The future of space medicine.

In November 2000, the National Aeronautics and Space Administration (NASA) and its partners in the International Space Station (ISS) ushered in a new era of space flight: permanent human presence in low-Earth orbit. As the culmination of the last four decades of human space flight activities. the ISS focuses our attention on what we have learned to date. and what still must be learned before we can embark on future exploration endeavors. Space medicine has been a primary part of our past success in human space flight, and will continue to play a critical role in future ventures. To prepare for the day when crews may leave low-Earth orbit for long-duration exploratory missions, space medicine practitioners must develop a thorough understanding of the effects of microgravity on the human body, as well as ways to limit or prevent them. In order to gain a complete understanding and create the tools and technologies needed to enable successful exploration. space medicine will become even more of a highly collaborative discipline. Future missions will require the partnership of physicians, biomedical scientists, engineers, and mission planners. This paper will examine the future of space medicine as it relates to human space exploration: what is necessary to keep a crew alive in space, how we do it today, how we will accomplish this in the future, and how the National Aeronautics and Space Administration (NASA) plans to achieve future goals.     

Assessment of the efficacy of medical countermeasures in space flight

Changes in body fluids, electrolytes, and muscle mass are manifestations of adaptation to space flight and readaptation to the 1-g environment. The purposes of this paper are to review the current knowledge of biomedical responses to short- and long-duration space missions and to assess the efficacy of countermeasures to 1-g conditioning. Exercise protocols, fluid hydration, dietary and potential pharmacologic measures are evaluated, and directions for future research activities are recommended.     

The space life sciences strategy for the 21st century

In the past, space life sciences has focused on gaining an understanding of physiological tolerance to spaceflight, but, for the last 10 years, the focus has evolved to include issues relevant to extended duration missions. In the 21st century, NASA's long-term strategy for the exploration of the solar system will combine the assurance of human health and performance for long periods in space with investigations aimed at searching for traces of life on other planets and acquiring fundamental scientific knowledge of life processes. Implementation of this strategy will involve a variety of disciplines including radiation health, life support, human factors, space physiology and countermeasures, medical care, environmental health, and exobiology. It will use both ground-based and flight research opportunities such as those found in current on-going programs, on Spacelab and unmanned biosatellite flights, and during Space Station Freedom missions.     

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.     

Stepping stones toward global space exploration

Several nations are currently engaging in or planning for robotic and human space exploration programs that target the Moon, Mars and near-Earth asteroids. These ambitious plans to build new space infrastructures, transport systems and space probes will require international cooperation if they are to be sustainable and affordable. Partnerships must involve not only established space powers, but also emerging space nations and developing countries; the participation of these new space actors will provide a bottom-up support structure that will aid program continuity, generate more active members in the space community, and increase public awareness of space activities in both developed and developing countries. The integration of many stakeholders into a global space exploration program represents a crucial element securing political and programmatic stability. How can the evolving space community learn to cooperate on a truly international level while engaging emerging space nations and developing countries in a meaningful way? We propose a stepping stone approach toward a global space exploration program, featuring three major elements: (1) an international Earth-based field research program preparing for planetary exploration, (2) enhanced exploitation of the International Space Station (ISS) enabling exploration and (3) a worldwide CubeSat program supporting exploration. An international Earth-based field research program can serve as a truly global exploration testbed that allows both established and new space actors to gain valuable experience by working together to prepare for future planetary exploration missions. Securing greater exploitation of the ISS is a logical step during its prolonged lifetime; ISS experiments, partnerships and legal frameworks are valuable foundations for exploration beyond low Earth orbit. Cooperation involving small, low-cost missions could be a major stride toward exciting and meaningful participation from emerging space nations and developing countries. For each of these three proposed stepping stones, recommendations for coordination mechanisms are presented.     

