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NASA NTRS2003

Models And Experiments Of Laminar Diffusion Flames In Non-Uniform Magnetic Fields

Non-uniform magnetic fields affect laminar diffusion flames as a result of the paramagnetic and diamagnetic properties of the products and reactants. Paramagnetism is the weak attraction to a magnetic field a material exhibits as a result of permanent magnetic dipole moments in the atoms of the material. Diamagnetism is the weak repulsion to a magnetic field exhibited by a material due to the lack of permanent magnetic dipole moments in the atoms of a material. The forces associated with paramagnetic and diamagnetism are several orders of magnitude less than the forces associated with the more familiar ferromagnetism. A typical example of a paramagnetic gas is oxygen while hydrocarbon fuels and products of combustion are almost always diamagnetic. The fact that magnets can affect flame behavior has been recognized for more than one hundred years. Early speculation was that such behavior was due to the magnetic interaction with the ionized gases associated with a flame. Using a scaling analysis, it was later shown that for laminar diffusion flames the magnetic field/ionized gas interaction was insignificant to the paramagnetic and diamagnetic influences. In this effort, the focus has been on examining laminar diffusion slot flames in the presence of non-uniform upward decreasing magnetic fields produced using permanent magnets. The principal reason for choosing slot flames was mathematical models of such flames show an explicit dependence on gravitational body forces, in the buoyancy-controlled regime, and an applied magnetic field would also impose a body force. In addition, the behavior of such flames was more easily visualized while maintaining the symmetry of the two-dimensional problem whereas it would have been impossible to obtain a symmetric magnetic field around a circular flame and still visually record the flame height and shape along the burner axis. The motivation for choosing permanent magnets to produce the magnetic fields was the assumption that space-related technologies based on the knowledge gained during this investigation would more likely involve permanent magnets as opposed to electromagnets. While no analysis has been done here to quantify the impact that an electric field, associated with an electromagnetic, would have relative to the paramagnetic and diamagnetic interactions, by using permanent magnets this potential effect was completely eliminated and thus paramagnetic and diamagnetic effects were isolated.

Baker, J.↗
NASA NTRS2004

Structure and Dynamics of Freely Suspended Liquid Crystals

Smectic liquid crystals are phases of rod shaped molecules organized into one dimensionally (1 D) periodic arrays of layers, each layer being between one and two molecular lengths thick. In the least ordered smectic phases, the smectics A and C, each layer is a two dimensional (2D) liquid. Additionally there are a variety of more ordered smectic phases having hexatic short range translational order or 2D crystalline or quasi long range translational order within the layers. The inherent fluid-layer structure and low vapor pressure of smectic liquid crystals enables the long term stabilization of freely suspended, single component, layered fluid films as thin as 30A, a single molecular layer. The layering forces the films to be an integral number of smectic layers thick, quantizing their thickness in layer units and forcing a film of a particular number of layers to be physically homogeneous with respect to its layer structure over its entire area. Optical reflectivity enables the precise determination of the number of layers. These ultrathin freely suspended liquid crystal films are structures of fundamental interest in condensed matter and fluid physics. They are the thinnest known stable fluid structures and have the largest surface-to-volume ratio of any stable fluid preparation, making them ideal for the study of the effects of reduced dimensionality on phase behavior and on fluctuation and interface phenomena. Their low vapor pressure and quantized thickness enable the effective use of microgravity to extend the study of basic capillary phenomena to ultrathin fluid films. Freely suspended films have been a wellspring of new LC physics. They have been used to provide unique experimental conditions for the study of condensed phase transitions in two dimensions. They are the only system in which the hexatic has been unambiguously identified as a phase of matter, and the only physical system in which fluctuations of a 2D XY system and Kosterlitz Thouless phase transition has been observed and 2D XY quasi long range order verified. Smectic films have enabled the precise determination of smectic layer electron density and positional fluctuation profiles and have been used to show that the interlayer interactions in antiferroelectric tilted smectics do not extend significantly beyond nearest neighbors. Freely suspended films played a pivotal role in the recent discovery of macroscopic chiral-polar ordering in fluids of achiral molecules. The interactions which are operative in liquid crystals are generally weak in comparison to those in crystalline phases, leading to the facile manipulation of the order in liquid crystals by external agents such as applied fields and surfaces. Effects arising from weak ordering are significantly enhanced in ultrathin free films and filaments, in which the intermolecular coupling is effectively further reduced by loss of neighbors. Over the past four years this research, which we now detail, has produced a host of exciting new discoveries and unexpected results, maintaining the study of freely suspended liquid crystal structures as one of most exciting and fruitful areas of complex fluid physics. In addition, a class of experiments on the behavior of 1D interfaces in 2D films have been pursued with results that point to potentially quite interesting effects in microgravity.

