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Webbon, Bruce W.

Publications and source records attributed to Webbon, Bruce W..

At least 19 records

A Multi-Center Controlled Study of the Acute and Chronic Effects of Cooling Therapy for MS

To determine the acute and chronic effects of cooling therapy on patients with MS using objective functional performance measures and self-assessed measures of fatigue. Cooling demyelinated nerves can reduce conduction block, potentially improving symptoms of MS. Significant acute and chronic effects of cooling have not been demonstrated in a multi-center, controlled, blinded study using objective measures of neurologic function. Patients (N=84) with definite MS, mild to moderate disability (EDSS less than 6.0), and self-reported heat sensitivity were enrolled at 5 study sites. Acute effects of cooling were assessed by randomly assigning subjects to high-dose or low-dose cooling for one hour using an active cooling vest and cap (Life Enhancement Technologies, Santa Clara, CA). Settings were individualized to maintain the cooling garments at 55 F for the high-dose treatment and 70 F for the low-dose treatment. Both patients and examining investigators were blinded to treatment assignments. The MSFC and visual acuity/contrast sensitivity were assessed before and 30 minutes after treatment. The following week, subjects had an identical visit with the alternate cooling treatment. Chronic effects of cooling were assessed by randomly assigning the same subjects to unblinded daily home cooling or observation for 4 weeks. All subjects completed the Rochester Fatigue Diary (RFD) twice weekly and subjective measures of strength, cognition, and energy level daily. At the end of the period, subjects completed the Modified Fatigue Impact Scale (MFIS) and underwent another high-dose cooling session with assessment of the MSFC and vision. After a one-week washout period, subjects crossed over to the alternate 4-week treatment. Oral temperatures were reduced with both acute treatments (0.8 +/- .06 F, high and 0.5 +/- .06 F, low). While mean MSFC did not change significantly during individual cooling sessions, post hoc analysis pooling the 3 high-dose cooling sessions revealed an improvement in MSFC scores (acute phase 0.064 +/- 0.020, p = 0.0013; chronic phase 0.044 +/- 0.021, p = 0.0368) from before to after cooling. The change in MSFC scores during the acute cooling sessions was not related to the extent of change in oral temperatures. Both the RFD score and the MFIS indicate a significantly lower fatigue level during the cooling month compared to observation (RFD, 2.53 +/- 0.83,p = 0.0033; MFIS 7.63 +/- 1.56, p = 0.0001).

Luna, Bernadette↗

Physiologic and Functional Responses of MS Patients to Body Cooling Using Commercially Available Cooling Garments

Personal cooling systems are widely used in industrial and aerospace environments to alleviate thermal stress. Increasingly they are also used by heat sensitive multiple sclerosis (HSMS) patients to relieve symptoms and improve quality of life. There are a variety of cooling systems commercially available to the MS community. However, little information is available regarding the comparative physiological changes produced by routine operation of these various systems. The objective of this study was to document and compare the patient response to two passive cooling vests and one active cooling garment. The Life Enhancement Technology, Inc. (LET) lightweight active cooling vest with cap, the MicroClimate Systems (MCS) Change of Phase garment, and the Steele Vest were each used to cool 13 male and 13 female MS subjects (31 to 67 yr.) in this study. The subjects, seated in an upright position at normal room temperature (approximately 22 C), were tested with one of the cooling garments. Oral, fight and left ear temperatures were logged manually every 5 min. An-n, leg, chest and rectal temperatures; heart rate; and respiration were recorded continuously on a U.F.I., Inc. Biolog ambulatory monitor. Each subject was given a series of subjective and objective evaluation tests before and after cooling. The LET and Steele vests test groups had similar, significant (P less than 0.01) cooling effects on oral and ear canal temperature, which decreased approximately 0.4 C, and 0.3 C, respectively. Core temperature increased (N.S.) with all three vests during cooling. The LET vest produced the coldest (P less than 0.01) skin temperature. Overall, the LET vest provided the most improvement on subjective and objective performance measures. These results show that the garment configurations tested do not elicit a similar thermal response in all MS patients. Cooling with the LET active garment configuration resulted in the lowest body temperatures for the MS subjects; cooling with the MCS vest was least effective. For functional responses, the LET test group performed better than the other two vests.

