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Simple Summary: This experiment was conducted in accordance with the prevailing trend of identifying alternative sources of nutrition to compensate for the economic shortcomings of fish meal in the aquaculture industry. The experiment employed soybean-based concentrated protein, which is approximately half the cost of fish meal, and focused on investigating its impact on growth and physiological processes. Three experimental diets were prepared: the control diet (Con) contained 60% FM, and the experimental diets contained 25% (SPC25) and 50% (SPC50) FM replaced by SPC. Following the 140-day feeding period, no significant differences in growth performance were observed. However, an increase in the replacement rate was associated with a reduction in stress and immune sensitivity, while the SPC25 treatment exhibited elevated levels of digestive enzyme-related genes. Therefore, substituting 25% FM with SPC was most effective for commercial fish farming. This study identified the effects of substituting fishmeal (FM) with soy protein concentrate (SPC) supplemented with lysine and methionine in the olive flounder (Paralichthys olivaceus) diet on the expression of genes related to growth, stress, immunity, and digestion. Three experimental diets were prepared; the control diet (Con) contained 60% FM, and the experimental diets contained 25% (SPC25) and 50% (SPC50) FM replaced by SPC. After the 140-day feeding period, weight gain, specific growth rate, feed availability, biological indices, and chemical composition of the muscle were not significantly affected by the dietary treatments. The gene expression levels of growth-related genes (IGF, GFB-3), immune-related genes (IL-8 and caspase), and stress-related genes (SOD, GPX, PRX, TRX) were higher in Con fish than in those fed the SPC25 and SPC50 diets. Chymo-TRY2, TRY2, and TRY3 in the stomach of fish fed the SPC25 diet were higher than fish fed the Con or SPC50 diets. TRY2 and lipase of fish fed the SPC25 diet were higher than those of fish fed the other diets but TRY3 was not significantly affected by the treatments in the intestine. In conclusion, substituting 25% FM with SPC was the most effective diet for the expression of growth, immune, stress, and digestive enzyme genes. [ABSTRACT FROM AUTHOR]

We aimed to assess the association of tramadol use with the risk of dementia. This population-based retrospective cohort study using the Korean National Health Insurance Service database included a total of 1,865,827 older adult patients aged 60 years or older with common musculoskeletal pain between January 1, 2003, and December 31, 2007. Individuals who were newly dispensed tramadol (N = 41,963) were identified and propensity score–matched with those who were not (N = 41,963). Over a maximum of 14-year follow-up, the incidence rates (events per 1000 person-years) of all-cause dementia were 6.1 for nonusers, 6.2 for those with cumulative tramadol use of 1–14 days, 7.7 for those with 15–90 days of use, and 8.0 for those with > 90 days of use. Longer cumulative duration of tramadol use was associated with an increased risk of all-cause dementia compared with nonuse (1 to 14 days: aHR 1.06, 95% CI 0.96–1.17; 15 to 90 days: aHR 1.14, 95% CI 1.10–1.35; and more than 90 days: aHR 1.18, 95% CI 1.00–1.39; test for trend: P < 0.001). The results showed a similar pattern for Alzheimer's disease and were robust across subgroup and sensitivity analyses, but not for vascular dementia. This study found that exposure to tramadol was associated with an increased risk of dementia. Taking this potential risk into consideration, clinicians should carefully weigh potential benefits and risks when prescribing tramadol to older adults with musculoskeletal pain. [ABSTRACT FROM AUTHOR]

This study proposes an Artificial Intelligence-based Real-time Catch Analysis System (AI-RCAS) for sustainable fisheries management. The AI-RCAS, implemented on a Jetson board, consists of fish recognition using YOLOv10, tracking with a ByteTrack algorithm optimized for marine environments, and a counting module. Experiments in actual fishing environments showed significant improvements, with species recognition rates of 74–81%. The system supports the efficient operation of the total allowable catch (TAC) system through real-time analysis, addressing the limitations of the existing Electronic Monitoring (EM) systems. However, challenges remain, including object-tracking difficulties and performance issues in unstable marine environments. Future research should focus on optimizing the fishing process, improving video processing, and expanding the dataset for better generalization. [ABSTRACT FROM AUTHOR]

Future wireless network technology will provide automobiles with a connectivity feature to consolidate the concept of vehicular networks that collaborate in conducting cooperative driving tasks. The full potential of connected vehicles, which promises road safety and a quality driving experience, can be leveraged if machine learning (ML) models guarantee robustness in performing core functions, including localization and controls. Location awareness, in particular, lends itself to the deployment of location-specific services and improvement of the operation performance. Localization entails direct communication to the network infrastructure, and the resulting centralized positioning solutions readily become intractable as the network scales up. As an alternative to the centralized solutions, this article addresses a decentralized principle of vehicular localization reinforced by ML techniques in dense urban environments with frequent inaccessibility to reliable measurement. As such, the collaboration of multiple vehicles enhances the positioning performance of ML approaches. A virtual testbed is developed to validate this ML model for real-map vehicular networks. Numerical results demonstrate the universal feasibility of cooperative localization, in particular, for dense urban area configurations. [ABSTRACT FROM AUTHOR]

Purpose: This study investigated the epidemiology and treatment outcomes of patients with traumatic limb amputation who visited a regional trauma center. Methods: From November 2015 to December 2021, patients with traumatic limb amputation who visited the Regional Trauma Center at Pusan University Hospital were retrospectively studied. The injury mechanism, number of operations for accompanying injuries, hospitalization period, injury severity score, insurance classification, and medical costs were investigated using medical records. We analyzed medical costs according to the injury site and treatment method. Results: We enrolled 57 patients who visited the hospital for traumatic limb amputation. The median patient age was 55 years, and there were 48 males and nine females. Seventeen patients underwent replantation, and 40 patients underwent amputation. Replantations were performed in 43.7% of cases of upper extremity injuries and in 12.0% of cases of lower extremity injuries. Six operations were performed per patient for replantation and three for amputation (p=0.027). In an analysis of the total medical costs submitted to the national health insurance system, replantation surgery was over twice as expensive as amputation surgery for the upper extremities (p=0.029). However, no significant cost difference was observed for lower limb amputations. Conclusion: As a treatment for limb amputation patients, replantation requires a higher number of operations and a longer hospital stay than amputation. There was no difference in patients' contributions to medical costs between replantation and amputation, but from the standpoint of national health insurance coverage, upper extremity injuries cost more when treated by replantation than by amputation. [ABSTRACT FROM AUTHOR]

Due to the anatomical characteristics of the radial nerve, a humeral shaft fracture can induce radial nerve palsy. Although the treatment for radial nerve palsy remains debatable, the options can be broadly classified as early exploratory surgery and initial expectant treatment. In cases of secondary paralysis, the definitive treatment primarily depends on the causative factor, with appropriate consideration of other important factors, such as the fracture characteristics and the patient's age and occupational factors, and after adequate discussion with the patient. However, if radial nerve function does not recover, a tendon or nerve transfer may be considered. [ABSTRACT FROM AUTHOR]

