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Background/Objective: Limited data exist regarding the long-term clinical outcomes and related factors after adult spinal deformity (ASD) surgery. This study aims to characterize patients who experienced poor clinical outcomes during long-term follow-up after ASD surgery. Methods: Patients who underwent ASD surgery with ≥5-vertebra fusion including the sacrum and ≥5-year follow-up were included. They were divided into two groups according to the Oswestry Disability Index (ODI) at the last follow-up: group P (poor outcome, ODI > 40) and group NP (non-poor outcome, ODI ≤ 40). Clinical variables, including patient factors, surgical factors, radiographic parameters, and mechanical complications (proximal junctional kyphosis [PJK] and rod fracture), were compared between the groups. Results: A total of 105 patients were evaluated, with a mean follow-up of 100.6 months. The mean age was 66.3 years, and 94 patients (89.5%) were women. There were 52 patients in group P and 53 patients in group NP. Univariate analysis showed that low T-score, postoperative correction relative to age-adjusted pelvic incidence-lumbar lordosis, T1 pelvic angle (TPA) at last follow-up, and PJK development were significant factors for poor clinical outcomes. Multivariate analysis identified PJK as the single independent risk factor (odds ratio [OR] = 3.957 for PJK development relative to no PJK, OR = 21.141 for revision surgery for PJK relative to no PJK). Conclusions: PJK development was the single independent factor affecting poor clinical outcomes in long-term follow-up. Therefore, PJK prevention appears crucial for achieving long-term success after ASD surgery. [ABSTRACT FROM AUTHOR]

Betaine is a useful compound that has various activities and is the marker compound of Lycium chinense fruit in Korean Pharmacopoeia. we seek to support the stable production of medicinal goji berries, which have significant potential in the pharmaceutical industry due to their high values, and to provide foundational data for consistent quality control. This study's purpose was to examine the correlation among betaine content, environmental variables, and the growth characteristics of L. chinense fruits. The fruits were collected from 25 cultivation sites across South Korea. We investigated five growth characteristics and betaine contents in L. chinense fruits and twelve soil physicochemical properties, and seven meteorological data at cultivation sites. The fruit's growth characteristics included a length of 15.62–26.49 mm, a width of 7.09–11.38 mm, a fresh weight of 0.73–1.62 g, and a sugar content of 11.10–19.62 Brix°. Its betaine content ranged from 0.54% to 0.97%. The betaine content was positively correlated with electrical conductivity (0.327 **), exchangeable potassium (0.314 **), and sodium (0.259 *) and negatively correlated with annual average minimum temperature (−0.256 *) and annual average temperature (−0.242 *). Also, betaine showed a positive correlation with the length of the fruit (0.294 *) and the fresh weight of the fruit (0.238 *). These results can be used to find the best cultivation method and to manage quality control for the highly economical L. chinense fruit. [ABSTRACT FROM AUTHOR]

Sarcopenia is a disease characterized by the progressive loss of skeletal muscle mass and function that occurs with aging. The progression of sarcopenia is correlated with the onset of physical disability, the inability to live independently, and increased mortality. Due to global increases in lifespan and demographic aging in developed countries, sarcopenia has become a major socioeconomic burden. Clinical therapies for sarcopenia are based on physical therapy and nutritional support, although these may suffer from low adherence and variable outcomes. There are currently no clinically approved drugs for sarcopenia. Consequently, there is a large amount of pre-clinical research focusing on discovering new candidate drugs and novel targets. In this review, recent progress in this research will be discussed, along with the challenges that may preclude successful translational research in the clinic. The types of drugs examined include mitochondria-targeting compounds, anti-diabetes agents, small molecules that target non-coding RNAs, protein therapeutics, natural products, and repositioning candidates. In light of the large number of drugs and targets being reported, it can be envisioned that clinically approved pharmaceuticals to prevent the progression or even mitigate sarcopenia may be within reach. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the correlation among the contents of marker compounds, growth characteristics, and environmental factors of Schisandra chinensis fruits across South Korea. The fruits were collected from 36 cultivation sites in 28 regions across the country. We investigated nine growth characteristics, twelve soil physicochemical properties, eight meteorological data, and three marker compounds in this study. We optimized and validated an optimized method for quantifying marker compounds using UPLC and performed correlation analysis among the contents of marker compounds, growth characteristics, and environmental factors. The UPLC-UV method for analyzing marker compounds was validated by measuring linearity, LOD, LOQ, precision, and accuracy. The marker compounds were negatively correlated with the fruit size and sugar contents, and growth characteristics were negatively correlated with some physicochemical properties of the soil. The results of this study can be used as basic data for the standard cultural practices and quality control of S. chinensis fruits. [ABSTRACT FROM AUTHOR]

