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  • 1
    Publication Date: 2011-08-24
    Description: Blood biochemical and cellular parameters were measured in human subjects before and after exposure to a decompression schedule involving 6 h of oxygen prebreathing. The exposure was designed to simulate extravehicular activity for 6 h (subjects performed exercise while exposed to 29.6 kPa). There were no significant differences between blood samples from subjects who were susceptible (n = 11) versus those who were resistant (n = 27) to formation of venous gas emboli. Although several statistically significant (P less than 0.05) changes in blood parameters were observed following the exposure (increases in white blood cell count, prothrombin time, and total bilirubin, and decreases in triglycerides, very-low-density lipoprotein cholesterol, and blood urea nitrogen), the changes were small in magnitude and blood factor levels remained within normal clinical ranges. Thus, the decompression schedule used in this study is not likely to result in blood changes that would pose a threat to astronauts during extravehicular activity.
    Keywords: Aerospace Medicine
    Type: International archives of occupational and environmental health (ISSN 0340-0131); Volume 62; 5; 391-6
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  • 2
    Publication Date: 2011-08-24
    Description: The correlation is low between the occurrence of gas bubbles in the pulmonary artery, called venous gas emboli (VGE), and subsequent decompression illness (DCI). The correlation improves when a "grade" of VGE is considered; a zero to four categorical classification based on the intensity and duration of the VGE signal from a Doppler bubble detector. Additional insight about DCI might come from an analysis of the time course of the occurrence of VGE. Using the NASA Hypobaric Decompression Sickness Databank, we compared the time course of the VGE outcome between 322 subjects who exercised and 133 Doppler technicians who did not exercise to evaluate the role of physical activity on the VGE outcome and incidence of DCI. We also compared 61 subjects with VGE and DCI with 110 subjects with VGE but without DCI to identify unique characteristics about the time course of the VGE outcome to try to discriminate between DCI and no-DCI cases. The VGE outcome as a function of time showed a characteristic short lag, rapid response, and gradual recovery phase that was related to physical activity at altitude and the presence or absence of DCI. The average time for DCI symptoms in a limb occurred just before the time of the highest fraction of VGE in the pulmonary artery. It is likely, but not certain, that an individual will report a DCI symptom if VGE are detected early in the altitude exposure, the intensity or grade of VGE rapidly increases from a limb region, and the intensity or grade of VGE remains high.
    Keywords: Aerospace Medicine
    Type: Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc (ISSN 1066-2936); Volume 23; 3; 141-9
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  • 3
    Publication Date: 2011-08-24
    Description: Our hypothesis is that metabolic gases play a role in the initial explosive growth phase of bubble formation during hypobaric exposures. Models that account for optimal internal tensions of dissolved gases to predict the probability of occurrence of venous gas emboli were statistically fitted to 426 hypobaric exposures from National Aeronautics and Space Administration tests. The presence of venous gas emboli in the pulmonary artery was detected with an ultrasound Doppler detector. The model fit and parameter estimation were done by using the statistical method of maximum likelihood. The analysis results were as follows. 1) For the model without an input of noninert dissolved gas tissue tension, the log likelihood (in absolute value) was 255.01. 2) When an additional parameter was added to the model to account for the dissolved noninert gas tissue tension, the log likelihood was 251.70. The significance of the additional parameter was established based on the likelihood ratio test (P 〈 0.012). 3) The parameter estimate for the dissolved noninert gas tissue tension participating in bubble formation was 19. 1 kPa (143 mmHg). 4) The additional gas tissue tension, supposedly due to noninert gases, did not show an exponential decay as a function of time during denitrogenation, but it remained constant. 5) The positive sign for this parameter term in the model is characteristic of an outward radial pressure of gases in the bubble. This analysis suggests that dissolved gases other than N2 in tissues may facilitate the initial explosive bubble-growth phase.
    Keywords: Life Sciences (General)
    Type: Journal of applied physiology (Bethesda, Md. : 1985) (ISSN 8750-7587); Volume 84; 3; 1088-95
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  • 4
    Publication Date: 2006-01-16
    Description: The Skylab zero-g extravehicular activity data is of particular interest when it is considered in combination with the Apollo and Gemini data. The energy cost of extravehicular activity from Gemini through Skylab is discussed.
