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Background. Congenital heart defects (CHDs) are complex three-dimensional (3D) lesions with variable anatomies that present therapeutic challenges. The application of a patient-specific3D-printed model in preoperative planning and communication in medical practice can contribute to a complete understanding of the intracardiac and vascular anatomy. This study aimed to prospectively investigate the clinical value of a 3D CHD model in multidisciplinary discussions. Methods. Between August 2019 and April 2021, 19 patients with complex CHDs before surgery were prospectively enrolled in this study. Eight to 14 medical specialists participated in multidisciplinary discussions using patient-specific 3D models. A subjective satisfaction questionnaire, comprising 12 questions to be answered on a 10-point scale, was distributed. Results. Twenty 3D-printed anatomic models of 19 patients were used. The median age and weight of the enrolled patients were 0.8 years (range, 5 days to 43 years) and 9.6 kg (range, 2.8–54 kg), respectively. The most common underlying disease was a double outlet of the right ventricle. The mean scores for understanding spatial orientation, ease of communication between clinicians during discussions, prediction of surgical complications, and information additional to conventional 2D imaging were 9.4 ± 1.1, 9.4 ± 0.9, 9.0 ± 1.1, and 9.2 ± 0.4, respectively. The competency and comfort scores for each patient’s surgical plan increased significantly after using the 3D-printed model (from 6.2 ± 1.6 to 9.2 ± 0.9, p p

Purpose: The ultimate goal of current open access (OA) initiatives is for library services to use OA resources. This study aimed to assess the infrastructure for OA scholarly information services by tabulating the number and proportion of OA articles in a literature database.Methods: We measured the absolute numbers and proportions of OA articles at different time points across various disciplines based on the Web of Science (WoS) database.Results: The number (proportion) of available OA articles between 2000 and 2021 in the WoS database was 12 million (32.4%). The number (proportion) of indexed OA articles in 1 year was 0.15 million (14.6%) in 2000 and 1.5 million (48.0%) in 2021. The proportion of OA by subject categories in the cumulative data was the highest in the multidisciplinary category (2000–2021, 79%; 2021, 89%), high in natural sciences (2000–2021, 21%–46%; 2021, 41%–62%) and health and medicine (2000–2021, 37%–40%; 2021, 52%–60%), and low in social sciences and others (2000–2021, 23%–32%; 2021, 36%–44%), engineering (2000–2021, 17%–33%; 2021, 31%–39%) and humanities and arts (2000–2021, 11%–22%; 2021, 28%–38%).Conclusion: Our study confirmed that increasingly many OA research papers have been published in the last 20 years, and the recent data show considerable promise for better services in the future. The proportions of OA articles differed among scholarly disciplines, and designing library services necessitates several considerations with regard to the customers’ demands, available OA resources, and strategic approaches to encourage the use of scholarly OA articles.

Background and objective Particulate matter (PM) is the most dangerous form of air pollution, and causes many diseases. Plants act as bio-filters to help reduce PM in the atmosphere. PM also influences the growth of plants, so selecting suitable plant species for specific environmental conditions is very important. The air pollution tolerance index (APTI) was used to determine the tolerance level of each plant species to air pollution. The purpose of this study was to determine the tolerance to air pollution of various plant species in order to identify plant species that can be grown in polluted environments; this was achieved by evaluating the APTI of plants. This study analyzed the biochemical parameters of 12 plant species at two sites with different air pollution levels (urban forest and roadside) to assess and compare the APTI of plant species. Methods The healthy leaves of 12 plant species (6 broad leaves and 6 needle leaves) that are commonly used in landscapes in Korea were chosen for this study. The same plant species were collected from two sites with different pollution levels and were analyzed immediately; one site was an urban forest (Chungcheongbuk-do Forest Environment Research Institute) with an area of 25 ha and featuring high vegetation coverage, while the other was at a high-traffic roadside next to a crossroads near the Cheongju Express Bus Terminal. We used the leaf samples to analyze four biochemical parameters of each plant: leaf extract pH (pH), relative leaf water content (RWC), total chlorophyll (TChl), and ascorbic acid. Finally, based on these values, APTI values were calculated. Results The APTI values were different between all 12 plant species at both sites with different levels of pollution. APTI had a significant correlation with the biochemical parameters of plants. Plants in the urban forest and at the roadside showed APTI values ranging from 6.89–9.37 and 7.57–9.94, respectively. The APTI of the roadside plant species tended to be higher than that of the plants from the urban forest. Among 12 plant species, Acer palmatum, Acer buergerianum, and Pinus densiflora had high APTI values. These plant species can serve as biofilters in environments with high air pollution. Conclusion The APTI of the 12 plant species in this study can aid in the selection of suitable plant species from environments with different levels of air pollution. The high APTI of some roadside plant species may show their tolerance under environmental pollution-related stress, or demonstrate their adaptability to the polluted environment. In the future, we need to examine more plant species under various environmental conditions to understand their tolerance levels to air pollution and to correlate plants with air pollution. Further, more studies on other air pollutants that can influence plant growth, such as SO2 and NOx, should be conducted.

