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At least 307 records · Page 17

Status Report on Regulatory Criteria Applicable to the Use of Artificial Intelligence (AI) and Machine Learning (ML)

Although the interest in the use of artificial intelligence (AI) and machine learning (ML) in nuclear energy is increasing rapidly, at present their implementation is limited. This rapid increase in interest is not surprising considering that implementing AI and ML technology would allow for continuous monitoring, facilitate the implementation of predictive maintenance with optimized staffing plans, enable automation and autonomy opportunities that could drastically reduce fixed operation and maintenance costs, and provide training for operations and maintenance. Other industries are using AI for construction, and in the nuclear arena AI could provide great benefit in decommissioning activities. The ability of AI and ML to operate in real time vastly increases their potential impact. Before AI can be used in design, operations, or as a regulatory tool, the specifics on the regulations applicable to the use of AI for nuclear power applications need to be established. The difficulty is that the specific use cases will dictate the applicability of regulations. For example, even within the application domain associated with operations, the regulations might vary if the AI is used to create a virtual reference for plant operations or is used for training, optimization of maintenance intervals, prioritization of maintenance activities, etc. Different still is if the AI is to be used for design or setting technical specifications, which will introduce additional requirements. US Nuclear Regulatory Commission (NRC) licensing reviews are based on an applicant’s design meeting its performance assessment based on (1) safety goals and objectives, (2) deterministic and/or probabilistic analysis of accident scenarios, and (3) quantitative assessment of design alternatives against the safety goals and objectives using accepted engineering tools, methodologies, and performance criteria. The current regulatory framework does not explicitly address AI or autonomous control. However, as implementing AI technology will require the use of a digital platform, it must meet the requirements of an instrumentation and control (I&C) system. The regulatory requirements for AI, which will be incorporated into the I&C system, will be very dependent on how it is used (i.e., its functionality, safety classification, etc.). The licensing process is primarily risk-based with the identification of components and systems as nonsafety, important to safety, or safety related. A risk-informed approach allows further gradation of components and systems based on risk metrics such as core damage frequency or large early release fractions. Thus, the use cases and the risk categorization of impacted systems and components will determine the regulatory requirements. Regardless of how AI is used it presents new opportunities for risk-informing operating, maintenance, and regulatory decisions. Trustworthiness, transparency, and the ability to validate and verify the results will be paramount in showing that the systems and plant still meet their performance requirements. This report describes the results of research to identify regulatory implications of AI technologies and their uses. Specifically, this report reviews current regulatory guidance relevant to the application of AI for design (including design changes or new designs including advanced reactors), construction, operations, training, maintenance, research, testing, and as a regulatory tool. AI can be automated at different levels from purely informative purposes to autonomous controls. The focus of this review included determination of constraints on the application of AI technology, identification of any regulatory gaps or uncertainties, and clarification of anticipated technical basis information likely to be important for regulatory acceptance of these technologies. Currently, any use of AI at nuclear power plants is focused on nonsafety-related applications. The NRC and other regulatory bodies are evaluating providing guidance to address gaps rather than create new regulations to address the use of AI and ML. This approach seems to be the best to encourage AI development without adding regulatory uncertainty.

97 MATHEMATICS AND COMPUTING↗

A Standard Siren Measurement of the Hubble Constant Using Gravitational-wave Events from the First Three LIGO/Virgo Observing Runs and the DESI Legacy Survey

