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Abstract Background Due to the increasing proportion of older adults in Korea and growing interest in aging, the concepts of oral aging and oral hypofunction have recently been introduced. Thus, it is necessary to investigate the age-specific oral function levels of Korean older adults and develop expert intervention methods for healthy aging. Methods Dysphagia, independence of daily living, and oral hypofunction were assessed in 206 older adults living in Wonju, Gangwon State, South Korea. Subjective dysphagia was assessed through self-report questionnaires using the Dysphagia Handicap Index (DHI), the Korean version of Eating Assessment Tool-10, and the Korean version of the Modified Barthel Index. In addition, the oral hypofunction assessment items included decreased chewing ability, occlusal pressure, tongue pressure, oral dryness, and oral cleanliness. Results DHI increased significantly with age, with those in their 80 s reporting the most difficulty swallowing. Oral function in terms of chewing ability (maximum occlusal pressure and number of remaining teeth), maximum occlusal pressure, and maximum tongue pressure also declined with increasing age. While there was no significant difference in oral dryness by age, those in their 80 s had dry mouth according to the criteria of the oral moisture checking device. Conclusions In an assessment of oral function in community-dwelling, independent Korean older adults, the number of items that were assessed as oral hypofunction increased with age. The findings can be used to standardize the oral hypofunction assessment item and develop age-based individualized intervention plans for the early management of oral health and individual oral myofunctional rehabilitation in Korean community-dwelling older adults.

Background: Oral frailty has garnered considerable interest following its identification as a risk factor for physical frailty. The Korean oral frailty diagnosis criteria have emphasized the need for extensive research on oral frailty diagnostic items and interventions. Our study performed an in-depth analysis of the tongue-palate pressure patterns in healthy community-dwelling older adults. Methods: Of the 217 older adults aged ≥60 years who visited a senior center in Wonju, 205 participants who completed tongue pressure measurement were included in the final analysis. Pressure changes over time were recorded by instructing the participants to press their tongue against the hard palate with for 7 seconds per cycle. The participants were divided into the normal and abnormal tongue pressure (NTP and ATP, respectively) groups based on whether they achieved the target tongue pressure at least once; tongue pressure patterns were compared between the groups. Furthermore, the average time taken to achieve the standard tongue pressure value was calculated for the participants in the NTP group and used to evaluate the decrease in tongue pressure in the ATP group. Results: Among the 205 participants, 40.5% had ATP. The tongue pressure graph revealed a gentle and consistent incline that was maintained even after achieving standard tongue pressure in the NTP group. The graph was more extreme in the ATP group, and the changes in the pressure type varied across individuals; the tongue pressure was only 48.4%, 40.7%, 31.9%, and 22.6% of the NTP in the participants in their 60s, 70s, 80s, and ≥90s, respectively (p＜0.05). Conclusion: Tongue pressure weakness was observed in 40.5% of the healthy community-dwelling older adults. Furthermore, ATP graphs were observed in the patients with tongue pressure weakness. Thus, activities improving the oral function in community-dwelling older adults and systematic oral rehabilitation programs should be devised to promote normal swallowing.

Vulvovaginal candidiasis (VVC) is a genital infection caused by Candida albicans (C. albicans). Weissella confusa WIKIM51 (Wilac D001) is known to be detected in dandelion kimchi, produce lactic acid, and have an anti−inflammatory ability; however, its diverse antifungal effects have not been studied. Here, we investigated the antifungal effect of Wilac D001 in C. albicans compared to Lactobacillus species on vaginal epithelial cells (VECs). To test the antifungal ability of Wilac D001 against C. albicans on VECs, an adhesion test, pro-inflammatory cytokines (interleukin (IL)-6 and IL-8) analysis, and a disk diffusion test were performed. The acid tolerance test was conducted to investigate the viability of Wilac D001 in various acidic conditions. Lactobacillus reuteri (L. reuteri) and L. rhamnosus were used as positive controls. Wilac D001 showed the capacity to inhibit the colonization of C. albicans by adhering to VECs, with an inhibitory effect similar to that of positive controls. Both pro−inflammatory cytokines including IL−6 and IL−8 concentrations were significantly decreased when Wilac D001 was treated on C. albicans-infected VECs, respectively (p < 0.001). The result of the disk diffusion test indicates that the inhibitory ability of Wilac D001 is comparable to L. reuteri and L. rhamnosus on agar plates infected with C. albicans. Our results demonstrate that Weissella confusa WIKIM51 has antifungal effects against VECs infected by C. albicans.