Hybrid-crosslinked systems, which can be formed using heat and visible light, are significant for improving the stability of hydrogels under physiological conditions. However, several challenges for their practical application remain, such as shrinking under culture medium conditions or the neutral pH in the small intestine. Therefore, a multi-sensitive hydrogel with response to external conditions has been designed and prepared, which could be employed as a biopolymer ink formulation for three-dimensional printing in bioengineering applications. When exposed to body temperature and visible light, the N-succinyl hydroxybutyl methacrylated chitosan (NS-HBC-MA) undergoes a sol-gel phase transition. The NS-HBC-MA hydrogel exhibits pH-responsive swelling, effectively preventing shrinkage at a neutral pH. Furthermore, NS-HBC-MA hydrogel demonstrates excellent biocompatibility and biodegradability. This study demonstrates that the NS-HBC-MA hydrogel has significant potential for various applications, including wound healing, delivery systems, and tissue engineering.

People living near abandoned mines are at increased risk of exposure to toxic metals. We surveyed 4500 inhabitants with the mean age of 68.5 years old (male: 1768, female: 2732) living near 104 abandoned metal mines from 2013 to 2017 (the 2nd phase health survey in Korea). We conducted personal interviews, blood and urine sampling, and analyzed the concentrations of lead (Pb) and cadmium (Cd) in whole blood and Cd in urine using a graphite furnace atomic absorption spectrometer. The geometric means of blood Pb, blood Cd, and urine Cd were 2.27 μg/dL, 1.42 μg/L, and 1.66 μg/g creatinine, respectively. The level of metal exposure was lower than that reported from the first phase health survey in Korea (2008‒2011) but was higher than in the general population of Korea. Blood Pb was higher in males while blood Cd and urine Cd were significantly higher in females. Blood Pb was highest in the 40‒59 age group, while blood and urine Cd levels continuously increased until age 80 or older. The Cd levels in blood and urine were affected by consumption of locally produced rice and duration of residence near abandoned mines. Furthermore, negative correlations were observed between blood Pb and blood and urine Cd levels. Additionally, 252 of the 4500 subjects exceeded the thresholds of blood Cd or urine Cd levels. Together, these findings suggest that Cd has more sustainable and adverse health effects on the abandoned mine inhabitants, who are mostly aged. Therefore, continuous biomonitoring and risk assessment to environmental health risks are necessary for environmental pollution control and health promotion.

The Rhododendron spp. (R. yedoense and R. mucronulatum) at high elevations of Mt. Halla in Jeju Island are the dominant species in the shrubland. Despite the recent damage to their growth due to climate change and the spread of Sasa spp., these species have not yet been studied systematically in Korea. Therefore, the current study aimed to verify the effect of abiotic factors, e.g., temperature and precipitation, and the spread of Sasa spp. as a neighbor species on their growth based on ring-width measurement data. In addition, the death years were dated using the cross-dating method developed in dendrochronology by comparing the individual ring-width time series from dead Rhododendron spp. with the corresponding chronology established using living trees. For the study, disk samples were obtained from 11 and 10 living R. yedoense and R. mucronulatum, respectively, to establish tree-ring time series. To investigate the death years, six disk samples were also collected from each shrub species. The relatively high occurrence of missing or discontinuous rings is a characteristic of shrubs, which makes tree-ring analysis difficult. Through cross-dating, it was verified that the R. mucronulatum and R. yedoense have 4.3% and 5.3% missing and/or discontinuous rings (the total number of missing and/or discontinuous rings/the total number of tree rings), respectively. All dead shrubs were successfully dated based on synchronization of the individual time series with the corresponding chronologies established using the cross-dated time series; nine shrubs died in the 2010s and the other two shrubs in 1996 and 2001, respectively. Most deaths occurred when Sasa quelpaertensis dominantly occupied the study sites. From the analysis of the relationships between the residual chronologies and the bioclimate predictors (BioClim), only R. mucronulatum showed reliable correlations with the Bio5 (maximum temperature of the warmest month) as +0.28 (p < 0.05) and the Bio18 (precipitation of warmest quarter) as −0.33 (p < 0.05). This result means that summer temperature is a limiting factor for the growth of R. mucronulatum. Through this study, it was verified that Rhododendron spp. at high elevations in Korea can be used for research using tree rings.

