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At least 37 records · Page 2

NSAID use and clinical outcomes in COVID-19 patients: a 38-center retrospective cohort study

Abstract Background Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce pain, fever, and inflammation but have been associated with complications in community-acquired pneumonia. Observations shortly after the start of the COVID-19 pandemic in 2020 suggested that ibuprofen was associated with an increased risk of adverse events in COVID-19 patients, but subsequent observational studies failed to demonstrate increased risk and in one case showed reduced risk associated with NSAID use. Methods A 38-center retrospective cohort study was performed that leveraged the harmonized, high-granularity electronic health record data of the National COVID Cohort Collaborative. A propensity-matched cohort of 19,746 COVID-19 inpatients was constructed by matching cases (treated with NSAIDs at the time of admission) and 19,746 controls (not treated) from 857,061 patients with COVID-19 available for analysis. The primary outcome of interest was COVID-19 severity in hospitalized patients, which was classified as: moderate, severe, or mortality/hospice. Secondary outcomes were acute kidney injury (AKI), extracorporeal membrane oxygenation (ECMO), invasive ventilation, and all-cause mortality at any time following COVID-19 diagnosis. Results Logistic regression showed that NSAID use was not associated with increased COVID-19 severity (OR: 0.57 95% CI: 0.53–0.61). Analysis of secondary outcomes using logistic regression showed that NSAID use was not associated with increased risk of all-cause mortality (OR 0.51 95% CI: 0.47–0.56), invasive ventilation (OR: 0.59 95% CI: 0.55–0.64), AKI (OR: 0.67 95% CI: 0.63–0.72), or ECMO (OR: 0.51 95% CI: 0.36–0.7). In contrast, the odds ratios indicate reduced risk of these outcomes, but our quantitative bias analysis showed E-values of between 1.9 and 3.3 for these associations, indicating that comparatively weak or moderate confounder associations could explain away the observed associations. Conclusions Study interpretation is limited by the observational design. Recording of NSAID use may have been incomplete. Our study demonstrates that NSAID use is not associated with increased COVID-19 severity, all-cause mortality, invasive ventilation, AKI, or ECMO in COVID-19 inpatients. A conservative interpretation in light of the quantitative bias analysis is that there is no evidence that NSAID use is associated with risk of increased severity or the other measured outcomes. Our results confirm and extend analogous findings in previous observational studies using a large cohort of patients drawn from 38 centers in a nationally representative multicenter database.

60 APPLIED LIFE SCIENCES↗

Factors Influencing Adoption of Pooled Rideshare An Explorative Study on User-Centered Design and Services

The rise of real-time information communication through smartphones and wireless networks enabled the growth of ridesharing services. While personal rideshare services (individuals ride alone or with people they know) initially dominated the market, the popularity of pooled ridesharing (individuals share rides with strangers) has grown globally. However, pooled rideshare remains less common in the U.S., where personal vehicle usage is still the norm. Vehicle design and rideshare services may need to be tailored to user preferences to increase pooled rideshare adoption. A national U.S. survey ( N = 5,385) used exploratory and confirmatory factor analyses to identify four key factors influencing riders’ willingness to consider pooled rideshare: comfort/ease of use, convenience, vehicle technology/accessibility, and passenger safety. Understanding and implementing these user-centered design principles and service-related factors may be critical for increasing the future use of pooled rideshare services

Gangadharaiah, Rakesh↗

Geothermal Heat Pump Case Study: The Century Center

Geothermal heat pumps can be great alternatives to air conditioners and furnaces, and require less electricity to run. This case study focuses on The Century Center and is part of a series: https://www.energy.gov/eere/geothermal/geothermal-heat-pump-case-studies.

case study↗

Incidence and predictors of loss to follow-up among adult patients receiving antiretroviral therapy in Central Ethiopia: a multi-center retrospective cohort study

