High-Sensitivity Pixels with a Quad-WRGB Color Filter and Spatial Deep-Trench Isolation.

The demand for a high-resolution metal-oxide-semiconductor (CMOS) image sensor has increased in recent years, and pixel size has shrunk below 1.0 µm to allow accumulation of numerous pixels in a limited area. However, shrinking the pixel size lowers the sensitivity and increases crosstalk because the aspect ratio is worsened by maintaining the height of the pixel. This work introduces a high-sensitivity pixel with a quad-WRGB (White, Red, Green, Blue) color filter array (CFA), spatial deep-trench isolation (S-DTI), and a spatial tungsten grid (S-WG). The optical performance of the suggested pixel was analyzed by performing 3D optical simulations at 1.0, 0.9, and 0.8 µm pixel pitches as small-sized pixels. The quad-WRGB CFA is compared with the quad-Bayer CFA, and the S-DTI and S-WG are compared with the conventional DTI and WG. We confirmed an improvement in the sensitivity of the suggested pixel using the quad-WRGB CFA with S-DTI and S-WG to a maximum of 58.2%, 67.0%, and 66.3% for 1.0, 0.9, and 0.8 µm pixels, respectively.

The effects of pain scrambler therapy on the pain and quality of life of degenerative gonarthritis patients.

[Purpose] The purpose of this study was to identify the effects of pain scrambler therapy on the pain and quality of life of degenerative gonarthritis patients. [Subject and Methods] This study is a single case study. Pain scrambler therapy was applied for 40 minutes per session once a day for 15 days to a 62-year-old female patient diagnosed with degenerative gonarthritis. Pain was measured using the Visual Analogue Scale and quality of life was measured using the short form-36 item after therapy. [Results] Decrease in pain and improved quality of life were evident after pain scrambler therapy. [Conclusion] Pain scrambler therapy had a potential to decrease pain and improve the quality of life in degenerative gonarthritis patients.

The effect of actively induced vibration using shoulder joint on pain and dysfunction in patients with low back pain.

[Purpose] This study aimed to determine the effect of a Flexi-Bar exercise program with vibration stimulation on pain and dysfunction in patients with low back pain. [Subjects and Methods] This study included 30 patients with low back pain. The participants were divided into a control (n=15) group and an experimental group (n=15). General physical therapy was used in both groups. A Flexi-Bar exercise program with vibration stimulation was used in the experimental group. The Visual Analog Scale was used to measure pain severity. The Oswestry Disability Index was used to measure the extent of dysfunction due to low back pain. [Results] The VAS and ODI of the experimental group showed a significant difference compared to that of the control group. [Conclusion] The results show that a Flexi-Bar exercise program with vibration stimulation is effective in alleviating pain and dysfunction in patients with low back pain.

Graphical Models for Quasi-experimental Designs.

Randomized controlled trials (RCTs) and quasi-experimental designs like regression discontinuity (RD) designs, instrumental variable (IV) designs, and matching and propensity score (PS) designs are frequently used for inferring causal effects. It is well known that the features of these designs facilitate the identification of a causal estimand and, thus, warrant a causal interpretation of the estimated effect. In this article, we discuss and compare the identifying assumptions of quasi-experiments using causal graphs. The increasing complexity of the causal graphs as one switches from an RCT to RD, IV, or PS designs reveals that the assumptions become stronger as the researcher's control over treatment selection diminishes. We introduce limiting graphs for the RD design and conditional graphs for the latent subgroups of com-pliers, always takers, and never takers of the IV design, and argue that the PS is a collider that offsets confounding bias via collider bias.

Effect of pain scrambler therapy on antineuralgic pain and quality of life after shingles.

[Purpose] The aim of this study was to analyze the effect of pain scrambler therapy on antineuralgic pain and quality of life after shingles. [Subjects and Methods] Daily pain scrambler therapy was administered to antineuralgic patients for 10 days, with each session lasting approximately 40 minutes. Pain was measured using the visual analog scale, and quality of life was assessed with the short form 36-item (SF-36). [Results] After10 sessions of pain scrambler therapy, pain had significantly reduced compared to that experienced prior to treatment. The quality of life had also improved following completion of 10 treatment sessions. [Conclusion] Pain scrambler therapy decreased patients' post-shingles antineuralgic pain and improved quality of life.

Identifying Causal Estimands for Time-Varying Treatments Measured with Time-Varying (Age or Grade-Based) Instruments.

