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The development of renewable energy sources minimizes the burning of fossil fuels for clean and green environment. Electrochemical energy storage/conversion device pays a way towards sustainable development that concludes an emerging field in the trends of the research community. Prominently, the functional materials with suitable structure and property determine the performance and durability of the devices. In recent times, graphene with its tremendous properties play a major role in electrochemical energy device applications. Meanwhile, the graphene-based electrodes were fabricated by various coating techniques on existing electrodes that utilized for energy device fabrication. Apart from these, it is also fabricated in a paper like a form (self-supported or free-standing) with its remarkable high conductivity, flexibility, robustness and electrochemical behavior which have been nominated for fabrication of flexible energy devices. Paper-like electrodes become an emerging field to fabricate a light-weight and flexible electronic devices for future prospects. Thus, we have summarized a synthetic strategy of graphene paper and its properties that potentially focused on flexible device fabrication in both the energy storage and conversion system. Hence, this review boosts up the forthcoming researchers to enhance the device performance with interrelating free-standing graphene and other host material.

In most cases, three-dimensional paper-based microfluidic analytical devices (3D-μPADs) were fabricated manually by stacking or folding methods. For the first time, digital light processing stereolithography (DLP-SLA) 3D printing technology was adopted to automatically make 3D-μPADs. In the fabrication process, a printing pause was set between two layers to allow paper to be placed in the resin tank. The resin on the fresh paper spontaneously bonded to the former cured paper layer during curing, thus realizing the automatic bonding and alignment between different layers of paper and avoiding the human participation and errors as in stacking and folding methods. There was a gap between two vertical aligned flow paths, therefore the liquid did not flow spontaneously from the upper layer to the lower layer. Most of the fluid flow in 3D-μPADs was spontaneous or manually activated, which was not conducive to complex assays that require different regents to be delivered sequentially. Herein, we used an electric field or airflow to trigger the fluid flow and demonstrated the flow controllability by a proof-of-concept colorimetric assay. The limits of detection of glucose and albumin were 0.8 mM and 3.5 μM, respectively, which were sufficient for clinical requirements. Given the characteristic of flow controllability, we believe that the proposed 3D-μPADs have great potential to make paper-based complex assays automated and programmable.

This paper describes a simple, low-cost, and highly flexible rapid prototyping method to construct electrochemical paper-based analytical device (ePAD) for multiplexed analyte determinations. The ePAD was composed of two electrochemical cell (EC) compartments, separated by hydrophobic barriers of wax, and screen-printed electrodes (SPEs) deposited directly over the surface of the filter paper. The ePAD was entirely constructed using an inexpensive craft cutter printer with no needed of a wax printer. The rapid prototyping method involves two steps: the deposition of the SPEs and the creation of the wax barriers. In this case, the SPEs were screen-printed on filter paper by using adhesive tape as mask by cutting the electrodes pattern with the cutter printer. Following, the wax barriers were created using stamps made of filter paper also cut with the printer and impregnated with wax. In the ePAD, each ECs containing an array of 4-working electrodes, allowing up to 4 replicates in a single measurement. Both ECs shared one counter and one reference electrodes, permitting the simultaneous multianalysis. The ePAD was successfully applied to simultaneous detection of paracetamol (PAR), caffeine (CAF), and ascorbic acid (AA) in drugs. PAR and CAF were detected in a sample using one EC and AA was detected, in a different sample, on the other EC, both with no chemical modifications in the working electrodes. Limits of detection of 0.04 mmol L−1 for PAR, 0.22 mmol L−1 for CAF, and 0.40 mmol L−1 for AA were obtained. The construction process proposed provide an easy way to implement screen-printing electrodes and wax barriers in filter paper to create electrochemical devices for fast and simultaneous multianalysis.

A novel visual and fluorometric-sensor paper is prepared for the monitoring of atmospheric humidity and ethanol. The paper contains a combination of copper nanoclusters (CuNCs) and carbon dots (CDs), immobilized on a filter paper. This makes it a dual-emission system. The visual sensor shows bright fluorescence and has a diameter of ∼8 cm with uniform and homogeneous surface. The detection mechanism of the sensing paper is based on the fluorescence intensity variation of CuNCs in different environments. Desirable linear relationship is observed between fluorescence intensity ratio (red/blue) and humidity. Visible color transformation of this sensor paper is observed in the humidity range ∼40-80%, implying utility for easy and facile atmospheric humidity determination. Furthermore, due to the water and ethanol have different impacts on the spectrum, this paper-based fluorescent probe shows excellent response to ethanol. Therefore dual-emitting sensing paper, when suitably calibrated, shows promise for visual and fluorometric sensing platforms aimed at humidity or ethanol detection.

Background and purpose Spirometry is often technically challenging for patients. Previous studies have demonstrated the potential benefits of spirometry in the community pharmacy setting. This study compared pharmacy students' perceptions and attitudes toward performing spirometry, as well as implementing spirometry in clinics and community pharmacies through experiencing spirometry first-hand versus completing paper-based active learning exercises. Educational activity and setting First-year (N = 102) and second-year (N = 70) pharmacy students were provided with the same pre-class materials to learn about the spirometry process. During class, first-year (P1) students performed spirometry tests, while second-year (P2) students completed paper-based active learning exercises about spirometry without performing the test. A survey was provided to each group at the end of the class to: (1) compare students’ perception of the difficulty of performing spirometry, and (2) identify patient, clinic, and pharmacy barriers to implementing spirometry testing. Findings P1 students perceived performing spirometry as significantly more difficult compared to P2 students. Both P1 and P2 students perceived correct posture and breathing technique, and patient discomfort as the most difficult parts of performing spirometry. Significantly more P1 students (91.1%) perceived spirometry as a “helpful and noninvasive tool to screen for pulmonary diseases” than P2 students (54.1%). Summary Students who experienced spirometry perceived it to be more difficult than those who completed paper-based active learning exercises. Incorporating spirometry into a pharmacy curriculum could be an opportunity to increase students’ insight of the difficulty of performing spirometry and their appreciation for the clinical services pharmacists can provide.

