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1.
Eur J Med Res ; 28(1): 218, 2023 Jul 03.
Article in English | MEDLINE | ID: mdl-37400927

ABSTRACT

IMPORTANCE: COVID-19 has adversely affected global healthcare infrastructure since 2019. Currently, there are no large-scale published reports on the efficacy of combination therapy of dexamethasone, remdesivir, and tocilizumab on COVID-19 patients. OBJECTIVES: Is the combination therapy of dexamethasone, remdesivir, and tocilizumab superior to other treatments on hospitalized COVID-19 patients? DESIGN: This is a retrospective, comparative effectiveness study. SETTING: Single-center study PARTICIPANTS/INTERVENTIONS: We analyzed different inpatient COVID-19 treatment options available in the United States and their impact on hospital length of stay (LOS) and mortality. Hospitalized COVID-19 were categorized as "mild," "moderate" and "severe'' based on the highest level of oxygen required; room air, nasal cannula, or high flow/PAP/intubation, respectively. Patients were treated in accordance with the availability of medications and the latest treatment guidelines. MAIN OUTCOMES: The endpoints of the study are hospital discharges and death during hospitalization. RESULTS: 1233 COVID-19 patients were admitted from 2020 to 2021. No treatment combinations showed a statistically significant decrease in hospital LOS in mild COVID-19 patients (p = 0.186). In moderate patients, the combination of remdesivir and dexamethasone slightly decreased LOS by 1 day (p = 0.007). In severe patients, the three-drug combination of remdesivir, dexamethasone, and tocilizumab decreased LOS by 8 days (p = 0.0034) when compared to nonviable treatments, such as hydroxychloroquine and convalescent plasma transfusion. However, it did not show any statistically significant benefit when compared to two-drug regimens (dexamethasone plus remdesivir) in severe COVID-19 (p = 0.116). No treatment arm appeared to show a statistically significant decrease in mortality for severe COVID-19 patients. CONCLUSIONS: Our findings suggest that three-drug combination may decrease LOS in severe COVID-19 patients when compared to two-drug therapy. However, the trend was not supported by statistical analysis. Remdesivir may not be clinically beneficial for mild hospitalized COVID-19 patients; considering its cost, one could reserve it for moderate and severe patients. Triple drug therapies, while potentially reducing LOS for severe patients, do not affect overall mortality. Additional patient data may increase statistical power and solidify these findings.


Subject(s)
COVID-19 , Humans , COVID-19/therapy , Length of Stay , SARS-CoV-2 , COVID-19 Drug Treatment , Retrospective Studies , Blood Component Transfusion , Treatment Outcome , COVID-19 Serotherapy , Plasma , Dexamethasone/therapeutic use , Hospitals
2.
Environ Sci Technol ; 56(12): 8599-8609, 2022 06 21.
Article in English | MEDLINE | ID: mdl-35544760

ABSTRACT

Natural gas leaks in local distribution systems can develop as underground pipeline infrastructure degrades over time. These leaks lead to safety, economic, and climate change burdens on society. We develop an environmental justice analysis of natural gas leaks discovered using advanced leak detection in 13 U.S. metropolitan areas. We use Bayesian spatial regression models to study the relationship between the density of leak indications and sociodemographic indicators in census tracts. Across all metro areas combined, we found that leak densities increase with increasing percent people of color and with decreasing median household income. These patterns of infrastructure injustice also existed within most metro areas, even after accounting for housing age and the spatial structure of the data. Considering the injustices described here, we identify actions available to utilities, regulators, and advocacy groups that can be taken to improve the equity of local natural gas distribution systems.


