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In this work, we investigated the single-event transient (SET) characteristics of a vertical junctionless field-effect transistor (VJLFET) on a bulk substrate using three-dimensional technology computer aided design (3-D TCAD) simulation. Electron–hole pairs (EHPs) generated by the heavy ion irradiation induced a high peak drain current pulse (IDS_P). The VJLFET was significantly affected by the ion strike injected through the drain region than the source region because the ion injected through the drain region directly supplied electron and hole carriers. Hole charges generated by the heavy ion irradiation were accumulated by the floating body effect, which was caused by the depletion region under the gate dielectric. This phenomenon led to a higher drain current after the irradiation (IDS_A) than the off-state current (Ioff). Since the floating body effect was reduced by applying Germanium (Ge) material in the source region, the VJLFET with the Ge source region shows merits in term of radiation hardness.

Solar-driven photocatalytic production of hydrogen peroxide (H2O2) requires only sunlight, oxygen, and water, making it a green and sustainable alternative to conventional H2O2 production processes. We present photocatalytic carbon dots (CDs) as a new candidate for high-performance H2O2 production. Owing to the generation of an excellent charge carrier and the presence of various oxygen-containing functional groups, CDs showed an outstanding H2O2 production capability of 609.4 μmol g-1 h-1 even in the absence of an electron donor, demonstrating promising self-electron-donating capabilities. Hydroxyl groups on their surface, in particular, serve a dual role as photocatalytic active sites and as electron and proton donors toward the oxygen reduction reaction (ORR). The photocatalytic activity of CDs was significantly improved to 1187.8 μmol g-1 by functionalizing their surfaces with anthraquinone (AQ) as a co-catalyst; it promoted the charge carrier separation and electrochemically favors the two-electron pathway of ORR. These carbon-based metal-free nanohybrids that are a unique combination of CDs and AQ could offer insights into designing efficient photocatalysts for future solar-to-H2O2 conversion systems.

This paper presents a one-transistor dynamic random-access memory (1T-DRAM) cell based on a gate-all-around junction-less field-effect transistor (GAA-JLFET) with a Si/SiGe heterostructure for high-density memory applications. The proposed 1T-DRAM achieves the sensing margin using the difference in hole density in the body region between &lsquo, 1&rsquo, and &lsquo, 0&rsquo, states. The Si/SiGe heterostructure forms a quantum well in the body and reduces the band-to-band tunneling (BTBT) barrier between the body and drain. Compared with the performances of the 1T-DRAM with Si homo-structure, the proposed 1T-DRAM improves the sensing margin and retention time because its storage ability is enhanced by the quantum well. In addition, the thin BTBT barrier reduced the bias condition for the program operation. The proposed 1T-DRAM showed a high potential for memory applications by obtaining a high read current ratio at &lsquo, states about 108 and a long retention time above 10 ms.

The device performance deterioration mechanism caused by the total ionizing dose effect after the &gamma, ray irradiation was investigated in GaN-based metal-insulator-semiconductor high electron mobility transistors (MIS-HEMTs) for a 5 nm-thick SiN and HfO2 gate dielectric layer. The &gamma, ray radiation hardness according to the gate dielectric layer was also compared between the two different GaN-based MIS-HEMTs. Although HfO2 has exhibited strong tolerance to the total ionizing dose effect in Si-based devices, there is no detail report of the &gamma, ray radiation effects in GaN-based MIS-HEMTs employing a HfO2 gate dielectric layer. The pulsed-mode stress measurement results and carrier mobility behavior revealed that the device properties not only have direct current (DC) characteristics, but radio frequency (RF) performance has also been mostly degraded by the deterioration of the gate dielectric quality and the trapped charges inside the gate insulator. We also figured out that the immunity to the &gamma, ray radiation was improved when HfO2 was employed instead of SiN as a gate dielectric layer due to its stronger endurance to the &gamma, ray irradiation. Our results highlight that the application of a gate insulator that shows superior immunity to the &gamma, ray irradiation is a crucial factor for the improvement of the total ionizing dose effect in GaN-based MIS-HEMTs.

This study aimed to restore the skin barrier function from atopic dermatitis (AD) via treatment with leucine-rich glioma inactivated 3 (LGI3) peptide. Male NC/Nga mice (7 weeks, 20 g) were randomly allocated into three groups (control, AD, and LGI3 group). After induction of AD skin lesions with Dermatophagoides farinae ointment, mice were treated with LGI3. The clinical score of AD was the highest and the dorsal skin thickness was the thickest in the AD group. In contrast, LGI3 treatment improved the clinical score and the dorsal skin thickness compared to the AD model. LGI3 treatment suppressed histopathological thickness of the epithelial cell layer of the dorsal skin. LGI3 treatment could indirectly reduce mast cell infiltration through restoring the barrier function of the skin. Additionally, the filaggrin expression was increased in immunohistochemical evaluation. In conclusion, the ameliorating effect and maintaining skin barrier homeostasis in the AD murine model treated with LGI3 could be attributed to complete re-epithelialization of keratinocytes. Hence, LGI3 might be considered as a new potential therapeutic target for restoring skin barrier function in AD.

A gallium nitride (GaN)-based normally off metal&ndash, oxide&ndash, semiconductor field-effect transistor (MOSFET) using a dual-metal-gate (DMG) structure was proposed and fabricated to improve current drivability. Normally off operation with a high Vth of 2.3 V was obtained using a Cl2/BCl3-based recess etching process. The DMG structure was employed to improve current characteristics, which can be degraded by recess etching. The ID and gm of a DMG-based device with nickel (Ni)-aluminum (Al) were improved by 42.1% and 30.9%, respectively, in comparison to the performances of a single-metal-gate-based device with Ni because the DMG structure increased electron velocity in the channel region. This demonstrates that the DMG structure with a large work-function difference significantly improves the carrier transport efficiency. GaN-based recessed-gate MOSFETs based on the DMG structure hold promising potentials for high-efficiency power devices.

