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• Pulp and paper mill sludge (PPMS) landfill sites have GHG assessment challenges. • GHG fluxes measured by chambers with (F +) and without (F-) a frame were compared. • Flux relationships up to 80 % were shown between F- and F + chambers (the standard) • Correction factors for F- chambers were built to estimate fluxes from F + chambers. • The approach can refine GHG inventories on PPMS landfill sites. Assessments of greenhouse gas (GHG) emissions in managed areas are facing various challenges. A non-flow-through, non-steady-state (NFT-NSS) chamber coupled to a frame permanently inserted into the landfilled substrates is a standard method for quantifying GHG emissions in managed areas, such as pulp and paper mill sludge (PPMS) landfill sites. Frequent measurements are needed to minimize uncertainties on GHG emission factors at the landfill site scale. However, maintaining a frame inserted into the substrates for a long time period is often impossible due to landfilling management operations. Therefore, GHG measurements using NFT-NSS chambers placed directly on substrates' surface could be an interesting option. Our objectives were to determine the relationships between CO 2 , CH 4 , and N 2 O fluxes measured with (F +) and without (F-) a frame inserted in the substrates' surface and to develop correction factors for fluxes measured without a frame. Measurements were made at different PPMS landfill sites in the province of Québec, Canada. Stronger GHG flux relationships were observed at the provincial (across sites) than the specific site scale: the variance in GHG fluxes from F- chambers explained up to 80 % of variance in fluxes from F + chambers. The measured CO 2 , CH 4 , and N 2 O fluxes in F- chambers were on average 53, 78, and 63 % lower, respectively, than those estimated by the models at provincial scale. The correction factors developed with this approach could greatly extend the number of sites where in situ GHG measurements can be done and would help refining GHG inventories at the provincial and national levels. [ABSTRACT FROM AUTHOR]

The present paper reflects the position of the Italian Association for Neuroendocrine Tumors (Itanet), the Italian Society of Gastroenterology (SIGE), and the Italian Society of Digestive Endoscopy (SIED) regarding the management of patients affected by gastric, duodenal, and rectal neuroendocrine neoplasms (NENs) amenable to endoscopic treatment. The key questions discussed in this paper are summarized in Table 1. Data were extracted from the MEDLINE database through searches; expert opinions and recommendations are provided in accordance with the available scientific evidence and the authors' expertise. Recommendations are presented alongside a level of evidence and grade of recommendation based on the GRADE system. This paper specifically focuses on subgroups of NENs considered suitable for endoscopic management according to current international guidelines: i. well-differentiated gastric neuroendocrine tumors (gNET) type 1 < 2 cm and selected cases of type 3; ii. well-differentiated duodenal, non-functioning, non-ampullary NET with size < 2 cm; and well-differentiated rectal NET with size < 2 cm. [ABSTRACT FROM AUTHOR]

Digital cytology and artificial intelligence (AI) are gaining greater adoption in the cytopathology laboratory. However, peer-reviewed real-world data and literature are lacking regarding the current clinical landscape. The American Society of Cytopathology in conjunction with the International Academy of Cytology and the Digital Pathology Association established a special task force comprising 20 members with expertise and/or interest in digital cytology. The aim of the group was to investigate the feasibility of incorporating digital cytology, specifically cytology whole slide scanning and AI applications, into the workflow of the laboratory. In turn, the impact on cytopathologists, cytologists (cytotechnologists), and cytology departments were also assessed. The task force reviewed existing literature on digital cytology, conducted a worldwide survey, and held a virtual roundtable discussion on digital cytology and AI with multiple industry corporate representatives. This white paper, presented in 2 parts, summarizes the current state of digital cytology and AI practice in global cytology practice. Part 1 of the white paper presented herein is a review and offers best practice recommendations for incorporating digital cytology into practice. Part 2 of the white paper provides a comprehensive review of AI in cytology practice along with best practice recommendations and legal considerations. Additionally, the results of a global survey regarding digital cytology are highlighted. • The American Society of Cytopathology in conjunction with the International Academy of Cytology and the Digital Pathology Association established a special task force comprising 20 members with expertise and/or interest in digital cytology to investigate the feasibility of incorporating digital cytology and artificial intelligence applications into the workflow of the laboratory. • The task force reviewed existing literature on digital cytology, conducted a worldwide survey, and held a virtual roundtable discussion on digital cytology and artificial intelligence with multiple industry corporate representatives. • Part 1 of the white paper presented herein is a review and offers best practice recommendations for incorporating digital cytology into practice. [ABSTRACT FROM AUTHOR]

