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BACKGROUND: Numerous studies have investigated the association between heat wave exposure increased heat-related hospitalizations in the general population. However, little is known about heat-related morbidity in young children who are more vulnerable than the general population. Therefore, we aimed to evaluate the association between hospitalization for heat-related illness in children and heat wave exposure in South Korea. METHODS: We used the National Health Insurance Service (NHIS) database, which provides medical records from 2015 to 2019 in South Korea. We defined daily hospitalizations for heat-related illness of children younger than five years during the summer period (June to August). We considered the definition of heat waves considering the absolute temperature and percentile. A total of 12 different heat waves were used. A time-series analysis was used to investigate the association between heat wave exposure and heat-related hospitalization among children younger than five years. We used a two-stage design involving a meta-analysis after modeling by each region. RESULTS: We included 16,879 daily heat-related hospitalizations among children younger than five years. Overall, heat wave exposure within two days was most related for heat-related hospitalizations in young children. The relative risk (RR) due to heat wave exposure within two days (lag2) (12 definitions: 70th to 90th percentile of maximum temperature) ranged from 1.038 (95% confidence interval (CI): 0.971, 1.110) to 1.083 (95% CI: 1.036, 1.133). We found that boys were more vulnerable to heat exposure than girls. In addition, we found that urban areas were more vulnerable to heat exposure than rural areas. CONCLUSIONS: In our study, heat wave exposure during summer was found to be associated with an increased risk of hospitalization for heat-related illness among children younger than five years. Our findings suggest the need for summer heat wave management and prevention for children.
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Transtornos de Estresse por Calor , Temperatura Alta , Masculino , Criança , Feminino , Humanos , Pré-Escolar , Hospitalização , Temperatura , Estações do Ano , República da Coreia/epidemiologia , Transtornos de Estresse por Calor/epidemiologiaRESUMO
BACKGROUND AND AIM: The increasing prevalence of precocious puberty (PP) has emerged as a significant medical and social problem worldwide. However, research on the relationship between long-term air pollution exposure and PP has been relatively limited. We thus investigated the association between long-term air pollution exposure and the onset of PP in South Korea. METHODS: We investigated a retrospective cohort using the Korea National Health Insurance Database. Six-year-old children born from 2007 to 2009 were examined (2013-2015). We included boys ≤10 years and girls aged ≤9 years who visited hospitals for early pubertal development, were diagnosed with PP per the ICD-10 (E228, E301, and E309), and received gonadotropin-releasing hormone agonist treatment. We analyzed data for boys up until 10 years old (60-month follow-up) and for girls up to 9 years old (48-month follow-up). We assessed the association between long-term air pollution exposure and the onset of PP using a Cox proportional hazard model. We estimated hazard ratios (HRs) and 95% confidence intervals (CIs) per 1 µg/m3 increase in fine particulate matter (PM2.5) and particulate matter (PM10) and per 1 ppb increase in sulfur dioxide (SO2), nitrogen dioxide (NO2), and ozone (O3). RESULTS: This study included 1,205,784 children aged six years old between 2013 and 2015. A positive association was found between the 48-month moving average PM2.5 (HR: 1.019; 95% CI: 1.012, 1.027), PM10 (HR: 1.009; 95% CI: 1.006, 1.013), SO2 (HR: 1.037; 95% CI: 1.018, 1.055), and O3 (HR: 1.006; 95% CI: 1.001, 1.010) exposure and PP in girls but not boys. CONCLUSIONS: This study provides valuable insights into the harmful effects of air pollution during childhood and adolescence, emphasizing that air pollution is a risk factor that should be managed and reduced.