Although the anchorage location of longitudinal reinforcing bars is a significant design element for flexural behavior, the conventional anchorage method of using longitudinal reinforcing bars has limited applications in new types of structures, such as composite structures. Therefore, this study examined the effect of the anchorage location of longitudinal reinforcing bars on the flexural behavior of slabs at the junctions of developed composite basement walls (SCBW) under monotonic loads at the top free end of the slab. The test results showed that the slab with longitudinal reinforcing bars anchored to the cast-in-place pile (CIP) in the composite basement wall exhibited ductile behavior accompanied by the yielding of the longitudinal reinforcing bars, a relatively wide area of vertical cracks propagating along the slab length, and a plastic plateau flow in the load–deflection relationships. In particular, the slab with longitudinal reinforcing bars anchored to the basement wall experienced severe crack concentration localized at the junction of the composite basement walls and concrete spalling in the basement walls, which resulted in no yielding of the longitudinal reinforcing bars and no cracks in the slab. Consequently, in a slab, it is recommended that longitudinal reinforcing bars be anchored into the CIP by penetrating the steel plate.

Abstract Background Estrogen therapy in early menopausal women decreases the risk of coronary heart disease and parenteral, but not oral, estrogen is reported to reduce blood pressure (BP). Progestogens are typically added to estrogens to prevent unopposed endometrial stimulation. The effects of progestogen on BP have been less well studied to date. This study was conducted to explore the impacts of micronized progesterone (MP4) combined with percutaneous estradiol gel (PEG) on hemodynamics in postmenopausal Korean women with grade 1 hypertension. Methods Fifty-two postmenopausal women (aged 49–75 years) with systolic BP (SBP) of 140–160 mmHg or diastolic BP (DBP) of 90–100 mmHg were randomly assigned for 12 weeks to placebo (n = 16), estrogen therapy (ET) (n = 19) with PEG (0.1 %, 1 g./d), or estrogen + progestogen therapy (EPT, n = 17) with PEG and MP4 (100 mg/d). The primary endpoint was ambulatory BP and the secondary endpoints were arterial stiffness as brachial–ankle pulse-wave velocity (baPWV) and aortic parameters on applanation tonometry. Results One woman in the ET group dropped out, so 51 participants were finally analyzed. Outcome measures for ambulatory BP and arterial stiffness were not different between groups. Within-group comparisons showed that EPT significantly decreased daytime heart rate and baPWV: the changes from baseline (mean ± standard deviation) were − 2.5 ± 5.7 bpm (P = 0.03) and − 0.6 ± 1.4 m/s (P = 0.04), respectively. After adjusting for baseline, linear regression analysis revealed a significant difference in the relationship between baseline and 12-week baPWV among groups (P = 0.02). The relationship was significantly different between placebo and ET (P = 0.03) and EPT (P = 0.01), respectively, but not between ET and EPT. Additionally, pooled results of active treatments disclosed that SBP, DBP, PWV, and augmentation index at the aorta were significantly reduced relative to baseline. Conclusions There was no difference in ambulatory BP between ET and EPT in postmenopausal Korean women with grade 1 hypertension. Further, ET and EPT similarly decreased baPWV from baseline as compared with placebo. MP4 might not adversely influence estrogen effects on ambulatory BP and arterial stiffness. Trial registration Clinical Research Information Registry, KCT0005405, Registered 22 September 2020 - Retrospectively registered, https://cris.nih.go.kr/cris/search/detailSearch.do?all_type=Y&search_page=L&pageSize=10&page=1&seq=17608&search_lang=E .

