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At least 397 records · Page 22

Rheoencephalographic and electroencephalographic measures of cognitive workload: analytical procedures

This investigation demonstrates the feasibility of mental workload assessment by rheoencephalographic (REG) and multichannel electroencephalographic (EEG) monitoring. During the performance of this research, unique testing, analytical and display procedures were developed for REG and EEG monitoring that extend the current state of the art and provide valuable tools for the study of cerebral circulatory and neural activity during cognition. REG records are analyzed to provide indices of the right and left hemisphere hemodynamic changes that take place during each test sequence. The EEG data are modeled using regression techniques and mathematically transformed to provide energy-density distributions of the scalp electrostatic field. These procedures permit concurrent REG/EEG cognitive testing not possible with current techniques. The introduction of a system for recording and analysis of cognitive REG/EEG test sequences facilitates the study of learning and memory disorders, dementia and other encephalopathies.

Arousal/physiology↗

Medical Data Architecture Project Capabilities and Design

Mission constraints will challenge the delivery of medical care on a long-term, deep space exploration mission. This type of mission will be restricted in the availability of medical knowledge, skills, procedures and resources to prevent, diagnose, and treat in-flight medical events. Challenges to providing medical care are anticipated, including resource and resupply constraints, delayed communications and no ability for medical evacuation. The Medical Data Architecture (MDA) project will enable medical care capability in this constrained environment. The first version of the system, called "Test Bed 1," includes capabilities for automated data collection, data storage and data retrieval to provide information to the Crew Medical Officer (CMO). Test Bed 1 seeks to establish a data architecture foundation and develop a scalable data management system through modular design and standardized interfaces. In addition, it will demonstrate to stakeholders the potential for an improved, automated, flow of data to and from the medical system over the current methods employed on the International Space Station (ISS). It integrates a set of external devices, software and processes, and a Subjective, Objective, Assessment, and Plan (SOAP) note commonly used by clinicians. Medical data like electrocardiogram plots, heart rate, skin temperature, respiration rate, medications taken, and more are collected from devices and stored in the Electronic Medical Records (EMR) system, and reported to crew and clinician. Devices integrated include the Astroskin biosensor vest and IMED CARDIAX electrocardiogram (ECG) device with INEED MD ECG Glove, and the NASA-developed Medical Dose Tracker application. The system is designed to be operated as a standalone system, and can be deployed in a variety of environments, from a laptop to a data center. The system is primarily composed of open-source software tools, and is designed to be modular, so new capabilities can be added. The software components and integration methods will be discussed.

Data architecture↗

Strain gage calibration

A temporary bonding system for accurately predetermining the individual apparent strain curve characteristics of the gages is used, and subsequently employs a computer to watch the apparent strain curves of the individual gages to determine which gages should be used together on transducers. The temporary bonding system requires a test block on which the gages are temporarily bonded, several thermocouples for monitoring temperature, and a data acquisition system for recording apparent strain data. Initially, a group of strain gages are attached to the test block using a bonding agent that disintegrates at high temperatures. The gages are then wired to an appropriate data acquisition and data, collected throughout a predetermined temperature excursion. Once the data is obtained, the test block is heated until the bonding agent disintegrates freeing the gages from the test block. The gages are then disconnected from the data acquisition system and cleaned, thereby ready for use on transducers.

