[Assessment of adaptation risk in the individual prenosological control].

Trends in the development of modern ideas about health as the ability to adapt require personalization and preventive orientation in evaluating and predicting individual health. It can be realized only on the basis ofprenosological approach, which is necessary in medicine and physiology of labor, in particular--in the aviation and space medicine. The article analyzes the concept of adaptation risks and its application for health, assessing on the basis of the results of space and Earth modeling studies of autonomic regulation according to the HRV (heart rate variability) analysis.

[Researches of autonomic regulation of blood circulation in the condition of long-term space flight].

In the article is presented five-year experience of experimentation in autonomic regulation of blood circulation onboard the International space station. The heart rate variability (HRV) analysis was the basic methodical approach in the researches. We described probabilistic approach created on the basis of HRV analysis to an estimation of risk of pathology development in the conditions of long space flight.

[New technologies for evaluation of health status of apparently healthy people].

The article considers the questions of development of new technologies for evaluation of health of apparently healthy people based on experience of long-term researches of cosmonauts' performed at Russian Academy of Sciences Institute of Biomedical Problems under the direction of academician A. I. Grigoriev.

[Conception of health: space-earth].

In article the new approach to an estimation of a health state of cosmonauts, sportsmen, pilots, drivers, operators, persons of dangerous trades is considered. It has been created and developed in Institute of biomedical problems of the Russian Academy of Sciences under the direction of academician A.I.

[The problem of estimation of the organism adaptable opportunities under stressful influences].

The human organism testing in conditions of modern scientific and technical progress constant stressful influences (industrial, social, psycho-emotional) was carried out for continuous adaptation to the environment: changing of the level of functioning of separate systems and a corresponding tension of regulatory mechanisms occurred. In the article, theoretical bases and methodology of studying the adaptable capacities of the organism are considered. The prenosological diagnostics was used for studying functional conditions on the verge of norm and pathology.

[Indices of electrocardiogram dispersion mapping during 5-day exposure in dry immersion].

The article presents the results of ECG dispersion mapping in the investigation of 13 young healthy people during 5-d dry immersion (DI). This was the first study of 24-hour variations in dispersion of ECG microoscillations. For this purpose, 20-30 min fragments were "cut out" of every hour of Holter monitoring records to analyze their means after averaging over every 4 hours.

[Seven-day dry immersion: relations between water-electrolyte and cardiovascular responses].

The paper presents the results of the experiment with 7-day dry immersion. Eight healthy men were studied before, during and after exposure. It is shown that the primary response involves hemodynamic and water-electrolyte changes.

[Potentiality of building-up the medical operations system for long-duration space missions by noncontact physiological functions recording during sleep time].

Methods of investigating the physiological functions in space crews on extended missions during night sleep are of much fundamental and practical substance. The design of experiment "Sonocard" utilizes the method of seismocardiography. Purpose of the experiment is to validate the procedures of noncontact in-sleep physiological data recoding which are potent to enhance the space crew medical operations system.

[Prenosological approach to assessing morbidity and mortality].

The paper deals with the morbidity- and mortality-associated problem arising from the processes occurring in the transition period of development of new Russia. It points to the leading role of health care service in this process. The authors show the real health status of the working population, the actual state of affairs with the rendering primary medical care at industrial institutions.

[Parameters of high definition ECG and dispersion ECG mapping on the background of amlodipin and myostimulation during 7-day dry immersion].

The article presents the results of studying electrophysiological changes in the myocardium of normal human subjects during 7-day dry immersion, and modification of the reaction to immersion by amlodipin and myostimulation. The dry immersion effects on the myocardium generally include a succession of electrophysiological shifts first in the ventricles and then in the left atrium due to, probably, blood pooling in the pulmonary vessels. Myostimulation and amlodipin affect the myocardium reaction visibly suggesting involvement of numerous components of the autonomous and central nervous systems.

[The present-day issues of space cardiology].

The author sweeps the history of space cardiology since the first space flights of animals and humans to the on-going missions on the International space station. The material is distributed into four sections in accordance with postulates of the scientific theory described in monograph "Space Cardiology" (1967). The first section deals with adaptation of the blood circulation control system to microgravity.

[Investigation into vegetative regulation of blood circulation during 7-day dry immersion].

The paper presents the results of investigations into vegetative regulation of blood circulation and regulation modification by peroral amlodipine and myostimulation during 7-d dry immersion. It was shown that in immersion vegetative regulation readjusted towards predominance of the sympathetic mechanisms. Myostimulation and peroral amlodipine modified regulation substantially mobilizing high level suprasegmentary structures.

[Diagnostic and prognostic validity of high-resolution electrocardiography under the conditions of space flight].

Applicability of high-resolution ECG used in clinics for predicting the probability of life-threatening arrhythmias in cardiovascular patients for the space flight environment was investigated in A 7-d bedrest experiment was to verify HR ECG displayed electrophysiological shifts in myocardial atriums and ventricles. Clearly seen changes in R-amplitude and time course seem to have reflected the volumetric loading and altered sympathetic activity during bed rest QRS-complex had increased the time of low-amplitude signals at the end of the last 40 ms but was short in duration which may point to delayed ventricular depolarization. Prognostically meaningful is exaggerated electrical instability of the myocardium during the standing test on completion of the bedrest period.

[Software for polygraphs used in scientific research].

Polygraphs--devices for simultaneous detection of several physiological parameters--are currently used in medicine in psychology. Special polygraphs are also used in scientific research. The process of data acquisition and processing in such polygraphs is usually computer-controlled.

[Assessment and prediction of health status of the Mars mission crew members].

The scientific concept of health assessment and prediction in a piloted mission to Mars has been built on the principles of pre-nosologic diagnostics, i.e., identification of the norm-pathology borderline states.

[Estimation and prediction of functional changes in organisms in space flight].

The article is devoted to theoretical and applied problems of estimation of the organism functional state and a level of health. Transitive states between health and illness, between norm and a pathology, so-called prenosological states are considered. The level of health is determined by adaptable opportunities of an organism, a degree of regulatory systems tension and their functional reserve.

[Autonomic regulation and emotional status in patients with ischemic heart disease having pain syndrome of various severity].

To study vegetative regulation and emotional status of ischemic heart disease (IHD) patients with various pain severity, 81 patients with IHD were examined. Personality characteristics were studied by the data of MMPI questionnaire, reactive and personal anxiety--of Spilberger questionnaire, depressive changes--of Beck's questionnaire, vegetative status--by vegetative discharge, Seattle angina questionnaire of life quality, heart rhythm variability and cardiovascular tests. All the patients have undergone clinical examination, exercise stress tests, echocardiography.

[Individual peculiarities of adaptation to long-term space flights: 24-hour heart rhythm monitoring].

Presented are results of studying 24-hr variability of the cardiac rhythm which characterizes individual difference in reactions of two crew members to the same set of stresses during a 115-day MIR mission. Spacelab (USA) cardiorecorders were used. Data of monitoring revealed significantly different baseline health statuses of the cosmonauts.

[Effect of geomagnetic activity on the functional status of the body].

A complicated nonlinear biological system should be in principal more sensitive to the external factors activity including geomagnetic disturbances. The complex of experimental studies based on this hypothesis were done simultaneously in two hospitals in Moscow as well as in condition of space orbital station, where just above-mentioned conditions are the case. This studies revealed that the reaction of astronauts to the geomagnetic storm involves a mobilization and activation of all centers of the sympathetic link, and as a result,--a significant increase and stabilization of pulse (heart rate), decrease of the heart rhythm variability and the power of respiratory waves.