Construction of a cryogenic dual scanner magnetic force microscope equipped with piezoresistive cantilever.

We present a low-temperature magnetic force microscope (MFM) incorporating a piezoresistive cantilever and a dual-range scanner for experiments across a wide temperature range from cryogenic levels to room temperature. The piezoresistor-based MFM eliminates the need for optical readjustment, typically required due to thermal expansion at varying temperatures, thereby providing a more stable and precise measurement environment. The integration of a dual scanner system expands the versatility of scanning operations, enabling accurate sample positioning for detailed exploration of magnetic and superconducting properties under diverse thermal conditions. To demonstrate the capabilities of our MFM, we show detailed imaging of Fe3GaTe2, a van der Waals ferromagnet, and Yb0.7Y0.3CuAs2, a ferromagnetic cluster glass material. These studies demonstrate the potential of our MFM in revealing intricate details of magnetic domain dynamics and contribute to our understanding of materials exhibiting the anomalous Hall effect as well as superconducting phenomena.

Spatial modeling of geogenic indoor radon distribution in Chungcheongnam-do, South Korea using enhanced machine learning algorithms.

Prolonged inhalation of indoor radon and its progenies lead to severe health problems for housing occupants; therefore, housing developments in radon-prone areas are of great concern to local municipalities. Areas with high potential for radon exposure must be identified to implement cost-effective radon mitigation plans successfully or to prevent the construction of unsafe buildings. In this study, an indoor radon potential map of Chungcheongnam-do, South Korea, was generated using a group method of data handling (GMDH) algorithm based on local soil properties, geogenic, geochemical, as well as topographic factors. To optimally tune the hyper-parameters of GMDH and enhance the prediction accuracy of modelling radon distribution, the GMDH model was integrated with two metaheuristic optimization algorithms, namely the bat (BA) and cuckoo optimization (COA) algorithms. The goodness-of-fit and predictive performance of the models was quantified using the area under the receiver operating characteristic (ROC) curve (AUC), mean squared error (MSE), root mean square error (RMSE), and standard deviation (StD). The results indicated that the GMDH-COA model outperformed the other models in the training (AUC = 0.852, MSE = 0.058, RMSE = 0.242, StD = 0.242) and testing (AUC = 0.844, MSE = 0.060, RMSE = 0.246, StD = 0.0242) phases. Additionally, using metaheuristic optimization algorithms improved the predictive ability of the GMDH. The GMDH-COA model showed that approximately 7 % of the total area of Chungcheongnam-do consists of very high radon-prone areas. The information gain ratio method was used to assess the predictive ability of considered factors. As expected, soil properties and local geology significantly affected the spatial distribution of radon potential levels. The radon potential map produced in this study represents the first stage of identifying areas where large proportions of residential buildings are expected to experience significant radon levels due to high concentrations of natural radioisotopes in rocks and derived soils beneath building foundations. The generated map assists local authorities to develop urban plans more wisely towards region with less radon concentrations.

Radon potential mapping in Jangsu-gun, South Korea using probabilistic and deep learning algorithms.

The adverse health effects associated with the inhalation and ingestion of naturally occurring radon gas produced during the uranium decay chain mean that there is a need to identify high-risk areas. This study detected radon-prone areas using a geographic information system (GIS)-based probabilistic and machine learning methods, including the frequency ratio (FR) model and a convolutional neural network (CNN). Ten influencing factors, namely elevation, slope, the topographic wetness index (TWI), valley depth, fault density, lithology, and the average soil copper (Cu), calcium oxide (Cao), ferric oxide (Fe2O3), and lead (Pb) concentrations, were analyzed. In total, 27 rock samples with high activity concentration index values were divided randomly into training and validation datasets (70:30 ratio) to train the models. Areas were categorized as very high, high, moderate, low, and very low radon areas. According to the models, approximately 40% of the study area was classified as very high or high risk. Finally, the radon potential maps were validated using the area under the receiver operating characteristic curve (AUC) analysis. This showed that the CNN algorithm was superior to the FR method; for the former, AUC values of 0.844 and 0.840 were obtained using the training and validation datasets, respectively. However, both algorithms had high predictive power. Slope, lithology, and TWI were the best predictors of radon-affected areas. These results provide new information regarding the spatial distribution of radon, and could inform the development of new residential areas. Radon screening is important to reduce public exposure to high levels of naturally occurring radiation.

Important Consideration in Choosing Antipsychotics in the Treatment of Patients with 22q11.2 Deletion Syndrome: Risk of Convulsion.

