ECHO: Digital Service Platform for Diabetes Management in Young Patients

Department of Creative Design EngineeringDiabetes in the general young population is increasing because of which their risk of developing other chronic conditions has increased. Among these conditions, the most prevalent condition is the psychiatric illness that causes anxiety disorders, behavioral disorders, and mood disorders in the overall adolescent population. Recent developments in smart healthcare provided new opportunities for managing the daily life activities of young patients. Most of these patients once diagnosed with diabetes often develop stress and mental problems, which negatively influence their social awareness. Hence, it is important to break the vicious cycle of diabetes and stress for a healthy life because ignoring diabetes management may lead to undesirable health outcomes. Given this problem, this study found that smart healthcare could be a new opportunity for health management that provides a new healthcare service for young patients with diabetes. This study presents a mobile service for diabetes management called Echo digital service design. The service design offers significant suggestions and provides a guide for a smart management system for diabetes on a daily basis. Furthermore, the service design seems to help patients with several mental problems that interfere with their healthy diabetes management. Echo service design provides a platform for patients to modify their negative actions against diabetes management and reinforce positive habits for self-oriented care. This study sorts to provide the Echo service design to young diabetes patients using user-centered design methodologies and design thinking approaches. The results of this study seek to provide a meaningful impact of the service design on young diabetes patients. This study provided an opportunity to design the function in the echo service design application to give patients a sense of responsibility and authority to help manage diabetes and engage patients in medical care. The test results reveal that the service design application helps contribute to future studies on diabetes educations and brings innovative and high-quality health care services for young diabetes patients considering their mental illness.ope

Philosophical Analysis of the Name of the Discipline ‘Physical Education’ and Proposal of Alternative Terminology

OBJECTIVES The primary objective of this study is to clarify the concepts of physical education and sport from a philosophical perspective and propose the potential of kinesiology as a promising alternative. METHODS The method of philosophical argumentation was employed to carefully examine the logical consistency of physical education, sport, and kinesiology. The conceptual tools of connotation and denotation were used to analyze these definitions, and their compatibility was thoroughly assessed. RESULTS Through deductive analysis, it was discovered that both physical education and sport face inherent challenges of limited externalization and excessive externalization. These challenges hinder the accurate representation of reality or weaken the distinct identity of the disciplines. Conversely, it was argued that kinesiology possesses the conceptual capacity to encompass both physical education and sport as a discipline. CONCLUSIONS Considering the apparent conceptual constraints of physical education, it becomes reasonable to reassess the nomenclature of our field. This paper has demonstrated the philosophical significance of kinesiology and its potential as a viable alternative. However, since philosophical arguments may not always perfectly align with practical reality, further exploration and evaluation from diverse perspectives are necessary to determine the suitability of adopting the term ‘kinesiology’ as an alternative

Electrochemical Investigation of High-Performance Dye-Sensitized Solar Cells Based on Molybdenum for Preparation of Counter Electrode

In order to improve the photocurrent conversion efficiency of dye-sensitized solar cells (DSSCs), we studied an alternative conductor for the counter electrode and focused on molybdenum (Mo) instead of conventional fluorine-doped tin oxide (FTO). Because Mo has a similar work function to FTO for band alignment, better formability of platinum (Pt), and a low electric resistance, using a counter electrode made of Mo instead of FTO lead to the enhancement of the catalytic reaction of the redox couple, reduce the interior resistance of the DSSCs, and prevent energy-barrier formation. Using electrical measurements under a 1-sun condition (100 mW/cm(2), AM 1.5), we determined that the fill factor (FF) and photocurrent conversion efficiency (eta) of DSSCs with a Mo electrode were respectively improved by 7.75% and 5.59% with respect to those of DSSCs with an FTO electrode. Moreover, we have investigated the origin of the improved performance through surface morphology analyses such as scanning electron microscopy and electrochemical analyses including cyclic voltammetry and impedance spectroscopy

Controllable modification of transport properties of single-walled carbon nanotube field effect transistors with in situ Al decoration

We use an in situ Al decoration technique to control the transport characteristics of single-walled carbon nanotube field effect transistors (SWNT-FETs). Al nanoparticle decoration in a high vacuum caused the devices to change from p -type to n -type FETs, and subsequent exposure to the ambient atmosphere induced a gradual recovery of p -type character. In comparison with the bare SWNT-FETs under high vacuum, the channel-open devices with decorated Al particles exhibited reduced current under ambient conditions. However, selective Al decoration only at the contact resulted in an improved p -type current in ambient air.open182

Carbon Monoxide Protects against Hepatic Ischemia/Reperfusion Injury via ROS-Dependent Akt Signaling and Inhibition of Glycogen Synthase Kinase 3β

