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Specimens of Scomberoides tala (Cuvier, 1832) were collected from southwestern Taiwan in the northwestern Pacific Ocean. While this species has been documented in other regions of the northwestern Pacific, our specimens mark its first recorded occurrence in Taiwan, bridging a previously identified distribution gap in this region. Additionally, we suggest that the distribution of this species may be shifting northward, potentially driven by global warming, as the northern records were reported rather recently. [ABSTRACT FROM AUTHOR]

A new species of the roughy fish genus Hoplostethus, subgenus Leiogaster, is described based on three specimens collected from Sumatra, Indonesia. This species can be distinguished from its congeners by the following characteristics: gular region covered with ctenoid scales; pelvic‐fin spine smooth on its anterior edge; head depth subequal or smaller than its length (37.2%–38.6% standard length [SL], or 94.7%–99.2% head length [HL]); pectoral‐fin length 35.6%–37.8% SL, reaching beyond a vertical through anal‐fin origin; abdominal scutes well developed, 12–16; pectoral‐fin rays uniformly black, 17–19; gill rakers on the first arch 6–7 + 1 + 13–14 = 21; pre‐dorsal scales 24–27; and pyloric caeca 32. A detailed description is provided along with comparisons with its congeners. Additionally, diagnostic characters of the congeners and literature records of Hoplostethus rubellopterus and Hoplostethus melanopus are discussed. [ABSTRACT FROM AUTHOR]

A new species of beardfish, genus Polymixia, is described based on three specimens collected in Taiwanese waters and off the Chesterfield Islands of New Caledonia. It can be distinguished from its congeners by the following characters: dorsal-fin rays IV–V, 35–37; gill rakers on outer face of first gill arch 3+1+6=10; scales row between dorsal-fin origin and lateral line vertically 6–8 (S1) and posteriorly 12–14 (S2); pyloric caeca 40; snout rounded, with its surface rough and gelatinous, its tip evidently protrude anterior margin of premaxilla; ctenii on body scales arranged in a wedge-shape, forming three rows; 4th anal-fin spine long, 1.0%–1.2% eye diameter; longer dorsal-fin, 49.6–53.0% SL ; blackish oral-branchial cavity. Our maximum-likelihood tree based on mitochondrial COI sequences revealed that the new species is distinct from six congeneric species. Our findings indicate the presence of at least six Polymixia species in Taiwan, highlighting Taiwan and adjacent areas as a region with the highest diversity of this genus. [ABSTRACT FROM AUTHOR]

A new species of jawfish genus Opistognathus is described based on a specimen collected from a beach in the Peng-hu Islands during a cold snap. The new species, Opistognathus cryos sp. nov., differs from its congeners in having a rigid upper jaw, 10–11 + 1 + 19–22 = 31–33 gill rakers, 55 scale rows in lateral series, 10 + 16 = 26 vertebrae, the terminus of the lateral line at the base of the fourth segmented dorsal-fin ray (15th in total rays), the head, nape, dorsal-fin base above lateral line, throat, chest, and pectoral-fin base naked, dorsal fin with eight blotches along its entire base, body with five horizontal dark stripes, nape with two dark blotches in front of the dorsal-fin origin, and a caudal fin with five narrow, dark bands. A detailed description is provided and compared to its similar congeners. [ABSTRACT FROM AUTHOR]

The large-mouth pricklefish, Malacosarcus macrostoma (Günther, 1878), previously known from five specimens collected from the central Pacific Ocean, is redescribed based on three specimens collected from the abyssal zone (4,412–4,813 m) off the southeastern coast of Taiwan. These specimens contribute to a more comprehensive description of M. macrostoma and represent this species' westernmost and deepest record. This study provides a detailed description, fresh photographs, and notes on their morphological characteristics of the specimens. Lastly, the distributional records of M. macrostoma are discussed. [ABSTRACT FROM AUTHOR]

Mastication plays an important role in effective food digestion and nutrient absorption. Therefore, regulating masticatory force in people with declining mastication function is significant for maintaining health and quality of life. In this study, we tested the effect of tactile augmentation on mastication force. To augment tactile feedback during mastication, we applied closed-loop electrical stimulation onto the mandibular vestibule using an intraoral tooth-borne electronic system. We hypothesized that closed-loop electrical stimulation, timed with mastication and applied to the nerves delivering tactile feedback to the brain, would evoke an increase in masticatory force. Experiments were completed using the intraoral system with six healthy human subjects who masticated soft and hard foods with and without stimulation during the experiment. Their mastication forces were recorded ten times per condition. The recorded mastication force profile showed that mastication force was higher with the harder food. Also, mastication force increased when electrical stimulation was applied, compared to the non-stimulated condition. These results support the hypothesis that tactile augmentation by intraoral closed-loop electrical stimulation will increase masticatory force. Other mastication parameters including period, spike width, and duty cycle are also changed by electrical stimulation. Further, stimulation left a strong aftereffect on these mastication parameters.