To provide the insight for postoperative hypotonia. Selective posterior rhizotomy (SPR) has been proved as a powerful tool for reducing spasticity. And also, its functional benefit and long-term effect are also well-known.The most considered side effect of this procedure is postoperative hypotonia. However, some extent of temporary postoperative hypotonia can be the marker of the long-term success of this procedure. While the return of spasticity is the most unwanted side effect, some kind of overfitting, temporary postoperative hypotonia, can be the solution for that.For severely deformed patients, postoperative hypotonia may not be problematic, because severe spasticity makes them deformed and disabled. Deformed body will not show a definite disability from postoperative hypotonia.

Traumatic brain injury (TBI) causes mortality and disability worldwide. It can initiate acute cell death followed by secondary injury induced by microglial activation, oxidative stress, inflammation and autophagy in brain tissue, resulting in cognitive and behavioral deficits. We evaluated a new pomalidomide (Pom) analog, 3,6’-dithioPom (DP), and Pom as immunomodulatory agents to mitigate TBI-induced cell death, neuroinflammation, astrogliosis and behavioral impairments in rats challenged with controlled cortical impact TBI. Both agents significantly reduced the injury contusion volume and degenerating neuron number evaluated histochemically and by MRI at 24 hr and 7 days, with a therapeutic window of 5 hr post-injury. TBI-induced upregulated markers of microglial activation, astrogliosis and the expression of pro-inflammatory cytokines, iNOS, COX-2, and autophagy-associated proteins were suppressed, leading to an amelioration of behavioral deficits with DP providing greater efficacy. Complementary animal and cellular studies demonstrated DP and Pom mediated reductions in markers of neuroinflammation and α-synuclein-induced toxicity.

Background and purpose Moyamoya disease (MMD) is a rare form of intracranial stenoocclusive disease that can be associated with intracranial aneurysms. We evaluated the clinical features and outcomes of MMD-associated aneurysms while focusing on their locations. Methods Between January 1998 and December 2018 there were 1,302 adult and pediatric patients diagnosed as MMD at a single institution. These patients included 38 with 44 MMD-associated aneurysms. The MMD-associated aneurysms were classified into two groups based on their locations: major-artery aneurysms and non-major-artery aneurysms. The clinical and radiological data for patients with MMD-associated aneurysms were reviewed retrospectively. Results The 44 MMD-associated aneurysms comprised 28 in major arteries and 16 in nonmajor arteries. All of the major-artery aneurysms were initially unruptured lesions, and follow-up angiography showed that 23 (82.1%) had an improved or stable status and 5 (17.9%) had a worse status. The non-major-artery aneurysms comprised 10 ruptured and 6 unruptured lesions, and follow-up angiography showed that 11 (68.8%) had improved or were stable and 5 (31.2%) had worsened. At the latest follow-up, there were four cases of unfavorable outcome: two initial hemorrhagic insults, one treatment-related morbidity, and one repeated-hemorrhage case. Conclusions MMD-associated aneurysms occurred in 3.3% of the MMD cohort in this study, of which 63.6% were major-artery aneurysms and 36.4% were non-major-artery aneurysms. The major-artery group included 17.9% that became angiographically worse, while 31.2% were growing or hemorrhaging in the non-major-artery group.

H

Purpose: The aim of this study was to develop a measurement tool to assess health-related behavior of adolescents with moyamoya disease. Design: This was a methodological study to develop and validate the Moyamoya-Health Behavior scale (Moyamoya-HB scale) for adolescent patients. Methods: The initial 108 items of the preliminary Moyamoya-HB scale for adolescent patients were generated based on extensive literature reviews and in-depth focus-group interviews with eight moyamoya-suffering adolescents and 12 parents. Group interviews were conducted by six experts (two pediatric neurosurgeons, one psychologist and three nurses). Psychometric testing was performed with a convenience sample of 120 hospitalized adolescents with moyamoya disease recruited from Y University hospitals in South Korea. The construct validity, convergent validity and discriminant validity were tested by exploratory and confirmatory factor analysis. For criterion validity, concurrent validity was confirmed by using the Korean adolescents’ health behaviors tool. To confirm the reliability of the Moyamoya-HB scale, the construct reliability and Cronbach’s alpha coefficients were calculated. Findings: The final 12-item Moyamoya-HB scale for adolescents was categorized by three sub-domains: implementation of treatment for moyamoya disease, health promoting behavior for moyamoya disease and health coping behavior for moyamoya disease. Overall, these factors explained 68.97% of the total variance. The result of the confirmative factor analysis supported the construct, convergent and discriminant validity of the three sub-domains. The Moyamoya-HB scale for adolescents also demonstrated a concurrent validity with the Korean adolescents’ health behaviors tool ( r = .59, p

Micropunch grafting is the simplest surgical intervention for refractory vitiligo but is tedious and time-consuming. Therefore, we aimed to verify the efficacy and safety of dermal orientation grafting using motorized 0.5-mm micropunch grafting for vitiligo. In a preliminary animal study, 12-week-old rats were used to observe the healing process after the transplantation of dermal orientation grafts with various punch sizes. In a clinical trial, a total of 100 vitiligo patches in 50 patients with stable vitiligo were randomly allocated to motorized 0.5-mm micropunch grafting in epidermal and dermal orientations, respectively. The grafts were implanted at intervals of 5 mm at the recipient site. Treatment success was defined as greater than 75% repigmentation. In the animal study, all grafts were shown to be well integrated into the recipient site within 3 weeks. In the clinical trial, treatment success was achieved in 72% and 76% of the epidermal and dermal orientation groups, respectively; a cobblestone appearance was observed in 4% and 2%, respectively. In conclusion, we demonstrated that this new grafting method irrespective of epidermal-dermal orientation using motorized 0.5-mm micropunch grafting was effective and safe. We have named this the "skin seeding technique" and it differs from traditional punch grafting in that it can be performed regardless of the graft orientation.

