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1.
Langmuir ; 40(18): 9501-9508, 2024 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-38651296

RESUMEN

Silicon (Si) alkaline etching constitutes a fundamental process in the semiconductor industry. Although its etching kinetics on plain substrates have been thoroughly investigated, the kinetics of Si wet etching in nanoconfinements have yet to be fully explored despite its practical importance in three-dimensional (3-D) semiconductor manufacturing. Herein, we report the systematic study of potassium hydroxide (KOH) wet etching kinetics of amorphous silicon (a-Si)-filled two-dimensional (2-D) planar nanochannels. Our findings reveal that the etching rate would increase with the increase in nanochannel height before reaching a plateau, indicating a strong nonlinear confinement effect. Through investigation using etching solutions with different ionic strengths and/or different temperatures, we further find that both electrostatic interactions and the hydration layer inside the nanoconfinement contribute to the confinement-dependent etching kinetics. Our results offer fresh perspectives into the kinetic study of reactions in nanoconfinements and will shed light on the optimization of etching processes in the semiconductor industry.

2.
Sensors (Basel) ; 23(20)2023 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-37896657

RESUMEN

In electronic warfare systems, detecting low-probability-of-intercept (LPI) radar signals poses a significant challenge due to the signal power being lower than the noise power. Techniques using statistical or deep learning models have been proposed for detecting low-power signals. However, as these methods overlook the inherent characteristics of radar signals, they possess limitations in radar signal detection performance. We introduce a deep learning-based detection model that capitalizes on the periodicity characteristic of radar signals. The periodic autocorrelation function (PACF) is an effective time-series data analysis method to capture the pulse repetition characteristic in the intercepted signal. Our detection model extracts radar signal features from PACF and then detects the signal using a neural network employing long short-term memory to effectively process time-series features. The simulation results show that our detection model outperforms existing deep learning-based models that use conventional autocorrelation function or spectrogram as an input. Furthermore, the robust feature extraction technique allows our proposed model to achieve high performance even with a shallow neural network architecture and provides a lighter model than existing models.

3.
Biotechnol Bioeng ; 118(7): 2524-2535, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-33764506

RESUMEN

In vitro models are becoming more advanced to truly present physiological systems while enabling high-throughput screening and analysis. Organ-on-a-chip devices provide remarkable results through the reconstruction of a three-dimensional (3D) cellular microenvironment although they need to be further developed in terms of multiple liquid patterning principle, material properties, and scalability. Here we present a 3D anchor-based microfluidic injection-molded plastic array culture platform (Anchor-IMPACT) that enables selective, space-intensive patterning of hydrogels using anchor-island for high-throughput angiogenesis evaluation model. Anchor-IMPACT consists of a central channel and an anchor-island, integrating the array into an abbreviated 96-well plate format with a standard microscope slide size. The anchor-island enables selective 3D cell patterning without channel-to-channel contact or any hydrogel injection port using an anchor structure unlike conventional culture compartment. The hydrogel was patterned into defined regions by spontaneous capillary flow under hydrophilic conditions. We configured multiple cell patterning structures to investigate the angiogenic potency of colorectal cancer cells in Anchor-IMPACT and the morphological properties of the angiogenesis induced by the paracrine effect were evaluated. In addition, the efficacy of anticancer drugs against angiogenic sprouts was verified by following dose-dependent responses. Our results indicate that Anchor-IMPACT offers not only a model of high-throughput experimentation but also an advanced 3D cell culture platform and can significantly improve current in vitro models while providing the basis for developing predictive preclinical models for biopharmaceutical applications.


