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.

Thickness Tolerance in Large-Area Organic Photovoltaics with Fluorine-Substituted Regioregular Conjugated Polymer.

Large areas and simple processing methods are necessary for the commercialization of organic photovoltaics (OPVs). However, the efficiency drop due to the variation in thickness of OPVs limits their large-scale applications. Regioregular polymers with good crystallinity and packing properties that exhibit high charge mobility and extraction ability can help overcome these limitations. In this study, a regioregular polymer named PDBD-2FBT was synthesized. The crystallinity and packing properties of PDBD-2FBT were enhanced by a simple thermal treatment. Using PDBD-2FBT material as a donor and Y6-HU as an acceptor, we fabricated binary blend OPV devices. The devices with optimized active layer thickness achieved a power conversion efficiency (PCE) of 14.14%. A PCE of 13.18% was maintained even in thick-film conditions (400 nm), and thickness tolerance was observed. Based on the thickness tolerance, a 5-line module measuring 36 cm2 was fabricated via the bar-coating method, and a PCE of approximately 10% was achieved.

Large-Area Printed Oxide Film Sensors Enabling Ultrasensitive and Dual Electrical/Colorimetric Detection of Hydrogen at Room Temperature.

Commercial hydrogen (H2) sensors operate at high temperatures, which increases power consumption and poses a safety risk owing to the flammable nature of H2. Here, a polymer-noble metal-metal oxide film is fabricated using the spin-coating and printing methods to realize a highly sensitive, low-voltage operation, wide-operating-concentration, and near-monoselective H2 sensor at room temperature. The H2 sensors with an optimized thickness of Pd nanoparticles and SnO2 showed an extremely high response of 16,623 with a response time of 6 s and a recovery time of 5 s at room temperature and 2% H2. At the same time, printed flexible sensors demonstrate excellent sensitivity, with a response of 2300 at 2% H2. The excellent sensing performance at room temperature is due to the optimal SnO2 thickness, corresponding to the Debye length and the oxygen and H2 spillover caused by the optimized coverage of the Pd catalyst. Furthermore, multistructures of WO3 and SnO2 films are used to fabricate a new type of dual-signal sensor, which demonstrated simultaneous conductance and transmittance, i.e., color change. This work provides an effective strategy to develop robust, flexible, transparent, and long-lasting H2 sensors through large-area printing processes based on polymer-metal-metal oxide nanostructures.

Effects of Oxygen-Containing Functional Groups on the Electrochemical Performance of Activated Carbon for EDLCs.

Activated carbon (AC) is used in commercial electric double-layer capacitors (EDLC) as electrode active material owing to its favorable properties. However, oxygen functional groups (OFGs) present in AC reduce the lifespan of EDLCs. Thus, we investigated the correlation between the OFGs in AC and their electrochemical characteristics. Samples were prepared by heat-treating commercial AC at 300 °C-900 °C for 1 h under two gas atmospheres (N2 and 4% H2/N2 mixed gas). The textural properties were studied, and the reduction characteristics of AC under Ar and H2/Ar mixed gas atmospheres were investigated. Additionally, changes in the OFGs with respect to the heat-treatment conditions were examined via X-ray photoelectron spectroscopy. The specific surface areas of AC-N and AC-H were 2220-2040 and 2220-2090 m2/g, respectively. Importantly, the samples treated in hydrogen gas exhibited a higher yield than those treated in nitrogen while maintaining their pore characteristics. Additionally, the electrochemical performance of the AC was significantly enhanced after the reduction process; the specific capacitance increased from 62.1 F/g to 81.6 F/g (at 0.1 A/g). Thus, heat treatment in hydrogen gas improves the electrochemical performance of EDLCs without destroying the pore characteristics of AC.

A Study on Superior Mesoporous Activated Carbons for Ultra Power Density Supercapacitor from Biomass Precursors.

