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Modeling interconnections of safety and financial performance of nuclear power plants, part 3: Spatiotemporal probabilistic physics-of-failure analysis and its connection to safety and financial performance

Here, this paper is a byproduct of a line of research by the authors to analyze interrelationships of safety and financial performance of nuclear power plants (NPPs). The result of this line of research is summarized in three parts: Part 1 covers a categorical review of relevant literature and the theoretical bases that support the methodological developments in Part 2. Part 2 introduces an Integrated Enterprise Risk Management (I-ERM) methodological framework to quantify the interconnections of safety and financial performance with a focus on operation and maintenance (O&M) of NPPs. Part 2 has also demonstrated the applicability and values of the I-ERM methodology through an NPP case study. This paper is Part 3, where detailed development and implementation of one of the I-ERM modules, i.e., probabilistic physics-of-failure (PPoF) analysis, and its connection with safety and financial performance is reported. In this article, the physical failure modeling for hardware components is advanced by incorporating finite element analysis (FEA) into PPoF analysis and coupling the FEA-based PPoF with the maintenance performance through a renewal process model. This article covers two scientific contributions: (i) first-of-its-kind incorporation of FEA into the PPoF model of thermal fatigue for NPP components; and (ii) advancing the interface between the PPoF analysis and the renewal process model in order to deal with spatiotemporal FEA outputs and to efficiently estimate the physical transition rates even when the PPoF outputs are dominated by success data. Through the incorporation of FEA, the resolution of the PPoF analysis is enhanced as spatiotemporal conditions such as stress and temperature can be considered explicitly instead of relying on simplified assumptions or analytical models with reduced spatiotemporal dimensions. To demonstrate an application of the FEA-based PPoF analysis and its coupling with maintenance through the renewal process model, a case study is conducted using excess letdown elbow piping in the chemical and volume control system of a Pressurized Water Reactor.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

Spatiotemporally Adaptive Compression for Scientific Dataset with Feature Preservation – A Case Study on Simulation Data with Extreme Climate Events Analysis

Scientific discoveries are increasingly constrained by limited storage space and I/O capacities. For time-series simulations and experiments, their data often need to be decimated over timesteps to accommodate storage and I/O limitations. In this paper, we propose a technique that addresses storage costs while improving post-analysis accuracy through spatiotemporal adaptive, error-controlled lossy compression. We investigate the trade-off between data precision and temporal output rates, revealing that reducing data precision and increasing timestep frequency lead to more accurate analysis outcomes. Additionally, we integrate spatiotemporal feature detection with data compression and demonstrate that performing adaptive error-bounded compression in higher dimensional space enables greater compression ratios, leveraging the error propagation theory of a transformation-based compressor. To evaluate our approach, we conduct experiments using the well-known E3SM climate simulation code and apply our method to compress variables used for cyclone tracking. Our results show a significant reduction in storage size while enhancing the quality of cyclone tracking analysis, both quantitatively and qualitatively, in comparison to the prevalent timestep decimation approach. Compared to three state-of-the-art lossy compressors lacking feature preservation capabilities, our adaptive compression framework improves perfectly matched cases in TC tracking by 26.4-51.3% at medium compression ratios and by 77.3-571.1% at large compression ratios, with a merely 5–11% computational overhead.

Gong, Qian↗

Spatiotemporal features of traffic help reduce automatic accident detection time

Quick and reliable automatic detection of traffic accidents is of paramount importance to save human lives in transportation systems. However, automatically detecting when accidents occur has proven challenging, and minimizing the time to detect accidents (TTDA) by using traditional features in machine learning (ML) classifiers has plateaued. We hypothesize that accidents affect traffic farther from the accident location than previously reported. Therefore, leveraging traffic signatures from neighboring sensors that are adjacent to accidents should help improve their detection. We confirm this hypothesis by using verified ground-truth accident data, traffic data from radar detection system sensors, and light and weather conditions and show that we can minimize the TTDA while maximizing classification performance by considering spatiotemporal features of traffic. Specifically, we compare the performance of different ML classifiers (i.e, logistic regression, random forest, and XGBoost) when controlling for different numbers of neighboring sensors and TTDA horizons. We use data from interstates 75 and 24 in the metropolitan area that surrounds Chattanooga, TN. Our results show that the XGBoost classifier produces the best results by detecting accidents as quickly as 1.0 min after their occurrence with an area under the receiver operating characteristic curve of up to 83% and an average precision of up to 49%. We describe limitations, open challenges, and how the proposed framework can be used for quicker operational accident detection.

