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At least 271 records · Page 15

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NASA NTRS2014

Development of Low-Toxicity Wastewater Stabilization for Spacecraft Water Recovery Systems

Wastewater stabilization was an essential component of the spacecraft water cycle. The purpose of stabilizing wastewater was two-fold. First, stabilization prevents the breakdown of urea into ammonia, a toxic gas at high concentrations. Second, it prevents the growth of microorganisms, thereby mitigating hardware and water quality issues due to due biofilm and planktonic growth. Current stabilization techniques involve oxidizers and strong acids (pH=2) such as chromic and sulfuric acid, which are highly toxic and pose a risk to crew health. The purpose of this effort was to explore less toxic stabilization techniques, such as food-grade and commercial care preservatives. Additionally, certain preservatives were tested in the presence of a low-toxicity organic acid. Triplicate 300-mL volumes of urine were dosed with a predetermined quantity of stabilizer and stored for two weeks. During that time, pH, total organic carbon (TOC), ammonia, and turbidity were monitored. Those preservatives that showed the lowest visible microbial growth and stable pH were further tested in a six-month stability study. The results of the six-month study are also included in this paper.

Adam, Niklas↗

NASA NTRS2015

Development of a Low Toxicity Urine Pretreatment for Water Recovery in Space

Adam, Niklas↗

NASA NTRS2015

Development of Low-Toxicity Wastewater Stabilization for Spacecraft Water Recovery Systems

Wastewater stabilization was an essential component of the spacecraft water cycle. The purpose of stabilizing wastewater was two-fold. First, stabilization prevents the breakdown of urea into ammonia, a toxic gas at high concentrations. Second, it prevents the growth of microorganisms, thereby mitigating hardware and water quality issues due to due biofilm and planktonic growth. Current stabilization techniques involve oxidizers and strong acids (pH=2) such as chromic and sulfuric acid, which are highly toxic and pose a risk to crew health. The purpose of this effort was to explore less toxic stabilization techniques, such as food-grade and commercial care preservatives. Additionally, certain preservatives were tested in the presence of a low-toxicity organic acid. Triplicate 300-milliliter volumes of urine were dosed with a predetermined quantity of stabilizer and stored for two weeks. During that time, pH, total organic carbon (TOC), ammonia, and turbidity were monitored. Those preservatives that showed the lowest visible microbial growth and stable pH were further tested in a six-month stability study. The results of the six-month study are also included in this paper.

Mitchell, Julie L.↗

DOE OSTI2023

Coupled wave-current modeling for hydrodynamic load analysis of macroalgae cultivation farms

Large-scale cultivation of macroalgae is one of the most promising biofuel sources that could reduce our consumption of fossil fuels and would be particularly economically competitive when grown for the co-production of additional goods such as food and textiles. Current production of biofuel from algal biomass is limited by labor costs and lack of data on potential impacts of cultivation and harvesting on marine and coastal environments as well as a comprehensive characterization of the impact of environmental conditions on macroalgal feedstock and their bioproduct and biofuel yield and quality. Awarded by the United States (U.S.) Department of Energy Advanced Research Projects Agency-Energy (ARPA-E) Macroalgae Research Inspiring Novel Energy Resources (MARINER) program, which seeks to enable the U.S. as a global leader in the production of marine biomass, the Marine Biological Laboratory (MBL) has been developing a test system for tropical seaweed cultivation in the Gulf of Mexico and the Caribbean. An integral step in designing macroalgae cultivation farms is to adequately characterize the hydrodynamic climate at potential growth sites. In regions like the Gulf of Mexico and the Caribbean, which are highly exposed to tropical cyclones, it is critical to not only consider the day-to-day hydrodynamic conditions but to also assess the risk of extreme sea states to ensure the survivability of future macroalgae farms. Under these considerations, the Pacific Northwest National Laboratory (PNNL) is providing modeling support for MBL to inform the design and siting of the farm systems that have been proposed for their ARPA-E MARINER project. This report describes the development of a high-resolution coupled storm surge and wave model to simulate the hydrodynamics and wave climate at proposed macroalgae cultivation sites selected by MBL in Florida and Puerto Rico. Model results, including model validation, water level, current distributions, and sea states, are discussed for both selected sites in Florida and Puerto Rico coast. These simulations provide an accurate insight into the hydrodynamic conditions that a macroalgae farm is likely to experience during its operational lifetime, including current information to support fine-scale hydrodynamic load modeling, risk analysis and system design.

