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Abstract To compare the urine Congo‐red dot paper test (CRD) with dipstick urinalysis to screen preeclampsia (PE). A total of 409 paired spot urine samples were obtained prospectively from women with suspected pre‐eclampsia attending for routine hospital visits. Congo‐red dot paper test and dipstick urinalysis were examined and compared to screen pre‐eclampsia. The agreement between the two urinary test is modest (kappa coefficient = 0.28, 95% CI 0.14–0.42). The specificity of CRD was higher than urinalysis (97.4% vs. 90.4%, p

Abstract Laser‐induced graphene (LIG) technology has provided a new manufacturing strategy for the rapid and scalable assembling of triboelectric nanogenerators (TENG). However, current LIG‐based TENG commonly rely on polymer films, e.g., polyimide (PI) as both friction material and carbon precursor of electrodes, which limit the structural diversity and performance escalation due to its incapability of folding and creasing. Using specialized PI paper composed of randomly distributed PI fibers to substantially enhance its foldability, this work creates a new type of TENG, which are structurally foldable and stackable, and performance tailorable. First, by systematically investigating the laser power‐regulated performance of single‐unit TENG, the open‐circuit voltage can be effectively improved. By further exploiting the folding process, multiple TENG units can be assembled together to form multi‐layered structures to continuously expand the open‐circuit voltage from 5.3 to 34.4 V cm−2, as the increase of friction units from 1 to 16. Last, by fully utilizing the unique structure and performance, representative energy‐harvesting and smart‐sensing applications are demonstrated, including a smart shoe to recognize running motions and power LEDs, a smart leaf to power a thermometer by wind, a matrix sensor to recognize writing trajectories, as well as a smart glove to recognize different objects.

Abstract MXene is a promising energy storage material for miniaturized microbatteries and microsupercapacitors (MSCs). Despite its superior electrochemical performance, only a few studies have reported MXene‐based ultrahigh‐rate (>1000 mV s−1) on‐paper MSCs, mainly due to the reduced electrical conductance of MXene films deposited on paper. Herein, ultrahigh‐rate metal‐free on‐paper MSCs based on heterogeneous MXene/poly(3,4‐ethylenedioxythiophene)‐poly(styrenesulfonate) (PEDOT:PSS)‐stack electrodes are fabricated through the combination of direct ink writing and femtosecond laser scribing. With a footprint area of only 20 mm2, the on‐paper MSCs exhibit excellent high‐rate capacitive behavior with an areal capacitance of 5.7 mF cm−2 and long cycle life (>95% capacitance retention after 10,000 cycles) at a high scan rate of 1000 mV s−1, outperforming most of the present on‐paper MSCs. Furthermore, the heterogeneous MXene/PEDOT:PSS electrodes can interconnect individual MSCs into metal‐free on‐paper MSC arrays, which can also be simultaneously charged/discharged at 1000 mV s−1, showing scalable capacitive performance. The heterogeneous MXene/PEDOT:PSS stacks are a promising electrode structure for on‐paper MSCs to serve as ultrafast miniaturized energy storage components for emerging paper electronics.

Abstract Objectives Endoscopic ultrasound‐guided tissue acquisition (EUS‐TA) is used for pathological diagnosis and obtaining samples for molecular testing, facilitating the initiation of targeted therapies in patients with pancreatic cancer. However, samples obtained via EUS‐TA are often insufficient, requiring more efforts to improve sampling adequacy for molecular testing. Therefore, this study investigated the use of oil blotting paper for formalin fixation of samples obtained via EUS‐TA. Methods This prospective study enrolled 42 patients who underwent EUS‐TA for pancreatic cancer between September 2020 and February 2022 at the Osaka International Cancer Institute. After a portion of each sample obtained via EUS‐TA was separated for routine histological evaluation, the residual samples were divided into filter paper and oil blotting paper groups for analysis. Accordingly, filter paper and oil blotting paper were used for the formalin fixation process. The total tissue, nuclear, and cytoplasm areas of each sample were quantitatively evaluated using virtual slides, and the specimen volume and histological diagnosis of each sample were evaluated by an expert pathologist. Results All cases were cytologically diagnosed as adenocarcinoma. The area ratios of the total tissue, nuclear, and cytoplasmic portions were significantly larger in the oil blotting paper group than in the filter paper group. The frequency of cases with large amount of tumor cells was significantly higher in the oil blotting paper group (33.3%) than in the filter paper group (11.9%) (p = 0.035). Conclusions Oil blotting paper can increase the sample volume obtained via EUS‐TA on glass slides and improve sampling adequacy for molecular testing.

Abstract Personalized healthcare management is an emerging field that requires the development of environment‐friendly, integrated, and electrochemical multimodal devices. In this study, the concept of integrated paper‐based biosensors (IFP−Multi) for personalized healthcare management is introduced. By leveraging ink printing technology and a ChatGPT–bioelectronic interface, these biosensors offer ultrahigh areal‐specific capacitance (74633 mF cm−2), excellent mechanical properties, and multifunctional sensing and humidity power generation capabilities. More importantly, the IFP−Multi devices have the potential to simulate deaf‐mute vocalization and can be integrated into wearable sensors to detect muscle contractions and bending motions. Moreover, they also enable monitoring of physiological signals from various body parts, such as the throat, nape, elbow, wrist, and knee, and successfully record sharp and repeatable signals generated by muscle contractions. In addition, the IFP−Multi devices demonstrate self‐powered handwriting sensing and moisture power generation for sweat‐sensing applications. As a proof‐of‐concept, a GPT 3.5 model‐based fine‐tuning and prediction pipeline that utilizes recorded physiological signals through IFP−Multi is showcased, enabling artificial intelligence with multimodal sensing capabilities for personalized healthcare management. This work presents a promising and ecofriendly approach to developing paper‐based electrochemical multimodal devices, paving the way for a new era of healthcare advancements.