Ku, Yu-Tsuan E.↗

A Thermal Physiological Comparison of Two HazMat Protective Ensembles With and Without Active Convective Cooling

Wearing impermeable garments for hazardous materials clean up can often present a health and safety problem for the wearer. Even short duration clean up activities can produce heat stress injuries in hazardous materials workers. It was hypothesized that an internal cooling system might increase worker productivity and decrease likelihood of heat stress injuries in typical HazMat operations. Two HazMat protective ensembles were compared during treadmill exercise. The different ensembles were created using two different suits: a Trelleborg VPS suit representative of current HazMat suits and a prototype suit developed by NASA engineers. The two life support systems used were a current technology Interspiro Spirolite breathing apparatus and a liquid air breathing system that also provided convective cooling. Twelve local members of a HazMat team served as test subjects. They were fully instrumented to allow a complete physiological comparison of their thermal responses to the different ensembles. Results showed that cooling from the liquid air system significantly decreased thermal stress. The results of the subjective evaluations of new design features in the prototype suit were also highly favorable. Incorporation of these new design features could lead to significant operational advantages in the future.

Williamson, Rebecca↗

Operational Characteristics of Four Commercially Available Personal Cooling Vests

Personal thermoregulatory systems which provide chest cooling are used in the industrial and aerospace environments to alleviate thermal stress. However, little information is available regarding the physiologic and circulatory changes produced by routine operation of these systems. The objectives of this study were to compare the effectiveness of two passive and two active cooling vests, and to measure the body temperature and circulatory changes produced by each cooling vest configuration. The MicroClimate Systems and the Life Enhancement Tech(LET) lightweight liquid cooling vests, the Steele Vest and LET's Zipper Front Garment were used to cool the chest region of 11 male and 10 female subjects (25 to 55 yr.) in this study. Calf, forearm and finger blood flows were measured using a tetrapolar impedance rheograph. The subjects, seated in an upright position at normal room temperature (approx.21 C), were tested for 60 min. with the cooling system operated at its maximum cooling capacity. Blood flows were recorded continuously using a computer data acquisition system with a sampling frequency of 250 Hz. Oral, right and left ear temperatures and cooling system parameters were logged manually every 5 min. Arm, leg, chest and rectal temperatures; heart rate; respiration; and an activity index were recorded continuously on a URI Inc. Biolog ambulatory monitor. In general, the male and female subjects' rectal and ear temperature responses to cooling were similar for all vest configurations tested. Oral temperatures during the recovery period were significantly (P<0.05) lower than during the control period, approx.0.2 - 0.5 C, for both men and women wearing any of the four different garments. The corresponding car temperatures were significantly (P<0.05) decreased approx.0.2 - 0.3 C by the end of the recovery period. Compared to the control period, no significant differences were found in rectal temperatures during cooling and recovery periods. These results show that all vest configurations elicit a similar thermal response in both male and female subject groups. However, subject population variance was rather large and may have masked differences between the vests. One vest may prove more effective than another for a given individual, and experience is the only means of determining this.

Ku, Yu-Tsuan E.↗

Biomedical Application of Aerospace Personal Cooling Systems

Personal thermoregulatory systems which are used by astronauts to alleviate thermal stress during extravehicular activity have been applied to the therapeutic management of multiple sclerosis. However, little information is available regarding the physiologic and circulatory changes produced by routine operation of these systems. The objectives of this study were to compare the effectiveness of two passive and two active cooling vests and to measure the body temperature and circulatory changes produced by each cooling vest configuration. The MicroClimate Systems and the Life Enhancement Tech(LET) lightweight liquid cooling vests, the Steele Vest and LET's Zipper Front Garment were used to cool the chest region of 10 male and female subjects (25 to 55 yr.) in this study. Calf, forearm and finger blood flows were measured using a tetrapolar impedance rheograph. The subjects, seated in an upright position at normal room temperature (approx.22C), were tested for 60 min. with the cooling system operated at its maximum cooling capacity. Blood flows were recorded continuously using a computer data acquisition system with a sampling frequency of 250 Hz. Oral, right and left ear temperatures and cooling system parameters were logged manually every 5 min. Arm, leg, chest and rectal temperatures; heart rate; respiration; and an activity index were recorded continuously on a U.F.I., Inc. Biolog ambulatory monitor. In general, the male and female subjects' oral and ear temperature responses to cooling were similar for all vest configurations tested. Oral temperatures during the recovery period were significantly (P<0.05) lower than during the control period, approx. 0.2 - 0.5C, for both men and women wearing any of the four different garments. The corresponding ear temperatures were significantly (P<0.05) decreased approx.0.2 - 0.4C by the end of the recovery period. Compared to the control period, no significant differences were found in rectal temperatures during cooling and recovery periods.

