Veterans Health Administration Uses FEMP Cyber Training Game to Enhance Cyber Awareness Among Energy Managers
Describes agency initiative to educate managers about operational technology cybersecurity concepts.
Cyber↗
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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.
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On the Road to Achieving Safety Excellence at the Idaho Cleanup Project: The Initial Challenges, Solutions, and Positive Results of Striving to be the Best and Safest in the DOE Complex - 20518
When Fluor Idaho, LLC (Fluor Idaho) assumed the Idaho Cleanup Project Core contract (ICP Core) in mid-2016, it inherited the successful multi-faceted, employee-owned safety programs of two prior contractors supporting cleanup operations at the Idaho National Laboratory Site. Fluor Idaho incorporated the best of both safety programs along with Fluor Corporate's 106-year legacy of safety initiatives and successes. Fluor Idaho integrated the separate programs and cultures under a One Fluor approach - one project, one mission, One Fluor. Job changes, management changes, and procedures, processes, and system changes presented multiple challenges. Those challenges combined with the severe Winter of 2016/2017 resulted in numerous slips, trips, and falls first aids and reportable injuries. The road to safety excellence started off bumpy and stayed that way for some time. Since then, Fluor Idaho has successfully implemented several key initiatives including employee engagement; management engagement and time in the field; communications improvements; safety culture sustainment; injury/illness prevention; organizational learning; and DOE Voluntary Protection Program (VPP) readiness and preparation. Management became more engaged by making more workplace visits and increasing their supervision of 'life critical work' or complex activities. Additional training became mandatory for first-line supervisors and front-line workers. Most recently, Fluor Idaho increased its injury and illness prevention initiatives extensively. In the last year, things have turned around in a dramatic way. This shift is directly attributable to the significant number of initiatives launched in late 2017 and 2018. These initiatives addressed safety performance in the five key areas of the DOE VPP and promoted sustainability of the company's safety culture. The five key areas are: management leadership, employee involvement, work-site analysis, hazard prevention and control, and safety and health training. Employees and managers alike recommitted to making safety the highest value. The result of this laser-like focus on safety and accident and injury prevention is that injuries and first aids are a fraction of what they were. During FY 2019, employees worked more than 4.2 million hours without a serious injury or lost work-day and 1 million hours without a recordable injury. Fluor Idaho is proud of its safety trend. The company invested significant resources in improving its safety record, and that investment is paying off. Other contractors in the DOE Complex can learn and benefit from this discussion of the challenges Fluor Idaho faced, as well as its innovative safety initiatives that are producing results that are being recognized by our U.S. Department of Energy (DOE) customer. (authors)
12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
Step 1: Human System Integration (HSI) FY05 Pilot-Technology Interface Requirements for Contingency Management
This document involves definition of technology interface requirements for Contingency Management. This was performed through a review of Contingency Management-related, HSI requirements documents, standards, and recommended practices. Technology concepts in use by the Contingency Management Work Package were considered. Beginning with HSI high-level functional requirements for Contingency Management, and Contingency Management technology elements, HSI requirements for the interface to the pilot were identified. Results of the analysis describe (1) the information required by the pilot to have knowledge of system failures and associated contingency procedures, and (2) the control capability needed by the pilot to obtain system status and procedure information. Fundamentally, these requirements provide the candidate Contingency Management technology concepts with the necessary human-related elements to make them compatible with human capabilities and limitations. The results of the analysis describe how Contingency Management operations and functions should interface with the pilot to provide the necessary Contingency Management functionality to the UA-pilot system. Requirements and guidelines for Contingency Management are partitioned into four categories: (1) Health and Status and (2) Contingency Management. Each requirement is stated and is supported with a rationale and associated reference(s).
