ALBERT

Description: Introduction: Recent reports have utilized von Willebrand factor (VWF) multimerquantitation in the assessment of native cardiac lesions and prosthetic valve dysfunction. However there is no standardized method for quantitation. We compared 3 methods of assessment which utilized a normal plasma control. Methods: We analyzed 476 samples and their control plasma from 395 patients including normal subjects, patients with aortic stenosis, hypertrophic cardiomyopathy, mitral or aortic regurgitation, normal and abnormal left cardiac valve prostheses, and left ventricular assist device therapy (LVAD). VWF multimers were assessed as normal or abnormal, or as normalized (patient / normal plasma) VWF multimerratios of gel bands 〉15/2-15 (NMR 15) or gel bands 〉 10/2-10 (NMR 10). We tested whether one technique was more strongly associated with hemodynamic severity of the cardiac lesion, with a history of acquired bleeding, and compared the results to a separate test of VWF function, platelet function analyzer 15 00 (PFA). Results: Two hundred seventeen patient samples reflected normal or mildly abnormal hemodynamics, 111 moderate, and 113 severely abnormal hemodynamics. Abnormal multimers were present in only 19% of samples with normal or mildly abnormal hemodynamics compared to 79% abnormal in the presence of moderate to severe hemodynamic abnormality. The distinction between moderate and severe hemodynamic abnormality was less striking, 65% versus 88% (figure, left). Quantitative NMR values declined with increasing cardiac lesion severity (figure, middle). The two quantitative multimermethods showed similar relationships to lesion severity by ANOVA, r=0.40 (NMR 15) versus r=0.36 (NMR 10), and by Spearman correlation, r=0.68 for NMR 15, and r=0.66 for NMR 10, and PFA results were comparable (all p〈 0.001). Bleeding rates were associated with NMR 15, 10 and PFA (Mann-Whitney p

Description: Using Global Positioning System (GPS) receivers, we reoccupied several leveling benchmarks on the Kenai Peninsula of Alaska which had been surveyed by conventional leveling immediately following the March 27, 1964, Prince William Sound earthquake (M(sub w) = 9.3). By combining the two sets of measurements with a new, high-resolution model of the geoid in the region, we were able to determine the cumulative 1993-1964 postseismic vertical displacement. We find uplift at all of our benchmarks, relative to Seward, Alaska, a point that is stable according to tide gauge data. The maximum uplift of about 1 m occurs near the middle of the peninsula. The region of maximum uplift appears to be shifted northwest relative to the point of maximum coseismic subsidence. If we use tide gauge data at Nikishka and Seward to constrain the vertical motion, then the observed uplift has a trenchward tilt (down to the southeast) as well as an arching component. To explain the observations, we use creep-at-depth models. Most acceptable models require a fault slip of about 2.75 m, although this result is not unique. If the slip has been continuous since the 1964 earthquake, then the average slip rate is nearly 100 mm/yr, twice the plate convergence rate. Comparing the net uplift achieved in 29 years with that observed over 11 years in an adjacent region southeast of Anchorage, Alaska, we conclude that the rate of uplift is decreasing. A further decrease in the uplift rate is expected as the 29-year averaged displacement rate is about twice the plate convergence rate and therefore cannot be sustained over the entire earthquake cycle.

Description: A pilot experiment was done to determine what factors influence potential performance errors related to vigilance in Orbiter processing activities. The selected activities include post flight inspection for burned gap filler material and pre-rollout inspection for tile processing shim material. It was determined that the primary factors related to performance decrement were the color of the target and the difficulty of the target presentation.

Description: Successful ground processing at KSC requires that flight hardware and ground support equipment conform to specifications at tens of thousands of checkpoints. Knowledge of conformance is an essential requirement for launch. That knowledge of conformance at every requisite point does not, however, enable identification of past problems with equipment, or potential problem areas. This paper describes how the introduction of Statistical Process Control and Process Capability Analysis identification procedures into existing shuttle processing procedures can enable identification of potential problem areas and candidates for improvements to increase processing performance measures. Results of a case study describing application of the analysis procedures to Thermal Protection System processing are used to illustrate the benefits of the approaches described in the paper.