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Background The screening of biological hazards, chemical contaminants and allergens in food products is a major concern of food industry since they can cause serious illnesses and even lead to death. Therefore, there is a significant interest in developing low-cost, robust, and rapid detection methods for food safety and quality analysis. Conventional methods provide accurate analytical characteristics, but require well-equipped laboratories, trained personnel, costly reagents, and complicated sample preparation procedures prior to the detection in order to obtain reliable results. Hence, they are not always ideal for on-site food surveillance. Scope and approach This paper discusses the fundamentals of microfluidic paper-based analytical devices (μPADs) and reviews the recent progress in their usage for screening biological hazards, harmful chemical residues, and allergens in food products to systematically evaluate the strengths and weaknesses of this technology. It then covers future trends and useful strategies that could be employed in μPADs design and fabrication procedures to address the critical challenges in equipment-free food analysis. Key findings and conclusions μPADs offer promising avenues to revolutionize food safety and quality analysis with merits of equipment-free sample preparation and detection at low-cost. Despite the advancement in the microfluidic technology, the manufacturing of user-friendly sample-to-answer μPADs still requires intensive research studies to be employed for robust and sensitive food safety and quality analysis.

Palliative radiation therapy (pRT) is an effective tool for people with incurable cancer, in the treatment of many cancer-related symptoms such as pain, bleeding and dyspnea. As utilization rates for palliative radiation therapy increase, the demands on the healthcare system continue to grow. Radiation Therapists with advanced knowledge, skills and judgements began demonstrating their ability to practice autonomously in 2004, with the development of the Clinical Specialist Radiation Therapist (CSRT) role. Since this time, CSRTs with a specific focus in pRT (pCSRT) have been increasing in both numbers as well as their positive effects on the cancer care system. Integrating a pCSRT into the existing pRT system has resulted in increased access to and quality of pRT being delivered to palliative cancer patients. The benefits of the addition of pCSRTs to the cancer care system include increasing system capacity and increasing quality of care. This white paper provides information related to the improvements that can be realized in a RT program related to the care and treatment of its palliative patients by adding a pCSRT to the interprofessional healthcare team and suggest it as one of many strategies that can be undertaken to make improvements to access and quality of care.

This article discusses Freud’s presentation on telepathy to his close colleagues at the meeting in the Harz mountains in 1921. It considers the fate of his paper and the reasons why he never published it as a single piece. The development of Freud’s ideas about telepathy during the succeeding years and the reasons that prompted him finally to publish his views on thought-transference in 1925 are also considered. The article also discusses the place of the four cases presented in his writings on telepathy over this period, culminating in his new ‘lecture’ on Dreams and Occultism in 1933. It is suggested that Freud’s persuasion that psychoanalysis could credibly account for thought-transference was in part affected by the degree of trust he held in those presenting him with material, but most of all by his own personal experience. Freud held out against opposition from people like Jones on the matter of the worthiness of the subject for investigation, but never succeeded in integrating it more fully into psychoanalysis, and this position is largely unchanged today.

Illicit drug use causes over half a million deaths worldwide every year. Drugs of abuse are commonly smuggled through customs and border checkpoints and, increasingly, through parcel delivery services. Improved methods for detection of trace drug residues from surfaces are needed. Such methods should be robust, fieldable, sensitive, and capable of detecting a wide range of drugs. In this work, commercially produced paper with a pressure-sensitive adhesive coating was utilized for the collection and analysis of trace drug residues by paper spray mass spectrometry (MS). This modified substrate was used to combine sample collection of drug residues from surfaces with rapid detection using a single paper spray ticket. The all-in-one ticket was used to probe different surfaces commonly encountered in forensic work including clothing, cardboard, glass, concrete, asphalt, and aluminum. A total of 10 drugs (acetyl fentanyl, fentanyl, clonazolam, cocaine, heroin, ketamine, methamphetamine, methylone, U-47700, and XLR-11) were evaluated and found to be detectable in the picogram range using a benchtop mass spectrometer and in the low nanogram range using a portable ion trap MS. The novel approach demonstrates a simple yet effective sampling strategy, allowing for rapid identification from difficult surfaces via paper spray mass spectrometry.

The study attempted to assess the water quality around paper mill effluents discharge areas. Several physicochemical parameters and the Canadian Council of Ministers of the Environment (CCME) Water Quality Index (WQI) were considered to determine the pollution level of surface and groundwater in the selected paper mills areas located in Saidpur, Gobindaganj, and Dupchanchia Upazilas of Bangladesh. Physicochemical characterization of the surface water around the paper mills areas showed that the concentration of EC, TSS, BOD5, COD, phenols, NO3−-N, and K+were exceeded the surface water standard, whereas the DO level ranged from 1.63 to 3.5 were found below the Environmental Conservation Rules (ECR), 1997 standard. Besides, the BOD, COD, and Mn ion concentrations of groundwater exceeded the drinking water standard. In most sampling sites, the WQI of the surface water showed ‘marginal’ category, and the groundwater quality showed 'fair' category. The study observed that the toxic effluents discharged from the paper mills caused harm to the aquatic ecosystem.

