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PubMed2005

Extending the Clapper-Yule model to rough printing supports.

The Clapper-Yule model is the only classical spectral reflection model for halftone prints that takes explicitly into account both the multiple internal reflections between the print-air interface and the paper substrate and the lateral propagation of light within the paper bulk. However, the Clapper-Yule model assumes a planar interface and does not take into account the roughness of the print surface. In order to extend the Clapper-Yule model to rough printing supports (e.g., matte coated papers or calendered papers), we model the print surface as a set of randomly oriented microfacets. The influence of the shadowing effect is evaluated and incorporated into the model. By integrating over all incident angles and facet orientations, we are able to express the internal reflectance of the rough interface as a function of the rms facet slope. By considering also the rough interface transmittances both for the incident light and for the emerging light, we obtain a generalization of the Clapper-Yule model for rough interfaces. The comparison between the classical Clapper-Yule model and the model extended to rough surfaces shows that the influence of the surface roughness on the predicted reflectance factor is small. For high-quality papers such as coated and calendered papers, as well as for low-quality papers such as newsprint or copy papers, the influence of surface roughness is negligible, and the classical Clapper-Yule model can be used to predict the halftone-print reflectance factors. The influence of roughness becomes significant only for very rough and thick nondiffusing coatings.

Journal Article↗

PubMed2026

Teaching Acute Coronary Syndrome High-Risk ECG Interpretation and Clinical Decision-Making Through FOAMed Videos and Podcast Versus Print-Based Materials Among Emergency Care Providers: Randomized Controlled Mixed Methods Trial.

BACKGROUND: Accurate interpretation of high-risk acute coronary syndrome (ACS) electrocardiograms (ECGs) is essential for early diagnosis and timely reperfusion, yet substantial deficits persist across health care professions. Digital self-learning formats such as FOAMed (Free Open Access Medical Education) are widely used, but their effectiveness has rarely been evaluated for complex, high-risk ACS ECG patterns. Existing ECG education studies often focus on students or single professional groups and established ST-segment elevation myocardial infarction (STEMI) criteria, leaving newer guideline-recognized STEMI equivalents, selected emerging occlusion myocardial infarction (OMI)-related patterns, and interprofessional emergency care underrepresented. OBJECTIVE: This study aimed to compare the effectiveness of FOAMed podcast and videos versus traditional print-based materials for teaching high-risk ACS ECG patterns and related clinical decision-making in emergency providers. METHODS: We conducted a prospective, interprofessional, controlled mixed methods trial across 5 training sites in Germany. Paramedics, prehospital emergency physicians, and emergency department clinicians received either a FOAMed multimedia module or print-based materials through concealed allocation; deviations from the intended 1:1 ratio resulted from participant no-shows. The intervention consisted of a 30-minute supervised self-learning session. In total, 103 participants were allocated to FOAMed (n=45) or print-based materials (n=58). Two coprimary outcomes were assessed: ECG interpretation accuracy and text-based ACS clinical decision-making. Secondary outcomes included subjective confidence, learning experience, and exploratory qualitative free-text responses. Outcome assessment was automated and blinded; mixed ANOVA was the primary analysis. The study was not prospectively registered because it assessed educational outcomes in health care professionals rather than patient health outcomes. RESULTS: All 103 participants completed the study. Both groups improved, with greater gains in the FOAMed group: ECG interpretation increased from 55% to 65.5% and text-based ACS clinical decision-making from 45% to 68%, versus 57% to 60% and from 47% to 63%, respectively, in the print-based group. Effect sizes were η²=0.055 for ECG interpretation and η²=0.044 for clinical decision-making. Exploratory subgroup analyses provided no evidence of differential effects across age, gender, or professional background and were likely underpowered. Qualitative responses (46 and 37 entries) provided contextual insights into perceived clarity, engagement, and practical relevance supporting the quantitative findings. CONCLUSIONS: This study is innovative in directly comparing a curated FOAMed multimedia module with selected print-based materials in an interprofessional emergency care population. It differs from existing research by focusing on subtle, emerging ischemic patterns and evaluating realistic, time-limited self-learning formats. The findings provide evidence that curated FOAMed resources can produce greater short-term improvements in ECG interpretation and text-based ACS clinical decision-making than traditional print-based materials in this setting. Although implications for clinical performance remain hypothetical, concise, high-quality digital modules may represent a practical supplement to structured continuing education in emergency care.

