ABSTRACT
PURPOSE: To determine the association between pentosan polysulfate (PPS) use and the subsequent development of maculopathy in Asian population. DESIGN: A nationwide population-based retrospective cohort study using the Health Insurance Review and Assessment Service database. PARTICIPANTS: 103,553 individuals in the PPS user group and 205,792 individuals in the PPS non-user group, all newly diagnosed with cystitis between 2009 and 2020. METHODS: The association between PPS use and maculopathy was evaluated using a time dependent Cox proportional hazard model. Additionally, two sensitivity analyses were conducted by defining PPS users as individuals with an observation period over 6 months from the initial prescription or those with cumulative dose exceeding 9 g, employing the same analysis. MAIN OUTCOME MEASURES: The outcome measures included the hazard ratios (HR) representing the association between PPS use and maculopathy. RESULTS: PPS use was associated with an increased risk of subsequent maculopathy in univariate (HR, 1.7; 95% confidence intervals [CI], 1.66-1.75) and multivariate analysis (HR, 1.34; 95% CI, 1.31-1.38). These results were also confirmed in two sensitivity analyses. The mean cumulative dose of PPS for the cohort was 37.2 ± 76.7 g. CONCLUSIONS: In this nationwide cohort study involving an Asian population, individuals with cystitis using PPS exhibit an increased risk of developing subsequent maculopathy.
ABSTRACT
To enhance security in the semiconductor industry's globalized production, the Defense Advanced Research Projects Agency (DARPA) proposed an authentication protocol under the Supply Chain Hardware Integrity for Electronics Defense (SHIELD) program. This protocol integrates a secure hardware root-of-trust, known as a dielet, into integrated circuits (ICs). The SHIELD protocol, combined with the Advanced Encryption Standard (AES) in counter mode, named CTR-SHIELD, targets try-and-check attacks. However, CTR-SHIELD is vulnerable to desynchronization attacks on its counter blocks. To counteract this, we introduce the DTR-SHIELD protocol, where DTR stands for double counters. DTR-SHIELD addresses the desynchronization issue by altering the counter incrementation process, which previously solely relied on truncated serial IDs. Our protocol adds a new AES encryption step and requires the dielet to transmit an additional 100 bits, ensuring more robust security through active server involvement and message verification.