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At least 1,441 records · Page 80

Advancing Asset Management in Water Infrastructure Systems

Aging water system infrastructure, including drinking water, wastewater, and stormwater, poses a growing challenge for utilities and municipalities. These water systems have well documented challenges with respect to their age, condition, and level of service. ASCE annual report cards consistently rate these infrastructure systems in the United States as underfunded, overcapacity, or past service life (ASCE 2025 Report Card). For example, Chini and Stillwell (2017) estimated that the mean water loss in drinking water systems, i.e., non-revenue water, is approximately 16% across the United States. These concerns are not just relegated to the United States, with Courtenay, British Columbia, identifying 17% of their water main pipes as in a ‘poor’ condition state, defined as a category condition 5 out of 5 (City of Courtenay, 2024). These cases illustrate the challenges utilities are facing to manage extensive networks of infrastructure to deliver a consistent and high level of service. For buried infrastructure such as water systems, studies suggest that preventative interventions can lead to lower maintenance costs and fewer service disruptions (Mazumder et al, 2018; Li et al, 2014). The demonstrated need and benefit of appropriately applied asset management is juxtaposed against the relatively sparse literature that evaluates water systems within an asset management construct. Since 2020, just 37 papers specifically reference asset management in the Journal of Water Resources Planning and Management. Of those, only a few specifically look to develop strategies for improved asset management. Therefore, we highlight four key research areas that represent opportunities for advancement of asset management research for water systems. First, advances in condition assessment and forecasting are needed to better estimate asset deterioration using diverse datasets. Second, machine learning (ML) and artificial intelligence (AI) hold promise for predictive maintenance and investment prioritization, though questions of generalizability and model transparency remain. Third, applying a value of information framework can guide utilities in making cost-effective sensor deployment and data collection decisions, to direct monitoring strategies towards data-informed asset management decisions. Finally, integrated infrastructure management is critical, requiring coordinated planning with other infrastructure systems and stakeholder engagement to reduce costs and enhance service delivery.

Chini, Christopher M.↗

Monitoring Stock-Specific Abundance, Run Timing, and Straying of Chinook Salmon in the Columbia River Using Genetic Stock Identification (GSI)

Abstract Genetic stock identification (GSI) provides a method of characterizing stock-specific abundance, run timing, and straying as they pertain to the population demographics and behavior of both hatchery and wild fish and thus assists with fisheries management. In this study, tissues were collected and genotyped at 13 microsatellite loci from adult Chinook Salmon Oncorhynchus tshawytscha that passed Bonneville Dam during four consecutive migration years (2004–2007). GSI methods were used to estimate the proportions of stocks in a broad genetic baseline, with high-density coverage of Chinook Salmon across the eastern Pacific Rim. The estimates of abundance for interior Columbia River stocks showed widespread decline consistent with a shift to poor ocean conditions during the years when the fish in this study were at sea, but divergent stock- and age-specific patterns were also observed. For example, the upper Columbia River spring-run stock experienced a unique net gain in abundance during this period, and the interior Columbia River summer–fall-run stock experienced a delayed decline of 4-year-olds. Stocks with early run timing shifted to later migrations. However, run timing distributions did not shift unidirectionally for all stocks across years, and stock membership in three major run timing categories was maintained. Of 9,215 total adults sampled, 27 (0.3%) were out-of-basin strays and a quarter of the strays were putatively of wild origin. The general concordance of GSI results with those based on more traditional methods supports the effectiveness of GSI as a tool for fisheries management. Received May 5, 2013; accepted October 23, 2013 Published online February 10, 2014

Hess, Jon E.↗

Occasions for laughter and dementia risk: Findings from a six‐year cohort study

Aim Currently, there is little evidence on the relationship between laughter and the risk of dementia, and since laughter is mainly a social behavior, we aimed to examine the association between various occasions for laughter and the risk of dementia in Japanese older adults. Methods We draw upon 6‐year follow‐up data from the Japan Gerontological Evaluation Study, including 12 165 independent older adults aged 65 years or over. Occasions for laughter were assessed using a questionnaire, while dementia was diagnosed using the standardized dementia scale of the long‐term care insurance system in Japan. Cox proportional hazards models were estimated, yielding hazard ratios and 95% confidence intervals (CIs). Results The multivariable hazard ratio of dementia incidence for all participants in the groups for high versus low variety of occasions for laughter was 0.84 (95% CI: 0.72–0.98, P for trend <0.001). A greater variety of occasions for laughter was associated with a lower risk of dementia 0.78 (95% CI: 0.63–0.96, P for trend <0.001) among women, but was less pronounced for men, with significant associations only for the medium group. Laughing during conversations with friends, communicating with children or grandchildren, and listening to the radio were primarily associated with decreased risk. Conclusion A greater variety of laughter occasions in individual and social settings was associated with a reduced risk of dementia. Geriatr Gerontol Int 2022; 22: 392–398 .