Humans↗

PubMed2000

Exposure to print and word recognition processes.

The effect of exposure to print on the efficiency of phonological and orthographic word recognition processes was examined by comparing two groups of university students having similar reading comprehension scores but different levels of exposure to print. Participants with a high level of exposure to print were faster and more accurate in naming pseudowords, in choosing the correct member of a homophone pair, and in making lexical decisions when nonwords were pseudohomophones. In the lexical decision task, low-print-exposure participants were more sensitive to the frequency of the orthographic patterns in the stimuli. The results of a form priming task demonstrated that high-print-exposure participants more quickly and strongly activated the orthographic representations of common words and subsequently more strongly activated the corresponding phonological representations. Even among successful students, differences in exposure to print produce large differences in the efficiency of both orthographic and phonological word recognition processes.

Adult↗

PubMed1988

Residential indoor air contamination by screen printing plants.

The presence of organic solvents was investigated by means of environmental monitoring of the indoor air during one workweek in each of ten selected small screen printing plants and the houses surrounding them in the inner city of Amsterdam. In the indoor air of the screen printing plants, 14 to 17 organic solvents were identified. The concentrations of the identified organic solvents varied widely from sampling location and period. In the indoor air of the houses situated above the plants, zero to fifteen organic solvents were identified. The concentration of organic solvents in the indoor air of the houses situated above was related to the type of construction materials. The highest concentrations were found in the houses situated above moderately maintained screen printing plants with wooden floors and ceilings (n = 5). The concentration of organic solvents in the indoor air of the houses situated above well maintained screen printing plants with wooden floors and ceilings (n = 3) was much smaller, while the plants situated in concrete new buildings (n = 2) were not a source of organic solvents. The calculated effect specific exposure index (EI), assuming an additive effect and based on the effect specific limit values (ESLVs) for two critical effects [irritation mucous membranes and (pre) narcotic effects] exceeded unity in one workroom in two of the screen printing plants. The calculated EIs for the residents of the houses on the first floor, based on the same ESLVs, but adjusted to potential continuous exposure and interindividual differences in susceptibility, did not exceed unity. However, episodes of irritation of mucous membranes and (pre) narcotic effects may occur.

Air↗

PubMed2005

Inkjet-printed monolayers as platforms for tethered polymers.

Combining inkjet printing and atom-transfer radical polymerization (ATRP) provides a straightforward and versatile method for producing patterned polymer surfaces that may serve as platforms for a variety of applications. We report the use of drop-on-demand technology to print binary chemical gradients and simple patterns onto solid substrates and, by using surface-confined ATRP, amplify these patterns and gradients. Chemically graded monolayers prepared by inkjet printing dodecanethiol and backfilling with 11-mercaptoundecanol showed continuous changes in the water contact angle along the gradient. These samples also exhibited a distinct change in the intensity of methyl group and C-O stretching modes along the gradient. Graded or patterned polymer layers were produced by growing, with ATRP, tethered poly(methyl methacrylate) (PMMA) layers from gradient or patterned printed monolayers that contained a bromo-capped initiator. Atomic force microscopy and optical microscopy confirmed that the PMMA layers amplified the underlying printed initiator layer with remarkable fidelity.

Free Radicals↗

PubMed1975

Extraction of lead from printed matter at physiological values of pH.

In an in vitro laboratory study of the extractability of lead in printed matter it was found that dangerous quantities of lead, up to 200 mug, could be extracted from "small" pieces of printed paper at pH values in the range of human gastric fluid. Lead was not extracted at pH values in the range of human saliva. Children who chew printed matter may not be in danger of absorbing lead, but the pica-prone child who swallows printed material may be at risk of absorbing excessive amounts of this toxic metal. The use of printing inks containing high-lead levels should be discouraged.

Color↗

PubMed1995

Determination of VOC emission rates and compositions for offset printing.