Clark, Noel A.↗
NASA NTRS2004

On the Final Mass of Giant Planets

In the core accretion model of giant planet formation, when the core reaches critical mass, hydrostatic equilibrium is no longer possible and gas accretion ensues. If the envelope is radiative, the critical core mass is nearly independent of the boundary conditions and is roughly M(sub crit) ~ 10Mass of the Earth (with weak dependence on the rate of planetesimal accretion M(sub core) and the disk opacity k). Given that such a core may form at the present location of Jupiter in a time comparable to its Type I migration time (10(exp 5) - 10(exp 6) years) provided that the nebula was significantly enhanced in solids with respect to the MMSN and stall at this location in a weakly turbulent (alpha approximately less than 10(exp -4) disk, it may be appropriate to assume that such objects inevitably form and drive the evolution of late-phase T Tauri star disks. Here we investigate the final masses of giant planets in disks with one or more than one such cores. Although the presence of several planets would lead to Type II migration (due to the effective viscosity resulting from the planetary tidal torques), we ignore this complication for now and simply assume that each core has stalled at its location in the disk. Once a core has achieved critical mass, its gaseous accretion is governed by the given Kelvin-Helmholtz timescale.

Estrada, P. R.↗
NASA NTRS2004

Structure of the Highly Sheared Tropical Storm Chantal During CAMEX-4

NASA's 4th Convection and Moisture Experiment (CAMEX-4) focused on Atlantic hurricanes during the 2001 hurricane season and it involved both NASA and NOAA participation. The NASA ER-2 and DC-8 aircraft were instrumented with unique remote sensing instruments to help increase the overall understanding of hurricanes. This paper is concerned about one of the storms studied, Tropical Storm Chantal, that was a weak storm which failed to intense into a hurricane. One of the practical questions of high importance is why some tropical sto~ins intensify into hurricanes, and others remain weak or die altogether. The magnitude of the difference between the horizontal winds at lower levels and upper altitudes in a tropical storm, i.e., the wind shear, is one important quantity that can affect the intensification of a tropical storm. Strong shear as was present during Tropical Storm Chantal s lifetime and it was detrimental to its intensification. The paper presents an analysis of unique aircraft observations collected from Chantal including an on-board radar, radiometers, dropsondes, and flight level measurements. These measurements have enabled us to examine the internal structure of the winds and thermal structure of Chantal. Most of the previous studies have involved intense hurricanes that overcame the effects of shear and this work has provided new insights into what prevents a weaker storm from intensifying. The storm had extremely intense thunderstorms and rainfall, yet its main circulation was confined to low levels of the atmosphere. Chantal's thermal structure was not configured properly for the storm to intensify. It is most typical that huricanes have a warm core structure where warm temperatures in upper levels of a storm s circulation help intensify surface winds and lower its central pressure. Chantal had two weaker warm layers instead of a well-defined warm core. These layers have been related to the horizontal and vertical winds and precipitation structure and have helped us learn more about why this storm didn't develop.

