Validated strategies and guidelines for a safe and individualized diagnosis and return-to-play (RTP) after concussion in rugby are needed. Little is known about the state of knowledge, frequency of use and application barriers of state-of-the-art guidelines among decision-makers in professional or semi-professional rugby teams. Participants (n = 195) from the coaching team (head coach, assistance coach, athletic coach), the medical team (physiotherapist, physician, rehabilitation therapist, neuropsychologist), or from the officials of a professional or semi-professional rugby team (top three major leagues in Germany), filled in a questionnaire on their knowledge, frequency of use and application barriers of evidence-based guidelines (Graduated RTP protocol and The 5R). Depending on their function in the team and on the league of play, the state of knowledge and application of the diagnostic tools and the RTP guidelines differ. A considerable number are aware of one or both guidelines, but do not apply these guidelines (up to 27% of respondants). The main reasons for the non-usage were not my decision (59%), use of concurrent guidelines (54%), each player must decide by his own (36%), never experienced a concussion in my players (30%), other (19%), the guideline is useless (18%) and a player may play despite a concussion (14%). Raising awareness of the state-of-the-art guidelines is important to educate further the coaching, medical and official team members in identifying symptoms and executing the RTP-process in accordance with evidence-based strategies.
Equivalent System Mass (ESM) and reliability estimates were performed for different life support architectures based primarily on International Space Station (ISS) technologies. The analysis was applied to a hypothetical 1-year deep-space mission. High-level fault trees were initially developed relating loss of life support functionality to the Loss of Crew (LOC) top event. System reliability was then expressed as the complement (nonoccurrence) this event and was increased through the addition of redundancy and spares, which added to the ESM. The reliability analysis assumed constant failure rates and used current projected values of the Mean Time Between Failures (MTBF) from an ISS database where available. Results were obtained showing the dependence of ESM on system reliability for each architecture.Although the analysis employed numerous simplifications and many of the input parameters are considered to have high uncertainty, the results strongly suggest that achieving necessary reliabilities for deep-space missions will add substantially to the life support system mass. As a point of reference, the reliability for a single-string architecture using the most regenerative combination of ISS technologies without unscheduled replacement spares was estimated to be less than 1%. The results also demonstrate how adding technologies in a serial manner to increase system closure forces the reliability of other life support technologies to increase in order to meet the system reliability requirement. This increase in reliability results in increased mass for multiple technologies through the need for additional spares. Alternative parallel architecture approaches and approaches with the potential to "do more with less" are discussed. The "tall poles" in life support ESM are also reexamined in light of estimated reliability impacts.
As scenarios for lunar surface exploration and habitation continue to evolve within NASA's Constellation program, so must studies of optimal life support system architectures and technologies. This paper presents results of a life support architecture study based on a 2009 NASA scenario known as Scenario 12. Scenario 12 represents a consolidation of ideas from earlier NASA scenarios and includes an outpost near the Lunar South Pole comprised of three larger fixed surface elements and four attached pressurized rovers. The scenario places a high emphasis on surface mobility, with planning assuming that all four crewmembers spend roughly 50% of the time away from the outpost on 3-14 day excursions in two of the pressurized rovers.Some of the larger elements can also be mobilized for longer duration excursions. This emphasis on mobility poses a significant challenge for a regenerative life support system in teens of costeffective waste collection and resource recovery across multiple elements, including rovers with very constrained infrastructure resources.The current study considers pressurized rovers as part of a distributed outpost life support architecture in both stand-alone and integrated configurations. A range of architectures are examined reflecting different levels of closure and distributed functionality. Different lander propellant scavenging options are also considered involving either initial conversion of residual oxygen and hydrogen propellants to water or initial direct oxygen scavenging. Monte Carlo simulations are used to assess the sensitivity of results to volatile high-impact mission variables, including the quantity of residual lander propellants available for scavenging, the fraction of crew time away from the outpost on excursions, total extravehicular activity hours, and habitat leakage.Architectures are evaluated by estimating surpluses or deficits of water and oxygen per 180-day mission and differences in fixed and 10-year-total equivalent system mass (ESM) relative to a reference case.Results are presented based on current assumptions for Scenario 12 and based on Monte Carlo simulations with assumed probability distributions for the high-impact mission variables. The calculated probability of no water or oxygen resupply from Monte Carlo simulations provides a quantitative measure of system robustness that can be used for cost/benefit analyses to identify leading architecture candidates. Areas of technology improvement that are likely to have a significant impact are also suggested. This paper presents results of a life support architecture study based on a 2009 NASA lunar surface exploration scenario known as Scenario 12. The study focuses on the assemblycomplete outpost configuration and includes pressurized rovers as part of a distributed outpost architecture in both stand-alone and integrated configurations. A range of life support architectures are examined reflecting different levels of closure and distributed functionality. Monte Carlo simulations are used to assess the sensitivity...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.