Background: Globally, loss to follow-up (LTFU) remains a significant public health concern despite the rapid expansion of antiretroviral medication programs. It is a significant cause of treatment failure and threatens the enhancement of HIV treatment outcomes among patients on antiretroviral therapy (ART). However, there is a paucity of evidence on its incidence and predictors in Ethiopia. Thus, this study aimed to examine the incidence and predictors of LTFU among adult HIV patients receiving ART at hospitals in Central Ethiopia. Methods: A multi-centered facility-based retrospective cohort study was conducted among 432 randomly selected adult patients who received antiretroviral therapy. Data were entered into EpiData version 3.1 and exported to Stata version 14 for analysis. The Kaplan–Meier failure function was employed to determine the overall failure estimates, and the log-rank test was used to compare the probability of failure among the different categories of variables. The Cox proportional hazard model was used to identify independent predictors of LTFU. Results: Overall, 172 (39.8%) study participants were lost to follow-up over the 10-year follow-up period with an incidence rate of 8.12 (95% CI: 7.11, 9.09) per 1,000 person-months. Undisclosed HIV status (AHR: 1.96, 95% CI: 1.14, 3.36), not able to work (AHR: 1.84, 95% CI: 1.13, 2.22), opportunistic infections (AHR: 3.13, 95% CI: 2.17, 4.52), CD4 < 200 cell/mL (AHR: 1.95, 95% CI: 1.18, 3.21), not receiving isoniazid preventive therapy (IPT) (AHR: 2.57, 95% CI: 1.62, 4.06), not participating in clubs (AHR: 1.68, 95% CI: 1.10, 2.22), side effects of drugs (AHR: 1.44, 95% CI: 1.02, 2.04), and high viral load (AHR: 3.15, 95% CI: 1.81, 5.47) were identified as significant predictors of loss to follow-up. Conclusion: In this study, the incidence of LTFU was high. The focus should be on creating awareness and prevention programs that aim to reduce loss to follow-up by continuing counseling, especially on the negative effects of loss to follow-up and the benefits of ART care.

60 APPLIED LIFE SCIENCES↗

Los Alamos National Laboratory Reclaimed Water Usage for Data Centers: A Case Study

Water is a valuable resource that is all too often ignored when thinking about sustainability and High-Performance Computing (HPC). Los Alamos National Laboratory (LANL) found a solution to eliminate the amount of potable water usage needed for cooling HPC facilities. The Sanitary Effluent Reclamation Facility (SERF) was constructed in 2013 with the main purpose of removing silica from water in Los Alamos, New Mexico, to increase the cycles of concentration for the HPC Complex. SERF enabled Los Alamos National Laboratory to remove silica, reclaim effluent from the wastewater treatment plant and reduce the usage of potable water for HPC cooling.

54 ENVIRONMENTAL SCIENCES↗

Electromagnetic Transient Modeling of Large Data Centers for Grid-Level Studies

The magnitude and complexity of electricity usage patterns from large data centers are having significant impacts on the operation and dynamics of the power grid; grid operators and planners require a range of specialized data center models to properly evaluate these impacts and specify technical solutions as needed. Towards addressing this need, Pacific Northwest National Laboratory (PNNL) has developed a library of electromagnetic transient (EMT) models for grid-level studies of data centers called the data center model library (DML). This report describes how the DML was created and how it may properly be used. The models present in the DML are generic models; subject matter expertise and additional technical data are needed to modify these models before they can represent any real data center. However, they will significantly reduce the level of effort required to develop site-specific models and can serve as a common starting point to guide industry towards a more refined consensus. Most of the models within DML are dedicated to representing the power electronics interfaces commonly used in modern data centers, such as double-conversion uninterruptible power supplies and single-phase power factor correction converters. These models are intended for use in grid-level studies and are a simplified aggregation of many small components. That said, background material on the physical and electrical design of large data centers is provided as companion material so that users can be aware of many of the details which have been omitted or streamlined as a matter of practical necessity. Additionally, guidance on the application of EMT analysis for data center interconnection studies is provided, which aids users in identifying when the DML is necessary and what sort of additional model development may be necessary for conducting real-world studies.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Lighting in Senior Care Centers: Comparing Tunable LED Systems to Conventional Lighting Systems in Four Senior Care Centers

This study was initiated to contribute to evidence-based practices for tunable light-emitting diode (LED) lighting upgrades in the future. The report summarizes Pacific Northwest National Laboratory (PNNL) evaluations of lighting conditions in four senior care centers in Wisconsin including energy savings analysis and non-image forming (NIF) response metric calculations.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Geothermal Heat Pump Case Study: Westwood Hills Nature Center

Geothermal heat pumps can be great alternatives to air conditioners and furnaces, and require less electricity to run. This case study focuses on Westwood Hills Nature Center and is part of a series: https://www.energy.gov/eere/geothermal/geothermal-heat-pump-case-studies.

geothermal↗

Electromagnetic Transient Modeling of Large Data Centers for Grid-Level Studies: Beta Release

