Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial.

PURPOSE: This study aimed to develop and evaluate the effectiveness of a healthy lifestyle program based on a mobile serious game (HLP-MSG) to enhance the lifestyles of childhood cancer survivors (CCSs). METHODS: This program proceeded in two stages: development and evaluation, using a non-synchronized design with a quasi-randomized trial. The participants were CCSs aged 6-13 years whose treatment was terminated at least 12 months prior. Data were collected at baseline, and post-intervention, with a follow-up after four weeks using the Child Healthy Lifestyle Profile (CHLP). The experimental (n = 26) and control groups (n = 25) were compared. Data were analyzed using descriptive statistics, chi-squared tests, t-tests, and repeated-measures ANOVA. RESULTS: The HLP-MSG promoted a healthy lifestyle by solving 26 quests, including seven sub-elements (nutrition, exercise, hygiene, interpersonal relationships, stress management, meaning of life, and health responsibility). This study revealed significant differences in the interaction between measurement time and group assignment in the CHLP (p = .006) and physical activity (p = .013), one of the seven sub-dimensions. CONCLUSIONS: A healthy lifestyle program based on a mobile serious game is a feasible health education modality to enhance the physical, psychological, social, and spiritual health of CCSs. IMPLICATIONS TO PRACTICE: The findings add to scientific evidence on a mobile serious game for health education among CCSs. The HLP-MSG provides an evolutionary educational modality that can be delivered non-face-to-face to promote CCSs' continuous healthy behavior maintenance. Moreover, the HLP-MSG is adolescent-friendly and can be utilized as a healthcare tool for parents and children to cooperate.

Distributed quantum sensing of multiple phases with fewer photons.

Distributed quantum metrology has drawn intense interest as it outperforms the optimal classical counterparts in estimating multiple distributed parameters. However, most schemes so far have required entangled resources consisting of photon numbers equal to or more than the parameter numbers, which is a fairly demanding requirement as the number of nodes increases. Here, we present a distributed quantum sensing scenario in which quantum-enhanced sensitivity can be achieved with fewer photons than the number of parameters. As an experimental demonstration, using a two-photon entangled state, we estimate four phases distributed 3 km away from the central node, resulting in a 2.2 dB sensitivity enhancement from the standard quantum limit. Our results show that the Heisenberg scaling can be achieved even when using fewer photons than the number of parameters. We believe our scheme will open a pathway to perform large-scale distributed quantum sensing with currently available entangled sources.

Bound for Gaussian-state quantum illumination using a direct photon measurement.

It is important to find feasible measurement bounds for quantum information protocols. We present analytic bounds for quantum illumination with Gaussian states when using an on-off detection or a photon number resolving (PNR) detection, where its performance is evaluated with signal-to-noise ratio. First, for coincidence counting measurement, the best performance is given by the two-mode squeezed vacuum (TMSV) state which outperforms the coherent state and the classically correlated thermal (CCT) state. However, the coherent state can beat the TMSV state with increasing signal mean photon number in the case of the on-off detection. Second, the performance is enhanced by taking Fisher information approach with all counting probabilities including non-detection events. In the Fisher information approach, the TMSV state still presents the best performance but the CCT state can beat the TMSV state with increasing signal mean photon number in the case of the on-off detection. Furthermore, we show that it is useful to take the PNR detection on the signal mode and the on-off detection on the idler mode, which reaches similar performance of using PNR detection on both modes.

Nanoscale Three-Dimensional Network Structure of a Mesoporous Particle Unveiled via Adaptive Multidistance Coherent X-ray Tomography.

Mesoporous nanoparticles provide rich platforms to devise functional materials by customizing the three-dimensional (3D) structures of nanopores. With the pore network as a key tuning parameter, the noninvasive and quantitative characterization of these 3D structures is crucial for the rational design of functional materials. This has prompted researchers to develop versatile nanoprobes with a high penetration power to inspect various specimens sized a few micrometers at nanoscale 3D resolutions. Here, with adaptive phase retrievals on independent data sets with different sampling frequencies, we introduce multidistance coherent X-ray tomography as a noninvasive and quantitative nanoprobe to realize high-resolution 3D imaging of micrometer-sized specimens. The 3D density distribution of an entire mesoporous silica nanoparticle was obtained at 13 nm 3D resolution for quantitative physical and morphological analyses of its 3D pore structure. The morphological features of the whole 3D pore network and pore connectivity were examined to gain insight into the potential functions of the particles. The proposed multidistance tomographic imaging scheme with quantitative structural analyses is expected to advance studies of functional materials by facilitating their structure-based rational design.