Heymsfield, G. M.↗
NASA NTRS2003

Fatigue Crack and Porosity Measurement in Composite Materials by Thermographic and Ultrasonic Methods

Contents include the following: 1. Purpose. Detect thermo-mechanically induced intra-ply fatigue microcracking and manufactured porosity in unlined composite pressure vessels. 2. Defect descriptions. Porosity, microcracking. 3. Thermography. Overview of technique. Strengths and Weaknesses. Examples of its use for porosity detection. 4. Resonant ultrasound spectroscopy. Overview of technique. Strengths and Weaknesses. Examples of its use for microcracking detection. Conclusions.

Walker, James L.↗
NASA NTRS1999

Large Eddy Simulation of Aircraft Wake Vortices in a Homogeneous Atmospheric Turbulence: Vortex Decay and Descent

The effects of ambient turbulence on decay and descent of aircraft wake vortices are studied using a validated, three-dimensional: large-eddy simulation model. Numerical simulations are performed in order to isolate the effect of ambient turbulence on the wake vortex decay rate within a neutrally-stratified atmosphere. Simulations are conducted for a range of turbulence intensities, by injecting wake vortex pairs into an approximately homogeneous and isotropic turbulence field. The decay rate of the vortex circulation increases clearly with increasing ambient turbulence level, which is consistent with field observations. Based on the results from the numerical simulations, simple decay models are proposed as functions of dimensionless ambient turbulence intensity (eta) and dimensionless time (T) for the circulation averaged over a range of radial distances. With good agreement with the numerical results, a Gaussian type of vortex decay model is proposed for weak turbulence: while an exponential type of Tortex decay model can be applied for strong turbulence. A relationship for the vortex descent based on above vortex decay model is also proposed. Although the proposed models are based on simulations assuming neutral stratification, the model predictions are compared to Lidar vortex measurements observed during stable, neutral, and unstable atmospheric conditions. In the neutral and unstable atmosphere, the model predictions appear to be in reasonable agreement with the observational data, while in the stably-stratified atmosphere, they largely underestimate the observed circulation decay with consistent overestimation of the observed vortex descent. The underestimation of vortex decay during stably-stratified conditions suggests that stratification has an important influence on vortex decay when ambient levels of turbulence are weak.

Han, Jongil↗
NASA NTRS1993

Reflectance and Mossbauer spectroscopy of ferrihydrite-montmorillonite assemblages as Mars soil analog materials

Spectroscopic analyses show that Fe(3+)-doped smectites prepared in the laboratory exhibit important similarities to the soils on Mars. Ferrihydrite has been identified as the interlayer ferric component in Fe(3+)-doped smectites by a low quadrupole splitting and magnetic field strength of approximately 48 tesla in Mossbauer spectra measured at 4.2 K, as well as a crystal field transition at 0.92 micrometer. Ferrihydrite in these smectites explains features in the visible-near infrared region that resemble the energies and band strengths of features in reflectance spectra observed for several bright regions on Mars. Clay silicates have met resistance in the past as Mars soil analogs because terrestrial clay silicates exhibit prominent hydrous spectral features at 1.4, 1.9, and 2.2 micrometers; and these are observed weakly, if at all, in reflectance spectra of Mars. However, several mechanisms can weaken or compress these features, including desiccation under low-humidity conditions. The hydration properties of the interlayer cations also effect band strengths, such that a ferrihydrite-bearing smectite in the Martian environment would exhibit a 1.9 micrometers H2O absorption that is even weaker than the 2.2 micrometers structural OH absorption. Mixing experiments demonstrate that infrared spectral features of clays can be significantly suppressed and that the reflectance can be significantly darkened by mixing with only a few percent of a strongly absorbing opaque material. Therefore, the absolute reflectance of a soil on Mars may be disproportionately sensitive to a minor component. For this reason, the shape and position of spectral features and the chemical composition of potential analogs are of utmost importance in assessing the composition of the soil on Mars. Given the remarkable similarity between visible-infrared reflectance spectra of soils in bright regions on Mars and Fe(3+)-doped montmorillonites, coupled with recent observations of smectites in SNC meteorites and a weak 2.2 micrometers absorption in some Mars soils, ferrihydrite-bearing smectites warrant serious consideration as a Mars soil analog.