Abstract The insulation performance of oil paper insulation is significantly affected by moisture such that monitoring moisture content is important. However, it is difficult to obtain the moisture content accurately due to its dynamic change under multi physical fields. Studying the moisture transportation in oil paper insulation under multi physical fields becomes a vital method in solving the problem. A multi physical model describing moisture migration was proposed, which considered the effects of temperature on moisture in different existing states in oil‐immersed paper (OIP). The temperature distribution formed a vapour pressure gradient to drive moisture migration and affected migration speed. Then, experiments and simulations of moisture migration were performed, which showed that the experiments were in good agreement with simulation. The results revealed that the temperature gradient caused uneven moisture distribution and the increased temperature reduced OIP moisture content. The established model could fully characterise moisture migration under temperature gradient, which provided a theoretical reference for predicting the risk of partial dampness and evaluating insulation performance.

Abstract Various dielectric response processes in the oil‐paper insulation are sensitively affected by the insulating states (ageing degrees and moisture contents). However, the existing research is still incomplete in revealing the microscopic mechanisms of various dielectric response processes in oil‐paper insulation with different insulating states. Given this issue, the genetic algorithm is first adopted to extract the Dissado–Hill (D–H) model parameters by simulating the frequency domain spectroscopy (FDS) of oil‐paper insulation. Then, the change laws of the extracted D–H model parameters are adopted to reveal the microscopic mechanisms of various dielectric response processes. Microscopic mechanisms of four dielectric response processes are studied, which are quasi‐dc relaxation, loss peak relaxation, optical frequency relaxation, and DC conductance. Meanwhile, due to the dielectric response processes being dominated by various polar particles (methanol, ethanol, furfural, and water molecule), the contents of various ageing by‐products dissolved in the insulating oil are measured to support the above analysis. In this respect, a dielectric theoretical reference for the FDS technique to research the insulating states of oil‐paper insulation is provided.

Abstract The main part of oil‐immersed power equipment is oil‐paper insulation. At lower ambient temperatures, transformer oil will become viscous. As a result, compared to those at room temperature or operating temperature, the frequency domain dielectric properties of oil‐paper insulation at low temperatures are drastically different. For evaluating the insulation condition of electrical equipment, it is essential to accurately determine their dielectric properties. This paper described the FDS test, the DC conductivity test, and the transformer oil viscosity test, which was carried out in a laboratory environment for different ageing of oil‐immersed pressboard and transformer oil at 233–373 K. The effects of temperature on the dielectric properties at the competing mechanisms of polarisation and conductivity loss were clarified based on variations of the FDS curves. Considering the viscosity change of ageing transformer oil at low temperatures, the Arrhenius and VFT viscosity equations were used to achieve a fitting calculation in the different temperature zones. Based on the molecular/ion transition model in the force field and electric field, the characterisation relationships between the dynamic viscosity, DC conductivity, and test temperature of transformer oil were established. The limitations of conventional transformer oil equivalent dielectric relaxation models over a wide temperature range were finally clarified by combining the test findings of the DC conductivity over a wide temperature range with observed and simulated calculations. This paper provides an essential theoretical reference when using the FDS test to diagnose the insulation performance of oil‐immersed power equipment in extremely cold regions.

Abstract The erratic, intermittent, and unpredictable nature of sweat production, resulting from physiological or psychological fluctuations, poses intricacies to consistently and accurately sample and evaluate sweat biomarkers. Skin‐interfaced microfluidic devices that rely on colorimetric mechanisms for semi‐quantitative detection are particularly susceptible to these inaccuracies due to variations in sweat secretion rate or instantaneous volume. This work introduces a skin‐interfaced colorimetric bifluidic sweat device with two synchronous channels to quantify sweat rate and biomarkers in real‐time, even during uncertain sweat activities. In the proposed bifluidic‐distance metric approach, with one channel to measure sweat rate and quantify collected sweat volume, the other channel can provide an accurate analysis of the biomarkers based on the collected sweat volume. The closed channel design also reduces evaporation and resists contamination from the external environment. The feasibility of the device is highlighted in a proof‐of‐the‐concept demonstration to analyze sweat chloride for evaluating hydration status and sweat glucose for assessing glucose levels. The low‐cost yet highly accurate device provides opportunities for clinical sweat analysis and disease screening in remote and low‐resource settings. The developed device platform can be facilely adapted for the other biomarkers when corresponding colorimetric reagents are exploited.

Abstract Objectives This study aims to analyze and visualize the top dental papers from 2012 to 2022 using data from essential science indicators (ESIs). Materials and Methods The present study was conducted using library and retrospective bibliometric analysis methods. Additionally, a science map has been created. Web of Science was searched on January 18, 2023. The results were limited to the top papers in ESIs. The bibliometric information of the top papers was evaluated. Next, the VOSviewer was used to perform a co‐occurrence analysis and visualize data. Results The findings showed that Mariano Belén Sanz and Maurizio S. Tonetti were the top two authors. The University of London and the University of Bern had the highest number of articles. These articles were published in 55 journals. According to the analysis of keyword co‐occurrence, the most frequently used keywords in the field of dentistry include “periodontitis,” “dental implants,” “periodontal disease,” “mechanical properties,” “peri‐implantitis,” “oral health,” “dental caries,” “dental materials,” “3D printing.” Conclusion The findings of this study enable readers to pinpoint the authors, organizations, countries, and journals that have made the biggest contributions to the list of the most often cited dentistry papers. In medicine, bibliometric citation analysis is frequently used to assist researchers in learning the fundamentals of a subject and pinpoint subtopics of broad interest for additional study.

