Efficacy of Doppler ultrasound [correction of utrasound] for screening symptoms of decompression sickness during simulated extravehicular activities

Doppler ultrasound is frequently used for monitoring circulating microbubbles during decompression to assess the symptoms of Decompression Sickness (DCS). This analysis was carried out to evaluate its effectiveness for screening symptoms of DCS during simulated extravehicular activities (EVA). The information from various hypobaric chamber studies carried out at the NASA Johnson Space Center, Houston, TX was used in this analysis (n = 516). The circulating microbubbles were detected in the precordial area in 42% (218/516), and symptoms were reported in 16% (81/516) of these exposures. The accuracy of Doppler-detectable bubbles (Spencer grades) on all symptoms of DCS was examined by calculating measures of sensitivity and specificity. The efficacy of Doppler as a screening device was examined by calculating their positive predictive value (PPV) and negative predictive value (NPV). The results of these analyses indicated that the sensitivity of Doppler decreased, and the PPV increased with higher Spencer grades. However, the likelihood of detecting true negative cases (NPV) was consistently higher with all bubble grades. Due to the high false-positive rate and low prior probabilities of the risk of DCS, Doppler was found to be more useful to identify those who did not develop DCS, than to detect positive cases of DCS in the simulated EVA exposures.     

Energy utilization rates during shuttle extravehicular activities

The work rates or energy utilization rates during EVA are major factors in sizing of life support systems. These rates also provide a measure of ease of EVA and its cost in crew fatigue. From the first Shuttle EVA on the STS-6 mission in 1983, we have conducted 59 man-EVA and 341 man-hours of EVA. Energy utilization rates have been measured on each of these EVA. Metabolic rate was measured during each EVA using oxygen utilization corrected for suit leakage. From 1981–1987, these data were available for average data over the EVA or over large segments of the EVA. Since 1987, EVA oxygen utilization data were available at 2-minute intervals. The average metabolic rate on Shuttle EVA (194 kcal/hr.) has been significantly lower than metabolic rates during Apollo and Skylab missions. Peak rates have been below design levels, infrequent, and of short duration. The data suggest that the energy cost of tasks may be inversely related to the degree of training for the task. The data provide insight on the safety margins provided by life support designs and on the energy cost of Station construction EVA.     

卫星舱内两类剂量计测量结果的比较

本文利用1994年和1996年两次返回式卫星的搭载条件对舱内辐射剂量进行了对比测量．通过对比测量,研究不同掺杂、不同厚度LiF剂量计测量空间辐射剂量的特点;研究GM计数管计数和LiF剂量间的转换系数以及转换系数随屏蔽状况的变化;由剂量和GM计数研究粒子平均碰撞阻止本领的估计方法．结果表明,不同掺杂、不同厚度的LiF剂量计测量结果间无显著差异,而转换系数几乎不受舱内位置和屏蔽状态的影响．不同厚度LiF剂量计,不同屏蔽状态的GM计数管计数和剂量—计数转换系数的比较研究以及对粒子平均碰撞阻止本领的估计表明,舱内辐射剂量起决定作用的是高能粒子成分,其平均碰撞阻止本领估计约为5MeV／cm．