Optimizing Esthetic Outcomes and Bone Stability: Chin Advancement Through Inverted V Osteotomy.

Traditional horizontal osteotomies for small and short chins often yield suboptimal results due to limited bone advancement, resulting in deep labiomental folds and heightened bone resorption risks. This study investigates the effectiveness of an innovative inverted V-shaped osteotomy technique in enhancing esthetic outcomes for patients with such chin concerns. Thirty-eight patients who underwent inverted V-shaped osteotomy for recessed chins between January 2018 and June 2022 were included. Excluding cases involving simultaneous mandibular contouring surgery, patients were followed up for a median duration of 1.2±0.5 years. Preoperation and postoperation soft tissue pogonion (Pg') and labiomental fold depth (LMF) changes were measured. IBM SPSS (version 27.0) was used for statistical analysis, with significance defined as P <0.05. Patient satisfaction was assessed using a visual analog scale. Successful advancement genioplasty was performed on all patients without any severe complications. The average change in soft tissue pogonion (Pg') measured 6.2 (1.9) mm, and the mean alteration in labiomental depth was 0.42 (0.4) mm. The procedure achieved a bone to soft tissue movement ratio of 1:0.96. Patient satisfaction was notably high, with a mean VAS score of 8.7. An inverted V-shaped osteotomy enables greater bone advancement for small and short chins, leading to improved esthetic outcomes and offering a mechanically advantageous condition for bone segments.

Aesthetic Mandibular Angloplasty to Improve Patient Quality of Life in Chronic Recurrent Multifocal Osteomyelitis.

Chronic recurrent multifocal osteomyelitis (CRMO) is a rare autoimmune disease that typically develops during adolescence and primarily affects women. CRMO primarily targets the bone in arms and legs, with sporadic occurrences in the mandible. CRMO is typically managed with medical treatment, and the efficacy of surgery remains controversial. Complications of surgery include massive bleeding and potential flare-up of CRMO symptoms. Herein, we report a patient with CRMO who had lesions in the bilateral rami of the mandible treated with aesthetic mandibular angloplasty. This is the first case of aesthetic mandibular angloplasty in a patient with CRMO who had bilateral rami involvement of the mandible. The patient began experiencing jaw pain accompanied by swelling and throbbing discomfort beneath the jawline at the age of 10. A pediatrician diagnosed CRMO, and the symptoms were controlled with nonsteroidal antiinflammatory drugs and immunosuppressants (infliximab, adalimumab). Aesthetic mandibular angloplasty was performed at our center because of mandibular hypertrophy. This procedure necessitated considerable removal of the spongy bone, raising concerns about potential massive intraoperative bleeding. Approximately 1.5 cm of the mandibular body was excised to reveal the cortical bone. Bleeding during surgery was not severe, rendering blood transfusions unnecessary. The patient was satisfied with the surgical results. This case indicates the feasibility of angloplasty for such cases.

Pt cocatalyst morphology on semiconductor nanorod photocatalysts enhances charge trapping and water reduction.

In photocatalysis, metal-semiconductor hybrid structures have been proposed for ideal photocatalytic systems. In this study, we investigate the effect of morphology and surface nature of Pt cocatalysts on photocatalytic hydrogen evolution activity in Pt-tipped CdSe nanorods. Three distinct morphologies of Pt cocatalysts were synthesized and employed as visible light photocatalysts. The rough tips exhibit the highest activity, followed by the round and cubic tips. Kinetic investigations using transient absorption spectroscopy reveal that the cubic tips exhibit lower charge-separated states feasible for reacting with water and water reduction rates due to their defectless surface facets. In contrast, the rough tips show a similar charge-separation value but a two-fold higher surface reaction rate than the round tips, resulting in a significant enhancement of hydrogen evolution. These findings highlight the importance of rational design on metal cocatalysts in addition to the main semiconductor bodies for maximizing photocatalytic activities.

Empirical Analysis of Autonomous Vehicle's LiDAR Detection Performance Degradation for Actual Road Driving in Rain and Fog.