Purpose We investigated optimal management for intracranial germinoma, including target volume and dose of radiation therapy (RT) and the combination of RT and chemotherapy (CTx). Methods and Materials We retrospectively evaluated 213 patients with intracranial germinoma treated between 1971 and 2017. Treatment policies changed as diagnostic techniques and clinical experience improved. In the 1980s, trial RT and tumor marker study were performed, and craniospinal irradiation was performed to treat patients with presumed germinoma. CTx was introduced in 1991, and RT volume was reduced in patients showing a complete response. In 2012, the policy was changed to a “reduced volume/dose RT alone” approach, involving a smaller target volume (the whole ventricle/whole brain for localized disease) without CTx. RT doses were gradually reduced to 36 Gy for primary tumors and 18 Gy for neuraxis. Results The median age was 16 years. In total, 118 and 95 patients had pathologically proven and presumed germinoma, respectively, and 151 and 62 patients had localized and multifocal or metastatic diseases, respectively. With a median follow-up of 141 months, the 10-year disease-free and overall survival rates were 91.6% and 95.6%, respectively. Recurrence rates were similar for patients receiving RT-only (9 of 137, 6.6%) and those receiving CTx + RT (4 of 73, 5.5%); all patients receiving CTx-only experienced recurrences (3 of 3, 100%). Rates were the highest in the focal RT group (10 of 29, 34.5%) but were relatively low in the whole ventricle/whole brain RT (3 of 51, 5.9%) and craniospinal irradiation groups (0 of 130, 0%). Infield failure occurred in 3 patients. Fourteen patients died of recurrence (n = 4), secondary malignancy (n = 4), CTx-related toxicity (n = 2), and others (n = 4). Among the 33 patients who received “reduced volume/dose RT alone” treatment, 2 (6.1%) experienced recurrence in the spinal cord and biopsy tract, respectively. Conclusions The additional benefit of CTx in the treatment of intracranial germinoma seems minimal. An RT-only approach with reduced target volume and dose seems reasonable.

Background and Purpose A multifactorial antiepileptic mechanism underlies the ketogenic diet (KD), and one of the proposed mechanisms of action is that the KD inhibits the mammalian target of rapamycin (mTOR) pathway. To test this clinically, this study aimed to determine the efficacy of the KD in patients with pathologically confirmed focal cortical dysplasia (FCD) due to genetically identifiable mTOR pathway dysregulation. Methods A cohort of patients with pathologically confirmed FCD after epilepsy surgery and who were screened for the presence of germline and somatic mutations related to the mTOR pathway in peripheral blood and resected brain tissue was constructed prospectively. A retrospective review of the efficacy of the prior KD in these patients was performed. Results Twenty-five patients with pathologically confirmed FCD and who were screened for the presence of detectable somatic mTOR pathway mutations had received a sufficient KD. Twelve of these patients (48.0%) had germline or somatic detectable mTOR pathway mutations. A response was defined as a ≥50% reduction in seizure frequency. The efficacy of the KD after 3 months of dietary therapy was superior in patients with detectable mTOR pathway mutations than in patients without detectable mTOR pathway mutations, although the difference was not statistically significant (responder rates of 58.3% vs. 38.5%, p=0.434). Conclusions A greater proportion of patients with mTOR pathway responded to the KD, but there was no statistically significant difference in efficacy of the KD between patients with and without detectable mTOR pathway mutations. Further study is warranted due to the smallness of the sample and the limited number of mTOR pathway genes tested in this study.

Korea Multi-Purpose Accelerator Complex (KOMAC) has been supporting a user beam service using 20- and 100-MeV proton beam facilities since the second half of 2013, and recently, beam facilities for radioisotope production and a low-flux proton beam have been built. A 100-MeV low-flux proton beam facility was constructed in 2007, which was due to the strong requirements of users in various R&D fields, such as space radiation, medical/biology, and radiation detectors. For the low-flux beam facility, the compact modules for beam flux control were designed, and various beam diagnosis tools were installed in the target room. In the process room, a user-friendly measurement system, consisting of DC power supplies, electrometers, NIM modules, was designed for data processing and acquisition. In addition, the ion beam facilities based on gas and metal ion sources provide an ion implantation service. In particular, beam analysis services, such as PIXE and RBS, have been started using the tandem accelerator. Moreover, analysis equipment for the material, device/electronic, and bio/medical fields was installed at KOMAC for confirming the effects of beam irradiation on various samples. Finally, we aim to provide users with a one-stop service from beam irradiation to measurement at KOMAC.

Leucine-rich repeat LGI family member 3 (LGI3), a member of the LGI family, is a secreted protein that is expressed not only in the brain and adipose tissues, but also in various skin cells. We previously reported that LGI3 was secreted after exposure to ultraviolet B and promoted the migration of HaCaT human keratinocytes. In the present study, we investigated whether LGI3 influences the differentiation of keratinocytes. The results show that the expression of involucrin, a keratinocyte differentiation marker, was reduced in tissue from LGI3-knockout mice. Those results indicate that LGI3 plays an important role in keratinocyte differentiation. Therefore, we treated HaCaT cells with LGI3 to examine its effect on keratinocyte differentiation. Protein levels of various differentiation markers were enhanced by treatment with LGI3. Furthermore, expression of differentiation markers was inhibited when keratinocytes were transfected with an siRNA for LGI3. LGI3 strongly activated Akt, whereas it had no apparent effect on extracellular signal-regulated kinase, p38 mitogen-activated protein kinase, or the c-Jun N-terminal kinase. A specific inhibitor of phosphoinositide 3-kinase, LY294002, reduced LGI3-induced expression of differentiation markers in HaCaT cells. Taken together, these results suggest that LGI3 promotes keratinocyte differentiation and could be used as a therapeutic agent to recover skin barrier function in epidermal barrier disruption.