    Keywords: AEROSPACE MEDICINE
    Type: Biomed. Results from Skylab; p 395-399
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  • 5
    Publication Date: 2006-01-12
    Description: The extravehicular activity life support equipment, suit temperature control, metabolic rate measurement methods, and energy production are discussed. The Apollo crewmen were able to perform planned extravehicular activities and to extend them to the maximum time allowable without medical problems. The metabolic rates experienced during the lunar surface extravehicular activities were lower than conservative premission estimates. A manually controlled liquid cooling garment was effectively used to minimize fatigue and water loss from sweating during lunar surface extravehicular activities. Gas cooling was adequate during the short zero-g extravehicular activities performed from the command module. The prediction of EVA workloads became more reliable as inflight data was accumulated. The prediction of the average metabolic cost of an EVA was more reliable than the cost of an individual short-term task.
    Keywords: AEROSPACE MEDICINE
    Type: Biomedical Results of Apollo; p 115-128
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  • 6
    Publication Date: 2006-01-16
    Description: The physiological effects of forces resulting in radial acceleration, sustained linear acceleration, impact, or vibration are identified. Tolerance limits are presented for these forces.
    Keywords: AEROSPACE MEDICINE
    Type: The Physiol. Basis for Spacecraft Environ. Limits; p 71-107
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  • 7
    Publication Date: 2006-01-12
    Description: The selection of an Apollo spacecraft atmosphere was based on the establishment of an acceptable range of atmospheric composition and pressure, the establishment of acceptable carbon dioxide levels, thermal comfort criteria, and acceleration and impact limits. The prime design requirements in a spacecraft system are minimum weight, volume, power usage, reliability, ease of maintenance, environmental compatibility, integration with other systems, and crew compatibility. The selection considerations are reviewed.
    Keywords: AEROSPACE MEDICINE
    Type: Biomedical Results of Apollo; p 129-139
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  • 8
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    In:  CASI
    Publication Date: 2006-01-16
    Description: The physiological effects, discomfort, and performance degradation associated with an imbalanced thermal environment are discussed. Temperature tolerance limits are set using thermoregulation models and experimental results. The effects of interacting environmental factors, individual variations, and exposure duration on tolerance limits are considered.
    Keywords: AEROSPACE MEDICINE
    Type: The Physiol. Basis for Spacecraft Environ. Limits; p 57-69
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  • 9
    Publication Date: 2011-08-12
    Description: Liquid cooled undergarments tested for metabolic heat dissipation of men working in thermally isolated environment
    Keywords: BIOTECHNOLOGY
    Type: ; L AVIV AND HAIFA, IS
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  • 10
    Publication Date: 2013-08-31
    Description: Circulating microbubbles (CMB) are frequently detected prior to the appearance of symptoms of Decompression Sickness (DCS). It is difficult to analyze the effect of CMB on symptoms due to differences in the time to detection of CMB. This paper uses survival analysis models to evaluate the risk of symptoms in the presence of CMB. Methods: Information on 81 exposures to an altitude of 6,400 m (6.5 psi) for a period of three hours, with simulated extravehicular activities, was examined. The presence or absence of CMB was included as a time dependent covariate of the Cox proportional hazards regression model. Using this technique, the subgroup of exposures with CMB was analyzed further. Mean (S.D.) time in minutes to onset of CMB and symptoms were 125 (63) and 165 (33) respectively, following the three hours exposure. The risk of symptoms (17/81) increased 14 times in the presence of CMB, after controlling for variations in time to detection of CMB. Further, the risk was lower when time to detection of CMB was greater than 60 minutes (risk ratio = 0.96; 95 percent confidence intervals = 0.94 - 0.99 0.99 P less than 0.01) compared to CMB before 60 minutes at altitude. Conclusions: Survival analysis showed that individual risk of DCS changes significantly due to variations in time to detection of CMB. This information is important in evaluating the risk of DCS in the presence of CMB.
    Keywords: AEROSPACE MEDICINE
    Type: Aerospace Medical Association, Aerospace Medical Association 63rd Annual Scientific Meeting Program; 1 p
    Format: application/pdf
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