On the contribution of space medicine in the public health care

With the beginning of space era, a new branch of medicine has arisen and has been developing along with human exploration of outer space. And even though space medicine mainly faces the same problems as traditional medicine--cosmonauts health care and their high efficiency--this branch, has its own features, associated with the unusual factors of space flight, of which weightlessness is the major one. During the development of manned cosmonautics (duration of a human stay in space has reached already 438 days), methods of cosmonauts medical support and monitoring of their condition have been developed, knowledge of human possibilities and methods of process of organism adaptation to various and frequently severe conditions of external environment have increased. All this led to the fact that nowadays space medicine can become useful for improvement of human health care not only in space but also on the Earth. Moreover, the problem of implementation of cosmonautics achievements, and in particular of space medicine, in practice of public health care presents one of the most important issues concerning human health care. It is also connected with public opinion which is more and more concerned about the efficiency of significant expenses on space activities, especially lately. People often are set by the questions: what has space given, what fruits has space research provided to mankind, which results of this research can be used on the Earth already today for improvement of their life, for discussion of many difficult earthly problems? In terms of using cosmonautics possibilities, its achievements for health care and treatment, it is possible to define a few branches, in which purposeful studies are carried out.     

Erratum to: Determination of the Probability of Collision of Near-Earth Space Objects Taking into Account Form and Orientation

Cosmic Research - An Erratum to this paper has been published: https://doi.org/10.1134/S0010952521120030     

Autonomic function testing aboard the ISS using “PNEUMOCARD”

Investigations of blood pressure, heart rate (HR), and heart rate variability (HRV) during long term space flights on board the “ISS” have shown characteristic changes of autonomic cardiovascular control. Therefore, alterations of the autonomic nervous system occurring during spaceflight may be responsible for in- and post-flight disturbances. The device “Pneumocard” was developed to further investigate autonomic cardiovascular and respiratory function aboard the ISS. The hard-software diagnostic complex “Pneumocard” was used during in-flight experiment aboard ISS for autonomic function testing. ECG, photoplethysmography, respiration, transthoracic bioimpedance and seismocardiography were assessed in one male cosmonaut (flight lengths six month). Recordings were made prior to the flight, late during flight, and post-flight during spontaneous respiration and controlled respiration at different rates.HR remained stable during flight. The values were comparable to supine measurements on earth. Respiratory frequency and blood pressure decreased during flight. Post flight HR and BP values increased compared to in-flight data exceeding pre-flight values. Cardiac time intervals did not change dramatically during flight. Pulse wave transit time decreased during flight. The maximum of the first time derivative of the impedance cardiogram, which is highly correlated with stroke volume was not reduced in-flight.Our results demonstrate that autonomic function testing aboard the ISS using “Pneumocard” is feasible and generates data of good quality. Despite the decrease in BP, pulse wave transit time was found reduced in space as shown earlier. However, cardiac output did not decrease profoundly in the investigated cosmonaut.Autonomic testing during space flight detects individual changes in cardiovascular control and may add important information to standard medical control. The recent plans to support a flight to Mars, makes these kinds of observations all the more relevant and compelling.     

Possible physical properties of the flow in the vicinity of the heliopause

An interface between the fully ionized hydrogen plasma of the solar wind (SW) and the partially ionized hydrogen gas flow of the local interstellar medium (LISM) is formed as a region where there is a strong interaction between these two flows. The interface is bounded by the solar wind termination shock (TS) and the LISM bow shock (BS) and is separated on two regions by the heliopause (HP) separating the solar wind and charged component of the LISM (plasma component below). The BS is formed due to the deceleration of the supersonic LISM flow relative to the solar system. Regions of the interface between the TS and HP and between the HP and BS were in literature named as the inner and outer heliosheaths, respectively. An investigation of the structure and physical properties of the heliosheath is at present especially interested due to the fact that Voyager-1 and Voyager-2 have crossed the TS in December 2004 (Burlaga, L.F., Ness, N.F., Acuna, M.Y., et al. Crossing the termination shock into the the heliosheath. Magnetic fields. Science 309, 2027–2029, 2005; Fisk, L.A. Journey into the unknown beyond. Science 309, 2016–2017, 2005; Decker, R.B., Krimigis, S.M., Roelof, E.C., et al. Voyager 1 in the foreshock, termination shock and heliosheath. Science 309, 2020–2024, 2005; Stone, E.C., Cummings, A.C., McDonald, F.B., et al. Voyager 1 explores the termination shock region and the heliosheath beyond. Science 309, 2017–2020, 2005) and in September 2007 (Jokipii, J.R. A shock for Voyager 2. Nature 454, 38–39, 2008; Gurnett, D.A., Kurth, W.S. Intense plasma waves at and near the solar wind termination shock. Nature 454, 78–80, 2008. doi: 10.1038/nature07023; Wang, L., Lin, R.P., Larson, D.E., Luhmann, J.G. Domination of heliosheath pressure by shock-accelerated pickup ions from observations of neutral atoms. Nature 454, 81–83, 2008. doi: 10.1038/nature07068.14; Burlaga, L.F., Ness, N.F., Acuna, M.H., et al. Magnetic fields at the solar wind termination shock. Nature 454, 75–77, 2008. doi: 10.1038/nature07029; Richardson, J.D., Kasper, J.C., Wang, C., et al. Cool heliosheath plasma and deceleration of the upstream solar wind at the termination shock. Nature 454, 63–66, 2008. doi: 10.1038/nature07024; Stone, E.C., Cummings, A.C., McDonald, F.B., et al. An asymmetric solar wind termination shock. Nature 454, 71–74, 2008. doi: 10.1038/nature07022; Decker, R.B., Krimigis, S.M., Roelof, E.C., et al. Mediation of the solar wind termination shock by non-thermal ions. Nature 454, 67–70, 2008. doi: 10.1038/nature 07030), respectively, and entered to the inner heliosheath.     

