Thiopurine S -methyltransferase polymorphisms: efficient screening method for patients considering taking thiopurine drugs

Objective: More than 11% of the Caucasian population are heterozygous or homozygous carriers of thiopurine S-methyltransferase (TPMT) mutants and are at risk for toxic side effects when treated with thiopurine drugs. Therefore, screening for TPMT polymorphisms in a patient prior to prescribing these agents is recommended. The goal of this study was to determine a cut-off concentration of the TPMT activity assay beyond which genotyping of the TPMT gene should be performed. Methods: The TPMT activity of 240 unrelated Caucasian subjects was measured using high-performance liquid chromatography. Genotyping for the most frequent allelic variants, TPMT*2, *3A, *3B, *3C and *7 was performed by LightCycler technology and sequencing. Results: The inter-individual TPMT activity showed a range from 23nmol MTG/g*Hb*h−1 to 97nmol MTG/g*Hb*h−1 with a median of 56nmol MTG/g*Hb*h−1. Using a cut-off concentration of 45.5nmol MTG/g*Hb*h−1, a test sensitivity of 100% and a specificity of 89% were reached for heterozygous carriers of a TPMT mutation. We identified 1 carrier of TPMT*2, 14 carriers of TPMT*3A and 3 carriers of TPMT*3C, resulting in a TPMT heterozygosity prevalence of 7.5%. Conclusions: This study defines the cut-off value for the TPMT phenotyping assay at 45.5nmol/g*Hb*h−1, beyond which additional genotyping elucidates the individual risk for drug therapy. Using this cut-off concentration, the number of genotyping assays could be reduced by about 60

The Development of a Thermally Enhanced Emergency Fire Shelter

Since its founding in 1905, the U.S. Forest Service has been responsible for maintaining public lands. The Forest Service and other public lands agencies respond to an average of 73,000 wildfires per year, and responding firefighters are required to carry a number of safety gear items, including the M2002 emergency fire shelter. The emergency fire shelter is intended to serve as a last resort means of protection in case a firefighter's escape route has been compromised in the face of an approaching flame front. No fire shelter deployment tragedy has been more costly than the 2013 Yarnell Hill fire in Arizona, where 19 members of the Granite Mountain Hotshots perished. After the tragedy at Yarnell Hill, the Forest Service decided to expedite the next redesign cycle of the fire shelter in order to improve its ability to withstand direct contact with flames. Engineers at NASA Langley Research Center have spent the better part of a decade developing flexible thermal materials for use in inflatable aerodynamic decelerators and have demonstrated their performance in the IRVE-2 and IRVE-3 flight programs (Inflatable Reentry Vehicle Experiment). NASA engineers recognized an opportunity to leverage their experience and knowledge with flexible thermal protection systems to potentially improve the fire shelter's resistance to direct flame contact, and have been working directly with the U.S. Forest Service to achieve this goal. They launched the CHIEFS project (Convective Heating Improvement for Emergency Fire Shelters) in 2014. Over the past three years, CHIEFS has screened over 270 unique material layups, and tested over 30 unique full scale shelter concepts in an effort to achieve a game changing improvement to the thermal protection of the fire shelter, while maintaining minimal mass and volume. This paper will discuss CHIEFS' 1st and 2nd generation fire shelter development efforts and test results

Hypersonic Inflatable Aerodynamic Decelerator (HIAD) Technology Development Overview

The successful flight of the Inflatable Reentry Vehicle Experiment (IRVE)-3 has further demonstrated the potential value of Hypersonic Inflatable Aerodynamic Decelerator (HIAD) technology. This technology development effort is funded by NASA's Space Technology Mission Directorate (STMD) Game Changing Development Program (GCDP). This paper provides an overview of a multi-year HIAD technology development effort, detailing the projects completed to date and the additional testing planned for the future

Connective Heating Improvement for Emergency Fire Shelters (CHIEFS): Composition and Performance of Fire Shelter Concepts at Close-Out

Summary of highlights of the Convective Heating Improvement for Emergency Fire Shelters (CHIEFS) taskunder NASA. CHIEFS was tasked with providing the US Forest Service with an emergency fire shelter forimproved resistance to flame contact. Emphasis is on the final shelter designs at task close-out (end of FY17)

Multigenerational Independent Colony for Extraterrestrial Habitation, Autonomy, and Behavior Health (MICEHAB): An Investigation of a Long Duration, Partial Gravity, Autonomous Rodent Colony