Hierarchical porous TiO2 photoelectrodes fabricated using freeze-casting method were introduced for efficient light scattering effect in dye-sensitized solar cells (DSSCs). Unique porous microstructures (lamellar or interconnected pore structures) were obtained by controlling the concentrations of slurry and binder. The freeze-casted photoelectrodes exhibited stronger light scattering effects than conventionally screen-printed mesoporous photoelectrode. This is attributed to a great number of scattering sites (interconnected pores with the size range of 50–500 nm), which are uniformly distributed throughout the entire freeze-casted photoelectrodes, resulting in an enhancement of the light pathway. As a result, despite a lower dye adsorption and less kinetically efficient charge transport, DSSCs based on freeze-casted photoelectrodes showed significant conversion efficiencies (3.64%) compared with those of DSSCs based on conventionally screen-printed photoelectrodes (2.57%). This study suggests that the hierarchical porous photoelectrodes fabricated using the freeze-casting are promising candidates for highly efficient DSSCs.

The current study was designed to investigate the therapeutic effects of Maresin 1 (MAR1) on atherosclerotic response. Human monocytes THP-1 and human umbilical vein endothelial cells (HUVECs) were used to investigate the effects of MAR1 on lipopolysaccharide (LPS)-induced inflammation and apoptosis. In this study, we found that MAR1 induces peroxisome proliferator-activated receptor alpha (PPARα) expression. We also demonstrated that MAR1 suppresses atherosclerotic reactions caused by LPS treatment via a PPARα-dependent pathway. MAR1 treatment inhibited LPS-induced phosphorylation of nuclear factor kappa B (NF-κB) and secretion of pro-inflammatory cytokines in HUVECs and THP-1 cells. In HUVEC cells, expression of adhesion molecules and LPS-stimulated adhesion of THP-1 cells to the endothelium were significantly decreased after MAR1 treatment. Furthermore, LPS-induced endoplasmic reticulum (ER) stress and cell apoptosis was significantly decreased after MAR1 treatment of HUVECs. MAR1 also led to a dose-dependent increase in oxygen-regulated protein 150 (ORP150) expression which is responsible for the inhibition of ER stress. Notably, all of the pro-atherosclerotic effects were completely abrogated by treatment with small interfering (si) RNA targeting PPARα. In conclusion, MAR1 ameliorates LPS-induced atherosclerotic reactions via PPARα-mediated suppression of inflammation and ER stress.

Hemispherectomy constitutes an established surgical method in the management of patients with medically intractable epilepsy secondary to severe unilateral hemisphere damage. As opposed to focal resections, in hemispherotomies, the entire hemisphere is disconnected from the remaining nervous system, including the functional regions and fibers. Despite this, hemispherotomy is recommended for certain indications, and has good functional and epilepsy outcomes. Here we describe the indications, epilepsy outcomes, and surgical techniques for several hemispheric surgeries.

Despite great advances in understanding of molecular pathogenesis and achievement of a high cure rate in medulloblastoma, recurrent medulloblastomas are still dismal. Additionally, misidentification of secondary malignancies due to histological ambiguity leads to misdiagnosis and eventually to inappropriate treatment. Nevertheless, the genomic characteristics of recurrent medulloblastomas are poorly understood, largely due to a lack of matched primary and recurrent tumor tissues. We performed a genomic analysis of recurrent tumors from 17 pediatric medulloblastoma patients. Whole transcriptome sequencing revealed that a subset of recurrent tumors initially diagnosed as locally recurrent medulloblastomas are secondary glioblastomas after radiotherapy, showing high similarity to the non-G-CIMP proneural subtype of glioblastoma. Further analysis, including whole exome sequencing, revealed missense mutations or complex gene fusion events in PDGFRA with augmented expression in the secondary glioblastomas after radiotherapy, implicating PDGFRA as a putative driver in the development of secondary glioblastomas after treatment exposure. This result provides insight into the possible application of PDGFRA-targeted therapy in these second malignancies. Furthermore, genomic alterations of TP53 including 17p loss or germline/somatic mutations were also found in most of the secondary glioblastomas after radiotherapy, indicating a crucial role of TP53 alteration in the process. On the other hand, analysis of recurrent medulloblastomas revealed that the most prevalent alterations are the loss of 17p region including TP53 and gain of 7q region containing EZH2 which already exist in primary tumors. The 7q gain events are frequently accompanied by high expression levels of EZH2 in both primary and recurrent medulloblastomas, which provides a clue to a new therapeutic target to prevent recurrence. Considering the fact that it is often challenging to differentiate between recurrent medulloblastomas and secondary glioblastomas after radiotherapy, our findings have major clinical implications both for correct diagnosis and for potential therapeutic interventions in these devastating diseases.

