Search

Palliative radiation therapy (pRT) is an effective tool for people with incurable cancer, in the treatment of many cancer-related symptoms such as pain, bleeding and dyspnea. As utilization rates for palliative radiation therapy increase, the demands on the healthcare system continue to grow. Radiation Therapists with advanced knowledge, skills and judgements began demonstrating their ability to practice autonomously in 2004, with the development of the Clinical Specialist Radiation Therapist (CSRT) role. Since this time, CSRTs with a specific focus in pRT (pCSRT) have been increasing in both numbers as well as their positive effects on the cancer care system. Integrating a pCSRT into the existing pRT system has resulted in increased access to and quality of pRT being delivered to palliative cancer patients. The benefits of the addition of pCSRTs to the cancer care system include increasing system capacity and increasing quality of care. This white paper provides information related to the improvements that can be realized in a RT program related to the care and treatment of its palliative patients by adding a pCSRT to the interprofessional healthcare team and suggest it as one of many strategies that can be undertaken to make improvements to access and quality of care.

Recent decades have witnessed increasing interest in the concept of the circular economy within both the business world and political circles. The circular economy spans the entire life cycle of products from product design through production, marketing, and consumption, to waste management, recycling, and re-use, and enthusiasm for putting the concept into practice has been identified across different sectors of the economy. This exploratory case study reviews how some of the leading companies in the paper and retail industries, have publicly addressed the circular economy. The case study outlines the nature of the circular economy, provides a cameo literature review of published work on the circular economy, describes the approach adopted for the case study, reports the findings of the review of how the leading companies in the paper and retail industries have addressed the circular economy, and discusses some wider issues. Keywords: circular economy, case study, paper industry, retail industry, greenwash, economic growth

The study attempted to assess the water quality around paper mill effluents discharge areas. Several physicochemical parameters and the Canadian Council of Ministers of the Environment (CCME) Water Quality Index (WQI) were considered to determine the pollution level of surface and groundwater in the selected paper mills areas located in Saidpur, Gobindaganj, and Dupchanchia Upazilas of Bangladesh. Physicochemical characterization of the surface water around the paper mills areas showed that the concentration of EC, TSS, BOD5, COD, phenols, NO3−-N, and K+were exceeded the surface water standard, whereas the DO level ranged from 1.63 to 3.5 were found below the Environmental Conservation Rules (ECR), 1997 standard. Besides, the BOD, COD, and Mn ion concentrations of groundwater exceeded the drinking water standard. In most sampling sites, the WQI of the surface water showed ‘marginal’ category, and the groundwater quality showed 'fair' category. The study observed that the toxic effluents discharged from the paper mills caused harm to the aquatic ecosystem.

Chemotherapeutic drugs have been widely used in the treatment of cancer disease for about 70 years. The development of new treatments has not hindered their use, and oncologists still prescribe them routinely, alone or in combination with other antineoplastic agents. However, all chemotherapeutic agents can induce hypersensitivity reactions (HSRs), with different incidences depending on the culprit drug. These reactions are the third leading cause of fatal drug-induced anaphylaxis in the United States. In Europe, deaths related to chemotherapy have also been reported. In particular, most reactions are caused by platinum compounds, taxanes, epipodophyllotoxins and asparaginase. Despite their prevalence and relevance, the ideal pathways for diagnosis, treatment and prevention of these reactions are still unclear, and practice remains considerably heterogeneous with vast differences from center to center. Thus, the European Network on Drug Allergy and Drug Allergy Interest Group of the European Academy of Allergy and Clinical Immunology organized a task force to provide data and recommendations regarding the allergological work-up in this field of drug hypersensitivity reactions. This position paper aims to provide consensus on the investigation of HSRs to chemotherapeutic drugs and give practical recommendations for clinicians that treat these patients, such as oncologists, allergologists and internists. Key sections cover risk factors, pathogenesis, symptoms, the role of skin tests, in vitro tests, indications and contraindications of drug provocation tests and desensitization of neoplastic patients with allergic reactions to chemotherapeutic drugs. Statements, recommendations and unmet needs were discussed and proposed at the end of each section.

This research is an analysis of quality control process on paper production on the soft roll production process of Bel Papyrus Ltd located in Ogba, Lagos State, Nigeria. The research was done with the aim of determining the conformity of the industry’s product to quality standard, identifying and eliminating the possible causes of variation in their production process, with reference to Percentage Elongation. The researchers used primary data in form of periodic laboratory test result done on soft rolls.Data presentations were made using simple statistical tools like Mean, Ranges, Standard Deviations, and Tables reflecting the primary data obtained at equal interval of production. The researchers made use of variable control charts for the purpose of analysis. The

European pharmaceutical companies have a legal requirement to provide non-promotional Medical Information (MI) services to support healthcare professionals (HCPs) who are using their medicinal products. While the industry has self-regulating bodies with established Codes of Practice, these mainly focus on promotional messaging and commercial activities. In the absence of similar frameworks for MI, such services struggle to understand how to meet HCP digital expectations, often in fear of breaching the promotional codes. This is limiting access to the wealth of non-promotional patient-focussed information held within the industry. Meanwhile, a large volume of unregulated, low-quality information can be readily found on the internet. To understand the current status, the Medical Information Leaders in Europe (MILE) industry association performed a benchmarking survey which explored the online MI service provision of 13 mid-large pharmaceutical companies across Europe. This highlighted a great diversity in approach in terms of geographical coverage and content. Visibility and access for HCPs is complex, compromising online engagement and website utilisation. This MILE position paper highlights the critical need to establish a clear governance model, which empowers pharmaceutical company MI functions to provide unbranded, non-promotional, medicinal product information sources to support HCP online information needs. It is essential to build confidence, transparency and trust by establishing a practical quality framework with principles and standards for online MI services for HCPs.