In the present study, the photodegradation of lignin was studied using TiO2/Polystyrene composite under UV-LED irradiation in a batch-recirculated photoreactor as a supplementary treatment for pulp and paper industries. TiO2/PS composite was synthesized by the solvent-casting method and was characterized by scanning electron microscopy (SEM) and EDX analysis. The 3-level, 3-factor Box-Behnken design was applied to study the effects of main operating parameters and optimization of process circumstances. Besides, COD reduction efficiency, toxicity assays, and reusability were also investigated. The predicted model had R2 and R2adj correlation coefficients of 0.97 and 0.99 respectively, which showed experimental results were very close to the predicted values. Furthermore, under the optimal conditions (reaction time = 72.5, volumetric flow rate = 230 mL/min and lignin = 51.8 mg/L) the lignin degradation efficiency was 93.98%. The maximum COD removal (89%) obtained by 250 mL/min volumetric flow rate and lignin concentration of 50 mg/L after 120 min reaction time. Bioassay using D. Magna exhibited that at the beginning of the process, the toxicity of solution increased but continuously decreasing after then to very low values achieved within 120 min of photodegradation. In addition, the reusability tests demonstrated that the TiO2/PS composite after 5 cycles has a good stability and photocatalytic activity.

Small companies encounter difficulties to adapt to new markets with a sustainable perspective. The subject of this article is a paper transformation company which has been eager to develop the organic farming market by developing a new plant support. Alternatives made from plant fibres or plastics exist, such as jute and polypropylene. The main difficulty of this project was to ecodesign a paper product with a multicriteria approach. The factors considered have been divided into two categories. Firstly, the environmental impacts calculated according to the Life Cycle Assessment methodology (on raw material extraction, manufacturing and end-of-life) are summarised. Secondly, the characteristics of the product are discussed in regards to these results and sustainability questions as part of the interpretation phase. Finally, ways of improvement of the LCA methodology to improve the study in terms of geographical representativeness and societal considerations are discussed.

The objective of this work is to investigate the influence of the main operating parameters (design and process) on a paper converting process. A production plant was selected on the basis of its current transformation from a traditional embosser to an innovative one with a fast roll changer. The quality of the paper products with the two different embossers have been evaluated in terms of mechanical strength and tissue softness. The experimental activity and related testing of products are fully described.

Paper-based microfluidic devices based on electrowetting principle, more specifically electrowetting on dielectric (EWOD), have attracted increasing attention due to their powerful liquid handling capability as compared to continuous-flow paper-based analytical devices (μPAD) that use capillary effects to control liquids. Here, we demonstrate fabrication of paper-based EWOD devices using cellulose paper as substrate and paraffin wax as dielectric hydrophobic layer by a simple pressing treatment for the cellulose paper and melting or spray-coating of paraffin wax. We optimized the key fabrication parameters according to the surface morphology and hydrophobicity of the obtained wax film, including the pressing pressure, thermal annealing temperature and amount of paraffin wax. Moreover, the EWOD devices fabricated by the spray-coating method demonstrate larger contact angle changes but with smaller contact angle hysteresis under DC electric field when compared with the devices fabricated by the melting method. Our study opens up potential fabrication of hybrid paper-based microfluidic device combining advantages of continuous-flow and electrowetting using cellulose paper and paraffin wax.

Graphical abstract, Highlights • Detection of cytokine storm biomarkers with mobile biosensors. • Immunosensors are made solely of cellulose modified with antibody-decorated nanoparticles. • Turnaround time under 10 min. • Detection of biomarkers in respiratory samples allows monitoring local inflammation. • Compatible with decentralized health care schemes., Decentralizing COVID-19 care reduces contagions and affords a better use of hospital resources. We introduce biosensors aimed at detecting severe cases of COVID-19 in decentralized healthcare settings. They consist of a paper immunosensor interfaced with a smartphone. The immunosensors have been designed to generate intense colorimetric signals when the sample contains ultralow concentrations of IL-6, which has been proposed as a prognosis biomarker of COVID-19. This is achieved by combining a paper-based signal amplification mechanism with polymer-filled reservoirs for dispensing antibody-decorated nanoparticles and a bespoken app for color quantification. With this design we achieved a low limit of detection (LOD) of 10−3 pg mL-1 and semi-quantitative measurements in a wide dynamic range between 10−3 and 102 pg mL-1 in PBS. The assay time is under 10 min. The low LOD allowed us to dilute blood samples and detect IL-6 with an LOD of 1.3 pg mL-1 and a dynamic range up to 102 pg mL-1. Following this protocol, we were able to stratify COVID-19 patients according to different blood levels of IL-6. We also report on the detection of IL-6 in respiratory samples (bronchial aspirate, BAS) from COVID-19 patients. The test could be easily adapted to detect other cytokines such as TNF-α and IL-8 by changing the antibodies decorating the nanoparticles accordingly. The ability of detecting cytokines in blood and respiratory samples paves the way for monitoring local inflammation in the lungs as well as systemic inflammation levels in the body.

A description of a case is presented on a relationship between paper-based documents as a risk factor for fungal keratitis. A 32-year-old woman, a long-term contact lens user, presented with fungal keratitis in her right eye caused by Fusarium spp. while working with books and old documents as a librarian. Her visual acuity was hand motion in the right eye. She was satisfactorily treated with topical antifungal and antibiotic agents.

Paper industry wastewater is the significant source of water and soil contamination due to various unknown residual organic pollutants directly discharged into the environment without proper treatment. Therefore, the study has focused on the detection of residual organic pollutants (N-(1,2,2,2-tetrachloroethyl) trimethylacetamide, octadecane, 1-iodo, Oleic acid, trimethylsilyl ester, eicosane; hexadecane, 2-methyl-; octadecane, docosane; tricosane) from paper industry wastewater sources showed endocrine-disrupting compounds and their toxicity. This experiment were carried out the effect of paper mill sludge amendments with garden soil (25%, 50%, 75%, and 100%) and garden soil was utilized as a control in a pot experiment. This study revealed the growth parameters of Triticum aestivum in seeds germination percentage and germination index values decreased with rising in sludge concentration. Further, soil amended with 25% paper industry sludge slightly reduced the growth in root length, shoot length, biomass, photosynthetic and 50% sludge amended soil had variable effects on the root, shoot, and photosynthetic pigment of T. aestivum. Moreover, the toxicity of paper industry wastewater on tubifex-tubifex worms after 48 h of exposure (>50% concentration), worms showed various changes such as movement; haemoglobin content disappeared, cell bursting, and the back of the body became white with body disintegration at the lethal concentrations of paper industry wastewater. This article has revealed that the toxicity of the organic pollutants in the terrestrial and aquatic life due to paper industry wastewater there is needed to treat adequately prior to discharge.

