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At least 469 records · Page 26

Symptoms and Systemic Drug Reactions in Persons Receiving Weekly Rifapentine Plus Isoniazid (3HP) Treatment for Latent Tuberculosis Infection

Abstract Background Three months of weekly rifapentine plus isoniazid (3HP) therapy for latent tuberculosis infection (LTBI) is recommended worldwide. The development of symptoms and systemic drug reactions (SDRs) on 3HP have not been fully characterized. We aimed to determine the patterns of symptom development and identify SDRs and associated factors in patients taking 3HP. Methods We analyzed symptoms data in participants receiving 3HP in the Tuberculosis Trials Consortium's iAdhere study (Study 33). We examined the patterns of symptom reporting across participants from baseline and 4 monthly visits. Bivariate analyses and multivariable regression models were used to identify factors associated with SDRs. Risk ratios (RRs) and 95% confidence intervals (CIs) were calculated. Results Among 1002 participants receiving 3HP, 768 (77%) reported at least 1 symptom; 97% of these symptoms were grade 1 (79%) or grade 2 (18%). Most symptoms developed in the first month and resolved. A total of 111 (11%) participants had symptoms that met criteria for SDRs; however, 53 (48%) of these participants completed therapy. Factors associated with SDRs and discontinuation included female sex (RR: 2.05; 95% CI: 1.19–3.54), age ≥45 years (RR: 1.99; 95% CI: 1.19–3.31), and use of concomitant medications (RR: 2.26; 95% CI: 1.15–4.42). Conclusions Although most patients receiving 3HP reported symptoms, most were mild, occurred early, and resolved without stopping treatment. Among patients experiencing SDRs, nearly half were able to complete therapy. Patient and provider education should focus on differentiating severe reactions where 3HP should be stopped from minor symptoms that will resolve. Clinical Trials Registration. NCT01582711.

Immunology↗

Application of Sol-Gel Method as a Protective Layer on a Specular Reflective Surface for Secondary Reflector in a Solar Receiver

Highly-specular reflective surfaces that can withstand elevated-temperatures are desirable for many applications including reflective heat shielding in solar receivers and secondary reflectors, which can be used between primary concentrators and heat collectors. A high-efficiency, high-temperature solar receiver design based on arrays of cavities needs a highly-specular reflective surface on its front section to help sunlight penetrate into the absorber tubes for effective flux spreading. Since this application is for high-temperature solar receivers, this surface needs to be durable and to maintain its optical properties through the usable life. Degradation mechanisms associated with elevated temperatures and thermal cycling, which include cracking, delamination, corrosion/oxidation, and environmental effects, could cause the optical properties of surfaces to degrade rapidly in these conditions. Protected mirror surfaces for these applications have been tested by depositing a thin layer of SiO2 on top of electrodeposited silver by means of the sol-gel method. To obtain an effective thin film structure, this sol-gel procedure has been investigated extensively by varying process parameters that affect film porosity and thickness. Endurance tests have been performed in a furnace at 150 degrees C for thousands of hours. This paper presents the sol-gel process for intermediate-temperature specular reflective coatings and provides the long-term reliability test results of sol-gel protected silver-coated surfaces.

14 SOLAR ENERGY↗

Analysis of Solar Receiver Performance for Chemical-Looping Integration With a Concentrating Solar Thermal System

This paper introduces a chemical-looping configuration integrated with a concentrating solar thermal (CST) system. The CST system uses an array of mirrors to focus sunlight, and the concentrated solar flux is applied onto a solar receiver to collect and convert solar energy into thermal energy. The thermal energy then drives a thermal power cycle for electricity generation or provides an energy source to chemical processes for material or fuel production. Considerable interest in CST has been driven by power generation with its capability to store thermal energy for continuous electricity supply or peak shaving. However, CST systems have other potential to convert solar energy into fuel or support thermochemical processes. The chemical-looping configuration integrated with the CST system can be a platform for implementing various solar-thermochemical processes. The chemical-looping configuration integrated with a CST system has potential applications for thermochemical energy storage and solar thermochemical hydrogen production. To use the solar energy efficiently and effectively, a high-temperature reactor receiver is a key component in the chemical-looping system. This paper shows a novel planar-cavity receiver design and its performance analyzed by solar-tracing and thermal-modeling methods for solar integration in a CST system.

