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The acute and long-lasting side effects of modern multimodal tumour therapy significantly impair quality of life and survival of patients afflicted with malignancies. The key components of this therapy include radiotherapy, conventional chemotherapy, immunotherapy and targeted therapies. In addition to established tumour therapy strategies, up to 30 new therapies are approved each year with only incompletely characterised side effects. This consensus paper discusses the risk factors that contribute to the development of a potentially adverse reaction to tumour therapy and, in addition, defines specific side effect profiles for different treatment groups. The focus is on novel therapeutics and recommendations for the surveillance and treatment of specific patient groups.

The World One Health Congresses are biennial gatherings of approximately 1500 professionals from relevant international organisations, OIE, FAO, WHO, World Bank, leading scientific experts and researchers in the field of One Health, animal production and trade, food safety, animal health, human health and environmentology/ecology, government representatives in public health, human health, food safety, environmental health and global health security. The Congress is organized by the One Health Platform.This white paper summarizes highlights of the 5th International One Health Congress in Saskatoon, Canada, June 2018 and serves as a roadmap for the future, detailing several concrete action points to be carried out in the run-up to the 6th World One Health Congress in Edinburgh, Scotland, June 2020.

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.

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.

Major depression is a highly prevalent condition, affecting approximately 10% of the population. It is also a growing global problem, and has been consistently associated with increased risk of coronary heart disease (CHD). It is therefore not surprising that depression is highly comorbid with CHD, being two to three times more common among patients with CHD than in the general population. The prevalence of depression is 15–30% in patients with CHD, and is approximately twice as high in women than men, especially affecting young women in the aftermath of acute myocardial infarction (MI). Depression as a risk factor for CHD has been characterized from mild depressive symptoms to a clinical diagnosis of major depression. As defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), clinical depression, or major depression, is characterized by depressed mood or anhedonia (loss of interest or pleasure) for at least 2 weeks accompanied by significant functional impairment and additional somatic or cognitive symptoms. Most epidemiological studies of depression and incidence of CHD have used depressive symptom scales, and have frequently demonstrated a dose–response pattern, with higher levels of depressive symptoms being associated with higher risk. The exact mechanisms linking depression to increased CHD risk are complex and multifactorial, and still incompletely understood. Although adverse lifestyle behaviours and traditional CHD risk factors, such as smoking and sedentary lifestyle, largely contribute to the risk, they do not explain it entirely. In CHD patients, depression is also associated with severity of functional impairment, lower adherence to therapy and lower participation in cardiac rehabilitation. Whether and to what extent these factors explain the relationship between depression and CHD deserves future study. The present paper summarizes key aspects in our current knowledge linking depression and CHD within the intersecting fields of neuroscience, cardiovascular physiology, and behavioural medicine, with the objective of bringing attention to this area and stimulating interdisciplinary research, clinical awareness, and improved care.

Financiado para publicación en acceso aberto: Universidade de Vigo/CISUG Industrial drying lines of resin-impregnated paper are formed by contiguous furnaces where hot air jets impinge on the surface of the moving paper sheet. The number of production parameters that conditions the process is very high, making the final drying prediction, and the optimal adjustment of the production parameters, very complex tasks. A novel numerical tool for the fast prediction of this industrial drying is presented. The model, obtained from local mass and energy equations for the paper sheet, and fed with results from three-dimensional computational fluid dynamic simulations and thermo-gravimetric tests, determines the evolution of the paper weight along the line for any given combination of production parameters: paper velocity, furnaces air temperatures and mass flows, among others. The model is validated in an industrial line with 11 furnaces, 2 impregnation stages, and more than 150 adjustable operational input parameters, leading to relative errors in the predicted paper temperature evolution and final paper weight of less than 7% and 1%, respectively. Likewise, the model coupling with an optimization tool is also presented to show its capabilities on selecting the best production parameters for prescribed conditions, making the model a useful tool in the framework of the increasingly relevant role of mathematical models in industry. Instituto Tecnológico de Matemática Industrial (ITMATI) | Ref. C69-2019 Instituto Tecnológico de Matemática Industrial (ITMATI) | Ref. C80-2020 Instituto Tecnológico de Matemática Industrial (ITMATI) | Ref. C83-2020

In this study, we describe a monolithic and fully integrated paper-based device for the simultaneous detection of three prognostic biomarkers in saliva. The pattern of the proposed multiplexed device is designed with a central sample deposition zone and three identical arms, each containing a pre-treatment and test zone. Its one-step fabrication is realized by CO2 laser cutting, providing remarkable parallelization and rapidity (ca. 5 s/device). The colorimetric detection is based on the sensitive and selective target-induced reshaping of plasmonic multibranched gold nanoparticles, which exhibit a clear spectral shift (and blue-to-pink color change) in case of non-physiological concentrations of the three salivary biomarkers. A rapid and multiplexed naked-eye or smartphone-based readout of the colorimetric response is achieved within 10 min. A prototype kit for POCT testing is also reported, providing robustness and easy handling of the device.

The accuracy of a predictive system is critical for predictive maintenance and to support the right decisions at the right times. Statistical models, such as ARIMA and SARIMA, are unable to describe the stochastic nature of the data. Neural networks, such as long short-term memory (LSTM) and the gated recurrent unit (GRU), are good predictors for univariate and multivariate data. The present paper describes a case study where the performances of long short-term memory and gated recurrent units are compared, based on different hyperparameters. In general, gated recurrent units exhibit better performance, based on a case study on pulp paper presses. The final result demonstrates that, to maximize the equipment availability, gated recurrent units, as demonstrated in the paper, are the best options.

The conservation of historic libraries can be referred towards both the ancient book collections and the buildings themselves. Heritage collections made of paper are threaten by climate-induced deterioration risks such as cellulose hydrolysis. Several studies have investigated the microclimate inside historic libraries but comparisons are difficult due to the lack of long-term microclimate observations and uniformity in the use of standards and risk assessment methods. For the first time, the long-term microclimate observations collected in three historic libraries in Italy were comparatively studied to outline differences and similarities of their microclimates in terms of paper preservation. A multidisciplinary approach was applied to assess the building performance (a) and the deterioration risks for the collections (b). As for a), a common feature of the libraries was the high thermal inertia and low indoor-outdoor air exchanges. As for b), the Time Weighted Expected Lifetime (TWEL) was defined to account for an average chemical risk on a seasonal and yearly basis. TWEL allowed to highlight the impact of the most adverse conditions on the overall chemical risk for acidic paper preservation (e.g., temperatures above 20 °C reached naturally in summer/artificially in winter). It resulted that the measured microclimate conditions in the libraries would lead to the loss of their acidic collections in less than 300 years. Demographic plots were finally used to inform about the risk resulting from the synergy between handling and microclimate as well as to explore the effectiveness of possible preservation measures such as the deacidification of 10% of the collections.