Adding biochar to paper mill biosolids (PB) amendments may affect PB mineralization rate and nitrogen (N) availability. The objective of this 224-day incubation study was to evaluate the effect of amending two PB types varying in carbon (C)/N ratio (PB1, C/N = 24; and PB2, C/N = 13) with three rates (0%, 2%, and 5%) of pine (Pinus strobus L.) biochar produced at 700 °C on the dynamics of total C, total N, mineral N, N mineralization rate, and microbial biomass C (MBC) and N (MBN) in two agricultural soils (Kamouraska clay and St-Antoine sandy-loam). Two reference treatments were also included, namely, mineral fertilization and unamended soil. Total soil C concentration remained stable over the incubation period, whereas a decrease in total soil N was observed in both soils. In comparison with the unamended soil, the application of PB significantly increased total N, NH4-N, NO3-N, net mineralized N, applied N mineralization rate, and MBC in both soils. In comparison with the application of PB alone, biochar addition increased total C and MBC but decreased NH4-N, NO3-N, net N mineralization, and applied N mineralization rate in both soils. The co-application of biochar and PB1 resulted in the sequestration of mineral N released, which was more pronounced in the Kamouraska clay soil. The co-application of biochar and PB2 resulted in moderate release of mineral N. This study showed that the co-application of biochar and PB can benefit agricultural soils by improving NO3-N retention in agroecosystems while increasing organic matter and promoting microbial biomass.

Improvements in survival among cancer patients have revealed the clinical impact of cardiotoxicity on both cardiovascular and hematological and oncological outcomes, especially when it leads to the interruption of highly effective antitumor therapies. Atrial fibrillation is a common complication in patients with active cancer and its treatment poses a major challenge. These patients have an increased thromboembolic and hemorrhagic risk but standard stroke prediction scores have not been validated in this population. The aim of this expert consensus-based document is to provide a multidisciplinary and practical approach to the prevention and treatment of atrial fibrillation in patients with active cancer. This is a position paper of the Spanish Cardio-Oncology working group and the Spanish Thrombosis working group, drafted in collaboration with experts from the Spanish Society of Cardiology, the Spanish Society of Medical Oncology, the Spanish Society of Radiation Oncology, and the Spanish Society of Hematology.

The development and production of new materials requires advanced analytical characterisation to explain the relation between the physico-chemical structure of the material and its properties. Highly integrated microelectronic structure analysis of surfaces with laser beams and X-ray fluorescence aided devices are found to be helpful for providing important information, including the interrelationships between physical, chemical, mechanical and durability characteristics of the new developed products. In most instances no single technique provides all the needed information and hence simultaneous application of several techniques becomes necessary. This study was aimed for hydration analysis, characterization and evaluation of a new novel non-Portland binder (NPB) with waste paper sludge ash (PSA) using FTIR and TG/DTA. The progressive formation of hydration products within the non-Portland binder was identified and their microstructural characteristics were analysed. The stable and non-expansive nature of secondary ettringite formation was also identified after a period of 365 days curing.

This review paper encompasses the inclusive approach of lime sludge valorization in construction materials. Research studies based on cement and aggregate replacement by lime sludge concludes that 10–30% lime sludge is gainfully utilized in sustainable concrete and mortar. Additional prospect for lime sludge application in construction material is the production of cement and ceramics. Significant use of lime sludge in combination with supplementary cementitious materials such as silica fume, nanosilica and fly ash is recommended for the production of cement components and ceramics. The recommendations are also suggested in accordance with the outcome of the study.

Thermal papers, commonly used for printed receipts or lottery tickets, are omnipresent in our everyday life. They are regarded as semi-porous substrates, and yet can be critical to analyze when looking for latent fingermarks due to their thermosensibility. The aim of this study was to investigate a development sequence that would better combine the adequate detection techniques in order to maximize the chances to develop latent fingermarks left on these substrates. Different methods of development have been compared on test substrates: black magnetic powder, Lumicyano™, thermal development, ninhydrin and 1,2-indanedione/ZnCl2. Whitening stages and thermal development have been focused on, tested and optimized. The results of these preliminary tests enabled the study of three development sequences. They have subsequently been compared to the one currently used in the Gendarmerie's laboratories and the best results have been provided during pseudo-operational comparative trials by one of these sequences, consisting in 6 stages.

One of the benefits of Internet of Vehicles (IoV) is improved traffic safety and efficiency, for example due to the capability to share vehicular messages in real-time. While most of the vehicular messages only need to be shared by nearby vehicles, some messages (e.g., announcement messages) may need to be more broadly distributed, for example to vehicles in a wider region. Finding a single trusted entity to store and distribute such messages can be challenging, and vehicles may not be inclined to participate (e.g., generation and distribution of announcement messages) unless they can benefit from such participation. In addition, achieving both security and privacy can be challenging. In this paper, we propose a blockchain based secure data sharing system to address the above challenges in an IoV setting. Specifically, in our system, announcement messages are stored using blockchain. To encourage/incentivize participation, vehicles that faithfully broadcast the announcement messages and/or contribute to the block generation will be rewarded by some cryptocurrency. Our system is also designed to be privacy-preserving and realizes both priori and posteriori countermeasures.

The present paper was prepared and submitted as part of the European Commission's public consultation to give stakeholders the opportunity to express their views on the questions raised and policy options proposed in the White Paper on Artificial Intelligence.

