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This study utilized cellulose-based external light extraction films to enhance the outcoupling efficiency of organic light-emitting diodes (OLEDs). These films were created through a straightforward fabrication employing the biopolymers hydroxyethyl cellulose (HEC) and tannic acid (TA). We observed that the hydrogen bonding between HEC and TA could spontaneously generate a random microtextured surface on the HEC: TA films. Furthermore, the surface morphology of the HECTA film can be adjusted by varying the TA content. When applying the HECTA films as an external light-extraction layer for OLEDs, we noticed a remarkable improvement in the external quantum efficiency and current efficiency of the OLEDs up to 54% compared to those without the HECTA film. Additionally, the HECTA film displayed an outstanding ability to absorb ultraviolet light. Therefore, it is anticipated that the HECTA film can significantly contribute to prolonging the stability of OLEDs.

Abstract Magnetic frustration, realized in the special geometrical arrangement of localized spins, often promotes topologically nontrivial spin textures in the real space and induces significantly large unconventional Hall responses. This spin Berry curvature effect in itinerant frustrated magnets mainly works with a static spin order, limiting the effective temperature range below the magnetic transition temperature and yielding the typical anomalous Hall conductivity below ~ 103 Ω−1cm−1. Here we show that an ultraclean triangular-lattice antiferromagnet PdCrO2 exhibits a large anomalous Hall conductivity up to ~ 106 Ω−1cm−1 in the paramagnetic state, which is maintained far above the Neel temperature (T N) up to ~ 4T N. The reported enhancement of anomalous Hall response above T N is attributed to the skew scattering of highly mobile Pd electrons to fluctuating but locally-correlated Cr spins with a finite spin chirality. Our findings point at an alternative route to realizing high-temperature giant anomalous Hall responses, exploiting magnetic frustration in the ultraclean regime.

AimHearing loss, affecting a significant portion of the global population, is prevented with peroxisome proliferator-activated receptor γ agonism. Understanding potential protective treatments is crucial for public health. We examine the effect of telmisartan, an antihypertensive drug and partial peroxisome proliferator-activated receptor γ agonist, on hearing loss in patients with hypertension.Method and resultsThis retrospective cohort analysis used data from the OMOP Common Data Model database, encompassing information from three tertiary institutions in South Korea. The study included a substantial sample size of 860,103 people diagnosed with hypertension. The study included individuals who had been medically diagnosed with hypertension and had been prescribed antihypertensive drugs, including telmisartan. The study design was established to evaluate the comparative effects of telmisartan and other hypertension medications on hearing loss. We used propensity score matching (PSM) to create a balanced cohort, reducing potential biases between the telmisartan and non-telmisartan groups. From the initial 860,103 patients with hypertension, a propensity score matched cohort was derived from 20,010 patients, with 2,193 in the telmisartan group. After PSM, lower incidence of total hearing loss was observed in the telmisartan group compared to the non-telmisartan group during the 3-year follow-up (0.5% vs. 1.5%, log-rank p = 0.005). In subgroup analysis, this study showed consistent results that lower incidence of total hearing loss was higher in the telmisartan group than in the non-telmisartan group.ConclusionTelmisartan was associated with reducing certain types of hearing loss in patients with hypertension. Further research is needed to confirm these findings and understand the mechanisms.

Abstract Chronic kidney disease (CKD) is a comorbidity in idiopathic pulmonary fibrosis (IPF), and managing IPF with CKD is challenging due to limited options for antifibrotic therapy. The aim of this study was to examine the prevalence of CKD and prescription status of pirfenidone in IPF patients and to analyze its impact on mortality. Data from the Korean National Health Insurance Service (NHIS) database between October 2015 and September 2021 were used. IPF and CKD were defined based on both International Classification of Diseases 10th Revision (ICD-10) codes and Rare Intractable Disease (RID) codes. The risk of mortality was assessed based on accompanying CKD with or without antifibrotic therapy. Among 5038 patients with IPF, 8.4% had comorbid CKD and 83.3% with CKD did not receive renal replacement therapy (RRT). Patients with IPF and CKD were older, predominantly male, and had more frequent comorbidities such as cardiovascular disease and diabetes mellitus than subjects without CKD. Pirfenidone was prescribed to 105 (24.6%) of 426 CKD patients, and 89.5% of them did not receive RRT. Pirfenidone was also prescribed to 775 (16.8%) of 4612 IPF patients without CKD. Significant difference was not found in all-cause mortality between the IPF patients with or without CKD regardless of pirfenidone treatment. The use of antifibrotics in IPF patients with CKD is limited due to CKD severity; however, evidence is lacking. Mortality did not increase with accompanying CKD regardless of antifibrotic use. Further research on IPF and CKD is needed.

Background Enavogliflozin is a novel sodium-glucose cotransporter-2 inhibitor currently under clinical development. This study evaluated the efficacy and safety of enavogliflozin as an add-on to metformin in Korean patients with type 2 diabetes mellitus (T2DM) against dapagliflozin. Methods In this multicenter, double-blind, randomized, phase 3 study, 200 patients were randomized to receive enavogliflozin 0.3 mg/day (n=101) or dapagliflozin 10 mg/day (n=99) in addition to ongoing metformin therapy for 24 weeks. The primary objective of the study was to prove the non-inferiority of enavogliflozin to dapagliflozin in glycosylated hemoglobin (HbA1c) change at week 24 (non-inferiority margin of 0.35%) (Clinical trial registration number: NCT04634500). Results Adjusted mean change of HbA1c at week 24 was –0.80% with enavogliflozin and –0.75% with dapagliflozin (difference, –0.04%; 95% confidence interval, –0.21% to 0.12%). Percentages of patients achieving HbA1c

Abstract Background Patients with locally advanced, unresectable, non‐small cell lung cancer (NSCLC) receiving definitive concurrent chemoradiation therapy (CCRT) benefit from durvalumab consolidation therapy. However, predictive factors for early relapse during durvalumab maintenance have not yet been identified. Methods The present study included the lung cancer cohort of the Catholic Medical Centers at the Catholic University of Korea from January 2018 to December 2021. A total of 51 NSCLC patients treated with durvalumab consolidation therapy after definitive CCRT were included in the analysis. Early relapse was defined as patients experiencing relapse within 6 months of starting initial durvalumab therapy. Results Among the 51 patients, 15 (29.4%) relapsed during the study period. Median time from initial therapy of durvalumab to progression was 451.00 ± 220.87 days (95% confidence interval [CI]: 18.10–883.90) in overall patients. In multivariate analysis, younger age (adjusted odds ratio [aOR], 0.792; 95% CI: 0.642–0.977; p = 0.030), higher pack‐years (aOR, 1.315; 95% CI: 1.058–1.635; p = 0.014), non‐COPD (aOR, 0.004; 95% CI: 0.000–0.828; p = 0.004) and anemia (aOR, 234.30; 95% CI: 1.212–45280.24; p = 0.042), were independent predictive factors for early relapse during durvalumab consolidation therapy. Conclusion Younger age, higher number of pack‐years, non‐COPD, and anemia were independent predictive factors for early relapse during durvalumab consolidation therapy in patients with unresectable stage III NSCLC after definitive CCRT. Careful patient selection and clinical attention are needed for high‐risk individuals.

