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Nicogossian, A. E.

Publications and source records attributed to Nicogossian, A. E..

36 records · Page 2

Concepts for NASA longitudinal health studies

Clinical data collected from a 15-year study of the homogenous group of pre-Shuttle astronauts have revealed no significant long-term effects from spaceflight. The current hypothesis suggests that repeated exposures to the space environment in the Shuttle era will similarly have no long-term health effects. However, a much more heterogenous group of astronauts and non-astronaut scientists will fly in Shuttle, and data on this group's adaptation to the space environment and readaptation to earth are currently sparse. In addition, very little information is available concerning the short- and long-term medical consequences of long duration exposure to space and subsequent readaptation to the earth environment. In this paper, retrospective clinical information on astronauts is reviewed and concepts for conducting epidemiological studies examining long-term health effects of spaceflight on humans, including associated occupational risks factors, are presented.

Nicogossian, A. E.↗

Muscle and the physiology of locomotion

NASA's past, current, and planned research on muscle deterioration at zero gravity and development of countermeasures are reviewed; Soviet studies are discussed as well. A definition of muscle mass and strength regulation factors, and improved measurement methods of muscle atrophy are needed. Investigations of tissue growth factors and their receptors, endogenous and exogenous anabolic protein synthesis stimulation, and a potential neurotropic factor are among the projects in progress or planned. At present, vigorous physical exercise during spaceflight is recommended as the most effective countermeasure against skeletal muscle atrophy.

Rambaut, P. C.↗

The Apollo-Soyuz Test Project: Medical report

The results of the clinical aspects as well as the preflight and postflight research studies that were performed on the astronauts are presented. Because of the compromised postflight crew health status, not all postflight research procedures could be accomplished. This compromise was the result of the anomalous entrance of toxic gas into the spacecraft cabin during the earth landing sequence. Despite the exposure, the medical data collected are of sufficient interest to warrant inclusion in this official ASTP Medical Report.

Nicogossian, A. E.↗

Changes in the Achilles tendon reflexes following Skylab missions

Postflight measurements of Achilles tendon reflex duration on Skylab crewmen indicate a state of disequilibrium between the flexor and extensor muscle groups with an initial decrease in reflex duration. As the muscles regain strength and mass there occurs an overcompensation reflected by increased reflex duration. Finally, when a normal neuromuscular state is reached the reflex duration returns to baseline value.

Baker, J. T.↗

Lower body negative pressure: Third manned Skylab mission

The objective of the Skylab Lower Body Negative Pressure experiment was to determine the extent and the time course of changes in orthostatic tolerance during the weightlessness of space flight and to determine whether in-flight data from the experiment would be useful in predicting the postflight status of orthostatic tolerance. Compared to preflight results, lower body negative pressure produced exaggerated blood pressure and heart rate responses during the first in-flight test of the Skylab 2 crewmen and showed no clear-cut trend toward preflight levels during the 28-day flight. During the second manned mission, Skylab 3, similar exaggeration of blood pressure and heart rate responses occurred during the first in-flight test. Again no definite trend toward preflight values could be seen during the first 28 days but cardiovascular responses to lower body negative pressure appeared to become more stable by the sixth to eighth week of flight. In general, the test results in-flight served to predict quite well the orthostatic tolerance of the individual crewmen in the immediate postflight period.

Johnson, R. L.↗

Vectorcardiographic results from Skylab medical experiment M092: Lower body negative pressure

Electrocardiographic interval changes suggesting effects of increased vagal tone were observed early in some Gemini crewmembers. Preflight versus postflight amplitude differences appeared in electrocardiograms of several of the early Apollo crewmembers. In preflight and postflight crew evaluations of the last three Apollo flights, quantitative postflight vectorcardiographic changes were for the first time determined in American space crews. Changes not considered related to heart rate were mainly those of increased P and QRS vector magnitudes and orientation shifts. But since most of these postflight findings resembled those observed with the orthostatic stress of lower body negative pressure, it was inferred then that upon their return from space, these Apollo astronauts exhibited exaggerated responses to orthostasis in the vectorcardiogram as well as in measures of cardiovascular hemodynamics.

Hoffler, G. W.↗

Pulmonary function evaluation during and following Skylab space flights

Cardiac output measurements were made in the laboratory during preflight and postflight exercise tests. Due to the magnitude of decreases in cardiac output following the first and second manned Skylab missions and because the method used is based upon normal pulmonary function, it was decided to perform more thorough pulmonary function screening in conjunction with the final and longest duration Skylab mission. This paper summarized pulmonary function data obtained during all three Skylab missions.

