Background: Human milk is considered an ideal diet for neonates, and every effort should be made to promote breastfeeding. Donor human milk (DHM) remains the best alternative for neonates when their mother's own milk (MOM) is not available. We tried to determine whether having easy access to DHM from a Human Milk Bank (HMB) would reduce the pursuit to feed neonates MOM. Methods: A retrospective study was conducted on data from neonates consecutively admitted to the Neonatal Intensive and Intermediate Care Units of the Department of Neonatology of the Medical University of Bialystok between 1 January 2022 and 31 March 2025. The study period covered 2 years before the opening of the HMB and 1 year of its operation. No specific changes in feeding practices occurred simultaneously during the HMB's first year of operation. Results: In the first year of operation of the HMB, we observed an increase in the percentage of neonates who (1) received mother's own colostrum (71.88% vs. 52.28% (2023) and 52.05% (2022); p < 0.001), (2) were fed human milk during hospitalization (24.38% vs. 3.57% (2023) and 4.09% (2022); p < 0.001) and (3) were fed MOM at discharge (43.86% vs. 56.25%, p = 0.024). In total, 53.06% of neonates who received DHM were fed MOM at discharge. Conclusions: The possibility of using milk from the HMB did not limit the desire to feed neonates MOM but intensified it. Neonates were more likely to be fed MOM during the first feeding, throughout their hospitalization, and at discharge. It shows the strong potential of HMBs in improving feeding practices in Neonatal Intensive and Intermediate Care Units.

Abstract Launched in April 2023, the Tropospheric Emissions: Monitoring of Pollution (TEMPO), instrument provides for the first time hourly measurements of atmospheric pollutants over most of North America at high spatial resolution (∼2 × 4.75 km 2 ). This evaluation of TEMPO's first year demonstrates the capability of total formaldehyde column retrievals (ΩHCHO, version 3) at different locations, seasons, and meteorological conditions. The ΩHCHO product is assessed using 36 ground‐based Pandora direct‐sun measurements from Pandonia Global Network (PGN) as a reference data set. The 36 PGN sites were chosen for consistency in direct‐sun and sky‐scan measurement modes. In the first year of operation (Aug 2023–Sep 2024), TEMPO ΩHCHO exhibits moderate to strong agreement at PGN sites in both measurement modes ( R 2 = 0.63 to 0.85). TEMPO shows a negligible bias of −2 ± 20% at lower ΩHCHO (&lt;1.0 × 10 16 molecule cm −2 ) and a larger underestimation of −22 ± 5% at higher ΩHCHO (&gt;1.5 × 10 16 molecule cm −2 ). TEMPO clearly captures the seasonal variability of ΩHCHO, with summer values being greatest and winter, spring, and fall values being lower by − 62%, − 45%, and − 29%, respectively. TEMPO shows no consistent bias at any time of day with excellent agreement with Pandora for different meteorological conditions. For all hourly differences between TEMPO and Pandora, 96% fall within 1 × 10 16 molecules cm −2 . TEMPO provides almost 50% more days with at least one observation compared to observations taken only at 1 p.m., from typical polar‐orbiting satellites. These findings confirm the high quality of TEMPO's ΩHCHO measurements under a wide variety of conditions and show great promise for future scientific applications.

As the year of 2025 has come to an end, we reflect on the first year of operations for the Journal of Independent Medicine (JIM). The journal stands tall after its inaugural year, having grown into a credible, durable, and increasingly visible venue for scientists, clinicians, and scholars to discuss issues that may be difficult—or at times impossible—to publish elsewhere, while maintaining a firm commitment to scientific rigor, transparency, and intellectual honesty.

