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Assessing the Radiative Impact of the 2019 – 2020 Australian Bushfires using Trajectory-Mapped CALIPSO and SAGE III/ISS Observations.

During the 2019/2020 fire season, Australian bushfires burned 46 million acres, killed 39 people and billions of animals, and became the costlier fire season in Australian history. Between the end of December and early January, a series of pyrocumulonimbus injected thick smoke layers in the upper troposphere and lower stratosphere which were observed over the Tasmanian Sea and New Zealand by the Ozone Mapping and Profiler Suite (OMPS) and the Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation (CALIPSO). The smoke plume crossed the tropopause and was further dispersed across the Eastern Pacific Ocean rising up to 30 km height after two weeks. . In this study, we use CALIPSO and the NASA Langley Trajectory Model (LaTM), driven by Modern-Era Retrospective analysis for Research and Application, Version 2 (MERRA-2) meteorological data, to track the dispersion of Australian fire smoke plumes in both the troposphere and the stratosphere. Trajectory mapping is used to re-construct the 3-dimension structure of the smoke plumes. Results are compared with independent observations from the Stratospheric Aerosol and Gas Experiment (SAGE) III on the International Space Station (ISS) to understand the complex transport of the plume into the stratosphere and its lifetime. Using trajectory maps, the impact of the Australian bushfires on the Earth’s radiative energy budget is assessed with the Clouds and the Earth’s Radiant Energy System (CERES).

Australian bushfire↗

Proteogenomic characterization of difficult-to-treat breast cancer with tumor cells enriched through laser microdissection

Abstract Background Breast cancer (BC) is the most commonly diagnosed cancer and the leading cause of cancer death among women globally. Despite advances, there is considerable variation in clinical outcomes for patients with non-luminal A tumors, classified as difficult-to-treat breast cancers (DTBC). This study aims to delineate the proteogenomic landscape of DTBC tumors compared to luminal A (LumA) tumors. Methods We retrospectively collected a total of 117 untreated primary breast tumor specimens, focusing on DTBC subtypes. Breast tumors were processed by laser microdissection (LMD) to enrich tumor cells. DNA, RNA, and protein were simultaneously extracted from each tumor preparation, followed by whole genome sequencing, paired-end RNA sequencing, global proteomics and phosphoproteomics. Differential feature analysis, pathway analysis and survival analysis were performed to better understand DTBC and investigate biomarkers. Results We observed distinct variations in gene mutations, structural variations, and chromosomal alterations between DTBC and LumA breast tumors. DTBC tumors predominantly had more mutations inTP53,PLXNB3, Zinc finger genes, and fewer mutations inSDC2,CDH1,PIK3CA,SVIL, andPTEN. Notably, Cytoband 1q21, which contains numerous cell proliferation-related genes, was significantly amplified in the DTBC tumors. LMD successfully minimized stromal components and increased RNA–protein concordance, as evidenced by stromal score comparisons and proteomic analysis. Distinct DTBC and LumA-enriched clusters were observed by proteomic and phosphoproteomic clustering analysis, some with survival differences. Phosphoproteomics identified two distinct phosphoproteomic profiles for high relapse-risk and low relapse-risk basal-like tumors, involving several genes known to be associated with breast cancer oncogenesis and progression, includingKIAA1522,DCK,FOXO3,MYO9B,ARID1A,EPRS,ZC3HAV1, andRBM14. Lastly, an integrated pathway analysis of multi-omics data highlighted a robust enrichment of proliferation pathways in DTBC tumors. Conclusions This study provides an integrated proteogenomic characterization of DTBC vs LumA with tumor cells enriched through laser microdissection. We identified many common features of DTBC tumors and the phosphopeptides that could serve as potential biomarkers for high/low relapse-risk basal-like BC and possibly guide treatment selections.

