Optimal treatment regimes (OTRs) have been widely employed in computer science and personalized medicine to provide data-driven, optimal recommendations to individuals. However, previous research on OTRs has primarily focused on settings that are independent and identically distributed, with little attention given to the unique characteristics of educational settings, where students are nested within schools and there are hierarchical dependencies. The goal of this study is to propose a framework for designing OTRs from multisite randomized trials, a commonly used experimental design in education and psychology to evaluate educational programs. We investigate modifications to popular OTR methods, specifically Q-learning and weighting methods, in order to improve their performance in multisite randomized trials. A total of 12 modifications, 6 for Q-learning and 6 for weighting, are proposed by utilizing different multilevel models, moderators, and augmentations. Simulation studies reveal that all Q-learning modifications improve performance in multisite randomized trials and the modifications that incorporate random treatment effects show the most promise in handling cluster-level moderators. Among weighting methods, the modification that incorporates cluster dummies into moderator variables and augmentation terms performs best across simulation conditions. The proposed modifications are demonstrated through an application to estimate an OTR of conditional cash transfer programs using a multisite randomized trial in Colombia to maximize educational attainment.

Childhood trauma can cause deficits in emotional regulation. However, few studies have investigated childhood trauma and emotional regulation skills in patients with mood disorders. We aimed to investigate how childhood trauma and Emotion Regulation Skills Questionnaire (ERSQ) scores are associated with mood disorders.

This study included 779 patients with mood disorders (major depressive disorder [MDD, n = 240], bipolar I disorder [BDI, n = 121], and bipolar II disorder [BDII, n = 418]). We used their Childhood Trauma Questionnaire-Short Form (CTQ) and ERSQ scores for the evaluation.

The between-group differences in CTQ and ERSQ scores were examined. The CTQ and ERSQ total scores were negatively correlated. Among the CTQ subscales, emotional neglect showed a significant correlation with the ERSQ total score, whereas acceptance and tolerance showed higher negative correlations with the CTQ than with the other ERSQ subscales. The negative relationship between emotional regulation and childhood trauma varied significantly depending on the group, with the BDI group showing a more prominent association than the other groups.

Based on various mood disorders, we observed associations between childhood trauma and emotional regulation skills. Consequently, our study offers notable insights for future research on the impact of childhood trauma on ERSQ.

Background: Data on antimicrobial use at the national level is crucial to establish domestic antimicrobial stewardship policies and enable medical institutions to benchmark against each other. This study aimed to analyze antimicrobial use in Korean hospitals. Methods: We investigated the antimicrobials prescribed in Korean hospitals between 2018 and 2021, using data from the Health Insurance Review and Assessment. Primary care hospitals (PCHs), secondary care hospitals (SCHs), and tertiary care hospitals (TCHs) were included in this analysis. Antimicrobials were categorized according to the Korea National Antimicrobial Use Analysis System (KONAS) classification, which is suitable for measuring antimicrobial use in Korean hospitals. Results: Out of more than 1,900 hospitals, PCHs and TCHs represented the largest and lowest percentage of hospitals, respectively. The most frequently prescribed antimicrobial in 2021 was piperacillin/β-lactamase inhibitor (9.3%) in TCHs, ceftriaxone (11.0%) in SCHs, and cefazedone (18.9%) in PCHs. Between 2018 and 2021, the most used antimicrobial class according to the KONAS classification was ‘broad-spectrum antibacterial agents predominantly used for community-acquired infections’ in TCHs and SCHs, and 'narrow spectrum beta-lactam agents' in PCH. Total consumption of antimicrobials has decreased from 951.7 to 929.9 days of therapy (DOT)/1,000 patient-days in TCHs and from 817.8 to 752.2 DOT/1,000 patient-days in SCHs during study period, but not in PCHs (from 504.3 to 527.2 DOT/1,000 patient-days). Moreover, in 2021, while use of reserve antimicrobials has decreased from 13.6 to 10.7 DOT/1,000 patient-days in TCHs and from 4.6 to 3.3 DOT/1,000 patient-days in SCHs, it has increased from 0.7 to 0.8 DOT/1,000 patient-days in PCHs. Conclusion: This study confirms that antimicrobial use differs by hospital type in Korea. Recent increases of use of antimicrobials, including reserve antimicrobials, in PCHs reflect the challenges that must be addressed.