Asunto(s)
Inhibidores de la Angiogénesis/farmacología , Células Endoteliales de la Vena Umbilical Humana/metabolismo , Dispositivos Laboratorio en un Chip , Técnicas Analíticas Microfluídicas , Neovascularización Patológica/tratamiento farmacológico , Línea Celular Tumoral , Evaluación Preclínica de Medicamentos , Humanos , Neovascularización Patológica/metabolismo
4.
Nanotechnology ; 30(39): 394003, 2019 Sep 27.
Artículo en Inglés | MEDLINE | ID: mdl-31242472

RESUMEN

The evolution of surface cleanliness and the electronic properties-Dirac voltage(V Dirac), hysteresis and mobility (µ) of a graphene field-effect transistor (GFET)-were monitored by measuring lateral force microscopy and drain current (I D) as a function of gate voltage (V G), after mechanically cleaning the surface, scan-by-scan, with contact-mode atomic force microscopy. Both the surface cleanliness and the electronic properties evolved, showing a sudden improvement and then saturation for a mobility of around 2200 cm2 V-1 s-1. We found that the mobility suppression of the as-fabricated GFET deviated from a randomly distributed impurities model, which predicted a greater mobility than obtained from the measured V Dirac. Therefore, the substrate impurities are excluded from the origins of the extraordinary suppression of the mobility, and the possible origin will be discussed.

5.
Diabetologia ; 58(12): 2867-76, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26342595

RESUMEN

AIMS/HYPOTHESIS: O-GlcNAcylation plays a role as a metabolic sensor regulating cellular signalling, transcription and metabolism. Transcription factors and signalling pathways related to metabolism are modulated by N-acetyl-glucosamine (O-GlcNAc) modification. Aberrant regulation of O-GlcNAcylation is closely linked to insulin resistance, type 2 diabetes and obesity. Current evidence shows that increased O-GlcNAcylation negatively regulates insulin signalling, which is associated with insulin resistance and type 2 diabetes. Here, we aimed to evaluate the effects of Oga (also known as Mgea5) haploinsufficiency, which causes hyper-O-GlcNAcylation, on metabolism. METHODS: We examined whether Oga(+/-) mice developed insulin resistance. Metabolic variables were determined including body weight, glucose and insulin tolerance, metabolic rate and thermogenesis. RESULTS: Oga deficiency does not affect insulin signalling even at hyper-O-GlcNAc levels. Oga(+/-) mice are lean with reduced fat mass and improved glucose tolerance. Furthermore, Oga(+/-) mice resist high-fat diet-induced obesity with ameliorated hepatic steatosis and improved glucose metabolism. Oga haploinsufficiency potentiates energy expenditure through the enhancement of brown adipocyte differentiation from the stromal vascular fraction of subcutaneous white adipose tissue (WAT). CONCLUSIONS/INTERPRETATION: Our observations suggest that O-GlcNAcase (OGA) is essential for energy metabolism via regulation of the thermogenic WAT program.


Asunto(s)
Tejido Adiposo Pardo/metabolismo , Tejido Adiposo Blanco/metabolismo , Metabolismo Energético/genética , Obesidad/genética , beta-N-Acetilhexosaminidasas/genética , Acetilglucosamina/metabolismo , Adipocitos Marrones/metabolismo , Adipocitos Marrones/patología , Animales , Glucemia/metabolismo , Peso Corporal/genética , Diferenciación Celular , Diabetes Mellitus Tipo 2/genética , Intolerancia a la Glucosa/genética , Resistencia a la Insulina/genética , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Transducción de Señal , Termogénesis/genética
6.
Methods Mol Biol ; 2804: 209-221, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38753150

RESUMEN

Microfluidic-based cytotoxic assays provide high physiological relevance with the potential to replace conventional animal experiments and two-dimensional (2D) assays. Here, a 3D method utilizing a microfluidic platform for analysis of lymphocyte cytotoxicity is introduced in detail, including platform design, cell culture method, real-time cytotoxic assay setup, and image-based analysis. A 2D experimental method is used for comparison, which effectively demonstrates the advantages of 3D microfluidic platforms in closely recapitulating immune responses within the tumor microenvironment. Moreover, a wide range of experimental possibilities and applications using microfluidic 3D cytotoxic assays is introduced in this chapter, along with their capabilities, limitations, and future outlook.