This commentary discusses causal estimands of same-age and same-grade comparisons for assessing grade-retention effects on student ability and performance. Using potential outcomes notation, we show that same-age and same-grade comparisons refer to different retention-promotion contrasts and therefore assess different causal questions. We also comment on deleting versus censoring records of students who dropped out of the study or do not belong to the treatment regimes under investigation. Whereas deleting entire student records potentially induces collider bias, censoring circumvents bias if censoring is ignorable given the observed pretreatment covariates.

The effect of combined exercise with slings and a flexi-bar on muscle activity and pain in rotator cuff repair patients.

[Purpose] The purpose of this research was to determine the effect of combined exercise with slings and a Flexi-Bar on muscle activity and pain in rotator cuff repair patients. [Subjects and Methods] This research evaluated 20 rotator cuff repair patients divided randomly into groups of 10 as the control group and the experimental group. The experimental group performed combined exercise with slings and a Flexi-Bar. Both the experimental and control groups were treated with a transcutaneous electrical nerve stimulator and continuous passive motion. Muscle activity was measured with surface electromyography. Pain was measured with the visual analogue scale. The paired t-test was used to compare groups before and after the experiment. The independent t-test was used to assess the differences in the degree of change between the two groups before and after the experiment. [Results] Subjects of both the experimental group and control group showed significant differences in muscle activity and pain. However, as compared with the control group, there was significant differences in the muscle activity and pain in the experimental group. [Conclusion] These results indicate that combined exercise with slings and a Flexi-Bar is effective in improving muscle activity and decreasing pain in rotator cuff repair patients.

The effect of flexi-bar exercise with vibration on trunk muscle thickness and balance in university students in their twenties.

[Purpose] The purpose of this research was to determine the effect of Flexi-Bar exercise with vibration on trunk muscle thickness and balance in university students in their twenties. [Subjects and Methods] This research evaluated 26 university students in their twenties, equally and randomly divided into two groups. Both the experimental and control groups used an ordinary pole for exercise. In addition, the experimental group exercised by using a Flexi-Bar. Ultrasonic imaging was used to measure the changes in trunk muscle thickness. A balance measuring equipment was used to measure balance ability. [Results] The thickness of the transversus abdominis and the multifidus muscles in the experimental group increased, and the experimental group showed increased thickness in the transversus abdominis muscle compared to the control group. After 6 months of exercise, there was an improvement in the blind Romberg test and center of pressure moving distance with one-leg standing. [Conclusion] These results indicate that the Flexi-Bar exercise is effective in increasing trunk muscle thickness and improving balance.

The effects of visual control whole body vibration exercise on balance and gait function of stroke patients.

[Purpose] This study aims to verify the effects of visual control whole body vibration exercise on balance and gait function of stroke patients. [Subjects and Methods] A total of 22 stroke patients were randomly assigned to two groups; 11 to the experimental group and 11 to the control group. Both groups received 30 minutes of Neuro-developmental treatment 5 times per week for 4 weeks. The experimental group additionally performed 10 minutes of visual control whole body vibration exercise 5 times per week during the 4 weeks. Balance was measured using the Functional Reach Test. Gait was measured using the Timed Up and Go Test. [Results] An in-group comparison in the experimental group showed significant differences in the Functional Reach Test and Timed Up and Go Test. In comparing the groups, the Functional Reach Test and Timed Up and Go Test of the experimental group were more significantly different compared to the control group. [Conclusion] These results suggest that visual control whole body vibration exercise has a positive effect on the balance and gait function of stroke patients.

Effects of horse-riding exercise on balance, gait, and activities of daily living in stroke patients.

[Purpose] This study aimed to investigate the effects of horse-riding exercise on balance, gait, and activities of daily living (ADLs) in stroke patients. [Subjects] Among 20 participants with stroke, 10 were randomly assigned to the experimental group, and 10 were randomly assigned to the control group. The experimental group participated in horse-riding exercise for 30 minutes per day, 5 days a week for 6 weeks. Balance was tested with the Berg Balance Scale (BBS). Gait was measured using the 10-Meter Walk Test (10MWT). ADLs were tested with the Modified Barthel Index (MBI). Differences between pre- and post-experiment values within the two groups were compared using paired t-tests. Between-group differences were compared using independent t-tests. [Results] The experimental group showed significant improvements in balance, gait, and ADLs following horse-riding exercise. Additionally, the experimental group showed significant differences in balance, gait, and ADLs compared with in the control group. [Conclusion] These results support that horse-riding exercise enhances balance, gait, and ADLs in stroke patients. This study supports the need for further research on horse-riding exercise programs.

