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Timber has been a prominent construction material for construction from the beginning of human civilization. The research aims at investigating the mechanical properties and durability (against chemical attack) of locally sourced wood species to be used in the construction industry. Authentication test of species, specific gravity, durability, compressive strength, bending strength, tensile strength and shear strength tests were conducted for locally available timber species. From the 34 species investigated, 24 species were observed to have viable properties to be used as softwood and hardwood timber in construction. After being exposed to sulfuric testing, compressive strength results (parallel to grain) of Pihibiya (Filicium decipiens) and Muttikadol (Xylocarpus granatum) were only reduced by 4.3% and 1.6%, respectively. This is evidence of the two species having strong chemical resistivity. Bala, Katta Kumanjal, Muttikadol, Wal Jambu, Karambu, Malkaralla and Thammanna were identified as underutilized timber species in the local context, having bending strengths over 25 N/mm2. Overall, this research is important for the international society as it contributes to sustainable resource management, economic development, environmental conservation, standardization, and knowledge exchange.

Ibn Khaldun was popularly known as a Muslim intellectual since the West discovered his work, Muqaddimah. Through this work, he became the only Muslim scientist whose methods and knowledge basis were accepted by the West. Ibn Khaldun became popular with several names, such as Sociologist, Economist, and the founder of social science. However, only few attempts use Ibn Khaldun's perspective as an analytical tool in the discipline of sociology. In Indonesia, the study of the sociology of religion often refers to the big names of sociologists born from the West socio-historical context. Ibn Khladun theory of Al-Umran and Ashabiyah has offered a big concept about civilization, culture, and communal ties that are generated through his research on Muslim society as its focused object. This results of this study reveal that the Ashabiyah theory can be used as an alternative perspective in the study of the sociology of religion, especially to analyze the socio-religious phenomena of the multicultural Muslim society in Indonesia. With the reason that the similarity of the socio-historical context of the object of analysis is very important in determining a perspective to be used. Although, it does not mean that perspectives with different contexts should be abandoned. On the contrary, those perspectives can be used as a complementary perspective, to enrich the scientific treasure in the Sociology of Islam.

ملحص وجود القرية في المدينة بمحافظة جوغجاكرتا لا يخلو من تأثير القصر، ولذلك، أكثر الخصائص الموجودة من مجتمعها يتمسكو قويا على إعتقاد محلي على الشكل الرئيسي القيمة والقنون المشتقة من ثقافة جوى. من ناحية أخرى، نجد في نصوص كثيرة أن نشرالإسلام وتنميته بمحافظة جوغجاكرتا لا يخلو من تأثير القصر أن طريق الدعوة التي يقوم بها الشيخ الحاج أحمد دحلان. وهتان طائفتان مجتمع المسلم واهل إعتقاد محلي يعتبران طائفتان متعارضتان . السؤال الذي يطرح من هذه المشكلة هو: هل تستطيع هتان طائفتان المتعارضتان تتعاملان معا في بيئة واحدة ؟ كيف تصنعان علاقتة حارة مع وجود إختلاف كثير فيما بينهم ؟ المقصود من هذه الكتابة على ضوء المعاملة الرموزية والتركبية الوظفية هو تصوير إجراء المعاملة المباشرة وإصدار نظام المجتمع المنظم وعلاقة حارة. التوسط والتسامح من عدة فعالية المجتمع التي تظهر من ذلك إجراء المعاملة المباشرة. من حيث سوسيولوجي الأقسام السابقة تعد من رأس المال الإجتمع هو أساس تنمية الإقتصاد لكل طائفة كما درسناها كثيرا في ضوء الإستفادة. بل أكثر من ذلك هو وسيلة لإحضار المقاومة الإجتماعية . مفاتح الكلمة: الإسلام، إعتقد محلي، رأس المال الإجتمع ، القرية في المدينة. Abstrak Keberadaan kampung kota di Yogyakarta tidak bisa dilepaskan dari pengaruh keraton, sehingga karakteristik masyarakatnya yang dominan adalah mereka masih memegang kuat kepercayaan lokal utamanya nilai dan norma yang bersumber dari budaya Jawa. Di sisi lain, banyak literatur yang menyebutkan bahwa pertumbuhan Islam di Yogyakarta juga tidak bisa dilepaskan dari pengaruh keraton melalui peran dakwah KH Ahmad Dahlan. Kedua kelompok ini, yakni Islam dan tradisi lokal seringkali dianggap sebagai dua kutub yang saling berlawanan. Pertanyaan yang sering muncul adalah dapatkah dua kelompok yang berbeda ini berelasi bersama dalam satu komunitas? Bagaimana mereka dapat membangun suatu hubungan yang harmonis dalam perbedaan identitas? Melalui perspektif interaksionisme simbolik dan struktural fungsional artikel ini bermaksud untuk mendeskripsikan bagaimana proses interaksi berlangsung dan memunculkan system sosial yang tertib dan harmonis. Keterbukaan, toleransi, saling mengakui, adalah beberapa tindakan sosial yang muncul dari proses interaksi tersebut. Komponen-komponen ini secara sosiologis dapat dikategorisasikan sebagai bagian dari modal sosial, suatu modal yang tidak hanya dapat menjadi basis pengembangan ekonomi komunitas seperti yang banyak dipelajari dalam perspektif pemberdayaan, namun lebih dari itu dapat menjadi sarana untuk mewujudkan ketahanan sosial.

Abstract Objective This research investigates the potential anti-tumour effects of bromelain, an aqueous extract from pineapple stems and fruits, on nasopharyngeal cancer (NPC). While bromelain is known for its medicinal properties in various cancers, its impact on NPC remains unexplored. Results Using in silico methods, we studied the predicted interactions between bromelain and key proteins involved in NPC oncogenesis, specifically β-catenin, PIK3CA, mTOR, EGFR, and BCL2. Molecular docking strategies were performed using a myriad of computational tools. A 3D model of bromelain was constructed using SWISS-MODEL, followed by molecular docking simulations performed with ClusPro. The binding affinities of the docked complexes were evaluated using HawkDock, and the interactions were analysed with LigPlot+. The docking scores indicated potential spontaneous interactions, with binding affinities based on being − 103.89 kcal/mol (PIK3CA), -73.16 kcal/mol (EGFR), -71.18 kcal/mol (mTOR), -65.22 kcal/mol (β-catenin), and − 57.48 kcal/mol (BCL2). LigPlot + analysis revealed the presence of hydrogen bonds, hydrophobic interactions, and salt bridges, indicating stable predicted interactions. Conclusion Our findings suggest that bromelain can target key proteins involved in NPC oncogenesis, with the strongest affinity towards PIK3CA. This suggests a hypothetical insight into bromelain’s anticancer effects on NPC through the modulation of the PI3K/Akt signaling pathway.

The pulmonate snail Melampus sincaporensis L. Pfeiffer, 1855 (Gastropoda: Ellobiidae) lives in extreme environments such as salt marshes with limited oxygen. Here, we characterized the complete mitochondrial genome of M. sincaporensis from South Korea. It is 14,962 bp in length and includes 13 protein-coding genes (PCGs), two genes, 21 tRNA genes lacking one tRNA-Ser, and two A + T rich regions. Among these 36 genes, 24 were encoded on the heavy strand and 12 on the light strand. A maximum likelihood tree constructed using nucleotide sequences of the 13 PCGs did not support the monophyly of Ellobiidae. This study could provide useful information for exploring phylogenetic relationships among ellobiids and their related species.

