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Lehman Caves is an extensively decorated high desert cave that represents one of the main tourist attractions in Great Basin National Park, Nevada. Although traditionally considered a water table cave, recent studies identified abundant speleogenetic features consistent with a hypogenic and, potentially, sulfuric acid origin. Here, we characterized white mineral deposits in the Gypsum Annex (GA) passage to determine whether these secondary deposits represent biogenic minerals formed during sulfuric acid corrosion and explored microbial communities associated with these and other mineral deposits throughout the cave. Powder X-ray diffraction (pXRD), scanning electron microscopy with electron dispersive spectroscopy (SEM-EDS), and electron microprobe analyses (EPMA) showed that, while most white mineral deposits from the GA contain gypsum, they also contain abundant calcite, silica, and other phases. Gypsum and carbonate-associated sulfate isotopic values of these deposits are variable, with δ34SV-CDT between +9.7‰ and +26.1‰, and do not reflect depleted values typically associated with replacement gypsum formed during sulfuric acid speleogenesis. Petrographic observations show that the sulfates likely co-precipitated with carbonate and SiO2 phases. Taken together, these data suggest that the deposits resulted from later-stage meteoric events and not during an initial episode of sulfuric acid speleogenesis. Most sedimentary and mineral deposits in Lehman Caves have very low microbial biomass, with the exception of select areas along the main tour route that have been impacted by tourist traffic. High-throughput 16S rRNA gene amplicon sequencing showed that microbial communities in GA sediments are distinct from those in other parts of the cave. The microbial communities that inhabit these oligotrophic secondary mineral deposits include OTUs related to known ammonia-oxidizing Nitrosococcales and Thaumarchaeota, as well as common soil taxa such as Acidobacteriota and Proteobacteria. This study reveals microbial and mineralogical diversity in a previously understudied cave and expands our understanding of the geomicrobiology of desert hypogene cave systems.

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OBJECTIVE: Pediatric anthropomorphic test devices (ATDs) are important tools for the assessment of child occupant protection and should represent realistic child belt fit and posture on belt-positioning boosters. Previous comparisons have been made to children in either self-selected or nominal postural conditions. This study compares belt fit and postural measurements between pediatric ATDs and a single cohort of children assuming different postures on boosters: self-selected, holding a portable electronic device, and nominal. METHODS: A cohort of children (n = 25) were evaluated in a stationary vehicle on five boosters and in three postural conditions: nominal, self-selected, and a representative holding electronic device position. The Hybrid III 6- and 10-year-old and Q-Series 6- and 10-year-old ATDs were evaluated in the same five boosters and in two postural conditions: nominal and a representative holding electronic device position. A 3D coordinate measurement device was used to quantify belt fit (shoulder belt score, lap belt score, maximum gap size, and gap length) and anatomic landmark positions (head, suprasternale, ASIS, and patella). Landmark positions and belt fit were compared between ATDs and children for each booster and postural condition, and Pearson correlations (r) were assessed across boosters. RESULTS: ATDs generally represented Nominal child postures across boosters. In the Device condition, ATDs were seldom able to be positioned to represent both the torso and head position of children, due to limited ATD spinal flexibility. When the torso position was matched, the ATD head was more rear by 63 mm. Correlations between Nominal child and ATD belt fit and belt gap metrics were generally weak and not significant, with the exception of lap belt score (all ATDs p < 0.07, r = 0.8549-0.9857). DISCUSSION: ATDs were generally able to represent realistic child postures and lap belt fit in Nominal and short duration Self-selected postures in a laboratory setting. However, these results display the potential difficulty of utilizing ATDs to represent more naturalistic child postures, especially the more forward head positions and flexed spinal posture associated with utilizing a portable electronic device.

