Biomedical problems of EVA support during manned space flight to Mars

Current projects of manned missions to Mars are aimed to their realization in the second-third decades of this century. The purpose of this paper is to determine and review the main biomedical problems, that require a first and foremost decision for safety support of extravehicular activity (EVA) carried out by crewmembers of the Mars expedition. To a number of such problems the authors of the paper attribute a creation of adequate EVA equipment intended, first, for assembly of interplanetary spacecraft on the Earth orbit, performance of maintenance operations and scientific researches on the external surface of spacecraft during interplanetary flight and, secondly, for work on the Mars surface. New generation of space suits with low weight, high mobility and acceptable risk of decompression sickness must be as a central component of EVA equipment. The program for preparation to a Mars expedition also has to include special investigations in order to design the means and methods for a reliable protection of crew against space radiation, to elaborate the approach to medical monitoring and primary medical care during autonomous space mission, to maintain good health condition of crewmembers during EVA under the Mars gravity (0.38 g) after super long-term flight in weightlessness.     

Intuitive ultrasonography for autonomous medical care in limited-resource environments

Management of health problems in limited resource environments, including spaceflight, faces challenges in both available equipment and personnel. The medical support for spaceflight outside Low Earth Orbit is still being defined; ultrasound (US) imaging is a candidate since trials on the International Space Station (ISS) prove that this highly informative modality performs very well in spaceflight. Considering existing estimates, authors find that US could be useful in most potential medical problems, as a powerful factor to mitigate risks and protect mission. Using outcome-oriented approach, an intuitive and adaptive US image catalog is being developed that can couple with just-in-time training methods already in use, to allow non-expert crew to autonomously acquire and interpret US data for research or diagnosis.The first objective of this work is to summarize the experience in providing imaging expertise from a central location in real time, enabling data collection by a minimally trained operator onsite. In previous investigations, just-in-time training was combined with real-time expert guidance to allow non-physician astronauts to perform over 80 h of complex US examinations on ISS, including abdominal, cardiovascular, ocular, musculoskeletal, dental/sinus, and thoracic exams. The analysis of these events shows that non-physician crew-members, after minimal training, can perform complex, quality US examinations. These training and guidance methods were also adapted for terrestrial use in professional sporting venues, the Olympic Games, and for austere locations including Mt. Everest.The second objective is to introduce a new imaging support system under development that is based on a digital catalog of existing sample images, complete with image recognition and acquisition logic and technique, and interactive multimedia reference tools, to guide and support autonomous acquisition, and possibly interpretation, of images without real-time link with a human expert. In other words, we are attempting to replace, to the extent possible, expert guidance by guidance from a digital information resource. This is a next logical phase of the authors’ sustained effort to make US imaging available to sites lacking proper expertise. This effort will benefit NASA as the agency plans to develop future human exploration programs requiring increased medical autonomy. The new system will be readily adaptable to terrestrial medicine including emergency, rural, and military applications.     

Behavioral and biological effects of autonomous versus scheduled mission management in simulated space-dwelling groups

Logistical constraints during long-duration space expeditions will limit the ability of Earth-based mission control personnel to manage their astronaut crews and will thus increase the prevalence of autonomous operations. Despite this inevitability, little research exists regarding crew performance and psychosocial adaptation under such autonomous conditions. To this end, a newly-initiated study on crew management systems was conducted to assess crew performance effectiveness under rigid schedule-based management of crew activities by Mission Control versus more flexible, autonomous management of activities by the crews themselves. Nine volunteers formed three long-term crews and were extensively trained in a simulated planetary geological exploration task over the course of several months. Each crew then embarked on two separate 3–4 h missions in a counterbalanced sequence: Scheduled, in which the crews were directed by Mission Control according to a strict topographic and temporal region-searching sequence, and Autonomous, in which the well-trained crews received equivalent baseline support from Mission Control but were free to explore the planetary surface as they saw fit. Under the autonomous missions, performance in all three crews improved (more high-valued geologic samples were retrieved), subjective self-reports of negative emotional states decreased, unstructured debriefing logs contained fewer references to negative emotions and greater use of socially-referent language, and salivary cortisol output across the missions was attenuated. The present study provides evidence that crew autonomy may improve performance and help sustain if not enhance psychosocial adaptation and biobehavioral health. These controlled experimental data contribute to an emerging empirical database on crew autonomy which the international astronautics community may build upon for future research and ultimately draw upon when designing and managing missions.     