This study proposes a deep learning-based long short-term memory (LSTM) model to predict the state of charge (SOC) of lithium-ion batteries. The purpose of the research is to accurately model the complex nonlinear behavior that occurs during the charging and discharging processes of batteries to predict the SOC. The LSTM model was trained using battery data collected under various temperature and load conditions. To evaluate the performance of the artificial intelligence model, measurement data from the CS2 lithium-ion battery provided by the University of Maryland College of Engineering was utilized. The LSTM model excels in learning long-term dependencies from sequence data, effectively modeling temporal patterns in battery data. The study trained the LSTM model based on battery data collected from various charge and discharge cycles and evaluated the model's performance by epoch to determine the optimal configuration. The proposed model demonstrated high SOC estimation accuracy for various charging and discharging profiles. As training progressed, the model's predictive performance improved, with the predicted SOC moving from 14.8400% at epoch 10 to 12.4968% at epoch 60, approaching the actual SOC value of 13.5441%. Simultaneously, the mean absolute error (MAE) and root mean squared error (RMSE) decreased from 0.9185% and 1.3009% at epoch 10 to 0.2333% and 0.5682% at epoch 60, respectively, indicating continuous improvement in predictive performance. In conclusion, this study demonstrates the effectiveness of the LSTM model for predicting the SOC of lithium-ion batteries and its potential to enhance the performance of battery management systems. [ABSTRACT FROM AUTHOR]

The rapid depletion of fishery resources has led to the global implementation of Total Allowable Catch (TAC) systems. However, the current manual survey methods employed by land-based inspectors show limitations in accuracy and efficiency. This study proposes an automated system for fish species recognition and body length measurement, utilizing the RT-DETR (Real-Time Detection Transformer) model and ARCore technology to address these issues. The proposed system employs smartphone Time of Flight (ToF) functionality to measure object distance and automatically calculates the weight of 11 TAC-managed fish species by measuring their body length and height. Experimental results reveal that the RT-DETR-x model outperformed the YOLOv8x model by achieving an average mAP50 value 2.3% higher, with a mean recognition accuracy of 96.5% across the 11 species. Furthermore, the ARCore-based length measurement technique exhibited over 95% accuracy for all species. This system is expected to minimize data omissions and streamline labor-intensive processes, thereby contributing to the efficient operation of the TAC system and sustainable management of fishery resources. The study presents an innovative approach that significantly enhances the accuracy and efficiency of fishery resource management, providing a crucial technological foundation for the advancement of future fisheries management policies. [ABSTRACT FROM AUTHOR]

Modern aquaculture utilizes computer vision technology to analyze underwater images of fish, contributing to optimized water quality and improved production efficiency. The purpose of this study is to efficiently perform underwater fish detection and tracking using multi-object tracking (MOT) technology. To achieve this, the FairMOT model was employed to simultaneously implement pixel-level object detection and re-identification (Re-ID) functions, comparing two backbone models: FairMOT+YOLOv5s and FairMOT+DLA-34. The study constructed a dataset targeting the popular black porgy in Korean aquaculture, using underwater video data from five different environments collected from the internet. During the training process, the FairMOT+YOLOv5s model rapidly reduced train loss and demonstrated stable performance. The FairMOT+DLA-34 model showed better results in ID tracking performance, with an accuracy of 44.1%, an IDF1 of 11.0%, an MOTP of 0.393, and an IDSW of 1. In contrast, the FairMOT+YOLOv5s model recorded an accuracy of 43.8%, an IDF1 of 14.6%, an MOTP of 0.400, and an IDSW of 10. The results of this study indicate that the FairMOT+YOLOv5s model demonstrated higher IDF1 and MOTP scores compared to the FairMOT+DLA-34 model, while the FairMOT+DLA-34 model showed superior performance in ID tracking accuracy and had fewer ID switches. [ABSTRACT FROM AUTHOR]

The lack of an appropriate preclinical model of metabolic dysfunction-associated steatotic liver disease (MASLD) that recapitulates the whole disease spectrum impedes exploration of disease pathophysiology and the development of effective treatment strategies. Here, we develop a mouse model (Streptozotocin with high-fat diet, STZ + HFD) that gradually develops fatty liver, metabolic dysfunction-associated steatohepatitis (MASH), hepatic fibrosis, and hepatocellular carcinoma (HCC) in the context of metabolic dysfunction. The hepatic transcriptomic features of STZ + HFD mice closely reflect those of patients with obesity accompanying type 2 diabetes mellitus, MASH, and MASLD-related HCC. Dietary changes and tirzepatide administration alleviate MASH, hepatic fibrosis, and hepatic tumorigenesis in STZ + HFD mice. In conclusion, a murine model recapitulating the main histopathologic, transcriptomic, and metabolic alterations observed in MASLD patients is successfully established. Metabolic dysfunction-associated steatotic liver disease (MASLD) characterizes a spectrum of liver disorders initiated by hepatic lipid accumulation associated with metabolic syndrome. Here, the authors generate a mouse model that recapitulates the main histopathologic, transcriptomics, and metabolic alterations observed in MASLD patients. [ABSTRACT FROM AUTHOR]

Purpose: We hypothesized that multiple absorbable screws/K-wires would be effective for native head preservation in comminuted radial head fracture fixation (com-RHFs). Methods: Seventeen patients who met the inclusion criteria between 2018 and 2020 were included. Radiologic findings indicating proper union and clinical outcomes such as the range of elbow motion, visual analog scale score, and Mayo Elbow Performance Score were assessed prospectively after surgery and at least three years of follow-up. Results: The mean follow-up period was 4.6 years. Eleven, one, three, and two patients presented with isolated com-RHFs, type 2 (accompanied injury of medial collateral ligament), type 4 ("terrible triad") fractures, and type 5 posterior olecranon fracture-dislocations, respectively. Union was achieved after a mean of nine weeks postoperatively. The head and shaft angles did not differ significantly from the contralateral normal values (p = 0.778 and 0.872, coronal and sagittal, respectively). At the final follow-up, the mean flexion–extension/pronation-supination arcs were 126.47 ± 4.92°/135.59 ± 10.13°, and thus were significantly different from those on the contralateral side (p < 0.001, both), however the arcs were functional ranges for ordinary daily life. Also, functional status was satisfactory in all individuals. The arthritis grade and extent of heterotrophic ossification were satisfactory in all cases, and there were no serious complications requiring revision surgery. Conclusions: Absorbable screw/K-wire fixation for com-RHFs is an option before radial head arthroplasty associated with a low complication rate and no need for revision. [ABSTRACT FROM AUTHOR]