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RESEARCH QUESTIONS / OBJECTIVE: Test protocols evaluate restraint performance with pediatric ATDs placed in an ideal seating posture. However, real-world evidence suggests that ideal test conditions do not always reflect actual occupant positions. Prior studies have also shown that booster seat designs affect the position of the seatbelt around the child. Occupants in naturalistic seating postures, coupled with potentially unfavorable seatbelt positions, could result in adverse kinematics and kinetics in a crash. Therefore, the aim of this study was to quantify the effect of different naturalistic seating postures on the response of the Q6 ATD restrained on boosters with varying initial static belt fit in a frontal impact. METHODS/DATA SOURCES: The Q6 ATD was positioned on two booster seats of similar design but varying static belt fit metrics in three seating postures: reference, leaning forward, and leaning inboard. These booster seats were chosen from extensive belt fit studies on human volunteers and ATDs, and were defined as follows:The booster-seated ATD was restrained on the simulated Consumer Reports test buck (2010 Ford Flex 2nd row seat) with a front blocker plate using a 3-point lap-shoulder belt with a retractor and pretensioner. The sled environment was subjected to the FMVSS 213 frontal impact pulse, and each booster and seating posture was evaluated twice (n = 12 sled tests). Kinematic and kinetic measures were recorded. A linear regression analysis was conducted across postures on each booster. Further, a paired t-test analysis was conducted across booster seats for each seating posture. RESULTS: Across seating postures, the reference posture exhibited similar or higher kinematic and kinetic metric values compared to the leaning forward and leaning inboard postures on both boosters. However, both leaning forward (Booster A = 279.5 ± 21.6 mm; Booster B = 298.8 ± 1.5 mm) and leaning inboard (Booster A = 308.7 ± 1.1 mm; Booster B = 331.4 ± 8.5 mm) postures generally resulted in greater head excursion than the reference posture (Booster A = 285.0 ± 16.9 mm; Booster B = 288.1 ± 1.5 mm), indicating greater potential for head contact. Between boosters, Booster A resulted in significantly lower head 3 ms clip acceleration (p = 0.0026), HIC15 (p = 0.0008), upper neck tensile force (Fz)(p = 0.0057), chest 3 ms clip acceleration (p = 0.0013), and right abdominal pressure (p = 0.0163), and significantly higher left ASIS force (Fx)(p = 0.0150) and left (p = 0.0489) and right (p = 0.0088) ASIS moment (My) than Booster B. Upper neck tensile forces on Booster B crossed the 20% and 50% thresholds for AIS3 + injury. Lower abdominal pressure and higher ASIS forces and moments on Booster A suggest that the lap belt loaded the ASIS appropriately, and hence, relatively better kinematics than Booster B. SIGNIFICANCE OF RESULTS: This study shows that booster design affects static belt fit which can have an effect on dynamic crash performance and assessment criteria. By connecting static belt fit to dynamic performance, these effects may have the potential to help guide booster seat design.

