FeV LDH Coated on Sandpaper as an Electrode Material for High-Performance Flexible Energy Storage Devices.

Recently, considerable research efforts to achieve advanced design of promising electroactive materials as well as unique structures in supercapacitor electrodes have been explored for high-performance energy storage systems. We suggest the development of novel electroactive materials with an enlarged surface area for sandpaper materials. Based on the inherent micro-structured morphologies of the sandpaper substrate, nano-structured Fe-V electroactive material can be coated on it by facile electrochemical deposition technique. A hierarchically designed electroactive surface is covered with FeV-layered double hydroxide (LDH) nano-flakes on Ni-sputtered sandpaper as a unique structural and compositional material. The successful growth of FeV-LDH is clearly revealed by surface analysis techniques. Further, electrochemical studies of the suggested electrodes are carried out to optimize the Fe-V composition as well as the grit number of the sandpaper substrate. Herein, optimized Fe0.75V0.25 LDHs coated on #15000 grit Ni-sputtered sandpaper are developed as advanced battery-type electrodes. Finally, along with the negative electrode of activated carbon and the FeV-LDH electrode, it is utilized for hybrid supercapacitor (HSC) assembly. The fabricated flexible HSC device indicates high energy and power density by showing excellent rate capability. This study is a remarkable approach to improving the electrochemical performance of energy storage devices using facile synthesis.

Biological Influence of Pulmonary Disease Conditions Induced by Particulate Matter on Microfluidic Lung Chips.

Particulate matter (PM10)-induced respiratory illnesses are difficult to investigate in trans-well culture systems. Microphysiological systems offer the capacity to mimic these phenomena to analyze any possible hazards that PM10 exposure poses to respiratory system of Humans. This study proposes an on-chip healthy human lung distal airway model that efficiently reconstitutes in vivo-like environmental conditions in a microfluidic device. The lung-on-chip model comprises a TEER sensor chip and portable microscope for continuous monitoring. To determine the efficacy of our model, we assessed the response to exposure to three PM environmental conditions (mild, average, and severe) and analyzed the relevant in vivo physiological and toxicological data using the airway model. Our results revealed significant increases in the levels of the IL-13, IL-6, and MUC5AC pathological biomarkers, which indicate increased incidences of on-chip asthma and chronic obstructive pulmonary disease conditions. Overall, we deduced that this model will facilitate the identification of potential therapeutics and the prevention of chronic life-threatening toxicities and pandemics such as COVID-19. The proposed system provides basic data for producing an improved in organ-on-chip technology. Supplementary Information: The online version contains supplementary material available at 10.1007/s13206-022-00068-x.

Electrospun Nanofiber Covered Polystyrene Micro-Nano Hybrid Structures for Triboelectric Nanogenerator and Supercapacitor.

Recently, tremendous research on small energy supply devices is gaining popularity with the immerging Internet of Things (IoT) technologies. Especially, energy conversion and storage devices can provide opportunities for small electronics. In this research, a micro-nano structured design of electrodes is newly developed for high performing hybrid energy systems with the improved effective surface area. Further, it could be simply fabricated through two-steps synthesis of electrospinning and glass transition of a novel polystyrene (PS) substrate. Herein, the electro-spun nanofiber of polyacrylonitrile (PAN) and Nylon 66 (Nylon) are applied to the dielectric layer of a triboelectric generator (TENG), while the PAN and polyaniline (PANI) composites is utilized as an electroactive material of supercapacitor (SC). As a result, the self-charging power system is successfully integrated with the wrinkled PAN/PS (W-PAN/PS@PANI)-SC and W-TENG by using a rectifier. According to the fabricated hybrid energy systems, the electrical energy produced by W-TENG can be successfully stored into as-fabricated W-PAN/PS@PANI-SC and can also turn on a commercial green LED with the stored energy. Therefore, the micro-nano structured electrode designed for hybrid energy systems can contribute to improve the energy conversion and storage performance of various electronic devices.

Versatile Redox-Active Organic Materials for Rechargeable Energy Storage.

