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Showing papers by "Chung-Ang University published in 2019"


Journal ArticleDOI
TL;DR: To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.
Abstract: Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.

513 citations


Journal ArticleDOI
TL;DR: A quick review of the structure, applications, recent advancements, and potential future directions for the utilization of gold nanoparticles in cancer therapeutics is given.
Abstract: Gold is a multifunctional material that has been utilized in medicinal applications for centuries because it has been recognized for its bacteriostatic, anticorrosive, and antioxidative properties. Modern medicine makes routine, conventional use of gold and has even developed more advanced applications by taking advantage of its ability to be manufactured at the nanoscale and functionalized because of the presence of thiol and amine groups, allowing for the conjugation of various functional groups such as targeted antibodies or drug products. It has been shown that colloidal gold exhibits localized plasmon surface resonance (LPSR), meaning that gold nanoparticles can absorb light at specific wavelengths, resulting in photoacoustic and photothermal properties, making them potentially useful for hyperthermic cancer treatments and medical imaging applications. Modifying gold nanoparticle shape and size can change their LPSR photochemical activities, thereby also altering their photothermal and photoacoustic properties, allowing for the utilization of different wavelengths of light, such as light in the near-infrared spectrum. By manufacturing gold in a nanoscale format, it is possible to passively distribute the material through the body, where it can localize in tumors (which are characterized by leaky blood vessels) and be safely excreted through the urinary system. In this paper, we give a quick review of the structure, applications, recent advancements, and potential future directions for the utilization of gold nanoparticles in cancer therapeutics.

466 citations


Journal ArticleDOI
25 Jun 2019-JAMA
TL;DR: Among patients undergoing percutaneous coronary intervention, P2Y12 inhibitor monotherapy after 3 months of D APT compared with prolonged DAPT resulted in noninferior rates of major adverse cardiac and cerebrovascular events.
Abstract: Importance Data on P2Y12 inhibitor monotherapy after short-duration dual antiplatelet therapy (DAPT) in patients undergoing percutaneous coronary intervention are limited. Objective To determine whether P2Y12 inhibitor monotherapy after 3 months of DAPT is noninferior to 12 months of DAPT in patients undergoing PCI. Design, Setting, and Participants The SMART-CHOICE trial was an open-label, noninferiority, randomized study that was conducted in 33 hospitals in Korea and included 2993 patients undergoing PCI with drug-eluting stents. Enrollment began March 18, 2014, and follow-up was completed July 19, 2018. Interventions Patients were randomly assigned to receive aspirin plus a P2Y12 inhibitor for 3 months and thereafter P2Y12 inhibitor alone (n = 1495) or DAPT for 12 months (n = 1498). Main Outcomes and Measures The primary end point was major adverse cardiac and cerebrovascular events (a composite of all-cause death, myocardial infarction, or stroke) at 12 months after the index procedure. Secondary end points included the components of the primary end point and bleeding defined as Bleeding Academic Research Consortium type 2 to 5. The noninferiority margin was 1.8%. Results Among 2993 patients who were randomized (mean age, 64 years; 795 women [26.6%]), 2912 (97.3%) completed the trial. Adherence to the study protocol was 79.3% of the P2Y12 inhibitor monotherapy group and 95.2% of the DAPT group. At 12 months, major adverse cardiac and cerebrovascular events occurred in 42 patients in the P2Y12 inhibitor monotherapy group and in 36 patients in the DAPT group (2.9% vs 2.5%; difference, 0.4% [1-sided 95% CI, –∞% to 1.3%];P = .007 for noninferiority). There were no significant differences in all-cause death (21 [1.4%] vs 18 [1.2%]; hazard ratio [HR], 1.18; 95% CI, 0.63-2.21;P = .61), myocardial infarction (11 [0.8%] vs 17 [1.2%]; HR, 0.66; 95% CI, 0.31-1.40;P = .28), or stroke (11 [0.8%] vs 5 [0.3%]; HR, 2.23; 95% CI, 0.78-6.43;P = .14) between the 2 groups. The rate of bleeding was significantly lower in the P2Y12 inhibitor monotherapy group than in the DAPT group (2.0% vs 3.4%; HR, 0.58; 95% CI, 0.36-0.92;P = .02). Conclusions and Relevance Among patients undergoing percutaneous coronary intervention, P2Y12 inhibitor monotherapy after 3 months of DAPT compared with prolonged DAPT resulted in noninferior rates of major adverse cardiac and cerebrovascular events. Because of limitations in the study population and adherence, further research is needed in other populations. Trial Registration ClinicalTrials.gov Identifier:NCT02079194

