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Sensitivity and uncertainty of the IFR-1 BISON benchmark

The fuel performance code BISON is being used to evaluate metallic fuel for a new fast-spectrum test reactor called the Versatile Test Reactor, which is being considered for adoption by the US Department of Energy. To quantify the accuracy of BISON predictions, researchers at Oak Ridge National Laboratory have been developing a series of benchmarks based on legacy metallic fuel experiments. As part of this effort, the sensitivity of BISON predictions to variations in model inputs and the uncertainties associated with BISON predictions must be established. This paper summarizes efforts to perform a comprehensive sensitivity analysis (SA) and uncertainty quantification (UQ) on a benchmark based on the IFR-1 experiment.For the SA, at least one input was chosen from every BISON model and physics module used in the benchmark. The inputs were varied individually in a series of BISON simulations. Here, the resulting variations in benchmark predictions were normalized to calculate sensitivities. These sensitivities were then used to inform input selections for the UQ.The UQ was performed using the Monte Carlo UQ method. A literature review was conducted to estimate uncertainty distributions for the selected inputs, and values were sampled randomly from each distribution in a series of BISON simulations. Variations in the benchmark predictions were used to estimate uncertainty distributions and confidence intervals. It was found that nearly 100% of the benchmark predictions matched the corresponding legacy values within the confidence intervals. However, this is at least partially because the confidence intervals associated with benchmark predictions were wide. The uncertainty contributions of assumptions in the benchmark, experimental uncertainties, and BISON models were quantified. Some analysis was performed to identify inputs that contributed to the uncertainties. Finally, recommendations are made for future benchmark and future BISON development.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Entropy-based feature selection for capturing impacts in Earth system models with abrupt forcing

This paper presents the development of a new entropy-based feature selection method for identifying and quantifying impacts. Here, impacts are defined as statistically significant differences in spatio-temporal fields when comparing datasets with and without an external forcing in an Earth system model. Temporal feature selection is performed by first computing the cross-fuzzy entropy to quantify similarity of patterns between two datasets and then applying changepoint detection to identify regions of statistically constant entropy. The method is used to capture temperate north surface cooling from a 9-member simulation ensemble of the Mt. Pinatubo volcanic eruption, which injected 10 Tg of SO 2 into the stratosphere. The results estimate a mean difference decrease in near surface air temperature of -0.560 K with a 99% confidence interval between -0.864 K and -0.257 K between April and November of 1992, one year following the eruption. A sensitivity analysis with decreasing SO 2 injection revealed that the impact is statistically significant at 5 Tg but not at 3 Tg. Using identified features, a dependency graph model based on a 9-day lag had significantly fewer nodes than a graph based on monthly means. Furthermore, this demonstrates our method’s ability to perform dimension reduction while still uncovering source-to-impact pathways.

Changepoint detection↗

Reanalysis of the 𝛽− $\overline{v}$ 𝑒 Angular Correlation Measurement from the aSPECT Experiment with New Constraints on Fierz Interference

On the basis of revisions of some of the systematic errors, we reanalyzed the electron-antineutrino angular correlation (𝑎 coefficient) in free neutron decay inferred from the recoil energy spectrum of the protons which are detected in 4⁢𝜋 by the aSPECT spectrometer. With 𝑎=−0.104 02⁢(82), the new value differs only marginally from the one published in 2020. Here, the experiment also has sensitivity to 𝑏, the Fierz interference term. From a correlated (𝑏,𝑎) fit to the proton recoil spectrum, we derive a limit of 𝑏 =−0.0098⁢(193) which translates into a somewhat improved 90% confidence interval region of −0.041 ≤ 𝑏 ≤ 0.022 on this hypothetical term. Tighter constraints on 𝑏 can be set from a combined analysis of the PERKEO III (𝛽 asymmetry) and aSPECT measurement which suggests a finite value of 𝑏 with 𝑏 (𝑐) =−0.0181 ± 0.0065 deviating by 2.82⁢𝜎 from the standard model.