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Poluentes Atmosféricos , Poluição do Ar , Exposição Ambiental , Material Particulado , Puberdade Precoce , Humanos , República da Coreia/epidemiologia , Puberdade Precoce/epidemiologia , Puberdade Precoce/induzido quimicamente , Criança , Feminino , Masculino , Poluição do Ar/efeitos adversos , Estudos Retrospectivos , Poluentes Atmosféricos/análise , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/toxicidade , Material Particulado/análise , Material Particulado/efeitos adversos , Exposição Ambiental/efeitos adversos , Pré-Escolar , Ozônio/análise , Ozônio/efeitos adversosRESUMO
BACKGROUND: Based on previous studies suggesting air pollution as a potential risk factor for Kawasaki Disease (KD), we examined the association of long-term exposure to childhood fine particulate matter (PM2.5) with the risk of KD. METHODS: We used National Health Insurance Service-National Sample Cohort data from 2002 to 2019, which included beneficiaries aged 0 years at enrollment and followed-up until the onset of KD or age 5 years. The onset of KD was defined as the first hospital visit record with a primary diagnostic code of M30.3, based on the 10th revision of the International Classification of Diseases, and with an intravenous immunoglobulin (IVIG) prescription. We assigned PM2.5 concentrations to 226 districts, based on mean annual predictions from a machine learning-based ensemble prediction model. We performed Cox proportional-hazards modeling with time-varying exposures and confounders. RESULTS: We identified 134,634 individuals aged five or less at enrollment and, of these, 1220 individuals who had a KD onset and an IVIG prescription during study period. The average annual concentration of PM2.5 exposed to the entire cohort was 28.2 µg/m³ (Standard Deviation 2.9). For each 5 µg/m³ increase in annual PM2.5 concentration, the hazard ratio of KD was 1.21 (95% CI 1.05-1.39). CONCLUSIONS: In this nationwide, population-based, cohort study, long-term childhood exposure to PM2.5 was associated with an increased incidence of KD in children. The study highlights plausible mechanisms for the association between PM2.5 and KD, but further studies are needed to confirm our findings.
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Poluentes Atmosféricos , Poluição do Ar , Síndrome de Linfonodos Mucocutâneos , Criança , Humanos , Estudos de Coortes , Estudos Longitudinais , Poluentes Atmosféricos/toxicidade , Poluentes Atmosféricos/análise , Síndrome de Linfonodos Mucocutâneos/induzido quimicamente , Síndrome de Linfonodos Mucocutâneos/epidemiologia , Imunoglobulinas Intravenosas , Exposição Ambiental/efeitos adversos , Exposição Ambiental/análise , Material Particulado/toxicidade , Material Particulado/análise , Poluição do Ar/efeitos adversosRESUMO
Emerging evidence suggests that air pollution is a significant contributor to the global burden of kidney disease. Although acute kidney injury (AKI) is a common secondary event in ill patients, evidence regarding the association between air pollution and AKI accompanied by specific comorbidities is limited. This study aimed to estimate the association between short-term exposure to air pollution (fine particulate matter ≤2.5 µm [PM2.5] and ozone [O3]) and incident AKI by comorbid diseases using the Korea National Health Information Database (NHID). Total of 160,390 incident AKI cases, defined as an emergency department (ED) visit due to AKI, were observed within the period 2015-2021 in inland South Korea. A time-stratified case-crossover design was applied for PM2.5 and O3 individually, using a conditional logistic regression model within each case and its own control (three or four days of the same day of the week in the same month) to estimate the association between short-term air pollution exposure and ED visits due to AKI. Short-term exposure to PM2.5 and O3 was associated with ED visits due to AKI with ORs of 1.008 (95% confidence interval [CI]: 0.999, 1.017) and 1.019 (95% CI: 1.005, 1.033) for an interquartile range (IQR) increase in lag 0-1 day PM2.5 and O3 respectively, although OR for PM2.5 was marginally significant. The odds of incident AKI associated with PM2.5 was evident in conjunction with ischemic heart disease, cerebrovascular disease, gastrointestinal bleeding, and pneumonia. For O3, the estimated odds was prominent for AKI with ischemic heart disease. In addition, the comorbid disease-specific odds of AKI attributed to air pollution varied by sex and age. Our findings provide epidemiological evidence of a plausible mechanism between air pollution and incident AKI and suggest the need for personalized AKI prevention strategies attributed to air pollution.
