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Person-centred care, with its central focus on the patient in partnership with healthcare practitioners, is considered to be the contemporary gold standard of care. This type of care implies effective communication from and by both the patient and the healthcare practitioner. This is often problematic in the case of the paediatric population, because of the many communicative challenges that may arise due to the child's developmental level, illness and distress, linguistic competency and disabilities. The principle of universal design put forth in conventions and legislation means that the design of products and services should be usable by all people, to the greatest extent possible. Augmentative and alternative communication encompasses strategies, for example pictures and apps, that are typically used with people with communication disability. In this position paper, we argue for the universal use of augmentative and alternative communication to support person-centred communication and care for children, regardless of age or potential disability. Clinical examples are shared from three different paediatric care settings where pictorial supports were applied universally. Interviews were conducted with children and adolescents (with and without disabilities), parents and healthcare practitioners, and the principles of universal design were used as a framework to demonstrate how person-centred communication is supported in paediatric care.

The aims of this study are to investigate the problems and challenges of university students in writing English scholarly article for an international journal and to elaborate their perceptions toward the importance of writing for the publication. Furthermore, it also explores the certain needs to support their skills in the process of writing the article.The investigation involves 20 students from one of the universities in Indonesia. It uses a questionnaire consisted of 24 items to understand the students‟ problems and perceptions of the issues in relation to writing for the academic publication in English. The findings of this study indicate that claiming knowledge was the most difficult aspect in writing the article. On the other hand, students agree that writing for international publication is considered as a crucial action in academic field, and henceforth, they needs to have university‟s support to prepare students‟ writing. Finally, some suggestions related to students‟ problem in writing for international publicationare are offered.

Analytical strategies to ensure the quality and safety of food products without the need for skilled personnel are highly required. The simplicity of glucose strips for diabetes monitoring should be translated to the agri-food sector, ensuring easy evaluation of certain molecules and/or the freshness of a beverage/foodstuff. In addition to the well-known advantages that are characteristic of electroanalytical methods over other methods, paper-based materials are being used to further reduce the gap between complex laboratory testing and simple point-of-need testing. This article highlights some of the most recent advances in the development of paper-based electrochemical approaches for food surveillance, specifically focusing on the use of novel paper-based materials. Two examples are discussed: the development of a miniaturized biosensor realized on copy paper for the quantification of ethanol in commercial beers, and the measurement of ascorbic acid in food supplements within printed electronics supports. Paper-based materials have the potential to lower economic costs, simplify the operative tasks, and most importantly reduce waste generation. The continued combination of manufacturing methods and functional (smart) materials will facilitate the implementation of food analysis at the point of need.

Three-dimensional (3D) tumor models have gained increased attention in life-science applications as they better represent physiological conditions of in vivo tumor microenvironments, and thus, possess big potential for guiding drug screening studies. Although various techniques proved effective in growing cancer cells in 3D, their procedures are typically complex, time consuming, and expensive. Here, we present a versatile, robust, and cost-effective method that utilizes a paper platform to create cryopreservable high throughput arrays of 3D tumor models. In the approach, we use custom 3D printed masks along with simple chemistry modifications to engineer highly localized hydrophilic ‘virtual microwells’, or microspots, on paper for 3D cell aggregation, surrounded by hydrophobic barriers that prevent inter-microspot mixing. The method supports the formation and cryopreservation of 3D tumor arrays for extended periods of storage time. Using MCF-7 and MDA-MB-231 breast cancer cell lines, we show that the cryopreservable arrays of paper-based 3D models are effective in studying tumor response to cisplatin drug treatment, while replicating key characteristics of the in vivo tumors that are absent in conventional 2D cultures. This technology offers a low cost, easy, and fast experimental procedure, and allows for 3D tumor arrays to be cryopreserved and thawed for on-demand use. This could potentially provide unparalleled advantages to the fields of tissue engineering and personalized medicine.

Speciation of chromium (Cr) was demonstrated using microfluidic paper-based analytical devices (μ-PADs) that permit the colorimetric determination of hexavalent chromium (Cr(VI)) and trivalent chromium (Cr(III)) via online oxidation. The μ-PADs consist of left and right channels that allow the simultaneous measurements of Cr(VI) and total Cr based on the colorimetric reaction of Cr(VI) with 1,5-diphenylcarbazide (DPC). For the determination of Cr(VI), a sample solution was directly reacted with DPC in the left channels whereas total Cr was determined in the right channels, which permitted online oxidation in the pretreatment zone containing cerium (IV) (Ce(IV)) followed by a colorimetric reaction with DPC. We found that the online oxidation of Cr(III) proceeded 100% whereas Ce(IV) inhibited the reaction of Cr(VI) with DPC. Therefore, speciation can be achieved by measuring the Cr(VI) and total Cr in the left and right channels followed by the subtraction of Cr(VI) from total Cr. The limits of detection and quantification were 0.008 and 0.02 mg L−1 for Cr(VI) and 0.07 and 0.1 mg L−1 for Cr(III) or total Cr, respectively. The linear dynamic ranges were 0.02–100 mg L−1 and 0.1–60 mg L−1 for Cr(VI) and Cr(III), respectively. The RSDs were less than 7.5%. The results obtained using μ-PADs were in good agreement with those obtained via ICP-OES with recoveries of 92–108% for Cr(III) and 108–110% for Cr (VI) using μ-PADs, and 106–110% for total Cr using ICP-OES. Thus, the μ-PADs could potentially be utilized for the speciation of chromium in developing countries where environmental pollution and the availability of sophisticated instruments are significant problems.