European pharmaceutical companies have a legal requirement to provide non-promotional Medical Information (MI) services to support healthcare professionals (HCPs) who are using their medicinal products. While the industry has self-regulating bodies with established Codes of Practice, these mainly focus on promotional messaging and commercial activities. In the absence of similar frameworks for MI, such services struggle to understand how to meet HCP digital expectations, often in fear of breaching the promotional codes. This is limiting access to the wealth of non-promotional patient-focussed information held within the industry. Meanwhile, a large volume of unregulated, low-quality information can be readily found on the internet. To understand the current status, the Medical Information Leaders in Europe (MILE) industry association performed a benchmarking survey which explored the online MI service provision of 13 mid-large pharmaceutical companies across Europe. This highlighted a great diversity in approach in terms of geographical coverage and content. Visibility and access for HCPs is complex, compromising online engagement and website utilisation. This MILE position paper highlights the critical need to establish a clear governance model, which empowers pharmaceutical company MI functions to provide unbranded, non-promotional, medicinal product information sources to support HCP online information needs. It is essential to build confidence, transparency and trust by establishing a practical quality framework with principles and standards for online MI services for HCPs.

International audience; In 2014 leading publishers withdrew more than 120 nonsensical publications automatically generated with the SCIgen program. Casual observations suggested that similar problematic papers are still published and sold, without follow-up retractions. No systematic screening has been performed and the prevalence of such nonsensical publications in the scientific literature is unknown. Our contribution is 2-fold. First, we designed a detector that combs the scientific literature for grammar-based computer-generated papers. Applied to SCIgen, it has a 83.6% precision. Second, we performed a scientometric study of the 243 detected SCIgen-papers from 19 publishers. We estimate the prevalence of SCIgen-papers to be 75 per million papers in Information and Computing Sciences. Only 19% of the 243 problematic papers were dealt with: formal retraction (12) or silent removal (34). Publishers still serve and sometimes sell the remaining 197 papers without any caveat. We found evidence of citation manipulation via edited SCIgen bibliographies. This work reveals metric gaming up to the point of absurdity: fraudsters publish nonsensical algorithmically generated papers featuring genuine references. It stresses the need to screen papers for nonsense before peer-review and chase citation manipulation in published papers. Overall, this is yet another illustration of the harmful effects of the pressure to publish or perish.

This research presents a solar-blind (UVC) office paper-based photodetector that is self-biased, superflexible, nonwettable, high-performance, and high-voltage stable. In contrast to the traditiona...

In this paper, we present a system for automatic evaluation of the quality of a question paper. Question paper plays a major role in educational assessment. The quality of a question paper is crucial to fulfilling the purpose of the assessment. In many education sectors, question papers are prepared manually. A prior analysis of a question paper might help in finding the errors in the question paper, and better achieving the goals of the assessment. In this experiment, we focus on higher education in the technical domain. First, we conducted a student survey to identify the key factors that affect the quality of a question paper. The top factors we identified are question relevance, question difficulty, and time requirement. We explored the strategies to handle these factors and implemented them. We employ various concepts and techniques for the implementation. The system finally assigns a numerical quality score against these factors. The system is evaluated using a set of question papers collected from various sources. The experimental results show that the proposed system is quite promising.

The American Society for Parenteral and Enteral Nutrition (ASPEN) Position Paper focus is on applying the 4 ethical principles for clinician's decision-making in the use of artificially administered nutrition and hydration (AANH) for adult and pediatric patients. These basic principles are (1) autonomy, respect the patient's healthcare preferences; (2) beneficence, provide healthcare in the best interest of the patient; (3) nonmaleficence, do no harm; and (4) justice, provide all individuals a fair and appropriate distribution of healthcare resources. Preventing and resolving ethical dilemmas is addressed, with an emphasis on a collaborative, interdisciplinary approach. Optimizing early communication and promoting advance care planning, involving completion of an advance directive, including designation of a surrogate decision-maker, are encouraged. Clinicians achieve respect for autonomy when they incorporate the patient, family, community, country, geographical, and presumed cultural values and religious belief considerations into ethical decision-making for adults and children with a shared decision-making process. These discussions should be guided by the 4 ethical principles. Hospital committees and teams, limited-time trials, clinician obligation with conflicts, and forgoing of AANH are addressed. Specific patient conditions are addressed because of the concern for potential ethical issues: coma, decreased consciousness, and dementia; advanced dementia; cancer; eating disorders; and end-stage disease/terminal illness. Incorporated in the Position Paper are ethical decisions during a pandemic and a legal summary involving ethical issues. International authors presented the similarities and differences within their own country or region and compared them with the US perspective.

In the today’s context of COVID-19, when a strong need of disposable items without compromising the environmental attributes is being felt, “Paper” is becoming a very mesmerizing and quintessential object. We find paper in our lives so omnipresent and enduring that we take it granted without understanding its complex nature, manufacturing/development process and the significant role, it has actually played in the history of civilization. It is so important that the Per Capita Consumption of paper for a country reflects the development status of its society. Therefore, this article attempts to introduce paper with its historical development, manufacturing process, environmental concerns, ways to address the environmental concerns, global and national status of pulp and paper industry along with the challenges ahead with a coverage of the potential role it is bound to play in future through an overall transformation of the industry itself.