We present a new constraint on the Hubble constant H 0 using a sample of well-localized gravitational-wave (GW) events detected during the first three LIGO/Virgo observing runs as dark standard sirens. In the case of dark standard sirens, a unique host galaxy is not identified, and the redshift information comes from the distribution of potential host galaxies. From the third LIGO/Virgo observing run detections, we add the asymmetric-mass binary black hole GW190412 and the high-confidence GW candidates S191204r, S200129m, and S200311bg to the sample of dark standard sirens analyzed in Palmese et al. Our sample contains the top 20% (based on localization) GW events and candidates to date with significant coverage by the Dark Energy Spectroscopic Instrument Legacy Survey. We combine the H 0 posterior for eight dark siren events, finding H 0 = $79.8^{+19.1}_{-12.8}$ km s -1 Mpc -1 (68% highest density interval) for a prior in H 0 uniform between [20, 140] km s -1 Mpc -1 . This result shows that a combination of eight well-localized dark sirens combined with an appropriate galaxy catalog is able to provide an H 0 constraint that is competitive (~20% versus 18% precision) with a single bright standard siren analysis (i.e., assuming the electromagnetic counterpart) using GW170817. When combining the posterior with that from GW170817, we obtain H 0 = $72.77^{+11.0}_{-7.55}$ km s -1 Mpc -1 . This result is broadly consistent with recent H 0 estimates from both the cosmic microwave background and supernovae.

79 ASTRONOMY AND ASTROPHYSICS↗

Improved isotope-shift-based bounds on bosons beyond the Standard Model through measurements of the $^2$D$_{3/2} - ^2$D$_{5/2}$ interval in Ca$^+$

We perform high-resolution spectroscopy of the $3$d$~^2$D$_{3/2} - 3$d$~^2$D$_{5/2}$ interval in all stable even isotopes of $^A$Ca$^+$ (A = 40, 42, 44, 46 and 48) with an accuracy of $\sim$ 20 Hz using direct frequency-comb Raman spectroscopy. Combining these data with isotope shift measurements of the 4s$~^2$S$_{1/2} \leftrightarrow 3$d$~^2$D$_{5/2}$ transition, we carry out a King plot analysis with unprecedented sensitivity to coupling between electrons and neutrons by bosons beyond the Standard Model. Furthermore, we estimate the sensitivity to such bosons from equivalent spectroscopy in Ba$^+$ and Yb$^+$. Finally, the data yield isotope shifts of the 4s$~^2$S$_{1/2} \leftrightarrow 3$d$~^2$D$_{3/2}$ transition at 10 part-per-billion through combination with recent data of Knollmann et al (2019).

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Using Natural Gas Liquids to Recover Unconventional Oil and Gas Resources (Final Report)

