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This article presents a comprehensive dataset compiling reported cases of typhoid fever from culture-confirmed outbreaks across various geographical locations from 2000 through 2022, categorized into daily, weekly, and monthly time series. The dataset was curated by identifying peer-reviewed epidemiological studies available in PubMed, OVID-Medline, and OVID-Embase. Time-series incidence data were extracted from plots using WebPlotDigitizer, followed by verification of a subset of the dataset. The primary aim of this dataset is to serve as a foundational tool for researchers and policymakers, enabling the development of robust, model-based strategies for the control of typhoid fever outbreaks. The article describes the method by which the dataset has been compiled and how the quality of the data has been verified. Furthermore, it discusses the dataset's potential applications in optimizing vaccination campaigns, improving public health planning, and tailoring interventions to specific epidemiologic contexts. This article contributes significantly to the field of infectious disease modeling, offering a valuable resource for enhancing typhoid fever control measures globally. [ABSTRACT FROM AUTHOR]

Recently, a strategy involving the engineering of chemokine receptors on immune cells was developed to optimize adoptive cell therapy (ACT) for solid tumors. Given the variability in chemokine secretion among different tumor types, identifying and modulating the appropriate chemokine receptors is crucial. In this study, we utilized extensive RNA sequencing data from both tumor tissues from The Cancer Genome Atlas and normal tissues from Genotype-Tissue Expression to investigate the expression profiles of chemokines. Through analysis, we identified eight chemokine receptors associated with increased chemokine levels in tumor tissues compared to normal tissues, making them promising candidates for enhancing ACT. Subsequent examination of tumor-infiltrating lymphocytes and chimeric antigen receptor-T cells revealed that five out of the eight candidate chemokine receptors did not exhibit elevated expression in T cells. Among five candidates, we demonstrated that CXCR5 is a particularly promising candidate for enhancing cell migration without compromising cell viability or cytotoxicity. In conclusion, our study underscores the potential of five chemokine receptors (CCR6, CCR9, CXCR1, CXCR5, and XCR1) as valuable targets for modulating ACT to enhance cell trafficking and potentially improve cancer therapy outcomes. [ABSTRACT FROM AUTHOR]

The effects of heat-assisted vat photopolymerization (HVPP) on the physical and mechanical properties of 3D-printed dental resins, including the morphometric stability of 3D-printed crowns, were investigated. A resin tank was designed to maintain the resin at 30, 40, and 50 ℃ during the 3D printing process. Test specimens were fabricated using a commercial dental resin, with untreated resin serving as the control group. Key properties such as viscosity, curing kinetics, surface microhardness, flexural properties, and dimensional accuracy were evaluated. The viscosity of the resin decreased significantly (P < 0.05) with increasing temperature, thereby enhancing its flow properties. Photo-DSC analysis revealed a 17.58% increase in peak heat flow at 50 ℃, indicating accelerated polymerization. Surface microhardness improved significantly (P < 0.05) with HVPP, though a slight reduction was observed at 50 ℃ compared to that at 30 and 40 ℃. The flexural strength, modulus, and resilience were significantly enhanced (P < 0.05) at higher temperatures, with 50 ℃ yielding the best mechanical properties. However, 3D morphometric analysis showed increased root mean square deviation from the CAD design at elevated temperatures. Our results suggest that HVPP enhances the durability of dental prostheses, although careful optimization of the printing temperature is essential to balance their strength and accuracy. [ABSTRACT FROM AUTHOR]

To evaluate the outcomes and predictive factors for fluid resolution following three loading injections of faricimab for neovascular age-related macular degeneration(AMD). This retrospective study included patients diagnosed with treatment-naïve neovascular AMD who received three monthly injections of faricimab. Changes in best-corrected visual acuity(BCVA) and central retinal thickness(CRT) following treatment were evaluated. The resolution of subretinal fluid(SRF), intraretinal fluid(IRF), and serous pigment epithelial detachment(PED) was also assessed. In addition, factors associated with complete resolution of SRF and IRF were investigated. A total of 69 patients were included in this study. BCVA significantly improved from a mean logarithm of minimal angle of resolution of 0.64 ± 0.41 at baseline to 0.47 ± 0.39 at 3 months (P < 0.001). CRT significantly decreased from 424.1 ± 155.5 μm at baseline to 266.3 ± 71.7 μm at 3 months (P < 0.001). At baseline, SRF was observed in 55 eyes (79.7%), IRF in 39 eyes(56.5%), and serous PED in 57 eyes(82.6%). By 3 months, the number of eyes showing these findings had decreased to 11 eyes(15.9%) for SRF, 6 eyes(8.7%) for IRF, and 10 eyes(14.5%) for serous PED. The presence of type 2 (88.2%) and type 3 (94.7%) macular neovascularization(MNV) was associated with a high incidence of complete resolution of SRF and IRF after treatment. Three loading injections of faricimab resulted in significant functional and anatomical improvements in treatment-naïve neovascular AMD, with a high rate of resolution of SRF, IRF, and serous PED. The anatomical effects were especially pronounced in cases of type 2 and type 3 MNV. [ABSTRACT FROM AUTHOR]

Breeding seabirds are required to balance between feeding their chicks and maintaining their body condition. Adélie penguins (Pygoscelis adeliae), a keystone species of the Antarctic ecosystem, have foraging behavioral flexibility that depends on the marine environment and own body condition. This study collected tracking data and weight measurements from 47 brooding penguins during two breeding seasons at Cape Hallett (72°19´S, 170°12´E), Ross Sea. In 2021, the breeding season with a high sea ice concentration, penguins had lower body weights during the early guarding period compared to the body weights of the penguins in 2022. Penguins performed three types of foraging trips - ice hole trips, ice edge trips, and pack ice trips—during the 2021 breeding season. However, in the season characterized by a low sea ice concentration (2022), most of the foraging trips were pack ice trips. Furthermore, penguins performed relatively shorter pack ice trips and had lower foraging efforts than they did in 2021. On the other hand, we found that penguins with higher initial weights lost more weight, where for every additional 1 kg of weight, individuals lost 360 g more during the tracking period. We suggest that penguins use selective foraging strategies to adapt to their situation. Additionally, they regulate their food intake for raising chicks based on their body condition. In summary, our findings suggest how Adélie penguins determine foraging strategies and allocating food according to the marine environment and their body condition. [ABSTRACT FROM AUTHOR]

This paper introduces a process for designing a bearing that satisfies both rotordynamic stability and bearing performance using dimensionless bearing data. The dimensionless data of the tilting-pad journal bearing, calculated using a numerical model, is dimensioned considering thermal effects through a heat balance model. The dimensionless data is generated by considering variables such as the number of pads, preload, length-diameter ratio and load direction. Using the dimensioned static characteristics, the minimum film thickness and maximum operating temperature of the bearing are calculated. The dynamic characteristics of the bearing are applied to a rotordynamic model, and stability is compared using indicators such as separation margin, maximum vibration amplitude and amplification factor in rotor-dynamic stability analysis. To consider various design parameters, a bearing for an actual shaft system model was designed using the multi-grid method, and the influence of design variables was investigated. [ABSTRACT FROM AUTHOR]

The success of reinforcement learning (RL) combined with deep neural networks has led to the development of numerous RL algorithms that have demonstrated remarkable performance across various domains. However, despite its potential in process control, relatively limited research has explored RL in this field. This paper aims to bridge the gap between RL and process control, providing potential applications and insights for process control engineers. In this review, we first summarize previous efforts to apply RL to process control. Next, we provide an overview of RL concepts and categorize recent RL algorithms, analyzing the strengths and weaknesses of each category. We implement fourteen RL algorithms and apply them to six relevant benchmark environments, conducting quantitative analyses to identify the most suitable approaches for specific process control problems. Finally, we draw conclusions and outline future research directions to advance RL's application in process control. [ABSTRACT FROM AUTHOR]