A kenaf-derived activated carbon (KAC) for a high-power density supercapacitor was developed in this study through phosphoric acid activation. The N2/77K isothermal adsorption-desorption curve was used to estimate the textural properties of KAC based on BET and BJH and the pore size distribution based on NLDFT. The electrochemical properties of KAC were analyzed by using the coin-type cell applying 1 M SPBBF4/PC electrolyte, and the specific surface area and total pore volume were 1490-1942 m2/g and 1.18-3.18 cm3/g, respectively. The pore characteristics of KAC varied according to the activation temperature, and most KAC showed a mesoporous structure. As the activation temperature increased, the mesopore volume increased up to 700 °C, then decreased. The mesoporous structure of KAC resulted in a substantial decrease in the Warburg impedance as the ion diffusion resistance decreased. Hence, the specific capacitance of KAC decreased from 82.9 F/g to 59.48 F/g as the charge-discharge rate increased from 1 mA/g to 10 mA/g, with the rate of reduction at approximately 30%. The rate of reduction of KAC's specific capacitance was 50% lower compared with commercial activated carbon; hence, KAC is a more suitable electrode-active material for high power density supercapacitors.

Comparison of Pore Structures of Cellulose-Based Activated Carbon Fibers and Their Applications for Electrode Materials.

This study presents the first investigation of cellulose-based activated carbon fibers (RACFs) prepared as electrode materials for the electric double-layer capacitor (EDLC) in lieu of activated carbon, to determine its efficacy as a low-cost, environmentally friendly enhancement alternative to nanocarbon materials. The RACFs were prepared by steam activation and their textural properties were studied by Brunauer-Emmett-Teller and non-localized density functional theory equations with N2/77K adsorption isotherms. The crystallite structure of the RACFs was observed by X-ray diffraction. The RACFs were applied as an electrode material for an EDLC and compared with commercial activated carbon (YP-50F). The electrochemical performance of the EDLC was analyzed using galvanostatic charge/discharge curves, cyclic voltammetry, and electrochemical impedance spectroscopy. The results show that the texture properties of the activated carbon fibers were influenced by the activation time. Crucially, the specific surface area, total pore volume, and mesopore volume ratio of the RACF with a 70-min activation time (RACF-70) were 2150 m2/g, 1.03 cm3/g and 31.1%, respectively. Further, electrochemical performance analysis found that the specific capacitance of RACF-70 increased from 82.6 to 103.6 F/g (at 2 mA/cm2). The overall high specific capacitance and low resistance of the RACFs were probably influenced by the pore structure that developed outstanding impedance properties. The results of this work demonstrate that RACFs have promising application value as performance enhancing EDLC electrode materials.

Examining the Psychometric Properties and Clinical Correlates of the Korean Version of the Family Accommodation Scale-Self-Rated Version for Obsessive-Compulsive Disorder.

OBJECTIVE: We aimed to develop a Korean version of the Family Accommodation Scale-Self-Rated (FAS-SR), to investigate its reliability and validity and to study the clinical correlates of family accommodation in families with obsessive compulsive disorder (OCD) patient. METHODS: The FAS-SR was translated into Korean under the original author's supervision. Forty-two patients with OCD and their closest relatives participated. The internal consistency was estimated using Cronbach's alpha and the split half method. Convergent and divergent validity were identified by measuring with other clinical variables. Test-retest reliability was also calculated. RESULTS: The reliability analyses showed that Korean version of the FAS-SR demonstrated excellent internal consistency (Cronbach's alpha=0.91) and test-retest reliability (Intraclass correlation coefficient=0.93). It showed good convergent validity when simultaneously assessed OCD symptom severity, global functioning and relative's psychological distress. CONCLUSION: The findings suggest that Korean version of the FAS-SR is a reliable and valid tool for assessing family accommodation in Korean patients with OCD in both research and clinical settings.

Albumin metabolism targeted peptide-drug conjugate strategy for targeting pan-KRAS mutant cancer.

Despite recent breakthroughs in the development of direct KRAS inhibitors and modulators, no drugs targeting pan-KRAS mutant cancers are clinically available. Here, we report a novel strategy to treat pan-KRAS cancers using a caspase-3 cleavable peptide-drug conjugate that exploits enhanced albumin metabolism in KRAS altered cancers to deliver a cytotoxic agent that can induce a widespread bystander killing effect in tumor cells. Increased albumin metabolism in KRAS mutant cancer cells induced apoptosis via the intracellular uptake of albumin-bound MPD1. This allowed caspase-3 upregulation activated MPD1 to release the payload and exert the non-selective killing of neighboring cancer cells. MPD1 exhibited potent and durable antitumor efficacy in mouse xenograft models with different KRAS genotypes. An augmentation of anti-cancer efficacy was achieved by the bystander killing effect derived from the caspase-3 mediated activation of MPD1. In summary, albumin metabolism-induced apoptosis, together with the bystander killing effect of MPD1 boosted by caspase-3 mediated activation, intensified the efficacy of MPD1 in KRAS mutant cancers. These findings suggest that this novel peptide-drug conjugate could be a promising breakthrough for the treatment in the targeting of pan-KRAS mutant cancers.