The prevalence of epilepsy and psychosis in 22q11.2 deletion syndrome (22q11.2DS) is higher than in the general population. Recent study on adults with 22q11.2DS reported that the most common trigger for provoked seizures was the use of antipsychotics and antidepressants. In this paper, blonaserin was used because aripiprazole, quetiapine, paliperidone were not effective. The patient had convulsion on the fourth day of taking blonaserin. Neurological and cardiac examination was carried out, and lamotrigine was added at the advice of neurologist. Than the patient didn't have any convulsions and the symptoms gradually improved. When treating patients with 22q11.2DS, the medicine should be chosen carefully, and the patient should be observed closely, paying attention to the possibility of convulsions.

Correlation Between Microstructure and Tensile Properties of STS 316L and Inconel 718 Fabricated by Selective Laser Melting (SLM).

The correlation between microstructure and tensile properties of selective laser melting (SLM) processed STS 316L and Inconel 718 were investigated at various heights (top, middle and bottom) and planes (YZ, ZX and XY). Columnar grains and dendrites were formed by directional growth during solidification. The average melt pool width and depth, and scan track width were similar in both specimens due to fixed processing parameters. SLM Inconel 718 has moderate tensile strength (1165 MPa) and tensile elongation (11.5%), whereas SLM STS 316L has outstanding tensile strength (656 MPa) and tensile elongation (75%) compared to other SLM processed STS 316L. Fine columnar diameter (0.5 µm) and dense microstructures (porosity: 0.35%) in SLM STS 316L promoted the enhancement of tensile elongation by suitable processing condition. Fractographic analysis suggested that the lack of fusion pore with unmelted powder should be avoided to increase tensile properties by controlling processing parameters.

Low-dose Quetiapine-induced Syndrome of Inappropriate Antidiuretic Hormone in a Patient with Traumatic Brain Syndrome.

Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is characterized by hyponatremia, low serum osmolality, and clinical euvolemia in the absence of diuretic medication. And the causes of SIADH are various, antipsychotic agents and traumatic brain injury (TBI) are well known. Quetiapine is often chosen to manage the maladaptive behavior of patients with post-TBI. Although a previous study reported that quetiapine doses ranging from 25 to 300 mg were effective and tolerable, the symptoms of the patient might be aggravated. The symptoms of TBI such as nausea, malaise, headache, lethargy, and mild cognitive deficits are similar to those of SIADH. So the differentiation between SIADH and TBI may be difficult. This paper reports a case of SIADH in a patient with a TBI after using a small dose of 25 to 50 mg quetiapine.

Highly Twisted Donor-Acceptor Boron Emitter and High Triplet Host Material for Highly Efficient Blue Thermally Activated Delayed Fluorescent Device.

New highly efficient thermally activated delayed fluorescence (TADF) dopant materials (PXB-DI and PXB-mIC) for blue organic light-emitting diodes are reported. These materials were designed by combining highly conjugated rigid ring donor moieties and a boron acceptor with a highly twisted configuration to have high TADF performance and minimized self-quenching properties. In addition, a new high triplet energy and hole transport-type host material, 5-(5-(2,4,6-triiso-propylphenyl)pyridin-2-yl)-5 H-benzo[ d]benzo[4,5]imidazo[1,2- a]imidazole (PPBI), is also reported. This host represents deeper blue color owing to keeping the original spectra of emitters. A fabricated blue TADF device with PXB-mIC in the PPBI host exhibited maximum external quantum efficiency (EQE) of 12.5% with a CIE of (0.15, 0.08), which is close to that of the National Television System Committee blue color. The blue TADF device performances of the PPBI host was compared with the electron transport-type 2,8-bis(diphenylphosphine oxide)dibenzofuran (DBFPO) host. The blue TADF device with PXB-DI in the DBFPO host exhibited a maximum EQE of 37.4% in the sky blue region. This study demonstrates that our molecular design concept of new emitters and host is beneficial for future high-efficiency deep-blue TADF devices.

Prevalence of Neuropathic Pain and Patient-Reported Outcomes in Korean Adults with Chronic Low Back Pain Resulting from Neuropathic Low Back Pain.