14 SOLAR ENERGY↗

Multiphase Modeling in a Parallel Plate Fluidized Bed Receiver for Concentrating Solar Power

A novel high temperature particle solar receiver is developed by using a light trapping planar cavity configuration. As particles fall through the cavity, the concentrated solar radiation warms the boundaries of the receiver and in turn heats the particles. Particles flow through the system, forming a packed bed at the lower end, leaving the system from the bottom at a constant flow rate. Air is introduced to the system as the fluidizing medium to improve particle heat transfer and mixing. A laboratory scale cavity receiver is built and a near IR quartz lamp is used to provide flux to the vertical wall of the heat exchanger. The system is modeled using a continuum two-fluid method. The computational model matches the experimental system size and the particle size distribution is assumed monodisperse. A conduction model that accounts for the effects of solid concentration is implemented, and the heat flux boundary condition matches the experimental setup. Radiative heat transfer is estimated using a widely used correlation during the post-processing step to determine an overall heat transfer coefficient. The model is validated against testing data and achieves less than 30% discrepancy and a heat transfer coefficient greater than 1000 W/m2K.

CSP↗

Large arrays of dual-polarized multichroic TES detectors for CMB measurements with the SPT-3G receiver

Now, detectors for cosmic microwave background (CMB) experiments are background limited, so a straightforward alternative to improve sensitivity is to increase the number of detectors. Large arrays of multichroic pixels constitute an economical approach to increasing the number of detectors within a given focal plane area. We present the fabrication of large arrays of dual-polarized multichroic transition-edge-sensor (TES) bolometers for the South Pole Telescope third-generation CMB receiver (SPT-3G). The complete SPT-3G receiver will have 2690 pixels, each with six detectors, allowing for individual measurement of three spectral bands (centered at 95 GHz, 150 GHz and 220 GHz) in two orthogonal polarizations. In total, the SPT-3G focal plane will have 16140 detectors. Each pixel is comprised of a broad-band sinuous antenna coupled to a niobium microstrip transmission line. In-line filters are used to define the different band-passes before the millimeter-wavelength signal is fed to the respective Ti/Au TES sensors. Detectors are read out using a 64x frequency domain multiplexing (fMux) scheme. The microfabrication of the SPT-3G detector arrays involves a total of 18 processes, including 13 lithography steps. Together with the fabrication process, the effect of processing on the Ti/Au TES's T-c is discussed. In addition, detectors fabricated with Ti/Au TES films with Tc between 400 mK 560 mK are presented and their thermal characteristics are evaluated. Optical characterization of the arrays is presented as well, indicating that the response of the detectors is in good agreement with the design values for all three spectral bands (95 GHz, 150 GHz, and 220 GHz). The measured optical efficiency of the detectors is between 0.3 and 0.8. Our results discussed here are extracted from a batch of research of development wafers used to develop the baseline process for the fabrication of the arrays of detectors to be deployed with the SPT-3G receiver. Results from these research and development wafers have been incorporated into the fabrication process to get the baseline fabrication process presented here. SPT-3G is scheduled to deploy to the South Pole Telescope in late 2016.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Year 2 instrument status from the SPT-3G cosmic microwave background receiver (Conference Presentation)

The South Pole Telescope (SPT) is a millimeter-wavelength telescope surveying the cosmic microwave background (CMB). The SPT measures both the temperature and polarization of the CMB with a large aperture, resulting in high-resolution maps sensitive to signals across a wide range of angular scales on the sky. With these capabilities, the SPT has the potential to constrain inflationary gravitational waves as well as the effect of massive neutrinos on large-scale structure formation. The SPT was upgraded in late 2016 with a new receiver (SPT-3G) containing 16,0000 polarization-sensitive transition-edge sensor bolometers. Several key technological developments have enabled this large-format focal, including advances in detectors, readout electronics, and large millimeter-wavelength optics. We will discuss the implementation of these technologies in the SPT-3G receiver as well as the challenges they presented. In late 2017 the implementations of all three of these technologies were iterated to optimize total performance. Here, we present the current instrument status of the SPT-3G receiver.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