Light detection and ranging (LiDAR) is widely used in autonomous vehicles to obtain precise 3D information about surrounding road environments. However, under bad weather conditions, such as rain, snow, and fog, LiDAR-detection performance is reduced. This effect has hardly been verified in actual road environments. In this study, tests were conducted with different precipitation levels (10, 20, 30, and 40 mm/h) and fog visibilities (50, 100, and 150 m) on actual roads. Square test objects (60 × 60 cm2) made of retroreflective film, aluminum, steel, black sheet, and plastic, commonly used in Korean road traffic signs, were investigated. Number of point clouds (NPC) and intensity (reflection value of points) were selected as LiDAR performance indicators. These indicators decreased with deteriorating weather in order of light rain (10-20 mm/h), weak fog (<150 m), intense rain (30-40 mm/h), and thick fog (≤50 m). Retroreflective film preserved at least 74% of the NPC under clear conditions with intense rain (30-40 mm/h) and thick fog (<50 m). Aluminum and steel showed non-observation for distances of 20-30 m under these conditions. ANOVA and post hoc tests suggested that these performance reductions were statistically significant. Such empirical tests should clarify the LiDAR performance degradation.

Use of Nucleating Agent NA11 in the Preparation of Polyvinylidene Fluoride Dual-Layer Hollow Fiber Membranes.

Polyvinylidene fluoride (PVDF) dual-layer hollow fiber membranes were simultaneously fabricated by thermally induced phase separation (TIPS) and non-solvent induced phase separation (NIPS) methods using a triple orifice spinneret (TOS) for water treatment application. The support layer was prepared from a TIPS dope solution, which was composed of PVDF, gamma-butyrolactone (GBL), and N-methyl-2-pyrrolidone (NMP). The coating layer was prepared from a NIPS dope solution, which was composed of PVDF, N,N-dimethylacetamide (DMAc), and polyvinylpyrrolidone (PVP). In order to improve the mechanical strength of the dual-layer hollow fiber, a nucleating agent, sodium 2,2'-methylene bis-(4,6-di-tert-butylphenyl) phosphate (NA11), was added to the TIPS dope solution. The performance of the membrane was evaluated by surface and cross-sectional morphology, water flux, mechanical strength, and thermal property. Our results demonstrate that NA11 improved the mechanical strength of the PVDF dual-layer hollow fiber membranes by up to 42%. In addition, the thickness of the coating layer affected the porosity of the membrane and mechanical performance to have high durability in enduring harsh processing conditions.

Imaging particulate matter exposed pine trees by vehicle exhaust experiment and hyperspectral analysis.

This study analyzed spectral variations of the particulate matter (PM hereafter)-exposed pine trees using a spectrometer and a hyperspectral imager to derive the most effective spectral indices to detect the pine needle exposure to PM emission. We found that the spectral variation in the near-infrared (NIR hereafter) bands systemically coincided with the variations in PM concentration, showing larger variations for the diesel group whereas larger dust particles showed spectral variations in both visible and NIR bands. It is because the PM adsorption on needles is the main source of NIR band variation, and the combination of visible and NIR spectra can detect PM absorption. Fourteen bands were selected to classify PM-exposed pine trees with an accuracy of 82% and a kappa coefficient of 0.61. Given that this index employed both visible and NIR bands, it would be able to detect PM adsorption. The findings can be transferred to real-world applications for monitoring air pollution in an urban area.

Effects of Forest Therapy on Psychological Improvement in Middle-aged Women in Korea.

OBJECTIVES: Women experience more stress in middle age than in other periods of their lives. Therefore, health management programs that enable middle-aged women to cope with and manage stress are needed. This study investigated the psychological effects of a meditation-focused forest therapy program among 53 middle-aged women living in urban areas in Korea. METHODS: Participants were divided into 2 groups: one group underwent the program for 3 days in a forest, followed by 3 days in an urban environment, and the other group underwent the program for 3 days in the urban environment, followed by 3 days in the forest. The psychological effects of the forest therapy program were evaluated using the Profile of Mood States-Brief (POMS-B). Differences in mood state before and after the program conducted in the forest (experimental group) and in the urban environment (control group) were evaluated using the paired-samples t-test. RESULTS: The program in the forest significantly reduced tension, depression, anger, fatigue, and confusion among the domains of the POMS-B. The program in the urban area significantly reduced tension, but not depression, anger, fatigue, or confusion. CONCLUSIONS: Meditation-focused forest therapy programs are expected to contribute to promoting psychological health and enhancing the quality of life of middle-aged women.

Quality of Life and Mental Health Benefits of Public Participation in Forest Conservation Activities in Urban Areas.

