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Authors = Si-Hyun Kim

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12 pages, 1987 KiB  
Communication
Clutter Mitigation in Indoor Radar Sensors Using Sensor Fusion Technology
by Srishti Singh, Ha-Neul Lee, Yuna Park, Sungho Kim, Si-Hyun Park and Jong-Ryul Yang
Sensors 2025, 25(10), 3113; https://doi.org/10.3390/s25103113 - 14 May 2025
Viewed by 707
Abstract
A methodology utilizing low-resolution camera data is proposed to mitigate clutter effects on radar sensors in smart indoor environments. The proposed technique suppresses clutter in distance–velocity (range–Doppler) images obtained from millimeter-wave radar by estimating clutter locations using approximate spatial information derived from low-resolution [...] Read more.
A methodology utilizing low-resolution camera data is proposed to mitigate clutter effects on radar sensors in smart indoor environments. The proposed technique suppresses clutter in distance–velocity (range–Doppler) images obtained from millimeter-wave radar by estimating clutter locations using approximate spatial information derived from low-resolution camera images. Notably, the inherent blur present in low-resolution images closely corresponds to the distortion patterns induced by clutter in radar signals, making such data particularly suitable for effective sensor fusion. Experimental validation was conducted in indoor path-tracking scenarios involving a moving subject within a 10 m range. Performance was quantitatively evaluated against baseline range–Doppler maps obtained using radar data alone, without clutter mitigation. The results show that our approach improves the signal-to-noise ratio by 2 dB and increases the target detection rate by 8.6% within the critical 4–6 m range, with additional gains observed under constrained velocity conditions. Full article
(This article belongs to the Special Issue Waveform for Joint Radar and Communications)
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12 pages, 2025 KiB  
Article
Lambertianic Acid from Platycladus orientalis Inhibits Muscle Atrophy in Dexamethasone-Induced C2C12 Muscle Atrophy Cells
by Chan Hee Cho, Si Hyeon Chae, Ngoc Han Le Thi, Sung Hee Um, Seulah Lee, Jae Sik Yu, Ki Sung Kang and Ki Hyun Kim
Plants 2025, 14(9), 1357; https://doi.org/10.3390/plants14091357 - 30 Apr 2025
Viewed by 763
Abstract
Platycladus orientalis, an evergreen tree belonging to the Cupressaceae family, has been traditionally used to treat various ailments, including fever, cough, diarrhea, diuresis, cold symptoms, and gastrointestinal disorders in folk medicine. As part of our ongoing investigation aimed at discovering bioactive natural [...] Read more.
Platycladus orientalis, an evergreen tree belonging to the Cupressaceae family, has been traditionally used to treat various ailments, including fever, cough, diarrhea, diuresis, cold symptoms, and gastrointestinal disorders in folk medicine. As part of our ongoing investigation aimed at discovering bioactive natural products and elucidating their mechanisms of action from various natural sources, we investigated a methanol (MeOH) extract of P. orientalis leaves. This investigation led to the isolation and identification of a labdane-type diterpene, lambertianic acid (LA), via column chromatography and HPLC purification. The structure of LA was elucidated using LC/MS and NMR spectroscopic analyses, including HR-ESIMS, while its absolute configuration was confirmed through electronic circular dichroism (ECD) calculations. Recent studies have reported that labdane-type diterpenes exhibit diverse pharmacological activities, such as anticancer, anti-inflammatory, anti-obesity, and hypolipidemic effects. Notably, LA has been shown to modulate adipocyte metabolism via AMPK signaling; however, its role in skeletal muscle atrophy remains unexplored. Therefore, in this study, we investigated the effects of LA on dexamethasone (Dex)-induced muscle atrophy in C2C12 myotubes. Treatment with LA at concentrations of 25 µM and 50 µM significantly rescued myotube diameter and reduced the expression of atrophy-related proteins, including MuRF-1 and atrogin-1/MAFbx, without compromising cell viability at these moderate concentrations. These findings suggest that LA derived from P. orientalis exerts protective effects against skeletal muscle atrophy, highlighting its potential as a promising natural therapeutic candidate for muscle-wasting disorders. Full article
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12 pages, 1953 KiB  
Article
[68Ga]-DOTATOC PET/CT Volumetric Parameters Reflect Metastatic Potential in Pancreatic Neuroendocrine Tumors
by So Jeong Kim, Jongtae Cha, Hee Seung Lee, Moon Jae Chung, Jeong Youp Park, Seungmin Bang, Seung Woo Park, Si Young Song, Arthur Cho and Jung Hyun Jo
Cancers 2025, 17(9), 1487; https://doi.org/10.3390/cancers17091487 - 28 Apr 2025
Viewed by 502
Abstract
Background: [68Ga]-DOTATOC PET/CT is a valuable technique for identifying neuroendocrine tumors overexpressing somatostatin receptors; however, its diagnostic and prognostic utility for WHO low-grade pancreatic neuroendocrine tumors remains unclear. Therefore, we aimed to evaluate [68Ga]-DOTATOC uptake in well-differentiated pancreatic neuroendocrine [...] Read more.
