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At least 19 records

Use of Event-Time Embeddings via RNN to Discern Novel Event Sequences in EHRs

In highly configurable health information technology (HIT) systems, such as VistA of the Veterans Health Administration, the variations in how the system is used among different healthcare facilities and how the data are recorded can be significant. Despite the successful standardization of care efforts, some of these variations can be indicative of HIT hazards and demand further investigation. In this work, we implemented a recurrent neural network (RNN) architecture to learn clinical provider order sequences and their temporal dynamics while predicting the orders' terminal state. We demonstrate model performance and provide a use case for the model discerning novel event sequences. This model is proposed to find novel event sequences in an operational environment.

Ozmen, Ozgur↗

Adaptive Anomaly Detection for Dynamic Clinical Event Sequences

Over the past decade, health information technology (IT) has enabled the amount of digital information stored in electronic health records (EHRs) to expand greatly. However, according to some studies, hazards in health IT can lead to changes in clinical decisions, care processes, and care outcomes, as well as other issues. Thus, the effects of health IT hazards on patient safety have been at the forefront of recent patient safety research. Nonetheless, hazard detection in health IT remains a challenge. In this paper, the authors assume that safety-related issues in health IT would exhibit anomalous characteristics in EHR data. Although all hazards will exhibit some anomalous characteristics, not all anomalies can be regarded as hazards. The authors hypothesize that errors in health IT could lead to interruptions in the sequence of clinical actions. To this end, the problem of detecting anomalous sequences in big EHR data is considered. This paper focuses on dynamic event sequences, which are a series of clinical actions in motion. The authors propose an adaptive anomaly detection approach that uses higher-order network representation to detect anomalous sequences. Furthermore, the authors propose a contiguous subsequence anomaly detection approach that identifies abnormal subsequences in the detected anomalous sequences. The proposed approaches are tested by using synthetic and real-world EHR data. The proposed methods outperform existing state of the art anomaly detection techniques. To reduce the computational complexity associated with the operational implementation of the proposed approaches, the Apache Spark environment was leveraged, and a much shorter run time together with improved performance were achieved, especially for data with more than 60,000 sequences.

Niu, Haoran↗

Safety and Security Defense-in-Depth for Nuclear Power Plants

This report describes the risk-informed technical elements that will contribute to a defense-in-depth assessment for cybersecurity. Risk-informed cybersecurity must leverage the technical elements of a risk-informed approach appropriately in order to evaluate cybersecurity risk insights. HAZCADS and HAZOP+ are suitable methodologies to model the connection between digital harm and process hazards. Risk assessment modeling needs to be expanded beyond HAZCADS and HAZOP+ to consider the sequence of events that lead to plant consequences. Leveraging current practices in PRA can lead to categorization of digital assets and prioritizing digital assets commensurate with the risk. Ultimately, the culmination of cyber hazard methodologies, event sequence modeling, and digital asset categorization will facilitate a defense-in-depth assessment of cybersecurity.

97 MATHEMATICS AND COMPUTING↗

Untangling the sequence of events during the S 2 → S 3 transition in photosystem II and implications for the water oxidation mechanism

In oxygenic photosynthesis, light-driven oxidation of water to molecular oxygen is carried out by the oxygen-evolving complex (OEC) in photosystem II (PS II). Recently, we reported the room-temperature structures of PS II in the four (semi)stable S-states, S 1 , S 2 , S 3 , and S 0 , showing that a water molecule is inserted during the S 2 → S 3 transition, as a new bridging O(H)-ligand between Mn1 and Ca. To understand the sequence of events leading to the formation of this last stable intermediate state before O 2 formation, we recorded diffraction and Mn X-ray emission spectroscopy (XES) data at several time points during the S 2 → S 3 transition. At the electron acceptor site, changes due to the two-electron redox chemistry at the quinones, Q A and Q B , are observed. At the donor site, tyrosine Y Z and His190 H-bonded to it move by 50 µs after the second flash, and Glu189 moves away from Ca. This is followed by Mn1 and Mn4 moving apart, and the insertion of O X (H) at the open coordination site of Mn1. This water, possibly a ligand of Ca, could be supplied via a “water wheel”-like arrangement of five waters next to the OEC that is connected by a large channel to the bulk solvent. XES spectra show that Mn oxidation (τ of ∼350 µs) during the S 2 → S 3 transition mirrors the appearance of O X electron density. This indicates that the oxidation state change and the insertion of water as a bridging atom between Mn1 and Ca are highly correlated.

