Sequential graph convolutional network and DeepRNN based hybrid framework for epileptic seizure detection from EEG signal.

Automated epileptic seizure detection from ectroencephalogram (EEG) signals has attracted significant attention in the recent health informatics field. The serious brain condition known as epilepsy, which is characterized by recurrent seizures, is typically described as a sudden change in behavior caused by a momentary shift in the excessive electrical discharges in a group of brain cells, and EEG signal is primarily used in most cases to identify seizure to revitalize the close loop brain. The development of various deep learning (DL) algorithms for epileptic seizure diagnosis has been driven by the EEG's non-invasiveness and capacity to provide repetitive patterns of seizure-related electrophysiological information. Existing DL models, especially in clinical contexts where irregular and unordered structures of physiological recordings make it difficult to think of them as a matrix; this has been a key disadvantage to producing a consistent and appropriate diagnosis outcome due to EEG's low amplitude and nonstationary nature. Graph neural networks have drawn significant improvement by exploiting implicit information that is present in a brain anatomical system, whereas inter-acting nodes are connected by edges whose weights can be determined by either temporal associations or anatomical connections. Considering all these aspects, a novel hybrid framework is proposed for epileptic seizure detection by combined with a sequential graph convolutional network (SGCN) and deep recurrent neural network (DeepRNN). Here, DepRNN is developed by fusing a gated recurrent unit (GRU) with a traditional RNN; its key benefit is that it solves the vanishing gradient problem and achieve this hybrid framework greater sophistication. The line length feature, auto-covariance, auto-correlation, and periodogram are applied as a feature from the raw EEG signal and then grouped the resulting matrix into time-frequency domain as inputs for the SGCN to use for seizure classification. This model extracts both spatial and temporal information, resulting in improved accuracy, precision, and recall for seizure detection. Extensive experiments conducted on the CHB-MIT and TUH datasets showed that the SGCN-DeepRNN model outperforms other deep learning models for seizure detection, achieving an accuracy of 99.007%, with high sensitivity and specificity.

Hollow Microcavity Electrode for Enhancing Light Extraction.

Luminous efficiency is a pivotal factor for assessing the performance of optoelectronic devices, wherein light loss caused by diverse factors is harvested and converted into the radiative mode. In this study, we demonstrate a nanoscale vacuum photonic crystal layer (nVPCL) for light extraction enhancement. A corrugated semi-transparent electrode incorporating a periodic hollow-structure array was designed through a simulation that utilizes finite-difference time-domain computational analysis. The corrugated profile, stemming from the periodic hollow structure, was fabricated using laser interference lithography, which allows the precise engineering of various geometrical parameters by controlling the process conditions. The semi-transparent electrode consisted of a 15 nm thick Ag film, which acted as the exit mirror and induced microcavity resonance. When applied to a conventional green organic light-emitting diode (OLED) structure, the optimized nVPCL-integrated device demonstrated a 21.5% enhancement in external quantum efficiency compared to the reference device. Further, the full width at half maximum exhibited a 27.5% reduction compared to that of the reference device, demonstrating improved color purity. This study presents a novel approach by applying a hybrid thin film electrode design to optoelectronic devices to enhance optical efficiency and color purity.

Icephobicity of Hierarchically Rough Aluminum Surfaces Sequentially Coated with Fluoroalkyl and PDMS Alkoxysilanes.

Superhydrophobic surfaces fabricated by grafting 1H,1H,2H,2H-heptadecafluorodecyl trimethoxysilane (FD-TMS) and polydimethylsiloxane triethoxysilane (PDMS-TES) onto a nano-micro hierarchical aluminum (Al) surface are considered to possess substantial anti-icing functionality, with delayed freezing and low ice-adhesion strength (IAS). Verifying the impacts of PDMS and the synergism of PDMS and FD on the anti-icing performance is the goal of this study. Roughness, one of the prerequisites for superhydrophobicity, was obtained by etching Al substrates in aqueous HCl, followed by immersion in boiling water. FD-TMS and PDMS-TES were then coated on the rough Al substrates layer by layer; a congener coated with a single layer was also prepared for comparison. The FD-PDMS1.92 (1.92 wt.%) coating, in which FD-TMS and PDMS-TES were used as primary and secondary coating materials, respectively, exhibited superior icephobicity, with the lowest IAS of 28 kPa under extremely condensing weather conditions (-20 °C and 70% relative humidity, RH) and the longest freezing delay time of 230 min (at -18 °C). These features are attributed to the incorporation of a dense coating layer with a low-surface-tension FD and the high mobility of PDMS, which lowered the contact area and interaction between the ice and substrate. The substrate coated with FD-PDMS1.92 exhibited improved durability with an IAS of 63 kPa after 40 icing/melting cycles, which is far less than that achieved with the FD single-layer coating.

