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Background : This study investigates the relationship between changes in physical activity levels and risk of metabolic syndrome. Methods : This study examined 1,686 adults aged 40 to 69 years from a community-based cohort study with complete 1st to 4th follow-up data between 2011 and 2020. Changes in physical activity were evaluated through baseline and follow-up surveys using physical activity questionnaires. Metabolic syndrome was diagnosed according to the International Diabetes Federation criteria. A survival analysis was conducted using a multivariate extended Cox regression model with a significance level set at P420 minutes per week at first follow-up) had a 25% decrease in the HR for metabolic syndrome compared with the consistently inactive group (walking ≤420 minutes per week at both baseline and first follow-up) (HR, 0.75; 95% CI, 0.57 to 0.98). Conclusion : Changes in physical activity levels are associated with risk of metabolic syndrome. These results provide important insights for future investigations into the link between physical activity changes and disease occurrence.

Invasion risk assessments are essential for making informed decisions, allocating resources, and implementing targeted strategies to prevent or minimize the harmful effects of invasive species on native biodiversity, agricultural productivity, and natural ecosystems. In this study, the random forest algorithm was used to assess the spatial invasion risk of Lantana camara, one of the world’s top 100 worst invasive weeds, across all continents under current and future environmental conditions. The current invasion risk was relatively high on four continents (i.e., Africa, Australia, Oceania, and South America) within approximately 35°N and 35°S latitude, estimated to cover at least 68.98 % of the total land surface. Furthermore, projections for future environmental changes suggested a substantial increase in invasion risk across all continents, with the most significant changes (251.52 %) observed in Europe compared with current invasion levels. Additionally, invasion risk was predicted to extend beyond 35°N latitude. Categorizing 200 countries and territories into distinct risk levels, 27 countries had current invasion potential, and introduction and establishment was predicted in 114 countries. Moreover, at least 45 countries, including Canada, India, Italy, and United States, were projected to transition from no or low invasion risk to high invasion risk and 28 countries had a risk increase of over 50 %. Current study provides valuable insights into the global invasion risk posed by L. camara. These results are expected to be of great utility for invasive weed management, facilitating the development of control and sustainable management strategies for this notorious weed at both global and local scales.

Abstract Bioactive glass–ceramic (BGC) cage is a substitute for polyether ether ketone (PEEK) cages in anterior cervical discectomy and fusion (ACDF). Only a few comparative studies exist using PEEK and non-window-type BGC cages (CaO–SiO2–P2O5–B2O3) in single-level ACDF. This study compared PEEK cages filled with autologous iliac bone grafts and BGC cages regarding clinical safety and effectiveness. A retrospective case series was performed on 40 patients who underwent single-level ACDF between October 2020 and July 2021 by a single orthopedic spine surgeon. The spacers used in each ACDF were a PEEK cage with a void filled with an autologous iliac bone graft and a non-window-type BGC cage in 20 cases. The grafts were compared pre-operatively and post-operatively at 6 weeks and 3, 6, and 12 months. Post-operative complications were investigated in each group. Clinical outcome was measured, including Visual Analog Scale (VAS) scores of neck and arm pains, Japanese Orthopedic Association score (JOA), and Neck Disability Index (NDI). Dynamic lateral radiographs were used to assess the inter-spinous motion (ISM) between the fusion segment and subsidence. The fusion status was evaluated using a computed tomography (CT) scan. Overall, 39 patients (19 and 20 patients in the PEEK and BGC groups, respectively) were recruited. Eighteen (94.7%) and 19 (95.0%) patients in the PEEK and BGC groups, respectively, were fused 12 months post-operatively, as assessed by ISM in dynamic lateral radiograph and bone bridging formation proven in CT scan. The PEEK and BGC groups showed substantial improvement in neck and arm VAS, JOA, and NDI scores. No substantial difference was found in clinical and radiological outcomes between the PEEK and BGC groups. However, the operation time was considerably shorter in the BGC group than in the PEEK group. In conclusion, a non-window-type BCG cage is a feasible substitute for a PEEK cage with an autologous iliac bone graft in single-level ACDF.

