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At least 163 records · Page 9

Barometric pressure and gas composition

Many factors affecting artificial gas atmosphere, which is used to maintain life during space flight, are considered. The wide variability of barometric pressure in spacecraft, due in large measure to spacecraft design is discussed. Explosive decompression is described; this develops from instantaneous depressurization of the cabin. Decompression sickness is reviewed, including bubble growth and evolution of gas bubbles in organisms. Dysbarism, hypoxia, and hypercapnia are also discussed.

V. B. Malkin↗

Intravascular bubbles associated with intravenous injections and altitude

Ultrasonically detected microbubbles were more abundant in the pulmonary artery of dogs intravenously injected with 10 ml of saline than in the same noninjected control during 10,000 ft (3,048 m), 20,000 ft (6,096 m), and 40,000 ft (12,121 m) exposures. Continuous intravenous (i.v.) drip infusions also introduced many small bubbles. Since they may serve as 'nuclei' for visible intravascular bubble formation, are sometimes associated with decompression sickness, and are additionally considered undesirable, it would appear prudent to minimize i.v. injections immediately before flights. However, a 10-min delay before ascent wil reduce their number and a 60-min delay will insure their almost complete absence. Also, slow ascent, a 1-h denitrogenation time, or use of a degassed solution will help reduce their total number.

Cooke, J. P.↗

Pulmonary artery location during microgravity activity: Potential impact for chest-mounted Doppler during space travel

Doppler, or ultrasonic, monitoring for pain manifestations of decompression sickness (the bends) is accomplished by placing a sensor on the chest over the pulmonary artery and listening for bubbles. Difficulties have arisen because the technician notes that the pulmonary artery seems to move with subject movement in a one-g field and because the sensor output is influenced by only slight degrees of sensor movement. This study used two subjects and mapped the position of the pulmonary artery in one-g, microgravity, and two-g environments using ultrasound. The results showed that the pulmonary artery is fixed in location in microgravity and not affected by subject position change. The optimal position corresponded to where the Doppler signal is best heard with the subject in a supine position in a one-g environment. The impact of this result is that a proposed multiple sensor array on the chest proposed for microgravity use may not be necessary to monitor an astronaut during extravehicular activities. Instead, a single sensor of approximately 1 inch diameter and mounted in the position described above may suffice.

Hadley, A. T., III↗

Effect of Hydration on Nitrogen Washout in Humans

Series of experiments described in NASA technical memorandum showed drinking water before breathing nearly pure oxygen has little or no effect on rate of removal of nitrogen from body. Experiments undertaken because data from some earlier experiments suggested that, under some conditions, hydration might help prevent decompression sickness.

Waligora, J.↗

Compatible atmospheres for a space suit, Space Station, and Shuttle based on physiological principles

Fundamental physiological principles have been invoked to design compatible environments for a space suit, Space Station and the spacecraft used to transport the astronauts from earth. These principles include the long-term memory of tissues for a bubble-provoking decompression, the intermittent nature of blood flow in the tight connective tissue(s) responsible for the bends whose incidence in aviators has been shown to be related to bubble volume by the Weibull distribution. In the overall design an astronaut breathing a mixture of 30 percent O2 in N2 for 4-5 h in a spacecraft at 11.9 psia can transfer to a Space Station filled with the same mix at 8.7 psia and, after a further 4-5 h, go EVA at any time without any oxygen prebreathing at any stage. The probable incidence of decompression sickness has been estimated as less than 0.5 percent using the present suit operating at 4.3 psia but the risk could be reduced to zero if the suit pressure were increased to 6.5 psia.

Hills, B. A.↗

Physiological considerations for EVA in the Space Station era

The physiological parameters that will affect EMU design and operational scheduling for the Space Station Program are discussed. The system must be designed to safely and effectively handle the increased frequency of extravehicular activity projected for longer flight periods than in the past. In order to minimize the risk of decompression sickness a proper combination of equilibration time to cabin pressure, suit pressure, and prebreathing denitrogenation, is necessary. Effective thermal exchange is projected to be automatically controlled and to have an 8-hr 1000 BTU/hr capability. Physiological changes due to adaptation to weightlessness must be considered in scheduling for their impact on performance/fatigue and in coping with motion sickness. Radiation protection to the limit of 80 rad/quarter must be achieved by scheduling to avoid periodic proton and solar flare exposure, and by additional EMU shielding. Additional EMU considerations are the control of microorganisms and the higher pressure requirement for emergency O2 purge.

