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Introduction Structural alterations of penis including cavernosal apoptosis and fibrosis induce venous leakage in the corpus cavernosum or cavernosal veno-occlusive dysfunction, a key pathophysiology of erectile dysfunction (ED) after radical prostatectomy. Objective We aimed to determine if JNK inhibition in combination with intracavernosal administration of hepatocyte growth factor (HGF) would completely restore cavernosal veno-occlusive function (CVOF) in a rat model of ED induced by bilateral CN crush injury (CNCI). Methods A total of forty-two male Sprague-Dawley rats were randomly assigned to sham control (S), CNCI (I) and CNCI treated with combination of JNK inhibitors and HGF (J+H) for 5 weeks after surgery. All rats in each group were evaluated by dynamic infusion cavernosometry (DIC), caspase-3 activity assay, Masson’s trichrome staining, immunohistochemical staining of α-smooth muscle actin (α-SMA) and immunoblotting at 5 weeks after surgery. Results Regarding CVOF, Group I showed a decreased papaverine response, an increased maintenance and drop rates compared to Group S. Group J+H showed significant improvements in the three DIC parameters compared to Group I. There were no differences in papaverine response and drop rate between Group J+H and Group S. Regarding the structural integrity of corpus cavernosum, Group I had an increased caspase-3 activity, decreased SM/collagen ratio, decreased content of SM, decreased protein expression of PECAM-1, and decreased phosphorylation of c-Jun and c-Met. Group J+H had significant alleviation in the histological and molecular derangement compared to Group I. There were no differences in caspase-3 activity, SM content, PECAM-1 protein expression, c-Jun phosphorylation and c-Met phosphorylation between Group J+H and Group S. Conclusions Our data indicate that chronic administration of JNK inhibitors and HGF may restore CVOF to the level comparable to sham control level through preservation of structural integrity of the corpus cavernosum. Combination of JNK inhibition and HGF might be a potential therapeutic option for recovering from CVOD. Disclosure No

Introduction It has been hypothesized that vitamin D and testosterone levels are associated, but the evidence is still unclear. Objective We aimed to investigate the association between hypogonadism and vitamin D deficiency. Methods A retrospective analysis was performed on 471 Asian male who visited for the first time with LUTS (mean age 60.56±10.79 year) of two medical centers between 2014 and 2018. Serum vitamin 25(OH)D and testosterone levels in morning samples were measured. 25(OH) D was also classified as sufficiency (>30ng/mL), insufficiency (30-20ng/mL), deficiency ( Results Mean testosterone level and ages of hypogonadism (n=88) were 2.3±0.6ng/dL and 60.0±10.8 year, and those of non-hypogonadism (n=383) were 5.3±1.8ng/dL and 63.0±10.3 year. The mean value of 25(OH)D (20.6±11.4ng/mL vs. 20.1±8.5ng/mL, p=0.649) and number of 25(OH)D classification (sufficiency=13 [14.8%], insufficiency=24 [27.3%], deficiency=51 [58.0%] vs. sufficiency=52 [13.6%], insufficiency=124 [32.4%], deficiency=207 [54.3%], p=0.648) did not differ between hypogonadism and non-hypogonadism groups. There was no significant difference of 25(OH)D even after propensity matching for the ages, BMI, diabetes, coronary heart disease, cerebrovascular disease of the two testosterone groups (p=0.811). 25(OH)D also showed no association with the level of T, FT, BT or IIEF-5 total scores even after adjusting for age by partial correlation analysis (p=0.470, p=0.375, p=0.735 and p=0.461, respectively). In one-way ANOVA analysis, 25(OH)D was significantly higher in summer than winter (26.8±12.5ng/mL vs. 19.0±8.6ng/mL, p=0.02), whereas testosterone showed no seasonal variation. Conclusions We could not find a significant association between vitamin D deficiency and hypogonadism in elderly Asian LUTS patients, even after adjusting for age, BMI, diabetes, coronary heart disease, cerebrovascular disease. The association of vitamin D levels on sexual function and seasonal variation of testosterone remains still unclear. Further large and well-designed studies are needed to determine the association between vitamin D and testosterone levels in healthy individuals. Disclosure No