The growth characteristics and active compounds of plants are influenced by various environmental factors, including light, temperature, soil, and precipitation. These factors interact with each plant in a unique way. In this study, we collected fruit and soil samples from 17 cultivation sites in October 2020 to investigate the relationship among environmental factors, growth characteristics, and active compounds of H. dulcis seed and fruit. We developed an optimized method for quantifying active compounds using ultra-performance liquid chromatography and performed correlation analyses with the surveyed environmental factors. Results showed that the size and fresh weight of H. dulcis fruits were positively correlated with exchangeable Mg, Na, and silt texture proportion in the soil. The temperature was positively correlated with sugar content in the fruits but negatively correlated with fruit weight, and precipitation was negatively correlated with fruit size. Results also showed a positive correlation between the active compounds and growth characteristics such as fruit length, seed number per fruit, and fresh weight. The results of this study can be used as basic data for the cultivation and quality control of H. dulcis fruits. [ABSTRACT FROM AUTHOR]

Cudrania tricuspidata is a traditional medicinal herb in East Asia. The compounds of plants vary depending on environmental factors, such as soil, temperature, drainage, and so on. However, few to no studies have been done on the correlation among environment, growth, and compounds in C. tricuspidata. Thus, we aimed to investigate their relationship. Samples of C. tricuspidata fruit and cultivation soil were collected from 28 cultivation sites in October 2021. Six growth characteristics, eleven soil physicochemical properties, seven meteorological data points, and three active compounds were investigated in this study. We developed and validated an optimized method for quantifying active compounds using UPLC and performed correlation analysis of the environment, growth characteristics, and active compounds. The UPLC-UV method for determining active compounds was validated by measuring the linearity, LOD, LOQ, precision, and accuracy using UPLC. The LOD and LOQ were 0.01–0.03 µg/mL and 0.04–0.09 µg/mL, respectively. The precision was acceptable with RSD% values less than 2%. The recoveries ranged from 97.25 to 104.98% with RSD values <2%, within the acceptable limits. The active compounds were negatively correlated with the size of the fruit, and the growth characteristics were negatively correlated with some environmental factors. The results of this study can be used as basic data for the standard cultural practices and quality control of C. tricuspidata fruits. [ABSTRACT FROM AUTHOR]

The distribution shift of forest species due to the fact of climate change may negatively affect ecosystem services including the production of medicinal resources. Climate change impact assessments of habitat range changes are essential to sustainably manage forest resources. A change in the habitat suitability due to the fact of climate change was predicted for Angelica gigas, which has high economic value among forest medicinal resources in South Korea. The habitat suitability was predicted by an ensemble species distribution model that combined the results of nine single algorithm models using the committee averaging method. A total 168 occurrence data and 10 environmental variables were used for the single algorithm models. The area under the receiver operation characteristic curve (AUC) and true skill statistic (TSS) were applied to evaluate the models' performance, and the contribution of the environmental variables was calculated as an important value for each single algorithm model. Climate change scenarios were projected to predict future habitat suitability. The future suitable habitat for A. gigas was gradually reduced to the high mountain regions of the eastern part of South Korea regardless of the climate change scenarios. The main environmental variable was the annual mean temperature, and the rise in temperature due to the fact of climate change was found to have a negative effect on the habitat suitability for A. gigas. The decline in the habitat suitability for A. gigas, a major forest medicinal resource, is expected to result in the reduction in its production. Therefore, it is required to establish adaptation measures to mitigate the negative impact of this decrease, such as protecting the natural habitats of A. gigas. [ABSTRACT FROM AUTHOR]

