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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]

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]

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]

The use of household waste-derived materials for wastewater treatment has double environmental benefit due to the availability of simultaneous disposal of household waste and wastewater. In this work, we report the facile production of phosphorus-rich carbon from waste paper as a potential adsorbent for the disposal of uranium (VI)-containing nuclear wastewater. A simple phosphoric acid activation-carbonization strategy is developed to effectively transform waste paper into carbon. The phosphorus content of the obtained carbon reaches 8.55 at% and large pores with sizes ranging from 2 to 100 nm are observed. Batch and column adsorption experiments verify that waste paper-derived carbon can efficiently adsorb uranium (VI) from aqueous solution under weakly acidic conditions. The maximum amount of uranium adsorption on the carbon attains 492 mg g−1 at pH 4.6, and adsorption of uranium (VI) on the carbon quickly reaches the equilibrium within 20 minutes. The distribution coefficient of uranium (VI) on waste paper-derived carbon is as high as 128 L g−1. The carbon can be reused for five times with uranium (VI) adsorption efficiencies above 89% and can be used for dynamic adsorption of uranium (VI) in a fix-bed column. Kinetics, thermodynamics and DFT calculations reveal a surface complexation mechanism between uranium (VI) ion and ionized phosphoric acid group. Moreover, to avoid the generation of secondary polluted water during the treatment of uranium-containing nuclear wastewater, a water-saving method is developed for the adsorption preparation and a water-free combustion method is employed for the disposal of uranium-containing spent adsorbent instead of recycling. This study demonstrates the good application potential of household waste-derived materials in wastewater treatment and provides more clues for the amalgamation of multifold subjects. [Display omitted] • The integration of wastes recycling and wastewater treatment. • Facile production of phosphorus-rich carbon from waste paper. • High uranium adsorption efficiency and good selectivity. • Investigation of the mechanism based on DFT calculation. [ABSTRACT FROM AUTHOR]

A Self-powered energy and display system (SPEDS) has been developed by integrating functionalities of energy harvesting, storage, and multicolor display, heralding innovative solutions for integrated electronic devices. An all-in-one multi-information SPEDS is proposed through incorporating a multicolor electrochromic supercapacitor device (ESCD) with a dual-sided triboelectric nanogenerator (TENG), all screen-printed on a paper substrate. The synergistic enhancement in the conductive, capacitive, and electrochromic performance is realized by exploiting the complementary properties of PEDOT:PSS/PANI:PSS to form a simplified structure of ESCD, in which the electrode and electrochromic layers are integrated into one shared layer, resulting in a wide color gamut and an enhanced capacitive performance of 3.4 mF/cm². Electrochromic electrodes having identical composition exhibit independent color changes at the anode and cathode, thereby featuring a combined color display indicating multi energy-related information. Moreover, the conductive layer fabricated through patterned printing on the paper substrate, serves as both the electrode layer for TENG and the interconnect circuitry with the prepared ESCD. Furthermore, a double-sided TENG was realized by exploiting the triboelectric properties of the paper substrate and then a self-powered energy display wristband was constructed, exemplifying a novelty application utilizing the multi-information indicator properties for energy display derived from the dual-sided friction power generation. [Display omitted] • Complementary features synergistically enhance energy storage and color modulation. • Dual-electrode construction with identical composition achieves combined color display. • A dual-sided paper-based TENG is developed. • All-in-one SPEDS printed and integrated on a single paper substrate. [ABSTRACT FROM AUTHOR]

• With WiDeST, you can score the quality of paper-based concept maps and, thus, the richness of a mental model. • You can also track mental model development over time without computer-based applications. • Based on two studies, WiDeST is reliable across time, skills, and educational levels. Drawing a paper-based concept map gives students more freedom to express their mental model than digital concept mapping tools. However, this freedom can hinder a uniform structure and make determining the structural quality of students' mental models more difficult. In this dual-study paper, we develop and determine the reliability of our Width, Depth and Strength Tool (WiDeST) for assessing paper-based concept maps in secondary and tertiary education. In the first study, 157 secondary education students created 1377 concept maps in a longitudinal design over 24 weeks. The first study's results indicate that WiDeST is reliable, with an Omega Total of 0.81. Test-retest stability (ICCk2) ranges between 0.72 and 0.84. To test whether WiDeST remained reliable in tertiary education, we undertook a second study in which 80 students created 80 concept maps. The second study's results show that WiDeST is reliable with an Omega total of 0.70. WiDeST remained reliable while the structural complexity of the mental models increased from secondary education to tertiary education. [ABSTRACT FROM AUTHOR]

