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At least 1,477 records · Page 82

Risk of death from cardiovascular disease associated with low-level arsenic exposure among long-term smokers in a US population-based study

High levels of arsenic exposure have been associated with increases in cardiovascular disease risk. However, studies of arsenic's effects at lower exposure levels are limited and few prospective studies exist in the United States using long-term arsenic exposure biomarkers. We conducted a prospective analysis of the association between toenail arsenic and cardiovascular disease mortality using longitudinal data collected on 3939 participants in the New Hampshire Skin Cancer Study. Using Cox proportional hazard models adjusted for potential confounders, we estimated hazard ratios and 95% confidence intervals associated with the risk of death from any cardiovascular disease, ischemic heart disease, and stroke, in relation to natural-log transformed toenail arsenic concentrations. In this US population, although we observed no overall association, arsenic exposure measured from toenail clipping samples was related to an increased risk of ischemic heart disease mortality among long-term smokers (as reported at baseline), with increased hazard ratios among individuals with ≥ 31 total smoking years (HR: 1.52, 95% CI: 1.02, 2.27), ≥ 30 pack-years (HR: 1.66, 95% CI: 1.12, 2.45), and among current smokers (HR: 1.69, 95% CI: 1.04, 2.75). These results are consistent with evidence from more highly exposed populations suggesting a synergistic relationship between arsenic exposure and smoking on health outcomes and support a role for lower-level arsenic exposure in ischemic heart disease mortality. - Highlights: • Arsenic (As) has been associated with increased cardiovascular disease (CVD) risk. • Little is known about CVD effects at lower levels of As exposure common in the US. • Few have investigated the joint effects of As and smoking on CVD in US adults. • We examine chronic low-level As exposure and smoking in relation to CVD mortality. • Arsenic exposure may increase ischemic heart disease mortality among smokers in US.

60 APPLIED LIFE SCIENCES↗

Measurement of natural radionuclides in Malaysian bottled mineral water and consequent health risk estimation

The radionuclides of {sup 226}Ra, {sup 232}Th and {sup 40}K were measured in ten mineral water samples, of which from the radioactivity obtained, the ingestion doses for infants, children and adults were calculated and the cancer risk for the adult was estimated. Results showed that the calculated ingestion doses for the three age categories are much lower than the average worldwide ingestion exposure of 0.29 mSv/y and the estimated cancer risk is much lower than the cancer risk of 8.40 × 10{sup −3} (estimated from the total natural radiation dose of 2.40 mSv/y). The present study concludes that the bottled mineral water produced in Malaysia is safe for daily human consumption.

61 RADIATION PROTECTION AND DOSIMETRY↗

COVID-19 Evidence Accelerator: A parallel analysis to describe the use of Hydroxychloroquine with or without Azithromycin among hospitalized COVID-19 patients

Background: The COVID-19 pandemic remains a significant global threat. However, despite urgent need, there remains uncertainty surrounding best practices for pharmaceutical interventions to treat COVID-19. In particular, conflicting evidence has emerged surrounding the use of hydroxychloroquine and azithromycin, alone or in combination, for COVID-19. The COVID-19 Evidence Accelerator convened by the Reagan-Udall Foundation for the FDA, in collaboration with Friends of Cancer Research, assembled experts from the health systems research, regulatory science, data science, and epidemiology to participate in a large parallel analysis of different data sets to further explore the effectiveness of these treatments. Methods: Electronic health record (EHR) and claims data were extracted from seven separate databases. Parallel analyses were undertaken on data extracted from each source. Each analysis examined time to mortality in hospitalized patients treated with hydroxychloroquine, azithromycin, and the two in combination as compared to patients not treated with either drug. Cox proportional hazards models were used, and propensity score methods were undertaken to adjust for confounding. Frequencies of adverse events in each treatment group were also examined. Results: Neither hydroxychloroquine nor azithromycin, alone or in combination, were significantly associated with time to mortality among hospitalized COVID-19 patients. No treatment groups appeared to have an elevated risk of adverse events. Conclusion: Administration of hydroxychloroquine, azithromycin, and their combination appeared to have no effect on time to mortality in hospitalized COVID-19 patients. Continued research is needed to clarify best practices surrounding treatment of COVID-19.