Objectives. To investigate the rate of manuscript submission to a major peer-reviewed journal (American Journal of Public Health) by gender, comparing periods before and during the pandemic. Methods. We used data from January 1 to May 12, 2020, and defined the start of the pandemic period by country as the first date of 50 or more confirmed cases. We used an algorithm to classify gender based on first name and nation of origin. We included authors whose gender could be estimated with a certainty of at least 95%. Results. Submission rates were higher overall during the pandemic compared with before. Increases were higher for submissions from men compared with women (41.9% vs 10.9% for corresponding author). For the United States, submissions increased 23.8% for men but only 7.9% for women. Women authored 29.4% of COVID-19–related articles. Conclusions. Our findings suggest that the pandemic exacerbated gender imbalances in scientific research.

Purpose Administration of questionnaires to assess the diffusion of disordered eating behaviours via the web is becoming common today. The aim of this study is to assess whether two different approaches of administering a test to assess traits of eating disorders (EDs), orthorexia nervosa (ON) and muscle dysmorphia (MD) by email recruitment and online completion (web-based survey—WBS) and by in person recruitment and paper-and-pencil completion (paper-based survey—PBS), gives different results. Methods During 2 consecutive academic years, a self-reported questionnaire consisting of questions about personal characteristics and three tests for the evaluation of ON (ORTO-15), MD (MDDI-ITA), and EDs (EAT-26) were administered to two groups of undergraduates, respectively, as a WBS and a PBS. Results The WBS response rate was 6.7% (N = 137), and the PBS response rate was 86.5% (N = 372). The WBS group showed a statistically significant higher prevalence of students with eating disordered behaviours (21.2% vs 5.4%) and registered a higher mean score on the EAT-26 test (13.5 ± 11.1 vs 6.0 ± 8.0); no differences between the two groups emerged for ON and MD prevalence and test scores. Moreover, in the WBS group, the number of students with one or more tests with test scores above the cut-off values was significantly higher (46.0% vs 32.3%). Conclusion The choice of the approach to administer a questionnaire to assess the diffusion of EDs and related issues must take into account all the factors that can result in selection bias and that can affect the reliability of the results. Level of evidence Level V, descriptive cross-sectional survey.

There is a need for a paradigm shift across mental health in primary care to improve the lives of millions of Europeans. To contribute to this paradigm shift, the European Forum for Primary Care (EFPC-MH) working group for Mental Health, produced a Position Paper for Primary Care Mental Health outlining 14 themes that needed prioritizing. These themes were developed and discussed interactively during the EFPC conferences between 2012 and 2019. The Position Paper on Mental Health gives direction to the necessary improvements over the next ten years. The themes vary from preferable healthcare model to the social determinants highlighting issues such as inequalities. The Statement of Mental Health in Primary Care will be established in cooperation with fellow organizations. ispartof: Primary Health Care Research And Development vol:21 issue:e56 pages:1-8 ispartof: location:England status: published

This study aims to analyze the factors that influence firm value, where the independent variables consist of ownership structure, capital structure and gender diversity, and financial performance as a mediation. The research used is Pulp & Paper companies listed on the Indonesia Stock Exchange for the period 2015 – 2019. Using samples from 7 manufacturing companies. By using a sample of 7 manufacturing companies. The test analysis used is the SmartPLS 3.0 program. Based on the results of the study, ownership structure and gender diversity have no significant effect on firm value, capital structure and financial performance have a significant positive effect on firm value, and financial performance has no significant effect on mediating ownership structure and capital structure on the firm. The limitation of this study is to use financial reports sourced from the Indonesia Stock Exchange (IDX) for the pulp and paper sector from 2015-2019 and have financial reports for 5 consecutive years. The implications of this research are expected to provide information for investors on things that can affect the value of the company, especially the paper industry sector.How to Cite:Fernando, W., & Setiawan, T. (2021). Analisis Model Atas Faktor Penentu Nilai Perusahan (Studi Pada Perusahaan Pulp and Paper yang Terdaftar di BEI 2015-2019). Akuntabilitas: Jurnal Ilmu Akuntansi, 14(2), 231-242.

The article deals with matla‘ (first she‘r – two-line couplet – in a ghazal) of the first ghazal in the Divan by Mirza Asadulla-khan Ghalib (1792–1869) written in Urdu. One of the items usually commented there is the garment made of paper (kāġhażī peirahan). It used to be worn in ancient times by the complainers who appealed to the ruler. The range of complaints in the poetry of Ghalib as well as by other Urdu and Persian poets was wide, however, stable. “Wearing paper clothes”, the petitioner complained about the Almighty, the ill fate, a cruel girl, a lack of understanding of the petitioner’s poetry and the poor remuneration, and finally, about the poet himself, who “dressed” his poems in the paper. Тhese diverse situations form the elements of the literary motif as well as its context and are common in the Persian verses by the predecessors of Ghalib and also himself. Its analysis helps to understand all levels of meaning inherent in one of the most difficult-to-interpret texts by Ghalib.