Abstract This study was performed to evaluate serum estradiol level in postmenopausal women using oral menopausal hormone therapy (MHT) with different doses and formulations of estrogens. A total of 344 postmenopausal women who received oral MHT was included in this cross-sectional study. Serum estradiol level was compared according to formulation (estradiol hemihydrate [EH] or valerate [EV], conjugated estrogen [CE]) and dose (estradiol 1 or 2 mg, CE 0.45 or 0.625 mg) of the estrogens. Mean age and years since menopause were 56.9 and 7.9 years, respectively. Mean duration of MHT was 27.4 months. Since serum estradiol levels were not significantly different at either dose, EH and EV at the same dose were combined for comparisons: estradiol 1 mg and 2 mg. The serum estradiol level with estradiol 2 mg (107.6 pg/mL) was significantly higher by 60% than with estradiol 1 mg (65.8 pg/mL) or CE 0.45 mg (60.1 pg/mL), and it was also significantly higher than with CE 0.625 mg (76.8 pg/mL). Our findings suggest that serum estradiol level is not directly proportional to estrogen dose. In terms of serum concentration, CE 0.45 mg is equivalent to estradiol 1 mg.

Summary Technical bottlenecks in protein production and secretion often limit the efficient and robust industrial use of microbial enzymes. The potential of non‐thermal atmospheric pressure plasma to overcome these technical barriers was examined. Spores of the fermenting fungus Aspergillus oryzae (A. oryzae) were submerged in potato dextrose broth (PDB) (5 × 106 per ml) and treated with micro dielectric barrier discharge plasma at an input voltage of 1.2 kV and current of 50 to 63 mA using nitrogen as the feed gas. The specific activity of α‐amylase in the broth was increased by 7.4 to 9.3% after 24 and 48 h of plasma treatment. Long‐lived species, such as NO2− and NO3−, generated in PDB after plasma treatment may have contributed to the elevated secretion of α‐amylase. Observations after 24 h of plasma treatment also included increased accumulation of vesicles at the hyphal tip, hyphal membrane depolarization and higher intracellular Ca2+ levels. These results suggest that long‐lived nitrogen species generated in PDB after plasma treatment can enhance the secretion of α‐amylase from fungal hyphae by depolarizing the cell membrane and activating Ca2+ influx into hyphal cells, eventually leading to the accumulation of secretory vesicles near the hyphal tips.

This study is concerned with the development of multi-input multi-output control algorithms for the active vibration suppression of structures using accelerometer signals and force-type actuators. The concept of the single-input single-output virtual tuned mass damper control algorithm developed in the previous study was extended to cope with multiple natural modes of structure equipped with a limited number of sensors and actuators. Two control algorithms were developed based on the assumption of collocated control. One is the decentralized virtual tuned mass damper control that produces the actuator signal using only the accelerometer signal of that actuator position. The other is the centralized virtual tuned mass damper control that is designed in modal-space, and produces the modal control force using the modal coordinate. Both the theoretical and experimental results show that the proposed control algorithms are effective in suppressing multiple natural modes with a lesser number of sensors and actuators. However, the decentralized virtual tuned mass damper control can be designed and implemented more easily than the centralized virtual tuned mass damper control.

With the envisioned massive connectivity era, one of the challenges for 5G/Beyond 5G (B5G) wireless systems will be handling the unprecedented spectrum crunch. A potential solution has emerged in the form of spectrum sharing, which deviates from a monopolistic spectrum usage system. This paper investigates the medium access control (MAC) as a means of increasing the viability of the spectrum sharing technique. We first quantify the opportunity of spectrum access in a probabilistic manner, a method referred to as opportunistic (OP) map. Based on the OP framework, we propose a random MAC algorithm in which the access of a node is randomly determined with its own OP value. As a possible application of our OP-map based random MAC, we propose a flexible half-duplex (HD)/full-duplex (FD) communication where each pair decides the duplexing mode according to the OP values of the two pair nodes. This approach fits well with the spectrum sharing system since it enables a flexible operation for the spectrum access according to the spectrum usage level. From the numerical analysis, we validate the feasibility and verify the performance enhancements by implementing a field-programmable gate array (FPGA) based real-time prototype. We further carry out extensive 3D ray-tracing based system-level simulations on investigating the network-level performance of the proposed system. Measurements and numerical results confirm that the proposed architecture can achieve higher system throughput than conventional LTE-TDD (time division duplex) systems.