Horrigan, D. J., Jr.↗

Minimum pressure for a zero-prebreathe pressure suit

There are two current approaches to reducing the risk of decompression sickness during repeated extravehicular activity (EVA) without prebreathing 100 percent oxygen. One approach suggests the use of different pressures in the transfer vehicle, the station, and the suit. The other would use advanced pressure-suit technology to build a suit that will make different pressures unnecessary provided the bends-free suit pressure is reasonable and can be readily determined. Research at the USAF School of Aerospace Medicine since November 1982 has been directed at determining this suit pressure using human subjects at simulated altitudes of 16,500 to 10,000 feet (7.8 to 10 psia). An earlier report of this ongoing research showed that bends is not totally eliminated at 7.8 psia. The present study is a continuation of this effort to define a 'bends-free' suit pressure with the initial results suggesting that this pressure begins at around 9.5 psia (from a 14.7 psia station).

Krutz, R. W., Jr.↗

Determining a bends-preventing pressure for a space suit

Research conducted to determine the proper pressure for preventing bends during EVA without preoxygenation is examined. Male and female subjects with different breathing gas mixtures and pressures are studied in order to define the pressure. Visual and auditory Doppler ultrasonic signals are utilized to monitor intravascular gas bubbles. The workload, which simulates EVA, consists of a handturned bicycle ergometer, a torque wrench operation, and a rope pull. The experimental data reveal that the minimum space suit pressure needed to prevent decompression sickness is 9.5 psi.

Krutz, R. W., Jr.↗

Neurology of microgravity and space travel

Exposure to microgravity and space travel produce several neurologic changes, including SAS, ataxia, postural disturbances, perceptual illusions, neuromuscular weakness, and fatigue. Inflight SAS, perceptual illusions, and ocular changes are of more importance. After landing, however, ataxia, perceptual illusions, neuromuscular weakness, and fatigue play greater roles in astronaut health and readaptation to a terrestrial environment. Cardiovascular adjustments to microgravity, bone demineralization, and possible decompression sickness and excessive radiation exposure contribute further to medical problems of astronauts in space. A better understanding of the mechanisms by which microgravity adversely affects the nervous system and more effective treatments will provide healthier, happier, and longer stays in space on the space station Freedom and during the mission to Mars.

Fujii, M. D.↗

Use of ultrasound in altitude decompression modeling

A model that predicts the probability of developing decompression sickness (DCS) with various denitrogenation schedules is being developed by the Armstrong Laboratory, using human data from previous exposures. It was noted that refinements are needed to improve the accuracy and scope of the model. A commercially developed ultrasonic echo imaging system is being used in this model development. Using this technique, bubbles images from a subject at altitude can be seen in the gall bladder, hepatic veins, vena cava, and chambers of the heart. As judged by their motion and appearance in the vena cava, venous bubbles near the heart range in size from 30 to 300 M. The larger bubbles skim along the top, whereas the smaller ones appear as faint images near the bottom of the vessel. Images from growing bubbles in a model altitude chamber indicate that they grow rapidly, going from 20 to 100 M in 3 sec near 30,000 ft altitude. Information such as this is valuable in verifying those aspects of the DCS model dealing with bubble size, their growth rate, and their site of origin.

Olson, Robert M.↗

Metabolic rate measurements comparing supine with upright upper-body exercises

The ground-based study that tested the hypothesis that metabolic rates during supine and upright upper-body exercises are similar (mean value of 200 kcal/h) is presented. Six subjects each performed supine or upright exercise at three exercise stations, a hand-cycle ergometer, a rope-pull device, and a torque wrench. After a baseline measurement of the metabolic rate at rest, the metabolic rate was measured twice at each exercise station. The mean metabolic rates (kcal/h) during supine (n = 6) and upright control (n = 4) exercise stations were not significantly different except for the rope-pull station, 153.5 +/- 16.6 (supine) as compared to 247.0 +/- 21.7 (upright), p is less than 0.05. This difference may be due in part to an increased mechanical efficiency of supine exercises (15.0 +/- 0.7 percent) as compared to that of upright exercises (11.0 +/- 1.08 percent), p is less than 0.05. The net energy input was significantly smaller for the supine rope-pull exercise (64 +/- 18) as compared to upright (176 +/- 20). The relationship between best-rest exercises, metabolic rates, and the incidence of decompression sickness (DCS) should be examined to determine the true risk of DCS in spaceflight extravehicular activities.

