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At least 73 records · Page 4

Incidence and predictors of tuberculosis among children receiving antiretroviral therapy in the Wolaita Zone: A retrospective cohort study

Tuberculosis is the leading cause of morbidity and mortality among children living with the human immunodeficiency virus (HIV), mainly in sub-Saharan Africa, including Ethiopia. Tuberculosis remains a significant health concern for HIV-positive children in Ethiopia. There is a paucity of data on the incidence and predictors of tuberculosis among children living with HIV on antiretroviral therapy in the Wolaita zone. Hence, this study aimed to assess the incidence and predictors of tuberculosis among children living with HIV on antiretroviral therapy in the Wolaita zone between January 2010 to December 2020. A retrospective cohort study was conducted among 389 children receiving antiretroviral therapy in Wolaita zone health facilities between January 2010 to December 2020. The checklist was adapted from the standardized antiretroviral treatment (ART) follow-up form currently used by the institutions’ ART clinics. The Kaplan-Meier survival function and Log-rank were used to estimate the survival for each categorical variable to compare the survival between different exposure groups. Both bivariable and multivariable parametric survival Gompertz models were fitted to identify predictors of tuberculosis among HIV-positive children. The association was summarized using an adjusted hazard ratio (AHR), and statistical significance was declared at 95% CI and p-value < 0.05. The goodness of the model fit was assessed using a Cox-Snell residual plot. The incidence rate of tuberculosis among children living with HIV was 3.5 (95% CI 2.7–4.5) per 100 child years. World Health Organization clinical stage III or IV (AHR = 2.31, 95% CI [1.26, 4.22]), hemoglobin level <10 g/dL (AHR = 2.87, 95% CI [1.51, 5.45]), fair or poor ART adherence (AHR = 4.4, 95% CI[2.18, 9.05]), underweight (AHR = 2.55, 95% CI [1.45, 4.51]), age >10 years (AHR = 3.62; 95% CI [1.29, 10.0]), and cotrimoxazole preventive therapy (AHR = 0.23; 95% CI [0.08, 0.60]) were among the independent predictors of TB occurrence. The incidence of tuberculosis among children on ART was high. HIV-positive children presenting with advanced disease staging (III and IV), anemia, “fair” and “poor” ART adherence, underweight, age above ten years, and not receiving cotrimoxazole preventive therapy were at higher risk of TB. Therefore, counseling on ART adherence, early diagnosis, and prompt treatment of anemia and malnutrition are recommended to avert tuberculosis.

60 APPLIED LIFE SCIENCES↗

Mutations that confer resistance to broadly-neutralizing antibodies define HIV-1 variants of transmitting mothers from that of non-transmitting mothers

Despite considerable reduction of mother-to-child transmission (MTCT) of HIV through use of maternal and infant antiretroviral therapy (ART), over 150,000 infants continue to become infected with HIV annually, falling far short of the World Health Organization goal of reaching <20,000 annual pediatric HIV cases worldwide by 2020. Prior to the widespread use of ART in the setting of pregnancy, over half of infants born to HIV-infected mothers were protected against HIV acquisition. Yet, the role of maternal immune factors in this protection against vertical transmission is still unclear, hampering the development of synergistic strategies to further reduce MTCT. It has been established that infant transmitted/founder (T/F) viruses are often resistant to maternal plasma, yet it is unknown if the neutralization resistance profile of circulating viruses predicts the maternal risk of transmission to her infant. In this study, we amplified HIV-1 envelope genes ( env ) by single genome amplification and produced representative Env variants from plasma of 19 non-transmitting mothers from the U.S. Women Infant Transmission Study (WITS), enrolled in the pre-ART era. Maternal HIV Env variants from non-transmitting mothers had similar sensitivity to autologous plasma as observed for non-transmitting variants from transmitting mothers. In contrast, infant variants were on average 30% less sensitive to paired plasma neutralization compared to non-transmitted maternal variants from both transmitting and non-transmitting mothers (p = 0.015). Importantly, a signature sequence analysis revealed that motifs enriched in env sequences from transmitting mothers were associated with broadly neutralizing antibody (bnAb) resistance. Altogether, our findings suggest that circulating maternal virus resistance to bnAb-mediated neutralization, but not autologous plasma neutralization, near the time of delivery, predicts increased MTCT risk. These results caution that enhancement of maternal plasma neutralization through passive or active vaccination during pregnancy may potentially drive the evolution of variants fit for vertical transmission.