09 BIOMASS FUELS↗

DOE OSTI2023

Desalting biocrude for improved downstream processing toward marine fuel application

Hydrothermal liquefaction of wet wastes (e.g., food waste and sewage sludge) offers a promising avenue for producing biocrude, but the resulting product is often contaminated with metals and water, impacting the biocrude upgrading steps to produce final fuel (e.g., jet and diesel). Here this study investigates the use of aqueous solutions of formic acid for desalting biocrudes and improving their quality. The results show that this approach significantly reduces both metal and water content, enabling mild hydrotreatment with reduced hydrogen consumption to further enhance the biocrude's quality. A preliminary technoeconomic analysis based on these experimental results shows that even without optimization, this washing process can yield biocrude with a minimum selling price of $1.87/GGE. Overall, our study demonstrates the potential for using dilute formic acid aqueous solutions to improve the quality of biocrudes, which can lead to more efficient and cost-effective conversion into biofuels.

09 BIOMASS FUELS↗

DOE OSTI2022

Transforming the Future of Marine Aquaculture: A Circular Economy Approach

By mid-century, society will need to significantly intensify the output of its food production system while simultaneously reducing that system’s detrimental impacts on climate, land use, freshwater resources, and biodiversity. This will require finding alternatives to carbon emissions-intensive agriculture, which provides the backbone of today’s global food production system. Here, we explore the hypothesis that marine algae-based aquaculture can help close the projected gap in society’s future nutritional demands while simultaneously improving environmental sustainability. Food production from marine algae-based aquaculture has the potential to contribute more than the total global protein demand projected for 2050, which ranges from 263.8 Mt/yr to 286.5 Mt/yr. It also offers important nutritional and environmental sustainability advantages relative to terrestrial agriculture. Marine algae can provide a better source of high-quality nutritional protein, essential amino acids, and other micronutrients relative to terrestrial plants. In addition, because marine algae do not require soil, irrigation, and the open application of fertilizer, their cultivation does not need to compete with agriculture for arable land and freshwater nor does it lead to fertilizer runoff and downstream eutrophication. Furthermore, by reducing agriculture’s demand for arable land and freshwater, marine algae-based aquaculture can reduce the pressure for deforestation, potentially leading to globally significant reductions in carbon emissions and biodiversity loss.

59 BASIC BIOLOGICAL SCIENCES↗

DOE OSTI2025

Antimicrobial Peptides Can Facilitate Whole Blood Safety from Bacteria: A Proof of Concept

With continuous improvements to blood donor deferrals and the availability of sensitive tests for donation screening for infectious agents, bacterial contamination of whole blood (WB) and blood components stored for transfusion is a rare event. Nonetheless, it still occurs and remains a transfusion-associated risk in terms of septic transfusion reactions (STRs) and transfusion-transmitted bacterial infections with morbidity and mortality outcomes. One of the risk mitigation strategies for bacterial contamination is to implement treatment with currently available proactive pathogen reduction technologies (PRTs) for these transfusion products. Here, as a proof of concept, we tested two recently developed unique cationic antimicrobial peptides (AMPs; D-CONGA and D-CONGA-Q7) for WB safety from bacterial contamination. In this study, WB was inoculated with Escherichia coli and Staphylococcus epidermidis and treated with the two peptides to evaluate their bactericidal efficacy. The results demonstrated that D-CONGA and D-CONGA-Q7 exhibit potent inhibitory activity against the bacteria with a minimal inhibitory concentration (MIC) range of 4–8 and 1–8 μM, respectively, depending on the bacterial species tested. Time-kill kinetics further confirmed that the peptides exhibit bactericidal efficacy at 8 μM by achieving a 5-log 10 reduction (99.999%) of the bacterial load in WB with a time-dependent killing profile. Furthermore, even at 20 μM, the AMPs did not negatively impact hemolysis or hemostatic properties. We have further demonstrated using a cationic exchange resin that the cationic AMPs can be separated and removed from WB after the peptide treatments. During 35-day WB storage at 2–8 °C, 4 μM D-CONGA-Q7 one-time treatment prevented S. epidermidis growth and preserved WB quality and integrity. Overall, the results described here provide the first proof of concept that certain AMPs, such as D-CONGA and D-CONGA-Q7, can facilitate WB safety from bacteria during storage.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2025