Strain CAU 1644T was isolated from sea sand at Ganghwa Island, Republic of Korea. The bacterium is aerobic, Gram-staining negative, yellow-colored, non-motile, catalase-positive, and rod-shaped. Cells of strain CAU 1644T grew at 20–40 °C and pH 6.0–10.0 with 0%–3.0% (w/v) NaCl. The 16S rRNA gene sequences of Altererythrobacter epoxidivorans CGMCC 1.7731T (identity, 98.5%) and A. xiamenensis CGMCC 1.12494T (98.0%) had the highest similarities to strain CAU 1644T. Strain CAU 1644T exhibits affiliation with the genus Altererythrobacter by phylogenetic trees based on the 16S rRNA gene and core-genome sequences. The predominant quinone was ubiquinone-10 (Q-10) and the major fatty acids were summed feature 8 (C18:1ω7c and/or C18:1ω6c) and summed feature 3 (C16:1ω7c and/or C16:1ω6c). The average nucleotide identity (ANI) and digital DNA-DNA hybridization (dDDH) values of strain CAU 1644T were 77.6% and 20.1% with A. epoxidivorans CGMCC 1.7731T, respectively, and 77.4% and 21.0% with A. xiamenensis CGMCC 1.12494T. The G + C content is 62.5%. Based on phenotypic and genotypic analyses, strain CAU 1644T represents a novel species of the genus Altererythrobacter, for which the name Altererythrobacter arenosus sp. nov., is proposed. The type strain is CAU 1644T (= KCTC 92082T = MCCC 1K07086T). [ABSTRACT FROM AUTHOR]

Key message: A novel fluorescent i-motif DNA silver nanoclusters system has been developed for visualization of reactive oxygen species in plants, enabling the detection of intracellular signaling in plant cells. Reactive oxygen species (ROS) are crucial in plant growth, defense, and stress responses, making them vital for improving crop resilience. Various ROS sensing methods for plants have been developed to detect ROS in vitro and in vivo. However, each method comes its own advantages and disadvantages, leading to an increasing demand for a simple and effective sensory system for ROS detection in plants. Here, we introduce novel DNA silver nanoclusters (DNA/AgNCs) sensors for visualizing ROS in plants. Two sensors, C20/AgNCs and FAM-C20/AgNCs-Cy5, detect intracellular ROS signaling in response to stimuli, such as abscisic acid, salicylic acid, ethylene, and bacterial peptide elicitor flg22. Notably, FAM-C20/AgNCs-Cy5 exceeds the sensing capabilities of HyPer7, a widely recognized ROS sensor. Taken together, we suggest that fluorescent i-motif DNA/AgNCs system is an effective tool for visualizing ROS signals in plant cells. This advancement is important to advancing our understanding of ROS-mediated processes in plant biology. [ABSTRACT FROM AUTHOR]

Objectives: We assessed the value of the diffusion-weighted image (DWI) for predicting intrahepatic biliary complications (IHBC) after ABO-incompatible liver transplantation (ABOi-LT), potentially leading to refractory cholangitis. Materials and methods: In this retrospective study at a single center, 56 patients who underwent ABOi-LT from March 2021 to January 2023 were analyzed. All received magnetic resonance cholangiopancreatography (MRCP) and DWI during the postoperative hospitalization. MRCP findings, including bile duct DWI hyperintensity, were assessed. Participants suspected of having a biliary infection or obstructive jaundice underwent endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic biliary drainage (PTBD) during the follow-up. Non-anastomotic biliary strictures on cholangiography were classified as IHBC, as either perihilar or diffuse form. DWI hyperintensity was compared between groups with and without IHBC. Logistic regression analysis was performed to identify independent risk factors for IHBC. Results: Of the 55 participants (median age 55 years, 39 males), IHBC was diagnosed in eight patients over a median follow-up of 15.9 months (range 5.6–31.1). Bile duct DWI hyperintensity was observed in 18 patients. Those with DWI hyperintensity exhibited a higher IHBC incidence (6/18, 33.3% vs. 2/36, 5.6%; p = 0.01), and more frequently developed the diffuse type IHBC (4/18, 22.2% vs. 1/36, 2.8%; p = 0.04). Regression analysis indicated that bile duct DWI hyperintensity is an independent risk factor for IHBC (odds ratio (OR) 10.1; 95% confidence interval (CI) 1.4, 71.2; p = 0.02) and its diffuse form (OR 15.3; 95% CI 1.2, 187.8; p = 0.03). Conclusion: Postoperative DWI hyperintensity of bile ducts can serve as a biomarker predicting IHBC after ABOi-LT. Clinical relevance statement: Postoperative diffusion-weighted image hyperintensity of the bile duct can be used as a biomarker to predict intrahepatic biliary complications and aid in identifying candidates who may benefit from additional management for antibody-mediated rejection. Key Points: Intrahepatic biliary complications following ABO-incompatible liver transplantation can cause biliary stricture and biloma formation. Bile duct hyperintensity on early postoperative diffusion-weighted imaging was associated with increased intrahepatic biliary complication risk. This marker is an additional method for identifying individuals who require intensive management to prevent complications. [ABSTRACT FROM AUTHOR]

This paper presents a crowd-density simulation system developed using the Unity engine to predict and prevent crowd-crush accidents. Crowd-crush accidents can occur in various environments where large crowds gather, often leading to significant casualties. Effective tools for risk assessment, training, and decision-making are crucial in preventing such accidents. The proposed simulator aims to provide a realistic virtual environment that accurately models crowd behavior and dynamics. By analyzing crowd density, flow patterns, and bottleneck situations, the simulator enables users to identify potential hazards, evaluate evacuation strategies, and develop proactive crowd management measures. The system incorporates advanced features such as real-time crowd visualization, interactive scenario creation, and data analytics. Validation experiments demonstrate the effectiveness of the simulator in predicting crowd-crush risks and supporting decision-making processes. The proposed solution enhances crowd safety and helps prevent accidents in various public-gathering scenarios.Article Highlights: The Unity-based simulator predicts crowd-crush risks in various urban scenarios with high accuracy Real-time density visualization allows for the rapid identification of high-risk areas, enabling proactive management The modular design enables flexible testing of crowd safety strategies across diverse environmental settings. [ABSTRACT FROM AUTHOR]

Small intestinal organoids are similar to actual small intestines in structure and function and can be used in various fields, such as nutrition, disease, and toxicity research. However, the basal-out type is difficult to homogenize because of the diversity of cell sizes and types, and the Matrigel-based culture conditions. Contrastingly, the apical-out form of small intestinal organoids is relatively uniform and easy to manipulate without Matrigel. Therefore, we sought to investigate the possibility of replacing animal testing with bovine apical-out small intestinal organoids (Apo-IOs) by confirming the toxicity of mycotoxins and effectiveness of L. plantarum as mycotoxin-reducing agents. The characteristics and functions of Apo-IOs were first confirmed. The gene and protein expression of stem cell, proliferation, mucous, and adherence markers were detected, and the absorption capacity of amino and fatty acids was also confirmed. FITC-4 kDa dextran, a marker of intestinal barrier function, did not penetrate the Apo-IOs, confirming the role of the organoids as a barrier. However, when co-treated with deoxynivalenol (DON), FITC-4 kDa dextran was detected deep within the organoids. Moreover, qPCR and immunofluorescence staining confirmed a decrease in the expression of key markers, such as LGR5, Ki67, Mucin2, Villin2, and E-cadherin. In addition, when Apo-IOs were treated with Lactobacillus plantarum ATCC14917 culture supernatant (LCS) and DON together, cell death was reduced compared to when treated with DON alone, and FITC-4 kDa dextran was confirmed to flow only to the peripheral part of the organoid. The qPCR and immunofluorescence staining results of LCS and DON co-treatment group showed that LGR5, Ki67, Mucin2, Villin2, and E-cadherin were expressed at significant higher levels than those in the DON treatment group alone. In this study, we found that the characteristics and functions of bovine Apo-IOs were similar to those of the intestinal structure in vivo. Additionally, the effects of mycotoxins and effectiveness of L. plantarum as mycotoxin-reducing agents were confirmed using bovine Apo-IOs. Therefore, bovine Apo-IOs could be applied in toxicity studies of mycotoxins and could also be used as in vitro models to replace animal testing and improve animal welfare. [ABSTRACT FROM AUTHOR]

