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Acute appendicitis is the most common nonobstetric indication for surgical intervention during pregnancy. In the argument of the optimal surgical approach to acute appendicitis in pregnancy, laparoscopy seems to be won with a similar complication rate and shorter postoperative recovery than open. We aimed to compare perioperative outcomes of appendectomy in pregnant and nonpregnant women in the totally laparoscopic age.We retrospectively analyzed 556 nonincidental appendectomies performed in women (aged 18-45 years) between January 2014 and December 2018. To reduce the confounding effects, we used propensity score considering the variables age, American Society of Anesthesiologists physical status classification, and the operative finding; whether the appendicitis was simple or complicated. After propensity score matching, the outcomes of 15 pregnant women were compared with those of the 30 nonpregnant women.All the operations were performed with laparoscopy. Most of the pregnant cases were in their first and second trimester. The postoperative morbidity rate was significantly higher in the pregnant group before propensity score matching; however, the significance disappeared after matching. Operative outcomes and the parameters related to the postoperative recovery were not different between the two groups. Two patients in their first trimester decided to terminate the pregnancy after appendectomy. One patient in her second trimester experienced preterm labor which was resolved spontaneously. There was no other obstetric adverse outcome.In the laparoscopy age, appendectomy during pregnancy is safe and not associated with a significantly increased risk of postoperative complication.

Temperature and CO2 concentration affect the yield and quality of mushrooms. In particular, high CO2 concentration due to mushroom respiration induces specific physiological disorders of mushrooms. The objective of this study was to quantify the CO2 emission rate of King Oyster mushrooms (Pleurotus eryngii (DC.) Quel) as a function of temperature and growth stage during the cultivation including thinning processes. CO2 emission rates of the substrate including mycelium before and after thinning were significantly different. In the respiration model, the maintenance and CO2 production coefficients of fruit bodies were expressed as quadratic equations according to temperature. The total CO2 emission rate of a bottle of mushroom estimated by the model were validated with measured ones (R 2 = 0.71). The CO2 emission rates of the mushroom showed exponential and quadratical increases with growth stage and temperature at 16 to 25℃, respectively. The CO2 emission rate models developed for King Oyster mushroom can be utilized to control the CO2 concentration and temperature in mushroom cultivation facilities.

본 연구는 병원 교육전담간호사가 신규간호사 교육 경험을 통해 인지한 필수 간호술기와 간호학 실습교육의 개선방안에 대해 포커스 그룹 인터뷰와 설문조사의 혼합연구방법을 이용하여 탐색하였다. 총 119개의 간호술기 중에서 교육전담간호사 전원이 매우 중요하다고 평가한 간호술기가 23개였다. 또한 교육전담간호사들은 신규간호사가 실무적응의 어려움을 보이는 원인을 무균술을 포함한 기본 원칙의 준수와 조작의 미숙, 대상자 상황 이해의 어려움, 낯선 상황에서의 미숙한 대처, 간호사로서 태도의 미흡으로 인식하고 있었다. 신규간호사의 임상실무역량을 높이기 위해서는 간호교육에서 간호전문직 의식을 고취시키기 위한 사고력 증진 교육 강화와 더불어 임상실무 역량을 향상시키기 위한 임상 실습의 교육 체계 개선과 프로그램 개발이 필요하다. 본 연구의 결과는 향후 임상의 요구와 대학의 현실을 반영하는 실습내용과 방법을 구성하는데 있어 유용한 기준으로 활용될 수 있을 것으로 기대 한다.

The screening rate of diabetic retinopathy (DR) is low despite the importance of early diagnosis. We investigated the predictive value of dietary glutamic acid and aspartic acid for diagnosis of DR using the Korea National Diabetes Program cohort study. The 2067 patients with type 2 diabetes without DR were included. The baseline intakes of energy, glutamic acid and aspartic acid were assessed using a 3-day food records. The risk of DR incidence based on intake of glutamic acid and aspartic acid was analyzed. The DR group was older, and had higher HbA1c, longer DM duration, lower education level and income than non-DR group (all p p = 0.010, p = 0.025 and p = 0.042, respectively). There was no difference in the risk of developing DR according to the intake of glutamic acid and ascorbic acid. But, aspartic acid intake had a negative correlation with PDR. Hence, the intake of glutamic acid and aspartic acid did not affect in DR incidence. However, lower aspartic acid intake affected the PDR incidence.