Ice-templating has been widely investigated in various energy-related fields owing to the simple and inexpensive process of this method which results highly-ordered lamellar structures. Lamellar structures offer larger active areas for ionic conductivity and a short mean free path of electrons. Here, an ice-templated LiFePO4 cathode was introduced to achieve higher rate capability with a minimized carbon source. The fabricated highly-aligned porous structure demonstrates superior rate performance during the discharge process compared to electrodes which use conventional slurry casting. This enhanced performance is mainly attributed to the aligned porous structure, which facilitates the rapid transfer of electrons from the bulk to a current collector and also provides a good distribution of contact sites with Li ions in the electrolytes. Keywords: Ice-templating, LiFePO4, Lithium-ion batteries, Highly-aligned porous cathode

PURPOSE The purpose of this study was verifying effects of 8 weeks of inspiratory muscle training on pulmonary function and maximum inspiratory pressure and skill-related physical fitness in women. METHODS Participants were divided into two group; an inspiratory muscle training group (IMT, n = 8 ) and a placebo control group (CON, n = 8 ). The IMT group carried out inspiratory muscle training six days per week, 30 times a day. ‘Paired t-test’ for comparison between before and after result in each group. And ‘independent sample t-test’ for comparison value of before and after result in each groups (SPSS 23.0 Ver.). RESULTS As a results regarding maximum inspiratory pressure, IMT was shown to have a significant effect on peak S-index and peak inspiratory flow(PIF)(p< .001). IMT induced a significant improvement in Sit-up and Shuttle run(p< .01). CONCLUSIONS The results of the present study indicate that IMT is able to improve maximum inspiratory pressure and skill-related physical fitness in women. future studies should attempt to implement variations in methodology including, using male subjects, exercising for a different period of time and evaluating other fitness outcomes.

We evaluated the electrical characteristics of two different AlGaN/GaN high-electron mobility transistors (HEMTs) for the 5-MeV proton irradiation effects. The difference of the HEMTs originates from the isolation methods, such as mesa etching and nitrogen ion implantation. At a proton fluence of $1 \times 10^{14}$ p/cm2, the saturation drain currents of two devices are reduced by 50% and 11% for the mesa etching and the nitrogen ion implantation, respectively. The displacement damages are believed to degrade the electrical characteristics of AlGaN/GaN HEMTs. AlGaN/GaN HEMTs with nitrogen ion implantation isolation show relatively higher radiation hardness than those with mesa etching isolation. The reason is that plasma etching easily damages the surface of mesa sidewall and causes more defects by proton irradiation.

To reduce fission gas release under both accident conditions and normal operation, Korea Atomic Energy Research Institute has developed a metallic micro-cell pellet following the 2011 Fukushima accident. One concern, however, about the metallic micro-cell pellet is that due to the presence of metallic wall that reduces both temperature and gas release, its capability of higher gas retention could result in increased gaseous swelling, leading to earlier pellet-to-cladding gap closure than the conventional UO2 pellet. To analyze and compare the gap closure in two fuel rods in which two kinds of pellets, UO2 and metallic micro-cell, are loaded into each of the two identical Zr claddings, we developed a model to estimate gaseous swelling in the two pellets. Then considering mainly different gaseous swelling and thermal expansion by different temperature profiles in the two pellets, we compared the pellet-to-cladding gaps as a function of burnup for the case where they would be irradiated with the same constant linear power of 30 kW/m up to 60 MWd/kgU. Due to both reduced gaseous swelling and lower thermal expansion, gap closure in the fuel rod loaded with the metallic micro-cell pellet is expected to be delayed by 6–16 MWd/kgU compared with the one loaded with the UO2 pellet, implying pellet-cladding mechanical interaction occurrence would also be postponed by the same degree. We note that the result of this approach is preliminary until confirmed by measured data from metallic micro-cell pellets irradiated up to high burnup.

The thermal performance of composite UO2 fuel pellets, as a potential candidate for accident-tolerant fuels, is being attempted to be actively enhanced by employing high conductivity materials as additives. Herein, we numerically investigated the thermal performance of UO2 – 3 vol% Mo microplate fuel pellets with microsized Mo plates to enhance the corresponding thermal conductivity in the fuel radial direction. UO2 – 3 vol% Mo microplate fuel pellets were successfully fabricated through the conventional sintering process, and the characteristics of the thermal conductivities were investigated in terms of the shape factor of the Mo microplate, amount of Mo content, and arrangement (such as the spacing and angle) of the Mo microplates in the UO2 fuel pellets. The results demonstrated that the arrangement of the Mo microplates parallel to the main heat transfer flow direction could further enhance the thermal conductivity. The numerical results pertaining to the calculation based on the microplate arrangement exhibited a reasonable agreement with the measured values, and the thermal conductivity was noted to be enhanced by 47% at 1000 °C compared to that of UO2. Moreover, the UO2 – 3 vol% Mo microplate fuel pellets with enhanced thermal conductivities could reduce the maximum pellet temperature by 149 °C compared to that of the UO2 pellet under a linear heat generation rate of 200 W/cm.

Most manganese oxide-based electrodes used for energy-storage applications suffer from poor ion and electron transport, particularly at high mass loadings and with thick electrodes. To counter this issue, 3D electrodes were developed; however, enhancing their areal and volumetric performance at high mass loadings is still a challenge. In this study, highly compact and 3D porous manganese dioxide and holey reduced graphene oxide (3D MnO2/HRGO) composite films were developed to ensure a high performance in supercapacitors at electrode thicknesses greater than 100 µm. The thick composite films were fabricated by the self-limiting deposition of MnO2 on 3D HRGO hydrogel scaffolds followed by capillary evaporation-induced drying. The 3D MnO2/HRGO electrodes optimized at a thickness of 216 μm showed outstanding specific areal and volumetric capacitances of 2.3 F cm−2 and 108.0 F cm−3 at 1 mA cm−2 and an impressive rate capability with a capacitance retention of 72.2% in the range of 1–40 mA cm−2. Furthermore, supercapacitors assembled with the 3D MnO2/HRGO electrodes with high mass loadings exhibited impressively high areal and volumetric energy densities of 149.7 μWh cm−2 and 2.8 mWh cm−3, respectively.