Lunar precursor missions for human exploration of Mars--III: studies of system reliability and maintenance

Discussions of future human expeditions into the solar system generally focus on whether the next explorers ought to go to the Moon or to Mars. The only mission scenario developed in any detail within NASA is an expedition to Mars with a 500-day stay at the surface. The technological capabilities and the operational experience base required for such a mission do not now exist nor has any self-consistent program plan been proposed to acquire them. In particular, the lack of an Abort-to-Earth capability implies that critical mission systems must perform reliably for 3 years or must be maintainable and repairable by the crew. As has been previously argued, a well-planned program of human exploration of the Moon would provide a context within which to develop the appropriate technologies because a lunar expedition incorporates many of the operational elements of a Mars expedition. Initial lunar expeditions can be carried out at scales consistent with the current experience base but can be expanded in any or all operational phases to produce an experience base necessary to successfully and safely conduct human exploration of Mars.     

Piloted operations at a near-Earth object (NEO)

In late 2006, NASA's Constellation Program sponsored a study to examine the feasibility of sending a piloted Orion spacecraft to a near-Earth object. NEOs are asteroids or comets that have perihelion distances less than or equal to 1.3 astronomical units, and can have orbits that cross that of the Earth. Therefore, the most suitable targets for the Orion Crew Exploration Vehicle (CEV) are those NEOs in heliocentric orbits similar to Earth's (i.e. low inclination and low eccentricity). One of the significant advantages of this type of mission is that it strengthens and validates the foundational infrastructure of the United States Space Exploration Policy and is highly complementary to NASA's planned lunar sortie and outpost missions circa 2020. A human expedition to a NEO would not only underline the broad utility of the Orion CEV and Ares launch systems, but would also be the first human expedition to an interplanetary body beyond the Earth–Moon system. These deep space operations will present unique challenges not present in lunar missions for the onboard crew, spacecraft systems, and mission control team. Executing several piloted NEO missions will enable NASA to gain crucial deep space operational experience, which will be necessary prerequisites for the eventual human missions to Mars.Our NEO team will present and discuss the following:

• •new mission trajectories and concepts;
• •operational command and control considerations;
• •expected science, operational, resource utilization, and impact mitigation returns; and
• •continued exploration momentum and future Mars exploration benefits.

     

From Earth's orbit to the outer planets and beyond: Psychological issues in space

Current planning for the first interplanetary expedition to Mars envisions a crew of 6 or 7 people and a mission duration of around 2.5 years. However, this time frame is much less than that expected on expeditions to the outer solar system, where total mission durations of 10 years or more are likely. Although future technological breakthroughs in propulsion systems and space vehicle construction may speed up transit times, for now we must realistically consider the psychological impact of missions lasting for one or more decades.Available information largely deals with on-orbit missions. In research that involved Mir and ISS missions lasting up to 7 months, our group and others have studied the effects of psychological and interpersonal issues on crewmembers and on the crew-ground relationship. We also studied the positive effects of being in space. However, human expeditions to the outer planets and beyond will introduce a number of new psychological and interpersonal stressors that have not been experienced before. There will be unprecedented levels of isolation and monotony, real-time communication with the Earth will not be possible, the crew will have to work autonomously, there will be great dependence on computers and other technical resources located on board, and the Earth will become an insignificant dot in space or will even disappear from view entirely.Strategies for dealing with psychological issues involving missions to the outer solar system and beyond will be considered and discussed, including those related to new technologies being considered for interstellar missions, such as traveling at a significant fraction of the speed of light, putting crewmembers in suspended animation, or creating giant self-contained generation ships of colonists who will not return to Earth.     