33 ADVANCED PROPULSION SYSTEMS↗

Shared micromobility as a first- and last-mile transit solution? Spatiotemporal insights from a novel dataset

The first- and last-mile (FM/LM) problem is a major deterrent to public transit use. With the rise of shared micromobility options such as shared e-scooters in recent years, there is a growing interest in understanding their potential to serve as a last-mile transit solution. However, empirical data regarding the integrated use of shared micromobility and public transit have been limited so far. As a result, much is unknown regarding the spatiotemporal patterns and characteristics of shared micromobility trips serving as an FM/LM connection to transit. Here, this paper addresses these knowledge gaps by leveraging a novel dataset (i.e., the Spin post-ride survey dataset) that records thousands of transit-connecting shared e-scooter trips in Washington DC. Specifically, we used the dataset to reveal the spatiotemporal patterns of transit-connecting shared e-scooter trips in Washington DC, resulting in some major policy insights regarding the integral use of shared e-scooters and public transit. We further leveraged the dataset to validate if and to what extent a commonly applied buffer-zone approach can infer FM/LM micromobility trips accurately. Statistical tests showed that the actual FM/LM Spin e-scooter trips differ from inferred FM/LM Spin e-scooter trips in both spatial and temporal dimensions. This indicates that the common practice of inferring FM/LM micromobility trips with a buffer-zone approach can lead to inaccurate estimates of transit-connecting micromobility trips.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Examining the changes in the spatial manifestation and the rate of arrival of large tornado outbreaks

This study presents an assessment of the spatial and temporal characteristics of large tornado outbreak (LTOs) days, in which several counties were impacted by tornadoes rated F2(EF2) or greater on the Fujita (Enhanced Fujita) scale in one day. A statistical evaluation of changes in the LTO clusters for two periods, 1950–1980 and 1989–2019, has been performed. There is a geographical shift of the nucleus (central impact location) towards the southeast United States. This spatial shift is also accompanied by reduced spatial variance, suggesting LTOs have become less dispersed (or more localized) in the recent period. The overall inter-arrival rate of LTOs, and how it changed during successive 31-year climatological blocks between 1950–2019 was investigated using an exponential probability model. The arrival rate has changed from 124 days during 1950–1980 to 164 days during 1977–2007 and remained relatively constant during later periods, indicating that LTOs are becoming less frequent.

54 ENVIRONMENTAL SCIENCES↗

KamNet: An integrated spatiotemporal deep neural network for rare event searches in KamLAND-Zen

Rare event searches allow us to search for new physics at energy scales inaccessible with other means by leveraging specialized large-mass detectors. Machine learning provides a new tool to maximize the information provided by these detectors. The information is sparse, which forces these algorithms to start from the lowest level data and exploit all symmetries in the detector to produce results. In this work we present KamNet, which harnesses breakthroughs in geometric deep learning and spatiotemporal data analysis to maximize the physics reach of KamLAND-Zen, a kiloton scale spherical liquid scintillator detector searching for 0⁢νβ⁢β. Using a simplified background model for KamLAND, we show that KamNet outperforms a conventional convolutional neural network (CNN) on benchmarking Monte Carlo simulations with an increasing level of robustness. Using simulated data, we then demonstrate KamNet's ability to increase KamLAND-Zen's sensitivity to 0ν⁢ββ and 2⁢ν⁢β⁢β decay to excited states. A key component of this work is the addition of an attention mechanism to elucidate the underlying physics KamNet is using for the background rejection.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Radiosonde Observations of Environments Supporting Deep Moist Convection Initiation during RELAMPAGO-CACTI