Abstract Background Metabolic abnormalities such as dyslipidemia, glucose and high blood pressure are common in diabetic patients. Visit-to-visit variabilities in these measures have been reported as potential residual cardiovascular risk factors. However, the relationship between these variabilities and their effects on cardiovascular prognosis have not been studied. Methods A total of 22,310 diabetic patients with ≥ 3 measurements of systolic blood pressure (SBP), blood glucose, total cholesterol (TC), and triglyceride (TG) levels during a minimum of three years at three tertiary general hospitals were selected. They were divided into high/low variability groups for each variable based on the coefficient of variation (CV) values. The primary outcome was the incidence of major adverse cardiovascular events (MACE), a composite of cardiovascular death, myocardial infarction, and stroke. Results All high CV groups had a higher incidence of MACE than those with low CV (6.0% vs. 2.5% for SBP-CV groups, 5.5% vs. 3.0% for TC-CV groups, 4.7% vs. 3.8% for TG-CV groups, 5.8% vs. 2.7% for glucose-CV groups). In multivariable Cox regression analysis,, high SBP-CV (HR 1.79 [95% CI 1.54–2.07], p

Abstract Background Fibrosing interstitial lung disease (F-ILD) is a major public health concern due to its poor prognosis. Recent clinical evidence shows that antifibrotic approaches such as pirfenidone and nintedanib provide better clinical outcome prediction in idiopathic pulmonary fibrosis (IPF) as well as selected progressive fibrosing ILD (PF-ILD) patients. Having epidemiologic insight into these diseases will be essential for the efficient utilization of these therapeutic resources. This study aimed to estimate the current prevalence, incidence, and mortality of F-ILD classified as idiopathic pulmonary fibrosis (IPF), PF-ILD other than IPF, and non-progressive F-ILD and their temporal trend in Korea. Methods Population-based retrospective cohort study was conducted using the Korean Health Insurance Review and Assessment (HIRA) database (2011–2018). Patients with IPF were identified using ICD-10 code, RID code, and differential diagnosis approach. By leveraging medical records available from claim data and referencing those used in clinical trials, rigorous diagnostic criteria for PF-ILD detection were implemented. Results For the past eight years, the prevalence of IPF and PF-ILD has progressively increased, while non-progressive F-ILD has remained stable. IPF, PF-ILD, and non-progressive F-ILD prevalence per 100,000 in 2018 were 16.9, 10.4, and 11.7, respectively. The incidence of IPF in 2018 was more than twice that of 2012. The incidence of PF-ILD in 2018 was 1.5 times higher than that in 2012. In 2018, the mortalites were 10.3% and 12.2% for IPF and PF-ILD, respectively. The mortality rate of PF-ILD was greater than that of IPF in all years. Unclassifiable PF-ILD and rheumatoid arthritis-PF-ILD had the highest proportion and mortality among the PF-ILD subtypes. Conclusion The prevalence and incidence of IPF and PF-ILD have been steadily increasing in recent years. The mortality rate of PF-ILD remained consistently high and exceeded those of IPF in all years.

Soft, stretchable, conductive thin films have propelled to the forefront of applications in stretchable sensors for on-skin health monitoring. Stretchable conductive films require high conformability, stretchability, and mechanical/chemical stability when integrated into the skin. Here, we present a highly stretchable, conductive, and transparent natural rubber/silver nanowire (AgNW)/poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) composite film. Overcoating the PEDOT:PSS layer results in outstanding mechanical robustness and chemical stability by suppressing the mechanical and chemical degradation of the nanowire networks. Moreover, the introduction of the organic surface modifier enhances the bonding strength between the natural rubber substrate and AgNW at the interface. The highly conformable composite films are integrated into multifunctional on-skin sensors for monitoring various human motions and biological signals with low-power consumption. We believe that the highly stretchable, robust, and conformable natural rubber/AgNW/PEDOT:PSS composite film can offer new opportunities for next-generation wearable sensors for body motion and physiological monitoring.

We present the fluorinated hexaazatrinaphthylene derivative, 1,2,3,4,7,8,9,10,13,14,15,16-dodecafluoro-5,6,11,12,17,18-hexaazatrinaphthylene (HATNA-F12), as a new material to replace another hexaazatrinaphthylene molecule, 1,4,5,8,9,11-hexaazatriphenylene-hexacarbonitrile (HAT-CN), which is widely used as an intermediate connector and charge generation layer (CGL) in tandem organic light-emitting diodes (OLEDs). Upon comparison with the reference single emitting layer unit OLED, the tandem device with HATNA-F12 CGL had improved current efficiency and external quantum efficiency of 42.1% and 41.7%, respectively. Our results show that HATNA-F12 is an excellent substitute for HAT-CN and has more promising characteristics as a CGL material for applications in tandem OLEDs. When compared to devices with HAT-CN CGL, the green tandem OLEDs with CGL consisting of HATNA-F12 demonstrated improved current efficiency, power efficacy, and external quantum efficiency values, while the change of the CGL material had almost no effect on the operating voltage, current density, and color coordinates of the OLEDs. We confirm that using the newly suggested HATNA-F12 molecule as a CGL in these OLEDs can enhance device efficiency.

Novel chemically cross-linked hydrogels derived from carboxymethyl cellulose (CMC) and alginate (Alg) were prepared through the utilization of the norbornene (Nb)–methyl tetrazine (mTz) click reaction. The hydrogels were designed to generate reactive oxygen species (ROS) from an NIR dye, indocyanine green (ICG), for combined photothermal and photodynamic therapy (PTT/PDT). The cross-linking reaction between Nb and mTz moieties occurred via an inverse electron-demand Diels–Alder chemistry under physiological conditions avoiding the need for a catalyst. The resulting hydrogels exhibited viscoelastic properties (G′ ~ 492–270 Pa) and high porosity. The hydrogels were found to be injectable with tunable mechanical characteristics. The ROS production from the ICG-encapsulated hydrogels was confirmed by DPBF assays, indicating a photodynamic effect (with NIR irradiation at 1–2 W for 5–15 min). The temperature of the ICG-loaded hydrogels also increased upon the NIR irradiation to eradicate tumor cells photothermally. In vitro cytocompatibility assessments revealed the non-toxic nature of CMC–Nb and Alg–mTz towards HEK-293 cells. Furthermore, the ICG-loaded hydrogels effectively inhibited the metabolic activity of Hela cells after NIR exposure.