Introduction Students’ peer relatedness is vital to their academic achievement and engagement. However, little is known about the mechanisms that can explain such a link in health professions education, especially in interprofessional education (IPE), where interprofessional socialization is promoted. To address the research gap in understanding the social dynamics embedded within IPE and their impact on crucial motivational outcomes, this study examines how peer relatedness (belonging) mediates the link between motivation (both intrinsic and extrinsic) and engagement in IPE.Methods Data from 841 students enrolled in IPE from Medicine, Nursing, Social Work, Chinese Medicine, Pharmacy, Speech and Hearing Sciences, Clinical Psychology, and Food and Nutritional Science from a university in Hong Kong were used in this study. Intrinsic and extrinsic motivation were collected at baseline, while peer relatedness need satisfaction and engagement and disaffection in IPE were assessed after four weeks. We used a fully latent structural equation model to examine whether peer relatedness mediated the link between motivation and engagement in IPE.Results Our results indicate that intrinsic motivation at baseline significantly increases engagement and reduces disaffection four weeks later, while extrinsic motivation shows the opposite effect. Crucially, the adaptive role of motivation to engagement was significantly mediated by relatedness from IPE teams. Specifically, the effect of students’ motivation on their engagement/disaffection in IPE can be partially explained by their relatedness within IPE teams.Conclusion This study underscores the importance of peer relatedness in IPE, highlighting its role in harnessing student motivation to foster student engagement. The findings contribute to a deeper understanding of the psychosocial mechanisms in IPE and highlight the value of collaborative learning environments in fulfilling students’ need for relatedness, thereby fostering adaptive IPE learning outcomes. The implications and limitations of the study are also discussed.

Biomass waste, generated globally in vast quantities, represents an underutilized yet highly valuable resource for advanced material production. This study highlights a novel valorization pathway for waste tangerine peels, sourced from Jeju Island, South Korea, by converting them into high-performance activated carbon (T-AC) with exceptional pore characteristics, specifically designed for volatile organic compound (VOC) removal. Utilizing a unique combination of hydrothermal carbonization (HTC) and dry carbonization (DC) processes, the structural properties of the biomass were optimized, significantly enhancing the fixed carbon content. Subsequent chemical activation with an alkaline agent yielded T-AC with an outstanding specific surface area (1530–3375 m2/g) and total pore volume (0.73–2.00 cm3/g), with a tailored pore distribution favoring the sub-mesopore range (2.0–4.0 nm). The T-AC demonstrated remarkable performance in removing methylene chloride (MC), a hazardous VOC, with methylene chloride activity (MA) increasing from 44.7% to 76.3% as the activation agent ratio increased, while methylene chloride working capacity (MWC) improved significantly from 17.1% to 55.9%. These results underscore the transformative potential of tangerine peel-derived AC as a sustainable solution for VOC remediation, combining environmental waste management with advanced adsorption technology. The findings not only advance the field of biomass utilization but also offer a scalable approach for tackling pressing environmental and industrial challenges.

Background: This study aimed to develop a clinical model to predict late-onset fetal growth restriction (FGR). Methods: This retrospective study included seven hospitals and was conducted between January 2009 and December 2020. Two sets of variables from the first trimester until 13 weeks (E1) and the early third trimester until 28 weeks (T1) were used to develop the FGR prediction models using a machine learning algorithm. The dataset was randomly divided into training and test sets (7:3 ratio). A simplified prediction model using variables with XGBoost’s embedded feature selection was developed and validated. Results: Precisely 32,301 patients met the eligibility criteria. In the prediction model for the whole cohort, the area under the curve (AUC) was 0.73 at E1 and 0.78 at T1 and the area under the precision-recall curve (AUPR) was 0.23 at E1 and 0.31 at T1 in the training set, while an AUC of 0.62 at E1 and 0.73 at T1 and an AUPR if 0.13 at E1, and 0.24 at T1 were obtained in the test set. The simplified prediction model performed similarly to the original model. Conclusions: A simplified machine learning model for predicting late FGR may be useful for evaluating individual risks in the early third trimester.

Abstract Challenges in the understanding of three-dimensional (3D) brain networks by simultaneously recording both surface and intracortical areas of brain signals remain due to the difficulties of constructing mechanical design and spatial limitations of the implanted sites. Here, we present a foldable and flexible 3D neural prosthetic that facilitates the 3D mapping of complex neural circuits with high spatiotemporal dynamics from the intracortical to cortical region. This device is the tool to map the 3D neural transmission through sophisticatedly designed four flexible penetrating shanks and surface electrode arrays in one integrated system. We demonstrate the potential possibilities of identifying correlations of neural activities from the intracortical area to cortical regions through continuous monitoring of electrophysiological signals. We also exploited the structural properties of the device to record synchronized signals of single spikes evoked by unidirectional total whisker stimulation. This platform offers opportunities to clarify unpredictable 3D neural pathways and provides a next-generation neural interface.

Objective Our study aimed to investigate the effects of a 2% increase in dietary total digestible nutrients (TDN) value during the growing (7 to 12 mo of age) and fattening (13 to 30 mo of age) period of Hanwoo steers. Methods Two hundred and twenty Hanwoo steers were assigned to one of two treatments: i) a control group (basal TDN, BTDN, n = 111 steers, growing = 70.5%, early fattening = 71.0%, late fattening = 74.0%) or high TDN (HTDN, n = 109 steers, growing = 72.6%, early = 73.1%, late = 76.2%). Growth performance, carcass traits, blood parameters, and gene expression of longissimus dorsi (LD) (7, 18, and 30 mo) were quantified. Results Steers on the BTDN diets had increased (p≤0.02) DMI throughout the feeding trial compared to HTDN, but gain did not differ appreciably. A greater proportion of cattle in HTDN received Korean quality grade 1 (82%) or greater compared to BTDN (77%), while HTDN had a greater yield grade (29%) than BTDN (20%). Redness (a*) of LD muscle was improved (p = 0.021) in steers fed HTDN. Feeding the HTDN diet did not alter blood parameters. Steers fed HTDN diet increased (p = 0.015) the proportion of stearic acid and tended to alter linoleic acid. Overall, saturated, unsaturated, monounsaturated, and polyunsaturated fatty acids of LD muscle were not impacted by the HTDN treatment. A treatment by age interaction was noted for mRNA expression of myosin heavy chain (MHC) IIA, IIX, and stearoyl CoA desaturase (SCD) (p≤0.026). No treatment effect was detected on gene expression from LD muscle biopsies at 7, 18, and 30 mo of age; however, an age effect was detected for all variables measured (p≤0.001). Conclusion Our results indicated that feeding HTDN diet could improve overall quality grade while minimum effects were noted in gene expression, blood parameters, and growing performance. Cattle performance prediction in the feedlot is a critical decision-making tool for optimal planning of cattle fattening and these data provide both benchmark physiological parameters and growth performance measures for Hanwoo cattle feeding enterprises.

Abstract In cellular experiments, radiation-induced DNA damage can be quantified by counting the number of γ-H2AX foci in cell nucleus by using an immunofluorescence microscope. Quantification of DNA damage carries uncertainty, not only due to lack of full understanding the biological processes but also limitations in measurement techniques. The causes of limited certainty include the possibility of expressing foci in varying sizes responding individual DSBs and the overlapping of foci on the two-dimensional (2D) immunofluorescence microscopy image of γ-H2AX foci, especially when produced due to high-LET radiation exposure. There have been discussions on those limitations, but no successful studies to overcome them. In this paper, a practical modelling has been developed to simulate the occurrences of double-strand breaks (DSBs) and the formations of γ-H2AX foci in response to individual DSB formations, in cell nucleus due to exposure to alpha particles. Cell irradiation and DSB production were simulated using a user-written code that utilizes Geant4-DNA physics models. A C + + code was used to simulate the formation γ-H2AX foci, which were spatially correlated to the loci of DBSs, and to calculate the number of individual foci from the observed 2D image of the cell nucleus containing the overlapping γ-H2AX foci. The average size of focal images was larger from alpha particle exposure than that from X-ray exposure, whereas the number of separate focal images were comparable except at doses up to 0.5 Gy. About 40% of separate focal images consisted of overlapping γ-H2AX foci at 1 Gy of alpha particle exposure. The foci overlapping ratios were obtained by simulation for individual size groups of focal images at varying doses. The size distributions of foci at varying doses were determined with experimentally obtained separate focal images. The correction factor for foci number was calculated using the foci overlapping ratio and foci size distribution, which are specific to dose from alpha particle exposure. The number of individual foci formations induced by applying the correction factor to the experimentally observed number of focal images better reflected the quality of alpha particles in causing DNA damage. Consequently, the conventional γ-H2AX assay can be better implemented by employing this computational modelling of γ-H2AX foci formation.

