Arrhythmia Diagnosis Following An ICD Shock

A 70 year old male underwent placement of a Medtronic Marquis DR ICD following syncope. He has coronary artery disease and severe LV dysfunction and was inducible for rapid hemodynamically unstable ventricular tachycardia at intracardiac electrophysiological study prior to implantation of the ICD. Three weeks later, he presents with an ICD shock. He had been drinking excessive amounts of alcohol and experienced lightheadedness prior to experiencing the ICD shock. A ventricular arrhythmia is appropriately converted by the ICD shoc

Instability of a supersonic shock free elliptic jet

This paper presents a comparison of the measured and the computed spatial stability properties of an aspect ratio 2 supersonic shock free elliptic jet. The shock free nature of the elliptic jet provides an ideal test of validity of modeling the large scale coherent structures in the initial mixing region of noncircular supersonic jets with linear hydrodynamic stability theory. Both aerodynamic and acoustic data were measured. The data are used to compute the mean velocity profiles and to provide a description of the spatial composition of pressure waves in the elliptic jet. A hybrid numerical scheme is applied to solve the Rayleigh problem governing the inviscid linear spatial stability of the jet. The measured mean velocity profiles are used to provide a qualitative model for the cross sectional geometry and the smooth velocity profiles used in the stability analysis. Computational results are presented for several modes of instability at two jet cross sections. The acoustic measurements show that a varicose instability is the jet's perferred mode of motion. The stability analysis predicts that the Strouhal number varies linearly as a function of axial distance in the jet's initial mixing region, which is in good qualitative agreement with previous measurements

Technical Excellence and Communication: The Cornerstones for Successful Safety and Mission Assurance Programs

The paper describes the role of technical excellence and communication in the development and maintenance of safety and mission assurance programs. The Marshall Space Flight Center (MSFC) Safety and Mission Assurance (S&MA) organization is used to illustrate philosophies and techniques that strengthen safety and mission assurance efforts and that contribute to healthy and effective organizational cultures. The events and conditions leading to the development of the MSFC S&MA organization are reviewed. Historic issues and concerns are identified. The adverse effects of resource limitations and risk assessment roles are discussed. The structure and functions of the core safety, reliability, and quality assurance functions are presented. The current organization s mission and vision commitments serve as the starting points for the description of the current organization. The goals and objectives are presented that address the criticisms of the predecessor organizations. Additional improvements are presented that address the development of technical excellence and the steps taken to improve communication within the Center, with program customers, and with other Agency S&MA organizations

Enzyme activity below the dynamical transition at 220 K

Enzyme activity requires the activation of anharmonic motions, such as jumps between potential energy wells. However, in general, the forms and time scales of the functionally important anharmonic dynamics coupled to motion along the reaction coordinate remain to be determined. In particular, the question arises whether the temperature-dependent dynamical transition from harmonic to anharmonic motion in proteins, which has been observed experimentally and using molecular dynamics simulation, involves the activation of motions required for enzyme function. Here we present parallel measurements of the activity and dynamics of a cryosolution of glutamate dehydrogenase as a function of temperature. The dynamical atomic fluctuations faster than ~100 ps were determined using neutron scattering. The results show that the enzyme remains active below the dynamical transition observed at ~220 K, i.e., at temperatures where no anharmonic motion is detected. Furthermore, the activity shows no significant deviation from Arrhenius behavior down to 190 K. The results indicate that the observed transition in the enzyme's dynamics is decoupled from the rate-limiting step along the reaction coordinate

Direct determination of vibrational density of states change on ligand binding to a protein

The change in the vibrational density of states of a protein (dihydrofolate reductase) on binding a ligand (methotrexate) is determined using inelastic neutron scattering. The vibrations of the complex soften significantly relative to the unbound protein. The resulting free-energy change, which is directly determined by the density of states change, is found to contribute significantly to the binding equilibrium

Preservation of glaciochemical time-series in snow and ice from the Penny Ice Cap, Baffin Island

A detailed investigation of major ion concentrations of snow and ice in the summit region of Penny Ice Cap (PIC) was performed to determine the effects of summer melt on the glaciochemical time-series. While ion migration due to meltwater percolation makes it difficult to confidently count annual layers in the glaciochemical profiles, time-series of these parameters do show good structure and a strong one year spectral component, suggesting that annual to biannual signals are preserved in PIC glaciochemical records