Wang, Yu↗

Fall Prevention in Community Settings: Results from Implementing Tai Chi: Moving for Better Balance in Three States

Tai Chi: Moving for Better Balance (TCMBB) is an evidence-based fall prevention exercise program being disseminated in selected communities through state injury prevention programs. This study: (1) describes the personal characteristics of TCMBB participants; (2) quantifies participants’ functional and self-reported health status at enrollment; and (3) measures changes in participants’ functional and self-reported health status post-intervention. There were 421 participants enrolled in 36 TCMBB programs delivered in Colorado, New York, and Oregon. Of the 209 participants who completed both baseline enrollment and post-intervention surveys, the average age of participants was 75.3 (SD ± 8.2) years. Most participants were female (81.3%), non-Hispanic (96.1%), White (94.1%), and described themselves as in excellent or very good health (52.2%). Paired t-test and general estimating equation models assessed changes over the 3-month program period. Pre- and post-assessment self-reported surveys and objective functional data [Timed Up and Go (TUG) test] were collected. On average, TUG test scores decreased (p < 0.001) for all participants; however, the decrease was most noticeable among high-risk participants (mean decreased from 18.5 to 15.7 s). The adjusted odds ratio of reporting feeling confident that a participant could keep themselves from falling was five times greater after completing the program. TCMBB, which addresses gait and balance problems, can be an effective way to reduce falls among the older adult population. By helping older adults maintain their functional abilities, TCMBB can help community-dwelling older adults continue to live independently.

60 APPLIED LIFE SCIENCES↗

Two small temperate planets transiting nearby M dwarfs in K2 campaigns 0 and 1

The prime Kepler mission revealed that small planets (<4 R{sub ⊕}) are common, especially around low-mass M dwarfs. K2, the repurposed Kepler mission, continues this exploration of small planets around small stars. Here we combine K2 photometry with spectroscopy, adaptive optics imaging, and archival survey images to analyze two small planets orbiting the nearby field-age M dwarfs, K2-26 (EPIC 202083828) and K2-9. K2-26 is an M1.0±0.5 dwarf at 93 ± 7 pc from K2 Campaign 0. We validate its planet with a day period of 14.5665 and estimate a radius of 2.67{sub −0.42}{sup +0.46} R{sub ⊕}. K2-9 is an M2.5±0.5 dwarf at 110 ± 12 pc from K2 Campaign 1. K2-9b was first identified by Montet et al.; here we present spectra and adaptive optics imaging of the host star and independently validate and characterize the planet. Our analyses indicate K2-9b is a 2.25{sub −0.96}{sup +0.53} R{sub ⊕} planet with a 18.4498 day period. K2-26b exhibits a transit duration that is too long to be consistent with a circular orbit given its measured stellar radius. Thus, the long transits are likely due to the photoeccentric effect and our transit fits hint at an eccentric orbit. Both planets receive low incident flux from their host stars and have estimated equilibrium temperatures <500 K. K2-9b may receive approximately Earth-like insolation. However, its host star exhibits strong GALEX UV emission which could affect any atmosphere it harbors. K2-26b and K2-9b are representatives of a poorly studied class of small planets with cool temperatures that have radii intermediate to Earth and Neptune. Future study of these systems can provide key insight into trends in bulk composition and atmospheric properties at the transition from silicate dominated to volatile rich bodies.

79 ASTRONOMY AND ASTROPHYSICS↗

The High-energy Radiation Environment around a 10 Gyr M Dwarf: Habitable at Last?

