, there was a significant weak positive correlation (ϱ = 0.235, P < 0.0001) between CS [median (IQR) 149 (116–223)] and AAS [7 (3–22)]. Ranked by AAS, there was a non-significant very weak positive correlation (ϱ = 0.072, P = 0.106) between AAS [55.5 (36–115)] and CS [42 (16.5–94.5)]. Trends remained similar when grouped by publication type. Guidelines, ranked by CS, had the highest CS and ranked by AAS, the highest CS and AAS. Publications per year, by year, ranked by CS, had a negatively skewed distribution peaking in 2012 and declined thereafter, but when ranked by AAS, had a moderately positive linear trend from 2001 to 2024 (ϱ = 0.513, P < 0.0001). Correlation between CS and AAS was weak. Guidelines had the highest CS and AAS. CS are iterative taking years to mature while AAS are immediate. [ABSTRACT FROM AUTHOR]

The role of long-term parenteral support in patients with underlying benign conditions who do not have intestinal failure (IF) is contentious, not least since there are clear benefits in utilising the oral or enteral route for nutritional support. Furthermore, the risks of long-term home parenteral nutrition (HPN) are significant, with significant impacts on morbidity and mortality. There has, however, been a recent upsurge of the use of HPN in patients with conditions such as gastro-intestinal neuromuscular disorders, opioid bowel dysfunction, disorders of gut–brain interaction and possibly eating disorders, who do not have IF. As a result, the European Society of Clinical Nutrition and Metabolism (ESPEN), the European Society of Neuro-gastroenterology and Motility (ESNM) and the Rome Foundation for Disorders of Gut Brain Interaction felt that a position statement is required to clarify - and hopefully reduce the potential for harm associated with – the use of long-term parenteral support in patients without IF. Consensus opinion is that HPN should not be prescribed for patients without IF, where the oral and/or enteral route can be utilised. On the rare occasions that PN commencement is required to treat life-threatening malnutrition in conditions such as those listed above, it should only be prescribed for a time-limited period to achieve nutritional safety, while the wider multi-disciplinary team focus on more appropriate biopsychosocial holistic and rehabilitative approaches to manage the patient's primary underlying condition. [ABSTRACT FROM AUTHOR]

This study conducts a comprehensive bibliometric analysis of highly cited papers in geosciences from 2013 to 2023, examining the temporal distribution of publications, the top 20 most cited papers, categorization by Web of Science categories (WC), journal distribution, and the relationship between open access and citation frequency. The analysis reveals significant growth in geoscientific research, particularly from 2016 onwards. Highly cited papers cover diverse and multidisciplinary topics, with leading journals identified as key dissemination platforms. The study also highlights the positive impact of open access on citation rates, emphasizing the importance of accessibility in enhancing research visibility and influence. These findings provide strategic guidance for researchers and institutions aiming to maximize the impact of their scientific contributions. [ABSTRACT FROM AUTHOR]

Paper mulching films are affected by wind and rain in the field, which lead to the problems of water absorption, shrinkage, and friction with the soil surface. In order to achieve better hydrophobic durability and wear resistance of paper mulching films, a paper mulching film with ZnO/SiO 2 composite coating was prepared by the brush coating method. Taking ceramic balls as friction pairs, reciprocating friction tests were carried out with two kinds of paper mulching films at different temperatures. The morphology of the raw paper mulch film and the ZnO/SiO 2 composite-coated paper mulch film after rubbing at different temperatures and the reason of the hydrophobic durability of the coated paper mulch film were analyzed using a scanning electron microscope and a three-dimensional topography instrument. The results show that ZnO/SiO 2 composite coating can improve the wear resistance and hydrophobic durability of the paper mulch film. Through surface morphology analysis, it can be found that the composite coating plays a role in modification and filling and improves the adhesion between the fibers by reducing the pores on the surface of the paper mulch film, finally improving the wear resistance and hydrophobic durability of the paper mulch film. [ABSTRACT FROM AUTHOR]

The present paper reflects the position of the Italian Association for Neuroendocrine Tumors (Itanet), the Italian Society of Gastroenterology (SIGE), and the Italian Society of Digestive Endoscopy (SIED) regarding the management of patients affected by gastric, duodenal, and rectal neuroendocrine neoplasms (NENs) amenable to endoscopic treatment. The key questions discussed in this paper are summarized in Table 1. Data were extracted from the MEDLINE database through searches; expert opinions and recommendations are provided in accordance with the available scientific evidence and the authors' expertise. Recommendations are presented alongside a level of evidence and grade of recommendation based on the GRADE system. This paper specifically focuses on subgroups of NENs considered suitable for endoscopic management according to current international guidelines: i. well-differentiated gastric neuroendocrine tumors (gNET) type 1 < 2 cm and selected cases of type 3; ii. well-differentiated duodenal, non-functioning, non-ampullary NET with size < 2 cm; and well-differentiated rectal NET with size < 2 cm. [ABSTRACT FROM AUTHOR]

Primary care healthcare professionals (PCHPs) are pivotal in managing chronic diseases and present a unique opportunity for nutrition-related disease prevention. However, the active involvement of PCHPs in nutritional care is limited, influenced by factors like insufficient education, lack of resources, and time constraints. In this position paper The European Society for Clinical Nutrition and Metabolism (ESPEN) promotes the active engagement of PCHPs in nutritional care. We emphasize the importance of early detection of malnutrition by screening and diagnosis, particularly in all individuals presenting with risk factors such as older age, chronic disease, post-acute disease conditions and after hospitalization for any cause. ESPEN proposes a strategic roadmap to empower PCHPs in clinical nutrition, focusing on education, tools, and multidisciplinary collaboration. The aim is to integrate nutrition into medical curricula, provide simple screening tools for primary care, and establish referral pathways to address malnutrition systematically. In conclusion, we urge for collaboration with PCHP organizations to raise awareness, enhance nutrition skills, facilitate dietitian accessibility, establish multidisciplinary teams, and promote referral pathways, thereby addressing the underestimated clinical challenge of malnutrition in primary care. [ABSTRACT FROM AUTHOR]