Synthetic cannabinoid receptor agonists (SCRAs) are a class of varied compounds that mimic the effects of natural cannabinoids found in cannabis. Because they have a wide range of diverse structures, they vary widely in their potency. The abuse of new psychoactive substances (NPS) in prisons was reported in many European countries and in the USA. In the present study, we have described the identification of SCRAs in 56 infused paper sheet samples, seized mainly in Brazilian prisons between 2016 and 2020. The materials were seized by local or federal law enforcement and analyzed by Sao Paulo State Police or Brazilian Federal Police using gas chromatography–mass spectrometry, attenuated total reflection-Fourier transform infrared spectroscopy, liquid chromatography–high-resolution mass spectrometry or nuclear magnetic resonance spectrometry. Most of these samples (87.5%) were seized in 2019–2020; seven different SCRAs were identified in samples, and the most frequently identified substances were MDMB-4en-PINACA (23.6%) and 5F-MDMB-PICA (36.4%), the newest SCRAs emerging recently. As observed in Europe and the USA, Brazil also shows the prevalence of indazole-3-carboxamides and indole-3-carboxamides among SCRAs seizures in the prison system. This phenomenon is spreading all over the world at this moment. These data on the prevalence could help to alert judicial authorities to shutting down the introduction of NPS, including SCRAs, into prisons to ensure safety and security for avoiding health risks of prisoners and staff, leading to positive effects in this population. To our knowledge, this is the first demonstration of SCRAs smuggling into prisons in Latin America.

International audience; In 2014 leading publishers withdrew more than 120 nonsensical publications automatically generated with the SCIgen program. Casual observations suggested that similar problematic papers are still published and sold, without follow-up retractions. No systematic screening has been performed and the prevalence of such nonsensical publications in the scientific literature is unknown. Our contribution is 2-fold. First, we designed a detector that combs the scientific literature for grammar-based computer-generated papers. Applied to SCIgen, it has a 83.6% precision. Second, we performed a scientometric study of the 243 detected SCIgen-papers from 19 publishers. We estimate the prevalence of SCIgen-papers to be 75 per million papers in Information and Computing Sciences. Only 19% of the 243 problematic papers were dealt with: formal retraction (12) or silent removal (34). Publishers still serve and sometimes sell the remaining 197 papers without any caveat. We found evidence of citation manipulation via edited SCIgen bibliographies. This work reveals metric gaming up to the point of absurdity: fraudsters publish nonsensical algorithmically generated papers featuring genuine references. It stresses the need to screen papers for nonsense before peer-review and chase citation manipulation in published papers. Overall, this is yet another illustration of the harmful effects of the pressure to publish or perish.

In this paper, we present a system for automatic evaluation of the quality of a question paper. Question paper plays a major role in educational assessment. The quality of a question paper is crucial to fulfilling the purpose of the assessment. In many education sectors, question papers are prepared manually. A prior analysis of a question paper might help in finding the errors in the question paper, and better achieving the goals of the assessment. In this experiment, we focus on higher education in the technical domain. First, we conducted a student survey to identify the key factors that affect the quality of a question paper. The top factors we identified are question relevance, question difficulty, and time requirement. We explored the strategies to handle these factors and implemented them. We employ various concepts and techniques for the implementation. The system finally assigns a numerical quality score against these factors. The system is evaluated using a set of question papers collected from various sources. The experimental results show that the proposed system is quite promising.

Allergo journal international 30(5), 155-168 (2021). doi:10.1007/s40629-021-00178-2, Published by Urban & Vogel, München

The American Society for Parenteral and Enteral Nutrition (ASPEN) Position Paper focus is on applying the 4 ethical principles for clinician's decision-making in the use of artificially administered nutrition and hydration (AANH) for adult and pediatric patients. These basic principles are (1) autonomy, respect the patient's healthcare preferences; (2) beneficence, provide healthcare in the best interest of the patient; (3) nonmaleficence, do no harm; and (4) justice, provide all individuals a fair and appropriate distribution of healthcare resources. Preventing and resolving ethical dilemmas is addressed, with an emphasis on a collaborative, interdisciplinary approach. Optimizing early communication and promoting advance care planning, involving completion of an advance directive, including designation of a surrogate decision-maker, are encouraged. Clinicians achieve respect for autonomy when they incorporate the patient, family, community, country, geographical, and presumed cultural values and religious belief considerations into ethical decision-making for adults and children with a shared decision-making process. These discussions should be guided by the 4 ethical principles. Hospital committees and teams, limited-time trials, clinician obligation with conflicts, and forgoing of AANH are addressed. Specific patient conditions are addressed because of the concern for potential ethical issues: coma, decreased consciousness, and dementia; advanced dementia; cancer; eating disorders; and end-stage disease/terminal illness. Incorporated in the Position Paper are ethical decisions during a pandemic and a legal summary involving ethical issues. International authors presented the similarities and differences within their own country or region and compared them with the US perspective.

Physical paper puppets are inanimate objects, but when we’re speaking in terms of the production of traditional paper cut out animation, they become the actors and the souls that drive the movie. When shooting and animating traditional paper cut out animation, the puppets are laid flat on a surface so they can only move in limited directions compared to conventional 2D or 3D animation. As we know, each character in animated movie has its own personality and unique to each other. The challenge lays in bringing out the characteristics and personality of the character through the limited medium of paper puppet. In this qualitative research, puppet movements will be applied to quadruped cat characters in a public service announcement titled “Spay & Neuter”. The puppet along with the visual design, segmentations, and joints were done in previous research. Qualitative observations and audio-visual materials are used to collect the data for references. Literature review will study the characteristics of cats, body language, behaviour, and principles of animation especially timing and exaggeration. Observation is conducted by studying the movements of real cats from online videos and direct observations and also studying how other animators animate cat characters in animated films. In the exploration stage, paper puppets will be animated according to the movement design while experimenting with the timing and frame rate of the stop motion to achieve the final results.

