Search Results (632)

Background/Objectives: The two major subtypes of inflammatory bowel disease (IBD)—Crohn’s disease (CD) and ulcerative colitis (UC)—are known to increase the likelihood of developing colorectal cancer (CRC). While this relationship has been well studied in Western populations, evidence from East Asia remains limited and inconsistent. Using nationwide cohort data, this study explored the potential connection between IBD and CRC in a large Korean population. Methods: We conducted a retrospective cohort study using data from the Korean National Health Insurance Service–National Sample Cohort from 2005 to 2019. A total of 9920 CRC patients were matched 1:4 with 39,680 controls using propensity scores based on age, sex, income, and region. Overlap weighting and multivariable logistic regression were used to evaluate the association between IBD and CRC. Subgroup analyses were conducted to assess effect modification by demographic and clinical factors. Results: IBD markedly increased the likelihood of developing CRC (adjusted odds ratio (aOR) = 1.38; 95% confidence interval (CI): 1.20–1.58; p < 0.001), with the association primarily driven by UC (aOR = 1.52; 95% CI: 1.27–1.83). CD appeared unrelated to heightened CRC risk overall, though a significant association was observed among low-income CD patients (aOR = 1.58; 95% CI: 1.15–2.16). The UC–CRC association persisted across all subgroups, including patients without comorbidities. Conclusions: Our findings support an independent association between IBD—particularly UC—and increased CRC risk in Korea. These results underscore the need for personalized CRC surveillance strategies that account for disease subtype, comorbidity burden, and socioeconomic status, especially in vulnerable subpopulations. Full article

In this study, the thermal effectiveness of thermally conductive concrete pavements (TCPs) using silicon carbide (SiC) as a fine aggregate replacement was investigated, compared with that of ordinary Portland cement pavements (OPCPs). The most important purpose of this study is to improve the thermal performance of concrete pavement. Additionally, this study utilized improved thermal properties to enhance the efficiency of pavement heating to prevent icing and snow stacking. Both mixtures met the Korean standards for air content (4.5–6%) and slump (80–150 mm), demonstrating adequate workability. TCP exhibited a higher mechanical performance, with average compressive and flexural strengths of 42.88 MPa and 7.35 MPa, respectively, exceeding the required targets of a 30 MPa compressive strength and a 4.5 MPa flexural strength. The improved strength was mainly attributed to the filler effect and partly due to the van der Waals interactions of the SiC particles. Thermal conductivity tests showed a significant improvement in the TCP (3.20 W/mK), which was approximately twice that of OPCP (1.59 W/mK), indicating an enhanced heat transfer efficiency. In winter field tests, TCP effectively maintained high surface temperatures, overcoming heat loss and outperforming the OPCP. In the site experiment, thermal efficiency was clearly shown in the temperature at the center of the TCP, which was 3.5 °C higher than at the center of the OPCP at the coldest time. These improvements suggest that SiC-reinforced concrete pavements can be practically utilized for effective snow removal and ice mitigation in road systems. Full article

Recent major advancements in cryo-electron microscopy (cryo-EM) have enabled high-resolution structural analysis, accompanied by developments in image processing software packages for single-particle analysis (SPA). SPA facilitates the 3D reconstruction of proteins and macromolecular complexes from numerous individual particles. In this study, we systematically evaluated the impact of symmetry parameters and particle quantity on the 3D reconstruction efficiency using the dihydrolipoyl acetyltransferase (E2) inner core of the pyruvate dehydrogenase complex (PDC). We specifically examined how inappropriate symmetry constraints can introduce structural artifacts and distortions, underscoring the necessity for accurate symmetry determination through rigorous validation methods such as directional Fourier shell correlation (FSC) and local-resolution mapping. Additionally, our analysis demonstrates that efficient reconstructions can be achieved with a moderate particle number, significantly reducing computational costs without compromising structural accuracy. We further contextualize these results by discussing recent developments in SPA workflows and hardware optimization, highlighting their roles in enhancing reconstruction accuracy and computational efficiency. Overall, our comprehensive benchmarking provides strategic insights that will facilitate the optimization of SPA experiments, particularly in resource-limited settings, and offers practical guidelines for accurately determining symmetry and particle quantity during cryo-EM data processing. Full article