Lycopene is a compound classified as carotenoid, also known as tetraterpenoids, and its high antioxidative capabilities make demand in pharmaceutical and nutrient fields. For these reasons, much research on microbial production of lycopene has been developed and reported for more than two decades. Nevertheless, a standardized in vitro biosynthesis method for lycopene synthesis has not been reported to date. The major reasons of the absence of this method lie on the poor solubility of hydrophobic intermediates (geranylgeranyl pyrophosphate [GGPP] and phytoene), and the difficulty of employing membrane-binding enzyme, phytoene desaturase (CrtI) into in vitro reactions. In this study, we developed a standard method of in vitro biosynthesis of lycopene from geranyl pyrophosphate using four enzymes, namely farnesyl pyrophosphate synthase (IspA), GGPP synthase (CrtE), phytoene synthase (CrtB), phytoene desaturase (CrtI), and liposome-the key material, which can provide both hydrophobic area and a lipid membrane for the membrane-binding enzyme CrtI. Moreover, we performed a screening of the in vitro lycopene synthetic pathway using cell-free protein synthesis system, which verifies the applicability of our system as a tool for screening the lycopene synthesis pathway. [ABSTRACT FROM AUTHOR]

This manuscript represents the official position of the Korean Society of Echocardiography on valvular heart diseases. This position paper focuses on the clinical management of valvular heart diseases with reference to the guidelines recently published by the American College of Cardiology/American Heart Association and the European Society of Cardiology. The committee tried to reflect the recently published results on the topic of valvular heart diseases and Korean data by a systematic literature search based on validity and relevance. In part I of this article, we will review and discuss the current position of aortic valve disease in Korea. [ABSTRACT FROM AUTHOR]

This manuscript represents the official position of the Korean Society of Echocardiography on valvular heart diseases. This position paper focuses on the diagnosis and management of valvular heart diseases with referring to the guidelines recently published by the American College of Cardiology/American Heart Association and the European Society of Cardiology. The committee sought to reflect national data on the topic of valvular heart diseases published to date through a systematic literature search based on validity and relevance. In the part II of this article, we intend to present recommendations for diagnosis and treatment of mitral valve disease and tricuspid valve disease. [ABSTRACT FROM AUTHOR]

This study proposes a novel spatiotemporal crowdsensing and caching (SCAC) framework to address the surging demands of urban wireless network traffic. In the context of rampant urbanization and ubiquitous digitization in cities, effective data traffic management is crucial for maintaining a dynamic urban ecosystem. Leveraging user mobility patterns and content preferences, this study formulates an offloading policy to alleviate congestion across urban areas. Our approach uses an AI-based method at the cell level, providing a practical and scalable solution that can be readily adapted to bustling metropolitan areas. The implementation of our model demonstrated its effectiveness in reflecting real-world urban dynamics, resulting in significant reductions in peak-hour traffic and robust performance across diverse urban settings. The deployment strategy initiates from densely populated transportation hubs, gradually expanding to broader urban areas. This systematic expansion adheres to a policy framework that emphasizes data privacy and sustainable urban development, ensuring alignment with societal needs and regulatory frameworks. By addressing technological efficacy and societal impact, this study enhances the understanding of urban wireless traffic management. It offers mobile network operators, policymakers, and urban planners a comprehensive strategy to harness the potential of spatiotemporal technology, thereby ensuring that cities remain dynamic, efficient, and well-prepared for the future of digital connectivity. [ABSTRACT FROM AUTHOR]

Background: Double crush syndrome refers to a nerve in the proximal region being compressed, affecting its proximal segment. Instances of this syndrome involving ulnar and cubital canals during ulnar neuropathy are rare. Diagnosis solely through clinical examination is challenging. Although electromyography (EMG) and nerve conduction studies (NCS) can confirm neuropathy, they do not incorporate inching tests at the wrist, hindering diagnosis confirmation. We recently encountered eight cases of suspected double compression of ulnar nerve, reporting these cases along with a literature review. Methods: The study included 5 males and 2 females, averaging 45.6 years old. Among them, 4 had trauma history, and preoperative McGowan stages varied. Ulnar neuropathy was confirmed in 7 cases at both cubital and ulnar canal locations. Surgery was performed for 4 cases, while conservative treatment continued for 3 cases. Results: In 4 cases with wrist involvement, 2 showed ulnar nerve compression by a fibrous band, and 1 had nodular hyperplasia. Another case displayed ulnar nerve swelling with muscle covering. Among the 4 surgery cases, 2 improved from preoperative McGowan stage IIB to postoperative stage 0, with significant improvement in subjective satisfaction. The remaining 2 cases improved from stage IIB to IIA, respectively, with moderate improvement in subjective satisfaction. In the 3 cases receiving conservative treatment, satisfaction was significant in 1 case and moderate in 2 cases. Overall, there was improvement in hand function across all 7 cases. Conclusion: Typical outpatient examinations make it difficult to clearly differentiate the two sites, and EMG tests may not confirm diagnosis. Therefore, if a surgeon lacks suspicion of this condition, diagnosis becomes even more challenging. In cases with less than expected postoperative improvement in clinical symptoms of cubital tunnel syndrome, consideration of double crush syndrome is warranted. Additional tests and detailed EMG tests, including inching tests at the wrist, may be necessary. We aim to raise awareness double crush syndrome with ulnar nerve, reporting a total of 7 cases to support this concept. [ABSTRACT FROM AUTHOR]

Urban areas consist of various land cover types, with a high proportion of artificial surfaces among them. This leads to unfavorable thermal environments in urban areas. Continuous research on the thermal environment, specifically on the sensible heat flux (Qh), has been conducted. However, previous research has faced temporal, spatial, and resolution limitations when it comes to detailed analysis of sensible heat flux in urban areas. Therefore, in this study, a computational fluid dynamics (CFD) model combined with the LDAPS and the VUCM was developed to simulate Qh at one-hour intervals over a 1-month period in an urban area with various land cover types. Model validation was performed by comparing it with measurements, confirming the suitability of the model for simulating Qh. The land cover was categorized into five types: building, road, bare land, grassland, and tree areas. Qh exhibited distinct patterns depending on the land cover type. When averaging the Qh distribution over the target period, buildings, roads, and bare land areas showed a predominance of upward Qh values, while grassland and tree areas displayed dominant downward Qh values. Additionally, even within the same land cover types, slight Qh variations were identified based on their surroundings. The averaged Qh value for building areas was the highest at 36.79 W m−2, while that for tree areas was −3.04 W m−2. Moreover, during the target period, the time-averaged Qh showed that building, road, and bare land areas peaked at 14 LST, while grassland and tree areas exhibited very low Qh values. Notably, buildings reached a maximum Qh of 103.30 W m−2 but dropped to a minimum of 1.14 W m−2 at 5 LST. [ABSTRACT FROM AUTHOR]

