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By Sean Gallagher

Background. There is currently little information regarding factors associated with specific modes of motion segment failure using a fatigue failure model. Methods. Thirty-six human lumbar motion segments were fatigue tested using spinal compressive and shear loads that simulated lifting a 9 kg weight in three torso flexion angles (0°, 22.5°, and 45°). Twenty-five segments failed via fatigue prior to the 10,000 cycle maximum. These specimens were visually inspected and dissected so that the mode(s) of failure could be determined. Failure modes included endplate fractures (classified into nine varieties), vertebral body fractures, and/or zygapophysial joint disruption. Logistic regression analyses were performed to determine whether certain morphometric variables, amount of motion segment flexion, disk degeneration scores, and/or loading characteristics were associated with the occurrence of specific failure modes. Findings. Results indicated that stellate endplate fractures were associated with increased posterior shear forces (P < 0.05) and less degenerated discs (P < 0.01). Fractures running laterally across the endplate were associated with motion segments having larger volumes (P < 0.01). Endplate depression was more common in smaller specimens (P < 0.01), as well as those experiencing increased posterior shear force (P < 0.05). Zygapophysial joint damage was more likely to occur in a neutral posture (P < 0.01). Interpretation. These results suggest that prediction of failure modes (e.g., specific endplate fracture patterns) may be possible (at least for older specimens) given knowledge of the spinal loads along with certain characteristics of the lumbar spine. Published by Elsevier Ltd. Keywords: Lumbar spine; Endplate fractures; Zygapophysial joints; Morphometry; Disk degeneration; Motion segments; Aging

Jan 1, 2006

By Nancy Estrada, Jane Nowell, Cathy Jennings, Debra Yniguez, Carol Lavery, Kristin Harrer

Pilots of the MH-60S helicopter are exposed to continuous whole body vibration (WBV). Pilot fatigue is a growing operational concern due to the increased frequency of extended durations of missions (6-8+hours) in support of Operations Iraqi Freedom and Enduring Freedom. Endurance aspects of the currently used rotary wing seating systems were not optimized for the longer missions and wide range of pilot anthropometric measurements, which is now typical of naval aviation. The current seating systems were designed primarily to meet crashworthiness requirements, not for the wide range of pilot anthropometry or to mitigate WBV. Albeit, an issue, pilot fatigue and reduced mission effectiveness are also critical concerns. Current Hazard Reports indicated that pain in pilots’ legs and backs begin two to four hours into the flight and increase with time. Mission readiness also decreases with an increase in flight duration due to the constant distraction of pilots shifting in their seats while trying to get comfortable. Froom, et al [2] reported a dose-response relationship between the length of military helicopter flights and back discomfort. He also concluded that this pain is typically dull, over the lower back, and its prevalence and intensity are dependent on the total flight hours of exposure. Methods This study evaluated WBV produced in the pilot seating systems onboard the MH-60S. The purpose of the study was to test and compare the effectiveness of two different seat cushions, the current seat cushion versus an anti-vibration seat cushion. Both seat cushions were measured for acceleration levels averaged over five-minute intervals using a triaxial seat pad accelerometer. The recordings were completed for a 3-hour straight and level flight. A frequency analysis from 0-80 hertz (Hz) was conducted on all acceleration measurements to determine the dominant axis and frequency of the pilots’ vibration exposure. The results were then compared to the applicable Threshold Limit Values (TLVs) established by the American Conference of Governmental Industrial Hygienists (ACGIH) [1] and the International Organization for Standardization (ISO) 2631.1 [3] to determine the MH-60S pilots’ permissible exposure time for both seat cushions. Results The results of the study showed that for both seat cushions the vibration levels of the z-axis at 16 Hz had the shortest allowable exposure duration, according to the ACGIH TLVs. In the z-axis at 16 Hz, the MH-60S’s current seat cushion’s acceleration levels indicated an exposure time limit of approximately 6 hours, while the anti-vibration seat cushion’s acceleration levels pierced the 8-hour exposure time limit curve. This is shown in the graph below.

