South Korea Research Articles

Effect of direct-acting antivirals on disease burden of hepatitis C virus infection in South Korea in 2007–2021: a nationwide, multicentre, retrospective cohort study

It is unclear whether direct-acting antivirals (DAAs) treatment improves the disease burden in hepatitis C virus (HCV) infection. This study aimed to investigate the effect of DAA treatment on the reduction of disease burden in patients with HCV infection using individual participant data. This nationwide multicentre retrospective cohort study recruited patients with HCV infection from 29 tertiary institutions in South Korea. The data collection was done from medical records in each institution. The study included the untreated patients and the DAAs-treated patients and excluded those with a history of interferon-based treatments. Disease burden was the primary outcome, as represented by disability-adjusted life years (DALYs). Improvement in fibrosis after DAA treatment was assessed using APRI, FIB-4 index, and liver stiffness (LS) as assessed by transient elastography. Clinical outcomes were hepatocellular carcinoma (HCC), decompensation, and mortality. Between January 1, 2007, and February 17, 2022, data from 11,725 patients with HCV infection, 8464 (72%) of whom were treated with DAAs, were analysed. DAA treatment significantly improved APRI- (median 0.64 [interquartile range (IQR), 0.35-1.31]-0.33 [0.23-0.52], p<0.0001), FIB-4- (median 2.42 [IQR, 1.48-4.40]-1.93 [1.31-2.97], p<0.0001), and liver LS-based fibrosis (median 7.4 [IQR, 5.3-12.3]-6.2 [4.6-10.2] kPa, p<0.0001). During the median follow-up period of 27.5 months (IQR, 10.6-52.4), 469 patients died (4.0%), 586 (5.0%) developed HCC, and 580 (4.9%) developed decompensation. The APRI-based DALY estimate was significantly lower in the DAA group than in the untreated group (median 4.55 vs. 5.14 years, p<0.0001), as was the FIB-4-based DALY estimate (median 5.43 [IQR, 3.00-6.44] vs. 5.79 [3.85-8.07] years, p<0.0001). The differences between the untreated and DAA groups were greatest in patients aged 40-60 years. In multivariable analyses, the DAA group had a significantly reduced risk of HCC, decompensation, and mortality compared with the untreated group (hazard ratios: 0.41 [95% confidence interval (CI), 0.34-0.48], 0.31 [95% CI, 0.30-0.38], and 0.22 [95% CI, 0.17-0.27], respectively; p<0.0001). Our findings suggest that DAA treatment is associated with the improvement of liver-related outcomes and a reduction of liver fibrosis-based disease burden in patients with HCV infection. However, further studies using liver biopsy are needed to clarify the effect of DAA treatment on the reduction in the exact fibrosis-based disease burden beyond noninvasive tests. The Korea Disease Control and Prevention Agency.

Does Collectivism Make a Difference? A Comparative Test of Common Ingroup Strategies to Reduce Affective Polarization

Abstract Common national identity appeals have been identified as one of the most promising strategies to reduce affective political polarization. However, research on this is concentrated in highly individualistic Western democracies. Because much of the global population lives in more collectivist societies, it is important to conduct comparative tests to see if common national identity appeals operate similarly when considering the increasingly global problem of polarization. In this study, we investigate how the individualism–collectivism dimension of culture interacts with national identity salience as a polarization reduction strategy. Survey experiments were conducted in South Korea and the US. We find that priming national identity increases national pride much more in collectivist societies, but that the depolarizing effect of our national identity prime was only indirect and limited.

Developments and research directions for collision avoidance in mixed navigation environment for MASS: A systematic literature review with bibliometric analysis.

ABSTRACT: The integration of advanced technologies, data-driven processes, and automation under the Industry 4.0 revolution is fostering increased connectivity among ships and maritime infrastructures, particularly with the emergence of Maritime Autonomous Surface Ships (MASS) and the imperative for safe navigation. Despite existing studies delving into collision regulations (COLREG), autonomous navigation, and risk assessment for MASS navigation, a comprehensive systematic literature review and bibliometric analysis of academic research studies addressing collision avoidance in the context of MASS within mixed navigational environments has, to our knowledge, not been undertaken. This review aims to provide a concise overview of academic research advancements concerning the challenges associated with MASS and the safety of navigation in mixed navigational environments. To achieve this objective, we conducted a bibliometric analysis of pertinent studies, utilizing metrics and analysis tools to discern academic research topics, primary challenges, and directions in this domain. Our approach adhered to the principles outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) for systematic literature reviews, incorporating tailored keywords in a Scopus search. The results revealed that China, Norway, Poland, and South Korea are the leading countries in MASS collision avoidance, based on the weighted number of authors. Additionally, Ocean Engineering and the Journal of IFAC-Papers Online emerged as the principal journals for publications on this topic. Through the analyzed literature, specific challenges were identified, paving the way for suggested avenues for future research.

