Complete Integration Research Articles

Development of a Nuclear Safety and Security Integration Assessment Tool for Research Reactors and Associated Facilities.

Nuclear safety and security are essential elements of radiation protection. Integration of nuclear safety and security provides a means to identify conflict and synergy points. Research has not been performed to enable integrated practices at the facility level. A tool was developed through research to help staff and regulators assess the level of integration practiced within a research reactor. This tool aims to improve the identification of synergistic and conflict points. Eight criteria of nuclear safety and security integration were used to create the integration assessment tool: access control, transportation, emergency response, proper disposal of materials, testing and maintenance, defense in depth, training and education, and culture. The tool's final score can range from 0.0375 to 1, with a score of 1 indicating complete integration. The tool was used by research reactor staff to assess practiced integrative techniques. The testing and maintenance criterion scored the highest level of integration (0.84). Training and education and culture scored the lowest levels of integration (0.50). The areas with the highest scores identified points of actively practiced integration. In contrast, those areas with lower scores indicated a lack of integrative practices. The total integration score was 0.69. This tool determined that the facility practiced an adequate level of integration. By analyzing integration levels with this tool, a measurable standard of integrative practices can be employed to achieve improved radiation protection.

Sharp bounds for the complete elliptic integral of the first kind in term of the inverse tangent hyperbolic function

Sharp bounds for the complete elliptic integral of the first kind in term of the inverse tangent hyperbolic function

Optimization of Process Parameters and Microscopic Morphology of Multi-Walled Carbon Nanotubes/PEEK Films Using the Vacuum Suction Filtration Method

Multi-walled carbon nanotubes (MWCNTs) are a high-quality interlamination reinforcement material, but the high viscosity of polyetheretherketone (PEEK) prevents good fusion between MWCNTs and PEEK. This study proposes a method to achieve the complete integration of MWCNTs and PEEK through the preparation of a composite film using the vacuum suction filtration (VSF) method and optimizes the process parameters. An orthogonal experiment with three factors (filter paper pore size, ultrasonic dispersion time, and PEEK content) at three levels is designed, and mechanical performance testing and microscopic morphology observation are conducted. The influence of the three factors of filter paper pore size, ultrasonic time, and PEEK content on the elastic modulus and tensile strength of the film is investigated. The results are a filter paper pore size of 0.45 μm, ultrasonic time of 8.3 h, and PEEK content of 336.524 mg. The mechanical performance obtained under the optimal process parameters are an elastic modulus of 2437.5723 MPa and a tensile strength of 46.5196 MPa. This optimal process increases the elastic modulus by 12.3152% while maintaining a high tensile strength.

Integration of Extended Reality with a Cyber-Physical Factory Environment and its Digital Twins

In this paper, we present an example of complete integration of eXtended Reality technologies within a demonstration laboratory showcasing Industry 4.0/5.0 compliant machinery in realistic scenarios of use. We describe the design choices and the implementation of the augmented and virtual reality applications developed and potentially usable to support different real-world tasks, featuring advanced gesture-based interaction modes. We also describe the optimized communication architecture used to synchronize data between the cyber-physical factory environment with all its components, its industrial digital twin, and the augmented and virtual replica of the factory. Example tasks supported with the tools in public demonstrations allow users wearing Microsoft HoloLens 2 or Meta Quest 2 headsets to monitor the status of the prototype production line and operate on it, locally or remotely. An example video showing the applications is available in the supplementary material.

The digital era of pediatric urological clinical care: telemedicine for management of lower urinary tract symptoms and nocturnal enuresis - a comprehensive tertiary center insight.