Moore, T. C.↗

DOME: Directional medical embedding vectors from Electronic Health Records

Motivation: The increasing availability of Electronic Health Record (EHR) systems has created enormous potential for translational research. Recent developments in representation learning techniques have led to effective large-scale representations of EHR concepts along with knowledge graphs that empower downstream EHR studies. However, most existing methods require training with patient-level data, limiting their abilities to expand the training with multi-institutional EHR data. On the other hand, scalable approaches that only require summary-level data do not incorporate temporal dependencies between concepts. Methods: We introduce a DirectiOnal Medical Embedding (DOME) algorithm to encode temporally directional relationships between medical concepts, using summary-level EHR data. Specifically, DOME first aggregates patient-level EHR data into an asymmetric co-occurrence matrix. Then it computes two Positive Pointwise Mutual Information (PPMI) matrices to correspondingly encode the pairwise prior and posterior dependencies between medical concepts. Following that, a joint matrix factorization is performed on the two PPMI matrices, which results in three vectors for each concept: a semantic embedding and two directional context embeddings. They collectively provide a comprehensive depiction of the temporal relationship between EHR concepts. Results: We highlight the advantages and translational potential of DOME through three sets of validation studies. First, DOME consistently improves existing direction-agnostic embedding vectors for disease risk prediction in several diseases, for example achieving a relative gain of 5.5% in the area under the receiver operating characteristic (AUROC) for lung cancer. Second, DOME excels in directional drug-disease relationship inference by successfully differentiating between drug side effects and indications, correspondingly achieving relative AUROC gain over the state-of-the-art methods by 10.8% and 6.6%. Finally, DOME effectively constructs directional knowledge graphs, which distinguish disease risk factors from comorbidities, thereby revealing disease progression trajectories. The source codes are provided at https://github.com/celehs/Directional-EHRembedding.

60 APPLIED LIFE SCIENCES↗

Design and Preparation of a Particle Dynamics Space Flight Experiment, SHIVA

ABSTRACT This paper describes the flight experiment, supporting ground science, and the design rationale for project SHIVA (Spaceflight Holography Investigation in a Virtual Apparatus). SHIVA is a fundamental study of particle dynamics in fluids in microgravity. Gravity often dominates the equations of motion of a particle in a fluid, so microgravity provides an ideal environment to study the other forces, such as the pressure and viscous drag and especially the Basset history force. We have developed diagnostic recording methods using holography to save all of the particle field optical characteristics, essentially allowing the experiment to be transferred from space back to earth in what we call the "virtual apparatus" for on-earth microgravity experimentation. We can quantify precisely the three-dimensional motion of sets of particles, allowing us to test and apply new analytical solutions developed by members of the team as reported in the 2001 Conference (Banff, Canada). In addition to employing microgravity to augment the fundamental study of these forces, the resulting data will allow us to quantify and understand the ISS environment with great accuracy. This paper shows how we used both experiment and theory to identify and resolve critical issues and produce an optimal the study. We examined the response of particles of specific gravity from 0.1 to 20, with radii from 0.2 to 2mm. to fluid oscillation at frequencies up to 80 Hz with amplitudes up to 200 microns. To observe some of the interesting effects predicted by the new solutions requires the precise location of the position of a particle in three dimensions. To this end we have developed digital holography algorithms that enable particle position location to a small fraction of a pixel in a CCD array. The spaceflight system will record holograms both on film and electronically. The electronic holograms can be downlinked providing real time data, essentially acting like a remote window into the ISS experimental chamber. Ground experiments have provided input to a flight system design that can meet the requirements for a successful experiment on ISS. Moreover the ground experiments have provided a definitive, quantitative observation of the Basset History force over a wide range of conditions. Results of the ground experiments, the flight experiment design, preliminary flight hardware design, and data analysis procedures are reported.

