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The Role of Adjuvant Radiotherapy in the Treatment of Pleural Mesothelioma

Background: Pleural mesothelioma is a rare but aggressive form of cancer. Local recurrence represents the majority of treatment failures and overall survival (OS) outcomes remain dismal. Adding locoregional treatment with radiotherapy after surgical resection has been considered but its role remains uncertain. Objective: The purpose of this study was to evaluate the outcomes of adjuvant radiation therapy (RT) for patients with malignant pleural mesothelioma. Methods: The National Cancer Data Base (NCDB) was queried (2004–2013) for patients with malignant mesothelioma. Patients were divided into three groups: observation, surgery alone, and surgery followed by adjuvant RT. Statistics included Fisher’s exact or Chi square tests to analyze categorical proportions between groups, Kaplan–Meier analysis to evaluate OS, and Cox proportional hazards modeling to determine variables associated with OS. Propensity matching was performed to make comparisons between homogenous groups. Results: Overall, the surgery plus radiotherapy group had a higher median survival (21.4 months) compared with surgery alone (16.59 months) [p < 0.001]. RT was more likely to be delivered after extrapleural pneumonectomy than with lung-sparing surgical approaches. On multivariable analysis, receipt of surgery plus radiotherapy, chemotherapy administration, and higher socioeconomic status were associated with improved OS (p < 0.0001). After propensity matching, receipt of surgery plus radiotherapy and chemotherapy administration were still associated with improved OS (p < 0.05). Conclusions: In the treatment of malignant pleural mesothelioma, adjuvant radiotherapy after surgical intervention was associated with improved OS. This study is the largest study of adjuvant radiotherapy to date, and our findings highlight the need for additional prospective data.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Quantitative assessment of sustainable remediation options for the M-1 air stripper system at SRS - 15702

The US Department of Energy (DOE) Savannah River Site (SRS) covers 310 sq. miles and is located south of Aiken, SC. The site produced materials used in the production of nuclear weapons from the 1950's to the 1980's. Trichloroethylene (TCE) and tetrachloroethylene (PCE) were the main solvents used in degreasing and other industrial operations. These solvents are categorized as dense non-aqueous phase liquids (DNAPLs), semi-volatile, and hazardous chemical compounds. In the 1980's, operations were initiated to remediate the contaminated soil and groundwater which continues today. The M-1 air stripper and well network has operated continuously since 1985 at an average electrical load of 150 kW and flow rate of 420 gpm. The influent TCE concentration to the air stripper has decreased exponentially from 25,200 ug/L in 1986 to 2,230 ug/L by the end of 2012, with the same energy consumption and water pumping rate. To analyze the operation of the SRS A/M Area groundwater remediation system using state-of-the-art modeling tools to provide suggested engineering and operational improvements to expend less resources while still containing the contaminant plume. Implementation of improvements will help DOE-EM apply sustainable remediation at its sites and help DOE achieve DOE-wide sustainability performance metrics. Located in the northern part of SRS within the lower reaches of the Tims Branch watershed (topographic elevation from ∼420 X to ∼ 118 X). Consists of facilities that fabricated reactor fuel and target assemblies (M-Area), and administrative and support facilities (A-Area). M-1 Air Stripper and Recovery Well Network Installed in 1985 to treat groundwater in order to reduce chlorinated solvent concentrations. 17 recovery wells have been installed over the years. Currently recovery wells 1-12 feed the M1 air stripper. The treated groundwater is discharged to a stream in Tims Branch. The monthly removal rate and the cumulative mass removed for TCE and PCE in the 12 recovery wells was analyzed for 1985-2012. 7 of 12 recovery wells have transitioned to more PCE than TCE removed. This is an expected result since TCE was initially used and then replaced by PCE. The rate of recovery in some wells was affected by the Dynamic Underground Stripping process. 7 wells exhibit exponential decay in contaminant removal while 5 exhibit steady concentrations, and 2 exhibit linear decreases. Future Work: Identify opportunities to improve efficiencies related to electrical energy, water usage, and the use of other resources, beginning with mechanical design modifications. Investigate operational strategies to increase system performance by optimizing the hydraulic loads, pumping rates, contaminant mass flow rates and well drawdown levels. Determine a set of metrics which will correlate the pumping rates, the cone of depression, and the interaction between the wells with the contaminant mass flow rates.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Supplemental Environmental Baseline Survey for Proposed Land Use Permit Modification for Expansion of the Dynamic Explosive Test Site (DETS) 9940 Main Complex Parking Lot