The Association Between Bacille Calmette-Guérin Vaccination and Nontuberculous Mycobacterial Pulmonary Disease.

This study aimed to investigate the association between Bacille Calmette-Guérin (BCG) vaccination and nontuberculous mycobacterial pulmonary disease (NTM-PD). Patients in the prospective NTM-PD cohort were matched to healthy controls to measure the association between BCG and NTM-PD development. The clinical course of NTM-PD patients was also evaluated to investigate the association between BCG and NTM-PD progression. BCG scars were not associated with NTM-PD development (adjusted odds ratio [OR], 2.04; 95% confidence interval [CI], 0.96-4.34) or progression (adjusted OR, 1.61; 95% CI, 0.92-2.81). In conclusion, BCG vaccination was not associated with the development or progression of NTM-PD.

Facile Synthesis of Fluorinated Polysilazanes and Their Durable Icephobicity on Rough Al Surfaces.

Superhydrophobic Al surfaces with excellent durability and anti-icing properties were fabricated by coating dual-scale rough Al substrates with fluorinated polysilazane (FPSZ). Flat Al plates were etched using an acidic solution, followed by immersion in boiling water to generate hierarchical micro-nano structures on their surfaces. The FPSZ coatings were synthesized by grafting 1H,1H,2H,2H-perfluorodecyltrimethoxysilane (FAS-17), a fluoroalkyl silane), onto methylpolysilazane, an organopolysilazane (OPSZ) backbone. The high water contact angle (175°) and low sliding angle (1.6°) of the FPSZ-coated sample with an FAS-17 content of 17.3 wt% promoted the efficient removal of a frozen ice column with a low ice adhesion strength of 78 kPa at -20.0 °C (70% relative humidity), which was 4.3 times smaller than that of an OPSZ-coated surface. The FPSZ-coated Al surface suppressed ice nucleation, leading to a decrease in ice nucleation temperature from -19.5 to -21.9 °C and a delay in freezing time from 334 to 4914 s at -19.0 °C compared with the OPSZ-coated Al surface. Moreover, after 40 icing-melting cycles the freezing temperature of a water droplet on the FPSZ-coated Al surface remained unchanged, whereas that on the FAS-17-coated Al surface increased from -22.3 to -20.7 °C. Therefore, the durability of the polymeric FPSZ coating was superior to that of the FAS-17 monolayer coating.

The Influence of Face Shields on the Quality of Colonoscopy in the Era of the COVID-19 Pandemic.

Background/Aims: The worldwide coronavirus disease 2019 pandemic has led endoscopists to use personal protective equipment (PPE) for infection prevention. This study aimed to investigate whether wearing a face shield as PPE affects the quality of colonoscopy. Methods: We reviewed the medical records and colonoscopy findings of patients who underwent colonoscopies at Asan Medical Center, Korea from March 10 to May 31, 2020. The colonoscopies in this study were performed by five gastroenterology fellows and four expert endoscopists. We compared colonoscopy quality indicators, such as withdrawal time, adenoma detection rate (ADR), mean number of adenomas per colonoscopy (APC), polypectomy time, and polypectomy adverse events, both before and after face shields were added as PPE on April 13, 2020. Results: Of the 1,344 colonoscopies analyzed, 715 and 629 were performed before and after the introduction of face shields, respectively. The median withdrawal time was similar between the face shield and no-face shield groups (8.72 minutes vs 8.68 minutes, p=0.816), as was the ADR (41.5% vs 39.8%, p=0.605) and APC (0.72 vs 0.77, p=0.510). Polypectomy-associated quality indicators, such as polypectomy time and polypectomy adverse events were also not different between the groups. Quality indicators were not different between the face shield and no-face shield groups of gastroenterology fellows, or of expert endoscopists. Conclusions: Colonoscopy performance was not unfavorably affected by the use of a face shield. PPE, including face shields, can be recommended without a concern about colonoscopy quality deterioration.