Hepatitis B virus (HBV) affects approximately 250 million patients worldwide, resulting in the progression to cirrhosis and hepatocellular carcinoma, which are serious public health problems. Although universal vaccination programs exist, they are only prophylactic and not curative. In the HBV life cycle, HBV forms covalently closed circular DNA (cccDNA), which is the viral minichromosome, in the nuclei of human hepatocytes and makes it difficult to achieve a complete cure with the current nucleos(t)ide analogs and interferon therapies. Current antiviral therapies rarely eliminate cccDNA; therefore, lifelong antiviral treatment is necessary. Recent trials for antiviral treatment of chronic hepatitis B have been focused on establishing a functional cure, defined by either the loss of hepatitis B surface antigen, undetectable serum HBV DNA levels, and/or seroconversion to hepatitis B surface antibody. Novel therapeutic targets and molecules are in the pipeline for early clinical trials aiming to cure HBV infection. The ideal strategy for achieving a long-lasting functional or complete cure might be using combination therapies targeting different steps of the HBV life cycle and immunomodulators. This review summarizes the current knowledge about novel treatments and combination treatments for a complete HBV cure.

The application of Wetland synthetic aperture radar interferometry (InSAR) has often been restricted in practical hydrological monitoring because it is based on relative estimates of water level changes between two synthetic aperture radar acquisitions, as opposed to absolute water levels obtained by ground measurements. TanDEM-X bistatic observations can provide absolute water level estimates using simultaneous phase measurements by a two-satellite constellation with TerraSAR-X. We evaluated two datasets of TanDEM-X bistatic observations acquired during an experimental science phase on August 26 and 31, 2015, with a very large baseline configuration to extract absolute water levels of Everglades wetland in southern Florida, USA. The perpendicular baselines are 1.43 and 1.36 km, and the ambiguities of height were calculated as 3.61 and 3.90 m in each interferometric pair, respectively. Hourly water level measurements provided by the Everglades depth estimation network (EDEN) were used to verify the estimated absolute water levels. Several stage stations located in densely vegetated areas that showed incoherence were excluded from the verification as outliers. The verification results show an excellent agreement (degree of determination > 0.95) between the InSAR derived absolute water levels and the stage station measurements. The root mean square error (RMSE) between the TanDEM-X results and stage records was 0.77 and 0.66 m, respectively. Severe volume decorrelations over the vegetated area, owing to the large perpendicular baselines, were detected, despite near zero temporal baseline of the bistatic observations. The absolute water levels can be used as excellent constraints for wetland surface flow models.

Several radio sources have been detected in the HMSFR W75N(B), among them the massive YSOs VLA1 and VLA2 are of great interest. These are thought to be in different evolutionary stages. In particular, VLA1 is at the early stage of the photoionization and it is driving a thermal radio jet, while VLA2 is a thermal, collimated ionized wind surrounded by a dusty disk or envelope. In both sources 22 GHz water masers have been detected in the past. Those around VLA1 show a persistent distribution along the radio jet and those around VLA2 have instead traced the evolution from a non-collimated to a collimated outflow over a period of 20 years. By monitoring the polarized emission of the water masers around both VLA1 and VLA2 over a period of 6 years, we aim to determine whether the maser distributions show any variation over time and whether the magnetic field behaves accordingly. The EVN was used in full polarization and phase-reference mode to measure the absolute positions of the masers and to determine both the orientation and the strength of the magnetic field. We observed four epochs separated by two years from 2014 to 2020. We detected polarized emission from the water masers around both the YSOs in all the epochs. We find that the masers around VLA1 are tracing a nondissociative shock originating from the expansion of the thermal radio jet, while the masers around VLA2 are tracing an asymmetric expansion of the gas that is halted in the northeast where the gas likely encounters a very dense medium. We also found that the magnetic field inferred from the water masers in each epoch can be considered as a portion of a quasi-static magnetic field estimated in that location rather than in that time. This allowed us to study locally the morphology of the magnetic field around both YSOs in a larger area by considering the vectors estimated in all the epochs as a whole., Comment: 32 pages, 15 figures, 17 tables, accepted by Astronomy & Astrophysics