Patient-derived organoids (PDOs) are valuable in predicting response to cancer therapy. PDOs are ideal models for precision oncologists. However, their practical application in guiding timely clinical decisions remains challenging. This study focused on patients with advanced EGFR-mutated non-small cell lung cancer and employed a cancer organoid-based diagnosis reactivity prediction (CODRP)-based precision oncology platform to assess the efficacy of EGFR inhibitor treatments. CODRP was employed to evaluate EGFR-tyrosine kinase inhibitors (TKI) drug sensitivity. The results were compared to those obtained using area under the curve index. This study validated this index by testing lung cancer-derived organoids in 14 patients with lung cancer. The CODRP index-based drug sensitivity test reliably classified patient responses to EGFR-TKI treatment within a clinically suitable 10-day timeline, which aligned with clinical drug treatment responses. This approach is promising for predicting and analyzing the efficacy of anticancer, ultimately contributing to the development of a precision medicine platform. [ABSTRACT FROM AUTHOR]

The simplified molecular-input line-entry system (SMILES) has been utilized in a variety of artificial intelligence analyses owing to its capability of representing chemical structures using line notation. However, its ease of representation is limited, which has led to the proposal of BigSMILES as an alternative method suitable for the representation of macromolecules. Nevertheless, research on BigSMILES remains limited due to its preprocessing requirements. Thus, this study proposes a conversion workflow of BigSMILES, focusing on its automated generation from SMILES representations of homopolymers. BigSMILES representations for 4,927,181 records are provided, thereby enabling its immediate use for various research and development applications. Our study presents detailed descriptions on a validation process to ensure the accuracy, interchangeability, and robustness of the conversion. Additionally, a systematic overview of utilized codes and functions that emphasizes their relevance in the context of BigSMILES generation are produced. This advancement is anticipated to significantly aid researchers and facilitate further studies in BigSMILES representation, including potential applications in deep learning and further extension to complex structures such as copolymers. [ABSTRACT FROM AUTHOR]

The present study reports the effective removal of benzene in aqueous phase onto biochar. The adsorption capacity of benzene onto biochars made at different pyrolytic temperatures (e.g., 350, 550, and 750 °C) and from various feedstocks (e.g., grape pomace, rice husk, and Kentucky bluegrass) were investigated. The adsorption capacity of Kentucky bluegrass-derived biochar (KB-BC) prepared at 550 °C for benzene was better than other biochars, owing to the higher surface area and functional groups. The adsorption isotherms and kinetics model for benzene by KB-BC550 fitted the Freundlich and pseudo-first order, respectively. In addition, the results of response surface methodology (RSM) designed with biochar dose, reaction time, and benzene concentration showed the maximum adsorption capacity (ca. 136 mg BZ/g BC) similar to that from kinetic study. KB-BCs obtained as waste grass biomass may be a valuable adsorbent, and RSM may be a useful tool for the investigation of optimal conditions and results. [ABSTRACT FROM AUTHOR]

One-sided vestibular disorders are common in clinical practice; however, their models have not been fully established. We investigated the effect of unilateral or bilateral deficits in the vestibular organs on the vestibulo-ocular reflex (VOR) and optokinetic reflex (OKR) of zebrafish using in-house equipment. For physical dislodgement of the otoliths in the utricles of zebrafish larvae, one or both utricles were separated from the surrounding tissue using glass capillaries. The video data from VOR and OKR tests with the larvae was collected and processed using digital signal processing techniques such as fast Fourier transform and low-pass filters. The results showed that unilateral and bilateral damage to the vestibular system significantly reduced VOR and OKR. In contrast, no significant difference was observed between unilateral and bilateral damage. This study confirmed that VOR and OKR were significantly reduced in zebrafish with unilateral and bilateral vestibular damage. Follow-up studies on unilateral vestibular disorders can be conducted using this tool. [ABSTRACT FROM AUTHOR]

The main purpose of this research is to empirically analyze the determinants of organizational performance using National Basketball Association (NBA) team data. Based on the resource-based theory of the firm, prior studies posit that operational efficiency encompasses the ability of professional sports teams to translate their resources into creating organizational performance. The contention is that NBA teams enhance organizational performance in the market when possessing valuable, rare, inimitable, and non-substitutable resources and capabilities. In this sense, the operational efficiencies of NBA teams align with the concept of core competence, enabling teams to achieve competitive advantages through superior performance. The exploration of the level of operating efficiency in NBA teams and its role in organizational performance is beyond essential. This study conceptualizes operating efficiency as the degree of competence exhibited by professional sports teams, drawing on comprehensive game-related statistics and financial performance data derived from human assets and team budgets. To bridge theory and empirical investigation, data spanning six seasons (2015–2016 to 2020–2021) for all 30 NBA teams were collected. The results reveal that 29 out of 180 decision-making units exhibit outstanding organizational efficiency, significantly contributing to franchise value. [ABSTRACT FROM AUTHOR]

In this study, cellulose/Fe3O4 hydrogel microbeads were prepared through the sol–gel transition of a solvent-in-oil emulsion using various cellulose-dissolving solvents and soybean oil without surfactants. Particularly, 40% tetrabutylammonium hydroxide (TBAH) and 40% tetrabutylphosphonium hydroxide (TBPH) dissolved cellulose at room temperature and effectively dispersed Fe3O4, forming cellulose/Fe3O4 microbeads with an average diameter of ~15 µm. Additionally, these solvents co-dissolved cellulose and silk, allowing for the manufacture of cellulose/silk/Fe3O4 hydrogel microbeads with altered surface characteristics. Owing to the negatively charged surface characteristics, the adsorption capacity of the cellulose/silk/Fe3O4 microbeads for the cationic dye crystal violet was >10 times higher than that of the cellulose/Fe3O4 microbeads. When prepared with TBAH, the initial adsorption rate of bovine serum albumin (BSA) on the cellulose/silk/Fe3O4 microbeads was 18.1 times higher than that on the cellulose/Fe3O4 microbeads. When preparing TBPH, the equilibrium adsorption capacity of the cellulose/silk/Fe3O4 microbeads for BSA (1.6 g/g) was 8.5 times higher than that of the cellulose/Fe3O4 microbeads. The pH-dependent BSA release from the cellulose/silk/Fe3O4 microbeads prepared with TBPH revealed 6.1-fold slower initial desorption rates and 5.2-fold lower desorption amounts at pH 2.2 than those at pH 7.4. Cytotoxicity tests on the cellulose and cellulose/silk composites regenerated with TBAH and TBPH yielded nontoxic results. Therefore, cellulose/silk/Fe3O4 microbeads are considered suitable pH-responsive supports for orally administered protein pharmaceuticals. [ABSTRACT FROM AUTHOR]

Sustainable development involves maximizing the benefits of development while minimizing its consequent effects on the environment. This study uses a water–energy–food nexus framework, the Smart Nexus for Agriculture in Korea (SNAK), to assess the impact of climate change on sustainable resource management in agriculture. The nexus database applied in this study comprises three individual databases related to resources, interlinkages, and resource management scenarios, which include all variables and scenarios of the framework. Different resource management scenarios were evaluated via investigating the interlinkages between resources and quantifying resource consumption and sustainability. The variable selection and application module uses the interlinkage database to quantitatively model how the production and supply of one resource affects the consumption of other resources. The scenario analysis module involves the identification and application of resource management scenarios based on policies for individual resources and climate change. The sustainability evaluation module links the previous two modules to quantify food production, the consumption of food and energy resources, carbon (CO2) emissions, and land use in each scenario. Finally, resource security and economic benefits were considered when estimating the sustainability index of each scenario. The SNAK platform is anticipated to possess the ability to analyze environmental, social, and economic systems grounded in water, energy, and food. It is believed that the platform can optimize the timing and allocation of agricultural resources, leading to the derivation of optimal management scenarios. Furthermore, the platform will utilize water–energy–food linkage assessments to formulate scenario-based policies addressing food demand, water resource utilization, and energy consumption. [ABSTRACT FROM AUTHOR]