Asunto(s)
Técnicas Analíticas Microfluídicas , Humanos , Técnicas Analíticas Microfluídicas/instrumentación , Técnicas Analíticas Microfluídicas/métodos , Técnicas de Cultivo de Célula/métodos , Técnicas de Cultivo de Célula/instrumentación , Pruebas Inmunológicas de Citotoxicidad/métodos , Microfluídica/métodos , Microfluídica/instrumentación , Animales , Linfocitos/inmunología , Linfocitos/citología , Microambiente Tumoral/inmunología
7.
Micromachines (Basel) ; 14(1)2023 Jan 04.
Artículo en Inglés | MEDLINE | ID: mdl-36677201

RESUMEN

The development of short-wave infrared photodetectors based on various two-dimensional (2D) materials has recently attracted attention because of the ability of these devices to operate at room temperature. Although van der Waals heterostructures of 2D materials with type-II band alignment have significant potential for use in short-wave infrared photodetectors, there is a need to develop photodetectors with high photoresponsivity. In this study, we investigated the photogating of graphene using a monolayer-MoS2/monolayer-MoTe2 van der Waals heterostructure. By stacking MoS2/MoTe2 on graphene, we fabricated a broadband photodetector that exhibited a high photoresponsivity (>100 mA/W) and a low dark current (60 nA) over a wide wavelength range (488−1550 nm).

8.
Org Lett ; 25(49): 8917-8921, 2023 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-38048398

RESUMEN

Divergent functionalization of α,ß-unsaturated sulfones under copper catalysis is reported. Diastereoselective borylative allylation of alkenyl sulfones was achieved with a copper catalyst, allyl phosphate, bis(pinacolato)diboron, and LiOMe. In this method, the addition of a copper-boryl complex to alkenyl sulfone and subsequent allylic substitution rendered boroallylated products in good yield with excellent syn-diastereoselectivity. In contrast, a stronger base (KOt-Bu) promoted the reaction further toward the formation of (E)-skipped dienes, through elimination of the sulfonyl and boryl groups.

9.
Sci Rep ; 13(1): 4233, 2023 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-36918732

RESUMEN

We present a novel scheme to obtain robust, narrowband, and tunable THz emission using a nano-dimensional overdense plasma target, irradiated by two counter-propagating detuned laser pulses. So far, no narrowband THz sources with a field strength of GV/m-level have been reported from laser-solid interaction (mostly half-or single-cycle THz pulses with only broadband frequency spectrum). From two- and three-dimensional particle-in-cell simulations, we find that the strong plasma current generated by the beat ponderomotive force in the colliding region, produces beat-frequency radiation in the THz range. Here we report intense THz pulses [Formula: see text]THz) with an unprecedentedly high peak field strength of 11.9 GV/m and spectral width [Formula: see text], which leads to a regime of an extremely bright narrowband THz source of TW/cm[Formula: see text], suitable for various ambitious applications.

10.
J Adv Prosthodont ; 15(3): 155-170, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-37441720

RESUMEN

PURPOSE: This study aims to clinically compare the fitness and trueness of zirconia crowns fabricated by different combinations of open CAD-CAM systems. MATERIALS AND METHODS: Total of 40 patients were enrolled in this study, and 9 different zirconia crowns were prepared per patient. Each crown was made through the cross-application of 3 different design software (EZIS VR, 3Shape Dental System, Exocad) with 3 different processing devices (Aegis HM, Trione Z, Motion 2). The marginal gap, absolute marginal discrepancy, internal gap(axial, line angle, occlusal) by a silicone replica technique were measured to compare the fit of the crown. The scanned inner and outer surfaces of the crowns were compared to CAD data using 3D metrology software to evaluate trueness. RESULTS: There were significant differences in the marginal gap, absolute marginal discrepancy, axial and line angle internal gap among the groups (P < .05) in the comparison of fit. There was no statistically significant difference among the groups in terms of occlusal internal gap. The trueness ranged from 36.19 to 43.78 µm but there was no statistically significant difference within the groups (P > .05). CONCLUSION: All 9 groups showed clinically acceptable level of marginal gaps ranging from 74.26 to 112.20 µm in terms of fit comparison. In the comparison of trueness, no significant difference within each group was spotted. Within the limitation of this study, open CAD-CAM systems used in this study can be assembled properly to fabricate zirconia crown.

