Anthropometric measurements and occlusion venous plethysmography were used to investigate fluid inflow and outflow in the limbs of human subjects who kept normal motor activity for 4 hrs, remained in recumbency or were in the head-down position at an angle of -12 degrees and -22 degrees (to simulate effects of zero G). During these exposures diuresis, heart rate and blood pressure according to Korotkoff were also measured. In the horizontal and, to a greater extent, head-down position, when motor activity was diminished, volume blood flow velocity in the limbs decreased, i. e. blood inflow to them became smaller. Arm volume varied insignificantly since inflow and outflow were in balance whereas leg volume decreased because fluid outflow was larger than inflow. In the head-down position the tone of leg veins also declined. Thus the peripheral vascular bed developed a complex of mechanisms that were to prevent volume overload of the central bed. Fluid shifts from the legs to the central bed were made up for by the renal excretion of water in the horizontal and head-down (-12 degrees C) (-22 degrees) produced a stressful effect on compensatory mechanisms which manifested as a greater rise of diastolic pressure and bradycardia. The data obtained indicate an active involvement of the peripheral vascular bed in the adaptation to diminished motor activity in the horizontal and head-down position of human subjects.
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Health Sci Rep
January 2025
Faculty of Medicine and Health Science Crewe Campus, University of Buckingham Crewe UK.
Background: Space exploration has become a major interest for scientific and medical research. With increasing duration and frequency of manned space missions, it is crucial to understand the impact of microgravity on the cardiovascular health of astronauts. We focus on this relationship by reviewing literature that explores how microgravity affects several hemodynamic parameters and cardiovascular biomarkers.
View Article and Find Full Text PDFJ Int Med Res
January 2025
Institute for Health Research, the University of Notre Dame Australia, Department of Research, Sir Charles Gairdner Hospital, Nedlands, Australia.
Objective: The cardiac return assist blanket (CRAB) has been designed to increase central venous pressure (CVP) to manage severe hypotension associated with anaphylaxis. This interventional study aimed to identify the relationship between CRAB pressure and CVP. CRAB pressure was also compared with the change in CVP associated with a straight leg raise (SLR), the Trendelenburg position, and 1 L of compound sodium lactate.
View Article and Find Full Text PDFRetin Cases Brief Rep
January 2025
Chair of Ophthalmology division; Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv, Israel.
Purpose: To evaluate the potency and security of Pneumatic Vitreolysis (PVL) as the primary treatment for Full-Thickness Macular Holes (FTMHs) and provide insights into patient selection criteria and procedural outcomes.
Patients And Methods: A retrospective analysis of three clinical cases presenting with FTMHs treated initially with PVL was conducted. Cases were evaluated for anatomical and functional outcomes through comprehensive ophthalmic examination and optical coherence tomography (OCT) imaging.
Surg Radiol Anat
January 2025
Maxillo-Facial Surgery Department, Beaujon University Hospital, Clichy, France.
Purpose: The main objective of this study was to conduct a radioanatomical study of the osteo-myo-cutaneous scapulo-dorsal pedicled flap.
Methods: A radiological study was performed to study the anatomical variations of the dorsal scapular pedicle (origin, course of the deep branch of the dorsal scapular artery (DSA) in relation to the medial border of the scapula, perforators from the superficial branch of the DSA). Perforators from the superficial branch of the DSA were also identified on anatomical subjects, and their cutaneous vascular territory was determined.
Sci Rep
December 2024
Department of Critical Care Medicine, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, 324000, Zhejiang, China.
Fluid administration is widely used to treat hypotension in patients undergoing veno-venous extracorporeal membrane oxygenation (VV-ECMO). However, excessive fluid administration may lead to fluid overload can aggravate acute respiratory distress syndrome (ARDS) and increase patient mortality, predicting fluid responsiveness is of great significance for VV-ECMO patients. This prospective single-center study was conducted in a medical intensive care unit (ICU) and finally included 51 VV-ECMO patients with ARDS in the prone position (PP).
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