The “subject property” is comprised of a parcel of land within the Kirtland Military Reservation, Bernalillo County, New Mexico, as shown on the map in Appendix B of this document. The land requirement for the parking lot addition to the 9940 Main Complex is approximately 2.7 acres. The scope of this Supplemental Environmental Baseline Survey (SEBS) is for the parking lot addition land transfer only. For details on the original 9940 Main Complex see Environmental Baseline Survey, Land Use Permit Request for the 9940 Complex PERM/0-KI-00-0001, August 21, 2003, and for details on the 9940 Complex Expansion see Environmental Baseline Survey, Proposed Land Use Permit Expansion for 9940 DETS Complex, June 24, 2009. The 2.7-acre parcel of land for the new parking lot, which is the subject of this EBS (also referred to as the “subject property”), is adjacent to the southwest boundary of the original 12.3- acre 9940 Main Complex. No testing is known to have taken place on the subject property site. The only activity known to have taken place was the burial of overhead utility lines in 2014. Adjacent to the subject property, the 9940 Main Complex was originally a 12.3-acre site used by the Department of Energy (DOE) under a land use permit from the United States Air Force (USAF). Historical use of the site, dating from 1964, included arming, fusing, and firing of explosives and testing of explosives systems components. In the late 1970s and early 1980s experiments at the 9940 Main Complex shifted toward reactor safety issues. From 1983 to 1988, fuel coolant interaction (FCI) experiments were conducted, as were experiments with conventional high explosives (HE). Today, the land is used for training of the Nuclear Emergency Response community and for research on energetic materials. In 2009, the original complex was expanded to include four additional 20-acre areas: 9940 Training South, 9940 Training East, T-Range 6, and Training West Landing Zone. The proposed use of the subject property is for the purpose of adding a parking lot to serve the increase in customer vehicles that is occurring as the 9940 Main Complex is more heavily utilized, and as the 2009 Expansion areas come online as operational training facilities. The subject property would be used only for parking, not for testing or training activities. The parking lot would have a gravel surface. Current and future work at the 9940 Main Complex involves arming, fuzing, and firing of explosives and the testing of explosive systems components in both terrestrial and aquatic settings. It also involves specialized training activities for a variety of first responder customers, both DOE and non-DOE agencies. The approach was to perform a document search, supplemented by a visual site inspection, to identify potential environmental contamination associated with the property. Factors evaluated included hazardous substances; petroleum products and derivatives; environmental restoration sites; areas of concern; storage tanks; oil/water separators; grease traps; wash racks; waste tanks; pesticides; military munitions/ordnance; medical or bio-hazardous waste; radioactive waste; solid/municipal waste; indoor air quality; groundwater; wastewater treatment, collection, and disposal/discharge; drinking water quality; utilities; asbestos; polychlorinated biphenyls (PCBs); radon; lead-based paint; cultural resources; floodplains; and natural/biological resources. Each of these factors is evaluated separately in Section 5, Findings for Subject Property. The property categorization for this subject property would be considered Category 1- “An area or real property where no storage, release, or disposal of hazardous substances or petroleum products or their derivatives has occurred into the environment or structures or disposed on the subject property (including no migration of these substances from adjacent properties).” There appears to be sufficient information to categorize the subject property and it appears that no further effort needs to be made to obtain additional information. There are no findings of an adverse nature on the subject property itself or from adjacent properties. It is recommended that the proposed transfer of the subject property from the USAF to DOE proceed.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Material Issues in Space Shuttle Composite Overwrapped Pressure Vessels

