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Objectives. FDXR encodes mitochondrial ferredoxin reductase, which is associated with auditory neuropathy spectrum disorder (ANSD) and optic atrophy. To date, only two studies have described FDXR-related hearing loss. The auditory rehabilitation outcomes of this disease entity have not been investigated, and the pathophysiological mechanisms remain incompletely understood. Here we report a hearing-impaired individual with co-segregation of the FDXR variant and post-synaptic type ANSD, who underwent cochlear implantation (CI) with favorable outcomes. We suggest a possible pathophysiological mechanism of adult-onset ANSD involving mitochondrial dysfunction. Methods. A 35-year-old woman was ascertained to have ANSD. Exome sequencing identified the genetic cause of hearing loss, and a functional study measuring mitochondrial activity was performed to provide molecular evidence of pathophysiology. Expression of FDXR in the mouse cochlea was evaluated by immunohistochemistry. Intraoperatively, electrically evoked compound action potential (ECAP) responses were measured, and the mapping parameters were adjusted accordingly. Audiological outcomes were monitored for over 1 year. Results. In lymphoblastoid cell lines (LCLs) carrying a novel FDXR variant, decreased ATP levels, reduced mitochondrial membrane potential, and increased reactive oxygen species levels were observed compared to control LCLs. These dysfunctions were restored by administering mitochondria isolated from umbilical cord mesenchymal stem cells, confirming the pathogenic potential of this variant via mitochondrial dysfunction. Partial ECAP responses during CI and FDXR expression in the mouse cochlea indicate that FDXR-related ANSD is post-synaptic. As a result of increasing the pulse width during mapping, the patient’s CI outcomes showed significant improvement over 1-year post-CI. Conclusion. A novel FDXR variant associated with mitochondrial dysfunction and post-synaptic ANSD was first identified in a Korean individual. Additionally, 1-year post-CI outcomes were reported for the first time in the literature. Excellent audiologic results were obtained, and our results reiterate the correlation between genotype and CI outcomes in ANSD.

Hydrogen-rich Gynostemma pentaphyllum Makino distillate (HRGD) is made by distilling G. pentaphyllum Makino with hydrogen gas to produce the final product. The study evaluated the total phenolic and flavonoid contents of HRGD, as well as its antioxidant properties, including scavenging activities for various radicals such as 2,2-diphenyl-1-picryl-hydrazyl (DPPH), superoxide anion (O2-), hydrogen peroxide radical (H2O2), nitric oxide radical (NO•) and 2,2´-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS•+), along with a ferrous ion chelating assay. Total phenolic and flavonoid contents were 42330 mg gallic acid and 36300 mg rutin equivalents/100 g, respectively. HRGD exhibited significant antioxidant and free radical scavenging activities in vitro, which were dose-dependent and superior to those of standard antioxidants. HRGD exhibited higher scavenging activities for DPPH, O2-, H2O2, NO• and ABTS•+ radicals, as well as ferrous ion chelating activity than standard antioxidants (p < 0.05). The results showed that HRGD could be an economical and readily accessible source of natural antioxidants and a possible food and pharmaceutical supplement.

In this study, we demonstrate the emergence of NO2 gas sensing capabilities in the typically non-active NiWO4, a strongly correlated electron system (SCES), by introducing substitutional Fe at the Ni site. NiWO4 typically exhibits strong Coulombic repulsion between Ni atoms, resulting in a large band gap of over 3.0 eV and insulating behavior. This correlated behavior is clearly reflected in the significant increase of band gap when considering the Hubbard U correction for the cations, bringing the theoretical value closer to the observed value. The single-phase Fe0.5Ni0.5WO4 displays a notable shift in the [NiO6] symmetric vibration mode and an increase in magnetization. Additionally, theoretical calculations confirm the preservation of the wide band gap, with the Fe and O levels generated within the band gap. These findings indicate that Fe located in the Ni sites modulate Coulombic repulsion in NiWO4 SCES insulators. Unlike the poor gas-sensing performance of intrinsic NiWO4, Fe0.5Ni0.5WO4 exhibits a significant NO2 response (Rg/Ra) of 11 at 200°C than other gases and a limit of detection (LOD) of 46.4 ppb. This study provides a pathway for realizing gas-sensing performance in strongly correlated electron insulators with large band gaps through the introduction of dopant levels at the cation sites.

Objectives. The recent expansion of eligibility for cochlear implantation (CI) by the U.S. Food and Drug Administration (FDA) to include infants as young as 9 months has reignited debates concerning the clinically appropriate cut-off age for pediatric CI. Our study compared the early postoperative trajectories of receptive and expressive language development in children who received CI before 9 months of age with those who received it between 9 and 12 months. This study involved a unique pediatric cohort with documented etiology, where the timing of CI was based on objective criteria and efforts were made to minimize the influence of parental socioeconomic status. Methods. A retrospective review of 98 pediatric implantees recruited at a tertiary referral center was conducted. The timing of CI was based on auditory and language criteria focused on the extent of delay corresponding to the bottom 1st percentile of language development among age-matched controls, with patients categorized into very early (CI at 9 months), in children with profound deafness who have a clear deafness etiology and language development delays (

Abstract Vaccinating young children against rotavirus (RV) is a promising preventive strategy against rotavirus gastroenteritis (RVGE). We evaluated the relative risk reduction of RVGE induced by universal vaccination in Vietnam through dynamic model analysis. We developed an age-stratified dynamic Vaccinated-Susceptible-Infectious-Recovered-Susceptible model to analyze RV transmission and assess vaccine effectiveness (VE). We assumed 3 different vaccine efficacies: 55%, 70%, and 85%. For model calibration, we used a database of patients under 5 years of age admitted to Ho Chi Minh No.1 Hospital with RVGE between January 2013 and December 2018. Assuming a vaccination rate of 95%, the number of RVGE hospitalizations after 5 years from universal RV vaccination decreased from 92,502 cases to 45,626 with 85% efficacy, to 54,576 cases with 70% efficacy, and to 63,209 cases with 55% efficacy. Additionally, RVGE hospitalizations after 10 years decreased from 177,950 to 89,517 with 85% efficacy and to 121,832 cases with 55% efficacy. The relative risk reductions of RVGE after 10 years were 49.7% with 85% efficacy, 40.6% with 70% efficacy, and 31.5% with 55% efficacy. The VE was 1.10 times (95% CI, 1.01–1.22) higher in the 4-months to 1-year-old age group than in the other age groups (P = 0.038), when applying 85% efficacy with 95% coverage. In conclusion, despite its relatively lower efficacy compared to high-income countries, RV vaccination remains an effective intervention in Southwestern Vietnam. In particular, implementing universal RV vaccination with higher coverage would result in a decrease in RVGE hospitalizations among Vietnamese children under 5 years of age.

