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At least 37 records · Page 2

Efficacy of anticoagulation in resolving left atrial and left atrial appendage thrombi: A transesophageal echocardiographic study

BACKGROUND: Transesophageal echocardiography (TEE) is the gold standard for evaluation of the left atrium and the left atrial appendage (LAA) for the presence of thrombi. Anticoagulation is conventionally used for patients with atrial fibrillation to prevent embolization of atrial thrombi. The mechanism of benefit and effectiveness of thrombi resolution with anticoagulation is not well defined. METHODS AND RESULTS: We used a TEE database of 9058 consecutive studies performed between January 1996 and November 1998 to identify all patients with thrombi reported in the left atrium and/or LAA. One hundred seventy-four patients with thrombi in the left atrial cavity (LAC) and LAA were identified (1.9% of transesophageal studies performed). The incidence of LAA thrombi was 6.6 times higher than LAC thrombi (151 vs 23, respectively). Almost all LAC thrombi were visualized on transthoracic echocardiography (90.5%). Mitral valve pathology was associated with LAC location of thrombi (P <.0001), whereas atrial fibrillation or flutter was present in most patients with LAA location of thrombi. Anticoagulation of 47 +/- 18 days was associated with thrombus resolution in 80.1% of the patients on follow-up TEE. Further anticoagulation resulted in limited additional benefit. CONCLUSIONS: LAC thrombi are rare and are usually associated with mitral valve pathology. Transthoracic echocardiography is effective in identifying these thrombi. LAA thrombi occur predominantly in patients with atrial fibrillation or flutter. Short-term anticoagulation achieves a high rate of resolution of LAA and LAC thrombi but does not obviate the need for follow-up TEE.

NASA Discipline Cardiopulmonary↗

Transesophageal Echocardiography and Contrast-TCD in the Detection of a Patent Foramen Ovale: Experience with 111 Patients

Patent foramen ovale (PFO) is increasingly recognized in association with cryptogenic stroke. Using transesophageal echocardiography (TEE) and transcranial Doppler sonography with ultrasonic contrast medium contrast-(TCD), we evaluated the frequency of a PFO as the fundamental condition of paradoxical embolism in 111 patients after cerebral ischemia. There was a right-left shunt in 50 patients (45%) with TEE. In 31 of 40 patients with stroke of unknown etiology, a PFO was the only detectable finding associated with cerebral ischemia. Using TEE as he "gold standard," the sensitivity of contrast-TCD was 91.3%, specificity 93.8%, and the overall accuracy 92.8%. contrast-TCD failed to detect a right-left shunt in four patients, but there were four other patients with negative TEE and positive contrast-TCD. We conclude that contrast-TCD is a highly sensitive method for detecting a right-left shunt. Its advantages are low cost, its ability to detect single contrast-medium embolism, and control of the Valsalva maneuver by observing the decrease of cerebral blood flow. Evidence of PFO in cryptogenic stroke should prompt a search for a subclinical venous thrombosis as the embolic source.

Klotzsch, Christof↗

Evaluation of coated columbium alloy heat shields for space shuttle thermal protection system application. Volume 2, phase 2: Subsize heat shield and small size TPS evaluation

Initially a trade study was conducted of seven heat shield configurations. These were evaluated for structural reliability, fabricability, weight, inspectability, and refurbishability. Two concepts, a tee-stiffened and an open corrugation, were selected as offering the most potential for system success. Fourteen subsize heat shields of a full scale section were fabricated from C-129Y and Cb-752 and silicide coated with R-512E. These subsize panels were subjected to a simulated flight profile representing temperature, local surface pressures, and applied pressure differential loads. All corrugated panels of both alloys sustained 100 cycles without structural or coating failure. All Cb-752/R-512E panels performed well with one panel being successfully repaired after 66 cycles and completing 100 cycles. As a result of this evaluating the Cb-752/R-512E system was selected for hardware application during the subsequent phases. In addition, the tee-stiffened configuration was selected for further development and application in Phase III. This selection was based on an overall assessment of relative weight, cost, and structural performance of the tee-stiffened and open corrugation TPS.

