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Antimicrobial Medication Stability During Space Flight

The current vision for manned space flight involves lunar and Martian exploration within the next two decades. In order for NASA to achieve these goals, a significant amount of preparation is necessary to assure crew health and safety. A mission critical component of this vision centers around the stability of pharmaceutical preparations contained in the space medicine kits. Evidence suggests that even brief periods of space flight have significant detrimental effects for some pharmaceutical formulations. The effects observed include decreases in physical stability of drug formulations of sufficient magnitude to effect bioavailability. Other formulations exhibit decreases in chemical stability resulting in a loss of potency. Physical or-chemical instability of pharmaceutical formulations i n space medicine kits could render the products ineffective. Of additional concern is the potential for formation of toxic degradation products as a result of the observed product instability. This proposal addresses Question number 11 of Clinical Capabilities in the Critical Path Roadmap. In addition, this proposal will reduce the risks and/or enhance the capabilities of humans exposed to the environments of space flight or an extraterrestrial destination by identifying drugs that may be unstable during spaceflight.

Putcha, Lakshmi↗

Countermeasures to Neurobehavioral Deficits from Cumulative Partial Sleep Deprivation During Space Flight

This project is concerned with identifying ways to prevent neurobehavioral and physical deterioration due to inadequate sleep in astronauts during long-duration manned space flight. The performance capability of astronauts during extended-duration space flight depends heavily on achieving recovery through adequate sleep. Even with appropriate circadian alignment, sleep loss can erode fundamental elements of human performance capability including vigilance, cognitive speed and accuracy, working memory, reaction time, and physiological alertness. Adequate sleep is essential during manned space flight not only to ensure high levels of safe and effective human performance, but also as a basic regulatory biology critical to healthy human functioning. There is now extensive objective evidence that astronaut sleep is frequently restricted in space flight to averages between 4 hr and 6.5 hr/day. Chronic sleep restriction during manned space flight can occur in response to endogenous disturbances of sleep (motion sickness, stress, circadian rhythms), environmental disruptions of sleep (noise, temperature, light), and curtailment of sleep due to the work demands and other activities that accompany extended space flight operations. The mechanism through which this risk emerges is the development of cumulative homeostatic pressure for sleep across consecutive days of inadequate sleep. Research has shown that the physiological sleepiness and performance deficits engendered by sleep debt can progressively worsen (i.e., accumulate) over consecutive days of sleep restriction, and that sleep limited to levels commonly experienced by astronauts (i.e., 4 - 6 hr per night) for as little as 1 week, can result in increased lapses of attention, degradation of response times, deficits in complex problem solving, reduced learning, mood disturbance, disruption of essential neuroendocrine, metabolic, and neuroimmune responses, and in some vulnerable persons, the emergence of uncontrolled sleep attacks. The prevention of cumulative performance deficits and neuroendocrine disruption from sleep restriction during extended duration space flight involves finding the most effective ways to obtain sleep in order to maintain the high-level cognitive and physical performance functions required for manned space flight. There is currently a critical deficiency in knowledge of the effects of how variations in sleep duration and timing relate to the most efficient return of performance per unit time invested in sleep during long-duration missions, and how the nature of sleep physiology (i.e., sleep stages, sleep electroencephalographic [EEG] power spectral analyses) change as a function of sleep restriction and performance degradation. The primary aim of this project is to meet these critical deficiencies through utilization of a response surface experimental paradigm, testing in a dose-response manner, varying combinations of sleep duration and timing, for the purpose of establishing how to most effectively limit the cumulative adverse effects on human performance and physiology of chronic sleep restriction in space operations.

