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At least 847 records · Page 47

Constraints on the Parameterization of Convective Cloud Systems from Analyses of ARM Observations and Models

Anthony D. Del Genio has served as principal investigator since the inception of ASR in 2009 as co-chair of the Cloud Lifecycle Working Group (CLWG) and in connection with that as a member of the ASR Science and Infrastructure Steering Committee. In this role he has been intimately involved with oversight of existing and proposed ASR Focus Groups (Vertical Velocity, QUICR, Ice Properties) and thematic interest groups (Mesoscale Organized Convection, Warm Low Clouds, Mixed-Phase Clouds, MJO, Entrainment) whose activities fall under the purview of CLWG. The PI actively participates himself in the Mesoscale Organized Convection and MJO groups, is a Co-Investigator on two successfully implemented IOPs (AMIE, MC3E), and was an unfunded Collaborator on the recently completed FASTER project at BNL under the DOE Modeling Program. The PI has also spent the past three years as a member of the ARM Science Board, which reviews proposals to conduct IOPs at the permanent ARM sites and to deploy the ARM Mobile Facilities. Finally, the PI was a participant in the first ARM-European workshop in 2012 that eventually led to the creation of the SGP supersite concept. This report includes an annotated list of published research results.

54 ENVIRONMENTAL SCIENCES↗

Defect Energetics in Pseudo-Cubic Mixed Halide Lead Perovskites from First-Principles

Owing to the increasing popularity of lead-based hybrid perovskites for photovoltaic (PV) applications, it is crucial to understand their defect energetics and its influence on their optoelectronic properties. In this work, we simulate various point defects in pseudocubic structures of mixed iodide-bromide and bromide-chloride methylammonium lead perovskites with the general formula MAPbI 3-y Br y or MAPbBr 3-y Cl y (where y is between 0 and 3), and use first-principles based density functional theory computations to study their relative formation energies and charge transition levels. We identify vacancy defects and Pb on MA antisite defect as the lowest energy native defects in each perovskite. Here, we observe that while the low energy defects in all MAPbI 3-y Br y systems only create shallow transition levels, the Br or Cl vacancy defects in the Cl-containing pervoskites have low energy and form deep levels which become deeper for higher Cl content. We examine the structures and density of states of pure and defect-containing perovskite systems to obtain an understanding of the nature of defect levels. Further, we study extrinsic substitution by different elements at the Pb site in MAPbBr 3 , MAPbCl 3 , and the 50-50 mixed halide perovskite, MAPbBr 1.5 Cl 1.5 , and identify some transition metals that create lower energy defects than the dominant intrinsic defects and also create midgap charge transition levels.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Dependence of Cloud Macrophysical Properties and Phase Distributions on Environmental Conditions Over the North Atlantic and Southern Ocean: Results From COMBLE and MARCUS

The accurate representation of Cold Air Outbreaks (CAOs) and affiliated mixed-phase boundary layer (BL) clouds in models is challenging. How BL cloud properties evolve during CAOs and their dependence on meteorological conditions is not well understood but is important for the simulation of Earth's energy budgets. Here the properties of polar BL clouds over the North Atlantic (NA) and Southern Ocean (SO) are compared using observations from the Measurements of Aerosol Radiation and CloUds over the SO (MARCUS) and CAOs in the Marine BL Experiment (COMBLE) conducted over the NA. MARCUS observations show a stronger BL inversion than COMBLE, with a higher mean EIS (estimated inversion strength)/LTS (lower tropospheric stability) of -0.03 K/13 K compared to COMBLE’s -3.2 K/9.3 K. 39% of CAOs observed during COMBLE were intense with M > 5 K, while MARCUS only had 1.3%. 78%/72% of clouds sampled in CAOs during COMBLE/MARCUS had cloud top heights <4 km. The mean BL cloud top height was over 400 m higher, and the BL was over 500 m deeper for M of 10 K compared to 0 K for both regions. MARCUS observed a 27% moister BL structure than COMBLE when M > 5 K due to stronger BL inversion trapping more moisture within the BL. Under the same LTS, EIS, and M conditions, MARCUS observed a 12% drier BL structure, and clouds were 46% more turbulent than COMBLE. During CAOs, 54% of single-layer BL clouds sampled during MARCUS had liquid-dominated bases compared to 39% during COMBLE.

