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Kimia Seyedmadani

Publications and source records attributed to Kimia Seyedmadani.

5 records
All sourcesNASA NTRSDOE OSTI
NASA NTRS2024

Oculometric Biomarkers of Visuomotor Deficits in Clinically Asymptomatic Patients With Systemic Lupus Erythematosus Undergoing Long-Term Hydroxychloroquine Treatment

Introduction: This study examines a set of oculomotor measurements, or “oculometric” biomarkers, as potential early indicators of visual and visuomotor deficits due to retinal toxicity in asymptomatic Systemic Lupus Erythematosus (SLE) patients on long-term hydroxychloroquine (HCQ) treatment. The aim is to identify subclinical functional impairments that are otherwise undetectable by standard clinical tests and to link them to structural retinal changes. Methods: We measured oculomotor responses in a cohort of SLE patients on chronic HCQ therapy using a previously established behavioral task and analysis technique. We also examined the relationship between oculometrics, OCT measures of retinal thickness, and standard clinical perimetry measures of visual function in our patient group using Bivariate Pearson Correlation and a Linear Mixed-Effects Model (LMM). Results: Significant visual and visuomotor deficits were found in 12 asymptomatic SLE patients on long-term HCQ therapy compared to a cohort of 17 age-matched healthy controls. Notably, six oculometrics were significantly different. The median initial pursuit acceleration was 22%, steady-state pursuit gain 16%, proportion smooth 7%, and target speed responsiveness 31% lower, while catch-up saccade amplitude was 46% and fixation error 46% larger. Excluding the two patients with diagnosed mild toxicity, four oculometrics, all but fixation error and proportion smooth, remained significantly impaired compared to controls. Across our population of 12 patients (24 retinae), we found that pursuit latency, initial acceleration, steady-state gain, and fixation error were linearly related to retinal thickness even when age was accounted for, while standard measures of clinical function (Mean Deviation and Pattern Standard Deviation) were not. Discussion: Our data show that specific oculometrics are sensitive early biomarkers of functional deficits in SLE patients on HCQ that could be harnessed to assist in the early detection of HCQ-induced retinal toxicity and other visual pathologies, potentially providing early diagnostic value beyond standard visual field and OCT evaluations.

eye movements↗
NASA NTRS2023

Application of Bioengineering in Space Exploration - Sleep Study System

Bioengineering has spread roots far and wide among the needs of space exploration. The field creates many of paths to generate information from a variety of sources. One such source is the astronauts on the International Space Station (ISS). As of now the investigation is focused on the quality of sleep of crew members during a long duration flight. Our team is investing time into a piece of hardware’s comfort, waste, and operability. The hardware was not originally designed for space; therefore, the device must be modified to function at a optimal level in space. The design not made for space has generated some ailments, such as discomfort and decreased mobility. A function of the internship was to produce designs that would manage the wires to increase mobility and comfort. The wires excess slack was reduced by the part that was designed. The piece was adjustable, so the patient may adjust the system to their comfort and space compatible material was used. This product will help control the direction and length of the wires, thereby aiding in comforting the patient. This multifaceted design may be used in future for all other wire management for wearable biomedical sensor on orbit.

Biomedical↗
NASA NTRSDate not supplied

Exosuit Prototypic Knee: EPK

Resistive/aerobic exercises are invaluable countermeasures to musculoskeletal/sensorimotor/cognitive deconditioning resulting from spaceflight (i.e., microgravity). In preparation for human exploration to the moon and beyond, exercise countermeasures face new mass/volume constraints, rendering current on-orbit systems infeasible. Further, effective exercise systems are critical for maintaining crew performance/health levels necessary for Lunar extravehicular activities (EVAs) and transit. Exosuits are the pinnacle of wearable and adaptable technology set to provide a lightweight, compact, innovative solution to exploration-constrained exercise. However, reliable wearable kinematic sensors integrated with softgoods have not been demonstrated in (operational) spaceflight applications. To address this gap, the project team developed a prototype exosuit knee-joint, replete with relevant sensors for determination of joint angles, and corresponding laboratory testing bench to validate the exosuit sensing performance. This technology advancement is a pre-cursor to a more expansive multi-purpose exosuit concept that provides metrology, exercise, rehabilitation, and/or augmentation.

Fiber optics↗
NASA NTRSDate not supplied

An Oculometric Standard to Assess the Performance of the Ocular System for Long Duration Spaceflight

Changes in the human brain, due to spaceflight, have been a challenge to the space program since its inception; a challenge that is becoming more acute as extended International Space Station (ISS) missions become routine, a return to crewed lunar exploration is about to begin, and a multi-year crewed trip to Mars is being planned. Determining the extent to which neurophysiological adaptations may adversely impact performance in operational tasks, assessing the full-time course of these changes, and identifying/mitigating any potential long-term health consequences are crucial steps required to enable safe crew-autonomous, long-duration, deep-space missions. Vision is the predominant perceptual sense used to guide cognition and motor control in humans. Thus, it is critical for the success of any future, long-duration mission to understand how long-term exposure to microgravity and to other stressors of spaceflight and their interactions, impact visual function. This is an especially challenging task given the small and disparate samples from which we have been and will be able to collect human performance data. NASA has recently been carefully tracking spaceflight-induced ophthalmic changes, driven in large part by the fluid shifts related to microgravity. In particular, a recent study of Optical Coherence Tomography (OCT) postflight measures revealed that more than two-thirds of US crew members experience significant increases in retinal thickness after 6month or longer ISS missions. Space Associated Neuro-ocular Syndrome (SANS) also includes visual acuity decrements and other ocular structural changes that could adversely impact in-flight performance as missions become longer. However, the impact of spaceflight on the visual system is not limited to the retina. Recent comparisons of pre-and post-flight brain images have revealed structural changes throughout the brain that implicate visual, visuomotor, and visual-cognitive pathways, consistent with observed functional impacts (e.g., decreased speed/accuracy/timing of fine goal-oriented movements). Current limitations on inflight testing make it very difficult to determine when and under what conditions SANS and other disruptions of human neurological subsystems arise. Currently, one cannot anticipate the time course and extent of impairment and recovery. This study addresses this knowledge gap by creating an integrated framework of the relevant existing literature on visual and oculomotor function during spaceflight with an eye towards complementing current structural measures of visuomotor impairment with new oculometric standard measures. Using eye-movement based visual function assessment and diagnostics would provide a valuable enhancement of crew health and performance monitoring in support of deepspace exploration.

Vision↗