Oncology↗

Atmospheric Chemistry Over Southern Africa

During the southern African dry season, regional haze from mixed industrial pollution, biomass burning aerosol and gases from domestic and grassland fires, and biogenic sources from plants and soils is worsened by a semi-permanent atmosphere gyre over the subcontinent. These factors were a driver of several major international field campaigns in the 1990s and early 2000s, and attracted many scientists to the region. Some researchers were interested in understanding fundamental processes governing chemistry of the atmosphere and interaction with climate change. Others found favorable conditions for evaluating satellite-derived measurements of atmospheric properties and a changing land surface. With that background in mind a workshop on atmospheric chemistry was held in South Africa. Sponsored by the International Commission for Atmospheric Chemistry and Global Pollution (ICACGP; http://www.icacgp.org/), the workshop received generous support from the South African power utility, Eskom, and the Climatology Research Group of the University of the Witwatersrand, Johannesburg, South Africa. The purpose of the workshop was to review some earlier findings as well as more recent findings on southern African climate vulnerability, chemical changes due to urbanization, land-use modification, and how these factors interact. Originally proposed by John Burrows, president of ICACGP, the workshop was the first ICACGP regional workshop to study the interaction of air pollution with global chemical and climate change. Organized locally by the University of the Witwatersrand, the workshop attracted more than 60 delegates from South Africa, Mozambique, Botswana, Zimbabwe, France, Germany, Canada, and the United States. More than 30 presentations were given, exploring both retrospective and prospective aspects of the science. In several talks, attention was focused on southern African chemistry, atmospheric pollution monitoring, and climate processes as they were studied in the field campaigns such as Transport and Atmospheric Chemistry Near the Equator-Atlantic (TRACE-A), Southern African Fire-Atmosphere Research Initiative (SAFARI-92), and Southern African Regional Science Initiative (SAFARI 2000). Since those large international efforts, satellites have matured enough to enable quantifiable measurements of regional land surface, atmosphere, and ocean. In addition, global and chemical transport models have also been advanced to incorporate various data. Thus, the timing of the workshop was right for a full-fledged re-assessment of the chemistry, physics, and socio-economical impacts caused by pollution in the region, including a characterization of sources, deposition, and feedbacks with climate change.