Recent work has demonstrated that high levels of X-ray and UV activity on young M dwarfs may drive rapid atmospheric escape on temperate, terrestrial planets orbiting within the habitable zone. However, secondary atmospheres on planets orbiting older, less active M dwarfs may be stable and present more promising candidates for biomarker searches. In order to evaluate the potential habitability of Earth-like planets around old, inactive M dwarfs, we present new Hubble Space Telescope and Chandra X-ray Observatory observations of Barnard’s Star (GJ 699), a 10 Gyr old M3.5 dwarf, acquired as part of the Mega-MUSCLES program. Despite the old age and long rotation period of Barnard’s Star, we observe two FUV (δ 130 ≈ 5000 s; E 130 ≈ 10 29.5 erg each) and one X-ray (E X ≈ 10 29.2 erg) flares, and we estimate a high-energy flare duty cycle (defined here as the fraction of the time the star is in a flare state) of ~25%. A publicly available 5 Å to 10 μm spectral energy distribution of GJ 699 is created and used to evaluate the atmospheric stability of a hypothetical, unmagnetized terrestrial planet in the habitable zone (r HZ ~ 0.1 au). Both thermal and nonthermal escape modeling indicate (1) the quiescent stellar XUV flux does not lead to strong atmospheric escape: atmospheric heating rates are comparable to periods of high solar activity on modern Earth, and (2) the flare environment could drive the atmosphere into a hydrodynamic loss regime at the observed flare duty cycle: sustained exposure to the flare environment of GJ 699 results in the loss of ≈87 Earth atmospheres Gyr -1 through thermal processes and ≈3 Earth atmospheres Gyr -1 through ion loss processes. These results suggest that if rocky planet atmospheres can survive the initial ~5 Gyr of high stellar activity, or if a second-generation atmosphere can be formed or acquired, the flare duty cycle may be the controlling stellar parameter for the stability of Earth-like atmospheres around old M stars.

79 ASTRONOMY AND ASTROPHYSICS↗

Shallow lunar structure determined from the passive seismic experiment

Data relevant to the shallow structure of the moon obtained at the Apollo seismic stations are compared with previously published results of the active seismic experiments. It is concluded that the lunar surface is covered by a layer of low seismic velocity which appears to be equivalent to the lunar regolith defined previously by geological observations. This layer is underlain by a zone of distinctly higher seismic velocity at all of the Apollo landing sites. The regolith thicknesses at the Apollo 11, 12, and 15 sites are estimated from the shear-wave resonance to be 4.4, 3.7, and 4.4 m, respectively. These thicknesses and those determined at the other Apollo sites by the active seismic experiments appear to be correlated with the age determinations and the abundances of extralunar components at the sites.

Nakamura, Y.↗

The influence of supernovae and passing stars on comets in the Oort cloud

It is demonstrated here that the passage of luminous stars through the Oort Cloud over the age of the solar system will subject all comets to heating episodes up to at least 16 K, and a sizeable fraction to 30 K. Stochastic supernovae have even more striking effects during monthlong events; conservative estimates of the supernovae are in the Galactic disk suggest that most comets have been heated to 45 K, and a fraction to about 60 K. These results imply that comets are not fully pristine relics of solar system formation.

Stern, S. Alan↗

Physical parameters for three chromospherically active binaries

High-resolution spectroscopy, photoelectric radial-velocity observations, and uvby photometry are reported for three southern late-type binaries. Data obtained at ESO during 1988 and 1989 are combined with previously published results in extensive tables and graphs and analyzed in detail. HD 57853 is found to be at least a triple system with period 122.2 d and components of strongly differing luminosity; the primary component rotates rapidly (v sin i = 22 km/sec) and has an age of about 80 Myr. HD 114630 comprises two components of equal mass (at least 1.07 solar mass) and luminosity, with orbital inclination about 90 deg, period 4.23 d, rotation v sin i = about 17 km/sec, and age about 2 Gyr. HD 119285 has rotational period 12.031 d, with a K2IVe primary rotating at v sin i = 6.5 km/sec and a very low-mass secondary; its X-ray surface flux is estimated as 5.5 x 10 to the 6th erg/sq cm sec.