The aim of the paper is twofold: 1. To present observations based on first-year nursing students' narratives during clinical rotation in gerontological nursing care; and 2. Explore a nursing educator's reflections on these observations in relation to the didactic and ethical challenges that occurred. The teaching of ethics is included in nurse education worldwide. Students are in their first clinical placement in residential care of older persons confronted with the moral complexities of gerontological care, where they get little possibility to share emotions and thoughts about ethically challenging nursing situations with a supervising registered nurse. A critical discussion paper. The educator's reflections in this discussion paper are based on a narrative assignment in ethics where first-year nursing students reflect on and describe a nursing situation during their clinical rotation in the residential care of older persons. Most students were acting as mere spectators in the described nursing situation where an older person, ethical standards, or evidence-based care was violated. Some students acted as advocates to the older person and intervened in the situation and a few as inspirers showing alternative ways of handling ethically challenging situations. Educators in nursing programs at the undergraduate level require time for student-centered formative guidance to foster moral courage and practice. During first-year students' clinical rotation, the learning goals in long-term residential care of older persons are focused on evidence-based basic nursing care. In this, students are confronted with ethically challenging situations, where the possibility to learn from a critical reflective practice is rare. When observing situations where an older person is subjected to unethical or unsafe nursing care it is common that the students take the spectators' role, not knowing how to deal with what is observed. Some students are taking an intervening role by trying to alleviate the vulnerability of the older person. A few are showing moral courage by directly intervening when experiencing unethical or unsafe nursing care or conduct. In this the student can inspire fellow students or staff during their clinical rotation in alternative ways of handling ethically challenging situations. As older persons are the largest demographic group that nurses will experience, educators need a sound knowledge of ethics as well as gerontological care to be able to meet and nurture students' ethical reflections during clinical practice and to foster practical wisdom in nursing. [ABSTRACT FROM AUTHOR]

• A new indicator, SMIAltmetric, for measuring scientific paper's social media impact. • Key impact factors: Followers, retweets, mentions, and Citation. • SMIAltmetric outperforms Altmetric in finer differentiation. The rise of social media has significantly influenced scholarly communication, knowledge dissemination, and research evaluation, leading to the enrichment of alternative metrics (altmetrics) for evaluating academic papers' social impact, which assesses the social impact of academic papers through online activities, including reading, bookmarking, downloading, and commenting. However, these altmetrics often focus on the number of mentions on social media rather than thoroughly evaluating the source, content, and dissemination of these mentions. To address this gap, this study introduces the social media impact altmetric (SMIAltmetric), which is based on 44,087 publications and 860,680 tweets (now "posts"), a comprehensive scoring system for evaluating scientific papers on Twitter (now "X"), using diverse features, including literature-related, social media engagement-related, user-related, and content-related features. Employing Altmetric Attention Acores (AAS) as labels, we tested eight machine learning algorithms, with XGBoost demonstrating the highest accuracy at 0.8672. Crucial factors influencing SMIAltmetric, as identified by the SHAP value, were followers, retweets, mentions, and citation. Furthermore, consistency analysis and convergent validation between the proposed SMIAltmetric and AAS confirm the reliability and finer differentiation of SMIAltmetric. The proposed SMIAltmetric provides a more comprehensive understanding of a paper's social media impact, enhancing the evaluation of scientific discourse and its engagement with society. [ABSTRACT FROM AUTHOR]

Methods to rank documents in large-scale citation data are increasingly assessed in terms of their ability to identify small sets of expert-selected papers. Here, we propose an algorithm for the accurate identification of milestone papers from citation networks. The algorithm combines an influence propagation process with game theory concepts. It outperforms state-of-the-art metrics in the identification of milestone papers in aggregate citation network data, while potentially mitigating the ranking's temporal bias compared with metrics that have similar milestone identification performance. The proposed method sheds light on the interplay between ranking accuracy and temporal bias. • We transform citation networks into influence propagation networks by reversing the citation relationships. • We propose a novel diffusion-based metric for ranking papers, combining influence propagation and game theory. • Experiments on APS and DBLP datasets demonstrate the effectiveness of our metric in identifying milestone papers. [ABSTRACT FROM AUTHOR]