Synthesis and Characterization of Activated Carbon Fibers Derived from Linear Low-Density Polyethylene Fibers Stabilized at a Low Temperature.

In this study, activated carbon fibers (ACFs) were prepared using a new method from polyethylene (PE) fibers. The stabilizing (or crosslinking) process of PE, an essential step, was achieved through a hybrid treatment using electron-beam/sulfuric acid at 110 °C that was more effective than the traditional method of using sulfuric acid at 180 °C for polyolefin. The stabilized precursor was then carbonized at 700 °C and activated at 900 °C with different activation times. The structural characteristics and morphologies of these ACFs were observed using an X-ray diffractometer and a field-emission scanning electron microscope, respectively. In addition, the N2/77K adsorption isotherm was used to discern textural properties. The total pore volume and specific surface area of these ACFs were found to be increased with a longer activation time, reaching final values of 0.99 cm3/g and 1750 m2/g, respectively. These ACFs also exhibited a high mesopore volume ratio (39%) according to crosslinking and crystallite formation conditions.

Bamboo-Based Mesoporous Activated Carbon for High-Power-Density Electric Double-Layer Capacitors.

Demand for hybrid energy storage systems is growing, but electric double-layer capacitors (EDLCs) have insufficient output characteristics because of the microporous structure of the activated carbon electrode material. Commercially, activated carbon is prepared from coconut shells, which yield an activated carbon material (YP-50F) rich in micropores, whereas mesopores are desired in EDLCs. In this study, we prepared mesoporous activated carbon (PB-AC) using a readily available, environmentally friendly resource: bamboo. Crucially, modification using phosphoric acid and steam activation was carried out, which enabled the tuning of the crystal structure and the pore characteristics of the product. The structural characteristics and textural properties of the PB-AC were determined, and the specific surface area and mesopore volume ratio of the PB-AC product were 960-2700 m2/g and 7.5-44.5%, respectively. The high specific surface area and mesopore-rich nature originate from the phosphoric acid treatment. Finally, PB-AC was used as the electrode material in EDLCs, and the specific capacitance was found to be 86.7 F/g for the phosphoric-acid-treated sample steam activated at 900 °C for 60 min; this capacitance is 35% better than that of the commercial YP-50F (64.2 F/g), indicating that bamboo is a suitable material for the production of activated carbon.

An Ultrastretchable Electrical Switch Fiber with a Magnetic Liquid Metal Core for Remote Magnetic Actuation.

In this work we describe a soft and ultrastretchable fiber with a magnetic liquid metal (MLM) core for electrical switches used in remote magnetic actuation. MLM was prepared by removing the oxide layer on the liquid metal and subsequent mixing with magnetic iron particles. We used SEBS (poly[styrene-b-(ethylene-co-butylene)-b-styrene]) and silicone to prepare stretchable elastic fibers. Once hollow elastic fibers form, MLM was injected into the core of the fiber at ambient pressure. The fibers are soft (Young's modulus of 1.6~4.4 MPa) and ultrastretchable (elongation at break of 600~5000%) while maintaining electrical conductivity and magnetic property due to the fluidic nature of the core. Magnetic strength of the fibers was characterized by measuring the maximum effective distance between the magnet and the fiber as a function of iron particle concentration in the MLM core and the polymeric shell. The MLM core facilitates the use of the fiber in electrical switches for remote magnetic actuation. This ultrastretchable and elastic fiber with MLM core can be used in soft robotics, and wearable and conformal electronics.

Effect of Mesopore Development on Butane Working Capacity of Biomass-Derived Activated Carbon for Automobile Canister.

Kenaf-derived activated carbons (AKC) were prepared by H3PO4 activation for automobile canisters. The microstructural properties of AKC were observed using Raman spectra and X-ray diffraction. The textural properties were studied using N2/77 K adsorption isotherms. Butane working capacity was determined according to the ASTM D5228. From the results, the specific surface area and total pore volume of the AKC was determined to be 1260-1810 m2/g and 0.68-2.77 cm3/g, respectively. As the activation time increased, the butane activity and retentivity of the AKC increased, and were observed to be from 32.34 to 58.81% and from 3.55 to 10.12%, respectively. The mesopore ratio of activated carbon increased with increasing activation time and was observed up to 78% at 973 K. This indicates that butane activity and retentivity could be a function not only of the specific surface area or total pore volume, but also of the mesopore volume fraction in the range of 2.8-3.8 nm and 5.5-6.5 nm of adsorbents, respectively. The AKC exhibit enhanced butane working capacity compared to commercial activated carbon with the high performance of butane working capacity due to its pore structure having a high mesopore ratio.