Polylactic acid (PLA) shows high potential for various fields such as food packaging and biomedical applications due to its biodegradability and low toxicity. However, the shortcomings including brittleness and low thermal stability limit its real applications. In this study, we fabricated PLA/polyhydroxyalkanoate (PHA) compound to overcome the brittleness of PLA. Then we investigated the effects of cellulose, derived from paper waste, on the thermal and mechanical properties of PLA/PHA compounds. While cellulose negligibly affected the glass transition temperatures of PLA and PHA, the cold crystallization temperature of PLA was reduced and its degree of crystallization was increased, after the addition of cellulose. With the increase of cellulose contents, the reduced tensile strength, the increased elastic modulus, and the reduced elongation at break of the compounds were observed, attributing to the aggregation formation of cellulose. Heat deflection temperature of the compounds was raised after the addition of cellulose. [ABSTRACT FROM AUTHOR]

Background: Hyperosmolar therapy has long been a cornerstone in managing increased intracranial pressure and improving outcomes in severe traumatic brain injury (TBI). This therapy hinges on elevating serum osmolality, creating an osmotic gradient that draws excess water from the brain's cellular and interstitial compartments and effectively reducing cerebral edema. Given this information, we hypothesized that the serum hyperosmolality prior to any treatment could significantly impact the clinical outcomes of patients with severe TBI, potentially mitigating secondary cerebral edema after trauma. Methods: Data were extracted from the Korean Multi-center Traumatic Brain Injury data bank, encompassing 4628 patients with TBI admitted between January 2016 and December 2018. Of these, 507 patients diagnosed with severe TBI (Glasgow Coma Scale score < 9) were selected for comprehensive analysis across four data domains: clinical, laboratory, initial computed tomography scan, and treatment. Serum osmolality was assessed prior to treatment, and the hyperosmolar group was defined by a pretreatment serum osmolality exceeding 320 mOsm/L, whereas favorable outcomes were characterized by a modified Rankin Scale score of ≤ 3 at 6 months after trauma. Multivariate regression with receiver operating characteristic curve analysis and propensity score matching were used to dissect the data set. Results: Multivariate analysis showed serum osmolality is significantly associated with clinical outcome in patients with severe TBI (p < 0.001). The optimal cutoff value for predicting favorable outcome was 331 mOsm/L, with a sensitivity of 38.9% and a specificity of 87.7%. Notably, the propensity score matching analysis comparing patients with pretreatment serum hyperosmolality with those without indicated a markedly improved functional outcome in the former group (32.5% vs 18.8%, p = 0.025). Conclusions: The present study has uncovered a significant correlation between the pretreatment serum osmolality and the clinical outcomes of patients with severe TBI. These findings offer a novel perspective, indicating that a serum hyperosmolality prior to any treatment might potentially have a neuroprotective effect in patients with severe TBI. [ABSTRACT FROM AUTHOR]

Nulcha Bay in Busan, South Korea, is famous for oyster farming. Because it is highly enclosed, it has a very low water exchange rate area, resulting in the accumulation of pollutants in the sediments. Furthermore, the disposal of oyster shell waste by oyster farm industries has been associated with serious environmental problems. In this study, we conducted field study on the restoration of intertidal sediments using heat-treated oyster shell powder (OSPW) and particles (OSPR). This research additionally studied changes in microbial community structure; this is the first report on changes in intertidal sediment microbial diversity using oyster shells. OSPW and OSPR efficiently decrease the levels of acid volatile sulfide (AVS), chemical oxygen demand (COD), total organic carbon (TOC), and heavy metals (arsenic, cadmium, chromium, copper, nickel, lead, mercury, zinc). The top three phyla observed based on 16S rRNA gene amplicon sequencing were Pseudomonadota, Thermodesulfobacteriota, and Chloroflexota. Furthermore, as a consequence of physicochemical changes in the sediment, we observed significant change in the relative abundance of Gammaproteobacteria, Desulfobulbus, and Anaerolineae. In conclusion, oyster shells are a promising material for controlling pollutants in the intertidal sediments and promoting diversity of bacterial population for sediment remediation. [ABSTRACT FROM AUTHOR]

In May 2023, direct observations of rip currents were conducted at Haeundae Beach, Korea, over a two-day period at six different stations using upward-facing Acoustic Doppler Current Profilers (ADCPs). The depth-averaged cross-shore velocity data were low-pass filtered with a 30-s cutoff period to eliminate wave-related motions. By applying 15-min boxcar averages, correlation analyses were performed to examine the relationship between three types of flow (cross-shore, onshore, and offshore) and three environmental factors (tide, wave, and wind). The analysis revealed that only one (R2-3) of the six stations had a high likelihood of rip current occurrence. Rip currents were defined as regions of offshore flow within the low-pass filtered time series of cross-shore velocities. For each identified rip current, three key kinematic features—maximum speed, duration, and distance—were estimated. Using specific thresholds for these features, hazardous rip currents were determined. Station R2-3 was the only station where hazardous rip currents were observed, which is consistent with the findings of the correlation analysis. Additionally, swells with a 15-s period were detected exclusively at R2-3 during the period of the hazardous rip currents, suggesting their significant role in the development of the observed rip currents. Furthermore, both Rip Index from the Rip Current Monitoring and Warning System and the CCTV Score from the Rip Current Checklist exceeded threshold values during this period, reinforcing the reliability of the method used. The potential influence of bound infragravity waves on the duration and variability of these rip currents was discussed. The rip currents observed at Haeundae Beach could be categorized as the "focused" type. [ABSTRACT FROM AUTHOR]

Summer sea surface temperatures (SSTs) along the southern coast of Korea have short-term variability with a large amplitude, which significantly affects the coastal marine ecosystem. To identify the factors influencing short-term variability of summer SSTs, multiple linear regression analyses were performed on SST data from summers spanning 2016 to 2021. The regression included independent variables such as alongshore and cross-shore Ekman heat transports in the middle of the Jeju Strait as well as alongshore and cross-shore local heat transports in coastal waters. Analysis revealed that, except for the summer of 2020, the standardized regression coefficients of the cross-shore Ekman heat transport were significant. This suggests that the primary drivers of summer SST fluctuations off Cheongsando (CSD), Korea, are the cross-shore Ekman current and the cross-shore temperature gradient in the Jeju Strait. Particularly, the meridional temperature gradient across the Jeju Strait influences coastal SSTs with a 3–4-day lag, implying that changes in temperature gradients in the Jeju Strait take 3–4 days to propagate spatially to CSD. These findings indicate the significance of wind data in developing a numerical model-based SST prediction system to forecast summer ocean heatwaves along the southern coast of Korea. Additionally, they emphasize the importance of accurately simulating SSTs in the middle of Jeju Strait and coastal currents along the southern coast for the prediction of coastal SSTs. [ABSTRACT FROM AUTHOR]

