Engineering Papers⌕ Search

SEARCH · Engineering Papers

Results for “hazard analysis”

Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,765 records · Page 98

Deployment of Rapid Assay Systems for Real-time Sorting of Excavation Spoil on Contaminated Land - 19258

To optimise segregation at source, and hence minimise waste production, NUVIA have developed and utilised the Gamma Excavation Monitor (GEM) system. The GEM was designed for land remediation projects, to provide a rapid screening tool for excavator buckets of material. Following successful deployment in the UK, including the Olympic Park site in London, and two major Magnox land remediation projects, the first GEM unit was deployed to Canadian Nuclear Laboratories' (CNL) Chalk River Laboratory (CRL) in 2016. The GEM unit was fitted with a plastic scintillator detector; recent developments have included the utilisation of a sodium iodide. The system is initiated by the presence of an excavator bucket above the detector which triggers proximity switches that automatically start the counting routine. At the end of a short count time, typically 10 seconds, the materials category is indicated by means of a traffic light system, based on either the gross gamma activity or a photo-peak. Using this instrument, material determined not to be radioactive can be re-used on-site. In addition to the traffic light system, results are also transmitted wirelessly to a tablet device. These combined features allow operation of the system without the need to have operatives near the mechanical excavator bucket; therefore, eliminating a significant industrial hazard. Deployments of the GEM on the CRL site have included Storm Water Management project, within the CRL controlled area, and the Foundation Road Landfill Project. The use of the GEM in these projects enabled in-situ decisions to be made regarding the segregation and sentencing of soil rather than having to wait for the analysis of samples; saving time and cost to the project. The Building 492 project involved the excavation of soil within a supervised area to prepare for the installation of modular trailer units. For this specific job, the GEM was calibrated to ensure soil met clearance criteria as stipulated in the Nuclear Substances and Radiation Devices Regulations (Canadian Nuclear Safety Commission; SOR/2000-207). A total of 326 loads of soil were monitored during this project and re-assurance sampling conducted by CNL corroborated the results produced by the GEM system. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Large area application of a corn hazard model

An application test of the crop calendar portion of a corn (maize) stress indicator model developed by the early warning, crop condition assessment component of AgRISTARS was performed over the corn for grain producing regions of the U.S.S.R. during the 1980 crop year using real data. Performance of the crop calendar submodel was favorable; efficiency gains in meteorological data analysis time were on a magnitude of 85 to 90 percent.

Ashburn, P.↗

Advances In very high resolution satellite imagery analysis for Monitoring human settlements

The high rate of urbanization, political conflicts and ensuing internal displacement of population, and increased poverty in the 20th century has resulted in rapid increase of informal settlements. These unplanned, unauthorized, and/or unstructured homes, known as informal settlements, shantytowns, barrios, or slums, pose several challenges to the nations, as these settlements are often located in most hazardous regions and lack basic services. Though several World Bank and United Nations sponsored studies stress the importance of poverty maps in designing better policies and interventions, mapping slums of the world is a daunting and challenging task. In this paper, we summarize our ongoing research on settlement mapping through the utilization of Very high resolution (VHR) remote sensing imagery. Most existing approaches used to classify VHR images are single instance (or pixel-based) learning algorithms, which are inadequate for analyzing VHR imagery, as single pixels do not contain sufficient contextual information (see Figure 1). However, much needed spatial contextual information can be captured via feature extraction and/or through newer machine learning algorithms in order to extract complex spatial patterns that distinguish informal settlements from formal ones. In recent years, we made significant progress in advancing the state of art in both directions. This paper summarizes these results.

Vatsavai, Raju↗

A Method for Measuring Coupled Individual and Social Vulnerability to Environmental Hazards