The article examines Soviet paper reuse as an ideological, economic daily practice, implemented through the advanced, but hitherto undescribed Soiuzutil’ waste collecting system by the early 1930s as the reverse side of Stalinist industrialization. It argues that Soiuzutil’ waste paper handling attempted to form a new socialist collective by reworking old print while cultivating citizens as classless scrap-collectors, for the sake of an (ir)rational resource optimization. While World War II intensified recycling efforts among the Allied and Axis powers, invasion and evacuation damaged Soviet waste collection to a point where no return of paper into a centralized system was possible. War forced printers and consumers to retreat to local self-supply networks, as paper remained a crucial, yet scarce resource. By analyzing technical-educational literature and correspondence of the reutilization offices, the article demonstrates the changing attitudes in the Stalinist war economy, the industries, and the population towards mobilizing and saving paper.

Around 60% of the paper worldwide is made from recovered paper. Especially adhesive contaminants, so called stickies, reduce paper quality. To remove stickies but at the same time keep as many valuable fibers as possible, multi-stage screening systems with several interconnected pressure screens are used. When planning such systems, suitable screens have to be selected and their interconnection as well as operational parameters have to be defined considering multiple conflicting objectives. In this contribution, we present a Mixed-Integer Nonlinear Program to optimize system layout, component selection and operation to find a suitable trade-off between output quality and yield.

In Nazi Germany (1933–45), reclaiming waste became an intrinsic component of the regime’s economy as well as its ideological, racial, and expansionist ambitions. National Socialist interventions in...

Human trafficking is a pandemic human rights violation with an emerging paradigm shift that reframes an issue traditionally seen through a criminal justice lens to that of a public health crisis, particularly for children. Children and adolescents who are trafficked or are at risk for trafficking should receive evidence-based, trauma-informed, and culturally responsive care from trained health care providers (HCPs). The purpose of this article was to engage and equip pediatric HCPs to respond effectively to human trafficking in the clinical setting, improving health outcomes for affected and at-risk children. Pediatric HCPs are ideally positioned to intervene and advocate for children with health disparities and vulnerability to trafficking in a broad spectrum of care settings and to optimize equitable health outcomes.

Summary Numerous studies are published on the benefits of electric hand dryers vs paper towels (PT) for drying hands after washing. Data are conflicting and lacking key variables needed to assess infection risks. We provide a rapid scoping review on hand‐drying methods relative to hygiene and health risks. Controlled vocabulary terms and keywords were used to search PubMed (1946–2018) and Embase (1947–2018). Multiple researchers independently screened abstracts for relevance using predetermined criteria and created a quality assessment scoring system for relative study comparisons. Of 293 papers, 23 were included in the final analysis. Five studies did not compare multiple methods; however, 2 generally favoured electric dryers (ED); 7 preferred PT; and 9 had mixed or statistically insignificant results (among these, 3 contained scenarios favourable to ED, 4 had results supporting PT, and the remaining studies had broadly conflicting results). Results were mixed among and within studies and many lacked consistent design or statistical analysis. The breadth of data does not favour one method as being more hygienic. However, some authors extended generalizable recommendations without sufficient scientific evidence. The use of tools in quantitative microbial risk assessment is suggested to evaluate health exposure potentials and risks relative to hand‐drying methods. We found no data to support any human health claims associated with hand‐drying methods. Inconclusive and conflicting results represent data gaps preventing the advancement of hand‐drying policy or practice recommendations.

Reproductive conflicts are expected in societies where nonbreeding helpers retain the ability to produce offspring. Despite potential competition from reproductively capable nestmates in social wasps, egg laying tends to be monopolised by a single or relatively few queens. Genetic studies on reproductive partitioning in Polistes paper wasps suggest high reproductive skew in the genus. Conflict is thought to be minimal due to nestmate relatedness or the possibility of inheriting a reproductive monopoly on a nest; consequently, there are inclusive fitness opportunities for nonreproductive helpers. However, most studies are limited to temperate wasp species. Given the cosmopolitan distribution of Polistes, genetic data on group conflicts are required for a broader range of tropical species to determine whether these trends apply across climatic zones. We examined female reproductive skew in the Neotropical paper wasp Polistes lanio, genotyping a selection of adults and pupae from established post-emergence nests using single-nucleotide polymorphisms (SNPs). SNP-based pedigree analyses indicate a reproductive monopoly held by a single queen, with queen replacement from natal nestmates and evidence of possible multiple mating. Relatedness between pupal offspring was high (r = 0.71). It is likely that high reproductive skew among females is a founding trait of Polistes societies, conserved among species that have spread into new environments from Indomalayan origins.

A good quality control system is important to be implemented to increase productivity and minimize defects in products. One of the quality control methods is failure mode and effect analysis (FMEA). This study uses the FMEA to identify the causes of the defects and recommend the prevention methods to overcome the causes of the defects in an Indonesian paper mill. The risk priority number (RPN) is calculated by multiplying the severity, occurrence, and detection of the failures that have been determined. Unsymmetrical and tainted products are the most dominant defects in the paper mill. An inappropriate machine setting is the cause of unsymmetrical products with the highest RPN of 343. The second highest RPN is problems with bleaching machines that caused tainted products with an RPN value of 216. This study offers suggestions to Indonesian paper mill to prevent and minimize defective products.

This study was carried out in an attempt to evaluate the impact of Broussonetia papyrifera as a roughage substitute at different levels on carcase traits, growth performance, meat quality and immune performance in Hu ram lambs. Sixty Hu rams (5 months of age, 26.70 ± 2.14 kg body weight) were randomly divided into four groups. The treatments comprised B. papyrifera supplementation at levels of 0% (G0), 30% (G30), 60% (G60) and 100% (G100) of roughage feed. The results suggested that diet supplemented with B. papyrifera (G100 group) caused a higher average weight gain (AWG) and average daily gain (ADG) than those of G0 group. The highest carcase weight was observed in the G60 group. The chemical and physical properties of the longissimus dorsi muscle of Hu rams showed no significant differences (p>.05). For fatty acid, the G60 group had significantly lower content of saturated fatty acids (SFAs), higher contents of monounsaturated fatty acids (MUFAs) and polyunsaturated fatty acids (PUFAs) and higher PUFA/SFA ratio than other groups (p

The transperineal approach is preferred to reduce prostate biopsy (PB)-related infections. Fluoroquinolones are suspended for prophylaxis of PB in the European Union; therefore, alternative antibiotics based on local resistance, or targeted prophylaxis, in conjunction with povidone-iodine rectal preparation are recommended for transrectal PB.