• We classified the field normalization methods into linear and nonlinear methods. • Nonlinear field normalization citation counts should not be added or averaged. • We analyzed why the nonlinear normalized citations should not be added or averaged. • We provided mathematical proofs for the crucial steps of the above analysis. • Our mathematical proof is applicable to all nonlinear data in real number domain. Nonlinear field normalization citation counts at the paper level obtained using nonlinear field normalization methods should not be added or averaged. Unfortunately, there are many cases adding or averaging the nonlinear normalized citation counts of individual papers that can be found in the academic literature, indicating that nonlinear field normalization methods have long been misused in academia. In this paper, we performed the following three research works. First, we analyzed why the nonlinear normalized citation counts of individual papers should not be added or averaged from the perspective of theoretical analysis in mathematics: we provided mathematical proofs for the crucial steps of the analysis. Second, we systematically classified the existing main field normalization methods into linear and nonlinear field normalization methods. Third, we used real citation data to explore the error effects caused by adding or averaging the nonlinear normalized citation counts on practical research evaluation results. The above three research works provide a theoretical basis for the proper use of field normalization methods in the future. Furthermore, because our mathematical proof is applicable to all nonlinear data in the entire real number domain, our research works are also meaningful for the whole field of data and information science. [ABSTRACT FROM AUTHOR]

• The definition and measurement indicators of Citation Discontinuance (CD) are introduced. • The feasibility of utilizing CD to represent the durability of citation diffusion. • Influence of interdisciplinarity of scientific papers on the durability of citation diffusion, varying by discipline. Whether interdisciplinarity leads to greater success in research remains a question that is still unresolved. Investigating the impact of interdisciplinarity of scientific papers on the durability of their citation diffusion is of significant importance. Combining the concept of discontinuance in the theory of innovation diffusion and citation trajectory scenarios, this study proposes the definition and measurement indicators of Citation Discontinuance (CD), and examines the feasibility of using CD as a descriptor for the durability of citation diffusion. Using CD-related features as the dependent variable, hierarchical multiple regression is employed to explore the influence of interdisciplinarity of scientific papers on the durability of citation diffusion. The findings reveal that CD is commonly observed in citation diffusion and can serve as an indicator for describing the durability of citation diffusion. From the perspective of CD, the interdisciplinarity of scientific papers shows a positive impact on the durability of citation diffusion. This effect will also vary by discipline. [ABSTRACT FROM AUTHOR]

Oxytenanthera abyssinica has been investigated as a possible substitute raw material for pulp and paper production because of its long fiber (2.40 mm), larger fiber width (21.83 μm), and flexibility ratio (0.72), smaller Runkel ratio (0.35), large slenderness ratio (109.98), and thinner cell wall thickness (2.74 μm). A response surface methodology (RSM) method was applied to explore and identify the best conditions for soda processing of the O. abyssinica stem. Soda concentration, cooking temperature, and cooking time were used to optimize the process of pulp production and the Kappa number (KPN). Under optimal conditions such as 180 min cooking time, 20 % active alkali, and 165 °C cooking temperature, the highest pulp yield and the lowest KPN were 43.48 % and 19.9, respectively. The optimized pulp was used to make a paper sheet having mechanical characteristics of the tensile index (28.23 Nm/g), tearing index (10.70 mNm2/g), and Burst index (1.11 kPam2/g). This study demonstrates that O. abyssinica pulp can produce paper with mechanical properties of medium strength equivalent to that of paper using a more environmentally friendly pulping process such as soda pulping compared to kraft and sulfite pulping. In summary, it can be inferred that O. abyssinica holds significant promise as a substitute raw material for pulp and paper industries. However, it is recommended to conduct pilot plant studies for further exploration. [ABSTRACT FROM AUTHOR]

Pre-evaluating scientific paper quality aids in alleviating peer review pressure and fostering scientific advancement. Although prior studies have identified numerous quality-related features, their effectiveness and representativeness of paper content remain to be comprehensively investigated. Addressing this issue, we propose a content-based interpretable method for pre-evaluating the quality of scientific papers. Firstly, we define quality attributes of computer science (CS) papers as integrity , clarity , novelty , and significance , based on peer review criteria from 11 top-tier CS conferences. We formulate the problem as two classification tasks: Accepted/Disputed/Rejected (ADR) and Accepted/Rejected (AR). Subsequently, we construct fine-grained features from metadata and knowledge entity networks, including text structure, readability, references, citations, semantic novelty, and network structure. We empirically evaluate our method using the ICLR paper dataset, achieving optimal performance with the Random Forest model, yielding F1 scores of 0.715 and 0.762 for the two tasks, respectively. Through feature analysis and case studies employing SHAP interpretable methods, we demonstrate that the proposed features enhance the performance of machine learning models in scientific paper quality evaluation, offering interpretable evidence for model decisions. • Define four criteria for quality evaluation of scientific papers: integrity, clarity, novelty, and significance. • Propose a framework for quality evaluation of scientific papers based on coarse features and knowledge entity network. • An effective algorithm for measuring the novelty and significance of scientific papers based on knowledge entity networks. • Create and release a rigorous dataset, which could serve as the gold standard for quality evaluation of scientific papers. • Conduct extensive experiments to validate the effectiveness of the proposed framework. [ABSTRACT FROM AUTHOR]

