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At least 127 records · Page 7

A million persons, a million dreams: a vision for a national center of radiation epidemiology and biology

Epidemiologic studies of radiation-exposed populations form the basis for human safety standards. Furthermore, they also help shape public health policy and evidence-based health practices by identifying and quantifying health risks of exposure in defined populations. For more than a century, epidemiologists have studied the consequences of radiation exposures, yet the health effects of low levels delivered at a low-dose rate remain equivocal.

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTAN↗

Reconstructed lung doses for the million person study cohort of 26,650 Tennessee Eastman corporation workers employed between 1942 and 1947

Abstract Tennessee Eastman Corporation workers were exposed to uranium dust resulting in high-linear energy transfer (LET) irradiation to lung tissue. In this work, radiation lung doses were reconstructed for 26 650 men and women working at the plant between 1942 and 1947. Site air monitoring data of uranium concentrations and payroll records were used to determine the daily inhaled activities and annualized lung doses. Variations in the activity median aerodynamic diameter of the uranium dust, the solubility of particulate matter in the lungs and the sex-specific breathing rate were investigated as part of a sensitivity analysis. Male and female mean lung doses of 18.9 and 32.7 mGy, respectively, from high-LET alpha irradiation, and there was general agreement with evaluations from previously published epidemiological studies. Annual lung dose estimates and sensitivity analysis for the 26 650 workers in the TEC cohort have been archived on the United States Department of Energy Comprehensive Epidemiologic Data Resource.

61 RADIATION PROTECTION AND DOSIMETRY↗

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↗

The advent of third-harmonic-generation laser systems: personal recollections

In the mid to late 1970s there was considerable debate as to which laser technology should be pursued—glass lasers (1-μm wavelength) or CO 2 lasers (10 μm). Based on target-physics considerations, theorists were advocating for shorter wavelengths. The physics understanding was confirmed by exciting results from the group at the École Polytechnique, who observed close to 100% target absorption with just a few joules of fourth-harmonic energy. These results motivated the leadership at LLE to plan similar experiments at the third harmonic, with a few more joules. This presentation covers a small time period from 1979 to 1980 during which highly efficient Third-Harmonic Generation (THG) became understood theoretically and demonstrated experimentally, leading to the worldwide adoption of THG with glass lasers for fusion research.

47 OTHER INSTRUMENTATION↗

Adapting Reinforcement Learning Treatment Policies Using Limited Data to Personalize Critical Care

We report reinforcement learning (RL) demonstrates promise for developing effective treatment policies in critical care settings. However, existing RL methods often require large and comprehensive patient data sets and do not readily lend themselves to settings in which certain patient subpopulations are severely underrepresented. In this study, we develop a new method, noisy Bayesian policy updates (NBPU), for selecting high-performing reinforcement learning–based treatment policies for underrepresented patient subpopulations using limited observations. Our method uses variational inference to learn a probability distribution over treatment policies based on a reference patient subpopulation for which sufficient data are available. It then exploits limited data from an underrepresented patient subpopulation to update this probability distribution and adapts its recommendations to this subpopulation. We demonstrate our method’s utility on a data set of ICU patients receiving intravenous blood anticoagulant medication. Our results show that NBPU outperforms state-of-the-art methods in terms of both selecting effective treatment policies for patients with nontypical clinical characteristics and predicting the corresponding policies’ performance for these patients.

60 APPLIED LIFE SCIENCES↗

1994 SEMCOG Household-Based Person Trip Survey

The Southeast Michigan Council of Governments contracted with the Applied Management & Planning Group to conduct a travel behavior survey of 7,361 households from March 28, 1994, to June 10, 1994. The primary purpose of this study was to provide the council with a new database of travel behavior to assist in updating the region's transportation models. This data collection includes demographic, socioeconomic, travel, and mobile source emissions models for projecting future patterns of development, travel, congestion, and air pollution. Information about household characteristics and travel was collected using a one-day, activity-focused diary and a separate household survey. In an activity diary, respondents recorded 65,535 trips during the assigned the day.

1Hz data↗