Understanding the intellectual structure of geosciences is crucial for identifying emerging topics, which can guide future research and funding strategies. This study employs Latent Dirichlet Allocation (LDA) topic modeling and co-word network analysis to explore the intellectual landscape of highly cited geoscientific papers. Through empirical analysis, the study identifies 15 research areas, including climate change, geological processes, environmental impacts, and advancements in data analysis and remote sensing. These findings highlight the prominent role of big data analysis and machine learning methods across various geoscientific domains. Additionally, a notable gap has been identified in the integration of these computational methods with research on organic chemistry and formation processes, suggesting a potential direction for future exploration and innovation. [ABSTRACT FROM AUTHOR]

To evaluate the reliability of the Enhanced Paper Grip Test (EPGT) for assessing foot strength in volleyball and soccer players. A cross-sectional observational study with repeated measurements. Field-based study. A convenience sample of 28 athletes (13 volleyball players and 15 soccer players) participated in the study. The main outcome measures were the intraclass correlation coefficients (ICC) for intra-visit and inter-visit reliability, typical error, and coefficient of variation for the force (N) recorded in EPGT test. The EPGT demonstrated good to excellent relative reliability (ICC values ranged from 0.93 to 0.97) and acceptable absolute reliability (typical error = 5–8 % of the mean). Significant inter-limb asymmetries were observed in both volleyball (16.0 ± 10.2%) and soccer players (15.3 ± 9.8%). The EPGT is a reliable tool for assessing foot strength in volleyball and soccer players. Further research is required to explore the applicability of EPGT in different athletic and clinical contexts, and its potential role in athletic performance and injury prevention. • EPGT shows high reliability for foot strength in athletes. • Significant inter-limb asymmetries were found in both groups. • Study supports EPGT's utility in diverse athletic populations. [ABSTRACT FROM AUTHOR]

The practice of recto-colonic water irrigation to treat constipation has been used since ancient times with different, uncontrolled, and variably performing methods which have been considered interchangeably all alike. The use of better-performing devices with a standardized methodology is relatively recent, and the term Trans Anal Irrigation (TAI) defines a methodology performed with devices able to control the timing, volume, and pressure of the water introduced into the rectum and colon utilizing a catheter or a cone through the anus. Such practice has been implemented with favorable responses in patients with refractory chronic constipation secondary to neurological diseases. However, since the role of Trans Anal Irrigation as a therapeutic aid in chronic functional constipation and functional evacuation disorders is not yet fully clarified and standardized, a group of clinical investigators with recognized expertise in these clinical conditions intends to clarify the elements that characterize a TAI procedure that can benefit patients with functional constipation and functional defecation disorders defined according to the lastly updated Rome Diagnostic Criteria. Finally, the paper deals with adherence and practical implementation of TAI. [ABSTRACT FROM AUTHOR]

[Display omitted] • Primary prevention is complex and needs the consent of a patient without disease. • Primary prevention requires adoption of new behaviours or taking medications. • Reduction of LDL-C is an excellent target for reducing risk of a cardiovascular event. • The patient must be convinced that LDL-C is a key marker of cardiovascular risk. Low-density lipoprotein cholesterol has been established as a powerful cardiovascular risk factor; its reduction provides a clinical benefit in primary cardiovascular prevention, irrespective of the characteristics of the patients treated. It is useful to tailor low-density lipoprotein cholesterol targets according to the magnitude of cardiovascular risk (low, high or very high) in order to reduce the cardiovascular risk as fully as possible. In order to provide a uniform approach, it is necessary to propose recommendations for good practice, defining strategies for reducing low-density lipoprotein cholesterol. It is also necessary to know their merits, to analyse their practical limits and to propose adaptations, taking into account limitations and national specifics. This position paper aims to analyse the contribution and limits, as well as the adaptation to French practice, of 2019 and 2021 European Society of Cardiology recommendations for the management of lipid variables and cardiovascular prevention. [ABSTRACT FROM AUTHOR]

As part of efforts to modernize the Youth Risk Behavior Surveillance System, the national Youth Risk Behavior Survey (YRBS) is moving from paper-and-pencil instrument (PAPI) administration to electronic administration using tablets. This study aimed to examine differences in demographic characteristics and the reporting of health behaviors and experiences between the PAPI- and tablet-administered 2021 national YRBS questionnaire. High school students (grades 9–12) in classrooms from 57 schools participating in the 2021 national YRBS were assigned randomly to complete the survey using PAPI (n = 4,684 students) or using tablets (n = 3,645 students). Eighty-nine behavior and experience items were examined to compare the missingness in reporting and the prevalence estimation (i.e., proportions) by administration mode. Demographic characteristics (sex, race/ethnicity, grade, and sexual identity) did not differ by mode (PAPI vs. tablet). For the majority (93.2%, 83 out of 89) of YRBS behavior and experience items, mode was not significantly associated with the reported proportions, adjusting for sex, race/ethnicity, grade, and sexual identity. However, 30 out of 89 (33.7%) items showed significant variation in missingness by mode; 10 items had higher missingness with PAPI administration while 20 had higher missingness with tablet administration. Survey administration mode was not significantly associated with behavior and experience reporting among high school students. More research is needed to understand differential patterns of missingness by mode. Aligning with Centers for Disease Control and Prevention's Public Health Data Modernization Initiative, findings from this study provide evidence to support electronic survey administration for the national YRBS, particularly using tablet data collection. [ABSTRACT FROM AUTHOR]

Extended reality (XR) enables both new opportunities but also introduces new barriers for inclusion in society. Furthermore, XR is less researched than web, desktop and mobile applications. This position paper presents the concept of an XR platform for inclusion, with the purpose to make people on the autism spectrum and with other disabilities, more independent of help from others in everyday life situations. Based on previous research, our position is that, through current and future XR technologies combined with civic and artificial intelligence, it is possible to create individually personalised support for this purpose, grounded in practice to ensure validation. [ABSTRACT FROM AUTHOR]