Introduction: An easy-to-implement and accurate lung function assessment tool for preterm infants is crucial to manage lifelong respiratory morbidities. We aimed to determine which pulmonary function parameters in preterm infants can predict the trajectory of airway obstruction and asthma development after 4 years of age. Methods: We evaluated 52 preterm infants who had undergone both tidal breathing flow-volume loop (TBFVL) and multiple-breath washout (MBW) analyses in infancy and spirometry after the age of 4 years. We evaluated the association between pulmonary function parameters in infancy and childhood and the pulmonary function trajectory until 13 years of age and compared the changes in this trajectory according to pulmonary function parameters in infancy. Results: Time to peak expiratory flow/expiratory time (TPEF/TE) in infancy was associated with FEV1, FEF25-75, and dysanapsis ratio in childhood and differed according to level of airway obstruction assessed by FEV1, FEV1/FVC, and FEF25-75, an asthma development. TPEF/TE was a significant predictive factor for airway obstruction and asthma after 4 years of age, after adjusting for sex, extreme prematurity, duration of supplementary oxygen and mechanical ventilation, and recurrent wheezing during infancy. In premature infants with lower TPEF/TE, subsequent pulmonary function parameters remained low until 13 years of age. Conclusion: In preterm infants, TPEF/TE could be useful to predict airway obstruction and asthma after 4 years of age and even a lower pulmonary function trajectory until 13 years of age. This information may help clinicians to provide lifelong care for pulmonary morbidity in children and adolescents born preterm. [ABSTRACT FROM AUTHOR]

Purpose: Whether the longevity of total knee arthroplasty (TKA) differs between postoperative phenotypes has not been investigated. This study aims to examine which phenotype has a worse long‐term survival rate than the reference phenotype (neutral alignment‐parallel joint line), and whether joint‐line obliquity (JLO) affects the survivorship of TKA. Methods: A total of 945 knees that underwent primary TKAs for primary osteoarthritis from January 2000 to January 2009 were included. These were classified into nine postoperative phenotypes based on the combined assessment of the hip–knee–ankle (HKA) angle and JLO, measured on standing radiographs. The 5‐, 10‐ and 15‐year survival rates were analysed using Kaplan–Meier methods and log‐rank tests. The long‐term survival rates of each phenotype were compared with the reference phenotype. Results: There were 55 aseptic mechanical failures within a period of 10.4 ± 5.0 years. The most frequently observed phenotypes were the reference phenotype (n = 527), neutral alignment‐lateral joint‐line inclination (n = 162), varus alignment‐lateral joint‐line inclination (n = 104) and varus alignment‐parallel joint line (n = 101). The overall failure rate for each phenotype was 3.6%, 3.7%, 18.3% and 7.9%, respectively. Only the 10‐ and 15‐year survival rates of the varus alignment‐lateral joint‐line inclination phenotype were significantly different from those of the reference phenotype (97%–93% vs. 90%–69%; p = 0.017, <0.001). Conclusion: The lateral joint‐line inclination phenotype had an inferior long‐term survival rate after varus‐aligned TKA. This suggested that alignment and JLO affected the long‐term survival rate of patients who underwent TKA. Level of Evidence: Level III, retrospective cohort study. [ABSTRACT FROM AUTHOR]

In the burgeoning field of wearable electronics, flexible and durable conductors that can maintain consistent electrical properties under various conditions are critically needed. This research introduces a novel composite material comprising eutectic gallium-indium (EGaIn) and a polybutadiene-based urethane (PBU) specifically designed to address this challenge. EGaIn, renowned for its superior conductivity due to its liquid state at room temperature, is strategically combined with PBU, which offers inherent flexibility and remarkable self-healing capabilities derived from reversible Diels–Alder reactions. Additionally, the composite maintains exceptional electrical resistance stability, withstanding mechanical strains up to 135% without compromising performance. The material's self-healing capability is attributed to the autonomous mending properties of EGaIn and the reversible Diels–Alder reactions in the PBU matrix. The result is an efficient restoration of the composite's original properties upon incurring damage. Furthermore, the composite's adaptability is showcased through its printability, allowing for precise patterning conducive to custom-designed wearable devices. [ABSTRACT FROM AUTHOR]

Melon thrips, Thrips palmi, represent a significant threat to plants, inducing necrosis and acting as vectors for numerous plant viruses. Entomopathogenic fungi present a promising avenue for the management of melon thrips populations resistant to conventional chemical treatments. In this work, an adult colony of melon thrips was exposed to Beauveria bassiana strain JEF-350, and the ensuing transcriptional response of the infected thrips was scrutinized to elucidate their reactions during fungal pathogenesis. Utilizing Illumina sequencing, RNA samples were extracted from untreated thrips as well as from thrips continuously infected for 2 and 4 days, each with three biological replicates. While no notable alterations in gene expression were observed between the untreated control and thrips infected for 2 days, those infected for 4 days exhibited a plethora of differentially expressed genes. Specifically, in the thrips infected for the extended period, pathways associated with lysosomal function and insect hormone biosynthesis were notably repressed, while others such as serine and glycine metabolism, Toll and Imd, and circadian rhythm pathways displayed heightened activity. Noteworthy downregulation was observed in numerous lysosomal hydrolase genes encoding glycosidases, sulfatases, and lipases, particularly glycosidases. Furthermore, certain genes related to hydrolase precursors within the Golgi apparatus exhibited heightened expression levels but failed to progress toward hydrolase biosynthesis. Upstream regulation of juvenile hormone biosynthesis was augmented, yet downstream genes were significantly downregulated, leading to a disruption in juvenile hormone production. Similarly, while cytochrome P450 genes in the downstream of ecdysone biosynthesis were upregulated, expressions of cholesterol desaturase and cytochrome P450 genes in the upstream were inhibited, consequently dampening ecdysone biosynthesis. The observed differential targeting of organs or pathways by B. bassiana JEF-350, in contrast to conventional chemicals primarily affecting neurotransmission and energy production, suggests its potential efficacy in managing resistant thrips populations. Consequently, integrating JEF-350 into the chemical spray regimen or incorporating it into tank-mix formulations with chemical insecticides emerges as a pragmatic approach within the realm of integrated pest management strategies. Key points: • Beauveria treatment inhibited lysosomal function and hormone synthesis in thrips. • Thrips serine/glycine metabolism, Toll and Imd, and circadian rhythm pathways were activated. • Upstream functions of thrips hormone biosynthesis increased, while downstream functions were suppressed. • Regarding biosynthesis of metabolites, this fungus targets other pathways with resistance management. [ABSTRACT FROM AUTHOR]

The bonding properties of solderable anisotropic polymer composites (SAPCs) containing only low-melting-point alloy (LMPA) fillers need improvement. In this study, a new composite containing LMPA and high-melting-point alloy (HMPA) fillers, named LH-SAPC, was proposed, and the establishment of the conduction path and bonding properties of LH-SAPC were investigated for different LMPA/HMPA mixing proportions. Six types of LH-SAPC filled with different LMPA/HMPA mixing proportions (100:0, 80:20, 50:50, 20:80, 10:90, and 0:100) were formulated, and bonding tests were performed using the quad flat package. The LH-SAPCs containing less than 50 vol% HMPA within the LMPA/HMPA filler formed a proper and broad conduction path through of the excellent inner flowage of molten fillers within the polymer composite maintaining a low-viscosity condition, coalescence behavior between adjacent fillers, and a wetting behavior for the metallization. In addition, the mechanical bonding properties of the LH-SAPC joints improved with increasing HMPA content owing to the precipitation hardening and dispersion strengthening effects of the finely distributed Bi-rich phase and intermetallic compound particles within the conduction path and grain refinement. In contrast, as the HMPA content was excessive within the LH-SAPC, a poor conduction path was established because of the fluidity deterioration of the molten HMPA, which was attributed to the immoderate curing of the polymer composite; accordingly, the mechanical properties of the LH-SAPC joint degraded. [ABSTRACT FROM AUTHOR]