NEEMO 7 undersea mission

The NEEMO 7 mission was the seventh in a series of NASA-coordinated missions utilizing the Aquarius undersea habitat in Florida as a human space mission analog. The primary research focus of this mission was to evaluate telementoring and telerobotic surgery technologies as potential means to deliver medical care to astronauts during spaceflight. The NEEMO 7 crewmembers received minimal pre-mission training to perform selected medical and surgical procedures. These procedures included: (1) use of a portable ultrasound to locate and measure abdominal organs and structures in a crewmember subject; (2) use of a portable ultrasound to insert a small needle and drain into a fluid-filled cystic cavity in a simulated patient; (3) surgical repair of two arteries in a simulated patient; (4) cystoscopy and use of a ureteral basket to remove a renal stone in a simulated patient; and (5) laparoscopic cholecystectomy in a simulated patient. During the actual mission, the crewmembers performed the procedures without or with telementoring and telerobotic assistance from experts located in Hamilton, Ontario. The results of the NEEMO 7 medical experiments demonstrated that telehealth interventions rely heavily on a robust broadband, high data rate telecommunication link; that certain interventional procedures can be performed adequately by minimally trained individuals with telementoring assistance; and that prior clinical experience does not always correlate with better procedural performance. As space missions become longer in duration and take place further from Earth, enhancement of medical care capability and expertise will be required. The kinds of medical technologies demonstrated during the NEEMO 7 mission may play a significant role in enabling the human exploration of space beyond low earth orbit, particularly to destinations such as the Moon and Mars.     

The European Astronaut Centre prepares for International Space Station operations

The European Space Agency (ESA) contribution to the International Space Station (ISS) goes much beyond the delivery of hardware like the Columbus Laboratory, its payloads and the Automated Transfer Vehicles. ESA Astronauts will be members of the ISS crew. ESA, according to its commitments as ISS international partner, will be responsible to provide training on its elements and payloads to all ISS crewmembers and medical support for ESA astronauts. The European Astronaut Centre (EAC) in Cologne has developed over more than a decade into the centre of expertise for manned space activities within ESA by contributing to a number of important co-operative spaceflight missions. This role will be significantly extended for ISS manned operations. Apart from its support to ESA astronauts and their onboard operations, EAC will have a key role in training all ISS astronauts on ESA elements and payloads. The medical support of ISS crew, in particular of ESA astronauts has already started. This paper provides an overview on status and further plans in building up this homebase function for ESA astronauts and on the preparation towards Training Readiness for ISS crew training at EAC, Cologne. Copyright 2001 by the European Space Agency. Published by the American Institute of Aeronautics and Astronautics, Inc., with permission. Released to IAF/IAA/AIAA to publish in all forms.     

Biomedical support of man in space

In its broadest sense, biomedical support of man in space must not be limited to assisting spacecraft crew during the mission; such support should also ensure that flight personnel be able to perform properly during landing and after leaving the craft. Man has developed mechanisms that allow him to cope with specific stresses in his normal habitat; there is indisputable evidence that, in some cases, the space environment, by relieving these stresses, has also allowed the adaptive mechanisms to lapse, causing serious problems after re-entry. Inflight biomedical support must therefore include means to simulate some of the normal stresses of the Earth environment. In the area of cardiovascular performance, we have come to rely heavily on complex feedback mechanisms to cope with two stresses, often combined: postural changes, which alter the body axis along which gravitational acceleration acts, and physical exercise, which increases the total load on the system. Unless the appropriate responses are reinforced continuously during flight, crew members may be incapacitated upon return. The first step in the support process must be a study of the way in which changes in g, even of short duration, affect these responses. In particular we should learn more about effects of g on the "on" and "off" dynamics, using a variety of approaches: increased acceleration on one hand at recumbency, immersion, lower body positive pressure, and other means of simulating some of the effects of low g, on the other. Once we understand this, we will have to determine the minimal exposure dose required to maintain the response mechanisms. Finally, we shall have to design stresses that simulate Earth environment and can be imposed in the space vehicle. Some of the information is already at hand; we know that several aspects of the response to exercise are affected by posture. Results from a current series of studies on the kinetics of tilt and on the dynamics of readjustment to exercise in different postures will be presented and discussed.     

