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Moving Beyond Mortality: Development and Application of a Desirability of Outcome Ranking (DOOR) Endpoint for Hospital-Acquired Bacterial Pneumonia and Ventilator-Associated Bacterial Pneumonia
Abstract Background Hospital-acquired and ventilator-associated bacterial pneumonia (HABP/VABP) are frequently caused by multidrug-resistant organisms. Patient-centered endpoints in clinical trials are needed to develop new antibiotics for HABP/VABP. Desirability of outcome ranking (DOOR) is a paradigm for the design, analysis, and interpretation of clinical trials based on a patient-centered, benefit-risk evaluation. Methods A multidisciplinary committee created an infectious diseases DOOR endpoint customized for HABP/VABP, incorporating infectious complications, serious adverse events, and mortality. We applied this to 2 previously completed, large randomized controlled trials for HABP/VABP. ZEPHyR compared vancomycin to linezolid and VITAL compared linezolid to tedizolid. For each trial, we evaluated the DOOR distribution and probability, including DOOR component and partial credit analyses. We also applied DOOR in subgroup analyses. Results In both trials, the HABP/VABP DOOR demonstrated similar overall clinical outcomes between treatment groups. In ZEPHyR, the probability that a participant treated with linezolid would have a more desirable outcome than a participant treated with vancomycin was 50.2% (95% confidence interval [CI], 45.1%−55.3%). In VITAL, the probability that a participant treated with tedizolid would have a more desirable outcome than a participant treated with linezolid was 48.7% (95% CI, 44.8%–52.6%). The DOOR component analysis revealed that participants treated with tedizolid had a less desirable outcome than those treated with linezolid when considering clinical response alone. However, participants with decreased renal function had improved overall outcomes with tedizolid. Conclusions The HABP/VABP DOOR provided more granular information about clinical outcomes than is typically presented in clinical trials. HABP/VABP trials would benefit from prospectively using DOOR.
2022 Prototype Installation and Testing Awardee: Windward Engineering
The 60-kilowatt (kW) Zephyr 21/60 wind turbine from Windward Engineering uses a low-cost, full-span independent pitch system that can act as a redundant aerodynamic braking system. This design uses a relatively simple pneumatic rotary vane actuator, allowing each of the turbine's three blades to be pitched independently and any single blade to activate emergency braking for the entire turbine. A previous Competitiveness Improvement Project (CIP) funding award enabled Windward Engineering to design and develop the Zephyr 21/60 wind turbine's aeroelastic model and pitch system. At the end of this current Competitiveness Improvement Project award, a fully validated aeroelastic model will make it possible to certify Windward Engineering's Zephyr 21/60 design and quantify the technology's levelized cost of energy in preparation for certification and entry into the distributed wind market. The Zephyr 21/60 will feature an attractive levelized cost of energy, improved reliability, and a full-span pitch system for safe and redundant protection against rotor overspeed (which occurs when the rotor turns beyond its design limit).
Comparing three generations of D-Wave quantum annealers for minor embedded combinatorial optimization problems
Abstract Quantum annealing (QA) is a novel type of analog computation that aims to use quantum mechanical fluctuations to search for optimal solutions of Ising problems. QA in the transverse Ising model, implemented on D-Wave quantum processing units, are available as cloud computing resources. In this study we report concise benchmarks across three generations of D-Wave quantum annealers, consisting of four different devices, for the NP-hard discrete combinatorial optimization problems unweighted maximum clique and unweighted maximum cut on random graphs. The Ising, or equivalently quadratic unconstrained binary optimization, formulation of these problems do not require auxiliary variables for order reduction, and their overall structure and weights are not highly variable, which makes these problems simple test cases to understand the sampling capability of current D-Wave quantum annealers. All-to-all minor embeddings of size 52, with relatively uniform chain lengths, are used for a direct comparison across the Chimera, Pegasus, and Zephyr device topologies. A grid-search over annealing times and the minor embedding chain strengths is performed in order to determine the level of reasonable performance for each device and problem type. Experiment metrics that are reported are approximation ratios for non-broken chain samples, chain break proportions, and time-to-solution for the maximum clique problem instances. How fairly the quantum annealers sample optimal maximum cliques, for instances which contain multiple maximum cliques, is quantified using entropy of the measured ground state distributions. The newest generation of quantum annealing hardware, which has a Zephyr hardware connectivity, performed the best overall with respect to approximation ratios and chain break frequencies.
Increasing the hardness of posiform planting using random QUBOs for programmable quantum annealer benchmarking
Posiform planting is a method for constructing QUBO instances with a unique planted solution that can be tailored to arbitrary connectivity graphs. In this study we investigate making posiform planted QUBOs computationally harder by fusing many smaller random Ising models, whose global minimum is computed classically, with posiform planted QUBOs. The unique ground state of the resulting QUBO is the concatenation of (exactly one of) the ground states of each smaller problem. Our method generates QUBO instances that have a unique solution, are native to the hardware graph, and have tunable computational hardness. We use our QUBOs to benchmark three D-Wave quantum annealing processors (with 563–5627 qubits), and compare them against simulated annealing and Gurobi. Surprisingly, we find that the D-Wave ground state sampling success rate is not dependent on the glued random QUBO size, and that some QUBO classes are solved at high success rates at short annealing times on the Zephyr processors.