Acacia mearnsii, among the 100 worst invasive weeds worldwide, negatively impacts native biodiversity, agriculture, and natural ecosystems. Global climate change, characterized by rising temperatures and altered precipitation patterns, enhances the risk of A. mearnsii invasion in Asia, making it crucial to identify high-risk areas for effective management. This study performed species distribution modeling using the maximum entropy (MaxEnt) algorithm to predict the potential introduction and spread of A. mearnsii under various climate scenarios based on shared socio-economic pathways (SSP2-4.5 and SSP5-8.5). Currently, only 4.35% of Asia is invaded, with a high invasion risk identified in six countries, including Bhutan, Lebanon, and Taiwan, where more than 75% of their areas are threatened. Under future climate scenarios, 21 countries face invasion risk, among which 14 countries, such as Georgia, Laos, Republic of Korea, and Turkey, are at moderate to very high risk, potentially encompassing up to 87.89% of their territories. Conversely, Northern Asian countries exhibit minimal changes in invasion risk and are considered relatively safe from invasion. These findings underscore that climate change will exacerbate invasion risks across Asia, emphasizing the urgent need for robust management strategies, including stringent quarantine measures and control efforts, to mitigate the threat of A. mearnsii expansion.

The number of alien species introduced into South Korea continues to increase over the years. In particular, several plants have been introduced as ornamentals. Ludwigia peploides, which is native to the Americas and Australia, is believed to have been planted as an ornamental aquatic plant called “water primrose” and “primrose”. It spread to natural ecosystems through rivers, and its distribution is gradually expanding in Suwon, Hwaseong, Busan, and Jeju. However, there has been no specific study on the ecological risk of L. peploides introduced into South Korea. This study, therefore, investigates the distribution status and ecological risks of L. peploides in South Korea through field surveys and allelopathic material analysis, as well as assessing abiotic risk factors. The distribution was confirmed at a total of 19 sites, with high-density mats of a single species forming along the water’s edge and on the water surface. The maximum distribution area was 13,922 m2 in Chilgok Reservoir in Anseong. Stems and plant fragments transported along waterways were continuously forming colonies through vegetative propagation. When evaluating the overall risk, it is determined that L. peploides has a high potential to cause significant damage to the ecosystem if not managed promptly. Therefore, continuous monitoring is necessary to effectively manage and prevent the habitat expansion of L. peploides. The results of this study are expected to aid in the identification of the current distribution and potential ecological risks of L. peploides in South Korea, providing essential data for ecological risk assessment and the development of effective management strategies.

Background: Atherogenic dyslipidemia, which is frequently associated with type 2 diabetes (T2D) and insulin resistance, contributes to the development of vascular complications. Statin therapy is the primary approach to dyslipidemia management in T2D, however, the role of non-statin therapy remains unclear. Ezetimibe reduces cholesterol burden by inhibiting intestinal cholesterol absorption. Fibrates lower triglyceride levels and increase high-density lipoprotein cholesterol (HDL-C) levels via peroxisome proliferator- activated receptor alpha agonism. Therefore, when combined, these drugs effectively lower non-HDL-C levels. Despite this, few clinical trials have specifically targeted non-HDL-C, and the efficacy of triple combination therapies, including statins, ezetimibe, and fibrates, has yet to be determined. Methods: This is a multicenter, prospective, randomized, open-label, active-comparator controlled trial involving 3,958 eligible participants with T2D, cardiovascular risk factors, and elevated non-HDL-C (≥100 mg/dL). Participants, already on moderate-intensity statins, will be randomly assigned to either Ezefeno (ezetimibe/fenofibrate) addition or statin dose-escalation. The primary end point is the development of a composite of major adverse cardiovascular and diabetic microvascular events over 48 months. Conclusion: This trial aims to assess whether combining statins, ezetimibe, and fenofibrate is as effective as, or possibly superior to, statin monotherapy intensification in lowering cardiovascular and microvascular disease risk for patients with T2D. This could propose a novel therapeutic approach for managing dyslipidemia in T2D. [ABSTRACT FROM AUTHOR]

Gallium ion incorporation into silver indium gallium sulfide nanocrystals is investigated by various methods, including photoluminescence (PL) and X-ray photoelectron spectroscopy. The ZnS shell-growth enhances a PL quantum yield of up to 16%, with which the quantum dot light-emitting diode was successfully fabricated. [ABSTRACT FROM AUTHOR]

