Search

In this study, a microfluidic paper-based analytical device (mu PAD) was integrated with a smartphone app capable of offline (without internet access) image processing and analysis for the rapid colorimetric detection of glucose. A self-inking stamp was used to form hydrophobic channels on a piece of paper-towel due to its superior water absorption efficiency. As demonstrated, the developed sensor was employed for the colorimetric detection of glucose in artificial saliva in the linear scope of 0 - 1 mM with a calculated detection limit of 29.65 mu M. The experimental results show that the quantitative analysis of glucose with the proposed smartphone platform could be completed in less than one minute. The app developed for the smartphone platform is capable of extracting the color-changing area with an embedded image processing tool which could address the problem of color uniformity in the detection zones of mu PAD. The integrated platform has great potential to be used for non-invasive measurements of glucose in body fluids, like tears, sweat and saliva.

Many studies have been conducted on measuring avian influenza viruses and their hemagglutinin (HA) antigens via electrochemical principles; most of these studies have used gold electrodes on ceramic, glass, or silicon substrates, and/or labeling for signal enhancement. Herein, we present a paper-based immunosensor for label-free measurement of multiple avian influenza virus (H5N1, H7N9, and H9N2) antigens using flexible screen-printed carbon nanotube-polydimethylsiloxane electrodes. These flexible electrodes on a paper substrate can complement the physical weakness of the paper-based sensors when wetted, without affecting flexibility. The relative standard deviation of the peak currents was 1.88% when the electrodes were repeatedly bent and unfolded twenty times with deionized water provided each cycle, showing the stability of the electrodes. For the detection of HA antigens, approximately 10-μl samples (concentration: 100 pg/ml–100 ng/ml) were needed to form the antigen–antibody complexes during 20–30 min incubation, and the immune responses were measured via differential pulse voltammetry. The limits of detections were 55.7 pg/ml (0.95 pM) for H5N1 HA, 99.6 pg/ml (1.69 pM) for H7N9 HA, and 54.0 pg/ml (0.72 pM) for H9N2 HA antigens in phosphate buffered saline, and the sensors showed good selectivity and reproducibility. Such paper-based sensors are economical, flexible, robust, and easy-to-manufacture, with the ability to detect several avian influenza viruses.

By way of broadening the use of diverse sustainable bioethanol feedstocks, the potentials of Paper mulberry fruit juice (PMFJ), as a non-food, sugar-based substrate, were evaluated for fuel ethanol production. The suitability of PMFJ was proven, as maximum ethanol concentration (56.4 g/L) and yield (0.39 g/g) were achieved within half a day of the start of fermentation, corresponding to very high ethanol productivity of 4.7 g/L/hr. The established potentials were further optimally maximized through the response surface methodology (RSM). At the optimal temperature of 30 °C, yeast concentration of 0.55 g/L, and pH of 5, ethanol concentration, productivity, and yield obtained were 73.69 g/L, 4.61 g/L/hr, and 0.48 g/g, respectively. Under these ideal conditions, diverse metal salts were afterward screened for their effects on PMFJ fermentation. Based on a two-level fractional factorial design, nutrient addition had no positive impact on ethanol production. Thus, under the optimal process conditions, and without any external nutrient supplementation, bioethanol from PMFJ compared favorably with typical sugar-based energy crops, highlighting its resourcefulness as a high-value biomass resource for fuel ethanol production. Graphical Abstract

In order for enterprise imaging to be successful across a multitude of specialties, systems, and sites, standards are essential to categorize and classify imaging data. The HIMSS-SIIM Enterprise Imaging Community believes that the Digital Imaging Communications in Medicine (DICOM) Anatomic Region Sequence, or its equivalent in other data standards, is a vital data element for this role, when populated with standard coded values. We believe that labeling images with standard Anatomic Region Sequence codes will enhance the user’s ability to consume data, facilitate interoperability, and allow greater control of privacy. Image consumption—when a user views a patient’s images, he or she often wants to see relevant comparison images of the same lesion or anatomic region for the same patient automatically presented. Relevant comparison images may have been acquired from a variety of modalities and specialties. The Anatomic Region Sequence data element provides a basis to allow for efficient comparison in both instances. Interoperability—as patients move between health care systems, it is important to minimize friction for data transfer. Health care providers and facilities need to be able to consume and review the increasingly large and complex volume of data efficiently. The use of Anatomic Region Sequence, or its equivalent, populated with standard values enables seamless interoperability of imaging data regardless of whether images are used within a site or across different sites and systems. Privacy—as more visible light photographs are integrated into electronic systems, it becomes apparent that some images may need to be sequestered. Although additional work is needed to protect sensitive images, standard coded values in Anatomic Region Sequence support the identification of potentially sensitive images, enable facilities to create access control policies, and can be used as an interim surrogate for more sophisticated rule-based or attribute-based access control mechanisms. To satisfy such use cases, the HIMSS-SIIM Enterprise Imaging Community encourages the use of a pre-existing body part ontology. Through this white paper, we will identify potential challenges in employing this standard and provide potential solutions for these challenges.

In this study, the synthesis of the {001} facet of anatase TiO2 (T-{001}) was hydrothermally carried out by a two-step process (without using fluoride ions as capping agent); the synthesized T-{001} sample was characterized by XRD, FESEM and HRTEM. The T-{001} was used for improvement in biodegradability of paper mill wastewater in the batch and continuous system under UV light irradiation. The performance of T-{001} was compared to commercial TiO2 (P25). In the batch system, the effect of the pH, time and photocatalyst dosage on the COD removal were investigated. The results showed that alkaline condition enhanced photocatalytic degradation of COD. For batch system, biodegradability index (BOD5/COD ratio) improved from 0.12 to 0.71 by application of the T-{001}; whereas this improvement was 0.52 for P25 sample. For the continuous system, the TiO2 samples were immobilized on the glass media and utilized in a packed bed photoreactor (PBPR). The effect of different flowrates on the COD removal was investigated. To investigate the stability of the samples, the photocatalytic experiments were continuously carried out for 3 h; both samples showed considerable stability during this time. The final values of BOD5/COD ratio at flowrate of the 5.4 ml/min were 0.64 and 0.42 for CT-{001} and CP25, respectively.