Healthcare-associated infections, communicable diseases and antimicrobial resistance pose significant threats to the health and safety of people globally. In the Commonwealth of Australia, the responsibility for infection prevention and control governance at population levels is shared principally between state and federal governments, which work in concert to reduce the risk and impact of communicable disease within both healthcare and community settings. The federated nature of Australia with separation of powers between the jurisdictions and national government has led to variation in how these issues are managed within each of Australia's six states and two self-governing internal territories. In this paper, we use the Donabedian Framework to describe and document the structures, processes and outcomes of a newly established statewide infection prevention and control service, called the Queensland Infection Prevention and Control Unit. We canvas both the historical and contemporary landscape of infection prevention and control in Australia, and provide a comprehensive overview of the legislative and regulatory considerations that underpinned the new statewide infection prevention and control service in Queensland, Australia's third most populous state. We explore how this unit has been integrated into the broader health department, including existing communicable disease and surveillance bodies, and provide a brief overview of the preliminary outcomes achieved during the unit's first year of operation. In sharing our experiences, we hope to provide a useful resource for those in other jurisdictions nationally and globally undertaking similar ventures for prioritising infection prevention and disease control at population scale.

Scaling access to preventive genetics services requires implementation of new service delivery models. We launched and evaluated a new virtual clinical service, the Preventive Genetic Counseling Service (PGCS), to support the genetic counseling needs of a network of adult primary care practices. To determine the acceptability of a new virtual genetic counseling service to referring primary care clinicians and patients. A mixed-methods evaluation of the first year of clinical service operations. Referring primary care providers to and patients seen by the preventive genetic counseling service from July 2023 through June 2024. Mixed-methods analyses were used to synthesize quantitative findings from a clinical patient tracking system and patient surveys, as well as rapid qualitative analysis of multi-referring clinician interviews. Of 281 patients referred in the first year, 251 were seen. The most common visit reasons were for genetic counseling regarding predisposition to breast and related cancers (203/251, 82%), preconception counseling (31/251, 12%), and lastly for interpretation of direct-to-consumer genetic testing or other (17/251, 7%). Most patients seen completed genetic testing (152/251). Most patients returned to the care of their primary care clinician without the need for specialty care follow-up after their visit (187/251, 74%). Patients who completed an after-visit survey (n = 73 of 202 invited, response rate 36%) reported high satisfaction with the service, as indicated by a net promoter score of 80. Interviews were completed with 10 clinicians who referred multiple patients. They emphasized their satisfaction with the clinical service, the importance of supporting primary care clinicians in genetics, and the value of communication and clear handoffs between this service and primary care. In its first year of operations, the PGCS model was acceptable to referring clinicians and patients.

This paper presents the results of a theoretical assessment of public radiation burden by atmospheric emissions from NPP during the first year of operation and after 30 years of operation under normal conditions. Radiation burdens were estimated given the following exposure pathways of the human body: internal exposure through inhalation of radionuclides, external exposure to a cloud, external exposure to ground contamination and internal exposure to the intake of foodstuffs. It was found by calculation that when a NPP is operated under normal conditions, quotas for the permissible public radiation burden (10 µSv/year) generated by emissions of radioactive gases and aerosols into the atmosphere will not be exceeded. The main contribution to the total public radiation burden is made by external photon exposure to a radioactive cloud. The total dose through all exposure pathways resulting from atmospheric emissions increases over time due to the accumulation of long-lived radionuclides in environmental compartments, for which reason, after 30 years of NPP operation under normal conditions, the total dose of 60 Со and 90 Sr will increase by one mathematical order of magnitude.

Abstract This study is aimed at analysing the behaviour of Plovdivtsi ACRD during its initial impoundment and first years of operation. To this end, a comprehensive 2D FEM analysis is performed on the tallest instrumented section of the dam. The calculated response of the dam shows that the maximum displacements, strains and stresses reached during the initial impoundment slightly increased during the first several years of operation due to the hardening of the fill materials. The strains and stresses of the asphalt-concrete core of the dam remain well within the elastic range of the material. It is concluded that irrespective of the rapid initial impoundment, the behaviour of the dam remains completely satisfactory.

