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Background: In 2022, suicide ranked as the 11th leading cause of death in the United States with 49,513 deaths. Provisional mortality data from 2022 indicate a 2.8% increase in the number of suicides compared to 2021. This paper examines overall suicide trends, sodium nitrite ingestion as an emerging suicide method, and the role that online forums play in sharing information about suicide methods (including sodium nitrite ingestion). Methods: Suicides were identified from CDC's National Vital Statistics System (2018-July 2023 provisional) multiple cause-of-death mortality files using International Classification of Diseases (ICD), Tenth Revision underlying cause-of-death codes U03, X60–X84, and Y87.0 and T code T50.6 (antidotes and chelating agents). Google search popularity metrics were captured from January 2019 to January 2023. Case reports of sodium nitrite related suicide and suicide attempts (through February 2024) were identified in the medical and forensic literature. Results: At least 768 suicides involving antidotes and chelating agents (including sodium nitrite) occurred between 2018 and July 2023, set in the context of 268,972 total suicides during that period. Overall, suicides involving antidotes and chelating agents (including sodium nitrite) represent <1% of all suicides, however, numbers are rising. Conclusions: Suicide methods are known to change over time. These changes can be influenced by, among other factors, online forums and means accessibility, such as internet purchase availability. CDC remains committed to prevention through comprehensive public health strategies that protect individuals, families, and communities. Practical Applications: States and community partners might consider leveraging physicians, emergency responders, and other appropriate crisis response groups to disseminate information on sodium nitrite self-poisoning and its antidote, methylene blue. Efforts should be part of a comprehensive public health approach to suicide prevention. [ABSTRACT FROM AUTHOR]

This paper addresses the effective management of water resources during the hydraulic fracturing process used for natural gas extraction. With increasing demand and scrutiny on shale gas production due to economic, environmental, and social factors, effective water management strategies are needed to address the challenges of flow-back water usage during hydraulic fracturing. This research contributes to the existing literature from a multi-period reverse logistics network design perspective with realistic modeling approaches. A mathematical formulation is developed for optimizing the design of a multi-period reverse logistics network for effective water resource management that incorporates production scheduling of a hydraulic fracturing process. This mixed integer programming model determines the optimal locations and capacities of impoundments, treatment facilities, and disposal sites while minimizing fixed and operational costs under constraints such as freshwater withdrawal limits, production schedules, inventory balance, and treatment and disposal options. A two-stage stochastic programming formulation is further developed as a means to address the uncertainty associated with water flows during the fracturing operation. The strategic location and capacity decisions are given in the first stage of this formulation, whereas operational decisions such as water flows are handled in the second stage under independently sampled scenarios. A sample average approximation algorithm is proposed to solve the stochastic formulation. The model is tested on a case study from the United States that explores potential impacts on water resource management due to cost variations, changes in operational parameters, and uncertainty in demands and supplies. The base case setup delivers a 12.8% reduction in freshwater usage. The benefit of multi-period reverse logistics network design is further demonstrated through variations in water demand and equipment degradation. The managerial insights derived through sensitivity analysis highlight the values of the proposed multi-period formulation, capacity expansions, and parameter estimations. • Developed models for multi-period reverse logistics network design. • The model optimizes water resource management during hydraulic fracturing. • Implemented the models on a case study from the United States. • Analyzed the effects of problem parameters on optimal water management strategies. • Derived managerial insights from extensive computational experiments. [ABSTRACT FROM AUTHOR]

The present paper reviews the green hydrogen uptake policies in the United States and the European Union. While the EU has a rather broad public support strategy that envisages the entire hydrogen value chain, the U.S. policies are more focused on hydrogen research hubs and subsidies having electric vehicle applications. From the experience of the solar and wind power rollout of the past three decades, we know that the subsidization schemes of the end product play an important role in the transition to renewables. These kinds of subsidization schemes are still lacking for clean hydrogen both in the EU and the U.S. This paper provides a brief overview of selected subsidization schemes from other renewables markets, which are then applied to define an exemplary subsidization path to empower large-scale growth in a market for green hydrogen. Here is proposed a long-term subsidization scheme – deemed as an adequate strategy for the expansion of clean hydrogen in an electricity mix. The suggested exemplary subsidization path recommends shifting from feed-in tariffs to direct marketing with market premiums once a certain threshold is reached, while both can be flanked by the issuance of a Guarantee of Origin for green hydrogen so that there is one market for hydrogen and another market for the certificates. • -A long-term subsidization scheme for the rollout of green hydrogen in the electricity mixes is proposed. • -An exemplary subsidization path to empower large-scale growth in a market for green hydrogen is drafted. • -U.S. and EU are used as case studies to capture lessons for subsidization of green hydrogen economy uptake. • -The U.S. has more centralized green hydrogen rollout policies, whereas the EU has a wider policy toolkit. • -Shifting from FIT to direct marketing with market premiums is key once a certain pre-defined threshold is reached. [ABSTRACT FROM AUTHOR]