Background: [68Ga]-DOTATOC PET/CT is a valuable technique for identifying neuroendocrine tumors overexpressing somatostatin receptors; however, its diagnostic and prognostic utility for WHO low-grade pancreatic neuroendocrine tumors remains unclear. Therefore, we aimed to evaluate [68Ga]-DOTATOC uptake in well-differentiated pancreatic neuroendocrine tumors and determine its predictive capability for metastasis. Methods: Patients with pathologically diagnosed well-differentiated, non-functional pancreatic neuroendocrine tumors who underwent [68Ga]-DOTATOC PET/CT between 2015 and 2021 were included. Medical records and [68Ga]-DOTATOC PET/CT indices (maximal and mean standardized uptake values, somatostatin receptor-expressing tumor volume, and total lesion somatostatin receptor expression in pancreatic tumors) were retrospectively reviewed. Correlations between indices were analyzed to determine their collective diagnostic significance. Results: Among 93 patients who were pathologically diagnosed with pancreatic neuroendocrine tumors and underwent [68Ga]-DOTATOC PET/CT, 48 with well-differentiated, non-functional pancreatic neuroendocrine tumors without accompanying genetic syndromes were included. The pancreatic neuroendocrine tumors were classified as WHO grade 1 (n = 30, 62.5%) and grade 2 (n = 18, 37.5%), with tumors in 25% of the patients exhibiting initial metastases. A higher incidence of metastasis was observed in larger metabolically active tumors (somatostatin receptor-expressing tumor volume, p < 0.001; total lesion somatostatin receptor expression, p < 0.001). Conclusions: Volumetric parameters derived from [68Ga]-DOTATOC PET/CT correlates with initial metastasis in well-differentiated pancreatic neuroendocrine tumors. Full article
(This article belongs to the Section Clinical Research of Cancer)
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16 pages, 3560 KiB  
Article
Optimization of the Frying Process for Maximizing Crispiness of Scallop (Patinopecten yessoensis) Adductor Muscle Snacks Using Vacuum Low-Temperature Frying
by Sun-Young Park, Sang-In Kang, Jin Kim, Young-Hyun An, Ga-Bin Lee, Si-Hyeong Park and Jung-Suck Lee
Foods 2024, 13(24), 4091; https://doi.org/10.3390/foods13244091 - 17 Dec 2024
Viewed by 1364
Abstract
Scallops, an economically important seafood, are popular as fried snacks. Vacuum low-temperature frying creates crispy, healthier foods that meet consumer demand for nutritious snacks with excellent texture. However, research on vacuum frying for shellfish products remains limited. This study aimed to optimize the [...] Read more.
