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At least 55 records · Page 3

The QT interval in lightning injury with implications for the cessation of metabolism hypothesis

An hypothesis is presented to provide an alternative to the Cessation of Metabolism hypothesis often invoked in lightning injury. Cessation of Metabolism has been proposed to explain the observation of good recovery after a prolonged period in cardiac arrest in some lightning injured patients. Reevaluation of EEGs from lightning injured patients show a high incidence of QT prolongation. Reexamination of the cases used to support Cessation of Metabolism also reveals little evidence to justify the hypothesis. The finding of QT prolongation coupled with the hyperadrenergic state said to exist in lightning injury, may promote a state of episodic induction of and recovery from Torsade de Pointes Ventricular Tachycardia (VT). Histological examination of the myocardium supports the new hypothesis. This the first concerted description of lightning injury as one of the general causes of QT prolongation. It appears to occur frequently after lightning injury, is a prerequisite of and predisposes to episodes of Torsade de Pointes VT. These electrocardiographic abnormalities explain Cessation of Metabolism and recognition may change management and lead to greater survival.

Andrews, Christopher J.↗

The role of ethylene in the development of constant-light injury of potato and tomato

The role of ethylene in the development of constant-light injury of potato (Solanum tuberosum L.) and tomato (Lycopersicon esculentum Mill.) was investigated. In one study, silver thiosulfate (STS) was applied to the foliage of four potato cultivars growing under constant light. Leaf area and shoot dry mass of 'Kennebec' and 'Superior', cultivars normally injured by constant light, were greater (P < 0.05) than those of control plants given foliar applications of distilled water. Examination of STS-treated 'Kennebec' leaflets revealed significantly less injury (necrotic spotting and reduced starch content) than the water-treated controls. 'Norland' and 'Denali', cultivars tolerant of constant light, exhibited no differences in growth between treatments. In a second study, injury (necrotic spotting and reduced starch content) was induced in leaflets of 'Denali' when exposed to spray applications of 0.5 mmol L-1 ethephon or air containing 0.5 to 0.8 microL L-1 ethylene. In a third study, three genotypes of 'Ailsa Craig' tomato were grown under constant light. Leaves of the normal 'Ailsa Craig' exhibited epinasty, reduced chlorophyll concentration, and reduced starch content. Leaves of a mutant 'Ailsa Craig', containing the Never ripe mutation, did not exhibit epinasty but exhibited the same amount of reduced chlorophyll concentration and starch content as normal plants. Leaves of a transgenic 'Ailsa Craig', containing an antisense gene of 1-aminocyclopropane 1-carboxylate (ACC) oxidase, were epinastic, but chlorophyll concentration and starch content were greater than in leaves of normal and mutant plants. These results suggest that transgenic plants were more tolerant of constant light than the other genotypes. Evidence from these studies indicates that ethylene, combined with constant light, has an important role in the development of constant-light injury.

Non-NASA Center↗

Human and behavioral factors contributing to spine-based neurological cockpit injuries in pilots of high-performance aircraft: recommendations for management and prevention

In high-performance aircraft, the need for total environmental awareness coupled with high-g loading (often with abrupt onset) creates a predilection for cervical spine injury while the pilot is performing routine movements within the cockpit. In this study, the prevalence and severity of cervical spine injury are assessed via a modified cross-sectional survey of pilots of multiple aircraft types (T-38 and F-14, F-16, and F/A-18 fighters). Ninety-five surveys were administered, with 58 full responses. Fifty percent of all pilots reported in-flight or immediate post-flight spine-based pain, and 90% of fighter pilots reported at least one event, most commonly (> 90%) occurring during high-g (> 5 g) turns of the aircraft with the head deviated from the anatomical neutral position. Pre-flight stretching was not associated with a statistically significant reduction in neck pain episodes in this evaluation, whereas a regular weight training program in the F/A-18 group approached a significant reduction (mean = 2.492; p < 0.064). Different cockpit ergonomics may vary the predisposition to cervical injury from airframe to airframe. Several strategies for prevention are possible from both an aircraft design and a preventive medicine standpoint. Countermeasure strategies against spine injury in pilots of high-performance aircraft require additional research, so that future aircraft will not be limited by the human in control.