Changes in Mechanical Properties of Polyhydroxyalkanoate with Double Silanized Cellulose Nanocrystals Using Different Organosiloxanes.

Polyhydroxyalkanoate (PHA) is a biodegradable plastic with great potential for tackling plastic waste and marine pollution issues, but its commercial applications have been limited due to its poor processability. In this study, surface-modified cellulose nanocrystals were used to improve the mechanical properties of PHA composites produced via a melt-extrusion process. Double silanization was conducted to obtain hydrophobically treated CNC-based fillers, using tetraethyl orthosilicate (TEOS) and methyltrimethoxysilane (MTMS). The morphology, particle size distributions, and surface characteristics of the silanized CNCs and their compatibility with a PHA polymer matrix differed by the organosiloxane treatment and drying method. It was confirmed that the double silanized CNCs had hydrophobic surface characteristics and narrow particle size distributions, and thereby showed excellent dispersibility in a PHA matrix. Adding hydrophobically treated CNCs to form a PHA composite, the elongation at break of the PHA composites was improved up to 301%, with little reduction of Young's modulus, compared to pure PHA. Seemingly, the double silanized CNCs added played a similar role to a nucleation agent in the PHA composite. It is expected that such high ductility can improve the mechanical properties of PHA composites, making them more suitable for commercial applications.

Effects of emission trading schemes on corporate carbon productivity and implications for firm-level responses.

Since the South Korean government enacted the Emission Trading Scheme (ETS), companies have been striving to simultaneously improve productivity and reduce carbon emissions, which represent conflicting goals. We used firm-level emissions and corporate variables to investigate how ETS enactment has affected carbon productivity, which is a firm-level revenue created per unit of carbon emission. Results showed that firm-level carbon productivity increased significantly under the ETS, and such a trend was more evident for high-emission industries. We also found that companies with high carbon productivity were (1) profitable, (2) innovative, and (3) managed by CEOs with experience in environmental fields. These findings suggest that to achieve the conflicting goals of increasing corporate profits while reducing emissions, firms have to invest in green technologies, and such decisions are supported by green leadership. Our findings also have implications for corporate leadership; data highlight the importance of managing human resources and deploying investment policies to respond to ETS.

Risk factors and prognostic value of acute severe lower gastrointestinal bleeding in Crohn's disease.

BACKGROUND: Acute severe lower gastrointestinal bleeding (LGIB) is an uncommon but challenging complication of Crohn's disease (CD). AIM: To identify the predictors of acute severe LGIB and to evaluate the impact of acute severe LGIB on the subsequent clinical course in CD patients. METHODS: A retrospective inception cohort study was conducted in 75 CD patients with acute severe LGIB and 1359 CD patients without acute severe LGIB who were diagnosed between February 1991 and November 2019 at Asan Medical Center, a tertiary university hospital in Korea. Multivariable analysis with Cox proportional hazard regression was performed to identify the risk factors for acute severe LGIB. A matched analysis using 72 patients with bleeding and 267 matched patients without within the cohort was also conducted to investigate whether acute severe LGIB is a predictor of clinical outcomes of CD. RESULTS: Multivariable Cox regression analysis revealed that early use of thiopurines [hazard ratio (HR): 0.23, 95% confidence interval (CI): 0.12-0.48; P < 0.001] and female sex (HR: 0.51, 95%CI: 0.27-0.94; P = 0.031) were significantly associated with a lower risk of acute severe LGIB. The cumulative risks of behavioral progression and intestinal resection were not significantly different between the two matched groups (P = 0.139 and P = 0.769, respectively). The hospitalization rate was higher in the bleeding group than in the matched non-bleeding group (22.1/100 vs 13.2/100 patient-years; P = 0.012). However, if hospitalizations due to bleeding episodes were excluded from the analysis, the hospitalization rate was not significantly different between the bleeding group and the matched non-bleeding group (14.5/100 vs 13.2/100 patient-years; P = 0.631). CONCLUSION: Early use of thiopurines may reduce the risk of acute severe LGIB. History of acute severe LGIB may not have a significant prognostic value in patients with CD.