Scallops, an economically important seafood, are popular as fried snacks. Vacuum low-temperature frying creates crispy, healthier foods that meet consumer demand for nutritious snacks with excellent texture. However, research on vacuum frying for shellfish products remains limited. This study aimed to optimize the process for developing a healthy, crispy snack that retains the original shape of the Yesso scallop (Patinopecten yessoensis) adductor muscle using vacuum low-temperature frying technology. The effects of various frying methods on the scallops were analyzed. The vacuum low-temperature frying process was optimized based on evaluations of physical, chemical, and sensory properties. Frying conditions were optimized using response surface methodology, with temperature (X1: 90.1–109.9 °C) and time (X2: 186–774 s) as variables. Based on moisture (5.6 ± 0.1 g/100 g), hardness (1470 ± 5.0 g/cm2), and sensory chewiness (7.6 ± 0.2 points) analyses, 99.9 °C and 480 s were identified as the optimal conditions. Validation was conducted through sensory evaluation by 30 trained panelists. Scallops produced under these optimal frying conditions exhibited low water activity (aw) (0.46), desirable texture (1428 g/cm2), palatability (7.9 points), and high protein content (45.6 g/100 g). The predicted and experimental values for frying temperature and time showed strong agreement, validating the reliability of the optimization model. Full article
(This article belongs to the Special Issue Recent Advances in Aquatic Food Products Processing: 2nd Edition)
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21 pages, 17721 KiB  
Article
Comparison of Collision Avoidance Algorithms for Unmanned Surface Vehicle Through Free-Running Test: Collision Risk Index, Artificial Potential Field, and Safety Zone
by Jung-Hyeon Kim, Hyun-Jae Jo, Su-Rim Kim, Si-Woong Choi, Jong-Yong Park and Nakwan Kim
J. Mar. Sci. Eng. 2024, 12(12), 2255; https://doi.org/10.3390/jmse12122255 - 9 Dec 2024
Viewed by 1495
Abstract
This paper details the development of a collision avoidance algorithm for unmanned surface vehicles (USVs) and its validation using free-running tests. The USV, designed as a catamaran, incorporates a variety of sensors for its guidance, navigation, and control system. It performs turning maneuvers [...] Read more.
This paper details the development of a collision avoidance algorithm for unmanned surface vehicles (USVs) and its validation using free-running tests. The USV, designed as a catamaran, incorporates a variety of sensors for its guidance, navigation, and control system. It performs turning maneuvers using thrusters positioned on the port and starboard sides. The robot operating system is used to streamline communication, transmitting data such as position, orientation, and situational information from diverse sensors. Using the collision risk index (CRI) method, the algorithm calculates risk based on the distance to obstacles and the angle to the desired waypoint, directing the USV on a path with minimized risk. Noise within the data captured by the two-dimensional light detection and ranging system is filtered out using the k-dimensional tree and Euclidean distance methods, ensuring single obstacles are distinctly identified. To assess the efficacy of the CRI-based collision avoidance algorithm, it was benchmarked against other algorithms rooted in the artificial potential field and safety zone methods within an artificial tank setting. The results highlight the CRI method’s superior time efficiency and optimality in comparison to its counterparts. Full article
(This article belongs to the Special Issue Unmanned Marine Vehicles: Navigation, Control and Sensing)
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12 pages, 1592 KiB  
Article
Comparative Analysis of Different Extracellular Matrices for the Maintenance of Bovine Satellite Cells
by Jae Ho Han, Si Won Jang, Ye Rim Kim, Ga Rim Na, Ji Hoon Park and Hyun Woo Choi
Animals 2024, 14(23), 3496; https://doi.org/10.3390/ani14233496 - 3 Dec 2024
Viewed by 1058
Abstract
Cultured meat produced using satellite cells has emerged to address issues such as overpopulation, the ethical conundrums associated with the breeding environment, and the methane gas emissions associated with factory farming. To date, however, the challenges of maintaining satellite cells in vitro and [...] Read more.
Cultured meat produced using satellite cells has emerged to address issues such as overpopulation, the ethical conundrums associated with the breeding environment, and the methane gas emissions associated with factory farming. To date, however, the challenges of maintaining satellite cells in vitro and reducing the costs of the culture media are still substantial. Gelatin, collagen, and fibronectin are commonly used extracellular matrices (ECMs) that facilitate signal integration with the cells and promote cell adhesion. In this study, we compared the proliferation, cell cycle, immunocytochemistry, and expression levels of Pax7, Pax3, Myf5, MyoD1, and MyoG genes in bovine satellite cells (BSCs) cultured on gelatin-, collagen- and fibronectin-coated dishes as part of short- and long-term cultures. We observed that BSCs cultured on gelatin-coated dishes showed higher levels of Pax7 expression than BSCs cultured on collagen- and fibronectin-coated dishes in both short- and long-term cultures, indicating that BSCs cultured on gelatin effectively maintained the satellite cell population in both the short- and long-term cultures. Our study highlights that gelatin is an effective ECM for the maintenance of BSCs and the production of cultured meat. Full article
(This article belongs to the Section Cattle)
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13 pages, 2355 KiB  
Article
Diagnostic Ability of Quantitative Parameters of Whole-Body Bone SPECT/CT Using a Full-Ring 360° Cadmium-Zinc-Telluride Camera for Detecting Bone Metastasis in Patients with Prostate Cancer
by Ik Dong Yoo, Sun-pyo Hong, Sang Mi Lee, Hee Jo Yang, Ki Hong Kim, Si Hyun Kim and Jeong Won Lee
Diagnostics 2024, 14(23), 2714; https://doi.org/10.3390/diagnostics14232714 - 2 Dec 2024
Cited by 2 | Viewed by 1104
Abstract
Background/Objectives: This study aimed to assess the diagnostic capability of quantitative parameters from whole-body bone single-photon emission computed tomography/computed tomography (SPECT/CT) in detecting bone metastases in prostate cancer patients; Methods: We retrospectively analyzed 82 prostate cancer patients who underwent staging bone scintigraphy with [...] Read more.