Trolinger, James↗

GES DISC Greenhouse Gas Data Sets and Associated Services

NASA Goddard Earth Sciences (GES) Data and Information Services Center (DISC) archives and distributes rich collections of data on atmospheric greenhouse gases from multiple missions. Hosted data include those from the Atmospheric Infrared Sounder (AIRS) mission (which has observed CO2, CH4, ozone, and water vapor since 2002); legacy water vapor and ozone retrievals from TIROS Operational Vertical Sounder (TOVS); and Upper Atmosphere Research Satellite (UARS) going back to the early 1980s. GES DISC also archives and supports data from seven projects of the Making Earth System Data Records for Use in Research Environments (MEaSUREs) program that have ozone and water vapor records. Greenhouse gases data from the A-Train satellite constellation is also available: (1) Aura-Ozone Monitoring Instrument (OMI) and Microwave Limb Sounder (MLS) ozone, nitrous oxide, and water vapor since 2004; (2) Greenhouse Gases Observing Satellite (GOSAT) CO2 observations since 2009 from the Atmospheric CO2 Observations from Space (ACOS) task; and (3) Orbiting Carbon Observatory-2 (OCO-2) CO2 data since 2014. The most recent related data set that the GES DISC archives is methane flux for North America, as part of NASAs Carbon Monitoring System (CMS) project. This dataset contains estimates of methane emission in North America based on an inversion of the GEOS-Chem chemical transport model constrained by GOSAT observations (Turner et al., 2015). Along with data stewardship, an important focus area of the GES DISC is to enhance the usability of its data and broaden its user base. Users have unrestricted access to a new user-friendly search interface, which includes many services such as variable subsetting, format conversion, quality screening, and quick browse. The majority of the GES DISC data sets are also accessible through Open-source Project for a Network Data Access Protocol (OPeNDAP) and Web Coverage Service (WCS). The latter two services provide more options for specialized subsetting, format conversion, and image viewing. Additional data exploration, data preview, and preliminary analysis capabilities are available via NASA Giovanni, which obviates the need forusers to download the data (Acker and Leptoukh, 2007). Giovanni provides a bridge between the data and science and has been very successful in extending GES DISC data to educational users and to users with limited resources.

data ordering↗

Approach to Managing MeaSURES Data at the GSFC Earth Science Data and Information Services Center (GES DISC)

A major need stated by the NASA Earth science research strategy is to develop long-term, consistent, and calibrated data and products that are valid across multiple missions and satellite sensors. (NASA Solicitation for Making Earth System data records for Use in Research Environments (MEaSUREs) 2006-2010) Selected projects create long term records of a given parameter, called Earth Science Data Records (ESDRs), based on mature algorithms that bring together continuous multi-sensor data. ESDRs, associated algorithms, vetted by the appropriate community, are archived at a NASA affiliated data center for archive, stewardship, and distribution. See http://measures-projects.gsfc.nasa.gov/ for more details. This presentation describes the NASA GSFC Earth Science Data and Information Services Center (GES DISC) approach to managing the MEaSUREs ESDR datasets assigned to GES DISC. (Energy/water cycle related and atmospheric composition ESDRs) GES DISC will utilize its experience to integrate existing and proven reusable data management components to accommodate the new ESDRs. Components include a data archive system (S4PA), a data discovery and access system (Mirador), and various web services for data access. In addition, if determined to be useful to the user community, the Giovanni data exploration tool will be made available to ESDRs. The GES DISC data integration methodology to be used for the MEaSUREs datasets is presented. The goals of this presentation are to share an approach to ESDR integration, and initiate discussions amongst the data centers, data managers and data providers for the purpose of gaining efficiencies in data management for MEaSUREs projects.

Vollmer, Bruce↗

Predictive Modeling for Differential Diagnosis and Mortality Risk Assessment

The prevalence of electronic health record (EHR) systems has brought prodigious biomedical informatics opportunity. Automated machine learning methods can effectively utilize such data and have become common tools for healthcare predictive modeling. Researches in medical informatics have explored the potential of deep learning and classical models in emergent care scenarios. In particular, predicting differential diagnoses for admissions have proven useful in decreasing unnecessary lab tests and improving inpatient triage decision-making. Moreover, identification of high-risk patients for in-hospital mortality is vitally important to maximize allocation of medical resources.The Medical Information Mart for Intensive Care (MIMIC-III) database, containing de-identified critical care inpatient was used in our study. This data set captures hospital patient laboratory measurements, pharmacologic prescriptions, diagnostic data and procedure event recordings. When considering adult patients and discounting admissions with ICU length of stay less than 24 hours, there were 37,787 unique admissions and 30,414 total patients. We examined the top 25 most prevalent ICD-9 group-level disease specificities in MIMIC-III using a multi-label classification model. In-hospital mortality was modeled as binary classification with 4,155 (13%) adult patients that expired, of which 3,138 (75.5%) were in the ICU setting. The metrics AUC, F1 score, sensitivity and specificity values calculated for each disease label measured prediction performance.The usage of ICD-9 group codes reduced feature dimension from 14,567 to 942 and greatly improved distribution of patient diagnostic categories. Disease temporal patterns were captured by considering the most frequently sampled 6 vital signs and 13 laboratory values. Missing data were imputed at each time-stamp. Time-series raw hourly average values were converted into 5 summary features (mean, standard deviation, number of observations, min & max values). Patient demographic variables such as age, gender, marital status and ethnicity were also factored into the modeling. Choi et al showed that contextual embedding of medical data, diagnostic and procedural codes alone can predict future diagnoses with sensitivity as high as 0.79. We utilized an embedding technique called word2vec which allowed sparse representations of medical history to be transformed into dense word vectors. The mappings captured contextual information by treating each admission as a sentence and learning the most likely neighboring words in a sliding window fashion. Binary and multi-label classification was achieved via collapse models, which do not consider temporal information, as well as recurrent neural networks with regularization, Softmax output layer activation together with categorical cross-entropy as the loss function.