Background The implementation of an electronic health record (EHR) with structured and standardized recording of patient data can improve data quality and reusability. Whether and how users perceive these advantages may depend on the preimplementation situation. Objective To determine whether the influence of implementing a structured and standardized EHR on perceived EHR use, data quality, and data reuse differed for users working with paper-based records versus a legacy EHR before implementation. Methods We used an electronic questionnaire to measure users' perception before implementation (2014), expected change, and perceived change after implementation (2016) on three themes. We included all health care professionals in two university hospitals in the Netherlands. Before jointly implementing the same structured and standardized EHR, one hospital used paper-based records and the other a legacy EHR. We compared perceptions before and after implementation for both centers. Additionally, we compared expected benefit with perceived benefit. Results We received 7,611 responses (4,537 before and 3,074 after implementation) of which 5,707 (75%) were from professionals reading and recording patient data. A total of 975 (13%) professionals responded to both before and after implementation questionnaires. In the formerly paper-based center staff perceived improvement in all themes after implementation. The legacy EHR center experienced deterioration of perceived EHR use and data reuse, and only one improvement in EHR use. In both centers, for half of the aspects at least 45% of responders experienced results worse than expected preimplementation. Conclusion Our results indicate that the preimplementation recording practice impacts the perceived effect of the implementation of a structured and standardized EHR. For almost half of the respondents the new EHR did not meet their expectations. Especially legacy EHR centers need to investigate the expectations as these might be different and less clear cut than those in paper-based centers. These expectations need to be addressed appropriately to achieve a successful implementation.

The pulp and paper industry wastewater has not met the environmental uality standards set by the government so it may causes pollution to the environment; therefore, it is necessary to find a better wastewater treatment. The problem of this study is how to find the wastewater treatment alternative in order to get a more effective and efficient treatment. Fenton reagents are H 2 O 2 compounds (hydrogen peroxide) with iron catalysts and is one of the Advance Oxidations Process (AOPs) methods, which can be used as an alternative to process wastewater from the pulp and paper industry. In this study, the ratio of Fenton reagent molar concentration, temperature, and stirring time were varied, with stirring speed of 300 rpm, Fenton reagent volume of 25 mL, and pH set at 3. The visible parameters in this study were COD and TSS degradation. From this study, the best ratio of Fenton reagent is 1:2000, where this ratio can reduce the COD from 1002 mg/L to 176.05 mg/L and the TSS from 125 mg/L to 49.3 mg/L. This value has met the environmental quality standards for the pulp and paper industry set by the Indonesian government.

Microfluidic paper-based analytical devices (μ-PADs) fabricated in Japan were employed for the determination of total chromium (Cr) in water, soil, and lettuce irrigated with wastewater in Ethiopia. The μ-PADs, which were printed by wax printing in Japan, were transported to Ethiopia and prepared for the determination of total Cr by adding appropriate reagents to the pretreatment and detection zones. Soil and lettuce samples were determined by the μ-PADs and a UV-Vis spectrophotometer in Ethiopia. A paired t-test showed that the mean total Cr concentrations determined in the soil and lettuce samples were not significantly different between μ-PADs and UV-Vis spectrophotometric analysis at the 5% level of significance. This implies that the μ-PADs have good accuracy and reliability, and could be employed to monitor Cr in environmental samples. We found that the total Cr concentrations in all soil and lettuce samples were above the permissible limit. Moreover, evaluating Cr contamination level using the geo-accumulation index indicated that the soils were contaminated with Cr moderately to heavily. Thus, the present work successfully demonstrated the potential of remote investigations of pollution in a less-equipped laboratory by transporting the μ-PADs fabricated in another laboratory.

Following Swales’ (1990) influential study on research article (RA) introductions, some attention has increasingly been paid to other rhetorical units of both expert and learners’ writing, including titles. A key and effective discursive means through which titles are constructed and presented is the syntactic configuration. The present study, thus, investigates the syntactic structures employed by authors of conference paper titles (CPTs) in Applied Linguistics. A qualitative content analysis was employed to study a corpus of 592 CPTs from a popular conference for researchers, scholars, and practitioners of Applied Linguistics worldwide, supported by some descriptive statistics. The analysis of data study identified three main title styles: Single Unit Title, Compound Unit Title, and Complex Unit Title. The analysis showed that, out of these three title styles, Compound Unit Titles were preferred by researchers. Further, the colon was the dominantly used punctuation mark in separating the components of Compound Unit titles. The final point was that authors preferred prepositional phrases in the post modification of the noun phrase structure of CPTs. The findings of this study have implications for the scholarship on titlelogy, academic writing pedagogy as well as further research.

The article considers the translations of W. Thackeray’s parody Yellowplush Papers published in the journal Biblioteka dlya Chtenia (The Reader’s Library) in 1854 and 1860 as an example of intertextual interaction between the original and the translated texts. The parody was written in the genre of silver-fork novel, which was rather popular in the English literature of the 1820s and 1830s.The genre was of interest for both Russian writers and translators at different stages of literary development (secular novellas of the 1820s and 1830s, translations of certain Western fashionable novels of the 1850s and 1860s and the Russian fashionable novel of the 1870–1880s). Thus, the translations of Thackeray’s parody under analysis can be treated as a certain stage of development of the given genre in the Russian culture. The analysis of some fragments has revealed the attempts of the Russian translators, on the one hand, to render the artistic peculiarities of Thackeray’s parody to Russian readers, including its intertextuality, which was achieved in different ways (by using colloquialisms, translating the author’s references to foreign culture realities, rendering the author’s irony, and using techniques similar to the original ones). On the other hand, the translators’ desire to ‘incorporate’ the text into Russian literature is quite obvious for them. They try to make the text understandable for the Russian readers, which is evident due to numerous allusions to the texts of the Russian culture, reduction of specific fragments, inclusion of translator’s remarks, and interpretation of the parody finale. The translators targeted both the existing parody samples of Russian literature and the unique specificity of the original. Evidently, these translation techniques met the readers’ expectations and corresponded to the requirements of the Russian translation culture. Thus, the question asked in the title is impossible to be answered unambiguously. The elements of parody are closely connected with both the cultural traditions of the source language and with the references to fashionable novel which was accepted by the popular literature and was not developed in the Russian culture of the 19th century. So the works of this genre, to say nothing of its parodies, could not be rendered without losses into a target language.

