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Flexible inkjet-printed antenna is presented. The proposed antenna is designed on a synthetic paper substrate with an area of 35 × 40 mm2 to provide frequency bands for many popular wireless applications. Simulation and measurement are used to study the performances, including the frequency bands, radiation patterns, peak gains and efficiency, of the antenna in two severely bending conditions with a curvature radius of 20 mm in the forward and backward directions. The antenna printed in photo papers material could not be fully flexible due to cracks introduced to the coating material on the surface of the photo paper. Hence, the resin coated material was only suitable for curved devices. The synthetic paper material used in this paper does not have a resin coating, therefore, the antenna does not lose its flexibility and can be bent in both the forward and backward directions without any cracks. Results show that bending in these two conditions has insignificant effects on the performances of the antenna. With a curvature radius of 20 mm in the forward direction, the measured peak gain and efficiency of the antenna are in the ranges from −3 to +2 dBi and 40% to 60%, respectively. The results together with the low cost make the antenna most suitable for many flexible 5G communications devices.

The current data on climate change and environmental degradation are dramatic. The consequences of these changes are already having a significant impact on people's health. Physicians - as advocates of the patients, but also as citizens - have an ethical obligation to be involved in efforts to stop these changes. The European Federation of Internal Medicine (EFIM) strongly encourages the Internal Medicine societies and internists across Europe to play an active role in matters related to climate change and environmental degradation. At a national level, this includes advocating the adoption of measures that reduce greenhouse gas (GHG) emissions and environmental degradation and contributing to policy decisions related to these issues. At a hospital level and in clinical practice, supporting actions by the health sector to reduce its ecological footprint is vital. At the level of EFIM and its associated internal societies, promoting educational activities and developing a toolkit to prepare internists to better care for citizens who suffer from the consequences of climate change. In addition to advocating and implementing effective actions to reduce the ecological footprint of the health industry, recommending the introduction of these themes in scientific programs of Internal Medicine meetings and congresses and the pre- and postgraduate medical training. At a personal level, internists must be active agents in advocating sustainable practices for the environment, increasing the awareness of the community about the health risks of climate change and environmental degradation, and being role models in the adoption of environmentally friendly behaviour.

Chronic pancreatitis is associated with impaired quality of life, high incidence of comorbidities, serious complications and mortality. Healthcare costs are exorbitant. Some medical societies have developed guidelines for treatment based on scientific evidence, but the gathered level of evidence for any individual topic is usually low and, therefore, recommendations tend to be vague or weak. In the present position papers on chronic pancreatitis from the Societat Catalana de Digestologia and the Societat Catalana de Pàncrees we aimed at providing defined position statements for the clinician based on updated review of published literature and on multidisciplinary expert agreement. The final goal is to propose the use of common terminology and rational diagnostic/therapeutic circuits based on current knowledge. To this end 51 sections related to chronic pancreatitis were reviewed by 21 specialists from 6 different fields to generate 88 statements altogether. Statements were designed to harmonize concepts or delineate recommendations. Part 2 of these paper series discuss topics on treatment and follow-up. The therapeutic approach should include assessment of etiological factors, clinical manifestations and complications. The complexity of these patients advocates for detailed evaluation in multidisciplinary committees where conservative, endoscopic, interventional radiology or surgical options are weighed. Specialized multidisciplinary units of Pancreatology should be constituted. Indications for surgery are refractory pain, local complications, and suspicion of malignancy. Enzyme replacement therapy is indicated if evidence of exocrine insufficiency or after pancreatic surgery. Response should be evaluated by nutritional parameters and assessment of symptoms. A follow-up program should be planned for every patient with chronic pancreatitis. © 2021 Elsevier España, S.L.U.