This document presents final technical findings for the project Using Natural Gas Liquids to Recover Unconventional Oil and Gas Resources (FE0031782). The project is part of the U.S. Department of Energy Oil and Gas Program to develop and advance technologies that can significantly improve the recovery efficiencies of unconventional oil and gas resources. The overall objective of this project is to improve the ultimate recovery from unconventional oil and gas (UOG) resources in the United States by developing a method for using unrefined natural gas liquids (NGLs) as treatment fluids to improve hydrocarbon production. Horizontal extended-lateral drilling coupled with high volume hydraulic fracturing has significantly increased production from UOG resources in the U.S. However, the recovery efficiency is low compared to the estimated oil and gas in place. Recent data indicate that less than 10% of the oil in the liquid-rich UOG reservoirs is produced. Alternative completion methods using NGLs could increase production (Battelle, 2016; Wan et al., 2013; Wan, 2013; Downey et al, 2021); however, field validation tests are needed to develop an approach that is economical, efficient, and compatible in the UOG setting to advance towards commercial deployment. This project aims to develop and field test a method to improve recovery of oil resources in UOG shale plays by using Y-Grade NGLs, or a similar combination of NGLs, as treatment fluids. Refined NGLs have been used as a hydraulic treatment fluid in UOG plays for decades and are shown to be particularly effective because their miscibility with oil allows oil to flow more freely; however, the use of Y-Grade (unrefined) NGLs has not been studied. The use of Y-Grade NGLs would be advantageous over refined NGLs because Y-Grade NGLs do not require infrastructure or investment in refining and are already being produced from many UOG reservoirs. The concept was tested and monitored in the field at a commercial well site owned by project partner Hopco, Ltd. The project team, which consists of multiple oil and gas operators, Linde Gas North America LLC (Linde) and the Ohio Division of Geological Survey (ODGS), has extensive experience with oil and gas production in the Appalachian basin and the ability to work together quickly to solve technical issues and research needs. A key part of the proposed work was the use of existing wells for field testing and monitoring. A total of four wells (three vertical and one horizontal) were available for this project. One of the vertical wells was utilized as the test well for the NGL treatment test. A nearby vertical well was used for microseismic monitoring. The remaining vertical well and the horizontal well provided a baseline for typical UOG production in the oil window of the Utica/Point Pleasant (UPP). Major technical tasks of the project include characterization of the geotechnical properties of the UPP with an emphasis on the field site; design and planning for the NGLs testing; field testing and monitoring; analysis and integration of field data; and economic and resource/reserve assessment. The Shoman monitoring well and Doughty NGL treatment well were successfully plugged back during September-October 2020 in preparation for treatment and monitoring. A nitrogen diagnostic fracture injection test (DFIT) was completed on the Doughty well on July 22, 2021, consisting of 133,000 scf (91 Bbl.) of nitrogen. A nitrogen foam frac was completed in the Utica-Point Pleasant interval on August 17, 2021 with funding from outside sources. A microseismic monitoring array was installed in the Shoman well and monitored microseismic activity during the Doughty well frac job. Y-Grade NGL injection commenced on August 26, 2021. A total of 215 Bbl. was injected but the job was shut down due to a small leak on the suction hose on the pump truck. The Y-Grade treatment resumed on August 27, 2021 and an additional 726 Bbl. of Y-Grade NGL was injected at a well head pressure of 3850 psi. Total volume of injected Y-Grade over the two days of injection was 941 Bbl. The well was shut-in for 17 days following injection to allow the Y-Grade NGLs to soak on the formation. Y-Grade treatment flow back commenced on 9/13/2021 on a weekly basis. Production data, including surface pressures, oil, nitrogen, natural gas, and flow times was measured and recorded. Periodic gas samples were collected and analyzed to determine composition of flowback gas. As of July 2022, the treatment well had produced 726 Bbl of oil and 2,888 mcf gas. In August 2022, tubing and packer in the well were removed and a pump was installed to enhance oil recovery. Currently, the operator is producing the well about 2 days a week for a few hours. The performance of the NGL treatment test was evaluated based on reservoir simulations of the treatment process, processing of well testing data, analysis of micro seismic monitoring data, and production data analysis. This analysis suggested that oil production in the small test would continue through 2025. Upscaling the treatment to a horizontal Utica Point-Pleasant well would allow more oil recovery, but the process would involve more investment, services, and operational support. An economic analysis was conducted for scenarios aimed at upscaling the NGL treatment process for more typical horizontal UPP wells in the Appalachian Basin.

02 PETROLEUM↗

O’Hare Airport Short-Term Ground Transportation Modal Demand Forecast Using Gaussian Processes

Here, the principal objective of this study is to analyze the spatial and temporal variation of ground transportation airport demand and provide demand forecast to inform planning capability and explore alternatives for investments to accommodate airport growth. Because of its good adaptability and strong generalization ability for dealing with high-dimensional input, small-sample, and nonlinear spatial data, Gaussian process (GP) regression is used to provide forecast estimates using data from transportation network company (TNC) trips and urban rail passengers at Chicago's O'Hare International Airport. TNC airport trips differ significantly, with three times more distance, more than twice the travel time, and half of the share requests compared with nonairport trips. This highlights the need for separate demand models. Hourly analysis of the rail service indicates that this is likely heavily used by airport workers, whereas TNC services focus on travelers because of variations in the peak demand hours. Heteroscedastic GP regression is implemented because of differences in trip variance between night and day hours. Estimates are given for weekdays and weekend trips, and the 95% confidence intervals are calculated. The introduction of flight schedule information into the models shows marginal improvements in their performance. However, fitting a GP regression becomes computationally expensive with increased sample size and the introduction of spatial components. Transportation planners and policymakers can use the results and methods implemented in this study to optimize transportation assets and provide long-range simulations of the current and future conditions in the area.