Jan 6, 2006

By Ovsei Volberg

Motion capture involves recording the position and global orientation of joint sensors of a real object, in most cases a real person performing some human activities. This information is usually recorded at uniformly spaced instances of time, or as it is often called frame-by-frame. Then the recorded motion data sets are processed and mapped into a skeleton hierarchy of a virtual, computer simulated human figure to control the motion of the virtual human in the computer simulation. In the first part of the paper we review several new techniques developed to facilitate the manipulation, noise reduction, storage and reuse of captured data, which have a potential to reduce the overall cost of motion simulation and improve its realism. In the second part of the paper we consider the real life problem of reducing a worker?s risk from being hit by underground mining machinery in a confined space. We formulate a set of requirements to motion editing for this particular task and analyze the limitation of existing techniques

Jan 1, 2000

By S. P. Kinney

The Department of the Interior has recently investigated the atmospheric conditions in tunnels of the Union Pacific Railroad in Utah and Wyoming , by observations made from the cabs of freight locomotives . This work was conducted by the Bureau of Mines at the request of , and in cooperation with , the Union Pacific Railroad Co .. and was brought about by several accidents to members of engine crews while passing through tunnels , from pollution of the tunnel air by exhaust gases from freight locomotives . The object was to determine the cause of gassing accidents , by examining into composition of the air in locomotive cabs while passing through railroad turmels ; to learn the effect of these conditions on the engine crew; and to provide a means of protection for the men so exposed . Gas samples and temperature readings taken in the cabs of locomotives were used in studying the atmospheric conditions to which the locomotive crews were exposed . The symptoms and the physiologica effects produced in men exposed to the atmospheres encountered were studied . The pulse rates and body temperatures were taken , and the determinations of the carbon monoxide content of the blood were made . Various methods for the prevention of gassing and for the protection of men therefrom were considered and tested , among which were the use of mechanical devices for deflecting the smoke away from the engine cab, and the use of various types of gas masks and breathing apparatus . While this investigation is a part of the safety work of the Bureau of Mines in connection with hazards from atmospheres containing carbon monoxide ( CO ) , the results are of particular value to railroads operating steam locomotives through tunnels , and are also valuable to other industries where atmospheres having poisonous gases or of a high temperature and humidity may be present . The results may be summarized as follows :

Jun 1, 1923

By R. V. Ramani

This volume is the second of a four-volume final report on research carried out under a contract from the U.S. Bureau of Mines on the development of a computer simulation model for surface mine reclamation planning. The other volumes are titled as follows: Volume I: Ore Reserve Estimation, Volume III: Mine Coordinate Generator System, and Volume IV: User&apos;s Manual for OPMHS/2. The dragline model described in this report simulates the movement of the dragline bucket across the digging face, the swing load, the dump, and swing back. It is programmed to handle chopdown, key cut, main cut, and rehandling operations. Provisions have been made for simulating equipment and mining delays. Any mining method can be specified in terms of numbered blocks, the dragline positions for the mining block and the dumping location for the block. Accounting procedures permit the calculation of production rates, rehandle volume, dig and delay times. The model can be used to study the effects of varying mining conditions, cut width, and spoiling sequence with special reference to toxic spoil, overburden and bench removal procedures. The basic input data for the model include machine parameters, the geology and material characteristics, the mining parameter, and the delay characteristics of the equipment.

Jan 1, 1985

By R. R. Wells

As a part of the strategic minerals program of the Bureau of Mines, nine chromite-ore samples were obtained during the period 1949-56 from mines in the vicinity of Red Mountain, near Seldovia, Kenai Peninsula, Alaska. This report summarizes the results of beneficiation studies of the samples at the Bureau&apos;s Juneau, Alaska, and Albany, Oreg., laboratories. In general, the ores were found amenable to concentration by gravity methods for producing concentrates that assayed over 48 percent chromic oxide. Intimate association of chromite and gangue minerals, however, necessitated fine grinding and limited the amount of chromite recoverable. Recovery of chromium in concentrate that assayed 48 percent chromic oxide or higher ranged from approximately 20 percent for low-grade ores (10 to 12 percent Cr203) to more than 95 percent for 1 high-grade sample (42 percent Cr203). The iron content of the chrome-bearing mineral -hence, the chrome/iron ratio of finished concentrate -appears to vary with the grade of the ore. Concentrates made from high-grade ores had chrome/iron ratios as high as 3.1:1; the concentrates from low-grade ores, however, had chrome/iron ratios as low as 1.8:1.

Jan 1, 1957

By Sean Gallagher

The vast majority of ergonomics research has addressed the demands of work in standing or sitting postures, and understandably so. However, many workers (for example, underground miners, aircraft baggage handlers, plumbers, agricultural workers, mechanics, and others) are often required to adopt postures such as kneeling, stooping, squatting, or lying down for significant periods of the work day.