Abstract Oil‐paper insulation material is an essential component for oil‐filled transformers, and polyimide (PI) insulation paper is a novel material in the field of electricity. The improvement of insulation class for insulation paper has gained significant attention in recent years. In this study, SiO2 nanoparticles were modified with a silane coupling agent (KH550), and the KH550‐SiO2 was added to the fibre membrane through in situ polymerisation. The chemical composition and microcosmic characteristics of the PI porous fibre membrane were characterised using FT‐IR and SEM FT‐IR and SEM. Consequently, the dielectric constant of the composite paper was reduced to 2.3 upon adding 3 wt% of KH550‐SiO2, and the dielectric strength reached its maximum value of 85 kV/mm. The results demonstrate that the insulation performance of the KH550‐SiO2/PI composite was significantly improved due to the incorporation of nano‐SiO2. This establishes an efficient approach for achieving excellent electrical and thermal properties in practical applications using the KH550‐SiO2/PI fibre membrane.

Abstract The moisture generated by the ageing of the oil‐paper insulating system can easily lead to the deterioration of the performance of the insulating paper. In order to alleviate the impact of moisture on the performance of the insulating paper, we developed a kind of lipophilic hydrophobic self‐repairing cellulose insulating paper (new insulating paper) based on the ternary system of polytetrafluoroethylene, fluorocarbon surfactant and fluorinated alkyl silane, and accelerated thermal ageing test for 45 days at 130°C was carried out. The experimental results show that the new insulating paper with excellent lipophilic property can realise hydrophobic self‐repairing through heat treatment after physical damage. The tensile strength and elongation at break of the new insulating paper increased by 5%–8% and 6.25%–27% respectively compared with the original cellulose insulating paper. At the end of ageing, the relative dielectric constant and dielectric loss factor of new insulating paper are 10.4% and 9.9% lower than that of the original cellulose insulating paper, while the breakdown voltage is 6.8% higher. The acid and moisture content produced during the ageing process of the insulating oil impregnated with new insulating paper are also less, indicating that the coating can delay the ageing of the insulating paper.

Abstract Avoiding financial losses requires preventing catastrophic oil‐filled power transformer breakdowns. Continuous online transformer monitoring is needed. The authors use paper insulation to evaluate transformer health for continuous online transformer monitoring. The study suggests a new artificial intelligence method for estimating paper insulation residual life in oil‐immersed power transformers. The four artificial intelligence models use backpropagation‐based neural networks to predict paper insulation lifespan. Four primary transformer insulating paper failure indices—degree of polymerisation, 2‐furfuraldehyde, carbon monoxide, and carbon dioxide—form the basis of these models. Each model, including the backpropagation‐based neural networks, estimates paper insulation life using one failure index, along with moisture and temperature data. Optimisation techniques enhance hidden layer neurons and epoch count for improved performance. Results are validated against literature‐based life models, establishing a precise input–output correlation. This method accurately predicts the remaining useable life of power transformer paper insulation, enabling utilities to take proactive measures for safe and efficient transformer operation.

Abstract Power outages can cause harm to both society and individual health. Among the crucial elements of power systems, power transformers play a vital role, and their failures can lead to incidents and disruptions. According to statistics, almost 50% of the explosions and fires in the power transformer are caused by oil‐impregnated paper (OIP) bushing failures. Moreover, moisture is a crucial factor that affects the health of OIP bushings, and assessing the moisture level in OIP bushings is vital to guarantee the safety of power systems. While the frequency‐domain dielectric spectroscopy (FDS) method has been widely used to assess the moisture content of OIP bushings on‐site, it has the disadvantage of requiring a long measurement time. Therefore, a novel technique was proposed in this study that involves measuring the OIP bushing dissipation factor (tanδ) at 1 Hz to estimate the moisture content in a significantly shorter time. Five samples of OIP with various moisture levels have been selected, and an equation based on the OIPs' value of tanδ at 1 Hz was proposed to assess the moisture level of OIP bushings. Furthermore, the validity of the proposed method was successfully verified, proving its precision and time efficiency.

Abstract Adopting a scoping review method, we examined peer‐reviewed academic papers published about human–lion conflict (HLC) (including coexistence) and identified knowledge gaps. We searched papers published between January 1981 and December 2023 using academic databases, with the key terms African lion, human–lion conflict, human–lion coexistence, and human–lion interaction. This produced 485 records, reduced to 137 after using additional criteria. Ninety‐eight papers were focused on lions in Kenya, Tanzania, Zimbabwe, and Botswana. Ten pan‐African studies were identified in our review. Our inductive analysis identified four themes related to HLC: attitudes and perceptions toward lions, causes of HLC, consequences of HLC, and mitigating HLC. Some limitations identified in systematic reviews of human–wildlife conflict have been addressed in recent years, such as broadening the geographical scale of research. However, some knowledge gaps remain, including a lack of assessment of mitigation strategies and studies on climate changes impact on human–lion conflict. Addressing the knowledge gaps highlighted in this review will require diversifying the disciplinary composition of the research teams and increasing researcher reflexivity.