Purpose To elucidate the correlation between lactoferrin concentration in the tear film and signs and symptoms of severe dry eye disease (DED) using a novel microfluidic paper-based analytical device (μPAD) and enzyme-linked immunosorbent assay (ELISA). Methods Twenty-four patients were recruited at the Keio University Hospital. Using a novel μPAD, lactoferrin concentrations were measured in 4 patients with GVHD-related DED, 3 patients with other types of DED and 2 controls (Group A). For validation by ELISA, 22 patients (7 patients from Group A) comprising 9 patients with GVHD-related DED, 6 patients with other types of DED and 7 controls were examined (Group B). The link between lactoferrin concentration and clinical data about the severity of aqueous tear deficient DED was also investigated by both μPAD and ELISA. Results The lactoferrin concentration in tear fluid of the DED patients was positively correlated between μPAD and ELISA (p = 0.006, r = 0.886). The tear fluid of the GVHD patients showed low or undetectable lactoferrin concentration. Analysis by ELISA demonstrated that lactoferrin concentrations in the tear film from the GVHD patients were significantly lower than those from the non-GVHD patients (p = 0.010576). ELISA revealed lactoferrin concentration correlated with the value of Schirmer test and tear film breakup time, whereas it was inversely correlated with OSDI, fluorescein and rose bengal scores. Conclusions The novel μPAD may pave the way for measuring lactoferrin concentration in tear fluid from DED patients. Our results suggested that lactoferrin concentration in tear fluid reflect the severity of DED.

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

Writing and presenting results is important for any research work. Publishing is not enough; it should be written clearly and consistently for others to read and cite. We present a review of different techniques, for improving the writing in research papers intended for publishing. These include how to write the title, whether to use active or passive voice, how long sentences should be, how to present the uncertainty, understanding the International System of Units (SI) writing conventions, how to assign authorship, how to effectively use references, how to present the work, and how to publish it in a journal. This paper is a summary of the main and most recent recommendations in the scientific field on how to write a research paper to increase its impact.

The following review paper thoroughly enables the readers to emulate the flexural behavior and impact test method for textile reinforced cementitious composites (TRCCs). The flexural parameters of ECCs corresponding to type of fiber material, fiber volume fraction, fiber volume length and strength parameters were discussed. For the textile reinforcement, the parameters like type of weaving pattern, mesh size, roving tex, fiber volume fraction and number of layers were discussed. Based on the tensile strength of textile fiber material, carbon, AR-glass, aramid and basalt fiber mesh were used for strengthening, repair works, plastering and reinforcement for thin elements. And also, the impact test performance on cementitious concrete composites is addressed as well as methods adopted for finding impact performance are discussed from the numerous literatures. This paper provides summary about the flexural and impact performance of textile fibers introduced into the concrete composites in different mesh sizes and fiber volume fractions. Generally, inclusion of textile fibers gives much more performance in tensile, toughness, flexural, energy absorption capacity and ductility in ECC composites. Many of the researchers have tried with different fiber materials for producing ECC and TRC composites separately, but only few of them used both have been discussed. Finally, from the literatures mostly artificial fibers are used for making textile reinforced composites.

Supercapacitors are favored by researchers because of their high power density, especially with the acceleration of people's life rhythm. However, their energy density, especially from the point of view of the whole energy storage device, is far lower than that of commercial batteries. In this work, a kind of customizable full paper-based supercapacitor device with excellent self-healing ability is fabricated by simple and low-cost screen printing, electropolymerization and dip coating methods. The resultant separator-free supercapacitor device exhibits both ultrahigh gravimetric and areal specific energy (power) densities of 39 Wh kg−1 (69 kW kg−1) and 692 μWh cm−2 (236 mW cm−2), achieving excellent supercapacitor performance. Notably, the addition of vitrimers endows the whole device with outstanding self-healing properties, which is helpful for enhancing the adaptability of the device to the environment. In addition, this kind of paper-based device also displays good photothermal and electromagnetic shielding performances. These striking features make paper matrix composites attractive in the fields of supercapacitors, medical photothermal treatment and electromagnetic shielding.

Objective Communication in healthcare has influenced and been influenced by the COVID-19 pandemic. In this position paper, we share observations based on the latest available evidence and experiential knowledge that have emerged during the pandemic, with a specific focus on policy and practice. Methods This is a position paper that presents observations relating to policy and practice in communication in healthcare related to COVID-19. Results Through our critical observations as experts in the field of healthcare communication, we share our stance how healthcare communication has occured during the pandemic and suggest possible ways of improving policy and professional practice. We make recommendations for policy makers, healthcare providers, and communication experts while also highlighting areas that merit further investigation regarding healthcare communication in times of healthcare crises. Conclusion We have witnessed an upheaval of healthcare practice and the development of policy on-the-run. To ensure that policy and practice are evidence-based, person-centred, more inclusive and equitable, we advocate for critical reflection on this symbiotic relationship between COVID-19 and the central role of communication in healthcare. Practice implications This paper provides a summary of the key areas for development in communication in healthcare during COVID-19. It offers recommendations for improvement and a call to review policies and practice to build resilience and inclusive and equitable responsiveness in communication in healthcare.

Background In Software Engineering (SE), conference publications have high importance both in effective communication and in academic careers. Researchers actively discuss how a paper should be organized to be accepted in mainstream conferences. Aiming This work tackles the problem of generalizing and characterizing the type of papers accepted at SE conferences. Method The paper offers a new perspective in the analysis of SE literature: a categorization scheme for SE papers is obtained by merging, extending and revising related proposals from a few existing studies. The categorization scheme is used to classify the papers accepted at three top-tier SE conferences during five years (2012–2016). Results While a broader experience is certainly needed for validation and fine-tuning, preliminary outcomes can be observed relative to what problems and topics are addressed, what types of contributions are presented and how they are validated. Conclusions The results provide insights to paper writers, paper reviewers and conference organizers in focusing their future efforts, without any intent to provide judgments or authoritative guidelines.