Wavefronts of the reconstructed images from holograms displayed on both rhomb and square pixel type DMDs are visually identified with a color phase map obtained with a Shack-Hartmann wavefront sensor to show wavefront aberration induced by DMDs’ unique pixel structure and working principle. The wavefronts of different holograms show very similar color phase maps to each other. But the phase maps reveal clearly the presence of the aberration and indicate that the square pixel DMD which has around two times bigger in dimension compared with the rhomb reveal that its wavefronts are aberrated more than those of the rhomb. In addition to this revelation, they also informs that the aberration is appearing along the DMDs’ pixel rotation directions. This aberration makes the reconstructed images to be blurred and distorted. But when the phase maps are compensated by that of the reflected beam from the On-states of the DMD surfaces without any hologram loading, the reconstructed images becomes more distinguished and identified for both DMDs

Background: Shoulder subluxation occurs in 17–64% of hemiplegic patients after stroke and develops mostly during the first three weeks of hemiplegia. A range of shoulder orthoses has been used in rehabilitation to prevent subluxation. However, there is little evidence of their efficacy. AIM: This study aimed to investigate whether there is a difference in the subluxation distance, pain, and functional level of the hemiplegic upper extremity among patients with two different shoulder orthoses. Design: This is a prospective, randomized controlled trial with intention-to-treat analysis. SETTING: Multicenter, rehabilitation medicine department of two university hospitals in South Korea. Population: Forty-one patients with subacute stroke with shoulder subluxation with greater than 0.5 finger width within 4 weeks of stroke were recruited between January 2016 and October 2021. Methods: The experimental group used an elastic dynamic sling while sitting and standing to support the affected arm for eight weeks. The control group used a Bobath sling while sitting and standing. The primary outcome was to assess the distance of the shoulder subluxation on radiography. The secondary outcomes were upper-extremity function, muscle power, activities of daily living, pain and spasticity. Result: The horizontal distance showed significant improvement in the elastic dynamic sling group, but there were no significant differences in the vertical distance between the elastic dynamic and Bobath sling groups. Both groups showed improvements in upper-extremity movements and independence in daily living after 4 and 8 weeks of using shoulder orthoses, and the differences within the groups were significant (p < 0.05). However, there were no significant differences in upper-extremity movements and independence in daily living between the two groups. Conclusions: The subluxation distance showed better results in the elastic dynamic sling, which has both proximal and distal parts, than in the Bobath sling, which holds only the proximal part. Both shoulder orthoses showed improvements in the modified Barthel index, upper-extremity function, and manual muscle testing.

Visible traits can be criteria for selecting a suitable crop. Three-dimensional (3D)-scanned plant models can be used to extract visible traits; however, collecting scanned data and physically manipulating point-cloud structures of the scanned models are difficult. Recently, deep generative models have shown high performance in learning and creating target data. Deep generative models can improve the versatility of scanned models. The objectives of this study were to generate sweet pepper (Capsicum annuum) leaf models and to extract their traits by using deep generative models. The leaves were scanned, preprocessed and used to train the deep generative models. The variational autoencoder, generative adversarial network (GAN) and latent space GAN were used to generate the desired leaves. The optimal number of latent variables in the model was selected via the Jensen–Shannon divergence (JSD). The generated leaves were evaluated by using the JSD, coverage and minimum matching distance to determine the best model for leaf generation. Among the deep generative models, a modified GAN showed the highest performance. Sweet pepper leaves with various shapes were generated from eight latent variables following a normal distribution, and the morphological traits of the leaves were controlled through linear interpolation and simple arithmetic operations in latent space. Simple arithmetic operations and gradual changes in the latent space modified the leaf traits. Deep generative models can parameterize and generate morphological traits in digitized 3D plant models and add realism and diversity to plant phenotyping studies.