Maturity of vermicomposted end products obtained from citronella bagasse (CB) and a mixture of citronella bagasse and paper mill sludge (CB + PMS) was determined employing the epigeic earthworm species Eisenia fetida. Two of the primary biological indicators—enzyme assay and germination index—were used for evaluation of vermicompost maturity. The enzyme assay includes the changes in dehydrogenase and urease activities in the final products. The test for germination index was performed on two economically important plant species Abelmoschus esculentus and Solanum melongena. The results revealed a significant increase in dehydrogenase and urease activities in the vermicompost samples over the raw materials and traditional compost. The enhancement was recorded 215.63–225.63% in dehydrogenase and 149.89–249.31% for urease in the end products obtained after 45 days of experimental trials. Further, the higher values of germination index in the vermicompost treatments as against the control confirm the suitability and stability of the vermicomposted final products.

The gas flow through sheet-like porous materials such as paper can show marked lateral variations due to a heterogeneous, locally varying microstructure. Hence, reliable predictions of such lateral flux variations require an appropriate consideration of local variations in the microstructure. The flow through such sheet-like materials is commonly described with Darcy’s law in which permeances are formulated in terms of microstructure properties, such as porosities, tortuosities, or hydraulic radii. This work proposes an extension of existing permeance models that directly considers the variation and the cross-dependence between local microstructure properties. The extended model is applied to local air fluxes through a paper sheet to exemplarily reveal the joint impact of local porosities and local tortuosities on the air flux. The key extension is to consider a joint distribution of porosity and tortuosity. The latter is constructed from the univariate property distributions using a copula approach and yields local tortuosities including their variation for any encountered local porosity. These values jointly enter any permeance model that qualitatively captures the dependence of the air flux on the porosity. To assess the merit of the model, variations in the air flux and in the pore space properties are independently determined from the same measured microstructure of paper. Air flux variations are provided by computational fluid dynamics simulations on multiple, nonoverlapping segments taken from the microstructure. A statistical analysis of the entire microstructure provides the distribution of local porosity, tortuosity, and thicknesses. Our model quantitatively explains that porosity-dependent variations in the tortuosity, in particular the ones associated with high-volume pathways, decisively determine air flux variations.

Background The number of citations a paper receives reflects its impact on the scientific community. We aimed to identify and explore the characteristics of the most cited papers on total anomalous pulmonary venous connection (TAPVC). Methods Web of Science Core Collection Expanded Science Citation Index (1900 to present) was searched and papers on TAPVC were reviewed. Articles were ranked by the number of citations and the 100 most cited papers were analyzed. Results The 100 most cited papers were published between 1952 and 2018 with a mean number of citations of 52 (range 26 to 148). The 1990s was the most productive decade. All articles except one were written in English. The 100 most cited articles were published in 24 journals, led by Journal of Thoracic and Cardiovascular Surgery (21 articles), followed by Annals of Thoracic Surgery (20 articles), and Circulation (16 articles). The United States of America contributed most of the 100 most cited papers (60 articles). Hospital for Sick Children, Toronto led the list of citation classics with six papers. Christopher A. Caldarone, John W. Kirklin, and P. E. F. Daubeney were the most productive authors with 3 articles each. More than half of the papers were cohort studies (51 articles). Surgery, radiology and etiology were the main topics. Thirty-one articles were funded by public foundations, and none received support from commercial companies. Conclusions The bibliometric analysis gives a historical perspective on scientific progress in the field of TAPVC and lays the foundation for future research.

This exploratory study compares how young people (ages 15–16) learn circuitry concepts and layout design principles important to electrical engineering using one of two educational circuitry toolkits: paper circuits and traditional solderless breadboards. Paper-based prototyping kits are representative of a trend that incorporates new materials and approaches to integrating arts into traditional STEM disciplines. Extending prior research on how non-traditional toolkits enhance learning of electrical engineering outcomes, including basic circuitry concepts (i.e., current flow, polarity, and connections), this study examines the material affordances and design choices of the kits that contribute to youth’s understanding of more advanced circuitry layout design principles, including space allocation, placement of electronic components, and routing. Results indicate that paper circuits better afford the learning of layout design principles for printed circuit boards (PCBs) with large effect sizes. This study illuminates how the materials of educational toolkits uniquely solicit body- and material-syntonic patterns of activity, and thus differentially engage learners’ powerful ideas around circuitry and design principles. This investigation encourages careful consideration of the material affordances of some toolkits over others for learning purposes.

This paper presents the case of an adjunct university professor to illustrate the dilemma of using artificial intelligence (AI) technology to grade student papers. The hypothetical case discusses the benefits of using a commercial AI service to grade student papers—including discretion, convenience, pedagogical merits of consistent feedback for students, and advances made in the field that yield high-quality work—all of which are achieved quickly. Arguments against using AI to grade student papers involve cost, privacy, legality, and ethics. The paper discusses career implications for faculty members in both situations and concludes with implications for researchers within the discourse on academic integrity.

We present a translation of the 1933 paper by R. F\"urth in which a profound analogy between quantum fluctuations and Brownian motion is pointed out. This paper opened in some sense the way to the stochastic methods of quantization developed almost 30 years later by Edward Nelson and others., Comment: 23 pages, 4 figures

Computer vision is one of the artificial intelligence’s most challenging fields, enabling computers to interpret, analyse and derive meaningful information from the visual world. There are various utilizations of computer vision algorithms, and most of them, from simpler to more complicated, have an object and shape recognition in common. Traditional pen and paper tests are designed in a pre-established format and consist of numerous basic shapes, which designate the important parts of the test itself. With that in mind, many computer vision applications regarding pen and paper tests arise as an opportunity. Massive courses and large schooling organizations mostly conduct their exams in paper format and assess them manually, which imposes a significant burden on the teaching staff. Any kind of automatization that will facilitate the grading process is highly desirable. Hence, an automated answer recognition system in assessment was developed to mitigate the problems above. The system uses images of scanned test pages obtained from the test scanning process and performs the necessary image manipulation steps to increase target recognition accuracy. Further, it manages to identify regions of interest containing multiple-choice questions and contours. Finally, the system verifies obtained results using the knowledge of the whereabouts of the test template regions of interest.