Background: Bilateral symmetrical pain in the midfacial region without evidence of sinonasal disease is termed midfacial segment pain (MSP), about which little is known. The present study explored the prevalence of facial pain and the risk factors for MSP. Methods: We analysed cross-sectional data from the Korea National Health and Nutrition Examination Survey (KNHANES). Those who reported facial pain or pressure lasting at least three months with no evidence of a sinonasal disease on nasal endoscopy were considered to have MSP. The participants were categorised according to the presence of facial pain and chronic rhinosinusitis. Basic demographic data and medical conditions, including hypertension, diabetes mellitus, and dyslipidemia, were compared between subject groups. We also evaluated psychological stress, depressive episodes, and suicidal thoughts, as well as physician-diagnosed nasal diseases, including chronic rhinitis and symptomatic nasal septal deviation. Univariate and multivariate logistic regression analyses were performed to determine risk factors for MSP. Results: Of 31,999 participants, the prevalence of facial pain was 0.59%. A total of 58 (0.18%) respondents had MSP, of whom 40 (73.5%) were female. On univariate analysis, female sex, chronic rhinitis, and psychological stress were more prevalent in the subjects with MSP than the control subjects. However, in the multivariate analysis, only chronic rhinitis and psychological stress remained significant, while the female sex exhibited only marginal significance. Conclusion: Chronic rhinitis and psychological stress may be significant risk factors for MSP

This research was supported by the European Commission's Horizon 2020 Framework Programme (ACTRIS2 (grant agreement no. 654109)), the University of Helsinki, the Finnish Meteorological Institute, the Department of Science and Innovation of South Africa, the Academy of Finland Centre of Excellence programme (project no. 272041), the Academy of Finland project Greenhouse gas, aerosol and albedo variations in the changing Arctic (project no. 269095), the Novel Assessment of Black Carbon in the Eurasian Arctic: From Historical Concentrations and Sources to Future Climate Impacts (NABCEA, project no. 296302), the Korea Meteorological Administration Research and Development Program "Development of Monitoring and Analysis Techniques for Atmospheric Composition in Korea" (grant no. KMA2018-00522), the National Research Foundation of Korea (grant no. 2017R1D1A1B06032548), the Korea Meteorological Administration Research and Development Program (grant no. KMI2018-01111), the Taiwan Environmental Protection Administration, the China Meteorological Administration, the National Scientific Foundation of China (41675129, 41875147), the National Key R&D Program of the Ministry of Science and Technology of the People's Republic of China (grant no. 2016YFC0203305 and 2018YFC0213204), the Chinese Academy of Meteorological Sci-ences (2020KJ001), the Innovation Team for Haze-fog Observation and Forecasts of MOST and CMA, CNRS-INSU, the French Ministry for Research under the ACTRIS-FR national research infrastructure, the French Ministry of the Environment, MeteoSwiss (GAW-CH aerosol monitoring programme), the Swiss State Secretariat for Education, Research and Innovation (SERI), the Ministry of Education, Youth and Sports of CR within National Sustainability Program I (NPU I, grant no. LO1415), ERDF "ACTRISCZ RI" (grant no. CZ.02.1.01/0.0/0.0/16_013/0001315), CRISOL (CGL2017-85344-R MINECO/AEI/FEDER, UE), TIGAS-CM (Madrid Regional Government Y2018/EMT-5177), AIRTECCM (Madrid Regional Government P2018/EMT4329), REDMAAS2020 (RED2018-102594-T CIENCIA), Red de Excelencia ACTRIS-ESPANA (CGL2017-90884-REDT), the Spanish Ministry of Economy, Industry and Competitiveness, FEDER funds (project HOUSE, grant no. CGL2016-78594-R), the Generalitat de Catalunya (AGAUR 2017 SGR41 and the DGQA), the National Institute for Aerospace Technology, the Ministerio