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The marine dinoflagellate Alexandrium catenella (Group I) produces saxitoxins (STXs) in marine environments, causing paralytic shellfish poisoning (PSP). The toxins are synthesized by STXs biosynthesis genes (sxt); of them, sxtA and sxtG are considered the most essential. The promoter region and 3'-untranslated region (3'-UTR) are known to regulate gene transcription; however, they have not been sufficiently elucidated in the sxt genes. Herein, we determined and characterized the genomic DNA sequence of the proximal regions of sxtA and sxtG in A. catenella. The promoter regions of sxtA and sxtG in A. catenella were found to contained distinct cis-regulatory elements (CREs), CpG islands, and TTTT-motif (instead of TATA-box), showing a typical eukaryotic promoter. Especially, a number of light-responsive CREs (G-box, SORLIP1AT/2AT, and Sp1) were found, and the gene expression level showed a significant relationship with photosynthesis. MiSeq sequencing of the long PCR amplicons revealed that sxtA was encoded as a single exonic structure that is discrete (> 5 kbp) from other core sxt. In addition, we reported for the first time two types of 3'-UTR in sxtG mRNA, and their lengths and sequences varied among strains and species. Such results suggest that sxt may be regulated by post-transcription. Our results provide insights into the toxin dynamics of toxic dinoflagellates from a molecular perspective. [ABSTRACT FROM AUTHOR]

Background/Objectives: Extrauterine growth restriction (EUGR) is associated with high mortality and an increased incidence of poor neurodevelopmental outcomes in preterm infants. In this study, we aimed to compare the Intergrowth-21ST (IG-21ST) and Fenton charts in predicting long-term neurodevelopmental and anthropometric outcomes of very low birth weight (VLBW) infants. Methods: Data were collected from 2649 VLBW infants registered in the Korean Neonatal Network born between 240/7 and 316/7 weeks of gestational age from January 2013 to December 2017. Follow-up assessments were conducted at 18–24 months of age, corrected for prematurity. Multiple logistic regression analysis was performed to evaluate the association between EUGR and long-term outcomes. Results: Among the 2649 VLBW infants, 60.0% (1606/2649) and 36.9% (977/2649) were diagnosed as having EUGR defined by the Fenton chart (EUGRF) and by the IG-21ST chart (EUGRIG), respectively. The EUGRIG group exhibited a higher proportion of infants with cerebral palsy, neurodevelopmental impairment (NDI), and growth failure. In multiple logistic regression analysis, adjusted for risk factors for long-term outcome, the EUGRIG group showed higher risk of cerebral palsy (adjusted odds ratio [aOR], 1.66; 95% confidence interval [CI], 1.04–2.65), NDI (aOR, 2.09; 95% CI, 1.71–2.55), and growth failure (aOR, 1.57; 95% CI, 1.16–2.13). Infants with EUGRF tended to develop NDI (aOR, 1.29; 95%CI, 1.03–1.63) and experience growth failure (aOR, 2.44; 95% CI, 1.77–3.40). Conclusions: The IG-21ST chart demonstrated a more effective prediction of long-term neurodevelopmental outcomes, whereas the Fenton chart may be more suitable for predicting growth failure at 18–24 months. [ABSTRACT FROM AUTHOR]