Functional microbiome development has steadily increased; with this, the viability of microbial strains must be maintained not only after the manufacturing process but also at the time of consumption. Survival is threatened by various unavoidable factors during freeze-drying and shelf storage. Here, the aim was to optimize the manufacturing process of the functional strain Lactiplantibacillus plantarum IDCC 3501 after freeze-drying and storage. Explosive growth was achieved using a medium composition with two nitrogen sources and a mineral, and growth was drastically improved by neutralizing the medium pH during the culture of L. plantarum IDCC 3501. Culture optimization involved a smaller cell size, leading to less intracellular free water. Moreover, when maltodextrin (MD) powder was directly added to the harvested cells, some intracellular free water was extracted from the bacterial cells, resulting in a dramatic increase in the viability of L. plantarum IDCC 3501 after freeze-drying and subsequent storage. Furthermore, MD enhanced survival in a dose-dependent manner. Bacterial survival was correlated with lysozyme tolerance; therefore, the positive result might have been caused by the osmotic dehydration of intracellular free water, which would potentially damage the bacterial cells via ice crystallization and/or a phase transition during freeze-drying. These critical factors of L. plantarum IDCC 3501 processing provide perspectives on survival issues for manufacturing microbiome strains. Key points: • Culture conditions for probiotic bacteria were optimized for high growth yield. • Osmotic dehydration improved bacterial survival after manufacturing and shelf storage. • Reduction in intracellular free water content is crucial for intact survival. [ABSTRACT FROM AUTHOR]

Background and Objectives: This pilot study aimed to evaluate the clinical effectiveness, cost-effectiveness, and safety of acupotomy combined with epidural steroid injection (ESI) in lumbosacral radiculopathy and examine its feasibility for the main study. Materials and Methods: This randomized, controlled, two-arm, parallel, assessor-blinded, pragmatic study included 50 patients with severe lumbosacral radiculopathy who had insufficient improvement after an ESI. Patients were randomized (1:1 ratio) into a combined treatment (acupotomy + ESI, experimental) and an ESI single treatment (control) group. Both groups underwent a total of two ESIs once every 2 weeks; the experimental group received eight additional acupotomy treatments twice a week for 4 weeks. Types of ESI included interlaminar, transforaminal, and caudal approaches. Drugs used in ESI comprised a 5–10 mL mixture of dexamethasone sodium phosphate (2.5 mg), mepivacaine (0.3%), and hyaluronidase (1500 IU). The primary outcome was the difference in changes from baseline in the Oswestry Disability Index (ODI) scores between the groups at weeks 4 and 8. The incremental cost-utility ratio (ICUR) was calculated to evaluate the cost-effectiveness between the groups. Adverse events (AEs) were assessed at all visits. Results: Mean ODI scores for the experimental and control groups were −9.44 (95% confidence interval [CI]: −12.71, −6.17) and −2.16 (95% CI: −5.01, 0.69) at week 4, and −9.04 (95% CI: −12.09, −5.99) and −4.76 (95% CI: −7.68, −1.84) at week 8, respectively. The difference in ODI score changes was significant between the groups at week 4 (p = 0.0021). The ICUR of the experimental group versus the control group was as economical as 18,267,754 won/quality-adjusted life years. No serious AEs were observed. Conclusions: These results demonstrate the potential clinical effectiveness and cost-effectiveness of acupotomy combined with ESI for lumbosacral radiculopathy and its feasibility for a full-scale study. Larger, long-term follow-up clinical trials are needed to confirm these findings. [ABSTRACT FROM AUTHOR]

Functional microbiome development has steadily increased; with this, the viability of microbial strains must be maintained not only after the manufacturing process but also at the time of consumption. Survival is threatened by various unavoidable factors during freeze-drying and shelf storage. Here, the aim was to optimize the manufacturing process of the functional strain Lactiplantibacillus plantarum IDCC 3501 after freeze-drying and storage. Explosive growth was achieved using a medium composition with two nitrogen sources and a mineral, and growth was drastically improved by neutralizing the medium pH during the culture of L. plantarum IDCC 3501. Culture optimization involved a smaller cell size, leading to less intracellular free water. Moreover, when maltodextrin (MD) powder was directly added to the harvested cells, some intracellular free water was extracted from the bacterial cells, resulting in a dramatic increase in the viability of L. plantarum IDCC 3501 after freeze-drying and subsequent storage. Furthermore, MD enhanced survival in a dose-dependent manner. Bacterial survival was correlated with lysozyme tolerance; therefore, the positive result might have been caused by the osmotic dehydration of intracellular free water, which would potentially damage the bacterial cells via ice crystallization and/or a phase transition during freeze-drying. These critical factors of L. plantarum IDCC 3501 processing provide perspectives on survival issues for manufacturing microbiome strains. Key points: • Culture conditions for probiotic bacteria were optimized for high growth yield. • Osmotic dehydration improved bacterial survival after manufacturing and shelf storage. • Reduction in intracellular free water content is crucial for intact survival. [ABSTRACT FROM AUTHOR]

Hard carbons are one of the most promising anode materials for next-generation sodium-ion batteries due to their high reversible capacity, long cycle life, and low cost. The advantage in terms of price of hard carbons can be further improved by using cheaper resources such as biomass waste as precursors. Lignin is one of the richest natural bio-polymer in the earth which can be obtained from woods. As the lignin has three-dimensional amorphous polymeric structure, it is considered as good precursor for producing carbonaceous materials under proper carbonization processes for energy storage devices. In this study, structural properties of lignin-derived hard carbons such as interlayer spacing, degree of disorder and surface defects are controlled. Specifically, lignin-derived hard carbons were synthesized at 1000 °C, 1250 °C, and 1500 °C, and it was confirmed that the structure gradually changed from a disordered structure to ordered structure through X-ray diffraction, Raman spectroscopy, and X-ray photoelectron spectroscopy. Hard carbons exhibit sloping regions at high voltage and plateau region at low voltage during the electrochemical processes for sodium ions. As the heat treatment temperature increases, the contribution to the overall reversible capacity of the sloping region decreases and the contribution of the plateau region increases. This trend confirms that it affects reversible capacity, rate-capability, and cycling stability, meaning that an understanding of structural properties and related electrochemical properties is necessary when developing hard carbon as a negative electrode material for sodium ion batteries. [ABSTRACT FROM AUTHOR]