Azelaic Acid/Expanded Graphite Composites with High Latent Heat Storage Capacity and Thermal Conductivity at Medium Temperature.

A novel azelaic acid/expanded graphite (AA/EG) phase change composite (PCC) was fabricated as a shape-stabilized phase change material (PCM) for latent heat storage at medium temperatures. The composite exhibited a low supercooling degree and high heat storage capacity. Despite the impregnation of a high quantity of AA (85 wt %) in the porous network of EG, there was no leakage of liquid AA. This was attributed to the capillary forces and surface tension forces. The pure AA exhibited a melting temperature of 108.0 °C, with an intrinsically low supercooling degree of 5.8 °C. The melting temperature of AA in the PCC decreased slightly to 105.8 °C, and there was a significant decrease in the supercooling degree to 1.0 °C. The AA/EG PCC exhibited a high latent heat storage capacity of 162.5 J/g, and there was a significant gap between the decomposition temperature and the phase change temperature range. Therefore, the composite exhibited high thermal stability during operations. The results of an accelerated thermal cycling test (200 cycles) indicated the high cycling durability and chemical stability of the PCC. The thermal conductivity of AA increased by 15.7 times after impregnation in EG, as compared to that of the pure AA, and thus, thermal kinetics of the PCC was improved. The results of a heat storage/release test with 15 g of the PCM revealed that the melting and solidification of the AA/EG PCC were 5.0-fold and 7.4-fold faster, respectively, than those of the pure AA. This was attributed to the high thermal conductivity of the PCC.

n-Octadecane/Fumed Silica Phase Change Composite as Building Envelope for High Energy Efficiency.

A novel n-octadecane/fumed silica phase change composite has been prepared as a building envelope with a high content of phase change material and improved energy efficiency. With a high porosity (88 vol%), the fumed silica provided sufficient space to impregnate a high quantity of n-octadecane (70 wt%). The composite exhibited high latent heat storage capacity (155.8 J/g), high crystallization fraction (96.5%), and a melting temperature of 26.76 °C close to that of pure n-octadecane. A 200 accelerated thermal cycle test confirmed good thermal reliability and chemical stability of the phase change composite. The thermal conductivity of n-octadecane was reduced by 34% after impregnation in fumed silica. A phase change composite panel was fabricated and compared to a commercial polystyrene foam panel. When used as the roof of a test room, the phase change composite panel more efficiently retarded heat transfer from a halogen lamp to the room and delayed the increase in the indoor temperature than that by the polystyrene panel. The indoor temperatures of the room with the phase change composite panel roof were 19.8 and 22.9 °C, while those with the polystyrene panel roof were 29.9 and 31.9 °C at 2200 and 9000 s after lamp illumination.

Attitude Toward Protective Behavior Engagement During COVID-19 Pandemic in Malaysia: The Role of E-government and Social Media.

The coronavirus disease 2019 (COVID-19) pandemic is still evolving and affecting millions of lives. E-government and social media have been used widely during this unprecedented time to spread awareness and educate the public on preventive measures. However, the extent to which the 2 digital platforms bring to improve public health awareness and prevention during a health crisis is unknown. In this study, we examined the influence of e-government and social media on the public's attitude to adopt protective behavior. For this purpose, a Web survey was conducted among 404 Malaysian residents during the Recovery Movement Control Order (RMCO) period in the country. Descriptive and multiple regression analyses were conducted using IBM SPSS software. Social media was chosen by most of the respondents (n = 331 or 81.9%) as the source to get information related to COVID-19. Multiple regression analysis suggests the roles of e-government and social media to be significantly related to people's attitudes to engage in protective behavior. In conclusion, during the COVID-19 outbreak, public health decision makers may use e-government and social media platforms as effective tools to improve public engagement on protective behavior. This, in turn, will help the country to contain the transmission of the virus.

Risk factors for rebleeding in Crohn's disease patients with acute severe lower gastrointestinal bleeding: With special reference to the role of anti-tumor necrosis factor therapy.