Digital cytology and artificial intelligence (AI) are gaining greater adoption in the cytology laboratory. However, peer-reviewed real-world data and literature are lacking in regard to the current clinical landscape. The American Society of Cytopathology in conjunction with the International Academy of Cytology and the Digital Pathology Association established a special task force comprising 20 members with expertise and/or interest in digital cytology. The aim of the group was to investigate the feasibility of incorporating digital cytology, specifically cytology whole slide scanning and AI applications, into the workflow of the laboratory. In turn, the impact on cytopathologists, cytologists (cytotechnologists), and cytology departments were also assessed. The task force reviewed existing literature on digital cytology, conducted a worldwide survey, and held a virtual roundtable discussion on digital cytology and AI with multiple industry corporate representatives. This white paper, presented in 2 parts, summarizes the current state of digital cytology and AI practice in global cytology practice. Part 1 of the white paper is presented as a separate paper which details a review and best practice recommendations for incorporating digital cytology into practice. Part 2 of the white paper presented here provides a comprehensive review of AI in cytology practice along with best practice recommendations and legal considerations. Additionally, the cytology global survey results highlighting current AI practices by various laboratories, as well as current attitudes, are reported. • The American Society of Cytopathology in conjunction with the International Academy of Cytology and the Digital Pathology Association established a special task force comprising 20 members with expertise and/or interest in digital cytology to investigate the feasibility of incorporating digital cytology and artificial intelligence applications into the workflow of the laboratory. • The task force reviewed existing literature on digital cytology, conducted a worldwide survey, and held a virtual roundtable discussion on digital cytology and artificial intelligence (AI) with multiple industry corporate representatives. • Part 2 of the white paper presented here provides a comprehensive review of artificial intelligence in cytology practice along with best practice recommendations and legal considerations. [ABSTRACT FROM AUTHOR]

[Display omitted] • The healthcare system is a significant contributor to global warming. • Cardiac electrophysiology mainly uses high-tech single-use medical devices. • Worldwide complex supply chain for medical treatment, particularly medical devices. • The complex supply chain has led to device shortages. • Reprocessing of medical devices labelled single use could be part of the solution. • All stakeholders must engage sustainability efforts. Sustainability in healthcare, particularly within the domain of cardiac electrophysiology, assumes paramount importance for the near future. The escalating environmental constraints encountered necessitate a proactive approach. This position paper aims to raise awareness among physicians, spark critical inquiry and identify potential solutions to enhance the sustainability of our practice. Reprocessing of single-use medical devices has emerged as a potential solution to mitigate the environmental impact of electrophysiology procedures, while also offering economic advantages. However, reprocessing remains unauthorized in certain countries. In regions where it is possible, stringent regulatory standards must be adhered to, to ensure patient safety. It is essential that healthcare professionals, policymakers and manufacturers collaborate to drive innovation, explore sustainable practices and ensure that patient care remains uncompromised in the face of environmental challenges. Ambitious national/international programmes of disease prevention should be the cornerstone of the strategy. It is equally vital to implement immediate actions, as delineated in this position paper, to bring about tangible change quickly. [ABSTRACT FROM AUTHOR]