Amulet paper in Chinese culture is known as hu / fu 符paper. It can serve as a means of healing. This amulet paper can mean healing because it is changed from something ordinary or profane to sacred through a ceremony performed by a spirit medium (tangsin). When God enters the body of the spirit medium through trance, the spirit medium performs a ritual such as slash the tongue. With the spirit medium's blood, he wrote this amulet paper. The paper then has a sacred function as medicine. This research is an ethnographic study with a case study at Hok Lay Kiong Bekasi temple during the Capgomeh ceremony and the God's birthday ceremony. The hu paper has so far been better known as a means of obtaining good fortune and luck. Through this paper, we can see Hian Thian Siang Tee’s amulet paper at Hok Lay Kiong Temple as a medium healing in Chinese society and see the changing function from something profane to sacred thing.

The lack of information regarding exercise program assessment tools during the COVID-19 pandemic was the main gap in this research. The purpose of this study was to investigate lecturers' perceptions of computer-based and paper pencil-based performance to assess sports training programs during the COVID-19 pandemic. In this study, a combination of quantitative and qualitative (mixed) is used as a method. Participants in this study were male and female lecturers from Jakarta State University (N=15) and Sriwijaya University (N=10). Quantitative instruments use questionnaires and qualitative instruments use in-depth interviews with participants. Quantitative data analysis use the IBM SPSS version 25.0 to find descriptive data, namely mean, standard deviation and percentage of responses from participation. Meanwhile, qualitative data analysis use qualitative thematic data. The results of the study based on quantitative data found that the majority of lecturers strongly agreed to use computer-based instead of paper pencil-based to assess sports training programs. Meanwhile, research results based on qualitative data show that most lecturers favour computer-based over paper pencil-based during the COVID-19 pandemic. Thus, computer-based has better performance and advantages than paper pencil-based when used in the pandemic era. This research provides benefits for the development of science assessment tools in the field of sports. © 2021 by authors, all rights reserved.

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

Ageing is one of the greatest social and economic challenges of the 21st century for European societies. According to the latest population projections, by 2070, those aged 65 years and over will rise from 19% to 29%, while the share of those aged 80 and over will increase from 5% to 13% of the total population, which will be almost as large as the youngest population (aged 0–14) in that year.1 Because older people have different healthcare requirements, often developing disabilities or multimorbidity complications, health systems will need to adapt so they can provide adequate care for longer periods while remaining financially sustainable. The estimated change in the EU’s total public expenditure on the older population (the total public expenditure includes pensions, health care, long-term care, education and unemployment benefits) will increase from 25% of GDP in 2016 by 1.7 percentage points, reaching 26.7% in 2070. This will be caused mostly by spending on health care (+0.9 percentage points) and long-term care (+1.2 percentage points); the percentages refer to the baseline scenario.2 In view of such challenges, it is of the utmost importance that hospital pharmacists’ expertise in medicine use optimisation is fully utilised along the care pathway in order to mitigate problems prevalent in the older population, such as polypharmacy and drug adherence. Therefore, the following position paper of the European Association of Hospital Pharmacists (EAHP) outlines key points for policymakers to be mindful of in shaping responses. EAHP calls on national governments and health system managers to acknowledge hospital pharmacists’ drug expertise by investing in medication reconciliation and optimisation roles in all healthcare facilities, including nursing homes, as a key part of the European level response to the increasing prevalence of polypharmacy. EAHP calls for strengthened inter-sector communication, coordination and multidisciplinary collaboration as critical approaches …

The Building Strong Library and Information Science Education (BSLISE) Working Group of the International Federation of Library Associations and Institutions (IFLA) was formed in 2016 to develop an international quality assurance (QA) framework that will guide and promote international educational standards in LIS. The first phase of its efforts has been to conduct an international survey (by means of questionnaires) of qualifications for LIS professional practice inclusive of regional and national contexts. Key findings of the study along with recommendations appear in the Building Strong Library and Information Science Education: a Call to Global and Local Action White Paper published in August 2018. This review briefly outlines the White Paper’s content and comments on its main points. Based on the analysis, the BSLISE Working Group identified six key findings with recommended actions and change agents, and prioritized three actions for its next steps: to develop an international resource that identifies local structures; to develop an international framework for the assessment of quality standards in LIS education; to identify core and other competencies for transferability and reciprocity. The article concludes that there has been a longstanding need for comprehensive documentation of LIS education globally.

The volume of research articles in digital repositories is increasing. This spectacular growth of repositories makes it rather difficult for researchers to obtain related research papers in response to their queries. The problem becomes worse when a researcher with insufficient knowledge of searching research articles uses these repositories. In the traditional recommendation approaches, the results of the query miss many high-quality papers, in the related work section, which are either published recently or have low citation count. To overcome this problem, there needs to be a solution which considers not only structural relationships between the papers but also inspects the quality of authors publishing those articles. Many research paper recommendation approaches have been implemented which includes collaborative filtering-based, content-based, and citation analysis-based techniques. The collaborative filtering-based approaches primarily use paper-citation matrix for recommendations, whereas the content-based approaches only consider the content of the paper. The citation analysis considers the structure of the network and focuses on papers citing or cited by the paper of interest. It is therefore very difficult for a recommender system to recommend high-quality papers without a hybrid approach that incorporates multiple features, such as citation information and author information. The proposed method creates a multilevel citation and relationship network of authors in which the citation network uses the structural relationship between the papers to extract significant papers, and authors' collaboration network finds key authors from those papers. The papers selected by this hybrid approach are then recommended to the user. The results have shown that our proposed method performs exceedingly well as compared with the state-of-the-art existing systems, such as Google scholar and multilevel simultaneous citation network.