Flexible paper-based sensors may be applied in numerous fields, but this requires addressing their limitations related to poor thermal and water resistance, which results in low service life. Herein, we report a paper-based composite sensor composed of carboxylic carbon nanotubes (CCNTs) and poly-m-phenyleneisophthalamide (PMIA), fabricated by a facile papermaking process. The CCNT/PMIA composite sensor exhibits an ability to detect pressures generated by various human movements, attributed to the sensor's conductive network and the characteristic "mud-brick" microstructure. The sensor exhibits the capability to monitor human motions, such as bending of finger joints and elbow joints, speaking, blinking, and smiling, as well as temperature variations in the range of 30-90 °C. Such a capability to sensitively detect pressure can be realized at different applied frequencies, gradient sagittas, and multiple twists with a short response time (104 ms) even after being soaked in water, acid, and alkali solutions. Moreover, the sensor demonstrates excellent mechanical properties and hence can be folded up to 6000 times without failure, can bear 5 kg of load without breaking, and can be cycled 2000 times without energy loss, providing a great possibility for a long sensing life. Additionally, the composite sensor shows exceptional Joule heating performance, which can reach 242 °C in less than 15 s even when powered by a low input voltage (25 V). From the perspective of industrialization, low-cost and large-scale roll-to-roll production of the paper-based sensor can be achieved, with a formed length of thousands of meters, showing great potential for future industrial applications as a wearable smart sensor for detecting pressure and temperature, with the capability of electric heating.

Allergo journal international 30(5), 155-168 (2021). doi:10.1007/s40629-021-00178-2, Published by Urban & Vogel, München

Human trafficking is a pandemic human rights violation with an emerging paradigm shift that reframes an issue traditionally seen through a criminal justice lens to that of a public health crisis, particularly for children. Children and adolescents who are trafficked or are at risk for trafficking should receive evidence-based, trauma-informed, and culturally responsive care from trained health care providers (HCPs). The purpose of this article was to engage and equip pediatric HCPs to respond effectively to human trafficking in the clinical setting, improving health outcomes for affected and at-risk children. Pediatric HCPs are ideally positioned to intervene and advocate for children with health disparities and vulnerability to trafficking in a broad spectrum of care settings and to optimize equitable health outcomes.

This study was carried out in an attempt to evaluate the impact of Broussonetia papyrifera as a roughage substitute at different levels on carcase traits, growth performance, meat quality and immune performance in Hu ram lambs. Sixty Hu rams (5 months of age, 26.70 ± 2.14 kg body weight) were randomly divided into four groups. The treatments comprised B. papyrifera supplementation at levels of 0% (G0), 30% (G30), 60% (G60) and 100% (G100) of roughage feed. The results suggested that diet supplemented with B. papyrifera (G100 group) caused a higher average weight gain (AWG) and average daily gain (ADG) than those of G0 group. The highest carcase weight was observed in the G60 group. The chemical and physical properties of the longissimus dorsi muscle of Hu rams showed no significant differences (p>.05). For fatty acid, the G60 group had significantly lower content of saturated fatty acids (SFAs), higher contents of monounsaturated fatty acids (MUFAs) and polyunsaturated fatty acids (PUFAs) and higher PUFA/SFA ratio than other groups (p

The transperineal approach is preferred to reduce prostate biopsy (PB)-related infections. Fluoroquinolones are suspended for prophylaxis of PB in the European Union; therefore, alternative antibiotics based on local resistance, or targeted prophylaxis, in conjunction with povidone-iodine rectal preparation are recommended for transrectal PB.

The efficiency of xylano-pectinolytic enzymes, co-produced by a single microbial strain Bacillus pumilus, was analysed for the recycling of mixed office waste paper through deinking and compared with the alkaline chemical deinking method. Enzymes showed maximum deinking at pH 8.5, pulp consistency of 10%, xylanase-pectinase dose of 12 and 4 IU per gram pulp, respectively, after 120 min of deinking period, and temperature at 50 °C. A chemi-enzymatic approach was employed with xylano-pectinolytic enzymes and various concentrations of deinking chemicals, which showed that enzyme-treated mixed office waste pulp requires only 40% chemicals for deinking, in order to get the almost same level of various handsheets properties, as obtained by the chemical method with 100% chemicals. Similarly, the effluent load of BOD and COD contents was also decreased by 17.90 and 19.75%. This combinational approach of deinking significantly improved the various properties of the handsheets and resulted in gain of 7.5, 9.38, 6.33 and 11.65% in tear factor, burst factor, breaking length and viscosity of the handsheets, while the effective residual ink concentration analysis of deinked handsheets of mixed office waste paper showed deinking efficiency of 22.45%, which revealed the removal of ink particles during enzymatic deinking steps.

Reproductive conflicts are expected in societies where nonbreeding helpers retain the ability to produce offspring. Despite potential competition from reproductively capable nestmates in social wasps, egg laying tends to be monopolised by a single or relatively few queens. Genetic studies on reproductive partitioning in Polistes paper wasps suggest high reproductive skew in the genus. Conflict is thought to be minimal due to nestmate relatedness or the possibility of inheriting a reproductive monopoly on a nest; consequently, there are inclusive fitness opportunities for nonreproductive helpers. However, most studies are limited to temperate wasp species. Given the cosmopolitan distribution of Polistes, genetic data on group conflicts are required for a broader range of tropical species to determine whether these trends apply across climatic zones. We examined female reproductive skew in the Neotropical paper wasp Polistes lanio, genotyping a selection of adults and pupae from established post-emergence nests using single-nucleotide polymorphisms (SNPs). SNP-based pedigree analyses indicate a reproductive monopoly held by a single queen, with queen replacement from natal nestmates and evidence of possible multiple mating. Relatedness between pupal offspring was high (r = 0.71). It is likely that high reproductive skew among females is a founding trait of Polistes societies, conserved among species that have spread into new environments from Indomalayan origins.