59 BASIC BIOLOGICAL SCIENCES↗

Prioritizing Uncertainties in Hydrogen Contribution to Risk in Post-Crash Outcomes for Rail

This report presents analysis from Sandia National Laboratories predicting contributions to risk associated with the use of hydrogen technology for rail. Event sequence diagrams are used to describe possible accident scenarios and progressions. Initiating event frequencies and branch event probabilities for each scenario are quantified with uncertainty using distributions fit to Federal Railroad Administration and U.S. Department of Transportation Pipeline and Hazardous Materials Safety Administration data on applicable accidents from 2000 to 2020. Uncertainty is propagated through the event sequence diagram to estimate the frequency and conditional probability of accident end states. The analysis identifies four scenarios with significant contributions to risk from hydrogen that are predicted to occur relatively frequently, which may inform priorities for reducing uncertainty. These scenarios are 1) overpressure events resulting from collisions with hydrogen release due to mechanical damage and delayed ignition, 2) jet fire events resulting from collisions with hydrogen release due to mechanical damage and immediate ignition, 3) jet fires resulting from fire or explosion initiating events involving the hydrogen tank and correct operation of the thermally-activated pressure relief device (TPRD) subsequent to the thermal insult, and 4) pressure burst resulting from fire or explosion initiating events involving the hydrogen tank and failure of the TPRD. Delayed and immediate hydrogen ignition probabilities are identified as being highly uncertain and potential candidates for reducing conservatism in the predicted frequencies for these two scenarios.

08 HYDROGEN↗

Regulatory Treatment of Low Frequency External Events under a Risk-Informed Performance-Based Licensing Pathway

Significant efforts are underway to develop and implement a risk-informed performance-based licensing framework for advanced reactors built on the establishment of an affirmative safety case. Such approaches offer the benefits of increased flexibility regarding key design and licensing decisions based on a detailed assessment and understanding of plant risk. These methods include the comprehensive analysis of scenarios that have historically been addressed through conservative and deterministic licensing analysis approaches, such as the evaluation of event sequences at frequencies of occurrence beyond the design basis. While the detailed analysis of low frequency events provides insights that can help justify alternative treatments to past conservatism, the findings are dependent on the quality and confidence associated with the analyses. The assessment of external hazards presents a unique challenge, as their potential frequency of occurrence, especially of large magnitude events, is inherently uncertain given the long return periods in question. The current project seeks to further explore the regulatory treatment of low frequency external events as part of a risk-informed performance-based framework. The goals are to identify the benefits and challenges of such approaches for advanced reactor vendors and to aid in the development of consistent and appropriate methodologies. As part of this effort, the current report summarizes initial project findings, with a focus on the evaluation of the seismic hazard. This includes an exploration of the implementation of a risk-informed performance-based approach through an example analysis. Based on the identified challenges associated with the probabilistic treatment of low frequency event sequences, additional performance-based methods were explored as complementary tools for demonstrating regulatory compliance. The report highlights key challenges and opportunities associated with the methods and outlines recommendations and future activities to assist with their implementation.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

Feature Engineering and Process Mining to Enable Hazard Detection in Health Information Technology

Motivation for this work originates from a recognized need for developing data-driven approaches through analysis of complex electronic health records. Specifically, we aim to enhance the reliability of health information technology (HIT) systems by detection of plausible HIT hazards in clinical order transactions. In the absence of well-defined event logs in corporate data warehouses, our proposed approach identifies relevant timestamped data fields that could indicate transactions in the clinical order life cycle generating raw event sequences. Subsequently, we adopt state transitions of the OASIS Human Task standard to map the raw event sequences and simplify the complex process that clinical radiology orders go through. We describe how the current approach provides the potential to investigate areas of improvement and potential hazards in HIT systems. The discussion concludes with a use case and opportunities for future applications.