The membrane-type air spring can be used to suppress lateral vibration of a vibration isolation table. However, compared to voice coil actuators, pneumatic actuators are difficult to use for precise vibration control, because servo valves have nonlinear dynamic characteristics. Therefore, actuators, such as voice coil actuators, can be placed in parallel with air springs, allowing force-type actuators to provide additional force to the system. These actuators generate force. In the case of a ball-screw mechanism device or a linear servomotor, it is an actuator that generates displacement. These actuators are represented as serial active systems. Serial active systems are structurally simpler than parallel active systems. However, there are very few studies on vibration isolation systems using serial active systems compared to parallel active systems. As the two are different types of systems, a new control algorithm suitable for the serial active system is needed. This study proposes a system in which an actuator capable of accurately controlling displacement is connected in series with a support spring-damper. A new active vibration control algorithm for the proposed control system is also developed, which is termed the position input and position output. The proposed control algorithm uses the displacement of the system as an input and outputs the desired displacement of the actuator installed in series with the damper and spring. The proposed control algorithm increases the damping at the target frequency and reduces the response of the system. Numerical studies and experiments were conducted on the single-degree-of-freedom and multi-degree-of-freedom systems. The results show the efficacy of the proposed control system and the novel control algorithm for the vibration suppression of the lateral vibration of a vibration isolation table.

The objective of this study was to compare different statistical algorithms for estimating the calorific value of coal based on a quantitative analysis of the elements in coal. Laser-induced breakdown spectroscopy (LIBS) was applied for the elemental analysis. Three different algorithms, including the correlation analysis (CA) method, the partial least squares (PLS) analysis method, and the signal-to-noise ratio (SNR), were adopted to accurately determine the concentrations of the elements in coal by using Dulong’s equation. Special emphasis was placed on the selection of the delay time to improve the measurement accuracy. The coefficient of determination, R2, was considered for optimizing the delay time. The intensity–concentration calibration curves were obtained for the elements in coal and the elemental concentration correlations were estimated on the basis of the calibration curves of each element. The CA showed a higher accuracy compared to PLS and the SNR. This confirmed that LIBS shows potential for the rapid determination of the calorific value of coal.

Introduction: Creatine Kinase (CK) is routinely performed in some emergency departments (ED) for Non-ST-elevation myocardial infarction (NSTEMI) workup. Its diagnostic utility is not well understood. The objectives of this study were to assess the value of CK in NSTEMI diagnosis in the troponin era and the association between the highest CK/Troponin values and ejection fraction (EF) during NSTEMI follow-up. Methods: A prospective cohort study conducted at the two EDs of The Ottawa Hospital from March 2014 to March 2016 enrolled adults (≥18 years) for whom troponin I (TnI) and CK were ordered for NSTEMI symptoms. We excluded those with ST-Elevation Myocardial Infarction (STEMI). The primary outcome was a NSTEMI within 30 days. We used descriptive statistics and report test diagnostic characteristics with 95% confidence intervals (CI). We compared the highest median CK/Troponin values using Wilcoxon test. Results: Of the 2,153 patients enrolled, 99 (4.6%) suffered a NSTEMI. The sensitivity and specificity were: CK (cutoff >250U/L) 31.3% (95%CI 22.2, 40.5) and 91.1% (95%CI 89.9, 92.4) respectively; TnI (cutoff >0.045µg/L) 98.0% (95%CI 95.2, 100) and 86.2% (95%CI 84.7, 87.7) respectively. The median CK values were not significantly different between those with normal (n=267) and abnormal EF (n=55) on follow-up (107 U/L and 118 U/L respectively; p=0.31), whereas the median TnI values were significantly different (0.02 µg/L and 0.1 µg/L respectively; p

Metabolites reflect the biochemical dynamics for the maintenance of pregnancy and parturition. UPLC-Q/TOF-MS and LC-MS/MS metabolomics were performed to identify and validate the plasma metabolomic signatures of preterm birth (PTB). We recruited pregnant women between 16 and 40 weeks 5 days gestational age at Ewha Womans Mokdong Hospital for a nested case-control study. In untargeted UPLC-Q/TOF-MS, score plots of partial least-squares discriminant analysis clearly separated the PTB group from the term birth (TB, n = 10; PTB, n = 11). Fifteen metabolites were significantly different between the two groups, as indicated by a variable importance in projection >1 and p < 0.05. Metabolic pathways involving retinol, linoleic acid, D-arginine, and D-ornithine were associated with PTB. Verification by LC-MS/MS focused on retinol metabolism (TB, n = 39; PTB, n = 20). Retinol levels were significantly reduced in PTB compared to TB, while retinal palmitate, all-trans-retinal, and 13-cis-retinoic acid (13cis-RA) significantly increased (p < 0.05). Retinol-binding protein levels were also elevated in PTB. Additionally, all-trans-retinal (AUC 0.808, 95% CI: 0.683–0.933) and 13cis-RA (AUC 0.826, 95% CI: 0.723–0.930) showed improved predictions for PTB-related retinol metabolites. This study suggests that retinoid metabolism improves the accuracy of PTB predictions and plays an important role in maintaining pregnancy and inducing early parturition.