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BACKGROUND: Several studies have reported that climate change elevates heat exposure in pregnant women and high temperatures during pregnancy are associated with preterm births (PTBs). Although the association might be disproportionate, related evidence remains sparse. We evaluated the disproportionate risk of PTB associated with ambient temperature during pregnancy by individual and regional characteristics in South Korea. METHODS: We collected data on birth certificates and daily mean temperatures during the period from 2011 to 2019. A time-stratified case-crossover design was used to investigate the association between temperature and PTB and stratified analyses were conducted to examine the effect modification of individual and regional characteristics. RESULTS: A total of 160,067 singleton PTBs were recorded in Korea from 2011 to 2019. A 5â increase in the mean temperature during the last four weeks before delivery was associated with an increased risk of PTB with an odds ratio (OR) of 1.03 (95% confidence interval [CI]: 1.02, 1.05), and the association was more evident in mothers aged ≥35 years (OR: 1.06 [95% CI: 1.03, 1.10]) and with low education levels (OR: 1.04 [95% CI: 1.02, 1.05]). Additionally, the estimated risk was evident in districts with lower medical resources and more prominent disparities were shown by individual and regional characteristics in rural areas than in urban areas. CONCLUSIONS: This study provides evidence that the risk of PTB related to ambient temperature is disproportionate by individual and regional characteristics and suggests the need for public health policies to alleviate the disparities, especially in rural areas.
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Nascimento Prematuro , Humanos , Recém-Nascido , Gravidez , Feminino , Nascimento Prematuro/epidemiologia , Estudos Cross-Over , Temperatura , República da Coreia/epidemiologia , MãesRESUMO
BACKGROUND: Numerous studies have suggested that long-term exposure to particulate matter ≤2.5 µm (PM2.5) may cause cardiovascular morbidity and mortality. However, susceptibility among those with a history of ischemic heart disease is less clearly understood. We aimed to evaluate whether long-term PM2.5 exposure is related to mortality among patients with ischemic heart disease. METHODS: We followed up 306,418 patients hospitalized with ischemic heart disease in seven major cities in South Korea between 2008 and 2016 using the National Health Insurance Database. We linked the modeled PM2.5 data corresponding to each patient's administrative districts and estimated hazard ratios (HRs) of cause-specific mortality associated with the long-term exposure to PM2.5 in time-varying Cox proportional hazard models after adjusting for individual- and area-level characteristics. We also estimated HRs by sex, age group (65-74 vs. ≥75 years), and household income. RESULTS: Of the patients with ischemic heart disease, mean age at the discharge was 76.8 years, and 105,913 died during a mean follow-up duration of 21.4 months. The HR of all-cause mortality was 1.10 [95% confidence intervals (CI): 1.07, 1.14] per 10 µg/m3 increase in a 12-month moving average PM2.5. The HRs of cardiovascular, stroke, and ischemic heart disease were 1.17 (95% CI: 1.11, 1.24), 1.17 (95% CI: 1.06, 1.30), and 1.25 (95% CI: 1.15, 1.35), respectively. The subgroup analyses showed that participants aged 65-74 years were more susceptible to adverse effects of PM2.5 exposure. We did not observe any differences in the risk by sex and household income. CONCLUSION: Mortality from all-cause and cardiovascular disease following hospitalization due to ischemic heart disease was higher among individuals with greater PM2.5 exposure in seven major cities in South Korea. The result supports the association of long-term exposure to air pollution with poor prognosis among patients with ischemic heart disease.