Background The implementation of an electronic health record (EHR) with structured and standardized recording of patient data can improve data quality and reusability. Whether and how users perceive these advantages may depend on the preimplementation situation. Objective To determine whether the influence of implementing a structured and standardized EHR on perceived EHR use, data quality, and data reuse differed for users working with paper-based records versus a legacy EHR before implementation. Methods We used an electronic questionnaire to measure users' perception before implementation (2014), expected change, and perceived change after implementation (2016) on three themes. We included all health care professionals in two university hospitals in the Netherlands. Before jointly implementing the same structured and standardized EHR, one hospital used paper-based records and the other a legacy EHR. We compared perceptions before and after implementation for both centers. Additionally, we compared expected benefit with perceived benefit. Results We received 7,611 responses (4,537 before and 3,074 after implementation) of which 5,707 (75%) were from professionals reading and recording patient data. A total of 975 (13%) professionals responded to both before and after implementation questionnaires. In the formerly paper-based center staff perceived improvement in all themes after implementation. The legacy EHR center experienced deterioration of perceived EHR use and data reuse, and only one improvement in EHR use. In both centers, for half of the aspects at least 45% of responders experienced results worse than expected preimplementation. Conclusion Our results indicate that the preimplementation recording practice impacts the perceived effect of the implementation of a structured and standardized EHR. For almost half of the respondents the new EHR did not meet their expectations. Especially legacy EHR centers need to investigate the expectations as these might be different and less clear cut than those in paper-based centers. These expectations need to be addressed appropriately to achieve a successful implementation.

PURPOSE: Main insight of the study was to evaluate the potential of Perionyx excavatus, an indigenous earthworm of India towards bioconversion of toxic paper mill wastes. The study had considered a comprehensive study over succession of different enzymes and microbial biomasses alongside removal of heavy metals to reflect the qualitative enrichment of the toxic waste through valorisation procedure. METHODS: The process of vermicomposting was performed using ratio of paper mill sludge: cow dung: straw as 5:4:1 and Perionyx excavatus for a period of 60 days. Qualitative enrichment was considered through detailed evaluation of physicochemical parameters and succession of 19 enzymes using API ZYM technology. Heavy metal loads in terms of Zn, Cr, Cu, Pb along with bioaccumulation factor (BAF) were considered to establish functional role of earthworm in bioremediation. Microbial succession was measured in terms of PLFA biomarkers. RESULTS: Enzymatic enrichment of different isozymes of esterase, aminopeptidase and glycosyl hydrolase were found in the vermicompost. A significant reduction of heavy metals was noticed in vermicomposting of primary sludge as Zn > Pb > Cr > Cu and secondary sludge as Zn > Pb > Cu > Cr. An increase in density of Gram positive bacterial and fungal populations was found at the end phase of vermicomposting process which supports maturity of vermicompost. CONCLUSION: Presence of different enzyme activities, reduction of heavy metal loads along with rise of eukaryotic PLFA markers, had illustrated the efficiency of vermicomposting as a valorisation procedure in the qualitative enrichment of toxic organic paper mill sludge.

[Abstract] The improvement in left ventricular assist device (LVAD) technology and scarcity of donor hearts have increased dramatically the population of the LVAD-supported patients and the probability of those patients to present to the emergency department with expected and non-expected device-related and patient-device interaction complications. The ageing of the LVAD-supported patients, mainly those supported with the 'destination therapy' indication, increases the risk for those patients to suffer from other co-morbidities common in the older population. In this second part of the trilogy on the management of LVAD-supported patients for the non-LVAD specialist healthcare provider, definitions and structured approach to the LVAD-supported patient presenting to the emergency department with bleeding, neurological event, pump thrombosis, chest pain, syncope, and other events are presented. The very challenging issue of declaring death in an LVAD-supported patient, as the circulation is artificially preserved by the device despite no other signs of life, is also discussed in detail.

With characters of low cost, portability, easy disposal, and high accuracy, as well as bulky reduced laboratory equipment, paper-based sensors are getting increasing attention for reliable indoor/outdoor onsite detection with nonexpert operation. They have become powerful analysis tools in trace detection with ultra-low detection limits and extremely high accuracy, resulting in their great popularity in medical detection, environmental inspection, and other applications. Herein, we summarize and generalize the recently reported paper-based sensors based on their application for mechanics, biomolecules, food safety, and environmental inspection. Based on the biological, physical, and chemical analytes-sensitive electrical or optical signals, extensive detections of a large number of factors such as humidity, pressure, nucleic acid, protein, sugar, biomarkers, metal ions, and organic/inorganic chemical substances have been reported via paper-based sensors. Challenges faced by the current paper-based sensors from the fundamental problems and practical applications are subsequently analyzed; thus, the future directions of paper-based sensors are specified for their rapid handheld testing.

The development of diagnostic tools for measuring a wide spectrum of target analytes, from biomarkers to other biochemical parameters in biological fluids, has experienced a significant growth in the last decades, with a good number of such tools entering the market. Recently, a clear focus has been put on miniaturized wearable devices, which offer powerful capabilities for real-time and continuous analysis of biofluids, mainly sweat, and can be used in athletics, consumer wellness, military, and healthcare applications. Sweat is an attractive biofluid in which different biomarkers could be noninvasively measured to provide rapid information about the physical state of an individual. Wearable devices reported so far often provide discrete (single) measurements of the target analytes, most of them in the form of a yes/no qualitative response. However, quantitative biomarker analysis over certain periods of time is highly demanded for many applications such as the practice of sports or the precise control of the patient status in hospital settings. For this, a feasible combination of fluidic elements and sensor architectures has been sought. In this regard, this paper shows a concise overview of analytical tools based on the use of capillary-driven fluidics taking place on paper or fabric devices integrated with solid-state sensors fabricated by thick film technologies. The main advantages and limitations of the current technologies are pointed out together with the progress towards the development of functional devices. Those approaches reported in the last decade are examined in detail.