Lower urinary tract symptoms (LUTS) and nocturnal enuresis (NE) are complex conditions requiring a long-term follow-up. Telemedicine is an emerging technological tool in the surgical field, and its availability exponentially grew during the COVID-19 pandemic, expanding its application fields, optimizing technical aspects, reducing costs, and ensuring high-quality standards. This work describes our experience with telemedicine in a Division of Pediatric Urology for the follow-up of enuresis and LUTS. A retrospective analysis of our telemedicine preliminary experience was conducted at Regina Margherita Children's Hospital in Turin, Italy. This study included all the patients aged <18 years who were monitored for enuresis and LUTS through telemedicine between September 1, 2021 and July 31, 2023. Clinical data and outcomes were analyzed, and patients and families were asked to voluntary fill an evaluation questionnaire on their satisfaction. Additionally, we focused on the post COVID-19 period, between September 2022 and July 2023, analyzing the data of two different patients' populations: the first one (G1) of patients choosing telemedicine outpatients visits (TOVs) and the second one (G2) of those choosing a face-to-face visit. One hundred five patients were enrolled. One hundred sixty-two TOVs were performed. The median age at first visit was 9.7±0.66 years (range 7-16 years). Diagnosis were: 77/105 (67%) NE and 28/105 (33%) LUTS. The average referred distance between the patients' residence and the hospital was 46.35±129.37 km (range 2-1300 kilometers) and the time taken to overcome it was 44.21±77.29 minutes (range 10-780 minutes). In 64/105 cases (61%) the follow-up was interrupted for total healing or symptoms resumption. Only two cases (2%) required the conversion to an in-person ambulatory consult, due to a social-linguistic barrier. 146/162 families (90%) filled the survey questionnaire at the end of each TOV, reporting in 94% of cases a high satisfaction level. In the comparative statistical analysis of the two patient groups, G1 (52 telemedicine office visits, [TOVs]) vs. G2 (25 face-to-face visits), the average referred distance was 17.78±7.98 km (range: 5-35 km) for G1, contrasting with 7.04±3.35 km (range: 2.5-14 km) for G2 (P=0.00001). Additionally, the waiting time before the visit was 3.96±2.90 minutes (range: 0-10 minutes) for G1, in contrast to 26.52±11.22 minutes (range: 5-44 minutes) for G2 (P=0.00001). Furthermore, a higher compliance with behavioral or pharmacological indications was observed in the G1 group, exhibiting lower adherence in only 12 out of 52 cases compared to 14 out of 25 cases in G2 (P=0.0091). Telemedicine is a proper solution and an effective tool to manage the therapeutic follow-up of NE and LUTS, ensuring suitable quality standards and reducing social costs, such as the loss of working days and transport costs. The implementation and complete integration of its use into the healthcare system should be the goals to pursue in order to take full advantage of all its potentials.

Post-9/11 American Society and the Identity Negotiation of Muslim Characters in Ayad Akhtar’s Disgraced (2012)

This article studies the Negotiation of Muslim Identity in Ayad Akhtar’s Disgraced (2012) that Muslim characters practice after the 9/11 attacks in the USA. The paper, moreover, evaluates the Muslim characters encountering the backlash, discrimination, harassment, othering, religious profiling, media propaganda, and alienation despite their complete integration and assimilation into the hostland identity. To explore how the Muslim Immigrant characters, as members of the minority out-group(MO), adopt the strategies of identity negotiation and construct the reactive Muslim identity in the selected play in the post-9/11 American context, The Social Identity Theory by Tajfel and Turner (2004) is used as the theoretical model through the textual analysis and Close Reading Method. The paper, furthermore, aims to study the Muslim characters struggling with the identity crisis and the derogatory treatment from the majority in-group Americans (MI). It also adds to research on the selected play the comprehensive understanding to the readers about the identity negotiations and Muslim identity construct after the 9/11 attacks in America.

Optimising microgrid energy management: Leveraging flexible storage systems and full integration of renewable energy sources

The significance of microgrid systems has grown considerably. This research proposes an innovative approach to manage uncertainty in microgrids by employing energy storage systems as the exclusive flexible resource. To address this challenge, a mathematical problem is formulated as a two-stage stochastic programming model, considering two uncertainties in the microgrid: wind and photovoltaic production. The microgrid system encompasses multiple components, including a diesel generator, a microturbine, wind and photovoltaic power generation, an energy storage system, and the microgrid’s demand. Notably, the microgrid exhibits two distinctive features: (i) the complete integration of wind and photovoltaic production, and (ii) the utilisation of an energy storage system as the sole flexible resource. The objective is to minimise the expected cost of the microgrid system while determining the optimal capacity of the energy storage system to meet the energy balance constraint. This constraint takes into account the varying scenarios of wind and photovoltaic production. The decisions are taking for a duration of 8760 h, a long-term evaluation. A case study is presented for actual data from Greece and the results show high volatility of the renewable energy sources implies higher energy storage system capacity as a sole flexible source for avoiding renewable curtailment.