Background Paediatric orthopaedics is a significant and difficult for undergraduate students to master. During the COVID-19 pandemic, we used the WeChat platform to combine the advantages offered by problem-based learning (PBL), case-based learning (CBL) and paper review teaching methods to establish a new blended online teaching model and demonstrated its feasibility and effectiveness. Objective This study aims to demonstrate the feasibility and effectiveness of a new blended pedagogical method that uses the WeChat platform and combines PBL, CBL and paper review. Methods We enrolled 22 students participating in the Department of Paediatric Orthopaedics. They participated in the WeChat blended pedagogy mode. Their departmental rotation examination scores were compared with those of 23 students who participated in the traditional teaching method. Moreover, an anonymous questionnaire was used to evaluate students’ perceptions and experiences. Results The total average scores of students who participated in the WeChat blended pedagogy mode and the traditional teaching method were 47.27 and 44.52, respectively. There were no statistically significant differences between the online teaching mode and the traditional teaching method in terms of possessing professional accomplishment, gaining knowledge and promoting interpersonal skills (P = 0.07, P = 0.12 and P = 0.65, respectively). In terms of independent clinical thinking, self-improving capability and improving clinical skills, the scores associated with the WeChat blended pedagogy mode were 8.00, 8.00 and 6.00, whereas those associated with the traditional teaching method were 6.70, 6.87 and 7.48. The overall satisfaction with the WeChat blended pedagogy mode reached 100%. A total of 64%, 86%, 68%, 64% and 59% of students chose very large or large in response to the items concerning professional accomplishment, knowledge absorption, independent clinical thinking skills, English reading and literature exploring capacity, as well as interpersonal skills, respectively. Fifteen participants claimed that the WeChat blended pedagogy mode was less helpful to them with regard to promoting the improvement of their clinical skills. Nine students claimed that the WeChat blended pedagogy mode was time-consuming. Conclusions Our study verified the feasibility and effectiveness of the WeChat blended pedagogy mode for undergraduate paediatric orthopaedics internships. Trial Registration Retrospectively registered.

The study presents the integration of architectural design approaches in the fashion design process suggesting a new educational method based on structural model fabrication. The paper addresses the output of an experimental collaborative practice-based workshop titled ‘Fashion Clash’ that mixes both architects and fashion designers. The workshop focused on testing self-structural garments following a manual workflow which is divided into three main phases, (1) modeling and form-finding, (2) assembly, and (3) fabrication. Paper-based materials are used for transforming full-scale garments into textiles. The results presented seven garments displayed at a fashion show that show the effect of the folding techniques in reaching stability and highlighting the interdisciplinary integration of architects and fashion designers. The study concludes that implementing a parametric design logic based on architectural perspective in fashion would generate innovative ways of testing self-supporting geometry. Digitally computing the forces and structure before fabrication are left for further research.

In this study, we present a promising and facile approach toward the fabrication of non-toxic, water-stable, and eco-friendly luminescent fiber paper composed of polycaprolactone (PCL) polymer and CsPbBr3@SiO2 core–shell perovskite nanocrystals. PCL-perovskite fiber paper was fabricated using a conventional electrospinning process. Transmission electron microscopy (TEM) clearly revealed incorporation of CsPbBr3@SiO2 nanocrystals in the fibers, while scanning electron microscopy (SEM) demonstrated that incorporation of CsPbBr3@SiO2 nanocrystals did not affect the surface and diameter of the PCL-perovskite fibers. In addition, thermogravimetric analysis (TGA) and contact angle measurements have demonstrated that the PCL-perovskite fibers exhibit excellent thermal and water stability. The fabricated PCL-perovskite fiber paper exhibited a bright green emission centered at 520 nm upon excitation by ultra-violet (UV) light (374 nm). We have demonstrated that fluorescent PCL-perovskite fiber paper is a promising candidate for anti-counterfeiting applications because various patterns can be printed on the paper, which only become visible after exposure to UV light at 365 nm. Cell proliferation tests revealed that the PCL-perovskite fibers are cytocompatibility. Consequently, they may be suitable for biocompatible anti-counterfeiting. The present study reveals that PCL-perovskite fibers may pave way toward next generation biomedical probe and anti-counterfeiting applications. Graphical Abstract

In this work, the efficiency of a polyelectrolyte complex (PEC) to retain different cellulose micro/nanofibers (CMNFs) during paper formation and to improve the physical properties of recycled unbleached fiber paper was analyzed. CMNFs were obtained from a commercial bleached eucalyptus pulp (BEP) using a PFI refiner followed by a chemical treatment with oxalic acid at two different concentrations. Finally, the pulp was fibrillated using a high-pressure homogenizer at three different intensities. The PEC was formed by addition of the xylan (Xyl) solution on chitosan (CH) solution with a Xyl/CH mass ratio of 80/20. The required dosages of PEC solution to neutralize the charges of different nanocellulose fractions were determined by ζ-potential measurements, and the CMNF retentions on recycled unbleached fibers were evaluated in a Britt Dynamic Drainage Jar. The results showed that the maximum retention was obtained when the neutral PEC-CMNF system was added to pulp. Besides, a significant decrease on °SR was observed when PEC and PEC-CMNF systems were added to the untreated pulp, limiting the negative effects of nanocellulose addition on pulp drainability. The incorporation of PEC-CMNF systems to the handsheets increased the tensile index (up to 28%), Mullen index (up to 40%) and internal bonding (up to 255%). Finally, the compressive strength of the handsheets, namely SCT and CMT, increased up to 30 and 70%, respectively. These simultaneous improvement on drainability and mechanical properties makes the proposed PEC-CMNF system a promising solution for the production of packaging paper.

Background Inguinal hernias remain a challenging area of learning for medical students due to its relatively complex anatomy. Modern curriculum delivery methods are conventionally limited to didactic lectures and demonstration of anatomy intraoperatively. These strategies have limitations; lectures are inherently descriptive and based on 2-dimensional models, while intraoperative teaching is often unstructured and opportunistic. Methods A paper-based model was developed comprising three overlapping paper panels simulating the anatomical layers of the inguinal canal which can be modified readily to further simulate various hernia pathologies and their surgical repair. These models were incorporated into a timetabled structured learning session for 3rd- and 4th-year medical students. Learners responded to fully anonymised surveys before and after the learning session. Findings A total of 45 students participated in these sessions over a period of 6 months. Pre-learning session mean ratings for the learners’ confidence in their understanding of the layers of the inguinal canal, identifying indirect and direct inguinal hernias and in naming the contents of the inguinal canal were 2.5, 3.3 and 2.9, while post-learning session mean ratings were 8.0, 9.4 and 8.2, respectively. Paired samples Student’s t-tests for all three questions were statistically significant (p Discussion and Conclusion Our novel, low-cost paper model was associated with an improvement in learners’ perceived knowledge and understanding of inguinal canal anatomy and pathology.