Effect of a virtual reality exercise program accompanied by cognitive tasks on the balance and gait of stroke patients.

[Purpose] This study aimed to assess the effect of a virtual reality exercise program accompanied by cognitive tasks on the balance and gait of stroke patients. [Subjects] Twenty stroke patients were randomly assigned to two groups 10 to an experimental group that performed a virtual reality exercise program accompanied by cognitive tasks and 10 to a control group. The control group performed a proprioceptive neuromuscular facilitation exercise program. Balance was measured with the Berg Balance Scale. Gait was assessed using the Timed Up and Go Test. The paired t-test was used to compare groups before and after the experiment. The independent t-test was conducted to assess differences in the degree of change between the two groups before and after the experiment. [Results] Within-group comparison in the experimental group showed significant differences in the Berg Balance Scale and Timed Up and Go Test. In a comparison between groups, the differences in the Berg Balance Scale and Timed Up and Go Test in the experimental group appeared significant compared with the control group. [Conclusion] The results of the experiment indicate that a virtual reality exercise program accompanied by cognitive tasks has a positive effect on the balance and gait of stroke patients.

Genome-scale analysis of ABC transporter genes and characterization of the ABCC type transporter genes in Magnaporthe oryzae.

Rapid adaptation to various environmental stresses is a prerequisite for successful infection in fungal pathogens. ABC transporters are responsible for regulating intracellular levels of cytotoxic or xenobiotic compounds, suggesting a crucial role in pathogenesis. Here, we report genome-scale identification of putative ABC transporter genes in Magnaporthe oryzae. A total of 50 ABC transporter genes were predicted and phylogenetic analysis divided them into 11 subfamily groups: ABCA, ABCB, ABCC-1, ABCC-2, ABCD, ABCE, ABCF, ABCG-1, ABCG-2, ABCI, and YDR061W-like. In the 11 ABCC subfamily genes, the transcript levels were elevated during infection stages and after exposure to various abiotic stresses. Based on expression pattern, three representative genes, MoABC5, MoABC6 and MoABC7, were selected. Functional analysis of MoABC5, MoABC6 and MoABC7 revealed that the genes may be responsible for virulence, abiotic stress tolerance, and conidiation, respectively. Our data will be providing valuable information to examine the role of ABC transporter genes in M. oryzae.

Effects of Low-intensity Pulsed Ultrasound and Cryotherapy on Recovery of Joint Function and C-reactive Protein Levels in Patients after Total Knee Replacement Surgery.

[Purpose] We investigated the effect of low-intensity pulsed ultrasound and cryotherapy on joint function recovery and C-reactive protein (CRP) levels of patients with total knee replacement. [Subjects] Forty-six patients with total knee replacement were recruited and allocated to either low-intensity pulsed ultrasound therapy (n=15), cryotherapy (n=15), or a combination of both (n=16). Therapy was administered once a day, 5 times a week for 3 weeks. To determine functional joint recovery and reduction of inflammation, changes in the Korean Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), range of motion (ROM), and CRP were assessed postsurgically and four times over a 3-week period. Using one-way analysis of variance (ANOVA), homogeneity tests were performed based on participants' general characteristics. To recognize changes in time-variant K-WOMAC, ROM, and CRP values between groups, repeated measures ANOVA was performed, and Tukey's test was used for post-test analysis. Values at α=0.05 were considered significant. [Results] We found a difference between groups and times, and the group that received the combined therapies showed greater changes in outcomes than the group that received low-intensity pulsed ultrasound therapy alone. [Conclusion] Applying both low-intensity pulsed ultrasound and cryotherapy can relieve inflammation and enhance joint function in patients who undergo total knee replacement.

Two new species and one newly recorded species of the genus Chilo Zincken, 1817 (Lepidoptera: Crambidae) from China, with a list of Chinese species.

Three species of the genus Chilo are studied in China. Chilo argenteus sp. nov. collected from Yunnan and C. sinuafasciata sp. nov. collected from Hainan are described as new in science. Chilo partellus (Swinhoe, 1885) is newly recorded for the Chinese fauna. Images of adults and genitalia of the three species are provided. A list of 19 known Chilo species in China is included.

