[Density of distribution of nerve cells in the nuclei of the cat's trigeminal complex]. The results of calculation of nerve cells density in each of the four nuclei composing the nuclear complex of the trigeminal nerve are presented. The quantitative data were processed by non-parametrical statistical method. It was established that the whole rostral half of the trigeminal complex of the nuclei had greater density of cell distribution, than the caudal one. Especially pronounced was the difference in the density of disposition of cells between the nuclei occupying the extreme-caudal and rostral position in the general complex of nuclei. Comparison of the obtained facts with the literature data and the author's previous investigations has shown that the revealed distinctions are in agreement with pecularities of the structural functional organizations of the trigeminal complex, according to which the structure is changed from the caudal to rostral end to be more isolated from the reticular formation, and the function is changed to conduct more delicate differentiated stimuli.


[Autoradiographic study of cellular structure of the epithelium of the duct of testicular epididymis of rats]. Mature rats were given intraperitoneal injections of H-3-thymidine (1 mkk/g 1-32 hours before being killed. Labelled and non-labelled mitoses and interphase cells of different types were counted in each zone of the epididymis autographs. The diurnal fluctuatiof the mitoticindex (Im) was found: form 0,19% in the day-time to 0.33% in the night at and morning hours (psmaller than 0.05). The average diurnal Im was equal to .23%-0.03. The fist wave of labelled mitoses of the epithelial cells was observed during 32 hours, tg-2 (3-5 hours) and ts(13-14 hours) were graphically calculated. The time tg-2-tm-ts was equal to 19-20 hours. Therprietal (0.87%), basal (1.87%) and oreolar (2.20%) cells of the epidermis duct labelled 1 hour after ijection of H-3-thymidine. The apical cells (3.%) were labelled 8 hours later, while the light ones were not labelled during the whole period of observation. On these grounds, the parietal, basal and oreolar cells are considered to be proliferative cells, while the light and apical ones-to be their derivatives in the epidemis epithelium. Besides, the oreolar cells may be regareded as a foreign element in the epidermis according to their morphological features and ability to migrate throughout the total depth of the epithelial layer.


[Comparative study of formation of the frontal cortex of the brain of monkeys and man in ontogenesis]. The development of the fields of the frontal zone (8, 3, 10, 11, 12) were compared in the pre- and postnatal periods oflife in the nacaque-rhesus and man. The cyto-mielcarchitectonical and guantitative methods wereused. The square surfaces of the above fields were measured, their per cent  ratios to thesquare surface of all the cortex, new cortex and frontal zone were calculated. The work hasrevealed the following: 1. General regularities in the development of frontal zones in monkeysand man: a) shorter terms for the formation of  philogenetically  old  fields-11, 12, 8 andlonger terms for the new ones-9 and 10:b) predominant development of the frontal  zone at theexpense of progressive young fields 9 and 10: c) predominat formation of the frontal zone bothkinds of primates in the postnatal period. 2. The specific features for each field (the termsfor isolation of the fields, the rate and direction of their  development). 3. Substantial difference: more rapid maturation of the frontal zone in macaques (by the 6th -12th months of life)and more prolonged one in humans-by 12 years. A considerable  growth of philogenetically newstructures (fields 9 and 10) in the system of all the cortex and  the frontal zone wasshown in man as compared with monkey. The experimental ontogentical material is interpreted.


[Roentgen anatomy of the arteries of the gallbladder (according to intravital angiography)]. Examiniation of 163 series of coeliacograms and 10 series of angiograms of the superior mesentery  artery has established  thatby a conventional method the gallbladder artery is revealed in 79.1% of observations. The gall-bladder is blood supplied by a solitary or a double artery , or by numerous small vessels (scattered type of blood supply). Distinctive features of the gall-bladder arteries are:the site of their origination, the type of branching, irregular sinous course and false enlargements of the lumen as well as the disposition of arteries and their branches coinciding withthe topographs of the bladder determined in the parenchymatous phase. The main causes preventing determination of the gall-bladder arteries are both insufficiently contrast angiograms andpoor accumulation of the contrast substance in the bladder wall. Superposition of theshade of the enlarged liver is one of the obstacles in determinating the gall-bladder arteries. The author's experience show that the sourses of the gall baldder blood supply can be revealedin most cases in ordinary coeliacograms.


[Development of the caudate nucleus of rats in postnatal ontogenesis and formation of cholinergic mediation in it]. Morphological maturation of the rat's caudate nucleus and formation of cholinergic system in it were studied in postnatal ontogenesis. Under investigation were newborn rats, 7, 14, 21 day old rats and adult animals. The growth and maturation of the caudate nucleys were most intesne during the first two postnatal weeks, it was somewhat descreased by the beginning of the third week and continued in later terms as well. The structure of dendrites and axons became complicated during the first two weeks, the axo-dendritic contacts being also formed. The neuron structure in 14 days old rats was similar to that of adult animals. The activity of acetylcholinesterase in the caudate nucleus of 7 and 14 days rats was not great. It sharply increased by the 17th day and reached the level of adults with 3 weeks after birth. Possible correlations of the morpho-chemical maturation of the caudate nucleus and formation of motor activity in rats is discussed.


[Neuronal organization of the large-cell segment of the cat's red nucleus]. When studying the neuronal organization of the large-cell part of the red nucleus in cats by the Golgi and Golgi-Kopsch methods three types of neurons have been revealed: large (50-90 mu), medium-sized (20-50 mu) and small cells (8-20 mu). long axon and short-axon neurons were found as well as long-dendrite cells with few thorns (the length of the dendrites form 600-900 mu) and short-dendrite cells (up to 400 mu). On basis ofanalysis of neuronal groups found in the large-cell part of the red nucleus of the cat a neuronal map of this part of the central nervous sytem is composed.


[Endothelium of the jugular vein of domestic chicken at the remote periods after injury]. Detailed analysis of changes in the endothelial layer at late  terms after injury revealed that in one month after cauterization with a 0,25%solution of silver nitrate the recovered epithelium was not substatially different from the initial state by most features and retained its  specific properties. From the normal state itdistinguished by the cell size, their orientation with respect to the longitudinal  axis ofthe vessel, but the signs characterizing the lining as a whole, such as correct arrangement of the layer, the shape of the cells, gave evidence that the endothelium had recovered retainingits specific properties as a highly sensitive system with intrinsic signs of a tissue type. A significant amount of binuclear cells at late terms as well as greater amount of nuclei with centromeres as compared with the normal state pointed out that the traces of the reactive processretained for a very long time.


[Microcirculatory bed in the capsules of certain glands]. The capsules of the thyroid, submaxillary salivary, pancreatic gland of adults and the thymus of children were studed. The preparation were impregnated with silver nitrate after  Kuprijanov and stained with haematoxiline-eosin. Different constructions of them microcirculatory bed depending on the character of the tissue and the functional activity of the organ were found. The value of the total cross section of the vessels of the microcirculatroy bed calculated in the capillary link allowed a comparisonof the degree of blood supply of the sheaths. The vascular bed of the sheaths served as anadditional way for the blood supply of the organ, a distribution  basin and the site ofcollection of the blood, flowing from the parenchyma through collateral vessels.


[Changes in the ultrastructure of the chloride cells of sturgeon during adaptation to a hypertonic medium]. Alterations in the ultrastructure of chloride cells of young sturgeons Acipenser guldenstadti Brandt in the process of adaptation to hypertonic medium (S=105%) were under study. In the process of this adaptation thread-shaped long mitochondria became shorter, their random position was substituted by orientation in parallel to the axis of the cell. The amount of mitochrondria increased. A great number of vacuoles appeared in the cytoplasm. The character of the endoplasmic reticulum changed. The obtained data on the ultrastructure of chloride cells of the sturgeon confirm and supplement earlier light microscopy investigations of chloride cells of the sturgeon. The changes of the ultrastructure of chloride cells are interpreted as functional and adaptational ones.


[Method of live microscopy of the neurons of the cat brain]. Method of microscopic study of living nervous elements of the brain stained with vital dyes in the falling light was developed. Investigation of the morphology of neurons, glial cells and vasculo-nervous relations in the cat's cerebral cortex in living state in situ became possible thanks to the proposed method. Conditions were made to observe the patterns of dynamic changes in these structures under effects of different stimuli.


[Morphological changes in the follicular epithelium in oogenesis of the Peking duck (Anas boschas domestica) and other poultry]. The morphology of the follicular epithelium during the course of oogenesis in poultry (duck goose, hen, turkey) and at the first stages of oocyte growth in some wild birds (finch, totmit, wood-pecker, pigeon) was studied. The general patterns of the follicular epithelium changings are similar in the both groups of birds. In the process of the oocyte growth the flat follicular epithelial monolayer changes to cubic, prismatic, pseudostratified epithelium. It leads sometimes to the impression of multi-layerness owing to its irregular structure. During the oocyte rapid growth the surface of the oocyte increases causing tension on the epithelium layer. This process again turns the pseudostratified epithelium into primatic, cubic and flat epithelium. Pseudostratified structure of the follilicular epithelium is regarded as adaptation to the necessity of the rapid tension during rapid oocyte growth. Correlations of the follicular epithelium morphology with the oocyte diameter are established. Existance of a temporary multilayer stage is discussed with arguments against the interpretation of this stage as a real multilayer.


[Ultrastructural characteristics of axon terminals of the posterior lateral nucleus of the thalamus in the cat]. Two kinds of axon terminals: fine M-terminals with the diameter up to 2 mkm and large K-terminals with the diameter up to 6 mkm were found in electron microscopic study of the posterior lateral nucleus of the cat's thalamus. M-terminals comprising 88% of the total amount of the axon terminations under analysis are characterized by a great amount of densely packed light round synaptic vesicles and solitary mitochondria. These terminals form asymmetrical type of contacts in which the post-synaptic network is distinguished with a high degree of osmiophilia. The K-terminals contain a few rarely distributed round light synaptic vesicles and many mitochondria which are disposed in the central part of the termination. These terminals form a symmetrical type of synaptic contacts with poorly pronounced active zones in these formations. In axo-axonal contacts between the described kinds of terminals the K-terminals always serve as a presynapse. After extirpation of the sincipital cortex M-terminals underwent degeneration.