Source record↗
A template of information needs for decision-making about delaying remediation on contaminated lands to protect human health
The contamination legacy of industrialization, militarization, and nuclear arms race poses current or future risks to populations and the environment. Responsible parties and regulators make decisions regarding which sites to clean up, how, how much, and when. This study aimed to provide an information needs template to evaluate and reduce risks to human health when considering whether to initiate or delay remediation. This investigation focused on four aspects of timing and prioritization: 1) management, planning and implementation, 2) source terms, pathways, and exposures, 3) risks and receptors, and 4) external drivers. Within each type, issues were identified and described. Management class included personnel, health and safety data, funding, equipment, and structural integrity. Source term included contaminant sources, pathways, initiating events, and barriers to exposure. Risk included types and exposures to workers and general public. External drivers included regulatory framework, stakeholders, Congressional mandates, and economic and social contexts. Risk may increase over time as contamination spreads, enters aquifers, and reaches receptors, and may decline as radionuclides decay, and plumes dissipate. The overall objective was to provide a template of information that is useful to managers and regulators, and might be used by the public to understand the risks and benefits of re-prioritization cleanup.
Environmental Sciences & Ecology↗
Medical surveillance and biological monitoring of lead exposed employees
Employee health protection is an employer responsibility. The multi-faceted aspects of employee protection from the potentially harmful effects of inorganic lead sometimes stress the relationships of several employer units. These include supervision and management, safety, operations and maintenance, engineering, environmental health, environmental management, and occupational medicine. The administrative aspects of program development are discussed. The purpose is to emphasize the opportunity for cooperation by all of the employee health components in developing an optimum surveillance and protection program.
Ferguson, E. B.↗
Predictive Analytics for Hydropower Fleet Intelligence
A primary challenge in hydropower industry is the ability to maintain cost-competitiveness, reliability, and security of hydropower assets through evolving power system contexts and aging of the fleet. Maintaining cost-effective and reliable operations under these conditions is expected to require new modernization and maintenance paradigms for changing contexts. Changes in existing practices for O&M will require an understanding of the current state and health of hydropower assets, and the impact of changing paradigms on asset health and reliability. The Hydropower Fleet Intelligence project is developing and evaluating standardized methodologies and analysis tools for data-driven asset reliability and management technologies for hydropower, leading to eventual predictive maintenance planning, repair/replacement decision making, and asset-reliability and cost-optimized operations. A key question is the feasibility of using existing data sets at hydropower facilities to perform assessments of asset reliability. This document uses data from hydropower facilities to assess the potential for using available analytics methods for asset reliability estimates. In addition to reliability assessments, the feasibility of using existing analytics techniques for several other potential applications is discussed. Finally, a case study that a data-driven model is trained to learn nominal operations via vibration data from an asset of a certain plant, and then utilized to identify anomalies on a similar asset from a different plant, highlighting the generic use of proposed Prognostics and Health Management (PHM) approaches.
Yucesan, Yigit↗
The Application of NASA Remote Sensing Technology to Human Health
With the help of satellites, the Earth's environment can be monitored from a distance. Earth observing satellites and sensors collect data and survey patterns that supply important information about the environment relating to its affect on human health. Combined with ground data, such patterns and remote sensing data can be essential to public health applications. Remote sensing technology is providing information that can help predict factors that affect human health, such as disease, drought, famine, and floods. A number of public health concerns that affect Earth's human population are part of the current National Aeronautics and Space Administration (NASA) Earth Science Applications Plan to provide remotely gathered data to public health decision-makers to aid in forming and implementing policy to protect human health and preserve well-being. These areas of concern are: air quality; water quality; weather and climate change; infectious, zoonotic, and vector-borne disease; sunshine; food resource security; and health risks associated with the built environment. Collaborations within the Earth Science Applications Plan join local, state, national, or global organizations and agencies as partners. These partnerships engage in projects that strive to understand the connection between the environment and health. The important outcome is to put this understanding to use through enhancement of decision support tools that aid policy and management decisions on environmental health risks. Future plans will further employ developed models in formats that are compatible and accessible to all public health organizations.