NASA Discipline Exobiology↗
NASA NTRS1996

Assessment of the polycyclic aromatic hydrocarbon-diffuse interstellar band proposal

The potential link between neutral and/or ionized polycyclic aromatic hydrocarbons (PAHs) and the diffuse interstellar band (DIB) carriers is examined. Based on the study of the general physical and chemical properties of PAHs, an assessment is made of their possible contribution to the DIB carriers. It is found that, under the conditions reigning in the diffuse interstellar medium, PAHs can be present in the form of neutral molecules as well as positive and/or negative ions. The charge distribution of small PAHs is dominated, however, by two charge states at one time with compact PAHs present only in the neutral and cationic forms. Each PAH has a distinct spectral signature depending on its charge state. Moreover, the spectra of ionized PAHs are always clearly dominated by a single band in the DIB spectral range. In the case of compact PAH ions, the strongest absorption band is of type A (i.e., the band is broad, falls in the high-energy range of the spectrum, and possesses a large oscillator strength), and seems to correlate with strong and broad DIBs. For noncompact PAH ions, the strongest absorption band is of type I (i.e., the band is narrow, falls in the low-energy range of the spectrum, and possesses a small oscillator strength), and seems to correlate with weak and narrow DIBs. Potential molecular size and structure constraints for interstellar PAHs are derived by comparing known DIB characteristics to the spectroscopic properties of PAHs. It is found that (i) only neutral PAHs larger than about 30 carbon atoms could, if present, contribute to the DIBs. (ii) For compact PAHs, only ions with less than about 250 carbon atoms could, if present, contribute to the DIBs. (iii) The observed distribution of the DIBs between strong/moderate and broad bands on the one hand and weak and narow bands on the other can easily be interpreted in the context of the PAH proposal by a distribution of compact and noncompact PAH ions, respectively. A plausible correlation between PAH charge states and DIB "families" is thus provided by the PAH-DIB proposal. Following this proposal, DIB families would reflect conditions within a cloud which locally determine the relative importance of cations, anions, and neutral species, rather than tracers of a specific species. Observational predictions are given to establish the viability of the PAH hypothesis. It is concluded that small PAH ions are very promising candidates as DIB carriers provided their population is dominated by a finite number (100-200) of species. A key test for the PAH proposal, consisting of laboratory and astronomical investigations in the ultraviolet range, is called for.

NASA Discipline Number 52-10↗
NASA NTRS1998

A Web-Based Monitoring System for Multidisciplinary Design Projects

In today's competitive environment, both industry and government agencies are under pressure to reduce the time and cost of multidisciplinary design projects. New tools have been introduced to assist in this process by facilitating the integration of and communication among diverse disciplinary codes. One such tool, a framework for multidisciplinary computational environments, is defined as a hardware and software architecture that enables integration, execution, and communication among diverse disciplinary processes. An examination of current frameworks reveals weaknesses in various areas, such as sequencing, displaying, monitoring, and controlling the design process. The objective of this research is to explore how Web technology, integrated with an existing framework, can improve these areas of weakness. This paper describes a Web-based system that optimizes and controls the execution sequence of design processes; and monitors the project status and results. The three-stage evolution of the system with increasingly complex problems demonstrates the feasibility of this approach.