Abstract Background Transplant recipients are immunocompromised and vulnerable to developing tuberculosis. However, active tuberculosis incidence is rapidly declining in South Korea, but the trend of tuberculosis infection among transplant recipients has not been elucidated. This study aimed to evaluate the risk of active tuberculosis after transplantation, including risk factors for tuberculosis and standardized incidence ratios, compared with that in the general population. Methods This retrospective study was conducted based on the South Korean health insurance review and assessment database among those who underwent transplantation (62,484 recipients) between 2008 and 2020. Tuberculosis incidence was compared in recipients treated during higher- (2010–2012) and lower-disease burden (2016–2018) periods. Standardized incidence ratios were analyzed using the Korean Tuberculosis Surveillance System. The primary outcome was the number of new tuberculosis cases after transplantation. Results Of 57,103 recipients analyzed, the overall cumulative incidence rate 1 year after transplantation was 0.8% (95% confidence interval [CI]: 0.7–0.8), significantly higher in the higher-burden period than in the lower-burden period (1.7% vs. 1.0% 3 years after transplantation, P

Abstract Background This 1-year open-label extension study aimed to identify the persistent synergistic effects of allogeneic umbilical cord blood (UCB) cells and erythropoietin (EPO) in children with cerebral palsy (CP) for up to 2 years. Methods This open-label extension study followed children with CP who were enrolled in the previous randomized, double blind, placebo-controlled trial. The following groups from the first trial were maintained: (A) UCB + EPO, (B) UCB, (C) EPO, and (D) only placebo, and all the participants had continued active rehabilitation. This extended study started 3 months after termination of the first trial, which had a 1-year follow-up duration. All subjects received single additional UCB intravenous infusion at the extension baseline regardless of their initial allocation. Outcome measures were the gross motor performance measure (GMPM), gross motor function measure-66 (GMFM-66), and Bayley scales of infant development-II (BSID-II), which were followed at 3, 6, and 12 months after the extension baseline. Changes in the outcome scores from the baseline values of the previous trial and this study were analysed. Results Sixty-nine children (4.29 ± 1.28 years, M:F = 34:35) were included in this study. Each group showed improvements in the outcome measures at 12 months after additional UCB infusion compared to the baseline scores, except for GMFM and GMPM in Group C which were elevated at 3 and 6 months post-therapy. Total subject analyses did not show significant differences in the outcome measures between the four different groups at 3, 6 and 12 months after additional UCB therapy. However, patients with severe dysfunction, whose GMFCS levels were IV and V, revealed a larger improvement of the GMPM score in Group A than in Group D (Ps

Abstract Top gate a-InGaZnO (IGZO) thin-film transistors (TFTs) annealed at high temperature show excellent initial current–voltage (I–V) characteristics. However, when they are exposed to positive gate bias for a long time, hump can occur in the subthreshold region. This abnormal hump is accelerated at a higher positive gate voltage and mitigate by a negative gate voltage. While the strength of the hump is irrelevant to a change in channel width, it relies significantly on channel length. This phenomenon might be due to mobile Na ions diffused from a glass substrate migrating toward the back and edge side of the IGZO semiconductor by a vertical gate electric field. When a layer of Al2O3 is formed between the IGZO semiconductor and the glass substrate, the hump phenomenon could be successfully solved by serving as a barrier for Na ions moving into the IGZO.

Abstract POU4F3, a member of the POU family of transcription factors, commonly causes autosomal dominant deafness. Exome sequencing was used to identify four novel variants in POU4F3 (NM_002700.2), including c.564dupA: p.Ala189SerfsTer26, c.743T > C:p.Leu248Pro, c.879C > A:p.Phe293Leu, and c.952G > A:p.Val318Met, and diverse aspects of the molecular consequences of their protein expression, stability, subcellular localization, and transcriptional activity were investigated. The expression of three mutant proteins, encoded by missense variants, was reduced compared to the wild-type protein, demonstrating that the mutants were unstable and vulnerable to degradation. Additionally, all the mutant proteins had distinct subcellular localization patterns. A mutant protein carrying p.Ala189SerfsTer26, in which both mono- and bi-partite nuclear localization signals were disrupted, showed abnormal subcellular localization. Resultantly, all the mutant proteins significantly reduced the transcriptional activity required to regulate the downstream target gene expression. Furthermore, we identified the altered expression of 14 downstream target genes associated with inner ear development using patient-derived lymphoblastoid cell lines. There was a significant correlation of the expression profile between patient-derived cells and the cochlear hair cells, which provided a breakthrough for cases where the collection of human cochlear samples for transcriptome studies was unfeasible. This study expanded the genotypic spectrum of POU4F3 in DFNA15, and further refined the molecular mechanisms underlying POU4F3-associated DFNA15.

Objective: This study aimed to assess the treatment compliance, patterns, healthcare resource utilization (HCRU), and costs of anti-epilepsy drugs (AEDs) as the first add-on therapy in patients with epilepsy. Methods: We conducted a retrospective population-based cohort study using Korean National Health Insurance claims data from 2016 to 2020. Patients with epilepsy who newly received AED add-on therapy were identified and followed for up to 12 months to evaluate persistence, adherence, treatment patterns, HCRU, and costs. Results: Among 6,746 patients who initiated AED add-on therapy, 65.5% were persistent on their index AED add-on from the index date until the end of the follow-up period, and the mean persistent time on the index add-on was 307.3 ± 92.3 days. A total of 76.8% patients were adherent, with a medication possession ratio (MPR) ≥80%, and the mean MPR was 88.9 ± 25.4%. Persistence and adherence to the index AED add-on were relatively higher among patients prescribed lamotrigine, levetiracetam, oxcarbazepine, and perampanel than those prescribed carbamazepine, topiramate, or valproate. A total of 41.0% of the patients changed their index AED add-on during the follow-up period. The carbamazepine, topiramate, and valproate groups had higher rates of change than the other AED groups. HCRU and costs tended to be lower in the lamotrigine, levetiracetam, oxcarbazepine, and perampanel groups. Furthermore, perampanel showed the lowest HCRU and costs for all-cause cases as well as the lowest length of stay and outpatient visits for epilepsy-related cases. Conclusion: In this population-based study, the use of lamotrigine, levetiracetam, oxcarbazepine, or perampanel as the first add-on therapy in patients with epilepsy contributed to better treatment compliance and lower HCRU and costs than that of carbamazepine, topiramate, or valproate.

Korean fir (Abies koreana Wilson) is traditionally used in folk medicine for its antibacterial, memory-enhancing, and anti-inflammatory properties. In this study, we evaluated the antioxidant and skin-whitening effects of the methanol and ethanol extracts of Korean fir needles. The extracts were tested for their antioxidant capacity using various assays, including radical scavenging (1,1-diphenyl-2-picrylhydrazyl, O2-, H2O2 and NO), SOD-like, ferrous ion chelating, and reducing power assays. The total phenolic and flavonoid contents were determined by the Folin-Ciocalteu method. The non-toxic doses of the extracts were determined by MTT assay using human malignant melanoma SK mel-100 cells, and the tyrosinase activity and melanin contents were measured using an enzyme-substrate assay. The results showed that the antioxidant activity of the Korean fir needle extracts increased in a dose-dependent manner, as confirmed by their radical scavenging activities in the 2,2-diphenyl-1-1-picrylhydrazyl and 2,2-azino-bis-(3-ethylbenzthiazoline-6-sulfonic acid) assays. The Korean fir needle extract significantly reduced tyrosinase activity and melanin content in a dose-dependent manner (p < 0.01), suggesting its potential use as a skin-whitening agent. The methanol extracts of the Korean fir needles exhibited significantly higher phenolic (8306 mg gallic acid equivalents/100 g) content, with higher superoxide (IC50 = 4.22 mg/mL) and nitric oxide (IC50 = 1.50 mg/mL) radical scavenging activities and inhibition of tyrosinase and melanin synthesis than those of ethanol extracts (p < 0.05). Overall, our results demonstrate the potential of Korean fir (Abies koreana Wilson) needles as a source of tyrosinase inhibitors and antioxidants for inhibiting melanin biosynthesis, which could have applications in the cosmetic and pharmaceutical industries.