Saar, S. H.↗

The Star Formation History of Orion and its Environs

During this period of performance, we have obtained the following observations and carried out the analysis of the Orion associations itemized below. 1. Quest Optical Photometry: The photometric survey carries out with the Quest camera is finished. The strips at declinations +1 degree and -1 degree have already been processed. Photometry for a total of around 400,000 stars was obtained in these two strips with the Quest camera pipeline. Around 24,000 variables were picked out of this total by our variability software. Of these, around 2,500 stars fall above the main sequence and so were picked as candidates for spectroscopic follow-up. 2. Slit spectroscopy of bright candidates: Spectra for some 800 candidate PMS stars were obtained with the FAST spectrograph at the SAO 1.5m telescope in Mt. Hopkins. The spectra are being analyzed; 300 stars have been confirmed as young. 3. Multifiber spectroscopy: The first test of the multifiber spectrograph Hectoechelle were carried out in December 2003. One field of the Orion Nebula Cluster was observed with Hectochelle at three wavelength settings. A total of 157 spectra were obtained. Of these, 63 stars have been confirmed as Classical T Tauri stars, and 36 additional stars need further follow up. A paper is in preparation. 4. UBVRI photometry: We were granted time with the 4-shooter CCD Mosaic Camera at the SAO 1.2m telescope, to obtain UBVRI photometry of a subset of 53 newly identified T Tauri stars in the strips centered at DEC=-1 and +l. This sample is composed of strong Halpha emitting PMS stars (Classical T Tauri stars) located mostly in the Orion OB l b association, around the Orion Belt area. We have estimated mass accretion rates for 22 for these stars using the U photometry and the calibration of Gullbring et al. (1998), and found it to be similar to that of young stars in associations of similar age. 5. Near and mid-IR photometry: During the winter of 2003, we used the IR Camera on the SAO 1.2m telescope, to obtain L- band photometry of a set of the newly identified Orion OB l a and l b stars, in order to look for IR excess emission coming from the hotter inner parts of circumstellar disks. These data is being combined with the GEMINI/OSCIR 10 micron photometry obtained during 2002 and the mass accretion rates to determine the properties of disks in Ori lb. A paper is presently on preparation.

Calvet, Nuria↗

Regional quantitative play fairway analysis: methodology global examples and application for the East African Rift system

Most volcanic arcs and active rifts around the world host producing geothermal systems. Many undiscovered and/or undeveloped systems remain in each of these areas, including magmatic-heated systems, amagmatic extension-related systems, and blind resources lacking active surface manifestations in both types of settings. However, not all volcanic centers or extensional terranes have the same geothermal potential. For example, even when high heat flow is present, permeability is commonly a limiting factor to resource development. A tool recently adapted for the geothermal industry is play fairway analysis, which calculates the regional probability of power-capable resources based on the spatial coincidence of key geologic conditions. In a geothermal setting, these key geologic conditions are heat, permeability, and fluids. Higher enthalpy systems also benefit from suitable cap rock. These parameters can be assessed through multiple geologic, geochemical, and geophysical data sets and integrated quantitatively to produce a single geothermal play fairway map. Potential input data sets include but are not limited to: 1) tectonic setting; 2) structural setting; 3) faults attributed by recency of rupture and slip rate; 3) geodetic crustal stain models; 5) gravity; 6) earthquake distribution; 7) thermal models; 8) geochemistry from springs, wells, and fumaroles; 9) temperature from springs, wells, and fumaroles; 10) fumarole size and type; and 11) age of volcanism. Recent play fairway studies have been completed for volcanic arcs and the dominantly amagmatic, extensional Great Basin region, USA, but have yet to be applied to the East African Rift System (EARS). Previous estimates of total geothermal resource capacity in the EARS is ~20 GWe, but only three areas are currently in production as of 2015: Olkaria and Eburru in Kenya, and Aluto-Langano in Ethiopia for a total installed capacity of <0.7 GWe. Many more volcanic centers host potential resources. In addition, amagmatic and/or blind systems also have potential in the EARS. Play fairway analysis can highlight regions most prospective for geothermal resource development, help identify locations prospective for undiscovered resources, prioritize overall exploration and development efforts, and refine estimates for total undeveloped resource potential.