Ozmen, Ozgur↗

Capturing the sequence of events during the water oxidation reaction in photosynthesis using XFELs

Ever since the discovery that Mn was required for oxygen evolution in plants by Pirson in 1937 and the period-four oscillation in flash-induced oxygen evolution by Joliot and Kok in the 1970s, understanding of this process has advanced enormously using state-of-the-art methods. The most recent in this series of innovative techniques was the introduction of X-ray free-electron lasers (XFELs) a decade ago, which led to another quantum leap in the understanding in this field, by enabling operando X-ray structural and X-ray spectroscopy studies at room temperature. This review summarizes the current understanding of the structure of Photosystem II (PS II) and its catalytic centre, the Mn 4 CaO 5 complex, in the intermediate S i ( i = 0-4)-states of the Kok cycle, obtained using XFELs.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Experimental Validation of Thermal Hydraulic Behavior in Sodium Fast Reactors (SFR) with the Thermal Hydraulic Experimental Test Article (THETA)

Thermal stratification and transition to natural circulation pose two of the largest sources of uncertainty in systems-level modeling of liquid metal-cooled fast reactors. As these phenomena typically develop during transient event sequences, licensing-basis events analyzed using systemslevel models may have considerable uncertainties associated with thermal-hydraulic parameters of the system to account for these phenomena. As a result, the validation basis for these phenomena for systems-level codes is insufficient to fully support the wide range of liquid metal fast reactors being developed in the US. Currently, the most viable path for licensing a design is to take significant conservatisms and maintain sufficiently large safety margins to account for this uncertainty.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

A mechanistic model of a PWR-based nuclear power plant in response to external hazard-induced station blackout accidents

Natural hazard-induced nuclear accidents, such as the Fukushima Daiichi Accident that occurred in Japan in 2011, have significantly increased reactor safety studies in understanding nuclear power plant (NPP) responses to external hazard events such as earthquakes and floods. Natural hazards could cause the loss of offsite power in nuclear power plants, potentially leading to a Station Blackout (SBO) accident that significantly contributes to the overall risk of nuclear power plant accidents. Despite the fact that extensive research has been conducted on the station blackout accident for nuclear power plant, further understanding of these events is needed, particularly in the context of the dynamic nature of external hazards such as external flooding. This paper estimates the progression of station blackout events for a generic pressurized water reactor (PWR) in response to external flooding events. The original RELAP5-3D model of the Westinghouse four-loop design pressurized water reactor was adopted and modified to simulate the external flood-induced station blackout accident, including the short-term and long-term station blackout scenarios. A sensitivity analysis of long-term station blackout, examining reactor operation times and analyzing key parameters over time, was also conducted in this work. The results of the analyses, especially the critical timing parameters of key event sequences, provide useful insights about the time during the external flooding event, which is important for plant operators to make timely decisions to prevent potential core damage. This paper represents significant progress toward developing an integrated risk assessment framework for further identifying and assessing the effects of the critical sources of uncertainties of nuclear power plant under external hazard-induced events.