BACKGROUND AND AIM: Acute severe lower gastrointestinal bleeding (LGIB) in patients with Crohn's disease (CD) is uncommon; however, it is a potentially life-threatening complication, and its recurrence is common. We thus aimed to identify the predictors for rebleeding in CD patients with acute severe LGIB and particularly focused on whether anti-tumor necrosis factor (TNF) therapy lowers the risk of rebleeding compared with conventional medical therapy (CMT) or surgery. METHODS: The risk of rebleeding was analyzed in 131 CD patients with acute severe LGIB. Patients were classified into the CMT group (n = 99), anti-TNF therapy group (n = 22), and surgery group (n = 10). No patients in the surgery group received anti-TNF therapy. RESULTS: During the median follow-up of 98 months after the first episode of acute severe LGIB, rebleeding occurred in 50.5%, 18.2%, and 30.0% of the CMT group, anti-TNF therapy group, and surgery group, respectively (P = 0.015). The cumulative risks of rebleeding at 1 and 10 years were 20.0% and 64.7% in the CMT group, 13.6% and 18.4% in the anti-TNF therapy group, and 0% and 40.7% in the surgery group, respectively (P = 0.020). Multivariable Cox regression analysis showed that anti-TNF therapy was associated with a lower risk of rebleeding compared with CMT (hazard ratio, 0.303; 95% confidence interval, 0.108-0.849; P = 0.023). CONCLUSIONS: In CD patients with acute severe LGIB, anti-TNF therapy may reduce the risk of rebleeding compared with CMT. Although surgery is considered effective in preventing early rebleeding, concomitant anti-TNF therapy may be helpful in further lowering the long-term risk of rebleeding.

Endoscopic features and clinical outcomes of cytomegalovirus gastroenterocolitis in immunocompetent patients.

We aimed to investigate the endoscopic features and clinical course of CMV gastroenterocolitis in immunocompetent patients. We reviewed the medical records and endoscopic images of 86 immunocompetent patients with CMV gastroenterocolitis. Immunocompetent patients were defined as those without congenital or acquired immunodeficiency syndrome, use of anti-cancer chemotherapeutic and immunosuppressive agents, and inflammatory bowel diseases. The mean age was 65.5 ± 11.8 years and 53 (61.6%) were male. Sixty-eight (79.1%) patients had comorbidities. Upper gastrointestinal-dominant, small bowel-dominant, and colon-dominant types were observed in 19, 7, and 60 patients, respectively. Endoscopic features could be classified into discrete ulcerative type with/without exudate and diffuse erythematous type with/without exudate. Antiviral treatment with ganciclovir was initiated in 51 patients (59.3%), 40 of whom improved and 1 improved after changing ganciclovir to foscarnet. Thirty-three patients (38.4%) improved without antiviral treatment. Surgery was necessary in two patients because of colon perforation before antiviral treatment. Another two patients underwent surgery because of sigmoid stricture and cecal perforation during antiviral treatment. Endoscopic type was not associated with clinical outcomes, such as surgery and death. CMV gastroenterocolitis in immunocompetent patients mostly occur in older patients with comorbidities, and the endoscopic features vary with no association with clinical outcomes.

Chronic Viral Hepatitis Is Associated with Colorectal Neoplasia: A Systematic Review and Meta-Analysis.

BACKGROUND: Chronic viral hepatitis is associated with a wide range of extrahepatic diseases; however, evidence on a link between chronic viral hepatitis and colorectal neoplasia is still lacking. AIMS: To analyze the association between chronic viral hepatitis and prevalence of colorectal neoplasia. METHODS: A systematic review of articles published in the MEDLINE, EMBASE, and Cochrane Library between 2000 and 2020 was performed. Subgroup analyses based on the types of colorectal neoplasia and the etiology of chronic viral hepatitis were conducted. RESULTS: Twelve eligible studies with 48,428 hepatitis B virus (HBV) patients and 46,561 hepatitis C virus (HCV) patients were included. Chronic viral hepatitis was significantly associated with an increased risk of both colorectal adenoma (odds ratio [OR], 1.53; 95% confidence interval [CI], 1.16-2.02; I2 = 83%) and colorectal cancer (CRC) (OR, 1.32; 95% CI, 1.08-1.61; I2 = 94%). The etiology of chronic viral hepatitis was an independent factor related to heterogeneity for CRC subgroup analysis revealed an increased risk of CRC in both HBV (OR, 1.18; 95% CI, 1.09-1.27; I2 = 37%) and HCV (OR, 1.88; 95% CI, 1.78-1.97; I2 = 0%). HCV was associated with an increased risk of colorectal adenoma (OR, 1.48; 95% CI, 1.22-1.79; I2 = 0%); however, HBV was not associated with an increased risk of colorectal adenoma and had considerable heterogeneity (OR, 1.65; 95% CI, 0.88-3.09; I2 = 90%). CONCLUSION: Our meta-analysis showed that chronic viral hepatitis is associated with an increased risk of colorectal neoplasia. The strategy of stricter screening colonoscopy may benefit from patients with chronic viral hepatitis.

