Incidence of adverse reactions from 23,000 exposures to simulated terrestrial altitudes up to 8900 m.

INTRODUCTION: Adverse reactions during hypobaric chamber operations result from changes in barometric pressure per se and to the related reductions in the partial pressure of inspired oxygen. Previous studies have indicated that an adverse reaction may occur in approximately 6% of exposures in chambers used for flight training. The purpose of this study was to determine the rate of adverse reactions in a chamber used exclusively for terrestrial altitude research studies. METHODS: Data for incidence of ear block, sinus block, toothache, and other adverse reactions were analyzed using a master history file that contained information such as annual and total number of studies and human exposures, and onset and outcome of adverse reactions. Incidence for a given time period was calculated as (# of reactions x 100)/(# of exposures). RESULTS: In 33 yr, there have been 23,656 human exposures and 296 adverse reactions. The overall incidence was 1.25 reactions per 100 exposures (0.72 for research volunteers and 0.53 for staff). The majority (75% of all reactions) were ear blocks (0.93 reactions per 100 exposures). Staff members were more likely than research volunteers to have more than one reaction. DISCUSSION: The incidence of 1.25 reactions per 100 exposures for our chamber is considerably lower than that reported in the literature. This is due primarily to our use of lower altitudes and slower rates of ascent and descent compared with other facilities whose emphasis is on aircraft flight training.

[The determination of the radiation risk during an interplanetary space flight at different periods of solar activity]. / Opredelenie radiatsionnogo riska v protsesse mezhplanetnogo kosmicheskogo poleta v razlichnye periody solnechnoi aktivnosti.

Based on the own algorithm and Fortran calculation program the authors estimated radiation risk to cosmonauts on an interplanetary mission. They also analyzed the dependence of risk values on mission duration, space vehicle shield thickness, solar phase, and cosmonaut's age. The magnitudes of radiation risk to cosmonauts were compared with the national demographic risk of male lethality over a similar period of time.

[The monitoring of gas bubbles with a pulsed Doppler ultrasonic locator in humans working in a space suit]. / Monitoring gazovykh puzyr'kov ul'trazvukovym impul'sno-dopplerovskim lokatorom u cheloveka pri rabote v skafandre.

Presented are results of gas bubbles monitoring in decompressed humans with the use of an ultrasonic pulse-Doppler locator (PDL). Unlike the classic Doppler bubbles detectors with continuous US emission, PDL is adjusted for reception of echo from a chosen volume of the right ventricle cavity; thus, the clutter due to cardiac beats and human locomotion is successfully rejected. During simulation of Russian EVAs, venous gas bubbles were detected in 3 out of 5 experiments with test-subjects clothed in everyday wear and in 2 out of 3 experiments with suited test-subjects.