Future Spatially Explicit Patterns of Land Transitions in the United States With Multiple Stressors

Climate change, income and population growth, and changing diets are major drivers of the global food system with implications for land use change. Land use in the U.S. will be affected directly by local and regional forces and indirectly through international trade. In order to investigate the effects of several potential forces on land use changes in the U.S., we advanced capabilities in representing the interactions between natural and human systems by linking a multisectoral and multiregional socio-economic model of the world economy to a model that downscales land use to a 0.5°grid scale. This enables us to translate regional projections of future land use into higher-resolution representations of time-evolving land cover (effectively spatially explicit land use transitions). We applied the framework over the U.S., with a particular interest in the Mississippi River Basin and its four sub-basins, to consider how a range of global drivers affect land use and cover in the target regions. Our results show that under scenarios of high pressure on the world food system a comparative advantage in livestock production amplifies the recent trend toward less cropland and more pastures in the U.S. Under low pressures on the world food system agricultural land is used less intensively. However, there can be key differences among the various land-use transitions at the sub- basin scale. Overall, these results highlighted the need for high resolution details to explicitly understand the implications of land use change on environmental impacts such as carbon storage, soil erosion, chemical use, hydrology, and water quality.

54 ENVIRONMENTAL SCIENCES↗

NASA NTRS2013

Mars Technologies Spawn Durable Wind Turbines

Sometimes referred to as regenerative life support systems, the concept includes an enclosed self-sufficient habitat that can independently support life for years on end. Such a system aims not only to produce its own food and water but to purify air and convert waste into useful byproducts. In the early 1990s, NASA was planning for an extended stay on Mars, and Bubenheim and his Ames colleagues were concentrating efforts on creating a complete ecological system to sustain human crewmembers during their time on the Red Planet. The main barrier to developing such a system, he says, is energy. Mars has no power plants, and a regenerative system requires equipment that runs on electricity to do everything from regulating humidity in the atmosphere to monitoring the quality of recycled water. The Ames group started looking at how to best make power on a planet that is millions of miles away from Earth and turned to a hybrid concept combining wind and solar power technologies. The reason was that Mars experiences frequent dust storms that can block nearly all sunlight. When theres a dust storm and the wind is blowing, the wind system could be the dominant power source. When the wind is not blowing and the sun is out, photovoltaics could be the dominant source, says Bubenheim.To develop and test the wind power technology, Ames turned to a remote, harsh environment here on Earth: the South Pole. The South Pole was a really good analog for Mars, says Bubenheim. The technology features for going to Mars were the same technology features needed to make something work at the South Pole.Around the same time that NASA started investigating energy technologies for the Red Planet, the National Science Foundation (NSF) was working on a redesign of their station at the South Pole. To power its operations, NSF used fuel that it flew to the remote location, but the Foundation recognized the benefits of also using onsite renewable energy technologies. In the winter they have small crews and their power requirements are less, says Bubenheim. In the summers, they bring in larger groups and photovoltaics could supply a lot of power. Using renewable energy technology could be a way of reducing the amount of fuel they have to fly in.Technology TransferTo advance wind turbine technology to meet the requirements of extremely harsh environments like that on Mars, Ames partnered with NSF and the Department of Energy. It was clear that a lot of the same features were also desirable for the cold regions of the Earth, says Bubenheim. NASA took the leadership on the team because we had the longest-term technology a Mars turbine. Years before, NSF had worked with a company called Northern Power Systems (NPS), based in Barre, Vermont, to deploy a 3-kilowatt wind turbine on Black Island off the coast of Antarctica.Sometimes referred to as regenerative life support systems, the concept includes an enclosed self-sufficient habitat that can independently support life for years on end. Such a system aims not only to produce its own food and water but to purify air and convert waste into useful byproducts. In the early 1990s, NASA was planning for an extended stay on Mars, and Bubenheim and his Ames colleagues were concentrating efforts on creating a complete ecological system to sustain human crewmembers during their time on the Red Planet. The main barrier to developing such a system, he says, is energy. Mars has no power plants, and a regenerative system requires equipment that runs on electricity to do everything from regulating humidity in the atmosphere to monitoring the quality of recycled water. The Ames group started looking at how to best make power on a planet that is millions of miles away from Earth and turned to a hybrid concept combining wind and solar power technologies. The reason was that Mars experiences frequent dust storms that can block nearly all sunlight. When there's a dust storm and the wind is blowing, the wind system could be the dominant power source. When the wind is not blowing and the sun is out, photovoltaics could be the dominant source, says Bubenheim.To develop and test the wind power technology, Ames turned to a remote, harsh environment here on Earth: the South Pole. The South Pole was a really good analog for Mars, says Bubenheim. The technology features for going to Mars were the same technology features needed to make something work at the South Pole.Around the same time that NASA started investigating energy technologies for the Red Planet, the National Science Foundation (NSF) was working on a redesign of their station at the South Pole. To power its operations, NSF used fuel that it flew to the remote location, but the Foundation recognized the benefits of also using onsite renewable energy technologies. In the winter they have small crews and their power requirements are less, says Bubenheim. In the summers, they bring in larger groups and photovoltaics could supply a lot of power. Using renewable energy technology could be a way of reducing the amount of fuel they have to fly in.Technology Transfer To advance wind turbine technology to meet the requirements of extremely harsh environments like that on Mars, Ames partnered with NSF and the Department of Energy. It was clear that a lot of the same features were also desirable for the cold regions of the Earth, says Bubenheim. NASA took the leadership on the team because we had the longest-term technology a Mars turbine.

