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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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The Modernization of Radiation Therapy Services in Cambodia: A Model of International Collaboration

Cambodia is a Southeast Asian low-middle-income country with a population of >15 million. In 2020, Cambodia was estimated to have 18,375 new diagnoses of cancer and 12,638 deaths attributable to cancer. Cambodia was estimated to have a deficit of 16 megavoltage machines in 2012. Cambodia's radiation therapy services have suffered through the tumultuous events of the country's history, with intermittent services until the last decade. In recent years, Cambodia has undergone rapid economic growth and, with this, the development of its first comprehensive cancer center, the National Cancer Centre (NCC).

62 RADIOLOGY AND NUCLEAR MEDICINE↗

How Management and Leadership Training Can Impact a Health System: Evaluation Findings From a Public Health Management Training Program in Cambodia

In 2017, the National Institute of Public Health in Cambodia collaborated with the U.S. Centers for Disease Control and Prevention to provide management and leadership training for 20 managers and senior staff from 10 health centers. We conducted a mixed methods evaluation of the program's outcomes and impact on the graduates and health centers. From June 2018 (baseline) to January 2019 (endpoint), we collected data from a competency assessment, observational visits, and interviews. From baseline to endpoint, all 20 participants reported increased competence in seven management areas. Comparing baseline and endpoint observational visits, we found improvements in leadership and governance, health workforce, water, sanitation, and hygiene, and health centers' use of medical products and technologies. When evaluating the improvements made by participants against the World Health Organization's key components of a well-functioning health system, the program positively contributed toward building four of the six components—leadership and governance, health information systems, human resources for health, and service delivery. While these findings are specific to the context of Cambodian health centers, we hope this evaluation adds to the growing body of research around the impact of skilled public health management on health systems.

60 APPLIED LIFE SCIENCES↗

The Field Epidemiology Training Program’s Contribution to Essential Public Health Functions in Seven National Public Health Institutes

Objective: This study explores how Field Epidemiology Training Programs (FETP) whose National Public Health Institutes (NPHI) are supported by U.S. Centers for Disease Control and Prevention (CDC) have contributed to strengthening essential public health functions. Methods: We conducted 96 semi-structured interviews with public health experts including NPHI staff, non-NPHI government staff, and staff from non-governmental and international organizations in Cambodia, Colombia, Liberia, Mozambique, Nigeria, Rwanda, and Zambia. We managed data using MAXQDA and employed direct content analysis to derive themes. Results: Three overarching themes emerged in relation to FETPs’ role within the NPHIs’ public health functions. These themes included contribution to improving country surveillance systems, role in providing leadership in outbreak responses, and strengthening countries’ and the NPHIs’ surveillance workforce capacity. Participants also shared challenges around FETPs’ implementation and suggestions for improvement. Conclusion: The results demonstrate the value of FETPs in strengthening public health systems through building workforce capacity and improving surveillance systems. By identifying the successes of FETPs in contributing to essential public health functions, our findings might inform current and future FETP implementation and its integration into NPHIs.

60 APPLIED LIFE SCIENCES↗

Historical and projected future runoff over the Mekong River basin

The Mekong River (MR) crosses the borders and connects six countries, including China, Myanmar, Laos, Thailand, Cambodia, and Vietnam. It provides critical water resources and supports natural and agricultural ecosystems, socioeconomic development, and the livelihoods of the people living in this region. Understanding changes in the runoff of this important international river under projected climate change is critical for water resource management and climate change adaptation planning. However, research on long-term runoff dynamics for the MR and the underlying drivers of runoff variability remains scarce. Here, we analyse historical runoff variations from 1971 to 2020 based on runoff gauge data collected from eight hydrological stations along the MR. With these runoff data, we then evaluate the runoff simulation performance of five global hydrological models (GHMs) forced by four global climate models (GCMs) under the Inter-Sectoral Impact Model Intercomparison Project (ISIMIP). Furthermore, based on the best simulation combination, we quantify the impact of future climate change on river runoff changes in the MR. The result shows that the annual runoff in the MR has not changed significantly in the past 5 decades, while the establishment of dams and reservoirs in the basin visibly affected the annual runoff distribution. The ensemble-averaged result of the Water Global Assessment and Prognosis version 2 (WaterGAP2; i.e. GHM) forced by four GCMs has the best runoff simulation performance. Under Representative Concentration Pathways (RCPs; i.e. RCP2.6, RCP6.0 and RCP8.5), the runoff of the MR is projected to increase significantly (p<0.05); e.g. 3.81 ± 3.47 m 3 s -1 a -1 (9 ± 8 % increase in 100 years) at the upper reach under RCP2.6 and 16.36 ± 12.44 m 3 s -1 a -1 (13 ±10 % increase in 100 years) at the lower reach under RCP6.0. In particular, under the RCP6.0 scenario, the increase in annual runoff is most pronounced in the middle and lower reaches, due to increased precipitation and snowmelt. Under the RCP8.5 scenario, the runoff distribution in different seasons varies obviously, increasing the risk of flooding in the wet season and drought in the dry season.