Photonic crystals film that possesses periodic dielectric structure have shown great prospect in developing environmentally friendly paper alternatives due to the unique properties of dye free and non-photobleaching, but their practical application is limited by the weak interaction between colloidal particles. Although some progress has been obtained, it is still a challenge to develop photonic paper with the desired mechanical and optical properties. Herein, multifunctional hard core/soft shell nanoparticles with controlled size are fabricated by semi-continuous seed emulsion polymerization method. Compared with convention colloidal particles, these core/shell nanoparticles can facile self-assemble into large-scale dense ordered structure film via dried at room temperature due to the relatively low glass transition temperature (Tg) of the shell layers. The facile fabrication route enables the continuous high-through put production of the photonic papers. The as-formed papers not only possess the capacity to solvent (water/ethanol) rewritable and multicolor painting, but also can rapidly reversible mechanochromic. Moreover, due to the good compatibility of core/shell interface, these photonic films possess excellent mechanical properties, demonstrating that this multifunctional film makes the fabrication of novel robust rewritable papers possible and enables visual monitoring of deformation degree.

Hematopoietic stem cell transplantation (HSCT) patients can suffer from various musculoskeletal problems resulting in long-term functional incapacity. Physical therapy (PT), as a part of the healthcare team, has been historically advocated for regaining functional capacity and improving quality of life post-HSCT. Because of the nature of this condition and the burden of post-transplant complications, this patient group requires a unique approach toward their rehabilitation that takes into account their complex musculoskeletal presentation ranging from fascia, muscle, tendons, bones, and ligaments. However, to our knowledge there is no universal standardized PT protocol or pathway to help guide rehab specialists to achieve optimal gains for this patient group, and anecdotal evidence suggests that these patients do not always receive the PT care they require. Hence, in collaboration with the Transplant Complications Working Party of the European Society for Blood and Marrow Transplantation, the Survivorship Special Interest Group of the American Society of Blood and Marrow Transplantation, and the Quality of Life Committee of the Eastern Mediterranean Blood and Marrow Transplantation, herein the Physical Therapy Association for Graft Versus Host Disease provides a brief review on role of PT in mitigating musculoskeletal complications in HSCT patients and makes evidence-based recommendations for incorporation of PT into routine HSCT care. ispartof: Biol Blood Marrow Transplant vol:25 issue:6 pages:e191-e198 ispartof: location:United States status: published

To evaluate the effect of brown-rot fungi Oligoporus placenta and earthworm Eisenia fetida on decomposition of paper mill sludge, the paper mill sludge was mixed with cow dung in 0, 25, 50, 75, and 100% proportions and changes in physicochemical quality of waste mixtures was carried out for 28 days. All waste mixtures were treated with: Setup-I (E. fetida), Setup-II (O. placenta) and, Setup-III (E. fetida + O. placenta). A decrease in total organic carbon, C/N ratio and cellulose but an increase in total kjeldhal nitrogen, total phosphorus, total potassium and pH was recorded. The paper mill sludge in 50–75% proportion in feedstock showed the better results and rate of mineralisation were in order: Setup-III > Setup-I > Setup-II. The proportion of CD has direct role in waste mineralisation. The microbial population (bacterial, fungal and actinomycetes) and earthworm biomass were also high in Setup-III, suggesting the influence of brown-rot fungi on paper mill sludge humification. Results indicate that fungal inoculate in vermicomposting was effective in decomposing cellulose-rich industrial sludge.

The non-process-elements (NPE's) in the pulp and paper production, in particular chloride (Cl−) and potassium (K+), eventually accumulate in a sodium sulfate recovery cycle of a paper plant, especially on boiler fly ashes (flue gas cleaning). This accumulation often leads to fouling and corrosion. Thus, in order to reduce such problems, a leaching unit is typically integrated aiming to remove Cl− and K+ and recover sodium sulfate (Na2SO4) from boiler fly ashes. In this context, this research is focused on investigating the effects of temperature, ash concentration and pH on the separation efficiency (Cl− and K+ removal and Na2SO4 recovery) of recovery boiler fly ashes using design of experiments in a devised laboratory setup. As expected from the literature, the results obtained reveals that concentration has the most significant effect on the response variables followed by temperature; whereas pH, not mentioned in this application so far, also has a significant effect. The optimum operating condition, which yields 84 wt% of Na2SO4 recovery and 97 wt% of Cl− and K+ removal, is achieved at 60 °C, 50 wt% of ash and pH 9.0. For practical applications, this optimal condition reduces the accumulation of NPE‘s and mitigates the risks of fouling and corrosion.

Dewatering and handling of pulp and paper mill sludge is challenging and often comprises more than half of the overall wastewater treatment costs at a mill. Primary sludge is usually more dewaterable than biosludge (waste activated sludge), and the ratio between both types of sludge largely determines the dewaterability of the sludge mix. This study has quantified the benefits of adding primary sludge to biosludge to enhance the dewaterability in terms of cake solids and filtrate/pressate solids content. Furthermore, the effects of the particle size distribution and the monovalent to divalent cation ratio of the various types of sludge were investigated. Biosludge and three types of primary sludge from a Canadian pulp and paper mill were mixed at various ratios and tested for dewaterability using a Crown Press®, a bench-scale device which simulates industrial belt press dewatering. Results show that after addition of primary sludge at up to 40% mass proportion (dry solids basis) the dewatered cake solids content increased substantially, from 10.4% to 18.7–19.9%, depending on the type of primary sludge added. Further addition of primary sludge led to comparably only small improvements. Primary sludge addition also resulted in decreased total suspended solids (TSS) concentrations in the combined gravity filtrate / Crown Press pressate. Primary sludge content of only 10% in the sludge mix was sufficient to decrease the TSS concentration from 1.8 g/L to 0.2 – 0.4 g/L. The study shows that only less than half of the sludge mix needs to consist of primary sludge, in order to achieve adequate dewaterability. This opens up the possibility of retaining more primary fiber within the pulping process, without compromising downstream sludge dewatering.