KRAS is one of the most frequently mutated oncogenes across various cancers. Oncogenic KRAS mutations rewire cellular signaling, leading to significant alterations in gene expression. RNA-binding proteins (RBPs) play a pivotal role in gene expression regulation by post-transcriptionally controlling various aspects of RNA metabolism. It has become clear that interactions between RBPs and RNA are frequently dysregulated in numerous cancers. However, how oncogenic KRAS mutations reshape the post-transcriptional regulatory network mediated by RBPs remains poorly understood. In this study, we systematically dissected oncogenic KRAS-driven alterations of RNA-RBP networks. We identified 35 cancer-associated RBPs with either increased or decreased RNA binding upon oncogenic KRAS activation, including PDCD11, which is essential for the viability of KRAS mutant cancers, and ELAVL2, which regulates cell migration in KRAS mutant lung cancers. Our study serves as a crucial resource for elucidating RBP regulatory networks in KRAS mutant cancers and may provide new avenues for therapeutic strategies targeting KRAS mutant malignancies. [ABSTRACT FROM AUTHOR]

Micro-light-emitting diodes offer vibrant colors and energy-efficient performance, holding promise for next-generation inorganic displays. However, their widespread adoption requires the development of cost-effective chips and low-defect pixelation processes. Addressing these challenges, nanorod-light-emitting diodes utilize inkjet and dielectrophoretic assembly techniques. Nevertheless, the small volume and edge-directed emission of nanorod-light-emitting diodes necessitate brightness and light extraction improvements. As an alternative, we propose dielectrophoretic-friendly fin-light-emitting diodes, designed to enhance brightness and light extraction efficiency through face-selective dielectrophoretic assembly technology. Our results confirm the potential for next-generation inorganic displays, with a wafer utilization ratio exceeding 90%, a vertical assembly ratio of 91.3%, and a pixel production yield of 99.93%. Moreover, blue fin-light-emitting diodes achieve an external quantum efficiency of 9.1% and a brightness of 8640 cd m−2 at 5.0 V, which, even at this early stage, are comparable to existing technologies. Lee et al. report blue fin-LEDs with improved brightness and light extraction efficiency comparing to nanorod-LEDs by using a face-selective dielectrophoretic assembly technology. The wafer utilization ratio exceeds 90%, with a vertical assembly ratio of 91.3% and pixel production yield of 99.93%. [ABSTRACT FROM AUTHOR]

Decompensated cirrhotic patients experience severely increased intestinal permeability and bacterial translocation. Thus, autologous blood salvaged during deceased donor liver transplantation (DDLT) may be contaminated with enteric bacteria. We aimed to evaluate bacterial contamination of autologous blood salvaged during DDLT and its association with post-transplant bacteremia. In 30 patients undergoing DDLT, bacterial culture was performed in salvaged autologous blood samples: one before graft reperfusion (non-leukoreduced) and two after graft reperfusion (non-leukoreduced and leukoreduced). The primary outcome was bacterial contamination of salvaged autologous blood. Seven of 30 patients (23.3%) were positive for bacteria (3 enteric/4 non-enteric) before graft reperfusion while 11 patients (36.7%) were positive (5 enteric/6 non-enteric) after graft reperfusion. Six of 7 patients who were positive for bacteria before graft reperfusion were positive after graft reperfusion with the same bacteria. Only 4 of 11 contaminated blood samples were converted to negative after leukoreduction. Post-transplant bacteremia risk was insignificantly greater in patients who received autologous blood with bacteria than in patients without bacteria (30.0% vs. 5.0%, P = 0.06). We found contamination of salvaged autologous blood with enteric bacteria throughout DDLT and incomplete performance of leukoreduction, indicating high bacterial load. The potential association between contaminated autotransfusion and post-transplant bacteremia warrants further validation in a larger prospective study. Clinical trial notation: This study was registered at the Clinical Research Information Service (CRiS; https://cris.nih.go.kr; No. KCT0007223; principal registration investigator: Sangbin Han, date of registration: April 25, 2022). [ABSTRACT FROM AUTHOR]

Modifying the electrodes of electrochemical sensors is critical to enhance sensitivity, selectivity, and stability, ultimately improving both their effectiveness and performance. In this paper, recent advancements in electrochemical sensors are reviewed, focusing on the utilization of layered double hydroxides (LDHs). The first section explores the advantageous and disadvantageous aspects of electrochemical sensing. Benefits include rapid response, ease of operation, and cost-effectiveness, while drawbacks concern the potential instability of prolonged use, susceptibility to interference, and the risk of biomolecule inactivation. Following this, the second section delves into the synthesis, constituents, and structure of LDHs. Moreover, after introducing the chemical mechanisms and functions of LDHs in electrochemical sensors, we concentrate on diverse modifying materials of LDHs and their different performances. Finally, the applications of LDHs in electrochemical sensing across different fields are discussed. This review aims to facilitate the continued advancement for applying LDHs in electrochemical sensors, as well as inspire the evolution of electrochemical sensing technology. [ABSTRACT FROM AUTHOR]

Objective: To assess the prognostic impact of preoperative MRI features on outcomes for single large hepatocellular carcinoma (HCC) (≥ 8 cm) after surgical resection. Material and methods: This retrospective study included 151 patients (mean age: 59.2 years; 126 men) with a single large HCC who underwent gadoxetic acid-enhanced MRI and surgical resection between 2008 and 2020. Clinical variables, including tumor markers and MRI features (tumor size, tumor margin, and the proportion of hypovascular component on hepatic arterial phase (AP) (≥ 50% vs. < 50% tumor volume) were evaluated. Cox proportional hazards model analyzed overall survival (OS), recurrence-free survival (RFS), and associated factors. Results: Among 151 HCCs, 37.8% and 62.2% HCCs were classified as ≥ 50% and < 50% AP hypovascular groups, respectively. The 5- and 10-year OS and RFS rates in all patients were 62.0%, 52.6% and 41.4%, 38.5%, respectively. Multivariable analysis revealed that ≥ 50% AP hypovascular group (hazard ratio [HR] 1.7, p = 0.048), tumor size (HR 1.1, p = 0.006), and alpha-fetoprotein ≥ 400 ng/mL (HR 2.6, p = 0.001) correlated with poorer OS. ≥ 50% AP hypovascular group (HR 1.9, p = 0.003), tumor size (HR 1.1, p = 0.023), and non-smooth tumor margin (HR 2.1, p = 0.009) were linked to poorer RFS. One-year RFS rates were lower in the ≥ 50% AP hypovascular group than in the < 50% AP hypovascular group (47.4% vs 66.9%, p = 0.019). Conclusion: MRI with ≥ 50% AP hypovascular component and larger tumor size were significant factors associated with poorer OS and RFS after resection of single large HCC (≥ 8 cm). These patients require careful multidisciplinary management to determine optimal treatment strategies. Clinical relevance statement: Preoperative MRI showing a ≥ 50% arterial phase hypovascular component and larger tumor size can predict worse outcomes after resection of single large hepatocellular carcinomas (≥ 8 cm), underscoring the need for tailored, multidisciplinary treatment strategies. Key Points: MRI features offer insights into the postoperative prognosis for large hepatocellular carcinoma. Hypovascular component on arterial phase ≥ 50% and tumor size predicted poorer overall survival and recurrence-free survival. These findings can assist in prioritizing aggressive and multidisciplinary approaches for patients at risk for poor outcomes. [ABSTRACT FROM AUTHOR]

Water pollution by metals is increasing. An electrode material, copper hexacyanoferrate (CuHCF), for capacitive deionization (CDI) to remove Co2+ from wastewater was developed. The asymmetric electrode structure of the CDI overcomes the limitations of traditional activated carbon electrodes (low ion removal capacity, ion removal rate, and charge efficiency). The specific capacitance of the CuHCF electrode (216.7 F g−1) at 1 mV s−1 was higher than that of a traditional electrode (92.0 F g−1), and its deionization capacity was 156.85 mg g−1 in 50 mg L−1 aqueous Co2+ (charge efficiency = 68.4%). CuHCF is a high-performance electrode material for wastewater remediation. [ABSTRACT FROM AUTHOR]