Jan 1, 2005

By Claud Johnson, G. Roger Miller, Kristine M. Krajnak, Stacey Waugh, Oliver Wirth

Workers exposed to vibrating hand tools are at risk of developing symptoms such as cold-induced vasospasms, loss of tactile sensitivity, and loss of grip strength in the fingers and hands. These symptoms are known collectively as vibration white finger (VWF) or hand-arm vibration syndrome (HAVS). Symptoms of VWF or HAVS are in part due to repeated and prolonged peripheral vasoconstriction[1, 2]. The reduction in blood flow that occurs with vasoconstriction can result in oxygen deprivation (hypoxia) in soft tissues, such as nerves and muscle, and lead to functional and structural changes in these tissues. The present study examined muscle tissue to determine if vibration-induced changes in transcript levels and protein concentrations result in enhanced vasoconstriction and hypoxia. Manual dexterity was also assessed intermittently to determine if vibration-induced changes in cellular factors are accompanied by performance deficits. Methods An animal model was developed to study the biological and functional changes that occur in response to repeated segmental vibration exposures. In this model, the right paw of intact rats was exposed to a platform vibrated at a frequency 250 Hz and amplitude of 49 m/s2 to simulate the vibration characteristics of hand-held grinders. Three groups of 8 rats each were studied: a vibration-exposed group, an exposure-control group, and a cage-control group. Exposure sessions, with or without vibration, were conducted 4 hr/day, 5 days/week for 5 weeks. Manual dexterity was assessed intermittently during the 5-week exposure period with the Montoya stair-case test[3], which quantifies the rat’s ability to reach for, grasp, and retrieve small food pellets placed below the rat on different levels or steps. Following the 5-week exposure period, the flexor muscles of the right forelimb were collected for analysis of gene expression, protein concentrations, and immunohistochemistry. Results Vibration-exposure resulted in an approximate 2-fold increase in the expression of a2C and a1D receptor transcripts in flexor muscles (Figure 1). These receptors mediate norepinephrine-induced vasoconstriction in smaller arteries. Vibration-exposure also resulted in an approximate 2-fold increase in hypoxia-induced factor-1a (HIF-1a), a transcription factor that is expressed in response to tissue hypoxia. Western analyses demonstrated that restraint caused a decrease in a1-receptor protein concentrations in the flexor, but vibration-exposure prevented the restraint-induced reduction (Figure 2). Immunohistochemistry performed on flexor muscles (not shown) demonstrated that a1 receptors are primarily located in arteries; maintained levels of these receptors could contribute to prolonged vasoconstriction following repeated vibration exposure. The staircase test showed some performance improvement, or a training effect, in manual dexterity for the control groups but not the vibration-exposed group (Figure 3).

Jan 6, 2006

By A. Salmoni, E. K. Gillin, T. Eger, A. Cann, P. Vi, M. Hunt

Kittusamy (Kittusamy & Buchholz, 2004) state that there have been few studies conducted to assess exposure to whole-body vibration (WBV) in the construction industry. They suggest that there is very little reliable data from the construction industry that characterizes exposure levels to various hazards including WBV or the health outcomes from such exposure and that there is a need for more exposure data. In a recent exploratory study of heavy construction equipment Cann (Cann, Salmoni, Vi, & Eger, 2003) looked at vibration levels for 14 different types of construction equipment. Eight of the 14 pieces of equipment tested exposed operators to levels of WBV that exceeded the recommended limits for an 8-hour period when comparing the measured VDV to the ISO 2631-1 standards. The purpose of the present research was not only to test a larger number of scrapers but also to investigate scraper operator exposure to whole body vibration (WBV) separately for each task. Methods 33 scrapers were evaluated for WBV in a variety of residential and road construction projects. Testing equipment consisted of triaxial accelerometers that allowed vibration data collection in all three orthogonal axes, with the x-axis positioned to measure vibration in the anterior-posterior direction, the y-axis in the medial-lateral direction, and the z-axis in the vertical direction. Root mean square accelerations (aRMS), vibration dose value (VDV), crest factor, and maximum transient vibration values (MTVV) were derived from this software and exported to an Excel™ spreadsheet for later data analysis. Test sessions for each piece of equipment lasted for approximately 20 minutes until at least three work cycles had been completed. Tasks included: idling while waiting for a bulldozer to push the scraper through the scraping phase, scraping, traveling loaded with dirt, dumping and traveling empty. Results Task breakdown by time reveals 25% of the work cycle was spent traveling fully loaded with dirt, 19% dumping, 21% traveling unloaded, 17% idling and 18% scraping. Calculation of aRMS vector sums gave values of 2.55 m/s2 during loaded transport, 2.46 m/s2 during dumping, 2.31 m/s2 during unloaded travel, 0.55 m/s2 during idling and 1.46 m/s2 during scraping (see Table 1). The highest acceleration values recorded were found in the z-axis during fully loaded transport reaching an average aRMS over three work cycles of 2.55 m/s2.