Although models of social vulnerability to environmental hazards are commonly developed to support policy interventions in emergencies and disasters, their utility is hindered by a lack of contextual information on individuals exposed to and affected by hazards. We develop a novel approach to model social vulnerability that couples individuals and their varying forms of protective capacity with the social fabric of the communities in which they reside. The backbone of our model is the Public-Use Microdata Sample (PUMS), a product of the U.S. Census Bureau that preserves a representative sample of completed responses to the American Community Survey (ACS). The PUMS enables us to understand the full range of individual protective capacities against a hazard in an exposed area, which we term individual vulnerability profiles (IVPs). In this case, we examine IVPs in the Coney Island-Brighton Beach section of New York City, which suffered severe impacts during Hurricane Sandy in 2012. To manage the large number of unique IVPs in Coney Island-Brighton Beach, we perform a segmentation analysis to generalize them into thematic cohort vulnerability profiles (CVPs) representing a typology of vulnerable people in Coney Island-Brighton Beach during Sandy. From synthetic populations of CVPs, we then estimate how individuals in varying housing types were coexposed to Sandy at the census tract level by classifying these areas into community social vulnerability profiles (SVPs). Our results provide a topology of social vulnerability that simultaneously links individual, community, and population-wide concerns, enabling a more holistic understanding of resources and interventions beneficial to human security during events like Sandy than is attainable with area-level metrics.

54 ENVIRONMENTAL SCIENCES↗

A New Method for High Resolution Surface Change Detection: Data Collection and Validation of Measurements from UAS at the Nevada National Security Site, Nevada, USA

The use of uncrewed aerial systems (UAS) increases the opportunities for detecting surface changes in remote areas and in challenging terrain. Detecting surface topographic changes offers an important constraint for understanding earthquake damage, groundwater depletion, effects of mining, and other events. For these purposes, changes on the order of 5–10 cm are readily detected, but sometimes it is necessary to detect smaller changes. An example is the surface changes that result from underground explosions, which can be as small as 3 cm. Previous studies that described change detection methodologies were generally not aimed at detecting sub-5-cm changes. Additionally, studies focused on high-fidelity accuracy were either computationally modeled or did not fully provide the necessary examples to highlight the usability of these workflows. Detecting changes at this threshold may be critical in certain applications, such as global security research and monitoring for high-consequence natural hazards, including landslides. Here we provide a detailed description of the methodology we used to detect 2–3 cm changes in an important applied research setting—surface changes related to underground explosions. This methodology improves the accuracy of change detection data collection and analysis through the optimization of pre-field planning, surveying, flight operations, and post-processing the collected data, all of which are critical to obtaining the highest output data resolution possible. We applied this methodology to a field study location, collecting 1.4 Tb of images over the course of 30 flights, and location data for 239 ground control points (GCPs). We independently verified changes with orthoimagery, and found that structure-from-motion, software-reported root mean square errors (RMSEs) for both control and check points underestimated the actual error. We found that 3 cm changes are detectable with this methodology, thereby improving our knowledge of a rock’s response to underground explosions.

47 OTHER INSTRUMENTATION↗

Reliability and quality assurance on the MOD 2 wind system

The Safety, Reliability, and Quality Assurance (R&QA) approach developed for the largest wind turbine generator, the Mod 2, is described. The R&QA approach assures that the machine is not hazardous to the public or to the operating personnel, is operated unattended on a utility grid, demonstrates reliable operation, and helps establish the quality assurance and maintainability requirements for future wind turbine projects. The significant guideline consisted of a failure modes and effects analysis (FMEA) during the design phase, hardware inspections during parts fabrication, and three simple documents to control activities during machine construction and operation.

Mason, W. E. B.↗

Alkali metal propellants for MPD thrusters

Experiments performed in the United States in the 1960s and early 1970s and in the Soviet Union with alkali metal-fuelled MPD thrusters indicate performance levels substantially better than those achieved with gaseous propellants. Cathode wear appears to be less in engines with alkali metal propellants also. A critical review of the available data indicates that the data are consistent and reliable. An analysis of testing and systems-level considerations shows that pumping requirements for testing are substantially decreased and reductions in tankage fraction can be expected. In addition, while care must be exercised in handling the alkali metals, it is not prohibitively difficult or hazardous. The greatest disadvantage seems to be the potential for spacecraft contamination, but there appear to be viable strategies for minimizing the impact of propellant deposition on spacecraft surfaces. Renewed examination of alkali metal-fuelled MPD thrusters for ambitious SEI missions is recommended.