59 BASIC BIOLOGICAL SCIENCES↗

Key Learnings from Hydraulic Fracturing Test Site - 2 (HFTS-2), Delaware Basin

Hydraulic fractures (HF) play a dominant role in oil and gas production from unconventional reservoirs, fracture characteristics, geometry, and extent are generally not well known and are typically inferred from various monitoring methods or subsurface models. The Hydraulic Fracturing Test Site-2 (HFTS-2) is a field-based research experiment performed in the Wolfcamp formation of the Permian (Delaware) Basin. HFTS-2, a unique joint industry program (JIP) that brings together government, academia, and industry, focused on field data acquisition and interpretation. The project has built a comprehensive HF research dataset that includes microseismic (MS), 1,500 ft of core, diagnostic formation injection tests (DFIT), fluid characterization, advanced logs, geochemistry, downhole gauges, varying completions, and permanent fiber optic (FO) cable in vertical and horizontal wells. These data were integrated and used to characterize HF geometry/dimensions and resulting depletion profiles, gain insights for completion design, and achieve a better understanding of parent well depletion effects on child well performance. The analysis and integration of the comprehensive HFTS-2 diagnostics dataset provide insights for optimal well placement and completions and improves understanding about the effects of parent well depletion. Furthermore, this dataset can be used to blind test and develop subsurface workflows for unconventional resources. Key learnings from HFTS-2 and the new technologies tested can easily be transferred to other unconventional plays.

58 GEOSCIENCES↗

Mechanism of Microseismic Generation During Hydraulic Fracturing - With Evidence From HFTS 2 Observations

The objective of this study is to understand how microseismic events are generated during hydraulic fracturing, as well as the role of geomechanical conditions (i.e., stress and mechanical stratigraphy) in this process. In the industry, microseismic event clouds have been generally used as an “outer-boundary” of the “stimulated reservoir volume” (SRV). However, by comparing with other surveillance data (Low frequency Distributed Acoustic Sensing, or LF-DAS strain) in the Hydraulic Fracturing Test Site (HFTS) 2 experiment, we show that this assumption is fundamentally flawed. The HFTS 2 data has three unique observations that have not been commonly observed in other datasets: 1. Due to influence of offset pad depletion, microseismic data shows that hydraulic fractures from the child well can propagate over 3000 feet into the depleted low stress zone. 2. By comparing microseismic and horizontal fiber LF-DAS strain data, we observe that microseismic event cloud does not necessarily reflect the created hydraulic fracture volume. Particularly, the extent of microseismic event clouds near heel stages are much shorter than what is shown with LF-DAS strain data. 3. Microseismic event magnitudes are larger in the depleted regions. Through geomechanical analysis, we demonstrate that the “bedding-plane-slip” model is likely the mechanism for microseismic generation during hydraulic fracturing. Furthermore, this model successfully explains the above field observations from HFTS 2 experiment. We also provide a quantitative relationship connecting the microseismic event magnitude with fracture width increment and layer mechanical property contrast.

58 GEOSCIENCES↗

Overview of Hydraulic Fracturing Test Site 2 in the Permian Delaware Basin (HFTS-2)

Here, the Hydraulic Fracturing Test Site 2 (HFTS-2) is a large collaborative field-based R&D program in the Permian Delaware Basin, funded by the US Department of Energy through the National Energy Technology Laboratory (NETL) and the E&P industry, with support from academia. The projects' main objective is to improve the understating of the hydraulic fracturing process through utilization of advanced diagnostics and collection of through-fracture cores to provide undisputable evidence and attributes of the created hydraulic fractures. At the HFTS-2, in excess of $30 million was used to perform hydraulic fracturing research focusing on the Wolfcamp formation at a field site hosted and operated by Occidental. In addition to the research data collected by the project, Occidental provided a significant amount of background data for about a dozen existing wells in the test area as well as access to previously collected core. Additional technical and laboratory support was provided by the program members. Building on learnings and unanswered questions from HFTS-1 in the Permian Midland basin, the HFTS-2 used eight new producing wells and two existing (parent) wells to perform hydraulic fracturing research. Multiple science wells were drilled to sample and characterize the subsurface, including the collection of 540 feet of core in a vertical pilot hole and 948 feet of high-angle through-fracture core. The project installed permanent fiber optic cables in 3 wells to monitor near wellbore signals during fracturing and to collect cross-well strain measurements. Additional advanced diagnostics included a significant formation evaluation program on the vertical whole core, multi array moment tensor inversion capable microseismic survey, multi-well time-lapse geochemistry analysis, analysis of proppant distribution in producing child and slant core well, and others. We will provide an overview of the HFTS-2 project, including list of the consortium members, details of the test site, experiments performed, and technologies tested.