Background: A simulated education, prior to surgery about postoperative nasal stuffiness and ease of breathing through the mouth may help patients tolerate discomfort after nasal surgery. This study aimed to investigate the effect of preoperative simulated education on immediate postoperative opioid requirements in patients undergoing elective nasal surgery. Methods: This randomized controlled trial of 110 patients undergoing nasal surgery randomly allocated patients into either a control (group C) or an education group (group E). One day before surgery, patients in group E were intensively trained to breathe through the mouth by using a nasal clip, with informative explanations about inevitable nasal obstruction and discomfort following surgery. Patients in group C were provided with routine preoperative information. Total intravenous anesthesia (TIVA) with propofol and remifentanil was used for anesthesia. No further opioid was used for analgesia intraoperatively. The primary outcome was index opioid (fentanyl) requirements at the post-anesthesia recovery unit (PACU). Secondary outcomes were emergence agitation, pain scores at the PACU, and postoperative recovery using the Quality of Recovery-15 (QoR15-K). Results: The rate of opioid use in the PACU was 51.0% in the group E and 39.6% in the group C (p = 0.242). Additional request for analgesics other than index opioid was not different between the groups. Emergence agitation, postoperative pain severity, and QoR15-K scores were comparable between the groups. Conclusion: Preoperative education with simulated mouth breathing in patients undergoing nasal surgery did not reduce opioid requirements. Trial registration: KCT0006264; 16/09/2021; Clinical Research Information Services (https://cris.nih.go.kr). [ABSTRACT FROM AUTHOR]

In this study, we identified the different causes of odor problems and their associated discomfort. We also recognized the significance of public health and environmental concerns. To address odor issues, it is vital to conduct precise analysis and comprehend the root causes. We suggested a hybrid model of a Convolutional Neural Network (CNN) and Transformer called the CNN–Transformer to tackle this challenge and assessed its effectiveness. We utilized a dataset containing 120,000 samples of odor to compare the performance of CNN+LSTM, CNN, LSTM, and ELM models. The experimental results show that the CNN+LSTM hybrid model has an accuracy of 89.00%, precision of 89.41%, recall of 91.04%, F1-score of 90.22%, and RMSE of 0.28, with a large prediction error. The CNN+Transformer hybrid model had an accuracy of 96.21%, precision and recall of 94.53% and 94.16%, F1-score of 94.35%, and RMSE of 0.27, showing a low prediction error. The CNN model had an accuracy of 87.19%, precision and recall of 89.41% and 91.04%, F1-score of 90.22%, and RMSE of 0.23, showing a low prediction error. The LSTM model had an accuracy of 95.00%, precision and recall of 92.55% and 94.17%, F1-score of 92.33%, and RMSE of 0.03, indicating a very low prediction error. The ELM model performed poorly with an accuracy of 85.50%, precision and recall of 85.26% and 85.19%, respectively, and F1-score and RMSE of 85.19% and 0.31, respectively. This study confirms the suitability of the CNN–Transformer hybrid model for odor analysis and highlights its excellent predictive performance. The employment of this model is expected to be advantageous in addressing odor problems and mitigating associated public health and environmental concerns. [ABSTRACT FROM AUTHOR]

Purpose: Ischemic time is a key factor in satisfactory functional results after forearm replantation. In this study, we provide a detailed description of our surgical technique, the temporary screw plate fixation technique, which aims to reduce ischemic time. Methods: From June 2007 to June 2017, we performed a retrospective study of 20 patients who underwent forearm replantation. Eighteen cases involved male patients, and their mean age was 46 years. The mechanism of injury was roller injuries in 5 cases, power saw injuries in 3 cases, traffic accident in 7 cases, rope injuries in 2 cases, machinery injuries in 2 cases, and crushing injuries by rebar beam in 1 case. Results: A total of 20 replantation patients survived. According to injury level, there were 3 cases of the proximal type, 11 cases of the middle type, and 6 cases of the distal type. The average time to revascularization was 331 min. The total operation time was, on average, 5.73 h. In the rest of the 18 cases, the temporary screw plate fixation technique was performed, and the average time required for bone shortening and plate fixation was 38.3 min. Conclusions: To reduce ischemic time, we need a plan that progressively reduces time at each stage. Among our tips, temporary screw plate fixation can reduce the initial bone surgical operation to < 40 min, does not have many complications, and can be used as definitive surgery. This method for bone fixation should be considered as a strategy to actively reduce operation time during forearm replantation. Level of evidence: Retrospective study, Level III. [ABSTRACT FROM AUTHOR]

Commiphora myrrha (T.Nees) Engl. resin extracts were prepared via immersion in extraction solvents (hot water, DMSO, hexane, ethanol, and methanol) which have various physical properties, such as different polarity and dielectric constant values. Methanolic C. myrrha (T.Nees) Engl. resin extracts showed broad antibacterial activity against isolated airborne bacteria. All methanolic C. myrrha (T.Nees) Engl. resin extracts were analyzed using GC-MS and Furanoeudesma-1,3-diene and curzerene were found as the main terpenoids. In addition, the methanolic C. myrrha (T.Nees) Engl. resin extracts were found to have antiviral activity (81.2% viral RNA inhibition) against the H1N1 influenza virus. Biochars (wood powder- and rice husk-derived) coated with C. myrrha (T.Nees) Engl. resin extracts also showed antiviral activity (22.6% and 24.3% viral RNA inhibition) due to the adsorption of terpenoids onto biochar. C. myrrha (T.Nees) Engl. resin extract using methanol as the extraction solvent is a promising agent with antibacterial and antiviral efficacy that can be utilized as a novel material via adsorption onto biochar for air filtration processes, cosmetics, fertilizers, drug delivery, and corrosion inhibition. [ABSTRACT FROM AUTHOR]

Background: Segmental fractures often result from high-energy or indirect trauma that causes bending or torsional forces with axial loading. We evaluated surgical outcomes of patients with forearm segmental diaphyseal fractures. Methods: We retrospectively analyzed data from patients with forearm segmental fractures for which they underwent surgery at the Pusan National University Trauma Center from March 2013 to March 2022. We also analyzed accompanying injuries, injury severity score (ISS), injury mechanism, occurrence of open fracture, surgical technique, and treatment results. Results: Fifteen patients were identified, one with bilateral segmental diaphyseal forearm bone fracture, for a total of 16 cases. Nine of the patients were male. The overall mean age was 50 years, and the mean follow-up period was 16.2 months. Six cases who underwent surgery using plate osteosynthesis achieved bone union without length deformity at final follow-up. Three of seven patients who underwent intramedullary nailing alone underwent reoperation due to nonunion. Six cases achieved bone union at final follow-up, three of which showed length deformity. Three patients underwent surgery using a hybrid method of IM nailing, plates, and mini cables. One patient who underwent surgery with a plate and one patient who underwent surgery with IM nailing alone showed nonunion and were lost to follow-up. Conclusion: Plate osteosynthesis is considered the gold standard for treatment of adult forearm diaphyseal segmental fractures. In this study, IM nailing was associated with high rates of non-union and length deformity. However, the combination of IM nailing and a plate-cable system may be an acceptable alternative in segmental diaphyseal forearm fracture, achieving a union rate similar to that provided by plate fixation. [ABSTRACT FROM AUTHOR]