15 GEOTHERMAL ENERGY↗

NASA Models of Space Radiation Induced Cancer, Circulatory Disease, and Central Nervous System Effects

The risks of late effects from galactic cosmic rays (GCR) and solar particle events (SPE) are potentially a limitation to long-term space travel. The late effects of highest concern have significant lethality including cancer, effects to the central nervous system (CNS), and circulatory diseases (CD). For cancer and CD the use of age and gender specific models with uncertainty assessments based on human epidemiology data for low LET radiation combined with relative biological effectiveness factors (RBEs) and dose- and dose-rate reduction effectiveness factors (DDREF) to extrapolate these results to space radiation exposures is considered the current "state-of-the-art". The revised NASA Space Risk Model (NSRM-2014) is based on recent radio-epidemiology data for cancer and CD, however a key feature of the NSRM-2014 is the formulation of particle fluence and track structure based radiation quality factors for solid cancer and leukemia risk estimates, which are distinct from the ICRP quality factors, and shown to lead to smaller uncertainties in risk estimates. Many persons exposed to radiation on earth as well as astronauts are life-time never-smokers, which is estimated to significantly modify radiation cancer and CD risk estimates. A key feature of the NASA radiation protection model is the classification of radiation workers by smoking history in setting dose limits. Possible qualitative differences between GCR and low LET radiation increase uncertainties and are not included in previous risk estimates. Two important qualitative differences are emerging from research studies. The first is the increased lethality of tumors observed in animal models compared to low LET radiation or background tumors. The second are Non- Targeted Effects (NTE), which include bystander effects and genomic instability, which has been observed in cell and animal models of cancer risks. NTE's could lead to significant changes in RBE and DDREF estimates for GCR particles, and the potential effectiveness of radiation mitigator's. The NSRM- 2014 approaches to model radiation quality dependent lethality and NTE's will be described. CNS effects include both early changes that may occur during long space missions and late effects such as Alzheimer's disease (AD). AD effects 50% of the population above age 80-yr, is a degenerative disease that worsens with time after initial onset leading to death, and has no known cure. AD is difficult to detect at early stages and the small number of low LET epidemiology studies undertaken have not identified an association with low dose radiation. However experimental studies in mice suggest GCR may lead to early onset AD. We discuss modeling approaches to consider mechanisms whereby radiation would lead to earlier onset of occurrence of AD. Biomarkers of AD include amyloid beta (A(Beta)) plaques, and neurofibrillary tangles (NFT) made up of aggregates of the hyperphosphorylated form of the micro-tubule associated, tau protein. Related markers include synaptic degeneration, dentritic spine loss, and neuronal cell loss through apoptosis. Radiation may affect these processes by causing oxidative stress, aberrant signaling following DNA damage, and chronic neuroinflammation. Cell types to be considered in multi-scale models are neurons, astrocytes, and microglia. We developed biochemical and cell kinetics models of DNA damage signaling related to glycogen synthase kinase-3(Beta) (GSK3(Beta)) and neuroinflammation, and considered multi-scale modeling approaches to develop computer simulations of cell interactions and their relationships to A(Beta) plaques and NFTs. Comparison of model results to experimental data for the age specific development of A(Beta) plaques in transgenic mice will be discussed.

Cucinotta, Francis A.↗

Dose Coefficients for Internal Dose Assessments for Exposure to Radioactive Fallout

This paper presents values as well as the bases for calculating internal dose coefficients suitable for estimating organ doses from the exposure to radioactive fallout that could result from the detonation of a nuclear fission device. The 34 radionuclides discussed are the same as those given in a priority list of radionuclides for fallout dose assessments presented in a companion overview paper. The radionuclides discussed are those that are believed to account for a preponderance of the organ doses that might be received by intake by persons of all ages (including in utero and via breast feeding for infants) following exposure to radioactive fallout. The presented dose coefficients for ingestion account for age and include modifications for variations in solubility with distance as discussed previously in the literature, and those for inhalation similarly account for age, solubility, and particle sizes that would be relevant at various distances of exposure as discussed in a companion paper on ingestion dose methods. The proposed modifications peculiar to radioactive fallout account for systematic changes in solubility and particle sizes with distance from the site of detonation, termed here as the region of “local fallout” and the region “beyond local fallout.” Brief definitions of these regions are provided here with more detailed discussion in a companion paper on estimating deposition of fallout radionuclides. This paper provides the dose coefficients for ingestion and inhalation (for particle sizes of 1 μm, 5 μm, 10 μm, and 20 μm) for the region “local fallout.” These dose coefficients for “local fallout” are specific for particles formed in a nuclear explosion that can be large and have radionuclides, particularly the more refractory ones, distributed throughout the volume where the radionuclide has reduced solubility. The dose coefficients for the region “beyond local fallout” are assumed to be the ones published by the International Commission on Radiological Protection (ICRP) in 1995. Comparisons of the presented dose coefficients are made with values published by the ICRP.