Jan 6, 2006

By Stanley M. Walker

Safety consciousness is not a constant for which a specific value can be assigned, but is a variable, which is frequently intangible. Its evaluation is not simple. We all know that safety consciousness is the most potent factor in the prevention of accidents. Safety consciousness may be defined as awareness of hazard and alertness to danger, which controls every action of an individual through his desire to remain alive and uninjured.

Jan 1, 1951

By Charles L. Kimbell

For the world mineral industry as a whole, the year 1981 was a period of continuation and, in some instances, an acceleration of negative trends extending back into 1980. Most available statistical data reflected stagnation or downturns in activity. Levels of production, trade, and consumption declined for a substantial number of leading mineral commodities, including, most notably, steel and petroleum. Investment, if not lower than in 1980, was evidently increasing at a more modest rate. Prices for major mineral commodities were generally lower, at least in terms of constant dollars, and in some cases even in terms of current dollars. Prospects of a major reversal of these patterns seemed dim. The mineral industry, however, was far from alone in this general downturn; most other elements of the national economies of the world&apos;s nations fared little better. General conditions of inflation, recession, and reduced industrial product consumption were reflected in most other sectors of the total economy. International political events continued to influence mineral output and flow but had less influence on overall levels of activities than on the geographic distribution of these activities. The Iran-Iraq war certainly played a role in reducing mineral industry activities in those nations, but the commodity most affected, petroleum, was available from other sources in sufficient quantity that, in the face of reduced demand, a substantial surplus developed.

Jan 1, 1983

By S. F. Mauser

This report describes the study of factors which affect medium voltage (661 - 1000 volts) trailing cable splices used in underground coal mines. Improvements in quality, dependability, and design of splice kits and shop splices are presented in the study results and recommended guidelines and regulations. Recommended research programs are included which describe approaches for development of the recommended guidelines and regulations for medium voltage trailing cable splices. The basis for the conclusions and recommendations presented in this report is included in three appendices which describe a survey, splice examination, and general requirements development prepared during the progress of this study.

Jan 1, 1977

By E. S. Leaver

The gold that is not recovered by a particular process is refractory to that process. A study to determine how the refractory gold is associated in the ore constituents usually indicates the needed improvement in the process or additional methods for bettering recovery. In preliminary work, segregation of the various minerals, gangue or impurities, and data showing the reactions of each in the recovery method readily confines the refractory gold to a certain part on which extensive research can be directed. In this dissecting plan, the microscope is an important aid in locating the refractory gold but should be supplemented by chemical tests. Each ore is an individual problem until the association of the gold has been determined. Knowing the problem through the interfering minerals or elements, the solution often is only the application of part of a former known practice as an auxiliary or additional feature. In the treatment plan for most gold ores, it has been the custom to try each of the usual recovery methods or combinations thereof, accepting the best results on a basis of the lowest cost. A better plan includes knowledge of the association of the gold and the various minerals from which it is to be recovered. This presents reasonable foresight into the problems that should be expected and permits some provision for avoiding probable difficulties. The preliminary work should include: Determination of the percentage of free gold with classification showing size of gold particles to be expected; determination of the percentage of gold associated with each mineral and whether it be freed from the mineral by crushing; and an analysis of representative samples of the ore to include other valuable minerals and the form in which they occur.

Jan 1, 1934

By Carl Belser

This report is the first of a series dealing with the oil-shale reserves of the Green River formation in the Rocky Mountain Region. The known oil-shale reserves of northwestern Colorado at present considered to have economic value apparently are confined to the Piceanco Creek basin between the Colorado and White Rivers. The number of sampled sections is small, but there can be little doubt that the Piceance Creek basin is a potential source of enormous quantities of liquid fuels and the related byproducts obtained from oil-shale processing. The partly blocked and inferred oil-shale reserves of 25-gallon-a-ton shale are estimated to have an oil yield of 125 billion barrels and the reserves of 15-gallon-a-ton shale are estimated to have an oil yield of 494 billion barrels. The number of available sampled sections is inadequate for making firm estimates.