Association of Dietary Intake with Metabolically Healthy and Unhealthy Obesity Among Filipino Migrant Women in South Korea

Association of Dietary Intake with Metabolically Healthy and Unhealthy Obesity Among Filipino Migrant Women in South Korea

Risk prediction model for gastric cancer within 5 years in healthy Korean adults.

Although endoscopy is commonly used for gastric cancer screening in South Korea, predictive models that integrate endoscopy results are scarce. We aimed to develop a 5-year gastric cancer risk prediction model using endoscopy results as a predictor. We developed a predictive model using the cohort data of the Kangbuk Samsung Health Study from 2011 to 2019. Among the 260,407 participants aged ≥20years who did not have any previous history of cancer, 435 cases of gastric cancer were observed. A Cox proportional hazard regression model was used to evaluate the predictors and calculate the 5-year risk of gastric cancer. Harrell's C-statistics and Nam-D'Agostino χ2 test were used to measure the quality of discrimination and calibration ability, respectively. We included age, sex, smoking status, alcohol consumption, family history of cancer, and previous results for endoscopy in the risk prediction model. This model showed sufficient discrimination ability [development cohort: C-Statistics: 0.800, 95% confidence interval (CI) 0.770-0.829; validation cohort: C-Statistics: 0.799, 95% CI 0.743-0.856]. It also performed well with effective calibration (development cohort: χ2=13.65, P=0.135; validation cohort: χ2=15.57, P=0.056). Our prediction model, including young adults, showed good discrimination and calibration. Furthermore, this model considered a fixed time interval of 5years to predict the risk of developing gastric cancer, considering endoscopic results. Thus, it could be clinically useful, especially for adults with endoscopic results.

Hierarchy-oriented Bureaucracy of South Korea : a type of Neo-Weberian State?

This paper explores the evolution and operational dynamics of South Korea’s bureaucracy through the lens of a Neo-Weberian State (NWS) model. It argues that South Korea’s bureaucratic system, deeply rooted in Confucian hierarchical principles, has uniquely adapted to modern administrative challenges and reforms influenced by New Public Management (NPM) ideologies. We trace the historical trajectory from the Confucian meritocracy of the Choson Dynasty through various significant reform periods up to the contemporary handling of the COVID-19 crisis with a focus on the variation of hierarchy, H1, H2, and H3. This analysis highlights how the Korean bureaucracy has managed to maintain efficiency and effectiveness while integrating market-driven and performance-oriented reforms. The paper also discusses the bureaucratic response to ‘wicked problems’?complex social issues requiring multi-faceted and innovative solutions?demonstrating adaptability in times of crisis. To illustrate this, we examine key case studies, including the rapid implementation of COVID-19 drive-through testing centers, showcasing the bureaucracy’s agility and effectiveness in crisis management.. This paper ultimately supports the view that despite global trends toward decentralization and deregulation, a strong hierarchical bureaucracy can still effectively meet contemporary governance challenges, reflecting a distinctive Neo-Weberian State approach

A Study on Distribution of Characteristics of Microplastic in the Han-River Watershed

Microplastic pollution in the marine environment is a global issue. Recently, in South Korea, there has been active research on the establishment of testing methods and investigation of distribution characteristics of microplastics not only in marine environments but also in freshwater systems. In particular, it is necessary to study the distribution of microplastics such as rivers and lakes, which are drinking water sources, to affect the water quality environment, management, and countermeasures. This study identified the distribution of microplastics in the mainstream and tributary of the Han River water system. The freshwater, sediment, and biological species samples were pre-treated accordingly, and microplastics larger than 20 µm were analyzed using μ-FT-IR. As a result of the inter-laboratory study, in the same way as in this study, it was possible to confirm that the trusted recovery rate was 63.6%. The survey results indicated that the number of microplastics per location ranged from 1,173 to 8,940 particles/L in freshwater samples, 3,800 to 192,000 particles/kg in sediment samples, and 34 to 384 particles/individual in fish samples. The most commonly found microplastic materials were PP, PE, and PTFE. The size distribution of plastics appeared in the following order: 45~100 µm, 100~300 µm, 20~45 µm, and greater than 300 µm, with predominantly fragmented shapes observed.