Antimicrobial resistance (AMR) continues to threaten global health. Although global and national AMR action plans are in place, infection prevention and control is primarily discussed in the context of healthcare facilities with home and everyday life settings barely addressed.\ud \ud As seen with the recent global SARS-CoV-2 pandemic, everyday hygiene measures can play an important role in containing the threat from infectious microorganisms.\ud \ud This position paper has been developed following a meeting of global experts in London, 2019. It presents evidence that home and community settings are important for infection transmission and also the acquisition and spread of AMR. It also demonstrates that the targeted hygiene approach offers a framework for maximizing protection against colonization and infections, thereby reducing antibiotic prescribing and minimizing selection pressure for the development of antibiotic resistance. If combined with the provision of clean water and sanitation, targeted hygiene can reduce the circulation of resistant bacteria in homes and communities, regardless of a country's Human Development Index (overall social and economic development). Achieving a reduction of AMR strains in healthcare settings requires a mirrored reduction in the community.\ud \ud The authors call upon national and international policy makers, health agencies and healthcare professionals to further recognize the importance of targeted hygiene in the home and everyday life settings for preventing and controlling infection, in a unified quest to tackle AMR.

Throughout this study technology and especially mobile phones was utilized in EFL classrooms in order to see whether it can influence the process of vocabulary formative assessment and consequently improve vocabulary learning of Iranian pre-intermediate EFL learners or not. Two groups of pre-intermediate EFL learners participated in this study. Regarding the first group (FMA) the vocabulary learning of learners was assessed formatively during ten sessions using Socrative mobile application. The vocabulary learning of the second group (FPA) was also assessed formatively but paper and pen were the instruments used by instructor and students to take the tests. After applying quasi-experimental research design including pretest, treatment and posttest and after running independent sample t tests to posttest scores, the results showed that those pre-intermediate EFL learners attending in the group where vocabulary gain was assessed formatively using mobile application named Socrative performed significantly better in posttest than group assessed formatively based on paper and pen (Sig=0.03

Silage quality remains an important issue in farming, as do limitations in the range of products suitable for animal fodder. We therefore explored the microorganisms that are critical for the fermentation quality of paper mulberry silage. Low (unwilted) and high (wilted) dry matter (DM) paper mulberry were harvested at two cutting times. These were ensiled for 0, 3, 7, 14, and 56 days, respectively. Compared with unwilted silages, wilting significantly decreased (p

Paper aims This study identifies fundamental characteristics for developing a paper-based thesis (PBT), providing some recommendations to researchers who decide for this academic research report. Originality This paper contributes to the literature by providing guidance to develop PBTs, which has been attracting researchers' interest because it demonstrates publication capacity and potential as a researcher. Additionally, it is still not entirely clear which issues and countermeasures researchers should address when choosing the paper-based structure. Research method The authors searched for articles of PBTs already published, institutional documents (e.g., regulations for conducting PBTs in Brazil and abroad) and journal papers concerning this subject. A content and document analysis were conducted in the papers and PBT internal regulations, respectively. Main findings Results indicate five main factors that impact the success of a PBT approach: (i) the initial planning for this academic model; (ii) alignment between the articles and the thesis/dissertation; (iii) research design construction; (iv) copyrights requirements; and (v) issues regarding co-authorship. Based on that, the study also builds some guidelines to structure a robust PBT. Implications for theory and practice Our recommendations might be meaningful to scholars and researchers bring more theoretical, empirical, and structural robustness when developing a PBT final document.

Many potential chemotherapeutics fail to reach patients. One of the key reasons is that compounds are tested during the drug discovery stage in two-dimensional (2D) cell cultures, which are often unable to accurately model in vivo outcomes. Three-dimensional (3D) in vitro tumor models are more predictive of chemotherapeutic effectiveness than 2D cultures, and thus, their implementation during the drug screening stage has the potential to more accurately evaluate compounds earlier, saving both time and money. Paper-based cultures (PBCs) are an emerging 3D culture platform in which cells suspended in Matrigel are seeded into paper scaffolds and cultured to generate a tissue-like environment. In this study, we demonstrate the potential of matrix-assisted laser desorption/ionization-mass spectrometry imaging with PBCs (MALDI-MSI-PBC) as a drug screening platform. This method discriminated regions of the PBCs with and without cells and/or drugs, indicating that coupling PBCs with MALDI-MSI has the potential to develop rapid, large-scale, and parallel mass spectrometric drug screens.

This article analyses anthropometric forms used in three different Dutch contexts around 1900: an expedition in Dutch New Guinea, the Dutch police and prison registration system, where ‘Bertillonage’ was used to identify recidivist criminals, and a state-owned reform school for girls. The authors identify the loose form as an innovative ‘paper technology’ within anthropometry that opened up entirely new ways of linking bodies to identities and was critically important in inscribing bodies into knowledge systems. The article demonstrates how this crucial innovation within anthropometry took shape in practice. In order to show the techniques through which the inscription of bodies into knowledge systems took place, the article demonstrates how the forms organized, standardized and directed measuring practices and prepared the data for further use in filing systems. Moreover, it draws attention to the tension between the forms’ potential and actual practices. The article concludes by considering the ways these forms were filed and used as ‘data’ by judicial authorities, child protection professionals and racial and criminological scientists, each of whom produced different forms of ‘paper identity’ and whose anthropometric practices enacted different bodies.

