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Jones, Jeff

Publications and source records attributed to Jones, Jeff.

Antiresorptive Treatment for Spaceflight Induced Bone Atrophy - Preliminary Results

Detailed measurements from the Mir and ISS long duration missions have documented losses in bone mineral density (BMD) from critical skeletal sub-regions. The most important BMD losses are from the femoral hip, averaging about -1.6%/mo integral to -2.3%/mo trabecular. Importantly these studies have documented the wide range in individual BMD loss from -0.5 to -5%/mo. Associated elevated urinary Ca increases the risk of renal stone formation during flight, a serious impact to mission success. To date, countermeasures have not been satisfactory. The purpose of this study is to determine if the combined effect of anti-resorptive drugs plus the standard in-flight exercise regimen will have a measurable effect on preventing space flight induced bone loss (mass and strength) and reducing renal stone risk. To date, 4 crewmembers have completed the flight portion of the protocol in which crewmembers take a 70-mg alendronate tablet once a week before and during flight, starting 17 days before launch. Compared to previous ISS crewmembers (n=14) not taking alendronate, DXA measurements of the spine, femur neck and total hip were significantly improved from -0.8 +/- 0.5%/mo to 1.0 +/- 1.1%/mo, -1.1 +/- 0.5%/mo to -0.2 +/- 0.3%/mo, -1.1 +/- 0.5%/mo to 0.04 +/- 0.3%/mo respectively. QCT-determined trabecular BMD of the femur neck, trochanter and total hip were significantly improved from -2.7 +/- 1.9%/mo to -0.2 +/- 0.8%/mo, -2.2 +/- 0.9%/mo to -0.3 +/- 1.9%/mo and -2.3 +/- 1.0%/mo to -0.2 +/- 1.8%/mo respectively. Significance was calculated from a one-tailed t test. Resorption markers were unchanged, in contrast to measurements from previous ISS crewmembers that showed typical increases of 50-100% above baseline. Urinary Ca showed no increase compared to baseline levels, also distinct from the elevated levels of 50% or greater in previous crews. While these results are encouraging, the current n (4) is small, and the large SDs indicate that, while the means are improved, there is still high variability in individual response. Three additional crewmembers have been recruited to participate in this experiment, with expected completion in late 2011.

LeBlanc, Adrian↗

Preliminary Results of Bisphosphonate ISS Flight Experiment

Bone loss has been recognized as a potential problem from the beginning of human spaceflight. With the spaceflight missions lasting 6 months to potentially 3 years or longer this issue has assumed increased significance. Detailed measurements from the Mir and ISS long duration missions have documented losses in bone mineral density (BMD) from the total skeleton and critical sub-regions. The most important losses are from the femoral hip averaging about -1.6%/mo integral to -2.3%/mo trabecular BMD. Importantly these studies have documented the wide range in individual response from -0.5 to -5%/mo in BMD. Given the small size of any expedition crew, the wide range of responses has to be considered in the implementation of any countermeasure. Assuming that it is unlikely that the susceptibility for bone loss in any given crewmember will be known, a suite of bone loss countermeasures will likely be needed to insure protection of all crewmembers. The hypothesis for this experiment is that the combined effect of anti-resorptive drugs plus the standard in-flight exercise regimen will have a measurable effect on preventing space flight induced bone loss and strength and will reduce renal stone risk. To date, 4 crewmembers have completed the flight portion of the protocol in which crewmembers take a 70-mg alendronate tablet once a week before and during flight, starting 17 days before launch. Compared to previous ISS crewmembers (n=14) not taking alendronate, DXA measurements of the total hip BMD were significantly changed from -1.1 0.5%/mo to 0.04 0.3%/mo (p<0.01); QCT-determined trabecular BMD of the total hip was significantly changed from -2.3 1.0%/mo to -0.3 1.6%/mo (p<0.01). Significance was calculated from a one-tailed t test. While these results are encouraging, the current n (4) is small, and the large SDs indicate that while the means are improved there is still high variability in individual response. Four additional crewmembers have been recruited to participate in this experiment, with expected completion of these flights by late 2011.