Ku, Yu-Tsuan E.↗

Physiological and Thermal Responses of MS Patients to Head and Vest Cooling: A Case Study

Personal cooling systems are used to alleviate symptoms of multiple sclerosis (MS) and to prevent increased core temperature during daily activities. The objective of this study was to determine the operating characteristics and the physiologic changes produced by short term application of the stationary thermal control system used by most clinical institutions. The Life Enhancement Tech (LET) Mark VII portable cooling system and a lightweight Head-vest active cooling garment were used to cool the head and chest regions of 4 male and 3 female MS patients (30 to 66 yrs. old) in this study. The subjects, seated in an upright position at normal room temperature (approx. 24 C), were tested for 60 min. with the liquid cooling garment (LCG) operated at 50 F. Oral, right and left ear temperatures and cooling system parameters were logged manually every 5 min. Arm, leg, chest and rectal temperatures, heart rate, respiration, and an activity index were recorded continuously on a U.F.I., Inc., Biolog ambulatory monitor. All temperature responses showed extreme variation among subjects. The cold-sensitive subject's rectal temperature increased initially in response to cooling; the heat sensitive subject's rectal temperature decreased. After 40 min. of cooling and during recovery, all subjects'rectal temperatures decreased. Oral temperatures began to decrease after 30 min. of cooling. After 60 min. of cooling, temperature drops ranged from approx. 0.3 - 0.8 C. Oral temperatures continued to decrease during recovery (approx. 0.2 C). The car temperature of the heat sensitive subject was increased after cooling, other subjects exhibited an ear temperature decrease (0.0 - 0.5 C). These data indicate that head and vest cooling may be used to reduce the oral temperatures of MS patients by the approximate amount needed for symptomatic relief as shown by other researchers. The combination of a small subject population and a large subject variance does not permit us to draw statistical conclusions about the temperature response of MS patients. An individual's heat or cold sensitivity may influence their thermal response to cooling. This factor should be considered in the prescribed use of liquid cooling garments in the therapeutic management of MS.

Luna, Bernadette↗

Operational Characteristics of Two Commercially Available Personal Cooling Vests

Personal thermoregulatory systems which provide chest cooling are used in the industrial and aerospace environments to alleviate thermal stress. However, little information is available regarding the physiologic and circulatory changes produced by routine operation of these systems. The objectives of this study were to compare the effectiveness of two passive cooling vests, and to measure the body temperature and circulatory changes produced by each cooling vest configuration. A Life Enhancement Technologies, (LET) ice vest garment and a Steele, Inc. vest were used to cool the chest region of 11 male subjects (25 to 55 yr) in this study. Calf, forearm and finger blood flows were measured using a tetrapolar impedance rheograph. The subjects, seated in an upright position at normal room temperature (approximately 21 C) were tested for 60 min. with the cooling system operating at its maximum cooling capacity. Blood flows were recorded continuously using a computer data acquisition system with a sampling frequency of 250 Hz. Oral, right and left ear temperatures and cooling system parameters were logged manually every 5 min. Arm, leg, chest and rectal temperatures; heart rate; respiration; and an activity index were recorded continuously on a U.F.I., Inc. Biolog ambulatory monitor. No significant differences were found in either the oral or ear temperature responses to the two vests. However, the rectal and mean skin temperatures at the end of the cooling period were both significantly lower (P less than 0.05), approximately 0.2 and 1.9 C, respectively for the LET vest than for the Steele garment. These data show that different vest configurations may produce different thermal responses in healthy male subjects which should be considered in the use of these cooling garments.