Background/Objectives: This study aimed to assess the diagnostic capability of quantitative parameters from whole-body bone single-photon emission computed tomography/computed tomography (SPECT/CT) in detecting bone metastases in prostate cancer patients; Methods: We retrospectively analyzed 82 prostate cancer patients who underwent staging bone scintigraphy with a full-ring 360° Cadmium-Zinc-Telluride (CZT) SPECT/CT system. From the SPECT/CT images, we measured the maximum (SUVmax) and mean (SUVmean) standardized uptake values at six normal bone sites (skull, humerus, thoracic spine, lumbar spine, iliac bone, and femur), and the SUVmax for both metastatic and benign bone lesions. Ratios of lesion SUVmax-to-maximum and mean uptake values at the skull, humerus, and femur were computed for each lesion; Results: SUVmax and SUVmean at the skull and femur exhibited significantly lower variance compared to those at the thoracic spine, lumbar spine, and iliac bone, and revealed no significant differences between patients with and without bone metastasis. In receiver operating characteristic curve analysis for detecting bone metastasis among 482 metastatic lesions, 132 benign bone lesions, and 477 normal bone sites, the lesion-to-femur mean uptake ratio demonstrated the highest area under the curve value (0.955) among SPECT/CT parameters. Using a cut-off value of 5.38, the lesion-to-femur mean uptake ratio achieved a sensitivity of 94.8% and a specificity of 86.5%; Conclusions: The bone lesion-to-femur mean uptake ratio was the most effective quantitative bone SPECT/CT parameter for detecting bone metastasis in prostate cancer patients. Quantitative analysis of bone SPECT/CT images could thus play a crucial role in diagnosing bone metastasis. Full article
(This article belongs to the Special Issue Nuclear Medicine Imaging and Therapy in Prostate Cancer)
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12 pages, 7537 KiB  
Article
Comparison of Biocompatibility of 3D-Printed Ceramic and Titanium in Micropig Ankle Hemiarthroplasty
by Si-Wook Lee, Donghyun Lee, Junsik Kim, Sanghyun An, Chul-Hyun Park, Jung-Min Lee, Chang-Jin Yon and Yu-Ran Heo
Biomedicines 2024, 12(12), 2696; https://doi.org/10.3390/biomedicines12122696 - 26 Nov 2024
Cited by 1 | Viewed by 1179
Abstract
Background: Ankle arthritis is a common degenerative disease that progresses as cartilage damage in the lower tibia and upper talus progresses, resulting in loss of joint function. In addition to typical arthritis, there is also structural bone loss in the talus due to [...] Read more.