The thriving development of the paper industry leaves behind a great amount of pulp and paper mill sludge (PPMS), which constitutes a considerable source of pollution. Experts estimate that...

Throughout this study technology and especially mobile phones was utilized in EFL classrooms in order to see whether it can influence the process of vocabulary formative assessment and consequently improve vocabulary learning of Iranian pre-intermediate EFL learners or not. Two groups of pre-intermediate EFL learners participated in this study. Regarding the first group (FMA) the vocabulary learning of learners was assessed formatively during ten sessions using Socrative mobile application. The vocabulary learning of the second group (FPA) was also assessed formatively but paper and pen were the instruments used by instructor and students to take the tests. After applying quasi-experimental research design including pretest, treatment and posttest and after running independent sample t tests to posttest scores, the results showed that those pre-intermediate EFL learners attending in the group where vocabulary gain was assessed formatively using mobile application named Socrative performed significantly better in posttest than group assessed formatively based on paper and pen (Sig=0.03

This paper compares Léon Walras’ and Augustin Cournot’s views on monetary regulation. It shows that whereas Cournot believed discretionary monetary regulation to be convenient and acceptable, Walras held that the only acceptable monetary system is based exclusively on the stability of the value of money under a monetary rule following a strict equivalence between metallic reserves and a pure medium of exchange form of money. The paper also advances Cournot understood more clearly than Walras the evolution of the monetary system of their days because Walras was trying to guarantee the coherence of his pure theory with his applied theory, which made him unable to accept the evolution toward a monetary system based on fiat money. Este artículo compara las teorías de Léon Walras y Augustin Cournot sobre regulación monetaria. Demuestra que, si bien Cournot creía que era conveniente y aceptable la regulación monetaria discrecional, Walras sostuvo que el único sistema monetario aceptable es el basado en la estabilidad del valor del dinero bajo una regla monetaria que siga una estricta equivalencia entre las reservas metálicas y el dinero, considerado como puro medio de cambio. El artículo también apunta a que Cournot entendió mejor que Walras la evolución del sistema monetario de su época dado que Walras trataba de mantener la coherencia de su teoría pura con su teoría aplicada, lo que hizo que fuera incapaz de aceptar la evolución hacia un sistema monetario basado en dinero fiduciario.

This study was conducted to examine students’ performance in paper-based and online-based tests. In the context of the study, students’ performances were considered in the General Physics course between 2014 and 2015 and 2018–2019 academic years. The participants of this study are 417 students of Engineering and Science faculties at a public university of Kyrgyz Republic. Students’ achievement scores in paper-based and online-based tests were obtained and appropriate statistical analysis methods were employed. According to the results, students’ demographic data (i.e. gender, faculty and major) have different effects on their performance, and students performed better in online-based tests compared to paper-based tests. Additionally, the study aimed to analyze instructor perceptions related to testing types that interviews were conducted with 26 instructors of the General Physics course. The majority of the instructors indicated that they experienced difficulties related to the traditional form of evaluation due to the following reasons: lack of time to give personal feedback to each student, lack of time for objective evaluation, and difficulty of evaluation of crowded student groups. Therefore, they indicated the necessity of online test implementation in the context of the General Physics course.

Background: Although some have noted that combining technical and marketing content is precarious, technical communication professionals are increasingly involved in content marketing, which includes the creation of white papers. Literature review: The little existing literature on white papers provides conflicting guidance about managing the combination of technical and marketing content. Both soft-sell and hard-sell marketing approaches have been recommended. One source of such inconsistent guidance may be the lack of agreement about definitions. Research on print advertisements has described hard and soft selling as multidimensional rather than binary aspects of persuasive appeals. Research question: Which dimensions of hard- and soft-sell appeals are predominant in white papers? Research methodology: To complete our descriptive study, we collected a corpus of documents labeled as white papers in TechRepublic, and then selected and trained three raters to complete a series of judgments about dimensions of persuasive appeals in the corpus. We aggregated those ratings, calculating the mean and standard deviation for the dimensions to describe their distribution across the corpus. Results/discussion: Overall, hard-sell dimensions were more prevalent than soft-sell dimensions. However, the soft-sell category of “implicitness” was also dominant. Conclusion: Our results demonstrate the value of treating hard and soft selling as multidimensional, complementary, and combinatory marketing appeals that allow, for example, a single white paper to be both “subjective” (soft sell), and “precise” (hard sell), or both “creative” (soft sell) and “informative” (hard sell).