Rogers, James L.↗
NASA NTRS2004

Scale-Free Networks and Commercial Air Carrier Transportation in the United States

Network science, or the art of describing system structure, may be useful for the analysis and control of large, complex systems. For example, networks exhibiting scale-free structure have been found to be particularly well suited to deal with environmental uncertainty and large demand growth. The National Airspace System may be, at least in part, a scalable network. In fact, the hub-and-spoke structure of the commercial segment of the NAS is an often-cited example of an existing scale-free network After reviewing the nature and attributes of scale-free networks, this assertion is put to the test: is commercial air carrier transportation in the United States well explained by this model? If so, are the positive attributes of these networks, e.g. those of efficiency, flexibility and robustness, fully realized, or could we effect substantial improvement? This paper first outlines attributes of various network types, then looks more closely at the common carrier air transportation network from perspectives of the traveler, the airlines, and Air Traffic Control (ATC). Network models are applied within each paradigm, including discussion of implied strengths and weaknesses of each model. Finally, known limitations of scalable networks are discussed. With an eye towards NAS operations, utilizing the strengths and avoiding the weaknesses of scale-free networks are addressed.

Conway, Sheila R.↗
NASA NTRS1996

Simulation of Nonlinear Instabilities in an Attachment-Line Boundary Layer

The linear and the nonlinear stability of disturbances that propagate along the attachment line of a three-dimensional boundary layer is considered. The spatially evolving disturbances in the boundary layer are computed by direct numerical simulation (DNS) of the unsteady, incompressible Navier-Stokes equations. Disturbances are introduced either by forcing at the in ow or by applying suction and blowing at the wall. Quasi-parallel linear stability theory and a nonparallel theory yield notably different stability characteristics for disturbances near the critical Reynolds number; the DNS results con rm the latter theory. Previously, a weakly nonlinear theory and computations revealed a high wave-number region of subcritical disturbance growth. More recent computations have failed to achieve this subcritical growth. The present computational results indicate the presence of subcritically growing disturbances; the results support the weakly nonlinear theory. Furthermore, an explanation is provided for the previous theoretical and computational discrepancy. In addition, the present results demonstrate that steady suction can be used to stabilize disturbances that otherwise grow subcritically along the attachment line.

Joslin, Ronald D.↗
NASA NTRS1996

Performance of Optimized Actuator and Sensor Arrays in an Active Noise Control System

Experiments have been conducted in NASA Langley s Acoustics and Dynamics Laboratory to determine the effectiveness of optimized actuator/sensor architectures and controller algorithms for active control of harmonic interior noise. Tests were conducted in a large scale fuselage model - a composite cylinder which simulates a commuter class aircraft fuselage with three sections of trim panel and a floor. Using an optimization technique based on the component transfer functions, combinations of 4 out of 8 piezoceramic actuators and 8 out of 462 microphone locations were evaluated against predicted performance. A combinatorial optimization technique call tabu search was employed to select the optimum transducer arrays. Three test frequencies represent the cases of a strong acoustic and strong structural response, a weak acoustic and strong structural response and a strong acoustic and weak structural response. Noise reduction was obtained using a Time Averaged/Gradient Descent (TAGD) controller. Results indicate that the optimization technique successfully predicted best and worst case performance. An enhancement of the TAGD control algorithm was also evaluated. The principal components of the actuator/sensor transfer functions were used in the PC-TAGD controller. The principal components are shown to be independent of each other while providing control as effective as the standard TAGD.

Palumbo, D. L.↗
NASA NTRS2000

[Role of membrane lipids in myocardial cytoprotection]

The cardiomyocyte capacity to regulate ATP production to face any change in energy demand is a major determinant of cardiac function. This process is based on a balanced fatty acid (FA) metabolism, because FA is the main fuel of the heart, although the most expensive one in oxygen. The pathway is, however, weakly controlled by the cardiac myocyte which can well regulate FA mitochondrial entry but not cell FA uptake. For this reason, several pathological situations often result from either harmful accumulation of FA and derivatives or excess FA-oxidation. Control of the FA/glucose balance by decreased energy production from FA would thus offer an alternative strategy in the treatment of ischaemia, providing the cardiomyocytes weak ability in handling the non-metabolised FA is controlled. The initiation and the regulation of cardiac contraction both result from membrane activity; the other major role of lipids in the heart is their contribution to membrane homeostasis through phospholipid synthesis pathways and phospholipases. The anti-anginal activity of Trimetazidine, reported as a cytoprotective effect without a haemo-dynamic component; is associated with reduced use of FA for energy. However, accumulation of FA and derivatives has never been observed. Trimetazidine is reported to increase significantly the synthesis of phospholipids without influencing the other lipid classes, thus increasing the incorporation of FA in membrane structures. This cytoprotection appears to be based on the redirection of the use of FA to phospholipid synthesis, which would decrease their availability for energy production. This class of compounds, with the same properties as Trimetazidine, offers a metabolic approach to the treatment of ischaemia.