Background: Cigarette smoke (CS) is considered a principal cause of chronic obstructive pulmonary disease (COPD) and is associated with mucus hypersecretion and airway inflammation. Ginsenoside compound K (CK), a product of ginsenoside metabolism, has various biological activities. Studies on the effects of CK for the treatment of COPD and mucus hypersecretion, including the underlying signaling mechanism, have not yet been conducted. Methods: To study the protective effects and molecular mechanism of CK, phorbol 12-myristate 13-acetate (PMA)-induced human airway epithelial (NCI–H292) cells were used as a cellular model of airway inflammation. An experimental mouse COPD model was also established via CS inhalation and intranasal administration of lipopolysaccharide. Mucin 5AC (MUC5AC), monocyte chemoattractant protein-1, tumor necrosis factor-α (TNF-α), and interleukin-6 secretion, as well as elastase activity and reactive oxygen species production, were determined through enzyme-linked immunosorbent assay. Inflammatory cell influx and mucus secretion in mouse lung tissues were estimated using hematoxylin and eosin and periodic acid–schiff staining, respectively. PKCδ and its downstream signaling molecules were analyzed via western blotting. Results: CK prevented the secretion of MUC5AC and TNF-α in PMA-stimulated NCI–H292 cells and exhibited a protective effect in COPD mice via the suppression of inflammatory mediators and mucus secretion. These effects were accompanied by an inactivation of PKCδ and related signaling in vitro and in vivo. Conclusion: CK suppressed pulmonary inflammation and mucus secretion in COPD mouse model through PKC regulation, highlighting the compound's potential as a useful adjuvant in the prevention and treatment of COPD.

Abstract Background Extracellular vesicle (EV)-microRNAs (miRNAs) are potential biomarkers for various renal diseases. This study attempted to identify the circulating EV-miRNA signature not only for discriminating idiopathic membranous nephropathy (IMN) from idiopathic nephrotic syndrome (INS), but also to predict the treatment response of patients with IMN. Methods We prospectively enrolled 60 participants, including those with IMN (n = 19) and INS (n = 21) and healthy volunteers (HVs; n = 20) in this study. Using RNA sequencing, we assessed the serum EV-miRNA profiles of all participants. To identify the EV-miRNAs predictive of treatment response in IMN, we also analyzed EV-miRNAs among patients with IMN with and without clinical remission. Results The expression levels of 3 miRNAs differed between IMN patients, INS patients and HVs. In addition, compared to HVs, RNA sequencing revealed differential expression of 77 and 44 EV-miRNAs in patients with IMN without and with remission, respectively. We also identified statistically significant (|fold change ≥ 2, p

Abstract The objective of this retrospective study is to verify the effectiveness and safety of patient-specific titanium implants on maxillofacial bones, with a long-term follow-up. Total 16 patients with various maxillofacial defects underwent reconstruction using patient-specific titanium implants. Titanium implants, manufactured by electron beam melting, selective laser sintering, or milling, were inserted into the maxilla, mandible, or zygoma. Long-term follow‐up (36.7 ± 20.1 months) was conducted after the surgery. Bone fusion of the titanium implant body, postoperative infection, implant malunion, functional results, patient satisfaction, subsidence, osteolysis around the implants, and complications were recorded and analyzed at the last follow-up. Of the 28 implants, only one failed to unite with the bone; therefore, revision surgery was performed. No osteolysis or subsidence around the titanium implants nor adverse events were observed; the mean VAS score for satisfaction was 9. All patients enrolled in this trial were esthetically and functionally satisfied with their surgical results, and fixation failure and esthetic dissatisfaction complications were well resolved. Patient-specific titanium showed satisfactory outcomes when used to treat various oral and maxillofacial defects. A 3D printed titanium implant can be effectively used in the reconstruction of the zygoma and mandible instead of autogenous bone without donor site morbidity.

Abstract Aging and atherosclerotic progression can lead to geometric changes in the carotid arteries. We conducted a longitudinal study to investigate geometric changes in the bilateral carotid arteries. We conducted a retrospective study of 177 subjects who underwent carotid contrast-enhanced magnetic resonance angiography (MRA) at our clinic at baseline and 10 years after the procedure. Semi-automated methods were used to segment the bilateral carotid arteries to obtain carotid artery geometric measurements. The mean age for the total population after 10 years was 70.7 ± 10.6 years (male, 40.1%). The mean time interval between baseline and after 10 years for all subjects was 130.2 ± 8.1 months. The bilateral bifurcation angle, the diameters for both common carotid arteries (CCAs), and areas of both CCAs significantly increased (p

Since the inception of the current pandemic, COVID-19 related misinformation has played a role in defaulting control of the situation. It has become evident that the internet, social media, and other communication outlets with readily available data have contributed to the dissemination and availability of misleading information. It has perpetuated beliefs that led to vaccine avoidance, mask refusal, and utilization of medications with insignificant scientific data, ultimately contributing to increased morbidity. Undoubtedly, misinformation has become a challenge and a burden to individual health, public health, and governments globally. Our review article aims at providing an overview and summary regarding the role of media, other information outlets, and their impact on the pandemic. The goal of this article is to increase awareness of the negative impact of misinformation on the pandemic. In addition, we discuss a few recommendations that could aid in decreasing this burden, as preventing the conception and dissemination of misinformation is essential.

PURPOSE: Exophthalmometry value has great clinical significance in the presence of many orbital diseases which can cause proptosis, including thyroid-associated orbitopathy, tumors, inflammation, head and orbital trauma, and craniofacial abnormalities. Measurements of exophthalmometry and ocular biometry vary between races and countries. This study aimed to present the normative values of exophthalmometry in adult Malays of Kelantan and the relationship between ocular biometry (axial length, corneal curvature, anterior chamber depth, and white-to-white) with the obtained exophthalmometry values. MATERIALS AND METHODS: This was a hospital-based, cross-sectional study in the Ophthalmology Clinic of Universiti Sains Malaysia, Kubang Kerian, Kelantan, where 267 individuals above 20 years old participated between August 2018 and May 2020. Participants were examined with Hertel exophthalmometer and intraocular lens Master by the same investigator. Data were analyzed using the Statistical Package of the Social Science software (version 24.0). Multiple linear regression was used to assess any significant correlation between exophthalmometric value and each biometric variable. RESULTS: In the data collected, the mean exophthalmometric value for the right eye was 13.93 ± 2.221 mm and the left eye was 13.93 ± 2.232 mm. Overall, male had a higher exophthalmometric value than the female with a statistically significant P = 0.001. Axial length was uniquely significant for the amount of variance in the exophthalmometric value with P < 0.001, while corneal curvature, anterior chamber depth, and white-to-white showed no statistical significance. CONCLUSION: Our study had established the normal exophthalmometric value for Malay adults in Kelantan for future clinical reference. The axial length had shown to have a significant positive correlation with exophthalmometric values.

