Engineering Papers⌕ Search

SEARCH · Engineering Papers

Results for “health”

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.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 343 records · Page 19
All sourcesNASA NTRSDOE OSTI
NASA NTRSDate not supplied

Wildfire Risk Support via Satellite-Derived Vegetation Health and Land Surface Model Soil Moisture

Land Surface Model (LSM) and evaporative demand products provide advanced lead time to wildfire conditions that complement traditional fire indices and represent short-term changes that add context to overall, long-term drought conditions. Established fire indices typically use weather indicators (i.e., precipitation, temperature) and estimated dead fuel moisture to indirectly obtain land surface and sub-surface characterization. The convergence of LSM shallow and deep-layer soil moisture output and satellite-derived vegetation health combine to provide a tool for stakeholders to examine trends in the state of land surface conditions that can help assess wildfire threat. Satellite remote sensing data can constrain near-real time vegetation characteristics within the LSM and/or provide a derived stress index in order to help characterize the wildfire risk. In addition, a percentile product of soil moisture is derived from a comparison of current LSM conditions to the historical record of the LSM in order to put the current conditions in perspective relative to the season and geographic region. The 2015 season as well as the 2018 Camp Fire Complex in California were examined in terms of the changes in LSM soil moisture and vegetation states. Satellite vegetation health consistently showed decreases a month prior to wildfire initiation. Additionally, maximum changes in total column soil moisture corresponded with the greatest concentration of fire locations. While soil moisture deficits occurred in the shallow layers across northern California in 2018, significant deficits at all sub-surface levels were seen ahead of the Camp Fire event. This presentation will demonstrate the complementary value of LSM output and satellite measured vegetation health to diagnose short-term deficits in sub-surface soil moisture and the rapid decline in vegetation health which precedes large wildfire events.

Wildfire↗
NASA NTRSDate not supplied

MicroRNA Based Countermeasure Rescue Health Risks Associated with Space Radiation and Microgravity

From our earlier work, we demonstrated a circulating microRNA (miRNA) signature that is present and involved with the general increased health risks during spaceflight. From this work we demonstrated that this miRNA signature impacted the overall biology and health with both the microgravity and space radiation components of the space environment. We showed that this miRNA signature can be an optimal biomarker for health risk and also has potential to be utilized as a countermeasure to mitigate the damage caused by the space environment by utilizing a human 3D microvascular tissue model. By applying a novel self-delivery system to target 3 miRNAs (i.e. antagomirs) from our spaceflight miRNA signature impacting cardiovascular health risks, we were able to completely mitigate damage caused by exposure to simulated Galactic Cosmic Ray (GCR) irradiation. Here we further expand on the countermeasure experiments to uncover the specific novel biology involved with this countermeasure and in vivo experiments that demonstrates that these antagomirs rescue damage caused to certain organs due to both microgravity and space radiation. Specifically, the miRNAs rescued damage to the heart and immune suppression that occurred in addition to other key biology. In addition, we have also observed with the 3D microvascular tissue model improved DNA double strand break repair machinery which can also contribute to improved recovery and protection against damage caused by space radiation. This work expands on our previous work and further uncovers how a potential minimally invasive countermeasure can be used to mitigate space environment effects.

Afshin Beheshti↗
NASA NTRS2023

Technological and Medical Human Health and Well-Being Options in Deep Space

Zeroth order, maintenance of human health requires supportive protection from the hazards of space, including supplying breathable air, comfortable temperatures, a supportive diet/nutrition, radiation protection, and sufficient gravity to avoid the combinatorial impacts of such effecting human operability and health. Spacecraft operability must be “fail-safe” to ensure these basic human life support conditions are maintained throughout the mission and the mission(s) must be affordable. There are known effects and unknowns effects regarding aspects of human health for Mars duration missions. Mars has the order of a third g. We have no data regarding the health impacts of this on humans or the combinatorial effects associated with 45% GCR on the Martian surface over time. There is a suspicion that if humans survive such conditions over long times they will evolve to living at reduced g and become “Martians”. Cascading failures and subcritical degradations in systems of systems causing an overall unrecoverable failure are a potential issue. There are two exremely complex systems associated with humans-Mars missions: the technical, engineering, and architectural system of systems that enable the mission and the humans. Both need to be mutually configured and operated to mitigate the overall risks and hazards of the mission. Regarding the humans that mitigation includes both the mission risks and supporting-to-increasing the human immune and other concomitant physiological systems. This report will summarize the risks, current mitigation approaches, and putative approaches including lifestyle, nutrition, and “wellness” approaches to possibly improve the human capacity to withstand the large number of combinatorial human physiological rigors of the missions. The wellness observations also apply to and are derived from Earth terrestrial applicable research.