This paper presents an analysis and comparison of the energy and cost effectiveness of year-round liquid cooling systems that could be used in the climate of Saint Petersburg. An analysis of average monthly outdoor air temperatures over the past 10 years and the calculation of the seasonal energy performance ratio of a standard chiller and a chiller with an integrated free cooling system allowed to calculate the cost effectiveness of the free cooling technology. The study showed that a chiller with an integrated free cooling system has a significantly higher (by approximately 30%) seasonal energy performance ratio compared to a standard chiller. A cost estimate has confirmed that, despite higher initial capital costs, the free cooling system provides annual energy savings of approximately 1.5 million RUB. Economic benefits (return on additional investment) are already achieved in the first year of operation due to a significant reduction in operating costs. This study analyzes and provides design solutions for cooling systems based on real-life climate data for Saint Petersburg (average annual temperature = 7.1 °C) and the parameters of specific systems, enhansing the applicability of the findings in desiging energy-efficient systems in this region.

Over the past decade the team at UHN NORC Innovation Centre has had the privilege of learning from and working with aging adults living in naturally occurring retirement communities (NORCs). Together we have created a new integrated health and social care model that can be adapted to the needs of a diverse range of communities. The model currently supports up to ~4,000 aging adults including successfully addressing 95% of the needs identified through 0,000+ interactions. [PJ] Critical to the many successes has been the development and delivery of an Ambassador program as well as a steadfast commitment to take a participatory approach to build community and ensure aging adults have the agency to lead. The voices of aging adults guide implementation and improvement efforts as well as identify areas requiring innovation. Since many living in NORCs are relatively healthy and are living fairly independently there is a significant opportunity to preserve health system capacity by helping them stay healthy and, if needed, provide timely supports to get healthy. The community created through NORC programming as resulted in aging adults feeling they can take initiative and lead change, while their work in bringing community creates space to learn together, teach one another and normalize new ways to care for themselves and one another.These networks of mutual support resulted in the opportunity to address common health promotion and care challenges through care pathways that were initiated and co-developed by aging adults. In the first year of operation the team focused on three priorities- falls prevention, lung health and rapid access to appropriate care. We will share how care pathways have been developed and subsequently impacted care and health outcomes in participating sites. In one example, a resident who sustained a fall was cared for by a neighbour who kept a close eye for deterioration. Then, once a fractured hip was diagnosed, the person was supported by the community in the building both in the initial injury phase all through rehabilitation. Neighbors created a community of support for this person during rehab and worked closely with the NIC Team to ensure a smooth recovery.As a second example, aging adults indicated a desire to have a holistic end-to-end fall prevention, education and detection program. In this case on their won initiative, the aging adults in the building helped bring isolated individuals to the sessions, support the delivery of the intervention and assist with follow-up during the intervention.In a third example; a lung health initiative focusing on the early detection of COPD; neighbors were able to assist an individual in the building who presented as severely hypoxic. Working with the NIC Team, residents stepped up and assisted with the care delivery team to help get the person directly to the appropriate specialist while bypassing the emergency department.These and other similar instances provide several important learnings regarding people as partners in care: By providing agency to residents in buildings it possible to create a sense of confidence and courage for them to create supporting and engaged communities Responding to the needs identified in innovative ways can help create economies of scale by simultaneously reaching many individuals with one intervention. A community of aging adults can form and work with providers in delivering care to those who would normally be isolated and not have access to care. A group of aging adults can create a community of informal support for those who need extra help dealing with their conditions.

