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At least 91 records · Page 5

A Global Precipitation Perspective on Persistent Extratropical Flow Anomalies

Two globally-complete, observation-only precipitation datasets have recently been developed for the Global Precipitation Climatology Project (GPCP). Both depend heavily on a variety of satellite input, as well as gauge data over land. The first, Version 2 x 79, provides monthly estimates on a 2.5 deg x 2.5 deg lat/long grid for the period 1979 through late 1999 (by the time of the conference). The second, the One-Degree Daily (1DD), provides daily estimates on a 1 deg x 1 deg grid for the period 1997 through late 1999 (by the time of the conference). Both are in beta test preparatory to release as official GPCP products. These datasets provide a unique perspective on the hydrological effects of the various atmospheric flow anomalies that have been identified by meteorologists. In this paper we discuss the regional precipitation effects that result from persistent extratropical flow anomalies. We will focus on the Pacific-North America (PNA) and North Atlantic Oscillation (NAO) patterns. Each characteristically becomes established on synoptic time scales, but then persists for periods that can exceed a month. The onset phase of each appears to have systematic mobile features, while the mature phase tend to be more stationary. Accordingly, composites of monthly data for outstanding positive and negative events (separately) contained in the 20-year record reveal the climatological structure of the precipitation during the mature phase. The climatological anomalies of the positive, negative, and (positive-negative) composites show the expected storm-track-related shifts in precipitation, and provide the advantage of putting the known precipitation effects over land in the context of the total pattern over land and ocean. As well, this global perspective points out some unexpected areas of correlation. Day-by-day composites of daily data anchored to the onset date demonstrate the systematic features during the onset. Although the 1DD has a fairly short record, some preliminary results are shown and compared to previous work with numerical weather prediction models.

Huffman, George J.

Jovian H2 dayglow emission (1978-1989)

The IUE data set accumulated through 10 years of Jovian equatorial observations is used to measure the long-term temporal variation of the H2 dayglow emission. The model that best fits the data indicates a possible correlation between long-term solar activity and the Jovian H2 emission in the region 1500-1700 A between 1978 and 1989, which spans the decline in solar activity for solar cycle 21 and the rise in solar activity accompanying solar cycle 22. The magnitude of the observed variation is closer to that of the solar Ly-alpha flux than the 10.7 cm radio flux. Short-wavelength H2 band emission intensity is inconsistent with the amount of long-wavelength emission but may be reconciled if relatively low-energy excitation or fluorescence of solar radiation is invoked. No persistent longitudinal feature analogous to the H I Ly-alpha can be identified.

Mcgrath, M. A.

Regional Atmospheric CO2 Inversion Reveals Seasonal and Geographic Differences in Amazon Net Biome Exchange

Understanding tropical rainforest carbon exchange and its response to heat and drought is critical for quantifying the effects of climate change on tropical ecosystems, including global climate carbon feedbacks. Of particular importance for the global carbon budget is net biome exchange of CO2 with the atmosphere (NBE), which represents nonfire carbon fluxes into and out of biomass and soils. Subannual and sub-Basin Amazon NBE estimates have relied heavily on process-based biosphere models, despite lack of model agreement with plot-scale observations. We present a new analysis of airborne measurements that reveals monthly, regional-scale (Approx.1-8 x 10(exp -6) km2) NBE variations. We develop a regional atmospheric CO2 inversion that provides the first analysis of geographic and temporal variability in Amazon biosphere-atmosphere carbon exchange and that is minimally influenced by biosphere model-based first guesses of seasonal and annual mean fluxes. We find little evidence for a clear seasonal cycle in Amazon NBE but do find NBE sensitivity to aberrations from long-term mean climate. In particular, we observe increased NBE (more carbon emitted to the atmosphere) associated with heat and drought in 2010, and correlations between wet season NBE and precipitation (negative correlation) and temperature (positive correlation). In the eastern Amazon, pulses of increased NBE persisted through 2011, suggesting legacy effects of 2010 heat and drought. We also identify regional differences in postdrought NBE that appear related to long-term water availability. We examine satellite proxies and find evidence for higher gross primary productivity (GPP) during a pulse of increased carbon uptake in 2011, and lower GPP during a period of increased NBE in the 2010 dry season drought, but links between GPP and NBE changes are not conclusive. These results provide novel evidence of NBE sensitivity to short-term temperature and moisture extremes in the Amazon, where monthly and sub-Basin estimates have not been previously available.