Paper writing with the existing writing format causing excessive paper usage. Excessive paper usage could lead to environmental destruction. Therefore, it is necessary to find an alternative in the writing procedure by doing an experimental design based on student reading comprehensive. This study uses Completely Randomized Factorial Experimental Design. After analysis of variance and the multiple comparisons test done, it results a new writing format alternative that use less paper than the existing writing procedure. In other hand, it results greater student reading comprehensive than the existing writing procedure. With the results, the application of the alternative procedure can save the paper usage and make student easier to understand the paper .

This paper focuses on one of the most commonly encountered materials in our society, namely paper. Paper is an inherently complex material, yet its use provides for chemical analysis approaches that are elegant in their simplicity of execution. In the first half of the previous century, paper in scientific research was used mainly for filtration and chromatographic separation. While its use decreased with the rise of modern elution chromatography, paper remains a versatile substrate for low-cost analytical tests. Recently, we have seen renewed interest to work with paper in (bio)analytical science, a result of the growing demand for inexpensive, portable analysis. Dried blood spotting, paper microfluidics, and paper spray ionization are areas in which paper is (re)establishing itself as an important material. These research areas all exploit several properties of paper, including stable sample storage, passive fluid movement and manipulation, chromatographic separation/extraction, modifiable surface and/or volume, easily altered shape, easy transport, and low cost. We propose that the real, and to date underexploited, potential of paper lies in utilizing its combined characteristics to add new dimensions to paper-based (bio)chemical analysis, expanding its applicability. This article provides the reader with a short historical perspective on the scientific use of paper and the developments that led to the establishment of the aforementioned research areas. We review important characteristics of paper and place them in a scientific context in this descriptive, yet critical, assessment of the achieved and the achievable in paper-based analysis. The ultimate goal is the exploration of integrative approaches at the interface between the different fields in which paper is or can be used.

Paper is a perfect example of the circular economy as it remains the furthermost recycled product in Europe, creating significant environmental benefits and raw materials resources to the industry. Indeed, maintaining a consistent level of quality whilst limiting the environmental footprint of the product has become a major challenge for the industry. In this direction, paper is proving to be the promising feedstock for biorefinery and biomaterials. The future of paper recycling is slowly going beyond fibre recovery to address the needs of other industries because for the earth's environmental well-being various paper products need to be recycled and reused persistently. In this article, we outline the ambitious use of wastepaper (WP) for high-value applications such as; production of cellulose nanocrystals (CNC), composite reinforcement, high performance electrical components and biofuels.

After a long-term toxicity study on Bisphenol A (BPA), the European Union and U.S food and drug administration updating the rules regarding the usage of BPA by extending the prohibition of BPA to include in the production of papers, on February 2018. Therefore, it is essential to establish the trace level BPA detectors in paper samples. In this report, the synthesis of novel ZnO nanoclusters wrapped with reduced graphene oxide (ZnO NCs/rGO) and its application towards the selective electrocatalytic detection of BPA are described. Initially, ZnO NCs/rGO is synthesized by the one-step hydrothermal approach, and various characterizations explain the compound's compositions and structure. The significance of ZnO NCs/rGO together with good electrocatalytic properties leads this material to the platform for electrochemical sensor. Finally, ZnO NCs/rGO was fabricated and validated as an effective sensor for the sensitive detection of BPA. The demonstrated sensor revealed excellent detection of BPA with the very low detection limit (2.1 nM), and also it offered good analytical parameters with more extensive linear range and higher sensitivity. Likewise, the sensor annexes good durability, reproducibility, and selectivity towards the determination of BPA. Due to the nourishing capacity of the prepared ZnO NCs/rGO, it is employed for the detection of BPA in tissue paper samples.

This community service activities are done because the author wants students to have the ability to write their ideas to the public or community at large. The purpose of this activities is to provide skill to arrange scientific papers on students from Elementary School Teacher Education Study Program of Widya Dharma Univertsity by organizing scientific papers writing workshop. The benefits of this activities is to provide skills to students in preparing quality scientific papers and arrange forums to exchange ideas between the students and universities in terms of preparation for students in developing scientific papers. The method used is lecture method, discussion, answer question, and presentation. Several factors affecting the training activities of the scientific paper writing are the participants become interested to follow the training activities so that activities are expected to take place smoothly, this activities makes the participants to understand the scientific papers much better as important thing berfore they arrange the tesis, and the increased support and motivation from the Research and Community Service Institute of Unwidha so that future training activities can run smoothly. The manual book will be very necessary for students in arranging scientific papers so that students have scientific papers according to Unwidha’s papers. Unwidha lectures are expected to hold some student training so that students are more competents when they enter the workspace. The manual book will be very necessary for students in arranging scientific papers so that students have scientific papers according to Unwidha’s papers. Unwidha lecturers are expected to hold some student training so that students are more competent when they enter the workforce.