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Poluentes Atmosféricos , Poluição do Ar , Doenças Cardiovasculares , Infarto do Miocárdio , Isquemia Miocárdica , Humanos , Poluentes Atmosféricos/toxicidade , Poluentes Atmosféricos/análise , Exposição Ambiental/efeitos adversos , Exposição Ambiental/análise , Estudos de Coortes , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Material Particulado/análise , Isquemia Miocárdica/epidemiologia , Infarto do Miocárdio/induzido quimicamenteRESUMO
The Medical Internet-of-Things (MIoT) has developed revolutionary ways of delivering medical care to patients. An example system, showing increasing demand, is the artificial pancreas system that offers convenience and reliable support care to patients with Type 1 Diabetes. Despite the apparent benefits, the system cannot escape potential cyber threats that may worsen a patient's condition. The security risks need immediate attention to ensure the privacy of the patient and preserve safe functionality. Motivated by this, we proposed a security protocol for the APS environment wherein support to essential security requirements is guaranteed, the security context negotiation is resource-friendly, and the protocol is resilient to emergencies. Accordingly, the security requirements and correctness of the design protocol were formally verified using BAN logic and AVISPA, and proved its feasibility through the emulation of APS in a controlled environment using commercial off-the-shelf devices. Moreover, the results of our performance analysis indicate that the proposed protocol is more efficient than the other existing works and standards.
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Internet das Coisas , Pâncreas Artificial , Humanos , Segurança Computacional , PrivacidadeRESUMO
BACKGROUND: The incidence and prevalence of chronic kidney disease (CKD) are increasing worldwide. Recent studies have shown that air pollution is associated with poorer kidney function. We evaluated the association of long-term exposure to air pollutants with kidney function, and with risk of CKD using data from the seventh Korean National Health and Nutrition Examination Survey (KNHANES). METHODS: KNHANES data from 2016 through 2018 and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation were used to calculate estimated glomerular filtration rates (eGFRs) and define the CKD patients with eGFRs <60 mL/min/1.73 m2. After applying the sampling weights based on the complex survey design, we conducted multivariate linear regression and logistic regression analyses to examine the association of air pollutant exposure with kidney function and CKD risk, after adjusting for covariates, including gender, body mass index, education level, household income, smoking status, alcohol consumption, comorbidities, and serum triglyceride. RESULTS: A total of 15,983 adults aged ≥20 years were included in the analysis. Long-term exposure to PM2.5, PM10, NO2, and CO was associated with decreases in eGFR levels (PM2.5: -4.67, 95% confidence interval (CI): -6.16, -3.18; PM10: -2.19, 95% CI: -2.84, -1.54; NO2: -1.56, 95% CI: -2.16, -0.97; CO: -1.34, 95% CI: -1.96, -0.71). Long-term exposure to PM2.5 (odds ratio (OR): 1.97, 95% CI: 1.14, 3.42) and PM10 (OR: 1.45, 95% CI: 1.10, 1.91) was associated with an increased the risk of CKD. CONCLUSIONS: Annual exposure to PM2.5, PM10, NO2, and CO was significantly associated with decreased eGFR. Long-term exposure to PM2.5 and PM10 was associated with an increased risk of CKD.
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Poluentes Atmosféricos , Poluição do Ar , Insuficiência Renal Crônica , Adulto , Poluentes Atmosféricos/análise , Poluentes Atmosféricos/toxicidade , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Exposição Ambiental , Humanos , Rim , Dióxido de Nitrogênio/análise , Inquéritos Nutricionais , Material Particulado/análise , Material Particulado/toxicidade , Insuficiência Renal Crônica/epidemiologiaRESUMO
A highly polarizable moisture sensor with multimodal sensing capabilities has great advantages for healthcare applications such as human respiration monitoring. We introduce an ionically polarizable moisture sensor based on NaCl/BaTiO3 composite films fabricated using a facile aerosol deposition (AD) process. The proposed sensing model operates based on an enormous NaCl ionization effect in addition to natural moisture polarization, whereas all previous sensors are based only on the latter. We obtained an optimal sensing performance in a 0.5 µm-thick layer containing NaCl-37.5 wt% by manipulating the sensing layer thickness and weight fraction of NaCl. The NaCl/BaTiO3 sensing layer exhibits outstanding sensitivity over a wide humidity range and a fast response/recovery time of 2/2 s; these results were obtained by performing the one-step AD process at room temperature without using any auxiliary methods. Further, we present a human respiration monitoring system using a sensing device that provides favorable and stable electrical signals under diverse respiratory scenarios.