Background The Korea Interstitial Lung Disease Study Group has made a new nationwide idiopathic pulmonary fibrosis (IPF) registry because the routine clinical practice has changed due to new guidelines and newly developed antifibrotic agents in the recent decade. The aim of this study was to describe recent clinical characteristics of Korean IPF patients. Methods Both newly diagnosed and following IPF patients diagnosed after the previous registry in 2008 were enrolled. Survival analysis was only conducted for patients diagnosed with IPF after 2016 because antifibrotic agents started to be covered by medical insurance of Korea in October 2015. Results A total of 2,139 patients were analyzed. Their mean age at diagnosis was 67.4±9.3 years. Of these patients, 76.1% were males, 71.0% were ever-smokers, 14.4% were asymptomatic at the time of diagnosis, and 56.9% were at gender-age-physiology stage I. Occupational toxic material exposure was reported in 534 patients. The mean forced vital capacity was 74.6% and the diffusing capacity for carbon monoxide was 63.6%. Treatment with pirfenidone was increased over time: 62.4% of IPF patients were treated with pirfenidone initially. And 79.2% of patients were treated with antifiboritics for more than three months during the course of the disease since 2016. Old age, acute exacerbation, treatment without antifibrotics, and exposure to wood and stone dust were associated with higher mortality. Conclusion In the recent Korean IPF registry, the percentage of IPF patients treated with antifibrotics was increased compared to that in the previous IPF registry. Old age, acute exacerbation, treatment without antifibrotics, and exposure to wood and stone dust were associated with higher mortality.

Photochromic materials have attracted considerable interest because of their ability to undergo reversible color switching. We report highly conductive and flexible spiropyran-embedded cellulose films with multiple optical and electrical functionalities, showing negative photo- and thermochromism. Combining silver nanowires and conductive polymer with cellulose/spiropyran films achieves a very low sheet resistance of 6.7 ohm/sq. The optimized films show outstanding mechanical stability with negligible electrical loss (resistance change < 2%) after 1000 bending cycles. The photo- and thermal-responsive conductive cellulose/spiropyran films can be used to directly visualize information and as flexible heating devices, pressure-responsive sensors, and colorimetric thermometers with high device performance.

Superior spectral responsivity, low open‐circuit voltage losses, and good scalability make organic photovoltaics (OPVs) potential power generating contenders for low‐power consumption electronic devices for indoor self‐sustainable applications. Herein, large‐area organic photovoltaic devices with PBTZT‐stat‐BDTT‐8: PC71PM photoactive layer are fabricated to develop indoor power sources for low‐power, portable, and wireless electronic devices. The better spectral matching of PBTZT‐stat‐BDTT‐8‐based photoactive absorber layer with light‐emitting diode (LED) emission spectra translates a power conversion efficiency (PCE) over 18% for single‐cell (0.38 cm2) device. Whereas, PCEs over 17% and 16% are observed for mini‐module (18.63 cm2) and submodule (40 cm2) under 1000 lux LED (2700 K) illumination, respectively. The emission powers of the LED lamps are carefully analyzed, and integral current densities of photovoltaics cells are calculated with the help of external quantum efficiency and photon flux spectrum to assure the reliability of photovoltaic measurements. Finally, the commercially available programmable Arduino boards and Bluetooth‐based Internet of Things devices integrated with OPVs to build a self‐sustainable communication system that can function well under indoor environment are demonstrated.

BackgroundIdiopathic pulmonary fibrosis (IPF) is a progressive fibrosing interstitial lung disease (ILD) with variable and heterogeneous clinical course. The GAP (gender, age, and physiology) model had been used to predict mortality in patients with IPF, but does not contain exercise capacity. Therefore, our aim in this study was to develop new prognostic scoring system in the Korea IPF Cohort (KICO) registry.Materials and methodsThis is a retrospective study of Korean patients with IPF in KICO registry from June 2016 to August 2021. We developed new scoring system (the GAP6) based on the GAP model adding nadir saturation of percutaneous oxygen (SpO2) during six-minute walk test (6MWT) in the KICO registry and compared the efficacy of the GAP and the GAP6 model.ResultsAmong 2,412 patients in KICO registry, 966 patients were enrolled. The GAP6 model showed significant prognostic value for mortality between each stage [HR Stage II vs. Stage I = 2.89 (95% CI = 2.38–3.51), HR Stage III vs. Stage II = 2.68 (95% CI = 1.60–4.51)]. In comparison the model performance with area under curve (AUC) using receiver operating characteristic (ROC) curve analysis, the GAP6 model showed a significant improvement for predicting mortality than the GAP model (AUC the GAP vs. the GAP6, 0.646 vs. 0.671, p

The Rare Isotope Science Project was launched in 2011 in Korea toward constructing the Rare isotope Accelerator complex for ON line experiments (RAON). RAON will house several experimental systems, including the Muon Spin Rotation/Relaxation/Resonance (μSR) facility in High Energy Experimental Building B. This facility will use 600-MeV protons with a maximum current of 660 pμA and beam power of 400 kW. The key μSR features will facilitate projects related to condensed-matter and nuclear physics. Typical experiments require a few million surface muons fully spin-polarized opposite to their momentum for application to small samples. Here, we describe the design of a muon transport beam line for delivering the requisite muon numbers and the electromagnetic-component specifications in the μSR facility. We determine the beam-line configuration via beam-optics calculations and the transmission efficiency via single-particle tracking simulations. The electromagnet properties, including fringe field effects, are applied for each component in the calculations. The designed surface-muon beamline is 17.3 m long, consisting of 2 solenoids, 2 dipoles affording 70° deflection, 9 quadrupoles, and a Wien filter to eliminate contaminant positrons. The average incident-muon flux and spin rotation angle are estimated as 5.2 × 106 μ+/s and 45°, respectively.

In this study, we prepared flexible and transparent hybrid electrodes based on an aqueous solution of non-oxidized graphene and single-walled carbon nanotubes. We used a simple halogen intercalation method to obtain high-quality graphene flakes without a redox process and prepared hybrid films using aqueous solutions of graphene, single-walled carbon nanotubes, and sodium dodecyl sulfate surfactant. The hybrid films showed excellent electrode properties, such as an optical transmittance of ≥90%, a sheet resistance of ~3.5 kΩ/sq., a flexibility of up to ε = 3.6% ((R) = 1.4 mm), and a high mechanical stability, even after 103 bending cycles at ε = 2.0% ((R) = 2.5 mm). Using the hybrid electrodes, thin-film transistors (TFTs) were fabricated, which exhibited an electron mobility of ~6.7 cm2 V−1 s−1, a current on-off ratio of ~1.04 × 107, and a subthreshold voltage of ~0.122 V/decade. These electrical properties are comparable with those of TFTs fabricated using Al electrodes. This suggests the possibility of customizing flexible transparent electrodes within a carbon nanomaterial system.