Despite incredible growth in systems of care and rapidly expanding therapeutic options for people with inflammatory bowel disease, there are significant barriers that prevent patients from benefiting from these advances. These barriers include restrictions in the form of prior authorization, step therapy, and prescription drug coverage. Furthermore, inadequate use of multidisciplinary care and inflammatory bowel disease specialists limits patient access to high-quality care, particularly for medically vulnerable populations. However, there are opportunities to improve access to high-quality, patient-centered care. This position statement outlines the policy and advocacy goals that the American Gastroenterological Association will prioritize for collaborative efforts with patients, providers, and payors. [ABSTRACT FROM AUTHOR]

Creasing and folding are fundamental steps in many manufacturing processes of multi-material paperboard packaging. The complex structure of these materials, which comprise layers of cellulose fibres, aluminium, and polyethylene, coupled with the growing complexity of packaging designs, make these process operations essential to ensure the required structural integrity for packaging as well as their functionality in daily life. This paper introduces an approach for modelling damage in paper-based sandwich materials by integrating fibre-based and cohesive numerical modelling techniques. The results prove the effectiveness of the proposed methodology, opening new possibilities for process design and optimization in packaging manufacturing. [ABSTRACT FROM AUTHOR]

Digital cytology and artificial intelligence (AI) are gaining greater adoption in the cytology laboratory. However, peer-reviewed real-world data and literature are lacking in regard to the current clinical landscape. The American Society of Cytopathology in conjunction with the International Academy of Cytology and the Digital Pathology Association established a special task force comprising 20 members with expertise and/or interest in digital cytology. The aim of the group was to investigate the feasibility of incorporating digital cytology, specifically cytology whole slide scanning and AI applications, into the workflow of the laboratory. In turn, the impact on cytopathologists, cytologists (cytotechnologists), and cytology departments were also assessed. The task force reviewed existing literature on digital cytology, conducted a worldwide survey, and held a virtual roundtable discussion on digital cytology and AI with multiple industry corporate representatives. This white paper, presented in 2 parts, summarizes the current state of digital cytology and AI practice in global cytology practice. Part 1 of the white paper is presented as a separate paper which details a review and best practice recommendations for incorporating digital cytology into practice. Part 2 of the white paper presented here provides a comprehensive review of AI in cytology practice along with best practice recommendations and legal considerations. Additionally, the cytology global survey results highlighting current AI practices by various laboratories, as well as current attitudes, are reported. • The American Society of Cytopathology in conjunction with the International Academy of Cytology and the Digital Pathology Association established a special task force comprising 20 members with expertise and/or interest in digital cytology to investigate the feasibility of incorporating digital cytology and artificial intelligence applications into the workflow of the laboratory. • The task force reviewed existing literature on digital cytology, conducted a worldwide survey, and held a virtual roundtable discussion on digital cytology and artificial intelligence (AI) with multiple industry corporate representatives. • Part 2 of the white paper presented here provides a comprehensive review of artificial intelligence in cytology practice along with best practice recommendations and legal considerations. [ABSTRACT FROM AUTHOR]

Digital cytology and artificial intelligence (AI) are gaining greater adoption in the cytopathology laboratory. However, peer-reviewed real-world data and literature are lacking regarding the current clinical landscape. The American Society of Cytopathology in conjunction with the International Academy of Cytology and the Digital Pathology Association established a special task force comprising 20 members with expertise and/or interest in digital cytology. The aim of the group was to investigate the feasibility of incorporating digital cytology, specifically cytology whole slide scanning and AI applications, into the workflow of the laboratory. In turn, the impact on cytopathologists, cytologists (cytotechnologists), and cytology departments were also assessed. The task force reviewed existing literature on digital cytology, conducted a worldwide survey, and held a virtual roundtable discussion on digital cytology and AI with multiple industry corporate representatives. This white paper, presented in 2 parts, summarizes the current state of digital cytology and AI practice in global cytology practice. Part 1 of the white paper presented herein is a review and offers best practice recommendations for incorporating digital cytology into practice. Part 2 of the white paper provides a comprehensive review of AI in cytology practice along with best practice recommendations and legal considerations. Additionally, the results of a global survey regarding digital cytology are highlighted. • The American Society of Cytopathology in conjunction with the International Academy of Cytology and the Digital Pathology Association established a special task force comprising 20 members with expertise and/or interest in digital cytology to investigate the feasibility of incorporating digital cytology and artificial intelligence applications into the workflow of the laboratory. • The task force reviewed existing literature on digital cytology, conducted a worldwide survey, and held a virtual roundtable discussion on digital cytology and artificial intelligence with multiple industry corporate representatives. • Part 1 of the white paper presented herein is a review and offers best practice recommendations for incorporating digital cytology into practice. [ABSTRACT FROM AUTHOR]

[Display omitted] • The healthcare system is a significant contributor to global warming. • Cardiac electrophysiology mainly uses high-tech single-use medical devices. • Worldwide complex supply chain for medical treatment, particularly medical devices. • The complex supply chain has led to device shortages. • Reprocessing of medical devices labelled single use could be part of the solution. • All stakeholders must engage sustainability efforts. Sustainability in healthcare, particularly within the domain of cardiac electrophysiology, assumes paramount importance for the near future. The escalating environmental constraints encountered necessitate a proactive approach. This position paper aims to raise awareness among physicians, spark critical inquiry and identify potential solutions to enhance the sustainability of our practice. Reprocessing of single-use medical devices has emerged as a potential solution to mitigate the environmental impact of electrophysiology procedures, while also offering economic advantages. However, reprocessing remains unauthorized in certain countries. In regions where it is possible, stringent regulatory standards must be adhered to, to ensure patient safety. It is essential that healthcare professionals, policymakers and manufacturers collaborate to drive innovation, explore sustainable practices and ensure that patient care remains uncompromised in the face of environmental challenges. Ambitious national/international programmes of disease prevention should be the cornerstone of the strategy. It is equally vital to implement immediate actions, as delineated in this position paper, to bring about tangible change quickly. [ABSTRACT FROM AUTHOR]

