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PubMedDate not supplied

Physiology, medicine, long-duration space flight and the NSBRI.

The hazards of long-duration space flight are real and unacceptable. In order for humans to participate effectively in long-duration orbital missions or continue the exploration of space, we must first secure the health of the astronaut and the success of such missions by assessing in detail the biomedical risks of space flight and developing countermeasures to these hazards. Acquiring the understanding necessary for building a sound foundation for countermeasure development requires an integrated approach to research in physiology and medicine and a level of cooperative action uncommon in the biomedical sciences. The research program of the National Space Biomedical Research Institute (NSBRI) was designed to accomplish just such an integrated research goal, ameliorating or eliminating the biomedical risks of long-duration space flight and enabling safe and productive exploration of space. The fruits of these labors are not limited to the space program. We can also use the gained understanding of the effects and mechanisms of the physiological changes engendered in space and the applied preventive and rehabilitative methods developed to combat these changes to the benefit of those on Earth who are facing similar physiological and psychological difficulties. This paper will discuss the innovative approach the NSBRI has taken to integrated research management and will present some of the successes of this approach.

Academies and Institutes↗
PubMed1996

High altitude medicine and physiology in the former Soviet Union.

The countries of the former Soviet Union have a long history of studies in high-altitude medicine and physiology, but much of the information is difficult to obtain in the West because of the inaccessibility of the journals and the lack of familiarity with the language. The purpose of present review is to improve this situation. In the 1880's, Ivan Sechenov (1829-1905), one of the founders of the Russian school of physiology, introduced the notion of the "inner altitude," that is, how the alveolar Po2 changes with barometric pressure. Later in the 19th century, Russian army physicians made extensive studies of the fitness of soldiers at high altitude and of procedures for improving acclimatization. With the birth of Soviet mountaineering in 1923, a large series of expeditions went to high altitude, first in the Alps, and later in the Caucasus. Nikolay N. Sirotinin (1896-1977) led 9 pre-war research expeditions to Mt. Elbrus and other areas, and, because he thought the alkalosis was partly responsible for mountain sickness, he introduced acid mixtures to be taken orally. Zoia I. Barbashova (1910-1980) made extensive studies of tissue adaptation, especially enzyme activities, in animals exposed to hypoxia. More recently Oleg G. Gazenko (1918-) and his colleagues have carried out extensive studies associated with aviation medicine and the selection of cosmonauts for the Soviet space program. Among many topics, one is the study of how adaptation to one type of physiologic stress (e.g., hypoxia) can improve tolerance to another stress (e.g., acceleration).

Altitude↗
PubMed1991

Biomedical applications of NASA technology.

Through the active transfer of technology, the Technology Utilization (TU) Program of the National Aeronautics and Space Administration (NASA) assists private companies, associations, and government agencies in using NASA's technological resources effectively to improve U.S. economic competitiveness and to provide societal benefit. This article discusses several examples of how aerospace technology has been adapted to solve health care problems.

Aerospace Medicine↗
PubMed2005

Cardiac health for astronauts: current selection standards and their limitations.

INTRODUCTION: The screening tests for coronary artery disease (CAD) for applicants and the active astronaut corps are similar to those performed in the 1960s. Due to the limited treatment and return capabilities of most space vehicles, an in-flight cardiac event would result in mission failure. Improved CAD screening of astronauts is, therefore, paramount to long-duration mission success. METHODS: Literature review was performed to compare active and retired astronaut populations to other asymptomatic low-risk cohorts. All populations were examined to determine the incidence and prevalence of CAD. Framingham risk scores were calculated in NASA's active and retired astronaut corps and compared with age- and gender-matched controls. RESULTS: The current standards used for astronaut selection have been successful in creating a cohort that has less risk than their age- and gender-matched counterparts from the general population. However, the existing astronaut cardiovascular screening and selection tests do not adequately rule out CAD for long-duration missions, and, therefore, a "significant" risk of cardiac event remains, especially as we look toward Exploration Class missions. CONCLUSIONS: The current astronaut selection and retention standards may not adequately prevent cardiac events from occurring with the longer duration flights. Future research should be directed toward increasing the primary and secondary prevention of CAD in the astronaut cohort. In the meantime, the space program should evaluate the use of more aggressive terrestrial screening tools. It is important not to remove all older, experienced pilots from spaceflight crews unless overt or predictable pathology has been clearly identified.

Acute Disease↗
PubMed1990

Life sciences issues affecting space exploration.