Background: Asia Pacific Initiative on Reproduction (ASPIRE) aims to improve knowledge and awareness of Assisted Reproductive Technology (ART) and infertility-related services, with the aim of improving the quality of patient care. Methods: A survey was developed and responded by a group of 10 ASPIRE board members to gather in-depth information about current practices, recommendations, and perceptions about SARS-CoV-2 and ART. The collected data were summarized and individual responses pooled among questions requiring voting. The overall rates were computed by response category. The group discussed the summary evidence, until a consensus was reached concerning a series of recommendation on how to make decisions concerning ART service provision during the current (and any future) pandemic. A two-tier recommendation was developed based on agreement rate and implementation priority. Tier 1 comprises recommendations in which the rate of “absolutely agree” responses were [Formula: see text]60%, whereas tier 2 refers to recommendations in which the rate of “absolutely agree” plus “agree” was >60%, but the rate of “absolutely agree” was [Formula: see text]50%. Results: The survey was responded by all participants between July 24 and July 30, 2020. Nine tier 1 and five tier 2 recommendations are provided concerning prevention, testing, personal protective equipment, informed consent, and quality management. The former indicates the situations in which most individuals should receive the intervention/procedure, whereas the latter relates to those that may be suitable for individual clinics and patients. Conclusions: This document provides the ASPIRE viewpoint on better managing infertile patients seeking ART during the COVID-19 pandemic. This expert opinion guide aims to help both competent authorities and healthcare providers to deliver quality and safe ART.

In the modern society, it is surprising to know that criminals are well equipped with novel technological facilities and they have adopted numerous methodological ways for conducting highly organized crime. Due to the immense advancement in Science and Technology, criminals are being quicker in exploiting sophisticated scientific technology for criminal activities and desires to commit crime. Hence the more complex criminal cases are gradually increasing in number and are becoming a major challenge for forensic document experts relating with paper and ink examination, such as paper analysis for differentiating between forged and originality, ascertain authenticity of paper document, its identification, relative age of documents and document dating. The present write-up is an attempt to describe overall approach in forensic examination of paper for distinguishing between two or more sets of paper. Chemical and physical analysis of paper by using appropriate scientific method provides valuable information regarding the details of the document. However application of advanced sophisticated techniques and appropriate scientific methods for reliable results without destruction of the original documents are the prime requirements of the forensic document expert and investigating agencies. Keywords: Document examination, Paper differentiation.

This paper compares Léon Walras’ and Augustin Cournot’s views on monetary regulation. It shows that whereas Cournot believed discretionary monetary regulation to be convenient and acceptable, Walras held that the only acceptable monetary system is based exclusively on the stability of the value of money under a monetary rule following a strict equivalence between metallic reserves and a pure medium of exchange form of money. The paper also advances Cournot understood more clearly than Walras the evolution of the monetary system of their days because Walras was trying to guarantee the coherence of his pure theory with his applied theory, which made him unable to accept the evolution toward a monetary system based on fiat money. Este artículo compara las teorías de Léon Walras y Augustin Cournot sobre regulación monetaria. Demuestra que, si bien Cournot creía que era conveniente y aceptable la regulación monetaria discrecional, Walras sostuvo que el único sistema monetario aceptable es el basado en la estabilidad del valor del dinero bajo una regla monetaria que siga una estricta equivalencia entre las reservas metálicas y el dinero, considerado como puro medio de cambio. El artículo también apunta a que Cournot entendió mejor que Walras la evolución del sistema monetario de su época dado que Walras trataba de mantener la coherencia de su teoría pura con su teoría aplicada, lo que hizo que fuera incapaz de aceptar la evolución hacia un sistema monetario basado en dinero fiduciario.

This study aims to examine Turkish exam papers of the students, who study in the secondary school of 5th, 6th, 7th and 8th classes. The exam papers have been examined from various aspects, including the number and type of questions, the language expression and distribution of the questions, the cognitive level (according to the Bloom’s taxonomy), the type of texts used, and the visuals use. The samples of the study were selected using convenience sampling method from 17 secondary schools located in the center of Ağrı Province in Turkey and the exam papers prepared by 36 Turkish teachers who worked at these schools. The tests which were examined included 2633 questions in 161 exam papers. We also developed “the Exam Paper Examination Form” for collecting more data which we analyzed and interpreted by using the document analysis model. According to the results obtained, it has been found that the teachers mostly prefer to use the multiple-choice question type in the Turkish exam papers; the questions are mostly related to grammar and reading; the teachers do not prefer to ask questions on speaking and listening; and except for spelling errors no deficiency is detected in the language of the exam papers. In addition, according to Bloom’s taxonomy, the questions are mostly at the comprehension level whereas questions related to the analyzing, evaluating and creating levels that require high level thinking skills are rarely used. Based on the results, suggestions have been presented for Turkish teachers to prepare exams.

Creation of new digital technologies let automate the reproduction of text and graphic information, led to the creation and development of the digital printing. Digital printing is a technology for producing prints in the printer based on the original layout, created as corresponding codes with a computer. One of the technologies of digital printing is a computer-to-press and one of the devices in this direction is risograph. The risograph printing quality is worse than offset printing. The text is printing with medium sharpness and images remind photos in old newspapers and require special preparation. But risograph is the most profitable solution for small and medium circulations from 50 up to 1000 sheets. Wide usage of risograph printing in typographies demands increase performance of the equipment with the high print quality of digital images. To improve the quality of risographic printing, the creation of methods is required to form the initial indicators of the original layout (clarity, correct transmission of halftones, contrast). At the same time, the result of obtaining high-quality images obtained by printing on a risograph is affected by surface microgeometry and the physical and mechanical properties of paper. So, the optical density of the ink layer on the print is largely determined by the structure of the sections of paper, in particular, absorbency and porosity. To obtain high-quality images on prints, it is necessary not only to customize the original layout, but also to select paper with such characteristics that would allow you to get the best result when printing on a risograph. Since the risograph occupies an intermediate place in quality between copying equipment and laser printing, a laser print is taken as the standard for print quality. And one of the tasks of the quality of risographic prints is to increase it to the quality of laser printing.