11.
Sci Transl Med ; 15(696): eade6509, 2023 05 17.
Artículo en Inglés | MEDLINE | ID: mdl-37196064

RESUMEN

Disruption of mitochondrial function and protein homeostasis plays a central role in aging. However, how these processes interact and what governs their failure in aging remain poorly understood. Here, we showed that ceramide biosynthesis controls the decline in mitochondrial and protein homeostasis during muscle aging. Analysis of transcriptome datasets derived from muscle biopsies obtained from both aged individuals and patients with a diverse range of muscle disorders revealed that changes in ceramide biosynthesis, as well as disturbances in mitochondrial and protein homeostasis pathways, are prevalent features in these conditions. By performing targeted lipidomics analyses, we found that ceramides accumulated in skeletal muscle with increasing age across Caenorhabditis elegans, mice, and humans. Inhibition of serine palmitoyltransferase (SPT), the rate-limiting enzyme of the ceramide de novo synthesis, by gene silencing or by treatment with myriocin restored proteostasis and mitochondrial function in human myoblasts, in C. elegans, and in the skeletal muscles of mice during aging. Restoration of these age-related processes improved health and life span in the nematode and muscle health and fitness in mice. Collectively, our data implicate pharmacological and genetic suppression of ceramide biosynthesis as potential therapeutic approaches to delay muscle aging and to manage related proteinopathies via mitochondrial and proteostasis remodeling.


Asunto(s)
Resistencia a la Insulina , Proteostasis , Ratones , Humanos , Animales , Anciano , Caenorhabditis elegans , Músculo Esquelético/metabolismo , Ceramidas/metabolismo , Mitocondrias/metabolismo , Serina C-Palmitoiltransferasa/genética , Serina C-Palmitoiltransferasa/metabolismo , Envejecimiento
12.
Micromachines (Basel) ; 13(8)2022 Jul 28.
Artículo en Inglés | MEDLINE | ID: mdl-36014122

RESUMEN

We guide the use of organ-on-chip technology in tissue engineering applications. Organ-on-chip technology is a form of microengineered cell culture platform that elaborates the in-vivo like organ or tissue microenvironments. The organ-on-chip platform consists of microfluidic channels, cell culture chambers, and stimulus sources that emulate the in-vivo microenvironment. These platforms are typically engraved into an oxygen-permeable transparent material. Fabrication of these materials requires the use of microfabrication strategies, including soft lithography, 3D printing, and injection molding. Here we provide an overview of what is an organ-on-chip platform, where it can be used, what it is composed of, how it can be fabricated, and how it can be operated. In connection with this topic, we also introduce an overview of the recent applications, where different organs are modeled on the microscale using this technology.

13.
Microsyst Nanoeng ; 8: 126, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36478874

RESUMEN

The development of organs-on-a-chip has resulted in advances in the reconstruction of 3D cellular microenvironments. However, there remain limitations regarding applicability and manufacturability. Here, we present an injection-molded plastic array 3D universal culture platform (U-IMPACT) for various biological applications in a single platform, such as cocultures of various cell types, and spheroids (e.g., tumor spheroids, neurospheres) and tissues (e.g., microvessels). The U-IMPACT consists of three channels and a spheroid zone with a 96-well plate form factor. Specifically, organoids or spheroids (~500 µm) can be located in designated areas, while cell suspensions or cell-laden hydrogels can be selectively placed in three channels. For stable multichannel patterning, we developed a new patterning method based on capillary action, utilizing capillary channels and the native contact angle of the materials without any modification. We derived the optimal material hydrophilicity (contact angle of the body, 45-90°; substrate, <30°) for robust patterning through experiments and theoretical calculations. We demonstrated that the U-IMPACT can implement 3D tumor microenvironments for angiogenesis, vascularization, and tumor cell migration. Furthermore, we cultured neurospheres from induced neural stem cells. The U-IMPACT can serve as a multifunctional organ-on-a-chip platform for high-content and high-throughput screening.