US Army collaboration↗

Imaging radar polarimetry from wave synthesis

A new approach is reported to the measurement of the complete polarization signature of each resolution element in an image implemented with an airborne synthetic aperture radar system. Signals recorded on one data pass from orthogonal linearly polarized antennas are utilized. The signals are combined in a data processor to synthesize any desired combination of transmit and receive polarizations. The technique permits measurement of the complex, multichannel reflectivity of a scene on a single aircraft pass and to late reprocess the data to provide multiple image maps, with each representing the backscattered energy from the scene measured with a different combination of observational transmit and recieve polarizations. The resulting polarization signature measurements indicate optimum polarizations for observations of certain classes of objects and give insight into the identification of dominant scattering mechanisms for each kind of object. The mathematical model for polarization synthesis is summarized, and some theoretical polarization measurements are illustrated for several types of targets. The overall radar system implementation is described in detail. Some analyses of data acquired on three aircraft flights are presented. The technique has been applied to mapping and differentiation of lava flows and to differentiation of forested and clear-cut areas.

Zebker, Howard A.↗

Monocular Ranging for Small Unmanned Aerial Systems in the Far-Field

Recent proliferation of small Unmanned Aerial Systems (sUAS) applications requires onboard collision avoidance systems to mitigate the risk of collision with non-cooperative aircraft and manned aircraft, which may not see sUAS in time to perform an avoidance maneuver. An attractive avenue for onboard collision avoidance is the utilization of machine vision cameras due to their low size, weight and power (SWaP) requirements. In this paper, we characterize the range performance of a machine vision system developed in-house and mounted onto an sUAS. The technique was designed to estimate the performance of a sense-and-avoid system to ensure that the sensing components meet the well-clear requirements for the chosen platform and avoidance strategy. Experimental flight-test data was acquired from test-flights flown along multiple collision geometries for two intruders: a general Aviation (GA) aircraft and a fixed-wing sUAS. The ownship and both intruders were instrumented with inertial navigation systems (INS) recording position and attitude information. The range at first detection, 𝑹𝟎, was extracted from in-flight imagery of head-on collision course geometry synchronized with INS data from both aircraft and ground-truth values extracted from the raw imagery. This initial detection distance, 𝑹𝟎, scales with atmospheric attenuation. Therefore, under clear sky conditions, the derived 𝑹𝟎 value represents the upper bound on the detection range achievable by the test configuration of the detector. Results indicate that the maximum initial detection distance for a 4k resolution action camera fitted with a 41º Field of View (FOV) lens is 2.763 ± 0.037 km for a GA aircraft and 0.881 ± 0.061 km for a fixed-wing sUAS, respectively. The in results this study suggest that a vision-based detect and track system may be analyzed using the sensor characterization and contextualized within aircraft well-clear volumes.