Beta decay↗

The safety of pranlukast and montelukast during the first trimester of pregnancy: A prospective, two‐centered cohort study in Japan

Abstract For leukotriene receptor antagonists (LTRAs), especially pranlukast, safety data during pregnancy is limited. Therefore, we conducted a prospective, two‐centered cohort study using data from teratogen information services in Japan to clarify the effects of LTRA exposure during pregnancy on maternal and fetal outcomes. Pregnant women who being counseled on drug use during pregnancy at two facilities were enrolled. The primary outcome of this study was major congenital anomalies. The incidence of major congenital anomalies in women exposed to montelukast or pranlukast during the first trimester of pregnancy was compared with that of controls. Logistic regression analysis was performed to analyze the effects of maternal LTRA use during the first trimester of pregnancy on major congenital anomalies. The outcomes of 231 pregnant women exposed to LTRAs (montelukast n = 122; pranlukast n = 106; both n = 3) and 212 live births were compared with those of controls. The rate of major congenital anomalies in the LTRA group was 1.9%. Multivariable logistic regression analysis revealed that LTRA exposure was not a risk factor for major congenital anomalies (adjusted odds ratio, 0.78; 95% confidence interval, 0.23–2.05; p = 0.653). In addition, no significant difference was detected in stillbirth, spontaneous abortion, preterm birth, and low birth weight between the two groups. The present study revealed that montelukast and pranlukast were not associated with the risk of major congenital anomalies. Our findings suggest that LTRAs could be safely employed for asthma therapy during pregnancy.

Hatakeyama, Shiro↗

Spatiotemporal Variability of Electric System Reliability Metrics

As urbanization continues to grow, urban density also rises, placing significant stress on critical infrastructure. Cities often face challenges in investing in new infrastructure or upgrading existing ones. One area of infrastructure that has come under strain is the electric grid, leading to prolonged power outages. According to data from the U.S. Energy Information Administration, the average duration of power outages has steadily doubled from 2013 to 2021, primarily due to extreme weather events. The IEEE has developed a series of reliability metrics to assess the reliability of the electric system. However, these metrics are only applied at the utility level, making it challenging to comprehend the variations in these indices at finer spatial resolutions and, consequently, evaluate reliability at the non-utility level. In this study, we leveraged electric outage data collected at 15-minute intervals at the county level to estimate electric system reliability over a six-year period using a novel data analysis approach. Our findings reveal a gradual decline in reliability in the U.S. Southwest compared to national averages. Furthermore, the duration of outages per customer per event has significantly decreased in large portions of California and Florida. These discoveries can be valuable for utility companies as they seek to pinpoint regional anomalies and plan for prioritized remediation efforts.

Singh, Nagendra↗

Particle production as a function of charged-particle flattenicity in 𝑝⁢𝑝 collisions at $\sqrt{s}$ = 13 TeV

This paper reports the first measurement of the transverse momentum (𝑝 T ) spectra of primary charged pions, kaons, (anti)protons, and unidentified particles as a function of the charged-particle flattenicity in pp collisions at $\sqrt{s}$ =13 TeV. Flattenicity is a novel event shape observable that is measured in the pseudorapidity intervals covered by the V0 detector, 2.8 < 𝜂 < 5.1 and −3.7 < 𝜂 < −1.7. According to QCD-inspired phenomenological models, it shows sensitivity to multiparton interactions and is less affected by biases toward larger 𝑝 T due to local multiplicity fluctuations in the V0 acceptance than multiplicity. The analysis is performed in minimum-bias (MB) as well as in high-multiplicity events up to 𝑝 T = 20 GeV/⁢𝑐. The event selection requires at least one charged particle produced in the pseudorapidity interval |𝜂| < 1. The measured 𝑝 T distributions, average 𝑝 T , kaon-to-pion and proton-to-pion particle ratios, presented in this paper, are compared to model calculations using pythia 8 based on color strings and EPOS LHC. The modification of the 𝑝 T -spectral shapes in low-flattenicity events that have large event activity with respect to those measured in MB events develops a pronounced peak at intermediate 𝑝 T (2 < 𝑝 T < 8 GeV/𝑐), and approaches the vicinity of unity at higher 𝑝 T . The results are qualitatively described by pythia, and they show different behavior than those measured as a function of charged-particle multiplicity based on the V0M estimator.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

A conceptual model for how to design for building envelope characteristics. Impact of thermal comfort intervals and thermal mass on commercial buildings in U.S. climates