Ku, Yu-Tsuan E.↗

Evolution of Vapor Bubbles Nucleation Sites in Low Gravity

When liquid is expelled by a vapor bubble growing at a nucleation site on a superheated surface, a thin microlayer underneath the bubble is left behind. It is evaporated from the free microlayer surface that provides for bubble growth. The average thickness of the microlayer determining the evaporation rate increases with time if the latter does not exceed a threshold value associated with the burn-out crisis. The bubble is described as a spherical segment with its flattened part adjoining the microlayer. This introduces two independent variables - the radius of the spherical part of the bubble surface and the polar angle that defines the relative area of the flattened part. They are to be found out from a set of two strongly nonlinear equations resulting from mass and momentum conservation laws. The first one depends on both microlayer thickness and nonmonotonously changing bubble base area. The second involves two major factors favoring bubble detachment - the buoyancy and a force due to the initial momentum of vapor input into the bubble. The former force depends on gravity whereas the latter one does not. It is why the limiting regimes of bubble evolution that correspond to normal or moderately reduced gravity and to microgravity feature drastically different properties. In the first case, the buoyancy dominates and the bubble evolves in such a manner as to become a full sphere at a moment that can be viewed as that of detachment. The detachment volume grows as gravity decreases. In the second case, the buoyancy is negligible and the bubble stays near the surface, while its volume continues to increase for a sufficiently long time. The findings are discussed in connection with experimental data obtained under different gravity conditions, some unpublished experiments being included. They help to understand why the pool boiling heat transfer coefficient frequently increases as gravity falls down and eventually vanishes.

Buyevich, Yu A.↗

Modeling of Vapor Bubble Growth Under Nucleate Boiling Conditions in Reduced Gravity

A dynamic model is developed to describe the evolution of a vapor bubble growing at a nucleation site on a superheated surface under arbitrary gravity. The bubble is separated from the surface by a thin microlayer and grows due to the evaporation from the microlayer interface. The average thickness of the microlayer increases as the bubble expands along the surface if the evaporation rate is lower than some critical value. The corresponding threshold value of the surface temperature has to be associated with the burn-out crisis. Two main reasons make for bubble separation, which are the buoyancy force and a force caused by the vapor momentum that comes to the bubble with vapor molecules. The latter force is somewhat diminished if condensation takes place at the upper bubble surface in subcooled liquids. The action of the said forces is opposed by inertia of the additional mass of liquid as the bubble center rises above the surface and by inertia of liquid being expelled by the growing bubble in radial directions. An extra pressure force arises due to the liquid inflow into the microlayer with a finite velocity. The last force helps in holding the bubble close to the surface during an initial stage of bubble evolution. Two limiting regimes with distinctly different properties can be singled out, depending on which of the forces that favor bubble detachment dominates. Under conditions of moderately reduced gravity, the situation is much the same as in normal gravity, although the bubble detachment volume increases as gravity diminishes. In microgravity, the buoyancy force is negligible. Then the bubble is capable of staying near the surface for a long time, with intensive evaporation from the microlayer. It suggests a drastic change in the physical mechanism of heat removal as gravity falls below a certain sufficiently low level. Inferences of the model and conclusions pertaining to effects caused on heat transfer processes by changes in bubble hydrodynamics induced by gravity are discussed in connection with experimental evidence, both available in current and in as yet unpublished literature.

Buyevich, Yu A.↗

Dynamic Instability of Solidification Fronts and Formation of Transverse Layered Structures

A plane front of crystallization in a unidirectional process of solidification of a binary melt or a solution is shown to be unstable with respect to virtual perturbations of the front velocity within some region of physical and operating parameters. This dynamic instability has nothing in common with morphological instability of the front also possible under certain conditions. It gives rise to the origination of a self-oscillating regime of solidification. The oscillations of the front velocity are accompanied by oscillations of other relevant variables, such as the melt concentration and temperature at the front. What is most important is that this provides for a natural explanation of phenomena of the formation of ordered striations commonly observed when producing alloys and withdrawing crystals. A theory of nonlinear instability of the solidification front is developed which also allows for properties of both self-oscillating regimes of solidification and transverse layered structures it allows to be described in an explicit form, without introducing any additional hypotheses and empirical parameters. Apart from other things, the properties are strongly dependent on convective transport originated in consequence of a difference between the densities of the liquid melt and solid alloy. The theory results in a remarkably good agreement with experimental evidence on crystal withdrawal obtained in normal gravity and under space flight conditions. The problem of interplay between modes of the dynamic and morphological types of instability is also discussed. There are parametric regions in which either only one of these types occurs or both of them arise simultaneously.