火星载人探测中辐射防护综述

火星探测是人类太空探索的重要组成部分,火星载人探测中航天员的辐射安全问题是人们最为关心的问题。文章扼要介绍了美国/俄罗斯火星载人探测技术的发展过程,重点阐述了探测中的辐射环境、辐射效应以及国外探测结果;在此基础上,对火星探测中的辐射剂量进行了预示,提出了辐射防护建议。     

International Academy of Astronautics 5th cosmic study--preparing for a 21st century program of integrated,Lunar and Martian exploration and development (executive summary)

This report is an initial review of plans for a extensive program to survey and develop the Moon and to explore the planet Mars during the 21st century. It presents current typical plans for separate, associated and fully integrated programs of Lunar and Martian research, exploration and development, and concludes that detailed integrated plans must be prepared and be subject to formal criticism. Before responsible politicians approve a new thrust into space they will demand attractive, defensible, and detailed proposals that explain the WHEN, HOW and WHY of each stage of an expanded program of 21st century space research, development and exploration. In particular, the claims of daring, innovative, but untried systems must be compared with the known performance of existing technologies. The time has come to supersede the present haphazard approach to strategic space studies with a formal international structure to plan for future advanced space missions under the aegis of the world's national space agencies, and supported by governments and the corporate sector.     

Isolation,confinement, and sensory deprivation

Long-duration space flight involves sensory monotony, isolation, and confinement. Obviously, data from other such environments are relevant to our concerns; and the application of the concept of arousal both to interpersonal relations and to task performance in space can point to appropriate selection, training, and spacecraft design features. In the context of space flight, all of these leads remain conjectural--simulation as well as laboratory research and initiation of long-duration flights will be the crucial test of the hypotheses.     

深空探测重力模拟飞行器方案设想

为解决失重环境对航天员生理健康的影响,在调研国内外重力飞行器研究现状的基础上,结合重力模拟飞行器的原理及人造重力舒适度影响因素,提出了一种通过自旋产生人造重力的深空探测飞行器方案设想。最后给出了重力模拟飞行器建设的实施规划、总体方案、在轨组装流程及技术难点。深空探测重力模拟飞行器稳定运转可为空间工作生活的航天员提供与地面无异的重力环境,将为执行深空探测任务提供必要的环境保障。     

Human missions to Mars: new psychological challenges and research issues

Human exploratory missions to Mars represent the most exciting future vision of human space flight. With respect to the distance to travel and mission duration, these missions will provide unique psychological challenges that do not compare to any other endeavor humans ever have attempted. The present paper presents outcomes of two recent projects sponsored by the European Space Agency--Humex and Reglisse--where these challenges and risks have been analyzed in some detail, and where concepts for future research have been developed. This presentation involves three steps. At first, it will be shown that our current psychological knowledge derived from orbital spaceflight and analogue environments is not sufficient to assess the specific risks of mission into outer space. Secondly, new psychological challenges of missions to Mars will be identified with respect to three different areas: (1) individual adaptation and performance, (2) crew interactions, and (3) concept and methods of psychological countermeasures. Finally, different options and issues of preparatory psychological research will be discussed.     

The origin of the smaller, faster, cheaper approach in NASA’s solar system exploration program

The current emphasis on smaller, faster, cheaper (SFC) spacecraft in NASA’s solar system exploration program is the product of a number of interacting – even interdependent – factors. The SFC concept as applied to NASA’s solar system exploration program can be viewed as the vector sum of (1) the space science community’s desire for more frequent planetary missions to plug the data gaps, educate the next generation of scientists, provide missions to targets of opportunity, and enable programmatic flexibility in times of budgetary crisis; (2) the poor publicity garnered by NASA in the early 1990s and the resultant atmosphere of public criticism (creating an opportunity for reform); (3) The Strategic Defense Initiative Organization’s and the National Space Council community’s desire to advance the Space Exploration Initiative and their perception that the NASA culture at the time represented a barrier to the effective pursuit of space exploration; (4) the effective leadership of NASA Administrator Daniel Goldin; and (5) the diminishing budget profile for space sciences in the early 1990s. This paper provides a summary of the origin of the smaller, faster, cheaper approach in the planetary program. A more through understanding of the history behind this policy will enable analysts to assess more accurately the relative successes and failures of NASA’s new approach to solar system exploration.     