Case Reports↗

Macrophage invasion does not contribute to muscle membrane injury during inflammation

Previous observations have shown that neutrophil invasion precedes macrophage invasion during muscle inflammation and that peak muscle injury is observed at the peak of ED1+ macrophage invasion. We tested the hypothesis that neutrophil invasion causes subsequent invasion by ED1+ macrophages and that ED1+ macrophages then contribute significantly to muscle membrane injury during modified muscle use. Rat hindlimbs were unloaded for 10 days followed by reloading by normal ambulation to induce inflammation. Membrane injury was measured by assaying Evans blue-bound serum protein influx through membrane lesions. Muscle neutrophil populations increased significantly during the first 2 h of reloading but ED1+ macrophages did not increase until 24 h. Neutrophil invasion was uncoupled from subsequent macrophage invasion by reloading rat hindlimbs for 2 h to cause neutrophil invasion, followed by resuspension for hours 2-24. This produced similar increases in neutrophil concentration as measured in muscles continuously reloaded for 24 h without causing an increase in macrophages. However, resuspension did not reduce the extent of muscle damage compared with that occurring in muscles that were reloaded continuously for 24 h. Thus, muscle invasion by neutrophils is not sufficient to cause invasion by ED1+ macrophages. In addition, muscle membrane injury that occurs during reloading is independent of invasion by ED1+ macrophages.

NASA Discipline Musculoskeletal↗

Validation of Finite Element Crash Test Dummy Models for Predicting Orion Crew Member Injuries During a Simulated Vehicle Landing

A series of crash tests were conducted with dummies during simulated Orion crew module landings at the Wright-Patterson Air Force Base. These tests consisted of several crew configurations with and without astronaut suits. Some test results were collected and are presented. In addition, finite element models of the tests were developed and are presented. The finite element models were validated using the experimental data, and the test responses were compared with the computed results. Occupant crash data, such as forces, moments, and accelerations, were collected from the simulations and compared with injury criteria to assess occupant survivability and injury. Some of the injury criteria published in the literature is summarized for completeness. These criteria were used to determine potential injury during crew impact events.

Tabiei, Al↗

Shoulder Injuries in US Astronauts Related to EVA Suit Design

There are multiple factors associated with the mechanism of injury that leads to shoulder injury requiring surgical repair. Despite the injury prevention measures taken from the 2003 Shoulder Tiger Team recommendations, shoulder injuries and subsequent shoulder surgeries remain relatively unchanged.

Scheuring, Rick↗

Estimated Probability of Traumatic Abdominal Injury During an International Space Station Mission

The Integrated Medical Model (IMM) is a decision support tool that is useful to spaceflight mission planners and medical system designers when assessing risks and optimizing medical systems. The IMM project maintains a database of medical conditions that could occur during a spaceflight. The IMM project is in the process of assigning an incidence rate, the associated functional impairment, and a best and a worst case end state for each condition. The purpose of this work was to develop the IMM Abdominal Injury Module (AIM). The AIM calculates an incidence rate of traumatic abdominal injury per person-year of spaceflight on the International Space Station (ISS). The AIM was built so that the probability of traumatic abdominal injury during one year on ISS could be predicted. This result will be incorporated into the IMM Abdominal Injury Clinical Finding Form and used within the parent IMM model.

Lewandowski, Beth E.↗

Estimated Probabililty of Chest Injury During an International Space Station Mission

The Integrated Medical Model (IMM) is a decision support tool that is useful to spaceflight mission planners and medical system designers when assessing risks and optimizing medical systems. The IMM project maintains a database of medical conditions that could occur during a spaceflight. The IMM project is in the process of assigning an incidence rate, the associated functional impairment, and a best and a worst case end state for each condition. The purpose of this work was to develop the IMM Chest Injury Module (CIM). The CIM calculates the incidence rate of chest injury per person-year of spaceflight on the International Space Station (ISS). The CIM was built so that the probability of chest injury during one year on ISS could be predicted. These results will be incorporated into the IMM Chest Injury Clinical Finding Form and used within the parent IMM model.