The EVA London Research Workshop is one of the more unique elements of our Conference that we have been keen to develop over many years. Often Postgraduate Students, at Masters or PhD level, or Unaffiliated Early Career Artists may feel excluded from prestigious conferences until their research is completed and they can submit a full paper proposal. However, over many years, EVA London has recognised the importance of offering an almost unique opportunity to submit projects that can be truly described as ‘Work in Progress’. With an audience of International Academics and acknowledged experts in a field, the Research Workshop presentations have often lead to very positive interest and support, and sometimes to future collaborations. Others return to EVA London a year or two later with a completed piece of Research and a successful Full Conference Proposal. In previous years the presentations have been very popular with all of our delegates and we are delighted to include all of the presentations as part of our mainstream July 2021 Online conference. Although we will once again miss some of the informal networking opportunities, we have, as always, selected an exciting, ground breaking and quite eclectic group of RW delegates. We hope that by publishing their papers here, either grouped together, or individually published, some of you will be keen to contact our RW authors, to discuss and develop their ideas further.

The fabrication of low-cost, flexible, and recyclable electronic devices has been the focus of many research groups, particularly for integration in wearable technology and the Internet of Things (IoT). In this work, porous zinc oxide (ZnO) nanostructures are incorporated as a UV sensing material into the composition of a sustainable water-based screen-printable ink composed of car-boxymethyl cellulose (CMC). The formulated ink is used to fabricate flexible and foldable UV sensors on ubiquitous office paper. The screen-printed CMC/ZnO UV sensors operate under low voltage (≤2 V) and reveal a stable response over several on/off cycles of UV light exposure. The devices reach a response current of 1.34 ± 0.15 mA and a rise and fall time of 8.2 ± 1.0 and 22.0 ± 2.3 s, respectively. The responsivity of the sensor is 432 ± 48 mA W−1, which is the highest value reported in the literature for ZnO-based UV sensors on paper substrates. The UV-responsive devices display impressive mechanical endurance under folding, showing a decrease in responsivity of only 21% after being folded 1000 times. Their low-voltage operation and extreme folding stability indicate a bright future for low-cost and sustainable flexible electronics, showing potential for low-power wearable applications and smart packaging. publishersversion published

Simple Summary Although secondary enucleation (SE) is the treatment of choice for retinoblastoma eyes that did not respond favorably to conservative therapies, clear criteria for its indication are, however, currently missing. In this position paper on behalf of the European Retinoblastoma Group (EURbG), we discuss the available literature on SE, including its influence on metastases rate and survival, and propose guidelines to assist decision-making to interrupt eye-preserving therapies depending on the availabilities of advanced diagnostic and therapeutic modalities. Absolute indications to SE may be restricted to eyes with refractory tumor activity resisting all salvage treatments or eyes under apparent tumor control but no visual potential and irreducible complications. In contrast, eyes with an obscured optic nerve head and/or ocular complications amenable to specific surgical or medical management can be considered relative indications, provided that appropriate follow-up can be implemented and that parents are fully aware of a residual risk. Abstract Secondary enucleation (SE) puts an irreversible end to eye-preserving therapies, whenever their prolongation is expected to violate the presumed state of metastatic grace. At present, it must be acknowledged that clear criteria for SE are missing, leading to empiric and subjective indications commonly related to disease progression or relapse, disease persistence masking the optic nerve head or treatment-related complications obscuring the fundus view. This absence of evidence-based consensus regarding SE is explained by the continuously moving frontiers of the conservative management as a result of diagnostic and therapeutic advances, as well as by the lack of studies sufficiently powered to accurately stratify the risk of metastasis in conservatively treated patients. In this position paper of the European Retinoblastoma Group (EURbG), we give an overview of the progressive shift in the indications for SE over the past decades and propose guidelines to assist decision-making with respect to when SE becomes imperative or recommended, with corresponding absolute and relative SE indications. Further studies and validation of biologic markers correlated with the risk of metastasis are expected to set more precisely the frontiers of conservative management and thus consensual criteria for SE in the future.

Infections by SARS CoV2 - COVID-19 have become in a short time a worldwide health emergency. Due to cardiovascular implications of COVID-19 and to very frequent previous cardiovascular disorders of COVID-19 patients, it is presently crucial that Cardiologists are fully aware of COVID-19 related epidemiological, pathophysiological and therapeutic problems, in order to manage at best the present emergency by appropriate protocols developed on the basis of the competences acquired and shared on the field. The aim of this document is to propose algorithms for the management of cardiovascular diseases during COVID-19 emergency with the objective of providing patients with optimal care, minimizing contagion risk and appropriately managing personal protective equipment.

Immunotherapy with checkpoint inhibitors against programmed cell death receptor (PD-1) and programmed cell death ligand (PD-L1) has been implemented in the treatment pathway of patients with non-small cell lung cancer (NSCLC) from locally advanced disease to the metastatic setting. This approach has resulted in improved survival and a more favourable toxicity profile when compared with chemotherapy. Following the successful introduction of single-agent immunotherapy, current clinical trials are focusing on combination treatments with chemotherapy or radiotherapy or even other immunotherapeutic agents. However, most of the data available from these trials are derived from, and therefore might be more applicable to younger and fitter patients rather than older and often frail lung cancer real-world patients. This article provides a detailed review of these immunotherapy agents with a focus on the data available regarding older NSCLC patients and makes recommendations to fill evidence gaps in this patient population.

In light of the accumulating evidence on the negative predictive value of soluble urokinase plasminogen activator receptor (suPAR), a group of experts from the fields of intensive care medicine, emergency medicine, internal medicine and infectious diseases frame a position statement on the role of suPAR in the screening of patients admitted to the emergency department. The statement is framed taking into consideration existing publications and our own research experience. The main content of this statement is that sUPAR is a non-specific marker associated with a high negative predictive value for unfavourable outcomes; levels < 4 ng/ml indicate that it is safe to discharge the patient, whereas levels > 6 ng/ml are an alarming sign of risk for unfavourable outcomes. However, the suPAR levels should always be interpreted in light of the patient's history.

Urine is commonly used for clinical diagnosis and biomedical research. The discovery of extracellular vesicles (EV) in urine opened a new fast-growing scientific field. In the last decade urinary extracellular vesicles (uEVs) were shown to mirror molecular processes as well as physiological and pathological conditions in kidney, urothelial and prostate tissue. Therefore, several methods to isolate and characterize uEVs have been developed. However, methodological aspects of EV separation and analysis, including normalization of results, need further optimization and standardization to foster scientific advances in uEV research and a subsequent successful translation into clinical practice. This position paper is written by the Urine Task Force of the Rigor and Standardization Subcommittee of ISEV consisting of nephrologists, urologists, cardiologists and biologists with active experience in uEV research. Our aim is to present the state of the art and identify challenges and gaps in current uEV-based analyses for clinical applications. Finally, recommendations for improved rigor, reproducibility and interoperability in uEV research are provided in order to facilitate advances in the field. ESM-U, CG, GV, GJ, IVB, MvR, and VvS, are members of the “IMMPROVE” consortium (Innovative Measurements and Markers for Prostate Cancer Diagnosis and Prognosis using Extracellular Vesicles), which is sponsored by an Alpe d'HuZes grant of the Dutch Cancer Society (grant #EMCR2015-8022). AL is supported by Norges Forskningsråd, Kreftforeningen and Helse Sør-Øst RHF (NO). UE is supported by the NIH, National Heart, Lung, and Blood Institute, Award number K23-HL-126101. CJB and EJH are supported by the Dutch Kidney Foundation (Nierstichting), Award number: CP18.05.