Polk, J. E.↗

Fire Signatures of Materials Used in Spacecraft Construction

The focus of my work this summer was fire safety, specifically determining fire signatures from the combustion of materials commonly found in the construction of spacecraft. This project was undertaken with the aim of addressing concerns for health and safety onboard spacecraft. Under certain conditions, burning electronics produce surprisingly large amounts of acrid smoke, release fine airborne particles and expel condensable aerosols. Similarly, some wire insulation and packing material evolves smoke when in contact with a hot surface. In the limited, enclosed space available on spacecraft, these combustion products may pose a nuisance at the very least - at worst, a hazard to health or equipment. There is also a concern for fire safety in early detection on spacecraft. Our goal for the summer was to determine the most effective methods to test the materials, develop a protocol for sampling, and generate samples for analysis. We restricted our testing to electronic components, packaging and insulation materials, and wire insulation materials.

Taylor, Christina↗

A Web Architecture to Geographically Interrogate CHIRPS Rainfall and eMODIS NDVI for Land Use Change

Monitoring of rainfall and vegetation over the continent of Africa is important for assessing the status of crop health and agriculture, along with long‐term changes in land use change. These issues can be addressed through examination of long‐term precipitation (rainfall) data sets and remote sensing of land surface vegetation and land use types. Two products have been used previously to address these goals: the Climate Hazard Group Infrared Precipitation with Stations (CHIRPS) rainfall data, and multi‐day composites of Normalized Difference Vegetation Index (NDVI) from the USGS eMODIS product. Combined, these are very large data sets that require unique tools and architecture to facilitate a variety of data analysis methods or data exploration by the end user community. To address these needs, a web‐enabled system has been developed to allow end‐users to interrogate CHIRPS rainfall and eMODIS NDVI data over the continent of Africa. The architecture allows end‐users to use custom defined geometries, or the use of predefined political boundaries in their interrogation of the data. The massive amount of data interrogated by the system allows the end‐users with only a web browser to extract vital information in order to investigate land use change and its causes. The system can be used to generate daily, monthly and yearly averages over a geographical area and range of dates of interest to the user. It also provides analysis of trends in precipitation or vegetation change for times of interest. The data provided back to the end‐user is displayed in graphical form and can be exported for use in other, external tools. The development of this tool has significantly decreased the investment and requirements for end‐users to use these two important datasets, while also allowing the flexibility to the end‐user to limit the search to the area of interest.

Burks, Jason E.↗

LiDAR-Based Map Relative Localization Performance Analysis for Landing on Europa

This paper presents preliminary simulations andanalyses done to assess the feasibility of performing Map RelativeLocalization (MRL) with the Europa Lander LiDAR beingdeveloped for the Europa Lander Pre-Phase A concept. MapRelative Localization is the process of determining the horizontalposition of a lander with respect to an onboard, a-priori map,by comparing the map to sensor observations of the terrain duringdeorbit, descent, and landing (DDL). Although kilometerscaleposition knowledge is commonly available during DDL,landing in hazard-rich environments requires position errors of100 m or less. Prior knowledge in the case of Europa Landerwill be visual and topographic maps collected by the upcomingEuropa Clipper mission. The Mars 2020 Lander Vision System(LVS) uses images from a camera to localize with respect tovisual maps. This technology, as well as a 3D imaging LiDAR indevelopment for hazard detection, is currently baselined for theEuropa Lander Pre-Phase A concept. This paper investigatesthe potential use of the hazard detection LiDAR to performMRL with respect to a 3D digital elevation model (DEM)provided by the Europa Clipper mission, as an alternative orbackup solution to passive optical MRL. Compared to passiveoptical MRL, one advantage of LiDAR-based localization isthat it is insensitive to lighting conditions, potentially relaxingrequirements on synchronizing map acquisition and landingtime of day. To analyze LiDAR based MRL performance,six representative terrains are synthetically up-sampled fromGalileo-derived maps of Europa to a resolution of 0.5 m/pxand covering an area of 4 km by 4 km. These maps are usedas ground-truth to generate simulated noisy a-priori onboardtopographic maps expected from Europa Clipper as well assimulated LiDAR DEMs generated at an altitude of 5 km duringEuropa Lander DDL. The simulated LiDAR DEM is matchedagainst the simulated map via 2D normalized cross-correlation,exploiting the accurately known spacecraft attitude to avoidthe need for more computationally intensive algorithms such asIterative Closest Point (ICP). Two sources of measurement errorare identified for analysis: 1) additive Gaussian noise in therange measurements from the Europa Lander LiDAR and theEuropa Clipper derived maps and 2) errors in the LiDAR DEMinduced by errors in the Europa Lander state estimate which isused to de-warp the LiDAR scan data into a DEM format. Weassess the effect of each of these types of errors independently onmatching performance as well as the overall performance whenall types of error are introduced. Additionally, we present theresult of a sensitivity study to terrain frequency content.