Lewandowski, Beth E.↗

Feasibility Assessment of an EVA Glove Sensing Platform to Evaluate Potential Hand Injury Risk Factors

Injuries to the hands are common among astronauts who train for extravehicular activity (EVA). When the gloves are pressurized, they restrict movement and create pressure points during tasks, sometimes resulting in pain, muscle fatigue, abrasions, and occasionally more severe injuries such as onycholysis. A brief review of the Lifetime Surveillance of Astronaut Health's injury database reveals that 58% of total astronaut hand and arm injuries from NBL training between 1993 and 2010 occurred either to the fingernail, MCP, or fingertip. The purpose of this study was to assess the potential of using small sensors to measure force acting on the fingers and hand within pressurized gloves and other variables such as blood perfusion, skin temperature, humidity, fingernail strain, skin moisture, among others. Tasks were performed gloved and ungloved in a pressurizable glove box. The test demonstrated that fingernails saw greater transverse strain levels for tension or compression than for longitudinal strain, even during axial fingertip loading. Blood perfusion peaked and dropped as the finger deformed during finger presses, indicating an initial dispersion and decrease of blood perfusion levels. Force sensitive resistors to force plate comparisons showed similar force curve patterns as fingers were depressed, indicating suitable functionality for future testing. Strategies for proper placement and protection of these sensors for ideal data collection and longevity through the test session were developed and will be implemented going forward for future testing.

Reid, Christopher R.↗

Lower neck injury criteria for THOR and Hybrid III dummies in rear impact

The objectives of the study are to derive lower-neck-injury probability curves under rear impact loading from matched pair Hybrid III and THOR dummy tests. Methods: Twelve whole-body and 15 isolated head-neck rear-impact sled tests were conducted using the 2 dummies. They were positioned on a rigid seat that was attached to an acceleration sled. The dummies were positioned with the head parallel to the ground, torso against the seat back, and legs stretched such that there was no axial rotation. The acceleration pulse matched the previous in-house human cadaver tests. The 6-axis lower-neck load cell was used in both dummies. For the isolated rear-impact tests,the head-neck was excised from the dummies, and the lower-neck load cell was mounted to the top of the sled with the head parallel to the ground and such that the acceleration vector was in the rear impact mode. Lower-neck loads and lower-neck-injury criteria (LNij) were obtained using the load cell data and survival analysis to develop injury-assessment-risk values and curves for both dummies. The LNij criteria were determined for both dummies using the intercept value corresponding to the 90% probability level for the forces and moments. Results: The log normal and Weibull distributions were the optimal distributions for the Hybrid III and THOR devices. At the 50% risk level, the mean LNij of 1.1 and NCIS was 0.77 for the Hybrid III, and 1.5 NCIS was 0.30 for the THOR device. The quality indices were in the fair range and good range for the 2 dummies, respectively, at this risk level. Conclusions: The lower-neck-based IARCs and IARVs serve as the first dataset for injury assessments, and the THOR may be a better test device for assessing injures in rear impact environments.

Narayan Yoganandan↗

Modeling Spacesuit-Human Interaction for Injury Risk Identification

Performing functional tasks while inside of the space suit introduces additional ergonomic challenges which can lead to musculoskeletal stresses and injuries in astronauts. Computational modeling of the suit-body interaction can be used alongside human-in-the-loop testing to understand and mitigate these risks and potentially improve the work performance. In this work, a static rigid-body model of the human body was integrated with the space suit and the process is described. This model enables prediction of the resulting joint torques and musculoskeletal loading from a simulated extravehicular activity (EVA) task. For representative EVA tasks, joint torque and body angles were used as parameters to predict the muscle strength required to achieve the task, as well as the percentage of the general and astronaut-like population that could achieve that strength demand. Population strength capability can be used as an indicator of the difficulty of a task and the level of injury risk for the given task types and crew anthropometry. The sensitivity of the model to inputs such as body joint location within the space suit and individual anthropometry will also be evaluated. Future work will use a database of3D human body scans and the movements of the body inside the suit during different EVA tasks to identify potential soft tissue contact points. The specific locations and magnitudes of contacts between the body and suit are expected to identify risk of repetitive tissue contact stresses. Overall, this model will provide a new tool to structurally identify the injury risks of EVA tasks and evaluate alternate strategies to reduce injury risk.