Buyevich, Yu A.↗

Effects of Gravity on Bubble Formation at a Plate Orifice

A model of the dynamic regime of gas injection through a submerged plate orifice into an ideally wetting liquid is developed in the circumstance when successively detached bubbles may be regarded as independent objects. Two major factors favor bubble detachment: the buoyancy force and a force due to the momentum inflow into the bubble with injected gas. In normal and moderately reduced gravity, the first factor dominates. At relatively low flow rates, a growing bubble is modeled as a spherical segment touching the orifice perimeter during the whole period of its evolution till detachment. If the flow rate exceeds a critical value, another stage of bubble evolution occurs in which an almost spherical gas envelope is connected with the orifice by a nearly cylindrical gaseous stem that lengthens as the bubble rises above the plate. The bubble continues to grow until the gas supply through the stem is completely cut off, after which back flow of gas into the stem from the bubble becomes possible. In microgravity, the second factor prevails, and the latter stage is always present irrespective of the flow rate. However, the gas envelope rises and the stem lengthens very slowly. This difference in the underlying physical mechanisms provides for key properties of bubble growth and detachment being drastically different in appreciable and sufficiently reduced gravity. The frequency of bubble formation slightly decreases with and the detachment volume is almost proportional to the gas flow rate in the first case, in accordance with familiar relations. In the second case, the first variable is proportional to the flow rate whereas the second one is independent of it. Effects of other parameters, such as the orifice radius, gas and liquid densities, and surface tension are discussed.

Webbon, Bruce W.↗

Dynamics of Vapour Bubbles in Nucleate Boiling: Basic Equations of Bubble Evolution - 1

We consider the behaviour of a vapour bubble formed at a nucleation site on a heated horizontal wall. There is no forced convection of an ambient liquid, and the bubble is presumably separated from the wall by a thin liquid microlayer. The energy conservation law results in a variational equation for the mechanical energy of the whole system consisting of the bubble and liquid. It leads to a set of two strongly nonlinear equations which govern bubble expansion and motion of its centre of mass. A supplementary equation to find out the vapour temperature follows from consideration of heat transfer to the bubble, both from the bulk of surrounding liquid and through the microlayer. The average thickness of the microlayer is shown to increase monotonously with time as the bubble meniscus spreads along the wall. Bubble expansion is driven by the pressure head between vapour inside and liquid far away from the bubble, with due allowance for surface tension and gravity effects. It is resisted by inertia of liquid being placed into motion as the bubble grows. The inertia originates also a force that presses the bubble to the wall. This force is counteracted by the buoyancy and an effective surface tension force that tends to transform the bubble into a sphere. The analysis brings about quite a new formulation of the familiar problem of bubble growth and detachment under conditions of nucleate pool boiling.

Buyevich, Yu A.↗

Dynamics of Vapour Bubbles in Nucleate Boiling: Evolution of Thermally Controlled Bubbles - 2

The previously developed dynamic theory of growth and detachment of vapour bubbles under conditions of nucleate pool boiling is applied to study motion and deformation of a bubble evolving at a single nucleation site. The bubble growth is presumed to be thermally controlled, and two components of heat transfer to the bubble are accounted of: the one from the bulk of surrounding liquid and the one due to heat conduction across a liquid microlayer formed underneath the bubble. Bubble evolution is governed by the buoyancy and an effective surface tension force, both the forces making the bubble centre of mass move away from the wall and, thus, assisting its detachment. Buoyancy-controlled and surface-tension-controlled regimes are considered separately in a meticulous way. The duration of the whole process of bubble evolution till detachment, the rate of growth, and the bubble departure size are found as functions of time and physical and operating parameters. Some repeatedly observed phenomena, such as an influence of gravity on the growth rate, are explained. Inferences of the model agree qualitatively with available experimental evidence, and conclusions pertaining to the dependence on gravity of the bubble radius at detachment and the whole time of the bubble development when being attached to the wall are confirmed quantitatively.