Background/Aims: We investigated the clinical practice patterns of Korean endoscopists for the endoscopic resection of colorectal polyps. Methods: From September to November 2021, an online survey was conducted regarding the preferred resection methods for colorectal polyps, and responses were compared with the international guidelines. Results: Among 246 respondents, those with

Background This study aimed to validate the Geriatric Trauma Outcome Score (GTOS) for predicting mortality associated with trauma in older Korean adults and compare the GTOS with the Trauma and Injury Severity Score (TRISS). Methods This study included patients aged ≥65 years who visited the Chungbuk National University Hospital Regional Trauma Center between January 2016 and December 2022. We used receiver operating characteristic curves and calibration plots to assess the discrimination and calibration of the scoring systems. Results Among 3,053 patients, the median age was 77 years, and the mortality rate was 5.2%. The overall GTOS-predicted mortality and 1–TRISS were 5.4% (interquartile range [IQR], 3.7–9.5) and 4.7% (IQR, 4.7–4.7), respectively. The areas under the curves (AUCs) of 1–TRISS and GTOS for the total population were 0.763 (95% confidence interval [CI], 0.719–0.806) and 0.794 (95% CI, 0.755–0.833), respectively. In the Glasgow Coma Scale (GCS) ≤12 group, the in-hospital mortality rate was 27.5% (79 deaths). The GTOS-predicted mortality and 1–TRISS in this group were 18.6% (IQR, 7.5–34.7) and 26.9% (IQR, 11.9–73.1), respectively. The AUCs of 1–TRISS and GTOS for the total population were 0.800 (95% CI, 0.776–0.854) and 0.744 (95% CI, 0.685–0.804), respectively. Conclusion The GTOS and TRISS demonstrated comparable accuracy in predicting mortality, while the GTOS offered the advantage of simpler calculations. However, the GTOS tended to underestimate mortality in patients with GCS ≤12; thus, its application requires care in such cases.

Superconducting cyclotron can generate high-energy proton beams and are mainly used for radiation therapy of tumors and cancers. In the superconducting cyclotron SC200, the maximum magnetic induction intensity can typically reach up to 4.6 T, and the magnetic field accuracy is 1e-4. Hall probes are commonly used tools for measuring high-intensity magnetic fields.

Abstract Background Post-operative delirium (PD) is a common post-operative complication with significant clinical and financial impacts on patients. Erythropoietin (EPO), a multi-functional glycoprotein hormone, exhibits erythropoietic and non-erythropoietic anti-inflammatory properties. This study aimed to determine the role of perioperative EPO administration in the development of postoperative delirium in older adult patients undergoing total joint arthroplasty. Methods Seventy-one patients (> 65 years old) scheduled for total joint arthroplasty were randomly assigned to two groups: EPO-treated (EPO, n = 35) and placebo (control, n = 36). All patients completed the Mini Mental State Examination (MMSE) pre-operatively and on post-operative day (POD) 2. The confusion assessment method (CAM) was used to assess the patients until discharge (POD 5). Serum C-reactive protein (CRP) and inflammatory cytokine levels were measured and compared pre- and post-operatively. The development of delirium and cognitive dysfunction was evaluated post-operatively. Results One patient in the control group developed delirium on POD 2 (3.2%), whereas no patient in the EPO group developed PD (0% vs. 3.2%, p = 0.500). Post-operatively there was no significant difference in MMSE scores between groups. Both groups showed increases in pro- and anti-inflammatory cytokine levels, with no significant differences. Similarly, CRP levels, neutrophil/lymphocyte ratio (NLR), and platelet/lymphocyte ratio (PLR) showed no intergroup differences in post-operative inflammatory responses. Conclusions Perioperative EPO reduced the incidence of post-operative delirium, although not statistically significant, with no differences in post-operative cognitive function and inflammatory responses. Trial registration The trial was registered on December 12, 2023 at http//clinicaltrials.gov, registration number NCT06178835.