precipitation

Asymmetric Surface Brightness Structure of Caustic Crossing Arc in SDSS J1226+2152: A Case for Dark Matter Substructure

We study the highly magnified arc SGAS J122651.3+215220 caused by a star-forming galaxy at z s = 2.93 crossing the lensing caustic cast by the galaxy cluster SDSS J1226+2152 (z l = 0.43), using Hubble Space Telescope observations. We report in the arc several asymmetric surface brightness features whose angular separations are a fraction of an arcsecond from the lensing critical curve and appear to be highly but unequally magnified image pairs of underlying compact sources, with one brightest pair having clear asymmetry consistently across four filters. One explanation of unequal magnification is microlensing by intracluster stars, which induces independent flux variations in the images of individual or groups of source stars in the lensed galaxy. For a second possibility, intracluster dark matter subhaloes invisible to telescopes effectively perturb lensing magnifications near the critical curve and give rise to persistently unequal image pairs. Our modelling suggests, at least for the most prominent identified image pair, that the microlensing hypothesis is in tension with the absence of notable asymmetry variation over a six-year baseline, while subhaloes of ∼10 6 –10 8 \Mꙩ anticipated from structure formation with cold dark matter typically produce stationary and sizable asymmetries. We judge that observations at additional times and more precise lens models are necessary to stringently constrain temporal variability and robustly distinguish between the two explanations. The arc under this study is a scheduled target of a Director’s Discretionary Early Release Science program of the James Webb Space Telescope, which will provide deep images and a high-resolution view with integral field spectroscopy.

Liang Dai

The dynamics of herpesvirus and polyomavirus reactivation and shedding in healthy adults: a 14-month longitudinal study

Humans are infected with viruses that establish long-term persistent infections. To address whether immunocompetent individuals control virus reactivation globally or independently and to identify patterns of sporadic reactivation, we monitored herpesviruses and polyomaviruses in 30 adults, over 14 months. Epstein-Barr virus (EBV) DNA was quantitated in saliva and peripheral blood mononuclear cells (PBMCs), cytomegalovirus (CMV) was assayed in urine, and JC virus (JCV) and BK virus (BKV) DNAs were assayed in urine and PBMCs. All individuals shed EBV in saliva, whereas 67% had >or=1 blood sample positive for EBV. Levels of EBV varied widely. CMV shedding occurred infrequently but occurred more commonly in younger individuals (P<.03). JCV and BKV virurias were 46.7% and 0%, respectively. JCV shedding was age dependent and occurred commonly in individuals >or=40 years old (P<.03). Seasonal variation was observed in shedding of EBV and JCV, but there was no correlation among shedding of EBV, CMV, and JCV (P>.50). Thus, adults independently control persistent viruses, which display discordant, sporadic reactivations.

Non-NASA Center

Resolution Enhancement of MODIS-Derived Water Indices for Studying Persistent Flooding