54 ENVIRONMENTAL SCIENCES↗

The Third Assessment of the Effects of Climate Change on Federal Hydropower

Understanding the future changes in projected water supplies is a vital objective for federal hydropower facilities tasked with providing low-cost, reliable electricity across a large regional footprint that encompasses a growing customer base, alternative market structures for marketing the electricity, and a more diverse generation asset mix than was historically present when a majority of federal hydropower facilities were built. This study, The Third Assessment of the Effects of Climate Change on Federal Hydropower, directed by Section 9505 of the SECURE Water Act of 2009 (SWA), is the third quinquennial report on evaluating the effects of climate change on hydroelectric energy generated from 132 US federal hydropower plants marketed by four US Department of Energy (DOE) Power Marketing Administrations (PMAs). The technical assessment is conducted by DOE’s Oak Ridge National Laboratory, Pacific Northwest National Laboratory, and Texas A&M University under the guidance of DOE’s Water Power Technologies Office. This study is the result of extensive consultation with the four federal PMAs (Bonneville Power Administration [BPA], Western Area Power Administration [WAPA], Southwestern Power Administration [SWPA], and Southeastern Power Administration [SEPA]), as well as other agencies, including federal hydropower owners/operators (the US Army Corps of Engineers, US Bureau of Reclamation [Reclamation]), US Geological Survey, and National Oceanic and Atmospheric Administration). The main findings of this assessment, along with the PMA administrators’ recommendations, will be included in a subsequent DOE report to Congress. The assessment method and the technical findings are described in this report.

13 HYDRO ENERGY↗

Carbon Footprint Analysis of Floating PV Systems

This report, conducted by the Dutch research organization TNO, presents the first detailed life cycle inventory (LCI) analysis of operational floating photovoltaic (FPV) systems. The study, focusing on two operational systems in Western Europe, reveals that FPV systems on small inland water bodies can be a valuable complement to ground-mounted PV systems in terms of greenhouse gas emissions reduction. If PV module degradation is limited, these systems' carbon footprint is 3-4 times lower than the EU grid mix target for 2030. The report compares two FPV systems with different floater compositions (HDPE and steel/HDPE) to hypothetical ground-mounted systems, using comprehensive background data. The findings highlight the necessity for long-term monitoring and thorough environmental assessments. Josco Kester, a scientist at TNO, underscores the potential environmental benefits of these systems, which could enhance the adoption of renewable energy technologies.

14 SOLAR ENERGY↗

Application and evaluation of a pattern-based building energy model calibration method using public building datasets

Building performance simulation has been adopted to support decision making in the building life cycle. An essential issue is to ensure a building energy simulation model can capture the reality and complexity of buildings and their systems in both the static characteristics and dynamic operations. Building energy model calibration is a technique that takes various types of measured performance data (e.g., energy use) and tunes key model parameters to match the simulated results with the actual measurements. This study performed an application and evaluation of an automated pattern-based calibration method on commercial building models that were generated based on characteristics of real buildings. A public building dataset that includes high-level building attributes (e.g., building type, vintage, total floor area, number of stories, zip code) of 111 buildings in San Francisco, California, USA, was used to generate building models in EnergyPlus. Monthly level energy use calibrations were then conducted by comparing building model results against the actual buildings' monthly electricity and natural gas consumption. The results showed 57 out of 111 buildings were successfully calibrated against actual buildings, while the remaining buildings showed opportunities for future calibration improvements. Enhancements to the pattern-based model calibration method are identified to expand its use for: (1) central heating, ventilation and air conditioning (HVAC) systems with chillers, (2) space heating and hot water heating with electricity sources, (3) mixed-use building types, and (4) partially occupied buildings.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Ammonia eurefstics: Electrolytes for liquid energy storage and conversion at room temperature and ambient pressure

Herein we report the transformation of gaseous ammonia to a liquid at room temperature and ambient pressure through mixing with simple solid ammonium salts. The resulting liquids, named eurefstics, are potentially advantageous for the storage and electrochemical conversion of ammonia and the realization of a green ammonia energy economy. Physical properties of these eurefstics, including the temperature-dependent composition and composition-dependent densities, are reported to glean initial insight into the formation and behavior of this intriguing liquid. Preliminary electrochemical investigations of the eurefstics were also performed. We have found that these eurefstics formed are conductive and can be used directly as electrolytes for ammonia electrolysis reactions to produce hydrogen on demand. Open-circuit potential measurements were also made to determine the formal potential of the hydrogen evolution and corresponding overpotentials. Finally, safety concerns of the eurefstics are discussed in comparison with other liquid phase energy carriers.