Espanol de Economia, Industria y Competitividad (MINECO), the Spanish Ministry of Economy and Competitiveness (projects no. CGL2016-81092-R, CGL2017-90884-REDT, RTI2018-097864-BI00 and PGC2018-098770-B-I00), the Andalusia Regional Government (project no. P18-RT-3820), the PANhellenic infrastructure for Atmospheric Composition and climate change (MIS 5021516), Research and Innovation Infrastructure, Competitiveness, Entrepreneurship and Innovation (grant no. NSRF 20142020), the Italian Ministry of Research and Education, the Norwegian Environment Agency, Swedish FORMAS, the Swedish Research Council (VR), the Magnus Bergvall foundation, the Marta och Erik Holmberg foundation, and the Swedish EPA., Aerosol particles are a complex component of the atmospheric system which influence climate directly by interacting with solar radiation, and indirectly by contributing to cloud formation. The variety of their sources, as well as the multiple transformations they may undergo during their transport (including wet and dry deposition), result in significant spatial and temporal variability of their properties. Documenting this variability is essential to provide a proper representation of aerosols and cloud condensation nuclei (CCN) in climate models. Using measurements conducted in 2016 or 2017 at 62 ground-based stations around the world, this study provides the most up-to-date picture of the spatial distribution of particle number concentration (N-tot) and number size distribution (PNSD, from 39 sites). A sensitivity study was first performed to assess the impact of data availability on N-tot's annual and seasonal statistics, as well as on the analysis of its diel cycle. Thresholds of 50% and 60% were set at the seasonal and annual scale, respectively, for the study of the corresponding statistics, and a slightly higher coverage (75 %) was required to document the diel cycle. Although some observations are common to a majority of sites, the variety of environments characterizing these stations made it possible to highlight contrasting findings, which, among other factors, seem to be significantly related to the level of anthropogenic influence. The concentrations measured at polar sites are the lowest (similar to 10(2) cm(-3)) and show a clear seasonality, which is also visible in the shape of the PNSD, while diel cycles are in general less evident, due notably to the absence of a regular day-night cycle in some seasons. In contrast, the concentrations characteristic of urban environments are the highest (similar to 10(3)-10(4) cm(-3)) and do not show pronounced seasonal variations, whereas diel cycles tend to be very regular over the year at these stations. The remaining sites, including mountain and non-urban continental and coastal stations, do not exhibit as obvious common behaviour as polar and urban sites and display, on average, intermediate N-tot (similar to 10(2)-10(3) cm(-3)). Particle concentrations measured at mountain sites, however, are generally lower compared to nearby lowland sites, and tend to exhibit somewhat more pronounced seasonal variations as a likely result of the strong impact of the atmospheric boundary layer (ABL) influence in connection with the topography of the sites. ABL dynamics also likely contribute to the diel cycle of N-tot observed at these stations. Based on available PNSD measurements, CCN-sized particles (considered here as either >50 nm or >100 nm) can represent from a few percent to almost all of N-tot, corresponding to seasonal medians on the order of similar to 10 to 1000 cm(-3), with seasonal patterns and a hierarchy of the site types broadly similar to those observed for N-tot. Overall, this work illustrates the importance of in situ measurements, in particular for the study of aerosol physical properties, and thus strongly supports the development of a broad global network of near surface observatories to increase and homogenize the spatial coverage of the measurements, and guarantee as well data availability and quality. The results of this study also provide a valuable, freely available and easy to use support for model comparison and validation, with the ultimate goal of contributing to improvement of the representation of aerosol-cloud interactions in models, and, therefore, of the evaluation of the impact of aerosol particles on climate., European Commission's Horizon 2020 Framework Programme (ACTRIS2) 654109, University of Helsinki, Finnish