Background: Although some have noted that combining technical and marketing content is precarious, technical communication professionals are increasingly involved in content marketing, which includes the creation of white papers. Literature review: The little existing literature on white papers provides conflicting guidance about managing the combination of technical and marketing content. Both soft-sell and hard-sell marketing approaches have been recommended. One source of such inconsistent guidance may be the lack of agreement about definitions. Research on print advertisements has described hard and soft selling as multidimensional rather than binary aspects of persuasive appeals. Research question: Which dimensions of hard- and soft-sell appeals are predominant in white papers? Research methodology: To complete our descriptive study, we collected a corpus of documents labeled as white papers in TechRepublic, and then selected and trained three raters to complete a series of judgments about dimensions of persuasive appeals in the corpus. We aggregated those ratings, calculating the mean and standard deviation for the dimensions to describe their distribution across the corpus. Results/discussion: Overall, hard-sell dimensions were more prevalent than soft-sell dimensions. However, the soft-sell category of “implicitness” was also dominant. Conclusion: Our results demonstrate the value of treating hard and soft selling as multidimensional, complementary, and combinatory marketing appeals that allow, for example, a single white paper to be both “subjective” (soft sell), and “precise” (hard sell), or both “creative” (soft sell) and “informative” (hard sell).

Yenidogan, Semiha/0000-0002-1296-2392 WOS:000518368200010 Paper - ink interaction is extremely important in printing. Ideal printing outputs should be achieved with minimal ink consumption. It should not be supposed that visual printing quality will increase as the amount of ink increases. The effects of excessive ink consumption during the printing process on process sustainability, economy and environment should not be ignored. In this study, the effects of ink consumption during the printing process on printing quality parameters were mainly examined. Paper samples were printed with different amounts of ink, and the density and CIE L*a*b* values of the solid ink films were measured. The lightfastness test was applied to determine the resistance of the printed ink films to light, and the changes in their color were examined. Ideal ink amounts to reach ideal color L*a*b* values were determined and the effects of ink amount on the printing quality parameters were highlighted. Then, ink consumption was evaluated in terms of recycling, sustainability, environmental and economic effects, and recommendations were made to reduce the use of ink.

Using similarity software to examine the quality of scientific papers is a nuisance. The significance of a scientific paper should be decided by the acknowledged experts. The practice of using the computer program to decide scientific papers must be rescinded or voided.

An electrical tree discharge model of multilayer insulation paper was prepared, and a voltage of 20 kV was used for electrical tree cultivation and initiation tests. Based on the microscopic image information and partial discharge (PD) information during the aging of the electrical tree, the development of electrical tree discharges between layers of paper comprising epoxy resin-impregnated paper insulation was studied. The results show that, by analysing PD information such as the discharge volume phase spectrum and the discharge repetition rate phase spectrum, the development of the electrical tree branch progresses in four stages: initial, growth, stagnation, and bursting. During the growth and stagnation stages, the main discharge paths of the electrical tree are mainly formed, and there are many filamentous fibres on the path edge. During the burst stage, more branches will be formed on the electrical tree, which will cause the greatest damage to the insulation. With the extension of the electrical tree path, the discharge magnitude and discharge times also increase. There are specific discharge patterns in different growth stages of the electrical tree, and the number of discharge events in each positive half-cycle is significantly greater than that in a negative half-cycle. Combining the microscopic image information and PD information during the aging of such an electrical tree, a theoretical basis for evaluating insulation state by PD monitoring is realised. The long-chain molecules of cellulose and epoxy resin break bonds and oxidise, which decompose into a large number of free radicals, monosaccharides, and other low-molecular-weight products.

The paper deals with the phenomenon of popular piety in the eighteenth century and its reflections in art media through several prints made by the Serbian engraver Zaharija Orfelin. Paper icons, the cheapest means of meeting the spiritual needs of Orthodox Serbs in Hungary in the eighteenth century, were mass produced and easy to transport to remotest places. As they were the main channels of expressing piety, it is not unexpected that some artists-entrepreneurs such as Orfelin started such a lucrative production. Orfelin shaped the iconography of those images, combining the traditional Orthodox heritage and contemporary Baroque models that had migrated from Central European religious art. His imagery included particular national saints and their patriotic cults, dogmatic and doctrinal views of the church, as well as images of the Mother of God.

The Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS) was founded in 2018, with the aim to promote cooperation among vascular professionals within Mediterranean countries. Due to its prominent social and economic impact on national health systems, diabetic peripheral artery was selected as the very first topic to be investigated by the federation. In this second paper, different experiences from delegates of participating countries were shared to define common strategies to harmonize, standardize, and optimize education and training in the Vascular Surgery specialty.

Coronavirus disease 2019 (COVID‐19) first emerged in China in November 2019. Most governments have responded to the COVID‐19 pandemic by imposing a lockdown. Some evidence suggests that a period of isolation might have led to a spike in alcohol misuse, and in the case of patients with alcohol use disorder (AUD), social isolation can favour lapse and relapse. The aim of our position paper is to provide specialists in the alcohol addiction field, in psychopharmacology, gastroenterology and in internal medicine, with appropriate tools to better manage patients with AUD and COVID‐19,considering some important topics: (a) the susceptibility of AUD patients to infection; (b) the pharmacological interaction between medications used to treat AUD and to treat COVID‐19; (c) the reorganization of the Centre for Alcohol Addiction Treatment for the management of AUD patients in the COVID‐19 era (group activities, telemedicine, outpatients treatment, alcohol‐related liver disease and liver transplantation, collecting samples); (d) AUD and SARS‐CoV‐2 vaccination. Telemedicine/telehealth will undoubtedly be useful/practical tools even though it remains at an elementary level; the contribution of the family and of caregivers in the management of AUD patients will play a significant role; the multidisciplinary intervention involving experts in the treatment of AUD with specialists in the treatment of COVID‐19 disease will need implementation. Thus, the COVID‐19 pandemic is rapidly leading addiction specialists towards a new governance scenario of AUD, which necessarily needs an in‐depth reconsideration, focusing attention on a safe approach in combination with the efficacy of treatment., All health care systems need to be reorganized during and after the COVID‐19 pandemic, and also the CAATs in order to combine operator safety with patient safety and care. The multi‐disciplinary intervention involving experts in the treatment of AUD and ALD with specialists in the treatment of COVID‐19 disease will need implementation and the contribution of the family and of care‐givers in the management of AUD and ALD patients will play a significant role.