The AD 775 peak in Δ14C (henceforth, M12) was first measured by Miyake et al. and has since been confirmed globally. Here we present earlywood and latewood Δ14C values from tree rings of pinyon pine (Pinus edulis) from Mummy Cave, Canyon de Chelly National Monument, Chinle, Arizona, USA, for the period AD 770–780. These data reconfirm the timing of M12 and show a small rise in Δ14C in AD 774 latewood. Allowing for the delay in lateral transfer of radiocarbon produced at high latitude, this suggests that 14C peak production occurred in late winter or spring of AD 774. Additionally, Δ14C decreased slightly in the earlywood of AD 775 and increased in the latewood of AD 775 to a higher level than that observed in AD 774.

An anatomical understanding of the atrial myocardium is crucial for surgeons and interventionists who treat atrial arrhythmias. We reviewed the anatomy of the inter-nodal and intra-atrial conduction systems. The anterior inter-nodal route (#1) arises from the sinus node and runs through the ventral wall of the atrial chambers. The major branch of route #1 approaches the atrioventricular node from the anterior aspect. Other branches of route #1 are Bachmann's bundle and a vestibular branch around the tricuspid valve. The middle inter-nodal route (#2) begins with a broad span of fibers at the sinus venarum and extends to the superior limbus of the oval fossa. The major branch of route #2 joins with the branch of route #1 at the anterior part of the atrioventricular node. The posterior inter-nodal route (#3) is at the terminal crest and gives rise to many branches at the pectinate muscles of the right atrium and then approaches the posterior atrioventricular node after joining with the vestibular branch of route #1. The branches of the left part of Bachmann's bundle and the branches of the second inter-nodal route form a thin myocardial network at the posterior wall of the left atrium. These anatomical structures could be categorized into major routes and side branches. There are 9 or more anatomical circles in the atrial chambers that could be structural sites for macro re-entry. The implications of normal and abnormal structures of the myocardium for the pathogenesis and treatment of atrial arrhythmias are discussed.

The 14C peak in AD 775 (M12) has been measured and confirmed globally in several studies since it was first measured in annual tree rings by Miyake et al. (2012). However, M12 data measurements in early- and latewood are limited. This paper presents the Δ14C values in early- and latewood from AD 762–776 Zelkova serrata tree rings from Bangu-dong, Ulsan, South Korea (35°33′N, 129°20′E). The results indicate no early rise in Δ14C values in the latewood of AD 774 in this sample located at mid-latitude. A comparison of the results of this and previous studies suggests latitude dependence (Büntgen et al. 2018); that is, the early rise of Δ14C in AD 774 was not observed at mid-latitudes in South Korea but was observed at high latitudes in Finland. The half-oxidation time of 14C was estimated from a detailed analysis of a small bomb peak in AD 1962. Based on the half-oxidation time, the Δ14C rise in the latewood, but not in the earlywood, of AD 774 in Finland, and the absence of a Δ14C rise in both the early- and latewood of AD 774 in South Korea, the 14C spike was estimated to have been produced from late April to mid-June in AD 774.

BACKGROUND: Three-dimensional (3D) printing using hydrogel has made great strides when it comes to mimicking 3D artificial tissue in the medical field. However, most structures do not mimic the dynamic movement of the tissues. Without imitating dynamic movements, there are limitations on the extent to which the proper implementation of the tissue's own functions can be achieved. METHOD: In this study, we intend to present an approach to solving this problem using hydroxybutyl methacrylated chitosan (HBC-MA), a photo-crosslinkable/temperature reversible chitosan polymer. In addition, stereolithography-3D (SLA-3D) printing technology was used, which is more likely to mimic the complex microstructure. As a control, a 3D structure made with pristine poly(ethylene glycol) dimethacrylate (PEG-DMA) was created, and a 4D structure was prepared by adding HBC-MA to poly(ethylene glycol) dimethacrylate (PEG-DMAP) resin. RESULTS: HBC-MA caused the expansion of water into the polymer matrix at low temperature, and the 4D structure resulted in expansion of the polymer volume, generating dynamic movement due to the expansion of water. Conversely, as the temperature rose, deswelling occurred, followed by a decrease in the volume, showing a shape memory property of returning to the existing structure. Morphological, swelling, and mechanical analysis further confirmed the principle of dynamic movement. In addition, parameters were provided through calculation of the bending ratio angle (θ). CONCLUSION: Through this, it is suggested that HBC-MA can be applied as a core polymer for SLA-4D printing, and has high potential for realizing the dynamic movement of tissue. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s13770-020-00264-6) contains supplementary material, which is available to authorized users.