Sawin, C. F.↗

Determination of cardiac size from chest roentgenograms following Skylab missions

The majority of crewmembers who exhibited postflight decreases in the cardiac silhouette size also showed a decreased orthostatic tolerance to lower body negative pressure. Similar findings were also reported by the Soviet investigators following 30-day bedrest studies and in cosmonauts upon return from space missions. Further radiological data from all three Skylab manned missions are presented and the physiological factors possibly involved in the cardiac silhouette changes are discussed.

Nicogossian, A. E.↗

Electromyographic analysis of skeletal muscle changes arising from 9 days of weightlessness in the Apollo-Soyuz space mission

Both integration and frequency analyses of the electromyograms from voluntary contractions were performed in one crewman of the Apollo-Soyuz Test Project mission. Of particular interest were changes in excitability, electrical efficiency, and fatigability. As a result of 9 days of weightlessness, muscle excitability was shown to increase; muscle electrical efficiency was found to decrease in calf muscles and to increase in arm muscles; and fatigability was found to increase significantly, as shown by spectral power shifts into lower frequencies. It was concluded from this study that skeletal muscles are affected by the disuse of weightlessness early in the period of weightlessness, antigravity muscles seem most affected by weightlessness, and exercise may abrogate the weightlessness effect. It was further concluded that electromyography is a sensitive tool for measuring spaceflight muscle effects.

Lafevers, E. V.↗

Lower body negative pressure - The second manned Skylab mission

Results of orthostatic evaluations of the crew of Skylab 3 with lower body negative pressure (LBNP) stress tests during their 59-d mission are reported. Except for an inflight increase (rather than a decrease) in resting heart rates, results were essentially parallel to those observed in crewmen of the shorter Skylab 2 mission. Exaggerated elevations in heart rate and decreases in pulse pressure during LBNP stress inflight and immediately postflight corresponded to lowered orthostatic tolerance. Large decrements is resting calf size inflight and in total leg volume postflight indicated significant headward fluid shifts as had already been seen in the Skylab 2 crewmen. In addition, decreases in calf circumference gave no certain indication of a plateau over the 59 d inflight. Percentage volume increase in calf size during LBNP stress inflight was greater than those in either preflight or postflight tests.

Johnson, R. L.↗

Measurement of a single tendon reflex in conjunction with a myogram - The second manned Skylab mission

A generalized hyperreflexia was observed in Skylab 2 crew members immediately postflight. Duration of the Achilles reflex was significantly shortened. Further shortening was observed on the fourth day after recovery. At the 16th and 29th postrecovery days a lengthening of the reflex was observed in two of the three crew members. The muscle potential intervals were shortened immediately postflight and remained shortened throughout the 29 day postflight evaluation period.

Baker, J. T.↗

Pulmonary function evaluation during the Skylab and Apollo-Soyuz missions

Previous experience during Apollo postflight exercise testing indicated no major changes in pulmonary function. Pulmonary function has been studied in detail following exposure to hypoxic and hyperoxic normal gravity environments, but no previous study has reported on men exposed to an environment that was both normoxic at 258 torr total pressure and at null gravity as encountered in Skylab. Forced vital capacity (FVC) was measured during the preflight and postflight periods of the Skylab 2 mission. Inflight measurements of vital capacity (VC) were obtained during the last 2 weeks of the second manned mission (Skylab 3). More detailed pulmonary function screening was accomplished during the Skylab 4 mission. The primary measurements made during Skylab 4 testing included residual volume determination (RV), closing volume (CV), VC, FVC and its derivatives. In addition, VC was measured in flight at regular intervals during the Skylab 4 mission. Vital capacity was decreased slightly (-10%) in flight in all Skylab 4 crewmen. No major preflight-to-postflight changes were observed. The Apollo-Soyuz Test Project (ASTP) crewmen were studied using equipment and procedures similar to those employed during Skylab 4. Postflight evaluation of the ASTP crewmen was complicated by their inadvertent exposure to nitrogen tetroxide gas fumes upon reentry.

Sawin, C. F.↗

Spectral analysis of skeletal muscle changes resulting from 59 days of weightlessness in Skylab 2

During stressful exercise of the m. gastrocnemius, preflight and postflight surface electromyograms (EMG) were taken from each of the Skylab II astronauts. Measurements on the muscle were made once 5 days before launch, and four times postflight on recovery day, 4 days after recovery, 16 days after recovery and 29 days after recovery. It was hypothesized that the disused gastrocnemius would exhibit dysfunction characteristics similar to those found in laboratory studies on disuse and of pathologically astrophied muscle, and that physical stress would be associated with heightened fatigability in the muscle. Both hypotheses were sustained. The results showed significant shifts of the predominant frequency of the gastrocnemius into higher than normal bands which suggests a relationship between muscle disuse characteristics and pathologic dysfunction characteristics. It was concluded that the spectrally analyzed EMG is a sensitive measure of muscle dsyfunction that is associated with disuse. Antigravity muscles exhibit heightened susceptibility to fatigue when subjected to lengthy weightlessness.

