Mathematical Modeling of COVID-19 Transmission and Intervention in South Korea: A Review of Literature.

South Korea implemented interventions to curb the spread of the novel coronavirus disease 2019 (COVID-19) pandemic with discovery of the first case in early 2020. Mathematical modeling designed to reflect the dynamics of disease transmission has been shown to be an important tool for responding to COVID-19. This study aimed to review publications on the structure, method, and role of mathematical models focusing on COVID-19 transmission dynamics in Korea. In total, 42 papers published between August 7, 2020 and August 21, 2022 were studied and reviewed. This study highlights the construction and utilization of mathematical models to help craft strategies for predicting the course of an epidemic and evaluating the effectiveness of control strategies. Despite the limitations caused by a lack of available epidemiological and surveillance data, modeling studies could contribute to providing scientific evidence for policymaking by simulating various scenarios.

Evaluation of eccentric tooth contact on a semi-adjustable articulator by using an occlusal analysis system.

STATEMENT OF PROBLEM: Duplicating mandibular movement with a semi-adjustable articulator has been reported to lack accuracy. However, although previous studies have analyzed articulator movement, few have compared excursive tooth contact on the articulator with tooth contact during actual mandibular movement. PURPOSE: The purpose of this clinical study was to evaluate the concordance of semi-adjustable articulator contacts with intraoral contacts during eccentric movements by using a T-scan occlusal analysis system. MATERIAL AND METHODS: Forty-two participants with normal occlusion and without signs of temporomandibular disorder were analyzed for the reproducibility of eccentric tooth contact on a semi-adjustable articulator. Maxillary casts made from irreversible hydrocolloid impressions were mounted on a semi-adjustable articulator with the facebow. The condylar inclination of the articulator was set by using interocclusal records. Three recordings of right and left excursive mandibular movement and protrusive mandibular movement were made in the supine position by using the T-scan v9.1. The same procedure was then performed with the articulator. The results of complete mandibular movement from T-scan measurements were divided into 4 time points for analysis: T0, T1, T2, and T3. The concordance of intraoral and articulator occlusal contacts was evaluated at each point, and the occlusal force for each tooth was compared. Overall concordance and concordance of the working and nonworking sides were also calculated. Repeated measures analysis of variance was used to analyze differences between the concordance of intraoral and articulator contacts according to mandibular movement direction, time, and working and nonworking sides (α=.01). RESULTS: For all teeth, concordance between the intraoral and articulator occlusal contacts during excursive mandibular movement was greatest at T0, decreasing at T1 and T2, and increasing at T3. No significant differences were found in the concordance among the right lateral, left lateral, and protrusive excursion (P>.01). The concordance of working side occlusal contacts during lateral excursion was significantly lower at T3 than that at T0 (P<.01). CONCLUSIONS: When comparing intraoral and articulator contacts during lateral eccentric mandibular movement, concordance was affected by time and working or nonworking side. Reproducibility of initial eccentric tooth contact on a semi-adjustable articulator appeared to be reliable. However, occlusal adjustment of the working side might be required after prosthesis delivery.

Reducing the uncertainty caused by the laser spot radius in frequency-domain thermoreflectance measurements of thermal properties.

In a frequency-domain thermoreflectance (FDTR) experiment, the phase lag between the surface temperature response and the applied heat flux is fit with an analytical solution to the heat diffusion equation to extract an unknown thermal property (e.g., thermal conductivity) of a test sample. A method is proposed to reduce the impact of uncertainty in the laser spot radius on the resulting uncertainty in the fitted property that is based on fitting to the quotient of the test sample phase and that of a reference sample. The reduction is proven analytically for a semi-infinite solid and was confirmed using numerical and real experiments on realistic samples. When the spot radius and its uncertainty are well known, the reference phase can be generated numerically. In this situation, FDTR experiments performed on Au-SiO2-Si and PbS nanocrystal test samples demonstrate 32% and 82% reductions in the overall uncertainty in thermal conductivity. When the spot radius used in the test sample measurement is not well known, a real reference sample, measured under conditions that lead to the same unknown spot radius, is required. Although the real reference sample introduces its own uncertainties, the total uncertainty in the fitted thermal conductivity can still be reduced. A reference sample can also be used to reduce uncertainty due to other sources, such as the transducer properties. Because frequency-domain solutions to the heat diffusion equation are the basis for time-domain thermoreflectance (TDTR) analysis, the approach can be extended to TDTR experiments.