Background/Aims: Reports on the association between sarcopenic visceral obesity and nonalcoholic fatty liver disease (NAFLD)-associated morbidities remain scarce. We investigated the association between sarcopenia and visceral obesity, and the influence of this association on hepatic and coronary comorbidities. Methods: The appendicular skeletal muscle mass to visceral fat area ratio (SV ratio) was evaluated using bioelectric impedance analysis. NAFLD and significant liver fibrosis were assessed using transient elastography, and high atherosclerotic cardiovascular disease (ASCVD) risk was defined as a 10-year ASCVD risk score >10%. Sarcopenia was defined as appendicular skeletal muscle mass adjusted by body mass index (<0.789 for men and <0.512 for women). Results: In total, 82.0% (n=1,205) of the entire study population had NAFLD, and 14.6% of these individuals (n=176) exhibited significant liver fibrosis. Individuals with the lowest SV ratio had a significantly increased risk of NAFLD, significant liver fibrosis, and high ASCVD risk (all p<0.05). Individuals with both the lowest SV ratio and sarcopenia had the highest risk of developing NAFLD (odds ratio [OR]=3.11), significant liver fibrosis (OR=2.03), and high ASCVD risk (OR=4.15), compared with those with a higher SV ratio and without sarcopenia (all p<0.05). Conclusions: Low SV ratio combined with sarcopenia was significantly associated with an increased risk of NAFLD, significant liver fibrosis, and high ASCVD risk among individuals with a high risk of NAFLD [ABSTRACT FROM AUTHOR]

Aim: Hepatic ketogenesis is a key metabolic pathway that regulates energy homeostasis. Some related controversies exist regarding the pathogenesis of metabolic-associated fatty liver disease (MAFLD). We aimed to investigate whether intact ketogenic capacity could reduce the risk of MAFLD based on transient electrography (TE) in patients with newly diagnosed type 2 diabetes (T2D). Methods: A total of 361 subjects with newly diagnosed T2D were recruited and classified into two groups based on the median serum bhydroxybutyrate (bHB) level, referred to as the intact and impaired ketogenesis groups. The glucometabolic relevance of ketogenic capacity and associations of the baseline serum b-HB and MAFLD assessed with TE were investigated. Results: Compared to the impaired ketogenesis group, the intact ketogenesis group showed better insulin sensitivity, lower serum triglyceride levels, and higher glycated hemoglobin levels. The controlled attenuation parameter (CAP) was lower in the intact ketogenesis group without statistical significance (289.7 ± 52.1 vs. 294.5 ± 43.6; p=0.342) but the prevalence of moderate-severe steatosis defined by CAP =260 dB/m was significantly lower in the intact group. Moreover, intact ketogenesis was significantly associated with a lower risk of moderate-severe MAFLD after adjusting for potential confounders (adjusted odds ratio 0.55, 95% confidence interval 0.30-0.98; p=0.044). Conclusion: In drug-naïve, newly diagnosed T2D patients, intact ketogenesis predicted a lower risk of moderate-severe MAFLD assessed by TE. [ABSTRACT FROM AUTHOR]

Abstract Tears have emerged as a promising alternative to blood for diagnosing diabetes. Despite increasing attempts to measure tear glucose using smart contact lenses, the controversy surrounding the correlation between tear glucose and blood glucose still limits the clinical usage of tears. Herein, we present an in-depth investigation of the correlation between tear glucose and blood glucose using a wireless and soft smart contact lens for continuous monitoring of tear glucose. This smart contact lens is capable of quantitatively monitoring the tear glucose levels in basal tears excluding the effect of reflex tears which might weaken the relationship with blood glucose. Furthermore, this smart contact lens can provide an unprecedented level of continuous tear glucose data acquisition at sub-minute intervals. These advantages allow the precise estimation of lag time, enabling the establishment of the concept called ‘personalized lag time’. This demonstration considers individual differences and is successfully applied to both non-diabetic and diabetic humans, as well as in animal models, resulting in a high correlation.

A novel displacement ventilation system (DVS) was designed using a four-way cassette fan coil unit (FCU) and air purifiers (APs) for supplying clean air. The proposed DVS in this study involved drawing indoor air through the FCU and diffusers installed in the ceiling, controlling air temperature using the FCU, and then discharging it back into the office through the APs placed on the floor. The comparative ventilation system considered was the typical mixing ventilation system (MVS) that intakes and exhausts indoor air using diffusers installed on the ceiling. The local mean age of air was used as an index to compare indoor air quality between DVS and MVS under winter heating conditions. It was found that the DVS was more effective in improving indoor air quality in winter than the MVS. Moreover, compared to the MVS, utilizing the DVS designed in this study resulted in the advantage of a much more uniform air temperature variation in the office space. Therefore, it is anticipated that modifying the structure of an indoor space with an FCU installed in the ceiling and APs on the floor to use the DVS designed in this study would greatly assist in enhancing indoor air quality.