Search

• 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]

Endoscopic biopsy procedures increasingly generate multiple tissue samples from multiple sites, and frequently retrieve concurrent cytologic specimens and small core needle biopsies. There is currently lack of consensus in subspecialized practices as to whether cytopathologists or surgical pathologists should review such samples, and whether the pathology findings should be reported together or separately. In December 2021, the American Society of Cytopathology convened the Re-Imagine Cytopathology Task Force to examine various workflows that would facilitate unified pathology reporting of concurrently obtained biopsies and improve clinical care. This position paper summarizes the key points and highlights the advantages, challenges, and resources available to support the implementation of such workflows that result in "one procedure-one report". • Issuing 1 unified pathology report for all concurrently obtained biopsies derived from 1 procedure would be advantageous. • A cytopathology-driven workflow with serial review of specimens by cytopathologists first, followed by surgical pathologists, would be a relatively integrative approach to enable unified pathology reporting in subspecialized practices. • Cytotechnologist/cytologist skill sets and training are evolving into a highly valuable resource and they are now able to support and/or lead multiple laboratory functions. • Establishing workflow expectations upfront is important for successful implementation of workflow modifications. [ABSTRACT FROM AUTHOR]

• The PBAT/PLA coated paper shows high methane yield under AD condition. • Plastic film residues remain after the digestion of PBAT/PLA coated paper. • The decrease of hydrophobicity for PBAT/PLA bags is due to the formation of PLA monomers. • The bacterial community shows difference between PBAT/PLA coated paper and bags. • Methanoculleus is enriched on the plastic surface under mesophilic AD. Poly (lactic acid) (PLA) and Poly(butylene adipate-co-terephthalate) (PBAT) are two of biodegradable plastics with the highest production capacities in 2021. Bioplastic waste management can be easily integrated with organic waste management, especially when bioplastics are used as food packaging material, since they are potentially biodegradable. The aim of this study was to assess the biodegradability of biodegradable polymer-coated paper (BPCP) and bioplastic bags made from PBAT/PLA blend during mesophilic and thermophilic anaerobic digestion (AD) and to reveal the changes in the physicochemical properties of the bioplastics. BPCP obtained 155 NmL-CH 4 /g VS and 307.3 NmL-CH 4 /g VS under mesophilic and thermophilic conditions, respectively, but left bioplastic film residues. The bioplastic bags did not exhibit significant biodegradation during the AD processes. 1H NMR results indicated that the ratio of PLA to PBAT decreased significantly after AD of the BPCP film and that PLA monomers were formed from the bioplastic bags, leading to a decrease in the hydrophobicity on the surfaces of the materials. Methanoculleus was found to be enriched on the bioplastic surface after mesophilic AD. From the perspective of coupling bioplastic waste management with the food waste management, the incorporation of BPCP into the AD reactor not only enhances system stability and methane production to a greater extent than biodegradable plastic bags but also raises concerns regarding the residual biofilm when utilizing the digestate for direct land applications. [ABSTRACT FROM AUTHOR]

Despite incredible growth in systems of care and rapidly expanding therapeutic options for people with inflammatory bowel disease, there are significant barriers that prevent patients from benefiting from these advances. These barriers include restrictions in the form of prior authorization, step therapy, and prescription drug coverage. Furthermore, inadequate use of multidisciplinary care and inflammatory bowel disease specialists limits patient access to high-quality care, particularly for medically vulnerable populations. However, there are opportunities to improve access to high-quality, patient-centered care. This position statement outlines the policy and advocacy goals that the American Gastroenterological Association will prioritize for collaborative efforts with patients, providers, and payors. [ABSTRACT FROM AUTHOR]

The Proton Exchange Membrane Fuel Cell (PEMFC) performances are strongly impacted by the compression of the Gas Diffusion Layer (GDL). Despite its fibrous microstructure, this material is usually considered as a continuous medium and characterized with uniform loading. However, the GDL is subjected to a heterogeneous compression onto rib/channel patterns in the fuel cell assembly. In the present study, a complex behavior of the GDL response is experimentally revealed when the material is loaded with a rib/channel pattern, compared to uniform compression. The tests are simulated by finite element modeling using a classical strain-dependent elastic law, using parameters fitted from uniform compression experiments. It is shown that the numerical results do not reproduce the effect of pattern observed experimentally. Hypotheses to interpret these results involve mechanisms at the fiber microscale including fiber fracture, cross-link breakage and fiber rearrangement, which are exacerbated by larger material deformation caused by the heterogeneous loading. • Unexpected impact of rib/channel patterns on GDL compression. • Experimental investigation of the effect of rib/channel width on GDL deformation. • Numerical study with classical model unable to reproduce experimental results. • Interpretations based on mechanisms at the fiber microscale. [ABSTRACT FROM AUTHOR]