Trawny, Nikolas↗

LIRA: Probing the Lunar Surface for Resources.

The thermal, compositional and electrical properties of the lunar regolith, such as the triboelectric properties of lunar dust, the volatile content and the thermophysical properties of the polar regolith are essential to understand from a scientific perspective as well as for resource extraction and hazard mitigation. Understanding these properties specifically requires in situ measurement, as these properties are inherent in the ambient environment. With the Lunar In situ Regolith Analyzer (LIRA) we will combine mature surface sensor technologies from previous spacecraft missions (TECP) with new sensors (ClO4- ) and battery capability to achieve a compact in situ analysis package. The surface instrument suite is adapted for lunar conditions from a sensor developed as part of the Microscopy, Electrochemistry, and Conductivity Analyzer (MECA) instrument on the 2007 Mars Phoenix mission, as well as supplemental sensors. • The Thermal and Electrical Conductivity Probe (TECP), flown on MECA/Phoenix, which measures heat capacity, thermal conductivity, electrical resistance, and electrical permittivity between needles inserted into the soil. The TECP also measured atmospheric humidity, a capability that will be retained to search for subsurface H2O ice. The Mars TECP weighed 100-gram and by definition was at TRL 9. The lunar version (LIRA) is TRL 4. • The Perchlorate (ClO4) sensor is based on the fluorescence property of perchlorate (Mg, Fe, Na). We added a light source to excite the perchlorate (ClO4) and a photo diode to collect the emission wavelength. A sun-shade over the photo diode blocks out the ambient light during day light hours. The unifying goal of LIRA is to deliver a complete, integrated experiment suite that investigates properties that must be measured in situ, and provides the capability to power the suite at night or in PSRs, as well as a means to simulate aspects of the diurnal transition by delivering an optical pulse to the surface with intensity comparable to sunlight. We describe the scientific context of LIRA, touching on the electrical state of the near-surface environment, the thermal properties of the undisturbed regolith, and the distribution, geochemistry, and mobility of water. We also address the exploration implications of the work, examining hazards and resources in the context of strategic knowledge gaps (SKGs).

Heather Smith↗

Mechanical behavior of carbonated MgO-based Engineered Cementitious Composite (ECC) after high temperatures exposure

Carbonated MgO-based Engineered Cementitious Composite (ECC) has ultrahigh tensile ductility and tight crack width control behavior. However, the expectation of improved fire-resistant has not been confirmed. This study explored the alterations to mechanical and microstructure characteristics of this material after exposure to temperatures up to 500 °C. Material mass loss, compressive strength, tensile strength, strain capacity, and matrix fracture toughness were measured. Scanning electron microscopy, mercury intrusion porosimetry, thermogravimetric analysis, and X-ray diffraction were used to probe the degradation of the cement matrix and fibers. The effect of elevated temperature on carbonated MgO-based ECC was further assessed via examination of the micromechanical behavior of the fiber-matrix. The objective of this research was to assess the performance of carbonated MgO-based ECC exposed to fire hazards. The tensile ductility of carbonated MgO-based ECC was found to be enhanced when exposed to ~100 °C as compared with those at room temperature ~20 °C. Further increase in exposure temperature, however, posed a negative impact on the composite compressive strength, ultimate tensile strength, and ability to control crack width. Here the results provide a useful database for further investigations into carbonated MgO-based ECC for fire safety enhancement.

36 MATERIALS SCIENCE↗

Summary Report of Ecological Risk Assessment for the Operation of the Explosives Waste Treatment Facility at Site 300 of the Lawrence Livermore National Laboratory.