58 GEOSCIENCES↗

Interpretation of HFTS 2 Microseismic Data Using Bedding-Plane-Slip Mechanism

Summary The objective of this study is to understand how microseismic events are generated during hydraulic fracturing, as well as the role of geomechanical conditions (i.e., stress and mechanical stratigraphy) in this process. In the industry, microseismic event clouds have been generally used as an “outer boundary” of the “stimulated reservoir volume” (SRV). However, by comparing with other surveillance data (low-frequency distributed acoustic sensing, or LF-DAS, strain) in the Hydraulic Fracturing Test Site (HFTS) 2 experiment, we show that this assumption is fundamentally flawed. The HFTS 2 data have three unique observations that have not been commonly observed in other datasets: (1) Due to the influence of offset pad depletion, microseismic data show that hydraulic fractures from the child well can propagate over 3,000 ft into the depleted low-stress zone. (2) By comparing microseismic and horizontal fiber LF-DAS strain data, we observe that the microseismic event cloud does not necessarily reflect the created hydraulic fracture volume. Particularly, the extent of microseismic event clouds near heel stages is much shorter than what is shown with LF-DAS strain data. (3) Microseismic event magnitudes are larger in the depleted regions. Through geomechanical analysis, we demonstrate that the “bedding-plane-slip” model is likely the mechanism for microseismic generation during hydraulic fracturing. This model successfully explains the above field observations from the HFTS 2 experiment. We also provide a quantitative relationship connecting the microseismic event magnitude with fracture width increment and layer mechanical property contrast.

Engineering↗

Heart Shape to Fracture Distance: Characterizing Hydraulic Fracture Propagation before Hits

Estimating the distance from the hydraulic fracture tip to the monitor well can be useful for fracture characterization, well spacing optimization, and preventing parent-child well interference. A heart-shaped signal is referred to as the extensional precursor of a fracture hit recorded by crosswell strain measurements and can serve as a vital tool for such estimation. This study incorporates the 3D displacement discontinuity method (DDM) to understand the impact of fracture geometry and monitor well offset on the heart-shaped signal’s characteristics. Results from numerical simulation and analytical solutions reveal a strong linear correlation between the spatial extent of the heart-shaped signal and the fracture tip distance. This relationship was further developed to predict tip distance using field data from the Hydraulic Fracture Test Site 2 (HFTS2). A reasonable approximation result from field data further validates the methodology. In addition, it is worth noting that the estimation accuracy depends on the ratio between fracture dimension and tip distance. The findings of this study offer a novel approach for real-time monitoring and characterizing hydraulic fracture propagation, which can be further used for well spacing optimization in unconventional and enhanced geothermal system reservoir development, as well as caprock integrity monitoring for carbon sequestration projects.

58 GEOSCIENCES↗

An Update on Cardinal: Toward Full Core Pebble Simulations

The new DOE-NE Center of Excellence for Thermal-fluids applications in Nuclear Energy inaugurated in April 2018 considers and researches novel new solution strategies for historically challenging flow issues that still plague the current fleet of deployed Light Water nuclear Reactors (LWRs) as well as predicting various fluid flow and fluid related issues with advanced reactor technologies. Our advanced thermal-fluids research and development approach synergistically combines three natural, though overlapping, length and time scales in a hierarchal multi-scale approach to avoid the temptation and pitfalls of attempting to develop a single solve-all algorithm for physical fluid flow problems that will span nine orders of magnitude in spatial and temporal scales. To demonstrate the multi-scale philosophy of the center we focus on Fluoride Cooled High Temperature Reactors (FHRs), and in particular on the Berkley’s PB-FHR Mark-I design. The Fluoride salt cooled High temperature Reactor (FHR) is a class of advanced nuclear reactors that combine the robust coated particle fuel form from high temperature gas cooled reactors, direct reactor auxiliary cooling system (DRACS) passive decay removal of liquid metal fast reactors, and the transparent, high volumetric heat capacitance liquid Fluoride salt working fluids - such as Flibe - from molten salt reactors. This combination of fuel and coolant enables FHRs to operate in a high-temperature low-pressure design space that has beneficial safety and economic implications. The PB-FHR reactor relies on a pebble bed approach and pebble bed reactors are in a sense the poster child for multi-scale analysis. The lower length-scale simulator for pebble reactor cores comprises three physics: neutronics (OpenMC), thermal-fluids (Nek5000/NekRS) and fuel performance (BISON). As part of Center of Excellence ongoing research efforts we have developed Cardinal, a new tool platform for lower length-scale simulation. Cardinal tightly couples all three physics and leverages advances in MOOSE such as the MultiApp system and the concept of MOOSE-wrapped Apps. The present report provides an update on the development of Cardinal with an extension of Cardinal to GPUs. We also perform a first-of-a-kind demonstration simulation on Summit representing a 10x capability increase in terms of pebble count for Cardinal.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

WWII Lab opened a daycare to have ‘womanpower’ on staff

To address the need for child care and perhaps further incentivize women, Groves approved a partially government-funded nursery. “[T]he obvious and sufficient justification is the release of womanpower, which the [nursery] school makes possible,” according to a 1943 financial report. The documents and others, as well as photos, are part of the collections in the Lab’s National Security Research Center, which also curates legacy materials.