Abstract The research presented in this paper introduces a novel environmental energy‐harvesting technology that harnesses electricity from the evaporation of water using porous structural materials. Specifically, a strategy employing paper‐based hydroelectric generators (p‐HEGs) is proposed to capture the energy produced during water evaporation and convert it into usable electricity. The p‐HEGs offer several advantages, including simplicity in fabrication, low cost, and reusability. To evaluate their effectiveness, the water evaporation‐induced electrical output performance of four different p‐HEGs are compared. Among the variants tested, the p‐HEG combining wood pulp and polyester fiber exhibits the best output performance. At room temperature, this particular p‐HEG generates a short‐circuit current and open‐circuit voltage of ≈0.4 µA and 0.3 V, respectively, thereby demonstrating excellent electrical stability. Furthermore, the electrical current and voltage generated by the p‐HEG through water evaporation are able to power an LED light, both individually and in series and parallel connections. This study delves into the potential of electricity harvesting from water evaporation and establishes it as a viable method for renewable energy applications.

Abstract TiO2 nanoparticles can improve the electrical performance of oil paper insulation. In this study, 10 nm TiO2 nanoparticles were prepared and dispersed into transformer oil, and then immerse pressboards in it to obtain nanofluid impregnated pressboards (NP). Its thermal aging was accelerated together with the reference sample at 130°C for 36 days. Analyzing the acid value in the oil, polymerization degree, surface topography, AC breakdown strength, surface flashover characteristics and surface potential decay characteristics. It was observed that TiO2 nanoparticles can reduce the acid value and improve AC breakdown strength of oil. However, the degree of polymerization and surface appearance of NP and oil impregnated pressboards (OP) during thermal aging did not differ significantly. During the aging process, the energy level of pressboard surface traps shifted first towards the shallow and then gradually towards the deep. During all the aging stages, the surface flashover voltage of NP was always higher or close to that of OP. The mechanism of TiO2 nanoparticles improving the breakdown and surface flashover characteristics of oil–paper insulation during thermal aging is discussed from the perspective of water molecules and aging by‐products adsorption and introduction of shallow traps by nanoparticles.

Abstract The ionic transport process is an important counterpart to charge transport in oil‐paper insulation, and it significantly impacts oil flow electrification at the oil‐paper interface. Despite this, the dynamics of this phenomenon and the underlying mechanisms remain unclear, particularly at the molecular level. To understand this fundamental aspect, we conduct Molecular Dynamics study on the transport behaviour of an impurity ion in different oil‐paper insulation models under various external electric fields. Different influence factors, such as external electric fields, temperatures, and local structural characteristics, are investigated in relation to the corresponding ionic mobility in different polymer models. According to the simulations, ionic mobility and its response to electric fields are higher in weaker electrostatic models. As a result, mineral oil exhibits the highest ionic mobility and the most substantial enhancement of ionic mobility by external electric fields, followed by vegetable oil, oil‐paper blends, and insulating paper. This significant deviation in ionic mobility between oil and paper leads to the formation of an electric double layer near the oil‐paper interface. The underlying physical mechanisms of different ionic mobility and its response to the electric field in different polymer models could be explained by the different polymer structural influences in terms of interaction energy and coordination numbers in a static manner, as well as by the interactions between the impurity ion and its surrounding atoms in terms of lifetime correlation functions and velocity autocorrelation functions in a dynamic manner. In addition, the influence of temperature on ionic mobility in mineral and vegetable oil is examined, and their activation energies are calculated. Advancing in the fundamental understanding of the dynamics of the ion transport process in oil‐paper insulation is vital to improving their insulating properties for oil‐impregnated power transformers.

Abstract Introduction Poor communication is a leading root cause of preventable maternal mortality in the United States. Communication challenges are compounded with the presence of biases, including racism. Hospital administrators and clinicians are often aware that communication is a problem, but understanding where to intervene can be difficult to determine. While clinical leadership routinely reviews incident reports and acts on them to improve care, we hypothesized that reviewing incident reports in a systematic way might reveal thematic patterns, providing targeted opportunities to improve communication in direct interaction with patients and within the healthcare team itself. Methods We abstracted incident reports from the Women's Health service and linked them with patient charts to join patient's race/ethnicity, birth outcome, and presence of maternal morbidity and mortality to the incident report. We conducted a qualitative content analysis of incident reports using an inductive and deductive approach to categorizing communication challenges. We then described the intersection of different types of communication challenges with patient race/ethnicity and morbidity outcomes. Results The use of incident reports to conduct research on communication was new for the health system. Conversations with health system‐level stakeholders were important to determine the best way to manage data. We developed a thematic codebook based on prior research in healthcare communication. We found that we needed to add codes that were equity focused, as this was missing from the existing codebook. We also found that clinical and contextual expertise was necessary for conducting the analysis—requiring more resources to conduct coding than initially estimated. We shared our findings back with leadership iteratively during the work. Conclusions Incident reports represent a promising source of health system data for rapid improvement to transform organizational practice around communication. There are barriers to conducting this work in a rapid manner, however, that require further iteration and innovation.

Abstract Psychological aspects of rehabilitation nutrition affect physical, cognitive, and social rehabilitation nutrition. When depression is recognized, not only pharmacotherapy and psychotherapy, but also non‐pharmacological therapies such as exercise, nutrition, psychosocial, and other interventions can be expected to improve depression. Therefore, accurate diagnosis and intervention without overlooking depression is important. Psychological aspects of preventive rehabilitation nutrition is also important because depression can be partially prevented by appropriate exercise and nutritional management. Even in the absence of psychological negatives, increasing more psychological positives from a positive psychology perspective can be useful for both patients and healthcare professionals. Positive rehabilitation nutrition interventions can increase more psychological positives, such as well‐being, through cognitive‐behavioral therapy and mindfulness on their own, as well as through interventions on environmental factors. Consequently, physical, cognitive, and social positives are also expected to be enhanced.