The U.S. space program is undertaking a serious examination of new initiatives in human space exploration involving permanent colonies on the Moon and an outpost on Mars. Life scientists have major responsibilities to the crew, to assure their health, productivity, and safety throughout the mission and the postflight rehabilitation period; to the mission, to provide a productive working environment; and to the scientific community, to advance knowledge and understanding of human adaptation to the space environment. Critical areas essential to the support of human exploration include protection from the radiation hazards of the space environment, reduced gravity countermeasures, artificial gravity, medical care, life support systems, and behavior, performance, and human factors in an extraterrestrial environment. Developing solutions to these concerns is at the heart of the NASA Life Sciences ground-based and flight research programs. Facilities analogous to planetary outposts are being considered in Antarctica and other remote settings. Closed ecological life support systems will be tested on Earth and Space Station. For short-duration simulations and tests, the Space Shuttle and Spacelab will be used. Space Station Freedom will provide the essential scientific and technological research in areas that require long exposures to reduced gravity conditions. In preparation for Mars missions, research on the Moon will be vital. As the challenges of sustaining humans on space are resolved, advances in fundamental science, medicine and technology will follow.

Adaptation, Physiological↗
PubMedDate not supplied

Medical and surgical applications of space biosensor technology.

Researchers in space life sciences are rapidly approaching a technology impasse. Many of the critical questions on the impact of spaceflight on living systems simply cannot be answered with the limited available technologies. Research subjects, particularly small animal models like the rat, must be allowed to function relatively untended and unrestrained for long periods to fully reflect the impact of microgravity and spaceflight on their behavior and physiology. These requirements preclude the use of present hard-wired instrumentation techniques and limited data acquisition systems. Implantable sensors and miniaturized biotelemetry are the only means of capturing the fundamental and critical data. This same biosensor and biotelemetry technology has direct application to Earth-based medicine and surgery. Continuous, on-line data acquisition and improved measurement capabilities combined with the ease and flexibility offered by automated, wireless, and portable instruments and data systems, should provide a boon to the health care industry. Playing a key role in this technology revolution is the Sensors 2000! (S2K!) Program at NASA Ames Research Center. S2K!, in collaboration with space life sciences researchers and managers, provides an integrated capability for sensor technology development and applications, including advanced biosensor technology development, spaceflight hardware development, and technology transfer and commercialization. S2K! is presently collaborating on several spaceflight projects with dual-use medical applications. One prime example is a collaboration with the Fetal Treatment Center (FTC) at the University of California at San Francisco. The goal is to develop and apply implantable chemical sensor and biotelemetry technology to continuously monitor fetal patients during extra-uterine surgery, replacement into the womb, through birth and beyond. Once validated for ground use, the method will be transitioned to spaceflight applications to remotely monitor key biochemical parameters in flight animals. Successful application of NASA implantable biosensor and biotelemetry technologies should accelerate the advancement of this and other modern medical procedures while furthering the exploration of life in space.

Aerospace Medicine↗
PubMed1991

Man in space: the use of animal models.

Animals have traditionally preceded man into space. During animal and human travels in space over the past almost 30 years, numerous anatomical, physiological, and biochemical changes have been observed. In order to safely qualify humans for extended duration space missions, scientific research needs to be performed. It may be possible to achieve many of these research goals with flight crews serving as experimental subjects; however, to do this with human subjects alone is impractical. Therefore, the use of animal surrogates as experimental subjects is essential to provide the missing information on the effects of spaceflights, to validate countermeasures, and to test medical treatment techniques which will be necessary for long duration missions. This research to assure human health, safety, and productivity in future extended duration space flights will include flights on NASA's Space Shuttle, unmanned biosatellites, and the Space Station Freedom.

Aerospace Medicine↗
PubMedDate not supplied

Improving science literacy and education through space life sciences.

The National Space Biomedical Research Institute (NSBRI) encourages open involvement by scientists and the public at large in the Institute's activities. Through its Education and Public Outreach Program, the Institute is supporting national efforts to improve Kindergarten through grade twelve (K-12) and undergraduate education and to communicate knowledge generated by space life science research to lay audiences. Three academic institution Baylor College of Medicine, Morehouse School of Medicine and Texas A&M University are designing, producing, field-testing, and disseminating a comprehensive array of programs and products to achieve this goal. The objectives of the NSBRI Education and Public Outreach program are to: promote systemic change in elementary and secondary science education; attract undergraduate students--especially those from underrepresented groups--to careers in space life sciences, engineering and technology-based fields; increase scientific literacy; and to develop public and private sector partnerships that enhance and expand NSBRI efforts to reach students and families.