Monitoring coastal marshes for persistent flooding and salinity stress is a high priority issue in Louisiana. Remote sensing can identify environmental variables that can be indicators of marsh habitat conditions, and offer timely and relatively accurate information for aiding wetland vegetation management. Monitoring activity accuracy is often limited by mixed pixels which occur when areas represented by the pixel encompasses more than one cover type. Mixtures of marsh grasses and open water in 250m Moderate Resolution Imaging Spectroradiometer (MODIS) data can impede flood area estimation. Flood mapping of such mixtures requires finer spatial resolution data to better represent the cover type composition within 250m MODIS pixel. Fusion of MODIS and Landsat can improve both spectral and temporal resolution of time series products to resolve rapid changes from forcing mechanisms like hurricane winds and storm surge. For this study, using a method for estimating sub-pixel values from a MODIS time series of a Normalized Difference Water Index (NDWI), using temporal weighting, was implemented to map persistent flooding in Louisiana coastal marshes. Ordinarily NDWI computed from daily 250m MODIS pixels represents a mixture of fragmented marshes and water. Here, sub-pixel NDWI values were derived for MODIS data using Landsat 30-m data. Each MODIS pixel was disaggregated into a mixture of the eight cover types according to the classified image pixels falling inside the MODIS pixel. The Landsat pixel means for each cover type inside a MODIS pixel were computed for the Landsat data preceding the MODIS image in time and for the Landsat data succeeding the MODIS image. The Landsat data were then weighted exponentially according to closeness in date to the MODIS data. The reconstructed MODIS data were produced by summing the product of fractional cover type with estimated NDWI values within each cover type. A new daily time series was produced using both the reconstructed 250-m MODIS, with enhanced features, and the approximated daily 30-m high-resolution image based on Landsat data. The algorithm was developed and tested over the Calcasieu-Sabine Basin, which was heavily inundated by storm surge from Hurricane Ike to study the extent and duration of flooding following the storm. Time series for 2000-2009, covering flooding events by Hurricane Rita in 2005 and Hurricane Ike in 2008, were derived. High resolution images were formed for all days in 2008 between the first cloud free Landsat scene and the last cloud-free Landsat scene. To refine and validate flooding maps, each time series was compared to Louisiana Coastwide Reference Monitoring System (CRMS) station water levels adjusted to marsh to optimize thresholds for MODIS-derived time series of NDWI. Seasonal fluctuations were adjusted by subtracting ten year average NDWI for marshes, excluding the hurricane events. Results from different NDWI indices and a combination of indices were compared. Flooding persistence that was mapped with higher-resolution data showed some improvement over the original MODIS time series estimates. The advantage of this novel technique is that improved mapping of extent and duration of inundation can be provided.

Underwood, L. W.

Identifying Large Transients within ARTEMIS Solar Wind Data for Nightside Time Domain Electromagnetic Sounding

Mysteries regarding the Moon’s internal composition persist. By studying the induced magnetic fields produced by the Moon in response to changes in the magnetic field of the surrounding solar wind, inferences can be made regarding the associated eddy currents and thus regarding the electrical conductivities of the lunar regions hosting these currents. In this manner, a greater understanding of the Moon’s inner geophysical properties can be garnered. This investigative strategy, known as electromagnetic sounding, can be employed using magnetic field data from the ARTEMIS satellites. In particular, data taken from time intervals in which one satellite is within the lunar wake and within 500 km of the surface while the other is relatively far from the surface immersed within the pristine solar wind. Per Faraday’s Law, the steeper the magnetic transient from the solar wind, the greater the current induced within the Moon, and per Ampère’s Law, the greater this induced current, the larger the magnetic field it produces. Larger signals generally feature higher signal-to-noise ratios (SNRs). Thus, larger transients tend to produce more valuable data in terms of sounding. The enhanced separation between source signal and reaction signal via the aforementioned positioning of the probes during time intervals of interest augments the SNRs as well. Here we discuss tools developed in Python (making use of the PySPEDAS package) that expedites the task of identifying large magnetic transients within these time frames of interest. These exceptional changes in magnetic field are then evaluated for use in electromagnetic sounding as described above. We have identified 51 major transient events (during times of interest) from 8/1/2011 to 7/31/2021. One key hurdle we overcame was identifying and navigating data gaps. These data gaps would often interfere with our time intervals of interest, necessitating an algorithm to avoid them.