The Impact of Media Coverage of Performance Information on the Budget Spending Intentions of Government Officials and Citizens in South Korea

This research investigates the impact of media coverage of performance information on the budget spending intentions of both public officials and citizens. It delves into the mechanisms through which media coverage shapes government performance assessment and explores how negative media portrayal affects budgetary decisions, distinguishing between budget inefficiencies, policy design flaws, and budget shortages as key content categories. The findings elucidate divergent budget spending intentions between public officials and citizens, emphasizing the intricate interplay between the tone and content of media reports and their influence on budgetary intentions. This study highlights the pivotal yet often neglected aspect of news content in molding public and official perceptions of government performance. Furthermore, it accentuates the essentiality of proactive government communication strategies in managing public perception, advocating for the institutionalization of performance information dissemination to effectively address the nuances of both successful and unsuccessful policy measures.

Revealing the significant acceleration of hydrofluorocarbon (HFC) emissions in eastern Asia through long-term atmospheric observations

Abstract. Hydrofluorocarbons (HFCs) are powerful anthropogenic greenhouse gases (GHGs) with high global-warming potentials (GWPs). They have been widely used as refrigerants, insulation foam-blowing agents, aerosol propellants, and fire suppression agents. Since the mid-1990s, emissions of HFCs have been increasing rapidly as they are used in many applications to replace ozone-depleting chlorofluorocarbons (CFCs) and hydrochlorofluorocarbons (HCFCs) whose consumption and production have been phased out under the Montreal Protocol (MP). Due to the high GWP of HFCs, the Kigali Amendment to the MP requires the phasedown of production and consumption of HFCs to gradually achieve an 80 %–85 % reduction by 2047, starting in 2019 for non-Article 5 (developed) countries with a 10 % reduction against each defined baseline and later schedules for Article 5 (developing) countries. In this study, we have examined long-term high-precision measurements of atmospheric abundances of five major HFCs (HFC-134a, HFC-143a, HFC-32, HFC-125, and HFC-152a) at Gosan station, Jeju Island, South Korea, from 2008 to 2020. Background abundances of HFCs gradually increased, and the inflow of polluted air masses with elevated abundances from surrounding source regions were detected over the entire period. From these pollution events, we inferred regional and country-specific HFC emission estimates using two independent Lagrangian particle dispersion models and Bayesian inversion frameworks (FLEXPART-FLEXINVERT+ and NAME-InTEM). The spatial distribution of the derived “top-down” (measurement based) emissions for all HFCs shows large fluxes from megacities and industrial areas in the region. Our most important finding is that HFC emissions in eastern China and Japan have sharply increased from 2016 to 2018. The contribution of East Asian HFC emissions to the global total increased from 9 % (2008–2014) to 13 % (2016–2020). In particular, HFC emissions in Japan (Annex I country) rose rapidly from 2016 onward, with accumulated total inferred HFC emissions being ∼ 114 Gg yr−1, which is ∼ 76 Gg yr−1 higher for 2016–2020 than the “bottom-up” (i.e., based on activity data and emission factors) emissions of ∼ 38 Gg yr−1 reported to the United Nations Framework Convention on Climate Change (UNFCCC). This is likely related to the increase in domestic demand in Japan for refrigerants and air-conditioning-system-related products and incomplete accounting. A downward trend of HFC emissions that started in 2019 reflects the effectiveness of the F-gas policy in Japan. Eastern China and South Korea, though not obligated to report to the UNFCCC, voluntarily reported emissions, which also show differences between top-down and bottom-up emission estimates, demonstrating the need for atmospheric measurements, comprehensive data analysis, and accurate reporting for precise emission management. Further, the proportional contribution of each country's CO2-equivalent HFC emissions has changed over time, with HFC-134a decreasing and HFC-125 increasing. This demonstrates the transition in the predominant HFC substances contributing to global warming in each country.