Background Improved prediction of atrial fibrillation (AF) may allow for earlier interventions for stroke prevention, as well as mortality and morbidity from other AF‐related complications. We developed a clinically feasible and accurate AF prediction model using electronic health records and computerized ECG interpretation. Methods and Results A total of 671 318 patients were screened from 3 tertiary hospitals. After careful exclusion of cases with missing values and a prior AF diagnosis, AF prediction models were developed from the derivation cohort of 25 584 patients without AF at baseline. In the internal/external validation cohort of 117 523 patients, the model using 6 clinical features and 5 ECG diagnoses showed the highest performance for 3‐year new‐onset AF prediction (C‐statistic, 0.796 [95% CI, 0.785–0.806]). A more simplified model using age, sex, and 5 ECG diagnoses (atrioventricular block, fusion beats, marked sinus arrhythmia, supraventricular premature complex, and wide QRS complex) had comparable predictive power (C‐statistic, 0.777 [95% CI, 0.766–0.788]). The simplified model showed a similar or better predictive performance than the previous models. In the subgroup analysis, the models performed relatively better in patients without risk factors. Specifically, the predictive power was lower in patients with heart failure or decreased renal function. Conclusions Although the 3‐year AF prediction model using both clinical and ECG variables showed the highest performance, the simplified model using age, sex, and 5 ECG diagnoses also had a comparable prediction power with broad applicability for incident AF.

Abstract Identification of obstructive coronary artery disease (OCAD) in patients with chest pain is a clinical challenge. The value of corrected QT interval (QTc) for the prediction of OCAD has yet to be established. We consecutively enrolled 1741 patients with suspected angina. The presence of obstructive OCAD was defined as ≥ 50% diameter stenosis by coronary angiography. The pre-test probability was evaluated by combining QTc prolongation with the CAD Consortium clinical score (CAD2) and the updated Diamond-Forrester (UDF) score. OCAD was detected in 661 patients (38.0%). QTc was longer in patients with OCAD compared with those without OCAD (444 ± 34 vs. 429 ± 28 ms, p

Abstract Background Blood eosinophil count may predict treatment response in patients with chronic obstructive pulmonary disease (COPD) during acute exacerbations (AE). However, the ability and thresholds of blood eosinophil counts in stable status to predict eosinophilic AECOPD have not been completely investigated. Methods This was a retrospective multicenter study performed January 2010 to December 2014. COPD subjects hospitalized with exacerbations, were included. Blood samples were obtained at the time of AE and stable disease at outpatient clinic before or after admission. We identified a blood eosinophil count cut-off point at stable COPD, either taken as a percentage or as absolute value, for identification of eosinophilic exacerbation. Results There was significant positive correlation of eosinophil counts between stable COPD and AECOPD. The best cut-off value of blood eosinophil count in stable status for the prediction of eosinophilic COPD exacerbation based on blood eosinophil count ≥ 2% was 300 cells/µL (area under the ROC curve [AUC] 0.614, P = 0.001, 39% sensitivity, 83.8% specificity). When the eosinophilic COPD exacerbation was based on blood eosinophil count ≥ 300 cells/µL, the best cut-off value of blood eosinophil count in stable status for the prediction of eosinophilic COPD exacerbation was also 300 cells/uL (AUC 0.634, P = 0.046, 45.8% sensitivity, 80.9% specificity). Conclusions We demonstrated association between blood eosinophil counts at stable COPD and those with AECOPD. The thresholds of blood counts at stable COPD to predict eosinophilic exacerbations was 300 cells/µL. Further and prospective studies in other populations should validate our results.

A challenge for optoelectronic devices is the differing wettability of the organic active layer and transparent electrodes. Here, an organic interlayer which is hydrophilic or hydrophobic on each side enhances the performance of organic photovoltaic devices, and organic light emitting diodes.

Reported herein are solution-processed polymer anode electrodes for blue phosphorescent organic light-emitting diodes (PhOLEDs). The highly conductive anodes were made from 10-wt%-methyl-red-(MR)-doped poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) (PH1000) films. The red-colored and uniform polymer films demonstrated electrical conductivity values that significantly increased from 0.25 to 50 S·cm−1 after doping. The more than 200-fold enhancement in conductivity indicates that the doped films have a lower sheet resistance and better hole injection and transport properties than the pristine films. The resultant PhOLEDs based on the doped polymer anodes exhibited stable, broad, and intense blue emission at 468 nm with a 2616 cd·m−2 maximum luminance and a 4 V turn-on voltage. The obtained study results confirmed the effectiveness of the MR dye as a dopant for the significant enhancement of the conductivity and effective hole injection of PEDOT:PSS. Efficient future flexible optoelectronic applications can be built using this highly conductive polymer electrode obtained via a simple, solution-processed, and cost-effective doping approach.

Digital light processing three-dimensional (3D) printing technique is a powerful tool to rapidly manufacture plastic scintillators of almost any shape or geometric features. In our previous study, the main properties of light output and transmission were analyzed. However, a more detailed study of the other properties is required to develop 3D printed plastic scintillators with expectable and reproducible properties. The 3D printed plastic scintillator displayed an average decay time constants of 15.6 ns, intrinsic energy resolution of 13.2%, and intrinsic detection efficiency of 6.81% for 477 keV Compton electrons from the 137Cs γ-ray source. The 3D printed plastic scintillator showed a similar decay time and intrinsic detection efficiency as that of a commercial plastic scintillator BC408. Furthermore, the presented estimates for the properties showed good agreement with the analyzed data.

Abstract Background The emergence of drug-resistant tuberculosis (DR-TB) is a major healthcare concern worldwide. Here, we analyzed age-related trends in DR-TB rates in South Korea. Methods Drug susceptibility test results were collected from patients with culture-confirmed TB between 2015 and 2018 from eight university-affiliated hospitals. Patients were divided into three subgroups: younger (15–34 years), middle (35–59 years), and older (≥60 years) to compare drug-resistance patterns. To evaluate trends in age-stratified drug-resistance, chi-square test for linear trends was performed. Results Among enrolled native patients aged ≥15 years, 4.1% (179/4417), 1.2% (53/4417) and 7.2% (316/4417) were multidrug-resistant TB (MDR-TB), rifampicin-mono-resistant TB (RR-TB), and isoniazid-mono-resistant TB (Hr-TB), respectively. Proportions of Hr-TB cases were 5.4% (40/734), 7.2% (114/1593), and 7.8% (162/2090) in the younger, middle and older age groups, respectively. MDR/RR-TB case rates decreased significantly with age from 8.6% (63/734) in younger age group to 3.3% (68/2090) in older age group. Fluoroquinolone resistance was highest among second-line drugs, and there were no differences in resistance to fluoroquinolones and second-line injectable drugs among the three age groups. Conclusions The number of MDR/RR-TB cases was highest in young patients. Effective public health interventions should include increased focus on rifampicin resistance in young patients.