Effect of Silica Size and Content on Superamphiphobic Properties of Silica-Fluoropolymer Core-Shell Coatings.

We present a facile approach to fabricate superamphiphobic surfaces by spray coating silica-fluoropolymer core-shell particles without substrate pretreatment with an additional binder resin. A series of SiO2@poly(1H,1H,2H,2H-heptadecafluorodecyl methacrylate) (SiO2@PFMA) core-shell particles with core particles of different sizes were prepared via thiol-lactam initiated radical polymerization (TLIRP). The surface of each SiO2 particle with an average particle size of 12, 80, 150, and 350 nm was modified with (3-mercaptopropyl) trimethoxysilane and used as a seed for TLIRP. The SiO2@PFMA particles with various SiO2 sizes and contents were coated on aluminum substrates by a spray gun and then thermally treated to form a stable, rough composite layer. During the spray coating, the core-shell particles were aggregated by rapid evaporation of the solvent and then irregularly adhered to the substrate resulting in hierarchical structures. In the case of SiO2@PFMAs with low SiO2 contents, the roughness created mainly by the polymer shell disappeared during heat treatment. However, the substrates coated with SiO2@PFMAs with high SiO2 contents maintained the roughness even after heat treatment. The core-shell particles prepared with 12 nm SiO2 formed a stable superamphiphobic surface. The water/hexadecane contact and sliding angles on an aluminum plate coated with SiO2@PFMA, prepared using 12 nm silica at 46 wt% silica content (12 nm-SiO2(46)@PFMA), were 178.5°/159.2° and 1°/7°, respectively. The cross-cut tape test showed that adhesion between the 12nm-SiO2(46)@PFMA and the aluminum substrate was classified as 5B. A glass surface spray-coated with the core-shell composite particles exhibited transparent superhydrophobicity and translucent superamphiphobicity by controlling the concentration of the coating solution.

Klatskin tumor diagnosed concurrently with IgG4 related sclerosing cholangitis: A case report.

RATIONALE: IgG4-related disease (IgG4-RD) is a systemic disease that can involve various organs and is characterized by the infiltrations of IgG4-positive plasma cells and lymphocytes, fibrosis, and elevated serum IgG4 levels. IgG4-related sclerosing cholangitis (IgG4-RSC) is a subtype of IgG4-RD. No certain relationship between IgG4-RSC and cholangiocarcinoma has been established as yet, and there have been few reports of the simultaneous diagnosis of IgG4-RSC and cholangiocarcinoma. PATIENT CONCERNS: A 76-year-old male visited our gastroenterology department due to the recent occurrence of pruritus and jaundice. DIAGNOSIS: Computed tomography (CT) scan showed ductal wall swelling and enhancement from both intrahepatic duct confluence to the common bile duct, upper biliary dilatation, and accompanying autoimmune pancreatitis (a sub type of IgG4-RD). Biopsy of the distal common bile duct by endoscopic retrograde cholangiopancreatography (ERCP) resulted in a diagnosis of IgG4-RSC. Subsequently, adenocarcinoma was identified by repeated cytology of bile juice. Finally, Klatskin tumor type IIIA and IgG4-RSC were concurrently diagnosed. INTERVENTIONS: IgG4-RSC was treated with steroid and Klatskin tumors by gemcitabine + cisplatin chemotherapy. OUTCOMES: The jaundice had improved and CT showed substantial improvement of the intrahepatic duct dilatation. LESSONS: IgG4-RSC and cholangiocarcinoma are easily confused, but their treatments are quite different, and thus, care must be taken during diagnosis. Furthermore, these 2 diseases may co-exist. Therefore, even if IgG4-RSC is diagnosed first, the possibility of accompanying cholangiocarcinoma should be thoroughly investigated.