Development of low-cost, efficient, and stable oxygen evolution electrocatalysts is crucial for the conversion and storage of renewable energy. Therefore, an effective integrated heterostructure catalyst is needed to achieve a lower overpotential during oxygen evolution process. In this paper, cobalt-zinc bimetallic MOF precursors are used as templates to prepare bimetallic cobalt-based selenides with good oxygen evolution catalytic activity and stability on carbon fiber paper. Due to the high specific surface area and porous structure of the coupling structure of nanorods and polyhedra, and the strong electronic coupling between CoSe 2 and ZnSe on nanorods. CoSe 2 -ZnSe/CP exhibits excellent electrocatalytic activity in 1 M KOH solution. It only requires an overpotential of 275 mV to reach the current density of 10 mA cm-2, and the Tafel slope is 68.9 mV dec-1. In addition, after 12 h of continuous operation of CoSe 2 -ZnSe/CP, the activity decay of the catalyst is negligible. This work provides a method for the design of heterogeneous bimetallic selenide integrated oxygen evolution electrocatalysts. [Display omitted] • The CoSe 2 -ZnSe/CP catalyst is obtained by selenization of MOF precursor at high temperature. • The catalyst has unique nanorod-coupled polyhedral morphology and high specific surface area. • The strong electron coupling between CoSe 2 and ZnSe improves the oxygen evolution activity. • CoSe 2 -ZnSe/CP exhibits low overpotential, high exchange current density and fast kinetics. [ABSTRACT FROM AUTHOR]

Carbon paper is one of the most widely used gas diffusion layer substrate materials due to its stable performance, relatively low cost, and easy for subsequent processing. Water-soluble phenolic resin, which is more ecologically friendly than alcohol-soluble phenolic resin, was used to prepare carbon paper as the precursor of the carbon matrix. And the effect of different resin solution concentrations on the properties of carbon paper was explored. The results showed that the graphitization, electrical conductivity and mechanical properties of carbon paper increased with the increase of resin solution concentration. When the concentration of resin solution was 20 wt%, the performance of carbon paper was relatively optimal. The graphitization of the carbon paper reached 65.45%, the porosity reached 80.74%, the resistance value at 1 MPa pressure was only 7.61 mΩ cm2, the tensile strength was 1.57 MPa, and the elastic modulus was 1210.98 MPa. [ABSTRACT FROM AUTHOR]

Carbon paper as a macroporous substrate of gas diffusion layer in proton exchange membrane fuel cells directly impacts the output performance of cells. In this study, we present a straightforward strategy to improve the overall performance of carbon paper by mixing short/long (6mm/10 mm) chopped carbon fibers at an optimal concentration of phenolic resin. The results show that incorporating longer carbon fibers can increase the porosity, conductivity, gas flux, and mechanical properties of carbon paper. The membrane electrode assembly achieved a peak power density of 1182.61 mW cm−2 at 60% RH using carbon paper with a long carbon fiber content of 40 wt% and an impregnation concentration of 10 wt%. This outperforms commercially available carbon paper. Based on electrochemical impedance spectroscopy results, it was confirmed that our carbon paper had a lower mass transfer resistance of only 32.17 mΩ cm−2 under conditions of 2 A cm−2 and 60% RH. This was due to its sparser three−dimensional network-like pore structure which was created by mixing different lengths (6mm/10 mm) of carbon fibers. This work provides new insights into preparing high−performance carbon papers. • The nature of carbon paper is regulated by mixing short/long (6mm/10 mm) CFs ratio. • The long carbon fiber contents of 20–40 wt% present better physical properties. • The optimal carbon papers can mitigate mass transfer resistance. • MEA composed of the optimal CP shows a higher power density than commercial CP. [ABSTRACT FROM AUTHOR]

A facile method is proposed in this work to prepare a carbon paper (CP) with outstanding properties by doping boron to catalyze graphitization at lower temperature. Boron was introduced into CP by impregnating carbon fiber preform into a boron/phenolic resin/ethanol solution, and then CP was obtained after the consecutive procedures of hot pressing, carbonization, and graphitization. Morphology, microstructure, composition, and physical properties of the doped and undoped CPs were thoroughly investigated via various techniques to exam the effects of boron concentration and graphitization temperature. Furthermore, the boron doped CP was fabricated into fuel cell gas diffusion layer (GDL) and membrane electrode assembly (MEA) to evaluate its performance through the single cell performance. The findings indicated CP doping with 2 wt% boron could lower the graphitization temperature by at least 200 °C. The B-doped GDL had a higher power density in comparison with the undoped GDLs made in our lab or from the commercial brands. • The innovative preparation method for carbon paper with high conductivity. • The effect of boron concentration and graphitization temperature on carbon paper. • The single cell performance of B-doped gas diffusion layer. [ABSTRACT FROM AUTHOR]