Taxonomy of the genus Calamotropha Zeller (Lepidoptera: Crambidae: Crambinae) from China.

Thirty species of the genus Calamotropha Zeller, 1863 from China are reviewed. Five species are described as new: C. bleszynskii Kim & Li, sp. nov., C. duovirgata Kim & Li, sp. nov., C. nigerifera Kim & Li, sp. nov., C. parallela Kim & Li, sp. nov. and C. parvispina Kim & Li, sp. nov.; two species are newly recorded for China: C. alcesta Bleszynski, 1961 and C. punctivenella (Hampson, 1896). The female of C. sperlingi Li, 2019 is described for the first time. Calamotropha multicornuella Chen & Song, 2002 syn. nov. is synonymized with C. sienkiewiczi Bleszynski, 1961, and C. sawtoothella Chen & Song, 2002 syn. nov. is synonymized with C. latella (Snellen, 1890). Images of adults and genitalia of 28 known species with available specimens are provided, except images of genitalia provided by Li & Li in 2012. A key to the known Calamotropha species in China is included.

Fabrication of Large-Area Mullite-Cordierite Composite Substrates for Semiconductor Probe Cards and Enhancement of Their Reliability.

This work aims to fabricate a large-area ceramic substrate for the application of probe cards. Mullite (M) and cordierite (C), which both have a low thermal expansion coefficient, excellent resistance to thermal shock, and high durability, were selected as starting powders. The mullite-cordierite composites were produced through different composition ratios of starting powders (M:C = 100:0, M:C = 90:10, M:C = 70:30, M:C = 50:50, M:C = 30:70, and M:C = 0:100). The effects of composition ratio and sintering temperature on the density, porosity, thermal expansion coefficient, and flexural strength of the mullite-cordierite composite pellets were investigated. The results showed that the mullite-cordierite composite pellet containing 70 wt% mullite and 30 wt% cordierite sintered at 1350 °C performed exceptionally well. Based on these findings, a large-area mullite-cordierite composite substrate with a diameter of 320 mm for use in semiconductor probe cards was successfully fabricated. Additionally, the changes in sheet resistance and flexural strength were measured to determine the effect of the environmental tests on the large-area substrate such as damp heat and thermal shock. The results indicated that the mullite-cordierite composite substrate was extremely reliable and durable.

Causal graphical views of fixed effects and random effects models.

Despite the long-standing discussion on fixed effects (FE) and random effects (RE) models, how and under what conditions both methods can eliminate unmeasured confounding bias has not yet been widely understood in practice. Using a simple pretest-posttest design in a linear setting, this paper translates the conventional algebraic formalization of FE and RE models into causal graphs and provides intuitively accessible graphical explanations about their data-generating and bias-removing processes. The proposed causal graphs highlight that FE and RE models consider different data-generating models. RE models presume a data-generating model that is identical to a randomized controlled trial, while FE models allow for unobserved time-invariant treatment-outcome confounding. Augmenting regular causal graphs that describe data-generating processes by adding the computational structures of FE and RE estimators, the paper visualizes how FE estimators (gain score and deviation score estimators) and RE estimators (quasi-deviation score estimators) offset unmeasured confounding bias. In contrast to standard regression or matching estimators that reduce confounding bias by blocking non-causal paths via conditioning, FE and RE estimators offset confounding bias by deliberately creating new non-causal paths and associations of opposite sign. Though FE and RE estimators are similar in their bias-offsetting mechanisms, the augmented graphs reveal their subtle differences that can result in different biases in observational studies.

Adsorption characteristics of citric acid on Fe3O4 (001), (011), and (111) surfaces.

Magnetite (001), (011), and (111) surfaces were the focus of our study. Magnetite (001) surface has two different terminations, that is, Fetet and 2Feoct4O. Magnetite (011) surface has two different terminations, that is, 2Feoct4O and 2Fetet2Feoct4O. Magnetite (111) surface has six different terminations, that is, Fetet1, Feoct, Fetet2, 3Feoct, 4O1, and 4O2. Comparing surface energies of (001), (011), and (111) surfaces, (001) has the smallest surface energy, and (111) has the largest surface energy except for Feoct termination, which means that (001) surface is the easiest to be cleaved, followed by (011) and (111) surfaces. Comparing adsorption energies of citric acid onto (001), (011), and (111) surfaces, (111) has the largest adsorption energies except for Fetet2 termination, and (001) has the smallest adsorption energies, which means that (111) surface is the most active for citric acid adsorption, followed by (011) and (001) surfaces. PDOS (partial density of states) of citric acid adsorbed onto (001), (011), and (111) surfaces with different terminations shows that 3d orbital of Fe of magnetite surface does not contribute to the adsorption, and 4s orbital of Fe of magnetite surface and 2s and 2p orbitals of O of citric acid contribute to the adsorption.