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Taxa Respiratória , Cloreto de Sódio , Aerossóis , Humanos , Umidade , Monitorização FisiológicaRESUMO
Humans face threats from air pollutants present in both indoor and outdoor environments. The emerging role of plants in remediating the atmospheric environment is now being actively investigated as a possible solution for this problem. Foliar surfaces of plants (e.g., the leaves of cotton) can absorb a variety of airborne pollutants (e.g., formaldehyde, benzene, trimethylamine, and xylene), thereby reducing their concentrations in indoor environments. Recently, theoretical and experimental studies have been conducted to offer better insights into the interactions between plants and the surrounding air. In our research, an overview on the role of plants in reducing air pollution (often referred to as phytoremediation) is provided based on a comprehensive literature survey. The major issues for plant-based research for the reduction of air pollution in both outdoor and indoor environments are discussed in depth along with future challenges. Analysis of the existing data confirms the effectiveness of phytoremediation in terms of the absorption and purification of pollutants (e.g., by the leaves and roots of plants and trees), while being controlled by different variables (e.g., pore characteristics and planting patterns). Although most lab-scale studies have shown that plants can effectively absorb pollutants, it is important for such studies to reflect the real-world conditions, especially with the influence of human activities. Under such conditions, pollutants are to be replenished continually while the plant surface area to ambient atmosphere volume ratio vastly decreases (e.g., relative to lab-based experiments). The replication of such experimental conditions is the key challenge in this field of research. This review is expected to offer valuable insights into the innate ability of various plants in removing diverse pollutants (such as formaldehyde, benzene, and particulate matter) under different environmental settings.
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Poluentes Atmosféricos , Poluição do Ar em Ambientes Fechados , Poluição do Ar , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Poluição do Ar/prevenção & controle , Poluição do Ar em Ambientes Fechados/análise , Humanos , Material Particulado/análise , PlantasRESUMO
BACKGROUND: Particulate matter (PM) less than 2.5 µm in diameter and 10 µm (PM10) contains heavy metals, but whether exposure to PM is significantly associated with the burden of heavy metal exposure in the population is unknown. We investigated the association between exposure to PM and blood concentrations of lead (Pb), cadmium (Cd), and mercury (Hg) in Korean housewives. MATERIALS & METHODS: From July 2017 to January 2020, we recruited 115 housewives in Ulsan, Republic of Korea. After excluding participants with missing information, we finally included 88 Korean housewives in our study. We measured the concentrations of indoor PM using a gravimetric method 24 h before blood sampling and the concentrations of Cd, Pb, and Hg in blood, twice at a 1-year interval. We used a linear mixed effect model to estimate the associations between indoor PM and blood heavy metals. RESULTS: Exposure to PM10 was significantly associated with blood concentrations of Cd among Korean housewives. A 10 µg/m3 increase of PM10 the previous day was associated with a 2.8% (95% confidence interval (CI) = 1.1%, 4.6%) and a 1.5% (95% CI = -0.1%, 3.1%) increase in blood concentrations of Cd and Pb in the linear mixed effect model, respectively. CONCLUSION: There was a significant association between indoor PM exposure and blood Cd concentrations among Korean housewives. This result suggests that the body burden of heavy metals is significantly associated with air pollution.