Strain and crystallographic identification of the helically concaved gap surfaces of chiral nanoparticles.

Identifying the three-dimensional (3D) crystal plane and strain-field distributions of nanocrystals is essential for optical, catalytic, and electronic applications. However, it remains a challenge to image concave surfaces of nanoparticles. Here, we develop a methodology for visualizing the 3D information of chiral gold nanoparticles ≈ 200 nm in size with concave gap structures by Bragg coherent X-ray diffraction imaging. The distribution of the high-Miller-index planes constituting the concave chiral gap is precisely determined. The highly strained region adjacent to the chiral gaps is resolved, which was correlated to the 432-symmetric morphology of the nanoparticles and its corresponding plasmonic properties are numerically predicted from the atomically defined structures. This approach can serve as a comprehensive characterization platform for visualizing the 3D crystallographic and strain distributions of nanoparticles with a few hundred nanometers, especially for applications where structural complexity and local heterogeneity are major determinants, as exemplified in plasmonics.

Direct high-resolution X-ray imaging exploiting pseudorandomness.

Owing to its unique penetrating power and high-resolution capability, X-ray imaging has been an irreplaceable tool since its discovery. Despite the significance, the resolution of X-ray imaging has largely been limited by the technical difficulties on X-ray lens making. Various lensless imaging methods have been proposed, but are yet relying on multiple measurements or additional constraints on measurements or samples. Here we present coherent speckle-correlation imaging (CSI) using a designed X-ray diffuser. CSI has no prerequisites for samples or measurements. Instead, from a single shot measurement, the complex sample field is retrieved based on the pseudorandomness of the speckle intensity pattern, ensured through a diffuser. We achieve a spatial resolution of 13.9 nm at 5.46 keV, beating the feature size of the diffuser used (300 nm). The high-resolution imaging capability is theoretically explained based on fundamental and practical limits. We expect the CSI to be a versatile tool for navigating the unexplored world of nanometer.

Superfine Marigold Powder Improves the Quality of Sponge Cake: Lutein Fortification, Texture, and Sensory Properties.

This study aimed to investigate and optimize the quality and sensory properties of baked products with lutein-enriched marigold flower powder (MP). Lutein-enriched marigold flowers produced via hydroponic methods using LED lights were used as a functional material in sponge cakes to increase lutein content. MP particles were divided into coarse (Dv50 = 315 µm), fine (Dv50 = 119 µm), and superfine MP (Dv50 = 10 µm) fractions and added to the sponge cake after being designated to control (sponge cake prepared without MP), coarse MPS (sponge cake prepared with coarse MP), fine MPS (sponge cake prepared with fine MP), and superfine MPS (sponge cake prepared with superfine MP) groups. The sizes and surface properties of superfine MP particles were more homogeneous and smoother than the other samples. As the particle size decreased, the specific volume increased, whereas baking loss, hardness, and chewiness of the sponge cake decreased. Superfine MP and superfine MPS had the highest lutein content. The flavor of marigold and the overall acceptability of sponge cake with superfine MP were 7.90 ± 0.97 and 7.55 ± 0.76, which represents the highest values among the samples. The results of this study have shown that jet milling can contribute to improvements in texture, lutein content, and sensory qualities for baked products with MP.

Multimodal X-ray probe station at 9C beamline of Pohang Light Source-II.