384 citations


Journal ArticleDOI
TL;DR: The results showed that the effect of p on the population CFI and TLI depended on thetype of specification error, whereas a higher p was associated with lower values of the population RMSEA regardless of the type of model misspecification.
Abstract: This study investigated the effect the number of observed variables (p) has on three structural equation modeling indices: the comparative fit index (CFI), the Tucker-Lewis index (TLI), and the root mean square error of approximation (RMSEA). The behaviors of the population fit indices and their sample estimates were compared under various conditions created by manipulating the number of observed variables, the types of model misspecification, the sample size, and the magnitude of factor loadings. The results showed that the effect of p on the population CFI and TLI depended on the type of specification error, whereas a higher p was associated with lower values of the population RMSEA regardless of the type of model misspecification. In finite samples, all three fit indices tended to yield estimates that suggested a worse fit than their population counterparts, which was more pronounced with a smaller sample size, higher p, and lower factor loading.

323 citations


Journal ArticleDOI
TL;DR: It was found that PP particles showed low cytotoxicity effect in size and concentration manner, however, a high concentration, small sized, DMSO method of PP particles stimulated the immune system and enhanced potential hypersensitivity to PP particles via an increase in the levels of cytokines and histamines in PBMCs, Raw 264.7 and HMC-1 cells.

314 citations


Journal ArticleDOI
TL;DR: Laroscopic distal gastrectomy with D2 lymphadenectomy for locally advanced gastric cancer shows benefits in terms of lower complication rate, faster recovery, and less pain compared with open surgery.
Abstract: Objective:The aim of the study was to evaluate the short-term outcomes of KLASS-02-RCT, a multicenter randomized controlled trial comparing laparoscopic distal gastrectomy (LDG) with D2 lymphadenectomy with open distal gastrectomy (ODG).Summary Background Data:Although several benefits of laparoscop

270 citations


Journal ArticleDOI
16 Aug 2019-Science
TL;DR: A soft, fully portable, lightweight exosuit that is able to reduce the metabolic rate for both running and walking by assisting each motion via the hip extension is developed and single-participant experiments show that it is possible to reduce metabolic rates of different running speeds and uphill walking, further demonstrating the exosuits’s versatility.
Abstract: Walking and running have fundamentally different biomechanics, which makes developing devices that assist both gaits challenging. We show that a portable exosuit that assists hip extension can reduce the metabolic rate of treadmill walking at 1.5 meters per second by 9.3% and that of running at 2.5 meters per second by 4.0% compared with locomotion without the exosuit. These reduction magnitudes are comparable to the effects of taking off 7.4 and 5.7 kilograms during walking and running, respectively, and are in a range that has shown meaningful athletic performance changes. The exosuit automatically switches between actuation profiles for both gaits, on the basis of estimated potential energy fluctuations of the wearer's center of mass. Single-participant experiments show that it is possible to reduce metabolic rates of different running speeds and uphill walking, further demonstrating the exosuit's versatility.

265 citations


Journal ArticleDOI
12 Dec 2019-Cells
TL;DR: Attempts are being made to apply the spheroid culture system to the study of drug delivery platforms and co-cultures, and to regulate differentiation and pluripotency, to overcome the limitations of traditional monolayer cell culture.
Abstract: Owing to the importance of stem cell culture systems in clinical applications, researchers have extensively studied them to optimize the culture conditions and increase efficiency of cell culture. A spheroid culture system provides a similar physicochemical environment in vivo by facilitating cell–cell and cell–matrix interaction to overcome the limitations of traditional monolayer cell culture. In suspension culture, aggregates of adjacent cells form a spheroid shape having wide utility in tumor and cancer research, therapeutic transplantation, drug screening, and clinical study, as well as organic culture. There are various spheroid culture methods such as hanging drop, gel embedding, magnetic levitation, and spinner culture. Lately, efforts are being made to apply the spheroid culture system to the study of drug delivery platforms and co-cultures, and to regulate differentiation and pluripotency. To study spheroid cell culture, various kinds of biomaterials are used as building forms of hydrogel, film, particle, and bead, depending upon the requirement. However, spheroid cell culture system has limitations such as hypoxia and necrosis in the spheroid core. In addition, studies should focus on methods to dissociate cells from spheroid into single cells.