25 ENERGY STORAGE↗

Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada: For Calendar Year 2020 (Rev. 2)

This report serves as the combined annual report for post-closure activities in compliance with the requirements listed in Resource Conservation and Recovery Act (RCRA) Permit Number NEV HW0101 associated with the following closed corrective action units (CAUs): 1) CAU 90, Area 2 Bitcutter Containment; 2) CAU 91, Area 3 U-3fi Injection Well; 3) CAU 92, Area 6 Decon Pond Facility; 4) CAU 110, Area 3 WMD U-3ax/bl Crater; 5) CAU 111, Area 5 WMD Retired Mixed Waste Pits; 6) CAU 112, Area 23 Hazardous Waste Trenches The locations of the sites are shown in Figure ES-1. This report covers calendar year 2020. The post-closure requirements for these sites are described in RCRA Permit NEV HW0101 and are summarized in each CAU-specific section of this report. The results of the inspections, a summary of maintenance activities, and an evaluation of monitoring data are presented in this report. Site inspections are conducted annually at CAUs 90, 91, and 112; semiannually at CAUs 92 and 110; and quarterly at CAU 111. Additional inspections are conducted at CAUs 92 and 111 if precipitation occurs in excess of 1.0 inch in a 24-hour period. Inspections include an evaluation of the condition of the units, including covers, fences, signs, gates, and locks. At CAUs 110 and 111, soil moisture monitoring and subsidence surveys are conducted in addition to the visual inspections. At CAU 110, the site fence, gate, lock, and use restriction signs are evaluated. At CAU 111, an ecological survey, direct radiation monitoring, air monitoring, radon flux monitoring, and groundwater monitoring are also conducted. This report will address all monitoring item notes above except groundwater monitoring. Groundwater monitoring is documented in the Nevada National Security Site Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site. All required inspections, maintenance, and monitoring were conducted in accordance with the post-closure requirements of the permit. Revision 6 of RCRA Permit NEV HW0101 was issued effective December 10, 2015, and remained in effect until December 10, 2020. At the time of this report submittal, the new RCRA permit application was in review.

54 ENVIRONMENTAL SCIENCES↗

The Electron Thermal Conductivity of Pu and Zr Substituted Gamma-Uranium

Uranium alloys are attractive recycled nuclear fuels because of their high thermal conductivity (k) and fissile density; however, the effects of alloying elements on k remain unclear. Here, the electron thermal conductivity (k_e) of U-Pu-Zr compositions are calculated using density functional theory. The electronic structure is evaluated to understand the effects of plutonium (Pu) and zirconium (Zr) substitution on the k_e of ?-U. Alloys of up to 37.5 at. % Pu and 37.5 at. % Zr are examined. Two methods are applied to calculate k_e; we find that the accuracy of each method depends on the electronic and mass similarities between the solute and solvent atoms. Specifically, when the solute atom is similar in electronic structure and mass, the method that applies the electron relaxation time of ?-U is best, while if the elements are dissimilar, a mixed method that mixes several parameters associated with k_e from each element in the alloy is best. The introduction of all alloying elements decreases k_e; however, in binary compounds, Pu and Zr have different effects. Pu generally flattens the electronic bands but compensates for this deleterious effect by increasing electron density near the Fermi level. Zr flattens the electronic bands more severely without adding electron density near the Fermi level. Therefore, Zr decreases the k_e more than Pu in binary compounds. In ternary compounds, the difference between Pu and Zr is minimal due to the phononic change from the large mass change of Zr substitution, even at 12.5 at. %. Thus, we predict that higher loadings of Pu, and potentially other actinides, can be added to U-Pu-Zr compositions for faster recycling of spent fuel with without sacrificing k. We also note that these k_e calculation methods can be applied to non-fuel alloys that require k_e predictions, such as cladding, heat exchanger, and structural materials.