Analysis of the serial circulating tumor cell count during neoadjuvant chemotherapy in breast cancer patients.

We evaluated the prognostic implications of the circulating tumor cell (CTC) count in non-metastatic, HER2-negative breast cancer patients who failed to achieve pathologic complete response (pCR) after neoadjuvant chemotherapy (NCT). A total of 173, non-metastatic breast cancer patients treated with NCT were prospectively enrolled. CTCs were obtained from blood drawn pre-NCT and post-NCT using a SMART BIOPSY SYSTEM isolation kit (Cytogen Inc., Seoul, Korea) with immunofluorescence staining. Excluding 26 HER2-positive patients, Relapse-free survival (RFS) and overall survival (OS) related to the CTC count and the association of the CTC count with the treatment response to given therapy were analyzed in 147 HER2-negative patients. Among 147 HER2-negative patients, 28 relapses (19.0%) and 13 deaths (8.8%, all breast cancer-specific) were observed during a median follow-up of 37.3 months. One hundred and seven patients (72.8%) were hormone receptor-positive, and 40 patients (27.2%) had triple-negative breast cancer (TNBC). One or more CTCs were identified in 88 of the 147 patients (59.9%) before NCT and 77 of the 134 patients (52.4%) after NCT. In the entire HER2-negative patient cohort, the initial nodal status was the most significant factor influencing RFS and OS. In TNBC, 11 patients (27.5%) achieved pCR and patients that failed to achieve pCR with ≥ 5 CTCs after NCT, showed worse RFS (HR, 10.66; 95% CI, 1.80-63.07; p = 0.009) and OS (HR, 14.00; 95% CI, 1.26-155.53; p = 0.032). The patients with residual tumor and a high number of the CTCs after NCT displayed the worse outcome. These findings could provide justification to launch a future, well designed trial with longer follow-up data to obtain regulatory approval for clinical use of the assay, especially for the ER-positive, HER2-negative breast cancer subset.

Pamapimod, a novel p38 mitogen-activated protein kinase inhibitor: preclinical analysis of efficacy and selectivity.

P38alpha is a protein kinase that regulates the expression of inflammatory cytokines, suggesting a role in the pathogenesis of diseases such as rheumatoid arthritis (RA) or systemic lupus erythematosus. Here, we describe the preclinical pharmacology of pamapimod, a novel p38 mitogen-activated protein kinase inhibitor. Pamapimod inhibited p38alpha and p38beta enzymatic activity, with IC(50) values of 0.014 +/- 0.002 and 0.48 +/- 0.04 microM, respectively. There was no activity against p38delta or p38gamma isoforms. When profiled across 350 kinases, pamapimod bound only to four kinases in addition to p38. Cellular potency was assessed using phosphorylation of heat shock protein-27 and c-Jun as selective readouts for p38 and c-Jun NH(2)-terminal kinase (JNK), respectively. Pamapimod inhibited p38 (IC(50), 0.06 microM), but inhibition of JNK was not detected. Pamapimod also inhibited lipopolysaccharide (LPS)-stimulated tumor necrosis factor (TNF) alpha production by monocytes, interleukin (IL)-1beta production in human whole blood, and spontaneous TNFalpha production by synovial explants from RA patients. LPS- and TNFalpha-stimulated production of TNFalpha and IL-6 in rodents also was inhibited by pamapimod. In murine collagen-induced arthritis, pamapimod reduced clinical signs of inflammation and bone loss at 50 mg/kg or greater. In a rat model of hyperalgesia, pamapimod increased tolerance to pressure in a dose-dependent manner, suggesting an important role of p38 in pain associated with inflammation. Finally, an analog of pamapimod that has equivalent potency and selectivity inhibited renal disease in lupus-prone MRL/lpr mice. Our study demonstrates that pamapimod is a potent, selective inhibitor of p38alpha with the ability to inhibit the signs and symptoms of RA and other autoimmune diseases.