Moons

Chemical Pollution from Combustion of Modern Spacecraft Materials

Fire is one of the most critical contingencies in spacecraft and any closed environment including submarines. Currently, NASA uses particle based technology to detect fires and hand-held combustion product monitors to track the clean-up and restoration of habitable cabin environment after the fire is extinguished. In the future, chemical detection could augment particle detection to eliminate frequent nuisance false alarms triggered by dust. In the interest of understanding combustion from both particulate and chemical generation, NASA Centers have been collaborating on combustion studies at White Sands Test Facility using modern spacecraft materials as fuels, and both old and new technology to measure the chemical and particulate products of combustion. The tests attempted to study smoldering pyrolysis at relatively low temperatures without ignition to flaming conditions. This paper will summarize the results of two 1-week long tests undertaken in 2012, focusing on the chemical products of combustion. The results confirm the key chemical products are carbon monoxide (CO), hydrogen cyanide (HCN), hydrogen fluoride (HF) and hydrogen chloride (HCl), whose concentrations depend on the particular material and test conditions. For example, modern aerospace wire insulation produces significant concentration of HF, which persists in the test chamber longer than anticipated. These compounds are the analytical targets identified for the development of new tunable diode laser based hand-held monitors, to replace the aging electrochemical sensor based devices currently in use on the International Space Station.

Mudgett, Paul D.

Maintenance Human Factors and Flight Safety

This chapter will chronicle the journey of the community of operators, regulators, and researchers who embarked upon the task of identifying critical human factors of maintenance and inspection, establishing a database and research tools, developing practical strategies for reducing the risks of maintenance and inspection errors, and understanding its critical role in preserving flight safety. We will take a historical perspective, developing a timeline that is largely driven by key events such as accidents and regulatory/government actions and initiatives. Part 1 focuses on how the field of maintenance human factors was built, beginning in the late 1980’s. Part 2 describes the development of methods and tools for meeting the maintenance human factors challenges identified. Finally, Part 3 updates the original chapter by focusing on issues that have persisted or emerged since 2010.

maintenance

A Comparative Study of Contrail Frequency Indices and GOES-16 Contrail Data Set

Contrail formations have been shown to contribute to the greenhouse effect: they are practically transparent to incoming solar radiation and do little to reflect heat away from Earth but are highly effective at trapping heat within Earth’s atmosphere. To understand the impact contrails have on climate change, contrail frequency indices (CFIs) can be used as a method to quantify aircraft-induced persistent contrails. These indices are capable of tracking long-term contrail formation and identify regions of airspace with the highest contrail formation rates. In this aper, an algorithm is proposed which is capable of using NASA Sherlock and Global Forecast System (GFS) datasets and computing CFIs over large geographic regions and long temporal intervals using NASA Ames’ High-End Computing Capability (HECC) supercomputing system. CFIs are computed using nowcast weather data and previously flown flight tracks. This paper calculated the CFIs of all twenty Air Route Traffic Control Centers in the National Airspace System on October 28th, 2019 and compared the distribution of non-zero CFIs with observed contrail data collected from GOES-16 Satellite data in order to assess the accuracy of the CFI system as a contrail prediction model. It was ultimately determined that the computed CFIs were broadly distributed in the same way as the GOES-16 contrail data and that the individual CFIs computed at the latitude/longitude points at which GOES-16 contrail masks were available had high precision and recall (at 0.75 and 0.86 respectively). While these validation results bode well for the accuracy of the CFI method, the number of provided GOES-16 masks was quite small. Future work should aim to increase the size of the GOES-16 dataset in order to perform a more comprehensive comparison between these two datasets.

