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At least 163 records · Page 9

Surveillance and Radiation Therapy for Stage I Seminoma—Have We Learned From the Evidence?

Purpose: To analyze, in the setting of stage I seminoma, the factors affecting adjuvant treatment decisions and resulting survival outcomes, using a national dataset. Methods and Materials: We identified 33,094 stage I seminoma patients after orchiectomy from 1998 to 2012 from the National Cancer Data Base. Factors affecting treatment selection (active surveillance [AS] vs adjuvant treatment [AT]) were identified using a parsimonious multivariate logistic regression model. Propensity scores for treatment decision were generated and incorporated into a multivariate Cox regression analysis of overall survival. This process was then repeated within the AT cohort for factors predictive for chemotherapy [CT] versus radiation therapy [RT]. Results: Only 33% of patients received AS, and 65% received AT (89% RT and 11% CT). From 1998 to 2012 the proportion receiving AS increased from 23% to 60%, whereas RT utilization decreased from 73% to 21%, and CT utilization increased from 2% to 17%. Utilization of low-dose RT increased from 1.5% in 1999 to 34% in 2012. There was a small absolute overall survival advantage to AT over AS at 10 years (95.0% vs 93.4%, propensity adjusted hazard ratio 0.58, P<.0005). Conclusions: There has been a significant increase in use of AS for stage I seminoma, influenced by both sociodemogrpahic and clinicopathologic factors. Between AT options, there has been significant increase in use of CT, mirrored by a decline in use of RT. Although overall survival remains high for all 3 treatment strategies, AT seems to be associated with a small absolute survival advantage over AS up to 10 years out from diagnosis.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Simulation of the output power of copper bromide lasers by the MARS method

The dependence of the output power of CuBr lasers (operating at wavelengths of 510.6 and 578.2 nm) on ten input physical parameters has been statistically analysed based on a large amount of experimental data accumulated for these lasers. Regression models have been built using the flexible nonparametric method of multivariate adaptive regression splines (MARS) to describe both linear and nonlinear local dependences. These models cover more than 97% initial data with an error comparable with the experimental error; they are applied to estimate and predict the output powers of both existing and future lasers. The advantage of the models constructed for estimating laser parameters over the standard parametric methods of multivariate factor and regression analysis is demonstrated.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Use of machine learning for a helium line intensity ratio method in Magnum-PSI

Optical emission spectroscopy (OES) of helium (He) line intensities has been used to measure the electron density, ne, and temperature, Te, in various plasma devices. In this study, a neural network with five hidden layers is introduced to model the relation between the OES data and ne/Te from laser Thomson scattering in the linear plasma device Magnum-PSI and compared to multiple regression analysis. It is shown that the neural network reduces the residual errors of prediction values (ne and Te) less than half those of the multiple regression analysis. We checked two different data splitting methods for training and validation data, i.e., with and without considering the unit of discharge. A comparison of the splitting methods suggests that the residual error will decrease to ~10% even for a new discharge data when accumulating a sufficient data set.

Kajita, Shin↗

Response surface modeling of CO 2 dynamic storage efficiency factor in high permeability thick sandstones

In order to utilize as much of the pore space for CO 2 storage in high permeability thick saline aquifers, it is vital to investigate the interactions of injected CO 2 with formation brine and rock. In order to quantify the displacement process, we investigate the dynamic storage efficiency factor (DSEF) for saline aquifers where pressure increase is minimal during the injection phase. Dimensionless numbers are derived from basic governing equations, constitutive equations, initial and boundary conditions using the inspection analysis. Then using the Hammersley sequence sampling, 178 numerical experiments are designed, and a compositional reservoir simulator is used to perform these simulations. In the next step, response surface regression analysis is used to establish a relationship between DSEF obtained from the numerical simulations and the corresponding dimensionless numbers. The simulation results show that for the studied conditions the underground dynamics is mostly influenced by the gravity number, followed by effective aspect ratio and dip numbers. The results from the response surface regression analysis are used to develop a correlation, which can be used to estimate the dynamic CO 2 storage capacity of relevant zones. This study provides quantitative measures for the different competing mechanisms involved in underground displacement of fluids in CO 2 geological storage, which can serve as a useful tool during planning phase of storage projects.

