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All sourcesNASA NTRSDOE OSTI
DOE OSTI2023

Geothermal Play Fairway Analysis, Part 2: GIS methodology

Play Fairway Analysis (PFA) in geothermal exploration originates from a systematic methodology developed within the petroleum industry and is based on a geologic, geophysical, and hydrologic framework of identified geothermal systems. We tailored this methodology to study the geothermal resource potential of the Snake River Plain and surrounding region, but it can be adapted to other geothermal resource settings. We adapted the PFA approach to geothermal resource exploration by cataloging the critical elements controlling exploitable hydrothermal systems, establishing risk matrices that evaluate these elements in terms of both probability of success and level of knowledge, and building a code-based ‘processing model’ to process results. A geographic information system was used to compile a range of different data types, which we refer to as elements (e.g., faults, vents, heat flow, etc.), with distinct characteristics and measures of confidence. Discontinuous discrete data (points, lines, or polygons) for each element were transformed into continuous interpretive 2D grid surfaces called evidence layers. Because different data types have varying uncertainties, most evidence layers have an accompanying confidence layer which reflects spatial variations in these uncertainties. Risk layers, as defined here, are the product of evidence and confidence layers, and are the building blocks used to construct Common Risk Segment (CRS) maps for heat, permeability, and seal, using a weighted sum for permeability and heat, but a different approach with seal. CRS maps quantify the variable risk associated with each of these critical components. In a final step, the three CRS maps were combined into a Composite Common Risk Segment (CCRS) map, using a modified weighted sum, for results that reveal favorable areas for geothermal exploration. Additional maps are also presented that do not mix contributions from evidence and confidence (to allow an isolated view of evidence and confidence), as well as maps that calculate favorability using the product of components instead of a weighted sum (to highlight where all components are present). Our approach helped to identify areas of high geothermal favorability in the western and central Snake River Plain during the first phase of study and helped identify more precise local drilling targets during the second phase of work. By identifying favorable areas, this methodology can help to reduce uncertainty in geothermal energy exploration and development.

15 GEOTHERMAL ENERGY↗
DOE OSTI2024

The distributional impact of FEMA’s community rating system

Community Rating System (CRS) incentivizes investments in risk reduction above NFIP standards using discounts on insurance premiums. These discounts are cross-subsidized by increasing premiums in non-CRS communities. We examine the distribution of these subsidies and find that redistribution does occur, but the gains and losses are not economically large with 95% of households gaining or losing no more than 0.3% of household income. We also examine their relationship with other community characteristics and find that the strongest predictor of premium reductions is the underlying flood risk level within the community. Thus, CRS appears to reduce the cost of living in the riskier communities.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗
DOE OSTI2020

Lightning Interferometry Uncertainty, Beam Steering Interferometry, and Evidence of Lightning Being Ignited by a Cosmic Ray Shower

Abstract We present an uncertainty analysis on correlation‐based time delay estimate, the basis for broadband lightning interferometry. A normal interferometry would yield much higher uncertainties than the theoretically predicted lower bound due to finite correlation window lengths. However, if the signals are aligned in time, the uncertainties approach the lower bound and can be used to indicate the interferometric uncertainties. Based on this, we introduce a beam steering interferometry technique. It first estimates a direction centroid for the lightning sources with a normal interferometry and computes the time delays among the signals. It then shifts the raw data with the time delays to align the signals roughly in time and reprocess the aligned signals. It finally pushes the reprocessed results to their correct positions, based on the time delays estimated in the first step. We apply this technique on a fast positive breakdown (FPB) process that started a normal intracloud lightning. The FPB process is shown to have a much more complex structure and development than a normal interferometry would provide. More importantly, from both interferometric and polarization analyses, the FPB appears to be ignited by a cosmic ray shower (CRS). We estimate the radio frequency strength and frequency content related to a presumed CRS in a thunderstorm electric field and find that they are in agreement with the observations. We examine the electric field effect of the CRS front and find that it could raise the field above the threshold for positive breakdown and is capable of igniting the FPB (and the lightning).