Although cell-anatomical variables are promising proxies reflecting seasonal as well as annual climate changes, their interdependencies are not yet fully understood. In the present study we assessed the changes in tree-ring width and various wood anatomical traits, including wall thickness, lumen diameter and tracheid diameter in the radial direction in saplings of Pinus sylvestris under six climatic conditions: 5°C warmer alone (ET) or combined with drought in June (ETJ) and in August (ETA) and CO2 enrichment alone (EC, 770 ppm) or combined with drought in June (ECJ) and in August (ECA). The experiments related to temperature conditions using 2-year saplings and CO2 conditions using 3-year saplings were completed in 2009 and 2010 in a greenhouse, respectively. Results showed that tree-ring width and tracheid diameter were not affected by any of the conditions applied, but the lumen diameter was larger and the wall thickness was thinner than those under control conditions. These reactions were verified under ETJ in the warming treatment and under all conditions under CO2 enrichment conditions. Our results indicated that drought counteracted the effects of elevated CO2 concentrations on wood anatomical properties, signifying complex interactions between the two major effects of climate change. Our comparison of wood parameters through experiments highlight the potential effect of climate change — increased drought stress due to higher temperatures and water shortage as well as elevated ambient CO2, on tracheid lumen diameter and wall thickness. Whereas the ring-width and tracheid diameter practically remained unaffected under the above-mentioned conditions.

Background It remains unknown whether the noninvasive evaluation of the degree of amyloid deposition in the myocardium can predict the prognosis of patients with light chain (AL) cardiac amyloidosis. Objectives The purpose of this study was to demonstrate that 11C-Pittsburgh B compound positron emission tomography (11C-PiB PET) is useful for prognostication of AL cardiac amyloidosis by noninvasively imaging the myocardial AL amyloid deposition. Methods This study consecutively enrolled 41 chemotherapy-naive AL cardiac amyloidosis patients. The amyloid deposit was quantitatively assessed with amyloid P immunohistochemistry in endomyocardial biopsy specimens and was compared with the degree of myocardial 11C-PiB uptake on PET. The primary endpoint was a composite of all-cause death, heart transplantation, and acute decompensated heart failure. Results The degree of myocardial 11C-PiB PET uptake was significantly higher in the cardiac amyloidosis patients compared with normal subjects and correlated well with the degree of amyloid deposit on histology (R2 = 0.343, p Conclusions These proof-of-concept results show that noninvasive evaluation of myocardial amyloid load by 11C-PiB PET reflects the degree of amyloid deposit and is an independent predictor of clinical outcome in AL cardiac amyloidosis patients.

Tree growth at northern treelines is generally temperature-limited due to cold and short growing seasons. However, temperature-induced drought stress was repeatedly reported for certain regions of the boreal forest in northwestern North America, provoked by a significant increase in temperature and possibly reinforced by a regime shift of the pacific decadal oscillation (PDO). The aim of this study is to better understand physiological growth reactions of white spruce, a dominant species of the North American boreal forest, to PDO regime shifts using quantitative wood anatomy and traditional tree-ring width (TRW) analysis. We investigated white spruce growth at latitudinal treeline across a >1,000 km gradient in northwestern North America. Functionally important xylem anatomical traits (lumen area, cell-wall thickness, cell number) and TRW were correlated with the drought-sensitive standardized precipitation-evapotranspiration index of the growing season. Correlations were computed separately for complete phases of the PDO in the 20th century, representing alternating warm/dry (1925-1946), cool/wet (1947-1976) and again warm/dry (1977-1998) climate regimes. Xylem anatomical traits revealed water-limiting conditions in both warm/dry PDO regimes, while no or spatially contrasting associations were found for the cool/wet regime, indicating a moisture-driven shift in growth-limiting factors between PDO periods. TRW reflected only the last shift of 1976/1977, suggesting different climate thresholds and a higher sensitivity to moisture availability of xylem anatomical traits compared to TRW. This high sensitivity of xylem anatomical traits permits to identify first signs of moisture-driven growth in treeline white spruce at an early stage, suggesting quantitative wood anatomy being a powerful tool to study climate change effects in the northwestern North American treeline ecotone. Projected temperature increase might challenge growth performance of white spruce as a key component of the North American boreal forest biome in the future, when drier conditions are likely to occur with higher frequency and intensity.

Biodegradable cellular and acellular scaffolds have great potential to regenerate damaged tissues or organs by creating a proper extracellular matrix (ECM) capable of recruiting endogenous cells to support cellular ingrowth. However, since hydrogel-based scaffolds normally degrade through surface erosion, cell migration and ingrowth into scaffolds might be inhibited early in the implantation. This could result in insufficient de novo tissue formation in the injured area. To address these challenges, continuous and microsized strand-like networks could be incorporated into scaffolds to guide and recruit endogenous cells in rapid manner. Fabrication of such microarchitectures in scaffolds is often a laborious and time-consuming process and could compromise the structural integrity of the scaffold or impact cell viability. Here, we have developed a fast single-step approach to fabricate colloidal hydrogels, which are made up of randomly packed human serum albumin-based photo-cross-linkable microparticles with continuous internal networks of microscale voids. The human serum albumin conjugated with methacrylic groups were assembled to microsized aggregates for achieving unique porous structures inside the colloidal gels. The albumin hydrogels showed tunable mechanical properties such as elastic modulus, porosity, and biodegradability, providing a suitable ECM for various cells such as cardiomyoblasts and endothelial cells. In addition, the encapsulated cells within the hydrogel showed improved cell retention and increased survivability in vitro. Microporous structures of the colloidal gels can serve as a guide for the infiltration of host cells upon implantation, achieving rapid recruitment of hematopoietic cells and, ultimately, enhancing the tissue regeneration capacity of implanted scaffolds.