Radiography education is pivotal in training skilled radiographers for diagnostic imaging and therapeutic applications. With technological advancements, interest in innovative educational tools to enhance traditional teaching methods is growing. This discussion paper explores the possibility of the integration of ChatGPT, a cutting-edge conversational AI language model, into radiography education. We report that ChatGPT offers interactive learning opportunities that can facilitate learning. It also provides self-paced learning, revision platforms, and supports educators in scenario creation, assessment development, group collaboration, and professional and research activities. Despite these benefits, it is important to carefully consider issues related to academic integrity and privacy, along with the opportunities and challenges presented by this new technology in radiography education. This paper highlights some of the prospects and limitations of the potential applications of ChatGPT in radiography education, underscoring the benefits for both students and educators. However, its implementation must be considered thoughtfully and ethically, taking into account its strengths and limitations. Integrating ChatGPT in radiography education has the potential to improve radiography education by improving digital literacy and graduate outcomes of students while streamlining the preparation process for educators. However, ethical implementation is vital for optimal outcomes. [ABSTRACT FROM AUTHOR]

Bibliometric analysis of highly cited papers facilitates researchers in formulating strategic research possibilities and addressing gaps in specific domains. In this context, a bibliometric analysis was conducted to identify published papers on "oral mucosal lesions in COVID-19" within medical literature. A comprehensive search was performed in the Scopus database in July 2023. Relevant articles were retrieved, reviewed, and data for the bibliometric analysis was recorded. Network visualization of authors, countries, and keywords was generated using VOSviewer software. The analyzed articles were published over the last three years, from 2020 to 2023, with the highest output observed in 2021. The citation count for individual papers ranged from 1 to 340, with a mean of 22.325 ± 58.93 citations. A total of 37 journals were involved in publishing papers on this topic, and five authors each contributed three papers. Notably, Brazil made the highest number of contributions with eight papers. Among the 40 papers, 19 were review papers and 16 were articles discussing various aspects of oral mucosal lesions in COVID-19 patients. Additionally, six papers were identified as systematic reviews, designated with a high level of evidence. This study presents a comprehensive bibliometric analysis of papers published on "oral mucosal lesions in COVID-19." The findings will assist researchers in identifying impactful papers, understanding the prevailing research trends, and guiding future research directions in this domain. The insights gained from this analysis can contribute significantly to advancing knowledge and improving patient care in this critical area of study. • First comprehensive bibliometric analysis on "oral mucosal lesions in COVID-19" in medical literature. • Offers valuable insights to researchers for strategic planning and further exploration in this domain. • Thoroughly examined articles from 2020 to 2023, with a peak in output observed in 2021. • Six systematic reviews among 40 papers, indicating high-quality evidence-based studies. • Brazil emerged as the top contributor with eight papers on the subject. [ABSTRACT FROM AUTHOR]

In recent years, the research pertaining to speech recognition technology in the Kazakh language has gained significant importance. This is due to the increasing demand for natural language processing applications in the region where Kazakh is predominantly spoken. Thus, there exists an urgent requirement for precise and dependable speech recognition systems. The research study examines the application of sophisticated deep learning methodologies, such as Natural Language Processing (NLP) and Hidden Markov Model (HMM), in facilitating speech recognition for the Kazakh language. Additionally, the investigation delves into how various techniques, including data preprocessing, acoustic modeling, and language modeling, can aid in devising effective speech recognition systems. The article deliberates on the feasible uses of speech recognition technology in the geographic area where Kazakh language is spoken and outlines its future research prospects. The investigation underscores the significance of persistent inquiry in this realm to confront distinctive obstacles encountered in creating speech recognition systems for languages with restricted resources. [ABSTRACT FROM AUTHOR]

This consensus document for the performance of Cardiovascular Computed Tomography (CCT) to guide intervention in the right ventricular outflow tract (RVOT) in patients with congenital disease (CHD) was developed collaboratively by pediatric and adult interventionalists, surgeons and cardiac imagers with expertise specific to this patient subset. The document summarizes definitions of RVOT dysfunction as assessed by multi-modality imaging techniques and reviews existing consensus statements and guideline documents pertaining to indications for intervention. In the context of this background information, recommendations for CCT scan acquisition and a standardized approach for reporting prior to surgical or transcatheter pulmonary valve replacement are proposed and presented. It is the first Imaging for Intervention collaboration for CHD patients and encompasses imaging and reporting recommendations prior to both surgical and percutaneous pulmonary valve replacement. [ABSTRACT FROM AUTHOR]

[Display omitted] • VSA is common and is involved in many clinical scenarios. • These include chronic and acute coronary syndromes, SCD, arrhythmia and syncope. • VSA is underdiagnosed and provocative tests are rarely performed. • A lack of uniform protocol decreases the use and performance of provocative tests. • This accounts for VSA underestimation. • This GACI position paper gives clear indications for provocative tests. • The paper also addresses testing conditions, drug protocols and positivity criteria. Vasospastic angina, also described as Prinzmetal angina, was first described as a variant form of angina at rest with transient ST-segment elevation; it is common and present in many clinical scenarios, including chronic and acute coronary syndromes, sudden cardiac death, arrhythmia and syncope. However, vasospastic angina remains underdiagnosed, and provocative tests are rarely performed. The gold-standard diagnostic approach uses invasive coronary angiography to induce coronary spasm using ergonovine, methylergonovine or acetylcholine as provocative stimuli. The lack of uniform protocol decreases the use and performance of these tests, accounting for vasospastic angina underestimation. This position paper from the French Coronary Atheroma and Interventional Cardiology Group (GACI) aims to review the indications for provocative tests, the testing conditions, drug protocols and positivity criteria. [ABSTRACT FROM AUTHOR]