The release rates of volatile organic compounds (VOC) as fugitive emissions from offset printing are difficult to quantify, and the compositions are usually not known. Tests were conducted at three offset printing shops that varied in size and by process. In each case, the building shell served as the test "enclosure," and air flow and concentration measurements were made at each air entry and exit point. Emission rates and VOC composition were determined during production for (1) a small shop containing three sheetfed presses and two spirit duplicators (36,700 sheets, 47,240 envelopes and letterheads), (2) a medium-size industrial in-house shop with two webfed and three sheetfed presses, and one spirit duplicator (315,130 total sheets), and (3) one print room of a large commercial concern containing three webfed, heatset operations (1.16 x 10(6) ft) served by catalytic air pollution control devices. Each test consisted of 12 one-hour periods over two days. Air samples were collected simultaneously during each period at 7-14 specified locations within each space. The samples were analyzed by gas chromatography (GC) for total VOC and for 13-19 individual organics. Samples of solvents used at each shop were also analyzed by GC. Average VOC emission rates were 4.7-6.1 kg/day for the small sheetfed printing shop, 0.4-0.9 kg/day for the industrial shop, and 79-82 kg/day for the commercial print room. Emission compositions were similar and included benzene, toluene, xylenes, ethylbenzene, and hexane. Comparison of the emission rates with mass balance estimates based on solvent usage and composition were quite consistent.(ABSTRACT TRUNCATED AT 250 WORDS)

Air Pollutants, Occupational↗

PubMed2000

Exposure to organic solvents in the offset printing industry in Norway.

The purpose of this study was to document the conditions regarding solvent exposure at offset printing offices in Norway at present and to study the variation of exposure between printing office technologies. Measurements were made at seven offset printing offices. The measurements consisted of five to 10 whole day personal exposure measurements at each office performed over a period of 2 months. Variables that may influence the level of exposure were registered by the occupational hygienist at the end of each measuring day using a check list. The influence of the variables on the "additive factor" was examined by linear regression analysis.The main contributor to the "additive factor" was isopropanol. The exposure to isopropanol sometimes exceeded the Norwegian TLV. The exposure decreased when a separate exhaust ventilation was used. The exposure increased when the machine had automatic cleaning. The variables automatic cleaning and separate exhaust ventilation explained 59% of the variation in the "additive factor". The results of this study indicate that the most important source of solvent exposure in printing offices at present is the moisturizer used in the printing machines. We think it is worth giving attention to this exposure and making efforts to reduce it.

2-Propanol↗

PubMed2004

Heavy metals in the products of deinking flotation of digital offset prints.

This study was undertaken to investigate the suitability of applying the conventional method of chemical deinking flotation of digital offset prints and ecological implications of the disposal of digital offset prints, with special emphasis on the content of heavy metal cations. The EDXRF method was used to determine the concentrations of Pb, Zr, Sr, As, Co, Zn, Cu, Ni, Fe, Mn, Cr, V, Ti, Ca, and K cations in handsheet ashes after flotation as well as in ashes of foams separated from cellulose suspension in the flotation phase. The same method was applied to determine the concentrations of Pb, Cr, Mn, Fe, Ni, Cu, Zn, and Co in process water filtrates obtained from the cellulose suspension after flotation and in foam filtrates. Centrifuging and coagulation previously treated flotation process water, while foam filtrates were centrifuged. Concentrations of Pb, As, Sr, Zr, K, Ca, Ti, V, Cr, Mn, Fe, Cu, and Zn were determined in the sediments obtained by centrifuging process water. The trials were done with unprinted substrates without deinking chemicals, with unprinted substrates in the presence of deinking chemicals and with printed substrates in the presence of deinking chemicals. Cation analysis revealed that deinking chemicals facilitate release of cations from the substrate and their transition into process water. Concentrations of most cations in the flotation process water, in foam water as well as in the sediment of the process water of printed substrate flotation deinking were lower than those obtained by flotation of unprinted substrate suspension. Polymer particles of ElectroInk incompletely separated from cellulose fibers prevent release of cations from cellulose fibers into process water. Deinking chemicals do not affect release of cations from ElectroInk particles, so the substrate is the main source of increased concentration of cations in the water of digital offset print deinking. The major part of cations in process water is bound to the colloid particles of the filler (CaCO3) released by substrate disintegration and to particles of fine fibers.

Cellulose↗

PubMed2006

[The study and implementation of DICOM conformance in the network printing of PACS].

To implement the network printing in PACS (Picture Archiving and Communication System), each level of DICOM (Digital Imaging and Communication in Medicine) print management service is defined by means of object oriented method, and the corresponding events and properties are implemented with C++ language. It is tested on laser printers of AGFA, KODAK and FUJI to determine whether the network environment supports the print management service and implements the presentation LUT (Look Up Table) correctly. The quality control of printing at the level of data flow is also assessed. The program finally succeeds in realizing the network printing based on DICOM in hospital environment.