STUDY DESIGN: A noninterventional, multicenter, cross-sectional study. PURPOSE: We investigated the prevalence of neuropathic pain (NP) and patient-reported outcomes (PROs) of the quality of life (QoL) and functional disability in Korean adults with chronic low back pain (CLBP). OVERVIEW OF LITERATURE: Among patients with CLBP, 20%-55% had NP. METHODS: Patients older than 20 years with CLBP lasting for longer than three months, with a visual analog scale (VAS) pain score higher than four, and with pain medications being used for at least four weeks before enrollment were recruited from 27 general hospitals between December 2014 and May 2015. Medical chart reviews were performed to collect demographic/clinical features and diagnosis of NP (douleur neuropathique 4, DN4). The QoL (EuroQoL 5-dimension, EQ-5D; EQ-VAS) and functional disability (Quebec Back Pain Disability Scale, QBPDS) were determined through patient surveys. Multiple linear regression analyses were performed to compare PROs between the NP (DN4≥4) and non-NP (DN4<4) groups. RESULTS: A total of 1,200 patients (females: 65.7%; mean age: 63.4±13.0 years) were enrolled. The mean scores of EQ-5D, EQ-VAS, and QBPDS were 0.5±0.3, 55.7±19.4, and 40.4±21.1, respectively. Among all patients, 492 (41.0%; 95% confidence interval, 38.2%-43.8%) suffered from NP. The prevalence of NP was higher in male patients (46.8%; p<0.01), in patients who had pain based on radiological and neurological findings (59.0%; p<0.01), and in patients who had severe pain (49.0%; p<0.01). There were significant mean differences in EQ-5D (NP group vs. non-NP group: 0.4±0.3 vs. 0.5±0.3; p<0.01) and QBPDS (NP group vs. non-NP group: 45.8±21.2 vs. 36.3±20.2; p<0.01) scores. In the multiple linear regression, patients with NP showed lower EQ-5D (ß=-0.1; p<0.01) and higher QBPDS (ß=7.0; p<0.01) scores than those without NP. CONCLUSIONS: NP was highly prevalent in Korean patients with CLBP. Patients with CLBP having NP had a lower QoL and more severe dysfunction than those without NP. To enhance the QoL and functional status of patients with CLBP, this study highlights the importance of appropriately diagnosing and treating NP.

Revision surgery for curve progression after implant removal following posterior fusion only at a young age in the treatment of congenital scoliosis: A case report.

RATIONALE: Congenital scoliosis due to a hemivertebra creates a wedge-shaped deformity, which progresses and causes severe spinal deformities as an individual grows. The treatment of congenital scoliosis focuses on early diagnosis and appropriate surgical management before the development of severe deformity. PATIENT CONCERNS: We report the case of a 4-year-old male child with a left thoracolumbar scoliosis of 27° (T10-T12) due to a T11 hemivertebra who was treated by posterior fusion and pedicle screw fixation at the age of 4 years. The implant was removed due to pain secondary to implant prominence after 4 years without definitive revision surgery, which led to significant progression of the scoliosis, to 50°. The indication for posterior vertebral column resection (PVCR) is a congenital spinal deformity with a curve magnitude greater than 30° with fast progression. This includes documented progression of the curve by more than 5° in a 6- month period, failure of conservative treatment, or both. OUTCOMES: The patient underwent PVCR of the T11 hemivertebra. Nine years after the revision surgery with PVCR, the patient showed satisfactory results and his spine was well balanced. LESSONS: This case shows that removal of an implant that was not the only cause of curve progression at a young age may lead to progression of scoliosis and, therefore, should be avoided unless it is absolutely necessary. CONCLUSION: Congenital scoliosis due to a hemivertebra at a young age could be treated by hemivertebra resection or anterior and posterior epiphysiodesis as definitive surgical treatment. The patient was eventually treated with PVCR, which achieved satisfactory correction without curve progression in a long-term follow-up.

Posterior hemivertebra resection and short segment fusion with pedicle screw fixation for congenital scoliosis in children younger than 10 years: greater than 7-year follow-up.

STUDY DESIGN: A retrospective study. OBJECTIVE: To evaluate the surgical outcomes of posterior hemivertebra resection and short segment fusion with segmental pedicle screw fixation in congenital scoliosis in children younger than 10 years. SUMMARY OF BACKGROUND DATA: This is the first long-term follow-up on surgical outcomes of posterior hemivertebra resection and short segment fusion using segmental pedicle screw fixation in children younger than 10 years with congenital scoliosis. METHODS: Patients with congenital scoliosis (n = 18) younger than 10 years at the time of the surgery were treated by posterior hemivertebra resection and bilateral pedicle screw fixation. The mean age at the time of surgery was 6.6 years (range, 2.6-9.8 yr). They were retrospectively studied with a mean follow-up of 11.4 years (range, 7.1-17.3 yr). RESULTS: The mean Cobb angle of the main curve was 34.4° before surgery, 8.6° after surgery, and 12.9° at last follow-up. In the compensatory cranial curve, the preoperative Cobb angle of 14.5° was corrected to 5.9° postoperatively and was 8.4° at last follow-up. In the compensatory caudal curve, the preoperative Cobb angle of 17.4° improved to 4° postoperatively and 6.6° at last follow-up. There were no crankshaft phenomena and no clinical and radiographical features suggestive of spinal stenosis during follow-up. There were no major vascular or neurological complications related to the pedicle screws. CONCLUSION: Posterior hemivertebra resection after pedicle screw fixation in congenital scoliosis is a safe and effective procedure that can achieve rigid fixation and deformity correction and restore spinal balance. This study showed that early posterior hemivertebra resection of congenital scoliosis before structural changes occur above or below can reduce fusion length, prevent curve progression, and effectively achieve a more satisfactory correction without hazardous iatrogenic spinal stenosis, crankshaft phenomena, or neurological complications. LEVEL OF EVIDENCE: 3.