Fentanyl is prescribed to patients suffering from severe chronic pain. Transdermal patches are the best mode of delivery for patients who have developed tolerance for opioids. However, used patches still contain fentanyl that can be extracted and misused, with potentially severe consequences. To address this issue, patients who are prescribed fentanyl patches in Ontario are now required to return previously dispensed patches to receive new patches under the Safeguarding Our Communities Act: Patch for Patch (P4P) Return Policy. The problem is significant in Ontario because the province has the largest annual dispense rate of high-dose prescription fentanyl (112 units per 1,000 population) in Canada even though the prevalence rate of chronic pain is lower than the national reported range (16.6% in Ontario versus 19.6 to 21.9% in other provinces, according to Gomes et al. 2014). The primary goal of this reform is to instill responsible use of fentanyl patches, and to improve safety for patients and the public by having a central disposal process. The reform was modeled after a community initiative that was pioneered in North Bay after receiving great support from health professional colleges and communities that voluntarily integrated the program prior to the introduction of Bill 33. Preliminary data suggest that the P4P policy is positively received by health professionals, although ongoing evaluation is needed to assess the effectiveness of the policy in reducing misuse and abuse of prescribed fentanyl patches. Le fentanyl est prescrit aux patients souffrant de douleur chronique sévère. Le meilleur mode de délivrance pour les patients ayant développé une tolérance importante aux opioïdes est le timbre transdermique. Le problème est que les timbres usagés contiennent un résidu de fentanyl qui peut être extrait et réutilisé à mauvais escient, ce qui peut entraîner des conséquences graves. Pour y remédier, les patients à qui des timbres de fentanyl ont été prescrits en Ontario doivent rapporter les timbres utilisés pour recevoir les nouveaux, en vertu de la,/em> Loi pour protéger nos collectivités (politique d’échange de timbres, PET). Il s’agit d’un problème significatif en Ontario car cette province affiche le taux le plus élevé de prescription de fentanyl fortement dosé au Canada, avec 112 doses pour 1,000 habitants, alors pourtant que la prévalence de douleur chronique sévère est plus faible que dans les autres provinces (16,6% en Ontario contre 19,6 à 21,9%, d’après Gomes et al. 2014). L’objectif principal de la réforme est de rendre l’utilisation des timbres au fentanyl plus sûre et d’améliorer la sécurité pour les patients et la population en établissant un protocole d’élimination centralisé. La réforme s’inspire d’une initiative communautaire développée à North Bay, initiative approuvée par les collèges des professions de santé ainsi que par les communautés qui s’y sont volontairement associées avant même le vote de la Loi numéro 33. Les données préliminaires suggèrent que la politique PET est bien accueillie par les professionnels de santé, même si une évaluation est nécessaire pour mesurer l’efficacité de la politique en termes de réduction de la mes-utilisation et de l’abus des timbres au fentanyl.

Pimobendan and SCH00013 are calcium sensitizers that possess dual action of calcium sensitization and phosphodiesterase-III inhibition. This study was conducted to comparatively evaluate the effect of these medications on the myocardial function of the canine pacing-induced heart failure model using echocardiography. Heart failure was induced in 20 dogs, to which pimobendan and two different doses of SCH00013 were administered orally to 15 dogs for 3 weeks, and the remaining 5 dogs served as the control. Cardiac evaluations were performed at baseline, week 1, week 2, and week 3. Significant thinning and dilation of the left ventricles, with systolic dysfunction, indicated by reduction of fractional shortening (FS) and strain values, were observed with a low dose of SCH00013. Whereas, although systolic dysfunction was observed with reduction of FS and radial strain, significant dilation and thinning of the left ventricles and reduction of circumferential strain were not observed with pimobendan. Pimobendan had a potent positive inotropic effect, with little effect on synchronicity, while low-dose SCH00013 had a weaker positive inotropic effect but was able to sustain synchronicity. Although, it failed to show significant statistical differences, the results of this study allow speculations that administration of pimobendan and SCH00013 may have differing effect on the myocardial function in the canine pacing-induced heart failure model. Keywords:: animal model, calcium sensitizer, echocardiography, heart failure, inotropic agent