International audience; Extracellular vesicles (EV) are emergent therapeutic effectors that have reached clinical trial investigation. To translate EV-based therapeutic to clinic, the challenge is to demonstrate quality, safety, and efficacy, as required for any medicinal product. EV research translation into medicinal products is an exciting and challenging perspective. Recent papers, provide important guidance on regulatory aspects of pharmaceutical development, defining EVs for therapeutic applications and critical considerations for the development of potency tests. In addition, the ISEV Task Force on Regulatory Affairs and Clinical Use of EV-based Therapeutics as well as the Exosomes Committee from the ISCT are expected to contribute in an active way to the development of EV-based medicinal products by providing update on the scientific progress in EVs field, information to patients and expert resource network for regulatory bodies. The contribution of our work group "Extracellular Vesicle translatiOn to clinicaL perspectiVEs - EVOLVE France", created in 2020, can be positioned in complement to all these important initiatives. Based on complementary scientific, technical, and medical expertise, we provide EV-specific recommendations for manufacturing, quality control, analytics, non-clinical development, and clinical trials, according to current European legislation. We especially focus on early phase clinical trials concerning immediate needs in the field. The main contents of the investigational medicinal product dossier, marketing authorization applications, and critical guideline information are outlined for the transition from research to clinical development and ultimate market authorization.

The Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS) was founded in 2018, with the aim to promote cooperation among vascular professionals within Mediterranean countries. Due to its prominent social and economic impact on national health systems, diabetic peripheral artery was selected as the very first topic to be investigated by the federation. In this second paper, different experiences from delegates of participating countries were shared to define common strategies to harmonize, standardize, and optimize education and training in the Vascular Surgery specialty.

This article analyses anthropometric forms used in three different Dutch contexts around 1900: an expedition in Dutch New Guinea, the Dutch police and prison registration system, where ‘Bertillonage’ was used to identify recidivist criminals, and a state-owned reform school for girls. The authors identify the loose form as an innovative ‘paper technology’ within anthropometry that opened up entirely new ways of linking bodies to identities and was critically important in inscribing bodies into knowledge systems. The article demonstrates how this crucial innovation within anthropometry took shape in practice. In order to show the techniques through which the inscription of bodies into knowledge systems took place, the article demonstrates how the forms organized, standardized and directed measuring practices and prepared the data for further use in filing systems. Moreover, it draws attention to the tension between the forms’ potential and actual practices. The article concludes by considering the ways these forms were filed and used as ‘data’ by judicial authorities, child protection professionals and racial and criminological scientists, each of whom produced different forms of ‘paper identity’ and whose anthropometric practices enacted different bodies.

Flexible thin-film solar cells with high weight-specific power density are highly desired in the emerging portable/wearable electronic devices, solar-powered vehicles, etc. The conventional flexible metallic or plastic substrates are encountered either overweight or thermal and mechanical mismatch with deposited films. In this work, we proposed a novel substrate for flexible solar cells based on graphene paper, which possesses the advantages of being lightweight and having a high-temperature tolerance and high mechanical flexibility. Thin-film amorphous silicon (a-Si:H) solar cells were constructed on such graphene paper, whose power density is 4.5 times higher than that on plastic polyimide substrates. In addition, the a-Si:H solar cells present notable flexibility whose power conversion efficiencies show little degradation when the solar cells are bent to a radius as small as 14 mm for more than 100 times. The application of this unique flexible substrate can be extended to CuInGaSe and CdTe solar cells and other thin-film devices requiring high-temperature processing.

Background In recent times, the use of thermal papers has increased exponentially and the fingerprints on thermal papers are frequently encountered. Although fingerprint development on paper has been standardized, that on thermal paper is complicated. Thermal papers turn black on the application of heat which poses a problem in the visualization of fingerprints which makes it difficult to visualize. Main body One solution to this problem is to use heat or steam for the development of white fingerprints on darker backgrounds. Second solution might be to dissolve the chemicals present on the surface of the thermal papers using acetone. Many studies to develop fingerprints on thermal papers using iodine fuming, ninhydrin, 1,8-diazofluorene-9-one, and p-dimethylaminocinnamaldehyde have been performed. In the present review, an attempt has been made to summarize the problem posed to fingerprint development on thermal papers and the probable solutions attempted by different authors. Conclusion Although the development of fingerprints is difficult on thermal papers, it can be achieved either by subjecting the thermal paper to controlled heat or by removing the temperature-sensitive layer before treating it with other fingerprint development methods.

We have studied the surface structure of tamper-proof paper with positive and negative watermarks at different scales ‒ from a micrometer to a nanometer level, by using the methods of contact profilometry and atomic force microscopy. Experimental research has confirmed that the structural parameters of the tamper-proof paper's surface differ at regions with and without watermarks. The results of measurements by a contact profilometer have made it possible to trace a correlation between values of the profile's mean arithmetic deviation and the presence of watermarks. It was determined that the value for the profile's largest height does not depend on a measurement region, which could be related to the chaotic arrangement of fibers and particles of the filler in the paper bulk that protrude above the profile's line. By analyzing the value of the profile's mean arithmetic deviation obtained by using a method of atomic-force microscopy, it was found that for regions with negative watermarks it is larger than that for regions with positive watermarks. The dependence of the profile's largest height on measurement region is not clearly observed. This may be due to that the size of the examined region (3,000×3,000 nm) covers only part of the pulp fibers. Thus, the results of our analysis allow us to argue that both methods are suitable for estimating the characteristics of paper's surface, and determine the character of interaction between a given type of paper and printing inks during printing process. In particular, it has been established that the method of profilometry makes it possible to determine parameters of the paper's surface profile, formed in a certain way, while the atomic force microscopy method allows analysis of the morphology of its components, located at the surface (fibers, filler's particles, etc.). The availability of information on the structural properties of paper makes it possible to predict the quality of printing reproduction, specifically clearness of reproduction of thin guilloche lines on watermarks, which is relevant because it prevents flaws in printing products for special purposes.

