ALBERT

Beschreibung: The six domains that must be addressed in managing fatigue in operational settings are identified, and examples of how the aviation industry is dealing with the problems in each domain are given. Challenges facing healthcare providers in managing fatigue are also discussed.

Beschreibung: A report presents data on the effectiveness of each of six rehydration fluids in restoring total body water and plasma volume in human subjects during rest and exercise. One of the six fluids was water sweetened with aspartame: the others were water containing various amounts of sodium chloride and/or sodium citrate, plus various amounts of aspartame and/or other carbohydrates. In one experiment, five men who had previously dehydrated themselves for 24 hours drank one of the rehydration fluids, then sat for 70 minutes. Pretest plasma volumes were measured and changes in plasma volumes were calculated. This procedure was repeated at weekly intervals until all six rehydration fluids had been tested. Another similar experiment involved four men who exercised on a cycle ergometer for 70 minutes in the supine position after drinking the fluids.

Beschreibung: Seventeen healthy supine subjects performed graded Valsalva maneuvers. In four subjects, transesophageal echographic aortic cross-sectional areas decreased during and increased after straining. During the first seconds of straining, when aortic cross-sectional area was declining and peripheral arterial pressure was rising, peroneal sympathetic muscle neurons were nearly silent. Then, as aortic cross-sectional area and peripheral pressure both declined, sympathetic muscle nerve activity increased, in proportion to the intensity of straining. Poststraining arterial pressure elevations were proportional to preceding increases of sympathetic activity. Sympathetic inhibition after straining persisted much longer than arterial and right atrial pressure elevations. Similarly, R-R intervals changed in parallel with peripheral arterial pressure, until approximately 45 s after the onset of straining, when R-R intervals were greater and arterial pressures were smaller than prestraining levels. Our conclusions are as follows: opposing changes of carotid and aortic baroreceptor inputs reduce sympathetic muscle and increase vagal cardiac motor neuronal firing; parallel changes of barorsensory inputs provoke reciprocal changes of sympathetic and direct changes of vagal firing; and pressure transients lasting only seconds reset arterial pressure-sympathetic and -vagal response relations.

Beschreibung: OBJECTIVE: To test whether unloading increases vulnerability to eccentric exercise-induced dysfunction and muscle injury. DESIGN: Before-after trial. SETTING: General community. PATIENTS OR OTHER PARTICIPANTS: Two women and 5 men (73 +/- 3kg [mean +/- SE]) who were active college students but were not trained in lower body resistance exercise volunteered. INTERVENTION: Five weeks of unilateral lower limb suspension (ULLS), which has been shown to decrease strength and size of the unloaded, left, but not load-bearing, right quadriceps femoris muscle group (QF) by 20% and 14%, respectively; performance of 10 sets of ten eccentric actions with each QF immediately after the ULLS strength tests with a load equivalent to 65% of the post-ULLS eccentric 1-repetition maximum. MAIN OUTCOME MEASURE(S): Concentric and eccentric 1-repetition maximum for the left, unloaded and the right, load-bearing QF measured immediately after ULLS and 1,4,7,9, and 11 days later; cross-sectional area and spin-spin relaxation time (T2) of each QF as determined by magnetic resonance imaging and measured the last day of ULLS and 3 days later. RESULTS: The mean load used for eccentric exercise was 23 +/- 2 and 30 +/- 3kg for the left, unloaded and right, load-bearing QF, respectively. The concentric and eccentric 1-repetition maximum for the unloaded and already weakened left QF was further decreased by 18% (p = .000) and 27% (p = .000), respectively, 1 day after eccentric exercise. Strength did not return to post-ULLS levels until 7 days of recovery. The right, load-bearing QF showed a 4% decrease (p = .002) in the eccentric 1-repetition maximum 1 day after eccentric exercise. The left, unloaded QF showed an increase in T2 (p = .002) in 18% of its cross-sectional area 3 days after the eccentric exercise, thus indicating muscle injury. The right, load-bearing QF showed no elevation in T2 (p = .280). CONCLUSION: Unloading increases vulnerability to eccentric exercise-induced dysfunction and muscle injury, even at relatively light loads.