Watts, C. T.↗
Depth-dependent links between microbial taxa and nitrous oxide emissions in a long-term cotton cropping system employing soil health practices
Long-term management practices can shape soil microbial communities in ways that influence nitrogen (N) dynamics and nitrous oxide (N 2 O) emissions. We leverage a 41-year continuous cotton cropping experiment with contrasting tillage, cover cropping, and N fertilization regimes to investigate how these long-term strategies influence soil microbial communities and their associations with N 2 O fluxes during the cotton growing season. Using 16S rRNA gene metabarcoding, we assessed microbial composition in surface and subsurface soils and evaluated its relationship with temporal N 2 O emissions. Among the management practices, N fertilization – a known driver of N 2 O emissions – had the strongest effect on microbial community composition and was linked to a greater number of taxa correlated to N 2 O emissions, particularly in surface soils. Soil pH emerged as a key variable influencing microbial structure across depth and was negatively associated with both N 2 O emissions and microbial composition in the surface layers of fertilized soils. In total, 57 archaeal/bacterial taxa were correlated with N 2 O fluxes, but only seven were shared across depths, suggesting distinct microbial contributors in surface and subsurface soils. Several of these taxa have been previously reported to be associated with N and C cycling processes such as nitrate respiration or carbon turnover, indicating functional context to their correlation with N 2 O fluxes. Temporal shifts in the abundance of key taxa aligned with seasonal peaks in N 2 O emissions, notably in early and late August, and were most pronounced under conventional tillage, hairy vetch cover cropping, and N fertilization. While 16S-based associations cannot confirm functional gene presence or activity, these findings demonstrate that long-term fertilization and associated soil acidification are dominant drivers of microbial shifts linked to N 2 O emissions and highlight the importance of accounting for depth-specific and seasonal microbial dynamics when evaluating management impacts on greenhouse gas emissions.
16S rRNA gene sequencing↗
Hazard and Operability Study for the Ammonia Fuel Systems at the National Transportation Research Center
Oak Ridge National Laboratory’s (ORNL’s) Buildings and Transportation Science Division (BTSD) plans to operate research engines fueled by ammonia in two engine test cells at the National Transportation Research Center (NTRC). A scientific need has recently emerged to evaluate the suitability of liquid anhydrous ammonia as a low-lifecycle-carbon fuel source for difficult-to-electrify transportation sectors, including the marine sector. Therefore, BTSD plans to install an ammonia storage and delivery system to 2360 HVC engine research labs L125 (Cell 3) and L111 (Cell 7) capable of delivering 35 and 75 lb/h, respectively. These laboratories are specifically designed to allow for engine and fuels research and development, and they have existing safety systems for mitigating risks associated with toxics and flammables. Anhydrous ammonia is toxic and flammable, and the system will use relatively large quantities compared with standard gas bottles. Ammonia is one of the most widely produced chemicals in the world, and the hazards associated with toxicity and flammability are well understood. Ammonia storage for use in engine research at NTRC is anticipated to take the form of an ammonia tank with capacity of 1,000 water gallons; this quantity will remain below the threshold quantity of 10,000 lb (~2,000 gal) used both by the US Environmental Protection Agency for reporting under the Emergency Planning and Community Right to Know Act and for Risk Management Program requirements, and also by the US Occupational Safety and Health Administration for Process Safety Management requirements. ORNL’s Environmental Protection Services Division was also consulted to verify that the quantities of ammonia anticipated to be used would be in compliance with environmental regulations. The Environmental Protection Services Division staff confirmed that the anticipated quantities fall below ORNL’s permit thresholds. However, because of the hazards associated with anhydrous ammonia, the quantities to be used, and the limited experience with similar quantities of ammonia at ORNL, BTSD decided to perform a hazard and operability (HazOp) study on the ammonia storage and delivery system.