The Pivot Mandu is an innovative device featuring a leak-tight adjustable 3D balloon spacer, incorporating inner mesh support, an outer e-PTFE layer, and a compliant balloon in the middle layer with a specialized detachable system. To assess its feasibility, proof of concept was rigorously evaluated through bench testing and survival porcine animal experiments. The results demonstrated successful remote inflation of the balloon system, with the balloon spacer exhibiting sustained patent and functional integrity over an extended observation period of up to 6 months. A noteworthy feature of the newly designed 3D balloon spacer is its capability for easy size adjustment during procedures, enhancing its adaptability and practicality in clinical settings. This three-layered 3D balloon spacer, with its established long-term patency, exhibits highly encouraging outcomes that hold promise in overcoming the current limitations of spacer devices for heart valve diseases. Given the compelling results from preclinical investigations, the translation of the Pivot Mandu into human trials is strongly warranted. [ABSTRACT FROM AUTHOR]

An organic nano‐floating‐gate transistor (ONFGT) with both photosynaptic and electrical memory functions is developed using a perovskite (CsPbBr3) NC‐insulating polymer (polystyrene; PS) nanocomposite and CsPbBr3 NCs as the tunneling and floating gate layers, respectively. The introduction of the CsPbBr3 NCs–PS nanocomposite layer improves the photoresponsivity of the ONFGT under ultraviolet–visible irradiation, resulting in an increase in both the photocurrent and the light‐to‐dark current ratio by 10−8 A and 104 orders of magnitude, respectively. It also exhibits high responsivity (0.804 A W−1) and external quantum efficiency (249.3%) under 400 nm irradiation. Furthermore, the photosynaptic characteristics of the ONFGT under visible‐light irradiation are investigated. To mimic biological nervous systems, the photocurrent of the device is dynamically modulated by varying the light intensity and duration. Notably, an increase in synaptic weight is observed under repeated photonic stimulations, as shown by changes in synaptic weight with each light pulse. Also, the ONFGT exhibits excellent nonvolatile memory characteristics in the dark, displaying a hysteresis window value of 2.9 V for a gate double sweep under ±5.0 V. Consequently, the perovskite NCs–insulating polymer nanocomposite tunneling layer is crucial for enabling photoresponsivity and memory characteristics in nano‐floating‐gate transistors, making them suitable for multifunctional electronic devices. [ABSTRACT FROM AUTHOR]

Typhoons, which are a common natural disaster in Korea, have seen a rapid increase in annual economic losses over the past decade. The objective of this study was to utilize historical crop insurance records to predict fruit drop rates caused by typhoons from 2016 to 2021. A total of 1848 datasets for the fruit drop rate were generated based on the impact of 24 typhoons on 77 cities with typhoon damage histories. Three different types of measures—the average value, the maximum or minimum value, and the value at a specific point during the typhoon—were applied to four meteorological factors, yielding a total of twelve variables used as model inputs. The predictive performance of the proposed models was compared using five evaluation metrics, and SHAP analysis was employed to assess the contribution of predictor variables to the model output. The most significant variable in explaining the vulnerability to typhoons was found to be the maximum wind speed. The categorical boosting model outperformed the other models in all evaluation metrics, except for the mean absolute error. The proposed model will assist in estimating the potential crop loss caused by typhoons, thereby aiding in the establishment of mitigation strategies for the main crop-producing areas. [ABSTRACT FROM AUTHOR]

Lithium-ion batteries are widely used in electric vehicles, smartphones, and energy storage devices due to their high power and light weight. The goal of this study is to predict the remaining capacity of a lithium-ion battery and evaluate its performance through three machine learning models: linear regression, decision tree, and random forest, and two deep learning models: neural network and ensemble model. Mean squared error (MSE), mean absolute error (MAE), coefficient of determination (R-squared), and root mean squared error (RMSE) were used to measure prediction accuracy. For the evaluation of the artificial intelligence model, the dataset was downloaded and integrated with measurement data of the CS2 lithium-ion battery provided by the University of Maryland College of Engineering. As a result of the study, the RMSE of the linear regression model was 0.045, the decision tree model was 0.038, the random forest model was 0.034, the neural network model was 0.032, and the ensemble model was 0.030. According to the measured values, the ensemble model showed the best predictive performance, followed by the neural network model. Decision tree and random forest models also showed very good performance, and the linear regression model showed relatively poor predictive performance compared to the other models. [ABSTRACT FROM AUTHOR]

Blended biopolymer-based photocatalytic hydrogel beads were synthesized by dissolving the biopolymers in 1-ethyl-3-methylimidazolium acetate ([Emim][Ac]), adding TiO2, and reconstituting the beads with ethanol. The incorporation of modifying biopolymer significantly enhanced the adsorption capacity of the cellulose/TiO2 beads. Cellulose/carrageenan/TiO2 beads exhibited a 7.0-fold increase in adsorption capacity for methylene blue (MB). In contrast, cellulose/chitosan/TiO2 beads showed a 4.8-fold increase in adsorption capacity for methyl orange (MO) compared with cellulose/TiO2 beads. In addition, cellulose/TiO2 microbeads were prepared through the sol–gel transition of the [Emim][Ac]-in-oil emulsion to enhance photodegradation activity. These microbeads displayed a 4.6-fold higher adsorption capacity and 2.8-fold higher photodegradation activity for MB than the millimeter-sized beads. Furthermore, they exhibited superior dye removal efficiencies for various dyes such as Congo red, MO, MB, crystal violet, and rhodamine B, surpassing the performance of larger beads. To expand the industrial applicability of the microbeads, biopolymer/TiO2 magnetic microbeads were developed by incorporating Fe2O3. These magnetic microbeads outperformed millimeter-sized beads regarding the efficiency and time required for MB removal from aqueous solutions. Furthermore, the physicochemical properties of magnetic microbeads can be easily controlled by adjusting the type of biopolymer modifier, the TiO2 and magnetic particle content, and the ratio of each component based on the target molecule. Therefore, biopolymer-based photocatalytic magnetic microbeads have great potential not only in environmental fields but also in biomedical fields. [ABSTRACT FROM AUTHOR]

African swine fever (ASF), a viral disease caused by the African swine fever virus (ASFV), is associated with high mortality rates in domestic pigs and wild boars. ASF has been spreading since its discovery in wild boars in Korea in October 2019. Genomic analyses have provided insights into the genetic diversity of the ASFV isolated from various regions, enabling a better understanding of the virus origin and transmission patterns. We conducted a genome analysis to evaluate the diversity and mutations of ASFV spreading among wild boars in Korea during 2019–2022. We compared the genomes of ASFV strains isolated from Korean wild boars and publicly available ASFV genomes. Genomic analysis revealed several single-nucleotide polymorphisms within multigene families (MGFs) 360-1La and 360-4L in Korean ASFV. MGF 360-1La and 360-4L variations were not observed in other ASFV strains, including those of genotype II. Finally, we partially analyzed MGFs 360-1La and 360-4L in ASFV-positive samples between 2019 and 2022, confirming the geographical distribution of the variants. Our findings can help identify new genetic markers for epidemiological ASFV analysis and provide essential information for effective disease management. [ABSTRACT FROM AUTHOR]