02 PETROLEUM↗

The updated ITPA global H-mode confinement database: description and analysis

The multi-machine ITPA Global H-mode Confinement Database has been upgraded with new data from JET with the ITER-like wall and ASDEX Upgrade with the full tungsten wall. This paper describes the new database and presents results of regression analysis to estimate the global energy confinement scaling in H-mode plasmas using a standard power law. Various subsets of the database are considered, focusing on type of wall and divertor materials, confinement regime (all H-modes, ELMy H or ELM-free) and ITER-like constraints. Apart from ordinary least squares, two other, robust regression techniques are applied, which take into account uncertainty on all variables. Regression on data from individual devices shows that, generally, the confinement dependence on density and the power degradation are weakest in the fully metallic devices. Using the multi-machine scalings, predictions are made of the confinement time in a standard ELMy H-mode scenario in ITER. The uncertainty on the scaling parameters is discussed with a view to practically useful error bars on the parameters and predictions. One of the derived scalings for ELMy H-modes on an ITER-like subset is studied in particular and compared to the IPB98(y,2) confinement scaling in engineering and dimensionless form. Transformation of this new scaling from engineering variables to dimensionless quantities is shown to result in large error bars on the dimensionless scaling. Regression analysis in the space of dimensionless variables is therefore proposed as an alternative, yielding acceptable estimates for the dimensionless scaling. The new scaling, which is dimensionally correct within the uncertainties, suggests that some dependencies of confinement in the multi- machine database can be reconciled with parameter scans in individual devices. This includes vanishingly small dependence of confinement on line-averaged density and normalized plasma pressure (β), as well as a noticeable, positive dependence on effective atomic mass and plasma triangularity. Extrapolation of this scaling to ITER yields a somewhat lower confinement time compared to the IPB98(y, 2) prediction, possibly related to the considerably weaker dependence on major radius in the new scaling (slightly above linear). Further studies are needed to compare more flexible regression models with the power law used here. In addition, data from more devices concerning possible ‘hidden variables’ could help to determine their influence on confinement, while adding data in sparsely populated areas of the parameter space may contribute to further disentangling some of the global confinement dependencies in tokamak plasmas.

Database↗

Upgrade Summer Severe Weather Tool

The goal of this task was to upgrade to the existing severe weather database by adding observations from the 2010 warm season, update the verification dataset with results from the 2010 warm season, use statistical logistic regression analysis on the database and develop a new forecast tool. The AMU analyzed 7 stability parameters that showed the possibility of providing guidance in forecasting severe weather, calculated verification statistics for the Total Threat Score (TTS), and calculated warm season verification statistics for the 2010 season. The AMU also performed statistical logistic regression analysis on the 22-year severe weather database. The results indicated that the logistic regression equation did not show an increase in skill over the previously developed TTS. The equation showed less accuracy than TTS at predicting severe weather, little ability to distinguish between severe and non-severe weather days, and worse standard categorical accuracy measures and skill scores over TTS.

Watson, Leela↗

Satellite NO 2 retrievals suggest China has exceeded its NO x reduction goals from the twelfth Five-Year Plan

China’s twelfth Five-Year Plan included pollution control measures with a goal of reducing national emissions of nitrogen oxides (NO x ) by 10% by 2015 compared with 2010. Multiple linear regression analysis was used on 11-year time series of all nitrogen dioxide (NO 2 ) pixels from the Ozone Monitoring Instrument (OMI) over 18 NO 2 hotspots in China. The regression analysis accounted for variations in meteorology, pixel resolution, seasonal effects, weekday variability and year-to-year variability. The NO 2 trends suggested that there was an increase in NO 2 columns in most areas from 2005 to around 2011 which was followed by a strong decrease continuing through 2015. The satellite results were in good agreement with the annual official NO x emission inventories which were available up until 2014. We show the value of evaluating trends in emission inventories using satellite retrievals. It further shows that recent control strategies were effective in reducing emissions and that recent economic transformations in China may be having an effect on NO 2 columns. The satellite information for 2015 suggests that emissions have continued to decrease since the latest inventories available and have surpassed the goals of the twelfth Five-Year Plan.