[Reparative regeneration of muscle fibers of the skeletal type and reasons for its delay in local x-ray irradiation]. Under study was the reparative regeneration of the frog's tibial muscle and the reason of its delay under local X-ray irradiation in dosage of 800 and 3000 r. The irradiated animals were shown to have the same type of regeneration as non-irradiated animals. Both pale proper muscle nuclei and dark subsarcolemma nuclei belonging, to the author's mind, to cell-satellites, took part in it. The buds and "primary" myosymplasts playing mainly a subsidiary supporting role developed from the formers (which were not labeled with H-3-thymidine and did not divide mitotically). From the latters (labeled with H-3-thymidine and dividing mitotically) developed myoblasts and "secondary" myosymplasts forming young muscle fibres when merging with one another and then differentiating. At early stages of the process the delay in the muscle fibres regeneration was related with their radiation damage, at later stages - with a damage of the connective tissue.


[State of the receptors in the wall of the large arteries and veins following the action of impulse acceleration in the organism]. The state of receptors in the wall of the vena cava and pulmonary veins, the pulmonary trunk and the aorta arc was studied in cats subjected to single impulse accelerations within the limits of 8-70 gravitation units during 20-25 msec. Myelinated nerve fibres underwent reactive changes in the form of increased argirophilia, swelling, varicosities. In bushy receptors there appeared the same reactive changes in their preterminal part as well as an excessive growth of terminals. A small part of myelinated fibres and bushy receptors regenerated. Regeneration of the receptor terminals was noted.


[Individual and sex variation in the inguinal lymph nodes in man]. Under investigation were the lymph nodes on the anterior surface of the femur in the area of the femural triangle in 96 preparations of lower extremities of corpses of people of either sex in the age from 31 to 82 years. The Gerota's mass was injected into the skin of feet, external genitalia and the skin of the lower part of the anterior wall of the abdomen. It was established that the total amount of the inguinal lymph nodes in men was greater than in women, the size of the superficial nodes in women was greater than of those in men, while the size of profound lymph nodes in men was greater than in women. The amount of the inguinal lymph nodes was proportional to the Skerly's index and the dimensions were inversely proportional to their amount. The amount of inguinal lymph nodes in persons of either sex of a dolichomorphic type of figure was greater than in persons of a brachymorphic type. The dimensions of the nodes in persons of brachymorphic type of figure were predominant.


[Embryonic and post-embryonic development of the parietal and visceral peritoneum in white mice]. Light and electron microscopy were used in order to investigate histogenesis of the parietal and visceral peritoneum of white mice in embryonic and postembryonic periods of development. Four periods were distinguished, during which gradual differentiation of the primordium material into tissue structures (mesothelium and the connective tissue) of the peritoneum were observed. Asynchronous differentiation of the mesothelium as well as certain correlation in the degree of differentiation of mesothelial and mesenchymal cells took place at all stages of the embryonic and postembryonic development. More differentiated cells of prolonged shape were predominant in the mesenchyma even at early stages (11 days) in those portions where the lining of the secondary cavity of the body resembled mesothelim in its structure.


[Mathematical analysis of several parameters of the microcirculatory bed of muscles and muscular organs]. The authors propose a complex mathematical method for analysis of the microcirculatory link of the vascular bed of muscles and muscular organs. On the basis of the data of the amount and diameters of the vessels the method permits calculating the following parameters according to the proposed pattern of the table-report and formulas: 1. the square surface of the cross-section of the vascular bed; 2. the square surface of the exchange or contact with the tissue surface of the vascular bed; 3. the density of the vascular network in percentage; 4. the blood volume in the vascular bed in volumetric units and average data; 5. the blood volume in one vessel on the average; 6. the volume of the tissue fed by one vessel; 7. the volume of blood per a unit of the surface of the vascular wall.


[Terminal vascular bed of the connective tissue membrane in hypoxic hypoxia]. Morphological changes of all links of the terminal vascular bed during acute hypoxic hypoxia were studied in experiment and in postmortem material. A complex of methods was used including microdissection, injection with India ink - gelatin, clearing, silver nitrate impregnation after V. V. Kuprijanov, staining after Van Gieson and with hematoxylin-eosin, biomicroscopy and reoencephalography. Signs of desorganization of the vascular bed were revealed which manifested themselves as changes in microangioarchitectonics and diameters of vascular lumens, increased permiability of their walls with saturation of them with white and escape of its forming elements of the blood outside the limits of the vessels, as well as in destruction of the aggregate state of the blood. It considerably enlarges our knowledge of the state and changes in the vascular bed during hypoxic hypoxia.


[Reactive growth of the mesothelium of the parietal leaf of the peritoneum]. In the process of reparative regeneration of the mesothelium caused by suturing of a portion of the jugular vein into the peritoneum defect the inflammatory mesothelial growings are formed. They have different configuration, consist only of the mesotheliumor the connective tissue covered with the mesothelium and are observed from the 4th day till 3 months after operation, being always faced to the abdominal cavity. The capacity of mesothelial cells to high mitotic activity and wedging out from the layer underlies the formation of posttraumatic structures of the mesothelium.


[Distribution of biogenic amines in the hippocampal formation in the rabbit]. The hippocampal formation (the hippocampus and the dentate fascia) of the rabbit was studied by histochemical fluorescent method of Falk to determine localization of monoaminergic terminals containing biogenic amines: noradrenalin, dophamine and serotonin. It was shown that monoaminenergic terminals in the hippocampus were in two zones of afferent terminations: in the zone of ending of the perforating way (str. lacunosum-moleculare of fields CA1 and CA2; str. moleculare of the dentate fascia) and in the subgranular zone of the hilum where a part of septofimbrial way terminated on granular neurons of the dentate fascia, the main cellular elements of the hipocampus (pyramidal, granular and basket cells of the hippocampus) did not contain biogenic amines.


[Evaluation of the state of the progeny of mice with damaged kidneys]. It was established that increased mortality was characteristic of newborn mice from females with dystrophic lesions of the renal tissue. The kidneys of newborns from these females had a less relative weight as compared with newborns from healthy mice. Other organs of experimental and control newborns did not differ in their relative weight. Hypertrophy of the tubule cells with the signs of picnosis of nuclei was noted in the kidneys of experimental newborn animals. In two-month-old mice of the experimental and control groups the kidneys and other organs (liver, heart, lungs, spleen) had no substantial distinctions in the relative weight. The concentration of urea in the blood of two-month-old mice from females with injured kidneys under protein load was higher than in control two-month-old mice from females treated with 0,85% solution of NaCl which speaks of decreased resistance of kidneys in the animals of experimental group against pathogenic factors.


[Quantitative characteristics of the vestibular nuclei of the brain in the dolphin and man]. Selective qualitative and quantitative distinctions, most markedly expressed in dolphins as compared with man, were found in the lateral vestibular nucleus of the brain. In man it is the least nucleus (according to the territory) in the whole vestibular complex, while in dolphins it is the largest nucleus (9-16 times as great as in man), which has the largest area but the least density of cells. The above selectivity of changes in the structural organization of the lateral vestibular nucleus is considered as a result of ecological and physiological differences in the organization and coordination of the volume of motor acts and muscle tone when changing the position of the body in space.


[Topical characteristics of the organization of the strio-cortical tract in the brain of the dog]. The study was carried out by the method of axo-terminal regeneration with impregnation of frontal sections of the brain with the Laidlaw liquid. It was shown that following a lesion of the dorsal and ventral area of the caudate nucleus in the dog's cerebral cortex correspondingly different amount of degenerating terminations of strio-cortical fibres could be revealed. These bonds were mainly directed into the VI and V layers of the cortex, namely into the frontal, precoronary, postcoronary, orbital and insular areas.


[Development of germ cells in the ovaries of human fetuses in the early periods]. Histological methods were used for studying 30 ovaries of early human embryos from 7 to 11 weeks of development. It was shown that in the process of development of the ovary the number of mitotically dividing oogonia decreased from 76% in 7-8 weeks to 41% in the period of 10-11 weeks. The mototic division of oogonia was characterized by high activity from 3,6% to 6,8%. However, as early as in the ovaries of 7-8 week embryos there occurred transition of a part of oogonia into oocytes of preleptotene stages which were characterized by processes of spiralization and despiralization of chromatin in the nuclei. The amount of such oocytes increases in the process of development of the embryo. The amount of oocytes at the stage of condensation of chromatin "prochromosomes" increases from 7,6% to 14,4%, the amount of oocytes at the stage of the following despiralization increased from 2,1% to 21% when comparing the ovaries of embryos of 7-8 and 10=11 weeks of development. The size of nucleoli was found to change in the period of preleptotene transformations in the oocyte nuclei. Photographs of the stages in question are presented made from histological and total preparations.


[Typical from and basic variants of the structure of the intrahepatic portion of the portal vein]. The structure of the portal vein was studied in 210 preparations of the liver. The structure of the main trunk of the portal vein and its lobe branches was estimated orienting by the typical shape and the main variations of the structure. Two variants of the structure of the right and left portal veins (after the type of a "pine branch" and the variant of the "minimum length" of the lobe vein) were common for both veins. The structure of the "snail" type was found only in the left portal vein of the "whisk" type -- only in the right one. The sources of the segment blood supply changed depending on the structure of the main trunk and lobe veins. They can be supplied by terminal or lateral branches of the lobe veins, vascular branches of the main trunk of the portal vein and of the vessels of neighbouring segments. Estimation of the angioarchitectonics of the liver operated on should be approached individually in each case. It is expedient to take into account the above typical shape and the main variants of the intrahepatic portion of the portal vein.