Gatebe, Charles K.↗

2023 Critical Materials Strategy

The global effort to curb carbon emissions is accelerating demand for clean energy technologies and the materials they rely on. Demand for these materials will only continue to grow, especially as some nations aim to achieve net zero emissions by 2050. While some major materials like steel, copper, and aluminum are already powering the fossil fuel economy, others are more minor materials with potential supply risks. These risks could jeopardize the ability to reduce greenhouse gas emissions within the desirable timeframe to avoid significant climate change. In some cases, it may be necessary to take action to improve the resilience of material supply chains and mitigate supply risks. Understanding the importance of individual materials to clean energy and the supply risks associated with them is necessary to identify which materials may serve as potential roadblocks to a clean energy future. The U.S. Department of Energy (DOE) issued a series of 13 supply chain deep dive assessment reports on various energy technologies in 2022 in response to President Biden’s Executive Order on America’s Supply Chains (E.O. 14017). These reports emphasized that supply chain bottlenecks can occur at any stage of the value chain from mining and refining to component and even sub-system manufacturing. The bottlenecks are a combination of factors such as material availability, equipment availability, work force availability and quality, logistics, regulatory framework, and market conditions. These bottlenecks were worsened during the global Covid-19 pandemic. Its lingering impacts have hindered capacity expansion for material supply chains and prevented product lead-time recovery. One approach to reduce supply chain risks for the United States is to have a strong domestic manufacturing sector with a diverse set of producers. Boosting responsible domestic production would require leveraging the latest science not only in material extraction but also in developing substitutes, recycling, reuse, and remanufacturing. This report is an updated analysis of previous Critical Materials Strategy (CMS) reports published by the DOE in 2010, 2011, and 2019 based on national and global priorities, technology advancement, and technology adoption trends. Like the CMS reports, this analysis presents the results of a formal material criticality assessment to identify which materials are critical to the continued deployment of clean energy technologies globally. The analysis in this report leveraged the DOE supply chain deep dive assessments to develop the initial list of materials to evaluate. This DOE Critical Materials Assessment (CMA) is conducted independently of criticality assessments performed by other U.S. government agencies, such as that conducted by the U.S. Geological Survey (USGS). This analysis complements the USGS critical minerals determination in three aspects. First, the DOE assessment is performed from a global perspective, while the USGS analysis focusses on the importance of minerals to the U.S. economy. Second, this report focuses on the importance of materials to clean energy technologies, rather than to the economy in general. Lastly, this study is forward looking to 2035 based on clean energy deployment scenarios, whereas the USGS assessment is retrospective. Materials evaluated in this report that do not appear in the USGS Critical Minerals List include copper, uranium, electrical steel, and SiC. A draft version of this report received ~80 public comments related to supporting data and methodological improvement. Those comments have been incorporated as much as possible where appropriate. Highlights of findings from this 2023 CMA include: Rare earth materials (neodymium, praseodymium, dysprosium, and terbium) used in magnets in electric vehicle (EV) motors and wind turbine generators continue to be critical. While dysprosium (Dy) and terbium (Tb) are both heavy rare earth elements that serve the same function in magnets, the criticality of Tb is slightly lower than that for Dy in the short term due to the widespread use of Dy in high-grade magnets and Tb’s present role as a substitute. Similarly, praseodymium (Pr) is critical in the medium term but only near critical in the short term because it is more substitutable in magnets than neodymium (Nd); Materials used in batteries for EVs and stationary storage are now considered to be critical. While cobalt (Co) was found to be critical in this and previous reports, lithium (Li) becomes critical in the medium term due to its broader use in various battery chemistries and the rampant growth of the EV industry. Natural graphite is a new addition in this assessment and is also found to be critical; Platinum group metals used in hydrogen electrolyzers, such as platinum (Pr) and iridium (Ir), are critical due to an increased focus on hydrogen technologies to achieve net zero carbon emissions, while those used in catalytic converters, such as rhodium (Rh) and palladium (Pd), were screened out due to the decreased importance of catalytic converters in the medium term; Gallium (Ga) continues to be critical due to its use in light-emitting diodes (LEDs). In addition, the use of Ga has increased in magnet manufacturing and in semiconductor in forms such as gallium arsenide (GaAs) or gallium nitride (GaN); Major materials like Aluminum (Al), copper (Cu), nickel (Ni), and silicon (Si) move from noncritical in the short term to near critical in the medium term due to their importance in electrification; Electrical steel is near critical due to its use in transformers for the grid and electric motors in EVs.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Development and Validation of a Non-Invasive, Chairside Oral Cavity Cancer Risk Assessment Prototype Using Machine Learning Approach

Oral cavity cancer (OCC) is associated with high morbidity and mortality rates when diagnosed at late stages. Early detection of increased risk provides an opportunity for implementing prevention strategies surrounding modifiable risk factors and screening to promote early detection and intervention. Historical evidence identified a gap in the training of primary care providers (PCPs) surrounding the examination of the oral cavity. The absence of clinically applicable analytical tools to identify patients with high-risk OCC phenotypes at point-of-care (POC) causes missed opportunities for implementing patient-specific interventional strategies. This study developed an OCC risk assessment tool prototype by applying machine learning (ML) approaches to a rich retrospectively collected data set abstracted from a clinical enterprise data warehouse. We compared the performance of six ML classifiers by applying the 10-fold cross-validation approach. Accuracy, recall, precision, specificity, area under the receiver operating characteristic curve, and recall–precision curves for the derived voting algorithm were: 78%, 64%, 88%, 92%, 0.83, and 0.81, respectively. The performance of two classifiers, multilayer perceptron and AdaBoost, closely mirrored the voting algorithm. Integration of the OCC risk assessment tool developed by clinical informatics application into an electronic health record as a clinical decision support tool can assist PCPs in targeting at-risk patients for personalized interventional care.