Heat shock protein 90 (HSP90) is a molecular chaperone that plays a pivotal role in the stabilization and functional activation of numerous oncoproteins and signaling molecules essential for cancer cell survival and proliferation. Despite the extensive development and clinical evaluation of HSP90 inhibitors, their therapeutic potential as monotherapies has been limited by suboptimal efficacy, dose-limiting toxicity, and the emergence of drug resistance. Recent studies have demonstrated that combination therapies involving HSP90 inhibitors and other anticancer agents such as chemotherapeutics, targeted therapies, and immune checkpoint inhibitors can enhance anticancer activity, overcome resistance mechanisms, and modulate the tumor microenvironment. These synergistic effects are mediated by the concurrent degradation of client proteins, the disruption of signaling pathways, and the enhancement of antitumor immunity. However, the successful clinical implementation of such combination strategies requires the careful optimization of dosage, administration schedules, toxicity management, and patient selection based on predictive biomarkers. In this review, we provide a comprehensive overview of the mechanistic rationale, preclinical and clinical evidence, and therapeutic challenges associated with HSP90 inhibitor-based combination therapies. We also discuss future directions leveraging emerging technologies including multi-omics profiling, artificial intelligence, and nanoparticle-mediated delivery for the development of personalized and effective combination regimens in oncology. Full article

In this paper, a hybrid flying robot that utilizes water thrust and aerial propeller actuation is proposed and analyzed, with the aim of applications in hazardous tasks in the marine field, such as firefighting, ship inspections, and search and rescue missions. For such tasks, existing solutions like drones and water-powered robots inherited fundamental limitations, making their use ineffective. For instance, drones are constrained by limited flight endurance, while water-powered robots struggle with horizontal motion due to the couplings between translational motions. The proposed hydro-aerodynamic hybrid actuation in this study addresses these significant drawbacks by utilizing water thrust for sustainable vertical propulsion and propeller-based actuation for more controllable horizontal motion. The characteristics and mathematical models of the proposed flying robots are presented in detail. A state feedback controller and a proportional–integral–derivative (PID) controller are designed and implemented in order to govern the proposed robot’s motion. In particular, a linear matrix inequality approach is also proposed for the former design so that a robust performance is ensured. Simulation studies are conducted where a purely water-powered flying robot using a nozzle rotation mechanism is deployed for comparison, to evaluate and validate the feasibility of the flying robot. Results demonstrate that the proposed system exhibits superior performance in terms of stability and tracking, even in the presence of external disturbances. Full article

Soccer, as a high-intensity sport, places significant physical demands on athletes and is associated with a high risk of injury. Electrical muscle stimulation (EMS), a training and rehabilitation technology, has gained attention for its potential benefits in sports settings. This systematic review, conducted under the PRISMA guidelines, rigorously assessed the effectiveness of EMS in improving muscle strength, promoting post-exercise recovery, and facilitating injury rehabilitation among soccer players. A comprehensive search of the PubMed, Scopus, and Web of Science databases identified 10 studies meeting the inclusion criteria. Among these, six studies demonstrated a significant improvement in athletic performance following local or whole-body EMS application. Four studies provided evidence supporting EMS’s efficacy in enhancing post-exercise recovery and reducing recovery time after injuries, with observed reductions in recovery time. However, the majority of the included studies were not double-blind, which limits the strength of the evidence. None of the included studies reported EMS-related adverse effects. Overall, the current results suggest that EMS may be a useful adjunct to improve athletic performance and facilitate recovery in soccer players. This review offers actionable insights for coaches and athletes regarding the safe and effective application of EMS in soccer training and rehabilitation programs. Full article

Tea plant [Camellia sinensis (L.) O. Kuntze] is an economically important evergreen crop cultivated worldwide. While most tea plants have green leaves, albino cultivars with yellow or white young leaves have attracted growing interest due to their elevated levels of L-theanine, a key compound that enhances the umami flavor and overall quality of green tea. In this study, we characterized the morphological and biochemical traits of a novel albino tea cultivar, ‘Geumda’, developed in Korea. ‘Geumda’ exhibited yellow young shoots during the first flush and smaller leaves compared to the green-leaf standard cultivar, ‘Sangmok’. Although the catechin content of ‘Geumda’ was lower than that of ‘Sangmok’, it exhibited significantly higher levels of total amino acids, L-theanine, and arginine by 2.1-, 2.0-, and 9.8-fold, respectively. Transmission electron microscopy and gene expression analysis revealed that the elevated amino acid content in ‘Geumda’ was associated with impaired chloroplast development, leading to reduced chlorophyll content and diminished photosynthetic capacity. These findings suggest that ‘Geumda’, with its high concentrations of theanine and arginine and its impaired chloroplast development, represents a valuable genetic resource for the production of functional green teas enriched in umami flavor and beneficial health properties. Full article

