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A proton linac based boron neutron capture therapy system (A-BNCT, 10MeV, 4mA) was successfully developed in Korea. We performed in vitro experiments with U87 and SAS cells and revealed the efficacy of a binary therapy BNCT using epithermal neutrons and boronophenylalanine (BPA). The results revealed that BNCT showed cancer cell selectivity and caused cell death. Further in vitro studies can be a valuable method to characterize an A-BNCT system. We expect BNCT to become a treatment option for cancer patients., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023. Published by Elsevier Ltd.)

Background: Hemodynamic instability is a frequent adverse effect following administration of dexmedetomidine (DMED). In this study, we evaluated the incidence of DMED-induced hemodynamic instability and its predictive factors in clinical regional anesthesia practice., Methods: One hundred sixteen patients who underwent orthopedic upper limb surgery under brachial plexus block with intravenous DMED administration were retrospectively identified. The primary outcome was the incidence of DMED-induced hemodynamic instability. The participants were allocated to a stable or unstable group by their hemodynamic instability status. Patients' characteristics were compared between the groups. The relationship between the potential risk factors and development of DMED-induced hemodynamic instability was analyzed with a logistic regression model., Results: DMED-induced hemodynamic instability was observed in 14.7% of patients (17/116). The unstable group had more women than the stable group (76.5% vs. 39.4%, P = 0.010). When patients were classified into four subgroup according to body mass index (underweight, normal weight, overweight, and obesity), there was significant difference in the composition of the subgroups in the two groups (P = 0.008). In univariate analysis, female sex, obesity, and pre-existing hypertension were significant predictors of DMED-induced hemodynamic instability. Multivariate analysis demonstrated that female sex (adjusted OR 3.86, CI 1.09; 13.59, P = 0.036) and obesity (adjusted OR 6.41, CI 1.22; 33.57, P = 0.028) were independent predictors of DMED-induced hemodynamic instability., Conclusions: Female and obese patients are more likely to have hemodynamic instability following intravenous DMED administration in clinical regional anesthesia practice. This study suggests that DMED dose may be diminished to prevent hypotensive risk in these populations., Trial Registration: This article was retrospectively registered at WHO clinical trial registry platform (Trial number: KCT0005977 )., (© 2021. The Author(s).)

Objective: We investigated the long-term clinical efficacy of fenofibrate use with regard to mortality and cardiovascular outcomes in patients with type 2 diabetes., Research Design and Methods: We performed a population-based cohort study using data of the South Korean National Health Insurance Service from 2003 to 2014. Of 63,727 participants with diabetes aged 40-79 years, 5,057 users of fenofibrate only were compared with 5,057 nonusers of fenofibrate and/or omega-3 fatty acid with 1:1 propensity matching. The primary end point was a composite of myocardial infarction, stroke, percutaneous coronary revascularization, and cardiac death for a median of 3 years., Results: The primary end point was significantly lower in fenofibrate users compared with those using neither fenofibrate nor omega-3 fatty acid (13.4 vs. 15.5 per 1,000 person-years; hazard ratio [HR] 0.76; 95% CI 0.62-0.94; P = 0.010). Cardiac death (1.8 vs. 3.1 per 1,000 person-years; HR 0.59; 95% CI 0.352-0.987; P = 0.0446), all-cause death (7.6 vs. 15.3 per 1,000 person-years; HR 0.437; 95% CI 0.340-0.562; P < 0.0001), and stroke (6.5 vs. 8.6 per 1,000 person-years; HR 0.621; 95% CI 0.463-0.833; P = 0.0015) were significantly lower in the fenofibrate group. When the duration of fenofibrate use was stratified by quartile, the risk decreased in quartile 4, with an HR of 0.347 (95% CI 0.226-0.532; P < 0.0001). In subgroup analysis, the favorable effect of fenofibrate was sustained consistently across all subsets of patients, including those classified by LDL cholesterol, HDL cholesterol, and triglyceride levels., Conclusions: Use of fenofibrate was associated with a lower rate of total and cardiac mortality and cardiovascular events in patients with type 2 diabetes during a 3-year follow-up in real-world large populations., (© 2021 by the American Diabetes Association.)

Background: Dipeptidyl peptidase-4 inhibitor (DPP-4i) and renin-angiotensin system (RAS) blockade are reported to affect the clinical course of coronavirus disease 2019 (COVID-19) in patients with diabetes mellitus (DM)., Methods: As of May 2020, analysis was conducted on all subjects who could confirm their history of claims related to COVID-19 in the National Health Insurance Review and Assessment Service (HIRA) database in Korea. Using this dataset, we compared the short-term prognosis of COVID-19 infection according to the use of DPP-4i and RAS blockade. Additionally, we validated the results using the National Health Insurance Service (NHIS) of Korea dataset., Results: Totally, data of 67,850 subjects were accessible in the HIRA dataset. Of these, 5,080 were confirmed COVID-19. Among these, 832 subjects with DM were selected for analysis in this study. Among the subjects, 263 (31.6%) and 327 (39.3%) were DPP4i and RAS blockade users, respectively. Thirty-four subjects (4.09%) received intensive care or died. The adjusted odds ratio for severe treatment among DPP-4i users was 0.362 (95% confidence interval [CI], 0.135 to 0.971), and that for RAS blockade users was 0.599 (95% CI, 0.251 to 1.431). These findings were consistent with the analysis based on the NHIS data using 704 final subjects. The adjusted odds ratio for severe treatment among DPP-4i users was 0.303 (95% CI, 0.135 to 0.682), and that for RAS blockade users was 0.811 (95% CI, 0.391 to 1.682)., Conclusion: This study suggests that DPP-4i is significantly associated with a better clinical outcome of patients with COVID-19.