Context. Fast X-ray transients (FXTs) are bright X-ray flashes with durations of a few minutes to hours, peak isotropic luminosities of LX, peak ∼ 1042 − 1047 erg s−1, and total isotropic energies of E ∼ 1047 − 1050 erg. They have been detected with space-based telescopes such as Chandra, XMM-Newton, Swift-XRT, and Einstein Probe in the soft X-ray band. Einstein Probe detected &gt; 50 in its first year of operation. While several models have been proposed, the nature of many FXTs is currently unknown. One model predicts that FXTs are powered by the spin-down energy of newly formed millisecond magnetars. In this context, they are usually thought to form in a binary neutron star (BNS) merger. However, the rates seem to be in tension: the BNS volumetric rate is estimated to be ∼102 Gpc−3 yr−1, which barely overlaps with the estimated FXT volumetric rate of 103 − 104 Gpc−3 yr−1; thus, even in the small range of overlap, BNS mergers would need to produce FXTs with nearly 100% efficiency. Aims. We explore the maximum volumetric formation rate of millisecond spin period magnetars, including several possibilities beyond the BNS channel, comparing it with the volumetric rate of FXTs to determine what fraction of FXTs could have a millisecond magnetar origin. Methods. We compiled the estimated rate densities for several different suggested formation channels of rapidly spinning magnetars, including the accretion-induced collapse of white dwarfs, binary white dwarf mergers, neutron star–white dwarf mergers, and the collapse of massive stars. We converted the Milky Way event rates to volumetric rates, wherever necessary, by considering either the star formation rate or the stellar mass density distributions as a function of redshift. Results. We find that the highest possible rates among these possibilities come from binary white dwarf mergers and the collapse of massive stars. However, both scenarios may be unfavourable for FXT production due to uncertainties in the resultant spin and magnetic field distributions of the newly formed neutron stars and several observational constraints. Moreover, in all the scenarios, we find that the fraction of neutron stars that meet both criteria of rapid rotation and a strong magnetic field is either very low or highly uncertain. We conclude that millisecond magnetars are not the most viable progenitors of FXTs and can account for at most 10% of the entire FXT population.

Abstract As a soft X-ray imager with an unprecedentedly large field of view, Einstein Probe (EP)/Wide-field X-ray Telescope (WXT) has detected many (fast) X-ray transients, whose nature is very intriguing. Whether there is a gamma-ray counterpart for the X-ray transient provides important implications for its origin. Some of them have been reported to be associated with gamma-ray bursts; however, a systematic study on the gamma-ray emission of these X-ray transients is lacking. In this work, we implemented a comprehensive targeted search for gamma-ray counterparts to 63 X-ray transients reported by EP/WXT during its first year of operation, using the dedicated multiple-instrument search pipeline, Energetic Transients Joint Analysis System for Multi-Instrument (ETJASMIN), with GECAM-B, GECAM-C, Fermi/GBM, and Insight-HXMT data. We find that 14 out of 63 (22%) EP/WXT X-ray transients have gamma-ray counterparts. For other transients, the ETJASMIN pipeline provided the upper limit of the gamma-ray emission, which is more stringent than that given by an individual instrument. Moreover, we investigated the properties of the X-ray transients and their gamma-ray counterparts and explored the relation between the X-ray transient and the gamma-ray counterpart.

Elective surgical hubs at acute hospital trusts in England aim to increase productivity and efficiency in planned (elective) surgeries, reduce cancellations, and improve patient and staff experiences by ring-fencing care and focussing on High-Volume, Low Complexity (HVLC) surgeries. Using patient-level hospital data from April 2018 to December 2022, we evaluated the impact of new hubs (operational from 2019 onwards) and established hubs (operational before 2019) on trust-wide rates of total and HVLC elective surgeries using a generalised synthetic control methodology. Here, we show that during the first year of operation, the average rate of HVLC elective surgery in trusts with new hubs was 21.9% (95% CI 11.7%, 32.2%) higher than expected. After the COVID-19 pandemic, trusts with established hubs demonstrated greater resilience, with 11.2% higher than expected rates of total (1.3% to 21.2%) and HVLC (1.7% to 20.7%) elective surgery and 0.17 days (0.28 to 0.061) shorter than expected inpatient lengths of hospital stay. Our evaluation provides robust evidence to inform future priorities for elective care delivery.

This paper outlines a strategic approach to strengthen the expertise and skills of mental health nurses. It addresses the ongoing (r)evolutions in how generic nursing standards are being integrated into nursing curricula. Focusing on Flanders in Belgium, it explores the decline of specialised mental health nursing education and its implications for advanced practice nursing at the master's level. Central to this discussion is 'Letie', a newly established Belgian non-profit organisation founded in 2023. Letie aims to inspire and empower professional cohesion within mental health nursing by fostering collaboration, innovation, knowledge sharing, research and professional development. Reflecting on Letie's first year of operation, the paper draws on the author's experiences and vision to propose pathways for advancing the profession, while promoting resilience and adaptability in the face of educational and professional challenges. It seeks to engage mental health nursing professionals working in clinical practice, education and research in a meaningful dialogue about future directions for the discipline.