60 APPLIED LIFE SCIENCES↗

Winter Precipitation in North America and the Pacific-North America Pattern in GEOS-S2Sv2 Seasonal Hindcast

Reliable prediction of precipitation remains one of the most pivotal and complex challenges in seasonal forecasting. Previous studies show that various large-scale climate modes, such as ENSO, PNA and NAO play significant role in winter precipitation variability over the Northern America. The influences are most pronounced in years of strong indices of such climate modes. This study evaluates model bias, predictability and forecast skills of monthly winter precipitation in GEOS5-S2S 2.0 retrospective forecast from 1981 to 2016, with emphasis on the forecast skill of precipitation over North America during the extreme events of ENSO, PNA and NAO by applying EOF and composite analysis.

Li, Zhao↗

Influence of Synoptic-Dynamic Meteorology on the Long-Range Transport of Indochina Biomass Burning Aerosols

Impacts of long-range transported biomass burning aerosols from northern Indochina on regional air quality, atmospheric visibility, and climate effects have been discussed extensively in the literature over the past decade. However, the mechanism between aerosol transport and the low-level jet (LLJ) in synoptic meteorology dynamics (e.g., the frontal system) is still not fully understood. In this study, we present results of aerosol-LLJ interaction based on the National Aeronautics and Space Administration/Modern Era Retrospective-analysis for Research and Application version 2 (NASA/MERRA-2) dataset simultaneous to field campaigns in spring 2013–2015 over Southeast Asia. For linking the atmospheric circulation to aerosol transport, a general meteorological condition favorable for aerosol transport is demonstrated. Biomass burning aerosol accumulation over the source region (i.e., northern Indochina) coincided with weak westerly system over the northern South China Sea, and as the synoptic weather system evolved, the aerosols were transported to downwind regions (i.e., Taiwan and West Pacific) by a cold front and LLJ dynamics. The MERRA-2 reanalysis data show the postcold front accompanied a LLJ stream at approximately 700 hPa (3 km) and accelerated the haze plume transport eastward with a life cycle of approximately 3–5 days, an event that reoccurred multiple times from March to April. Our results indicate that coexistence of LLJ and a South China Sea anticyclone at 700 hPa, which primarily could drive the mechanism behind these transport events. Furthermore, more observational data from Southeast Asia would greatly benefit studies of aerosol-meteorology interactions in the region.

Hsiang-Yu Huang↗

Analysis of Air-Sea Interactions in the NASA MERRA Product

Interactions between the ocean and atmosphere influence the global energy and water balance through the exchange of heat, moisture and momentum. These interactions occur over a wide range of space and time scales and need to be properly represented in climate and reanalysis simulations. This study focuses on the representation of the turbulent latent and sensible heat fluxes in the newly developed NASA Modern Era Retrospective-Analysis for Research and Applications (MERRA). It is shown that MERRA achieves realistic estimates of the turbulent fluxes for many space and time scales although some deficiencies are noted. Comparisons are made at high resolution temporal scales with measurements from several research vessels while long term comparisons are made with moored buoys. These results are contrasted with those from several other currently available reanalysis and satellite based products. The representation of feedbacks between the atmosphere and ocean area also examined through the use of simultaneous and lagged correlation analyses with particular focus on precipitation and sea surface temperature relationships. Together, these results demonstrate the consistency of the NASA MERRA product and its applicability for process studies across wide ranging scales of variability.