Cytoprotection/physiology↗
NASA NTRS2004

Relationship between Precipitating Convection and Easterly Wave Dynamics in the Western Central Pacific

The main proposed goal of this research was a synthesis of radiosonde and radar time series from the TRMM validation experiment KWAJEX (Jul. 23 - Sep. 14 1999) with satellite datasets and forecast model based analyses, in order to characterize synoptic-scale disturbances passing through the Kwajalein (9 deg N 168 deg W) region on the north edge of the central Pacific ITCZ. The Sobel et al. paper summarizes our methodology and findings. A classic paper of Reed and Recker had documented the steady pulse of easterly waves modulating meridional wind, clouds and precipitation in and west of this region in a set of observations in boreal fall. Our study found easterly waves were much less organized and intense during KWAJEX, and only weakly correlated with daily area-averaged radar-derived precipitation and IR brightness temperature. Instead, we focused on three disturbances associated with the highest daily-averaged rainfall amounts during the period. We found by looking at NCEP reanalyses that only one was an easterly wave, while the other two corresponded to an equatorial Kelvin wave and a mixed Rossby-gravity wave, respectively. The contrast with Reed and Recker may be sampling variability, but the timing of KWAJEX, earlier in the year, and during suppressed (weak La Nina) conditions may also contribute to our different conclusions.

Bretherton, Christopher S.↗
NASA NTRS2003

ResPlan Database

The main project I was involved in was new application development for the existing CIS0 Database (ResPlan). This database application was developed in Microsoft Access. Initial meetings with Greg Follen, Linda McMillen, Griselle LaFontaine and others identified a few key weaknesses with the existing database. The weaknesses centered around that while the database correctly modeled the structure of Programs, Projects and Tasks, once the data was entered, the database did not capture any dynamic status information, and as such was of limited usefulness. After the initial meetings my goals were identified as follows: Enhance the ResPlan Database to include qualitative and quantitative status information about the Programs, Projects and Tasks Train staff members about the ResPlan database from both the user perspective and the developer perspective Give consideration to a Web Interface for reporting. Initially, the thought was that there would not be adequate time to actually develop the Web Interface, Greg wanted it understood that this was an eventual goal and as such should be a consideration throughout the development process.

Zellers, Michael L.↗
NASA NTRS2004

Sensitivity of a Cloud-Resolving Model to the Bulk and Explicit Bin Microphysical Schemes

A cloud-resolving model is used to study sensitivities of two different microphysical schemes, one is the bulk type, and the other is an explicit bin scheme, in simulating a mid-latitude squall line case. Simulations using different microphysical schemes are compared with each other and also with the observations. Both the bulk and bin models reproduce the general features during the developing and mature stage of the system. The leading convective zone, the trailing stratiform region, the horizontal wind flow patterns, pressure perturbation associated with the storm dynamics, and the cool pool in front of the system all agree well with the observations. Both the observations and the bulk scheme simulation serve as validations for the newly incorporated bin scheme. However, it is also shown that the bulk and bin simulations have distinct differences, most notably in the stratiform region. Weak convective cells exist in the stratiform region in the bulk simulation, but not in the bin simulation. These weak convective cells in the stratiform region are remnants of the previous stronger convections at the leading edge of the system. The bin simulation, on the other hand, has a horizontally homogeneous stratiform rain structure, which agrees better with the observations. Further analysis of the downdraft core strength, the potential temperature perturbation, and the evaporative cooling rate shows that the differences between the bulk and bin models are due mainly to the stronger low-level evaporative cooling simulated in the bulk model. Further quantitative analysis and sensitivity tests for this case using both the bulk and bin models will be presented in the talk.

