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  • 1
    Publication Date: 2011-08-24
    Description: Little published information exists regarding the magnitude and time course of cephalad fluid shift resulting from microgravity simulations. Six subjects were exposed to 150 min each at horizontal bed rest, 6-deg head-down tilt, and horizontal water immersion. Fluid shift was estimated by calculating leg volumes from eight serial girth measurements from groin to ankle before, during, and after exposure. Results were compared with data from the first 3 h of spacecraft. By the end of exposure, total leg volume for the six subjects decreased by 2.6 +/- 0.8 percent, 1.7 +/- 1.2 percent, and 4.0 +/- 1.6 percent for horizontal, head-down, and immersion, respectively. Changes had plateaued for horizontal and head-down and had slowed for immersion. Relatively more fluid was lost from the lower leg than the thigh for all three conditions, particularly head-down. During the first 3 h of spaceflight, total leg volume decreased by 8.6 percent, and relatively more fluid was lost from the thigh than the lower leg. The difference in volume changes in microgravity and simulated microgravity may be caused by the small transverse pressures still present in ground-based simulations and the extremely nonlinear compliance of tissue.
    Keywords: AEROSPACE MEDICINE
    Type: Aviation, Space, and Environmental Medicine (ISSN 0095-6562); 63; 9, Se
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  • 2
    Publication Date: 2011-08-19
    Description: Gastrointestinal symptoms in space motion sickness (SMS) are significantly different from those in ordinary motion sickness (MS). Recording and tabulation of sounds was the only technique that could be used as a measure of motility during spaceflight operations. There were 17 subjects, six unaffected by SMS, who made ambulatory recordings preflight and inflight. With one exception, all those affected had sharply reduced sounds, while those unaffected had increases or moderate reductions. The mechanism of vomiting in SMS appears to be secondary to this ileus, in contrast to vomiting in ordinary MS, where the emesis center is thought to be directly triggered by the vestibular system.
    Keywords: AEROSPACE MEDICINE
    Type: Aviation, Space, and Environmental Medicine (ISSN 0095-6562); 58; A16-A21
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  • 3
    Publication Date: 2011-08-19
    Description: This is a study of the inflight and postflight leg volume changes associated with spaceflight on Space Shuttle missions. The results show an inflight volume loss of 2 l from the lower extremities, 1 l from each leg, representing an 11.6 percent volume change. The vast majority of this change appears to be a shift in body fluids, both intravascular and extravascular. The fluid shift occurs mostly on Mission Day One and is essentially complete by 6 to 10 hr. The regional origin of shift and leg volume changes shows a far greater absolute volume (708 ml vs. 318 ml) and percentage (69 percent vs. 31 percent) of the total change coming from the higher as compared to the lower leg. Postflight, the return of fluid to the lower extremities occurs rapidly with the majority of volume return complete within 1.5 hr postlanding. At 1 week postflight, there is a residual leg volume decrement of 283 ml or 3.2 percent that is probably due to tissue loss secondary to atrophic deconditioning and weight loss.
    Keywords: AEROSPACE MEDICINE
    Type: Aviation, Space, and Environmental Medicine (ISSN 0095-6562); 58; A91-A96
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  • 4
    Publication Date: 2011-08-19
    Description: Studies of leg volumes in space by multiple girth measurements showed reductions of 1.9 l (12.8 percent of leg volume), with 1.1 l from the nondominant leg, on Skylab 4. On landing, 65 percent of postflight leg volume increase was complete at 1.5 h. Measurement of the dominant leg during the equivalent period on Shuttle showed a mean loss of 0.9 l which was 90-percent complete at 150 min. Postflight increases were 87-percent complete at 1.5 h postlanding. Mass measurements during and after Skylab 4 showed a loss of 2.5 kg over the first 4 d on orbit, with a gain of 2.7 kg over the first 4 d of recovery. These changes are assumed to be tissue fluids secondary to changes in hydrostatic pressures and are much greater than those seen in bed rest. Rate and magnitude of inflight and postflight changes have significant operational impact.