Computed Tomography Scanning and Geophysical Measurements of State 16-2 Well in the Paradox Basin
The computed tomography (CT) facilities and the Multi-Sensor Core Logger (MSCL) at the National Energy Technology Laboratory (NETL) in Morgantown, West Virginia, were used to characterize Paradox Basin core from Grand County, Utah. The primary impetus of this work is a collaboration between the U.S. Department of Energy (DOE), the Utah Geological Survey, the University of Utah, and Zephyr Energy to characterize and make publicly available core information from the Cane Creek interval of the Paradox Basin. This stratigraphic well and the core data produced in this report will aid in understanding the structural complexities of the Cane Creek interval and its production potential.
Posiform planting: generating QUBO instances for benchmarking
We are interested in benchmarking both quantum annealing and classical algorithms for minimizing quadratic unconstrained binary optimization (QUBO) problems. Such problems are NP-hard in general, implying that the exact minima of randomly generated instances are hard to find and thus typically unknown. While brute forcing smaller instances is possible, such instances are typically not interesting due to being too easy for both quantum and classical algorithms. In this contribution, we propose a novel method, called posiform planting , for generating random QUBO instances of arbitrary size with known optimal solutions, and use those instances to benchmark the sampling quality of four D-Wave quantum annealers utilizing different interconnection structures (Chimera, Pegasus, and Zephyr hardware graphs) and the simulated annealing algorithm. Posiform planting differs from many existing methods in two key ways. It ensures the uniqueness of the planted optimal solution, thus avoiding groundstate degeneracy, and it enables the generation of QUBOs that are tailored to a given hardware connectivity structure, provided that the connectivity is not too sparse. Posiform planted QUBOs are a type of 2-SAT boolean satisfiability combinatorial optimization problems. Our experiments demonstrate the capability of the D-Wave quantum annealers to sample the optimal planted solution of combinatorial optimization problems with up to 5, 627 qubits.
Simulations With the Marine Biogeochemistry Library (MARBL)
Abstract The Marine Biogeochemistry Library (MARBL) is a prognostic ocean biogeochemistry model that simulates marine ecosystem dynamics and the coupled cycles of carbon, nitrogen, phosphorus, iron, silicon, and oxygen. MARBL is a component of the Community Earth System Model (CESM); it supports flexible ecosystem configuration of multiple phytoplankton and zooplankton functional types; it is also portable, designed to interface with multiple ocean circulation models. Here, we present scientific documentation of MARBL, describe its configuration in CESM2 experiments included in the Coupled Model Intercomparison Project version 6 (CMIP6), and evaluate its performance against a number of observational data sets. The model simulates present‐day air‐sea CO 2 flux and many aspects of the carbon cycle in good agreement with observations. However, the simulated integrated uptake of anthropogenic CO 2 is weak, which we link to poor thermocline ventilation, a feature evident in simulated chlorofluorocarbon distributions. This also contributes to larger‐than‐observed oxygen minimum zones. Moreover, radiocarbon distributions show that the simulated circulation in the deep North Pacific is extremely sluggish, yielding extensive oxygen depletion and nutrient trapping at depth. Surface macronutrient biases are generally positive at low latitudes and negative at high latitudes. CESM2 simulates globally integrated net primary production (NPP) of 48 Pg C yr −1 and particulate export flux at 100 m of 7.1 Pg C yr −1 . The impacts of climate change include an increase in globally integrated NPP, but substantial declines in the North Atlantic. Particulate export is projected to decline globally, attributable to decreasing export efficiency associated with changes in phytoplankton community composition.
Powered By CADET
The Capacity Expansion Decision Support for Distribution Networks (CADET) is a Python-based library and framework for creating electrical distribution system capacity planning tools for cost-effective, reliable power delivery. It enables the creation of modular, scalable, and extensible distribution capacity planning tools by providing a high-level optimization interface, parameter and options data managers, optimization constraint and objective libraries, generalized nomenclature, a system for tracking and modifying distribution network changes, optimization solution validation, and other capabilities. This webinar will describe 1) the motivation for creating CADET, 2) key designs, and 3) several use cases.
U.S. Distribution Transformer Demand Phase III - Key Drivers and Managing Demand [Slides]
This presentation demonstrates a significant analysis, on forecasting the demand for distribution transformers. The analysis is conducted for the United States, estimating the initial in-service capacity of these assets, and forecasting demand for these assets through 2050 with several sensitivities conducted. It examines not only demand for these assets, but importantly, how utility planning practices can impact the demand for theses assets in time. Under load growth scenarios, whether utilities practice like-for-like replacement strategies as failures occur, or whether they practice proactive up-sizing, anticipating electric load growth, can have major impacts on future demand. It also examines several other growth factors, such as the increasing demand for step-up transformers, which share many of the same characteristics as distribution transformers, and the demand for specific transformers for large project growth from data centers.