Composite Overwrapped Pressure Vessels (COPV) store gases used in four subsystems for NASA's Space Shuttle Fleet. While there are 24 COPV on each Orbiter ranging in size from 19-40", stress rupture failure of a pressurized Orbiter COPV on the ground or in flight is a catastrophic hazard and would likely lead to significant damage/loss of vehicle and/or life and is categorized as a Crit 1 failure. These vessels were manufactured during the late 1970's and into the early 1980's using Titanium liners, Kevlar 49 fiber, epoxy matrix resin, and polyurethane coating. The COPVs are pressurized periodically to 3-5ksi and therefore experience significant strain in the composite overwrap. Similar composite vessels were developed in a variety of DOE Programs (primarily at Lawrence Livermore National Laboratories or LLNL), as well as for NASA Space Shuttle Fleet Leader COPV program. The NASA Engineering Safety Center (NESC) formed an Independent Technical Assessment (ITA) team whose primary focus was to investigate whether or not enough composite life remained in the Shuttle COPV in order to provide a strategic rationale for continued COPV use aboard the Space Shuttle Fleet with the existing 25-year-old vessels. Several material science issues were examined and will be discussed in this presentation including morphological changes to Kevlar 49 fiber under stress, manufacturing changes in Kevlar 49 and their effect on morphology and tensile strength, epoxy resin strain, composite creep, degradation of polyurethane coatings, and Titanium yield characteristics.

Sutter, James K.↗

Extent-of-Condition Review of Electrical Events Fiscal Year 2019

Sandia National Laboratories has experienced a number of electrical events in recent years. A careful examination of data shows that for the third year in a row, two of the three most frequently categorized Occurrence Reporting and Processing System (ORPS)-reportable event types were unexpected or unintended personal contact with a hazardous energy source and a failure to follow a prescribed hazardous energy control process, as defined in the occurrence reporting criteria of DOE Order 232.2A, Occurrence Reporting and Processing of Operations Information, 2D(1) and 2D(2). Sandia policy CA001.2, Identify and Manage Issues, requires an extent-of-condition review for any high-level reportable occurrence, and the analysts were tasked to perform this EOC in light of high-level reportable occurrence NA-SS-SNL-1000-2019- 0007, Contact with Electrical Energy During Marx Capacitor Troubleshooting. This extent of condition not only evaluated the 10 reportable electrical occurrences for Fiscal Year 2019, but also looked at 11 other related events: those involving control of hazardous energy and electrical events associated with less than hazardous energy.1 This Extent-of-Condition report makes several observations, conclusions, and recommendations for improvement.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Variable Resource Resilience: How Systems Experience Increased Resilience from Variable and Hybrid Resources

Variable resources like wind and solar are often seen as detriments to system resilience rather than benefits because they may not be available with the capacities or services required during a high-impact low-frequency (HILF) event, whether that is a physical threat, natural disaster, or cyber attack. However, resilience goals and metrics are inadequate for electric energy delivery systems with inverter-based resources. Examination of this topic reveals that renewable resources are well suited to combat many resilience hazards due to local resource availability. Metrics that demonstrate the resilience value of variable resources are presented and categorized for resource (wind, solar, storage, hybrid) and installation type (bulk utility scale, behind-the-meter, front-of-the-meter, isolated). Distributed and hybrid systems can further enhance resilience benefits my maximizing resource potential for a locality. A case study demonstrating quantitative resilience benefits from wind alone is provided for St. Mary's, AK, which concludes that hundreds of thousands of dollars are saved by the addition of a wind turbine in the face of realistic fuel shortage and extreme winter weather scenarios.

17 WIND ENERGY↗

The Hazard Components of Representative Key Risks. The Physical Climate Perspective