Vision, Radar, and LiDAR sensors are widely used for autonomous vehicle perception technology. Especially object detection and classification are primarily dependent on vision sensors. However, under poor lighting conditions, dazzling sunlight, or bad weather an object might be difficult to be identified with general vision sensors. In this paper, we propose a sensor fusion system that combines a thermal infrared camera and a LiDAR sensor that can reliably detect and identify objects even in environments with poor visibility, such as day or night. The proposed method obtains the external parameters of the two sensors by designing and manufacturing a 3D calibration target to externally calibrate the thermal infrared camera and the LiDAR sensor. To verify the performance, experiments were conducted in day and night environments. The proposed sensor system and fusion algorithm show that it can reliably detect and identify objects even in environments with poor visibility, such as day or night.

Sesame (Sesamum indicum L.), an oilseed crop, is gaining worldwide recognition for its healthy functional ingredients as consumption increases. The content of lignans, known for their antioxidant and anti-inflammatory effects, is a key agronomic trait that determines the industrialization of sesame. However, the study of the genetics and physiology of lignans in sesame is challenging, as they are influenced by multiple genes and environmental factors, therefore, the understanding of gene function and synthetic pathways related to lignan in sesame is still limited. To address these knowledge gaps, we conducted genetic analyses using F7 recombinant inbred line (RIL) populations derived from Goenbaek and Gomazou as low and high lignin content variants, respectively. Using the QTL-seq approach, we identified three loci, qLignan1-1, qLignan6-1, and qLignan11-1, that control lignan content, specifically sesamin and sesamolin. The allelic effect between loci was evaluated using the RIL population. qLignan6-1 had an additive effect that increased lignan content when combined with the other two loci, suggesting that it could be an important factor in gene pyramiding for the development of high-lignan varieties. This study not only highlights the value of sesame lignan, but also provides valuable insights for the development of high-lignan varieties through the use of DNA markers in breeding strategies. Overall, this research contributes to our understanding of the importance of sesame oil and facilitates progress in sesame breeding for improved lignan content.

Abstract Despite advances in precision oncology, cancer remains a global public health issue. In this report, proof‐of‐principle evidence is presented that a cell‐penetrable peptide (ACP52C) dissociates transcription factor CP2c complexes and induces apoptosis in most CP2c oncogene‐addicted cancer cells through transcription activity‐independent mechanisms. CP2cs dissociated from complexes directly interact with and degrade YY1, leading to apoptosis via the MDM2‐p53 pathway. The liberated CP2cs also inhibit TDP2, causing intrinsic genome‐wide DNA strand breaks and subsequent catastrophic DNA damage responses. These two mechanisms are independent of cancer driver mutations but are hindered by high MDM2 p60 expression. However, resistance to ACP52C mediated by MDM2 p60 can be sensitized by CASP2 inhibition. Additionally, derivatives of ACP52C conjugated with fatty acid alone or with a CASP2 inhibiting peptide show improved pharmacokinetics and reduced cancer burden, even in ACP52C‐resistant cancers. This study enhances the understanding of ACP52C‐induced cancer‐specific apoptosis induction and supports the use of ACP52C in anticancer drug development.

Out-of-hospital cardiac arrest in pregnancy is extremely rare. In this case report, a 43-year-old female patient at 24.0 weeks of gestation collapsed outside her home after cardiac arrest. The paramedics performed cardiopulmonary resuscitation with defibrillation for ventricular fibrillation. Spontaneous circulation was achieved after 19 minutes. The fetus was stable during postarrest care. The patient exhibited high blood pressure with seizure-like symptoms for 2 days afterwards, which resolved with magnesium sulfate. She gradually recovered and returned to her daily activities while on treatment with beta blockers for cardiomyopathy and premature ventricular contractions until delivery. At 37.2 weeks of gestation, she underwent elective Cesarean section under spinal anesthesia. The baby weighed 2.55 kg and did not present with any complications. Here, we report a case of successful full-term delivery in a patient who underwent cardiopulmonary resuscitation for sudden cardiac arrest during the second trimester of pregnancy.

This study aimed to determine the phytochemical profiles, in vitro antioxidant and antiproliferative properties of Korean Camellia mistletoe (Korthalsella japonica (Thunb.) Engl.) depending on the harvest time (August and November) and solvent (100% methanol, 70% ethanol and hot water). The Camellia japonica L. mistletoe extracts were analyzed for contents of total phenol, flavonoid, total carotenoid and L-ascorbic acid, and antioxidant properties such as scavenging capacities (1,1-diphenyl-2-picrylhydrazyl (DPPH) and NO•), ferrous ion chelating and reducing power. Concurrently, the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay was used to assess the antiproliferative properties against human cancer cell lines; MCF (human breast cancer cells), Hela (human cervical cancer cells), A375 (human malignant melanoma cells), HCT116 (human colon cancer cells), HepG2 (human liver cancer cells) and A549 (human non-small cell lung adenocarcinoma cells). The results showed that extraction solvent and harvest time had significant impacts on antioxidant and anticancer activities, as well as selectivity for free phenolic compounds in Camellia japonica L. mistletoe. Among all the tested extracts the highest amounts of total phenolic and total flavonoids content were found in ethanol extracts of Camellia japonica L. mistletoe harvested in November, while the methanol extracts of Camellia japonica L. mistletoe collected in August showed the highest contents of total carotenoids and L-ascorbic acids compared to the other tested extracts. Additionally, the highest NO• radical scavenging activity was found in ethanol extracts, whereas the strongest DPPH radical scavenging activity was found in methanol extracts of Camellia japonica L. mistletoe harvested in November. Furthermore, methanol extracts showed much higher antiproliferative activity against all human cancer cells than ethanol extracts of Camellia japonica L. mistletoe harvested in November. In conclusion, the antioxidant and anticancer properties of Camellia japonica L. mistletoe showed significant dependence on the extraction solvent type and harvest time. With optimum harvest time and extraction solvent, they boast a wide range of promising applications in the medical, pharmaceutical, and food industries.