226 citations


Proceedings ArticleDOI
15 May 2019
TL;DR: Experimental results demonstrate that the proposed tree-GAN outperforms state-of-the-art GANs in terms of both conventional metrics and FPD, and can generate point clouds for different semantic parts without prior knowledge.
Abstract: In this paper, we propose a novel generative adversarial network (GAN) for 3D point clouds generation, which is called tree-GAN. To achieve state-of-the-art performance for multi-class 3D point cloud generation, a tree-structured graph convolution network (TreeGCN) is introduced as a generator for tree-GAN. Because TreeGCN performs graph convolutions within a tree, it can use ancestor information to boost the representation power for features. To evaluate GANs for 3D point clouds accurately, we develop a novel evaluation metric called Fr\'echet point cloud distance (FPD). Experimental results demonstrate that the proposed tree-GAN outperforms state-of-the-art GANs in terms of both conventional metrics and FPD, and can generate point clouds for different semantic parts without prior knowledge.

212 citations


Journal ArticleDOI
TL;DR: In this paper, the authors reviewed publications as early as 1991, with 85% of the publications between 2013 and 2018, to identify and classify the architectures, infrastructure, and underlying algorithms for managing resources in fog/edge computing.
Abstract: Contrary to using distant and centralized cloud data center resources, employing decentralized resources at the edge of a network for processing data closer to user devices, such as smartphones and tablets, is an upcoming computing paradigm, referred to as fog/edge computing. Fog/edge resources are typically resource-constrained, heterogeneous, and dynamic compared to the cloud, thereby making resource management an important challenge that needs to be addressed. This article reviews publications as early as 1991, with 85% of the publications between 2013 and 2018, to identify and classify the architectures, infrastructure, and underlying algorithms for managing resources in fog/edge computing.

190 citations


Journal ArticleDOI
TL;DR: It is found that the original application of AIS data to navigation safety has, with the improvement of data accessibility, evolved into diverse applications in various directions, and it is expected that more multi-disciplinary AIS studies will emerge in the coming years.

Journal ArticleDOI
TL;DR: This study designs a visual analytics solution to increase interpretability and interactivity of RNNs via a joint effort of medical experts, artificial intelligence scientists, and visual analytics researchers, and demonstrates how it made substantial changes to the state-of-the-art RNN model called RETAIN in order to make use of temporal information and increase interactivity.
Abstract: We have recently seen many successful applications of recurrent neural networks (RNNs) on electronic medical records (EMRs), which contain histories of patients' diagnoses, medications, and other various events, in order to predict the current and future states of patients. Despite the strong performance of RNNs, it is often challenging for users to understand why the model makes a particular prediction. Such black-box nature of RNNs can impede its wide adoption in clinical practice. Furthermore, we have no established methods to interactively leverage users' domain expertise and prior knowledge as inputs for steering the model. Therefore, our design study aims to provide a visual analytics solution to increase interpretability and interactivity of RNNs via a joint effort of medical experts, artificial intelligence scientists, and visual analytics researchers. Following the iterative design process between the experts, we design, implement, and evaluate a visual analytics tool called RetainVis, which couples a newly improved, interpretable, and interactive RNN-based model called RetainEX and visualizations for users' exploration of EMR data in the context of prediction tasks. Our study shows the effective use of RetainVis for gaining insights into how individual medical codes contribute to making risk predictions, using EMRs of patients with heart failure and cataract symptoms. Our study also demonstrates how we made substantial changes to the state-of-the-art RNN model called RETAIN in order to make use of temporal information and increase interactivity. This study will provide a useful guideline for researchers that aim to design an interpretable and interactive visual analytics tool for RNNs.