The effects of high energy (57 MeV) proton irradiation on the electrical characteristics of AlGaN/GaN MISHEMTs were investigated. The MISHEMTs were fabricated with two different types of gate dielectrics, atomic layer deposited (ALD)-Al2O3 and plasma enhanced chemical vapor deposited (PECVD)-SiNx. It was found that the proton irradiation induces negative charges in gate dielectric layers, which would degrade performances of the MISHEMTs, such as threshold voltage shift and reduction of drain current. After proton irradiation, the increase of the induced charge density in the MISHEMT with Al2O3 gate dielectric layer was not severe, which resulted in less degradation of DC characteristics of the device, but the increase of the induced charge density was seven times higher in the MISHEMT with SiNx gate dielectric layer to cause a larger positive shift of threshold voltage in the transfer characteristic of the device. These results indicated that the Al2O3 dielectric layer is more suitable as the rad-hard gate insulator for AlGaN/GaN MISHEMTs in the space environment.

Background: Cranial surgical site infection is a significant cause of morbidity and mortality in hospitals. Preoperative hair shaving for cranial neurosurgical procedures is performed traditionally in an attempt to protect patients against complications from infections at cranial surgical sites. However, preoperative shaving of surgical incision sites using traditional surgical blades without properly washing the head after surgery can cause infections at surgical sites. Therefore, a rapid protocol in which the scalp remains unshaven and absorbable sutures are used for scalp closure with early postoperative shampooing is examined in this study. Methods: A retrospective comparative study was conducted from January 2008 to December 2012. A total of 2,641 patients who underwent unshaven cranial surgery with absorbable sutures for scalp closure were enrolled in this study. Data of 1,882 patients who underwent surgery with the traditional protocol from January 2005 to December 2007 were also analyzed for comparison. Results: Of 2,641 patients who underwent cranial surgery with the rapid protocol, all but 2 (0.07%) patients experienced satisfactory wound healing. Of 1,882 patients who underwent cranial surgery with the traditional protocol, 3 patients (0.15%) had infections. Each infection occurred at the superficial incisional surgical site. Conclusion: Unshaven cranial surgery using absorbable sutures for scalp closure with early postoperative shampooing is safe and effective in the cranial neurosurgery setting. This protocol has a positive psychological effect. It can help patients accept neurosurgical procedures and improve their self-image after the operation.

Molecular communications in the gut–brain axis, between the central nervous system and the gastrointestinal tract, are critical for maintaining healthy brain function, particularly in aging. Epidemiological analyses indicate type 2 diabetes mellitus (T2DM) is a risk factor for neurodegenerative disorders including Alzheimer's disease (AD) and Parkinson's diseases (PD) for which aging shows a major correlative association. Common pathophysiological features exist between T2DM, AD, and PD, including oxidative stress, inflammation, insulin resistance, abnormal protein processing, and cognitive decline, and suggest that effective drugs for T2DM that positively impact the gut–brain axis could provide an effective treatment option for neurodegenerative diseases. Glucagon-like peptide-1 (GLP-1)-based antidiabetic drugs have drawn particular attention as an effectual new strategy to not only regulate blood glucose but also decrease body weight by reducing appetite, which implies that GLP-1 could affect the gut–brain axis in normal and pathological conditions. The neurotrophic and neuroprotective effects of GLP-1 receptor (R) stimulation have been characterized in numerous in vitro and in vivo preclinical studies using GLP-1R agonists and dipeptidyl peptidase-4 inhibitors. Recently, the first open label clinical study of exenatide, a long-acting GLP-1 agonist, in the treatment of PD showed long-lasting improvements in motor and cognitive function. Several double-blind clinical trials of GLP-1R agonists including exenatide in PD and other neurodegenerative diseases are already underway or are about to be initiated. Herein, we review the physiological role of the GLP-1R pathway in the gut–brain axis and the therapeutic strategy of GLP-1R stimulation for the treatment of neurodegenerative diseases focused on PD, for which age is the major risk factor.

Identification of loss of SMARCB1/INI1 expression in poorly differentiated (PD) chordoma in pediatric patients suggests that PD chordoma is an entity molecularly distinct from conventional chordoma or atypical teratoid/rhabdoid tumor, which is also characterized by loss of SMARCB1/INI1 expression by inactivating mutation of the SMARCB1/INI gene. So far, around 20 cases of pediatric PD chordoma with loss of SMARCB1/INI1 expression have been reported. Here, we report two cases of pediatric PD chordoma with loss of SMARCB1/INI1 expression, which is very rare among the pediatric chordoma types. Both patients presented clival masses on preoperative MRI. Histologically, both tumors had nonclassic histologic features for conventional chordoma: sheets of large epithelioid to spindle cells with vesicular nuclei and prominent nucleoli. Both cases revealed nuclear expression of brachyury, loss of SMARCB1/INI1 expression and lack of embryonal, neuroectodermal, or epithelial component. One case showed heterozygous loss of EWSR1 gene by break-apart fluorescence in situ hybridization that reflected loss of SMARCB1/INI1 gene. Based on the clival location and histologic findings along with the loss of SMARCB1/INI1 expression and positivity for nuclear brachyury staining, the final pathologic diagnosis for both cases was PD chordoma.