The interest in cultured meat is increasing because of the problems with conventional livestock industry. Recently, many studies related to cultured meat have been conducted, but producing large-sized cultured meat remains a challenge. It is aimed to introduce 3D bioprinting for producing large cell aggregates for cultured meat production. A hydrogel scaffold is produced at the centimeter scale using a bioink consisting of photocrosslinkable materials for digital light processing-based (DLP) printing, which has high printing accuracy and can produce geometrically complex structures. The light exposure time for hydrogel photopolymerization by DLP bioprinting is optimized based on photorheometry and cell viability assays. Naturally immortalized bovine embryonic fibroblast cells transformed with MyoD and PPARγ2 instead of primary cells are used as the latter have difficulties in maintaining stemness and are associated with animal ethics issues. The cells are mixed into the hydrogel for printing. Myogenesis and adipogenesis are induced simply by changing the medium after printing. Scaffolds are obtained successfully with living cells and large microchannels. The cooked cultured meat maintains its size and shape upon cutting. The overall dimensions are 3.43 cm × 5.53 cm × 0.96 cm. This study provides proof-of-concept for producing 3D cultured meat using bioinks.

Nicotine, the primary addictive substance in tobacco, produces the psychomotor, rewarding, and reinforcing effects of tobacco dependence by stimulating nicotinic acetylcholine receptors (nAChRs) in the brain. The present study determined that α4β2 nAChRs regulate locomotor sensitization by altering dopamine concentration in the nucleus accumbens (NAc) after systemic challenge exposure to whole cigarette smoke condensate (WCSC). Rats were administered subcutaneous injection of WCSC (0.2 mg/kg nicotine/day) for 7 consecutive days and then re-exposed to WCSC after 3 days of withdrawal. Challenge exposure to WCSC significantly increased locomotor activity. This increase was decreased by the subcutaneous injection of the α4β2 nAChR antagonist, DHβE (3 mg/kg), but not by the intraperitoneal injection of the α7 nAChR antagonist, MLA (5 mg/kg). In parallel with a decrease in locomotor activity, blockade of α4β2 nAChRs with DHβE decreased dopamine concentration in the NAc which was elevated by challenge exposure to WCSC. These findings suggest that challenge WCSC leads to the expression of locomotor sensitization by elevating dopamine concentration via stimulation of α4β2 nAChRs expressed in neurons of the NAc in rats.

The safe ischemic time after a single-dose del Nido cardioplegia (DNC) infusion has not yet been established. This study evaluated the progression of myocardial ischemic injury to establish the safe ischemic time after a single-dose DNC infusion in the human heart using a transmission electron microscope.Seven hearts extracted from heart transplant recipients after infusion of 1000 mL single-dose DNC were evaluated. Serial left ventricular myocardial tissue samples were collected every 30 minutes for 180 minutes. Ischemic injuries in the mitochondria and nuclei were scored from 0 to 3 (0 = normal, 0.5 = slight, 1 = moderate, 2 = severe, and 3 = irreversible).At the time of extraction, 83.5% of the mitochondria were normal. The proportion of mitochondria with moderate ischemic injury increased gradually from 1.4% at extraction to 52.5% at 180 minutes. From 90 minutes to 180 minutes, the proportion of mitochondria with severe and irreversible injury increased from 0.8% to 4.4% and 0.3% to 1.3%, respectively. A significant linear correlation was identified between the average ischemic injury score of mitochondria and ischemic time (P .001). Most nuclei showed moderate to severe ischemic injury at every time point (61.0%-85.2%). A significant linear correlation was also found between the average ischemic injury score of nuclei and ischemic time (P .001).Myocardial ischemic injury progresses gradually, and irreversible ischemic injury begins to occur 90 minutes after initial DNC infusion in the adult human heart. Therefore, redosing of DNC may be required after 90 minutes of aortic crossclamp time during adult cardiac surgery.