99 GENERAL AND MISCELLANEOUS↗

CTSA MHRI Datasets

Oak Ridge National Laboratory (ORNL) has collaborated with MedStar Health Research Institute (MHRI) to develop, test, and validate health outcomes using electronic health records (EHRs) from hospitals associated with participating Clinical and Translational Science Awards (CTSA). MHRI, the research organization of MedStar Health (MSH), has a history of initiating projects, both in the laboratory and in the field, that serve the needs of medically underserved and disenfranchised groups. In this document, the ORNL team is providing data curation documentation for the following datasets, which are publicly available: 1. Area Deprivation Index (ADI) 2015 block group; 2. Child Opportunity Index 2015 tract; 3. Low food access 2017 block group; 4. Neighborhood deprivation index 2017 tract; 5. Social Capital Index 2014 county; and, 6. Social Vulnerability Index 2014 tract.

54 ENVIRONMENTAL SCIENCES↗

A Mother’s Day Tribute. Luckily for moms, what’s old is new again

A mother’s love for her child is expressed in so many ways. And strongly reinforced when they’re wearing matching clothes. Today’s mother-daughter twinning trend has actually been part of a global fashion cycle that began in Europe more than a hundred years ago and included Los Alamos by the time the Lab opened in 1943.

99 GENERAL AND MISCELLANEOUS↗

HFTS-2 (Final Report)

This report delves into the research program, identified tasks, various studies, observations, results, and conclusions under the Hydraulic Fracturing Test Site (HFTS-2) project. This test site is located in Loving County close to the Texas, New Mexico border. The program targeted the Wolfcamp formation in Delaware Basin. The aim of the project was to improve our understanding of hydraulic fracturing processes to not only optimize unconventional resource development in US Basins but to minimize environmental footprint as well. Various new diagnostic technologies were demonstrated at this site, including distributed acoustic microseismic, high resolution strain using Rayleigh frequency band (DSS-RFS), and in-fill proppant logging tool. Significant conclusions from this study include: 1) lateral and vertical fracture growth mapping as well as proppant transport behavior, 2) Use of DSS-RFS as a diagnostic tool to understand cluster level behavior, 3) Validation of proppant log, both at core scale as well as in-fill well implementation, and 4) New modeling tools to map far-field strain response using distributed strain sensing data. Specifically, far-field fracture distribution is influenced by linear fracture corridors defined by the stress-state as well as clustering behavior influenced by spatio-temporal effects. Depletion impacts on new stimulation was demonstrated and technically quantified. Significant vertical fracture height growth was observed. However, our understanding is limited by available gauge data availability. Numerical strain modeling techniques have been developed and demonstrated to help understand observed strain response behavior. Finally, proppant log has been further validated as a useful tool to map propped zones within the SRV. It has also shown very strong correlation with observed drawdown behavior at this test site. This report will detail many of these studies as well as technical results and conclusions from said studies. These include general subsurface characterization work, completion designs as implemented, studies looking at fracture geometry, high resolution microseismic study including source mechanisms, advanced DSS-RFS studies including drainage characterization, core characterization results, proppant analysis (core and in-fill child well), geochemistry, etc.

02 PETROLEUM↗

Omar Ishak: Bioengineer by day, sports car tinkerer by night

Omar Ishak was 13 when he got his first car — or rather, the pieces of his first car. He had helped in his dad’s auto shop in the summers from age 10 to 12, but the vehicle that his dad presented, an Acura Integra, was a challenging first car. Missing most of one side and without a working engine, it seemed to Omar as if it were better off as scrap metal. "If you can piece together all the parts," Omar remembers his dad saying, "you can have it." Omar, now a technical project manager in Weapons Production (ALDWP) with the Transition to Operations/Readiness (PPI-3) group, at first felt overwhelmed at the enormity of what needed to be finished. As a child, he’d played with Legos and liked to tinker and take broken things apart. Then he’d become fascinated with building smaller-scaled model cars and, by the time his dad owned that shop, the fascination had manifested into real cars.