Background: Ankle arthritis is a common degenerative disease that progresses as cartilage damage in the lower tibia and upper talus progresses, resulting in loss of joint function. In addition to typical arthritis, there is also structural bone loss in the talus due to diseases such as talar avascular necrosis. Total talus replacement surgery is the procedure of choice in end-stage ankle arthritis and consists of a tibial, talar component and an insert. However, in cases of severe cartilage and bone damage to the talar bone with less damage to the tibial cartilage, a talar component hemiarthroplasty may be considered. Although the application of total talus replacement surgery using ceramics has been studied, reports on the application of metal 3D printing technology are limited. We aimed to investigate the feasibility of partial talar components using ceramic and titanium 3D printing technology in terms of biocompatibility and stability through animal experiments. Methods: Preoperative 3D CT was acquired and converted to STL files to fabricate a partial talus component for ankle hemiarthroplasty using ceramic and titanium. Six minipigs with an average age of 17 months were implanted with three ceramic (C-group) and three titanium talar components (T-group) in the hind limb ankle joint. The surgery was performed under anesthesia in a sterile operating room and was performed by two experienced foot and ankle specialist orthopedic surgeons. Blood analysis and CT were performed before surgery and every month for 3 months after surgery to assess the extent of inflammatory response and physical stability, sacrifices were performed 3 months after surgery, and H&E staining and micro-CT analysis were performed to compare histological biocompatibility. A grading score was calculated to semi-quantitative assess and compare the two groups. Results: In the postsurgical evaluation, blood analysis revealed that both groups had increased white blood cell counts on the postoperative day after surgery. The white blood cell count increased more in the titanium group (1.85-fold) than in the ceramic group (1.45-fold). After 3 months, all values normalized. During the study, CT analysis confirmed that all artificial samples were displaced from their initial positions. In micro-CT analysis, the adhesive tissue score of the ceramic artificial sample was better than that of the titanium sample (average threshold = 3027.18 ± 405.92). In histologic and grading scores for the inflammatory reactions, the average inflammation indices of the ceramic and titanium groups were 2.0 and 1.21, respectively. Also, the average grade score confirmed based on the results of fibrous tissue proliferation and new blood vessels was 18.4 in the ceramic application group and 12.3 in the titanium application group. Conclusions: In conclusion, both titanium and ceramics have excellent biocompatibility for artificial joints, and ceramic materials can be used as novel artificial joints. Further research on the strength and availability of these ceramics is required. Full article
(This article belongs to the Special Issue Osteoarthritis: Molecular Pathways and Novel Therapeutic Strategies)
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11 pages, 17267 KiB  
Article
Differences in the Physical Properties of Plant-Based Meat Alternatives Containing Root Vegetables
by Si-Yun Kim, Dong-Han Lee, Jeong-Jae Lee, Seo-Young Park, Seong-Gyu Choi, You-Jin Choi and Jung-Hyun Lee
Foods 2024, 13(23), 3746; https://doi.org/10.3390/foods13233746 - 22 Nov 2024
Cited by 2 | Viewed by 1193
Abstract
We investigated the textural characteristics of plant-based meat alternatives based on root vegetables, including Platycodon grandiflorum, Codonopsis lanceolata root, Gastrodia elata blume, and Panax ginseng. The samples with root vegetables had significantly higher moisture contents than those without because [...] Read more.
We investigated the textural characteristics of plant-based meat alternatives based on root vegetables, including Platycodon grandiflorum, Codonopsis lanceolata root, Gastrodia elata blume, and Panax ginseng. The samples with root vegetables had significantly higher moisture contents than those without because of the water retention capacity of dietary fiber contained in root vegetables. Heating affects the structures and interactions of the plant-based proteins and other ingredients. Therefore, from before to after heating, the L* values generally decreased, and the a* and b* values increased. During cooking, the hardness, gumminess, and chewiness of the sample containing Platycodon grandiflorum increased the most, and cohesiveness tended to increase The cooking loss was the lowest in the samples without root vegetable additives because the addition of root vegetables caused a decrease in Pleurotus eryngii content. The addition of root vegetables in samples had a positive effect on texture and overall acceptability in the sensory evaluation. Overall, the sample containing Platycodon grandiflorum was the most changed in terms of its physical properties. This study is expected to provide physical properties and foundational data for the future growth of the alternative food industry. Full article
13 pages, 2064 KiB  
Article
Evaluation of the Physicochemical Attributes of Beef, Chicken, and Pork Muscles Injected with Microbial Proteases for Designing Senior-Friendly Processed Meat Products
by Si-Young Kim, Dong-Heon Song, Wookyung Chung, Hyun-Shik Choi, Sung Gu Han and Hyun-Wook Kim
Foods 2024, 13(21), 3430; https://doi.org/10.3390/foods13213430 - 28 Oct 2024
Viewed by 1586
Abstract
In developed countries, the growing elderly population has increased the demand for senior-friendly processed meat products. This study investigated the effects of four commercial microbial proteases (Alcalase, Flavourzyme, Neutrase, and Protamex) on the general physicochemical attributes of beef top round, chicken breast, and [...] Read more.
