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Johnson, P. C., Jr.

Publications and source records attributed to Johnson, P. C., Jr..

Comparative aspects of hematological responses in animal and human models in simulations of weightlessness and space flight

This paper reviews some human and animal responses to space flight as well as in control models in simulations of weightlessness. Astronauts after space flight have been found to have a decreased red blood cell mass and plasma volume. The reason for these changes is unknown but appears to be caused primarily by a decrease in the need of red blood cells in the weightless condition. Similar though more moderate changes have been found in human subjects subjected to prolonged bed rest or water immersion. What happens to the red cell mass of laboratory rats flown in microgravity is not known but rats have shown an increase in the rate of random red cell loss in flight suggesting a probable decrease. Rat models subjected to either head-down suspension or restraint alone have shown a decrease in red blood cell masses and a decrease in their plasma volume.

Lange, R. D.↗

Fluid and electrolyte control in simulated and actual spaceflight

Effects of microgravity on body fluid distribution and electrolyte and hormonal levels of astronauts have been studied since the early manned space missions. Bedrested subjects have been used as controls to separate effects of microgravity from those of hypokinesia. These investigations have led to documentation of the physiological effects of spaceflight and to a unified theory of response to microgravity. During flight, crewmembers have decreased thirst and a net loss of body water, sodium, and potassium. These changes seem to be initiated by passive transfer of extracellular fluid resulting in increased central venous pressure (CVP), to which the homeostatic mechanisms respond. A new equilibrium state is maintained during flight; it does not change in response to negative calcium and nitrogen balances during flight. On reexposure to gravity, profound water and salt retention occurs to replete extracellular fluid. Attempts to avoid cardiac deconditioning by repleting water and salt before leaving microgravity have somewhat ameliorated postural hypotension but have had little effect on CVP, cardiac chamber size or electrolyte dynamics.

Leach, C. S.↗

Cardiovascular deconditioning during space flight and the use of saline as a countermeasure to orthostatic intolerance

Results are reported of trials with oral hydration by astronauts before reentry of the Orbiter. The experiments were run to evaluate hydration as a means of offsetting the loss of lower body negative pressure experienced after several days in space. The rehydration was carried out by 17 astronauts who ingested salt tablets and water prior to the end of the first eight STS mission orbital phases; nine astronauts abstained. Pulse and blood pressure data were collected from 1-2 hr post landing. Measurements were also made of the extent of cardiac deconditioning and the response to orthostatic stress (standing). Ingestion of the salt tablets reduced the heart rate response to stress an average of 29 percent. The statistical significance of the difference has encouraged adoption of the salt tablet countermeasure as an operational procedure by Shuttle astronauts.

Bungo, M. W.↗

Nutrition in Space Flight: Some Thoughts

Space flight causes physiological changes related to microgravity and on which nutrition has a bearing. Examples are: muscle atrophy-protein; bone atrophy-calcium; phosphorus, and vitamin D; space sickness-fat; cardiovascular deconditioning-sodium; water, and potassium. The physiological changes are discussed which relate to living in space.

Johnson, P. C., Jr.↗

Space medicine

The medical aspects of space flight are briefly discussed. The problems of space adaptation syndrome, commonly known as space sickness, are described, and its cause is shown. The adaptation of the cardiovascular system to weightlessness, the problems of radiation in space, atrophy of bones and muscles, and loss of blood volume are addressed. The difficulties associated with the reexperience of gravity on return to earth are briefly considered.

Johnson, P. C., Jr.↗

Space Station medical sciences concepts

Current life sciences concepts relating to Space Station are presented including the following: research, extravehicular activity, biobehavioral considerations, medical care, maintenance of dental health, maintaining health through physical conditioning and countermeasures, protection from radiation, atmospheric contamination control, atmospheric composition, noise pollution, food supply and service, clothing and furnishings, and educational program possibilities. Information on the current status of Soviet Space Stations is contained.