The Remote Sensing of Electrification, Lightning, and Mesoscale/Microscale Processes with Adaptive Ground Observations (RELAMPAGO) and Cloud, Aerosol, and Complex Terrain Interactions (CACTI) projects deployed a high-spatiotemporal-resolution radiosonde network to examine environments supporting deep convection in the complex terrain of central Argentina. This study aims to characterize atmospheric profiles most representative of the near-cloud environment (in time and space) to identify the mesoscale ingredients affecting storm initiation and growth. Spatiotemporal autocorrelation analysis of the soundings reveals that there is considerable environmental heterogeneity, with boundary layer thermodynamic and kinematic fields becoming statistically uncorrelated on scales of 1–2 h and 30 km. Using this as guidance, we examine a variety of environmental parameters derived from soundings collected within close proximity (30 km in space and 30 min in time) of 44 events over 9 days where the atmosphere either: 1) supported the initiation of sustained precipitating convection, 2) yielded weak and short-lived precipitating convection, or 3) produced no precipitating convection in disagreement with numerical forecasts from convection-allowing models (i.e., Null events). There are large statistical differences between the Null event environments and those supporting any convective precipitation. Null event profiles contained larger convective available potential energy, but had low free-tropospheric relative humidity, higher freezing levels, and evidence of limited horizontal convergence near the terrain at low levels that likely suppressed deep convective growth. Here, we also present evidence from the radiosonde and satellite measurements that flow–terrain interactions may yield gravity wave activity that affects CI outcome.

54 ENVIRONMENTAL SCIENCES↗

Benchmarking the PCMCI Causal Discovery Algorithm for Spatiotemporal Systems

Causal discovery algorithms construct hypothesized causal graphs that depict causal dependencies among variables in observational data. While powerful, the accuracy of these algorithms is highly sensitive to the underlying dynamics of the system in ways that have not been fully characterized in the literature. In this report, we benchmark the PCMCI causal discovery algorithm in its application to gridded spatiotemporal systems. Effectively computing grid-level causal graphs on large grids will enable analysis of the causal impacts of transient and mobile spatial phenomena in large systems, such as the Earth’s climate. We evaluate the performance of PCMCI with a set of structural causal models, using simulated spatial vector autoregressive processes in one- and two-dimensions. We develop computational and analytical tools for characterizing these processes and their associated causal graphs. Our findings suggest that direct application of PCMCI is not suitable for the analysis of dynamical spatiotemporal gridded systems, such as climatological data, without significant preprocessing and downscaling of the data. PCMCI requires unrealistic sample sizes to achieve acceptable performance on even modestly sized problems and suffers from a notable curse of dimensionality. This work suggests that, even under generous structural assumptions, significant additional algorithmic improvements are needed before causal discovery algorithms can be reliably applied to grid-level outputs of earth system models.

54 ENVIRONMENTAL SCIENCES↗

An evaluation of air quality in major urban areas of India

Rapid economic growth and burgeoning population have contributed to enhanced levels of PM 2.5 concentrations in urban regions of India. Evaluation of ambient air quality facilitates the assessment of effectiveness of emission control measures and early identification of new sources. This study provides a comprehensive statistical analysis of PM 2.5 concentrations in key urban areas across India, including Delhi, Kolkata, Mumbai, Chennai, Hyderabad, and several regional centers. Data from 2017 to 2023 was analyzed using trend analysis, cluster analysis, principal component analysis, and geostatistical interpolation to understand spatiotemporal variations and sources. The analysis reveals significant differences in spatial distribution of PM 2.5 concentrations with high annual averages in urban regions in Indo-Gangetic plain (82–123 μg m −3 ) and relatively lower concentrations (29–46 μg m −3 ) in southern urban areas of Kerala, Tamil Nadu and Andhra Pradesh. Delhi state had the highest 24-averaged PM 2.5 concentrations (112 μg m −3 ) followed by urban regions in Uttar Pradesh, Bihar and West Bengal (94 μg m −3 ). Trend analysis from 2017 to 2023 revealed an overall 2.5% decline in site-wide PM2.5 concentrations, with the exception of Ludhiana, which exhibited a consistent annual increase of 10%. Principal component analysis (PCA) attributes 30% of the variance to wintertime emissions, 13% to biomass burning, and 18% to the regional haze in the northern Indo-Gangetic Plain. Different analyses clearly demonstrates the contribution of biomass burning to pollution in Delhi and surrounding cities. Transboundary pollution to Kolkata is likely from the highly polluted region in Indo-Gangetic Plain. Coastal cities of Mumbai and Chennai has relatively lower pollution attributed to the influence of sea breeze dilution, with mostly local contribution and some potential transport from upwind industry clusters. Hyderabad also has local contribution due to high density of vehicular traffic and local small industries. This study shows that mitigation efforts targeting clusters of regions should be undertaken to curb the high PM2.5 pollution. Policy measures should be implemented both at local and the intra-state level to address shared sources and transport of pollution.