Following Swales’ (1990) influential study on research article (RA) introductions, some attention has increasingly been paid to other rhetorical units of both expert and learners’ writing, including titles. A key and effective discursive means through which titles are constructed and presented is the syntactic configuration. The present study, thus, investigates the syntactic structures employed by authors of conference paper titles (CPTs) in Applied Linguistics. A qualitative content analysis was employed to study a corpus of 592 CPTs from a popular conference for researchers, scholars, and practitioners of Applied Linguistics worldwide, supported by some descriptive statistics. The analysis of data study identified three main title styles: Single Unit Title, Compound Unit Title, and Complex Unit Title. The analysis showed that, out of these three title styles, Compound Unit Titles were preferred by researchers. Further, the colon was the dominantly used punctuation mark in separating the components of Compound Unit titles. The final point was that authors preferred prepositional phrases in the post modification of the noun phrase structure of CPTs. The findings of this study have implications for the scholarship on titlelogy, academic writing pedagogy as well as further research.

Japan’s new defence white paper offers an overview of the security environment surrounding Japan and the numerous issues concerning Tokyo’s defence and security policy. It highlights North Korea’s increasing missile-related technologies, China’s growing military power and assertive activities, and the impact of the COVID-19 (coronavirus disease 2019) infection on security issues. Japan will likely remain a cautious security policy player while emerging as a robust military power with growing deterrence and defence capabilities.

Antimicrobial resistance (AMR) continues to threaten global health. Although global and national AMR action plans are in place, infection prevention and control is primarily discussed in the context of healthcare facilities with home and everyday life settings barely addressed.\ud \ud As seen with the recent global SARS-CoV-2 pandemic, everyday hygiene measures can play an important role in containing the threat from infectious microorganisms.\ud \ud This position paper has been developed following a meeting of global experts in London, 2019. It presents evidence that home and community settings are important for infection transmission and also the acquisition and spread of AMR. It also demonstrates that the targeted hygiene approach offers a framework for maximizing protection against colonization and infections, thereby reducing antibiotic prescribing and minimizing selection pressure for the development of antibiotic resistance. If combined with the provision of clean water and sanitation, targeted hygiene can reduce the circulation of resistant bacteria in homes and communities, regardless of a country's Human Development Index (overall social and economic development). Achieving a reduction of AMR strains in healthcare settings requires a mirrored reduction in the community.\ud \ud The authors call upon national and international policy makers, health agencies and healthcare professionals to further recognize the importance of targeted hygiene in the home and everyday life settings for preventing and controlling infection, in a unified quest to tackle AMR.

Urgent care practice (UCP) is a novel concept for India. Urgent care primarily deals with injuries or illnesses requiring immediate care. Medical emergency and urgency can happen anywhere unannounced. Research has shown that 90% of the morbidities can be resolved within the community by primary care physicians lead teams. Given the changing professional demands, non-specialists tend to refer away far too many cases to specialists, undermining generalist medical care, particularly in Indian settings. The spillover of the patient load from the primary care setting to the tertiary care centers is enormous leading to resource mismatch. Family physicians and other primary care providers are best positioned to develop practices and provide good quality urgent care to society. Family physicians, general practitioners, and medical officers are already functioning as the frontline care providers for any emergency or medical urgency arising within communities. Urgent care is essentially ambulatory care or outpatient care outside of a traditional hospital emergency room. "UCP aims to provide timely support, which is easily accessible with a focus on good clinical outcomes, e.g. survival, recovery, lack of adverse events, and complications. Core interventions of urgent care are centered on the 4Rs - Rescue, Resuscitate, Relate, and Refer. At present, there are no available, established training model for future faculty, residents, and medical students on "UCP" in India.

After a 14-year gap, Australia’s 2017 Foreign Policy White Paper advanced a ‘comprehensive framework to advance Australia’s security and prosperity in a contested and competitive world’ (Australian...

Family medicine is the internationally recognized nomenclature for the academic discipline, knowledge domain, and medical specialty of primary care doctors, working in the community setting. Family medicine is defined as a specialty of medicine which is concerned with providing comprehensive care to individuals and families by integrating biomedical, behavioral, and social sciences in the community setting. The distinction of family medicine lies in the tradition of medical generalism, promoting whole person care, in a life cycle mode; providing optimal preventive, promotive, and curative healthcare services in a wide spectrum of setting from home to hospital. In 2016, 92nd report of the department-related parliamentary standing committee on health and family welfare on the “Functioning of the Medical Council of India” has emphasized the need for postgraduate in family medicine. The committee report has noted that “the medical education system is designed in a way that the concept of family physicians has been ignored. The committee recommends that the Government of India in coordination with State Governments should establish robust PG Programs in Family Medicine and facilitate introduction of Family Medicine discipline in all medical colleges. This will not only minimize the need for frequent referrals to specialist and decrease the load on tertiary care but also provide continuous healthcare for the individuals and families. The successive National Health Policies of Government of India–NHP 2002 and 2017 have emphasized the need of family medicine training in India. The recently enacted National Medical Commission Act 2019 has mandated NMC to promote training in family medicine at both undergraduate and postgraduate levels. Therefore, in the background of the stated policies of the Government of India the concept of family doctors, which was earlier neglected should be institutionalized within the mainstream medical education system of India. It is now time to accelerate and upgrade family medicine training and thereby strengthen the concept of comprehensive primary care in India. This white paper presents the review of family medicine training in India and proposes a way forward.