The pulp and paper industry, which provides cellulose pulp and paper, bio-based energy and chemicals, is one of the largest energy consumers, greenhouse gases (GHG) and pollutant emitters among manufacturing industries. Although the environmental impact of the pulp and paper industry has been extensively studied, life cycle assessment (LCA) results have not yet reached a consensus. By means of a systematic review and meta-analysis, this article contributes to the quantification and harmonization of the life cycle environmental impacts of pulp making and paper making systems. Based on the screening of 45 cases of paper making and 18 cases of pulp making, we found that 1 t of paper results in about 950 kg carbon dioxide (CO2) equivalent (CO2-eq) GHG emissions on average. However, there are distinct differences between countries and pulp and paper categories. The dominant factor influencing GHG emissions is energy use. In paper making, the pulp making process is responsible for 62% of energy use, 45% of GHG emissions, 48% of acidification potential, and 49% of eutrophication potential. The kg CO2-eq emissions of three different types of pulp were as follows: Kraft, 508 kg CO2-eq/t; chemi-mechanical, 513 kg CO2-eq/t; and recycled pulp, 408 kg CO2-eq/t. Excluding emissions from electricity and steam production, the convergence of carbon emissions is observed within the same categories of pulp. Straw-based pulp caused far more environmental impact than any other type because of the intensive inputs in agricultural activities as well as in the pulp making process. This research highlighted the inconsistencies in functional units, system boundaries, and methodologies and carbon neutrality assumptions in different LCA studies of pulp and paper making. Future studies should focus on the environmental impact of straw-based pulp making, system boundary unification, and calculation of biogenic carbon emissions.

In remote areas, such as India, Africa and Southeast Asia, typically not connected to the natural gas distribution network, tissue paper production is currently carried out using a Yankee cylinder and two hot air hoods heated with saturated steam produced in conventional boilers. In this way the drying air is heated at medium temperature, around 160-180 °C, with consequent low levels of dried paper production. In this context, the present study intends to evaluate the technical and economic feasibility of using a wood biomass fixed bed downdraft gasification plant for the production of syngas to be used as fuel in gas hoods, in order to reach high drying temperatures (around 500 °C), comparable with those of the current modern hoods powered with natural gas. Using previously developed calculation codes, an evaluation of energy performance of the paper drying system and of the gasification plant has been performed. The present study also evaluates the possibility of applying a CHP plant, powered by biomass, for the production of steam and electric, this last obtained adopting a steam turbine, thus covering all the electrical and thermal needs of the paper mill. Results show that, for a paper mill with a production of about 80 t/day of paper, two gasification reactors with a thermal output of about 1.95 MWt, and a consumption of dry biomass of 0.86 t/h, are required. For the steam system, the net electric power needed to meet the needs of the paper mill is about 3100 kW with a consumption of 4.72 t/h of moist biomass and a net efficiency of 23.9 %.

Primary paper mill sludge (PPMS) is the major waste expelled from the pulp and paper industries contributing soil and water pollution through the recalcitrant organic and inorganic constituents. These pollutants can, however, be transformed into a high-value soil ameliorating material with nominal investment and time. Current study therefore evaluated the potential of rotary drum composting PPMS for 20 days to delineate an environmentally sustainable option. Five trials with proportions of PPMS, cow dung and saw dust: Trial 1 (10:0:0), Trial 2 (8:1:1), Trial 3 (7:2:1), Trial 4 (6:3:1) and Trial 5 (5:4:1) were performed for evaluation of degrading and nutritive ability along with the fate of pollutants for total mass of 150 kg. Trial 4 exhibited highest metabolic activity contributing higher temperature evolution and longer thermophilic phase (10 days) owing to optimum addition of innoculum and nitrogen through the cattle manure. Moreover, degradation of 16.8% organic matter was also best achieved in Trial 4 following up first-order kinetics. Furthermore, BOD, COD and C/N ratio also explains degradation to be maximum in trial 4 (6:3:1) with reduction of 59.3%, 60.1% and C/N ratio from 55.1 to 18 respectively, proving to be the essential determining factors. Phosphorus availability increased by around 67% in trial 4. PPMS can be thus transformed into a potential valued added product and safe for subsequent land application.

The pulp and paper industry, one of Canada’s largest and most important industries, produces many by-products, some of which are used to produce electricity and steam for mill operations; however, the by-products are not used economically. The industry has been facing financial challenges and, therefore, an appropriate means of converting by-products to value-added products is highly desired. In this study, we explore nine pathways for the conversion of black liquor, the major by-product of the industry, to different value-added final products. These include steam, electricity, dimethyl ether, Fischer-Tropsch liquids, mixed alcohols, methanol, acetone, butanol, ethanol, and lignin. The most economical conversion pathway is selected based on the internal rate of return (IRR) calculated through a techno-economic assessment. Lignin production through the fractionation of black liquor is the most attractive scenario. Sensitivity and uncertainty analyses were performed on the IRR for the lignin production scenario to evaluate the effect of different parameters on overall performance and assess the accuracy of the results. The sensitivity analysis shows that lignin price and operating costs are the most influential parameters on IRR. This study offers insights into options of revenue generation for the pulp and paper industry through the innovative use of its by-products.

The pulp and paper industry produces about 300–350 million tons of paper mill sludge (PMS) annually and majority is disposed of by landfill. PMS contains up to 75% carbohydrates. In this study, PMS was treated by de-ashing, fiber regeneration and enzymatic hydrolysis. The PMS hydrolysate was used for butyric acid production by Clostridium tyrobutyricum B-67062/RPT 4213. We reported that 8.52 and 8.35 gL−1 butyric acid was produced from 4 L batch fermentation in MRS and RCM4 medium respectively. Moreover, nearly 7 gL−1 butyric acid was produced by using PMS hydrolysates from two different mills when combined with a fraction of MRS, and over 6 gL−1 butyric acid was produced from hydrolysate combined with a fraction of RCM4 medium. This study suggested that beside agricultural lignocellulosic biomass feedstocks, low valued waste materials from the pulp and paper industries could also be used for the sustainable production of butyric acid.