[Correlation of the differentiation of the epithelium of provisory and definitive kidneys in vertebrates]. Opisthonephros-the primary kidney of the frog-has features similar in its development to both primary and secondary kidneys of the rabbit, and at the same time they greatly differ from the frog's pronephros in the course of its development. It is in the development of the frog's pronephros where the regularity of shortened and accelerated differentiation of tissue of provisory organs as compared with definitive ones formulated by P.P. Ivanov has distinct manifestation. It is in agreement with the fact that the pronephros of lower vertebrates is considerably more primitive in its anatomical and physiological features than the primary and secondary kidneys of higher vertebrates which are in general similar with each other though functioning in different developmental periods.


F-wave conduction velocity in Guillain-Barré syndrome. Assessment of nerve segment between axilla and spinal cord. The F-wave conduction velocity (FWCV) in the central segment (axilla to spinal cord) of the median and ulnar nerves was compared to the motor nerve conduction velocity (MNCV) in the more distal segments in nine patients with mild cases of the Guillain-Barré syndrome. In four patients, FWCV was slow despite normal or borderline MNCV. In four others, both FWCV and MNCV were abnormal. One patient showed slow MNCV with normal FWCV. The average FWCV was significantly decreased (40.9 +/- 12.0 meters/sec for median and 42.9 +/- 8.3 meters/sec for ulnar nerves) when compared to the corresponding normal values (64.3 +/- 6.4 meters/sec and 63.1 +/- 5.9 meters/sec). These data support the hypothesis that the central segment of a nerve is predominantly involved in some patients with Guillain-Barré syndrome.


Cytarabine and its effect on cerebellum of suckling mouse. Suckling mice were injected with 30 mg/kg or 50 mg/kg body weight of cytarabine subcutaneously two, three, and four days after birth. Twenty-four hours after the final injection, these mice showed extensive necrosis of undifferentiated cells in the external granular layer of cerebellum. One or two weeks later, a new external granular layer regenerated but it did so only incompletely and regionally. The mice allowed to live longer showed impaired cerebellar function, cerebellar hypoplasia, and other malformations, including heterotopic granule cells in the molecular layer, irregularly arranged Purkinje cells, and scanty cellularity in the internal granular layer.


Treatment of "on-off effect" with a dopa decarboxylase inhibitor. Irregularities in motor response after continuing levodopa therapy of Parkinson disease (the "on-off effect") were assessed with the addition of L-alpha-methyldopa hydrazine (carbidopa) in a double-blind study. Thirteen of 20 patients improved while receiving carbidopa and levodopa while only four of 17 patients improved while receiving placebo and levodopa. Twenty-three of 37 patients improved in a subsequent non-blind trial of carbidopa plus levodopa. Improvement was not dependent on an increase in dose or frequency of levodopa administration. Adverse effects included dyskinesia, imbalance, and confusion; nausea was eliminated. On patient died of glomerulonephritis that predated the drug trial, but worsened progressively during and after it. Carbidopa's suppression of the "on-off effect" suggests that extracerbral factors may be important in this phenomenon.


Mononeuropathy of the deep palmar branch of the ulnar nerve. A case occurring in a diabetic woman. A diabetic woman developed mononeuropathy of the deep palmar branch of the ulnar nerve six months following repetitive palmar trauma. The illness was initially incorrectly diagnosed as motor neuron disease, emphasizing the importance of accurate diagnosis of diseases that cause wasting of intrinslc muscles in the hand.


Carcinoid myopathy. Serotonin-induced muscle weakness in man? A myopathy, which improved with cyproheptadine hydrochloride therapy, developed in a patient with carcinoid syndrome of ten years' duration. Biopsy examination revealed advanced atrophy of type II muscle fibers, with type I fiber preponderance. Many of the small fibers had degenerated. Carcinoid myopathy may be due to excess circulating serotonin.


Recession of the lateral recti. Effect of Preoperative fusion and distance-near relationship. The importance of both preoperative fusion and the distance-near alignment relationship to the results of recession of the lateral recti for correction of exodeviation was studied. Satisfactory alignment was achieved after this procedure in 78% of patients with constant exodeviation and 80% of patients with intermittent exodeviation. In each fusion status, initial overcorrection of up to 20 prism diopters gave the highest percentage of good results (constant exodeviation patients, 88%; intermittent, 89%). Fifty-six percent of the satisfactorily realigned constant exodeviation patients and 69% of intermittent exodeviation patients remained satisfactorily realigned over an average follow-up interval of five years. If convergence insufficiency was present, satisfactory realignments noted at five to eight weeks could be maintained thereafter in 40% of patients. Where there was no preoperative convergence insufficiency, satisfactory results were maintained in 64% of patients with "high" and 68% of patients with "normal" distance-near ratios.


Retinitis Pigmentosa. A biomicroscopical study of vitreous abnormalities. A biomicroscopical study of the vitreous body was performed on 116 eyes of 58 patients with primary retinitis pigmentosa, and six additional eyes were examined histopathologically. A characteristic vitreous degeneration, found in all eyes, was clinically divided into four sequential stages that appear to parallel the magnitude of gross retinal destruction as determined by visual-field measurements. The vitreous breakdown in retinitis pigmentosa may be due to progressive loss of hyaluronic acid from the hyaluronic acid-collagen complex.


Sector hamartoma of the iris.

Sector hamartoma of the iris. A 15-year old girl with a jet black-pigmented lesion on the anterior surface of the upper nasal quadrant of her iris was followed up for 12 years, during which interval growth of the lesion was documented. Histopathological evaluation of the excised segment of the iris revealed a pigment epithelial proliferation originating from posterior pigment epithelium. Additionally, there was a band of spindle shaped smooth muscle cells in the posterior stroma and a zone of plump melanocytes in the anterior stroma beneath the proliferating pigment epithelial cells. This combination of abnormalities is thought to represent a benign hamartomatous maldevelopment of the involved sector of the iris rather than a true neoplasm. Such an elaborate dysgenesis is unlike the more modest melanocytic hamartomas of the iris associated with the phakomatoses.


Müller muscle-conjunctiva resection. Technique for treatment of blepharoptosis. A new technique for resecting the Müller muscle and the conjunctiva for correction of blepharoptosis has been developed. The operation is performed on all patients in whom a 10% phenylephrine hydrochloride solution instilled in the conjunctival cul-de-sac will elevate the blepharoptotic eyelid to a cosmetically acceptable level. The results of the surgery have been satisfactory in 27 of 28 operated eyelids.


The cure of ptosis by aponeurotic repair. Indications for the procedure of aponeurotic repair are nearly all of the ptoses that have 8 mm or more of elevation from downward to upward gaze. Such cases have a levator with an adequate striated part, an inadequate superior tarsal (Müller) muscle, and an aponeurosis that has involutional changes such as a dehiscence or disinsertion. Local anesthesia is advised. The incision is made 7 mm above the lash-line, through the skin and pretarsal muscle only. Blunt dissection upward is used until the preaponeurotic fat pad is uncovered. The upper part of the aponeurosis is picked up under the fat pad and sutured to the lower part of the aponeurosis with 5-0 chromic gut. Fifty-seven eyelids in thirty-four patients have been operated on, with excellent results and minimal trauma.


A modified Fasanella-Servat procedure for ptosis. This procedure was first suggested for "minimal ptosis of 3-4 mm." However, since the amount of ptosis varies widely with the etiological factors, the true indication in any given case is not the amount of ptosis but the amount of levator action. Hence, unless there is at least 10 mm of levator action, this operation is contraindicated. Since the levator (except that part of the aponeurosis that is adherent to the tarsus) is not involved, the procedure has been simplified accordingly.


Vitreous surgery. XII. New instrumentation for vitrectomy. An improved instrument for removing vitreous tissue consists of a replaceable cutting tip and a micromotor that powers the cutting tip. The cutting tip consists of a helical cutter and a metallic tube housing the cutter. An automated power-control unit is also available to control evacuation, infusion, and speed of rotation of the instrument. Several devices for monitoring the outflow of evacuation material and pressure in the eye and in the evacuation line are included. The cutting tip is illuminated by a fiber-optic system, which provides an additional factor of safety. The instrument contains a cleaning mechanism that eliminates the need for disassembling the cutting tip. When an automated control unit is not available, the vitreous nibbler may be used with manual suction, gravity-controlled infusion, and a simplified control unit.


Cytology of bronchial washings: a study of patients with malignant neoplasms of the head and neck. Among 18 patients with locally advanced malignant neoplasms of the head and neck region, bronchial washings failed to reveal tumor cells despite the demonstration of exfoliated tumor cells in washings from the region of the primary tumor in 13 (72 percent) of the patients. Among 17 patients with bronchogenic carcinomas, however, tumor cells were isolated from the bronchial washings in 14 (82 percent). These results indicate that, in patients with malignant neoplasms of the head and neck, tumor cells found in bonchial washings probably are not from  the primary head and neck neoplasms. Thus, cytologic examination of bronchial washings may be validly employed in the differential diagnosis of the pulmonary tumors in patients with malignant neoplasms of the head and neck region.


Critical view on audiometric screening in school. After examination of the factors affecting the validity of audiometric tests in schools, screening programs are seen as having little value as a preventive measure because of their failure to reach their primary purpose, the early discovery of hearing loss and ear disease. The philosophy of screening is challenged and an approach of total prevention proposed that puts much more emphasis on primary prevention measures such as the control of determinants of ear disease and hearing loss in school-children.


Anatomic and radiographic correlates in the middle ear. An experiment was designed to determine the frequency with which the stapes could be visualized radiographically. Ten human temporal bones were radiographically sectioned before and after stapedectomy using three routine views, and with lead-coated stapes replaced in the oval window. Five human temporal bones were radiographically sectioned before and after stapedectomy using the Guillen view, that is, with the tympanic cavity viewed through the orbit, and with the head tilted 15 degrees to the side under investigation. The Guillen view proved to be superior for evaluating the foot-plate and superstructure of the stapes because it placed these structures in a favorable position for contact with the x-ray beam.


Unusual foreign bodies of the temporal bone. Foreign bodies that result from traumatic injury may be the cause of many clinical symptoms. Chronic otitis externa is one of the many clinical symptoms following a traumatic perforation of a foreign body from the oral cavity penetrating the deep tissue of the neck and ultimately lodging in the external ear canal. We discuss two such uncommon cases.