Background/Aims Chest pain in patients with obstructive coronary artery disease (OCAD) is affected by several social factors. The gender-based differences in chest pain among Koreans have yet to be investigated. Methods The study consecutively enrolled 1,549 patients (male/female, 514/1,035; 61 ± 11 years old) with suspected angina. The predictive factors for OCAD based on gender were evaluated. Results Men experienced more squeezing type pain on the left side of chest, while women demonstrated more dull quality pain in the retrosternal and epigastric area. After adjustment for risk factors, pain in the retrosternal area (odds ratio [OR], 1.491; 95% confidence interval [CI], 1.178 to 1.887) and aggravation by exercise (OR, 2.235; 95% CI, 1.745 to 2.861) were positively associated with OCAD. In men, shorter duration (OR, 1.581; 95% CI, 1.086 to 2.303) and dyspnea (OR, 1.610; 95% CI, 1.040 to 2.490) increased the probability for OCAD, while left-sided chest pain suggested a low probability for OCAD (OR, 0.590; 95% CI, 0.388 to 0.897). In women, aggravation by emotional stress (OR, 0.348; 95% CI, 0.162 to 0.746) and dizziness (OR, 0.457; 95% CI, 0.246 to 0.849) decreased the probability for OCAD. Conclusions This is the first study to focus on gender differences in chest pain among Koreans with angina. Symptoms with high probability for OCAD were different between sexes. Our findings suggest that patient’s medical history in pretest assessment for OCAD should be individualized considering gender.

An organic conductive polymer, poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS), is an attractive candidate for a low-cost, low-temperature, and solution-processed electrode material for achieving high-performance flexible and stretchable thin-film devices. Unlike most organic materials, this water-soluble conjugated polymer is highly stable against chemical and physical exposure. It exhibits the most superior mechanical flexibility and the highest optical transparency and electrical conductivity among all organic conductors. Therefore, this conductive polymer is among the most promising alternatives to the expensive, rigid, and brittle metal oxide- and even metal-based electrode materials, such as indium tin oxide (ITO) and gold, in the future solution-processed electronic devices. Nevertheless, the intrinsic conductivity of PEDOT:PSS is typically below 1 S cm−1, which is too low for such devices. Fortunately, the material properties of PEDOT:PSS, including its conductivity, are easily tuned by employing a large number of simple approaches. In this paper, the reports on the successful application of PEDOT:PSS to a wide range of solution-processed organic devices, such as organic light-emitting diodes (OLEDs), organic thin-film transistors (OTFTs), and organic photovoltaics (OPVs), are reviewed. The recent progress in the development of highly conductive PEDOT:PSS-based films for electrode applications in the field of organic electronics is the main focus of the discussion herein.

Background Chronic cough is defined as a cough lasting more than 8 weeks and socio-economic burden of chronic cough is enormous. The characteristics of chronic cough in Korea are not well understood. The Korean Academy of Tuberculosis and Respiratory Diseases (KATRD) published guidelines on cough management in 2014. The current study evaluated the clinical characteristics of chronic cough in Korea and the efficacy of the KATRD guidelines. Methods This was a multi-center, retrospective observational study conducted in Korea. The participants were over 18 years of age. They had coughs lasting more than 8 weeks. Subjects with current pulmonary diseases, smokers, ex-smokers with more than 10 pack-years or who quit within the past 1 year, pregnant women, and users of cough-inducing medications were excluded. Evaluation and management of cough followed the KATRD cough-management guidelines. Results Participants with chronic cough in Korea showed age in the late forties and cough duration of more than 1 year. Upper airway cough syndrome was the most common cause of cough, followed by cough-variant asthma (CVA). Gastro-esophageal reflux diseases and eosinophilic bronchitis were less frequently observed. Following the KATRD cough-management guidelines, 91.2% of the subjects improved after 4 weeks of treatment. Responders were younger, had a longer duration of cough, and an initial impression of CVA. In univariate and multivariate analyses, an initial impression of CVA was the only factor related to better treatment response. Conclusion The causes of chronic cough in Korea differed from those reported in other countries. The current Korean guidelines proved efficient for treating Korean patients with chronic cough.

In 2018, the World Health Organization recommended a 6-month four-drug regimen (rifampicin, ethambutol, pyrazinamide, and levofloxacin) for the treatment of isoniazid-monoresistant tuberculosis. However, the regimen had very low certainty. This cohort study assessed the impact of fluoroquinolone use and initial baseline regimen on treatment effectiveness in isoniazid-monoresistant tuberculosis. This multicenter retrospective cohort study included 318 patients with isoniazid-monoresistant tuberculosis notified between 2011 and 2018 in Korea. Baseline regimens were classified into two groups, namely 6-9-month rifampicin, ethambutol, and pyrazinamide (6-9REZ) and a combination regimen of 2-month rifampicin, ethambutol, pyrazinamide and 7-10-month rifampicin and ethambutol (2REZ/7-10RE). Multivariable logistic regression was performed to assess factors associated with positive treatment outcomes. Of 318 enrolled patients, 234 (73.6%) were treated with the 6-9REZ and 103 (32.4%) with additional fluoroquinolone. In a multivariable logistic regression model comparing the 6-9REZ and 2REZ/7-10RE groups, there was no difference in the odds of positive outcomes (adjusted odds ratio = 1.08, 95% confidence interval = 0.65-1.82). Addition use of fluoroquinolone was not associated with positive treatment outcomes in the whole cohort (adjusted odds ratio = 1.41, 95% confidence interval = 0.87-2.27); however, its additional use was beneficial in the 2REZ/7-10RE subgroup (adjusted odds ratio = 3.58, 95% confidence interval = 1.32-9.75). Both initial baseline regimens, 6-9REZ and 2REZ/7-10RE, were similarly effective. Shortening of the pyrazinamide administration duration with additional fluoroquinolone use could be a safe alternative for patients with potential hepatotoxicity related to pyrazinamide.

We demonstrate high-performance down-conversion microlens array (DC-MLA) films for white organic light-emitting diodes (OLEDs). The DC-MLA films are readily fabricated by an imprinting method based on breath figure patterns, which are directly formed on the polymer substrate with a novel concept. The DC-MLA films result in high-quality white light as well as enhanced light outcoupling efficiency for white OLEDs. The external quantum efficiency and power efficiency of OLEDs with DC-MLA films are increased by a factor of 1.35 and 1.86, respectively, compared to OLEDs without outcoupling films. Moreover, the white OLEDs with DC-MLA films achieve a high color-rendering index of 84.3. It is anticipated that the novel DC-MLA films fabricated by the simple imprinting process with breath figure patterns can contribute to the development of efficient white OLEDs.

We report on a new surface modifier which simultaneously improves electrical, optical, and mechanical properties of silver nanowire-based stretchable transparent electrodes. The transparent electrodes treated with 11-aminoundecanoic acid achieve a low sheet resistance of 26.0 ohm/sq and a high transmittance of 90% with an excellent stretchability. These improvements are attributed to the effective formation of a strong chemical bond between silver nanowire networks and elastomeric substrates by 11-aminoundecanoic acid treatment. The resistance change of the optimized silver nanowire/poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) thin-films is only about 10% when the film is stretched by 120%. In addition, the chemical stability of stretchable silver nanowire films is significantly improved by the introduction of conductive PEDOT:PSS overcoat film. The optimized electrodes are utilized as high-performance stretchable transparent heaters, successfully illustrating its feasibility for future wearable electronics.