36 MATERIALS SCIENCE↗

Data-assisted combustion simulations with dynamic submodel assignment using random forests

This investigation outlines a data-assisted approach that employs random forest classifiers for local and dynamic submodel assignment in turbulent-combustion simulations. This method is demonstrated in simulations of a single-element GOX/GCH4 rocket combustor; a priori as well as a posteriori assessments are conducted to (i) evaluate the accuracy and adjustability of the classifier for targeting different quantities of interest (QoIs), and (ii) assess improvements, resulting from the data-assisted combustion model assignment, in predicting target QoIs during simulation runtime. Results from the a priori study show that random forests, trained with local flow properties as input variables and combustion model errors as training labels, assign three different combustion models – finite-rate chemistry (FRC), flamelet progress variable (FPV) model, and inert mixing (IM) – with reasonable classification performance even when targeting multiple QoIs. Applications in a posteriori studies demonstrate improved predictions from data-assisted simulations, in temperature and CO mass fraction, when compared with monolithic FPV calculations. An additional a posteriori data-assisted simulation of a modified configuration demonstrates that the present approach can be successfully applied to different configurations, as long as thermophysical behavior can be represented by the training data. Furthermore, these results demonstrate that this data-driven framework holds promise for dynamic combustion submodel assignments in reacting flow simulations.

42 ENGINEERING↗

Two-Fluid and Discrete Element Modeling of a Parallel Plate Fluidized Bed Heat Exchanger for Concentrating Solar Power

A novel high-temperature particle solar receiver is developed 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 fluidized bed at the lower section, leaving the system from the bottom at a constant flowrate. Air is introduced to the system as the fluidizing medium to improve particle heat transfer and mixing. A laboratory scale cavity receiver is built by collaborators at the Colorado School of Mines and their data are used for model validation. In this experimental setup, near IR quartz lamp is used to provide flux to the vertical wall of the heat exchanger. The system is modeled using the discrete element method and a continuum two-fluid method. The computational model matches the experimental system size and the particle size distribution is assumed monodisperse. A new continuum 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/m2 K.

concentrating solar power↗

Establishment of a Vertically Integrated Domestic Manufacturing Process for Production of Substrates Needed for Manufacture of Gas Diffusion Layers

In this project, AvCarb, LLC evaluated the baseline performance metrics of commercial carbon veils and their corresponding Gas Diffusion Layers (GDLs) with the goal of establishing an optimized, vertically integrated production system for wet-laid nonwoven substrates used in gas diffusion media for electrochemical energy storage and conversion devices. Mechanical testing and microstructural characterization were conducted and used to develop a multiscale computational model capable of simulating and predicting the performance of GDLs in fuel cells. Although the project successfully generated foundational transport and modeling data, it was terminated prior to identifying the critical GDL design parameters necessary for full optimization. The program aimed to improve carbon veil fabrication through enhanced fiber dispersion, fiber-fiber adhesion control, and improved web formation, enabling the production of high-quality, uniform substrates. Simulations were intended to guide mixing and solution delivery system design and process conditions, followed by production-scale trials to evaluate fiber dispersion, web uniformity, and mechanical robustness. At full deployment, the proposed production line would have been capable of producing approximately 650,000 m² of carbon veil annually. This capability remains strategically important, as the United States currently lacks a domestic source of wet-laid nonwoven carbon substrates that satisfy the stringent quality requirements for fuel-cell GDLs and electrolyzers representing an ongoing supply-chain vulnerability. Beyond supply-chain benefits, the project established a robust benchmarking dataset for existing commercial carbon veils while advancing next-generation material concepts targeting improved performance and manufacturing consistency.

Olson, Cynthia Lemay↗

Characterizing the γ-Ray Emission from Low-luminosity AGN

A majority of the active galactic nuclei (AGN) in the local Universe are classified as low-luminosity AGN (LLAGN), having bolometric luminosities ≲10 42 erg s −1 . Although high-energy γ-ray emission is predicted from both the jets and disks of LLAGN, to date only four have been detected by the Fermi Large Area Telescope (Fermi-LAT). In this work, we therefore conduct a comprehensive study of all the LLAGN from the Palomar spectroscopic survey of bright, northern galaxies, including both subthreshold and detected γ-ray sources, using 14.4 yr of LAT data. Our analysis results in a new detection of one LLAGN, as well as a detection of the subthreshold population using a stacking technique. We find that the signal from the subthreshold sample is consistent with being dominated by star formation activity, although a contribution from compact jets or a mixed contribution from jetted and nonjetted systems is also feasible. On the other hand, the individually detected LLAGN are likely dominated by jet emission. We perform detailed spectral modeling for a subset of these sources and find that the γ-ray signal can be explained by synchrotron self-Compton radiation if the inner jet emission region is weakly magnetized, with its total energy density being strongly particle dominated and only slowly moving. With this work we also publicly release our Python-based stacking library for analyzing subthreshold source populations with the LAT based on a proven technique used in numerous studies.

