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Workplace accommodations can reduce barriers to employment for people who use augmentative and alternative communication (AAC), however, the lack of accommodations continues to challenge participation in employment. This systematic review identified and analyzed barriers and facilitators to implementing workplace accommodations for adults (19 years and over) who use AAC. A systematic search of nine databases was conducted to identify relevant studies using the search terms "AAC" and "workplace accommodations" and variations of each term. Results were imported into Covidence. Seventeen studies met the inclusion criteria. Results were presented using the International Classification of Functioning, Disability, and Health (ICF) framework. The Oxford levels of evidence and Confidence in Evidence from Review of Qualitative Research (GRADE-CERQual) were used to assess the quality of the studies and confidence in findings, respectively. Environmental barriers related mainly to attitudes and technology, and personal barriers related to job qualifications, education, and work-related skills. A combination of facilitators such as personal strengths, access to technology, and supportive relationships contributed to successful implementation of accommodations. The findings of this review suggest that implementing workplace accommodations for adults who use AAC strategies is complex and further research is needed to advance practices and policies that support the implementation of workplace accommodations.

Amyloid precursor protein (APP) metabolism is central to Alzheimer's disease (AD) pathogenesis, but the key etiological driver remains elusive. Recent failures of clinical trials targeting amyloid-β (Aβ) peptides, the proteolytic fragments of amyloid precursor protein (APP) that are the main component of amyloid plaques, suggest that the proteostasis-disrupting, key pathogenic species remain to be identified. Previous studies suggest that APP C-terminal fragment (APP.C99) can cause disease in an Aβ-independent manner. The mechanism of APP.C99 pathogenesis is incompletely understood. We used Drosophila models expressing APP.C99 with the native ER-targeting signal of human APP, expressing full-length human APP only, or co-expressing full-length human APP and β-secretase (BACE), to investigate mechanisms of APP.C99 pathogenesis. Key findings are validated in mammalian cell culture models, mouse 5xFAD model, and postmortem AD patient brain materials. We find that ribosomes stall at the ER membrane during co-translational translocation of APP.C99, activating ribosome-associated quality control (RQC) to resolve ribosome collision and stalled translation. Stalled APP.C99 species with C-terminal extensions (CAT-tails) resulting from inadequate RQC are prone to aggregation, causing endolysosomal and autophagy defects and seeding the aggregation of amyloid β peptides, the main component of amyloid plaques. Genetically removing stalled and CAT-tailed APP.C99 rescued proteostasis failure, endolysosomal/autophagy dysfunction, neuromuscular degeneration, and cognitive deficits in AD models. Our finding of RQC factor deposition at the core of amyloid plaques from AD brains further supports the central role of defective RQC of ribosome collision and stalled translation in AD pathogenesis. These findings demonstrate that amyloid plaque formation is the consequence and manifestation of a deeper level proteostasis failure caused by inadequate RQC of translational stalling and the resultant aberrantly modified APP.C99 species, previously unrecognized etiological drivers of AD and newly discovered therapeutic targets.

Based on mortar composites with a low water–cement ratio, the effects of hybrid aramid fiber (AF), calcium sulfate whisker (CSW), and basalt fiber (BF) on their mechanical properties and wear resistance were studied, and the correlation between wear resistance and compressive strength are discussed. A microstructure analysis was conducted through scanning electron microscopy (SEM) and the nitrogen-adsorption method (BET). The research results show that compared with the control group, the compressive strength, flexural strength, and wear resistance of the hybrid AF, CSW, and BF mortar composites with a low water–cement ratio increased by up to 33.6%, 32%, and 40.8%, respectively; there is a certain linear trend between wear resistance and compressive strength, but the discreteness is large. The microstructure analysis shows that CSW, AF, and BF mainly dissipate energy through bonding, friction, mechanical interlocking with the mortar matrix, and their own pull out and fracture, thereby enhancing and toughening the mortar. A single doping of CSW and co-doping of CSW and AF can refine the pore structure of the mortar, making the mortar structure more compact. [ABSTRACT FROM AUTHOR]

Spring-energized seals demonstrate good sealing performance over a wide range of pressures and temperatures and can compensate for installation eccentricity, high-temperature aging, etc. However, as a contact seal, its polytetrafluoroethylene (PTFE) jacket material is easily worn during the rotation of the end face, which leads to a decline in sealing performance and, ultimately, seal failure. Based on the Archard wear model, a performance prediction model of the spring-energized seal was established by combining tests and numerical analyses. In order to improve the tribological performance of spring-energized seals made of PTFE, varied fillers were added to modify the PTFE, and the tribological and mechanical properties of PTFE composites with varied fillers were measured in experiments. Using a performance prediction model for spring-energized seals, the variation in the friction performance of seals made of these filled PTFEs during the operating cycle was analyzed. The results showed that the performance prediction model can accurately simulate this variation. After a certain amount of wear, the deviation between the simulated data and the experimental data was within ±5%. Compared with spring-energized seals made of pure PTFE, the friction torque of spring-energized seals made of GF/PTFE was reduced by 28.97% at most, and the friction torque reduction rate was lowered by 22.25%. [ABSTRACT FROM AUTHOR]

Low-heat Portland cement and ground granulated blast furnace slag are widely used for the preparation of hydraulic concrete. Nevertheless, the effect and mechanism of corrosion on low-heat Portland cement paste mixed with ground granulated blast furnace slag need to be further explored. This paper investigated the impact of ground granulated blast furnace slag on the calcium leaching of low-heat Portland cement paste by evaluating its mass loss, porosity, leaching depth, compressive strength, and Vickers hardness, and comparing it with the leaching performance of ordinary Portland cement paste. Furthermore, the phase composition and morphology of low-heat Portland cement paste containing ground granulated blast furnace slag were analyzed by X-ray diffraction, mercury intrusion porosimetry, and scanning electron microscopy. The results indicate that, after 180 days of soaking in ammonium chloride solution, the mass loss rate, growth rate of porosity, leaching depth, and compressive strength loss rate of low-heat Portland cement paste were 8.0%, 43.6%, 9.1 mm, and 27.7%, respectively, while those of ordinary Portland cement paste were 7.4%, 37.8%, 8.4 mm, and 30.1%, indicating that low-heat Portland cement paste is slightly more damaging than ordinary Portland cement. The addition of ground granulated blast furnace slag could significantly improve the leaching resistance of low-heat Portland cement. For instance, after adding 20% ground granulated blast furnace slag, the above test values were 2.4%, 28.5%, 5.6 mm, and 20.8%, respectively. The reason for this is that ground granulated blast furnace slag has the potential to reduce the porosity of low-heat Portland cement paste, and it can also undergo the secondary hydration reaction with its hydration product Ca(OH)2 to enhance the paste structure. Considering the cost performance, the suitable dosage of low-heat Portland cement paste for satisfactory leaching resistance is about 20%. [ABSTRACT FROM AUTHOR]