The framework of Representative Key Risks (RKRs) has been adopted by the Intergovernmental Panel on Climate Change Working Group II (WGII) to categorize, assess and communicate a wide range of regional and sectoral key risks from climate change. These are risks expected to become severe due to the potentially detrimental convergence of changing climate conditions with the exposure and vulnerability of human and natural systems. Other papers in this special issue treat each of eight RKRs holistically by assessing their current status and future evolution as a result of this convergence. However, in these papers, such assessment cannot always be organized according to a systematic gradation of climatic changes. Often the big-picture evolution of risk has to be extrapolated from either qualitative effects of “low”, “medium” and “high” warming, or limited/focused analysis of the consequences of particular mitigation choices (e.g., benefits of limiting warming to 1.5 or 2C), together with consideration of the socio-economic context and possible adaptation choices. In this study we offer a representation – as systematic as possible given current literature and assessments – of the future evolution of the hazard components of RKRs. We identify the relevant hazards for each RKR, based upon the WGII authors’ assessment, and we report on their current state and expected future changes in magnitude, intensity and/or frequency, linking these changes to Global Warming Levels (GWLs) to the extent possible. We draw on the assessment of changes in climatic impact-drivers relevant to RKRs described in the 6th Assessment Report by Working Group I supplemented when needed by more recent literature. For some of these quantities - like regional trends in oceanic and atmospheric temperature and precipitation, some heat and precipitation extremes, permafrost thaw and Northern Hemisphere snow cover - a strong and quantitative relationship with increasing GWLs has been identified. For others - like frequency and intensity of tropical cyclones and extra-tropical storms, and fire weather - that link can only be described qualitatively. For some processes - like the behavior of ice sheets, or changes in circulation dynamics - large uncertainties about the effects of different GWLs remain, and for a few others - like ocean pH and air pollution - the composition of the scenario of anthropogenic emissions is most relevant, rather than the warming reached. In almost all cases, however, the basic message remains that every small increment in CO2 concentration in the atmosphere and associated warming will bring changes in climate phenomena that will contribute to increasing risk of impacts on human and natural systems, in the absence of compensating changes in these systems’ exposure and vulnerability, and in the absence of effective adaptation. Our picture of the evolution of RKR-relevant climatic impact-drivers complements and enriches the treatment of RKRs in the other papers in at least two ways: by filling in their often only cursory or limited representation of the physical climate aspects driving impacts, and by providing a fuller representation of their future potential evolution, an important component – if never the only one – of the future evolution of risk severity.

Representative Key Risks↗

The hazard components of representative key risks. The physical climate perspective

The framework of Representative Key Risks (RKRs) has been adopted by the Intergovernmental Panel on Climate Change Working Group II in order to categorize, assess and communicate a wide range of regional and sectoral key risks, expected to become severe as a consequence of the potentially detrimental convergence of changing climate conditions, exposure and vulnerability of human and natural systems, and responses through (mal)adaptation measures. Other papers in this special issue treat each of eight RKRs by holistically assessing their current status and future evolution as a result of this convergence. However, their treatment cannot always organize such assessment according to a systematic gradation of climatic changes, often times having to extrapolate the big-picture evolution of risk from either qualitative effects of “low” medium” and “high” warming, or limited/focused analysis of the consequences of particular mitigation choices (e.g., benefits of limiting warming to 1.5 or 2C). In this study we offer as systematic a representation as possible – given current literature and assessments – of the future evolution of the hazard components of RKRs. We draw on the assessment of changes in climatic impact-drivers relevant to RKRs described in the 6th Assessment Report by Working Group 1 (WGI) supplemented when needed by more recent literature. We identify the relevant hazards for each RKR, based upon the WGII authors’ assessment, and we report on their current state and expected future changes in magnitude, intensity and/or frequency, linking these changes to Global Warming Levels to the extent possible. For some of these quantities - like regional trends in oceanic and atmospheric temperature and precipitation, some heat and precipitation extremes, permafrost thaw and Northern Hemisphere snow cover - a strong and quantitative relationship with global average temperature change has been assessed. For others - like frequency and intensity of tropical cyclones and extra-tropical storms, and fire weather - the link to increasing global temperatures can only be described qualitatively. For some processes - like the behavior of ice-sheets, or changes in circulation dynamics - large uncertainties about the effects of different levels of warming remain, and for a few others - like ocean pH and air pollution - the composition of the scenario of anthropogenic emissions is most relevant, rather than the warming reached. In almost all cases, however, the basic message remains that every small increment in CO2 concentration in the atmosphere and associated warming will bring changes in climate phenomena that will contribute to increasing risk of impacts on human and natural systems when these changes happen in conjunction with these systems’ conditions of exposure and vulnerability, and in lack of effective adaptation. Our picture of the evolution of RKR-relevant climatic impact-drivers complements and enriches the treatment of RKRs in the other papers in at least two ways: by filling in an often only cursory or limited representation of the physical climate aspects driving impacts, and by providing a fuller representation of their future possible evolution which represents an important component – if never the only one – of the potential future evolution of risk severity.