Hysplitbacktrajectories↗

Applying Gaussian Process Machine Learning and Modern Probabilistic Programming to Satellite Data to Infer CO 2 Emissions

Satellite data provides essential insights into the spatiotemporal distribution of CO 2 concentrations. However, many atmospheric inverse models fail to adequately incorporate the spatial and temporal correlations inherent in satellite observations and often lack rigorous methods for estimating parameters like spatial length scales. We introduce an inference model that processes the spatiotemporal covariance in satellite data and estimates hyperparameters such as covariance length scales. Our approach uses the Gaussian process (GP) machine learning (ML) and modern probabilistic programming languages (PPLs) to perform atmospheric inversions of emissions from satellite data. We develop a GP ML inversion system based on modern PPLs and the GEOS-Chem chemical transport model, simulating atmospheric CO 2 concentrations corresponding to the Orbiting Carbon Observatory-2/3 (OCO-2/3) data for July 2020. In our supervised learning framework, we treat the GEOS-Chem simulated data set as the target, with predictors derived by scaling the target with sector-specific factors hidden from the GP machine. Our results show that the GP model, combined with GPU-enabled PPLs, effectively retrieves true emission scaling factors and infers noise levels concealed within the data. This suggests that our method could be applied over larger areas with more complex covariance structures, enabling comprehensive analysis of the spatiotemporal patterns observed in OCO-2/3 and similar satellite data sets.

54 ENVIRONMENTAL SCIENCES↗

Integrating Maximum Entropy Production Theory and Machine Learning to Improve Global Evapotranspiration Modeling

Accurate estimation of terrestrial evapotranspiration (ET) is vital for understanding global water and energy cycles. However, current global ET estimations are not well constrained. This study introduces an integrated framework combining the Maximum Entropy Production (MEP) theory with Random Forest (RF) model to improve global ET estimation. Specifically, in contrast to direct ET estimation by the RF model, the integrated framework (MEP‐RF) trains to predict error of MEP‐simulated ET. MEP‐RF outperforms RF in spatiotemporal extrapolation. Attribution analysis with in situ observations reveals that the inputs of MEP are the most critical variables for the ET process, including net radiation, vegetated area, soil moisture, and surface temperature. We further drive MEP‐RF with global reanalysis and satellite data sets of these four inputs, yielding a global mean terrestrial ET of 548 mm/year, with 77% attributed to transpiration. The global ET increased at a rate of 0.85 mm/year per year during 2003–2021, primarily due to vegetation greening rather than rising temperature, while decreasing soil moisture led to decreasing regional ET. The integrated framework provides a novel approach for the estimation of global ET without the need for hard‐to‐obtain and thus uncertain inputs, such as wind speed, surface roughness, aerodynamic and canopy stomatal resistance. Therefore, MEP‐RF offers an independent method on existing global ET products. It represents a promising physically based approach that can be incorporated into Earth System Models to enhance water and energy cycle simulations.

54 ENVIRONMENTAL SCIENCES↗

Monte Carlo Simulation and Reconstruction: Assessment of Myocardial Perfusion Imaging of Tracer Dynamics With Cardiac Motion Due to Deformation and Respiration Using Gamma Camera With Continuous Acquisition