Journal ArticleDOI
TL;DR: In this article, a cascade of transitions in the spectroscopic properties of MATBG as a function of electron filling were observed in high-resolution scanning tunneling microscopy (STM) images.
Abstract: Magic-angle twisted bilayer graphene (MATBG) exhibits a rich variety of electronic states, including correlated insulators, superconductors, and topological phases. Understanding the microscopic mechanisms responsible for these phases requires determining the interplay between electron-electron interactions and quantum degeneracy due to spin and valley degrees of freedom. Signatures of strong electron-electron correlations have been observed at partial fillings of the flat electronic bands in recent spectroscopic measurements. Transport experiments have shown changes in the Landau level degeneracy at fillings corresponding to an integer number of electrons per moire unit cell. However, the interplay between interaction effects and the degeneracy of the system is currently unclear. Using high-resolution scanning tunneling microscopy (STM), we observed a cascade of transitions in the spectroscopic properties of MATBG as a function of electron filling. We find distinct changes in the chemical potential and a rearrangement of the low-energy excitations at each integer filling of the moire flat bands. These spectroscopic features are a direct consequence of Coulomb interactions, which split the degenerate flat bands into Hubbard sub-bands. We find these interactions, the strength of which we can extract experimentally, to be surprisingly sensitive to the presence of a perpendicular magnetic field, which strongly modifies the spectroscopic transitions. The cascade of transitions we report here characterizes the correlated high-temperature parent phase from which various insulating and superconducting ground-state phases emerge at low temperatures in MATBG.

Journal ArticleDOI
TL;DR: In this paper, microsatellite instability (MSI) status and programed cell death ligand 1 (PD-L1) expression were investigated as predictors of prognosis and responsiveness to chemotherapy for stage II/III gastric cancer.
Abstract: Objective:We investigated microsatellite instability (MSI) status and programed cell death ligand 1 (PD-L1) expression as predictors of prognosis and responsiveness to chemotherapy for stage II/III gastric cancer.Background:The clinical implications of MSI status and PD-L1 expression in gastric canc

Journal ArticleDOI
TL;DR: An artificial optoelectronic neuromorphic device array to emulate the light‐adaptable synaptic functions (photopic and scotopic adaptation) of the biological visual perception system is presented and successfully demonstrates diverse visual synaptic functions such as phototriggered short‐term plasticity, long‐term potentiation, and neural facilitation.
Abstract: Emulating the biological visual perception system typically requires a complex architecture including the integration of an artificial retina and optic nerves with various synaptic behaviors. However, self-adaptive synaptic behaviors, which are frequently translated into visual nerves to adjust environmental light intensities, have been one of the serious challenges for the artificial visual perception system. Here, an artificial optoelectronic neuromorphic device array to emulate the light-adaptable synaptic functions (photopic and scotopic adaptation) of the biological visual perception system is presented. By employing an artificial visual perception circuit including a metal chalcogenide photoreceptor transistor and a metal oxide synaptic transistor, the optoelectronic neuromorphic device successfully demonstrates diverse visual synaptic functions such as phototriggered short-term plasticity, long-term potentiation, and neural facilitation. More importantly, the environment-adaptable perception behaviors at various levels of the light illumination are well reproduced by adjusting load transistor in the circuit, exhibiting the acts of variable dynamic ranges of biological system. This development paves a new way to fabricate an environmental-adaptable artificial visual perception system with profound implications for the field of future neuromorphic electronics.

Journal ArticleDOI
05 Aug 2019-ACS Nano
TL;DR: This rationally designed 3D-Si@SiOx/C nanoarchitecture exhibits not only excellent electrochemical performance due to its structural stability and superior ion/electron transport but also enhanced thermal stability due to the presence of carbon, which was formed by a cost-effective one-pot synthetic route.
Abstract: Silicon-based materials are the most promising candidates to surpass the capacity limitation of conventional graphite anode for lithium ion batteries. Unfortunately, Si-based materials suffer from poor cycling performance and dimensional instability induced by the large volume changes during cycling. To resolve such problems, nanostructured silicon-based materials with delicately controlled microstructure and interfaces have been intensively investigated. Nevertheless, they still face problems related to their high synthetic cost and their limited electrochemical properties and thermal stability. To overcome these drawbacks, we demonstrate the strategic design and synthesis of a gyroid three-dimensional network in a Si@SiOx/C nanoarchitecture (3D-Si@SiOx/C) with synergetic interaction between the computational prediction and the synthetic optimization. This 3D-Si@SiOx/C exhibits not only excellent electrochemical performance due to its structural stability and superior ion/electron transport but also enhanced thermal stability due to the presence of carbon, which was formed by a cost-effective one-pot synthetic route. We believe that our rationally designed 3D-Si@SiOx/C will lead to the development of anode materials for the next-generation lithium ion batteries.

