Epidemiologic study of pediatric uveitis and its ophthalmic complications using the Korean National Health Insurance Claim Database.

Purpose: To investigate the incidence and ophthalmic complications of pediatric uveitis using the Korean National Health Insurance (NHI) Service database.

Design: Nationwide population-based longitudinal cohort study.

Methods: This study used the NHI database from 2005 to 2021 and included individuals <18 years of age diagnosed with uveitis on at least three separate visits between 2010-2014, with a five-year wash-out period and a seven-year follow-up period.

SARS-CoV-2 conjugate vaccine elicits robust immune responses that can protect against evolving variants.

The SARS-CoV-2 pandemic necessitated effective vaccines that can endure antigenic mutations. Here we demonstrate highly immunogenic conjugate vaccines that elicit broad cross-neutralization to variants of concern (VOC) in animal studies. By utilizing protein-protein conjugation and Toll-Like Receptor (TLR) agonist adjuvants we achieve enhanced immunogenicity compared to unconjugated equivalents.

Optimizing Automated Hematoma Expansion Classification from Baseline and Follow-Up Head Computed Tomography.

Hematoma expansion (HE) is an independent predictor of poor outcomes and a modifiable treatment target in intracerebral hemorrhage (ICH). Evaluating HE in large datasets requires segmentation of hematomas on admission and follow-up CT scans, a process that is time-consuming and labor-intensive in large-scale studies. Automated segmentation of hematomas can expedite this process; however, cumulative errors from segmentation on admission and follow-up scans can hamper accurate HE classification.

Health Care Utilization in an Academic Integrative Medicine Center, 2011-2022.

As empirical evidence about the efficacy and therapeutic benefits of integrative medicine grows and insurance coverage of services increases, patient demand for integrative medicine is likely to increase. Relatively few studies have looked at electronic health records (EHRs) data to understand utilization of integrative medicine services within "real-world" practice settings. This study's objective is to describe sociodemographic data and health care utilization for adults (age 18 or older) within a large regional health system from 2011 to 2022.

Epidemiology and antimicrobial resistance patterns of urinary tract infection: insights and strategies from a 5-year serial cross-sectional study in Vietnam.

Background: Urinary tract infection (UTI) is one of the most common bacterial infections in clinical practice. Given the rapid increase in antimicrobial resistance and the scarcity of new antibiotics, along with the absence of individual antibiogram testing in some countries, there is an urgent need for robust surveillance systems.

Objective: This study aimed to provide evidence for the surveillance of resistance, a crucial component in developing national UTI treatment guidelines and guiding empirical therapy decisions.

ChatGPT performance in assessing musculoskeletal MRI scan appropriateness based on ACR appropriateness criteria.

Large Language Models (LLMs) hold potential as clinical decision support tools, particularly when integrated with domain-specific knowledge. In radiology, there is limited research on LLMs for assessing imaging appropriateness. This study evaluates a contextualized GPT-4-based LLM's performance in assessing the appropriateness of musculoskeletal MRI scan requests with standard models and different versions of optimization.

Predicting hematoma expansion after intracerebral hemorrhage: a comparison of clinician prediction with deep learning radiomics models.

Background: Early prediction of hematoma expansion (HE) following nontraumatic intracerebral hemorrhage (ICH) may inform preemptive therapeutic interventions. We sought to identify how accurately machine learning (ML) radiomics models predict HE compared with expert clinicians using head computed tomography (HCT).

Methods: We used data from 900 study participants with ICH enrolled in the Antihypertensive Treatment of Acute Cerebral Hemorrhage 2 Study.

Patient Characteristics, Diagnostic Testing Utilization, and Antifungal Prescribing Pattern for Onychomycosis in the USA: A Cohort Study Using DataDerm, 2016-2022.

Introduction: Onychomycosis is a complex nail disease that is commonly seen in daily practice.

Methods: Electronic health records of clinically diagnosed onychomycosis patients were extracted using DataDerm - a dermatology data registry hosted by the American Academy of Dermatology - spanning from the year 2016 to 2022.

Results: Regardless of age, an increasing trend in patient volume was observed in the Southern US region, which accounted for 50.

Optimizing adsorption and photocatalysis for tetracycline and sulfamethoxazole removal: the role of Ag and NH in Bi-MOF derivatives.

