Medicare, a major healthcare program under the Centers for Medicare & Medicaid Services (CMS) has extended telemedicine services within several states in the US for different specialties for which it reimburses in order to establish a qualitative and accessible healthcare system. In parallel, it has been seen that teleradiology services by American Board Certified radiologists based offshore can significantly supplement healthcare delivery in the US by mitigating the shortage of radiologists and enhance outcomes of patient care especially for after-hours emergency work. Teleradiology can help workflow by improving workload distribution, lowering the cost of reporting, shortening turn-around-time for reports, and improving quality of life for staff. The aim of the article is to provide perspective on Medicare reimbursement of offshore telereporting services. We submit that due to its value proposition and contribution to healthcare, offshore telereporting by American Board Certified Radiologists is worthy of Medicare reimbursement and should be re-evaluated for its credits.

An appraisal of the groundwater potential of Alex Ekwueme Federal University Ndufu Alike was carried out by integrating datasets from geology, geographic information system and electrical resistivity survey of the area. The study area is underlain by the Asu River group of Albian age. The Asu River Group in the Southern Benue Trough comprises of Shales, Limestones and Sandstone lenses of the Abakaliki Formation in Abakaliki and Ikwo areas. The shales are generally weathered, fissile, thinly laminated and highly fractured and varies between greyish brown to pinkish red in colour. Twenty (20) Vertical Electrical Sounding data were acquired using SAS 1000 ABEM Terrameter and processed to obtain layer parameters for the study area. A maximum current electrode spacing (AB) of 300 meters was used for data acquisition. Computer aided iterative modelling using IPI2 Win was used to determine layer parameters. In-situ Hydraulic Conductivity measurements at seven parametric locations within the study area were conducted and integrated with Electrical Resistivity measurements to determine aquifer parameters (e.g., Hydraulic conductivity and Transmissivity) in real time. This technique reduces the attendant huge costs associated with pumping tests and timelines required to carry out the technique. Accurate delineation of aquifer parameters and geometries will aid water resource planners and developers on favourable areas to site boreholes in the area. Several correlative cross-sections were generated from the interpreted results and used to assess the groundwater potential of the study area. Results show that the resistivity of the the aquifer ranges from 7.3 Wm–530 Wm while depth to water ranges from 11.4 m to 55.3 m. Aquifer thicknesses range from 8.7 m at VES 5 to 36.3 m at VES 6 locations. Hydraulic conductivity ranges from 1.55 m/day at VES 15.18, and 19 locations to 9.8 m/day at VES 3 and 4 locations respectively. Transmissivity varies from 17.48 m²/day at VES 19 to 98 m²/day at VES 3 locations respectively. Areas with relatively high transmissivities coupled with good aquifer thicknesses should be the target of water resource planners and developers when proposing sites for drilling productive boreholes within Alex Ekwueme federal University Ndufu Alike.

Our study evaluated the effect of vanadium (V) on the behavior of Zinnia elegans “double variegated”. In this experiment, Zinnia plants grown in a greenhouse were fed with a nutrient solution and two concentrations of vanadium (0, 6, and 10 μm) applied four times during the experiment. The V at its levels of 6 µm and 10 µm increased plant length, number of inflorescences and fresh weight. We observed that during the development and appearance of flower buds, and flowering were earlier with the addition of 6 µm and 10 µm. During harvest the changes in size and shape were homogeneous with the control treatment. With the addition of 6 µm, flowers of different sizes were induced, with non-uniform petals, but with different shades of color. With 10 µm the shape of the petals, the distance between them and changes in the shades of the flowers were modified. The postharvest life for the flowers of the control treatment was shorter (15 days), the petals, anthers and floral disc at this time were observed in a poor condition. While 6 µm and 10 µm had a longer postharvest life (20 days), the flowers had a good presentation, their colors were more intense compared to the harvest stage. The application of this beneficial element contributed to the development and flowering of Zinnia in the greenhouse. It is suggested that future research be carried out on the accumulation and/or concentration of vanadium in the different stages of growth or its effect on the concentration of other nutrients.

Carbon based materials are really an integral component of our lives and widespread research regarding their properties was conducted along this process. The addition of dopants to carbon materials, either during the production process or later on, has been actively investigated by researchers all over the world who are looking into how doping can enhance the performance of materials and how to overcome the current difficulties. This study explores synthesis methods for nitrogen-doped carbon materials, focusing on advancements in adsorption of different pollutants like CO₂ from air and organic, inorganic and ions pollutants from water, energy conversion, and storage, offering novel solutions to environmental and energy challenges. It addresses current issues with nitrogen-doped carbon materials, aiming to contribute to sustainable solutions in environmental and energy sciences. Alongside precursor types and synthesis methods, a significant relationship exists between nitrogen content percentage and adsorption capacity in nitrogen-doped activated carbon. Nitrogen content ranges from 0.64% to 11.23%, correlating with adsorption capacities from 0.05 mmol/g to 7.9 mmol/g. Moreover, an electrochemical correlation is observed between nitrogen atom increase and specific capacity in nitrogen-doped activated carbon electrodes. Higher nitrogen percentage corresponds to increased specific capacity and capacity retention. This comprehensive analysis sheds light on the potential of nitrogen-doped carbon materials and highlights their significance in addressing critical environmental and energy challenges.

Given the eclectic and localized nature of environmental risks, planning for sustainability requires solutions that integrate local knowledge and systems while acknowledging the need for continuous re-evaluation. Social-ecological complexity, increasing climate volatility and uncertainty, and rapid technological innovation underscore the need for flexible and adaptive planning. Thus, rules should not be universally applied but should instead be place-based and adaptive. To demonstrate these key concepts, we present a case study of water planning in Texas, whose rapid growth and extreme weather make it a bellwether example. We review historic use and compare the 2002, 2007, 2012, 2017 and 2022 Texas State Water Plans to examine how planning outcomes evolve across time and space. Though imperfect, water planning in Texas is a concrete example of place-based and adaptive sustainability. Urban regions throughout the state exhibit a diversity of strategies that, through the repeated 5-year cycles, are ever responding to evolving trends and emerging technologies. Regional planning institutions play a crucial role, constituting an important soft infrastructure that links state capacity and processes with local agents. As opposed to “top-down” or “bottom-up”, we frame this governance as “middle-out” and discuss how such a structure might extend beyond the water sector.