Binaural hearing aids: are they dangerous for children? We report a case in which a child suffered apparently permanent damage to residual hearing due to use of a powerful hearing aid. After review of the literature on damage to residual hearing by powerful hearing aids, we suggest that due caution should be observed in the prescription and monitoring of hearing aid usage for hearing-impaired children. Uncritical advocacy of powerful binaural aids is challenged as a potentially dangerous practice.


Hyoid syndrome.

Hyoid syndrome. A hitherto unreported treatment for one of the manifestations of the hyoid syndrome is excision of the tip of the hyoid greater cornu. A greater "index of suspicion" for the hyoid syndrome is urged.


Infectious mononucleosis, mastoiditis, and facial paralysis. To our knowledge this is the first report of a patient with infectious mononucleosis associated with a mononuclear granulomatous mastoiditis and facial paralysis. Pathologic examination of tissue from this patient, removed at the time of radical mastoidectomy, provides a basis for further speculation about the relationship between facial paralysis and infectious mononucleosis.


Promontory dehiscence: a case report.

Promontory dehiscence: a case report. Dehiscence of the bony promontory without preoperative fistula formation occurred in a patient with a history of chronic otitis media and perforation of the tympanic membrane without cholesteatoma.


Postmaxillectomy rhinorrhea: corrected by transposition of parotid duct opening. Two patients experienced chronic rhinorrhea following maxillary resection for cancer. This annoying symptom had been persistent for 12 and 13 years, respectively. Transposition of the parotid duct orifice on the operated side from a position lying above the maxillary prosthesis to a point below the prosthesis brought relief. Both patients had endured this nuisance for many years thinking it was a normal sequela of their operation. Multiple physicians had failed to identify the problem.


Deafness and renal failure due to potassium bromate poisoning. Several substances are known to have a profound effect on both the kidney and the inner ear. The aminoglycoside antibiotics are toxic to both of these organs. Ethacrinic acid and furosemide affect transport mechanisms in the loop of Henle as well as the inner ear. In addition, studies have suggested antigenic similarities between the stria vascularis of the cochlea and the renal tubules. This report of potassium bromate poisoning and its resultant deafness and renal failure further emphasizes the curious relationship between these two organ systems.


Simultaneous glottic and supraglottic laryngeal webs: report of a case. In a rare case of simultaneous glottic and supraglottic webbing a tantalum keel, as described by McNaught, and a silcone elastomer keel, as described by Montgomery, were placed simultaneously via laryngofissure. Use of different materials appeared to have no bearing on the final, successful outcome.


Congenital cholesteatomata with other anomalies. Congenital (primary) cholesteatomata may arise in the petrous apex, mastoid, middle ear, or external auditory canal. Histological studies of the temporal bones of a 20-year old man with bilateral combined deafness show bilateral congenital cholesteatomata of the middle ears associated with dalivary choristomata and other anomalies of the middle and inner ears.


Atypical fibroxanthoma of ethmoid sinus. A tumor occurring in the ethmoid sinus in a 38-year-old man had the histological characteristic features of an typical fibroxanthoma. It recurred nine years after the initial excision, causing the clinical symptoms of progressive nasal obstruction.


Ultrasound B-scans for clinical evaluation of neoplastic neck nodes. As an attemp to improve the quantitative and qualitative evaluation of neoplastic neck nodes, we are evaluating ultrasound B-scans. Clinical examples are presented to demonstrate how "B-scans" may be used to evaluate lymph node size and response to therapy. Qualitatively, such scans may also be of value as a means of establishing lymph node boundaries and position with respect to other neck structures.


Tumor stain in primary sphenoid sinus carcinoma: as demonstrated by selective internal carotid angiography. Selective internal carotid arteriography was performed on a patient subsequently shown at surgery to have a primary carcinoma of the sphenoid sinus. The arteriogram demonstrated supply to the tumor from numerous hypertrophied branches of the cavernous portion of the internal carotid artery and a dense tumor stain within the sphenoid sinus. This is the first such report found in the literature.


Nevus sebaceous of Jadassohn.

Nevus sebaceous of Jadassohn. The nevus sebaceous of Jadassohn is a little known entity to most otolaryngologists. Most of the reported cases have occurred on the face or scalp. The lesion is usually congenital. It is a hairless, yellowish-red plaque until puberty when it becomes verrucous and unsightly. Benign or malignant tumors frequently develop. Associated ocular and central nervous system defects are occasionally present. The treatment is full-thickness excision as early as is feasible for cosmetic purposes and to avert the potential development of benign or malignant tumors.


Successful catheter embolization of a false aneurysm of the internal maxillary artery. A young man developed severe epistaxis following trauma that resulted in a Le Fort III fracture of the maxilla. Anterior and posterior packs were placed but bleeding recurred, selective catheterization showed the false aneurysm, and autologous clot was used to embolize successfully the bleeding site.


Neuroanatomical basis of cochlear coding mechanisms. The afferent cochlear neurons to outer and inner hair cells differ not only in their relative numbers (95% to inner hair cells and only 5% to outer hair cells) and distribution pattern (great convergence for outer hair cells and divergence for inner hair cells) but also in their degeneration behaviour and metabolism. Some special afferent fibres seem to exist. The afferent neurons present three types of ganglion cells in the spiral ganglion with no morphological evidence for an extensive direct interaction between afferent neurons of the outer and the inner hair cell system at any level in the cochlea and even their efferent nerve supply is essentially separated.


Electrical correlates of mechanical events in the cochlea. In this paper the main emphasis is laid on presenting an up-to-date description of the relationships between stimulus-related cochlear potentials: cochlear microphonic (CM) and summating potential (SP) and the preceding mechanical events. To this end, CM and SP (both DIF and AVE SP) magnitude functions, obtained with the differential electrode technique, are shown from various turns of the guinea pig's cochlea as recorded at a constant stapes displacement. The similarity between these curves and corresponding basilar membrane displacement functions is considered. The influence upon CM recording of the distributed nature of the generators, as well as the presence of strong nonlinear effects is discussed.


The sharpening of cochlear frequency selectivity in the normal and abnormal cochlea. In the normal (anaesthetized) animal cochlea, the frequency threshold curves for single primary fibres are up to an order of magnitude sharper than the analogous function derived from various reported measurements of the basilar membrane amplitude of vibration. This enhanced neural frequency selectivity is found in the same species and under conditions similar to those in which the mechanical measurements are taken. The sharpening process (at least near threshold) appears to be linear and is not dependent upon lateral inhibitory mechanisms. The variability of the neural frequency selectivity and its vulnerability to metabolic, chemical and pathological influences suggests the hypothesis that the sharpening is due to some form of "second filter" subsequent to the relatively broadly tuned basilar membrane. All fibres recorded from in the cochlear nerve in the normal cochlea show this enhanced frequency selectivity; in contrast, in pathological cochleas, all fibres, or a substantial proportion, have high-threshold, broadly tuned characteristics, approximating to those of the basilar membrane. The frequency selectivity of normal cochlear fibres is adequate to account for the analogous psychophysical measures of hearing. It is proposed that loss of this normal frequency selectivity occurs in deafness of cochlear origin, accounting for widening of the critical band. A new hypothesis for recruitment is proposed on this basis.


Phase opposition between inner and outer hair cells and auditory sound analysis. Recordings of single-unit responses in the auditory nerve of normal and kanamycin-treated Mongolian gerbils indicate that inner and outer hair cells of the cochlea interact in phase opposition. After kanamycin treatment, the firing rate in some fibers is increased during the basilar membrane motion toward scala vestibuli, in others, during its motion towards scala tympani. Because of statistical correlation with anatomical changes and characteristic time patterns, the first response polarity is associated with inner hair cells, the second, with outer hair cells. It is shown that normal responses can be reconstructed from the two kinds of responses seen after kanamycin treatment. The phase opposition between inner and outer hair cells, in connection with the expected effect of spiral fibers, provides an explanation for neural sharpening of mechanical filter action in the cochlea.


Reexamination of effects of stimulus rate and number on the middle components of the averaged electroencephalic response. The middle components of the evoked cortical response (8-50 msec) were examined under improved signal processing conditions. 512 click stimuli were presented at 5 rates ranging from 1-16/sec to 10 normal-hearing subjects. The influence of stimulus numbers of 32, 64, 128 and 512 and stimulus rates of 1, 2, 4, 8 and 16/sec was examined. Identifiable and repeatable responses were found with as few as 128 stimuli. Stimulus rate had little effect on middle component waveform or its identifiability. An enhancement of signal-to-noise ratio through improved filter conditions is suggested as one reason for the ability to identify middle components to fewer stimuli.


Improving evoked response audiometry. Results of normative studies for machine scoring. Normative studies were carried out with 8 adult subjects whose averaged evoked responses to auditory stimuli were scored visually and by a number of differently defined quantitative methods (machine scoring). In order to compare different scoring methods a common signal-to-noise ratio measure was introduced based on a model where noise is distributed normally and signal is additive. Visual and machine scoring proved to be approximately equally sensitive, but the latter lends itself to a superior testing procedure which takes only one-third as long for equivalent results and is not contaminated by subjective error. The authors believe that the greatest promise for improving evoked response audiometry lies in the exploration of the new techniques proposed earlier. Progress in proving out one of these techniques, fast periodic stimulation, is reported.


Lesions in chickens with spontaneous or experimental infectious hepato-myelopoietic disease (inclusion body hepatitis) in Germany. A group of 83 two-to-eighteen-week-old chickens with acute infectious hepato-myelopoietic disease (a German form of inclusion-body-hepatitis) were observed to have the following histologic lesions: panmyelophthisis, small foci of liver necrosis, often with intranuclear inclusion bodies in hepatocytes (15 to 20% of chickens), involution-like atrophy of the bursa of Fabricius and thymus, loss of lymphatic tissue in spleen and cecal tonsils, and nonpurulent myocarditis. In 18 survivors 6 to 8 weeks after clinical signs of disease, nonpurulent myocarditis but normal lymphatic organs and bone marrow were present. A group of 75 chickens were infected after hatching with the field isolant "1942." Between the 3rd and 9th weeks postinoculation the same histologic changes-though mostly milder-were demonstrated. This syndrome differs somewhat from the syndrome described as inclusion body hepatitis in America and Europe.