Piloted operations at a near-Earth object (NEO)

In late 2006, NASA's Constellation Program sponsored a study to examine the feasibility of sending a piloted Orion spacecraft to a near-Earth object. NEOs are asteroids or comets that have perihelion distances less than or equal to 1.3 astronomical units, and can have orbits that cross that of the Earth. Therefore, the most suitable targets for the Orion Crew Exploration Vehicle (CEV) are those NEOs in heliocentric orbits similar to Earth's (i.e. low inclination and low eccentricity). One of the significant advantages of this type of mission is that it strengthens and validates the foundational infrastructure of the United States Space Exploration Policy and is highly complementary to NASA's planned lunar sortie and outpost missions circa 2020. A human expedition to a NEO would not only underline the broad utility of the Orion CEV and Ares launch systems, but would also be the first human expedition to an interplanetary body beyond the Earth–Moon system. These deep space operations will present unique challenges not present in lunar missions for the onboard crew, spacecraft systems, and mission control team. Executing several piloted NEO missions will enable NASA to gain crucial deep space operational experience, which will be necessary prerequisites for the eventual human missions to Mars.Our NEO team will present and discuss the following:

• new mission trajectories and concepts;

• operational command and control considerations;

• expected science, operational, resource utilization, and impact mitigation returns; and

• continued exploration momentum and future Mars exploration benefits.

COLUMBUS Orbital Facility and Automated Transfer Vehicle: a challenge for agency & industry

Long term continuous operation of the COLUMBUS Orbital Facility (COF) flight- and ground segment requires continuous mission control and operations support capability to ensure proper operation and configuration of the COF systems in support of ongoing science and technology payloads. The ISS logistics scenario will be supported by the Automated Transfer Vehicle (ATV). These operational needs require the built-up of a new ground infrastructure in Europe and USA, enabling an efficient operations for preparation, planning and mission execution. The challenge for the European space community consists in the development and operation of a user friendly operational environment but keeping costs within budgetary constraints. Results of detailed definition studies performed by both agency and industry for the ground infrastructure indicate solutions to those technical and programmatic requirements by using of existing centers and facilities, re-use of C/D phase products (Hardware, Software) and COTS equipment to avoid costly new developments, using engineering expertise of the industrial personnel from flight element phase C/D. The concept for operations execution defines the task sharing between Operations Control Facilities (OCF), Operations Support Facilities and User Operations Sites. Operations support consists of on-line engineering support, off-line engineering support, payload integration, logistics support and crew training support performed by industry. DASA RI has made internal investments in organizational concepts for mission operations as well as in mission technologies and tools based on the standard COLUMBUS Ground Software (CGS) toolset and on knowledge based systems to enable an efficient industrial operations support. These tools are available as prototypes being evaluated in a simulated operational environment.     

Accomplishments in bioastronautics research aboard International Space Station

The tenth long-duration expedition crew is currently in residence aboard International Space Station (ISS), continuing a permanent human presence in space that began in October 2000. During that time, expedition crews have been operators and subjects for 18 Human Life Sciences investigations, to gain a better understanding of the effects of long-duration space flight on the crewmembers and of the environment in which they live. Investigations have been conducted to study: the radiation environment in the station as well as during extravehicular activity (EVA); bone demineralization and muscle deconditioning; changes in neuromuscular reflexes; muscle forces and postflight mobility; causes and possible treatment of postflight orthostatic intolerance; risk of developing kidney stones; changes in pulmonary function caused by long-duration flight as well as EVA; crew and crew–ground interactions; changes in immune function, and evaluation of imaging techniques. The experiment mix has included some conducted in flight aboard ISS as well as several which collected data only pre- and postflight. The conduct of these investigations has been facilitated by the Human Research Facility (HRF). HRF Rack 1 became the first research rack on ISS when it was installed in the US laboratory module Destiny in March 2001. The rack provides a core set of experiment hardware to support investigations, as well as power, data and commanding capability, and stowage. The second HRF rack, to complement the first with additional hardware and stowage capability, will be launched once Shuttle flights resume. Future years will see additional capability to conduct human research on ISS as International Partner modules and facility racks are added to ISS. Crew availability, both as a subject count and time, will remain a major challenge to maximizing the science return from the bioastronautics research program.     

Crew autonomy for deep space exploration: Lessons from the Antarctic Search for Meteorites

Future piloted missions to explore asteroids, Mars, and other targets beyond the Moon will experience strict limitations on communication between vehicles in space and control centers on Earth. These limitations will require crews to operate with greater autonomy than any past space mission has demonstrated. The Antarctic Search for Meteorites (ANSMET) project, which regularly sends small teams of researchers to remote parts of the southern continent, resembles a space mission in many ways but does not rely upon a control center. It provides a useful crew autonomy model for planners of future deep space exploration missions. In contrast to current space missions, ANSMET gives the crew the authority to adjust competing work priorities, task assignments, and daily schedules; allows the crew to be the primary monitor of mission progress; demands greater crew accountability for operational errors; requires the crew to make the most of limited communication bandwidth; adopts systems designed for simple operation and failure recovery; and grants the crew a leading role in the selection and stowage of their equipment.     