Roberts, J. Brent↗

Multi-channel System for Beat to Beat QT Interval Variability and its Use in Screening for Coronary Artery Disease and Cardiomyopathy

We investigated the ability of beat-to-beat QT interval variability (QTV) and related parameters to differentiate healthy individuals from patients with obstructive coronary artery disease (CAD) and cardiomyopathy (CM). For this purpose we developed a PC-based ECG software program that in real time, acquires, analyzes and displays QTV in each of the eight independent channels that constitute the 12-lead conventional ECG. The system also analyzes and displays the QTV from QT interval signals that are derived from multiple channels and from singular value decomposition (SVD) to substantially reduce the effect of noise and other artifacts on the QTV results. It also provides other useful SVD-related parameters such as the normalized 3-dimensional volume of the T wave (nTV) = 100*(rho(sub 2)*rho(sub 3)rho(sub 1^2). Advanced high-fidelity 12-lead ECG tests (approx. 5-min supine) were first performed on a "training set" of 99 individuals: 33 with ischemic or dilated CM and low ejection fraction (EF less than 40%); 33 with catheterization-proven obstructive CAD but normal EF; and 33 age-/gender-matched healthy controls. All QTV parameters that were studied for their accuracy in detecting CM and CAD significantly differentiated both CM and CAD from controls (p less than 0.0001). Retrospective areas under the ROC curve (AUC) of SDNN-QTV, rmsSD-QTV, and QTV Index (QTVI) for CM vs. controls in the lead V5 were 0.85, 0.90, and 0.99, respectively, and those for CAD vs. controls in the lead II were 0.82, 0.82, and 0.89. Other advanced ECG parameters, such as HFQRS RAZ score, LF Lomb of RRV or QRS-T angle, differentiated both CM and CAD from controls less significantly, with the respective AUC values of 0.89, 0.88 and 0.98 for CM vs. controls, and 0.73, 0.71 and 0.80 for CAD vs. controls. QTV parameters (especially QTVI, which is QTV as indexed to RRV) were, diagnostically speaking, amongst the best performing of the advanced ECG techniques studied thus far.

Starc, V.↗

Warm Season Subseasonal Variability and Climate Extremes in the Northern Hemisphere: The Role of Stationary Rossby Waves

This study examines the nature of boreal summer subseasonal atmospheric variability based on the new NASA Modern-Era Retrospective analysis for Research and Applications (MERRA) for the period 1979-2010. An analysis of the June, July and August subseasonal 250hPa v-wind anomalies shows distinct Rossby wave-like structures that appear to be guided by the mean jets. On monthly subseasonal time scales, the leading waves (the first 10 rotated empirical orthogonal functions or REOFs of the 250hPa v-wind) explain about 50% of the Northern Hemisphere vwind variability, and account for more than 30% (60%) of the precipitation (surface temperature) variability over a number of regions of the northern middle and high latitudes, including the U.S. northern Great Plains, parts of Canada, Europe, and Russia. The first REOF in particular, consists of a Rossby wave that extends across northern Eurasia where it is a dominant contributor to monthly surface temperature and precipitation variability, and played an important role in the 2003 European and 2010 Russian heat waves. While primarily subseasonal in nature, the Rossby waves can at times have a substantial seasonal mean component. This is exemplified by REOF 4 which played a major role in the development of the most intense anomalies of the U.S. 1988 drought (during June) and the 1993 flooding (during July), though differed in the latter event by also making an important contribution to the seasonal mean anomalies. A stationary wave model (SWM) is used to reproduce some of the basic features of the observed waves and provide insight into the nature of the forcing. In particular, the responses to a set of idealized forcing functions are used to map the optimal forcing patterns of the leading waves. Also, experiments to reproduce the observed waves with the SWM using MERRA-based estimates of the forcing indicate that the wave forcing is dominated by sub-monthly vorticity transients.

Schubert, Siegfried↗

Multidecadal Changes in the UTLS Ozone from the MERRA-2 Reanalysis and the GMI Chemistry Model