In recent years, the research pertaining to speech recognition technology in the Kazakh language has gained significant importance. This is due to the increasing demand for natural language processing applications in the region where Kazakh is predominantly spoken. Thus, there exists an urgent requirement for precise and dependable speech recognition systems. The research study examines the application of sophisticated deep learning methodologies, such as Natural Language Processing (NLP) and Hidden Markov Model (HMM), in facilitating speech recognition for the Kazakh language. Additionally, the investigation delves into how various techniques, including data preprocessing, acoustic modeling, and language modeling, can aid in devising effective speech recognition systems. The article deliberates on the feasible uses of speech recognition technology in the geographic area where Kazakh language is spoken and outlines its future research prospects. The investigation underscores the significance of persistent inquiry in this realm to confront distinctive obstacles encountered in creating speech recognition systems for languages with restricted resources. [ABSTRACT FROM AUTHOR]

This consensus document for the performance of Cardiovascular Computed Tomography (CCT) to guide intervention in the right ventricular outflow tract (RVOT) in patients with congenital disease (CHD) was developed collaboratively by pediatric and adult interventionalists, surgeons and cardiac imagers with expertise specific to this patient subset. The document summarizes definitions of RVOT dysfunction as assessed by multi-modality imaging techniques and reviews existing consensus statements and guideline documents pertaining to indications for intervention. In the context of this background information, recommendations for CCT scan acquisition and a standardized approach for reporting prior to surgical or transcatheter pulmonary valve replacement are proposed and presented. It is the first Imaging for Intervention collaboration for CHD patients and encompasses imaging and reporting recommendations prior to both surgical and percutaneous pulmonary valve replacement. [ABSTRACT FROM AUTHOR]

• DNA provision in LTMP cases varies depending on disappearance circumstances. • Qualitative analyses provide insights into public concerns in this area. • Concerns manifest differently in LTMP cases. Policy response could enhance support. Identification of unidentified human remains, and long-term missing persons (LTMP) is imperative, allowing for missing persons to be reunited with their families, which could provide closure to families experiencing ongoing ambiguity surrounding the situation. However, identification remains problematic for several reasons, including the absence of DNA provision in the investigation. The research reported here is the second in a two-part series exploring public/family support for providing DNA in LTMP cases. In the first study, quantitative results showed that participants had concerns when asked if they thought there would be implications for a person providing DNA to police in LTMP cases. The aim of this second study was to explore further using qualitative methods the nuances and themes underpinning concerns for providing DNA in LTMP cases. Participants described their concerns about providing DNA in four hypothetical LTMP case scenarios (a child, an adult with dementia, a runaway 19-year-old adolescent, and an estranged adult). Through thematic content analysis, ten themes were identified. Nine themes run across all four LTMP case scenarios. The tenth theme was only observed in two scenarios; cases involving adolescents with a history of runaway, and in cases involving adults estranged from their family. Results showed public concerns differed according to LTMP case circumstances. Key findings point to public education about how DNA is used in LTMP investigations, the applicable legislation relating to police use of DNA in investigations and increasing public awareness around the benefits of DNA use in LTMP investigations. Potentional policy options are discussed that could guide the future development of nuanced police practice in different types of LTMP cases. [ABSTRACT FROM AUTHOR]

The ECG diagnosis of LVH is predominantly based on the QRS voltage criteria, i.e. the increased QRS complex amplitude in defined leads. The classical ECG diagnostic paradigm postulates that the increased left ventricular mass generates a stronger electrical field, increasing the leftward and posterior QRS forces. These increased forces are reflected in the augmented QRS amplitude in the corresponding leads. However, the clinical observations document increased QRS amplitude only in the minority of patients with LVH. The low sensitivity of voltage criteria has been repeatedly documented. We discuss possible reasons for this shortcoming and proposal of a new paradigm. [Display omitted] [ABSTRACT FROM AUTHOR]