54 ENVIRONMENTAL SCIENCES↗

Can Functional Cardiac Age be Predicted from ECG in a Normal Healthy Population

In a normal healthy population, we desired to determine the most age-dependent conventional and advanced ECG parameters. We hypothesized that changes in several ECG parameters might correlate with age and together reliably characterize the functional age of the heart. Methods: An initial study population of 313 apparently healthy subjects was ultimately reduced to 148 subjects (74 men, 84 women, in the range from 10 to 75 years of age) after exclusion criteria. In all subjects, ECG recordings (resting 5-minute 12-lead high frequency ECG) were evaluated via custom software programs to calculate up to 85 different conventional and advanced ECG parameters including beat-to-beat QT and RR variability, waveform complexity, and signal-averaged, high-frequency and spatial/spatiotemporal ECG parameters. The prediction of functional age was evaluated by multiple linear regression analysis using the best 5 univariate predictors. Results: Ignoring what were ultimately small differences between males and females, the functional age was found to be predicted (R2= 0.69, P < 0.001) from a linear combination of 5 independent variables: QRS elevation in the frontal plane (p<0.001), a new repolarization parameter QTcorr (p<0.001), mean high frequency QRS amplitude (p=0.009), the variability parameter % VLF of RRV (p=0.021) and the P-wave width (p=0.10). Here, QTcorr represents the correlation between the calculated QT and the measured QT signal. Conclusions: In apparently healthy subjects with normal conventional ECGs, functional cardiac age can be estimated by multiple linear regression analysis of mostly advanced ECG results. Because some parameters in the regression formula, such as QTcorr, high frequency QRS amplitude and P-wave width also change with disease in the same direction as with increased age, increased functional age of the heart may reflect subtle age-related pathologies in cardiac electrical function that are usually hidden on conventional ECG.

Schlegel, Todd↗

Cytological Sampling Versus Forceps Biopsy During Percutaneous Transhepatic Biliary Drainage and Analysis of Factors Predicting Success

Purpose: To assess the accuracy of cytological sampling and forceps biopsy in obstructing biliary lesions and to identify factors predictive of success. Methods: Consecutive patients (n = 119) with suspected malignant inoperable obstructive jaundice treated with percutaneous transhepatic biliary drainage during 7 years were included (60 male; mean age 72.5 years). All patients underwent forceps biopsy plus cytological sampling by washing the forceps device in cytological solution. Patient history, procedural and pathological records, and clinical follow-up were reviewed. Statistical analysis included chi-square test and multivariate regression analysis. Results: Histological diagnosis after forceps biopsy was more successful than cytology: Sensitivity was 78 versus 61%, and negative predictive value was 30 versus 19%. Cytology results were never positive when the forceps biopsy was negative. The cytological sample was negative and forceps sample positive in 2 cases of cholangiocarcinoma, 16 cases of pancreatic carcinoma, and 1 case of benign disease. Diagnostic accuracy was predicted by low bilirubin (p < 0.001), aspartate transaminase (p < 0.05), and white cell count (p {<=} 0.05). Conclusions: This technique is safe and effective and is recommended for histological diagnosis during PTBD in patients with inoperable malignant biliary strictures. Diagnostic yield is greater when bilirubin levels are low and there is no sepsis; histological diagnosis by way of forceps biopsy renders cytological sampling unnecessary.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

The Prediction Model of Risk Factors for COVID-19 Developing into Severe Illness Based on 1046 Patients with COVID-19

This study analyzed the risk factors for patients with COVID-19 developing severe illnesses and explored the value of applying the logistic model combined with ROC curve analysis to predict the risk of severe illnesses at COVID-19 patients’ admissions. The clinical data of 1046 COVID-19 patients admitted to a designated hospital in a certain city from July to September 2020 were retrospectively analyzed, the clinical characteristics of the patients were collected, and a multivariate unconditional logistic regression analysis was used to determine the risk factors for severe illnesses in COVID-19 patients during hospitalization. Based on the analysis results, a prediction model for severe conditions and the ROC curve were constructed, and the predictive value of the model was assessed. Logistic regression analysis showed that age (OR = 3.257, 95% CI 10.466–18.584), complications with chronic obstructive pulmonary disease (OR = 7.337, 95% CI 0.227–87.021), cough (OR = 5517, 95% CI 0.258–65.024), and venous thrombosis (OR = 7322, 95% CI 0.278–95.020) were risk factors for COVID-19 patients developing severe conditions during hospitalization. When complications were not taken into consideration, COVID-19 patients’ ages, number of diseases, and underlying diseases were risk factors influencing the development of severe illnesses. The ROC curve analysis results showed that the AUC that predicted the severity of COVID-19 patients at admission was 0.943, the optimal threshold was −3.24, and the specificity was 0.824, while the sensitivity was 0.827. The changes in the condition of severe COVID-19 patients are related to many factors such as age, clinical symptoms, and underlying diseases. This study has a certain value in predicting COVID-19 patients that develop from mild to severe conditions, and this prediction model is a useful tool in the quick prediction of the changes in patients’ conditions and providing early intervention for those with risk factors.