This study investigated the effect of the flavonoid-based compound isorhamnetin (ISO) on maturation and developmental competence in oxidative stress-exposed porcine oocytes in vitro. Treatment with 2 μM ISO (2 ISO) increases the developmental rate of oxidative stress-exposed porcine oocytes during in vitro maturation (IVM). The glutathione level and mRNA expression of antioxidant-related genes (NFE2L2 and SOD2) were increased in the 2 ISO-treated group, whereas the reactive oxygen species level was decreased. Treatment with 2 ISO increased mRNA expression of a cumulus cell expansion-related gene (SHAS2) and improved chromosomal alignment. mRNA expression of maternal genes (CCNB1, MOS, BMP15 and GDF9) and mitogen activated protein kinase (MAPK) activity were increased in the 2 ISO-treated group. The total cell number per blastocyst and percentage of apoptotic cells were increased and decreased in the 2 ISO-treated group, respectively. Treatment with 2 ISO increased mRNA expression of development-related genes (SOX2, NANOG, and POU5F1) and anti-apoptotic genes (BCL2L1 and BIRC5) and decreased that of pro-apoptotic genes (CASP3 and FAS). These results demonstrate that 2 ISO improves the quality of porcine oocytes by protecting them against oxidative stress during IVM and enhances subsequent embryo development in vitro. Therefore, we propose that ISO is a useful supplement for IVM of porcine oocytes.

Goryeocrinus pentagrammos n. gen. n. sp. from the Jigunsan Formation of South Korea is described and is the first diplobathrid recorded from Middle Ordovician (middle Darriwilian) strata of East Gondwana. Phylogenetic analyses suggest that G. pentagrammos n. gen. n. sp. is a member of the paraphyletic Rhodocrinitidae of the Diplobathrida and most closely related to Paradiabolocrinus from the Late Ordovician (Sandbian) of Laurentia. Goryeocrinus pentagrammos n. gen. n. sp. is characterized by having a pentameral, flat bowl-shaped calyx, a conspicuous pentagrammatic ridge formed by bifurcated median ray ridge and pentagonal basal ridge, at least two interradials in the first row of regular interrays, an anitaxial ridge originating from the CD interray but close to the C ray radial, and lacking intrabrachials and interradials between secundibrachials. The occurrence of G. pentagrammos n. gen. n. sp. from South Korea (East Gondwana) drastically expands the Ordovician paleogeographic range of camerates, which otherwise have been recorded from Laurentia, West Gondwana, Avalonia, and Baltica.

UUID: http://zoobank.org/a5f8fc12-25a5-4e7c-92e8-bf3ea07c3ba3

In this paper, we propose a sea current relative navigation method using an interacting multiple model (IMM) filter with adaptive fading technique that can compensate an inaccurate sea current dynamics model. Due to the marine environment, the underwater vehicles largely depend on inertial navigation. Unfortunately, since its performance deteriorates with time, it is usually aided by another sensor. An electromagnetic-log (EM-log) and a Doppler velocity log (DVL), which are mainly used in marine navigation, provide relative velocity measurements to the sea currents, and hence require an accurate sea current dynamics model to fully utilise them. However, it is difficult to reflect the actual sea current changes with just a single fixed model, resulting in degraded overall navigation performance. Therefore, this paper proposes an IMM filter that can use multiple sea current dynamics models and has sub-filters designed with adaptive fading extended Kalman filter (AFEKF) to compensate for the mismodelling of sea current dynamics. The method is verified by simulation and shows a performance improvement comparable to the optimal filter.