While the literature is abundant on hand therapy assessment and treatment of nonsurgical thumb carpometacarpal (CMC) osteoarthritis (OA), clarity and uniformity are meager, making it a desirable diagnosis to establish expert consensus. This study aimed to ascertain if consensus exists for the assessment and treatment of nonsurgical management of thumb CMC OA in the hand therapy clinical setting. This was a consensus paper via the modified Delphi approach. A modified Delphi method was used to determine consensus among an expert panel, including hand therapists and hand surgeons, via two online surveys. A consensus paper steering committee (from the American Society of Hand Therapist's research division) designed the surveys and analyzed responses. Consensus was established as 75% agreement among the expert panel. Demographic information was collected from the expert panel. The expert panel included 34 hand therapists and seven hand surgeons. The survey response rates were 93.6% for the first survey and 90.2% for the second survey. Consensus recommendations were classified according to the World Health Organization categorization. These included evaluating the body structures for clinical signs/clinical testing and body functions for pain, range of motion for palmar abduction, radial abduction, opposition, and thumb metacarpal phalangeal flexion/extension, and grip and tripod pinch strength. Further consensus recommendations were for the assessment of function using a region-specific, upper extremity patient-reported outcome measure (activity and participation), environmental factors, outcome expectation, and illness perception within the patient's unique environmental and social contexts. Treatment recommendations included the use of an orthosis during painful activities, a dynamic stability program (stable C posture, release of tight adductors, and strengthening of stabilizers), patient education, joint protection techniques, adaptive equipment, and functional-based intervention. The findings describe the consensus of a group of experts and provide a clinical reference tool on the hand therapy assessment and treatment of nonsurgical thumb CMC joint OA. • A consensus paper using a modified Delphi process to determine consensus on non-surgical assessment and treatment of thumb CMC OA. • Assessment recommendations: evaluate clinical signs/testing, pain, thumb range of motion grip and tripod pinch, a region-specific PROM, environmental factors, outcome expectation, and illness perception. • Treatment: orthosis during painful activities as needed, a dynamic stability program, patient education, joint protection techniques, adaptive equipment, and functional based intervention. • Findings provide a clinical reference tool on hand therapy assessment and treatment of non-surgical CMC joint OA. [ABSTRACT FROM AUTHOR]

The AACN expectation to prepare DNP graduates with EBP and QI competencies using the project was clarified with the 2015 White Paper and these expectations have not changed with the new Essentials. Evidence suggests DNP projects continue to be a mix of research and QI. Using the DNP Project Roadmap, we reviewed 214 projects from 120 schools from publicly available sources for the presence of EBP and QI project elements. Of the 27 Roadmap elements evaluated, only two had a significant (p ≤.05) positive change after the release of the White Paper 1) a question to frame the problem/issue (pre-48.4 %, n = 45, post-64.5 %, n = 78) and 2) an evidence search (pre-26.9 %, n = 25, post-39.7 %, n = 48). Nineteen of the 27 elements had positive change; however, were still not present in >50% of the project papers. These findings can be used to engage in a national conversation on DNP curricular expectations of projects that demonstrate student competency in EBP and QI. • Few DNP projects described local or national problem, an essential component in framing the need for an EBP or QI projects. • Many DNP projects asked clinical questions and conducted some type of an evidence search. • More than two-thirds of DNP projects continue to follow a research format. • Only 11% of papers had most Roadmap elements that characterized EBP, QI type DNP projects. • AACN White Paper and DNP Project Roadmap may foster EBP, QI type projects and lend consistency in project reporting expectations. [ABSTRACT FROM AUTHOR]

The digitization of electrocardiogram paper records is an essential step to preserve and analyze cardiac data. This digitization process is not flawless as it involves several challenges, such as skew correction, binarization, and signal extraction. Various approaches have been proposed to address these challenges and recent studies have introduced innovative solutions, such as deep learning models and automation processes. Although existing approaches have shown promising results, there is a lack of common databases and metrics where authors could evaluate and compare their methods. Furthermore, the limited accessibility of code or software hinders the comparison process. Overall, while digitization of paper ECG recordings is important in advancing cardiology research, additional efforts are needed to standardize the evaluation process while improving code accessibility. This article provides a systematic review of this process. [ABSTRACT FROM AUTHOR]