Mars Technologies↗

DOE OSTI2022

Use of a silver-based sanitizer to accelerate Escherichia coli die-off on fresh-cut lettuce and maintain produce quality during cold storage: Laboratory and pilot-plant scale tests

Outbreaks and product recalls involving romaine and iceberg lettuce are frequently reported in the United States. Novel technologies are needed to inactivate pathogens without compromising product quality and shelf life. In this study, the effects of a process aid composed of silver dihydrogen citrate, glycerin, and lactic acid (SGL) on Escherichia coli and Listeria monocytogenes concentrations on lettuce immediately after washing and during cold storage were evaluated. Sensory and quality attributes of fresh-cut iceberg lettuce were also evaluated. Laboratory results indicated that application of SGL solution for 30 s as a first step in the washing process resulted in a 3.15 log reduction in E. coli O157:H7 immediately after washing. For E. coli O157:H7 a significant difference between SGL treatment and all other treatments was maintained until day 7. On day zero, SGL led to a 2.94 log reduction of L. monocytogenes. However, there was no significant difference between treatments with or without SGL regardless of storage time. Pilot-plant results showed that samples receiving SGL spray followed by chlorinated flume wash exhibited a greater reduction (1.48 log) in nonpathogenic E. coli populations at the end of shelf life than other treatments (p < 0.05). Additional pilot plant tests were conducted to investigate the hypothesis that SGL residues could continue to impact microbial survival on the final washed lettuce. Results show that pathogens introduced subsequent to flume washing of lettuce pretreated with SGL solution were not affected by antimicrobial residues. Here, the final quality and shelf life of flume washed lettuce were also unaffected by pretreatment with SGL. In conclusion, the results of this study demonstrate that this new technology has the potential to accelerate E. coli die-off on fresh-cut lettuce during cold storage and improve product safety, while not affecting quality throughout the shelf life of the finished products.

59 BASIC BIOLOGICAL SCIENCES↗

NASA NTRS1987

Non-conventional approaches to food processing in CELSS, 1. Algal proteins: Characterization and process optimization

Protein isolate obtained from green algae cultivated under controlled conditions was characterized. Molecular weight determination of fractionated algal proteins using SDS-polyacrylamide gel electrophoresis revealed a wide spectrum of molecular weights ranging from 15,000 to 220,000. Isoelectric points of dissociated proteins were in the range of 3.95 to 6.20. Amino acid composition of protein isolate compared favorably with FAO standards. High content of essential amino acids leucine, valine, phenylalanine and lysine make algal protein isolate a high quality component of closed ecological life support system diets. To optimize the removal of algal lipids and pigments supercritical carbon dioxide extraction (with and without ethanol as a co-solvent) was used. Addition of ethanol to supercritical carbon dioxide resulted in more efficient removal of algal lipids and produced protein isolate with a good yield and protein recovery. The protein isolate extracted by the above mixture had an improved water solubility.