60 APPLIED LIFE SCIENCES↗

Reduced-Order Model for Leakage Through an Open Wellbore from the Reservoir due to Carbon Dioxide Injection

Potential CO 2 leakage through existing open wellbores is one of the most significant hazards that need to be addressed in geologic carbon sequestration (GCS) projects. In the framework of the National Risk Assessment Partnership (NRAP) which requires fast computations for uncertainty analysis, rigorous simulation of the coupled wellbore-reservoir system is not practical. We have developed a 7,200-point look-up table reduced-order model (ROM) for estimating the potential leakage rate up open wellbores in response to CO 2 injection nearby. The ROM is based on coupled simulations using T2Well/ECO2H which was run repeatedly for representative conditions relevant to NRAP to create a look-up table response-surface ROM. The ROM applies to a wellbore that fully penetrates a 20-m thick reservoir that is used for CO 2 storage. The radially symmetric reservoir is assumed to have initially uniform pressure, temperature, gas saturation, and brine salinity, and it is assumed these conditions are held constant at the far-field boundary (100 m away from the wellbore). In such a system, the leakage can quickly reach quasi-steady state. The ROM table can be used to estimate both the free-phase CO 2 and brine leakage rates through an open well as a function of wellbore and reservoir conditions. Results show that injection-induced pressure and reservoir gas saturation play important roles in controlling leakage. Caution must be used in the application of this ROM because well leakage is formally transient and the ROM lookup table was populated using quasi-steady simulation output after 1000 time steps which may correspond to different physical times for the various parameter combinations of the coupled wellbore-reservoir system.

54 ENVIRONMENTAL SCIENCES↗

Follow-on Report of Analysis of Approaches to Supplemental Treatment of Low–Activity Waste at the Hanford Nuclear Reservation (Volumes I & II)

The Hanford Site, in southeast Washington State, is preparing to disposition approximately 56,000,000 gallons (56 Mgal) of radioactive and chemically hazardous wastes currently stored in underground tanks at the site. Tank wastes will be divided into a high-activity fraction and a low-activity fraction for subsequent treatment and disposition. A waste processing and treatment facility, the Waste Treatment and Immobilization Plant (WTP), will include the high-level waste (HLW) vitrification facility (WTP HLW Vitrification Facility) for immobilizing the high-activity fraction and a low-activity waste (LAW) vitrification facility (WTP LAW Vitrification Facility) for immobilizing the low-activity fraction. Both facilities will use vitrification technology to immobilize the Hanford tank wastes in a glass waste form.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Fracture Network Localization Preceding Catastrophic Failure in Triaxial Compression Experiments on Rocks

We quantify the spatial distribution of fracture networks throughout six in situ X-ray tomography triaxial compression experiments on crystalline rocks at confining stresses of 5–35 MPa in order to quantify how fracture development controls the final macroscopic failure of the rock, a process analogous to those that control geohazards such as earthquakes and landslides. Tracking the proportion of the cumulative volume of fractures with volumes >90th percentile to the total fracture volume, ∑ v 90 / v t o t indicates that the fracture networks tend to increase in localization toward these largest fractures for up to 80% of the applied differential stress. The evolution of this metric also matches the evolution of the Gini coefficient, which measures the deviation of a population from uniformity. These results are consistent with observations of localizing low magnitude seismicity before large earthquakes in southern California. In both this analysis and the present work, phases of delocalization interrupt the general increase in localization preceding catastrophic failure, indicating that delocalization does not necessarily indicate a reduction of seismic hazard. However, the proportion of the maximum fracture volume to the total fracture volume does not increase monotonically. Experiments with higher confining stress tend to experience greater localization. To further quantify localization, we compare the geometry of the largest fractures, with volumes >90th percentile, to the best fit plane through these fractures immediately preceding failure. The r 2 scores and the mean distance of the fractures to the plane indicate greater localization in monzonite than in granite. The smaller mean mineral diameter and lower confining stress in the granite experiments may contribute to this result. Tracking these various metrics of localization reveals a close association between macroscopic yielding and the acceleration of fracture network localization. Near yielding, ∑ v 90 / v t o t and the Gini coefficient increase while the mean distance to the final failure plane decreases. Macroscopic yielding thus occurs when the rate of fracture network localization increases.