With the ever-increasing demand on energy storage systems and subsequent mass production, there is an urgent need for the development of batteries with not only improved electrochemical performance but also better sustainability-related features such as environmental friendliness and low production cost. To date, transition metals that are sparse have been centrally employed in energy storage devices ranging from portable lithium ion batteries (e.g., cobalt and nickel) to large-scale redox flow batteries (e.g., vanadium). Toward the sustainable battery chemistry, there are ongoing efforts to replace the transition metal-based electrode materials in these systems to redox-active organic materials (ROMs). Most ROMs are composed of the earth abundant elements (e.g., carbon, nitrogen, oxygen, sulfur), thus are less restrained by the resource, and their production does not require high-energy consuming processes. Furthermore, the structural diversity and chemical tunability of organic compounds make them more attractive for the versatile design of future energy storage systems. Accordingly, the timely development of high-performance ROM-based electrodes would expedite the shift from the current resource-limited battery chemistry to more sustainable energy solutions.In this Account, we provide an overview of the endeavors to employ and develop ROMs as high-performance active materials for various battery systems. Diverse approaches will be introduced starting from the new ROM design mimicking the energy carrying molecules in biological metabolism to the chemical modifications to tailor the properties for specific battery systems. The molecular redesign of ROM, for example, can be carried out by substituting heteroatoms in the redox center, which leads to the enhancement of the redox potential by the inductive effect. Or, tailoring the ROM molecule by removing redox-inactive functionals results in a reduced molecular weight, thereby an increased specific capacity. The intrinsic limitations of ROMs, such as the low electrical conductivity and the dissolving nature, have been under extensive scrutiny; however, they can be partly addressed through efforts including intermolecular fusion and/or nanoscale hybridization with a conducting scaffold. On the other hand, this problematic dissolving nature of ROMs makes them appealing for some new battery configurations such as redox flow batteries that employ the liquid-state active materials. The high solubility and the stability of the ROM were found to be beneficial in attaining the enhanced energy density and the cycle stability of flow batteries, which could be further optimized by the chemical modifications of ROMs. Besides the role of active materials, the redox activity of ROMs has also enabled their use as catalysts to promote the electrode reaction in metal-air batteries. The redox capability of the ROM was often proven to be effective in the solution-based redox mediation that facilitates both the charging and discharging reaction in metal-air batteries. Finally, we conclude this account by proposing the future research directions regarding the fundamental electrochemistry and the further practical development of ROMs for the sustainable rechargeable energy storage.

Gravity-Based Flow Efficient Perfusion Culture System for Spheroids Mimicking Liver Inflammation.

The spheroid culture system provides an efficient method to emulate organ-specific pathophysiology, overcoming the traditional two-dimensional (2D) cell culture limitations. The intervention of microfluidics in the spheroid culture platform has the potential to enhance the capacity of in vitro microphysiological tissues for disease modeling. Conventionally, spheroid culture is carried out in static conditions, making the media nutrient-deficient around the spheroid periphery. The current approach tries to enhance the capacity of the spheroid culture platform by integrating the perfusion channel for dynamic culture conditions. A pro-inflammatory hepatic model was emulated using a coculture of HepG2 cell line, fibroblasts, and endothelial cells for validating the spheroid culture plate with a perfusable channel across the spheroid well. Enhanced proliferation and metabolic capacity of the microphysiological model were observed and further validated by metabolic assays. A comparative analysis of static and dynamic conditions validated the advantage of spheroid culture with dynamic media flow. Hepatic spheroids were found to have improved proliferation in dynamic flow conditions as compared to the static culture platform. The perfusable culture system for spheroids is more physiologically relevant as compared to the static spheroid culture system for disease and drug analysis.

Multiplex PCR-Based Nanopore Sequencing and Epidemiological Surveillance of Hantaan orthohantavirus in Apodemus agrarius, Republic of Korea.

Whole-genome sequencing of infectious agents enables the identification and characterization of emerging viruses. The MinION device is a portable sequencer that allows real-time sequencing in fields or hospitals. Hantaan orthohantavirus (Hantaan virus, HTNV), harbored by Apodemus agrarius, causes hemorrhagic fever with renal syndrome (HFRS) and poses a critical public health threat worldwide. In this study, we aimed to evaluate the feasibility of using nanopore sequencing for whole-genome sequencing of HTNV from samples having different viral copy numbers. Amplicon-based next-generation sequencing was performed in A. agrarius lung tissues collected from the Republic of Korea. Genomic sequences of HTNV were analyzed based on the viral RNA copy numbers. Amplicon-based nanopore sequencing provided nearly full-length genomic sequences of HTNV and showed sufficient read depth for phylogenetic analysis after 8 h of sequencing. The average identity of the HTNV genome sequences for the nanopore sequencer compared to those of generated from Illumina MiSeq revealed 99.8% (L and M segments) and 99.7% (S segment) identities, respectively. This study highlights the potential of the portable nanopore sequencer for rapid generation of accurate genomic sequences of HTNV for quicker decision making in point-of-care testing of HFRS patients during a hantavirus outbreak.