Okadaic acid (OA) is a marine toxin generated by dinoflagellates, which poses considerable health risks to humans, primarily by causing diarrhetic shellfish poisoning via the consumption of contaminated bivalve mollusks. In this research, we examined the cytotoxic impact of OA on the EA.hy926 human vascular endothelial cell line and accordingly observed dose-dependent inhibition of cell viability upon exposure to OA using MTT assays. Transcriptomic analysis based on RNA sequencing revealed significant differential gene expressions associated with disrupted cell growth, proliferation, DNA damage response, angiogenesis, and DNA replication via GO and KEGG pathway enrichment analyses. In conjunction with the findings of ingenuity pathway analysis, the activation of inflammatory pathways, including the osteoarthritis and cachexia signaling pathways, is highlighted. Further validation via RT-qPCR analysis confirmed the upregulation of CDKN2D, CDKN1A, SOD2, SIRT1, and PLK1, which may be induced by inflammatory response and inhibition of DNA damage repair mechanisms. In addition, flow cytometric analysis also confirmed that OA accelerated the G1/S transition of vascular endothelial cells. OA has a significant impact on the vascular endothelium, and this study contributes to a broader understanding of the potential toxic effects of OA on cellular response mechanisms to OA. [ABSTRACT FROM AUTHOR]

The rising flexible and intelligent electronics greatly facilitate the noninvasive and timely tracking of physiological information in telemedicine healthcare. Meticulously building bionic-sensitive moieties is vital for designing efficient electronic skin with advanced cognitive functionalities to pluralistically capture external stimuli. However, realistic mimesis, both in the skin's three-dimensional interlocked hierarchical structures and synchronous encoding multistimuli information capacities, remains a challenging yet vital need for simplifying the design of flexible logic circuits. Herein, we construct an artificial epidermal device by in situ growing Cu3(HHTP)2 particles onto the hollow spherical Ti3C2Tx surface, aiming to concurrently emulate the spinous and granular layers of the skin's epidermis. The bionic Ti3C2Tx@Cu3(HHTP)2 exhibits independent NO2 and pressure response, as well as novel functionalities such as acoustic signature perception and Morse code-encrypted message communication. Ultimately, a wearable alarming system with a mobile application terminal is self-developed by integrating the bimodular senor into flexible printed circuits. This system can assess risk factors related with asthmatic, such as stimulation of external NO2 gas, abnormal expiratory behavior and exertion degrees of fingers, achieving a recognition accuracy of 97.6% as assisted by a machine learning algorithm. Our work provides a feasible routine to develop intelligent multifunctional healthcare equipment for burgeoning transformative telemedicine diagnosis. Highlights: A smart wearable alarming system integrated artificial epidermal device for pluralistically identifying asthmatic attack risk factors, achieving a 97.6% classification accuracy as assisted by machine learning algorithm. A meticulous mimicry both in the advanced structural attributes and encoding information abilities of the skin was adopted to design a novel artificial epidermal device by integrating conductive Cu3(HHTP)2 coupled with spherical Ti3C2Tx. The bioinspired Ti3C2Tx@Cu3(HHTP)2 sensors can independently perceive NO2 gas and pressure-triggered stimuli. [ABSTRACT FROM AUTHOR]

Recently, a founder Alu insertion in exon 4 of RP1 was detected in Japanese and Korean patients with inherited retinal diseases (IRDs). However, carrier frequency and diagnostic challenges for detecting AluY insertion are not established. We aim to investigate the frequency of AluY in individuals with or without IRDs and to overcome common diagnostic pitfalls associated with AluY insertion. A total of 1,072 subjects comprising 411 patients with IRD (IRD group) and 661 patients with other suspected Mendelian genetic disease (non-IRD group) was screened for AluY insertion. Targeted panel sequencing and whole-genome sequencing were used for detection of AluY insertion, and an optimized allele-specific PCR (AS-PCR) was used for validation. The AluY insertion was detected in 1.5% in IRD group (6/411). The AluY insertion was not observed in non-IRD group (0/661). All patients with AluY were confirmed to have RP1 pathogenic variants on the paired allele. We identified AluY allele dropout leading to false homozygosity for c.4196del pathogenic variant in Sanger sequencing. The allelic relationship between variants of RP1 was accurately determined by AluY AS-PCR. Delineating diagnostic challenges of AluY insertion and strategies to avoid potential pitfalls could aid clinicians in an accurate molecular diagnosis for patients with IRD. [ABSTRACT FROM AUTHOR]

Typhoid fever, caused by Salmonella enterica serovar Typhi, results in over 1.2 million cases and 29 thousand deaths annually from sub-Saharan Africa. Combating this disease requires various intervention approaches, such as typhoid conjugate vaccines and improving water, sanitation, and hygiene. Enhancing the effectiveness of these strategies necessitates a deeper understanding of the variation of the typhoid fever across the target region. Although the magnitude and variation of typhoid fever at the country level have been studied globally, sub-national variation remains underexplored. To address this gap, we collected data from 229 published reports on typhoid fever occurrences in sub-Saharan Africa between January 2000 and December 2020. The dataset includes information on the year and geographical location of observation, diagnostic tests used, and the type of studies in which typhoid fever was reported. By analyzing this dataset, we can gain insights into the sub-national heterogeneity of typhoid fever's burden in the region. This knowledge will be instrumental in designing more effective intervention strategies to combat the disease. [ABSTRACT FROM AUTHOR]

The IL-23-Th17 axis is responsible for neutrophilic inflammation in various inflammatory diseases. Here, we discover a potential pathway to inhibit neutrophilic asthma. In our neutrophil-dominant asthma (NDA) model, single-cell RNA-seq analysis identifies a subpopulation of CD39+CD9+ interstitial macrophages (IMs) suppressed by IL-23 in NDA conditions but increased by an IL-23 inhibitor αIL-23p19. Adoptively transferred CD39+CD9+ IMs suppress neutrophil extracellular trap formation (NETosis), a representative phenotype of NDA, and also Th17 cell activation and neutrophilic inflammation. CD39+CD9+ IMs first attach to neutrophils in a CD9-dependent manner, and then remove ATP near neutrophils that contribute to NETosis in a CD39-dependent manner. Transcriptomic data from asthmatic patients finally show decreased CD39+CD9+ IMs in severe asthma than mild/moderate asthma. Our results suggest that CD39+CD9+ IMs function as a potent negative regulator of neutrophilic inflammation by suppressing NETosis in the IL-23-Th17 axis and can thus serve as a potential therapeutic target for IL-23-Th17-mediated neutrophilic asthma. Interstitial macrophages (IM) are a specialised population of macrophage cells in the lungs which regulate lung inflammation. Here using mouse models, the authors show that a CD39+CD9+ IM population reduce IL-23/Th17 driven neutrophilic inflammation through suppression of NETosis. [ABSTRACT FROM AUTHOR]