Dennis M Bushnell↗
NASA NTRS2023

Distributed Sensing and Reasoning for Advanced Air Mobility Health Management and Mission Assurance

As envisioned, Advanced Air Mobility (AAM) and Urban Air Mobility (UAM) will introduce new vehicles and operations within the national airspace, moving people and cargo safely and efficiently at a much larger scale than today. Driven by transformative technology and revolutionary aircraft, this movement must still manage technical, regulatory, operational, and policy challenges. NASA’s work in support of AAM and UAM includes, but is not limited to tools, technologies, and architectures for distributed sensing of aircraft, data & reasoning services exchange, Human-Autonomy Teaming (HAT), contingency management, and vehicle health management. This paper builds upon these concepts and evaluates the use of distributed sensing and infrastructure assistance towards health management and mission assurance of UAM vehicles in specific operational scenarios. Through analysis of these example missions, aided by the data produced by the conceptual distributed sensing and reasoning infrastructure, we define opportunities for state estimation, diagnosis, and key decision points affecting the health state of the vehicle and the airspace volume. As a result, we define a number of measurable health state parameters providing relevant information to drive decision-making in contingency situations or feed automation tools in support of operators and managers.

Safety↗
NASA NTRSDate not supplied

The NASA TEMPO Mission: Hourly Daytime Air Pollution Observations for Enhanced Health and Air Quality Applications

The Tropospheric Emissions: Monitoring of Pollution (TEMPO) mission was launched into Geostationary Earth Orbit (GEO) to 91°W longitude on April 7, 2023, and had a successful 3-day First Light period starting July 31 with TEMPO making its first hourly daytime scans across the TEMPO Field of Regard (FoR) covering greater North America on August 2. TEMPO will provide hourly daytime observations of aerosols and trace gases, including criteria pollutants of nitrogen dioxide (NO2), sulfur dioxide (SO2), and ozone (O3), at high spatial resolution (e.g., 2.0 x 4.75 km2) across the FoR. The hyperspectral ultraviolet-to-visible measurements from the TEMPO imaging grating spectrometer will enable an O3 profile product capable of monitoring the daytime diurnal evolution of O3 pollution in the planetary boundary layer and assessing related health impacts. The non-standard or special scan operations of TEMPO at sub-hourly frequency (e.g., 2-10 minutes) over selected slices of the FoR will further enhance air quality monitoring capabilities during disasters (e.g., wildfires, volcanic eruptions, dust storms, industrial accidents) and other episodic events for better understanding emission sources and the evolution of harmful air pollutants. A large diversity of stakeholders and end-users have been engaged in the TEMPO Early Adopters Program, supported by the NASA Applied Sciences Program, which aims to enhance health and air quality applications and maximize the societal benefit of TEMPO data. Key outcomes from the Early Adopters Program include enhanced knowledge and preparation for using TEMPO data, tailoring the data dissemination and visualization tools for TEMPO based on user needs, and broadening the health and air quality applications facet of the mission. This presentation will provide the latest TEMPO mission and Early Adopters Program updates, insight into the health and air quality applications enabled through TEMPO data, and showcase the First Light NO2 imagery and provisional data from the mission.

Remote Sensing↗
NASA NTRS2024

Intelligent Devices/Equipment/Instruments (IDEI) for Enabling Crew Health and Performance on Mars

The Moon to Mars eXploration Systems and Habitation (M2M X-Hab) 2024 Academic Innovation Challenge features a project titled “Intelligent Devices/Equipment/Instruments (IDEI) for Enabling Crew Health and Performance on Mars”. The project calls for the development of prototype IDEIs “that could be used for implementing integrated system health management for Crew Health and Performance (CHP) required for crew living on Mars for extended periods of time”. Thus, the deliverable for the project is not only a prototype exercise device, but also an ontology that provides insight into the best ways to exercise on Mars. To that end, we on the BLiSS team, supported by advisors from industry and academia, set out to ideate an exercise ontology and demonstrate its effectiveness through a functional prototype. To achieve the stakeholders’ requests, the device must operate semi-autonomously, must be an analog for an extant exercise device on Earth, and must provide quantitative information about the exercise and the device’s own state of health. Here, we define “semi-autonomous” as referring to the fact that while the system should be as autonomous as possible, there are some processes that the system cannot fulfill on its own. These include, but are not limited to, user identification, physical exercise reconfiguration, and wearable sensor placement.