Identifying Morphs of the Yellow-Legged Hornet (Vespa velutina) and Other Pests of Quarantine Importance with Geometric Morphometrics

We assess the accuracy of geometric morphometrics (GMM) for determining the origin of insects of quarantine importance using the Asian hornet (Vespa velutina Lep.1836) as a case study. This species is highly variable, has an extensive natural distribution, and has been transported to many regions of the world. Forewing landmarks were applied to a large sample of regionally specific color morphs (previously considered “subspecies”) from across the species’ native Asian range. We reconfirm that GMM can statistically distinguish geographic variants independent of the color patterns that have heretofore been used for provenance, but which have been suspected of being unreliable. Almost all morphs in our analyses were statistically different except the centrally located V. v. variana, whose range lies between the continental V. v. auraria Smith, 1852, and V. v. nigrithorax du Buysson, 1905 morphs, and the Malaysian and Indonesian morphs. Even with moderate-sized training samples, discriminant function analysis (DFA) was able to classify geographic morphos with about 90% accuracy (ranging from 60% to 100%). We apply these results to determine the origin of a dead wasp recently intercepted in a mail parcel in Utah. Both DFA and continuous-trait maximum-likelihood clustering suggest that the Utah specimen belongs to the nigrithorax morph, which is native to southern China but now invasive in Europe, Japan, and Korea. These results are also supported by DNA barcode analysis, which groups the Utah individual with nigrithorax populations in South Korea and Japan. The relationship between variation in wing shape and genetic differentiation deserves further study, but molecular data are consistent with the GMM results suggesting that morphometric comparisons may be able to identify and provenance intercepted specimens quickly and inexpensively when molecular sequences and taxonomic specialists are unavailable.

The Impact of Opioid Prescription on the Occurrence and Outcome of Pneumonia: A Nationwide Cohort Study in South Korea.

Opioids are known to cause respiratory depression, aspiration, and to suppress the immune system. This study aimed to investigate the relationship between short- and long-term opioid use and the occurrence and clinical outcomes of pneumonia in South Korea. The data for this population-based retrospective cohort analysis were obtained from the South Korean National Health Insurance Service. The opioid user group consisted of those prescribed opioids in 2016, while the non-user group, who did not receive opioid prescriptions that year, was selected using a 1:1 stratified random sampling method. The opioid users were categorized into short-term (1-89 d) and long-term (≥90 d) users. The primary end point was pneumonia incidence from January 1, 2017-December 31, 2021, with secondary end points including pneumonia-related hospitalizations and mortality rates during the study period. In total, 4,556,606 adults were enrolled (opioid group, 2,070,039). Opioid users had a 3% higher risk of pneumonia and an 11% higher risk of pneumonia requiring hospitalization compared to non-users. Short-term users had a 3% higher risk of pneumonia, and long-term users had a 4% higher risk compared to non-users (P < .001). Additionally, short-term users had an 8% higher risk of hospital-treated pneumonia, and long-term users had a 17% higher risk compared to non-users (P < .001). Both short- and long-term opioid prescriptions were associated with higher incidences of pneumonia and hospital-treated pneumonia. In addition, long-term opioid prescriptions were linked to higher mortality rates due to pneumonia.

Enhancing the Evaluation System of Training Hospitals for Neurosurgical Residency Training and Education in South Korea : Striving for Balanced Participation and Differentiation.

The Korean Neurosurgical Society, with its 62 years of history, has witnessed substantial growth in the field of neurosurgery, producing over 3,400 neurosurgeons, establishing 12 divisions and 9 regional branches, and advancing in clinical management, diagnostic methods and academic research. Despite these developments, the regulations governing neurosurgical training and evaluation methods for training hospitals have remained largely unchanged, necessitating comprehensive revisions in response to evolving medical environments. To provide balanced participation opportunities for neurosurgery residents, the Korean Neurosurgical Society formed the Training Status Investigation Standard Change Task Force (TF Team) under the Training Education Committee. This paper presents the TF Team's findings and proposals for revising training status investigation standards and evaluation criteria. Through the processes including a lot of team meetings, workshops, education programs, official communications with 12 division societies, benchmarking from other societies and analysis of encrypted data from the past 5 years for neurosurgical training hospitals, the TF Team created a revised training status investigation proposal, supplemented main surgery criteria. And we applied this revised proposal to the training status investigation data collected from training hospitals in 2022 for simulation. We reduced the score for main surgeries to 10 points, introduced core competency surgery standards, allocating 5 points each for brain core competency surgery and spine and peripheral core competency surgery, for a total of 10 points. We also adjusted the major surgery score to 13 points, expanding the total surgery index score to 33 points. We introduced additional definitions for main surgeries in the areas of spine, pediatrics, and functional surgery. The equipment score was reduced from 17 points to 9 points. We specified minimum requirements for resident allocation eligibility, and if a hospital meets all of these criteria, they become eligible to apply for resident allocation. We introduced a new bonus point system for hospitals performing mechanical thrombectomy or stenting and peripheral nerve. The proposed revisions aim to improve the training and education of neurosurgical residents and overall neurosurgical care in Korea by creating a balanced and differentiated evaluation system for training hospitals. Further monitoring, communication, and adjustments are crucial for successful implementation.