The path from Earth to Mars requires exploration missions to be increasingly Earth-independent as the foundation is laid for a sustained human presence in the following decades. NASA pioneering of Mars will expand the boundaries of human exploration, as a sustainable presence on the surface requires humans to successfully reproduce in a partial gravity environment independent from Earth intervention. Before significant investment is made in capabilities leading to such pioneering efforts, the challenges of multigenerational mammalian reproduction in a partial gravity environment need be investigated. The Multi-generational Independent Colony for Extraterrestrial Habitation, Autonomy, and Behavior health is designed to study these challenges. The proposed concept is a conceptual, long duration, autonomous habitat designed to house rodents in a partial gravity environment with the goal of understanding the effects of partial gravity on mammalian reproduction over multiple generations and how to effectively design such a facility to operate autonomously while keeping the rodents healthy in order to achieve multiple generations. All systems are designed to feed forward directly to full-scale human missions to Mars. This paper presents the baseline design concept formulated after considering challenges in the mission and vehicle architectures such as: vehicle automation, automated crew health management/medical care, unique automated waste disposal and hygiene, handling of deceased crew members, reliable long-duration crew support systems, and radiation protection. This concept was selected from an architectural trade space considering the balance between mission science return and robotic and autonomy capabilities. The baseline design is described in detail including: transportation and facility operation constraints, artificial gravity system design, habitat design, and a full-scale mock-up demonstration of autonomous rodent care facilities. The proposed concept has the potential to integrate into existing mission architectures in order to achieve exploration objectives, and to demonstrate and mature common capabilities that enable a range of destinations and missions

Teaching Lutheran confirmation: Movements toward engagement

This study explores one teacher\u27s thoughts and movements in a year of teaching Lutheran confirmation. The practitioner researcher\u27s purpose in this study was to improve student engagement within a confirmation program that consisted of 150 sixth, seventh, and eighth grade students all attending with an adult mentor. Teacher experience was used as a resource while problematizing the self with the goal of reframing beliefs and practice. An adaptive agency cycle of inquiry was used to gather anecdotal notes, teacher journals, reflective think alouds, and interviews. These data pieces were examined to better understand the thinking moves associated with replacing a rotating teaching practice with a team-teaching approach. As a result of analysis, this narrative work raises questions of identity negotiation, team-teaching and practitioner research. In addition, the following faith learning themes emerged from interviews and were used as foci for reframing and analyzing practice: relationships, questioning, leadership, life connection and fear. This study adds a practitioner voice to the literature on teaching Lutheran confirmation

Non-Invasive Detection of Respiration and Heart Rate with a Vehicle Seat Sensor

This study demonstrates the feasibility of using a seat sensor designed for occupant classification from a production passenger vehicle to measure an occupant’s respiration rate (RR) and heart rate (HR) in a laboratory setting. Relaying occupant vital signs after a crash could improve emergency response by adding a direct measure of the occupant state to an Advanced Automatic Collision Notification (AACN) system. Data was collected from eleven participants with body weights ranging from 42 to 91 kg using a Ford Mustang passenger seat and seat sensor. Using a ballistocardiography (BCG) approach, the data was processed by time domain filtering and frequency domain analysis using the fast Fourier transform to yield RR and HR in a 1-min sliding window. Resting rates over the 30-min data collection and continuous RR and HR signals were compared to laboratory physiological instruments using the Bland-Altman approach. Differences between the seat sensor and reference sensor were within 5 breaths per minute for resting RR and within 15 beats per minute for resting HR. The time series comparisons for RR and HR were promising with the frequency analysis technique outperforming the peak detection technique. However, future work is necessary for more accurate and reliable real-time monitoring of RR and HR outside the laboratory setting

ARIES: NASA Langley's Airborne Research Facility

In 1994, the NASA Langley Research Center (LaRC) acquired a B-757-200 aircraft to replace the aging B-737 Transport Systems Research Vehicle (TSRV). The TSRV was a modified B-737-100, which served as a trailblazer in the development of glass cockpit technologies and other innovative aeronautical concepts. The mission for the B-757 is to continue the three-decade tradition of civil transport technology research begun by the TSRV. Since its arrival at Langley, this standard 757 aircraft has undergone extensive modifications to transform it into an aeronautical research "flying laboratory". With this transformation, the aircraft, which has been designated Airborne Research Integrated Experiments System (ARIES), has become a unique national asset which will continue to benefit the U.S. aviation industry and commercial airline customers for many generations to come. This paper will discuss the evolution of the modifications, detail the current capabilities of the research systems, and provide an overview of the research contributions already achieved