Psychological countermeasures for extended manned spaceflights

The authors examine psychological issues and countermeasures in extended space flight. Individual-oriented pre-flight countermeasures include basic psychological selection and training of astronaut candidates. Crew-oriented pre-flight countermeasures include crew composition based on psychological compatibility and psychological mission preparation. Psychological inflight support measures include those that address the emotional state and well-being of astronauts, performance efficiency, and prevention of task overload. Suggestions for an integrated approach to psychological countermeasures for extended flights are presented. Case reports examine psychological selection and training of German astronauts in preparation for the STS-55 mission.     

Multiple-task performance on a computer-simulated life support system during a space mission simulation

This paper presents an experiment which examined the effects of isolation and confinement during a simulation of a short-term space mission. During the 7-day spaceflight simulation, four Canadian astronauts were tested daily on a 30-min performance task. The task, CAMS (Cabin Air Management System), represents a computer-based simulation of a generic life support system. As a multiple-task environment, it allows the measurement of a wide range of task management variables such as primary and secondary task performance, and system control activities. Measures of subjective state variables were also taken. The results did not show any evidence of serious performance decrements for any crew member. The analysis revealed different adjustment patterns with which crew members responded as a function of mission duration and variations in workload. Among the secondary tasks employed, prospective memory was found to be more sensitive than reaction time to increases in workload. The paper concludes with a discussion of the utility of spaceflight simulations and computer-based simulations of space work.     

Mars Direct: Humans to the red planet by 1999

“Mars Direct”, is an approach to the space Exploration Initiative that allows for the rapid initiation of manned Mars exploration, possibly as early as 1999. The approach does not require any on-orbit assembly or refueling or any support from the Space Station or other orbital infrastructure. Furthermore, the Mars Direct plan is not merely a “flags and footprints” one-shot expedition, but puts into place immediately an economical method of Earth-Mars transportation, real surface exploratory mobility, and significant base capabilities that can evolve into a mostly self-sufficient Mars settlement. This paper presents both the initial and evolutionary phases of the Mars Direct plan. In the initial phase, only chemical propulsion is used, sendig 4 persons on conjunction class Mars exploratory missions. Two heavy lift booster launches are required to support each mission. The first launch delivers an unfueled Earth Return Vehicle (ERV) to the martian surface, where it fills itself with methane/oxygen bipropellant manufactured primarily out of indigenous resources. After propellant production is completed, a second launch delivers the crew to the prepared site, where they conduct regional exploration for 1.5 years and then return directly to Earth in the ERV. In the second phase of Mars Direct, nuclear thermal propulsion is used to cut crew transit times in half, increase cargo delivery capacity, and to create the potential for true global mobility through the use of CO₂ propelled ballistic hopping vehicles (“NIMFs”). In this paper we present both phases of the Mars Direct plan, including mission architecture, vehicle designs, and exploratory strategy leading to the establishment of a 48 person permanent Mars base. Some speculative thoughts on the possibility of actually colonizing Mars are also presented.     

Work and rest planning as a way of crew member error management.

Human error prevention is very important to support the safety and efficiency of human-machine systems. The approach to space crew member management error is considered in this paper. The data collected during 14 "Mir" station missions were analyzed to substantiate this approach. As a result of data processing, the significant (p<0.05) correlation of crew member errors with work and rest schedule tensity has been revealed. This finding was used to work out the mathematical model describing the dependence between the frequency (the probability) of crew member errors and work and rest schedule tensity. Based on the model, the algorithm of error management by means of efficient planning of crew members' work has been developed. The suggested approach may be used equally with other methods to raise the reliability of human-operator performance. Grant numbers: NAS-15-10110.     

Development of Skylab medical equipment and flight preparations

The purpose of this report is to provide an introduction and overview of the Skylab medical program. Some of the more important medical systems and equipment provided for crew sustenance are described. The major inflight medical experiments are reviewed, and the test programs are discussed. The medical operations procedures and the techniques used to monitor crew health are reviewed to provide an understanding of the medical management of this complex mission.