Background Proper nasal tip projection and rotation are essential for an aesthetically pleasing nose. However, East Asians usually have thicker skin and underdeveloped nasal cartilage compared to Caucasians. Thus, techniques such as the septal extension graft, columellar strut graft, and L-shaped alloplastic implants have been introduced for additional nasal tip support and projection. However, no consensus exists regarding the optimal method. Methods A hybrid columellar strut made of an osteochondral graft recombined with the nasal crest of the maxilla and conchal cartilage was devised. In a cadaveric study, changes due to an external bending force of the hybrid strut and costal cartilage in the same dimension were measured. In a comparative study, we divided 20 subjects into two groups according to the material used for the columellar strut graft: a hybrid columellar strut (experimental group) and a double-layered conchal columellar strut (control group). Preoperative, 1-month postoperative, and 1-year postoperative anthropometric measurements were compared between groups. Results In the cadaveric study, the hybrid columellar strut showed superior mechanical strength. In the comparative study, the average 1-year postoperative change of the columellar labial angle was significantly smaller in the experimental group (–0.7°±1.16° vs. 2.2°±1.32°, P=0.015). The hybrid columellar strut showed superior postoperative nasal tip stability. Conclusions We devised a new hybrid columellar strut and confirmed its superior mechanical firmness and stability. Considering the suggested indications and contraindications, the hybrid columellar strut graft can be a new modality for tip plasty in East Asian rhinoplasty that can provide sufficient long-term nasal tip stability.

Skin avulsions are severe traumatic injuries, in which sections of skin and subcutaneous tissue are torn off from the body, and the surgical management and salvage of these injuries are quite challenging due to their high morbidity and mortality. The entire or partial loss of an avulsed flap is prone to occur. If this happens, scars can be particularly conspicuous, and additional surgery, such as skin grafts or local flaps or even composite grafts, might be required. A 24-year-old male patient presented to the emergency room with a severe traumatic avulsion injury on his nose. We used a combination of three therapies to minimize the loss of the distal portion of the avulsed flap: polydeoxyribonucleotide injection, continuous non-rebreather mask oxygen therapy, and chemical leeching. We achieved complete flap salvage of the avulsed wound, and the patient showed full satisfaction in both aesthetic and functional aspects. Although this report is confined to a single case of severe avulsed injury, we suggest this triple-combination therapy as a good combined modality for maximizing the salvage of an avulsed flap on the basis of this case and a literature review.

It has been reported that a commercial solid-phase competition ELISA (SPCE) commonly used in year-round serum surveillance in South Korea may not be sufficient for use in the sero-monitoring of protective antibody responses following vaccination. Here, we established a liquid-phase blocking ELISA (LPBE) method based on the purified 146S antigen of the foot-and-mouth disease virus (FMDV) A/Yeoncheon/SKR/2017 strain, and its analytical performance was assessed using a wide range of pig sera. The established LPBE performed well regardless of whether antisera were elicited by a homologous (A/Yeoncheon/SKR/2017) or heterologous virus (A/Pocheon/SKR/2010) classified in the A/ASIA/Sea-97 lineage. The LPBE performance was also assessed using sera obtained from pigs in the field that underwent routine vaccination, demonstrating that the assay exhibited higher consistency with the virus neutralization test (standard reference test) than the commercial SPCE. This suggested that the LPBE performed well for antisera induced by the FMDV serotype A vaccine strains used in South Korea, namely, A22/IRQ/24/64, A/Argentina/2001 + A24/Cruzeiro and A/Zabaikalsky/2013. Overall, the established LPBE is considered to be a convenient serological assay for use in postvaccination sero-monitoring.

Abstract We explored the association between cholesterol levels and dementia risk according to the presence of diabetes and statin use. In this population-based longitudinal cohort study, the Korean National Health Insurance Service datasets (2002–2017) were used. Among individuals aged ≥ 40 years who underwent health examinations in 2009 (N = 6,883,494), the hazard of dementia was evaluated according to cholesterol levels. During a median 8.33 years, 263,185 dementia cases were detected. In statin non-users with or without diabetes, the hazards of all-cause dementia were highest for those in the lowest quartile or quintile of low-density lipoprotein-cholesterol (LDL-C) level, showing an inverted J-shaped relationship. Among statin users with or without diabetes, an advance in LDL-C group was associated with an increase in hazards of all-cause dementia. In statin users with diabetes, even very low LDL-C level was not associated with an increased risk of all-cause dementia. Although there was a seemingly paradoxical association between low LDL-C level and dementia risk in statin non-users, the trend was not observed in statin users and is not likely to be clinically relevant. Rather, an advance in LDL-C levels was associated with an increase in the hazard of all-cause dementia in statin users, regardless of the presence of diabetes.

Known to be chemically inert, Aquafilling filler has been widely used in local aesthetic clinics in South Korea for breast augmentation. However, Aquafilling is only approved as a dermal filler and is not approved as an injectable filler for breast augmentation by the U.S. Food and Drug Administration or the Ministry of Food and Drug Safety. Several reports of complications following large-volume Aquafilling injections in the breast have been published. In this study, an HIV (human immunodeficiency virus)-infected transgender patient presented to the emergency room with a purulent infection of the breast and systemic fever. The patient had a history of large-volume Aquafilling injection in both breasts 3 years earlier to obtain a feminized appearance of the breasts. After using intravenous antibiotics and performing several surgical debridements over 4 weeks, the overall inflammatory response subsided. The skin defect site was covered successfully using an Integra Wound Matrix Dressing and there were no recurrent complications over 2 years of follow-up visits. Before injecting Aquafilling to augment patients’ breasts, a thorough consultation is mandatory, and doctors must notify patients that the risk of complications may be relatively high. Furthermore, any fillers including Aquafilling must not be used for unapproved purposes.

WO3 nanostructures with different morphologies and dimensions were fabricated via solvothermal synthesis by adjusting the stirring time of the precursor solution. Ethanol-based solutions of the WCl6 precursor with various colors (dark green, yellow, white, blue, and blue-black) were prepared, and this triggered a significant change in the growth behavior during the evolution of WO3 nanostructures. Controlling the initial state of the precursors in solution enabled sequential nucleation and growth which resulted in the production of zero-to-three-dimensional nanostructures including nanoparticles, a mixture of nanosheets and nanoparticles, jointed-nanosheets, and three-dimensionally clustered jointed-nanosheets. The crystallographic characteristics (preferred orientation along the (002) plane) and the concentration of surface oxygen vacancies were also controllable, suggesting the formation of nanostructures with tuneable surface reactivity. Differing NO2 sensing performances were observed because of the variation in configurations of the WO3 nanostructures.

Abstract Determining the etiology of severe-to-profound sensorineural hearing loss (SP-SNHL) in pediatric subjects is particularly important in aiding the decision for auditory rehabilitation. We aimed to update the etiologic spectrum of pediatric SP-SNHL by combining internal auditory canal (IAC)-MRI with comprehensive and state-of-the-art genetic testings. From May 2013 to September 2020, 119 cochlear implantees under the age of 15 years with SP-SNHL were all prospectively recruited. They were subjected to genetic tests, including exome sequencing, and IAC-MRI for etiologic diagnosis. Strict interpretation of results were made based on ACMG/AMP guidelines and by an experienced neuroradiologist. The etiology was determined in of 65.5% (78/119) of our cohort. If only one of the two tests was done, the etiologic diagnostic rate would be reduced by at least 21.8%. Notably, cochlear nerve deficiency (n = 20) detected by IAC-MRI topped the etiology list of our cohort, followed by DFNB4 (n = 18), DFNB1 (n = 10), DFNB9 (n = 10) and periventricular leukomalacia associated with congenital CMV infection (n = 8). Simultaneous application of state-of-the-art genetic tests and IAC-MRI is essential for etiologic diagnosis, and if lesions of the auditory nerve or central nerve system are carefully examined on an MRI, we can identify the cause of deafness in more than 65% of pediatric SP-SNHL cases.