Wind barriers play a vital role in protecting saplings until maturity when planted as vegetative windbreak forests. Most previous studies have focused on the porosity of wind barriers, but no studies have simultaneously examined the effects of the porosity and inclination, despite the potential of the inclination to decrease wind speed. We tested three wind barrier cases in wind tunnel experiments: (1) Case A (porosity of 0% with inclinations (90°, 80°, and 70°)), (2) Case B (porosity of 25% with inclinations (90°, 80°, and 70°)), and (3) Case C (porosity of 50% with inclinations (90°, 80°, and 70°)). The vertical and horizontal wind velocities were measured at three vertical and seven horizontal points behind the barriers. The results demonstrated a statistically significant decrease in the correlation between the distance and mean wind velocity for all cases, with up to a six-fold wind protection effect. The wind barrier with 0% porosity and a 90° inclination provided the highest degree of wind protection. However, the wind protection range was limited downwind, and recirculation of wind flow could occur in the leeward direction, potentially damaging saplings. A wind barrier with 50% porosity and 70° inclination sufficiently decreased the wind velocity and prevented recirculation of wind flow, demonstrating that both porosity and inclination considerably impacted the wind protection effect by reducing wind velocity. Our findings offer novel insights into the influence of wind barriers with varying porosities and inclinations and can provide valuable guidance for constructing efficient windbreak forests. [ABSTRACT FROM AUTHOR]

One major challenge associated with lung cancer organoids (LCOs) is their predominant derivation from surgical specimens of patients with early-stage lung cancer. However, patients with advanced lung cancer, who are in need of chemotherapy, often cannot undergo surgery. Therefore, there is an urgent need to successfully generate LCOs from biopsy specimens. Conventional lung biopsy techniques, such as transthoracic needle biopsy and forceps biopsy, only yield small amounts of lung tissue, resulting in a low success rate for culturing LCOs from biopsy samples. Furthermore, potential complications, like bleeding and pneumothorax, make it difficult to obtain sufficient tissue. Another critical issue is the overgrowth of normal lung cells in later passages of LCO culture, and the optimal culture conditions for LCOs are yet to be determined. To address these limitations, we attempted to create LCOs from cryobiopsy specimens obtained from patients with lung cancer (n = 113). Overall, the initial success rate of establishing LCOs from cryobiopsy samples was 40.7% (n = 46). Transbronchial cryobiopsy enables the retrieval of significantly larger amounts of lung tissue than bronchoscopic forceps biopsy. Additionally, cryobiopsy can be employed for peripheral lesions, and it is aided via radial endobronchial ultrasonography. This study significantly improved the success rate of LCO culture and demonstrated that the LCOs retained characteristics that resembled the primary tumors. Single-cell RNA sequencing confirmed high cancer cell purity in early passages of LCOs derived from patients with advanced lung cancer. Furthermore, the three-dimensional structure and intracellular components of LCOs were characterized using three-dimensional holotomography. Finally, drug screening was performed using a specialized micropillar culture system with cryobiopsy-derived LCOs. LCOs derived from cryobiopsy specimens offer a promising solution to the critical limitations of conventional LCOs. Cryobiopsy can be applied to patients with lung cancer at all stages, including those with peripheral lesions, and can provide sufficient cells for LCO generation. Therefore, we anticipate that cryobiopsy will serve as a breakthrough strategy for the clinical application of LCOs in all stages of lung cancer. [ABSTRACT FROM AUTHOR]

Because U-shaped steel beams filled with concrete have the advantages of reduced construction period and superior structural performance, they have been widely used as structural elements. In this study, the flexural behavior of newly developed bolt-connected U-shaped steel and concrete composite beams under a negative bending moment was experimentally evaluated. The main test variables were bolt spacing in bottom steel plates and types of U-shaped steel sections. Test results showed that the flexural behavior of the composite beams is determined by the plate-buckling mode of bolt-connected bottom steel plates. Composite beams with a greater bolt spacing than that in the standard AISI S100-16 experienced early plate buckling of the bottom steel plates, resulting in reduction of flexural stiffness and maximum flexural strength. Thus, the buckling mode of bolt-connected bottom plates should be considered for bolt-connected U-shaped composite beams under a negative bending moment. The longitudinal lips of U-shaped steel sections can increase the flexural performance of composite beams due to anchorage performance of the steel sections with lips. [ABSTRACT FROM AUTHOR]

To achieve a balanced and sustainable rural development pattern, this study used the Theil index, Gini coefficient, and Spatial Autocorrelation method to analyze the inequality of industrial economic development between rural areas in South Korea. The results showed that considering the whole of South Korea, the inequality in industrial economic development level among rural areas was reasonably balanced, and the inequality level showed a trend of narrowing. Considering the first-level regions, the levels of inequality varied. The economic development level of the rural areas around the Capital Area and Metropolitan Cities was higher than that of other rural areas, and policies should be established to support the economic development of other rural areas. [ABSTRACT FROM AUTHOR]

Background: Evidence and guidelines for Non-vitamin K antagonist oral anticoagulants (NOACs) use when prescribing concurrent rifampin for tuberculosis treatment in patients with non-valvular atrial fibrillation (NVAF) are limited. Methods: Using the Korean National Health Insurance Service database from January 2009 to December 2018, we performed a population-based retrospective cohort study to assess the net adverse clinical events (NACE), a composite of ischemic stroke or systemic embolism and major bleeding, of NOACs compared with warfarin among NVAF patients taking concurrent rifampin administration for tuberculosis treatment. After a propensity matching score (PSM) analysis, Cox proportional hazards regression was performed in matched cohorts to investigate the clinical outcomes. Results: Of the 735 consecutive patients selected, 465 (63.3%) received warfarin and 270 (36.7%) received NOACs. Among 254 pairs of patients after PSM, the crude incidence rate of NACE was 25.6 in NOAC group and 32.8 per 100 person-years in warfarin group. There was no significant difference between NOAC and warfarin use in NACE (hazard ratio [HR], 0.74; 95% confidence interval [CI], 0.48–1.14; P = 0.172). Major bleeding was the main driver of NACE, and NOAC use was associated with a statistically significantly lower risk of major bleeding than that with warfarin use (HR, 0.63; 95% CI, 0.40–1.00; P = 0.0499). Conclusions: In our population-based study, there was no statically significant difference in the occurrence of NACE between NOAC and warfarin use. NOAC use may be associated with a lower risk of major bleeding than that with warfarin use. [ABSTRACT FROM AUTHOR]