Aerospace Medicine↗
PubMed1989

Energy and thermal regulation during bed rest and spaceflight.

In planning for long-duration (1- to 2-yr) space missions (microgravity), the availability of oxygen, water, and food is critical for survival. If astronauts would consume approximately 3,100 kcal and 2.2 liters of fluid per day, the requirements for a 2-yr flight would be 2,263,000 kcal and 1,606 liters for each astronaut. These estimates, based on limited microgravity simulation and flight data, include 1 h/day of moderate isotonic exercise. Each 30-min/day reduction in exercise training time would save 110,869 kcal and 91 liters of water per year. One daily 5-h extravehicular sortie at an average work rate of 1.7 l/min would require an additional 529,250 kcal and 1,095 liters of water per year. Results from microgravity simulation (bed rest) experiments suggest that 1) there is uncertainty whether basal metabolism is unchanged, 2) submaximal ergometer exercise oxygen uptake appears to be unchanged or lower, and 3) without vigorous exercise training near peak levels, the peak oxygen uptake is definitely reduced. In addition, the equilibrium level of exercise core temperature is elevated excessively by approximately 0.5 degrees C after bed-rest acclimation. Changes in the efficiency of work or metabolism in any or all of these conditions could affect nutritional requirements for long spaceflights. Further research is necessary to elucidate the metabolic factors that would be changed and the energy cost of intra- and extravehicular activity during prolonged exposure to microgravity.

Adult↗
PubMed1996

Three-dimensional audio versus head-down traffic alert and collision avoidance system displays.

The advantage of a head-up auditory display for situational awareness was evaluated in an experiment designed to measure and compare the acquisition time for capturing visual targets under two conditions: standard head-down Traffic Alert and Collision Avoidance System display and three-dimensional (3-D) audio Traffic Alert and Collision Avoidance System presentation. (The technology used for 3-D audio presentation allows a stereo headphone user to potentially localize a sound at any externalized position in 3-D auditory space). Ten commercial airline crews were tested under full-mission simulation conditions at the NASA-Ames Crew-Vehicle Systems Research Facility Advanced Concepts Flight Simulator. Scenario software generated targets corresponding to aircraft that activated a 3-D aural advisory (the head-up auditory condition) or a standard, visual-audio TCAS advisory (map display with monaural audio alert). Results showed a significant difference in target acquisition time between the two conditions, favoring the 3-D audio Traffic Alert and Collision Avoidance System condition by 500 ms.

Accidents, Aviation↗
PubMed1994

Systems integration in space flight environmental risk management.

This paper reviews the issues that must be addressed to define and integrate technologies, countermeasures, and medical care systems into space systems which will be developed for long duration space flight. This paper considers combined and cumulative effects, the broad range of space environmental health issues, including some examples, and a discussion of a management approach to these risks. While the primary emphasis is on space environmental health issues, other aspects of the space environment are also considered. Allocation of finite resources for optimal risk management is also considered.

Aerospace Medicine↗
PubMed1991

Outcomes of crew resource management training.

Participants' self-reports and measures of attitudes regarding flightdeck management indicate that crew resource management training is favorably received and causes highly significant, positive changes in attitudes regarding crew coordination and personal capabilities. However, a subset of participants reacted negatively to the training and showed boomerangs (negative change) in attitudes. Explorations into the causes of this effect pinpoint personality factors and group dynamics as critical determinants of reactions to training and of the magnitude and direction of attitude change. Implications of these findings for organizations desiring to enhance crew effectiveness are discussed, and areas of needed additional research are described.

Aerospace Medicine↗
PubMed2001

Effects of Command and Control Vehicle (C2V) operational environment on soldier health and performance.

The purpose of this project was to use NASA technology to assist the US Army in the assessment of motion sickness incidences and effects on soldier performance and mood states within the Command and Control Vehicle (C2V). Specific objectives were (1) to determine if there was a significant difference between three internal configurations of the C2V and/or between seats within these vehicles; (2) to determine if there was a significant difference between the park, move, or short-halt field conditions; and (3) to validate a method of converging indicators developed by NASA to assess environmental impact of long duration spaceflight on crewmembers, using a large sample of subjects under ground-based operational conditions.

Adolescent↗
PubMed1993

Autonomic function and plasma catecholamines following stressful sensory stimuli.