Garima Gupta↗

Modeling and Simulation Credibility Assessment of Finite Element Models for Fall From Heights Injury Scenarios

Finite element (FE) computational models of the whole human body are being used to investigate the injury modalities and mechanisms arising from suited astronauts’ ExtraVehicular Activities (EVAs). These FE whole body models – simplified Elemance and THUMS pedestrian versions – have undergone a series of verification and validation (V&V) assessments for applications in automotive, domestic, and contact sports arenas. However, the FE models’ Modeling and Simulation (M&S) credibility assessments for simulating suited astronaut injuries due to fall from heights in altered gravity environments are limited. The current study evaluates the M&S credibility of simplified Elemance and THUMS pedestrian FE models based on eight credibility factors – data pedigree, input pedigree, code verification, solution verification, conceptual validation, referent validation, results uncertainty, and results robustness – as per NASA-STD-7009A [1]. These credibility factors were assigned ordinal scores ranging between 0 to 4, with a score of 0 in the case of insufficient evidence and 4 when all data for the model is known, used appropriately, and traceable to the Real-World System (RWS) with acceptable accuracy, precision, and uncertainty. The credibility factor sufficiency thresholds were assigned upon guidance from NASA EVA subject matter experts. The factor scores were ascertained through the evaluation of M&S credibility assessment procedures described in the published literature and FE model reports. The M&S credibility scores for the Elemance and THUMS FE models vary between 1 and 3 for data pedigree, input pedigree, and referent validation credibility factors, and between 0 and 1 for code verification, solution verification, conceptual validation, results uncertainty and results robustness. The results show that these FE models are credible for simulating fall from heights injury scenarios in specific kinematic and kinetic ranges that correlate with highway and contact sports-related external conditions. Multiple credibility elevation strategies are prescribed to improve the Elemance and THUMS models’ credibility for use in the EVA fall from height injury scenarios.

R A Perkins↗

Numerical Investigation of Occupant Injury Risks During A Realistic Transport Aircraft Crash Conditions

Researchers at the National Aeronautics and Space Administration (NASA) Langley Research Center (LaRC) have conducted a full-scale crash test of a Fokker F28 MK1000 aircraft to investigate the performance of transport aircraft under realistic crash conditions. This crash test was computationally recreated using finite element (FE) human body models (HBMs) to further explore potential injury risks to occupants and analyze the utilization of HBMs in the aerospace crash environment. The Global Human Body Model Consortium (GHBMC) male 50th percentile occupant detailed model (v6.0) and the Toyota Human Model for Safety (THUMS) male 50th percentile occupant model (v6.1) were selected to be used in the crash simulations. The HBMs were simulated in conditions matching those of anthropomorphic test device (ATD) experiments included within the aircraft cabin during the crash test. Seven occupant locations within the cabin were simulated utilizing each of the models. The models were positioned in a neutral upright posture with hands resting on the legs and the feet contacting the floor. Head, brain, neck, and lumbar vertebra injury metrics were calculated for all trials. Both HBM models required minor modifications to stabilize these simulations. The GHBMC model required added erosion for six parts while the THUMS model only required one in order to complete the full simulation. The THUMS model, however, required a much smaller timestep for stability and therefore took significantly more computational time. In addition the GHBMC model includes integrated instrumentation while the THUMS model requires development and implementation of instrumentation. Both models predicted 100% injury risk for lumbar vertebra fracture in all test conditions. This prediction was in family with high lumbar load values measured by the ATDs during the crash test. The THUMS model consistently predicted lower injury risks than the GHBMC model in all three other metrics varying depending on the crash pulse. Overall, the THUMS model required less modifications to allow for this study. However, the GHBMC models significantly faster run time and integrated instrumentation make it a more intuitive model for this research.

Crashworthiness↗

LTV-xEVA Applied Injury Biomechanics

Beginning in Artemis V, Lunar Terrain Vehicles (LTV) will be utilized to enable astronauts to explore the lunar south pole and conduct science farther from the landing site than during the Apollo program. However, LTV operation has the potential to cause injury to the suited crew member during their Extravehicular Activity (EVA). Injury risk caused by LTV acceleration and jerk combined with blunt loading from rigid suit components needs to be better understood. An effort began to create requirements for, model, and address the injury risk caused by the LTV combined with Exploration EVA (xEVA) suits. Mitigation of crew injury is a shared responsibility between LTV and the suit since neither can accomplish this independently. The modeling completed in Fiscal Year 2023 (FY23) helped to verify the fidelity of the requirements and parse out vendor responsibility (LTV, xEVAS, or NASA) for Artemis V and beyond. The scope of the modeling in FY23 used the LTV System Requirements Document (SRD) as worst-case inputs and modeled female 5th-, male 50th-, and male 95th-percentile subjects in hard-mounted seated and semi-standing postures. Soft-mounted (i.e., lap belt) and testing to validate the analysis was determined out of scope for FY23 work.

