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Background: Longer follow-up after radiofrequency ablation (RFA) of benign thyroid nodules is needed to understand regrowth and other causes of delayed surgery and long-term complications. Methods: This retrospective study included consecutive patients treated with RFA for symptomatic benign nonfunctioning thyroid nodules between March 2007 and December 2010. RFA was performed according to the standard protocol. We followed up patients at 1, 6, and 12 months, then yearly, until August 2022, and calculated the volume reduction ratio (VRR) at each follow-up. We assessed the incidence of regrowth according to three published criteria, delayed surgery, and complications. The Kaplan–Meier method was used to evaluate the cumulative incidence of regrowth, and univariable and multivariable Cox regression analyses were performed to identify risk factors for regrowth. Results: This study included 421 patients (mean age, 47 ± 13 years; 372 women) with 456 nodules (mean volume, 21 ± 23 mL). The median follow-up period was 90 months (interquartile range, 24–143 months). The mean VRR was 81% at 2 years, 90% at 5 years, and 94% at ≥10 years. Overall regrowth was noted in 12% (53/456) of nodules and was treated with repeat RFA (n = 33) or surgery (n = 4) or left under observation (n = 16). Thyroid nodules with ≥20 mL initial volume had significantly higher risk of regrowth compared with nodules with <10 mL initial volume (hazard ratio, 2.315 [95% confidence interval, 1.183–4.530]; p = 0.014 on multivariable Cox regression analysis). Delayed surgery was performed in 6% (26/421) of patients because of regrowth and/or persistent symptoms (n = 4) or newly detected thyroid tumors (n = 22), one benign and 21 malignant. The overall complication rate was 2.4% (10/421), with no procedure-related deaths or long-term complications. Conclusion: RFA is safe and effective for treating benign thyroid nodules, with a high VRR at long-term follow-up. Regular follow-up after initial success is warranted because of the possibility of regrowth of ablated nodules and the need for delayed surgery in some patients. [ABSTRACT FROM AUTHOR]

This study predicted habitat distribution changes according to the current distribu seedtion 14 and future climate using the MaxEnt model for endangered Abies nephrolepis Maxim., which is vulnerable to 15 climate change and is a least-concerned species. This study aimed to predict the current distribution and future habitat distribution changes of the endangered A. nephrolepis under climate change using the MaxEnt model. The purpose was to predict the future habitat of the declining A. nephrolepis, to identify the necessity of in situ conservation, and to devise appropriate ex situ seed storage methods. The study utilized climate data from 513 GPS coordinates of A. nephrolepis habitats in South Korea to predict the changes in habitat distribution using the MaxEnt model. The seeds used in the seed experiment were collected from Pyeongchang-gun, Gangwon-do, Republic of Korea in 2019. After confirming an initial seed filling, germination tests were performed under constant temperatures of 15, 20, and 25 °C and alternating day/night temperatures of 25/5, 25/10, 25/10, 20/15, 25/15, 30/15, and 35/15 °C. The seed germination conditions were investigated under 10 different temperature settings. For the determination of storage behavior, seeds were dried at a consistent temperature of 15 °C and relative humidity (eRH) levels of 15, 20, 30, 40, and 50%. Subsequently, the seeds were stored for three months at temperatures of −20 °C and 5 °C, and the vitality tests of the seeds were conducted. Based on these experiments, the storage characteristics of seeds were identified. The results indicated that in all SSP scenarios, it is predicted that A. nephrolepis will become extinct in its habitat by the 2090s. Therefore, it has been shown that on-site and ex situ conservation is necessary. As a result of the seed germination characteristics, the highest germination rate (52.5 ± 16.01%) was achieved at a constant temperature of 20 °C, followed by 25 °C (50.0 ± 10.81%) and 25/10 °C (47.5 ± 4.79%). The highest viability was obtained under 20% eRH (64.0 ± 0%) but was not statistically different from that determined immediately after seed collection. The moisture content was approximately 4.33% fresh weight under 15% eRH at 15 °C. A. nephrolepis seeds are classified as orthodox-type seeds, which do not lose viability at 3%–7% moisture content and after drying under 15% eRH conditions at 15 °C. In conclusion, it can be observed that the seeds can be stored long-term at −20 °C. This research was conducted as a basic study to predict the habitat distribution of the endangered species A. nephrolepis and to establish seed conservation methods. According to the results, it is deemed necessary to conduct both domestic and international analyses of the habitat of A. nephrolepis. In addition, the germination and storage characteristics of A. nephrolepis seeds were confirmed, and based on this, effective seed conservation methods were suggested. [ABSTRACT FROM AUTHOR]

Berberis amurensis var. latifolia Nakai is a plant native to the Ulleung Island in Korea. In this study, we aimed to identify seed dormancy-breaking and germination requirements of this species using water imbibition experiments, gibberellic acid (GA3) treatment (0, 10, 100, or 1000 mg/L), cold stratification (0, 2, 4, 8, or 12 weeks at 5 °C), move-along experiments, and phenological studies. In the water imbibition experiment, the seed weight increased by more than 120% after 24 h. Analysis of the internal morphological characteristics of the seeds revealed that the embryo in freshly matured seeds was fully grown and did not grow thereafter. The final germination percentages after 12 weeks of cold stratification at 5 °C were 49 ± 6.4% and 63 ± 3.4% under light and dark conditions, respectively. In move-along and phenological studies, a longer cold stratification treatment period resulted in a higher germination percentage; however, the warm stratification treatment did not affect germination significantly. The GA3 treatment had little effect on seed germination. Therefore, we concluded that B. amurensis var. latifolia seeds have intermediate physiological dormancy, and pre-treatment with cold stratification for 12 weeks and incubation in the dark are required for effective seed propagation. [ABSTRACT FROM AUTHOR]