Journal ArticleDOI
TL;DR: The great burden of stroke in Korea can be reduced through more concentrated efforts to control major attributable risk factors for age and sex, reorganize emergency medical service systems to give patients with stroke more opportunities for reperfusion therapy, disseminate stroke unit care, and reduce regional disparities.
Abstract: Despite the great socioeconomic burden of stroke, there have been few reports of stroke statistics in Korea. In this scenario, the Epidemiologic Research Council of the Korean Stroke Society launched the “Stroke Statistics in Korea” project, aimed at writing a contemporary, comprehensive, and representative report on stroke epidemiology in Korea. This report contains general statistics of stroke, prevalence of behavioral and vascular risk factors, stroke characteristics, pre-hospital system of care, hospital management, quality of stroke care, and outcomes. In this report, we analyzed the most up-to-date and nationally representative databases, rather than performing a systematic review of existing evidence. In summary, one in 40 adults are patients with stroke and 232 subjects per 100,000 experience a stroke event every year. Among the 100 patients with stroke in 2014, 76 had ischemic stroke, 15 had intracerebral hemorrhage, and nine had subarachnoid hemorrhage. Stroke mortality is gradually declining, but it remains as high as 30 deaths per 100,000 individuals, with regional disparities. As for stroke risk factors, the prevalence of smoking is decreasing in men but not in women, and the prevalence of alcohol drinking is increasing in women but not in men. Population-attributable risk factors vary with age. Smoking plays a role in young-aged individuals, hypertension and diabetes in middle-aged individuals, and atrial fibrillation in the elderly. About four out of 10 hospitalized patients with stroke are visiting an emergency room within 3 hours of symptom onset, and only half use an ambulance. Regarding acute management, the proportion of patients with ischemic stroke receiving intravenous thrombolysis and endovascular treatment was 10.7% and 3.6%, respectively. Decompressive surgery was performed in 1.4% of patients with ischemic stroke and in 28.1% of those with intracerebral hemorrhage. The cumulative incidence of bleeding and fracture at 1 year after stroke was 8.9% and 4.7%, respectively. The direct costs of stroke were about ₩1.68 trillion (KRW), of which ₩1.11 trillion were for ischemic stroke and ₩540 billion for hemorrhagic stroke. The great burden of stroke in Korea can be reduced through more concentrated efforts to control major attributable risk factors for age and sex, reorganize emergency medical service systems to give patients with stroke more opportunities for reperfusion therapy, disseminate stroke unit care, and reduce regional disparities. We hope that this report can contribute to achieving these tasks.

Journal ArticleDOI
TL;DR: Intracellular experiments demonstrated that the three fluorescent color CDs were effectively internalized the cells and show excellent biocompatibility and low toxicity, suggesting that the CDs can be used as good candidates for biomedical applications.

Journal ArticleDOI
TL;DR: Individuals with CVD may benefit from physical activity to a greater extent than do healthy subjects without CVD.
Abstract: AIMS Physical activity has been shown to reduce mortality in a dose-response fashion. Current guidelines recommend 500-1000 metabolic equivalent task (MET)-min per week of regular physical activity. This study aimed to compare the impact of leisure-time physical activity on mortality in primary versus secondary cardiovascular prevention. METHODS AND RESULTS This study included a total of 131 558 and 310 240 subjects with and without cardiovascular disease (CVD), respectively, from a population-based cohort. Leisure-time physical activity was measured by self-report questionnaires. The study subjects were followed-up for a median of 5.9 years, and the main study outcome was all-cause mortality. There was an inverse relationship between the physical activity level and the mortality risk in both groups. The benefit in the secondary prevention group was shown to be greater than that in the primary prevention group: every 500 MET-min/week increase in physical activity resulted in a 14% and 7% risk reduction in mortality in the secondary and primary prevention groups, respectively (interaction P < 0.001). In addition, while individuals without CVD benefited the most between 1 and 500 MET-min/week of physical activity, the benefit in those with CVD continued above 500 - 1000 MET-min/week. The adjusted mortality risk of individuals with CVD who performed a high level of physical activity (≥1000 MET-min/week) was shown to be comparable to or lower than that of their counterparts without CVD. CONCLUSION Individuals with CVD may benefit from physical activity to a greater extent than do healthy subjects without CVD.

