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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 217 records · Page 12
All sourcesNASA NTRSDOE OSTI
DOE OSTI2025

Identifying spatiotemporal patterns in opioid vulnerability: investigating the links between disability, prescription opioids and opioid-related mortality

Background: The opioid crisis remains one of the most daunting and complex public health problems in the United States. This study investigates the national epidemic by analyzing vulnerability profiles of three key factors: opioid-related mortality rates, opioid prescription dispensing rates, and disability rank ordered rates. Methods: This study utilizes county level data, spanning the years 2014 through 2020, on the rates of opioid-related mortality, opioid prescription dispensing, and disability. To successfully estimate and predict trends in these opioid-related factors, we augment the Kalman Filter with a novel spatial component. To define opioid vulnerability profiles, we create heat maps of our filter’s predicted rates across the nation’s counties and identify the hotspots. In this context, hotspots are defined on a year-by-year basis as counties with rates in the top 5% nationally. Results: Our spatial Kalman filter demonstrates strong predictive performance. From 2014 to 2018, these predictions highlight consistent spatiotemporal patterns across all three factors, with Appalachia distinguished as the nation’s most vulnerable region. Starting in 2019 however, the dispensing rate profiles undergo a dramatic and chaotic shift. Conclusions: The initial primary drivers of opioid abuse in the Appalachian region were likely prescription opioids; however, it now appears that abuse is sustained by illegal drugs. Additionally, we find that the disabled subpopulation may be more at risk of opioid-related mortality than the general population. Public health initiatives must extend beyond controlling prescription practices to address the transition to and impact of illicit drug use.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2020

Step-patterned survivorship curves: Mortality and loss of equilibrium responses to high temperature and food restriction in juvenile rainbow trout ( Oncorhynchus mykiss )

While survivorship curves typically exhibit smooth declines over time, step-patterned curves can occur with multiple stressors within a life stage. To explore this process, we examined the effects of heat (24°C) and food restriction on juvenile rainbow trout (Oncorhynchus mykiss Walbaum) in challenge experiments. We observed step-patterned survivorship curves determined by mortality and loss of equilibrium (LOE) endpoints. To examine the cause of heterogeneity in the stress responses from early to late mortality and LOE, we measured indices of energetic reserves. The step transition in the survivorship curves, the peak mortality rates, and start of when individuals reached a critical energetic threshold (14% dry mass; 4.0 kJ∙g -1 energy) all occurred at around days 10–15 of the challenge. The coherence in these temporal patterns suggest heterogeneity in the cohort stress responses, in which an early subgroup died from heat stress and a late subgroup died from starvation. Thus, their endpoint sensitivities resulted in step-patterned survivorship curves. We discuss the implications of the study for understanding effects of multiple stressors on population heterogeneity and note the possible significance of stress response selection under climate change in which heat stress and food limitations occur in concert.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2012

Age-Period-Cohort Analysis of Chronic Obstructive Pulmonary Disease Mortality in Japan, 1950^|^ndash;2004

Background: We examined trends in chronic obstructive pulmonary disease (COPD) mortality in Japan. Methods: An age-period-cohort model was used to examine trends in COPD mortality by age, time period, and birth cohort among adults aged 40 years or older from 1950 to 2004. Results: During the study period, the age-standardized rate of COPD mortality substantially decreased from 71.3 per 100 000 to 19.7 in men and from 41.7 to 4.3 in women. The period effects rapidly declined during the early period in both sexes. They have increased in recent years in men but have continued to decrease in women. The cohort effects began increasing in the 1865–1869 birth cohort, peaked in the 1880–1889 cohort, and decreased thereafter among the recent cohorts. Conclusions: An early decrease in the period effects might have been associated with changes in disease structure and misclassification of COPD in the early period. Changes in cohort effects might have been mostly associated with changes in cigarette consumption and smoking prevalence in the Japanese population. Changes in those effects may also be a proxy for other social changes over time.

60 APPLIED LIFE SCIENCES↗
NASA NTRS1979

Analysis of population mortality kinetics with application to the longevity followup of the Navy's '1,000 aviators'

A simple physiological model of mortality kinetics is used to assess the intuitive concept that the aging rates of populations are proportional to their mortality rates. It is assumed that the vitality of an individual can be expressed as a simple summation of the weighted functional capacities of its organs and homeostatic systems that are indispensable for survival. It is shown that the mortality kinetics of a population can be derived by a linear transformation of the frequency distribution of vitality, assuming a uniform constant rate of decline of the physiological functions. A simple comparison of two populations is not possible when they have different vitality frequency distributions. Analysis of the data using the model suggests that the differences in decline of survivorship with age between the military pilot population, a medically insured population, and the control population can be accounted for by the effect of physical selection on the vitality frequency distribution of the screened populations.