Contrails

A Comparative Study of Contrail Frequency Indices and GOES-16 Contrail Data Set

Contrail formations have been shown to contribute to the greenhouse effect: they are practically transparent to incoming solar radiation and do little to reflect heat away from Earth but are highly effective at trapping heat within Earth’s atmosphere. To understand the impact contrails have on climate change, contrail frequency indices (CFIs) can be used as a method to quantify aircraft-induced persistent contrails. These indices are capable of tracking long-term contrail formation and identify regions of airspace with the highest contrail formation rates. In this aper, an algorithm is proposed which is capable of using NASA Sherlock and Global Forecast System (GFS) datasets and computing CFIs over large geographic regions and long temporal intervals using NASA Ames’ High-End Computing Capability (HECC) supercomputing system. CFIs are computed using nowcast weather data and previously flown flight tracks. This paper calculated the CFIs of all twenty Air Route Traffic Control Centers in the National Airspace System on October 28th, 2019 and compared the distribution of non-zero CFIs with observed contrail data collected from GOES-16 Satellite data in order to assess the accuracy of the CFI system as a contrail prediction model. It was ultimately determined that the computed CFIs were broadly distributed in the same way as the GOES-16 contrail data and that the individual CFIs computed at the latitude/longitude points at which GOES-16 contrail masks were available had high precision and recall (at 0.75 and 0.86 respectively). While these validation results bode well for the accuracy of the CFI method, the number of provided GOES-16 masks was quite small. Future work should aim to increase the size of the GOES-16 dataset in order to perform a more comprehensive comparison between these two datasets.

Contrails

Analysis of adaptive identifiers in the presence of unmodelled dynamics: Averaging and tuned parameters

The behavior of a standard identifier is analyzed for the case in which the plant contains additional dynamics, called unmodeled dynamics, which invalidate the known order assumption. An input richness condition is obtained that does not depend on the order of the unmmodeled dynamics to guarantee persistency of excitation (PE) of the regressor. It is shown that the PE condition leads to a BIBO stability property for the identifier. The method of averaging is used to define formally the notion of tuned parameters as the equilibrium of the identifier-averaged system. It is shown that the tuned parameters always exist and that the actual parameters converge to some neighborhood of the tuned parameters. An explicit expression is derived to calculate and interpret them as the fixed parameter values that minimize the mean-squared output error.

Mason, J. E.

The Global Precipitation Patterns Associated with Short-Term Extratropical Climate Fluctuations

Two globally-complete, observation-only precipitation datasets have recently been developed for the Global Precipitation Climatology Project (GPCP). Both depend heavily on a variety of satellite input, as well as gauge data over land. The first, Version 2x79, provides monthly estimates on a 2.5 deg. x 2.5 deg. lat/long grid for the period 1979 through late 1999 (by the time of the conference). The second, the One-Degree Daily (1DD), provides daily estimates on a 1 deg. x l deg. grid for the period 1997 through late 1999 (by the time of the conference). Both are in beta test preparatory to release as official GPCP products. These datasets provide a unique perspective on the hydrological effects of the various atmospheric flow anomalies that have been identified by meteorologists. In this paper we discuss the regional precipitation effects that result from persistent extratropical flow anomalies. We will focus on the Pacific-North America (PNA) and North Atlantic Oscillation (NAO) patterns. Each characteristically becomes established on synoptic time scales, but then persists for periods that can exceed a month. The onset phase of each appears to have systematic mobile features, while the mature phase tend to be more stationary. Accordingly, composites of monthly data for outstanding positive and negative events (separately) contained in the 20-year record reveal the climatological structure of the precipitation during the mature phase. The climatological anomalies of the positive, negative, and (positive-negative) composites show the expected storm-track-related shifts in precipitation, and provide the advantage of putting the known precipitation effects over land in the context of the total pattern over land and ocean. As well, this global perspective points out some unexpected areas of correlation. Day-by-day composites of daily data anchored to the onset date demonstrate the systematic features during the onset. Although the 1DD has a fairly short record, some preliminary results are shown and compared to previous work with numerical weather prediction models.

Huffman, George J.