This research uses WP to investigate the effect of two types of Shredded Waste Paper (SWP) comprising Shredded Copier Waste Paper (SCPWP) and Shredded Cardboard Waste Paper (SCBWP) as additives on the properties of concrete and the structural behaviour of Reinforced Concrete Beam (RCB). The slump, compressive, flexural, and splitting tensile strengths increase by 4–13% for 5–10% addition of SCPWP and decrease by 16–23% for 15% addition of SCPWP compared to 0% addition. For SCBWP, the slump, compressive, flexural and splitting tensile strengths increase by 10–23% for 5–10% addition and decrease by 15–21% for 15% addition compared to 0% addition. 15% of SCPWP and SCBWP addition records the highest effect in water absorption and efflorescence, showing 11% and 10.28% increases with 15% addition of SCBWP and SCPWP. Scanning electron microscope (SEM) analysis reveals that the crack is repaired, and the presence of calcium hydroxide (Ca(OH)2) and calcium–silicate–hydrate (C–S–H) links enhances the concrete strength. The addition of 10% SCPWP and 10% SCBWP in the concrete mixtures improves the structural behaviour of RCB with stirrup spacing (SS) = 100 mm (full), 150 mm and 200 mm (reduced) by increasing the load and reducing the deflection. Apart from that, the concrete bending and shear strains also increase by 44.17% and 34.9%. The failure mode of the RCB changes from shear to bending. This study indicates that SCPWP and SCBWP can be used as additives in concrete at 5% and 10%, and 10% for RCB with significant strength and structural improvement.

In this work heat transfer papers were loaded with a new core–shell pigment based on precipitating thin shell of titanium dioxide on a core of rice husk silica ash TiO2/RHSA to be applied in dye sublimation printing of textile fabrics. Besides, 0.1% (w/w) cationic polyacrylamide (CPAM) and 1% (w/w) bentonite (Bt) were also added sequentially to improve drainage and filler retention of the paper hand-sheets made from bleached kraft bagasse pulps. The effect of the new core–shell pigment on the mechanical and barrier properties, thermal stability and surface morphology of modified paper sheets were investigated. In addition, the study of transfer printability and ease of dye release from paper to fabric in this heat transfer printing of polyester fabrics using silk-screen printing under different transfer parameters were studied. Also, fastness measurements including washing, light and perspiration of printing polyester fabric were also estimated.

Sulfite is a common food additive that prevents oxidation from damaging food nutrients, and it has long been used in the food industry as a bleaching agent. It can harm the human body if taken wrongly or excessively. In this study, three dyes (cresol red, chlorophenol red, and bromocresol green) were explored to analyze the presence of sodium sulfite (SS) in an inexpensive, disposable paper sensor with a lower visible detection limit of 0.05 M. This visual paper sensor detects sodium sulfite with high selectivity and sensitivity at room temperature. An IoT-based sensor was also developed to practically apply the developed method, which is rapid and low-cost and can replace heavy-duty instruments. Both these sensors can substantially impact scenarios such as food quality monitoring and detecting sodium sulfite in medicinal items. Graphical Abstract

This paper explores the potential for a system to be a co-author on an academic paper based on the criteria proposed by the International Committee of Medical Journal Editors (ICMJE). We used a third generation generative pretrained transformer (GPT-3) to write a review paper on the topic of its choice: The Effects of Sleep Deprivation on Cognitive Function. The system was asked to fulfill the four main criteria for co-authorship as recommended by ICMJE, which includes contributions to the conception or design of the work; drafting the work or revising it critically for important intellectual content; final approval of the version to be published; and agreement to be accountable for all aspects of the work. Our results showed that the system was able to fulfill the criteria, with significant difficulties with accurate and reliable referencing. We also explored the ethical implications of using AI systems for research and found that it is important to take a cautious approach when considering its use for scientific authorship. This case study provides a methodology for further investigations into the possibilities and limitations of automated writing.

We aimed to investigate differences in patients’ anxiety and satisfaction between patients undergoing paper-based patient decision aid (PDA) for shared decision-making (SDM) and those receiving computer-based PDA. We retrospectively collected questionnaires before and after SDM. Basic demographic data as well as anxiety, satisfaction, knowledge acquisition, and participation in SDM were recorded. We divided our population into subgroups according to use of paper-based or computer-based PDA. In addition, Pearson correlation analysis was applied to assess the relationships among variables. In total, 304 patients who visited our Division of Nephrology were included in the final analysis. Overall, over half of the patients felt anxiety (n = 217, 71.4%). Near half of the patients felt a reduction in anxiety after SDM (n = 143, 47.0%) and 281 patients (92.4%) were satisfied with the whole process of SDM. When we divided all the patients based on use of paper-based or computer-based PDA, the reduction of anxiety level was greater in the patients who underwent paper-based PDA when compared with that of those who underwent computer-based PDA. However, there was no significant difference in satisfaction between the two groups. Paper-based PDA was as effective as computer-based PDA. Further studies comparing different types of PDA are warranted to fill the knowledge gaps in the literature.

Exercise addiction is a term used to describe dysfunctional exercise behavior characterized by the classic symptoms of addictions, which eventually result in physical, psychological, or social harm to the affected individual. While well over 1000 peer-reviewed papers on problematic exercise have been published, very few studies have explored the conceptual differences between team-based and individual-based exercise, and no previous study has critically addressed this issue. The rationale for this distinction is that team-based exercise is typically organized and scheduled by others with little or no control over its timing by the individual team member. On the contrary, individual-based exercise can be self-scheduled. Consequently, more (total) control over its timing facilitates the satisfaction of craving-induced urges characterized by an addiction. It is posited that exercise addicts, in general, are “lone wolves” in the context of their addiction. Therefore, being addicted to exercise in team sports is only possible if the individual resorts to additional individually-controlled exercise above and beyond team-based training. To support this position, the present paper briefly reviews the few studies conducted in this area and examines how their results match the diagnostic interpretation of “addiction.” The present position paper highlights that “control” over the addictive behavior, in this case, exercise, is an important marker in the potential for the risk of exercise addiction. Therefore, future studies should consider that team-based exercise assigns little control to the individual. However, the extent to which additional individual-based exercise occurs and poses a risk of addiction within team exercises merits further research attention.