Carbon monoxide (CO) may exert important roles in physiological and pathophysiological states through the regulation of cellular signaling pathways. CO can protect organ tissues from ischemia/reperfusion (I/R) injury by modulating intracellular redox status and by inhibiting inflammatory, apoptotic, and proliferative responses. However, the cellular mechanisms underlying the protective effects of CO in organ I/R injury remain incompletely understood. In this study, a murine model of hepatic warm I/R injury was employed to assess the role of glycogen synthase kinase-3 (GSK3) and phosphatidylinositol 3-kinase (PI3K)-dependent signaling pathways in the protective effects of CO against inflammation and injury. Inhibition of GSK3 through the PI3K/Akt pathway played a crucial role in CO-mediated protection. CO treatment increased the phosphorylation of Akt and GSK3-beta (GSK3β) in the liver after I/R injury. Furthermore, administration of LY294002, an inhibitor of PI3K, compromised the protective effect of CO and decreased the level of phospho-GSK3β after I/R injury. These results suggest that CO protects against liver damage by maintaining GSK3β phosphorylation, which may be mediated by the PI3K/Akt signaling pathway. Our study provides additional support for the therapeutic potential of CO in organ injury and identifies GSK3β as a therapeutic target for CO in the amelioration of hepatic injury

Nuclear Factor Erythroid-Derived 2-Like 2-Induced Reductive Stress Favors Self-Renewal of Breast Cancer Stem-Like Cells via the FoxO3a-Bmi-1 Axis

Aims: A subpopulation of cancer cells, termed cancer stem cells (CSCs), has stemness properties, such as self-renewal and differentiation, which drive cancer recurrence and tumor resistance. CSCs possess enhanced protection capabilities to maintain reduced intracellular levels of reactive oxygen species (ROS) compared with nonstem-like cancer cells. This study investigated whether reductive stress could regulate self-renewal activity in breast CSCs. Results: We found that manifestation of stemness in breast cancer stem-like cells was associated with an elevated production of reduced glutathione (GSH) maintained by upregulation of glutamate cysteine ligase catalytic subunit (GCLC) and consequently, lowered ROS levels. This was accompanied by upregulation of phospho-AMP-activated protein kinase, FoxO3a, and Bmi-1. Notably, expression of nuclear factor erythroid-derived 2-like 2 (Nrf2) protein was substantially increased in cells undergoing sphere formation. We noticed that expression of Bmi-1 was inhibited after introduction of Nrf2 short interfering RNA into MCF-7 mammosphere cells. Silencing of Nrf2 expression suppressed the xenograft growth of subcutaneously or orthotopically injected human breast cancer cells. Innovation: Association between Nrf2 and self-renewal signaling in CSCs has been reported, but the underlying molecular mechanism remains largely unresolved. This study demonstrates the Nrf2-mediated signaling pathway in maintenance of reductive stress in breast CSCs. Conclusion: Nrf2 overactivation in breast CSCs upregulates GCLC expression and consequently enhances GSH biosynthesis with concurrent reduction in intracellular ROS accumulation, thereby provoking the reductive stress. The consequent upregulation of nuclear FoxO3a and its binding to the promoter of the gene encoding Bmi-1 account for the self-renewal activity of breast cancer stem-like cells and their growth in a xenograft mouse model.

Retrospective Analysis of Peripheral Blood Stem Cell Transplantation for the Treatment of High-Risk Neuroblastoma

Disease relapse after autologous peripheral blood stem cell transplantation (APBSCT) is the main cause of treatment failure in high-risk neuroblastoma (NBL). To reduce relapse, various efforts have been made such as CD34+ selection and double APBSCT. Here the authors reviewed the clinical features and outcomes of high-risk NBL patients and analyzed their survival. The medical records of 36 patients with stage III or IV NBL who underwent APBSCT at Seoul National University Children's Hospital between May 1996 and May 2004 were reviewed. Total 46 APBSCTs were performed in 36 patients. Disease free survival (DFS) and overall survival of all patients were 47.7% and 68.8%, respectively. The patients were allocated to three groups according to the APBSCT type. The DFS of CD34+ non-selected single APBSCT patients (N=13), CD34+ selected single APBSCT patients (N=14), and CD34+ selected double APBSCT patients (N=9) were 55.6%, 40.6%, and 50.0%, respectively, which were not significantly different. Thus the survival was not found to be affected by CD34+ selection or transplantation number. To improve long-term survival, various efforts should be made such as chemotherapy dose intensification, more effective tumor purging, and control of minimal residual disease via the use of differentiating and immune-modulating agents