Long-term changes of ozone in the UTLS (Upper Troposphere / Lower Stratosphere) reflect the response to decreases in the stratospheric concentrations of ozone-depleting substances as well as changes in the stratospheric circulation induced by climate change. To date, studies of UTLS ozone changes and variability have relied mainly on satellite and in-situ observations as well as chemistry-climate model simulations. By comparison, the potential of reanalysis ozone data remains relatively untapped. This is despite evidence from recent studies, including detailed analyses conducted under SPARC (Scalable Processor Architecture) Reanalysis Intercomparison Project (S-RIP), that demonstrate that stratospheric ozone fields from modern atmospheric reanalyses exhibit good agreement with independent data while delineating issues related to inhomogeneities in the assimilated observations. In this presentation, we will explore the possibility of inferring long-term geographically and vertically resolved behavior of the lower stratospheric (LS) ozone from NASA's MERRA-2 (Modern-Era Retrospective Analysis for Research and Applications -2) reanalysis after accounting for the few known discontinuities and gaps in its assimilated input data. This work builds upon previous studies that have documented excellent agreement between MERRA-2 ozone and ozonesonde observations in the LS. Of particular importance is a relatively good vertical resolution of MERRA-2 allowing precise separation of tropospheric and stratospheric ozone contents. We also compare the MERRA-2 LS ozone results with the recently completed 37-year simulation produced using Goddard Earth Observing System in "replay" mode coupled with the GMI (Global Modeling Initiative) chemistry mechanism. Replay mode dynamically constrains the model with the MERRA-2 reanalysis winds, temperature, and pressure. We will emphasize the areas of agreement of the reanalysis and replay and interpret differences between them in the context of our increasing understanding of model transport driven by assimilated winds.

Ozone↗

Evaporation from the Southern Ocean Estimated on the Basis of AIRS Satellite Data

Evaporation plays an important role in the global water and energy cycles and, hence, in climate change. Evaporation over the Southern Ocean, where the Antarctic sea ice coverage has a large annual cycle, is poorly quantified. In this study, daily evaporation is estimated for the Southern Ocean with a sea‐ice‐specific algorithm, using surface temperature and air humidity from National Aeronautics and Space Administration's Atmospheric Infrared Sounder (AIRS), and wind speeds from Modern‐Era Retrospective Analysis for Research and Applications, Version 2 (MERRA‐2), reanalysis during 2003–2016. An uncertainty of 34% was found in the evaporation product. The results indicate that annual evaporation has considerable interannual and regional variability, but with a decreasing trend during the study period over most of the Southern Ocean. There are, however, areas where evaporation has increased, specifically in the Ross Sea in winter and summer, with smaller positive trends in spring and fall. Overall, the changes in the difference between the surface specific humidity and the air specific humidity, and to a much lesser extent in the wind speed, are the main drivers for the changes in evaporation throughout the year. During spring and fall months, changes to the sea ice cover, which alter the surface specific humidity, are the main drivers for the change, but in summer and winter the main driver is the air‐specific humidity. Air masses originating from the Antarctic continent (south) are associated with cold and dry conditions, which increase evaporation, whereas air masses from lower latitudes in the Southern Ocean (north) are associated with warm and moist conditions, decreasing evaporation. Comparisons with other reanalysis evaporation products produce similar trends, although annual averages differ.

Boisvert, Linette↗

Anterior segment sparing to reduce charged particle radiotherapy complications in uveal melanoma