Journal ArticleDOI
TL;DR: The fourth guidelines for the treatment of dyslipidemia specific to Koreans are developed based on evidence and expert opinions on the dynamically changing treatment modalities for dys Lipididemia.
Abstract: Cardiovascular disease (CVD) is becoming more prevalent worldwide and is one of the leading causes of death [1]. To lower CVD mortality, aggressive and comprehensive management of its risk factors, including dyslipidemia, hypertension, diabetes mellitus, and smoking, are crucial [2]. The incidence of coronary artery disease (CAD) is rising in South Korea and although cerebral hemorrhage has declined since 2002, cerebral infarction is on the rise [3]. This is speculated to be due to the elevated prevalence of dyslipidemia and diabetes mellitus with the growing obesity population, while hypertension is well-managed and smoking rate has reached a plateau [4]. Thus, aggressive diagnosis and treatment of dyslipidemia, the most important risk factor for atherosclerosis, are critical for lowering the incidence and mortality of CAD and cerebral infarction. To promote appropriate treatment of dyslipidemia, the Korean Society of Lipid and Atherosclerosis (KSo-LA) published the first guidelines for the management of hyperlipidemia in 1996, the second guideline in 2003, the second revision in 2009, and the third guidelines for treatment of dyslipidemia with added contents in 2015, in collaboration with 18 other relevant academic societies and organizations [5]. However, new guidelines were published in Europe in 2016 and in the United States in 2017 based on new study findings, and new drugs, such as proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors have been launched [6-8]. Therefore, the KSoLA Treatment Guideline Committee developed the fourth guidelines for treatment and management of dyslipidemia specific to Koreans based on evidence and expert opinions on the dynamically changing treatment modalities for dyslipidemia. The fourth guideline consists of information about the epidemiology of dyslipidemia, diagnosis and treatment criteria, lifestyle interventions, drug therapy, and dyslipidemia in specific patient groups. Finally, we present currently available data and the need to develop and validate scales to assess the risk of CVD specific to Koreans and CVD biomarkers appropriate for the Korean population. The level of evidence and strength of recommendations used in the fourth guideline are shown in Table 1. The fourth guideline is available in full text and an abstract form including tables and figures in Korean. This paper is an English summary of the full text. We hope the fourth guidelines for the treatment of dyslipidemia will be useful for health professionals treating dyslipidemia. Table 1. Levels of evidence: classes of recommendation

Journal ArticleDOI
TL;DR: SFX is identified as an inhibitor of small extracellular vesicles from breast cancer cells through interference with endothelin receptor A (ETA), which may provide a foundation for sEV-targeted cancer therapies and the mechanistic studies on sEV biology.
Abstract: Inhibitors of the secretion of cancer exosomes, which promote cancer progression and metastasis, may not only accelerate exosome biology research but also offer therapeutic benefits for cancer patients. Here we identify sulfisoxazole (SFX) as an inhibitor of small extracellular vesicles (sEV) secretion from breast cancer cells through interference with endothelin receptor A (ETA). SFX, an FDA-approved oral antibiotic, showed significant anti-tumor and anti-metastatic effects in mouse models of breast cancer xenografts, the reduced expression of proteins involved in biogenesis and secretion of sEV, and triggered co-localization of multivesicular endosomes with lysosomes for degradation. We demonstrate the important role of ETA, as target of SFX, by gain- and loss-of-function studies of the ETA protein, through a direct binding assay, and pharmacological and genetic approaches. These findings may provide a foundation for sEV-targeted cancer therapies and the mechanistic studies on sEV biology.

