Artificial intelligence in pediatric healthcare: current applications, potential, and implementation considerations.

Artificial intelligence (AI) has transformed pediatric healthcare by supporting diagnostics, personalized treatment strategies, and prognosis predictions. Although it offers significant promise in these areas, its application in pediatric settings poses distinct challenges compared with that in adults due to variable developmental status, the limited availability of pediatric data, and ethical concerns regarding bias and transparency. This narrative review summarizes the key concepts of AI and its clinical applications across clinical fields in the treatment of children and adolescents.

Metallicity and anomalous Hall effect in epitaxially strained, atomically thin RuO films.

The anomalous Hall effect (AHE), a hallmark of time-reversal symmetry breaking, has been reported in rutile RuO, a debated metallic altermagnetic candidate. Previously, AHE in RuO was observed only in strain-relaxed thick films under extremely high magnetic fields (~50 T). Yet, in ultrathin strained films with distinctive anisotropic electronic structures, there are no reports, likely due to disorder and defects suppressing metallicity thus hindering its detection.

Application of neutron grating interferometry and tomography to the nineteenth century Korean copper coins.

Distinguishing differences between authentic artifacts and replicas is a significant challenge in the field of cultural heritage. In this study, we explore the application of neutron grating interferometry and tomography techniques to identify Korean copper coins in the nineteenth century of Joseon period by investigating structural differences between genuine objects and replicas. Neutron grating interferometry provides the microstructural information of coins, including features such as pores and precipitates, through a dark field image derived from small-angle neutron scattering.

Cardiorespiratory Dynamics During Prone Positioning for Severe Ards: A Retrospective Cohort Study.

Objectives: To elucidate the changes in cardiorespiratory dynamics during neuromuscular blockade and prone positioning and determine the associations between changes in cardiorespiratory dynamics following prone positioning and mortality.

Design: Single center retrospective cohort study of patients admitted to the medical ICU between June 1, 2020 and September 1, 2022 who received prone positioning while mechanically ventilated.

Results: Our final cohort consisted of 136 patients.

Immediate versus staged complete revascularization in patients with ST-segment elevation myocardial infarction and multivessel coronary artery disease: results from a prematurely discontinued randomized multicenter trial.

Background: We aimed to compare clinical outcomes between immediate and staged complete revascularization in primary percutaneous coronary intervention (PCI) for treating ST-segment elevation myocardial infarction (STEMI) and multivessel disease (MVD).

Methods: A total of 248 patients were enrolled in a prospective, randomized, and multicenter registry. Immediate revascularization was defined as one-time PCI of culprit and non-culprit lesions at the initial procedure.

Multi-center validation of machine learning model for preoperative prediction of postoperative mortality.

Accurate prediction of postoperative mortality is important for not only successful postoperative patient care but also for information-based shared decision-making with patients and efficient allocation of medical resources. This study aimed to create a machine-learning prediction model for 30-day mortality after a non-cardiac surgery that adapts to the manageable amount of clinical information as input features and is validated against multi-centered rather than single-centered data. Data were collected from 454,404 patients over 18 years of age who underwent non-cardiac surgeries from four independent institutions.

Phase retrieval based on deep learning in grating interferometer.

Grating interferometry is a promising technique to obtain differential phase contrast images with illumination source of low intrinsic transverse coherence. However, retrieving the phase contrast image from the differential phase contrast image is difficult due to the accumulated noise and artifacts from the differential phase contrast image (DPCI) reconstruction. In this paper, we implemented a deep learning-based phase retrieval method to suppress these artifacts.

Analysis of a silicon comb structure using an inverse Talbot-Lau neutron grating interferometer.

We describe an inverse Talbot-Lau neutron grating interferometer that provides an extended autocorrelation length range for quantitative dark-field imaging. To our knowledge, this is the first report of a Talbot-Lau neutron grating interferometer (nTLI) with inverse geometry. We demonstrate a range of autocorrelation lengths (ACL) starting at low tens of nanometers, which is significantly extended compared to the ranges of conventional and symmetric setups.

Seizure triggers identified postictally using a smart watch reporting system.

Persons with epilepsy (PWE) often report that seizure triggers can influence the occurrence and timing of seizures. Some previous studies of seizure triggers have relied on retrospective daily seizure diaries or surveys pertaining to all past seizures, recent and/or remote, in respondents. To assess the characteristics of seizure triggers at the granularity of individual seizures, we used a seizure-tracking app, called EpiWatch, on a smart watch system (Apple Watch and iPhone) in a national study of PWE.

Quality Assessment and Relevant Clinical Impact of Randomized Controlled Trials of Varicocele: Next Step to Good-Quality Randomized Controlled Trial of Varicocele Treatment.

Purpose: To assess the quality of randomized controlled trials (RCTs) on varicocele published from 1979 to 2017.

Materials And Methods: We searched for original RCT on varicocele published between 1979 and 2017. Jadad scale, van Tulder scale, and Cochrane Collaboration Risk of Bias Tool were used to analyze RCT quality over time.

Efficacy and Safety of Mirodenafil Oro-Dispersible Film in Korean Patients with Erectile Dysfunction: A Double-Blind, Randomized, Placebo-Controlled, Parallel-Group, Multicenter, Phase IV Study.

Purpose: To investigate the efficacy, safety, and tolerability of oro-dispersible film (ODF) formulation of mirodenafil 50 mg and 100 mg for the treatment of patients with erectile dysfunction (ED) in Korea.