The increasing presence of e-books (electronic books) has become a major focus in countries around the world. In the United States, e-books represented 28% of the total book sales for 2012. In Japan, the conversion from paper books to e-books is expected to accelerate by the prevalent use of smartphones and tablet PCs. It is therefore important to quantitatively evaluate the environmental load of paper books and e-books for a sustainable society. In this study, paper books are compared to e-books read on different electronic devices (e-ink tablets, tablets, cell phones, smartphones, laptop computers, desktop computers and portable music players) through a case study on a 224-page book. The study is based on key primary data such as use time and reading speed for each device and aims to minimize assumptions made in other studies. GHG emissions for paper books are 1.24 kg-CO2e/book, and are reduced to 1.11 kg-CO2e/book when the effect of paper recycling is taken into consideration. The results for e-books under average use-time conditions range from 0.25 to 0.91 kg-CO2e/book with the e-ink tablet having the lowest emissions. When the average use time of each e-book device is applied, the paper book has a higher impact than all the e-books. However, sensitivity analysis shows that the impact of paper books can be lower than that of e-books for larger screen devices such as tablets, laptops and desktops when the reuse of books is considered or the e-book reading device is hardly used during its life cycle.

To date, very few treatments have been demonstrated to reduce the burden of morbidity and mortality from COVID-19. Although corticosteroids have been proven to reduce mortality in severe disease, there has been little convincing evidence on interventions that may prevent disease, reduce hospitalizations, and reduce the numbers of people progressing to critical disease and death. Ivermectin is a well-known medicine that is approved as an antiparasitic by the World Health Organization and the US Food and Drug Administration. It is widely used in lowand middle-income countries to treat worm infections. Also used for the treatment of scabies and lice, it is one of the World Health Organization’s Essential Medicines.1 With total doses of ivermectin distributed apparently equalling one-third of the present world population,1 ivermectin at the usual doses (0.2–0.4 mg/kg) is considered extremely safe for use in humans.1 In addition to its antiparasiticactivity, it has been noted to have antiviral and anti-inflammatory properties, leading to an increasing list of therapeutic indications. South African authorities approved the use of a drug used to control parasites in humans and livestock to treat coronavirus patients. Additionally, in January 2021, the South African Health Products Regulatory Authority (SAHPRA) announced that ivermectin, would be allowedfor use on compassionate grounds in a controlled-access program. Ivermectin locally has been used for the prevention and/or management of Covid-19 infection. This has resulted in a huge black market trade of ivermectin in South Africa as many health professionals and others have taken to social media and other platforms to profile this drug as an effective treatment for the covid-19 viral infection. Roman and colleagues (2021)1 conducted a systematic review and meta-analysis to evaluate treatment effects of Ivermectin (IVM) on clinical outcomes and adverse events (AEs) in people with COVID-19.

Background A proportion of veterans experience post-traumatic stress disorder (PTSD). Research has shown reduced effectiveness of commonly offered psychotherapies in military personnel. Some research suggested the usefulness of art therapy for veterans with PTSD, but its mechanism of operation has been unclear. The current project aimed to establish participants’ perceptions of any impact of group art therapy and some of the perceived mechanisms of change. Method In a grounded theory design, single semi-structured interviews were conducted with nine veterans who had received group art therapy, two art therapists, and a veteran's wife. Interviews were transcribed and analysed. Findings Theorised categories included (a) art therapy group as “the family”, (b) “the gentle conductor”, (c) trust, (d) doing the work, (e) art therapy as "a communication tool", (f) "points of recognition", (g) "making things concrete", and (h) "not a cure". Limitations Shortcomings included a homogenous sample who all attended art therapy alongside other interventions, reliance on subjective and unmeasured symptom change, and researcher effects related to qualitative methodology. Conclusion The developed grounded theory is consistent with existing evidence and neuropsychological theory. Group art therapy may enable some veterans to prepare for verbal-only therapy, by offering a safe space in which to approach non-verbal traumatic and trauma-related contextual material in a controlled way. Artworks may provide a bridge to facilitate communication of experiences within subsequent verbal therapy and with loved-ones. It is suggested to replicate the project at different sites. Elements of the developed theory may be investigated further to establish its transferability.

Water plays several essential roles in paper manufacturing. It serves as a suspending medium and a swelling agent for the fibres, dispersing and forming them into a uniform sheet during the initial stage of the papermaking process. It also serves as the solvent for a variety of chemicals and additives to adjust product quality. Water reclamation has always been a momentous task in the pulp and paper (P&P) industry. The main driving forces for the adoption of process water and wastewater treatment technologies are environmental regulations, costs of wastewater discharge and the high cost of freshwater. Recent developments have made it possible to not only reduce water consumption and environmental impacts, but also to recover treated water and valuable compounds such as fibres, making water recycling technologies cost-efficient. Thus, the economic viability of these technologies has played an important role in their application. The technologies applied, the level of reduction in water consumption and the extent of water recycling are different for each mill, since the quality of whitewater and wastewater varies depending on the raw materials and products. The maintenance of the balance between partial equilibria of process variables such as water flowrates, pulp consistency, physiochemical, thermal and microbiological properties through water management is important for maintaining efficient water use and lowering the need for consumption of additional fresh water.