Journal ArticleDOI
TL;DR: Intra-articular MSCs provide improvements in pain and function in knee osteoarthritis at short-term follow-up (<28 months) in many cases and remain limited on both clinical outcomes and cartilage repair remains limited.
Abstract: Purpose To provide a systematic review of the clinical literature reporting the efficacy of mesenchymal stem cells (MSCs) in terms of clinical outcomes including pain and function and cartilage repair in patients with osteoarthritis. Methods We systematically reviewed any studies investigating clinical outcomes and cartilage repair after the clinical application of cell populations containing MSCs in human subjects with knee osteoarthritis through MEDLINE, EMBASE, the Cochrane Library, CINAHL, Web of Science, and Scopus. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Studies with a level of evidence of IV or V were excluded. Methodological quality was assessed using the Modified Coleman Methodology Score. Clinical outcomes were assessed using clinical scores, and cartilage repair was assessed using magnetic resonance imaging and second-look arthroscopy findings. Results A total of 17 studies that met the criteria of 50 full-text studies were included in this review, with 6 randomized controlled trials, 8 prospective observational studies, and 3 retrospective case-control studies. Among 17 studies, 8 studies used bone marrow–derived MSCs, 6 used adipose tissue–derived stromal vascular fraction, 2 used adipose tissue–derived MSCs, and 1 used umbilical cord blood–derived MSCs. All studies except 2 reported significantly better clinical outcomes in the MSC group or improved clinical outcomes at final follow-up. In terms of cartilage repair, 9 of 11 studies reported improvement of the cartilage state on magnetic resonance imaging, and 6 of 7 studies reported repaired tissue on second-look arthroscopy. The mean Modified Coleman Methodology Score was 55.5 ± 15.5 (range, 28-74). Conclusions Intra-articular MSCs provide improvements in pain and function in knee osteoarthritis at short-term follow-up ( Level of Evidence Level III; systematic review of level I, II, and III studies.

Journal ArticleDOI
TL;DR: The analyzed results show that knowledge and perceived security in mobile Fintech services have a significant influence on users’ confirmation and perceived usefulness, however, perceived security does not directly influence users' satisfaction and continual intention to use of the services.
Abstract: Financial technology (Fintech) services using emerging technology such as the Internet of Things (IoT) is becoming more prevalent. The recent proliferation of the mobile payment sector led by innov...

Journal ArticleDOI
TL;DR: In this paper, a lead-free all-inorganic halide perovskites (HPs) based nonvolatile memory with temperature tolerance was successfully fabricated and the devices exhibit reproducible and reliable bipolar resistive switching (RS) characteristics in both Ag and Au top electrodes.
Abstract: Recently, organometallic and all-inorganic halide perovskites (HPs) have become promising materials for resistive switching (RS) nonvolatile memory devices with low power consumption because they show current-voltage hysteresis caused by fast ion migration. However, the toxicity and environmental pollution potential of lead, a common constituent of HPs, has limited the commercial applications of HP-based devices. Here, RS memory devices based on lead-free all-inorganic cesium tin iodide (CsSnI3) perovskites with temperature tolerance are successfully fabricated. The devices exhibit reproducible and reliable bipolar RS characteristics in both Ag and Au top electrodes (TEs) with different switching mechanisms. The Ag TE devices show filamentary RS behavior with ultralow operating voltages (<0.15 V). In contrast, the Au TE devices have interface-type RS behavior with gradual resistance changes. This suggests that the RS characteristics are attributed to either the formation of metal filaments or the ion migration of defects in HPs under applied electric fields. These distinct mechanisms may permit the opportunity to design devices for specific purposes. This work will pave the way for lead-free all-inorganic HP-based nonvolatile memory for commercial application in HP-based devices.

Journal ArticleDOI
TL;DR: In this paper, a review of the recent developments in 2D materials for photocatalytic applications involving the hydrogen evolution reaction and CO2 reduction is presented, and it is revealed that the use of 2D catalyst materials has great potential for commercialization in the near future to help overcome the energy crisis.
Abstract: The issues of global warming and fossil fuel shortage have increased the demand for clean and renewable energy. Many researchers are investigating strategies to produce hydrogen and reduce CO2 by using solar power. Two-dimensional (2D) materials, such as graphene, graphene derivatives, and transition metal dichalcogenides (TMDs), have been extensively used owing to their extraordinary electronic and optical properties. In this review, we investigate the recent developments in 2D materials for photocatalytic applications involving the hydrogen evolution reaction and CO2 reduction. The synthesis methods and the photocatalytic properties of TMDs and graphene-based 2D materials are thoroughly discussed. Moreover, a summary of the recently developed 2D nanostructures and devices for solar hydrogen production and CO2 reduction is presented, and it is revealed that the use of 2D catalyst materials has great potential for commercialization in the near future to help overcome the energy crisis.