This study focuses on the synthesis, characterization, and evaluation of the photocatalytic efficiency of bismuth-based metal-organic frameworks (Bi-MOFs) and their derivatives, specifically Ag/Bi-MOF and NH /Ag/Bi-MOF, in the degradation of tetracycline (TC) and sulfamethoxazole (SMX) under visible light irradiation. Bi-MOFs are promising photocatalysts due to their large surface area, tunable porosity, and unique electronic properties that are favorable for visible light absorption. In this study, Bi-MOFs were synthesized using a solvothermal method, with the incorporation of silver (Ag) and ammonium (NH ) ions to enhance their photocatalytic performance.

Mixed lipopeptide-based mucosal vaccine candidate induces cross-variant immunity and protects against SARS-CoV-2 infection in hamsters.

The global dissemination of SARS-CoV-2 led to a worldwide pandemic in March 2020. Even after the official downgrading of the COVID-19 pandemic, infection with SARS-CoV-2 variants continues. The rapid development and deployment of SARS-CoV-2 vaccines helped to mitigate the pandemic to a great extent.

Inflammatory disease progression shapes nanoparticle biomolecular corona-mediated immune activation profiles.

Polymeric nanoparticles (NPs) are promising tools used for immunomodulation and drug delivery in various disease contexts. The interaction between NP surfaces and plasma-resident biomolecules results in the formation of a biomolecular corona, which varies patient-to-patient and as a function of disease state. This study investigates how the progression of acute systemic inflammatory disease influences NP corona compositions and the corresponding effects on innate immune cell interactions, phenotypes, and cytokine responses.

Improving the Robustness of Deep-Learning Models in Predicting Hematoma Expansion from Admission Head CT.

Background And Purpose: Robustness against input data perturbations is essential for deploying deep-learning models in clinical practice. Adversarial attacks involve subtle, voxel-level manipulations of scans to increase deep-learning models' prediction errors. Testing deep-learning model performance on examples of adversarial images provides a measure of robustness, and including adversarial images in the training set can improve the model's robustness.

A Hybrid Transformer-Convolutional Neural Network for Segmentation of Intracerebral Hemorrhage and Perihematomal Edema on Non-Contrast Head Computed Tomography (CT) with Uncertainty Quantification to Improve Confidence.

Intracerebral hemorrhage (ICH) and perihematomal edema (PHE) are key imaging markers of primary and secondary brain injury in hemorrhagic stroke. Accurate segmentation and quantification of ICH and PHE can help with prognostication and guide treatment planning. In this study, we combined Swin-Unet Transformers with nnU-NETv2 convolutional network for segmentation of ICH and PHE on non-contrast head CTs.

Machine Learning Models for 3-Month Outcome Prediction Using Radiomics of Intracerebral Hemorrhage and Perihematomal Edema from Admission Head Computed Tomography (CT).

: Intracerebral hemorrhages (ICH) and perihematomal edema (PHE) are respective imaging markers of primary and secondary brain injury in hemorrhagic stroke. In this study, we explored the potential added value of PHE radiomic features for prognostication in ICH patients. : Using a multicentric trial cohort of acute supratentorial ICH ( = 852) patients, we extracted radiomic features from ICH and PHE lesions on admission non-contrast head CTs.

Efficacy of Prophylactic Antibiotics in COPD: A Systematic Review.

: Chronic obstructive pulmonary disease (COPD) is a global health problem and the third leading contributor to mortality worldwide. This systematic review aims to summarize the results of previous studies tackling the question of the efficacy of long-term prophylaxis of antibiotics in COPD patients, with particular regard to exacerbation rate, time to first exacerbation, health status, airway bacterial load, inflammatory markers, cell counts in sputum samples, and potential adverse events. : Four studies found significant improvement in the exacerbation rate in patients receiving antibiotic intervention.

Erratum: Lipid nanoparticle encapsulation of a Delta spike-CD40L DNA vaccine improves effectiveness against Omicron challenge in Syrian hamsters.

[This corrects the article DOI: 10.1016/j.omtm.

Neuroimaging Correlates of the NIH-Toolbox-Driven Cognitive Metrics in Children.

Background: The National Institutes of Health (NIH) Toolbox Cognition Battery is increasingly being used as a standardized test to examine cognitive functioning in multicentric studies. This study examines the associations between the NIH Toolbox Cognition Battery composite scores with neuroimaging metrics using data from the Adolescent Brain Cognitive Development (ABCD) study to elucidate the neurobiological and neuroanatomical correlates of these cognitive scores.