Abstract Organic photovoltaics (OPVs) with nonfullerene acceptors (NFAs) feature excellent device performance and device stability. However, they are facing problems when the amine‐rich polyelectrolytes are used as cathode interfacial layers. In this work, a small molecule, ethanedithiol (EDT) at the polyethyleneimine ethoxylated (PEIE)/active layer interface is inserted for mitigating the undesirable reaction between amine‐rich groups and electron‐acceptor moieties in NFA. The main role of EDT is to passivate the PEIE surface and prevent electron flow to NFA and the unwanted reaction can be mitigated. It improves the performance of OPV devices by reducing the work function, decreasing trap‐assisted recombination, and improving electron‐mobility. As a result, the flexible device with the PEIE interfacial layer with a power conversion efficiency (PCE) of 7.20% can be improved to 10.11% after the inclusion of EDT. Moreover, EDT‐modified device can retain 98.18% after it is bent for 200 cycles and can maintain 80.83% of its initial PCE under continuous light illuminated in ambient conditions without any encapsulation. Based on these findings, the proposed strategy constitutes a crucial step toward highly efficient flexible OPVs.

Idiopathic nonspecific interstitial pneumonia (NSIP) is one of the varieties of idiopathic interstitial pneumonias. Diagnosis of idiopathic NSIP can be done via multidisciplinary approach in which the clinical, radiologic, and pathologic findings were discussed together and exclude other causes. Clinical manifestations include subacute or chronic dyspnea and cough that last an average of 6 months, most of which occur in non-smoking, middle-aged women. The common findings in thoracic high-resolution computed tomography in NSIP are bilateral reticular opacities, traction bronchiectasis, reduced volume of the lobes, and ground-glass opacity in the lower lungs. These lesions can involve diffuse bilateral lungs or subpleural area. Unlike usual interstitial pneumonia, honeycombing is sparse or absent. Pathology shows diffuse interstitial inflammation and fibrosis which are temporally homogeneous, namely NSIP pattern. Idiopathic NSIP is usually treated with steroid only or combination with immunosuppressive agents such as azathioprine, cyclophosphamide, cyclosporine, and mycophenolate mofetil. Prognosis of idiopathic NSIP is better than idiopathic pulmonary fibrosis. Many studies have reported a 5-year survival rate of more than 70%.

Idiopathic interstitial pneumonia (IIP) is a histologically identifiable pulmonary disease without a known cause that usually infiltrates the lung interstitium. IIP is largely classified into idiopathic pulmonary fibrosis, idiopathic non-specific interstitial pneumonia, respiratory bronchiolitis-interstitial lung disease (ILD), cryptogenic organizing pneumonia, desquamative interstitial pneumonia, and acute interstitial pneumonia. Each of these diseases has a different prognosis and requires specific treatment, and a multidisciplinary approach that combines chest high-resolution computed tomography (HRCT), histological findings, and clinical findings is necessary for their diagnosis. Diagnosis of IIP is made based on clinical presentation, chest HRCT findings, results of pulmonary function tests, and histological findings. For histological diagnosis, video-assisted thoracoscopic biopsy and transbronchial lung biopsy are used. In order to identify ILD associated with connective tissue disease, autoimmune antibody tests may also be necessary. Many biomarkers associated with disease prognosis have been recently discovered, and future research on their clinical significance is necessary. The diagnosis of ILD is difficult because patterns of ILD are both complicated and variable. Therefore, as with other diseases, accurate history taking and meticulous physical examination are crucial.

Abstract Background Patients with interstitial lung disease (ILD) who show features related to autoimmunity without meeting criteria for a defined connective tissue disease are categorized as interstitial pneumonia with autoimmune features (IPAF). The present study compared clinical characteristics and clinical outcomes of patients with IPAF to patients with connective tissue disease related-interstitial lung disease (CTD-ILD) and patients with idiopathic pulmonary fibrosis (IPF). Methods ILD patients who were consecutively enrolled in a single institution ILD cohort between 2008 and 2015 were evaluated for the study. Clinical data had been prospectively collected, while radiologic imaging and pathologic findings were re-reviewed for the present study. Results Out of 305 patients with ILD, 54 (17.7%) patients met the classification of IPAF, 175 (57.4%) patients had IPF, and 76 (24.9%) patients were diagnosed with CTD-ILD. Compared to IPF, incidences of acute exacerbations in 1,3 and 5 years were significantly less in the IPAF group (p = 0.022, p = 0.026 and p = 0.007, respectively). From multivariate analysis for mortality, age (p = 0.034, HR 1.022, 95% CI: 1.002–1.044), FVC (p

We develop highly robust and stretchable conductive transparent electrodes based on silver nanowires (AgNWs) deposited on functionalized chitosan biopolymer substrates. 11-aminounde-canoic acid is introduced as a surface modifier for enhancing the chemical bond. The chemically functionalized AgNW films achieve a low sheet resistance of 12.2 ohm/sq with a high transmittance of 88.9%. In addition, stretchable alternating current-driven electroluminescent devices and stretchable transparent heaters have been fabricated with AgNW/chitosan thin-films which can be cut, stretched, bent, and twisted without performance degradation. With this approach, stretchable electronics prepared on bio-compatible substrates can be easily applied to curved surfaces or human skins.

We investigated a promising, low-cost method for fabrication of semitransparent organic solar cells by mass production. The active layer of the organic solar cells was added by spray coating with a dual action airbrush. The solution for the active layer was prepared from a rigorously blended poly(3-hexylthiophene-2,5-diyl) (P3HT) and (6,6)-Phenyl-C61 butyric acid methyl ester (PCBM) in 1,2-dichlorobenzene, and the surface morphology of the spray-coated active layer depending on the concentration of the P3HT and PCBM was investigated. The semitransparency achieved, came from the use of poly(3,4-ethylenedioxythiophene)-poly(styrenesulfonate) (PEDOT:PSS) as the conductive polymer electrode. For comparison, spin-coated solar cells were also fabricated. Power-conversion efficiency and transparency was achieved from the lower cost spray-coating method that was comparable to those by the traditional spin-coating method. The best spray-coated solar cell exhibited power-conversion efficiency of 1.9% (average or 1.7%) while the best spin-coated solar cell was 2.0% (average of 1.6%), when both were measured under the AM1.5G spectrum 100 mW/cm2 light. Transmittance of the spray-coated solar cell was 52.2% while that of the spin-coated solar cell was 51.2%.