Abstract Focussing on the insulating material of power transformer—cellulose insulation paper, this paper first introduces the basic characteristics and engineering application background of insulation paper. Then, the research progress of improving the mechanical properties, thermal stability and electrical properties of insulation paper by nano modification in recent years is compared, and the promotion mechanism is analysed. In addition, in practical engineering application, the oil–paper composite insulation system composed of insulation paper and insulating oil is used for the internal insulation of oil immersed transformer. Therefore, the influence of modified insulation paper on the performance of oil–paper composite insulation system is analysed. Finally, the newly reported new insulation paper is introduced, and the future development trend of modification of traditional insulation paper is analysed.

Climate change, described by the World Health Organization (WHO) in 2021 as 'the single biggest health threat facing humanity', causes extreme weather, disrupts food supplies, and increases the prevalence of diseases, thereby affecting human health, medical practice, and healthcare stability. Greener Gastroenterology is an important movement that has the potential to make a real difference in reducing the impact of the delivery of healthcare, on the environment. The WHO defines an environmentally sustainable health system as one which would improve, maintain or restore health while minimizing negative environmental impacts. Gastroenterologists encounter the impacts of climate change in daily patient care. Alterations in the gut microbiome and dietary habits, air pollution, heat waves, and the distribution of infectious diseases result in changed disease patterns affecting gastrointestinal and hepatic health, with particularly severe impacts on vulnerable groups such as children, adolescents, and the elderly. Additionally, women are disproportionally affected, since climate change can exacerbate gender inequalities. Paradoxically, while healthcare aims to improve health, the sector is responsible for 4.4% of global carbon emissions. Endoscopy is a significant waste producer in healthcare, being the third highest generator with 3.09 kg of waste per day per bed, contributing to the carbon footprint of the GI sector. Solutions to the climate crisis can offer significant health co-benefits. Steps to reduce our carbon footprint include fostering a Planetary Health Diet and implementing measures for greener healthcare, such as telemedicine, digitalization, education, and research on sustainable healthcare practices. Adhering to the principles of 'reduce, reuse, recycle' is crucial. Reducing unnecessary procedures, which constitute a significant portion of endoscopies, can significantly decrease the carbon footprint and enhance sustainability. This position paper by the United European Gastroenterology aims to raise awareness and outline key principles that the GI workforce can adopt to tackle the climate crisis together., (© 2024 The Author(s). United European Gastroenterology Journal published by Wiley Periodicals LLC on behalf of United European Gastroenterology.)

Abstract Aim To address the need for additional education in the management of mental illness in the critical care setting by providing a broad overview of the interrelationship between critical illness and mental illness. The paper also offers practical advice to support critical care staff in managing patients with mental illness in critical care by discussing two hypothetical case scenarios involving aggressive and disorganised behaviour. People living with mental illness are over‐represented among critically unwell patients and experience worse outcomes, contributing to a life expectancy up to 30 years shorter than their peers. Strategic documents call for these inequitable outcomes to be addressed. Staff working in intensive care units (ICUs) possess advanced knowledge and specialist skills in managing critical illness but have reported limited confidence in managing patients with comorbid mental illness. Design & Methods A discursive paper, drawing on clinical experience and research of the authors and current literature. Results Like all people, patients with mental illnesses draw on their cognitive, behavioural, social and spiritual resources to cope with their experiences during critical illness. However, they may have fewer resources available due to co‐morbid mental illness, a history of trauma and social disadvantage. By identifying and sensitively addressing patients' underlying needs in a trauma‐informed way, demonstrating respect and maximising patient autonomy, staff can reduce distress and disruptive behaviours and promote recovery. Caring for patients who are distressed and/or display challenging behaviours can evoke strong and unpleasant emotional responses. Self‐care is fundamental to maintaining a compassionate approach and effective clinical judgement. Staff should be enabled to accept and acknowledge emotional responses and access support—informally with peers and/or through formal mechanisms as needed. Organisational leadership and endorsement of the principles of equitable care are critical to creation of the environment needed to improve outcomes for staff and patients. Relevance to clinical practice ICU nurses hold an important role in the care of patients with critical illnesses and are ideally placed to empower, advocate for and comfort those patients also living with mental illness. To perform these tasks optimally and sustainably, health services have a responsibility to provide nursing staff with adequate education and training in the management of mental illnesses, and sufficient formal and informal support to maintain their own well‐being while providing this care. Patient and public involvement This paper is grounded in accounts of patients with mental illness and clinicians providing care to patients with mental illness in critical care settings but there was no direct patient or public contribution.

Abstract Engineering experience shows that for transformers with long service life and serious moisture exposure, the inter‐turn paper insulation inside the winding will precipitate bubbles under the condition of electric field and conductor heating, which will endanger the equipment insulation. In order to explore the influence factors of bubbles formation in the moist insulating paper of transformers, based on the existing research on the influence of moisture content and gas dissolution in transformer oil, this study further considers the influence of air pressure (AP) and electric field and establishes an experimental platform to change the air pressure and electric field, thereby studying the formation characteristics of bubbles in oil‐paper insulation. The results show that air pressure and electric field can affect the initial temperature, volume, and shape of bubble formation. From 0 to −0.05 MPa for air pressure, the initial temperature of bubble generation decreased by 41°C, its maximum two‐dimensional projected area increased by 418.4% with more severe distortion, and the breakdown voltage decreased. When the AC voltage applied on the needle plate electrode increased from 0 to 10 kV, the initial temperature of bubble formation increased by 29°C, and the maximum two‐dimensional projection area increased by 336.6%.

