Atmospheric changes and physiological responses during a 6-day "disabled submarine" exercise.

Background: Survival time within a disabled submarine (SUBSUNK) is dependant on atmospheric composition and proper design and use of emergency atmospheric control systems. The objective of this study was to investigate atmospheric changes and physiological responses during a SUBSUNK trial.

Methods: There were 18 volunteers who were restrained within a 250 m3 front compartment of an Ula-class submarine submerged in 8 degrees C seawater for 6 d, 18 h.

Carbon dioxide scrubbing capabilities of two new nonpowered technologies.

Current guidance for survivors aboard a disabled submarine (DISSUB) recommends the use of the "stir-and-fan" method of carbon dioxide (CO2) scrubbing in which the contents of canisters of lithium hydroxide (LiOH) are dispersed onto horizontal surfaces. This technique is objectionable because it releases large quantities of fine, caustic LiOH dust and it utilizes LiOH inefficiently. This report presents the results of laboratory studies of the CO2 scrubbing capabilities of two new products that might improve on "stir-and-fan": the Battelle Curtain (BC) and the Micropore Reactive Plastic Curtain (RPC).

Patent foramen ovale: a review of associated conditions and the impact of physiological size.

Patent foramen ovale (PFO) is implicated in platypnea-orthodeoxia, stroke and decompression sickness (DCS) in divers and astronauts. However, PFO size in relation to clinical illness is largely unknown since few studies evaluate PFO, either functionally or anatomically. The autopsy incidence of PFO is approximately 27% and 6% for a large defect (0.

Immersed false vertical room. A new motion sickness model.

We evaluated a new model of motion sickness--an enclosure decorated with visual cues to upright which was immersed either inverted or "front"-wall down, in Johnson Space Center's Weightless Environment Training Facility (WETF) pool. This "WETF False Vertical Room" (WFVR) was tested with 19 male and 3 female SCUBA diver subjects, aged 23 to 57, who alternately set clocks mounted near the room's 8 corners and made exaggerated pitch head movements. We found that (1) the WFVR test runs produced motion sickness symptoms in 56% and 36% of subjects in the room-inverted and room-front-down positions, respectively.

Inverted immersion as a novel gravitoinertial environment.

Background: Inverted immersion (II) offers a unique opportunity to swing the orientation of the gravity vector 180 degrees from its usual configuration with vestibular end organs. During II, extrathoracic fluid dynamics are identical to those of upright immersion (UI). II exposes individuals to a novel gravitoinertial environment and, therefore, should produce motion sickness (MS).

Patent foramen ovale and hypobaric decompression.

Gas microbubbles were detected in the left ventricle of a supine subject being screened for an atrial septal defect as a participant of a hypobaric decompression study. This determination was made using the saline echocontrast procedure. We found provocation by a Valsalva maneuver not to be necessary in this individual for right-to-left passage of contrast microbubbles into the left heart and middle cerebral artery.

Physiologically and subjectively acceptable breathing resistance in divers' breathing gear.

To determine acceptable levels of breathing resistance in divers' gear, 6 subjects were exposed to varying levels of breathing resistance under demanding and realistic conditions. The immersed air-breathing subjects exercised in the prone position at 60% of their maximum oxygen uptake for 25 min in a hyperbaric chamber at 1.45 and 6.

Treatment of motion sickness in parabolic flight with buccal scopolamine.

Treatment of acute motion sickness induced by parabolic flight with a preparation of scopolamine placed in the buccal pouch was investigated. Twenty-one subjects flew aboard a KC-135 aircraft operated by the National Aeronautics and Space Administration (NASA) which performed parabolic maneuvers resulting in periods of 0-g, 1-g, and 1.8-g.

Susceptibility of divers in open water to motion sickness.