Whom Does Remote Work Make Happy? The Digital Divide in Remote Workers' Well-Being.

The global shift to remote work during the COVID-19 pandemic has intensified scholarly attention to remote workers' well-being. Although existing studies explore the varied impacts of remote work, there is a gap in understanding remote workers' well-being through the lenses of social disparity and the digital divide. Extending digital divide scholarship to the remote work context, this study disentangles why some remote workers experience better well-being than others. We conducted a two-wave longitudinal panel study in South Korea during the COVID-19 pandemic (Wave 1: February 2021, Wave 2: October 2021). Among the 501 participants who participated in both waves, we found that individuals with lower education levels were less likely to have remote work opportunities. We focused our further analyses on a subset of 144 employees who had remote work opportunities within organizations with typical hierarchical structures. We found that socioeconomic status (SES) did not directly influence remote workers' well-being but indirectly influenced it by contributing to the diversity in using information and communication technologies (ICTs). Workers with higher SES or more diversity in using ICTs demonstrated lower vulnerability and more effectiveness in maintaining their well-being in virtual organizational communication situations. This study highlights social disparities in remote workers' well-being, which arise from the complex interplay of SES either indirectly influencing the diversity in ICT usage or interacting with virtual organizational communication satisfaction and duration. This study advances remote work scholarship by restructuring theoretical discussions on social stratification and the digital divide reproduced within the evolving work environment.

Physical Activity Status and Body Composition of Adolescents with Borderline Intellectual Functioning in South Korea

The Article Abstract is not available.

The Incidence and Outcomes of Out-of-Hospital Cardiac Arrest During the COVID-19 Pandemic in South Korea: Multicenter Registry Study.

The COVID-19 pandemic has profoundly affected out-of-hospital cardiac arrest (OHCA) and disrupted the chain of survival. Even after the end of the pandemic, the risk of new variants and surges persists. Analyzing the characteristics of OHCA during the pandemic is important to prepare for the next pandemic and to avoid repeated negative outcomes. However, previous studies have yielded somewhat varied results, depending on the health care system or the specific characteristics of social structures. We aimed to investigate and compare the incidence, outcomes, and characteristics of OHCA during the prepandemic and pandemic periods using data from a nationwide multicenter OHCA registry. We conducted a multicenter, retrospective, observational study using data from the Korean Cardiac Arrest Resuscitation Consortium (KoCARC) registry. This study included adult patients with OHCA in South Korea across 3 distinct 1-year periods: the prepandemic period (from January to December 2019), early phase pandemic period (from July 2020 to June 2021), and late phase pandemic period (from July 2021 to June 2022). We extracted and contrasted the characteristics of patients with OHCA, prehospital time factors, and outcomes for the patients across these 3 periods. The primary outcomes were survival to hospital admission and survival to hospital discharge. The secondary outcome was good neurological outcome. From the 3 designated periods, a total of 9031 adult patients with OHCA were eligible for analysis (prepandemic: n=2728; early pandemic: n=2954; and late pandemic: n=3349). Witnessed arrest (P<.001) and arrest at home or residence (P=.001) were significantly more frequent during the pandemic period than during the prepandemic period, and automated external defibrillator use by bystanders was lower in the early phase of the pandemic than during other periods. As the pandemic advanced, the rates of the first monitored shockable rhythm (P=.10) and prehospital endotracheal intubation (P<.001) decreased significantly. Time from cardiac arrest cognition to emergency department arrival increased sequentially (prepandemic: 33 min; early pandemic: 35 min; and late pandemic: 36 min; P<.001). Both survival and neurological outcomes worsened as the pandemic progressed, with survival to discharge showing the largest statistical difference (prepandemic: 385/2728, 14.1%; early pandemic: 355/2954, 12%; and late pandemic: 392/3349, 11.7%; P=.01). Additionally, none of the outcomes differed significantly between the early and late phase pandemic periods (all P>.05). During the pandemic, especially amid community COVID-19 surges, the incidence of OHCA increased while survival rates and good neurological outcome at discharge decreased. Prehospital OHCA factors, which are directly related to OHCA prognosis, were adversely affected by the pandemic. Ongoing discussions are needed to maintain the chain of survival in the event of a new pandemic. ClinicalTrials.gov NCT03222999; https://classic.clinicaltrials.gov/ct2/show/NCT03222999.