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Objective: One potential nonstandard seating configuration for vehicles with automated driving systems (ADS) is a reclined seat that is rear-facing when in a frontal collision. There are limited biomechanical response and injury data for this seating configuration during high-speed collisions. The main objective of this study was to investigate thoracic biomechanical responses and injuries to male postmortem human subjects (PMHS) in a rear-facing scenario with varying boundary conditions.Method: Fourteen rear-facing male PMHS tests (10 previously published and 4 newly tested) were conducted at two different recline angles (25-degree and 45-degree) in 56 km/h frontal impacts. PMHS were seated in two different seats; one used a Fixed D-Ring (FDR) seat belt assembly and one used an All Belts To Seat (ABTS) restraint. For thoracic instrumentation, strain gages were attached to ribs to quantify strain and fracture timing. A chestband was installed at the mid-sternum level to quantify anterior-posterior (AP) chest deflections. Data from the thorax instrumentation were analyzed to investigate injury mechanisms.Results: The PMHS sustained a greater number of rib fractures (NRF) in the 45-degree recline condition (12 ± 7 NRF for ABTS45 and 25 ± 18 NRF for FDR45) than the 25-degree condition (6 ± 4 NRF for ABTS25 and 12 ± 8 NRF for FDR25), despite AP chest compressions in the 45-degree condition (-23.7 ± 9.4 mm for ABTS45 and -39.6 ± 11.9 mm for FDR45) being smaller than the 25-degree condition (-38.9 ± 16.9 mm for ABTS25 and -55.0 ± 4.4 mm for FDR25). The rib fractures from the ABTS condition were not as symmetric as the FDR condition in the 25-degree recline angle due to a belt retractor structure located at one side of the seatback frame. Average peak AP chest compression occurred at 45.7 ± 3.4 ms for ABTS45, 45.6 ± 3.1 ms for FDR45, 46.7 ± 1.9 ms for ABTS25, and 46.9 ± 2.3 ms for FDR25. Average peak seatback resultant force occurred at 43.9 ± 0.9 ms for ABTS45, 44.6 ± 0.8 ms for FDR45, 42.5 ± 0.2 ms for ABTS25, and 41.5 ± 0.5 ms for FDR25. The majority of rib fractures occurred after peak AP chest compression and peak seatback resultant force likely due to the ramping motion of the PMHS, which might create a combined loading (e.g., AP deflection and upward deflection) to the thorax. Although NRF in the 45-degree reclined condition was greater than the 25-degree recline condition, similar magnitudes of rib strains were observed regardless of seat and restraint types, while strain modes varied.Conclusions: The majority of rib fractures occurred after peak AP chest compression and peak seatback force, especially in FDR25, ABTS45, and FDR45, while the PMHS ramped up along the seatback. AP chest compression, seatback load, and strain measured along the rib could not explain the greater NRF in the 45-degree recline conditions. A complex combination of AP chest deflection with upward deflection was discovered as a possible mechanism for rib fractures in PMHS subjected to rear-facing frontal impacts in this study.

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Objective: Previous studies have indicated that gap between the seatbelt and torso (reduced belt torso contact) for children on belt-positioning booster seats (BPBs) may lead to less torso engagement and increased likelihood of shoulder belt slip-off during evasive vehicle maneuvers, potentially increasing injury risk during crashes. However, current BPB belt fit measures do not quantify belt gap and may not be able to fully discriminate between designs which provide good vs. poor dynamic outcomes. The goal of this study was to evaluate both novel (belt gap characteristics) and conventional measures of seatbelt fit for BPB-seated children.Methods: Ten BPBs and three seatbelt anchor locations were investigated. Fifty volunteers (4-14 years) were recruited and each evaluated on six unique combinations of BPB and seatbelt anchor location on a vehicle rear seat in a laboratory setting. A 3 D coordinate measurement system quantified positions of anatomic, seatbelt, BPB, and vehicle reference points. Novel belt gap (gap size, length, location, and percent torso contact) and conventional belt fit (position of belt on shoulder and pelvis) metrics were calculated using anatomic and seatbelt landmarks. Variation in belt fit and belt gap outcomes due to BPB, seatbelt anchor location, and anthropometry were investigated.Results: BPBs produced significantly different outcomes, while seatbelt anchor location did not. BPBs with features that directly routed the lower portion of the shoulder belt more forward on the buckle side produced the largest (29.3 ± 12.6 mm) and longest (106.9 ± 68.2 mm) belt gap on average, while BPBs that pulled the belt less forward or did not directly route the belt produced the smallest (13.9 ± 6.7 mm) and shortest (16.9 ± 33.9 mm) gap on average. Belt gap outcomes were not strongly correlated with conventional belt fit metrics, indicating that evaluation of belt gap may provide additional insight when attempting to discriminate between BPBs which provide good vs. poor seatbelt engagement during vehicle maneuvers and crashes.Conclusions: This is the first study to evaluate belt gap characteristics for BPB-seated children. Results suggest that belt fit and belt gap are influenced by BPB design, particularly lower shoulder belt routings, and may have implications for belt engagement during dynamic events.