The paper presents a simplified conceptual model for energy demand calculations based on building envelope characteristics, thermal mass and local climate. It is based on a network model and lumped analysis of the dynamic process. Characteristic parameters for the buildings are suggested; Driving temperature (DT), Driving temperature difference, (DTD), External Load Temperature (ELT), and Thermal Load Resistance (TLR). The Building Envelope Performance ( BEP 0 ), based on a controlled constant indoor temperature is introduced. Solution techniques using stable explicit forward differences based on analytical solutions are derived. The conceptual model has been used for mapping the Driving temperature difference and introduced two performance factors and . The first factor represents the effect of thermal comfort interval and thermal mass on the energy demand. The latter represents the ratio between cooling and heating energy demand. These three parameters and factors have been visualized on U.S. maps and enable a possibility to communicate the demand of energy, and cooling and the coupling to building characteristics, in a concise way.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Development of a heterogeneous nanostructure through abnormal recrystallization of a nanotwinned Ni superalloy

This work explores the development of a heterogeneous nanostructured material through leveraging abnormal recrystallization, which is a prominent phenomenon in coarse-grained Ni-based superalloys. Additionally, through synthesis of a sputtered Inconel 725 film with a heterogeneous distribution of stored energy and subsequent aging treatments at 730°C, a unique combination of grain sizes and morphologies was observed throughout the thickness of the material. Three distinct domains are formed in the aged microstructure, where abnormally large grains are observed in-between a nanocrystalline and a nanotwinned region. In order to investigate the transitions towards a heterogeneous structure, crystallographic orientation and elemental mapping at interval aging times up to 8 h revealed the microstructural evolution and precipitation behavior. From the experimental observations and the detailed analysis of this study, the current methodology can be utilized to further expand the design space of current heterogeneous nanostructured materials.

36 MATERIALS SCIENCE↗

Risk of Mortality in Family Members of Men Seeking Fertility Assessment

Objective: To assess mortality in family members of men seeking fertility assessment. Subfertility serves as a biomarker for overall somatic health, and poor semen quality is associated with increased risk of hospitalization and mortality from chronic conditions. However, it is unclear if these risks extend to family members of men with low sperm count. Design: Retrospective cohort study. Subjects: Family members, up to third-degree relatives, of men in the Subfertility, Health and Assisted Reproduction and the Environment cohort who underwent a semen analysis as part of a fertility assessment 1996–2017. Relatives of men with a recorded total sperm count who lived in Utah for ≥1 year 1904–2017 were included in the analysis (N = 22,280 families). Exposure: Individuals were classified by family membership. Families were classified as relatives of azoospermic (0M), oligozoospermic (<39M), or normozoospermic (≥39M) men. The average total sperm count of the proband (male relative) with fertility assessment was also included as a continuous exposure measure. Main Outcome Measures: The main outcomes were all-cause and cause-specific mortality risk by sex, age, and degree of relation: first-, second-, and third-degree. Cox proportional hazard models were used to test the association between fertility classification and mortality, controlling for sex, race/ethnicity, and birth year. Results: A total of 666,437 relatives of men with fertility assessment (N deaths = 183,974) were included in the analysis. Relative to normozoospermia families, all-cause mortality risk increased in oligozoospermia families (hazard ratio [HR] oligozoospermia , 1.03; 95% confidence interval [CI], 1.01–1.05). Close relatives, first- (HR oligozoospermia , 1.17; 95% CI, 1.07–1.28) and second-degree relatives (HR azoospermia , 1.11; 95% CI, 1.04–1.20; HR oligozoospermia , 1.05; 95% CI,1.01–1.09), of azoospermic and oligozoospermic men had the highest all-cause and cause-specific mortality risk, including death attributed to cardiovascular disease or congenital birth conditions. Conclusion: Our results suggest that familial all-cause and cause-specific mortality risk differ by fertility phenotype. Families of azoospermic and oligozoospermic men showed significantly increased risk, particularly for close relatives. This study provides further evidence that shared genetic and/or environmental factors could influence both fertility and somatic health.