Background Noninvasive cardiac radioablation is employed to treat ventricular arrhythmia. However, myocardial changes leading to early‐period antiarrhythmic effects induced by high‐dose irradiation are unknown. This study investigated dose‐responsive histologic, ultrastructural, and functional changes within 1 month after irradiation in rat heart. Methods and Results Whole hearts of wild‐type Lewis rats (N=95) were irradiated with single fraction 20, 25, 30, 40, or 50 Gy and explanted at 1 day or 1, 2, 3, or 4 weeks’ postirradiation. Microscopic pathologic changes of cardiac structures by light microscope with immunohistopathologic staining, ultrastructure by electron microscopy, and functional evaluation by ECG and echocardiography were studied. Despite high‐dose irradiation, no myocardial necrosis and apoptosis were observed. Intercalated discs were widened and disrupted, forming uneven and twisted junctions between adjacent myocytes. Diffuse vacuolization peaked at 3 weeks, suggesting irradiation dose‐responsiveness, which was correlated with interstitial and intracellular edema. CD68 immunostaining accompanying vacuolization suggested mononuclear cell infiltration. These changes were prominent in working myocardium but not cardiac conduction tissue. Intracardiac conduction represented by PR and QTc intervals on ECG was delayed compared with baseline measurements. ST segment was initially depressed and gradually elevated. Ventricular chamber dimensions and function remained intact without pericardial effusion. Conclusions Mononuclear cell–related intracellular and extracellular edema with diffuse vacuolization and intercalated disc widening were observed within 1 month after high‐dose irradiation. ECG indicated intracardiac conduction delay with prominent ST‐segment changes. These observations suggest that early antiarrhythmic effects after cardiac radioablation result from conduction disturbances and membrane potential alterations without necrosis.

We present autopsy findings of a 22-year-old man who developed chest pain 5 days after the first dose of the BNT162b2 mRNA vaccine and died 7 hours later. Histological examination of the heart revealed isolated atrial myocarditis, with neutrophil and histiocyte predominance. Immunohistochemical C4d staining revealed scattered single-cell necrosis of myocytes which was not accompanied by inflammatory infiltrates. Extensive contraction band necrosis was observed in the atria and ventricles. There was no evidence of microthrombosis or infection in the heart and other organs. The primary cause of death was determined to be myocarditis, causally-associated with the BNT162b2 vaccine., Graphical Abstract

Background We evaluated the level and factors of heavy metal exposure to children residing in the Togttsetsii, Khanbogd, and Bayandalai soums of South Gobi province, Mongolia. Methods A total of 118 children aged 9–12 years were surveyed, and the level of heavy metal exposure in their bodies was investigated. Exposure was investigated by measuring concentrations of heavy metals such as cadmium, lead, and mercury in the blood; mercury concentration in the hair; and total arsenic in the urine. Results Blood cadmium concentration had geometric averages of 0.16 µg/L in the children from Bayandalai, 0.15 µg/L Tsogttsetsii, and 0.16 µg/L Khanbogd. Blood lead concentration showed a relatively higher geometric average of 7.42 µg/dL in the children from Bayandalai compared to 4.78 µg/dL and 5.15 µg/dL in those from Tsogttsetsii and Khanbogd, respectively. While blood mercury concentration was the highest in the children from Bayandalai, with a value of 0.38 µg/L, those from Tsogttsetsii and Khanbogd had similar concentrations of 0.29 µg/L and 0.29 µg/L, respectively. Hair mercury concentration was the highest in the children from Bayandalai, with a value of 78 µg/g, a particularly significant difference, with a concentration of 0.50 µg/g in those from Khanbogd. Urine arsenic concentration was the highest in the children from Khanbogd, with a value of 36.93 µg/L; it was 26.11 µg/L in those from Bayandalai and 23.89 µg/L in those from Tsogttsetsii. Conclusions The high blood lead concentration of children in Bayandalai was judged to be due to other factors in addition to mine exposure; the reason why blood and hair mercury concentration was higher in children from Bayandalai may have been due to exposure to many small-scale gold mines in the area. In the case of Khanbogd, it was estimated that the high arsenic level in urine was caused by the effect of mines.

Background: The distribution and connection of ventricular Purkinje fibers are known to be associated with idiopathic left ventricular arrhythmias. Unusual anatomy is one of the important factors associated with catheter ablation success rate. With the widefield high-speed, swept-source optical coherence microscopy (OCM) and light microscope, we visualized the left ventricular Purkinje fiber distribution. Methods: Left ventricular walls of five adult ovine hearts were incised from the mitral annulus to the apex. Using the widefield OCM technique and light microscopy, we observed the distribution, direction, depth, and dividing patterns of the Purkinje network with multiple tangential angles and without tissue destruction. Results: Widefield OCM was used to characterize the ovine heart Purkinje network system in a 4 × 4 mm(2) field. Left ventricular Purkinje fibers traveled in the sub-endocardial area near the left-sided peri-membranous septal area and ran like a wide hair bundle. The distal branching fibers penetrated to the endocardium and connected to the contractile muscle. In this distal area, Purkinje fibers were connected to each other, forming multiple layers. Some Purkinje fibers were directly connected within the false tendon between the papillary muscles or between the trabeculations. Some free-running Purkinje fibers were directly connected to the papillary muscle from the left bundle. Conclusion: Using widefield OCM, we were able to observe the left bundle and its branching patterns in ovine left ventricle without tissue destruction. This might be applied to future cardiac ablation procedures.