Foreground object segmentation that captures the spatial and temporal information of moving objects in video is the most fundamental task for activity understanding in many intelligent applications, such as smart stores. Recently, several methods are proposed for the detection and recognition of activity based on object segmentation. However, these methods are often inaccurate because they do not maintain the temporal associations of object segment consistency across time. In this work, we proposed a hierarchical approach for foreground object segmentation and activity semantics understanding from sequential video to preserve spatial and temporal connectivity in the frames. The proposed system consists of two main modules: (a) the concatenated deep learning network containing PSPNet and convolutional-GRU to segment the foreground of an object of interest; (b) the activity mining framework which incorporates three sub-modules (i) a RetinaNet-based frame classifier to detect and count objects of interest; (ii) a time-domain activity and event detection algorithm; (iii) an image-based item query engine to recognize the shopping items. To evaluate the proposed approach, we designed the smart checkout-box called iCounter to collect the shopping activities dataset named “NOL-41” which is used in extensive experiments. The results show that the accuracy of the foreground object segmentation is 90.6%, the accuracy of the frame classification is 93.4%, the accuracy of activity event detection is 98.4%, and the accuracy of item query is 94.3%. Finally, the overall accuracy of the shopping list is 95.2%.

The general well-being of the human population is highly dependent on the quality, availability, and accessibility to clean water. However, there is a global clean water shortage due to increased industrial activities, population explosion, flooding, and water pollution. This has tremendously increased water-associated disease, especially in developing and third world countries. One of the effective ways to improve primary healthcare is through adequate clean water supply which can be achieved through desalination. Thus, in this study, a hybrid solar desalination system was developed to provide clean water for households. The system has shown high efficiency and effectiveness in providing clean water of about 20L/m2.day. An increase in such systems can improve the global clean water supply and reduce water-related diseases and environmental degradation.

Background Type 2 diabetes mellitus (T2DM) is a progressive metabolic disease. Early detection of prediabetes is important to reduce the risk of T2DM. Some cytokines are known to be associated with T2DM. Therefore, we aimed to identify cytokines as novel biomarkers of glucose dysmetabolism. Methods The first stage of the study included 43 subjects (13 subjects with newly diagnosed T2DM, 13 with prediabetes, and 16 with normoglycemia) for cytokine microarray analysis. Blood samples of the subjects were assessed for 310 cytokines to identify potential indicators of prediabetes. The second stage included 142 subjects (36 subjects with T2DM, 35 with prediabetes, and 71 with normoglycemia) to validate the potential cytokines associated with prediabetes. Results We identified 41 cytokines that differed by 1.5-fold or more in at least one out of the three comparisons (normoglycemia vs. prediabetes, normoglycemia vs. T2DM, and prediabetes vs. T2DM) among 310 cytokines. Finally, we selected protein Z (PROZ) and validated this finding to determine its association with prediabetes. Plasma PROZ levels were found to be decreased in patients with prediabetes (1,490.32±367.19 pg/mL) and T2DM (1,583.34±465.43 pg/mL) compared to those in subjects with normoglycemia (1,864.07±450.83 pg/mL) (P

Background Several oncoplastic approaches have been implemented in recent years to enhance cosmetic results and to reduce complications. The round block technique is a volume displacement technique for breast reconstruction after breast-conserving surgery (BCS). However, its indications are currently limited according to tumor location, and its cosmetic results and complications have not been clearly established. We hypothesized that the round block technique could produce favorable cosmetic results without major complications regardless of tumor location or nipple-tumor distance, below a certain resected tumor volume and tumor-breast volume ratio. Methods All breast reconstructions using the round block technique after BCS were included in this analysis. Patients’ data were reviewed retrospectively to investigate complications during follow-up, and clinical photos were used to evaluate cosmetic results. The relationships of tumor location, nipple-tumor distance, tumor volume, and the tumor-breast volume ratio with cosmetic results were investigated. Results In total, 108 breasts were reconstructed. The mean resected tumor volume was 30.2±15.0 mL. The cosmetic score was 4.5±0.6 out of 5. Tumor location, nipple-tumor distance, tumor volume, tumor-breast volume ratio, radiotherapy, and chemotherapy had no significant effects on cosmetic results or complications. There were no major complications requiring reoperation. Conclusions Breast reconstruction using the round block technique after BCS can lead to good cosmetic results without major complications regardless of the tumor location, nipple-tumor distance, radiotherapy, or chemotherapy. Below the maximum tumor volume (79.2 mL) and the maximum tumor-breast volume ratio (14%), favorable results were consistently obtained.

Abstract Background Allium hookeri is widely consumed as a vegetable and herbal medicine in Asia. A. hookeri has been reported anti-inflammatory, anti-obesity, osteoblastic, anti-oxidant, and anti-diabetic effects in animal studies. We investigated the anti-diabetic effects of A. hookeri aqueous extract (AHE) in the Korean subjects. Methods Prediabetic subjects (100 ≤ fasting plasma glucose (FPG)

Here, we investigated the effects of different nutrient requirements (NR) on blood metabolites, transferable embryo number after multiple superovulations with artificial insemination (AI), body condition score (BCS), and estrus cycle in Hanwoo cow. Nineteen Hanwoo cows were randomly divided into three groups (80%, 100%, and 120% NR, containing 6, 8, and 5 individuals, respectively) and fed based on the NR. In experiment 1, glucose, total cholesterol, triglyceride, blood urea nitrogen (BUN), aspartate aminotransferase (AST), alanine aminotransferase (ALT), non-esterified fatty acids (NEFA), albumin (ALB), and total protein (TP) were analyzed. In experiment 2, total number of recovered embryos and transferable embryos was examined after embryo recovery and multiple superovulations with AI. In experiment 3, body weight, BCS, and estrus cycle were examined. In experiment 1, total cholesterol was significantly different among the 80%, 100%, and 120% NR groups (126.5 ± 3.3, 152.6 ± 2.4, and 177.4 ± 1.8 mg/dL, respectively, p < 0.05). The triglyceride and BUN levels in the 120% NR group were significantly higher than those in the 80% and 100% groups (p < 0.05). The NEFA levels were significantly different among the 80%, 100%, and 120% NR groups (440.5 ± 18.2, 318.5 ± 23.1, and 195.1 ± 8.5 ЧEq/L, respectively, p < 0.05). The AST and TP levels in the 80% NR group were significantly lower than those in the 100% and 120% NR groups (p < 0.05). In experiment 2, the 120% NR group showed a higher percentage of transferable embryos than the 80% and 100% groups (p < 0.01). The mean body weight and BCS among the 80%, 100%, and 120% NR groups were significantly different (p < 0.05). The estrus cycle in the 80% NR group was delayed compared with the 100% and 120% NR groups (20.8 ± 0.2 and 21.2 ± 0.5 days, respectively). In conclusion, the blood metabolic tests proved that Hanwoo cows with 120% NR can produce a large number of transferable embryos. Thus, 120% NR is the appropriate feeding level for this type of cows as it results in the production of a large number of transferable embryos by multiple superovulations with AI.

Purpose: We investigated the effect of severe calcification of the femoropopliteal artery on intervention outcomes in patients with ischemic tissue loss. Materials and Methods : : A retrospective review of the first endovascular treatment of the femoropopliteal artery for ischemic tissue loss between May 2010 and February 2018 was performed. The calcification of femoropopliteal lesions was estimated by the Compliance 360° score, and lesions with a score of 4 were defined as severe calcification lesions. Results : : Overall, 135 first femoropopliteal endovascular procedures on 135 limbs from 112 patients were included in this study. Among the 135 limbs that received treatement of the femoropopliteal arteries, 74 limbs had Trans-Atlantic Inter Society Consensus (TASC) A or B lesions and 61 limbs had TASC C or D lesions. Among 61 cases of TASC C or D lesions, 21 limbs (34.4%) had severe calcification; there was no statistically significant difference in limb salvage (P=0.75), and amputation-free survival (P=0.11) based on the degree of calcification. However, the survival rate in TASC C or D lesions was significantly different between the two groups (non-severe calcification group vs severe calcification group at 1-year, 2-years, and 3-years: 88.6%, 79.7%, and 61.0% vs 70.0%, 56.0%, and 28.0%, respectively, P=0.01). In multivariate analysis of influencing factors for poor survival in TASC C or D using the Cox proportional hazards model, severe calcification (hazard ratio, 2.362; 95% confidence interval, 1.035-5.391; P=0.041) was a statistically significant risk factor. Conclusion : : Severe femoropopliteal artery calcification was associated with poor survival, especially in TASC C or D lesions.