SU-F-T-106: A Dosimetric Study of Intensity Modulated Radiation Therapy to Decrease Radiation Dose to the Thoracic Vertebral Bodies in Patients Receiving Concurrent Chemoradiation for Lung Cancer

Purpose: Recent clinical studies have shown a correlation between radiation dose to the thoracic vertebral bodies (TVB) and the development of hematologic toxicity (HT) in patients receiving chemoradiation (CRT) for lung cancer (LuCa). The feasibility of a bone-marrow sparing (BMS) approach in this group of patients is unknown. We hypothesized that radiation dose to the TVB can be reduced with an intensity modulated radiation therapy(IMRT)/volumetric modulated arc radiotherapy(VMAT) without affecting plan quality. Methods: We identified LuCa cases treated with curative intent CRT using IMRT/VMAT from 4/2009 to 2/2015. The TVBs from T1–T10 were retrospectively contoured. No constraints were placed on the TVB structure initially. A subset were re-planned with BMS-IMRT/VMAT with an objective or reducing the mean TVB dose to <23 Gy. The following data were collected on the initial and BMS plans: mean dose to planning target volume (PTV), lungs-PTV, esophagus, heart; lung V20; cord max dose. Pairwise comparisons were performed using the signed rank test. Results: 94 cases received CRT with IMRT/VMAT. We selected 11 cases (7 IMRT, 4 VMAT) with a range of initial mean TVB doses (median 35.7 Gy, range 18.9–41.4 Gy). Median prescription dose was 60 Gy. BMS-IMRT/VMAT significantly reduced the mean TVB dose by a median of 10.2 Gy (range, 1.0–16.7 Gy, p=0.001) and reduced the cord max dose by 2.9 Gy (p=0.014). BMS-IMRT/VMAT had no impact on lung mean (median +17 cGy, p=0.700), lung V20 (median +0.5%, p=0.898), esophagus mean (median +13 cGy, p=1.000) or heart mean (median +16 cGy, p=0.365). PTV-mean dose was not affected by BMS-IMRT/VMAT (median +13 cGy, p=0.653). Conclusion: BMS-IMRT/VMAT was able to significantly reduce radiation dose to the TVB without compromising plan quality. Prospective evaluation of BMS-IMRT/VMAT in patients receiving CRT for LuCa is warranted to determine if this approach results in clinically significant reductions in HT.

60 APPLIED LIFE SCIENCES↗

Consistent modelling of wind turbine noise propagation from source to receiver

The unsteady nature of wind turbine noise is a major reason for annoyance. The variation of far-field sound pressure levels is not only caused by the continuous change in wind turbine noise source levels but also by the unsteady flow field and the ground characteristics between the turbine and receiver. To take these phenomena into account, a consistent numerical technique that models the sound propagation from the source to receiver is developed. Large eddy simulation with an actuator line technique is employed for the flow modelling and the corresponding flow fields are used to simulate sound generation and propagation. The local blade relative velocity, angle of attack, and turbulence characteristics are input to the sound generation model. Time-dependent blade locations and the velocity between the noise source and receiver are considered within a quasi-3D propagation model. Long-range noise propagation of a 5 MW wind turbine is investigated. Sound pressure level time series evaluated at the source time are studied for varying wind speeds, surface roughness, and ground impedances within a 2000 m radius from the turbine.

17 WIND ENERGY↗

High Flux Microchannel Receiver Development with Adap-tive Flow Control

This project is focused on the demonstration of a microchannel-based solar receiver (MSR). The MSR concept consists of using a modular arrangement of arrayed microchannels to heat a working fluid in a concentrating solar receiver, allowing a much higher solar flux on the receiver and consequently a significant reduction in thermal losses, size, and cost.

14 SOLAR ENERGY↗

Noise and Noise Figure for Radar Receivers

An important characteristic of a radar receiver is the noise level within the receiver chain. The common parameter that specifies this is the System Noise Factor, which depends on system design and may vary with gain settings, temperature, and other factors. A modified Y-factor technique is detailed to calculate System Noise Factor for a radar receiver. Error sources are also detailed.