Background: Although small- and medium-sized hospitals comprise most healthcare providers in South Korea, data on antibiotic usage is limited in these facilities. We evaluated the pattern of antibiotic usage and its appropriateness in hospitals with <400 beds in South Korea. Methods: A multicenter retrospective study was conducted in 10 hospitals (6 long-term care hospitals, 3 acute-care hospitals, and 1 orthopedic hospital), with <400 beds in South Korea. We analyzed patterns of antibiotic prescription and their appropriateness in the participating hospitals. Data on the monthly antibiotic prescriptions and patient days for hospitalized patients were collected using electronic databases from each hospital. To avoid the effect of the COVID-19 pandemic, data were collected from January to December 2019. For the evaluation of the appropriateness of the prescription, 25 patients under antibiotic therapy were randomly selected at each hospital over 2 separate periods. Due to the heterogeneity of their characteristics, the orthopedics hospital was excluded from the analysis. The collected data were reviewed, and the appropriateness of antibiotic prescriptions was evaluated by 5 specialists in infectious diseases (adult and pediatric). Data from 2 hospitals were assigned to each specialist. The appropriateness of antibiotic prescriptions was evaluated from 3 aspects: route of administration, dose, and class. If the 3 aspects were ‘optimal,’ the prescription was considered ‘optimal.’ If only the route was ‘optimal,’ and the dose and/or class was ‘suboptimal,’ but not ‘inappropriate,’ it was considered ‘suboptimal.’ If even 1 aspect was ‘inappropriate,’ it was classified as ‘inappropriate.’ Results: The most commonly prescribed antibiotics in long-term care hospitals was fluoroquinolone, followed by β-lactam/β-lactamase inhibitor (antipseudomonal). In acute-care hospitals, these were third-generation cephalosporin, followed by first-generation cephalosporin and second-generation cephalosporin. The major antibiotics that were prescribed in the orthopedics hospital was first-generation cephalosporin. Only 2.3% of the antibiotics were administered inappropriately. In comparison, 15.3% of patients were prescribed an inappropriate dose. The proportion of inappropriate antibiotic prescriptions was 30.6% of the total antibiotic prescriptions. Conclusions: The antibiotic usage patterns vary between small- and medium-sized hospitals in South Korea. The proportion of inappropriate prescriptions exceeded 30% of the total antibiotic prescriptions.

Funding: None

Disclosures: None

Our previous studies have already revealed that β-cryptoxanthin (BCX), hesperetin (HES), and icariin (ICA) antioxidants are effective for in vitro maturation (IVM) of porcine oocytes. In this study, we investigated which of BCX, HES, or ICA was more effective for IVM of porcine oocytes. The antioxidant properties were assessed with aged porcine oocytes and embryos by comparing 2,2-diphenyl-1-(2,4,6-trinitrophenyl)hydrazyl (DPPH), reducing power, and H2O2 scavenging activity assays. The chemical assay results demonstrated that BCX had a greater DPPH scavenging activity and reducing power than HES and ICA, compared with controls. However, the H2O2 scavenging activity of the antioxidants was similar when tested at the optimal concentrations of 1 μM BCX (BCX-1), 100 μM HES (HES-100), and 5 μM ICA (ICA-5). The biological assay results showed that BCX-1 treatment was more effective in inducing a significant reduction in reactive oxygen species (ROS), improving glutathione levels, and increasing the expression of antioxidant genes. In addition, BCX-1 inhibited apoptosis by increasing the expression of anti-apoptotic genes and decreasing pro-apoptotic genes in porcine parthenogenetic blastocysts. BCX-1 also significantly increased the blastocyst formation rate compared with the ageing control group, HES-100 and ICA-5. This study demonstrates that damage from ROS produced during oocyte ageing can be prevented by supplementing antioxidants into the IVM medium, and BCX may be a potential candidate to improve assisted reproductive technologies.