While the literature is abundant on hand therapy assessment and treatment of nonsurgical thumb carpometacarpal (CMC) osteoarthritis (OA), clarity and uniformity are meager, making it a desirable diagnosis to establish expert consensus. This study aimed to ascertain if consensus exists for the assessment and treatment of nonsurgical management of thumb CMC OA in the hand therapy clinical setting. This was a consensus paper via the modified Delphi approach. A modified Delphi method was used to determine consensus among an expert panel, including hand therapists and hand surgeons, via two online surveys. A consensus paper steering committee (from the American Society of Hand Therapist's research division) designed the surveys and analyzed responses. Consensus was established as 75% agreement among the expert panel. Demographic information was collected from the expert panel. The expert panel included 34 hand therapists and seven hand surgeons. The survey response rates were 93.6% for the first survey and 90.2% for the second survey. Consensus recommendations were classified according to the World Health Organization categorization. These included evaluating the body structures for clinical signs/clinical testing and body functions for pain, range of motion for palmar abduction, radial abduction, opposition, and thumb metacarpal phalangeal flexion/extension, and grip and tripod pinch strength. Further consensus recommendations were for the assessment of function using a region-specific, upper extremity patient-reported outcome measure (activity and participation), environmental factors, outcome expectation, and illness perception within the patient's unique environmental and social contexts. Treatment recommendations included the use of an orthosis during painful activities, a dynamic stability program (stable C posture, release of tight adductors, and strengthening of stabilizers), patient education, joint protection techniques, adaptive equipment, and functional-based intervention. The findings describe the consensus of a group of experts and provide a clinical reference tool on the hand therapy assessment and treatment of nonsurgical thumb CMC joint OA. • A consensus paper using a modified Delphi process to determine consensus on non-surgical assessment and treatment of thumb CMC OA. • Assessment recommendations: evaluate clinical signs/testing, pain, thumb range of motion grip and tripod pinch, a region-specific PROM, environmental factors, outcome expectation, and illness perception. • Treatment: orthosis during painful activities as needed, a dynamic stability program, patient education, joint protection techniques, adaptive equipment, and functional based intervention. • Findings provide a clinical reference tool on hand therapy assessment and treatment of non-surgical CMC joint OA. [ABSTRACT FROM AUTHOR]

Endoscopic biopsy procedures increasingly generate multiple tissue samples from multiple sites, and frequently retrieve concurrent cytologic specimens and small core needle biopsies. There is currently lack of consensus in subspecialized practices as to whether cytopathologists or surgical pathologists should review such samples, and whether the pathology findings should be reported together or separately. In December 2021, the American Society of Cytopathology convened the Re-Imagine Cytopathology Task Force to examine various workflows that would facilitate unified pathology reporting of concurrently obtained biopsies and improve clinical care. This position paper summarizes the key points and highlights the advantages, challenges, and resources available to support the implementation of such workflows that result in "one procedure-one report". • Issuing 1 unified pathology report for all concurrently obtained biopsies derived from 1 procedure would be advantageous. • A cytopathology-driven workflow with serial review of specimens by cytopathologists first, followed by surgical pathologists, would be a relatively integrative approach to enable unified pathology reporting in subspecialized practices. • Cytotechnologist/cytologist skill sets and training are evolving into a highly valuable resource and they are now able to support and/or lead multiple laboratory functions. • Establishing workflow expectations upfront is important for successful implementation of workflow modifications. [ABSTRACT FROM AUTHOR]

The article aims to present and critique the literature exploring nursing students' learning styles and to discuss the implications of understanding nursing students' learning styles for nurse educators, nursing students, and nursing academic programs. Learning style refers to the way an individual prefers to learn. Learning styles are shaped by several factors and change with different contexts. The learning styles vary among students in nursing programs and other health professions, with no one dominant style. Despite inconsistent evidence, educators believe that matching their teaching methods with students' learning styles can promote academic performance. The authors share a teaching experience that incorporates offering several teaching methods for the same content to meet the different learning styles of nursing students. The teaching experience resulted in students' satisfaction and improvement in their performance. The paper proposes assisting nursing students to develop their learning styles to enable them to master the skillset required by nursing as a profession. These nursing students are future nurses who would have developed the necessary learning style and skills to provide safe and competent nursing care. • Learning style refers to how an individual prefers to learn. • Nursing students show different learning styles, with no one dominant learning style. • Matching teaching methods to students' learning styles holds value for students' learning and educator's pedagogical methods. • Offering various teaching methods to help students develop various learning styles is core to nursing. [ABSTRACT FROM AUTHOR]

The aim for 95% maternal health care coverage and zero-unmet need for family planning in Pacific Island countries by 2030 could be achieved by strengthening the midwifery workforce. To enable health services to provide accessible, locally acceptable, and high-quality care, the midwifery workforce must be regulated and educated to global standards and supported to practice in enabling environments. In 2019, around 64,000 live births occurred in Pacific Island countries, yet information regarding the state the midwifery workforce and midwifery education is limited. Using data from recent reports and country case studies, this paper provides an overview of the current midwifery education situation in Pacific Island countries and discusses strategic directions for strengthening quality midwifery education and therefore quality midwifery care provision in Pacific Island countries. Six Pacific Island countries have midwifery curricula, all post-nursing programs, although few offer midwifery education programs on a regular annual basis. Current programs do not meet ICM Global Standards for Midwifery Education. Critical areas for strengthening include making underpinning philosophical frameworks, the vision for midwifery education, and program intended learning outcomes explicit in curricula documents and ensuring integration of these in program implementation. Fortunately, five of six midwifery education programs are under processes of renewal and strengthening against global, regional, and national standards. Strengthening the midwifery workforce in the Pacific to meet maternal and newborn health targets can be achieved through supporting the existing midwifery education programs to meet global standards. Strengthened midwifery education programs in Pacific Island countries offer an opportunity to meet each country's maternal and newborn health targets. [ABSTRACT FROM AUTHOR]