Meteorological Institute, Department of Science and Innovation of South Africa, Academy of Finland 272041, Academy of Finland project Greenhouse gas, aerosol and albedo variations in the changing Arctic 269095, Novel Assessment of Black Carbon in the Eurasian Arctic: From Historical Concentrations and Sources to Future Climate Impacts (NABCEA) 296302, Korea Meteorological Administration Research and Development Program "Development of Monitoring and Analysis Techniques for Atmospheric Composition in Korea" KMA2018-00522, National Research Foundation of Korea 2017R1D1A1B06032548, Korea Meteorological Administration Research and Development Program KMI2018-01111, Taiwan Environmental Protection Administration, China Meteorological Administration, National Natural Science Foundation of China (NSFC) 41675129 41875147, National Key R&D Program of the Ministry of Science and Technology of the People's Republic of China 2016YFC0203305 2018YFC0213204, Chinese Academy of Meteorological Sciences 2020KJ001, Innovation Team for Haze-fog Observation and Forecast of MOST Innovation Team for Haze-fog Observation and Forecast of CMA Innovation Team for Haze-fog Observation and Forecast of CNRS-INSU, French Ministry for Research under the ACTRIS-FR national research infrastructure, French Ministry of the Environment, MeteoSwiss (GAW-CH aerosol monitoring programme), Swiss State Secretariat for Education, Research and Innovation (SERI), Ministry of Education, Youth and Sports of CR within National Sustainability Program I (NPU I) LO1415, ERDF "ACTRISCZ RI" CZ.02.1.01/0.0/0.0/16_013/0001315, CRISOL CGL2017-85344, TIGAS-CM (Madrid Regional Government) Y2018/EMT-5177, AIRTECCM (Madrid Regional Government) P2018/EMT4329, REDMAAS2020 RED2018-102594-T, Red de Excelencia ACTRIS-ESPANA CGL2017-90884-REDT, Spanish Ministry of Economy, Industry and Competitiveness, FEDER funds CGL2016-78594-R, Generalitat de Catalunya, General Electric AGAUR 2017 SGR41, National Institute for Aerospace Technology, Ministerio Espanol de Economia, Industria y Competitividad (MINECO) Spanish Government CGL2017-90884-REDT CGL2016-81092-R RTI2018-097864-BI00 PGC2018-098770-B-I00, Andalusia Regional Government P18-RT-3820, PANhellenic infrastructure for Atmospheric Composition and climate change MIS 5021516, Research and Innovation Infrastructure, Competitiveness, Entrepreneurship and Innovation NSRF 20142020, Ministry of Education, Universities and Research (MIUR), Norwegian Environment Agency, Swedish FORMAS, Swedish Research Council, Magnus Bergvall foundation, Marta och Erik Holmberg foundation, Swedish EPA

Background A limitation of the current guidelines of the timing of invasive coronary angiography (ICA) for patients with non-ST-segment elevation (NSTE) acute coronary syndrome is based on randomization time. So far, no study has reported the clinical outcomes of invasive strategy timing based on the time of symptom onset. Herein, we aimed to investigate the effect of invasive strategy timing from the time of symptom onset on the 3-year clinical outcomes of patients with NSTE myocardial infarction (MI). Methods and results Among 13,104 patients from the Korea Acute Myocardial Infarction Registry-National Institutes of Health, we evaluated 5,856 patients with NSTEMI. The patients were categorized according to symptom-to-catheter (StC) time (140. Conclusion Early invasive strategy based on the StC time improves all-cause mortality in patients with NSTEMI. Funding Acknowledgement Type of funding sources: None.

Today’s phones have as many as 60 front-end radios covering multiple frequency bands. For each frequency band, acoustic filters offer high- ${Q}$ , good power handling, and linearity in a very small package. These properties are crucial when addressing the “explosion” in the number of radios and the filters needed by today’s Smart Phones. Moving forward, filter integration will become essential for cost and size. A novel lithium tantalate (LT) bonded to silicon hybrid substrate silicon SAW (SiSAW) was developed that provides temperature compensation, good power handling properties, while mostly eliminating spurious modes created between the LT/Si interface. One of several advantages of this technique is that one can integrate as many filters as needed onto one die. This provides for cost savings as well as area savings while reproducing the inherent performance of high-quality temperature compensated (TC)-surface acoustic waves (TC-SAWs).