Pitch-Derived Activated Carbon Fibers for Emission Control of Low-Concentration Hydrocarbon.

The unburned hydrocarbon (HC) emissions of automobiles are subject to strong regulations because they are known to be converted into fine dust, ozone, and photochemical smog. Pitch-based activated carbon fibers (ACF) prepared by steam activation can be a good solution for HC removal. The structural characteristics of ACF were observed using X-ray diffraction. The pore characteristics were investigated using N2/77K adsorption isotherms. The butane working capacity (BWC) was determined according to ASTM D5228. From the results, the specific surface area and total pore volume of the ACF were determined to be 840-2630 m2/g and 0.33-1.34 cm3/g, respectively. The butane activity and butane retentivity of the ACF increased with increasing activation time and were observed to range between 15.78-57.33% and 4.19-11.47%, respectively. This indicates that n-butane adsorption capacity could be a function not only of the specific surface area or total pore volume but also of the sub-mesopore volume fraction in the range of 2.0-2.5 nm of adsorbents. The ACF exhibit enhanced BWC, and especially adsorption velocity, compared to commercial products (granules and pellets), with lower concentrations of n-butane due to a uniformly well-developed pore structure open directly to the outer surface.

Complete Genome Sequences of Measles Virus Genotype D8 Isolates from South Korea in 2016.

The complete genome sequences of three wild-type measles viruses (genotype D8) isolated from patients in South Korea were determined. These are the first reported complete genome sequences of measles viruses obtained from South Korea, and the availability of these sequences will improve our understanding of measles virus transmission and genetic diversity.

Activated Carbons from Thermoplastic Precursors and Their Energy Storage Applications.

In this study, low-density polyethylene (LDPE)-derived activated carbons (PE-AC) were prepared as electrode materials for an electric double-layer capacitor (EDLC) by techniques of cross-linking, carbonization, and subsequent activation under various conditions. The surface morphologies and structural characteristics of the PE-AC were observed by field-emission scanning electron microscope, Cs-corrected field-emission transmission electron microscope, and X-ray diffraction analysis, respectively. The nitrogen adsorption isotherm-desorption characteristics were confirmed by Brunauer-Emmett-Teller, nonlocal density functional theory, and Barrett-Joyner-Halenda equations at 77 K. The results showed that the specific surface area and total pore volume of the activated samples increased with increasing the activation time. The specific surface area, the total pore volume, and mesopore volume of the PE-AC were found to be increased finally to 1600 m2/g, 0.86 cm3/g, and 0.3 cm3/g, respectively. The PE-AC also exhibited a high mesopore volume ratio of 35%. This mesopore-rich characteristic of the activated carbon from the LDPE is considered to be originated from the cross-linking density and crystallinity of precursor polymer. The high specific surface area and mesopore volume of the PE-AC led to their excellent performance as EDLC electrodes, including a specific capacitance of 112 F/g.

Stabilization of Intrinsically Disordered DKK2 Protein by Fusion to RNA-Binding Domain.

Intrinsic disorders are a common feature of hub proteins in eukaryotic interactomes controlling the signaling pathways. The intrinsically disordered proteins (IDPs) are prone to misfolding, and maintaining their functional stability remains a major challenge in validating their therapeutic potentials. Considering that IDPs are highly enriched in RNA-binding proteins (RBPs), here we reasoned and confirmed that IDPs could be stabilized by fusion to RBPs. Dickkopf2 (DKK2), Wnt antagonist and a prototype IDP, was fused with lysyl-tRNA synthetase (LysRS), with or without the fragment crystallizable (Fc) domain of an immunoglobulin and expressed predominantly as a soluble form from a bacterial host. The functional competence was confirmed by in vitro Wnt signaling reporter and tube formation in human umbilical vein endothelial cells (HUVECs) and in vivo Matrigel plug assay. The removal of LysRS by site-specific protease cleavage prompted the insoluble aggregation, confirming that the linkage to RBP chaperones the functional competence of IDPs. While addressing to DKK2 as a key modulator for cancer and ischemic vascular diseases, our results suggest the use of RBPs as stabilizers of disordered proteinaceous materials for acquiring and maintaining the structural stability and functional competence, which would impact the druggability of a variety of IDPs from human proteome.