BackgroundIdiopathic pulmonary fibrosis (IPF) is a chronic, progressive fibrosing interstitial pneumonia of unknown etiology. In several randomized clinical trials, and in the clinical practice, pirfenidone is used to effectively and safely treat IPF. However, sometimes it is difficult to use the dose of pirfenidone used in clinical trials. This study evaluated the effects of low-dose pirfenidone on IPF disease progression and patient survival in the real-world.MethodsThis retrospective, observational study enrolled IPF patients seen at the time of diagnosis at a single center from 2008 to 2018. Longitudinal clinical and laboratory data were prospectively collected. We compared the clinical characteristics, survival, and pulmonary function decline between patients treated and untreated with various dose of pirfenidone.ResultsOf 295 IPF patients, 100 (33.9%) received pirfenidone and 195 (66.1%) received no antifibrotic agent. Of the 100 patients who received pirfenidone, 24 (24%), 50 (50%), and 26 (26%), respectively, were given 600, 1200, and 1800 mg pirfenidone daily. The mean survival time was 57.03 ± 3.90 months in the no-antifibrotic drug group and 73.26 ± 7.87 months in the pirfenidone-treated group (p = 0.027). In the unadjusted analysis, the survival of the patients given pirfenidone was significantly better (hazard ratio [HR] = 0.69, 95% confidence interval [CI]: 0.48-0.99, p = 0.04). After adjusting for age, gender, body mass index, and the GAP score [based on gender (G), age (A), and two physiological lung parameters (P)], survival remained better in the patients given pirfenidone (HR = 0.56, 95% CI: 0.37-0.85, p = 0.006). In terms of pulmonary function, the decreases in forced vital capacity (%), forced expiratory volume in 1 s (%) and the diffusing capacity of lung for carbon monoxide (%) were significantly smaller (p = 0.000, p = 0.001, and p = 0.007, respectively) in patients given pirfenidone.ConclusionsLow-dose pirfenidone provided beneficial effects on survival and pulmonary function decline in the real-world practice.

We have investigated the optical scattering characteristic of the air-void micro-structure of air-voids of the porous polyimide (PI) layer prepared from a simple polyimide-precursor coating and the immersion precipitation method. For the careful control or tune of the generated pore-structure, the content of polar aprotic solvent in polar protic non-solvent bath was adjusted during the pore-generation process. To account the correlation between the generated micro-structure of a porous polymer layer and its optical scattering property, the optical haze values were calculated and compared with the measured total transmittance and diffuse transmittance values. And the calculated average optical haze value decreased from 0.88 to 0.53 as increasing the content of polar aprotic solvent in the coagulation bath. In addition, the light scattering mechanism was proposed for a prepared porous polymer film consisting of air-voids inside the polymer media and the rough surface at the ambient interface. Finally, for an analytical explanation, we also introduced Mie scattering and Scalar surface scattering which explains the light scattering inside pore structure as well as at the rough surface, respectively. Based on our systematic approach, it can be said that the net power of light scattering was the sum of Mie scattering and the surface scattering.

Abstract Background The effects of corticosteroid-based therapy in patients with idiopathic nonspecific interstitial pneumonia (iNSIP), and factors affecting treatment outcome, are not fully understood. We aimed to investigate the long-term treatment response and factors affecting the treatment outcome in iNSIP patients from a multi-center study in Korea. Methods The Korean interstitial lung disease (ILD) Study Group surveyed ILD patients from 2003 to 2007. Patients were divided into two groups to compare the treatment response: response group (forced vital capacity (FVC) improves ≥10% after 1 year) and non-response group (FVC

Background: Clinically, amyopathic dermatomyositis is a clinically distinct subgroup of dermatomyositis characterised by unique dermatological manifestations without muscle involvement. Clinically, amyopathic dermatomyositis is frequently associated with interstitial lung disease, which usually has a rapidly progressive, fatal clinical course. Although clinically, amyopathic dermatomyositis-related interstitial lung disease is well described, data on the histopathology of clinically, amyopathic dermatomyositis-interstitial lung disease are limited. Organising pneumonia and pulmonary vasculitis have rarely been reported. Case Report: A 54-year-old Korean woman presented with exertional dyspnoea and a dry cough. Chest computed tomography revealed subpleural ground-glass opacities suggesting interstitial lung disease, which was later pathologically confirmed to be a combination of organising pneumonia and pulmonary vasculitis. The patient improved markedly with prednisone treatment and has remained stable for a long time. Conclusion: We hereby report a rare combination of organising pneumonia and pulmonary vasculitis in a patient with amyopathic dermatomyositis-interstitial lung disease

Brillouin scattering is a dominant inelastic scattering observed in optical fibers, where the energy and momentum transfer between photons and acoustic phonons takes place. Narrowband reflection (or gain and loss) spectra appear in the spontaneous (or stimulated) Brillouin scattering, and their linear dependence of the spectral shift on ambient temperature and strain variations is the operation principle of distributed Brillouin sensors, which have been developed for several decades. In few-mode optical fibers (FMF’s) where higher-order spatial modes are guided in addition to the fundamental mode, two different optical modes can be coupled by the process of stimulated Brillouin scattering (SBS), as observed in the phenomena called intermodal SBS (two photons + one acoustic phonon) and intermodal Brillouin dynamic grating (four photons + one acoustic phonon; BDG). These intermodal scattering processes show unique reflection (or gain and loss) spectra depending on the spatial mode structure of FMF, which are useful not only for the direct measurement of polarization and modal birefringence in the fiber, but also for the measurement of environmental variables like strain, temperature, and pressure affecting the birefringence. In this paper, we present a technical review on recent development of distributed Brillouin sensors on the platform of FMF’s.

Background We conducted this study to analyze the values of the key cephalometric angular measurements of the mandible using 3-dimensional (3D) computed tomography scans. Methods In the 106 enrolled patients, a 3D cephalometric analysis was performed to measure the angular variables of the mandible. These values were compared between the two sides and between the two sexes. Results The frontal measurements revealed that the mandibular body curve angle was larger on the left (Lt) side (right [Rt], 141.24±7.54; Lt, 142.68±6.94; P=0.002) and the gonial angle was larger on the right side (Rt, 134.37±8.44; Lt, 131.54±7.14; P0.05). Further, the transverse measurements revealed that the mandibular body curve angle was larger on the right side (Rt, 140.28±7.05; Lt, 137.56±6.23; P

With the advancement in cyber-defense capabilities, cyber attacks have continued to evolve like living creatures to breach security. Assuming the possibility of various enemy attacks, it is necessary to select an appropriate course of action by proactively analyzing and predicting the consequences of a particular security event. Cyber attacks, especially in large-scale military network environments, have a fatal effect on security; therefore, various experiments and analyses must be conducted to establish the necessary preparations. Herein, we propose a hierarchical multi-stage cyber attack scenario modeling based on the goal and effect (G&E) model and analysis system, which enables expression of various goals of attack and damage effects without being limited to specific type. The proposed method is applicable to large-scale networks and can be utilized in various scenario-based cyber combat experiments.