Recent research breakthroughs have emerged from applied basic research throughout all scientific areas, including adult and paediatric gastroenterology, hepatology and nutrition (PGHAN). The research landscape within the European Society of Paediatric Gastroenterology and Nutrition (ESPGHAN) is also inevitably changing from clinical research to studies involving applied laboratory research. This position paper aims to depict the current status quo of basic science and translational research within ESPGHAN, and to delineate how the society could invest in research in the present and future time. The paper also explores which research areas in the field of PGHAN represent the current and future priorities, and what type of support is needed across the ESPGHAN working groups (WGs) and special interest groups (SIGs) to fulfil their research goals.

This research announcement outlines the fundamentals, initial reflections, objectives, and methodology of a research project developed jointly by the University of West Attica, Greece, and the Federal University of Minas Gerais, Brazil. It presents the variability of the concept of value in the context of the preservation of cultural assets, the diversity of the terminology and the scarcity of specific discussions in the area of paper conservation. It outlines the conceptual contribution based on the relationship between values, historical evidence, and layers of data in cultural objects, as well as on the impact of conservation procedures on their interconnections. Finally, this article supports both the societal and material approach to decision-making in preservation and conservation through the interdisciplinary investigation of paper-based objects to understand them as complex artefacts. El presente artículo describe la fundamentación, reflexiones iniciales, objetivos y metodología de un proyecto de investigación desarrollado entre la Universidad West Attica, Atenas, Grecia, y la Universidad Federal de Minas Gerais, Brasil. Aborda la variabilidad del concepto de valor en el contexto de preservación del patrimonio, la diversidad de la terminología y la escasez de discusiones específicas en el área de conservación de papel. Presenta una contribución conceptual basada en la relación entre valores, evidencias históricas y de datos/informaciones presentes en objetos culturales, así como en el impacto de procedimientos de conservación en dichos datos. Los autores defienden el abordaje social y material para la toma de decisiones en relación a la preservación de la complejidad en los artefactos gráficos. Este artigo descreve os fundamentos, reflexões iniciais, objetivos e metodologia de um projeto de pesquisa desenvolvido em conjunto pela University of West Attica, Grécia, e pela Universidade Federal de Minas Gerais, Brasil. Apresenta a variabilidade do conceito de valor no contexto da preservação dos bens culturais, a diversidade da terminologia e a escassez de discussões específicas na área da conservação de papel. Delineia a contribuição conceitual baseada na relação entre valores, evidências históricas e camadas de dados em objetos culturais, bem como no impacto dos procedimentos de conservação nestas camadas. Finalmente, o artigo apoia a abordagem social e material para a tomada de decisão em preservação e conservação por meio da investigação interdisciplinar de documentos gráficos, compreendendo-os como artefatos complexos.

Almost all people in this world have experienced in writing a research paper. Nevertheless, there are only some people who understand how to write appropriately. Plagiarism still becomes a big problem among the writers. This happens because they often get difficulty in integrating sources into the text. As the writers, they should know how to overcome that problem. The existence of paraphrasing can be a way to avoid the plagiarism. The writers can paraphrase a direct quote of someone using their own words. This can be a great way to increase the quality of research papers.

The main ingredient of paper production is cellulose fibers. Usually produced from wood fibers and annual plants. In this study it was investigated usability of waste rose pulps (Rosa Damascena Mill.) which have environmental risk in Isparta province as a source of cellulose for paper production. Oily rose flower grows only in Isparta and its vicinity and around 7000 tons of rose flowers are grown annually. After oil extraction, rose flowers lose their economic value and are left to rot as garbage. Rose pulp which is an herbal waste therefore contains cellulose. At the Scope of study, cellulose content of rose pulp was determined and paper pulp was obtained by applying soda-NaBH4 and chlorite methods. The obtained paper pulp was mixed with waste paper in different ratio and paper production was provided. Thus, rose wastes which evaluating as rubbish, was recycled and go into the production cycle., Kağıt üretiminin ana maddesi selüloz liflerdir. Genellikle ağaç lifleri ve yıllık bitkilerden üretilir. Bu çalışmada Isparta ilinde çevresel risk taşıyan atık gül posaları (Rosa Damascena Mill.) kağıt üretimi için selüloz kaynağı olarak kullanılabilirliği araştırılmıştır. Yağlık gül çiçeği sadece Isparta ve çevresinde yetişmekte olup yıllık yaklaşık 7000 ton civarında gül çiçeği yetiştirilmektedir. Yağı alındıktan sonra gül çiçekleri ekonomik değerini yitirmekte ve çöp olarak çürümeye terk edilmektedir. Bitkisel bir atık olan gül posaları dolayısıyla selüloz içermektedir. Çalışma kapsamında. gül posasının selüloz içeriği belirlenmiş ve soda-sodyum borhidrür ve klorit yöntemleri uygulanarak kağıt hamuru elde edilmiştir. Elde edilen kağıt hamurları farklı oranda atık kağıtlar ile karıştırılarak kağıt üretimi sağlanmıştır. Böylece çöp niteliğindeki gül posaları geri dönüştürülerek üretim döngüsü içine katılmıştır.