Economos, A. C.↗
NASA NTRS1988

Dinosaur bone beds and mass mortality: Implications for the K-T extinction

Mass accumulations of fossilized large terrestrial vertebrate skeletons (bone beds: BB) provide a test for K-T catastrophic extinction hypotheses. The two major factors contributing to BB formation are mode of death and sedimentation rate. Catastrophic mass mortality (CMM) is the sudden death of numerous individuals where species, age, health, gender, or social ranking offer no survivorship advantage. Noncatastrophic mass mortality (NCMM) occurs over time and is strongly influenced by species, age, or gender. In addition to cause of death, sedimentation rate is also important in BB formation. Models of BBs can be made. The CMM drops all individuals in their tracks, therefore, the BB should reflect the living population with respect to species, age, or gender. The NCMM results in monospecific BBs skewed in the direction of the less fit, usually the very young or very old, or towards a specific gender. The NCMM and AM BBs may become more similar the more spread out over time NCMM deaths occur because carcasses are widely scattered requiring hydraulic accumulation, and the greater time allows for more disarticulation and weathering. The CMM and NCMM BB appear to be dominated by social animals. Applying this and the characteristics of mortality patterns to the uppermost Cretaceous Hell Creek Formation indicates that only NCMM and AM BB occur. Furthermore, NCMM BB are rare in the upper third of the Hell Creek. Near the K-T boundary, only AM BB are known. The absence of CMM and NCMM BB appears to be real reflecting a decrease in population levels of some dinosaurs prior to the K-T event. The absence of CMM suggests that the K-T event did not lead to an instantaneous extinction of dinosaurs. Nor was there a protracted die-off due to an asteroid impact winter, because no NCMM BB are known at or near the K-T boundary.

Carpenter, Kenneth↗
NASA NTRS2020

Smoking and Mortality Among US Astronauts

Astronauts have lower age-specific mortality risk than the U.S. general population from all natural causes of death, particularly cardiovascular disease and cancer. Yet, understanding if they are as healthy as their backgrounds predict they should be, requires that epidemiologists understand (and measure) all potentially confounding exposures in this cohort. Tobacco smoking prevalence has been measured in the U.S. astronaut cohort, but its impact on mortality has not been previously assessed. If smoking history has a negative impact on mortality, this could confound attempts to measure the relative health of astronauts.

Reynolds, Robert J.↗
DOE OSTI2024

Ultrasonic Deterrents To Reduce Bat Mortality at Wind Turbines - Short Science Summary

In North America, several bat species commonly collide with operating turbines. Though the ultimate driver of collisions is unknown, studies suggest that bats may be attracted to turbines because they often approach and spend extended periods of time (seconds to minutes) interacting with turbine structures. To reduce bat mortality at wind farm operators, seek to reduce mortality rates by reducing the amount of time that bats interact with spinning turbine blades (or exposure). Current approaches to reduce exposure include curtailment, whereby turbine operators stop turbine rotors from spinning during periods when bats are expected to be at the highest risk of collision, and deterrent technologies that seek to discourage bats from entering/ limit the amount of time spent within the rotor swept area. We briefly describe the state of the science on ultrasonic deterrent technology, highlight potential drivers of variable efficacy for bat mortality reduction, and suggest next steps focus on identifying the driver(s) of such variability.

bats↗
DOE OSTI2015

Recanalization and Mortality Rates of Thrombectomy With Stent-Retrievers in Octogenarian Patients with Acute Ischemic Stroke