Shao, Xuan‐Min↗
DOE OSTI2025

3D Radio Frequency Mapping and Polarization Observations Show Lightning Flashes Were Ignited by Cosmic‐Ray Showers

Previous 2D radio frequency interferometric observations showed that lightning is commonly started with a positive fast discharge (+FD) before a normal negative leader continues from the origin of the +FD to the ensuing lightning flash. However, the inception and development of the +FD cannot be convincingly explained by existing discharge theories. With our new 3D broadband interferometric mapping and polarization system, we observed that the +FD was sometimes followed by an even faster and more extensive negative discharge (−FD) that propagated backward and overshoot the origin by a few hundred meters, as reported by an earlier 2D study. Surprisingly, the signal polarization, which measures the orientation of the discharge current, systematically slanted from the discharge propagation direction and rotated between the two opposite discharges, showing the +FD and −FD were driven by other storm-independent factors in addition to the storm electric field, or otherwise all would align in the same direction. Assuming a cosmic-ray shower (CRS) piercing through the cloud immediately before the +FD/−FD discharge, we found that their path is consistent with a pre-ionized path by the CRS, and the polarizations for the two opposite discharges are consistent with the respective deflected trajectories of high-energy positrons and electrons in the geomagnetic and an electric field. We further analyzed the more commonly observed +FD and showed that it is consistent with the CRS interpretation, suggesting these flashes in thunderstorms were ignited by cosmic-ray showers.

58 GEOSCIENCES↗
DOE OSTI2024

Ultraviolet H 2 luminescence in molecular clouds induced by cosmic rays

Context. Galactic cosmic rays (CRs) play a crucial role in ionisation, dissociation, and excitation processes within dense cloud regions where UV radiation is absorbed by dust grains and gas species. CRs regulate the abundance of ions and radicals, leading to the formation of more and more complex molecular species, and determine the charge distribution on dust grains. A quantitative analysis of these effects is essential for understanding the dynamical and chemical evolution of star-forming regions. Aims. The CR-induced photon flux has a significant impact on the evolution of the dense molecular medium in its gas and dust components. This study evaluates the flux of UV photons generated by CRs to calculate the photon-induced dissociation and ionisation rates of a vast number of atomic and molecular species, as well as the integrated UV photon flux. Methods. To achieve these goals, we took advantage of recent developments in the determination of the spectra of secondary electrons, in the calculation of state-resolved excitation cross sections of H 2 by electron impact, and of photodissociation and photoionisation cross sections. Results. We calculated the H 2 level population of each rovibrational level of the X, B, C, B′, D, B″, D′, and a states. We then computed the UV photon spectrum of H 2 in its line and continuum components between 72 and 700 nm, with unprecedented accuracy, as a function of the CR spectrum incident on a molecular cloud, the H 2 column density, the isomeric H 2 composition, and the dust properties. The resulting photodissociation and photoionisation rates are, on average, lower than previous determinations by a factor of about 2, with deviations of up to a factor of 5 for the photodissociation of species such as AlH, C 2 H 2 , C 2 H 3 , C 3 H 3 , LiH, N 2 , NaCl, NaH, O 2 + , S2, SiH, l-C 4 , and l-C 5 H. A special focus is given to the photoionisation rates of H 2 , HF, and N 2 , as well as to the photodissociation of H 2 , which we find to be orders of magnitude higher than previous estimates. We give parameterisations for both the photorates and the integrated UV photon flux as a function of the CR ionisation rate, which implicitly depends on the H 2 column density, as well as the dust properties.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2026

Chemical Recommender System: Replacement Suggestions for Small Molecules

The Chemical Recommender System (CRS) is an open-source, high-performance toolkit that enables real-time similarity searches across the complete PubChem database (over 50 million molecules) using commodity hardware. The CRS addresses critical limitations in existing chemical informatics platforms through a novel vector database infrastructure, extensible model integration capabilities, and complete algorithmic transparency. The system implements a vector database deployment with partitioned indexing that achieves a ~60x speedup over traditional approaches. A containerized model integration framework allows researchers to seamlessly incorporate custom predictive models into the full-scale search and scoring pipeline, while complete configurability of search parameters, filtering logic, and scoring functions provides capabilities not available in existing black-box solutions. Beyond structural similarity, the CRS integrates OPERA QSAR models for thermophysical and toxicity predictions, RDKit synthetic accessibility scoring, and user-defined models to compute weighted final replacement scores. The complete system is accessible through an interactive web application supporting real-time progress monitoring, post-processing score re-weighting, automated PDF reporting, and batch processing capabilities.