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OBJECTIVES: The objective was to understand how the use or nonuse of the Lower Anchors and Tethers for Children (LATCH) system affects the performance of booster seats during frontal impacts. METHODS: Sixteen frontal impact sled tests were conducted at 24.8 ± 0.3 g and 50.1 ± 0.2 kph. A production vehicle seat buck was attached to the sled. Four high-back boosters or combination seats in high-back booster mode and two backless booster models were tested. Each booster model was installed two different ways: using the LATCH system ("LATCH" installation) and without using the LATCH system ("non-LATCH" installation). All installations used a 3-point seat belt with retractor in emergency locking mode (ELR) to restrain a Hybrid III 6-year-old anthropomorphic test device (ATD). The retractor, belt webbing, buckle, vehicle seat cushion, and booster were replaced after each test. Some conditions were tested twice to establish repeatability. ATD and booster responses were compared between LATCH and non-LATCH tests. RESULTS: Using LATCH reduced the forward movement of the booster itself by 32.3% to 71.5% compared to non-LATCH installations. Differences in most other metrics were small and often within the range of normal test-to-test variation. Forward movements of the ATD head and heel were similar between LATCH and non-LATCH tests (typically less than 10% difference). HIC36 values trended slightly higher for LATCH installations compared to non-LATCH installations (0.8% to 17.2%). Chest resultant accelerations were typically 7.3% to 21.2% higher for LATCH installations, except for one booster for which it was lower with LATCH. Chest deflections trended higher for LATCH installations compared to non-LATCH installations for the backless boosters (6.9% to 14.1%). For high-back boosters, chest deflection was similar between installation conditions (less than 5% difference). Shoulder belt loads showed the greatest reductions when LATCH installations included a top tether (12.9% to 20.8%). Instances of the ATD submarining under the lap belt were not observed in these tests. CONCLUSIONS: Overall, the differences in kinematics and injury metrics were small between boosters installed using LATCH vs. non-LATCH.

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In show caves, artificial lighting is intended to illuminate striking cave formations for visitors. However, artificial lighting also promotes the growth of novel and diverse biofilm communities, termed lampenflora, that obtain their energy from these artificial light sources. Lampenflora, which generally consist of cyanobacteria, algae, diatoms, and bryophytes, discolor formations and introduce novel ecological interactions in cave ecosystems. The source of lampenflora community members and patterns of diversity have generally been understudied mainly due to technological limitations. In this study, we investigate whether members of lampenflora communities in an iconic show cave-Lehman Caves-in Great Basin National Park (GRBA) in the western United States also occur in nearby unlit and rarely visited caves. Using a high-throughput environmental DNA metabarcoding approach targeting three loci-the ITS2 (fungi), a fragment of the 16S (bacteria), and a fragment of 23S (photosynthetic bacteria and eukaryotes)-we characterized diversity of lampenflora communities occurring near artificial light sources in Lehman Caves and rock surfaces near the entrances of seven nearby "wild" caves. Most caves supported diverse and distinct microbial-dominated communities, with little overlap in community members among caves. The lampenflora communities in the show cave were distinct, and generally less diverse, from those occurring in nearby unlit caves. Our results suggest an unidentified source for a significant proportion of lampenflora community members in Lehman Caves, with the majority of community members not found in nearby wild caves. Whether the unique members of the lampenflora communities in Lehman Caves are related to distinct abiotic conditions, increased human visitation, or other factors remains unknown. These results provide a valuable framework for future research exploring lampenflora community assemblies in show caves, in addition to a broad perspective into the range of microbial and lampenflora community members in GRBA. By more fully characterizing these communities, we can better monitor the establishment of lampenflora and design effective strategies for their management and removal.