Oral potentially malignant disorders (OPMDs) of the oral mucosa include leukoplakia, erythroplakia, erythroleukoplakia, lichen planus, and oral lichenoid lesions, each with varying incidences of dysplastic disease at the time of presentation and each with observed incidences of malignant transformation over time. The primary goal of the management of dysplasia, therefore, includes their early detection and treatment prior to malignant transformation. The recognition and management of these OPMDs and an understanding of their potential progression to oral squamous cell carcinoma will reduce the morbidity and mortality associated with these lesions with expedient and properly executed treatment strategies that will have a positive effect on patient survival. It is the purpose of this position paper to discuss oral mucosal dysplasia in terms of its nomenclature, epidemiology, types, natural history, and treatment to acquaint clinicians regarding the timing of biopsy, type of biopsy, and follow-up of patients with these lesions of the oral mucosa. This position paper represents a synthesis of existing literature on this topic with the intention of closing gaps in our understanding of oral mucosal dysplasia while also stimulating new thinking to guide clinicians in the proper diagnosis and management of OPMDs. The fifth edition of the World Health Organization classification of head and neck tumors published in 2022 represents new information regarding this topic and a construct for this position paper. [ABSTRACT FROM AUTHOR]

Present work covers the treatment of lignin enriched paper industry wastewater (LEPIW) using electrocoagulation (EC) process with stainless steel (SS) electrodes. In this study, EC operation is optimized in term of % chemical oxygen demand (COD) removal and treatment cost (USD/kg COD removed). Single parameter study has been performed to study the effect of process parameters on % COD removal and treatment cost. Central composite design (CCD) of design of expert (DOE) has been used to corelate the input (time, initial COD, solution pH and current) and output parameters (% COD removal and treatment cost). Single parameter study states that maximum % COD removal of 84.4 & 77% is achieved in 40 & 60 min for initial COD:500 &1000 mg/L while 74, 66.7 & 58% can be achieved in 100 min for initial COD of 2000, 3000 & 4000 mg/L, respectively under optimum condition (solution pH:7, current: 1 A). Cost analysis summarizes that treatment cost decreases with increase in initial organic load (2.036, 2.075, 1.554, 1.247 & 1.127 USD/kg COD removed for initial COD of 500, 1000, 2000, 3000 & 4000 mg/L, respectively) at optimum condition. The caloric study states 2.31and 3.25 J/mg can be generated from the sludge and scum produced during EC process. DOE software suggests − 6.66–6.79% & − 16.73–7.95% error between experimental and designed value for % COD removal and treatment cost. [Display omitted] • COD removal range 84.4–58% is noticed for initial COD 500–4000 mg/l. • Treatment time increases from 60 to 100 min for initial COD range of 500–4000 mg/l. • Treatment cost 1.12–2.07 USD/kg COD R is noted for COD range of 500–4000 mg/l. • 2.31 and 3.25 J/mg energy is found from generated sludge and scum respectively. • Model predicts − 6.66–6.79% & − 16.73–7.95% error for COD removal & treatment cost. [ABSTRACT FROM AUTHOR]

Industrial energy management is critical to ensuring efficient energy usage, market viability, and greenhouse gas emission reductions. In this study, the aim is to investigate energy management practices in paper and pulp industries (PPI) of Bangladesh. The study identifies several barriers to adopt energy management practices; "Lack of governmental attention", "Inadequate staff awareness" and "limited access to capital" are identified as the major constraints. In addition, HVAC systems and compressed air systems present higher barriers compared to electrical motor and pump systems while looking at the barriers by technology areas. On the other hand, "Owner's demand", "Commitment from the top management" and "Pressure from the customers and different non-Governmental organization" are found to be the dominant drivers of energy management in the studied PPI. Energy management practices can enhance the energy efficiency approximately by 4–5 % according to the study. Furthermore, this study reveals that the majority of PPIs are unaware of the energy service companies (ESCO) with the lack of a standardized system for energy audit, as well as a lack of trust and information, appearing to be the obstacles behind this. • Energy management practices in paper and pulp industries of Bangladesh are shown. • Barriers and drivers to energy management practices in paper and pulp industry are presented. • Barriers to energy efficiency measures by technology area are discussed. • Barriers to consult energy service companies (ESCOs) are presented. [ABSTRACT FROM AUTHOR]