Lian, Zhichuang↗

Iterative Strain-Gage Balance Calibration Data Analysis for Extended Independent Variable Sets

A new method was developed that makes it possible to use an extended set of independent calibration variables for an iterative analysis of wind tunnel strain gage balance calibration data. The new method permits the application of the iterative analysis method whenever the total number of balance loads and other independent calibration variables is greater than the total number of measured strain gage outputs. Iteration equations used by the iterative analysis method have the limitation that the number of independent and dependent variables must match. The new method circumvents this limitation. It simply adds a missing dependent variable to the original data set by using an additional independent variable also as an additional dependent variable. Then, the desired solution of the regression analysis problem can be obtained that fits each gage output as a function of both the original and additional independent calibration variables. The final regression coefficients can be converted to data reduction matrix coefficients because the missing dependent variables were added to the data set without changing the regression analysis result for each gage output. Therefore, the new method still supports the application of the two load iteration equation choices that the iterative method traditionally uses for the prediction of balance loads during a wind tunnel test. An example is discussed in the paper that illustrates the application of the new method to a realistic simulation of temperature dependent calibration data set of a six component balance.

Ulbrich, Norbert Manfred↗

An Improved Weighted Least Squares Algorithm for the Analysis of Strain-Gage Balance Calibration Data

An improved version of an algorithm is presented that uses a weighted least squares fit of balance calibration data for the generation of the balance load prediction equations. The weighted least squares fit assigns a weighting factor between zero and one to each calibration data point that depends on a simple count of the number of intentionally loaded balance gages. The greater the number of the loaded gages is, the smaller a data point's weighting factor becomes. This strategy has two advantages. First, single-component loads become more influential during the regression analysis of the calibration data. In addition, the negative influence of load schedule asymmetries on the regression analysis results can more effectively be controlled. The original algorithm of 2017 was improved in 2020. Now, gage output differences relative to the natural zeros are exclusively used as input for the determination of the number of intentionally loaded gages. The improved weighted least squares fit can be applied with both the Non-Iterative Method and the Iterative Method that are used for the balance load prediction in the aerospace testing community. Machine calibration data of a force balance is used to illustrate benefits of the application of the improved weighted least squares fit of balance calibration data.

strain-gage balance↗

Evaluation of SLAR and thematic mapper MSS data for forest cover mapping using computer-aided analysis techniques

The spatial characteristics of the data were evaluated. A program was developed to reduce the spatial distortions resulting from variable viewing distance, and geometrically adjusted data sets were generated. The potential need for some level of radiometric adjustment was evidenced by an along track band of high reflectance across different cover types in the Varian imagery. A multiple regression analysis was employed to explore the viewing angle effect on measured reflectance. Areas in the data set which appeared to have no across track stratification of cover type were identified. A program was developed which computed the average reflectance by column for each channel, over all of the scan lines in the designated areas. A regression analysis was then run using the first, second, and third degree polynomials, for each channel. An atmospheric effect as a component of the viewing angle source of variance is discussed. Cover type maps were completed and training and test field selection was initiated.

Hoffer, R. M.↗

Determinants of serum cadmium levels in a Northern Italy community: A cross-sectional study

Introduction: Cadmium (Cd) is a heavy metal and a serious environmental hazard to humans. Some uncertainties still exist about major sources of Cd exposure in non-occupationally exposed subjects in addition to cigarette smoking, such as diet and outdoor air pollution. We sought to determine the influence of these sources on a biomarker of exposure, serum Cd concentration. Methods: We recruited 51 randomly selected residents from an Italian urban community, from whom we obtained detailed information about dietary habits and smoking habits, and a blood sample for serum Cd determination. We also assessed outdoor air Cd exposure, by modeling outdoor air levels of particulate matter ≤10 µm (PM{sub 10}) from motorized traffic at geocoded subjects’ residence. Results: In crude analysis, regression beta coefficients for dietary Cd, smoking and PM10 on serum Cd levels were 0.03 (95% CI -0.83 to 0.88), 6.96 (95% CI -0.02 to 13.95) and 0.62 (95% CI -0.19 to 1.43), respectively. In the adjusted analysis, regression beta coefficients were -0.34 (95% CI -1-40 to 0.71), 5.81 (95% CI -1.43 to 13.04) and 0.47 (95% CI -0.35 to 1.29), respectively. Conclusion: Cigarette smoking was the most important factor influencing serum Cd in our non-occupationally exposed population, as expected, while dietary Cd was not associated with this biomarker. Outdoor air pollution, as assessed through exposure to particulate matter generated by motorized traffic, was an additional source of Cd exposure. - Highlights: • Smoking markedly increases serum Cd levels in non-occupationally exposed individuals. • Overall dietary Cd intake shows little association with serum Cd levels. • Air pollution from motorized traffic increases serum Cd levels.