Mason, J. A.↗

Space Station medical sciences concepts

Current life sciences concepts relating to Space Station are presented including the following: research, extravehicular activity, biobehavioral considerations, medical care, maintenance of dental health, maintaining health through physical conditioning and countermeasures, protection from radiation, atmospheric contamination control, atmospheric composition, noise pollution, food supply and service, clothing and furnishings, and educational program possibilities. Information on the current status of Soviet Space Stations is contained.

Mason, J. A.↗

Cardiovascular examinations and observations of deconditioning during the Space Shuttle orbital flight test program

During the first four flights of the Space Shuttle, cardiovascular data were obtained on each crewmember as part of the operational medicine requirements for crew health and safety. From monitoring blood pressure and electrocardiographic data, it was possible to estimate the degree of deconditioning imposed by exposure to the microgravity environment. For this purpose, a quantitative cardiovascular index of deconditioning (CID) was derived to aid the clinician in his assessment. Isotonic saline was then investigated as a countermeasure against orthostatic intolerance and found to be effective in partially reversing the hemodynamic consequences. It was observed that the space flight environment of reentry might potentially be arrhythmogenic in at least one individual.

Bungo, M. W.↗

Shuttle OFT medical report: Summary of medical results from STS-1, STS-2, STS-3, and STS-4

The medical operations for the orbital test flights which includes a review of the health of the crews before, during, and immediately after the four shuttle orbital flights are reported. Health evaluation, health stabilization program, medical training, medical "kit" carried in flight, tests and countermeasures for space motion sickness, cardiovascular, biochemistry and endocrinology results, hematology and immunology analyses, medical microbiology, food and nutrition, potable water, Shuttle toxicology, radiological health, and cabin acoustical noise are reviewed. Information on environmental effects of Shuttle launch and landing, medical information management, and management, planning, and implementation of the medical program are included.

Pool, S. L.↗

STS-3 medical report

The medical operations report for STS-3, which includes a review of the health of the crew before, during, and immediately after the third Shuttle orbital flight is presented. Areas reviewed include: health evaluation, medical debriefing of crewmembers, health stabilization program, medical training, medical 'kit' carried in flight, tests and countermeasures for space motion sickness, cardiovascular profile, biochemistry and endocrinology results, hematology and immunology analyses, medical microbiology, food and nutrition, potable water, shuttle toxicology, radiological health, and cabin acoustic noise. Environmental effects of shuttle launch and landing medical information management, and management, planning, and implementation of the medical program are also dicussed.

Pool, S. L.↗

STS-2 medical report

All medially related activities of the Space Transportation System 2 flight are described, ranging from preflight to postflight. Several medical problems occured during the flight. Their was marginal operation on-board potable water system caused by a malfunctioning fuel cell. Work and rest cycles by the crew were altered to maximize the scientific data acquisition. Inadequate time was allocated for food preparation and consumption. There was low water intake by the crew because of the water shortage.

Pool, S. L.↗

STS-1 medical report

The report includes a review of the health of the crew before, during and immediately after the first Shuttle orbital flight (April 12-14, 1981). Areas reviewed include: health evaluation, medical debriefing of crewmembers, health stabilization program, medical training, medical kit carried inflight; tests and countermeasures for space motion sickness, cardiovascular profile, biochemistry and endocrinology results; hematology and immunology analyses; medical microbiology; food and nutrition; potable water; shuttle toxicology; radiological health; cabin acoustical noise. Also included is information on: environmental effects of Shuttle launch and landing, medical information management; and management, planning and implementation of the medical program.

Pool, S. L.↗

Blood volume and red cell life span (M113), part C

Prechamber, in-chamber, and postchamber blood samples taken from Skylab simulation crewmembers did not indicate significant shortening of the red cell life span during the mission. This does not suggest that the space simulation environment could not be associated with red cell enzyme changes. It does show that any changes in enzymes were not sufficiently great to significantly shorten red cell survival. There was no evidence of bone marrow erythropoetic suppression nor was there any evidence of increased red cell destruction.

Johnson, P. C., Jr.↗