Controlling Superhydrophobicity and Oleophobicity of Polydimethylsiloxane-Coated Silica Hybrid Particles.

Hierarchical functional organic-inorganic hybrid particles for versatile control of surface wettability have attracted much attention in a wide range of applications from makeup cosmetics to anti-smudging optoelectronic devices. In this study, superhydrophobic and oleophobic organic-inorganic hybrid particles were prepared by a simple and systematic fabrication strategy using the synergistic combination of commonly available silica particles and polydimethylsiloxanes (PDMSs) with hydrophobic chain ends. Various types of PDMSs with different chain lengths and chemical structures were surface-grafted to silica microparticles through facile physical dispersion and subsequent thermal treatment to form hydrogen bonds or covalent bonds between the inorganic silica and organic PDMS polymers and thus induce a core-shell structure for the hybrid particles, which imparts superhydrophobicity and oleophobicity to the surface of silica particles. The prepared PDMS-coated silica hybrid particles with long PDMS chains exhibited a water contact angle of 151.2° and an oil contact angle of 15.2° due to the rough surface morphology and hydrophobic long-chain effects. Furthermore, the resulting organic-inorganic hybrid particles were thermally stable up to 420 °C. This controlled approach endowed the organic-inorganic hybrid particles with both superhydrophobic and oleophobic surfaces and, therefore, these particles were proven to be suitable for waterproof applications.

Digital healthcare for dementia and cognitive impairment: A scoping review.

BACKGROUND: Cognitive disorders, such as Alzheimer's disease, are a global health problem. Digital healthcare technology is an innovative management tool for delaying the progression of dementia and mild cognitive impairment. Thanks to digital technology, the possibility of safe and effective care for patients at home and in the community is increasing, even in situations that threaten the continuity of care, such as the COVID-19 pandemic. However, it is difficult to select appropriate technology and alternatives due to the lack of comprehensive reviews on the types and characteristics of digital technology for cognitive impairment, including their effects and limitations. OBJECTIVE: This study aims to identify the types of digital healthcare technology for dementia and mild cognitive impairment and comprehensively examine how its outcome measures were constructed in line with each technology's purpose. METHODS: According to the Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews guidelines, a literature search was conducted in August 2021 using Medline (Ovid), EMBASE, and Cochrane library. The search terms were constructed based on Population-Concept-Context mnemonic: 'dementia', 'cognitive impairment', and 'cognitive decline'; digital healthcare technology, such as big data, artificial intelligence, virtual reality, robots, applications, and so on; and the outcomes of digital technology, such as accuracy of diagnosis and physical, mental, and social health. After grasping overall research trends, the literature was classified and analysed in terms of the type of service users and technology. RESULTS: In total, 135 articles were selected. Since 2015, an increase in literature has been observed, and various digital healthcare technologies were identified. For people with mild cognitive impairment, technology for predicting and diagnosing the onset of dementia was studied, and for people with dementia, intervention technology to prevent the deterioration of health and induce significant improvement was considered. Regarding caregivers, many studies were conducted on monitoring and daily living assistive technologies that reduce the burden of care. However, problems such as data collection, storage, safety, and the digital divide persisted at different intensities for each technology type. CONCLUSIONS: This study revealed that appropriate technology options and considerations may differ depending on the characteristics of users. It also emphasises the role of humans in designing and managing technology to apply digital healthcare technology more effectively.

Fabrication of TiO2-Embedded Polyimide Layer with High Transmittance and Improved Reliability for Liquid Crystal Displays.

Construction of liquid crystal (LC) alignment by introducing polyimide (PI) to indium tin oxide (ITO) electrodes is one of the main methods to realize high-resolution images in liquid crystal displays (LCD). However, the loss of transmittance caused by the difference in refractive index between ITO and PI leads to direct degradation of LCD performance. Thus, we herein fabricated a functional hybrid PI alignment layer that reduces the difference in refractive index and greatly increases the transmittance of the device by introducing inorganic titanium dioxide (TiO2) nanoparticles (NP) to the organic PI. The highly refractive TiO2 NPs were surface-treated with stearic acid comprising long alkyl chains to improve their dispersibility and uniformly dispersed in the PI matrix by simply stirring the mixture. The hybrid PI mixture was spin-coated on the ITO substrate, and the resulting LC cell exhibited excellent electro-optical properties. In addition, the reliability of the LC cells was enhanced by the inclusion of the TiO2 NPs, which was confirmed through the evaluation of voltage holding ratio, residual direct current, and LC cell reliability. Overall, functional hybrid PI can be used in advanced display technology for next-generation LC devices that require high transmittance and reliability.