PURPOSE: The purpose of this investigation is to delineate the risk factors in the development of neovascular glaucoma (NVG) after helium-ion irradiation of uveal melanoma patients and to propose treatment technique that may reduce this risk. METHODS AND MATERIALS: 347 uveal melanoma patients were treated with helium-ions using a single-port treatment technique. Using univariate and multivariate statistics, the NVG complication rate was analyzed according to the percent of anterior chamber in the radiation field, tumor size, tumor location, sex, age, dose, and other risk factors. Several University of California San Francisco-Lawrence Berkeley National Laboratory (LBNL) patients in each size category (medium, large, and extralarge) were retrospectively replanned using two ports instead of a single port. By using appropriate polar and azimuthal gaze angles or by treating patients with two ports, the maximum dose to the anterior segment of the eye can often be reduced. Although a larger volume of anterior chamber may receive a lower dose by using two ports than a single port treatment. We hypothesize that this could reduce the level of complications that result from the irradiation of the anterior chamber of the eye. Dose-volume histograms were calculated for the lens, and compared for the single and two-port techniques. RESULTS: NVG developed in 121 (35%) patients. The risk of NVG peaked between 1 and 2.5 years posttreatment. By univariate and multivariate analysis, the percent of lens in the field was strongly correlated with the development of NVG. Other contributing factors were tumor height, history of diabetes, and vitreous hemorrhage. Dose-volume histogram analysis of single-port vs. two-port techniques demonstrate that for some patients in the medium and large category tumor groups, a significant decrease in dose to the structures in the anterior segment of the eye could have been achieved with the use of two ports. CONCLUSION: The development of NVG after helium-ion irradiation is correlated to the amount of lens, anterior chamber in the treatment field, tumor height, proximity to the fovea, history of diabetes, and the development of vitreous hemorrhage. Although the influence of the higher LET deposition of helium-ions is unclear, this study suggests that by reducing the dose to the anterior segment of the eye may reduce the NVG complications. Based on this retrospective analysis of LBNL patients, we have implemented techniques to reduce the amount of the anterior segment receiving a high dose in our new series of patients treated with protons using the cyclotron at the UC Davis Crocker Nuclear Laboratory (CNL).

NASA Discipline Radiation Health↗

Risk‐based, response‐adapted therapy for early‐stage extranodal nasal‐type NK /T‐cell lymphoma in the modern chemotherapy era: A China Lymphoma Collaborative Group study

Abstract We aimed to determine the survival benefits of chemotherapy (CT) added to radiotherapy (RT) in different risk groups of patients with early‐stage extranodal nasal‐type NK/T‐cell lymphoma (ENKTCL), and to investigate the risk of postponing RT based on induction CT responses. A total of 1360 patients who received RT with or without new‐regimen CT from 20 institutions were retrospectively reviewed. The patients had received RT alone, RT followed by CT (RT + CT), or CT followed by RT (CT + RT). The patients were stratified into different risk groups using the nomogram‐revised risk index (NRI). A comparative study was performed using propensity score‐matched (PSM) analysis. Adding new‐regimen CT to RT (vs RT alone) significantly improved overall survival (OS, 73.2% vs 60.9%, P < .001) and progression‐free survival (PFS, 63.5% vs 54.2%, P < .001) for intermediate‐risk/high‐risk patients, but not for low‐risk patients. For intermediate‐risk/high‐risk patients, RT + CT and CT + RT resulted in non‐significantly different OS (77.7% vs 72.4%; P = .290) and PFS (67.1% vs 63.1%; P = .592). For patients with complete response (CR) after induction CT, initiation of RT within or beyond three cycles of CT resulted in similar OS (78.2% vs 81.7%, P = .915) and PFS (68.2% vs 69.9%, P = .519). For patients without CR, early RT resulted in better PFS (63.4% vs 47.6%, P = .019) than late RT. Risk‐based, response‐adapted therapy involving early RT combined with CT is a viable, effective strategy for intermediate‐risk/high‐risk early‐stage patients with ENKTCL in the modern treatment era.

Qi, Shu‐Nan↗

Results from NASA Agile Teams Study

In order to meet the demands of the current global economy, a study of agile teams at NASA was conducted by the NASA Engineering and Safety Center (NESC) to explore how the Agency can become more adaptable and flexible due to several influences, including the maturity and availability of digital tools and NASA’s increased reliance on commercial providers. NESC Technical Discipline Teams (TDTs) perform annual studies to understand the needs of their stakeholders, establish a state of the discipline, and inform strategic planning efforts. As part of the 2022 interview series, the Systems Engineering TDT utilized the dissertation work of Dr. Jackelynne Silva-Martinez that focused on NASA agile teams. The Systems Engineering TDT partnered with the Software and Human Factors TDTs on the formulation of interview questions and subsequent solicitation of customer inputs, which helped attract diverse agile teams across the Agency. 34 participants were interviewed, including civil servants and contractors, with open-ended questions related to their teams’ adoption and transition to agile. Participants were also questioned about their perceptions of the implementation of agile approaches across the Agency. Results showed a consistent framing of agile as incremental knowledge growth, a way of showing progress, and as the incorporation of frequent customer feedback. However, participants emphasized a lack of a common understanding of agile across the Agency, which sometimes caused managers and engineers to be reluctant to accept and support them. Results also showed the most successful agile teams had formal training with over five years of agile experience, used retrospectives, and tailored their agile processes for their specific situation and needs. This paper provides details of the interview responses gathered in the study and suggests actions for NASA to become more agile.