This study was conducted to quantify the carbon storage in each pool (including trees, forest floor, and soil) and to analyze the carbon cycle in a Chamaecyparis obtusa (Siebold and Zucc.) Endl. forest according to different thinning intensities. The study site was located in Gochang-gun, Jeollabuk-do, and the treatments consisted of a control (Con), a light thinning (LT), and a heavy thinning (HT), based on 3000 trees originally planted per hectare. As stand density decreased, total C storage decreased, and the annual C storage of trees and C released through soil respiration significantly increased. Net ecosystem production (NEP; Mg·C·ha−1·year−1), as the difference between net primary production and microbial respiration, was 1.95, 2.49, and 2.11 in the Con, LT, and HT treatments, respectively; i.e., the LT stimulated greater NEP than the Con and HT treatments. While these results show that thinning decreases total C storage of forests, proper thinning enhances carbon uptake capacity. In addition, this study can be a basic reference for the effects of thinning on forest carbon cycles. Repeated measurements of each C pool should be performed over multiple years to see the exact movement patterns of forest carbon in the future. [ABSTRACT FROM AUTHOR]

The beach vitex (Vitex rotundifolia L.), a member of the Lamiaceae family, is a salt-tolerant, woody perennial common in coastal areas worldwide. Plant–fungal association was monitored in the shoreline forest area of Wando Island in Korea in 2020, and leaf samples showing leaf spot disease were collected. Eight fungal isolates were recovered from the samples on PDA and identified based on the morphological characteristics and multilocus molecular phylogeny. Among the eight isolates, four were identified as Alternaria alternata, two as Fusarium humuli, one as Colletotrichum aenigma, and one as Stagonosporopsis caricae. Pathogenicity tests of the fungal isolates on the detached leaves of beach vitex revealed that S. caricae CMML20–2 and A. alternata (CMML20–7, CMML20–8, CMML20–9, and CMML20–10) caused disease lesions while the other species did not. The fungal species S. caricae, C. aenigma, and F. humuli are the first reported in the host worldwide, and S. caricae and F. humuli are first reported in Korea. In vitro fungicide sensitivity assays were carried out based on a measurement of diametrical mycelial growth on media amended with different doses of the fungicides fludioxonil, metconazole, and fluxapyroxad. Fungicide sensitivity varied significantly among the species, and the A. alternata and S. caricae isolates were more sensitive to fluxapyroxad than the other isolates. Our study contributes to the understanding of fungal diversity in forest mycology and demonstrates that pathogenic fungi including A. alternata and S. caricae might accelerate decline in leaf health. [ABSTRACT FROM AUTHOR]

Since 2018, Korea has been building an avian influenza (AI) national antigen bank for emergency preparedness; this antigen bank is updated every 2 years. To update the vaccine strains in the antigen bank, we used reverse genetics technology to develop two vaccine candidates against avian influenza strains belonging to clades 2.3.2.1d and 2.3.4.4h, and then evaluated their immunogenicity and protective efficacy in SPF chickens challenged with H5 viruses. The two vaccine candidates, named rgCA2/2.3.2.1d and rgES3/2.3.4.4h, were highly immunogenic, with hemagglutination inhibition (HI) titers of 8.2–9.3 log2 against the vaccine strain, and 7.1–7.3 log2 against the lethal challenge viruses (in which the HA genes shared 97% and 95.4% homology with that of rgCA2/2.3.2.1d and rgES3/2.3.4.4h, respectively). A full dose of each vaccine candidate provided 100% protection against the challenge viruses, with a reduction in clinical symptoms and virus shedding. A 1/10 dose provided similar levels of protection, whereas a 1/100 dose resulted in mortality and virus shedding by 7 dpi. Moreover, immunity induced by the two vaccines was long lasting, with HI titers of >7 log2 against the vaccine strain remaining after 6 months. Thus, the two vaccine candidates show protective efficacy and can be used to update the AI national antigen bank. [ABSTRACT FROM AUTHOR]