To date, we have made inferences on the behavior and mind of humans and animals from the perspective of humans, or for the sake of familiarity, vertebrates. The book, “Other Minds; The Octopus, The Sea, and The Deep Origins of Consciousness” by Peter Godfrey-Smith makes us realize how erroneous preconceived notions could be, and presents a novel perspective on the results of evolution. Through-out this book, readers will learn about the characteristics of the nervous system, behavior, and habits of cephalopods, which include oc-topuses. Through this book, readers will gain a new perspective on the embodiment, minds, nervous systems, consciousness, and soci-ality of humans and animals. Furthermore, the book will provide the imaginary experience of swimming in “Octopolis” inside the ocean with the author.

Advanced welfare countries have faced a mix of policy constraints regarding employment growth, income equality, and budget discipline in managing the challenges of deindustrialization, often dubbed as the trilemma of the service economy. Yet, puzzlingly enough, there are some welfare countries that could choose policy options outside of these policy constraints in their responses to deindustrialization. This article argues that the source of this derestricting capacity can be found in the size of electoral district and the level of development in dynamic service sectors. Using the Service Economy Trilemma Index (STI), the author propounds that the expansion of dynamic services in the economy has differential effects on the combined performance in employment, income equality, and budget discipline conditional on the district magnitude. The findings of this article show that countries with large electoral districts and well-developed dynamic service sectors are better able to derestrict policy constraints in the age of deindustrialization.

Although spectrum conversion films are used to improve the photosynthetic efficiency and, ultimately, crop growth, the effects of the modified spectrum on photosynthetic traits in plants have not yet been sufficiently reported. The objective of this study was to investigate the changes in photosynthetic performance and chlorophyll fluorescence of sweet pepper (Capsicum annuum L.) under a green-to-red conversion (GtR) film. The GtR-modified spectrum increased the dry mass and decreased the petiole length. The photosynthetic light-response curves were significantly improved, and the gap of the maximum photosynthetic rates increased over time after covering. The GtR-modified spectrum significantly increased chlorophyll fluorescence parameters in the JIP-test, such as parameters related to the reduction of end electron acceptors on the PSI acceptor side, the efficiency for electron transport in PSII, and the performance indexes. Our data indicated that the GtR-modified spectrum promotes electron transfer around PSI, improving photosynthetic performance and growth.

Background: Despite reports describing favorable short-term results for thermal ablation of thyroid cancer, there remains a need to evaluate long-term results because of its indolent characteristics. The purpose of this study was to evaluate the long-term efficacy and safety of ultrasound (US)-guided radiofrequency ablation (RFA) for low-risk papillary thyroid microcarcinoma (PTMC) over a follow-up period of more than five years. Methods: From a cohort of patients under surveillance after US-guided RFA for primary low-risk PTMC, those with a record of follow-up data of more than five years were selected for this study. Before RFA, all patients underwent US and computed tomography to evaluate the PTMC and the presence of neck metastasis. RFA was performed using thyroid-dedicated electrodes. Follow-up US was performed 6 and 12 months after initial RFA, and then every 12 months. The status of ablated tumors was evaluated according to volume reduction, local tumor progression, newly developed cancers, lymph node (LN) or distant metastasis, and delayed surgery during follow-up. Complications during the procedure and follow-up period were evaluated. Results: A total of 84 nodules from 74 patients were included in this study. All patients tolerated RFA, and the mean follow-up duration was 72 months. After RFA, complete disappearance rates of 98.8% and 100% were achieved at 24 and 60-month follow-up, respectively. Additional ablations were performed in 13 of 84 tumors. The mean number of RFA sessions was 1.2. There were four newly developed cancers in three patients, and these were also treated with RFA and completely disappeared. During the follow-up period, there was no local tumor progression, no LN or distant metastasis, and no patients underwent delayed surgery. The major complication rate was 1.4% (1/74), and there was no delayed complication or procedure-related death. Conclusions: RFA is effective for treating low-risk PTMC patients, without occurrence of local tumor progression, LN or distant metastasis, delayed complications, procedure-related death, or delayed surgery over more than five years of follow-up.