14.
World J Surg ; 35(5): 1094-102, 2011 May.
Artículo en Inglés | MEDLINE | ID: mdl-21360306

RESUMEN

BACKGROUND: This study presents our 14-year surgical experience with adult choledochal cyst disease (CCD), focusing on the clinical outcomes after surgical treatment. METHODS: Medical records of 204 adult patients who had undergone surgery for CCD were reviewed retrospectively. RESULTS: Median patient age was 40.2 years, and 157 (77%) of the patients were female. Todani classification was type I in 116 patients (56.9%), type II in 1 patient (0.5%), type IVa in 86 patients (42.2%), and type V in 1 patient (0.5%). Extrahepatic cyst excision and hepaticojejunostomy were performed in 185 patients (90.7%). Major perioperative complications occurred in 5 patients (2.5%), resulting in no mortality. Late complications occurred in 48 patients (23.6%). Concurrent cancer was diagnosed in 20 patients (9.8%). Mean age of patients with or without biliary cancer was 48.1±13.2 years and 39.1±11.8 years, respectively (P=0.001). Anomalous union of the pancreaticobiliary duct was more frequently associated with gallbladder cancer than with bile duct cancer. De novo malignancy at the cyst remnant occurred in 2 patients (1%). The survival outcomes in CCD patients with concurrent biliary cancer were comparable to those in cancer patients without CCD. CONCLUSIONS: As a result of diverse features of adult CCD, various clinical problems occurred after surgical excision. Surgical treatment for adult patients with CCDs having complex features should be individualized to maintain a balance between risk of surgery and potential risk of late complications.


Asunto(s)
Quiste del Colédoco/cirugía , Adolescente , Adulto , Anciano , Anastomosis Quirúrgica , Conductos Biliares/cirugía , Neoplasias del Sistema Biliar/mortalidad , Neoplasias del Sistema Biliar/cirugía , Quiste del Colédoco/clasificación , Constricción Patológica , Femenino , Humanos , Yeyunostomía/métodos , Masculino , Persona de Mediana Edad , Conductos Pancreáticos/cirugía , Estudios Retrospectivos , Adulto Joven
15.
JMIR Med Inform ; 9(7): e26000, 2021 Jul 28.
Artículo en Inglés | MEDLINE | ID: mdl-34319239

RESUMEN

BACKGROUND: Pill image recognition systems are difficult to develop due to differences in pill color, which are influenced by external factors such as the illumination from and the presence of a flash. OBJECTIVE: In this study, the differences in color between reference images and real-world images were measured to determine the accuracy of a pill recognition system under 12 real-world conditions (ie, different background colors, the presence and absence of a flash, and different exposure values [EVs]). METHODS: We analyzed 19 medications with different features (ie, different colors, shapes, and dosages). The average color difference was calculated based on the color distance between a reference image and a real-world image. RESULTS: For images with black backgrounds, as the EV decreased, the top-1 and top-5 accuracies increased independently of the presence of a flash. The top-5 accuracy for images with black backgrounds increased from 26.8% to 72.6% when the flash was on and increased from 29.5% to 76.8% when the flash was off as the EV decreased. However, the top-5 accuracy increased from 62.1% to 78.4% for images with white backgrounds when the flash was on. The best top-1 accuracy was 51.1% (white background; flash on; EV of +2.0). The best top-5 accuracy was 78.4% (white background; flash on; EV of 0). CONCLUSIONS: The accuracy generally increased as the color difference decreased, except for images with black backgrounds and an EV of -2.0. This study revealed that background colors, the presence of a flash, and EVs in real-world conditions are important factors that affect the performance of a pill recognition model.