54 ENVIRONMENTAL SCIENCES↗

Utilization of the LMP Methodology in Support of the VTR Conceptual Safety Design Report

The Versatile Test Reactor (VTR) is a fast spectrum test reactor currently being developed in the United States under the direction of the US Department of Energy (DOE), Office of Nuclear Energy. The VTR is utilizing a risk-informed performance-based (RIPB) approach for design support and authorization by the DOE, derived from recent efforts by the US industry led Licensing Modernization Project (LMP). This document contains an overview of the implementation of the LMP approach in support of the VTR Conceptual Safety Design Report (CSDR). The work reported here is the result of studies supporting a VTR conceptual design, cost, and schedule estimate for DOE-NE to make a decision on procurement. As such, it is preliminary. The VTR RIPB authorization approach utilizes information from the probabilistic risk assessment (PRA), coupled with deterministic analyses, to aid in decision-making regarding the identification and categorization of safety basis events (SBEs), the classification of structures, systems, and components (SSCs), and the evaluation of defense-in-depth (DID) adequacy. As part of initial reactor design efforts, a VTR conceptual design PRA was developed to support the RIPB process, which focused on at-power internal events, with scoping analyses for seismic and sodium fire hazards. In addition to supporting numerous design studies, preliminary results from the RIPB approach and the VTR conceptual design PRA were utilized as the basis of the VTR CSDR. The initial identification and categorization of SBEs, SSC classification, and DID evaluation were contained within the CSDR, which was submitted to DOE in 2019 as part of the CD-1 submittal package. Following review, DOE approved the CSDR in April 2020 and the CD-1 package in late 2020. Valuable experience was gained through the implementation of the RIPB approach for design and authorization during the VTR conceptual design phase, which is summarized in this document. To the extent possible, this experience has been shared with the advanced reactor industry, through publications and participation in licensing tabletops, in addition to informing DOE:NE advanced reactor regulatory development efforts. Furthermore, the approval of the CSDR by the DOE as part of CD-1 represents a significant milestone in the use of RIPB approaches for advanced reactor licensing.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

MSW Variability Mapping and Conversion to Biofuel

MSW (Municipal Solid Waste) is a form of biomass which consists of categorized components of waste/trash. The general categories are paper, yard trash, construction & debris, appliances, tires, glass, metals, aluminum & steel cans, plastics, organics, inorganics, and HHW (Household Hazardous Waste). This project focuses on the factors within a region or population that contribute to variability in the composition of MSW and in turn MSW’s convertibility to biofuel. A list of contributors was determined (Social Vulnerability Index, Access to Public Transportation, Racial Distribution, GDP, Personal Income) and then JMP was used to perform a Multivariate analysis to determine correlations and a Partial Least-Squares regression to determine Variable Importance Plots for each MSW category. In addition to data analysis, the convertibility of MSW to biofuel was studied via microwave pyrolysis system in order to separate and characterize the various gaseous and bio-oil products.

09 BIOMASS FUELS↗

The future of waste management and reduction shows promise with technological advances that have sparked newer and more efficient methods

The safe, clean, and efficient reduction and management of both radioactive and nonradioactive wastes are essential processes, however, these processes can be time consuming, complicated, and costly. The goal of this poster is to research possible waste solutions that will encourage the use of more environmentally and monetarily efficient methods of waste disposal, and decrease the amount of hazardous waste bound for energy recovery, treatment, and disposal facilities. Technological advances such as smart trash bins provide a more efficient means of disposing solid wastes and encouraging recycling. Using artificial intelligence, these bins are able to categorize and separate different forms of waste and recyclable material. The smart bins also provide a method for ensuring the most efficient pick up times for waste facilities. This is done with the use of trash bin sensors, thus, overtime saving money and reducing CO2 emissions. Some countries are also finding ways on a larger scale to reduce waste and encourage environmentally friendly practices. Facilities are reducing waste output through waste recycling, and they are using the waste-to-energy techniques to supply cities with the majority of needed energy. The adoption and encouragement of technological advances in waste reduction and energy restoration can lead to a diminished need for hazardous waste treatment plants, and have a significant impact on preserving our resources, protecting the environment, and simultaneously reducing costs over time.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Lung Shunt Fraction prior to Yttrium-90 Radioembolization Predicts Survival in Patients with Neuroendocrine Liver Metastases: Single-Center Prospective Analysis