An ecological risk assessment is required as part of the Resource Recovery and Conservation Act (RCRA) permit renewal process for Miscellaneous Units subject to 22 CCR 66270.23. This risk assessment is prepared in support of the RCRA permit renewal for the Explosives Waste Treatment Facility (EWTF) at Site 300 of the Lawrence Livermore National Laboratory (LLNL). LLNL collected soil samples and used the resulting data to produce a scoping-level ecological risk assessment pursuant to the Department of Toxic Substances Control, Guidance for Ecological Risk Assessment at Hazardous Waste Sites and Permitted Facilities, Part A: Overview, July 4, 1996. The scoping-level ecological risk assessment provides a framework to determine the potential interaction between ecological receptors and chemicals of concern from hazardous waste treatment operations in the area of EWTF. A scoping-level ecological risk assessment includes the step of conducting soil sampling in the area of the treatment units. The Sampling Plan in Support of the Human Health and Ecological Risk Assessment for the Operation of the Explosives Waste Treatment Facility at Site 300 of the Lawrence Livermore National Laboratory, (Terusaki, 2007), outlines the EWTF project-specific soil sampling requirements. Soil samples were obtained and analyzed for constituents from four chemical groups: furans, explosives, semi-volatiles and metals. Analytical results showed that furans, explosives and semi-volatiles were not detected; therefore, no further analysis was conducted. The soil samples did show the presence of metals. Soil samples analyzed for metals were compared to site-wide background levels, which had been developed for site -wide cleanup activities pursuant to the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). Total metal concentrations from 28 discrete soil samples obtained in the EWTF area were all below CERCLA-developed background levels. Therefore, following DTSC 1996 guidance, the EWTF hazardous waste treatment units exit the ecological risk evaluation process upon completion of the requirements of a scoping-level assessment report. This summary report documents that the requirements of a scoping-level assessment have been met.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Optimization of laser-induced breakdown spectroscopy for liquid sodium analysis

Next-generation nuclear power reactors based on liquid sodium coolant are in development to improve efficiency and safety. Fast breeder reactors could potentially achieve considerably higher fuel burn-up while producing less nuclear waste compared with current commercial technology. Monitoring of impurities in these types of reactors is important in order to prevent blockage of the cooling system or hazardous reactions due to the high reactivity of sodium with water. In this work, laser-induced breakdown spectroscopy is performed on a liquid sodium sample using a custom-built immersion probe system. The probe provides direct line of sight to the sample vessel in argon atmosphere for laser delivery and signal collection. Signatures of sodium, and impurities such as potassium and oxygen have been obtained. The probe height and immersion have a strong influence on the signal level and stability. Argon flow rates of 2 to 5 liters per minute produce no substantial change in signal, suggesting a steady laminar flowing regime. A high signal-to-noise ratio for impurity elements confirms the suitability of this technique for reliable impurity detection and monitoring in the reactor environment.

Gardette, V. [University of Michigan, Ann Arbor, M↗

Underground coal gasification: An overview of groundwater contamination hazards and mitigation strategies

Underground coal gasification is the in situ conversion of coal into an energy-rich product gas. It takes place deep underground, using chemical reactions to consume the coal and grow a cavity. Gas wells, drilled into the coal seam, inject reactant air, oxygen, and/or steam to sustain the reactions. Production wells then extract the product gas. Careful analysis and understanding of likely failure modes will help prevent and minimize impacts. This document provides a general description of the relevant processes, potential failure modes, and practical mitigation strategies. It can guide critical review of project design and operations.

01 COAL, LIGNITE, AND PEAT↗

A Flight Evaluation and Analysis of the Effect of Icing Conditions on the ZPG-2 Airship

A series of test flights was conducted by the U. S. Navy over a 3- year period to evaluate the effects of icing on the operation of the ZPG-2 airship. In supercooled. clouds, ice formed only on the forward edges of small protuberances and wires and presented no serious hazard to operation. Ice accretions of the glaze type which occurred in conditions described as freezing drizzle adversely affected various components to a somewhat greater extent. The results indicated, a need for protection of certain components such as antennas, propellers, and certain parts of the control system. The tests showed that icing of the large surface of the envelope occurred only in freezing rain or drizzle. Because of the infrequent occurrence of these conditions, the potential maximum severity could not be estimated from the test results. The increases in heaviness caused by icing in freezing rain and drizzle were substantial, but well within the operational capabilities of the airship. In order to estimate the potential operational significance of icing in freezing rain, theoretical calculations were used to estimate: (1) the rate of icing as a function of temperature and rainfall intensity, (2) the climatological probability of occurrence of various combinations of these variables, and (3) the significance of the warming influence of the ocean in alleviating freezing-rain conditions. The results of these calculations suggest that, although very heavy icing rates are possible in combinations of low temperature and high rainfall rate, the occurrence of such conditions is very infrequent in coastal areas and virtually impossible 200 or 300 miles offshore.