Enzymes derived from microbial sources have gained increasing popularity in industrial applications over the past decades. Despite the high production cost, alkaline proteases have wide applications in industries such as tanneries, food production, and detergents. In recent years, there has been a shift towards utilizing natural carbon sources for cultivating microorganisms and extracting proteases in order to reduce production costs. This study aimed to investigate the biochemical and kinetic properties of protease enzymes obtained from Aspergillus niger cultivated in a paper waste medium and compare with the enzyme produced in a basal medium. Glucose is a more favorable carbon source compared to cellulose, so paper waste was pretreated with cellulose-degrading bacteria to convert cellulose into smaller carbohydrates. After the growth of A. niger in basal and combinational media, the enzymatic properties were compared between the extracted enzymes by using casein as substrate. The results demonstrated that A. niger could produce protease enzymes in the paper waste medium similar to the basal medium with more than 5-fold cost saving. The specific activity of the enzymes isolated from the basal and paper waste media was calculated to be 184.95 ± 10.56 U ml−1 and 169.88 ± 11.05 U ml−1, respectively. Carbon sources did not affect the optimum pH and temperature of the protease enzyme, which were found to be 8 and 37 °C, respectively. This study provides valuable insights into the production of alkaline protease from A. niger using a combinational medium (paper waste pretreated by cellulose-degrading bacteria), offering a cost-effective approach for industrial applications. [ABSTRACT FROM AUTHOR]

As part of efforts to modernize the Youth Risk Behavior Surveillance System, the national Youth Risk Behavior Survey (YRBS) is moving from paper-and-pencil instrument (PAPI) administration to electronic administration using tablets. This study aimed to examine differences in demographic characteristics and the reporting of health behaviors and experiences between the PAPI- and tablet-administered 2021 national YRBS questionnaire. High school students (grades 9–12) in classrooms from 57 schools participating in the 2021 national YRBS were assigned randomly to complete the survey using PAPI (n = 4,684 students) or using tablets (n = 3,645 students). Eighty-nine behavior and experience items were examined to compare the missingness in reporting and the prevalence estimation (i.e., proportions) by administration mode. Demographic characteristics (sex, race/ethnicity, grade, and sexual identity) did not differ by mode (PAPI vs. tablet). For the majority (93.2%, 83 out of 89) of YRBS behavior and experience items, mode was not significantly associated with the reported proportions, adjusting for sex, race/ethnicity, grade, and sexual identity. However, 30 out of 89 (33.7%) items showed significant variation in missingness by mode; 10 items had higher missingness with PAPI administration while 20 had higher missingness with tablet administration. Survey administration mode was not significantly associated with behavior and experience reporting among high school students. More research is needed to understand differential patterns of missingness by mode. Aligning with Centers for Disease Control and Prevention's Public Health Data Modernization Initiative, findings from this study provide evidence to support electronic survey administration for the national YRBS, particularly using tablet data collection. [ABSTRACT FROM AUTHOR]

The practice of recto-colonic water irrigation to treat constipation has been used since ancient times with different, uncontrolled, and variably performing methods which have been considered interchangeably all alike. The use of better-performing devices with a standardized methodology is relatively recent, and the term Trans Anal Irrigation (TAI) defines a methodology performed with devices able to control the timing, volume, and pressure of the water introduced into the rectum and colon utilizing a catheter or a cone through the anus. Such practice has been implemented with favorable responses in patients with refractory chronic constipation secondary to neurological diseases. However, since the role of Trans Anal Irrigation as a therapeutic aid in chronic functional constipation and functional evacuation disorders is not yet fully clarified and standardized, a group of clinical investigators with recognized expertise in these clinical conditions intends to clarify the elements that characterize a TAI procedure that can benefit patients with functional constipation and functional defecation disorders defined according to the lastly updated Rome Diagnostic Criteria. Finally, the paper deals with adherence and practical implementation of TAI. [ABSTRACT FROM AUTHOR]