Beschreibung: Four experiments utilizing passive detectors (P0006, P0004, A0015, M0004) were flown on LDEF to study the radiation environment. These experiments have been summarized in a companion paper (Benton et al., 1996). One of the experimental goals was to measure LET spectra at different locations and shielding depths with plastic nuclear track detectors (PNTD). It was found that the LET spectra extended well above the LET cutoff imposed by the geomagnetic field on GCR particle penetration into LEO. The high LET particles detected were mostly short-range (range 〈 2000 m), indicating that they were secondaries produced locally within the PNTD. The presence of these high LET particle fluences is important for the determination of dose equivalent because of the high Quality Factors (Q) involved. A relatively small fraction of particle fluence can contribute a large fraction of dose equivalent. Short-range, inelastic secondary particles produced by trapped protons in the South Atlantic Anomaly (SAA) were found to be a major contributor to the LET spectra above 100 keV/micrometer. The LET spectra were found to extend beyond the approximately 137 keV/micrometer relativistic GCR Fe peak to over 1000 keV/micrometer. The high LET tail of the LET spectra was measured in CR-39 and polycarbonate PNTDs using different techniques. GCR made a relatively modest contribution to the LET spectra as compared to the contributions from short-range secondary particles and stopping protons. LET spectra intercomparisons were made between LDEF measurements and exposures to 154 MeV accelerated proton beams. The similarities support the role of nuclear interactions by trapped protons as the major source of secondary particles in the PNTDs. Also techniques were employed to reduce the range cutoff for detection of the short-range secondaries to approximately 1 micrometer, so that essentially all secondary particles were included in the LET spectra. This has allowed a more realistic assessment of secondary contribution to dose equivalent. Comparisons of measured and calculated LET spectra have been made that demonstrate the need for more accurate modeling of secondary particles in radiation transport codes. Comparisons include preliminary calculations in which attempts have been made to include secondary particles.

Beschreibung: LET spectra measurements made with passive plastic nuclear track detectors (PNTDs) were found to depend on detector orientation, shielding and experiment location. LET spectra were measured at several locations on LDEF as part of the P0006 LETSME experiment (Benton and Parnell, 1984), the P0004 Seeds in Space experiment (Parks and Alston, 1984), the A00l5 Free Flyer Biostacks and the M0004 Fiber Optics Data Link experiment (Taylor, 1984). Locations included the east, west and Earth sides of the LDEF satellite. The LET spectra measured with PNTDs deviated significantly from calculations, especially for high LET particles (LET infinity H2O 〉 or = 100 keV/micrometer). At high LETs, short-range inelastic secondary particles produced by trapped proton interactions with the nuclei of the detector were found to be the principal contributor to LET spectra. At lower LETs, the spectra appeared to be due to short-range, inelastic and stopping primary protons, with primary GCR particles making a smaller contribution. The dependence of LET spectra on detector orientation and shielding was studied using the four orthogonal stacks in the P0006 experiment. Both measurements of total track density and LET spectra showed a greater number of particles arriving from the direction of space than from Earth. Measurements of LET spectra in CR-39 PNTD on the east (leading) and west (trailing) sides of LDEF showed a higher rate of production at the west side. This was caused by a larger flux of trapped protons on the west side as predicted by the east/west trapped proton anisotropy in the South Atlantic Anomaly (SAA). Track density measured in CR-39 PNTDs increased as a function of shielding depth in the detector stack. A similar measurement made in a thick stack of CR-39 interspersed with layers of Al and exposed to 154 MeV protons at a ground-based accelerator showed a similar result, indicating that a significant fraction of the particle events counted were from secondaries and that the total cross-section for production of proton-induced secondaries increased as the energy of primary protons attenuated. Little change was seen in either total differential or integral LET spectra as a function of shielding depth, indicating that the increase in cross section with decreasing proton energy affected mostly the shorter range secondary components. Similarity in the slopes of LET spectra from ground-based proton exposures and the A00l5 LET spectra showed that modeling of a monoenergetic proton beam transported through a 1-D geometry was a useful first step in modeling the production of secondary particles by trapped protons in the SAA.

Beschreibung: Neutron fluences were measured on LDEF in the low energy (〈 1 MeV) and high energy (〉 1 MeV) ranges. The low energy detectors used the 6Li(n,alpha)T reaction with Gd foil absorbers to separate thermal (〈 0.2 eV) and resonance (0.2 eV-1 MeV) neutron response. High energy detectors contained sets of fission foils (181Ta, 209Bi, 232Th, 238U) with different neutron energy thresholds. The measured neutron fluences together with predicted spectral shapes were used to estimate neutron dose equivalents. The detectors were located in the A0015 and P0006 experiments at the west and Earth sides of LDEF under shielding varying from 1 to 19 g/cm2. Dose equivalent rates varied from 0.8 to 3.3 microSv/d for the low energy neutrons and from 160 to 390 microSv/d for the high energy neutrons. This compares with TLD measured absorbed dose rates in the range of 1000-3000 microGy/d near these locations and demonstrates that high energy neutrons contribute a significant fraction of the total dose equivalent in LEO. Comparisons between measurements and calculations were made for high energy neutrons based on fission fragment tracks generated by fission foils at different shielding depths. A simple 1-D slab geometry was used in the calculations. Agreement between measurements and calculations depended on both shielding depth and threshold energy of the fission foils. Differences increased as both shielding and threshold energy increased. The modeled proton/neutron spectra appeared deficient at high energies. A 3-D model of the experiments is needed to help resolve the differences.