BackgroundOur objective was to evaluate the effect of treatment with stent-retrievers in octogenarians suffering an acute ischemic stroke.MethodsA total of 150 consecutive patients with acute stroke who were treated with stent-retrievers between April 2010 and June 2012 were retrospectively reviewed. Patients were divided into those <80 years old (n = 116) and those ≥80 (n = 34). Baseline characteristics, procedure data, and endpoints (postprocedural NIHSS, death, and mRS at 3 months) were compared.ResultsHigh blood pressure, atrial fibrillation, and anticoagulation were more frequent in octogenarians (p = 0.01, 0.003, and 0.04 respectively). There were no differences between both groups regarding previous intravenous thrombolysis (32.4 vs. 48.3 %, p = 0.1), preprocedural NIHSS (18.1 vs. 16.8, p = 0.3), procedure time (74.5 (40–114) min vs. 63 (38–92) min, p = 0.2), revascularization time (380.5 (298–526.3) min vs. 350 (296.3–452.8), p = 0.3), TICI ≥ 2B (88.2 vs. 93.9 %, p = 0.1), and symptomatic haemorrhage (5.9 vs. 2.6 %, p = 0.3). Discharge NIHSS was higher in octogenarians (9.7 vs. 6.5, p = 0.03). Death and 3-month mRS ≥3 were more frequent in octogenarians (35.3 vs. 17.2 %, p = 0.02 and 73.5 vs. 37.1 %, p = 0.02). ICA-involvement and prolonged revascularization involved higher mortality (66.7 vs. 27.6 %, p = 0.03) and worse mRS (50 vs. 24.4 %, p = 0.06) in octogenarians.ConclusionsIn our series, treatment with stent-retrievers in octogenarians with acute ischemic stroke achieved good rates of recanalization but with a high mortality rate. ICA involvement and revascularization times beyond 6 hours associated to a worse prognosis. These data might be of value in the design of prospective studies evaluating the clinical efficacy of the endovascular treatments in octogenarians.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Mortality and Rates of Secondary Intervention After EVAR in an Unselected Population: Influence of Simple Clinical Categories and Implications for Surveillance

IntroductionPost-EVAR surveillance has a major impact upon patients, carers and healthcare resources. We hypothesised that elective indication, on-IFU anatomy, use of a modern device or normal first CTA, or a combination of these categories, might predict a rate of secondary intervention low enough to alter current surveillance protocols.MethodsPatients undergoing EVAR in our institution between 01.05.2007 and 28.02.2013 were assessed. Data on indication (elective, emergency), anatomy relative to IFU, device, first month CTA result, secondary intervention and mortality were obtained. Kaplan–Meier charts of mortality and freedom from secondary intervention were produced. Statistical analysis was by log-rank test and Cox proportional hazard modelling.Results234 patients underwent EVAR (188 elective, 208 on-IFU). Most implants were Endurant (106) or Talent (98). 151 patients had a normal first CTA. By median follow-up of 38.6 months, 39 patients underwent secondary intervention. A normal first CTA and elective indication were significantly associated with reduced risk of secondary intervention (p < 0.001 and p = 0.042 respectively), but device type and placement on- or off-IFU were not. Elective placement with a normal first CTA was 93 % predictive of freedom from secondary intervention by 32 months post-EVAR. Of nine patients undergoing secondary intervention in this group, eight presented symptomatically.DiscussionIn optimal procedural circumstances with normal post-procedural imaging, only 7 % of patients undergoing EVAR require secondary intervention, a minority of which is driven by surveillance. These data support a change to surveillance more tailored to the individual patient, and highlight the need for further qualitative and quantitative research.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2020

Annual PM2.5 and cardiovascular mortality rate data: Trends modified by county socioeconomic status in 2,132 US counties

This article contains data on county-level socioeconomic status for 2132 US counties and each county's average annual cardiovascular mortality rate (CMR) and fine particulate matter (PM2.5) concentration for 21 years (1990e2010). County CMR, PM2.5, and socioeconomic data were obtained from the US National Center for Health Statistics, US Environmental Protection Agency's Community Multiscale Air Quality modeling system, and the US Census, respectively. Annual socioeconomic indices were created using seven county-level measures from the 1990, 2000, and 2010 US Census using factor analysis. Quintiles of this index were used to generate categories of county socioeconomic status. This national data set contains data for annual PM2.5 and CMR changes over a time-period when there was a significant reduction in US air pollutants (following the enactment of the 1970 Clean Air Act). These data are associated with the article “The contribution of improved air quality to reduced cardiovascular mortality: Declines in socioeconomic differences over time” [1]. Data are stored in a comma separated value format and can be downloaded from the USEPA ScienceHub data repository (https://doi.org/10.23719/ 1506014).