Liu, Tao↗

Cyote-attack Chain Estimator

Attack Chain Estimator (ACE) Application Overview The Attack Chain Estimator (ACE) Application is a sophisticated tool designed for the ingestion, classification, sequencing, and enrichment of cybersecurity threat reports. This application leverages advanced machine learning models and extensive historical data to provide comprehensive insights into cyber threats, specifically targeting Industrial Control Systems (ICS). Purpose The primary functions of the ACE Application include: Ingestion of Cybersecurity Threat Reporting: Capable of ingesting text-based threat reports in markdown or text file format. Supports ingestion of structured data from other sources in STIX/JSON format. Classification of Report’s Text-Based Events: Utilizes a DeBERTa classifier, specifically trained on cybersecurity data, to map the events to MITRE ATT&CK for ICS Tactics and Techniques. Classification is performed using multiple Jupyter notebooks and machine learning workflows hosted as FastAPI microservices: regex_data deberta_base_35_train_hft_classifier_mlflow.ipynb hft_regex_classifier_mlflow.ipynb param_train_hft_classifier_mlflow.ipynb regex_tactic_tech.ipynb Ordering of Tactics, Techniques, and Observable Events: Sequences the identified tactics, techniques, and events to form a coherent attack chain. Enrichment with Historical Attack Chain Details: Enhances the attack chain with details from historical attacks using a Markov model developed from CyOTE Precursor Analysis Report data. The Markov model is available as a FastAPI endpoint for seamless integration. Enrichment with Adversary Emulation Capabilities Data: Integrates adversary emulation capabilities data using MITRE Caldera for OT adversary abilities UUIDs. Export of Output Files: Provides options to export the enriched attack chain in JSON or CSV formats. Routing of Output to Other Applications: Facilitates routing of output to various platforms and applications, including: Threat Intelligence Platforms COREII Scout for Threat Intelligence Analysis COREII Modeling and Simulation for Adversary Emulation Technical Description The ACE Application is an advanced cybersecurity tool designed to provide detailed threat analysis and sequence generation. It is built on a robust architecture that integrates natural language processing, machine learning, and historical data modeling. Key Components: Data Ingestion Module: Handles the input of threat reports and data from various formats, ensuring flexibility in data sources. Classification Engine: Employs DeBERTa-based classifiers hosted as FastAPI microservices to analyze and classify threat report events in accordance with the MITRE ATT&CK framework for ICS. Sequence Generator: Orders the classified events into a logical attack chain, providing clear insight into the sequence of tactics and techniques used in the threat. Enrichment Engine: Integrates historical data and adversary emulation capabilities to enhance the attack chain with valuable context and additional details. The historical data enrichment is powered by a Markov model, which is available as a FastAPI endpoint. Export and Routing Module: Facilitates the export of the enriched attack chain in multiple formats and routes the output to designated applications for further analysis or emulation.

Paul, Tony [Idaho National Laboratory (INL), Idaho↗

FITEVT: A FORTRAN program for arrival-time analysis of nuclear-decay events

FITEVT is a FORTRAN program designed to analyze recorded arrival times of nuclear-decay events affected by dead-time. Here, the primary goal of the program is precise and accurate determination of half-lives. Its method involves imposition of a known sufficiently long extending dead-time to the recorded event sequence, so that the original dead-time effects are completely obliterated and the remaining live-times of the survived events are known exactly. Upon completion of the analysis, the arrival-time spectrum and the live-time spectrum are predicted and compared to those constructed from the survived events.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Accident event progression, gaps, and key performance indicators for steam generator tube rupture events in water-cooled SMRs: A review

According to historical records of reactor-related incidents, a steam generator tube rupture (SGTR) is one of the most common occurrences at operating pressurized water reactors (PWRs). Such design-basis accidents (DBAs) could lead to a direct path for radionuclides to be released to the atmosphere via the safety and relief valves, making assessments of radionuclide discharge from operating nuclear power plants (NPPs) into the environment crucial for ensuring safety. In such analyses, the primary focus has been on the extent of radioactive release, not the potential damage to the core. Moreover, significant and timely intervention by operators is needed during the initial stages of SGTRs in order to avert overfilling of the SGs, as well as to restrict the dissemination of radioactive materials. Determining the event sequence and phases that occur during an SGTR incident in an advanced passive (e.g., AP1000) water-cooled nuclear reactor is crucial for implementing effective passive safety systems (PSSs) for a specific water-cooled small modular reactor (SMR) design. Here this study provides a comprehensive review of the accident event progression, associated physical phenomena, knowledge gaps, and key performance indicators that must be evaluated and assessed in thermal-hydraulics models, based on relevant test data, respectively.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

Advancing Multi-Hazard Risk and Safety Considerations for Aging Nuclear Facilities