llyana Smith↗
NASA NTRS2024

A Survey of the Severity of Mental Health Symptoms in the Planetary Science Community

There is a growing recognition of a mental health crisis within the academic and research communities. Members of the planetary science community have called for healthier work environments to improve mental well-being. As a preliminary step towards improving workplace culture, we sought to determine if the broader mental health crisis extends to planetary science and assess the severity of anxiety, depressive, and stress symptoms. Our 2022 mental health survey of the planetary science community suggests that the severity of anxiety and depressive symptoms in the community is greater than in the general US population. Further, the anxiety and depressive symptoms are more severe for graduate students and postdoctoral researchers than any other career stage. Comparing groups within planetary science, we found that anxiety, depressive, and/or stress symptoms appear greater among marginalized groups, such as women, people of color, and members of the LGBTQ+ community. A mental health problem is impacting the planetary science community. Improving well-being will promote enhanced research quality and productivity.

David Trang↗
NASA NTRSDate not supplied

Strategy for Risk Quantification of Spaceflight Crew Health and Performance Using Dynamic Probabilistic Risk Assessment

At NASA, the Crew Health and Performance (CHP) system represents the span of countermeasures, capabilities, interventions, and tested processes and procedures that in combination work to mitigate the human component of spaceflight mission risk. Across the varying NASA mental models of the CHP system, the different functionalities needed to meet human flight systems standards can be broken down into specific categories (i.e. medical capability, environmental health, behavioral health). These categories can be further broken down into specific subgroups generally associated with the CHP functionalities meant to mitigate or buy down individual human system risks. Taking a similar development approach we seek to leverage dynamic probabilistic risk assessment as a means to quantify and relatively assess the human risk state within the crew health and performance domain. By utilizing existing tools as integrators, we propose a rapid development strategy for incorporating research and operational data that represent the influence of the CHP system functionalities, in order to provide order of magnitudes estimates of the influence on most human system risks outcomes. The model system utilizes a modest cumulative risk approach and that limits the scope to primary paths of influence between the CHP functionalities and human system risks, thus enabling quick prototypes of the integrative effects of CHP functional combinations to solicit valuable feedback from stakeholders and customers on the data, relationship, and structure of the integration.

Drayton Munster↗
NASA NTRSDate not supplied

Anthropogenic-Induced Drought: Escalating Mental Health Crises and Environmental Inequities

This study investigates the relationship between the Great Salt Lake (GSL) decline and air quality, focusing on PM2.5 concentrations and their impacts on public health. As the GSL continues to shrink, it has become a significant source of dust emissions, posing serious health and environmental risks to the surrounding areas. There search examines how diminishing water levels in the GSL, driven by climate change, agricultural water use, and urban development, affect local populations' mental health. Adopting an interdisciplinary approach, the study considers the long-term effects of air quality on mental health in relation to inorganic particulate matter, gaseous pollutants, and social vulnerability.