Novel Conductive Ag-Decorated NiFe Mixed Metal Telluride Hierarchical Nanorods for High-Performance Hybrid Supercapacitors.

Mixed metal chalcogenide nanoarchitectures have been attracting enormous attention as battery-type electrodes for hybrid supercapacitors (HSCs) owing to their enhanced electrochemical (EC) performance. Despite having high electrical conductivity and good EC properties, tellurium has not been fully utilized in metal chalcogenide electrodes as much as sulfur and selenium. Herein, a facile strategy for the fabrication of nickel and iron (NiFe) mixed metal telluride hierarchical nanorods (MMT HNRs) on nickel foam (NF) is proposed. Furthermore, conductive silver (Ag) is decorated on MMT HNRs (AMMT HNRs) to improve the conducting channels, thereby EC performance. Benefitting from the combined advantages of electroactive NiFe mixed metal, conductive tellurium and Ag, and hierarchical nanorod-like nanomorphology, the AMMT HNR electrode has delivered high areal capacity (1.1 mAh cm-2). Finally, the AMMT based HSC with activated carbon coated NF (AC/NF) as a negative electrode exhibited the highest areal capacitance (1176.5 mF cm-2) with high areal energy density (0.669 mWh cm-2) and power density (64 mW cm-2). Moreover, the HSC device has maintained good cycling stability (86% capacity retention) even after 5000 cycles. New findings of this study definitely shed light on the development of telluride-based mixed metal chalcogenide supercapacitors.

Sidewall Slope Control of InP Via Holes for 3D Integration.

This is the first demonstration of sidewall slope control of InP via holes with an etch depth of more than 10 µm for 3D integration. The process for the InP via holes utilizes a common SiO2 layer as an InP etch mask and conventional inductively coupled plasma (ICP) etcher operated at room temperature and simple gas mixtures of Cl2/Ar for InP dry etch. Sidewall slope of InP via holes is controlled within the range of 80 to 90 degrees by changing the ICP power in the ICP etcher and adopting a dry-etched SiO2 layer with a sidewall slope of 70 degrees. Furthermore, the sidewall slope control of the InP via holes in a wide range of 36 to 69 degrees is possible by changing the RF power in the etcher and introducing a wet-etched SiO2 layer with a small sidewall slope of 2 degrees; this wide slope control is due to the change of InP-to-SiO2 selectivity with RF power.

Preparation of NiO decorated CNT/ZnO core-shell hybrid nanocomposites with the aid of ultrasonication for enhancing the performance of hybrid supercapacitors.

Supercapacitor (SC) electrodes fabricated with the combination of carbon nanotubes (CNTs) and metal oxides are showing remarkable advancements in the electrochemical properties. Herein, NiO decorated CNT/ZnO core-shell hybrid nanocomposites (CNT/ZnO/NiO HNCs) are facilely synthesized by a two-step solution-based technique for the utilization in hybrid supercapacitors. Benefitting from the synergistic advantages of three materials, the CNT/ZnO/NiO HNCs based electrode has evinced superior areal capacity of ~67 µAh cm-2 at a current density of 3 mA cm-2 with an exceptional cycling stability of 112% even after 3000 cycles of continuous operation. Highly conductive CNTs and electrochemically active ZnO contribute to the performance enhancement. Moreover, the decoration of NiO on the surface of CNT/ZnO core-shell increases the electro active sites and stimulates the faster redox reactions which play a vital role in augmenting the electrochemical properties. Making the use of high areal capacity and ultra-long stability, a hybrid supercapacitor (HSC) was assembled with CNT/ZnO/NiO HNCs coated nickel foam (CNT/ZnO/NiO HNCs/NF) as positive electrode and CNTs coated NF as negative electrode. The fabricated HSC delivered an areal capacitance of 287 mF cm-2 with high areal energy density (67 µWh cm-2) and power density (16.25 mW cm-2). The combination of battery type CNT/ZnO/NiO HNCs/NF and EDLC type CNT/NF helped in holding the capacity for a long period of time. Thus, the systematic assembly of CNTs and ZnO along with the NiO decoration enlarges the application window with its high rate electrochemical properties.

Phylogeographic diversity and hybrid zone of Hantaan orthohantavirus collected in Gangwon Province, Republic of Korea.