Nakhost, Z.↗

NASA NTRS2021

Flood Monitoring and Crop Damage Assessment

In recent years, the occurrence and impact of inland and coastal flood events have become more frequent and damaging, especially within agricultural fields, due to the global climate change and consistent sea level rise. Monitoring and measuring the magnitude of flood events in a timely manner and assessing the subsequent crop damages accurately are precursors in minimizing detrimental consequences that could potentially lead to a global food security crisis. Traditional gauge-based measurements with sophisticated hydrological models are capable of monitoring flood events precisely but limited within the smaller spatial extent, time-consuming, and costly. In recent decades, advancement in airborne- and satellite-based remote sensing technologies offering products at a daily global spatial extent with various spectral resolution helps address the shortcomings of the traditional in situ approaches in flood monitoring. Furthermore, the methods such as classification and band ratioing using remote sensing products are simple and effective in assessing flood-induced agricultural damages. The combination of remote sensing products and geographic information systems along with the current development in web mapping, users now can get near real-time flood monitoring and crop damage assessments, albeit dependent upon the quality of available data. A case study to quantify the impact of the 2011 Missouri Mississippi River flooding on the surrounding cornfield was performed through a regression model. The model was trained using historical daily NDVI and corn yield across Nebraska and Missouri, and the overall accuracy in estimating corn yield was about 90%. The method implemented in this localized case study could be extended at a larger geographical scale.

Flood monitoring↗

NASA NTRS2018

Biology IS the Technology: the Microbial Ecology of Space Food Production and the Power of Aquaponics as a Learning Tool

To accomplish the objective of human missions to Mars and/or the long-term colonization of the moon, bioregenerative life support systems and food production systems will be absolutely necessary. Microbes are an essential and unavoidable component of these systems. In fact, these systems are driven by complex microbial communities about which we know very little, a glaring strategic knowledge gap in our ability to support extended human exploration in closed systems. Our laboratory has been working to use molecular ecological methods, including nanopore sequencing technology already deployed on the International Space Station, to understand the microbes in food production systems on Earth. Our ultimate goal is to inform the implementation of food production systems off-world. To date, we have sampled and sequenced the microbiomes of aquaponics systems, hydroponics systems, and fish ponds. Our results have revealed that the microbial communities in these systems are extremely diverse, and highly variable between systems. Along the way, we have discovered the power of aquaponics systems as teaching tools, and the capacity of students to perform high quality citizen science. By designing, constructing, and operating aquaponics systems, students better understand the role of microbes in the cycling of the elements in natural ecosystems, and in the human built environment. In partnership with schools and colleges, contributing new knowledge as citizen scientists, we are now exploring the relationships between the functioning of these systems and their microbial flora.

Bebout, Brad↗

DOE OSTI2020

From physics to fixtures to food: current and potential LED efficacy

Light-emitting diodes (LEDs) have enabled a historic increase in the conversion of electric energy to photons, but this is approaching a physical limit. The theoretical maximum efficiency occurs when all input energy is converted to energy in photosynthetic photons. Blue LEDs can be 93% efficient, phosphor-converted “whites” 76% efficient, and red LEDs 81% efficient. These improvements open new opportunities for horticultural lighting. Here we review (1) fundamental physics and efficiency of LEDs, (2) the current efficacy of LEDs, (3) the effect of spectral quality on crop yield, and (4) the potential efficacy of horticultural fixtures. Advances in the conversion of photons to yield can be achieved by optimization of spectral effects on plant morphology, which vary among species. Conversely, spectral effects on photosynthesis are remarkably similar across species, but the conventional definition of photosynthetic photons (400–700 nm) may need to be modified. The upper limit of LED fixture efficacy is determined by the LED package efficacy multiplied by four factors inherent to all fixtures: current droop, thermal droop, driver (power supply) inefficiencies, and optical losses. With current LED technology, the calculations indicate efficacy limits of 3.4 µmol J- 1 for white + red fixtures, and 4.1 µmol J -1 for blue + red fixtures. Adding optical protection from water and high humidity reduces these values by ~10%. We describe tradeoffs between peak efficacy and cost.