LeBlanc, Adrian↗

Occupant Protection Project for the Orion Crew Vehicle

This powerpoint presentation describes the occupant protection project for the Orion Crew Vehicle. Background information on the Orion Crew Vehicle along with comparisons of the Space Shuttle, Ares I, Ares V, Saturn V and Soyuz-FG are also described. The contents include: 1) Background and Overview; 2) Crew health and safety overview; 3) Occupant Protection project overview; and 4) Suit Element injury risk.

Gernhardt, Michael L.↗

Space Medicine Issues and Healthcare Systems for Space Exploration Medicine

This viewgraph presentation reviews issues of health care in space. Some of the issues reviewed are: (1) Physiological adaptation to microgravity, partial gravity, (2) Medical events during spaceflight, (3) Space Vehicle and Environmental and Surface Health Risks, (4) Medical Concept of Operations (CONOPS), (4a) Current CONOPS & Medical Hardware for Shuttle (STS) and ISS, (4b) Planned Exploration Medical CONOPS & Hardware needs, (5) Exploration Plans for Lunar Return Mission & Mars, and (6) Developing Medical Support Systems.

Scheuring, Richard A.↗

Mechanisms of Injury and Countermeasures for EVA Associated Upper Extremity Medical Issues: Extended Vent Tube Study

The goal of this study is to determine the role that moisture plays in the injury to the fingers and fingernails during EVA training operations in the Neutral Buoyancy Laboratory. Current Extravehicular Mobility Unit (EMU, with a PLSS) as configured in the NBL was used for all testing and a vent tube was extended down a single arm of the crewmember during the test; vent tube was moved between left and right arm to serve as experimental condition being investigated and the other arm served as control condition.

Jones, Jeff↗

Cyanobacteria for Human Habitation beyond Earth

In light of the President s Moon/Mars initiative, lunar exploration has once again become a priority for NASA. In order to establish permanent bases on the Moon and proceed with human exploration of Mars, two key problems will be addressed: first, the production of O2 and second, the production of methane (CH4). While O2 is required for life support systems (LSS), both liquid O2 and CH4 are needed as an oxidizer and a propellant, respectively for the Lunar Surface Access Module (LSAM) and the Crew Exploration Vehicle (CEV). Unlike previous propulsion systems, the new CEV will use liquid oxygen (LO2) as an oxidizer and liquid methane (LCH4) as a propellant. Existing technology (e.g. hydrogen reduction) for the production of liquid oxygen from lunar regolith is very energy intensive and requires high temperature reactors. We propose an alternative approach using iron-tolerant cyanobacteria. We have found that iron-tolerant cyanobacteria (IT CB) are capable of etching iron-bearing minerals, which may lead to bonds breaking between Fe and O of common lunar mare basalt Fe-oxides including ilmenite, pseudobrookite, ferropseudobrookite, and armalcolite with the subsequent release of both Fe, Ti and oxygen as byproducts. We also propose to use CB biomass for CH4 production as carbon stock and a propellant. Both processes can be accomplished in an energy and cost effective manner because sunlight will be used as an energy source and allows the reactions at ambient temperatures between 10-60 C. Current evaluations include assessing the thermodynamics of such biogenic reactions using a variety of nutrients and atmospheric parameters, as well as assessing the rates and species variation effects of the driving reactions.

Brown, Igor↗

Iron-Tolerant Cyanobacteria for Human Habitation beyond Earth

In light of the President's Moon/Mars initiative, lunar exploration has once again become a priority for NASA. In order to establish permanent bases on the Moon and proceed with human exploration of Mars, two key problems will be addressed: first, the production of O2 and second, the production of methane (CH4). While O2 is required for life support systems (LSS), both liquid O2 and CH4 are needed as an oxidizer and a propellant, respectively for the Lunar Surface Access Module (LSAM) and the Crew Exploration Vehicle (CEV). Unlike previous propulsion systems, the new CEV will use liquid oxygen (LO2) as an oxidizer and liquid methane (LCH4) as a propellant. Existing technology (e.g. hydrogen reduction) for the production of liquid oxygen from lunar regolith is very energy intensive and requires high temperature reactors. We propose an alternative approach using iron-tolerant cyanobacteria. We have found that iron-tolerant cyanobacteria (IT CB) are capable of etching iron-bearing minerals, which may lead to bonds breaking between Fe and O of common lunar mare basalt Feoxides including ilmenite, pseudobrookite, ferropseudobrookite, and armalcolite with the subsequent release of both Fe, Ti and oxygen as by-products. We also propose to use CB biomass for CH4 production as carbon stock and a propellant. Both processes can be accomplished in an energy and cost effective manner because sunlight will be used as an energy source and allows the reactions at ambient temperatures between 10-60 C. Current evaluations include assessing the thermodynamics of such biogenic reactions using a variety of nutrients and atmospheric parameters, as well as assessing the rates and species variation effects of the driving reactions.