This experimentation defined a limited role for epinephrine in the autonomic nervous system function and the nausea that occurred following motion sickness testing. Individual responses to stressful sensory stimuli and nausea, as reflected by rising peripheral levels of epinephrine, were not significantly diminished upon repeated exposure and adaptation to the stressor. However, subjects who demonstrated more robust elevations of epinephrine in response to nausea displayed higher resistances to stressful motion stimuli. Modulation of peripheral catecholaminergic function with dexamethasone, or scopolamine plus amphetamine, suggested that altered autonomic nervous system function and nausea following motion sickness testing were not mediated by peripheral catecholamine receptor stimulation. Marked differences were noted in individual responses to drug and systemic responses of epinephrine and norepinephrine. It is possible that responses in epinephrine to motion sickness testing may predict resistance to stressful motion, and represent a peripheral manifestation of some as yet unknown central event of etiologic relevance.

Adolescent↗
PubMedDate not supplied

Structured methods for identifying and correcting potential human errors in space operations.

Human performance plays a significant role in the development and operation of any complex system, and human errors are significant contributors to degraded performance, incidents, and accidents for technologies as diverse as medical systems, commercial aircraft, offshore oil platforms, nuclear power plants, and space systems. To date, serious accidents attributed to human error have fortunately been rare in space operations. However, as flight rates go up and the duration of space missions increases, the accident rate could increase unless proactive action is taken to identity and correct potential human errors in space operations. The Idaho National Engineering and Environmental Laboratory (INEEL) has developed and applied structured methods of human error analysis to identify potential human errors, assess their effects on system performance, and develop strategies to prevent the errors or mitigate their consequences. These methods are being applied in NASA-sponsored programs to the domain of commercial aviation, focusing on airplane maintenance and air traffic management. The application of human error analysis to space operations could contribute to minimize the risks associated with human error in the design and operation of future space systems.

Accidents, Aviation↗
PubMed1997

Dietary studies in the joint US-Russian space program.

Metabolic experiments in the joint US-Russian space program involve analysis of food records, which include weighed foods, stable-isotope turnover, and biochemical samples collected before, during, and after the flights. This article describes the methods of monitoring dietary intake for this program.

Aerospace Medicine↗
PubMed1994

Influence of gravity on the circadian timing system.

The circadian timing system (CTS) is responsible for daily temporal coordination of physiological and behavioral functions both internally and with the external environment. Experiments in altered gravitational environments have revealed changes in circadian rhythms of species ranging from fungi to primates. The altered gravitational environments examined included both the microgravity environment of spaceflight and hyperdynamic environments produced by centrifugation. Acute exposure to altered gravitational environments changed homeostatic parameters such as body temperature. These changes were time of day dependent. Exposure to gravitational alterations of relatively short duration produced changes in both the homeostatic level and the amplitude of circadian rhythms. Chronic exposure to a non-earth level of gravity resulted in changes in the period of the expressed rhythms as well as in the phase relationships between the rhythms and between the rhythms and the external environment. In addition, alterations in gravity appeared to act as a time cue for the CTS. Altered gravity also affected the sensitivity of the pacemaker to other aspects of the environment (i.e., light) and to shifts of time cues. Taken together, these studies lead to the conclusion that the CTS is indeed sensitive to gravity and its alterations. This finding has implications for both basic biology and space medicine.

Adaptation, Physiological↗
PubMed1985

Training of aerospace medicine physicians.

In the U. S. there are 23 recognized medical specialty boards. One of these is preventive medicine. Within preventive medicine there are three areas: Aerospace Medicine, Occupational Medicine, and Public Health/General Preventive Medicine. The preventive medicine specialties have a common core of required training including biostatistics, epidemiology, health services administration and environmental health. These, plus associated topics are covered during year one of training. Year two of training involves clinical rotations specifically tailored to the eye, ear, heart, lungs and brain, plus flight training to the private pilot level, and a Masters Degree research project for the required thesis. During year three the physicians in aerospace medicine practice full-time aerospace medicine in a NASA or other government laboratory or a private facility. To date, more than 40 physicians have received aerospace medicine training through the Wright State University School of Medicine program. Among these are physicians from Japan, Australia, Taiwan, Canada and Mexico. In addition to the civilian program at Wright State University, there are programs conducted by the U. S. Air Force and Navy. The Wright State program has been privileged to have officers from the U. S. Army, Navy and Air Force. A substantial supporter of the Wright State program is the National Aeronautics and Space Administration and a strong space component is contained in the program.

Aerospace Medicine↗