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Poluentes Atmosféricos , Metais Pesados , Poluentes Atmosféricos/análise , Monitoramento Ambiental , Humanos , Metais Pesados/análise , Material Particulado/análise , República da CoreiaRESUMO
Although many studies have evaluated the effects of ambient particulate matter with diameters of less than 2.5 µm (PM2.5) on stroke mortality in the general population, little is known about the mortality effects of PM2.5 in post-stroke populations. Therefore, a retrospective cohort was constructed using information from the health insurance database to evaluate whether exposure to PM2.5 is associated with increased mortality in aged stroke survivors residing in seven Korean metropolitan cities. A total of 45,513 older adults (≥65 years) who visited emergency rooms due to stroke and who were discharged alive between 2008 and 2016 were followed up. By using district-level modeled PM2.5 concentrations and a time-varying Cox proportional hazard model, associations between 1-month and 2-month moving average PM2.5 exposures and mortality in stroke survivors were evaluated. The annual average concentration of PM2.5 was 27.9 µg/m3 in the seven metropolitan cities, and 14,880 subjects died during the follow-up period. A 10 µg/m3 increase in the 1-month and 2-month moving average PM2.5 exposures was associated with mortality hazard ratios of 1.07 (95% confidence interval: 1.05, 1.09) and 1.06 (95% confidence interval: 1.03, 1.08), respectively. The effects of PM2.5 were similar across types of stroke (ischemic and hemorrhagic), age groups (65-74, 75-84, and ≥85), and income groups (low and high) but were greater in women than in men. This study highlights the adverse health effects of ambient PM2.5 in post-stroke populations. Active avoidance behaviors against PM2.5 are recommended for aged stroke survivors.
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Poluentes Atmosféricos , Poluição do Ar , Acidente Vascular Cerebral , Idoso , Poluentes Atmosféricos/análise , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Cidades , Estudos de Coortes , Exposição Ambiental/efeitos adversos , Exposição Ambiental/análise , Feminino , Humanos , Masculino , Material Particulado/análise , República da Coreia/epidemiologia , Estudos RetrospectivosRESUMO
PURPOSE: We aimed to investigate the association between air pollution concentration levels and hospital admissions for heart failure (HF) among older adults in metropolitan cities in South Korea. METHODS: We used hospital admission data of 1.8 million older adults in seven metropolitan cities from 2008 to 2016, derived from the National Health Insurance Service of South Korea. Daily HF admission data were linked to air pollutants concentrations for the respective dates, including particulate matter less than 2.5 µm in size (PM2.5), 10 µm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), and ozone. We estimated the association between air pollutants and daily HF admissions using quasi-Poisson generalized additive models for each city. RESULTS: During the study period, 142,490 hospital admissions for HF were noted. Increases of 10 µg/m3 of PM2.5 and PM10, and 10 ppb of SO2, NO2, and CO were associated with an increased risk of HF admission by 0.93% ([95% confidence intervals 0.51-1.36], 0.55% [0.31-0.80], 6.04% [2.15-10.08], 1.10% [0.38-1.82], and 0.05% [0.01-0.09]), respectively, on the same day. Increases in mean exposure to PM2.5, PM10, and SO2 for 8 days from the concurrent day were also significantly associated with HF admissions. During the warm season, the risk of HF admissions increased shortly after an increase in PM2.5, whereas prolonged effects were observed during the cold season. CONCLUSION: Our study suggests the adverse effects of air pollution on HF. Moreover, the evidence of seasonality may help tailor protection guidelines for older adults.