Rhodotypos scandens (Thunb.) Makino is known to have a seed dispersal that is thick and stony (endocarp + seeds) and has potential as a landscaping tree seed. In several Rosaceae species, seeds are covered with a hard endocarp, making the internal seeds water-impermeable and germination difficult. Here, we analyzed the morphoanatomical traits and germination properties of R. scandens seeds. To identify ideal seed propagation conditions, we immersed R. scandens seeds in sulfuric acid for varying durations and subjected them to phytohormone (gibberellic acid A3 and fluridone) and a cold stratification (CS) (5 °C) treatment after endocarp removal (ER). The R. scandens stony seeds did not increase in mass by ≥25.0%. Following ER, the seed mass increased by ≥50.0% with water absorption when compared to the initial dry mass. Seed surfaces showed damage and cracks through scarification after 1 h of immersion in sulfuric acid, failing to germinate. A combination of ER, phytohormone treatment, and CS improved seed germination compared to ER alone (26.0 ± 5.3%). Overall, R. scandens seeds showed a dispersal with a hard endocarp from the parent plant, and a pre-treatment with ER, phytohormones, and CS was required for effective seed propagation. [ABSTRACT FROM AUTHOR]

Titanium dioxide was coated by hydrothermal reaction on the surface of CaAl2O4:Eu2+,Nd3+ long-lasting phosphor beads on which a silver noble metal was impregnated to enhance photocatalytic reactivity. The phosphor composite as a TiO2 supporter was fabricated in the form of beads for convenient applications. Silver was impregnated on the CaAl2O4:Eu2+,Nd3+ long-lasting phosphor using a silver nitrate aqueous solution prior to TiO2 coating process. The morphological and compositional characteristics of the TiO2 coated phosphor composite materials were measured using scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), and X-ray photoelectron spectrometer (XPS). The photocatalytic properties of the TiO2 coated phosphor composite materials were analyzed through decompositions of both methylene blue dye solution and toluene gas under ultraviolet and visible light irradiation. Through measuring the variation of photocatalytic reaction with different Ag concentrations, 0.035 M Ag-impregnated TiO2/CaAl2O4:Eu2+,Nd3+ phosphor composite showed the best photocatalysis efficiency under UV and visible light illumination. [ABSTRACT FROM AUTHOR]

Context It is not clear how to integrate artificial intelligence (AI)-based models into diagnostic workflows. Objective To develop and validate a deep-learning–based AI model (AI-Thyroid) for thyroid cancer diagnosis, and to explore how this improves diagnostic performance. Methods The system was trained using 19 711 images of 6163 patients in a tertiary hospital (Ajou University Medical Center; AUMC). It was validated using 11 185 images of 4820 patients in 24 hospitals (test set 1) and 4490 images of 2367 patients in AUMC (test set 2). The clinical implications were determined by comparing the findings of six physicians with different levels of experience (group 1: 4 trainees, and group 2: 2 faculty radiologists) before and after AI-Thyroid assistance. Results The area under the receiver operating characteristic (AUROC) curve of AI-Thyroid was 0.939. The AUROC, sensitivity, and specificity were 0.922, 87.0%, and 81.5% for test set 1 and 0.938, 89.9%, and 81.6% for test set 2. The AUROCs of AI-Thyroid did not differ significantly according to the prevalence of malignancies (>15.0% vs ≤15.0%, P =.226). In the simulated scenario, AI-Thyroid assistance changed the AUROC, sensitivity, and specificity from 0.854 to 0.945, from 84.2% to 92.7%, and from 72.9% to 86.6% (all P <.001) in group 1, and from 0.914 to 0.939 (P =.022), from 78.6% to 85.5% (P =.053) and from 91.9% to 92.5% (P =.683) in group 2. The interobserver agreement improved from moderate to substantial in both groups. Conclusion AI-Thyroid can improve diagnostic performance and interobserver agreement in thyroid cancer diagnosis, especially in less-experienced physicians. [ABSTRACT FROM AUTHOR]

Although defects in intracellular calcium homeostasis are known to play a role in the pathogenesis of Parkinson's disease (PD), the underlying molecular mechanisms remain unclear. Here, we show that loss of PTEN-induced kinase 1 (PINK1) and Parkin leads to dysregulation of inositol 1,4,5-trisphosphate receptor (IP3R) activity, robustly increasing ER calcium release. In addition, we identify that CDGSH iron sulfur domain 1 (CISD1, also known as mitoNEET) functions downstream of Parkin to directly control IP3R. Both genetic and pharmacologic suppression of CISD1 and its Drosophila homolog CISD (also known as Dosmit) restore the increased ER calcium release in PINK1 and Parkin null mammalian cells and flies, respectively, demonstrating the evolutionarily conserved regulatory mechanism of intracellular calcium homeostasis by the PINK1-Parkin pathway. More importantly, suppression of CISD in PINK1 and Parkin null flies rescues PD-related phenotypes including defective locomotor activity and dopaminergic neuronal degeneration. Based on these data, we propose that the regulation of ER calcium release by PINK1 and Parkin through CISD1 and IP3R is a feasible target for treating PD pathogenesis. Loss of two PD genes, PINK1 and Parkin, leads to a robust increase in ER calcium release. Here, the authors show that suppression of IP3R activity via inhibiting CISD1 is sufficient to rescue the PD-related phenotypes in PINK1 or Parkin null animal models. [ABSTRACT FROM AUTHOR]