ObjectiveDysfunction of the pelvic floor muscles (PFM) is associated with sexual dysfunction in women with stress urinary incontinence (SUI). The EasyK7 device was developed to stimulate the PFM by surface electrical stimulation during sitting (SESdS). We investigated the effects of SESdS on PFM function and sexual function in women with SUI.MethodsWomen with SUI were randomized into the SESdS and control groups. PFM function and sexual function were assessed using a perineometer and the pelvic organ prolapse–urinary incontinence sexual function questionnaire (PISQ), respectively. After 8 weeks, the groups were compared using either analysis of covariance with the baseline values as covariates or the paired Student's t-test.ResultsThe final analysis included 16 subjects from each group. There were significant differences between the SESdS and control groups after the intervention, as well as within the SESdS group between the pre- and post-intervention measurements. The P-values for the differences in PFM measurements between the groups, and between the pre- and post- intervention measurements within the SESdS group, were 0.001 and 0.004 for power, 0.015 and 0.011 for strength, and 0.012 and 0.034 for endurance, respectively. In addition, in the PISQ, there were significant differences between the groups and between the pre- and post-intervention measurements within the SESdS group in the partner-related domain (between groups: P=0.003; within SESdS group: P=0.024) and total score (between groups: P

Abstract This work reports on a rapid diagnostic platform for the detection of Plasmodium falciparum lactate dehydrogenase (PfLDH), a representative malaria biomarker, using a microfluidic microplate-based immunoassay. In this study, the microfluidic microplate made it possible to diagnose PfLDH with a small volume of sample (only 5 μL) and short time (

Abstract Background Despite recent progress in systemic chemotherapy, the prognosis of patients with peritoneal metastases from gastric cancer is still poor. Efficacious intraperitoneal and systemic combination chemotherapy regimens to treat patients with peritoneal metastases have recently been developed. Case presentation A 74-year-old man with gastric cancer T4b (transverse mesocolon) N3 M1 (peritoneum) received combination chemotherapy with intraperitoneal administration of paclitaxel, intravenous oxaliplatin, and oral S-1. Eight courses of combined chemotherapy had remarkable anti-tumor effects on the primary lesion, lymph node metastases, and peritoneal metastases. Total gastrectomy with regional lymph node dissection was performed. Pathological examination revealed no viable tumor cells in the resected specimens. After gastrectomy, the patient received 25 courses of the same chemotherapy without oxaliplatin and has no evidence of recurrence 24 months later. Discussion Therapeutic approaches including systemic chemotherapy, extended resection, and heated intraperitoneal chemotherapy have been used to treat patients with peritoneal metastases. Repeat therapy with intraperitoneal paclitaxel has been used recently. Intraperitoneal administration of paclitaxel results in prolonged retention in the peritoneal cavity with effects against peritoneal metastases. Repeated administration of paclitaxel does not cause adhesions in the peritoneal cavity. When combination chemotherapy is effective, salvage gastrectomy is a promising option with minimal morbidity and mortality. Conclusion Combined chemotherapy with intraperitoneal paclitaxel and systemic chemotherapy followed by gastrectomy is a promising strategy for patients with advanced gastric cancer and peritoneal metastases.

Abstract Despite the extensive investigation on solid‐state lithium‐metal batteries (SSLMBs), their application in flexible electronic devices has been plagued mainly by the physicochemical/mechanical instability of their electrode–electrolyte interfaces. Here, we present a fibrous skeleton‐framed, quasi‐solid‐state LMB (fs‐QSSLMB) as a new cell architecture concept to simultaneously achieve the high‐energy‐density, mechanical flexibility, and safety. The fs‐QSSLMB is fabricated by embedding poly(ethylene terephthalate) (PET) nonwovens, stainless‐steel meshes, and metal‐coated conductive PET nonwovens with a lithiophilic‐gradient morphology as customized fibrous skeletons into quasi‐solid‐state electrolytes (QSSEs), high‐capacity LiNi0.8Co0.1Mn0.1O2 (NCM811) cathodes, and Li metal anodes, respectively. The stepwise printing of the NCM811 cathode/QSSE/Li anode assembly and the subsequent one‐pot ultraviolet curing of the gel electrolyte precursors in the assembly enable the formation of seamless interfaces between the electrodes and QSSE, thereby ensuring the electrochemical sustainability and mechanical deformability of the fs‐QSSLMB. In addition, owing to its fibrous skeleton‐based structural uniqueness and seamless interfaces, the fs‐QSSLMB exhibits electrochemical reliability, mechanical flexibility, safety (i.e., electrochemically active after being vertically cut in half and exposed to flame), and high (cell‐based) gravimetric/volumetric energy densities (385 Wh kgcell−1/451 Wh Lcell−1).

Objective To characterise patients with and without prevalent hypertension and COVID-19 and to assess adverse outcomes in both inpatients and outpatients.Design and setting This is a retrospective cohort study using 15 healthcare databases (primary and secondary electronic healthcare records, insurance and national claims data) from the USA, Europe and South Korea, standardised to the Observational Medical Outcomes Partnership common data model. Data were gathered from 1 March to 31 October 2020.Participants Two non-mutually exclusive cohorts were defined: (1) individuals diagnosed with COVID-19 (diagnosed cohort) and (2) individuals hospitalised with COVID-19 (hospitalised cohort), and stratified by hypertension status. Follow-up was from COVID-19 diagnosis/hospitalisation to death, end of the study period or 30 days.Outcomes Demographics, comorbidities and 30-day outcomes (hospitalisation and death for the ‘diagnosed’ cohort and adverse events and death for the ‘hospitalised’ cohort) were reported.Results We identified 2 851 035 diagnosed and 563 708 hospitalised patients with COVID-19. Hypertension was more prevalent in the latter (ranging across databases from 17.4% (95% CI 17.2 to 17.6) to 61.4% (95% CI 61.0 to 61.8) and from 25.6% (95% CI 24.6 to 26.6) to 85.9% (95% CI 85.2 to 86.6)). Patients in both cohorts with hypertension were predominantly >50 years old and female. Patients with hypertension were frequently diagnosed with obesity, heart disease, dyslipidaemia and diabetes. Compared with patients without hypertension, patients with hypertension in the COVID-19 diagnosed cohort had more hospitalisations (ranging from 1.3% (95% CI 0.4 to 2.2) to 41.1% (95% CI 39.5 to 42.7) vs from 1.4% (95% CI 0.9 to 1.9) to 15.9% (95% CI 14.9 to 16.9)) and increased mortality (ranging from 0.3% (95% CI 0.1 to 0.5) to 18.5% (95% CI 15.7 to 21.3) vs from 0.2% (95% CI 0.2 to 0.2) to 11.8% (95% CI 10.8 to 12.8)). Patients in the COVID-19 hospitalised cohort with hypertension were more likely to have acute respiratory distress syndrome (ranging from 0.1% (95% CI 0.0 to 0.2) to 65.6% (95% CI 62.5 to 68.7) vs from 0.1% (95% CI 0.0 to 0.2) to 54.7% (95% CI 50.5 to 58.9)), arrhythmia (ranging from 0.5% (95% CI 0.3 to 0.7) to 45.8% (95% CI 42.6 to 49.0) vs from 0.4% (95% CI 0.3 to 0.5) to 36.8% (95% CI 32.7 to 40.9)) and increased mortality (ranging from 1.8% (95% CI 0.4 to 3.2) to 25.1% (95% CI 23.0 to 27.2) vs from 0.7% (95% CI 0.5 to 0.9) to 10.9% (95% CI 10.4 to 11.4)) than patients without hypertension.Conclusions COVID-19 patients with hypertension were more likely to suffer severe outcomes, hospitalisations and deaths compared with those without hypertension.