Objective The purpose of this study was to develop a natural language processing (NLP) pipeline to identify incidental thyroid nodules (ITNs) meeting criteria for sonographic follow-up and to assess both adherence rates to white paper recommendations and downstream outcomes related to these incidental findings. Methods 21583 non-contrast chest CT reports from 2017 and 2018 were retrospectively evaluated to identify reports which included either an explicit recommendation for thyroid ultrasound, a description of a nodule ≥ 1.5 cm, or description of a nodule with suspicious features. Reports from 2018 were used to train an NLP algorithm called fastText for automated identification of such reports. Algorithm performance was then evaluated on the 2017 reports. Next, any patient from 2017 with a report meeting criteria for ultrasound follow-up was further evaluated with manual chart review to determine follow-up adherence rates and nodule-related outcomes. Results NLP identified reports with ITNs meeting criteria for sonographic follow-up with an accuracy of 96.5% (95% CI 96.2-96.7) and sensitivity of 92.1% (95% CI 89.8-94.3). In 10006 chest CTs from 2017, ITN follow-up ultrasound was indicated according to white paper criteria in 81 patients (0.8%), explicitly recommended in 46.9% (38/81) of patients, and obtained in less than half of patients in which it was appropriately recommended (17/35, 48.6%). Discussion NLP accurately identified chest CT reports meeting criteria for ITN ultrasound follow-up. Radiologist adherence to white paper guidelines and subsequent referrer adherence to radiologist recommendations showed room for improvement.

Introduction The assessment of the risk of virus transmission through papers, such as postcards, is important. However, the stability of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and influenza A virus (IAV) on different types of papers is currently unknown. Investigation of the survival time of these viruses on different types of papers will provide insights into their risk of long-distance transport by postal items. Methods We evaluated the stability of SARS-CoV-2 and IAV, mixed with a culture medium, on the surface of postcards with various coatings, including plain paper (PP), inkjet paper (IP), and inkjet photo paper (IPP). The surface structure of each paper was microscopically assessed. Results The surface structures of PP, IP, and IPP varied greatly depending on the presence or absence, and type, of coat layer, regardless of the base material. IP and IPP surfaces were less conducive to virus survival than PP surfaces, because of the difference in surface shapes. The survival times of SARS-CoV-2 on each paper were approximately 59.8 (PP), 6.5 (IP), and 9.8 h (IPP), and significantly longer than those of IAV (10.3, 1.8, and 3.3 h, respectively). Conclusions The risk of SARS-CoV-2 transmission via paper, such as postcards, is significantly higher than that of IAV transmission. While PP, IP, and IPP have the same base material, their surface structures differ, which affects viral stability. The IP and IPP surfaces are less suitable for virus survival. This study provides novel insights into the risks of viral transmission via paper.

Pseudoestrogene bisphenol A (BPA) can be important ingredient of thermochromic inks, increasingly used materials in thermal printing paper, security printing, advertising, design and as temperature indicators in medicine and food industry. BPA mass fraction in thermochromic inks can be up to several percent. Hence, disposal of items with thermochromic prints pose a risk of environmental pollution. In this work BPA mass fraction was monitored during anaerobic degradation of papers with thermochromic prints in soil in both matrices: papers and soil. The degradation conditions simulated deeper layers of waste at a landfill site. Six types of papers with prints of thermochromic ink containing 2% of BPA were subjected to anaerobic degradation over up to 150 days.

This manuscript aimed to enhance the mechanical, thermal, and ignition properties of bagasse paper when coated with different coatings synthesized from hydroxyethyl cellulose, 1,3-di-p-toluidine-2,2,2,4,4,4-hexachlorocyclodiphosph(V)azane, Talc powder, NaHCO3, cellulose nanocrystal. The effect of these coatings on the mechanical properties was studied by measuring elongation, tensile strength, and burst strength. The stages of degradation and ash residue of the measuring specimens were determined using thermal gravimetric analysis (TGA), behind that, the ignition properties as the flame chamber (UL/94), and limiting oxygen index (LOI) was measured according to standards. These tests proved that 1,3-di-p-toluidine-2,2,2,4,4,4-hexachlorocyclodiphosph(V)azane has a direct effect on improving the mechanical characteristics and enhancing the ignition properties of the coated specimens compared to uncoated. In this study the physical, mechanical, thermal, and ignition properties of the bagasse paper sheets were enhanced by easy and low-cost method via synthesis of new coatings based on commercially available chemicals in a reasonable cost.