To achieve the goal of carbon neutrality, overseas plantation projects have been conducted in several countries, including Vietnam. In the present study, stand growth models and a yield table were developed and used to analyze the economic feasibility of Acacia hybrid plantations in southern Vietnam. Diameter at breast height, tree height, and number of trees were determined in the field; basal area, mean height, dominant tree height, stand density, and stand volume were estimated using in situ data. The initial number of trees increased for five years and reached 4947 trees ha−1; tree numbers then decreased to 1987 trees ha−1 until the stands reached ten years of age. The highest current annual increment of stand volume was shown to be 46.23 m3 ha−1 yr−1 when stands were 7 years old. For 7 years of stand age, the net present value was USD 1566/ha, and the internal rate of return was 13%, exceeding the market interest rate (4%). Therefore, an A. hybrid plantation is a reasonable proposition for an overseas plantation project in southern Vietnam and the growth models will be useful for the management of an A. hybrid plantation. [ABSTRACT FROM AUTHOR]

This study aimed to compare the cognitive performance and event-related potential (ERP) patterns between females who have given birth (parous) and those who have not (nulliparous). A total of 50 female participants, including 27 who were parous (33.2 ± 3.2 years) and 23 who were nulliparous (30.8 ± 2.3 years), were recruited. Only parous females who were ≤36 months postpartum (17.7 ± 8.1 months) were included. To compare the cognitive performance between the two groups, we presented the 3-back task (a working memory task) and compared the accuracy rate (%) and reaction time (ms) between the groups. Electroencephalogram (EEG) signals were simultaneously recorded and the ERP patterns at Fz, Cz, and Pz, which are highly associated with the 3-back task, were analyzed. From the ERP patterns, we extracted N100, P300, P600, P300 peak-to-peak (P300p_p), and P600 peak-to-peak (P600p_p). There were no significant between-group differences in terms of accuracy rate, reaction time, or ERP components (N100, P300, P600, P300p_p, or P600p_p) at the three sites (Fz, Cz, and Pz). Since this study, using meaningful objective data, did not show that parity was significantly correlated with cognitive performance ability and ERP patterns, childbirth does not appear to influence cognitive decline. [ABSTRACT FROM AUTHOR]

Soil properties are one of the major factors determining the growth of vegetation. These properties drive the selection of the dominant bacterial community profiles, which eventually determines the soil quality and fertility. The abundance of preferential bacterial community assists in better productivity of a particular type of vegetation. The increasing focus on the health and well-being of the human population has resulted in a shift in paradigm to concentrate on the cultivation of medicinal plants such as Wild-simulated ginseng (WSG). These plant species take a long time for their growth and are generally cultivated in the mountainous forest trenches of Far East countries like South Korea. This study was conducted to decipher the bacterial community profiles and their correlation with soil chemical properties, which would give a broader idea about the optimum growing conditions of such an important medicinal plant. The important edaphic factor determined in this study was the soil pH, which was recorded to be acidic in all the studied cultivation sites. In agreement with the edaphic factor, the relative abundance of Acidobacteria was found to be highest as this phylum prefers to grow in acidic soils. Moreover, the total organic matter, total nitrogen and cation exchange capacity were found to be significantly correlated with the bacterial community. Hence, these results will help to identify the suitable cultivation sites for WSG and increase the productivity of these medicinal plants. [ABSTRACT FROM AUTHOR]

Recent cases of climate disasters such as the European floods in 2021 and Korea's longest rainy season in 2020 strongly imply the importance of adaptation to climate change. In this study, we performed a numerical prediction on how much climate change adaptation factors related to forest policy can reduce climate disasters such as landslides. We focused on the landslide in Korea and applied a machine learning model reflecting adaptive indicators in the representative concentration pathway 8.5 climate scenario. The changes in the landslide probability were estimated using the Random Forest model, which estimated the landslide probability in the baseline period (2011) with excellent performance, and the spatial adaptation indicators used in this study contributed approximately 20%. The future landslide risk predicting indicated a significant increase in the Very High and High risk areas, especially in 2092. The application of the forest-related adaptation indices based on the policy scenario showed that in 2050, the effect was not pronounced, but in 2092, when the risk of landslides was much higher, the effect increased significantly. In particular, the effect was remarkable in the Seoul metropolitan and southern coastal regions. Even with the same adaptive capacity, it exerted a larger effect on the enhanced disasters. Our results suggest that the enhancement of adaptive capacity can reduce landslide risk up to 70% in a Very High risk region. In conclusion, it implies an importance to respond to the intensifying climate disasters, and abundant follow-up studies are expected to appear in the future. [ABSTRACT FROM AUTHOR]