Maheshwari Neelam↗
NASA NTRSDate not supplied

Long-Term Health Risk Quantification

Astronauts face hazards during spaceflight, including space radiation exposure, isolation and confinement, traveling far distances from Earth, reduced gravity levels, and closed and hostile environments. These hazards drive the definition of human health and performance risks associated with spaceflight. NASA’s Human System Risk Board maintains the human spaceflight risk posture for in-mission risks, as well as post-flight, Long-Term Health (LTH)risks potentially occurring later in the astronaut’s life. LTH risk encompasses the timeframe from immediately post-flight, through the rest of an astronaut’s career, through retirement, and until death. Possible LTH risk outcomes include the time and interventions needed for the astronaut to return to preflight physiological states after experiencing spaceflight hazards and recovery from any in-mission medical events that persist into the post-flight timeframe. It includes chronic complications that may arise due to experiencing in-flight medical conditions or injuries and medical conditions that occur later in life with a higher probability of occurrence or with more severity because of their spaceflight exposure. Finally, LTH risk outcomes can also include a reduction in life expectancy due to spaceflight exposures. There have been 144 medical conditions identified by NASA’s Lifetime Surveillance of Astronaut Health team to be associated with LTH risk. Epidemiological studies have been performed for some of these conditions to determine if astronauts suffer from an increased prevalence or severity of the condition due to their spaceflight experience compared to a comparable cohort .Differences in astronaut mortality or morbidity due to spaceflight experience were not detected in several of these studies. There were two cases where a modest increase in the incidence rate of astronaut LTH outcomes was detected. The first suggested an increase in the incidence of melanoma cases in astronauts, where the number of cases in astronauts were similar to the elevated number of cases observed in airplane pilots. The second provided some evidence of elevated numbers of cardiovascular disease events in astronauts compared to an appropriate healthy comparator cohort, which may warrant additional investigation. The lack of detection of LTH risk outcomes should not ease concerns about astronaut LTH. The studies highlighted here constitute only a small portion of the potential LTH conditions that could occur. Once epidemiological studies are performed on all conditions, significant findings may be detected. The analysis of astronaut LTH also suffers from limited numbers of data points because of the limited numbers of astronauts overall and the even fewer who have reached an age where LTH outcomes may begin to manifest. As shuttle and ISS astronauts begin to age and increase the feasibility of analysis, LTH outcomes may be detected. An application of risk quantification is the use of risk metrics within trade studies for resource prioritization and decision making. Trade studies regarding countermeasures to LTH risk outcomes would benefit from a quantification of LTH risk. NASA has ground-based processes in place such as astronaut screening and access to continuous medical monitoring and care during and after their astronaut career which are the main methods for mitigating LTH risk. In-mission countermeasures, such as acceptable levels of medical care and available countermeasures to counter spaceflight related physiological decrements, can mitigate a poor health and performance status immediately post-flight. Identifying appropriate risk metrics, obtaining valid quantities for them, and tying them to LTH countermeasures are necessary steps for realizing their use in trade studies. This presentation will highlight the challenges associated with the identification, quantification, and utilization of LTH risk metrics

Beth Lewandowski↗
NASA NTRSDate not supplied

The Future of Integrated Performance Modeling in the Crew Health and Performance – Probabilistic Risk Assessment Project

The NASA engineering community utilizes event-driven and fault-tree probabilistic techniques to classify risks in the space environment by taking advantage of the inherent knowledge of complex spaceflight system design and testing to quantify failure risk. In harmonizing the risk of human space flight, answering the question of ‘How do we balance health, performance and resource risks with other engineering risks on long duration space missions?’ remains a deeply challenging and largely qualitative practice. The Human Research Program’s Medical Extensible Dynamic Probabilistic Risk Assessment Tool (MEDPRAT) was a significant step forward in efforts to robustly quantify the risk to crew health for exploration missions. However, there remains a significant gap in the ability to comprehensively assess and characterize risk across the disparate functionalities and capabilities which comprise the Crew Health and Performance (CHP) system. The Crew Health and Performance – Probabilistic Risk Assessment (CHP-PRA) project seeks to characterize CHP risks by expanding beyond the foundation established by its PRA predecessors like IMM and MEDPRAT, that simulate medical risk metrics like loss of crew life and evacuations. One of the new risk measures in the CHP-PRA system is embodied in our Performance Risk Model (PRisM). PRisM provides a novel way of assessing crew performance on mission tasks, using a generalized framework which relates back to NASA-STD-3001. This approach allows PRisM to capture and integrate data from a variety of different domains into a single, unified, reproducible representation of astronaut performance. In this presentation, we discuss the motivation for the CHP-PRA work and give a high level overview of the goals of the project, outline the forward work for PRisM, and discuss collaboration opportunities for the community who might explore if their domain knowledge and data could be represented, integrated, and quantified with these tools, whose outcomes are metrics useful for supporting operational mission planning and decision making.