Environmentally sustainable color-switchable alignment layer formed by nanoscale interfacial self-assembly of chlorophyll biomolecules.

The precise alignment of liquid crystals (LCs) is crucial in the fabrication of LC devices because this arrangement can determine the performance of optoelectronic devices. Conventionally, LC alignment is achieved using a thin layer of elaborate polyimide materials. However, these materials require not only complicated synthetic processes using significant amounts of toxic chemicals, but also a time-consuming high-temperature curing process involving a long period of energy consumption. Thus, the development of environmentally sustainable alignment materials is a fundamental way to conserve energy and reduce the use of hazardous substances. Herein, we present an environmentally sustainable strategy to fabricate a functional vertical alignment layer for nematic LCs through interfacial self-assembly of chlorophyll biomolecules. A novel functional alignment layer was prepared using a simple and environmentally-friendly approach by doping chlorophyll extracted from plants, which are abundant in nature, into LC medium. It has been experimentally proven that amphiphilic chlorophyll biomolecules were self-assembled on the indium tin oxide surface through hydrogen bonding between a porphyrin ring and hydroxyl group, and therefore the stable homeotropic alignment of LC was achieved through the van der Waals interaction between the hydrocarbon tail and LC molecule. In addition, the nanoscale self-assembled alignment layer of chlorophyll molecules exhibited color-switchable behavior under visible and ultraviolet light. This simple and eco-friendly approach provided excellent electro-optical properties comparable to those of a commercial polyimide layer, while achieving a very stable and cost-effective vertical alignment layer capable of color switching.

Highly Stretchable and Transparent Optical Adhesive Films Using Hierarchically Structured Rigid-Flexible Dual-Stiffness Nanoparticles.

The demand for new forms of flexible electronic devices has led to the evolution of individual components comprising optical adhesive films that provide excellent optical transparency and high bonding strength while offering remarkable elasticity with high strain and recovery properties. Herein, a new type of highly elastic and transparent adhesive film is proposed using tailored rigid-flexible dual-stiffness nanoparticles (DSNs) composed of a rigid inorganic core and an elastic reactive coil shell. The hierarchically structured nanoparticles were prepared from SiO2 nanoparticles via the sequential surface modification with photoreactive flexible chains. The fabricated elastic adhesive film containing DSNs with an average diameter of 20 nm showed a high optical transmittance of 92% and adhesion strength of 19.9 N/25 mm. Increasing the content of the tailored nanoparticles in the adhesive film improved the elastic properties of the film such as elastic modulus (7.0 kPa), stress relaxation ratio (18.4%), and strain recovery rate (73.6%) due to the efficient elastic motion of the embedded DSNs. In addition, as the surface grafting density of elastic coil groups in the nanoparticle increased, a stronger bonding network was formed between the nanoparticles and the acrylic polymer matrix, thereby further improving the stress relaxation ratio (18.0%) and strain recovery rate (77.1%) of the optical film. Thus, the utilization of novel dual-stiffness nanoparticles produces optical adhesive films with high elasticity and optical transparency that are capable of withstanding external forces such as folding and stretching, which is essential for flexible electronic devices.

Selectively UV-Blocking and Visibly Transparent Adhesive Films Embedded with TiO2/PMMA Hybrid Nanoparticles for Displays.

To simultaneously achieve the high visible transparency and enhance the ultraviolet (UV)-blocking performance of displays, inorganic-organic hybrid nanoparticles, comprising TiO2 as a core and poly(methyl methacrylate) (PMMA) as a shell, were uniformly incorporated into the optically clear adhesive (OCA) used in the front of a display device. The highly refractive TiO2 nanocore could selectively scatter UV rays, which degrade the display performance, owing to the differences in the refractive indices between the inorganic particles and PMMA matrix, thereby offering an improved UV protection property to the adhesive film. Moreover, the organic PMMA nanoshell maintained the high visible light transmittance of the pristine OCA film via the prevention of particle agglomeration. To examine the effect of the PMMA nanoshell and nanoparticle size on the optical properties of the adhesive films, the OCA films embedded with only TiO2 nanoparticles or hybrid nanoparticles with different particle sizes were prepared using a roll-to-roll process, and characterized in the range of UV and visible lights using UV-visible spectroscopy. It is experimentally revealed that the adhesive film including small TiO2/PMMA hybrid nanoparticles at an extremely low content exhibited enhanced UV-blocking properties and increased visible light transmittance compared to that with only TiO2 nanoparticles.