Subject(s)
Air Pollutants , Natural Gas , Air Pollutants/analysis , Bayes Theorem , Humans , Income , Methane/analysis , Natural Gas/analysis
3.
J Environ Qual ; 51(5): 877-889, 2022 Sep.
Article in English | MEDLINE | ID: mdl-35436352

ABSTRACT

Precise water and fertilizer application can increase crop water productivity and reduce agricultural contributions to greenhouse gas (GHG) emissions. Regulated deficit irrigation (DI) and drip fertigation control the amount, location, and timing of water and nutrient application. Yet, few studies have measured GHG emissions under these practices, especially for maize (Zea mays L.). The objective was to quantify N2 O and CO2 emission from DI and full irrigation (FI) within a drip-fertigated maize system in northeastern Colorado. During two growing seasons of measurement, treatments consisted of mild, moderate, and extreme DI and FI. Deficit irrigation was managed based on growth stage so that full evapotranspiration (ET) was met during the yield-sensitive reproductive stage, but less than full crop ET was applied during the late vegetative and maturation growth stages. In the first year, mild DI (90% ET) reduced N2 O emissions by 50% compared with FI. In the second year, compared with FI, moderate DI (69-80% ET) reduced N2 O emissions by 15%, and extreme DI (54-68% ET) reduced N2 O emissions by 40%. Only extreme DI in the second year significantly reduced CO2 emissions (by 30%) compared with FI. Mild DI reduced yield-scaled emissions in the first year, but moderate and extreme DI had similar yield-scaled emissions as FI in the second year. The surface drip fertigation resulted in total GHG emissions that were one-tenth of literature-based measurements from sprinkler-irrigated maize systems. This study illustrates the potential of DI and drip fertigation to reduce N2 O and CO2 emissions in irrigated cropping systems.


Subject(s)
Greenhouse Gases , Agricultural Irrigation/methods , Agriculture/methods , Carbon Dioxide/analysis , China , Colorado , Fertilizers/analysis , Greenhouse Gases/analysis , Nitrous Oxide/analysis , Soil , Water , Zea mays
4.
Glob Chang Biol ; 28(13): 4163-4179, 2022 07.
Article in English | MEDLINE | ID: mdl-35377524

ABSTRACT

Nitrous oxide (N2 O) is a formidable greenhouse gas with a warming potential ~300× greater than CO2 . However, its emissions to the atmosphere have gone largely unchecked because the microbial and environmental controls governing N2 O emissions have proven difficult to manage. The microbial process N2 O consumption is the only know biotic pathway to remove N2 O from soil pores and therefore reduce N2 O emissions. Consequently, manipulating soils to increase N2 O consumption by organic carbon (OC) additions has steadily gained interest. However, the response of N2 O emissions to different OC additions are inconsistent, and it is unclear if lower N2 O emissions are due to increased consumption, decreased production, or both. Simplified and systematic studies are needed to evaluate the efficacy of different OC additions on N2 O consumption. We aimed to manipulate N2 O consumption by amending soils with OC compounds (succinate, acetate, propionate) more directly available to denitrifiers. We hypothesized that N2 O consumption is OC-limited and predicted these denitrifier-targeted additions would lead to enhanced N2 O consumption and increased nosZ gene abundance. We incubated diverse soils in the laboratory and performed a 15 N2 O isotope pool dilution assay to disentangle microbial N2 O emissions from consumption using laser-based spectroscopy. We found that amending soils with OC increased gross N2 O consumption in six of eight soils tested. Furthermore, three of eight soils showed Increased N2 O Consumption and Decreased N2 O Emissions (ICDE), a phenomenon we introduce in this study as an N2 O management ideal. All three ICDE soils had low soil OC content, suggesting ICDE is a response to relaxed C-limitation wherein C additions promote soil anoxia, consequently stimulating the reduction of N2 O via denitrification. We suggest, generally, OC additions to low OC soils will reduce N2 O emissions via ICDE. Future studies should prioritize methodical assessment of different, specific, OC-additions to determine which additions show ICDE in different soils.