In simple dyadic games such as rock, paper, scissors (RPS), people exhibit peculiar sequential dependencies across repeated interactions with a stable opponent. These regularities seem to arise from a mutually adversarial process of trying to outwit their opponent. What underlies this process, and what are its limits? Here, we offer a novel framework for formally describing and quantifying human adversarial reasoning in the rock, paper, scissors game. We first show that this framework enables a precise characterization of the complexity of patterned behaviors that people exhibit themselves, and appear to exploit in others. This combination allows for a quantitative understanding of human opponent modeling abilities. We apply these tools to an experiment in which people played 300 rounds of RPS in stable dyads. We find that although people exhibit very complex move dependencies, they cannot exploit these dependencies in their opponents, indicating a fundamental limitation in people’s capacity for adversarial reasoning. Taken together, the results presented here show how the rock, paper, scissors game allows for precise formalization of human adaptive reasoning abilities.

The cardiovascular system is significantly affected in coronavirus disease-19 (COVID-19). Microvascular injury, endothelial dysfunction, and thrombosis resulting from viral infection or indirectly related to the intense systemic inflammatory and immune responses are characteristic features of severe COVID-19. Pre-existing cardiovascular disease and viral load are linked to myocardial injury and worse outcomes. The vascular response to cytokine production and the interaction between severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and angiotensin-converting enzyme 2 receptor may lead to a significant reduction in cardiac contractility and subsequent myocardial dysfunction. In addition, a considerable proportion of patients who have been infected with SARS-CoV-2 do not fully recover and continue to experience a large number of symptoms and post-acute complications in the absence of a detectable viral infection. This conditions often referred to as ‘post-acute COVID-19’ may have multiple causes. Viral reservoirs or lingering fragments of viral RNA or proteins contribute to the condition. Systemic inflammatory response to COVID-19 has the potential to increase myocardial fibrosis which in turn may impair cardiac remodelling. Here, we summarize the current knowledge of cardiovascular injury and post-acute sequelae of COVID-19. As the pandemic continues and new variants emerge, we can advance our knowledge of the underlying mechanisms only by integrating our understanding of the pathophysiology with the corresponding clinical findings. Identification of new biomarkers of cardiovascular complications, and development of effective treatments for COVID-19 infection are of crucial importance., Graphical Abstract Graphical Abstract

Child nutrition has always been a global concern. This study performed visual analysis of 1,398 child nutrition highly cited papers (HCPs) from 2009 to 2019. The purpose of the study was to evaluate and present the performances of authors, journals, countries, institutions, top cited papers; to explore the hot topics, prospects, and to propose the future research directions on child nutrition. We used bibliometric methods to conduct in-depth statistical analysis of HCPs on child nutrition, showing research progress, trends and hot spots. We included HCPs on child nutrition from the Science Citation Index-Expanded (SCI-E) database February 7, 2020. Two tools, CiteSpace and VOSviewer, were used to conduct the bibliometric analyses. The results showed that, since 2011, the number of HCPs on child nutrition has increased rapidly. The top three contributors in this field were the USA, the UK and Canada. However, the contribution of developing countries was very limited. Intestinal microflora, food allergy, overweight and obesity were the three major research hotspots in this field. Results of this study provide valuable references for ongoing child nutrition related research, which may be interesting and noteworthy to the researchers involved.

Although considered one of the major energy-intensive industries (EIIs), the pulp and paper industry has also the potential for energy production from an industrial waste, black liquor. This study proposes black liquor gasification (BLG) coupled with calcium looping (CaL) as a CO2 capture route for the pulp and paper industry. BLG with H2 production (BLG-CaL-H2), BLG with gas turbine combined cycle (BLG-CaL-GT) or with solid oxide fuel cell (BLG-CaL-SOFC) were considered. The dependence of carbon capture and storage (CCS) cost on the natural gas, limestone, electricity imported and H2 sale prices aside the expenditures related with BLG-CaL were evaluated. The CCS route, based on CaL retrofitted to the pulp and paper plant, was found to have a lower cost of CO2 avoided (39.0 €/tCO2) when compared with BLG-CaL (48.8–57.1 €/tCO2). Between the BLG-CaL scenarios, BLG-CaL-H2 presented the lowest cost of CO2 avoided (48.8 €/tCO2) but the highest energy penalty. Based on the thermodynamic performance, it was shown that CaL retrofit and BLG-CaL-SOFC presented the best overall performance, turning the electricity importer reference plant into electricity exporter. The economic sensitivity showed that the capital requirement of BLG-CaL has a strong effect on the cost of CO2 avoided for all alternatives. The H2 production is also strongly affected by the H2 sale price while BLG-CaL-SOFC and BLG-CaL-GT are strongly dependent on natural gas price.

Background Brucellosis, as a serious zoonotic infectious disease, has been recognized as a re-emerging disease in the developing countries worldwide. In china, the incidence of brucellosis is increasing each year, seriously threatening the health of humans as well as animal populations. Despite a quite number of diagnostic methods currently being used for brucellosis, innovative technologies are still needed for its rapid and accurate diagnosis, especially in area where traditional diagnostic is unavailable. Methodology/Principal findings In this study, a total of 22 B cell linear epitopes were predicted from five Brucella outer membrane proteins (OMPs) using an immunoinformatic approach. These epitopes were then chemically synthesized, and with the method of indirect ELISA (iELISA), each of them displayed a certain degree of capability in identifying human brucellosis positive sera. Subsequently, a fusion protein consisting of the 22 predicted epitopes was prokaryotically expressed and used as diagnostic antigen in a newly established brucellosis testing method, nano-ZnO modified paper-based ELISA (nano-p-ELISA). According to the verifying test using a collection of sera collected from brucellosis and non-brucellosis patients, the sensitivity and specificity of multiepitope based nano-p-ELISA were 92.38% and 98.35% respectively. The positive predictive value was 98.26% and the negative predictive value was 91.67%. The multiepitope based fusion protein also displayed significantly higher specificity than Brucella lipopolysaccharide (LPS) antigen. Conclusions B cell epitopes are important candidates for serologically testing brucellosis. Multiepitope fusion protein based nano-p-ELISA displayed significantly sensitivity and specificity compared to Brucella LPS antigen. The strategy applied in this study will be helpful to develop rapid and accurate diagnostic method for brucellosis in human as well as animal populations., Author summary Brucellosis is one of the most important zoonosis in the world and has caused tremendous economic losses in agriculture and animal husbandry in many countries. Developing rapid, sensitive and specific diagnostic methods is very important for early detection and treatment of brucellosis patients. In this study, a novel diagnostic technique, nano-ZnO modified paper ELISA, was established. The antigen used in this technique was a fusion protein containing multiple B cell epitopes, which were predicted from Brucella major outer membrane proteins such as Bp26, Omp31, Omp16, Omp2b and Omp25. Comparing to traditional LPS antigen, this multiepitope based antigen displayed considerably higher sensitivity and higher specificity in laboratory. With the strategy described in this paper, more efficient epitopes and protein antigen can be identified in the future. Currently, LPS antigen is only prepared from live Brucella, while protein antigen can be produced in large quantities in prokaryotic expression system. In addition to nano-p-ELISA, this protein antigen can also be used for development other methods such as fluorescent polarization assay (FPA) and immunochromatographic assay (ICA) to meet the varied demand for brucellosis testing.