How to Complete Supply Chain Integration and Improve Supply Chain Performance Through Relationship Governance in the Digital Age

In the process of manufacturing supply chain development, because appropriate governance mechanisms are lacking, manufacturing supply chain stability, integration and other aspects face many challenges. Such as opportunism, “free riding” and data leakage affect supply chain development. Thus, many manufacturing firms are adopting supply chain relationship governance (SCRG) as a strategic to enhance performance. Using data collected from a survey of 295 manufacturing firms, this paper confirms the influence of SCRG on supply chain performance (SCP). The mediating effect of supply chain integration (SCI) and the moderating effect of digital capabilities (DCs) are explored. The results show that SCRG has a beneficial effect on SCP. SCI plays a partial mediating role in SCRG and SCP. DCs positively moderate the relationship between SCRG and SCI. This study is one of the first to explore the role of DCs in the relationship between supply chain partners and the impact on performance. It provides fresh perspectives and real-world evidence for determining the importance of SCRG strategies.

On-chip flow cytometer using integrated photonics for the detection of human leukocytes

Differentiation between leukocyte subtypes like monocytes and lymphocytes is essential for cell therapy and research applications. To guarantee the cost-effective delivery of functional cells in cell therapies, billions of cells must be processed in a limited time. Yet, the sorting rates of commercial cell sorters are not high enough to reach the required yield. Process parallelization by using multiple instruments increases variability and production cost. A compact solution with higher throughput can be provided by multichannel flow cytometers combining fluidics and optics on-chip. In this work, we present a micro-flow cytometer with monolithically integrated photonics and fluidics and demonstrate that both the illumination of cells, as well as the collection of scattered light, can be realized using photonic integrated circuits. Our device is the first with sufficient resolution for the discrimination of lymphocytes and monocytes. Innovations in microfabrication have enabled complete integration of miniaturized photonic components and fluidics in a CMOS-compatible wafer stack. In combination with external optics, the device is ready for the collection of fluorescence using the on-chip excitation.

Exploration of Natural Element Form Optimization Algorithm using Spatial-Temporal Multi-Scale Alignment Graph Neural Network in Architectural Design Based on Morphological Theory

The construction industry has experienced important changes in recent years due to advancements in digital, artificial intelligence, and construction technologies, as well as the sector's on-going development and the advancement of science and technology. The creative growth of building industry, creative creation of architectural forms are partially supported technically by sophisticated parametric design apparatuses, the potent computing benefits of computer technology. In this manuscript, Exploration of Natural Element Form Optimization Algorithm using Spatial-Temporal Multi-Scale Alignment Graph Neural Network in Architectural Design Based on Morphological Theory (ENEF-OA-ADMT) is proposed. The STMSA-GNN and the Chaotic Coyote Algorithm (CCA) are two tools used by the proposed ENEF-OA-ADMT approach to improve architectural design based on morphological theory. The ST-MSA GNN's ability to capture intricate interactions and dependencies between several components in both space and time allows it to perform a comprehensive study of the morphological aspects of architectural designs. This graph neural network's integration of spatial and temporal dimensions enables a deeper understanding of how the architectural structural form design changes over time. The CCA optimized the ST-MSA-GNN to enhance the architectural structural form design. The proposed ENEF-OA-ADMT methodology skill fully combines these methodologies, creating a strong framework that allows architects and designers to work together to explore, refine, and create architectural structural design forms. The framework provided serves as a spur for further research, encouraging a more complete integration of technology and environment in the architectural domain. The effectiveness of proposed method is executed in python, evaluated through performance metrics encompassing accuracy, precision, specificity, Recall, computational time, F1 score, population diversification, randomness. Proposed ENEF-OA-ADMT method 34.56%, 28.63% and 21.89% higher accuracy, 34.97%, 32.13% and 21.89% higher precision and 34.68%, 20.84% and 29.76% higher randomness when compared with the existing methods such as Study of Morphological Design of Architecture from Geometric Logic Perspective (SOT-MDA-GLP), learning deep morphological networks by neural architecture search (LD-MN-NAS) and identifying degrees of deprivation from space utilizing deep learning with morphological spatial analysis of deprived urban areas (IDDS-DLMSA-DUA) respectively.