The composition of the novel by the modern English writer P. Ackroyd “The Plato Papers” in connection with the problems of the work is considered. The review of the last researches devoted to creativity of this author is given. Attention is paid to how the work reveals the problem of interpretation of history, its ambiguity, the concept of the movement of time, progress, the relationship of the past, present and future. The author shows that when shifting the time of the novel in the future, Ackroyd uses the documentary imitation technique, changes narrators and types of narration. The composition of the work consisting of separate small parts connected in a key way by the speaker Plato is analyzed. Such properties of the composition of the analyzed novel as fragmentation and nonlinearity are noted. It is shown how the novel realizes postmodern idea about the relativity of the interpretations of the events of the past. The position of the main character endowed with the gift of insight, able to penetrate into the past, to look from an unusual point of view at the present, to doubt and seek the truth is revealed.

The food packaging industry generally uses papers and paperboards (PPBs) especially for disposable products. According to the Framework Regulation (EC) No. 1935/2004 of the European Union, no transfer of contamination should occur from food packaging material to the food items. The aim of this study was to determine the presence, numbers, source and different kinds of bacteria present in food packaging PPBs with various contents of pulp fiber. The samples were randomly collected from popular confectioners and fast food restaurants in Saharanpur, India. The results indicated the presence of bacteria in all the samples, ranging from 1.3 × 102 to 6.1 × 103 cfu/g. Most of the samples contained bacteria in more than the permitted concentration of 2.5 × 102 cfu/g as set by Food and Drug Administration (FDA). The detected bacteria were from genera Bacillacea, Staphylococcus and Pseudomonas. According to the FDA declaration, pathogenic bacteria such as B. cereus and S. aureus have been associated with food borne diseases (FBD). Some contaminants in food packaging PPBs were found to be B. subtilis and P. aeroginosa, which produce enzymes like peroxidases and lipoxygenases that are odor generating enzymes.

Success management can bring valuable contributions to improve project results and stakeholders’ relationships. However, the success management process must be explicitly integrated into project management approaches, guides and methodologies (such as PMBOK, PRINCE2 or PM2), which is not currently happening. The purpose of this position paper is to discuss the need and importance for this integration and to present a first proposal on how this can be operationalized. To support the position, the methodology of the European Union PM2 was used. The result of the integration demonstrates that it is possible to advance management and raise the level of project success.

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

Nana Obimpe, known in private life as Joseph Kwesi Yumpo Mbimadong (1908-2013) was an educator, politician, academic, advocate and traditional ruler. This paper seeks to present the life story of Nana Obimpe and how local, national and global politics made him establish his own archives. The paper argues that his collections are of historiographical essence and could be valuable additions to information from some of the state archives in Ghana.

TARAMAWOS WOS:000683650400001 TARAMASCOPUS In light of the recent developments in mobile technologies and students’ increased uses of these platforms for educational purposes, research on mobileassisted learning is gaining increased attention. Within this line of inquiry, the current study explored vocabulary learning outcomes from paper and mobile application flashcards. The study used a repeated measures design, by exposing the participants (55 high-school students) to different learning conditions and testing their receptive knowledge of core vocabulary in English in three junctures of time over a year. The participants were asked to use digital or paper flashcards for vocabulary learning, and two standard measures of vocabulary knowledge in pre- and post-tests were used to compare vocabulary gains. The results revealed that both groups improved their vocabulary knowledge over time. Nevertheless, the participants in the experimental group who used mobile applications outperformed the control group (paper flashcards) in the post-tests, and the effect size of the observed differences was very large. The findings underscore the long-term impacts of mobile-assisted vocabulary learning, and the affordances provided by such platforms for learning a considerable number of words by EFL learners. The findings also promise implications for language learners/teachers and materials developers in English language teaching programmes.

Introduction. Drug checking services for harm reduction and overdose prevention have been implemented in many jurisdictions as a public health intervention in response to the opioid overdose crisis. This study demonstrates the first on-site use of paper spray mass spectrometry for quantitative drug checking to address the limitations of current on-site drug testing technologies. Methods. Paper spray mass spectrometry was used to provide on-site drug checking services at a supervised consumption site in the Downtown Eastside of Vancouver, British Columbia, Canada during a 2-day pilot test in August 2019. The method included the targeted quantitative measurement of 49 drugs and an untargeted full scan to assist in identifying unknown/unexpected components. Results. During the pilot, 113 samples were submitted for analysis, with 88 (78%) containing the client expected substance. Fentanyl was detected in 45 of 59 expected fentanyl samples, and in 50 (44%) samples overall at a median concentration of 3.6% (w/w%). The synthetic precursor of fentanyl, 4-anilino-N-phenethyl-piperidine (4-ANPP), was found in 74.0% of all fentanyl samples at a median concentration of 2.2%, suggesting widespread poor manufacturing practices. Etizolam was detected in 10 submitted samples anticipated to be fentanyl at a median concentration of 2.5%. No clients submitting these samples expected etizolam or a benzodiazepine in their sample. In three instances, it was co-measured with fentanyl, and in seven cases it was detected alone. Discussion and Conclusions. The quantitative capabilities and low detection limits demonstrated by paper spray mass spectrometry offer distinct benefits over existing on-site drug checking methods and harm reduction services. This work was supported by the Natural Science and Engineering Research Council of Canada Discovery Grant Program funding (RGPIN-2016-05380), Vancouver Island University and the Health Canada Drug Checking Technology Challenge. This article was originally published as: Borden, S.A., Saatchi, A., Vandergrift, G.W., Palaty, J., Lysyshyn, M., & Gill, C.G. (2021). A new quantitative drug checking technology for harm reduction: Pilot study in Vancouver, Canada using paper spray mass spectrometry. Drug and Alcohol Review, 1-8. https://doi.org/10.1111/dar.13370 This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. https://viurrspace.ca/bitstream/handle/10613/24515/Gill2021.pdf?sequence=3

