Comparison of quantification of intraretinal hard exudates between optical coherence tomography en face image versus fundus photography.

PURPOSE: To compare the quantification of intraretinal hard exudate (HE) using en face optical coherence tomography (OCT) and fundus photography. METHODS: Consecutive en face images and corresponding fundus photographs from 13 eyes of 10 patients with macular edema associated with diabetic retinopathy or Coats' disease were analyzed using the machine-learning-based image analysis tool, "ilastik." RESULTS: The overall measured HE area was greater with en face images than with fundus photos (en face: 0.49 ± 0.35 mm2 vs. fundus photo: 0.34 ± 0.34 mm2, P < 0.001). However, there was an excellent correlation between the two measurements (intraclass correlation coefficient [ICC] = 0.844). There was a negative correlation between HE area and central macular thickness (CMT) (r = -0.292, P = 0.001). However, HE area showed a positive correlation with CMT in the previous several months, especially in eyes treated with anti-vascular endothelial growth factor (VEGF) therapy (CMT 3 months before: r = 0.349, P = 0.001; CMT 4 months before: r = 0.287, P = 0.012). CONCLUSION: Intraretinal HE can be reliably quantified from either en face OCT images or fundus photography with the aid of an interactive machine learning-based image analysis tool. HE area changes lagged several months behind CMT changes, especially in eyes treated with anti-VEGF injections.

Evaluation of Doxorubicin-loaded Echogenic Macroemulsion for Targeted Drug Delivery.

BACKGROUND: The latest technology trend in targeted drug delivery highlights stimuliresponsive particles that can release an anticancer drug in a solid tumor by responding to external stimuli. OBJECTIVE: This study aims to design, fabricate, and evaluate an ultrasound-responsive drug delivery vehicle for an ultrasound-mediated drug delivery system. METHODS: The drug-containing echogenic macroemulsion (eME) was fabricated by an emulsification method using the three phases (aqueous lipid solution as a shell, doxorubicin (DOX) contained oil, and perfluorohexane (PFH) as an ultrasound-responsive agent). The morphological structure of eMEs was investigated using fluorescence microscopy, and the size distribution was analyzed by using DLS. The echogenicity of eME was measured using a contrast-enhanced ultrasound device. The cytotoxicity was evaluated using a breast cancer cell (MDA-MB-231) via an in vitro cell experiment. RESULTS: The obtained eME showed an ideal morphological structure that contained both DOX and PFH in a single particle and indicated a suitable size for enhancing ultrasound response and avoiding complications in the blood vessel. The echogenicity of eME was demonstrated via an in vitro experiment, with results showcasing the potential for targeted drug delivery. Compared to free DOX, enhanced cytotoxicity and improved drug delivery efficiency in a cancer cell were proven by using DOX-loaded eMEs and ultrasound. CONCLUSION: This study established a platform technology to fabricate the ultrasound-responsive vehicle. The designed drug-loaded eME could be a promising platform with ultrasound technology for targeted drug delivery.

Fabrication and Evaluation of Ultrasound-Responsive Emulsion Loading Paclitaxel for Targeted Chemotherapy.

Chemotherapy is the most widely used cancer treatment, but it has several drawbacks such as adverse side effects and low bioavailability. To address these limitations, various drug delivery systems have been investigated, including liposomes, micelles, and emulsions. These drug delivery technologies have been improving the efficacy and safety of conventional chemotherapy. This study presents an emerging drug delivery technology for targeted chemotherapy using drug-loaded ultrasound-responsive emulsion (URE) as a drug carrier and ultrasound technology for external activation. URE was designed to be responsive to ultrasound energy and fabricated by using an emulsification technique. To investigate this technology, paclitaxel, as a model drug, was used and encapsulated into URE. The size distribution, morphology, and drug release behavior of paclitaxel-loaded URE (PTX-URE) were characterized, and the echogenicity of PTX-URE was assessed by using ultrasound imaging equipment. The cellular uptake and cytotoxicity of PTX-URE with ultrasound were evaluated in breast cancer cells (MDA-MB-231). Our in vitro results indicate that the combination of PTX-URE and ultrasound significantly enhanced cellular uptake by 10.6-fold and improved cytotoxicity by 24.1% compared to PTX alone. These findings suggest that the URE platform combined with ultrasound is a promising technology to improve the drug delivery efficiency for chemotherapy.