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Objectives: The objective of the study is to determine whether specific child restraint system (CRS) or vehicle conditions improve top tether attachment rates during volunteer installations. Methods: A factorial randomized controlled trial was designed to evaluate 4 different experimental categories: (1) Color of tether adjuster casing (black or red), (2) labeling on tether adjuster casing (labeled with "Tether: Use for forward-facing" or unlabeled), (3) storage location of tether (bundled in a rubber band on the back of CRS or Velcroed over the forward-facing belt path), and (4) labeling in vehicle (labeled under head restraint and below anchor or unlabeled). Ninety-six volunteers were randomly assigned to one combination of conditions. One installation per volunteer was completed. The primary outcome measure was acceptable attachment of the top tether to the tether anchor. The secondary outcome measure was overall secureness of the installation. Pearson's chi-square tests were used to identify significant predictors of acceptable outcomes and logistic regression was used to investigate interaction effects. Results: A total of 66/96 subjects (68.8%) attached the top tether in an acceptable manner, with either zero errors (n = 50) or minor errors (n = 16). A total of 30/96 subjects (31.2%) had unacceptable tether outcomes, with either major errors (n = 10) or nonuse the tether at all (n = 20). None of the 4 experimental categories significantly affected tether outcomes. Subjects who opted to install the CRS with the lower anchors (LAs) had higher rates of acceptable tether attachment compared to subjects who installed using the seat belt or those who used both LA and seat belt together (χ2 = 6.792, P = .034). Tether outcomes were not correlated with previous CRS experience, use of instruction manual(s), age, or sex. Only 15.6% of subjects produced overall correct and tight installations. Of those who used the seat belt in some manner, 70.2% neglected to switch the retractor into locking mode. Conclusions: Conditions in this study including tether color, tether labeling, storage location, and vehicle labeling did not significantly affect tether attachment rates. High rates of tether misuse and nonuse warrant further exploration to find effective solutions to this usability problem.

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OBJECTIVE: To increase the protection of child passengers in crashes preceded by evasive steering, understanding of how children interact with the seat belt in such situations is essential. This study aims to quantify child kinematics and describe child-to-restraint interaction during evasive steering maneuvers. METHODS: Eighteen child volunteers (aged 5-10) were seated on the rear seat of a passenger vehicle. A professional driver made repeatable sharp turns at 50 km/h. Children were restrained by the seat belt on a booster cushion (BC) and on an integrated booster cushion (IBC). Kinematics of the nasion and upper sternum were analyzed with video tracking software and shoulder belt (SB) engagement and position were evaluated. RESULTS: Children moved laterally inboard, and SB-to-body interaction was influenced by booster and stature. Shorter children displayed initial SB positions closer to the neck with less instances of gap between the SB and the lower torso, resulting in more curved belt paths on the IBC. On the BC, shorter children had less of the SB in contact with the torso and straight belt paths were observed throughout steering. Taller children generally had the SB initially mid-shoulder with less instances of gap, resulting in curved belt paths at initial and maximum displacements on both boosters. Children loaded the shoulder belt by axially rotating their torso into the SB more often on the IBC compared to BC. The SB generally stayed on the shoulder, with 89% of slip-off instances occurring for shorter children on the BC. Shorter children on the BC had the largest average inboard nasion displacement (120 mm). Taller children on the BC had the lowest average inboard displacement of the nasion (100 mm). All children initially displaced on average 90 mm inboard with their upper sternum. CONCLUSIONS: Initial SB position on the shoulder and torso differed with booster and stature, which influenced how children engaged with the seat belt during steering. Children with less SB initially in contact with the torso moved laterally behind the belt, resulting in straighter SB paths and outboard motion of the SB on the shoulder (often ending far out or slipped off). When more of the SB was initially in contact with the torso, children tended to engage the SB more, moving with the belt and causing the SB path to become more curved, resulting in less inboard head displacement and less outboard motion of the SB on the shoulder. Enhanced understanding of how evasive steering affects the kinematic response of children provides valuable data for protection of children in real-world situations.