This study was conducted to examine the oocyte recovery efficiency through having an OPU session once and twice a week. Also, the oocyte recovery efficiency was examined by using OPU after two and three months of rest period. Six cows were used for oocytes collection and were randomly divided into two groups. In experiment 1, OPU sessions were conducted once and twice a week to collect oocytes. The collected oocytes between once and twice OPU groups were classified into four groups (grade 1, 2, 3 and 4) according to the quality of cumulus cells and ooplasm. Based on the result, the percentage of collected oocytes per aspirated follicle number was similar between once and twice OPU session groups (65.5 ± 1.9 and 68.7 ± 1.4 vs.). However, the percentage of grade 1 oocytes from the twice OPU session group was significantly high compared with that of the once a week OPU session group (25.3 ± 0.9 and 32.5 ± 1.2% vs. once and twice session group, respectively, p < 0.05). In experiment 2, the group with three months of rest period tended to have a high percentage of collected oocyte compared with the group with two months of rest period (64.6 and 70.9% vs. 2 and 3 months rest group, respectively, p = 0.62). The percentage of grade 4 in the group with three months of rest period was significantly low compared with the group with two months of rest period group (27.3 and 36.5% vs. two and three months rest group, respectively, p = 0.05). In conclusion, twice a week OPU session is suitable for collection of high quality oocytes by using OPU, and three months of rest period is needed for the recovery of oocyte quality of a donor cow.

OBJECTIVES This study aimed investigates the effect of non-dominant resistance training on physical imbalance, and muscular function in unilateral athletes (badminton, tennis). METHODS Fifteen male unilateral sports plyer were randomly divided into non-dominant resistance training group (NRTG, n=8) and control group (CG, n=7). Exercise program performed for 60 min(warm-up 10 min, main exercise 40 min, cool down 10 min), three times a weeks. The isokinetic muscular function of knee and shoulder joint was measured pre (0 week) and post (8 weeks). RESULTS There was a significant different in isokinetic muscular function dominant and non-dominant (p

Summary: Background/Objective: The prognosis of hormone receptor-positive and HER2-negative breast cancer is better than that of other subtypes. Current guidelines recommend chemotherapy for N1 breast cancer patients. However, this has the possibility to be over-treatment. Methods: This was a retrospective study of 18,549 patients who were surgically treated for invasive breast cancer, at a single center in South Korea, between January 1993 and December 2012. N1 stage breast cancer patients who were hormone receptor-positive and HER2-negative were enrolled, and propensity score matching was performed to compare patients treated with anti-hormonal therapy alone (N = 83) and those treated with chemotherapy followed by anti-hormonal therapy (N = 85). Results: In survival analysis, the survival parameters of the endocrine therapy-only group and the chemotherapy with endocrine therapy group were respectively 96.1% and 94.0% for 5-year recurrence free survival (RFS), 89.6% and 94.0% for 10-year RFS, 97.4% and 94.0% for 5-year distant metastasis-free survival (DMFS), 93.2% and 94.0% for 10-year DMFS, 98.7% and 98.8% for 10-year breast cancer-specific survival (BCSS), and 98.7% and 98.8% for 10-year overall survival (OS). There were no significant differences in RFS (p = 0.871), DMFS (p = 0.491), BCSS (p = 0.569) and OS (p = 0.731) between the two groups. Conclusion: Several patients with clinicopathologic features like hormone receptor positivity and HER2 negativity can avoid chemotherapy even with lymph node metastasis. Future studies with a long-term follow-up and a larger number of patients are required for validating our results. Keywords: Adjuvant endocrine therapy, Breast neoplasms, Luminal A breast cancer, Node-positive breast cancer, Prognosis

Abstract Background Association of Epstein-Barr virus (EBV) encoded latent gene products with host ribosomal proteins (RPs) has not been fully explored, despite their involvement in the aetiology of several human cancers. To gain an insight into their plausible interactions, we employed a computational approach that encompasses structural alignment, gene ontology analysis, pathway analysis, and molecular docking. Results In this study, the alignment analysis based on structural similarity allows the prediction of 48 potential interactions between 27 human RPs and the EBV proteins EBNA1, LMP1, LMP2A, and LMP2B. Gene ontology analysis of the putative protein-protein interactions (PPIs) reveals their probable involvement in RNA binding, ribosome biogenesis, metabolic and biosynthetic processes, and gene regulation. Pathway analysis shows their possible participation in viral infection strategies (viral translation), as well as oncogenesis (Wnt and EGFR signalling pathways). Finally, our molecular docking assay predicts the functional interactions of EBNA1 with four RPs individually: EBNA1-eS10, EBNA1-eS25, EBNA1-uL10 and EBNA1-uL11. Conclusion These interactions have never been revealed previously via either experimental or in silico approach. We envisage that the calculated interactions between the ribosomal and EBV proteins herein would provide a hypothetical model for future experimental studies on the functional relationship between ribosomal proteins and EBV infection.

Abstract Background Diabetic nephropathy (DN) is associated with high risk of cardiovascular disease and mortality. Exosomal microRNAs (miRNAs) regulate gene expression in a variety of tissues and play important roles in the pathology of various diseases. We hypothesized that the exosomal miRNA profile would differ between DN patients and patients without nephropathy. Methods We prospectively enrolled 74 participants, including healthy volunteers (HVs), diabetic patients without nephropathy, and those with DN. The serum exosomal miRNA profiles of participants were examined using RNA sequencing. Results The expression levels of 107 miRNAs differed between HVs and patients without DN, whereas the expression levels of 95 miRNAs differed between HVs and patients with DN. Among these miRNAs, we found 7 miRNAs (miR-1246, miR-642a-3p, let-7c-5p, miR-1255b-5p, let-7i-3p, miR-5010-5p, miR-150-3p) that were uniquely up-regulated in DN patients compared to HVs, and miR-4449 that was highly expressed in DN patients compared to patients without DN. A pathway analysis revealed that these eight miRNAs are likely involved in MAPK signaling, integrin function in angiogenesis, and regulation of the AP-1 transcription factor. Moreover, they were all significantly correlated with the degree of albuminuria. Conclusions Patients with DN have a different serum exosomal miRNA profile compared to HVs. These miRNAs may be promising candidates for the diagnosis and treatment of DN and cardiovascular disease.

Abstract This study identifies tween fashion consumers’ profiles in relation to fashion change agent (FCA) characteristics, such as fashion innovativeness and opinion leadership, and examines how the tweens’ FCA characteristics influence their Internet innovativeness, interest in online co-design involvement, and brand commitment. A survey was conducted with tween-aged girls in the Midwest region of the U.S., who were recruited through the snow ball sampling method. A total of 53 responses were acceptable for data analysis including cluster analysis, MANOVA, and multiple regression analyses. Results show the tween consumers were divided into two fashion consumer groups—fashion leaders and fashion followers—significantly different in fashion innovativeness and opinion leadership. This study also found positive effects of tweens’ FCA characteristics on Internet innovativeness, interest in online co-design involvement, and brand commitment. As FCAs with higher fashion innovativeness and opinion leadership influence the adoption and purchase behavior of other tween fashion consumers, marketers and retailers need to develop more fashion innovative, Internet-mediated, interactive, and brand-oriented marketing efforts. While the tween consumers in the children’s wear market has been featured, the prevailing literature on tween consumers’ fashion adoption and consumption is limited, particularly with regards to their FCA characteristics. This study highlights the important role of tween fashion consumers’ FCA characteristics in their online shopping orientation and brand commitment.