Coronavirus disease 2019 (COVID‐19), a respiratory tract infection caused by a novel human coronavirus, the severe acute respiratory syndrome coronavirus 2, leads to a wide spectrum of clinical manifestations ranging from asymptomatic cases to patients with mild and severe symptoms, with or without pneumonia. Given the huge influence caused by the overwhelming COVID‐19 pandemic affecting over three million people worldwide, a wide spectrum of drugs is considered for the treatment in the concept of repurposing and off‐label use. There is no knowledge about the diagnosis and clinical management of the drug hypersensitivity reactions that can potentially occur during the disease. This review brings togetherall the published information about the diagnosis and management of drug hypersensitivity reactions due to current and candidate off‐label drugs andhighlights relevant recommendations. Furthermore, it gathers all the dermatologic manifestations reported during the disease for guiding the clinicians to establish a better differential diagnosis of drug hypersensitivity reactionsin the course of the disease.

When scholars investigate the legacy of John Maynard Keynes’s Treatise on Probability (1921) for the development of Keynes’s thinking, the attention usually focuses on the connections among Keynes’s probability theory, his conception of decision-making under uncertainty, and the theory of the functioning of the macroeconomic system that derives from it—through the marginal efficiency of capital, the preference for liquidity, and the self-referential functioning of financial markets. By contrast, this paper aims to investigate the connections between Keynes’s probability theory, on the one hand, and his economic policy recommendations, on the other. It concentrates on the policy recommendations defended by Keynes during the Great Depression but also after the General Theory. Keynes’s economic policy can be understood as a framework for decision-making in situations of uncertainty: fiscal policy aims to induce private agents to change their “rational” probability statements, while monetary policy aims to allow more weight to these statements.

Objectives Unlike the technological advances in cross-sectional imaging, the adoption of CR and DR has been relatively overlooked in terms of the additional radiographer skills and competences required for optimal practice. Furthermore, projection radiography is often referred to as basic, plain or other words suggesting simplicity or entry-level skill requirements. Radiographers’ professional identity is connected with the discourse expressed via the language used in daily practice and consequently, if the perception of projection radiography is regarded as simple practice not requiring much reflection or complex decision-making, apathy and carelessness may arise. The purpose of this narrative review was to raise projection radiography from its longstanding lowly place and re-position it as a specialist imaging field. Key findings Danish pre-registration radiography curricula contain little mention of projection radiography and a low proportion (n = 17/144; 11.8%) of Danish radiography students chose to focus on projection radiography within publicly available BSc. theses between 2016 and 2020 as compared to topics related to CT and MRI (n = 60/144; 41.7%). Conclusion By changing how we as the profession perceive the role and position of projection radiography, we can start to rebuild its lost prestige and demand a greater, more detailed and clinically relevant educational offering from academic partners. For this to commence, the language and terminology we use to describe ourselves and tasks undertaken must reflect the complexity of the profession. Implications for practice Regardless of imaging modality, every patient should be assured that a radiographer with expertise in acquiring images of diagnostic quality undertakes their examination. Reclaiming the prestige of projection radiography may lead students and radiographers to recognize projection radiography as a demanding specialist field for the benefit of the patients.

In this brief commentary paper, we elaborate the differences between people-centered orthodontics and appliance-centered orthodontics with the clinical and extra clinical key factors that may help orthodontists in achieving prosperity in the future.

The nineteenth century witnessed the creation of a ‘paper Panopticon’ designed to capture information about offenders in England, especially those who were transported to Australia. This article co...

s early as the dawn of modern age, Benjamin Constant (1819) wrote that the current democracy, unlike the ancient one, based on slavery and perpetual wars, is based on capital, while Braudel (1979) shows that capitalism as a concept could not exist without the other concepts preceding it in the sequence they occur in society, i.e. capital and capitalist. Therefore, I regarded capital, meaning the foundation of both democracy and capitalism, as a particularly challenging object of study from the standpoint of its formation, development, location in the economy and ownership in post-communist Romania. I deem the amount, quality, origin and behaviour of capital are pivotal for a solid democracy and an efficient functioning of capitalist market economy in our country. The book Capital in post-communist Romania, based on long data series, may cast a historical perspective on the economic and social phenomena and processes under scrutiny. They are meant to help devise and implement public policies for making the objectively necessary corrections to the Romanian society after such an intricate transition, as well as to prepare the actions for securing Romania’s future development. I viewed this scientific endeavour as useful after identifying a shortage of information and, against this backdrop, of analysis on economic and social results of Romania’s transition, also by comparison with other former communist countries.

For almost 40 years, the British jurist and Fellow of the Royal Society Taylor White (1701–1772) actively engaged in commissioning artists to paint plants and animals for his ‘paper museum’. White amassed a collection of almost 1000 drawings of birds, mammals, fish, amphibians and reptiles, acquired by McGill University in 1927. His first recorded purchase was a watercolour by George Edwards (1694–1773). He also acquired works from Eleazar Albin ( fl. 1690– ca 1742) and Jacob van Huysum ( ca 1687–1740), but the majority of the watercolours were painted by two artists, Charles Collins ( ca 1680–1744) and Peter Paillou ( ca 1712–1782). In 2018 a research group at McGill University Library received funding from the Social Sciences and Humanities Research Council of Canada for the project ‘Undescrib'd: Taylor White's paper museum’. The project produced a complete catalogue of the White collection, including attribution of all unsigned works, and digitized all paintings and notes. This paper documents the process surrounding the original creation of the collection, reviewing the careers of the artists and White's relationship with them, the value of the commissions and the challenges of painting natural history subjects. It also describes the mechanics of painting, including pigments, papers used and artists' techniques.