Jan 1, 1951

By Clarence Hall, S. P. Howell, W. O. SNELLING

The explosives used in coal mines not only occasion accidents such as occur in the use of explosives elsewhere, but they frequently cause widespread disasters by igniting explosive mixtures of mine gas and air and of coal dust and air, or both. In addition, the firing of ex- plosives so shakes the walls and roofs of the mines as to cause falls, with their attendant casualities. Considering the large number of explosives and their wide range in composition and properties, it is obvious that certain of them should prove more suitable for use in coal mines than others. The problem is to determine which explosives are the most suitable for this purpose and the precise conditions under which they may be used with the greatest safety. Of course this problem could be worked out in actual mining, but experimental investigations when accompanying commercial opera- tions are hazardous and slow. To obtain the information sought, in the speediest and most economical manner, laboratory methods must be resorted to. The adoption of such methods began about 30 years ago with experiments in an iron gallery mounted on wheels, at Zwickau, Germany. This laboratory method of attacking the prob- lem has so commended itself that it has not only been repeated else- where in Germany but has at intervals been officially adopted, with many modifications and additions, by the Governments of Belgium, Austria, France, and Great Britain. Such was the status of coal-mine investigations in Europe when in 1904, an organization in the Geological Survey, which in 1907 be- came the technologic branch, was created to investigate the mineral- fuel resources of this country. At that time no division of the Na- tional Government had official cognizance of conditions existing in our mines, but through its system of collecting fuels for tests the technologic branch was forced to recognize that coal-mine accidents are a factor that must be reckoned with in determining the extent and availability of our mineral-fuel resources. This became so apparent, and it was so obviously a function of this branch to make a systematic research as to the cause and prevention of such acci- dents, that in July, 1907, experts were appointed especially to deal with this problem. As a result, not only was Bulletin 333, on Coal- Mine Accidents: Their Causes and Prevention, prepared and pub- lished, but through personal inspection of foreign testing stations, and a study of their reports and the critiques of their methods and operations, definite plans for the establishment of such a testing station in this country were formulated. In the latter part of 1907, four grave disasters occurred in close succession consequent on explosions in the Monongah mines in West Virginia, where 368 men were killed, the Darr mine in Pennsyl- vania, where 160 were killed, the Naomi mine in Pennsylvania, where 34 were killed, and the Yolande mine in Alabama, where 61 were killed. These frightful disasters so quickened the public con- science, and so plainly demonstrated that both humanitarian and economic needs demanded that steps be taken to prevent the re- currence of such accidents, that in 1908 Congress made a special appropriation for an investigation as to the "causes of mine ex- plosions." A similar appropriation was made in the following year. By act of May 16, 1910, the Bureau of Mines was created "to make diligent investigation of the methods of mining, especially in relation to the safety of miners, the use of explosives, the prevention of accidents," and other matters relating to mining. Therefore, these investigations are at present conducted in obedience to an organic act instead of being dependent solely upon special appropriations. The first appropriation became available July 1, 1908. Through the courtesy of the War Department a portion of the grounds and buildings of the arsenal at Pittsburgh was granted for the use of the technologic branch of the United States Geological Survey. Work was immediately begun in procuring and erecting the necessary instru- ments and appliances for carrying out the desired tests and inves- tigations and in adapting the existing buildings or in erecting new structures to contain the apparatus. The Pittsburgh testing station was officially opened and regular work was commenced on December 3, 1908, the apparatus and appliances having been tested, the force drilled in their use, and the equipment and methods inspected and passed upon by foreign experts.

Jan 1, 1912

By Launa G. Mallett, Jr. Brnich

Overview: The first step to emergency preparedness and maintaining a safe workplace is defining and analyzing hazards. Although all hazards should be addressed, resource limitations usually do not allow this to happen at one time. Risk assessment can be used to establish priorities so that the most dangerous situations are addressed first and those least likely to occur and least likely to cause major problems can be considered later. Purpose: This training package was developed to assist instructors as they (1) determine how to use risk assessment to improve safety preparedness and (2) present risk assessment concepts and tools to trainees. The concepts and tools presented here can be applied to any mine hazard.