Socioeconomic status↗
DOE OSTI2020

Quantifying the reductions in mortality from air-pollution by cancelling new coal power plants

Deep decarbonization paths to the 1.5°C or 2°C temperature stabilization futures require a rapid reduction in conventional coal-fired power plants, but countries are currently building 223 GW of new coal power capacity and plan to build 377 GW more in the next decade. Coal-fired plants are also a major contributor to air pollution related health impacts. Here, we couple an integrated human-earth system model (GCAM) with an air quality model (TM5-FASST) to examine regional health co-benefits from cancelling new coal-fired plants worldwide. Additionally, we find that cancelling all new proposed projects would decrease air pollution related premature mortality between 101,388 - 213,205 deaths (2-5%) in 2030, and 213,414 - 373,054 (5-8%) in 2050, globally, but heavily concentrated in developing Asia. Furthermore, we estimate that strengthening the climate target from 2°C to 1.5°C would avoid 326,351 additional mortalities in 2030, of which 251,011 (75%) are attributable to the incremental coal plant shutdown.

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTAN↗
DOE OSTI2018

Tackling the mortality from long-term exposure to outdoor air pollution in megacities: Lessons from the Greater Cairo case study

Highlights: • Mortality due to long-term exposure to air pollution in Greater Cairo is estimated. • Air-suspended matter (PM2.5) is the most severe problem. • At least from 10240 to 15930 people die each year of exposure to PM2.5. • From 7850 to 10470 die of exposure to NO{sub 2}. The poor outdoor air quality in megacities of the developing world and its impact on health is a matter of concern for both the local populations and the decision-makers. The objective of this work is to quantify the mortality attributable to long-term exposure to PM2.5, NO{sub 2}, and O{sub 3} in Greater Cairo (Egypt).

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

Short-term exposures to PM2.5 and cause-specific mortality of cardiovascular health in China

Highlights: • Exploring the association between PM{sub 2.5} and cardiovascular mortality in China. • Suggesting that people 65–74 years old and males might be more vulnerable to PM{sub 2.5}. • Showing the difference of PM{sub 2.5} acute effect between developed countries and China. Many multi-center epidemiological studies have robustly examined the acute health effects of exposure to low concentrations of fine particulate matter (PM{sub 2.5}) on cardiovascular mortality in developed counties. However, data limitations have resulted in few related studies being conducted in developing counties with high levels of PM{sub 2.5} exposure. In recent years, people in China with a heavy cardiovascular disease burden have been exposed to particularly high levels of PM{sub 2.5}.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

Association between long-term exposure to ambient air pollution and diabetes mortality in the US

Highlights: • The NIH-AARP Diet and Health Study was linked with latest prediction models for PM{sub 2.5}, NO{sub 2}, and O{sub 3}. • Long-term exposures to PM{sub 2.5} and NO{sub 2} are significantly associated with elevated diabetes mortality risk. • The associations were significantly modified by BMI and total fruit consumption. Recent mechanistic and epidemiological evidence implicates air pollution as a potential risk factor for diabetes; however, mortality risks have not been evaluated in a large US cohort assessing exposures to multiple pollutants with detailed consideration of personal risk factors for diabetes.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

The concentration-response between long-term PM2.5 exposure and mortality; A meta-regression approach

Highlights: • PM2.5-mortality effect is significant below 10 μg/m3 and above 20 μg/m3. • Better exposure estimates result in higher effect size estimates. • More control for SES results in higher effect size estimates. • A nonlinear dose-response is seen. • Effects at higher exposures are larger than predicted by the IER/GBD. Long-term exposure to ambient fine particulate matter (≤ 2.5 μg/m{sup 3} in aerodynamic diameter; PM{sub 2.5}) is significantly associated with increased risk of premature mortality. Our goal was to provide an updated meta-analysis of all-cause and cause-specific mortality associated with exposure to PM{sub 2.5} and to better estimate the risk of death as a function of air pollution levels.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

System dynamics for predicting the impact of traffic noise on cardiovascular mortality in Madrid

Highlights: • Short-term impact of traffic noise has changing patterns over time. • System dynamics models help understand the evolution of noise impact. • In Madrid, noise impact on mortality exhibits an epidemic behaviour since 1980. • Growing use of electric vehicles would stop the epidemic no sooner than 2040. • Major changes in urban life are needed to reduce noise impact in large cities. The impact of road traffic noise on health is an important issue worldwide. In Madrid (Spain), the existing high daily noise levels all year round have been associated with short-term cardiovascular mortality. A system dynamics model is constructed to estimate the evolution of the traffic noise impact on the population older than 65 in Madrid over the upcoming years. This strategy allows to make predictions based on yearly variations in traffic intensity, population at risk, motor vehicle-related technological advances and lifestyles, and urban planning policies. Madrid harbours a persisting noise epidemic since 1980, which would be eradicated in 2040 at the earliest if significant action for noise abatement were taken.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2012