A noble-metal-free bifunctional electrocatalyst with outstanding activity and stability is of great importance for the development of rechargeable zinc-air batteries (ZABs). Herein, we employed a facile strategy to fabricate nitrogen-doped NiCo 2 O 4 nanostructures on carbon paper as a binder-free air cathode for rechargeable ZABs. An optimized process of nitrogen plasma treatment has enhanced the electrical conductivity of the metal oxide and induced abundant active sites into the crystal structures, resulting in enhanced electrocatalytic activities toward oxygen evolution reaction (OER) and oxygen reduction reaction (ORR). Notably, mild plasma treatment leads to efficient N doping while the morphology and specific surface area of the catalyst both remain unchanged. The air cathode with NiCo 2 O 4 doped with nitrogen in 2 min plasma treatment and integrated into a zinc-air battery with liquid electrolyte provided a small charge-discharge voltage gap and distinguished cycling stability superior to the air cathode with noble-metal catalyst counterparts. Furthermore, the solid-state zinc-air battery with this material displays excellent stability with just a small increase of the charge-discharge voltage gap over 20 h of operation. This work illustrates the promising potential of plasma treatment in the fabrication of high-performance catalysts. • N-doped NiCo 2 O 4 was prepared by hydrothermal method and N 2 plasma treatment. • Mild plasma treatment leads to efficient N doping in NiCo 2 O 4. • NiCo 2 O 4 with N 2 plasma treatment of 2 min exhibits excellent OER/ORR performances. • N–NiCo 2 O 4 -2 min worked as a binder-free air cathode in Zn-air batteries. [ABSTRACT FROM AUTHOR]

The importance of shared decision making (SDM) for informed consent has been emphasised in the updated regulatory guidelines. Errors of completion, legibility and omission have been associated with paper-based consent forms. We introduced a digital consent process and compared it against a paper-based process for quality and patient reported involvement in shared decision making. 223 patients were included in this multi-site, single centre study. Patient consent documentation was by either a paper consent form or the Concentric digital consent platform. Consent forms were assessed for errors of legibility, completion and accuracy of content. Core risks for 20 orthopaedic operations were pre-defined by a Delphi round of experts and forms analysed for omission of these risks. SDM was determined via the 'collaboRATE Top Score', a validated measure for gold-standard SDM. 72% (n = 78/109) of paper consent forms contained ≥1 error compared to 0% (n = 0/114) of digital forms (P < 0.0001). Core risks were unintentionally omitted in 63% (n = 68/109) of paper-forms compared to less than 2% (n = 2/114) of digital consent forms (P < 0.0001). 72% (n = 82/114) of patients giving consent digitally reported gold-standard SDM compared to 28% (n = 31/109) with paper consent (P < 0.001). Implementation of a digital consent process has been shown to reduce both error rate and the omission of core risks on consent forms whilst increasing the quality of SDM. This novel finding suggests that using digital consent can improve both the quality of informed consent and the patient experience of SDM. • The paper consent process is associated with errors and omissions of core risks. • A digital consent process improved error rate and omission rate of core risks. • Patients reported a higher level of shared decision making with a digital process. • Documentation of consent can be reliably standardised with an electronic record. [ABSTRACT FROM AUTHOR]

In this white paper, the ACR Pediatric AI Workgroup of the Commission on Informatics educates the radiology community about the health equity issue of the lack of pediatric artificial intelligence (AI), improves the understanding of relevant pediatric AI issues, and offers solutions to address the inadequacies in pediatric AI development. In short, the design, training, validation, and safe implementation of AI in children require careful and specific approaches that can be distinct from those used for adults. On the eve of widespread use of AI in imaging practice, the group invites the radiology community to align and join Image IntelliGently (www.imageintelligently.org) to ensure that the use of AI is safe, reliable, and effective for children. [ABSTRACT FROM AUTHOR]

Paper crumb (PC) is a type of paper sludge residue from the wastepaper recycling industry. It is a by-product from the various fiber purification stages that is particularly composed of short cellulose fibers, lignin, organic compounds and inorganic filler residues. Despite representing a reject material for the paper recycling sector, this feedstock can be turned into a bioresource to enable cross-sector industrial symbiosis in the form of a more sustainable concrete, hence an opportunity for novel Net Zero supply chains. This study sought to valorise the PC by the sequential anaerobic digestion to produce methane (CH 4) from the organic compounds, followed by utilization of the digestate as a water replacement in concrete. The 21-day digestion of PC yielded 163 ml CH 4 per gram volatile solids and the resulting digestate improved concrete compressive strength up to 50% water replacement grade, meeting the requirements for structural grade (C32/40) applications with substitution grades up to 50% and 25%, with and without the addition of plasticiser respectively. In a minor capacity, the digestate reduced workability of the concrete mix, however we demonstrate this issue can be resolved by the addition of plasticiser or increased water to cement ratios. The admixture addition is important to facilitate pumpability on site and ensure satisfactory compaction. This study highlights the potential of anaerobic digestate as a concrete supplement (additive), which would improve the sustainability of both the construction and the paper sector. [Display omitted] [ABSTRACT FROM AUTHOR]