Subject(s)
Carbon , Soil , Denitrification , Isotopes , Nitrous Oxide/analysis , Soil/chemistry , Soil Microbiology
5.
Gene Ther ; 29(10-11): 616-623, 2022 11.
Article in English | MEDLINE | ID: mdl-34759330

ABSTRACT

Viral vector-mediated gene therapies have the potential to treat many human diseases; however, host immune responses against the vector and/or the transgene pose a safety risk to the patients and can negatively impact product efficacy. Thus, novel strategies to reduce vector immunogenicity are critical for the advancement of these therapies. T cell activation (TCA) is required for the development of immune responses during gene therapy. We hypothesized that modulation of TCA by incorporating a novel viral immunomodulatory factor into a viral vector may reduce unwanted TCA and immune responses during gene therapy. To test this hypothesis, we identified an immunomodulatory domain of the hepatitis C virus (HCV) NS protein 5A (NS5A) protein and studied the effect of viral vectors expressing NS5A peptide on TCA. Lentiviral vector-mediated expression of a short 20-mer peptide derived from the NS5A protein in human T cells was sufficient to inhibit TCA. Synthetic 20-mer NS5A peptide also inhibited TCA in primary human T cells. Mechanistically, the NS5A protein interacted with Lck and inhibited proximal TCR signaling. Importantly, NS5A peptide expression did not cause global T cell signaling dysfunction as distal T cell signaling was not inhibited. Finally, recombinant adeno-associated virus (AAV) vector expressing the 20-mer NS5A peptide reduced both the recall antigen and the TCR-mediated activation of human T cells and did not cause global T cell signaling dysfunction. Together, these data suggest that expression of a 20-mer NS5A peptide by an AAV vector may reduce unwanted TCA and may contribute to lower vector immunogenicity during gene therapy.


Subject(s)
Hepacivirus , Hepatitis C , Humans , Hepacivirus/genetics , Viral Nonstructural Proteins/genetics , Viral Nonstructural Proteins/chemistry , Viral Nonstructural Proteins/metabolism , Hepatitis C/therapy , T-Lymphocytes , Receptors, Antigen, T-Cell , Peptides
6.
J Immunother ; 45(3): 139-149, 2022 04 01.
Article in English | MEDLINE | ID: mdl-34802014

ABSTRACT

Chimeric antigen receptor expressing T cells (CAR-T cells) have shown remarkable efficacy against some blood cancers and have potential to treat many other human diseases. During CAR-T cell manufacturing, T cells are activated via engagement of the T-cell receptor (TCR); however, persistent TCR engagement can induce unchecked activation, differentiation, and exhaustion, which can negatively affect CAR-T cell product quality and in vivo potency. In addition, T cells may not uniformly respond to TCR-dependent activation (TCRD) contributing to lot-to-lot variability, poor expansion, and manufacturing failures. TCRD also presents challenges during manufacturing of allogeneic CAR-T cells when endogenous TCR is deleted to prevent graft-versus-host disease. Thus, novel strategies to activate T cells may help improve CAR-T cell product attributes and reduce manufacturing failures. In this study, we compared the effect of TCRD and TCR-independent activation (TCRI) on CAR-T cell product attributes. We found that TCRI in presence of a Src-kinase inhibitor significantly improved CAR-T cell expansion and yield without affecting viability and CD4/CD8 ratio. Markers of T-cell activation, exhaustion and differentiation were also reduced in these CAR-T cells compared with CAR-T cells manufactured by TCRD. TCRI did not affect CAR-T cell in vitro potency; however, following co-culture with target cells, CAR-T cells manufactured by TCRI released significantly less inflammatory cytokines compared with CAR-T cells manufactured by TCRD. Together, these data suggest that manufacturing CAR-T cells by TCRI activation in the presence of a Src-kinase inhibitor improves product quality attributes and may help reduce manufacturing failures and improve CAR-T cell safety and efficacy in vivo.


Subject(s)
Immunotherapy, Adoptive , src-Family Kinases , Humans , Lymphocyte Activation , Receptors, Antigen, T-Cell/genetics , T-Lymphocytes
7.
Front Immunol ; 12: 693016, 2021.
Article in English | MEDLINE | ID: mdl-34220853

ABSTRACT

Engineered T cell therapies such as chimeric antigen receptor (CAR) expressing T cells (CAR-T cells) have great potential to treat many human diseases; however, inflammatory toxicities associated with these therapies present safety risks and can greatly limit its widespread use. This article briefly reviews our current understanding of mechanisms for inflammatory toxicities during CAR T-cell therapy, current strategies for management and mitigation of these risks and highlights key areas of knowledge gap for future research.