Laparoscopic Liver Resection Enhanced by an Intervention-Guided Fluorescence Imaging Technique Using Sodium Fluorescein.

BACKGROUND AND OBJECTIVES: In laparoscopic liver resections, tumor localization is a critical aspect of ensuring clear resection margins and preserving the hepatic parenchyma. In this study, we designed a fluorescence imaging technique using a new fluorophore for tumor localization. MATERIALS AND METHODS: Immediately before laparoscopic or transthoracic liver resection, microcatheter was inserted through the hepatic artery and used to engrave the segment containing the tumor in the intervention room. Under blue light, the fluorescence of the lesion was visually confirmed, and the location was determined through intraoperative sonography. After tumor localization, liver resection was performed. RESULTS: From February 2017 to March 2020, 24 patients underwent laparoscopic liver resection (LLR) or video-assisted transthoracic liver resection (VTLR) using intervention-guided fluorescence imaging technique (IFIT). CONCLUSIONS: IFIT can provide some advantages in the field of LLR. In addition, in cases of VTLR for hepatocellular carcinoma in the superior posterior segment in patients with marginal liver function, IFIT is considered useful.

Observation of reduced thermal conductivity in a metal-organic framework due to the presence of adsorbates.

Whether the presence of adsorbates increases or decreases thermal conductivity in metal-organic frameworks (MOFs) has been an open question. Here we report observations of thermal transport in the metal-organic framework HKUST-1 in the presence of various liquid adsorbates: water, methanol, and ethanol. Experimental thermoreflectance measurements were performed on single crystals and thin films, and theoretical predictions were made using molecular dynamics simulations. We find that the thermal conductivity of HKUST-1 decreases by 40 - 80% depending on the adsorbate, a result that cannot be explained by effective medium approximations. Our findings demonstrate that adsorbates introduce additional phonon scattering in HKUST-1, which particularly shortens the lifetimes of low-frequency phonon modes. As a result, the system thermal conductivity is lowered to a greater extent than the increase expected by the creation of additional heat transfer channels. Finally, we show that thermal diffusivity is even more greatly reduced than thermal conductivity by adsorption.

Comparison of two computerized occlusal analysis systems for indicating occlusal contacts.

PURPOSE: The purpose of this study was to compare the performance of Accura to that of the T-scan for indicating occlusal contacts. MATERIALS AND METHODS: Twenty-four subjects were selected. Their maxillary dental casts were scanned with a model scanner. The Stereolithography files of the casts were positioned to align with the occlusal plane. Occlusal surfaces of every tooth were divided into three to six anatomic regions. T-scan and Accura recordings were made during two masticatory cycles. The T-scan and Accura images were captured at the maximum bite force and overlapped to the cast. Photographs of interocclusal records were used as the reference during overlap. The occlusal contacts were counted to compare the T-scan and Accura. McNemar's test was used for statistical significance and the corresponding P-values were calculated from a chi-square distribution with one degree of freedom. The accuracy, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of Accura were calculated relative to the T-scan values as a control. RESULTS: No statistical differences (P>.05) were found between the T-scan and Accura methods. The accuracy of Accura was 75.8%, sensitivity was 82.1%, specificity was 60.1%, PPV was 82.9%, and NPV was 60.1%. CONCLUSION: Accura could be another possible option as a computerized occlusal analysis system for indicating occlusal contacts at maximum intercuspation.

Nano-Programmable Logics Based on Double-Layer Anti-Facing Memristors.