Nair, Parthiv Anand [Sandia National Laboratories ↗
DOE OSTI2024

Ultraviolet H 2 luminescence in molecular clouds induced by cosmic rays

Context. Galactic cosmic rays (CRs) play a crucial role in ionisation, dissociation, and excitation processes within dense cloud regions where UV radiation is absorbed by dust grains and gas species. CRs regulate the abundance of ions and radicals, leading to the formation of more and more complex molecular species, and determine the charge distribution on dust grains. A quantitative analysis of these effects is essential for understanding the dynamical and chemical evolution of star-forming regions. Aims. The CR-induced photon flux has a significant impact on the evolution of the dense molecular medium in its gas and dust components. This study evaluates the flux of UV photons generated by CRs to calculate the photon-induced dissociation and ionisation rates of a vast number of atomic and molecular species, as well as the integrated UV photon flux. Methods. To achieve these goals, we took advantage of recent developments in the determination of the spectra of secondary electrons, in the calculation of state-resolved excitation cross sections of H 2 by electron impact, and of photodissociation and photoionisation cross sections. Results. We calculated the H 2 level population of each rovibrational level of the X, B, C, B', D, B", D', and a states. We then computed the UV photon spectrum of H 2 in its line and continuum components between 72 and 700 nm, with unprecedented accuracy, as a function of the CR spectrum incident on a molecular cloud, the H 2 column density, the isomeric H 2 composition, and the dust properties. The resulting photodissociation and photoionisation rates are, on average, lower than previous determinations by a factor of about 2, with deviations of up to a factor of 5 for the photodissociation of species such as AlH, C 2 H 2 , C 2 H 3 , C 3 H 3 , LiH, N 2 , NaCl, NaH, O$^+_2$, S 2 , SiH, l-C 4 , and l-C 5 H. A special focus is given to the photoionisation rates of H 2 , HF, and N 2 , as well as to the photodissociation of H 2 , which we find to be orders of magnitude higher than previous estimates. We give parameterisations for both the photorates and the integrated UV photon flux as a function of the CR ionisation rate, which implicitly depends on the H 2 column density, as well as the dust properties.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2021

Transport of Protostellar Cosmic Rays in Turbulent Dense Cores

We report recent studies have suggested that low-energy cosmic rays (CRs) may be accelerated inside molecular clouds by the shocks associated with star formation. We use a Monte Carlo transport code to model the propagation of CRs accelerated by protostellar accretion shocks through protostellar cores. We calculate the CR attenuation and energy losses and compute the resulting flux and ionization rate as a function of both radial distance from the protostar and angular position. We show that protostellar cores have nonuniform CR fluxes that produce a broad range of CR ionization rates, with the maximum value being up to two orders of magnitude higher than the radial average at a given distance. In particular, the CR flux is focused in the direction of the outflow cavity, creating a "flashlight" effect and allowing CRs to leak out of the core. The radially averaged ionization rates are less than the measured value for the Milky Way of ζ ≈ 10 -16 s -1 ; however, within r ≈ 0.03 pc from the protostar, the maximum ionization rates exceed this value. We show that variation in the protostellar parameters, particularly in the accretion rate, may produce ionization rates that are a couple of orders of magnitude higher or lower than our fiducial values. Finally, we use a statistical method to model unresolved subgrid magnetic turbulence in the core. We show that turbulence modifies the CR spectrum and increases the uniformity of the CR distribution but does not significantly affect the resulting ionization rates.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2023

Reacceleration of Galactic Cosmic Rays beyond the Knee at the Termination Shock of a Cosmic-Ray-driven Galactic Wind

The origin of cosmic rays (CRs) above the knee in the spectrum is an unsolved problem. We present a wind model in which interstellar gas flows along a nonrotating, expanding flux tube with a changing speed and cross-sectional area. CRs from Galactic sources, such as supernova remnants, which are coupled to the plasma via Alfvén waves, provide the main pressure source for driving this outflow. These CRs are then subject to diffusive shock reacceleration at the Galactic wind termination shock, which is located at a distance ~200 kpc. Some of the highest-energy reaccelerated particles propagate upstream against the wind and can contribute to the petaelectronvolt to exaelectronvolt range of the spectrum. We analyze the conditions under which efficient reacceleration can occur and find that rigidities ~10–40 PV can be obtained and that the termination shock may account for between 10% and 50% of the proton spectrum measured in IceCube/IceTop experiment. In our model, the termination shock is unable to fully explain the CR spectrum in the petaelectronvolt to exaelectronvolt range. The highest-energy particles that escape downstream from our termination shock, and similar shocks surrounding most galaxies, can be further accelerated by intergalactic shock fronts.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2025