ObjectiveTo investigate survival outcomes following radioembolization with Yttrium-90 (Y90) for neuroendocrine tumor liver metastases (NETLMs). This study was designed to assess the efficacy of Y90 radioembolization and to evaluate lung shunt fraction (LSF) as a predictor for survival.MethodsA single-center, prospective study of 44 consecutive patients (median age: 58.5 years, 29.5 % male) diagnosed with pancreatic (52.3 %) or carcinoid (47.7 %) NETLMs from 2006 to 2012 who underwent Y90 radioembolization was performed. Patients’ baseline characteristics, including LSF and median overall survival (OS) from first Y90 radioembolization, were recorded and compared between patients with high (≥10 %) and low (<10 %) LSF. Baseline comparisons were performed using Fisher’s exact tests for categorical and Mann–Whitney U test for continuous variables. Survival was calculated using the Kaplan–Meier method. Univariate (Wilcoxon rank-sum test) and multivariate analyses (Cox Proportional Hazard Model) for risk factor analysis were performed.ResultsThere was no statistically significant difference in age, gender, race, tumor properties, or previous treatments between patients with high (n = 15) and low (n = 29) LSF. The median OS was 27.4 months (95 %CI 12.73–55.23), with 4.77 months (95 %CI 2.87–26.73) for high and 42.77 months (95 %CI 18.47–59.73) for low LSF (p = 0.003). Multivariate analysis identified high LSF (p = 0.001), total serum bilirubin >1.2 mg (p = 0.016), and lack of pretreatment with octreotide (p = 0.01) as independent prognostic factors for poorer survival. Tumor type and total radiation dose did not predict survival.ConclusionsLSF ≥10 %, elevated bilirubin levels, and lack of pretreatment with octreotide were found to be independent prognostic factors for poorer survival in patients with NETLMs.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Markers and Beyond: Categorizing Human Intrusion Situations to be Addressed in Sub-surface Marking Concepts - 16378

Concepts for the use of markers in the post-closure phase of deep geological repositories (DGRs), are often designed to prevent 'inadvertent' human intrusion (HI), while it is common practice not to protect against deliberate intrusion (i.e. 'advertent' HI). In the literature, inadvertent HI prevention studies usually combine future human activity scenarios with the assumption that all memory of the DGR has been lost, and analyze what can be done now to make the possible future intruder 'aware' of the associated risks. In this paper, we show that the classical 'advertent'/'inadvertent' duality classification of HI, as used in the performance assessment context, is not ideal to characterize potential HI situations in the RK and M preservation context. We suggest that the relevant HI categories are expanded and refined to 'un/necessary HI', 'un/intentional HI' and 'un/friendly HI'. Along with refining the taxonomy of HI that way, we refine the assumption relating to the loss of memory of the DGR. Different HI situations are likely to arise in different 'loss-of-memory situations'. We analyze the resulting 5 classes of the proposed HI classification and find that 2 hold the classic 'advertent' and 'inadvertent' HI scenarios while 3 are 'new'. We apply the proposed categories to sub-surface marking concepts from the literature and suggest that, in particular, sub-surface marking concepts would benefit from this new approach to HI and loss-of-memory categorization. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Mars Sample Receiving Facility Research and Development to Enable Preservation, Safe Containment, and Scientific Research of Martian Samples on Earth