In developed countries, the growing elderly population has increased the demand for senior-friendly processed meat products. This study investigated the effects of four commercial microbial proteases (Alcalase, Flavourzyme, Neutrase, and Protamex) on the general physicochemical attributes of beef top round, chicken breast, and pork loin, which are lean muscle cuts suitable for developing senior-friendly meat products. Muscle samples were injected with microbial protease solutions (0.7% and 1.2% (w/w)), cooked, and used for analysis. The microbial protease injection significantly reduced the hardness of cooked muscles. Despite the evident degradation of the myosin heavy chain in Alcalase treatment, the lowest hardness values were observed in Protamex-treated samples, suggesting that myosin degradation alone does not fully account for tenderness improvement. Unfortunately, microbial protease treatments increased cooking loss in beef and chicken muscles (p < 0.05). The surface color characteristics, including redness and yellowness, remained unaffected by the enzymatic treatments, supporting the practical use of these proteases for meat tenderization without inducing color defects. While microbial proteases demonstrate potential for improving meat tenderness, future research should focus on mitigating cooking loss and ensuring desirable taste and flavor for the commercial production of senior-friendly processed meat products using the microbial proteases. Full article
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22 pages, 3249 KiB  
Article
LSTM-Autoencoder Based Detection of Time-Series Noise Signals for Water Supply and Sewer Pipe Leakages
by Yungyeong Shin, Kwang Yoon Na, Si Eun Kim, Eun Ji Kyung, Hyun Gyu Choi and Jongpil Jeong
Water 2024, 16(18), 2631; https://doi.org/10.3390/w16182631 - 16 Sep 2024
Cited by 7 | Viewed by 3041
Abstract
The efficient management of urban water distribution networks is crucial for public health and urban development. One of the major challenges is the quick and accurate detection of leaks, which can lead to water loss, infrastructure damage, and environmental hazards. Many existing leak [...] Read more.
The efficient management of urban water distribution networks is crucial for public health and urban development. One of the major challenges is the quick and accurate detection of leaks, which can lead to water loss, infrastructure damage, and environmental hazards. Many existing leak detection methods are ineffective, especially in complex and aging pipeline networks. If these limitations are not overcome, it can result in a chain of infrastructure failures, exacerbating damage, increasing repair costs, and causing water shortages and public health risks. The leak issue is further complicated by increasing urban water demand, climate change, and population growth. Therefore, there is an urgent need for intelligent systems that can overcome the limitations of traditional methodologies and leverage sophisticated data analysis and machine learning technologies. In this study, we propose a reliable and advanced method for detecting leaks in water pipes using a framework based on Long Short-Term Memory (LSTM) networks combined with autoencoders. The framework is designed to manage the temporal dimension of time-series data and is enhanced with ensemble learning techniques, making it sensitive to subtle signals indicating leaks while robustly dealing with noise signals. Through the integration of signal processing and pattern recognition, the machine learning-based model addresses the leak detection problem, providing an intelligent system that enhances environmental protection and resource management. The proposed approach greatly enhances the accuracy and precision of leak detection, making essential contributions in the field and offering promising prospects for the future of sustainable water management strategies. Full article
(This article belongs to the Special Issue Prediction and Assessment of Hydrological Processes)
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11 pages, 1098 KiB  
Article
Effect of Inter-Hospital Transfer on Mortality in Patients Admitted through the Emergency Department
by Jei-Joon Song, Si-Jin Lee, Ju-Hyun Song, Sung-Woo Lee, Su-Jin Kim and Kap-Su Han
J. Clin. Med. 2024, 13(16), 4944; https://doi.org/10.3390/jcm13164944 - 22 Aug 2024
Cited by 3 | Viewed by 2115
Abstract
Background: Despite advancements in emergency medical systems, inter-hospital transfer (IHT) remains a critical component. Several studies have analyzed the impact of IHT on patient outcomes. Some studies have reported positive effects, indicating that transfers can improve patient prognosis. However, other studies have suggested [...] Read more.