Subject(s)
Immunotherapy, Adoptive/adverse effects , Inflammation/prevention & control , Receptors, Chimeric Antigen/immunology , T-Lymphocytes/transplantation , Animals , Humans , Inflammation/etiology , Inflammation/immunology , Inflammation/metabolism , Inflammation Mediators/immunology , Inflammation Mediators/metabolism , Phenotype , Receptors, Chimeric Antigen/genetics , Risk Assessment , Risk Factors , Signal Transduction , T-Lymphocytes/immunology , T-Lymphocytes/metabolism , Treatment Outcome
9.
Rapid Commun Mass Spectrom ; 35(3): e8978, 2021 Feb 15.
Article in English | MEDLINE | ID: mdl-33053257

ABSTRACT

RATIONALE: Technological advances have motivated researchers to transition from traditional gas chromatography/isotope ratio mass spectrometry to rapid, high-throughput, laser-based instrumentation for N2 O isotopic research. However, calibrating laser-based instruments to yield accurate and precise isotope ratios has been an ongoing challenge. To streamline the N2 O isotope research pipeline, we developed the calibration protocol for laser-based analyzers described here. While our approach is targeted at laboratory soil incubations, we anticipate that it will be broadly applicable for diverse types of stable isotope research. METHODS: We prepared standards diluted from USGS52 and from a commercial cylinder to develop a calibration curve spanning from 0.3 to 300 ppm N2 O. To calibrate over this broad range, we binned each isotopocule (N2 O, N15 NO, 15 NNO, and NN18 O) into low, medium, and high concentration ranges and then used mathematically similar polynomial functions to calibrate the isotopocules within each concentration range. We also assessed the temporal stability of the instrument and the capacity for our calibration approach to work with isotopically enriched gas samples. RESULTS: Our calibration approach yielded generally accurate and precise data when isotopocules were calibrated in concentration ranges, and the measurements appeared to be temporally stable. For all isotopocules at natural abundance, the residual percentage error was smallest in the medium N2 O range. There was more noise in the corrected isotopomers and isotopologue at natural abundance in samples with the lowest and highest N2 O concentrations. Corrected isotopomer results from isotopically enriched samples were very precise. CONCLUSIONS: Developing our calibration strategy involved learning several key lessons: (1) calibrate isotopocules in distinct concentration ranges, (2) use mathematically similar models to calibrate the isotopocules in each range, (3) calibrated N2 O concentrations and δ values tend to be most accurate and precise in the medium N2 O range, and (4) we encourage users to take advantage of isotopic enrichment to capitalize on laser-based instrument strengths.


Subject(s)
Mass Spectrometry/standards , Nitrogen Isotopes/analysis , Oxygen Isotopes/analysis , Soil/chemistry , Calibration , Lasers , Mass Spectrometry/instrumentation , Mass Spectrometry/methods , Nitrous Oxide/analysis
10.
Environ Sci Technol ; 54(14): 8958-8967, 2020 07 21.
Article in English | MEDLINE | ID: mdl-32519849

ABSTRACT

We estimate methane emissions from U.S. local distribution natural gas (NG) pipes using data collected from an advanced mobile leak detection (AMLD) platform. We estimate that there are 630,000 leaks in U.S. distribution mains, resulting in methane emissions of 0.69 Tg/year (95% cr int: 0.25, 1.23). Total emissions are calculated as the product of activity factors and emissions factors. Our analysis leveraged data on >4000 leak indications found using AMLD, combined with utility pipeline GIS information, to allow us to estimate activity factors. We derive emissions factors from AMLD emission rate estimates and correct these emissions factors based on data from in-field studies assessing AMLD emissions estimates. Finally, we quantify uncertainty in both emissions factors and activity factors and propagate the uncertainty to our total emissions estimate. In modeling leak frequency, we find a clear interaction between pipeline material and age with the leakiness of all material types increasing with age. Our national methane emissions estimate is approximately 5× greater (95% cr int: 1.7×, 8.7×) than the U.S. Environmental Protection Agency's current greenhouse gas inventory estimate for pipeline mains in local distribution systems due to both a larger estimated number of leaks and better characterization of the upper tail of the skewed distribution of emission rates.