The term "long-term epilepsy-associated tumor (LEAT)" encompasses brain lesions associated with drug-resistant epilepsy over a long duration (≥2 years). Notably, some LEATs do not fit into any of the classifications of the World Health Organization (WHO). Herein, we report a LEAT that occurred in the left amygdala of a 16-year-old patient with intractable epilepsy. Histological examination of the resected amygdala revealed diffusely infiltrating tumor cells in the cortex. Perineuronal satellitosis and perivascular aggregation of tumor cells were apparent, along with mild nuclear enlargement and cytologic atypia. Tumor cells were positive for oligodendrocyte transcription factor 2 and neuronal markers including NeuN, neurofilaments, and synaptophysin, but were negative for CD34 and nestin. The most intriguing finding was intranuclear filaments, which appeared as rod- or needle-like shapes under high-power view. Ancillary ultrastructural analysis revealed thin filamentous intranuclear structures in tumor cells. Based on the glioneuronal nature of these cells as well as the infiltrative growth pattern, a diagnosis of LEAT was rendered that was deemed WHO grade I to II; however, the clinicopathological implications of the intranuclear inclusions remain unknown. The patient is currently alive and well without seizures.

Three-dimensional (3D) carbon materials derived from waste biomass have been attracted increasing attention in catalysis and materials science because of their great potential of catalyst supports with respect to multi-functionality, unique structures, high surface area, and low cost. Here, we present a facile and efficient way for preparing 3D heterogeneous catalysts based on vertical MnO2 wires deposited on hemp-derived 3D porous carbon. The 3D porous carbon materials are fabricated by carbonization and activation processes using hemp (Cannabis Sttiva L.). These 3D porous carbon materials are employed as catalyst supports for direct deposition of vertical MnO2 wires using a one-step hydrothermal method. The XRD and XPS results reveal the crystalline structure of α-MnO2 wires. The resultant composites are further employed as a catalyst for glycolysis of poly(ethylene terephthalate) (PET) with high conversion yield of 98%, which is expected to be expressly profitable for plastics recycling industry.

Hierarchical 3D nanostructures based on waste biomass are being offered as promising materials for energy storage due to their processabilities, multifunctionalities, environmental benignities, and low cost. Here we report a facile, inexpensive, and scalable strategy for the fabrication of hierarchical porous 3D structure as electrode materials for supercapacitors based on MnO2 nanowires and hemp-derived activated carbon (HC). Vertical MnO2 wires are uniformly deposited onto the surface of HC using a one-step hydrothermal method to produce hierarchical porous structures with conductive interconnected 3D networks. HC acts as a near-ideal 3D current collector and anchors electroactive materials, and this confers a specific capacitance of 340 F g–1 at 1 A g–1 with a high rate capability (88% retention) of the 3D MnO2/HC composite because of its open-pore system, which facilitates ion and electron transports and synergistic contribution of two energy-storage materials. Moreover, asymmetric supercapacitors fab...

Neuroendoscopic surgery is performed because it causes minimal damage to normal structures, carries a lower rate of complications, and achieves excellent outcomes. Surgeons using an endoscope and related instruments can perform complex operations through very small incisions, which is especially useful for minimally invasive procedures for the brain and spine. Neuroendoscopic surgery is now performed in cases of obstructive hydrocephalus, various intraventricular lesions, hypothalamic hamartomas, craniosynostosis, skull base tumors, and spinal lesions. This review discusses the brief history of neuroendoscopy and the current state and future perspectives of endoscopic surgery.

Recent studies revealed that the inhibition of mitochondrial oxidative phosphorylation (OXPHOS) is coupled with the mitochondrial unfolded protein response, thereby stimulating the secretion of non-cell autonomous factors, which may control systemic energy metabolism and longevity. However, the nature and roles of non-cell autonomous factors induced in adipose tissue in response to reduced OXPHOS function remain to be clarified in mammals. CR6-interacting factor 1 (CRIF1) is an essential mitoribosomal protein for the intramitochondrial production of mtDNA-encoded OXPHOS subunits. Deficiency of CRIF1 impairs the proper formation of the OXPHOS complex, resulting in reduced function. To determine which secretory factors are induced in response to reduced mitochondrial OXPHOS function, we analyzed gene expression datasets in Crif1-depleted mouse embryonic fibroblasts. Crif1 deficiency preferentially increased the expression of angiopoietin-like 6 (Angptl6) and did not affect other members of the ANGPTL family. Moreover, treatment with mitochondrial OXPHOS inhibitors increased the expression of Angptl6 in cultured adipocytes. To confirm Angptl6 induction in vivo, we generated a murine model of reduced mitochondrial OXPHOS function using adipose tissue-specific Crif1-deficient mice and verified the upregulation of Angptl6 and fibroblast growth factor 21 (Fgf21) in white adipose tissue. Treatment with recombinant ANGPTL6 protein increased oxygen consumption and Pparα expression through the extracellular signal-regulated kinase/mitogen-activated protein kinase pathway in cultured adipocytes. Furthermore, the ANGPTL6-mediated increase in Pparα expression resulted in increased FGF21 expression, thereby promoting β-oxidation. In conclusion, mitochondrial OXPHOS function governs the expression of ANGPTL6, which is an essential factor for FGF21 production in adipose tissue and cultured adipocytes.

SiC plates were diffusion bonded to Re metal using a Ti interlayer by hot-pressing. For the joining, a uniaxial pressure of 25 MPa was applied from 1400 to 1600 °C for 2 h in an argon atmosphere. The interfacial microstructure and elemental composition of the SiC/Ti/Re joints were investigated. The Ti interlayer diffused into the SiC substrate to form carbide intermediate phases that enhance the bonding strength and also that of the layer brazed with Re metal. Multi-component phases (Ti 3 SiC 2 , Ti 5 Si 3 C x , and TiC) were formed in the Ti interlayer with different atomic ratios. Each phase had a different coefficient of thermal expansion, causing micro-cracks and pulverization at high temperature. At 1600 °C, the phase ratio and thickness of the detrimental phase Ti 5 Si 3 C x were much lower than those at other joining temperatures. For the Re/Ti interfaces, the diffusion of Ti and Si into Re gradually induced the formation of bcc-Ti precipitates, ReTi, and Re-Si alloys depending on the joining temperature. The micro-hardness was measured for the joined SiC/Ti/Re along all the interfaces.