Jul 1, 2003

By Homor N. McDonald, G. Dale Coe, Will H. Coghill

"INTRODUCTION Sporadic beneficiation tests have been made on the Birmingham (Ala.) red iron ores for the last 55 years. Now, gravity-concentration plants are in operation, of tables are in use. A major problem, as seen by the present writers, is to obtain a coarser concentrate and add to the recovery without increasing the quantity of slime. The oily practicable solution found so far is to recover, by means of concentration (hydraulic) classifiers, the coarse concentrate normally lost in the table middling and, by a similar method, to recover middling particles from the table tailings The size and shape of the coarse concentrate Particles combine to cause them to report in the table middling rather than in the table concentrate. Similarly, mineral is lost in the tailing. Because of this, the nature of the ore, the deportment jerking table, plant tests on classifiers and tables, and the suitability of small concentration classifiers to treat table zonal middlings are discussed herein.The work was done by the Southern Experiment Station, Bureau of Mines, in cooperation with the University of Alabama, Tuscaloosa, Ala."

Jan 1, 1935

By Russell R. Trengove

In order to extend or delimit the known ore reserves adjacent to the Comet Coalition property on the western slope of the Highland Peak Range about 8 airline miles west of Pioche, Nev., the Bureau of Mines undertook an exploration project of diamond drilling. Production figures from this property, formerly known as the Schodde, are not available, but it has been reported that small amounts of rich silver and gold ore were Shipped by wagon to a smelter in the Salt Lake valley during 1900-1910. Small shipments were reported for the period 1915-1927, also. A study of the Pioche District by the Federal Geological Survey in 1942 and 1943 was the basis for the exploration program of the Bureau of Mines in 1947 This program consisted of diamond-drilling three holes. The total footage was 2,967 feet. No. 1 hole was drilled 1,260 feet, a record depth for diamond drilling in the Pioche District. Silver-bearing lead-zinc sulfide ores are found in the Combined Metals limestone, known locally as the C.M. bed, These deposits have been formed by replacement of the limestone that is inclosed in the Pioche shale.

Jan 1, 1949

By Avery H. Reed

ALABAMA&apos;S mineral industry continued to expand. This was a record year for many commodities, with expansion in almost all industries. New records were established for the production of native asphalt, fixe clay, miscellaneous clay, kaolin, bentonite, lime, scrap mica, salt, sand and gravel, crushed limestone, crushed marble, and tale. Among the States, Alabama ranked second in the production of bauxite, third in the production of scrap mica and native asphalt, and fifth in iron ore. The mineral industry of Alabama was dominated by the mining and processing of coal and stone, the manufacture of cement, and the production of crude petroleum, which together comprised 87 percent of the total value of production, compared with 86 percent in 1963. The iron ore industry continued to decline. This was the first year in which consumption of imported iron ore exceeded the consumption of domestic iron ore. The coal industry recovered from the slump caused by the abandonment of red iron ore mining by United States Steel Corp., and production expanded 17 percent, for the best year in coal mining since 1948. During the year, the one-billionth ton of coal was mined within the State.

Jan 1, 1965

By Hisataka Sakakibara

Although the pathophysiology of vibration-induced white finger (VWF) is still under discussion, evidence has been accumulated to understand the underlying mechanism. VWF is pathophysiologically characterized by an enhanced vasospastic response to cold, which can result from an imbalance between vasoconstriction and vasodilation in the digital arteries in response to cold (i.e., vasoconstriction-dominant). The imbalance is supposed to be due to faults in vascular vessels and sympathetically mediated vascular tone. Enhanced vasospastic response to cold Narrowing of arterial lumen with medial smooth muscle hypertrophy. Possible functional factors for enhanced vasoconstriction • Increased sympathetic nervous activity to cold (e.g., norepinephrine) • Increased release of endothelin-1 (ET-1; an endothelial-dependent vasoconstrictor) from the endothelium • Increased reactivity of alpha2-adrenoreceptors to cold Possible functional factors for decreased vasodilation • Decreased release of nitric oxide (NO; an endothelial-dependent vasodilator) from the endothelium • Decreased release of calcitonin gene-related peptide (CGRP; a vasodilatory neuropeptide) from sensory afferents The question is how their interrelations or imbalances among them are Vibration and arterial damage The next question is, how does hand-arm vibration exposure induce such pathophysiological changes in VWF patients? Recent morphological evidence from animal experiments shows that vibration acceleration stress (including shear stress) and smooth muscle contraction contribute to arterial damage of smooth muscle and endothelial cells. The vibration-induced arterial damage is frequency-amplitude-dependent.

Jan 6, 2006