Male fertility↗

A Distinct Atmospheric Mode for California Precipitation

The hydrologic cycle in California is strongly influenced by wet-season (November–April) precipitation. Here, we demonstrate the existence of an influential mode of North Pacific atmospheric pressure variability that regulates wet-season precipitation variability over both northern and southern California. This mode, named as the “California precipitation mode” (CPM), is statistically distinct from other well-known modes of pressure variability such as the Pacific-North American pattern. In addition to controlling wet-season mean precipitation, positive days of the CPM coincide with up to 90% of the extreme (>99th percentile) precipitation days and 76% of detected atmospheric rivers (ARs) days, while the negative days correspond with 60% of the dry days. CMIP6 models capture the CPM remarkably well, including its statistical separation from the other well-known modes of pressure variability. The models also reproduce the CPM's strong association with California wet-season precipitation, giving confidence in the models’ dynamics relating to regional hydrologic extremes. However, the models also exhibit biases in regional hydrologic extremes. The CPM is a useful way to understand the origins of those biases and select the more credible models for further analysis: Models with unrealistically strong gradients in the CPM pressure pattern generally oversimulate larger wet extremes and produce excessively long dry intervals in the historical period. Thus the hydrologic biases can be traced to the particular aspects of North Pacific atmospheric dynamics.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Systemic immunological responses are dependent on sex and ovarian hormone presence following acute inhaled woodsmoke exposure

Background: Rural regions of the western United States have experienced a noticeable surge in both the frequency and severity of acute wildfire events, which brings significant challenges to both public safety and environmental conservation efforts, with impacts felt globally. Identifying factors contributing to immune dysfunction, including endocrinological phenotypes, is essential to understanding how hormones may influence toxicological susceptibility. Methods: This exploratory study utilized male and female C57BL/6 mice as in vivo models to investigate distinct responses to acute woodsmoke (WS) exposure with a focus on sex-based differences. In a second set of investigations, two groups were established within the female mouse cohort. In one group, mice experienced ovariectomy (OVX) to simulate an ovarian hormone-deficient state similar to surgical menopause, while the other group received Sham surgery as controls, to investigate the mechanistic role of ovarian hormone presence in driving immune dysregulation following acute WS exposure. Each experimental cohort followed a consecutive 2-day protocol with daily 4-h exposure intervals under two conditions: control HEPA-filtered air (FA) and acute WS to simulate an acute wildfire episode. Results: Metals analysis of WS particulate matter (PM) revealed significantly increased levels of 63 Cu, 182 W, 208 Pb, and 238 U, compared to filtered air (FA) controls, providing insights into the specific metal components most impacted by the changing dynamics of wildfire occurrences in the region. Male and female mice exhibited diverse patterns in lung mRNA cytokine expression following WS exposure, with males showing downregulation and females displaying upregulation, notably for IL-1β, TNF-α, CXCL-1, CCL-5, TGF-β, and IL-6. After acute WS exposure, there were notable differences in the responses of macrophages, neutrophils, and bronchoalveolar lavage (BAL) cytokines IL-10, IL-6, IL-1β, and TNF-α. Significant diverse alterations were observed in BAL cytokines, specifically IL-1β, IL-10, IL-6, and TNF-α, as well as in the populations of immune cells, such as macrophages and polymorphonuclear leukocytes, in both Sham and OVX mice, following acute WS exposure. These findings elucidated the profound influence of hormonal changes on inflammatory outcomes, delineating substantial sex-related differences in immune activation and revealing altered immune responses in OVX mice due to ovarian hormone deficiency. In addition, the flow cytometry analysis highlighted the complex interaction between OVX surgery, acute WS exposure, and their collective impact on immune cell populations within the hematopoietic bone marrow niche. Conclusions: In summary, both male and female mice, alongside females subjected to OVX and those who had sham surgery, exhibit significant variations in the expression of proinflammatory cytokines, chemokines, lung mRNA gene expression, and related functional networks linked to signaling pathways. These differences potentially act as mediators of sex-specific and hormonal influences in the systemic inflammatory response to acute WS exposure during a wildfire event. Understanding the regulatory roles of genes expressed differentially under environmental stressors holds considerable implications, aiding in identifying sex-specific therapeutic targets for addressing acute lung inflammation and injury.

59 BASIC BIOLOGICAL SCIENCES↗

Non-contact imaging of terahertz surface currents with aperture-type near-field microscopy

Terahertz (THz) near-field imaging and spectroscopy provide valuable insights into the fundamental physical processes occurring in THz resonators and metasurfaces on the subwavelength scale. However, so far, the mapping of THz surface currents has remained outside the scope of THz near-field techniques. In this study, we demonstrate that aperture-type scanning near-field microscopy enables non-contact imaging of THz surface currents in subwavelength resonators. Through extensive near-field mapping of an asymmetric D-split-ring THz resonator and full electromagnetic simulations of the resonator and the probe, we demonstrate the correlation between the measured near-field images and the THz surface currents. The observed current dynamics in the interval of several picoseconds reveal the interplay between several excited modes, including dark modes, whereas broadband THz near-field spectroscopy analysis enables the characterization of electromagnetic resonances defined by the resonator geometry.