This paper presents a current research trend based on the best papers awarded in 2019 and 2020 by Materials Transactions. The summary includes the 8 papers carefully selected from the articles in the research areas of materials physics, microstructures of materials, mechanics of materials, materials chemistry, materials processing, and engineering materials and their applications. Four out of the 8 best papers are those specially selected for young scientists who are the age of 35 or younger. Here, brief summary is given for the introduction of high quality papers published in Materials Transactions.

Background: Through a close reading of the four issues of The Bowater Papers, this article aims to understand the rise of a paper modernity and to reinsert it—as material and infrastructure—into media studies. Analysis: Producing wood paper is a strain on the landscape and the environment. The Bowater Papers showcases the histories and material possibilities of paper media products. A paper-dependent modernity can be understood as an infrastructural assemblage of harvesting, production, circulation, and consumption. Conclusion and implications: Paper calls for a natural history and geography of media. Thinking about the mediations from tree to paper through the encompassing notion of “xylomedia” is a way of articulating the intersection of the material, environmental, and infrastructural in media studies. Today is still a paper world, one that is also the age of lignin, package, and Amazon. Contexte : Par une lecture attentive des quatre numeros de The Bowater Papers, nous cherchons a comprendre l’essor de la forme moderne du papier. Se faisant, nous le reinsererons—en tant que materiau et infrastructure—dans le champ des etudes mediatiques. Analyse : La production de papier de bois est lourde de consequences pour l’environnement. The Bowater Papers nous renseigne sur des aspects historiques et materiels du papier. La modernite, dependante du papier, peut ainsi etre apprehendee comme un assemblage infrastructurel liant recolte, production, circulation et consommation. Conclusion et implications : Le papier appelle une histoire et une geographie naturelles des medias. Penser aux mediations de l’arbre au papier avec le concept de « xylomedia » est une facon d’articuler l’intersection du materiel, de l’environnement et de l’infrastructure dans l’etude des medias. Nous vivons toujours dans un âge du papier, un âge qui est aussi celui de la lignine, des paquets, et d’Amazon.

These comments center on two phrases repeated in Chalker’s paper. One is the poignant question “Can I get a witness?” The other phrase claims that difference alters understanding. Current relationa...

Both Harris and Howard in their thoughtful papers examine the intersection of the psyche and the social in the context of COVID-19 and racial unrest. The combination of these events has brought int...

Open Dialogue is a need-adapted approach to mental health care that was originally developed in Finland. Like other need-adapted approaches, Open Dialogue aims to meet consumer’s needs and promote collaborative person-centred dialogue to support recovery. Need-adapted mental health care is distinguished by flexibility and responsiveness. Fidelity, defined from an implementation science perspective as the delivery of distinctive interventions in a high quality and effective fashion is a key consideration in health care. However, flexibility presents challenges for evaluating fidelity, which is much easier to evaluate when manualization and reproducible processes are possible. Hence, it remains unclear whether Open Dialogue and other need-adapted mental health interventions can be meaningfully evaluated for fidelity. The aim of this paper was to critically appraise and advance the evaluation of fidelity in need-adapted mental health care, using Open Dialogue as a case study. The paper opens a discussion about how fidelity should be evaluated in flexible, complex interventions, and identifies key questions that need to be asked by practitioners working in need-adapted mental health care to ensure they deliver these interventions as intended and in an evidence-based fashion.

This article is an ethnographic exploration of a promiscuously present and instantly recognisable legal and cultural artefact in India, the stamp paper document under the Indian Stamp Act, 1899. The ‘stamp paper’ is a documentary form that is constantly escaping from its legal moorings in revenue and evidentiary law, and is being replicated, mimed and recommissioned, both in form and in substance, and in ways which blur the domains of the legal, the quasi-legal and the non-legal. Its bureaucratic authority is produced through protocols and rituals of writing, verification, identification, attestation and authorisation performed by paper workers such as court typists, stamp vendors, notaries and oath commissioners. Yet the stamp paper is simultaneously viewed as notoriously fraudulent and legally invalid—its use redundant and truth functionaries infamously corruptible. Focusing on the materiality of the stamp paper, as it circulates through the interstitial spaces of Patiala House Court Complex in New Delhi, this article seeks to address this curious paradox and provides an account of the social life of law through the travels of an emblematic yet dubious legal form.

In this study, altmetrics for LIS research papers, and whether OA affects the altmetrics, were analyzed. In addition, by analyzing the differences in the altmetrics in 10 major research areas of LIS, this study identified sub-research topics that are frequently read outside of academia or mentioned on social media. This study sampled a thousand papers highly cited in the WOS, OA status and altmetrics of papers were collected through Unpaywall and PlumX. The collected data was analyzed as follows. Whether the OA affects the usage, capture, mention, and social media attention of the altmetrics was identified through a Mann–Whitney analysis, and was presented visually through a correspondence analysis. And then using factor analysis and correlation analysis, this study understand whether the article cited in an academic paper or bookmarked for reading showed a sensitive reaction to social media as well. Finally to understand the difference in altmetrics sensitivity of 10 LIS sub-subject topics, papers showing a high sensitivity for each of the 6 sources were selected, and a correspondence analysis was conducted on the relationship with the subject topics. The analysis results can be summarized as follows: First, 63% of the papers to be analyzed had a Mendeley bookmark reader, whereas 36%, 17%, 3%, and 4% had views, tweets, blogs, and Wiki references, respectively. Second, views, blogs, and tweets showed greater sensitivity in open-access papers, and the number of Mendeley bookmark readers was the only source of altmetrics that had a significant correlation with citations. Fourth, information technology and knowledge management topics showed a high number of citations and readers, and public libraries and websites appeared as research topics with a significant usage. In addition, academic communication appeared as a topic with high sensitivity to tweets.

