The image is a screenshot of a document with visible text and annotations. The document seems to be an academic paper or article due to the layout and the presence of citations. There are highlights in yellow marking certain phrases or sentences, indicating areas of focus or importance. Some of the highlighted text includes numbers like "10" and "15" along with words such as "procedures," "recommendations," and what appears to be a reference number "[26]." The background is plain and does not provide any additional context about the location or setting.