Hyponatremia is an electrolyte abnormality commonly found in clinical practice. It is important to diagnose the underlying etiology of the hyponatremia and correct it appropriately because severe hyponatremia can cause serious complications and substantially increase the risk of mortality. Although hypothyroidism is known to be a cause of hyponatremia, it is rare that hyponatremia occurs in relation to hypothyroidism induced by thyroid hormone withdrawal in patients with differentiated thyroid cancer. We report a case of a 76-year-old woman with papillary thyroid carcinoma presenting with severe hyponatremia related to hypothyroidism induced by thyroid hormone withdrawal for radio-active iodine whole-body scanning, who was treated by thyroid hormone replacement and hydration. Considering that the incidence of differentiated thyroid cancer is rapidly increasing, physicians should be aware that, although uncommon, hyponatremia can occur in patients undergoing radioiodine therapy or diagnostic testing.

Background: The prevalence of depression and type 2 diabetes mellitus (T2DM) are increasing in the elderly and are reportedly related to each other. We evaluated the relationship between T2DM-related factors and the degree of depression in elderly patients with T2DM based on gender. Materials and Methods: A total of 155 patients with T2DM (56 males and 99 females aged ≥ 65 years) from seven hospitals were included in the study. To assess the status of depressive symptoms, the short form of the Geriatric Depression Scale-Korean version (SGDS-K) was used. We evaluated DM-related factors, such as T2DM duration, hemoglobin A1c (HbA1c) levels, and T2DM complications, as well as other possible factors that could affect depression, such as cognitive function, physical function, education level, and other personal factors. Results: Mean age of the participants was 71.3 years with a mean HbA1c level of 7.6%. Males in the good glycemic control group (HbA1c

ObjectivesSpontaneous nystagmus, which has been considered a typical sign of acute vestibulopathy, has recently been reported in benign paroxysmal positional vertigo involving the lateral semicircular canals (LC-BPPV) without unilateral vestibulopathy (pseudo-spontaneous nystagmus, PSN), but research about its clinical application is still limited. Here we investigate the frequency and characteristics of PSN in LC-BPPV patients, and estimate its prognostic value.MethodsFor 95 patients with LC-BPPV, we examined nystagmus in the sitting position in the clinic with video goggles. Patients were categorized as PSN or non-PSN, according to presence of horizontal nystagmus in the sitting position at diagnosis. The duration of vertiginous symptoms before diagnosis and the duration of treatment were compared between the two groups. The results of video-nystagmography test were reviewed when available.ResultsPSN was examined in 16 (16.8%) patients, all of whose symptoms disappeared immediately after successful repositioning therapy. While the duration of symptoms did not differ statistically between groups (P=0.481), the duration of treatment in the PSN group was significantly longer than in the non-PSN group (P

Aim. This study aimed to assess clinical impact of hepatitis C viral load on the development of hepatocellular carcinoma (HCC) and liver-related mortality in HCV-infected patients. Methods. A total of 111 subjects with chronic HCV infection who were available for serum quantitation of HCV RNA were recruited in this retrospective cohort. Cox-proportional hazards models were used to calculate hazard ratio (HR) of developing HCC and liver-related mortality according to serum HCV RNA titers. Results. HCC was developed in 14 patients during follow-up period. The cumulative risk of HCC development was higher in subjects with high HCV RNA titer (log HCV RNA IU/mL > 6) than subjects with low titer (log HCV RNA IU/mL ≦ 6) (HR = 4.63, P=0.032), giving an incidence rate of 474.1 and 111.5 per 10,000 person-years, respectively. Old age (HR = 9.71, P=0.014), accompanying cirrhosis (HR = 19.34, P=0.004), and low platelet count (HR = 13.97, P=0.009) were other independent risk factors for the development of HCC. Liver-related death occurred in 7 patients. Accompanying cirrhosis (HR = 6.13, P=0.012) and low albumin level (HR = 9.17, P=0.002), but not HCV RNA titer, were significant risk factors related to liver-related mortality. Conclusion. Serum HCV RNA titer may be considered an independent risk factor for the development of HCC but not liver-related mortality.

Decreased exercise capacity after Fontan surgery is relatively common and the failure of the Fontan state gradually increases with age. However, there is no further treatment for patients with Fontan circulation. Pulmonary vasodilation therapy is an effective method to solve this problem because pulmonary vascular resistance is a major factor of the Fontan problem. Inhaled iloprost is a chemically stable prostacyclin analogue and a potent pulmonary vasodilator. We experienced two cases of Fontan patients treated with inhaled iloprost for 12 weeks. The first patient was an 18-year-old female with pulmonary atresia with an intact ventricular septum, and the second patient was a 22-year-old male with a double outlet right ventricle. Fifteen years have passed since both patients received Fontan surgery. While the pulmonary pressure was not decreased significantly, improved exercise capacity and cardiac output were observed without any major side effects in both patients. The iloprost inhalation therapy was well tolerated and effective for the symptomatic treatment of Fontan patients.

In order to overcome the insufficiency of single remote sensing data in change detection, synthetic aperture radar (SAR) and optical image data can be used together for supplementation. However, conventional image fusion methods fail to address the differences in imaging mechanisms and cannot overcome some practical limitations such as usage in change detection or temporal requirement of the optical image. This study proposes a new method to fuse SAR and optical images, which is expected to be visually helpful and minimize the differences between two imaging mechanisms. The algorithm performs the fusion by establishing relationships between SAR and multispectral (MS) images by using a random forest (RF) regression, which creates a fused SAR image containing the surface roughness characteristics of the SAR image and the spectral characteristics of the MS image. The fused SAR image is evaluated by comparing it to those obtained using conventional image fusion methods and the proposed method shows that the spectral qualities and spatial qualities are improved significantly. Furthermore, for verification, other ensemble approaches such as stochastic gradient boosting regression and adaptive boosting regression are compared and overall it is confirmed that the performance of RF regression is superior. Then, change detection between the fused SAR and MS images is performed and compared with the results of change detection between MS images and between SAR images and the result using fused SAR images is similar to the result with MS images and is improved when compared to the result between SAR images. Lastly, the proposed method is confirmed to be applicable to change detection.

Image colorization assigns colors to a grayscale image, which is an important yet difficult image-processing task encountered in various applications. In particular, grayscale aerial image colorization is a poorly posed problem that is affected by the sun elevation angle, seasons, sensor parameters, etc. Furthermore, since different colors may have the same intensity, it is difficult to solve this problem using traditional methods. This study proposes a novel method for the colorization of grayscale aerial images using random forest (RF) regression. The algorithm uses one grayscale image for input and one-color image for reference, both of which have similar seasonal features at the same location. The reference color image is then converted from the Red-Green-Blue (RGB) color space to the CIE L*a*b (Lab) color space in which the luminance is used to extract training pixels; this is done by performing change detection with the input grayscale image, and color information is used to establish color relationships. The proposed method directly establishes color relationships between features of the input grayscale image and color information of the reference color image based on the corresponding training pixels. The experimental results show that the proposed method outperforms several state-of-the-art algorithms in terms of both visual inspection and quantitative evaluation.