Norman, Sarah↗

Fracture Network Prediction Using Physics-based Machine Learning Algorithms

In recent years, systematic CO2 injection into geological reservoirs across the U.S. has gained traction as a strategy to mitigate greenhouse gas emissions. This approach necessitates precise monitoring to ensure secure containment, minimize risks, and optimize storage management. Our study leverages machine learning (ML) techniques to advance the understanding of CO2 injection processes, focusing on the Illinois Basin. Over a three-year injection period, we analyzed microseismic data, identifying 19 temporal intervals with significant bottom-hole pressure changes. By partitioning microseismic events into these intervals and estimating b-values, we revealed over 100 clusters of events related to fracture initiation or reactivation. Advanced spatial analysis highlighted horizontally-oriented fractures along the NNW-SSE axis. This quantification of fracture networks informs dynamic injection scheduling, work-over strategies, and risk assessments, enhancing carbon capture, utilization, and storage (CCUS) operations. Additionally, our methodology offers valuable insights for oil and gas operations and geothermal development, supporting fracture-based monitoring and risk mitigation.

Kumar, Abhash↗

Computational Prediction of Infrasound Arrival Times and Directions from Stationary and Moving Impulsive Sources

This report addresses the need to predict infrasound signal arrival times and back azimuths at monitoring stations, enabling more focused and efficient searches within recorded waveform data. The primary challenge is estimating expected signal arrival windows for stationary and moving acoustic sources, such as chemical explosions, volcanic eruptions, meteoroids, and spacecraft re-entry events. To address this challenge, a reproducible methodology is described that uses simplified propagation speeds for boundary layer, tropospheric, stratospheric, and thermospheric atmospheric waveguides. While the Python source code itself is not freely available, this document provides detailed, step-by-step instructions, and equations enabling users to replicate and adapt the method independently. The method reliably predicts signal arrival intervals and back azimuths, thereby supporting rapid detection and accurate interpretation of infrasound events. Results demonstrate that this method effectively identifies plausible signal arrival intervals and directions, facilitating faster event detection and more reliable interpretation. This methodology directly supports atmospheric monitoring, planetary defense, and forensic analysis of explosive atmospheric events.

47 OTHER INSTRUMENTATION↗

Impact of Glass Irradiation on Laser-induced Breakdown Spectroscopy Diagnostics in the Visible and NIR Range

Increased absorption of optical materials arising from the exposure to ionizing radiation must be accounted for to accurately analyze the laser-induced breakdown spectroscopy (LIBS) data retrieved from high-radiation environments. We evaluate this effect on a specifc example that mimics the diagnostics placed within a gas-cooled fast reactor coolant stream. Analysis is performed on the LIBS data measured with 1% Xe gas in an ambient He environment and the measured optical absorption from the gamma- and neutron-irradiated low-OH fused silica and sapphire glasses. No significant change in the number of shots required to reach a 3σ detection level was observed up to 10 Mrad gamma dose and exposure to a 1.7×10 17 n/cm 2 neutron fluence. In contrast, the spectral dependence of absorption results in either a systematic overestimation or underestimation of line intensity ratios, depending on the line of interest selected for analysis. Moreover, if lines from different spectral regions are used to create Boltzmann plots, this attenuation also leads to statistically significant changes in the calculated temperatures for calculations using Xe II lines only, lowering them from 8000±610 K to 6800±810 K for the case of exposure to the 1.7×10 17 n/cm 2 flux, and broadening the temperature range required for a 95% confidence interval. In the case of measuring the Xe spectrum, these effects may be mitigated using only the longer-wavelength spectral region, where radiation-attenuation is relatively small, or through analysis using the iterative Saha-Boltzmann method.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Sources of error in detonation calorimeters and error analysis for neat 2,4,6-triamino-1,3,5- trinitrobenzene (TATB)