• DNA provision in LTMP cases varies depending on disappearance circumstances. • Qualitative analyses provide insights into public concerns in this area. • Concerns manifest differently in LTMP cases. Policy response could enhance support. Identification of unidentified human remains, and long-term missing persons (LTMP) is imperative, allowing for missing persons to be reunited with their families, which could provide closure to families experiencing ongoing ambiguity surrounding the situation. However, identification remains problematic for several reasons, including the absence of DNA provision in the investigation. The research reported here is the second in a two-part series exploring public/family support for providing DNA in LTMP cases. In the first study, quantitative results showed that participants had concerns when asked if they thought there would be implications for a person providing DNA to police in LTMP cases. The aim of this second study was to explore further using qualitative methods the nuances and themes underpinning concerns for providing DNA in LTMP cases. Participants described their concerns about providing DNA in four hypothetical LTMP case scenarios (a child, an adult with dementia, a runaway 19-year-old adolescent, and an estranged adult). Through thematic content analysis, ten themes were identified. Nine themes run across all four LTMP case scenarios. The tenth theme was only observed in two scenarios; cases involving adolescents with a history of runaway, and in cases involving adults estranged from their family. Results showed public concerns differed according to LTMP case circumstances. Key findings point to public education about how DNA is used in LTMP investigations, the applicable legislation relating to police use of DNA in investigations and increasing public awareness around the benefits of DNA use in LTMP investigations. Potentional policy options are discussed that could guide the future development of nuanced police practice in different types of LTMP cases. [ABSTRACT FROM AUTHOR]

The ECG diagnosis of LVH is predominantly based on the QRS voltage criteria, i.e. the increased QRS complex amplitude in defined leads. The classical ECG diagnostic paradigm postulates that the increased left ventricular mass generates a stronger electrical field, increasing the leftward and posterior QRS forces. These increased forces are reflected in the augmented QRS amplitude in the corresponding leads. However, the clinical observations document increased QRS amplitude only in the minority of patients with LVH. The low sensitivity of voltage criteria has been repeatedly documented. We discuss possible reasons for this shortcoming and proposal of a new paradigm. [Display omitted] [ABSTRACT FROM AUTHOR]

The growth of artificial intelligence combined with the collection and storage of large amounts of data in the electronic medical record collection has created an opportunity for orthopedic research and translation into the clinical environment. Machine learning (ML) is a type of artificial intelligence tool well suited for processing the large amount of available data. Specific areas of ML frequently used by orthopedic surgeons performing total joint arthroplasty include tabular data analysis (spreadsheets), medical imaging processing, and natural language processing (extracting concepts from text). Previous studies have discussed models able to identify fractures in radiographs, identify implant type in radiographs, and determine the stage of osteoarthritis based on walking analysis. Despite the growing popularity of ML, there are limitations including its reliance on "good" data, potential for overfitting, long life cycle for creation, and ability to only perform one narrow task. This educational article will further discuss a general overview of ML, discussing these challenges and including examples of successfully published models. [Display omitted] [ABSTRACT FROM AUTHOR]

In the context of the recent re-emergence of mpox worldwide, the French Society for Hospital Hygiene (SF2H) performed a literature review of the transmission paths and proposed specific recommendations for healthcare workers (HCWs) caring for patients with suspected or confirmed MPXV. In developed countries, the risk of contamination among HCWs in healthcare facilities seemed to be very low, limited to contamination through needle stick injuries. Two additional contamination cases were reported and not fully explained. Beyond healthcare settings, the analysis of the literature highlighted (i) a main contamination route during sexual intercourse, mainly among men who have sex with men, and (ii) a very low secondary attack rate in other contexts, such as schools or jails. Numerous studies have reported molecular or virus identification on surfaces or in the air surrounding patients, without any association with the low secondary case incidence; moreover, the minimum infectious dose through air or mucosal exposure is still unknown. Owing to the lack of evidence of MPXV respiratory transmission in the healthcare setting, the SF2H recommends the implementation of standard and contact precautions combined with medical/surgical mask use. Owing to the lack of evidence of transcutaneous contamination, the SF2H recommends the use of gloves only if contact with cutaneous lesions or mucous membranes occurs. Regarding the risk of contamination from the environment in healthcare facilities, additional studies must be conducted to investigate this. [ABSTRACT FROM AUTHOR]

Industrial energy management is critical to ensuring efficient energy usage, market viability, and greenhouse gas emission reductions. In this study, the aim is to investigate energy management practices in paper and pulp industries (PPI) of Bangladesh. The study identifies several barriers to adopt energy management practices; "Lack of governmental attention", "Inadequate staff awareness" and "limited access to capital" are identified as the major constraints. In addition, HVAC systems and compressed air systems present higher barriers compared to electrical motor and pump systems while looking at the barriers by technology areas. On the other hand, "Owner's demand", "Commitment from the top management" and "Pressure from the customers and different non-Governmental organization" are found to be the dominant drivers of energy management in the studied PPI. Energy management practices can enhance the energy efficiency approximately by 4–5 % according to the study. Furthermore, this study reveals that the majority of PPIs are unaware of the energy service companies (ESCO) with the lack of a standardized system for energy audit, as well as a lack of trust and information, appearing to be the obstacles behind this. • Energy management practices in paper and pulp industries of Bangladesh are shown. • Barriers and drivers to energy management practices in paper and pulp industry are presented. • Barriers to energy efficiency measures by technology area are discussed. • Barriers to consult energy service companies (ESCOs) are presented. [ABSTRACT FROM AUTHOR]

The AACN expectation to prepare DNP graduates with EBP and QI competencies using the project was clarified with the 2015 White Paper and these expectations have not changed with the new Essentials. Evidence suggests DNP projects continue to be a mix of research and QI. Using the DNP Project Roadmap, we reviewed 214 projects from 120 schools from publicly available sources for the presence of EBP and QI project elements. Of the 27 Roadmap elements evaluated, only two had a significant (p ≤.05) positive change after the release of the White Paper 1) a question to frame the problem/issue (pre-48.4 %, n = 45, post-64.5 %, n = 78) and 2) an evidence search (pre-26.9 %, n = 25, post-39.7 %, n = 48). Nineteen of the 27 elements had positive change; however, were still not present in >50% of the project papers. These findings can be used to engage in a national conversation on DNP curricular expectations of projects that demonstrate student competency in EBP and QI. • Few DNP projects described local or national problem, an essential component in framing the need for an EBP or QI projects. • Many DNP projects asked clinical questions and conducted some type of an evidence search. • More than two-thirds of DNP projects continue to follow a research format. • Only 11% of papers had most Roadmap elements that characterized EBP, QI type DNP projects. • AACN White Paper and DNP Project Roadmap may foster EBP, QI type projects and lend consistency in project reporting expectations. [ABSTRACT FROM AUTHOR]