Ohiocrinus byeongseoni n. sp. from the Middle Ordovician (Darriwilian) Jigunsan Formation of South Korea in the Sino-Korean (North China) block is the oldest species of Ohiocrinus of the Cincinnaticrinidae and the first record outside Laurentia. O. byeongseoni is characterized by a loosely clockwise-coiled anal sac, isotomous branching throughout arms, long, slender xenomorphic column, and small lichenocrinid-type holdfast. The new species occurs in association with a deep-water siliciclastic environment, unlike the Laurentian species with a shallow-water carbonate environment. The monospecific crinoid assemblage is interpreted as parautochthonous, considering that the crinoids were reworked by relatively weak down-current probably caused by storm but preserved within the environment where they lived. The occurrence of O. byeongseoni presents a considerable spatiotemporal gap and ecologic disparity in evolution of Ohiocrinus and the Cincinnaticrinidae.

UUID: http://zoobank.org/240417a4-8d33-4f45-aedb-afcc07f1ecbb

The U.S. labor market continues to grapple with a “skills gap” (Marshall & Craig, 2019): a disconnect between the skills employers need and the number of job-seekers with those skills. Compounded by historically low unemployment rates, this gap is leaving employers with unfilled jobs and narrow talent pipelines. Concurrently, there are lingering concerns regarding underrepresentation of women and minorities in certain sectors of the labor market—particularly occupations in science, technology, engineering, and mathematics (STEM). This article examines how the traditional interest-only career guidance tools used in education significantly influence the gender-based skills gaps that persist in high-demand careers and introduces YouScience, a company that is helping ameliorate the skills gap by combining measures of aptitudes and interests in a new career discovery platform. We close by presenting action steps for students, parents, educators, and counselors, as well as positing possible effects of COVID-19 on career exploration and counseling.

In this study, the effect of acceleration matching according to sensor specifications in rapid transfer alignment is analysed. In general, the velocity and attitude information of the Master Inertial Navigation System (MINS) is used for transfer alignment. MINS angular velocity information is used to improve the alignment speed in shipboard transfer alignment. Acceleration matching, on the other hand, is generally considered an impractical option for transfer alignment. However, in the case of shipboard transfer alignment, acceleration matching is thought to be effective. In order to analyse the performance of acceleration matching, a performance index is defined and the efficiency of acceleration matching is analysed according to various sensor specifications and simulation environments. Based on the analysis of the estimated performance according to the simulation results, it is confirmed that acceleration matching in rapid transfer alignment is valid.

Sport participation is well known to promote health outcomes for children and adolescents. Nevertheless, there is insufficient evidence about the psychological and social outcomes of sport participation for older adults. This article provides the results of a systematic review of the psychological and social outcomes of sport participation for older adults. A systematic review of seven electronic databases was conducted and a total of 21 studies published that attended to psychological and/or social health benefits from sport participation of older adults (50 years old and over) were included. The outcomes of older adults’ sport participation included life satisfaction, depression, anxiety, stress, mood state, hedonistic values, socialisation, competition, and personal psychological outcomes such as personal empowerment, self-confidence, self-esteem and resistance to the negative view of ageing. Future studies are needed to conceptualise and operationalise the different levels of involvement of sport participation.

Land masking of Synthetic Aperture Radar (SAR) images is generally accomplished by applying either archived shoreline databases or image segmentation. However, those methods cannot be solely applied to geographical areas complicated with many small islands and exposed rocks. Therefore, we have proposed a new procedure where Sobel edge extraction is applied to detect the edges of all objects from KOMPSAT-5 X-band SAR images, followed by a merging process with the edges from the land objects based on Electronic Navigational Chart (ENC) coastlines. Using the land mask data, geometrically corrected SAR images were masked before applying a ship detection algorithm. This land masking procedure was applied to several images covering different areas of the Korean Peninsula. The results show that land targets such as newly constructed and natural objects were also masked, and thus did not create false alarms during ship detection. Therefore, this method can be used to assist precise ship detection using SAR images in coastal waters.