Computer Communication Networks↗

PubMed2005

Printing biomacromolecules on a bovine serum albumin precursor layer.

Various biomacromolecules including proteins and polysaccharides are printed on a substrate capped with a bovine serum albumin (BSA) precursor layer to create clear co-patterns of these molecules. Characterizations by confocal laser scanning microscopy (CLSM) and atomic force microscopy (AFM) demonstrate the successful production and clear boundaries of the co-patterns. Rinsing the BSA-adsorbed substrate and the biomacromolecules-inked stamp before microcontact printing (microCP) is crucial for the creation of clear and stable co-patterns. The patterns are mainly stabilized by electrostatic interactions and van der Waals forces. Characterizations by ellipsometry, UV-Vis and fluorescence spectroscopy reveal that printing by a flat PDMS stamp yields a denser layered structure of proteins with a higher amount than that of adsorbed proteins. By printing, however, a lower enzymatic catalytic activity for horseradish peroxidase (HRP) or binding capability for avidin (both normalized to amount) is determined. A conformational transition from alpha-helix to beta-sheet of HRP is observed by ATR-IR. By contrast, a BSA precursor layer can effectively improve the functionality of the printed HRP or avidin and preserve the original conformation of the proteins, although the absolute transferred amount of these proteins is decreased.

Animals↗

PubMed2005

Printing of protein microarrays via a capillary-free fluid jetting mechanism.

Current proteomics experiments rely upon printing techniques such as ink jet, pin, or quill arrayers that were developed for the creation of cDNA microarrays. These techniques often do not meet the requirements needed for successful spotting of proteins to perform high-throughput, array-based proteomic profiling. Biological laser printing (BioLP) is a spotting technology that does not rely on solid pins, quill pins, or capillary-based fluidics. The non-contact mechanism of BioLP utilizes a focused laser pulse to transfer protein solutions, thereby eliminating the potential for orifice clogging, air bubbles, and unnecessary volume loss potentially encountered in commercially available spotting technologies. The speed and spot-to-spot reproducibility of BioLP is comparable to other techniques, while the minimum spot diameter and volume per printed droplet is significantly less at 30 microm and approximately 500 fL, respectively. The transfer of fluid by BioLP occurs through a fluid jetting mechanism, as observed by high-speed images of the printing process. Arraying a solution of BSA with subsequent immunodetection demonstrates the reproducible spotting of protein in an array format with CVs of <3%. Printing of the enzyme alkaline phosphatase followed by a positive reaction with a colorimetric substrate demonstrates that functional protein can be spotted using this laser-based printer.

Alkaline Phosphatase↗

PubMed2002

Surface adsorption effects in the inkjet printing of an aqueous polymer solution on a porous oxide ceramic substrate.

The inkjet printing of a polymeric solution into a porous substrate was studied, with the focus on phenomena occurring within the pore space during infiltration. Lines of aqueous polyacrylic acid (PAA) solution were printed onto the surface of porous, high-green-density ceramic powder beds. The PAA is a binder for the ceramic particles, allowing removal of the printed line structure ("primitive") and characterization of the extent of polymer penetration. Large differences in cross section of the retrieved printed structure were observed between ceramic systems and for different specific surface area powders. A mechanism for "filtration" of the polymer by adsorption onto the ceramic particle surfaces during infiltration was proposed. The adsorption of PAA onto Al2O3, SiO2, and TiO2 was characterized via adsorption isotherms, and the trend of primitive cross section with PAA adsorption was consistent with the filtration hypothesis, as was the variation with powder-specific surface area. These results can be generalized to other systems where a solution is inkjet printed onto a porous substrate (e.g., inks on plain paper, porous coated papers, etc.) Utilization of the adsorption effects may allow confinement of the solute molecules (e.g., colorant) to a small region near the substrate surface.

Journal Article↗

PubMed1995

Printed cards for measuring low-vision reading speed.