BACKGROUND: Hantaan orthohantavirus (Hantaan virus, HTNV), harbored by Apodemus agrarius (the striped field mouse), causes hemorrhagic fever with renal syndrome (HFRS) in humans. Viral genome-based surveillance at new expansion sites to identify HFRS risks plays a critical role in tracking the infection source of orthohantavirus outbreak. In the Republic of Korea (ROK), most studies demonstrated the serological prevalence and genetic diversity of orthohantaviruses collected from HFRS patients or rodents in Gyeonggi Province. Gangwon Province is a HFRS-endemic area with a high incidence of patients and prevalence of infected rodents, ROK. However, the continued epidemiology and surveillance of orthohantavirus remain to be investigated. METHODOLOGY/PRINCIPAL FINDINGS: Whole-genome sequencing of HTNV was accomplished in small mammals collected in Gangwon Province during 2015-2018 by multiplex PCR-based next-generation sequencing. To elucidate the geographic distribution and molecular diversity of viruses, we conducted phylogenetic analyses of HTNV tripartite genomes. We inferred the hybrid zone using cline analysis to estimate the geographic contact between two different HTNV lineages in the ROK. The graph incompatibility based reassortment finder performed reassortment analysis. A total of 12 HTNV genome sequences were completely obtained from A. agrarius newly collected in Gangwon Province. The phylogenetic and cline analyses demonstrated the genetic diversity and hybrid zone of HTNV in the ROK. Genetic exchange analysis suggested the possibility of reassortments in Cheorwon-gun, a highly HFRS-endemic area. CONCLUSIONS/SIGNIFICANCE: The prevalence and distribution of HTNV in HFRS-endemic areas of Gangwon Province enhanced the phylogeographic map for orthohantavirus outbreak monitoring in ROK. This study revealed the hybrid zone reflecting the genetic diversity and evolutionary dynamics of HTNV circulating in Gangwon Province. The results arise awareness of rodent-borne orthohantavirus diseases for physicians in the endemic area of ROK.

Evaluation of performance characteristics of portal monitor for radiation emergency.

For evaluating the counting efficiency of a portal monitor, we use a137Cs radiation point source (1 µCi) to subsequently establish it effective measurable area. Through simulation, we estimate the appropriate distance from potentially contaminated individuals in the scanning queue to the monitoring individual. When this distance is over 10 m, the counting efficiency was below 0.01%. We find that the triage can be applied to roughly 180 individuals per hour during mass casualties.

Impact of Buffer Layer Process and Na on Shunt Paths of Monolithic Series-connected CIGSSe Thin Film Solar Cells.

The illuminated current-voltage characteristics of Cu(In,Ga)(S,Se)2 (CIGSSe) thin film solar cells fabricated using two different buffer layer processes: chemical bath deposition (CBD) and atomic layer deposition (ALD) were investigated. The CIGSSe solar cell with the ALD buffer showed comparable conversion efficiency to the CIGSSe solar cell with CBD buffer but lower shunt resistance even though it showed lower point shunt defect density as measured in electroluminescence. The shunt paths were investigated in detail by capturing the high-resolution dark lock-in thermography images, resolving the shunt resistance contributions of the scribing patterns (P1, P3), and depth profiling of the constituent elements. It was found that the concentration of Na from the soda-lime glass substrate played a key role in controlling the shunt paths. In the ALD process, Na segregated at the surface of CIGSSe and contributed to the increase in the shunt current through P1 and P3, resulting in a reduction in the fill factor of the CIGSSe solar cells.

Analysis of Research on Nurses' Job Stress Using Network Analysis.

This study established a network related to nurses' job stress by conducting a social network analysis of titles, keywords, and abstracts, and it identified emerging topics of research. NetMiner 4.0 visualized an interconnection between critical keywords and investigated their frequency of appearance to construe the trends in nurses' job stress measures used in studies conducted over 55 years (1960-2015). Text Rank Analyzer examined a collection of 9,218 keywords from 2,662 studies. The analysis revealed four groups of newly emerging keywords in the research. The following five clusters were identified: concept, subject, method and tool, outcome and response, and solution and management. Thus, if new researchers refer to existing trends to establish the subject of their study, replication studies can be reduced, and the direction of the development of future research on nurses' job stress can be predicted. Further application of new interventions, development of objective indicators, working environment, and broader participants are needed.