Chester V. Dolph↗

The Moon is a Planet Too: Lunar Science and Robotic Exploration

The first decades of the 21st century will be marked by major lunar science and exploration activities. The Moon is a witness to 4.5 billion years of solar system history, recording that history more completely and more clearly than any other planetary body. Lunar science encompasses early planetary evolution and differentiation, lava eruptions and fire fountains, impact scars throughout time, and billions of years of volatile input. I will cover the main outstanding issues in lunar science today and the most intriguing scientific opportunities made possible by renewed robotic and human lunar exploration. Barbara is a planetary scientist at NASA s Marshall Space Flight Center. She studies meteorites from the Moon, Mars and asteroids and has been to Antarctica twice to hunt for them. Barbara also works on the Mars Exploration Rovers Spirit and Opportunity and has an asteroid named after her. She is currently helping the Lunar Precursor Robotics Program on the Lunar Mapping and Modeling Project, a project tasked by the Exploration System Mission Directorate (ESMD) to develop maps and tools of the Moon to benefit the Constellation Program lunar planning. She is also supporting the Science Mission Directorate s (SMD) lunar flight projects line at Marshall as the co-chair of the Science Definition Team for NASA s next robotic landers, which will be nodes of the International Lunar Network, providing geophysical information about the Moon s interior structure and composition.

Cohen, Barbara↗

NASA Tech Briefs, May 2009

Topics covered include: Valve-"Health"-Monitoring System; Microstrip Antenna for Remote Sensing of Soil Moisture and Sea Surface Salinity; Biomedical Wireless Ambulatory Crew Monitor; Wireless Avionics Packet to Support Fault Tolerance for Flight Applications; Aerobot Autonomy Architecture; Submillimeter Confocal Imaging Active Module; Traveling-Wave Maser for 32 GHz; System Synchronizes Recordings from Separated Video Cameras; Piecewise-Planar Parabolic Reflectarray Antenna; Reducing Interference in ATC Voice Communication; EOS MLS Level 1B Data Processing, Version 2.2; Auto-Generated Semantic Processing Services; Geospatial Authentication; Maneuver Automation Software; Event Driven Messaging with Role-Based Subscriptions; Estimating Relative Positions of Outer-Space Structures; Fabricating PFPE Membranes for Capillary Electrophoresis; Linear Actuator Has Long Stroke and High Resolution; Installing a Test Tap on a Metal Battery Case; Fabricating PFPE Membranes for Microfluidic Valves and Pumps; Room-Temperature-Cured Copolymers for Lithium Battery Gel Electrolytes; Catalysts for Efficient Production of Carbon Nanotubes; Amorphous Silk Fibroin Membranes for Separation of CO2; "Zero-Mass" Noninvasive Pressure Transducers; Radial-Electric-Field Piezoelectric Diaphragm Pumps; Ejector-Enhanced, Pulsed, Pressure-Gain Combustor; Suppressing Ghost Diffraction in E-Beam-Written Gratings; Target-Tracking Camera for a Metrology System; Polarimetric Imaging using Two Photoelastic Modulators; Miniature Wide-Angle Lens for Small-Pixel Electronic Camera; Modal Filters for Infrared Interferometry; Mo(3)Sb(7-x)Te(x) for Thermoelectric Power Generation; Two-Dimensional Quantum Model of a Nanotransistor; Scanning Miniature Microscopes without Lenses; Manipulating Neutral Atoms in Chip-Based Magnetic Traps; Expansion Compression Contacts for Thermoelectric Legs; Processing Electromyographic Signals to Recognize Words; Physical Principle for Generation of Randomness; DSN Beowulf Cluster-Based VLBI Correlator; Hybrid NN/SVM Computational System for Optimizing Designs; Criteria for Modeling in LES of Multicomponent Fuel Flow; Computerized Machine for Cutting Space Shuttle Thermal Tiles; Orbiting Depot and Reusable Lander for Lunar Transportation; FPGA-Based Networked Phasemeter for a Heterodyne Interferometer; Aquarius Digital Processing Unit; Three-Dimensional Optical Coherence Tomography; Benchtop Antigen Detection Technique using Nanofiltration and Fluorescent Dyes; Isolation of Precursor Cells from Waste Solid Fat Tissue; Identification of Bacteria and Determination of Biological Indicators; Further Development of Scaffolds for Regeneration of Nerves; Chemically Assisted Photocatalytic Oxidation System; Use of Atomic Oxygen for Increased Water Contact Angles of Various Polymers for Biomedical Applications; Crashworthy Seats Would Afford Superior Protection; Open-Access, Low-Magnetic-Field MRI System for Lung Research; Microfluidic Mixing Technology for a Universal Health Sensor; Microfluidic Extraction of Biomarkers using Water as Solvent; Microwell Arrays for Studying Many Individual Cells; Droplet-Based Production of Liposomes; and Identifying and Inactivating Bacterial Spores

