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Objective: The medical record is critical for documentation and communication between healthcare professionals. This study compared the completeness of orthopaedic documentation between the electronic medical record (EMR) and paper medical record (PMR). Methods: A review was undertaken of 400 medical records (200 EMR, 200 PMR) of patients with operatively managed traumatic lower limb injury. The operative report, discharge summary and first and second out-patient reviews were evaluated using criteria designed by a senior orthopaedic surgeon and senior physiotherapist. The criteria included information deemed critical to the post-operative care of the patient in the first 6 weeks post-surgery. Results: In all cases, an operative report was completed by a senior surgeon. Notable findings included inferior documentation of patient weight-bearing status on the operative report in the EMR than PMR group (P = 0.018). There was a significant improvement in the completion of discharge summaries in the EMR compared with PMR cohort (100% vs 82.5% respectively; P < 0.001). In the PMR group, 70.0% of discharge summaries were completed and adequately documented, compared with 91.5% of those in the EMR group (P < 0.001). At out-patient review, there was an improvement in documentation of weight-bearing instructions in the EMR compared with PMR group (81.1% vs 76.2% respectively; P = 0.032). Conclusion: The EMR is associated with an improvement in the standard of orthopaedic medical record documentation, but deficiencies remain in key components of the medical record. What is known about the topic?: Medical records are an essential tool in modern medical practice and have significant implications for patient care and management, communication and medicolegal issues. Despite the importance of comprehensive documentation, numerous examples of poor documentation continue to be demonstrated. Recently, significant changes to the medical record in Australia have been implemented with the conversion of some hospitals to an EMR and the implementation of the My Health Record. What does this paper add?: Standards of patient care should be monitored continuously and deficiencies identified in order to implement measures for improvement and to close the quality loop. This study has highlighted that although there has been improvement in medical record keeping with the implementation of an EMR, the standard of orthopaedic medical record keeping continues to be below what is expected, and several key areas of documentation require improvement. What are the implications for practitioners?: The implications of these findings for practitioners are to highlight current deficiencies in documentation and promote change in current practice to improve the quality of medical record documentation among medical staff. Although the EMR has improved documentation, there remain areas for further improvement, and hospital administrators will find these observations useful in implementing ongoing change. [ABSTRACT FROM AUTHOR]

