Willingness to Use and Pay for Digital Health Care Services According to 4 Scenarios: Results from a National Survey.

BACKGROUND: Smartphones and their associated technology have evolved to an extent where these devices can be used to provide digital health interventions. However, few studies have been conducted on the willingness to use (WTU) and willingness to pay (WTP) for digital health interventions. OBJECTIVE: The purpose of this study was to investigate how previous service experience, the content of the services, and individuals' health status affect WTU and WTP. METHODS: We conducted a nationwide web-based survey in 3 groups: nonusers (n=506), public service users (n=368), and private service users (n=266). Participants read scenarios about an imagined health status (such as having a chronic illness) and the use of digital health intervention models (self-management, expert management, and medical management). They were then asked to respond to questions on WTU and WTP. RESULTS: Public service users had a greater intention to use digital health intervention services than nonusers and private service users: scenario A (health-risk situation and self-management), nonusers=odd ratio [OR] .239 (SE .076; P<.001) and private service users=OR .138 (SE .044; P<.001); scenario B (health-risk situation and expert management), nonusers=OR .175 (SE .040; P<.001) and private service users=OR .219 (SE .053; P<.001); scenario C (chronic disease situation and expert management), nonusers=OR .413 (SE .094; P<.001) and private service users=OR .401 (SE .098; P<.001); and scenario D (chronic disease situation and medical management), nonusers=OR .480 (SE .120; P=.003) and private service users=OR .345 (SE .089; P<.001). In terms of WTP, in scenarios A and B, those who used the public and private services had a higher WTP than those who did not (scenario A: ß=-.397, SE .091; P<.001; scenario B: ß=-.486, SE .098; P<.001). In scenario C, private service users had greater WTP than public service users (ß=.264, SE .114; P=.02), whereas public service users had greater WTP than nonusers (ß=-.336, SE .096; P<.001). In scenario D, private service users were more WTP for the service than nonusers (ß=-.286, SE .092; P=.002). CONCLUSIONS: We confirmed that the WTU and WTP for digital health interventions differed based on individuals' prior experience with health care services, health status, and demographics. Recently, many discussions have been made to expand digital health care beyond the early adapters and fully into people's daily lives. Thus, more understanding of people's awareness and acceptance of digital health care is needed.

High prevalence of hypertension among smokers of conventional and e-cigarette: Using the nationally representative community dwelling survey.

This study aimed to clarify the association between hypertension and conventional cigarette and electronic cigarette (e-cigarette) use, together or individually. A total of 275,762 participants were included, of which 120,766 were men and 154,996 were women. The data were drawn from the Korea Community Health Survey conducted in 2019. A multiple logistic regression model was used to examine the association between hypertension and types of smoking. Hypertension was defined as systolic blood pressure higher than 140 mmHg or diastolic blood pressure higher than 90 mmHg. Based on the types of smoking, participants were grouped as dual smokers of conventional and e-cigarettes, e-cigarette only smokers, conventional cigarette only smokers, past-smokers, and non-smokers. Compared to non-smokers, dual smokers presented the highest odds ratio for hypertension in the male [odds ratio (OR): 1.24, confidence interval (CI): 1.10 to 1.39] and female groups (OR: 1.44 CI: 0.96 to 2.15). According to the Cochran-Mantel-Haenszel test, the two-sided p-value of < 0.001 indicated an overall statistically significant association between types of smoking and hypertension. Use of both cigarette types was statistically significant in the male group, but only the use of conventional cigarettes and past smoking were statistically significant in the female group. Among smokers of the two cigarette types, those who were dual smokers of e-cigarettes and conventional cigarettes were the most likely to have the highest prevalence of hypertension.

Aqueous-Soluble Naphthalene Diimide-Based Polymer Acceptors for Efficient and Air-Stable All-Polymer Solar Cells.

Aqueous-processed all-polymer solar cells (aq-APSCs) are reported for the first time by developing a series of water/ethanol-soluble naphthalenediimide (NDI)-based polymer acceptors [P(NDIDEG-T), P(NDITEG-T), and P(NDITEG-T2)]. Polymer acceptors are designed by using the backbones of NDI-bithiophene and NDI-thiophene in combination with nonionic hydrophilic oligoethylene glycol (OEG) side chains that facilitate processability in water/ethanol mixtures. All three polymers exhibit sufficient solubility (20-50 mg mL-1) in the aqueous medium. The P(NDIDEG-T) polymer with shorter OEG side chains is the most crystalline with the highest electron mobility, enabling the fabrication of efficient aq-APSCs with the maximum power conversion efficiency (PCE) of 2.15%. Furthermore, these aq-APSCs are fabricated under ambient atmosphere by taking advantage of the eco-friendly aqueous process and, importantly, the devices exhibit outstanding air-stability without any encapsulation, as evident by maintaining more than 90% of the initial PCE in the air after 4 days. According to a double cantilever beam test, the interfacial adhesion properties between the active layer and electron/hole transporting layers were remarkably improved by incorporating the hydrophilic OEG-attached photoactive layer, which hinders the delamination of the constituent layers and prevents the increase of series resistance, ultimately leading to enhanced durability under ambient conditions. The combination of increased device stability and minimal environmental impact of these aq-APSCs demonstrates them to be worthy candidates for continued development of scalable polymer solar cells.