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OBJECTIVE: Characterization of the severity of injury should account for both mortality and disability. The objective of this study was to develop a disability metric for thoracic injuries in motor vehicle crashes (MVCs) and compare the functional outcomes between the pediatric and adult populations. METHODS: Disability risk (DR) was quantified using Functional Independence Measure (FIM) scores within the National Trauma Data Bank for the most frequently occurring Abbreviated Injury Scale (AIS) 2-5 thoracic injuries. Occupants with thoracic injury were classified as disabled or not disabled based on the FIM scale, and comparisons were made between the following age groups: pediatric, adult, middle-aged, and older occupants (ages 7-18, 19-45, 46-65, and 66+, respectively). For each age group, DR was calculated by dividing the number of patients who were disabled and sustained a given injury by the number of patients who sustained a given injury. To account for the effect of higher severity co-injuries, a maximum AIS adjusted DR (DRMAIS) was also calculated for each injury. DR and DRMAIS could range from 0 to 100% disability risk. RESULTS: The mean DRMAIS for MVC thoracic injuries was 20% for pediatric occupants, 22% for adults, 29% for middle-aged adults, and 43% for older adults. Older adults possessed higher DRMAIS values for diaphragm laceration/rupture, heart laceration, hemo/pneumothorax, lung contusion/laceration, and rib and sternum fracture compared to the other age groups. The pediatric population possessed a higher DRMAIS value for flail chest compared to the other age groups. CONCLUSION: Older adults had significantly greater overall disability than each of the other age groups for thoracic injuries. The developed disability metrics are important in quantifying the significant burden of injuries and loss of quality life years. Such metrics can be used to better characterize severity of injury and further the understanding of age-related differences in injury outcomes, which can influence future age-specific modifications to AIS.

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OBJECTIVE: The objective of the study was to develop a disability-based metric for motor vehicle crash (MVC) injuries, with a focus on head injuries, and compare the functional outcomes between the pediatric and adult populations. METHODS: Disability risk (DR) was quantified using Functional Independence Measure (FIM) scores within the National Trauma Data Bank-Research Data System (NTDB-RDS) for the top 95% most frequently occurring Abbreviated Injury Scale (AIS) 3, 4, and 5 head injuries in NASS-CDS 2000-2011. Pediatric (ages 7-18), adult (19-45), middle-aged (46-65), and older adult (66+) patients with an FIM score available who were alive at discharge and had an AIS 3, 4, or 5 injury were included in the study. The NTDB-RDS contains a truncated form of the FIM instrument, including 3 items (self-feed, locomotion, and verbal expression), each graded on a scale of 1 (full functional dependence) to 4 (full functional independence). Patients within each age group were classified as disabled or not disabled based on the FIM scale. The DR was calculated for each age group by dividing the number of patients who sustained a specific injury and were disabled by the number of patients who sustained the specific injury. To account for the impact of more severe associated coinjuries, a maximum AIS (MAIS) adjusted DR (DRMAIS) was also calculated for each injury. DR and DRMAIS ranged from 0 (0% disability risk) to 1 (100% disability risk). RESULTS: An analysis of the most frequent FIM components associated with disabling MVC head injuries revealed that disability across all 3 items (self-feed, locomotion, and expression) was the most frequent for pediatric and adult patients. Only locomotion was the most frequent for middle-aged and older adults. The mean DRMAIS for MVC head injuries was 35% for pediatric patients, 36% for adults, 38% for middle-aged adults, and 44% for older adults. Further analysis was conducted by grouping the head injuries into 8 groups based on the structure of injury and injury type. The pediatric population possessed higher DRMAIS values for brain stem injuries as well as loss of consciousness injuries. Older adults possessed higher DRMAIS values for contusion/hemorrhage injuries, epidural hemorrhage, intracerebral hemorrhage, skull fracture, and subdural/subarachnoid hemorrhage. CONCLUSION: At-risk populations such as pediatric and older adult patients possessed higher DRMAIS values for different head injuries. Disability in pediatric patients is critical due to loss of quality life years. Disability risk can supplement severity metrics to improve the ability of such metrics to discriminate the severity of different injuries that do not lead to death. Understanding of age-related differences in injury outcomes when compared to adults could inform future age-specific modifications to the AIS.

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