99 GENERAL AND MISCELLANEOUS↗

Timing based clustering in the Northern Finland Birth Cohorts 1966 and 1986 suggests two new patterns for childhood BMI curve [Poster]

Childhood body mass index (BMI) is a widely used measure of adiposity in children (<18 years of age). Children grow with individual tempo and individuals of the same age, or of the same BMI, might be in different phases in their individual growth curves. Variability between different childhood BMI curves can be separated in two components: phase variability (x-axis; time) and amplitude variability (y-axis; BMI). Phase variability can be thought of arising from differences in maturational age between individuals. This is related to the timing of peaks and valleys in a child’s BMI curve.

59 BASIC BIOLOGICAL SCIENCES↗

Revising Apetrei’s bounding volume hierarchy construction algorithm to allow stackless traversal

Stackless traversal is a technique to speed up range queries by avoiding usage of a stack during the tree traversal. One way to achieve that is to transform a given binary tree to store a left child and a skip-connection (also called an escape index). In general, this operation requires an additional tree traversal during the tree construction. For some tree structures, however, it is possible to achieve the same result at a reduced cost. We propose one such algorithm for a GPU hierarchy construction algorithm proposed by Karras in Karras 2012. Furthermore, we show that our algorithm also works with the improved algorithm proposed by Apetrei in Apetrei 2014, despite a different ordering of the internal nodes. We achieve that by modifying Apetrei’s algorithm to restore the original Karras’ ordering of the internal nodes. Using the modified algorithm, we show how to construct a hierarchy suitable for a stackless traversal in a single bottom-up pass.

97 MATHEMATICS AND COMPUTING↗

Quantum Search Approaches to Sampling-Based Motion Planning

In this paper, we present a novel formulation of traditional sampling-based motion planners as database-oracle structures that can be solved via quantum search algorithms. We consider two complementary scenarios: for simpler sparse environments, we formulate the Quantum Full Path Search Algorithm (q-FPS), which creates a superposition of full random path solutions, manipulates probability amplitudes with Quantum Amplitude Amplification (QAA), and quantum measures a single obstacle free full path solution. For dense unstructured environments, we formulate the Quantum Rapidly Exploring Random Tree algorithm, q-RRT, that creates quantum superpositions of possible parent-child connections, manipulates probability amplitudes with QAA, and quantum measures a single reachable state, which is added to a tree. As performance depends on the number of oracle calls and the probability of measuring good quantum states, we quantify how these errors factor into the probabilistic completeness properties of the algorithm. We then numerically estimate the expected number of database solutions to provide an approximation of the optimal number of oracle calls in the algorithm. We compare the q-RRT algorithm with a classical implementation and verify quadratic run-time speedup in the largest connected component of a 2D dense random lattice. We conclude by evaluating a proposed approach to limit the expected number of database solutions and thus limit the optimal number of oracle calls to a given number.

97 MATHEMATICS AND COMPUTING↗

Characterizing Hydraulic Fracture Propagation Before Fracture Hits

Estimating the distance from hydraulic fracture tip to monitor well can be very useful for fracture characterization, well spacing optimization, and preventing parent-child well interference. Heart-shape signal is referred to as the extensional precursor of fracture hit recorded by cross-well strain measurements and can be served as a vital tool to make such estimation. This study incorporates the 3D Displacement Discontinuity Method to understand the impact of fracture geometry and monitor well offset on the heart-shape signal’s characteristics. Results from numerical simulation and analytical solutions reveal a strong linear correlation between the spatial extent of heart shape signal and fracture tip distance. This relationship was further developed to predict tip distance using field data from the Hydraulic Fracture Test Site 2. A reasonable approximation result from field data further validates the methodology. In addition, it is worth noting that the estimation accuracy depends on the ratio between fracture dimension and tip distance. The findings of this study offer a novel approach for real-time monitoring and characterizing hydraulic fracture propagation, which can be further used for well spacing optimization in unconventional and Enhanced Geothermal System reservoir development, as well as cap rock integrity monitoring for carbon sequestration projects.

Jin, Ge↗

A Python Tool for Reconstructing MCNP6 Particle Histories from an HDF5 PTRAC File [Slides]

A Python tool for converting the MCNP6 HDF5 PTRAC file to a list of Python trees is presented. The particle trees store MCNP6 simulated events for each history using parent-child relationships, which ensures that branching processes are accurately reproduced. A variety of post-processing scripts are presented and used in conjunction with the Python particle trees to make special tallies that are currently not available in the MCNP6 software and visualize the particle tracks.

97 MATHEMATICS AND COMPUTING↗