58 GEOSCIENCES↗

Availability of state-level climate change projection resources for use in site-level risk assessment

In recent years, incorporating climate change considerations has become an important focus of organizations’ resilience planning and risk assessment efforts, including United States federal agencies. This has led to an increasing demand for higher-resolution and higher-quality climate projection information that is easy to understand for non-expert users. In particular, there is a demand for information about how climate change may affect high-impact, low-frequency (HILF) hazards that are central to risk assessments focused on infrastructure. While national-level resources like the National Climate Assessment provide information on climate impacts for different sectors and regions in the United States, downscaled information with location-specific context is often required for site-level resilience planning. As higher-resolution and higher-quality climate resources continue to be developed at the state level, it is imperative to understand ongoing and planned efforts, as well as key drivers for developing these state-level resources. Based primarily on stakeholder input from climate experts from 31 states, we identify key state-level climate resources, as well as drivers accelerating the development of these resources. We assess the availability of climate change resources, specifically those with information about HILF events that have been developed at the state level and can support users in conducting site-level resilience planning. We identify three key drivers or predictors for the development of climate change resources at the state level: (1) existence of state laws, mandates, Executive Orders, and other state policies, (2) existence of university partnerships; and (3) the makeup of the stakeholder groups (in terms of dominant discipline/expertise) participating in the effort. The diverse state strategies and resources surveyed in this study could support the incorporation of higher-resolution climate information into site-level planning.

54 ENVIRONMENTAL SCIENCES↗

Particle trajectory computer program for icing analysis of axisymmetric bodies - A progress report

Aircraft exposed to an atmospheric icing environment can accumulate ice, resulting in a sharp increase in drag, a reduction in lift, control surface fouling, and engine damage all of which result in a hazardous flight situation. NASA Lewis Research Center (LeRC) has conducted a program to examine, with the aid of high-speed computer codes, how the trajectories of particles contribute to the ice accumulation on airfoils and engine inlets. For this effort, a computer code was developed to calculate icing particle trajectories and impingement limits for axisymmetric inlets. The original research-oriented NASA code was upgraded and modified to meet the requirements of the design engineer. The improved code is capable of performing trajectory calculations for any atmospheric conditions and droplet sizes. It can handle single droplets or a distribution of various droplet sizes. The four programs that comprise the code are described and the results of a test case using flight conditions for a Fokker F100 icing tunnel test are presented.

Maltezos, Dimitrios G.↗

Atmospheric electricity

In the last three years the focus was on the information contained in the lightning measurement, which is independent of other meteorological measurements that can be made from space. The characteristics of lightning activity in mesoscale convective systems were quantified. A strong relationship was found between lightning activity and surface rainfall. It is shown that lightning provides a precursor signature for wet microbursts (the strong downdrafts that produce windshears hazardous to aircraft) and that the lightning signature is a direct consequence of storm evolution. The Universities Space Research Association (USRA) collaborated with NASA scientists in the preliminary analysis and scientific justification for the design and deployment of an optical instrument which can detect lightning from geostationary orbit. Science proposals for the NASA mesoscale science program and for the Tethered Satellite System were reviewed. The weather forecasting research and unmanned space vehicles. Software was written to ingest and analyze the lightning ground strike data on the MSFC McIDAS system. The capabilities which were developed have a wide application to a number of problems associated with the operational impacts of electrical discharge within the atmosphere.

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Coherent lidar airborne windshear sensor - Performance evaluation

As part of the NASA/FAA National Integrated Windshear Program, a measurable windshear hazard index has been defined that can be remotely sensed from an aircraft, to give the pilot information about the wind conditions along the flight path. A technology analysis and end-to-end performance simulation measuring signal-to-noise ratios and resulting wind velocity errors for competing coherent laser radar (lidar) systems have been carried out. The results show that a Ho:YAG lidar at a wavelength of 2.1 microns and a CO2 lidar at 10.6 microns can give the pilot information about the line-of-sight component of a windshear threat from his present position to a region extending 2-4 km in front of the aircraft. This constitutes a warning time of 20-40 s, even in conditions of moderately heavy precipitation.