While probabilistic risk assessment (PRA) of nuclear facilities is expected to include internal and external hazards for a risk-informed and performance-based design, the current state of practice treats each hazard independently. However, such an independent treatment of hazards may not account for the correlations between different hazards and their response of and damage to the structures, systems, and components (SSCs) in a plant resulting in underestimating the overall risk. This project proposes to advance the multi-hazard PRA of nuclear facilities to more adequately evaluate concurrent hazards and contribute to an increased safety of nuclear plants. A framework for multi-hazard PRA will be developed by identifying concurrent hazard events (both internal and external) and event sequences that include interdependencies through the response of SSCs. An example application of the multi-hazard PRA framework will be demonstrated by considering a generic pressurized water reactor (PWR) subjected to seismic and internal flooding hazards. Computational models for the response of components will be developed to generated multi-hazard fragility surfaces under seismic and flooding loads. A PRA model consisting of event and fault trees will also be developed to quantify the multi-hazard risk profile and compare it with the independent hazard risk profile. Overall, by advancing the multi-hazard PRA of nuclear facilities, this project enhances nuclear safety and reduces costs by mitigating unforeseen consequences caused by correlations between concurrent hazards.

97 - MATHEMATICS AND COMPUTING↗

Advancing Multi-Hazard Risk and Safety Considerations for Aging Nuclear Facilities (Revision 1)

This project will demonstrate a multi-hazard time-dependent probabilistic risk assessment (PRA) approach for nuclear facilities considering aging-related deterioration of structures. A generic pressurized water reactor (PWR) reactor subjected to seismic mainshock-aftershock sequences considering the aging of the containment structure will be used as a case study to demonstrate the multi-hazard PRA approach. Using advanced modeling and simulation, seismic mainshock-aftershock fragility functions will be simulated for the containment structure considering aging effects. A multi-hazard PRA model for a generic PWR reactor will be built to quantify the multi-hazard core damage frequency (CDF) and large early release frequency (LERF) with explicit time-dependent modeling of event sequences. To date, the cascading impacts of multi-hazards are not adequately accounted for in the PRA models for nuclear facilities. In addition, for both initial and periodic evaluation of facilities to withstand natural phenomena hazards (NPH), deterioration of the SSCs due to aging and other effects is not adequately considered. By advancing multi-hazard considerations accounting for aging effects, this project will contribute to improved understanding of the safety of aging nuclear facilities. Project outcomes such as the multi-hazard CDF and LERF will also allow facility owners to optimize upgrade and retrofit protocols. This project is divided into two components: (1) advanced modeling and simulations; and (2) multi-hazard PRA. For the first component, Idaho National Laboratory’s (INL) Multi-hazard Analysis for STOchastic time-DOmaiN phenomena (MASTODON) and BlackBear codes will be used to simulate the seismic response and damage of a containment structure under cascading mainshock-aftershock sequences with aging effects. Uncertainties related to the seismic inputs, material parameters, and environmental factors such as temperature and humidity will be identified and propagated to the fragility functions. These fragility functions, which consider aging effects, will be time dependent. The second component will take the fragility information from the first component to build a multi-hazard time-dependent PRA model starting from a generic PWR model to evaluate the multi-hazard CDF and LERF and characterize the associated consequences. For this component, OpenPRA Web Application and SAPHIRE code will be used. Events such as the Fukushima Daiichi accident have highlighted the importance of considering the cascading impacts of multi-hazards for PRA. Moreover, many of the reactors in the current nuclear fleet in the United States (US) are already operating well beyond their initially planned design life, and applications for further extensions to operating licenses are being considered. Therefore, considering multi-hazard effects and aging deterioration in the NPH risk assessment process will contribute to the safety of both existing and future nuclear facilities. Outcomes of this project will thus directly benefit the standards DOE-STD-1020-16 and DOE-HDBK-1224-18.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