Interfacial Engineering for the Synergistic Enhancement of Thermal Conductivity of Discotic Liquid Crystal Composites.

To develop an advanced heat transfer composite, a deeper understanding of the interfacial correlation between matrix and filler is of paramount importance. To verify the effect of interfacial correlations on the thermal conductivity, the conductive fillers such as expanded graphite (EG) and boron nitride (BN) are introduced in the discotic liquid crystal (DLC)-based polymeric matrix. The DLC matrix exhibits better interfacial affinity with EG compared to BN because of the strong π-π interactions between EG and DLC. Thanks to its excellent interfacial affinity, the EG-DLC composites show a synergistic increment in thermal conducting performance.

Development of a minipig physical phantom from CT data.

Quantification of pathological progression of radiation-induced injury is essential in development of treatment methods, and a proper animal model is necessary for relevant radiological and medical studies. A minipig is a current animal model selected because of its similarities to humans in anatomy and pathology. In the present study, a minipig physical phantom was developed using computed tomography (CT) data. For dosimetry purposes, the minipig physical phantom was constructed on a slice-by-slice basis, with an array of holes to accommodate dosimeters. The phantom is constituted of three major organs, i.e. bone, lung, and remaining soft tissue, and the organs are clearly distinguishable on each 20-mm-thick axial slice. The quality of the tissue-equivalent (TE) substitutes was analyzed in terms of the atomic compositions and Hounsfield units (HUs). The density (in g/cm3) and effective atomic number of TE substitutes for the bone, lung, and soft tissue are 1.4 and 7.9, 0.5 and 10.0, and 1.0 and 5.9, respectively. Although the TE substitutes have slightly different physical properties, we think the phantom is acceptable because the HU values of the TE substitutes lie in the HU range of real tissues.

Optically Patternable Metamaterial Below Diffraction Limit.

We report an optically patternable metamaterial (OPM) for ultraviolet nanolithography below the diffraction limit. The OPM features monolayered silver nanoislands embedded within a photosensitive polymer by using spin-coating of an ultrathin polymer, oblique angle deposition, and solid-state embedment of silver nanoislands. This unique configuration simultaneously exhibits both negative effective permittivity and high image contrast in the ultraviolet range, which enables the surface plasmon excitation for the clear photolithographic definition of minimum feature size of 70 nm (≲ λ/5) beyond the near-field zone. This new metamaterial provides a new class of photoresist for ultraviolet nanolithography below the diffraction limit.

Predictors of Default from Treatment for Tuberculosis: a Single Center Case-Control Study in Korea.

Default from tuberculosis (TB) treatment could exacerbate the disease and result in the emergence of drug resistance. This study identified the risk factors for default from TB treatment in Korea. This single-center case-control study analyzed 46 default cases and 100 controls. Default was defined as interrupting treatment for 2 or more consecutive months. The reasons for default were mainly incorrect perception or information about TB (41.3%) and experience of adverse events due to TB drugs (41.3%). In univariate analysis, low income (< 2,000 US dollars/month, 88.1% vs. 68.4%, P = 0.015), absence of TB stigma (4.3% vs. 61.3%, P < 0.001), treatment by a non-pulmonologist (74.1% vs. 25.9%, P < 0.001), history of previous treatment (37.0% vs. 19.0%, P = 0.019), former defaulter (15.2% vs. 2.0%, P = 0.005), and combined extrapulmonary TB (54.3% vs. 34.0%, P = 0.020) were significant risk factors for default. In multivariate analysis, the absence of TB stigma (adjusted odd ratio [aOR]: 46.299, 95% confidence interval [CI]: 8.078-265.365, P < 0.001), treatment by a non-pulmonologist (aOR: 14.567, 95% CI: 3.260-65.089, P < 0.001), former defaulters (aOR: 33.226, 95% CI: 2.658-415.309, P = 0.007), and low income (aOR: 5.246, 95% CI: 1.249-22.029, P = 0.024) were independent predictors of default from TB treatment. In conclusion, patients with absence of disease stigma, treated by a non-pulmonologist, who were former defaulters, and with low income should be carefully monitored during TB treatment in Korea to avoid treatment default.

Excessive Weight Gain during the First Year of Peritoneal Dialysis Is Associated with Inflammation, Diabetes Mellitus, and a Rapid Decrease in Residual Renal Function.