In this study, the conceptual design and performance of a multimodal X-ray probe station recently installed at the 9C coherent X-ray scattering beamline of the Pohang Light Source-II are presented. The purpose of this apparatus is to measure coherent X-ray diffraction, X-ray fluorescence and electrical properties simultaneously. A miniature vacuum probe station equipped with a four-point probe was mounted on a six-axis motion hexapod. This can be used to study the structural and chemical evolution of thin films or nanostructures, as well as device performance including electronic transport properties. This probe station also provides the capability of varying sample environments such as gas atmosphere using a mass-flow-control system and sample temperatures up to 600°C using a pyrolytic boron nitride heater. The in situ annealing of ZnO thin films and the performance of ZnO nanostructure-based X-ray photodetectors are discussed. These results demonstrate that a multimodal X-ray probe station can be used for performing in situ and operando experiments to investigate structural phase transitions involving electrical resistivity switching.

Effect of Characterized Green Tea Extraction Methods and Formulations on Enzymatic Starch Hydrolysis and Intestinal Glucose Transport.

The purpose of the current study was to investigate the effect of various characterized green tea extracts (GTEs) according to extraction methods on enzymatic starch hydrolysis and intestinal glucose transport. Codigestion of wheat starch with water extract (WGT) or ethanol extract formulated with green tea polysaccharides and flavonols (CATEPLUS) produced 3.4-3.5 times higher resistant starch (RS) than wheat starch only. Its microstructures were changed to spherical shapes and smooth surfaces as shown by scanning electron microscopy (SEM) results. According to Fourier transform infrared (FT-IR) spectra, the absorption peak of O-H stretching was red-shifted in WGT or CATEPLUS. The results confirmed that hydrogen bonds were formed between starch granules and polysaccharides in WGT or CATEPLUS. Intestinal glucose transport subsequently measured after in vitro digestion was mostly suppressed in CATEPLUS. Gene expression of the glucose transporter protein, particularly SGLT1, was significantly inhibited by addition of CATEPLUS (p < 0.05). Results from the current study suggest that co-intake of green tea extracts formulated with green tea polysaccharides and flavonols could be a potentially useful means to delay blood glucose absorption when consuming starchy foods.

Strain Development of Selective Adsorption of Hydrocarbons in a Cu-ZSM-5 Crystal.

Zeolites are 3D aluminosilicate materials having subnanometer pore channels. The Lewis basic pores have charge-balancing cations, easily tuned to metallic ions as more chemically active sites. Among the ion-exchanged zeolites, Cu2+ ion-exchanged ZSM-5 (Cu-ZSM-5) is one of the most active zeolites with chemical interactions of Lewis basic compounds. Even though the chemical interactions of hydrocarbons with Cu2+ sites in Cu-ZSM-5 have been tremendously studied in the category of zeolite catalysts, it is not yet thoroughly investigated how such interactions affect the structural lattice of the zeolite. Hydrocarbons with different chemical properties and their relative size can induce lattice strain by different chemical adsorption effects on the Cu2+ sites. In this work, we investigate the internal deformation of the Cu-ZSM-5 crystal using Bragg coherent X-ray diffraction imaging during the adsorption of four hydrocarbons depending on the alkyl chain length, the existence of a double bond in the molecule, linear structure versus benzene ring structure, and so forth. In the three-carbon system (propane and propene), relatively weak chemical adsorption occurred at room temperature and 100 °C, whereas strong adsorption was observed over 150 °C. For the six-carbon system (n-hexane and benzene), strong strains evolved in the crystal by active chemical adsorption from 150 °C. The observations suggest that propene and propane adsorb at the Cu2+ sites from the outer shell to the center with increasing temperature. In comparison, n-hexane and benzene adsorb at both parts at the same temperature. The results provide the internal structural information for the lattice with the chemical interactions of hydrocarbons in the Cu-ZSM-5 zeolite and help to understand zeolite-based chemisorption or catalysis research.

A Method to Compute the Schrieffer-Wolff Generator for Analysis of Quantum Memory.

Quantum illumination uses entangled light that consists of signal and idler modes to achieve higher detection rate of a low-reflective object in noisy environments. The best performance of quantum illumination can be achieved by measuring the returned signal mode together with the idler mode. Thus, it is necessary to prepare a quantum memory that can keep the idler mode ideal. To send a signal towards a long-distance target, entangled light in the microwave regime is used. There was a recent demonstration of a microwave quantum memory using microwave cavities coupled with a transmon qubit. We propose an ordering of bosonic operators to efficiently compute the Schrieffer-Wolff transformation generator to analyze the quantum memory. Our proposed method is applicable to a wide class of systems described by bosonic operators whose interaction part represents a definite number of transfer in quanta.