Here, a calorimeter for measuring heats of detonation at Lawrence Livermore National Laboratory is described. A calibration precision of 0.2 % at the 95 % confidence interval (CI) is reported. Sources of uncertainty are discussed, including nonequivalent sources, which are those arising from differences between calibration and experimental tests. The systematic error due to nonequivalent sources is bounded to 0.19–0.22 % of the measured heat for a standard detonation test where the confinement material is gold. The recommendation is to correct for the systematic error by adding 0.19 % to the reported value and adding 0.03 % to the uncertainty. It is demonstrated that the precision of a detonation test is variable with testing duration because a source of uncertainty resides in the thermodynamic correction factor k6, which accounts for the contribution to heat by stirring; the generated power is additive and therefore highly impacted by total test time. The relative proportion also varies with the magnitude of heat release and sample size, adding variance to the weight of the error arising from the correction factor. A full error analysis based on the described sources of uncertainty is developed. The methodology is applied to a test series on neat 2,4,6-triamino-1,3,5- trinitrobenzene (TATB), demonstrating an ultimate precision of 0.7 % (single test) for materials testing and a relative standard deviation of 1.8 %.

47 OTHER INSTRUMENTATION↗

Fracture Analysis of Cohesive Zone Models for Modeling Residual Stress Induced Delamination in Composite Structures

A fracture study of coupon-scale composite cylinders with embedded defects was conducted with an objective to assess and validate a modeling approach using two available cohesive material models. The study included experimental and simulation evaluations of initiation of crack growth and progression. Interrupted thermal experiments used acoustic emissions monitoring to identify the onset of crack progression during each cooling interval and ultrasonic scanning provided images of defect growth. Verification, validation, and uncertainty quantification (VVUQ) processes were performed in the assessment of the simulation predicted temperature at which crack propagation begins (quantity of interest). The Sobol sensitivity analysis identified the hoop direction elastic modulus in the carbon fiber reinforced polymer (CFRP) plies as the most influential parameter for simulations using both cohesive models, accounting for at least 70% of the variation in the temperature at crack propagation. The UQ temperature range for the Tvergaard-Hutchinson model was higher (more conservative) than the experimental acoustic measurement indicators of crack progression, while the temperature range for the Thouless-Parmigiani model enveloped the experimental data points for the primary defect size of 0.75 x 1 in. The simulations could not capture the stable crack growth indicated in the experiments. This is likely due to the models’ inability to represent anisotropic fracture toughness attributed to the structure of the orthotropic fiber weave in a woven composite laminate.

42 ENGINEERING↗

Moving Beyond Mortality: Development and Application of a Desirability of Outcome Ranking (DOOR) Endpoint for Hospital-Acquired Bacterial Pneumonia and Ventilator-Associated Bacterial Pneumonia

Abstract Background Hospital-acquired and ventilator-associated bacterial pneumonia (HABP/VABP) are frequently caused by multidrug-resistant organisms. Patient-centered endpoints in clinical trials are needed to develop new antibiotics for HABP/VABP. Desirability of outcome ranking (DOOR) is a paradigm for the design, analysis, and interpretation of clinical trials based on a patient-centered, benefit-risk evaluation. Methods A multidisciplinary committee created an infectious diseases DOOR endpoint customized for HABP/VABP, incorporating infectious complications, serious adverse events, and mortality. We applied this to 2 previously completed, large randomized controlled trials for HABP/VABP. ZEPHyR compared vancomycin to linezolid and VITAL compared linezolid to tedizolid. For each trial, we evaluated the DOOR distribution and probability, including DOOR component and partial credit analyses. We also applied DOOR in subgroup analyses. Results In both trials, the HABP/VABP DOOR demonstrated similar overall clinical outcomes between treatment groups. In ZEPHyR, the probability that a participant treated with linezolid would have a more desirable outcome than a participant treated with vancomycin was 50.2% (95% confidence interval [CI], 45.1%­−55.3%). In VITAL, the probability that a participant treated with tedizolid would have a more desirable outcome than a participant treated with linezolid was 48.7% (95% CI, 44.8%–52.6%). The DOOR component analysis revealed that participants treated with tedizolid had a less desirable outcome than those treated with linezolid when considering clinical response alone. However, participants with decreased renal function had improved overall outcomes with tedizolid. Conclusions The HABP/VABP DOOR provided more granular information about clinical outcomes than is typically presented in clinical trials. HABP/VABP trials would benefit from prospectively using DOOR.

Immunology↗