Egress Efficacy of Persons with Multiple Sclerosis During Simulated Evacuations

Expedited evacuation of commercial and residential structures in the event of an emergency may be more difficult for persons with physical movement disorders. There is a need to better characterize the impact of such disorders and provide movement data to improve evacuee and responder safety. We undertook a pilot, feasibility study that investigated the ability of persons with multiple sclerosis (MS) and controls without MS to walk along a 48 m long path that included five different door configurations with various opening hardware and closure mechanisms, both before and after a six-minute walk, simulating a long evacuation path. Persons with MS took longer to complete the evacuation circuit (102 vs. 31 s) and to pass through each door (average 4.8 vs. 1.4 s) compared to controls. During the six-minute walk, persons with MS had decreased walking speed (0.7 vs. 1.9 m/s). The MS population demonstrated more conservative gait biomechanics throughout the simulation, i.e., wider, shorter and slower steps. Timing and biomechanical differences between populations and the potential fatigue induced through an extended evacuation can be used to improve understanding of movement in populations with disabilities, and incorporate these data into estimation of flow rates during evacuation.Funding support for MB was provided by the National Science Foundation Engineering Research Center for Compact and Efficient Fluid Power (0540834), with additional support from the Foundation of the Consortium of Multiple Sclerosis Centers’ Multiple Sclerosis Workforce of the Future program.Ope

Nitric Oxide Releasing Materials Triggered by Near-Infrared Excitation Through Tissue Filters

Novel materials for the phototherapeutic release of the bioregulator nitric oxide (nitrogen monoxide) are described. Also reported is a method for scanning these materials with a focused NIR beam to induce photouncaging while minimizing damage from local heating. The new materials consist of poly(dimethylsiloxane) composites with near-infrared-to-visible upconverting nanoparticles (UCNPs) that are cast into a biocompatible polymer disk (PD). These PDs are then impregnated with the photochemical nitric oxide precursor Roussin's black salt (RBS) to give UCNP_RBS_PD devices that generate NO when irradiated with 980 nm light. When the UCNP_RBS_PD composites were irradiated with NIR light through filters composed of porcine tissue, physiologically relevant NO concentrations were released, thus demonstrating the potential of such devices for minimally invasive phototherapeutic applications

Physiological response to firefighting activities of various work cycles using extended duration and prototype SCBA

Firefighters’ self-contained breathing apparatus (SCBA) protects the respiratory system during firefighting but increases the physiological burden. Extended duration SCBA (>30 min) have increased air supply, potentially increasing the duration of firefighting work cycles. To examine the effects of SCBA configuration and work cycle (length and rest), 30 firefighters completed seven trials using different SCBA and one or two bouts of simulated firefighting following work cycles common in the United States. Heart rate, core temperature, oxygen consumption, work output and self-reported perceptions were recorded during all activities. Varying SCBA resulted in few differences in these parameters. However, during a second bout, work output significantly declined while heart rates and core temperatures were elevated relative to a single bout. Thirty seven per cent of the subjects were unable to complete the second bout in at least one of the two-bout conditions. These firefighters had lower fitness and higher body mass than those who completed all assigned tasks. Practitioner Summary: The effects of extended duration SCBA and work/rest cycles on physiological parameters and work output have not been examined. Cylinder size had minimal effects, but extended work cycles with no rest resulted in increased physiological strain and decreased work output. This effect was more pronounced in firefighters with lower fitness.This work was supported by the Department of Homeland Security Fire Prevention and Safety, Federal Emergency Management Agency [grant number EMW-2010-FP-01606].Ope

A modified SCBA facepiece for accurate metabolic data collection from firefighters

<div><p>To better assess the energy expenditure and exertion of firefighters during simulated firefighting activities, a commercial firefighter self-contained breathing apparatus (SCBA) facepiece was modified to interface with a portable metabolic monitoring device (Cosmed K4b²) while still functioning as a positive pressure SCBA air supply. To validate the device, standard National Fire Protection Association 1981 SCBA function tests were conducted and 14 subjects performed variable-workload assessments using all combinations of two test devices (Cosmed K4b² and metabolic cart) and two masks (modified SCBA facepiece and stock manufacturer-supplied breath collection). Metabolic data collected with the Cosmed K4b² via the modified facepiece were found to be accurate when compared to a ParvoMedics Truemax 2400 metabolic cart (average per cent difference: 4.6%). This modified facepiece design is suitable for use in metabolic studies requiring the utilisation of an SCBA system. Furthermore, the well-established overestimation of oxygen consumption from the Cosmed K4b² system was replicated.</p></div