Background: Longer hospitalizations for preterm infants with bronchopulmonary dysplasia (BPD) delay developmental outcomes, increase the risk for hospital-acquired complications, and exert a substantial socioeconomic burden. This study aimed to identify factors associated with an extended length of stay (LOS) at different levels of severity of BPD. Methods: A cohort study was conducted using the Korean Neonatal Network registry of very low birth weight infants with BPD between 2013 and 2017 through retrospective analysis. Results: A total of 4263 infants were diagnosed with BPD. For mild BPD, infants requiring surgical treatment for patent ductus arteriosus needed a longer LOS [eadjusted β coefficients (adj β) 1.041; 95% confidence interval (CI): 0.01–0.08] and hydrocephalus (eadj β 1.094; 95% CI 0.01–0.17). In moderate BPD, infants administered steroids or with intraventricular hemorrhage required a longer LOS (eadj β 1.041; 95% CI 0.00–0.07 and eadj β 1.271; 95% CI 0.11–0.38, respectively). In severe BPD, infants with comorbidities required a longer LOS: pulmonary hypertension (eadj β 1.174; 95% CI 0.09–0.23), administrated steroid for BPD (eadj β 1.116; 95% CI 0.07–0.14), sepsis (eadj β 1.062; 95% CI 0.01–0.11), patent ductus arteriosus requiring surgical ligation (eadj β 1.041; 95% CI 0.00–0.08), and intraventricular hemorrhage (eadj β 1.016; 95% CI 0.05–0.26). Additionally, the higher the clinical risk index score, the longer the LOS needed for infants in all groups. Conclusions: The factors affecting LOS differed according to the severity of BPD. Individualized approaches to reducing LOS may be devised using knowledge of the various risk factors affecting LOS by BPD severity. [ABSTRACT FROM AUTHOR]

Pedestrian detection is a critical task for safety-critical systems, but detecting pedestrians is challenging in low-light and adverse weather conditions. Thermal images can be used to improve robustness by providing complementary information to RGB images. Previous studies have shown that multi-modal feature fusion using convolution operation can be effective, but such methods rely solely on local feature correlations, which can degrade the performance capabilities. To address this issue, we propose an attention-based novel fusion network, referred to as INSANet (INtra-INter Spectral Attention Network), that captures global intra- and inter-information. It consists of intra- and inter-spectral attention blocks that allow the model to learn mutual spectral relationships. Additionally, we identified an imbalance in the multispectral dataset caused by several factors and designed an augmentation strategy that mitigates concentrated distributions and enables the model to learn the diverse locations of pedestrians. Extensive experiments demonstrate the effectiveness of the proposed methods, which achieve state-of-the-art performance on the KAIST dataset and LLVIP dataset. Finally, we conduct a regional performance evaluation to demonstrate the effectiveness of our proposed network in various regions. [ABSTRACT FROM AUTHOR]

We retrospectively analyzed National Health Insurance claims data (January 2002–December 2018) to determine the asthma prevalence and risk factors among preterm infants born in Korea. Patients with asthma were defined as those with a history of asthma medication prescriptions at least twice per year with International Classification of Diseases, Tenth Edition codes J45 and J46. We enrolled 99,139 preterm infants. The prevalence of asthma among preterm and term infants was 32.7% and 26.9%, 21.2% and 19.1%, 6.7% and 5.9%, 2.0%, and 1.6%, and 2.4% and 1.6% at 2, 5, 10, 15, and 16 years of age, respectively. The relative risk (RR) of asthma in preterm infants was 1.1-fold that in female preterm infants. The RR of asthma medication prescriptions for infants with extreme prematurity was 1.92-fold that of infants with moderate/late pre-term status. Among preterm with bronchopulmonary dysplasia (BPD) and respiratory distress syndrome (RDS) without comorbidities, the RRs for the number of asthma medication prescriptions were 1.34 and 1.06, respectively. This study revealed a higher prevalence of asthma among preterm infants than that in term infants. Male sex, extreme prematurity, BPD, and RDS were identified as risk factors for asthma medication prescriptions in preterm infants. [ABSTRACT FROM AUTHOR]

In this paper, multispectral pedestrian detection is mainly discussed, which can contribute to assigning human-aware properties to automated forklifts to prevent accidents, such as collisions, at an early stage. Since there was no multispectral pedestrian detection dataset in an intralogistics domain, we collected a dataset; the dataset employs a method that aligns image pairs with different domains, i.e. RGB and thermal, without the use of a cumbersome device such as a beam splitter, but rather by exploiting the disparity between RGB sensors and camera geometry. In addition, we propose a multispectral pedestrian detector called SSD 2.5D that can not only detect pedestrians but also estimate the distance between an automated forklift and workers. In extensive experiments, the performance of detection and centroid localization is validated with respect to evaluation metrics used in the driving car domain but with distinct categories, such as hazardous zone and warning zone, to make it more applicable to the intralogistics domain. [ABSTRACT FROM AUTHOR]