The magnitude and complexity of electricity usage patterns from large data centers are having significant impacts on the operation and dynamics of the power grid; grid operators and planners require a range of specialized data center models to properly evaluate these impacts and specify technical solutions as needed. Towards addressing this need, Pacific Northwest National Laboratory (PNNL) has developed a library of electromagnetic transient (EMT) models for grid-level studies of data centers called the data center model library (DML). This report describes how the DML was created and how it may properly be used. This report details the DML’s beta release, completed in July 2026. This is a revision and expansion of the alpha release, which was made available in January 2026 The models present in the DML are generic models; subject matter expertise and additional technical data are needed to modify these models before they can represent any real data center. However, they will significantly reduce the level of effort required to develop site-specific models and can serve as a common starting point to guide industry towards a more refined consensus. Most of the models within DML are dedicated to representing the power electronics interfaces commonly used in modern data centers, such as double-conversion uninterruptible power supplies and single-phase power factor correction converters. These models are intended for use in grid-level studies and are a simplified aggregation of many small components. That said, background material on the physical and electrical design of large data centers is provided as companion material so that users can be aware of many of the details which have been omitted or streamlined as a matter of practical necessity. Additionally, guidance on the application of EMT analysis for data center interconnection studies is provided, which aids users in identifying when the DML is necessary and what sort of additional model development may be necessary for conducting real-world studies.

electromagnetic transients↗

Data Center High-Temperature Liquid Cooling and Heat Reuse Techno-Economic Study: Preprint

Data centers are energy-intensive facilities with growing demands for efficiency and cost-effective operations. Smaller, more distributed edge inference data centers are expected to proliferate as AI applications require low latency closer to the user of AI tools, which presents a growing opportunity to explore the systems implications of liquid cooling on water and energy use. This study analyzes the implementation of high-temperature liquid cooling systems in a prototypical inference 1-MW data center and explores the potential for heat reuse across varying climates with a goal to optimize energy efficiency, reduce capital and operational costs, and identify opportunities for high-performance cooling and water use reduction infrastructure. This analysis evaluated configurations utilizing a peak day hourly sizing and systems performance spreadsheet to evaluate design and operational conditions from which component sizes, installed cost, operational cost, and performance metrics were determined for the Base case and the Elevated case. The techno-economic analysis included heat reuse applications across a range of heat recovery temperatures and heat rejection options. The analysis shows that high-temperature liquid cooling allows for improved energy efficiency, lower water consumption, and lower capital costs compared to traditional cooling approaches. Transitioning to elevated water inlet/outlet temperatures (50 degrees C/60 degrees C) eliminates the need for chillers, cooling towers, and heat recovery equipment in many scenarios across three distinct climate zones. This results in up to 75% capital cost savings for the cooling and heat recovery equipment, and with significantly reduced water consumption, especially in non-heat reuse applications. Heat generated from data centers can also be repurposed for space heating, domestic hot water, and other applications, and is most cost-effective when data center outlet temperatures exceed 55-60 degrees C.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

CROCUS Tipping Bucket Rain Gauge Data from Argonne Deployable Mast Deployed at NEIU Carruthers Center for Inner City Studies (CCICS)

The Tipping Bucket Rain Gauge (TBRG) dataset contains data from a non-heated Met One 12-inch tipping bucket rain gauge that was mounted on the Argonne Deployable Mast (ADM). The ADM is a rapid deployable meteorological trailer that can be outfitted with instrumentation to measure urban heat island effects, urban flooding or urban flux measurements. During the urban flooding field campaign, the ADM was outfitted with multiple precipitation measurement systems, including the TBRG. This dataset contains one minute measurements for precipitation accumulation during the ADM's deployment at the Northeastern Illinois University (NEIU) Carruthers Center for Inner City Studies (CCICS) campus. These data are helpful for identifying periods of precipitation, leading to potential flooding. TBRGs can be used to validate optical rain gauge data and disdrometer data collected during the CROCUS urban flooding campaign. Data were collected at the CCICS building parking lot, located in the south side of Chicago, IL. The data is presented as daily NetCDF (.nc) files, each containing approximately 24 hours of observations. Files follow the naming convention of: the project (CROCUS), location (ADM-ccics), instrument name (tbrg), data level (raw, a1), and date (year, month, day). The NetCDF format can be accessed using common scientific software such as Python using xarray, netCDF4 or act-doe.

