Medical concerns for exploration-class missions

The Space Exploration Initiative will challenge life scientists with a diverse set of crew medical risks. The varied sources of this cumulative risk are identified and briefly discussed in terms of risk assessment and preliminary plans for risk management. The roles of Space Station Freedom and other flight programs are discussed in the context of exploration medical objectives; and the significant differences between Space Station era (second generation) and exploration medical support systems (third generation) are reviewed.     

Analytical definition and proposed concept for the manned infrastructure of a lunar outpost

A recent study made by ESA has reviewed the scientific investigations to be only, or best, performed on the Moon (Return to the Moon, ESA SP-1150, June 1992), and has identified the need for a manned lunar outpost to provide support to field geologists in sampling and in-situ observations of the lunar surface, and to allow the refurbishments of surface stations and rovers. Planning and development for a manned outpost on the Moon requires an in-depth understanding and analysis of the functions this outpost is expected to perform. We therefore analyzed the impact of the proposed scientific investigations on the design of a manned lunar outpost. The specific questions raised in our study were: What are the medical, physiological and psychological risks for a crew to stay and to work on the Moon? What transit and lunar surface infrastructures (habitats and vehicles) are needed to minimize those risks?     

Some approaches to medical support for Martian expedition

Medical support in a Martian expedition will be within the scope of crew responsibilities and maximally autonomous. Requirements to the system of diagnostics in this mission include considerable use of means and methods of visualization of the main physiological parameters, telemedicine, broad usage of biochemical analyses (including "dry" chemistry), computerized collection, measurement, analysis and storage of medical information. The countermeasure system will be based on objective methods of crew fitness and working ability evaluation, individual selection of training regimens, and intensive use of computer controlled training. Implementation of the above principles implies modernization and refinement of the countermeasures currently used by space crews of long-term missions (LTM), and increases of the assortment of active and passive training devices, among them a short-arm centrifuge. The system of medical care with the functions of prevention, clinical diagnostics and timely treatment will be autonomous, too. The general requirements to medical care during the future mission are the following: availability of conditions and means for autonomous urgent and special medical aid and treatment of the most possible states and diseases, "a hospital", and assignment to the crew of one or two doctors. To ensure independence of medical support and medical care in an expedition to Mars an automated expert system needs to be designed and constructed to control the medical situation as a whole.     

Telemedicine for the international space station

The medical care for the integrated crew of the International Space Station (ISS) will require close co-operation between the partner agencies in the areas of selection, medical surveillance, countermeasures, and handling of acute medical problems. Based on a commonly accepted policy of shared care and responsibilities medical guidelines, procedures, and standards for medical data and communication need to be harmonised under the responsibility of the Multilateral Medical Operations Panel (MMOP). A supporting telemedical network connecting the partners on an organisational and technical level will facilitate the harmonisation process and provide new tools for effective co-operation between medical professionals. Earth bound projects with similar application areas can profit from and contribute to this development and need to be considered for efficient implementation and exploitation.     

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.     

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.     

The Russian experience in medical care and health maintenance of the International Space Station crews

The main purpose of the medical support system aboard International Space Station (ISS) is crew health maintenance and high level of work capability assurance prior to during and after in space flights. In the present communication the Russian point of view dealing with the problems and achievements in this branch is presented. An overview on medical operations during flight and after finalization of the space missions based on Russian data of crew health and environment state monitoring, as well as data on the inflight countermeasures (prophylaxis) jointly with data on operational problems that are specific to ISS is presented. The report summarizes results of the medical examination of Russian members of the ISS and taxi crews during and after visits to the ISS.     

Strategies of developing advanced lunar power systems

Electric and thermal power have to be available at the base site on the lunar surface before the first lunar crew arrives. Unlimited solar energy is available during the lunar day, but this must be stored for use during the lunar night unless nuclear energy systems are available. State-of-the-art candidate systems are reviewed and the production of solar cells on the moon is discussed. Various options for developing a lunar power plant are proposed. These must be simulated and optimized in a real life-cycle systems scenario to provide operations and cost data essential for choosing a strategy.     

Strategies of developing advanced lunar power systems

Electric and thermal power have to be available at the base site on the lunar surface before the first lunar crew arrives. Unlimited solar energy is available during the lunar day, but this must be stored for use during the lunar night unless nuclear energy systems are available. State-of-the-art candidate systems are reviewed and the production of solar cells on the moon is discussed. Various options for developing a lunar power plant are proposed. These must be simulated and optimized in a real lifecycle systems scenario to provide operations and cost data essential for choosing a strategy.     

The basic health care system for the lunar base crew

A plan of the health care system for the crew on the lunar base is described in this study. The health care system consists of two subsystems. The first is the daily health care system. The system contains health care menus, similar to those on Earth, and some biochemical and ordinary medical examinations. The second system is a periodic medical inspection for the crew's bones and the determination of natural radioisotopes in the body. These care systems are automatically treated with the examination and data filing. Usually these examinations are carried out without the presence of a medical doctor. Examinations and files of the whole results are controlled by a computer. The daily results of examinations are compared with data in the file. If any abnormal values are found in the results, an appropriate message is sent advising whether he must receive an in-depth examination by a medical doctor, or be reexamined by the same submenu. The automatic health care system also records transactions with the life support monitoring system.     