Lauren McIntyre↗
DOE OSTI2020

Detection of Anomalous Events in Electronic Health Records

Over the past decade, Health Information Technology (Health IT) has enabled an explosion in the amount of digital information stored in electronic health records (EHRs). According to recent studies, safety-related issues in healthcare can present themselves as anomalies in EHR data. Motivating examples of anomalous events in EHRs include clinical events related to invalid order cancellations or rejections, which may be initiated by clinical staff or automatic software routines in Health IT systems. Such events may be detected using anomaly detection or change point detection methods. In this paper, we explore the use of a forecasting approach to detect anomalies in EHR data using an online Support Vector Regression technique. Specifically, the proposed approach uses temporal frequency of activities in EHRs, coupled with dynamic robust confidence intervals, to characterize events as normal or anomalous. Once an event is characterized as an anomaly, our approach suppresses its effects in subsequent time intervals. The proposed approach shows encouraging results using real-world EHR data from the Veterans Affairs' corporate data warehouse

Pellett, Jordan J.↗
DOE OSTI2023

State of battery health estimation based on swelling characteristics

There is disclosed an electrical device including a battery, and a battery management system. The battery management system includes a controller in electrical communication with a pressure sensor to monitor the state of health of the battery. The controller applies a method for determining the state of health that uses a non-electrical (mechanical) signal of force measurements combined with incremental capacity analysis to estimate the capacity fading and other health indicators of the battery with better precision than existing methods. The pressure sensor may provide the force measurement signal to the controller, which may determine which incremental capacity curve based on force to use for the particular battery. The controller then executes a program utilizing the data from the pressure sensor and the stored incremental capacity curves based on force to estimate the capacity fading and signal a user with the state of health percentage.

Stefanopoulou, Anna G.↗
DOE OSTI2020

System Health and Status Reporting is Used to Improve Infrastructure Systems at the Hanford Site - 20449

Reliable physical infrastructure systems are vital to completing the clean-up mission and the start-up and commissioning of new nuclear waste processing facilities at the Hanford Site. Key infrastructure systems at Hanford include water, sewer, and electrical utilities, roads, telecommunications/network systems, and fire systems. All of the infrastructure systems are non-nuclear, General Service systems that are being maintained under formal engineering configuration control and none are specifically credited in any documented safety analysis (DSA). Starting in calendar year 2017, the Hanford Site's infrastructure and services contractor started producing system health and status reports for a total of 15 critical infrastructure systems as means to get a better understanding of each system's health and how it could be improved to ensure better and more reliable service delivery. As the reporting, tracking, and use of the metrics has matured, the number of systems for which reports are being developed has been expanded to a total of 23. Each of the critical infrastructure systems are assigned primary and alternate design authorities that complete qualifications on each assigned system. The design authorities actively manage and maintain configuration control on each of their systems and track metrics associated with availability, maintenance (corrective and preventive), and configuration of the technical baseline. The metrics are based on the principles established in Chapter V of DOE O 420.1C, Facility Safety, [1] and have been tailored as appropriate to each of the key infrastructure systems. An overall assessment of system health is performed and documented on a routine basis (e.g., quarterly). Included in this documentation is a quantitative score for each of the metrics (i.e., availability, maintenance, configuration management) along with results of system walk-downs, description of any permanent design modifications, identification of new or emerging issues and vulnerabilities affecting the system, and an assessment by the design authority of actions necessary to improve the system health score. The overall status scores are calculated using a formula and based on a pre-determined grading scale, a color is assigned for simple presentation. The information gained from developing the reports is being used to (1) assist with making timely and better informed decisions through the use of solid technical bases that are increasing the overall reliability and capabilities of the Site's infrastructure systems as new expense and capital projects in the Reliability Projects Investment Portfolio (RPIP) are prioritized and executed; (2) feed the risk management program, and (3) integrate the technical content of Master Plans that describe the Site's needs for the system and the system's capabilities to meet those future needs. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2025

A Model Based Approach to Extract Health Information from Textual Data

In current nuclear power plants (NPPs) a large amount of condition-based data is being generated and stored to assess and monitor component health and performance. The format of this data can be either numeric (e.g., pump vibration data) or textual (e.g., condition report which assess component health). While assessing component health from numeric data can be performed with a large variety of methods, the extraction of information from textual data still remains a challenge. Natural language processing (NLP) methods are starting to be deployed in current NPPs mainly to filter out incident reports (IRs) that are not safety related by employing supervised machine learning methods. However, these methods do not really provide the quantitative information that might be contained in IRs. This paper presents an approach to extract information from textual data (e.g., from IRs, maintenance reports) that is based on NLP data analytics methods coupled with model-based system engineer (MBSE) models. NLP methods are employed to perform syntactic and semantic analyses. Syntactic analysis analyzes the grammatical structure of a sentence; such analysis includes: part of speech (POS) tagging (i.e., identification of grammatic elements of each string - e.g., nouns, verbs), named entity recognition (i.e., identification of text entities - e.g., names, dates, events), and relation extraction (e.g., coreference resolution). On the other hand, semantic analysis is designed to analyze the logic structure of a sentence. Through a specific set of rules, our methods can identify whether a sentence contains health information of a component (e.g., degraded performance, anomaly behavior) or the causal relationship between two events (i.e., a cause-effect pair). An innovative element of our approach is that semantic analysis relies on MBSE models to identify links between textual elements. MBSE are diagrams designed to represent system and component dependencies (from both a form and functional point of view). In our approach, MBSE models emulate system engineer knowledge about component/system architecture. This paper presents in detail how the integration of NLP methods and MBSE models is performed. Few analysis examples focusing on centrifugal pumps are presented.