The purpose of this study is to investigate the effect of forest conservation activities on the physical and psychological wellbeing of participants. The experiment was conducted in a forest near an urban area and involved 61 participants (average age: 22.5 ± 1.8). The participants selected one of three activities (pruning, stacking cut branches, and removing vines) in the forest conservation program. The effects of these activities on the musculoskeletal system were assessed using the Ovako Working Posture Assessment System (OWAS); the physical intensity of the activities was evaluated using heart rate data. The psychological evaluation measurement indexes used the Positive and Negative Affect Schedule, Rosenberg Self-Esteem scale, World Health Organization Quality of Life assessment instrument, and the Perceived Restorativeness Scale. As a result of the OWAS assessment, forest conservation activities were found to be action categories 1 and 2, which were less burdensome to the musculoskeletal system. All forestry activities were found to be light levels of physical intensity. Psychological evaluation of the participants revealed that positive emotions such as self-esteem, quality of life, and perceived restorativeness increased significantly, whereas negative emotions decreased significantly. This forest conservation program, that involved low-intensity activities which were less burdensome to the musculoskeletal system, had positive physical and psychological effects on the local residents who participated.

Effect of Forest Users' Stress on Perceived Restorativeness, Forest Recreation Motivation, and Mental Well-Being during COVID-19 Pandemic.

Even though the COVID-19 pandemic has discouraged travel and people's movements, the number of visitors to forests near cities which are easily accessible by private vehicle is increasing in Korea. This study aims to investigate the relationship between stress, perceived restorativeness, forest recreation motivation, and the mental well-being of forest users. A survey of forest users was conducted at three recreational forests near Seoul in the summer of 2020. A total of 1196 forest users (613 males and 583 females) participated in the study. As a result of the data analysis, it was found that stress had a negative correlation with perceived restorativeness, forest recreation motivation, and mental well-being; perceived restorativeness had a positive correlation with mental well-being, and forest recreation motivation had a positive correlation with mental well-being. For the relationship between stress and mental well-being, the fitness index that was mediated by the perceived restorativeness and the forest recreation motivation found that the model was statistically suitable. Through this study, a research model was derived that, if the stress of forest users is reduced, direct or indirect effects on perceived restorativeness, forest recreation motivation, and mental well-being are increased. Further, a multi-group analysis found that the effect of perceived restorativeness and forest recreation motivation on the mental well-being of the male group was higher than the effect on the female group. Using this research model to find ways to promote health in forests can be utilized for forest management or forest healing.

A Novel Technique for Autologous Supratip Augmentation: Septal Gap Graft.

BACKGROUND: Although it has been common to use artificial implant to augment nasal dorsum in Asian rhinoplasty, the demand for not using it is increasing due to the long-term complications of implants. However, if only the tip is raised without raising the dorsum with implant, it is difficult to avoid supratip depression, so it is difficult to obtain good cosmetic results. The authors would like to report good results, performing an augmentation rhinoplasty that raises the supratip area using the nasal septal cartilage without using an implant. METHODS: Septal gap graft was used in 22 patients undergoing nasal tip surgery from January 2019 to April 2021. Septal gap graft refers to a graft that increases the height of the supratip area by using septal cartilage. Firstly, the authors perform a septal extension graft using the septal cartilage, then the authors fix the lower lateral cartilage in an ideal position, and lastly the authors heighten the nasal tip with onlay graft. The height difference between the nasal bone and the nasal tip, is solved by placing the septal cartilage. Before, during and after surgery, photometric analysis was done by taking clinical pictures. RESULTS: Through the septal gap graft, the supratip depression index was decreased and the nasal tip projection was increased. It was confirmed that the septal gap graft was well maintained at long-term follow-up, and the patients' postoperative satisfaction was also high. CONCLUSIONS: The authors presented a new technique for augmentation rhinoplasty in Asians. Septal gap graft can be used safely and effectively to raise supratip area without using implant.

Correction of the Deepened Labiomental Groove Using Silicone Implants in Advancement Genioplasty.

ABSTRACT: Advancement genioplasty is performed to aesthetically improve the lower third of the facial profile. Excessive chin advancement alone may lead to deepened labiomental sulcus and deformed aesthetic results. The purpose of this study was to assess the efficacy of silicone prosthesis placement as an alternative method for effacing an excessively deepened labiomental groove after advancement genioplasty. Three hundred and seventy-six patients underwent genioplasty between January 2014 and October 2017. Among these were 216 cases of advancement genioplasty, of which 79 (62 females and 17 males) underwent advancement procedures using silicone implants. Inserting the silicone implant at the sulcus easily removes the deepened groove. This procedure could be an easy and reliable method for attaining an aesthetically pleasing result in excessive advancement genioplasty.