Lafevers, E. V.↗

Lower body negative pressure: Third manned Skylab mission

The crew of the Skylab 4 Mission exhibited physiological changes during their 84-day mission that resembled but in several important areas did not reach the magnitude of changes exhibited in crewmen of the two earlier Skylab flights. At rest all three crewmen showed, in comparison to preflight levels, elevated mean systolic and pulse pressures and decreased mean diastolic and mean arterial pressures. Similar changes were seen in most Skylab 2 and Skylab 3 crewmen. While mean resting heart rates of both the Skylab 3 and Skylab 4 crews were elevated, those of the Skylab 2 crew were, however, lower than during preflight tests. Stressed heart rates followed previous patterns in being consistently elevated over preflight values. Postflight changes in cardiovascular parameters for the most part resembled those seen in previous crewmen of space missions. Their recovery to preflight limits occurred rapidly. In-flight data and subjective impressions of the crewmen confirmed that lower body negative pressure in weightlessness imposed a greater stress upon the cardiovascular system than in earth's gravity.

Johnson, R. L.↗

Vectorcardiographic results from Skylab medical experiment M092: Lower body negative pressure

Vectorcardiograms were recorded via a modified Frank lead system from all crewmen of the three Skylab missions in conjuction with the Lower Body Negative Pressure - M092 Experiment. Data were analyzed by a specially developed computer program (VECTAN). Design of the test sequences allowed direct comparisons of supine resting, Earth based (reference) vectorcardiograms with those taken during lower body negative pressure stress and those obtained at rest in orbit, as well as combinations of these conditions. Results revealed several statistically significant space flight related changes; namely, increased testing and lower body negative pressure stressed heart rates, modestly increased PR interval and corrected QTC interval, and greatly increased P and QPS loop maximal amplitudes. In addition, orientation changes in the QRS maximum vector and the J-vector at rest in space seem quite consistent among crewmen and different from those caused by the application of lower body negative pressure. No clinical abnormalities were observed. Etiology of these findings is conjectured to be, at least in part, related to fluid mass shifts occurring in weightlessness and attendant alterations in cardiovascular dynamics and myocardial autonomic control mechanisms.

Hoffler, G. W.↗

Pulmonary function evaluation during and following Skylab space flights

Previous experience during the Apollo postflight exercise testing indicated no major changes in pulmonary function. Although pulmonary function has been studied in detail following exposure to hypoxic and hyperoxic environments, few studies have dealt with normoxic environments at reduced total pressure as encountered during the Skylab missions. Forced vital capacity was measured during the preflight and postflight periods of the Skylab 2 mission. Initial in-flight measurements of vital capacity were obtained during the last two weeks of the second manned mission (Skylab 3). Comprehensive pulmonary function screening was accomplished during the Skylab 4 mission. The primary measurements made during Skylab 4 testing included residual volume determination, closing volume, vital capacity, and forced vital capacity and its derivatives. In addition, comprehensive in-flight vital capacity measurements were made during the Skylab 4 mission. Vital capacity was decreased slightly during flight in all Skylab 4 crewmen. No major preflight to postflight changes were observed in the other parameters.

Sawin, C. F.↗

Determination of cardiac size from chest roentgenograms following Skylab missions

Decreased cardiothoracic transverse diameter ratios following Mercury, Gemini and Apollo space flights have been reported previously. To evaluate further changes in cardiac size, standard posteroanterior chest films in systole and diastole were obtained before flight and within a few hours after recovery on each of the Skylab astronauts. Postflight chest X-rays were visually compared to the preflight roentgenograms for possible changes in pulmonary vasculature, lung parenchyma, bony or soft tissue structures. From these roentgenograms the following measurements were obtained: cardiac and thoracic transverse diameters, cardiothoracic transverse diameter ratio, cardiac area from the product of both diagonal diameters, cardiac silhouette area by planimetry, thoracic cage area and cardiothoracic area ratio. The postflight frontal cardiac silhouette sizes were significantly decreased when compared with the respective preflight values (P0.05 or 0.01). The observed changes are thought to be related to postflight decrease in the intracardiac chamber volume.

Nicogossian, A. E.↗

Lower body negative pressure, experiment M092

Evaluation of orthostatic intolerance has been achieved by the use of lower body negative pressure (LBNP). The LBNP technique, though independent of gravity, simulates its effect by exposing the legs and the lower abdomen to reduced ambient pressures. This LBNP experiment, conducted during the 56-day simulation of the Skylab environment, was designed to supply baseline information on cardiovascular responses to periodic orthostatic stress. Impaired orthostatic tolerance, manifested by the increased heart rate, diminished systolic and pulse pressure, and increased tendency to syncope in the upright position, or during LBNP, was not observed in this experiment.

Johnson, R. L.↗