The current study was initiated to test the synchronizations of tree-ring δ18O (hereafter δ18OTR) time series within and between tree species and provinces, which are about 144 km apart from each other in Korea. For the test, a 50-year δ18OTRtime series (1966–2015) was developed using four trees from each tree species which arePinus densifloraandQuercus mongolicafrom Songnisan National Park andTaxus cuspidata,Pinus koraiensis,Abies koreana, andQuercus mongolicafrom Jirisan National Park. Their synchronizations were evaluated usingt-value, Gleichläufigkeit (Glk), and Expressed Population Signal (EPS). The meant-values and Glk scores within the tree species ranged 5.2–11.2 (p < 0.05) and 69–83%, and between the tree species ranged 6.1–13.2 (p < 0.05) and 73–81%, respectively. The meant-value and Glk score between the regions were 4.3 (p < 0.05) and 72%, respectively. Furthermore, the EPS showed higher than 0.85, which is the generally accepted threshold value in dendrochronology, except forQ. mongolicaat Songnisan National Park for which the value is 0.83 calculated by only two δ18OTRtime series. Based on the statistical results, we concluded that a δ18OTRchronology established using more than four trees could serve as a promising reference for dating an undated wood without considering the tree species, as well as for research on climate in the past.

This study compares the heavy metal exposure levels of the population of abandoned metal mines, with high risks of environmental pollution and health effects. We used data from a two-stage abandoned metal mines survey (AMS, n = 4467). The Korea National Health and Nutrition Examination Survey (KNHANES) and the Korea National Environmental Health Survey (KNEHS) were used as general population data. Based on the sex and age distribution in the AMS, a simple random sampling was performed, so that the two datasets had the same distribution (KNHANES n = 1815, KNEHS n = 2328). Blood lead concentrations were slightly higher in the AMS than in KNEHS. Blood cadmium concentrations were similar between the two groups. However, the difference in urine cadmium concentrations was pronounced and statistically significant. Moreover, 30.6% of the AMS data for urine cadmium concentration exceeded the 95th percentile of the KNEHS data. The concentration of lead and cadmium in the residents of the abandoned metal mines, i.e., the vulnerable regions, was higher than that in the general population. It is necessary to monitor and manage the vulnerable regions via a more active and extensive survey system.

Differential diagnosis of an intracardiac mass is difficult when detected only by echocardiography before a biopsy is completed. However, treatment cannot be postponed until the biopsy results are obtained. We report the case of a 12-year-old girl who presented with an intracardiac mass in the mitral valve mimicking infective endocarditis and severe mitral regurgitation. The mass was finally diagnosed as valvulitis associated with systemic juvenile idiopathic arthritis, which was complicated with macrophage activation syndrome. After careful exclusion of acute infectious disease, we started steroid pulse therapy and administered tocilizumab to treat the cytokine storm before performing the surgery. Finally, we performed mass excision and mitral valve replacement after immunosuppressant therapy.

Thermo-sensitive injectable hydrogels that spontaneously react to physiological temperature have been widely studied to be used in biomedical fields. However, several challenges on their unstable structures with large-sized pores and low mechanical strength under physiological conditions must be addressed to enable their practical applications. We synthesized the hydroxybutyl methacrylated chitosan (HBC-MA) hydrogel that possesses both thermo-sensitive and photo-crosslinkable properties. The HBC-MA showed effective sol-gel transition under physiological temperature as well as a sensitive photo-crosslinkable property with visible light capable of skin penetration. The co-nonsolvency property and thermo-sensitivity of HBC-MA prevented unintended loss of the hydrogel graft after being subcutaneously injected in mice. Subsequently applied visible light on the skin beneath which the hydrogel was injected significantly improved the mechanical strength and stability of the graft. The injectable HBC-MA hydrogel developed in this study can be applicable to a wide range of biomedical fields such as drug delivery system and tissue engineering.

The purpose of this study was to investigate the role of strong winds and aging in the death and/or decline in the growth of Korean fir on Mt. Halla in Korea. Bangeoreum (BA-S), Jindalrebat (JD-E), and Youngsil (YS-W) on the southern, eastern, and western slopes of Mt. Halla (ca. 1600 and 1700 m a.s.l.) were selected for the study. The site chronologies were established using more than 10 living Korean firs at each site. Additionally, to date the years and seasons of death of standing/fallen dead Korean firs, 15/15, 14/15, and 10/10 trees were selected at BA-S, JD-E, and YS-W, respectively. After adjusting the age with the period of growth up to the sampling point, the oldest Korean fir found among the living trees was 114 years old at JD-E and the oldest fir among the dead trees was 131 years old at JD-E. Besides this, most of the trees at BA-S and JD-E were found to have died between 2008 and 2015, and at irregular intervals between 1976 and 2013 at YS-W. Also, the maximum number of trees, that is, 62.7% died between spring and summer, followed by 20.9% between summer and autumn, and 16.4% between autumn of the current year and spring of the following year. Abrupt growth reductions occurred at BA-S and JD-E, and have become more significant in recent years, whereas at YS-W, the abrupt growth reduction and recovery occur in a cyclic order. The intensity and frequency of the typhoons increased from 2012, and this trend was in-line with the increased number of abrupt growth reductions at BA-S and JD-E. Therefore, the typhoons of 2012 are considered as the most likely influencing factor in death and/or growth reduction in Korean firs. In contrast, the decline in the growth of the Korean firs located on the windward slope (YS-W) showed a relationship with winds stronger than 25–33 m/s.