Performance of Mobile LiDAR in Real Road Driving Conditions.

The performance of LiDAR sensors deteriorates under adverse weather conditions such as rainfall. However, few studies have empirically analyzed this phenomenon. Hence, we investigated differences in sensor data due to environmental changes (distance from objects (road signs), object material, vehicle (sensor) speed, and amount of rainfall) during LiDAR sensing of road facilities. The indicators used to verify the performance of LiDAR were numbers of point cloud (NPC) and intensity. Differences in the indicators were tested through a two-way ANOVA. First, both NPC and intensity increased with decreasing distance. Second, despite some exceptions, changes in speed did not affect the indicators. Third, the values of NPC do not differ depending on the materials and the intensity of each material followed the order aluminum > steel > plastic > wood, although exceptions were found. Fourth, with an increase in rainfall, both indicators decreased for all materials; specifically, under rainfall of 40 mm/h or more, a substantial reduction was observed. These results demonstrate that LiDAR must overcome the challenges posed by inclement weather to be applicable in the production of road facilities that improve the effectiveness of autonomous driving sensors.

Oxygen transport to mammalian cell and bacteria using nano-sized liposomes encapsulating oxygen molecules.

Hypoxic microenvironments emerge as tumor grow, leading to the over-expression and stabilization of hypoxia-inducible factor 1-alpha (HIF-1α). HIF-1α lowers the sensitization against chemotherapy, radiation therapy and photodynamic therapy in cancer. In this study, nano-sized oxygen carrier, namely oxygen dissolved nanoliposome (ODL) was synthesized, and oxygen was efficiently delivered to different types of mammalian cells to help relieve hypoxia. ODL confirmed that oxygen was released without inducing toxicity to cells. After artificially creating hypoxia in cancer cells, normal cells, and immune cells; various parameters such as cell morphology, HIF-1α expression, and degree of hypoxia were examined. The cellular environment was found to be altered by treatment with the ODL. Under hypoxia, the shape of the cells changed, and the cells began to die. After treatment with the ODL, the degree of hypoxia was reduced, indicating that HIF-1α expression and the rate of cell death decreased. Furthermore, bacteria proliferation was observed with the ODL. Therefore, ODL can be used for oxygen delivery platform in cancer therapy. ODL has a potential application in other microorganisms which needs future research.

Scheduling PID Attitude and Position Control Frequencies for Time-Optimal Quadrotor Waypoint Tracking under Unknown External Disturbances.

Recently, the use of quadrotors has increased in numerous applications, such as agriculture, rescue, transportation, inspection, and localization. Time-optimal quadrotor waypoint tracking is defined as controlling quadrotors to follow the given waypoints as quickly as possible. Although PID control is widely used for quadrotor control, it is not adaptable to environmental changes, such as various trajectories and dynamic external disturbances. In this work, we discover that adjusting PID control frequencies is necessary for adapting to environmental changes by showing that the optimal control frequencies can be different for different environments. Therefore, we suggest a method to schedule the PID position and attitude control frequencies for time-optimal quadrotor waypoint tracking. The method includes (1) a Control Frequency Agent (CFA) that finds the best control frequencies in various environments, (2) a Quadrotor Future Predictor (QFP) that predicts the next state of a quadrotor, and (3) combining the CFA and QFP for time-optimal quadrotor waypoint tracking under unknown external disturbances. The experimental results prove the effectiveness of the proposed method by showing that it reduces the travel time of a quadrotor for waypoint tracking.

Association between the Psychological Effects of Viewing Forest Landscapes and Trait Anxiety Level.

The aim of this study was to validate the psychological advantages of viewing forest landscapes. Moreover, the associations between trait anxiety levels and psychological responses were evaluated. A total of 650 university male students (age, 21.7 ± 1.6 years) viewed a scenery in a forested area and an urban area for 15 min. Furthermore, the Profile of Mood States questionnaire and State-Trait Anxiety Inventory were employed for the assessment of the psychological responses and the level of trait anxiety, respectively, of the participants. Results showed that compared with viewing a city area, viewing forest areas increased positive mood state, such as vigor, and decreased negative mood states. Furthermore, trait anxiety level and changes in the psychological responses such as depression-dejection, fatigue, and confusion after viewing forest landscapes were significantly correlated. The participants with high anxiety levels had greater reduction in negative mood state, including confusion, than those with low anxiety levels. In conclusion, viewing forest landscapes induced psychological relaxation, which was more evident in individuals with high anxiety levels.