Targ, Russell↗

Hydrogen Generator

Another spinoff from spacecraft fuel cell technology is the portable hydrogen generator shown. Developed by General Electric Company, it is an aid to safer operation of systems that use hydrogen-for example, gas chromatographs, used in laboratory analysis of gases. or flame ionization detectors used as $ollution monitors. The generator eliminates the need for high-pressure hydrogen storage bottles, which can be a safety hazard, in laboratories, hospitals and industrial plants. The unit supplies high-purity hydrogen by means of an electrochemical process which separates the hydrogen and oxygen in distilled water. The oxygen is vented away and the hydrogen gas is stored within the unit for use as needed. GE's Aircraft Equipment Division is producing about 1,000 of the generators annually.

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Lunar Landing Trajectory Design for Onboard Hazard Detection and Avoidance

The Autonomous Landing and Hazard Avoidance Technology (ALHAT) Project is developing the software and hardware technology needed to support a safe and precise landing for the next generation of lunar missions. ALHAT provides this capability through terrain-relative navigation measurements to enhance global-scale precision, an onboard hazard detection system to select safe landing locations, and an Autonomous Guidance, Navigation, and Control (AGNC) capability to process these measurements and safely direct the vehicle to a landing location. This paper focuses on the key trajectory design issues relevant to providing an onboard Hazard Detection and Avoidance (HDA) capability for the lander. Hazard detection can be accomplished by the crew visually scanning the terrain through a window, a sensor system imaging the terrain, or some combination of both. For ALHAT, this hazard detection activity is provided by a sensor system, which either augments the crew s perception or entirely replaces the crew in the case of a robotic landing. Detecting hazards influences the trajectory design by requiring the proper perspective, range to the landing site, and sufficient time to view the terrain. Following this, the trajectory design must provide additional time to process this information and make a decision about where to safely land. During the final part of the HDA process, the trajectory design must provide sufficient margin to enable a hazard avoidance maneuver. In order to demonstrate the effects of these constraints on the landing trajectory, a tradespace of trajectory designs was created for the initial ALHAT Design Analysis Cycle (ALDAC-1) and each case evaluated with these HDA constraints active. The ALHAT analysis process, described in this paper, narrows down this tradespace and subsequently better defines the trajectory design needed to support onboard HDA. Future ALDACs will enhance this trajectory design by balancing these issues and others in an overall system design process.

Paschall, Steve↗

Technical Advances for Sustainable Remediation: In Situ Monitoring and Climate Resiliency - 18436

Recent advances in sustainable remediation techniques show promise as solutions for contaminant removal in soil and groundwater media. Although passive remediation (or natural attenuation) has gained momentum as an acceptable technique, there are still challenges in regulatory frameworks as well as in public acceptance. Leaving contaminants in subsurface requires increased burden of proof to show that plumes are stable and residual contaminants do not pose a significant health risk. Climate changes and frequent extreme climate events contribute another level of complexity and make it difficult to demonstrate system stability and predict future plume conditions. In this study, we show two coupled approaches to tackle this challenge: (1) in situ groundwater monitoring based on advanced sensor and data analytics technologies (i.e., Big Data), and (2) state-of-art modeling for optimizing monitoring and site closure strategies. In the new monitoring approach, in situ sensors are used to continuously measure the key variables that control contaminant plume mobility and its spatial and temporal distribution (such as pH, redox potential, electrical conductivity, and groundwater level). Coupled with a limited number of groundwater sampling, the data analytics methods - data mining and machine learning - allow us to estimate contaminant concentrations, and also to detect any significant changes associated with the plume mobility. In parallel, the state-of-art numerical flow and reactive transport model - ASCEM software under DOE Office of Environmental Management - provides a physical and mechanistic understanding of the system behavior, and predicts the long-term plume migration for optimizing the monitoring and closure strategies. In particular, we focus on the effects of extreme precipitation or drought on the site closure as well as monitoring strategies. We demonstrate this approach at the Savannah River Site (SRS) F-Area, where groundwater is contaminated by various radionuclides, including uranium, tritium and technetium. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Understanding Nitrate Chemistry - The Key to Safer and More Efficient TRU Waste Acceptance - 19618