42 ENGINEERING↗

Estimating the Effects of Soil Remediation on Children’s Blood Lead near a Former Lead Smelter in Omaha, Nebraska, USA

Lead exposures from legacy sources threaten children’s health. Soil in Omaha, Nebraska, was contaminated by emissions from a lead smelter and refinery. The U.S. Environmental Protection Agency excavated and replaced contaminated soil at the Omaha Lead Superfund Site between 1999 and 2016. The goal of this study was to assess the association of soil lead level (SLL) and soil remediation status with blood lead levels (BLLs) in children living near or on the site. We linked information on SLL at residential properties with children’s BLLs and assigned remediation status to children’s BLL measurements based on whether their measurements occurred during residence at remediated or unremediated properties. We examined the association of SLL and remediation status with elevated BLL (EBLL). We distinguished the roles of temporal trend and the intervention with time-by-intervention-status interaction contrasts. All analyses estimated odds ratios (ORs) with a generalized estimating equations approach to ensure robustness under the complex correlations among BLL measurements. All analyses controlled for relevant covariates including children’s characteristics. EBLL (> 5 μg/dL ) was associated with both residential SLL [e.g., OR=2.00; 95% confidence interval (CI): 1.83, 2.19; > 400–800 vs. ≤ 200 ppm] and neighborhood SLL [e.g., OR=1.85 (95% CI: 1.62, 2.11; > 400–800 vs. ≤ 200 ppm)] before remediation but only with neighborhood SLL after remediation. The odds of EBLL were higher before remediation [OR 1.52 (95% CI: 1.34, 1.72)]. Similarly, EBLL was positively associated with preremediation status in our interaction analysis [interaction OR=1.18 (95%CI: 1.02, 1.37)]. Residential and neighborhood SLLs were important predictors of EBLLs in children residing near or on this Superfund site. Neighborhood SLL remained a strong predictor following remediation. Our data analyses showed the benefit of soil remediation. Results from the interaction analyses should be interpreted cautiously due to imperfect correspondence of remediation times between remediation and comparison groups. https://doi.org/10.1289/EHP8657

54 ENVIRONMENTAL SCIENCES↗

diffReplication - An Energy-Aware Fault Tolerance Model for Silent Error Detection and Mitigation in Heterogeneous Extreme-scale Computing Environment

At extreme scale, the frequency of silent errors – a class of errors that remain undetected by low-level error detection mechanisms – increases significantly with the computational complexity of the application and the scale of the computing infrastructure. As hardware and software advances are made to usher in the next scientific era of computing, developing new approaches to mitigate the impact of silent errors remains a challenging problem. In this work, we propose an energy-aware fault-tolerance model, referred to diffReplication to overcome silent errors. In the proposed model, the main process is associated with one replica that executes at the same rate as the main process, and one diffReplica that is executed at a fraction of the main process' execution rate. If the main and its replica reach consensus at the end of a computation phase, the state of the diffReplica is updated and computation is resumed. If the synchronization attempt results in a disagreement, however, the diffReplica increases its execution speed to complete the computation and quickly reach the synchronization barrier. Assuming a single error over any given synchronization interval, a majority voting is used to reach consensus and tolerate silent errors. To further enhance its performance, diffReplication is augmented with speculative execution, whereby the main or its fast replica is selected to continue execution without waiting for the diffReplica. The selection process is based on the previous behaviour of the main and its replica. A performance analysis study is carried out to assess the performance of diffReplication, in terms of the energy saving and time-to-completion reduction achieved by the diffReplication scheme. The experiment shows that speculative execution reduces the time to completion with additional energy, and dynamic decision-making balances the energy consumption and time to completion.