Highly Scattering Hierarchical Porous Polymer Microspheres with a High-Refractive Index Inorganic Surface for a Soft-Focus Effect.

Functional light scattering materials have received considerable attention in various fields including cosmetics and optics. However, a conventional approach based on optically active inorganic materials requires considerable synthetic effort and complicated dispersion processes for special refractive materials. Here, we report a simple and effective fabrication strategy for highly scattering hierarchical porous polymer microspheres with a high-refractive index inorganic surface that mitigates the disadvantages of inorganic materials, producing organic-inorganic hybrid particles with an excellent soft-focus effect. Hierarchical organic-inorganic hybrid particles were synthesized using the simple physical mixing of porous poly (methyl methacrylate) (PMMA) microparticles with different pore sizes and regularities as the organic core and titanium dioxide (TiO2) nanoparticles with different particle sizes as the inorganic shell. The polar noncovalent interactions between polar PMMA microspheres and the polar surface of TiO2 nanoparticles could induce the hierarchical core-shell structure of hybrid particles. The synthesized hybrid particles had increased diffuse reflectance properties of up to 160% compared with single inorganic particles. In addition, the light scattering efficiency and soft-focus effect could be increased further, depending on the size of the TiO2 nanoparticles and the pore characteristics of the PMMA microspheres. The proposed study can provide a facile and versatile way to improve the light scattering performance for potential cosmetics.

Highly Sustainable and Completely Amorphous Hierarchical Ceramide Microcapsules for Potential Epidermal Barrier.

As a main component of the stratum corneum, ceramides can construct protective lamellae to provide an epidermal barrier against dehydration or external microorganisms. However, as ceramide molecules can easily form the isolated crystalline phase through self-assembly due to the amphipathic nature of bioactive lipids, the effective incorporation of ceramides into liquid media is the remaining issue for controlled release. Here, we report an unprecedented effective strategy to fabricate a completely amorphous and highly sustainable hierarchical ceramide polymer microcapsule for promising epidermal barrier by using the interpenetrating and cooperative self-construction of conical amphiphiles with a different critical packing parameter. The self-constructed amorphous architecture of ceramides in polymer microcapsule is achieved by the facile doping of conical amphiphiles and subsequent in situ polymerization of shell polymer in the core-shell geometry. It is experimentally revealed that an irregular cooperative packing structure formed by adaptive hydrophobic-hydrophilic interactions of cylindrical ceramides and conical amphiphiles in the confined microcapsule geometry enables a completely amorphous morphology of ceramides to be realized during the spontaneous encapsulation process. Furthermore, this elegant approach affords a highly dispersible and uniform hierarchical amorphous ceramide microcapsule with a greatly enhanced long-term stability compared to conventional crystalline ceramides.

Design of Highly Adhesive and Water-Resistant UV/Heat Dual-Curable Epoxy-Acrylate Composite for Narrow Bezel Display Based on Reactive Organic-Inorganic Hybrid Nanoparticles.

To attain the narrow bezel characteristic of information displays, functional sealing composite materials should possess high adhesion strength and water barrier performance due to their narrow line widths. In this study, highly adhesive UV/heat dual-curable epoxy-acrylate composites with outstanding water-resistant performance have been proposed using photoreactive organic-inorganic hybrid nanoparticles that can react with an acrylate resin, creating a crosslinked nanoparticle network within the sealing composite. The hybrid nanoparticles consisted of reactive methacrylate groups as a shell and an inorganic core of silica or aluminum oxide, and were facilely synthesized through sol-gel reaction and chemisorption process. The curing characteristics, adhesive strength, and moisture permeability of the proposed sealing composite have been compared to those of a conventional epoxy-acrylate composite containing inorganic silica particles. The composites including hybrid nanoparticles exhibited high UV and heat curing ratios owing to the numerous methacrylate groups on the nanoparticle surface and high compatibility with organic resins. Moreover, the proposed sealing composite showed high adhesion strength and extremely low water permeability due to the creation of densely photocrosslinked network with matrix resins. In addition, the sealing composite exhibited excellent narrow dispensing width as well as relatively low viscosity, suggesting the potential application in narrow bezel display.

Highly Adhesive and Sustainable UV/Heat Dual-Curable Adhesives Embedded with Reactive Core-Shell Polymer Nanoparticles for Super-Narrow Bezel Display.