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTAN↗

R2 relaxometry based MR imaging for estimation of liver iron content: A comparison between two methods

Purpose: To compare the reproducibility and accuracy of R2-relaxometry MRI for estimation of liver iron concentration (LIC) between in-house analysis and FDA-approved commercially available third party results. Methods: All MR studies were performed on a 1.5T scanner. Multi-echo spin-echo scans with a fixed TR and increasing TE values of 6 ms, 9 ms, 12 ms, 15 ms, and 18 ms (spaced at 3 ms intervals) were used. Post-processing of the images to calculate mean relaxivity, R2, included drawing of regions of interest to include the whole liver on mid-slice. The relationship between liver R2 values and estimated LIC calculated with in-house analysis and values reported by an external company (FerriScan{sup ®}, Resonance Health, Australia) were assessed with correlation coefficients and Bland–Altman difference plots. Continuous variables are presented as mean ± standard deviation. Significance was set at p value < 0.05. Results: 474 studies from 175 patients were included in the study (mean age 10.4 ± 4.2 years (range 1–18 years); 254 studies from girls, 220 studies from boys). LIC ranged from 0.6 to 43 mg/g dry tissue, covering a broad range from normal levels to extremely high iron levels. Linearity between proprietary and in-house methods was excellent across the observed range for R2 (31.5 to 334.8 s{sup −1}); showing a correlation coefficient of r = 0.87, p < 0.001. Bland–Altman R2 difference plot between the two methods shows a mean bias of + 21.5 s{sup −1} (range − 47.0 to + 90.0 s{sup −1} between two standard deviations). LIC reported by FerriScan{sup ®} compared with LIC estimated in-house with R2 as reported by FerriScan{sup ®} agreed strongly, (r = 1.0, p < 0.001). Conclusion: R2 relaxometry MR imaging for liver iron concentration estimation is reproducible between proprietary FDA-approved commercial software and in-house analysis methods.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Beryllium disease among construction trade workers at Department of Energy nuclear sites: A follow‐up

Abstract Background Construction workers at U.S. Department of Energy (DOE) nuclear weapons facilities are screened to identify DOE‐related occupational illnesses, including beryllium sensitization (BeS) and chronic beryllium disease (CBD). The study objectives were to estimate beryllium disease risks and the CBD claims acceptance rate in the energy workers' benefits program. Methods Workers diagnosed with BeS via beryllium lymphocyte proliferation test (BeLPT) included in screening examinations were interviewed about subsequent diagnosis of CBD. We estimated the proportion who developed CBD based on the ratio of CBD cases, based on self‐reported compensation claim status, to all workers with BeS interviewed. We used stratified analyses to explore trends in disease frequency by age, race, sex, DOE employment duration, site, trade group, and cigarette smoking history. Results Between 1998 and 2020, 21,854 workers received a BeLPT; 262 (1.20%) had BeS (two abnormals or one abnormal plus one borderline test); 212 (0.97%) had a single abnormal BeLPT. Of 177 BeS workers interviewed, 35 (19.8%) reported an accepted CBD compensation claim. The claims acceptance rate among BeS workers increased with years of DOE employment, from 8.4% with <5 years to 33.3% for >25 or more years. Five of 68 interviewed workers with a single positive BeLPT reported CBD claim acceptance; an additional CBD case was confirmed by chart review (8.8%). Conclusions Years of DOE work predict the risk of developing CBD among those sensitized and getting a claim for CBD accepted. Ongoing surveillance and increased awareness of the risk of beryllium exposure and CBD as an occupational disease among construction workers are needed.