Abstract We propose a universal group theoretic description of the fermion production through any type of interaction to scalar or pseudo-scalar. Our group theoretic approach relies on the group SU(2) × U(1), corresponding to the freedom in choosing representations of the gamma matrices in Clifford algebra, under which a part of the Dirac spinor function transforms like a fundamental representation. In terms of a new SO(3) (∼ SU(2)) vector constructed out of spinor functions, we show that fermion production mechanism can be analogous to the classical dynamics of a vector precessing with the angular velocity. In our group theoretic approach, the equation of motion takes a universal form for any system, and choosing a different type of interaction or a different basis amounts to selecting the corresponding angular velocity. The expression of the particle number density is greatly simplified, compared to the traditional approach, and it provides us with a simple geometric interpretation of the fermion production dynamics. For the purpose of the demonstration, we focus on the fermion production through the derivative coupling to the pseudo-scalar.

Summary: Background/Objective: : This study aimed to investigate the outcomes of femoropopliteal interventions in relation to various influencing factors. Methods: A retrospective review of 243 endovascular procedures for femoropopliteal atherosclerotic lesions on 243 limbs of 197 patients was performed. Results: In patients with claudication, the TLR free rates at 1-, 3-, and 5-year intervals were 89.1%, 82.2%, and 78.9%, respectively. Amputation-free survival rates in the claudicants at 1-, 3-, and 5-year intervals were 95.3%, 81.1%, and 65.2%, respectively. Freedom from ischemia at 1-, 3-, and 5-year follow-ups was 77.8%, 69.0%, and 61.3%, respectively. In patients with critical limb ischemia, the TLR free rates at 1-, 3-, and 5-year intervals were 91.3%, 87.4%, and 65.4%, respectively, amputation free survival rates were 72.5%, 44.2%, and 36.8%, respectively, and their freedom from ischemia was 64.6%, 63.4%, and 49.7%, respectively. In the multivariate analysis of influencing factors related to freedom from ischemia, renal insufficiency (hazard ratio [HR] 1.623; 95% confidence interval [CI] 0.999–2.636; p = 0.050), TASC C/D lesion (HR 1.903; 95% CI 1.151–3.148; p = 0.012), and poor tibial runoff (HR 1.770; 95% CI 1.037–3.023; p = 0.036) were statistically significant risk factors. TASC C/D lesion and poor tibial runoff were significant risk factors for recurrent or persistent ischemia in claudication (p = 0.015) and in critical limb ischemia (p = 0.05), respectively. Conclusion: Endovascular treatment for femoropopliteal atherosclerotic lesions showed acceptable intermediate-term and long-term outcomes. Renal insufficiency, TASC C/D lesions, and poor tibial runoff adversely affected freedom from ischemia. Keywords: Femoropopliteal artery, Outcomes, Endovascular

Summary: Background/objective: : This study aims to investigate the effects of phased education on attitudes toward organ donation and willingness to donate after brain death. Methods: A survey was conducted using a questionnaire to examine attitudes toward organ donation of the families of patients admitted to a surgical intensive care unit (SICU) between March 1, 2014 and September 30, 2016. Results: Ninety-two people voluntarily participated in this survey. Before reviewing the educational material, 75.0% had a positive attitude toward organ donation, 60.9% were willing to donate their own organs, and 38.0% were willing to donate a family member's organs. After reviewing the educational material, these figures increased to 92.4%, 80.4%, and 56.5%, respectively. Before receiving an education, there was a significant difference in consistency between people's attitudes and willingness to donate their own organs, versus donating a family member's organs (79.3% vs 54.3%, p

With the introduction of life-course epidemiology, researchers realized the importance of identifying risk factors in early life to prevent chronic diseases. This led to the establishment of the Ewha Birth and Growth Study in 2001; the study is a prospective birth cohort designed to provide evidence of early life risk factors for a child’s growth and health. Participants were recruited from those who visited Ewha Womans University Mokdong Hospital (a tertiary hospital in southwest Seoul, Korea) for prenatal care at 24-28 weeks of gestation. In total, 891 mothers enrolled in this study between 2001 and 2006 and their offspring (n=940) were followed-up. Regular check-up examinations of offspring were conducted at 3 years, 5 years, and 7 years of age and every year thereafter. To consider age-related health issues, extensive data were collected using questionnaires and measurements. In 2021, the study subjects will reach 19 years of age, and we are planning a check-up examination for early adulthood. About 20 years have passed since the cohort data were collected, and we have published results on childhood health outcomes associated with prenatal and birth characteristics, genetic and epigenetic characteristics related to childhood metabolism, the effects of exposure to endocrine disruptors, and dietary patterns in childhood. Recently, we started reporting on topics related to adolescent health. The findings will facilitate identification of early life risk factors for chronic diseases and the development of interventions for diseases later in life.

Recently, as the perception of eco-friendliness has changed, the demand for energy storage devices has been rapidly increasing due to the growth of the electric vehicle industry and smart grid facilities, which are emerging as an alternative to next-generation electricity supply and demand. Therefore, the importance of battery management technology is growing, and various voltage balancing techniques between battery cells are being studied in order to maintain high efficiency and continuous performance of batteries. This paper proposes a voltage balancing topology using a single input-multiple output (SIMO) two-switch flyback converter in a series battery configuration to resolve voltage imbalance between batteries. The characteristic of the proposed topology is that each cell on the secondary side of the two-switch flyback converter is connected to one high-frequency transformer to share the magnetic flux, and voltage balancing is performed according to the switch operation of the converter. At this time, the accumulated excess energy of the converter is refluxed to the power supply side through the freewheeling diode and converted into reactive power. The verification of the usefulness of the theoretical analysis in this paper was based on the analysis of the dynamic characteristics and steady state of the circuit through PSIM and experiments, and was conducted for one module composed of four cells.

Three p-terphenyls (2–4)—2-hydroxy-3,5-dimethoxy-p-terphenyl (2), 2-hydroxy-3,6-dimethoxy-p-terphenyl (3), and 2,3,5,6-tetramethoxy-p-terphenyl (4)—were isolated for the first time as natural products along with seven known compounds (1, 5–10) from the Antarctic lichen Stereocaulon alpinum. Structures of the new compounds were elucidated by comprehensive analyses of 1D and 2D NMR and HREIMS experiments. Compound 3 exhibited cytotoxicity against HCT116 cells with the IC50 value of 3.76 ± 0.03 μM and also inhibited NO production in LPS-induced RAW264.7 macrophages with the IC50 value of 22.82 ± 0.015 μM.

Retinal pigment epithelium (RPE) plays a decisive role in the normal function of the retina, especially in the maintenance of photoreceptors. RPE dysfunction, loss of sight, and degeneration has been implicated as the cause of many retinal diseases including pigmented retinitis and age-related macular degeneration (AMD). Silk fibroin (SF) is a biodegradable natural polymer with biocompatibility, non-toxic, and non-immunological properties. In this study, hydrogel material was prepared by mixing it with PEG [poly (ethylene glycol)] a synthetic polymer. SF hydrogel (SH) and with PEG (SPH) were prepared with different sonication times. The SH and SPH were prepared with different sonication time (20s SH, 30s SH, 20s SPH, and 30s SPH were prepared, respectively. The prepared SH and SPH were physio chemically characterized by SEM, FTIR, compressive strength, porosity, and in vitro biocompatibility were analyzed using MTT assay along with cell adhesion and cell proliferation, their gene expression was analyzed using RT-PCR. As a result, the 20s SPH hydrogel exhibited superior biocompatibility, cell adhesion, and improved cell growth compared to pure SH. Their respective genes expression for retinal function and matrix production was also positively influenced by 20s SPH with an increase in gene expression folds of RPE65, CRALBP. The obtained results suggest that the 20s SPH hydrogel can be used as an alternative material for the application of retinal regeneration and delivery.