54 ENVIRONMENTAL SCIENCES↗

Exploring Renewable Energy Opportunities in Select Southeast Asian Countries: A Geospatial Analysis of the Levelized Cost of Energy of Utility-Scale Wind and Solar Photovoltaics

The costs of renewable energy-based electricity generation have fallen precipitously in recent years to levels that are increasingly competitive with traditional generation such as fossil fuel-based generation. As these costs become increasingly competitive, private developers, policymakers, and energy system planners are searching for opportunities to harness high-quality renewable energy resources. Developing economies are setting ambitious targets and exploring how cost-effective, grid-connected renewable energy options can help power economic growth and meet growing electricity demands. This includes the member states of the Association of Southeast Asian Nations (ASEAN) that are determined to reach a target of 23% of renewable energy in the region's total primary energy supply by 2025. A critical gap to identifying opportunities and scaling up renewable energy is the lack of quality data and analyses to support decisions on the investment and deployment of renewables - including wind and solar photovoltaics (PV). This work supports decision making by providing high-quality data and spatial analysis of the cost of utility-scale wind and solar PV generation in select countries of Southeast Asia - specifically, the ASEAN member states. Generation costs are expressed as the levelized cost of energy (LCOE) - a commonly used metric that represents the net present value of the unit cost of electricity during the lifetime of a particular electricity generation technology. This is the first spatial estimate of LCOE for these technologies within the ASEAN member states - providing insights into the roles that renewable energy resource quality and other factors may play in generation costs.

14 SOLAR ENERGY↗

Enabling Floating Solar Photovoltaic (FPV) Deployment: FPV Technical Potential Assessment for Southeast Asia

Southeast Asia (SE Asia) is a region with growing energy demand and increasing development of floating solar photovoltaic (FPV) systems, which can help meet countries' renewable energy and energy security goals. This study uses a high-level geospatial assessment methodology to estimate the technical potential for monofacial and bifacial FPV on reservoirs and natural waterbodies in the ten countries within the Association of Southeast Asian Nations (ASEAN). Technical potential consists of the suitable waterbody area for FPV development (km 2 ), the capacity of FPV that could be installed on this suitable area (MW), and the annual energy that could be generated from these installations (GWh/year). This first-of-its-kind FPV technical potential assessment for SE Asia can help policymakers and planners better understand the role that FPV could play in meeting regional energy demand and can ultimately guide investment decisions. Although this work focuses on SE Asia, the methodology may also be applicable for countries in other regions, with adaptations.

14 SOLAR ENERGY↗

Integrating Variable Renewable Energy in Power Systems: Fundamentals for the Greater Mekong Subregion

This presentation is an introduction to foundational concepts for integrating variable renewable energy (VRE) into bulk power systems, with a focus on the Greater Mekong Subregion. It contains fundamentals on challenges and solutions for VRE integration (e.g., wind and solar PV), as well as deep dives on energy storage, floating solar PV (FPV), and cross-border energy trade (CBET). Case studies are contained throughout.

Cambodia↗

Enabling Floating Solar Photovoltaic (FPV) Deployment: FPV Technical Potential Assessment for Southeast Asia

Southeast Asia (SE Asia) is a region with growing energy demand and increasing development of floating solar photovoltaic (FPV) systems, which can help meet countries' renewable energy and energy security goals. This study uses a high-level geospatial assessment methodology to estimate the technical potential for monofacial and bifacial FPV on reservoirs and natural waterbodies in the ten countries within the Association of Southeast Asian Nations (ASEAN). Technical potential consists of the suitable waterbody area for FPV development (km2), the capacity of FPV that could be installed on this suitable area (MW), and the annual energy that could be generated from these installations (GWh/year). This first-of-its-kind FPV technical potential assessment for SE Asia can help policymakers and planners better understand the role that FPV could play in meeting regional energy demand and can ultimately guide investment decisions. Although this work focuses on SE Asia, the methodology may also be applicable for countries in other regions, with adaptations. The FPV technical potential results are also integrated into the Renewable Energy (RE) Data Explorer online tool (https://www.re-explorer.org/).

bifacial↗