A novel paper-based analytical device (PAD) was prepared and applied to determine the xanthine oxidase (XOD) inhibitory activity of Salvia miltiorrhiza extracts. First, polycaprolactone was 3D printed on filter paper and heated to form hydrophobic barriers. Then the modified paper was cut according to the specific design. Necessary reagents including XOD for the colorimetric assay were immobilized on two separate pieces of paper. By simply adding phosphate buffer, the reaction was performed on the double-layer PADs. Quantitative results were obtained by analyzing the color intensity with the specialized device system (including a smartphone, a detection box and sandwich plates). The 3D-printed detection box was small, with a size of 9.0 cm × 7.0 cm × 11.5 cm. Color component G performs well in terms of linearity and detection limits and thus was identified as the index. The reaction conditions were optimized using a definitive screening design. Moreover, a 10 % glycerol solution was found to be a suitable stabilizer. When the stabilizer was added, the activity of XOD could be maintained for at least 15 days under 4 °C or -20 °C storage conditions. The inhibitory activity of Salvia miltiorrhiza extracts was investigated and compared to that of allopurinol. The results obtained with the PADs showed agreement with those obtained with the microplate method. In conclusion, the proposed PAD method is simple, accurate and has potential for point-of-care testing. It also holds promise for use in rapid quality testing of medicinal herbs, intermediate products, and preparations of traditional Chinese medicines.

Made available in DSpace on 2022-04-29T08:31:12Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-10-01 Organization and planning of reverse logistics networks make sustainable processes more efficient. Thus, an important sector for connecting the collection and waste paper recycling echelons is the intermediate center. In this study, a Mixed Integer Linear Programming model, which is multi-objective, multi-product, multi-level and multi-period, was developed to optimize the waste paper logistics processes of intermediate centers. The formulation includes the following echelons: collection, considering vehicle routing with different capacities; inventory of non-baling materials; baling sorted waste and inventory of bales; selling bales; disposal of non-recyclable waste. The aims of the model include: maximizing the collected waste; minimizing distances; maximizing both the production and sale of bales, and minimizing costs. According to research carried out in the literature, the developed model is a new proposal and to implement it, the Weighted Goal Programming and Revised Multi-Choice Goal Programming approaches were used to deal with multiple objectives and incorporate uncertainty into the quantity of waste available for collection. To analyze the proposed model, computational tests were executed with instances based on real data from a Brazilian company in the sector. For all performed tests, General Algebraic Modeling System 23.6.5 modeling language and CPLEX 12.2.0.2 solver were used for modeling and optimization. The results show that this study presents formulation and technological approaches that represent real situations and provide competitive solutions to the problem. Sáo Paulo State University “Júlio de Mesquita Filho” [Universidade Estadual Paulista Júlio de Mesquita Filho] School of Engineering of Guaratinguetá [Faculdade de Engenharia de Guaratinguetá] Production Department, Av. Ariberto Pereira da Cunha, 333, Portal das Colinas Agulhas Negras Military Academy [Academia Militar das Agulhas Negras] Rodovia Presidente Dutra, km 306, s/n Escola Preparatória de Cadetes do Exército Avenida Papa Pio XII 350 Jardim Chapadão Campinas - SP Brazil, Avenida Papa Pio XII, 350, Jardim Chapadão, Campinas - SP Sáo Paulo State University “Júlio de Mesquita Filho” [Universidade Estadual Paulista Júlio de Mesquita Filho] School of Engineering of Guaratinguetá [Faculdade de Engenharia de Guaratinguetá] Production Department, Av. Ariberto Pereira da Cunha, 333, Portal das Colinas