The responsibilities of an infusion therapy team may include choosing the most appropriate vascular access, performing safe insertion, maintaining the access, and even infusing medications and solutions. The objective of this study was to describe the scope of action and activities developed in the first year of operation of an infusion therapy team at a public hospital and to describe the effectiveness of the results. The team was formed by 2 infusion therapy nurses. In the first year, 1502 activities were carried out, with a predominance of peripherally inserted central catheter (PICC) insertions (896; 59.6%); consultations related to infusion therapy (185; 12.3%); and PICC clearance procedures (103; 6.8%). PICCs were inserted using tip navigation and intracavitary electrocardiogram guidance in 82.5% of cases. The PICC first-attempt insertion success was 81.7%. The cannulation with a guide was performed in 51% of the insertions, and the success of venipuncture in the first attempt while using the guide did not differ from the rate without using the guide, P = .98. The consultations were mostly related to the insertion site (33.0%) and the contraindication for PICC insertion (17.8%). The performance had positive impacts on application, dissemination of good practices, and cost reduction.

Building wall structures made of foam concrete are becoming more and more popular due to their structural qualities and excellent thermal protection. The heat and moisture regime of wall structures made of foam concrete has a decisive effect on their strength and heat protection properties.Purpose: The aim of this work is to clarify the heat and moisture transfer in foam concrete walls taking into account the influence of plaster layers deposited.Methodology/approach: Numerical modeling is conducted for non-stationary heat and moisture transfer in a flat homogeneous wall composed of D400 aerated concrete with various exterior and interior plastering options for climatic conditions in Tomsk. Calculations show that the plaster mortar applied to the wall, results in a significant buildup of moisture, while the internal plaster mortar applied, has no discernible impact on the heat and moisture transfer of the wall structure.Research findings: It is shown the influence of different plastering options on the position of the maximum moisture content in the wall made of foam concrete. The external walls coated with plaster mortar, including those performed after the first year of operation, demonstrate excessive moisture on the outer surface during the cold period due to the moisture condensation in the range of consistently low temperatures.

Business Performance and Governance Visual Presentation B04 Since assuming responsibility for the Operatorship of the Moranbah Gas Project (MGP) Operation in August 2023, GR Production Services (GRPS) has delivered several key benefits, significantly enhancing the plant’s overall performance and sustainability. Operational efficiency: GRPS implemented right sized, risk-based operational strategies and leveraged collective team expertise to streamline processes and reduce downtime. This resulted in increased production efficiency and reliability, ensuring a steady supply of gas and minimising interruptions. Safety and compliance: a strong emphasis on safety and regulatory compliance has been a hallmark of GRPS’ management. By introducing rigorous safety protocols and regular training programs, we have ensured a safe working environment, resulting in zero harm in our first year of operation whilst also fostering a culture of safety among employees. Cost management: through meticulous cost management practices, GRPS has achieved significant cost savings. This has been accomplished by reducing waste, enhancing maintenance practices and negotiating terms with suppliers, ultimately improving the plant’s financial performance. Environmental stewardship: GRPS has made strides in minimising the environmental impact of the MGP Operation. We have introduced measures to reduce emissions and manage waste responsibly, contributing to the broader goal of environmental protection. Community engagement: recognising the importance of community relations, GRPS has actively engaged with the local community in Moranbah. We have supported local initiatives, provided employment opportunities and sought that our operations positively impact the surrounding area. Overall, GRPS’ stewardship has led to a more efficient, safe and sustainable MGP Operation; benefiting stakeholders and the local community alike. To access the Visual Presentation click on the link on the right. To read the full paper click here

Voluntary assisted dying (VAD) became legal in Queensland in January 2023. This research examines the perceptions of doctors who have no in-principle objection to VAD, about the first year of VAD operation. Semi-structured interviews were conducted with 27 doctors 1year after VAD had been in operation. Three themes were developed: VAD is largely accepted as an end-of-life option and there is a collaborative approach with palliative care; VAD is being delivered as a public medical service, providing high-quality, timely access; and despite provision as a public medical service, there are remaining system access issues. The first year of VAD in Queensland has been generally positive, however, ongoing system access issues need to be addressed to ensure long-term sustainability of the service.