Oxidation-induced three-dimensional morphological changes in Ni nanoparticles observed by coherent X-ray diffraction imaging.

Three-dimensional structures of Ni nanoparticles undergoing significant morphological changes on oxidation were observed non-destructively using coherent X-ray diffraction imaging. The Ni particles were oxidized into Ni1O1 while forming pores of various sizes internally. For each Ni nanoparticle, one large void was identified at a lower corner near the interface with the substrate. The porosity of the internal region of the agglomerated Ni oxide was about 38.4%. Regions of high NiO density were mostly observed at the outer crust of the oxide or at the boundary with the large voids. This research expands our understanding of general catalytic reactions with direct observation of oxidation-induced nanoscale morphological changes.

Surviving entanglement in optic-microwave conversion by an electro-optomechanical system.

In recent development of quantum technologies, a frequency conversion of quantum signals has been studied widely. We investigate the optic-microwave entanglement that is generated by applying an electro-optomechanical frequency conversion scheme to one mode in an optical two-mode squeezed vacuum state. We quantify entanglement of the converted two-mode Gaussian state, where surviving entanglement of the state is analyzed with respect to the parameters of the electro-optomechanical system. Furthermore, we show that there exists an upper bound for the entanglement that survives after the conversion of highly entangled optical states. Our study provides a theoretical platform for a practical quantum illumination system.

High-Throughput 3D Ensemble Characterization of Individual Core-Shell Nanoparticles with X-ray Free Electron Laser Single-Particle Imaging.

The structures as building blocks for designing functional nanomaterials have fueled the development of versatile nanoprobes to understand local structures of noncrystalline specimens. Progress in analyzing structures of individual specimens with atomic scale accuracy has been notable recently. In most cases, however, only a limited number of specimens are inspected lacking statistics to represent the systems with structural inhomogeneity. Here, by employing single-particle imaging with X-ray free electron lasers and algorithms for multiple-model 3D imaging, we succeeded in investigating several thousand specimens in a couple of hours and identified intrinsic heterogeneities with 3D structures. Quantitative analysis has unveiled 3D morphology, facet indices, and elastic strain. The 3D elastic energy distribution is further corroborated by molecular dynamics simulations to gain mechanical insight at the atomic level. This work establishes a route to high-throughput characterization of individual specimens in large ensembles, hence overcoming statistical deficiency while providing quantitative information at the nanoscale.

Phase separated bi-metallic PtNi nanoparticles formed by pulsed laser dewetting.

We present morphological and compositional analysis of phase-separated Pt-Ni alloy nanoparticles (NPs) formed by ns pulsed laser dewetting. The PtNi NPs obtained by the pulsed laser dewetting consist of phase-separated multiple domains including Pt3Ni, PtNi and PtNi3 phases with various crystal orientations as revealed by transmission electron microscopy, which is in contrast to thermal dewetting resulting NPs of a uniform composition. A three-dimensional (3D) electron density map of a dewetted PtNi NP obtained using the coherent x-ray diffraction microscopy elucidates the 3D morphology of Pt- and Ni-rich regions together with a nano-cavity formed during the pulsed laser irradiation.

Laser-induced metastable mixed phase of AuNi nanoparticles: a coherent X-ray diffraction imaging study.

The laser annealing process for AuNi nanoparticles has been visualized using coherent X-ray diffraction imaging (CXDI). AuNi bimetallic alloy nanoparticles, originally phase separated due to the miscibility gap, transform to metastable mixed alloy particles with rounded surface as they are irradiated by laser pulses. A three-dimensional CXDI shows that the internal part of the AuNi particles is in the mixed phase with preferred compositions at ∼29 at% of Au and ∼90 at% of Au.

A Comparison of Short-Term Outcomes between Laparoscopic and Open Liver Resection in Elderly Patients.