Bibliometric analysis of highly cited papers facilitates researchers in formulating strategic research possibilities and addressing gaps in specific domains. In this context, a bibliometric analysis was conducted to identify published papers on "oral mucosal lesions in COVID-19" within medical literature. A comprehensive search was performed in the Scopus database in July 2023. Relevant articles were retrieved, reviewed, and data for the bibliometric analysis was recorded. Network visualization of authors, countries, and keywords was generated using VOSviewer software. The analyzed articles were published over the last three years, from 2020 to 2023, with the highest output observed in 2021. The citation count for individual papers ranged from 1 to 340, with a mean of 22.325 ± 58.93 citations. A total of 37 journals were involved in publishing papers on this topic, and five authors each contributed three papers. Notably, Brazil made the highest number of contributions with eight papers. Among the 40 papers, 19 were review papers and 16 were articles discussing various aspects of oral mucosal lesions in COVID-19 patients. Additionally, six papers were identified as systematic reviews, designated with a high level of evidence. This study presents a comprehensive bibliometric analysis of papers published on "oral mucosal lesions in COVID-19." The findings will assist researchers in identifying impactful papers, understanding the prevailing research trends, and guiding future research directions in this domain. The insights gained from this analysis can contribute significantly to advancing knowledge and improving patient care in this critical area of study. • First comprehensive bibliometric analysis on "oral mucosal lesions in COVID-19" in medical literature. • Offers valuable insights to researchers for strategic planning and further exploration in this domain. • Thoroughly examined articles from 2020 to 2023, with a peak in output observed in 2021. • Six systematic reviews among 40 papers, indicating high-quality evidence-based studies. • Brazil emerged as the top contributor with eight papers on the subject. [ABSTRACT FROM AUTHOR]

Radiography education is pivotal in training skilled radiographers for diagnostic imaging and therapeutic applications. With technological advancements, interest in innovative educational tools to enhance traditional teaching methods is growing. This discussion paper explores the possibility of the integration of ChatGPT, a cutting-edge conversational AI language model, into radiography education. We report that ChatGPT offers interactive learning opportunities that can facilitate learning. It also provides self-paced learning, revision platforms, and supports educators in scenario creation, assessment development, group collaboration, and professional and research activities. Despite these benefits, it is important to carefully consider issues related to academic integrity and privacy, along with the opportunities and challenges presented by this new technology in radiography education. This paper highlights some of the prospects and limitations of the potential applications of ChatGPT in radiography education, underscoring the benefits for both students and educators. However, its implementation must be considered thoughtfully and ethically, taking into account its strengths and limitations. Integrating ChatGPT in radiography education has the potential to improve radiography education by improving digital literacy and graduate outcomes of students while streamlining the preparation process for educators. However, ethical implementation is vital for optimal outcomes. [ABSTRACT FROM AUTHOR]

[Display omitted] • VSA is common and is involved in many clinical scenarios. • These include chronic and acute coronary syndromes, SCD, arrhythmia and syncope. • VSA is underdiagnosed and provocative tests are rarely performed. • A lack of uniform protocol decreases the use and performance of provocative tests. • This accounts for VSA underestimation. • This GACI position paper gives clear indications for provocative tests. • The paper also addresses testing conditions, drug protocols and positivity criteria. Vasospastic angina, also described as Prinzmetal angina, was first described as a variant form of angina at rest with transient ST-segment elevation; it is common and present in many clinical scenarios, including chronic and acute coronary syndromes, sudden cardiac death, arrhythmia and syncope. However, vasospastic angina remains underdiagnosed, and provocative tests are rarely performed. The gold-standard diagnostic approach uses invasive coronary angiography to induce coronary spasm using ergonovine, methylergonovine or acetylcholine as provocative stimuli. The lack of uniform protocol decreases the use and performance of these tests, accounting for vasospastic angina underestimation. This position paper from the French Coronary Atheroma and Interventional Cardiology Group (GACI) aims to review the indications for provocative tests, the testing conditions, drug protocols and positivity criteria. [ABSTRACT FROM AUTHOR]