Subject(s)
Air Pollutants , Natural Gas , Air Pollutants/analysis , Methane/analysis , Natural Gas/analysis , Uncertainty , United States , United States Environmental Protection Agency
11.
Mol Cell ; 78(1): 70-84.e6, 2020 04 02.
Article in English | MEDLINE | ID: mdl-32017897

ABSTRACT

Post-transcriptional mechanisms regulate the stability and, hence, expression of coding and noncoding RNAs. Sequence-specific features within the 3' untranslated region (3' UTR) often direct mRNAs for decay. Here, we characterize a genome-wide RNA decay pathway that reduces the half-lives of mRNAs based on overall 3' UTR structure formed by base pairing. The decay pathway is independent of specific single-stranded sequences, as regulation is maintained in both the original and reverse complement orientation. Regulation can be compromised by reducing the overall structure by fusing the 3' UTR with an unstructured sequence. Mutating base-paired RNA regions can also compromise this structure-mediated regulation, which can be restored by re-introducing base-paired structures of different sequences. The decay pathway requires the RNA-binding protein UPF1 and its associated protein G3BP1. Depletion of either protein increased steady-state levels of mRNAs with highly structured 3' UTRs as well as highly structured circular RNAs. This structure-dependent mechanism therefore enables cells to selectively regulate coding and noncoding RNAs.


Subject(s)
3' Untranslated Regions , DNA Helicases/metabolism , Poly-ADP-Ribose Binding Proteins/metabolism , RNA Helicases/metabolism , RNA Recognition Motif Proteins/metabolism , RNA Stability , RNA, Messenger/metabolism , Trans-Activators/metabolism , Base Pairing , Cell Line , Gene Expression Regulation , Humans , RNA, Circular/chemistry , RNA, Circular/metabolism
12.
Glob Chang Biol ; 26(6): 3221-3229, 2020 06.
Article in English | MEDLINE | ID: mdl-32097522

ABSTRACT

The temperature sensitivity of soil processes is of major interest, especially in light of climate change. Originally formulated to explain the temperature dependence of chemical reactions, the Arrhenius equation, and related Q10 temperature coefficient, has a long history of application to soil biological processes. However, empirical data indicate that Q10 and Arrhenius model are often poor metrics of temperature sensitivity in soils. In this opinion piece, we aim to (a) review alternative approaches for characterizing temperature sensitivity, focusing on macromolecular rate theory (MMRT); (b) provide strategies and tools for implementing a new temperature sensitivity framework; (c) develop thermal adaptation hypotheses for the MMRT framework; and (d) explore new questions and opportunities stemming from this paradigm shift. Microbial ecologists should consider developing and adopting MMRT as the basis for predicting biological rates as a function of temperature. Improved understanding of temperature sensitivity in soils is particularly pertinent as microbial response to temperature has a large impact on global climate feedbacks.


Subject(s)
Soil Microbiology , Soil , Acclimatization , Climate Change , Temperature
13.
Ecology ; 100(9): e02795, 2019 09.
Article in English | MEDLINE | ID: mdl-31301692

ABSTRACT

Biological nitrogen fixation is critical for the nitrogen cycle of tropical forests, yet we know little about the factors that control the microbial nitrogen fixers that colonize the microbiome of leaves and branches that make up a forest canopy. Forest canopies are especially prone to nutrient limitation because they are (1) disconnected from soil nutrient pools and (2) often subject to leaching. Earlier studies have suggested a role of phosphorus and molybdenum in controlling biological N-fixation rates, but experimental confirmation has hitherto been unavailable. Here we present the results of a manipulation of canopy nutrient availability. Our findings demonstrate a primary role of phosphorus in constraining overall N fixation by canopy cyanobacteria, but also a secondary role of molybdenum in determining per-cell fixation rates. A conservative evaluation suggests that canopy fixation can contribute to significant N fluxes at the ecosystem level, especially as bursts following atmospheric inputs of nutrient-rich dust.