Background: Delayed hemothorax (dHTX) can occur unexpectedly, even in patients who initially present without signs of hemothorax (HTX), potentially leading to death. We aimed to develop a predictive model for dHTX requiring intervention, specifically targeting those with no or occult HTX. Methods: This retrospective study was conducted at a level 1 trauma center. The primary outcome was the occurrence of dHTX requiring intervention in patients who had no HTX or occult HTX and did not undergo closed thoracostomy post-injury. To minimize overfitting, we employed the least absolute shrinkage and selection operator (LASSO) logistic regression model for feature selection. Thereafter, we developed a multivariable logistic regression (MLR) model and a nomogram. Results: In total, 688 patients were included in the study, with 64 cases of dHTX (9.3%). The LASSO and MLR analyses revealed that the depth of HTX (adjusted odds ratio [aOR], 3.79; 95% confidence interval [CI], 2.10–6.85; p

Purpose The number of elderly patients with trauma is increasing; therefore, precise models are necessary to estimate the mortality risk of elderly patients with trauma for informed clinical decision-making. This study aimed to develop machine learning based predictive models that predict 30-day mortality in severely injured elderly patients with trauma and to compare the predictive performance of various machine learning models. Methods This study targeted patients aged ≥65 years with an Injury Severity Score of ≥15 who visited the regional trauma center at Chungbuk National University Hospital between 2016 and 2022. Four machine learning models—logistic regression, decision tree, random forest, and eXtreme Gradient Boosting (XGBoost)—were developed to predict 30-day mortality. The models’ performance was compared using metrics such as area under the receiver operating characteristic curve (AUC), accuracy, precision, recall, specificity, F1 score, as well as Shapley Additive Explanations (SHAP) values and learning curves. Results The performance evaluation of the machine learning models for predicting mortality in severely injured elderly patients with trauma showed AUC values for logistic regression, decision tree, random forest, and XGBoost of 0.938, 0.863, 0.919, and 0.934, respectively. Among the four models, XGBoost demonstrated superior accuracy, precision, recall, specificity, and F1 score of 0.91, 0.72, 0.86, 0.92, and 0.78, respectively. Analysis of important features of XGBoost using SHAP revealed associations such as a high Glasgow Coma Scale negatively impacting mortality probability, while higher counts of transfused red blood cells were positively correlated with mortality probability. The learning curves indicated increased generalization and robustness as training examples increased. Conclusions We showed that machine learning models, especially XGBoost, can be used to predict 30-day mortality in severely injured elderly patients with trauma. Prognostic tools utilizing these models are helpful for physicians to evaluate the risk of mortality in elderly patients with severe trauma.

Abstract Background To compare and evaluate objective and subjective clinical parameters between 0.05% cyclosporine nanoemulsion (CsN) and 0.15% hyaluronic acid (HA) administration in patients with mild-to-moderate dry eyes. Methods In this prospective, randomized, double-masked, single-center, and placebo-controlled parallel study, patients with mild-to-moderate dry eyes were randomly allocated to be treated with 0.05% CsN or 0.15% HA twice daily. Patients were followed-up at 4, 8, and 12 weeks. Objective and subjective parameters were evaluated during each visit. Results A total of 35 patients were enrolled in this study. Compared with baseline, tear film break-up time and fluorescein staining scores at 4, 8, and 12 weeks significantly improved in the CsN group. However, the Schirmer I test showed no statistically significant change until week 12. Using the Symptom Assessment in Dry Eye (SANDE) score, both groups gradually showed significant improvement compared with baseline values. However, the Dry Eye-Related Quality-of-life Score Questionnaire (DEQS) showed no statistically significant change during the treatment period. Conclusions Both 0.05% CsN and 0.15% HA administration twice a day effectively improved the objective signs and subjective symptoms of patients with mild-to-moderate dry eyes. However, patients treated with 0.05% CsN experienced greater and faster improvement.

