Background: Prostate cancer is rapidly increasing in Korea and professional societies have requested adding prostate specific antigen (PSA) testing to the National Cancer Screening Program (NCSP), but this started a controversy in Korea and neutral evidence on this issue is required more than ever. The purpose of this study was to provide economic evidence to the decision makers of the NCSP. Materials and Methods: A cost-utility analysis was performed on the adoption of PSA screening program among men aged 50-74-years in Korea from the healthcare system perspective. Several data sources were used for the cost-utility analysis, including general health screening data, the Korea Central Cancer Registry, national insurance claims data, and cause of mortality from the National Statistical Office. To solicit the utility index of prostate cancer, a face-to-face interview for typical men aged 40 to 69 was conducted using a Time-Trade Off method. Results: As a result, the increase of effectiveness was estimated to be very low, when adopting PSA screening, and the incremental cost effectiveness ratio (ICER) was analyzed as about 94 million KRW. Sensitivity analyses were performed on the incidence rate, screening rate, cancer stage distribution, utility index, and treatment costs but the results were consistent with the base analysis. Conclusions: Under Korean circumstances with a relatively low incidence rate of prostate cancer, PSA screening is not cost-effective. Therefore, we conclude that adopting national prostate cancer screening would not be beneficial until further evidence is provided in the future.

An experimental study is performed to investigate the natural convection heat transfer characteristics with subcooled coolant to create engineering database for basic applications in a lead alloy cooled reactor. Tests are performed in the ALTOS (Applied Liquid-metal Thermal Operation Study) apparatus as part of MITHOS (Metal Integrated Thermo Hydrodynamic Operation System). A relationship is determined between the Nusselt number Nu and the Rayleigh number Ra in the liquid metal rectangular pool. Results are compared with correlations and experimental data in the literature. Given the similar Ra condition, the present test results for Nu of the liquid metal pool with top subcooling are found to be similar to those predicted by the existing correlations or experiments. The current test results are utilized to develop natural convection heat transfer correlations applicable to low Prandtl number Pr fluids that are heated from below and cooled by the external coolant above. Results from this study are slated to be used in designing BORIS (Battery Optimized Reactor Integral System), a small lead cooled modular fast reactor for deployment at remote sites cycled with MOBIS (Modular Optimized Brayton Integral System) for electricity generation, tied with NAVIS (Naval Application Vessel Integral System) for ship propulsion, joined with THAIS (Thermochemical Hydrogen Acquisition Integral System) for hydrogen production, and coupled with DORIS (Desalination Optimized Reactor Integral System) for seawater desalination. Tests are performed with Wood’s metal (Pb-Bi-Sn-Cd) filling a rectangular pool whose lower surface is heated and upper surface cooled by forced convection of water. The test section is 20 cm long, 11.3 cm high and 15 cm wide. The simulant has a melting temperature of 78°C. The constant temperature and heat flux condition was realized for the bottom heating once the steady state had been met. The test parameters include the heated bottom surface temperature of the liquid metal pool, the input power to the bottom surface of the section, and the coolant temperature.