Investigations into the Waste Isolation Pilot Plant (WIPP) radiological release from a transuranic (TRU) waste drum concluded that the event was initiated by a thermal runaway, principally involving interactions between the polysaccharide-based kitty litter and nitric acid, which released radiological material along with hot gases and combustible materials from the drum. In this paper, the hazards of polysaccharides present as either starch based kitty litter or cellulose rags in a TRU waste drum exposed to nitric acid (and by extension metal nitrate salts) have been evaluated, based on considerations of how complex nitrogen redox cycles carry out the aqueous phase oxidation of alcohols and related organic functional groups. These exothermic reactions, coupled with a positive feedback loop inherent to nitrogen redox chemistry, can initiate an autocatalytic thermal runaway and explosive gas generation, which poses the most significant risk under ambient conditions where acidic solution may be present (in small quantities as free liquid or sorbed within a solid matrix). Nitric acid is an extremely potent oxidant but is itself remarkably inert, rarely interacting directly with oxidizable substrates and instead exerting its vast potential energy through lower oxidation state reactants such as nitrogen dioxide and nitrous acid that are generated from its slow self-decomposition. Nitrous acid is the reactant that carries out substrate oxidation, and systems that are not pre-loaded with nitrous acid will experience an induction period before significant reactivity commences. Under oxidizing fuel-lean conditions, nitrogen dioxide may induce autocatalytic nitrous acid formation, which may supplement additional side-reactions, potentially leading to thermal runaway. Therefore, the system is most vulnerable at the end of an induction period. Metal nitrate salts promote this ambient temperature solution chemistry (cf. traditional oxidizer properties of metal nitrate salts, which operate in the solid state at elevated temperatures) by releasing nitric acid into the system via hydrolysis. Unlike simple alcohols with a single hydroxyl functional group, the chemistry of polymeric carbohydrates (polysaccharides) such as starches and cellulose is more diverse. Therefore, the oxidation of the simple monomeric carbohydrate glucose is first examined to provide insight into the analogous reactivity with polysaccharides. Although less reactive than alcohols by virtue of extensive hydrogen bonding, carbohydrates are oxidized by nitric acid through the same fundamental mechanisms, complicated by a variety of competing side reactions including acid-catalyzed hydrolytic depolymerization to more reactive (ultimately monomeric) units, as well as other degradation reactions promoted by radical mechanisms. For this reason, polysaccharides such as starches that are more susceptible to hydrolysis are more reactive than cellulose, with the attendant microbial population in starch based kitty litter adding a special aspect of reactivity. From this safety evaluation, a bounding latency period has been developed beyond which a stored TRU waste drum that contains polysaccharides (starch based kitty litter excluded) commingled with nitric acid and/or metal nitrate salts may no longer present a hazard under ambient conditions, based on a compilation of induction periods and reaction times involving nitric acid with various oxidizable substrates under a variety of conditions from synthetic procedures, tests, and adverse incident scenarios. By obviating the need for costly treatment options or characterization, a better understanding of nitrate redox chemistry and the hazards it presents with polysaccharide oxidation thus provides a more efficient means to safely dispose of TRU waste generated within the Department of Energy (DOE) complex. (author)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

The hazard components of representative key risks. The physical climate perspective