Spacesuit↗

LTV-xEVA Applied Injury Biomechanics

Beginning in Artemis V, Lunar Terrain Vehicles (LTV) will be utilized to enable astronauts to explore the lunar south pole and conduct science farther from the landing site than during the Apollo program. However, LTV operation has the potential to cause injury to the suited crew member during their Extravehicular Activity (EVA). Injury risk caused by LTV acceleration and jerk combined with blunt loading from rigid suit components needs to be better understood. An effort began to create requirements for, model, and address the injury risk caused by the LTV combined with Exploration EVA (xEVA) suits. Mitigation of crew injury is a shared responsibility between LTV and the suit since neither can accomplish this independently. The modeling completed in Fiscal Year 2023 (FY23) helped to verify the fidelity of the requirements and parse out vendor responsibility (LTV, xEVAS, or NASA) for Artemis V and beyond. The scope of the modeling in FY23 used the LTV System Requirements Document (SRD) as worst-case inputs and modeled female 5th-, male 50th-, and male 95th-percentile subjects in hard-mounted seated and semi-standing postures. Soft-mounted (i.e., lap belt) and testing to validate the analysis was determined out of scope for FY23 work.

Spacesuit↗

Controlled environment life support system: Calcium-related leaf injuries on plants

A calcium related injury in lettuce termed tipburn was the focus of this study. It affects the young developing leaves as they become enclosed during head formation. It is a good model system to study because the injury can be induced with good predictability and lettuce is one of the crops chosen by the CELSS program for concentrated study. Investigations were undertaken to study a number of different procedures, that would have the potential for encouraging movement of calcium into the young developing leaves and to study the time course and pattern of calcium accumulation in developing leaves to provide a basis for developing effective control procedures for this injury.

Tibbitts, T. W.↗

Artificial Gravity as a Countermeasure of Cardiovascular Deconditioning in Spinal Cord Injury

An essential item in the development of this project was the availability of the artificial gravity simulator (AGS). At the termination of that grant in 1994, the AGS was dismantled and transferred to NASA Johnson Space Center. It took over two years for the AGS to be re-assembled and re-certified for use. As a consequence of the non-availability of the AGS for two years, there was a considerable delay in implementing the various phases of the project. The subjects involved in the study were eight healthy able bodied subjects and twelve with spinal cord injury. After analysis of the data collected on these subjects, six of the healthy able bodied subjects and three of the sub ects with spinal cord injury were found to qualify for the study. This report gives the results of four subjects only, two healthy able bodied and two spinal cord injured subjects because the period of the grant (1 year) and its extension (1 year) expired before additional subjects could be studied. The principal objective of the study was to conduct a series of experiments to demonstrate the feasibility of utilizing artificial gravity to assist in the physical rehabilitation of persons with spinal cord injuries.

Cardus, David↗

Hypergravity Alters the Susceptibility of Cells to Anoxia-Reoxygenation Injury

Gravity is a physical force, much like shear stress or mechanical stretch, and should affect organ and cellular function. Researchers have shown that gravity plays a role in ventilation and blood flow distribution, gas exchange, alveolar size and mechanical stresses within the lung. Short exposure to microgravity produced marked alterations in lung blood flow and ventilation distribution while hypergravity exaggerated the regional differences in lung structure and function resulting in reduced ventilation at the base and no ventilation of the upper half of the lung. Microgravity also decreased metabolic activity in cardiac cells, WI-38 embryonic lung cells, and human lymphocytes. Rats, in the tail-suspended head-down tilt model, experienced transient loss of lung water, contrary to an expected increase due to pooling of blood in the pulmonary vasculature. Hypergravity has also been found to increase the proliferation of several different cell lines (e.g., chick embryo fibroblasts) while decreasing cell motility and slowing liver regeneration following partial hepatectomy. These studies show that changes in the gravity environment will affect several aspects of organ and cellular function and produce major change in blood flow and tissue/organ perfusion. However, these past studies have not addressed whether ischemia-reperfusion injury will be exacerbated or ameliorated by changes in the gravity environment, e.g., space flight. Currently, nothing is known about how gravity will affect the susceptibility of different lung and vascular cells to this type of injury. We conducted studies that addressed the following question: Does the susceptibility of lung fibroblasts, vascular smooth muscle, and endothelial cells to anoxia/reoxygenation injury change following exposure to hypergravity conditions?

McCloud, Henry↗