Implementation of evidence-based medicine in dietetic practice: Current status and hurdles in Italy.

Background: Health professionals, including dietitians, should adapt their clinical daily practice to evidence-based practice (EBP), but this does not happen often in daily practice. The aim of this study was to investigate the current status and barriers to evidence-based practice among dietitians. Methods: This was a mixed-method, cross-sectional, national study (questionnaire and focus group) performed on working and registered dietitians, both self-employed and employed by public hospitals. The main outcomes were EBP knowledge, frequency of use, and proficiency scores. Barriers to EBP implementation were also collected, as well as qualitative information from the focus group. Results: Forty-three dietitians were enrolled from August to November 2021 in Italy. Overall, EBP knowledge was moderate/good. Younger dietitians (< 50 years old) obtained better results than their older colleagues. A similar trend was observed in terms of seniority. There was a discrepancy between EBP knowledge and perception of EBP implementation: the worst scores were obtained by participants who claimed an already complete integration of EBP. The average frequency of EBP use was moderate, with higher scores in dietitians ≥ 50 years old and with seniority ≥ 20 years. EBP proficiency instead was poor. The focus group revealed a lack of time and resistance to change as the main barriers. Conclusion: The importance of EBP is well-acknowledged, but it is not correctly implemented yet, because of identified barriers that need to be fixed. These barriers include a lack of dedicated time, inadequate EBP training, and resistance to change, especially in hierarchical environments.

Implementation Barriers Encountered During a Universal Suicide Screening Program in Pediatric Emergency Departments.

Because understanding barriers to universal suicide risk screening in pediatric emergency departments (PEDs) may improve both identification and management of suicidal behaviors and ideation, this study assessed barriers to a quality improvement initiative examining the use of a novel computerized adaptive test (CAT), the Kiddie-CAT, in 2 PEDs. Research assistants (RAs) trained in Rapid Assessment Procedures-Informed Clinical Ethnography methods documented barriers related to the environment, individuals, and workflow as encountered during screening shifts, categorizing the barriers' impacts as either general to a screening shift or related to screening an individual youth/caregiver dyad. Using thematic content analysis, investigators further categorized barriers based on type (eg, workflow, language/comprehension, clinician attitudes/behaviors) and relationship to the limited integration of this initiative into clinical protocols. Reasons for refusal and descriptive data on barriers are also reported. Individual screen barriers were most often related to workflow (22.9%) and youth/caregiver language/comprehension challenges (28%). Similarly, workflow issues accounted for 48.2% of all general shift barriers. However, many of these barriers were related to the limited integration of the initiative, as RAs rather than clinical staff conducted the screening. Although this study was limited by a lack of complete integration into clinical protocols and was complicated by the COVID-19 pandemic impacts on PEDs, the findings suggest that considerable attention needs to be directed both to physician education and to workflow issues that could impede universal screening efforts.

Perspectives of Medical Students and Developers Regarding Virtual Reality, Augmented Reality, Mixed Reality, and 3D Printing Technologies: Survey Study