Advanced flight computing technologies for validation by NASA's new millennium program

The New Millennium Program (NMP) consists of a series of Deep-Space and Earth Orbiting missions that are technology-driven, in contrast to the more traditional science-driven space exploration missions of the past. These flights are designed to validate technologies that will enable a new era of low-cost highly miniaturized and highly capable spacebome applications in the new millennium. In addition to the series of flight projects managed by separate flight teams, the NMP technology initiatives are managed by the following six focused technology programs: Microelectronics Systems, Autonomy, Telecommunications, Instrument Technologies and Architectures, In-Situ Instruments and Micro-electromechanical Systems, and Modular and Multifunctional Systems. Each technology program is managed as an Integrated Product Development Team (IPDT) of government, academic, and industry partners. In this paper, we will describe elements of the technology roadmap proposed by the NMP Microelectronics IPDT. Moreover, we will relate the proposed technology roadmap to existing NASA technology development programs, such as the Advanced Flight Computing (AFC) program, and the Remote Exploration and Experimentation (REE) program, which constitute part of the on-going NASA technology development pipeline. We will also describe the Microelectronics Systems technologies that have been accepted as part of the first New Millennium Deep-Space One spacecraft, which is an asteroid fly-by mission scheduled for launched in July 1998.     

Lessons learned from Mir--a payload perspective

Among the principal objectives of the Phase 1 NASA/Mir program were for the United States to gain experience working with an international partner, to gain working experience in long-duration space flight, and to gain working experience in planning for and executing research on a long-duration space platform. The Phase 1 program was to provide the US early experience prior to the construction and operation of the International Space Station (Phase 2 and 3). While it can be argued that Mir and ISS are different platforms and that programmatically Phase 1 and ISS are organized differently, it is also clear that many aspects of operating a long-duration research program are platform independent. This can be demonstrated by a review of lessons learned from Skylab, a US space station program of the mid-1970s, many of which were again “learned” on Mir and are being “learned” on ISS. Among these are optimum crew training strategies, on-orbit crew operations, ground support, medical operations and crew psychological support, and safety certification processes.     

Phase 1 research program overview

The Phase 1 research program was unprecedented in its scope and ambitious in its objectives. The National Aeronautics and Space Administration committed to conducting a multidisciplinary long-duration research program on a platform whose capabilities were not well known, not to mention belonging to another country. For the United States, it provided the first opportunity to conduct research in a long-duration space flight environment since the Skylab program in the 1970's. Multiple technical as well as cultural challenges were successfully overcome through the dedicated efforts of a relatively small cadre of individuals. The program developed processes to successfully plan, train for and execute research in a long-duration environment, with significant differences identified from short-duration space flight science operations. Between August 1994 and June 1998, thousands of kilograms of research hardware was prepared and launched to Mir, and thousands of kilograms of hardware and data products were returned to Earth. More than 150 Principal Investigators from eight countries were involved in the program in seven major research disciplines: Advanced Technology; Earth Sciences; Fundamental Biology; Human Life Sciences; International Space Station Risk Mitigation; Microgravity; and Space Sciences. Approximately 75 long-duration investigations were completed on Mir, with additional investigations performed on the Shuttle flights that docked with Mir. The flight phase included the participation of seven US astronauts and 20 Russian cosmonauts. The successful completion of the Phase 1 research program not only resulted in high quality science return but also in numerous lessons learned to make the ISS experience more productive. The cooperation developed during the program was instrumental in its success.     

Considerations for development of countermeasures for physiological decrements associated with long-duration space missions

Countermeasures are necessary to offset or minimize the deleterious changes in human physiology resulting from long duration space flight. Exposure to microgravity alters musculoskeletal, neurosensory, and cardiovascular systems with resulting deconditioning that may compromise crew health and performance. Maintaining health and fitness at acceptable levels is critical for preserving performance capabilities required to accomplish specific mission tasks (e.g.—extravehicular activity) and to optimize performance after landing. To enable the goals of the exploration program, NASA is developing a new suite of exercise hardware such as the improved loading device, the SchRED. This presentation will update the status of current countermeasures, correlate hardware advances with improvements in exercise countermeasures, and discuss future activities for safe and productive exploration missions.     