Materials And Methods: A multicenter, randomized, double-blind, placebo-controlled, parallel-group study of 129 subjects was performed. Subjects were randomized to either placebo or mirodenafil ODF 50 mg or 100 mg to be taken in an "on demand" manner for 8 weeks.

Towards spatially resolved magnetic small-angle scattering studies by polarized and polarization-analyzed neutron dark-field contrast imaging.

In the past decade neutron dark-field contrast imaging has developed from a qualitative tool depicting microstructural inhomogeneities in bulk samples on a macroscopic scale of tens to hundreds of micrometers to a quantitative spatial resolved small-angle scattering instrument. While the direct macroscopic image resolution around tens of micrometers remains untouched microscopic structures have become assessable quantitatively from the nanometer to the micrometer range. Although it was found that magnetic structures provide remarkable contrast we could only recently introduce polarized neutron grating interferometric imaging.

Relationship between workers' return to work, job retention and income in industrial accidents in Korea: a longitudinal study.

Objective: This study aims to compare workers' income before and after an occupational injury, with regard to return to work and job retention, over a period of 5 years.

Design: This study was designed as a longitudinal study.

Setting: The Panel Study of Workers' Compensation Insurance (PSWCI) survey targeted workers involved in industrial accidents for which medical care was terminated in the year 2012.

An mHealth App (Speech Banana) for Auditory Training: App Design and Development Study.

Background: With the growing adult population using electronic hearing devices such as cochlear implants or hearing aids, there is an increasing worldwide need for auditory training (AT) to promote optimal device use. However, financial resources and scheduling conflicts make clinical AT infeasible.

Objective: To address this gap between need and accessibility, we primarily aimed to develop a mobile health (mHealth) app called Speech Banana for AT.

Decomposing Magnetic Dark-Field Contrast in Spin Analyzed Talbot-Lau Interferometry: A Stern-Gerlach Experiment without Spatial Beam Splitting.

We have recently shown how a polarized beam in Talbot-Lau interferometric imaging can be used to analyze strong magnetic fields through the spin dependent differential phase effect at field gradients. While in that case an adiabatic spin coupling with the sample field is required, here we investigate a nonadiabatic coupling causing a spatial splitting of the neutron spin states with respect to the external magnetic field. This subsequently leads to no phase contrast signal but a loss of interferometer visibility referred to as dark-field contrast.

Study on dark-field imaging with a laboratory x-ray source: Random stress variation analysis based on x-ray grating interferometry.

The dark-field image (DFI) in a grating interferometer involves the small-angle scattering properties of a material. The microstructure of the material can be characterized by an analysis of the auto-correlation length and the DFI. The feasibility of a DFI in a laboratory x-ray source with grating interferometry has been reported, but a follow-up study is needed.

[Perineal Metastatic Clear Cell Renal Cell Carcinoma: A Case Report].

Perineal involvement by metastatic renal cell carcinoma (RCC) is very rare, and there are only few reports on its radiological findings in the literature. Here, we present a case of a 76-year old female who presented with perineal pain caused by metastatic clear cell RCC. We discuss the radiological changes of the tumor before and after targeted therapy.

Neutron grating interferometer with an analyzer grating based on a light blocker.

We study an analyzer grating based on a scintillation light blocker for a Talbot-Lau grating interferometer. This is an alternative way to analyze the Talbot self-image without the need for an often difficult to fabricate absorption grating for the incident radiation. The feasibility of this approach using a neutron beam has been evaluated and experiments have been conducted at the cold neutron imaging facility of the NIST center for Neutron Research.

Spatio-temporal patterns of the minimum rest time for outdoor workers exposed to summer heat stress in South Korea.

In this study, the spatio-temporal characteristics of the minimum rest time for the safety of South Korean outdoor workers during hot summer months (June to August) are examined based on the hourly wet-bulb globe temperature (WBGT) across 27 weather stations in South Korea. The WBGT thresholds in the work-rest recommendation of the Korea Occupational Safety and Health Agency (KOSHA 2017) for the quantification of the minimum rest time are evaluated through a comparison of the given thresholds with the occurrences of occupational heat-related illness patients due to outdoor work during hot summer months in South Korea. The long-term (2009-2018) average of the hourly WBGT values during summer months shows that outdoor workers with a moderate workload are exposed to heat stress during approximately 30% of the entire daytime working hours (06:00-18:00).

Deep learning for high-resolution and high-sensitivity interferometric phase contrast imaging.

In Talbot-Lau interferometry, the sample position yielding the highest phase sensitivity suffers from strong geometric blur. This trade-off between phase-sensitivity and spatial resolution is a fundamental challenge in such interferometric imaging applications with either neutron or conventional x-ray sources due to their relatively large beam-defining apertures or focal spots. In this study, a deep learning method is introduced to estimate a high phase-sensitive and high spatial resolution image from a trained neural network to attempt to avoid the trade-off for both high phase-sensitivity and high resolution.

Symmetric Talbot-Lau neutron grating interferometry and incoherent scattering correction for quantitative dark-field imaging.

We introduce the application of a symmetric Talbot-Lau neutron grating interferometer which provides a significantly extended autocorrelation length range essential for quantitative dark-field contrast imaging. The highly efficient set-up overcomes the limitation of the conventional Talbot-Lau technique to a severely limited micrometer range as well as the limitation of the other advanced dark-field imaging techniques in the nanometer regime. The novel set-up enables efficient and continuous dark-field contrast imaging providing quantitative small-angle neutron scattering information for structures in a regime from some tens of nanometers to several tens of micrometers.