Background Inflammatory bowel disease (IBD) represents a group of chronic immune-mediated diseases of the gastrointestinal tract, characterized by recurrent inflammation and consequential damage of the gastrointestinal tract. Histone deacetylases (HDACs) are a family of mostly ubiquitous enzymes that remove acetyl groups from lysines on histone proteins to regulate gene transcription. HDAC6, which is localized to the cytoplasm, appears to be a promising candidate in IBD treatment. The purpose of the current study was to examine the anti-inflammatory effects of CKD-506, a novel histone deacetylase 6 (HDAC6) inhibitor, on human peripheral blood mononuclear cells (PBMCs) and CD4+ T cells and to explore the relationship between CKD-506 and gut epithelial barrier function. Methods Lipopolysaccharide (LPS)-stimulated human PBMCs from inflammatory bowel disease (IBD) patients were treated with CKD-506, and tumor necrosis factor-alpha (TNF-α) expression was measured using enzyme-linked immunosorbent assay. The proliferation of CD4+ T cells from IBD patients was evaluated using flow cytometric analysis. The effects of CKD-506 on gut barrier function in a cell line and colon organoids, with examinations of mRNA production, goblet cell differentiation, and E-cadherin recovery, were investigated using quantitative reverse transcription PCR, immunofluorescence, and FITC-dextran permeability assay. Results TNF-α secretion, a pivotal pro-inflammatory mediator in IBD, of LPS-triggered PBMCs was markedly decreased by CKD-506 treatment in a dose-dependent manner and to a greater extent than by tofacitinib or tubastatin A treatment. E-cadherin mRNA expression and goblet cell differentiation increased significantly and dose-dependently in HT-29 cells in response to CKD-506, and inhibition of E-cadherin loss after TNF-α stimulation was significantly reduced both in HT-29 cells and gut organoids. Caco-2 cells treated with CKD-506 showed a significant reduction of barrier permeability in a dose-dependent manner. Conclusion The present study demonstrated that CKD-506 has anti-inflammatory effects on PBMCs and CD4+ T cells and improved gut barrier function, indicating its potential as a promising and competent candidate for small-molecule medicine for IBD treatment.

Perilla (Perilla frutescens L.) is the second most important upland crop and the third largest edible oil crop in Korea (Shin and Kim 1994). During a disease survey in Busan, Korea in September 2021, symptoms of vein necrosis were observed in perilla plants, with incidences of approximately 30% and 50% in two fields. Symptoms of spots on the perilla appeared as leaf dryness and spots with water-soaked blotches largely concentrated on the mid-veins of leaves. The lesions were initiated with water-soaked spots on the leaf or stem and gradually turned black or brown. Necrosis was also observed in the stems. A bacterium was isolated on Luria-Bertani (LB) agar from diseased leaf tissues that were surface-disinfected with 70% ethyl alcohol for 3-5 min and then washed with sterile water three times. Three pieces of sterilized leaf tissue (size: 0.5 × 0.5 cm) were mixed with 500 µL sterile water for 30 min, and then the suspension was serially diluted and spread on LB agar. Subsequently, isolates were cultivated on LB agar and King's Medium B agar (KMB) (Schaad et al. 2001), and they were predominantly cream-colored and circular bacterial colonies with undulated margins. The bacterial colonies on KMB displayed fluorescence under 365 nm UV light. The isolates were analyzed with the GEN III MicroPlate (Biolog, Hayward, CA, USA), and all isolates were identified as Pseudomonas cichorii, a devastating plant bacterium that damages a wide range of host plants worldwide, including in South Korea (Hikichi et al. 2013; Ramkumar et al. 2015). To identify the species of the bacterial pathogen, genomic DNA of four isolates (BS4922, BS4167, BS4345, and BS4560) was