Incorporating FLEX Strategies in Multi-Unit Probabilistic Risk Assessment

The catastrophic Fukushima nuclear accident reminded nuclear community about the possibilities of extreme accident scenarios, including those involving multiple reactor units on the same site. As the responses to the Fukushima accident, the nuclear power industry developed and implemented a series of strategies, including the Diverse and Flexible Coping Strategies (FLEX), to enhance the coping capacities of nuclear power plants (NPPs) under extreme accidents. This study intends to examine the impact of FLEX strategies on the risk from all the reactor units on the same NPP site, including risks from accidents involving a single unit and from accidents involving multiple units. The fundamental, methodological element of this study is Multi-Unit Probabilistic Risk Assessment (MUPRA), which requires a shift in Probabilistic Risk Assessment (PRA) from a “one-reactor-at-a-time” mindset to a “considering all reactors sharing a site as a unity” one. An integrated modeling approach for multi-unit event sequence development will be leveraged to develop MUPRA model and address the intra-unit and inter-unit dependencies. Systems Analysis Programs for Hands-on Integrated Reliability Evaluations (SAPHIRE), a PRA software developed and maintained by Idaho National Laboratory (INL) for the U.S. Nuclear Regulatory Commission (NRC), will serve as the platform for MUPRA modeling. This study selects Loss Of Offsite Power (LOOP) as a representative initiating event, which may occur on a generic two-unit NPP site and impacts both reactor units on the site. First, an MUPRA model, including multi-unit event trees, will be developed to obtain single-unit and multi-unit accident scenarios. Next, different FLEX strategies will be assumed, including FLEX equipment for a unit cannot be used for another unit, FLEX equipment for multiple units can be used in a cross-connected manner, etc. Lastly, the effectiveness of each postulated FLEX strategy will be evaluated by incorporating the corresponding FLEX equipment and deployment logic in the MUPRA model.

99 GENERAL AND MISCELLANEOUS↗

Quantitative Risk Assessment for Fuel Cell Electric Bus Hydrogen Storage and Refueling Facility

It is necessary to understand the safety implications and risk mitigation options for fuel cell electric bus fleet deployment, especially for related facilities responsible for operations such as production, storage, compression, and dispensing of hydrogen for use by the buses. In this report, we present a quantitative risk assessment for a potential fuel cell electric bus fleet that was motivated by efforts to improve resilience at the Portland International Airport but can be applicable to a range of hydrogen case studies and use cases. We estimated risk for a facility that produces, stores, compresses, and dispenses hydrogen for the fleet of buses, with a focus on individual risk to people in terms of annual frequency of fatality. We considered the frequency of hydrogen leaks that could result in harmful physical outcomes like jet fires or explosions, and the consequences of those outcomes for people. We created customized fault trees to calculate the frequencies of different sizes of leaks and event sequence diagrams to calculate ignition probabilities for the various leak sizes. We also leveraged the HyRAM+ toolkit to use these inputs to calculate overall risk for the facility, which we separated into one section responsible for producing, storing, and compressing hydrogen, and one section responsible for dispensing the hydrogen to the buses. We found that the dispensing area seemed to have a higher risk than the production/storage/compression area of the facility, largely because of the inclusion of a component with a high leak frequency (the heat exchanger used to cool the hydrogen before entering the vehicle, to prevent overheating and expansion of hydrogen in the onboard tank). For the example production and refueling facility we evaluated and the data we used for the analysis, the leak frequency had a larger impact on the risk differences between the two sections on the facility, compared to the physical outcome consequence, which was slightly different due to the varying fuel conditions, but not substantially different. Actions can be taken to prevent these hazards (e.g., lowering leak frequencies in system components) or to mitigate the consequences if they do occur (e.g., installing barriers to protect people if ignition events occur). The choice of which actions to take depends not only on safety considerations but also on space, time, staffing, feasibility, and financial constraints. Therefore, the quantitative risk assessment approach can help understand relative risk contributions from different components, leak sizes, consequences, and human actions, to prioritize risk reduction strategies and balance these parameters. The outcomes of this report may be useful for a variety of stakeholders working in the hydrogen, transportation, vehicle, and aviation sector, including those responsible for aspects like facility design, operations, and regulations. There is not a single value of risk that determines whether a hypothetical system is “safe” or not. The insights about risk mitigations may be leveraged, and the quantitative risk assessment approach can be applied to other case studies to understand risk priorities and contributions specific to different FCEB and hydrogen facility uses.

08 HYDROGEN↗