A significant relationship between arsenic exposure and non-melanoma skin cancer (NMSC) is well known. The toxicity of arsenics which develop NMSC is dependent on their species. Accordingly, total arsenic levels are unreliable for risk assessment of NMSC. However, there are few studies on quantitative exposure assessment of arsenic species in NMSC patients. To validate the contribution of each arsenic species to NMSC, we compared the creatinine-adjusted urinary concentration of arsenic species in NMSC patients and community controls. A total of 124 biopsy-proven NMSC cases and 125 age- and sex-matched community controls, drinking tap water with low-level arsenic concentration (

본 연구는 월악산에 식재된 잣나무와 화백나무의 형성층 활동을 모니터링 하여, 1) 수종에 따른 형성층 활동 기간을 확인하고, 2) 적산온도가 형성층 활동 개시에 미치는 영향과 3) 생육기간 중 강수량이 연륜생장에 미치는 영향을 분석하기 위하여 수행되었다. 또한, 식재연도가 동일하지만 직경생장이 다른 두 그룹(DBH 평균 30 cm (CPL)와 15 cm(CPS))의 화백나무 생장패턴도 함께 조사하였다. 형성층 활동 모니터링을 위해 미니코어를 활용하였으며, 시료채취는 2015년 4월부터 10월까지 2주 간격으로 실시되었다. 형성층 활동 개시와 종료가 기대되는 4-5월과 9월 중순-10월은 일주일 간격으로 실시하였다. 연륜분석 결과 잣나무의 평균 연륜 수는 30개로 CPS와 CPL보다 7 (CPS) 또는 8 (CPL)개 적었다. 반면, 잣나무의 평균 연륜폭은 4.12 mm로 CPL (3.97 mm)과 CPS (1.84 mm)보다 넓은 것으로 확인되었다. 화백나무 상호비교에서는 CPL의 평균 연륜폭이 CPS보다 2.13 mm 넓은 것으로 확인되었으나, 최근 3년간 평균 연륜폭을 비교한 결과 CPS1 (0.83 mm)를 제외한 CPS2 (2.42 mm)와 CPS3 (2.73 mm)은 CPL (2.71 mm) 그룹과 유사하였다. PK의 형성층 활동 개시는 4월 13일과 21일 사이로 CPS1를 제외한 화백나무보다 일주일 정도 빨랐으며, 종료는 9월 1일과 22일 사이로 형성층 활동 최대기간이 157.3 (± 3.3)일이었으며, CPS (145.7 ± 6.6일)와 CPL (148.0 ± 15.1일)보다 길었다. 화백나무의 경우 형성층 활동 종료 시기에 차이가 많았으며, 형성층 활동기간과 연륜폭 상호간 상관분석에서는 유의수준에 근접한 결과(r = 0.69, p < 0.064)를 보였다. 잣나무의 형성층 활동을 유도하는 적산온도는 99와 134 사이였으며, CPS1 (274)을 제외한 화백나무는 134와 200 사이었다. CPS3을 제외한 모든 수목은 7월 21일에 채취한 시료에서 위연륜(false ring)이 관찰되었으며, 그 원인이 여름철 강수량 부족인 것으로 판단되었다.

Resin is one of the traditional non-timber forest products in the Republic of Korea. In order to investigate the chronological activity of resin collection, the wounds/cuts on red pines (Pinus densiflora) were dated using a tree-ring analysis technique. Additionally, the size of the trees in the resin collection years and the present conditions of the trees were investigated to verify the tree conditions and the size of wounds. Eighty-eight red pines distributed over nine sites in the Republic of Korea were selected to extract increment cores and investigate the wound size. Through the tree-ring analysis, the trees with big wounds (24.7 × 104.7 cm) made via panel hacksaw method were dated in the range 1938–1952, whereas small wounds (40.2 × 20.9 cm) made via the conventional chisel method were dated between 1956 and 1973. Moreover, the red pines thicker than 20.0 cm were the ones that were used for resin collection. Furthermore, the wounds created by the conventional chisel were healed with time, whereas the ones formed via the panel hacksaw method still required long times for healing. The large wounds had the advantage of supplying a large amount of resin, but this was temporary. On the other hand, the smaller wounds formed via the traditional chisel method could generate resin for a longer time and heal faster.