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Poluição do Ar/análise , Exposição Ambiental , Insuficiência Cardíaca/epidemiologia , Hospitalização/estatística & dados numéricos , Poluentes Atmosféricos/análise , Monóxido de Carbono/análise , Cidades/epidemiologia , Humanos , Dióxido de Nitrogênio/análise , Ozônio/análise , Material Particulado/análise , República da Coreia/epidemiologia , Estações do Ano , Dióxido de Enxofre/análiseRESUMO
Halogens have been reported to play a major role in the inhibition of monoamine oxidase (MAO), relating to diverse cognitive functions of the central nervous system. Pyrazoline/halogenated pyrazolines were investigated for their inhibitory activities against human monoamine oxidase-A and -B. Halogen substitutions on the phenyl ring located at the fifth position of pyrazoline showed potent MAO-B inhibition. Compound 3-(4-ethoxyphenyl)-5-(4-fluorophenyl)-4,5-dihydro-1H-pyrazole (EH7) showed the highest potency against MAO-B with an IC50 value of 0.063 µM. The potencies against MAO-B were increased in the order of -F (in EH7) > -Cl (EH6) > -Br (EH8) > -H (EH1). The residual activities of most compounds for MAO-A were > 50% at 10 µM, except for EH7 and EH8 (IC50 = 8.38 and 4.31 µM, respectively). EH7 showed the highest selectivity index (SI) value of 133.0 for MAO-B, followed by EH6 at > 55.8. EH7 was a reversible and competitive inhibitor of MAO-B in kinetic and reversibility experiments with a Ki value of 0.034 ± 0.0067 µM. The molecular dynamics study documented that EH7 had a good binding affinity and motional movement within the active site with high stability. It was observed by MM-PBSA that the chirality had little effect on the overall binding of EH7 to MAO-B. Thus, EH7 can be employed for the development of lead molecules for the treatment of various neurodegenerative disorders.
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Simulação de Dinâmica Molecular , Inibidores da Monoaminoxidase/química , Pirazóis/química , Barreira Hematoencefálica/efeitos dos fármacos , Domínio Catalítico , Química Farmacêutica/métodos , Cognição/efeitos dos fármacos , Desenho de Fármacos , Halogênios/química , Humanos , Concentração Inibidora 50 , Cinética , Modelos Químicos , Simulação de Acoplamento Molecular , Estrutura Molecular , Monoaminoxidase/metabolismo , Movimento (Física) , Análise de Componente Principal , Ligação Proteica , Proteínas Recombinantes/química , Estereoisomerismo , Relação Estrutura-AtividadeRESUMO
OBJECTIVES: Preoperative, noninvasive prediction of the meningioma grade is important because it influences the treatment strategy. The purpose of this study was to evaluate the role of radiomics features of postcontrast T1-weighted images (T1C), apparent diffusion coefficient (ADC), and fractional anisotropy (FA) maps, based on the entire tumor volume, in the differentiation of grades and histological subtypes of meningiomas. METHODS: One hundred thirty-six patients with pathologically diagnosed meningiomas (108 low-grade [benign], 28 high-grade [atypical and anaplastic]), who underwent T1C and diffusion tensor imaging, were included in the discovery set. The T1C image, ADC, and FA maps were analyzed to derive volume-based data of the entire tumor. Radiomics features were correlated with meningioma grades and histological subtypes. Various machine learning classifiers were trained to build classification models to predict meningioma grades. We tested the model in a validation set (58 patients; 46 low-grade; 12 high-grade). RESULTS: The machine learning classifiers showed variable performances depending on the machine learning algorithms. The best classification system for the prediction of meningioma grades had an area under the curve of 0.86 (95% confidence interval [CI], 0.74-0.98) in the validation set. The accuracy, sensitivity, and specificity of the best classifier were 89.7, 75.0, and 93.5% in the validation set, respectively. Various texture parameters differed significantly between fibroblastic and non-fibroblastic subtypes. CONCLUSIONS: Radiomics feature-based machine learning classifiers of T1C images, ADC, and FA maps are useful for differentiating meningioma grades. KEY POINTS: ⢠Preoperative, noninvasive differentiation of the meningioma grade is important because it influences the treatment strategy. ⢠Radiomics feature-based machine learning classifiers of T1C images, ADC, and FA maps are useful for differentiating meningioma grades. ⢠In benign meningiomas, there were significant differences in the various texture parameters between fibroblastic and non-fibroblastic meningioma subtypes.