Fortney, Suzanne M.↗

Intelligent System Development Using a Rough Sets Methodology

The purpose of this research was to examine the potential of the rough sets technique for developing intelligent models of complex systems from limited information. Rough sets a simple but promising technology to extract easily understood rules from data. The rough set methodology has been shown to perform well when used with a large set of exemplars, but its performance with sparse data sets is less certain. The difficulty is that rules will be developed based on just a few examples, each of which might have a large amount of noise associated with them. The question then becomes, what is the probability of a useful rule being developed from such limited information? One nice feature of rough sets is that in unusual situations, the technique can give an answer of 'I don't know'. That is, if a case arises that is different from the cases the rough set rules were developed on, the methodology can recognize this and alert human operators of it. It can also be trained to do this when the desired action is unknown because conflicting examples apply to the same set of inputs. This summer's project was to look at combining rough set theory with statistical theory to develop confidence limits in rules developed by rough sets. Often it is important not to make a certain type of mistake (e.g., false positives or false negatives), so the rules must be biased toward preventing a catastrophic error, rather than giving the most likely course of action. A method to determine the best course of action in the light of such constraints was examined. The resulting technique was tested with files containing electrical power line 'signatures' from the space shuttle and with decompression sickness data.

Anderson, Gray T.↗

Medical, Psychophysiological, and Human Performance Problems During Extended EVA

In this session, Session JP1, the discussion focuses on the following topics: New Developments in the Assessment of the Risk of Decompression Sickness in Null Gravity During Extravehicular Activity; The Dynamic of Physiological Reactions of Cosmonauts Under the Influence of Repeated EVA Workouts, The Russian Experience; Medical Emergencies in Space; The Evolution from 'Physiological Adequacy' to 'Physiological Tuning'; Five Zones of Symmetrical and Asymmetrical Conflicting Temperatures on the Human Body, Physiological Consequences; Human Performance and Subjective Perception in Nonuniform Thermal Conditions; The Hand as a Control System, Implications for Hand-Finger Dexterity During Extended EVA; and Understanding the Skill of Extravehicular Mass Handling.

Source record↗

A Pilot Study for Applying an Extravehicular Activity Exercise Prebreathe Protocol to the International Space Station

Decompression sickness (DCS) is a serious risk to astronauts performing extravehicular activity (EVA). To reduce this risk, the addition of ten minutes of moderate exercise (75% VO2pk) during prebreathe has been shown to decrease the total prebreathe time from 4 to 2 hours and to decrease the incidence of DCS. The overall purpose of this pilot study was to develop an exercise protocol using flight hardware and an in-flight physical fitness cycle test to perform prebreathe exercise before an EVA. Eleven subjects volunteered to participate in this study. The first objective of this study was to compare the steady-state heart rate (HR) and oxygen consumption (VO2) from a submaximal arm and leg exercise (ALE) session with those predicted from a maximal ALE test. The second objective was to compare the steady-state HR and V02 from a submaximal elastic tube and leg exercise (TLE) session with those predicted from the maximal ALE test. The third objective involved a comparison of the maximal ALE test with a maximal leg-only (LE) test to conform to the in- flight fitness assessment test. The 75% VO2pk target HR from the LE test was significantly less than the target HR from the ALE test. Prescribing exercise using data from the maximal ALE test resulted in the measured submaximal values being higher than predicted VO2 and HR. The results of this pilot study suggest that elastic tubing is valid during EVA prebreathe as a method of arm exercise with the flight leg ergometer and it is recommended that prebreathe countermeasure exercise protocol incorporate this method.

Woodruff, Kristin K.↗

Statistical Analysis of Risk Factors in the Prebreathe Reduction Protocol

The 165 exposures from four 2-hour protocols were analyzed for correlations or trends between decompression sickness (DCS) or venous gas emboli (VGE), and variables that affect risk in the subject and astronaut populations. The assumption in this global survey is that the distributions of gender, age, body mass index, etc., are equally represented in all four tested procedures. We used Student t-test for comparisons between means and chi-square test between comparisons of proportions with p<0.05 defining a significant level. The type and distribution of the 19 cases of DCS were similar to historical cases. There was no correlation of age, gender, body mass index or fitness level with greater incidence of DCS or VGE. However increased age was associated with more Grade IV VGE in males. The duration and quantity of exercise during prebreathe is inversely related to risk of DCS and VGE. The latency time for VGE was longer (103 min +/- 56 SD, n = 15) when the ergometry was done approximately 15 min into the prebreathe than when done at the start of the prebreathe (53 min +/- 31, n = 13). The order of the ergometry did not influence the overall DCS and VGE incidence. We identified variables other than those of the prebreathe procedures that influence the DCS and VGE outcome. The analysis suggests that males over 40 years have a high incidence of Grade IV VGE.