The photosynthetic rates of leaves depend on the vertical position and cultivation conditions. However, few models have been proposed to express photosynthesis according to leaf position, and there was a lack of quantitative analysis between physiological indicators and model parameters. The objectives of this study were to analyze the leaf photosynthetic characteristics of paprika plants according to leaf vertical position using photosynthesis models, and to analyze the relationship between the total nitrogen content and the photosynthetic model parameters. Leaf photosynthetic rates at different vertical positions were measured under varying light intensities and CO2 concentrations in triplicate. Rectangular hyperbola and FvCB (Farquhar, von Caemmerer, and Berry) models were selected, calibrated, and validated as multivariable photosynthesis models. Total nitrogen contents and SPAD values were measured at each leaf position and the coefficients of the photosynthetic rate models were compared. The R2 values for the rectangular hyperbola and FvCB models were 0.86 and 0.91, and the RMSE values were 4.651 and 2.104, respectively. Total nitrogen content linearly increased with increasing vertical leaf position and it was linearly related to the maximum carboxylation capacity and maximum electron transport rate, estimated in the FvCB model. In this study, the FvCB model was considered more suitable for expressing the relationship between total nitrogen contents and plant’s physiological responses according to the vertical position of leaves. The vertical leaf photosynthetic rate models established in this study will contribute to determining optimal environmental conditions for maximizing crop photosynthesis and establish the criteria for precise CO2 enrichment in greenhouses.

Spectrum conversion film (SCF) is a covering material that modifies incident solar spectrum to more-active wavelengths in photosynthesis. Due to its fluorescence property, the performance of SCF cannot be accurately evaluated in a conventional way for agricultural films. We proposed quantitative methods to evaluate the conversion performance of SCF and tested the plant responses. The performance of GR films [green light (500–600 nm) to red light (600–700 nm)] containing different concentrations of dye (40–3000 ppm) was tested in comparison to a transparent film (control). A method for estimating light emission was developed using a series of equations and values measured under artificial lighting. The spectral properties and photosynthetic rates of sweet pepper (Capsicum annuum L.) leaves covered with the GR film were measured using a solar simulator. The emission of GR film was detected using a spectroradiometer connected to an integrating sphere instead of using a spectrophotometer used in the conventional method. The transmittance of GR film and its change rate of transmitted photon flux densities at emission wavelength differed depending on the light source. The change rate calculated through the equations was constant within the target spectrum and could be used as a basis for conversion performance. The solar spectrum modified by the GR film caused to increase the red light reaching the leaves by 10.47% and thereby increased the photosynthetic rates by 15.41% compared to the control. The photosynthetic efficiency based on incident and absorbed photons under the GR film increased by 22.14% and 21.87%, respectively. These methods were proposed for quantifying spectral properties of SCF under the solar spectrum, confirming the application of solar simulator for photosynthetic evaluation. When used as a standard light source for SCF, a solar simulator provides indoor test conditions with a spectrum similar to solar radiation without long-term cultivation or a large-scale film test.

Rising antibiotic resistance urgently begs for novel targets and strategies for antibiotic discovery. Here, we report that over-activation of the periplasmic DegP protease, a member of the highly conserved HtrA family, can be a viable strategy for antibiotic development. We demonstrate that tripodal peptidyl compounds that mimic DegP-activating lipoprotein variants allosterically activate DegP and inhibit the growth of an Escherichia coli strain with a permeable outer membrane in a DegP-dependent fashion. Interestingly, these compounds inhibit bacterial growth at a temperature at which DegP is not essential for cell viability, mainly by over-proteolysis of newly synthesized proteins. Co-crystal structures show that the peptidyl arms of the compounds bind to the substrate-binding sites of DegP. Overall, our results represent an intriguing example of killing bacteria by activating a non-essential enzyme, and thus expand the scope of antibiotic targets beyond the traditional essential proteins or pathways., Hyunjin Cho et al. show that peptidyl compounds activating the periplasmic DegP protease inhibit the growth of Escherichia coli by promoting the proteolysis of newly synthesized proteins. This study presents an intriguing strategy to combat antibiotic resistance by activating a non-essential bacterial enzyme, thus expanding the scope of traditional antibiotic targets.