Background Emerging technologies, such as virtual reality (VR), augmented reality (AR), mixed reality (MR), and 3D printing (3DP), have transformative potential in education and health care. However, complete integration has not yet been achieved, and routine use is limited. There may exist gaps in the perspectives of these technologies between users and developers, and improvement may be necessary in developing such technologies. Objective The purpose of this study was to investigate the gaps in perspectives between medical students and developers in medical education regarding satisfaction and anticipated future use of VR, AR, MR, and 3DP technologies, as well as developers’ perspectives on their advantages and current challenges. Methods This retrospective survey study was conducted during a 4-hour elective course over a period of 4 weeks. In this course, computed tomography scans of congenital heart disease patients, medical image processing software, head-mounted displays, and a virtual table were used. Student pre- and postsurveys and the developer survey included demographic and other characteristics, satisfaction, and anticipated future use of VR, AR, MR, and 3DP technologies. The advantages and current challenges of these technologies were only assessed in the developer survey. Results The study enrolled 41 participants, including 15 first-year medical students and 26 software and content developers. Students were more satisfied than developers across AR, VR, and 3DP in terms of overall satisfaction (VR and AR: P&lt;.001; 3DP: P=.002), esthetics (VR: all P&lt;.001; AR: vividness, P=.006 and design, P&lt;.001; 3DP: vividness, P=.001 and design, P=.002), and continuous use intention (VR: repetition, P=.04 and continuous use, P=.02). Particularly in VR, satisfaction with reality was higher among students than among developers (real world, P=.006). Developers anticipated future use of MR for educating medical students and residents, individual and collaborative surgical planning, and performing surgery on patients. In contrast, students anticipated future use of VR primarily for student education, 3DP for resident education and individual surgical planning, and AR for collaborative surgical planning and performing surgery on patients. Developers perceived the inherent capabilities of VR, AR, and MR technologies as strengths, with hardware performance identified as a drawback. For 3DP, the possibility of customized product manufacturing was seen as an advantage, while cost was seen as a disadvantage. Conclusions This study elucidated the different perspectives between medical students and developers regarding 3D technologies, highlighting the discrepancy in potential applications and challenges within the medical field. These findings will guide the integration of 3D technologies in education and health care to fulfill the needs and goals of both medical students and developers.

Realistic Problems and Practical Paths of "Three-Wide Education" in Higher Education Based on Text Analysis and Mining

"Three complete education" is a powerful attempt to meet the requirements of the times. Students must have high quality, and they are compound talents who meet the requirements of the times "Universal education" is to provide students with comprehensive training to improve their cultural level and spiritual and moral level to meet the requirements of future social competition. To study the comprehensive reform and development of the moral education in universities, this paper reviews and standardizes the formation and development of the comprehensive reform in universities, which is related to the development of the comprehensive reform from three aspects: strengthening the system interconnection in the process of all staff training, strengthening the effective interaction between cultures in the whole process, and ensuring the complete organic integration of cultures. It puts forward a solution to the comprehensive reform of "three complete education" for universities. Provide some reasonable suggestions for the intensive development of moral education in universities.

Reduced graphene oxide electrodes meet lateral flow assays: A promising path to advanced point-of-care diagnostics

Research in electrochemical detection in lateral flow assays (LFAs) has gained significant momentum in recent years. The primary impetus for this surge in interest is the pursuit of achieving lower limits of detection, especially given that LFAs are the most widely employed point-of-care biosensors. Conventionally, the strategy for merging electrochemistry and LFAs has centered on the superposition of screen-printed electrodes onto nitrocellulose substrates during LFA fabrication. Nevertheless, this approach poses substantial limitations regarding scalability. In response, we have developed a novel method for the complete integration of reduced graphene oxide (rGO) electrodes into LFA strips. We employed a CO2 laser to concurrently reduce graphene oxide and pattern nitrocellulose, exposing its backing to create connection sites impervious to sample leakage. Subsequently, rGO and nitrocellulose were juxtaposed and introduced into a roll-to-roll system using a wax printer. The exerted pressure facilitated the transfer of rGO onto the nitrocellulose. We systematically evaluated several electrochemical strategies to harness the synergy between rGO and LFAs. While certain challenges persist, our rGO transfer technology presents compelling potential for setting a new standard in electrochemical LFA fabrication.

Film Formation of Iodinated Latex Dispersions and Its Role in Their Antimicrobial Activity.