Several aspects of the environment of divers should increase their susceptibility to motion sickness: a) sensory conflicts, b) body fluid redistribution, and c) nitrogen narcosis. We tested motion sickness susceptibility by placing subjects on a rotating platform and having them perform stylized heat movements that produced cross-coupled angular accelerations in vestibular end organs until nausea developed. This test was performed once each day on 9 consecutive days while subjects were immersed at the end of 3-4 h of diving.

O2 pressures between 0.12 and 2.5 atm abs, circulatory function, and N2 elimination.

To study the effects of inhaled oxygen pressures on N2 elimination, 72, 2-h washouts were performed in 6 subjects at oxygen pressures of 0.12, 0.2, 1.

CO2 retention with minimal symptoms but severe dysfunction during wet simulated dives to 6.8 atm abs.

During wet dives in a hyperbaric chamber to 6.8 atm abs (690 kPa), air breathing subjects were experimentally exposed to external breathing resistance. Two of them were, unbeknownst to themselves, severely incapacitated.

Indomethacin does not diminish the pulmonary vascular response of the fetus to increased oxygen tension.

This study was performed to determine whether prostaglandins play a role in the increase in pulmonary blood flow in the fetal lamb caused by an increase in oxygen tension similar to that occurring at birth. To increase fetal oxygen tension without ventilating the lungs, nine pregnant ewes with chronically instrumented fetuses were exposed to 100% oxygen at 3 atmospheres absolute pressure for 20 min in a hyperbaric chamber. This exposure increased pulmonary arterial oxygen tension in the nine fetuses from 20 +/- 1 to 54 +/- 9 torr.

Can eucapnic hyperventilation prolong a subsequent breath-hold?

Previous studies have shown that, upon breaking a maximal breath-hold (BH), reinhalation of the expired gas allows an additional period of breath-holding. This indicates that mere ventilatory movements can diminish the urge to breathe. We sought to determine if vigorous ventilations, performed immediately prior to a maximal BH and in such a way that CO2 stores are not changed, can prolong a subsequent BH.

A comparison of respiratory function in divers breathing with a mouthpiece or a full face mask.

A comparison was made of respiratory function in submersed divers breathing with either a mouthpiece or a full face mask while exposed to varying depths (15 and 190 fsw), exercise loads (0-175 W), and static lung loads (0 and -20 cmH2O). The two types of breathing equipment were designed to be identical in terms of functional dead space volume and resistance to gas flow. When compared with data from experiments utilizing a full face mask, use of a mouthpiece caused a modest fall in expired minute volume at both depths.

Respiratory function in the upright, working diver at 6.8 ATA (190 fsw).

The influence of static lung loading on a number of respiratory parameters was investigated in subjects performing graded leg exercise in an upright posture while submerged and breathing air at ambient pressures up to 6.76 ATA. In comparison with a previous investigation of the prone posture, a lesser tendency to dyspnea was observed.

Adaptations of alpha2- and beta-cells of rat and mouse pancreatic islets to starvation, to refeeding after starvation, and to obesity.

The effects of starvation and refeeding and of obesity on pancreatic alpha2- and beta-cell responses to glucose or tolbutamide were studied with the isolated rat or mouse pancreas perfused with an amino acid mixture in the presence and absence of glucose. It was observed that the physiological adaptation to a regimen of fasting and realimentation and to obesity differed greatly in the two types of endocrine cells. Whereas beta-cells of rats showed a dramatic reduction of glucose- and tolbutamide-stimulated insulin release during starvation that was reversed by refeeding, alpha2-cells preserved their response to stimulators and inhibitors during this experimental manipulation.

Comparison of alpha- and beta-cell secretory responses in islets isolated with collagenase and in the isolated perfused pancreas of rats.

The inhibitory actions of somatostatin (100 ng./ml.) on insulin release, stimulated by high glucose (20 mM), and on glucagon release, stimulated by arginine (15 mM), were studied with two in vitro systems: the isolated perifused rat islets prepared by the collagenase procedure and the isolated perfused rat pancreas.