33 ADVANCED PROPULSION SYSTEMS↗
Application health monitoring for extreme-scale resiliency using cooperative fault management
Resiliency is and will be a critical factor in determining scientific productivity on current and exascale supercomputers, and beyond. Applications oblivious to and incapable of handling transient soft and hard errors could waste supercomputing resources or, worse, yield misleading scientific insights. In this work, we introduce a novel application-driven silent error detection and recovery strategy based on application health monitoring. Our methodology uses application output that follows known patterns, as indicators of an application's health and knowledge that violation of these patterns could be indication of faults. Information from system monitors that report hardware and software health status is used to corroborate faults. Collectively, this information is used by a fault coordinator agent to take preventive and corrective measures by applying computational steering to an application between checkpoints. This cooperative fault management system uses the Fault Tolerance Backplane as a communication channel. The benefits of this framework are demonstrated with two real application case studies, molecular dynamics, and quantum chemistry simulations, on scalable clusters with simulated memory and I/O corruptions. Lastly, the developed approach is general and can be easily applied to other applications.
97 MATHEMATICS AND COMPUTING↗
Impact of a Health Information Technology Intervention on the Follow-up Management of Pulmonary Nodules
Lung cancer is the leading cause of cancer deaths in the USA. The most common abnormalities suspicious for lung cancer on CT scan include pulmonary nodules. Recommendations to improve care for patients with pulmonary nodules require follow-up management. However, transitions in care, especially for patients undergoing transitions to ambulatory care sites from the emergency department (ED) and inpatient settings, can exacerbate failures in follow-up testing and compromise patient safety. We evaluate the impact of a discharge module that includes follow-up recommendations for further management of pulmonary nodules on the study outcome and follow-up management of patients with pulmonary nodules within 1 year after discharge. After IRB approval, we collected data on all patients undergoing chest or abdominal CT exams over a 12-month baseline and 12-month intervention period at an academic medical center. The inpatient discharge module was implemented in November 2011; the ED module was implemented in May 2012. Multivariable logistic regression was performed to account for care setting, imaging modality, recommendations, and patient demographics. Implementation of a discharge module resulted in improved follow-up of patients with pulmonary nodules within 1 year after discharge (OR = 1.64, p = 0.01); the ED implementation resulted in better follow-up compared to the inpatient module (OR = 2.24, p < 0.01). Twenty-seven percent of patients with pulmonary nodules received follow-up management, which, although significantly improved from the 18% baseline, remains low. An electronic discharge module is associated with improved follow-up management of patients with pulmonary nodules, and may be combined with interventions to further improve management of these patients.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
EHS Health Assessment & Health Action Plan Report CY 2017
The (EHS) Health Action Plan initiative targets the key health risks identified through the 8-15-80 model by engaging employees to change their own healthcare story. (EHS) identified the most prevalent of the health risks amongst our population through Health Risk Assessment (HRA) and used that data to build Health Action Plans. Our 2017 Health Action Plans addressed inadequate sleep, increasing energy, stress, weight management, physical inactivity, hypertension, dyslipidemia, managing and preventing diabetes, managing low back pain, allergies & asthma, digestive health, tobacco use, and living well or maintaining low risk for those individuals who do not have a chronic condition to manage. These plans connect employees with our onsite registered dietitians, fitness professionals, health coaches, physical therapists and physicians as appropriate. In addition to addressing the physical aspects of health, the plans also emphasized pre/post-assessments to encourage building behavioral and emotional skills that promote health and facilitate lifestyle changes over a minimum of three months - just one risk reduction or behavior change to make an impact on their Division as well as Sandia's overall risk levels and ultimately healthcare costs.