The structure of the sternal bursa of turkeys. The sternal bursa developed as a microscopically recognizable synovial sac in turkeys at about 4 1/2 to 6 weeks of age. In birds 12 weeks old it was difficult to delineate the bursa grossly although microscopically it was a definite structure. After 12 weeks, the walls of the bursa were thick enough that the limits of the sac could be determined grossly. The synovial membrane was in the subcutis, and microscopically was a vascular band of loose to dense connective tissue of variable thickness. Laterally the membrane was folded so that in cross section it appeared as a tonguelike projection of variable length into the cavity. The lining cells centrally were flat fibroblasts while laterally they were cuboidal, particularly over the lateral folds. In older turkeys the cuboidal lining cells were sometimes stratified.


Tissue changes in enlarged sternal bursas of turkeys. Enlarged sternal bursas evident in turkeys beyond 12 weeks of age were examined grossly and microscopically in 169 turkeys 3 to 26 weeks old. Grossly, the enlarged sternal bursas were sacs of varied size and wall thickness containing fluid in amounts from a fraction of a milliliter up to 70 ml. The fluid was usually the consistency of serum but was sometimes viscid, and in infected bursas it would be purulent. Its color varied from amber to red to dark brown depending on the amounts of and the changes in the blood pigments. The synovial membranes were smooth and glistening and of variable thicknesses. Strands or cords of the synovial membrane of variable thickness and number extended from side to side of the sac. Microscopically, the synovial membrane was focally thickened in the small bursas and generally thickened in the larger bursas. The thickening was the result of an increase in the very cellular fibrous tissue and in the number and size of blood vessels. The lining cells were flat fibrocytes one cell thick in the smaller bursas, and round stratified cells in the larger bursas. In infected bursas, mononuclear and heterophilic infiltration occurred. Hemorrhaging occurred quite often, the result of trauma to the highly vascular synovial membrane.


Detection and differentiation of strains of Newcastle Disease Virus by complement fixation. A complement-fixation test to detect Newcastle disease virus with antiserum produced in guinea pigs is described. Methodology is given for serum production and for standardization of the test. The test was used to differentiate 13 strains of Newcastle disease virus. Velogenic strains, including isolants form 1970-71 disease outbreaks in California, Florida, and Texas, were poor complement-fixing antigens, whereas lentogenic strains, including LaSota, Hitchner, and England F, were strong complement-fixing antigens. Mesogenic strains ranged from weak to strong in complement-fixing capabilities. This test can be used to differentiate velogenic field isolants from vaccine strains such as LaSota, Hitchner, and Roakin.


Scanning electron microscopy of the cecal mucosa in Eimeria-tenella-infected and uninfected chickens. Four major types of surface conformation were observed in the ceca of uninoculated control chickens. Spatulate villi were found in the cecal neck region, low ridges in the region where the neck expands, protruding collarlike structures in the mid cecal pouch, and flattened collars in the distal portion. In ceca infected with Eimeria tenella, there was some erosion and sloughing of the mucosal cells. These lesions were slight in the neck region, more severe in the dilated portion, most severe in the midregion, and moderate in the distal area. Oocysts were observed in the mucosal tissue of the cecal pouch.


A growth medium for the production of a bacterin for immunization against infectious coryza. A serum-free modified Casman broth medium was developed to grow Haemophilus gallinarum to titers of 10-8 organisms per ml. Formalin-inactivated bacterins prepared form the broth culture were used to immunize chickens. A single dose of bacterin containing adjuvant protected 6 of 7 chickens against a homologous challenge 4 weeks postvaccination. A second dose given 3 weeks after the first offered no better protection than a single dose.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: III. Dosimeter design, construction, and implantation. To detect the passage of cosmic ray particles through the heads of the pocket mice during the Apollo XVII flight, a "monitor" (dosimeter) composed of plastics was prepared and implanted under the scalp. The monitor was mounted on a platform, the undersurface of which fitted the contour of the skull. Numerous tests were run to assure that the presence of the monitor assembly beneath the scalp would be compatible with the well-being of the mice and that the capacity of the monitor to detect the traversal of cosmic ray particles would be preserved over the several weeks during which it would remain under the scalp.


Acute copper toxicosis in the Canada goose. Acute copper toxicosis resulted in Canada geese, Branta canadensis, following ingestion of copper sulfate at about 600mg/kg from a small man-made pond on a game farm. The lesions were those associated with copper toxicosis in other avian species. The primary pathologic change was necrosis and sloughing of the proventriculus and gizzard. A greenish discoloration of the lungs also occurred.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: I. Project BIOCORE (M212), a biological cosmic ray experiment: procedures, summary, and conclusions. The primary objective of the experiment was to determine whether a specific portion of the high Z-high energy (HZE)* galactic cosmic ray particle spectrum, especially particles with Z greater than or equal to 6, can produce microscopically visible injury of brain and eye tissues. Pocket mice (Perognathus longimembris), obtained from the California desert, were selected as the biological target. Five of these mice were flown on Apollo XVII. Not only the brain and eyes but also many other tissues of these animals were studied for evidence of cosmic ray particle damage. The lack of prior experimental evidence as to the character of the potential injury induced by HZE particles required reliance on the physical characteristics of particle radiation in ascertaining the probable nature of the injruy. These characteristics and the key aspects of the experiment are summarized in this paper. Subsequent articles in this special supplement give details of the biological, engineering, and dosimetric aspects of BIOCORE together with the results.


The effects of cosmic Particle radiation on pocket mice aboard Apollo XVII: V. Preflight studies on tolerance of pocket mice to oxygen and heat. Part I. physiological studies. Tests were carried out on pocket mice to ascertain their tolerance to elevated oxygen pressures alone and to a combination of hyperoxta and heat in excess of that expected during the flight of the mice on Apollo XVII. the mice withstood oxygen partial pressures up to 12 pst at normal room temperature (24 degrees C, 75 degrees F) over a period of 7 days. A few mice previously exposed to increased PO2 died in the course of exposure to an oxygen pressure of 10 pst or 12 psi (517 mm or 620 mm Hg) for 13 d in ambient heat of 32 degrees C (90 degrees F). Supplemental vitamin E and physiological saline loading given prior to exposure had no apparent protective effect. The overall conclusion was that the pocket mice which were to go on Apollo XVII could readily survive the ambient atmosphere to which they would be exposed.


Hemagglutination-inhibition versus serum plate agglutination in detecting Mycoplasma gallisepticum in broiler flocks. Sera from 43,040 broilers in 36 flocks were tested for antibodies to Mycoplasma gallisepticum by serum plate agglutination (SPA) and hemagglutination-inhibition (HI) tests. The importance of testing SPA-negative samples for HI antibodies was demonstrated.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: V. preflight studies on tolerance of pocket mice to oxygen and heat. Part II. effects on lungs. An electron microscope examination was carried out on the lungs of 11 pocket mice (Perognathus longimembris) that breathed oxygen at 10 psi or 12 psi partial pressure over a period of 7 d, at the end of which time they were decompressed to sea-level O2 pressure, either suddenly or in 30, 60, or 90 min. Vesiculation was noted in the endothelium of the alveolarcapillary wall in most of the animals and, occasionally, blebbing. Some mitochrondria were swollen in a few of the animals. Alveolar exudate was, in general, sparse. Compared with the lungs of other rodents, the lungs of pocket mice appeared relatively resistant to the toxic effects of oxygen. This conclusion needs, however, to be tempered by the fact that 5% N2 was used in the tests reported here. Nonetheless, the results suggest that the oxygen pressures anticipated on the flight of Apollo XVII should be well tolerated by the pocket mice.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: V. preflight studies on tolerancee to oxygen and heat. Part III. effects on eyes. A study was made of the eyes of eight pocket mice exposed to oxygen at partial pressures of 8, 10, or 12 psi over a period of 7 d. At the termination of the exposure, the animals were decompressed to sea-level O2 either immediately or over a period of 30, 60, or 90 min. No pathological changes were found in any of the eyes, except in the retina of one of the animals exposed to 12 psi O2. Here, only a single rod photoreceptor was found damaged, an observation not regarded as significant. Hence, an oxygen partial pressure as high as 12 psi in the camister in which pocket mice were expected to fly on Apollo XVII would probably have no deleterious effect on the eyes of the animals.


Evidence of influenza viruses in guinea hens and White Embden geese. Serologic evidence of infection with influenza A viruses is reported in commercially raised guinea fowl and White Embden geese in Minnesota.


The effects of cosmic radiation on pocket mice aboard Apollo XVII: V. preflight studies on tolerance of pocket mice to oxygen and heat. Part IV. observations on the brain. Experiments designed to ascertain the effects of oxgen at 8, 10, and 12 psi partial pressure on the brains of pocket mice (Perognathus longimembris) were carried out at room temperature (24 degrees C, 75 degrees F) and at 32 degrees C (93 degrees F). The animals exposed to 8-12 psi at 32 degrees C had been in earlier KO2 oxygen tests. Five animals exposed either to 10 or 12 psi (517 mm or 620 mm HG) PO2 at 32 degrees C died during the course of the tests, possibly as a consequence of injury sustained by the earlier PO2 testing. Autopsy was not carried out. In the other 36 exposed animals, no pathological changes were observed in the brain. It is thus highly probable that oxygen pressures at the hyperbaric levels to which the pocket mice would be exposed during the Apollo XVII mission would not result in any lesions in the brain.