Seed surface sanitization and persistence of E.coli through different tissues of ‘Red Robin’ Tomato (Solanum lycopersicum cv. Red Robin)

Seed surface sanitization via chemical processes removes/reduces microbes from the external surfaces of the seed and thereby could have an impact on the plants’ health or productivity. To determine the impact of seed surface sanitization on the plants’ microbiome, sanitized and unsanitized seeds from ‘Red Robin’ Tomato (Solanumlycopersicum cv. Red Robin) were exposed to Escherichia coli (E. coli) and grown in a controlled environment growth chamber simulating environmental conditions aboard the International Space Station (ISS). Plants were harvested at four intervals, days 11, 33,42 and 76 post-germination. Changes in the microbial communities of leaf, stem, root, and fruit because of E. coli exposure and the persistence of E. coli itself were investigated using aerobic plate count (APC), qPCR and 16S rRNA sequencing. It was determined that E. coli persisted for longer periods of time in plants from sanitized versus unsanitized seeds and was identified in root tissue more frequently than in leaf or stem tissue. E. coli was not detected in fruits raised from either sanitized or unsanitized seeds. The 16S rRNA sequencing showed dynamic changes in the abundance of members of the phylum Proteobacteria, Bacteroidetes, Actinobacteria, and Firmicutes in all tissue types studied. We observed minimal or no changes in the alpha diversity of leaf stem and fruit tissue with time, or between sanitized and unsanitized seeds. Roots showed significant differences in alpha diversity with time and seed sanitization status. Beta-diversity showed that time had more of an influence on all samples versus the E. coli treatment. Members of phyla Proteobacteria and Bacteroidetes were found to be differentially abundant across leaf, stem and root tissue. Our results indicated that the seed surface sanitization, although a requirement for sending seeds to space, might influence the developing microbiome. This research was funded by NASA’s Space Life and Physical Sciences Research and Applications.

Anirudha R Dixit

Enterococci in Space: Adaptation, Antibiotic Resistance, and Clinical Implications

Enterococci are gram-positive bacteria that originated when our ancient animal ancestors emerged from the oceans to live on land, and brought their gut flora with them. Enterococcus faecalis (EF) and Enterococcus faecium, are common human commensals and can harbor multidrug resistance. Both have been previously isolated from the International Space Station (ISS). Likely as a consequence of their evolutionary origins, enterococci show remarkable stress resistance within, but also outside, their human hosts. Their antibiotic resistance, coupled with tolerance to desiccation, starvation, and disinfection, make some EF strains potent pathogens in the built environment (e.g., hospitals), and a potential risk to crew health during space missions. Here we describe our planned flight studies, currently in development. Genomic Enumeration of Antibiotic Resistance in Space (GEARS) will characterize the frequency and genomic identity of antibiotic resistant organisms, including enterococci, on the ISS, and expand our future in-space sequencing-based diagnostic capabilities. Enterococcus Growth Advantage on ISS via Tn-seq (EnteroGAIT) will assess the evolutionary selective pressure of the space environment (microgravity, space radiation) using EF as a model system during a long-duration culture and persistence experiment. Adaptation & Evolution of Resilient Enterococcus in Space (AERES) will study existing and newly identified isolates to characterize the “natural” evolutionary history of EF on Earth and in space to reveal mechanisms of microbial adaption including, possibly, natural selection. Our work to date has identified that EF ISS isolates share virulence factors found in clinical strains and commensals, and revealed limitations of current pathogenicity assessment tools. While ISS isolates were, in some cases, multi-drug resistant, current data suggests these are largely commensal strains. Our work will further refine potential crew health risks and improve understanding of EF adaptation to the built environment, of great relevance on Earth where EF is the second leading cause of hospital acquired infection.