1-minute Precipitation Accumulation↗

Carl T. Hayden Veterans Affairs Medical Center: Smart Buildings Case Study

The purpose of this smart buildings case study is to showcase a leading example of a GEB renovation project in the federal buildings space and provide key information on the technology and control upgrades, costs, and energy and utility bill savings. This case study also provides information and recommendations for selecting energy conservation measures (ECMs) and choosing energy and cost reduction strategies from the energy management team at the site. The findings from this successful GEB project can be used to help pave the way for additional GEB retrofits in the future. The Carl T. Hayden Veterans Affairs (VA) Medical Center in Phoenix, Arizona, demonstrates that GEB strategies and technologies can be realistically deployed today across buildings with substantial energy and cost savings. The project implemented both ECMs and grid-interactive technologies and controls strategies, making it a leading example of a smart, sustainable, and efficient commercial building.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Intelligent resolution: Integrating Cryo-EM with AI-driven multi-resolution simulations to observe the severe acute respiratory syndrome coronavirus-2 replication-transcription machinery in action

The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) replication transcription complex (RTC) is a multi-domain protein responsible for replicating and transcribing the viral mRNA inside a human cell. Attacking RTC function with pharmaceutical compounds is a pathway to treating COVID-19. Conventional tools, e.g., cryo-electron microscopy and all-atom molecular dynamics (AAMD), do not provide sufficiently high resolution or timescale to capture important dynamics of this molecular machine. Consequently, we develop an innovative workflow that bridges the gap between these resolutions, using mesoscale fluctuating finite element analysis (FFEA) continuum simulations and a hierarchy of AI-methods that continually learn and infer features for maintaining consistency between AAMD and FFEA simulations. We leverage a multi-site distributed workflow manager to orchestrate AI, FFEA, and AAMD jobs, providing optimal resource utilization across HPC centers. Our study provides unprecedented access to study the SARS-CoV-2 RTC machinery, while providing general capability for AI-enabled multi-resolution simulations at scale.

Trifan, Anda↗

First-principles study of the T center in silicon

The T center in silicon is a well-known carbon-based color center that has been recently considered for quantum technology applications. Using first-principles computations, we show that the excited state is formed by a defect-bound exciton made of a localized defect state occupied by an electron to which a hole is bound. The localized state is of strong carbon p character and reminiscent of the localization of the unpaired electron in the ethyl radical molecule. The radiative lifetime for the defect-bound exciton is calculated to be on the order of microseconds, much longer than for other quantum defects such as the nitrogen vacancy center in diamond and in agreement with experiments. The longer lifetime is associated with the small transition dipole moment as a result of the very different nature of the localized and delocalized states forming the defect-bound exciton. Finally, we use first-principles calculations to assess the stability of the T center. Here, we find the T center to be stable against decomposition into simpler defects when keeping the stoichiometry fixed. However, we identify that the T center is easily prone to (de)hydrogenation and so requires very precise annealing conditions (temperature and atmosphere) to be efficiently formed.

36 MATERIALS SCIENCE↗

Geothermal Heat Pump Case Study: PCC Austin Family Health Center

Geothermal heat pumps can be great alternatives to air conditioners and furnaces, and require less electricity to run. This case study focuses on PCC Austin Family Health Center and is part of a series: https://www.energy.gov/eere/geothermal/geothermal-heat-pump-case-studies.

geothermal↗

ASPIRES: Airport Shuttle Planning and Improved Routing Event-driven Simulation

Most of the existing traffic simulation packages require significant calibration work to be able to reflect reality. To evaluate special operations including emerging technologies, a microscopic simulation that tracks detailed interactions of all the elements of the traffic systems is usually needed. This type of simulation is usually computationally demanding. This work developed an Airport Shuttle Planning and Improved Routing Event-driven Simulation (ASPIRES) package to simulate and evaluate current, potential, and future airport shuttle operations. Here, the simulation was driven by data and thus did not require much calibration effort. The discrete-event simulation nature of ASPIRES makes the simulation computationally efficient. Simulating 1 day of shuttle operations takes less than 2s. The study site of this work is the Dallas/Fort Worth International Airport in the U.S. The shuttle service that connects the five terminals of the airport and the rental car center was studied. Travel times, dwell times, and passenger arrivals were simulated using empirical distributions derived mainly from real data to capture the stochastic nature of the rental car center shuttle bus operations. Data on bus miles traveled, bus energy consumption, passenger wait times, and passengers left behind at stops were collected to study the trade-off between energy use and passenger experience. Electric bus and on-demand bus operations were also included. The simulation outputs can show passengers statistics at terminals, shuttles statistics, and charging station statistics. ASPIRES cannot be used to model a generic traffic system but is well-suited for fleet systems.

33 ADVANCED PROPULSION SYSTEMS↗