Paper-based electronics have attracted much attention due to their softness, degradability, and low cost. However, paper-based sensors are difficult to apply to high-humidity environments or even underwater. Here, we report a fully paper-integrated piezoresistive sensing system that exhibits flexibility, waterproofing, air permeability, and biocompatibility. This system consists of hydrophobic paper as the substrate and encapsulation layer, conductive paper with a double ‘zig-zag’ and dotted surface structure as the sensing layer, and silver paste films as the interconnects. The structural design of the sensing layer helps to increase the contact area in adjacent layers under pressure and further improves the pressure sensitivity. The piezoresistive system can be worn on human skin in the ambient environment, wet environment, and water for real-time monitoring of physiological signals with air permeability and waterproofing due to its hydrophobic fiber structure. Such a device provides a reliable, economical, and eco-friendly solution to wearable technologies.

Research shows active learning is an effective teaching method. However, few qualitative studies explore medical student perceptions of the active learning process. The present study explored what students thought about while completing paper puzzles, an active learning tool used at the University of Utah School of Medicine, to understand what and how medical students think while engaged in active learning.To investigate second-year medical students' attitudes toward these active learning exercises, three Zoom-based focused groups were held and recorded throughout the course. Recordings were transcribed and coded using thematic analysis.Students reported that peer interactions were of high value, and that while some interactions and thought processes were action-oriented, others were more metacognitive. Other benefits of the activity included promotion of learning, provision of structure, and designation of high-yield concepts. Challenges included feelings of confusion, problems with timing or difficulty of the tasks, and low utility without adequate preparation.These findings reflect student-acknowledged pros and cons of active learning described in education literature and add further insight into the thoughts and conversations students have during active learning activities. These include practicing metacognitive skills, triaging information, and learning from peers.These data further elucidate student perceptions of active learning activities in medical education. Though focused on a specific activity, the data can help medical educators understand what students appreciate about active learning and what they think about while engaged in such activities.The online version contains supplementary material available at 10.1007/s40670-022-01682-y.

Traditionally, data has been held in silos and was rarely shared with other organizations. However, recently data sharing across organizations is becoming more and more important as evidenced by governmental and industrial initiatives such as the EU data strategy. As a result, both academia and industry have been proposing new systems for shared databases, that allow multiple organizations to collaboratively insert and manage data in a common database. Yet, each new system seems to come with its own architectural choices and custom guarantees that make it hard for users to navigate the plethora of shared database systems. While standard benchmarks like the TPC‑C database benchmark have been a well-established tool to compare and analyze traditional database systems, they seem to be unsuited to evaluate shared database systems. This is because these systems are built with fundamentally different assumptions in mind, such as a different threat/trust model since multiple (untrusted) parties access and modify the same data. In this paper, we present a vision and initial ideas for a new benchmark to evaluate shared databases and capture their unique characteristics.

Visual individual recognition requires animals to distinguish among conspecifics based on appearance. Though visual individual recognition has been reported in a range of taxa including primates, birds, and insects, the features that animals require to discriminate between individuals are not well understood. Northern paper wasp females, Polistes fuscatus, possess individually distinctive color patterns on their faces, which mediate individual recognition. However, it is currently unclear what role color plays in the facial recognition system of this species. Thus, we sought to test two possible roles of color in wasp facial recognition. On one hand, color may be important simply because it creates a pattern. If this is the case, then wasps should perform similarly when discriminating color or grayscale images of the same faces. Alternatively, color itself may be important for recognition of an image as a "face", which would predict poorer performance on grayscale discrimination relative to color images. We found wasps performed significantly better when discriminating between color faces compared to grayscale versions of the same faces. In fact, wasps trained on grayscale faces did not perform better than chance, indicating that color is necessary for the recognition of an image as a face by the wasp visual system.

The degradation of paper-based materials involves several and complex mechanisms, such as hydrolysis and oxidation. The behaviour of different types of pulps can be very variable. In this study, the difference upon oxidation of contemporary non-recycled and recycled papers, which now constitute a considerable fibre source, is investigated. A 0.015 M potassium periodate solution is used to oxidise five types of paper, two non-recycled and three recycled, for 0.5, 1, 2 and 4 h. The effects of such oxidation treatments are evaluated in terms of carbonyl content and degree of polymerisation (DP). A modified procedure of the Szabolcs’s method and viscometry are used to measure the carbonyl content and DP, respectively. The carbonyl groups are found to increase more rapidly in the recycled papers than in the non-recycled ones. On the contrary, oxidation causes a larger decrease of the DP values in the non-recycled papers, the paper made of pure cellulose being the most sensitive in terms of depolymerisation. The DP values measured for pure cellulose paper are in line with previously reported data. Moreover, in accordance with the Ekenstam equation, the plots of the reciprocal of DP as a function of oxidation time show good linear correlations for all types of paper investigated. Pseudo rate constants are thus calculated from the slopes of these plots, those of the non-recycled papers being found to be higher than those of the recycled papers. Graphic abstract

The search for non-wood fibers as alternative to the limited wood fiber resources is highly imperative in the pulp and paper-based industries. This is due to growing environmental concern as a result of excessive deforestation. This study aimed at investigating the pulp and paper potentials of pineapple crown (Ananas comosus), sandbox (Hura crepitans), pino macho (Pinus caribaea), elephant grass (Pennissetum purpureum) and teak (Tectona grandis) leaves. Chemical properties (holocellulose, cellulose, hemicellulose, ash contents, hot water and 1% NaOH solubilities) were determined using the relevant TAPPI test and chlorite methods, while the physical properties were determined after the pulping processes. Fourier transform-infrared spectroscopic (FT-IR) analyses of intrinsic functional groups of the paper sheets produced from the pulps of the waste plant leaves were determined. In addition, scanning electron microscope (SEM-EDX) analyses of the morphological characteristic and elemental compositions of the resulting hand sheet surfaces were also examined. P. caribaea has the highest lignin (80.22 ± 0.012%) and cellulose (72.30 ± 0.012%) contents with lowest 1% NaOH solubility (15.20 ± 0.05%) values. A .comosus has the highest hemicellulose (21.73 ± 0.1%) and moisture (75.00 ± 0.12%) contents with lowest ash values (5.01 ± 0.15%). The fibre lengths and the Runkel ratio of the resulting pulps were of the order, A. comosus > P. purpureum > P. caribaea > H. crepitans > T. grandis and A. comosus

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.