Purpose: The primary purpose of this paper is to evaluate the financial viability and sustainability of launching a new vegetarian restaurant, "Tandoori Tales," in Sri Lanka, using a comprehensive cost-benefit analysis. The study aims to provide actionable insights for entrepreneurs and stakeholders in the hospitality sector, with a particular focus on sustainable business practices. Methodology: The research employs a case study approach, integrating detailed financial modeling, cost and revenue projections, and break-even analysis. The analysis includes both quantitative (financial calculations using Python and Matplotlib) and qualitative (market positioning, eco-friendly strategies) methods to assess the feasibility and sustainability of the business. Results: The findings indicate that "Tandoori Tales" can achieve financial sustainability within the first year of operation, with a projected net profit margin of 15.2% and a break-even point reached within 10 months. The adoption of eco-friendly practices, such as waste reduction, portion control, and the use of technology for inventory management, further enhances the restaurant's operational efficiency and aligns with the United Nations' Sustainable Development Goals. Theoretical Contribution: The paper contributes to the literature on entrepreneurship and sustainable business by demonstrating how rigorous cost-benefit analysis, coupled with sustainability-driven strategies, can inform successful SME start-ups in emerging markets. It bridges the gap between financial planning and sustainable management in the restaurant industry. Practical Implications: This study provides a replicable framework for aspiring entrepreneurs and policymakers to assess the viability of new ventures in the hospitality sector. It underscores the importance of integrating sustainability considerations – such as responsible resource use, waste management, and employee welfare – into business planning to enhance long-term success and contribute to the achievement of the Sustainable Development Goals (SDGs). Sustainable Development Goals (SDGs): SDG 8: Decent Work and Economic Growth; SDG 9: Industry, Innovation, and Infrastructure; SDG 10: Reduced Inequalities; SDG 16: Peace, Justice and Strong Institutions.

Abstract X-ray transients (XTs) driven by newborn magnetars from mergers of neutron star binaries (NSBs) have occasionally been detected in the narrow-field Chandra Deep Field-South (CDF-S) survey and the Swift/X-Ray Telescope observations of short gamma-ray bursts. Quantifying their event rate density (ERD) and luminosity function (LF) is critical for understanding NSB coalescence and magnetar formation. Utilizing population synthesis calculations incorporating various equations of state (EoSs), we derive a local ERD of ∼300 Gpc−3 yr−1 and a redshift-dependent ERD profile peaking at z = 1.81 followed by a rapid decline beyond z ∼ 4. Constructing an XT sample based on CDF-S and Swift observations, we characterize the LF by a single power-law function at L ≤ 4.75 × 1046 erg s−1 with a slope of −1.03, followed by a broken power-law function in which the break luminosity is L b = 4.38 × 1047 erg s−1 and the slopes are −0.28 and −1.66. Based on the ERD and the LF, we estimate that the Einstein Probe (EP) detection rate is ∼31 yr−1, adopting a conservative threshold flux of 10−9 erg s−1, a luminosity range of L ∈ [2 × 1044, 2 × 1049] erg s−1, and a correction for the jet opening angle of ∼16∘. This detection rate is consistent with the EP observations during its first year of operation. It is important to note that our estimation is subject to uncertainties arising from the LF derivation. Future EP observations of these XT events will be crucial in reducing these uncertainties.

Spanish Hidradenitis Suppurativa Registry (REHS) of the Spanish Academy of Dermatology and Venereology: description and data from its first year of operation.