extracted, and the 16S rRNA gene and hrcRST gene were amplified with universal primers, 27F/1492R and Hcr1/Hcr2, and sequencing was then done (Patel et al. 2019). In the BLAST analysis, the 16S rRNA sequences (GenBank OM060656, OM275434, OM275435, OM275436) showed a 100% and 99% similarity to P. cichorii strains MAFF 302698 (AB724286) and P. cichorii strain Pc-Gd-4 (KU923373), respectively. Further, hrcRST gene sequences (GenBank OM143596, OM268864, OM268865, and OM268866) showed high similarity (99%) with P. cichorii strain P16-51 (MG518230). A pathogenicity test of the four isolates was performed on 3 - 4 weeks old perilla plants by creating wounds with a needle on the lower leaves and stems, and then the plants were inoculated by spraying inoculum (108 CFU/ml). The plants that served as the negative control were wounded and sprayed with unsterilized water. The inoculated perilla plants were placed in a greenhouse at 28 ± 2oC , 80-85% relative humidity, and a natural photoperiod. The inoculation site began to show symptoms of water-soaked brown lesions. Disease symptoms such as leaf dryness, water-soaked blotches on the mid-vein of leaves, and necrosis on plant stems were observed in the inoculated plants 7-10 days after inoculation, whereas the plants of the negative control group did not show any symptoms. The bacteria were re-isolated from the diseased tissues of the plants, and DNA sequence analysis identified them as P. cichorii. Additionally, all isolates induced hypersensitivity reactions in tobacco and tomato leaves within 24 h after inoculation. To our knowledge, this is the first report of P. cichorii infecting perilla in South Korea. The findings in this study will provide the basic information for the development of diagnostic tools and management measures against P. cichorii in perilla.

To determine the prognostic value of CT-based splenic volume measurement in patients with compensated chronic liver disease (cCLD) from chronic hepatitis B (CHB). A total of 584 patients having multiphasic liver CT scans between January and December 2011 were retrospectively reviewed. Spleen volume was measured using a semi-automated three-dimensional volumetric software program. Electronic medical records and national registry data were reviewed to determine the diagnosis of hepatocellular carcinoma (HCC), hepatic decompensation, or death. The cumulative incidence (CI) of the development of decompensation, HCC occurrence, and overall survival (OS) were estimated by the Kaplan-Meier method. The Cox proportional hazard regression model was used to evaluate prognostic factors. The optimal cutoff spleen volume to predict each outcome was obtained using a minimal p value approach method. After a median follow-up of 92 months, 114 patients developed HCC with a 7-year CI of 17.2%. A larger spleen volume was a significant predictor of HCC occurrence (HR = 2.13, p = 0.009). Decompensation occurred in 30 patients with a 7-year CI of 5.0%, and a larger spleen volume was also significantly associated with the development of decompensation (HR = 4.66, p = 0.005). Twenty-three patients died, and their estimated 7-year OS was 96.4%. A larger spleen volume also significantly affected OS (HR = 6.15, p = 0.007). The optimal cutoff spleen volume was set at 532 mL for HCC occurrence, 656.9 mL for the development of decompensation, and 741.1 mL for OS. A larger spleen volume was significantly associated with HCC occurrence, development of decompensation, and poor OS in patients with cCLD from CHB. • Spleen volume could be easily acquired from routine multiphasic liver CT scan using a semi-automated 3D volumetric software program with excellent inter-observer agreement. • A larger spleen volume was significantly associated with a higher rate of hepatocellular carcinoma occurrence, the development of decompensation, and poor overall survival in patients with compensated chronic liver disease from chronic hepatitis B.