Purpose: Myocardial perfusion imaging (MPI) with single photon emission computed tomography (SPECT) is routinely used for stress testing in nuclear medicine. Recently, our group extended its potential going from 3D visual qualitative image analysis to 4D spatiotemporal reconstruction of dynamically acquired data to capture the time variation of the radiotracer concentration and the estimated myocardial blood flow (MBF) and coronary flow reserve (CFR). However, the quality of reconstructed image is compromised due to cardiac deformation and respiration. The work presented here develops an algorithm that reconstructs the dynamic sequence of separate respiratory and cardiac phases and evaluates the algorithm with data simulated with a Monte Carlo simulation for the continuous image acquisition and processing with a slowly rotating SPECT camera. Methods: A clinically realistic Monte Carlo (MC) simulation is developed using the 4D Extended Cardiac Torso (XCAT) digital phantom with respiratory and cardiac motion to model continuous data acquisition of dynamic cardiac SPECT with slowly rotating gamma cameras by incorporating deformation and displacement of the myocardium due to cardiac and respiratory motion. We extended our previously developed 4D maximum-likelihood expectation-maximization (MLEM) reconstruction algorithm for a data set binned from a continuous list mode (LM) simulation with cardiac and respiratory information. Our spatiotemporal image reconstruction uses splines to explicitly model the temporal change of the tracer for each cardiac and respiratory gate that delineates the myocardial spatial position as the tracer washes in and out. Unlike in a fully list-mode data acquisition and reconstruction the accumulated photons are binned over a specific but very short time interval corresponding to each cardiac and respiratory gate. Reconstruction results are presented showing the dynamics of the tracer in the myocardium as it continuously deforms. These results are then compared with the conventional 4D spatiotemporal reconstruction method that models only the temporal changes of the tracer activity. Mean Stabilized Activity (MSA), signal to noise ratio (SNR) and Bias for the myocardium activities for three different target-to-background ratios (TBRs) are evaluated. Dynamic quantitative indices such as wash-in (K1) and wash-out (k2) rates at each gate were also estimated. Results: The MSA and SNR are higher with higher TBRs while biases were improved with higher TBRs to less than 10%. The correlation between exhalation-inhalation sequence with the ground truth during respiratory cycle was excellent. Our reconstruction method showed better resolved myocardial walls during diastole to systole as compared to the ungated 4D image. Estimated values of K1 and k2 were also consistent with the ground truth. Conclusion: The continuous image acquisition for dynamic scan using conventional two-head gamma cameras can provide valuable information for MPI. Our study demonstrated the viability of using a continuous image acquisition method on a widely used clinical two-head SPECT system. Our reconstruction method showed better resolved myocardial walls during diastole to systole as compared to the ungated 4D image. Precise implementation of reconstruction algorithms, better segmentation techniques by generating images of different tissue types and background activity would improve the feasibility of the method in real clinical environment.

60 APPLIED LIFE SCIENCES↗

Identification and correction of temporal and spatial distortions in scanning transmission electron microscopy

Scanning transmission electron microscopy (STEM) has become the technique of choice for quantitative characterization of atomic structure of materials, where the minute displacements of atomic columns from high-symmetry positions can be used to map strain, polarization, octahedra tilts, and other physical and chemical order parameter fields. The latter can be used as inputs into mesoscopic and atomistic models, providing insight into the correlative relationships and generative physics of materials on the atomic level. However, these quantitative applications of STEM necessitate understanding the microscope induced image distortions and developing the pathways to compensate them both as part of a rapid calibration procedure for in situ imaging, and the post-experimental data analysis stage. Here, we explore the spatiotemporal structure of the microscopic distortions in STEM using multivariate analysis of the atomic trajectories in the image stacks. Based on the behavior of principal component analysis (PCA), we develop the Gaussian process (GP)-based regression method for quantification of the distortion function. The limitations of such an approach and possible strategies for implementation as a part of in-line data acquisition in STEM are discussed. Here, the analysis workflow is summarized in a Jupyter notebook that can be used to retrace the analysis and analyze the reader's data.

36 MATERIALS SCIENCE↗

Spectrometer-free quantitative vapor sensing and classification via spatiotemporal imaging of porous silicon metasurfaces

Metasurfaces offer a compact platform for optical vapor sensing, but their practical deployment has been limited by weak evanescent light–matter interactions and reliance on spectrally resolved instrumentation. Here, we report porous silicon (pSi) metasurfaces for spectrometer-free quantitative detection of volatile organic compounds (VOCs) with strongly enhanced light–matter interaction. The engineered porosity increases sensitivity by >100× relative to non-porous dielectric metasurfaces, enabling limits of detection of 1.65 ppm for methanol and 9.1 ppm for ethanol across a broad dynamic range (<10 ppm to >103 ppm). Imaging-based readout provides a lightweight, spectrometer-free pathway for real-time quantitative sensing. Beyond quantitative detection, the mesoporous architecture introduces adsorption–desorption kinetics as an additional information channel. Analysis of the resulting spatiotemporal signatures enables kinetic fingerprinting without reliance on infrared spectral features or surface functionalization, and a lightweight machine-learning classifier differentiates acetone, methanol, ethanol, and isopropanol with 91.6% accuracy. These results establish porous metasurfaces as spatiotemporal sensing elements that couple quantitative vapor detection with kinetic fingerprinting through real-time dynamical responses, enabling low-cost, high-performance optical sensors.