Thepresent study aims to investigate the phytochemical profiles, in vitroantioxidant and antiproliferative properties of methanol and 70% ethanol extracts of Camelliajaponica L.mistletoe. Both extracts were analyzed for contents of total flavonoid, totalcarotenoid and L-ascorbic acid, and antioxidant properties such as scavenging capacities (1,1-diphenyl-2-picrylhydrazyl, O2-and NO), ferrous ion chelating and reducing power. 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay was used to assess the antiproliferative properties against human can-cer cell lines; MCF (human breast cancer cells), Hela (human cervical cancer cells), A375 (human malignant melanoma cells), HCT116 (human colon cancer cells), HepG2 (human liver cancer cells) and A549 (human non-small cell lung adenocar-cinoma cells). The results showed that the methanol extracts of Camelliajaponica L.mistletoecontained higher total flavonoids (16.237 g rutin equivalents/100 g) and carotenoids (49.175 g/100 g) with higher DPPH (SC50 = 0.6 mg/mL), superoxide (SC50 = 0.6 mg/mL), nitric oxide(SC50 = 0.5 mg/mL) radical scavengingand reduc-ing power (IC50 = 1.1 mg/mL) activitiesthan those of ethanol extracts (p< 0.05). In addition, methanol extracts showed much higher antiproliferativeactivity against human malignant melanoma A375 (IC50 = 118.1 μg/mL) and human colon cancer HCT116 (IC50 = 148.4 μg/mL) cells than ethanol extracts whereas higher inhibitory effects of human breast cancer MCF7 (IC50 = 139.9 μg/mL), human cervical cancer Hela (IC50 = 127.1 μg/mL) and human liver cancer HepG2 (IC50 = 84.2 μg/mL) cell proliferation in the ethanol extracts of Camelliajaponica L.mistletoe. The results demonstrated the potential use of Camelliajaponica L.mistletoe as a good antioxi-dant and anticancer effect.

Trampolines are recognized as a valuable tool in exercise and rehabilitation due to their unique properties like elasticity, rebound force, low-impact exercise, and enhancement of posture, balance, and cardiopulmonary function. To quantitatively assess the effects of trampoline exercises, it is essential to estimate factors such as stiffness, elements influencing jump dynamics, and user safety. Previous studies assessing trampoline characteristics had limitations in performing repetitive experiments at various locations on the trampoline. Therefore, this research introduces a robotic system equipped with foot-shaped jigs to evaluate trampoline stiffness and quantitatively measure exercise effects. This system, through automated, repetitive movements at various locations on the trampoline, accurately measures the elastic coefficient and vertical forces. The robot maneuvers based on the coordinates of the trampoline, as determined by its torque and position sensors. The force sensor measures data related to the force exerted, along with the vertical force data at X, Y, and Z coordinates. The model’s accuracy was evaluated using linear regression based on Hooke’s Law, with Mean Absolute Error (MAE), Root Mean Square Error (RMSE), and Correlation Coefficient Squared (R-squared) metrics. In the analysis including only the distance between X and the foot-shaped jigs, the average MAE, RMSE, and R-squared values were 17.9702, 21.7226, and 0.9840, respectively. Notably, expanding the model to include distances in X, Y, and between the foot-shaped jigs resulted in a decrease in MAE to 15.7347, RMSE to 18.8226, and an increase in R-squared to 0.9854. The integrated model, including distances in X, Y, and between the foot-shaped jigs, showed improved predictive capability with lower MAE and RMSE and higher R-squared, indicating its effectiveness in more accurately predicting trampoline dynamics, vital in fitness and rehabilitation fields.

Background Subclinical left ventricular diastolic dysfunction (LVDD) is an emerging consequence of increased insulin resistance, and dyslipidemia is one of the few correctable risk factors of LVDD. This study evaluated the role of mean and visit-to-visit variability of lipid measurements in risk of LVDD in a healthy population. Methods This was a 3.7-year (interquartile range, 2.1 to 4.9) longitudinal cohort study including 2,817 adults (median age 55 years) with left ventricular ejection fraction >50% who underwent an annual or biannual health screening between January 2008 and July 2016. The mean, standard deviation (SD), coefficient of variation (CV), variability independent of the mean (VIM), and average real variability of total cholesterol, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), apolipoprotein B (apoB), non-HDL-C, and triglycerides were obtained from three to six measurements during the 5 years preceding the first echocardiogram. Results Among the 2,817 patients, 560 (19.9%) developed LVDD. The mean of no component of lipid measurements was associated with risk of LVDD. CV (hazard ratio [HR], 1.35; 95% confidence interval [CI], 1.10 to 1.67), SD (HR, 1.27; 95% CI, 1.03 to 1.57), and VIM (HR, 1.26; 95% CI, 1.03 to 1.55) of LDL-C and all the variability parameters of apoB were significantly associated with development of LVDD. The association between CV-LDL and risk of LVDD did not have significant interaction with sex, increasing/decreasing trend at baseline, or use of stain and/or lipid-modifying agents. Conclusion The variability of LDL-C and apoB, rather than their mean, was associated with risk for LVDD.

Traffic sign detection is an essential module of self-driving cars and driver assistance system. The major challenge being, traffic sign appear relatively smaller in road view images. It covers only 1%-2% of the total image area. Hence, its challenging to detect very small traffic sign in a larger image covering huge background of similar shape objects. Thus, we propose YOLOv3 network layers pruning and patch wise training strategy for small sized traffic sign detection. This aids in improving recall percentage and mean Average Precision. We also propose anchor box selection algorithm that uses bounding box dimension density to obtain optimal anchor set for the dataset. This reduces false positives and log-average miss rate. The proposed approach is evaluated on German traffic sign detection benchmark and Swedish traffic sign dataset and proves that it achieved a good balance between mAP and inference time.

Herein, we report a simple and scalable synthesis route to prepare Ag-functionalized porous ZnO sheets and their enhanced NO2 gas sensing properties. Porous ZnO sheets functionalized with well-dispersed submicron Ag particles were prepared by using a hydrothermal method-based one-pot synthesis route from Zn and Ag precursors. NO2 gas sensing performance (response, selectivity, response time, and recovery time) was optimized at 200°C in the gas sensor fabricated with 3 at% Ag-functionalized porous ZnO sheets. We demonstrated a response (Rg/Ra) of 17.18 to 10 ppm NO2 gas and also obtained a high response of 14.05 even at 60% relative humidity due to the synergetic effect of improved NO2 gas adsorption in the presence of Ag particles and increased resistance by the formation of Schottky barrier at Ag-ZnO heterojunctions.

Objectives: We investigated whether non-pharmaceutical interventions (NPIs) reduce winter-prevalent respiratory viral infections represented by a respiratory syncytial virus (RSV) and influenza virus (IFV) during the winter in Korea. Methods: The Korean Influenza and Respiratory Virus Monitoring System database was used. From January 2016 through January 2021, the weekly positivity of respiratory viruses and the weekly number of hospitalizations with acute respiratory infections were collected. The NPI period was defined as February 2020–January 2021. We analyzed whether hospitalization and sample positivity by respiratory viruses changed after NPIs. Bayesian structural time–series models and Poisson analyses were used. Data from other countries/regions reporting positive rates of RSV and IFV were also investigated. Results: Compared with the pre-NPI period, the positive rates of RSV and IFV decreased significantly to 19% and 6%, and 23% and 6% of the predicted value. Also, hospitalization significantly decreased to 9% and 8%, and 10% and 5% of the predicted value. The positive rates of IFV in 14 countries during the NPI period were almost 0, whereas sporadic outbreaks of RSV occurred in some countries. Conclusions: No RSV and IFV winter epidemics were observed during the 2020–2021 season in Korea.

