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Land available for energy production is limited in cities owing to high population density. To reach the net zero goal, cities contributing 70% of overall greenhouse gas emissions need to dramatically reduce emissions and increase self-sufficiency in energy production. Environmental infrastructures such as sewage treatment and incineration plants can be used as energy production facilities in cities. This study attempted to examine the effect of using environmental infrastructure such as energy production facilities to contribute toward the carbon neutrality goal through urban energy systems. In particular, since the facilities are suitable for hydrogen supply in cities, the analysis was conducted focusing on the possibility of hydrogen production. First, the current status of energy supply and demand, and additional energy production potential in sewage treatment and incineration plants in Seoul, were analyzed. Then, the role of these environmental infrastructures toward energy self-sufficiency in the urban system was examined. This study confirmed that the facilities can contribute to the city’s energy self-sufficiency and the achievement of its net-zero goal.

Background: Superior vena cava (SVC) syndrome may result from extravascular compression or intravascular obstruction such as thrombosis. Recurrent venous thrombosis is typically associated with a hypercoagulable state such as malignancy, and inheritable or acquired coagulopathy. Sarcoidosis is a derangement of the immune system, and it has been associated with malignant diseases and hypercoagulation. The association of pancreatic cancer and sarcoidosis with SVC syndrome has not been reported previously. Here, we present a case of recurrent venous thrombosis causing SVC syndrome in a patient with pancreatic ductal adenocarcinoma and underlying thoracic sarcoidosis. Methods: The patient’s electronic health record was retrospectively analyzed. Results: A 66-year-old woman with pancreatic adenocarcinoma was treated with neoadjuvant chemotherapy followed by Whipple procedure, before developing tumor recurrence in the liver. Her treatment course was complicated with repeated incidents of venous thrombosis in the presence of a central venous catheter leading to recurrent SVC syndrome, which resolved with anti-coagulation. Conclusions: This case raises a plausible inter-relationship between sarcoidosis, pancreatic cancer, and hypercoagulable state. We suggest that patients with multiple risk factors for developing venous thrombosis should be carefully monitored for any thrombotic event, and they may benefit from prophylactic anti-coagulation.