Research on soil microplastics is currently at an early stage, and there is no widely approved sampling protocol. Even so, any basic research should minimize errors to ensure that they are not amplified in future research. This paper examines some weaknesses of the original research paper 'Soil microplastic pollution under different land uses in tropics, southwestern China' recently published in this journal. The authors neglected to report the equipment used for soil sampling and did not use field blank samples. There is also a soil layer that was incorrectly named. The type and pore size of filter paper used for filtration during pre-analytical soil sample preparation is very important. In this paper the nature of the filter paper used, and its larger pore sizes are questionable by today's scientists. In addition, the authors in the original paper also overlooked reporting the statistical package used for statical analysis and ensuring if all data sets obey normality, homogeneity, and equality before running the one-way ANOVA test. This statistical step is widely considered mandatory, especially in the soil science community. So, this makes it difficult to trust the results documented. Furthermore, in the original paper, the needle and stereo microscope instruments used to sort microplastic-like materials prior to proper analysis are not reliable. [Display omitted] • A dissecting needle and stereo microscope shouldn't be used to sort out soil microplastics. • Gold-coated filter paper with smaller pore size is better than nitrocellulose filter paper. • The 0–10cm is the top soil layer and 10–20cm is the subsoil layer not a deep soil layer. • The statistical package used for analysis must be documented accordingly. • If the dataset is a normal distribution prior to ANOVA testing, it must be confirmed and reported. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To develop an automated algorithm to detect, quantify, and differentiate between tremor using pen-on-paper spirals. METHODS: Patients with essential tremor (n = 25), dystonic tremor (n = 25), Parkinson’s disease (n = 25), and healthy volunteers (HV, n = 25) drew free-hand spirals. The algorithm derived the mean deviation (MD) and tremor variability from scanned images. MD and tremor variability were compared with 1) the Bain and Findley scale, 2) the Fahn–Tolosa–Marin tremor rating scale (FTM–TRS), and 3) the peak power and total power of the accelerometer spectra. Inter and intra loop widths were computed to differentiate between the tremor. RESULTS: MD was higher in the tremor group (48.9±26.3) than in HV (26.4±5.3; p < 0.001). The cut-off value of 30.3 had 80.9% sensitivity and 76.0% specificity for the detection of the tremor [area under the curve: 0.83; 95% confidence index (CI): 0.75, 0.91, p < 0.001]. MD correlated with the Bain and Findley ratings (rho = 0.491, p = 0 < 0.001), FTM–TRS part B (rho = 0.260, p = 0.032) and accelerometric measures of postural tremor (total power, rho = 0.366, p < 0.001; peak power, rho = 0.402, p < 0.001). Minimum Detectable Change was 19.9%. Inter loop width distinguished Parkinson’s disease spirals from dystonic tremor (p < 0.001, 95% CI: 54.6, 211.1), essential tremor (p = 0.003, 95% CI: 28.5, 184.9), or HV (p = 0.036, 95% CI: -160.4, -3.9). CONCLUSION: The automated analysis of pen-on-paper spirals generated robust variables to quantify the tremor and putative variables to distinguish them from each other. SIGNIFICANCE: This technique maybe useful for epidemiological surveys and follow-up studies on tremor. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to evaluate the effects of uncoated paper on skin moisture, pressure injury risk and pressure injury incidence in neurological intensive care unit patients. Methods: A randomized controlled design was used. The experimental group (n = 68) received usual care (repositioning every 2 h and use of an air mattress) and application of uncoated paper on the sacral area for 5 days, whereas the control group (n = 67) received only usual care. A repeated measures analysis of variance was used to determine changes in the skin moisture and risk of pressure injury between the groups. A chi‐squared test was used to determine the change in the incidence of pressure injuries for sacral area. Data were collected from 20 October 2017 to 6 March 2018. Results: There were statistically significant differences in the skin moisture and risk of pressure injuries between the experimental and control groups. However, a significant difference was not observed in the incidence of pressure injuries between the groups. Conclusion: The use of uncoated paper may be a valid nursing intervention for the prevention of pressure injuries in neurological intensive care unit patients. SUMMARY STATEMENT: What is already known about this topic? The neurological intensive care unit patients with motor deficits, loss or deterioration of sensory function and decreased consciousness have high risk of pressure injuries.Although various guidelines consider excessive skin moisture as an important cause of pressure injuries, few targeted interventions exist to manage excessive skin moisture. What this paper adds? The uncoated paper application was effective in reducing skin moisture in neurologic intensive care unit patients.In addition, application of uncoated paper application has an effect on risk of pressure injury in neurologic intensive care unit patients. The implications of this paper: The use of uncoated paper may be a valid nursing intervention for the prevention of pressure injuries in neurological intensive care unit patients.Nurses should recognize that pressure injuries are potentially preventable adverse events and use various preventive interventions including skin moisture management. [ABSTRACT FROM AUTHOR]

Urine is the best specimen for the diagnosis of congenital cytomegalovirus, but collection and processing of liquid urine are impractical for screening. Urine dried on filter paper was processed by the same convenient, low-cost method used by newborn screening to test blood spots and showed high sensitivity and specificity. [ABSTRACT FROM AUTHOR]

The print industry has observed an exponential growth over the last decade. A shift from plastics to paper has been observed in the packaging industry due to its sustainability. The gravure process dominates the packaging industry because of long runs and high print precision. This work focuses on the effect of gravure process parameters on print mottle for 50 GSM (gram/square meters) and 65 GSM (gram/square meters) C1S (coated-one-side) paper. Solid mottle refers to unevenness in print density and occurs due to variations in substrate, ink, and process parameters degrading the print quality, thereby resulting in printed wastage and loss to an organization. The intricate mechanism of ink transfer in the gravure process needs to be studied in depth so as to deliver higher yield and lower print waste. The Stochastic Frequency Distribution Analysis (SFDA) algorithm was used to measure the print mottle. The design of experiments (DOE) was run for gravure process parameters such as line screen, viscosity, press speed, electrostatic assist (ESA) voltage, and air gap (distance between impression roller and charge bar) at varying levels. The experimental data were analyzed through analysis of variance (ANOVA), main plot, and interaction plot. The analysis revealed significance of all process parameters for minimization of solid mottle. The optimized settings showed reduction in solid mottle by 64.68% and 67.78% for 50 GSM and 65 GSM, respectively. A stepwise regression model was developed to predict the print mottle that showed correlation coefficient of 0.912 and 0.938 for 50 GSM and 65 GSM C1S papers. This work could serve as a framework to maintain operating levels of gravure process for minimization of solid mottle. [ABSTRACT FROM AUTHOR]