Bi–Te-based alloys are potential candidates for use in thermoelectric (TE) modules for low-mid-temperature energy harvesting. However, n-type Bi–Te–Se alloys are inferior to their p-type counterparts in terms of TE performance. It has been found that doping Cu atoms into n-type Bi–Te–Se alloys is effective in improving the TE properties; however, different studies have reported contrasting roles of Cu dopants in the transport properties of Bi–Te–Se alloys. This is attributed to the complex doping behaviors of Cu atoms. In this study, it is demonstrated that employing an appropriate fabrication technique can enable more Cu dopants to be directed to specific atomic sites than others. As part of the study, two n-type polycrystalline Cu0.01Bi1.99Te2.7Se0.3 bulk samples are respectively fabricated via melt-spinning followed by spark plasma sintering, and via ball-milling followed by spark plasma sintering. The majority of Cu dopants in the melt-spun sample are suspected to exist in between Te1–Te1 atomic layers (van der Waals gap), given the elongated c-axis, increased Hall carrier concentration, and improved non-degenerate mobility (intercalated Cu generates one electron and acts as an electric connector). Resultantly, a ~30% enhancement in the TE figure-of-merit (~0.92 at 360–400 K) is achieved in the melt-spun sample, relative to the ball-milled sample, wherein Cu atoms substitute Bi atoms.

This study examines the effect on Korean public employees’ in-role performance and organizational performance of Confucian values and of two organizational management values developed in the West, specifically collective public service motivation-oriented (PSMO) management values and entrepreneurship- oriented (EO) management values.Using data from the Public Sector Entrepreneurship Survey the study finds that some Confucian values can enhance in-role and organizational performance in the Korean public sector, but others can have negative or no effects. The mixed results suggest that the relationship may be more complex than assumed and that some variables may mediate the effects. This has implications on how the positive effects of Confucian values on performance can be maximized while minimizing the negative effects. The collective PSMO and EO management values developed in the Western context both enhance in role performance but only EO management values positive effects extend to organizational performance.Lastly, the study finds that the data does not support the hypothesized positive interaction effects between Confucian values and PSMO and EO management values and both in-role and organizational performance. More investigation is required to fully understand these interaction effects.

This study investigates incumbent firm responses to disruptive innovation in the rapidly evolving South Korean retail industry. The study explores the factors behind an incumbent firm’s decision-making processes when responding to disruptive innovation and examines the reasons behind varied incumbent responses. It investigates the agents that influence a firm’s decision by conducting the qualitative case study of a South Korean retail giant, Lotte. By collecting archival data from various sources, this paper was able to analyze different interviews and statements of the chief executive officer (CEO). From the analysis, it was determined that the firm’s overall actions were aligned with the CEO’s assertions. Thus, this paper asserts that Lotte’s response to disruptive innovation was directly influenced by the CEO’s attention. The results of this study further add to the discourse of disruptive innovation by highlighting the importance of CEO discretion in deciding a firm’s direction and by further emphasizing the relationship between managerial leadership and innovation.

Image-to-patient registration is a coordinate system matching process between real patients and medical images to actively utilize medical images such as computed tomography (CT) during surgery. This paper mainly deals with a markerless method utilizing scan data of patients and 3D data from CT images. The 3D surface data of the patient are registered to CT data using computer-based optimization methods such as iterative closest point (ICP) algorithms. However, if a proper initial location is not set up, the conventional ICP algorithm has the disadvantages that it takes a long converging time and also suffers from the local minimum problem during the process. We propose an automatic and robust 3D data registration method that can accurately find a proper initial location for the ICP algorithm using curvature matching. The proposed method finds and extracts the matching area for 3D registration by converting 3D CT data and 3D scan data to 2D curvature images and by performing curvature matching between them. Curvature features have characteristics that are robust to translation, rotation, and even some deformation. The proposed image-to-patient registration is implemented with the precise 3D registration of the extracted partial 3D CT data and the patient’s scan data using the ICP algorithm.

Compared to the side view, a top-view is robust against occlusion generated by objects located indoors. It offers a better wide view angle and much visibility of a scene. However, there are still problems to be handled. The top-view image shows asymmetrical features and radially distorted scenes around the corners, such as omnidirectional view images and self-occlusion. Conventional human detection methods are suitable for finding moving objects in front view imaging systems. And there are some limitations, such as slow execution speed due to computational complexity. In this paper, we propose an efficient method. A static saliency map with low activity and a dynamic saliency map with a lot of movement are respectively detected. These two models were fused to create a multi-saliency map, and both characteristics were used simultaneously to improve detection rates. To handle problems such as asymmetry, a rotation matrix was calculated around the center, and Histogram of Oriented Gradient (HOG) features descriptor were extracted from the multi-saliency map to create an image patch (a small image region of interest containing human candidates). For the classification of image patches, we used machine learning-based supervised learning models support-vector machine (SVM) algorithm to improve performance. As a result of the proposed algorithm, it showed low resource occupancy and achieved Average Precision of 92.3% and 96.12% when Intersection over Union were 50% and 45% respectively.

In this article, a multichannel convolutional neural network (CNN) based object detection was used to detect suspected trees of pine wilt disease after acquiring aerial photographs through a rotorcraft drone equipped with a multispectral camera. The acquired multispectral aerial photographs consist of RGB, green, red, NIR, and red edge spectral bands per shooting point. The aerial photographs for each band performed image calibration to correct radiation distortion, image alignment to correct the distance error of the lenses of a multispectral camera, and image enhancement to edge enhancement to highlight the features of objects in the image. After that, a large amount of data obtained through data augmentation were put into multichannel CNN-based object detection for training and test. As a result of verifying the detection performance of the trained model, excellent detection results were obtained with mAP 86.63% and average intersection over union 71.47%.