Co-degradation of interferon signaling factor DDX3 by PB1-F2 as a basis for high virulence of 1918 pandemic influenza.

The multifunctional influenza virus protein PB1-F2 plays several roles in deregulation of host innate immune responses and is a known immunopathology enhancer of the 1918 influenza pandemic. Here, we show that the 1918 PB1-F2 protein not only interferes with the mitochondria-dependent pathway of type I interferon (IFN) signaling, but also acquired a novel IFN antagonist function by targeting the DEAD-box helicase DDX3, a key downstream mediator in antiviral interferon signaling, toward proteasome-dependent degradation. Interactome analysis revealed that 1918 PB1-F2, but not PR8 PB1-F2, binds to DDX3 and causes its co-degradation. Consistent with intrinsic protein instability as basis for this gain-of-function, internal structural disorder is associated with the unique cytotoxic sequences of the 1918 PB1-F2 protein. Infusing mice with recombinant DDX3 protein completely rescued them from lethal infection with the 1918 PB1-F2-producing virus. Alongside NS1 protein, 1918 PB1-F2 therefore constitutes a potent IFN antagonist causative for the severe pathogenicity of the 1918 influenza strain. Our identification of molecular determinants of pathogenesis should be useful for the future design of new antiviral strategies against influenza pandemics.

Mesopore-Rich Activated Carbons for Electrical Double-Layer Capacitors by Optimal Activation Condition.

In this study, activated polymer-based hard carbon using steam activation (APHS) with mesopore-rich pore structures were prepared for application as electrodes in electrical double-layer capacitors (EDLC). The surface morphologies and structural characteristics of APHS were observed using scanning electron microscopy and X-ray diffraction analysis, respectively. The textural properties were described using Brunauer-Emmett-Teller and Barrett-Joyner-Halenda equations with N2/77 K adsorption isotherms. APHS were prepared under various steam activation conditions to find optimal ones, which were then applied as electrode materials for the EDLC. The observed specific surface areas and total pore volumes of the APHS were in the range 1170-2410 m2/g and 0.48-1.22 cm3/g, respectively. It was observed that pore size distribution mainly depended on the activation time and temperature, and that the volume of pores with size of 1.5-2.5 nm was found to be a key factor determining the electrochemical capacity.

Hypolipogenic Effect of Shikimic Acid Via Inhibition of MID1IP1 and Phosphorylation of AMPK/ACC.

Although shikimic acid from Illicium verum has antioxidant, antibacterial, anti-inflammatory, and analgesic effects, the effect of shikimic acid on lipogenesis has not yet been explored. Thus, in the present study, hypolipogenic mechanism of shikimic acid was examined in HepG2, Huh7 and 3T3-L1 adipocyte cells. Shikimic acid showed weak cytotoxicity in HepG2, Huh7 and 3T3-L1 cells, but suppressed lipid accumulation in HepG2, Huh7 and 3T3-L1 cells by Oil Red O staining. Also, shikimic acid attenuated the mRNA expression of de novo lipogenesis related genes such as FAS, SREBP-1c, and LXR-α in HepG2 cells by RT-PCR analysis and suppressed the protein expression of SREBP-1c and LXR-α in HepG2 and 3T3-L1 cells. It should be noted that shikimic acid activated phosphorylation of AMP-activated protein kinase (AMPK)/Aacetyl-coenzyme A carboxylase (ACC) and reduced the expression of MID1 Interacting Protein 1 (MID1IP1) in HepG2, Huh7 and 3T3-L1 cells. Conversely, depletion of MID1IP1 activated phosphorylation of AMPK, while overexpression of MID1IP1 suppressed phosphorylation of AMPK in HepG2 cells. However, AMPK inhibitor compound c did not affect the expression of MID1IP1, indicating MID1IP1 as an upstream of AMPK. Taken together, our findings suggest that shikimic acid has hypolipogenic effect in HepG2 and 3T3-L1 cells via phosphorylation of AMPK/ACC and inhibition of MID1IP1 as a potent candidate for prevention or treatment of fatty liver and hyperlipidemia.