97 MATHEMATICS AND COMPUTING↗

Model-agnostic likelihood for the reinterpretation of the 𝐵 + → 𝐾 + ⁢$𝑣\bar{𝑣}$ measurement at Belle II

We recently measured the branching fraction of the 𝐵 + → 𝐾 + ⁢$𝑣\bar{𝑣}$ decay using 362 fb −1 of on-resonance 𝑒 + ⁢𝑒 − collision data under the assumption of Standard Model kinematics, providing the first evidence for this decay. To facilitate future reinterpretations and maximize the scientific impact of this measurement, we publicly release the full analysis likelihood along with all necessary material required for reinterpretation under arbitrary theoretical models sensitive to this measurement. In this work, we demonstrate how the measurement can be reinterpreted within the framework of the weak effective theory. Using a kinematic reweighting technique in combination with the published likelihood, we derive marginal posterior distributions for the Wilson coefficients, construct credible intervals, and assess the goodness of fit to the Belle II data. For the weak effective theory Wilson coefficients, the posterior mode of the magnitudes |𝐶 VL +𝐶 VR |, |𝐶 SL +𝐶 SR |, and |𝐶 TL | corresponds to the point (11.3, 0.0, 8.2). The respective 95% credible intervals are [1.9, 16.2], [0.0, 15.4], and [0.0, 11.2].

bottom quark↗

Processing Aleatory and Epistemic Uncertainties in Experimental Data From Sparse Replicate Tests of Stochastic Systems for Real-Space Model Validation

This paper presents a practical methodology for propagating and processing uncertainties associated with random measurement and estimation errors (that vary from test-to-test) and systematic measurement and estimation errors (uncertain but similar from test-to-test) in inputs and outputs of replicate tests to characterize response variability of stochastically varying test units. Also treated are test condition control variability from test-to-test and sampling uncertainty due to limited numbers of replicate tests. These aleatory variabilities and epistemic uncertainties result in uncertainty on computed statistics of output response quantities. The methodology was developed in the context of processing experimental data for “real-space” (RS) model validation comparisons against model-predicted statistics and uncertainty thereof. The methodology is flexible and sufficient for many types of experimental and data uncertainty, offering the most extensive data uncertainty quantification (UQ) treatment of any model validation method the authors are aware of. It handles both interval and probabilistic uncertainty descriptions and can be performed with relatively little computational cost through use of simple and effective dimension- and order-adaptive polynomial response surfaces in a Monte Carlo (MC) uncertainty propagation approach. A key feature of the progressively upgraded response surfaces is that they enable estimation of propagation error contributed by the surrogate model. Sensitivity analysis of the relative contributions of the various uncertainty sources to the total uncertainty of statistical estimates is also presented. Finally, the methodologies are demonstrated on real experimental validation data involving all the mentioned sources and types of error and uncertainty in five replicate tests of pressure vessels heated and pressurized to failure. Simple spreadsheet procedures are used for all processing operations.

97 MATHEMATICS AND COMPUTING↗

X-ray observation of individual Ti-6Al-4V spherical powder particle impact in an in-situ operando laser directed energy deposition system

Understanding the particle capture mechanism in the laser directed energy deposition additive manufacturing process provides a foundation for improving productivity and reducing material loss. Capturing this phenomenon is challenging due to its highly transient time interval. To analyze the impact behavior of spherical Ti-6Al-4V powder, a custom laser directed energy deposition system was designed to control the deposition of individual particles. Synchrotron X-ray imaging at 24 kHz monitored the impact dynamics of individual powder particles. A multi-physics model based on the Smoothed-Particle Hydrodynamics scheme supported the analysis by providing the temperature and velocity fields of the molten pool. Results revealed that in laser directed energy deposition, surface tension forces dominated the powder–molten pool interaction. Hydrophobic Ti-6Al-4V powder particles had an equilibrium contact angle of 121 degrees with their molten state. Furthermore, Ti-6Al-4V powder particles required a high impact velocity (6 to 12 m/s) to transition from oscillation to submergence behavior. Lastly, oscillating powder particles that impacted near the location of the laser beam exhibited faster melting, highlighting the contribution of the laser beam to the melting mechanism. This work lays the foundation for investigations of powder particle impact in laser directed deposition and supports the validation of numerical models of powder–molten pool interactions.