Jordan McKaig

Influence of Persistent Wind Scour on the Surface Mass Balance of Antarctica

Accurate quantification of surface snow accumulation over Antarctica is a key constraint for estimates of the Antarctic mass balance, as well as climatic interpretations of ice-core records. Over Antarctica, near-surface winds accelerate down relatively steep surface slopes, eroding and sublimating the snow. This wind scour results in numerous localized regions (< or = 200 sq km) with reduced surface accumulation. Estimates of Antarctic surface mass balance rely on sparse point measurements or coarse atmospheric models that do not capture these local processes, and overestimate the net mass input in wind-scour zones. Here we combine airborne radar observations of unconformable stratigraphic layers with lidar-derived surface roughness measurements to identify extensive wind-scour zones over Dome A, in the interior of East Antarctica. The scour zones are persistent because they are controlled by bedrock topography. On the basis of our Dome A observations, we develop an empirical model to predict wind-scour zones across the Antarctic continent and find that these zones are predominantly located in East Antarctica. We estimate that approx. 2.7-6.6% of the surface area of Antarctica has persistent negative net accumulation due to wind scour, which suggests that, across the continent, the snow mass input is overestimated by 11-36.5 Gt /yr in present surface-mass-balance calculations.

Antarctica

Advanced Energetics for Aeronautical Applications. Volume II

NASA has identified water vapor emission into the upper atmosphere from commercial transport aircraft, particularly as it relates to the formation of persistent contrails, as a potential environmental problem. Since 1999, MSE has been working with NASA-LaRC to investigate the concept of a transport-size emissionless aircraft fueled with liquid hydrogen combined with other possible breakthrough technologies. The goal of the project is to significantly advance air transportation in the next decade and beyond. The power and propulsion (P/P) system currently being studied would be based on hydrogen fuel cells (HFCs) powering electric motors, which drive fans for propulsion. The liquid water reaction product is retained onboard the aircraft until a flight mission is completed. As of now, NASA-LaRC and MSE have identified P/P system components that, according to the high-level analysis conducted to date, are light enough to make the emissionless aircraft concept feasible. Calculated maximum aircraft ranges (within a maximum weight constraint) and other performance predictions are included in this report. This report also includes current information on advanced energy-related technologies, which are still being researched, as well as breakthrough physics concepts that may be applicable for advanced energetics and aerospace propulsion in the future.

Alexander, David S.

Postural tachycardia syndrome: time frequency mapping

Orthostatic tachycardia is common but its specificity remains uncertain. Our preliminary work suggested that using autonomic function testing in conjunction with time-frequency mapping (TFM), it might be possible to characterize a subset of the postural tachycardia syndrome (POTS), that is due to a restricted autonomic neuropathy. We describe 20 patients (17 women and 3 men, aged 14-43 years) with florid POTS and 20 controls (14 women and 6 men, aged 20-41 years). Autonomic failure was quantified by its distribution (cardiovagal, adrenergic and sudomotor) and severity, a symptom profile was generated, and spectral indices, based on modified Wigner distribution during rest and head-up tilt (80 degrees) were evaluated. During tilt-up POTS patients differed from controls by an excessive heart rate (> 130 bpm) (P < 0.001), and higher diastolic pressure (P < 0.01). During rest, cardiovagal oscillations (at respiratory frequencies [RF]) and slow rhythms at nonrespiratory frequencies (NONRF) (from 0.01 to 0.07 Hz) in R-R intervals (RRI) (P < 0.01) were reduced. Both RF and NONRF rhythms in RRI were further blunted with tilt-up (P < 0.001). Slow adrenergic vasomotor rhythms in blood pressure (BP) (approximately 0.07 Hz) surged with tilt-up and returned to normal levels afterwards. The index of sympatho-vagal balance (NONRF-Systolic BP (SBP)/RF-RRI) was dramatically increased in POTS (P < 0.001). Distal postganglionic sudomotor failure was observed, and impairment of the BP responses to the Valsalva maneuver (phase II) suggested peripheral adrenergic dysfunction. Persistent orthostatic dizziness, tiredness, gastrointestinal symptoms and palpitations were common in POTS patients. It is possible to identify a subset of POTS patients who have a length-dependent autonomic neuropathy, affecting the peripheral adrenergic and cardiovagal fibers, with relative preservation of cardiac adrenergic fibers.

NASA Discipline Number 14-10