Advances in space biology and medicine最新文献

This review shows that morphological studies of the central, peripheral and autonomic nervous system of animals exposed to altered gravity yield data which are extremely significant for our understanding of the mechanisms of adaptation of the nervous system, and of the mammalian organism as a whole, to increased and decreased loading. Neuromorphological studies, correlating structure and function, indicate a decreased activity in weightlessness for spinal ganglia neurons and motoneurons of the spinal cord, as well as the neurons of the hypothalamic nuclei producing arginine vasopressin and growth hormone releasing factor. Structural changes of the somatosensory cortex and spinal ganglia suggest a decreased afferent flow to the somatosensory cortex in microgravity. The results characterize the mechanisms of structural adaptation to a decreased afferent flow in microgravity by the neurons in the hemisphere cortex and brain stem nuclei. There is also morphological evidence for an increased sensitivity of the otolith apparatus and for the development of a hyponoradrenergic syndrome in weightlessness. These studies have shown that both microgravity and the simulation of microgravity effects by tail suspension-induced structural changes in the large neurons of lumbar spinal ganglia and motoneurons of the lumbar spinal cord, which occur under conditions of nerve cell hypoactivity. The structural changes, and consequently the development of neuron hypoactivity, are expressed more extensively after microgravity than after tail suspension for the same length of time. The influence of microgravity and hypergravity on animals is expressed by opposing changes in nervous tissue structure in the spinal ganglia, spinal cord, and nodulus of cerebellar vermis. These changes indicate neuron hypoactivity under microgravity and neuron hyperactivity under 2 G. Morphological assessment of the functional state of other structures of the brain under hypergravity will require further study. Can all structural changes which occur in nerve tissue under microgravity or under hypergravity be explained on the basis of increased or decreased activity of its structural elements? The presently available data regarding the correlation of structure and functional state of cells in brain and spinal cord suggest an affirmative answer. Ultrastructural studies of the nodular cortex of the cerebellum in rats after different duration spaceflights provide what appears to be a convincing example. However, it should be pointed out that the criteria for the morphological assessment of the functional state of single nerve cells will certainly be different from those for groups of neurons connected in a nerve cell network.(ABSTRACT TRUNCATED AT 400 WORDS)

The chronic "unloading" of the neuromuscular system during spaceflight has detrimental functional and morphological effects. Changes in the metabolic and mechanical properties of the musculature can be attributed largely to the loss of muscle protein and the alteration in the relative proportion of the proteins in skeletal muscle, particularly in the muscles that have an antigravity function under normal loading conditions. These adaptations could result in decrements in the performance of routine or specialized motor tasks, both of which may be critical for survival in an altered gravitational field, i.e., during spaceflight and during return to 1 G. For example, the loss in extensor muscle mass requires a higher percentage of recruitment of the motor pools for any specific motor task. Thus, a faster rate of fatigue will occur in the activated muscles. These consequences emphasize the importance of developing techniques for minimizing muscle loss during spaceflight, at least in preparation for the return to 1 G after spaceflight. New insights into the complexity and the interactive elements that contribute to the neuromuscular adaptations to space have been gained from studies of the role of exercise and/or growth factors as countermeasures of atrophy. The present chapter illustrates the inevitable interactive effects of neural and muscular systems in adapting to space. It also describes the considerable progress that has been made toward the goal of minimizing the functional impact of the stimuli that induce the neuromuscular adaptations to space.

Microbiological Experiments. The ISEMSI microbiological contamination experiments confirmed known hypotheses, such as: the trend toward uniformity of skin microbial flora across a group of individuals enclosed together; the rather fast "colonization" of the environment by microorganisms shed by human inhabitants; and the heavy growth of microorganisms in poorly accessible and wet areas (toilets, air conditioning). In addition, possible disturbances of skin defense mechanisms against colonization by potentially pathogenic microbes were noted, as well as a difficulty in monitoring the microbial contents of the atmosphere (significant random variations occur between samples taken at different times and locations). Sensors for Atmospheric Contaminants. Several different prototypes of "array sensors" for the monitoring of trace gas contaminants in the atmosphere were evaluated during ISEMSI. Their performance was promising when compared with results achieved with a more conventional (and more complex) gas chromatograph/mass spectrometer device, also used during ISEMSI. An overall picture of the most important chemical contaminants to be found in enclosed, manned habitats (including contaminants produced by man himself) was obtained via the use of Tenax gas-adsorption traps. This permitted monitoring the fluctuation of contaminants on a daily basis, as well as during the complete 4-week period. Results will provide a valuable input for designing systems to monitor and control atmospheric contamination in future spacecraft. Particular attention was devoted to the monitoring of carbon monoxide in the chamber. Results showing the correlation between its concentration in the atmosphere and the percentage of carboxyhemoglobin in the EMSInauts' blood will allow the evaluation of the correctness of the presently specified maximum allowable concentration for spacecraft. Telemedicine Experiment. The telemedicine experiment confirmed the feasibility and importance of applying to a space station scenario many aspects of remote health care already widely used in the maritime environment. ISEMSI successfully evaluated telemedical consultation procedures and training protocols for the crew. EMSInauts, trained as paramedical assistants, had to interview a "patient" (another EMSInaut, trained to feign illness symptoms), prepare an anamnesis, carry out a medical examination, assess the severity of the case, and administer effective medical care under remote medical advice. An expert system was used to provide step-by-step guidance to the paramedical assistant. ISEMSI demonstrated the great importance of practicing and rehearsing emergency procedures; it confirmed that simulation of medical emergencies during an actual long-duration space mission will be required to provide "refresher training" to astronauts trained as paramedical assistants.(ABSTRACT TRUNCATED AT 400 WORDS)

Six EMSInauts were confined for 28 days in a hyperbaric chamber complex at a low overpressure. During this period they were repeatedly given four different standard mental performance tests: (1) Operational Test of sustained attention vigilance; (2) short-term memory; (3) visual reaction time; and (4) cognitive evoked brain potentials (N100 and P300). The aim of the study was to determine whether there were any general or specific effects on mental performance during the isolation period. For the simple mental performance tests (operational test and visual reaction time), a distinct learning effect over the 28 days of isolation could be detected. On the more cognitive demanding tasks such as in the short-term memory test, patterns of impairment were found. Of the cognitive evoked brain potentials recorded, the noncognitive N100 wave latency was unchanged throughout the isolation period. The P300 wave latency, related to cognitive functioning, showed lower values in the middle and higher values at the end of the isolation period, compared with the pre-isolation values. Although a few individual, transient impairments of function were noticed in the more demanding tests, it is concluded that the mental performance of the six EMSInauts appeared to remain basically unchanged throughout the isolation phase, both at the group level and the individual level.