National Space Biomedical Research Institute Education and Public Outreach Program: Education for the next generation of space explorers

The National Space Biomedical Research Institute (NSBRI) Education and Public Outreach Program (EPOP) is supporting the National Aeronautics and Space Administration's (NASA) new vision for space exploration by educating and inspiring the next generation of students through a seamless pipeline of kindergarten through postdoctoral education programs. NSBRI EPOP initiatives are designed to train scientists and to communicate the significance of NSBRI science, as well as other space exploration science, to schools, families and lay audiences. The NSBRI EPOP team is comprised of eight main partners: Baylor College of Medicine (BCM), Binghamton University–State University of New York (BUSUNY), Colorado Consortium for Earth and Space Science Education (CCESSE), Massachusetts Institute of Technology (MIT), Morehouse School of Medicine (MSM), Mount Sinai School of Medicine (MSSM), Rice University and the University of Texas Medical Branch (RU–UTMB), and Texas A&M University (TAMU). The current kindergarten through undergraduate college (K-16) team, which was funded through an open national competition in 2004, consolidates the past 7 years of K-16 education activities and expands the team's outreach activities to more museums and science centers across the nation. NSBRI also recently expanded its education mission to include doctoral and postdoctoral level programs. This paper describes select K-16 EPOP activities and products developed over the past 7 years, and reports on new activities planned for the next 3 years. The paper also describes plans for a doctoral program and reports on 1st-year outcomes of the new postdoctoral program.     

Overview of the Neurolab Spacelab mission

Neurolab is a NASA Spacelab mission with multinational cooperative participation that is dedicated to research on the nervous system. The nervous systems of all animal species have evolved in a one-g environment and are functionally influenced by the presence of gravity. The absence of gravity presents a unique opportunity to gain new insights into basic neurologic functions as well as an enhanced understanding of physiological and behavioral responses mediated by the nervous system. The primary goal of Neurolab is to expand our understanding of how the nervous system develops, functions in, and adapts to microgravity space flight. Twenty-six peer reviewed investigations using human and nonhuman test subjects were assigned to one of eight science discipline teams. Individual and integrated experiments within these teams have been designed to collect a wide range of physiological and behavior data in flight as well as pre- and postflight. Information from these investigations will be applicable to enhancing the well being and performance of future long duration space travelers, will contribute to our understanding of normal and pathological functioning of the nervous system, and may be applied by the medical community to enhance the health of humans on Earth.     

Psychosocial issues affecting crews during long-duration international space missions

Psychosocial issues can negatively impact on crew performance and morale during long-duration international space missions. Major psychosocial factors that have been described in anecdotal reports from space and in studies from analog situations on Earth include: 1) crew heterogeneity due to gender differences, cultural issues, and work experiences and motivations; 2) language and dialect variations; and 3) task versus supportive leadership roles. All of these factors can lead to negative sequelae, such as intra-crew tension and cohesion disruptions. Specific sequelae that can result from single factors include subgrouping and scapegoating due to crew heterogeneity; miscommunication due to major or subtle language differences; and role confusion, competition, and status leveling due to inappropriate leadership role definition. It is time to conduct research exploring the impact of these psychosocial factors and their sequelae on space crews during actual long-duration international space missions.     

Bone and body mass changes during space flight

Long duration space flight has shown us that humans have significant bone loss and mineral changes because they are living in microgravity. Skylab and the longer Salyut and Mir missions, are providing us useful data and allowing us to explore the mechanism involved in skeletal turnover. Bone redistribution occurs throughout space flight with bone loss predominately in the weight bearing bones of posture and locomotion. The primary health hazards which may occur during space flight induced by skeletal changes include signs and symptoms of hypercalcemia, and the risk of kidney stones and metastatic calcification. After flight lengthy recovery of bone mass and the possible increase in the risk of bone fracture should be considered. Continued research studies are being directed toward determining the mechanisms by which bone is lost in space and developing more effective countermeasures by both the US (Schneider and McDonald, 1984 and Schneider, LeBlanc & Huntoon, 1993) and Russian (Grigoriev et. al., 1989) space programs.