Biomedical subjects

Romuald Mikuliszyn

Publications and source records attributed to Romuald Mikuliszyn.

3 recordsLinked to original sources

PubMed2006

Carotid sinus pressure changes during push-pull maneuvers.

INTRODUCTION: The push-pull maneuver (PPM) is defined as a reduction in G-tolerance when positive acceleration (+Gz) immediately follows negative acceleration (-Gz) exposure, with the carotid baroreceptors presumably playing a dominant role in the ensuing BP (SBP) responses. The objective of this study was to determine whether application of neck pressure (NP) during the preceding -Gz phase maintains +Gz tolerance during subsequent +Gz. METHODS: There were 10 experienced men who were exposed to 3 centrifuge run types using a multi-axis centrifuge: a relaxed control run from +1.4 baseline to visual tolerance; a relaxed control PPM run (PPM-C) consisting of 5 s of -1 Gz followed by 15 s of +Gz to visual tolerance; and an experimental PPM run performed with pressurized neck (PPM-NP) consisting of -1 Gz for 5 s followed by 15 s of +Gz at the previous PPM-C G-tolerance level. RESULTS: Relaxed control G tolerance (3.6 _ 0.26 Gz) was greater vs. the PPM-C (3.0 +/- 0.21 Gz) and PPM-NP (3.1 +/- 0.20 Gz) conditions, but the two PPM conditions did not differ significantly. During -Gz, mean R-R interval for PPM-NP was significantly shorter than in the PPM-C from second 1 to second 3. During the +Gz phase, however, R-R interval responses between PPM-C and PPM-NP differed only at seconds 8 and 9. There were no differences in carotid sinus SBP between PPM-C and PPM-NP during -Gr. During +Gz, carotid sinus SBP was significantly depressed in PPM-NP and PPM-C conditions vs. Control. DISCUSSION: Application of NP during the -Gz phase, despite altering R-R interval, did not ameliorate SBP responses or reductions in G tolerance during subsequent +Gz exposure. Despite neck compression counteracting increased carotid hydrostatic pressure during -Gz, the carotid baroreceptor response is likely opposed by the aortic or other baroreceptors.

Adolescent↗

PubMed2005

Centrifuge training program with "push-pull" elements.

INTRODUCTION: Pilots of fighter aircraft are often exposed to maneuvers that produce negative acceleration (-Gz) immediately followed by positive acceleration (+Gz). This sequence has been found to reduce tolerance to +Gz, a phenomenon known as the "push-pull" effect. We devised a centrifuge training program to demonstrate this phenomenon to pilots. METHODS: The centrifuge of the Military Institute of Aviation Medicine in Warsaw, Poland, was modified in 1996 to allow active positioning of the gondola during rotation. Head-down position of -6 degrees to -40 degrees were used to produce relative -Gz (r-Gz) in a range down to 0.2. As a side effect, this produces Gy acceleration between -1.3 Gy and -1.6 Gy. Pilots completed normal centrifuge training, including a relaxed, gradual-onset run and three rapid-onset runs. They were then exposed to a profile that included a series of push-pull exposures where r-Gz was followed by +Gz with stepwise increases in the latter from +2.5 to +5 Gz. The final profile was a simulated aerial combat maneuver with push-pull elements. RESULTS: The trainees expressed surprise at the push-pull effect, which forced them to begin an anti-G straining maneuver at lower levels than normal. They complained about the presence of the Gy, which rarely occurs in aircraft. DISCUSSION: This type of profile appears useful for training pilots about the push-pull phenomenon. After collection of additional data, the profiles may be refined.

Aerospace Medicine↗

PubMed2002

Impact of the lay-off length on +Gz tolerance.

UNLABELLED: There are many factors affecting pilots' +Gz-tolerance. Recently, attention of the aviation community has been focused on lay-off and it's impact on +Gz-tolerance. Pilots of the Polish Air Force (PAF) have dealt with that problem for several years now. The aim of the study was to provide insight on how lay-off periods with different duration impact +Gz-tolerance. METHODS: 95 male jet pilots from the PAF participated in the study. Every one had at least two weeks lay-off period (non-medical reasons). Subjects were divided into four groups according to the length of lay-off period (2-4 weeks; 5-13 weeks; 14-26 weeks; 27-154 weeks), All pilots were subjected to a centrifuge exposure in GOR (0.1 G/s) or ROR (1.0 G/s) profiles, depending on the pre-lay-off exposure. Post-lay-off exposures were carried out directly after lay-off. 18 jet pilots without any lay-off constituted the control group. RESULTS: The difference between pre- and post-lay-off G-tolerance limit (-0,93 +/- 0,53) was statistically significant (p<0.01) only for one group, where lay-off period ranged between two and four weeks. No statistically significant differences were found where influence of other factors like total and yearly flight hours, heart rate gain (AHR) or physical activity measured as maximal oxygen intake were considered. CONCLUSIONS: 2-4 weeks of lay-off period decreases +Gz tolerance is statistically significant manner. Subsequent increase of lay-off period does not result in mean tolerance changes for group, however in certain individuals critical decrement of +Gz tolerance occurs. Total and last year flying hours, physical fitness does not modify impact of lay-off period on +Gz tolerance.

Journal Article↗