Agriculture↗

NASA NTRS1986

Utilization of non-conventional systems for conversion of biomass to food components: Recovery optimization and characterizations of algal proteins and lipids

Protein isolate obtained from green algae (Scenedesmus obliquus) cultivated under controlled conditions was characterized. Molecular weight determination of fractionated algal proteins using SDS-polyacrylamide gel electrophoresis revealed a wide spectrum of molecular weights ranging from 15,000 to 220,000. Isoelectric points of dissociated proteins were in the range of 3.95 to 6.20. Amino acid composition of protein isolate compared favorably with FAO standards. High content of essential amino acids leucine, valine, phenylalanine and lysine makes algal protein isolate a high quality component of closed environment life support system (CELSS) diets. To optimize the removal of algal lipids and pigments supercritical carbon dioxide extraction (with and without ethanol as a co-solvent) was used. Addition of ethanol to supercritical CO2 resulted in more efficient removal of algal lipids and produced protein isolate with a good yield and protein recovery. The protein isolate extracted by the above mixture had an improved water solubility.

Karel, M.↗

NASA NTRS1987

Non-conventional approaches to food processing in CELSS. I - Algal proteins: Characterization and process optimization

Protein isolate obtained from green algae (Scenedesmus obliquus) cultivated under controlled conditions was characterized. Molecular weight determination of fractionated algal proteins using SDS-polyacrylamide gel electrophoresis revealed a wide spectrum of molecular weights ranging from 15,000 to 220,000. Isoelectric points of dissociated proteins were in the range of 3.95 to 6.20. Amino acid composition of protein isolate compared favorably with FAO standards. High content of essential amino acids leucine, valine, phenylalanine and lysine makes algal protein isolate a high quality component of CELSS diets. To optimize the removal of algal lipids and pigments supercritical carbon dioxide extraction (with and without ethanol as a co-solvent) was used. Addition of ethanol to supercritical CO2 resulted in more efficient removal of algal lipids and produced protein isolate with a good yield and protein recovery. The protein isolate extracted by the above mixture had an improved water solubility.

Nakhost, Z.↗

NASA NTRS2001

Escalating trends in the urban metabolism of Hong Kong: 1971-1997

Urban metabolism measures quantitatively a city's load on the natural environment. We update the Newcombe et al. (3) pioneering study of Hong Kong's urban metabolism in 1971, highlighting trends in resource consumption and waste generation. Per capita food, water and materials consumption have surged since the early 1970s by 20%, 40%, and 149%, respectively. Tremendous pollution has accompanied this growing affluence and materialism, and total air emissions, CO2 outputs, municipal solid wastes, and sewage discharges have risen by 30%, 250%, 245%, and 153%. As a result, systemic overload of land, atmospheric and water systems has occurred. While some strategies to tackle deteriorating environmental quality have succeeded, greater and more far-reaching changes in consumer behavior and government policy are needed if Hong Kong is to achieve its stated goal of becoming "a truly sustainable city" in the 21st century.

Environmental Pollution↗

DOE OSTI2021

Floor and ceiling effects in the EORTC QLQ-C30 Physical Functioning subscale among patients with advanced or metastatic breast cancer

The European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 Physical Functioning subscale is a widely used patient-reported outcome measure that quantifies cancer patients' physical functioning. Strong floor/ceiling effects can affect a scale's sensitivity to change. The aim of this study was to characterize floor/ceiling effects of the physical functioning domain in patients with advanced/metastatic breast cancer enrolled in commercial clinical trials and a community-based trial. The clinical trial cohort comprised patients from 5 registrational trials submitted to the Food and Drug Administration for review (2010-2017). The community cohort comprised a subgroup of patients from the Alliance Patient Reported Outcomes to Enhance Cancer Treatment (PRO-TECT) trial. The distribution of patient responses to Physical Functioning items and the summed score were assessed at the baseline and 3-month follow-up for both cohorts. Descriptive statistics were used to determine floor/ceiling effects at the item and scale levels. The clinical trial cohort and the community cohort consisted of 2407 and 178 patients, respectively. Twenty-four percent or more of the respondents reported “not at all” for having trouble/needing help with each Physical Functioning item across both cohorts and measurement time points. Fourteen to twenty percent of the patients scored perfectly (100 of 100) on the Physical Functioning subscale summary measure (where higher scores indicated better physical functioning) across both cohorts and time points. Minor floor effects and notable ceiling effects were found at the item and scale levels of the Physical Functioning subscale, regardless of cohort, and this creates some uncertainty about its ability to detect changes in physical functioning among high-functioning patients. In conclusion, investigators may consider adding additional high-functioning items from the EORTC's item library to more accurately describe the impact of anticancer treatment on patients' physical functioning.

60 APPLIED LIFE SCIENCES↗