OBJECTIVES: Significant weight gain is a potential problem in most patients starting peritoneal dialysis (PD); however, few studies have explored the clinical effects of increased body weight (BW) in these patients. We evaluated the effect of excess weight gain during the first year after PD on residual renal function (RRF). METHODS: A total of 148 incident PD patients were analyzed in a longitudinal observational study. The mean duration of follow-up was 23.8 months. RRF was measured at baseline (within 1 month of starting PD) and thereafter at 6-month intervals for 2-3 years or until loss of RRF. BW was measured at the time of RRF measurement, and excess weight gain was defined as a BW increase over the median value (3.0%). RESULTS: The median 1-year increase in BW was 2.3kg (IQR, 1.01-4.58) or 3.0% (IQR, 1.13-5.31). The mean slope of RRF decline was -0.068 ± 0.053 mL/min/month/1.73m2, and RRF loss developed in 48 patients at a mean follow-up time of 19.4 ± 6.8 months. Patients with BW increases > 3.0% showed significantly increased RRF decline rate compared to those without excess weight gain (p<0.001), and the BW increase (%/year) correlated significantly with higher hs-CRP levels and RRF decline rate. High systolic blood pressure, diabetes, large amount of proteinuria and excess BW gain significantly influenced the RRF decline rate. Also, it increased the risk of RRF loss by 4.17-fold (95% confidence intervals, 1.87-9.28; p<0.001). CONCLUSIONS: Excess weight gain during the first year of PD was closely linked to systemic inflammation, diabetes and rapid decline in RRF.

Four-Year Changes in Visceral Fat Mass and the Risk of Developing Proteinuria in the General Population.

BACKGROUND: Previous cross-sectional studies demonstrated the close relationship between visceral obesity and the increased prevalence of proteinuria. But, little is known about the role of changes in visceral fat mass (∆VFM) over several years in the development of proteinuria. In this longitudinal cohort study with the general population, the changes in ∆VFM as well as baseline VFM on proteinuria development were evaluated. METHODS: Healthy individuals (n = 2393) who participated in two health screening exams were analyzed. Subjects were divided into three groups based on gender-specific tertiles of baseline VFM and ∆VFM. Each patient was tested for proteinuria using a dipstick, and proteinuria was defined as 1+ or greater. RESULTS: The mean age was 51.9±7.7 years, and the incidence of proteinuria was 3.9% (n = 93). During the 4 years, 52.5% of the subjects experienced a decline in ∆VFM. However, subjects who developed proteinuria exhibited a significant increase in ∆VFM. Even after adjustment for age, smoking, systolic and diastolic BP, serum creatinine, and hs-CRP levels, the highest tertiles for baseline VFM [men, odds ratio (OR) 3.43, 95% confidence interval (CI) 1.22-9.67; women, OR 2.01, 95% CI 1.05-4.15] and ∆VFM (men, OR 2.92, 95% CI 1.22-6.99; women, OR 3.16, 95% CI 1.56-6.39) were independent predictors of proteinuria development. Following adjustment of both parameters, subjects in the highest baseline VFM and ∆VFM tertiles exhibited the greatest risk of proteinuria development, which suggested the additive harmful effects of the two factors. CONCLUSIONS: Baseline VFM and greater increase in ∆VFM were both important risk factors for developing proteinuria in the general population. Appropriate education and interventions to prevent accumulation of VFM should be the major focus of preemptive strategies.

An alternative surgical technique for repair of anomalous origin of the left coronary artery from the pulmonary artery.

BACKGROUND: For the surgical management of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), there have been various techniques that reduce the tension and kinking of the coronary artery during reimplantation to the aorta. The aim of this study is to describe the results of our modified technique of coronary reimplantation for the treatment of ALCAPA. METHODS: Between October 2003 and February 2011, seven patients underwent coronary reimplantation with the modified technique (tubing formation with the sinus wall of the pulmonary artery and trapdoor formation at the site of implantation in the aorta). The median follow-up duration was 52 months (range, 4 to 72 months). Clinical outcomes and serial echocardiographic data were reviewed. RESULTS: There was no mortality. One patient had a small amount of cerebral hemorrhage postoperatively and improved without any sequelae. Another patient had left diaphragm palsy and underwent diaphragm plication. Follow-up echocardiogram showed that all patients had normal ventricular function without chamber enlargement. CONCLUSION: Our modified technique (tubing formation with the sinus wall of the pulmonary artery and trapdoor formation at the site of implantation in the aorta) demonstrated successful clinical outcomes. We conclude that this surgical technique can be a potential alternative for the treatment of ALCAPA.