    Keywords: AEROSPACE MEDICINE
    Type: Aviation, Space, and Environmental Medicine (ISSN 0095-6562); 58; A86-A90
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  • 5
    Publication Date: 2011-08-19
    Description: An inflight, clinically-oriented investigation of space motion sickness (SMS) was begun on STS-4 and revealed the following: compared to motion sickness (MS) on earth, automatic signs are significantly different in SMS vs. MS in that sweating is not present, pallor or flushing may be present, and vomiting is episodic, sudden, and brief. Postflight there is a period of resistance to all forms of MS. There is some evidence for individual reduction in sensitivity on repeated flights. Electrooculogram, audio-evoked potentials, measurement of fluid shifts, and other studies are inconsistent with a transient vestibular hydrops or increased intracranial pressure as a cause.
    Keywords: AEROSPACE MEDICINE
    Type: Aviation, Space, and Environmental Medicine (ISSN 0095-6562); 58; A1-A8
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  • 6
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    In:  CASI
    Publication Date: 2013-08-31
    Description: The Emergency Mobilization Preparedness Board developed plans for improved national preparedness in case of major catastrophic domestic disaster or the possibility of an overseas conventional conflict. Within the health and medical arena, the working group on health developed the concept and system design for the National Disaster Medical System (NDMS). A description of NDMS is presented including the purpose, key components, medical response, patient evacuation, definitive medical care, NDMS activation and operations, and summary and benefits.
    Keywords: AEROSPACE MEDICINE
    Type: NASA, Washington, International Telemedicine(Disaster Medicine Conference: Papers and Presentations; 8 p
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  • 7
    Publication Date: 2013-08-31
    Description: A review of physical exertion and metabolic demands of extravehicular activity (EVA) on U.S. astronauts is given. Information is given on EVA during Gemini, Apollo and Skylab missions. It is noted that nominal EVA's should not be overstressful from a cardiovascular standpoint; that manual-intensive EVA's such as are planned for the construction phase of the Space Station can and will be demanding from a muscular standpoint, primarily for the upper extremities; that off-nominal unplanned EVA's can be physically demanding both from an endurance and from a muscular standpoint; and that crewmembers should be physically prepared and capable of performing these EVA's at any time during the mission.
    Keywords: AEROSPACE MEDICINE
    Type: NASA, Johnson Space Center, Workshop on Exercise Prescription for Long-Duration Space Flight; p 3-13
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  • 8
    Publication Date: 2013-08-31
    Description: A historical perspective on in-flight exercise in the U.S. manned space program is given. We have learned a great deal in the 25 years since the inception of Project Mercury. But, as we look forward to a Space Station and long-duration space flight, we must recognize the challenge that lies ahead. The importance of maintenance of the crewmember's physical condition during long stays in weightlessness is a prime concern that should not be minimized. The challenge lies in the design and development of exercise equipment and protocols that will prevent or minimize the deleterious sequelae of long-duration space flight while maximizing valuable on-orbit crew time.
    Keywords: AEROSPACE MEDICINE
    Type: NASA, Johnson Space Center, Workshop on Exercise Prescription for Long-Duration Space Flight; p 19-21
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  • 9
    Publication Date: 2019-06-28
    Description: Leg volume changes were studied in six subjects during 150 min of horizontal, 6 deg headdown tilt and supine immersion. Results were compared to previously obtained space flight data. It is found that, at equivalent study times, the magnitude of the leg volume changes during the simulations was less than one half that seen during space flight. Relative and absolute losses from the upper leg were greater during space flight, while relative losses were greater from the lower leg during simulations.
    Keywords: AEROSPACE MEDICINE
    Type: IAF PAPER 92-0259
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  • 10
    Publication Date: 2019-06-28
    Description: Visual suppression of the vestibulo-ocular reflex was studied in 16 subjects on 4 Space Shuttle missions. Eye movements were recorded by electro-oculography while subjects fixated a head mounted target during active sinusoidal head oscillation at 0.3 Hz. Adequacy of suppression was evaluated by the number of nystagmus beats, the mean amplitude of each beat, and the cumulative amplitude of nystagmus during two head oscillation cycles. Vestibulo-ocular reflex suppression was unaffected by space flight. Subjects with space motion sickness during flight had significantly more nystagmus beats than unaffected individuals. These susceptible subjects also tended to have more nystagmus beats before flight.
    Keywords: AEROSPACE MEDICINE
    Type: NASA-TM-102157 , S-598 , NAS 1.15:102157
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