Brown, Igor↗

Field Immune Assessment during Simulated Planetary Exploration in the Canadian Arctic

Dysregulation of the immune system has been shown to occur during space flight, although the detailed nature of the phenomenon and the clinical risks for exploration class missions has yet to be established. In addition, the growing clinical significance of immune system evaluation combined with epidemic infectious disease rates in third world countries provides a strong rationale for the development of field-compatible clinical immunology techniques and equipment. In July 2002 NASA performed a comprehensive field immunology assessment on crewmembers participating in the Haughton-Mars Project (HMP) on Devon Island in the high Canadian Arctic. The purpose of the study was to evaluate mission-associated effects on the human immune system, as well as to evaluate techniques developed for processing immune samples in remote field locations. Ten HMP-2002 participants volunteered for the study. A field protocol was developed at NASA-JSC for performing sample collection, blood staining/processing for immunophenotype analysis, wholeblood mitogenic culture for functional assessments and cell-sample preservation on-location at Devon Island. Specific assays included peripheral leukocyte distribution; constitutively activated T cells, intracellular cytokine profiles and plasma EBV viral antibody levels. Study timepoints were L-30, midmission and R+60. The protocol developed for immune sample processing in remote field locations functioned properly. Samples were processed in the field location, and stabilized for subsequent analysis at the Johnson Space Center in Houston. The data indicated that some phenotype, immune function and stress hormone changes occurred in the HMP field participants that were largely distinct from pre-mission baseline and post-mission recovery data. These immune changes appear similar to those observed in Astronauts following spaceflight. The sample processing protocol developed for this study may have applications for immune assessment during exploration-class space missions or in remote terrestrial field locations. The data validate the use of the HMP as a ground-based spaceflight/planetary exploration analog for some aspects of human physiology.

Crucian, Brian↗

Extraterrestrial Hemorrhage Control: Terrestrial Developments in Technique, Technology, and Philosophy with Applicability to Traumatic Hemorrhage in Space

Managing injury and illness during long duration space flight limits efforts to explore beyond low earths orbit. Traumatic injury may be expected to occur in space and is a frequent cause of preventable deaths, often related to uncontrolled or ongoing hemorrhage (H). Such bleeding causes 40% of terrestrial injury mortality. Current guidelines emphasize early control of H compared to intravenous infusions. Recent advances in surgical and critical care may be applicable to trauma care in space, with appropriate considerations of the extreme logistical and personnel limitations. Methods: Recent developments in technique, resuscitation fluids, hemoglobin (Hb) substitutes, hemostatic agents, interventional angiography, damage control principles, and concepts related to suspended animation were reviewed. Results: H associated with instability frequently requires definitive intervention. Direct pressure should be applied to all compressible bleeding, but novel approaches are required for intracavitary noncompressible bleeding. Intravenous hemostatic agents such as recombinant Factor VII may facilitate hemostasis especially when combined with a controlled hypotension approach. Both open and laparoscopic techniques could be used in weightlessness, but require technical expertise not likely to be available. Specific rehearsed invasive techniques such as laparotomy with packing, or arterial catherterization with with robotic intravascular embolization might be considered . Hemodynamic support, thermal manipulation, or pharmacologic induction of a state of metabolic down regulation for whole body preservation may be appropriate. Hypertonic saline, with or without dextran, may temporize vascular support and decrease reperfusion injury, with less mass than other solutions. Hb substitutes have other theoretical advantages. Conclusions: Terrestrial developments suggest potential novel strategies to control H in space, but will required a coordinated program of evaluation and training to evaluate.

Kirkpatrick, Andrew↗