99 GENERAL AND MISCELLANEOUS↗
EHS Health Assessment & Health Action Plan Report CY 2017
The (EHS) Health Action Plan initiative targets the key health risks identified through the 8-15-80 model by engaging employees to change their own healthcare story. (EHS) identified the most prevalent of the health risks amongst our population through Health Risk Assessment (HRA) and used that data to build Health Action Plans. Our 2017 Health Action Plans addressed inadequate sleep, increasing energy, stress, weight management, physical inactivity, hypertension, dyslipidemia, managing and preventing diabetes, managing low back pain, allergies & asthma, digestive health, tobacco use, and living well or maintaining low risk for those individuals who do not have a chronic condition to manage. These plans connect employees with our onsite registered dietitians, fitness professionals, health coaches, physical therapists and physicians as appropriate. In addition to addressing the physical aspects of health, the plans also emphasized pre/post-assessments to encourage building behavioral and emotional skills that promote health and facilitate lifestyle changes over a minimum of three months - just one risk reduction or behavior change to make an impact on their Division as well as Sandia's overall risk levels and ultimately healthcare costs.
99 GENERAL AND MISCELLANEOUS↗
How Effective Are Clinical Pathways With and Without Online Peer-Review? An Analysis of Bone Metastases Pathway in a Large, Integrated National Cancer Institute-Designated Comprehensive Cancer Center Network
Purpose: Clinical pathways are an important tool used to manage the quality in health care by standardizing processes. This study evaluated the impact of the implementation of a peer-reviewed clinical pathway in a large, integrated National Cancer Institute-Designated Comprehensive Cancer Center Network. Methods: In 2003, we implemented a clinical pathway for the management of bone metastases with palliative radiation therapy. In 2009, we required the entry of management decisions into an online tool that records pathway choices. The pathway specified 1 or 5 fractions for symptomatic bone metastases with the option of 10-14 fractions for certain clinical situations. The data were obtained from 13 integrated sites (3 central academic, 10 community locations) from 2003 through 2010. Results: In this study, 7905 sites were treated with 64% of courses delivered in community practice and 36% in academic locations. Academic practices were more likely than community practices to treat with 1-5 fractions (63% vs. 23%; p < 0.0001). The number of delivered fractions decreased gradually from 2003 to 2010 for both academic and community practices (p < 0.0001); however, greater numbers of fractions were selected more often in community practices (p < 0.0001). Using multivariate logistic regression, we found that a significantly greater selection of 1-5 fractions developed after implementation online pathway monitoring (2009) with an odds ratio of 1.2 (confidence interval, 1.1-1.4) for community and 1.3 (confidence interval, 1.1-1.6) for academic practices. The mean number of fractions also decreased after online peer review from 6.3 to 6.0 for academic (p = 0.07) and 9.4 to 9.0 for community practices (p < 0.0001). Conclusion: This is one of the first studies to examine the efficacy of a clinical pathway for radiation oncology in an integrated cancer network. Clinical pathway implementation appears to be effective in changing patterns of care, particularly with online clinical peer review as a valuable aid to encourage adherence to evidence-based practice.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
International Telemedicine/Disaster Medicine Conference: Papers and Presentations
The first International Telemedicine/Disaster Medicine Conference was held in Dec. 1991. The overall purpose was to convene an international, multidisciplinary gathering of experts to discuss the emerging field of telemedicine and assess its future directions; principally the application of space technology to disaster response and management, but also to clinical medicine, remote health care, public health, and other needs. This collection is intended to acquaint the reader with recent landmark efforts in telemedicine as applied to disaster management and remote health care, the technical requirements of telemedicine systems, the application of telemedicine and telehealth in the U.S. space program, and the social and humanitarian dimensions of this area of medicine.
Source record↗
NASA Occupational Health Program FY98 Self-Assessment
The NASA Functional Management Review process requires that each NASA Center conduct self-assessments of each functional area. Self-Assessments were completed in June 1998 and results were presented during this conference session. During FY 97 NASA Occupational Health Assessment Team activities, a decision was made to refine the NASA Self-Assessment Process. NASA Centers were involved in the ISO registration process at that time and wanted to use the management systems approach to evaluate their occupational health programs. This approach appeared to be more consistent with NASA's management philosophy and would likely confer status needed by Senior Agency Management for the program. During FY 98 the Agency Occupational Health Program Office developed a revised self-assessment methodology based on the Occupational Health and Safety Management System developed by the American Industrial Hygiene Association. This process was distributed to NASA Centers in March 1998 and completed in June 1998. The Center Self Assessment data will provide an essential baseline on the status of OHP management processes at NASA Centers. That baseline will be presented to Enterprise Associate Administrators and DASHO on September 22, 1998 and used as a basis for discussion during FY 99 visits to NASA Centers. The process surfaced several key management system elements warranting further support from the Lead Center. Input and feedback from NASA Centers will be essential to defining and refining future self assessment efforts.