Aeration, as a process in pulp and paper wastewater treatment, uses the greatest share of the energy. Therefore, if the energy efficiency of the treatment has to be improved, the focus must be on aeration. A key finding from the trials conducted for this paper, with effluent from a paper and pulp mill, was that the oxygen transfer coefficient could be doubled and the chemical oxygen demand could be decreased by 25%, if the effluent was pre-treated with 30 mg/l of aluminium coagulant (equivalent to 9.4 tonnes per day of AVR to 20000 cubic metres of effluent). Decrease in oxygen requirement implies decreases in aeration energy use. Pulp and paper mill effluents are not as biodegradable as municipal sewage, and the improvement in oxygen transfer properties of the effluent will have a positive influence over a longer period of time in the biological treatment. If the sludge is digested anaerobically, pre-treatment will also result in doubling the potential for methane generation. A holistic analysis of modifications to processes entails a study of the economic and environmental consequences as well. While the economic aspect is beyond the scope of this paper, only the net global warming as an environmental impact category has been studied, by taking recourse to specific emission coefficients. Of the four dosages of ferric aluminium sulphate considered in this analysis, the net greenhouse gas emissions are the least – 426 kg carbon dioxide equivalent per day when the daily consumption is 9.4 tonnes.

Waste paper, a major fraction of municipal solid waste, has a potential to serve as renewable feedstock for the biorefineries of fuels, chemicals and materials due to rich in cellulose and abundant at low cost. This study evaluates the possibility of waste office paper (WOP) to serve as a potential feedstock for the biorefinery production of poly (3-hydroxybutyrate). In this study, the WOP was pretreated, enzymatically saccharified and the hydrolysate was used for PHB production. The hydrolysate mainly consists of glucose (22.70 g/L) and xylose (1.78 g/L) and the corresponding sugar yield was about 816 mg/g. Ammonium sulphate and C/N ratio 20 were identified as most favorable for high yield of PHB. The batch fermentation of Cupriavidus necator using the pretreated WOP hydrolysate resulted in cell biomass, PHB production and PHB content of 7.74 g/L, 4.45 g/L and 57.52%, respectively. The volumetric productivity and yield achieved were 0.061 g/L/h and 0.210 g/g sugar, respectively. The results suggested that WOP could be a potential alternative feedstock for the biorefinery production of bioplastics.

The pulping industry generates vast amounts of bark residues and wastewater treatment sludges, which are combined and stored for varying periods in stacks, often in the open air, prior to utilization for energy via combustion. In order to optimize the storage strategy, the effects of incorporating sludge into bark on heating value and storage-related environmental impacts were investigated in laboratory and outdoor studies. Biological degradation activity was found to be higher in treatments containing 25% sludge (B75S25) and 50% sludge (B50S50) on a fresh mass basis, in comparison with pure bark (B100). Mean monthly dry mass loss was 2.1% (B100), 3.3% (B75S25), and 3.7% (B50S50) in the laboratory and 2.7%, 4.2%, and 4.8%, respectively, outdoors. Sludge addition was found to maintain degradation activity at low temperatures (+ 3°C). Co-storage of sludge and bark led to loss of energy, mainly due to increased loss of biomass and increased moisture content. Overall, biomass moisture content governed the heating value. Cumulative methane emissions over the storage period were higher from the sludge-containing treatments than from pure bark, but emissions of nitrogen-containing gases (N2O and NH3) were negligible throughout. Sludge addition roughly halved the cumulative chemical oxygen demand (COD) of leachate and minimized its concentration of phosphate-P. However, larger amounts of inorganic elements were released to the percolating water from the sludge-containing treatments. Overall, these results indicate that finding alternative uses for the sludge fraction would be beneficial.

Objectives A recent paper by Doi et al. advocated completely replacing the relative risk (RR) with the odds ratio (OR) as the effect measure in clinical trials and meta-analyses with binary outcomes. Besides some practical advantages of RR over OR, Doi et al.’s key assumption that the OR is “portable” in the meta-analysis, that is, study-specific ORs are likely not correlated with baseline risks, was not well justified. Study designs and settings We summarized Spearman's rank correlation coefficient between study-specific ORs and baseline risks in 40,243 meta-analyses from the Cochrane Database of Systematic Reviews. Results Study-specific ORs tend to be higher in studies with lower baseline risks of disease for most meta-analyses in Cochrane Database of Systematic Reviews. Using an actual meta-analysis example, we demonstrate that there is a strong negative correlation between OR (RR or RD) with the baseline risk and the conditional effects notably vary with baseline risks. Conclusions Replacing RR or RD with OR is currently unadvisable in clinical trials and meta-analyses. It is possible that no effect measure is “portable” in a meta-analysis. In addition to the overall (or marginal) effect, we suggest presenting the conditional effect based on the baseline risk using a bivariate generalized linear mixed model.

In recent times, it has been witnessed that wireless systems based on IoT-based have developed rapidly in various sectors. The IoT (Internet of Things) is the network in which physical devices, equipment, sensors and other objects can communicate among themselves without human involvement. The WSN (Wireless Sensor Network) is a central component of the IoT, which has proliferated into several different applications in real-time. The IoT and WSNs now have various critical and non-critical applications impacting nearly every area of our everyday life. WSN nodes are usually small and battery-driven machines. Thus, the energy effective data aggregation techniques that increase the lifespan of the network are highly significant. Various approaches and algorithms for energy-efficient data aggregation in IoT-WSN systems were presented. This paper reviews the literature with specific attention to aspects of wireless networking for the preservation of energy and aggregation of data.

Objective This study collected randomized controlled trials (RCTs) published in the social sciences in China and assessed their risk of bias and reporting quality. Study Design and Setting Three databases were systematically searched for publications from January 2000 to June 2020 for RCTs in the social sciences published by Chinese researchers. The risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool (CCRBT), and reporting quality was assessed using the Consolidated Standards of Reporting Trials for Social and Psychological Interventions (CONSORT-SPI). Results A total of 316 RCTs were identified, including 204 articles in English and 112 articles in Chinese. The most frequently researched interventions focused on education (33.9%), and the most frequently studied population were students (32.9%). Eighty-seven percent of RCTs had intermediate reporting quality. Twenty-four of the 43 CONSORT-SPI sub-items had a compliance rate of less than 50%. Most RCTs had an unclear risk of bias for blinding outcome assessors (84.5%), blinding participants and personnel (82.9%), allocation concealment (73.1%), and random sequence generation (68.0%). A low proportion of CONSORT-SPI items were reported and, high proportion of the papers had unclear risk of bias. Conclusion The quality and reporting of RCTs in the social sciences needs improvement in China, especially for reporting methods and results. Most studies had an unclear risk of bias as they lacked important methodological information.