To achieve the seamless characteristics of displays, liquid crystal (LC) devices need a super-narrow bezel design. This device architecture can be constructed using functional adhesives that possess excellent physical and chemical properties. In this study, mechanically robust ultraviolet (UV)/heat dual-curable adhesives with outstanding reliability and processability have been fabricated using reactive poly(methyl methacrylate) (PMMA)/polyethyleneimine (PEI) core-shell nanoparticles. Their curing characteristics, narrow drawing processability, adhesive strength, elongation at break, and the contact contamination of LCs have been investigated. Compared to conventional adhesive material, the proposed adhesive containing multifunctional PMMA/PEI nanoparticles afforded a high adhesion strength of 40.2 kgf cm-2 and a high elongation of 64.8% due to the formation of a firm crosslinked network with matrix resins comprising bisphenol A epoxy resin and bisphenol A glycerolate dimethacrylate. Moreover, the proposed adhesive showed an excellent narrow drawing width of 1.2 mm, which is a prerequisite for super-narrow bezel display. With regard to LC contamination, it was found that the level of contamination could be remarkably reduced to 61 µm by a high-temperature curing process. This study makes a significant contribution to the development of advanced display, because it provides robust and sustainable display adhesives based on nanomaterials, thereby enhancing the life and sustained operability of displays.

Highly Transparent and Wide Viewing Optical Films Using Embedded Hierarchical Double-Shell Layered Nanoparticles with Gradient Refractive Index Surface.

The essential improvements in the performance of light-diffusing materials for wide viewing angles in potential optoelectronic applications have attracted considerable attention. In this study, a simple and unprecedented strategy is proposed to simultaneously provide exceptional light scattering performance and high optical transparency for transparent optical thin films using hierarchical double-shell nanoparticles possessing a refractive index gradient on the nanoparticle surface. The hierarchical SiO2/TiO2/poly(methyl methacrylate) (PMMA) double-shell layered nanoparticles induce enhanced light scattering properties by their nanolayered gradient refractive index structure. Fourier transform infrared spectroscopy and scanning electron microscopy-energy-dispersive X-ray spectroscopy analyses show the successful formation of the multiple nanolayered structure of the double-shell nanoparticles. The synthesized SiO2/TiO2/PMMA nanoparticles with a diameter of 40 nm and a TiO2 layer thickness of 4.5 nm exhibit the highest diffuse reflectance of 87% in the visible region. An ultraviolet-light-cured optical film with an extremely low content of double-shell nanoparticles exhibits efficient light scattering characteristics while maintaining high optical transparency. This study provides a facile yet effective, scalable approach to improve the viewing angle performances of optoelectronic devices and paves the new way for further studies on the wide applications of light scattering phenomenon using optically active hierarchical nanoparticles with multiple refractive indices.

Using Dihydrazides as Thermal Latent Curing Agents in Epoxy-Based Sealing Materials for Liquid Crystal Displays.

In this study, highly adhesive epoxy-based sealing materials for liquid crystal (LC) displays were fabricated using different types of dihydrazides as thermal latent curing agents. Their curing characteristics, mechanical properties, LC contamination levels, and electro-optical characteristics were investigated depending on the chemical structure of dihydrazides. The epoxy-based sealing material containing a dihydrazide derivative with a bulky heterocyclic ring afforded a high heat curing conversion of 90.4%, high adhesion strength of 54.3 kgf cm-2, and a high elongation of 57.3% due to the relatively low melting characteristic under heat treatment compared to those involving dihydrazides with short aliphatic or aromatic spacers. In addition, the proposed sealing material exhibited an extremely low LC contamination level of 9 µm, which is essential to the successful operation of LC displays. With respect to electro-optical properties of the LC device, it was found that a dihydrazide derivative with a bulky heterocyclic ring afforded a normal voltage-dependent transmittance curve and fast response time due to the prevention of abnormal homogeneous LC alignment. This study developed highly adhesive and robust epoxy-based sealing materials based on the use of dihydrazides as thermal latent curing agents for advanced LC displays.

Improving the Vertical Thermal Conductivity of Carbon Fiber-Reinforced Epoxy Composites by Forming Layer-by-Layer Contact of Inorganic Crystals.