To compare the diagnostic performance between diffusion kurtosis imaging (DKI) parameters and mono-exponential apparent diffusion coefficient (ADC) for determination of clinically significant cancer (CSC, Gleason score (GS) ≥ 7) in patients with histologically proven prostate cancer (PCa). A total of 92 patients (mean age: 71.5 years, range: 47–89 years) who had been diagnosed as PCa and undergone 3 T-MRI including DWI (b values, 0, 100, 1000, 2000s/mm2) were included in this study. The DKI parameters, namely apparent diffusion for non-Gaussian distribution (Dapp) and apparent kurtosis coefficient (Kapp), were calculated by dedicated software using mono-exponential and diffusion kurtosis models for quantitation. The measurement was performed for a whole tumor after segmentation, and pathologic topographic maps or systemic biopsy results served as the reference standard for segmentation. To compare the diagnostic performance of each parameter for determination of CSC, pair-wise comparison of receiver operating characteristic (ROC) curves was performed. The study population consisted of GS 6 (n = 18), GS 7 (n = 31), GS 8 (n = 25), GS 9 (n = 15) and GS 10 (n = 3) patients. The area under the ROC curve of Kapp (0.707, 95% CI 0.603–0.798) for discriminating CSC from non-CSC was not significantly different from those of mono-exponential ADC (0.725, 0.622–0.813, P = 0.2175) or Dapp (0.726, 0.623–0.814, P = 0.9628). Diagnostic predictive values of Kapp were estimated to a maximum accuracy of 78%, a sensitivity of 86%, and a specificity of 47%, while those of mono-exponential ADC were 75, 81, and 53%, respectively. The DKI parameters showed a diagnostic performance comparable to mono-exponential ADC for determination of CSC in patients with PCa.

We describe an optical phenomenon of unmovable moiré patterns in sliding (moving) grids and gratings. The phenomenon was observed visually in the planar straight movement of the black-and-white gratings with a period of several mm. This is a velocity-independent effect confirmed analytically and in a computer simulation based on the spatial averaging. We found the static directions of the moiré patterns in the regular grids, but our technique can be also applied to other objects. The orientation and period of the static moiré patterns are not obvious, especially in the presence of the distance effect. The phenomenon can be practically used in security applications.

We aimed to assess the ability of CT-determined resectability, as defined by a recent version of NCCN criteria, and associated CT findings to predict margin-negative (R0) resection in patients with PDAC after neoadjuvant FOLFIRINOX chemotherapy. Sixty-four patients (36 men and 28 women; mean age, 58.8 years) with borderline resectable or unresectable PDAC who received neoadjuvant FOLFIRINOX were evaluated retrospectively. CT findings were independently assessed by two abdominal radiologists according to NCCN criteria (version 3. 2019). Tumor resectability was classified as resectable, borderline resectable, or unresectable, and change in resectability was classified as regression, stability, or progression. The associations of R0 resection rate with CT-determined resectability and change in resectability categories were evaluated, as were the sensitivity and specificity of NCCN criteria for R0 resection. Factors associated with R0 resection were identified by logistic regression analysis. R0 resection rate did not differ significantly among the resectable, borderline resectable, or unresectable PDAC (67–73%, p = 0.95) or among PDAC with regression, stability, or progression (56–77%, p = 0.39). The sensitivity and specificity for R0 resection were 67% and 37%, respectively, for resectability (resectable/borderline vs. unresectable) and 80% and 21%, respectively, for changes in resectability (regression/stable vs. progression). Low-contrast enhancement of soft tissue contacting artery (≤ 46.4 HU) was independently associated with R0 resection (p = 0.01). CT-determined resectability after neoadjuvant FOLFIRINOX chemotherapy was relatively insensitive and non-specific for predicting R0 resection. Low-contrast enhancement of soft tissue contacting artery may increase the ability of CT to predict R0 resection. • Margin-negative resection rate of pancreatic cancer following FOLFIRINOX therapy did not differ among each resectability (67–73%, p = 0.95) based on NCCN criteria or changes in resectability categories (56–77%, p = 0.39). • The sensitivity and specificity for margin-negative resection were 67% and 37% for resectability (resectable/borderline vs. unresectable) and 80% and 21% for changes in resectability (regression/stable vs. progression). • Low-contrast enhancement of soft tissue contacting artery (≤ 46.4 HU) was independently associated with margin-negative resection (p = 0.01).