Brisbin, Steven G.↗
Assessing the impact of hazardous waste on children's health: The exposome paradigm
Assessment of the health impacts related to hazardous waste is a major scientific challenge with multiple societal implications. Most studies related to associations between hazardous waste and public health do not provide established of mechanistic links between environmental exposure and disease burden, resulting in ineffective waste management options. The exposome concept comes to overhaul the nature vs. nurture paradigm and embraces a world of dynamic interactions between environmental exposures, endogenous exposures and genetic expression in humans. In this context, the exposome paradigm provides a novel tool for holistic hazardous waste management. Waste streams and the related contamination of environmental media are not viewed in isolation, but rather as components of the expotype, the vector of exposures an individual is exposed to over time. Thus, a multi-route and multi-pathway exposure estimation can be performed setting a realistic basis for integrated health risk assessment. Waste management practices are thus assessed not only regarding their technological edge and efficacy but also their effects on human health at the individual and community level, considering intra-subject variability in the affected population. The effectiveness of the exposome approach is demonstrated in the case of Athens, the capital of Greece, where the health effects associated to long term and short term exposure to two major waste management facilities (landfill and plastic recycling) are presented. Using the exposome analysis tools, we confirmed that proximity to a landfill is critical for children neurodevelopment. However, this effect is significantly modified by parameters such as parental education level, socioeconomic status and nutrition. Proximity to a plastics recycling plant does not pose significant threats under normal operating conditions; yet, in the case of an accidental fire, release of persistent carcinogenic compounds (dioxins and furans) even for a short period results in increased lifelong risk, especially for breast feeding neonates. - Highlights: • The exposome paradigm integrates short and long term exposures. • Proximity to landfill results in lower neurodevelopmental scores in children. • Fire in waste recycling plant increases the cancer risk in local children. • Exposome provides new opportunities for assessing waste management health impact.
54 ENVIRONMENTAL SCIENCES↗
Summary of the Geocarto International Special Issue on "NASA Earth Science Satellite Data for Applications to Public Health" to be Published in Early 2014
At the 2011 Applied Science Public Health review held in Santa Fe, NM, it was announced that Dr. Dale Quattrochi from the NASA Marshall Space Flight Center, John Haynes, Program Manager for the Applied Sciences Public Health program at NASA Headquarters, and Sue Estes, Deputy Program Manager for the NASA Applied Sciences Public Health Program located at the Universities Space Research Association (USRA) at the National Space Science and Technology Center (NSSTC) in Huntsville, AL, would edit a special issue of the journal Geocarto International on "NASA Earth Science Satellite Data for Applications to Public Health". This issue would be focused on compiling research papers that use NASA Earth Science satellite data for applications to public health. NASA's Public Health Program concentrates on advancing the realization of societal and economic benefits from NASA Earth Science in the areas of infectious disease, emergency preparedness and response, and environmental health (e.g., air quality). This application area as a focus of the NASA Applied Sciences program, has engaged public health institutions and officials with research scientists in exploring new applications of Earth Science satellite data as an integral part of public health decision- and policy-making at the local, state and federal levels. Of interest to this special issue are papers submitted on are topics such as epidemiologic surveillance in the areas of infectious disease, environmental health, and emergency response and preparedness, national and international activities to improve skills, share data and applications, and broaden the range of users who apply Earth Science satellite data in public health decisions, or related focus areas.. This special issue has now been completed and will be published n early 2014. This talk will present an overview of the papers that will be published in this special Geocarto International issue.
Quattrochi, Dale A.↗