Abstract Frequency domain dielectric spectroscopy (FDS) is an effective method reflecting the changes of ageing status of silicone oil‐immersed insulation paper. For better evaluating the ageing status of silicone oil‐immersed insulation paper, an evaluation method was studied by analysing the ageing kinetic model and results of FDS. First, the method to separate the different polarization losses and conductivity loss from the results of FDS was studied. Then, based on the idea of ageing correction translation coefficient and time‐varying pre exponential factor, the zero order ageing dynamic model was modified, which combines the ageing kinetic model with the results of FDS. Finally, the evaluation method for the degree of polymerisation (DP) of silicone oil‐immersed paper was proposed, and experiments were conducted to obtain the parameters in the modified model and then to verify the proposed method. The results show that the proposed method can be used to evaluate the DP effectively.

Abstract Epoxy‐impregnated paper transformer bushings are prone to water absorption due to the presence of water‐attracting moieties in the cellulose chemical structure and epoxy resin, leading to moisture‐induced insulation defects. To understand the mechanism of moisture's impact on epoxy‐impregnated paper, this study developed a testing platform that integrated moisture diffusion, adsorption, and dielectric properties of insulating materials. Insulation specimens made of epoxy resin and epoxy‐impregnated paper were prepared and their water diffusion characteristics were investigated using the Fick diffusion model and the Langmuir model, respectively. The Guggenheim–Anderson–de Boer equation was used to examine the vacuum vapour adsorption characteristics of the materials, providing a theoretical foundation for examining the form of water present within them. The dielectric response of materials with varying moisture levels was then tested to study the effect of water on the dielectric spectrum curve. Using the Extended Derivative Method, the characteristic frequency reflecting the water content of the epoxy‐impregnated paper was extracted. The results demonstrate that 0.01‐Hz characteristic frequency provides superior accuracy for moisture assessment in epoxy resins compared to 50 Hz, and extracting and fitting the relaxation peak characteristic frequency in epoxy‐impregnated paper moisture evaluation yields higher accuracy than using tan δ at the power frequency.

Abstract The conversion of ubiquitous hygrothermal resources into renewable energy offers significant potential for cable‐free, self‐powered systems that can operate worldwide without regard to climatic or geographic limitations. Here, an all‐printed flexible hygro‐thermoelectric paper generator is demonstrated that uses bifunctional mobile ions and electrons to make the moist‐diffusion effect, the Soret effect, and the Seebeck effect work synergistically. In the ordinary hygrothermal settings, it generates an unconventional hygro‐thermoelectric output pattern and shows almost a dozen‐fold increase in positive hygro‐thermopower of 26.70 mV K−1 and also another negative hygro‐thermopower of −15.71 mV K−1 compared to pure thermopower. A single paper generator can produce a giant 680 mV displaying typical cyclic sinusoidal waveform characters with volt‐sized amplitudes. The ion‐electron conductive ink is easily printable and consists primarily of a Bi2Te3/PEDOT:PSS thermoelectric matrix modulated with a hygroscopic glycerol that releases ion charges for moist‐diffusion effect and Soret effect, as well as electron charges for Seebeck effect. The emerged hygro‐thermoelectric harvesting strategy from surrounding hygrothermal resources offers a revolutionary approach to the next generation of hybrid energy with cost‐efficiency, flexibility, and sustainability, and also enables large‐scale roll‐to‐roll production.

Abstract In order to improve the sensitivity and accuracy of oil‐paper insulation partial discharge detection by the fibre‐optic Fabry–Perot (FP) ultrasonic sensor, this work studied the ultrasonic signal’s frequency characteristics of typical oil‐paper insulation partial discharges and the vibration characteristics of the FP sensor’s diaphragm in the liquid environment. Based on the works above, a multifrequency FP sensor array is proposed, consisting of several FP sensors with different resonant frequencies to detect partial discharges. The experimental results show that the liquid environment has a significant effect on the vibration characteristics of the FP sensor’s diaphragm, and the sensitivity and accuracy of partial discharge detection can be improved based on the multifrequency FP sensing array, which can also be applied in the pattern recognition and localisation of partial discharges.

Abstract Point‐of‐care testing (POCT) can be the method of choice for detecting infectious pathogens; these pathogens are responsible for not only infectious diseases such as COVID‐19, but also for certain types of cancers. For example, infections by human papillomavirus (HPV) or Helicobacter pylori (H. pylori) are the main cause of cervical and stomach cancers, respectively. COVID‐19 and many cancers are treatable with early diagnoses using POCT. A variety of nucleic acid testing have been developed for use in resource‐limited environments. However, questions like unintegrated nucleic acid extraction, open detection systems increase the risk of cross‐contamination, and dependence on expensive equipment and alternating current (AC) power supply, significantly limit the application of POCT, especially for on‐site testing. In this paper, a simple portable platform is reported capable of rapid sample‐to‐answer testing within 30 min based on recombinase polymerase amplification (RPA) at a lower temperature, to detect SARS‐CoV‐2 virus and H. pylori bacteria with a limit of detection as low as 4 × 102 copies mL−1. The platform used a battery‐powered portable reader for on‐chip one‐pot amplification and fluorescence detection, and can test for multiple (up to four) infectious pathogens simultaneously. This platform can provide an alternative method for fast and reliable on‐site diagnostic testing.