Although autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social impairments, patients with ASD frequently manifest atypical sensory behaviors. Recently, atypical sensory perception in ASD has received much attention, yet little is known about its cause or neurobiology. Herein, we review the findings from neuroimaging studies related to visual perception in ASD. Specifically, we examined the neural underpinnings of visual detection, motion perception, and face processing in ASD. Results from neuroimaging studies indicate that atypical visual perception in ASD may be influenced by attention or higher order cognitive mechanisms, and atypical face perception may be affected by disrupted social brain network. However, there is considerable evidence for atypical early visual processing in ASD. It is likely that visual perceptual abnormalities are independent of deficits of social functions or cognition. Importantly, atypical visual perception in ASD may enhance difficulties in dealing with complex and subtle social stimuli, or improve outstanding abilities in certain fields in individuals with Savant syndrome. Thus, future research is required to elucidate the characteristics and neurobiology of autistic visual perception to effectively apply these findings in the interventions of ASD.

Objectives We investigated the differences in cognitive and emotional empathic ability between adolescents and adults, and the differences of the brain activation during cognitive and emotional empathy tasks. Methods Adolescents (aged 13-15 years, n=14) and adults (aged 19-29 years, n=17) completed a range of empathic ability questionnaires and were scanned functional magnetic resonance imaging (fMRI) during both cognitive and emotional empathy task. Differences in empathic ability and brain activation between the groups were analyzed. Results Both cognitive and emotional empathic ability were significantly lower in the adolescent compared to the adult group. Comparing the adolescent to the adult group showed that brain activation was significantly greater in the right transverse temporal gyrus (BA 41), right insula (BA 13), right superior parietal lobule (BA 7), right precentral gyrus (BA 4), and right thalamus whilst performing emotional empathy tasks. No brain regions showed significantly greater activation in the adolescent compared to the adult group while performing cognitive empathy task. In the adolescent group, scores of the Fantasy Subscale in the Interpersonal Reactivity Index, which reflects cognitive empathic ability, negatively correlated with activity of right superior parietal lobule during emotional empathic situations (r=-0.739, p=0.006). Conclusion These results strongly suggest that adolescents possess lower cognitive and emotional empathic abilities than adults do and require compensatory hyperactivation of the brain regions associated with emotional empathy or embodiment in emotional empathic situation. Compensatory hyperactivation in the emotional empathy-related brain areas among adolescents are likely associated with their lower cognitive empathic ability.

UV-B irradiation has been used to enhance the secondary metabolite content in plants, but its spatial effect on plants has not been considered. The objective of this study was to compare spatial photosynthetic traits and bioactive compound accumulation in kale (Brassica oleracea L. var Acephala) according to the distribution and length of UV-B exposure near harvest. Plants were exposed to UV-B of 0-3, 3-6 and 6-9 W m-2 for 4 h per day at 5 days (Exp. 1) and 4.2 W m-2 at 5, 4, 3, 2 or 1 days (Exp. 2) before harvest. In spatial distribution, the higher the UV-B intensity, the lower the mean Fv /Fm (maximal photochemical efficiency of PSII) and the higher the concentration of total flavonoid compound (TFC). With UV-B stress, Fv /Fm and fluorescence transient parameters decreased except for DI0 /CS (dissipated energy flux per cross section) and PIabs (performance index of PSII). When exposed to UV-B radiation for 2 days before harvest, the total phenolic compounds and TFC per plant were highest, not always proportional to the local Fv /Fm but affected by dry weight. Short-term UV-B stress near harvest would be more efficient for the accumulation of bioactive compounds by minimizing the loss of plant weight.