There is a growing consensus that clinical evaluation of the real-world consequences of eye disease requires new performance-based tests. This is because Snellen acuity and other common clinical tests are often poor predictors of everyday function. Ahn and Legge [(1995) Vision Research, 35, 1931-1938] validated a computerized test of reading speed by showing that it provides an accurate prediction of low-vision reading performance with magnifiers. Here, we describe development of a printed-card version of the test suitable for clinical use. This printed-card test retains key design features of the validated computerized test, including the same set of sentences and display format. Data from 23 low-vision subjects showed that a very simple testing procedure using printed cards and a stop watch could be used effectively to estimate reading speed. Reading speed based on a single card was quite accurate (SD equal to about 18% of the mean) and showed no practice effects from one card to the next. Reading speeds obtained with printed cards correlated highly (r = 0.887) with those from computerized testing. We conclude that a simple test, using printed cards, can be used to obtain useful estimates of low-vision reading speed.

Adult↗

PubMed2005

Understanding print: early reading development and the contributions of home literacy experiences.

This study explored the development of children's early understanding of visual and orthographic aspects of print and how this is related to early reading acquisition. A total of 474 children, ages 48 to 83 months, completed standardized measures of phonological awareness and early reading skills. They also completed experimental tasks that tapped their understanding of what constitutes "readable" print. The parents of participants completed a questionnaire regarding their children's home literacy experiences. The data showed systematic development in children's understanding of print conventions and English orthography and spelling. Regression analyses indicated that print knowledge was related to early reading skill, even after accounting for variance due to age and phonological awareness. Furthermore, parents' ratings of the extent of their children's involvement in activities that led to practice in reading and writing most consistently predicted the development of emerging literacy skills, including understanding of the conventions of the English writing system. Little relation between print knowledge and the frequency of storybook reading by adults was observed.

Child↗

PubMed2006

Coarse neural tuning for print peaks when children learn to read.

Adult readers exhibit increased fast N1 activity to wordlike strings in their event-related brain potential. This increase has been linked to visual expertise for print, implying a protracted monotonic development. We investigated the development of coarse neural tuning for print by studying children longitudinally before and after learning to read, and comparing them to skilled adults. The coarse N1 tuning, which had been absent in nonreading kindergarten children, emerged in less than 2 years after the same children had mastered basic reading skills in 2nd grade. The N1 became larger for words than symbol strings in every child, and this coarse tuning was stronger for faster readers. Fast brain processes thus specialize rapidly for print when children learn to read, and play an important functional role in the fluency of early reading. Comparing 2nd graders with adults revealed a further decrease of the coarse N1 tuning in adults, presumably reflecting further reading practice. This constitutes a prominent nonlinear development of coarse neurophysiological specialization for print. The maximum tuning in novice readers possibly reflects the high sensitivity of their neural network for visual aspects of print, and a more selective tuning in expert adult readers.

Adult↗

PubMed2006

The printing process: tips on tips.

While the microarray printing process consists of a few simple operations, many variables can affect the final quality of printed arrays. As in most high-throughput processes, the ultimate goal is to reduce and control variability. This chapter describes how to minimize variation in the printing process through proper selection and installation of printing tips, printing buffers, and implementation of quality control procedures.

Oligonucleotide Array Sequence Analysis↗

PubMed2003

Pre-printed 'do not attempt resuscitation' forms improve documentation?

OBJECTIVE: Do not-attempt-resuscitate orders are fundamental for allowing patients to die peacefully without inappropriate resuscitation attempts. Once the decision has been made it is imperative to record this information accurately. However, during a related research projected we noted that documentation was poor and we thought that the introduction of a pre-printed Do Not Attempt Resuscitation (DNAR) form would improve the documentation process. DESIGN: Two sets of identical research questions were applied retrospectively, 12-months apart, to notes of adult patients (>18 years) who had died during a hospital admission without under-going a resuscitation attempt. Between the first and the second audit, a new resuscitation policy that incorporated a pre-printed DNAR form was introduced into our hospital. RESULTS: A pre-printed DNAR form improved documentation when measured against; clarity of DNAR order (P=0.05), date decision was made/implementation (P=0.014), presence of clinician's signature (P=0.001), identification of the senior clinician making the decision (P< or =0.001) and justification for the DNAR decision (P< or =0.001). However, the pre-printed form made little improvement in encouraging patient involvement in the DNAR decision-making process (P=0.348). CONCLUSION: A pre-printed DNAR form can improve documentation significantly but it has little effect in encouraging patient involvement in the decision-making process.

Adolescent↗