Abstract Purpose To examine a series of papers from top ranked orthopaedic journals with respect to the number of citations over a 10‐year observation period to identify factors that lead to high citation rates. Methods The Web of Science database was consulted to identify all published papers from the first‐year term of 2010 (January‐May) from four top orthopaedic journals: AJSM, Arthroscopy, JBJS Am and KSSTA. The database was used to analyze and compare the papers with respect to their characteristics and citations up to 2019. Basic information for each paper was collected including the author, country, study type and average citations per year (ACY). The most (Top20%) and least (Bottom20%) frequently cited papers were identified and differences were extracted. Results Five hundred sixteen papers were included with a total of 19,261 citations. Most of the published papers were from the United States (n = 245). On average, a paper received 37.3 citations over the 10‐year observation period. The most cited paper was cited 322 times. The most cited study type was randomized controlled trial (RCT) (Ø80.8). The Top20% papers were cited 37 times more often than the Bottom20%. Among the Top20%, the largest group was cohort study (n = 20) followed by case series (n = 19). Among others, the number of authors, the number of keywords and the number of references significantly correlated with the number of citations (p

Abstract Among plastic items, single‐use straws are particularly detrimental to marine ecosystems because such straws, including those made of poly(lactic acid) (PLA), are sharp and extremely slowly degradable in the ocean. While paper straws are promising alternatives, they exhibit hydration‐induced swelling even when coated with a non‐degradable plastic coating and promote effervescence (fizzing) in soft drinks owing to their surface heterogeneities. In this study, upgraded paper straw is coated with poly(butylene succinate) cellulose nanocrystal (PBS/CNC) composites. CNC increases adhesion to paper owing to their similar chemical structures, optimizes crystalline PBS spherulites through effective nucleation, and reinforces the matrix through its anisotropic and rigid features. The straws are not only anti‐fizzing when used with soft drinks owing to their homogeneous and seamless surface coatings, but also highly water‐resistant and tough owing to their watertight surfaces. All degradable components effectively decompose under aerobic composting and in the marine environment. This technology contributes to United Nations Sustainable Development Goal 14 (Life Below Water).

Reply to the discussion and comments of Azerêdo et al. (2023) and Schneider et al. (2023).

Abstract Furfural content in oil is considered as an effective parameter to evaluate the ageing state of oil‐immersed transformers. In previous thermal ageing experiments at 130°C, we found that moisture increment in oil‐paper system makes more furfural distribute in oil. However, the microcosmic mechanism of moisture effect on furfural diffusion from paper to oil is still unknown, and the furfural equilibrium law at transformers' typical operating temperatures is also unclear, resulting in the unreliability of the existed furfural evaluation model. To elucidate the above problems, molecular dynamics simulation and furfural equilibrium experiments at 60°C were carried out at different moisture contents. The results show that high moisture content makes part of furfural diffuse from paper to oil indeed. Supposing moisture content increases from 1% to 2%, mass fraction of furfural in oil may increase from 32.98% to 49.83%, leading to furfural content in oil increases from 0.76 mg/L to 1.06 mg/L when the degree of polymerisation of insulation paper is about 524, which increased by 39.5%. The increase in moisture content makes cellulose form hydrogen bonds with H2O preferentially, decreasing the hydrogen bonds interaction between cellulose and furfural. Thus, partial furfural falls off cellulose and diffuses into oil, leading to an increase in furfural content in oil. To eliminate the moisture interference, a corrected furfural assessment model based on the moisture equilibrium curve has been constructed, which can accurately evaluate the ageing state of insulation paper regardless of the moisture influence.

Abstract Organophilic groups of coupling agents can be the key factor for the electrical performance of Boron Nitride (BN)/meta‐aramid composite paper. In this article, four types of triethoxy‐silane coupling agents with different organophilic groups, including mercapto‐propyl (MP), glycidylether‐propyl (GP), amino‐propyl (AP) and trideca‐fluoro‐octyl (TFO) were studied. The structural and electrical properties of modified papers were compared, and the molecular simulation was conducted to reveal the interface interaction of modified BN and aramid. The results show that AP, GP and MP follow the same mechanism, improving the electrical performance by modifying the interface stability and paper structure, and the ranks of improving effects are AP, MP and GP. While, TFO mainly relies on the fluorine components to implement the electrical reinforcement, which compensates for the shortcoming in the paper structure. By choosing TFO and filler content of 15 wt%, the optimal breakdown strength of the paper can be increased to 28.17 kV/mm, 1.8 times that of the paper doped with the hydroxylated BN.

Abstract The value of large‐scale collaborations for solving complex problems is widely recognized, but many barriers hinder meaningful authorship for all on the resulting multi‐author publications. Because many professional benefits arise from authorship, much of the literature on this topic has focused on cheating, conflict and effort documentation. However, approaches specifically recognizing and creatively overcoming barriers to meaningful authorship have received little attention. We have developed an inclusive authorship approach arising from 15 years of experience coordinating the publication of over 100 papers arising from a long‐term, international collaboration of hundreds of scientists. This method of sharing a paper initially as a storyboard with clear expectations, assignments and deadlines fosters communication and creates unambiguous opportunities for all authors to contribute intellectually. By documenting contributions through this multi‐step process, this approach ensures meaningful engagement by each author listed on a publication. The perception that co‐authors on large authorship publications have not meaningfully contributed underlies widespread institutional bias against multi‐authored papers, disincentivizing large collaborations despite their widely recognized value for advancing knowledge. Our approach identifies and overcomes key barriers to meaningful contributions, protecting the value of authorship even on massively multi‐authored publications.

Abstract Objective The aim of this study was to identify and analyze the gender breakdown of first authorship contributing to the most‐cited papers in the field of otolaryngology, with a goal of identifying trends in gender representation in publishing. Methods The top 150 most‐cited papers were identified using the Science Citation Index of the Institute for Scientific Information. Among the first authors, gender, h‐index, percentage of first, last, and corresponding authorship positions, total publications, and citations were analyzed. Results The majority of papers were in the English language, from the United States, of clinical nature, and on otologic topics. Eighty‐one percent of papers (n = 122) had men who were first authors, although there was no difference in h‐index score, authorship position, number of publications, citations, and average citations/year between men and women first authors. Upon subgroup analysis by decade (1950s–2010s), there was no difference in the number of articles by women first authors (P = 0.11); however, there was a statistically significant increase in the percentage of women authors (P = 0.001) in papers published later compared to those published earlier. Conclusions While a promising number of women otolaryngologists are publishing high‐powered articles, future initiatives to promote academic inclusivity of women should be considered.