Waterborne coatings with intrinsic antibacterial attributes have attracted significant attention due to their potential in mitigating microbial contamination while simultaneously addressing the environmental drawbacks of their solvent-based counterparts. Typically, antimicrobial coatings are designed to resist and eliminate microbial threats, encompassing challenges such as biofilm formation, fungal contamination, and proliferation of black mold. Iodine, when solubilized using ethylene glycol and incorporated as a complex into waterborne latex dispersions, has shown remarkable antimicrobial activity. Here, we demonstrate the effect of the film formation process of these iodinated latex dispersions on their antimicrobial properties. The effect of iodine on the surface morphology and mechanical, adhesion, and antimicrobial properties of the generated films was investigated. Complete integration and uniform distribution of iodine in the films were confirmed through UV-vis spectrophotometry and a laser Raman imaging system (LRIS). In terms of properties, iodinated films showed improved mechanical strength and adhesion compared with blank films. Further, the presence of iodine rendered the films rougher, making them susceptible to bacterial adhesion, but interestingly provided enhanced antibiofilm activity. Moreover, thicker films had a lower surface roughness and reduced biofilm growth. These observations are elucidated through the complex interplay among film thickness, surface morphology, and iodine properties. The insights into the interlink between the film formation process and antimicrobial properties of iodinated latex dispersions will facilitate their enhanced application as sustainable alternatives to solvent-based coatings.

Spatio-temporal evolution of sports tourism industry integration: A empirical analysis of Xinjiang in China.

Since the issuance of the "Guiding Opinions on Vigorously Developing Sports Tourism" in 2016, the integration of sports and tourism has become a strategy in regional economic development. It creates new economic growth points, enhances local images, and promotes cultural communication. In the context of the "Tourism Makes Xinjiang Thrive" strategy, quantitatively investigating the integration of the sports and tourism industries helps people to better understand their interaction which can serve as the valuable input in policy-making for the comprehensive development of a region. This paper uses entropy weight method, stochastic frontier analysis and coupling coordination model to quantitatively analyze the effect of sports tourism industry integration in Xinjiang from the perspective of integration path. Meanwhile, the Dagum Gini coefficient and nuclear density estimation were used to analyze the regional differences and dynamic evolution of industrial integration quality. The result shows that (1) The sports and tourism integration quality in Xinjiang has not reached the optimal goal of complete integration. In the process of mutual industrial promotion, tourism promotes a higher degree of integration with the sports industry. (2) The industrial integration quality shows a phenomenon of "imbalance and inadequacy" among the regions. The regions with high quality of industrial integration were Urumqi, Ili, Kashgar, Altay and Changji, which have rich sports tourism resources. (3) The overall spatial difference in the quality of industrial integration presented a fluctuation downtrend. The difference between the tourism industrial belts was very significant.

Application of Zoom E-learning Management System in Business Education in Universities Nigeria

The study examined the application of the Zoom e-learning management system, in the context of Business Education in Nigerian universities. The study employed a descriptive survey design. The sample consisted of 801 lecturers. A questionnaire consisting of 39 items was utilized for data gathering. The instrument demonstrated face and content validity, with reliability indexes of 0.86, 0.91, and 0.84, respectively. The data analysis was conducted using the measures of statistical mean. The results indicated that the majority of participants expressed their preference for the Zoom management system as the primary method of instruction in university business education in this era of ICT worldwide dominance. Several obstacles have been identified that have impeded the complete integration of Zoom into teaching and learning in Nigerian universities. The challenges encompass insufficient infrastructure for Zoom utilization, exorbitant subscription fees, and insufficient digital proficiency among teachers and students. Consequently, the study recommended the necessity of the government for enhanced financing to provide the necessary equipment and readily available internet subscriptions in universities. School authorities are anticipated to establish the integration of the Zoom platform as a mandatory policy.

Novel Dual Bicolumnar Fibula Graft Reconstruction of Distal Humerus in Pediatric Patients After Massive Bone Resection: A Report of Two Cases.

We describe 2 case studies, involving a 10-year-old girl with an aneurysmal bone cyst and a 12-year-old adolescent boy with Ewing sarcoma. The patient with Ewing sarcoma was previously managed with wide surgical excision and fibular graft reconstruction and subsequently experienced significant graft resorption, hardware failure, and fracture 24 months after operation. A revision limb salvage attempt was undertaken. In both cases, fibular strut grafts were harvested and fixed with intramedullary k-wires to recreate the medial and lateral columns of the distal humeral triangle. The technique achieved complete osseous integration, structural support, and functional restoration of the elbow in both cases, with good functional outcomes.

The Chebyshev property of some complete hyper-elliptic integrals of the first kind

The Chebyshev property of some complete hyper-elliptic integrals of the first kind