Summary: Lithium‐ion batteries (LIBs) are the main driving force behind the proliferation of mobile devices and electric vehicles. The production technologies of LIBs have been developed with the aim of lowering the energy cost (US$ kWh−1) and environmental impact while increasing the production efficiency. Here, we report dry‐processed Ni‐rich oxide cathodes coated with carbon nanotubes (CNTs) for LIBs. Specifically, LiNi0.8Co0.15Al0.05O2 (NCA) particles coated with multi‐walled CNTs (MWCNTs) were used to fabricate the cathodes by employing dry‐type electrode processing. In addition, the amount of polytetrafluoroethylene binder in the electrode was minimized and the inclusion of conventional carbon black (CB) conductive additives was eliminated. This approach enabled the fabrication of CB‐free, dense cathodes with an extremely high NCA content (99.6 wt%) and high electrode density of ~4.0 g cm−3. The NCA cathode had a high volumetric capacity of ~821 mAh cm−3 at a current rate of 0.5 C (~4.6 mA cm−2) and delivered good full‐cell cycling performance over 300 cycles (~60% capacity retention). Our results offer a viable way to lower the energy cost and the environmental damage toward next‐generation LIBs. Highlights: Ni‐rich particles with a CNT‐coating were used for dry‐processed cathode preparation.The CNTs replace conventional carbon black conductive additives.The CNT‐coated Ni cathodes were fabricated with minimal binder content (0.4 wt%).The cathode has good rate and cycling performance with high volumetric capacities. [ABSTRACT FROM AUTHOR]

Little is known about the association between body proportionality at birth and neonatal outcomes in preterm infants. Body mass index (BMI) is one of the weigh-for-length ratios that represent body proportionality. The objective of this study was to examine whether BMI at birth affects neonatal outcomes in preterm infants. We assessed 3115 preterm (< 30 weeks), very low birth weight (< 1500 g) infants born between January 2013 and December 2016 and registered in the Korean Neonatal Network database. Using gender-specific BMI for gestational age curves, z-scores of BMI at birth were calculated. Low-, normal-, and high-BMI were defined as BMI z-scores of less than − 1, from − 1 to 1, and greater than 1, respectively. Neonatal morbidities and mortality in low- and high-BMI groups were compared to those in normal-BMI group. The low-BMI group had an increased risk of bronchopulmonary dysplasia, bronchopulmonary dysplasia or death, and necrotizing enterocolitis after adjusting for baseline characteristics and the birth weight z-score. High-BMI group had comparable neonatal outcomes to those of normal-BMI group. Low BMI at birth was associated with an increased risk of bronchopulmonary dysplasia and necrotizing enterocolitis, whereas High BMI at birth was not associated with adverse neonatal outcomes. [ABSTRACT FROM AUTHOR]

Background: Various perinatal morbidities may adversely affect postnatal nephrogenesis in preterm infants. Kidney ultrasonographic findings following acute kidney injury (AKI) have not been well described in preterm infants. Herein, we describe three cases of extremely preterm infants who showed abnormal kidney ultrasonographic findings resembling dysplasia of the kidneys following AKI. Case-diagnosis/treatment: Their median gestational age and birth weight were 25+6 (range 23+3–26+6) weeks and 620 (480–840) g, respectively. All infants suffered severe AKI during their third to seventh week of life. Their kidney function recovered with conventional management. Kidney ultrasonographies performed after AKI revealed increased kidney echogenicity, loss of corticomedullary differentiation, and multiple cortical cysts, which were similar to cystic dysplasia of the kidneys and were absent in previous kidney imaging. Three infants eventually developed at least one of the long-term kidney sequelae following AKI, including proteinuria, hypertension, and elevated levels of serum creatinine or cystatin C as determined during the last follow-up at the corrected age of 9–18 months. Conclusions: Based on these cases, we can infer that AKI occurring during the early postnatal period may result in dysplasia of the kidneys with cortical cysts in extremely preterm infants, which may lead to chronic kidney disease in their later life. It is useful to follow up not only laboratory parameters but also kidney ultrasonographic findings in extremely preterm infants who suffered AKI during their early postnatal periods. [ABSTRACT FROM AUTHOR]