Dash, Tomoshree [Clemson University]↗

Temporal and Spatial Evolution of Non-Elastic Strain Accumulation in Stanstead Granite During Brittle Creep

Understanding the long-term behavior of brittle rocks requires fundamental consideration of time-dependent strain evolution and brittle creep processes. Previous studies have evaluated sub-critical crack growth during time-dependent deformation and damage evolution in brittle rocks; however, there is an incomplete knowledge of how damage evolves spatially and temporally within the body of intact rocks, where distributed regions of damage interact and coalesce during creep. This paper presents laboratory research focusing on evaluating brittle creep damage processes in Stanstead granite (SG) using 2-dimensional digital image correlation (2D-DIC). In the laboratory, the prismatic SG specimens were loaded beyond an estimated Crack Damage stress threshold (CD) level and then maintained a constant stress to initiate the creep process. DIC was used to characterize full-field spatiotemporal strain evolution, which was then interpreted in the context of local regions of “damage”, determined according to a strain-based criterion. Here, a method was proposed for identifying “existing” and “new” damage regions over specified intervals during the test, followed by spatial clustering of these regions to assess their spatiotemporal evolution. The clustering analysis results demonstrated the extension of existing damage regions was the main damage process during brittle creep, which is consistent with existing models of sub-critical crack growth. In addition, temporal analysis of tensile and shear strains on a point-by-point basis revealed both new damage formation and the strain concentration within existing damaged regions significantly contribute to overall specimen strain during primary creep. In contrast, during secondary creep, increases in specimen deformation are influenced by the accumulation of strains within already damaged regions.

58 GEOSCIENCES↗

Bias Correction and Statistical Downscaling of Future Solar Irradiance Projections Using the NSRDB

Assessing renewable energy resources under future climate scenarios has been highlighted to understand potential impacts of future climate change in renewable generation on the power sector. Climate model projection has been recognized by the renewable energy community as a useful data set to analyze the impacts of future climate change on renewable resources. However, future climate projections generated from general circulation models (GCMs) contain inherent biases that need to be corrected for accurate analysis of future projections of climate variables. In addition, the coarse spatiotemporal resolution of GCMs needs to be improved for regional climate studies. In this work, we develop statistical methods to downscale future projections of global horizontal irradiance (GHI) in a computationally efficient way. Our approach builds statistical downscaling models that correct bias of climate projection of GHI and downscale the future GHI projection from daily-scale to hourly-scale. The National Solar Radiation Database (NSRDB) is used to calibrate the statistical models and validate the downscaled GHI projections across the contiguous United State (CONUS). Preliminary results show that the statistical approach efficiently downscales climate projections of GHI with a nBIAS of 3%, nMAE of 34 % and nRMSE of 46% calculated against NSRDB for CONUS. This study describes the implemented methodology and initial results as well as future research to create high-resolution climate data sets for solar energy applications.

analytical models↗

Investigating the opioid epidemic across the United States: Associations between county-level characteristics and overdose mortality

The opioid crisis remains a critical public health challenge in the United States. Despite national efforts that reduced opioid prescribing by nearly 44% between 2011 and 2021, opioid overdose deaths more than tripled during the same period. This alarming trend reflects a major shift in the crisis, with illegal opioids now driving the majority of overdose deaths instead of prescription opioids. Although supply-side factors fueling this transition have been widely studied, the structural and community-level conditions that shape overdose mortality are less well understood. To help address this gap, this study has three primary objectives: (1) overcome structural gaps in national data to construct a complete nationwide county-level dataset from 2010 to 2022; (2) using data analysis, identify and investigate spatiotemporal anomalies in overdose mortality; and (3) using two machine-learning models, quantify the importance of thirteen social vulnerability variables in predicting overdose mortality. Our results identify unemployment and limited vehicle access as key county-level predictors of overdose mortality. Higher levels of these vulnerabilities are associated with elevated mortality, whereas lower levels are associated with reduced mortality. These findings highlight factors that may be relevant for public health planning and policy prioritization within the context of the opioid crisis.

Anomaly analysis↗