The memristor, as theorized by Chua in 1971 (L. Chua, IEEE Trans. Circuit Theory 18, 507 (1971)), is a two-terminal device whose resistance state is based on the history of charge flow brought about as a result of the voltage applied across its terminals. High-density regular fabrics for nanoscale memristors, such as crossbar arrays, are emerging architectures for system-on-chip (SoC) implementation, which provide both simplified structure and improved performance (W. H. Yu, et al., IEEE Trans. VLSI 20, 1012 (2012)). The advantage of using memristors as the switching devices within crossbar arrays is their nanoscale switching capability, which specifically changes their resistance state between high and low. In this paper, we propose a new nano-programmable logic array (PLA) device in the form of an on anti-facing double-layer memristor array. The PLA is composed of an AND plane and an OR plane merged onto the same layer. The AND and OR planes are stacked vertically such that each layer forms a crossbar architecture; thus, a cross section reveals two anti-facing memristors with 5 layers: the bottom metal layer, a memristive layer, the intermediate metal layer, an anti-facing memristive layer, and the top metal layer. The intermediate metal layer provides its output at the AND plane which is the input of the OR plane, and as such, the input and output nodes of the two logic functions are shared. Thus, the proposed architecture reduces the propagation delay of the AND plane by 70% by sharing the OR plane input wires. Additionally, the anti-facing architecture makes it easy to determine appropriate values for the pull-up and pull-down registers of the PLA.

Oxygen embolism caused by accidental subcutaneous injection of hydrogen peroxide during orthopedic surgery: A case report.

INTRODUCTION: We report a 39-year-old male patient with a fracture of the right acetabulum undergoing open reduction and internal fixation with a plate under general anesthesia. At closure, the surgeons injected 0.75% ropivacaine into the subcutaneous tissue of the incision wound for postoperative analgesia. Soon after injection, subcutaneous emphysema at the injection site and a sudden decrease in end-tidal CO2 tension with crude oscillatory ripples during the alveolar plateau phase were observed. Shortly thereafter, it was found that the surgeons had mistakenly injected hydrogen peroxide instead of ropivacaine. Fortunately, the patient recovered to normal status after 10 minutes. After the surgery, the patient was carefully observed for suspected pulmonary embolism and discharged without complications. CONCLUSION: Adverse events related to medication errors can occur in operating rooms, and most cases can be prevented through communication and verification by medical staff. The use of hydrogen peroxide should be reevaluated; when used, medical staff should be aware of the risk of oxygen embolism and take extreme care.

Pancreatic adenocarcinosarcoma of monoclonal origin: a case report.

Adenocarcinosarcoma, a neoplasm containing both carcinomatous and sarcomatous components, is a rare form of a cancer and the pathophysiology is currently poorly understood. Moreover, definitive treatment guidelines for this disease have not yet been established. Pancreatic adenocarcinosarcoma is even more rare and the prognosis is fatal. Here, we report a case of a 77-year-old male with pancreatic adenocarcinosarcoma and metastasis to the liver. The patient presented at our hospital with uncontrolled glucose levels and diabetes mellitus. The patient's laboratory findings were unremarkable with the exception of elevated carbohydrate antigen 19-9 levels. Biopsies of the tumors in the pancreas and the liver revealed two types of tumors: pancreatic adenocarcinoma and a poorly differentiated sarcoma. To determine if KRAS mutations were present, we performed a peptide nucleic acid (PNA) clamp PCR-based assay. DNA sequencing by PNA clamp PCR identified a point mutation in codon 12 of exon 2 within KRAS from both tumor types. Because the KRAS mutation is observed in both tumor components, our findings support a monoclonal tumor origin followed by subsequent divergent differentiation into the sarcomatous and carcinomatous tumor populations. After we considered the patient's status and the late stage of tumor detection, gemcitabine chemotherapy was administered.

Usefulness of thermography in diagnosis of complex regional pain syndrome type I after transradial coronary intervention.

Complex regional pain syndrome (CRPS) is a very rare complication of transradial coronary intervention (TRI). We present the case of a 51-year-old man who suffered severe pain of the right forearm after TRI and progressed to type I CRPS. The patient had effort angina and underwent successful coronary artery stent deployment on the right coronary artery. After removing the hemostatic device, the patient had swelling and severe pain that was not relieved by analgesics. Continued pain progressed to allodynia, hyperalgesia, and hyperesthesia, which met the diagnostic criteria for CRPS. Electromyography showed no abnormalities in nerve conduction and thermography of the forearm showed temperature discrepancy between both forearms, which confirmed the diagnosis of CRPS. We treated the patient with sympathetic nerve block, but he still suffers from minor pain in the right forearm. This case demonstrates that unalleviated pain after TRI can progress to CRPS, and that thermography is a useful method to diagnose CRPS.