The digitization of electrocardiogram paper records is an essential step to preserve and analyze cardiac data. This digitization process is not flawless as it involves several challenges, such as skew correction, binarization, and signal extraction. Various approaches have been proposed to address these challenges and recent studies have introduced innovative solutions, such as deep learning models and automation processes. Although existing approaches have shown promising results, there is a lack of common databases and metrics where authors could evaluate and compare their methods. Furthermore, the limited accessibility of code or software hinders the comparison process. Overall, while digitization of paper ECG recordings is important in advancing cardiology research, additional efforts are needed to standardize the evaluation process while improving code accessibility. This article provides a systematic review of this process. [ABSTRACT FROM AUTHOR]

Oral potentially malignant disorders (OPMDs) of the oral mucosa include leukoplakia, erythroplakia, erythroleukoplakia, lichen planus, and oral lichenoid lesions, each with varying incidences of dysplastic disease at the time of presentation and each with observed incidences of malignant transformation over time. The primary goal of the management of dysplasia, therefore, includes their early detection and treatment prior to malignant transformation. The recognition and management of these OPMDs and an understanding of their potential progression to oral squamous cell carcinoma will reduce the morbidity and mortality associated with these lesions with expedient and properly executed treatment strategies that will have a positive effect on patient survival. It is the purpose of this position paper to discuss oral mucosal dysplasia in terms of its nomenclature, epidemiology, types, natural history, and treatment to acquaint clinicians regarding the timing of biopsy, type of biopsy, and follow-up of patients with these lesions of the oral mucosa. This position paper represents a synthesis of existing literature on this topic with the intention of closing gaps in our understanding of oral mucosal dysplasia while also stimulating new thinking to guide clinicians in the proper diagnosis and management of OPMDs. The fifth edition of the World Health Organization classification of head and neck tumors published in 2022 represents new information regarding this topic and a construct for this position paper. [ABSTRACT FROM AUTHOR]

This paper reflects the research to design and application the complex method to evaluate the quality of the paper written in the IMRaD format. As a field we choose Russian segment of the financial technologies area since we had interest to use multilingual language model. The method covers paper's relevance to the chosen field and internal topics, the actuality, relation between parts, text borrowing, and experiment part. The clustering and classifying algorithms, and language machine learning model were used. The experimental part based on corpus of Russian papers shows the deviation of method's recommendations from expert opinion not more than 20%. The results may be interested not only reviewers but student as authors of futures papers to avoid common mistakes during paper's writing. [ABSTRACT FROM AUTHOR]

With the development of computer technology, automatic test paper generation systems have gradually become an effective tool for detecting and maintaining national machine security and protecting the rights and interests of workers. This article achieved multi-level oral scores for different types of questions through online scoring using artificial neural networks in recent years. Based on its specific situation and evaluation index requirements, an analysis module that is reasonable, efficient, and in line with the hierarchical structure and module requirements of national conditions has been designed to complete the research on automatic test paper generation technology, in order to help better manage and allocate human resources and improve production efficiency. Afterwards, this article conducted functional testing on the technical module. The test results showed that the scalability of the system was over 82%. [ABSTRACT FROM AUTHOR]

The residue of fungicides in food packaging paper materials is one of the important factors leading to food safety problems, which poses a serious threat to public health. (2-benzothiazolylthio) methyl thiocyanate (TCMTB) is an important anti-mildew fungicide, which is widely used in wood and paper industry. In order to ensure the health of consumers, it is of great significance to establish an efficient and sensitive rapid detection method for TCMTB in food packaging materials. In this study, we prepared monoclonal antibody (mAb) against TCMTB with the IC 50 value of 7.60 ng/mL, and subsequently developed an immunochromatographic assay (ICA) strip based on the mAb for the rapid detection of TCMTB residues. The calculated detection limit of the ICA strip in food packaging paper was 3.20 ng/g, and the recovery rate was within an acceptable range, ranging from 97.7% to 102.7%. Therefore, the developed ICA is expected to realize the rapid screening of TCMTB residues in food packaging paper. [ABSTRACT FROM AUTHOR]

In this white paper, the ACR Pediatric AI Workgroup of the Commission on Informatics educates the radiology community about the health equity issue of the lack of pediatric artificial intelligence (AI), improves the understanding of relevant pediatric AI issues, and offers solutions to address the inadequacies in pediatric AI development. In short, the design, training, validation, and safe implementation of AI in children require careful and specific approaches that can be distinct from those used for adults. On the eve of widespread use of AI in imaging practice, the group invites the radiology community to align and join Image IntelliGently (www.imageintelligently.org) to ensure that the use of AI is safe, reliable, and effective for children. [ABSTRACT FROM AUTHOR]

Cardiovascular disease (CVD) is a chronic non-communicable disease (NCD) and the predominant cause of morbidity and mortality worldwide. Substantial reductions in the CVD prevalence have been achieved in recent years by the attenuation of risk factors (particularly hypertension and dyslipidaemias) in primary and secondary prevention. Despite the remarkable success of lipid lowering treatments, and of statins in particular, in reducing the risk of CVD, there is still an unmet clinical need for the attainment of guideline lipid-targets in even 2/3 of patients. Bempedoic acid, the first in-class inhibitor of ATP-citrate lyase presents a new approach to lipid-lowering therapy. By reducing the endogenous production of cholesterol, upstream of the rate-limiting enzyme HMG-CoA-reductase, i.e., the target of statins, bempedoic acid reduces circulating plasma concentrations of low-density lipoprotein cholesterol (LDL-C), and major adverse CVD events (MACE). Bempedoic acid has the potential to contribute to the reduction of CVD risk not only as monotherapy, but even further as part of a lipid-lowering combination therapy with ezetimibe, reducing LDL-C cholesterol up to 40%. This position paper of the International Lipid Expert Panel (ILEP) summarises the recent evidence around the efficacy and safety of bempedoic acid and presents practical recommendations for its use, which complement the 'lower-is-better-for-longer' approach to lipid management, which is applied across international guidelines for the management of CVD risk. Practical evidence-based guidance is provided relating to the use of bempedoic acid in atherosclerotic CVD, familial hypercholesterolaemia, and statin intolerance. Although there are still no sufficient data avilable for the role of bempedoic acid in the primary prevention of CVD, its favourable effects on plasma glucose and inflammatory markers makes this drug a rational choice in the patient-centred care of specific groups of primary prevention. [ABSTRACT FROM AUTHOR]