As a result of restrictions on animal experimentation, improved skin equivalents (SEs) are needed as alternative test models. This work investigated the effects of avian collagen on the construction of SEs, and to the best of our knowledge is the first study to do so. Hematoxylin and eosin and immunohistochemical staining were used to analyze the SEs. In models containing avian collagen as a dermal equivalent (DE) ingredient, fibroblast proliferation increased by about 60% relative to the control model. Immunohistochemical staining showed that the expression of proliferating cell nuclear antigen (PCNA) and p63 increased in the avian collagen models, while the expression of involucrin, integrin α6, and integrin β1 remained unchanged. Next, DEs were cryopreserved to allow the easier creation of SEs. Keratinocytes were seeded on thawed DEs, and SEs were constructed. Avian collagen increased the viability of DEs relative to the control. Furthermore, avian collagen increased the expression of PCNA and p63 in keratinocytes on thawed DEs. The results indicate that DEs containing avian collagen can be thawed as needed after cryopreservation. Avian collagen can improve the construction of SEs and be used as part of a dermal kit for SE construction.

PURPOSE To investigate long term outcomes of pediatric intracranial ependymoma treated with maximal safe resection followed by radiotherapy in single institution. METHODS Between 1983 and 2016, 42 pediatric patients received adjuvant radiotherapy after surgery. There were 19 and 23 grade II and III ependymomas, and total resection could be performed in 50% of patients. There were 4 patients with initial leptomeningeal seeding, and craniospinal irradiation (CSI) was the component of adjuvant treatment in 5 patients including them. Local radiotherapy (median 54 Gy (range, 45–60 Gy) was performed in all the rest patients excluding three with whole-brain radiotherapy. RESULTS With a median follow-up of 89 months, 14 patients (33%) experienced recurrences after radiotherapy (m/c: intracranial, 79%, all within tumor bed). The 5- and 10-year progression-free survival (PFS) rates were 70% and 63%, and overall survival (OS) rates were 85% and 78%, respectively. The recurrence rates were significantly higher in patients younger than 3 years (64% vs. 23%, p = 0.024) or with subtotal resection (STR) (52% vs. 15%, p = 0.009). In multivariate analyses, age and STR were significant factors for PFS (p = 0.007 and 0.028, respectively). There was no independent prognostic factor for OS on multi-variate analysis. Fourteen patients experienced recurrence. Among them, all of 6 grade II cases showed local recurrence. Four grade II cases (67%) underwent aggressively salvage treatments such as resection, stereotactic radiosurgery were still under observation. However, 75% of 8 grade III recurrent cases were expired, despite aggressive salvage treatments. All 3 patients with seeding recurrent were grade III and died from disease. CONCLUSION Local adjuvant radiotherapy showed favorable survival in pediatric ependymoma. Even if recurrence occurs, aggressive salvage treatment would be needed for grade II ependymoma.

Recently, we reported that HaCaT human keratinocytes secreted leucine-rich repeat LGI family member 3 (LGI3) protein after exposure to ultraviolet B (UVB) irradiation. In the present study, we aimed to determine whether LGI3 is also released in response to stimulation by lipopolysaccharides (LPS), membrane components of gram-negative bacteria. Our results showed that LGI3 was indeed secreted by LPS-stimulated HaCaT cells. We also found that LPS potently stimulated the induction of cycloxygenase-2 (COX-2), which is involved in the inflammatory response. In addition, LPS-induced LGI3 secretion and COX-2 expression were blocked by NS-398, a selective COX-2 inhibitor. Moreover, LPS activated nuclear factor-κB (NF-κB) via a TRIF-dependent pathway, and activated NF-κB led to LGI3 production in HaCaT cells. For the first time, we predicted the LGI3 promoter sequence and demonstrated that NF-κB bound to the LGI3 gene promoter region. LPS treatment also increased the expression of a disintegrin and metalloproteinase domain-containing protein 22 (ADAM22), a candidate LGI3 receptor. Furthermore, co-immunoprecipitation, flow cytometry, and immunocytochemistry revealed that LGI3 associated with ADAM22 in LPS-treated keratinocytes. Thus, ADAM22 may be an LGI3 receptor in human keratinocytes. Taken together, these data suggest that the TRIF-dependent pathway is a novel regulator of LGI3 secretion in response to LPS stimulation in HaCaT cells and that keratinocyte-derived LGI3 interacts with ADAM22 and mediates LPS-induced inflammation.

Epilepsy surgery revealed dramatically improved seizure outcomes over medical therapy in drug-resistant epilepsy patients. Children with epilepsy, however, have multiple epileptic focuses which require multilobar resection for better seizure outcome. Multilobar resection has not only the several severe surgical complications, such as hydrocephalus and shunt-related craniosynostosis, due to intracranial volume reduction. Isolation method (disconnection surgery) was progressively studied over epileptic focus removal (resective surgery) for seizure control. This concept was first introduced for functional hemispherotomy, and its primary principle is to preserve the vital vascularized brain that is functionally disconnected from the contralateral healthy brain. Currently in most epilepsy centers, the predominant disconnection surgical methods, including functional hemispherotomy, are continually being refined and are showing excellent results. They allow the functional isolation of the hemisphere or multi-lobe, affected by severe epilepsy. This review describes recent findings concerning the indication, surgical technique, seizure outcome and complications in several disconnection surgeries including the functional hemispherotomy for refractory pediatric epilepsy.