The fossil isopod crustacean genus Archaeoniscus has been known to occur in England, France and Germany during the Upper Jurassic, and in Mexico and Egypt during the Lower Cretaceous. The morphology of this genus is unique in having dorsoventrally compressed body, the cephalon set deeply into the first pereionite, pleon as wide as pereion, and a broad semicircular pleotelson. These features have resulted in placing the classification of the genus in the monotypic family Archaeoniscidae. However, due to the lack of detailed morphological data, suprafamilial classification of this genus has remained unclear, as well as its ecology and lifestyle. Here we report Archaeoniscus coreaensis n. sp. from the Jinju Formation, Gyeongsang Basin, Korea. The occurrence of Archaeoniscus in the East Asia implies that the genus may have had a worldwide distribution. The Gyeongsang Basin was a Cretaceous backarc basin, which consists of exclusively non-marine sedimentary sequences. The occurrence of this genus, therefore, indicates that Archaeoniscus successfully adapted to a freshwater ecosystem as well. Detailed anatomy including antennulae, antennae, pereiopods, and uropods was observed from well-preserved multiple specimens, which allows better understanding of the morphology of Archaeoniscus. The axial structure in the posterior part of the body, which was previously interpreted as a unique brood pouch characterizing the family, turned out to be a remnant of the hindgut. Females of all isopods and most of the members of the superorder Peracarida have a thoracic ventral brood pouch, modified from the thoracic coxal endites. Based on the morphology of the largely unmodified ambulatory pereiopods of A. coreaensis, the possibility of Archaeoniscus being ectoparasitic is discounted. Instead, the flattened body and the form of limbs of A. coreaensis would have been suitable for a benthic lifestyle.

Although Korea has made significant strides to strengthen its democratic system since the successful transition in the late 1980s as part of the “third wave” of global democratization, a look into the process of making budgetary policy in the National Assembly would suggest that Korean democracy is far from consolidation. Korean politics has shed itself for the most part of its authoritarian past, when the military was the main conduit of action and oppression. The principle of free, regular, and fair competition has taken root as the procedural norm in both national and local elections. Korean citizens enjoy civil liberties to a degree unprecedented in the authoritarian era, and civil society transformed into an increasingly open, transparent, and pluralistic field of political action.

Recent studies suggest that ketamine produces antidepressant actions via stimulation of mammalian target of rapamycin (mTOR), leading to increased levels of synaptic proteins in the prefrontal cortex. Thus, mTOR activation may be related to antidepressant action. However, the mTOR signalling underlying antidepressant drug action has not been well investigated. The aim of the present study was to determine whether alterations in mTOR signalling were observed following treatment with antidepressant drugs, using ketamine as a positive control. Using Western blotting, we measured changes in the mTOR-mediated proteins and synaptic proteins in rat hippocampal cultures. Dendritic outgrowth was determined by neurite assay. Our findings demonstrated that escitalopram, paroxetine and tranylcypromine significantly increased levels of phospho-mTOR and its down-stream regulators (phospho-4E-BP-1 and phospho-p70S6K); fluoxetine, sertraline and imipramine had no effect. All drugs tested increased up-stream regulators (phospho-Akt and phospho-ERK) levels. Increased phospho-mTOR induced by escitalopram, paroxetine or tranylcypromine was significantly blocked in the presence of specific PI3K, MEK or mTOR inhibitors, respectively. All drugs tested also increased hippocampal dendritic outgrowth and synaptic proteins levels. The mTOR inhibitor, rapamycin, significantly blocked these effects on escitalopram, paroxetine and tranylcypromine whereas fluoxetine, sertraline and imipramine effects were not affected. The effects of escitalopram, paroxetine and tranylcypromine paralleled those of ketamine. This study presents novel in vitro evidence indicating that some antidepressant drugs promote dendritic outgrowth and increase synaptic protein levels through mTOR signalling; however, other antidepressant drugs seem to act via a different pathway. mTOR signalling may be a promising target for the development of new antidepressant drugs.

In this paper, for the first time, we present a novel Pi-shaped structure using resonators for multiband applications. The multiband Pi-shaped structure with LC resonators is analyzed. In order to demonstrate the proposed multiband Pi-shaped structure, one tri-band Wilkinson power divider and one tri-band rat-race coupler are designed, fabricated, and tested. The compactness of the two demonstrated components is well kept by putting all stubs with resonators inside the components themselves. Measured results are in good agreement with the simulated results.