NASA and ESA are working together to plan a joint campaign to potentially bring back the first Martian samples to Earth in the early 2030s. On the surface of Mars, the Mars 2020Perseverance Rover is selecting and packaging samples that could be returned to Earth for careful examination by an international team of scientists. In preparation for this historic sample return, advance planning is underway to design and build a Mars Sample Receiving Facility (SRF) in the mid-2020s. In 2022, a Mars Sample Receiving Facility Assessment Study(MSAS) will be conducted to further define construction modality and capability options for a facility in the conterminous United States. Since Mars Sample Return (MSR) is currently categorized as a planetary protection restricted Earth return, this new facility would feature biosafety level 4 (BSL-4)-like high containment to protect Earth’s biosphere from any potential hazard. In addition, the facility also requires integration of cleanroom technologies to mitigate against terrestrial contamination and preserve sample integrity for science investigations. The integration of both clean handling and high containment requires significant technology research and development (R&D) by the mid-2020s to support the definition and planning of a SRF before commencing the site specific design phase. The SRF project will need to solidify the inorganic, organic, and biological contamination control (CC) requirements for the facility. This could entail a translation of Mars 2020 mission CC requirements for geologic material to engineering requirements for surfaces and airborne molecular contamination inside isolators and cleanrooms. In tandem, the project will need to determine precision cleaning and sterilization approaches for cleanrooms, isolators, equipment, and tools. Initial material selections for the facility construction materials, cleanrooms, isolators, and BSL-4 suits/garments are an important activity. The recent construction of the OSIRIS-REx and Hayabusa2 curation cleanroom laboratories greatly benefited from early materials testing, before the design phase, to reduced organic outgassing and particulate shedding inside the laboratory. While the early biohazard investigations in the SRF may deem the samples safe to release to laboratories throughout the world, sterilization methods need to be defined to safely release Martian samples. One key aspect of enabling simultaneous sample containment and cleanliness is the concept of a Double-Walled Isolator (DWI) that ESA has been pursuing. Further R&D is needed about DWIs, sample handling, and instrumentation interfaces before beginning the SRF site specific design phase. A working isolator/DWI engineering model should be developed and fabricated. Isolator sizes, connections, pass-through antechambers, and configurations and basic interfaces with instruments and tools as well as the use of robotic, mechanical, and/or human manipulation need to be considered. Inert high purity gas supply (one-pass or recirculation) and other isolator utilities must be determined. Special accommodations for large instruments (e.g., XCT,SEM, etc.) need to be developed. Techniques for opening the sample tubes packaged by M2020and extracting the headspace gas while keeping samples pristine will be challenging, requiring additional R&D, and engagement of the M2020 project. In addition, careful micromanipulation for subdivision and packaging of samples will also need to be included. These combined R&D activities are important before commencing the SRF design phase to ensure safe biohazard containment, sample preservation, and science integrity for the samples that would be studied in the SRF and in laboratories around the world.

mars sample return↗

Towards green synthesis of Mn 4+ -doped fluoride phosphors: a review

Mn 4+ -doped fluoride phosphors are attractive for application in white solid-state lighting devices because their distinct red emission can improve the color rendering index, while the earth-abundance of Mn 4+ ions can reduce the production cost. However, highly hazardous HF is used as the fluoride source in the synthesis processes, which requires extreme caution. In this review, we introduce various methods for synthesizing Mn 4+ -doped fluoride phosphors, categorized according to the presence or absence of HF in the synthesis. The underlying optical properties of the phosphors fabricated using the various methods are discussed. In addition, in the discussion of each method, we emphasize on the key factors and strategies for developing phosphors. Finally, this review highlights perspectives on and future directions for the safe synthesis of Mn 4+ -doped fluoride phosphors to achieve solid-state lighting devices with superior optical properties.

36 MATERIALS SCIENCE↗

The Approach of the Environmental Consequences and Impacts during Transport of Radioactive Materials (RAM)-A Safety Case - 16420

International Atomic Energy Agency (IAEA) works, together with Member States (MS), to provide a strong, sustainable and visible global nuclear safety and security framework, protecting people and the environment from the harmful effects of ionizing radiation. In the announcement of this IAEA Conference it is underlined that 'nuclear safety and security are to a great extent scientific in nature, a regulatory body with responsibilities for nuclear facilities and other licensed activities involving radioactive material needs to have permanent access to supporting expertise'. This can be provided internally to the regulatory body or through an external entity such as a TSO in order to provide a competent and timely response to regulatory needs, and the development and maintenance of an appropriate knowledge base and associated tools and services, including training and tutoring services, are the main areas on which the conference will focus. This paper presents certain results obtained during carrying out the IAEA-Romanian Scientific Research Contract entitled: 'Romanian Contribution to the Development of Methodology for Risk Assessment and State Management of Nuclear Security Regime (Risk and Radiological Consequences)' where the author served as CSI (Chief Scientific Investigator) a part of the IAEA CRP-(Coordinated Research Project) on the: 'Development of Methodology for Risk Assessment and State Management of Nuclear Security Regime'. Also, potential risks and their possible radiological consequences to peoples and environment must not be underestimated. However, the assessment of risk must be realistic and quantified, and the requirements placed on the appropriate. The IAEA regulations for the Safe Transport of Radioactive Material, 2012 Edition, Specific Safety Requirements, SSR-6, are applicable to the national and international carriage of radioactive material by all modes of transport- by road, by rail, by air, by sea or by inland waters. The Radioactive Material to be transported must be categorized on the basis of its activity concentration, total activity, fissile characteristics (if any) and other relevant subsidiary characteristics. Packaging and package requirements are then specified on the basis of the hazard of the contents and range from normal commercial packaging (for low hazard contents) to strict design and performance requirements (for higher hazard contents). (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