The light-induced degradation (LID) phenomenon in solar cells reduces power generation output. Previously, a method was developed to prevent LID where a group III impurity that can replace boron is added to the silicon wafer. However, in a subsequent study, performance degradation was observed in gallium-doped solar wafers and cells, and a degradation pattern similar to that occurring in light and elevated temperature-induced degradation (LeTID) was reported. In this study, a 72-cell module was fabricated using gallium-doped PERC cells, and the treatment of the LID process for carrier injection in the range of 1 to 7 A at 130 °C was analyzed using kinetic theory. We selectively heated only the solar cells inside a 72-cell module using a half-bridge resonance circuit for remote heating. To monitor the treatment of LID process in real time, a custom multimeter manufactured using an ACS758 current sensor and a microcomputer was used. Least-squares curve fitting was performed on the measured data using a reaction kinetics model. When the carrier-injection condition was applied to the gallium-doped PERC solar cell module at a temperature of 130 °C, the observed degradation and treatment pattern were similar to LeTID. We assumed that the treatment rate would increase as the size of the injected carrier increased; however, the 5 A condition exhibited the fastest treatment rate. It was deduced that the major factors of change in the overall treatment of the LID process vary depending on the rate of conversion from the LID state to the treatment state. In conclusion, it can be expected that the deterioration state of the gallium-doped solar cell module changes due to the treatment rate that varies depending on the carrier-injection conditions.

In the photovoltaic industry, there is great interest in increasing the power output of solar cells to achieve grid parity and to promote the widespread use of solar cells. However, despite many developments, a phenomenon called light-induced degradation causes the efficiency of solar cells to deteriorate over time. This study proposes a treatment that can be applied to cells within solar modules. It uses a half-bridge resonance circuit to induce a magnetic field and selectively heat Al electrodes in the solar cells. The electrical state of a solar module was measured in real time as it was being heated, and the results were combined with a kinetics simulation using a cyclic reaction. As the temperature of the solar module increased, the time taken to reach the saturation point and the recovery time decreased. Moreover, the value of the saturation point increased. The light-induced degradation activation energy was similar to results in the existing literature, suggesting that the kinetic model was valid and applicable even when 72 cells were connected in series. This demonstrates that an entire solar module can be treated when the cells are connected in series, and in future multiple modules, could be connected in series during treatment.

In the fabrication of crystalline silicon solar cells, the contact properties between the front metal electrode and silicon are one of the most important parameters for achieving high-efficiency, as it is an integral element in the formation of solar cell electrodes. This entails an increase in the surface recombination velocity and a drop in the open-circuit voltage of the solar cell; hence, controlling the recombination velocity at the metal-silicon interface becomes a critical factor in the process. In this study, the distribution of Ag crystallites formed on the silicon-metal interface, the surface recombination velocity in the silicon-metal interface and the resulting changes in the performance of the Passivated Emitter and Rear Contact (PERC) solar cells were analyzed by controlling the firing temperature. The Ag crystallite distribution gradually increased corresponding to a firing temperature increase from 850 ∘C to 950 ∘C. The surface recombination velocity at the silicon-metal interface increased from 353 to 599 cm/s and the open-circuit voltage of the PERC solar cell decreased from 659.7 to 647 mV. Technology Computer-Aided Design (TCAD) simulation was used for detailed analysis on the effect of the surface recombination velocity at the silicon-metal interface on the PERC solar cell performance. Simulations showed that the increase in the distribution of Ag crystallites and surface recombination velocity at the silicon-metal interface played an important role in the decrease of open-circuit voltage of the PERC solar cell at temperatures of 850–900 ∘C, whereas the damage caused by the emitter over fire was determined as the main cause of the voltage drop at 950 ∘C. These results are expected to serve as a steppingstone for further research on improvement in the silicon-metal interface properties of silicon-based solar cells and investigation on high-efficiency solar cells.