Anterior cervical plating technique to prevent adjacent-level ossification development.

BACKGROUND CONTEXT: The proximity (<5 mm) of the plate to the adjacent disc space is known to be a critical risk factor for adjacent-level ossification development (ALOD). As plates provide many advantages including higher fusion rates and improved alignment, their use will continue. Instead, it is necessary to modify the plating techniques to minimize this complication. PURPOSE: To determine if our newer plating technique decreases the incidence of ALOD after anterior cervical plating. STUDY DESIGN: Retrospective matched cohort analysis of preoperative and postoperative radiographic data. PATIENT SAMPLE: One hundred patients were classified into two groups; conventional (C) and new (N) plating techniques. The control group (Group C) was matched to the study group (Group N) in a 1:1 fashion using matching criteria of age (within 5 years), gender, number of fusion levels, and comorbidities, including diabetes and tobacco use. OUTCOME MEASURES: The lateral plain X-rays of cervical spine taken at postoperative 6 months and 2 years were used for analysis. METHODS: In Group N, the cranial and caudal screws were started at the anterior end plate corners and angled away from the end plates so as to use the shortest possible plate and maximize the distance to the adjacent end plates. Group C was the historical control using a longer plate with more orthogonal screw angulation. On postoperative 6-week lateral films, the distances from the tip of the plate to both cranial and caudal adjacent discs (plate-to-disc distances) were measured. Based on the postoperative 2-year radiographs, the incidence of ALOD was determined, and the severity of ossification was classified on a scale ranging from Grade 0 (no ossification) to Grade 3 (complete bridging). RESULTS: Mean plate-to-disc distances in Group N were significantly longer at both cranial and caudal adjacent levels than those in Group C (p<.001). The incidence of ALOD was significantly lower in Group N than in Group C, both at the cranial adjacent disc spaces (42% vs. 72%) and caudal adjacent disc spaces (20% vs. 42%) (p<.05). Severe ossification (Grade 2 or greater) also developed less frequently in Group N at cranial and caudal levels (6% vs. 20%, respectively; p<.05). CONCLUSIONS: The new technique of using a shorter plate with longer angulated screws resulted in significantly reduced incidence and severity of ALOD.

Posterior vertebral column resection for severe rigid scoliosis.

STUDY DESIGN: Retrospective study. OBJECTIVE: To report on the technique and results of posterior vertebral column resection (PVCR) for severe rigid scoliosis. SUMMARY OF BACKGROUND DATA: The treatment of severe rigid scoliosis is a demanding surgical challenge. Conventional procedures such as combined anteroposterior instrumentation enable limited correction. In rigid scoliosis, vertebral column resection is a better option for accomplishing translation of spinal column. PVCR is performed through a single posterior approach. METHODS: A total of 16 patients with scoliosis (average age 29 years) subjected to PVCR were retrospectively reviewed after a minimum follow-up of 2 years (range 2-6.8). The indication for PVCR was scoliosis more than 80 degrees , with flexibility less than 25%. The radiographic parameters were evaluated, and clinical records were reviewed. RESULTS: The number of vertebrae removed averaged 1.3, and 21 total (15 thoracic and 6 lumbar). Average fusion extent was 10.6 vertebrae. The mean preoperative scoliosis of 109.0 degrees was corrected to 45.6 degrees (59% correction) at the most recent follow-up, and the minor curve of 59.3 degrees was corrected to 29.2 degrees (51% correction). The mean preoperative coronal imbalance of 4.0 cm was improved to 1.0 cm at the most recent follow-up, and sagittal imbalance of 4.2 cm was improved to 1.6 cm. Complications were encountered in 4 patients, including 1 complete paralysis, 1 hematoma, 1 hemopneumothorax, and 1 proximal junctional kyphosis. CONCLUSIONS: PVCR is an effective alternative for severe rigid scoliosis. It is a highly technical procedure and should only be performed by an experienced surgical team.