During the colonial era, the French colonial government in Canada experimented with paper money printed on the back of playing cards. The first experiment lasted from 1685 to 1719. In the first years, there was little inflation in spite of a rapidly expanding stock of playing card money. It is only in the later years of the experiment that prices rose. The behavior of the money stock and nominal output suggest that velocity fluctuated throughout the period. We argue here that these fluctuations can be explained by variations in the enforcement of legal tender laws. This interpretation provides insights into the debate over the inflationary impact of paper money in the colonial United States.

Healthcare professionals (HCPs) are increasingly undertaking health professional education (HPE) research and scholarship. This discussion paper highlights key transition points experienced by HCPs newly engaging in HPE research and scholarship, using conceptual thresholds as a theoretical lens. The identified thresholds are: (1) recognising limits, (2) navigating discourses and (3) negotiating identities, and our paper evidences the epistemic, discursive and existential repositioning underpinning these thresholds. Supporting HCPs to successfully navigate the rich and vibrant world of HPE research and scholarship requires a multi-faceted strategy involving individual upskilling, co-construction of resources and strategies, and enhancing the invitational quality of HPE research activities, environments and communities.

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

Based on the analysis of written sources and results of field investigations, this article will take the custom of burning votive paper in northern Vietnam as an example to decode the motivation, origin, formation, and development of the custom of burning paper and its relationship with the economic, social, and cultural dynamics and national policies. Key words: votive paper; the custom of burning votive paper; Vietnamese; Northern Vietnam.

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

The article is devoted to substantiation from the standpoint of intercommunication as a social practice of the essential advantage of reading paper books and the relevance of book practices of the library service. The methodological tools of the study were based on the methods of hypothesis, included and external observation, extrapolation, survey, comparative and analytical methods, the use of which, along with the formulation of the general idea of the study created the basis for understanding the book as an object that represents the author, characters, and texts and can perform the function not only of an information source, but also of the narrator, and thus of the subject of communication; made it possible to identify common and special features of reading electronic and paper books, to draw conclusions about the priority format for young people reading literary texts, to identify modern scientific approaches to studying the role of books and reading for personal development. Based on the analysis of current professional publications, data on the study of reader behavior conducted in autumn 2018 by the cultural and publishing project “Chitomo” together with the digital publishing house Gutenbergz and the Razumkov Center ("Reading in Ukraine", 2018), the results of a survey of students majoring in 029 “Information, library and archival business”, which was carried out during 14.01.2021–14.02.2021, the relevance of maintaining the practice of reading books in paper format is proved, the formation of the space of communication as a social practice, based on the functioning of the paper book as a subject of communication, has been substantiated. The topic of such communication is both the text printed in the book and the whole set of historical, social and socio-cultural meanings associated with the authors of the books, their publishers and / or former owners. It has been found that e-books, being effective communicators, lose subjectivity, which creates risks for reading-oriented people to weaken communication and socialization skills, and thus – actualizes the need to maintain access to real bookshelves and paper books in the library. space. In the conditions of needs of access to electronic texts, dynamics of social processes, social mobility, the library remains a place that allows preserving and reproducing important for the formation and socialization of personality social practice of interpersonal communication, in particular by creating conditions for real communication with paper books.

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

The impact of COVID‐19 has underlined the need for reliable information to guide clinical practice and policy. This urgency has to be balanced against disruption to journal handling capacity and the continued need to ensure scientific rigour. We examined the reporting quality of highly disseminated COVID‐19 research papers using a bibliometric analysis examining reporting quality and risk of bias (RoB) amongst 250 top scoring Altmetric Attention Score (AAS) COVID‐19 research papers between January and April 2020. Method‐specific RoB tools were used to assess quality. After exclusions, 84 studies from 44 journals were included. Forty‐three (51%) were case series/studies, and only one was an randomized controlled trial. Most authors were from institutions based in China (n = 44, 52%). The median AAS and impact factor was 2015 (interquartile range [IQR] 1,105–4,051.5) and 12.8 (IQR 5–44.2) respectively. Nine studies (11%) utilized a formal reporting framework, 62 (74%) included a funding statement, and 41 (49%) were at high RoB. This review of the most widely disseminated COVID‐19 studies highlights a preponderance of low‐quality case series with few research papers adhering to good standards of reporting. It emphasizes the need for cautious interpretation of research and the increasingly vital responsibility that journals have in ensuring high‐quality publications.