We report on an immunofluorescent paper-based assay for the detection of severe acute respiratory symptom coronavirus 2 (SARS-CoV-2) humanized antibody. The paper-based device was fabricated by using lamination technique for easy and optimized handling. Our approach utilises a two-step strategy that involves (i) initial coating of the paper-electrode with recombinant SARS-CoV-2 nucleocapsid antigen to capture the target SARS-CoV-2 specific antibodies, and (ii) subsequent detection of SARS-CoV-2 antibodies using fluorophore-conjugated IgG antibody. The fluorescence readout was observed with fluorescence microscopy. The images were processed and quantified using a MATLAB program. The assay can selectively detect SARS-CoV-2 humanized antibodies spiked in PBS and healthy human serum samples with the relative standard deviation of approximately 6.4% (for n = 3). It has broad dynamic ranges (1 ng to 50 ng/µL in PBS and 5 to 100 ng/µL in human serum samples) for SARS-CoV-2 humanized antibodies with the detection limits of 2 ng/µL (0.025 IU/mL) and 10 ng/µL (0.125 IU/mL) in PBS and human serum samples, respectively. We believe that our assay has the potential to be used as a simple, rapid, and inexpensive paper-based diagnostic device with a portable fluorescent reader to provide point-of-care diagnosis. This assay can be used for rapid examination of a large batch of samples toward clinical screening of SARS-CoV-2 specific antibodies as a confirmed infected active case or to evaluate the immune response to a SARS-CoV-2 vaccine.

The textile industry is resource-intensive, which has a significant impact on global emissions and waste pollution. To meet the demand of textiles over a third of fibres used in manufacturing are sourced from fossil fuels. As the global demand for textiles continues to grow, manufacturers are having to seek innovative approaches to providing sustainable and regenerative cellulose fibres. However, the latest climate change pressures on the textile industry have uncovered grave environmental issues associated with traditional regenerative cellulose production, such as the viscose manufacturing process. The viscose process requires intensive use of hazardous chemicals which leads to water pollution and ecotoxicity. In addition, if forestry products are unsustainably sourced for this process, this can lead to resource scarcity and deforestation. To provide a holistic solution for mitigating these challenges this study uses the by-products of paper manufacturing dissolved in an ionic liquid to produce regenerated cellulose filaments. Paper mill sludge (PMS) is a cellulosic by-product typically used on animal bedding and land spreading. The material has been dissolved in an ionic liquid - 1-ethyl-3-methylimidazolium diethyl phosphate - with the aid of a co-solvent dimethyl sulfoxide (DMSO) - and spun into continuous filaments for textile production. The mechanical properties of paper sludge filaments are found to be competitive with commercial viscose, which is promising for their drop-in replacement. It is also demonstrated that by increasing the concentration of the PMS from 9% to 12.4%, an improvement of the filament properties can be achieved; an increase in modulus from ∼19 GPa to ∼26 GPa and strength from ∼223 MPa to ∼282 MPa. These values are shown to be competitive with other commercial, less sustainable, regenerated cellulose fibres.

This is a pre-copyedited, author-produced version of an article accepted for publication in Cardiovascular Research (CVR) following peer review. The version of record Perrino, Ferdinandy, Bøtker, Brundel, Collins, Davidson, Den Ruijter, Engel, Gerdts, Girao, Gyöngyösi, Hausenloy, Lecour, Madonna, Marber, Murphy, Pesce, Regitz-Zagrosek, Sluijter, Steffens, Gollmann-Tepeköylü, Van Laake, Van Linthout, Schulz, Ytrehus. Improving translational research in sex-specific effects of comorbidities and risk factors in ischaemic heart disease and cardioprotection: Position paper and recommendations of the ESC Working Group on Cellular Biology of the Heart. Cardiovascular Research (CVR). 2021;117(2):367-385, is available online at: https://doi.org/10.1093/cvr/cvaa155. Ischaemic heart disease (IHD) is a complex disorder and a leading cause of death and morbidity in both men and women. Sex, however, affects several aspects of IHD, including pathophysiology, incidence, clinical presentation, diagnosis as well as treatment and outcome. Several diseases or risk factors frequently associated with IHD can modify cellular signalling cascades, thus affecting ischaemia/reperfusion injury as well as responses to cardioprotective interventions. Importantly, the prevalence and impact of risk factors and several comorbidities differ between males and females, and their effects on IHD development and prognosis might differ according to sex. The cellular and molecular mechanisms underlying these differences are still poorly understood, and their identification might have important translational implications in the prediction or prevention of risk of IHD in men and women. Despite this, most experimental studies on IHD are still undertaken in animal models in the absence of risk factors and comorbidities, and assessment of potential sex-specific differences are largely missing. This ESC WG Position Paper will discuss: (i) the importance of sex as a biological variable in cardiovascular research, (ii) major biological mechanisms underlying sex-related differences relevant to IHD risk factors and comorbidities, (iii) prospects and pitfalls of preclinical models to investigate these associations, and finally (iv) will provide recommendations to guide future research. Although gender differences also affect IHD risk in the clinical setting, they will not be discussed in detail here.

This study investigates the efficacy of using discarded textile (cotton and polycotton) and paper waste (newspaper and corrugated cardboard) as substrates to form sheets with optimum tensile strength. The effect of alkali treatment (sodium hydroxide (NaOH) and sodium bicarbonate (NaHCO3)), compressive loads (200 N and 500 N), and the use of binding agents (blackstrap molasses, sodium alginate, and cornstarch) were studied to optimize the tensile strength of homogeneous sheets. The alkali treatment using 5% NaOH for 5 h of soaking demonstrated the highest increase in tensile strength of 21% and 19% for cotton and newspaper, respectively. Increasing compressive load from 200 N to 500 N showed the highest increase in tensile strength of 37% and 42% for cotton and newspaper, respectively. Remarkably, among the binders, cornstarch at 20% concentration obtained an increase in tensile strength of 395%, 320%, 310%, and 185% for cotton, polycotton, corrugated cardboard, and newspaper sheets, respectively. The optimum results obtained from this study will be utilized to develop biodegradable seedling pots using discarded textile and paper waste.