Black, W. E.↗

Custom Unit Pump Design and Testing for the EVA PLSS

This paper describes the effort by the Texas Engineering Experiment Station (TEES) and Honeywell for NASA to design and test a pre-flight prototype pump for use in the Extra-vehicular activity (EVA) portable life support subsystem (PLSS). Major design decisions were driven by the need to reduce the pump s mass, power, and volume compared to the existing PLSS pump. In addition, the pump must accommodate a much wider range of abnormal conditions than the existing pump, including vapor/gas bubbles and increased pressure drop when employed to cool two suits simultaneously. A positive displacement, external gear type pump was selected because it offers the most compact and highest efficiency solution over the required range of flow rates and pressure drops. An additional benefit of selecting a gear pump design is that it is self priming and capable of ingesting non-condensable gas without becoming air locked. The chosen pump design consists of a 28 V DC, brushless, sealless, permanent magnet motor driven, external gear pump that utilizes a Honeywell development that eliminates the need for magnetic coupling. Although the planned flight unit will use a sensorless motor with custom designed controller, the pre-flight prototype to be provided for this project incorporates Hall effect sensors, allowing an interface with a readily available commercial motor controller. This design approach reduced the cost of this project and gives NASA more flexibility in future PLSS laboratory testing. The pump design was based on existing Honeywell designs, but incorporated features specifically for the PLSS application, including all of the key features of the flight pump. Testing at TEES verified that the pump meets the design requirements for range of flow rates, pressure drop, power consumption, working fluid temperature, operating time, gas ingestion , and restart capability under both ambient and vacuum conditions. The pump operated between 40 and 240 lbm/hr flowrate, 35 to 100 F pump temperature range, and 5 to 10 psid pressure rise. Power consumption of the pump controller at the nominal operating point in both ambient and vacuum conditions was 9.5 W, which was less than the 12 W predicted. Gas ingestion capabilities were tested by injecting 100 cc of air into the fluid line; the pump operated normally throughout this test. The test results contained a number of anomalies, specifically power increases and a few flow stoppages, that prompted TEES and Honeywell to disassemble and inspect the pump. Inspection indicated contamination in the pump and fit issues may have played roles in the observed anomalies. Testing following reassembly indicated that the performance of the pump 1) matched both the predicted performance values, 2) the performance values measured prior to disassembly, and 3) was free of the anomalies noted in the pre-disassembly testing.

Schuller, Michael↗

Combining Information on Multiple Detection Techniques to Estimate the Effect of Patent Foramen Ovale on Susceptibility to Decompression Illness

The assembly and the maintenance of the International Space Station is expected to require hundreds of extravehicular excursions (EVA's) in the next 10 years. During an EVA, in order to allow movement and bending of limbs, spacesuit pressures are reduced to about 4.3 psi. as compared with about 14.7 psi. for normal atmospheric pressure at sea level. However, the exposure of astronauts to reduced pressures in spacesuits, is conducive to fonnation and growth of gas bubbles within venous blood or tissues, which could cause decompression illness (DCI), a pathology best known to occur among deep-sea divers when they return to the surface. To reduce the risk of DCI, astronauts adjust to the reduced pressure in stages for a prolonged time known as a "pre-breathe" period prior to their extravehicular activity. Despite the use of pre-breathe protocols, an increased risk of DCI can arise for about 25% of humans who have a small hole, known as a patent foramen ovale (PFO), between two chambers of the heart. The atrial septum's fossa oval is, an embryological remnant of a flap between the septae primum and secundum allows fetal right atrial blood to pass into the left atrium, and usually closes after birth (Hagen, et al,. 1984). If fusion does not occur, a valve-like opening, the foramen ovale persists between the two atria. It has been suggested that astronauts with PFO's might be at greater risk of stroke or other serious neurological DCI because bubbles from a venous site may traverse a PFO, travel to the aorta and then enter the cerebral circulatory system causing a stroke (Figure 1). Astronauts are not now screened for PFO's, however consideration is being given to doing so. Here, we study three main methods abbreviated here as "ITE", "TCD" and "TEE", for detecting PFO's in living subjects. All involve the introduction of bubbles into a vein, immediately after which a sensory probe attempts to detect the bubbles in systemic circulation. Presence of the injected bubbles in the systemic circulation is indicative of a PFO. More detailed descriptions are given after the explanation of PFO's under Figure I. Even if a true PFO affects the risk of DCI, there remains a question of how effective screening would be if the detection method has errors of omission and/or commission. Of the three methods studied here, TEE is the "gold standard", matching autopsy results with near-perfect sensitivity and specificity (Schneider, et al. , 1996). However TEE is also the most difficult method to implement, requiring an internal esophagal probe, and is therefore not widely used. Currently, the easiest to use and most common PFO detection method is TTE, which uses an external chest probe. This method has a specificity of near 100%, but suffers from a low sensitivity rate (about 30%). More recently, TCD has been developed, which uses ultrasound probes to detect the presence of bubbles in cerebral arteries. Studies indicate that TCD is quite effective, having a sensitivity of about 91% and a specificity of about 93% (Droste, et al., 1999) when applied correctly, however implementation is difficult and requires considerable training.