Candida tropicalis infecting the respiratory tract of turkeys in Israel. A Candida tropicalis epidemic is described that affected the respiratory tract of turkeys receiving antibiotics in their food and drinking water. When the antibiotics were stopped and Io-vine given, the disease was cured.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: VI. launch, flight, and recovery. The final phase to fly five pocket mice in the Apollo XVII command module was carried out at the NASA Kennedy Space Center. Upon completion of the 13-d space flight, the package was removed from the spacecraft and, after having been purged with an oxygen-helium gas mixture, was flown to American Samo. Four of the five mice were recovered alive from the package. Analysis of the mouse that died during the flight revealed several factors that could have contributed to its death, the chief of which was massive hemorrhage in its middle ear cavities.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: VII. Cosmic ray particle dosimetry and trajectory tracing. Five pocket mice (Perognathus longimembris) were flown on Apollo XVII, each with a solid-state (plastic) nuclear track detector implanted beneath its scalp. The subscalp detectors were sensitive to HZE cosmic ray particles with a LET larger than or equal to 0.15 million electron volts per micrometer (MeV/mjm). A critical aspect of the dosimetry of the experiment involved tracing individual particle trajectories through each mouse head from particle tracks registered in the individual subscalp detectors, thereby establishing a one-to-one correspondence between a trajectory location in the tissue and the presence or absence of a lesion. The other major aspect was the identification of each registered particle. An average of 16 particles with Z larger than or equal to 6 and 2.2 particles with Z larger than or equal to 20 were found per detector. The track density, 29 tracks/cm2, when adjusted for detection volume, was in agreement with the photographic emulsion data from an area dosimeter located next to the flight package.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVIII: VII: results of scalp examination. The scalps of the four pocket mice that were recovered alive from the Apollo XVII flight contained acute focal lesions in the epidermis and an inflammatory reaction in the subjacent dermis and subcutaneous tissue. Hair follicles were focally damaged in three of the four mice. There were 13 scalp lesions singled out in the four flight mice because of histological features that distinguished them from changes observed in the scalps of the control mice. There was only one possible coincidence between a lesion and the trajectory of a cosmic ray particle registered in a subscalp dosimeter. There is, however, a possibility that at least some lesions were produced by unregistered particles.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: IX Results of examination of the nasal mucosa. The olfactory epithelium, but not the nasal respiratory epithelium, of the four pocket mice (Perognathus longimembris) that survived their flight on Apollo XVII showed both diffuse alterations and numerous disseminated focal lesions. The olfactory mucosa of the mouse that died during flight was also affected, but to a minor degree insofar as could be determined. All this was in contrast to the normal appearance of the olfactory mucosa of the numerous control animals. A number of possible causes were considered: systemic or regional infection; inhaled particulate material (seed dust); by-products from the KO2 bed in aerosol or particulate form; gas contaminants originating in the flight package; volatile substances from the dead mouse; weightlessness; and cosmic ray particle radiation. Where feasible, studies were conducted in an effort to rule in or rule out some of these potentially causative factors. No definitive conclusions were reached as to the cause of the lesions in the flight mice.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: XI. Results of eye examination. Five pocket mice (Perognathus longimembris) were flown on Apollo XVII, and four survived. All the eyes, except one eye from the dead flight mouse, were examined histologically. In the four surviving mice, a total of five cosmic ray particles which had registered in the subscalp particle detectors had trajectories that intersected the eyes. Four of them (Z equal to 6-9 for three of the particles and Z larger than or equal to 10 for the fourth) most likely went through the head before reaching the particle detector, while the thindown direction of the fifth (Z larger than or equal to 10) was not determinable. The retinas of the flight animals were found free from histological alterations such as might have been expected from encounters with cosmic ray particles.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: X. Results of ear examination. In the five pocket mice flown on Apollo XVII, no evidence was found that the inner ear had been damaged, though poor fixation precluded detailed study. On the other hand, the middle ear cavity was involved in all the mice, hemorrhage having occurrred in response to excursions in pressure within the canister that housed the mice during their flight. The same occurred in flight control mice which had been subjected to pressure excursions of much the same magnitude. A greater degree of exudation into air cells and greater leukotaxis were noted in the flight animals than in the control animals. There was no increase in leukocyte population along the paths of the 23 cosmic ray particles registered in the subscalp dosimeters that traversed the middle ear cavities of the flight mice. The increased exudation and the greater response by leukocytes in the flight mice may have been causally related to the lesions found in their olfactory mucosa but there were no data in support of this possibility.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: XII. Results of examination of the calvarium, brain, and meninges. Tissue reactions were found around the monitor (dosimeter) assemblies that had been implanted beneath the scalp of the five pocket mice that flew on Apollo XVII. Mitosis in the dentate gyrus of the hippocampal formation was considerably reduced in comparison with that in control animals. Otherwise the brain tissue as well as the menings in the flight animals appeared unaltered. Since the animals were exposed primarily to high Z-high energy (HZE) cosmic ray particles at the lower end of the high LET spectrum, the lack of changes in the brain cannot be taken as evidence that the brain will suffer no damage from the heavier HZE particles on prolonged manned missions.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: appendix I. Condition of flight animals on recovery; food intake; observations on hypothalamus, pituitary, and adrenal glands. The rationale for studying certain hypothalamic nuclei and the pituitary and adrenal glands of the pocket mice that flew on Apollo XVII was the need to evaluate the effects of the potentially severe stress on these animals in the foreign environment of flight canister, weightlessness, increased G forces, and other unnatural conditions. Decrease in body weight and variability of food intake were significant among the four flight animals that were recovered alive. The mean nuclear diameter of neurons in the arcuate and ventromedial hypothalamic nuclei did not differ significantly from the values obtained in the control animals. On the other hand, the mean nuclear diameter of neurons in the supraoptic nucleus of the flight mice was significantly greater than in the control groups. Comparisons of the adeno- and neuropypophysis revealed no significant differences among the three groups. Insofar as they were studied, the adrenals were similar in all groups.


The effects of cosmic particle radiation on pocket mice aboard Apollo XVII: appendix II. Evaluation of oral, dental, and skeletal tissues. A sparse neutrophilic leukocytic infiltrate was found in the gingival sulcus, both in the flight and the control animals, while no changes were observed in the palate. Mitoses in gingival and palatal tissues were in approximately equal numbers in all animal groups. The tongues of flight mice and controls contained areas characterized by vascular dilatation, separation of muscle bundles, and regressive and degenerative changes in muscle fibers. Mucous glands in the posterior part of the tongue of flight and control animals exhibited acinar distension. Also examined were the vertebral column; femur, knee joint, tibia and fibula of the right hindlimb; and the tracheal cartilages. No evidence of cosmic ray particle effects was found in any of these tissues.


Choice reaction time to visual motion during prolonged rotary motion in airline pilots. Thirteen airline pilots were studied to determine the effect of preceding rotary accelerations on the choice reaction time to the horizontal acceleration of a vertical line on a cathode-ray tube. On each trial, one of three levels of ratary and visual acceleration was presented with the ratary stimulus preceding the visual by one of seven periods. The two accelerations were always equal and were presented in the same or opposite directions. The reaction time was found to increase with increases in the time the rotary acceleration preceded the visual acceleration, and to decrease with increased levels of visual and rotary acceleration. The reaction time was found to be shorter when the accelerations were in the same direction than when they were in opposite directions. These results suggest that these findings are a special case of general effect that the authors have termed "gyrovisual modulation."


Oxygen-induced inhibition of mouse brain lactate dehydrogenase. The lactate dehydrogenase (LDH) activity of mouse brain homogenates was examined after exposure to hyperbaric oxygen (5763.8 mm Hg Po2) and compared to room air controls (158.8 mm Hg Po2). The effect of reduced glutathione on LDH activity after hyperbaric oxygen exposure was also examined. The activity of LDH after treatment with hyperbaric oxygen was significantly diminished when compared with controls. In the presence of reduced glutathione, homogenates exposed to hyperbaric oxygen demonstrated higher activity than did homogenates incubated without glutathione. It is concluded that oxygen-induced inhibition occurs through the oxidation of essential free sulfhydryl groups and that this oxidation can either be prevented by reduced glutathione or the disulfide bridges may be reduced to free sulfhydryl groups by the glutathione after oxidation.


Cardiovascular changes during and following 1-min exposure to +Gz stress. Magnitude and duration of cardiovascular responses following anesthetized dogs. During lower G forces (+1 to +3GZ), responses were variable. In most dogs during higher G forces (+4 or +5GZ), aortic pressure, cardiac output, left ventricular pressure, and dp/dt were dramatically compromised. These changes were observed whether the onset of the gravitational inertial force was slow (0.1 G/s) or rapid (1.0 G/s). Cardiovascular changes after acceleration were consistent. Left atrial pressure and arterial pressure rose and a transient rise in dp/dt was often observed. Cardiac output rose briefly, then fell; hence, peripheral resistance increased. Magitude and duration of these changes were directly related to G forces during acceleration. Our results confirm that +GZ stress produces major cardiovascular changes. Our experiments also demonstrate that responses following +GZ stress may be dramatic and prolonged. Increased peripheral resistance elevates perfusion pressure and, concurrently, the increased preload may cause acute cardiopulmonary congestion.


Effects of a 2x gravity environment on the ultrastructure of the gerbil parathyroid gland. A number of studies concerning the effects of hypergravity on bone have shown increases in bone mass or bone dimensions. Correlative studies, which could provide clues to the mechanism for such a response, have been lacking. The purpose of the present study was to evaluate the ultrastructure of parathyroid glands of Mongolian gerbils exposed to a continuous 2 X gravity force for 60 d. It was found that the experimental animals had parathyroid glands which had a greater percentage of cheif cells in the active stage of their secretory cycle when compared with control animals. This result was interpreted to indicate an increase in parathyroid gland secretory activity and, hence, and increase in parathyroid hormone release. It was suggested that increased parathyroid secretory activity was necessary to maintain serum calcium levels of hypergravity animals within normal limits. Cellular forms resembling water clear cells and highly compact, degenerating cells were described in experimental animals but not in controls. Areas suggestive of cellular dissolution and disorganization were also reported in experimental parathyroids


Subjective response to very low-frequency vibration. Using intensity matching and magnitude estimation techniques, seated subjects made judgments of the perceived intensity of vertical, short-duration (30-60s), high-amplitude, low-frequency (0.25-4.0 Hz) vibration. Intensity matching (setting comparison frequencies to match the perceived intensity of a standard frequency) produced equal intensity contours that indicated minimum sensitivity in the vicinity of 1 Hz. Frequencies both above and below 1 Hz were judged subjectively equal at progressively lower accelerations. In the magnitude estimation procedure, subjects assigned values of subjective magnitude to various levels of a given frequency in proportion to the subjective magnitude of a standard level at the same frequency. For each of seven frequencies sampled, the data produced straightline functions on log-log plots of subjective magnitude vs. acceleration. Data from both the intensity matching and magnitude estimation experiments were combined to provide a model that allowed the extension of various vibration exposure criteria down to 0.25 Hz-using data at 4 Hz as a basis for extrapolation-even at intensity levels beyond the capabilities of available vibration devices.