Ecotoxicity study of reduced-Cr(III) generated by Cr(VI) biosorption.

Hexavalent chromium (Cr(VI)) is a known carcinogen in living organisms, and many studies have investigated Cr(VI) removal methods. Biosorption, one of the Cr(VI) removal methods, is dominated by chemical binding, ion exchange, physisorption, chelation and oxidation-reduction. Among these mechanisms, Cr(VI) can be removed by nonliving biomass through a redox reaction, which has been recognized as 'adsorption-coupled reduction'. Cr(VI) is reduced to Cr(III) during biosorption, but there are no studies on the property and toxicity of the reduced-Cr(III). In this study, the harmfulness of reduced-Cr(III) was identified through assessment of mobility and toxicity in nature. Pine bark, a low-cost biomass, was used to remove Cr(VI) from aqueous solution. Reduced-Cr(III) was characterized by structural features using X-ray Absorption Near Edge Structure (XANES) spectra, mobility assessed using precipitation, adsorption and soil column test, and toxicity using radish sprouts and water flea. XANES analysis confirmed that reduced-Cr(III) has an unsymmetrical structure, and the reduced-Cr(III) showed low mobility and was virtually non-toxic, and helpful for plant growth. Our findings demonstrate that Cr(VI) biosorption technology using pine bark is a groundbreaking technology for Cr(VI) detoxification.

Comment on the review paper "agricultural waste materials for adsorptive removal of phenol, chromium(VI) and cadmium(II) from wastewaters: A review" by Othmani et al. (2022).

Review papers help researchers understand the direction and flow of research and help beginners quickly acquire relevant knowledge. Therefore, the review paper should describe only accurate contents and should be written with only core and important matters. Recently, Othmani et al. (2022) reviewed more than 200 papers related to the adsorptive removal of three harmful pollutants: toxic organics (phenols), anionic heavy metal (Cr(VI)) and cationic heavy metal (Cd(II)) by agricultural waste materials. However, Cr(VI)-related section of this review is missing something important that should be provided to the readers of this journal. In fact, the removal mechanism of Cr(VI) by nonliving biomass including agricultural waste materials under acidic conditions is not a simple anion adsorption but a complex mechanism involving redox reaction called "adsorption-coupled reduction". Therefore, when interpreting the factors affecting Cr(VI) removal, it should be interpreted in terms of the redox reaction concept, not anion adsorption.

Comparison of retinal nerve fiber layer thickness and Bruch's membrane opening minimum rim width thinning rate in open-angle glaucoma.

This study aimed to compare the rate of thinning between retinal nerve fiber layer thickness (RNFLT) and Bruch's membrane opening minimum rim width (BMO-MRW) in open-angle glaucoma (OAG) according to glaucoma severity. We retrospectively reviewed subjects with a total of 111 eyes with OAG that had undergone optical coherence tomography more than four times during more than 3 years of follow-up. The subjects were divided into three groups based on the mean deviation (MD) of the baseline visual field test: high MD (MD > - 2 dB), medium MD (- 2 dB ≥ MD > - 6 dB), and low MD (- 6 dB ≥ MD > - 12 dB) groups. A linear mixed model was employed to compare the rate of thinning between RNFLT and BMO-MRW among the three groups. The rate of RNFLT thinning was fastest in the inferotemporal sector in all three groups. The rate of BMO-MRW thinning was fastest in the inferotemporal sector of the high MD group and the superotemporal sector of the other two groups. Among the three groups, the rate of RNFLT thinning was not significantly different in the global sector and all sectors except the nasal sector. The rate of BMO-MRW thinning in the inferotemporal sector showed no significant difference, but that in the superotemporal sector was faster in the medium MD and low MD groups than in the high MD group. The fastest rate of RNFLT thinning was consistently observed in the inferotemporal sector, but BMO-MRW showed a change in the fastest thinning sector from inferotemporal to superotemporal, with increasing severity in early to moderate OAG. The difference in the changes in the two parameters may help understand the pathogenesis of glaucoma and predict its progression.