36 MATERIALS SCIENCE↗

Estimating the local dark matter density in a non-axisymmetric wobbling disc

The density of dark matter near the Sun, ρDM, ⊙, is important for experiments hunting for dark matter particles in the laboratory, and for constraining the local shape of the Milky Way’s dark matter halo. Estimates to date have typically assumed that the Milky Way’s stellar disc is axisymmetric and in a steady-state. Yet the Milky Way disc is neither, exhibiting prominent spiral arms and a bar, and vertical and radial oscillations. Here, we assess the impact of these assumptions on determinations of ρDM, ⊙ by applying a free-form, steady-state, Jeans method to two different N-body simulations of Milky Way-like galaxies. In one, the galaxy has experienced an ancient major merger, similar to the hypothesized Gaia–Sausage–Enceladus; in the other, the galaxy is perturbed more recently by the repeated passage and slow merger of a Sagittarius-like dwarf galaxy. We assess the impact of each of the terms in the Jeans–Poisson equations on our ability to correctly extract ρDM, ⊙ from the simulated data. We find that common approximations employed in the literature – axisymmetry and a locally flat rotation curve – can lead to significant systematic errors of up to a factor ~1.5 in the recovered surface mass density ~2 kpc above the disc plane, implying a fractional error on ρDM, ⊙ of the order of unity. However, once we add in the tilt term and the rotation curve term in our models, we obtain an unbiased estimate of ρDM, ⊙, consistent with the true value within our 95 percent confidence intervals for realistic 20 percent uncertainties on the baryonic surface density of the disc. Other terms – the axial tilt, 2nd Poisson and time-dependent terms – contribute less than 10 percent to ρDM, ⊙ (given current data) and can be safely neglected for now. In the future, as more data become available, these terms will need to be included in the analysis.

79 ASTRONOMY AND ASTROPHYSICS↗

In with the old, in with the new: machine learning for time to event biomedical research

The predictive modeling literature for biomedical applications is dominated by biostatistical methods for survival analysis, and more recently some out of the box machine learning approaches. In this article, we show a presentation of a machine learning method appropriate for time-to-event modeling in the area of prostate cancer long-term disease progression. Using XGBoost adapted to long-term disease progression, we developed a predictive model for 118 788 patients with localized prostate cancer at diagnosis from the Department of Veterans Affairs (VA). Our model accounted for patient censoring. Harrell’s c-index for our model using only features available at the time of diagnosis was 0.757 95% confidence interval [0.756, 0.757]. Our results show that machine learning methods like XGBoost can be adapted to use accelerated failure time (AFT) with censoring to model long-term risk of disease progression. Furthermore, the long median survival justifies and requires censoring. Overall, we show that an existing machine learning approach can be used for AFT outcome modeling in prostate cancer, and more generally for other chronic diseases with long observation times.

96 KNOWLEDGE MANAGEMENT AND PRESERVATION↗

Autonomous monitoring of algal biomass: Success stories and lessons learned from long-term field deployment

Autonomous, high-frequency monitoring of outdoor algal ponds is needed to quantify biomass productivity and detect culture decline in environments prone to contamination, grazers, and variable operating conditions. We report successes and lessons learned in translating a laboratory spectroradiometric monitoring approach to a multi-year autonomous field deployment at the Arizona Center for Algae Technology and Innovation (AzCATI). The system measures spectrally resolved pond reflectance by ratioing upwelling radiance from each raceway to simultaneous downwelling sky irradiance using fiber-coupled spectrometers. A physics-based reflectance model (ASHARP) is fit to each spectrum pair to estimate optical parameters, including a biomass-proxy coefficient (C a ) which enables near-real-time tracking of biomass accumulation and culture state at 2–5 min intervals. From May 2022 through September 2025 the platform operated continuously while scaling from two to six raceway ponds. Several strains of algae were monitored successfully, including the high productivity Tetraselmis striata and Picochlorum celeri. Transitioning data acquisition from a Windows laptop to a Raspberry Pi improved uptime from 57% (2022) to ~89% (2024–2025) and enabled routine real-time analysis. Further, we converted relative biomass estimates to absolute ash-free dry weight (AFDW) using experimentally-derived calibrations, providing field-relevant biomass predictions with conservative confidence bounds. These results demonstrate the feasibility of long-term, autonomous optical monitoring for well-mixed open-raceway algal cultivation and provide practical guidance for reliable field operation and scaling.