Tao, Wei-Kuo↗
NASA NTRS2004

Sensitivity of a Cloud-Resolving Model to the Bulk and Explicit Bin Microphysical Schemes: Validations with a PRE-STORM Case - Part 1

A cloud-resolving model is used to study sensitivities of two different microphysical schemes, one is the bulk type, and the other is an explicit bin scheme, in simulating a mid-latitude squall line case (PRE-STORM, June 10-11, 1985). Simulations using different microphysical schemes are compared with each other and also with the observations. Both the bulk and bin models reproduce the general features during the developing and mature stage of the system. The leading convective zone, the trailing stratiform region, the horizontal wind flow patterns, pressure perturbation associated with the storm dynamics, and the cool pool in front of the system all agree well with the observations. Both the observations and the bulk scheme simulation serve as validations for the newly incorporated bin scheme. However, it is also shown that, the bulk and bin simulations have distinct differences, most notably in the stratiform region. Weak convective cells exist in the stratiform region in the bulk simulation, but not in the bin simulation. These weak convective cells in the stratiform region are remnants of the previous stronger convections at the leading edge of the system. The bin simulation, on the other hand, has a horizontally homogeneous stratiform cloud structure, which agrees better with the observations. Preliminary examinations of the downdraft core strength, the potential temperature perturbation, and the evaporative cooling rate show that the differences between the bulk and bin models are due mainly to the stronger low-level evaporative cooling in convective zone simulated in the bulk model. Further quantitative analysis and sensitivity tests for this case using both the bulk and bin models will be presented in a companion paper.

Li, Xiao-Wen↗
NASA NTRS1997

Subacute diabetic proximal neuropathy

OBJECTIVE: To evaluate the clinical, electrophysiologic, autonomic, and neuropathologic characteristics and the natural history of subacute diabetic proximal neuropathy and its response to immunotherapy. MATERIAL AND METHODS: For the 12-year period from 1983 to 1995, we conducted a retrospective review of medical records of Mayo Clinic patients with diabetes who had subacute onset and progression of proximal weakness. The responses of treated versus untreated patients were compared statistically. RESULTS: During the designated study period, 44 patients with subacute diabetic proximal neuropathy were encountered. Most patients were middle-aged or elderly, and no sex preponderance was noted. The proximal muscle weakness often was associated with reduced or absent lower extremity reflexes. Associated weight loss was a common finding. Frequently, patients had some evidence of demyelination on nerve conduction studies, but it invariably was accompanied by concomitant axonal degeneration. The cerebrospinal fluid protein concentration was usually increased. Diffuse and substantial autonomic failure was generally present. In most cases, a sural nerve biopsy specimen suggested demyelination, although evidence of an inflammatory infiltrate was less common. Of 12 patients who received treatment (with prednisone, intravenous immune globulin, or plasma exchange), 9 had improvement of their conditions, but 17 of 29 untreated patients (59%) with follow-up also eventually had improvement, albeit at a much slower rate. Improvement was usually incomplete. CONCLUSION: We suggest that the entity of subacute diabetic proximal neuropathy is an extensive and severe variant of bilateral lumbosacral radiculoplexopathy, with some features suggestive of an immune-mediated cause. It differs from chronic inflammatory demyelinating polyradiculoneuropathy in that most cases have a more restricted distribution and seem to be monophasic and self-limiting. The efficacy of immunotherapy is unproved, but such intervention may be considered in the severe and progressive cases or ones associated with severe neuropathic pain.

Non-NASA Center↗