Buyevich, Yu A.↗

A New Theory of Nucleate Pool Boiling in Arbitrary Gravity

Heat transfer rates specific to nucleate pool boiling under various conditions are determined by the dynamics of vapour bubbles that are originated and grow at nucleation sites of a superheated surface. A new dynamic theory of these bubbles has been recently developed on the basis of the thermodynamics of irreversible processes. In contrast to other existing models based on empirically postulated equations for bubble growth and motion, this theory does not contain unwarrantable assumptions, and both the equations are rigorously derived within the framework of a unified approach. The conclusions of the theory are drastically different from those of the conventional models. The bubbles are shown to detach themselves under combined action of buoyancy and a surface tension force that is proven to add to buoyancy in bubble detachment, but not the other way round as is commonly presumed. The theory ensures a sound understanding of a number of so far unexplained phenomena, such as effect caused by gravity level and surface tension on the bubble growth rate and dependence of the bubble characteristics at detachment on the liquid thermophysical parameters and relevant temperature differences. The theoretical predictions are shown to be in a satisfactory qualitative and quantitative agreement with observations. When being applied to heat transfer at nucleate pool boiling, this bubble dynamic theory offers an opportunity to considerably improve the main formulae that are generally used to correlate experimental findings and to design boiling heat removal in various industrial applications. Moreover, the theory makes possible to pose and study a great deal of new problems of essential impact in practice. Two such problems are considered in detail. One problem concerns the development of a principally novel physical model for the first crisis of boiling. This model allows for evaluating critical boiling heat fluxes under various conditions, and in particular at different gravity levels, with a good agreement with experimental evidence. The other problem bears upon equilibrium shapes of a detached bubble near a heated surface in exceedingly low gravity. In low gravity or in weightlessness, the bubble can remain in the close vicinity of the surface for a long time, and its shape is greatly affected by the Marangoni effect due to both temperature and possible surfactant concentration being nonuniform along the interface. The bubble performs at these conditions like a heat pipe, with evaporation at the bubble lower boundary and condensation at its upper boundary, and ultimately ensures a substantial increase in heat removal as compared with that in normal gravity. Some other problems relevant to nucleate pool and forced convection boiling heat transfer are also discussed.

Buyevich, Y. A.↗

Multi-Segment Hemodynamic and Volume Assessment With Impedance Plethysmography: Aerospace Applications

Definition of multi-segmental circulatory and volume changes in the human body provides an understanding of the physiologic responses to various aerospace conditions. We have developed instrumentation and testing procedures at NASA Ames Research Center that may be useful in biomedical research and clinical diagnosis. Specialized two, four, and six channel impedance systems will be described that have been used to measure calf, thigh, thoracic, arm, and cerebral hemodynamic and volume changes during various experimental investigations.

Ku, Yu-Tsuan E.↗

The Isolated Bubble Regime in Pool Nucleate Boiling

We consider an isolated bubble boiling regime in which vapour bubbles are intermittently produced at a prearranged set of nucleation site on an upward facing overheated wall plane. In this boiling regime, the bubbles depart from the wall and move as separate entities. Except in the matter of rise velocity, the bubbles do not interfere and are independent of one another. However, the rise velocity is dependent on bubble volume concentration in the bulk. Heat transfer properties specific to this regime cannot be described without bubble detachment size, and we apply our previously developed dynamic theory of vapour bubble growth and detachment to determine this size. Bubble growth is presumed to be thermally controlled. Two limiting cases of bubble evolution are considered: the one in which buoyancy prevails in promoting bubble detachment and the one in which surface tension prevails. We prove termination of the isolated regime of pool nucleate boiling to result from one of the four possible causes, depending on relevant parameters values. The first cause consists in the fact that the upward flow of rising bubbles hampers the downward liquid flow, and under certain conditions, prevents the liquid from coming to the wall in an amount that would be sufficient to compensate for vapour removal from the wall. The second cause is due to the lateral coalescence of growing bubbles that are attached to their corresponding nucleation sites, with ensuing generation of larger bubbles and extended vapour patches near the wall. The other two causes involve longitudinal coalescence either 1) immediately in the wall vicinity, accompanied by the establishment of the multiple bubble boiling regime, or 2) in the bulk, with the formation of vapour columns. The longitudinal coalescence in the bulk is shown to be the most important cause. The critical wall temperature and the heat flux density associated with isolated bubble regime termination are found to be functions of the physical and operating parameters and are discussed in detail.

Buyevich, Y. A.↗

Liquid Cooling Garment Technology Transfer: A Biomedical Case Study

Liquid cooling garments (LCGs) are routinely used to remove the body heat generated in a space-suit during extravehicular activity (EVA). Garments based upon LCG design have been used in various biomedical situations. The objectives of this investigation is to describe one recent LCG application to provide relief of the pain associated with peripheral neuritis and to report the physiologic changes responsible for this relief.

Ku, Yu-Tsuan E.↗