Effects of Forest Therapy on Health Promotion among Middle-Aged Women: Focusing on Physiological Indicators.

Women experience more stress in middle age than in other life stages, and health in middle age is vital, because it influences the quality of life in old age. In this study, the effects of a forest therapy program on physiological changes in 53 middle-aged women (divided into two groups) who lived in the city were examined. One group participated in a three-day program in the forest, followed by three days in the city; the other group participated in a three-day program in the city, followed by three days in the forest. Forest experiments were conducted in a "healing forest," and urban experiments were conducted near a university campus. Blood tests were performed to evaluate the physiological effects of forest therapy. Differences in serotonin levels and vitamin D levels were verified before and after the forest (experimental group) and urban (control group) programs through paired t-tests. Statistically significant increases in serotonin levels were noted for participants in the forest program; vitamin D levels also increased, but not by statistically significant values. The findings of this study verify that forest therapy programs promote health among middle-aged women, and may prevent disease and improve quality of life.

Potential Antioxidant and Angiotensin I-converting Enzyme Inhibitory Activity in Crust of Dry-aged Beef.

Antioxidant activity, angiotensin I-converting enzyme (ACE) inhibitory activity, and protein profile of crust (the dried surface of dry-aged beef) were evaluated compared to unaged, wet-, and dry-aged beef. Antioxidant activity was determined using 2,2-diphenyl-1-picrylhydrazyl and 2,2'-azino-di-(3-ethylbenzthiazoline sulfonate) radical scavenging activities, ferric reducing antioxidant power, and ferrous ion chelating activity. The crust samples showed the greatest (P < 0.05) ACE inhibitory and antioxidant activity resulting from the three different mechanisms of action (radical scavenging, non-radical redox potential activity, and metal chelating) among the treatments. Small molecular weight protein bands and small peptides (<3 kDa) indicating potent bioactivity were evident in the myofibrillar protein profile of crust samples. The lowest (P < 0.05) ACE inhibitory activity was observed in unaged beef. The results indicate that crust could be utilized in various areas as a functional ingredient possessed antioxidant and ACE inhibitory activity instead of being discarded. In addition, dry aging can use for generation of functional ingredient from beef as the regime.

Measures to Promote Rural Healthcare Tourism with a Scientific Evidence-Based Approach.

The present study aimed to evaluate the effects of physical activities on human health in forests in countryside and rural areas. The test experiment was conducted in a countryside forest, whereas the controlled experiment was conducted in an urban area where the study participants resided. A total of 22 participants (aged 20.9 ± 1.3 years) were evaluated in this study. Heart rate variability and salivary cortisol level were used as indices of physiological conditions, and semantic differential method, profile of mood states (POMS), and state-trait anxiety inventory (STAI) were used to evaluate the participants' emotional states. The participants were asked to walk around forest and urban areas for 15 min. The results were as follows. As compared to the urban area, in the forest area, (1) the power of the high-frequency (HF) component of the heart rate variability (HRV) was significantly higher; (2) low-frequency (LF)/(LF + HF) was significantly lower; (3) salivary cortisol level was significantly lower; (4) the participants felt more comfortable, natural, relaxed, and less anxious and showed higher levels of positive emotions and lower levels of negative emotions. Consequently, walking in the forest area induces relaxing short-term physiological and psychological effects on young people living in urban areas.

Correction: Song, C.; Ikei, H.; Park, B.J.; Lee, J.; Kagawa, T.; Miyazaki, Y. Psychological Benefits of Walking through Forest Areas. Int. J. Environ. Res. Public Health 2018, 15, 2804.

The authors wish to add the following corrections to their paper published in the International Journal of Environmental Research and Public Health [1] [...].

Correction: Lee, J. et al. Acute Effects of Exposure to a Traditional Rural Environment on Urban Dwellers: A Crossover Field Study in Terraced Farmland. Int. J. Environ. Res. Public Health 2015, 12, 1874-1893.

The authors wish to add the following corrections to their paper published in the International Journal of Environmental Research and Public Health [...].