A laminated paper-based analytical device (LPAD) for histidine detection was fabricated from a chromatography filtration paper and laminate films. Histidine recognition was effected by histidyl-tRNA synthetase (HisRS), and its detection was signaled colorimetrically based on the molybdenum blue reaction. The analytical conditions and detectable concentration range of histidine were examined. The method provided selective quantification from 1 to 100 μM histidine. LPAD fabrication is considerably simple, involving only the craft-cutting of the chromatography filtration paper and laminate film, and is cost-effective.

The study examines the potential of Mauritian hemp (Furcraea foetida L.), a lignocellulosic non-wood biomass, as a more environmental friendly substitute to virgin wood for printing paper production. The best pulping method for Mauritian hemp was first investigated. A4 sized papers were then produced using 100% Mauritian hemp fibres and mixtures of Mauritian hemp fibres with Elephant grass fibres and wastepaper. Using Standard tests, the physical (thickness, grammage, apparent density, water absorbency) and mechanical (tensile strength, burst strength, crease recovery, abrasion resistance) properties of the papers produced were evaluated and compared with those of an 80 gsm A4 commercial printing paper used as control. Lastly, internal sizing was done by adding different proportions of starch to the paper whose properties were closest to the control (judged most printable) to investigate any property enhancement. Soda cooking with 12% Wt/V NaOH solution at a temperature of 90 °C for 90 min was found best for pulping Mauritian hemp. The 100% Mauritian hemp paper had characteristics closest to the control, with apparent density 141.54 kg/m3, water absorbency time 1.436 s, burst strength 0.323 kPa m2/g, tensile strength 10.97 Nm/g, abrasion resistance 37.5 cycles before rupture and crease recovery angle 34.8°. Increasing the starch content from 10 to 40% caused the 100% Mauritian hemp paper’s characteristics to increasingly approach those of the control, thus showing printability improvement. The methodologies adopted for papermaking and testing demonstrated that Mauritian hemp is a suitable alternative to wood to produce good quality printing paper.

Background Workers in pulp and paper factories are continuously exposed to paper dust. Excessive exposure to paper dust can cause respiratory disease. Information about the prevalence of chronic respiratory symptoms and dust exposure levels among workers in pulp and paper factories is not available in Ethiopia. The aim of this study was, therefore, to assess personal total dust exposure levels, the prevalence of chronic respiratory symptoms and their associated risk factors among workers in Ethiopian pulp and paper factories. Methods A comparative cross-sectional study was conducted. A total of 40 dust measurements were carried out on 20 randomly selected workers. To assess chronic respiratory symptoms and associated factors, 434 workers from two paper factories and controls were interviewed using a standard questionnaire adapted from the American Thoracic Society (ATS). Gravimetric analyses of the filters were undertaken using a standard microbalance. Poisson regression was performed for comparing the prevalence of symptoms and risk factors for the two groups. Multivariable analyses were conducted to identify factors associated with chronic respiratory symptoms. Result The arithmetic mean (AM) and geometric mean (GM) of dust exposure levels among the paper factories workers were 11.3 (± 7.7) and 10.2 (± 1.4) mg/m3 respectively. This exposure level exceeded the threshold limit value recommended for total dust (10 mg/m3). The prevalence of having at least one chronic respiratory symptom was about 51% among the workers in paper factories. The prevalence ratio of having chronic respiratory symptoms among paper factory workers was 5.6 times higher (PR = 6, 95% CI 3.5–10.3) than in the controls. Chronic respiratory symptoms were significantly associated with factors such as an educational status of less than grade 9, being employed in the work sections of the factories, having work experience of 5 years and above, working more than 8 h per day and having a past history of occupation and respiratory illnesses. Conclusion The dust concentration in the paper factories exceeded the acceptable recommended limit value of 10 mg/m3. The prevalence of chronic respiratory symptoms among paper factory workers was higher than among controls. The main determining factors for chronic respiratory symptoms among the workers were the specific work section such as production section, low income, having past history of respiratory illnesses, the number of years of working and low educational status. This finding indicated the need for improving the working conditions in paper factories in Ethiopia.

Paper folding-and-punching tests are used to measure spatial abilities in humans. This paper presents a qualitative model for paper folding (QPF) and a computer game (Paper Folding Game) developed to apply and show the reasoning capabilities of the QPF model. This interactive game presents paper-folding activities intended to help users train and understand how to fold a paper to get a specific shape. Then, it presents paper-folding-and-punching tests to the players. The Paper Folding Game can automatically generate paper-folding-and-punching questions with varying degrees of difficulty depending on the number of folds and holes made, thus producing additional levels for training. The reasoning mechanisms in the QPF model are used by the Paper Folding Game to infer the right answer to each paper-folding-and-punching question. This reasoning capability allows the game to provide feedback to the players when they are wrong and also to create other plausible answers automatically, so that random question-answers are shown to the players in the master-mode. The Paper Folding Game has been implemented using Unity engine and it is available to download from GooglePlay and AppleStore for everyone to train their spatial reasoning skills.

A discussion is currently under way in the literature on the sustainable benefits of recycling material, particularly paper, which has high global consumption and polluting capacity. Optimized planning of waste paper recycling networks stimulates sustainable processing efficiency, motivating the investigation of quantitative methods to guide decision-making. The objective of this article is to review papers that present quantitative models for planning waste paper recycling networks considering optimization of the echelons of this process, to analyze the evolution of research, find research opportunities and contribute to future research. The article presents an analysis of five categories of the selected studies: I—evolution of publications; II—echelons considered in different waste paper recycling systems; III—the sustainability pillars considered in the objectives of the formulated model; IV—formulations and techniques used; and V—uncertainty analysis. The proposal for waste paper recycling networks involves summary of the echelons considered in selected articles, to help future analysis. Research suggestions involving sustainability objectives, especially considering social issues, using different solution techniques and considering uncertainty were identified. This study, by reviewing the articles and identifying possibilities for future research, contributes to the development of research using quantitative methods for the efficient management of waste paper recycling networks or similar arrangements.