54 ENVIRONMENTAL SCIENCES↗

Estradiol associations with brain functional connectivity in postmenopausal women

Abstract Objective Previous studies have found that estrogens play a role in functional connectivity in the brain; however, little research has been done regarding how estradiol is associated with functional connectivity in postmenopausal women. The purpose of this study was to examine the relationship between estradiol and functional connectivity in postmenopausal women. Methods Structural and blood oxygenation level–dependent resting-state magnetic resonance imaging scans of 88 cognitively healthy postmenopausal individuals were obtained along with blood samples collected the same day as the magnetic resonance imaging to assess hormone levels. We generated connectivity values in CONN toolbox version 20.b, an SPM-based software. Results A regression analysis was run using estradiol level and regions of interest (ROI), including the hippocampus, parahippocampus, dorsolateral prefrontal cortex, and precuneus. Estradiol level was found to enhance parahippocampal gyrus anterior division left functional connectivity during ROI-to-ROI regression analysis. Estradiol enhanced functional connectivity between the parahippocampal gyrus anterior division left and the precuneus as well as the parahippocampal gyrus anterior division left and parahippocampal gyrus posterior division right. An exploratory analysis showed that years since the final menstrual period was related to enhanced connectivity between regions within the frontoparietal network. Conclusions These results illustrated the relationship between estradiol level and functional connectivity in postmenopausal women. They have implications for understanding how the functioning of the brain changes for individuals after menopause that may eventually lead to changes in cognition and behavior in older ages.

Obstetrics & Gynecology↗

Review and statistical analysis of the use of ultrasonic velocity for estimating the porosity fraction in polycrystalline materials

A review and statistical analysis of the ultrasonic velocity method for estimating the porosity fraction in polycrystalline materials is presented. Initially, a semiempirical model is developed showing the origin of the linear relationship between ultrasonic velocity and porosity fraction. Then, from a compilation of data produced by many researchers, scatter plots of velocity versus percent porosity data are shown for Al2O3, MgO, porcelain-based ceramics, PZT, SiC, Si3N4, steel, tungsten, UO2,(U0.30Pu0.70)C, and YBa2Cu3O(7-x). Linear regression analysis produces predicted slope, intercept, correlation coefficient, level of significance, and confidence interval statistics for the data. Velocity values predicted from regression analysis of fully-dense materials are in good agreement with those calculated from elastic properties.

Roth, D. J.↗

Fission Gamma-Ray Spectra Relevant to Post-Detonation Debris Analysis

A terrorist-generated nuclear attack would invoke unprecedented pressure for a rapid and accurate nuclear forensics characterization of the event. In-situ fission product gamma-ray spectroscopy offers the potential for a significant reduction in analysis time while still providing high fidelity identification of the primary composition of the detonated device. The in-situ spectroscopic approach we are proposing can rapidly identify the species that underwent fission as well as the fission-inducing neutron energy spectrum. To demonstrate this goal, we have used the gammaray history from our previously obtained LLNL-LANL-TUNL fission product-yield (FPY) data to provide insights for post-detonation debris analysis. The proposed method relies on the ratio of photopeak areas for selected gamma-rays representing the FPYs of sixteen fission products generated using mono-energetic neutrons at energies between 0.5 MeV to 14.8 MeV on highlyenriched 239 Pu, 235 U, and 238 U sealed targets. In addition to the fission product ratio measurements we have applied a new regression analysis based on our experimental FPY data and validated the approach using relevant Godiva FPY data and (surrogate) photofission product yields of 240 Pu. The main advantage of the regression analysis is that it investigates the FPY data set as a whole, rather than focusing on individual FPY ratios.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Review and statistical analysis of the ultrasonic velocity method for estimating the porosity fraction in polycrystalline materials

A review and statistical analysis of the ultrasonic velocity method for estimating the porosity fraction in polycrystalline materials is presented. Initially, a semi-empirical model is developed showing the origin of the linear relationship between ultrasonic velocity and porosity fraction. Then, from a compilation of data produced by many researchers, scatter plots of velocity versus percent porosity data are shown for Al2O3, MgO, porcelain-based ceramics, PZT, SiC, Si3N4, steel, tungsten, UO2,(U0.30Pu0.70)C, and YBa2Cu3O(7-x). Linear regression analysis produced predicted slope, intercept, correlation coefficient, level of significance, and confidence interval statistics for the data. Velocity values predicted from regression analysis for fully-dense materials are in good agreement with those calculated from elastic properties.

Roth, D. J.↗