While climate change is often understood as a collective action and a market problem, we look at it as a problem of planning and coordination. Long-term planning is necessary to promote structural change, which will be required to keep the Paris Agreement's temperature goals. By encouraging states to develop a long-term climate strategy, the Paris Agreement invites countries to turn anticipatory governance into an international governance instrument. In this paper we explore how these strategies describe countries' climate plans and what the perceptions of government officials are about the potential for realization of these strategies. Using mixed methods, we explore both 1) planning dimensions (actions, actors and policies described in the strategies) by applying a topic modeling analysis to 50 documents; and 2) perceptions of the content and challenges to their realization among domestic policy professionals of four major emitters. Our results show that the strategies lack a detailed discussion on how decarbonization pathways could be materialized and who has the responsibility for implementation of long-term targets. Moreover, rather than being a steering instrument, the strategies are dominated by scenario planning and there is also a lack of attention to political issues. Taken together, we contend that strategies are limited in the way they present the future possibilities of low emissions development. To make them more effective in steering long-term decarbonization, greater attention needs to be placed on potential conflicts, barriers and stumbling blocks that may arise along the way. • Long-term climate planning has potential to shift the way we address climate change. • The language used in the strategies are dominated by technical terms and GHG emissions scenarios. • The strategies tend to reduce the political and social complexities of climate change. • As governance instruments, the strategies lack capacity to guide implementation and guidance on how to solve goal conflicts. • The strategies' main value is to provide a platform for alternative discussions. [ABSTRACT FROM AUTHOR]

Transoesophageal echocardiography (TOE) is a well-established imaging modality, providing more accurate and of higher quality information than transthoracic echocardiography (TTE) for a wide spectrum cardiac and extra-cardiac diseases. The present paper represents an effort by the Echocardiography Working Group (WG) of the Hellenic Cardiology Society to state the essential steps of the typical TOE exam performed in echo lab. This is an educational text, describing the minimal requirements and the preparation of a meticulous TOE examination. Most importantly, it gives practical instructions to obtain and optimize TOE views and analyses the implementation of a combined two-and multi-dimensional protocol for the imaging of the most common cardiac structures during a TOE. In the second part of the article a comprehensive review of the contemporary use of TOE in a wide spectrum of valvular and non-valvular cardiac diseases is provided, based on the current guidelines and the experience of the WG members. [ABSTRACT FROM AUTHOR]

To discuss person-centred care in nursing education and the role of online pedagogy to facilitate meaninful learning. The core principles and values of person-centred care are at the centre of national and international healthcare education. Person-centred care recognises partnerships and relationships between nurses, healthcare practitioners and individual patients, carers and their families and part of the training of healthcare professionals. However, the literature on how person-centred care is taught to facilitate meaningful learning in nursing education particularly in the context of online pedagogy is limited. A critical discussion paper. A critical discussion of person-centred care and online pedagogy that can facilitate teaching practices are presented, drawing on authors' positionality and case exemplars. Teaching person-centred care using online pedagogy appears to have a promising impact on undergraduate and postgraduate nursing students' experiences. Engaging students in critical examination and reflection on the complexities of person-centred care in practice creates meaningful experiential learning for both students and educators. Evidence suggests that the use of online pedagogy is a beneficial and effective way to incorporate the teaching of person-centred care into nursing education, yet more evidence is needed to evaluate its impact on nursing practice. [ABSTRACT FROM AUTHOR]

The phenomenon of loneliness among healthcare providers, particularly nurses, has garnered increasing attention due to its detrimental effects on individual well-being and professional retention. The isolation experienced by nurses has been linked to heightened turnover rates and intentions to leave the profession, posing significant challenges to healthcare systems globally. Recognizing loneliness as an epidemic in 2023, the U.S. Surgeon General highlighted the urgency of addressing this issue within the healthcare workforce. This paper explores evidence-based strategies to mitigate loneliness and promote social connectedness among nurses, drawing insights from various stakeholders. It aims to offer actionable recommendations to enhance the nursing experience and retain professionals in the field. Strategies include peer support programs, mentorship initiatives, wellness activities, and fostering open communication. Leveraging technology for virtual connections is also highlighted, especially in remote work scenarios. A holistic approach is vital, combining individual, interpersonal, and systemic interventions to combat nurse loneliness. Prioritizing social connectedness fosters a supportive work environment, benefiting both nurses and patient care quality. • Policies promoting social connection and belonging improve nursing work environments. • Supportive work relationships enhance belongingness and nurse well-being. • Nurse leaders foster belonging with positive communication and supportive teamwork. • Faculty mentorship and social support systems improve nursing student experiences. • Social connectedness and belonging reduce the risk of burnout in nursing professionals. [ABSTRACT FROM AUTHOR]