An evaluation of prognostic factors, oncologic outcomes, and management for primary and recurrent squamous cell carcinoma of the vulva

Objective: To evaluate prognostic factors, outcomes, and management patterns of patients treated for squamous cell carcinoma of the vulva. Methods: One hundred sixty-four women were retrospectively identified with primary squamous cell carcinoma of the vulva treated at our institution between 1/1996–12/2018. Descriptive statistics were performed on patient, tumor, and treatment characteristics. The χ 2 tests and t-tests were used to compare categorical variables and continuous variables, respectively. Recurrence free survival (RFS), overall survival (OS), and disease-specific survival (DSS) were analyzed with Kaplan-Meier estimates, the log-rank test, and Cox proportional hazards. Results: Median follow-up was 52.5 months. Five-year RFS was 67.9%, 60.0%, 42.1%, and 20.0% for stage I–IV, respectively. Five-year DSS was 86.2%, 81.6%, 65.0%, and 42.9% for stage I–IV, respectively. On multivariate analysis, positive margins predicted overall RFS (hazard ratio [HR]=3.55; 95% confidence interval [CI]=1.18–10.73; p=0.025), while presence of lichen sclerosus on pathology (HR=2.78; 95% CI=1.30–5.91; p=0.008) predicted local RFS. OS was predicted by nodal involvement (HR=2.51; 95% CI=1.02–6.13; p=0.043) and positive margins (HR=5.19; 95% CI=2.03–13.26; p=0.001). Adjuvant radiotherapy significantly improved RFS (p=0.016) and DSS (p=0.012) in node-positive patients. Median survival after treatment of local, groin, and pelvic/distant recurrence was 52, 8, and 5 months, respectively. Conclusion: For primary treatment, more conservative surgical approaches can be considered with escalation of treatment in patients with concurrent precursor lesions, positive margins, and/or nodal involvement. Further studies are warranted to improve risk stratification in order to optimize treatment paradigms for vulvar cancer patients.

60 APPLIED LIFE SCIENCES↗

Obesity is associated with biliary tract cancer mortality and incidence: A pooled analysis of 21 cohort studies in the Asia Cohort Consortium

Abstract Body fatness is considered a probable risk factor for biliary tract cancer (BTC), whereas cholelithiasis is an established factor. Nevertheless, although obesity is an established risk factor for cholelithiasis, previous studies of the association of body mass index (BMI) and BTC did not take the effect of cholelithiasis fully into account. To better understand the effect of BMI on BTC, we conducted a pooled analysis using population‐based cohort studies in Asians. In total, 905 530 subjects from 21 cohort studies participating in the Asia Cohort Consortium were included. BMI was categorized into four groups: underweight (<18.5 kg/m 2 ); normal (18.5‐22.9 kg/m 2 ); overweight (23‐24.9 kg/m 2 ); and obese (25+ kg/m 2 ). The association between BMI and BTC incidence and mortality was assessed using hazard ratios (HR) and 95% confidence intervals (CIs) by Cox regression models with shared frailty. Mediation analysis was used to decompose the association into a direct and an indirect (mediated) effect. Compared to normal BMI, high BMI was associated with BTC mortality (HR 1.19 [CI 1.02‐1.38] for males, HR 1.30 [1.14‐1.49] for females). Cholelithiasis had significant interaction with BMI on BTC risk. BMI was associated with BTC risk directly and through cholelithiasis in females, whereas the association was unclear in males. When cholelithiasis was present, BMI was not associated with BTC death in either males or females. BMI was associated with BTC death among females without cholelithiasis. This study suggests BMI is associated with BTC mortality in Asians. Cholelithiasis appears to contribute to the association; and moreover, obesity appears to increase BTC risk without cholelithiasis.

Oze, Isao↗