Dinges, David F.↗

NASA Medical Response to Human Spacecraft Accidents

Manned space flight is risky business. Accidents have occurred and may occur in the future. NASA's manned space flight programs, with all their successes, have had three fatal accidents, one at the launch pad and two in flight. The Apollo fire and the Challenger and Columbia accidents resulted in a loss of seventeen crewmembers. Russia's manned space flight programs have had three fatal accidents, one ground-based and two in flight. These accidents resulted in the loss of five crewmembers. Additionally, manned spacecraft have encountered numerous close calls with potential for disaster. The NASA Johnson Space Center Flight Safety Office has documented more than 70 spacecraft incidents, many of which could have become serious accidents. At the Johnson Space Center (JSC), medical contingency personnel are assigned to a Mishap Investigation Team. The team deploys to the accident site to gather and preserve evidence for the Accident Investigation Board. The JSC Medical Operations Branch has developed a flight surgeon accident response training class to capture the lessons learned from the Columbia accident. This presentation will address the NASA Mishap Investigation Team's medical objectives, planned response, and potential issues that could arise subsequent to a manned spacecraft accident. Educational Objectives are to understand the medical objectives and issues confronting the Mishap Investigation Team medical personnel subsequent to a human space flight accident.

Patlach, Robert↗

Oh! I Slipped the Surly Bounds of Earth....and Ran into Space Weather!

Over the past decade the concept of space weather has been introduced and matured in both the scientific community and popular press. Likewise the concept of space climatology recently also is being advanced. Closely linked to these concepts are their impacts on ground- and space-based technological systems; one such system commonly mentioned is manned space flight exemplified by the Space Shuttle and International Space Station (ISS). From a manned space flight perspective, space weather and space climatology have significant effects on the amount of radiation exposure received by humans in space from the ambient high-energy charged particles present in interplanetary space and trapped in the geomagnetosphere. Whereas the impact of space weather for most technological systems is usually discrete and well correlated in time, the principle impact of space weather and space climatology is to increase the probability of latent cancer formation in thetraveler cohort. In this regard, while space weather may be the dominating factor for a given mission, over the life of a long-term program such as the Space Shuttle or ISS space climatology is the controlling factor of latent cancer risk. Human radiation exposure enhancements associated with space weather disturbances has been a concern among scientist and mission controllers since the inception of manned spaceflight nearly forty years ago. This led NASA to develop, in conjunction with the Environmental Science Services Administration s Space Disturbance Forecast Center and the USAF/AWS, the Solar Particle Alert Network (SPAN)-the foundation of an initial U.S. space weather monitoring and forecasting service. Since Apollo, routine space flight operations have evolved to include the use of space weather and climatology data provided through a world-wide network of operational space weather data services to predict and recommend actions to minimize astronaut radiation exposures. NASA Space Radiation Analysis Group (SRAG) flight controllers use real-time space weather data to detect and assess the impact of solar particle events, outer electron belt enhancements, the formation of pseudo-stable additional trapped radiation belts, and the solar cycle modulation of trapped radiation belts and galactic cosmic rays. Energetic particle data from GOES spacecraft are automatically ingested from NOAA Space Environment Center data servers and used to drive a model for the estimating the exposure to astronauts from solar particle events. While adequate for current manned space flight support, the existing operational space weather support system requires improvements to address the anticipated evolution in both the character of manned missions as well as space flight operations management. Necessary space weather data improvements include: reliably available (near) real-time space weather data on a fixed schedule via redundant access methods that support autonomous data acquisition by computer systems behind enterprise firewalls; and rapid transition of promising research sensors into operational systems.

Golightly, Michael J.↗

Training man for space flight

Cardiovascular reaction during parachute training, vibration exposure, and prolonged confinement and isolation as measure of efficiency and endurance of man for space flight training

CARDIOVASCULAR SYSTEM↗

Conference on Medical Results of the First U.S. Manned Suborbital Space Flight

This document is a compilation of papers presented at a Conference on the Medical Results of the First U.S. Manned Suborbital Space Flight. This conference was held by the NASA, in cooperation with the National Institutes of Health and the National Academy of Sciences, at the U.S. Department of State Auditorium on June 6, 1961. The papers were prepared by representatives of the NASA Space Task Group in collaboration with personnel from various Department of Defense medical installations, the University of Pennsylvania, and McDonnell Aircraft Corporation.

Source record↗