A Unified Model of Cosmic-Ray Propagation and Radio Extreme Scattering Events from Intermittent Interstellar Structures

Intermittent magnetic structures are a plausible candidate for explaining cosmic-ray (CR) diffusion rates derived from observed CR energy spectra. Independently, studies of extreme scattering events (ESEs) of radio quasars and pulsar scintillation have hinted that very straight, large aspect ratio magnetic current sheets may be responsible for the localized large scattering of radio waves. The required shortest axis of the typical structures producing ESEs is of the same scale (∼au) as the gyroradii of ∼GeV CRs. In this Letter, we propose that the same magnetic/density sheets can produce large scattering of both CRs and radio waves. We demonstrate that the geometry and volume-filling factor of the sheets derived from quasar ESEs can explain the observed mean free path of GeV CRs without introducing free parameters. The model places constraints on the sheet geometry, such as straightness and large aspect ratio, and assumes that the statistics of the sheets are similar throughout the Galactic volume. We therefore discuss observational tests of the sheet model, which includes observations of echoes in pulsars and fast radio bursts, gravitationally lensed quasars, the distribution of ESE durations, and spatial correlations between ESE events and rotation measure fluctuations. Such tests will be enabled by upcoming wide-field radio instruments, including the Canadian Hydrogen Observatory and Radio-transient Detector and Deep Synoptic Array 2000 Antennas.

Kempski, Philipp [Princeton Univ., NJ (United Stat↗
DOE OSTI2023

Robust deep learning framework for constitutive relations modeling

Modeling the full-range deformation behaviors of materials under complex loading and materials conditions is a significant challenge for constitutive relations (CRs) modeling. Here, we propose a general encoder-decoder deep learning framework that can model high-dimensional stress-strain data and complex loading histories with robustness and universal capability. The framework employs an encoder to project high-dimensional input information (e.g., loading history, loading conditions, and materials information) to a lower-dimensional hidden space and a decoder to map the hidden representation to the stress of interest. We evaluated various encoder architectures, including gated recurrent unit (GRU), GRU with attention, temporal convolutional network (TCN), and the Transformer encoder, on two complex stress-strain datasets that were designed to include a wide range of complex loading histories and loading conditions. All architectures achieved excellent test results with an root-mean-square error (RMSE) below 1 MPa. Additionally, we analyzed the capability of the different architectures to make predictions on out-of-domain applications, with an uncertainty estimation based on deep ensembles. The proposed approach provides a robust alternative to empirical/semi-empirical models for CRs modeling, offering the potential for more accurate and efficient materials design and optimization.

36 MATERIALS SCIENCE↗
DOE OSTI2025

Coherent Control over Nuclear Hyperpolarization Using an Optically Initializable Chromophore-Radical System

Chromophore radicals (CR) are emerging as important components for molecular quantum information science (QIS), especially in the context of quantum sensing. Here, we demonstrate that the optically hyperpolarized electrons in a 1,6,7,12-tetrakis(4-tert-butylphenoxy)-perylene-3,4,9,10-bis(dicarboximide) (tpPDI) covalently linked to a partially deuterated 1,3-bis(diphenylene)-d 16 -2-phenylallyl radical (BDPA-d 16 ) can be coherently manipulated via pulsed dynamic nuclear polarization (DNP) methods to transfer polarization to nuclear spins and back. Under light illumination at 85 K, electron hyperpolarization in BDPA is enhanced 2.1- to 2.4-fold over thermal polarization and lasts for more than 100 ms. By applying nuclear orientation via electron spin-locking (NOVEL) DNP, this optically amplified electron hyperpolarization was successfully transferred to a 1 H nuclear spin within the CR system and efficiently returned to the electron spin for readout via reverse-NOVEL. The NOVEL transfer efficiency of 65% amounts to a 688-fold nuclear spin hyperpolarization of the target nuclear spin, considering the 2.1-fold electron spin hyperpolarization. This reversible coherent manipulation of hyperpolarization transfer highlights the utility of CR systems to initialize and read out nuclear spin states in a disordered matrix at moderate cryogenic temperatures. Coupled with CRs’ environmental compatibility, tunability, and precise state initialization, these results highlight the promising role of nuclear spins in CRs for QIS applications, including quantum sensing and memory.