Subject(s)
Microbiota , Nitrogen Fixation , Ecosystem , Forests , Molybdenum , Nitrogen , Phosphorus , Soil , Trees , Tropical Climate
14.
PLoS One ; 14(2): e0212287, 2019.
Article in English | MEDLINE | ID: mdl-30759153

ABSTRACT

The data collected by mobile methane (CH4) sensors can be used to find natural gas (NG) leaks in urban distribution systems. Extracting actionable insights from the large volumes of data collected by these sensors requires several data processing steps. While these survey platforms are commercially available, the associated data processing software largely constitute a black box due to their proprietary nature. In this paper we describe a step-by-step algorithm for developing leak indications using data from mobile CH4 surveys, providing an under-the-hood look at the choices and challenges associated with data analysis. We also describe how our algorithm has evolved over time, and the data-driven insights that have prompted these changes. Applying our algorithm to data collected in 15 cities produced more than 6100 leak indications and estimates of the leaks' size. We use these results to characterize the distribution of leak sizes in local NG distribution systems. Mobile surveys are already an effective and necessary tool for managing NG distribution systems, but improvements in the technology and software will continue to increase its value.


Subject(s)
Air Pollutants/analysis , Algorithms , Methane/analysis , Natural Gas/analysis , Environmental Monitoring , Quality Control , Software , Surveys and Questionnaires
15.
Environ Sci Technol ; 52(20): 11922-11930, 2018 10 16.
Article in English | MEDLINE | ID: mdl-30234975

ABSTRACT

Managing leaks in urban natural gas (NG) distribution systems is important for reducing methane emissions and costly waste. Mobile surveying technologies have emerged as a new tool for monitoring system integrity, but this new technology has not yet been widely adopted. Here, we establish the efficacy of mobile methane surveys for managing local NG distribution systems by evaluating their ability to detect and locate NG leaks and quantify their emissions. In two cities, three-quarters of leak indications from mobile surveys corresponded to NG leaks, but local distribution companies' field crews did not find most of these leaks, indicating that the national CH4 activity factor for leaks in local NG distribution pipelines is underestimated by a factor of 2.4. We found the median distance between mobile-estimated leak locations and actual leak locations was 19 m. A comparison of emission quantification methods (mobile-based, surface enclosure, and tracer ratio) found that the mobile method overestimated leak magnitude for the smallest leaks but accurately estimated size for the largest leaks that are responsible for the majority of total emissions. Across leak sizes, mobile methods adequately rank relative emission rates for repair prioritization, and they are easily deployed and offer efficient spatial coverage.


Subject(s)
Air Pollutants , Natural Gas , Cities , Methane , Surveys and Questionnaires , Uncertainty
16.
Glob Chang Biol ; 24(9): 4211-4224, 2018 09.
Article in English | MEDLINE | ID: mdl-29888841

ABSTRACT

Traits-based approaches in microbial ecology provide a valuable way to abstract organismal interaction with the environment and to generate hypotheses about community function. Using macromolecular rate theory (MMRT), we recently identified that temperature sensitivity can be characterized as a distinct microbial trait. As temperature is fundamental in controlling biological reactions, variation in temperature sensitivity across communities, organisms, and processes has the potential to vastly improve understanding of microbial response to climate change. These microbial temperature sensitivity traits include the heat capacity ( ΔCP‡ ), temperature optimum (Topt ), and point of maximum temperature sensitivity (TSmax ), each of which provide unique insights about organismal response to changes in temperature. In this meta-analysis, we analyzed the distribution of these temperature sensitivity traits from bacteria, fungi, and mixed communities across a variety of biological systems (e.g., soils, oceans, foods, wastewater treatment plants) in order to identify commonalities in temperature responses across these diverse organisms and reaction rates. Our analysis of temperature sensitivity traits from over 350 temperature response curves reveals a wide distribution of temperature sensitivity traits, with Topt and TSmax well within biological relevant temperatures. We find that traits vary significantly depending on organism type, microbial diversity, source environment, and biological process, with higher temperature sensitivity found in fungi than bacteria and in less diverse systems. Carbon dioxide production was found to be less temperature sensitive than denitrification, suggesting that changes in temperature will have a potentially larger impact on nitrogen-related processes. As climate changes, these results have important implications for basic understanding of the temperature sensitivity of biological reactions and for ecological understanding of species' trait distributions, as well as for improved treatment of temperature sensitivity in models.