Copyright of Itobiad: Journal of the Human & Social Science Researches / İnsan ve Toplum Bilimleri Araştırmaları Dergisi is the property of Itobiad: Journal of the Human & Social Science Researches and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Users' experiences in mental health assessment are multifaceted, including their emotional experiences. Yet, studies of mobile apps for psychiatric assessment have centered on diagnostic accuracy and perceived usability, with little consideration of the impact of user emotional experiences. In this study, we focused on users' perceived usability and emotions and compared the user experience of a paper-and-pencil and an app-based collection of mental health screening questionnaires: EarlyDetect. The System Usability Scale (SUS) and modality-directed emotion questionnaires were administered using paper-and-pencil or iPad. Modality was assigned pseudo-randomly on patients' first visit at a referral-based mental health clinic. We found that patients assigned to the iPad app reported a significantly higher SUS score than patients assigned to paper-and-pencil, qualified by a modality-by-gender interaction where modality effects were significant for men but not for women. Moreover, enjoyment was positively linked to perceived usability, whereas boredom, frustration, and anxiety were negatively linked to usability. Our findings illustrate the added value of studying user experience applied to psychiatric assessments, where both emotions and gender-specific user experience should be taken into consideration. We further discuss the implications for psychiatric assessments via app versus traditional data collection. [ABSTRACT FROM AUTHOR]

The aim of this study was to examine the effects that reading on screens (using digital devices with different screen sizes) and on paper have on reading time and comprehension. The study group was comprised of126 secondary students from a private school. To ensure balance, the participants were assigned into test groups, formed according to the size of the reading device, based on class levels, gender, and average school grade. In the data collection process, a narrative text was transferred to both print and electronic media. Access to the text was provided on paper and three digital devices. There were no time limitations. After reading, participants were given comprehension tests that consisted of twenty multiple-choice questions. Female participants' on-screen comprehension scores were found to be relatively higher compared to their paper comprehension scores. They also acquired better scores as the screen size increased. Conversely, male participants had higher comprehension scores on tablets and smart phones. Participants who read the text on smart phones and tablets completed the tasks in less time compared to other groups. However, the effects of reading modality on comprehension and reading time were not found to be statistically significant in either the male or female groups. [ABSTRACT FROM AUTHOR]

Studies on effective distribution practices specific to the paper industry are largely non-existent. Therefore, through our exploratory research, we first identify key elements of physical distribution in existing literature. Secondly, we empirically investigate the extent to which these elements influence non-cost-based (such as inventory turnover, order fulfillment etc.) measures of distribution performance in the paper industry. Using a sample of 95 National Paper Trade Association member firms, we create three performance groups (low, medium, and high). Then, we use analysis of variance (ANOVA) to test for any differences in the adoption of the physical distribution elements among these groups. Further, through partial least squares regression analysis, we attempt to identify those elements of physical distribution which may be most critical in explaining the differences in distribution performance. Our results provide general support for the importance of the key elements identified in this study. [ABSTRACT FROM AUTHOR]