ObjectiveThe pathogenesis of hearing loss in autoinflammatory disorders due to activation of the inflammasome remains incompletely understood. Previously no animals expressing mutant Nlrp3 (NOD-, LRR- and pyrin domain-containing protein 3) survived to an age when hearing evaluation was possible due to embryonic lethality. We aimed to establish a novel mouse model that manifests quantifiable hearing loss with other syndromic features due to alteration of Nlrp3 and investigate the audiologic and histopathologic phenotype in the cochlea to clarify how the genetic alterations of NLRP3 could induce autoinflammatory hearing loss.MethodsTo induce inner ear expression of the mutant Nlrp3, Nlrp3D301NneoR mice were bred with Gfi1Cre knock-in mice for conditional mutant Nlrp3 activation in the cochlea and hematopoietic cells. Hearing thresholds were measured. Hematoxylin-eosin sections of the cochlea, brain, kidney, and liver were examined under light microscopy. Immunohistochemical analyses using polyclonal anti-NLRP3 antibodies on cochlear whole-mount preparations and frozen sections were performed.ResultsWe, for the first time in the literature, established a mouse model that manifests quantifiable hearing loss due to Nlrp3 alteration. ABR recordings of Nlrp3D301NneoR/+; Gfi1Cre/+ mice, albeit with limited life expectancy, exhibited severe to profound hearing loss at postnatal day 20 (P20). There was overall overexpression of mutant Nlrp3, and mutant Nlrp3 expression was noted in the spiral prominence, the outer sulcus region (Claudius cells and outer sulcus cells), the organ of Corti, the inner sulcus, and the spiral ganglion neurons in the cochlea. The hematoxylin-eosin sections of Nlrp3D301NneoR/+; Gfi1Cre/+ mice cochleae at P12 exhibited a disorganized organ of Corti between the outer hair cells/supporting Deiters' cells and basilar membrane compared with the normal phenotype mice, leading to a collapsed Nuel's space. This morphologic feature gradually returned to normal by P15. Varying degrees of inflammation with lymphocytic infiltrations were observed in the brain, kidney, and liver.ConclusionWe report the first mutant Nlrp3 overexpression mouse model (Nlrp3D301NneoR/+; Gfi1Cre/+) that shows obvious overexpression of Nlrp3 in the cochlea, a transient developmental lag of the cochlea, and severe to profound hearing loss. We expect that this mouse line, which models human autoinflammatory hearing loss, could provide a valuable tool to elucidate the underlying pathogenic mechanism of inflammasome activation-mediated hearing loss.

By actively coping with changes, a government providing public services can also improve the quality of those public services and help citizens improve their quality of life in the face of rapidly changing social structures, environments, and values. Accordingly, this study will typologize public innovation capacity (PIC) in terms of the individual, middle manager, and organizational levels. This study typologizes public innovation capacity in terms of the individual, middle manager, and organizational levels through mini-round Delphi analysis and exploratory factor analysis and confirmatory factor analysis using survey. This capacity is a precondition of the specificity of the public sector (generating public interest by providing public services) and universal value of HR (human resource) research (creating performance). It provides the basic capacity within the public sector to enhance the quality of public services and create positive outcomes.

Previous research has found that the better-than-average effect exists in moral issues: specifically, people believe that they are more moral than others. The present study demonstrated the better-than-average effect in judging moral and immoral behaviors in oneself. In Study 1 (N = 233), we found that the better-than-average effect is observed in estimating the intention of immoral behaviors in oneself, which means that people are likely to perceive themselves having less intention to conduct immoral behaviors than others. In Study 2 (N = 52), we confirmed the better-than-average effect in the estimation of their intention both on moral and immoral issues. In Study 3 (N = 153), we manipulated actors (self vs. others) and the level of morality (very immoral, immoral, moral, or very moral) and investigated the interaction between the actors and the level of morality on two types of causal attribution (i.e., dispositional or situational attribution). We found that when participants were asked to imagine having engaged in immoral behaviors, they made less dispositional attributions. In contrast, when participants were asked to imagine having in moral behaviors, they made less situational attributions. Our results showed that a systematic asymmetry of causal attribution resulted in the better-than-average effect, which varied with levels of morality.

Hearing loss is one of the most common sensory disorders. TMEM43 is expressed in cochlear glia-like supporting cells (GLSs) and is known to be associated with late-onset auditory neuropathy spectrum disorder (ANSD) and progressive hearing loss. Here, we describe the derivation of an induced pluripotent stem cell (iPSC) line from a patient lymphoblastoid cell line (LCL) carrying a single heterozygous nonsense variant (p.Arg372Ter (c.1114C > T)) in TMEM43 that leads to a truncated protein lacking the 4th transmembrane domain. This cell line can serve as a tool for disease modelling and development of therapeutic approaches to restore inner ear function.

Purpose: Approval of eribulin for metastatic breast cancer was based on data primarily from Western patients, and there is a paucity of data on the effectiveness and safety of eribulin for Asian patients. To determine the effectiveness and safety of eribulin in Korean women with breast cancer in a real-world setting, we conducted a nationwide, multicenter, retrospective study. Methods: Patients with locally advanced or metastatic breast cancer who were treated with eribulin in 14 centers throughout Korea were included in this study. Eribulin was generally administered at a dose of 1.23 mg/m2 (equivalent to 1.4 mg/m2 eribulin mesylate) by intravenous infusion for 2–5 min, or as a diluted solution, on Days 1 and 8 of every 21-day cycle. The primary endpoint was progression-free survival (PFS) rate at 6 months. Secondary endpoints included median PFS, overall survival (OS), time-to-treatment failure (TTF), tumor response rate, and incidence of hematologic treatment-emergent adverse events (TEAEs). Results: The safety and full analysis populations included 398 and 360 (38 had no efficacy data) patients, respectively. The PFS rate at 6 months was 37.8%. Median PFS, OS, and TTF were 134, 631, and 120 days, respectively. Objective response rate, clinical benefit rate, and disease control rate were 18.1%, 50.6%, and 49.4%, respectively. Hematologic TEAEs were reported in 65.1% of patients; neutropenia (56.8%) and anemia (11.3%) were most common. Conclusion: Real-world effectiveness and safety of eribulin in Korean breast cancer patients were consistent with previous reports; no new safety concerns were identified.

In this paper, we propose an advanced three-dimensional visualization method for an integral imaging microscope system to simultaneously improve the resolution and quality of the reconstructed image. The main advance of the proposed method is that it generates a high-quality three-dimensional model without limitation of resolution by combining the high-resolution two-dimensional color image with depth data obtained through a fully convolutional neural network. First, the high-resolution two-dimensional image and an elemental image array for a specimen are captured, and the orthographic-view image is reconstructed from the elemental image array. Then, via a convolutional neural network-based depth estimation after the brightness of input images are uniformed, a more accurate and improved depth image is generated; and the noise of result depth image is filtered. Subsequently, the estimated depth data is combined with the high-resolution two-dimensional image and transformed into a high-quality three-dimensional model. In the experiment, it was confirmed that the displayed high-quality three-dimensional model could be visualized very similarly to the original image.

Unmanned aerial vehicles and battleships are equipped with the infrared search and tracking (IRST) systems for its mission to search and detect targets even in low visibility environments. However, infrared sensors are easily affected by diverse types of conditions, therefore most of IRST systems need to apply advanced contrast enhancement (CE) methods to cope with the low dynamic range of sensor output and image saturation. The general histogram equalization for infrared images has unwanted side effects such as low contrast expansion and saturation. Also, the local area processing for saturation reduction has been studied to solve the problems regarding the saturation and non-uniformity. We propose the cross fusion based adaptive contrast enhancement with three counter non-uniformity methods. We evaluate the proposed method and compare it with conventional CE methods using the discrete entropy, PSNR, SSIM, RMSE, and computation time indexes. We present the experimental results for images from various products using several datasets such as infrared, multi-spectral satellite, surveillance, general gray and color images, as well as video sequences. The results are compared using the integrated image quality measurement index and they show that the proposed method maintains its performance on various degraded datasets.