Cloeren, Marianne↗

Impact of urine concentration adjustment method on associations between urine metals and estimated glomerular filtration rates (eGFR) in adolescents

Positive associations between urine toxicant levels and measures of glomerular filtration rate (GFR) have been reported recently in a range of populations. The explanation for these associations, in a direction opposite that of traditional nephrotoxicity, is uncertain. Variation in associations by urine concentration adjustment approach has also been observed. Associations of urine cadmium, thallium and uranium in models of serum creatinine- and cystatin-C-based estimated GFR (eGFR) were examined using multiple linear regression in a cross-sectional study of adolescents residing near a lead smelter complex. Urine concentration adjustment approaches compared included urine creatinine, urine osmolality and no adjustment. Median age, blood lead and urine cadmium, thallium and uranium were 13.9 years, 4.0 μg/dL, 0.22, 0.27 and 0.04 g/g creatinine, respectively, in 512 adolescents. Urine cadmium and thallium were positively associated with serum creatinine-based eGFR only when urine creatinine was used to adjust for urine concentration (β coefficient=3.1 mL/min/1.73 m{sup 2}; 95% confidence interval=1.4, 4.8 per each doubling of urine cadmium). Weaker positive associations, also only with urine creatinine adjustment, were observed between these metals and serum cystatin-C-based eGFR and between urine uranium and serum creatinine-based eGFR. Additional research using non-creatinine-based methods of adjustment for urine concentration is necessary. - Highlights: • Positive associations between urine metals and creatinine-based eGFR are unexpected. • Optimal approach to urine concentration adjustment for urine biomarkers uncertain. • We compared urine concentration adjustment methods. • Positive associations observed only with urine creatinine adjustment. • Additional research using non-creatinine-based methods of adjustment needed.

54 ENVIRONMENTAL SCIENCES↗

Early-Stage Classic Hodgkin Lymphoma: The Utilization of Radiation Therapy and Its Impact on Overall Survival

Purpose: To examine the association between radiation therapy (RT) utilization and overall survival (OS) for patients with early-stage Hodgkin lymphoma (HL). Methods and Materials: Using the National Cancer Database, we evaluated clinical features and survival outcomes among patients diagnosed with stage I/II HL from 1998 to 2011. The association between RT use, covariables, and outcome was assessed in a Cox proportional hazards regression model. Propensity score matching was performed to balance observed confounding factors. Survival was estimated using the Kaplan-Meier method. Results: Among the 41,943 patients in the National Cancer Database with stage I/II HL, 29,752 patients were analyzed for this study. Radiation therapy use was associated with younger age (≤40 years), favorable insured status, higher socioeconomic status (income, education), and treatment at comprehensive community cancer centers (all P<.05). Five-year OS for patients receiving RT was 94.5%, versus 88.9% for those not receiving RT (P<.01). Radiation therapy use was a significant predictor of OS in the “As-Treated” cohort (hazard ratio 0.53, 95% confidence interval 0.49-0.58, P<.01) and intention-to-treat analysis (P<.01). After propensity score matching based on clinicopathologic characteristics, RT use remained associated with improved OS (hazard ratio 0.46, 95% confidence interval 0.38-0.56, P<.01). Over the study period, RT utilization for this cohort decreased from 55% to 44%, most commonly because it was not part of the planned initial treatment strategy. Conclusions: Consolidation RT was associated with improved OS for patients with early-stage classic HL. We also have identified patient-specific variations in the use of RT that may be targeted to improve patient access to care.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

WISE Y dwarfs as probes of the brown dwarf-exoplanet connection

We have determined astrometric positions for 15 WISE-discovered late-type brown dwarfs (six T8-9 and nine Y dwarfs) using the Keck-II telescope, the Spitzer Space Telescope, and the Hubble Space Telescope. Combining data from 8 to 20 epochs we derive parallactic and proper motions for these objects, which puts the majority within 15 pc. For ages greater than a few Gyr, as suggested from kinematic considerations, we find masses of 10-30 M {sub Jup} based on standard models for the evolution of low-mass objects with a range of mass estimates for individual objects, depending on the model in question. Three of the coolest objects have effective temperatures ∼350 K and inferred masses of 10-15 M {sub Jup}. Our parallactic distances confirm earlier photometric estimates and direct measurements and suggest that the number of objects with masses below about 15 M {sub Jup} must be flat or declining, relative to higher mass objects. The masses of the coldest Y dwarfs may be similar to those inferred for recently imaged planet-mass companions to nearby young stars. Objects in this mass range, which appear to be rare in both the interstellar and protoplanetary environments, may both have formed via gravitational fragmentation—the brown dwarfs in interstellar clouds and companion objects in a protoplanetary disk. In both cases, however, the fact that objects in this mass range are relatively infrequent suggests that this mechanism must be inefficient in both environments.

79 ASTRONOMY AND ASTROPHYSICS↗