Enhanced Luminance of CdSe/ZnS Quantum Dots Light-Emitting Diodes Using ZnO-Oleic Acid/ZnO Quantum Dots Double Electron Transport Layer.

The widely used ZnO quantum dots (QDs) as an electron transport layer (ETL) in quantum dot light-emitting diodes (QLEDs) have one drawback. That the balancing of electrons and holes has not been effectively exploited due to the low hole blocking potential difference between the valence band (VB) (6.38 eV) of ZnO ETL and (6.3 eV) of CdSe/ZnS QDs. In this study, ZnO QDs chemically reacted with capping ligands of oleic acid (OA) to decrease the work function of 3.15 eV for ZnO QDs to 2.72~3.08 eV for the ZnO-OA QDs due to the charge transfer from ZnO to OA ligands and improve the efficiency for hole blocking as the VB was increased up to 7.22~7.23 eV. Compared to the QLEDs with a single ZnO QDs ETL, the ZnO-OA/ZnO QDs double ETLs optimize the energy level alignment between ZnO QDs and CdSe/ZnS QDs but also make the surface roughness of ZnO QDs smoother. The optimized glass/ITO/PEDOT:PSS/PVK//CdSe/ZnS//ZnO-OA/ZnO/Ag QLEDs enhances the maximum luminance by 5~9% and current efficiency by 16~35% over the QLEDs with a single ZnO QDs ETL, which can be explained in terms of trap-charge limited current (TCLC) and the Fowler-Nordheim (F-N) tunneling conduction mechanism.

Energy-Efficient III-V Tunnel FET-Based Synaptic Device with Enhanced Charge Trapping Ability Utilizing Both Hot Hole and Hot Electron Injections for Analog Neuromorphic Computing.

A charge trap device based on field-effect transistors (FET) is a promising candidate for artificial synapses because of its high reliability and mature fabrication technology. However, conventional MOSFET-based charge trap synapses require a strong stimulus for synaptic update because of their inefficient hot-carrier injection into the charge trapping layer, consequently causing a slow speed operation and large power consumption. Here, we propose a highly efficient charge trap synapse using III-V materials-based tunnel field-effect transistor (TFET). Our synaptic TFETs present superior subthreshold swing and improved charge trapping ability utilizing both carriers as charge trapping sources: hot holes created by impact ionization in the narrow bandgap InGaAs after being provided from the p+-source, and band-to-band tunneling hot electrons (BBHEs) generated at the abrupt p+n junctions in the TFETs. Thanks to these advances, our devices achieved outstanding efficiency in synaptic characteristics with a 5750 times faster synaptic update speed and 51 times lower sub-fJ/um2 energy consumption per single synaptic update in comparison to the MOSFET-based synapse. An artificial neural network (ANN) simulation also confirmed a high recognition accuracy of handwritten digits up to ∼90% in a multilayer perceptron neural network based on our synaptic devices.

Sonophoresis with ultrasound-responsive liquid-core nuclei for transdermal drug delivery.

BACKGROUND: Sonophoresis can increase the delivery efficiency of various drugs into the skin. A recent advance in sonophoresis is the use of ultrasound-responsive liquid-core nuclei (URLN) to increase the probability of cavitation. In this study, we developed a URLN and ultrasound device, and demonstrated its effectiveness through in vitro and clinical tests. MATERIALS AND METHODS: Three types of experiments were designed to evaluate the efficiency of sonophoresis with URLN. First, a Franz diffusion cell with cosmetic ingredients was used to analyze quantitatively the amount of drug delivered to the porcine skin. Second, after the application of sonophoresis with URLN, the porcine skin surface was examined using scanning electron microscopy (SEM) to see the changes in morphology. Finally, a clinical test was performed to verify the utility of sonophoresis with URLN. RESULTS: The results indicate that sonophoresis with URLN can increase the amount of compound delivered by approximately 11.9-fold over 6 h for niacinamide and by 7.33-fold over 6 h for adenosine. In addition, we observed approximately 20-30 µm sized pores on porcine skin in SEM images. In clinical testing, the application of sonophoresis with cosmetics containing URLN for 3 min improved the efficiency of transdermal drug delivery by 1.9-fold, the depth of absorption by 2.0-fold, and the speed of absorption by 2.0-fold at 30 min after application. CONCLUSION: We expect that sonophoresis with specialized URLN in transdermal drug delivery could be used widely for various skin-related applications.