47 OTHER INSTRUMENTATION↗

Particle Mass Flow Control and Measurement for High-Temperature Particle Receivers

This work is developing particle flow control and measurement methods for next-generation concentrating solar power systems employing particle-based technologies. Particle receivers are being pursued to provide substantial performance improvements through higher temperatures (>700 °C) for more efficient and cost-effective CSP systems with direct storage for electricity generation, process heating, thermochemistry, and solar fuels production. This specific work will develop technologies that enable more efficient particle receivers and scalable methods to accommodate variable irradiances during commercial on-sun operation. The development of next-generation particle-receiver systems and methods with potentially high consequences for improved performance and cost savings for CSP applications is an appropriate role for the government.

14 SOLAR ENERGY↗

Characterization of Particle and Heat Losses from a High-Temperature Particle Receiver

High-temperature particle receivers are being pursued to enable next-generation concentrating solar thermal power (CSP) systems that can achieve higher temperatures (> 700 °C) to enable more efficient power cycles, lower overall system costs, and emerging CSP-based process-heat applications. The objective of this work was to develop characterization methods to quantify the particle and heat losses from the open aperture of the particle receiver. Novel camera- based imaging methods were developed and applied to both laboratory-scale and larger 1 MW t on-sun tests at the National Solar Thermal Test Facility in Albuquerque, New Mexico. Validation of the imaging methods was performed using gravimetric and calorimetric methods. In addition, conventional particle-sampling methods using volumetric particle-air samplers were applied to the on-sun tests to compare particle emission rates with regulatory standards for worker safety and pollution. Novel particle sampling methods using 3-D printed tipping buckets and tethered balloons were also developed and applied to the on-sun particle-receiver tests. Finally, models were developed to simulate the impact of particle size and wind on particle emissions and concentrations as a function of location. Results showed that particle emissions and concentrations were well below regulatory standards for worker safety and pollution. In addition, estimated particle temperatures and advective heat losses from the camera-based imaging methods correlated well with measured values during the on-sun tests.

14 SOLAR ENERGY↗

Characterization of Particle and Heat Losses from a High-Temperature Particle Receiver (2 nd Ed)

High - temperature particle receivers are being pursued to enable next - generation concentrating solar thermal power (CSP) systems that can achieve higher temperatures (> 700 C) to enable more efficient power cycles, lower overall system costs, and emerging CSP - based process - heat applications. The objective of this work was to develop characterization methods to quantify the particle and heat losses from the open aperture of the particle receiver. Novel camera - based imaging methods were developed and applied to both laboratory - scale and larger 1 MW t on - sun tests at the National Solar Thermal Test Facility in Albuquerque, New Mexico. Validation of the imaging methods was performed using gravimetric and calorimetric methods. In addition, conventional particle - sampling methods using volumetric particle - air samplers were applied to the on - sun tests to compare particle emission rates with regulatory standards for worker safety and pollution. Novel particle sampling methods using 3 - D printed tipping buckets and tethered balloons were also developed and applied to the on - sun particle - receiver tests. Finally, models were developed to simulate the impact of particle size and wind on particle emissions and concentrations as a function of location. Results showed that particle emissions and concentrations were well below regulatory standards for worker safety and pollution. In addition, estimated particle temperatures and advective heat losses from the camera - based imaging methods correlated well with measured values during the on - sun tests.