charge transfer↗
DOE OSTI2024

De novo design of miniprotein antagonists of cytokine storm inducers

Cytokine release syndrome (CRS), commonly known as cytokine storm, is an acute systemic inflammatory response that is a significant global health threat. Interleukin-6 (IL-6) and interleukin-1 (IL-1) are key pro-inflammatory cytokines involved in CRS and are hence critical therapeutic targets. Current antagonists, such as tocilizumab and anakinra, target IL-6R/IL-1R but have limitations due to their long half-life and systemic anti-inflammatory effects, making them less suitable for acute or localized treatments. Here we present the de novo design of small protein antagonists that prevent IL-1 and IL-6 from interacting with their receptors to activate signaling. The designed proteins bind to the IL-6R, GP130 (an IL-6 co-receptor), and IL-1R1 receptor subunits with binding affinities in the picomolar to low-nanomolar range. X-ray crystallography studies reveal that the structures of these antagonists closely match their computational design models. In a human cardiac organoid disease model, the IL-1R antagonists demonstrated protective effects against inflammation and cardiac damage induced by IL-1β. These minibinders show promise for administration via subcutaneous injection or intranasal/inhaled routes to mitigate acute cytokine storm effects.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2023

Multiple emission components in the Cygnus cocoon detected from Fermi -LAT observations

Star-forming regions may play an important role in the life cycle of Galactic cosmic rays (CRs), notably as home to specific acceleration mechanisms and transport conditions. Gamma-ray observations of Cygnus X have revealed the presence of an excess of hard-spectrum gamma-ray emission, possibly related to a cocoon of freshly accelerated particles. We seek an improved description of the gamma-ray emission from the cocoon using ~13 yr of observations with the Fermi-Large Area Telescope (LAT) and use it to further constrain the processes and objects responsible for the young CR population. We developed an emission model for a large region of interest, including a description of interstellar emission from the background population of CRs and recent models for other gamma-ray sources in the field. Thus, we performed an improved spectro-morphological characterisation of the residual emission including the cocoon. The best-fit model for the cocoon includes two main emission components: an extended component FCES G78.74+1.56, described by a 2D Gaussian of extension r 68 = 4.4° ± 0.1° -0.1° +0.1° and a smooth broken power law spectrum with spectral indices 1.67 ± 0.05 -0.01 +0.02 and 2.12 ± 0.02 -0.01 +0.00 below and above 3.0 ± 0.6 -0.2 +0.0 GeV, respectively; and a central component FCES G80.00+0.50, traced by the distribution of ionised gas within the borders of the photo-dissociation regions and with a power law spectrum of index 2.19 ± 0.03 -0.01 +0.00 that is significantly different from the spectrum of FCES G78.74+1.56. An additional extended emission component FCES G78.83+3.57, located on the edge of the central cavities in Cygnus X and with a spectrum compatible with that of FCES G80.00+0.50, is likely related to the cocoon. For the two brightest components FCES G80.00+0.50 and FCES G78.74+1.56, spectra and radial-azimuthal profiles of the emission can be accounted for in a diffusion-loss framework involving one single population of non-thermal particles with a flat injection spectrum. Particles span the full extent of FCES G78.74+1.56 as a result of diffusion from a central source, and give rise to source FCES G80.00+0.50 by interacting with ionised gas in the innermost region. For this simple diffusion-loss model, viable setups can be very different in terms of energetics, transport conditions, and timescales involved, and both hadronic and leptonic scenarios are possible. The solutions range from long-lasting particle acceleration, possibly in prominent star clusters such as Cyg OB2 and NGC 6910, to a more recent and short-lived release of particles within the last 10–100 kyr, likely from a supernova remnant. The observables extracted from our analysis can be used to perform detailed comparisons with advanced models of particle acceleration and transport in star-forming regions.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2025

Morphogenesis of spin cycloids in a noncollinear antiferromagnet

Pattern formation in spin systems with continuous-rotational symmetry (CRS) provides a powerful platform to study emergent complex magnetic phases and topological defects in condensed-matter physics. However, its understanding and correlation with unconventional magnetic order along with high-resolution nanoscale imaging are challenging. Here, we employ scanning nitrogen vacancy (NV) magnetometry to unveil the morphogenesis of spin cycloids at both the local and global scales within a single ferroelectric domain of (111)-oriented BiFeO 3 , which is a noncollinear antiferromagnet, resulting in formation of a glassy labyrinthine pattern. We find that the domains of locally oriented cycloids are interconnected by an array of topological defects and exhibit isotropic energy landscape predicted by first-principles calculations. We propose that the CRS of spin-cycloid propagation directions within the (111) drives the formation of the labyrinthine pattern and the associated topological defects such as antiferromagnetic skyrmions. Unexpectedly, reversing the as-grown ferroelectric polarization from [$\overline{1}$ $\overline{1}$ $\overline{1}$] to [111] produces a noncycloidal NV image contrast which ¯ could be attributed to either the emergence of a uniformly magnetized state or a reversal of the cycloid polarity. These findings highlight that (111)-oriented BiFeO 3 is not only important for studying the fascinating subject of pattern formation but could also be utilized as an ideal platform for integrating novel topological defects in the field of antiferromagnetic spintronics.