Purpose: A tibial cement spacer (TCS) with spikes offers better initial stability than a conventional TCS and reduces spacer-related problems in two-stage revision total knee arthroplasty (R-TKA) for infection. We compared the clinical outcomes of two-stage revision arthroplasty for infected TKA using spiked TCS with that of conventional TCS. Methods: This retrospective cohort study included 29 patients who underwent two-stage revision arthroplasty using an articulating cement spacer and who could be followed up for at least one year. Group S comprised 14 patients using spiked TCS, whereas Group C comprised 15 patients using conventional TCS. Demographic data, the interval from first to second stage revision, motion arc, numerical rating scale (NRS), Knee Society (KS) score, serum levels of erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), and frequency of repeating the first-stage and infection recurrence after R-TKA between the groups were analyzed. Results: No significant differences were observed in the female ratio and mean age between both groups. The mean interval between the first and second stage revision was significantly shorter in Group S than in Group C. The mean motion arc was significantly larger in Group S than in Group C. The mean NRS was significantly lower in Group S than in Group C. The mean KS score in Group S was significantly higher than that in Group C. Serum ESR and CRP levels did not differ between the groups. The frequency of repeating the first stage was lower in Group S than in Group C. However, the recurrence rate after R-TKA was higher in Group S than in Group C. Conclusion: Compared with conventional TCS, spiked TCS shortened the period until R-TKA and improved pain and function levels. However, no significant difference existed in the rate of infection recurrence after R-TKA. [ABSTRACT FROM AUTHOR]

A Gram-stain-negative, strictly aerobic, non-motile, rod-shaped, designated strain CAU 1642 T, was isolated from a Salicornia herbacea collected from a tidal flat in the Yellow Sea. Strain CAU 1642 T grew optimally at pH 8.0 and 30 °C. The highest 16S rRNA gene sequence similarity was 97.25%, with Pseudomarinomonas arenosa CAU 1598 T, and phylogenetic analysis indicated that strain CAU 1642 T belongs to the genus Pseudomarinomonas. The major cellular fatty acids were iso-C15:0, iso-C16:0, and summed feature 9 (iso-C17:1ω9c and/or 10-methyl C16:0). Ubiquinone-8 was the major respiratory quinone. The draft genome of strain CAU 1642 T was 4.5 Mb, with 68.7 mol% of G + C content. The phylogenetic, phenotypic, and chemotaxonomic analysis data reveal strain CAU 1642 T to be of a novel genus in the family Lysobacteraceae, with the proposed name Pseudomarinomonas salicorniae sp. nov. with type strain CAU 1642 T (= KCTC 92084 T = MCCC 1K07085T). [ABSTRACT FROM AUTHOR]

We investigated exciton–phonon interactions in three types of GaAs/ Al 0.3 Ga 0.7 As quantum dots (QDs grown by droplet epitaxy. Comparative optical studies were conducted on QDs of similar species, grown under identical conditions, and on various other QD types. Multioscillator models were employed to analyze the phonon coupling channels in various QD species, with a focus on the influence of capping time on high-energy phonon channels. The findings were found to be consistent with those of previous atomic-scale structural analyses. Engineering exciton–phonon interactions offers a viable approach for implementing QD-based devices in optoelectronics, thermoelectrics, and information-processing applications. [ABSTRACT FROM AUTHOR]

Background: Patients achieving pathological complete response (pCR) post-neoadjuvant chemoradiotherapy (nCRT) and surgery for locally advanced esophageal squamous cell carcinoma (ESCC) have a favorable prognosis. However, recurrence occurs in approximately 20–30% of all patients, with few studies evaluating their prognostic factors. We identified these prognostic factors, including inflammation-based markers, in patients with ESCC showing pCR after nCRT and surgery. Patients and Methods: Patients with ESCC undergoing esophagectomy post-nCRT (January 2007–August 2017) were studied. Survival analysis evaluated 5-year overall (OS) and recurrence-free survival (RFS). Risk factors, including inflammation factors, neutrophil-to-lymphocyte ratio, and platelet-to-lymphocyte ratio (PLR), were analyzed using Cox-proportional hazards model. Results: Overall, 123patients participated herein. After a median follow-up duration of 67 months (44–86 months), 17 patients (12.3%) had recurrent disease. The 5-year OS and RFS rates were 71.6% and 68.0%, respectively. In the multivariable analysis, older age (≥ 60 years) [hazard ratio (HR) 3.228, 95% confidence interval (CI) 1.478–7.048, p = 0.003], higher pretreatment T stage (≥ T3; HR 2.563, 95% CI 1.335–4.922, p = 0.005), nonapplication of induction chemotherapy (HR 2.389, 95% CI 1.184–4.824, p = 0.015), and higher post-nCRT PLR (≥ 184.2; HR 2.896, 95% CI 1.547–5.420, p = 0.001) were poor independent prognostic factors for 5-year RFS. The patient group with three to four identified factors with poor outcomes exhibited a 5-year RFS rate of 46.2%. Conclusions: Significant prognostic factors include higher post-nCRT PLR, older age, higher clinical T stage, and nonapplication of induction chemotherapy. Identifying higher recurrence risk patients is crucial for tailored follow-up and treatment. [ABSTRACT FROM AUTHOR]

In recent years, kidney cancer has become one of the most serious medical issues. Kidney cancer is treated with a variety of active compounds that trigger genes that cause cancer. We identified in our earlier research that isoquercitrin (IQ) can activate PIK3CA, IGF1R, and PTGS2. However, it has a very low bioavailability because of its lower solubility in water. So, we utilized sub-merge fermentation technology with two well-known probiotics, Lactobacillus acidophilus and Bacillus subtilis, as a microbial source and mulberry fruit extract as a substrate, which has a high IQ level to improve IQ yield. Furthermore, we compared the total phenolic, flavonoid, and antioxidant contents of fermented and non-fermented samples, and we found that the fermented samples had greater levels than non-fermented sample. In addition, the high-performance liquid chromatography (HPLC) results showed that the fermented mulberry fruit extract from B. subtilis and L. acidophilus showed higher IQ values (190.73 ± 0.004 μg/ml and 220.54 ± 0.007 μg/ml, respectively), compared to the non-fermented samples, which had IQ values (80.12 ± 0.002 μg/ml). Additionally, at 62.5 µg/ml doses of each sample, a normal kidney cell line (HEK 293) showed higher cell viability for fermented and non-fermented samples. Conversely, at the same doses, the fermented samples of L. acidophilus and B. subtilis in a kidney cancer cell line (A498) showed an inhibition of cell growth around 36% and 31%, respectively. Finally, we performed RT and qRT PCR assay, and we found a significant reduction in the expression of the PTGS2, PIK3CA, and IGF1R genes. We therefore can conclude that the fermented samples have a higher concentration of isoquercitrin, and also can inhibit the expression of the genes PTGS2, PIK3CA, and IGF1R, which in turn regulates kidney cancer and inflammation. [ABSTRACT FROM AUTHOR]

Background: The medicinal properties and benefits of collagen peptides (CPs) are widely recognized and utilized. However, the potential genotoxicity of CPs remains elusive. Objective: The objective of this study was to assess the potential genotoxicity of CP derived from skate (Raja kenojei) skin (CPSS). To achieve this, we conducted a comprehensive study using three standard battery systems in accordance with the test guidelines provided by the Organisation for Economic Cooperation and Development and the Korean Ministry of Food and Drug Safety, as well as the principles of Good Laboratory Practice. Results: We performed a bacterial reverse mutation (Ames) test using the pre-incubation method, with or without a metabolic activation system (S9 mixture). The Ames test, conducted on Salmonella typhimurium strains TA98, TA100, TA1535, and TA1537, as well as Escherichia coli strain WP2uvrA, demonstrated that CPSS did not cause gene mutations in any of the tested strains, regardless of the dose level. In addition, we performed an in vitro chromosome aberration test using cultured Chinese hamster lung fibroblast cells, with and without the S9 mixture, and an in vivo mouse bone marrow micronucleus test on specific pathogen-free male ICR mice. Both the in vitro chromosomal aberration test and the in vivo micronucleus test revealed no chromosomal aberrations resulting from CPSS treatment. Conclusion: Our findings demonstrate that CPSS does not exhibit mutagenic or clastogenic activity in either in vitro or in vivo test systems, supporting its potential as a safe material for medical use. [ABSTRACT FROM AUTHOR]