Exogenous methyl jasmonate mediates tolerance of heat stress in Korean fir (Abies koreana)

AbstractHeat stress is a major environmental stress that affects the growth and development of plants. Korean fir (Abies koreana), a rare species endemic to South Korea, is sensitive to global climate change. The effect of exogenous methyl jasmonate (MeJA) on heat stress tolerance was, therefore, investigated in this species. During heat stress, the expression levels of eight genes (AkNAC19, AkMPK6, AkERF4, AkEFP, AkNAC2, AkbHLH, AkHSP17.6, and AkMYB123) were assessed in needles of A. koreana following treatment with 0, 0.1, 1.0, or 2.0 mM MeJA. Optimal upregulation of expression of most genes was observed 24 h post-treatment with 2.0 mM MeJA. Similar results were obtained when gene expression was analyzed 1, 2, 4, and 8 days post-treatment with 2.0 mM MeJA. Under heat stress conditions, plants treated with 2.0 mM MeJA initially showed a rapid decline in electrolyte leakage and higher chlorophyll content after 28 days of heat stress; however, opposite trends were observed in untreated plants, indicating that MeJA mediated tolerance to heat stress. Higher levels of expression of AkERF4, AkNAC2, and AkHSP17.6 were observed in MeJA-treated needles than in untreated needles, indicating these genes were strongly associated with MeJA-mediated heat tolerance. Therefore, these results suggest that the ability of Korean fir to tolerate abiotic stress is associated with endogenous MeJA synthesis or signaling, and identifies AkERF4, AkNAC2, and AkHSP17.6 as potential candidates for genes involved in the stress-tolerance mechanism.

Innovative approaches for accurate ozone prediction and health risk analysis in South Korea: The combined effectiveness of deep learning and AirQ+

Short-term exposure to ground-level ozone (O3) poses significant health risks, particularly respiratory and cardiovascular diseases, and mortality. This study addresses the pressing need for accurate O3 forecasting to mitigate these risks, focusing on South Korea. We introduce Deep Bias Correction (Deep-BC), a novel framework leveraging Convolutional Neural Networks (CNNs), to refine hourly O3 forecasts from the Community Multiscale Air Quality (CMAQ) model. Our approach involves training Deep-BC using data from 2016 to 2019, including CMAQ's 72-hour O3 forecasts, 31 meteorological variables from the Weather Research and Forecasting (WRF) model, and previous days' station measurements of 6 air pollutants. Deep-BC significantly outperforms CMAQ in 2021, reducing biases in O3 forecasts. Furthermore, we utilize Deep-BC's daily maximum 8-hour average O3 (MDA8 O3) forecasts as input for the AirQ+ model to assess O3's potential impact on mortality across seven major provinces of South Korea: Seoul, Busan, Daegu, Incheon, Daejeon, Ulsan, and Sejong. Short-term O3 exposure is associated with 0.40 % to 0.48 % of natural cause and respiratory deaths and 0.67 % to 0.81 % of cardiovascular deaths. Gender-specific analysis reveals higher mortality rates among men, particularly from respiratory causes. Our findings underscore the critical need for region-specific interventions to address air pollution's detrimental effects on public health in South Korea. By providing improved O3 predictions and quantifying its impact on mortality, this research offers valuable insights for formulating targeted strategies to mitigate air pollution's adverse effects. Moreover, we highlight the urgency of proactive measures in health policies, emphasizing the significance of accurate forecasting and effective interventions to safeguard public health from the deleterious effects of air pollution.