Inflammation-mediated skeletal muscle wasting occurs in patients with sepsis and cancer cachexia. Both conditions severely affect patient morbidity and mortality. Lithium chloride has previously been shown to enhance myogenesis and prevent certain forms of muscular dystrophy. However, to our knowledge, the effect of lithium chloride treatment on sepsis-induced muscle atrophy and cancer cachexia has not yet been investigated. In this study, we aimed to examine the effects of lithium chloride using in vitro and in vivo models of cancer cachexia and sepsis. Lithium chloride prevented wasting in myotubes cultured with cancer cell-conditioned media, maintained the expression of the muscle fiber contractile protein, myosin heavy chain 2, and inhibited the upregulation of the E3 ubiquitin ligase, Atrogin-1. In addition, it inhibited the upregulation of inflammation-associated cytokines in macrophages treated with lipopolysaccharide. In the animal model of sepsis, lithium chloride treatment improved body weight, increased muscle mass, preserved the survival of larger fibers, and decreased the expression of muscle-wasting effector genes. In a model of cancer cachexia, lithium chloride increased muscle mass, enhanced muscle strength, and increased fiber cross-sectional area, with no significant effect on tumor mass. These results indicate that lithium chloride exerts therapeutic effects on inflammation-mediated skeletal muscle wasting, such as sepsis-induced muscle atrophy and cancer cachexia. [ABSTRACT FROM AUTHOR]

During a survey of diseased plants on Wando Island, Korea from May to June 2020, a severe leaf spot disease was observed in the upper leaves of Japanese bay tree (Machilus thunbergii). Early symptoms were light blackish spots on the leaf surface and enlargement of older spots. Dry leaf spots surrounded with deep black margins were common throughout the plants. Symptomatic leaf samples were collected, and the causal pathogen was isolated on potato dextrose agar (PDA). Three fungal isolates (CMML20-1, CMML20-3, and CMML20-4) were cultured on PDA for morphological characterization at 25 °C in the darkness. Fungal colonies were circular, fast-growing, olivaceous to dark grey, and with abundant aerial mycelium. Sporulation was induced in 14 h-10 h light-dark conditions, and the conidia were single-celled, thin-walled with a smooth surface, ellipsoid with round apices, and measuring 17.5–20.5 (avg. 17.5) μm × 7.5–10.0 (7.9) μm. The morphological characteristics resembled those typical for Neofusicoccum parvum. Molecular identification was confirmed by partially sequencing the internal transcribed spacer (ITS) region and the translation elongation factor 1-α (EF1-α) genes. Pathogenicity tests were conducted on detached leaves and whole plants of M. thunbergii. High disease prevalence was observed, and Koch postulates were fulfilled. This is the first worldwide report of N. parvum causing leaf spots on Machilus thunbergii. [ABSTRACT FROM AUTHOR]

Building energy codes are key policy tools for improving building energy efficiency by defining the minimum requirement for the energy performance of new buildings. In Korea, the building energy code was focused on prescriptive criteria for a long time but is now gradually introducing performance criteria. However, switching to performance criteria is not straightforward because of the resistance of the market to abandoning the well-consolidated prescriptive criteria. The objective of this study is to derive appropriate measures to strengthen the prescriptive criteria and the performance criteria, considering both the energy-saving effect and the economic efficiency for new office buildings and educational buildings to increase the market acceptance of the building energy codes. To this end, the energy-saving effects of reference buildings resulting from the reinforcement of the prescriptive criteria in the past have been first analyzed. Then, based on the collected energy performance parameters and cost data, the economic efficiency relative to the energy saving deriving from the application of passive and active energy conservation measures (ECMs) were analyzed, and future building energy code's reinforcement measures were derived. [ABSTRACT FROM AUTHOR]