Effects of 60 and 80% oxygen on cell division in lung alveoli of squirrel monkeys. The purpose of this study was to determine the effects on cell division of 60 and 80% oxygen in the lung alveoli of squirrel monkeys. To accomplish this, squirrel monkeys were exposed to 60 and 80% oxygen for up to 8 d. Prior to sacrifice, cells preparing to divide were labeled with tritiated thymidine (3H-TdR). Labeled cells were visualized with autoradiographic techinques, counted with the light microscope, and expressed in terms of a labeling index. In the present study, it was shown that DNA synthesis was not changed by exposure to 60%; however, with exposure to 80% oxygen, cell labeling was well above control levels by 5 d. Analysis of the cell types involved showed an increase in labeling. due to an increase in dividing Type 2 cells. Other cells in the alveolar wall also showed an increase in labeling


Water and electrolyte replacement during repeated days of work in the heat. In an attempt to determine the value of replacing sweat losses with and electrolyte solution, 12 subjects (2 women and 10 men) were dehydrated (minus 3% body weight) on 5 successive days. During one 5-d sequence, the subjects replaced fluid losses with a glucose-electrolyte solution, while water was the only fluid ingested during a second 5-d series. With the exception of the drink, daily ionic and caloric intakes were identical for the two 5-d conditions. Measurements of water and electrolyte losses in sweat and urine showed a positive balance in body Na+, K+, and Cl- during both the water (W) and electrolyte solution (ES) treatments. Subjects accumulated significantly more Na+ during the W experiments (392 mEq/5 d) than when the electrolyte solution was ingested (334 mEq/5 d). As a result, the extracellular fluid compartment, represented by plasma volume, increased 12.2 and 9.0% during the 5-d sequence of the W and ES trials, respectively. It was concluded that the addition of electrolytes to drinking water is of minimal value for subjects who dehydrated (-3%) on repeated days and are permitted to ingest food and drink libitum


Comparison of 70 degrees tilt, LBNP, and passive standing as measrues of orthostatic tolerance. The present study was performed to assess the reliability of lower body negative pressure (LBNP) as a test of orthostatic tolerance. The need for this assessment arose from the prior observation in this laboratory that some subjects show wide day-to-day variation in heart rate responses to LBNP. The extent of these variations was so great as to a raise a serious question as to the value of LBNP as a measure of study-induced alterations (e.g. those produced by bedrest or weightlessness) in orthostatic tolerance. Five healthy volunteers were subjected to a series of tests, consisting of 70 degrees tilt, LBNP, and passive standing. on three occasions preceding and three occasions following a 2 week period of bedrest. Study results show that it is possible to subdivide the volunteers into subgroups which show either great or little day-to-day variability in any of the three tests. All three tests reaveled bedrest-induced alterations in orthostatic tolerande quite adequately. Of the three tests studied, LBNP most frequently resulted in the largest test-induced heart rate alterations, followed by quiet standing and, finally 70 degrees tilt


Selection of artificial gravity by animals during suborbital rocket flights. White rats selected preferred artificial gravity levels by locomotion in centrifuges consisting of two runways mounted in the nose of sounding rockets. Roll rate of the Aerobee 150A rocket was designed to produce an angular velocity of 45 r.p.m. during 5 min of free-fall, providing a gravity range range from 0.3 to 1.5 G depending on a subject's runway position. One animal was released at the high and one at the low gravity position in each flight. Animal positions were continuously recorded. Flight subjects were selected from about 100 trained animals adapted to the simulated launch environment for several months. In two flights excessive rollrates produced gravity ranges above the designed limits. In two other flights the desired range was produced. Locomotion patterns during these flights were similar. All four animals explored the entire available G-range. One rat settled at 0.4 G after 2 min; the others crossed the 1-G location in progressively narrower excursions and were near earth gravity at the end of the test period. Data were more varible than in laboratory tests above 1 G and the observation periods were necessarily few and short. Tentatively, however, the data suggest that normal earth-reared rats select earth gravity when available magnitudes include values above and below 1 B. Modification of gravity preference by prolonged exposure to higher or lower levels remains a possibility.


Biothermal simulation of scuba divers.

Biothermal simulation of scuba divers. A biothermal model of the immersed man is presented and validated. Comparisons are made between analytic and experimental values of temperature-vs-time profiles for neck-immersed seminude and wet-suited subjects. An engineering example is presented to demonstrate how the model may be used to evaluate proposed life-support system designs.


Motion effects on the human operator in a roll axis tracking task. To better understand the effects of motion on tracking performance, a simulator, capable of being controlled in a static as well as motion mode, was developed. Using this simulator, 12 volunteers, separated into groups of four, attempted to track a wing angle target displayy. The target was driven with band-limited (0.5 rad/s) Gaussian noise so that a roll angle of 120 degrees was equivalent to 1 S.D. Different control dynamics (plants) were used for each group of volunteers. For manual control of plants of the form2, the experimental results indicate that large amplitude roll motion information reduces task learning time and cuases a significant improvement in tracking performance. For control of simpler plants, of the form K/S, no improvement due to the presence of the motion environment was observed.


Acute mountain sickness: increased severity in eucapnic hypoxia. This study examined the hypothesis that prevention of hypocapnia and alkalosis would ameliorate the symptoms of acute mountain sickness (AMS). Five subjects were exposed to simulated high altitude for 4 d with 3.8% CO2 added to the chamber to maintain normocapnia. Four other subjects were exposed for 4 d to hypobaric hypoxia without CO2 supplementation, and became hypocapnic. Barometric pressure was lower in the group with added CO2 so that alveolar oxygen tensions  (55-60 mm Hg) would not be different. The severity of symptoms was clearly greater in normocapnic than in hypocapnic subjects. Thus, prevention of hypocapnia did not alleviate AMS symptoms. The efficacy of CO2 addition in reducing symptoms, as reported by earlier workers, was probably the result of induced hyperventilation and partial relief of hypoxia. Indeed, in the present study with two comparably hypoxic groups, CO2 addition augmented the sysptoms, possibly by causing increased cerebral vasodiladation and spinal fluid pressure.


Anemia and airline flight duties.

Anemia and airline flight duties. This investigation developed and provides guidelines for the determination and medical release of flight crew members for duty with hemoglobin values less than normal. This dilemma occurs commonly to the flight surgeon following blood donation, resolved hemorrhagic disorders, chronic idiopathic blood disorders, and pregnancy. Minimum safe values were computed and tabulated for otherwise healthy individuals at rest and exercise at the routine extremes of the flight environment of present pressurized jet airliners from known physiological parameters. These values were then correlated with the records of 62 pilots and stewardesses with subnormal hemoglobin values to assure the opertional predictive validity.


Assessment of seasickness and its consequences by a method of peer evaluation. A Seasickness Questionnaire, based on a peer-rating technique, was administered to 172 Israeli Navy sailors. Use of interrater agreement as a reliability index and two cutoff points for the partition of the sample resulted in the elimination of about one-third of the initial sampl and the formation of two subsamples-the "sick" (N equals 45) and "not sick" (N equals 73) sailors. By using differentially weighted scores for various intensities of seasickness, it was demonstrated that two normally confounded aspects of seasickness can be assessed independently: physical symptoms, which constitute the apparent severity of the sickness (A.S.S.), and level of actual performance (A.P.), which reflects the individual's attempts to cope with the sickness. A.S.S. and A.P. showed differential relationships with variables such as personality disposition of active coping, military rank, and sociometric status.


A case report of spontaneous pneumothorax during flight. Although spontaneous pneumothorax can usually be considered lightly when it occurs at ground level, its occurrence in aviation may result in the abort of a mission, a serious accident, or a major disaster. A case of spontaneous pneumothorax during chamber altitude and aerial flight is presented. A better understanding of the etiologies, precipitating causes, complications, likelihood of recurrence, and treatment may lead to the prevention of accidents. Diagnostic technics, operative procedures, and evaluation studies are discussed from the point of view of continuing a flying career.


Spinal injury after ejection in jet pilots: mechanism, diagnosis, followup, and prevention. In order to contribute to the study of spinal injury after ejection., the author analyzed the results of 100 cases of ejections carried out by military and civil Italian jet pilots in a period of 20 years. Of this group, 47 successfully ejected from aircraft without injury; 11 ejections proved fatal. The remaining 42 pilots sutained vertebral fractures, while 27 sustained other traumatic injuries different from spinal fractures. There were 23 vertebral fractures in 15 pilots and the most frequently affected vertebrae were those of the thoraco-lumbar junction. Analysis was make of the pathology, the clinical and radiological profiles, the therapeutic treatment, and the relative aeromedico-legal aspects concerning the temporary unfitness for flying or permanent grounding of the personnel as well as the possible prevention of spinal injury after ejection


Some lesser-known advantages of the metric system for acceleration research. The metric system offers, due to its simplicity and uniformity, substantial advantages for the entire scientific community. To encourage those who may feel the the road to metrication is paved with agonizing frustrations, the author points out some lesser-known advantased of the metric system pertaining to acceleration research.