Unlabelled: Environmental problems and climate change arising from waste incineration are taken quite seriously in the world. In Korea, the waste disposal methods are largely classified into landfill, incineration, recycling, etc. and the amount of incinerated waste has risen by 24.5% from 2002. In the analysis of CO₂emissions estimations of waste incinerators fossil carbon content are main factor by the IPCC. FCF differs depending on the characteristics of waste in each country, and a wide range of default values are proposed by the IPCC. This study conducted research on the existing classifications of the IPCC and Korean waste classification systems based on FCF for accurate greenhouse gas emissions estimation of waste incineration. The characteristics possible for sorting were classified according to FCF and form. The characteristics sorted according to fossil carbon fraction were paper, textiles, rubber, and leather. Paper was classified into pure paper and processed paper; textiles were classified into cotton and synthetic fibers; and rubber and leather were classified into artificial and natural. The analysis of FCF was implemented by collecting representative samples from each classification group, by applying the 14C method, and using AMS equipment. And the analysis values were compared with the default values proposed by the IPCC. In this study of garden and park waste and plastics, the differences were within the range of the IPCC default values or the differences were negligible. However, coated paper, synthetic textiles, natural rubber, synthetic rubber, artificial leather, and other wastes showed differences of over 10% in FCF content. IPCC is comprised of largely 9 types of qualitative classifications, in emissions estimation a great difference can occur from the combined characteristics according with the existing IPCC classification system by using the minutely classified waste characteristics as in this study., Implications: Fossil carbon fraction (FCF) differs depending on the characteristics of waste in each country; and a wide range of default values are proposed by the IPCC. This study conducted research on the existing classifications of the IPCC and Korean waste classification systems based on FCF for accurate greenhouse gas emissions estimation of waste incineration.

In this research, in order to develop technology/country-specific emission factors of methane (CH(4)) and nitrous oxide (N(2)O), a total of 585 samples from eight gas-fired turbine combined cycle (GTCC) power plants were measured and analyzed. The research found that the emission factor for CH(4) stood at "0.82 kg/TJ", which was an 18 % lower than the emission factor for liquefied natural gas (LNG) GTCC "1 kg/TJ" presented by Intergovernmental Panel on Climate Change (IPCC). The result was 8 % up when compared with the emission factor of Japan which stands at "0.75 kg/TJ". The emission factor for N(2)O was "0.65 kg/TJ", which is significantly lower than "3 kg/TJ" of the emission factor for LNG GTCC presented by IPCC, but over six times higher than the default N(2)O emission factor of LNG. The evaluation of uncertainty was conducted based on the estimated non-CO(2) emission factors, and the ranges of uncertainty for CH(4) and N(2)O were between -12.96 and +13.89 %, and -11.43 and +12.86 %, respectively, which is significantly lower than uncertainties presented by IPCC. These differences proved that non-CO(2) emissions can change depending on combustion technologies; therefore, it is vital to establish country/technology-specific emission factors.

In order to tackle climate change effectively, the greenhouse gas emissions produced in Korea should be assessed precisely. To do so, the nation needs to accumulate country-specific data reflecting the specific circumstances surrounding Korea's emissions. This paper analyzed element contents of domestic anthracite, calorific value, and concentration of methane (CH₄) and nitrous oxide (N₂O) in the exhaust gases from circulating fluidized bed plant. The findings showed the concentration of CH₄ and N₂O in the flue gas to be 1.85 and 3.25 ppm, respectively, and emission factors were 0.486 and 2.198 kg/TJ, respectively. The CH₄ emission factor in this paper was 52% lower than default emission factor presented by the IPCC. The N₂O emission factor was estimated to be 46% higher than default emission factor presented by the IPCC. This discrepancy can be attributable to the different methods and conditions of combustion because the default emission factors suggested by IPCC take only fuel characteristics into consideration without combustion technologies. Therefore, Korea needs to facilitate research on a legion of fuel and energy consumption facilities to develop country-specific emission factors so that the nation can have a competitive edge in the international climate change convention in the years to come.

Introduction: Korea has been making efforts to reduce greenhouse gas (GHG) emissions, including a voluntary commitment to the target of a 30% reduction, based on business-as-usual of the total GHG emission volume, by 2020; 2006 IPCC Guidelines provided default values, applying country-specific emission factors was recommended when estimating national greenhouse gas emissions., Results and Discussion: This study focused on anthracite produced in Korea in order to provide basic data for developing country-specific emission factor. This study has estimated CO(2) emission factors to use worksheet of which five steps consisted according to the fuel analysis method., Conclusion: As a result, the average of net colorific value for 3 years (2007∼2009) was 4,519 kcal/kg, and the CO(2) emission factor was calculated to be 111,446 kg/TJ, which is about 11.8% lower than the 2006 IPCC guidelines default value, and about 7.9% higher than the US EPA emission factor.