Background: Despite advancements in emergency medical systems, inter-hospital transfer (IHT) remains a critical component. Several studies have analyzed the impact of IHT on patient outcomes. Some studies have reported positive effects, indicating that transfers can improve patient prognosis. However, other studies have suggested that transfers may worsen outcomes. We investigated whether IHT is associated with in-hospital mortality. Methods: This retrospective observational study utilized data on patient outcomes from the National Emergency Department Information System (NEDIS) from 2016 to 2018, focusing on patients admitted to hospitals after visiting the emergency department (ED). The primary outcome was the in-hospital mortality rate. Results: This study included 2,955,476 adult patients admitted to emergency medical centers, with 832,598 (28.2%) undergoing IHT. The in-hospital mortality rate was significantly higher in the transfer group (6.9%) than in the non-transfer group (4.8%). Multiple logistic regression analysis revealed that IHT was an independent predictor of in-hospital mortality (adjusted odds ratio [aOR] 1.114, 95% confidence interval [CI] 1.101–1.128) after adjusting for variables. Sub-analysis indicated that higher severity scores, shorter symptom onset-to-arrival duration, and diagnoses of infectious or respiratory diseases were significantly associated with increased in-hospital mortality among transferred patients. Conclusions: This study identifies IHT as a significant factor associated with increased in-hospital mortality. Additionally, it suggested the need for policies to mitigate the risks associated with IHT, particularly in critically ill patients, those with the acute phase response, and those with infectious, genitourinary, and respiratory diseases. Full article
(This article belongs to the Section Emergency Medicine)
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14 pages, 3898 KiB  
Article
The Impact of Histologic Portal T-Cell Density on the Clinical Outcomes in Hepatic Graft-versus-Host Disease and Autoimmune Liver Diseases
by Soon Kyu Lee, Sung-Soo Park, Silvia Park, Sung-Eun Lee, Byung-Sik Cho, Ki-Seong Eom, Yoo-Jin Kim, Hee-Je Kim, Chang-Ki Min, Seok-Goo Cho, Jong Wook Lee, Seok Lee, Younghoon Kim, Ji Won Han, Hyun Yang, Si Hyun Bae, Jeong Won Jang, Jong Young Choi, Seung Kew Yoon, Dong Yeup Lee, Sung Hak Lee, Jae-Ho Yoon and Pil Soo Sungadd Show full author list remove Hide full author list
Diagnostics 2024, 14(16), 1745; https://doi.org/10.3390/diagnostics14161745 - 12 Aug 2024
Viewed by 1638
Abstract
Hepatic graft-versus-host disease (GVHD) significantly impacts morbidity and mortality among allogeneic hematopoietic stem cell transplant recipients. However, the relationship between clinical and immunopathological phenotypes and their influence on clinical outcomes in hepatic GVHD is not well understood. In this study, we aimed to [...] Read more.
Hepatic graft-versus-host disease (GVHD) significantly impacts morbidity and mortality among allogeneic hematopoietic stem cell transplant recipients. However, the relationship between clinical and immunopathological phenotypes and their influence on clinical outcomes in hepatic GVHD is not well understood. In this study, we aimed to study the implications of portal T-cell infiltration on the clinical outcomes in hepatic GHVD and its similarities to autoimmune liver disease. We analyzed 78 patients with biopsy-confirmed hepatic GVHD (n = 38) or autoimmune liver disease (n = 40) between 2016 and 2021. The cholestatic variant was defined by an R-value < 2.0, based on the ratio of alanine aminotransferase to alkaline phosphatase. The primary outcome was the biochemical response at 4 (early) and 8–12 (late) weeks after corticosteroid treatment. In hepatic GVHD patients, the hepatitic variant (n = 19) showed greater CD3+ T-cell infiltration than the cholestatic variant (n = 19; p < 0.001). No significant differences were observed in the infiltration of CD20+, CD38+, or CD68+ cells. The hepatitic variant had significantly better early and late responses and higher liver-related event-free survival than the cholestatic variants (p < 0.05). Concerning autoimmune liver diseases, the autoimmune hepatitis (AIH) group had significantly more portal T-cell infiltration and better treatment responses than the primary biliary cholangitis (PBC) group. In conclusion, higher portal T-cell infiltration may be associated with better clinical outcomes in patients with hepatic GVHD. Additionally, this study highlights similarities in portal T-cell infiltration and treatment response patterns between AIH and the hepatitic variant, as well as PBC and the cholestatic variant. Full article
(This article belongs to the Special Issue Diagnosis and Management of Liver Diseases—2nd Edition)
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14 pages, 5178 KiB  
Article
Development of Non-Invasive miRNA Markers for Assessing the Quality of Human Induced Pluripotent Stem Cell-Derived Retinal Organoids
by Hyo Song Park, Ji-Hong Bang, Wook Hyun Jung, Jin Young Yang, Hee Jeong Shin, Ji-Hye Son, Jung Woo Han, Si Hyung Lee, Kyung Hwun Chung, Kyunggon Kim, Hun Soo Chang and Tae Kwann Park
Int. J. Mol. Sci. 2024, 25(15), 8011; https://doi.org/10.3390/ijms25158011 - 23 Jul 2024
Cited by 1 | Viewed by 1830
Abstract
Human retinal organoids (ROs) have emerged as valuable tools for studying retinal development, modeling human retinal diseases, and screening drugs. However, their application is limited primarily due to time-intensive generation, high costs, and low reproducibility. Quality assessment of RO differentiation is crucial for [...] Read more.