Background/Aims: Several treatment options are currently available for patients with hepatocellular carcinoma (HCC) failing previous sorafenib treatment. We aimed to compare the effectiveness of regorafenib and nivolumab in these patients.Methods: Consecutive HCC patients who received regorafenib or nivolumab after failure of sorafenib treatment were included. Primary endpoint was overall survival (OS) and secondary endpoints were time to progression, tumor response rate, and adverse events. Inverse probability of treatment weighting (IPTW) using the propensity score was conducted to reduce treatment selection bias.Results: Among 150 study patients, 102 patients received regorafenib and 48 patients received nivolumab. Median OS was 6.9 (95% confidence interval [CI], 3.0–10.8) months for regorafenib and 5.9 (95% CI, 3.7–8.1) months for nivolumab (P=0.77 by log-rank test). In multivariable analysis, nivolumab was associated with prolonged OS (vs. regorafenib: adjusted hazard ratio [aHR], 0.54; 95% CI, 0.30–0.96; P=0.04). Time to progression was not significantly different between groups (nivolumab vs. regorafenib: aHR, 0.82; 95% CI, 0.51–1.30; P=0.48). HRs were maintained after IPTW. Objective response rates were 5.9% and 16.7% in patients treated with regorafenib and nivolumab, respectively (P=0.04).Conclusions: After sorafenib failure, the use of nivolumab may be associated with improved OS and better objective response rate as compared to using regorafenib.

For the purpose of providing reliable and robust air quality predictions, an air quality prediction system was developed for the main air quality criteria species in South Korea (PM10, PM2.5, CO, O3 and SO2). The main caveat of the system is to prepare the initial conditions (ICs) of the Community Multiscale Air Quality (CMAQ) model simulations using observations from the Geostationary Ocean Color Imager (GOCI) and ground-based monitoring networks in northeast Asia. The performance of the air quality prediction system was evaluated during the Korea-United States Air Quality Study (KORUS-AQ) campaign period (1 May–12 June 2016). Data assimilation (DA) of optimal interpolation (OI) with Kalman filter was used in this study. One major advantage of the system is that it can predict not only particulate matter (PM) concentrations but also PM chemical composition including five main constituents: sulfate (SO42-), nitrate (NO3-), ammonium (NH4+), organic aerosols (OAs) and elemental carbon (EC). In addition, it is also capable of predicting the concentrations of gaseous pollutants (CO, O3 and SO2). In this sense, this new air quality prediction system is comprehensive. The results with the ICs (DA RUN) were compared with those of the CMAQ simulations without ICs (BASE RUN). For almost all of the species, the application of ICs led to improved performance in terms of correlation, errors and biases over the entire campaign period. The DA RUN agreed reasonably well with the observations for PM10 (index of agreement IOA =0.60; mean bias MB =-13.54) and PM2.5 (IOA =0.71; MB =-2.43) as compared to the BASE RUN for PM10 (IOA =0.51; MB =-27.18) and PM2.5 (IOA =0.67; MB =-9.9). A significant improvement was also found with the DA RUN in terms of bias. For example, for CO, the MB of −0.27 (BASE RUN) was greatly enhanced to −0.036 (DA RUN). In the cases of O3 and SO2, the DA RUN also showed better performance than the BASE RUN. Further, several more practical issues frequently encountered in the air quality prediction system were also discussed. In order to attain more accurate ozone predictions, the DA of NO2 mixing ratios should be implemented with careful consideration of the measurement artifacts (i.e., inclusion of alkyl nitrates, HNO3 and peroxyacetyl nitrates – PANs – in the ground-observed NO2 mixing ratios). It was also discussed that, in order to ensure accurate nocturnal predictions of the concentrations of the ambient species, accurate predictions of the mixing layer heights (MLHs) should be achieved from the meteorological modeling. Several advantages of the current air quality prediction system, such as its non-static free-parameter scheme, dust episode prediction and possible multiple implementations of DA prior to actual predictions, were also discussed. These configurations are all possible because the current DA system is not computationally expensive. In the ongoing and future works, more advanced DA techniques such as the 3D variational (3DVAR) method and ensemble Kalman filter (EnK) are being tested and will be introduced to the Korean air quality prediction system (KAQPS).