Katinas, Christopher Michael [Sandia National Labo↗

On the trapped magnetic moment in type-II superconductors

In this article, measurements of the trapped (remanent) magnetic moment, M trap (H) , when a small magnetic field H is turned off after cooling below the superconducting transition temperature, T c , or ramping a magnetic field up and down after cooling in a zero magnetic field, offer substantial advantages in difficult cases of small samples and large field-dependent backgrounds, which is relevant for hydrogen-based ultra-high-T c superconductors (UHTS). Until recently, there was no need for a separate paper on the trapped magnetic flux for well-known critical-state models due to the simplicity of the physics involved. However, recent publications showed the need for such an analysis. This note summarizes the expectations for the Bean model with constant critical current density and the Kim model with field-dependent critical currents. It is shown that if the trapped moment is fitted to the power law, M trap $\propto$ H a , the fixed exponent α = 2 is exact for the Bean model, while Kim models show a wide interval of possible values, 2$\leqslant$a$\leqslant$4. Furthermore, accounting for reversible magnetization expands the range of possible exponents to 1$\leqslant$a$\leqslant$4. In addition, demagnetizing factors are essential and make the trapped moment orientation dependent even in isotropic materials. As a concrete application, it is shown that flux trapping experiments performed on H 3 S UHTS compounds can be well described using this generalized approach, lending further support to the type-II superconducting nature of H 3 S under ultra-high pressure.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Factors associated with treatment limitations in two Swedish intensive care units: Prevalence and patient involvement

Abstract The aim was to study the prevalence, documentation, and patient involvement in treatment limitations (TLs) in two Swedish intensive care units (ICUs). All patients admitted to the ICUs of two Swedish regional hospitals in 2019 were screened for inclusion. Exclusion criteria included postanesthesia care <24 h. Patients were identified using the Swedish Intensive Care Registry (SIR) and data were extracted from SIR and hospital charts. Uni‐ and multivariable logistic analysis was performed to investigate associations with the presence of TLs. A total of 3090 patients were admitted to the two ICUs in 2019. After exclusion, 1019 patients were included in the study. 45.5% were women and the mean age was 62.9 years. 26.5% of the patients had one or several TLs. Age (OR 1.04 per one year increase 95% confidence interval (CI) 1.02–1.05), SAPS3‐score (OR 1.08 per one unit increase 95% CI 1.06–1.09) and ICU length of stay (OR 1.11 per one day increase 95% CI 1.05–1.17) were independently associated with an increased likelihood of receiving a TL. 17% of the patients were involved in the decision‐making process and in >30% of cases neither the patient nor next‐of‐kin were informed. Women were to a larger extent involved in the decision process than men (24.5 vs. 12.5% p < .05). When the intensivist documented why a TL was established, patient autonomy was four times more commonly stated as the motivation for the TL among women compared to men (15.5% vs. 3.8% p < .05). TLs were common in two Swedish ICUs but a substantial number of patients and next‐of‐kin were not involved in the decision‐making process or informed of the decision. Women were more often than men engaged in the decision to establish a TL.