Evaluation of the accuracy of automated tooth segmentation of intraoral scans using artificial intelligence-based software packages

The accuracy of tooth segmentation in intraoral scans is crucial for performing virtual setups and appliance fabrication. Hence, the objective of this study was to estimate and compare the accuracy of automated tooth segmentation generated by the artificial intelligence of dentOne software (DIORCO Co, Ltd, Yongin, South Korea) and Medit Ortho Simulation software (Medit Corp, Seoul, South Korea). Twelve maxillary and mandibular pretreatment dental scan sets comprising 286 teeth were collected for this investigation from the archives of the Department of Orthodontics, Faculty of Dentistry, Alexandria University. The scans were imported as standard tessellation language files into both dentOne and Medit Ortho Simulation software. Automatic segmentation was run on each software. The number of successfully segmented teeth vs failed segmentations was recorded to determine the success rate of automated segmentation of each program. Evaluation of success and/or failure was based on the software's identification of the teeth and the quality of the segmentation. The mesiodistal tooth width measurements after segmentation using both tested software programs were compared with those measured on the unsegmented scan using Meshmixer software (Autodesk, San Rafael, Calif). The unsegmented scans served as the reference standard. A total of 288 teeth were examined. Successful identification rates were 99% and 98.3% for Medit and dentOne, respectively. Success rates of segmenting the lingual surfaces of incisors were significantly higher in Medit than in dentOne (93.7% vs 66.7%, respectively; P<0.001). DentOne overestimated the mesiodistal width of canines (0.11 mm, P= 0.032), premolars (0.22 mm, P< 0.001), and molars (0.14 mm, P= 0.043) compared with the reference standard, whereas Medit overestimated the mesiodistal width of premolars only (0.13 mm, P= 0.006). Bland-Altman plots showed that mesiodistal tooth width agreement limits exceeded 0.2 mm between each software and the reference standard. Both artificial intelligence-segmentation software demonstrated acceptable accuracy in tooth segmentation. There is a need for improvement in segmenting incisor lingual tooth surfaces in dentOne. Both software programs tended to overestimate the mesiodistal widths of segmented teeth, particularly the premolars. Artificial intelligence-segmentation needs to be manually adjusted by the operator to ensure accuracy. However, this still does not solve the problem of proximal surface reconstruction by the software.

Lost in communication: The vanished momentum of just transition in South Korea

As problems of injustice observed in the decarbonization process arose, energy scholars have recently sought remedies to address social justice concerns under the banner of just transition. What remains elusive in the existing literature is the role of communication between proponents of policy ideas and the public in fostering social consensus around just transition, particularly within non-Western contexts. The research presented here aims to fill the aforementioned knowledge gap by investigating reasons behind the vanished momentum of a just transition policy in South Korea, despite a public atmosphere accepting of the need for low-carbon energy transition. Employing natural language processing on 2022 news articles and 32,211 online comments, our research reveals that the public perception of just transition has been influenced heavily by ideologically-driven interpretations of the meaning of justice. This is due primarily to the failure of the speakers of just transition to effectively communicate its intended scope and content. The findings underscore the importance of communication in building a shared understanding of just transition aligned with deep core beliefs of a society to ensure its public acceptance and long-term viability.

Self-reported sensory impairment and social participation among Korean older adults: mediating roles of cognitive function and digital technology use

Objectives This study investigates the correlation between self-reported sensory impairment, cognitive function, digital technology use, and social participation among older adults in South Korea. Method Data from the 2020 National Survey of Older Koreans, comprising a nationally representative sample of 7849 individuals aged 65 years or older, were analyzed. A serial mediation analysis (Model = 6) was conducted using the PROCESS macro for SPSS. Results Following adjustment for covariates, cognitive function and digital technology use serially mediated the relationship between self-reported sensory impairment and social participation among older adults (B = −0.0020, SE = 0.0005, 95% confidence interval [CI] = [−0.0030, −0.0010]). Specifically, self-reported sensory impairment exhibited a negative correlation with cognitive function (B = −0.3277, SE = 0.0753, p < .001), which was positively associated with digital technology use (B = 0.0763, SE = 0.0056, p < .001), subsequently linking to enhanced social participation (B = 0.0784, SE = 0.0037, p < .001). Conclusion Through cross-sectional analysis, this study confirms that self-reported sensory impairment in older adults may precede cognitive decline, hindering digital technology use and reducing social participation. Early diagnosis and treatment are crucial in preventing cognitive decline, while age-friendly digital devices may alleviate cognitive burden and promote social engagement.