magnetoelectric↗
DOE OSTI2020

Deeper snow increases the net soil organic carbon accrual rate in moist acidic tussock tundra: 210Pb evidence from Arctic Alaska

The net change in the carbon inventory of arctic tundra remains uncertain as global warming leads to shifts in arctic water and carbon cycles. To better understand the response of arctic tundra carbon to changes in winter precipitation amount, we investigated soil depth profiles of carbon concentration and radionuclide activities ( 7 Be, 137 Cs, 210 Pb, and 241 Am) in the active layer of a twenty-two-year winter snow depth manipulation experiment in moist acidic tussock tundra at Toolik Lake, Alaska. Depth correlations of cumulative carbon dry mass (g cm -2 ) vs. unsupported 210 Pb activity (mBq g -1 ) were examined using a modified constant rate of supply (CRS) model. Results were best fit by two-slope CRS models indicating an apparent step temporal increase in the accumulation rate of soil organic carbon. Most of the best-fit model chronologies indicated that the increase in carbon accumulation rate apparently began and persisted after snow fence construction in 1994. The inhomogeneous nature of permafrost soils and their relatively low net carbon accumulation rates make it challenging to establish robust chronologic records. Nonetheless, the data obtained in this study support a decadal-scale increase in net soil organic carbon accumulation rate in the active layer of arctic moist acidic tussock tundra under conditions of increased winter precipitation.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2025

Cosmic-ray cooling in active galactic nuclei as a new probe of inelastic dark matter

We present a novel way to probe inelastic dark matter using cosmic-ray (CR) cooling in active galactic nuclei (AGNs). Dark matter (DM) in the vicinity of supermassive black holes may scatter off CRs, resulting in the rapid cooling of CRs for sufficiently large cross sections. This in turn can alter the high-energy neutrino and gamma-ray fluxes detected from these sources. We show that AGN cooling bounds obtained through the multimessenger data of NGC 1068 and TXS 0506 + 056 allows us to reach unprecedently large mass splittings for inelastic DM (≳ TeV), orders of magnitude larger than those probed by direct detection experiments and DM capture in neutron stars. Furthermore, we demonstrate that cooling bounds from AGNs can probe thermal light DM with small mass splittings. This provides novel and complementary constraints in parts of a parameter space accessible solely by colliders and beam-dump experiments.

astronomical black holes↗
DOE OSTI2022

Effect of Low Frequency Repetitive Transcranial Magnetic Stimulation (rTMS) Combined with Hyperbaric Oxygen (HBO) on Awakening of Coma Patients with Traumatic Brain Injury

Coma caused by craniocerebral injury is a common condition of neurosurgical acute injury. There is no specific method to promote awakening in a clinic. Early comprehensive treatment may be helpful to patients. The common methods are hyperbaric oxygen (HBO) and low-frequency repetitive transcranial magnetic stimulation (rTMS). However, the application effect and mechanism of rTMS combined with HBO on coma patients with traumatic brain injury need to be further studied. The brain stem auditory evoked potential (BAEP) is examined by the Kennedy coma recovery scale (CRS-R), the recovery of brain function and the state of consciousness are evaluated, and the therapeutic effect is evaluated by the Glasgow Coma Scale (GCS). Cerebrospinal fluid NE level, MCA blood flow velocity, and left brainstem and right brainstem auditory evoked potential are used to evaluate brain rehabilitation. RTMS combined with HBO could shorten the wake-up time, improve the wake-up rate, improve the GCS score and CRS-R score, shorten the brain wave latency time of the left and right brainstem, increase the NE level of cerebrospinal fluid, and decrease the blood flow velocity of MCA. RTMS combines with HBO can improve the nerve excitability of brain cells, reduce the disturbance of consciousness, promote the functional recovery of brain injury, and has a certain role in promoting the awakening of patients with traumatic brain injury coma.

Liu, Mei↗