Purpose: The aim of this study was to compare the short-term outcomes between laparoscopic liver resection (LLR) and open liver resection (OLR) in elderly patients with hepatic tumors. Methods: From January 2013 to December 2019, a retrospective study was conducted for a total of 143 patients with over 70 years of age, who underwent liver resection for hepatic tumors. Forty-five patients who received biliary reconstruction at the same time were excluded. According to surgical approaches, 98 patients were classified into LLR and OLR groups. All postoperative complications were classified according to the Clavien-Dindo grading system and the Comprehensive Complication Index (CCI). Results: Incidence of the postoperative complications was not statistically different between LLR and OLR groups. The CCI was significantly lower in the LLR group, with a median of 8.556, and a median of 19.698 in the OLR group (p=0.042). The length of hospital stay in the LLR group was significantly shorter than in the OLR group (p=0.008). Conclusion: LLR is safe and feasible as a treatment for hepatic tumor in elderly patients with potentially less postoperative complications compared to OLR.

Electric-Field-Driven Nanosecond Ferroelastic-Domain Switching Dynamics in Epitaxial Pb(Zr,Ti)O_{3} Film.

Epitaxial oxide ferroelectric films exhibit emerging phenomena arising from complex domain configurations even at pseudoequilibrium, including the creation of domain states unfavored in nature and abrupt piezoelectric coefficients around morphotropic phase boundaries. The nanometer-sized domain configurations and their domain switching dynamics under external stimuli are directly linked to the ultrafast manipulation of ferroelectric thin films; however, complex domain switching dynamics under homogeneous electric fields has not been fully explored, especially at the nanosecond timescale. This Letter reports the nanosecond dynamics of ferroelastic-domain switching from the 90° to 180° direction using time-resolved x-ray microdiffraction under homogeneous electric fields onto an epitaxial Pb(Zr_{0.35},Ti_{0.65})O_{3} film capacitor. It is found that the application of electric fields induces spatially heterogeneous domain switching processes via intermediate domain structures with rotated polarization vectors. In addition, the domain switching time is shown to be inversely proportional to the magnitude of the applied electric field, and electric fields higher than 480 kV/cm are found to complete the ferroelastic switching within nanoseconds.

Insights into the enhanced photoelectrochemical performance of hydrothermally controlled hematite nanostructures for proficient solar water oxidation.

In this paper, we focus on the controlled growth mechanism of α-Fe2O3 nanostructures via the hydrothermal method. The field emission scanning electron microscopy (FESEM) results reveal that at a lower hydrothermal time, the initial nucleation involves the formation of short and thin ß-FeOOH nanorods. The subsequent increase in the hydrothermal time leads ß-FeOOH to form thicker and longer nanorods. However, high-temperature quenching (HTQ) at 800 °C for 10 min causes the conversion of akaganeite to the hematite phase and activation of hematite by Sn4+ diffusion from a FTO substrate. Sn4+ diffusion from the FTO substrate to the hematite nanostructure was elaborated by X-ray photoelectron spectroscopy (XPS). An α-Fe2O3 nanorod photoanode prepared by a hydrothermal reaction for 3 h and HTQ exhibits the highest photocurrent density of 1.04 mA cm-2. The excellent photoelectrochemical performance could be ascribed to the synergistic effect of the optimum growth of α-Fe2O3 nanorod arrays and Sn4+ diffusion. Intensity modulated photovoltage spectroscopy (IMVS) studies revealed that the α-Fe2O3 photoanodes prepared at 3 h and HTQ exhibited a long electron lifetime (132.69 ms), and contribute to the enhanced PEC performance. The results confirmed that the controlled growth of the ß-FeOOH nanorods, as well as Sn4+ diffusion, played a key role in charge transfer during the photoelectrochemical application. The charge transfer mechanisms in α-Fe2O3 nanostructure photoanodes prepared at different hydrothermal times and high-temperature quenching are also investigated.

Enhanced photoelectrochemical performance of internally porous Au-embedded α-Fe2O3 photoanodes for water oxidation.

We report internally porous Au-embedded hematite on FTO using CTAB. Incorporation of Au and CTAB synergistically improved the photocurrent of hematite by 63% at 1.23 VRHE in 1 M NaOH under standard illumination conditions. The performance enhancement is due to the increased donor density and optical properties of internally porous networks and plasmonic absorption of hematite.