Correlation between the small dense LDL level and nonalcoholic fatty liver disease: Possibility of a new biomarker.

Small dense low-density lipoprotein (sdLDL) is a distinct low-density lipoprotein (LDL) cholesterol subclass that has been reported to be associated with metabolic disease. On the other hand, the relationship between the sdLDL level and the nonalcoholic fatty liver disease (NAFLD) severity is unclear. In this study, the sdLDL level was measured in patients with NAFLD to assess its potential as a biomarker for evaluating NAFLD. One hundred and twenty-six patients diagnosed with NAFLD at a single referral hospital from January 2018 to August 2019 were enrolled. The lipoprotein profile was analyzed from a blood test of NAFLD patients, and transient elastography (TE, Fibroscan) was performed to evaluate the degree of NAFLD. Among the 126 patients, 83 patients that could confirm the lipoprotein profile and TE results were finally enrolled in the study. The controlled attenuation parameter (CAP) value obtained from TE did not show any correlation with the total cholesterol, LDL. But, the sdLDL level showed a significant positive correlation with the CAP value (r = 0.237, P = .031), and the sdLDL/LDL ratio also showed a significant positive correlation with the CAP value (r = 0.235, P = .032). The liver stiffness (LS) measured by TE and the sdLDL level were positively correlated in patients with NAFLD (rho = 0.217, P = .049). The sdLDL/LDL ratio also showed a significant positive correlation with the LS value (rho = 0.228, P = .038). In addition, the fatty liver index also showed a significant positive correlation with the sdLDL/LDL ratio (r = 0.448, P = .000). In this study, the sdLDL level measured by a blood test of NAFLD patients showed a positive correlation with the CAP value and LS, which indicate the degree of hepatic steatosis and fibrosis. These results suggest the possibility of the sdLDL level as a new biomarker of NAFLD, but further studies will be needed to support these results.

Improving the optical properties of organic light-emitting diodes using random nanoscale rods with a double refractive index.

In this study, random nanoscale rods (RNRs) with a double refractive index were fabricated via spin coating, dry etching, and sputtering, which are processes that are extensively applied in industry. With regard to optical properties, the RNRs with a double refractive index (RNRsD) exhibited a total transmittance that was >90% in the visible range and an optical haze in the range of 42%-50% at a wavelength of 520 nm. Organic light-emitting diodes (OLEDs) with RNRsD, where SiO2 was deposited on the RNRs via radiofrequency sputtering, exhibited an enhancement of 34.5% in the external quantum efficiency compared with OLEDs with the bare substrate. Furthermore, the color variation of the OLEDs with the optimal RNRsD with respect to a change in the viewing angle was improved from color coordinates of Δ(x, y) = (0.032, 0.034) to Δ(x, y) = (0.014, 0.014). Therefore, the proposed film can be used as a scattering layer for enhancing the light extraction and viewing angle of OLEDs by reducing the substrate mode light loss and changing the direction of light. In addition to using a low-temperature fabrication process that does not employ a photomask and a lithographic template, the proposed method is applicable to flexible devices because it uses a polymer and a thin inorganic film.

Ag-fiber/graphene hybrid electrodes for highly flexible and transparent optoelectronic devices.

Transparent conducting electrodes (TCEs) have attracted considerable attention towards the development of flexible optoelectronic devices. In this study, mixed-dimensional TCEs are fabricated based on the two-dimensional graphene and one-dimensional electrospun metal fiber that can address the shortcomings of each electrode. In comparison with other TCEs, the Ag fiber/graphene hybrid electrodes exhibited a highly stable morphology (67% lower peak-to-valley ratio), low sheet resistance (approximately 11 Ω/sq), high transmittance (approximately 94%), high oxidation stability with excellent flexibility, and outstanding chemical stability. The multiple functionalities of the transparent and flexible hybrid structure highlight its potential for applications in emerging electronics and highly stable optoelectronics.