A carbon fiber-reinforced polymer (CFRP) is a light and rigid composite applicable in various fields, such as in aviation and automobile industry. However, due to its low thermal conductivity, it does not dissipate heat sufficiently and thus accumulates heat stress. Here, we reported a facile and effective strategy to improve the through-thickness thermal conductivity of CFRP composites by using a layer-by-layer coating of inorganic crystals. They could provide efficient heat transfer pathways through layer-by-layer contact within the resulting composite material. The high thermally conductive CFRP composites were prepared by employing three types of inorganic crystal fillers composed of aluminum, magnesium, and copper on prepreg through the layer-by-layer coating process. The vertical thermal conductivity of pure CFRP was increased by up to 87% on using magnesium filler at a very low content of 0.01 wt %. It was also confirmed that the higher the thermal conductivity enhancement was, the better were the mechanical properties. Thus, we could demonstrate that the layer-by-layer inclusion of inorganic crystals can lead to improved through-thickness thermal conductivity and mechanical properties of composites, which might find applications in varied industrial fields.

Preparation and Characterization of Gas-Forming Polyacrylonitrile/Polymethylmethacrylate/Methylcyclohexane Nanocapsules for the Desorption of Optical Adhesive Films.

We herein report a simple approach to the preparation of gas-forming polyacrylonitrile/polymethyl-methacrylate/methylcyclohexane core-shell nanocapsules for the desorption of optical adhesive films. The proposed gas-forming core-shell nanocapsules are based on a shell structure composed of a polyacrylonitrile/polymethylmethacrylate copolymer, where the core contains vaporizable cyclic hydrocarbons (i.e., methylcyclohexane). These stable functional nanocapsules were spherical in shape, with an average particle size of ~110 nm. Interestingly, using the proposed synthetic method, it was also possible to prepare nanoparticles with varying particle sizes and copolymer ratios through a simple pre-emulsification stage and careful control of the monomer ratio employed. Upon mixing the resulting core-shell nanocapsules uniformly with the optical adhesive films, desorption was observed between layers following heat treatment. Furthermore, the high optical transmittance of the optical adhesive film was retained due to the small size of the core-shell nanoparticles. It was therefore apparent that the proposed method should be applicable for the preparation of future optical films where functional core-shell nanocapsules are required.

Microbubble-Triggered Spontaneous Separation of Transparent Thin Films from Substrates Using Evaporable Core-Shell Nanocapsules.

The spontaneous separation of a polymer thin film from a substrate is an innovative technology that will enable material recycling and reduce manufacturing cost in the film industry, and this can be applied in a wide range of applications, from optical films to wearable devices. Here, we present an unprecedented spontaneous strategy for separating transparent polymer films from substrates on the basis of microbubble generation using nanocapsules containing an evaporable material. The core-shell nanocapsules are prepared from poly(methyl methacrylate)-polyethyleneimine nanoparticles via the encapsulation of methylcyclohexane (MCH). A spherical nanostructure with a vaporizable core is obtained, with the heat-triggered gas release ability leading to the formation of microbubbles. Our separation method applied to transparent polymer films doped with a small amount of the nanocapsules encapsulating evaporable MCH enables spontaneous detachment of thin films from substrates via vacuum-assisted rapid vaporization of MCH over a short separation time, and clear detachment of the film is achieved with no deterioration of the inherent optical transparency and adhesive property compared to a pristine film.

Fabrication of Vertically Aligned Liquid Crystals Devices Using Nanoscale Self-Assembled Alignment Layers of Photoluminescent Pyrene Derivatives.

Nanoscale self-assembled molecular layers of 1-pyrene carboxylic acid, 1-pyrene butylic acid, and 1-amino pyrene were employed as photoluminescent alignment agents to form vertical arrays of liquid crystals (LCs). The LC device using alignment agent of 1-amino pyrene appeared to have a stable vertical alignment based on crossed polarization analysis. The electro-optical properties of the LCs fabricated using this self-assembled layer exhibited better performance than those of general LC cells containing a conventional polyimide layer. The proposed self-assembled alignment method is sufficient as a replacement for more commonly used polyimide layers, which require complex film forming processing and high production costs; conversely, the proposed technique allows for simple mixing using low concentrations of alignment agents (0.05 wt%). Moreover, as LCs were mixed with the pyrene derivatives, photoluminescence (PL) under ultraviolet (UV) light was exhibited. This proposed method has excellent LC alignment and PL property, both of which can be utilized in advanced display technologies for next-generation LC devices, such as polyimide-free alignment or color-filter-free color expression.

Trends in the utilization of dental outpatient services affected by the expansion of health care benefits in South Korea to include scaling: a 6-year interrupted time-series study.