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

The three oil sketches on paper forming the basis of this study—all of elderly, male sitters—are attributed to unknown sixteenth- or early seventeenth-century Bolognese artists: painters associated with the Carracci family and their Academia degli Incaminati. This context was notable for its near-constant examination of the world around it through consistent drawing and painting, and for its success in exporting its negotiations of the contemporary religious landscape beyond Bologna, to Rome and further afield. A brief overview of the original intention, forms and early functions of these works is given, before focus turns to traditions of ownership and collection in the generations immediately after their creation. The British contexts that the sketches entered during the eighteenth century—collections at Stourhead House, Saltram House and General John Guise's bequest to Christ Church—are then explored through consideration of the social and artistic milieux in which these works were acquired. All three sketches have been mounted on to canvas or panel supports: this conservation history sheds light on how these works have been altered structurally, aesthetically and in functionality as they moved from an early didactic purpose to that of display in the eighteenth century.

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

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

Refugee crisises have affected nearly every nation in the world. The recent influx of refugees into Malaysia is concerning as the government does not legally acknowledge refugees’ legal status. This brings about several questions regarding their survivability in Malaysia, in addition to whether the existing systems and policies are able to accommodate their needs for healthcare, education, and economic opportunity. Although they may have escaped torture and persecution in their own countries, they would still have to face hardships as a refugee in Malaysia. This paper will discuss the life of refugees in Malaysia from the; health, education, economic status, and social life aspects.

OBJECTIVES: The aims of this position paper are to (i) summarize research on precarious employment (PE) in the context of occupational health; (ii) develop a theoretical framework that distinguishes PE from related concepts and delineates important contextual factors; and (iii) identify key methodological challenges and directions for future research on PE and health. METHODS: This position paper is the result of a working group consisting of researchers from the EU, Turkey and the USA, who have discussed the issue over the course of six months (October 2018–April 2019), meeting both online and face-to-face on several occasions. RESULTS: The lack of a common theoretical framework of PE hinders it from becoming an established part of occupational and public health research. There are also issues regarding operationalization in surveys and registers. Further, previous research on PE and health suffers from methodological limitations including inadequate study designs and biased assessments of exposure and outcomes. PE is highly dependent on contextual factors and cross-country comparison has proven very difficult. We also point to the uneven social distribution of PE, ie, higher prevalence among women, immigrants, young and low educated. We propose a theoretical framework for understanding precarious employment as a multidimensional construct. CONCLUSIONS: A generally accepted multidimensional definition of PE should be the highest priority. Future studies would benefit from improved exposure assessment, temporal resolution, and accounting for confounders, as well as testing possible mechanisms, eg, by adopting multi-level and intersectional analytical approaches in order to understand the complexity of PE and its relation to health.

Older adults account for 25% of all emergency department (ED) patient encounters. One in five Americans will be 65 or older by 2030. In response to this need, geriatric emergency medicine (GEM) has developed into a robust area of academic and clinical interest, with extensive evidence-based research and guidelines, including clear undergraduate and postgraduate GEM competencies. Despite these developments, GEM content remains underrepresented in curricula and licensing examinations. The complex reasons for these deficits include a perception that care of older adults is not a core emergency medicine (EM) competency, a disjunction between traditional definitions of expertise and the GEM perspective, and lack of curricular capacity. This White Paper, prepared on behalf of the Academy of Geriatric Emergency Medicine, describes the state of GEM education, identifies the challenges it faces, and reviews innovations, including research presented at the 2018 Society for Academic Emergency Medicine (SAEM) Annual Scientific Meeting. The authors propose a number of recommendations. These include recognizing GEM as a core educational priority in EM, enhancing academic support for GEM clinician-educators, using social learning and practical problem solving to teach GEM concepts, emphasizing a whole-person multisystem approach to care of older adults, and identifying ageist attitudes as a hurdle to safe and effective GEM care.

Governmental and educational organizations advocate for the adoption of inquiry-based, student-centered educational strategies in undergraduate STEM curricula. These strategies are known to benefit students by increasing performance, enhancing mastery of class content, and augmenting affect, particularly in underrepresented racial/ethnic minority students. Among these strategies, case study and project-based learning allow students to master course content while collectively tackling relevant, real-world societal problems. In particular, environmental pollution with paper-based products provide a current problem by which microbiology students learn about the role of microorganisms in paper waste management as well as the microbiological and biochemical processes involved in protein secretion, nutrient uptake, and energy metabolism. Delivered in a flipped, hybrid class in a Technology-Enabled Active Learning (TEAL) laboratory, this lesson taught students about exoenzyme secretion, biopolymer hydrolysis, intracellular transport of sugars, and sugar catabolic reactions. Students demonstrated increased comprehension of exoenzyme function and secretion, as well as how cells uptake the products of exoenzyme hydrolysis. However, students had challenges in placing the transported exoenzyme products within metabolic processes. Our results show increased perceived learning from the students as well as an understanding of the societal implications of these microbiological concepts. Our lesson deviated from knowledge silos in which students learn information in discrete topics. While departing from employing traditional, compartmentalized learning approaches, this student-centered guided lesson frames the systemic nature of the microbiological and biochemical processes underlying the decomposition of organic matter in a real-world context.