Abstract Background Effective interventions for overall healthy subjects with mild cognitive impairment are currently limited. Choline alphoscerate (alpha glyceryl phosphorylcholine, αGPC) is a choline-containing phospholipid used to treat cognitive function impairments in specific neurological conditions. This study aimed to investigate the efficacy and safety of αGPC in individuals diagnosed with mild cognitive impairment. Methods In this multicenter, randomized, placebo-controlled trial, 100 study subjects with mild cognitive impairment underwent a double-blind SHCog™ soft capsule (600 mg αGPC) or placebo treatment for 12 weeks. The primary efficacy outcome included changes from baseline on the Alzheimer’s Disease Assessment Scale–cognitive subscale (ADAS-cog). Safety assessments included regular monitoring of adverse events, and clinical laboratory tests were conducted at baseline and the end of the trial. Results After 12 weeks of αGPC treatment, the ADAS-cog score decreased by 2.34 points, which was significantly greater than the change observed in the placebo group. No serious AEs were reported, and no study subjects discontinued the intervention because of AEs. There was no significant difference in incidence rate of AEs between the αGPC group and the placebo group. Conclusion This study suggests that αGPC is a safe and effective intervention for improving cognitive function in study subjects with mild cognitive impairment. Trial registration Clinical Research Information Service; Osong (Chungcheongbuk-do): Korea Centers for Disease Control and Prevention, Ministry of Health and Welfare (Republic of Korea); KCT0008797; A 12-week, multicenter, randomized, double-blind, placebo-controlled human application study to evaluate the efficacy and safety of SH_CAPK08 on cognitive function improvement in mild cognitive decline.

One in ten women in their reproductive age suffer from polycystic ovary syndrome (PCOS) that, alongside subfertility and hyperandrogenism, typically presents with increased luteinizing hormone (LH) pulsatility. As such, it is suspected that the arcuate kisspeptin (ARNKISS) neurons that represent the GnRH pulse generator are dysfunctional in PCOS. We used here in vivo GCaMP fiber photometry and other approaches to examine the behavior of the GnRH pulse generator in two mouse models of PCOS. We began with the peripubertal androgen (PPA) mouse model of PCOS but found that it had a reduction in the frequency of ARNKISS neuron synchronization events (SEs) that drive LH pulses. Examining the prenatal androgen (PNA) model of PCOS, we observed highly variable patterns of pulse generator activity with no significant differences detected in ARNKISS neuron SEs, pulsatile LH secretion, or serum testosterone, estradiol, and progesterone concentrations. However, a machine learning approach identified that the ARNKISS neurons of acyclic PNA mice continued to exhibit cyclical patterns of activity similar to that of normal mice. The frequency of ARNKISS neuron SEs was significantly increased in algorithm-identified ‘diestrous stage’ PNA mice compared to controls. In addition, ARNKISS neurons exhibited reduced feedback suppression to progesterone in PNA mice and their gonadotrophs were also less sensitive to GnRH. These observations demonstrate the importance of understanding GnRH pulse generator activity in mouse models of PCOS. The existence of cyclical GnRH pulse generator activity in the acyclic PNA mouse indicates the presence of a complex phenotype with deficits at multiple levels of the hypothalamo-pituitary-gonadal axis.

The gonadotropin-releasing hormone (GnRH) neurons represent the key output cells of the neural network controlling mammalian fertility. We used GCaMP fiber photometry to record the population activity of the GnRH neuron distal projections in the ventral arcuate nucleus where they merge before entering the median eminence to release GnRH into the portal vasculature. Recordings in freely behaving intact male and female mice revealed abrupt ~8 min duration increases in activity that correlated perfectly with the appearance of a subsequent pulse of luteinizing hormone (LH). The GnRH neuron dendrons also exhibited a low level of unchanging clustered, rapidly fluctuating baseline activity in males and throughout the estrous cycle in females. In female mice, a gradual increase in basal activity that exhibited ~80 min oscillations began in the afternoon of proestrus and lasted for 12 hr. This was associated with the onset of the LH surge that ended several hours before the fall in the GCaMP signal. Abrupt 8 min duration episodes of GCaMP activity continued to occur on top of the rising surge baseline before ceasing in estrus. These observations provide the first description of GnRH neuron activity in freely behaving animals. They demonstrate that three distinct patterns of oscillatory activity occur in GnRH neurons. These are comprised of low-level rapid baseline activity, abrupt 8 min duration oscillations that drive pulsatile gonadotropin secretion, and, in females, a gradual and very prolonged oscillating increase in activity responsible for the preovulatory LH surge.