79 ASTRONOMY AND ASTROPHYSICS↗

Screening of Potential Biomass-Derived Streams as Fuel Blendstocks for Mixing Controlled Compression Ignition Combustion

Mixing controlled compression ignition or diesel engines are highly efficient and are likely to continue to be the primary means for movement of goods for many years to come. Low-carbon biofuels have the potential to significantly reduce the carbon footprint of diesel combustion and could potentially have advantageous properties for combustion such as high cetane number and reduced engine out particle emissions. In this study, we developed a list of potential biomass-derived diesel blendstocks. An online database of properties and characteristics of these bioblendstocks was populated with data. Fuel properties were determined by measurement, model prediction, or literature review. Screening criteria were developed to determine if a bioblendstock met the basic requirements for handling in the diesel distribution system and use as a blend with conventional diesel. Criteria included cetane number =40, flashpoint =52 degrees C, and boiling point or final boiling point <338 degrees C. Blendstocks needed to be soluble in diesel fuel, have a toxicity no worse than conventional diesel, and not be corrosive. Additionally, cloud point or freezing point below 0 degrees C was required. This screening produced a list of 27 potential bioblendstocks. Of these candidates, 13 were available commercially or could be synthesized by biofuels production researchers and included 11 nominally pure components and two mixtures. These 13 candidates were then subjected to further study based on how they impact fuel properties upon blending. Blend properties included cetane number, lubricity, conductivity, oxidation stability and viscosity. Results indicate that all thirteen candidates can meet the basic requirements for diesel fuel blending and are likely to reduce particle emissions from diesel combustion.

09 BIOMASS FUELS↗

A Flux-Tunable cavity for Dark matter detection

Developing a dark matter detector with wide mass tunability is an immensely desirable property, yet it is challenging due to maintaining strong sensitivity. Resonant cavities for dark matter detection have traditionally employed mechanical tuning, moving parts around to change electromagnetic boundary conditions. However, these cavities have proven challenging to operate in sub-Kelvin cryogenic environments due to differential thermal contraction, low heat capacities, and low thermal conductivities. Instead, we develop an electronically tunable cavity architecture by coupling a superconducting 3D microwave cavity with a DC flux tunable SQUID. With a flux delivery system engineered to maintain high coherence in the cavity, we perform a hidden-photon dark matter search below the quantum-limited threshold. A microwave photon counting technique is employed through repeated quantum non-demolition measurements using a transmon qubit. With this device, we perform a hidden-photon search and constrain the kinetic mixing angle to ${\varepsilon}< 8.2\times 10^{-15}$ in a tunable band from 5.672 GHz to 5.694 GHz. By coupling multimode tunable cavities to the transmon, wider hidden-photon searching ranges are possible.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

The Interactions Between Shading and Organic Fertilizer Application on Dry-farmed Tomato Grown Between Photovoltaic Panels

Agrivoltaic systems are mixed systems of solar photovoltaic (PV) panels and agricultural production, where shade from the panels can result in lower evapotranspiration for crops, which is of particular interest for dryland agriculture. Dry-farmed tomato (Solanum lycopersicum) production in the Willamette Valley of Oregon has lower total yields and higher rates of blossom-end rot (BER) than irrigated tomato production, resulting in reduced marketable yields. To determine how dry-farmed ‘Early Girl’ tomato performed in an agrivoltaics system, a trial was conducted at the Valley Creek Solar Project (Salem, OR, USA) in 2020, using three different amendment treatments and three levels of shading from the panels. Amendment treatments were 0N (receiving no fertilizer), 84N (receiving 84 kg·ha −1 N), and 168N (receiving 168 kg·ha −1 N), applied as processed chicken manure. Plants were estimated to receive an irradiance factor of 30%, 76%, and 89% for full-shade, partial-shade, and full-sun treatments respectively. There was an interaction between amendment treatments and shading treatments in their effects on unblemished yield (yield of fruit without BER or sunscald). The optimum fertilizer application for full-shade and partial-shade rows was 84N, the optimum for full-sun rows was 0N. Fertilizing these rows at these rates resulted in an unblemished yield for the aisle of 11.1 t·ha −1 , which was lower than unblemished yields reported in previous experiments and trials in open fields. However, these results are from a single location and a single year, and other solar sites may behave more similar to open-field conditions. Shading from the panels increased average fruit weight and decreased incidence of BER and sunscald, suggesting that crops were less drought stressed. This resulted in similar unblemished yields for the full-shade and full-sun plots at 84N and 168N. Applying fertilizer resulted in higher total yields, smaller average fruit weight, increased BER incidence, and decreased sunscald incidence. The results suggest a possible synergy between dry-farmed tomato production and agrivoltaics, although several concerns remain, including difficulties managing the vegetation under panels, rules restricting PVs on high-value agricultural soils, and the possibility of soil compaction during PV installation.