The framework of Representative Key Risks (RKRs) has been adopted by the Intergovernmental Panel on Climate Change Working Group II in order to categorize, assess and communicate a wide range of regional and sectoral key risks, expected to become severe as a consequence of the potentially detrimental convergence of changing climate conditions, exposure and vulnerability of human and natural systems, and responses through (mal)adaptation measures. Other papers in this special issue treat each of eight RKRs by holistically assessing their current status and future evolution as a result of this convergence. However, their treatment cannot always organize such assessment according to a systematic gradation of climatic changes, often times having to extrapolate the big-picture evolution of risk from either qualitative effects of “low” medium” and “high” warming, or limited/focused analysis of the consequences of particular mitigation choices (e.g., benefits of limiting warming to 1.5 or 2C). In this study we offer as systematic a representation as possible – given current literature and assessments – of the future evolution of the hazard components of RKRs. We draw on the assessment of changes in climatic impact-drivers relevant to RKRs described in the 6th Assessment Report by Working Group 1 (WGI) supplemented when needed by more recent literature. We identify the relevant hazards for each RKR, based upon the WGII authors’ assessment, and we report on their current state and expected future changes in magnitude, intensity and/or frequency, linking these changes to Global Warming Levels to the extent possible. For some of these quantities - like regional trends in oceanic and atmospheric temperature and precipitation, some heat and precipitation extremes, permafrost thaw and Northern Hemisphere snow cover - a strong and quantitative relationship with global average temperature change has been assessed. For others - like frequency and intensity of tropical cyclones and extra-tropical storms, and fire weather - the link to increasing global temperatures can only be described qualitatively. For some processes - like the behavior of ice-sheets, or changes in circulation dynamics - large uncertainties about the effects of different levels of warming remain, and for a few others - like ocean pH and air pollution - the composition of the scenario of anthropogenic emissions is most relevant, rather than the warming reached. In almost all cases, however, the basic message remains that every small increment in CO2 concentration in the atmosphere and associated warming will bring changes in climate phenomena that will contribute to increasing risk of impacts on human and natural systems when these changes happen in conjunction with these systems’ conditions of exposure and vulnerability, and in lack of effective adaptation. Our picture of the evolution of RKR-relevant climatic impact-drivers complements and enriches the treatment of RKRs in the other papers in at least two ways: by filling in an often only cursory or limited representation of the physical climate aspects driving impacts, and by providing a fuller representation of their future possible evolution which represents an important component – if never the only one – of the potential future evolution of risk severity.

54 ENVIRONMENTAL SCIENCES↗

Spindle pole body component 25 homolog expressed by ECM stiffening is required for lung cancer cell proliferation

Highlights: • Matrix stiffness regulates the expression of genes involved in cell proliferation. • SPC25 is identified as hazard gene induced by matrix stiffness. • SPC25 is involved in cancer cell proliferation under stiff matrix conditions. • Depletion of SPC25 induces G2/M arrest via chromosome misalignment in metaphase. Accumulating evidence has shown that matrix stiffening in cancer tissue by the deposition of extracellular matrix (ECM) is closely related with severe tumor progression. However, much less is known about the genes affected by matrix stiffness and its signaling for cancer progression. In the current research, we investigated the differential gene expression of a non-small lung adenocarcinoma cell line, H1299, cultured under the conditions of soft (∼0.5 kPa) and stiff (∼40 kPa) matrices, mimicking the mechanical environments of normal and cancerous tissues, respectively. For integrated transcriptome analysis, the genes identified by ECM stiffening were compared with 8248 genes retrieved from The Cancer Genome Atlas Lung Adenocarcinoma (TCGA). In stiff matrix, 29 genes were significantly upregulated, while 75 genes were downregulated. The screening of hazard ratios for these genes using the Kaplan-Meier Plotter identified 8 genes most closely associated with cancer progression under the condition of matrix stiffening. Among these genes, spindle pole body component 25 homolog (SPC25) was one of the most up-regulated genes in stiff matrix and tumor tissue. Knockdown of SPC25 in H1299 cells using shRNA significantly inhibited cell proliferation with downregulation of the expression of checkpoint protein, Cyclin B1, under the condition of stiff matrix whereas the proliferation rate in soft matrix was not affected by SPC25 silencing. Thus, our findings provide novel key molecules for studying the relationship of extracellular matrix stiffening and cancer progression.