Background/Objectives: This Phase 3, randomised, double-blind, multicentre trial evaluated the efficacy and safety of a novel hyaluronic acid hydrogel cross-linked with hexamethylenediamine (HMDA-HA) compared to a conventional 1,4-butanediol diglycidyl ether cross-linked HA (BDDE-HA) in patients with mild-to-moderate knee osteoarthritis (OA). Methods: A total of 223 adults (mean age 63.5 years; 167 women) with Kellgren–Lawrence (KL) grade I–III knee OA were randomised 1:1 to receive two intra-articular injections of HMDA-HA or BDDE-HA at baseline and at 24 weeks. The primary endpoint was changes from baseline in weight-bearing pain (WBP) on a 100 mm visual analogue scale (VAS) at Week 12, assessed in the per-protocol population. A non-inferiority margin of 10 mm was predefined. Secondary outcomes included global assessments, Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index scores, responder rates, and rescue medication use [ClinicalTrials.gov: NCT06307847]. Results: At Week 12, least squares mean change (standard error [SE]) in WBP was −23.72 (1.88) mm in the HMDA-HA group (n = 83) and −25.99 (1.76) mm in the BDDE-HA group (n = 95), yielding a difference of 2.26 mm (95% confidence interval [CI]: −2.83 to 7.34; p = 0.3825), thus demonstrating the non-inferiority of HMDA-HA to BDDE-HA. Secondary outcomes were comparable between groups. A total of 136 adverse events were reported: 44 (41.1%) in the HMDA-HA group and 32 (28.1%) in the BDDE-HA group, with no treatment-related adverse drug reactions. Conclusions: A single-injection intra-articular regimen of HMDA-HA was effective and safe for the treatment of adult patients with mild-to-moderate knee OA. Full article

Systemic lupus erythematosus (SLE) is a prototypical autoimmune disease that affects various organs, including the kidneys. Despite recent advancements, effective treatment options for renal involvement in SLE remain limited. Rebamipide, originally developed as a gastroprotective agent, has been reported to exert immunomodulatory effects in rheumatic diseases. Here, we aimed to evaluate the therapeutic potential of rebamipide in SLE using an animal model and to elucidate its mechanisms of action. We administered rebamipide or vehicle control to lupus-prone MRL/lpr mice and evaluated its efficacy on lupus-like phenotypes, including renal manifestations and immune cell profiles. Additionally, we investigated potential therapeutic mechanisms through in vitro treatment of murine immune cells and podocytes with rebamipide. Oral administration of rebamipide in lupus-prone mice significantly reduced kidney size, weight, and histopathological inflammation. Among circulating immune cell subsets, only regulatory T cells were significantly increased by rebamipide. In vivo treatment with rebamipide enhanced the expression of podocyte structural proteins, such as Synaptopodin, in kidney tissues, accompanied by the recovery of antioxidative factors, including nuclear factor erythroid 2-related factor 2 (Nrf2). Similarly, in vitro treatment of murine immune cells and podocytes with rebamipide replicated its immunoregulatory and antioxidative effects. Rebamipide is proposed as a potential therapeutic candidate for managing renal involvement in SLE through its antioxidative effects on podocytes. Full article

The National Institute of Fisheries Science in Korea is developing marine mammal bycatch reduction devices (BRDs) for midwater trawl gear. In this study, we tested two BRD-type guide nets (inclined net panel) with 30° and 45° tilt angles to prevent marine mammals from reaching the codend and facilitating their escape from the net. Fishing operations were conducted along the east and south coasts of South Korea, and cameras were installed in front of the BRDs to monitor their performance. The catch loss of herring with the 30° guide net was 13% and 11% in number and weight. The catch loss of hairtail was 53% and 51% in number and weight with the 30° guide net. Mackerel showed a 97% catch loss in number and weight with the 45° guide net. The 30° guide net resulted in lower catch loss for rudderfish and jack mackerel compared to the 45° guide net. The jellyfish discard rate of the BRD was 5% and 7% in number and weight with the 30° guide net and 12% and 11% with the 45° guide net, indicating that the 30° guide net was more effective at discarding jellyfish. Mesh selectivity was not strongly related to target species body length. Full article

Background/Objectives: Patients with headache experience depression, anxiety, and reduced quality of life, which are individually associated with pain intensity and painkiller use, but their comprehensive combined effect remains unclear. Methods: Comprehensive patient groups were formed based on unsupervised clustering using machine learning algorithms, and their associations were analyzed via ordinary least square regression. K-means and t-distributed stochastic neighbor embedding (t-SNE) combined with hierarchical density-based spatial clustering of applications with noise (HDBSCAN) were applied for clustering. Results: A total of 813 patients were subdivided via K-means clustering (2 clusters) and t-SNE + HDBSCAN clustering (4 clusters). In the K-means clustering, Cluster 1 showed significantly lower peak pain intensity (coefficient [95% CI]: −0.7 [−1 to −0.4]) and frequency of painkiller use (−2.3 [−3.4 to −1.3]) compared to Cluster 0. In the t-SNE + HDBSCAN clustering, Clusters 2 and 3 showed higher peak pain intensity (1.1 [0.5–1.7] and 1.6 [1.0–2.2], respectively) and more frequent painkiller use (2.5 [0.4–4.5] and 4.4 [2.2–6.7], respectively) than Cluster 1. Conclusions: The clustering approach successfully generated groups that reflected a comprehensive profile of depression-, anxiety-, and headache-related quality of life. The clusters demonstrated significant differences which can help better characterize patients based on their psychological and functional impact. Full article