97 - MATHEMATICS AND COMPUTING↗
DOE OSTI2025

Building a Healthy Urban Design Index (HUDI): how to promote health and sustainability in European cities

As global urbanisation accelerates, alongside declining environmental quality and increasing climate challenges, it is increasingly vital for urban planners and policy makers to integrate health and wellbeing considerations into urban planning. This study introduces the Healthy Urban Design Index (HUDI), a high-resolution spatial index developed for European cities. HUDI combines policy-relevant indicators related to urban design, sustainable transportation, environmental quality, and greenspace accessibility—key factors influencing human health and well-being. Unlike existing indices, which often focus on few or large metropolitan cities and lack spatial granularity, HUDI offers high resolution and extends its scope to small-sized and medium-sized cities, home to over 50% of Europe's population.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2023

Natural gas odorants: A scoping review of health effects

Organosulfur compounds are intentionally added to natural gas as malodorants with the intent of short-term nasal inhalation to aid in leak detection. Regulatory exposure limits have not been established for all commonly used natural gas odorants, and recent community-level exposure events and growing evidence of indoor natural gas leakage have raised concerns associated with natural gas odorant exposures. We conducted a scoping review of peer-reviewed scientific publications on human exposures and animal toxicological studies of natural gas odorants to assess toxicological profiles, exposure potential, health effects and regulatory guidelines associated with commonly used natural gas odorants. We identified only 22 studies which met inclusion criteria for full review. Overall, there is limited evidence of both transient nonspecific health symptoms and clinically diagnosed causative neurotoxic effects associated with prolonged odorant exposures. Across seven community-level exposure events and two occupational case reports, consistent symptom patterns included: headache, ocular irritation, nose and throat irritation, respiratory complaints such as shortness of breath and asthma attacks, and skin irritation and rash. Of these, respiratory inflammation and asthma exacerbations are the most debilitating, whereas the high prevalence of ocular and dermatologic symptoms suggest a non-inhalation route of exposure. The limited evidence available raises the possibility that organosulfur odorants may pose health risks at exposures much lower than presently understood, though additional dose-response studies are needed to disentangle specific toxicologic effects from nonspecific responses to noxious organosulfur odors. Numerous recommendations are provided including more transparent and prescriptive natural gas odorant use practices.

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTAN↗
DOE OSTI2022

Factors linked to participant attrition in a longitudinal occupational health surveillance program

For occupational medical screening programs focused on long-term health surveillance, participant attrition is a significant barrier to success. Here we investigate demographic, medical history, and clinical data from National Supplemental Screening Program (NSSP) examinees for association with likelihood of return for a second exam (rescreening). A total of 15,733 individuals completed at least one NSSP exam before December 31, 2016; of those, 4832 also completed a second exam on or before December 31, 2019. Stepwise logistic regression models were used to identify variables associated with whether a participant was rescreened in the NSSP. Individuals were less likely to return for rescreening if they had a history of any cancer; cardiovascular problems; diabetes or kidney disease; or if they used insulin. Age at time of first exam and job site category significantly influenced likelihood of return. Workers categorized as “guests” were more likely to return. Participants were less likely to return if they had an abnormal urinalysis, abnormal pulmonary function, pneumoconiosis, aortic atherosclerosis, or hearing loss at their initial exam. Participants who received a chest X-ray at their initial screening were more likely to return. The presence of health problems is strongly linked to screening program attrition. Participants who are older at the time of their initial screening exam are less likely to return. The discovery of several strong demographic, medical, and job associations reveals the importance for medical screening programs to understand and address factors that influence participant retention and, consequently, the effectiveness of long-term health surveillance activities.

60 APPLIED LIFE SCIENCES↗