Urine bags are commonly used to collect urine samples from neonates. However, the sample can be contaminated by stool, or detachment of the bag due to body movement can lead to failure of the collection. A qualitative urine collection kit containing ten filter papers of 3.2 mm diameter was developed and clinically verified among 138 neonates. During a single diaper change (approximately 3 h), the rate of urine collection was calculated. Urine collection was considered to be successful if any filter paper in the urine collection sheet turned from blue to white. Of the 127 neonates who passed urine, 122 had a change in the filter paper. The urine collection rate was 96%, with changes in all 10 filter papers observed in 98 neonates (80%). Urine collection rate was not influenced by sex (p = 1.00), age at collection (p = 0.72), preterm birth (p = 1.00), low birth weight (p = 0.92), or fecal contamination (p = 1.00). The incidence of dermatitis was not higher than in the group in which urine bags were used (urine collection kit: 2/68 [3%]; urine bag: 5/68 [7%]; p = 0.44). Novel urine collection kits using filter paper can collect samples from neonates safely and with a high probability of success.

Foam forming technology has attracted much attention during the past few years in the paper industry. Its advantages compared to conventional water forming are a new product portfolio and increased process efficiency. To support the paper industry in pushing foam forming technology forward, process simulation is needed to provide supporting data for strategic decision-making and as a basis for equipment dimensioning. This study examined the conversion of an existing wallpaper machine from water to foam forming technology using process simulation. To determine the required process configuration and parameter changes in the existing process, both published and unpublished data on the foam forming process were collected. This paper also describes modeling of the foam phase in the selected simulation software. The suitability of existing paper process equipment for foam was analyzed. Simulations revealed that undisturbed operation with foam requires some equipment modifications and re-arrangements in water circuits. With foam forming, the water balance in both short and long circulation changes remarkably compared to conventional water forming, leading to a large increase in the long circulation volume flows.

A novel paper-based potentiometric platform for the simple and fast monitoring of water hardness is presented. First, potentiometric ion-selective electrodes for calcium and magnesium printed on a paper substrate were built and optimized. These sensors, which display near-Nernstian sensitivity, were used for the determination of the concentration of these cations and the calculation of the water hardness. Second, the incorporation of a solid-state reference electrode allowed building an integrated paper-based potentiometric cell for the determination of the hardness of artificial and real samples (mineral waters). The validation of the results shows good ability to predict hardness in the conventional scale. Truly decentralized measurements were demonstrated by integration of a miniaturized instrument and dedicated software in a portable device. The measurements were able to be performed in just under two minutes, including a two-point calibration. Since the method is simple to use and cost-effective, it can be implemented in domestic and industrial settings.

Examination is a vital role to measure the capabilities of students in their learning. Hence, generating question paper in an effective way is a decisive job for educators in educational institution. Using traditional method, it is monotonous and time consuming. Today, Autonomous Examination Paper (AEP) is used to produce exam paper. Many researchers have proposed effective AEPs to be used by educators. This paper aims to investigate about AEP development and to construct AEP in UiTM Cawangan Perlis. As a result, Ad-Hoc Question Paper Application (AQPA) has been developed using Fisher-Yates algorithm to generate questions for exam paper in the university. Evaluation based on Perceived Ease of Use (PEOU) and Perceived Usefulness (PU) reveal that lecturers in the university manage to interact with AQPA and willing to use it as a tool to minimize their workload. However, more improvement must be done on AQPA to be an effective AEP. To conclude, AEP brings significance to educators and can be improved with the latest technology.

Highly cited papers are among the most commonly used indicators for measuring scientific excellence. The primary purpose of this study is to determine characteristics of highly cited papers authored or co-authored by Croatian researchers and to identify patterns of their national and cross-national collaboration. The Clarivate Analytics Web of Science Core Collection was used for collecting data. Data were filtered for the highly cited papers published in the 2008-2018 period. Half of 428 identified highly cited papers were published in only 18 journals. The distribution across subject areas showed a strong domination of the fields of physics and clinical medicine. The median number of authors per average paper was 30, 5, while the same value in the case of Croatian authors was 2. Only 4% of the analysed papers were authored by Croatian researchers only. The national inter- institutional collaboration was marginal and mainly visible through joined collaboration with foreign institutions. European institutions are most frequently found among the authors’ addresses. For a small country on the scientific periphery, international cooperation is a prerequisite not only for the publication of highly cited papers but also for acquiring additional research experience in mainstream scientific teams.

Smart fluid manipulation with automatically controlled paper valves will enable automated and multi-step immunoassays on paper-based microfluidic devices. In this work, we present an integrated paper-based microfluidic platform with shape-memory polymer (SMP)-actuated fluid valves capable of automated colorimetric enzyme-linked immunosorbent assays (ELISAs). A single-layer microfluidic paper-based analytical device (μPAD) was designed to store all the reagents on the chip, and sequentially transfer reagents to a paper test zone following a specific ELISA protocol through automatic fluidic flow control by the multiple SMP-actuated valves. The actuation of a paper valve was based on the thermally responsive, duel-state shape transformation of a SMP sheet attached to the root of a paper cantilever beam for driving a hydrophilic paper bridge to connect and disconnect two paper channels. A portable colorimetric reader was developed to control the on-chip valve operations, quantify the colorimetric signal output, display the assay result, and wirelessly transmit the data to a smart phone for the application of telemedicine. Reliable operations of the paper valve and the entire μPAD were demonstrated with success rates of 97% and 93%, respectively. A detection mechanism for valve malfunction was designed and confirmed effective to identify any mal-operation of individual valves, thus rendering our platform reliable in real assays. For device calibration, we conducted direct ELISAs of rabbit IgG in phosphate-buffered saline (PBS), and achieved a low limit of detection (LOD) of 27 pM (comparable to that of standard and paper-based ELISAs). In order to demonstrate the clinical application of our multi-step immunoassay platform, we also conducted sandwich ELISAs to quantify the protein level of an inflammatory cytokine, namely tumor necrosis factor (TNF)-α, in surgically injured laryngeal tissues of rats. The protein levels of TNF-α were shown similar between the conventional and μPAD ELISAs., Microfluidics: Paper valves open doors to new designs Researchers in Canada have improved the design of paper-based analytical devices by developing paper valves which make it possible to carry out fully-automated multi-step analyses. Previous efforts to incorporate valves have been based on electromagnets or compressed sponges, making them too cumbersome or complicated for reliable use in paper-based analytical devices. To overcome this, a team led by Xinyu Liu of the University of Toronto turned to polymers that reversibly change shape in response to temperature. They combined these with a heating element to produce thermally-activated paper valves. Test devices designed to carry out a multi-step ELISA analysis produced results comparable to a standard commercial ELISA kit. The valve design can be used to create devices for other multi-step diagnostic assays which can be used in contexts where lab equipment and skilled personnel are unavailable.