The solar photocatalytic degradation of pulp and paper mill wastewater has been reported by several scientists. However, this is the first time we are reporting for solar photocatalytic hydrogen production from pulp and paper mill wastewater and simultaneous degradation of pollutants. In this work, CuO based photocatalysts and novel square type photocatalytic reactor of 5 L capacity were used. The result shows that the prepared photocatalysts are solar active, efficient in hydrogen recovery and pollutant degradation from the pulp and paper wastewater. The effects of catalyst loading, sacrificial agent, pollutant removal efficiency and stability check were investigated. At 0.25 g/L of CuO/Fe 2 O 3 , 0.2 M of sacrificial agent (Na 2 SO 3 2−) and hydrogen yield of 1000 mL from 1000 mL of wastewater was achieved. The removal efficiency of TSS, TDS, BOD, COD, turbidity and TOC are around 70, 50, 60, 65, 70 and 45% respectively. Reusability study revealed that CuO/Fe 2 O 3 was chemically stable and could be reused successively (five cycles) without significant changes in its photoactivity and intrinsic properties. [Display omitted] • Visible light active CuO mixed with novel metal oxides were employed. • Hydrogen recovery from black liquor, paper mill wastewater were 1000 mL/h/L and 850 mL/h/L. • Efficiency of degradation of pulp & paper wastewater chemicals were around 50–70%. • AcHieved high recovery of hydrogen from pulp & paper wastewater. [ABSTRACT FROM AUTHOR]

The article aims to present and critique the literature exploring nursing students' learning styles and to discuss the implications of understanding nursing students' learning styles for nurse educators, nursing students, and nursing academic programs. Learning style refers to the way an individual prefers to learn. Learning styles are shaped by several factors and change with different contexts. The learning styles vary among students in nursing programs and other health professions, with no one dominant style. Despite inconsistent evidence, educators believe that matching their teaching methods with students' learning styles can promote academic performance. The authors share a teaching experience that incorporates offering several teaching methods for the same content to meet the different learning styles of nursing students. The teaching experience resulted in students' satisfaction and improvement in their performance. The paper proposes assisting nursing students to develop their learning styles to enable them to master the skillset required by nursing as a profession. These nursing students are future nurses who would have developed the necessary learning style and skills to provide safe and competent nursing care. • Learning style refers to how an individual prefers to learn. • Nursing students show different learning styles, with no one dominant learning style. • Matching teaching methods to students' learning styles holds value for students' learning and educator's pedagogical methods. • Offering various teaching methods to help students develop various learning styles is core to nursing. [ABSTRACT FROM AUTHOR]

The aim for 95% maternal health care coverage and zero-unmet need for family planning in Pacific Island countries by 2030 could be achieved by strengthening the midwifery workforce. To enable health services to provide accessible, locally acceptable, and high-quality care, the midwifery workforce must be regulated and educated to global standards and supported to practice in enabling environments. In 2019, around 64,000 live births occurred in Pacific Island countries, yet information regarding the state the midwifery workforce and midwifery education is limited. Using data from recent reports and country case studies, this paper provides an overview of the current midwifery education situation in Pacific Island countries and discusses strategic directions for strengthening quality midwifery education and therefore quality midwifery care provision in Pacific Island countries. Six Pacific Island countries have midwifery curricula, all post-nursing programs, although few offer midwifery education programs on a regular annual basis. Current programs do not meet ICM Global Standards for Midwifery Education. Critical areas for strengthening include making underpinning philosophical frameworks, the vision for midwifery education, and program intended learning outcomes explicit in curricula documents and ensuring integration of these in program implementation. Fortunately, five of six midwifery education programs are under processes of renewal and strengthening against global, regional, and national standards. Strengthening the midwifery workforce in the Pacific to meet maternal and newborn health targets can be achieved through supporting the existing midwifery education programs to meet global standards. Strengthened midwifery education programs in Pacific Island countries offer an opportunity to meet each country's maternal and newborn health targets. [ABSTRACT FROM AUTHOR]