Methods: Neuroimaging data from 5290 children (mean age 9.

Harnessing mixed-phase MoS for efficient room-temperature ammonia sensing.

Molybdenum disulfide (MoS), a notable two-dimensional (2D) material, has attracted considerable interest for its potential applications in gas sensing, despite its typically insulating characteristics, which have limited its practical use. In this study, we present the use of mixed phase MoS (1T@2H-MoS) to overcome sensing limitations of MoS material by enhancing its conductivity and demonstrating its high-performance characteristics for sensing ammonia (NH) at room temperature (20 °C). The 1T@2H-MoS was synthesized a hydrothermal process, and the coexistence of two different phases (the 1T and 2H phases) was confirmed by transmission electron microscopy (TEM), X-ray photoelectron spectroscopy (XPS), X-ray diffraction (XRD), and Raman spectroscopy.

Trends in nationwide incidence of uveitis in South Korea using the National Health Insurance claims database from 2010 to 2021.

Objectives: To investigate the population-based incidence of uveitis and the differences between anterior and non-anterior uveitis using the comprehensive Korean National Health Insurance Service (NHIS) database.

Methods: We extracted data of patients who visited the clinic and were diagnosed with uveitis (based on Korean Classification of Diseases) from 2010 to 2021. The incidence of uveitis, differences between the demographics, and the underlying co-morbidities of anterior uveitis, non-anterior uveitis, and control groups were investigated.

Physics of sliding on water explains morphological and behavioural allometry across a wide range of body sizes in water striders (Gerridae).

Laws of physics shape adaptations to locomotion, and semiaquatic habitats of water striders provide opportunities to explore adaptations to locomotion on water surface. The hydrodynamics of typical propelling with symmetrical strokes of midlegs is well understood, but the subsequent passive sliding on surface has not been explored. We hypothesized that morphological and behavioural adaptations to sliding vary by body size.

Seeing is believing: How front-of-pack food imagery shapes parents' perceptions of child-oriented snack foods.

Child-oriented snack foods often display front-of-pack images suggesting they are natural or wholesome, yet many of these products are ultra-processed and nutrient poor. This study investigated parent's perceptions in response to common forms of front-of-pack food imagery on child-orientated snacks. An online experiment comprising four between-subjects food image conditions (no image; food photo; food cartoon; cartoon of children gardening) and two within-subjects snack type conditions (fruit; vegetable) was conducted with N = 800 Australian adult parents/guardians of children aged 4-10 years.

Mucosal SARS-CoV-2 S1 adenovirus-based vaccine elicits robust systemic and mucosal immunity and protects against disease in animals.

Unlabelled: The COVID-19 pandemic has emphasized the importance and need for accessible safe, effective, and versatile vaccine platforms. While approved SARS-CoV-2 vaccines have been instrumental in saving lives and reducing healthcare and economic burdens, the induction of mucosal immunity remains an unmet need. Here, we engineered and evaluated a non-replicating adenovirus 5 (rAd5)-based vaccine expressing the SARS-CoV-2 S1 subunit (rAd5-SARS2-S1).

The Association of Linear Energy Transfer and Dose With Radiation Necrosis After Pencil Beam Scanning Proton Therapy in Pediatric Posterior Fossa Tumors.

Purpose: Proton therapy is the preferred treatment modality for most pediatric central nervous system tumors. The risk of radiation necrosis may be increased at the distal end of the beam because of an increase in linear energy transfer (LET) and relative biological effectiveness (RBE) dose. We report on the association of LET and dose with radiation necrosis after pencil beam scanning proton therapy in pediatric posterior fossa tumors using a case-control framework.

Inhibition of pro-inflammatory cytokines by homalolide A and homalomenol A isolated from rhizomes of .

Inflammation, a natural process of the innate immune system, involves elevated levels of various proinflammatory mediators, such as, nitric oxide (NO) and prostaglandin (PGE), cytokines such as interleukin 6 (IL-6), interleukin 10 (IL-10) and tumor necrosis factor alpha (TNF-α), and enzymes including inducible nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2). This study investigated the anti-inflammatory effects of homalolide A () and homalomenol A (), two sesquiterpenoids isolated from the rhizome of , on lipopolysaccharide (LPS)- stimulated macrophage cells. The results demonstrated that both and dose-dependently inhibited the production of PGE, TNF-α and IL-6 in RAW 264.