Source record↗

Advanced Systems for Monitoring Underwater Sounds

The term "Passive Acoustic Monitoring System" (PAMS) describes a developmental sensing-and-data-acquisition system for recording underwater sounds. The sounds (more precisely, digitized and preprocessed versions from acoustic transducers) are subsequently analyzed by a combination of data processing and interpretation to identify and/or, in some cases, to locate the sources of those sounds. PAMS was originally designed to locate the sources such as fish of species that one knows or seeks to identify. The PAMS unit could also be used to locate other sources, for example, marine life, human divers, and/or vessels. The underlying principles of passive acoustic sensing and analyzing acoustic-signal data in conjunction with temperature and salinity data are not new and not unique to PAMS. Part of the uniqueness of the PAMS design is that it is the first deep-sea instrumentation design to provide a capability for studying soniferous marine animals (especially fish) over the wide depth range described below. The uniqueness of PAMS also lies partly in a synergistic combination of advanced sensing, packaging, and data-processing design features with features adapted from proven marine instrumentation systems. This combination affords a versatility that enables adaptation to a variety of undersea missions using a variety of sensors. The interpretation of acoustic data can include visual inspection of power-spectrum plots for identification of spectral signatures of known biological species or artificial sources. Alternatively or in addition, data analysis could include determination of relative times of arrival of signals at different acoustic sensors arrayed at known locations. From these times of arrival, locations of acoustic sources (and errors in those locations) can be estimated. Estimates of relative locations of sources and sensors can be refined through analysis of the attenuation of sound in the intervening water in combination with water-temperature and salinity data acquired by instrumentation systems other than PAMS. A PAMS is packaged as a battery-powered unit, mated with external sensors, that can operate in the ocean at any depth from 2 m to 1 km. A PAMS includes a pressure housing, a deep-sea battery, a hydrophone (which is one of the mating external sensors), and an external monitor and keyboard box. In addition to acoustic transducers, external sensors can include temperature probes and, potentially, underwater cameras. The pressure housing contains a computer that includes a hard drive, DC-to- DC power converters, a post-amplifier board, a sound card, and a universal serial bus (USB) 4-port hub.

Lane, Michael↗

Schlieren System and method for moving objects

A system and method are provided for recording density changes in a flow field surrounding a moving object. A mask having an aperture for regulating the passage of images is placed in front of an image recording medium. An optical system is placed in front of the mask. A transition having a light field-of-view and a dark field-of-view is located beyond the test object. The optical system focuses an image of the transition at the mask such that the aperture causes a band of light to be defined on the image recording medium. The optical system further focuses an image of the object through the aperture of the mask so that the image of the object appears on the image recording medium. Relative motion is minimized between the mask and the transition. Relative motion is also minimized between the image recording medium and the image of the object. In this way, the image of the object and density changes in a flow field surrounding the object are recorded on the image recording medium when the object crosses the transition in front of the optical system.

Weinstein, Leonard M.↗

Schlieren system and method for moving objects

A system and method are provided for recording density changes in a flow field surrounding a moving object. A mask having an aperture for regulating the passage of images therethrough is placed in front of an image recording medium. An optical system is placed in front of the mask. A transition having a light field-of-view and a dark field-of-view is located beyond the test object. The optical system focuses an image of the transition at the mask such that the aperture causes a band of light to be defined on the image recording medium. The optical system further focuses an image of the object through the aperture of the mask so that the image of the object appears on the image recording medium. Relative motion is minimized between the mask and the transition. Relative motion is also minimized between the image recording medium and the image of the object. In this way, the image of the object and density changes in a flow field surrounding the object are recorded on the image recording medium when the object crosses the transition in front of the optical system.