Feiveson, Alan H.↗

Resonance-tube ignition of aluminum

An experimental program was carried out to determine whether spontaneous fluid-dynamic oscillations could create a hazard in gaseous oxygen flow systems by igniting metal contaminants. The particular fluid-dynamic oscillation studied was the resonance-tube phenomenon as it was excited in a tee-shaped configuration representative of configurations found in many industrial flow systems. Pure aluminum was chosen as the candidate material for ignition. The oscillations in the tee-shaped configuration were compared with oscillations driven by choked convergent nozzles and were found to differ markedly. The temperatures generated at the base of the resonance tube were well in excess of 1000 F for both gaseous oxygen and nitrogen. The effect of inert particulate matter introduced into the resonance tube was to increase significantly the measured temperatures. Aluminum in both powder and fiber form was readily ignited within the resonance tube at pressures less than 1200 psia. At higher pressures, the aluminum-oxygen mixture exploded. This investigation confirms the hazardous nature of resonance-tube oscillations as generated in typical piping configurations that use high-pressure oxygen.

Phillips, B. R.↗

Resonance tube hazards in oxygen systems

An experimental and analytical program was carried out to determine whether fluid dynamic oscillations could create a hazard in gaseous oxygen flow systems. The particular fluid dynamic oscillation studied was the resonance tube phenomena as it was excited in a tee-shaped configuration characteristic of configurations found in many industrial high pressure gas flow systems. The types of hazards that could be caused by the oscillations were direct heating and ignition of the piping system by the gas, the greatly augmented heating that could occur if inert contaminants were present, and the ignition of metallic contaminants. Asbestos was used as the inert contaminant; titanium, aluminum, magnesium and steel were chosen as ignitable metallic contaminants. The oscillations in the tee-shaped configuration were compared to oscillations driven by choked convergent nozzles and were found to differ markedly. Temperature generated at the end or base of the resonance tube exceeded 1089 K for both gaseous oxygen and nitrogen and reached 1645 K when asbestos was added. Aluminum in both powder and fiber form was readily ignited within the resonance tube when the supply pressures were less than 8270 kPa whereas at higher supply pressures the mixture exploded with enough violence to destory the apparatus in less than 10 sec. In addition to aluminum, magnesium, and titanium, samples of 400 series stainless steels were also ignited within the resonance tube. The ignition occurred within a few seconds after the oxygen flow began.

Phillips, B. R.↗

Analytical and experimental studies of flow-induced vibration of SSME components

Components of the Space Shuttle Main Engines (SSMEs) are subjected to a severe environment that includes high-temperature, high-velocity flows. Such flows represent a source of energy that can induce and sustain large-amplitude vibratory stresses and/or result in fluidelastic instabilities. Three components are already known to have experienced failures in evaluation tests as a result of flow-induced structural motion. These components include the liquid-oxygen (LOX) posts, the fuel turbine bellows shield, and the internal inlet tee splitter vane. Researchers considered the dynamic behavior of each of these components with varying degrees of effort: (1) a theoretical and experimental study of LOX post vibration excited by a fluid flow; (2) an assessment of the internal inlet tee splitter vane vibration (referred to as the 4000-Hz vibration problem); and (3) a preliminary consideration of the bellows shield problem. Efforts to resolve flow-induced vibration problems associated with the SSMEs are summarized.

Chen, S. S.↗

Transesophageal echocardiographic evaluation of baboons during microgravity induced by parabolic flight

Transthoracic echocardiography (TTE) is a feasible method to noninvasively examine cardiac anatomy during parabolic flight. However, transducer placement on the chest wall is very difficult to maintain during transition to microgravity. In addition, TTE requires the use of low frequency transponders which limit resolution. Transesophical echocardiography (TEE) is an established imaging technique which obtains echocardiographic information from the esophagus. It is a safe procedure and provides higher quality images of cardiac structure than obtained with TTE. This study is designed to determine whether TEE was feasible to perform during parabolic flight and to determine whether acute central volume responses occur in acute transition to zero gravity by direct visualization of the cardiac chambers.