Human retinal organoids (ROs) have emerged as valuable tools for studying retinal development, modeling human retinal diseases, and screening drugs. However, their application is limited primarily due to time-intensive generation, high costs, and low reproducibility. Quality assessment of RO differentiation is crucial for their application in research. However, traditional methods such as morphological evaluation and immunohistochemical analysis have limitations due to their lack of precision and invasiveness, respectively. This study aims to identify non-invasive biomarkers for RO differentiation quality using exosomal microRNAs (miRNAs), which are known to reflect cell-specific functions and development in the retina. We differentiated ROs from human induced pluripotent stem cells (hiPSCs) and classified them into ‘superior’ and ‘inferior’ groups based on morphological and immunohistochemical criteria. Exosomes from the conditioned media were isolated and analyzed for miRNA content. Our findings revealed distinct miRNA profiles between superior and inferior ROs, with superior ROs exhibiting higher miRNA diversity and specifically up- or down-regulated miRNAs. Gene ontology and pathway enrichment analyses indicated that the target genes of these miRNAs are involved in neuron proliferation and differentiation. The study suggests the potential of exosomal hsa-miR-654-3p and hsa-miR-451a as non-invasive biomarkers for real-time monitoring of RO quality, facilitating the development of standardized, efficient, and cost-effective culture methods. Full article
(This article belongs to the Special Issue Organoids and Organs-on-Chip for Medical Research)
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19 pages, 4067 KiB  
Article
An Experimental and Clinical Study of Flap Monitoring with an Analysis of the Clinical Course of the Flap Using an Infrared Thermal Camera
by Hyun Kim, Si Hyun Kwak, Je Yeon Byeon, Da Woon Lee, Jun Hyuk Kim, Soomin Lim and Hwan Jun Choi
Bioengineering 2024, 11(7), 688; https://doi.org/10.3390/bioengineering11070688 - 7 Jul 2024
Cited by 6 | Viewed by 2195
Abstract
Flap surgery is a common method used to cover defects following tumor ablation, trauma, or infection. However, insufficient vascularity in the transferred flap can lead to flap necrosis and failure. Proper postoperative monitoring is essential to prevent these complications. Recently, research has explored [...] Read more.
Flap surgery is a common method used to cover defects following tumor ablation, trauma, or infection. However, insufficient vascularity in the transferred flap can lead to flap necrosis and failure. Proper postoperative monitoring is essential to prevent these complications. Recently, research has explored the use of infrared thermal imaging in plastic surgery, leading to its clinical application. This study comprises two separate parts: an in vivo experimental study and a clinical study. In this study, 28 rats underwent reverse McFarlane flap surgery, and their flaps were analyzed using a FLIR thermal imaging camera seven days post-surgery. Additionally, thermal images of flaps were taken on postoperative days 0, 1, 2, 3, and 7 in 22 patients. This study focused on temperature differences between normal skin and the perforator compared to the average flap temperature. Results showed that the temperature difference was higher in the necrosis group and increased over time in cases of total necrosis. A lower perforator temperature compared to the flap’s average indicated vascular compromise, potentially leading to flap failure. The FLIR camera, being contact-free and convenient, shows promise for understanding and inferring the clinical progression of flaps in postoperative monitoring. Full article
(This article belongs to the Section Regenerative Engineering)
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