Gerth, Wayne A.↗

Inflight Exercise Regimen for the 2-Hour Prebreathe Protocol

A 10 min aerobic prebreathe exercise up to 75% V-O2(sub max) on a dual-cycle ergometer, included in the 2-hour prebreathe protocol, has been shown to dramatically reduce the incidence of decompression sickness (DCS) at altitude. In-flight only leg ergometry will be available. A balanced exercise was developed using surgical tubing with the ergometer on-orbit. We hypothesize that a 75% V02max workload, individually prescribed, would be achieved using a target heart rate to regulate the intensity of the arm exercise. VO2, heart rate (HR) / ECG, V-CO2 /V-O2, V(sub E), and V(sub T), and rate of perceived exertion (Borg scale) were measured in eleven healthy subjects who passed a US Air Force Class III Physical examination. A V-O2 peak test was performed to assess the sub-maximal exercise prescription. Two series of sub-maximal tests were performed: (1) leg ergometer/hand ergometer and (2) leg ergometer/surgical tubes. We found no significant differences (P > 0.05) in comparing the means for V-O2 and HR between the predicted and measured values during the final 4 minute-stage at "75% V-O2 workload" or between the two types of sub-maximal tests. The prescribed prebreathe sub-maximal exercise performed with flight certified surgical tubes was achieved using the target HR.

Foster, Philip P.↗

Operational Implementation of a 2-Hour Prebreathe Protocol for International Space Station

Procedures, equipment, and analytical techniques were developed to implement the ground tested 2-hour protocol in-flight operations. The methods are: 1) The flight protocol incorporates additional safety margin over the ground tested protocol. This includes up to 20 min of additional time on enriched O2 during suit purge and pressure check, increased duration of extravehicular activity (EVA) preparation exercise during O2 prebreathing (up to 90 min vs; the tested 24 min), and reduced rates of depressurization. The ground test observations were combined with model projections of the conservative measures (using statistical models from Duke University and NASA JSQ to bound the risk of Type I and Type II decompression sickness (DCS). 2) An inflight exercise device using the in-flight ergometer and elastic tubes for upper body exercise was developed to replicate the dual cycle exercise in the ground trials. 3) A new in-flight breathing system was developed and man-tested. 4) A process to monitor inflight experience with the protocol, including the use of an in-suit Doppler bubble monitor when available, was developed. The results are: 1) The model projections of the conservative factors of the operational protocol were shown to reduce the risk of DCS to levels consistent with the observations of no DCS to date in the shuttle program. 2) Cross over trials of the dual cycle ergometer used in ground tests and the in-flight exercise system verified that02consumption and the % division of work between upper and lower body was not significantly different at the p= 0.05 level. 3) The in-flight breathing system was demonstrated to support work rates generating 75% O2(max) in 95 percentile subjects. 4) An in-flight monitoring plan with acceptance criteria was put in place for the 2-hour prebreathe protocol. And the conclusions are: The 2-hour protocol has been approved for flight, and all implementation efforts are in place to allow use of the protocol as early as flight ISS 7A, now scheduled in November of 2000.

Waligora, James M.↗

Design of a 2-Hour Prebreathe Protocol for Space Walks (EVAs) from the International Space Station (ISS)

The majority of extravehicular activities (EVAs) performed from the shuttle use a 10.2 psi staged decompression. The International Space Station (ISS) will operate at 14.7 psi, requiring crews to "campout" in the airlock at 10.2 psi. The constraints associated with campout (crew isolation, oxygen usage, and waste management), provided the rationale to develop a 2-hour prebreathe protocol from 14.7 psi. Previous studies on the affect of microgravity and exercise during prebreathe suggested the feasibility of this approach. Various combinations of adynamia (nonwalking subjects), prebreathe exercise doses, and space suit donning options (10.2 vs. 14.7 psi) were analyzed against timeline and consumable constraints. Prospective decompression sickness (DCS) and venous gas emboli (VGE) accept/reject criteria were defined from statistical analysis of historical DCS data, combined with risk management of DCS under ISS mission circumstances. Maximum operational DCS levels were defined based on protecting for EVA capability with two crew members at 95% confidence, throughout ISS lifetime (within the constraints of NASA DCS disposition policy JPG 1800.3). The accept / reject limits were adjusted for greater safety (including Grade IV VGE criteria) based on analysis of related medical factors. Monte-Carlo simulation was performed to design a closed sequential, multi-center laboratory trial, including the capability of rejecting the primary protocol and testing at least one alternate exercise dose, within the 2-hour prebreathe. The 2-hour protocol incorporates 0, breathing for 5 0 min at 14.7 psi, including 10 min dual cycle ergometry at 75%VO(2max). It requires an additional 30 minO2breathing during depress from 14.7 to 10.2 psi, followed by a 30-60 min suit donning break at 10.2 psi/26.5% O2. It concludes with a 40 min in-suit O2 prebreathe. The protocol would be accepted for operations, if the incidence of DCS was less than 15% and Grade IV VGE less than 20%, both at 95% confidence. The above protocol and accept/reject limits were implemented in a multi-center study.

Gernhardt, M. L.↗