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  • 1990-1994  (5)
  • 1
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    American Association for the Advancement of Science
    Publication Date: 1992-12-18
    Print ISSN: 0036-8075
    Electronic ISSN: 1095-9203
    Topics: Biology , Chemistry and Pharmacology , Computer Science , Medicine , Natural Sciences in General , Physics
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  • 2
    Publication Date: 2011-08-24
    Description: Endocrine regulation of fluids and electrolytes during 7 days of -6 degrees head-down bed rest (HDBR) was compared in male (n = 8) and, for the first time, female (n = 8) volunteers. The subjects' responses to quiet standing for 2 h before and after HDBR were also tested. In both sexes, diuresis and natriuresis were evident during the first 2-3 days of HDBR, resulting in a marked increase in the urinary Na(+)-to-K+ ratio and significant Na+ retention on re-ambulation. After the 1st day of HDBR, plasma renin activity (PRA) was increased relative to aldosterone (Aldo), plasma volume was decreased, and the renal response to Aldo appeared to be appropriate. Circulating levels of arginine vasopressin, cortisol, and ACTH were unchanged during HDBR. Plasma testosterone decreased slightly on day 2 of HDBR in males. The ratio of early morning ACTH to cortisol was lower in females than in males because ACTH was lower in females. Urinary cortisol increased and remained elevated throughout the HDBR in males only. There were no gender differences in the responses to 7 days of HDBR, except those in the pituitary-adrenal system; those differences appeared unrelated to the postural change. The provocative cardiovascular test of quiet standing before and after HDBR revealed both sex differences and effects of HDBR. There were significant sex differences in cardiovascular responses to standing before and after HDBR. Females had greater PRA and Aldo responses to standing before HDBR and larger Aldo responses to standing after HDBR than males.(ABSTRACT TRUNCATED AT 250 WORDS).
    Keywords: Aerospace Medicine
    Type: The American journal of physiology (ISSN 0002-9513); Volume 265; 1 Pt 1; E153-61
    Format: text
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  • 3
    Publication Date: 2011-08-24
    Description: Effective and practical preventive procedures for postflight orthostatic intolerance are highly desirable. The current practice of attempts to expand plasma volume by ingestion of salt and fluids before reentry has proven benefits. This study evaluated alternative options using fludrocortisone (F) to expand plasma volume (PV), dextroamphetamine (Dex) to enhance norepinephrine (NE) release, and atropine (A) to reduce the effects of vagal stimulation. Seven subjects with proven post-bedrest orthostatic intolerance returned for a 7-day 6-deg head-down bedrest study. F (0.2 mg) was given at 8:00 AM and 8:00 PM the day before and 8:00 AM the day the subjects got out of bed (2 hours before standing). PV was measured before and 1 hour after the last dose of F. Dex (5 mg) and A (0.8 mg) were then taken orally 1 hour before the stand test. F expanded PV by 16 percent and caused sodium retention. Four of the 7 subjects stood for 1 hour post-bedrest and heart rate, plasma NE and plasma renin responses to standing were greatly enhanced and sustained. Although there was a narrowing of pulse pressure, the ability to overcome orthostatic intolerance with these countermeasures was largely due to vasoconstriction and sustained high heart rate.
    Keywords: AEROSPACE MEDICINE
    Type: Journal of Clinical Pharmacology (ISSN 0091-2700); 31; 10; p. 974-984.
    Format: text
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  • 4
    Publication Date: 2019-06-28
    Description: Endocrine regulation of fluids and electrolytes during seven days of 6 deg head down bed rest (HDBR) was compared in male (n = 8) and, for the first time, female (n = 8) volunteers. The subjects' responses to quiet standing for 2 hr before and after HDBR were also tested. In both sexes, diuresis and natriuresis were evident during the first 2-3 days of HDBR, resulting in a marked increase in the urinary Na/K ratio and significant Na retention on reambulation. After the first day of HDBR, plasma renin activity (PRA) was increased relative to aldosterone, plasma volume was decreased, and the renal response to aldosterone appeared to be appropriate. Circulating levels of arginine vasopressin (AVP), cortisol, and ACTH were unchanged during HDBR. Plasma testosterone decreased slightly on day 2 of HDBR in males. The ratio of AM ACTH to cortisol was lower in females than in males because ACTH was lower in females. Urinary cortisol increased and remained elevated throughout the HDBR in males only. There were no gender differences in the responses to 7 day HDBR, except those in the pituitary-adrenal system; those differences appeared unrelated to the postural change. The provocative cardiovascular test of quiet standing before and after bed rest revealed both sex differences and effects of HDBR. There were significant sex differences in cardiovascular responses to standing, before and after HDBR. Females had greater PRA and aldosterone responses to standing before bedrest and larger aldosterone responses to standing after HDBR than males. Cardiovascular responses to standing before and after bedrest differed markedly: arterial pressure and heart rates increased with standing before HDBR, by contrast, arterial pressure decreased, with greater increases in heart rates after HDBR. In both sexes, all hormonal responses to standing were greater after HDBR. The results show clearly that similar responses to standing as well as to HDBR occur in both sexes, but that females exhibit greater PRA and aldosterone responses than males.
    Keywords: AEROSPACE MEDICINE
    Type: NASA-TM-103991 , A-93016 , NAS 1.15:103991
    Format: application/pdf
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  • 5
    Publication Date: 2019-07-17
    Description: 9a-Fludrocortisone (9aFF) has been used to decrease orthostatic hypotension in astronauts whorl they return to earth after space flight. An earth-based model for weightlessness in space is head-down posture in man and rats. In these studies male rats were suspended head-down or not for 7 days and treated 14 and 2 hours prior to ether stress in the AM with 9aFF (20 micrograms i.u.) at -14 and -2 h or at -2 h with steroid and at -14 h with oil; controls were treated 2x with oil. Rats were decapitated 10 min after ether and ACTH and corticosterone (B) were measured. Both ACTH and B responses were greater in suspended than control rats under all three steroid conditions, and the percentage inhibition of ACTH by 9aFF was similar. Basal activity in the HPA over the 7 d suspension period was probably not elevated since adrenal and thymus weights did not differ in the ambulatory and head down groups. We conclude that headdown suspension facilitates acute stress-induced activity in the HPA axis, but that HPA axis sensitivity to corticosteroid feedback does not change.
    Keywords: Aerospace Medicine
    Type: First World Congress on Stress; Sep 01, 1994 - Oct 01, 1994; Bethesda, MD; United States
    Format: text
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