Subject(s)
Bacterial Physiological Phenomena , Fungi/physiology , Hot Temperature/adverse effects , Models, Biological , Temperature
17.
Aerosp Med Hum Perform ; 88(12): 1073-1080, 2017 Dec 01.
Article in English | MEDLINE | ID: mdl-29157335

ABSTRACT

INTRODUCTION: Effects of exposure to hyperoxia (PiO2 > 105 mmHg), normoxia (PiO2 95-105 mmHg) and hypoxia (PiO2 < 95 mmHg) on simple and choice reaction performance tasks were evaluated. METHODS: Ten subjects performed simple and choice reaction time tests (SRT and CRT, respectively) at ground level for 40 min (20 min normoxic, 20 min hyperoxic, randomly assigned), 3048 m (10,000 ft) for 75 min (15 min hyperoxic, 60 min hypoxic), 4572 m (15,000 ft) for 60 min (15 min hyperoxic, 45 min hypoxic), and 6096 m (20,000 ft) for 35 min (15 min hyperoxic, 20 min hypoxic). SRT and CRT tests were also conducted at ground level 1 h after normoxic rest (recovery) to assess any recovery time effect on these psychomotor tasks. RESULTS: Total response time (TRT) significantly increased by 15 ms to 25 ms at all three altitudes for both the SRT and CRT tasks. At and below 4572 m, the performance changes were gradual over the duration of the exposures, whereas at 6096 m these changes were immediate. After 1 h, no performance decrement was measured. There was no statistical evidence that ground-level performance on these tasks was improved in hyperoxic vs. normoxic conditions. DISCUSSION: Results suggest mild decrements in reaction time due to hypoxia may occur as low as 3048 m (10,000 ft) while hyperoxia showed no positive effect on accuracy or reaction time at ground level or higher when performing simple and choice psychomotor reaction tasks.Dart T, Gallo M, Beer J, Fischer J, Morgan T, Pilmanis A. Hyperoxia and hypoxic hypoxia effects on simple and choice reaction times. Aerosp Med Hum Perform. 2017; 88(12):1073-1080.


Subject(s)
Choice Behavior/physiology , Hyperoxia/physiopathology , Hypoxia/physiopathology , Reaction Time/physiology , Adult , Humans , Psychomotor Performance/physiology , Task Performance and Analysis
18.
Aerosp Med Hum Perform ; 88(10): 952-957, 2017 Oct 01.
Article in English | MEDLINE | ID: mdl-28923145

ABSTRACT

INTRODUCTION: A recent U-2 fatigue study, in which 10 subjects completed 2 simulated long-duration missions breathing either 100% oxygen or air in a hypobaric chamber, offered an opportunity to compare subjects' pulmonary function before and after remaining seated in a confined cockpit for 12 h. METHODS: In one U-2 mission configuration, the subject wore a full pressure suit and breathed aviator's breathing oxygen while chamber pressure was maintained at 4572 m (15,000 ft) above mean sea level. In the second mission configuration, subjects wore standard aircrew flight equipment and breathed air while chamber pressure was maintained at 2438 m (8000 ft) above mean sea level. Subjects' pulmonary function was assessed before and after the mission using four metrics: forced vital capacity, forced expiratory volume in 1 s, peak expiratory flow, and forced expiratory volume in 1 s/forced vital capacity ratio. RESULTS: Subjects showed significant declines for all four pulmonary metrics (2.7%, 6.4%, 13.9%, and 3.5%, respectively) after 12 h seated in the cockpit in both full pressure suit and aircrew flight equipment conditions. DISCUSSION: While the declines at both altitudes amounted to modest percentages of subjects' total pulmonary capacities, they emerged after a single, acute sedentary exposure and appear to be unrelated to the percentage of oxygen in the breathing gas. This might have operational implications in confined mission environments where physiological demands are interspersed with long periods of inactivity.Beer J, Dart TS, Fischer J, Kisner J. Pulmonary effects from a simulated long-duration mission in a confined cockpit. Aerosp Med Hum Perform. 2017; 88(10):952-957.