14 SOLAR ENERGY↗

Robust Solar Receivers Using MAX Phase Materials

This work was supported by the U.S. Department of Energy’s Office of Energy Efficiency and Renewable Energy under the Solar Energy Technologies Office Award Number 35928. The objective of the proposed effort was to develop and optimize additive manufacturing technologies for low-cost fabrication of high-temperature receivers using MAX phase-based materials (Ti 3 SiC 2 and Ti 3 AlC 2 ). MAX phase materials are a group of ternary metal carbides and nitrides where M stands for an early transition metal element, A is a group 13–16 element, and X is C and/or N. In Phase 1, the binder jetting additive manufacturing process was used to synthesize and characterize the Ti 3 SiC 2 MAX phase material. The typical process involved first producing a TiC preform using binder jetting followed by infiltration of the preform with silicon melt to form Ti 3 SiC 2 in situ. The reaction-infiltrated samples showed formation of MAX phase in the sample core; however, the surface showed cracking. Various process conditions—cooling rates, hold times, Si proportion, etc.—were varied to minimize the surface cracking. The fabricated MAX phase core was characterized by microstructure analysis and evaluations of mechanical properties such as hardness and thermal shock. In Phase 2, the focus included fabrication of Ti 3 SiC 2 MAX phase materials by spark plasma sintering (SPS) and synthesis of Ti 3 AlC 2 MAX phase materials by the Al melt infiltration process. It is expected that Al infiltration will not cause sample cracking, since Al does not expand during solidification. In addition, other processing approaches were investigated to fabricate the MAX phase materials, such as SPS with a graphite bedding approach for producing short-length Ti 3 AlC 2 MAX phase tubes for demonstration of prototypical Concentrating Solar Power receiver tubes. Fabricated samples underwent thermo-mechanical testing to validate the materials for the solar receiver application at temperatures >1000°C. In Phase 3, the effort focused on the development and optimization of the Ti-Al-C MAX phase composite material using the Al melt infiltration approach. We started with optimization of precursor powders and making preform structures by either pressing them in a die or using the binder jetting additive manufacturing process followed by Al melt infiltration. In addition, we investigated the formation of preform structures by cold isostatic pressing followed by Al melt infiltration for making Ti-Al-C MAX phase composite. Thermo-mechanical characterizations, such as creep, strength, and thermal shock, were conducted to establish the structures’ performance.

36 MATERIALS SCIENCE↗

Cryogenic Performance of the SPT-SLIM Receiver

The South Pole Telescope Shirokoff Line Intensity Mapper (SPT-SLIM) is a millimeter-wave line-intensity mapping experiment, deployed on the South Pole Telescope (SPT) during the 2024-2025 Austral Summer season. This pathfinder experiment serves to demonstrate the on-sky operation of multi-pixel on-chip spectrometer technology. We present on the cryogenic performance of the SPT-SLIM receiver for this Year 1 observing campaign. The SPT-SLIM receiver utilizes an Adiabatic Demagnetization Referigerator (ADR) for cooling the focal plane of superconducting filterbank spectrometers to a temperature of 150mK. We demonstrate stable thermal performance of the focal plane module during observing operations in line with thermal modelling, enabling a cryogenic operation efficiency above 80%. We also report on the receiver control system design utilizing the Observatory Control System (OCS) platform for automated cryogenic operation on the SPT.

Young, Matthew [Fermilab]↗

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↗

Low-Jitter Clock Receivers for Fast Timing Applications

Precision timing is a key requirement for emerging 4D particle tracking, Positron Emission Tomography (PET), beam and fusion plasma diagnostics, and other systems. Time-to-Digital Converters (TDCs) are commonly used to provide digital estimates of the relative timing between events, but the jitter performance of a TDC can be no better than the performance of the circuits that acquire the pulses and deliver them to the TDC. Several clock receiver and distribution circuits were evaluated, and a differential amplifier with resistive loads driving a pseudo-differential clock distribution network, developed using design guidelines for radiation tolerance and cryogenic compatibility, was fabricated as part of three prototypes: an analog front-end testbed chip for high-precision timing pixel readout, a dedicated TDC evaluation chip, and a Low-Gain Avalanche Detector (LGAD) readout circuit. Based on TDC measurements of the prototypes, we infer that the jitter added by the clock receiver and distribution circuits is less than 2.25 ps-rms. This performance meets the requirements of many future precision timing systems. The clock receiver and on-chip pseudo-differential driver were fabricated in commercial 28-nm CMOS technology and occupy 2288 µm 2 .

47 OTHER INSTRUMENTATION↗

Particle Receiver Models for Systems Analysis

Particle receivers are gaining importance in the field of Concentrating Solar Power (CSP) due to the high temperature that particles can achieve without degradation. Several researchers are studying the potential of this technology by means of system analyses, which need simple and light models of the system. This study presents two simple models for the particle receiver. The simplest model is a correlation obtained by fitting the results calculated with a more complex receiver model simulated in CFD. The other model is a 1D model, which is benchmarked against the same CFD results. Although both models achieve high coefficient of determination, R2, when compared to CFD results, the 1D model seems to provide more accurate results (especially during sunsets and sunrises). Both models are integrated into a tecno-economic model developed in previous work. The LCOE obtained with the 1D model is between 7% and 10% greater than the one obtained with the correlation.

González-Portillo, Luis F. (ORCID:0000000348643825↗