16.
Front Immunol ; 12: 733317, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34630415

RESUMEN

Recent advances in anticancer therapy have shown dramatic improvements in clinical outcomes, and adoptive cell therapy has emerged as a type of immunotherapy that can modulate immune responses by transferring engineered immune cells. However, a small percentage of responders and their toxicity remain as challenges. Three-dimensional (3D) in vitro models of the tumor microenvironment (TME) have the potential to provide a platform for assessing and predicting responses to therapy. This paper describes an in vitro 3D tumor model that incorporates clusters of colorectal cancer (CRC) cells around perfusable vascular networks to validate immune-cell-mediated cytotoxicity against cancer cells. The platform is based on an injection-molded 3D co-culture model and composed of 28 microwells where separate identical vascularized cancer models can be formed. It allows robust hydrogel patterning for 3D culture that enables high-throughput experimentation. The uniformity of the devices resulted in reproducible experiments that allowed 10× more experiments to be performed when compared to conventional polydimethylsiloxane (PDMS)-based microfluidic devices. To demonstrate its capability, primary natural killer (NK) cells were introduced into the vascularized tumor network, and their activities were monitored using live-cell imaging. Extravasation, migration, and cytotoxic activity against six types of CRC cell lines were tested and compared. The consensus molecular subtypes (CMS) of CRC with distinct immune responses resulted in the highest NK cell cytotoxicity against CMS1 cancer cells. These results show the potential of our vascularized tumor model for understanding various steps involved in the immune response for the assessment of adoptive cell therapy.


Asunto(s)
Neoplasias Colorrectales/irrigación sanguínea , Endotelio Vascular/fisiología , Imagenología Tridimensional/métodos , Inmunoterapia Adoptiva/métodos , Células Asesinas Naturales/inmunología , Monitorización Inmunológica/métodos , Movimiento Celular , Neoplasias Colorrectales/inmunología , Neoplasias Colorrectales/terapia , Simulación por Computador , Sistemas de Computación , Citotoxicidad Inmunológica , Ensayos Analíticos de Alto Rendimiento , Células Endoteliales de la Vena Umbilical Humana , Humanos , Células Asesinas Naturales/trasplante , Microfluídica , Microambiente Tumoral
17.
Sci Rep ; 11(1): 19986, 2021 10 07.
Artículo en Inglés | MEDLINE | ID: mdl-34620916

RESUMEN

Microfluidics offers promising methods for aligning cells in physiologically relevant configurations to recapitulate human organ functionality. Specifically, microstructures within microfluidic devices facilitate 3D cell culture by guiding hydrogel precursors containing cells. Conventional approaches utilize capillary forces of hydrogel precursors to guide fluid flow into desired areas of high wettability. These methods, however, require complicated fabrication processes and subtle loading protocols, thus limiting device throughput and experimental yield. Here, we present a swift and robust hydrogel patterning technique for 3D cell culture, where preloaded hydrogel solution in a microfluidic device is aspirated while only leaving a portion of the solution in desired channels. The device is designed such that differing critical capillary pressure conditions are established over the interfaces of the loaded hydrogel solution, which leads to controlled removal of the solution during aspiration. A proposed theoretical model of capillary pressure conditions provides physical insights to inform generalized design rules for device structures. We demonstrate formation of multiple, discontinuous hollow channels with a single aspiration. Then we test vasculogenic capacity of various cell types using a microfluidic device obtained by our technique to illustrate its capabilities as a viable micro-manufacturing scheme for high-throughput cellular co-culture.


Asunto(s)
Técnicas de Cultivo Tridimensional de Células/instrumentación , Hidrogeles , Microfluídica/instrumentación , Técnicas de Cultivo Tridimensional de Células/métodos , Células Cultivadas , Técnicas de Cocultivo/métodos , Fibroblastos , Células Endoteliales de la Vena Umbilical Humana , Humanos , Microfluídica/métodos
18.
Nat Commun ; 12(1): 1000, 2021 Feb 12.
Artículo en Inglés | MEDLINE | ID: mdl-33579924

RESUMEN

Semiconductors have long been perceived as a prerequisite for solid-state transistors. Although switching principles for nanometer-scale devices have emerged based on the deployment of two-dimensional (2D) van der Waals heterostructures, tunneling and ballistic currents through short channels are difficult to control, and semiconducting channel materials remain indispensable for practical switching. In this study, we report a semiconductor-less solid-state electronic device that exhibits an industry-applicable switching of the ballistic current. This device modulates the field emission barrier height across the graphene-hexagonal boron nitride interface with ION/IOFF of 106 obtained from the transfer curves and adjustable intrinsic gain up to 4, and exhibits unprecedented current stability in temperature range of 15-400 K. The vertical device operation can be optimized with the capacitive coupling in the device geometry. The semiconductor-less switching resolves the long-standing issue of temperature-dependent device performance, thereby extending the potential of 2D van der Waals devices to applications in extreme environments.