Subject(s)
Aerospace Medicine , Altitude , Lung/physiopathology , Military Personnel , Oxygen Inhalation Therapy , Pilots , Respiratory Function Tests , Adult , Female , Forced Expiratory Volume , Gravity Suits , Humans , Male , Peak Expiratory Flow Rate , Time Factors , Vital Capacity , Young Adult
19.
Aerosp Med Hum Perform ; 88(7): 617-626, 2017 Jul 01.
Article in English | MEDLINE | ID: mdl-28641678

ABSTRACT

BACKGROUND: Hypoxia continues to present risks in military aviation. Hypoxia symptoms include sensory and cognitive effects; of these, it is important to identify which components of operator performance are most vulnerable to hypoxia-induced decline in order to determine which sensory modality is most effective for alerting an impaired aviator of an imminent hypoxic episode. METHODS: A study was performed in a hypobaric chamber to characterize deterioration of cognitive performance under moderate (MH) and severe (SH) hypoxia conditions, culminating in subjects' inability to perform tasks. Subjects operated a synthetic workstation, performing multiple simultaneous tasks during hypobaric exposures equivalent to 5486 m (18,000 ft) MH and 7620 m (25,000 ft) SH ascents. Performance was compared across baseline, altitude exposure, and recovery periods within MH vs. SH altitude profiles. Ascents lasted until at least one of a list of termination criteria was met, at which point the chamber was returned to ground level pressure and the subject resumed workstation performance during recovery. RESULTS: SH conditions generated greater deficits than MH conditions, and these more severe effects hastened the termination of exposures (5 vs. 18 min mean duration, respectively). Workstation performance collapsed rapidly on SH exposure, with Mathematics and Auditory Monitoring tasks proving vulnerable to breakdown. In MH exposures, these tasks exhibited impaired accuracy (declining 11% and 9%, respectively) and speed, with declines in Auditory Monitoring lingering into recovery. DISCUSSION: The relative robustness of memory and visual monitoring vs. the vulnerability of mathematical and auditory processing suggest that care should be taken designing purely auditory cockpit hypoxia warning alerts.Beer JMA, Shender BS, Chauvin D, Dart TS, Fischer J. Cognitive deterioration in moderate and severe hypobaric hypoxia conditions. Aerosp Med Hum Perform. 2017; 88(7):617-626.


Subject(s)
Altitude , Cognitive Dysfunction/psychology , Hypoxia/psychology , Task Performance and Analysis , Adult , Aerospace Medicine , Auditory Perception , Cognitive Dysfunction/etiology , Female , Healthy Volunteers , Humans , Hypoxia/complications , Male , Mathematics , Military Personnel , Young Adult
20.
Environ Sci Technol ; 51(7): 4091-4099, 2017 04 04.
Article in English | MEDLINE | ID: mdl-28326761

ABSTRACT

Information about the location and magnitudes of natural gas (NG) leaks from urban distribution pipelines is important for minimizing greenhouse gas emissions and optimizing investment in pipeline management. To enable rapid collection of such data, we developed a relatively simple method using high-precision methane analyzers in Google Street View cars. Our data indicate that this automated leak survey system can document patterns in leak location and magnitude within and among cities, even without wind data. We found that urban areas with prevalent corrosion-prone distribution lines (Boston, MA, Staten Island, NY, and Syracuse, NY), leaked approximately 25-fold more methane than cities with more modern pipeline materials (Burlington, VT, and Indianapolis, IN). Although this mobile monitoring method produces conservative estimates of leak rates and leak counts, it can still help prioritize both leak repairs and replacement of leak-prone sections of distribution lines, thus minimizing methane emissions over short and long terms.


Subject(s)
Air Pollutants , Cities , Environmental Monitoring , Methane , Natural Gas
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