Causticizing process of pulp and paper mills, is highly energy intensive and environmentally unsafe. We report environmental friendly electro-electrodialysis (EED) process using in-house prepared cation exchange membranes (CEMs) for NaOH production from green liquor solution (GLS) of agro-based paper mills. Different composite CEMs with varied composition of sulfonated graphene oxide (SGO) incorporated sulfonated poly (ether ether ketone) (SPK) were synthesized. Best optimized CEM (SPK-3 with 3.0 wt% SGO loading) exhibited 1.75 mmol·g−1 cation exchange capacity, 32.01% water uptake, 11.41% swelling ratio, conductivity 0.037 S·cm−1, and 0.97 counter-ion transport number with high alkaline and thermo-mechanical stabilities. Industrial GLS was used for NaOH production by EED at 60 mA·cm−2current density. Optimized SPK-3 membrane produced 1.17 mol·L−1 of NaOH with 61.4% current efficiency (η), and 2.58 kW·h·kg−1 energy consumption (EC) during 4 h of EED process. Under similar operating conditions, pristine (SPK), and commercial CEM (FKB-PK-130), showed inferior performance. Longevity of SPK-3 CEM was assessed with industrial GLS for fifty cycles of EED experiments 4 h duration each. Reported results are promising for sustainable NaOH production from industrial GLS of pulp and paper mills, and provide a resourceful alternate for industrial waste.

Renewable and bio-based materials have gained great interest on an industrial scale owing to environmental issues. Paper industries also are constantly exploring bio-resources for intrinsic chemico-physical property enhancement of paper and paper products. These bio-resources will potentially increase their cyclability besides making paper compatible beyond traditional uses. Mechanical beating or use of chemical additives or the combination of these methods are widely used to improve critical paper characteristics such as strength, surface smoothness, density, brightness, filler retention, water and grease resistivity etc. These chemical additives as mill effluents are hazardous and have detrimental effect on environment. So, to move ahead of traditional practices, the present review discusses about the production and utility of abundantly available renewable bio-polymers and their products such as starch, cellulose, plant-based proteins, microbial biopolymers, animal-based biopolymers, and natural gums etc. They represent ample prospect in terms of research and development on their functionality and industrial applications.

Pulp and paper mills are known large emitters of air pollution creating potential environmental challenges and human health impacts. This study assesses air pollution and associated impacts from connected pulp and paper facilities which operate in Edmundston, New Brunswick, Canada, and Madawaska, Maine, United States (US). Despite operating within two regulatory jurisdictions on both sides of the international border (in Canada and the US), the mills have exceeded their approvals to operate and national air quality regulations multiple times between 2010 and 2017. Previous studies have linked many types of cancer as well as respiratory and cardiovascular diseases to air pollution emitted by pulp and paper mills, making this an important regional issue in Canada and the US. While potential environmental and community impacts are likely similar on both sides of the international border, emissions from each side are not reported on the other, and few studies have been conducted on either side. Historic and ongoing lack of local epidemiological health and environmental impact studies and recommendations for improvements to mill operations to improve environmental and human health are presented.

The use of membranes in integrated water systems has garnered increasing attention in paper mills operating with virgin fibres, with documented closed water loops in industry. However, limited research exists on the performance of ultrafiltration (UF) in mills operating with 100% recycled fibres (RCF) and closed water systems, as these result in the introduction and accumulation of insoluble contaminants in the effluent. This study investigated the effect of transmembrane pressure (TMP) and feed organic load on the flux, types of fouling, and organic separation with UF membranes in a recycled paper mill using 100% RCF. The high feed organic load caused inevitable fouling, limiting the highest achievable flux. However, the TMP could be manipulated to improve on or exacerbate the process performance, within the range that was set as a result of the feed's characteristics. Low TMP (1.35 bar) generated the highest permeability and chemical oxygen demand removal, while higher TMPs produced higher fluxes and recoveries. The process was characterised by high initial fluxes, followed by cake formation, which dominated, and pore blockage. The excess cake formation induced cake filtration. This study shows the potential of UF membranes to be used as pre-treatment in filtering the process water in a recycled paper mill operating with 100% RCF, a critical step forward in implementing an integrated water system, and eventually closing the water loop.

Background Brugada syndrome is a rare inherited arrhythmic syndrome with a coved type 1 ST-segment elevation on ECG and an increased risk of sudden death. Many studies have evaluated risk stratification performance based on ECG-derived parameters. However, since historical Brugada patient cohorts included mostly paper ECGs, most studies have been based on manual ECG parameter measurements. We hypothesized that it would be possible to run automated algorithm-based analysis of paper ECGs. We aimed: 1) to validate the digitization process for paper ECGs in Brugada patients; and 2) to quantify the acute class I antiarrhythmic drug effect on relevant ECG parameters in Brugada syndrome. Methods A total of 176 patients (30% female, 43 ± 13 years old) with induced type 1 Brugada syndrome ECG were included in the study. All of the patients had paper ECGs before and during class I antiarrhythmic drug challenge. Twenty patients also had a digital ECG, in whom printouts were used to validate the digitization process. Paper ECGs were scanned and then digitized using ECGScan software, version 3.4.0 (AMPS, LLC, New York, NY, USA) to obtain FDA HL7 XML format ECGs. Measurements were automatically performed using the Bravo (AMPS, LLC, New York, NY, USA) and Glasgow algorithms. Results ECG parameters obtained from digital and digitized ECGs were closely correlated (r = 0.96 ± 0.07, R2 = 0.93 ± 0.12). Class I antiarrhythmic drugs significantly increased the global QRS duration (from 113 ± 20 to 138 ± 23, p Conclusions Automated algorithm-based measurements of depolarization and repolarization parameters from digitized paper ECGs are reliable and could quantify the acute effects of class 1 antiarrhythmic drug challenge in Brugada patients. Our results support using computerized automated algorithm-based analyses from digitized paper ECGs to establish risk stratification decision trees in Brugada syndrome.