Optimization and comparison of methane production and residual characteristics in mesophilic anaerobic digestion of sewage sludge by hydrothermal treatment.

Anaerobic digestion is the preferred method for treating sewage sludge because of its ability to reduce sludge volume and produce biogas. However, conventional anaerobic digestion has a long retention time and low degradation rate. In recent years, hydrothermal treatment has been used to improve the hydrolysis of sewage sludge and biogas production. This process tends to focus on maximizing biogas production. However, very little research has been done on anaerobic digestion residues. In this study, batch experiments were conducted to investigate the effect of hydrothermal temperature on methane production and the contents of liquid fraction after anaerobic digestion (centrate). Experimental conditions were designed using a response surface method and central composite model. A quadratic equation was used to interpret the individual and interactive effects of hydrothermal conditions on anaerobic digestion. Given the maximum biogas production and the minimum concentrate concentration, the optimal operating condition was determined by a 186 °C hydrothermal temperature and a reaction time of 106 min. Under these conditions, the following results could be obtained: methane production (200.5 ± 7.7 mL-CH4/gVSadded), TCOD (16,572 ± 348 mg/L), sCOD (1240 ± 65 mg/L), sTN (658.9 ± 8.0 mg/L) and ammonia (525 ± 27 mg/L).

New insight into continuous recirculation-process for treating arsenate using bacterial biosorbent.

In this study, a new recirculation column reactor system for arsenate removal using a polyethylenimine coated bacterial biosorbent was developed. Solution pH was the most important factor in process design and operation. In order to control and optimize solution pH favorable for arsenate removal, a pH control and recirculation system was added to a column reactor. The effects of recycle ratio, initial arsenate concentration, and flow rate on the arsenate removal performance of the developed process were examined. Thomas and Yoon-Nelson models were used to interpret the breakthrough curve of arsenate removal. The maximum arsenate adsorption amount of the new reactor was determined to be 50.86 mg/g by the Thomas model. Importantly, the new reactor showed unimpeded adsorption performance compared with that in the batch experiments. The desorption study also showed excellent reusability. The results indicated that the newly developed process could be a promising application prospect for removing arsenate.

Patellofemoral contact mechanics after transposition of tibial tuberosity in dogs.

BACKGROUND: Tibial tuberosity transposition (TTT) causes caudalization of the patellar ligament insertion in canine medial patellar luxation, which can lead to increases in patellofemoral contact pressure. OBJECTIVES: The purpose of this study is to confirm the effect of patellofemoral contact mechanics after craniolateral and caudolateral transposition of tibial tuberosity in normal canine hindlimbs. METHODS: Craniolateral and caudolateral transposition of tibial tuberosity was performed in 5 specimens, respectively. The pressure was measured in the specimen before TTT, and then in the same specimen after TTT. In this process, data was obtained in 10 specimens. The measurement results were output as visualization data through the manufacturer's software and numerical data through spreadsheet. Based on these 2 data and the anatomical structure of the patellofemoral joint (PFJ) surface, whole measurement area was analysed by dividing into medial, lateral and central area. RESULTS: In craniolateralization of tibial tuberosity, total, medial, central contact pressure was decreased and lateral contact pressure was not statistically changed lateral contact pressure than normal PFJ. In caudolateralization of tibial tuberosity, total, lateral contact pressure was increased and medial contact pressure was not statistically changed than normal PFJ. Although not statistically significant changed, central contact pressure in caudolateralization of tibial tuberosity was increased in all 5 specimens. CONCLUSIONS: These results imply that traditional TTT, prone to caudal shift of patellar tendon, can increase retropatellar pressure may lead to various complications and diseases of the stifle joint.