With the increasing advance of computer and information technologies, numerous research papers have been published online as well as offline, and as new research fields have been continuingly created, users have a lot of trouble in finding and categorizing their interesting research papers. In order to overcome the limitations, this paper proposes a research paper classification system that can cluster research papers into the meaningful class in which papers are very likely to have similar subjects. The proposed system extracts representative keywords from the abstracts of each paper and topics by Latent Dirichlet allocation (LDA) scheme. Then, the K-means clustering algorithm is applied to classify the whole papers into research papers with similar subjects, based on the Term frequency-inverse document frequency (TF-IDF) values of each paper.

There is a lot of investment in research on displaying texture through a stylus pen. However, little is known about the effect of a stylus pen that can provide the texture of pen and paper on user experience. This study investigated whether there is a change in user experience when using a stylus pen that can provide pen-and-paper texture compared with a typical stylus pen. Experiments involving writing and drawing tasks using three tools (a stylus pen that can provide pen-and-paper texture, a typical stylus pen, and analogue pen and paper) were conducted, and user experiences were compared. After a literature review that examined the factors affecting the experience of using a pen, the experiments were conducted to measure usability and emotions. We found little difference between the typical stylus pen and the stylus pen in providing texture in respect of completion time and amount of error. However, the stylus pen that can provide texture showed results closer to those of the analogue pen and paper, and better results than those of the typical stylus pen in respect of familiarity and overall satisfaction of the usability and emotional variables. Therefore, this study confirmed that user experience is improved when using a stylus pen that can provide the texture of pen and paper. Daar is al baie belê en nagevors in die nabootsing van die pen-op-papier gevoel van 'n elektroniese stilus. Daar is egter weinige inligting beskikbaar oor die effek wat tekstuur op gebruikers-ervaring het. Hierdie studie ondersoek of daar n verandering in gebruikerservaring is wanneer n stilus met pen-op-papier terugvoer gebruik word teenoor n tipiese stilus wat nie terugvoer aan die gebruiker lewer nie. Eksperimente wat skryf en teken-take insluit is met drie gereedskapstukke (n stilus met pen-op-papier terugvoer, n tipiese stilus, en n konvensionele pen op papier) uitgevoer. Na n literatuurstudie van stapel gestuur is, is die eksperimente uitgevoer om die bruikbaarheid en subjektiewe terugvoer van die gebruiker te bepaal. Die resultate toon min verskil tussen n tipiese stilus en een met die pen-op-papier gevoel, beide in terme van die tyd om die take te voltooi en die aantal foute begaan. Die stilus met pen-op-papier terugvoer se vertoning was nader aan die van n tradisionele pen, asook beter subjektiewe terugvoer van die gebruiker in terme van vertroudheid en algehele bevrediging. Die gevolgtrekking is dus dat n stilus met pen-op-papier terugvoer gebruikerservaring verbeter.

Background : E-Learning or web-based technology can be used to train undergraduate medical students’ clinical reasoning skills. Currently, many learning methods are being developed using web-based environment to replace paper-based because they are more efficient in terms of paper usage and are flexible for a student in accessing materials. This study aims to explore student’s working durationaccess time and scores upon the usage of webbased test, to compare students’ scores to paper-based test scores, to explore the advantages anddisadvantages, and suggestions to improve the web-based learning method. Method : This study randomly enlisted 60 medical students of Universitas Gadjah Mada, Yogyakarta, Indonesia and divided them into web-based (n = 30) and paper- based test (n = 30) groups. Students answered 15 disaster management questions and completed a questionnaire. The scores and times needed to answer the questions were compared using the Mann-Whitney and Independent Sample tests. Results : The duration to answer in the web-based group was shorter than in paper- based group (p = 0.001), but the average scores difference was not significant (p = 0.169). In the web-based group, similar numbers of students accessed the website during and after working hours. Survey questionnaire results showed that most students realized the advantages of this program and gave appropriate suggestions. Conclusion : Practicing clinical reasoning skills using web-based learning method is more time-efficient compared to the paper-based test. Its high-accessibility improves the learning interest and motivation of the student, with an equal outcome to the paper-based test.

The introduction and wide use of devices, especially mobile ones, has changed the way learners read and do research for a variety of reasons, and this trend has attracted a number of studies conducted regarding reading on screen and on paper in addition to those dealing with the students’ behavior in using online resources to print ones. This paper aims at identifying the major findings and trends in reading research by describing the current state of knowledge and practice in the studies comparing reading on screen and on paper and to provide guidance for practitioners by analyzing and summarizing the existing research. The current review adopted a systematic review as the research methodology as well as the article selection and screening process. The articles published between 2009 and 2017 were reviewed, and 37 articles were included in the analysis. The review revealed that the research on onscreen and paper-based reading focused on comparing the learners’ performances in reading activities in both contexts and sharing preliminary findings and students’ views. However, the findings are inconclusive as mixed findings were produced as to the effects of reading on screen and on paper. Moreover, the review also indicates that practitioners are also interested in examining the factors and affordances in reading on screen. As a result, there is still further research needed to establish the factors affecting reading and comprehension while reading on screen and on paper.

Minimal invasive extracorporeal circulation (MiECC) systems have initiated important efforts within science and technology to further improve the biocompatibility of cardiopulmonary bypass components to minimize the adverse effects and improve end-organ protection. The Minimal invasive Extra-Corporeal Technologies international Society was founded to create an international forum for the exchange of ideas on clinical application and research of minimal invasive extracorporeal circulation technology. The present work is a consensus document developed to standardize the terminology and the definition of minimal invasive extracorporeal circulation technology as well as to provide recommendations for the clinical practice. The goal of this manuscript is to promote the use of MiECC systems into clinical practice as a multidisciplinary strategy involving cardiac surgeons, anaesthesiologists and perfusionists.