Lewis, Willilam↗

Radioactive Material Inventory Optimization Using the Plutonium-239 Equivalent Curie Methodology

ABSTRACT The purpose of this paper is to provide the technical basis for application of the Plutonium 239 equivalent curies (PEC) concept used to optimize and limit the material-at-risk (MAR) in the Irradiated Materials Characterization Laboratory (IMCL) located at the Materials and Fuels Complex (MFC). The PEC concept offers a method to normalize all radionuclides to a common radiotoxic hazard index that can be summed to a single value. This paper describes the technical approach to applying the PEC concept, documents the weighting factors and specific activities to be utilized in the calculation, and provides an example of the application of the concept to a radionuclide distribution that is representative of materials encountered in the IMCL. The IMCL is operated to provide a dynamic, re-configurable capability to analyze and characterize irradiated or non-irradiated radioactive material samples. The operations unique to the IMCL include sample storage, preparation, and analysis using experiment-specific instrumentation such as, Electron probe micro-analyzer (EPMA), Focused ion beam (FIB), Transmission electron microscope (TEM), and Scanning electron microscope (SEM). The methodology used to characterize the radioactive material inventory enables the IMCL to operate in such a way that complements their capability and program goals without compromising the safety of the worker, co-located worker, or the general public. The PEC concept offers a method in which all radionuclide inventory is normalized to a common radiotoxic hazard index that can be summed to a single value. The PEC concept is useful in the comparison of various material types for hazard categorization and for identifying worst-case and bounding inventory.

07 ISOTOPE AND RADIATION SOURCES↗

Clopidogrel Responsiveness in Patients Undergoing Peripheral Angioplasty

Purpose: To investigate the incidence and clinical significance of platelet responsiveness in patients receiving clopidogrel after peripheral angioplasty procedures. Materials and Methods: This prospective study included patients receiving antiplatelet therapy with clopidogrel 75 mg after infrainguinal angioplasty or stenting and who presented to our department during routine follow-up. Clopidogrel responsiveness was tested using the VerifyNow P2Y12 Assay. Patients with residual platelet reactivity units (PRU) {>=} 235 were considered as nonresponders (NR group NR), whereas patients with PRU < 235 were considered as normal (responders [group R]). Primary end points were incidence of resistance to clopidogrel and target limb reintervention (TLR)-free survival, whereas secondary end points included limb salvage rates and the identification of any independent predictors influencing clinical outcomes. Results: In total, 113 consecutive patients (mean age 69 {+-} 8 years) with 139 limbs were enrolled. After clopidogrel responsiveness analysis, 61 patients (53.9 %) with 73 limbs (52.5 %) were assigned to group R and 52 patients (46.1 %) with 66 limbs (47.5 %) to group NR. Mean follow-up interval was 27.7 {+-} 22.9 months (range 3-95). Diabetes mellitus, critical limb ischemia, and renal disease were associated with clopidogrel resistance (Fisher's exact test; p < 0.05). According to Kaplan-Meier analysis, TLR-free survival was significantly superior in group R compared with group NR (20.7 vs. 1.9 %, respectively, at 7-year follow-up; p = 0.001), whereas resistance to clopidogrel was identified as the only independent predictor of decreased TLR-free survival (hazard rate 0.536, 95 % confidence interval 0.31-0.90; p = 0.01). Cumulative TLR rate was significantly increased in group NR compared with group R (71.2 % [52 of 73] vs. 31.8 % [21 of 66], respectively; p < 0.001). Limb salvage was similar in both groups. Conclusion: Clopidogrel resistance was related with significantly more repeat interventions after peripheral angioplasty procedures.

62 RADIOLOGY AND NUCLEAR MEDICINE↗