Development of 64Cu-loaded Perfluoropentane Nanodroplet: A Potential Tumor Theragnostic Nano-carrier and Dual-Modality PET-Ultrasound Imaging Agents.

The purpose of this study was to develop and preliminarily evaluate phospholipid-shelled nanodroplets (NDs) encapsulating perfluoropentane (PFP) and radioactive 64Cu as a hybrid positron emission tomography (PET)-ultrasound (US) probe. PFP NDs were fabricated by mixing liquid-phase PFP with a phospholipid solution. The 64Cu was encapsulated into the NDs in a size-controlled manner by exploiting the hydrophobicity of 64Cu-diacetyl-bis(N4-methylthiosemicarbazone) (64Cu-ATSM) using a vial mixer and an extruder. The fabricated 64Cu-loaded PFP NDs (64Cu-PFP NDs) were evaluated using in vitro/in vivo PET-computed tomography (PET-CT), US imaging and transmission electron microscopy. In the in vitro PET images, the 64Cu-PFP NDs were observed as a hot spot in the lower section of the test tube. In the acquired US images, the mean region of interest brightness values of 64Cu-PFP NDs were revealed by their strong echo image. In a tumor-bearing mouse animal model, tumor uptake of the 64Cu-PFP NDs was low, that is, approximately 65%, compared with that of only free 64Cu, as determined by PET-delayed imaging analysis. The dual-function concept of the NDs is expected to contribute to the prognosis and effectiveness of therapy by fusing the science and technology of nuclear medicine and US.

Current Status of Amebic Liver Abscess in Korea Comparing with Pyogenic Liver Abscess.

Backgrounds/Aims: With the improvement of hygiene, the incidence of amebic liver abscess is decreasing in South Korea. On the other hand, there is little data on the status of amebic liver abscess compared to pyogenic liver abscess. Methods: Patients with an amebic liver abscess, in whom Entamoeba histolytica (E. histolytica) IgG was positive, were identified retrospectively in a university hospital. The clinical, laboratory, and radiological characteristics of amebic liver abscess were compared with those of pyogenic liver abscess in the same period. Results: Between March 2010 and October 2016, 413 patients with a liver abscess were identified. Among them, the serologic test for E. histolytica was performed in 209 patients. Fifteen (7.2%) were classified as an amebic liver abscess, and the remainder were diagnosed with a pyogenic liver abscess. The age, gender, white blood cell, and CRP was comparable between the two groups. Procalcitonin was lower in amebic liver abscess than the pyogenic one. On CT, peripheral rim enhancement was more frequent, but cluster signs were not observed in amebic liver abscess compared to pyogenic liver abscess. None of the patients with amebic liver abscess died. In contrast, the mortality of pyogenic liver abscess was 4.7%. Conclusions: Amebic liver abscess should still be considered as one of the causes of liver abscess in Korea. It is difficult to discriminate an amebic liver abscess from a pyogenic liver abscess only according to the clinical, laboratory, and radiologic findings. Therefore, it is necessary to perform a serologic test for E. histolytica for a precise evaluation of liver abscess in a high-risk group.

A study of solubilization of sewage sludge by hydrothermal treatment.

The use of activated sludge process for biological treatment of domestic and industrial wastewaters generates large amounts of sewage sludge, which is regarded as problematic biowaste. Conventional waste treatment methods such as landfilling and ocean pumping have been used to dispose the unwanted sludge, but this practice is no longer recommended due to serious secondary pollution and strict environmental regulations. Hydrothermal treatment represents a promising alternative that has attracted attention in recent years. In this study, batch experiments of hydrothermal treatment of domestic sewage sludge were conducted under varying conditions (temperature of 150-300 °C, reaction time of 0.5-3.0 h, and sludge concentration of 5-30 g/L). A statistical study of the responses, including disintegration degree and concentration of dissolved compounds, was performed using a response surface methodology. Optimal conditions for hydrothermal treatment of sewage sludge were obtained through mathematical modeling.