Vernalis, Marina N.↗

Two-stage gas measurement system

A quick-response, real-time gaseous measurement system allows for the continuous sampling of a low pressure gaseous environment. A sample of test gas from the low pressure gaseous environment is continuously extracted and pumped to a structural tee joint which is open to the atmosphere at one end to maintain the test gas at a constant pressure. The structural tee joint communicates at the other end with a heater for maintaining the test gas at a constant temperature. From the heater, the test gas is sent to a sensor which develops a voltage that is proportional to the partial pressure of the gaseous component to be measured in the test gas, a constant flow rate of test gas being provided through the heater and sensor. Since test gas pressure, temperature, and flow rate are being held constant, changes in sensor voltage are attributable only to changes in the concentration of the measured gas component.

Sprinkle, Danny R.↗

Integrated Circuit Immunity

This paper presents a DOD E3 program overview on integrated circuit immunity. The topics include: 1) EMI Immunity Testing; 2) Threshold Definition; 3) Bias Tee Function; 4) Bias Tee Calibration Set-Up; 5) EDM Test Figure; 6) EMI Immunity Levels; 7) NAND vs. and Gate Immunity; 8) TTL vs. LS Immunity Levels; 9) TP vs. OC Immunity Levels; 10) 7805 Volt Reg Immunity; and 11) Seventies Chip Set. This paper is presented in viewgraph form.

Sketoe, J. G.↗

Fluid Dynamics of a Pressure Reducing Inlet

Instruments for the monitoring of hazardous gases in and near the space shuttle collect sample gas at pressures on the order of one atmosphere and analyze their properties in an ultra-high vacuum by means of a quadrupole-mass-spectrometer partial pressure transducer. Sampling systems for such devices normally produce the required pressure reduction through combinations of vacuum pumps, fluid Tees and flow restrictors (e.g. orifices, sintered metal frits or capillaries). The present work presents an analytical model of the fluid dynamics of such a pressure reduction system which enables the calculation of the pressure in the receiver vessal in terms of system parameters known from the specifications for a given system (e.g. rated pumping speeds of the pumping hardware and the diameters of two orifices situated in two branches of a fluid Tee). The resulting formulas will expedite the fine tuning of instruments now under development and the design of later generations of such devices.

Russell, John M.↗

Video Golf

George Nauck of ENCORE!!! invented and markets the Advanced Range Performance (ARPM) Video Golf System for measuring the result of a golf swing. After Nauck requested their assistance, Marshall Space Flight Center scientists suggested video and image processing/computing technology, and provided leads on commercial companies that dealt with the pertinent technologies. Nauck contracted with Applied Research Inc. to develop a prototype. The system employs an elevated camera, which sits behind the tee and follows the flight of the ball down range, catching the point of impact and subsequent roll. Instant replay of the video on a PC monitor at the tee allows measurement of the carry and roll. The unit measures distance and deviation from the target line, as well as distance from the target when one is selected. The information serves as an immediate basis for making adjustments or as a record of skill level progress for golfers.

Source record↗

Prediction of thrombus-related mechanical prosthetic valve dysfunction using transesophageal echocardiography

Identification of thrombus-related mechanical prosthetic valve dysfunction (MPVD) has important therapeutic implications. We sought to develop an algorithm, combining clinical and echocardiographic parameters, for prediction of thrombus-related MPVD in a series of 53 patients (24 men, age 52 +/- 16 years) who had intraoperative diagnosis of thrombus or pannus from 1992 to 1997. Clinical and echocardiographic parameters were analyzed to identify predictors of thrombus and pannus. Prevalence of thrombus and diagnostic yields relative to the number of predictors were determined. There were 22 patients with thrombus, 19 patients with pannus, and 12 patients with both. Forty-two of 53 masses were visualized using transesophageal echocardiography (TEE), including 29 of 34 thrombi or both thrombi and panni and 13 of 19 isolated panni. Predictors of thrombus or mixed presentation include mobile mass (p = 0.009), attachment to occluder (p = 0.02), elevated gradients (p = 0.04), and an international normalized ratio of < or = 2.5 (p = 0.03). All 34 patients with thrombus or mixed presentation had > or = 1 predictor. The prevalence of thrombus in the presence of < or = 1, 2, and > or = 3 predictors is 14%, 69%, and 91%, respectively. Thus, TEE is sensitive in the identification of abnormal mass in the setting of MPVD. An algorithm based on clinical and transesophageal echocardiographic predictors may be useful to estimate the likelihood of thrombus in the setting of MPVD. In the presence of > or = 3 predictors, the probability of thrombus is high.