In this paper we present a novel methodology, referenced as ORFEO (Ordinal classifier and Regressor Fusion for Estimating an Ordinal categorical target), to enhance the performance in ordinal classification problems for which the latent variable is observable. ORFEO is an artificial neural network model incorporating two outputs, one for ordinal classification, using the cumulative link model, and one for regression, using a linear model. Both outputs are simultaneously optimised considering a loss function that linearly combines both classification and regression losses. The main motivation behind developing the proposed approach is to enhance the performance of a standard ordinal classifier. This improvement is facilitated by considering the regression output, which allows the model to differentiate between patterns within the same category. The ORFEO model is applied to two problems in the field of marine and ocean engineering: short-term prediction of both significant wave height and flux of energy. Both problems are addressed considering four different coastal zones of the United States of America, using 13 datasets formed by buoys measurements and reanalysis data. A comprehensive comparison against 20 methodologies, including regression and nominal/ordinal classification approaches is performed, by using diverse nominal and ordinal performance metrics. Ranks achieved indicate that ORFEO outperforms all the compared methodologies in terms of all the performance measures, demonstrating the efficacy and robustness of the proposal. Finally, a statistical analysis is conducted, concluding that there are statistically significant differences across ordinal and nominal performance metrics in favour of the proposed ORFEO model. [ABSTRACT FROM AUTHOR]

In literature, many studies try to analyze healthcare usage and generated decision support systems. In this paper, the aim is to generate a decision support system for insurance companies in the United States according to the federal dataset. The data set contains variables from the United States Healthcare Administration formal data group and they are; group of age, group of healthcare insurance, group of nationality, Corporate Social Responsibility (CSR) usage, and Advance Premium Tax Credit (APTC) usage. The best model for each state in the United States is determined with the dataset from 2014 November to 2015 February. In this study, various statistical models are attempted to generate independent and optimal models for each state. In the model selection process, three different metrics are used. Accuracy rate, f1score and precision score are used in the model selection process and models are compared to each other according to these three metrics for each state uniquely. Consequently, the proposed model is used with a decision support scheme to support customer service workers in healthcare insurance companies. The decision support system under consideration can facilitate a substantial decrease in the duration of interactions between customer service representatives and clients. Additionally, this system can generate more logically sound and efficient customer offers. [ABSTRACT FROM AUTHOR]

Across recent years, there has been a growing prevalence of extreme weather events throughout the United States, posing significant challenges to the reliable and resilient operation of power systems. Specifically, summer droughts threaten to severely reduce available generation capacity to meet regional electricity demand, potentially leading to power outages. This underscores the importance of accurate resource adequacy (RA) assessment to ensure the reliable operation of the nation's energy infrastructure. Accurately evaluating the usable capacity of regional generation fleets is a challenging undertaking due to the intricate interactions between power systems and hydro-climatic systems. This paper proposes a systematic and analytical framework to evaluate the impacts of extreme summer drought events on the available capacity of various generating technologies, incorporating both meteorological and hydrologic factors. The framework provides detailed plant-level capacity derating models for hydroelectric, thermoelectric, and renewable power plants, facilitating evaluations with high temporal and spatial resolution. The application of the proposed impact assessment framework to the 2025 generation fleet of the real-world power system within the PJM and SERC regions of the United States yields insightful results. By analyzing the daily usable capacity of 6,055 at-risk generators across the study region, it shows that the summer capacity deration is most significant for hydroelectric and once-through thermal power plants, followed by recirculating thermal power plants and combustion turbines. In the event of the recurrence of the 2007 southeastern summer drought event in the near future, the generation fleet could experience a substantial reduction in available capacity, estimated at approximately 8.5 GW, compared to typical summer conditions. The sensitivity analysis reveals that the usable capacity of the generation fleet would suffer an even more significant decrease under conditions of increasingly severe summer droughts. The proposed approach and the findings of this study provide valuable methodologies and insights, empowering stakeholders to bolster the resilience of power systems against the potentially devastating effects of future extreme drought events. [Display omitted] • A systematic summer droughts generating capacity assessment framework is developed. • Capacity derating models for various generation technologies are presented. • The impacts of summer droughts on generating fleet in PJM and SERC are studied. • Impact of extreme summer drought on usable capacity of generators is significant. [ABSTRACT FROM AUTHOR]

Welding is commonly used in the construction of steel connections in the United States (U.S.). Thus, accurate characterization of weld behavior at elevated temperatures is critical for designing and evaluating the performance of steel structures exposed to fire. This paper presents results from an experimental study in which steady-state tensile tests of butt-welded steel plate coupons made from ASTM A36 steel and E70 electrode were conducted at temperatures ranging from ambient laboratory temperature (20 °C) to 800 °C. Retention factors for elastic modulus, yield strength, and ultimate strength were produced from the data and compared with those values specified for structural steels and fillet welds in U.S. and European design codes and standards. While the elastic modulus retention factors specified in the American Institute of Steel Construction (AISC) 360–22 Specification for Structural Steel Buildings were found to be conservative, the yield strength and ultimate strength factors recommended by AISC were found to be nonconservative for welds heated to temperatures between 400 °C and 800 °C. In addition, tensile fractures of the coupons, which predominately occurred in the base metal away from the heat-affected zone, were observed to occur within the weld at temperatures of 500 °C and 800 °C. • Mechanical properties of butt-welded steel coupons tested at elevated temperature. • Retention factors for elastic modulus, yield strength, and ultimate strength. • Welded steel connection performance in fire. [ABSTRACT FROM AUTHOR]