Transdermal Drug Delivery using a Specialized Cavitation Seed for Ultrasound.

GOAL: The Sonophoresis, which utilizes ultrasound for transdermal drug delivery (TDD), can improve the efficiency of drug delivery for a variety of drugs predominantly due to caviation effect. In order to increase the efficacy of sonophoresis, we propose an alternative cavitation seed specialized for sonophoresis, which can be concentrated on the skin surface by gravity adapting perfluorohexane as core. METHODS: An in vitro and in vivo experiments were conducted to assess the effect of the specialized cavitation seed. High performance liquid chromatography was used for in vitro experiments on porcine skin with ferulic acid and an optical imaging system was used for in vivo experiments on rat model with fluorescein isothiocyanate-dextran (FD, 150 kDa), respecitively. RESULTS: The amount of ferulic acid delivered by sonophoresis with the proposed cavitation seed was approximately 1,700 times greater than the amount delivered by diffusion. FD could be delivered to a depth of 500 »m under the skin, and the average total flux in the region of interest was increased 6.4-fold for the group using sonophoresis with the cavitation seed compared to the group using diffusion. CONCLUSION: Conclusively, sonophoresis with the proposed cavitation seed demonstrated significant improvement in TDD and the possibility of macromolecule delivery into the skin. SIGNIFICANCE: This approach has potential to be a main TDD method for variety of applications including medicine and cosmetics.

Removal of anionic arsenate by a PEI-coated bacterial biosorbent prepared from fermentation biowaste.

As a problematic element in water systems, arsenic exists as As(III) and As(V). Adsorption techniques can be used to remove anionic As(V) as it is present as a polyatomic anion. In the case of As(III) which exists in zero-valent state under neutral pH, it can be also removed by adsorption after being converted into As(V). Many inorganic and organic materials have been examined as potential adsorbents for anionic As(V) removal. However, most exhibit relatively low adsorption capacities (<10 mg/g). The objective of this study is to examine As(V)-removal mechanism and practical potential of a PEI-coated bacterial biosorbent prepared from fermentation biowaste. The maximum As(V) uptake of the biosorbent was determined to be 62.99 mg/g by Langmuir model. The effects of various parameters including pH, biosorbent dosage, ionic strength and temperature were also examined. Kinetic and equilibrium models were used to interpret the experimental data mathematically. A 0.01 M NaOH solution was chosen as an effective As(V)-desorbing eluent for biosorbent regeneration. The adsorption capacity of the biosorbent remained above 85% over three successive cycles of adsorption and desorption. In conclusion, the biowaste-driven biosorbent is a promising anion adsorbent for treatment of As(V)-contaminated wasters.

Optimization of the electron transport in quantum dot light-emitting diodes by codoping ZnO with gallium (Ga) and magnesium (Mg).

In our study, to optimize the electron-hole balance through controlling the electron transport layer (ETL) in the QD-LEDs, four materials (ZnO, ZnGaO, ZnMgO, and ZnGaMgO NPs) were synthesized and applied to the QD-LEDs as ETLs. By doping ZnO NPs with Ga, the electrons easily inject due to the increased Fermi level of ZnO NPs, and as Mg is further doped, the valence band maximum (VBM) of ZnO NPs deepens and blocks the holes more efficiently. Also, at the interface of QD/ETLs, Mg reduces non-radiative recombination by reducing oxygen vacancy defects on the surface of ZnO NPs. As a result, the maximum luminance (L max) and maximum luminance efficiency (LEmax) of QD-LEDs based on ZnGaMgO NPs reached 43 440 cd m-2 and 15.4 cd A-1. These results increased by 34%, 10% and 27% for the L max and 450%, 88%, and 208% for the LEmax when compared with ZnO, ZnGaO, and ZnMgO NPs as ETLs.