To solve the durability problem caused by carbon corrosion in the porous carbon paper gas diffusion layer (GDL) of proton exchange membrane fuel cell (PEMFC), a Cr 7 C 3 ceramic coating on porous carbon paper by molten salt method was prepared. The obtained Cr 7 C 3 coating is dense and shows good adherent with the carbon paper. Based on the corrosion resistance testes, it is concluded that the Cr 7 C 3 coated carbon paper can keep high chemical stability in the long-time acid immersion accelerated corrosion tests and simulated cathodic proton exchange membrane fuel cells environment. The carbon paper with Cr 7 C 3 coating shows a small current density with a value of about 1.1 × 10−5 A cm−2 in the potentiostatic polarization test under 1 M H 2 SO 4 + 2 ppm HF at 70 °C and1.4 V SCE for 72 h. Meanwhile, the resistivity of carbon paper with Cr 7 C 3 coating prepared is 30% lower than that of pure carbon paper, and the conductivity is 1.5 times that of pure carbon paper. [ABSTRACT FROM AUTHOR]

In the context of the recent re-emergence of mpox worldwide, the French Society for Hospital Hygiene (SF2H) performed a literature review of the transmission paths and proposed specific recommendations for healthcare workers (HCWs) caring for patients with suspected or confirmed MPXV. In developed countries, the risk of contamination among HCWs in healthcare facilities seemed to be very low, limited to contamination through needle stick injuries. Two additional contamination cases were reported and not fully explained. Beyond healthcare settings, the analysis of the literature highlighted (i) a main contamination route during sexual intercourse, mainly among men who have sex with men, and (ii) a very low secondary attack rate in other contexts, such as schools or jails. Numerous studies have reported molecular or virus identification on surfaces or in the air surrounding patients, without any association with the low secondary case incidence; moreover, the minimum infectious dose through air or mucosal exposure is still unknown. Owing to the lack of evidence of MPXV respiratory transmission in the healthcare setting, the SF2H recommends the implementation of standard and contact precautions combined with medical/surgical mask use. Owing to the lack of evidence of transcutaneous contamination, the SF2H recommends the use of gloves only if contact with cutaneous lesions or mucous membranes occurs. Regarding the risk of contamination from the environment in healthcare facilities, additional studies must be conducted to investigate this. [ABSTRACT FROM AUTHOR]

The growth of artificial intelligence combined with the collection and storage of large amounts of data in the electronic medical record collection has created an opportunity for orthopedic research and translation into the clinical environment. Machine learning (ML) is a type of artificial intelligence tool well suited for processing the large amount of available data. Specific areas of ML frequently used by orthopedic surgeons performing total joint arthroplasty include tabular data analysis (spreadsheets), medical imaging processing, and natural language processing (extracting concepts from text). Previous studies have discussed models able to identify fractures in radiographs, identify implant type in radiographs, and determine the stage of osteoarthritis based on walking analysis. Despite the growing popularity of ML, there are limitations including its reliance on "good" data, potential for overfitting, long life cycle for creation, and ability to only perform one narrow task. This educational article will further discuss a general overview of ML, discussing these challenges and including examples of successfully published models. [Display omitted] [ABSTRACT FROM AUTHOR]

Texas has the highest age-adjusted incidence rate of hepatocellular carcinoma (HCC) in the United States. The Cancer Prevention and Research Institute of Texas has funded the Texas Collaborative Center for Hepatocellular Cancer (TeCH) to facilitate HCC research, education, and advocacy activities with the overall goal of reducing HCC mortality in Texas through coordination, collaboration, and advocacy. On September 17, 2022, TeCH co-sponsored a multi-stakeholder conference on HCC with the Baker Institute Center for Health and Biosciences. This conference was attended by HCC researchers, policy makers, payers, members from pharmaceutical industry and patient advocacy groups in and outside of Texas. This report summarizes the results of the conference. The goal of this meeting was to identify different strategies for preventing HCC and evaluate their readiness for implementation. We call for a statewide (1) viral hepatitis elimination program; (2) program to increase nonalcoholic steatohepatitis and obesity awareness; (3) research program to develop health care models that integrate alcohol associated liver disease treatment and treatment for alcohol use disorder; and (4) demonstration projects to evaluate the effectiveness of identifying and linking patient with advanced fibrosis and cirrhosis to clinical care. [ABSTRACT FROM AUTHOR]