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Imagem de Tensor de Difusão/métodos , Aprendizado de Máquina , Neoplasias Meníngeas/diagnóstico por imagem , Neoplasias Meníngeas/patologia , Meningioma/diagnóstico por imagem , Meningioma/patologia , Idoso , Algoritmos , Anisotropia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Gradação de Tumores , Reprodutibilidade dos Testes , Estudos Retrospectivos , Sensibilidade e EspecificidadeRESUMO
In this research, we propose a nanoscale and embeddable subzero temperature sensor that is made with a temperature-dependent titanium-oxide based metal-insulator-transition (MIT) device. For a nanoscale two-terminal structured MIT device, the MIT device's characteristics are noticeably changed from abrupt to gradual MIT under zero temperature, which is called MIT deformation. On the basis of the MIT deformation characteristics, subzero temperatures can be detected by reading current levels as temperature changes. Furthermore, this sensor has desirable sensing properties such as high-linearity and proper sensitivity. The obtained results strongly show that titanium-oxides with CMOS process compatibility, cost-effectiveness, nontoxicity, etc, can be applied at the nanoscale and embeddable on subzero temperature sensors on a chip.
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Sensors and electronic devices based on semiconductors in their two-dimensional forms have many advantages. In this paper, we studied micro-Hall sensors based on two-dimensional molybdenum diselenide for the first time. The micro-Hall sensor based on a Ti/MoSe2/Ti structure clearly showed a linear dependence of the Hall voltage as a function of the magnetic field, with a magnetic sensitivity of â¼16 V/AT. The magnetic sensitivity was higher in the Au/MoSe2/Au structure, with a maximum value of â¼120 V/AT at a bias current of 100 mA; the minimum detectable magnetic field was found to be 1.45 µT/Hz1/2 at the same current value, making our new micro-Hall sensor a very good candidate for magnetic sensing applications.
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A new immobilization technique of nanoscale TiO2 powders to expanded polystryrene (EPS) balls with temperature-controlled melting method was validated for mass production, and the photocatalytic activity of TiO2 powder-embedded EPS (TiEPS) balls using methylene blue (MB) solution with different concentrations under ultraviolet irradiation and under the natural solar light irradiation. Whereas MB molecules were weakly adsorbed onto the surface of both TiO2 powders and supporting polymers without any specific interactions, the photocatalytic efficiency of TiEPS balls with UV (Kapp =0.016~0.043 min-1) was greater through coupled reaction processes (adsorption, photolysis, and photocatalysis). After 5-min sonication, more TiO2 powders on the TiEPS balls can be involved into the both adsorption and photocatalytic reactions of MB, and can increase the MB removal efficiencies. TiEPS balls can be reused for several consecutive runs without any significant decrease in photocatalytic activity until the recalcitrant contaminants were completely coated on the surface of TiEPS balls and loss of TiO2 powders embedded on the surface of TiEPS balls was significant. Based on the aforementioned results, self-floating TiEPS balls manufactured from this simple and cost-effective melting method can be used to remove the organic contaminants and to inhibit the excessive growth of harmful algae in the stagnant water body.
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Eight metals were analyzed in the pellet of Eurasian eagle owls (Bubo bubo) breeding in Korea: Paju, Ganghwa, Gimpo, and Sihwa, Gyeonggi-do (N = 15, respectively). Except for cadmium (Cd), concentrations of all metals differed among sites (ANOVA, p < 0.001); Sihwa had relatively higher metal concentrations compared with other sites. Clutch size did not differ among the four sites. However, Sihwa had the greatest nesting success and number of fledglings (per hatchlings and laid egg) and highest mean weight of diet. Lead concentrations in the pellets were generally lower than the excrements of various birds worldwide. We suggest that all metal concentrations in pellets do not negatively affect the reproduction of Eurasian eagle owls, and food supply at Sihwa seems likely more important to breeding success than metal contamination.