载人深空探测进入/再入走廊设计方法研究

载人航天器的进入/再入走廊刻画了进入地外天体或再入返回地球时允许的进入/再入角范围。载人深空探测进入/再入过程中,载人航天器必须满足进入/再入走廊约束,以避免经历过大的过载、热流和总加热量等力/热环境,威胁进入/再入飞行安全。文章研究载人深空探测进入/再入走廊的设计方法,通过融合载人航天器进入/再入预测校正制导,验证进入/再入走廊的可行性,并采用基于安全系数的偏差因素影响分析方法,获取进入/再入走廊的设计裕度。最后,以载人月地再入返回为例,具体阐明了再入走廊的设计方法,并通过数学仿真验证了设计方法的有效性。研究结果将为载人深空探测进入/再入走廊设计以及进入/再入返回总体设计提供技术参考。     

Effect of Multi-wall System Composition on Survivability for Spacecraft Impacted by Orbital Debris

Long-duration spacecraft in low earth orbit such as the International Space Station (ISS) are highly susceptible to high-speed impacts by pieces of debris from past earth-orbiting missions. Among the hazards that accompany the penetration of a pressurized manned spacecraft are critical crack propagation in the module wall, crew hypoxia, and uncontrolled thrust due to air rushing out of the module wall hole. A Monte Carlo simulation tool was used to determine the effect of spacecraft wall construction on the survivability of ISS modules and crew following an orbital debris penetration. The simulation results indicate that enhanced shield wall designs (i.e., multi-wall systems with heavier inner bumpers) always lead to higher overall survivability of the station and crew due to an overwhelming decrease in likelihood of module penetration. The results of the simulations also indicate that changes in crew operations, equipment locations, and operation procedures can significantly reduce the likelihood of crew or station loss following an orbital debris penetration.     

空间站舱内噪声评价与降噪技术现状及建议

空间站舱内噪声对航天员危害严重,必须对其进行严格控制。文章首先分析了适用于空间站噪声评价的指标以及主要噪声源特点;总结了空间站的噪声预测方法和不同方法适用的频率范围、局限性;介绍了国际空间站的降噪工作,总结了其中的经验和不足;最后结合我国空间站噪声控制的研究现状,对我国空间站降噪工作提出了建议：降噪工作必须贯穿空间站设计、制造和在轨工作的整个过程,才能对噪声进行有效控制。     

A space exploration strategy that promotes international and commercial participation

NASA has created a plan to implement the Flexible Path strategy, which utilizes a heavy lift launch vehicle to deliver crew and cargo to orbit. In this plan, NASA would develop much of the transportation architecture (launch vehicle, crew capsule, and in-space propulsion), leaving the other in-space elements open to commercial and international partnerships. This paper presents a space exploration strategy that reverses that philosophy, where commercial and international launch vehicles provide launch services. Utilizing a propellant depot to aggregate propellant on orbit, smaller launch vehicles are capable of delivering all of the mass necessary for space exploration. This strategy has benefits to the architecture in terms of cost, schedule, and reliability.     

Astromedicine and astrolaw: Emerging issues for advanced missions beyond Earth orbit

It is generally agreed within the scientific community that provision of appropriate medical facilities and administration of quality health care to astronauts are of great importance. However, for the more complex and remote missions envisaged for the future, issues of liability, responsibility and damage relating to medical practice may take on a greater significance and will need to be addressed. The author briefly reviews potential issues which may arise in the context of medical emergencies, crew autonomy and environmentally altered physiological status which characterize some projected advanced space missions and argues that the law of outer space will need to be expanded to take account of them.     

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.     

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.     

Dextre: Improving maintenance operations on the International Space Station

The Special Purpose Dexterous Manipulator (SPDM), known as “Dextre”, is currently slated to launch in February 2008 for deployment on the International Space Station (ISS) as the final component of Canada's Mobile Servicing System (MSS). Dextre's primary role on the Space Station is to perform repair and replacement (R&R) maintenance tasks on robotically compatible hardware such as Orbital Replaceable Units (ORUs), thereby eventually easing the burden on the ISS crew.This burden on the on-orbit crew translates practically into crew time being a limited resource on the ISS, and as such, finding ways to assist the crew in performing their tasks or offloading the crew completely when appropriate is a bonus to the ISS program. This is already accomplished very effectively by commanding as many non-critical robotics tasks as possible, such as powering up and free-space maneuvering of the Space Station Remote Manipulator System (SSRMS), known as “Canadarm2”, from the Ground.Thus, beyond its primary role, and based on an increasing clarity regarding the challenges of external maintenance on the ISS, Dextre is being considered for use in a number of ways with the objective of improving ISS operations while reducing and optimizing the use of crew time through the use of ground control for various tasks, pre-positioning hardware, acting as a temporary storage platform to break an Extra Vehicular Activity (EVA) day into manageable timelines, and extending the physical reach and range of the Canadarm2.This paper discusses the planned activities and operations for Dextre an rationale for how these will help optimize the use of crew resources on the ISS.     

Initial characterization of the microgravity environment of the international space station: increments 2 through 4

The primary objective of the International Space Station (ISS) is to provide a long-term quiescent environment for the conduct of scientific research for a variety of microgravity science disciplines. This paper reports to the microgravity scientific community the results of an initial characterization of the microgravity environment on the International Space Station for increments 2 through 4. During that period almost 70,000 hours of station operations and scientific experiments were conducted. 720 hours of crew research time were logged aboard the orbiting laboratory and over half a terabyte of acceleration data were recorded and much of that was analyzed. The results discussed in this paper cover both the quasi-steady and vibratory acceleration environment of the station during its first year of scientific operation. For the quasi-steady environment, results are presented and discussed for the following: the space station attitudes Torque Equilibrium Attitude and the X-Axis Perpendicular to the Orbital Plane; station docking attitude maneuvers; Space Shuttle joint operation with the station; cabin de-pressurizations and the station water dumps. For the vibratory environment, results are presented for the following: crew exercise, docking events, and the activation/de-activation of both station life support system hardware and experiment hardware. Finally, a grand summary of all the data collected aboard the station during the 1-year period is presented showing where the overall quasi-steady and vibratory acceleration magnitude levels fall over that period of time using a 95th percentile benchmark.