Influence of Androgen Deprivation Therapy on All-Cause Mortality in Men With High-Risk Prostate Cancer and a History of Congestive Heart Failure or Myocardial Infarction

Purpose: It is unknown whether the excess risk of all-cause mortality (ACM) observed when androgen deprivation therapy (ADT) is added to radiation for men with prostate cancer and a history of congestive heart failure (CHF) or myocardial infarction (MI) also applies to those with high-risk disease. Methods and Materials: Of 14,594 men with cT1c-T3aN0M0 prostate cancer treated with brachytherapy-based radiation from 1991 through 2006, 1,378 (9.4%) with a history of CHF or MI comprised the study cohort. Of these, 22.6% received supplemental external beam radiation, and 42.9% received a median of 4 months of neoadjuvant ADT. Median age was 71.8 years. Median follow-up was 4.3 years. Cox multivariable analysis tested for an association between ADT use and ACM within risk groups, after adjusting for treatment factors, prognostic factors, and propensity score for ADT. Results: ADT was associated with significantly increased ACM (adjusted hazard ratio [AHR] = 1.76; 95% confidence interval [CI], 1.32-2.34; p = 0.0001), with 5-year estimates of 22.71% with ADT and 11.62% without ADT. The impact of ADT on ACM by risk group was as follows: high-risk AHR = 2.57; 95% CI, 1.17-5.67; p = 0.019; intermediate-risk AHR = 1.75; 95% CI, 1.13-2.73; p = 0.012; low-risk AHR = 1.52; 95% CI, 0.96-2.43; p = 0.075). Conclusions: Among patients with a history of CHF or MI treated with brachytherapy-based radiation, ADT was associated with increased all-cause mortality, even for patients with high-risk disease. Although ADT has been shown in Phase III studies to improve overall survival in high-risk disease, the small subgroup of high-risk patients with a history of CHF or MI, who represented about 9% of the patients, may be harmed by ADT.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2012

Competing-Risks Mortality After Radiotherapy vs. Observation for Localized Prostate Cancer: A Population-based Study

Purpose: Contemporary patients with localized prostate cancer (PCa) are more frequently treated with radiotherapy. However, there are limited data on the effect of this treatment on cancer-specific mortality (CSM). Our objective was to test the relationship between radiotherapy and survival in men with localized PCa and compare it with those treated with observation. Methods: A population-based cohort identified 68,797 men with cT1-T2 PCa treated with radiotherapy or observation between the years 1992 and 2005. Propensity-score matching was used to minimize potential bias related to treatment assignment. Competing-risks analyses tested the effect of treatment type (radiotherapy vs. observation) on CSM, after accounting to other-cause mortality. All analyses were carried out within PCa risk, baseline comorbidity status, and age groups. Results: Radiotherapy was associated with more favorable 10-year CSM rates than observation in patients with high-risk PCa (8.8 vs. 14.4%, hazard ratio [HR]: 0.59, 95% confidence interval [CI]: 0.50-0.68). Conversely, the beneficial effect of radiotherapy on CSM was not evident in patients with low-intermediate risk PCa (3.7 vs. 4.1%, HR: 0.91, 95% CI: 0.80-1.04). Radiotherapy was beneficial in elderly patients (5.6 vs. 7.3%, HR: 0.70, 95% CI: 0.59-0.80). Moreover, it was associated with improved CSM rates among patients with no comorbidities (5.7 vs. 6.5%, HR: 0.81, 95% CI: 0.67-0.98), one comorbidity (4.6 vs. 6.0%, HR: 0.87, 95% CI: 0.75-0.99), and more than two comorbidities (4.2 vs. 5.0%, HR: 0.79, 95% CI: 0.65-0.96). Conclusions: Radiotherapy substantially improves CSM in patients with high-risk PCa, with little or no benefit in patients with low-/intermediate-risk PCa relative to observation. These findings must be interpreted within the context of the limitations of observational data.

62 RADIOLOGY AND NUCLEAR MEDICINE↗