19.
JMIR Med Inform ; 9(12): e29212, 2021 Dec 08.
Artículo en Inglés | MEDLINE | ID: mdl-34889753

RESUMEN

BACKGROUND: Pulse transit time and pulse wave velocity (PWV) are related to blood pressure (BP), and there were continuous attempts to use these to predict BP through wearable devices. However, previous studies were conducted on a small scale and could not confirm the relative importance of each variable in predicting BP. OBJECTIVE: This study aims to predict systolic blood pressure and diastolic blood pressure based on PWV and to evaluate the relative importance of each clinical variable used in BP prediction models. METHODS: This study was conducted on 1362 healthy men older than 18 years who visited the Samsung Medical Center. The systolic blood pressure and diastolic blood pressure were estimated using the multiple linear regression method. Models were divided into two groups based on age: younger than 60 years and 60 years or older; 200 seeds were repeated in consideration of partition bias. Mean of error, absolute error, and root mean square error were used as performance metrics. RESULTS: The model divided into two age groups (younger than 60 years and 60 years and older) performed better than the model without division. The performance difference between the model using only three variables (PWV, BMI, age) and the model using 17 variables was not significant. Our final model using PWV, BMI, and age met the criteria presented by the American Association for the Advancement of Medical Instrumentation. The prediction errors were within the range of about 9 to 12 mmHg that can occur with a gold standard mercury sphygmomanometer. CONCLUSIONS: Dividing age based on the age of 60 years showed better BP prediction performance, and it could show good performance even if only PWV, BMI, and age variables were included. Our final model with the minimal number of variables (PWB, BMI, age) would be efficient and feasible for predicting BP.

20.
Cancer Prev Res (Phila) ; 14(12): 1119-1128, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34507971

RESUMEN

BACKGROUND: The aim of this study was to investigate the relationship between changes in breast density during menopause and breast cancer risk. METHODS: This study was a retrospective, longitudinal cohort study for women over 30 years of age who had undergone breast mammography serially at baseline and postmenopause during regular health checkups at Samsung Medical Center. None of the participants had been diagnosed with breast cancer at baseline. Mammographic breast density was measured using the American College of Radiology Breast Imaging Reporting and Data System. RESULTS: During 18,615 person-years of follow-up (median follow-up 4.8 years; interquartile range 2.8-7.5 years), 45 participants were diagnosed with breast cancer. The prevalence of dense breasts was higher in those who were younger, underweight, had low parity or using contraceptives. The cumulative incidence of breast cancer increased 4 years after menopause in participants, and the consistently extremely dense group had a significantly higher cumulative incidence (CI) of breast cancer compared with other groups [CI of extremely dense vs. others (incidence rate per 100,000 person-years): 375 vs. 203, P < 0.01]. CONCLUSION: Korean women whose breast density was extremely dense before menopause and who maintained this density after menopause were at two-fold greater risk of breast cancer. PREVENTION RELEVANCE: Extremely dense breast density that is maintained persistently from premenopause to postmenopause increases risk of breast cancer two fold in Korean women. Therefore, women having risk factors should receive mammography frequently and if persistently extremely dense breast had been detected, additional modalities of BC screening could be considered.


Asunto(s)
Densidad de la Mama , Neoplasias de la Mama , Adulto , Neoplasias de la Mama/prevención & control , Femenino , Humanos , Estudios Longitudinales , Mamografía/métodos , Menopausia , República de Corea/epidemiología , Estudios Retrospectivos , Factores de Riesgo
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