Dual Imide-Functionalized Unit-Based Regioregular D-A1-D-A2 Polymers for Efficient Unipolar n-Channel Organic Transistors and All-Polymer Solar Cells.

The demand for the development of more promising n-type semiconducting polymers with excellent electron mobilities and air stabilities is growing fast. In this study, we designed and synthesized a series of new dual imide-functionalized derivative-based regioregular D-A1-D-A2 copolymers with different side chains (namely, PNT-R, R = 2-decyltetradecyl (DT), 2-octadecyldodecyl (OD), and 2-hexyldecyl (HD)). These new polymers PNT-R showed strong electron affinities with deep lowest unoccupied molecular orbital (LUMO) levels down to -4.01 eV, indicating that they are promising electron-transporting materials. To optimize the electron mobility, side-chain engineering was adopted. Thus, the effects of the side-chain length on their optoelectronic and charge-transport properties as well as the performances of all-polymer solar cells (all-PSCs) were systematically investigated. Shortening the side-chain length significantly expanded the absorption range, deepened the LUMO energy level, strengthened the molecular packing properties, and developed more crystalline microstructures in the solid state, as evidenced by the ultraviolet-visible absorption spectra, cyclic voltammetry, synchrotron two-dimensional grazing-incidence wide-angle X-ray scattering, and atomic force microscopy measurements. Consequently, the highest electron mobility of 1.05 cm2 V-1 s-1 was achieved in PNT-HD-based organic thin-film transistors (OTFTs). Also, PNT-R polymers were successfully applied as electron acceptors in all-PSCs. In good agreement with the OTFT results, the highest power conversion efficiency of 6.62% was obtained for the PNT-HD-blend film due to its excellent short-circuit current ( Jsc) value (12.07 mA cm-2), which was much higher than that of the PNT-DT- and PNT-OD-based all-PSCs (7.67 and 10.19 mA cm-2, respectively). By further investigating the dependence of the Jsc and open-circuit voltage ( Voc) on the illuminated light intensity ( P), the high Jsc value of the PNT-HD-based device was found to originate from its highly suppressed mono- and bimolecular recombination as well as efficient exciton dissociation and charge transfer at the donor-acceptor interfaces. Overall, this study provides insights into the naphthalenediimide-based regioregular D-A1-D-A2 copolymers used in all-PSCs and offers important design guidelines for future development of n-type semiconducting polymers.

Peroxyacetyl nitrate (PAN) in the urban atmosphere.

Peroxyacetyl nitrate (PAN) in air has been well known as the indicator of photochemical smog due to its frequent occurrences in Seoul metropolitan area. This study was implemented to assess the distribution characteristics of atmospheric PAN in association with relevant parameters measured concurrently. During a full year period in 2011, PAN was continuously measured at hourly intervals at two monitoring sites, Gwang Jin (GJ) and Gang Seo (GS) in the megacity of Seoul, South Korea. The annual mean concentrations of PAN during the study period were 0.64±0.49 and 0.57±0.46 ppb, respectively. The seasonal trends of PAN generally exhibited dual peaks in both early spring and fall, regardless of sites. Their diurnal trends were fairly comparable to each other. There was a slight time lag (e.g., 1 h) in the peak occurrence pattern between O3 and PAN, as the latter trended to peak after the maximum UV irradiance period (16:00 (GJ) and 17:00 (GS)). The concentrations of PAN generally exhibited strong correlations with particulates. The results of this study suggest that PAN concentrations were affected sensitively by atmospheric stability, the wet deposition of NO2, wind direction, and other factors.

Emission rate of particulate matter and its removal efficiency by precipitators in under-fired charbroiling restaurants.

In order to explore the potent role of meat cooking processes as the emission sources of particulate matter (PM), emission rates and the associated removal efficiency by precipitators were estimated based on the on-site measurements made at five under-fired charbroiling (UFC) restaurants. The emission patterns of PM for these five restaurants were compared after having been sorted into the main meat types used for cooking: beef (B), chicken (C), intestines (I), and pork (P: two sites). The mass concentrations (microgram m-3) of three PM fractions (PM2.5/PM10/TSP) measured from these restaurants were 15,510/15,701/17,175 (C); 8,525/10,760/12,676 (B); 11,027/13,249/13,488 (P); and 22,409/22,412/22,414 (I). Emission factors (g kg-1) for those PM fractions were also estimated as 3.23/4.08/4.80 (B), 3.07/3.82/3.87 (P), 8.12/8.22/8.99 (C), and 6.59/6.59/6.59 (I). If the annual emission rate of PM10 is extrapolated by combining its emission factor, population, activity factor, etc., it is estimated as 500 ton year-1, which corresponds to 2.4% of the PM10 budget in Seoul, Korea. Removal efficiencies of PM10 via precipitators, such as an electrostatic precipitator (ESP), bag filter (BF), and the combination system (ESP + catalyst), installed in those UFC restaurants ranged between 54.76 and 98.98%. The removal efficiency of PM by this control system was the least effective for particles with <0.4 microgram, although those in the range of 0.4-10 microgram were the most effective.