Jönsson, Nino↗

Incremental Fermi Large Area Telescope Fourth Source Catalog

We present an incremental version (4FGL-DR3, for Data Release 3) of the fourth Fermi Large Area Telescope (LAT) catalog of γ-ray sources. Based on the first 12 years of science data in the energy range from 50 MeV to 1 TeV, it contains 6658 sources. The analysis improves on that used for the 4FGL catalog over eight years of data: more sources are fit with curved spectra, we introduce a more robust spectral parameterization for pulsars, and we extend the spectral points to 1 TeV. The spectral parameters, spectral energy distributions, and associations are updated for all sources. Light curves are rebuilt for all sources with 1 yr intervals (not 2 month intervals). Among the 5064 original 4FGL sources, 16 were deleted, 112 are formally below the detection threshold over 12 yr (but are kept in the list), while 74 are newly associated, 10 have an improved association, and seven associations were withdrawn. Pulsars are split explicitly between young and millisecond pulsars. Pulsars and binaries newly detected in LAT sources, as well as more than 100 newly classified blazars, are reported. We add three extended sources and 1607 new point sources, mostly just above the detection threshold, among which eight are considered identified, and 699 have a plausible counterpart at other wavelengths. We discuss the degree-scale residuals to the global sky model and clusters of soft unassociated point sources close to the Galactic plane, which are possibly related to limitations of the interstellar emission model and missing extended sources.

79 ASTRONOMY AND ASTROPHYSICS↗

Pharmacoepidemiology, Machine Learning and COVID-19: An intent-to-treat analysis of hydroxychloroquine, with or without azithromycin, and COVID-19 outcomes amongst hospitalized US Veterans

Hydroxychloroquine (HCQ) was proposed as an early therapy for coronavirus disease 2019 (COVID-19) after in vitro studies indicated possible benefit. Previous in vivo observational studies have presented conflicting results, though recent randomized clinical trials have reported no benefit from HCQ amongst hospitalized COVID-19 patients. In this work, we examined the effects of HCQ alone, and in combination with azithromycin, in a hospitalized COVID-19 positive, United States (US) Veteran population using a propensity score adjusted survival analysis with imputation of missing data. From March 1, 2020 through April 30, 2020, 64,055 US Veterans were tested for COVID-19 based on Veteran Affairs Healthcare Administration electronic health record data. Of the 7,193 positive cases, 2,809 were hospitalized, and 657 individuals were prescribed HCQ within the first 48-hours of hospitalization for the treatment of COVID-19. There was no apparent benefit associated with HCQ receipt, alone or in combination with azithromycin, and an increased risk of intubation when used in combination with azithromycin [Hazard Ratio (95% Confidence Interval): 1.55 (1.07, 2.24)]. In conclusion, we assessed the effectiveness of HCQ with or without azithromycin in treating patients hospitalized with COVID-19 using a national sample of the US Veteran population. Using rigorous study design and analytic methods to reduce confounding and bias, we found no evidence of a survival benefit from the administration of HCQ.

60 APPLIED LIFE SCIENCES↗

Global Sensitivity Analysis Using the Ultra‐Low Resolution Energy Exascale Earth System Model

Abstract For decades, Arctic temperatures have increased twice as fast as average global temperatures. As a first step toward quantifying parametric uncertainty in Arctic climate, we performed a variance‐based global sensitivity analysis (GSA) using a fully coupled, ultra‐low resolution (ULR) configuration of version 1 of the U.S. Department of Energy's Energy Exascale Earth System Model (E3SMv1). Specifically, we quantified the sensitivity of six quantities of interests (QOIs), which characterize changes in Arctic climate over a 75 year period, to uncertainties in nine model parameters spanning the sea ice, atmosphere, and ocean components of E3SMv1. Sensitivity indices for each QOI were computed with a Gaussian process emulator using 139 random realizations of the random parameters and fixed preindustrial forcing. Uncertainties in the atmospheric parameters in the Cloud Layers Unified by Binormals (CLUBB) scheme were found to have the most impact on sea ice status and the larger Arctic climate. Our results demonstrate the importance of conducting sensitivity analyses with fully coupled climate models. The ULR configuration makes such studies computationally feasible today due to its low computational cost. When advances in computational power and modeling algorithms enable the tractable use of higher‐resolution models, our results will provide a baseline that can quantify the impact of model resolution on the accuracy of sensitivity indices. Moreover, the confidence intervals provided by our study, which we used to quantify the impact of the number of model evaluations on the accuracy of sensitivity estimates, have the potential to inform the computational resources needed for future sensitivity studies.

54 ENVIRONMENTAL SCIENCES↗