60 APPLIED LIFE SCIENCES↗

Adhesion Capabilities of Permanent Foaming Fixatives

DOE-EM have identified an operational requirement for a fixative that can immobilize and/or encapsulate residual contamination in 3D void volumes (pipes, gloveboxes, waste containers, etc.) during D and D activities. Failure to safely and effectively immobilize residual contamination can: Put workers at risk; Contaminate the public and environment; Drive up costs. Commercial-off-the-shelf (COTS) polyurethane (PU) foams is one possible solution and is currently being investigated by Savannah River National Lab (SRNL). Adhesion testing will dictate how well PU foams will adhere and immobilize residual contamination onto a substrate. Results can provide a performance criteria for Section 5 of ASTM E3191: Standard Specification for Permanent Foaming Fixatives Used to Mitigate Spread of Radioactive Contamination. Initial mechanical testing showed intumescent rigid PU foams were best in class (tensile, compression, TGA/DSC) Application of intumescent rigid PU foam in pipe scenario with 'contamination' showed excellent adhesion capabilities as long as foam had contact with pipe. The foam, however, was not able to penetrate 'contamination' but created pockets where the contamination interacted with the substrate. Pretreatment options of pipe were considered to produce better immobilization capabilities. Pretreatment options included COTS products like baking spray, rubber cement, and soap. Foam was still able to immobilize on a global sense, but not a local sense. Essentially acted as a mechanical plug. A tensile tester (MTS Criterion Series 43) was utilized to evaluate the tensile adhesion strength of 6 COTS PU foams. ASTM D1623: Tensile and Tensile Adhesion Properties of Rigid Cellular Plastics. Procedures: PU foams were cured between two smooth 2'' x 2'' 304 stainless steel coupons with hinges glued on plates for gripping support. Parameters Used: Pull rate of 0.1 in/min. Calculations: Tensile adhesion strength, elongation, and ImageJ analysis of how PU foam is left on substrate. Outcome: The PU foam with the best adhesion capabilities would be downselected for further evaluation to be used as a permanent foaming fixative. The rigid PU foams had the best adhesion capabilities with the R1 foam having a max load of 236 N. One of the I-R2 samples reached almost 450 N and another sample reached 2500 N before slipping. The other intumescent foam, I-F4, had the most coverage on the stainless steel coupon's surface from the ImageJ results (61.43% surface coverage). The intumescent foam, I-R2, will be the foam of choice for future testing due its fire retardant and adhesion capabilities. Future directions: Conduct the following experiment in a pipe scenario with the down-selected PU foam. Procedures: PU foam will be cured between in a 304 stainless steel pipe (ID: 4'', OD: 4.5'', Height: 4''). Parameters Used: Compression testing results will be referenced to determine if foam's adhesion strength would be greater its compression strength as its being compressed. Calculations: Compression strength, shear stress, total time elapsed. Conduct further adhesion testing with the down-selected PU foam (I-R2) to be treated as a permanent foaming fixative (PFF). Determine the minimum contact the PFF should have with the substrate for adequate results. Evaluate if PFF's adhesion capabilities is time dependent (3.1.5 of ASTM E3911). Subject PFF to seismic stressors addressed in Safety Basis of Interim Operation documents (SBIO) to further evaluate adhesion capabilities.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

SU-D-201-05: On the Automatic Recognition of Patient Safety Hazards in a Radiotherapy Setup Using a Novel 3D Camera System and a Deep Learning Framework

Purpose: Patient safety hazards such as a wrong patient/site getting treated can lead to catastrophic results. The purpose of this project is to automatically detect potential patient safety hazards during the radiotherapy setup and alert the therapist before the treatment is initiated. Methods: We employed a set of co-located and co-registered 3D cameras placed inside the treatment room. Each camera provided a point-cloud of fraxels (fragment pixels with 3D depth information). Each of the cameras were calibrated using a custom-built calibration target to provide 3D information with less than 2 mm error in the 500 mm neighborhood around the isocenter. To identify potential patient safety hazards, the treatment room components and the patient’s body needed to be identified and tracked in real-time. For feature recognition purposes, we used a graph-cut based feature recognition with principal component analysis (PCA) based feature-to-object correlation to segment the objects in real-time. Changes in the object’s position were tracked using the CamShift algorithm. The 3D object information was then stored for each classified object (e.g. gantry, couch). A deep learning framework was then used to analyze all the classified objects in both 2D and 3D and was then used to fine-tune a convolutional network for object recognition. The number of network layers were optimized to identify the tracked objects with >95% accuracy. Results: Our systematic analyses showed that, the system was effectively able to recognize wrong patient setups and wrong patient accessories. The combined usage of 2D camera information (color + depth) enabled a topology-preserving approach to verify patient safety hazards in an automatic manner and even in scenarios where the depth information is partially available. Conclusion: By utilizing the 3D cameras inside the treatment room and a deep learning based image classification, potential patient safety hazards can be effectively avoided.

60 APPLIED LIFE SCIENCES↗