Effluent from paper industry was oxygenated till saturation using Lark Hygiene Fermenter at 25°C under real time environment. Time, speed, and feed concentration were selected as dominant input factors to determine the dissolved oxygen (DO) under response surface methodology (RSM) based Box–Behnken design to provide 17 experimental runs. The experimental results were optimized using RSM and artificial neural networks (ANN). From RSM analysis, a second-order quadratic representation for single objective optimization was successfully fitted which produced R² = 99.07 and R² adj = 97.87. Analysis of variance results shows that time and feed concentration were the most significant parameters than the speed, influencing the DO. Another single objective optimization tool ANN produced R² = 96.27 and R² adj = 94.06. Validation analysis provided the predicted values by RSM and ANN were close to the validation values, whereas RSM showed a better prediction than the ANN with the lowest deviation. Hence, the optimal condition predicted by RSM was taken to conduct the confirmatory experiment. The confirmatory experimental condition of time at 6 min, speed of 142 rpm with 90% concentration produced the minimal DO of 5.38 ppm. The error percentage of the predicted with confirmatory experimental and theoretical equations results were 1.11% and 0.035%, respectively, which validates the predicted model. [ABSTRACT FROM AUTHOR]

Each year, researchers publish an immense number of scientific papers. While some receive many citations, others receive none. Here we investigate whether any of this variance can be explained by the choice of words in a paper's abstract. We find that doubling the word frequency of an average abstract increases citations by 0.70%. We also find that journals which publish papers whose abstracts are shorter and contain more frequently used words receive slightly more citations per paper. Specifically, adding a 5 letter word to an abstract decreases the number of citations by 0.02%. These results are consistent with the hypothesis that the style in which a paper's abstract is written bears some relation to its scientific impact. [ABSTRACT FROM AUTHOR]

Objective: To determine whether paper tape prevents foot blisters in multistage ultramarathon runners. Design: Multisite prospective randomized trial. Setting: The 2014 250-km (155-mile) 6-stage RacingThePlanet ultramarathons in Jordan, Gobi, Madagascar, and Atacama Deserts. Participants: One hundred twenty-eight participants were enrolled: 19 (15%) from the Jordan, 35 (27%) from Gobi, 21 (16%) from Madagascar, and 53 (41%) from the Atacama Desert. The mean age was 39.3 years (22-63) and body mass index was 24.2 kg/m² (17.4-35.1), with 31 (22.5%) females. Interventions: Paper tape was applied to a randomly selected foot before the race, either to participants' blister-prone areas or randomly selected location if there was no blister history, with untaped areas of the same foot used as the control. Main Outcome Measures: Development of a blister anywhere on the study foot. Results: One hundred six (83%) participants developed 117 blisters, with treatment success in 98 (77%) runners. Paper tape reduced blisters by 40% (P< 0.01, 95% confidence interval, 28-52) with a number needed to treat of 1.31. Most of the study participants had 1 blister (78%), with most common locations on the toes (n = 58, 50%) and heel (n = 27, 23%), with 94 (80%) blisters occurring by the end of stage 2. Treatment success was associated with earlier stages [odds ratio (OR), 74.9, P < 0.01] and time spent running (OR, 0.66, P = 0.01). Conclusion: Paper tape was found to prevent both the incidence and frequency of foot blisters in runners. [ABSTRACT FROM AUTHOR]

Unimodal biometric systems are susceptible to a variety of problems such as noisy data, intra-class variations, limited degrees of freedom, non-universality, spoof attacks and unacceptable error rates. Some of these limitations can be addressed by deploy multimodal biometric systems that integrates the evidence presented by multiple sources of information The proposed system provides effective fusion scheme that combines information presented by the multiple domain experts based on the Rank level fusion integration method, thereby increasing the efficiency of the system which is not possible by the unimodal biometric system. The proposed multimodal biometric system has a number of unique qualities, including principal component analysis and fisher's linear discriminate methods for individual matchers authentication. The novel rank level fusion method is used in order to consolidate the results obtained from different biometric matchers. [ABSTRACT FROM AUTHOR]

Precooling and sulfur dioxide fumigation were proved as effective methods for the preservation of longan (Dimocarpus longan Lour.) fruits. However, inadequate precooling and sulfur dioxide fumigation resulted in unexpected losses and short shelf life. A L9(34) orthogonal test was conducted to screen out ideal dosage of sodium metabisulfite (factor A), precooling method (factor B), and precooling duration (factor C) to improve the storability of longan fruit stored for 48 hr at room temperature (RT) (25℃). The overall qualities of all of the treated longan fruits after a 48‐hr storage (OQST) and during the 5‐day shelf at 25℃ (OQSF) were better than those of the control fruits. The treated fruits showed brighter fresh color (higher L*, b*, C*, and h° values but lower a* value), higher flavonoid, and chlorophyll contents. Moreover, the SO2 residue was concentrated in pericarp but little in aril for any of the 12 treatments. The multivariate variance analysis showed that factor A was dominant to determine both of the OQST and OQSF, while factor B affected the OQST, and factor C affected the OQSF. In total, "0.22% sodium metabisulfite + 4 hr precooling + uncovered precooling" was considered to be an ideal treatment. These results would contribute to improving longan postharvest preservation technology. [ABSTRACT FROM AUTHOR]