Journal ratings are a key factor when individuals or institutions assess research and select journals. Despite their significant development in recent years, ratings are still not sufficiently precise or updated enough, depending on the subject and method used. In this paper, we present a new methodology, called paper affiliation index, with which to create subject journal ratings using expert judgment and research impact, both of which are based on secondary, objective measures, thus making it possible to produce lists every year without human manipulation at virtually no cost. We compare the results of our methodology with the selection of top journals by the ShanghaiRanking’s Global Ranking of Academic Subjects in the Social Sciences, the Excellence in Research for Australia, Australian Business Dean Council, the Academic Journal Guide release by Chartered Association of Business Schools lists, and the Journal Impact Factor calculated by Clarivate Analytics.

Text representation is the preliminary work for in-depth analysis and mining of information in scientific papers. It directly affects the effects of downstream tasks such as, scientific papers classification, clustering, and similarity calculation. However, recent researches mainly considered citation network and partial structural information, which is insufficient when representing scientific papers. Therefore, in order to improve the performance of text representation model, this paper proposed MV-HATrans, a text representation model that combines multi-viewpoint information, such as the semantic information of knowledge graph and structural information. This model extracts word information from three aspects, including contextual content, part of speech, and word meaning of WordNet. Based on combination of hierarchical attention mechanism and transformer, the model achieves the full text representation of scientific papers. Finally, this paper uses the binary experimental dataset AAPR, which indicates whether scientific papers are accepted or not, and applies the proposed model of text representation to achieve the goal of automatic quality assessment. Results show that in the quality classification of scientific papers, adopting part-of-speech information and semantic information based on WordNet definitions can effectively achieve the accuracy of prediction as 70.14%. Among all the structural modules, authors and abstracts contributes the most to the quality classification of scientific papers, especially authors as 9.51%.

This discussion focuses on one aspect of Farber’s work: the birth of the tango (this issue). The tango was created as a fusion of African and European immigrant culture in Argentina between the second half of the nineteenth century and the first twenty years of the twentieth century. The tango was one of the tools used by immigrants to socialize the pain of the loss of common roots, the lack of identity, and the sense of loneliness. The author reflects on the overlaps between tango and relational psychoanalysis, and muses on the impact of the loss of hugs and embraces in this worldwide pandemic caused by Covid and the collective trauma that it entails.

This paper analyzes the Australia – Anti-Dumping Measures on A4 Copy Paper panel report, the second recent WTO dispute to involve a challenge to Indonesia's paper industry. The Indonesian paper industry benefits from reduced-cost inputs because of the Indonesian government's influence and subsidies over the timber and pulp market. The report offers the first interpretation of ‘particular market situation’ under Article 2.2 of the WTO's Anti-Dumping Agreement. At the same time, it raises questions regarding the appropriateness of using anti-dumping measures to address what are fundamentally subsidy issues. While the panel ultimately found that Australia's measure was inconsistent with Article 2.2, the paper shows that the panel's interpretation of ‘particular market situation’ increases the relative attractiveness of using anti-dumping duties instead of countervailing measures. Two key points on the welfare implications of the decision can be made. The first relates to the motivations of the Australian paper industry and the imperfectly competitive market in which Australian Paper operates. The second is the importance of challenging subsidies rather than imposing anti-dumping duties where the subsidies in question have negative environmental effects.

A current osteopathic tenet inherited from Native American principles involves viewing each person as a dynamic interaction of body-mind-spirit (BMS). Because of its traditional medicine heritage and current evidence-based approach, the osteopathic profession is, arguably, uniquely positioned to promote evidence-informed person-centered approaches that transcend improvements in pain and musculoskeletal function. It may be particularly relevant in the context of integrating the BMS tenet into osteopathic care according to the diversity of patients’ values and sociocultural assumptions towards health, symptoms, and subsequent care, which range from the typical Western to complementary and alternative medicine perspectives. There is currently a lack of robust clinical practice frameworks in this area, confusing patients and practitioners and blurring professional identities. The current commentary provides an opportunity to initiate discussions in the profession with a rationale for creating a roadmap to develop an evidence-informed framework for osteopathic care that integrates the BMS tenet.

This paper describes how an anatomy and physiology laboratory class transitioned from a paper-based lab to an online learning platform that updated the curriculum to rely more on face-to-face small group collaboration and peer teaching. Student perceptions of the new format were positive, but halfway through the transition a global pandemic challenged the new instruction method. The face-to-face curriculum had to be adjusted to a virtual format that lacked in-person interaction between the instructor and the students. This switch to virtual labs had an adverse effect on both student perception and student performance in the second half of the semester. Our observations underscore the importance of creating an interactive community when teaching virtually.