NASA Discipline Cardiopulmonary↗

Transesophageal echocardiography: first-line imaging for aortic diseases

Transesophageal echocardiography (TEE) is now commonly used to evaluate the thoracic aorta, because it is widely available and provides high-resolution images and flow information by Doppler. This article reviews the essential features on TEE of acute and chronic aortic diseases, such as aortic dissection, aneurysm, and atherosclerosis, and discusses its strengths, weaknesses, and indications.

NASA Program Biomedical Research and Countermeasur↗

Traveling Wave Tube (TVT) RF Power Combining Demonstration for use in the Jupiter Icy Moons Orbiter (JIMO)

The Jupiter Icy Moons Orbiter (JIMO) is set to launch between the years 2012 and 2015. It will possibly utilize a nuclear reactor power source and ion engines as it travels to the moons of Jupiter. The nuclear reactor will produce hundreds of kilowatts of power for propulsion, communication and various scientific instruments. Hence, the RF amplification devices aboard will be able to operate at a higher power level and data rate. The initial plan for the communications system is for an output of 1000 watts of RF power, a data rate of at least 10 megabits a second, and a frequency of 32 GHz. A higher data rate would be ideal to fully utilize the instruments aboard JIMO. At NASA Glenn, one of our roles in the JIMO project is to demonstrate RF power combining using multiple traveling wave tubes (TWT). In order for the power of separate TWT s to be combined, the RF output waves from each must be in-phase and have the same amplitude. Since different tubes act differently, we had to characterize each tube using a Network Analyzer. We took frequency sweeps and power sweeps to characterize each tube to ensure that they will behave similarly under the same conditions. The 200 watt Dornier tubes had been optimized to run at a lower power level (120 watts) for their extensive use in the ACTS program, so we also had to experiment with adjusting the voltage settings on several internal components (helix, anode, collector) of the tubes to reach the full 200 watt potential. from the ACTS program. Phase shifters and power attenuators were placed in the waveguide circuit at the inputs to the tubes so that adjustments could be made individually to match them exactly. A magic tee was used to route and combine the amplified electromagnetic RF waves on the tube output side. The demonstration of 200 watts of combined power was successful with efficiencies greater than 90% over a 500 MHz bandwidth. The next step will be to demonstrate the use of three amplifiers using two magic tees by adding a 200 watt Dornier tube to the Varian and Logimetrics combined setup for a total of 400 watts. After that we will use two 200 watt Dorniers for 400 watts and eventually four 200 watt Dornier tubes to demonstrate 800 watts. After demonstrating the success of power combining, we will need to verify the integrity of a modulated signal sent through the combined tubes. The purpose will be to see what effects separating and recombining will have on the modulated signal and also what effect it will have on combining efficiency. A Bit Error Rate (BER) will be determined by a Bit Error Rate Tester (BERT) by comparing the random information it transmits to what it receives back. The process began with two 100 watt tubes, a Varian and a Logimetrics, salvaged

Downey, Joseph A.↗

Water Pump Development for the EVA PLSS

This paper describes the effort by the Texas Engineering Experiment Station (TEES) and Honeywell for NASA to design, fabricate, and test a preflight prototype pump for use in the Extravehicular activity (EVA) portable life support subsystem (PLSS). Major design decisions were driven by the need to reduce the pump s mass, power, and volume compared to the existing PLSS pump. In addition, the pump will accommodate a much wider range of abnormal conditions than the existing pump, including vapor/gas bubbles and increased pressure drop when employed to cool two suits simultaneously. A positive displacement, external gear type pump was selected because it offers the most compact and highest efficiency solution over the required range of flow rates and pressure drops. An additional benefit of selecting a gear pump design is that it is self priming and capable of ingesting noncondensable gas without becoming "air locked." The chosen pump design consists of a 28 V DC, brushless, sealless, permanent magnet motor driven, external gear pump that utilizes a Honeywell development that eliminates the need for magnetic coupling. Although the planned flight unit will use a sensorless motor with custom designed controller, the preflight prototype to be provided for this project incorporates Hall effect sensors, allowing an interface with a readily available commercial motor controller. This design approach reduced the cost of this project and gives NASA more flexibility in future PLSS laboratory testing. The pump design was based on existing Honeywell designs, but incorporated features specifically for the PLSS application, including all of the key features of the flight pump. Testing at TEES will simulate the vacuum environment in which the flight pump will operate. Testing will verify that the pump meets design requirements for range of flow rates, pressure rise, power consumption, working fluid temperature, operating time, and restart capability. Pump testing is currently scheduled for March, 2009, after which the pump will be delivered to NASA for further testing.

Schuller, Michael↗