Weinstein, Leonard M.↗

Results of a Loran-C flight test using an absolute data reference

A closed circuit flight test was conducted in the Boston area using VOR's and NDB's as reference points. The Loran-C data collected during the flight was then compared against a reference provided by the Discrete Address Beacon System (DABS) facility at Lincoln Laboratories. A MIT crew used a commercial receiver and recorded Loran-C time differences which would also be compared with the data provided by the DABS facility and eventually with the data collected by Ohio University. The Ohio University low-cost receiver was used for this test which was conducted in the Ohio University DC-3 flying laboratory. The Loran-C time-difference data was recorded with a microcomputer data collection system and stored on magnetic tape for subsequent analysis. The MIT receiver was also on board the DC-3, and recorded its data on a cassette tape which was later used by the MIT crew for data analysis. The equipment configuration in the aircraft, the flight procedure and the results obtained from the data collected with Ohio University's receiver and recording system are described.

Fischer, J. P.↗

Overview of the Nephele Perturbed Parameter Ensemble for Aerosol‐Cloud Interactions in E3SMv3

Aerosol-cloud interactions (aci) are the leading source of uncertainty in inferring climate sensitivity from the historical record. Earth system models (ESMs) struggle to represent aci because the processes responsible for these phenomena occur at much finer time and space scales than can be resolved by any ESM. Observational constraints provide key benchmarks to test ESMs, but cannot be used alone to fully understand aci processes except in very specific cases where causality is controlled; some degree of modeling is required to infer aci and estimate radiative forcing. Here, we generate and characterize a perturbed parameter ensemble (PPE) in version 3 of the Energy Exascale ESM (E3SMv3). We perturb 25 parameters that govern aci processes over 250 members and integrate the model over present-day and preindustrial aerosol emissions. We find that the process representation in E3SMv3 is flexible and can generate global-mean effective radiative forcings due to aci (ERFaci) ranging from −3.0 to +0.9 W m −2 . The positive ERFaci values simulated by a portion of the PPE are implausible and result from parameter combinations that produce unrealistic top-of-atmosphere energy fluxes. While global-mean cloud droplet number concentration always increases in response to anthropogenic aerosol, cloud liquid water path can both increase and decrease, suggesting that precipitation suppression is not the only aerosol-cloud adjustment represented by E3SMv3. Analysis of which processes control liquid cloud adjustment in the PPE points toward stratiform precipitation processes and aerosol activation, which is consistent with many previous ESMs, as well as the new two-moment convective cloud microphysics in E3SMv3.

Nugent, Jacqueline M. [Univ. of Wyoming, Laramie, ↗

A simulation framework for evaluating electronic order workflows in integrated health records

Electronic health record (EHR) systems are critical to modern healthcare delivery, yet the dynamic workflows that govern electronic order processing remain underexplored. Inefficiencies in these digital pathways can cause delays in care, repetitive workloads, and even patient harm. This study presents a discrete-event simulation framework used to reconstruct and evaluate EHR-based order workflows in a large integrated healthcare system. Using real-world data extracted from the Veterans Health Administration’s Corporate Data Warehouse, the authors mapped order events to standardized state transitions and modeled their progression across different facilities of varying complexity levels. After being calibrated with empirical distributions of transition times and validated against observed time-in-system metrics, the simulation demonstrates close alignment with historical performance. Scenario analyses reveal that resource capacity constraints significantly amplify the impact of electronic order surges, which are reflected in the disproportionate growth in backlogs and processing delays. Adjustments in transition probabilities further increased recirculation and extended workflow paths. Network-based analysis identified Reserved, InProgress, and Completed as structurally critical states that function as hubs within the process network but the transitions in-between also act as major bottlenecks. These results showcased the effectiveness of simulation-based approaches in monitoring EHR order processing performance and evaluating consequences of workflow changes on healthcare network resources planning. The proposed simulation framework provides a scalable data-driven tool to support operational decision-making and improve the efficiency of electronic order management in complex healthcare environments.

Engineering↗