14 SOLAR ENERGY↗

Highly Durable and Active Pt/Sb-Doped SnO 2 Oxygen Reduction Reaction Electrocatalysts Produced by Atomic Layer Deposition

Platinum supported on mixed-metal oxides (MMOs) are a class of active and durable cathode catalysts for proton exchange membrane fuel cell (PEMFC) due to a combination of the high oxidative stability of the supports and strong-metal-support interactions (SMSI) that enable them to exceed the activity of Pt/C. Herein, we solve a significant remaining challenge with Pt/MMO systems, namely the relatively low surface area and porosity. This is achieved by dispersing nearly-uniform Pt clusters using atomic layer deposition (ALD) on highly conductive (6.2 S/cm) and stable antimony doped tin dioxide (ATO) support. ALD-Pt/ATO exhibited significantly higher electrochemically active surface area (ECSA) (74 m 2 /g) and oxygen reduction reaction (ORR) catalytic activity (102 mA/mg Pt at 0.9 V vs. RHE) compared to Pt/ATO synthesized using ethylene glycol (ECSA=31 m 2 /g Pt , mass activity=52 mA/mg Pt at 0.9 V vs. RHE) and formic acid reduction methods (ECSA=28 m 2 /g Pt , mass activity=46 mA/mg Pt at 0.9 V vs. RHE). Further characterization showed that wet chemical methods resulted in poorer Pt particle dispersion, poor control over Pt particle size distribution and chemical degradation of the support (during Pt deposition). Given the near-ideal Pt particle size distribution of the ALD-Pt/ATO, particle size growth and loss of ECSA was found to be minimal over the course of rigorous potential cycling. Thus, after 10,000 potential cycles between 1V and 1.5V vs. RHE, ALD-Pt/ATO and other Pt/ATOs were found to retain 100% of their initial ECSA compared to 57.6% retention for Pt/C. Upon testing in a H 2 /air PEMFC, following 1,000 potential cycles, the change in ALD-Pt/ATO performance was negligible while Pt/C exhibited a 68.2% loss of initial peak power density. Thus, ALD-Pt/ATO is an active and highly durable ORR electrocatalyst in PEMFCs under start-up-shut down conditions.

25 ENERGY STORAGE↗

Predicting Postoperative Injury and Military Discharge Status After Knee Surgery in the US Army

Background: Researchers have assessed postoperative injury or disability predictors in the military setting but typically focused on 1 type of surgical procedure at a time, used relatively small sample sizes, or investigated mixed cohorts with civilian populations. Purpose: To identify the relationship between baseline variables and injury incidence or military discharge status in US Army soldiers after knee surgery. Study Design: Case-control study; Level of evidence, 3. Methods: Data were obtained from a repository containing personnel, performance, and medical records for all active-duty US Army soldiers. Multivariate logistic regressions were used to estimate the effects of numerous variables on postoperative injury or on medical discharge. Variable selection and model validation were conducted using the k-fold method. Results: A total of 7567 soldiers underwent knee surgery between 2017 and 2019. Meniscal procedures were the most common type of surgery (39%), and approximately 71% of the cohort had a postoperative injury. Significant predictors for sustaining a postoperative injury included having a previous nonknee injury (odds ratio [OR], 1.5), female sex (OR, 1.3), and Black race (OR, 1.2). Within 4 years after surgery, 17% of soldiers were discharged from the military because of knee-related disability. Significant predictors for discharge from duty included enlisted rank (OR, 2.3), recent fitness test failure (OR, 1.9), number of previous knee surgeries (OR, 1.7), and having a previous nonknee injury (OR, 1.6). Conclusion: After knee surgery, nearly three-fourths of the soldiers in this cohort sustained a postoperative injury and almost one-fifth of soldiers were medically discharged from the military within 4 years. This study identified variables that indicate statistically increased risk for these postoperative outcomes and highlighted potentially modifiable factors.

Orthopedics↗