Journal ArticleDOI
TL;DR: Preventive maintenance is increasingly becoming an essential strategy in the bridge industry owing to its proactive advantage of maintaining the structural sustainability during its entire service life cycle as discussed by the authors, and preventive maintenance is a proactive strategy in bridge industry.
Abstract: Preventive maintenance is increasingly becoming an essential strategy in the bridge industry owing to its proactive advantage of maintaining the structural sustainability during its entire service ...

Journal ArticleDOI
TL;DR: A simple chemical reduction method that can systematically generate oxygen vacancies in barium stannate (BaSnO3 (BSO) crystal is introduced, which thus allows for precise control of the bandgap energy.
Abstract: To achieve excellent photoelectrochemical water-splitting activity, photoanode materials with high light absorption and good charge-separation efficiency are essential. One effective strategy for the production of materials satisfying these requirements is to adjust their band structure and corresponding bandgap energy by introducing oxygen vacancies. A simple chemical reduction method that can systematically generate oxygen vacancies in barium stannate (BaSnO3 (BSO)) crystal is introduced, which thus allows for precise control of the bandgap energy. A BSO photoanode with optimum oxygen-vacancy concentration (8.7%) exhibits high light-absorption and good charge-separation capabilities. After deposition of FeOOH/NiOOH oxygen evolution cocatalysts on its surface, this photoanode shows a remarkable photocurrent density of 7.32 mA cm-2 at a potential of 1.23 V versus a reversible hydrogen electrode under AM1.5G simulated sunlight. Moreover, a tandem device constructed with a perovskite solar cell exhibits an operating photocurrent density of 6.84 mA cm-2 and stable gas production with an average solar-to-hydrogen conversion efficiency of 7.92% for 100 h, thus functioning as an outstanding unbiased water-splitting system.

Journal ArticleDOI
TL;DR: In this paper, a reconfigurable rasorber based on switching activity of frequency selective surface (FSS) and resistive FSS was designed for radar cross section reduction applications.
Abstract: In this letter, a reconfigurable rasorber has been designed based on switching activity of frequency selective surface (FSS) and resistive FSS. The proposed design consists of two periodic layers separated from each other by an air spacer. The upper layer comprising lumped resistors assists wide absorption band (above 90% absorption) from 3.8 to 10.3 GHz (entire C and partial X Band), whereas PIN diodes are mounted in the bottom layer to enable the switching operation of the rasorber at S-Band. The novelty of the proposed design lies in its reconfigurable transmission/reflection band, which switches from a bandpass response (at around 2.88 GHz) to perfect reflection, with the control of the biasing states of the diode. A sample prototype is also fabricated and experimentally verified. Wide absorption band along with switchable transmission/reflection band characteristics have made the proposed rasorber an excellent choice for various radar cross section reduction applications.

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TL;DR: In this paper, the mediating roles of academic engagement and digital readiness within the university context of an e-learning environment for academic achievement were examined for a total of 614 undergraduate students enrolled in a Korean university.
Abstract: University students, who are assumed to be digital natives, are exposed to campus e-learning environments to improve their academic performance at the beginning of their academic careers. However, previous studies of students’ perceptions of e-learning demonstrate a lack of consistent results with respect to the prediction of their academic achievement. The goal of this study was to examine university students’ perceptions of e-learning, based on their experiences, and the mediating roles of academic engagement and digital readiness within the university context of an e-learning environment for academic achievement. A total of 614 undergraduate students enrolled in a Korean university participated in this study. Using a partial least squares model to develop the theory, we examined students engaging in university e-learning environments in relation to their perceptions of e-learning, digital readiness, academic engagement, and academic achievement (i.e., grade point average). The results are significant for the importance of students’ academic engagement and digital readiness as mediators in their perceptions of e-learning predicted by academic achievement. Although students positively perceived e-learning experiences on campus, they must have strong digital skills to perform academic work and commit to effortful involvement in the context of academic learning in university e-learning environments. Our results provide practical implications for ways to enhance effective adoption of e-learning environments by college students, educators, and administrators.

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TL;DR: In this article, an integrated design of PCM and cooling plate has been proposed for preventing heat propagation and thermal runaway in a battery module made of 18,650 cells that have been damaged by nail penetration of upto three cells.