Beschreibung: The transduction mechanism (or mechanisms) responsible for converting a mechanical load into a skeletal muscle growth response are unclear. In this study we have used a mechanically active tissue culture model of differentiated human skeletal muscle cells to investigate the relationship between mechanical load, sarcolemma wounding, fibroblast growth factor release, and skeletal muscle cell growth. Using the Flexcell Strain Unit we demonstrate that as mechanical load increases, so too does the amount of sarcolemma wounding. A similar relationship was also observed between the level of mechanical load inflicted on the cells and the amount of bFGF (FGF2) released into the surrounding medium. In addition, we demonstrate that the muscle cell growth response induced by chronic mechanical loading in culture can be inhibited by the presence of an antibody capable of neutralizing the biological activity of FGF. This study provides direct evidence that mechanically induced, sarcolemma wound-mediated FGF release is an important autocrine mechanism for transducing the stimulus of mechanical load into a skeletal muscle growth response.

Beschreibung: Bed rest, both with and without head-down tilt, has been extensively used as an earth-bound analog to study physiologic effects mimicking those occurring in weightlessness during spaceflight. We have been able to show in six subjects that 4 weeks of head-down tilt bed rest induces a significant decrease in interleukin-2 secretion by PHA-stimulated T lymphocytes. Another study, lasting 113 days, with two subjects showed a decreased interleukin-2 receptor expression in PHA-stimulated peripheral blood mononuclear cells but a decreased interleukin-2 production in one subject only. Under the same conditions, interleukin-1 production was largely increased in both subjects. Several other immune parameters were also analyzed. Increased interleukin-1 production could contribute to bone mineral loss encountered during bed rest and decreased interleukin-2 secretion could play a role in the appearance of infectious diseases often observed during bed red.

Beschreibung: BACKGROUND: One of the principal explanations for respiratory sinus arrhythmia is that it reflects arterial baroreflex buffering of respiration-induced arterial pressure fluctuations. If this explanation is correct, then elimination of RR interval fluctuations should increase respiratory arterial pressure fluctuations. METHODS AND RESULTS: We measured RR interval and arterial pressure fluctuations during normal sinus rhythm and fixed-rate atrial pacing at 17.2+/-1.8 (SEM) beats per minute greater than the sinus rate in 16 healthy men and 4 healthy women, 20 to 34 years of age. Measurements were made during controlled-frequency breathing (15 breaths per minute or 0.25 Hz) with subjects in the supine and 40 degree head-up tilt positions. We characterized RR interval and arterial pressure variabilities in low-frequency (0.05 to 0.15 Hz) and respiratory-frequency (0.20 to 0.30 Hz) ranges with fast Fourier transform power spectra and used cross-spectral analysis to determine the phase relation between the two signals. As expected, cardiac pacing eliminated beat-to-beat RR interval variability. Against expectations, however, cardiac pacing in the supine position significantly reduced arterial pressure oscillations in the respiratory frequency (systolic, 6.8+/-1.8 to 2.9 +/-0.6 mm Hg2/Hz, P=.017). In contrast, cardiac pacing in the 40 degree tilt position increased arterial pressure variability (systolic, 8.0+/-1.8 to 10.8 +/-2.6, P=.027). Cross-spectral analysis showed that 40 degree tilt shifted the phase relation between systolic pressure and RR interval at the respiratory frequency from positive to negative (9 +/-7 degrees versus -17+/-11 degrees, P=.04); that is, in the supine position, RR interval changes appeared to lead arterial pressure changes, and in the upright position, RR interval changes appeared to follow arterial pressure changes. CONCLUSIONS: These results demonstrate that respiratory sinus arrhythmia can actually contribute to respiratory arterial pressure fluctuations. Therefore, respiratory sinus arrhythmia does not represent simple baroreflex buffering of arterial pressure.