Advanced image sensors with high resolution are now being developed for specially purposed electro-optical systems, with research focused on robust image quality performance in terms of super resolution and noise removal under various environmental conditions. Recently, machine-learning and deep-learning methods have been studied as the best practical techniques for restoration to improve the deteriorated image quality of sensors. However, these methods show limitations and side effects of image degradation such as image non-uniformity. In this paper, we analyze and randomly generate additive white Gaussian noise, non-uniform line noise, and dark saturation as representative image degradations. We then propose an advanced U-net model based on global and local residual learning in order to restore complexly deteriorated images. The proposed method shows unparalleled performance compared to alternative models and previous studies. In particular, various complex noise components are minimized and improved with equal quality so that variation between sequential images is minimized. These findings leverage mutual corroboration of quantitative and qualitative evaluation metrics. In the future, the proposed model is expected to contribute to a wide range of field applications such as defense, surveillance, and video media for image quality enhancement technologies.

Background. Few reports have focused on newer coronavirus disease 2019 (COVID-19) therapies (remdesivir, dexamethasone, and convalescent plasma) in solid organ transplant recipients; concerns had been raised regarding possible adverse impact on allograft function or secondary infections. Methods. We studied 77 solid organ transplant inpatients with COVID-19 during 2 therapeutic eras (Era 1: March–May 2020, 21 patients; and Era 2: June–November 2020, 56 patients) and 52 solid organ transplant outpatients. Results. In Era 1, no patients received remdesivir or dexamethasone, and 4 of 21 (19.4%) received convalescent plasma, whereas in Era 2, remdesivir (24/56, 42.9%), dexamethasone (24/56, 42.9%), and convalescent plasma (40/56, 71.4%) were commonly used. Mortality was low across both eras, 4 of 77 (5.6%), and rejection occurred in only 2 of 77 (2.8%) inpatients; infections were similar in hypoxemic patients with or without dexamethasone. Preexisting graft dysfunction was associated with greater need for hospitalization, higher severity score, and lower survival. Acute kidney injury was present in 37.3% of inpatients; renal function improved more rapidly in patients who received remdesivir and convalescent plasma. Post–COVID-19 renal and liver function were comparable between eras, out to 90 d. Conclusions. Newer COVID-19 therapies did not appear to have a deleterious effect on allograft function, and infectious complications were comparable.

Alternaria porri (Ellis) Clf. causes purple blotch disease on Allium plants which results in the reduction of crop yields and quality. In this study, to efficiently find natural antifungal compounds against A. porri, we optimized the culture condition for the spore production of A. porri and the disease development condition for an in vivo antifungal assay. From tested plant materials, the methanol extracts derived from ten plant species belonging to the families Cupressaceae, Fabaceae, Dipterocarpaceae, Apocynaceae, Lauraceae, and Melastomataceae were selected as potent antifungal agents against A. porri. In particular, the methanol extract of Caryodaphnopsis baviensis (Lec.) A.-Shaw completely inhibited the growth of A. porri at a concentration of 111 μg/ml. Based on chromatographic and spectroscopic analyses, a neolignan compound magnolol was identified as the antifungal compound of the C. baviensis methanol extract. Magnolol showed a significant inhibitory activity against the spore germination and mycelial growth of A. porri with IC50 values of 4.5 and 5.4 μg/ml, respectively. Furthermore, when magnolol was sprayed onto onion plants at a concentration of 500 μg/ml, it showed more than an 80% disease control efficacy for the purple blotch diseases. In terms of the antifungal mechanism of magnolol, we explored the in vitro inhibitory activity on individual oxidative phosphorylation complexes I-V, and the results showed that magnolol acts as multiple inhibitors of complexes I-V. Taken together, our results provide new insight into the potential of magnolol as an active ingredient with antifungal inhibitory action to control purple blotch on onions.

We propose a light-field microscopy display system that provides improved image quality and realistic three-dimensional (3D) measurement information. Our approach acquires both high-resolution two-dimensional (2D) and light-field images of the specimen sequentially. We put forward a matting Laplacian-based depth estimation algorithm to obtain nearly realistic 3D surface data, allowing the calculation of depth data, which is relatively close to the actual surface, and measurement information from the light-field images of specimens. High-reliability area data of the focus measure map and spatial affinity information of the matting Laplacian are used to estimate nearly realistic depths. This process represents a reference value for the light-field microscopy depth range that was not previously available. A 3D model is regenerated by combining the depth data and the high-resolution 2D image. The element image array is rendered through a simplified direction-reversal calculation method, which depends on user interaction from the 3D model and is displayed on the 3D display device. We confirm that the proposed system increases the accuracy of depth estimation and measurement and improves the quality of visualization and 3D display images.

This paper proposes an algorithm that improves ship detection accuracy using preprocessing and post-processing. To achieve this, high-resolution electro-optical satellite images with a wide range of shape and texture information were considered. The developed algorithms display the problem of unreliable detection of ships owing to clouds, large waves, weather influences, and shadows from large terrains. False detections in land areas with image information similar to that of ships are observed frequently. Therefore, this study involves three algorithms: global feature enhancement pre-processing (GFEP), multiclass ship detector (MSD), and false detected ship exclusion by sea land segmentation image (FDSESI). First, GFEP enhances the image contrast of high-resolution electro-optical satellite images. Second, the MSD extracts many primary ship candidates. Third, falsely detected ships in the land region are excluded using the mask image that divides the sea and land. A series of experiments was performed using the proposed method on a database of 1984 images. The database includes five ship classes. Therefore, a method focused on improving the accuracy of various ships is proposed. The results show a mean average precision (mAP) improvement from 50.55% to 63.39% compared with other deep learning-based detection algorithms.

Background: To overcome disadvantages of germinated brown rice, we germinated rough rice and tested effects of its useful ingredients on prevention of diabetes. Objective: This study investigated the in vitro antioxidant and in vivo antidiabetic effects of rough rice (Oryza sativa L.) with hulls, before and after germination. Rough rice was germinated for 4 days and extracted with water at 120°C. Design: This study measured antioxidants and antioxidative effects and inhibitory activities against α-amylase and α-glucosidase of rough rice before and after germination and investigated antidiabetic effects of rough rice through animal experiments. Results: All these factors increased after germination. Also, α-amylase and α-glucosidase inhibition and glucose uptake by 3T3-L1 adipocytes were significantly increased after germination. Oral administration of the germinated rough rice extract for 8 weeks significantly increased insulin levels and decreased blood glucose levels in a C57BLKS/J-db/db mice model. Immunohistochemical analysis showed that germinated rough rice effectively protected against liver, kidney, and pancreatic tissue damage. Discussion: Useful ingredients in germinated rough rice could be used to prevent diabetes. Conclusions: These results suggest that germinated rough rice extract had a beneficial effect on diabetes by increasing the antioxidant activity and further purification studies are necessary to elucidate the mechanism of the extract’s antidiabetic activity.

In yeast, Hda1 histone deacetylase complex (Hda1C) preferentially deacetylates H3 and H2B, but has also been implicated in global H4 deacetylation. Here, the authors provide evidence that Hda1C binds to hyperactive genes, where it specifically deacetylates H4 to partially inhibit elongation, suggesting a role for Hda1C in elongation by specifically deacetylating H4 at highly transcribed regions.