This study aimed to evaluate the effect of nanocellulose addition on the physical–mechanical properties of the paper produced from different fiber blends, besides comparing two nanocellulose addition methods. Three different fibers were used for fiber blending (eucalyptus, sisal, and pine). Handsheets were formed based on the mixing of all possible combinations at a 45/55 ratio in 2% consistency and 60 g/m2. Handsheet reinforcements were performed by two methods: The mixture method (MT) was a mixture of nanocellulose along with pulp during paper formation in 3, 5, and 10% addition; the coating method (CT) was the superficial coating of dry formed papers in 10% addition. Nanocellulose was produced by mechanical microfibrillation of sisal pulp. Handsheets were evaluated by physical and strength properties. Nanocellulose addition increased thickness, volume, grammage, apparent density, opacity, roughness, tensile strength, tensile index, stretch, bursting index, tear index, and fold endurance by 8.7, 8.8, 10.4, 2.1, 4.1, 23.2, 45.7, 31.8, 20.1, 14.2, 21.1, and 271.6% but reduced bulk, brightness, and air permeance by 1.9, 3.4, and 71.7%, respectively. The reinforcement methods presented distinct results. In physical properties, an increasing tendency toward nanocellulose (MT) increase was observed in thickness, grammage, and apparent density despite the decreasing trend in air permeance. No tendency was observed in other physical properties. In general, CT presented higher values of thickness, grammage, bulk, and brightness but lower values of apparent density and opacity, compared to MT. The mixture method showed an increasing tendency in strength properties with the increase of nanocellulose content. CT obtained fewer strength properties compared to MT.

This study demonstrates a method for patterning paper-based microfluidic devices. An octadecyltrichlorosilane (OTS) solution is used to coat a chromatography paper to make it hydrophobic. A low-temperature (~ 32.9 °C) atmospheric-pressure dielectric-barrier-discharge jet with a shadow mask is then used to pattern hydrophilic stripes on the OTS-coated hydrophobic paper. In this manner, 1-mm-wide hydrophilic stripes are patterned successfully. Liquids are demonstrated to be transported and mixed in the hydrophilic stripes. Water contact angle measurement, X-ray photoelectron spectroscopy, surface profiler, optical emission spectroscopy, and scanning electron microscopy are used to characterize effect of pattering.

In this paper hemicellulose was separated by using 1-ethyl-3-methylimidazolium acetate (EmimAc, an ionic liquid) -water mixtures from a paper grade market bleached hardwood kraft pulp to produce dissolving pulp. Pure EmimAc dissolves pulp fibers completely in 30 min at ambient temperatures. By adding water (as an antisolvent to EmimAc system) the cellulose dissolution decreases and by optimizing the conditions, hemicellulose is largely removed while cellulose remains as the solid residue (dissolving pulp). At optimal conditions: molar ratio of water to EmimAc of 2, 60 °C, an alpha-cellulose content of 92.2%, with a high yield (78 wt%) was obtained. The viscosity of the solvent mixture decreases by increasing water to EmimAc molar ratio, which improves the mobility of ions, thus, facilitating their penetration into pores and lumens of the fibers during the dissolution process. Cellulose purity increases and purified cellulose yield decreases with the increases in temperature and water content (up to 2 wt%) in the mixture. This study implies that the optimal EmimAc/water mixture is an effective system to separate hemicellulose from hemicellulose/cellulose matrix.

Comparative studies on paper and pencil– and computer-based tests principally focus on statistical analysis of students’ performances. In educational assessment, comparing students’ performance (in terms of right or wrong results) does not imply a comparison of problem-solving processes followed by students. In this paper, we present a theoretical tool for task analysis that allows us to highlight how students’ problem-solving processes could change in switching from paper to computer format and how these changes could be affected by the use of one environment rather than another. In particular, the aim of our study lies in identifying a set of indexes to highlight possible consequences that specific changes in task formulation have, in terms of task comparability. Therefore, we propose an example of the use of the tool for comparing paper-based and computer-based tasks.

The sensitive quantitative analysis of trace heavy metallic elements (Cd, Mn, Cr, and Cu) in aqueous solutions was achieved successfully through the combination of filter paper enrichment with laser-induced breakdown spectroscopy. Filter paper was enriched with 0.4 mL aqueous solutions to form a homogeneous sample layer on the surface of the metallic target. Considering the limits of detection, the values deduced with calibration curves already exhibited the high performance of the proposed method at several hundred or 10 μg/L (Cd 0.165, Mn 0.035, Cr 0.012, and Cu 0.078 mg/L), lower than or comparable to those using other similar methods. The LIBS results agreed reasonably well with those from ICP-MS for real samples. All results showed that our method was suitable and accurate for rapid on-site detection of trace metals in aqueous solutions. This indicates that filter paper enrichment combined with laser-induced breakdown spectroscopy is a feasible approach to wastewater quality monitoring.

Over the last few years, the microfluidics phenomenon coupled with the Internet of Things (IoT) using innovative nano-functional materials has been recognized as a sustainable and economical tool for point-of-care testing (POCT) of various pathogens influencing human health. The sensors based on these phenomena aim to be designed for cost-effectiveness, make it handy, environment-friendly, and get an accurate, easy, and rapid response. Considering the burgeoning importance of analytical devices in the healthcare domain, this review paper is based on the gist of sensing aspects of the microfabricated paper-based analytical devices (μPADs). The article discusses the various used design methodologies and fabrication approaches and elucidates the recently reported surface modification strategies, detection mechanisms viz., colorimetric, electrochemical, fluorescence, electrochemiluminescence, etc. In a nutshell, this article summarizes the state-of-the-art research work carried out over the nano functionalized paper-based analytical devices and associated challenges/solutions in the point of care testing domain.