Solution of the flyby problem for large space debris at sun-synchronous orbits

the paper considers the flyby problem related to large space debris (LSD) objects at low earth orbits. The data on the overall dimensions of known last and upper stages of launch vehicles makes it possible to single out five compact groups of such objects from the NORAD catalog in the 500–2000 km altitude interval. The orbits of objects of each group have approximately the same inclinations. The features of the mutual distribution of the orbital planes of LSD objects in the group are shown in a portrait of the evolution of deviations of the right ascension of ascending nodes (RAAN). In the case of the first three groups (inclinations of 71°, 74°, and 81°), the straight lines of relative RAAN deviations of object orbits barely intersect each other. The fourth (83°) and fifth (97°–100°) LSD groups include a considerable number of objects whose orbits are described by straight lines (diagonals), which intersect other lines many times. The use of diagonals makes it possible to significantly reduce the temporal and total characteristic velocity expenditures required for object flybys, but it complicates determination of the flyby sequence. Diagonal solutions can be obtained using elements of graph theory. A solution to the flyby problem is presented for the case of group 5, formed of LSD objects at sun-synchronous orbits.     

Six-impulse maneuvers for rendezvous of spacecraft in near-circular noncoplanar orbits

The problem of a rendezvous of two spacecraft in close near-circular noncoplanar orbits is considered. The angles of applying velocity impulses and their orientation are determined from necessary conditions of optimality derived using the basis vector theory. For non-degenerate six-impulse solutions the analytical formulas are found that approximate the dependence of moments of applying velocity impulses and angles determining their orientation on the rendezvous duration. The total characteristic velocity of six-impulse solutions (or five-impulse solutions derived from them) is compared to the total characteristic velocity obtained when solving the Lambert problem.     

Gasdynamics of the solar wind interaction with the interstellar medium

A survey of the present-day situation in gasdynamical models of solar wind interaction with the local interstellar medium is presented. A role of these models in interpreting a number of observed physical phenomena is investigated. Experimental data and possible observations are considered from the viewpoint of their interpretation on the basis of theoretical models. Our attention is concentrated on the main limitations of the gasdynamical models, in particular, two-shocks model developed by Baranovet al. (1981, 1982).     

Physical and chemical characteristics of the ISM inside and outside the heliosphere

This paper summarizes some of the discussions of working group 8–9 during the ISSI Conference on The Heliosphere in the Local Interstellar Medium. Because the subject of these working groups has become significantly broader during the last ten years, we have selected three topics for which recent observations have modified and improved our knowledge of the heliosphere and the surrounding interstellar medium. These topics are the number densities and ISM ionization states of hydrogen and helium, the newly discovered hot gas from the H wall seen in absorption, and the comparison between ISM and heliospheric minor element abundances. Papers from this volume in which more details on these topics can be found are quoted throughout the report.     

Heliospheric ENA fluxes: How Sensitive Are They to the Ionization State of LIC?

We explore the sensitivity of the fluxes of heliospheric energetic neutral atoms (ENA) at 1 AU to the ionization state of the local interstellar cloud (LIC). The solar wind plasma is compressed and heated in the termination shock transition. The shocked solar plasma is convected toward the heliospheric tail in the heliosheath, the region between the termination shock and the heliopause. The ENAs are produced in charge exchange of the plasma protons and background neutral gas and can be readily detected at 1 AU. The expected ENA fluxes depend on the shocked plasma density, temperature, and velocity in the heliosheath. The size and structure of the heliospheric interface region depend on the parameters of the interstellar medium. ENA fluxes would thus reveal the LIC parameters. We demonstrate the sensitivity of the heliospheric ENA fluxes to the ionization state of the LIC. The axi-symmetric model of the solar wind/LIC interaction includes the self-consistent treatment of the plasma-gas coupling and Monte Carlo simulations of the neutral gas distribution. This revised version was published online in August 2006 with corrections to the Cover Date.