After the transition of coronavirus disease 2019 (COVID-19) from a pandemic to an endemic phase, data on respiratory viral infections remain limited. This study compared the clinical outcomes of SARS-CoV-2, influenza virus (INFV), and respiratory syncytial virus (RSV) infections and investigated how underlying medical conditions influence disease severity. During Omicron subvariant dominant periods, we conducted a multicenter, retrospective cohort study including laboratory-confirmed cases of SARS-CoV-2, INFV, and RSV infections in hospitalized patients aged ≥ 19 years. We compared demographic characteristics and clinical outcomes and analyzed the association between underlying comorbidities and severity of infection. A total of 1850 cases with SARS-CoV-2, 98 with INFV, and 63 with RSV infections were analyzed. Notable differences in the occurrence of fever, cough, sputum, and dyspnea were observed among patients with the three different viral infections. Pneumonia was diagnosed more frequently in patients with RSV infection (65.6%) compared to those with INFV infection (42.9%) and SARS-CoV-2 (34.4%) (p < 0.01). For patients with SARS-CoV-2 infection, the risk of pneumonia increased by 47% in the moderate-risk group and 37% in the high-risk group. Among hospitalized patients, pneumonia was more frequently identified in patients with RSV infection, with statistical significance. Furthermore, the presence of medical conditions significantly increased the risk of developing pneumonia. Full article

Background/Objectives: Parkinson’s disease (PD) and benign paroxysmal positional vertigo (BPPV) are both prevalent in the geriatric population. While dizziness is a common non-motor symptom in PD, the relationship between PD and incident BPPV remains unclear. Limited data suggest potential shared mechanisms, including mitochondrial dysfunction and oxidative stress, but large-scale epidemiological evidence is lacking. This investigation focused on assessing the incidence of BPPV in patients with PD compared to matched controls using a nationwide cohort. Methods: Data from the Korean National Health Insurance Service–Health Screening Cohort were used to perform a retrospective cohort analysis. We identified 8232 newly diagnosed PD patients and matched them 1:4 with 32,928 controls based on age, sex, income, and residential region. Stratified Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for incident BPPV. Subgroup and Kaplan–Meier analyses were also performed. Results: Over 220,151 person-years of follow-up revealed a lower incidence of BPPV in the PD group relative to the control group (4.98 vs. 5.95 per 1000 person-years); the corresponding adjusted HR was 0.77 (95% CI: 0.66–0.90; p = 0.001), indicating a 23% reduced risk. The inverse association remained consistent across most subgroups, including older adults and rural residents. Kaplan–Meier analysis further illustrated a significant decline in the cumulative incidence of BPPV in PD patients (p = 0.007). Conclusions: PD may contribute to a lower incidence of BPPV, which could be explained by reduced mobility, altered vestibular function, or diagnostic challenges. Clinicians should consider BPPV in PD patients presenting with dizziness. Full article

This study presents the design of an intelligent robust controller for the 3-degree-of-freedom motion of an aerial robot using waterpower. The proposed controller consists of two parts: (1) an anti-windup super-twisting algorithm that provides stability to the system under actuator saturation; and (2) a fully adaptive radial basis function neural network that estimates and compensates for unexpected influences, i.e., system uncertainties, water hose vibration, and external disturbances. The stability of the entire closed-loop system is analyzed using the Lyapunov stability theory. The controller parameters are optimized such that the effect of these unexpected influences on the control system is minimized. This optimization problem is interpreted in the form of an eigenvalue problem, which is solved using the method of centers. Experiments are conducted where a proportional-integral-derivative controller and a conventional sliding mode controller are deployed for comparison. The results demonstrate that the proposed control system outperforms the others, with small tracking errors and strong robustness against unexpected influences. Full article

This paper introduces a novel approach to modeling and control system design for tugboat-assisted operations, such as the docking and rescue of marine vessels. In these scenarios, one or more tugboats push, pull, or guide large vessels to ensure precise and safe maneuvering. Their control systems ensure accurate coordination, vessel positioning, and overall stability, even in the presence of system uncertainties, imperfect control allocation, and ocean disturbances. To address these challenges, a mathematical model of a general tugboat-assisted system is first derived. Then, a new vector of variables is introduced, leading to a modified model representation where the mismatches from the allocation and lower-level tugboat controllers can be realized in the vessel’s motion equation. Thus, the design of a controller can take this aspect into account to enhance the overall system’s performance and stability. Thirdly, a control system design method is proposed, employing a centralized control framework and ensuring a mixed $H₂/H_{\infty }$ performance criterion. Finally, a case study is conducted with a particular tugboat-assisted configuration and the results validate the effectiveness of the control solution. Full article