Parkinson’s disease (PD) reports high rates of morbidity and mortality, but the risk of adverse cardiovascular outcomes in patients with PD has not been fully elucidated. This bi-center retrospective cohort study using the electronic health records (EHR) database of two tertiary hospitals screened a total of 327,292 subjects who visited the outpatient clinic, and 1194 patients with PD were propensity score-matched with a control population. The primary outcome was the occurrence of major adverse cardiovascular events (MACE). Key secondary outcomes included all-cause death, cardiovascular (CV) death, stroke, myocardial infarction (MI), heart failure hospitalization and 30-day CV death. After PS matching, MACE occurrence was not significantly different between PD and non-PD groups (18.2% vs. 17.5%, log-rank p = 0.98). Key secondary outcomes were also similar between the two groups. In patients with PD, MACE rate, and also CV risk score, were higher in patients with more severe PD (according to Hoehn and Yahr scale and unified Parkinson’s disease rating scale), and after multivariable analysis, PD severity was not an independent predictor of MACE. Patients with PD are at an increased risk of adverse cardiovascular outcomes, but the contribution from other common CV risk factors cannot be ignored. The management of prevalent CV risk factors is therefore important in mitigating adverse outcomes among patients with PD. [ABSTRACT FROM AUTHOR]

This retrospective study endeavors to scrutinize risk factors associated with infections resulting from external ventricular drainage (EVD) and to assess the effectiveness of chlorhexidine dressing in mitigating infection rates. Conducted from January 2018 to July 2023, this single-center study encompassed 108 EVD patients. Comprehensive data on demographics, comorbidities, surgical procedures, and the utilization of chlorhexidine dressing were meticulously compiled. The primary endpoint was the incidence of EVD-associated infections based on CDC criteria. Infection rates attributable to EVD were 24.32% without and 20.59% with chlorhexidine dressing. Notably, diabetes mellitus emerged as the solitary significant infection risk factor (p < 0.01). Although the application of chlorhexidine dressing suggested a propensity for diminishing infection rates, statistical significance remained elusive. No notable disparities were discerned in variables such as catheter type, procedural location, and underlying diseases. Diabetes mellitus has been identified as a significant risk factor for EVD-associated infections. While the utilization of chlorhexidine dressing exhibited a potential reduction in infection rates, the lack of statistical significance underscores the imperative for further research, encompassing more expansive randomized trials, to comprehensively evaluate the safety and efficacy of chlorhexidine dressings in preventing EVD-associated infections. [ABSTRACT FROM AUTHOR]

The issue of rainfall-induced slope failure has attracted more attention from geotechnical engineers as a consequence of global warming. Current cumulative waste disposal has generated scientific interest in the utilization of waste materials in geotechnical design for climate change adaptation measures. Taking into consideration the effect of slope height and angle, steel slag—a waste product derived from the production of steel—was investigated as a slope cover against rainfall. To assess the stability of the slope and the infiltration of water into the soil, numerical analyses were conducted using both SEEP/W and SLOPE/W software in conjunction with rainfall conditions. Based on the findings, it can be concluded that increasing the slope's elevation and inclination will have an adverse effect on its safety factor. Steel slag can nevertheless be utilized for minimizing rainwater infiltration into the slope, as indicated by the pore-water pressure variations and graphs of the safety factor versus time. For a 20-m slope height, steel slag slopes have demonstrated a lower factor of safety difference in comparison to the initial slope without remediation. Regardless of slope angle and slope height, the safety factor reduces marginally during rainfall. [ABSTRACT FROM AUTHOR]

Background: In the FIGHT study (NCT03694522) bemarituzumab, a humanized monoclonal antibody selective for fibroblast growth factor receptor 2b (FGFR2b), plus mFOLFOX6 showed clinically meaningful efficacy in patients with FGFR2b-positive (2+/3+ membranous staining by immunohistochemistry) locally advanced unresectable/metastatic gastric/gastroesophageal cancer (G/GEJC). A meaningful proportion of patients in FIGHT were enrolled in East Asia, reflecting global epidemiology of G/GEJC. Methods: This subgroup analysis of the global, phase 2, double-blind FIGHT study included all patients enrolled in East Asian sites. Patients were randomized 1:1 to bemarituzumab-mFOLFOX6 (15 mg/kg and one 7.5 mg/kg dose on cycle 1, day 8) or matching placebo-mFOLFOX6. The primary endpoint was investigator-assessed progression-free survival (PFS). Secondary endpoints included overall survival (OS), objective response rate, and safety. Efficacy was evaluated after a minimum follow-up of 24 months. Results: The East Asian subgroup comprised 89 patients (57% of overall study population); 45 were randomized to bemarituzumab-mFOLFOX6 and 44 to placebo-mFOLFOX6. Median PFS (95% confidence interval [CI]) was 12.9 months (8.8–17.9) with bemarituzumab-mFOLFOX6 and 8.2 months (5.6–10.3) with placebo-mFOLFOX6 (HR 0.50, 95% CI 0.29–0.87); median OS (95% CI) was 24.7 months (13.8–33.1) vs 12.9 months (9.3–21.4), respectively (HR 0.56, 95% CI 0.32–0.96). Treatment benefit was more pronounced in patients with FGFR2b-positive G/GEJC in ≥ 10% of tumor cells. No new safety signals were reported. Conclusion: In East Asian patients with FGFR2b-positive advanced/metastatic G/GEJC enrolled in the global FIGHT study, bemarituzumab-mFOLFOX6 showed clinically meaningful outcomes over placebo-mFOLFOX6. [ABSTRACT FROM AUTHOR]

Instrumented indentation technique provides a simple and quick means to investigate mechanical properties such as hardness and elastic modulus near the material surface. However, accurately predicting plastic pileup/sink-in during indentation remains a hurdle in calibrating real contact depth, affecting precise material property evaluation, especially in metallic materials. This study utilizes machine learning on extensive finite element analysis (FEA) data to exclusively predict elastic modulus from indentation curves. Leveraging comprehensive FEA data from sharp and spherical indentations across diverse material properties, our neural network-based models showcase impressive accuracy, achieving approximately 0.65 and 1.72% Mean Absolute Percentage Error for spherical and sharp indentations, respectively. Furthermore, we address the impact of indenter geometry imperfections on prediction accuracy. Through data normalization and subsequent transfer learning, we effectively minimize the MAPE deviation in predicted elastic modulus between results obtained from perfect and imperfect indenters. [ABSTRACT FROM AUTHOR]

In Almaty, the largest city in Kazakhstan lying on a high seismic region, many residential buildings constructed during the Soviet Union are still in service. These buildings were not properly designed against earthquakes and special seismic detailing was not well considered according to the local design code. Therefore, this paper presents an analytical seismic assessment of two typical reinforced concrete moment frame residential structures constructed in this era, representing 812 buildings with almost identical construction materials, geometries, and structural details. Two-dimensional nonlinear models were developed for these buildings in each orthogonal direction based on the structural details collected from a Kazakh government agency. Incremental dynamic analyses were then performed using 24 historical strong ground motions with fault characteristics similar to those in the Almaty region. Structural global and local seismic responses were investigated. A new approach was proposed to define structural global inter-story drift limits at different damage states based on local seismic demands considering uncertainties of earthquakes and structural nonlinear dynamic responses. Based on these inter-story drift limits, the structural fragility curves were then developed to identify the damage probability of these buildings, which were further used to roughly estimate repair costs at different earthquake intensity levels. It has been found that these buildings are vulnerable to destructive earthquakes due to poor structural details. They possess a high probability of incurring extensive damage (high repair cost) or even collapsing (irreparable) at the earthquake intensity level, with a return period of 475 years or 2475 years, respectively. [ABSTRACT FROM AUTHOR]