The large-scale development of flexible electrode is urgently needed for water electrosplitting. Herein, the common and low-cost filter paper (FP) is utilized as the substrate to adjust the flexible property of the catalytic electrode. Through an electroless plating method, the NiFeP alloys were deposited onto the filter paper, which acted as the flexible and self-supported electrode for hydrogen evolution reaction (HER) and oxygen evolution reaction (OER). The resultant NiFeP@FPs require low overpotentials of 158 mV for HER and 282 mV for OER to deliver a current density of 10 mA cm−2, and exhibit a good stability of 30 h in 1 M KOH. The synergistic effect of Fe–Ni sites regulates electron structure and boosts the catalytic activity. Benefited from good hydrophilicity and interlaced fiber structure of filter paper, electrolyte penetration and electron transfer in the sample are promoted. The assembled two-electrode electrolyzer only requires 1.814 V to achieve 100 mA cm−2 for overall water splitting and shows excellent stability. This work provides a new strategy for the development of flexible and efficient electrodes for water splitting, which advances the development of wearable electronic devices. [Display omitted] • The flexible filter paper-based electrode was successfully synthesized. • The good hydrophilicity and porous structure facilitated electrolyte permeation. • The sample required low overpotentials of 158 mV for HER and 282 mV for OER. • The two-electrode electrolyzer provided 100 mA cm−2 at a low voltage of 1.814 V. [ABSTRACT FROM AUTHOR]

This paper reflects the research to design and application the complex method to evaluate the quality of the paper written in the IMRaD format. As a field we choose Russian segment of the financial technologies area since we had interest to use multilingual language model. The method covers paper's relevance to the chosen field and internal topics, the actuality, relation between parts, text borrowing, and experiment part. The clustering and classifying algorithms, and language machine learning model were used. The experimental part based on corpus of Russian papers shows the deviation of method's recommendations from expert opinion not more than 20%. The results may be interested not only reviewers but student as authors of futures papers to avoid common mistakes during paper's writing. [ABSTRACT FROM AUTHOR]

With the development of computer technology, automatic test paper generation systems have gradually become an effective tool for detecting and maintaining national machine security and protecting the rights and interests of workers. This article achieved multi-level oral scores for different types of questions through online scoring using artificial neural networks in recent years. Based on its specific situation and evaluation index requirements, an analysis module that is reasonable, efficient, and in line with the hierarchical structure and module requirements of national conditions has been designed to complete the research on automatic test paper generation technology, in order to help better manage and allocate human resources and improve production efficiency. Afterwards, this article conducted functional testing on the technical module. The test results showed that the scalability of the system was over 82%. [ABSTRACT FROM AUTHOR]

This updated report on intensity modulated radiation therapy (IMRT) is part of a series of consensus-based white papers previously published by the American Society for Radiation Oncology (ASTRO) addressing patient safety. Since the first white papers were published, IMRT went from widespread use to now being the main delivery technique for many treatment sites. IMRT enables higher radiation doses to be delivered to more precise targets while minimizing the dose to uninvolved normal tissue. Due to the associated complexity, IMRT requires additional planning and safety checks before treatment begins and, therefore, quality and safety considerations for this technique remain important areas of focus. ASTRO convened an interdisciplinary task force to assess the original IMRT white paper and update content where appropriate. Recommendations were created using a consensus-building methodology, and task force members indicated their level of agreement based on a 5-point Likert scale, from "strongly agree" to "strongly disagree." A prespecified threshold of ≥75% of raters who select "strongly agree" or "agree" indicated consensus. This IMRT white paper primarily focuses on quality and safety processes in planning and delivery. Building on the prior version, this consensus paper incorporates revised and new guidance documents and technology updates. IMRT requires an interdisciplinary team-based approach, staffed by appropriately trained individuals as well as significant personnel resources, specialized technology, and implementation time. A comprehensive quality assurance program must be developed, using established guidance, to ensure IMRT is performed in a safe and effective manner. Patient safety in the delivery of IMRT is everyone's responsibility, and professional organizations, regulators, vendors, and end-users must work together to ensure the highest levels of safety. [ABSTRACT FROM AUTHOR]