Vocational interests of air traffic control personnel. The interest patterns of air traffic controllers were surveyed for the purposes of a) determining the interests of journeyman controllers, b) determining the relationships of controller interests to those of other occupational groups, c) devising an interest scale for air traffic work, and d) developing a measure for guidance for selection of air traffic specialtites (Terminal, En Route, Flight Service). A total of 787 male controllers from Terminal, En Route, and FSS facilities completed the Strong Vocational Interest Blank, a measure of interest patterns. It was found that none of the existing occupational scales clearly reflected the interest patterns of controllers. An air traffic controller scale was devised which distinguished the air traffic controllers from men in general and from men in other occupations. There were no substantial differences between the interest patterns for the three options; however, it was found that dissatisfied controllers scored lower on the overall air traffic controller scale than did satisfied controllers.


Arterial and tissue gas tensions in rats during development of pulmonary oxygen poisoning. Oxygen and carbon dioxide tensions of arterial blood and subcutaneous tissue were studied in rats during 84 h of continuous exposure to oxygen. O2 and CO2 tensions in the subcutaneous tissue were measured by means of an implanted Silastic tonometer. As pulmonary edema developed after 48 h of exposure to oxygen, Pao2 started to decline and PaCO2 rose. Tissue Po2 decreased below the normal level already after 24 h of exposure, probably due to O2-induced vasoconstriction. After 84 h of oxygen exposure, the mean tissue Po2 was 29 mm Hg. In general, a distinctly hypoxic tissue microclimate was not observed. After 48 h of exposure to oxygen, the tissue PCO2 exceeded the control level. An 84-h exposure resulted in a profound retention of CO2, both in peripheral tissues and arterial blood. It is concluded that, in contrast to earlier suggestions, hypercapnia rather than hypoxia is the final factor leading to death in oxygen toxicity.


Physiologic effects of seatback angles 45degrees (from the vertical) relative to G. Eight experimental subjects from the USAF Sschool of Aerospace Medicine (SAM) and four YF-16/17 test pilots were exposed to a simulated aerial combat maneuver (SACM) which included a maximum G exposure of 6 s at 8 G. The following physiologic parameters were examined relative to seatback angles of 23degrees, 28degrees, and 40degrees; heart rate and rhythm; arterial oxygen saturation; performance; intrathoracic (esophageal) pressure; arterial pressure; and subject comfort, effort, and fatigue. Relaxed and straining high sustained G (HSG) tolerances (6 G for 60 s) were also determined using only SAM subjects. The advantages of the 40 degree setback angle during the SACM included increased subject comfort, less fatigue and effort, greater pilot acceptance and a statisically significant reduction in the increased mean heart rate associated with G exposure. On the other hand, a statistically significant reduction in arterial oxygen saturation was obtained during the SACM at 40 degrees compared with the 23 degree back angle. An increase in relaxed G tolerance was found with the 40degree seatback angle--statistically significant only compared with the 28 degree seatback angle.


Effects of prolonged weightlessness on the swimming pattern of fish aboard Skylab 3. Two fingerling fish and 50 embryonated eggs of (Fundulus heteroclitus) were flown aboard Skylab 3 in a plastic bag aquarium. Videographic picutres were taken with the on-board color-TV camera on flight Days 3 and 22 and video tapes were made for later evaluation on the ground. When observed first after 3 d in orbital weightlessness, both fish swam in tight circles for a considerable fraction of the observed time resembling the "looping behavior" as observed in previous studies with goldfish in parabolic aircraft flight. The frequency of looping diminished slowly after the third day until normal swimming  was prevalent. At flight Day 22, both fish swam normally with their backs turned toward the light source. Looping episodes could still be provoked at this time by gentle shaking of the bag aquarium. Of the fish eggs carried aboard, 96% hatched during the mission. The hatch fry displayed normal swimming behavior.


Changes in exercise heart rate in lowlanders after prolonged stay at high altitude (4000 m). Studies were conducted on cardiac frequency during submaximal and maximal work on 26 sea-level residents prior to transfer to and during stay at high altitude for 1, 10, and 20 months. Maximal O2 uptake and performance in a 1.6 km run were observed. Results indicated a significant drop in Vo2 after arrival at altitude followed by recovery with further stay. The mean maximum heart rate decreased to 182.8 beats/min after 1 month at high altitude from a seal-level mean value of 188.4 beats/min. It increased to 199.2 beats/min and decreased to 185.6 beats/min after 10 and 20 months, respectively. Heart rate, during submaximal work requiring 1.0 and 1.5 102/min, indicated the highest rate after 1 month at altitude and decreased with prolonged stay, but remained higher than the sea-level value. These changes were compared with the high-altitude native residents.


Prevention of decompression sickness during a simulated space docking mission. This study has shown that repetitive exchanges between the American Apollo space vehicle atmosphere of 100% oxygen at 5 psia (258 torr) and the Russian Soyuz spacecraft atmosphere of 30% oxygen-70% nitrogen at 10 psia (523 torr), as simulated in altitude chambers, will not likely result in any form of decompression sickness. This conclusion is based upon the absence of any form of bends in seven crewmen who participated in 11 tests distributed over three 24-h periods. During each period, three transfers from the 5 to the 10 psia environments were performed by simulating passage through a docking module which served as an airlock where astronauts and cosmonauts first adapted to each other's cabin gases and pressures before transfer. Biochemical tests, subjective fatigue scores, and the complete absence of any form of pain were also indicative that decompression sickness should not be expected if this spacecraft transfer schedule is followed.


Use of the ERG and EOG in evaluating the effect of sleep deprivation on visual function in flying personnel. The electroretinogram (ERG) and electrooculogram (EOG) are electrophysiological tests employed in ophthalmology to diagnose degeneration or injury to the outer half of the retina, including the rods and cones of the visual system. This pilot study  was undertaken to determine if sleep deprivation of more than 24 h in rated flying personnel may show an abnormality in retinal function as measured by the ERG and/or EOG. This may give insight to the visual function in flying personnel on deployment or other long missions where uninterrupted sleep may be a problem. The results of this study showed that some subjects deprived of sleep exhibited a statistically significant variance in their EOG ratios as compared to a nondeprived control group. No significant changes in ERG were detected. Principles and theory of electrophysiological testing in ophthalmology are presented.


Amplitude/frequency differences in single-lead ECG of normal versus coronary heart diseased males. A resting "normal" ECG can coexist with known coronary heart disease (CHD). Combined sensitivity and specificity errors of at least 10% in exercise ECGs are not unusual. Improved screening for CHD was attempted using amplitude/frequency analysis of ECG recordings. Thirty normal males and 30 with documented CHD were selected. The ECGs were recorded on electromagnetic tape during supine rest. Analysis provided digital conversion, selection of four ECG segments, time-normalization and amplitude/frequency analysis. Analyses provided one digital, plot per each segment and one per each 30-subject average. The results from one ECG lead are presented. Significant differences (p less than or equal to 0.05) appeared in the comparisons between the normal and CHD groups. Retrospectively, amplitude criteria individually screened normal from CHD males to an improved degree compared with exercise ECGs.


Medical flying fitness--a routine affair--but who examines and assesses psychic health. The regular physiological check-up of pilots pretends to be a thorough diagnosis and yet the psychological aspects are ignored almost completely sometimes. As an excuse for this procedure, it is stated that in his psychological aptitude test prior to flying training, the pilot had already been classified as suitable and fit. It is hoped that this paper will show that the flying fitness examination procedure presently oriented towards the physical status of the individual is by no means sufficient to determine the actual degree of flying fitness.


Probability of casualties in an airport disaster. World airline accident statistics for the period 1960 to 1970 indicate the number of seriously, but nonfatally injured is unlikely to exceed 25% of the occupant capacity of the largest aircraft using an airport. In only 1 accident out of 20 will this number be an underestimate. This estimate may be of value in medical planning for an airport disaster and in the assessment of loads on hospitals.


Experimental hyperthyroidism III: Contractile responses to propranolol of the intact heart and of the isolated ventricular myocardium. The effect of propranolol on cardiac mechanics and haemodynamics was examined on isolated papillary muscle as well as in situ in the closed thorax in euthyroid and hyperthyroid cats. Under propranolol there occurred on isolated papillary muscle significant decreases of muscle contraction, contraction velocity, isometric tension rise velocity and load and velocity values of simultaneously determined force-velocity relations. The 50% decrease of the values found was demonstrable at ca. 5--8 mu/ml for euthyroidal muscles, at 0.3--0.5 mug/ml for hyperthyroidal muscles. Contractility indices determined in situ (dp/dtmax, VCEmax, extrapolated Vmax) showed in hyperthyroidism at equal propranolol concentration a decrease about twice as great as in euthyroidism. The findings, showing a raised responsiveness of the ventricular myocardium in experimental hyperthyroidism to the negative inotropic effect of propranolol are discussed with regard to the therapeutic use of propranolol in hyperthyroidism.


Experimental hyperthyroidism IV. Myocardial muscle mechanics and oxygen consumption in euand hyperthyroidism. Myocardial mechanics and oxygen consumption were studied in right ventricular papillary muscles taken from cats pretreated with cristalline L-thyroxine (1 mg/kg/day, i.p.) 8-18 days prior to the examination. Isotonic afterloaded and isometric contractions were employed. Oxygen consumption was determined polarographically. Data obtained were compared with control studies on papillary muscles taken from euthyroid cats. In isotonic afterloaded contractions the extent of shortening was nearly identical in both groups. However, maximum rate of isometric tension development and velocity of isotonic shortening were considerably increased in hyperthyroid myocardium. Myocardial oxygen consumption was significantly increased in hyperthyroidism, primarily due to an increased maximum rate of isometric tension development and-to a lesser extent-to increased isotonic contraction velocity. In isometric contractions maximum tension development (preload near Lmax) was similar in both groups. However, maximum rate of isometric tension development was markedly increased in hyperthyroidism. A close and linear relationship was found between maximum rate of isometric tension development (isometric contraction) and myocardial oxygen consumption. The results demonstrate increases of velocity factors of myocardial performance in experimental hyperthyroidism. Myocardial oxygen consumption is significantly increased. This increase in oxygen consumption quantitatively has its mechanical equivalent in increased isometric contraction velocity and, to a small amount, in increased isotonic contraction velocity.