Abstract Cellulose insulation paper is the main component of oil‐paper insulation systems in oil‐immersed transformers. However, the poor thermal conductivity and thermal stability of the cellulose can lead to thermal ageing. It is critical to address this issue by improving the performance of cellulose, nano‐SiC‐modified cellulose models were established by molecular simulation, while nano‐SiC composite papersheets were prepared based on the simulation results, and the effects of different contents of nano‐SiC on the papersheets were investigated. Macroscopically, doping nano‐SiC particles can enhance the thermal stability of cellulose; compared with the unmodified papersheet, the thermal conductivity and tensile strength of the modified papersheets are increased by 44.3% and 42.8%, respectively. The degree of polymerisation of the modified papersheet decreased more slowly than that of the unmodified papersheet under accelerated thermal ageing, showing that the modified papersheet has better anti‐ageing properties. Microscopically, with the addition of nano‐SiC, the simulations showed that the mean square displacement of the cellulose decreases dramatically and the distribution of the free volume becomes difficult to disperse, which corresponds to the decrease in porosity in the experiments. As a result, this research provides a way for improving the thermal‐mechanical properties of cellulose that has practical application significance.

Abstract Complex polymers represent a challenge for remediating environmental pollution and an opportunity for microbial‐catalysed conversion to generate valorized chemicals. Members of the genus Streptomyces are of interest because of their potential use in biotechnological applications. Their versatility makes them excellent sources of biocatalysts for environmentally responsible bioconversion, as they have a broad substrate range and are active over a wide range of pH and temperature. Most Streptomyces studies have focused on the isolation of strains, recombinant work and enzyme characterization for evaluating their potential for biotechnological application. This review discusses reports of Streptomyces‐based technologies for use in the textile and pulp‐milling industry and describes the challenges and recent advances aimed at achieving better biodegradation methods featuring these microbial catalysts. The principal points to be discussed are (1) Streptomyces' enzymes for use in dye decolorization and lignocellulosic biodegradation, (2) biotechnological processes for textile and pulp and paper waste treatment and (3) challenges and advances for textile and pulp and paper effluent treatment.

The purpose of this study is to investigate whether there are differences in handwritten Chinese signatures on different media including paper and electronic devices. Participants were asked to sign specified names on various types of media and the signatures were scanned or saved digitally for subsequent analysis. In this study, using convolutional neural networks and Siamese neural networks as classifiers and comparators, the performance plunge is revealed and thus considerable dissimilarity between the signatures on different media is implied. To further explore this, cubic Bézier curves are fitted to the signatures using the least square method for quantitative statistical analysis. By analyzing the visual changes in the morphology of strokes, several features of signatures are selected and computed, and the paired t‐test and the Wilcoxon signed‐rank test are implemented, which provides a deeper substantiation and explanation of the findings.

Abstract This study extensively investigated the ageing characteristics and lifetime model of oil–paper insulation for oil‐immersed paper condenser bushing. The accelerated thermal and electrothermal ageing experiments of oil‐immersed paper condenser bushing were conducted respectively. The properties of oil–paper insulation during the ageing process were investigated. Results showed that descending speed of degree of polymerization of the innermost and the outermost layer paper was higher than that of middle layer paper, the difference in water content on different paper layers caused varying deterioration speeds. The aluminium foil contributed to a surge in aluminium dissolution in oil, further accelerating the ageing of insulation. Based on the obtained degree of polymerization data under thermal ageing at 90°C, 100°C and 130°C, the lifetime model of oil–paper insulation for condenser bushing model was established. In addition, the surface breakdown of the scale model of bushing occurred after 133 days ageing, the properties of bushing decreased gradually during the ageing process and sharply after the breakdown. Degree of polymerization deviation of different paper layers in bushing between calculated value according to the above lifetime model and actual value of bushing after the breakdown was less than 6%, further verifying the validity of lifetime model.

Abstract The insulation paper is a crucial factor for evaluating the insulation status of transformers. The traditional evaluation methods for insulation paper are dissolved gas component content analysis (CO and CO2) and furfural (2‐FAL) content analysis in oil. The detection principle of the former leads to its low accuracy, while the field application effect of the latter is not ideal due to the easy oxidation of furfural and low content. Methanol, result of its good stability and high production compared with other marker products (CO, CO2, 2‐FAL) has been investigated as a novel marker for aging evaluation of transformer insulating paper in recent years. The results of the investigation indicated that there is a good correlation between the content of methanol in oil and the degree of polymerization under laboratory conditions, which reflected the insulation aging state of the transformer insulating paper more accurately. This paper summarizes the current research status of methanol formation mechanism, detection methods and aging evaluation in insulating oil, and points out the key problems to be solved and development prospects, hoping to provide relevant reference for aging evaluation of oil immersed power transformer.

Abstract The low‐frequency polarisation information of oil‐paper insulation could be easily obscured by the conductance effect, and the contained polarisation information thus can not be readily extracted from the frequency domain spectroscopy (FDS). Given this issue, an alternative idea is reported to extract the low‐frequency polarisation information by using logarithmic‐derivative spectroscopy (LDS). The present findings proved that the parameters extracted by using the LDS can be applied for studying the low‐frequency polarisation behaviour under the moisture effect. In that respect, the novelty of this work is in the exploration of the LDS as a potential tool to extract feature parameters for analyzing the low‐frequency polarisation information of transformer oil‐paper insulation.