This study was conducted to examine predictive factors of deep vein thrombosis (DVT) in gynecologic cancer survivors with lower extremity edema (LEE). In the current single-center, retrospective study, there was a total of 315 eligible patients, including 80 patients with DVT and 235 without DVT. They were therefore divided into two groups: the DVT group (n = 80) and the non-DVT group (n = 235). Then, baseline and clinical characteristics of the patients were compared between the two groups. In our study, distant organ metastasis, advanced stage, lymphadectomy, and amount of intraoperative blood loss had a positive predictive value for the occurrence of DVT in gynecologic cancer survivors presenting LEE. In conclusion, our results indicate that it is necessary to consider the possibility of LEE arising from DVT in gynecologic cancer survivors with advanced-stage cancer, distant organ metastasis, lymphadectomy, and intraoperative blood loss over 1500 mL. [ABSTRACT FROM AUTHOR]

To compare the treatment effects of a high-dose and low-dose oral steroid regimen based on changes in the radioisotope uptake ratio (RUR) observed from three-phase bone scintigraphy (TPBS) in patients with complex regional pain syndrome type I (CRPS I), we retrospectively analyzed data of 34 patients with CRPS I from traumatic brain injury and stroke. Depending on the dose of steroid administered, patients were divided into high-dose (n = 14) and low-dose steroid groups (n = 20). We compared the severity scores, Kozin's classification scores, and RUR observed from TPBS between the two groups. There were significant changes in the severity scores and Kozin's classification between the baseline and 2 weeks from baseline (p < 0.05), however, there were no significant differences in terms of changes in the scores, classification, or the RUR observed from TPBS at 2 weeks from baseline (p > 0.05). There were no treatment-emergent adverse events (TEAEs) such as blood pressure elevation, impaired glycemic control, or gastrointestinal disturbances. Our results indicate that the efficacy profile of a low-dose oral steroid regimen is comparable to that of a high-dose regimen in alleviating symptoms in CRPS I patients. However, additional prospective, large-scale, multi-center studies are warranted to confirm our results. [ABSTRACT FROM AUTHOR]

The purpose of this study was to determine the levels of trace metals in the blood of the general Korean population. A total of 258 healthy individuals, according to their regular medical check-ups, (119 males and 139 females, age ranging from 12 to 78 years old) were enrolled from December 2014 to December 2016. Levels of 10 trace elements were determined using inductively coupled plasma mass spectrometry (ICP-MS). The geometric mean (GM) levels for lead, arsenic, cesium, mercury, aluminum, cadmium, copper, manganese, selenium, and zinc were 15.97 μg/L, 7.19 μg/L, 2.39 μg/L, 3.41 μg/L, 10.57 μg/L, 0.78 μg/L, 979.8 μg/L, 11.06 μg/L, 111.37 μg/L, and 872.7 μg/L, respectively. There were significant gender-related differences in the levels of several metals; male individuals had higher Pb, As, Cs, Hg, and Se than females, while females had higher Cd, Cu, and Mn than males. We noticed remarkably high blood levels of Hg, As and Al in the Korean population. The element concentrations reported represent a new contribution to the knowledge of the blood chemistry for the Korea population. The data can be used to assess the clinical health of this population., Competing Interests: This manuscript has not been published or presented elsewhere in part or in entirety and is not under consideration by another journal. The authors declare no conflict of interest.

Serum deprivation (SD) is well known to induce G0/G1 cell cycle arrest and apoptosis in various cells. In the present study, we firstly found that SD could induce G1 arrest and the differentiation of human osteoblastic MG-63 cells, as evidenced by the increase of osteoblastic differentiation markers, such as bone morphogenetic protein-2 (BMP-2), osteocalcin and runt-related transcription factor 2 (Runx2). In parallel, gene expression of human GM3 synthase (hST3Gal V) catalyzing ganglioside GM3 biosynthesis was upregulated by SD in MG-63 cells. The 5'-flanking region of the hST3Gal V gene was functionally characterized to elucidate transcriptional regulation of hST3Gal V in SD-induced MG-63 cells. Promoter analysis using 5'-deletion constructs of the hST3Gal V gene demonstrated that the -432 to -177 region functions as the SD-inducible promoter. Site-directed mutagenesis revealed that the Runx2 binding sites located side-by-side at positions -232 and -222 are essential for the SD-induced expression of hST3Gal V in MG-63 cells. In addition, the chromatin immunoprecipitation assay also showed that Runx2 specifically binds to the hST3Gal V promoter region containing Runx2 binding sites. These results suggest that SD triggers upregulation of hST3Gal V gene expression through Runx2 activation by BMP signaling in MG-63 cells.