Cancer patients have a 2 times higher prevalence of insomnia than healthy populations and cancer-related insomnia has received minimal attention while insomnia can aggravate the rehabilitation of cancer patients. Cheonwangbosimdan is a Korean herbal medicine generally used to relieve sleep deprivation, however, few studies presented the effects of Cheonwangbosimdan on cancer-related insomnia. The purpose of study is to examine the feasibility of Cheonwangbosimdan treatments for cancer patients. Twenty-two participants were allocated into a Cheonwangbosimdan or cognitive-behavioral therapy for insomnia (CBT-I) control group by equal number. The intervention group took Cheonwangbosimdan liquid once in a day and attend visits once a week for 4 weeks. The CBT-I group underwent individualized behavioral therapy 4 times in 4 weeks. The primary outcome is changes in the Insomnia Severity Index (ISI) from baseline to the end of the trial. Responses to the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Zung Self-Rating Anxiety Scale (SAS), Brief Fatigue Inventory (BFI), Euroqol-5 Dimensions-5 Levels (EQ-5D-5L), and Eastern Cooperative Oncology Group Performance Status (ECOG-PS) were secondary outcomes used to evaluate the quality of sleep. Outcomes were measured at a follow-up visit (visit 5) in the fifth week of the trial. There is no difference between 2 groups, but both groups showed tendency to alleviate cancer insomnia symptoms. SAS-K showed significant difference between the 2 groups (P < .001), as treatment group score was highly lowered than control group score. The study can contribute to more attentive care for insomnia in cancer patients.

Biogeochemical process studies and molecular microbiological analyses were applied to assess the effect of invasive Spartina anglica (SA) on organic carbon (Corg) oxidation pathways and microbial community structures in intertidal sediments vegetated by the indigenous marsh plant Suaeda japonica (SJ) and unvegetated mud flats (UMF). Invasive S. anglica possessed 10 times the below-ground biomass of native S. japonica, which was responsible for releasing a substantial amount of labile dissolved organic matter and creating relatively oxidized conditions at the SA site. As a result, microbial metabolic activities measured by rates of anaerobic Corg oxidation, iron reduction (FeR) and sulfate reduction (SR) appeared to be greater at SA site compared with the SJ and UMF sites. SR was the dominant anaerobic respiration pathway at a depth of 0–10 cm for vegetated sediments, but the contribution of FeR to Corg oxidation was exceptionally high in the rhizosphere of the vegetated sites, comprising 60% and 70% of anaerobic Corg oxidation of SA and SJ, respectively. The iron turnover rate at the rhizosphere was 3 times higher at SA site (0.063 d–1) compared with the SJ site (0.023 d–1), indicating that the denser root system of invasive S. anglica greatly accelerates iron cycling. Bacterial communities based on 16S rRNA genes analysis revealed that members in Desulfuromonadaceae related to the reduction of FeOOH and S0 were highly abundant at the relatively oxidized SA site, whereas Desulfobulbaceae, which are known as sulfate reducers, were more dominant at the relatively reduced SJ site. Similarly, two sulfur-oxidizing bacteria groups with different eco-physiological strategies thrived in each of the two vegetated sites. Thioprofundaceae in the Gammaproteobacteria were the predominant S-oxidizers at the less-reduced SA site, whereas Sulfurovum in the Epsilonproteobacteria dominated at the relatively reduced SJ site. Our results suggest that an invasion of tall S. anglica and its subsequent displacement of native S. japonica would greatly alter the biogeochemical C–Fe–S cycles and associated microbial communities, which ultimately generate multidirectional variations in ecological and biogeochemical processes in coastal ecosystems.

Haze is the most frequently encountered weather condition on the road, and it accounts for a considerable number of car crashes occurring every year. Accordingly, image dehazing has garnered strong interest in recent decades. However, although various algorithms have been developed, a robust dehazing method that can operate reliably in different haze conditions is still in great demand. Therefore, this paper presents a method to adapt a dehazing system to various haze conditions. Under this approach, the proposed method discriminates haze conditions based on the haze density estimate. The discrimination result is then leveraged to form a piece-wise linear weight to modify the depth estimator. Consequently, the proposed method can effectively handle arbitrary input images regardless of their haze condition. This paper also presents a corresponding real-time hardware implementation to facilitate the integration into existing embedded systems. Finally, a comparative assessment against benchmark designs demonstrates the efficacy of the proposed dehazing method and its hardware counterpart.

Little work has been reported on the magnitude and impact of interference with the performance of Internet of Things (IoT) applications operated by Long-Range Wide-Area Network (LoRaWAN) in the unlicensed 868 MHz Industrial, Scientific, and Medical (ISM) band. The propagation performance and signal activity measurement of such technologies can give many insights to effectively build long-range wireless communications in a Non-Line of Sight (NLOS) environment. In this paper, the performance of a live multi-gateway in indoor office site in Glasgow city was analysed in 26 days of traffic measurement. The indoor network performances were compared to similar performance measurements from outdoor LoRaWAN test traffic generated across Glasgow Central Business District (CBD) and elsewhere on the same LoRaWAN. The results revealed 99.95% packet transfer success on the first attempt in the indoor site compared to 95.7% at the external site. The analysis shows that interference is attributed to nearly 50 X greater LoRaWAN outdoor packet loss than indoor. The interference measurement results showed a 13.2–97.3% and 4.8–54% probability of interfering signals, respectively, in the mandatory Long-Range (LoRa) uplink and downlink channels, capable of limiting LoRa coverage in some areas.

In the face of a global COVID-19 vaccine shortage, an efficient vaccination strategy is required. Therefore, the immunogenicity of single or double COVID-19 vaccination doses (ChAdOX1, BNT162b2, or mRNA-1273) of SARS-CoV-2-recovered individuals was compared to that of unvaccinated individuals with SARS-CoV-2 infection at least one year post-convalescence. Moreover, the immunogenicity of SARS-CoV-2-naïve individuals vaccinated with a complete schedule of Ad26.CoV2.S, ChAdOX1, BNT162b2, mRNA-1273, or ChAdOX1/BNT162b2 vaccines was evaluated. Anti-SARS-CoV-2 S1 IgG antibody (S1-IgG), pseudotyped virus-neutralizing antibody titer (pVNT50), and IFN-γ ELISpot counts were measured. Humoral immune responses were significantly higher in vaccinated than in unvaccinated recovered individuals, with a 43-fold increase in the mean pVNT50 values. However, there was no significant difference in the pVNT50 and IFN-γ ELISpot values between the single- and double-dose regimens. In SARS-CoV-2-naïve individuals, antibody responses varied according to the vaccine type: BNT162b2 and mRNA-1273 induced similar levels of S1-IgG to those observed in vaccinated, convalescent individuals; in contrast, pVNT50 was much lower in SARS-CoV-2-naïve vaccinees than in vaccinated recovered individuals. Therefore, a single dose of ChAdOX1, BNT162b2, or mRNA-1273 vaccines would be a good alternative for recovered individuals instead of a double-dose regimen.

NCOR2 is a co-repressor for estrogen receptor (ER) and androgen receptor (AR). Our group previously identified a novel splice variant of NCOR2, BQ323636.1 (BQ), that mediates tamoxifen resistance via interference of NCOR2 repression on ER. Luciferase reporter assay showed BQ overexpression could enhance the transcriptional activity of androgen response element (ARE). We proposed that BQ employs both AR and ER to confer tamoxifen resistance. Through in silico analysis, we identified interleukin-8 (IL-8) as the sole ERE and ARE containing gene responsiveness to ER and AR activation. We confirmed that BQ overexpression enhanced the expression of IL-8 in ER+ve breast cancer cells, and AR inhibition reduced IL-8 expression in the BQ overexpressing cell lines, suggesting that AR was involved in the modulation of IL-8 expression by BQ. Moreover, we demonstrated that IL-8 could activate both AKT and ERK1/2 via CXCR1 to confer tamoxifen resistance. Targeting CXCR1/2 by a small inhibitor repertaxin reversed tamoxifen resistance of BQ overexpressing breast cancer cells in vitro and in vivo. In conclusion, BQ overexpression in ER+ve breast cancer can enhance IL-8 mediated signaling to modulate tamoxifen resistance. Targeting IL-8 signaling is a promising approach to overcome tamoxifen resistance in ER+ve breast cancer.