Once printed, books are always accompanied by the smells of volatile organic compounds (VOCs) which are continuously emitted not only by inks but also by papers themselves throughout their lives. Although the VOCs from papers may bring mild discomfort to readers, they are considered as very important factors that feature the degradation of papers and show potential applications in cultural relic appraisal. In this study, an analytical approach based on solid phase microextraction combined with gas chromatography-mass spectrometry (SPME-GC/MS) was proposed for the evaluation of volatile organic compounds (VOCs) emitted by Chinese traditional handmade papers. The VOCs evaluations and artificial aging processes were both applied to recent-made papers and naturally aged papers from a traditional Chinese calligraphy and painting scroll (collected by the National Museum of China). To be noticed, a large number of aliphatic acids, aldehydes, ketones, furan derivatives, benzene series and terpenoid substances indicated that the VOCs signals not only reveal the degradation of paper but also tentatively reflect the storage environment along hundreds of years ago. The semi-quantitative evaluation of markers indicated that the historical paper is under a serious degradation due to the high capacity it releases. Our results provided a path way to get the degradation information of ancient paintings as well as potential realistic applications such as the conservation of paper-based relics and the environmental protection in libraries and museums.

Paper degradation menaces the useful lifetime of books, manuscripts, and works on paper during storage, circulation, and display in libraries, archives, and museums. Severe damages such as embrittlement, decay, and mold often occur to the paper that might threaten to lose cultural heritage. However, the shelf life of papers stored in suitable conditions can be extended by hundreds of years. The most important external factors affecting the deterioration of paper-based materials include, in particular, changes in temperature and air humidity. In this study, the effects of accelerated aging under different conditions, including substantially different relative humidity, were considered relative to the strength properties of the paper sheets. These include the mechanical strength, such as breaking length, tear resistance, and bursting strength of the paper samples before and after dry heat aging and hydrothermal aging. Samples with various content of lignin produced in neutral pH were examined to exclude the adverse influence of acidity on paper properties. The results indicate that impact of moisture on tensile properties and pH-value of paper is much greater than the effect of increased temperature. The results of this work are intended to consolidate and expand the theoretical foundation and provide technical support for the conservators and library staff on the storage of paper cultural relics.

In recent years, the paper industry is developing strongly and plays an important role in the industry of our country. Most of the factories have their own wastewater treatment systems. In general, wastewater in paper mill is very difficult to treat and to handle, especially color (Pt–Co) index. In this research, activated carbon with a high surface area and high adsorption capacity was prepared from corn stalks, an agricultural by-products. The suitable conditions of pyrolysis were investigated to prepare activated bio-char from corn stalk. Then, as-obtained carbon material was applied for color treatment of effluent from paper mill. The activated carbon showed high efficiency and capability in color removal of waste water, with the color reduction of 77%.

Pulp refining is an essential process step prior to paper production. The contribution of fines production during refining to the resulting paper strength so far has mostly been considered qualitatively. A quantitative and experimental evaluation regarding their effect has not yet been published. Unbleached softwood kraft pulp was refined using a PFI mill and a disc refiner at different refining intensities. Prior to handsheet forming, fines were removed in a lab scale pressure screen from one part of the refined and unrefined samples in order to investigate the difference in tensile strength between sheets with and without fines, which were furthermore produced with and without additional wet pressing. It was found, that fines formed in a disc refiner at 250 kWh/t are responsible for up to 25% of the breaking length increase, while the PFI mill at 10,000 revolutions fines only contribute to a maximum of 12%. In terms of fines efficiency, the disc refiner was able to achieve higher results compared to the PFI mill, which however might be attributed to the higher fibre flexibilization in the PFI mill. Thus fines formed in the refining process are of high importance for strength development especially for the disc refiner.

To investigate the early compression effects of adjustable pressure auricular clips, made of paper clips, during auricular surgery.24 patients who underwent auricular surgery between August 2021 and April 2022 were selected as the study participants. Doctors used ear clips made of paper clips to prevent postoperative complications in these patients.In all 24 patients, the wounds healed by stage I. Except for one case of minor local hematoma, all wounds healed well with no postoperative complications, such as subcutaneous hematoma formation, ulceration, or infected skin necrosis. Moreover, doctors were able to operate in lesser time and more conveniently with the help of the paper-clip devices.This study proposes, for the first time, the use of paper clips to make ear clips with adjustable pressure. This simple device is easy to manufacture, inexpensive to the user, reliable in performance, and remarkable in its clinical effects. As such, the present study provides substantial evidence to suggest that this device should be widely applied in the clinical setting.

Recycling is emerging as both a viable alternative to extraction in many industries and a cornerstone of the circular economy. In this paper, we assess the role of paper and cardboard recycling on the forest sector, from both an economic and carbon perspective. For this purpose, we add the recycling industry to an existing forest-sector model in an attempt to capture its effects on other wood products and the overall forest resource. As the forest sector has an important potential for climate change mitigation, this model allows us to assess the effects of increased paper and cardboard recycling on the availability of the natural resource and the carbon balance of the forest sector. We show that these results are strongly linked to the hypotheses of substitutability and/or complementarity of recycled pulp and virgin pulpwood. Although we find increased emissions at the pulp sector level, the effects on emissions in other wood products are small. When pulp products are considered substitutes, we find the impact on total net sequestration to be positive. In the case where pulp products are considered complements, we find the impact on total net sequestration to be negative.

The evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has highlighted the need for versatile diagnostic assays that can discriminate among emerging variants of the virus. Here we report the development and performance benchmarking of an inexpensive (approximately US$0.30 per test) assay for the rapid (sample-to-answer time within 30 min) colorimetric detection of SARS-CoV-2 variants. The assay, which we integrated into foldable paper strips, leverages nucleic acid strand-displacement reactions, the thermodynamic energy penalty associated with single-base-pair mismatches and the metal-ion-controlled enzymatic cleavage of urea to amplify the recognition of viral RNAs for the colorimetric readout of changes in pH via a smartphone. For 50 throat swab samples, the assay simultaneously detected the presence of SARS-CoV-2 and mutations specific to the SARS-CoV-2 variants Alpha, Beta and Gamma, with 100% concordance with real-time quantitative polymerase chain reaction and RNA sequencing. Customizable and inexpensive paper-based assays for the detection of viruses and their variants may facilitate viral surveillance.