NASA↗

Predicting September Arctic Sea Ice: A Multimodel Seasonal Skill Comparison

This study quantifies the state of the art in the rapidly growing field of seasonal Arctic sea ice prediction. A novel multimodel dataset of retrospective seasonal predictions of September Arctic sea ice is created and analyzed, consisting of community contributions from 17 statistical models and 17 dynamical models. Prediction skill is compared over the period 2001–20 for predictions of pan-Arctic sea ice extent (SIE), regional SIE, and local sea ice concentration (SIC) initialized on 1 June, 1 July, 1 August, and 1 September. This diverse set of statistical and dynamical models can individually predict linearly detrended pan-Arctic SIE anomalies with skill, and a multimodel median prediction has correlation coefficients of 0.79, 0.86, 0.92, and 0.99 at these respective initialization times. Regional SIE predictions have similar skill to pan-Arctic predictions in the Alaskan and Siberian regions, whereas regional skill is lower in the Canadian, Atlantic, and central Arctic sectors. The skill of dynamical and statistical models is generally comparable for pan-Arctic SIE, whereas dynamical models outperform their statistical counterparts for regional and local predictions. The prediction systems are found to provide the most value added relative to basic reference forecasts in the extreme SIE years of 1996, 2007, and 2012. SIE prediction errors do not show clear trends over time, suggesting that there has been minimal change in inherent sea ice predictability over the satellite era. Overall, this study demonstrates that there are bright prospects for skillful operational predictions of September sea ice at least 3 months in advance.

54 ENVIRONMENTAL SCIENCES↗

Ballistocardiography, a Bibliography <1877 - 1964<

The publication of this bibliography on Ballistocardiography, NASA SP-7021 (FAA AM 65-15) fulfills a long-standing requirement for a comprehensive and retrospective collection of references on a subject that is of particular interest to medical investigators and cardiovascular physiologists engaged in aerospace studies. Ballistocardiography is a technique for producing a graphical representation of repetitive motions of the human body arising from the sudden ejection of blood into the great vessels with each heart beat. Standard ballistocardiographic techniques are emphasized in the references included in the bibliography, but attention is also given to several related methods that are used to record these phenomena and to the equipment and instrumentation employed in such investigations. The format of the citations in NASA SP-7021 (FAA AM 65-15) was chosen to resemble, as closely as possible, the format that is now being used in the Index Medicwl published by the National Library of Medicine, except that English titles of foreign language articles appear in parentheses instead of in brackets as they do in Index Medicus. In each case, an attempt was made to identify the language of the article, or the place of publication of the foreign language journal. Since the citations were gathered over a period of years and occasionally from sources which do not appear in standard indexes, complete information was not always available. Citations are arranged alphabetically by personal author. In a large measure, the comprehensivenes of this collection of references is due to information obtained from card files compiled and maintained by Dr. William R. Scarborough of the Georgetown Clinical Research Institute, Office of Aviation Medicine, FAA, supplemented by the private collections of Drs. Isaac Starr, Abraham Noordergraaf, and John L. Nickerson. Selection and preparation of individual references and general editing of the material was done by Dr. Scarborough, who received valuable assistance from Mrs. Claire Tedesco of the Medical Library Branch of the FAA Library. Final compilation and printing were completed under the supervision of NASA.

AEROSPACE MEDICINE↗