Telomerase is extensively expressed in various cancer cells and recognized as a target for cancer drug discovery. In the present study, a simple and amplification-free fluorescence assay based on polyamidoamine starburst dendrimer (PAMAM dendrimer)-activated paper device is proposed for sensitive detection of telomerase activity through hybridization of Cy5 modified single strand DNA probes with telomerase extension products. The paper substrate is fabricated by hand drawing according to a template, which is low cost, instrument free and easy operation. PAMAM is rich in amino groups on its surface and employed to immobilize the telomerase substrate (TS) primer. Highly sensitive detection of telomerase activity in HeLa cell lysate of 10 cells is achieved since the PAMAM dendrimer-activated paper surface can provide high density of binding sites for immobilization of TS primer. The experimental results also demonstrate that the assay can be employed to evaluate telomerase activity levels of various cell lines and screen telomerase inhibitors. [ABSTRACT FROM AUTHOR]

Four experiments were conducted to test whether recent developments in display technology would suffice to eliminate the well-known disadvantages in reading from screen as compared with paper. Proofreading speed and performance were equal for a TFT-LCD and a paper display, but there were more symptoms of eyestrain in the screen condition accompanied by a strong preference for paper (Experiment 1). These results were replicated using a longer reading duration (Experiment 2). Additional experiments were conducted to test hypotheses about the reasons for the higher amount of eyestrain associated with reading from screen. Reduced screen luminance did not change the pattern of results (Experiment 3), but positioning both displays in equal inclination angles eliminated the differences in eyestrain symptoms and increased proofreading speed in the screen condition (Experiment 4). A paper-like positioning of TFT-LCDs seems to enable unimpaired reading without evidence of increased physical strain. Practitioner Summary: Given the developments in screen technology, a re-assessment of the differences in proofreading speed and performance, well-being, and preference between computer screen and paper was conducted. State-of-the-art TFT-LCDs enable unimpaired reading, but a book-like positioning of screens seems necessary to minimise eyestrain symptoms. [ABSTRACT FROM AUTHOR]

Abstract: In this study, the application of two-step nanofiltration (NF) process was investigated in the purification of biologically treated pulp and paper wastewater for the purpose of reuse. In the first step, the effect of operating conditions such as pH, temperature, transmembrane pressure and volume reduction factor (VRF) on the membrane fouling was investigated using FM NP010 membrane. Membrane fouling was minimized by optimizing the operating conditions using Taguchi experimental design method. The smaller-the-better signal-to-noise (S/N) ratio was used to analyze the results of experiments. Flux decline caused by fouling was selected as response parameter. The best results were obtained at third level of pH (10), first level of temperature (25°C), first level of transmembrane pressure (12bar) and third level of VRF (4) which provided minimum flux decline caused by fouling (11%). Based on the analysis of variance (ANOVA), the results indicated that transmembrane pressure has significant effect on membrane fouling, while VRF shows very little effect on membrane fouling. Membrane fouling was further examined in terms of atomic force microscopy (AFM) and scanning electron microscopy (SEM) analysis. Under the optimized conditions, 91% chemical oxygen demand (COD), 92% total hardness and 98% sulphate removal were achieved using FM NP010 membrane. Also the obtained permeate is colorless and free from suspended solids. However, chloride and conductivity were partially removed. In the second step, FM NP030 membrane was used to provide better permeate quality like actual process water. Membrane fouling was also investigated in terms of flux decline, contact angle measurements and SEM analysis in this step. As a conclusion, the water produced by two step NF treatment of biologically treated pulp and paper industry meets the quality of actual process water. [ABSTRACT FROM AUTHOR]