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Space Medicine Capabilities and Challenges for Exploration Missions
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Space Medicine: from Earth to Mars
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EVALUATION OF A SINGLE-PROBE, COMPACT ULTRASOUND IMAGER FOR USABILITY IN THE PRACTICE OF SPACE MEDICINE
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Increasing Need of Orthopedist for Astronauts in Space Medicine. Defining Future Standards, and Review of Peri-Flight Musculoskeletal Injuries
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Foundations of Space Biology and Medicine. Volume 3: Space Medicine and Biotechnology
The results of medical and biological research in space are presented. Specific topics discussed include: methods of providing life support systems for astronauts, characteristics of integrated life support systems, protection against adverse factors of space flight, selection and training of astronauts, and future space biomedical research.
Life Sciences Space Station planning document: A reference payload for the Life Sciences Research Facility
The Space Station, projected for construction in the early 1990s, will be an orbiting, low-gravity, permanently manned facility providing unprecedented opportunities for scientific research. Facilities for Life Sciences research will include a pressurized research laboratory, attached payloads, and platforms which will allow investigators to perform experiments in the crucial areas of Space Medicine, Space Biology, Exobiology, Biospherics and Controlled Ecological Life Support System (CELSS). These studies are designed to determine the consequences of long-term exposure to space conditions, with particular emphasis on assuring the permanent presence of humans in space. The applied and basic research to be performed, using humans, animals, and plants, will increase our understanding of the effects of the space environment on basic life processes. Facilities being planned for remote observations from platforms and attached payloads of biologically important elements and compounds in space and on other planets (Exobiology) will permit exploration of the relationship between the evolution of life and the universe. Space-based, global scale observations of terrestrial biology (Biospherics) will provide data critical for understanding and ultimately managing changes in the Earth's ecosystem. The life sciences community is encouraged to participate in the research potential the Space Station facilities will make possible. This document provides the range and scope of typical life sciences experiments which could be performed within a pressurized laboratory module on Space Station.
Fire Prevention, Detection and Suppression
In mid-1999, the Space and Life Sciences Directorate at Johnson Space Center was challenged to develop a new paradigm for NASA human life sciences: space medicine, space biomedical research and countermeasures, advanced human support technology. A new thrust - Bioastronautics - was formulated with a budget augmentation request. The objective are: expanded extramural community participation through the National Space Biomedical Research Institute, initiated the detailed planning and implementation of Bioastronautics, an integrated approach to ensure healthy and safe human space travel, assist in the solution of earth-based problems.
Space Clinical Medicine.
Book on space clinical medicine covering hypoxia, ebullism, decompression, aerotitis, dehydration, hypothermia, cabin atmosphere contamination, urinary calculus, etc
Foundations of space biology and medicine. Volume 1: Space as a habitat
The last decade has witnessed the beginning of man's exploration of the Universe with an entirely new potentiality-manned and instrumented space vehicle capable of bringing observations closer to celestial bodies than had been deemed possible a few years ago. How far into the Universe this exploration will ultimately lead is in the hands of future generations. However, the solar system is already highly instrumented, with data being recorded hourly both directly and indirectly. A vast amount of information is accumulating, the resolution of which will take painstaking effort for many years. In short, mankind has achieved familiarity with the Sun and its planets in a comparatively short time.
Crowd Sourcing Medical Data Collection Using Medical Students
OBJECTIVE We undertook an upgrade of the Evidence Library database of NASA HRP’s Integrated Medical Model, assessing 120 medical conditions which integrate with a novel probabilistic risk assessment (IMPACT) tool of medical risk and resource utilization for long duration exploration human spaceflight. This data collection process included a selection of these conditions crowd sourced over one year via three 4-week medical student electives at the University of Colorado School of Medicine (IDPT 8059 Space Medicine: Human Spaceflight Factors & Medical Risk Assessment). Students undertook a rapid systematic review of each medical condition, under close preceptors with backgrounds in clinical medicine, library science, epidemiology, biostatistics, and evidence-based medicine. As part of the elective, students also received instruction in core space medicine concepts, evidence based medicine and problem based learning sessions as a flight surgeon supporting a simulated Mars mission. METHODS The list of 120 medical conditions includes both common, terrestrial illness/injury (epistaxis, diverticulitis) as well as spaceflight-specific ones (space adaptation conditions, EVA-related injuries). A rapid systematic review process was developed that would allow students to find the data for determining disease incidence/prevalence, return to definitive care (often a surrogate such as hospitalization rates), loss of crew life, and treatment duration. Each data point required a tailored, specialized search process using different databases and corresponding specialized search filters. Databases were selected on their ability to provide high quality literature in an efficient manner and prioritized by their ability to provide graded evidence via a set rubrics specific to human spaceflight. Students were responsible for performing all literature searches and identifying the highest quality available evidence for each data point. Completed student data sheets underwent initial review by faculty preceptors followed by a secondary editing review by the ExMC Clinical Science Team. RESULTS Over the course of three electives, approximately 105 medical conditions were researched by students using spreadsheets with pre-crafted search strategies. Overall, this process was successful in allowing students to perform the preponderance of work to update incidence, treatment duration, return to definitive care, and loss of crew life data points. Students were successful in running searches, identifying the necessary data points within the literature, and determining the types of terrestrial data that most aligns with the astronaut population for successful completion of their tasks. Limitations included variable student experience with search methodologies [PubMed], differing values of evidence grading [best practice evidence based medicine vs. relevant to spaceflight], and students’ unfamiliarity with spaceflight specific conditions. CONCLUSION Finding the relevant literature for medical conditions in spaceflight within terrestrial databases in a systematic method is time consuming and not intuitive. However, the stepwise process that balanced sensitivity with specificity allowed for students to be highly successful in a short amount of time. Additionally, as the process was refined over the course of three electives, preceptors were better able to anticipate where students were likely to encounter barriers, which allowed the course to be adjusted to account for certain data points needing more time for completion. This replicable process may be an efficient way to accomplish rapid systematic reviews for a large volume of data in a short amount of time.
The First International Conference for Smart Systems and Robotics in Space and Medicine
A viewgraph presentation describing smart systems and robotics in space and medicine is shown. The topics include: 1) NASA Applications; and 2) Laboratory Data.
Space clinical medicine - A prospective look at medical problems from hazards of space operations.
Clinical medical problems of space operation hazards covering hypoxia, decompression, dehydration, weightlessness, radiation, etc
Life sciences research on the space station: An introduction
The Space Station will provide an orbiting, low gravity, permanently manned facility for scientific research, starting in the 1990s. The facilities for life sciences research are being designed to allow scientific investigators to perform research in Space Medicine and Space Biology, to study the consequences of long-term exposure to space conditions, and to allow for the permanent presence of humans in space. This research, using humans, animals, and plants, will provide an understanding of the effects of the space environment on the basic processes of life. In addition, facilities are being planned for remote observations to study biologically important elements and compounds in space and on other planets (exobiology), and Earth observations to study global ecology. The life sciences community is encouraged to plan for participation in scientific research that will be made possible by the Space Station research facility.
Deep Space Exploration: Will We Be Ready? Infectious Diseases, Microgravity and Other Forces Affecting Health Pose Challenges for Humans Planning to Explore Space
In contemplating space travel beyond earth orbits, we humans face significant barriers and major challenges. Although researchers involved in several scientific subdisciplines, including space medicine and space life sciences, may provide insights to help overcome those barriers, their efforts are at an early stage of development, leaving open many questions of potentially major consequence.