PURPOSE: This study utilized a strong quasi-experimental design to test the hypothesis that the implementation of a policy to expand dental care services resulted in an increase in the usage of dental outpatient services. METHODS: A total of 45,650,000 subjects with diagnoses of gingivitis or advanced periodontitis who received dental scaling were selected and examined, utilizing National Health Insurance claims data from July 2010 through November 2015. We performed a segmented regression analysis of the interrupted time-series to analyze the time-series trend in dental costs before and after the policy implementation, and assessed immediate changes in dental costs. RESULTS: After the policy change was implemented, a statistically significant 18% increase occurred in the observed total dental cost per patient, after adjustment for age, sex, and residence area. In addition, the dental costs of outpatient gingivitis treatment increased immediately by almost 47%, compared with a 15% increase in treatment costs for advanced periodontitis outpatients. This policy effect appears to be sustainable. CONCLUSIONS: The introduction of the new policy positively impacted the immediate and long-term outpatient utilization of dental scaling treatment in South Korea. While the policy was intended to entice patients to prevent periodontal disease, thus benefiting the insurance system, our results showed that the policy also increased treatment accessibility for potential periodontal disease patients and may improve long-term periodontal health in the South Korean population.

VDR mRNA overexpression is associated with worse prognostic factors in papillary thyroid carcinoma.

The purpose of this study was to assess the relationship between vitamin D receptor gene (VDR) expression and prognostic factors in papillary thyroid cancer (PTC). mRNA sequencing and somatic mutation data from The Cancer Genome Atlas (TCGA) were analyzed. VDR mRNA expression was compared to clinicopathologic variables by linear regression. Tree-based classification was applied to find cutoff and patients were split into low and high VDR group. Logistic regression, Kaplan-Meier analysis, differentially expressed gene (DEG) test and pathway analysis were performed to assess the differences between two VDR groups. VDR mRNA expression was elevated in PTC than that in normal thyroid tissue. VDR expressions were high in classic and tall-cell variant PTC and lateral neck node metastasis was present. High VDR group was also associated with classic and tall cell subtype, AJCC stage IV and lower recurrence-free survival. DEG test reveals that 545 genes were upregulated in high VDR group. Thyroid cancer-related pathways were enriched in high VDR group in pathway analyses. VDR mRNA overexpression was correlated with worse prognostic factors such as subtypes of papillary thyroid carcinoma that are known to be worse prognosis, lateral neck node metastasis, advanced stage and recurrence-free survival.

Changes in dental care access upon health care benefit expansion to include scaling.

PURPOSE: This study aimed to evaluate the effects of a policy change to expand Korean National Health Insurance (KNHI) benefit coverage to include scaling on access to dental care at the national level. METHODS: A nationally representative sample of 12,794 adults aged 20 to 64 years from Korea National Health and Nutritional Examination Survey (2010-2014) was analyzed. To examine the effect of the policy on the outcomes of interest (unmet dental care needs and preventive dental care utilization in the past year), an estimates-based probit model was used, incorporating marginal effects with a complex sampling structure. The effect of the policy on individuals depending on their income and education level was also assessed. RESULTS: Adjusting for potential covariates, the probability of having unmet needs for dental care decreased by 6.1% and preventative dental care utilization increased by 14% in the post-policy period compared to those in the pre-policy period (2010, 2012). High income and higher education levels were associated with fewer unmet dental care needs and more preventive dental visits. CONCLUSIONS: The expansion of coverage to include scaling demonstrated to have a significant association with decreasing unmet dental care needs and increasing preventive dental care utilization. However, the policy disproportionately benefited certain groups, in contrast with the objective of the policy to benefit all participants in the KNHI system.

Mussel-inspired cell-adhesion peptide modification for enhanced endothelialization of decellularized blood vessels.

Enhanced endothelialization of tissue-engineered blood vessels is essential for vascular regeneration and function of engineered vessels. In this study, mussel-inspired surface chemistry of polydopamine (pDA) coatings are applied to functionalize decellularized vein matrix (DVM) with extracellular matrix-derived cell adhesion peptides (RGD and YIGSR). DVMs engineered with pDA-peptides enhance focal adhesion, metabolic activity, and endothelial differentiation of human endothelial progenitor cells (EPCs) derived from cord blood and embryonic stem cells compared with EPCs on non-coated or pDA-coated DVMs. These results indicate that pDA-peptide functionalization may contribute to enhanced, rapid endothelialization of DVM surfaces by promoting adhesion, proliferation, and differentiation of circulating EPCs. Ultimately, this approach may be useful for improving in vivo patency and function of decellularized matrix-based blood vessels.