In the past decades, the German paper industry has been increasing the sustainability of paper production by continuously using more recovered paper. Today, recovered paper is an essential secondary raw material to produce new paper. Nevertheless, around 20 % of the paper produced in Germany is still not returned to the recovered paper stream and instead is mostly thermally used. To further increase the use of fibers from recovered paper as secondary raw material and thus, to reduce primary energy consumption and greenhouse gas emissions, new approaches to recycle recovered paper from mixed waste streams are needed. In the research project "Energy savings in paper production by opening up the value chains of recovered paper from lightweight packaging, residual waste and commercial waste" (EnEWA), a treatment process is developed to recover and recycle recovered paper from the mentioned waste streams. The advanced mechanical process to be newly developed consists of dry-mechanical sorting, the manufacturing of economically usable secondary raw materials (defibration), their wet-mechanical dissolution, separation and hygienization and finally their reuse in paper production. This enables the exploitation of new waste streams in material recycling and thus contributes to reduced energy consumption as well as CO2 emissions within the circular economy. Initial material characterization analyses show that on the one hand the quality of the paper discarded in mixed waste streams is sufficient to be used as secondary raw material and that on the other hand up to 50 % of the paper discarded could have been disposed of within the separate paper collection. The results are incorporated in the development of a sorting process for pre-concentrates, which serves as input material for the treatment process to recover paper fibers. In further steps, the results generated will be integrated, for instance, into the future development of the minimum standard for packaging recycling. [ABSTRACT FROM AUTHOR]

An ongoing challenge in academic radiology is balancing the need to read the scans and generate relative value units (RVUs) with the need to ensure academic leadership and the consistent production of impactful publications. Indeed, the tripartite mission of academic radiology (i.e. clinical care, research, and teaching) does not lend itself to obvious answers in an era when institutions and departments are increasingly focused on RVU generation. Even the minority of radiologists who are interested in pursuing the academic mission and accept academic jobs are likely to find their time increasingly squeezed by massive volumes of scans to read and the priority placed on RVU generation. There are often no incentives for impactful academic work, leading to a decreasing relative number of manuscript submissions from U.S.-based researchers. With the lack of external incentivization for publication, writing and publishing papers must instead be driven by intrinsic enjoyment and a sense of accomplishment. The ability to think of an idea, to get a group of co-authors together, to acquire the data and/or put together the idea into a form that is ready for final publication, and to see that process through to the end is rewarded only by personal satisfaction. Perhaps, in the era of RVU generation, publishing papers in a form of defiance of a system that is hampering the academic mission. [ABSTRACT FROM AUTHOR]

Traditional paper-based educational systems posed significant challenges in centralizing institutional education resources, tracking completion, and referencing back to education presentations, thereby inhibiting seamless access, collaboration, and completion. Our project aimed to improve nursing education by transitioning from paper-based educational items to a digital Learning Management System (LMS) to enhance accessibility, completion, and tracking of educational requirements. Our primary objective was to streamline and consolidate all education materials into one comprehensive digital LMS – a centralized platform of educational resources from multiple sites to give staff easy access to all education materials for easy reference and tracking. We surveyed nurses on previous-existing paper-based educational items and how it affected their overall satisfaction. A fishbone diagram showed us areas of improvement for institutional and unit-based education items. We collaborated with the PACU Leadership and Education Committee nursing teams to identify a suitable LMS platform and organize the educational content and process. We conducted group and individual training sessions to familiarize staff with the new digital system, to ensure a smooth transition. Continuous feedback loops were placed to enhance user experiences and evolving needs. We sought to improve the ability of staff to complete education items by their due dates by 10% and reached 12% improvement. The level of feeling overwhelmed was also reduced by 13%. The successful implementation of the digital LMS resulted in a centralized hub for all nursing education resources, seamless access to assignments, and serves as a tracking system for members and leadership that can ultimately improve patient care outcomes. The digital LMS has significantly reduced time spent searching for paper materials and increased engagement in learning activities, leading to improved efficiency and productivity. The digital LMS has foundationally created a way to leverage advanced technologies and foster a culture of continuous learning, which contributes to improved patient care, enhanced patient safety, and overall advancement of the perianesthesia nursing practice. The success of this transformation highlights the importance of embracing digital solutions to optimize education communication in healthcare. [ABSTRACT FROM AUTHOR]

Texas has the highest age-adjusted incidence rate of hepatocellular carcinoma (HCC) in the United States. The Cancer Prevention and Research Institute of Texas has funded the Texas Collaborative Center for Hepatocellular Cancer (TeCH) to facilitate HCC research, education, and advocacy activities with the overall goal of reducing HCC mortality in Texas through coordination, collaboration, and advocacy. On September 17, 2022, TeCH co-sponsored a multi-stakeholder conference on HCC with the Baker Institute Center for Health and Biosciences. This conference was attended by HCC researchers, policy makers, payers, members from pharmaceutical industry and patient advocacy groups in and outside of Texas. This report summarizes the results of the conference. The goal of this meeting was to identify different strategies for preventing HCC and evaluate their readiness for implementation. We call for a statewide (1) viral hepatitis elimination program; (2) program to increase nonalcoholic steatohepatitis and obesity awareness; (3) research program to develop health care models that integrate alcohol associated liver disease treatment and treatment for alcohol use disorder; and (4) demonstration projects to evaluate the effectiveness of identifying and linking patient with advanced fibrosis and cirrhosis to clinical care. [ABSTRACT FROM AUTHOR]